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HomeMy WebLinkAbout0051 SAMANTHA DRIVE - Health 51 Samantha Drive Barnstable A= 348 —007 I� I No.W 20 1 -1 ®i F Fee (T- �0 j BOARD OF HEALTH r O b TOWN OF BARNSTABLE CD 2pplication jFor Yell Con5truction Permit ; Application is hereby made for a permit to Construct(iio Alter( ), or Repair( an individual well at: S YID 1�1 ! �i i�1iv i�Yl !6 I }1ZC3G1 j `7 Location-Address T Assessors Ma-Parcels Owner Address ° R ���s(�S (x7�l.L �71�1 leU rJ(� '�� �7� �. S�• C�i�I�A�� r`Y� Installer-Driller Address L Type of Building Dwelling Other-Type o il�f Building No. of Persons Type of Well L4 `t yc Capacity C= Purpose of Well iz y j i 00 Agreement: The undersigned agrees to install the afore described individual well in accordance with the provisions of the Town of Barnstable Board of Health Private Well Protection Regulation-The undersigned further agrees not to place the well in operation until a Certificate of C ance has been issued by the Board of Health. Signed i Date Application Approved By P-)? Date Application Disapproved for the following reasons: - ` l l Date V�Permit No. 201 9-olg Issued l� / Date -------------------------------------------------------------------------------------------------------- BOARD OF HEALTH TOWN OF BARNSTABLE Certificate of Compliance THIS IS TO CERTIFY,that the individual well Constructed( Altered( ), or Repaired( ) by �2ML tQ,Lt 05 Q 6 LL --:p P-! L-LA 006 Installer at i ✓Vt�'-J�`f"t-��► yaju has been installed in accordance with the provisions of the Town of Barnstabke, Board of Health Private Well rot tion Regulation as described in the application for Well Construction Permit No.AD-IR- 0 1 t Dated Sit THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE WELL SYSTEM WILL FUNCTION SATISFACTORILY. Date Inspector --------------------------------------------------------------------------------------------------------- BOARD OF HEALTH TOWN OF BARNSTABLE Vern �tCon5truction permit No. � �►�"� �(� L� Fee a Permission is hereby granted to ,., ✓►� j ( _ jZl �,�,f � - x � Installer to Construct 11' Alter( ), or Repair( an individual well at: No. 1 � �1'1 Ah�I �,A Xi 0 Street as shown on the; cat' for a Well Construction Permit No. Dated / '9 Date Approved By / No.Vj Fee qS-' ©�/ BOARD OF HEALTH �-0— 0 — +—' ` D TOWN OF BARNSTABLE rication or Yell�� ,�' �on5tructtort Permit Application is hereby made for a permit to Construct(10), Alter,( ), or Repair( an individual well at: M I r�1 1A7 -E NV ; YY1A p 7 � Location-Address r Assessors Map and Parcel Q E.D Y)l.000 -P06 Owner Address Installer-Driller r Address Type of Building '✓�J ltA( Dwelling Other-Type H A/C Building No. of Persons Type of Well L4 It C Capacity t S ol D/y) VI Purpose of Well lr'!2'A r QA Agreement: The undersigned agrees to install the afore described individual well in accordance with the provisions of the Town of Barnstable Board of Health Private Well Protection Regulation-The undersigned further agrees not to place the well in operation until a Certificate of Compliance has been issued by the Board of Health. ►•y Signed Date Application Approved By 1} Date Application Disapproved for the following reasons: t Date Permit No w �} "©)9 Issued ),-7 Date o—_aee e_ e—vee_e>ae_mmoemoo------------------ea®amm------ -----..o--_-----------ee—e—.----- a oe BOARD OF HEALTH TOWN OF BARNSTABLE Certificate of Compliance THIS IS TO CERTIFY,that the individual well Constructed Altered( ), or Repaired( by .. 0V-(KJS Q6LL ZDP.1 LA�f N)6 Installer at has been installed in accordance with the provisions of the Town of Barnstable Board of Health Private Well Protection Regulation as described in the application for Well Construction Permit No j q Dated `ZK- c THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE WELL SYSTEM WILL FUNCTION SATISFACTORILY. Date Inspector 1 BOARD OF HEALTH TOWN OF BARNSTAB-LE Yell Cow5truction Permit No. Fee 1 Permission is hereby granted to r 0y— t0s L�D 6 U1, -T) l U1 j am' Installer 4t, to Construct(V), Alter( ), or Repair( an individual well at: t Street 1 p as shown on the application for a Well Construction Permit No. �� -' ©� �Dated Date `- Approved By 7f i Town ®f BarnstableWE o Regulatory Services Thomas F. Geiler,Director snRrrsTasr�, Public Health Division 16.59. Thomas McKean,Director 200 Main Street,Hyannis,IAA 02601 Office: 568-862-4644 Fax: 508-790-6304 . Installer Resigger Certification Form Date:. LO .I sewage rernnnt## o106-(6n Assessor's IytapTarceIl_?� Designer: WN C K M INM N,� WC Installer: DOUL-� MKIN i Address: P9 11. a 6A Address: 252 MAIN S,r i YAWPUM P / HA 026 5 UNTawr" 0 024,32 On S- ) _ �� ,�(cc� c�C was issued a permit to install a (date) (installer) septic system at based on a design drawn by ad ess) W E A, WA LA. PE. PL,15 dated Z-16,- 18 I (desi err) _ f VI cer fy that the septic system referenced above was installed substantially according to the design, which may include.minor approved changes such as lateral relocation of the distribution box and/or septic tank. I certify that the septic system referenced above was installed with major changes (i.e. - greater than 10' lateral relocation of the SAS or any vertical relocation of any component of the septic system)but in accordance with State&Local Regulations. Plan revision or certified as-built by designer to follow. ,ttA OF afg s / DANIELA. N (Installer's Signature) OJALA CIVIL u, b No,46502 Q (Designer's Signature) (Affix Designer's Stamp Here) PLEASE MTURN TO BARNSTABLIE ]PUBLIC )BEALTH IDMS)tON. CERTI)E cATIE Off' CONRLI[ANCE WILL NOT BE ISSUEDUNTIL BOTH TIS (FORM AND AS-BU LT CAS ARE RECEIV7EID BY TIDE BAd[tNSTABLIE IPIJBLIC HEALTH RDIMION THANK YOU Q Ptic/Desi Health/Se er Certification Form 3-26-04.doc � TOWN OF BARNSTABLE LOCATION 6-1 Sor r.cw}fie.,7�:),r SEWAGE# goI VILLAGE r -_ASSESSOR'S MAP&PARCEL +j INSTALLER'S NAME&PHONE NO. fc�)`or,3 SEPTIC TANK CAPACITY ( 5 0C) 1-{ -- 0-0 LEACHING FACILITY:(type) ��d/ h'/0 (size) NO.OF BEDROOMS OWNER PERMIT DATE: 2 - ��'?� COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility(If any wells exist on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) Feet FURNISHED BYY_�/� �j --� QO c 0 N , a 3 No. Fee THE COMMONWEALTH OF MAS ACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION - TOWN OF BAR STABLE, MASSACHUSETTS Yes 2pplitatton for Mi$posaY *pstPttt Construction pPrrrYtt Application for a Permit to Construct(,�Repair( ) Upgrade( ) Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. / i�. t t o Owner's Name,Address,and Tel.No. Assessor's Map/Parcel -4 UM/►�agIN �J M(�tV) �`•l Installer's Name,Address,and Tel.No. Designer's Name,Address,and Tel.No. l�cvSlas k ` ac wri ANC sog��t�.c��N53 d�wNc��� �NS/NYj"tl"rP Type of Building: Dwelling No.of Bedrooms 3 Lot Size K3,y 3 3 sq.ft. Garbage Grinder( ) Other Type of Building t eS 1C)&-3+-1C No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) 3 3 n gpd Design flow provided !3 31 gpd Plan Date a- -1 0 1 P3 Number of sheets t Revision Date Title Size of Septic Tank 1 SADy Type of S.A.S. 5t, -SUO co)ojC L° yes n1C Description of Soil Nature of Repairs or Alterations(Answer when applicable) da �k-\O SCO-lc irxA 6-1® J--boy C,,c) sOc> c,e�IloN O beach r6 r,hNp r 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. gne Q Date Application Approved by f Date Application Disapproved by Date for the following reasons r Permit No. Date Issued Ail G.• N (L o --. Fee THE COMMONWEALTH OF MASSACHUSETTS .,; Entered in computer:� Yes _ PUBLIC HEALTH DIVISION TOWN OF BARNSTABLE, MASSACHUSETTS ' 1'": ti application for-BIsposar,6pstem Construction 3permit Application for a Permit to Construct(✓Repair( )'Upgrade( ) 'Abandon( ) [:]Complete System ❑Individual Components Location Address or Lot No. S( ]� 17f 13 Owner's Name,Address,and Tel.No. Assessor's Map/Parcel U^n �V1 0 Cc)M(),V, i Installer's Name,Address,and Tel.No. w Designer's Name,Address,and Tel.No. �uS�Gs J� 'CStG�N ANC ' S06_ q.0.O"y539-1 �UuaN���IP tn.SrNrrir�f Type of Building: Dwelling No.of Bedrooms Lot Size -q 3, 3 3 'sq.ft. Garbage Grinder( ) Other Type of B/uilding (PS IC }1G No.of Persons Showers( ) Cafeteria( ) Other Fixtures / -Design Flow(min.required) 3 3 U gpd Design flow provided 3 3 1 gpd Plan Date Number of sheets t Revision Date Title Size of Septic Tank 100 � Type of S.A.S. 9_ TQ0 v r- Description of Soil Nature of'Repairs or Alterations(Answer when applic4ble) =t��rc ll ,-, t scx at:N)e*fa �\ No- -160y r__t4 r) r1- Is 00 c,G 1l0N' 1( © l o C V\ (•'VACl\, If{C j. ... i � Date last inspected: Agreement: ~ 4 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 aCertificate of Compliance has been issued by this Board of Health. L _ / /i,; y/ /—��� / "�Al �. 1 Date Application Approved by M�//// i ,OS + !f� ��I ✓t l,Lf _ Date Application Disapproved by V Date X~ for the following reasons A on Permit No. Date Issued M , THE COMMONWEALTH OF MASSACHUSETTS i BARNSTABLE,MASSACHUSETTS Certificate of Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal system Constructed(✓) Repaired( ) Upgraded( ) i Abandoned( )by 14,c � t at S/ S nM n.�4�t r. ue n e n�., has been consTu cte in accordagc� with the provisions of Title 5 and the for Disposal System Construction Permit No. dated Installer �gtat�ts� �,ln.��nJ ��►c� Designer � �ov�) ��,00 �rvsJn��eb,f��,✓, #.bedrooms Approved design flow X) gpd The issuance of this permit shall not be construed as a guarantee that the system will function as designed. Date ��� �� 1 , 1 Ci Inspector ------------------------------ -------------`,. � •:--- 0- 5per- Fee �--'-`-�___---- - 0. THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION- BARNSTABLE,MASSACHUSETTS -Disposal *pstrm Construction 3permit Permission is hereby granted to Construct( V Repair( ) Upgrade( ) Abandon( )f "System located at ,..d4( d !JMMG f 4 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. -C Provided:Constructio4 muse •oinpleted within three years of the date of this permit. i Date Approved by I � I - '' Commonwealth of Massachusetts City/Town of Barnstable UW Percolation Test Form 12 Percolation test results must be submitted with the Soil Suitability Assessment for On-site Sewage Disposal. DEP has provided this form for use by local Boards of Health. Other forms may be used, but the information must be substantially the same as that provided here. Before using this form, check with the local Board of Health to determine the form they use. MM IV Important:When filling out A. Site Information forms on the -- computer, use Code Realty, LLC, 52 Ship's Eagle Lane Osterville, MA 02655 only the tab key Owner Name / to move your � use the return StreetAddress or Lot Samantha Drive cursor- not # � key. (Cummaguid) Barnstable MA 02637 City/Town State Zip Code John Hutchins Contact Person.(if different from Owner) Telephone Number B. Test Results l� a� o -odd, �" // oro Da Time Date _ Time Observation Hole# Depth of Perc Start Pre-Soak End Pre-Soak Time at 12" Time at 9" Time at 6" `/ ��V Time (9"-6") Rate(Min./Inch) v �Va Test Passed: ® Test Passed: Test Failed: ❑ Test Failed' ❑ David D. Flaherty Jr., R.S. # z s Test Performed By. , Don Desmarais, R.S. r-y Witnessed By: Comments: t5form12.doc•06/03 Perc Test•Page 1 of 1 J'�a Commonwealth of Massachusetts 2 Q44Town of Barnstable Form 11 - Soil Suitability Assessment for On-Site Sewage Disposal DEP has provided this form for use by on-site professionals and local Boards of Health. Other forms may be used, but the information must be substantially the same as provided here. Before using this form, check with your.local Board of Health to determine the form they use. A. Facility Information 1. Facility lnform�tionCoy& Owner Name D �� .S Map/Lot � Z Street Addres O� CUr'y1m•4�Q�t�J� Citylrown State Zip Code B. Site Information 1. (Check one) New Construction Upgrade ❑ Repair ❑ 2. Published SoiliSurvey available? Yes No ❑ If yes: • �s000 �V c Year Published Publication cafe Soil Map Unit S it Name j Soil limitations { i 3. Surficial Geological Report available? Yes No ❑ If yes: O J.:/Oej, dDv Sm Year Published Publication Scale Map Unit Geologic Material Landform 4. Flood Rate Insurance Map: Above the 500 year flood boundary? Yes No ❑ Within the 100 year flood boundary? Yes ❑ No,f Within the 500 year flood boundary? Yes ❑ No Within a Velocity Zone? Yes ❑ No 5. Wetland Area: National Wetland Inventory Map Wetlands Conservancy Program Map Map Unit Name Map Unit Name DEP Form 11 Soil Suitability Assessment for On-Site Sewage Disposal • Page 1 of 7 Commonwealth of Massachusetts -42 S+ty/Town of Barnstable Form 111 - Soil Suitability Assessment for On-Site Sewage Disposal 6. Current Water Resource Conditions (USGS) VN��1""7� Range: Above Normal rV Normal ❑ Below Normal ❑ MonthNear T . Other references reviewed: �� 6111U jj G �/�a' , 7�� (p4at4e_ r C. On-Site Review (minimum of two holes required at every proposed primary and reserved disposal area) Deep Observation Hole Number: l d w ¢-M �LwAI l Dat Time Weather 1. Location', r t N Ground Elevation at Surface of Hole�� 6-V0 i Location (Identify on Plan ) 2. Land Use: I (e.g.woodland,agricultural