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0225 STONEY POINT ROAD - Health
M&STONEY POINT RD. BARNSTABLE A=337-004 (LOT 2A) TOWN OF BARNSTABLE � PION ] SEWAGE # — 3 S 3 is AGE , ASSESSOR'S MAP & LOT 3 3 7 ®® INSTALLER'S NAME&PHONE NO. �7��7 /D SEPTIC TANK CAPACITY Zyo© J zw,4 !®®0A -.. . v LEACHING FACILITY: (type) P- XA-44 . ����z� (size) NO.OF BEDROOMS BUILDER OR OWNER PERMTTDATE: a����®� COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table and Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility (If any wells exist on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) Feet Furnished by r � �. A - 3 = 39 P A -,q � Aa 6 3: 33 10 79 , go`. TOWN OF BARNSTABLE !� CATION ,2aS` L eilsz 7' GY SEWAGE # ✓Y.i.LAGE � -rt T -- ASSESSOR'S MAP & LOT. "I DO INSTALLER'S NAME&PHONE NO.*' SEPTIC TANK CAPACITY LEACHING FACILITY: (type) (size) NO.OF BEDROOMS ,-, BUILDER OR OWNER f'�C��L� ; PERMITDATE: 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 by t f J/ OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(commend) Property Address:225 Stoney Point Road Cammagaid,MA � Owm:r Date of Inspection: �1 SKETCH OF SEWAGE DISPOSAL SYSTEM Provide a sketch of the sewage disposal system including ties to at least tyro permanent reference landmadks or benchmarks.locate all wells within 100 feet Locate where public water suppty emers the building. 0 i F,gpa1'C OF j{OItfE g �0`ao � e o Bo° 9 g 0 g a •0 0 ao g o�b 0 ga gj� i� TOWN OF BARNSTABLE ® SEWAGE# LOC�ATION,� r VILLAGE IL� N„ ASSESSOR'S MAP&PARCEL�'3�Z e'er. INSTALLER'S NAME&PHONE NO. SEPTIC TANK CAPACITY LEACHING FACILITY.(type) .. � _ (size) ° NO.OF BEDROOMS OWNER M4�,'Ligeet PERMIT DATE:�(, L� COMPLIANCE DATESeparation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Private Water Supply Well and Leaching Facility(If any wells exist on site or within 200 feet of leaching facility) Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of le /g. Feet FURNISHED B ti 0 t� c-a, . .: \co r 4 No. :71 610 MCO Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS Yiratiori f bisosaY 6pstetu Const>•uctiot� erntit Application for a Permit to Construct( Repair Upgrade( ) Abandon( ) ❑Complete System ndividual Components Location Address or Lot No. �\?s Owneame Address,and Tel.No. Assessor's Map/Parcel Installer's Name,Address,and Tel. o. Designer's Name,Addre s,and Tel.No. IS G Type of Building: Dwelling No.of Bedrooms Lot Size A;!�'Q>,94—\ 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`7 c�. 'C'k, Number of sheets Revision Date Title —� Size of Septic Tank Type of S.A.S. Description of Soil de Nature of Repairs or Alterations(Answer when applicabl �— Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenan of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code noY to ce the s em i�►op ation until a Certificate of Compliance has been issued by this Boar f ealth. Signed Date Application Approved by Date Application Disapproved by Date for the following reasons Permit No.• L Date Issued 2h V fj now No. 'd I I Fee [ J " - THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS ftpliLatiOn fD ]Disposal 6pstem Construction Permit Application for a Permit to Construct Repair( UPgrade Abandon ❑Complete System 046,idual Components Location Address or Lot No. ` —S Owner's Name.Address,and Tel.No. Assessor's Map/Parcel "r I stall er's Name Address,and Tel Designer's Name,Addres ,and Tel.No. ..Type of Buildmg: - Dwelling. No.of Bedrooms Lot Size 'S"� sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) gpd Design flow provided 4_kSnt_, gpd Plan Date=Qb&1L^at `� Number of sheets Revision Date Title s Size of Septic Tank " Type of S.A.S. ' i. Description of Soil I 4 Nature of Repairs or Alterations(Answer when applicable) Date last inspected: Agreement: j - The undersigned agrees to ensure the construction and mainte;Mot/to of the afore described on-site sewage disposal system in y_ accordance with the provisions of Title 5 of�the�E"niro ental Code pl e e s em in ope tion until a Certificate of Compliance has been issued by this Board of` Health. / Signed / Date gn Application Approved by Date ,� l V ' Application Disapproved by Date for the following reasons Permit No. L — O Date Issued i 1 THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE,MASSACHUSETTS Certificate of Compliance THIS.IS TO CERTIFY,that the On-site Sewage Disposal system Constructed( ) Repaired( ) Upgraded( ) Abandoned( )by G at An-eLl u,n r F ^ "has been constructed in accordance with the provisions of Title 5 d the for Disposal System Construction Permit No. dI dated W-)j /y Installer Designer #bedrooms Approved des' ow 0 / gpd The issuance of this permits Il not cons ed as a guarantee that the system ffim 'o as�es�ig�nX".,/ Date Inspector No. d '' ( d� _ Fee THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION-BARNSTABLE,MASSACHUSETTS U sj \JI/ Vspo at 6pstem Construction Permit Permission is hereby granted to Const ct( '') Repair( ) Up ade . ) Abandon( ) System located at .7 ,n P 4o 'n 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. i Provided:Construction must b completed within three years of the date of this permit Date b �' s 7 Approved by UIN l I k-v e✓ ' eig-Lec6c^ S err pip ctvz- / 't I AN 3 € t' v REQUIRED L_ CU S IN FORM A110N s JRRENT OYVNER: SATR CE A.COTT J. cCZAPSKI& P � I DEED BOOK 13998, PAGE 205 657 Main St..e!:` . ;�-T. 2S TLE REFERENCE: W.Yarmoucli hJ-,jSS thIIS(.L 02673 � ----- - _AN REFERENCE: PLAN BOOK 282, PAGE 45 5() 778 8919 ,SSESSORS MAP: 337 PARCEL: 004 PROJECT TITL-: ZONING DISTRICT: RF-1 SETBACKS: FRONT 30'SIDE 15' ® FOR REAR. 15, , SEWA E DISPOSAL INlMUM LOT.SIZE . 43,560 _ ���A€ ISTING LOT AREA.- 35,437t S.F. SYSTEMy )VERLAY DISTRICT: AP R.OVEN SENSITIVE #225 ZONE: NOT IN A ZONE It FEMA FLOOD "C", DATED 7/2/19 STONEY POINT ' ' 3 ZONE DISTRICT: PANEL #250001 0001 D CUMMAQUID ICU S . PLAN: NO SCALE MASS ACH U SE BARNSTABLE HARBOR i l? EP REp FOR: ^OTT Mc MAW M r. S� _) _ + . J = P.O. BOX 3 'i CUMMAQUID { W MA. 02637 F N r (508) 362-255 r 0 DATE: -AUGUST 7, 2008 — v `� 3 3 COMP./DESIGN: K. ' CHECK: M. DIR9 ---- -- A 6A DRAWN: P. HAGIST d FIELD: D. GAZZOLO / ''.. ` r. FILE NO. 8847--SEI- 0AG -- _ DWG N0. 5640-02 �N -T JOB NO, 4-8847.001 S62.5 - - - - _ oHW OH Lam. oHW W TRAVELLED W W \ AY o"W 10' MIN 115.3' 00 :°B-2 \ \ \ ,P-2 x -� LOT 2A� ago -- � - -• . � � Q 0 359 437f S.F. . 1 W f ,8 CEDAR POSED GALLON W -CHAMBER N .12' J4ttN TP , • �TING�TANK T0; SSE 18", PINE 3 - i PED, INSREC` v\ = jpj TEfR¢i ,- — APPRO IMATE L-OCATION . .. 1;8 ' CED R GAS 3 �" GATE _ 18" CErDAR � 2 + .G.AS GAR I " CHERRY GoME'Fq CHERRY \8s / LA P #225 WG o DECK TOF=.89.9` \B4 FF=91.1, \ 31 INV#88.2 j \ 53.2' OHM' OH �„ I �ROPOS6 I \ 16 CEDAR I 24 \ 6 � 2"—CEDAR ~` 71-43 f , Print Page Page 1 of 3 Print this page _ . Owner Information- Map/Block/Lot: 337/ 004/-Use Code: 1010 Owner Map/Block/Lot GIS MAP, 337/004/ - MCMANUS, SCOTT J & CZAPSKI, property Address Owner Name as of PATRICE A 1/1/13 PO BOX 311 225 STONEY POINT ROAD CUMMAQUID, MA. 02637 Co-Owner Name Village: Barnstable Town Sewer At Address: No GIS Zoning Value: RF-1 . Assessed Values 2014 -Map/Block/Lot: 337/004/ -Use Code: 1010 2014 Appraised Value 2014 Assessed Value Past Comparisons Building $ 219,400 $ 219,400 Year Total Assessed Value: Value Extra $ 50,700 $ 50,700 2013- $ 607,600 Features: 2012- $ 620,700 Outbuildings: $8,900 $8,900 2011 - $ 609,000 Land Value: $ 328,400 $328,400 2010 - $ 614,600 2009 - $435,600 2008- $477,500 2014 Totals $607,400 $607,400 2007- $ 503,800 Residential Exemption Received= $86,566 . Tax Information 2014- Map/Block/Lot: 337/004/- Use Code: 1010 Taxes Barnstable FD Tax $, (Residential) 1;639.98 Community Preservation Act $.142.50 Tax Town Tax (Residential) $ 4,750.01 Fiscal Year 2014 TAX RATES HERE 6,532.49 . Sales History- Map/Block/Lot: 337/004/-Use Code: 1010 History: Owner: Sale Date Book/Page: Sale Pricl MCMANUS, SCOTT J &CZAPSKI, PATRICE A 2001-06-29 13998/205 $325000 http://www.town.barnstable.ma.us/assessing/printl4.asp?ap=0&searchparcel=337004 6/16/2014 e Print Page Page 2 of 3 COUGHLIN, DONALD L &DOROTHEA A 1991-06-15 7575/324 $1 COUGHLIN, DONALD L& DOROTHEA A 1991-06-15 7575/317 $1 COUGHLIN, DONALD L&DOROTHEA A 1989-05-03 6722/157 $1 COUGHLIN, DONALD L&DOROTHEA A 1981-12-03 3403/118 $0 . Photos 337/ 004/ -Use Code: 1010 . Sketches- Map/Block/Lot: 337/ 004/-Use Code: 1010 f ,g 1 474 �T TAlf :x {� . �T 1 As Built Cards:Click card#to view: Card #1 1 . Constructions Details- Map/Block/Lot: 337/004/ -Use Code: 1010 Building Details Land Building value $ 219,400 Bedrooms 4 Bedrooms USE CODE 1010 Replacement Cost $244,492 Bathrooms 4 Full Lot Size (Acres) 0.81 Model Residential Total Rooms 6 Rooms Appraised Value $328 Style Cape Cod Heat Fuel Gas Assessed Value $32f Grade Average Plus Heat Type Hot Water Year Built 1972 AC Type None Effective depreciation 15 Interior Floors CarpetHardwood Stories 1 3/4 Stories Interior Walls Drywall Living Area sq/ft 2,606 Exterior Walls Wood Shingle Gross Area sq/ft 5,738 Roof Structure Gable/Hip http://www.town.bamstable.ma.us/assessing/printl4.asp?ap=0&slearchl)arcel=337004 6/16/2014 Print Page Page 3 of 3 Roof Cover Asph/F GIs/Cmp . Outbuildings & Extra Features- Map/Block/Lot: 337/ 004/- Use Code: 1010 Code Description Units/SQ ft Appraised Value Assessed Value BMT Basement- 1048 $ 20,600 $ 20,600 Unfinished BMT Basement- 576 $ 16,100 $ 16,100 Unfinished FPL2 Fireplace 1.5 stories 1 $ 3,900 $3,900 UST Utility Storage- 30 $600 $600 attached WDCK Wood Decking 648 $8,900 $8,900 w/railings GAR Attached Garage 300 $9,500 $ 9,500 . Sketch Legend Property Sketch Legend B2N Barn-any 2nd story area FPC Open Porch Concrete Floor REF Reference Only BAS First Floor, Living Area FTS Third Story Living Area(Finished) SOL Solarium BMT Basement Area(Unfinished) FUS Second Story Living Area(Finished) SPE Pool Enclosure BRN Barn GAR Garage TQS Three Quarters Story(Finish( CAN Canopy GAZ Gazebo UAT Attic Area(Unfinished) CLP Loading Platform GRN Greenhouse UHS Half Story(Unfinished) FAT Attic Area(Finished) GXT Garage Extension Front UST Utility Area(Unfinished) FCP Carport KEN Kennel UTQ Three Quarters Story(Unfinis FEP Enclosed Porch MZ1 Mezzanine, Unfinished UUA Unfinished Utility Attic FHS Half Story(Finished) PRG Pergola UUS Full Upper 2nd Story(Unfinis) FOP Open or Screened in Porch PRT Portico WDK Wood Deck PTO Patio http://www.town.bamstable.ma.us/assessing/printl4.asp?ap=0&se.archparcel=337004 6/16/2014 Assessing As-Built Cards Page 1 of 1 LO,CAT10N� EWAGE PERMIT NO. t f VILLAGE a 9tAA a INSTALLER'S NAME & ADDRESS B UfLDE OR WNER DATE PERMIT ISSUED DAT E COMPLIANCE ISSUED 4 r http://www.town.bamstable.ma.us/assessing/HMdisplay.asp?mappar=337004&seq=1 6/16/2014 aS � � -- of 3�? �nfue"`f 2o �`�_ h5SES5tR-S MAP NO. PARCEL-- L 0-C A T ION SEWAGE PERMIT NO. _22F �t e)T r0 1 r t R C I mrn 86-443 -V I L L A G E ,a Cummacfuid I N S T A LLER'S NAME ADDRESS CASH'S TRUCKIING INC . P)ox 7 . Ya.rr_ outhFort . Sig,.. 02675 j BUILDER OR OWN ER DOROTHEA COUGHLITd #225 Stoney Point Rd. , Curnmaquid Box 330, Cumm.. DATE PERMIT ISSUED 5/14/86 D'AT E COMPLIANCE ISSUED 9/9/86 � 3 �� �,� a r • '� G ? L 10 N� E W A G E ��7 PERMIT� U®-`r Y VILLAGE cc QtAA.4 I N S T A LLER'S NAME & ADDRE S 0 U I'L D E OR WN ER t 0-L DATE PERMIT ISSUED DATE COMPLIANCE ISSUED •v . -------------�--s q. e � ', s i � i i �d ' `1EALTH DEPT. y Town Officq Building THE COMMONWEALTH OF MASSACHUSETTS BOARD PF HEALTH OF.... .. ----------------------------.........------ Appliration for �i o ul Work, Tonstrurtion Frrutit Application is hereby made for a Permit to Construct ( ) or Repair (VI"an Individual Sewage Disposal System at •--...4q? ... � ; cmvnl--------------------------------------•... ----.......----- .. a- Address or Lot Na. .. .............. /�.. � yf�' ��rj,yJ' O er a .... :)M74:[.l.Cl.:.._. ` .. ---s......... ............................................Address.......................................... Installer Address U Type of Building Size Lot............................Sq. feet Dwelling—No. of Bedrooms............................................Ex Expansion Attic a p ( ) Garbage Grinder ( ) p., Other—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) a' Other fixtures ..................... W Design Flow............................................gallons per person per day. Total daily flow............................................gallons. WSeptic Tank—Liquid capacity............gallons Length................Width................ Diameter................ Depth................ x Disposal Trench--No. .................... Width.................... Total Length.................... Total leaching area....................sq. ft. 3 Seepage Pit No...................... Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) aPercolation Test Results Performed by..............••----••-----••---•---•-•-••-•----••--•.....----•-.......... Date........................... Test Pit No. 1................minutes per inch Depth of Test Pit.................... Depth to ground water........................ f� Test Pit No. 2................minutes per inch Depth .of Test Pit.................... Depth to ground water..--.................... Oa .............................................•-.-----•••----••••-•••••---•......................................................................... Description of Soil....................................................................................................................................... _ v ....................................................................................................................• {otip} i ' 5 .S._......._........ ------------ --------------------------------------------•----------•----......--------...------------------. - -•-•-- . of Repairs or Alterations—Answer when applicable.......... ...........:. U P ..._ ................................ -----------------•--......--•--•-•-------------•--•----•. -- 11; ...- . -- -=. = •---------------•-----------------------•-----•---............. Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of:ITALE 5 of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance has bee .ssued by the boar 31t Signed._. .. - ..... -• --- •---- -- -•---.__.... 1 .... �-Dat Application Approved By--.....-••...•-----•---••-•-•-•---•---•--••......_ . ....... . •-- -••••--• f Date Application Disapproved for the following reasons: ---•----•----------- - ...Date ......•...... PermitNo......................................................... Issued....................................................... Date 4 _ No.......4 _....... S F4...I.:�'.r....� THE COMMONWEALTH OF MASSACHUSETTS a' BOARD OF HEALTH ; a rcx of - - atiou for Uwv sal IVarks C onitrurtivit Vrrmit Application is hereby made for a Perir`iit'to Construct ( ) or Repair"(`1'J'and Individual' �ewige Disposal System ryat: t� 1 csl c _1 i n?. i i',t (�9 f�--f:+ l t/1'1�=• .i t` { ._.....__ .1 * _ • F ...J._:...__ �ca�lo?idres or_Lot No. 1.............. l _ A u ._........._ ____ ....... - ..... A L t ,� Owtner .... ...._.. .............. -ltIli.-i_C�1.R1d l ";... dress r h Ad-- _... ... . Installer Address Type of Building �? YP g Y; Size Lot-----•......................Sq. feet Dwelling—No. of Bedrooms.: ).......:........................Expansion Attic ( ) Garbage Grinder ( ) P44 Other—Type of Building ............................ No. of persons..'........................ Showers ( ) — Cafeteria ( ) d Other fixtures -------••------- W Design Flow............................................gallons per person per day. Total-.daily flow............................................gallons. WSeptic Tank—Liquid capacity............gallons Length................ Width...._........... Diameter................ Depth................ xDisposal Trench—No...................:.. Width.................... Total Length..................... Total leaching area....................sq. ft. Seepage Pit.No...................... Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) Percolation Test Results Performed by.... .......... ................................................•. Date....................................... Test Pit No. 1................minutes per inch Depth of Test Pit.................... Depth to ground water........................ (s, Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ R� ---------------------- •------------------ .---------------- .--------- --•--------------- --------------- -•••------------- -....... ----------.... 0 Description of Soil................................................................... Uxci, - rr.__ . ........................................•-•-•------•-•-•-------......------•-------•-•----.............----•-----•- .� W ----•-•-•----•---------••. --- -- �� fil �s s r �r UNature of Repairs or Alterations—Answer when applicable__...._ �._ t' ._� ... ....................` Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal:-System_ in accordance with lm g the provisions of II i X P 5 of the State Sanitary Code— The undersigned furthe`r'agrees�not to place the system in operation until a Certificate of Compliance has been issued by the boar fA ealth Signed.... ...........' ._.. y �-' -•--•.... Application Approved By---•-•.... •----•---•---•-•• ... ..__ at .. Pate i . Application Disapproved for the following reasons:--••--• ................................................ ..... - •--••.....................................--•----------•--•----------------------------•-...._ Date PermitNo......................................................... Issued................................................... ..... + . rDate -THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEA�LTHf� y -e, zlt � d ........OF.. ... 1 t,, '1:t:.. :'. �k.�.-.'......................... \`' r 1 Trrtifiratr of Toutphaurr �}X. THIS.IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ' ) or Repaired,;`("h.) by........................ ..�`4.n f..4.....r�r..f. - ......_...._... ,/� Ins all (� ,,..r a ... -•••••-,/,r�'.A-�91J/ L 'dl ilryt �'l / :i•- 1. 11 _ 1:1y7 7_f(Q. //��' .._..%./ h'as been installed in accordance witlathe provisions of TITLE 5 of The.State Sanitary Code as described in the application for Disposal Works Construction Permit No......................................... dated................................................ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUE® AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE................................................................................ Inspector..................................................................................... ` IPr4Se u5 I d t c.s y^--__.._—,—_�--------- �, ��� V`C,�t�Q� e.. trot Sc,1`�,'+1�1 e H-E COMMONWEALTH OF MASSACHUSETTS '•" Q'0"6 1M�CL. Y oi S` 1P�r t�� ldegw+ twnI �. --- BOARD OF HEALTH tp {met ............OF 4,lA - ! . -L.- s..y v u..v��'�wr� No......................... ................... E ...1......1 ... ��ratstrttrtuan Permission is hereby granted-.._.._..P//.j 1. �. .��' 1/'/r? t J •"G... ........... tot Construct ( ) or RepairV (,,.,,)-an....... Indivi lual Sewage Disposal,Systein at No.. ..._.... ',� 1l p t ti E 1 P... �n r 1,.y �»l/I l 4 « f ' - ---• ._ - �Sticet' as shown oii the application for Disposal ��'orls Construction Permit No. 6_� ated.._.._.... .s 19.... ......... ,y t r; -- lf' ralth DATE---------- e / w Jun 18 14 03:37p Krafion Woodworks .5084288621 p.1 SEF-21-2006 THU 09:38 M 8So GROUP YARnan FAX M 6087786M p. 02 Town of Barnstable Ptimulftry Services Geibw,Mum,, i hb*Heahh DfYi®olt Z04 Main g et.gy�pi�,MA CSOi FRe SOR-79M304 �•' ilb B'O��l Hm 9 »aG sewage Petmlt st G Addnm 3Yrw Addnm d , on D� W was iwued a Pawk no imm a date) m Rr • sy at Ze pay► - �./ based on a desigi drmva by ` • sadness dated g�r tvo6 (deli _ moic qdOm reE9m=4 above W114 itmWlCd aftUndft 8=MT159 to bg wh pik approved`h 'sRd a idi b &*C tao W OCOM the thaw! Sys ne#breaaed above was insww with major chruages(e. Aefoeazion of ttia SAS �'yatical relOGWW ofany CCM*Ment of dig septic )but to aw4rdeaae with grate 8t Local W& Ph a revision or mdificdas-bai by d toloiIow. I . r�ca tares er's »a 4w ' I ie RIF I f s SCaeup i • ra M . Q;Rad�/�P1�i�r fiaeOsn Faarp 3 26-M.doe y ey �,y, + > /� No. .CT�-i®6 t) 5 1 ee [ v F THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS s 0(pplicatton for Tigpo5al fpp$tem Con5truchon Vermtt Application for a Permit to Construct( ) Repair V,,) Upgrade( ) Abandon( ) ❑ Complete System ❑Individual Components Location Address or Lot No.a� �rte�Qy Owner's Name,Address,and Tel.No. 5OT-'�(9,DL 45;c-m 't M C me-c VN µ, 5 Assessor'sMap/Parcel yD-®,_ �a ----i-- v- . lu Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. Type of Building: Afth 4 3 7 Dwelling No.of Bedrooms Lot Size sq. ft. Garbage Grinder ( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures pp�� Design Flow(min.required) —1 (L gpd Design flow provided �. ®� gpd Plan Date LtS`f• '7 , `�6Q 6 Number of sheets Revision Date Title ,YSY 'f Size of Septic Tank 106Q g a kB Type of S.A.S. Description of Soil Nature of Repairs or Alterations(Answer when applicable) Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in `accordance with the provisions of Title 5 of the E yvironmen o nd nol to lace the system in operation until a Certificate of Compliance has been issued by this B rd of Si Date _ Application Approved b Date PP PP Application_Disapproved by: Date -'T` rsthe following reasons Permit No. (fo (O — 3 5 3 Date Issued .y - -.- - 4 5 5 � 1 No. O {�a�s+�-.�. ; ; 1 Fee G _ o• 6 /- �Yt Entered in computer: I TRH—.E-COMM6NWEALTH OF MASSACHUSETTS „ PUBLIC HEALTH DIVISION.- TOWN'OF BARNSTABLE, MASSACHUSETTS Y`es 01pplication for Bioo$al ip$tem Construction permit Application for a Permit to Construct O Repair( Upgrade( ) _ Abandon O ❑ Complete System`❑Individual Components Location Address or Lot No. S *' t QY �.� Owner's Name,Address,and Tel.No. A C mee Assessor's Map/Parcel ilu Installer's Name,Address,and Tel. Designer's Name,Address and Tel.No. 0$ 'Pf�� G 5 7 1^1,v ri S—t U.„�`l^� l J•�cc rnl®et`t� Type of Building: SaF/71 -79 1 u 4&�37 • ' Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder ( ) Other Type of Building 01!q ro. No.of Persons Showers( ) Cafeteria( ) Other Fixtures E 1 t tt(� Design Flow(min.required) gpd Design flow provided gpd Plan Date N of k5"E 7 t , L1l)6 Number of sheets Revision Date Title OeS�kn -�or S`tw4dC A-,5 S0., Size of Septic Tank L�ko Type of S.A.S. Description of Soil Nature of Repairs or Alterations(Answer when applicable) . 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-CUod-ee"7, nd Dqt••to place the system in operation until a Certificate of Compliance has been issued by this Bo�ardof ealth. Gf_ r Sigrae �/�i>/ / Date Application Approved b �---�' ` " Date Application Disapproved by: Date for the following reasons �•- Permit No. (D 3 5 3 Date Issued THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS Certificate of Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal System Constructed ( ) Repaired ( ) Upgraded ( ) Abandoned( )by at 5 .� �'i`/1 (7V1v1vr's7`,,has been constructed in accordance 1 with the provisions of itle 5 and the or Disposal System Construction Permit No.c'�0(P -3 5-3dated � ` Installer Designer iR� #bedrooms LI Approved design flower Q gpd The issuance of this permM/, not be construed as a guarantee that the s stem will fu ion as`designed. Date Inspector -------y�----c—^.J------- ---- ------------ ------- No. CJ'`�`00 �n 35 Fee /0 C) THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH. DIVISION-BARNSTABLE, MASSACHUSETTS Migoal *p!5tem Cow5truction Vermit Permission is hereby granted to Construct ( ) Repair ( Upgrade ( ) Abandon ( ) System located at +Z1-n'Q- P I and as described in the above Application for Disposal System Construction Permit.The applicant recognizes his/he,:duty to comply with Title 5 and the following local provisions or special conditions. Provided: Constt cctiion LLust be cr, apleted within three years of the dat of this pe rrt't. Date �� ( ice _ At) ro`Ji d -^���- •. .. `I �.1::',.�,1..�..._9,)1�...1��9,...-..'r.9.�,.',� i Town 61 Barn aF stable P# l �' I..,,.�,.,rI...../. 1 Y,o.—�-..9 rL 1..1:..,._._:t., ` - iat� 4 Deptrtment of Regulato ' Ser ,.":.-"..,�:.I,,�.r-:.*::.._:.....�....4.t::9�....�:.1.,I.._:.�.-—1._�.,.`f..,-.,!�r,....-��',_"..�,�.:-�:�..:..._.r.,:rL..:�.',11:,,I�LI..:1".,,I,:�,...,:L.:,..��-r,.),I:1—:�-.,�1.��-�,.I 4'.:�,'..I,'.--.I.1 I:���!9.�1.I�-.�*--��'...�-�...I�r--I'.I,`'..�..4..I.��:_. .I.I.'.P,,._-.,..��:.,...l'��:-9%:....,..7I,...—�.,.,.I...�I...-'.�._..,.,"I,,r:..:.I.�,,,,."�I.�-.,.,,...9;...;:.'.�.....,-""�[J,";.��,,"�,'�,.,m..,'�.�.,. ��I,:A,.,',..I'r.1...�.':r.�I-.,-:.�.....,,-�-r,-9'I.-�,,:�,L�1:,,"�:..I�I.1_:'9 I.,,.9��t..._... 1. I. 9. ,' _ qry vices �, ar,,ar� Pu''bl><c tl t,. ,k� Heal Di {F d.. - ��Sl O n .t' L 4 5 y t J1 • • q - `3 i L' 6�q. �� i i • Date _ rEo.r°ud" �; 200 Mam Sazet,H annis i,i �,, r � X� t Y MA02601 x«� ,. f r } . t �, :.� �, 4 r'. t ff,,,,, ` Date Scheduled �f i(� 9 0w r z ) r Time / 4. 4 2 Fee Pd: ." . F.. ./,,/p �'// 1 4 E k a . + i{ . .� b iti 'j / �Y f5 f i.k �S ' .:.t Y .,. 'i 'i sp• t } n: k�'" r�Y `SOtI Sult , abili . ty Assessment or a .; o t . a r .p Performed By: �" t /e �e 4 al>" `'� P Witnessed 13y; O - r t CATION&GENERAL INFORMA LocacionAddress 225': Stoney ;Point° Road TI µ, Cummaquid MA ner�s.N Scott J. 