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Home My WebLink About0050 MERION WAY - Health 50 Merion Way Barnstable A - 356.. 006 e ry ¢ rw I a , , y .•.yam. -`- :. '. .: .: ., .•. , i . - Y, �� ,. .. - ' • - lu' may.. _ : , d 3 No. Fee THE COMMONWEALTH OF MASSACHUSETTS Entered incom uteri : PUBLIC HEALTH DIVISION - TOWN-OF BARNSTABLE, MASSACHUSETTS Yes � Application for MI4posal Opstem Construction Permit Application for a Permit to Construct(T) Repair( ) Upgrade( ) Abandon( ) ❑Complete System gndividual Components Location Address or Lot No. � y,, Owner's Name,Address,and Tel.No.400._ Assessor's Map/Parcel J�®�0' `- �`' S � M'^`_Y\W� Installer's Name,Address,and Tel.No. f7 7t f,'313,6%f Designer's er's Name,Address,and Tel.No. J?ff It 9-qo 9 SwhVJuu-wA- Bz%3 / Type of Building: Z( I Dwelling No.of Bedrooms 3 Lot Size 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 Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. Description of Soil Nature of Repairs or Alterations(Answer when applicable) �Db a ry S �-� P-n� r� fVo M N T 1 Fps TO C"rLA:&, -r-o Q- 4- S't tom► K Sig== 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 Bqaz Sig d Date Application Approved by Date r Application Disapproved by Date for the following reasons Permit No. C ��'f;J Date Issued ------------------------------------------------------------------------------------------- ---- ---- ---- ------ � � DNo. ./ Fee • THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: es"- Yes PUBLIC HEALTH DIVISION -SOWN-OF•BARNSTABLE, MASSACHUSETTS� Rppficatol for Disposal 6pstem Construction 3oermit Application for a Permit to Construct(1) Repair( ) Upgrade( ) Abandon( ) ❑Complete System .,.Xndividual Components on Address or Lot No. � yy,,, y y2_ Owner's Name Address and TeL No:,��` ,. pr o Assessor's Map/Parcel c Installer's Name,Address,and Tel.No. 7 ��(.3 ,8�� Designer's Name,Address,and Tel.No. Type of Building: 171 SYa" Jl[Y( - Dwelling No.of Bedrooms 3 Lot Size. 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 Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. r- Description of Soil Nature of Repairs or Alterations(Answer when applicable) . A4.Db L INS INTO f �� r �VU M NUJ fs eT Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of Compliance has been issued by this Board�of Health. Signed 1 �' 2 Z t7 Date Date Application Approved by ' ., _ Application Disapproved by '_�Date 7. for the following reasons x Permit No. Date Issued r.� THE COMMONWEALTH OF MASSACHUSETTS ` BARNSTABLE,MASSACHUSETTS Certificate of Compliance THIS IS TO CERTIFY,that the On-site S wage Disposal system Constructed/ " Repaired( ) Upgraded( ) Abandoned( )by at �� _ ?_ L-30,^ has been constructed in accordance / with the provisions of Title 5 and the for Displlosl System Construction Permit No '3Zated Installer Designer Bedrooms Approved design ow %""�^�� gpd The issuance of this permit sha of be consrtrued as a guarantee that the system Ci11 function deli ed. �p ,,,� o Date w /� % Inspector No. Fee l l,J THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION BARNSTABLE, MASSACHUSETTS Disposal 6pstem Construction permit Permission is hereby granted to Construct O Repair( ) . Upgrade( ) Abandon( () System located at � lJ\ �f� t and as described in the above Application for Disposal System Construction Permit. The applicant recognized his/her duty to comply with Title 5 and the following local provisions or special conditions. Provided:Construction must be0complet 6►w�ithin three years of the date of this pe it. Date I( J/�/ �G Approved by. construction, inc. October 15, 2020 Town of Barnstable Board of Health Re: Hearns Residence, 50 Merion Way To whom it may concern: Please see attached application, per my conversation ,with inspector Jim Pat-2 4t le for