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HomeMy WebLinkAbout4070 MAIN ST./RTE 6A(BARN.) - Health - .rR Barnstable A = 338 049 E s 1 i 1 / Commonwealth of Massachusetts Title 5 Official Inspection Form - Subsurface Sewage Disposal System Form.-Not for Voluntary Assessments �M >e 15 Bone Hill Rd r Property Address Alex and Julia Bucci Owner Owner's Name information is Barnstable r, required for every MA 02637 5-22-2017 � page. City/Town State Zip Code Date of Inspection y i7 1 Inspection results must be submitted on this form. Inspection forms may not be altered in any way. Please see completeness checklist at the end of the form. Important:When A. General Information c5'/ / a3 Z9 filling out forms on the computer, use only the tab 1. Inspector: key to move your r - . cursor-do not Darrell Stone use the return Name of Inspector key. Cape Cod Septic Inspection Company Name P.O. Box 1466 Company Address Harwich MA 02645 City/Town State Zip Code 508-240-2500 S14995 Telephone Number License Number B. Certification I certify that I have personally inspected the sewage disposal system at this address and that the information reported below is true, accurate and complete as of the time of the.inspection.The inspection was performed based on my training and experience in the proper function and maintenance of on site sewage disposal systems. I am a DEP approved system inspector pursuant to Section 15.340 of Title 5(310 CMR 15.000).The system:' ® Pass ❑ onditionally Passes s ❑ Ne u her.'Evaluaticin roving Authority E 5-25-2017 I ec s Signature Date The system inspector shall submit a copy of this inspection report to the Approving Authority(Board of Health or DEP) within 30 days of completing this inspection. If the system is a shared system or has a design flow of 10,000 gpd or greater, the inspector and the system owner shall submit the report to the appropriate regional office of the DEP. The original should be sent to the system owner and copies sent to the buyer, if applicable, and the approving authority. ****This report only describes conditions at the time of inspection and under the conditions of use at that time.This inspection does not address how the system will perform in the future under the same or different conditions of use. l5ins.3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 1 of 17 Commonwealth of Massachusetts = A d Title 5 Official Inspection Form - Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 15 Bone Hill Rd Property Address Alex and Julia Bucci Owner Owner's Name information is Barnstable MA 02637 -5-22-2017 required for every page. Citylrown State Zip Code Date of Inspection B. Certification (cont.) Inspection Summary: Check A,B,C,D or E/always complete all of Section D A) System Passes: ® 1 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 need to be replaced or repaired. The system, upon completion of the replacement or repair, as approved by the Board of Health, will pass. Check the box for"yes", "no"or"not determined" (Y, N, ND)for the following statements. If"not determined," please explain. i The septic tank is metal and over 20 years old*or the septic tank(whether metal or not) is structurally unsound, exhibits substantial infiltration or exfiltration or tank failure is imminent.-System will,pass inspection if the existing tank is replaced with a complying septic tank as approved by the Board of Health. *A metal septic tank will pass inspection if it is structurally sound, not leaking and if a Certificate of Compliance indicating that the tank is less than 20 years old is available. ❑ Y ❑ N ❑ ND (Explain below): t5ins-3113 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 2 of 17 • Commonwealth of Massachusetts _ . Title ffi 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments M 15 Bone Hill Rd Property Address Alex and Julia Bucci Owner Owner's Name information is required for every Barnstable MA 02637 5-22-2017 page. City/Town State Zip Code Date of Inspection B. Certification (cont.) ❑ Pump Chamber pumps/alarms not operational. System will pass with Board of Health approval if pumps/alarms are repaired.. B) System Conditionally Passes (cont.): ❑ Observation of sewage backup or break out or high static water level in the distribution box due to broken or obstructed pipe(s)or due to a broken, settled or uneven distribution box. System will pass inspection if(with approval of Board of Health): ❑ > broken pipe(s) are replaced. ❑`Y N. ❑ ND(Explain below): ❑ obstruction is removed ❑ X- ❑ N ❑ ND(Explain below): ❑ distribution box is leveled or replaced ❑ Y .❑ N- ❑ ND(Explain below): ❑ The system required pumping more than 4 times a year due to broken or obstructed pipe(s). The system will pass inspection if(with approval of the Board of Health): ❑ broken pipe(s) are replaced ❑ Y ❑ N ❑ ND(Explain below): ❑ obstruction is removed ❑ Y ❑ N ❑,-ND (Explain_below): C) Further Evaluation is Required by the Board of Health: ❑ Conditions exist which require further evaluation by the Board of Health in order to determine if the system is failing to protect public health, safety or the environment. 1. System will pass unless Board of Health determines in accordance with 310 CMR 16.303(1)(b)that the system is not functioning in a manner which will protect public health, safety and the environment: . ❑ Cesspool or privy is within 50 feet of a surface water ❑ - Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh t5ins-3/13 Tale 5 Official Inspection Forth:Subsurface Sewage Disposal System-Page 3 of 17 NN Commonwealth of Massachusetts '' Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments r 15 Bone Hill Rd Property Address Alex and Julia Bucci Owner Owner's Name information is required for every Barnstable MA 02637 5-22-2017 page. Cityrrown State Zip Code. Date of Inspection B. Certification (cont.) 2. System will fail unless the Board of Health (and Public Water Supplier, if any) determines that the system is functioning in a manner that protects the public health, safety and environment: ❑ The system has a septic tank and soil absorption system (SAS)and the SAS is within 100 feet of a surface water supply or tributary to a surface water supply. ❑ The system has a septic tank and SAS and the SAS is within a Zone 1 of a public water supply. ❑ The system has'a septic tank and SAS and the SAS is within 50 feet of a private water supply well. ❑ The system has a septic tank and SAS and the SAS is less than 100 feet but 50 feet or more from a private water supply well". Method used to determine distance: *"This system passes if the well water analysis, performed at a DEP certified laboratory, for fecal coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered. A copy of the analysis must be attached to this form. 3. Other: D) System Failure Criteria Applicable to All Systems: You must indicate"Yes" or"No"to each of the following for all inspections: Yes No ❑ Backup of sewage into facility or system component due to overloaded or® 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 El ® Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool Liquid depth in cesspool is less than 6" below invert or available volume is less ❑ ® ' than Y2 day flow (Sins-3113 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 4 of 17 f ' • Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments M 5ey't 15 Bone Hill Rd Property Address Alex and Julia Bucci Owner Owner's Name information is required for every Barnstable MA .02637 5-22-2017 page. City/Town State Zip Code Date of Inspection B. Certification (cont.) Yes No € F-1 ® Required pumping more than 4.times in the last year NOT due to clogged or obstructed pipe(s). Number of times pumped: ❑ ® Any portion of the SAS, cesspool or privy is below high ground water elevation. ❑ ® Any portion of cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply. ❑ ® Any portion of a cesspool or privy is within a Zone 1 of a public well. •❑ ® Any portion of.a cesspool or privy is within.50 feet of a private water supply well ❑ ® Any portion of a cesspool or privy is less than 100 feet but greater than 50 feet from a private water supply well with no acceptable water quality analysis. [This system passes if the well water analysis, performed at a DEP certified laboratory,for fecal coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered.A copy of the analysis ..and.chain of custody must be attached to this form.] ❑ ® The system is a cesspool serving a facility with a design flow of 2000gpd- 10,000gpd. . 0 ® The system fails. I have determined that one or more of the above failure criteria exist as described in 310 CMR 15.303, therefore the system fails. The system owner should contact the Board of Health to determine what will be necessary to correct the failure. E) Large Systems: To be considered a large system the system must serve a facility with a design flow of 10,000 gpd to 15,600 gpd. For large systems, you must indicate either"yes"or"no"to each of the following, in addition to the t' questions in Section D. Yes No - ❑ ❑ the system is within 400 feet of a surface drinking water supply ❑ ❑ the system is within 200 feet of a tributary to a surface drinking water supply El Elthe system is located in a nitrogen sensitive area,(Interim Wellhead Protection Area—IWPA)or a mapped Zone II of a public water supply well If:you have answered "yes"to any question in Section E the system is considered a sign ificant_threat, or answered "yes" in Section D above the large system has failed. The owner or operator of any large system considered a significant threat under Section E or failed under Section D shall upgrade the system in accordance with 310 CMR 15.304. The system owner should contact the appropriate regional office of the Department. t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System Page 5 of 17 Commonwealth of Massachusetts 4 Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments GM a 15 Bone Hill Rd Property Address Alex and Julia Bucci Owner Owner's Name information is required for every Barnstable MA 02637 . 5-22-2017 page. City/Town State Zip Code Date of Inspection C. Checklist Check if the following have been done. You must indicate"yes"or"no" as to each of the following: Yes No ❑ ® Pumping information was provided by the owner, occupant, or Board of Health ® Were any of the system components pumped out in the previous two weeks? ❑ ® Has the system received normal flows in the previous two week period? ❑ ® - Have large volumes of water been introduced to the system recently or as part of this inspection? ® ❑ Were as built plans of the system obtained and examined? (If they were not available note as NIA) ® ❑ Was the facility or dwelling inspected for signs of sewage back up? ® ❑ Was the site inspected for signs of break out? ® ❑ Were all system components, excluding the SAS, located on site? ® ❑ Were the septic tank manholes uncovered, opened, and the interior of the tank inspected for the condition of the baffles or tees, material of construction, dimensions, depth of liquid, depth of sludge and depth of scum? ® ❑ Was the facility owner(and occupants if different from owner) provided with information on the proper maintenance of subsurface sewage disposal systems? The size and location of the Soil Absorption System (SAS) on the site has been determined based on: ® ❑ Existing information. For example, a plan at the Board of Health. Z ❑ Determined in the field (if any of the failure criteria related to Part C is at issue approximation of distance is unacceptable) [310 CMR 15.302(5)] D. System Information A Residential Flow Conditions: 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): 330 t5ins-3f13 Title 5 official Inspection Form:Subsurface Sewage Disposal System•Page 6 of 17 Commonwealth of Massachusetts Title 5 Official . Inspection Form , Subsurface Sewage Disposal System Form-Not for Voluntary Assessments .15 Bone Hill Rd Property Address Alex and Julia Bucci Owner Owner's Name information is Barnstable MA 02637 5-22-2017 required for every - page. City/Town State Zip Code Date of Inspection D. System Information Description: 3 bedroom residential dwelling Number of current residents: t , 0 Does residence have a garbage grinder? ❑ Yes ® No Is laundry on a separate sewage system?(Include laundry system inspection El Yes ® No information in this report.) Laundry system inspected? ❑ Yes ® No Seasonal use? ® Yes ❑ No Water meter readings, if available (last 2 years usage(gpd)): Detail: Sump pump? ❑ Yes ® No Last date of occupancy: 8-2016Bate Commercial/Industrial Flow Conditions: Type of Establishment: Design flow(based on 310.CMR 15.203): ,Gallons per day(gpd) Basis of design flow(seats/persons/sq.ft., etc.): ` Grease trap present?. r ❑ Yes [I No Industrial waste holding tank present? ❑ Yes ❑ No Non-sanitary waste discharged to the Title 5 system?. ❑ Yes ❑ No Water meter readings, if available: t5ins-3/13 - Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 7 of 17 Commonwealth of Massachusetts Title 5 official Inspection Form C` Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 15 Bone Hill Rd Property Address Alex and Julia Bucci Owner Owner's Name information is required for every Barnstable MA 02637 5-22-2017 page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) Last date of occupancy/use: Date Other(describe below): ` General Information Pumping Records: Source of information: Unknown Was system pumped as part of the inspection? ❑ Yes ® No If yes, volume pumped: gallons How was quantity pumped determined? Reason for pumping: Type of System: ® Septic tank, distribution box, soil absorption system ' ❑ Single cesspool ❑ Overflow cesspool ❑ Privy ❑ Shared system (yes or no) (if yes, attach previous inspection records, if any) ❑ Innovative/Alternative technology. Attach a copy of the current operation and maintenance contract(to be obtained from system owner) and a copy of latest inspection of the I/A system by system operator under contract ❑ Tight tank. Attach a copy of the DEP approval. ❑ Other(describe): t5ins-3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System.Page 8 of 17 Commonwealth of Massachusetts Title 5 Official . Inspection Form Subsurface Sewage Disposal System Form •Not for Voluntary Assessments 15 Bone Hill Rd Property Address Alex and Julia Bucci Owner Owner's Name information is required for every Barnstable MA 02637 5-22-2017 page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) , Approximate age of all components, date installed (if known) and source of information: 2006 per BOH Were sewage•odors detected when arriving at the site? ❑ Yes ® No Building Sewer(locate on site plan): Depth below grade: . , - feet• Material of construction: ❑ cast,iron ❑ 40 PVC ❑ other(explain): Distance from private water supply well or suction line: feet Comments (on condition of joints, venting,evidence of leakage, etc.): Apparent good condition Septic Tank(locate on site plan): ` 611 Depth below grade: feet Material of construction: ® concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑ other(explain) If tank is metal, list age: _ years Is age confirmed by a Certificate.of Compliance? (attach a copy of.certificate) ❑ Yes ❑ No Dimensions: 1500 gallon 12' Sludge depth: t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 9 of 17 '} Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Farm-Not for Voluntary Assessments 15 Bone Hill Rd Property Address Alex and Julia Bucci Owner Owner's Name information is required for every Barnstable MA 02637 5-22-2017 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Septic Tank(cont.) - Distance from top of sludge to bottom of outlet tee or.baffle 20 Scum thickness 1/2' . 611 Distance from top of scum to top of outlet tee or baffle nro, Distance from bottom of scum to bottom of outlet tee or ba ffle"e 16" How were dimensions determined? Sludge Judge Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage,etc.): Normal liquid level No sign of leakage _ Sch 40 tee F Recommended next maintenance pumping within.1 year Recommended maintenance pumping every 2-3 years , Grease Trap(locate on site plan): Depth below grade: a feet Material of construction: El concrete Elmetal ❑ fiberglass Elpolyethylene ❑ other(explain): Dimensions: _ ,o Scum thickness ` 4 Distance from top of scum to top of outlet tee or baffle ' Distance from bottom of scum to bottom of outlet tee or baffle Date of last pumping: Date 15ins•3113 x - Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 10 of 17 ,.: Commonwealth of Massachusetts Title 5 Official Inspection Form . Subsurface Sewage Disposal System Form-Not for Voluntary Assessments t 15 Bone Hill Rd Property Address Alex and Julia Bucci Owner Owner's Name information is required for every Barnstable MA 02637 5-22-2017 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) , Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to.outlet invert,.evidence of leakage,'etc.): Tight or Holding Tank (tank must be pumped at time of inspection) (locate on site plan): Depth below grade: Material of construction: ❑ concrete ❑ metal ❑fiberglass ❑ polyethylene ❑ other(explain): Dimensions: Capacity: gallons Design Flow- gallons per day „ Alarm present: ❑ Yes ❑ No Alarm level: Alarm in working order: ❑ Yes ❑ No Date of last pumping: Date Comments(condition of alarm and float switches, etc.): t h *Attach copy of current pumping contract(required). Is copy attached? ❑ Yes ❑ No t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 11 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 15 Bone Hill Rd Property Address Alex and Julia Bucci Owner Owner's Name information is required for every Barnstable MA 02637 5-22-2017 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Distribution s button Box(If present must be opened) (locate on site plan): Depth of liquid level above outlet invert Oil Comments (note if box is level and distribution to outlets equal, any evidence of solids carryover, any evidence of leakage into or out of box, etc.): Grade to box 32" Cover 12" OK condition 1 outlet Normal liquid level No sign of leakage No scum No sign of failure Pump Chamber(locate on site plan): Pumps in working order: ❑ Yes ❑ No* Alarms in working order: ❑. Yes ❑ No* Comments (note condition of pump chamber, condition of pumps and appurtenances, etc.): * If pumps or alarms are not in working order, system is a conditional pass. Soil Absorption System (SAS) (locate on site plan, excavation not required): If SAS not located, explain why: 15ins-3i13 Title 5 Official Inspection Forth:Subsurface Sewage Disposal System-Page 12 of 17 r Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments M 15 Bone Hill Rd Property Address Alex and Julia Bucci Owner Owner's Name information is required for every Barnstable . MA 02637 5-22-2017 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 4 - Type: r ❑ leaching pits. number:. ® leaching chambers number: numbe r: 4 ❑ leaching galleries number: ❑ leaching trenches number, length: leaching fields number, dimensions: ❑ overflow cesspool number: •- ❑ innovative/alternative system Type/name of.technology- Comments (note condition of soil, signs of hydraulic failure, level of,ponding, damp soil, condition of vegetation, etc.): 4 ADS-Biodiffusers 1600 BD plastic chambers with stone (10x29x2') Grade to chamber 42" Inspection port to grade Bottom 59 Dry No sign of hydraulic failure t Cesspools (cesspool must be pumped as part of inspection) (locate on site plan): Number and configuration Depth—top of liquid to inlet invert Depth of solids layer Depth of scum layer Dimensions of cesspool Materials of construction Indication of groundwater inflow ❑ -Yes ❑ No l5ins-3l13. Tills 5 Official Inspection Form:Subsurface Sewage Disposal System-Page.13 of 17 Commonwealth of Massachusetts € Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments M y 15 Bone Hill Rd Property Address Alex and Julia Bucci Owner Owner's Name information is required for every Barnstable MA 02637 5-22-2017 page. Cityfrown State Zip Code Date of Inspection D. System Information (cont.) Comments (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): Privy (locate on site plan): Materials of construction: Dimensions Depth of solids Comments (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): t5ins-3/13 Tide 5 Official Inspection Form:Subsurface Sewage Disposal System.Page 14 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection , Forma Subsurface Sewage Disposal System Form-Not for Voluntary Assessments , 15 Bone Hill Rd Property Address Alex and Julia Bucci Owner Owner's Name information is required for every Barnstable MA 02637 5-22-2017 page. Citylrown State Zip Code Date of Inspection D. System Information (cont.) Sketch Of Sewage Disposal System: Provide a view of the sewage disposal system, including ties to at least two permanent reference landmarks or benchmarks. Locate all wells within 100 feet. Locate where public water supply enters the building. Check one of the boxes below: ® hand-sketch in the area below . ❑ drawing attached separately f .4 f i A - C .. t. 2 j'� '�' 2--Z 3 �-" 7—Z 4 1 7 1 q_q 5 po cr t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 15 of 17 Commonwealth of Massachusetts Title 5 Official Inspection F®rm Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 15 Bone Hill Rd ` Property Address Alex and Julia Bucci Owner Owner's Name information is Barnstable required for every ' MA 02637 5-22-2017 page. Clty/Town State Zip Code Date of Inspection D. System Information (cont.) Site Exam: ❑ Check Slope ❑ Surface water Check cellar ❑ Shallow wells " Estimated depth to high ground water: >5 feet Please indicate all methods used to determine the high ground water elevation: ® Obtained from system design plans on record If checked, date of design plan reviewed: 2006 Date ® Observed site (abutting property/observation hole within 150 feet of SAS) ® Checked with focal Board of Health -explain: Plan on file ❑ Checked with local excavators, installers-(attach documentation) ❑ Accessed USGS database-explain: You must describe how you established the high ground water elevation: Engineer certified installation Bottom of SAS ELV. 45.48 Bottom of test hole ELV. 32.10 NWE Separation >5' Before filing this Inspection Report, please see Report Completeness Checklist on next page. t5ins-3113 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 16 of 17 f Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 15 Bone Hill Rd �k ,Property Address Alex and Julia Bucci Owner Owner's Name information is ' required for every Barnstable MA 02637 5-22-2017 page. City/Town State Zip Code Date of Inspection E. Report Completeness. Checklist ® Inspection Summary: A, B, C, D, or E checked ® Inspection Summary D (System Failure Criteria Applicable to All Systems) completed ® System Information—Estimated depth to high groundwater ® Sketch of Sewage Disposal System either drawn on page 15 or attached in separate file r t5ins•3/13 Title 5 official Inspection Form:Subsurface Sewage Disposal System-Page 17 of 17 �. Commonwealth of Massachusetts W Title 5 Official Inspection Form _ Subsurface Sewage Disposal System Form Not for Voluntary Assessments 15 BONE HILL ROAD Property Address DAVID PARRELLA Owner Owner's Name information is required for CUMMAQUID MA 02637 3/30/2009 every page. City/Town State Zip Code Date of Inspection Inspection results must be submitted on this form. Inspection forms may not be altered in any way. Please see completeness checklist at the end of the form. Important: A. General Information ' M When filling out forms on the 1 computer, use 1. Inspector. I � Ci 3 . only the tab key to move your ; DAVI D WARD cursor-do not use the return Name of Inspector , key. WARD T-5 ' Company Name O BOX1934 -- Company Address �a MANOMET MA 112345 City/Town State Zip Code 508-747-9593 S1674 Telephone Number License Number B. Certification I certify that I have personally inspected the sewage disposal system at this address and that the information reported below is true, accurate and complete as of the time of the inspection. The inspection was performed based on my training and experience in the proper function and maintenance of on site sewage disposal systems. I am a DEP approved system inspector pursuant to Section 15.340 of Title 5(310 CMR 15.000). The system: ® Passes ❑ Conditionally Passes ❑ Fails ❑ Needs Further Evaluation by the Local Approving Authority 4�/ 04/30/2009 spec or's Signature Date The system inspector shall submit a copy of this inspection report to the Approving Authority (Board of Health or DEP)within 30 days of completing this inspection. If the system is a shared system or has a design flow of 10,000 gpd or greater, the inspector and the system owner shall submit the report to the appropriate regional office of the DEP. The original should be sent to the system owner and copies sent to the buyer, if applicable, and the approving authority. ****This report only describes conditions at the time of inspection and under the conditions of use at that time.This inspection does not address how the system will perform in the future under the same or different conditions of use. t5ins•09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 1 of 17 i Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 15 BONE HILL ROAD Property Address DAVID PARRELLA Owner Owner's Name information is required for CUMMAQUID MA 02637 3/30/2009 every page. City/Town State Zip Code Date of Inspection B. Certification (cont.) Inspection Summary: Check A,B,C,D or E/always complete all of Section D A) System Passes: ® 1 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 need to be replaced or repaired. The system, upon completion of the replacement or repair, as approved by the Board of Health, will pass. Check the box for"yes", "no"or"not determined" (Y, N, ND) for the following statements. If"not determined," please explain. The septic tank is metal and over 20 years old* or the septic tank (whether metal or not) is. structurally unsound, exhibits substantial infiltration or exfiltration or tank failure is imminent. System will pass inspection if the existing tank is replaced with a complying septic tank as approved by the Board of Health. *A metal septic tank will pass inspection if it is structurally sound, not leaking and if a Certificate of Compliance indicating that the tank is less than 20 years old is available. ❑ Y ❑ N ❑ ND (Explain below): t5ins•09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 2 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments M 15 BONE HILL ROAD Property Address DAVID PARRELLA Owner Owner's Name information is required for CUMMAQUID MA 02637 3/30/2009 every page. City/Town State Zip Code Date of Inspection B. Certification (cont.) B) System Conditionally Passes (cont.): ❑ Observation of sewage backup or break out or high static water level in the distribution box due to broken or obstructed pipe(s)or due to a broken, settled or uneven distribution box. System will pass inspection if(with approval of Board of Health): ❑ broken pipe(s) are replaced ❑ Y ❑ N ❑ ND (Explain below): ❑ obstruction is removed ❑ Y ❑ N ❑ ND (Explain below): ❑ distribution box is leveled or replaced ❑ Y ❑ N ❑ ND (Explain below): ❑ The system required pumping more than 4 times a year due to broken or obstructed pipe(s). The system will pass inspection if(with approval of the Board of Health): ❑ broken pipe(s) are replaced ❑ Y ❑ N ❑ ND (Explain below): ❑ obstruction is removed ❑ Y ❑ N ❑ ND (Explain below): C Further Evaluation is Re quired by the;Board of Health: ❑ Conditions exist which require further evaluation by the Board of Health in order to determine if the system is failing to protect public health, safety or the environment. 1. System will pass unless Board of Health determines in accordance with 310 CMR 15.303(1)(b)that the system is not functioning in a manner which will protect public health, safety and the environment: ❑ Cesspool or privy is within 50 feet of a surface water ❑ Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh t5ins•09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments M 15 BONE HILL ROAD Property Address DAVID PARRELLA Owner Owner's Name information is required for CUMMAQUID MA 02637 3/30/2009 every page. Citylrown State Zip Code Date of Inspection B. Certification (cont.) 2. System will fail unless the Board of Health (and Public Water Supplier, if any) determines that the system is functioning in a manner that protects the public health, safety and environment: ❑ The system has a septic tank and soil absorption system (SAS) and the SAS is within 100 feet of a surface water supply or tributary to a surface water supply. ❑ The system has a septic tank and SAS and the SAS is within a Zone 1 of a public water supply. ❑ The system has a septic tank and SAS and the SAS is within 50 feet of a private water supply well. ❑ The system has a septic tank and SAS and the SAS is less than 100 feet but 50 feet or more from a private water supply well". Method used to determine distance: **This system passes if the well water analysis, performed at a DEP certified laboratory, for coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered. A copy of the analysis must be attached to this form. 3. Other: D) System Failure Criteria Applicable to All Systems: You must indicate"Yes" or"No"to each of the following for all inspections: Yes No ❑ ® Backup of sewage into facility or system component due to overloaded or clogged SAS or cesspool ❑ ® Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or clogged SAS or cesspool ❑ ® Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool ❑ ® Liquid depth in cesspool is less than 6" below invert or available volume is less than '/2 day flow t5ins•09/08 Title'5 Official Inspection Form:Subsurface Sewage Disposal System•Page 4 of 17 Commonwealth of Massachusetts - Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 15 BONE HILL ROAD - Property Address DAVID PARRELLA Owner Owner's Name information is required for CUMMAQUID MA 02637 3/30/2009 every page. CitylTown State Zip Code Date of Inspection B. Certification (cont.) Yes No ❑ ® Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s). Number of times pumped: ❑ ® Any portion of the SAS, cesspool or privy is below high ground water elevation. ❑ ® Any portion of cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply. ❑ ® Any portion of a cesspool or privy is within a Zone 1 of a public well. ❑ ® Any portion of a cesspool or privy is within 50 feet of a private water supply well. ❑ ® Any portion of a cesspool or privy is less than 100 feet but greater than 50 feet from a private water supply well with no acceptable water quality analysis. [This system passes if the well water analysis, performed at a DEP certified laboratory,for fecal coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered. A copy of the analysis and chain of custody must be attached to this form.] ❑ ® The system is a cesspool serving a facility with a design flow of 2000gpd- 10,000gpd. ❑ ® The system fails. I have determined that one or more of the above failure criteria exist as described in 310 CMR 15.303, therefore the system fails. The system owner should contact the Board of Health to determine what will be, necessary to correct the failure. E) Large Systems: To be considered a large system the system must serve a facility with a design flow of 10,000 gpd to 15,000 gpd. For large systems, you must indicate either"yes" or"no"to each of the following, in addition to the questions in Section D. Yes No El ® the system is within 400 feet of a surface drinking water supply ❑ ® the system is within 200 feet of a tributary to a surface drinking water supply ❑ ® the system is located in a nitrogen sensitive area (Interim Wellhead Protection Area—IWPA) or a mapped Zone II of a public water supply well If you have answered "yes"to any question in Section E the system is considered a significant threat, or answered "yes" in Section D above the large system has failed. The owner or operator of any large system considered a significant threat under Section E or failed under Section D shall upgrade the system in accordance with 310 CMR 15.304. The system owner should contact the appropriate regional office of the Department. t5ins-09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 5 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 15 BONE HILL ROAD Property Address DAVID PARRELLA Owner Owner's Name information is required for CUMMAQUID MA 02637 3/30/2009 every page. City/Town State Zip Code Date of Inspection C. Checklist Check if the following have been done. You must indicate"yes" or"no" as to each of the following: Yes No ® ❑ Pumping information was provided by the owner, occupant, or Board of Health ❑ ® Were any of the system components pumped out in the previous two weeks? ® ❑ Has the system received normal flows in the previous two week period? ❑ ® Have large volumes of water been introduced to the system recently or as part of this inspection? ® ❑ Were as built plans of the system obtained and examined? (If they were not available note as N/A) ® ❑ Was the facility or dwelling inspected for signs of sewage back up? ® ❑ Was the site inspected for signs of break out? ® ❑ Were all system components, excluding the SAS, located on site? ® ❑ Were the septic tank manholes uncovered, opened, and the interior of the tank inspected for the condition of the baffles or tees, material of construction, dimensions, depth of liquid, depth of sludge and depth of scum? ® ❑ Was the facility owner(and occupants if different from owner) provided with information on the proper maintenance of subsurface sewage disposal systems? The size and location of the Soil Absorption System (SAS) on the site has been determined based on: ® ❑ Existing information. For example, a plan at the Board of Health. ® ❑ Determined in the field (if any of the failure criteria related to Part C is at issue approximation of distance is unacceptable) [310 CMR 15.302(5)] D. System Information Residential Flow Conditions: 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): 330 t5ins•09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 6 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 15 BONE HILL ROAD Property Address DAVID PARRELLA Owner Owner's Name information is required for CUMMAQUID MA 02637 3/30/2009 every page. City/Town State Zip Code Date of Inspection D. System Information Description: Number of current residents: 0 Does residence have a garbage grinder? ❑ Yes ® No Is laundry on a separate sewage system?[if yes separate inspection required] ❑ Yes ® No Laundry system inspected? ❑ Yes ® No Seasonal use? ❑ Yes ® No Water meter readings, if available (last 2 years usage (gpd)): NA Detail: Sump pump? ❑ Yes ® No Last date of occupancy: NA Date Commercial/industrial Flow Conditions: Type of Establishment: Design flow(based on 310 CMR 15.203): Gallons per day(gpd) Basis of design flow(seats/persons/sq.ft., etc.): Grease trap present? ❑ Yes ❑ No Industrial waste holding tank present? ❑ Yes ❑ No Non-sanitary waste discharged to the Title 5 system? ❑ Yes ❑ No Water meter readings, if available: t5ins•09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 7 of 17 r Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments M , 15 BONE HILL ROAD Property Address DAVID PARRELLA Owner Owner's Name information is required for CUMMAQUID MA 02637 3/30/2009 every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Last date of occupancy/use: Date Other(describe below): General Information Pumping Records: Source of information: NONE Was system pumped as part of the inspection? ❑ Yes ® No If yes, volume pumped: gallons How was quantity pumped determined? Reason for pumping: Type of System: ® Septic tank, distribution box, soil absorption system ❑ Single cesspool ❑ Overflow cesspool ❑ Privy ❑ Shared system (yes or no) (if yes, attach previous inspection records, if any) ❑ Innovative/Alternative technology. Attach a copy of the current operation and maintenance contract(to be obtained from system owner) and a copy of latest inspection of the I/A system by system operator under contract ❑ Tight tank. Attach a copy of the DEP approval. ❑ Other(describe): t5ins-09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 8 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form a Subsurface Sewage Disposal System Form - Not for Voluntary Assessments �M 15 BONE HILL ROAD Property Address DAVID PARRELLA Owner Owner's Name information is required for CUMMAQUID MA 02637 3/30/2009 every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Approximate age of all components, date installed (if known) and source of information: 3/29/2006 Were sewage odors detected when arriving at the site? ❑ Yes ® No Building Sewer(locate on site plan): Depth below grade: 3 feet Material of construction: ❑ cast iron ® 40 PVC ❑ other(explain): Distance from private water supply well or suction line: feet Comments(on condition of joints, venting, evidence of leakage, etc.): GOOD CONDITION Septic Tank(locate on site plan): 6" Depth below grade: feet Material of construction: ® concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑ other(explain) If tank is metal, list age: years Is age confirmed by a Certificate of Compliance? (attach a copy of certificate) ❑ Yes ❑ No Dimensions: 1500 GAL Sludge depth: 1" t5ins-09108 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 9 of 17 i Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -,Not for Voluntary Assessments 15 BONE HILL ROAD Property Address DAVID PARRELLA Owner Owner's Name information is required for CUMMAQUID MA 02637 3/30/2009 every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Septic Tank(cont.) Distance from top of sludge to bottom of outlet tee or baffle 29" Scum thickness 0 Distance from top of scum to top of outlet tee or baffle 7" Distance from bottom of scum to bottom of outlet tee or baffle 191, How were dimensions determined? ROD Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): TANK IN GOOD WORKING ORDER TEES GOOD NO NEED TO BE PUMPED. Grease Trap (locate on site plan): Depth below grade: feet Material of construction: ❑ concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑ other(explain): Dimensions: Scum thickness Distance from top of scum to top of outlet tee or baffle Distance from bottom of scum to bottom of outlet tee or baffle Date of last pumping: Date t5ins•09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 10 of 17 i Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments ,M 15 BONE HILL ROAD Property Address DAVID PARRELLA Owner Owner's Name information is required for CUMMAQUID MA 02637 3/30/2009 every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): Tight or Holding Tank(tank must be pumped at time of inspection) (locate on site plan): Depth below grade: Material of construction: ❑ concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑ other(explain): Dimensions: Capacity: gallons Design Flow: gallons per day Alarm present: ❑ Yes ❑ No Alarm level: Alarm in working order: ❑ Yes ❑ No Date of last pumping: Date Comments (condition of alarm and float switches, etc.): *Attach copy of current pumping contract(required). Is copy attached? ❑ Yes ❑ No t5ins•09/08 Title 5 Official Inspection form:Subsurface Sewage Disposal System•Page 11 of 17 r Commonwealth of Massachusetts H r Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 15 BONE HILL ROAD Property Address DAVID PARRELLA Owner Owner's Name information is required for CUMMAQUID MA 02637 3/30/2009 every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Distribution Box(if present must be opened) (locate on site plan): Depth of liquid level above outlet invert O" Comments (note if box is level and distribution to outlets equal, any evidence of solids carryover, any evidence of leakage into or out of box, etc.): ONE PIPE IN ONE PIPE OUT FLOW WAS GOOD NO SOLIDS Pump Chamber(locate on site plan): Pumps in working order: ❑ Yes ❑ No Alarms in working order: ❑ Yes ❑ No Comments (note condition of pump chamber, condition of pumps and appurtenances, etc.): Soil Absorption System (SAS) (locate on site plan, excavation not required): If SAS not located, explain why: NO SIGNS OF FAILURE FLOW WAS GOOD FROM D-BOX t5ins-09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 12 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 15 BONE HILL ROAD Property Address DAVID PARRELLA Owner Owner's Name information is required for CUMMAQUID MA 02637 3/30/2009 every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Type: ❑ leaching pits number: ® leaching chambers number: 10'X29'X2' PER TOWN ❑ leaching galleries number: ❑ leaching trenches number, length: ❑ leaching fields number, dimensions: ❑ overflow cesspool number: ❑ innovative/alternative system Type/name of technology: Comments (note condition of soil, signs of hydraulic failure, level of ponding, damp soil, condition of vegetation, etc.): SAS.IS IN GOOD WORKING ORDER Cesspools (cesspool must be pumped as part of inspection) (locate on site plan): Number and configuration Depth —top of liquid to inlet invert Depth of solids layer Depth of scum layer Dimensions of cesspool Materials of construction Indication of groundwater inflow ❑ Yes ❑ No t5ins•09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 13 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form Not for Voluntary Assessments 15 BONE HILL ROAD Property Address DAVID PARRELLA Owner Owner's Name information is required for CUMMAQUID MA 02637 3/30/2009 every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Comments (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): Privy(locate on site plan): Materials of construction: Dimensions Depth of solids Comments (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): t5ins-09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 14 of 17 . 