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HomeMy WebLinkAbout0039 HARRIS MEADOW LANE - Health 1 39 Harris Me-dove Lane Barnstable P M A — 279 to 7.0 I' i 0 I iI � �I Town of Barnstable MUMSTAFIM , 1 ak Board of Health 200 Main Street, Hyannis MA 02601 Office: 508-8624644 Susan G.Rask,R.S. FAX: 508-790-6304 Sumner Kaufman,MSPH Wayne Miller,M.D. f May 10, 2005 Mr. Arne Ojala ` Down Cape Engineering 939 Main Street, Route 6A Yarmouthport, MA 02675 -RE: 39 Harris`Meadow Lane,.Barnstable, MA A= 279-70 Dear Ms. Ojala, You are granted a conditional variance on behalf of your client, Jonathon Blake, to construct an onsite sewage disposal system at 39 Harris Meadow Lane, Barnstable. The variance granted is as follows: 310 CMR 15.211: To construct a crawl space foundation wall 7.5 feet away from the existing septic tank, in lieu of the ten feet minimum separation distance required. This variances is granted with the following condition:. • A 40 mil liner shall be installed along the crawl space foundation wall as proposed by the applicant's engineer. The proposed foundation will be a crawl space. The Massachusetts Department of Environmental Protection recommends a ten feet setback from crawl spaces. This variance is granted because, in the opinion of the' Board of Health, it is believed that the same degree of environmental protection will be attained without strictly applying the Title 5 Regulations. Sincere yours, Wayne ler, M.D. .. Q:HEALTH/WP/Oj alaBaldwin } o / DATE: 6S oEZHE r TOWN'1_l�`SARt�ea pt T [3 L FEE: BARIYSTA6LE • A �: 8 10: 5 7 y MASS i639• �� Y° Town of Barnstable ` SCHED. DATE: Board of Healthi°u'IS°° 200 Maiii Street,Hyannis MA 02601 Office: 508-862-4644 Susan G.Rask,R.S. FAX: 508-790-6304 Sumner Kaufman,M.S.P.H. . Wayne A.Miller,M.D. VARIANCE REQUEST FORM LOCATION �—A tn'1 rc d, cc JS L,4+•�E (�A2!-t S(�yS t� Property Address: 3� 2lLc s sJ .. � t Assessor's Map and Parcel Number: 2_ -1 —Tv Size of Lot: Wetlands Within 300 Ft. Yes Business Name: No_ Subdivision Name: APPLICANT'S NAME: 4bC� hk I Phone Did the owner of the property a thorize you to represent him or her? Yes _� No PROPERTY OWNER'S_ NAME CONTACT PERSON . ' 6Jt Name: Name: t3 � � p Address: f' d 150 Address: Phone: Phone: VARIANCE FROM REGULATION(ListReg) REASON FOR VARIANCE(May attach if more space needed) T%TV—Z t5. 5,�z7n� -t-a.rt tc —ra pK•��•l• ` �O, To 1•S, Lku-1,t PST Tb F.-t✓>K'. ' is 1�{� NATURE OF WORK House Addition????? House Renovation 0 Repair of Failed Septic System 0 Checklist (to be completed by office staff-person receiving variance request application) Please submit copies in 4 separate completed sets. Four(4)copies of the completed variance request form Four(4)copies of engineered plan submitted(e.g.septic system plans) Four(4)copies of labeled dimensional floor plans submitted(e.g.house plans or restaurant kitchen plans) Signed letter stating that the property owner authorized you to represent him/her for this request _ applicant understands that the abutters must be notified by certified mail at least ten days prior to meeting date at applicant's expense (for Title V and/or local sewage regulation variances only) Full menu submitted(for grease trap variance requests only) :\Documents and Settings\decollik\Local Settings\Temporary Internet Files\0LK3\VARIREQ.DOC A tel.(508)362-4541' 939 main street rt 6a fax(508)362-9880 yarmouth port mass 02675 down Cape eagiaeeriag civil engineers& land surveyors structural design Arne H.Ojala P.E.,P.L.S. Daniel A.Ojala, P.L.S. land court March 2.9, 2005 Timothy H.Covell, P.L.S. surveys Barnstable Board of Health 200Main Street site planning Hyannis, MA 02601 sewage system Re- 39 Harris Meadow Lane designs Dear Board Members: inspections The enclosed represents a variance filing for the above-referenced site. permits The.followingvariances are requested under Title 5 _.1.521.1_ reduction in p 4u setback, leach pit to proposed (crawlspace) foundation(20' to 14') and septic tank to(crawlspace) foundation(10' to 7.5'). The septic system was inspected and passed by Troy Williams in August of 2002. Groundwater is not a factor here, and the site is not within a well protection zone. We have proposed a 40 mil liner along the crawlspace foundation as mitigation against any chance of effluent migration. There is no increase in the number of bedrooms over what exists. We feel that by granting these variances, the same degree of environmental protection can be attained without the need for strict adherence to the Title 5 Regulations. Thank you for your consideration Ve truly ours.,. Arne H. Ojala, PE, PLS Down Cape Engineering,.Inc. cc: M/M Robert Baldwin N CD i CO - - ----- I lop MMMMF44 i l Cjp E�C72q Pro MHO ScQ rw P CJ LO " O r� , ci co o esu4T �� "wx 4 sT ` f r Pt VMS- 4 m 77 ' H J1J � .. �w ltJ �������.1�.�.• � ��1�i 'y MBA Uhl C ��L�' rn LO ` c� 0 co tc Y� �r- _ - P►�oapc�s.� gig :a -!�T PC-CK to_._. F ' r-x t re,.-,-f- i='Lr;o sZ PLA��A�N o $ LL A Ake,2 1 J -Po t-fla� Q d co d " _ B�e#Zu��hl aoM m o . 