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HomeMy WebLinkAbout0097 VANDUZER ROAD - Health d,�•"•"�j.� ($=toauzr`R arnsa t J52 A 0 1 i dd tvF a�rtt 2rIs ,at i I. R I ^ o 1 Q T ABI E g AIND C_OtiRT REGISTRY t . NOTICE OF ENCUMBRANCE Notice is hereby given that Parker M. Koopman of Barnstable (Cummaquid), Barnstable County, Massachusetts intends to install a subsurface Title V septic system at 97 Van Duzer Road, Barnstable, Massachusetts shown as Lot 20 on Land Court Plan 7353-D (Sh 2), Lot 36 on Land Court Plan 7353-H(Sh 2) and Lot 79 on Land Court Plan 7353-T on file with Barnstable County Registry of Deeds, Registry District of the Land Court. For title, see Certificate of Title No. 56849 registered with said Registry District. Easements will be required for said septic system if said lots are ever separately conveyed to different legal entities. Executed as a sealed instrument this of March, 2006. Parker M. Koopma`n COMMONWEALTH OF MASSACHUSETTS Barnstable, ss On this day of March, 2006, before me, a notary public in and for the Commonwealth of Massachusetts, personally appeared Parker M. Koopman known to me to be the individual described in and who in my presence executed the foregoing instrument and acknowledged the same to be his free act and deed. e W. Hutton Notary Public My Commission Expires March 30, 2012 FE!L W. HUTTON PETER W. HUTTON / Notary Public ATTORNEY AT LAW msword/G Commonwealth of Massachusetts 86 WILLOW STREET y PRE/822 Notice of Encumbrance Commission Expires VARMOUTH PORT March 30,2012 MASSACHUSETTS 02675 (508)362-4982 15.220: Preparation of Plans' and Specifications The plans and specifications for every on-site system shall be prepared as follows: D1 ,0^'I @� 2�Z (1) Every system shall be designed by a Massachusetts Registered Professional Engineer or a Massachusetts Registered Sanitarian provided that such Sanitarian shall not design a system designed to discharge more than 2,000 gallons per day pursuant to 310 CMR 15.203. AJ— dischargeAny other agent of the owner.may prepare plans for the repair of a system.designed to not more than than 2,000 gallons per day pursuant to 310 CMR 15.203 provided ✓/ they are reviewed by a Massachusetts Registered Sanitarian and approved by the approving authority; / • �FH ��v�T •iv� vHr:cyC'P (2) Every plan submitted for approval must be dated and bear the stamp and signature of the designer, y (3) Every plan for a new system or plan for the upgrade or expansion of an existing system I V�r1 cc AU/- / which requires a variance to a property line setback distance, must.also reference a plan PP which bears the stamp and signature of a Massachusetts Licensed Land Surveyor in accordance with M.G.L. c: 1I2, § 811); _ p�az�✓�� � (4) Every plan for a system shall be of suitable scale(one inch=40 feet or fewer for plot [ / J plans and one inch = ZO feet or fewer for details of system components) and shall include ���r' %L_V4 -P-14 crr depiction of: U (a) the legal boundaries of the facility to be served; r���� ,� ell", (b) the holder and location of any easements appurtenant to or which could impact the �'�pia? C rr f16 system; n (c) the location of the all dwelling(s)or building(s)existing and proposed on the facility / Jed 2e� ,,,. P APr,. and identification of those to be served by the system; v -(d) • the''location of existing or proposed impervious areas, including driveways and parking areas; (e) location and dimensions of the system (including reserve area); (f) system design calculations,including design daily sewage flow, septic tank capacity E/ (required and provided); soil absorption system capacity (required and provided); and whether system is designed for garbage grinder, ✓ (g) North arrow and existing and proposed contours; (h) location and log of deep observation hole tests including the date of test, existing grade elevations marked on each test, and the names of the representative of the approving authority and soil evaluator; (i) location and results of percolation tests including the sate of test and the names of the representative of the approving authority and soil evaluator, (j) name and certification number of the Soil Evaluator of record; (k) location of every water supply,public and private, 1. within 400 feet of the proposed system location in the case of surface water supplies and gravel packed public water supply wells, (/ 2. within 250 feet of the proposed system location in the case;of tubular public water supply wells, and 3. within 150 feet of the.proposed system location in the case of private water supply wells; location of any surface waters of the Commonwealth, rivers, bordering vegetated wetlands, salt marshes, inland or coastal banks, regulatory floodway, velocity zone, surface water supplies,tributaries to surface water supplies,certified vernal pools,private water supplies or suction lines, gravel packed or tubular public water supply wells, subsurface drains, leaching catch basins, or dry wells; and the location of any nitrogen sensitive area identified'in 310 CMR 15.215 within which portions of the proposed s stem are located. (m) location of water lines and other subsurface utilities on the facility; (n) observed and adjusted ground-water elevation in the vicinity of the system; y o) a complete profile of the system; (p) a note on the plan listing all variances to the provisions of 310 CMR 15.000 sought l b in conjunction with the plan; (q) . the location and elevation of one benchmark within 50 to 75 feet