HomeMy WebLinkAbout0141 MAUSHOP AVE - Health 141 Maushop Avenue of
•��•.«sable
A= 299- 093 -003
j
r
i
Commonwealth of Massachusetts
Title 5 Official Inspection Form
s Subsurface Sewage Disposal System Form-Not for Voluntary Assessments
141 Maushop Ave
Property Address r
Howard Wollard
Owner Owner's Name
information is required for every Barnstable MA 02630 11(1/12
page. Citylrown State Zip Code Date of Inspection
Inspection results must be submitted on this form.Inspection forms may not be altered in any
way.Please see completeness checklist at the end of the form.
Important:When A. General Information
filling out forms
on the computer, t5,5
I
use only the tab 1. Inspector:
key to move your
cursor-do not Michael Kellett
use the return Name of Inspector
key.
Aardvark Environmental Inspections '
Company Name
PO Box 896
Company Address
East Dennis MA 02641
Citylrown State Zip Code
508-385-7608 S13742
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 instion.Tfietihspeetton
was performed based on my training and experience in the proper function and maim enance af;on site
sewage disposal systems. I am a DEP approved system inspector pursuant to,Sbction 15 340 cfE
Title 5(310 CMR 15.000).The system: :y
® Passes ❑ Conditionally Passes ❑ Falls
❑ Needs Further Evaluation by the Local Approving Authority - a,
1�1!ekj
-1.1/08/12
Inspector's Signature a 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.
)n[lb
t5ins•11/10 TElie 5 Ofrcial In dion FOEm:Subsurface Sewage Disposal System•Page 1 of 17
Commonwealth of Massachusetts
Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form-Not for Voluntary Assessments
141 Maushop Ave
Property Address
Howard Wollard
Owner Owner's Name
information is Barnstable MA 02630 1117/12
required for every
page. Cityrrown 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:
® I have not found any information which indicates that any of the failure criteria described
in 310 CMR 15.303 or in 310 CMR 15.304 exist.Any failure criteria not evaluated are
indicated below.
Comments:
B) System Conditionally Passes:
❑ One or more system components as described in the"Conditional Pass"section 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 exfltration 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-11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 2 of 17
f
Commonwealth of Massachusetts
Title 5 Official Inspection Form
s Subsurface Sewage Disposal System Form-Not for Voluntary Assessments
141 Maushop Ave
Property Address
Howard Wollard
Owner Owner's Name
information is Barnstable MA 02630 11/7/12
required for every
page. Cityfrown 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):
F
❑ 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): .
r
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 mannerwhich 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
Tins•11510 Tide 50frcial Inspection Form:Subsurface Sewage Disposal System•Page 3 of 1i
r
Commonwealth of Massachusetts
Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form-Not for Voluntary Assessments
141 Maushop Ave
Property Address
Howard Wollard
Owner Owner's Name
information is required for every Barnstable MA 02630 1117/12
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 mannerthat 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:
f ,
D) System Failure Criteria Applicable to All Systems:
You must indicate"Yes"or"No"to each of the following for all inspections:
Yes No
❑ z B® Backup of sewage into facility or system component due to overloaded or
clogged SAS or cesspool
El ® Discharge or ponding of effluent to the surface of the ground or surface waters
due to an overloaded or clogged SAS or cesspool
O ® 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 if day flow
t5lns•11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 4 of 17
Commonwealth of Massachusetts
Title 5 Official Inspection Form
s Subsurface Sewage Disposal System Form-Not for Voluntary Assessments
141 Maushop Ave
Property Address
Howard Wollard
Owner Owner's Name
information is required for every Barnstable MA 02630 11/7112
page. Cityfrown 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
I
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 coliforrn bacteria indicates absent and the presence
of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm,
provided that no other failure criteria are triggered.A copy of the analysis
and chain of custody must be attached to this form.]
❑ ® The system is a cesspool serving a facility with a design flow of 2000gpd-
10,000gpd.
❑ ® The system fails.I have determined that one or more of the above failure
criteria exist as described in 310 CMR 15.303,therefore the system fails.The
system owner should contact the Board of Health to determine what will be
necessary to correct the failure.
E) Large Systems: To be considered a large system the system must serve a facility with a
design flow of 10,000 gpd to 15,000 gpd.
For large systems,you must indicate either"yes"or"no"to each of the following,in addition to the
questions in Section D.
Yes No
❑ ❑ the system is within 400 feet of a surface drinking water supply
❑ ❑ the system is within 200 feet of a tributary to a surface drinking water supply
El Area
system is located in a nitrogen sensitive area(Interim Wellhead Protection
El 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•11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 5 of 17
k
Commonwealth of Massachusetts
Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form-Not for Voluntary Assessments
141 Maushop Ave
Property Address
Howard Wollard
Owner Owner's Name
information is required for every Barnstable MA 02630 11/7/12
page. Cityfrown state Zip Code Date of Inspection
C. Checklist
Check if the following have been done.You must indicate"yes"or"no"as to each of the following:
Yes No
® ❑ 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): 5 Number of bedrooms(actual): 4
DESIGN flow based on 310 CMR 15.203(for example: 110 gpd x#of bedrooms): 550
t5ins-11/10 - Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 6 of 17
1
r
Commonwealth of Massachusetts
Title 5 Official Inspection Form
s Subsurface Sewage Disposal System Form-Not for Voluntary Assessments
141 Maushop Ave
Property Address
Howard Wollard
Owner Owner's Name
information is required for every Barnstable MA 02630 11/7/12
page. Cityrrown state Zip Code Date of Inspection
D. System Information
Description:
Number of current residents: 2
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 years usage(gpd)):
Detail:
Sump pump? ❑ Yes ® No
Last date of occupancy: Current
Date
Commercial/industrial Flow Conditions:
Type of Establishment:
Design flow(based on 310 CMR 15.2013): Gallons per day(god)
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-11/10 Title 5Official 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
141 Maushop Ave
Property Address
Howard Wollard
Owner Owner's Name
information is required for every Barnstable MA 02630 11r1/12
page. City/Town State Zip Code Date of Inspection
D. System Information (cont.)
Last date of occupancy/use: Date
Other(describe below):
I
General Information
Pumping Records:
Source of information:
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 UA system by system operator under contract
❑ Tight tank.Attach a copy of the DEP approval.