adding a sink in the rear garage storage room as marked on plan attached that we are building. This room will be used as an arts and craft room by the Owner. We will be adding a line to the tank as there is no way to gat it there through house. Also, my Owner requests that we finish the attic area at this time. insulated and drywall. As expressed to them this would need to meet your approval as there is always a concern of overloading a septic design. This room in the attic has 5 windows of which none meet egress requirements for a bedroom and would be illegal to do such. It will have no door on it and the stairs would be open to room below. Please call with any questions or concerns and how we might proceed. I can be reached at 508.496.0529. Thanks, Damien Teixeira Teixeira Construction, Inc. Sandwich 508.888.2450 • S. Dartmouth 508.990.0440 • Fax 508.477.6934 P.O. Box 754 • Sandwich, MA 02563 • www.teixiairaconstruction.com f JEFFIAD-02 JDR SCOLL ,d►�R[7 CERTIFICATE OF LIABILITY INSURANCE DAT 3/4/2 DIYYYY) 3/4/2020 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER,THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(les)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CNRgJ CT Almeida&Carlson Insurance Agency,Inc PHONE PO Box 719 A/C,No,Ext:(608)888-0207 FA/c,NOON)888-0560 Sandwich,MA 02563 E- I INSURER S AFFORDING COVERAGE NAIC# INSURER A:Travelers Pro a Casual Co of America 25674 INSURED INSURER B: Jeffrey ladonisi,Sr. INSURER C: 371 Service Road INSURER D: Sandwich,MA 02663 INSURER E: INSURER F COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. ILTRI NSR TYPE OF INSURANCE ADDL SUER POLICY EFF POLICY EXP POLICY NUMBER LIMITS A COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE ❑OCCUR 6808652C622 12/1/2019 12/1/2020 DAMAGE TO RENTED occurrencel MED EXP(Any oneperson) 6,000 PERSONAL BADVINJURY 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY JECT LOC 2,000,000 PRODUCTS-COMP/OP AGG $ OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT ANY AUTO OWNED SCHEDULED BODILY INJURY Perperson) AUTOS ONLY AUTOS t BODILY INJURY Per accident $ AUTOS ONLY AUTOS ONE PdtOPERTY t AMAGE er accden UMBRELLA LIAB HOCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE DEC) RETENTION$ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY Y I N ER ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ FFICERIMEMBER EXCLUDED? N/A Mandatory In NH) If yes,describe under E.L.DISEASE-EA EMPLOYE DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101 Additional Remarks Schedulemay be attached if more space is required) THE WORKERS COMPENSATION CERTIFICATE WILL BlY SENT UNDER SEPERA�TE FAX CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Teixeira Construction Inc THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN PO Box 754 ACCORDANCE WITH THE POLICY PROVISIONS. Sandwich,MA 02563 AUUTHORIIZED REPRESENTATIVE /14YAk4u, ACORD 25(2016/03) 01988.2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD AC R® CERTIFICATE OF LIABILITY INSURANCE ) THIS CERTIFICATE IS ISSUED AS A MATTER OF IN ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT'CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certlflcato holder is an ADDITIONAL INSURED,the pOlicy(les)must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder In lieu of such ondorsement(s). PRODUCER NTAC ALMEIDA&CARLSON INSURANCE AGENCY NAME' Julie Driscoll PHONE 908 888-0207 F MAIL A/C No PO Box 654 DDRE : 'driscoll almeidacarlson.com FALMOUTH INSURERS AFFORDING COVERAGE NAIC q INSURED MA 02541 lNsuRERa: LM INS CORP 33600 JEFFREY IADONISI INsuRERB; INSURER C: 371 SERVICE RD -INSURERD: INSURER E: SANDWICH MA 02563 INSURER F COVERAGES CERTIFICATE NUMBER: 511794 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. TER TYPE OF INSURANCE POLICY NUMBER pM�I V