0 o • , G' ABUTTERS TO MAP 279 PARCEL 70 MAP 279 PARCEL 1 KARPP,LESLIE S.TR. MAIN STREET 2800 REALTY TRUST 11 CONCORD ROAD WAYLAND, MA 01778 MAP 279 PARCEL 2 TAYLOR,EDMUND B.&DIANE F.TRS. TAYLOR NOMINEE TRUST 5845 AMY DRIVE OAKLAND,CA 94618 MAP 279 PARCEL 94 CLINGER,JODY F. 30 HARRIS MEADOW DRIVE BARNSTABLE,MA 02630. MAP 279 PARCEL 83 CLINGER,-W.ALAN 30 HARRIS MEADOW DRIVE BARNSTABLE,MA 02630 tel.(508)362-4541 939 main street rt 6a fax(508)362-9880 yarmouth port mass 02675 down cane :engineering . civil engineers& land surveyors structural design Arne H.Ojala P.E., P.L.S. Daniel A.Ojala.P.L.S. land court Timothy H.Covell, P.L.S. surveys March 29, 2005 Mr. and Mrs. Robert Baldwin. . P.O. Box 751 site planning Barnstable, MA 02630 sewage system Dear Mr. and Mrs. Baldwin: designs A public hearing has been scheduled for the Barnstable Board of Health to take action on a request for variances from Title 5 inspections Regulations for 39 Harris Meadow Lane. The variances requested are as follows: permits 15.211: Reduction in setback, leaching facility to crawlspace foundation (20' to ,141 ) & septic tank to crawlspace (10' to 7.51 ) Said hearing will be held. in the Town Hall Hearing Room, South Street, Hyannis, April 19th, at 7:00 pm. Please check with the Health Department to confirm date and time. Sincerely, Sarah B. Ojala Down Cape Engineering, nc. cc: Abutters file Barnstable Board of Health barnboh ; 03/I%•1'29 9 5E75�1%c%4 BALDWIh GE of 44cly 04) fC- 'o_ _ 0.4 l a V : q _.__ e . TROY WILLIAMS SEPTIC INSPECTIONS L Certified by MA Department of Environmental Protection (508) 385-1300 19 Hummel Drive RECEIVED South Dennis, MA 02660 �-\ COMMONWEALTH OF MASSACHUSETTS pI l(; 1 .6 2002 EXECUTIVE, OFFICE OF ENVIRONMENTAL,A FAIRS TOWN OF BARNSTABLE DEPARTMENT OF ENVIRONMENTAL PRO �iDEPT.�(fi} TITLE S z OFFICIAL INSPECTION FORM — NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM FORM PART A CERTIFICATION Propert% Address: 39 Harris Meadow Lane Barnstable,MA 02630 Owner's Name: Nancy Crowley Owner's Addres,: P. O. Box 872 Barnstable,MA 02630 Date of Inspection. August 8,2002 6A Name of Inspector: Troy M. Williams Company Name: Troy Williams Septic Inspections Mailing Address: 19 Hummel Drive South Dennis,MA 02660 Telephone Number: (508)385-1300 CERTIFICATION 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 the inspection. The inspection was performed based on my training and experience in the proper function and maintenance of on site sewage disposal systems. 1 am a DEP approved system inspector pursuant to Section 15.340 or Title 5(310 CMR 15.000). The svrtem Passes Conditionally Passes Needs Further Evaluation by the Local Approving Authority Fails Inspector's Signature: 1z L Date: 616 /o ,2, The system inspector shall submit a copy of this inspection report to the Approving Authority(Board of I lealth or DEP)within 30 days of completing this inspection. If the system is a shared system or has a design flow of 10,000 gpd or greater, the inspector and the system owner shall submit the report to the appropriate regional office of the DEP. The original should be sent to the system owner and copies sent to the buyer, if applicable, and the approving authority. Notes and Comments 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. ""This report only describes conditions at the time of inspection and under the conditions of use M that time. phis inspection does not address how the system will perform in the future under the same or different conditions of use. Title 5 Inspection Form 6/15/2000 pace I i y Y Page 2 of I l OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL. SYSTEM INSPECTION FORM PART A CERTIFICATION(continued) Property Address: 39 Harris Meadow Lane Owner: Barnstable,MA Date of Inspection: Nancy Crowley August 8,2002 Inspection Summary: Check A,B,C,D or E/ALWAYS complete all of Section D A. System Passes: I have not found any information which indicates that any of the failure criteria described in 310 CMR 15.303 or in 310 CMR 15.304 exist. Any failure criteria not evaluated are indicated below. Comments: B. System Conditionally Passes: One or more system components as described in the"Conditional Pass"section n d to be replaced or repaired. The system, upon completion of the replacement or repair,as approved by th oard of Health,will pass. Answer yes,no or not determined(Y,N,ND)in the ' for the following sta ents. If"not.determined"please explain. — The septic tank is metal and over 20 years old* or the septic t • (whether metal or not)is structurally unsound,exhibits substantial infiltration or exfiltration or tank fail a is imminent. System will pass inspection if the existing tank is replaced with a complying septic tank as appro d by the Board of Health. 