❑ Other(describe):
t5ins•11/10 Title 5Official Inspection Form:Subsurface Sewage Disposal System•Page 8 of 17
Commonwealth of Massachusetts
M Title 5 Official Inspection Form
s Subsurface Sewage Disposal System Form-Not for Voluntary Assessments
141 Maushop Ave
Property Address
Howard Wollard
Owner Owner's Name
information is required for every Barnstable MA 02630 1117/12
page. Cityrrown State Zip Code Date of Inspection .
D. System Information (cont.)
Approximate age of all components,date linstalled(if known)and source of information:
09/10/08 per BOH
Were sewage odors detected when a riving at the site? ❑ Yes ® No
Building Sewer(locate on site plan):
Depth below grade: 2.7
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.):
Septic Tank(locate on site plan):
Depth below grade: 2.2
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: 1,500 gal
2"
Sludge depth:
t5ins-11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 9 of 17
Commonwealth of Massachusetts
Title 5 Official Inspection Form
s Subsurface Sewage Disposal System Form-Not for Voluntary Assessments
141 Maushop Ave
Property Address
Howard Wollard
Owner Owner's Name
information is required for every Barnstable MA 02630 1117/12
page. Cityfrown 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
28"
2„
Scum thickness
Distance from top of scum to top of outlet tee or baffle 6„
Distance from bottom of scum to bottom of outlet tee or baffle 16"
How were dimensions determined? measured
Comments(on pumping recommendations,inlet and outlet tee or baffle condition,structural integrity,
liquid levels as related to outlet invert,evidence of leakage,etc.):
The tank was sound and tight with tees in place and liquid at outlet invert.
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
t5lns•11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 10 of 17
Commonwealth of Massachusetts
Title 5 Official inspection Form
s Subsurface Sewage Disposal System Form-Not for Voluntary Assessments
141 Maushop Ave
Property Address
Howard Wollard
Owner Owner's Name
information is required for every Barnstable MA 02630 11/7/12
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-11/10 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
141 Maushop Ave
Property Address
Howard Wollard
Owner Owner's Name ,
information is required for every Barnstable MA 02630 11/7/12
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 even
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.):
The box was level and tight with no sign of carryover.
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)�ocate on site plan,excavation not required):
If SAS not located,explain why:
t5ins-11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 12 of 17
Commonwealth of Massachusetts
Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form-Not for Voluntary Assessments
141 Maushop Ave
Property Address
Howard Wollard
Owner Owner's Name
information is required for every Barnstable MA 02630 11/7112
page. Cityrrown State Zip Code Date of Inspection
D. System Information (cont.)
Type:
❑ leaching pits number:
® leaching chambers number: 4
❑ leaching galleries number:
❑ leaching trenches number,length:
❑ leaching fields number,dimensions:
❑ overflow cesspool number:
❑ innovative/altemative system 1
Type/name of technology:
Comments(note condition of soil,signs of hydraulic failure,level of ponding,damp soil,condition of
vegetation,etc.):
This system has four Five hundred gallon drywells in a 131A42'field of stone.There was no sign of
ponding or failure in the stones.
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•11/10 Title 5 Official inspection Form:Subsurface Sewage Disposal System•Page 13 of 17
Commonwealth of Massachusetts
Title 5 Official Inspection Form
.uv-t;
Subsurface Sewage Disposal System Form-Not for Voluntary Assessments
141 Maushop Ave
Property Address
Howard Wollard
Owner Owner's Name
information is required for every Barnstable MA 02630 11/7/12
page. Citylrown 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.):
I
t5ins-11/10 Title 5 Official inspection Form:Subsurface Sewage Disposal System-Page 14 of 17
Commonwealth of Massachusetts
Title 5 Official Inspection Form
s Subsurface Sewage Disposal System Form-Not for Voluntary Assessments
141 Maushop Ave
Property Address
Howard Wollard
Owner Owner's Name
information is required for every Barnstable MA 02630 11l7/12
page. City/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
12
15
Rear
54
49
58
69
t5ins•11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 15 of 17
i
Commonwealth of Massachusetts
Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form-Not for Voluntary Assessments
141 Maushop Ave
Property Address
Howard Wollard
Owner Owner's Name
information is required for every Barnstable MA 02630 11/7/12
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: 20.0
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:
❑ Checked with local excavators,installers-(attach documentation)
® Accessed USGS database-explain:
You must describe how you established the high ground water elevation:-
USGS maps show an elevation of over 20.0 feet
Before filing this Inspection Report,please see Report Completeness Checklist on next page.
t5ins•11/10 Title 5 Official Inspection Form:Subsufface Sewage Disposal System•Page 16 of 17
Commonwealth of Massachusetts
Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form-Not for Voluntary Assessments
141 Maushop Ave
Property Address
Howard Wollard
Owner Owner's Name
information is required for every Barnstable MA 02630 11/7/12
page. Cityfrown 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
t5ins•11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 17 of 17
TOWN OF BARNSTABLE
LOCATION R skto SEWAGE #
VILLAGE ASS ASS SSOR'S MAP & LOT` '~P 4
INSTALLER'S NAME&PHONENO.