field,vacant lot,etc.) Surface Stones Slope(%) Vegetation Landform /M' Position on landscape(attach sheet) 3. Distances from: Open Water Body�l� Drainage Way>XV Possible Wet Area>l/ �eet fe t , �.,/ fe Property Line Drinking Water Well Other et feet M Q 4. Parent Material: u ��Gl�,f Unsuitable Materials Present: Yes ❑ No[. If Yes: Disturbed Soil Fill Material Impervious Layer(s)❑ ❑ p ❑ Weathered/Fractured Rock❑ Bedrock❑ t 5. Groundwater Observed: Yes ❑ No If Yes: Depth Weeping from Pit Depth Standing Water in Hole Estimated Depth to High Groundwater: DEP Form 11 Soil Suitability Assessment for On-Site Sewage Disposal • Page 2 of 7 Commonwealth of Massachusetts G+ty Town of Barnstable Form 11 - Soil Suitability Assessment for On-Site Sewage Disposal inches elevation Deep Observation Hole Number: r Soil Soil Matrix: Redoximorphic Features Soil Coarse Fragments Soil Structure Soil Depth Horizon/ Color-Moist (mottles) Texture %by Volume Consistence Other Layer (Munsell) (USDA) (Moist) (In.) Depth Color Percent Gravel Cobbles i &Stones ' r i � s /0� S� 54ivw 176 100-t3Z_ CZ, S 1 �6 Additional Notes DEP Form 11 Soil Suitability Assessment for On-Site Sewage Disposal • Page 3 of 7 Commonwealth of Massachusetts 2 6i#yFfown of Barnstable Form I I - Soil Suitability Assessment for On-Site Sewage Disposal C. On-Site ;Review (Cont.) //Deep Observation Observation Hole Number: 2- � �' D�' l I Date Time Weather 1. Location Ground Elevation at Surface of Hole �� /"6—V 0 Location (Identify on Plan ) 2. Land Use: W4Z5���9'1J� ld d (e.g.woodland,agricultural field,vacant lot,etc.) Surface Stones Slope /o) 0&k , S4-554� I Vegetation Landform Position on landscape(attach sheet) 3. Distances from: Open Water Body]l Drainage Way Possible Wet Area 00 feet feet f„pt Property Line Drinking Water Well //� Other 2 ✓► selleA.111 feet feet / 4. Parent Material: ��"` Unsuitable Materials Present: Yes ❑ No 19- If Yes: !Disturbed Soil❑ Fill Material❑ Impervious Layer(s) ❑ Weathered/Fractured Rock❑ Bedrock❑ I , i 5. Groundwater Observed: Yes ❑ No OK If Yes: Depth Weeping from Pit Depth Standing Water in Hole Estimated Depth to High Groundwater: T inches elevation I DEP Form 11.Soil Suitability Assessment for On-Site Sewage Disposal• Page 4 of 7 Commonwealth of Massachusetts 2 Qty/Town of Barnstable Form 11 - Soil Suitability Assessment for On-Site Sewage Disposal Deep Observation Hole Number: Soil Soil Matrix: Redoximorphic Features Soil Coarse Fragments Soil Soil Depth Horizon/ Color-Moist (mottles) Texture %by Volume Structure Consistence Other - (In.) Layer (Munsell) _ (USDA) (Moist) } Depth Color Percent Gravel Cobbles &Stones 07 SI I / G / r s � i 4 I i i I i Additional Notes DEP Form 71 Soil Suitability Assessment for On-Site Sewage Disposal• Page 5 of 7 Commonwealth of Massachusetts -� s Cityffown of Barnstable Form 11 - Soil Suitability Assessment for On-Site Sewage Disposal x 6. Current Water Resource Conditions (USGS) V Range: Above Normal Normal ❑ Below Normal ❑ MonthNear 7. Other references reviewed: r � A SMLE -I i i C. On-Site Review (minimum of two holes required at every proposed primary and reserved disposal area) Deep Observation Hole Number: !< 6 :or) '7" { Daitel Time Weather 1. Location Ground Elevation at Surface of Hole MIVOO Location (Identify on Plan ) _ 2. Land Use: t/U�tI-v )D 1% 5 d (e.g.woodland,agricultural field,vacant lot,etc.) Surface Stones Slope(%) Vegetatfoh > Landform Position on landscape(attach sheet) 3. Distances from: Open Water Body( l0 Drainage WayN OV Possible Wet Area X 0 feet feet .fe Property Line Drinking Water Well zz Other ,> p� S feet fe t I 4. Parent Material: Unsuitable Materials Present: Yes ❑ No 21- i If Yes: Disturbed Soil[] Fill Material❑ Impervious Layer(s) ❑ Weathered/Fractured Rock❑ Bedrock❑ J � I 5. Groundwater Observed: Yes ❑ No If Yes: Depth Weeping from Pit Depth Standing Water in Hole Estimated'Depth to High Groundwater: DEP Form 11 Soil Suitability Assessment for On-Site Sewage Disposal -Page 2 of 7 Commonwealth of Massachusetts Gity/Town of Barnstable Form 11 - Soil Suitability Assessment for On-Site Sewage Disposal inches elevation i Deep Observation Hole Number: Soil Soil Matrix: Redoximorphic Features Soil Coarse Fragments Soil Structure Soil Depth Horizon/ Color-Ilfloist (mottles) Texture %by Volume Consistence Other p Layer (Munsell) (USDA (In) ) (Moist) Depth Color Percent Gravel Cobbles } &Stones 0 -3 • � _3 13 Gl� rE s� � - �54" i • 'WE S4 OW so07 C 's Additional Notes DEP Form 11 Soil Suitability Assessment for On-Site Sewage Disposal • Page 3 of 7 c - 2 ommonwealth of Massachusetts . 6Ay/Town of Barnstable Form 1.1 - Soil Suitability Assessment for On-Site Sewage Disposal C. On-Site Review (Cont.) Deep Observation Hole Number: Date Time Weather 1. Location l Ground Elevation at Surface of Hole fi Al CrV Location (Identify on Plan ) w2. Land Use: o i (e.g.woodland,agricultural field,vacant lot,etc.) Surface Stones Slope(%) Vegetati Landform Position on landscape(attach sheet) 3. Distances from: Open Water Body>lOV Drainage Wa \\//� Possible Wet Area//� Y� feet feet fee Property Line,,,, f Drinking Water Well//570 Other ! ^y �,l i✓ S� feet feet , � (T r 4. Parent Material: 6G-C/4.0 -0 Unsuitable Materials Present: Yes ❑ No o If Yes: Disturbed Soil❑ Fill Material❑ Impervious Layer(s)❑ Weathered/Fractured Rock❑ Bedrock❑ i I 5. Groundwater Observed: Yes ❑ No If Yes: Depth Weeping from Pit C�/Dept Standing Water in Hole Estimated Depth to High Groundwater: inches elevation i a t DEP Form 11 Soil Suitability Assessment for On-Site Sewage Disposal • Page 4 of 7 Commonwealth of Massachusetts 6+ty/Town of Barnstable ` Form 11 - Soil Suitability Assessment for On-Site Sewage Disposal N Deep Observation Hole Number: Soil Soil Matrix: Redoximorphic Features_ Soil Coarse Fragments Soil. Soil (Depth Horizon/ Color-Moist (mottles) Texture %by Volume Structure Consistence Other (In) Layer (Munsell) (USDA) (Moist) Depth Color Percent Gravel Cobbles &Stones 0-3 0 del ;r , s*,IV 19 SAWO C ' / ' 0 Z - C3i a r i i Additional Notes DEP Form 11 Soil Suitability Assessment for On-Site Sewage Disposal • Page 5 of 7 Commonwealth of Massachusetts �2 GAy/Town of Barnstable Form 11 - Soil Suitability Assessment for On-Site Sewage Disposal D. Determination of High Groundwater Elevation 1. Method used: ❑ Depth observed standing water in observation hole A. B. - inches inches ❑ Depth weeping from side of observation hole A. B. inches inches ❑ Depth to soil redoximorphic features (mottles) A. B. inches inches ❑ Groundwater adjustment(USGS methodology) A. B. inches inches 2: Index Well Number Reading Date Index Well Level Adjustment Factor Adjusted Groundwater Level E. Depth of Pervious Material '1. Depth of Naturally Occurring Pervious Material • i a Does at least four feet of naturally occurring pervious material exist in all areas observed throughout the area proposed for the I soil absorption system? Yes No ❑ bl If yes, at what depth was it observed? Upper boundary: Lower boundary: C inches inches F. Certification I certify that I am currently approved by the Department of Environmental Protection pursuant to 310 CMR 15.017 to conduct soil evaluations and that the above analysis has been performed by me consistent with the required training,expertise and experience described in 310 CMR 15.017. 