1 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments °M 15 BONE HILL ROAD Property Address DAVID PARRELLA Owner Owner's Name information is CUMMAQUID required for MA 02637 3/30/2009 every page. Clty/Town State Zip Code Date of Inspection D. System Information (cont.) Sketch Of Sewage Disposal System: Provide a view of the sewage disposal system, including ties to at least two permanent reference landmarks or benchmarks. Locate all wells within 100 feet, Locate where public water supply enters the building. Check one of the boxes below: ® hand-sketch in the area below ❑ drawing attached separately C G 7 95' 103� 0 t5ins•09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 15 of 17 Commonwealth of Massachusetts - Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments ;M 15 BONE HILL ROAD Property Address DAVID PARRELLA Owner Owner's Name information is required for CUMMAQUID MA 02637 3/30/2009 every page. Citylrown State Zip Code Date of Inspection D. System Information (cont.) Site Exam: ® Check Slope ® Surface water ® Check cellar ® Shallow wells Estimated depth to high ground water: 13+ feet Please indicate all methods used to determine the high ground water elevation: ❑ Obtained from system design plans on record If checked, date of design plan reviewed: Date ❑ Observed site(abutting property/observation hole within 150 feet of SAS) ® Checked with local Board of Health -explain: TOWN RECORD ❑ Checked with local excavators, installers-(attach documentation) ❑ Accessed USGS database-explain: You must describe how you established the high ground water elevation: Before.filing this Inspection Report, please see Report Completeness Checklist on next page. t5ins-09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 16 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form a Subsurface Sewage Disposal System Form - Not for Voluntary Assessments ;M 15 BONE HILL ROAD Property Address DAVID PARRELLA Owner Owner's Name information is required for CUMMAQUID MA 02637 3/30/2009 every page. Cityrrown State Zip Code Date of Inspection E. Report Completeness Checklist ® Inspection Summary: A, B, C, D, or E checked ® Inspection Summary D (System Failure Criteria Applicable to All Systems) completed ® System Information— Estimated depth to high groundwater I ® Sketch of Sewage Disposal System either drawn on page 15 or attached in separate file t5ins•09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 17 of 17 LOCATION TOWN OF BARNSTABLE T -__ VILLAGE'-� s ' SEWAGE # INS TALI,ER'S NAME ASSESSORS HONE NO. M"&LOT SEPTIC TANK CApAC y T LEAcFhNG FACILITY h'pe) NO. OF BEDROOMS_3 (size). Q. / BUILDER OR 0 WNER J PERMITDATE: 02 I Separation Distance Beten the: COLIANCE DATE: 3a o Ma1imuJM Adjusted Grodwater Table I Private Water Supply W and Bottom of : on site or Within �d Leaching Leaching Facility 200 g Facility h' F Edge of Wed of leaching �Y wells exist Feet Wetland�d Leach,. facility) within 3 Fad 00 feet of leachingty(If any wetlands a _e Furnished b raity) exist Y Y Feet A E F a-E —771 C-N Jo3 v �. Commonwealth of Massachusetts <. X-1 W Title 5 Official Inspection Formf a Not for Voluntary Assessments STABLE Subsurface Sewage Disposal System Form ?�;^�DEC _ " 8 Pry 2: 66 Inspection results must be submitted on this form or on the official Title 5 Inspec n Form dated 6/15/2000. Inspection forms may not be altered in any way. ' C�'/'a A. Certification o _` istp—p 1. Property Information: 4070 Route 6A dZ7 &19 Property Address Carol Cincotta Owner's Name same Owner's Address Cummaguid MA 02637 City/Town State Zip Code Date of Inspection: 11/24/05Date 2. Inspector: Matthew L. Childs Name of Inspector same Company Name 4 Orchid Ln. Company Address W. Yarmouth MA 02673 CitylTown State Zip Code 508-989-1479 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 the inspection. The inspection was performed based on my training and experience in the proper function and maintenance of on site sewage disposal systems. I am a DEP approved system inspector pursuant to Section 15.340 of +`. Title 5(310 CMR 15.000). The system: ® Passes ❑ Conditionally Passes ❑ Fails ❑ Needs-Further Evaluation by the Local Approving Authority 11/24/05 Inspector's Signature Date The system inspector shall submit a copy of this inspection report to the Approving Authority (Board of Health or DEP)within 30 days of completing this inspection. If the system is a shared system or has a design flow of 10,000 gpd or greater, the inspector and the system owner shall submit the report to the appropriate regional office of the DEP. The original should be sent to the system owner and copies sent to the buyer, if applicable, and the approving authority. ""This report only describes conditions at the time of inspection and under the conditions of use at that time. This inspection does not address how the system will perform in the future under the same or different conditions of use. Cincotta main house.doc•11/2004 Title 5 Official Inspection Form:Subsurface Sewage Disposal System Page 1 of 16 Commonwealth of Massachusetts Title 5 Official Inspection Form Not for Voluntary Assessments M SJe e Subsurface Sewage Disposal System Form A. Certification (cont.) 4070 Route 6A Property Address Cummaguid MA 02637 City/Town State Zip Code Carol Cincotta 11/24/05 Owner's Name Date of Inspection 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: passes B) System Conditionally Passes: ❑ One or more system components as described in the "Conditional Pass" section need to be replaced or repaired. The system, upon completion of the replacement or repair, as approved by the Board of Health, will pass. Answer yes, no or not determined (Y, N, ND) in the ❑ for the following statements. If"not determined," please explain. ❑ The septic tank is metal and over 20 years old* or the septic tank (whether metal or not) is structurally unsound, exhibits substantial infiltration or exfiltration or tank failure is imminent. System.will pass inspection if the existing tank is replaced with a complying septic tank as approved by the Board of Health. *A metal septic tank will pass inspection if it is structural) sound, not leaking and if a Certificate P Y 9 of Compliance indicating that the tank is less than 20 years old is available. ND Explain: N/A Cincotta main house.doc•11/2004 Title 5 Official Inspection Form:Subsurface Sewage Disposal System Page 2 of 16 Commonwealth of Massachusetts Title 5 Official Inspection Form Not for Voluntary Assessments ;M Subsurface Sewage Disposal System Form A. Certification (cont.) 4070 Route 6A Property Address Cummaquid MA 02637 City/Town State Zip Code Carol Cincotta 11/24/05 Owner's Name Date of Inspection B) System Conditionally Passes (cont.): ❑ Observation of sewage backup or break out or high static water level in the distribution box due to broken or obstructed pipe(s) or due to a broken, settled or uneven distribution box. System will pass inspection if(with approval of Board of Health): ❑ broken pipe(s)are replaced ❑ obstruction is removed ❑ distribution box is leveled or replaced ND Explain: N/A ❑ The system required pumping more than 4 times a year due to broken or obstructed pipe(s). The system will pass inspection if(with approval of the Board of Health): ❑ broken pipe(s) are replaced ❑ obstruction is removed ND Explain: N/A C) Further Evaluation is Required by the Board of Health: ❑ Conditions exist which require further evaluation by the Board of Health in order to determine if the system is failing to protect public health, safety or the environment. 1. System will pass unless Board of Health determines in accordance with 310 CMR 15.303(1)(b)that the system is not functioning in a manner which will protect public health, safety and the environment: ❑ Cesspool or privy is within 50 feet of a surface water ❑ Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh Cincotta main house.doc•11/2004 Title 5 Official Inspection Form:Subsurface Sewage Disposal System Page 3 of 16 I Commonwealth of Massachusetts Title 5 Official Inspection Form Not for Voluntary Assessments Subsurface Sewage Disposal System Form M A. Certification (cont.) 4070 Route 6A Property Address Cummaquid MA 02637 City/Town State Zip Code Carol Cincotta 11/24/05 Owner's Name Date of Inspection C) Further Evaluation is Required by the Board of Health (cont.): 2. System will fail unless the Board of Health (and Public Water Supplier, if any) determines that the system is functioning in a manner that protects the public health, safety and environment: ❑ The system has a septic tank and soil absorption system (SAS) and the SAS is within 100 feet of a surface water supply or tributary to a surface water supply. ❑ The system.has a septic tank and SAS and the SAS is within a Zone 1 of a public water supply. ❑ The system has a septic tank and SAS and the SAS is within 50 feet of a private water supply well. ❑ The system has a septic tank and SAS and the SAS is less than 100 feet but 50 feet or more from a private water supply well". Method used to determine distance: ** This system passes if the well water analysis, performed at a DEP certified laboratory, for 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. 3. Other: N/A Cincotta main house.doc•11/2004 Title 5 Official Inspection Form:Subsurface Sewage Disposal System Page 4 of 16 Commonwealth of Massachusetts Title 5 Official Inspection Form Not for Voluntary Assessments Subsurface Sewage Disposal System Form M A. Certification (cont.) 4070 Route 6A Property Address Cummaquid MA 02637 City/Town State ZipCode Carol Cincotta 11/24/05 Owner's Name Date of Inspection D) System Failure Criteria Applicable to All Systems: You must indicate"Yes" or"No"to each of the following for all inspections: Yes No ❑ ® Backup of sewage into facility or system component due to overloaded or clogged SAS or cesspool ❑ ® Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or clogged SAS or cesspool ❑ ® Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool ❑ ® Liquid depth in cesspool is less than 6" below invert or available volume is less than '/day flow ❑ ® Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s). Number of times pumped: ❑ ® Any portion of the SAS, cesspool or privy is below high ground water elevation. ❑ ® Any portion of cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply. ❑ ® Any portion of a cesspool or privy is within a Zone 1-of a public well. ❑ ® Any portion of a cesspool or privy is within 50 feet of a private water supply well. ❑ ® Any portion of a cesspool or privy is less than 100 feet but greater than 50 feet from a private water supply well with no acceptable water quality analysis. [This system passes if the well water analysis, performed at a DEP certified laboratory,for 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.] 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. Cincotta main house.doc•11/2004 Title 5 Official Inspection Form:Subsurface Sewage Disposal System Page 5 of 16 Commonwealth of Massachusetts Title 5 Official Inspection Form, a Not for Voluntary Assessments Subsurface Sewage Disposal System Form '4M A. Certification (cont.) 4070 Route 6A Property Address Cummaquid MA 02637 City/Town State Zip Code Carol Cincotta 11/24/05 Owner's Name Date of Inspection E) Large Systems: To be considered a large system the system must serve a facility with a design flow of 10,000 gpd to 15,000 gpd. For large systems, you must indicate either"yes" or"no"to each of the following, in addition to the questions in Section D. YES NO ❑ ❑ the system is within 400 feet of a surface drinking water supply ❑ ❑ the system is within 200 feet of a tributary to a surface drinking water supply ❑ ❑ the system is located in a nitrogen sensitive area (Interim Wellhead Protection Area—IWPA) or a mapped Zone II of a public water supply well If you have answered "yes"to any question in Section E the system is considered a significant threat, or answered "yes" in Section D above the large system has failed. The owner or operator of any large system considered a significant threat under Section E or failed under Section D shall upgrade the system in accordance with 310 CMR 15.304. The system owner should contact the appropriate regional office of the Department. Cincotta main house.doc•11/2004 Title 5 Official Inspection Form:Subsurface Sewage Disposal System Page 6 of 16 Commonwealth of Massachusetts Title 5 Official Inspection Form Not for Voluntary Assessments ;M Subsurface Sewage Disposal System Form B. Checklist 4070 Route 6A Property Address Cummaquid MA 02637 City/Town State Zip Code Carol Cincotta 11/24/05 Owner's Name Date of Inspection Check if the following have been done. You must indicate"yes" or"no" as to each of the following: YES NO ® ❑ Pumping information was provided by the owner, occupant, or Board of Health ❑ ® Were any of the system components pumped out in the previous two weeks? ® ❑ Has the system received normal flows in the previous two week period? ❑ ® Have large volumes of water been introduced to the system recently or as part of this inspection? ® ❑ Were as built plans of the system obtained and examined? (If they were not available note as N/A) ® ❑ Was the facility or dwelling inspected for signs of sewage back up? ® ❑ Was the site inspected for signs of break out? ® ❑ Were all system components, excluding the SAS, located on site? ® ❑ Were the septic tank manholes uncovered, opened, and the interior of the tank inspected for the condition of the baffles or tees, material of construction, dimensions, depth of liquid, depth of sludge and depth of scum? ® ❑ Was the facility owner(and occupants if different from owner) provided with information on the proper maintenance of subsurface sewage disposal systems? The size and location of the Soil Absorption System (SAS) on the site has been determined based on: ® ❑ Existing information. For example, a plan at the Board of Health. ® ❑ Determined in the field (if any of the failure criteria related to Part C is at issue approximation of distance is unacceptable) (310 CMR 15.302(3)(b)] Cincotta main house.doc•11/2004 Title 5 Official Inspection Form:Subsurface Sewage Disposal System Page 7 of 16 Commonwealth of Massachusetts Title 5 Official Inspection Form Not for Voluntary Assessments �M Subsurface Sewage Disposal System Form C. System Information 4070 Route 6A Property Address Cummaquid MA 02637 City/Town State Zip Code Carol Cincotta 11/24/05 Owner's Name Date of Inspection Residential Flow Conditions: Number of bedrooms (design): 3 Number of bedrooms (actual): 2 DESIGN flow based on 310 CMR 15.203 (for example: 110 gpd x#of bedrooms): 330 gpd. Number of current residents: 0 Does residence have a garbage grinder? ❑ Yes ® No Is laundry on a separate sewage system? [if yes separate inspection required] ❑ Yes ® No Laundry system inspected? ❑ Yes ® No Seasonaluse? ❑ Yes ® No Water meter readings, if available last 2 ears usage d N/A 9 ( Y 9 (gpd)): Sump pump? ❑ Yes ® No Last date of occupancy: ?Date Commercial/Industrial Flow Conditions: Type of Establishment: N/A Design flow(based on 310 CMR 15.203): N/A Gallons per day(gpd) Basis of design flow(seats/persons/sq.ft., etc.): N/A Grease trap present? ❑ Yes ❑ No Industrial waste holding tank present? ❑ Yes ❑ No Non-sanitary waste discharged to the Title 5 system? ❑ Yes ❑ No Water meter readings, if available: N/A Last date of occupancy/use: N/A Date Other(describe): N/A Cincotta main house.doc•11/2004 Title 5 Official Inspection Form:Subsurface Sewage Disposal System Page 8 of 16 Commonwealth of Massachusetts Title 5 Official Inspection Form Not for Voluntary Assessments Subsurface Sewage Disposal System Form M C. System Information (cont.) 4070 Route 6A Property Address Cummaquid MA 02637 City/Town State Zip Code Carol Cincotta 11/24/05 Owner's Name Date of Inspection General Information Pumping Records: Source of information: owner Was system pumped as part of the inspection? ❑ Yes ® No If yes, volume pumped: N/A gallons How was quantity pumped determined? N/A Reason for pumping: N/A Type of System: ® Septic tank, distribution box, soil absorption system ❑ Single cesspool ❑ Overflow cesspool ❑ Privy ❑ Shared system (yes or no) (if yes, attach previous inspection records, if any) ❑ Innovative/Alternative technology. Attach a copy of the current operation and maintenance contract(to be obtained from system owner) ❑ Tight tank. Attach a copy of the DEP approval. ❑ Other(describe): Approximate age of all components, date installed (if known) and source of information: 11/23/94 per disposal works construction permit on file at Barnstable BOH. Were sewage odors detected when arriving at the site? ❑ Yes ® No Cincotta main house.doc•11/2004 Title 5 Official Inspection Form:Subsurface Sewage Disposal System Page 9 of 16 I Commonwealth of Massachusetts Title 5 Official Inspection Form Not for Voluntary Assessments iG^M Subsurface Sewage Disposal System Form C. System Information (cont.) 4070 Route 6A Property Address Cummaguid MA 02637 City/Town State Zip Code Carol Cincotta 11/24/05 Owner's Name Date of Inspection Building Sewer(locate on site plan): Depth below grade: 1.6' feet Material of construction: ❑ cast iron ® 40 PVC ❑ other(explain): Distance from private water supply well or suction line: feet Comments (on condition of joints, venting, evidence of leakage, etc.): All in good working order at time of inspection. Septic Tank(locate on site plan): Depth below grade: 1.2' feet Material of construction: ® concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑ other(explain) If tank is metal, list age: N/Ayears Is age confirmed by a Certificate of Compliance? (attach a copy of ❑ Yes ❑ No certificate) Dimensions: 8'x5'x5'outside 1000 gal. Sludge depth: 3' Distance from top of sludge to bottom of outlet tee or baffle 3.6' Scum thickness .4' Distance from top of scum to top of outlet tee or baffle .3' Distance from bottom of scum to bottom of outlet tee or baffle 1' How were dimensions determined? tape measure Cincotta main house.doc•11/2004 Title 5 Official Inspection Form:Subsurface Sewage Disposal System Page 10 of 16 Commonwealth of Massachusetts Title 5 Official Inspection Form Not for Voluntary Assessments Subsurface Sewage Disposal System Form C. System Information (cont.) 4070 Route 6A Property Address Cummaquid MA 02637 Cityrrown State Zip Code Carol Cincotta 11/24/05 Owner's Name Date of Inspection Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): Tank shows no signs of leakage at time of inspection and appears to have been maintained regularly. Grease Trap (locate on site plan): Depth below grade: N/A feet Material of construction: ❑ concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑ other(explain): N/A Dimensions: N/A Scum thickness N/A Distance from top of scum to top of outlet tee or baffle N/A Distance from bottom of scum to bottom of outlet tee or baffle N/A Date of last pumping: N/A Date Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): N/A Tight or Holding Tank(tank must be pumped at time of inspection) (locate on site plan): Depth below grade: N/A Material of construction: ❑ concrete ❑metal ❑ fiberglass ❑ polyethylene ❑ other(explain): N/A Cincotta main house.doc•11/2004 Title 5 Official Inspection Form:Subsurface Sewage Disposal System Page 11 of 16 Commonwealth of Massachusetts Title 5 Official Inspection Form Not for Voluntary Assessments �M Subsurface Sewage Disposal System Form C. System Information (cont.) 4070 Route 6A Property Address Cummaquid MA 02637 City/Town State Zip Code Carol Cincotta 11/24/05 Owner's Name Date of Inspection Tight or Holding Tank(cont.) 