SEPTIC TANK CAPACITY
�
LEACHING.FACILITY: (type) gap it LgAeo ize)
NO.OF BEDROOMS 7
BUILDER OR OWNER I&C
PERMITDATE: ® ®O - COMPLIANCE DATE:
J [All
Separation Distance Between the:
Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet
Private Water Supply Well and Leaching Facility (If any wells exist'
on sitaor 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
A .2
s _ 5v ,�
No. � � �� p' ! ' . Fee l ��
t
THE COMMONWEALTH OF MASSACHUSETTS Entered incomputer: s
PUBLIC. HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS
,poi RppYication for �h5po al ,pgtem Cow5truction Vermtt
k
lication for a Permit to Construct�Repair( ) Upgrade( ) Abandon( ) Complete System Individual Components
Location Address or Lot No. �/��5�(7 - Owner's Name,Address,and Tel.No.
G�T'x�/ e� �/� 2�C2e 2e�y lT�
Assessor's Ma /Parcel
p AA'' � - 11 I
Installer's Name,Address,and Tel.Nolbmce-No-cc l% a- cr1 Designer's Name,Address and Tel.No.
sI�ko 6kr�,9-%�s1
� .
508� yak-S�a9 ��cw��Vr o"s5 S08-.36A-'7'sy/ A�rn� r/? d2tV
Type of Building:
Dwelling No.of Bedrooms J!- Lot Size v� sq.ft. Garbage Grinder
Other Type of Building No.of Persons Showers( ) Cafeteria( )
Other Fixtures
Design Flow(min.required) S54 gpd Design flow provided S6c gpd
Plan Date lo,),1e p-n. acL Number of sheets Revision bate
Title
Size of Septic Tank /5G'c9 GA I o Type of S.A.S. 5-00 Gf9/ CNAaweS ry)
Description of Soil AS ,QCI— 60 1 �(7� dit
Nature of Repairsor Alterations(Answer when applicable)TO/sTA1Z4sDaCrd SeOJic?i/�i, '�7/.S r► �Tv� ��k,
s®o6,5. CHA -M,4- S C/.2,8"X Vd.0` F',e6 5''G�'/'�"Sionc
Date last inspected:
Agreement:
The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in
accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of
Compliance has been issued by this oard of Health
Signed rr- Date Sk7j--z
Application Approved by 6 Date
'Application Disapproved by.:, Date
for the following reasons
Permit No. exo® 0 Date Issued
,
>_ THE COMMONWEALTH OF MASSACHUSETTS Entered m omputer:'
PUBLIC HEALTH DIVISION- TOWN OF BARNSTABLE, MASSACHUSETTSes
Zlication
pplication for DigpogaY6p5tem CowarUction Permit
ermit to Construct Repair-(( Upgrade( Abandon(
) iComplete System ❑Individual Components f
M /
Location Address or Lot No. ` 6"j6i /� Owner's Name,Address,and Tel.No.
d0T'�y � ,�srHa1 'Ko.�XC2e/�P^�
Assessor's Map/Parcel a� y yy
Installer's Name,Address,and Tel.No.-&uC C tIQCCO S l Designer's Name,Address and Tel.No. -�� clq pc��f/fin"
ah t��� ��. 9,3gr-iq; s7
A.
S - `/a(3-ssa9 508-36A-17'S,41/ yA�,,�� %//7Acb16�f
Type of Building: LL
Dwelling No.of Bedrooms J1" Lot Size 93a0J8 sq. ft. Garbage Grinder (�✓�
Other Type of Building No.of Persons Showers( ) Cafeteria( )
Other Fixtures
l' Design Flow(min.required) SSO gpd Design flow provided 60 gpd '
Plan Date N�= J�� oZOC7 Number of sheets .� Revision Date '
Title
Size of Septic Tank /.700 GA Type of S.A.S. 560 GF)f ckmtor_=.P_S rl)
t
Description of Soil s %cy '50rJ `US C9 X
"i
Nature of Repairs or Alterations(Answer when applicable)74 s7 1500 Gr?<_SPdTi C754 k
Date last inspected: 4'
Agreement:
The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in
accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of
Compliance has been issued by this Board of Health
,1. ��Signed . Date J /- 0106 /
Application Approved by J R- Date g r
Application Disapproved by: Date
for the following reasons
Permit No. a d — 3 0 Date Issued q ' 6 0
THE COMMONWEALTH OF MASSACHUSETTS
BARNSTABLE, MASSACHUSETTS
Certificate of Compliance
THIS IS TO CERTIFY,that the On-site Sewage Disposal System Constructed (`/S Repaired ( ) Upgraded ( )
Abandoned( )by S H O e r 1 i'J E Cu n s,
at 1'4 k h AU5t W VC oR d — —,5r1 ar t 16-51 E has been constructed in accordance
with the provisions of Title 5 and the for Disposal System Construction Permit No. xc o 3 8 1 dated —6
Installer(-Uce �CvCC.`'�S e� Designer TQL"-, Cc\?Z E"1,
#bedrooms , 11�IT Approved design flow j JU e / gpd {
The issuance of this permit shall not bee construed as a guarantee that the system will function as designed-
Date D/ ��r Inspector
r
No. O ! Fee tl 5o
THE COMMONWEALTH OF MASSACHUSETTS
PUBLIC HEALTH DIVISION—BARNSTABLE, MASSACHUSETTS
Migogat *pgtem CottgtrUCtion Permit
Permission is hereby granted to Construct ( � Repair ( ) Upgrade ( ) Abandon ( )
System located at
�ARx�s,,PBt�z
and as described in the above Application for Disposal,System Construction Permit.The app icant recognizes his/her duty
to comply with Title 5 and the following local provisions or special conditions.