'McManus & . O ame w Patrica A . Address C ap s k i 9;Asse§sor's Map/Parcel 3 3 7 0.0 4 O BOX 31'1 C:ummaqui . Engineer's Name BS.0 GrOU NEW CONSTRUC770N REPAIR .. - ., .. P r Inc / / Telephone#. .5 0.8-7 7 8" 8 919 land Use �eSl BYi, I cc r ,y Slopes(96) p =� � . Distances from ,Open Water Body ' IV � > Surface Stones . . ._.__ft Possible Wet Area /0 '74 , It Drinking Water Well Drainage Wa ft ft Y , Propertq Line ,, - _ft Other g. . ? . r SKETCH:(Street name,dimensions of!at exact locations of test holes&perc tests,locate w.. ds in proximity to holes) Qr G2 µ't , *,-. , . , .. , I:. 4t . . " ®- . s i ) OIL . } i t r ^3 4 - _ P .'. - ... '. r ., ..I.:."..-�..1'��-...-.,....�,��..,..0..,I/I_��� .. - ... • - . - . .. . . • , �T Porv ` r Y i 1 /�S i rt y ,Parent material(geologic) -r C Depth to Bedrock I'; I. Depth to Oroundwater Standing Water in Holm . p. cap trom pit Face TeY` h Estimated Seasonal High Oroundwatert LI _ DETERMINATION FOR SEAQQONAL HIGH W 3 Method Used. y S�-tgt�r,put c l": FP S/(� / ATER TABLE Depth Observed standing in obs hole: lc • Depth to weeping from side of obs.hole T—_ .. 'in .Depth to soil Mottles in: Index Well q Readin Date in oroundwnter Adjustment B Index Welt level----....�.a. .Ad:factor fr. 1 AdJ,(lroundwaterlxvei,,,_, ` I. . .,yE COI,ATION TEST: note., ._._� �'ltne�__ Observation , Hole B 2 Fad ' Sid Vf Time at 0' § e .. Depth of Pen: `' *9 r""' , �Vs}�ir51 r . • -- Time at 6' _,_�:; Start Pre-soak 75me t`b/1- _2PrIZ ,�, .. Y End Pre-soak. . : .. . .. - 1 . . .. I. - Rate MinJlnt h L' Y Site Suitability Assessment Site Passed p ; . ' a:R. '. Failed AdduiOnal Testing Needed(Y)N)=T .Original: Public Health Division . Observz;tgon Hole Data To Be Completed on sack - -- ***If percolation'test is to be conducted within 100'of wetland you must first notify the Barnstable Consefvation Division at least one(1)week prior to beginning. QASEPTICIPERCMRM.DOC !t• • . F__ ._.. s, __ ..__.� ,:. ._ _ ' DEEP.OBSERVATION.Hops LOG Hole# _ Depth from Soil Horizon Soil Texture F,Soil Color $oil• Other Surface(in.) (USDA) • M it Boulders.: (Structure,Stones; 'ravl 6- 2rt • 2-0-25- I DEEP OBSERVATION HO E LOG Hole# Z Depth from Soil Horizon Soii Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell). Mottling (Structure,Stones,Boulders. C nsi en 96 -261 C, t U� 1aqa�'So ,> DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Muoselq Mottling (Structure,Stones,:Boulders. nitc " ve t. DEEP OBSERVATION HOLE LOG Hole# Depth from. Soil Horizon Soil Texture: Soil Color Soil Other Surface(in.); (USDA) (Munsell) Mottling . (Structure,Stones,Boulders. on i tenGravel) 14 .Flood Insurance Rate Map. - Above 500 year flood boundary No Yes Within 500 year bounds Y ry. Nq Yes Within 100 year nood_boundary No Yes Depth of Naturally Uccuerine Pervious Material Does at least four feet of naturally occurring perviou�aterial exist in all areas observed throughout the area proposed for the soil absorption system? . 6 If not;what is the depth of naturally occurring pervi6us material? Certification I certify that on ©Z (date)I have passed the soil evaluator examination approved by the Department of Environmental Protection and that the above analysis was performed by me consistent with the required training,expertise and experience described in 10 CMR 15.017; Signature .1 l Dam s , Q:�SCPr tG1PBRCFORM Doc I _ r :. i • . - - '. .t . , Town o' Barnstable ..�.':-...''..1/:_�I-;.�.i�._I:1...-.. °s P# ,-...1�.I:.,.-1...L,'-..1I1,_I......d.�-_...I�.I,_L.I,�:..,"...jI'�7_II�.I—�,.:':,...L1'�,�.:,I*..�:I-,',' LL .-,,�L�).'.,L'..L�....�,L�-:-M��.',�r:,.I.,- ,.I I---��1*,.,_I J.L..:,:I�',,L,.�...1",-.,,A.�.''.,.,.-�,I �:.'...,,I��I.�I,.,,.-L..//.....:,..��.,.--......'.-......`-L..r,L �4�1..w. , ' De r . B �, : partment of Regulatory Services 3 , ; er�.� Public Health Division ' - '' ry + t �i. t63y. ��' 2 Date : ,..".."�.;..R. Ea trua 00 Man Street H u�r P r a x z yanois MA 02601 < , , t'R a".._,v i a- a y :: + 1-:='x wl1 " t a'i'. a +{ 1. : Date Scheduled �O �, : � I. I. r F me 3. ` $I. . r - Fee Pd. a Soil . . :� t, , ° Surtab�lityAssessment or„ Se .. i ;- sc '� f wade DZ l' % Performed B G .- /� ;: b (j i s. ,v C ✓/" - : .' S d i s , , .+ Witnessed By: :1<.00ATION&GENERAL INFO A Location Address 2 2 5 Stoney,Point Road Ownu+SNASc .,DAv ' Cut L .1.. MA , -: ". 4 McManus ,.& 5�'Aru'rary oN q tt J. _ y ' Address Patrice A. Caapsk . Assessor's ivii0arcel ' p p 337/0.04 Box % I t. 'Cuminaq id{ Engineer's'Name $ ` . NEW CONSTRUCTION. ` ;. Group, 'i: REPAQt X' . Tele .. Land Use• lt;es,1 ev,�t cZ I - . e phone lk : 5 0$—7 7$-8 919 '`Slopes(96) - Q ... ,ft Surface Stones Distances III O . ,.----"pen Water Body R .,Possible . . . n - . .. Wet Area , AI Way /i/ R Del king Water Well ft - ft Line___/- -- 1.. ,+ Property ft , -other ther ' SKETCH` e (Street name,dimensions: lot exact locations of test holes& ere tests,locate wetlands in roximit P. y Wholes) 7 y1 I 1 1.I { ' `r pt 1 r ) + * t y': i A F y _�� ,: -i- t �` . - .. . I. .• f `f, jL . 4 , fT . t 1 - - +'. i t G iI ' , r t _ ,�S `0 d r, 1 . . T,. � j. t ;. y Parent material(geologic) , Depth to Bedrock V. `. Depth to Oroundwatec Standing Water in Hole: 7�/#Z f7• 4� W ` . ,,. / . / +,: eeping from PIt Face /f� �. ' ,4 Estimated Seasonal High Groundwater 1 F . .. .. DETERMINATIONyFORSER1ONAL HIGH WATER TAT3L,E F Method Used: . . _ Depth Observed standing in obs.hole: :` , ' Depth to weeping from side of obs.hole: __" in . Depth to Boll mottlos: ln, :Uroundwater Adjustment In.'. Index Well B Reading Date: Index Well level ft. x . .�.....,__ _Adj.factor Adj.Groundwater Level,;,_ , PERCOLATION TESL';: ,Observation bate_, +x _ Hole M , `. 1 Time at 4" r a--.:...,. Depth of Pere +'!rq f • ;: ti -----# { Time At 6' + , ` Start Pre-soak 79me td =r.., 9.,6�,) :.Ti . ma( land ,e. f:. :; -�---: .� Pre-soak, r s , Rate Min/Inch , F Site Suitability Assessment. Site Passed Site Failed ' ,�// 1 Additional Testing Needed(Y/N)_h;_ Original: Public Health Division Observagon Hole Data To Be Completed on Back --- , ' -- w, a. ***If percolation testis to be conducted vv>tthint loo'of wetland Barest ,you must first notify the . . ab ..le Conse va tion Div f >Is>!on at least one(1)week prior to beginning. . II IL III Q:1SePTIC1PERCFORM.DOC t , . IL i f . ..1. . ,... .. . ' . . ... , .... ., _ ._���_. a- - -_ t :. .w. , ., :-DE HO, E LOG Bole# l Depth from ' Soil Horizon Soil Texture Soil Color Soil• " Other ` Surface(m.) (USDA) ``(Mansell). Mottling .(Structure,Stones;Boulders' Consistency..% v1 L 4t -/0W 1, /✓• S A 7t/oMe' S:CLAY 1,0A04w 19z 7 3 p241 t �Ip Gw DEEP OBSERVATION HO E LOG Hole# Depth from Soil Horizon Soil Texture. t� Soil Color' Soil Other Surface(in.) (USDA) (Munselq. Mottling (Structure,Stones,Boulders. nsi en %Gravel) 56��"P73L C S:CcAY Coai;.✓i /OY/L 7 3 ev 89 Gr�r73 DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture " Soil Color Soil Other Surface(in.). (USDA) . (Munsell) Mottling . (Structure,Stones,Boulders. - Consistency,%Gravel) DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color ': Soil Other Surface(in.) - (USDA) (Munsell) =Mottling (Structure,Stones;Boulders. on i tengravel) Flood Insurance Rate Map. Above 500 year flood boundary No' Yes ,,,,. Within 500 year,boundary No Yes within 100year flood boundary No Yes Depth of Naturally Occurrine Pervious Mate`rlal' Does at least four feet of naturally occurring pervious;mtiterlal exist in all areas observed throughout the area proposed for the soil absorption.system? IUC7 If not,what is the depth of naturally occurring pervious material? Certification , I certify that on •/ 0 Z (date)I have passed the soil evaluator examination approved by the Department of Environmental Protection and that the .above analysis was performed by me consistent with the required training,experb and experience described in 3 10 CMR:15 017. L. Signature Date r * QrIC1PB1!. Mr, DOC xf 3 t-'• .i - t - .�' _ ...fib.� <.�..e..,, '� ......_et i,w x .,. ...... •... ..a. _ F':_ �. ,. .., ,<:'" t _� < in ,a. ,:, �•. f'.:,. ,.! _#k.', � .�i'. I COMMONWEALTH OF MASSACHUSETTS EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS d DEPARTMENT OF ENVIRONMENTAL PROTECTION �1,4 She TITLE 5 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM FORM PART A CERTIFICATION Property Address:23'5Stoney Point Road(Lot 2A) Map 337/Parcel 004 Cummaquid,MA 02637 Owner's Name: Donald Coughlin Owner's Address: P.O.Box 330 Cummaquid,MA 02637 Date of Inspection: 01/27/01 Name of Inspector: (please print)Ron Burlingame Company Name: l Mailing Address: 58 Oak Street West Barnstable,MA 02668 Telephone Number: 508-420-2020 CERTIFICATION STATEMENT I certify that I have personally inspected the sewage disposal system at this address and that the information reported below is true, accurate and complete as of the time of the inspection. The inspection was performed based on my training and experience in the proper function and maintenance of on site sewage disposal systems.I am a DEP approved system inspector pursuant to Section 15.340 of Title 5(310 CMR 15.000). The system: X Passes Conditionally Passes Needs Further Evaluation by the Local Approving Authority Fails - Inspector's Signature: Date: 01/27/01 The system inspector shall submit a copy of this insp tion 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. Notes and Comments ****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. Title 5 Inspection Form 6/15/2000 page 1 Il d Page 2 of 11 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address: 225 Stoney Point Road Cummaquid,MA Owner: Date of Inspection: Inspection Summary: Check A,B,C,D or E/ALWAYS complete all of Section D A. System Passes: X I have not found any information which indicates that any of the failure criteria described in 310 CMR 15..303 or in 310 CMR 15.304 exist.Any failure criteria not evaluated are indicated below. Comments: B. System Conditionally Passes: One or more system components as described in the"Conditional Pass"section need'to be replaced or repaired.The system,upon completion of the replacement or repair,as approved by the Board,of Health,will pass. Answer yes,no or not determined(Y,N,ND)in the for the following statements.If"not determined"please explain. The septic tank is metal and over 20 years old* or the septic tank(whether metal or not) is structurally unsound,exhibits substantial infiltration or exfiltration or tank failure is imminent. System will pass inspection if the existing tank is replaced with a complying septic tank as approved by the Board of Health. *A metal septic tank will pass inspection if it is structurally sound,not leaking and if a Certificate of Compliance . indicating that the tank is less than 20 years old is available. ND explain: Observation of sewage backup or break out or high static water level in the distribution box due to broken or obstructed pipe(s)or due to a broken,settled or uneven distribution box. System will pass inspection if(with approval of Board of Health): broken pipe(s)are replaced obstruction is removed distribution box is leveled or replaced ND explain: The system required pumping more than 4 times a year due to broken or obstructed pipe(s).The system will pass inspection if(with approval of the Board of Health): broken pipe(s)are replaced obstruction is removed A. . ND explain: 2 Page 3 of 11 OFFICIAL INSPECTION FORM -NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION(continued) Property Address: 225 Stoney Point Road Cummaquid,MA Owner: Date of Inspection: 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 2. System will fail unless the Board of Health(and Public Water Supplier, if any)determines that the system is functioning in a manner that protects the public health,safety and environment: _ The system has a septic tank and soil absorption system(SAS)and the SAS is within 100 feet of a surface water supply or tributary to a surface water supply. The system has a septic tank and SAS and the SAS is within a Zone 1 of a public water supply. The system has a septic tank and SAS and the SAS is within 50 feet of a private water supply well. _ The system has a septic tank and SAS and the SAS is less than 100 feet but 50 feet or more from a private water supply well".Method used to determine distance "This system passes if the well water analysis,performed at a DEP certified laboratory, for coliform bacteria and volatile organic compounds indicates that the well is free from pollution from that facility and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm,provided that no other failure criteria are triggered.A copy of the analysis must be attached to this form. A 