EFF POLICY FJ(P D COMMERCIAL GENERAL LIABILITY MI LIMITS CLAIMS MADE 7 OCCUR EACH OCCURRDAMAGE� EMru g PREMISES Ea occurrence $ N/A MED EXP(Any oneperson) $GEN'L AGGREGATE LIMIT APPLIES PER: PERSONAL&ADV INJURY $ POLICY❑JECT LOC GENERAL AGGREGATE $ OTHER: PRODUCTS-COMP/OP AGG $ AUTOMOBILE LIABILITY $ ANY AUTO (EaO ecGdent SINGLE LIMI $ ALL OWNED SCHEDULED BODILY INJURY(Per person) $ AUTOS AUTOS N/A BODILY INJURY(Per accident) $ HIRED AUTOS NON-OWNED AUTOS PROPERTY acciden DAM E(Pe $ UMBRELL�RETENTION$ R $ OCCUR EACH OCCURRENCE $ EXCESS L CLAIMS-MADE N/A AGGREGATE $ DED WORKERS COMPENSATION v $ AND EMPLOYERS'LIABILITY Y 1 N /� STATUTE ERA ANYICERIM ETOR/PARTNER/DXECUTIVE E.L.EACH ACCIDENT $ 1,000,000 A O(Mandatory NH) CLUDED9 N/A N/A N/A WC531S318884059 12/30/2019 12/30/2020 (Mandatory In NH) Dyyes desuibs under E.L.DISEASE-EA EMPLOYEE $ 1,000,000 DESG�RIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 1,000,000 N/A DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached If more space Is required) Workers'Compensation benefits will be paid to Massachusetts employees only.Pursuant to Endorsement WC 20 03 06 B,no authorization is given to pay claims for benefits to employees In states other than Massachusetts if the insured hires,or has hired those employees outside of Massachusetts. This certificate of Insurance shows the policy in force on the date that this certificate was issued(unless the expiration date on the above policy precedes the Issue date of this certificate of insurance). The status of this coverage can be monitored daily by accessing the Proof of Coverage-Coverage Verification Search tool at www.mass.govAwd/WorkeM-COMPOneation/investgations/, JEFFREY IADONISI SOLE PROPRIETOR,EFFECTIVE 12 30 2019 have elected coverage. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN. Teixeira Construction Inc ACCORDANCE WITH THE POLICY PROVISIONS. P 0 Box 754 AUTHORIZED REPRESENTATIVE Sandwich MA 02663 l `L Daniel M.Cro4v y,CPCU,Vice President—Residual Market—WCRIBMA ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD r EX. PATIO EX. �'� L EX. DECK Nh• NEW \ DWELLING ^`' ?SS• GARAGE FOUNDATION K yo o L4 EX. L o SHED rr. 60 2$O 100 30 F ,QOgp . SEPTIC FROM ASBUILT ON FILE AT THE TOWN HEALTH DEPARTMENT BUILDER TO CONFIRM metv) set�-rt ..�T, Q1:TaT T) T A AT MBLU 356-06 OF MAS, 50 MERION WAY I CERTIFY THAT THE IMPROVEMENTS SHOWN o��`` °tip BARNSTABLE, MA HAVE BEEN LOCATED BY A FIELD SURVEY. Roee SYKES DATE: 59-15-2020 DRAWN. RBS cJOBNo. 35418 y SCALE: 1"=40 DWG.CPP 40 o LANDEASTBOUND SURVEYING, INC. 9-15-2020 P.O. BOX 442 FORESTDALE, MA 02644 ROBB SYKES RLS. DATE 508-477-4511 li L 0 ! 2 / EX. tj PATIO EX. � DECK � EX. .�� NEW \ DWELLING �`' ?ss. GARAGE FOUNDATION O�/ C4r t w EX. L4 c SHED j?l 60 28.0 100 30, Rpq p SEPTIC FROM ASBUILT ON FILE AT THE TOWN HEALTH DEPARTMENT BUILDER TO CONFIRM ?(� S(NK- IP1 CrkXA<w4f- MBLU 356-06 , P�NN °F MAssq 50 MERION WAY I CERTIFY THAT THE IMPROVEMENTS SHOWN i�`` °ti BARNSTABLE, MA HAVE BEEN LOCATED BY A FIELD SURVEY. ROBB DATE.• 59-15-2020 DRAWN: RBS o SYKES �' JOB No. 35418 N SCALE: 1"=40' DWG.C 12 PP EASTBOUND 7, �iSTA�S LAND SURVEYING, INC. 9-15-2020 P. .0. BOX 442 FORESTDALE, MA 02644 ROBB SYKES P.LS. DA1F 508-477-4511 e � Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments '( 50 Merion Way, Cumma uid Aj — h—066 Property Address /0 1 L Katherine Bayley Estate c/o Cathy McAbee Owner Owner's Name information is 169 Main Street, Yarmouth Port MA 02675 September 30, 2014 required for every P page. Cityrrown 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 filling out forms A. General Information on the computer, use only the tab 1. Inspector: key to move your cursor-do not Troy Williams use the return key. Name of Inspector Troy Williams Septic Inspections �y Company Name 19 Hummel Drive Company Address « South Dennis MA . 