'Dimensions: N/A 1 Capacity: N/A gallons Design Flow: N/Agallons per day Alarm present: ❑ Yes ❑ No Alarm level: N/A Alarm in working order: ❑ Yes❑ No Date of last pumping: N/A Date Comments(condition of alarm and float switches, etc.): N/A Distribution Box(if present must be opened) (locate on site plan): Depth of liquid level above outlet invert 0.0' Comments (note if box is level and distribution to outlets equal, any evidence of solids carryover, any evidence of leakage into or out of box, etc.): D-box is level w/no solids carryover or leakage at time of inspection. Pump Chamber(locate on site plan): Pumps in working order: ❑ Yes ❑ No Alarms in working order: ❑ Yes ❑ No Cincotta main house.doc•11/2004 Title 5 Official Inspection Form:Subsurface Sewage Disposal System Page 12 of 16 Commonwealth of Massachusetts W Title 5 Official Inspection Form Not for Voluntary Assessments Subsurface Sewage Disposal System Form C. System Information (cont.) 4070 Route 6A Property Address Cummaquid MA 02637 City/Town State Zip Code Carol Cincotta 11/24/05 Owner's Name Date of Inspection Comments (note condition of pump chamber, condition of pumps and appurtenances, etc.): N/A Soil Absorption System (SAS) (locate on site plan, excavation not required): If SAS not located, explain why: Type: ® leaching pits number: 1 ❑ leaching chambers number: ❑ leaching galleries number: ❑ leaching trenches number, length: ❑ leaching fields number, dimensions: ❑ overflow cesspool number: ❑ innovative/alternative system Type/name of technology: Comments (note condition of soil, signs of hydraulic failure, level of ponding, damp soil, condition of vegetation, etc.): 1 6'x6'w/T of stone was dry at time of inspection showing no signs of hydraulic failure. Cincotta main house.doc•11/2004 Title 5 Official Inspection Form:Subsurface Sewage Disposal System Page 13 of 16 Commonwealth of Massachusetts Title 5 Official Inspection Form Not for Voluntary Assessments Subsurface Sewage Disposal System Form 'GSM C. System Information (cont.) 4070 Route 6A Property Address Cummaquid MA 02637 City/Town State Zio Code Carol Cincotta 11/24/05 Owner's Name Date of Inspection Cesspools (cesspool must be pumped as part of inspection) (locate on site plan): Number and configuration N/A Depth —top of liquid to inlet invert N/A,, Depth of solids layer N/A Depth of scum layer N/A Dimensions of cesspool N/A Materials of construction N/A Indication of groundwater inflow ❑ Yes ❑ No Comments (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): N/A Privy(locate on site plan): Materials of construction: N/A Dimensions N/A Depth of solids N/A Comments (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): N/A Cincotta main house.doc•11/2004 Title 5 Official Inspection Form:Subsurface Sewage Disposal System Page 14 of 16 Commonwealth of Massachusetts Title 5 Official Inspection Form Not for Voluntary Assessments Subsurface Sewage Disposal System Form �M C. System Information (cont.) 4070 Route 6A Property Address Cummaquid MA 02637 - CityfTown State Zip Code Carol Cincotta 11/24/05 Owner's Name Date of Inspection 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. Route W/5 #4070 2 A-1-41' B-1-19' A-2-53' B-2-30' O A-3-68' B-3-45' 1 Cincotta main house.doc•11/2004 Title 5 Official Inspection Form:Subsurface Sewage Disposal System Page 15 of 16 Commonwealth of Massachusetts Title 5 Official Inspection Form Not for Voluntary Assessments Subsurface Sewage Disposal System Form C. System Information (cont.) 4070 Route 6A Property Address Cummaguid MA 02637 City/Town State Zip Code Carol Cincotta 11/24/05 Owner's Name Date of Inspection Site Exam: Slope Surface water Check cellar Shallow wells Estimated depth to ground water: Please indicate all methods used to determine the high ground water elevation: ® Obtained from system design plans on record If checked, date of design plan reviewed: 6/28/94 Date ® Observed site (abutting property/observation hole within 150 feet of SAS) ❑ Checked with local Board of Health -explain: ❑ Checked with local excavators, installers-(attach documentation) ❑ Accessed USGS database -explain: You must describe how you established the high ground water elevation: Hand auger 6' in bottom of dry pit, no water. Checked test hole data from system design plans shows no high groundwater. Cincotta main house.doc•11/2004 Title 5 Official Inspection Form:Subsurface Sewage Disposal System Page 16 of 16 L TOWN OF BARNSTABLE LOCATION Va 7Q& /f f A 4 SEWAGE # 'TILLAGE C% (>/fit AA A Q ASSESSOR'S MAP & LOT-X?16r-b INSTALLER'S NAME PHONE NO. /- 4 A4 R C J iN deg -+- s-o L _ SEPTIC TANK CAPACITY /. D 0 o LEACHING FACILITY:(type) 10/% (size) NO. OF BEDROOMS _PRIVATE WELL OR PUBLIC WATER OR OWNER DATE PERMIT ISSUED: DATE COMPLIANCE ISSUED: � ✓ " VARIANCE GRANTED: Yes No �/ ti To* v a 13ARNsz'ABLE `'!/1 'G-zin ITIC3 O rw. SEWAGE # aor �y1 4 t'� .rILi%GE_ C,-v vh 0� J ASSESSOR'S MAP & LOT �0 ) IRISTALLER'S.NAME&PHONE N0: 38S'/9(1*(a-3 SEPTIC TANK CAPACITY LEACHING FACILITY: (type) L '+�� �`�` (size) NO. OF BEDROOMS BUILDER O OW.LATER 4 -PERM?TDATE: 310-C&-in f® COMPLIANCE DATE: 3 3f Separation Distance-Between the: :Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet Private Wafer Supply Well and Leaching Facility (If any wells exist on site or within 20.0 feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) Feet Furnished by ssP�pp f p L f r P APPROVED cp/� c— Barnstable Conservation Department, 30.00 No....f•-4-n,.?a_1.. � _ i �,�,� a-8, Ch .................. .......... THE COMMONWE TH OF MASSACHUSETTS &BARD OF04NEALTH 6419 TOWN OF BNSTABLE Y? 33 Appliratiou -fur �iupuuttl Murk,i Towitrnrtiun rrrntit Application is hereby made for a Permi to Cori. :uct ( ) or Repair YX)1 an Individual Sewage Disposal System at: , 4070A _Route 6A •Cumma-quid ,MaS-- � . . . ..--•... ------------------ -----------------------------------------•---...---------•-------.......-•--------••-•----•------- Location-Address or Lot No. Norton ......................-.......................................................................... ---------------------------------------------------------------......---------------............. Owner Address W J.P.Macomber Jr . Installer Address UType of Building Size Lot............................Sq. feet DwellingXXNo. of Bedrooms...............I.......................----Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ---------------------------- No. of persons............................ Showers ( ) — Cafeteria ( ) 0.' 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........................................ Test Pit No. I................minutes per inch Depth of Test Pit.................... Depth to ground water..--.................... fi, Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ R. ------------------------------------------------------------------------------------------------------------------------------------------------------------ ODescription of Soil........................................................................................................................................................................ U --------------------------•---------------••---•---•-------------------------------------•--•-----------------------------------------------------.....------------------------------------------....--- W ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- U Nature of Repairs or Alterations—Answer when - applicable.-----bm i t--_c e s s po o-1 s------- n-s t a l tl-------------- -..tank u. tionbox. 1 1000aallon leach ,- __ __ ___ . pi ---------.-.-------- - 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 Complian e has bee is ed b he board f heap . Signed ......:. ... .. . .._....-_...:.... , .... 6/22/94, Dace Application Approved BY -� . D are .. y. Application Disapproved for the following reasons: ................................................................................. --------------------------------------------------------------------------------- ------------- ----------------------------------------------------------------------------------------------------- ........................................ r.17% Date Permit No. ................Y...-,315...1 Issued Dace # t f THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH 04/ 9 33 TOWN OF BARNSTABLE Y� , pphratinn for Ui_npaiml lVar1w Tomitrnr#inn runtit Application\is hereby made for a Permit to Construct ( ) or Repair I(X)4) an Individual ,Sewage Disposal System at: 4070A Route 69, Cumactuid,Mas ----------------------------•-•------------•---..M.-•-----•------------------..._.......-------- ------•--•----------------••••------------------••----........................................... Norton Location-Address or Lot No. W J.P.Macomber Jr. Owner Address Installer Address Type of Building Size Lot............................Sq. feet DwellingM- No. of Bedrooms---------------1----------------------------Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ............................ No. of persons---------------------------- Showers ( ) — Cafeteria ( ) dOther 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. 1................minutes per inch Depth of Test Pit.-.---_-_-___-__-_ Depth to ground water........................ (r Test Pit No. 2................minutes per inch Depth of Test Pit-------------------- Depth to ground water........................ --------------------t......_---;.....------------......--- -----------------.•...--•------...---......................................................... DDescription of Soil ......--•-------------••-•-••••-••••----------••----.._...---------------------------•--•-------------................................. W V .......................................•-...------.........-----------------•-----•----......-------•-----------•---•-----------•----------------------------•...---•---••....----------•--•-----••----- W UNature of Repairs or Alterations—Answer/when applicable."Om i t B e s s pools_. I n s t a 11 _1_--1000__.gallon___tank__ 1_-Fdistr bu_t ob. box. 1.-.1000.._gallon leach pitr. Agreement: t� 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 Complian e has bee iss ed by he board f /at , Signed -- ------ I �� 6/2 te/9 4 .... ......................... ... .... ........................ ........ ............/Dare-----------.------ ---- Application Approved By ..........U _ _ ..._._................................ at Dare Application Disapproved for the following reasons: ........................ ....................... ............ ........ . ........... ........................................................(�..................................................................................._...........-......... ........................................ D Permit No. -------- -//- = :.`�..../..._................... Issued ... .. ---- ..........................-- Da Dare JHE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE M.Wrtifi atr of C omplinurr THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or RepairedX(XXX) J.P.Macomber Jr. by------ --------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- 4070A Route 6A Cummaquid,Mass. lnsr:11er at --------------------------------------------------------------------------------------------------------------------------- ---------------------------------------------------------.-_---------..__---- has been installed in accordance with the provisions of TITLE, of he State Environmental Code as described in the application for Disposal Works Construction Permit No. .....----9-.._._ ........... dated .............---------___------._------.. THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CON`S�T UEA AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY_ . DATE... l/-r .. Inspector ........ ...............------` -�--�---------------------- t ---------------------------------------------------------- -------------- THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH G - TOWN OF BARNSTABLE No...../.1. ..`: �i.� FEE.... •30.00 Dispnstt1 nrko Tnn�trurtinn �.ermit J.P.Macomber Jr. Permissionis hereby grantted--------- ------------------------------------- --------•----------------------------------------------------------------------•-•------•--- to Cons4tr(YCM -�ooutepb TX A Cummaquii dual Sewage Disposal System atNo-------------------------------------------------------------------- ----------------•--•-•------------------------------------------------------------------------------------•----------.---- Street as shown on the application for Disposal Works Construction Permit NJy__�.._t_ Dated......6..-��.-..�.��._.. t- - / Boar of Health DATE----------------- '-------- ...-l....................... FORM 3890E HOBBS 6 WARREN.INC..PUBLISHERS fJ ' TOWN OF BARNSTABLE • I L0,CATION -/D 70 SEWAGE # r✓ VILLAGE(', mt" A Q U c ASSESSOR'S MAP & LOT INSTALLER'S NAME & PHONE NO.4-P rn ftCDm be2 soh SEPTIC TANK CAPACITY '1000 LEACHING FACILITY:(type) ' 0 67— (size) [0O0 NO. OF BEDROOMS PRIVATE WELL OR PUBLIC WATER BUILDER OR OWNER DATE PERMIT ISSUED: DATE COMPLIANCE ISSUED: VARIANCE GRANTED: Yes No ON r6 � 17 to { E4" ,1 No...... APPROVED $ 3 0 0 0 "fiVifianTe Conservation DepartmentTH FHB a � l a8% OMMON DALTH OF FH HEALTH TS Signed U at f �3 � TOWN OF BARNSTABLE 0q 9 Applirttlintt -fur Uhvipmml Works Tomitrnr#inn rrrmtt Application is hereby made for a Permit to Construct ( ) or Repair OFX) an Individual Sewage Disposal System at: y� � 4070 Route 6A Cumma uid —/r �'{- ..............................................................__................................. j-[_---.._....T-._...:_Ja ..__.._.._._......__............................................. Francis Norton Location-Address I or Lot No. Owner Address J.P.Iylacomber Jr . Installer Address UType of Building Size Lot............................Sq. feet Dwelling-y— No. of Bedrooms-------------2-------------------------.---Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ............................ No. of persons---------------------------- Showers ( ) — Cafeteria ( ) a' 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 ( ) Percolation Test Results Performed by.......................................................................... Date........................................ Test Pit No. I................minutes per inch Depth of:Test Pit.................... Depth to ground water........................ (i Test Pit No. 2----------------minutes per inch Depth of Test Pit.-------_-_---__-- Depth to ground water........................ ---------------------------------------------------------------------------------••--•-••-•----•••-•......................................................... ODescription of Soil......................................................................................................................................................................... x U ••••-----•-----•••••----•------------------•---••••--•---•••---•--••---•--••------••-••-••---••-----•-----•---•...............•--••••---••............................................................ 0 Nature of Repairs or Alterations—Answer when applicable-omi-t--m43tal.... ---------------_-- 1-1000 qa1lon tank 1-distribution box 1-1000 gallon pit packed in stone . 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 be n i ued by the boar of h lth. ,1� Signed ... 1�...�% 6.12.2,.9 4 Dace A lication Approved B - ....- �..r.... . y PP PP y � - - "'' / Application Disapproved for the following reasons- -------------------------------------------------------------...----------------------........------------------------------........ ....... ............ '. ................................ ' ........................... ........... ..... ' ..................... Permit No. ...... .-`- .�`�.�'............... Issued --------------------- ---------------------------- - - ---Dare---- Dare 6 3 35 No................-....... $ 3.0.....0.0. THEXZZCOMMONWEALTH OF MASSACHUSETTS OF HEALTH TOWN OF BARNSTABLE P 3 3 � 0 q 9 Ap.pliration for Bi-npogttl Wark.6 (fonitrnrtion ramit Application is hereby made for a Permit to Construct ( ) or Repair (KX) an Individual Sewage Disposal System at: . n , 4070 Route 6A Cumma uid G" S/ ._ ..................................................... - --------••----- � .._...-------••••-. ••--•-------• ----•-•---•.....-------•••--------•-------•-----------•-••......----•---...------•• Francis Norton Location-Address 1 or Lot No. aJ.P.Macomber Jr. Owner Address Installer Address UType of Building Size Lot............................Sq. feet Dwelling X No. of Bedrooms-------------2. -.-_-------___--_____.__.-Expansion Attic ( ) Garbage Grinder ( ) a Other—Type of Building ____________________________ No. of persons.__.-.------__-__-___....__ Showers ( ) — Cafeteria ( ) Other fixtures W Design Flow............................................gallons per person per day. Total daily flow............................................ 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-------------......................... Test Pit No. I________________minutes per inch Depth of Test Pit.-.-.-.______------- Depth to ground water........................ Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ ----------- ----------- -------------------------------------------------------- ••----------- ----•---------------- -------------------------------------------- Descriptionof Soil..................=...•---•••-••-------•--------------------•----•--------•••------------•-•-------------•--•-•----••••••----------------•......-----•-•------------- U ....................................................................................................................................................................................................... W v UNature of�Repairs or Alterations—Answer when applicable.-Ore-1 ... et al----tank__�.-__rAs_cn-no-I__..____.._•-•______. 1-1000"'qallon tank 1-distribution box 1-100 gallon pit packed in stone. ................... --------------------------------------._.................................................................................................................. 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 Compliance has been ,issued jby the boay of h alth. Signed .. 1r- o /C 6/22/94 / Date �y Application Approved By .......-..V �.... �� ` t :..Q / / (J �J --..... -_..- Application Disapproved for the following reasons- ------------------------ ----------------------------------------------------------------------------------------------------------- ---------------------------------------------------------------------------------------------------------------------- ------------------- --------------------------------------------------------- ....................................... Date PermitNo. ....... --2------------- Issued ------------------------------------------------------------------- Date — _————___ ————_.—. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE V-TTErtifirate of ILOmplianie THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired JUXX by J.P.Macomber Jr. 4070 Route 6A Cummaquid3Mass . 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. ---- .`�.-_-a)) �OL,...-.... dated --------- --------- ----------_------._. THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. r ; t��t s i DATE........ . .!!-.... - - Inspector .. ..f% '. /1'/.^rri--y-t----------- --J- ''-- ------------- THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE FEE 3.0...00 .................. i3iipoiitt1 Worki5 Tomitrurtivit rrmit Permission is hereby granted_..J.P_.Macomber Jr . to Construct ( or RepairX(XX) an Individual Sewage Disposal System 407 oute 6A ummaquid,Mass. atNo.................................................................. ........................................ -------••-•---•-•---••••-----•--------•-------•--------------•---••----•--........ Street as shown on the application for Disposal Works Construction Permit No._ - �1.�_ Dated.._..__?.- ....................- •----------------------------- >:--- ---------------------------------.----- - `Board of Health DATE ' - �,� .y------- FORM 36508 HOBBS h WARREN.INC..PUBLISHERS TOWN OF BARNSTABLE LOCATION W11 1?Qdd- SEWAGE# o0Oto—D VILLAGE-* ASSESSOR'S:.MAP& LOT 40— INSTALLER'S NAME&PHONE NO. I�KI'V) l'_t"m4?4 tC. rs`, rn Z SEPTIC TANK CAPACITY LEACHING FACILITY: (type) ,emu (size) NO.OF BEDROOMS 3 BUILDER OR OWNER I it PQXP,fi�Q� PERMITDATE:_ COMPLIANCE DATE:R/0 Separation Distance Between the: Maximum Adjusted Groundwater Table and Bottom of Leaching Facility Feet Private Water Supply Welland 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 FAJr , r Clio- P 0—F..771 } a No. Fee Entered in computer: THE COMMONWEALTH OF MASSACHUSETTSA it Yes PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS 1 Zipprecattou for Di5po5al *p!5tem Construction Vermtt Application for a Permit to Construct( ) Repair( ) Upgrade( ) Abandon( ) ❑ Complete System L dividual Components Location Address or Lot No. 4 0.7 0 /V-4/N S T', Owner's Name,`Address,and Tel._No. // Sb�r—3 6 2-&hTr Cil/ r" r"ikout 0 1 7V10 10-/A/Q7 PA%2/JAE-e-( A- Assessor's Map/Parcel 3 6 /00/3 0 Se 46 S Cum M 4 Zi U W IW 4 026,E Installer's Name,Address,and Tel. o. Designer's Name,Address and Tel.No. 600 x 77M. AvYE I /4►v a l S R- 02-6 01 �'OF 77 h Se Z- Type of Building: Dwelling No.of Bedrooms 3 Lot Size 12 68 T sq.ft. Garbage Grinder ( ) Other Type of Building No.of Persons Showers( ) Cafeteria( Other Fixtures Design Flow(min.required) gpd Design flow provided gpd Plan Date (Z— 1 (• --0 Ja— Number of sheets ! It Revision Date Title 8 L A8 4 P et-n - S OX,006/E Y / s F-,°7C 5'Y,5 ©n Size of Septic Tank /b b 0 Type of S.A.S. / Description of Soil Nature of Repairs or Alterations(Answer when applicable) /Al S A/ J3 fi-PP X 40 4 r OF 4" 5cA 40 ?I PE Ta �50 57- Piz- 0 AV s/77E7S-n 4077 APE' Sys7l-en /s y A/ Pam / Date last inspected: Agreement: The undersigned agrees to ensure the construction and ai to nce of the afore describ 1site sewage disposal system in accordance with the provisions of Title 5 of the Environme al a not to ace a sys i operation until a Certificate of Compliance has been issued by this oard o ealth. �e M� r tt 3 -7 Signed / Date Application Approved by ' Date 06 Application Disapproved by: rDate for the following reasons IG(P ' Permit No. 2 d ID&— 4 j Date Issued a I-,k j t 4—... -r '` f aa++Mn T�+e �a�.. .,.r5'e" ^''+r!ri)�^ `�y, C C2 tly - Fee`(l + \. -' Entered m com uteri / a' d .. P V TH'E-COMMONWEALTH OF MASSA � S .. ` PU'BLICEALTH DIVISION - TOWN OF BARN TAB - Yes R S ALE, MLA&SACHU�SE'TTS .j Ytca`tion for Th5po!�al *p5tem con.5tructinutPerm¢ it r Application for a Permit to Construct( ;) Repair(-) wUpgrade( ) Aandon( ) ❑ C mplete Sy#stem •L%��individual.Componen`ts Location Address or Lot No.4 0-7 U /'N A N S T, Owner's Name,Address,and Tel. io. AVJ13 to Assessor's Map/Parcel` 7J 6 b 4 (" �r7/3;U�( 5, �V i it /�1�Ir Q v/U I/YI j;r026� Installer's Name,Address,,and Tel.No. / r.-- Designer's'Na g Address and Tel.No. Kra CG)E:�lef?cto+�5 -7 8 "0/17� T / A ry A4 s7/ Type of Building: Dwelling No.of Bedrooms 3 Lot Size `:12 68 't r' - f sq.ft. v arbage Grmder ( ) Other Type of Building 1 No.of Persons Showers( ) Cafeteria{- )} Other Fixtures Design Flow(min.required) gpd Design flow provided - gpd Plan "Date 1 t I — o Number of sheets 1 i . Revision Date Title 8 C !A 4 JOE49w+ /7 -/,7 Size of Septic,Tank / b b O --'••Typ ;S.A.S. /�/T Description'of Soil r Nature of Repairs or Alterations(Answer when applicable) S 1ZL Nr GcJ AQ O k A'U'd EL77 P �S tt/S 7g nn s G� PFF, ' 7-r/ Date last inspected: / / 2. i4—o S ' Agreement: The undersigned agrees to ensure the construction and maintenance o' f the-'- W esc`rib a,on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the<s`ystem,m operation until a Certificate of Compliance has been issued by this Board of ealth + + /7f��. ' Signed T iV Mn )10QYj Date 0�7 l71p i Application Approved by C I Date �p Application A Disapprovedb Ito / Y� at nA��Da�e for the following reasons (Jlp `�'' •• i 'Permit No. 1 V D& —u vI 1 Date Issued yL 10 THE COMMONWEALTH OF MASSACHUSETTS Z. BARNSTABLE, MASSACHUSETTS u Certificate of ComYiance THIS IS TO CERTiIF=Y,that the On-site Sewage Disposal System Constructed ( V� Repaired ( ) Upgraded' Abandoned( )by1�r c C L')dl•1 � at - ��(��� 111}/) �'�' r1�1 /'�� i + o, has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No. �n �L!1 dated Installer p�m n� �x >��� 1 �J�� Designer I?, NTTR O g e— )7„m 6'. SJTQ--VI,-q 10(;. #bedrooms 3 Approved design flgA � j0 � gpd The issuance of this permi shall not be cons/trued a.a guarantee that the system wi II U c io as desi ned. A&J Date I� & Inspector -------------------------------------------- No. - D e) Fee -Z::�O THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION—BARNSTABLE,-MASSACHUSETTS 1i5po!6a1 *pgtem Cori.5tructiou Permit Permission is hereby granted to Construct ( (/ Repair ( ) Upgrade ( ) Abandon ( ) System.located at 1-1;1''7 7 R-1"41 15 &A r P I Z L R.) and as described in the above Application for Disposal System Construction Permit.The applicant recognizes his/her duty to comply with Title S and the following local provisions or special conditions. Provided: Construction must be completed within three years of the date of this � permit. Date a6 Approved b ` m /� � � � � a� i � � F i TOWN OF BARNSTABLE LOCATION n�, Z I- ,0 RQd6L SEWAGE # W(D'D VILLAGE ASSESSOR'S MAP & LOT fO INSTALLER'S NAME&PHONE NO. PKm (',(9YI;�YQf�l�1'S , -- SEPTIC TANK CAPACITY . LEACHING FACILITY:'(type) LeCil'.!'1[n4 NO.OF BEDROOMS BUILDER OR OWNER.. PERMITDATE: COMPLIANCE DATE: 3'J,; /®to 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) ''A"' Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) Feet Furnished by S � � C`s .......... KF � � �� = i i i I i Z- q, "r1 rv� r9 —.CsQ J � 1 i No. (0 7� Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS 0[pprication for Migool 6pe;tem Cow6tructiott permit Application for a Permit to Construct(Repair( )Abandon( ) ❑Complete System O Individual Components Location Address or Lot No. w Owner's Name,Address and Tel.No. C.v 1✓1 M A Cd.vt'I� ��t �G�v t � ��,�r.�l,ll�. Assessor's Map/Parcel �p y2> S}r,�14 A}- 0'fU?�} 4-9 Installer's Name,Address,and Tel.No. �Designer's Name,Address ` and Tel.No. "mein n i t /Y�,Pt r �.4mrA J Type of Building: Dwelling No.of Bedrooms �' Lot Size�sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow gallons per day. Calculated daily flow gallons. Plan Date y Number of sheets C7 Revision Date Title i t h e r1 Size of Septic Tan Type of S.A.S. GIA C.)L,462.,jce' Description of Soil i -� v�� 1 1 i 1 yv► �i� Nature of Repairs or Alterations(Answer when applicable) Date last inspected: Agreement: The undersigned agrees to ensure the construction and mainten a afore described on-site sewage disposal system in accordance with the provisions of Title of Environm ode a n t to e t sys in operation until a C rti i- cate of Compliance has been issued b f A6 Sig ed /' Date Application Approved by Date Application Disapproved for the following reasons - Permit No. 0 Date Issued No.C;C30 -flC�j � Fee THE COMMONWEALTH OF MASSOCHUSETTS Entered in computer: " Yes PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLES MASSACHUSETTS \,01pprication for Di-gpaal *pgtem Qfons�truction Permit Application fora Permit to Construct 0( )Repair( )-Upgrade` )Abandon( ) ❑Complete System D Individual Components Location Address orLot No.p`;' 0J0E t.c� /G�j/ha' Owner's Name Address and Tel.No. C�v N1 M AQ%f 11 G R � a�v 1� t 1�c,�nr_uka. Assessor's Map/Parcel V70 "r6 j, SO-"st y,� 14 A_ 01 (D1:�o Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. �` Mari►1�., add �.�, I76 ,r 1 . Wian4,,MA 0 Type of Building: ; "Sad-Tp 7 Sa�2 Dwelling No.of Bedrooms 3 LotaSize" sq.ft. Garbage Grinder( ) Other Type of Building No 9f Persons Showers( ) Cafeteria( ) Other Fixtures / Design Flow -77,7"0 ' gallons per day Calculated daily flow I gallons. t� Plan Date 2 23 D(D -,Number of sheets 6/ Revision Date - Title 8t,lI&: , t'.c,�-inI h'c 5N51'.tml ba51L"b I'!rVj Size of Septic Tank I Sop Gal Type of S.A.S. GVt�.m�a.e�r1s Description of Soil p V.:tn ctt�C. +In 4Uv c �s 1 He, _ 14"1 V w1 V�Q Nature of Repairs orAlterations(Answer when applicable) Date last inspected: � � - Agreement: M The undersigned agrees to ensure the construction and in t a afore described on-site sewage disposal system in accordance with the provisions of Title 5 of Environment ode a n t tq p ace th sysA in operation until a C rti i- Cate of Compliance has 1M'een issued b r G �+ 06 Sig`ed t l �� Date ; Application Approved by - Date y ` Application Disapproved for�the following reasons , % Permit No. L�O Co ©(9 lok Date Issued --------------------------------------- THE COMMONWEALTH OF MASSACHUSETTS i BARNSTABLE, MASSACHUSETTS (Certificate of (Compliance THIS IS TO CER that the On-site Sewage Disposal System Constructed( )Repaired( )Upgraded( ) Abandoned )by at' Is \6"_ Q_ kA 11\ has been constructed 'n acc r ance with the provisi s of Title 5 and the for Disposal System Construction Permit No 'Q 6 dated �� Installer W yy-%' Designer _ The issuance of this pe t shall not be construed as a guarantee that the sy e w n desig Date '3/21!V��_ Inspector Y7 , P� --------(----------------------------!—�—�— No. "� Fee ll THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLES MASSACHUSETTS 'Wi5po5al *pgtem Construction Permit Permission is hereby granted to Construct( ) epair( ) de( )AAandon( ) O a� \ System located at S ,'V-\. V IV 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:Construct io' must re completed within three years of the date oathise i . Date: �a �V Approved Op THE Town of Barnstable Tp� o Regulatory Services BARNSTABLE Thomas F. Geiler, Director MASS.i639• Public Health Division �0 AIFDfA°�A Thomas McKean, Director 200 Main Street, Hyannis, MA 02601 Office: 508-862-4644 Fax: 508-790-6304 (4 Installer & Designer Certification Form Date: 4_�Lbla Sewage Permit# GW0 gAssessor's Map\Parcel 5*3(. Designer: Installer: 9K/tiJ Address: 7g M6YL�1-� fir, '3'"� e.Qatz Address: On Q(p )9KP4 CO&UkWnwas issued a permit to install a (date) (Installer) septic system at based on a de - �� �?�/�� �� ,( /� sign drawn b (address) } l C dated - c2k3 (designer) I certify that the septic system referenced above was installed substantially according t the design, which may include minor approved changes such as lateral r'.elbcaion of the-= distribution box and/or septic tank. I certify that the septic system referenced above was installed with major changeV" Le. greater than 10' lateral relocation of the SAS or any vertical relocation of aril component of the septic system) bu n accordance with State & Local Regulations. Plan revision or certified as-built by des er to follow. n MATTHEW 9�y c, W. N =1' EDDY CML y EJnstaller°s Signature) #43183 iOF��sTA ( sign ignature) (Affix Designer's Stamp Here) PLEASE RETURN TO BAR-NSTABLE PUBLIC HEALTH DIVISION. CERTIFICATE OF COMPLIANCE WILL NOT BE ISSUED UNTIL BOTH THIS FORM AND AS-BUILT CARD ARE RECEIVED BY THE BARNSTABLE PUBLIC HEALTH DIVISION. THANK YOU Q: Health/Septic/Designer Certification Form 3-26-04.doc BAXTER NYE ENGINEERING,& SURVEYING Registered Professional Engineers and Land Surveyors 78 North Street 3`d Floor,Hyannis,MA 02601 Tel:(508)771-7502 Fax:(508)771-7622 June 2,2006 Barnstable Public Health Division 200-Main Street, Hyannis,MA 02601 RE: DESIGNER CERTIFICATION FOR SEPTIC CONSTRUCTION TO ACCOMPANY DESIGNER CERTIFICATION FORM LOCATION: 15 Bone Hill Rd.;Cummaquid Barnstable,MA I,Matthew Eddy,P.E.,being a registered Professional Civil Engineer in the Commonwealth of Massachusetts,with the firm of BAXTER NYE ENGINEERING&SURVEYING,Registered Professional Engineers and Land Surveyors,78 North Street-3`d Floor,Hyannis,MA 02601,hereby certify that I have reviewed the completed septic system construction,at the above location and it has been substantially performed,in general accordance with the plan titled"15 Bone Hill Road,Cummagi id,MA—Building Permit&Septic System Design Plan",dated 02/23/06(Approved Plan),as approved by the Barnstable Public Health Division. Said plan being designed in accordance with 310 CMR 15.00 The. State Environmental Code,Title V,and the Town of Barnstable Health Department Regulations. This certification is for the purpose of checking for general compliance with the design plans and with the information given in the Approved Plan. This inspection certification only verifies general component installation and approximate location.-It is not to be considered a field control as-built verification of vertical and horizontal information shown on the Approved Plan nor is it to imply daily inspections of the related work. 4 x yMATTHEW Name ra- W. Registration No. f EDDY CIVIL y Seal o #43183 Signature Cc: Mr.David Parrella File 0:\2005\2005-234\ADMIIV\REPORTS0005-234 15 Bone Hill Septic As built Affidavit BN.doc Page 1 Land Surveys • Subdivisions • Septic Design • Wetland Filings • Site Design � FORM30 C&w HOBBS&WARREN TM THE COMMONWEALTH OF MASSACHUSETTS BOARD QF H �Tl CITY/TOWN o Ali bEP ARTMENT ' 'p ADDRESS 9 TE PHONE _.Address l®�� Occupant Floor Apartment No. No.of Occupants No.of Habitable Rooms—No.Sleeping Rooms _ No.dwelling or rooming units .Stories Name and address of owner y / 0 mar Reg. Vio. YARD Out Bld s.: Fences: Garbage and Rubbish Containers: Drainage Infestation Rats or other: STRUCTURE EXT. Steps,Stairs, Porches: Dual Egress:and Obst'n.: ❑ B ❑ F ❑ M Doors,Windows: Roof Gutters, Drains: Walls: Foundation: Chimney: 04 BASEMENT Gen.Sanitation: Dampness: Stairs: Lighting: STRUCTURE INT. Hall,Stairway: Obst'n.: Hall, Floor,Wall,Ceiling: Hall Lighting: Hall Windows: HEATING Chimneys: Central ❑ Y ❑ N E ui . Repair TYPE: Stacks, Flues,Vents: PLUMBING: Supply Line: ❑ MS ❑ ST ❑ P Waste Line: H.W.Tanks Safety and Vent(s) ELECTRICAL Panels, Meters,Cir.: ❑ 110 ❑ 220 Fusing,Grnd.: AMP: Gen.Cond. Distrib. Box: Gen. Basement Wiring: DWELLING UNIT Ventil. L to . Outlets Walls Ceils. Wind. Doors Floors Locks Kitchen Bathroom Pantry Den Living Room Bedroom 1 Bedroom 2 evi Bedroom 3 a Bedroom 4 Hot Water Facil. Sup.Ten.,Gas, Oil, Elect.: ks, Flues Vents,Safeties.- Kitchen Facilities Sin ove Bathing,Toilet Facil. Vent., Plumb.,Sanit'n.: Wash Basin,Shower or Tub: Infestation Rats, Mice, Roaches or Other: Egress Dual and Obst'n: General Building Posted Locks on Doors: ONE OR MORE OF THE VIOLATIONS 9HECKED ABOVE IS A CONDITION WHICH MAY MATERIALLY IMPAIR THE HEALTH OR SAFETY AND WELL-BEING OF THE OCCUPANT AS DETERMINED BY 105CMR 410.750 OF THE CODE OR THE AUTHORIZED INSPECTOR.(See Over) "THIS INSPECTION REPORT IS SIGNED AND CERTIFIED UNDER THE PAINS AND PENALTIES OF PERJU INSPECTOR TITLE DATE � ( �� y� TIME A.M. THE NEXT SCHEDULED REINSPECTION P.M. 3+ 410.750: Conditions Deemed to Endanger or Impair Health or Safety The following conditions, when found to exist in residential premises, shall be deemed conditions which may endanger or impair the health,or safety and well-being of a person or persons occupying the premises. This listing is composed of those items which are deemed to always have the potential to endanger or materially impair the health or safety, and well-being of the occupants or the public. Because Chapter 11, 105 CMR 410.100 through 410.620 state minimum requirements of fitness for human habitation, any other violation has the potential to fall within this category in any given specific situation but may not do so in every case and therefore is not included in this listing. Failure to include shall in no way be construed as a determination that other violations or conditions may not be found to fall within this category. Nor shall failure to include affect the duty of the local health official to order repair or correction of such violation(s) pursuant to 105 CMR 410.830 through 410.833 nor shall failure to include affect the legal obligation of the person to whom the order is issued to comply with such order. (A) Failure to provide a supply*of water sufficient in'quantity, pressure and temperature, both hot and cold,to meet the ordinary needs of the occupant in accordance with 105 CMR 410.180 and 410.190 for a period of 24 hours or longer. (B) Failure to provide heat as required by 105 CMR 410.201 or improper venting or use of a space heater or water heater as prohibited by 105 CMR 410.200(B)and 410.202. (C) Shutoff and/or failure to restore electricity or gas. (D) Failure to provide the electrical facilities required by 105 CMR 410.250(B), 410.251(A), 410.253 and the lighting in com- mon area required by 105 CMR 410.254. (E) Failure to provide a safe supply of water. (F) Failure to provide a toilet and maintain a sewage disposal system in operable condition as required by 105 CMR 410.150(A)(1)and 410.300. (G) Failure to provide adequate exits, or the obstruction of any exit, passageway or common area caused by any object, including garbage or trash, which prevents egress in case of an emergency 105 CMR 410.450, 410.451 and 410.452. (H) Failure to comply with the security requirements of 105 CMR 410.480(D). (1) Failure to comply with any provisions of 105 CMR 410.600, 410.601 or 410.602 which results in any accumulation of gar- bage, rubbish,filth or other causes of sickness which may provide a food source or harborage for rodents, insects or other pests or otherwise contribute to accidents or to the creation or spread of disease. (J) The presence of leadbased paint on a dwelling or dwelling unit in violation of the Massachusetts Department of Public Health Regulations for Lead Poisoning Prevention and Control, 105 CMR 460.000. (See M.G.L. c. 111 @@ 190 through 199.) (K) Roof, foundation, or other structural defects that may expose the occupant or anyone else to fire, burns, shock, accident or other dangers or impairment to health or safety. (L) Failure to install electrical, plumbing, heating and gas-burning facilities in accordance with accepted plumbing, heating, gas-fitting and electrical wiring standards or failure to maintain such facilties as are required by 105 CMR 410.351 and 410.352, so as to expose the occupant or anyone else to fire, burns, shock, accident or other danger or impairment to health or safety. (M) Any defect in asbestos material used as insulation or covering on a pipe, boiler or furnace which may result in the release of asbestos dust or which may result in the release of powdered, crumbled or pulverized asbestos material in violation of 105 CMR 410.353. (N) Failure to provide a smoke detector required by 105 CMR 410.482. (0) Any of the following conditions which remain uncorrected for a period of five or more days following the notice to or knowledge of the owner of said condition or conditions: (1) Lack of a kitchen sink of sufficient size and capacity for washing dishes and kitchen utensils or lack of a stove and oven or any defect that renders either inoperable. (2) Failure to provide a washbasin and shower or bathtub as required in 105 CMR 410.150(A)(2) and 410.150(A)(3)or any defect which renders them inoperable. ' (3) Any defect in the electrical, plumbing or heating system which makes such system or any part thereof in violation of generally accepted plumbing, heating, gasfitting, or electrical wiring standards that do not create an immediate hazard. (4) Failure to maintain a safe handrail or protective railing for every stairway, porch balcony, roof or similar place as required by 105 CMR 410.503(A)and 410.503(B). (5) Failure to eliminate rodents, cockroaches, insect infestations and other pests as required by 105 CMR 410.550. (P) Any other violation of 105 CMR 410.000 not enumerated in 105 CMR 410.750(A)through (0)shall be deemed to be a con- dition which may endanger or materially impair the health or safety and well-being of an occupant upon the failure of the owner to remedy said condition within the time so ordered by the Board of Health. I � �� " Town of Barnstable Regulatory Services Thomas F. Geiler, Director �nxxsrABLE, MASS. � Public Health Division rFD .