3. Other: j 3 Page 4 of 11 OFFICIAL INSPECTION FORM—NOT'FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION(continued) Property Address_: 225 Stoney Point Road Cummaquid,MA Owner: Date of Inspection: D. System Failure Criteria applicable to all systems: You must indicate"yes"or"no"to each of the following for all inspections: Yes No X Backup of sewage into facility or system component due to overloaded or clogged SAS or cesspool X Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or clogged SAS or cesspool X Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool X Liquid depth in cesspool is less than 6"below invert or available volume is less than''/z day flow X Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s). Number of times pumped X Any portion of the SAS,cesspool or privy is below high ground water elevation. X Any portion of cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply. X Any portion of a cesspool or privy is within a Zone 1 of a public well. X Any portion of a cesspool or privy is within 50 feet of a private water supply well. X Any portion of a cesspool or privy is less than 100 feet but greater than 50 feet from a private water supply well with no acceptable water quality analysis. [This system passes if the well water analysis, performed at a DEP certified laboratory,for coliform bacteria and volatile organic compounds indicates that the well is free from pollution from that facility and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm,provided that no other failure criteria are triggered.A copy of the analysis must be attached to this forma NO (Yes/No)The system fails.I have determined that one or more of the above failure criteria exist as described in 310 CMR 15.303,therefore the system fails.The system owner should contact the Board of Health to determine what will be necessary to correct the failure. E. Large Systems: To be considered a large system the system must serve a facility with a design flow of 10,000 gpd to 15,000 gpd• You must indicate either"yes"or"no"to each of the following: (The following criteria apply to large systems in addition to the criteria above) yes, no _ the system is within 400 feet of a surface drinking water supply the system is within 200 feet of a tributary to a surface drinking water supply the system is located in a nitrogen sensitive area(Interim Wellhead Protection Area-IWPA)or a mapped Zone II of a public water supply well If you have answered"yes"to any question in Section E the system is considered a significant threat,or answered "yes"in Section D above the large system has failed.The owner or operator of any large system considered a significant threat under Section E or failed under Section D shall upgrade the system in accordance with 310 CMR 15.304.The system owner should contact the appropriate regional office of the Department. '4 Page 5 of I 1 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B CHECKLIST Property Address: 225 Stoney Point Road Cummaquid,MA Owner: Date of Inspection: Check if the following have been done.You must indicate"yes"or"no"as to each of the following: Yes No X _ Pumping information was provided by the owner,occupant,or Board of Health X Were any of the system components pumped out in the previous two weeks'? X _ Has the system received normal flows in the previous two week period? X Have large volumes of water been introduced to the system recently or as part of this inspection? X _ Were as built plans of the system obtained and examined?(If they were not available note as N/A) X _ Was the facility or dwelling inspected for signs of sewage back up? X _ Was the site inspected for signs of break out X _ Were all system components,excluding the SAS, located on site? X _ 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? X _ 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: Yes no X _ Existing information.For example,a plan at the Board of Health. Determined in the field(if any of the failure criteria related to Part C is at issue approximation of distance is unacceptable)[310 CMR 15.302(3)(b)] 5 \ Page 6 of I 1 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION Property Address: 225 Stoney Point Road _ Cummaquid,MA Owner: Date of Inspection: FLOW CONDITIONS RESIDENTIAL Number of bedrooms(design): 3 Number'of bedrooms(actual): 3 DESIGN flow based on 310 CMR 15.203 (for example: 110 gpd x#of bedrooms):330 Number of current residents: 3 Does residence have a garbage grinder(yes or no): No Is laundry on a separate sewage system(yes or no): No[if yes separate inspection required] Laundry system inspected(yes or no): Seasonal use: (yes or no):No Water meter readings,if available(last 2 years usage(gpd)): Sump pump(yes or no): No Last date of occupancy: 01/27/01 COMMERCIAL/INDUSTRIAL Type of establishment: Design flow(based on 310 CMR 15.203): and Basis of design flow(seats/persons/sgft,etc.): Grease trap present(yes or no): Industrial waste holding tank present(yes or no): Non-sanitary waste discharged to the Title 5 system(yes or no): Water meter readings, if available: Last date of occupancy/use: OTHER(describe): GENERAL INFORMATION Pumping Records Source of information: Was system pumped as part of the inspection(yes or no):No If yes,volume pumped:_gallons--How was quantity pumped determined? Reason for pumping: TYPE OF SYSTEM X Septic tank,distribution box,soil absorption system _Single cesspool _Overflow cesspool _Privy _Shared system(yes or no)(if yes,attach previous inspection records, if any) _Innovative/Alternative technology.Attach a copy of the current operation and maintenance contract(to be obtained from system owner) _Tight tank _Attach a copy of the DEP approval _Other,(describe): Approximate age of all components;date installed(if known)and source of information: 11 years old-7/89 from B.O.H Were sewage odors detected when arriving at the site(yes or no): No 6 Page 7ofII OFFICIAL INSPECTION FORM—NO T FOR VOL UNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 225 Stoney Point Road Cummaquid,MA Owner: Date of Inspection: BUILDING SEWER(locate on site plan) Depth below grade: Materials of construction:_cast iron _40 PVC_other(explain): Distance from private water supply well or suction line: Comments(on condition of joints,venting,evidence of leakage,etc.): SEPTIC TANK: X(locate on site plan) Depth below grade: 1' Material of construction: X concrete_metal_fiberglass_polyethylene _other(explain) If tank is metal list age:_ Is age confirmed by a Certificate of Compliance(yes or no):_(attach a copy of certificate) Dimensions: 8'6"X 6' X 6' (1000 gallon) Sludge depth: 1" Distance from top of sludge to bottom of outlet tee or baffle: Scum thickness: Distance from top of scum to top of outlet tee or baffle: Distance from bottom of scum to bottom of outlet tee or baffle: How were dimensions determined: Tape Measure Comments(on pumping recommendations,inlet and outlet tee or baffle condition,structural integrity,liquid levels as related to outlet invert,evidence of leakage,etc.): Plastic tees on inlet&outlet of tank GREASE TRAP:_(locate on site plan). Depth below grade: Material of construction:_concrete_metal_fiberglass_polyethylene_other i (explain): Dimensions: Scum thickness: Distance from top of scum to top of outlet tee or baffle: Distance from bottom of scum to bottom of outlet tee or baffle: Date of last pumping: Comments(on pumping recommendations, inlet and outlet tee or baffle condition,structural integrity, liquid levels as related to outlet invert,evidence of leakage,etc.): f 7 Page 8 of 11 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 225 Stoney Point Road Cummaquid,MA _ Owner: Date of Inspection: TIGHT or HOLDING TANK: (tank must be pumped at time of inspection)(locate on site plan) Depth below grade: Material of construction: concrete metal ;fiberglass_polyethylene other(explain): Dimensions: Capacity: gallons Design Flow: gallons/day Alarm present(yes or no): Alarm level: Alarm in working order(yes or no): Date of last pumping: Comments(condition of alarm and float switches,etc.): DISTRIBUTION BOX: N/A (if present must be opened)(locate on site plan) Depth of liquid level above outlet invert: Comments(note if box is level and distribution to outlets equal,any evidence of solids carryover,any evidence of leakage into or out of box,etc.): PUMP CHAMBER: (locate on site plan) Pumps in working order(yes or no): Alarms in working order(yes or no): Comments(note condition of pump chamber,condition of pumps and appurtenances,etc.): .8 i Page 9 of 11 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 225 Stoney Point Road Cummaquid,MA Owner: Date of Inspection: SOIL ABSORPTION SYSTEM(SAS): (locate on site plan,excavation not required) If SAS not located explain why: Type leaching pits,number: leaching chambers,number: X leaching galleries,number: 5 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.): Galleries had 20"of water at time of inspection. 71L x 41D x 41W with 3' of stone. Top of galleries 24" deep. CESSPOOLS: (cesspool must be pumped as part of inspection)(locate on site plan) Number and configuration: Depth—top of liquid to inlet invert: Depth of solids layer: Depth of scum layer: Dimensions of cesspool: Materials of construction: Indication of groundwater inflow(yes or no): Comments(note condition of soil,signs of hydraulic failure, level of ponding,condition of vegetation,etc.): PRIVY: (locate on site plan) Materials of construction: Dimensions: Depth of solids: Comments(note condition.of soil,signs of hydraulic failure, level of ponding,condition of vegetation,etc.): 9 Page 10 of 11 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address:225 Stoney Point Road Cummaquid,MA Owner: Date of Inspection: SKETCH OF SEWAGE DISPOSAL.SYSTEM Provide a sketch of the sewage disposal system including ties to at least two permanent reference landmarks or benchmarks.Locate all wells within 100 feet.Locate where public water supply enters the building. 0` 0 a � IV) u I �J � - C��♦ G Ga Cti C`J o'J� - �a 10 Page 11 of 11 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 225 Stoney Point Road Cummaquid,MA Owner: Date of Inspection: SITE EXAM Slope Surface water Check cellar Shallow wells Estimated depth to ground water 12' feet Please indicate(check)all methods used to determine the high ground water elevation: X Obtained from system design plans on record-If checked,date of design plan reviewed: 1989. B.O.H. 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: t. You must describe how you established the high ground water elevation: 11 e...... . ■EN. N ■ so ME . . ■■■ KNEE .. ....■... mom MEN MOM 0 0■No E EMEN ■■ E!■■.■.■EEKE■Nia IOEEiEEEEie =. ■ _ �.. .EE0� No mom -- ■...e...■.■.� ■ !a ■■■..eie N■ ...nommusiummoom mammon .■�. N■ . KOOK... ■ �■. EEN....N =N. ..N..■' ENUME■■ S N■ ■ ■.. Eli E■ .l.E.E ... a on ■ MEN..a.ESE.E■■, ..... wNe. ■ ■ ■.. ■■MOON ■..� ■■ ■■... .. ■ ■ ■.E.■a.....■E.� ..E..EN.MOURN■■N■.■ .. . ■E. ��.� r■... 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E ii�EEE EEi■1E...EN . ` eEei .E E®■ .MOON■ in ___-RIENJENW- N■■■ ■ EM�rE■ .Ea.eN ■Eil. ■ ■ E.a " al MIN molls alIEN M MIN NNE so I I IEEE ENe �NJ ■.is min lm=mmmlnmmmmm a a no ME a . .00. a. ■. e. . .■.■wwE .. Nslow JIM. N .KNEE i 0 noon"= in mom num�m Miami ow MENEM ME ■■NE■■OO�O ��OO NONE mom. iOOME MEN a= . soon ■ ■ . Ni.■■.■ NEmm� ■. E EK I M E EEE= -an ii E E . K■E■.1i■N eiE■e°■Ea 0Ea ii .NEE e SEMIam MENU e■■ J■. !■ . N��EEi ■ i E ■�IC No i■ m��i.i�liiEi./■E.