1 further certify that the results y soil ev uati indica�u te n the attached Soil Evaluation Form, are accurate and in accordance with 310 CMR 15.100 through 15.107. / S' ature of Soil Ev ator r— Date v 2 LP&J-0 4- ed or Printed Name of Soil Evaluator 'Date of Soil aluator Exam Name of Board of Health Witness Board of Health Note: In accordance with 310 CMR 15.018(2)this form must be submitted to the approving authority within 60 days of the date of field testing, and to the designer and the property owner with Percolation Test Form 12. DEP Form 11 Soil Suitability Assessment for On-Site Sewage Disposal• Page 6 of 7 M �Z Commonwealth of Massachusetts Gityffown of Barnstable Form 111 - Soil Suitability Assessment for On-Site Sewage Disposal Use this sheet for field diagrams: t 1 V V v j - i • i c � ' I - 1 1 i h f I + 1 • I DEP Form 11 Soil Suitability Assessment for On-Site Sewage Disposal• Page 7 of 7 /110 I \� 4D '/ / ' / \ �' \ NO*: LOT\5 MI ST KPT Lot ` ' _ AR'f DRIVEWAY WITH\_ I / / L ` ` / \ �TS 3&4 DUE FIRE DEpT. I � '—'— ra=415;014± S -� FtTH-3 ) STANDARDSJ ) I F UR��RA�DING RIVEWAY BY i Area=43' 7�- / - -114- — — / 1 HECIWNE S- NC�f2 7�ONTRq �� /J' Or Or 1 .13 Acre TH-4 I I I I 15 � F•� '�'//1 00 Acrf SHAPE=19.7 . 0 / - — J / 14OTE: FUTURE GRADING AND DRIVEWAY BY /HOUSE GWTTERS A DRIVEHOMEOWNERS- NOT IN CONTRACT / \ \ \ P / .CONNWCTED TKO SCHEM��G/SHOWN FOR REFERENCE ONLY bI I �i 2/ DRYWELLS. LEA T N29°26 02' CLEA IT dLEARrL,MIT — \ \ N29-26 0 E b 1 1 hI I \ 737IV \ I \ I S \ .93'—�� / // 736 / N29°26'@Q" CLE 1 T� CLEAR_LIMIT NOTE: LOT 2 MUST NOT / C ARIIMIT—, \ S7py�p{�_E DRIVEWAY-WfTH— b� I LOTJ 3&4-D11f TO FIRE DEPT. ,�0 / / STANDARDS ROA CONTRA �OR TO ;LVIIIE 1 — RO GR VG FOR THIS PORTIOIN Lot/ 2 0F/ COMM DRIVE;WY(S) A PAR 0 — / AD C NSTRUCTION CONTACT. 1 1,6 / _ RROVI9 HAYBAkES AS INDICATED/ — // rea�*3'933±/Sq.� t �g" LOAM & �0 HYDRO�EED AREA 2 Or/ / 1 L AR , / 1/0T Acres SHAPE=21. — — — / / / / �/ s+sow- X a /TM-4 2 ° 8'�x 1) RED RS/G�fF�� / '�_-- HYDRANT gg �OQ -NOTF�. WATER/SERV v. / - - - DlldC-LllfER E I / fPEcjFi6ATIONS. / 9" -CINES fR-rQ. FORS / 8� 727 / 718 9,z./ CLEAR—LIMIT CLEAR�IMI N 25'18'56" E /N2707 - - - 1 — 127.58' _ L — Commonwealth of Massachusetts 2 QwTown of Barnstable Form 11 - Soil Suitability Assessment for On-Site Sewage Disposal D. Determination of High Groundwater Elevation i . 1. Method used: ❑ Depth observed standing water in observation hole A. B. inches inches { ElDepth weeping from side of observation hole A. B. inches inches ,Yf(( El Depth to soil redoximorphic features (mottles) A. B. inches inches ❑ Groundwater adjustment(USGS methodology) A. B. inches inches 2. Index Well Number Reading Date Index Well Level Adj I stment Factor Adjusted Groundwater Level re E. Depth of Pervious Material 1. Depth of Naturally Occurring Pervious Material a. Does at least four feet of naturall occurring pervious material exist in all areas observed throughout the area proposed for the soil absorption system? Yes No❑ b. If yes, at what depth was it observed? Upper boundary: Lower boundary: l inches inches F. Certification i I certify that I am currently approved by the Department of Environmental Protection pursuant to 310 CMR 15.017 to conduct soil evaluations and that the above analysis has been performed by me consistent with the required training,expertise and experience described in 310 CMR 15.017. 1 further certify that the result f my soil a lu as indi ated in the attached Soil Evaluatio For , are accurate and in accordance with 310 CMR 15.100 through 15.107. a' �-y i l7 Sion atur� Date Soil Evalyatt/� /` 2 Q Z yped or Printed Name of Soil Evaluator 'Date of Soil Ev luator Exam Namle of Board of Health Witness Board of Health Note: In accordance with 310 CMR 15.018(2)this form must be submitted to the approving authority within 60 days of the date of field testing, and to the designer and the property owner with Percolation Test Form 12. DEP Form 11 Soil Suitability Assessment for On-Site Sewage Disposal• Page 6 of 7 Commonwealth of Massachusetts Flown of Barnstable ` Form 11 - Soil Suitability Assessment for On-Site Sewage Disposal y Use this sheet for field diagrams: ,5-ce �V ° F I - 1 7 1 i 1 • 1 1 DEP Form 11 Soil Suitability Assessment for On-Site Sewage Disposal• Page 7 of 7 1 / � \\ I I / / / / /C Lot 5 NO*: LOT\5 M�ST NpT \ / / / Lot ARf DRIVEWAY WITH\ / \ TS 3&4 DUE FIRE DEPT. I � f ,�, �a=4f,014t S -1 Ft7H-3 I STANDARDS) I I Fl, URLSaDING RIVEWAY BY �/ Area=43" / - -114 - / / I EC�WNE S- NQ'f2� 7gf1NTRi, �� /J" Or Or 1.13 Acre TH-4 / I I I I I I �• F� // j/1 .00 Acr ,. SHAPE=19.7 / — _ — J I / 90TE: MPY �f�Z . FUTURE GRADING AND DRIVEWAY BY / I /HOUSE GJ- DRAS HOMEOWNERS- NOT IN CONTRACT / \ Q�, / CONKDRIVE C DR AN SCHEM9 e SHOWN FOR REFERENCE ONLY I I / pRNN LLS.D TO dP N29"26 02 7 \i3s \ — -- \ I 36 0. N CLEA IT EA IMIT N29`26 0 E )I 1i I ( \ 7370 MIS) \ 736 i N 29 1 6. CLE L T� j77. 7 �• I CLEAR 11MIT / -� +6 1 \ I NOTE: LOT 2 MUST NOT c ARIIMIT-- \ _ E DRIVEWAY-WITH— �� I I \ — / 3-&4—DLt TO FIRE DEPT. m \ 7 STANDARDS J 7 / / 9 I Q g I ROApp7 CONTRA '�OR TO NOV& I RO@�W GR1G FOR THIS PORTI —� Lot/ 2 OF COMMQ� DRIVES)JAPARAD C NSTRUCT ON CONCT._ RROVIPE HAYBf SAS t TED/� N -11 ,t<rea;*3'933±/5�.� t �g" LOAM & �0 HYDRO�ED AREA 2 Or/ \ � � �1 / / / / LAR I Qom ) 1, )T Acres / ��9� // / 7 '`�4.' SHAPE=21. ` - - - / / / / / �/ s+ o� �GX�0 TM—a 2 0 8"x� RED 6 RS/G�fF�� / _- THE --NOTFF z. WATE /SERV i V�fER EFT. I // stc !�PEC�Fr6ATIONS. 40 / — — 376-95 -LINES�Q. FO 718 9 '/ / / I CLEAR-LIMIT CL//EARS IMI / N 25'18'56" E /N 2707 -/ L �3 3'36 E _ I i . Town of Barnstable. P# , 3 y Ttit: Department.of Regulatory Services • ion Date I 1 Public Health Dives s �e$ 200 Main Street,Hyannis MA 02601 3 Date Scheduled —."