'A metal septic tank will pass inspection if it is structurally und,not leaking and if a Certificate of Compliance indicating that the tank is less than 20 years old is availa ND explain: Observation of sewage backup or bre out or high static water level in the distribution box due to broken or obstructed pipe(s)or due to a broken,sett .d or uneven distribution box. System will pass inspection if(with approval of Board of Health): roken pipe(s)are replaced obstruction is removed distribution box is leveled or replaced ND explain: The syst required pumping more than 4 times a year due to broken or obstructed pipe(s). The system will pass inspecti if(with approval of the Board of Health): broken pipe(s)are replaced obstruction is removed ND explain: 2 a Y Page 3 of 11 OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION(continued) Property Address: 39 Harris Meadow Lane Owner. Barnstable,MA Date of Inspection: Nancy Crowley 7 August 8,2002 C. Further Evaluation is Required by the Board of Health: Conditions exist which require further evaluation by the Board of Health ui order to determine if the system is failing to protect public health. safety or the environment. 1. System will pass unless Board of Health determines in accordance with 310 CMR 15.3 (l)(b)that the system is not functioning in a manner which will protect public health,safety and t environment: Cesspool or privy is within 50 feet of a surface water — Cesspool or privy is within 50 feet of a bordering vegetated wetland or a s marsh 2. System will fail unless the Board of Health(and Public W er Supplier,if anA determines that the system is functioning in a manner that protects the public alth,safety and environment: _ The system has a septic tank and soil absorptio system(SAS)and the SAS is within 100 feet of a surface eater supply or tributary to a surface wa supply. The system has a septic tank and SA d the SAS is within a Zone 1 of a public water supply. _ The sN-stem has a septic tank a SAS and the SAS is within 50 feet of a private water supply well. _ The system has a septic - k and SAS and the SAS is less than 100 feet but 50 feet or more frortl a private water supply well* . Method used to determine distance ••This system pass if the well water analysis, performed at a DEP certified laboratory, for coliform bacteria and vol a organic compounds indicates that the well is free from pollution from that facility and the presence ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm,provided that no other failure cr' ria are triggered.A copy of the analysis must be attached to this form. 3. Other: I 3 a Page 4 of 1 t OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION(continued) Property Address: 39 Harris Meadow Lane Barnstable,MA Owner: Nancy Crowley Date of Inspection: August 8,2002 D. System Failure Criteria applicable to all systems: You must indicate"yes"or"no"to each of the following for all inspections: Yes No Backup of sewage into facility or system component due to overloaded or clogged SAS or cesspool Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or clogged SAS or cesspool Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool _✓ Liquid depth in cesspool is less than 6"below invert or available volume is less than%,day flow Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s).Number of times pumped ✓ Any portion of the SAS,cesspool or privy is below high ground water elevation. &I Any portion of cesspool or privy is.within 100 feet of a surface water supply or tributary to a surface water supply. N r,9 Any portion of a cesspool or privy is within a Zone 1 of a public well. vj�g Any portion of a cesspool or privy is within 50 feet of a private water supply well. AM Any portion of a cesspool or privy is less than 100 feet but greater than 50 feet from a private water supply well with no acceptable water quality analysis. (This system passes if the well water analysis, performed at a DEP certified laboratory, for coliform bacteria and volatile organic compounds indicates that the well is free from pollution from that facility and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm,provided that no other failure criteria are triggered. A copy of the analysis must be attached to this form.) Nu (Yes/No)The system fails. I have determined that one or more of the above failure criteria exist as described in 310 CMR 15.303. therefore the system fails. The system owner should contact the Board of Health to determine what will be necessary to correct the failure. E. Large Systems: To be considered a large system the system must serve a facility with a desi now of 10,000 gpd to 15,000 gpd. You must indicate either"yes"or"no"to each of the following: (The following criteria apply to large systems in addition to the criteria ove) yes no _ the system is within 400 feet of a surface drinking w er supply the system is within 200 feet of a tributary to urface drinking water supply the System is located in a nitrogen Sens' ve area(interim Wellhead Protection Area—IWPA)or a mapped Zone 11 of a public water supply w If you have answered"yes"to any que on in.Section E the system is considered a significant threat,or answered "yes"in Section D above the large stem has failed.The owner of operator of any large system considered a significant thr,.trat under Section or failed under Section D shall upgrade the system in accordance with 310 CMR 15.304.The system owner s Id contact the appropriate regional office of the Department. 