Provided: Construction must be completed within three years of the date of thil�, mit.
Date `' ^ Approved by �1
f .3 ;
FF`dA :Gown cape engineering inc FAX NO. :15083629880 Sep. 23 2008 09:37RM P1
° i
k1
}4s i
`Ts 'own of Bamstable
,M�,
Reguiatery Services
. yt�
i t. iL 0 Thomas F.Gefler,DId ec LYr
Public Health Division
Thomas McKean,Director
266 iNgin Strom RYAU *&LA 03601
c {rf 1
FADS; 308-"0-6306
f4
f
e.
f f:i
C9�1 is
_r?
NE.,
`.n"': 0-1 �
'• Pt. �� `�' �� e w2s istttd a permit to tasWl a
to -
1;3r' (date) 4 iti5t&ilErl
Y / J
•:;'I�ic S`►SW-M idt b>ZSe(�on ®l@�Sb L' drawn byc
tea:
. 011 ate_'Me ZxjeLno 4141 d1ld
PN
I car* thilt the saptiq,stsrem iefardncad above was inswiled sMhsrartri rrli»Q rn
,he deli , which tom+ include rrdnor appr®ved Changes such as Iatertal relay atior of me
+, disvibatrst,n b oX 9116Or 3tMk lank,
i' T certi v that the ,;eDrle aystZerr referenced aloe s Installed with M or Changes -
$._; — Q�
r.} rhnn II), In.remI relre-ation of the SAS or any vertical r+Bl®cae�on s�¢a�� coms�®mezit
F ,�f the gCplis; svSIern) btl[ 1D.. AccorClo1T,ae w1th Slate& Local Rzs�tia!:ians. Plan - vision or
-ar6fied Rs-btt;ir F,y designer to fibila-w
OF 4f,
F `' o� DANIEL cy�
K
A.
5Stmai yid' OJALA
g r a No.40980
gND SURVry�
(_4ftLX Designer's SCAMP here)
k� f., I:I o;r1.9 �F1"R!R?V 1E� $a'Li�r 7e1 �y U-7y li 7 ss €c-^Aa<y�'IS141'��,_ �fi1�1y� 1p �►°
F tt . r"�•+ ° WILL IL 4 !BY
r.
n —
:,
I�,3
i
.f
L-
e
� 1
T T 1 T
�.
_.__ :_.._<......,....._,.....:.._..J_........._____..__,.__._.,...I_..._:...._<......:......: w LJkv
:::i;... ...5..._t.._.1..__i...:::i:;:..t::._.;..._.._...
r r J t
L r Q I r r r
' ! .T
............
IS
is r 1 J,. JJ.: 1�
1, 1 It l Od
:_
.._
12
I
I.7fN: Ill;.l < l1 l ,all ! ,( I I..C�
![ Jbi
PROPOSED FRONT ( SOUTH ) ELEVATION
5CALE 114'= 1'-0"
TOP RIDGE - -
-
11I'j 'I1 z! & 12s
III���III
_ ( ;
1 J .t I l l 11 f ,
TOP PLATE — 1 ... : 1 I t .: I , 1 ' , I I ! I I,S T_: ,.j ( <<r- .i� , !
1 � : 1 i , a ; rT
1`I'
' )
I} ) I <
Ll
" SECOND FLOOR(SUB) z 1 1 L-- )2
------- I,:::. ',. 1. .._ ..;._ , _l...l,.,..,.... .6.1 r.... ... i I I 1 ! l f.IL.,. 6
FIRST CIELING - _ ...:.,_.-., I f .. _. ;. L..I :.;_ L:._t ............_ [..r !. ._: ,.:.. 1.....,.
Fp
tJ-iT :.G I _1:,�'..": '. :.._I ..,.I 1 .. " ..� t f ;. t I . t I (_ . '! ( .. i I •r I
oo _'_t�
�i fr u i OLSON DESIGN ASSOCIATES
55 ELM AVENUE
Hyannis,Massachusetts 02601
11 < 508-775-0300 email-olsondeaign@vertzon.net
FIRST FLOOR(SUB) ira t �1 , 1. " P
— — — - I 4 1 l:....;."' l ROPOSED NEW RESIDENCE
FIN.GRADE LOT#4-OFFSHOOT ROAD
BARNSTABLE.MA.02630
s-m
WOOLLARD BUILDERS
"e'0 BARNSTABLE"MA.02630
PROPOSED RIGHT SIDE ( EAST ) ELEVATION • ELEVATIONS
D.O.
5CALE 1/4"= I'-O" By
NOV.30.2007 A 1
h
I
a•.6• 24d 39'-6'
za
I •
___ __ ________
4•.6• r-6• 5'd B'd z-a 4:6• 1
b
rA
I I
I n
' I
b
I �
I I '
1 1 -
.... s » ____________________• GAGE
I I
I -6' - 13-2' 2'-6'. 12d - Ye 4
L
--------------------
m
I I
I
I _ I •
I b 1
- I I
•• - _. - ._ w - �b MASTER W.I.C. _ ..