� Thomas McKean, Director 200 Main Street,Hyannis, MA 02601 Office: 508-862-4644 Fax: 508-790-6304 Installer & De signer Certification Form Date: o o Sewage Permit#o7yUV-66/j Assessor's Map\Parcel —00 Designer; ��� f��yGt�1�, e ,(� Installer: Address: 1� 96� . — t Address: 313�qoK VM pu(.+l—P—D. T DCO On oZ�b(p Ow a&ooaa was issued a permit to install a (date) (installer):-, septic'system at /Y. I-6 `M i,�/AJ 67 1 = based oii a design drawn by" r 7y fT. (address) - 'cZ dated (design r) 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 Q.f the • distribution box and/or septic tank. �� c— I certify that the septic system referenced above was installed with major�changesj(i.e. ; greater than 10' lateral relocation of the SAS or any vertical relocation of any component of th septic system) but in accordance with State & Local Regulations. P-ah revision or :. r �..Pn , ce 'fi d as-built by desi er t follow. a m - x MATTHEW �9�y 1 r- v~ W. IMt EDDY M4 �;=' CIVIL (Installer's Signature) #43183 'ONAL 4NC esi er' Si ature) ,. , -�,_. (Affix Designer's Stamp Here) PLEASE RETURN TO BARNSTABLE PUBLIC HEALTH DIVISION.' CERTIFICATE OF COMPLIANCE WILL NOT BE ISSUED UNTIL BOTH THIS FORM AND AS-BUILT CARD ARE RECEIVED BY THE BARNSTABLE PUBLIC HEALTH DIVISION. THANK YOU. Q: Health/Septic/Designer Certification Form 3-26-04.doc 1 t BAXTER NYE ENGINEERING & SURVEYING Registered Professional Engineers and Land Surveyors 78 North Street-3`d Floor,Hyannis,MA 02601 Tel:(508)771-7502 Fax:(508)771-7622 June 2,2006 Barnstable Public Health Division 200 Main Street, Hyannis,MA 02601 RE: DESIGNER CERTIFICATION FOR SEPTIC CONSTRUCTION TO ACCOMPANY DESIGNER CERTIFICATION FORM LOCATION: 4070-Main St.,Cummaquid Barnstable,MA I,Matthew Eddy,P.E.,being a registered Professional Civil Engineer in the Commonwealth of Massachusetts,with the firm of BAXTER NYE ENGINEERING&SURVEYING;Registered Professional Engineers and Land Surveyors,78. North Street-3'd Floor,Hyannis,MA 02601,hereby certify that I have reviewed the completed septic system construction,at the above location and it has been substantially performed,in general accordance with the plan titled 4070 Main St.& 15 Bone Hill Road,Cummaquid,Barnstable,MA—Building Permit Site Plan, Septic System Modification 4070 Main St&Demolition of 15 Bone Hill Road",dated 12/16/06,-revised through 01/30/06(Approved Plan),as approved by the Barnstable Public Health Division. Said plan being designed in accordance with 310 CMR 15.00 The State Environmental Code,Title V,and the Town of Barnstable Health Department Regulations. This certification is for the purpose of checking for general compliance with the design plans and with the information, given in the Approved Plan. This inspection certification only verifies general component installation and approximate location. It is not to be considered a field control as-built verification of vertical and horizontal information shown on the Approved Plan nor is it to imply daily inspections of the related work. t;F4i�s�, Namer7' �J a MATTH�IN y�yG Registration No. W 'N (` EDDY �r Seal CIVIL#43183 Signatur AY e �. iSTreeJ-� Cc: Mr:David Parrella File 0:1200512005-2341ADMDMPORTS\2005-234 4070 Main St Septic As built Affidavit BN.doc Page 1 Land Surveys • Subdivisions 9 Septic Design 9 Wetland Filings • Site Design rk �o 1 kn Nb if _ W _ x M � L TOWN OF BARNSTABLE BOARD OF HEALTH ARTICLE II: MINIMUM STANDARDS FOR HUMAN HABITATION Date Time: In Out Owner 0 i Tenant :S(AYWv 1(,KL LN / L, Address u © (`� 6 A Address 1100 g F, M NA-9-I L6 1AAJ10r' D NS i MA Compliance Remarks or Regulation# Yesj NO Recommendations 2. Kitchen Facilities 3. Bathroom FacilitiesUt L •. — 4. Water Supply 5. Hot Water Facilities p 40 p 6. Heating Facilities 7. Lighting and Electrical Facilities 8. Ventilation 9. Installation and Maintenance of Facilities 10.Curtailment of Service 11. Space and Use 12. Exits 13. Installation and Maintenance of Structural / Elements V 14. Insects and Rodents 15. Garbage and Rubbish Storage and Disposal 16. Sewage Disposal 17. Temporary Housing IVA 18. Driveway Width 1. t� ^/ 2n O(D 19. Number of Tenants Observed PART II 37. Placarding of Condemned Dwelling; Removal of Occupants; Demolition Number of Bedrooms 3 Number of Vehicles Allowed (max) q Number of Persons Allowed (max) Person(s) Interviewed /1 AN - Inspector If Public Building such as Store or Hotel/Motel specify here �� FORM30 &W HOBBSS WARREN TM THE COMMONWEALTH OF MASSACHUSETTS BOAR OF HE T CITY/TOWN C W DEPARTMENT 'c, e 1�✓ ADDRESS °'+M SVByW TELEPHONE Address__vo-70� I q____Occupant _ Floor Apartment No. No. of Occupants No.of Habitable.Rooms 9 No.Sleeping Rooms No. dwelling or rooming units_ o.St ri s Name and address of owner !4(76 Remarks Reg. Vio. YARD Out Bld s.: Fences: Garbage and Rubbish Containers.- Drainage Infestation Rats or other: STRUCTURE EXT. Steps,Stairs, Porches: Dual Egress:and Obst'n.: ❑ B ❑ F ❑ M Doors,Windows: Roof Gutters, Drains: Walls: Foundation: Chimney: BASEMENT Gen.Sanitation: Dampness: Stairs: Li htin : STRUCTURE INT. Hall,Stairway: Obst'n.: Hall, Floor,Wall,Ceiling: Hall Lighting: Hall Windows: HEATING Chimneys: Central ❑ Y ❑ N Equip. Repair TYPE: Stacks, Flues,Vents: PLUMBING: Supply Line: ❑ MS ❑ ST ❑ P Waste Line: H.W.Tanks Safety and Vent(s) ELECTRICAL Pahels, Meters,Cir.: ❑ 110 ❑ 220 Fusing,Grnd.: AMP: Gen.Cond. Distrib. Box: Gen. Basement Wiring: DWELLING UNIT Ventil. L to . Outlets Walls Ceils. Wind. Doors Floors Locks Kitchen Bathroom Pantry Den Living Room Bedroom 1 Bedroom 2 f3 Bedroom 3 Bedroom 4 Hot Water Facil. Sup.Ten.,Gas,Oil, Elect.: cks, Flues,Vents,Safeties: Kitchen Facilities in ove Bathing,Toilet Facil. Vent., Plumb.,Sanit'n.: Wash Basin,Shower or Tub: Infestation Rats, Mice, Roaches or Other: Egress Dual and Obst'n: General Building Posted Locks on Doors: ONE OR MORE OF THE VIOLATIONS LkCKED ABOVE IS A CONDITION WHICH MAY MATERIALLY IMPAIR THE HEALTH OR SAFETY AND WELL-BEING OF THE OCCUPANT AS DETERMINED BY 105CMR 410.750 OF THE CODE OR THE AUTHORIZED INSPECTOR. (See Over) "THIS INSPECTION REPORT IS SIGNED AND CERTIFIED UNDER THE PAINS AND PENALTIEJ " INSPECTOR TITLE DATE �`l TIME A.M. THE NEXT SCHEDULED REINSPECTION P.M. 410.750: Conditions Deemed to Endanger or Impair Health or Safety The following conditions,when found to exist in residential premises, shall be deemed conditions which may endanger or impair the health, or safety and well-being of a person or persons occupying the premises.This listing is composed of those items which are deemed to always have the potential to endanger or materially impair the health or safety, and well-being of the occupants or the public. Because Chapter II, 105 CMR 410.100 through 410.620 state minimum requirements of fitness for human habitation, any other violation has the potential to fall within this category in any given specific situation but may not do so in every case and therefore is not included in this listing. Failure to include shall in no way be construed as a determination that other violations or conditions may not be found to fall within this category. Nor shall failure to include affect the duty of the local health official to order repair or correction of such violation(s) pursuant to 105 CMR 410.830 through 410.833 nor shall failure to include affect the legal obligation of the person to whom the order is issued to comply with such order. (A) Failure to provide a supply of water sufficient in quantity, pressure and temperature, both hot and cold,to meet the ordinary needs of the occupant in accordance with 105 CMR 410.180 and 410.190 for a period of 24 hours or longer. (B) Failure to provide heat as required by 105 CMR 410.201 or improper venting or use of a space heater or water heater as prohibited by 105 CMR 410.200(B) and 410.202. (C) Shutoff and/or failure to restore electricity or gas. (D) Failure to provide the electrical facilities required by 105 CMR 410.250(B), 410.251(A), 410.253 and the lighting in com- mon area required by 105 CMR 410.254. (E) Failure to provide a safe supply of water. (F) Failure to provide a toilet and maintain a sewage disposal system in operable condition as required by 105 CMR 410.150(A)(1)and 410.300. (G) Failure to provide adequate exits, or the obstruction of any exit, passageway or common area caused by any object, including garbage or trash, which prevents egress in case of an emergency 105 CMR 410.450, 410.451 and 410.452. (H) Failure to comply with the security requirements of 105 CMR 410.480(D). (1) Failure to comply with any provisions of 105 CMR 410.600, 410.601 or 410.602 which results in any accumulation of gar- bage, rubbish, filth or other causes of sickness which may provide a food source or harborage for rodents, insects or other pests or otherwise contribute to accidents or to the creation or spread of disease. (J) The presence of leadbased paint on a dwelling or dwelling unit in violation of the Massachusetts Department of Public Health Regulations for Lead Poisoning Prevention and Control, 105 CMR 460.000. (See M.G.L. c. 111 @@ 190 through 199.) (K) Roof,foundation, or other structural defects that may expose the occupant or anyone else to fire, burns, shock, accident or health other dangers or impairment to h ea or safety. � (L) Failure to install electrical, plumbing, heating and gas-burning facilities in accordance with accepted plumbing, heating, gas-fitting and electrical wiring standards or failure to maintain such facilties as are required by 105 CMR 410.351 and 410.352, so as to expose the occupant or anyone else to fire, burns, shock, accident or other danger or impairment to health or safety. (M) Any defect in asbestos material used as insulation or covering on a pipe, boiler or furnace which may result in the release of asbestos dust or which may result in the release of powdered, crumbled or pulverized asbestos material in violation of 105 CMR 410.353. (N) Failure to provide a smoke detector required by 105 CMR 410.482. (0) Any of the following conditions which remain uncorrected for a period of five or more days following the notice to or knowledge of the owner of said condition or conditions: (1) Lack of a kitchen sink of sufficient size and capacity for washing dishes and kitchen utensils or lack of a stove and oven or any defect that renders either inoperable. (2) Failure to provide a washbasin and shower or bathtub as required in 105 CMR 410.150(A)(2)and 410.150(A)(3)or any defect which renders them inoperable. (3) Any defect in the electrical, plumbing or heating system which makes such system or any part thereof in violation of generally accepted plumbing, heating, gasfitting, or electrical wiring standards that do not create an immediate hazard. (4) Failure to maintain a safe handrail or protective railing for every stairway, porch balcony, roof or similar place as required by 105 CMR 410.503(A)and 410.503(B). (5) Failure to eliminate rodents, cockroaches, insect infestations and other pests as required by 105 CMR 410.550. (P) Any other violation of 105 CMR 410.000 not enumerated in 105 CMR 410.750(A)through (0)shall be deemed to be a con- dition which may endanger or materially impair the health or safety and well-being of an occupant upon the failure of the owner to remedy said condition within the time so ordered by the Board of Health. ° k � • �d�; ems_ � � �� � h _ K . t 40 A o J V Q IQ q J 1 `y r NAI J y �V, y I� ,• } 3 5 f S Z t7 3o L 40 % r v N � Cl t' 1 N -(�— o • a � ol t PRO POS�� —m 1?6coej lk 1)eo6M � • jY l 6 v 1 • Kirt LOW4 _ Cc.os�T- DiNW4 - I - 4 PALL Zs�` f ' Ll 1 rIfEE SMi)o Tv,C3 � ,l-61 Z Xz 0Vh 0 2-C> _ IL cLowr x I TQI,,J5om wl'JbDv✓ Gj f' oPL ® ® NaF ! Oe 3a - c Ir 3 sT3Eos �o G2f� • yCIST!�J4 PRO Po51W 9° x -.o -40 -70 - GvMr��}4wiU f 4 �k151r/ � C a�c/DiT7�ivS IL G SUNG SLOPE Ak 10 3- 'Q V::� s�oW 1 9 NgT4 CLO5 T Zr- AaKs ,ISTiJIIG KN��WArLL. Np �4� (/NIT - . A670 *1,61 IST _ I fl 14 D. CEL iN4 SLOPE 40 v 7--7. r 71 F-T, �. Mr- 71 rA►VE _ r2 C � L S A am. 4070 E ST/n1C COw D�TIcS • r �Ar�L 1 I DRoPGARAuE '�= 5119 1�c ywoov w� 3oy2 +ee-H. AQoor=- f 1 ..... " t7 au2E-�D CsNt, S 11iNGt1c r'� 3 — — — .�vsT CAP I i-1 I TlPltk� cS (e?rF VA2iE5) v C epwS PAC.0 SCo ,C, �/ALL 3000s, - �R-3Q AL u.If) W l I I I Go Np b � uS vim f"m Jn3 sr'eAp /6 o� 2 )(8 W o c iX S FA .9 " N]f .r v£ L I MM �vT t a``i3LvE8c C� 1.)91A�tXrE jeld Pt��ER'+� E,r,STrN4 - yP ?LocA-n*vS f kp I flT{0AM x lU oPN4 I N �-T-Z> 73 Ct.ors�D t•.,/ $'' Ca N c.fie.u c,lc I 4 ,'r44 &bVWW—e S v B - FL.00�2 ZX4 1 G" O C tn��� 32 ywooa` /4` 'N"' If 4 CZ � I I I I pT z x'j I I D2oP 0 ► -e �A 9 I 1 • � r I � I , 717Ci 3 P• s.o MAO //// \�\ vn�o►sw2a� 1 C VM M'�(Qv iJ:� ,ADD r-Rod rprc� L S 10 Aj �� �� s�Ov . AA/b �L Al prr � s CA,L FD v A!l)�7701V 0 `o — ace - -------------- - 12 5 — ----- ------ FIT - -- - — -_: i r r _ - S I I a r III EAST ELEVATION NORTH ELEVATION . SCALE 1/4" = 1'-0" SCALE 1/4" = 1'-0" SEE SPECIFICATION SHEET! _. 10 AN[) ALL EXTERIOR TRIM SIZES AN COLORS s r' i '1 Z 12 -12 UL 12 ILL Leq. d. • I I I - -� WEST ELEVATION 50UTH ELEVATION NEW SALT BOX RESIDENCE SCALE 1/4" = 1'-0" SCALE I/4" = I'-0° 15 BONE HILL, CUMMAQUID,MA, SCALE AS NOTED APPROVED DRAW Y D.O. DATE 'S?.zlx� ISED N DESIGN A550CIATE5 - -- 2B BARNSTABIf RD..FtYANN15.41A.0260 i 50&775-4300 .1-rdevm:^vn,zon."et j PROPOSED ELEVATIONS DRAWING NUMBER A— I ' aL•-0' _ r I Fat 2' .5'A' 2'-- f z - ATIO b ASTER SUITE d1 Li o - - BAT I_E � lwl',c-' Ll P KITCHEN 0ll- sauJ 4x6 ,_._• b sr.�u<srx..s•rt MDx-ann w\eu.nazrve /II • ' ]9!2'� : 9'5 L4' - f�yv S,zC.J sa!J 4xc rn Le srze 9pLJ 4x6J 0'0 5C194%6 SCMIC 4%6 - ._.__- _ - _ Wa. T 9'6.M' v, -- Osr C•:i C 6 " Ira a;m 1 _ g b I GAP.AGE ____.POST __ ___ ___ BED _ rcn� wa P wo —_— riusP.xvi.en,<'ui, _ _ - wsn_xx em 6I 'o ee s�zen R.M I _ I a:l IBED PMs 6' G DIN//FAM.R.M. 9 LIVING •I (— _mot Q - e.p' I Ip-0' 6 Q 25'-5- - i c YER FO m - !b - BATH = I H I SECOND FLOOR PLAN SCALE 1/4"= 1'-0' (A FIR5T FLOOR PLAN 5CALE 1/4'= I'-(Y ' NEW SALT BOX RE51DENCE 15 BONE HILL, CUMMAQUID,MA. 5CALE A5 NOTED JAPPROVED DRA VIS WN Bl' D.O. DATE rzs v,2006 REED _ 1101 DEsiGN A151oCIATC5 13ARN5TADLE HARBOR VENTURE5 - - 28 BARN57ABLE RD.,HYANNl5,MA.026O1 508-775-4300 —draw". er .n v et DRAWING NUMBER FLOOR PLANS A-2 t J t i I i r r 3 ^ ___ _ _ _ _ -- -- ' i_ _______.. __3_ __ __ _ __ __ __ ___r r _____________ _ __ __ S � ' r -_ n__-_______________________ n m t ------------- --- - ---- /� R � z•D.;Aar cus. r r r. r F ' GARAGE ' - - _• 4—Di.Gvi GC •Y ____a__ _ r r a•ro.c sloe '— --'----�-- --"'-, - - - -- - _---_--__ __ .� __ -{-' ----- - - � i I--------I µ•LJNC.6lCLC �- _--- i r , r r . ' • ' . r x Ls r , r r N r r ' r r r —I --------------------- ------------------ --------- r r —r� �! ----- --J O�ISW YD'J.a'CIHt'�[VF COX D II f.00 Yt G.. FOUNDATION FLAN 5CAI-E 114"= r-O• -- NEW SALT BOX RESIDENCE 1 5 BONE HILL CUMMAQUID MA. SCALE A5 NOTED APPROVED 1 DP.A.NrtJ BY D.O. DATE ;ee.>,—6 REVISED Oi50N DE51GN A550CIArE5 BARN5TABLE HARBOR VENTURES - ' 28 BARN5TABLE RD..f!M'ANNIS,MA.02601 5D8-775-4300 dsonEeswn O.'ereon.nee FOUNDATION PLAN DRAWING NUMBER S- ! n G. ------------- Pl i b _ ___ ___ __ ______ __ ______ __ z-zx r c P,.f. lvL ern.F:USn , I IG T _ _ _ _ _ I _ ___ _ _ _ ___ ___ __ __ _ _ r .. : : 7 i I I p p I __ _ _ __ ___ ___ ___ II I' , vL s eeL n I I ! �p, I � i I• I to -nc. _ ro. � i ! III II i I I i r ,I ra I ore o c. All � I rl I � __� __ ..,� :-_ _ _�___ __ � __ __ •1e nn w_ __ __ __ _fix' eeL�_ __ __ __ •r I I i1 I I I I i I li � : : In u I i --- II ! I`� r • IO�r '0 2vl i I I I I I I I ( I s3'i GC. ICE i5• C & ' -44 r ' �I I -- - --- I ' a --------------------- SECOND FLOOR FRAMING PLAN 1 5CALE 1;4"= 1'0 FIR5T FLOOR FRAMING PLAN SCALE 1/4'- 1'.0' NEW SALT BOX RESIDENCE 15 BONE HILL CUMMAQUID MA. _ 5CA.E PS NOTED APPROVED DRAWN BY D.O. DATE Re.7.zm; REVI5ED OSON DESIGN A550CIATE5 BARN.STABLE HARBOR VENTURES 2B BARNSTABLe RD.,nrANwS,mA.o26o 1 5 05-7 7 513 00 olsnndes�en net DRAWING NUMBERVen: FLOOR FRAMING PLANS 5_2 C CC% rJl I I J I U. U nI I �D N 1 � I —__— L r. I —_ lil 2xnC I i IX RM 2 .Ir E 2 I @ I G'i),C i - I _ zx Iz • II 2 x ll0irs, 6° 2 PJ E D. I II I I 2 x 1 Os Q G" .C..I I a - I I ROOF FRAMING PLAN SCALE ua'= V-0" NEW SALT BOX RE51DENCE 15 BONE HILL, CUMMAQUID,MA. SCALE A5 NOTED APPROVED DRAWN BV D.O. DATE nee. —1, P.EVISED - - 01.50N pE51GN A550CIATE5 BARNSATBLE HARBOR VENTURES ,= - ze 6ACNsiA9LE RO..NrnNNlsn,MA.o26o 1 • — 508-775-4300 obondev net ROOF FRAMING PLAN DRAN^NGNUMBERVe�� 5-3 I I I e'-o° _ RIDGE VENT W/ BUG FILTER \ 2X 12 RIDGE BD. �!'' 12 10 2 X 10 RAFTER5 @ I G"O.C. -- --- 2 X I O RAFTERS @ 16"O.C. W/ 112" PLYWD. 5HT'G. ��, j�/ i ;' \ I W/ 1/2"PLYWD. 5HT'G. � I ASPHALT SHINGLES AS I 12 \ j' �1i�j I �` i ASPHALT SHINGLES AS SELECTED---} I 6 ,i' // '� I SELECTED 12 / 2 X a CIe.J015T5 --/ / @ 1G'O.0 N9R,30 \ TYP. PROVIDE" ICE 13+- — ! i �• �. WATEf:" FLASHING AT ALL VALLEYS -TYPICAL- / i 7YPICAL CIEL-—-- /2"GIP.BD.ON x 3 ALUM. DRIP.- G °"o.c. I X5 FASCIA BD. W/ 1 2 ID ,E ALUM. GUTTER- I X8 SOffIF BD. W/CONT. VENT - I X6 FREEZE BD. I 7! I I' I .�3� 2Y. 10e@ 2`OC �M 314'MIN. � 31/2" ! I z{s a 3o1L o s I I I �• suB PLR GI UED C SCREW D-- y — —TYP. 2 X 4 STUD UL. �i1'i I �' 1 r-BRDG Mir SPAN \ j WALL 111�R�I i SUJtil � � BOXED)LVL _-- `lCI�t.- \'—BEMA5 TO BE 71ZED— —� 14'-8 1/2' 44 1'2"GW dD.ON i X 3 3 112" 21-Gl O.0 t TYPICA.1. 1/2"GK'.BD.ON;I X 3 t{ y z�-o o.c- — 23-5°-- -- �—J ur TYP. �XTEPIOR 2 X 4 STUD WALLS 3 1/2• z x I Ds @ z a�c.wi 3/4 MIN. 2 X 4s @ 16"O.C. - 112"GDX OR EQ. SHT'G. Ir F I• F SUB LR. .- --�#�. G UEDd,SCP_WEC ;:- TYVEC:OR EQ. - 2-2X4 PLATE- 2 X 4 SHOE n' TIP.BK,.G.M!D "AN r R-I MIN. INSUL. - 112"GYP. BD.@ INTERIOR UUI� �f�^�;I:: ;U6'(1 li ;� O( �! R-19 MIN. INSUL. � UUCP rFICAL-- TYPICAL- TYPICAL--� ,1 I. : FIN. GRADE BRIDGI . NG LVL N/D.G!RTS BPIDGING i - 10105PAN I' TO BE 51ZED II --PoyeSP,tIP Ij I t,. —TYPICAL ?P 2AD.5TI_.CCLs.— i T1P!CAL- .I�� 8"THK. COMCRETE FOUNDATION 8" MIN. „ II —3 112 Tnr,.CONC. 6'I .SLAB ABOVE GRADE ON I W. X 8 D X CONT. I CONCRETE FOOTING 1.1 I j TYPICAL- L �J � 8'I THK. BY I G"W X CONT. CONC.F. —J KEYED CONCRETE FT'G. j n TYPICAL FRAMING SECTION, NEW SALT BOX RESIDENCE r1 SCALE 3/6" = 1'-0" 15 BONE HILL, CUMMAQUID,MA. \ - 5CALE A.5 NOTED APPROVED DRAWN BY D.O. DATE .`EB.7.2006 1 REVI5ED OL50N DE51GN A550CIATE5 BARN5A'fBLE HARBOR VENTURES " 28 BARN5TABLE RD..HYANN15,W.02GOI 508.775-1300 aso"deer n .net TYPICAL FRAMING SECTION DRAWI�NUM3ER� SOL LOSS P-I% � /��/�� /08/6y�� �.- ---- DATE � W V SOIL EVALUATOR: 13ARNSTABLE - , _____ , , ,,r' ZONING TABLE Q BOARD OF HEALTH AGENT: MAP-3 s PARctL oaz 1 41 -- .5 N 89'13'1�O" E_ 118,18' �`\ , .; 114.3s' 3.79' --, �- ' I ZONING DISTRICT: RF-2 NxF�C-E-kELLY hnADRu z OVERLAY DISTRICTS: AP (AQUIFER PROTECTION OVERLAY DISTRICT) STEPHEN A. WILSON, P.E. DON DESMARAIS I I,` DEED ,GOOK 1,9 P,,xGE "z 9 ,-- / �!^' , w \ A» i� c� 11 LOT 4 -/PLAN BOO 76 PAGE 3 �r \ \ cL , � � � . TEST PIT TP-1 TEST PIT TP-2 I P FN DI ca _ o I J o, v _ w r / ALLOWED USE: SINGLE FAMILY HOUSING PROPOSED USE: - SINGLE FAMILY HOUSING G.S.E. 51.2 G.S.E. 51.1 �-� �\ ' _ m = TWO STORY DWELLING USE: SINGLE FAMILY HOUSING PROP BUILDING R , °' `T v►}st 0 0 AIL 45.8 IP FND r` N w EXIST TOTAL BUILDING FOOTPRINT: 981t S.F. PROPOSED BUILDING FOOTPRINT: 1,340 S.F. Ap; 10YR 3/2 ; SANDY LOAM Ap; 10YR 3/3 ; SANDY LOAD N.T.S. SEE DETAIL , •. � '- '� v^ `, N 89'1310 E - ( ) \�4,,� 4� � '. , 44 5 I ` °'d cc a REQUIRED ALLOWED HG PROVIDED PROPOSED 8" ELEV 50.54 9' ELEV 50.35 \ 45,0 4 Alma' �,..'