4 r Page 5 of I 1 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B CHECKLIST Property Address: 39 Harris Meadow Lane Owner: Barnstable,MA Date of Inspection: Nancy Crowley August 8,2002 Check if the following have been done.You must indicate"yes"or"no"as to each of the followine: Yes No information was provided by the owner. occupant, or Board of I ieald, Were any of the system components pumped out in the previous two weeks _ Has the system received normal flows in the previous two week period'? Have large volumes of water been introduced to the system recently or as part of this inspection? _ Were as built plans of the system obtained and examined?(If they were not available note as N/A) Was the facility or dwelling inspected for signs of sewage back up? Was the site inspected for signs of break out? Were all system components,excluding the SAS, located on site ✓ _ Were the septic tank manholes uncovered,opened,and the interior of the tank inspected for the condition of the baffles or tees,material of construction,dimensions,depth of liquid,depth of sludge and depth of scum? Was the facility owner(and occupants if different from owner)provided Nvith information on the proper maintenance of subsurface sewage disposal systems The size and location of the Soil Absorption System(SAS)on.the site has been determined based on: Yes no ._ Existing information. For example,a plan at the Board of Health. _ Determined in the field(if any of the failure criteria related to Part C is at issue approximation of distance is unacceptable)(310 CMR 15.302(3)(b)] ,y 5 Page 6 of 11 OFFICIAL INSPECTION.FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION Property Address: 39 Harris Meadow Lane Owner: Barnstable,MA Date of inspection: Nancy Crowley August 8,2002FLOW CONDITIONS RESIDENTIAL Number of bedrooms(design): 3 Number of bedrooms(actual): -3 DESIGN flow based on 310 CMR 15.203(for example: 110 gpd x#of bedrooms): 3 3 O Number of current residents: I Does residence have.a garbage grinder(yes or no): YIFs Is laundrN on a separate sewage system(yes or no):[vo (if yes separate inspection required) Laundry system inspected(yes or no): Ai Seasonal use: (yes or no): No Water meter readings,if available(last 2 years usage(gpd)): a = S's',o o y rr� ao : 6 S o00 9 votes Sump pump(yes or no): Ivo —T Last date of occupancy: COMM ERCIALANDUSTRIA L Type of establishment: Design flow(based on 310 CMR 15.203): g Basis of design flow(seats/persons/sgft,etc.): Grease trap present(yes or no):— Industrial waste holding tank present(yes or no): Non-sanitary waste discharged to the Title 5 s em(yes or no):_ Water meter readings, if available: _ Last date of occupancy/use: OTHER(describe): GENERAL INFORMATION Pumping Records Source of information: Was system pumped as part inspecti nyes or no): If yes,volume pumped: gallons-- How was quantity pumped determined? Reason for pumping: — — TYPE OF SYSTEM Septic tank,distribution box,soil absorption system _Single cesspool _Overflow cesspool _Privy _Shared system(yes or no)(if yes,attach previous inspection records, if any) _Innovative/Alternative technology.Attach a copy of the current operation and maintenance contract(to be obtained from system owner) _Tight tattle _Attach a copy of the DEP approval Other(describe):. A mximate age of all components. date installed(if known)and source of information: `. �N_1 s.'I ,A, 2- Were sewage odors detected when arriving at the site(yes or no): yr, 4+ I- 6 " Page 7 of 11 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 39 Harris Meadow Lane Owner: Barnstable,MA Date of Inspection: Nancy Crowley August 8,2002 BUILDING SEWER(locate on site plan) Depth belo%s grade: 2y Materials of construction: cast iron ✓40 PVC_-other(explain): Di�tancr from private water supply well or suction line: a/g. Comments(on condition of joints,venting,evidence of leakage,etc.): , �a'✓.,mot SEPTIC TANK: ✓ (locate on site plan) Depth below grade: /B". Material of construction: ✓concrete_metal_fiberglass_polyethylene other(explain) If tank is metal list age:— Is age confirmed by a Certificate of Compliance(yes or no)''_(attach a copy of certificate) Dimensions: r'., --t—� k . Sludge depth: Distance from top of sludge to bottom of outlet tee or baffle: a ' Br', Scum thickness: I Distance from top of scum to top of outlet tee or bafllc: _G Distance from bottom of scum to bottom of outlet tee or baffle: 42 How were dimensions determined: 0,�b J��w Comments(on pumping recommendations,inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert,evidence of leakage,etc.): L fai-..<<,./. /��n L✓. a�c�.�.� c� � � G�...[ils_f..c. UY c:�� ___wC.