BATH =� -
I -
m4lER BED ROOM
HALL I a
FAMILY ROOM a ® I
. � 6 POWDER UIUNDRY § I �`
1
4 I14' -3 3I4' 1'-B I/4 B'-7 1/2 b Y-6'.4'-6• I
I
4 I 26
1 - ��..••�� I/2• ee 1
§ 0 b » I
_- - -
^' - FOYER - 1
I -
. I 2-1.4•-1 2'-6•.4'-6 1-6'.
I I
LIVING
• »__ �.b._ ems.__ _�__ .z..a•, viz• -
- - - 1 4'a 1 ROOM
F
ENTRY � b I
PORCH
I I
PORCH
�___-___ P NTRY 1
I
\\ 7-B 3IB' 7 Il4• 4'-9 3IB', 4 I
______ ____ __
\ ---_------------
_
I •
0 0 -
12'-9 I/B'
I I ,
I I
KITCHEN DINING b I
a
I T� OLSON DESIGN ASSOCIATES
1 - o _ zi ry O ■ ELM AVENUE
I z'-o• '_a I LJ Hyannisis,Massachusetts 02601
Z o ---- _ 1 50&775-4300 email-olsondeslgn@verizon.net
I 2-6'.3-6• 2'-B"3-e 1 PROPOSED NEW RESIDENCE
- I
LOT#4-OFFSHOOT ROAD
a -------- --------
--- z'z u4• z'.a o B• z:6' 3717 2-6• 2:6• BARNSTABLE,MA.02630
11 1l4• 1 ve• .
-7 SIB' -4 3/B• 1
m-a
WOOLLARD BUILDERS
zs-a za d 1-2-o-
BARNSTABLE,MA.02630
6e•.a
FIRST FLOOR PLAN
FIRST FLOOR PLAN e. D.C.
A3
5CALE 1/4"= 1'-0' NOV.30,2007
33
z'-a z0a Yo
b §
I I
_ I I
- I I
§ I b
I I
I
- I 23•-Y I 4
I I
I
_ I
§ b
I UNRNI5MED 5PACE I. -
� I
I I 531/4' T-Ia 3IB' B'-5 Ill 1-3 Il -
I I
R I I
I I
I I
b I I
• I I Y-6''4'-0' � 2-�.4'{T 2'-6'+9'-0' 2'-6'+4'-6' 2�6'.1'-6'
3•-B I/2' I - � I o '
I I I ti
I I ili
I I I
T §
b N .
-" - - - BED ROOM MATHI
_ BED ROOM
T
b ——————————--- -- ——————————————— —
--- UNFINI5MED SPACE
b b b -
- A
II
HALL § 2-6
`' ON ` _ DECK
b _______________ ___ ____________________
- - � aped m rweF seLow -
2.0•
b 2'-0 a'.P 2'-6•. z•-e.n•-o' § I BA _{ b W.I.C.
2-6 2 6
§ 1
1 m
BED ROOM SITTING ROOM= I 4 _
§ - ,li
m OLSON DESIGN ASSOCIATES
1 - - O� 55 ELM AVENUE
Hyannis,Massachusetts 02601
b §b 50$-T75-0300 email-olsondesl n v nzon.net 9�e
Y-6'+4ta 2'-6'.4'-P .6•.,'.a. PROPOSED NEW RESIDENCE
LOT#4-OFFSHOOT ROAD
BARNSTABLE,MA.02630
r-e• B•.r 3-7 a+• e'-s 3/+• 3'-e•
z•a ''-6' WOOLLARD BUILDERS
es- 34.1 z.-0 BARNSTABLEXA.02630
6+'.a
SECOND FLOOR PLAN
SECOND FLOOR PLAN
ey D.O.
SCALE 114" = 1'-0" m Y A-4
NOV.30,2CO7
sma 1/4"= 1'_0'
TYP.- ALL FDN. WALL5 - 8"THK.
6e,a ( HEIGHT VARIES ) W/ 245 REBAR
CONT.-TOP* BOTTOM - ON I GI'W.
a.6' 24'-O' 34-6•
X 8" D. X CONT.KEYED CONC. FTG'5
PROVIDE DAMPROOFING TO GRADE
7.
ALL CONC. SHALL BE:
----------- ---------- ----------- — --- ---- •-- Fy — 3,000 P.S.I. MIN.
b @ 28 DAYS
GARAGE FDN.WALL5-
:--------
z 8'THK.4'-0"H.ON CONT.
O G"W.X 8"D.KEYED
CONC.F7G.
o' ALL FOOTING'S SHALL BEAR
0.
ON MATERIAL CAPABLE OF
o GARAGE SUPPORTING I I/2 TONS/S.F. _
4"CONC.5LA13 s'.o• Y-a. - .
4 PITCH TO DOORS - MIN.
o; ............... _BILCO
TOTE'C•
z _______
O p U5E 1/2" DIAM. ANCHOR
V,
o; +o"DE BOLTS ( OR APPROVED
G-1 e;
Epp.
Q
o
p.}_: ._________ -- -:__ __ __„_
"3e a
FULL HEIGHT WALL5 " ALL STEEL RE-BAR:
" PSI MN
' ' ' �;e'-51a• 0•-6 il4• -10'
„
PKT - PKT
,�; ___.
b i,
2'2' -J I. _ - _ b -
21 „ �u
I ••
NOTE; VERIFY A
— — — " _ ALL FDN -
"'• HEIGHTS AND
_ __ ___
DROP5 AT SITE - MIN. 8"
-
�;I' — T I TYPICAL- I m TOP OF FDN. TO GRADE
TYPICAL- Off; 30"X 30'X 12'D.