of the facility t which is not subject to dislocation or loss during construction on the facility; (r) when dosing is proposed, complete design and specification of the dosing system ✓ proposed including but not limited to dosing chamber capacity (required and provided), pump curves and specifications, number of dosing cycles and depth per cycle; N (s) when a Recirculating Sand Filter or equivalent alternative technology is required or roposed,a complete plan and specification for the system,including a hydraulic profile; (t) a locus plan,to show the location of the facility including the nearest existing street; (u) the street number and lot number, if any, of the facility; and (v) the materials of construction.and the specifications of the system. c ��C.P y a Q cp 22 r _' j f PETER W. HUTTON ATTORNEY AND COUNSELLOR AT LAW f f 1 86 WILLOW STREET i YARMOUTHPORT,MASS.02675 1 081 362-4982 j 1 I it ✓ ��1 f r� sri NOTICE OF ENCUMBRANCE a� Notice is hereby given that Parker M. Koopman of Barnstable (Cud maqu , F Barnstable County, Massachusetts intends to install it subsurface Title V septi system at M 97 Van Duzer Road, Barnstable, Massachusetts shown as Lot 20 on Land Court Plan 7353-D (Sh 2), Lot 36 on Land Court Plan 7353-H (Sh2) and Lot 79 on Land Court Plan 7353-T on file with Barnstable County Registry of Deeds, Registry District of the Land Court. For title, see Certificate of Title No. 56849 registered with said Registry District. Easements will be required for said septic system if said lots are ever separately conveyed to different legal entities. Executed as a sealed instrument this of March, 2006. Parker M. Koopman COMMONWEALTH OF MASSACHUSETTS Barnstable, ss On this day of March, 2006, before me, a notary public in and for the Commonwealth of Massachusetts, personally appeared Parker M. Koopman known to me to be the individual described in and who in my presence executed the foregoing instrument and acknowledged the same to be his free act and deed. Peter W. Hutton Notary Public My Commission Expires March 30, 2012 msword/C/RE/822 Notice of Encumbrance Stanton, David From: Dudley, Brian (DEP) [Brian.Dud ley@state.ma.us] �'����'r 64(a P� 73x7 6 ��io�2 C Sent: Thursday, February 23, 2006 2:00 PM �1 To: Stanton, David Subject: RE: 310 CMR 15.220 (4)(a), legal boundaries �' �e er �pr �y'�7�'j , W- 70 �P4!,e Hi David, l l�ln✓r"„y a�� (�sn�l+e �o ��� 0�e. J You are correct that all the legal boundaries need to be shown. If the lots are owned by the same person, he may not be able to grant an easement to himself, but he should have proper documentation prepared to execute the appropriate easements if the property changes hands. At the very least, there should be a notice recorded with the registry to run with the property indicating that an easement will be required if the properties are owned by two separate entities. If you have any more questions, let me know. Thanks, ' Brian From: Stanton, David [ma ilto:David.Stanton @town.ba rnsta ble.ma.us] Sent: Thursday, February 23, 2006 12:06 PM To: Dudley, Brian (DEP) Subject: 310 CMR 15.220 (4)(a), legal boundaries Good afternoon Brian, am having an issue with a land surveyor\RS that has submitted plans for a septic system. The issue I have, is he has not shown all of the legal property lines on the plan. He has removed one of the property lines from his plans. He kept saying he wanted to go to the Town assessors and just have them combine the lots for taxes so it looks good with the Town records. I told him I thought that would not work, and that it must be done legally at the Registry of Deeds. He claims that because it is the same owner of two abutting lots, we can assume they are the same lot. When I see"legal boundaries" in the State code, I assume that is from the registry of deeds and\or land court. Am I correct in telling him they must be combined through the registry of deeds, and not just the Town Assessor? He is looking at putting part of the septic system from the house onto the other lot. I also told him he may be able to file an easement with the registry of deeds. Thanks, David W.,Stanton, RS Health Inspector Town of Barnstable 200 Main Street Hyannis, MA 02601 Direct phone: (508) 862-4647 Health Dept. phone: (508) 862-4644 Health Dept. fax (508) 790-6304 3/6/2006 r 1} rJLf�O%tll rJb 11.1:4a 1 JW0 i JUbZJMU b iLDIH6 Yam, Town of Barnstable . Regulatory Services l BAANSTABLS, " Thomas F. Gei.ler,Director ' MASS, °raciati'`� Building, Division Thomas Pere, CBO Building Commissioner 200 Main Street, Hyannis, IV1A 02601 www.town.ba nstable.ma.us Office: 508-862-4038 1 ax: 508-790-6230 Febru,Vy 28,2.006 105 Vanduzer Map 352 Parcel 012 97 Vanduzer Map 352 Parcel 060 To Whom 1t?allay Concerm This letter iy in reference to the above lots. For the purpose: of zoning these fats would be considered combined, not separate building lots. Si�.icerel ,� T omas Perry, CBU Building Cornmissioner sk- .s..n.e..a . 353 o J i - � 337 352 p - 336 351 357 Cl 49 4 Q Av- ci 1 \ om i02".n , L, ./ �• - \ 00o — — -- 11 /rf •t, � - . ��� � .