�� YD✓+- .A , . GREASE TRAP:_(locate on site plan) Depth below grade:_ Material of construction:_concrete_metal_fiberglass_pol ylene_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 baffle: Date of last pumping: Comments(on pumping recommendations,inl d outlet tee or baffle condition, structural integrity,liquid levels as related to outlet invert,evidence of leaka ,etc.): 7 Page 8 of 1 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 39 Harris Meadow Lane Owner: Barnstable,MA Date of Inspection: Nancy Crowley August 8,2002 TIGHT or HOLDING TANK: (tank must be pumpe/attimeorfi ection)(locate on site plan) Depth below grade: Material of construction: concrete metal fiberethylene other(explain): Dimensions: Capacity: gallons Design Flo%%: gallons/day Alarm present(yes or no): Alarm level: Alarm in working or (yes or no): Date of last pumping: Comments(condition of alarm and flo switches, etc.): , DISTRIBUTION BOX: ✓ (if present must be opened)(locate on site plan) Depth of liquid level above outlet invert: — Comments(note if box is level and distribution to outlets equal,any evidence of solids carrygver. any evidence of leakage into or out of box,etc.): PUMP CHAMBER: (locate on site plan) Pumps in working order(yes or no): Alarms in working order(yes or no): Comments(note condition of pump chamber,conditi Zpumps d appurtenances,etc.): 8 " Page 9 of I I OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 39 Harris Meadow Lane Owner: Barnstable,MA Date of Inspection: Nancy Crowley August 8,2002 SOIL ABSORPTION SYSTEM(SAS): (locate on site plan,excavation not required) If SAS not located explain wh) Type ✓ leaching pits, number: ) d 'xd 'L�� h . 1- ,,�;.l 1, 2'3 •-� leaching chambers,number: leaching galleries,number: leaching trenches,number, length: leaching fields,number,dimensions: overflow cesspool,number: innovative/alternative system Type/name of technology: Comments(note condition of soil,signs of hydraulic failure, level of ponding, damp soil,l<ondition of vegetation, etc.): �.r. D L�.c+�.c..c_. .,� �Y d.�� (( �- T�.�Jv c.. U✓_/Gf"" �j�"..,w) i h ',C �17L' 4✓*- CESSPOOLS: (cesspool must be pumpZpspecate on site plan) Number and configuration:— Depth-top of liquid to inlet invert:Depth of solids layer: Depth of scum Ia.er. _ Dimensions of cesspool Materials of construction: Indication of groundwater inflow(yes or Comments(note condition of soil,sig 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 f ' ure, level of ponding,condition of vegetation,etc.): 9 Page 10 of I I OFFICIAL INSPECTION FORM —NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 39 Harris Meadow Lane Barnstable,MA Owner: Nancy Crowley Date of Inspection: August 8,2002 SKETCH OF SEWAGE DISPOSAL SYSTEM Provide a sketch of the sewage disposal system including ties to at least two permanent reference landmarks or benchmarks. Locate all wells within 100 feet.Locate where public water supply enters the building. I.4.� 30'6 OU6 fwl/a., D 130� -Page I I of 11 OFFICIAL INSPECTION FORM — NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 39 Harris Meadow Lane Owner: Barnstable,MA Date of Inspection: Nancy Crowley August 8,2002 SITE EXAM Slope Surface water Check cellar Shallow wells Estimated depth to ground water S'ofeet Adjusted high ground water elevation — feet Please indicate(check)all methods used to determine the high ground «ater elevation: ✓ Obtained from system design plans on record-If checked,date of design plan reviewed: /i/19 /�3 Observed site(abutting property/observation hole within 150 feet of SAS) Checked with local Board of Health-explain: Checked with local excavators,installers-(attach documentation) Accessed USGS database-explain: y S A Z 2e G _S y You must describe how you established the high ground water elevation: [1 S & S 20 .0 � I .. L✓�!'1 A"1�C�� �_>s�—ZS•rv..J.�.•C f.—i.+'�c..-_. � JAY �t&A p U V S9 aP/a ,w. 11 . la SECTION - SEWAGE 1 lZi -SEPTIC TANK- I Z -"D"BOX- -LEACH FIT TovC�o•►GGao//`•N� I .RYJ Y..(MSy• I WASHED STONE 1 fn �5 �'►�- ----- ---- —. ._ ��,-.,._ - _ 9. nor &P I IN. A I` OUT. IN.1. sr 1 ��- G/ N. ELEV. 60.7G/ TANK I` �^•�I /1. \ELEV. ELEV. ELEV. _ 10. ELEV. ` •-. Q ELEV. (. T•N D.`.Gt c�t'iPJ. 4i SG.K ..2/of W••.tw•• �y �l .. � .- \, I `� �I'7G II bG -1 WASHEDSTONE Ic.•� It�c; > boliDltorr��zJd.�iL.1: ,�` TROPf/sE �• LI I !' - EST HOLE LOG f. *EST BY R.1=AlIMANK PE J.JAW81 a.H.D PZ713' •EST DATE NOV.25,1983 WITNESS DESIGN BEDROOM HOUSE I 60 4l T; T.H.• 1 T.H.v 2 -.K ELEV.IG3 7 ELEV. 3 No O M� VB L Mt VCi PERC RATE MIN/IN. DISvpSER DISPOSER ® b� ELgl. �� \ —59.3 FLOW RATE 330 (GAL-/DAY I 33C V G EAIJ C EA I SEPTIC TANK 330 U,S= 4S5 _ cj',•!�J (� te' EI TO HIED. F1 To gp, REO'D SEPTIC TANK SIZE 11000 AN N PIIRC.42./- LEACH FACILITY Ci IN SAND SIDE WALL A'Clc)(G)•108_S12.51 4"f1 G/D 1.' _ . qA4 RAGES LILT BOTTOM C?r/4YiQ�'1r�.5.5 I I.o) - 18.5 G/D.144—LK9 TOTAL 26?:O SF . 44 'i C ; OFD.SANG —49.3 lGe —46.3 ` Lre 6s O USE: CNE LEACHING PIT ��' f fj�r°%ac • ,E N� IG'F_FF PIA. X 6' Er;: DEPTH WATER ENCOUNTERED .. , N;OTES: (UNLESS-OTHERWISE NOTED) DATUM(MSL)_TAKEN FROM$A:LRC1.