� ( ' ©� ''Time Fee Pd - Foil Suitability Assessment for Sewage D>cs osar Performed By. . ' Witnessed By: i LOCATION&GENERAL INFORMA ON Location Address Owner's Name f I G c G Address� S �� (.�^•�-�- V . Assessor's Ma /P tcel: Engineer's Name P $ _ NEW CONSTRU�*nON _lt"� REPAIR Telephone# 71 Land Use b Slopes(%) ` Surface Stones Distances from: Open Water Body " ft Possible Wee Ar . fr Dunking Water Well 00 Drainage Wa ft Property Lineft Other -— fr i i r SKETCH:(Street name,dimensiods'of lot,exact locations of test holes&pert tests,locate wetlands in proxitnity to holes) • - r.�= -�`- - y _.r -�� { - ! fir" , C. 3 . Parent material W010gic) Depth to Bedrock M �. Depth to Groundwater: Standing Water in Hole: r" I Weeping from Pit FsCe Estimated Seasonal,4gh Groundwater DtTERMIN TION FOR SEASO"L HIGH WATT'R TALE Method Used: Depth dbpe ved standing Itu obs.hole: In. Depth 10 5011 MOR163, ln. Depth toiweeping from side of obs.hole + in. 0101indwnter Mustment ! ! A Adj.Gmundwnter Level.,., Index Well#. Reading Date index Well ievd - df.factor. PERCOLATION TESL' Date � T� Observation Time at 4"Hole# —J__ l Tltne at 6" N Depth of Pere ! Start Pre-soak Time.( r i 'time(9"•6") v Had Pre-soak G� Rate MinJlnch � Site Suitability Asscosment: Site Passed____, e_ Site Failed; Additional Testing Needed(YIN)r_ Original.Public Health Division +- '. Observation Hole Data To Be Completed on Back ***If percolalibn.test is to be conducted within 100'of wetland,you must first notify the Barnstable Chii i�servation Division at least one(1)week prior to beginning. . V DEEP OBSERVATION HOLE LOG Hole# I Depth from Soil Horizon Soil Texture Soil Color Soil Other .Surface(in.) (USDA) (Munsell) Mottling ,.(Structure,Stones,Boulders. nsi enc ravel LS to r" / 6 Us � � a � �- ! cab DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consistency,%Gel v 5 o o - L o-14q C,, LS m DEEP OBSERVATION HOLE LOG Hole# _ Depth from' Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure.Stones Boulders. Consistency,%Oravell 6— I,S ,. V 5 L • 2- o - C Z; DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. nsis cy,%0myAll d D r 06 -s Flood Insurance Rate May: Above 500 year flood boundary No— Yes-X Within 500 year boundary No Yes Within 100 year flood boundary No Yes Depth of Naturally Occurring Pervious Material Does at least four feet of naturally occurring pervious material exist.in all areas observed throughout the area proposed for the soil absorption system? If not,what is the depth of naturally occurring pervi s material? Certification I certify that on dZ (date)I have passed the soil evaluator examination approved by the Department of Envi a tal Pro ection and that the above analysis was performed by me.consistent with the required traini ,expertise a ie a desc ' ed in 3.10 CMR 15.017. Signature D` ate Q:%SEPTICWERCFORM.DOC i '3`14 d ' TOvvin of Barnstable. ' p# ,tom Departtnenr o{Rogttlatury Servim i Public Real h Division Dare ' eP 200 Main Su=L]i rpais MA.0M01 - >ass. DateSchednlai�--'1�)' [:) 8�'�3 to FftPd. toil Suitability Assessment for StEwrxge osal j Pcfoimed ily-_ 'Wimessed 8, � ` 7 LOCATION&G]i NEPAL ININF'ORMAP.N 7, Q li�.lmamAddress 6 ( t^ Owner's[lama � / C Address Asses�r a MaptP;tcd Fpgiaaa'sVt C • jMMC0XMt.en0N ttP.PAII� - Teteptiaae$ Z_ ' Wd Use � Slops lei) f Swface Stom mn D•iseesf m-, 0pC[1w t.B dy `J/V V PasaibwwJ1, z •-ft DtiokiogW—We" L 7t SKETCH:(stfeetaame,&mmsm of tot,exmatloMums of.teit hotel&PM testa,loam wedmids in ptwot*oo lwtes) f _ Al i i Prrent toatetiat fgetAogie) !/K Dept[to 9edmek . Depth t0 C=,.dv*w.Sbmding Wma m RolC' weepingfom PU RC - Hitimaled Seasoalift Gmumdwara F D#ER MtUONFOR SEASONAL HIGH WATER TAME Mctwd Usad �. Depth e7t>gaved atiadhtgfn obs hole in. Depth M sall ts>fltttp; .ju+ Depth to(weepmgfinm side cfobs.ha i ill. vYM4YaWmvs1mt-----,.•�..,,,:� lmdatWdlR ReadmgDat fnddtwelt— t A .:$Cmi-•--�Adj•0mtmdWfiW18Nt.,,s. FMCOLA b N TESL'• DsfeTimate nota •Depthaf.Pae l X/ EndPre4oatt BdtcMinllacti' L��, L f •.• j - ' gmSoitaltilityAssgssm®t S•ttiP-vd _ &te&a. AdttltionatTsatngAkufedtY/M—.--- Orlglw[.Public Huhm mvw m Obsetvattou Bole Data To Ee CoPpleted.On$acic ***If.perebia"i'Ix test is to be conducted witbi.n100'of wetland,Sou mast first no#�$'the Barnstable Cy�rvagon Division at least one(1)we&prior to beginning: f 1. • DEEP OBSERVATION HOLE_ LOG Hole# 1 Depth from Soil Horizon Soil Texture Soil color Soil' Other Surface.(n.) (USDA) (Munsell) Mottling ,.(Struemre.Stones.Boumers. Graven D 2— o r 2O-13Z' C S r n1 1 DEEP OBSERVATION HOLE LOG Hole#�_ Depthfrom Soilllotizon Soil Tonic Soil color Soil Other Surface(b0 (USDA) (Mrmsef0 Mottling (Structure.Stones.Boulders. conswencv.%craven o- L r 6. t3 C� v- C LS �N DEEP OBSERVATION HOLE LOG Hole#_3__ Depth fiom• Soil Horizon Soil Temm SoiI{blor Soil Other Sorface('m.) (USDA) (Muusefl) Mottling (Structure,Sues,Boulders. Coraistency.%Gravelli 0- - 1-5 6- cr o - CC Z DEEP OBSERVATION HOLE LOG Hole# /. Depth from Soil Horizon Soil Texture Soil Color $oll /Other Surface(in.) (USDA) (Muuseln Mottling (Structure,Stones,Boulders, CDFWStCnCy,S OMVW O • r l IJ6 �-. a L S c Cts" _S_ Z. Flood Insurance Rate May: Above 500 yearflood boundary No_ Yes- Within 500 year boundary No-2—(, -Yes,_,..— Yrahin 100 year flood boundary No_,[_ Yes . Depth of Naturally OccutTine Pervious Material Does at least four feet of naturally occurring pervious material exist.in all areas observed throughout the area proposed for the soil absorption system? If not What is the depth of naturally occurring pt rvi material? Certification I certify that f Z(date)I have passed the mil evaluator examination approved by the Depaitment offitl ' Pro 'tion and that the above analysis was performed by me.consistent with the required traini ,expertise. e e e d in 3.10 CMR 15.017. 5ignahlre 7 Date - Q:�SBPDCIPBRCFORMDOC tcj o 0) IT-1 I/2' eJ 8'-IO I •-. a 12'-O" 17 O— � N PATIO V 5/8"ANCHOR BOLTS IMBEDDED ------------- "a 45"ON CENTER I2"FRO NCORN R/ ND sE FROM AL CORNERS./4"PLATE WASH O IC O N SLOPE1/2'DR FOOTmIN 0 ap'oa _J L_ jh op EET FROM WALL. B a3le0:WI/N2#O=TIE.p. QyS�+ELuy�pcbonE('t3�O�NLuuESJ" E•��BgS_�b°soc 1111h �nm.ah+v_cpQmNo�oOo_- FOUNDATONWLL 10"P.C. MIN. _____ _________________J ________________ _ 1- 12"DROP 3604.4) p+ e +[ ya��o�mWu�GOmNNdc�j• a"v_QCm'cpun3omuE 0��«cmcpNiO2EyOESEE BD<FILL IbEE NOTES 2 E3604.4.1.1 A) L DA aRWATERPROOFTO FINISH GRADE (SEE rvOs 3604.6) E 4"PERFORATED DRAIN PIPE GRAVEL _ O NCOURSE F Qcyy (S3604.3/TLE3604.3.1)FOOTNGW/KEYWAY5 V 4"P.C.SLAB 3000#mrv. �.D"cO nL (SEE TBLE 3604.2.2) n�N N �ASFMFNT 0 c°o E. Foundation Wall Detail s A 5 O pO o STABLE RapZt _______ —-- } J _J O eNNINW SPEOrIEDCONmREsSNE SINENaTN pr CBHCAE[E � I � —� .. .. I � IBlmlu6nrrs®euPREaM6mvIrnP V' I IV t7 I .. W PueWP O _ rrPEmtaearroNprconoaER aaNSrRlx:neN N N ..warm rNue - O .. r _______________ ANCHOR BOLTS 06'O.CAND12" I I '. I FROM ALL CORNERS neammvdh famdei®aN Wvmwcm eu<.