� - ., �; �• - � - < ,r n 08 Ak- ALI 016 005. ... ., — 9 019 / Lal O• Ix ova — , 3 .: off$ i i / a \ > , o I R E vss i r z 1 4 ' •s __ E4 1p H fi Q S � r r COMMONWEALTH OF MASSACHUSETTS EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS DEPARTMENT OF ENVIRONMENTAL PROTECTION ONE WINTER STREET, BOSTON, MA 02108 617-292-5500 MITT ROMNEY ELLEN ROY HERZFELDER Governor Secretary KERRY HEALEY ROBERT W.GOLLEDGE,Jr, Lieutenant Governor Commissioner MODIFIED CERTIFICATION FOR GENERAL USE Pursuant to Title 5, 310 CMR 15.000 Name and Address of Applicant: CULTEC, Inc. P.O. Box 280 878 Federal Road Brookfield, CT 06804 Trade name of technology and model: CULTEC chamber models Field Drain Contactors C1, C2, C3 and C4, Contactor EZ-24, 100 and 125 and Recharger 180, 280 and 330 (hereinafter the "System"). Schematic drawings of each model are attached and made a part of this Certification. Transmittal Number: W037676 Date of Issuance: December 17, 2003 Authority for Issuance Pursuant to Title 5 of the State Environmental Code, 310 CMR 15.000, the Department of Environmental Protection hereby issues this Certification to: CULTEC, Inc., P.O. Box 280, 878 Federal Road, Brookfield, CT 06804 (hereinafter "the Company"), for General Use of the System described herein. Sale and use of the System are conditioned on and subject to compliance by the Company and the System owner with the terms and conditions set forth below. Any noncompliance with the terms or conditions of this Certification constitutes a violation of 310 CMR 15.000. SIGNED 12/17/03 Glenn Haas, Director Date Division of Watershed Management Department of Environmental Protection This information is available in alternate format.Call Debra Doherty,ADA Coordinator at 617-292-5565.TDD Service-1-800-298-2207. DEP on the World Wide Web: http://www.mass.gov/dep �� Printed on Recycled Paper 1 � CULTEC Modified Certification for General Use Page 2 of 8 I. Purpose 1. The purpose of this Certification is to allow use of the System in Massachusetts, on a General Use basis. 2. With the necessary permits and approvals required by 310 CMR 15.000, this Certification authorizes the use of the System in Massachusetts. 3. The System may be installed on all facilities where a system in compliance with 310 CMR 15.000 exists on site or could be built and for which a site evaluation in compliance with 310 CMR 15.000 has been approved by the local approving authority, or by DEP if DEP approval is required by 310 CMR 15.000. II. Design Standards l. The models listed in Table 1. are covered under this Certification. Table 1. Chamber Dimensions Dimensions Invert Model W x L x H Height Inches Inches Field Drain Contactor C 1 12 x 96 x 8.5 3 Field Drain Contactor C2' 24 x 96 x 8.5 3 F rain Contactor C3 36 x 96 x 8.5 3 -qField Drain Contactor C4 x x 8.5 3 . ontactor EZ-24 16 x 96 x 12.5 6 Contactor 100 36 x 90 x 12.5 6 Contactor 125 30 x 75 x 18 12 Recharger 180 and 180HD 36 x 76 x 20.5 14 Recharger 280 and 280HD 47 x 84 x26.5 20.5 Recharger 330 and 330HD 52 x 75 x 30.5 24 1. HD=Heavy Duty for H2O loading. 2. The System is an open-bottom leaching unit molded from high density, high molecular weight polyethylene (HDPE) with a 3.5 to 4.5 ounce non-woven geosynthetic filter fabric cover (CULTEC No. 410TM). It can be installed without aggregate or distribution pipe as an absorption trench in accordance with the requirements in 310 CMR 15.251. 3. The use.of aggregate as specified in 310 CMR 15.247 is not a with the System when installed as a trench,�orfiieldWhen designed with aggregate in with 310 CMR 15 2 3shall be designed in accordance with Section II item 11. CULTEC Modified Certification for General Use Page 3 of 8 4. The minimum separation between any two trenches shall be as specified in 310 CMR 15.251. 5. The requirement that the Chamber installed in trench configuration as specified in 310 CMR 15.253(6) be provided with inlets at intervals not to exceed 20 feet is not applicable to the System 6. For new construction, the applicant can size the System in a trench configuration without aggregate, using the effective leaching areas presented in Table 2. No System shall be designed and constructed with a soil absorption system area of less than 400 square feet. Table 2. Effective Leaching Area for New Construction And Remedial Sites Effective Effective Model Leaching' Leaching Area Area SF/LF SF/LF Field Drain Contactor Cl 2.5 NA Field Drain Contactor C2 4.2 NA Field Drain Contactor C3 5.8 NA Field Drain Contactor C4 NA 4.5 Contactor EZ-24 3.9 NA Contactor 100 6.7 NA Contactor 125 7.5 NA Recharger 180 and 180HD 8.9 NA Recharger 280 and 220HD NA 7.3 . Recharger 330 and 330HD NA 8 1. Effective leaching area is equal to 1.67 (bottom width +(2x invert height)) for Systems 3 feet or less in width. 2. Effective leaching area is equal to 1.00 (bottom width +(2x invert height)) for Systems with a width greater then 3 feet. 3. In accordance with 310 CMR 15.251 the maximum trench width allowed to calculate effective leaching area is 4 feet. 7. Systems shall be sized in accordance with Table 3. for new construction in DEP designated nitrogen limited areas as defined in 310 CMR 15.214 and 15.215. The effective leaching area, as shown in the following table, shall be used for any System installed in a Department designated Nitrogen Sensitive Area or for any System that is installed for new construction where a private drinking water supply well is proposed to serve the facility, as defined in 310 CMR 15.214 (2) I_ - - I CULTEC Modified Certification for General Use Page 4 of 8 and for which a variance to the minimum setback distance of 100 feet has been granted. Table 3. Effective Leaching Area for Nitrogen Sensitive Areas Effective Model Leaching Area SF/LF Field Drain Contactor C 1 1.5 Field Drain Contactor C2 2.5 Field Drain Contactor C3 3.5 Field Drain Contactor C4 4.5 Contactor EZ-24 2.3 Contactor 100 4.0 Contactor 125 4.5 Recharger 180 and 180HD 5.3 Recharger 280 and 220HD 7.3 Recharger 330 and 330HD 82 1. Effective',leaching area is equal to 1.0(bottom width+(2x invert height)). 