• . GE7C.•-'QUADRANGLE E MAP MVHICIPAI WATER IS AVAILABLE ',ttH RI 'V+,jr / • I f�F/,PIPE PITCH:III' 'PER FOOT +� Y,S -ARH�� /�/ '' • DESIGN LOADING FOR ALL PRE-CAST UNITS:AASHO- H—10 -N �+c ARNE �'' _ l MIN.OROVNC COVER OVER ALL SEWAGE FACILITIES,(1)FT. O H. =.WILICIF 0 OISTANgE AS CERTIFIED PIPE JOINTS SHALL BE MADE WATER TIGHT 'V '.CONSTRUCTION DETAILS TO BE ACCORDANCE WITH COMM.OF MASS. - OJALA t STATE ENVIRONMENTAL CODE TITLES o. "' ✓ I I HEREBY CERTIFY THAT THE BUILDING I c`rTC 01 •'�.`t Y SHOWN ON THIS PLAN IS LOCATED ON THE - I�` - S 1 E PLAN {yPQ l,�tis. 1 GROUND AS SHOWN HEREON d THAT 1T J N I _ LOT B . sY CCONF,OR!(�jrW ZONING BY LAWS OF THE rL LOCUS: y.- TOWNDP�� r 'A.RR'f MEAPOIq hNE}:BARK TAB1 K G.PR(:.�� ENGINEER. "NCO"ffyftSIIL,CTED .DATE REF: PLAN BOOK 26J^'•ALL O i•JF•,• w 7 <: r O.W/!3'C4pe Eapoeel//!g PREPARED FOR: THOMAS •PROF CIVIL ENGINEERS �'.L LAND SURVEYORS ------------ 153 VILLAGE 5T. M(CU MA:'�2054` BOARD OF HEALTH AEG.LAN DSURVEVOR CONTOURS IetISTING)•••••-....... 1.'_�y (PAOPOSEO) APPROVED DATE E4y�£TABI.E MA YWJrouth 80Mvm•MA SCALE DATE 8�-222 I _ o TROY WILLIAMS _ SEPTIC INSPECTIONS ~• } ' �4 Certified by MA Department of Environmental Protection '° °�tv'', (508) 385-1300 19 Hummel Drive NOV 1 South Dennis, MA 02660 5yG > Commonweaith of Massachusetts Executive Office of Environmental Affairs Department of • Environmental Protection Wililam F.Weld Trudy Coxe C*Wemor S-nary Ilrgeo Paul Cellucci David B.Struhs U.Governor Cann%W&kx er SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A _ CERTIFICATION Property 3 9 N�✓r r } M Lc. v �c.r N S y Pe Y Address: Address of Owner. YO tr_ Date of Inspection: /V 131 /9 6 (If different) Name of Inspector' Ay c+�S /s 3 v;llas sf. Company Name,Address dnd Telephone Number. CERTIFICATION STATEMENT I certify that I have personally inspected the sewage disposal system at this address and that the information reported below is true,accurate and complete as of the time of 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: ZPasses Conditionally Passes Needs Further Evaluation By the Local Approving Authority Fails Inspector's Signature: Date: j 6 ,&'�' 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: S Check A, B, C,or D: AJ SYSTEM PASSES: I have not found any information which indicates that the system violates any of the failure criteria as defined in 310 CMR 15.303. Any faihrre criteria not evaluated are indicated below. B) SYSTEM CONDITIONALLY PASSES: A114 One or more system components need to be replaced or repaired. The system,upon completion of the replacement or repair, passes inspection. indicate yes, no,or not determined(Y, N,or ND). Describe basis of determination in all instances. If"not determined",explain why not) The septic tank is metal, cracked,structurally unsound,shows substantial infiltration or enfiltmtion,or tank failure is imminent. The system will pass inspection if the existing septic tank is replaced with a ronformi.ng septic tank as approved by the Board of Health. (revised 11/03/95) 1 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A yy CERTIFICATION (continued) Property yAddre" ` IA-—A'— S Mc W Owner. �r c C Date of Inspection: O / 7/ B1 SYSTEM CONDITIONALLY PASSES (continued) 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 Cl FURTHER EVALUATION IS REQUIRED BY THE BOARD OF HEALTH: /A//I-q Conditions exist which require further evaluation by the Board of Health in order to determine if the system is failing t(?protect the public health, safety and the environment. 1) SYSTEM WILL PASS UNLESS BOARD OF HEALTH DETERMINES 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 a surface water Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh. 2) SYSTEM WILL FAIL UNLESS THE BOARD OF HEALTH (AND PUBLIC WATER SUPPLIER, IF APPROPRIATE) DETERMINES THAT THE SYSTEM IS FUNCTIONING IN A MANNER THAT PROTECT THE PUBLIC HEALTH AND SAFETY AND THE ENVIRONMENT: The system has a septic tank and soil absorption system and is within 100 feet to a surface water supply or tributary W a surface water supply. The system has a septic tank and soil absorption system and is within a Zone I of a public water supply well. The system has a septic tank and soil absorption system and is within 50 feet of a private water supply well. The system has a septic tank and soil absorption system and is leas 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 leas than 5 ppm. 3) OTHER (revised 11/03/95) 2 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Addreaa Owner. Date of Inspection: DI SYSTEM FAILS: I have determined that the system violates one or more of the following failure criteria as defined 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. 