■■■ � EEEEEE ENE N■ i E 1, COMMONWEALTH OF MASSACHUSETTS EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS DEPARTMENT OF ENVIRONMENTAL PROTECTION TITLE 5 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM FORM �. PART A CERTIFICATION _ a Property Address: 225 Stoney Point Road Cummaquid,MA 02637 Owner's Name: Scott McManus �- Owner's Address:Same _ '�v- ' ` cv, Date of-Inspection: 10/03/05 f Name of,lnspector: (please print)Ron Burlingame Company Name: b , . Mailing Address: 58 Oak Street West Barnstable,MA 02668 Telephone.Number:508-776-8544 CERTIFICATION STATEMENT _ I certify that I have personally inspected the sewage disposal system at this address and that the information reported below is true,accurate and complete as of the time of the inspection.The inspection was performed based on my training and experience in the proper function and maintenance of on site sewage disposal systems. I am a DEP , approved system inspector pursuant to Section 15.340 of Title 5(310 CMR 15.000). The system: X Passes Conditionally Passes , Needs Further Evaluation by the Local Approving Authority Fails // , Inspector's Signature: NA� Date: 60 QS The system inspector shall submit a copy of this` on 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 thebuyer,if applicable,and the approving authority.._ r b Notes and Comments t . ****This report only describes conditions at the time of inspection and under the conditions of use at that time.This inspection does not-,address how the system will perform in the future under the same or different, ' conditions of use. N f- Page 2 of 11 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION(continued) Property Address: 225 Stoney Point Road Cummmaquid,MA Owner: Date of Inspection: Inspection Summary: Check A,B,C,D or E/ALWAYS complete all of Section D A. System Passes: X I have not found any information which indicates that any of the failure criteria described_ in 310 CMR 15.303 or in 310 CMR 15.304 exist.Any failure criteria not evaluated are indicated below. Comments: B. System Conditionally Passes: One or more system components as described in the"Conditional Pass"section need to be replaced or repaired.The system,upon completion of the replacement or repair,as approved by the Board of Health,will pass. Answer yes,no or not determined(Y,N,ND)in the for the following statements.If"not determined"please explain. The septic tank is metal and over 20 years old*or the septic tank(whether metal or not)is structurally unsound,exhibits substantial infiltration or exfiltration or tank failure is imminent. System will pass inspection if the existing tank is replaced with a complying septic tank as approved by the Board of Health. *A metal septic tank will pass inspection if it is structurally sound,not leaking and if a Certificate.of Compliance indicating that the tank is less than 20 years old is available. ND explain: . Observation of sewage backup or break out or high static water level in the distribution box due to broken or obstructed pipe(s)or due to a broken,settled or uneven distribution box. System will pass inspection if(with approval of Board of Health): broken pipe(s)are replaced .obstruction is removed distribution box is leveled or replaced ND explain: The system required pumping more than 4 times a year due to broken or obstructed pipe(s).The system will pass inspection if(with approval of the Board of Health): broken pipe(s)are replaced obstruction is removed ND explain: L Page 3 of 11 OFFICIAL INSPECTION FORM- NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION(continued) Property Address: 225 Stoney Point Road Cummaquid,MA Owner: Date of Inspection: 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 2. System will fail unless the Board of Health(and Public Water Supplier,if any)determines that the system is functioning in a manner that protects the public health,safety and environment: _ The system has a septic tank and soil absorption system(SAS)and the SAS is within 100 feet of a surface water supply or tributary to a surface water supply. The system has a septic tank and SAS and the SAS is within a Zone 1 of a public water supply. _ The system has a septic tank and SAS and the SAS is within 50 feet of a private water supply well. The system has a septic tank and SAS and the SAS is less than 100 feet but 50 feet or more from a private water supply well".Method used to determine distance "This system passes if the well water analysis,performed at a DEP certified laboratory,for coliform bacteria and volatile organic compounds indicates that the well is free from pollution from that facility and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm,'provided that no other failure criteria are triggered.A copy of the analysis must be attached to this form. 3. Other: Page 4 of 11 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION(continued) Property Address: 225 Stoney Point Road Cummaquid,MA Owner: Date of Inspection: D. System Failure Criteria applicable to all systems: You must indicate"yes"or"no"to each of the following for all inspections: Yes No X Backup of sewage into facility or system component due to overloaded or clogged SAS or cesspool X Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or clogged SAS or cesspool X Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool X Liquid depth in cesspool is less than 6"below invert or available volume is less than'h day flow X Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s). Number of times pumped X Any portion of the SAS,cesspool or privy is below high ground water elevation. X Any portion of cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply. X Any portion of a cesspool or privy is within a Zone 1 of a public well. X Any portion of a cesspool or privy is within 50 feet of a private water supply well. X Any portion of a cesspool or privy is less than 100 feet but greater than 50 feet from a private water supply well with no acceptable water quality analysis. [This system passes if the well water analysis, performed at a DEP certified laboratory,for coliform bacteria and volatile organic compounds indicates that the well is free from pollution from that facility and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm,provided that no other failure criteria . are triggered.A copy of the analysis must be attached to this form.] NO (Yes/No)The system fails.I have determined that one or more of the above failure criteria exist as described in 310 CMR 15.303,therefore the system fails.The system owner should contact the Board of Health to determine what will be necessary to correct the failure. E. Large Systems: To be considered a large system the system must serve a facility with a design flow of 10,000 gpd to 15,000 gpd. , You must indicate either"yes"or"no"to each of the following: (The following criteria apply to large systems in addition to the criteria above) yes no the system is within 400 feet of a surface drinking water supply the system is within 200 feet of a tributary to a surface drinking water supply the system is located in a nitrogen sensitive area(Interim Wellhead Protection Area—IWPA)or a mapped Zone II of a public water supply well If you have answered"yes"to any question in Section E the system is considered a significant threat,or answered "yes"in Section D above the large system has failed.The owner or operator of any large system considered a significant threat under Section E or failed under Section D shall upgrade the system in accordance with 310 CMR 15.304.The system owner should contact the appropriate regional office of the Department. Page 5 of 11 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SWAGE DISPOSAL SYSTEM INSPECTION FORM PART B CHECKLIST Property Address: 225 Siteney; l Cum"giaiil Owner: Date of Inspection: Check if the following have been done.You must indicate"yes"or"no"as to each of the following: Yes No X _ Pumping information was provided by the owner,occupant,or Board of Health X Were any of the system components pumped out in the previous two weeks? X _ Has the system received normal flows in the previous two week period? X Have large volumes of water been introduced to the system recently or as part of this inspection? X _ Were as built plans of the system obtained and examined?(If they were not available note as-N/A) X _ Was the facility or dwelling inspected for signs of sewage back up? X _ Was the site inspected for signs of break out? X _ Were all system components,excluding the SAS,located on site? " X _ 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? X _ Was the facility owner(and occupants if different from owner)provided with information on the proper maintenance of subsurface sewage disposal systems? t The size and location of the Soil Absorption System(SAS)on the site has been determined based on: Ves no X _ Existing information.For example,a plan at the Board of Health. _ _ Determined in the field(if any of the failure criteria related to Part C is.at issue approximation of distance is unacceptable) [310 CMR 15.302(3)(b)] Page 6 of 11 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION Property Address: 225 Stoney Point Road Cummaquid,MA Owner: Date of Inspection: FLOW CONDITIONS RESIDENTIAL Number of bedrooms(design): 4 Number of bedrooms(actual): 3(fourth to be built) DESIGN flow based on 310 CMR 15.203(for example: 110 gpd x#of bedrooms): 440 Number of current residents: 2 Does residence have a garbage grinder(yes or no): No - Is laundry on a separate sewage system(yes_or no):No [if yes separate inspection required] Laundry system inspected(yes or no):No Seasonal use: (yes or no):No Water meter readings,if available(last 2 years usage(gpd)): Sump pump(yes or no): No Last date of occupancy: 10/03/05 COMMERCIALANDUSTRIAL Type of establishment: F Design flow(based on 310 CMR 15.203): gpd Basis of design flow(seats/persons/sgketc.): Grease trap present(yes or no):_ Industrial waste holding tank present(yes or no):_ Non-sanitary waste discharged to the Title 5 system(yes or no): Water meter readings,if available: Last date of occupancy/use: OTHER(describe): GENERAL INFORMATION Pumping Records Source of information: F Was system pumped as part of the inspection(yes or no): If yes,volume pumped:_gallons--How was quantity pumped determined? Reason for pumping: TYPE OF SYSTEM X Septic tank,distribution box,soil absorption system _Single cesspool _Overflow cesspool Privy _Shared system(yes or no)(if yes,attach previous inspection records,if any) _Innovative/Alternative technology. Attach a copy of the current operation and maintenance contract(to be obtained from system owner) _Tight tank _Attach a copy of the DEP approval Other(describe): Approximate age of all components,date installed(if known)and source of information: 11 years old—07/89 from B.O.H. Were sewage odors detected when arriving at the site(yes or no): No �4 Page 7 of 11 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 225 Stoney Point Road Cummaquid,MA' Owner: Date of Inspection: BUILDING SEWER(locate on site plan) Depth below grade: Materials of construction:_cast iron _40 PVC other(explain): Distance from private water supply well or suction line_: Comments(on condition of joints,venting,evidence of leakage,etc.): SEPTIC TANK:—(locate on site plan) Depth below grade: 1' Material of construction: X concrete metal fiberglass—polyethylene --other(explain) — — If tank is metal list age:— Is age confirmed by a Certificate of Compliance(yes or no): (attach a copy of certificate) Dimensions: 8'6"X 6'X 6' Sludge depth: 5" Distance from top of sludge to bottom of outlet tee or baffle: Scum thickness: Distance from top of scum to top of outlet tee or baffle: Distance from bottom of scum to bottom of outlet tee or baffle: How were dimensions determined: Comments(on pumping recommendations,inlet and outlet tee or baffle condition,structural integrity,liquid levels as related to outlet invert,evidence of leakage,etc.): Plastic tees on inlet&outlet of tank are in working order at the time of inspection. Maintenance pump is . recommended at this time. GREASE TRAP:—(locate on site plan) Depth below grade:— Material of construction: concrete metal fiberglass—polyethylene—other (explain): — —metal— . Dimensions: Scum thickness: Distance from top of scum to top of outlet tee or baffle: Distance from bottom of scum to bottom of outlet tee or baffle: Date of last pumping: Comments(on pumping recommendations,inlet and outlet tee or baffle condition;structural integrity,liquid levels as related to outlet invert,evidence of leakage,etc.): Page 8 of 11 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 225 Stoney Point Road Cummaquid,MA Owner: Date of Inspection: TIGHT or HOLDING TANK: (tank must be pumped at time of inspection)(locate on site plan) _i Depth below grade: Material of construction: concrete metal fiberglass_polyethylene other(explain): Dimensions: Capacity: gallons Design Flow: gallons/day Alarm present(yes or no): Alarm level: Alarm in working order(yes or no): Date of last pumping: Comments(condition of alarm and float switches,etc.): DISTRIBUTION BOX: (if present must be opened)(locate on site plan) Depth of liquid level above outlet invert: Comments(note if box is level and distribution to outlets equal,any evidence of solids carryover, any evidence of leakage into or out of box,etc.): PUMP CHAMBER: (locate on site plan) k Pumps in working order(yes or no): Alarms in working order(yes or no): Comments(note condition of pump chamber,condition of pumps and appurtenances,etc.): Page 9 of 11 ti OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 225 Stoney Point Road Cummaquid,MA Owner: Date of Inspection: SOIL ABSORPTION SYSTEM(SAS): (locate on site plan,excavation not required) . If SAS not located explain why: Type leaching pits,number:_ leaching chambers,number: X leaching galleries,number: 5 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.): Galleries has 12"of water at time of inspection. CESSPOOLS: (cesspool must be pumped as part of inspection)(locate on site plan) .Number and configuration: Depth—top of liquid to inlet invert: Depth of solids layer: i Depth of scum layer: Dimensions of cesspool: Materials of construction: Indication of groundwater inflow(yes or no): Comments(note condition of soil,signs of hydraulic failure,level of ponding,condition of vegetation,etc.): ` t PRIVY: (locate on site plan) Materials of construction: Dimensions: Depth of solids: Comments(note condition of soil, signs of hydraulic failure,level of ponding,condition of vegetation,etc.): I Page 10 of 11 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 225 Stoney Point Road Cummaquid,MA Owner: Date of Inspection: SKETCH OF SEWAGE DISPOSAL SYSTEM Provide a sketch of the sewage disposal system including ties to at least two permanent reference landmarks or benchmarks.Locate all wells within 100 feet.Locate where public water supply enters the building. 