��• �I� CONC.FTG'5.W/
TYPICAL
30 X30 X 12 D.
b a L14—
X----C40NC.FTG'5.W/ ,� °�;p 4-#5 EW BOTT. BM-#S EW BOTT. � 31/2'D.5TL.COL'5. Nk _. _________________ _____N-31/2"D.5TL COL'5. �l� 1/2"LVL GIRD,9 ,TYPICAL-FULL HEIGHT
8'THK CONC.FDN.WALLSW/2 #5CONT.T E B ON16 W X , D.X CONT KEYED ' � a NOTE; ENGINEER TO
2., ;_CONC:FTG BM �. - - __0 _________________PKr ;� 6 s llz' TYPICAL-F LL HEIGHT °8"THK.C NC.FDN.WALL5 VERIFY FDN � FT'G:
)34"
W/2-#s CONT.r s B ON ELEVATIONS PRIOR
__ _______________________ ___________________________________o_________ = I G"W X KEYED
I
D.x cony. TO CONSTRUCTION
m (S CONC.FP _
§ (PORCH ABOVE) - `p - (PORCH ABOVETYPICAL-30"X 30'X 12"0. �;; bCONC.FTG'5.W/4-#5 EW BOTT.-3 1/2"0.STL.COL'5. TYPICAL-
24'X 24"X 10'D.
CONC.FTG'S.C .
8"CONC.50NO
_ TYPICAL- - '-�3la' ; TUBE W/2-#5
o e
24°X 24"X I O'D. DOWEL5 VERT. -
CONC.FTG'5.E -
8"CONC.50NO
TUBE W/2-#5
DOWELS VEROLST. -
ON DESIGN nis ELM AVENUE
Hy.. Mssseoh setts 02601 ASSOCIATES
BM
_----------------------------------__PKT----- O 508-7754300 email-olsonEesign®vemzon.net
- PR RESIDENCE
;
--_--__•__-_-•_-••--_ - — PROPOSED NEW
• LOT#4-OFFSHOOT ROAD
BARNSTABLE,MA.02630
Tq• T<I/ 5'a1 Ila' S'A Ile'
la•-B/e' I'-a 3/6•
WOOLLARD BUILDERS
ze'-o• BARNSTABLE,MA.02630
2a-o
6e'
FOUNDATION PLAN
a.. D.O.
FOUNDATION PLAN '`ry,_
SCALE 1/4"= I'-O' NOV.30,2007 "''
j
ze•-a +D-o• .
2X12 RIDGE BD, 1r.a Io'-a z-a
2X12 RIDGE BD.
2 X 10 RAFTER5 Q I G"O.C. 2 X 10 RAFTER5 @ I G"O.C.
W/I/2°PLYWD.5HTG.E
ASPHALT 5111NGLE5 AS W/ASPFIALT ShIINGLES AS
/2'PLYWD.ShTG.E
-
SELECTED
SELECTED
M.FDO(V[MS
M AAA
P3B MIN.INSUL,t 2.B5:'®110.
.. .SfE EUNATIDNS
OP
PLAT[ `
TYPICAL-
ALUM.DRIP.-
-
I I I X8 FASCIA BD:W/ �
_—_— _ _ _ _ 0 z-a• Beo.c. N __ __
r`nc.c1l, ALUM.GUTTER-.1)(5
_ _ _ _ _ t 1"GP. .o t%3 ' SOFFIT BD.W/CONT.
— — — — — — — —
— _ ' VENT- X6 FREEZE BD.
I BED I FAMILY
AAA
I/2'Grr.BD.ON I%3 ROOM
ROOM
' I m
UNFINI5HED SPACE
I I
I 19•-0 1/r -
z x 10.e 1 z•D.c.wi m+• z% D,®t z•O.C.wi X4- TYP.PROVIDE"ICE E'
zrvD I 'us
DR Gw a9cFfwED sus rLR.Gw D.scPtwnD WATER"FLA5F11NG AT
BRD'G.M. MID D 5— . rw,aFOc.MID SPPN ALL VALLEYS
... nR.(sUB)
b
ST 0eL. ri
_� — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — —_— — — — — — — — — —
' rmcAL : M+cnL neL.-
afL BeaMs
®z'-a o.c.
DINING/
HALL KITCHEN LIVING PORCH
FAMILY 2T 5 `� G•-a
23-3 1/
Ploom
TYP: EXTERIOR 2 X 4 STUD WALLS - EXTERIOR 2 X 4 5TU0 WALLS
2 X 4s @ I G"O.C.-1/2'CDX OR EQ.511TG. +UB• Im_9"JB' 2 X 4s @ I G°O.C.-112'COX OR EQ.5HTG.
TYVEC OR EQ.-2-2X4 PLATE-2 X 4 SHOE - - EC OR EQ.-2-2X4 PLATE-2 X 4 5HOE
-R-I I MIN.IN5UL.-1/2"GYP.BD. INTERIOR ( z%to.®1z•o.c.wi sl+• - 111MIN.INSUL.- 1/2°GYP.BD.@ INTERIOR
@ t zx 1D.-111c.wiv+• sue(LR.GLu[D ascuwED -
SUB(IR.Gw I D 5 eCR@KO
ST M.BFDG.MID ePAN M.9RD'G.M1D 9PM4 `
nR.tsuat ' I X 4 DECKIND AS SELECTED
OVER P.T.2 X I Os @ 16"O. WE).4XG W .P05T5
HuijanuumR1s mul.lrvsuL .R19 MIN 1N5uL. R19 mw.lNsuL. ON 51MP50N GALV.