02660 City/Town State Zip Code 508) 385- 1300 S1682 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 ` S G✓ September 30, 2014 Inspector's Signaturef 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•3/13 Title 5 Official Infl Form:Subsurface Sewage Disposal System•Page 1 of 17 r Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments °< 50 Merion Way, Cummaguid Property Address Katherine Bayley Estate c/o Cathy McAbee Owner Owner's Name information is required for every 169 Main Street, Yarmouth Port MA 02675 September 30, 2014 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 y 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: System meets minimum standards set by Massachusetts DEP at the time of inspection only.This inspection is not a guarantee or warranty on the future working conditions of leaching, pipes, components or the future structural integrity of said components and only represents conditions found at the time of inspection only. 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•3/13 Title 5 Official Inspection Forth:Subsurface Sewage Disposal System•Page 2 of 17 i 1 Commonwealth of Massachusetts Title 5 Official Inspection .Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 50 Merion Way, Cummaquid Property Address Katherine Bayley Estate c/o Cathy McAbee Owner Owner's Name information is required for every 169 Main Street Yarmouth Port MA 02675 September 30, 2014 page. Cityrrown 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 ❑ 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 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 t5ins-3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 3 of 17 f r Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 50 Merion Way, q Cumma uid Property Address p rty Katherine Bayley Estate c/o Cathy McAbee Y Y Y Owner Owner's Name information is 169 Main Street, Yarmouth Port MA 02675 September 30 2014 required for every P C' !Town State Zip Code Date f Inspection page. �Y p e o spedlo 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 ❑ ® 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 t5ins•3113 Title 5 Official Inspection Forth:Subsurface Sewage Disposal System•Page 4 of 17 Commonwealth of Massachusetts lugTitle 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 50 Merion Way, Cummaquid Property Address , Katherine Bayley Estate c/o Cathy McAbee Owner Owner's Name information is 169 Main Street, Yarmouth Port MA 02675 September 30, 2014 required for every P page. Cityrrown 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 ❑ ❑ 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 li 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•3/13 Title 5 Official Inspection Form:Subsurface Sawage Disposal System•Page 5 of 17 Commonwealth of Massachusetts up Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 50 Merion Way, Cummaquid Property Address Katherine Bayley Estate c/o Cathy McAbee Owner Owner's Name information is required for every 169 Main Street, Yarmouth Port MA 02675 September 30, 2014 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-3113 Title 5 Official Inspection Forth: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 50 Merion Way, Cummaquid Property Address Katherine Bayley Estate c/o Cathy McAbee Owner Owner's Name information is 169 Main Street, Yarmouth Port MA 02675 September 30, 2014 required for every P page. Cityrrown 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?