�uAr rm ! - GRADE ----- -————� FOOT taw FINISH (SEE NOTES 3604 NO 5) SLOPEI PER Bw.om,ileWmdlmalailubwy+ade.emp rFtO 6FEET FROM WALL. Pamemnu.�m,lmwdim6 orm.m,�daasbvL wrndoh...eanonium�N.tihlaavJ _ - WALL DROPDETAILSEE FOUNDATION ________________ I I I b (srsm r. w "P2LA6B 3 EEC1_E6020.#2),IN p- _ —— TrP.1p"CONCRETE FOUNDATION 0¢ Pmh+.o� aM aa.wTaaa., eSW I.IIODa'•e. S.SaW.•.I (o_g". I I !h _________ I WALL mIN.3000#CONCRETE W/ IO rm Sl:rpwvq pe port NL•ah95111 O I r ANCHORBOLT5@q5"O.C.AND I I COMPACTED SUBGRADE UL e smvc+Naaan.pL ! 12"FROM ALL CORNERS. U J raceme mmw mP�a UNDISTUI I I I I BED SOIL m aaJm+m finengp avlamaq Aampmmrvun WN,rmemm0�avnmlammammmmfaNvea ______ 7— SLOP (SEE SOILBEARING CHAR"OFOUNDATION WALL 10"P.C. cn Z ,.ALL DIMENSIONS AND ROOM SIZES SHALL BE VERIFIEDBY -' - L - (SEEN IN--- -- — --- J �: I I L9 (SEE rvoTEb 3604.4) ' ¢ BUILDER/OWNER BEFORE CONSTRUCTION. F/F'E-RATING NOTES ' LL MFoundation Plan N BACKFILL rye UJ R402.2 Concrete.Conlaete shall have a rttlnlmum cIned 2.ALL WORKING STANDARDS SHALL REFLECT ALLLOCAL& - > 5spptte O' (SEE NOTES3.1.1 A)3.1/ComptessNe Sirenglh of f',aS SlwwnNTable R402.2.Concrete STATE BUILDING CODES. - - PORCH I � n�p.4^GONG SLAB3500#mIN. � TABLE 3604.4.1.1Nmpderate.,—re—thering as Indinted N Table I - I E FLOOR DRAIN TO I : I p� COURSE GRAVEL O Q shall he air entralhed as specifledHTable R402.2. 3•ALL UN-DIMENSIONED DOORS/WINDOWSICASED OPENINGS Q OVERHEAD GARA DOORS. FOOTING W/KEYWAY The maximum weight Of Oy ash other p0aolarM Silim fume. SHALL BE CENTERED OR HAVE A STUD/JACK CONFIGURATION. �q I I I I - (SEE 360a.3/TABLE3604.3.1) O= sing mblended cementslhat Kincludedmmncrete misturesfor Z -DROP 12"(SEE DETAIL] garage floor Slabs and fat exiedor porches,earpOrt-Slabs and q DRAWINGSARE DIAGRAMMATIC ANDARE NOT INTENDED TO - - I I I I R¢ Steps lhM vslll he exposed lO dCicing chemicals shall not exceed UNDISTURBED SOIL the pNcemages Of the[OLd Rer{+hl o([emenGLLws matedais BE SCALED FOR MEASUREMENTS. DEPRESS TO ALLOW FOR - I.LI I I I I SEE SOIL BEARING CHART -DROP WALL 12"(NO SHELF) 2-9'O"x7'O"O.H.GARAGE DRS Y¢ specified lgSeNon 4.2,3 of AQ 3l8.Materials used m produte I I I I (n concrete and testing thereof shaft comply'with the appUc2ble NOTICE:CONTRACTOR SHALL REVIEW PLAN AND REPO RT ANY U N Standards listed In Chapter ofACI 318 or ACI 332. INCONSISTENCIES,DISCREPANCIES,OR AMBIGUITIES TO MICHAEL J.KONOSKY ASSOCIATES BEFOREI PROCEEDING WITH WORK I I F�tOSTWALl mm.ge" I I O 12 I L--_----BELOW FlNISH GRADE.— I, 12 1 c; E3 I Garage Foundation Wall Detail iz ARCHITEC URALROOFS INGLES xB CEILING JOISTS O.C. 5/600 m 2 ]LING J " ATTIC' 2"x 10"CFXIN6 JOISTS @ 16"O.C. I I I I I I I I I IIII El 1_ 1/2"CDX PLYWOOD SHEATHING �e R- F ERGLAS INSULATI l 2"x 1011 ROOF RAFTERS La 16"O.C. 12 12 W/COLLAR TIES 1-32"O.C. R-49 FOAM INSULATION t2 - LOCATED 1/3 DN RAFTER SPAN 12 r12 o O \ 7 I " as s RFf�ROOM#9 2 -.5/sue I 12 2"X6"@ 16"O.C.925/8"STUDLENGTH pj BONUS, .. LL 12 8'0"MIN.FINISHED CEILING HEIGHT, 5/6 SINGLE BOTTOM PLATE/DOUBLETOP PLATE 4•_ 4•_ IS, ./. 3/4"T&G ADVANTEC ./- —e1 GLUED AND NAILED. - &G C : '�. �" W T L ED AND NAILED. I-JOIST FLOOR SYSTEM F to JOISTS2E,SERIES&SPACING TO BE SHOWN ON MANUFACTOR 'p ill O DRAWING W/ALL CALCULATIONS R-.30 FIBERGLAS INSULATION N R406.1 Concrete and masonry formdatJon dampproo0u& FOR BEAM AND JOIST DESIGN. Exrnpl where required by Sectlon R406.2 to be xaterproofed. I x GRFATROOM FNTRY Q foundation ssalis eha[retain earth and enclose interior spaces (n 1 and floors be ow rade ft n I dg be cram tinted(rota them of R-21 HD FIBERGLAS INSULATION 6 PP P 2� - - the CooU to the Mishedl�.Afasomyvsaftsshall haL•enot. 6• nngg O_ D 7 C:AR C,ARAC�F less than rlslnch(9.G mta)portlandcement m lied to - SEEF7RE-.RA'RNGN07E5 2"X6"@16"O.C.1045/8"STUD LENGTH theextertororthee11.The PmS pproo 7C:ARC7ARAC±F ;3 rL,_a parging Slott be flmnpp[oofed N SEEF[RERA7)NG NOTES 2 O MIN.FINISHED CEILING accordance vN mvi th one olUre fBUng: SIN N SINGLE BOTTOM PLATE/DOUBLE TOP PLATE 3/4"T&G ADVANTEC 1-Bituminous coating. ,;gr Ol 00 GLUED AND NAILED. - 2.Three pounds per square yard(1.63 kgnnr)of acrylic a N elev o.po _ - TYP.4"CONCRETE SLAB 3500#MIN. a modified celrrent JOISTFLOOR SYSTEM SLOPE FLOORGARAGE DRAIN R t' JOIST SIZE,SERI ES&SPACING 3.One-eighth Inch(3.2 tam)coat of surface-bandingOVERHEAD GARAGE DOORS. R-49 FIBERGLAS INSULATION TO BE SHOWN ON MANUFACTOR cement complying with ASlM C 887. _ Nv DRAWING W/ALL CALCULATIONS 4.Arrryry material pertained For waterproofing in Section _ 50 RASFMFNT 16'- FOR BEAM AND JOIST DESIGN. R90G.2. -' 2-2.'x 6"SILL - S.Other appromd methods or materials. PT SILL@FOUNDATION - - TYP.10"CONCRETE FOUNDATION ExrepOom tsarging of unit masonry walls 1s not W/SILL SEAL BETWEEN. 3e WALL MIN.3000#CONCRETE W/ required%%,hm a material Is approlcdfor direct appib ANCHOR BOLTS @ 6'O'O.C.AND cation to the masonry.12"FROM ALL CORNERS. _ Concretevwlls shall be damppioofed bb�1applyinganyoneof the above listed dampproo0ng cravim Ls or any one of the TYP.4"CONCRETE SLAB 3000#MIN. xaterproofing materials listed In Section R406.2 to the exterior TYP.24"x 12"DEEP CONTIUOUS FOOTING of the watt. lb PC) N R314.3 Location.Smoke alarms shall be installed in the to]- lowing locations: N GUAfaI 1.In each sleeping room. V 2.Outside each.separate sleeping area in the Immediate - - vicinity of the bedrooms. o TOp RNLSERYE5A5 HANDRAIL FOR STNR 3.On each additional stor}'of the durgbrg.lncluding base- ��`° a c ]61N.MIN menaand habitable aides but not Including crawl spaces _ 1 and undnhabitable ants.In dnrllings or darlfing watts -& ° with split levels and without an intervening door "S o$' `a >.In. 65'-O" between the adjacent levels,a smoke alarm Installed on E o o .o$n TO - -I. the upper level shall suffice for the adjacent Imver level " g N provided that the low level Is less than one full wary -oa o 0 0 ;`E c L below the upper level. o Be m E When more than one smoke alarm is required to be installed a`o _ m a a'-O' 6'-0" 7-0' within an Individual disrUbrg unit the alarm devices shall be '-O` 6'-4 ts'-O" 4'-6" 3'- 3'-O` Interconnected in such a manner that the actuation ofone alarm u`o °o'+I m E 3'-O" will activate all of the alarms in the Individual unit m,zsn_ Vgpo;u_ 254 DH of-U T-d Lao u u-°,a`q ar Q 3 5ODH 3 50DH 3O OH I E O H o W a u 7O� sxxrae.u,rwwro,lssz,xao uox 4-O p O o I E h o ..oww..,wc suss.css 5 m 0 20 Qrov�2 uu �Eae ,, ,f 75° - He wxGu�xMWssa,wxa„ a� vrv,o va swrox xwaunttc.sserv,w,flnu 'O_' ,®. <G" .' - - ------- M+ 1 ` l9 �W °2�4BO'u nrntrnIr "' -4 M, - - _ oo nitp8uvccm ri t- -- -j / - D ,9 TABLE hBNIMUM UNIFORMLY DISTRIBTIFUB UTED LIVE LOADS ° (inn pounds per square fool) ` v 9 o 2 245 256.8 tU USE LIVE LOAD s°+a�u G n„aaax 3ose e I v = Ms AtUo without ut store 10 p o a a N 2 9 I I t 9- m_OL O Am.with hod"sm. 1 20 n�Q.5 °wccoo - 1 70 ry aun3 t-<�$vu ih Habitable mtia and attics served.r> 30 Gumira>,za b v J1 O I _ ,�, _ with Rxed smaus . REIAEms ,' N71 i rill AIRCd and 'i o o -r I t< r•�'+i. 2555 - Balconies faxterfor and decksA 40 o I N b ire— 40 4: � I oM Cuardmils and handrails' 2v - - Cuardr it in-fill con ncrast SIP . �. 