1000 UgJJ- 0 o D e c , f Page 11 of 11 OFFICIAL.INSPECTION FORM-NOT FOR vom-NTAA i MisSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTibN FORM PART C SYSTEM INFORMATION(continued) Property Address: 225 Stoney Point Cummaquid,MA Owner: Date of Inspection: SITE EXAM , Slope , :`Surface water Check cellar `Shallow wells depth to ground water feet Please indicate(check)all methods used to determine the high ground water elevation: Obtained from,system design plans on record-If checked,date of design plan reviewed: Observed site(abutting property/observation hole within 150 feet of SAS) Checked with local Board of Health-explain: Checked with locaf excavators,installers-(attach documentation) Accessed USES database-explain: You't 4escrlbe how±yearstablished the high gppnd water elevation: r The Commonwealth of Massachusetts Depadment of hidttstrial Accidents ' office.of Investigations• ' . 600 Washington Street Boston,MA 02111 www.massgov/din , workers' Compensation Insurance Affidavit: Butiders/Conte•aetors/ElectriciarislPlu�bers licant Biform.ation _ ' Please Print Le 'bl • game P*izss/prgaaizationlIndividu9) eLVV u, S Address: e • ' ' • • '� �lione#•' . �.15�=3 6� -�Off'.d .. City/Statelip:: sire you an employer? Check the:appropriate boa:. ;Type of project(required): reZ am a employer with 4. El am a general contractor and I .6, (]New construction. employees (full and/or part-time).* have hired the subcontractors employees 7. ❑ Remodeling netor or Partner- ]fisted'on the attached sheet.$ • [] I=.a soleprop ' P These sub-contractors have 8. '❑ Ddmolition ship and have no employees working for me in any'capacity. workers' comp.insurance. 9. ® Building addition [No work6& comp insurance 5. ❑ W e are a corporation and its 10.❑ Electrical repairs or.additions officers have exercised their required t of ex tion er MGL 11•❑ Plumbing repairs or additions 3. I am a homeowner doi_t<g all.work p c. 152,§1(4),and we have na.. 12.❑ Roof repairs myself.'(No workers comp. employees. (No workers insmanceregnired]t 13,❑ Other comp.insurance required Any appliceatthaf checks box#1 must also fill out the secdon-below showing their workers'compensation policy information 'Homeowners who submitthis affidavit indicating they are doing all-work aadthenhire outside contractors must submit anew affidavitindi s�� Emnactms that check this boa must attached an additional sheet showing the name of the s*ab-contactors and their workere-;c=P,70a � J f am an employer that is providing workers'compensation Insurance for my employees. Below is the policy and job site. Information. [nsurance•Comp='N=e• Policy#or Self-ins.Lic.#• Expiration Date•' Job Site Address: City/State/Zt: - -- Attach a copy of the workers' compensation policy declaration page(showing the policy number and•eapiratian doff Failure to,secure coverage as required under Section 25A of MGL c. 152 caii lead to the imposition of cnmmalpenaltles o fine up to$1400 oo and/or one-year imprisonment, as well as civil penalties in tfie form of a S'IOP'WORK ORDER and a-6me of up to$250.00 a day against the violator. Be advised that a copy of this statement may lie forwarded ta,the Office of Investigations of the DIA for insurance coverage verification. I do hereby certi under the pains and penalties of perjury that the Information provided above is true and correct . Date: � � �. is S • Si• ataie: _ Phone#• © �'_ � �� � • official use only. Do not write in this area,to be completed by city.or town official. City or Town: PermhUcense# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspectar 6,Other CaatactPerson: Phone#: I� Information Mid Instructions• Infor . . 152 t Hires all emp yers pro ensatioa for their employees. to to vide workers' comp' contract of'hire, Massachusetts General Laws chapterperson in the servide of aihother under any pursuant to this statute, an e1!+. - H >s defined as"...every express or implied,dral or written. �. two or more • « f : ers ,•,association, q rpoxadi or other legal entity, ffiY defined aS::aumd �PP ceased Toyer,or tile' An employer is , and in the legal representatives of a de ap, oin en aged in a joint enterp6", o ' loyees. Hoot er:t e of the foreg g g arts association or other legal entity,employing emP _ receiver or trustee of an individual,Pwho ant of the owner of a dwelling house having not more than three maintenancartments e,connstructio o repair waik O such dwpiling house dwelling house of another who employs persons to do e grounds or bu�d�g appuitenaot thereto.shall not because of such employmentbe deemed to bean employer." . or on the gr ny MGL chapter.152,§25C(6)`also states that"every state°r local licensing agency shall withhold the issuance or zenevral of a license or permit to operate a business or to construet buildings in'theiommon ge re for ed. a Ilcant who�has not prodnced�acceptable eYidence•of compliance with the insurance coverage required.". Pp ter 15c 25C states"Neither the commonwealth nor any of its'political mbdivWons shall Additionally,MGL chap $ (� . enter into any contract for the performance of public work.until acceptable evidence of comPA2nce with the insurance 1egem of this chapter have been presented to the contracting authority." Applicants ensation affidavit completely,by checking the boxes that apply to Your situation and,if. Please fill out theworkers' comp addresses)and phone numbers) along certifieate(s)of necessary,suPPlY Sub-contractors)name(s), with no employees o ther than the insurance. Limited Liability Companies(LLC)ar Limited Liability Pariaerships(I,LP) oTLL?does have * members or partners are not required to carry workers'�ca mP�y ni b e miffed to the D epCinsurmc,. If an artment of Indnst�al . eruployees,a.policy is required. Be advised that . . Accidents for confirmation of insurance coverage., 'also be'sure to sign and date the affidavit: The adavishouldtilt ar town that the application for the permit.ar license's being requested, not the`Deparfm be returned to the city ues#gns regarding the law or if you are required to Industrial Accidents. Should xon have any q antes should eater their compeIIsationpolicy,please call the at the number listed below. Self-i�asured comp . . . ce license number on the appropriate line. self insures i City or Town Officials provided a space at the bottom Please be sure that the affidavit is complete and printed legibly. The Department has pr applicant of the affidavit for you to fill out in the event the Whichffice wM be used as a referenc hm to e member.-t your In additionegarding ean applicant' Please be sine t4 fill in theperAort/hcense number le ermit/license applications in any given year,need only submit one affidavit indicating current that must submitmultip papplicant should write"all locations in_____(ChY or Policy information(if necessary)and under"Job Site Address,, or marked by the city or own may be provided to the yyn�"A copy of the'affidavit t►at has been officially stampout-eath licant as proof that a valid affidavit is an file for;future p ''t n t ielated to any mess or commercial venture aPP year.where a home owner or citizen is obtaining a license or Nermi complete this affidavit (i.e.a dog license or permit to bum leaves etc.)said person is NOT required to ce of investigations would like to thank you in advance for your cooperation and should you have any questions, The Offi please do nothesitate td give-us a call. , Th0epartments address,telephone and•faxmmber: The Commonwealth of Massachusetts . . D pa t ,ent of Industrial.Accidents .. Office qg luvestigatioAs f 600'Washington Street V . -Boston,MA 02.111r "Tel.#617-727-4900 ext 4G6 or 1-877 MASSAFE Fax#617-7274749 ��ric� 5.26-05 vww.mass.aov/aa TOWN OF 0ARNSTABLE ATION .;ZZ-}' 'Vow��1 �lNT"/� SEWAGE # ✓r�91�' - 337 VILLAGE ASSESSOR'S MAP & LOT INSTALLER'S .NAME & PHONE NO.��_����� .0 SEPTIC TA CAPACI�''_^ Q Q 0 _ LEACHING FACII.ITY":(type) g (size) —� NO. OV BEDROOMS,.ff PRIVATE WELL OjKPUBLIC WATER BUILDER OR OWNER— }�- I DATE PERMIT ISSUED: ' DATE ( CIR P:L•IANCE ISSUED_ �. VARIANCE.GRANTED: Yes � No z � N t'�' ' , �� ' . .• �•� � � , _ �$ ,� . � � �.f � . .. ` � - s i —. .. • A, ,° .�, q.,+ .. t Y , �/ � a No.--.0... .......... FuE.. ... . THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH :1�. Lam......................oF...... S l-£ ..-................. Appliration for Biipuu�al Workii C omlrurfivai ramit Application is hereby made for a Permit to Construct ( ) or Repair ( an Individual Sewage Disposal System at: -... .. ! I�Loocation-Ad or Lot No. ............ �1.1:.7.��11.,��� "`.es..---••............................. ..•-`- �---- ICE...� --------------------- --....-•--- Owner Address Installer Address Type of Building Size Lot.................... .....Sq. feet Dwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ____________________________ No. of persons-............................ Showers ( ) — Cafeteria ( ) Q' Other fixtures ------------------------------•. . ---------------------------------------------------------------------- ----------- W Design Flow............................................gallons per person per day. Total daily flow............................................gallons. WSeptic Tank—Liquid capacity),. gallons Length................ Width................ Diameter................ Depth................ x Disposal Trench—No. .................... Width.................... Total Length.................... Total leaching area.........._.........sq. ft. Seepage Pit No..................... Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) aPercolation Test Results Performed by.......................................................................... Date........................................ Test Pit No. 1................minutes per inch Depth of Test Pit.................... Depth to ground water....................... w Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ ................................... .... ............................ f---- - - ...------------------------------------------- O . Des iption of Soil'0 -......-�-1�...............ii: _.. . -----....t ........ EA_ _......................................... ...................................... .............................-......................--............................................. W -x ---------------------------------------------------------------------------------------------------------------------------------------------------•---------------••-------------•-••-----'-----..--•- U Nat re of epairs or Alterations—Answer when applicable..../_9&4�L- L._._______ ----�._..... .._... L4£j_. y .......---------...>!? !n..---p-------- 1 �`'1`' /. lPtlLv�BliS. 'o s2 ,� sF_. �'F.P4-�? A Bement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of i17PLE 5 of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been issued by the((bo f health. Signed..... . ....... Sl�.�----• •--•-- ......... ...... �f / Dat Application Approved By.. `. --- -----..... ... .......... ........................................ Date Application Disapproved for the following reaso :.-•---•-----•-•---...•---------•••--•------------------••-•---••-------••---•--•--••---•------•--•-•------''--" ..------'...---•-•--•---------------•----.....-•----•-•--•--•-----•------••--••-------....•-•----_._..'