P1N.GRADE Mu+. y• P.T. P05T BASE
LVL B[aMs LVL BEAMB LVL BfAM9 -
. LVL B[PMB (IN.GRADE
TYP.-
• -"'�-- 8"CONC.FILLED SONG
.- _
- TUBES ON 24°X 24'
M1cAL CONC.FOOTINGS W/
pcµ. - j 31/z•D.sn.coos. 2-#5 VERT.
3 uz•D.5n.ccu.
2—
lA
8'THr..CONCRETE FOUNDATION Buz mF.eoue.sue 3 1/2 mR.cone.56 8"TH K.CONCRETE FOUNDATION
W/2-#5 T.EB.CONT.MIN.8"A80VE
W/2-#5 T.EB.CONT.MIN.8"ABOVE
FIN.GRADE ON I G"W.X 8"D.X CONT: _ _ �.• - ,. ...... ....,. . ..,. ,. ....,. ...... ...... ...... FIN.GRADE ON 1 6"W.X 8"D.X CONT.
CONCRETE FOOTING-DAMPROOFING TO - CONCRETE FOOTING-DAMPROOFING TO
.._ F.. .+', � � .:: GRADE
GRADE tTT•W, ,ti"rs".',7r rT—rs;
zs'-a zB-a
12—
8"THK.BY I G'W X CONT. -
- 8°TFiK.BY 16"W X CONT.
KEYED CONCRETE FT'G. rmcAL- M1cnL-
KEYED CONCRETE
3a%3a%12'D. 3aN3-1.w,D.
CONC.PIGS,wl CONC.FIGS,
OD� OLSON DESIGN ASSOCIATES
55 ELM AVENUE
Hyannis,Massachuseds 02501
508-7754300 email-olsondesign@ye(Izon.nel
TYPICAL FRAMING SECTION
PROPOSED NEW RESIDENCE
LOT 44-OFFSHOOT ROAD
(ID 5CALE 3/8"= 1-0" BARNSTABLE,MA.02630
WOOLLARD BUILDERS
BARNSTABLE,MA.02630
TYPICAL FRAMING SECTION
a D.O. ,`ry,' S
NOV.30.2007 ^' v
NOTES
SYSTEM PROFILE
1. DATUM IS ASSUMED ore
TOP FNDN. AT EL. 97.0
ACCESS. COVER TO WITHIN 6" OF FIN. GRADE (
ACCESS COVER (WATERTIGHT) TO O WITHIN 3" OF FIN. GRADE a
. ( 2. MUNICIPAL WATER IS AVAILABLE � o
NOT TO SCALE)
ACCESS COVER T
�o�'fe 64 g
3. MINIMUM PIPE PITCH TO BE 1/8" PER FOOT.
' WITHIN 6 OF FIN. GRADE 90 0' 'Qo%'oao
y 9 1.0 MINIMUM .75 OF COVER -OVER PRECAST'. 29 SLOPE REQUIRED OVER SYSTEM �
2" DOUBLE WASHED PEASTONE
RUN PIPE LEVEL . OR GEOTE)MLE FABRIC 4. DESIGN LOADING FOR ALL PRECAST UNITS TO- BE AASHO
93.0 FOR FIRST 2' LOCUUS
/ 3' MAX. H- 10
- PROPOSED 1500 / o offs.
GALLON SEPTIC \ 5. PIPE JOINTS TO BE'MADE WATERTIGHT.
89.0 88.75 87.0
TANK (H- 10 ) GAS o
86.30 0 �oUshop
BAFFLE 86.4.7o Q Q Q Q Q Q Q C7 Q0 6. CONSTRUCTION .DETAILS TO .BE .IN ACCORDANCE. WITH
0 86.17' Q Q Q Q 0 0 0 a MASS. ENVIRONMENTAL CODE TITLE V.
(12.5% SLOPE) \_6" CRUSHED STONE OR MECHANICAL Q Q Q Q Q Q E 1 0
�� 7. THIS PLAN IS FOR PROPOSED WORK ONLY AND NOT TO ��a Qrc�e, Daggs
COMPACTION, (15.221 (21) o0 2 O 0 a Q � � 0 00 84.17
DEPTH OF FLOW = 4 ( 4 % SLOPE) ( � SLOPE) BE USED FOR LOT LINE STAKING OR ANY OTHER PURPOSE. '� Lone
TEE SIZES: 3/4" TO 1 1/2" DOUBLE WASHED STONE
INLET. DEPTH = 10„ $. PIPE FOR SEPTIC SYSTEM TO SCH. 40-4" PVC.
Route 6
OUTLET DEPTH = 14,> 9. COMPONENTS NOT TO BE BACKFILLED OR CONCEALED
WITHOUT INSPECTION BY BOARD OF HEALTH AND PERMISSION
FOUNDATION 32' SEPTIC TANK 56' D' BOX 15' LEACHING 9.87' OBTAINED FROM BOARD OF HEALTH.
FACILITY
10. CONTRACTOR SHALL BE RESPONSIBLE FOR CALLING LOCUS MAP
SYSTEM DESIGN: DIGSAFE (1-888-344-7233) AND VERIFYING THE LOCATION
SCALE 1"=2000'�
�7 OF ALL UNDERGROUND & OVERHEAD UTILITIES PRIOR TO ASSESSORS MAP_299 PARCEL P/O 93
BOTTOM TH 2 EL. 74.3' COMMENCEMENT OF WORK.