2. In accordance with 310 CMR 15.251 the maximum trench width allowed to calculate effective leaching area is 4 feet. 8. Systems installed on remedial sites shall be allowed to utilize the effective leaching areas presented in Table 2. above or additional reductions in soil absorption leaching area approved by the approving authority in accordance with 310 CMR 15.284. In no instance shall the reduction in the soil absorption system required in 310 CMR 15.242 exceed the maximum reduction allowed for alternative systems approved in accordance with 310 CMR 15.284. The effective leaching areas presented in Table 3. above shall be used for remedial sites located in Department designated Zone II or IWPA when the facility is to be brought into full compliance in accordance with 310 CMR 15.404. 9. In accordance with 310 CMR 15.240 (6) absorption trenches should be used whenever possible. When the System is installed for new construction without aggregate in a bed or field configuration, as defined in 310 CMR 15.252, the System shall be designed using the effective leaching area for the bottom width presented in Table 4. Chambers shall be spaced a minimum of six inches apart (edge-to-edge) when used in a bed configuration. No system shall be designed and constructed with a leaching area of less than 400 square feet. The effective leaching area shall only be equal to the bottom width for any System installed in a CULTEC Modified Certification for General Use Page 5 of 8 Department designated Nitrogen Sensitive Area or for any System that is installed for new construction where a private drinking water supply well is proposed to serve the facility, as defined in 310 CMR 15.214 (2) and for which a variance to the minimum setback distance of 100 feet has been granted. Table 4. Effective Leaching Area for Bed or Field Configuration Effective Effective Model Leaching Leaching Area Area SF/LF SF/LF Field Drain Contactor C 1 1.7 NA Field Drain Contactor C2 3.3 NA Field Drain Contactor C3 . 5.0 NA Field Drain Contactor C4 NA 4.0 Contactor EZ-24 2.2 NA Contactor 100 5.0 NA Contactor 125 4.2 NA Recharger 180 and 180HD 5.0 NA Recharger 280 and 220HD NA 3.9 Recharger 330 and 330HD NA 43 1. Effective Leaching area is equal to 1.67 times bottom width only. Y 2. Effective Leaching area is equal to 1.00 times bottom width only. 3. In accordance with 310 CMR 15.251 the maximum width allowed to calculate effective leaching area is 4 feet. 10. The System, when installed in a bed or field y configuration without aggregate on remedial sites, shall utilize the effective leaching areas presented in Table 4. above or additional reductions in soil absorption system area approved by the approving authority in accordance with 310 CMR 15.284. In no instance shall the reduction in the soil absorption system area required in 310 CMR 15.242 exceed the maximum reduction allowed for alternative systems approved in accordance with 310 CMR 15:284. 11. The System, when installed as specified in 310 CMR 15.253: Pits, Galleries, or Chambers, shall have an aggregate base and/or be surrounded by aggregate and shall be sized as specified in 310 CMR 15.253 (1) (a) and(b). Effective depth can be increased up to two feet with the corresponding addition of up to 20 inches of base aggregate for the Field Drain Contactors and up to 12 inches for the Contactor 125. Bottom width can be increased by two to eight SF/LF with the corresponding addition of one to four feet of aggregate per side. CULTEC Modified Certification for General Use Page 6 of 8 III. General Conditions 1. The provisions of 310 CMR 15.000 are applicable to the use of the System, except those that specifically have been varied by the terms of this Certification. 2. The facility served by the System, and the System itself, shall be open to inspection and sampling by the Department and the local approving authority at all reasonable times. 3. In accordance with applicable law, the Department and the local approving authority may require the owner of the System to cease use of the System and/or to take any other action as it deems necessary to protect public health, safety, welfare or the environment. 4. The Department has not determined that the performance of the System will provide a level of protection to the environment that is at least equivalent to that of a sewer. Accordingly, no new System shall be constructed, and no System shall be upgraded or expanded, if it is feasible to connect the facility to a sanitary sewer, unless allowed pursuant to 310 CMR.15.004. 5. Design, installation and use of the System shall be in strict conformance with the Company's DEP approved plans and specifications and 310 CMR 15.000, subject to this Certification. IV. Conditions Applicable to the System Owner 1. The System is approved for the treatment and disposal of sanitary sewage only. Any wastes that are non-sanitary sewage generated or used at the facility served by the System shall not be introduced into the on-site sewage disposal system and shall be lawfully disposed of. 2. For new construction, the owner initially shall size a soil absorption system in accordance with 310 CMR 15.242 to demonstrate that a conventional Title 5 soil adsorption system using aggregate, including a reserve area, can be installed on the site. The owner may than size the soil absorption system for the System. The total area required for the aggregate system, which may include the area designated for the System, and a reserve area shall be preserved and the owner shall ensure that no permanent structures or other structures are constructed on that area and that the area is not disturbed in any manner that will render it unusable for future installation of a conventional Title 5 soil absorption system. 