-•-••-•••--------•---•------------•-----------•--•-•••--•••----•-------•-------•-••---•'------- Date PermitNo..... ... ....... ---"... Issued-....................................................... ��,� � Date No...Li...../.._23 THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH .................OF....... � 51�\1>�L� !. Wh.7..._. .................................................. Appliration for Uispoii ai Works Tomitrur#ion Vamit Application is hereby made for a Permit to Construct ( ) or Repair ( an Individual Sewage Disposal System at: S iv ................--•- ......................-•-•••-•---••••-••......•---................... ..................................... f Location %dress -� or Lot No. �o - - .........�1....! . . -------- ..........................................._...._ Owner � •Address w ........... O/t/ ?" � 'O . P l r�® 3 cep- r n rr t Z. -•----•-----. Y ------ ........................................... l.••............-•--•-----..•-• Installer Address UType of Building Size Lot............................Sq. feet Dwelling No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ________-__-•_______________ No. of persons............................ Showers ( ) — Cafeteria ( ) Q' Other fixtures ..................... w Design Flow............................................gallons per person per day. Total daily flow............................................gallons. WSeptic Tank—Liquid capacityl:!.gallons Length................ Width................ Diameter---------------- Depth................ x Disposal Trench—No. .................... Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No--_----------------- Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) aPercolation Test Results Performed by.......................................................................... Date........................................ Test Pit No. I................minutes per inch Depth of Test Pit.................... Depth to ground water_-_-___.-____-__-____.-. 1� Test Pit No. 2................minutes per inch Depth of Test Pit................•... Depth to ground water........................ a --•-----------------------------------• r= , ..............................................................•......................................................... ODes iption of Soilo - p °� ' �� (: . .. . r�i it %sfe` C 2 S .S l i_T- eft W ... ....... C .----•-•-------•-•---------------•----------•---...........-•------•-•--•---••-----.......................... x • -•-•..........................................•------•---------•---------------•-•--•----•--••--------•--••----------------•------•-•-----•---•-----------•-•-••--•---••..................---------- U Nat're of Repairs or Alterations— nswer when applicable.__�N.... �� -------�/Kr c",4 ......•...........S •-•---......-• -•-r ----....../ _.........Y/1 L/OvS........----/'i E/1 44..........................................PGAc 11- � A reement: "-p The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TIT1..i� 5 of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been issued by the board_- f health. Signed - / .... /7 Date Application Approved By.. _ _ ______ ________ �' r �-----------•.f..-- -...---•--•-- - ---------------------------•--•--•--•-- Date Application Disapproved for the following reaso .-------•------------------------•-•-----•---------•------•----•---•........................................... ....................•------•-•-----.......-------------•••------------ ---------------------------------------------------------------------------•--•--•---- . /'� � ' � �r Date Permit No.....1----------------�_2................... Issued....................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ............................OF...........':-..................................... ............................... Currfifirttt of Toutpliaatrr THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired by--�•i..t��.` 4`' �•-----. a...........-`------------....... -------------- •----------------------------- -............... ..---------- -................. ....._ Installer has been installed in accordance with the provisions of ?' 7 5 o T�e ate Sanitary Code as described in the application for Disposal Works Construction Permit No._•.� ---_""----D..�2... ....... dated...................._____________-_............ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CON TRIBE® AS A GUARANTEE.,THAT THE- r SYSTEM WILL FUNCTION SATISFACTORY. -�7 ....... .... t DATE.-•-----------------•---•-�°-� 1./ -�.�...--•-------.._...---. Inspector...---------•--•---• = --�-•-------...-----.....----....._......-•-•--=---- THE COMMONWEALTH OF MASSACHUSETTS t BOARD OF HEALTH FEE. .................. Disposal Works TUInstrurtion Prrmit Permission is hereby granted... re../C r e 1(r .• ----- .....-• to Construct ( ) or Repair ) an Individual Sewage D osal System at No......zZ .------....5 raw= ...... ..........(`_ --............... c. rr-, ( ,tom-— Street .(�~. as shown on the applica ion for Disposal Works Construction it N �D _ted---- .. ............ ........... ---------------------•------ . . -=�-•------ -• ---- .................. Board o ealth DATE--------- ---- --- ; .01-----•-•---._...---.......------------•---- FORM 1255 HOBBS & WARREN. INC.. PUBLISHERS 1 - 1 CA �- f �7 l K FIFIL q a 1 _ f - ............ r ' ` I r f 2 6 r ; , 11 1 . 1 ,.I.(Ir, I ' Z .i 1 r . L ! - I I A-- 1.1 I I p 1 1.�r {{ f 4 r -77 EA VA �OA Fl _. Is p ` •-� � -� _ ,. - . . .. _ _ .._. _ 1 L _ 1 , 1 t L I I I iI . -1.1 1 1 i j_I__I I I I I A '•. J I 1_ - -1 1 7 —r5 "FEE /1J I�Tf $ 1 -- ��o_�o r�o. � .,.. nl ._.. �✓_�x�s;.�A _ __,�-�_� 1 _ N I rn� C NUS i A-Dl.N76S�, o dS�,41ctw—,-/7.;zt / G �,�,_ .•�a BT- - (o � o -14 F - �w�ExmNr /•-/o v S E CUT DOOR S\LF To3e-'045i'&RMIalEy abbb;. -0, -- - -- I FROSTWAU. I - - 1 Sect 2X10 F1,��q&R' IL•"a.C` v I .-._ x i' m i I rrQPZcN eX sfl 0 5 , �� ✓ Vj- G`-6` if Is - II1 i• - g eI I 'DROP 2' F/R S'C en T aOOK el A J VILL ROucrH 0Y6b/N66 k g''y"25v R� Go•J!-.,.Mkj-A600�$L - 3 `� ._.__._ _ ___— ��- N- a L TZ`— _ ZSI q• 1b 4'�oVAE9�ocmN b 3500 1:,'57, ._NrY r cq. ?Of AYr,Ji . L'. 1' S{f�G�T atez4- 0 � IW- NovSC �XISTIA(G 9 - - o OPEN OD J RID 2X 1'Z;.. Iz 1 cc S .. e , ". i . a70 fit = 3 � S}Jf�T 3 0 F¢ I a / 7 y1� / ' A'FT!eR� /: ✓r _ _ _ -i-2xtO FL..SaT16AM 1 l 'l M N( = 3Xlo 3TN Sf NRN6<22 p M ATC7i kA15fIN _ - `t - 3. r —�- IX' AGSIf blo.t FA 12 r .. - . 4 G canon 3/Nf6Ti�g Pd2EBtoCKoV6RbiRY \ ' _ x GIRT .. I�.rAl, tx84kePOeQu/ Y a I Ir� !sRl�DE : = , a Tc?'Y-2 2 -f—PTi7.�MAiFfFS O _ . A - X ter LL .r. . . t A .'A'x KE WAy 0RUSHBO STONE :cq-gsjE S - i— — -- — �\ .. QGRUSNED.ST"oNG - -T/rCe l/f��f nI,IC 1 ------__ _ - , 71 Ran esr:. dOj �(� a. „'e`rzD ro IVI IN -- -- y EXISTING �,-all .Tv+Pea® a.;rawsu;J DECK - , ' qo 4 I8'-sib is'-O" ' I RELOCATED o o __ .__. U' •• - NEW. �. I NEW TWO CAR- - - . - p E . KITCHEN': ................... _• $ Y GARAGE NEW ,. .AREA - ; ;5/8"F.C.DRYWALL; Y �.. : NEW STEEL INSULATED DOOR z e WALLS<CEILING:.; r . DINING �. -, _ _____________ _____. L O ------------------ _____.:. r 0 - cant.aLA° U .AREA. - o o aw:cwea+Ew bTORA-9 U.p p �68. °°° • m '�. m 3: 3 - ,y nu nxr -i STORAGE U 3, cxL O AREA - AREA _ _ _ .. _ N Tiw'W8 s"m FILBH W/CEILING �.. �—2X8 C.J. - TYP.SIZED COLUMNS a-I6"O.G. i17 _NI o� POSTED DOWN.. •_.• - 11�f�` S --2XIO's'°I6"'O.C.--s +-2XIO's 16"O.G.--•. - - I .. Q - NEW - (ABOVE) %. (ABOVE) - . _ PANTRY NEW. § _ - - a ,. - MUDROOM' -------_ ---•---- -'------- - _ - " ---------- EXISTING LIVING 6'-S" a'-ayy" .. I. - ...PORCH GLAS ,.. kiyG - _ 24X24S LABS OVERED—� I O 4 iA85�� u*n . —PORCH--' r i } PROPOSED SECOND FLOOR PLAN l,_6„ 4,-0°. 6'9° - 11'-6" L 6,-9: PROPOSED FIRST FLOOR PLAN - - A g'.O" - NEW WALLS ------•- ---•---------------- --------------------------------- --- IXI6TNG " 3'-3' 34- - - DECK ........^--- ---•.... .......... ........ ....... - - - EXISTING`WALLS ............................. q ' 77 ....................................... NEW CONC. WALLS ExIsnNG .................................. BASEMENT 9 - - - EXISTINGr -l....................................... I 30"X30"XI5"-GdrlC. - ®.® DINING - EXISTING. EXIST. CONC. WALLS - i FTG.W/3-la"RD EXISTING.: _ - GARAGEFit - KITCHEN. _ _ IZED-COLUMNS AND FOOING COkC. L COL Il�lillltllll 11 - . ... r � _ «Irinuuelnllanulunlluul�auulieuni a ------ --^•- •...... . NEW — - - - DUST COVER SPACE PORCH • . ' .EXISTING- - - LJvwG l - - ............: ................................. .............. '^ - EXISTING FIRST FLOOR PLAN -0• a.•.,-0 PROPOSED FOUNDATION PLAN BUILDER. JOS ADDRESS DESIGN. .DATE - REVISION DRAWN BY PAGE SCALE f'°) / KRAFTON WOODWORKS McManue/Cz"fr RESIDENCE RELOCATE EXISTING KITCHEN, ( ( J(�o �® �J I-9-14 a �B the ✓le-4 gns 225 STONEY POINT ROAD NEW PANTRY, muoROOM AND E DESIGNS, L.L.G. MM TWO CAR GARAGE WITH m wacx LEaF crsauiNosa LEnvEs a ma«me x aEsaovs eLE�eR conwa t_cxn ui u ExncT wxce sx cF xL cna aE a co mos v uL wonN e s cu ExrExo eEa wce E c rn� CU it I AQUID. MA. { LC:rL:6Je.Dllr CT-3 6tID CIZrdAtV,^E5..6 COIGNS 11A�NOT HE NELO I�AOAfi1BLE - I T BE DEf6xn SY L^_.L 3CIL C.�Ci'L'W A10-TA9 (U vBibr'5TRI - AL S R1EVt5 PCR oE51�N.e1SE P'�' � (t BJ 4 � STORAGE OVER. - - -zl raR srtE.eaesAnonS ese rare TUE use aF txFse DaAure:es elaxnas oasTFau^rmL Ewaen s caV�+,erlox..vExs-eESica uon�DCAI eG u:Tu Lan'.—eta Arc ew —cw L.. � ucersuworeete na e�ra:e REVISIONS SOIL TEST PIT DATA: #11291 & #11351 PROFILE: NOT TO SCALE: FINISH GRADE NO. DATE DESCRIPTION TEST PIT -#1 TEST PIT #2 BORING #1 BORING _.#2_ Al: //��� //4k 87.0 89.1 87.8 89.1 GRD. EL. GRD. EL. GRD. EL. GRD. EL ///�� /\ 1.5" PVC - EST. HIGH GW. 82.2** EST. HIGH GW. 81•7** EST. HIGH GW. 72.8 EST. HIGH GW: 73.0 MANHOLE COVERS AS REQUIRED / A A ' (BRING TO WITHIN 6" OF FINISH GRADE) LEACHING FIELD77 GENERAL NOTES: CONSTRUCTION OF THE SEWAGE 10YSR4 1 " OYR4N 2 12" A/B A//B 4" PVC SCH 40 \ /� \\ (=F = 1. THIS PLAN IS FOR DESIGN AND 10 L. SAND IOYR4/4-� . SAND ��; /�// DISPOSAL FACILITY ONLY. B L. SAN OYR4/4 \� \.`�.\.� �� / //�\� //��� BOT ELEV = H 2. ALL CONSTRUCTION METHODS AND L. SAN 10YR4 4 10YR4� 36" 36" 36" 5' Is MATERIALS SHALL CONFORM TO MASS. 42" C1 FORCE MAIN D.E,P TITLE 5 AND LOCAL BOARD PVC OF HEALTH REGULATIONS. PERCHED S. CLAY OAM Cl Cl 4" PVC 2" Cl - 58" 10YR7/3 PERCHED S. CLAY S. CLAY/ 88 LOAM LOAM SCH 40 p�l 3. ALL PIPES LOCATED UNDER PAVEMEN- S. CLAY OAM 14" MIN• �0 ORAEQUAL. VELED WAY SHALL BE SCHEs I_F _ PERCHED GROUNDWATER = J 10YR7}3 OYR7/3 OYR7/3 TEE `� I=D i=E 4. THERE ARE NO KNOWN PRIVATE WELL`, ACTUAL I- LOCATED WITHIN 150 FT. OF THE 144" ACTUAL ACTUAL ` PROPOSED LEACHING FACILITY NOR EL = 75.0 - 173" - 1$0 _. 193" 1= ANY KNOWN WELLS PROPOSED WITHIN EL = 74.7 - _ " �' "TOWN OF BARNSTABLE NEW REGULATIONS 150' OF ANY KNOWN LEACHING FACILI'Y. 252 240 5. WITHIN LIMIT OF EXCAVATION REMOVE INDICATES INDICATES EL=66.80 EL=69.10 ` �_ ESTIMATED EXISTING 1000 GALLON * 1,000 GALLON REQUIRE SOIL EVALUATOR TO INSPECT ALL. TOPSOIL, SUBSOIL AND OTHER UNSUITABLE = SEASONAL HIGH Cl C1 PRECAST CONCRETE PRECAST CONCRETE SEE DETAILSON SHEET 2 IMPERVIOUS MATERIAL. ® MATERIAL M. SAND M. SAND BOTTOM OF EXCAVATION PRIOR TO ANY s. REPLACE ALL EXCAVATED MATERIAL WITH GROUND WATER 10YR7/3 10YR7/3 SEPTIC TANK PUMP CHAMBER CLEAN GRANULAR SAND, FREE FROM ORG<'Esc. INDICATES WATERPROOF AT FACTORY INSTALLATION AND ALSO PRIOR TO FINAL MATERIAL AND DELETERIOUS SUBSTANCES. " „ MIXTURES AND LAYERS OF DIFFERENT CLASSES OBSERVED EL 628 300 EL = 651 288 *VERIFY TEES ARE FUNCTIONAL AND PER CURRENT TITLE 5 SPECIFICATION BACKFILLING. OF SOIL SHALL NOT BE USED. THE FILL SHALL . . GROUND WATERL NOT CONTAIN ANY MATERIAL LARGER THAN DATE: DATE: DATE: DATE: TWO INCHES. A SIEVE ANALYSIS, USING A #4 SIEVE, SHALL BE PERFORMED ON A 5/10/06 5/10/06 7/27/06 7/27/06 REPRESENTATIVE SAMPLE OF FILL. UP TO 451, TEST BY: TEST BY: TEST BY: TEST BY: BY WEIGHT OF THE FILL SAMPLE MAY BE RETAINED ON THE #4 SIEVE. SIEVE ANALYSES THE BSC GROUP, INC. THE BSC GROUP, INC. THE BSC GROUP, INC. THE BSC GROUP, INC. ALSO SHALL BE PERFORMED ON THE FRAGTiON WITNESSED BY: WITNESSED BY: WITNESSED BY: WITNESS BY: OF FILL SAMPLE PASSING THE #4 SIEVE, SUCH ED ' ANALYSES MUST DEMONSTRATE THAT THE DAVID STANTON, R.S. DAVID STANTON, R.S. DONALD DESMARAIS, R.S. DONALD DESIGN CRITERIA:DESMARAIS, R.S. _ MATERIAL MEETS EACH OF THE FOLLOWING PERC. RATE: PERC. RATE: PERC. RATE: PERC. RATE: PARKER 115.00 1 SPECIFICATIONS: DESIGN FLOW: loon MUST PASS #4 SIEVE _bIA MIN. INCH �NA-MIN. INCH -2*MIN. INCH 2_MIN. INCH " (4.75 mm EFFECTIVE PARTICLE SIZE') / / / S62755'00 E 4 BEDROOMS AT 110 G.P.B./D 440 G.P.D. 10%-100% MUST PASS #50 SIEVE SOIL EVALUATOR SOIL EVALUATOR SOIL EVALUATOR SOIL EVALUATOR (0.30 mm EFFECTIVE PARTICLE SIZE) MARK DIBB, P.E. MARK DIBB, P.E. MARK DIBB, P.E. MARK DIBB, P.E. O%-20% MUST PASS #100 SIEVE SOIL CLASS: SOIL CLASS: SOIL CLASS: SOIL CLASS: -------' 0HW (0.15 mm EFFECTIVE PARTICLE SIZE) _..--- - - __,.