(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 ears usage d 13=42,000 gals. g ( y g (gp �)' 12=48,000 gals. Detail: Sump pump? ❑.Yes ® No Last date of occupancy: occasional use oate 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 t5ins-3/13 Title 5 Official Insp ection Form:Subsurface Sewage Disposal System•Page 7 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 50 Merion Way, Cummaquid Property Address Katherine Bayley Estate c/o Cathy McAbee Owner Owner's Name information is required for every 169 Main Street Yarmouth Port MA 02675 September 30, 2014 C' frown State Zip Code Date of Inspection page. �Y P P D. System Information (cont.) Last date of occupancy/use: N/A Date Other(describe below): N/A General Information Pumping Records: Source of information: No pumping info was available. 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•3113 Title 5 Official Inspection Forth: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 50 Merion Way, Cummaguid Property Address Katherine Bayley Estate c/o Cathy McAbee Owner Owner's Name information is 169 Main Street Yarmouth Port MA 02675 September 30, 2014 required for every � p 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: D-box and leaching were installed to existing tank on 3/28/02 per compliance. Were sewage odors detected when arriving at the site? ❑ Yes ® No Building Sewer(locate on site plan): . Depth below grade: 18'+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.): Lines were found clear at the time of inspection. Septic Tank(locate on site plan): 1' 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: 5'X9'X6' 1000 gallon Sludge depth: 4.. t5ins•3113 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 Form-Not for Voluntary Assessments �M 50 Merion Way, Cummaquid Property Address Katherine Bayley Estate c/o Cathy McAbee Owner Owner's Name information is required for every 169 Main Street, Yarmouth Port MA 02675 September 30, 2014 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 Scum thickness none 6" Distance from top of scum to top of outlet tee or baffle Distance from bottom of scum to bottom'of outlet tee or baffle 14" How were dimensions determined? probe/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.): Inlet baffle and pvc outlet tee were found present and in working order. No evidence of leakage or damage was found. Tank was not in need of pumping at this time. Grease Trap(locate on site plan): Depth below grade: N/A feet Material of construction: ❑ concrete ❑ metal ❑fiberglass ❑ polyethylene ❑other(explain): 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: NIA Date t5ins•3113 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 50 Merion Way, Cummaquid Property Address Katherine Bayley Estate c/o Cathy McAbee Owner Owner's Name information is 169 Main Street, Yarmouth Port MA 02675 September 30 2014 required for every P page. Citylrown 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: N/A Material of construction: ❑ concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑ other(explain): Dimensions: N/A Capacity: N/A gallons Design Flow: N/A gallons 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 4 *Attach copy of current pumping contract(required). Is copy attached? ❑ Yes ❑ No t5ins•3/13 Title 5 Official Inspection Forth: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 50 Merion Way, q Cumma uid Property Address Katherine Bayley Estate c/o Cathy McAbee Owner Owner's Name information is MA 02675 September 30 2014 � required for every 169 Main Street, Yarmouth Port P , !Town State Zip Code Date of Inspection page. COY D. System Information (cont.) Distribution Box(if present must be opened) (locate on site plan): Depth of liquid level above outlet invert level 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 was found level and in working order with equal distribution to outlet lines. No evidence of solid carry-over or backup in the past was found at the time of inspection. 