3 b •"p• 11asan ervehicle es' 50P M Rooms od,.than sinepirig room 40 Q m \dA°'PRR RORnd • — --- — _ _ - r p0 Si—rooms 30 O Mw _ ssqq 1 pound�.45are foot-0.04i0 Nrm, sg alaah=G45 rr�, M Fo 1: you t r 1 war m R,uur rr.na m so i5 m so eo UP I. I .I m I I co so _ i Q a.Eoameda ad U) rG RrAo g Dn rs ratable ofnlpWmoga Z.DW-pmu,d load Z_ PHodo�a20-s�wvem-ocbh— " I I I I I h Ames wnl»Id starMe are mole where the runur mo War brain bmr m Q Z PA. suaacn ;—No _ o - _ ..-�_.-_-._�,..< .:.-.,._. ,..�F. .�_-r - ; caem u,y„wMlbesame9xsamrmB uraum tlxreleomtrwa or e_ Jut - 2856 BIa 42 NBh by2fam wsde.alUoatat locaedumhmn�thep eafine LL m " Miss FM aunts smhmn slmage out Inn toad med nol be nmmmed m an =W '-I a° O - 11'-3 2" 10'-10 I/2' 1 I/ 6'-O° 7 - 7 caamummty with any o0xv fie toad retimmmenls. m> car sa,asn=zsw ram,not=aw.e nvn - C -t - - O e indrviduzl stair treads shall be dnditoad for the uniformly dIMNA d We � Flgwe naia. OC t- b IoaJma3W-paundm xmdrafMload admngo cr anazeToC4 squmatnds�. MW0.1nM HEApROOIA 00 - - ® j. whlCheimr pMdMQSthe Bfcalm5treuei -�••�';• 2BIDH •,, 2111DH ` � ill 11- QAsmggNmacsmrsM lmdappiMd loam•tll(MlanalarryWWalarrgihetop: O= a e Seesttnoa R50322 fa derfa auacMc9 re enmtm walls. i-•b ORI'IC F', ` i L Guard lv-0Bc°mgrcros'(ailmosaexrnplUslmdnn!).Mainers aMpanel Z a - m O" x In'_4„ l� R311.7.2Headroom.The minimum headroom inall arts of ? 00arsshauWduiammtowvhsamamnmmauyappuedantmalloa:nor a .. P ... b .. SOpauMsonaaaneaeglullolsq�svefooLTitslnarineMmube—untedio 1:11� the stairway shall not be less than 6 feet 8 inches(2032 mm) 6,_ ,. r ? as mnovrewl'wvh aryo he IAe toga cquuemmL Y measured vertically from the sloped line adjoining the tread J2aJUb O a nosingor from the floor surface of the landing or platform on `; BFarona wtm.*t siorapeaido>,afthe bweb bmd,,ern U load g P 0. 0 need be aieed Kah'tormre �ane4WM tailor oflhe 6adom lord wMm mare are of 0 that portion of the stairway. mRmtaNg a' 4242�md>s'mnmemu spn�br 22 fx 1do m 1po�W. r .. :r.. IRatodutWlaU pb.-.ilia ems.The trumlexha0 IN basveenme top J Exception:Where the nosings of treads at the side of a 61 IrAU b ufthebwt=dmdand OebMomofmrymterm McMber.Prm'laedthat flight extend under the edge of a floor opening through ¢ 2 rAR (,ARACP v mbor he follvvugaoe aLs met. which the stair passes,the floor opening shall be allowed to p,'_, N 1.� �M w�ynpruulameswwai'arrnoeaopa proj ect horizontally into the requhed headroom a maximum z Tbn ams bm a bmmmdwd pnch I=than z:lz of 4114 inches MI mm). _ —— pj TunTtae noMom.birds oflrusesM lesduntMbpdomr8mdmaminmMph. y' O . b ———————— mreltrg Dx ahmxrnlena far limbed sia- 7Vr+r�r•'q �— � �—-——--— � - don swl hE tlesBaed forihe Bmazer of the ttludl IrnpaLxl dmd Iwd OT 10 - psf.umrmmly distributed mei me emna span h Cu ng used In haadnll asteabaes and®uNs shall be dnslBmd wnh n I�, R311.7.I Width.Stain%Ws shall not be less than 36 inches dwedI ulna .TMasarea•rdnmduun l mho am,thelomecomeo- E t' I I I namwasaPpaedmmaiopanarrm.d Jmu,eloadorn.-mmm.4 (914 mm)in clear width at all points above the permitted hand- vans Tie a tmd:awl be ama nu�a maeW tier or one anomaz.did :Zfail height and below the required headroom height.Handrails I I I Im h areas M out too an nvh an;outer In,.led shall not pmJect more than 4.5 inches(114 ram)on either side. 00 I ° of the stairway and the minimum clear width of the stainvay at and below the handrail height,Including treads and landings, Ci c shall not be less than 31'12 inches(787 mm)where a handrail is --------- -------- aLL Installed on one side and 27 inches(698 mm)where handrails I.I V l n r. A R r a � are provided on both sides. n:r� cn FT a LO - - - - - I - - II z,c F-o -y'o �00 � 4._ .. .. ... f N {-o N, _� L,> Z O 60 W to a a N 600 First Floor Plan F. � TT-- _— - i I I ------------ii 1 i I 1 1 I \ II I ��i-----------r—J \ I {---------- m I i aool I! I Ay�NI II I I ma301 II �r££I II I i 9 I 1 li I I !! I I ——— --- ———— _ i tt— cl v ---1TLLC�--------------- I NIN I � I 6 01 m I \ 0 I -7-0' 7-4' 1 Pm I _ NI TI O / I �Q J o 0 / znae a I ———————— —— 3 l s I I / 0, a I / { 1: C'— --._-- - —_—� oR.-1 ---------2 OH— &s,gSe Qgo�Enr>s rS s a l- $ i) 9MK - a > sgs o _GAP $g 5�j�r :a' I-15>j9. NMI Ii a 6 $ � ids 9 l �. $' �'G� $ g z $`°��4•sc ns« 2- :Sig sg� '3 a,s,�q e N ��� o• �� a _ "o •o. a c T5•gg g, 3� 8E p 3 m c �aIs E$ pry 4[� pg �••m N B T `� c '� m d �a� to ari Clipg1 �o���'�g'a�a is F!����rz8 ... � � a ffiggy RR �. Wys�oEI .b Uffe > � �.6e &;I8 Rag.,. p 5 €rYEy OR R B:R � y 3- _ ¢��r.5' „°m 0 cd_'ggq 9`�n,'° ICic^p3 5 seP 1-qG a° oS� s �3 o s � o � B o ag Q ?gig o:o �' �$g+E Fa 6 ., :4 3�$ kT P. �8 ��g• 'g w Opr N$ v3Sj 3.4�' 3 S 5 F 8n'� �'� � 0s•g gsg.� a a."� 'n'^.`d' SA (''R All plans remain the property of Lonosky Associates Inc This set of plans must contain o _ -- typed site/IotN vnthm the title bbck which must match the s te/bt#of the site proposed for construction This plan is valid for I(one)lot only,and is not to be duplicated I Yv2e �4��sskk Sh PRoposm S c F FAMII Y F)wFI I iw; wthoat wrttenpermission from kono sky Associates I— •�� `! t�+L�d ��ry��j«pxQ"�/ l y, Th s Plan is intended to give general layout,desi gn d construct on information and is not sheet UJIgyp oe4 x LOC KEWOO D BUILDING CORP intended to be o substitute for the Local or State Codes ands intended to be 2 SAMANTHA DRIVE,BARNSTABLE,MA aanstZcted by a professional following oil codes.Plans sholl be reviewed prior to ®� 842 UPPER U 6 S NION ST12ET,ST I-b•FRANICLIN,MA 02038 coret ction.any inconsistencies.discrepancies.or ambiguities shall be reported to ICoro a sky As000tes Inc prior to construction All drawings are diagrammatic and ore not 508-520-19G5-fax 508-520-1931 vvww.plansdhome.com -- - to be construed as a set of instructions or be scaled for measurements 4/23/2013 v 0 11p 112 RO D RETAINING WALL [>121 [11 [1oa101 N 12.5556"E (DESIGN BY OTHERS) 277.86' SL E EA S ENT 3 3 — "W PR OSED Lc F E ZONING 43�1 SETBACK LINE �C) Ory PAn0 ►POSED PAVED 1 �L [107. DRIVE p EXISTING ` 1 DWELLING ^^ nn ^^ M`�M �', �l °� TOF=107.2 M 00 M 'OVERED DECK 9 9 M BECK 108 PROPOSEDT- POOL (UNH TED) LEACHING D AREA t,os1 x X �p2 0 [104] Zp� - - - - _ -- - POOL 104 — — EQUIPMENT ONNECT TIC EXISTIN cn ANK N 12.08'43"E ' SEPTI TANK 376. ' 2X OPE 9 92 R ��J I 5C- 3AP7 NOTES ------ -_ __ -------- TOP FOUND. EL. 107.5' NAVD 88 to 6A �i LEGEND SYSTEM DESIGN. 