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 leas than 6"below invert or available volume is leas 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 tunes 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 leas 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 eoliform bacteria, volatile organic compounds, ammonia nitrogen and nitrate nitrogen: El LARGE SYSTEM FAILS: 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: 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 bring the system and facility into full compliance with the groundwater treatment program requirements of 314 CMR 6.00 and 6.00. Please consult the local regional office of the Department for further information. (revised 11/03/95) 3 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B CHECKLIST Property Addre" 3 y u�r- s 114 c a J - (-j Owner. Date of Inspection: Check if the following have been done: Pumping information was requested of the owner, occupant, and 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. V 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. The septic tank manholes were uncovered, opened, and the interior of the septic tank was inspected for condition of baffies or tees, material of construction, dimensions, depth of liquid, depth of sludge, depth of scum. / y The size and location of the Soil Absorption System on the site has been determined based on existing information or /approximated by non-intrusive methods. V The facility owner(and occupants, if different from owner) were provided with information on the proper maintenance of Sub- Surface Disposal System. (revised 11/03/95) 4 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION Property Address: .3`f �'►' S M Owner. �'c ck.a `"j Date of Inspection: ` RESIDENTIAL FLOW CONDITIONS Design flow:_110 gallons Number of bedrooms: -5 Number of current residents: D Garbage grinder(yes or no):-t—A/o Laundry connected to system(yes or no): Seasonal use (yes or no): y�S Water meter readings, if available: 'Y) aUU y II�H Last date of occupancy: 6 c c_c.r ; J i, COMMERCIAL/INDUSTRLAL• A/111 Type of establishment: Design Dow:-------gallons/day Grease trap present: (yea 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: v c. i h S l/ cR O /t 19/ .2 L System pumped as part of inspection: (yes or no)�/o �. If yea, volume pumped: gallons Reason for pumping. TYPE SYSTEM Septic tank/distribution box/soil absorption system Single owspool Overflow cesspool Privy Shared system(yes or no) (if yes, attach previous inspection records, if any) Other(explain) APPROXIMATE AGE of all components, date installed (if known) and source of information: Sewage odors detected when arriving at-the site: (yes or no) A/p (revised 11/03/95) 6 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Addreac Owner. Date of Inspection: �ry SEPTIC TANK:Y (locate on Site plan) Depth below grade: Material of construction: ✓concrete_metal_FRP—other(explain) ` Dimensions: Sludge depth: H° N r Distance from top of sludge to bottom of outlet tee or baffle: A16 S/"kr ,, Scum thickness: h/o /V Distance from top of scum to top of outlet tee or baffle: Distance from bottom of scum to bottom of outlet tee or baffle: N!3 S C- •� "ti 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.) C w S h L t r ✓ J to A . o r' �... o •t n ✓ r a I C/Lw C. G E TRAP:-6/,//j (locate on site plan) Depth below grade: Material of construction: _concrete_metal_FRP—other(explain) Dimensions: Scum thicirn .• Distance from top of scum to top of outlet tee or baffle: Distance from bottom of scum to bottom of outlet tee or baffle: 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 11/03/95) 6 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address Owner. Date of Inspection: TIGHT OR HOLDING TANK Y/1J (locate on site plan) Depth below grade: Material of construction:_concrete_metal_FRp—other(explain) Dimensions: Capacity:- rallons Design flow: aallons/day Alarm level: Comments: (condition of inlet tee, condition of alarm and float switches, etc.) DISTRIBUTION BOX: 1/ (locate on site plan) Depth of liquid level above outlet invert: )W Comments: (note if level and distribution is equal, evidence of solids carryover, evidence of leakage into or out of boz, etc.) cti s PUMP CHAMBER At (locate on site plan) Pumps in working order:(yes or no) Comments: (note condition of pump chamber, condition of pumps and appurtenances, etc.) (revised 11/03/95) 7 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C ^SYSTEM INFORMATION(continued) Property Addream 3 / -e_C.C'A a L) Owner. Ary Date of Inspection: /,v 13 SOIL ABSORPTION SYSTEM (SAS): (locate on site plan, if possible;excavation not required, but may be appra imated by non-intrusive methods) If not determined to be present, explain: Type: leaching pits, number: 0'11,(- (, 6 Ga leaching chambers, number:_ leaching galleries, number: leaching trenches, number,length: leaching fields, number, dimensions: overflow cesspool, number: Comments: (note condition of soil, s' of hydraulic failure, level o ponding, condition of vegetatio )_ Sa i tt w a s a—�- CESSPOOLS: (locate on site plan) Number and configuration: Depth-top of liquid to inlet invert: Depth of solids layer. Depth of scam layer: Dimensions of cesspool: Materials of construction: Indication of groundwater: inflow(cesspool must be pumped as part of inspection) t Comments: (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.) PRIVY: NG9 (locate on site plan) Materials of construction: Depth of solids: Dimensions: Comments: (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.) (revised 11/03/95) 8 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: 3 / �a.ri"y 5 114 L.C,-d Owner. Date of Inspection: e SKETCH OF SEWAGE DISPOSAL SYSTEM:- Include ties to at least two permanent references landmarks or benchmarks locate all wells within 100' oc1Jl 30 b / Ir 3s a6 G yo / /060 e(k Ito 4- DEPTH TO GROUNDWATER Depth to groundwater: feet adjusted high groundwater level method of determination or approximation: r 4 i a S �- o �� 5 S �, �, „/ �• < o 9 V - SECTION - SEWAGE l �� I cry'/;�- -,• IZ —SEPTIC TANK— I Z —"•D"BOX— —LEACH P 1 T TOPCCOFCCFDN `1 .RYJO.(MSL)° I OF "3" '.TO N'• Q I WASHED STONE jll. O �� j V I Tr __ _ 1—TIL..pV,__ (59. N� LOT P -...._... � I IN- OUT- 21042- IN. OUT LJ 'N Y.'I r;\ I 7 TANK ^ ELEV. ELEV. Z ELEV. / ELEV. �� /, ELEV. ELEV. T.. / . G.Y. .Ifr.OF W"-IN.. JT9' ��'�V ,Dr7I, bf_ IIV WASHEDSTONE P j ,I I Io.•ri ItVc; $o *A orY}!412 E1. 1 �- , ,' rROF., ,:• .. EST HOLE LOG TEST BY g•FA)RFiANK PE 4.4ACOBI BH.t7, P2713" TEST DATE NOV.26r1983 WITNESS DESIGNBEDROOM HOUSE T.H.r 1 T.H.•2 ® �r� G& It _aL ELEV.63.7 ELE V.�Z NO ,-o Md UB L' MIC uG .PERORATE 7—MINAN. DISPOSER DISPOSER' ® y3 EL6(,61 \� � -59.3 FLOW RATE 330 (GAL./DAY) ;• ''V G EAW CLEAR SEPTIC TANK 330 V.5)= 1495 :i �)I r:v�It (� �e �I To MED. D. REO'D SEPTIC TANK SIZE I IOoy - -n'_ ( !Q''- b,/ FIN To E SA N PGRC.<2../I0 N LEACH FACILITY_lCr __ 1•r'�'' IN SANG SIDE WALL NCIC1(s)*IEE_S(2 5) 411.4. G/D. Ib4°�/ BOTTOM 0^V*Xio���•S_I Lo) 78.5 G/D: © -� ' TOp OF 9 I' RAGES SILT TOTAL 2G i.0 SF - 4�."T G�C �' SL9Q UEA� M V.SANP • 2.•6 65j�// USE: ONE LEACHING PIT (�„� N0 IGI F♦-F PIA. k 6'EFF DEPTH c WATER ENCOUNTERED NOTES: (UNLESS OTHERWISE NOTED) OF I.DATUM(MS � V TAKEN FROM-, ___ OADRANG LE MAP �I / ^ t� 1�\I ;.MU611 NICIPALWATER_____,.J.�i2—._._—._AVAILABLEr��T� 'V I.PIPE PITCH:4 PER FOOT '�' C ',.� 6_ 1� DESIGN LOADING FOR ALL PRE-CAST UNITS.AASHO-- H-10 .<d /C? ARNE ^ ALA 2Y 1 r _ S.MIN.GROUND COVER OVER ALL SEWAGE FACILITIES.(l)FT. H. I - -�ILjp.JDISTAN({JJJJJ E AS CERTIFIED .�O..PIPE JOINTS SHALL BE MADE WATER TIGHT OJALA / '.CONSTRUCTION DETAILS TO BE ACCORDANCE WITH COMM.OF MASS.' i-9 e�G3A3 I 11 I - •I HEREBY CERTIFY THAT THE BUILDING STATE ENVIRONMENTAL CODE TITLES •G y O y SHOWN ON THIS P IV - SITE PLAN �:Fj. !•ISI.pE H Iw LAN IS LOCATED ON THE _ LN ✓ yS, F .GROUNDAS SHOWN HER EON&THAT IT - LOCUS: "bMQ UMD Is $ONF,ORM TO THE ZONING BY LAWS OF THE ¢ ; .. HCG.PA 'TOWN OF` I '" HARR'� F1EpDOW Lr6�NE,EAFLh7 TA #{ WHEN.CC DATE REF AN gOOF<.2 GE O -T'i ilzi?+S `, ,r n. << ( .k CWn cap e PREPARED FOR OMAS FFROESiXi�" p„ 1 3 e aginee�in ..,F..e ... �' (J !' „zfy' Jit T3�iCIVILENGINEERS:... � .:pj •-'153 VILLAG ST�';Mfl.l:� IMA i r' -' k,-I .. A' K LAND SURVEYORS` _-------- .OZOS _v BOARD OF HEALTH •. r 3 llr.' •. REG.LAND SURVEYOR CONTOURS (E..STING)•--••--'----- E.4RN£TA l.E MA ' �� .' VumoutA&Olea..MA' SCALE (PROPOSED.—0-0-0-0— APPROVED DATE B •j'. •1 cpy Dx G L DATE r TOWN OF BARNSTABLE L� LOCATION SEWAGE # `' VILLAGE ASSESSOR'S MAP & LOT INSTALLER'S NAME & PHONE .NO. SEPTIC TANK CAPACITY s LEACHING FACILITY:(type) (size) /#W 6,a NO. OF BEDROOMS PRIVATE WELL OR PUBL WATER Cam- .. r.� BUILDER OR OWNER —.� DATE PERMIT ISSUED: .. DATE" COMPLIANCE ISSUED: —' VARIANCE GRANTED: Yes No roca T _ TOWN OF BARNST ABLE LOCATION �" ✓�, S �/1 �� � .�N i2&SEWAGE.#. 9 VILLAGE / ✓ti•s- ASSESSOR'S MAP& LOT 2 7`o a11 C INSTA,,LER'S NAME&PHONE NO. SEPTIC TANK CAPACITY LEACHING FACILITY: (type) ®t`.�- (size)NO.OF BEDROOMS BUILDER OR OWNERS L PERMIT DATE: r 3I13/t), COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table and 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 � IL _-� L/os- a3 36 . � S ASSESSORS MAP 279 PARCEL 70 25.72' FLOOD ZONE: C REFE` ENCE: DEED BOOK. 15737 PAGE 248 C\J' IJ6 SS PLAN DOClK 266 PAGE 30 PLAN BOOK 289 PAGE 16 EXISTING SEPTIC SYSTEM LOCATION AREA � FROM DEP INSPECTION REPORT (PASSED 8/8/02) CP 23,461 SF± �� PROVIDE APPROX. 30' OF 4' WIDE 40 MIL LINER AT EDGE — OF CRAWLSPACE FOUNDATION LP IN AREA SHOWN. C7 25.3't `> z ST x W I PROPps D 3g 4 f PORTION OF I o ao X 241 . EXISTING DECK f DI TIO 0 TO REMAIN 37 9;j- C) EXISTING: DWELLING;' VARIANCES REQUESTED UNDER '"� _�;8'-� �i� 15.211: REDUCTION IN SETBACK, / SEPTIC TANK TO (CRAWLSPACE) N FOUNDATION (10' T0. 7.5')', LEACH PIT TO FOUNDATION (20' TO 14') w �0 ry �� 0 0 SITE PLAN �8.16 °F #� 39 HARRI,S' MEADOW LAND' IN THE TOWN OF: BARNSTABLE (VILLAGE) 1,��,ZHOF*SS9G' 0� ARNE 011 508-362-4541 PREPARED FOR: ROBERT BALDWIN o� H. re. 508362-9880 OJALA N ,�20 0 20 40 60 634© dor71n cape engineering, inc. _ � — F $ d 4 � CIVIL ENGINEERS 'S' --- LAND SURVEYORS SCALE: 1" = 20' DATE: AIARCII 29, 2005 _ REC. LAN OA. DATE 03=392 939 main st. yarmoutIt, ma 02675