__ OHw 0%5% MUST PASS #200 SIEVE NA NA 1 1 _ - OHW EXCAVPROPOATION LIMITSSED SEE NOTES REQUIRED SEPTIC TANK: - OHW W 44O X 2OOX (0.075 mm EFFECTIVE PARTICLE SIZE) W \TRAVELLED W 5 AND 6. - 88O GAL. 7. EXISTING UTILITIES WHERE SHOWN L.T.A.R. L.T.A.R. L.T.A.R. L.T.A.R. -------- off _ _-_ WA SEPTIC TANK PROVIDED: 1500 GAL. IN THE DRAWINGS ARE APPROXIMATE, _ ._._-�"' _ THE CONTRACTOR SHALL BE RESPON- NA NA 0.74 G•P.D./SQ.FT. 0.74 G•P.;D./SQ.FT. _ _ W , 10' MIN SIBLE FOR PROPERLY LOCATING AND 115.3 _ _ \ ; COORDINATING THE PROPOSED CON- *PERCOLATION RATE DETERMINED BASED ON ON-SITE OBSERVATION AND SEIVE ANALYSIS. _ REQUIRED PUMP CHAMBER: AND STRUTHE APPLICABLE CTION ACTIVITY WITH TIILDTY-SAFE \ 440 X 140% = 616 GAL. 001 B-2 ..•.I \ PROPOSED 18 x 34 COMPANY AND MAINTAINING THE BEDROOM __I LEACHING FIELD WITH SEPTIC TANK PROVIDED: = 1000 GAL. EXISTING UTILITY SYSTEM IN SERVICE. **GROUNDWATER ADJUSTMENT NOT REQUIRED PER SECTION 360-18(B) OF THE TOWN OF BARNSTABLE (3) 1-1/2" PRESSURE DIG-SAFE SHALL BE N011FIED PER BOARD OF HEALTH REGULATIONS. GROUNDWATER OBSERVED DURING THE WETTEST SEASON OF THE YEAR I_ �� �\ DOSED LATERALS. THE STATE OF MASSACHUSETTS AND ALSO PERCHED WATER. BATH •: SEE DETAIL SHEET 2 STATUTE CHAPTER 82, SECTION 4CP TP-2 AT TEL. 1-888-344-7233. THE SIZE OF LEACHING FACILITY REQUIRED: ENGINEER DOES NOT GUARANTEE 4j, DESIGN PERC. RATE: <2 MIN. INCH THEIR ACCURACY OR THAT ALL BEDROOM rZ �� _ LOT 2A 1 / UTILITIES AND SUBSURFACE STRUCTURES " • 3rJ,4'37f S.F. I EXISTING 4 BEDROOM LONG TERM APPL. RATE 0.74 G.P.D/S.F. ARE SHOWN. LOCATIONS AND aC S.A.S. TO BE PUMPED ELEVATIONS OF UNDERGROUND UTILITIES r QL i CRUSHED AND ABANDONED TAKEN FROM RECORD PLANS. THE I 1 440 GPD 0,74 GPD/SF = 595 S.F, 8" CEDAR IN ACCORDANCE WITH CONTRACTOR SHALL VERIFY SIZE, 1 I PROPOSED - AID . RU�;TUREs As � f � �OCA'110N ANC" INVERTS OF !eTlL�lCvS ' I 1000° GALLON ^' ° �. "� I ( TITLE 5. �>. PEGI�4" ,1 Iy BEDROOM � `� I r, i1 .,. ..TART OF c(T, : .��;TI�� i PUMP CHAMBER �, � �/. � i �_- ZE OF LEACHING FACILITY PROVIDED: �� 12 OAKcv D"� '71'1 EXISTING TANK TO BE "- 3 9 RB .. A I U M: L------� 18 PINE ► �- E US It',, A GARBAGE ; Rsh .� R, jj PUMPED, INSPECTED, I �I 440 GPD = O, A,- � ., . VERTICAL DATUM: ASSUMED SECOND FLOOR AND REMAIN R C O GRINDER Is NO N F I ' USE LEACHING FIELD PD �95 SF REca#�¢�,� ��� DUE TO REcr�, NE�.I;w rI / I c,+ - ADVE"RSk IMPACTS TO THE LE.ACI�`,NG�I BENCH MARK SE°6: NAIL SET IN PAVEMENT � ZELLAR � APPRO� IMATE � I 1 � BOTTOM = 18' x 34' _ 6,12 S�F FACIL Y, DINING SEPTIC LOCATION I i � 612 S.F X 0.74 GPD/SF = 452 GPD �„ ✓- ELEV 90.00 8" CEDAR EXITING INVERTS ARE TO BE CHI_,l K I7 By GAS THE CONTRACTOR PRIOR TO CONSTRUCOON, KITCHEN LIVING p 1 GATE 0. THE ENGINEER IS r0 BE NOTIFIED OF ROOM ^ aqi G G '�G I ANY FIELD CHANGES THAT MAY BE INVERT ELEVATIONS: - - � � I REQUIRED. OF FOUNDATION 89.90 40 18" C DAR IN BENCH MARK: LOCUS INFORMATION �. . TOP BATH BED GAS GAR 1 NAIL SET IN PAVEMENTrN 4" INVERT AT BUILDING 88.20 A ROOM CURRENT OWNER: SCOTT J. McMANUS & ° , � 18" CHERRY METE -- �_ -- - I 3 I ELEV.=90.00 ASSUMED .. g, 4" INVERT AT SEPTIC TANK (IN) 87.77 B EXISTING (VERIFY IN FIELD) 1" 3•9 - . . i PATRICE A. CZAPSKI •�� 4" INVERT AT SEPTIC TANK (OUT) 87.52 C EXISTING (VERIFY IN FIELD) I � INTERIOR ROOM 18" CHERRY o � I TITLE REFERENCE: DEED BOOK 13998, PAGE 205 657 Main Street, (RT. 28} Unit 6 " 87.00 D I FAMILY I LAYOUT � �`' �- �• ' I" W. Yarmouth Massachusetts PLAN REFERENCE: PLAN BOOK 282, PAGE 45 4,� INVERT AT PUMP CHA. (IN) \ ROOM i NOT TO SCALE 8s � LA P 31 02673 4 INVERT AT PUMP CHA. (OUT" 86.75 E ` i ASSESSORS MAP: 337 508 � A 8 89I9 '`.." w w L-----J �•. # I PARCEL: 004 N FACILITY: I I � 8 � 225 WG 13 PROJECT TITLE: INVERTS AT LEACHING DECK TOF=89.9 FIRST FLOOR `�. �'"\ I I ZONING DISTRICT: RF-1 4" INVERT AT BEGINNING FF=91.1 31 I SETBACKS: FRONT 30' OF LEACHING FIELD 87.7 F BREAKOUT ELEVATION 88.2 - INV=88.2 I I SIDE 15; DESIGN FOR „ e, �83.._.. 53.2 __...-.. � �8$/ �� 1 I ••� REAR 15 4 INVERT AT END OF LEACHING FIELD 87.7 G �-� --- �'" I 1 / MINIMUM LOT SIZE: 43,560 SEWAGE DISPOSAL, �` I oHw---- 'OH ' I, • / EXISTING LOT AREA: 35,437t S.F. ELEVATION AT BOTTOM I/ o ,,.-- _ 8 SYSTEM REP�a I OF LEACHING FIELD 87.2 H �'`'- ,,.�� 18" CEDAR /' � ROPOS� I � � ( ,•� OVERLAY DISTRICT: AP . ( 124 4 `�,` NITROGEN SENSITIVE "�•-- I .ADDITI -�-8s -- PERCHED ''�,q -,,. � �-* ZN M,�, ZONE: NOT IN A ZONE II GROUNDWATER 82.2 J `,, 2 "�. I `�, 6* 1 ��`� Jos " " #225 .`_ `� " I MARK D. FEMA FLOOD C , DATED 7/2/1992 -c:EDAR �� 3 DI ZONE DISTRICT: PANEL #250001 0001 D STONEY POINT R �'2- CEDAR "�, I CIVIL 8" PINE •' 1 " N0.45997 *' 18--DOUBLE EXI� G TREE LI I CU M M A U I D OA _ _ _ - _ _ _ W I I LOCUS P LAN: NO SCALE _ _ _ �. ..,. • ' � N II I ,/� M ASS ACHUSETTS d, Lf/l/7 .0 c - 159.07 •• N55.03'40"W j z 1 I BARNSTABLE HARBOR VARIANCES REQUESTED: `� •.Z� 0 1 t> PREPARED FOR: `* ZELLAR ( w Mr. SCOTT McMANl JS NONE 20.00'�� 25.93' 1 ! HYD. �� toa D P.O. BOX 311 N55 40 IA ' z CUMMAQUID 03 W ►� P N Q MA 02637 I I I z r LI (508) 362-2595 VI 0 tj z z DATE: AUGUST 7, 2006 o o COMP. DESIGN: K. HEATY z I- E PLAN VIEW O - `� A 6A DRAWN: P. DIBB - O 0 � 7/�� d HAGIST � Flo SCALE: 1" = 20 FEET FIELD: o. GAZZOLO , McARTI VN ! n ry FILE NO. 8847-'lS'_7P.DWG 0 10 20 40 FT. DWG N 0. 5640-02 JOB NO. 4-8847.00 SHEET 1 of 2 REVISIONS NO. DATE DESCRIPTION BUOYANCE FORCE = (82.2-81.40) X 62.4 Ib/cf X 4.83' X 8.5' = 2,049 LBS PRESSURE DOSE SPECIFICATIONS PUMP DOSING CALCULATIONS WEIGHT OF TANK 8,240 LBS= WEIGHT OF SOIL = (1' X 5.3' X 9') X 85 Ib/cf = 4,054 LBS PERFORATION SIZE: 1/4" DIAMETER 8,240 LBS + 4,054 LBS = 12,294 LBS > 2,049 LBS - OK PERFORATION SPACING 5' O.C. 1. DETERMINE VOLUME OF EFFLUENT TO BE GENERAL NOTES: LATERAL DIAMETER 1.5" x 34' LONG PUMPED TO WASTEFLOW DRIPLINES 1. THIS PLAN IS FOR DESIGN AND MANIFOLD DIAMETER 2" DAILY FLOW = 440 GALLONS 31-- 8'-O» -31 - DOSING CALCULATIONS: CONSTRUCTION OF THE SEWAGE PERFORATIONS ON ADJACENT LATERALS NUMBER OF DOSES PER DAY = 4 DISPOSAL FACILITY ONLY. TO BE STAGGERED TOTAL If = 20 PERFORATIONS NUMBER OF GALLONS = 440/4 = 110 GALLONS I DESIGN FLOW TO CHAMBER = 440 GPD 2. ALL CONSTRUCTION METHODS AND (2) LATERALS W/7 PERFORATIONS EACH DRAIN BACK VOLUME I REQ'D EMERGENCY STORAGE = 440 GAL MATERIALS SHALL CONFORM TO MASS. (1) LATERAL W/6 PERFORATIONS » PUMP POWER D.E.P TITLE 5 AND LOCAL BOARD 2 FORCE MAIN & 2 MANIFOLD = 2.2 GALLONS EMERGENCY STORAGE PROV'D PUMPING VOLUME = DOSING VOLUME + DRAIN BACK VOLUME & FLOATIN 4'-4" 4'-10" 4.33' X 8.0' X 2.25' X 7.48 GAL/CF = 582 GPD PROVIDED OF HEALTH REGULATIONS. CONTROL NUMBER OF DOSING CYCLES = 4 PER DAY 3. ALL PIPES LOCATED UNDER PAVEMENT 113 GALS. = 2.2 GALS. + 110 GALS. CABLES 0 = 5 INCHES OR TRAVELED WAY SHALL BE SCHEDULE DEPTH PER CYCLE 40 OR EQUAL. 2. DISCHARGE RATE 4.33' X 8.0'. X 0.41' X 7.48 GAL/CF = 106 GAL/DOSE 4. THERE ARE NO KNOWN PRIVATE WELLS 27 GPM 0 12 FT TDH V T DESIGN TDH = 12 FEET TEE DESIGN GPM 27 GPM LOCATED WITHIN 150 FT. OF THE PROPOSED LEACHING FACILITY NOR ANY KNOWN WELLS PROPOSED WITHIN 3. P 3 WALLS 150' OF ANY KNOWN LEACHING FACILITY. USE MYERS SRM 4 PUMP OR APPROVED EQUIVALENT. 24" DIA MIN. C.I. MANHOLE COVER 5. WITHIN LIMIT OF EXCAVATION REMOVE WITH VERTICAL FLOAT SWITCH FIN. GR. EL. = 89.2 BROUGHT TO FINISH GRADE BOLT ON COVERS ALL TOPSOIL, SUBSOIL AND OTHER IMPERVIOUS MATERIAL. 6. REPLACE ALL EXCAVATED MATERIAL WITH TOP EL. 88.17 APPROX. 24" COVER NOTES: 6. GRANULAR SAND, FREE FROM ORGANIC 1. PUMP CHAMBER TO WITHSTAND MATERIAL AND DELETERIOUS SUBSTANCES. FROM SEPTIC ~ • 2» PVC H-10 LOADING MIXTURES AND LAYERS OF DIFFERENT CLASSES INV.=86.75 TANK SECURE CHAIN DISCHARGE OF SOIL SHALL NOT BE USED. THE FILL SHALL TO WALL NOT CONTAIN ANY MATERIAL LARGER THAN » EMER. »a PIPE INV 86.75 2. WATERPROOF AT FACTORY TWO INCHES. A SIEVE ANALYSIS, USING A #4 5 -8 STOR. 2 -3 O <A 2" GALV. UNION OR APPROVED EQUAL. SIEVE, SHALL BE PERFORMED ON A ALARM ELEV.=84.49 X7 ~V REPRESENTATIVE SAMPLE OF FILL. UP TO 45% O CHECK VALVE BY WEIGHT OF THE FILL SAMPLE MAY BE " w i- to 3. ALL PIPE CONNECTIONS AND CONCRETE 6 » CONSTRUCTION SHALL BE WATERTIGHT. RETA ALSOINED SHALON T PERFORMED HE #4 SIEVE. SIEVE THE FRACTION PUMP ON EL. =83.99 a PVC THREADED OF FILL SAMPLE PASSING THE #4 SIEVE, SUCH PERCHED w D m0 PIPE 4. RAISE MANHOLE TO FINISH GRADE WITH ANALYSES MUST DEMONSTRATE THAT THE ORIFICE SHIELD OS150CW G.W., 82,2 PUMP OFF EL. =83.58 a 0 3 MERCURY FLOAT SEWER BRICK AND MORTAk FULL OUTER MATERIAL MEETS EACH OF THE FOLLOWING ORENCO SYSTEMS INC. _ = 10 0-� SPECIFICATIONS: 1.5"DIA. SCH-40 PVC LATERALS - LEVEL CONTROLS MORTAR PARGE TO PROVIDE WATER �' =- 1007. MUST PASS SIEVE PHONE 1-800-348-9843 BOT. EL = 82.50 •`3:� • - •- TIGHT SEAL. � OR EQUAL tea+ a .> �e ��► wed �e� HYDROMATIC SUBMERSIBLE (4.75 mm EFFECTIVE PARTICLE SIZE) SEWAGE PUMP 109E-100% MUST PASS #50 SIEVE (MODEL OSP50) 5. POWER CABLES TO BE PLACED IN (0.30 mm EFFECTIVE PARTICLE SIZE) CONDUIT IN ACCORDANCE WITH LOCAL OX 20R MUST PASS #100 SIEVE 6" MIN. 3/4" TO 1 1/2" STONE OR EQUIVALENT BUILDING AND WIRE CODES. (0.15 mm EFFECTIVE PARTICLE SIZE) NOT TO SCALE LOCATED UNDER MH OX-5% MUST PASS #200 SIEVE 27 GPM 0 12' TDH (0.075 mm EFFECTIVE PARTICLE SIZE) 7. EXISTING UTILITIES WHERE SHOWN IN THE DRAWINGS ARE APPROXIMATE. 1000 GALLON PUMP CHAMBER DETAIL.- THE CONTRACTOR SHALL RES PON- SNAP-ON SIBLE FOR PROPERLY LOCATING ING AND SHIELD COORDINATING THE PROPOSED CON- DRAINAGE SLOTS STRUCTION ACTIVITY WITH DIG-SAFE AND THE APPLICABLE UTILITY COMPANY AND MAINTAINING THE EXISTING UTILITY SYSTEM IN SERVICE. DIG-SAFE SHALL BE NOTIFIED PER THE STATE OF MASSACHUSETTS ORIFICE SHIELD DETAIL STATUTE CHAP-CHAPTER 82, SECTION 409 AT TEL. 1-888-344-7233. THE ENGINEER DOES NOT GUARANTEE NOT TO SCALE THEIR ACCURACY OR THAT ALL UTILITIES AND SUBSURFACE STRUCTURES ARE SHOWN. LOCATIONS AND SEPTIC TANK DETAIL: USE EXISTING 1 ,000 GALLON SEPTIC TANK ELEVATIONS of UNDERGROUND UTILITIES TAKEN FROM RECORD PLANS. THE CONTRACTOR SHALL VERIFY SIZE, LOCATION ANn INVERTS OF U11UTIES AND STRUCTURES AS'REQUIRED PRIOR \` TO THE START OF CONSTRUCTION. CID \.. 8 Tr �4/,R'. v saw., � dw ..... . .� .: `z1., T� USE OF A GARB 12" MIN 5'-0" -.,*-5 4'-0" A GARBAGE GRINDERAISLNORINDER. 36" MAX �ZN OF y,., RECOMMENDED DUE TO RECOGNIZED -'_ COVER MARK D• �cyG - FA uRTM IMPACTS TO THE LEACHING -- CIVIL -+ 9. EXITIN G G INVERTS ARE TO BE CHECKED BY a 10- o�'o "moo° v No.45M � THE CONTRACTOR PRIOR TO CONSTRUCTION. p 0. THE ENGINEER IS TO BE NOTIFIED OF rz 1.5" PVC SCH 40 O pq ANY FIELD CHANGES THAT MAY BE i:kp0 Op o0 LATERALS. (TYP) REQUIRED. PROPOSED 18' X 34' LEACHING 6" OF 3/4" TO 1 T/2" ORIFICE SHIELDS AS / / ' SC AFIELD WITH (3) 1 -1 /2" PRESSURE DOUBLE WASHED S ONE MANUFACTURED BY ORENCO SYSTEMS INC. ,, r„ DOSED LATERALS. SEE DETAIL 1/4" PERFORATION TO BE PLACED OR APPROVED EQUAL 349 Main Street, (RT. 28) Unit D p , SHEET 2 ® 5' ON CENTER AT THE 6 O'CLOCK POSITION W. Yarmouth Massachusetts O 02673 5•00' � 1�, 0 SECTION B - B 508 778 8919 2 DO 2'0 NOT TO SCALE PROJECT TITLE: A o �j l EXACT DIAMETER HOLES DESIGN FOR BE SHOP•00' ATE R Al- (TYP• OF 3 J AHOULD DRILL PRESS TODRILLED ENSURETM 4 50' WI S �Z L UNIFORMITY. REMOVE BURRS 7" DIA. CONTROL VALVE BOX AS SEWAGE DISPOSAL .00 - - - PRIOR TO PLACING PIPE. MANUFACTURED BY AMETEK PLYMOUTH PRODUCTS DIVISION. PAT. #3858765 PVC SYSTEM REPAIR (TYP OR APPROVED EQUALL. CAP NUT F} O ORIFICE SHIELDS AS TO BE BROUGHT TO ' MANUFACTURED BY ORENCO SYSTEMS INC. FINISHED GRADE FINISHED GRADE 2% MIN. OR APPROVED EQUAL ERVE - Z � .00' #225 �Es 5 STONEY POINT RD AREA o 2.00 ,2.00 _ (TYP•� o CONTROL VALVE BOX 2' 2,-a" 5'-0" 5'-0" (TYP EACH LAT.) CUMMAQUID ALTERNATE PERFORATIONS SEE SYSTEM LAYOUT CLEANOUT E 4 " " " 4,_6„ 5,_0„ 2 'MIN. OF 1/8 TO 1/4 " I WASHED STONE 2-1 45' BEND M ASSACH U SETTS VENT HOLE DOUBLE o (TYP. EACH LAT.) o % % %`� o w� $� i•"� : : ON 1/4" PERFORATION 0 1.5"PVC SCH LA RALS 00 00 op V ATI " 00 q0 p0 1/4" VENT HOLE PERFORATION TO ---�- ^^iM�T OF )(CA VA 0 CLOCK AT 5 O.C. 1/4 PERF. (TYP) BE PLACED NEAR THE CROWN OF PREPARED FOR: " » THE PIPE IN THE 45' BEND AT (20 TOTAL) 90• ELBOW 6" OF 3/4" TO 1 1/2" 6 OF 3/4 TO 1 1/2 THE END OF EACH LATERAL. Mr. SCOTT McMANUS 2" PVC SCH 40 DOUBLE WASHED STONE DOUBLE WASHED STONE P.O. BOX 311 " SCH 40 PVC MANIFOLD PIPE TOTOEI/8"C VENT DHOLENT CUMMAQUID 2 FORCE MAIN 0-- PITCHBENEATH VALVE BOX PITCH 0.005 BACK TO FORCE MAIN. 1/4" PERFORATION TO BE PLACED MA 02637 ai \ ® 5' ON CENTER AT THE 6 O'CLOCK POSITION (508) 362-2595 PLAN VIEW - LEACH FIELD DETAIL DATE: AUGUST 7, 2006A_n SECTION A - A -� SCALE: 1'" = 5" COMP. DESIGN: K. HEATY NOT TO SCALE CHECK: M. DIBB Uj DRAWN: P. HAGIST FIELD: D. GAZZOLO J. McCARTIN" LEACHING F I E L D - SECTIONS FILE N0. 8847-SEP.DWG � ..ti r �� � DWG N0. 5640-02 JOB NO. 4-8847.00 SHEET 2 OF 2