3. The owner of the System shall at all times properly operate and maintain the on- site sewage disposal system. 4. The owner shall furnish the Department any information that the Department requests regarding the operation and performance of the System, within 21 days of the date of receipt of that request. CULTEC Modified Certification for General Use Page 7 of 8 5. No owner shall authorize or allow the installation of the System other than by a person trained by the Company to install the System. V. Conditions Applicable to the Company 1. By January 31 st of each year, the Company shall submit to the Department a report, signed by a corporate officer, general partner, or Company owner that contains information on the System for the previous calendar year. The report shall state known failures, malfunctions, and corrective actions taken for the System as well as the date and address of each event. 2. The Company shall notify the Department's Director of Watershed Permitting at least 30 days in advance of any proposed transfer of ownership of the technology for which this Certification is issued. Said notification shall include the name and address of the proposed new owner and a written agreement between the existing and proposed new owner containing a specific date for transfer of ownership, responsibility, coverage and liability between them. All provisions of this Certification applicable to the Company shall be applicable to successors and assigns of the Company, unless the Department determines otherwise. 3. The Company shall furnish the'Department any information that the Department requests regarding the System, within 21 days of the date of receipt of that request. 4. Prior to any sale of the System, the Company shall provide the purchaser with a copy of this Certification. In any contract for distribution or sale of the System, the Company shall require the distributor or seller to provide the purchaser of the System, prior to any sale of the System, with a copy of this Certification. 5. The Company shall prepare and provide the Department with an installation manual specifically detailing procedures for installation of its System. The Company shall institute and maintain a training program in the proper installation of its System in accordance with the manual and provide a training course at least annually for prospective installers. The Company shall certify that installers have passed the Company's training qualifications, maintain a list of certified installers, submit a copy to the Department, and update the list annually. Updated lists shall be forwarded to the Department. 6. The Company shall not sell the System to installers unless they are trained to install these Systems by the Company. VI. Conditions Applicable to Installers of the System 1. Each Installer shall install the System in accordance with Company training on the installation of the System and the conditions of this Certification. I CULTEC Modified Certification for General Use Page 8 of 8 2. No Installer shall install the System unless the Installer has been trained by the Company on installation of the System. VII. Reporting 1. All submittals of notices and documents to the Department required by this Certification shall be submitted to: Director Watershed Permitting Program Department of Environmental Protection One Winter Street- 6th floor Boston, Massachusetts 02108 VIII. Rights of the Department 1. The Department may suspend, modify or revoke this Certification for cause, including, but not limited to, non-compliance with the terms of this Certification, non-payment of an annual compliance assurance fee, for obtaining the . Certification by misrepresentation or failure to disclose fully all relevant facts or any change in or discovery of conditions that would constitute grounds for discontinuance of the Certification, or as necessary for the protection of public health, safety, welfare or the environment, and as authorized by applicable law. The Department reserves its rights to take any enforcement action authorized by law with respect to this Certification, the System, the owner, or operator of the System and the Company. W037676,Cultec final 15: � y -7 Y2 ��'"�/�F r �V U _C.-� cfaYlf%w -7, is �z�z.s u.Lzu: rrevaranon of rlans ana Jnecihcations &,7 'I A✓Z The plans and specifications for every on-site system shall be prepared as follows: (1) Every system shall be designed by a Massachusetts Registered Professional Engineer //,15 or a Massachusetts Registered Sanitarian provided that such Sanitarian shall not design a , fpv,j R /oC system designed to discharge more than 2,000 gallons per day pursuant to 310 CMR 15.203. Any other agent of the owner.may prepare plans for the repair of a system.designed to discharge not more than than 2,000 gallons per day pursuant to 310 CMR 15.203 provided they are reviewed by a Massachusetts Registered Sanitarian and approved by the approving `"Or Nd/�t,?J j4(I �' j" authority; w1e f>,`jam.