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.): N/A *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: t5ins-3/13 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 50 Merion Way, Cummaquid Property Address Katherine Bayley Estate c/o Cathy McAbee Owner Owner's Name information is 169 Main Street, Yarmouth Port MA 02675 September 30 2014 required for every p , page. Citylrown State Zip Code Date of Inspection D. System Information (cont.). Type: ❑ leaching pits number: ® leaching chambers number: 3 flowdiffuserswith 4'stone ❑ leaching galleries number: 32'X 12'X 1' ❑ 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.): Soil was sandy. Flows were found dry and clean. Checked stone and found dry and clean. No evidence of hydraulic failure or problems in the past were found at the time 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 t5ins-3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 13 of 17. I Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments w„ 50 Merion Way, Cummaguid Property Address Katherine Bayley Estate c/o Cathy McAbee Owner Owner's Name information is 169 Main Street, Yarmouth Port MA 02675 September 30, 2014 required for every page. Cityrrown 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.): 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 t5ins-3113 Title 5 Official Inspection Form:Subsurface Sewage Disposal System Page 14 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 50 Merion Way, Cummaguid Property Address Katherine Bayley Estate c/o Cathy McAbee Owner Owner's Name information is required for every 169 Main Street Yarmouth Port MA 02675 September 30, 2014 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 ❑ e I D 3 t5ins-3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 15 of 17 om o eaC m nw It h o f Massachusetts e hus tts w,w Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments r 50 Merion Way, Cummaguid Property Address Katherine Bayley Estate Go Cathy McAbee Owner Owner's Name information is required for every 169 Main Street, Yarmouth Port MA 02675 September 30, 2014 page. City/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: 13.0'+ 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: 1/25/02 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: AIW 247 Zone C 23.5' 3.7'adjustment You must describe how you established the high ground water elevation: Test hole recorded on plan showed no water found at 17.0'. Hand augered 6' below bottom of leaching with no water found at a depth of 10.5'. Groundwater adjustment at the time of inspection was 37. Bottom of leaching at 4.5'was found not to be located in the high groundwater elevation at the time of inspection. 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 Commonwealth of Massachusetts Title 5 Official Inspection Form V VOW'= Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 50 Merion Way, Cummaguid Property Address Katherine Bayley Estate c/o Cathy McAbee Owner Owner's Name " information is 169 Main Street, Yarmouth Port MA 02675 September 30, required for every p 2014 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 t5ins-3/13 Title 5 official Inspection Form:Subsurface Sewage Disposal System•Page 17 of 17 TOWN OF BARNSTABLE low A Ec `LOCATION 1)9eei o nJ r,,,a j SEWAGE#c3LOO a -l� 6 VILLAGE Po+ I OI G i .yrv,yn - plc i�,1 ASSESSOR'S MAP & LOT 15 -OU b INSTALLER'S NAME & PHONE NO. A & B CANCO 775-6264 SEPTIC TANK CAPACITY 10on /?a l iS �aa LEACHING FACILITYAtype) 3 (size)L.0 i/A 4 IVe NO. OF BEDROOMS .PRIVATE WELL OR PUBLIC WATER BUILDER OR OWNER e ry L&- gm L e`/ DATE PERMIT ISSUED: 3 `o� CD DATE COMPLIANCE ISSUED: a 0 4 y. VARIANCE GRANTED: Yes No soO ri !04 y Of O 2 o� • )3_c�- 93- 3 _34 s. h No. V — Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS 2pprication for Migonl *pttem Con5tructiou Permit Application for a Permit to Construct( )Repair(grade( )Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No.