GARBAGE DISPOSER IS NOT ALLOWED LOCUS IS WITHIN FEMA FLOOD ZONE C
DESIGN FLOW: 5- BEDROOMS (110 GPD) = 550 GPD 11. ANY UNSUITABLE MATERIAL ENCOUNTERED SHALL BE
USE A 550 GPD DESIGN FLOW REMOVED 5' BENEATH AND AROUND THE PROPOSED
LEACHING FACILITY.
SEPTIC TANK: 550 GPD ( 2 } = 1100
USE A 1500 GALLON SEPTIC TANK ZONING SUMMARY
LEACHING: ZONING DISTRICT: RG RESIDENTIAL DISTRICT
SIDES:
2(42 + 12.8) 2 (.74) = 162
MIN. FRONT SETBACK 30'
BOTTOM:
42 x 12.83 `(.74) = 398 MIN. SIDE SETBACK 15
MIN. REAR SETBACK 15'
TOTAL: 756 S-F. 560 GPD MAX. BUILDING HEIGHT 30'
USE (4) 500 GAL. LEACHING CHAMBERS (ACME OR
EQUAL) WITH 4' STONE ALL AROUND
a
P ,
TEST HOLE LOOS
ENGINEER: A, H. OJALA, PE
WITNESS: DON DESMARAIS, RS
DATE: DECEMBER 7, 2005
PERC. RATE _ < 2 MIN/INCH
11169
CLASS I SOILS P#
ELEV. ELEV.
R Q -_ ^ \ on g6
� D O .- UNSUIT.
0 uNSuIT. 3
¢94
! �fi5g.65 _ '~ `' - - LS UNSUIT LS UNSUIT.
- ` -
\ 1 OYR 3/2 6" -_ 1 aYR 3/2
E UNSUIT.
Ls UNSUIT.
" " LS
\ -- -- \ 6 7
-- - - - �1 '� - �� LS UNSUIT. LS UNSUIT.
w
\ / " "
' 10YR 5/6 10YR 5/6
Ci
C 1
LS UNSUIT. LS UNSUIT.
2.5Y 5/6 " 2.5Y 5/6
'- .._. .-- - - _..._ .._. - ..--. -. ..\ .--�'". ' / / ',6�• f 1 1 ` f f / `` ' � • �.� � 77" 79.6 80 9.3
dc' C2 C2
/ \ s - - -- - ✓f 1 + ! ( fI . \� \ PERC. MCS MS
_ ✓ ! ' , ! ! \ 2.5Y 6/4 2.5Y .6/4
140" 74.3' 140" 74.3'
` ! ! ( t NO GROUNDWATER ENCOUNTERED
Lot 4
Area=J3,618f Sq.
Or-
��� Acres
on ET ELEV. 89'
/ r g2` j \ `\ 6" O &A UNSUIT. 6" 0 &A UNSUIT.
/.1" 5' REMOVAL OF UNSUITABLE SOIL
REQUIRED AROUND PERIMETER OF
/ \ f LEACHING FACILITY, DOWN TO
UP;k8l t S81E 1�A.YQR. REPLACE \ / oo$ UNSUIT LS UNSUIT
/ WITH CLEAN MED. SA'ND'-ENGINEER
TH 1& RTO€MOVAL INSPECT AND CERTIFY / !
-- , - - - _ - / 40" 10YR 3/2 42" 10YR 3/2
�8s, - � Lots 3 go
_.- -- - - _.. --- - - ---- � � C 1 UNSUIT C 1 UNSUIT.
__ - LS LS
867 fENCHMARK':aS NAIL SET 1 2:5Y 5 6 81.8- 85 2.5Y 5 6
EE AT ELEV. 92 0a
C2 C2
l \ PERC FMS FMS
•` \\ , o i 1 OYR 5/6 1 OYR 5/6
\ \ \ 22"BEECH
i \ 120 120"
C3 C3
2.5Y 6/4 2.5Y 6/4
i �\\ \\ ~�' - ' ---- --- -- f/ ._.• _.- - _.._. _.._. -.._. ,,` -, \ � \\ � 156" 760' 156" 76'.
_94' l `\ \\ \ \ \ NO GROUNDWATER ENCOUNTERED
PROP. DWELLING
TOP FNDN = 97.0'
r \
17'BEECH
LEGEND
-_ ° / - ✓ ! \ \ 100.0 PROPOSED` SPOT ELEVATION
°` 100x0 EXISTING SPOT ELEVATION
100 - t PROPOSED `CONTOUR
A 1 _ -96- -
100 EXISTING CONTOUR
_98-
1 \
100
I
I
i
TITLE SITEPLAN
OF
LOT 4 OFFSHOOT ROAD
BARNSTABLE
off 508-362-4541 PREPARED FOR
fax 5W-362-9880
I FOUR-- ACRE REALTY TRUST
down cape engineering, inc.
t j\AOFUys JUNE 29, 2007
CIVIL ENGINEERS ��`" dFRyss9c sq�ti
S ° ARNE n
LAND SURVEYORS ��° o aE H `i" H Scale:1 30'
�� U JALA
o IV NOO.6348
939 main st. yarmouthport, ma 02675
DATE � P. �FESS�O`,P 0 15 30 45 60 75 FEET
i 'E S/ONAL S U RVE�°�
04-337 LOT4 N
04-337 LOT 3 SITE PLAN (AHO)