` lv�h I (2) Every plan submitted for approval must be dated and bear the stamp and signature of �PV � �y �1 !p�v�/the designer, /� (3) Every plan for a new system or plan for the upgrade or expansion of an existing system �p ? which requires a variance to a property line setback distance,'must.also reference a plan /' C which bears the stamp'and signature of a Massachusetts Licensed Land Surveyor in accordance with M.G.L.c: 112, § 81D; / (4) Every plan for a system shall be of suitable scale(one inch=40 feet or fewer for plot �^ 'J L plans and one inch = ZO feet or fewer for details of system components) and shall include depiction of: / , � (a) the legal boundaries of the facility to be served,C w 7v' � (b) the holder and location of any easements appurtenant to or which could impact the ( C147 , system; -1049L ' (c) the location of the all dwelling(s)or building(s)existing and proposed on the facility and identification of those to be served by the system; 5 '� � -(d) --the'location of existing or proposed impervious areas, including driveways and y R/PP c Sc�� parking areas; n / S (e) location and dimensions of the system (including reserve ar ab ); `j� M O7 (f) system design calculations,including design daily sewage flow,.septic tank capacity (required and provided); soil absorption system capacity (required and provided); and whether system is designed for garbage grinder, 7 (g) North arrow and existing and proposed contours; (h) location and log of deep observation hole tests including the date of test, existing W (I,4V grade elevations marked on each test, and the names of the representative of the n approving authority and soil evaluator; +J I W`�• (i) location and results of percolation tests including the(late of test and the names of - the representative of the approving authority and soil evaluator, G) name and c of the Soil Evaluator of record; (k) location of every water supply,public and private, 1. within 400 feet of the proposed system location in the case of surface water supplies and gravel packed public water supply wells, 2. within 250 feet of the proposed system location in the case;of tubular public water supply wells, and 3. within 150 feet of the .proposed system location in the case of private water supply wells; i) location of any surface waters of the Commonwealth, rivers, bordering vegetated wetlands, salt marshes, inland or coastal banks, regulatory floodway, velocity zone, surface water supplies,tributaries to surface water supplies,certified venial pools,private water supplies or suction lines, gravel packed or tubular public water supply wells, subsurface drains, leaching catch basins, or dry wells; and the location of any nitrogen sensitive area identified in 310 CMR 15.215 within which portions of the proposed system are located. m) location of water lines and other subsurface utilities on the facility; n) observed and adjusted ground-water elevation in the vicinity of the system; o) a complete profile of the system; (p) a note on the plan listing all variances to the provisions of 310 CMR 15.000 sought in conjunction with the plan; (q) . the location and elevation of one benchmark within 50 to 75 feet of the facility which is not Subject to dislocation or loss during construction on the facility; (r) when dosing is-proposed, 'complete design and specification of the dosing system proposed including but not limited to dosing chamber capacity (required and provided), pump curves and specifications, number of dosing cycles and depth per cycle; /j/L (s) when a Recirculating Sand Filter or equivalent alternative technology is required or l"(✓� roposed,a complete plan and specification for the system,including a hydraulic profile; (t) a locus plan,to show the location of the facility including the nearest existing street; u the street number and lot number, if any, of the facility; and (v) the materials of construction and the specifications of the system. TOWN OF BARNSTABLE RL:6�2AVION �7 �'�/%r� �/r✓�•�� /�'i 6 SEWAGE # -- VILLAGE C�� ��ii ASSESSOR'S MAP & LOT �� INSTALLER'S NAME&PHONE NO. � ��s� �_ ,�� ��.2� �✓� ® SEPTIC TANK CAPACITY J j LEACHING FACILITY: (type) elr�l (size) Ace),- Yz X �� NO.OF BEDROOMS BUILDER OR OWNER �&-4g1- /yIr ���✓�/✓'��.� PERMIT DATE:I—91—a G 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) r. Feet Furnished by ,•Nt� A., TOWN OF BARNSTABLE . Z-ATION 'I SEWAGE # rII,LAGE �— ASSESSOR MA�jP & LOT, D(00 INSTALLER'S NAME&PHONE NO. SEPTIC TANK CAPACITY _ S` , �0 LEACHING FACILITY: (type) (size) NO. OF BEDROOMS BUILDER OR OWNER PERMITDATE: 43DMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Tabl 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 No.` VOIY � Fee /JV THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: ti Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS Zippftcation for �Oie;pozar bpztem Construction Verna Application for a Permit to Construct(V")Repair( )Upgrade( VfAbandon( ) f5 Complete System El Individual Components Location Address or Lot No. ] VC-& Dv2er' Owner's Name,Address and Tel.No. S t— 362— 1,lolk p4-rV-e_r X&0#0.-t^ Assessor's Map/Parcel 3,jr Z too D f /Z f d.�/ 13 LU V t Installer's Name,Address,and Tel.No.I t 2 S—y 3 2—t9 C—10 Designer's Name,Address and Tel.No.