�Q In(f f j Q y► W,4y Owner's Name,Address and Tel.No. c v�i►�•s8a• �aylc% Assessor's Map/Parcel 3S16 / T Installer's Name,AddXs t)jtjCO Designer's Name,Address and Tel.No. t0 350 Main Street W. Yarmouth 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 .3 yy gallons per day. Calculated daily flow �33 O gallons. Plan Date /—d T— Number of sheets I Revision Date Title Size of Septic Tank i >Od Type of S.A.S. 3 IlCdApe,1 !✓ S Description of Soil P= r 2Lk6l_ Nature of Repairs or Alterations(Answer when applicable) 1' P/N 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 Certifi- cate of Compliance has been issued by this Board.Qf He Signed v 1) Date 3 d old Application Approved by �' Date U Application Disapproved for the following reasons Permit No. ;?,o(� Z i_I,� Date Issued G s• o. PUQ2— Fee J C� y '"' Entered in computer: THE COMMONWEALTH OF MASSACHUSETTSYes tf� PUBLIC HEALTH DIVISION -TOWNOF BARNSTABLE., MASSACHUSETTS 0[ppricatiori -for Migpogar ,pgten Congtructiori Permit . Application for a Permit to Construct( )Repair,(grade(. )Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. Q �'f i 0%�1 (,� y Owner's Name,Address and Tel.No.. 'r Assessor's MapTgcel J G-2b Installer's Name,Address,Ad&W-C,ANCO Designer's Name,Address and Tel.No. 350 Main Street � . �'1'1 �/'► W. Yarm�i::r;: NIA 02673 ' 7/6) Type of Building: z Dwelling No.of Bedrooms_3 Lot Size sq. ft. Garbage Grinder( ) Other Type of Building 1No. of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow _ .3 y� gallons per day. Calculated daily flow 33 U gallons. Plan Date ea Number of sheets / Revision Date N�/4 Title .Sir' - .fPL✓ Size of Septic Tank c ra/�.� /000 ^^�� Type of S.A.S. I w r/ I✓ S�a nt Description of Soil Pe- r ?1•4N 5 Nature of Repairs or Alterations(Answer when applicable) / e r Date last inspected: Agreement: a 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 Certifi- cate of Co`mpliance.has been issued by this Board f He Ift Signed 11 Date 3 of a d `• Application Approved by s Date Rh D 71 ApplicationiDisapproved'for the following reasons Permit No. v d - 62 Date Issued ;2 b 2 THE COMMONWEALTH OF MASSACHUSETTS . BARNSTABLE, MASSACHUSETTS Certificate of (Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal System Constructed( )Repaired ( __1116'pgraded( ) Abandoned( )by el-7-( c6 at Sv P T 0/'7 6d �1�,-n.V7A ev/,27 has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Perms No. ?(MJ -/& dated 3-2PI•-U Installer Designer The issuance of this permit shall not be construed as a guarantee that the sy wall f ticti as dA;WeO.�' , rE Date Inspector _ No. ��V� — I/b t -----------Fee THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLE., MASSACHUSETTS 0itpont *pztem Cottgtruction Permit Permission is hereby granted to Construct( )Repair( -.<pgrade( )jOandon( ) System located at e 1111Pf 111)1? i U 'F 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:Construction must be completed within three years of the date of thi ppe�l nit. o Date: 20 " Approved by 16 TOWN OF BAR_NSTABLE wn LOCATION--�O egis SEWAGE #oZ®O d (I 6 VILLAGE wm;"4 epl y > ASSESSOR'S MAP LOT 3,q-OG b INSTALLER'S NAME & PHONE NO. A & B CANCO 775-6264 SEPTIC TANK CAPACITY loo^ {u LEACHING FACILITY:(typeU-FIor.):bjauSaQS (size)lv iA 4',§IoAle NO. OF BEDROOMS PRIVATE WELL OR PUBLIC WATER BUILDER OR OWNER ry c a be DATE PERMIT ISSUED: O - DATE COMPLIANCE ISSUED: VARIANCE GRANTED: Yes No A �P4 _ ag, r �iSFR v rori c° ° b.4, 3 O Or. n. S-3 -3� I� 0 Doors OWindows 24'-10" 11'-6" 6'-8" 00 f � ZOO -v Zn 4 STORA ROOMXILARY CO 1 � f 2 2x4 Partition Wall PROPOSED io t MUDROOM � a .,-�- 2-CAR GARAGE 3�_0�� U� = 1/8 /ft. slope .