� ,' Q - - 4 b . , , • � ; . �,' �� � , r � � , � , mom.__.- •,, MIN. LOT AREA *43 560 S.F. 18 508t S.F. W � FRONTAGE 20 FT GREATER THAN 20" m _ • 1! 4 B ; I OYR 5/6 ; SANDY LOAM B ; 1OYR 5/6 ; SILTY SANDY ------- ------- N 43,9 4 Z _.__ ' ; W o ' FRONT SETBACK 30 FT 30.5 FT WITH TRACES OF SILT LOAM �\ \ 508:1:�4i1 , ; ' , J o � SIDE SETBACK 15 FT 15.5 F• : , 'y ' 24" ELEV 24' ELEV �, 508t SQ. FT. , , a o T 18, • 49.20 49.10 � ORES r i , u_ w GREATER THAN 15 • "' 'M t o y � a 45. 0.42 4 ' -o a SETBACK 15 FT ' ` 0 3 REAR S , . ` C1; IOYR 6/4 ; "SANDY TILL C1; 10YR 5/3 ; SILTY SAND 4, :$ ' i \ Z MAX. BLDG. HEIGHT STORIES 30 2.5 STORIES 2 STORIES WITH fl STONE � \ Q � � � a ` MAX. % LOT COVERAGE (STRUCTURES) 7.2% TILL WITH STONE AND N 4 7.2 �.� � be � , + � a z �� �. 60 (ELEV 46.20) 3' 0 BOULDERS ''� r _�_ +►� 0 `� '`'---30.5' J o ; i �G _ TOTAL PARCEL•18,508t S.F. Pf101.6f S.F.) (1,340 S.F.) F - i 168' (ELEV 37.10) \$ i. .T t8.o` woop ?sroRY1\ J , \ (FAR) .162 PROppSED DasnNG D11YELI.IPIG y + FLOOR AREA RATIO FAR C2; 10YR 5/3 ; DENSE SILTY "' ; 44FRAME DWELLING RAzm 44.8 ; , (INCLUDES BASEMENT GARAGE .30 N TO BE - , ,. , m � �� :�- • �=s�z PROPO � r� , _ � 2,996 S.F. TOTAL TILL W/ STONES SMALL lOYR 4/4 ; MEDIUM SAND -- c WA�1ER i I, INSTALL NEW WATER SERVICE CONNECTION AS ` 1ST & 2ND FLOOR) FLOOR AREA POCKETS OF CLAY MOTTLED -- , x '� I 4 p`� `oo 1 SHOWN (EXISTING LOCATION OF WATER LINE ------- -41 *PRE-EXISTING NON-CONFORMING LOT LOGS MAP Sca'ei 1 C Z 228' (ELEV 32.10) 3 �`� • - - Z!0' - 0 CONNECTION IS UNKNOWN. EXISTING 1 204 (ELEV 34.20) \\ -T f _ __---g;0* ry�;# r l 3.4° � UT OFF AWNNDER INEBAN CNED E TION TO BE N ACCORDANCE iWTTH BOARD ` CONSTRUCTION NOTES, � 143.5'� �. C ; 10YR 7/6 ; MEDIUM SAND - -- -- _EXISTING WELL TO BE ABANDONED r° • `� r"\� 47,7 -•yg� \4_ -- C - 1 ' QF HEALTH REQUIR"ENTS) 3p 1 3 PER BOARD OF 1�TH-REQUMENTS 49X N 80' i!On k 43 1 CPU .50 �4 .9 1. BENCHMARK DATUM: APPROXIMATE NGVD 1929 REFERENCED 252 (ELEV 30.20) LL \� .21 S GARAGED �2, ' -- --_. _ 1 TOWN OF BARNSTABLE GIS. LOCUS AREA IS COMPRISED OF : '�-"-- / x E -z E x+ y,j 1 r>s Z,qx ` PROJECT BENCHMARK : NAIL SET IN UTILITY POLE #3/201 1 ABOVE GRADE NO WATER AT 252" (ELEV 30.20) NO WATER AT 228" (ELEV 32.10) s �, 48,5 A� v ST0 " ; `E -LI�.c i , PARCEL B 4 PLAN FOR LESLIE B. & RUTH F. RYDER G. .E. �� t GAL - -- - ti IN FRONT OF LOCUS. EL = 53.00 (APPROX. NGVD 29) PUMP S DATED: FEBRUARY 26, 1949 SIEVE ANALYSIS O C3 SIEVE ANALYSIS O C2 MAP 336 PARCEL o4s 50.9 & ABWpON NKPLACE 14•0 10•D' MN - P-#113/)\ J 2. ALL SYSTEM COMPONENTS SHALL BE INSTALLED IN ACCORDANCE WITH TITLE V ASSESSOR'S MAP 336 PARCEL. 049 CLEAN MED. SAND/ CLASS i CLEAN MED. SAND/ CLASS I N/F TALES of CAPE COD, ,Nc 49.9 �� ' _ OF THE STATE SANITARY CODE DATED MARCH 31, 1995, AS AMENDED THROUGH CERTIFICATE OF TITLE No. 33,011 , P AATER 45.9 G6 �\ \ EXi5TiT(\G SEPTIC, s�SiEM=_- . 12�'- �12.Q'� __ , , j THE DATE OF THIS PLAN & ANY LOCAL RULES & REGULATIONS APPLICABLE DEED BOOK: 20,642 PAGE 166 (SECOND PARCEL) L.C. PLAN 31477 A , OWNER/APPLICANT: DAVID A. PARRELLA & CYNTHIA H. PARRElL4 s, PER P E�? 11 T N a. 9 4-351 / ' 4 \REMOVE EXIsI G J GRAVE ',746.5 18. 1. 3. ANY CHANGE TO THIS PLAN MUST BE APPROVED IN WRITING BY THE ENGINEER. THE PROPERTY LINE INFORMATION SHOWN IS BASED ON CURRENT AVAILABLE RECORD EXISTING SEPTIC SYSTEM ABANDONtdE1�[I-dc � ELEVATION INFORMATION MUST NOT BE CHANGED WITHOUT WRITTEN PRIOR APPROVAL INFORMATION CONSISTING OF PLANS DEEDS AND CERTIFICATES. THE EXISTING FEATURES `- \ `itINES do D-BOX '� DRIVE \ EXIs NO 47.9 0 \ /--- BY THE ENGINEER. ALTERATION AS SHOvvN ON.•SEPTIC SYSTEM � � x pftt ...- �-k a � �, MODIFICATION PLAN FOR i4070 MAIN ST., AS EXISTING,,LEACH PIT \ , 49.1 STON \ 46.8 SHOWN HEREON WERE OBTAINED FROM AN ON THE GROUND FIELD SURVEY PERFORMED BY PREPARED BY BARTER /AYE ENGINEERING i ,TO SERVICE HSE. #40736 LF 4 PVC BARTER NYE ENGINEERING AND SURVEYING ON DECEMBER 8, 2005. SURVEYING, DATED 1;,-16-05, REVISED '�" ' •�` 1- -06 i � 5 .o x rs s = 1.o48.7x` ` \\ `\\ \� �,� 4. WHEN CONSTRUCTION IS COMPLETED NOTIFY THE BOARD OF HEALTH AGENT AND x THE PROJECT LIMITS, AS FIELD SURVEYED BY BY BARTER NYE ENGINEERING AND SURVEYING 40 �,, 50 �� , \ DESIGN ENGINEER FOR INSPECTION AT LEAST 48 HOURS PRIOR TO BACKFIWNG. ON DECEMBER 8, 2005, EXTEND APPROXIMATELY TO THE OUTSIDE LOCUS PROPERTY LINES, f` rift `��� /~ D-BOX `, _ _ 11 \ r ` L \ THE SYSTEM SHALL NOT BE BACK FILLED UN71L INSPECTED AND APPROVED. OTHER INFORMATION SHOWN IS FOR REFERENCE ONLY AND IS GIS INFORMATION OBTAINED f 0 �. V11 � 50.3 FROM THE TOWN OF BARNSTABLE GIS DEPARTMENT. = PUMP LEACH PIT AS Q4 �\ 5. ALL SANITARY DISPOSAL SYSTEM PIPING TO BE 4" SCHED 40 PVC, UNLESS �� NEB THEN FILL 1 1 ti,. , , �a. . , `J 4 7•6 ` ' - -�� OTHERWISE NOTED HEREIN. COMMUNITY PANEL NUMBER: 250001 0001 D �3 _ WITH CLEAN SAND'(OR f / THE FLOOD INSURANCE RATE MAP DEFINES THIS AREA AS ZONE C, ,'' CRUSH) do ABANDON IN, 111 S.A.S. WITH 4 \ N ` t 4 7.yr �\ / _- ---~/�� 6. UNSUITABLE MATERIAL ENCOUNTERED BELOW THE TOP OF SAS (PEASTONE ELEV AREA OF MINIMAL FLOODING. LEACHING CHAMBERS' f Jt SEE PLAN do 50.3 tQ -- ` i ,0 = 48.00), SHALL BE EXCAVATED AS NOTED TO THE MEDIUM SAND (C2 AND C3 51.9 3 PROFILE LAYOUT �i � 11` i _ I ;� HORIZONS) AS SHOWN ON TEST PIT 12 & 11 RESPECTIVELY (APPROX. ELEV = s t 53.6 \ x DETAIL;BELow , h F-�-� �' `\\ �i `, BETWEEN 37.10 & 34.20) FOR A HORIZ. DISTANCE OF 5' SURROUNDING THE LEGEND ;, __ CLEAN AND REMOVE ,-([a.� ..5 50. \, ' LEACHING FIELD AND REPLACED WITH CLEAN SAND PER 310 CMR 15.255 P OR CRUSH IN PLACE)` I TP y ,. , 2 U TO THE BOTTOM ELEVATION OF THE SAS (ELEV 45.48), THEN DOUBLE WASH STONE TO 54,4 DCISTICIG D-BOX 8' ` 3 \ TOP OF SAS PER DETAILS HEREON. CD = TELEPHONE MANHOLE CB - CONCRETE BOUND i� - -_-- - ,` `� i I �r ,.I �' •'-I $ m EXISTING SEPfiY SYSTEM-- - '• r - ELECTRIC METER DH = DRILL HOLE STONE WALL PER PERMIT No.- o\, I ::.:� !,; " � Nr�.., `�' 7. INSULATE ALL PIPES AGAINST FREEZING AS REQUIRED WHEN LESS THAN 3 OF = GAS METER FSB = FIELD STONE BOUND - ` 54.6 94--352 \po '� 1 •- + ^ , Q 54.4 i I �='� ' MHB!N D COVER. LIGHT POLE MHB = MASS HIGHWAY BOUND '�DEc� �� 54.3 ( \ I v� I 1 (CBE I\ EOP XXI = UTILITY POLE/GUY WIRE CBE = CENTER BACK EDGE `� ANTENNA o- 54.3 \ 54, I 5.0. c�'` 8. THE SEPTIC SYSTEM DESIGN DOES NOT INCLUDE`GARBAGE GRINDER DISPOSALS. _ EDGE OF PAVEMENT F.F.E. _ FINISH FLOOR ELEVATION �'; -124,5 �" I 1 I `�'; vERDIGX 5 ,7 o 16' cc.x� _ r 5�.7 1 CB DH FND W = STONE WALL G.F.E. GARAGE FLOOR ELEVATION \� WATER LINE i ::: _;;.:� T D , EXISTING i x � J •• • �,7.0. � '1 / ,-' 9. CAUTION: THE CONTRACTOR SHALL CONTACT DIG SAFE (AT 1-888-DIG-SAFE) L. L.G. PLAN 21,702 B AND UTILITY COMPANIES TO LOCAL ALL'EXISTING UTILITIES, AT LEAST 72 HOURS --------OHW--- = OVERHEAD WIRES �\ I 2 �Toi�Y wooD w, I J` - / ��•'• y MAP 336 PARCEL 11 obi -%'<.^ BEFORE THE START OF CONSTRUCTION. THE CONTRACTOR SHALL DETERMINE THE = TREE LINE `� FRAM DWtLUNG ,l 5��, o �! 5,0' •_"'_.� iCERTIFICATE OF TITI_E,IlJo. 170,63.`� ,�,i y �,' ` --- No. 4070 , I OVERDIG I 0 N EXACT LOCATION BOTH HORIZONTALLY AND VERTICALLY OF ALL EXISTING•PTILITIES /F ANITA PARKER , 0 '� = TREES & SHRUBS F.F.E. = 56.14' 53.8 x\o Y (SEE I�,ONSTRUCTION NOTE 6) 1 i E.r�...� An OF Aw f .ivr,i►. TrFE l�4CATIt3rl OF EXISTING UNDEUND _ x W�� , + I o� �s UTILITIES ARE SHOWN IN AN APPROXIMATE`WAY'ONLY, MAY NOT BE LIMITED TO 4 SIGN xn I TP #1 I I N �O9' 1 G + , E 2 Eop THOSE SHOWN HEREON AND HAVE NOT BEEN INDEPENDENTLY VERIFIED BY THE ,4,6 f `-'i�� r 3- , x 54,7 54.6 f 53B x`, r J0•yjj I , a o b . OWNER OR ITS REPRESENTATIVE. CONTRACTOR AGREES TO BE FULLY MAP 336 PAF�CEL 048 s I PARCEL A £ �/ S I / 51,2 / x 7 1.. w ' 1 ' RESPONSIBLE FOR ANY AND ALL DAMAGES WHICH MIGHT BE OCCASIONED BY THE N/F ROBERT F. & CS�.THERINE C. RYAN MAP 336 PARCEL 049-001 � 1, 1 x `�, X ' 7 -i` .- CONTRACTOR'S FAILURE TO LOCATE THE UTILITIES EXACTLY. IF ELEVATION DEED F3ooK 98f� PAGE 358 . y EoP INFORMATION DIFFERS FROM PLAN INFORMATION THE CONTRACTOR SHALL NOTIFY LEACHIN(�i AREA REQUIREMENTS �S I 12s69t SO. FT. i z.6j j 4�i,3 4� � '�' ' NITROGEN LOADING LIMITATION: NIA ; 0.29t ACRES , ' 1 -� THE ENGINEER IMMEDIATELY FOR POSSIBLE REDESIGN. AT UTILITY CROSSINGS RESIDENTIAL: 3 BEDROOMS c ,' z i �' I i I 0.7x / ,I $g' 1 LIP tt o? ` VERIFY IN FIELD THE LOCATION / INVERTS OF ELECTRIC GAS TELEPHONE & 3 x 110 QM f BEDROOM i o �' x 5 4 ! , ,� i 1 1 ,' i ��` 1 DATA/COMM AND RELOCATE IF CONFLICTING WITH PROPOSED INVERTS PER THE ENGINEERS DIRECTION. THE CONTRACTOR SHALL PRESERVE ALL UNDERGROUND TOTAL DESIGN FLOW = 330 GPD ` z• 54.6 , �. /x5 / ,f GARBAGE GRINDER (NOT INCLUDED) = N/A - '\ �` 1 �I� nx � �,',� ' 61'15 w �'� 11 � � !` � .,3,0 1 ,' ,� / o�, -� o ; ,yo• 'N , /'' .-' , UTILITIES AS REQUIRED. AP. 4B? --5; 'S�3 f 10. EXISTING SEPTIC SYSTEM INFORMATION OBTAINED FROM TOWN OF BARNSTABLE PERC RATE _ (CLASS 1 MEDIUM SAND PER SIEVE ANALYSIS) \� x 54.4� ,' 1 1 51-: ' �No �'x" w BOARD OF HEALTH AS CARDS, PERMIT94-351 & 94-352. LIAR 0.74 GPD/S.F. , -�' vM N 48.e MIN. LEACHING AREA OF SAS. REQUIRED: 54,0 s X� �!�� s' �, '�. LEt ,� x '� g �^ �. I 11. WATER LINE AND AP TION FOR HOUSE J4070 IS BASED ON 330 GPD/ 0.74 GPD/S.F. = 445.95 S.F. MIN. _ --- - s _ 5 3�6 - 5 4 - , , J h o E _ 1 , TIE VIDED BY BARNSTABLE FI DISTRICT - WATER DEPARTMENT. PROPOSED SYSTEM: 10 X 29 X 2 CHAMBER SYSTEM ` 15 Bone Hill Road 4 - ADS-BIODIFFUSER 160OBD PLASTIC LEACHING CHAMBER UNITS i ,la p1' 2. x . WITH STONE (SEE DETAILS HEREON) p., N 50,e l�' SIDEWALL AREA: (10' + 29')2 x 2' DEPTH _ 156 SF TBM• NAIL q BOTTOM AREA., (10' x 29 ) - 290 SF ��� IN UP #3/201 r ''! f'�, / 1 Barnstable, SSachusetts TOTAL EFFECTIVE LEACHING AREA = 446 SF `, FSB FND '' °vs x 53, 115 \ EL - 53.00 0. SYSTEM DESIGN CAPACITY = 446 SF x 0.74 GPD/SF = 330 GPO ' �' J \ 1 t Y f w ,-- k �,, OR �,$o•.; 5218 = � - �H AND David Parrella SEPTIC TANK SIZING. 330 GPD x 200% = 660 GAL ; o�4 r ,, / CBE USE 1500 GALLON TANK INJ �K- X 52;--- (CBE) \ o� L 7 1 Barnstable Harbor Builders 200 __ 1� ►•� P.O. Box 483, Barnstable, MA 02630 09 Gtsl Eop \- (M) 362-SM \ ) ,,,LE Iff TYPICAL SYSTEM PROFILE DOUBLE WASHED STON Building Permit & 4 M BIODIFFUSER 16008D (OR EQUAL) DIST. LINE IN Septic System Design Plan NOT TO SCALE CV LEACHING CHAMBERS FINISH FLOOR NOTES: ELEV - 52.20 TOP OF I. SYSTEM COMPONENTS ARE NOT DESIGNED FOR VEHICULAR (H20) LOADING. M BAXTER NYE ENGINEERING & SURVEYING FOUNDA710N = 51.00 SET AT LEAST DIVE MANHOLE FRAME 1.s4' 25.33' 1.84' Registered Professional Engineers and Land Surveyors FINISHED GRADE - 50.50 & COVER TO WITHIN 6» OF FINISH SET MANH ME OLE FRAME GRADE. RISERS as COVERS SHALL o COVER TO WMIN 6' OF FNMH GRADE r- 2s' 78 North Street- 3rd Floor Hyannis, Massachusetts 02601 BE WATERTIGHT RISERS o COVERS SCOW. BE WA7ER1 M Y �� p VIEW Phone - (508) 771-7502 Fax - (508) 771-76224 0� � '`'�` FUG GRADE OVER TANK - 50.5 �� a MATTHEW •v�, ' NOT TO SCALE �,Y, F11V� GRADE OVER D. BOX = 49.6 L 12- 40 PVC FINSHED GRADE OVER LEACHNG TRENCH = 51.00 10' sL, EWlf mf L- t2' o s=2 ox (1.oX MIN AUAWED) FINISHED GRADE 20 0 20 40 .ty..ti•.i �y 3» MIN. , • 36 LFN4' SCH 40 PVC O S-1.OX COMPACTED FILL INSTALL ONE INSPECTION PORT IN i� 83 INV OUT 48.97 6 MN. �- .\ .\ .\ 36 LF 4 SCH. 40 PYC O S�1.OX 9' (min) Cover ACCORDANCE WITH a » • �- MANUFACTURERS 36 MAX.-9 MIN. \ COMPACTED FILL\ \ SCALE IN FEET �� r? NV N- 46.73 10 11W. OUT= 46.48 (FIRST 2 TO BE LEVEL) (^ ) Cover " i „ , t u r Y LAYER 1/8`toi/Y RECOMMENDATK�IS 2 LAYER DOUBLE WASHED �'- . . . - TOP OF CHAMBER SCALE: 1 = 20 � c • DOUBLE WASHED STONE 4 - BIODIFFUSER 16WW (OR EQUAL) " ti'r /GAS BAFFLE wV N=48.1 :. 2 CHAMBER TOP LEACHING CHAMBERS STONE 1/8 TO 1/2 PIPE INVERT DATE: 02-23-06 400 6' SUMP _. NV OUT- 47.95 4' SCH 40 PVC " " • » u 3/4 TO 1-1 2 24 - t31A11BER INN N= 47.61 / REINFORCED OONCREIE 6' CRUSHED - - jty :Y+ t.�. - +';- DOUBLE WASHED EFFECTIVE STONE DEPTH ' 6. CRUSHEDILr N ww .N-- STONE BASE W 3 110 1-1/2 DOUBLE 2.8' .6' 3 N0. BY DATE REMARKS EXISTING _ SECTION WN CL D S N BY: H CK D MWE L6OO QAMON QNE-QO�Affnm NT SEPTIC TANG 5' MIN SANG HORIZON NOTED IN CONSTRUCTION NOTE E *MEDIUM NOT TO SCALE DRAWING NUMBER RO�TONDO ST1500 OR EQUAL- TROUTM BOX NO GROUNDWATER OBSERVED O ELEV 32.10 # HEREON. PLASTIC LEACHING CHAMBER DETAIL TO � IWALM ON A LEVEL STABLE SAM TO BE INSTALLED ON A �' STABLE 94M $QL-ABSORP710N SYSTEM (8A5) LFJ1CFalt3 CHAI►IBER RYPICAU 0: 2005 05-234 CIVIL PLO 2005-234-Parcel-B-SP.dw SEP11C TANK TO BE INSPECTED R CLEANED ANNUALLY 3 OURFT REQUIRED ADS-BIODIFFUSER 160OBD (OR EQUAL) 2005-234 LAYUP LENGTH 76" PER UNIT ,a :•rtr , f r •< - ... LEGEND GENERAL NOTES : (D = TELEPHONE MANMLE CB = CONCRETE BOUND / J = ELECTRIC METER DH = DRILL,HOLE 1.) THE INTENT OF THIS PLAN IS TO DETAIL EXISTING SITE CONDITIONS, PROPOSED �. = CAS METER FSB = FIELD STONE BOUND HOUSE ADDITIONS, AND SEPTIC SYSTEM MODIFICATIONS. = LIGHT POLE MHB = MASS HIGHWAY BOUND _ 'r / J i 2.) LOCUS AREA IS COMPRISED OF + o .: EO _ UTILITY POLE/GUY WIRE I + = EDGE OF PAVEMEIT F.F.E. FINISH FLOOR ELEVATION -� / L- ' CBE CENTER BACK EDGE PARCELS .. ,, .v. _ fir- �. _ _ \ - / _ �,---` & B ® PLAN FOR LESUE B. do RUIN F. RYDER 1 �r Y� ,7 = STONE WALL \ - J DATED: FEBRUARY 26, 1949 (NOT RECORDED) `: o'••y� ---w — WATER LINE G.F.E. = GARAGE FLOOR ELEVATION = e 4 0. •• . ' ' �� \ - i 1 ASSESSOR'S MAP 336 PARCEL 049 DEED BOOK: 717 PAGE 190 (PARCEL A) N oHw-- = OVERHEAD WIRES_ a M �•.. rge '•° ,�'o • �� •. , �� = TREE LINE - DEED BOOK: 759 PAGE 223 PARCEL B � - TREES SHRUB; i" OWNER/APPLICANT: FRANCIS C. NORTON SIGN N 89'13'10" E- 118.18' 3.7 X\ / 14.39 $I / \x'' i 3.) BENCHMARK DATUM: APPROXIMATE NGVD 1929 REFERENCED b '/ ,' / � r, -` / TOWN OF BARNSTABLE GIS. a p!„L •. -- \4,\- �" ►P FND o- PROJECT BENCHMARK . NAIL SET IN UTILITY POLE #3/201 1' ABOVE GRADE a.` _ •, `` i �, l �'\ °f t f I IN FRONT OF LOCUS. EL. = 53.00' (APPROX. NGVD 29) 4',4P 336 PARCEL 02- -- ---- Zi.i '', ` �? r 4.) ZONING INFORMATION Tip, -4 _ � _ ��%r AUCE KE_LY fA-�:Dp':� N.T.S. . Lg r � .� � 3.= t ZONING DISTRICT LOCUS MAP ,-9 - r �?o� 76 PACE :30 �-m i AP AQUIFER PROTECTION OVERLAY DISTRICT Scai@: 1" = 2000� `� v, I M N? `� -� CURRENT MINIMUM ZONING REQUIREMENTS: 43 ix 0. MIN. LOT AREA = 43,560 S.F. INC CONSTRUCTION NOTES ,4 -- -__ } ` _ $ I j ' m N MIN. LOT = ' FRONTAGE 20 4 Y ! I ate Z 1 MIN. LOT WIDTH = 150' 1. EXISTING INVERTS SHALL BE FIELD VERIFIED BY CONTRACTOR PRIOR TO THE _ - ' � - J MODIFICATION OF SEPTIC SYSTEM #94-352. IF EXISTING INVERTS DO NOT 45.,S IP FND \`,/ + ! I + „o MAX. BUILDING HEIGHT = 30 OR 2)4 STORY WHICHEVER IS LESSER ALLOW MODIFICATION OF SYSTEM IN ACCORDANCE WITH TITLE 5, AS SHOWN, `4 N 89'13'10" E (SEE DETAIL) ) r ( < �• FRONT YARD = 30' SIDE do REAR YARD = 15' ♦ Y 4 .J THE CONTRACTOR SHALL NOTIFY THE ENGINEER FOR REDESIGN. ., -' •:i �sr ^. a 18.18' h - ; =' � �4 „ r t I t`p g- 5.) A TIRE SEARCH HAS NOT BEEN PERFORMED FOR THIS SITE. IF DETERMINED 2. ALL SYSTEM COMPONENTS SHALL BE INSTALLED IN ACCORDANCE WITH - A ! ``' o TO BE NECESSARY A TITLE SEARCH SHALL BE PERFORMED BY OTHERS. g \'� , , TITLE V OF THE STATE SANITARY CODE DATED MARCH 31, 1995, AS AMENDED --__.___ __ _:_ -- __.___ l J s \ a 43 -- / �* ? I a z THROUGH THE DATE OF THIS PLAN, & ANY LOCAL RULES & REGULATIONS APPLICABLE. _ 4 A I 6.) THE PROPERTY LINE INFORMATION SHOWN IS BASED ON CURRENT AVAILABLE RECORD \ u 13,6 1 INFORMATION CONSISTING OF PLANS, DEEDS AND CERTIFICATES. THE EXISTING FEATURES 3. ANY CHANGE TO THIS PLAN MUST BE APPROVED IN WRITING BY THE SHOWN HEREON WERE OBTAINED FROM AN ON THE GROUND FIELD SURVEY PERFORMED BY ENGINEER. ELEVATION INFORMATION MUST NOT BE CHANGED WITHOUT WRITTEN N 4 7,2 �� `� � , � �� `~ BAXTER NYE ENGINEERING AND SURVEYING ON DECEMBER 8, 2005. PRIOR APPROVAL BY THE ENGINEER. --_ THE PROJECT LIMITS, AS FIELD SURVEYED BY BY BAXTER NYE ENGINEERING AND SURVEYING 4. WHEN CONSTRUCTION IS COMPLETED NOTIFY THE BOARD OF HEALTH AGENT ro _ 2005, EXTEND APPROXIMATELY TO THE OUTSIDE LOCUS PROPERTY LINES, - ON DECEMBER 8, a" 1 OTHER INFORMATION SHOWN IS FOR REFERENCE ONLY AND IS GIS INFORMATION OBTAINED /; N '�,\\ ���- � 4 ., r � `- f � FROM THE TOWN OF BARNSTABlE GIS DEPARTMENT. AND DESIGN ENGINEER FOR INSPECTION AT LEAST 48 HOURS PRIOR TO m "��, � S ; � ' . _ BACKFIWNG. THE SYSTEM SHALL NOT BE BACKFlLLED UNTIL INSPECTED AND x1 ,4',3 - -� - t x i o APPROVED. - ---- --- 41. h°D `, 7.) COMMUNITY PANEL NUMBER: 250001 0001 D TO BE RED -------- - _ _ THE FLOOD INSURANCE RATE MAP DEFINES THIS AREA AS ZONE C, 5. ALL SANITARY DISPOSAL SYSTEM PIPING TO BE 4" SCHED 40 PVC. UNLESS .� � F MINIMAL FLOODING OTHERWISE NOTED HEREIN. -- - - - - - - - g - ,.% ---^-- �` 1 AREA 0 . 4 9.x N 63` D" x` o 9 _42 ` _ 6. INSULATE ALL PIPES AGAINST FREEZING AS REQUIRED WHEN LESS THAN 3' �/ _ + 's �'��CE G 1l.I !r �,'\ _ ', -44 `..... ` (3 BEDROOMS) AS VERIFIED ON PAGE 8 OF 16 IN "TITLE 5 OFFICIAL INSPECTION FORM- OF [)WE L �� p G.F.E. ..._._- - , , DATED 11-24 05 PERFORMED BY MATTHEW L. CHILDS FOR CAROL CINCOTTA 7. THE SEPTIC SYSTEM DESIGN V A, 36 i r '.f:f � PUMP SEPTIC TANK. CRUSH � } � DOES NOT INCLUDE GARBAGE GRINDER _ ;o,C do ABANDON,IN PLACE #113/1, DISPOSALS. �� "I T n E A f f c.L c \ • EXISTING SEPTIC SYSTEM INFORMATION OBTAINED FROM TOWN OF BARNSTABLE BOARD OF HEALTH ` P + No. 3.S,0i 4`�`� ��.. PLAN?ER ��j- � /-''S•j _ - f :_.AN 3 r,7 r EXISr G SEPTIC SYS' 1A-'___ J2,2- a 2.0' _ A 6.-- AS BUILT CARDS PERMIT 94 351 & 94-352. 8. CAUTION: THE CONTRACTOR SHALL CONTACT DIG SAFE (AT s PER P IT Na 94-351 <a o� - Ew "r - 9) WATER LINE AND APPURTENANT INFORMATION IS BASED ON TIE CARD 1128 1-888-DIG-SAFE) AND UTILITY COMPANIES TO LOCATE ALL EXISTING UTILITIES, TIE�IN N IN T SAME REMOVE E)pg11NG_ - "'%� � 46.s 18' ..• -� ` `, 1 AT LEAST 72 HOURS BEFORE THE START OF CONSTRUCTION. THE CONTRACTOR __._ ._._ ELEVATION AS E)OSTII NE LINES dt D—Box 4;,� o PROVIDED BY BARNSTABLE FIRE DISTRICT - WATER DEPARTMENT. �. EX� \\ SHALL DETERMINE THE EXACT LOCATION, BOTH HORIZONTALLY AND VERTICALLY, - , --._ " _ _ '�� 'COMINv.INTO LEACH PIT / ;��� � pR1V��,.�- .-- -x \ OF ALL EXISTING,UTILITIES BEFORE THE START OF ANY WORK. THE LOCATION `` CONSTRUCTION NOTE I1 i 4 y,1 Too �-" 4 r, \ / t ��.. ` 10.) EXISTING DWELLING AT 15 BONE HILL ROAD TO BE RAZED AND RECONSTRUCTED. A SEPARATE'SITE OF EXISTING UNDERGROUND UTILITIES ARE, SHOWN, IN AN APPROXIMATE WAY 4, `sHEREON) x /( 11 PLAN WILL BE FILED FOR 171 BUILDING PERMIT FOR NEW CONSTRUCTION AT 15 BONE HILL ROAD. ONLY, MAY NOT BE LIMITED TO THOSE SHOWN HEREON AND. HAVE NOT BEEN INDEPENDENTLY VERIFIED BY THE OWNER OR ITS REPRESENTATIVE..:THE J - o , 1 . .': __, i - ' � .� ,•; �" � �� \ _ CONTRACTOR AGREES TO BE FULLY RESPONSIBLE FOR ANY AND ALL DAMAGES ^ ,' 1 frM4 SCH 41Y FIRST WHICH MIGHT BE OCCASIONED BY THE CONTRACTORS FAILURE TO LOCATE THE i` o ' w o,_,�`' J0 BE LEVEL THEN o ; 48 Z I x / S=�I:A�(MM.). INVERT T� \• ` \ UTILITIES EXACTLY IF ELEVATION INFORMATION DIFFERS FROM PLAN ( INFORMATION, THE CONTRACTOR SHALL NOTIFY THE ENGINEER IMMEDIATELY FOR 25!-e SCH 40' o S-1.0% INSTALL NEW D-SOX \ I r POSSIBLE REDESIGN. AT UTILITY CROSSINGS VERIFY IN FIELD THE LOCATION MIN. INVERT TO I =LEA T AS(VE.'RIF,'IED BY CONTRACTOR � PI �" . 47.9 INVERTS OF ELECTRIC, GAS, TELEPHONE & DATA/COMM AND RELOCATE IF - y � �RELOCATE:'E,XISTING ` Q -}F''��NECESSARY EN FILL `' CONFLICTING WITH PROPOSED INVERTS PER THE ENGINEERS DIRECTION. THE LIGHT POLE �/I WITH CLEAk.$ANP(OR CONTRACTOR SHALL PRESERVE ALL UNDERGROUND UTILITIES AS REQUIRED. - --- --- .. - _ 7.2' "' s la i ) o ABANDON il{F ; \;� "'` ; p PRQPVxv PLACE 54 CLEAIll,AND REMOVE L , AGE AVEl pRI a.4 ". (OR CRUSH IN PLACE) t y' 3 I b 4070 Main Street & EXISTING DECK dt 16.4' `'� 3. 1 I EXISTING D=BOX. \ i r BULKHEAD TO BE REMOVED PROD � ` I -. $ ` r� ap �� �� Bone H�'1 Road Appi110N .;a 6 � I ISTING SEPTIC SYSTEM i �•+ `• ,y ` MHB FND b �.� .`. PER PERMIT No. \ i 1 M W \ (CBE - >^ g •1 ' 9#352 0 Cummaquid E= •- r% 1 _. `\ ',., 17.0' -i r — rj 11 `� .