�0 g� ��_ 7wc, ' P.O. JT34 1�a�,,�a�t �,®, Zs` Go�y�A o�j7. Type of Building: -,Dwelling No.of Bedrooms Lot Size Z6Tsq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow 5 gallons per day. Calculated daily flow gallons. Plan Date - 24—04 Number of sheets l Revision Date Title 5;fe P6, �- pXrk-e r 1EM®AAA n Size of Septic Tank 16-o® 9 cz 1 - I Type of S.A.S. 12 Cu lT-C-c 6-4 0 f H'578re Description of Soil ' s 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 Code and not to place the system in operation until a Certifi- cate of Compliance has been issued by this Board of Health. Signe T- oor= to. Date Z`43—O Application Approved by LW _ le-5 Date Application Disapproved Yor the follow'ng easons 9- 2 310 3 W C nn 15. WO u' Ind v� %7 Ath - !� P f� !/tv 1 �3n �lR✓/ n. K � � 6 !l./' t Permit No. 6 b Date Issued / IY No. VOV ` Fee t w; $ d4 THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: r Yes PUBLIC HEALTH DIVISION =TOWN OF BARNSTABLE., MASSACHUSETTS ZippYtcatton for Diaooar *pgtei m Cottgtruction Vermit Application for a Permit to Construct(✓)Repair( )Upgrade(Abandon( ) M Complete System ❑Individual Components t Location Address or Lot No. 9 7 VC-A 1)uZe Owner's Name,Address and Tel.No. 5-09- 362 41`/Ulf l�0G10 A-An , Assessor's Map/Parcel 3.5 Z / 0 1- 13 U Maw V C� Install Name,Name,Address,and Tel.No. 55'0 O"(1 T2-p$30 Designer's Name,Address and Tel.No. 5-0 ff_ 7 7S_ 9 7vd Fp6e-,-rpV0,fo Cb il144 , P•o' �s3q l�o-rta,'�t� - �',o, Zs`k ld.y���►o��7.. Type of Building: Dwelling No.of Bedrooms '=J Lot Size ZOq,4on sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow �O Z gallons per day. Calculated daily flow gallons. Plan Date ' �6- o(o Number of sheets Revision Date Title 54e. Pt4, fir- 06-r)_- Size of Septic TankType of S.A.S. /Z Cu tle c (--'I W_1y'5TY e Description of Soil I �D s a"d W F 2-,!;,0rn �r6-'e 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 Code and not to place the system in operation until a Certifi- cate of Compliance has been issued by this Board of Health. Signed J QQ hP-r%. ©c) to.Ps Dater',Z-Z 3 (9� Application Approved by ZtAJ - S Date Application Disapproved for the following reasons 2 31U �.� 3!� t �+�,,2 j 5• �D .� w,., 37,iX kb fi 1r tom/ rp / '17r wrh r104 Permit No. b ' 2-4 `, Date Issued THE COMMONWEALTH OF MASSACHUSETTS F BARNSTABLE, MASSACHUSETTS Certificate of Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal System Constructed( )Repaired( )Upgraded(✓) ti Abandoned( )by s �0 t'i 60A (o- at q"7 V6^6ju Zed` as been constructed in 2crdance + with the provisio�}s of Title,5 and the for Disposal System Construction Permit No. Gdated Installer Ro t�&r`T 0 vIL L/a f Designer KO l^ The issuance of this permits all not be construed as a guarantee that the systemwilI fil Uion as designed. Dated Inspector -- � == ` d ----//— —(--------------- ---`� -�'-----——j No. 6 U1U ` - - Fee v THE COMMONWEALTH OF MASSACHUSETTS- PUBLIC HEALTH DIVISION - BARNSTABLE} MASSACHUSETTS 33 gpogal 6pgtem Congtructton permit Permission is hereby granted to Construct( )Repair( )Upgrade( )Abandon( ) System located at 7 V64 u ZA-1- and as described in the above Application for Disposal System Construction Permit.The applicant recognizes his/her duty to comply with Title 5 and the following local provisions or special conditions. Provided:Constructio mus be-completed within three years of the date of this rmtt. Date: 131) 6 Approved by I_ _ Town of Barnstable �pti tHE Tp� k Regulatory Services HAxrrsrnace. Thomas F. Geiler, Director • - MAS& m Public Health Division i639. 'OrEot,w�°' Thomas McKean, Director 200 1Vlain Street, Hyannis,MA 02601 Office: 508-862-4644 Fax: 508-790-6304 Installer & Designer Certification Form Date: 1.�4D(L.(� J Installer: Designer: , J Y Address: , L_25>ox Address: X_ fty yyla _ AAW w 1• v z�-7 3 cD 26 4-57 On , ©l)11_ C` was issued a permit to install a (date) (installer) i ) C. L)I-A h-V AQ U-J C> septic system at based on a design drawn by (address) C—lk'�I L.LA!-C_ dated 1 �� b � V (designer) V I certify that the septic system referenced above was installed substantially according to the design, which may include minor approved changes such as lateral relocation of the distribution box and/or septic tank. A dJ vSt pi nr� P l I certify that the septic system referenced above was installed with major changes (i.e. greater than 10' lateral relocation of the SAS or any vertical relocation of any component of the septic system) but in accordance with State & Local Regulations. Plan revision or certified as-built by designer to follow. _ RONAW �y p G Mr JAMES CAMLAC 47,;;�Signature) ,� #1Q601TAVk\ (Designers igjatureT (Affix Designer's Stamp Here) k PLEASE RETURN TO BARNSTABLE PUBLIC HEALTH DIVISION. CERTIFICATE OF COMPLIANCE WILL NOT BE ISSUED UNTIL BOTH THIS FORM AND AS- BUILT CARD ARE RECEIVED BY THE BARNSTABLE PUBLIC HEALTH DIVISION. THANK YOU. Q:Health/Septic/Designer Certification Form L //��' 'i'U W N ur t3,AKN J 1 Ati Lh LOCATION ZZ lea,'AZeel- SEWAGE # VILLAGE L'koz,11 A=ZZIL ASSESSOR'S MAP & LOT Al, i INSTALLER'S NAME&PHONE NO. SEPTIC TANK CAPACITY _1 Sel LEACHING FACILITY: (type) rnL�1 (size) 41 NO. OF BEDROOMS BUILDER OR OWNER 4"l, /�, ✓�i®..