1. DATUM IS o J Sond I. ��F 2. MUNICIPAL WATER IS PROPOSED 99- EXISTING CONTOUR GARBAGE DISPOSER IS NOT ALLOWED ALL SYSTEM COMPONENTS SHALL BE SYSTEM PROFILE 99 EXIST. SPOT ELEV. MARKED WITH MAGNETIC TAPE OR 3. MINIMUM PIPE PITCH TO BE 1/8" PER FOOT. X COMPARABLE MEANS FOR FUTURE LOCATION. � o PROPOSED 3 BEDROOM DWELLING (NOT TO SCALE) Dennis -[99]- PROPOSED CONTOUR ACCESS COVERS TO WITHIN 6" OF FIN. GRADE CONCRETE COVERS TO WITHIN 3" GRADE 4. DESIGN LOADING FOR ALL PROPOSED PRECAST UNITS pow DESIGN FLOW: 3 BEDROOMS ® 110 GPD = 330 GPD 2" PEASTONE OR GEOTEXTILE TO BE AASHO H-LQ o 0 FILTER FABRIC OVER STONE 198.41 PROPOSED SPOT EL. USE A 330 GPD DESIGN FLOW 2% SLOPE REQUIRED OVER SYSTEM 95 -97 5. PIPE JOINTS TO BE MADE WATERTIGHT. °emu Z� 99 5 MINIMUM .75' OF COVER OVER PRECAST TH1 o } TEST HOLE PRECAST H-10 NOTE: MIN. WALL THICKNESS 2" BLOCKS OR 6. CONSTRUCTION DETAILS TO BE IN ACCORDANCE WITH Y SEPTIC TANK: 330 GPD (2) = 660 ;'", .. RISERS (TYP.) MORTAR ALL PRECAST RISERS 310 CMR 15.000 (TITLE 5.) 95.0' 4"OSCH40 PVC COMPONENTS 2� SLOPE OF GROUND PIPES LEVEL 1ST 2' H-10 7. THIS PLAN IS FOR PROPOSED WORK ONLY AND NOT TO USE A 1500 GAL. SEPTIC TANK T E 4' 1 (TYp,) lV'S EL. 93.20' 4' BE USED FOR LOT LINE STAKING OR ANY OTHER 1500 GAL H-10 ENDS BET SIDES 94.03 Locu xit 7 / UTILITY POLE 97.0 * 10" 14" a a o v LEACHING: 95 75' ; �° °�°> ° PURPOSE. TEE SEPTIC TANK TEE °°°°o°o° ': p°°° o, ° ° ° ° Route 95.50 . ° ° ° ° ° t SUbIP ®®®® ��®® 00°0�0 ®��0 ®®® '0°0° °0° Yarmouthm ' 6 FIRE HYDRANT SIDES: 2 (26 + 12.83) 2 (.68) = 105 GPD ° ° ° ° ° ° °°°°°° °°°°°°° Campground GAS BAFFLE;. °°S°o°oog . INT. DIM. 0°0°0°0° ®®®®®®®®®� °°°°° ®®®�0�®®®®® '°°°°°°°° 8. PIPE FOR SEPTIC SYSTEM TO SCH. 40-4" PVC.o °°°°°°°° ®®ICJEn E2 ®® °° ,NOTE: NOT ALL SYMBOLSMAY APPEAR IN DRAWING 93.47' ' �i ;00000000 0 000°0° ®®®0®®®®®®� ;00000000 9. COMPONENTS NOT TO BE BACKFILLED OR CONCEALED BOTTOM 26 x 12.83 (.68) = 226 GPD 4' LIQ_ LEVEL (ACME.OR EQUAL) ° ° ° ° ®®®�®®®�®®® °° ° O 0 °°° ° 91 21 Q °°°°° °°° °°°° WITHOUT INSPECTION BY BOARD OF HEALTH AND °° o o• °.o o.°. o 0 o a o o'o ° o<< WATERTEST D'BOX ° ° ° ° ^ °°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°° FOR LEVELNESS PERMISSION OBTAINED FROM BOARD OF HEALTH. ' ! TOTAL: 488 S.F. 331 GPD 0 000° °Ooo°000°o�o„O�o�o�000°o°o. H-10 500 GAL. LEACHING CHAMBER BY ACME PRECAST OR EQUAL. 10. CONTRACTOR SHALL BE RESPONSIBLE FOR CALLING 6" CRUSHED STONE OR MECHANICAL 3/4"-1-1/2" DOUBLE WASHED STONE (2) UNITS REQUIRED DIGSAFE 1 888-344-7233 AND VERIFYING THE LOCUS MAP USE 2 500 GAL. LEACHING CHAMBERS (ACME OR EQUAL) COMPACTION. (15.221 [2]) OVERALL DIMENSIONS TO OUTSIDE OF STONE: 26' X 12.83' ( ) ( ) LOCATION OF ALL UNDERGROUND & OVERHEAD UTILITIES WITH 1' BETWEEN CHAMBERS AND 4' STONE ALL AROUND PRIOR TO COMMENCEMENT OF WORK. NOT TO SCALE (2.5% SLOPE) (17 % SLOPE) � 1 y, SLOPE) (14 CAPE COD BERM Ilz 11. ANY UNSUITABLE MATERIAL ENCOUNTERED SHALL BE 12"x 3" FOUNDATION- 48' SEPTIC TANK 12' D' BOX 13' LEACHING REMOVED 5' BENEATH AND AROUND THE PROPOSED FACILITY ASSESSORS MAP 348 PARCEL 7 s" H-2oF&G LEACHING FACILITY. ADJUSTING BLOCKS/11-20 RISER , MA *THE INSTALLER SHALL VERIFY THE MORTAR ALL COMPONENTS 84.0• BOTTOM TH-3 ZONING SUMMARY (nL) APPROVED DATE BOARD OF HEALTH LOCATIONS OF ALL UTILITIES AND ALL NO GROUNDWATER FOUND BUILDING SEWER OUTLETS AND \ ELEVATIONS PRIOR TO INSTALLING ANY ELEV. �-�� ELEV. ELEV. - ELEV. ZONING DISTRICT: RF-1 DISTRICT °�° . \ 4" MIN. PEASTONE PORTION OF SEPTIC SYSTEM TEST HOLE LOGS O" 4 96' O" 4 98' O" 96' 0" 98' ;o°oo°00000 °oo°000 AND MIRAFI 140NS o ° MIN. LOT SIZE 43,560 S.F. 000000000 °°0000°0000 FABRIC OVER STONE 00000°000 s'-o~ x sm o°°o°0000 MIN. LOT FRONTAGE 20 oo°o°o°°° H-zo 00000°°°° DAVID D. FLAHERTY JR. O 3" 0 3" 0 MIN. LOT WIDTH 125' o°00000 soo GAL o0000000o ENGINEER: 3" O 4" , ° °°°° ° °°°o° MIN. FRONT SETBACK 30 LEACHPIT °o o °o°o°o°o° °o°o°o C� 0 0 000 o °°000°°o 000o0.0oo SHOREY OR EQUAL °00000°o° WITNE..�S: A/E A/E A/E A/E MIN. SIDE SETBACK 15 °° °° o°o°°o°°° °°°°°000° ° °°°°° DATE:_ 7/1 1/2006 LS LS LS LS ° °° MIN. REAR SETBACK 15' °00000000 00000°o°o MAX. BUILDING HEIGHT 30' °°°°°°o°o°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°o°°°°°°° PERC. RATE _ < 7 MIN/INCH 10YR 5/1 10YR 5/1 10YR 5/1 10YR 5/1 3/4" 1 1/2" \ j 7 OPP 7„ 8„ DOUBLE SITE IS LOCATED WITHIN GROUNDWATER . AROUND PIT WASHED STONE CLASS I SOILS P# 1 1344 PROTECTION OVERLAY DISTRICT 2 MIN B B B B & 6" UNDER PIT DRIVEWAY DRAIN SECTION LS LS LS LS 10YR 5/6 , 10YR 5/6 „ 10YR 5/6 , 10YR 5/6 NOT TO SCALE 38" 92.8 40" 94.7' 36 93 37" 95' C1 PERC C 1 PERC LS C 1 LS C 108» 2.5Y 6/4 87. LS 120"� 2.5Y 6/4 2.5Y 6/4� / 86' LS / ` 120" 88' 0 --�112 o° C2 C2 T � �► C2 CS 2.5Y 6/4 CS CS S 132" 2.5Y 7/4 85' 144" 86' 144" 2.5Y 7/4 84' 126" 2.5Y 7/4 87.5' NO GROUNDWATER ENCOUNTERED NO GROUNDWATER ENCOUNTERED o ELECTRIC i� g0 �-�- �-,._ - -__.-� i �S _ ❑ ❑ CLUSTER �'r�o E N125556 E 277.86' � 0 86 �E EA S ENT 6 g4 BENCHMA < w- NAIL TO BE.S / w,_--�W IN TREE ATIO t 3 *SSo NAVD88 Lot 2 v .� 43,933 S.F. w--� Q) T0 �Ok 100 �So S Y 7• � PAVED DRIVE f 4 9 N I v M ^' PROPOSED M_ �� ! SLOPE 0) o 0 l o � p 9 EASE T �1 PATIO DWELLING TOF = 1 .5 w M TITLE >>0 0 OF � S 108 0� O ^\ C M f M 40. ' R� \ TH4 M AtM ,,, �� #51 SAMANTHA DRIVE /00% F \ TH A B�SJ / 3 ti� - CUMMAQUID, MA 10` o TH3 co `+ 106 �[1Q4] �, TH1 PREPARED FOR 104 `Z6 .Q 0) - PROVIDE 40' OF 40 MIL LINER - rJ `� S C G EDMUND POLI -OFE�. IN AREA SHO PAT G _ �_G ELEV. 9 . ', AT EL. 90.0't 82 N12'08'43T DATE: FEB. 16, 2018 376. ' 9� �� BARNSTABL TOWN OF (MUN) Scale: 1"= 20' 367 MAIN T HYANNI MA 0260 0 10 20 30 40 50 FEET � �'�'AU r�A.;s off 508-362-4541 fax 508-362-9880 DAN!ELA.�cy oc DANIELA. downcape.com m•� o OJFk,!-A OJALA Nl \` 1 C46502o I �No `10980� down cope engineering, inc.°�F c,s ERA ; l �9NFF SOU, civil engineers 2 land surveyors 939 Main Street ( Rte 6A) DATE DANIEL A. OJALA, P.E., P.L.S. YARMOUTHPORT MA 02675 DICE # 17-476 15-177 POLl.dwg