� H I �`, 51.6 ANTENNA 16. '1 4•_ . I x , / r '��' Barnstable, assachusetts - -._ 12.8 x , M a DH FNb l s2 PARCEL t�.i F3 �� a5l PREPARED FOR _ David Parrella 18,508f SQ. FT. -" E� • I A L.C. PLA^� 21,70 r' / 0.42t ACRES TAP 2 d1 / / ' " 336 PARCEL )3 r "R}, -E 1'F Jr ; W I iNGRESS/EGRESS EASEMENT �CERT� CA o� T+rLE/No. 170,635 / Bab ble Harbor Builders ! - C7� J `� \ r c E• 56.14 = X;, j(SEE NOTE 10) + fJ/'= A,N!T . f� RKE4 a5> x W, / \ P.O. Box 403, Barnstable, MA 02630 \ , ' VAP 335, F A��CEL to �, �\ r• / X 1 $ O /'/ / jE �t7�E qTN l R (API ! X PARCEL A , I I r,-- I� Building Permit Site P n ;,EFi.. T,.,CK r.f, OAT,,,_ . 12,689t SQ. FT. ' t � - 1 w //' Q 0.29f ACRES I r 4 p0 o I I , ! UP } 202 Septic System Mod! scat on 4070 Main St. _ r & Demolition of 15 Bone Road y BAXTER NYE ENGINEERING & SURVEYING 4.4/ 4C5 It 54,C , X! / Registered Professional Engineers and Land Surveyors s4 "- -- ..._ So.F� 78 North Hyannis, Massachusetts 02601 _ I r '� / Street- 3rd Floor �o, Phone- (508) 771-7502 Fax - (508) 771-7622 Q1,,,, i� 20 0 20 40 ' ,I �,-,� --•-�� • ,P ,ice w TBM: NAIL SE � \�'�; '�w >\ 1 1 1 �, - \\ IN UP #3/201 > `- .� ) �' + /" ` 1 /s' WITTHEW 9c FSB FND ` ds ��: 1.s a.. SCALE IN FEET 183 o.94a e �, _ _ �' 1 1 - /" SCALE: 1 of _ �B FND _ / 1 (CBE) � `I y-w/ + / / I �sionat F� ON w a 51-7 71 �w Ard DATE: 12-16-05 1 AWN' I, , MwE 01/3016 SEPTIC SYSTEM MODIFlCATiONS 0 OP i w !' g2' I / / I v `` N0. BY DATE REMARKS A / I I / _.___ % , / I/ _�/', l- �jp• RAWN MCL D IGN BY: CHECKED BY: �R DRAWING NUMBER 0: 2005 05-234 surve worksht 2005-234PB.dw 2005-234 c; � � � � | � � � � � � ! ZONING TABLE 80ARD OF HEALTH AGENT.-, 4-- - -=— =­7 �Q 11 1 ", /M 1�4sq 0 N�F >1�-�,ELLY MADRU 0 w z OVERLAY DISTRICTS: AP (AQUIFER PROTEC11ON OVERLAY DISTRICT) IP FND111 I INGLE FAMILY HOUSING PROPOSED USE: — SINGLE FAMILY HOUSING EXIST USE: SINGLE FAMILY HOUSING PROP BUILDING = TWO STORY DWELLING 45.8 Ip FND IL) I Z)C"4 Ui EXIST TOTAL BUILDING FOOTPRINT: 981± S.F. PROPOSED BUILDING FOOTPRINT. 1,340 S.F. on DETAIL (SEE D Ap. I M 313 SANDY LOAM N.T.S. *1S1O* E REQUIRED/ALLOWED (HG) PROVIDED/1PR )POSED OYR 312 SANDY LOAM FRONTAGE 20 FT GREATER THAN PARCEL A 15 FT 15.5 FT WITH TRACES OF SILT' LOAM 18.508:k SO. FT. 0 SIDE SETBACK 15 FT z MAX. BLDG. HEIGHT (STORIES) 30' / 2.5 STORIES 2 STORIES Cj; I OYR 614 ; SANDY TILL Cj; IOYR 513 ; SILTY SAND f? b _j 0 MAX. % LOT COVERAGE (STRUCTURES) 7.2% � 168- (ELEV 37.10) 00 PROPOSED 2 Srolti OWNG DWELLING FLOOR AREA RATIO (FAR) .30 .162 C2; PI7%%.-rLjb% INSTALL NEW WATER SERVICE CONNECTION AS 1ST & 2ND FLOOR) lki6 FLOOR AREA TILL W/ STONES SMALL I OYR 4/4 MEDIUM SAND 4 to _ ___4 - SHOWN (EXISTING LOCATION OF WATER LINE POCKETS OF CLAY MOTTLED SERIAIM AIVI.NUAM 1�, *PRE—EXISTING NON—CONFORMING LOT CONN=ON IS UNKNOWN. DCISTING of 40 113 MAP Scale; I 2OW 228- (ELEV 32.10) WATERLINE CONNECTION TO BE SHUT OFF CMIRIXTION NOTES, 204- (ELEV 34.20) ',AND NED IN ACCORDANCE WITH BOARD LU 41 ,r,,4 3 7'1p -.q - ,`�� - PF HEALTH UIR9MENTS) 4 DATUM: APPROXIMATE NGVD 1929 REFERENCED SED 252- (ELE I PROJECT BENCHMARK : NAIL SET IN UTILITY POLE #31201 V ABOVE GRADE LOCUS AREA IS COMPRISED OF 48.5 ST 'ELUN IN FRONT OF LOCUS. EL 53.00' (APPROX. NGVD 29) I AL ABAN" IN PLACE SEP 3AN�:; p #11 3/,,\ 2. ALL SYSTEM COMPONENTS SHALL BE INSTALLED IN ACCORDANCE WIT V SIEVE ANALYSIS 0 C SIEVE ANALYSIS 0 C MAP 336 PARCEL 046 H 71U CLEAN MED. SAND/ CLASS I CLEAN MED. SAND/ CLASS I N/F TALES OF CAPE COD, !NC 49.9 ) P ANTER 453 OF THE STATE SANITARY CODE BATED MARCH 31. 1995, AS AMENDED THROUGH ASSESSOR'S MAP 336 PARCEL 049 CERTIFICATE OF TITLE No. 33,011 N --- EXISTN�, SEPTIC S�YSYE_taz_z7 THE DATE OF THIS PLAN, & ANY LOCAL RULES & REGULATIONS APPLICABLE. DEED BOOK: 20,642 PAGE 166 (SECOND PARCEL) PER PEPYIT No. 94-351 -PROP. 3. ANY CHANGE TO THIS PLAN MUST BE APPROVED IN WRITING BY THE ENGINEER. \REMOVE E)Q�TING ELEVATION INFORMA71ON MUST NOT BE CHANGED WITHOUT WR17TEN PRIOR APPROVAL THE PROPERTY LINE INFOWTION SHOWN is aw ON CURRENT AVAJLABLE RECORD EXISTING SEPTIC SYSTEM ABANDONMENT-&------ \IJNES & D-BOX DRIVE E)US N G �LK 4 7.9 0 BY THE ENGINEER. ALTERATION AS SHOWN OW SEPTIC SYSTEM x\ST0 oR114L'-_ —x INFORMATION CONSISTING OF PLANS, DEEDS AND MF07B THE EXISTING FEATURES NG Pff 46,E SHOWN HEREON WERE OBTAINED FROM AN ON THE GROUND FIELD SURVEY PERFORMED BY PREPARED BY BAXTER AYE ENGINEERING & 'TO S E NSE. #407 ._­36 LF 4" PVC, 100, a4m NYE ENGINEERING AND SUMNG ON DECEMBER 8, 2OD5. 1�1 I.- x 49jk 48.7xi 4. WHEN CONSTRUCTION IS COMPLETED NOTIFY THE BOARD OF HEALTH AGENT AND 1-30-06 a I., DESIGN ENGINEER FOR INSPEC77ON AT LEAST 48 HOURS PRIOR TO BACKFILLING. THE PROJECT LIMITS, AS FIEID SURVEYED BY BY ElIUM NYE ENGINEERING AND SURVEYING D-BOX THE SYSTEM SHALL NOT BE 13ACKFILLED UNTIL INSPECTED AND APPROVED. ON DECEMBER 8, 2005, EIMD APPROXIMATELY TO THE OUTSIDE LOCUS PROPERTY' LINES, co OTHER INFORMATION SHOWN IS MR REFERENCE ONLY AND IS US INFORMATION OffAINED SCHED 40 PVC, UNLESS PUMP LEO�CK PIT AS 5. ALL SANITARY DISPOSAL SYSTEM PIPING TO BE 4 FROM THE TOWN OF BARNSTABLE GIS DEPARTMENT ( 4 7.6 OTHERWISE NOTED HERON. NECESSARY TAEN FILL CL COMMUNITY PANEL NUMBER: 250001 0001 D -__WITH CLEAN sAN6,jQR I - CRUSH) & ABANDON IN,\ S.A.S. WITH 4 47.9 6. UNSUITABLE MATERIAL ENCOUNTERED BELOW THE TOP OF SAS (PEASTONE ELEV THE FLOOD INSURANCE RATE MAP DEFINES THIS AREA AS ZONE C, PLACE-- LEACHING COHAM 48.00), SHALL BE EXCAVATED AS NOTED TO THE MEDIUM SAND (C2 AND C3 AREA OF MINIMAL FLOODING. -SEE PLAN & 50.3 (a HORIZONS) AS SHOWN ON TEST PIT #2 & 11 RESPECTIVELY (APPROX. ELEV PROFILE LAYOUT x DETAIL BELOW OF 5' SURROUNDING THE CLEAN AND REMOVE �0.4 LEACHING FIELD, AND REPLACED WITH CLEAN SAND PER 310 CMR 15.255 UP TO THE BOTTOM ELEVATION OF THE SAS (ELEV 45.48), THEN DOUBLE WASH STONE TO TOP OF SAS PER DETAILS HEREON. 8 co TELEPHONE MANHOLE CS CONCRETE BOUND EXISTING SEPNq SYSTEM PER PERMIT No.--- 1 N 7. INSULATE ALL PIPES AGAINST FREEZING AS REQUIRED WHEN LESS THAN 3' OF DRILL HOLE ENO ELECTRIC METER DH STONE WALL 54.6 j A = LIGHT POLE MHB = MASS HIGHWAY BOUND -C 10 N A , 11 54.3' ir 8. THE SEP71C SYSTEM DESIGN DOES N INCLUDE GARBAGE GRINDER DISPOSALS. - = UTILITY POLE/GUY WIRE CBE = CENTER BACK EDGE ANTEN -C 5.0! EOP = EDGE OF PAVEMENT VERD1G< Q 0 CB DH FND F.F.E. - FINISH FLOOR ELEVATION 1 5217, � OT B —888—DIG—SAFE) 9. CAUTION THE CONTRACTOR SHALL CONTACT DIG SAFE (AT I = STONE WALL G.F.E. = GARAGE FLOOR ELEVATION EX�ST�NG I x L 1 7.0' L.C. PLAN 21,702 B AND UTILITY COMPANIES TO LOCATE ALL.EXISTING UTILITIES. AT LEAST 72 HOURS W = WATER UNE 2 sTORY �40OO MAP 336 PARCEL C61 BEFORE THE START OF CONSTRUCTION. THE CONTRACTOR SHALL DETERMINE THE = OVERHEAD WIRES FRAIjE DAELLING &.01 1-CERTIFICATE OF TITLEA/o. 170,635 EXACT LOCATION, BOTH HORIZONTALLY AND VERTICALLY, OF AU EXISTING UTILITIES OF EXISTING WJND­ � x : >�,�_ 09 UTILITIES ARE SHOWN IN AN APPROXIMATE WAY ONLY,,MAY NOT BE LIMITED | � � � � � | | � � � � _ r.,4; tfs., 't -`:.p ,'•A. y . '"..�.;,.. 80L LOGS P-11215 DATE , o2/08/ � - = ;,,,.. --- 2008 --.-- ZONING TABLE SOIL EVALUATOR: BARNSTABLE - - BOARD OF HEALTH AGENT: 1, 89'13'1 0" E- 11 8=-:8-_ - - 3 \ .� i MAN 36 PARCEL 082 ZONING DISTRICT: RF-2 \� 114.39 3.79 r I �- '� \/�\N F �tELLY F�Ao>�u --�,� ` OVERLAY DISTRICTS: AP (AQUIFER PROTECTION OVERLAY DISTRICT) \ r w wo STEPHEN A. WILSON, P.E. DON DESMARAIS �I DEED ooK 1,9x7 �r�9 �%� I z ` LOT 4 PLAN B00 L7E PAG~ 3\-�'� `• a I ' v •~~�.: - w` TEST PIT TP-1 TEST PIT TP-2 IP FND a ,----- "� 0 , ,' �' ' ALLOWED USE:_SINGLE FAMILY HOUSING PROPOSED USE: - SINGLE FAMILY HOUSING \ - "' G.S.E. = 51.2 G.S.E. = 51.1 EXIST USE: SINGLE FAMILY HOUSING PROP BUILDING = TWO STORY DWELLING DETAIL - 0 45,£3 `, IP FND \ 1 ," ;' EXIST TOTAL BUILDING FOOTPRINT: 981 f S.F. PROPOSED BUILDING FOOTPRINT. 1,340 S.F. �f I 0 l OYR 3 2 ; SANDY LOAM 0 10YR 3 3 ; SANDY LOAM N.T.S. t �'- h! N 89*13'10" E SEE DETAIL) , Y r I a • AP: / Ap; / • �. -- � CL REQUIRED ALLOWED HG PROVIDED ROPOSED > ,• ,. ., ... - \`„ r , 43. x 44.E r r . -- e 45.0 ,� �18.18 x s ! a I a in - *43 560 S.F. 18 508t S.F. a• , . ' 8 ELEV 50.54 9 ELEV 50.35 -�-� f m� MIN. LOT AREA ��- � � \ i W + I w m Z - �� FRONTAGE 20 FT GREATER THAN 20' B ; 10YR 5/6 ; SANDY LOAM B ; 10YR 5/6 ; SILT SANDY _------ s �x .43.9 P�� 9 43 __� T o FRONT SETBACK 30 FT 30.5 FT . • " WITH TRACES OF SILT " �� \ \ 1%508t SO. 4ar4 I �i ( o SIDE SETBACK 15 FT 15.5 FT a «a n _. 24 ELEV 49.20 24 ELEV 49.10 gs 45,0, 0.42 CRES r 3 i i --� REAR SETBACK 15,FT GREATER THAN 15" •t' `' \ •� ; z MAX. BLDG. HEIGHT STORIES 30 2.5 STORIES 2 STORIES C • IOYR 6/4 ; SANDY TILL C lOYR 5/3 ; SILTY SAND W °�• 8 -1 o a 1' 1 o a z MAX. ! LOT COVERAGE (STRUCTURES) 7.2% WITH STONE o 4 - `. TILL WITH STONE AND a 7.� O +�' TOTAL PARCEL:18 508t S.F. �r101.6t S.F.) (1,340 S.F.) 60" (ELEV 46.20) 3' d BOULDERS - - - r., .5' o ' 9e ' ' a. p. • r�, . - -------_ \ r .', r,` PROPOSED Z si0 `. EXISTiNG DWELLING y ;� � ' FLOOR AREA RATIO (FAR) .162 :. 4 _ 168 ELEV 3710 \ RY .30 � AG , TOTAL • ( ) �, 18.0'` WUOD RAMEDWELLIN� TO BE RAZED ! 4 s ; INCLUDES BASEMENT GARAGE, , C2; 10YR 5/3 DENSE SILTY � 44, _ ` ( 2 996 S.F. TiLL W STONES SMALL ; IOYR 4 4 , ,, `N° .z !�`S ? c PROPop fir,tER+' i INSTALL NEW WATER SERVICE CONNECTION AS ` 1ST & 2ND FLOOR) FLOOR AREA • MEDIUM SAND _ _ W *PRE-EXISTING NON-CONFORMING LOT POCKETS OF CLAY MOTTLED � / ---- " '�81 �� ! 4�' o�� `m � SHOWN EXISTING LOCATION OF WATER LINE LOCUS MAP Scale; 12 {� ZOW 228" (ELEV 32.10 3 �� -_ Zoo - - -- _a ��, CONNEQTION IS UNKNOWN. IXtSi1NG 204" ELEV 34.20 ) ------ g;pr �� 4 �j)f�3P }WATERUt+IE CONNECTKN TO BE SHUT OFF CONSTRUCTION NOTES ( ) wi ',AND ABANDONED IN ACCORDANCE WITH BOARD C ; 10YR 7/6 ; MEDIUM SAND - - - - - -EXLSTI WELL TO BE ABANDONED g � � �; 47,7 ' h 4 -- ace11 ' QF HEALTH REQUIR€MENTS) 1. BENCHMARK DATUM: APPROXIMATE NGVD 1929 REFERENCED 3 PER BOARD OF WALTH-REQWREMEN'P5- cn 49'x N 89'`1�%) x F 48. o •50 �� .9 z - TOWN OF BARNSTABLE GIS. 252" (ELEV 30.20) ELL \� 21 - c ED P' ^ -'-- PROJECT BENCHMARK : NAiL SET IN UTILITY POLE #3/201 1' ABOVE GRADE LOCUS AREA IS COMPRISED OF x E� Z Ex' 2�9x `- PARCEL B OPLAN FOR LESUE B. & RUTH F. RYDER NO WATER AT 252" (ELEV 30.20) NO WATER AT 228" (ELEV 32.10) s a8,s G. .E - s;o Y Q ELIt GAL �� - IN FRONT OF LOCUS. EL = 53.00 (APPROX. NGVD 29) PUMPS C TANK, t4,p SIEVE ANALYSIS O C SIEVE ANALYSIS O C MAP 336 PARCEL 046 1 ,p 1�AN \ 2. ALL SYSTEM COMPONENTS SHALL BE INSTALLED IN ACCORDANCE WITH TITLE V DATED: FEBRUARY 26, 1949 3 2 50,E Sli do N IN PLACE � �'' --�' �- P �113/l �' ��` � OF THE STATE SANITARY CODE DATED MARCH 31, 1995, AS AMENDED THROUGH ASSESSOR'S MAP 336 PARCEL 049 CLEAN Mo. SAND/ CLASS I CLEAN MED. SAND/ CLASS I N/F TALES OF CAPE COD, I N C 4 9 9 PAN TER 4 5.9 - \ CERTIFICATE OF TITLE No. 33,011 - C:� `� i _ THE DATE OF THIS PLAN, & ANY LOCAL RULES & REGULATIONS APPLICABLE. � EXIST��G, SEPTIC SYSTEM�� . 1....�- - 12.�• DEED BOOK: 20,642 PAGE 166 (SECOND PARCEL) L-C. PLAN 31477 A PER �PERYIT No. 94-351 4 .9 ?£ 48. � , \' OWNER/APPUCANT: DAVID A. PARRELLA & CYNTHIA H. PARRELLA ) � -PROP. �46 5 18, 3. ANY CHANGE TO THIS PLAN MUST BE APPROVED IN WRITING BY THE ENGINEER. REMOVE IXISITNG _ - - I ELEVATION INFORMATION MUST NOT BE CHANGED WITHOUT WRITTEN PRIOR APPROVAL THE PROPERTY LINE INFORMATION SHOWN IS BASED ON CURRENT AVAILABLE RECORD IXISTING SEPTIC SYSTEM ABANDON)t/E[�[I-dc _ `L,INES do D-BOX EXIS NC 47.9 `. o ` BY THE ENGINEER. INFORMATION CONSISTING OF PLANS, DEEDS AND CERTIFICATES. THE EXISTING FEATURES ALTERATION AS SHOWN Ow siPTid SYSTEM `\ �4 9.1 x �STON DRJ r =•� 1 \ ;' MODIFICATION PLAN FOR/4070 MAIN ST., AS EXISTING\LEACH PIT / 46,8 , , SHOWN HEREON WERE OBTAINED FROM AN ON THE GROUND FIELD SURVEY PERFORMED BY PREPARED BY BAXTER AYE ENGINEERING do ,TO SERVICE HSE. #4070��1 1 \ / / � /-36 LF 4` PVC, BARTER NYE ENGINEERING AND SURVEYING ON DECEMBER 8, 2005. SURVEYING. DATED 1 16 05, REVISED f ll` J l X 4 9 y S - 1.Oxs 7 X� , �I \ 4. WHEN CONSTRUCTION IS COMPLETED NOTIFY THE BOARD OF HEALTH AGENT AND S _ xSQ.o '� / ",w \ �� %'�, DESIGN ENGINEER FOR INSPECTION AT LEAST 48 HOURS PRIOR TO BACKFILLING. THE PROJECT LIMITS, AS FIELD SURVEYED BY BY BAXTER NYE ENGINEERING AND SURVEYING ' -1 so THE SYSTEM SHALL NOT BE BACKFlLLED UNTIL INSPECTED AND APPROVED. ON DECEMBER 8, 2005, EXTEND APPROXIMATELY TO THE OUTSIDE LOCUS PROPERTY LINES, ` / \ D-Box _ OTHER INFORMATION SHOWN IS FOR REFERENCE ONLY AND IS GIS INFORMATION OBTAINED o 50.3 �` \` ' = � I \ 5. ALL SANITARY DISPOSAL SYSTEM PIPING TO BE 4" SCHED 40 PVC, UNLESS FROM THE TOWN OF BARNSTABLE GIS DEPARTMENT. z PUMP LEACH PIT AS -1 �1 t J i NECESSARY THEN FILL `� 1 Na + 4/.6 ` I OTHERWISE NOTED HEREIN. COMMUNITY PANEL NUMBER: 250001 0001 D s� _ WITH CLEAN SAND''(OR 1 1 Me r- \~ _ THE FLOOD INSURANCE RATE MAP DEFINES THiS AREA AS ZONE C, `CRUSH) do ABANDON . + 4�.9 � _-- - � S.A.S.sS WITH 4 ` ,. 6. UNSUITABLE MATERIAL ENCOUNTERED BELOW THE TOP OF SAS (PEASTONE ELEV AREA OF MINIMAL FLOODING. PLACE ^} I LEACHING CHAMBERS -�- ' = 48.00), SHALL BE EXCAVATED AS NOTED TO THE MEDIUM SAND (C2 AND C3 �� SEE PLAN do - _ - J `" s, PROFILE LAYOUT �''"`' ��_.__ \ HORIZONS) AS SHOWN ON TEST PIT #2 & 11 RESPECTIVELY (APPROX. ELEV = 51.9 3 �� S 53.6 19 X" ( DETAIL BELOW i k f..� A° I ' BETWEEN 37.10 & 34.20) FOR A HORIZ. DISTANCE OF 5' SURROUNDING THE i -_ CLEAN AND REMOVE ` ` LEGEND ,_cc'. .: • 50.4- �2=) �\ \ ; LEACHING FIELD, AND REPLACED WITH CLEAN SAND PER 310 CMR 15.255 UP TO (OR CRUSH IN PLACE) THE BOTTOM ELEVATION OF THE SAS (ELEV 45.48), THEN DOUBLE WASH STONE TO 54,4 EXISTIj G D-BOX 3 ; ems'---�- TOP OF SAS PER DETAILS HEREON. ® = TELEPHONE MANHOLE CB = CONCRETE BOUND � ExISTIr,G sEP1yQ SYSTEM-- �►` I I f.. ; Ya g j ;� , F ELECTRIC METER DH DRILL HOLE PER PERMIT No -� x o , C4 - r \ 7. INSULATE ALL PIPES AGAINST FREEZING AS REQUIRED WHEN LESS THAN 3 OF GAS METER FSB FIELD STONE BOUNDXx STONE WALL 94-35? :��- I COVER. _� :a 54.6 - ��� �°° i o ,'' ; I MHB,FND = LIGHT POLE MHO = MASS HIGHWAY BOUND 54.4 �` 54.3 `.� «� 1' cy:�� �, '�DtcK ` I I �' �� 8. THE SEPTIC DESIGN QoEs Nor INCLUDE GARBAGE GRINDER DISPOSALS. 04 •--�� = UTILITY POL.E�GUY WIRE CBE = CENTER BACK EDGE \`� ANTENNA 0- 54.3� 54. f:x t.U c• 5.0' i EOP = --12.�' �+ I s .7 EDGE OF PAVEMENT F.F.E. = FINISH FLOOR ELEVATION 54,5 I fi } �:; - VERDIGx 4� o 1 CB DH FND,,-�^C = STONE WALL 52,; r I = _T B_ - 9. CAUTION: THE CONTRACTOR SHALL CONTACT DIG SAFE (AT 1-888-DIG-SAFE) G.F.E. = GARAGE FLOOR ELEVATION Exls TING , r •• 1,7.0 1 L.C. PLAN 21,702 B i - AND UTILITY COMPANIES TO LOCATE ALL EXISTING UTILITIES AT LEAST 72 HOURS -w--- = WATER LINE r L_-,s.r: .10 1 ' 2. STOR.Y WCOU r l rf `:.5 :-s. = ' MA: 336 PARCEL 4..' --of+w--- = OVERHEAD WIRES I p rjELLING c� I '�'` / BEFORE THE START OF CONSTRUCTION. THE CONTRACTOR SHALL DETERMINE THE FRAM 5.0 I ! CERTIFICATE: OF TITLE ,No. 170,635 :, __ N, BOTH HORIZONTALLY AND VERTICALLY, OF ALL EXISTING UTILITIES = TREE LINE No• 4070 EXACT LOCATION, _ ` w OVERDIG i N/F ANITA P,aRKER BEFORE-THE START OF-ANY WORK. THE LOCATION OF EXIS.T7NG UNDERGROUND 56.1�+' S 3.8 x,Z (SEE STRUCTiON NOTE 6) ,/- ,' R TREES dt .SHRUBS _ � FF_E.�, , r_ 4,,�_.I �-- - I UTILITIES ARE SHOWN IN AN APPROXIMATE WAY ONLY MAY NOT BE LIMITED TO _ SIGN TP #1 THOSE SHOWN HEREON AND HAVE NOT BEEN INDEPENDENTLY VERIFIED BY THE 54,6 X, ' _ � z �. ` OWNER OR ITS REPRESENTATIVE THE CONTRACTOR AGREES TO BE FULLY 1 54,6 �3.8 x ` x a o / g MAP 336 PAf4CEL 04Fi I 54:7 £ .� 5�1 512 ;r J w 61 ` /� RESPONSIBLE FOR ANY AND ALL DAMAGES WHICH MIGHT BE OCCASIONED BY THE N/F rt oeER r F. c TH ERI:E C. R l A;d PARCEL A - , i \ x , .�,�; ' ,'-' '' ` sl CONTRACTOR'S FAILURE TO LOCATE THE UTILITIES EXACTLY. IF ELEVATION Z ) I MAP 336 PARCEL 049-001' �' q I x _j` \ I "' oP o� INFORMATION DIFFERS FROM PLAN INFORMATION, THE CONTRACTOR SHALL NOTIFY LEACHING AREA RE IREMENT D Eo Dooi< rev PACE 5& 12,689t SO. FT. ' ' S2.6 QU S •� \ ' r 4P.3 -` THE ENGINEER IMMEDIATELY FOR POSSIBLE REDESIGN. AT UTILITY CROSSINGS NITROGEN LOADING LIMITATION: NIA 0.29t ACRES r I r T 1 r ° - ' RESIDENTIAL: 3 BEDROOMS - o + �' I i I / � up #202 ' '' -' VERIFY IN FIELD THE LOCATION / INVERTS OF ELECTRIC, GAS, TELEPHONE & +' N (j ,A \ �i I I 50:7x/ ✓8� o�v / j w\ DATA/COMM AND RELOCATE IF CONFLICTING WITH PROPOSED INVERTS PER THE 3 x 110 GPDZBEDROOM o s I , x 5ar' ENGINEERS DIRECTION. THE CONTRACTOR SHALL PRESERVE ALL UNDERGROUND TOTAL DESIGN FLOW = 330 GPD 54.6 ; 53.0 I �, ,� /�'o, twY , W / ' \ / UTILITIES AS REQUIRED. z, �. 1 ' o , GARBAGE GRINDER (NOT INCLUDED) = N/A - t �ti�r 4 �' I �� g1 ,� \��� �+'' �, 5 6�•25`� q'\ �_- kg• �v�P 4•8.2_ _ �5,�3 1 10. EXISTING SEPTIC SYSTEM INFORMATION OBTAINED FROM TOWN OF BARNSTABLE PERC RATE _ (CLASS 1 MEDIUM SAND PER SIEVE ANALYSIS) ' \ I BOARD OF HEALTH AS-BUILT CARDS, PERMIT 194-351 & 94-352. LIAR - 0.74 GPD S.F. x 54.4/ f `,i �/ I 51: ,%M�NoN�r\.°�4 --'" MIN. LEACHING AREA OF SAS. REQUIRED: 000* X g\i\ ' 8 8 --- -: \w-�; I i 11. WA ON FOR HOUSE 14070 IS BASED ON 330 GPD 0.74 GPD .F. = 5 I ------ o / ° � g+ _'r ' BY BARNSTABLE FIRE ICT - WATER DEPARTMENT. / /S 44 .95 S.F. MIN. __ - 54 , \r .,0,6 �.�.1\'++ � 1 , r TIE 128 ,OVIDED w .PROPOSED SYSTEM: 10' X 29' X 2' CHAMBER SYSTEM \�� -- I ,,o, x � � a,o ��g,' / `' . - 15 Bone Hill Road 4 - ADS-BIODIFFUSER 160OBD PLASTIC LEACHING CHAMBER UNITS I a p1 \, , , Nox 50.6 r �-, i Cumma uid WiTH STONE (SEE DETAILS HEREON) q SIDEWALL AREA: (10 + 29)2 x 2 DEPTH = 156 SF IBM: NAIL �l Barnstable Nlassach efts BOTTOM AREA: U0' x 29') = 29Q SF ���� PL ,�� 4 IN UP #3/201 .l �, �i ��� I 1 i i 0 ' 1.5 EL. - 53.00' ,/ 1 j �` , , I TOTAL EFFECTIVE LEACHING AREA - 446 SF FSB FND -�g�1 a3- \ 0 w \� 1 , 1 PREPARED FOR SYSTEM DESIGN CAPACITY = 446 SF x 0.74 GPD/SF = 330 GPD SEPTIC TANK SIZING: 330 GPD x 200R = 660 GAL Pr' O . _- i MHB FND P 1 52:8 "y �• o� - r (CBE) ■ USE 1500 GALLON TANK-OW -- �x 5'- w ; ` Barnstable Harbor Builders 1:7 � / g1 � 2 � w �'-� #Zoo,.; - , - _ P.O. Box 483, Barnstable, MA 02630 �oP �ks1 Eop s� w "I a�3 (508) 362.8885 \ ME io .3 -1-1/2" BuildingPermit & TYPICAL DOUBLE WASHED STON DIST. LINE IN SYSTEM PROFILE o 4 » ENODIF1�ER 16008D (OR �,�,,., Septic System Design Plan NOT TO MALE •- N LEACHING CHAMBERS nNISH ELEV �F52220 NOTES. COMPONENTS ARE NOT DESIGNED FOR VEHICULAR H2O LOADING. co BAXTER NYE ENGINEERING & SURVEYING TOP OF FOUNDATION - 51.00 M SET AT LEAST ONE MANHOLE FRAME Registered Professional Engineers and Land Surveyors 1.84 25.33 1.84 � � y FINISHED GRADE = 50.50 & COVER TO GRADE. RISERS do INCOVERS SWILL COW 6* OF FINISH SEr �E M HOLEM B OF FWISH CRUDE r= • 29' 78 North Street- 3rd Floor Hyannis, Massachusetts 02601, BE WATERTIGHT RISERS COVERS SHALL BE WATERTIGHT Phone - 508 771-7502 Fax - SOS 771-7622 PLAN VIEW ) ( ) NIATTHEW ol FlIVISFIED GRADE OVER TANK 50.5 E i NOT TO SCALE FINISHED GRADE OVER D. BOX • 49.6 10' a- v1L 1 4• SCH FINSHED GRADE OVER LEACHMlG TRETVCH s1.00 20 0 20 40 1 3183 L­ 12' O S-2.Ox (1.OX MIN ALLOWED) 30 Wr. ' 'y'• •:, - �; FINISHED GRADE 6 MIN. • 9` (min) Cawr ACCORDANCE WITH " " 77 ENV OUT 48.97 36 Lf»4 SCH 4b PVC O S-t.ox ■ OOMPACTED FRL INSTALL ONE INSPECTION PORT IN 36 LF 4 SCH. 40 PVC O S-1.Ox -�- `� SCALE IN FEET ENV N- 48.73 10' OUT- 411.4e (FIRST 2' TO BE LEVEL) 36• (am) Cover WWUFACTURIRS 36 MAX.-9 M+IN• \�\COMPACTED FILL��\� - PVC "C.- r 2' LAYER 1/8`tot/2' RECOMMENDATIONS 2" LAYER DOUBLE WASHED TOP OF CHAMBER SCALE: 1" 20' :c 4 F2. CHAMBER TOP DOUBLE W/Lyp y' 4 » BIODIHSER t (OR EQUAL) STONE 1/8` TO 1/2" PIPE INVERT • GAS BAFFLE ■ W IN-48.1 6. y.U� wv our- 47.9s 4' sa+ 4o PVC " " DATE: 02-23-06 14 3/4 TO 1-1/2- 24 REINFORCED CONCRETE - 6• CRASHED - - - CFWIBElt INII INS 47.61 DOUBLE WASHED EFFECTIVE -+r• ;». :,;'..: STONE, %.�. :r- ,.:- STONE , DEPTH t.i '- :e' +• •:•d�•,�.r..•<. -lam •1ji.• •'yam.°. ' +' WT. N 60 CRUSHED N SµVw.ii STOhIE BASE W 3/4 T 1=1/2 DOUBLE I I t ' I--- 3.6' 2.8' 3.6"--I NO. BY DATE REMARKS IM GALLON Ow-COIiIPARTII M SEPTIC TAN( 5' wN DOS11NG UNSURABLE SOILS TO BE REMOVED TO THE •MEDIUM NO SS TEO SC ALE RAWN BY: MCL D N D BY: H KED : MWE DRAWING NUMBER ROTONDO Sn5DD OR EQUAL DISTR®UT10N BOX NO GROUNDWATER OBSERVED O ELEV 32.10 SAND HORIZON AS NOTED IN NOTE J6 HEREON. PLASTIC LEACHING CHAMBER DETAIL SEMTO BE TAW M BE wED M##M1Y T'0 BE �A LEVEL SrMf BASE W& ABSORPTION SYSTM (SAS) LUCHM CFU►IyIBER (TYPICAU ADS-BIODIFFUSER 160OBD (OR EQUAL) O: 2005 05-234 CIVIL PLO 2005-234-Parcel-B-SP.dw NTS NM LAYUP LENGTH 76' PER UNIT 2005-234