�. io 1 M N A 1 5 1 Co 2'4' 16'-0" 5'-4" I Garage 4 Garage Floor Plan 1/8"=1'-0" f 1/8"=1'-0" November 20, 2019 Project LocationSo Merion A Barnstable, MA 02630 14 STRAP ACROSS, WALL PLATES W/ SIMPSON CS16X3' @ EA. UPPER TO LOWER STUD I 2x6 Exterior Walls 0 2x4 Wall M (2)- 1 3/4"x18" LVL with post M , co 2x8 Joists 16" o.c. T ,.� i - 00 (4)- 1 3/4"x18" LVL Dropped B uuvn B M Beare with post ATTIC (3)- 1 3/4"x 14" Versa Lam M M Header '� tD TO CORNER PER APA PORTAL N DET., SK-2 LAI C 12'-5" 12'-5" 24'-10" Attic Floor Plan Floor/ Ceiling Structure OF jN h4AS.,9cy o MICHELE .7 CU DILO O N0.34774 v U STRUCTURAL SSrOt_ n_L,ri 11/26/19 STRUCT. ONLY November 20, 2019 • - • • Barnstable, q 15 ASSESSORS MAP: 356 TEST HOLE LOGS NOTES: PARCEL: 6 LOCUS 1. VERTICAL DATUM. ASSUMED FROM QUAD (NGVD FLOOD ZONE: G ENGINEER: THOMA5 McLELLAN, P.E. 2. MUNICAPAL WATER IS AVAILABLE. RotrTE 6A DATE: 1-25-02 3. SCHEDULE 40 - 4" PVC PIPE TO BE USED THROUGHOUT SEPTIC SYSTEM. PERC'LATION RATE: < 2 MIN/IN 4. ALL PRECAST UNITS TO CONFORM WITH AASHTO H-10 & H-20 N TH-' TH-2 LOADING SPECIFICATIONS. 49.0 5. PIPE PITCH = 1 4" PER FOOT, (UNLESS NOTED OTHERWISE). OIAMHYORIZO ELEV. 6. FIRST 2' OF PIPE OUT OF ,D-BOX TO BE SET LEVEL. LOA SAND 12" 1oYR 412 48.0 7. THE SEPTIC SYSTEM HAS NOT BEEN DESIGNED TO ACCOMODATE THE B HORIZON USE OF A GARBAGE DISPOSAL. LOAMY SANS? 34" IOYR 618 46.2 8. ALL CONSTRUCTION DETAILS ARE TO BE IN CONFORMANCE WITH THE Cl HORIZON STATE OF MASS. ENVIRONMENTAL CODE (TITLE FIVE) AND LOCAL LOCATION MAP FINE SAND 80" 2.5Y 811 44.0 HEALTH REGULATIONS. LOT 101 C C2 HORIZOA` 9. CONTRACTOR TO VERIFY LOCATIONS OF ALL UTILITIES PRIOR SILT LOAM 22,704 ± S.F. BENC108" 2.5YSILT 6/4 40.0 TO CONSTRUCTION. (0.52 ± AC.) CONCRE TE OArND C3 HORIZOh:' a 10. GROUND COVER OVER ALL SEPTIC SYSTEM COMPONENTS NOT TO FINE ELEVATION - 52.9 132" 2.5Y 8/4ND 38.0 EXCEED 3.0'. C4 HORIZON 11. D-BOX TO BE WATER TESTED TO ENSURE LEVELNESS AND EQUAL FLOW. 156" SILT LOAM gB4O 12. EXISTING LEACH PIT TO BE PUMPED AND FILLED WITH SAND. FINE sIAZNOP' 13. ALL UNSUITABLE SOIL (SILT LOAM, APPROX. 13' DEEP) WITHIN 5' OF ��. 204" 32.0 PROPOSED LEACH AREA IS TO BE REMOVED AND REPLACED WITH CLEAN MEDIUM SAND. , SEPTIC SYSTEM DESIGN 52` , _FLOW ESTIMATE: 3 BEDROOMS AT 10 GAL/DAY/BEDROOM = 330 CAL/DAY 9� SEPTIC TANK: 54 330 GAL/DAY x 2 DAYS = 660 GAL 50 ,,d ti� , USE 1000 GALLON SEPTIC TANK (EXISTING) \ LEACHING AREA: 48 56 USE 3 FLOWDIFFUSORS WITH 4' OF STONE 20� �. �dr _ - - '�' ALL AROUND (32' x 12' x 11" DEEP) /DAY 1d - SIDE AREA: 44 ) x 2 x 11/92 = 81 (.74) = 60 GAL '3 BOTTOM AREA: 2' x 12 = 384 SF _ (74) = 284 GAL/DAY 5� CAPACITY = 344 GAL/DAY SEPTIC SYSTEM SECTION 2 PEASTONE COVERS WITHIN 12" OF DRIVE t 58.2 _ FINISHED GRADE 3/4" - 1 1/2" WASHED STONE FIRST FLOOR ELEV \ TEE AT , INLET 3 MAX. 50 , _ a_� , COVER 28. 0 o' - 56 00. sp. ELEV: 47.0 52.f ELEV. 58 o p . �, >000 CAL D-BOX 46.9 0 ' 45.5 EXISTING LEACH PIT 158. 1 SEPTIC TANK 47.07 (6" OF ELEV. :4' 4' ELEV. (SEE NOTE 12) BENCHMARK AT (EXISTING) ELEV. STONE 32' PK NAIL UNDER) 3 FLOWDIFFUSORS WITH 4' OF STONE ELEVATION = 50.o UTILITY TEE SIZES: (TO BE CONFIRMED) 46.5 ALL AROUND (32' x 12' x 11" DEEP) INLET: 6" UP, 13" DOWN ELEV. OUTLET: 6' UP, 14" DOWN KEY: SITE AND SEWAGE PLAN EXISTING CONTOUR: - APPROVED BY: DATE; PROPOSED CONTOUR: ........................... L 0CA TION.- EXISTING SPOT ELEVATION: 25.5 PROPOSED SPOT ELEVATION: 25 50 MERION WAY TEST HOLE: �rb,a. Z. : till , rt ; P? CUMMAQUID MA UTILITY POLE: -a- cS ', FENCE LINE ` t 9, Rl� : �'" 5 " �,�� .� � ;�, a�: � PREPARED FOR: HYDRANT: -6- RETAINING WALL: A. & B. CANCO/BAYLEY TREE: DEMAREST-McLELLAN ENGINEERING SCALE: 1" = 30' DATE: 112510 24 SCHOOL STREET P.O. BOX 463 01_76 WEST DENNrs, MASSACHUSETTS 02670 P E. REFERENCE: PLAN BOOK 313 PAGE 21 DM # ------ PHONE & FAX : (508) 398-7 10 ryHOMAS McLELLAN JOHN Z. DEMAREST JR., P.L.S.