� PERMITDATE COMPLIANCE DATE: �pr� 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) .0 Feet Furnished by 40 r r 'IG' CMK h5.22d: Neyaratron of Plans and Svectfications �fi %,4 le V c ,;,e MyrcL, 55— -17`"� i l IJGtn(Xr/2 The plans and specifications for every on-site system shall be prepared as follows:(1) Every system shall be designed by a Massachusetts Registered Professional Engineer 3(f a71b6 or a Massachusetts Registered Sanitarian provided that such Sanitarian shall not design a system designed to discharge more than 2,000 gallons per day pursuant to 310 CMR 15.203. Any other agent of the owner_may prepare plans for the repair of a system.designed to discharge not more than than 2,000 gallons per day pursuant to 310 CMR 15.203 provided �,�,��y ga•H J`` CY�1 f they are reviewed by a Massachusetts Registered Sanitarian and approved by the approving J authority, / (2) Every plan submitted for approval must be dated and bear the stamp and signature of the designer, (3) Every plan for a new system or plan for the upgrade or expansion of an existing system / / which requires a variance to a property line setback distance,'must.also reference a plan C oT e <c,I(U l�J`9v�,S which bears the stamp and signature of a Massachusetts Licensed Land Surveyor in Cv /�o r C• accordance with M.O.L. e. 112, § 81D; (4) Every plan for a system shall be of suitable scale(one inch=40 feet or fewer for plot plans and one inch = 20 feet or fewer for details of system components) and shall include depiction of. (a) the legal boundaries of the facility to be served; (b) the holder and location of any easements appurtenant to or which could impact the system; (c) the location of the all dwelling(s)or building(s)existing and proposed on the facility and identification of those to be served by the system; (d) --the-location of existing or proposed impervious areas, including driveways and parking areas; (e) location and dimensions of the system (including reserve area); (f). system design calculations,including design daily sewage flow,septic tank capacity (required and provided); soil absorption system capacity (required and'provided); and whether system is designed for garbage grinder, (g) North arrow and existing and proposed contours; (h) . location and log of deep observation hole tests including the date of test, existing grade elevations marked on each test, and the names of the representative of the approving authority and soil evaluator; (i) location and results of percolation tests including the sate of test and the names of the representative of the approving authority and soil evaluator, W name and certification number of the Soil Evaluator of record; (k) location of every water supply,public and private, 1. within 400 feet of the proposed system location in the case of surface water supplies and gravel packed public water supply wells, 2. within 250 feet of the proposed system location in the case:of tubular public water supply wells, and 3. within 150 feet of the.proposed system location in the case of private water supply wells; location of any surface waters of the Commonwealth, rivers, bordering vegetated wetlands, salt marshes, inland or coastal banks, regulatory floodway, velocity zone, surface water supplies,tributaries to surface water supplies,certified vernal pools,private water supplies or suction lines, gravel packed or tubular public water supply wells, subsurface drains, leaching catch basins, or dry wells; and the location of any nitrogen sensitive area identified in 310 CMR 15.215 within which portions of the proposed system are located. (m) location of water lines and other subsurface utilities on the facility; (n) observed and adjusted ground-water elevation in the vicinity of the system; o) a complete profile of the system; (p) a note on the plan listing all variances to the provisions of 310 CMR 15.000 sought in conjunction with the plan; (q) . the location and elevation of one benchmark within 50 to 75 feet of the facility which is not subject to dislocation or loss during construction on the facility; (r) when dosing is proposed, complete design and specification of the dosing system proposed including but not limited to dosing chamber capacity (required and provided), pump curves and specifications,number of dosing cycles and depth per cycle; (s) when a Recirculating Sand Filter or equivalent alternative technology is required or proposed,a complete plan and specification for the system,including a hydraulic profile; (t) a locus plan,to show the location of the facility including the nearest existing street; (u) the street number and lot number, if any, of the facility; and (v) the materials of construction.and the specifications of the system. F - Kok,, • i r �' . sew^q _ J _ o or la` ya s r. e�on'recd G�o3 r`•rq = yQ�rfS2s �tq 'S�na®f • 55U � A clofeS tuvvqq��I� ,Pc J '5 jk5 l,ncl� Per-dose N ALARM & PUMP NOTES 1. ALARM TO BE WIRED BY ELECTRICIAN ON NO i SEPARATE CIRCUIT FROM PUMP. 2. ELECTRICAL WORK TO BE INSPECTED BY 1. LOCUS IS A.M. 352, PARCE WIRING INSPECTOR. 2. ELEVATIONS SHOWN ARE TC 3. ALARM TO BE LOCATED IN HOUSE. 3. LOCUS IS IN FLOOD ZONES 4. PUMP TO BE CAPABLE OF PASSING 4. ALL PIPES TO BE 4" SCH 4 BATH 1-1/4P SOLIDS AND INSTALLED IN STRICT 5. MUNICIPAL WATER IS AVAIL, CONFORMANCE WITH MANUFACTURER'S 6. COMPONENTS TO BE AASHT �ITCH SPECIFICATIONS. 7. INLET TEE TO PROJECT DOV BRDM 5., USE MEYER SRM4, 4/10 HP PUMP, OR 8. IF TWO OR MORE LINES, WA EQUIVALENT. D—BOX EXIT PIPES TO BE L 6. TO PROVIDE FOR EASY AND SAFE 9. DEPTH OF COMPONENTS NO I FLOOR MAINTENANCE OF PUMP: BUILD UP COVERS: 1 OVER —PROVIDE UNION/DISCONNECT IN 2" PVC 10, STONE TO BE DOUBLE WASI LINE AT TOP PUMP CHAMBER SO PUMP 11.' IF UNSUITABLE SOILS, OR S CAN BE REMOVED FROM TOP OF TANK, CONTACT THE BOARD OP Hi —RECOMMEND FLOAT BRACKET AT COVER SO 12. IF AN OVERDIG IS CALLED 1' FLOATS CAN BE ADJUST./REPLACED FROM TOP. IS TO BE CLEAN GRANULAR 13. PUMP AND FILL ANY EXISTII PROPOSED 1000 GALLON LEACH AREA, AND DISPOSE 14. ALL CONSTRUCTION TO MEE PUMP CHAMBER RAISE GRADE 9" OVER SOI, MAKE WATER TIGHT CORNER OF LEACHING, AS . COVER TO GRADE SHOWN: Recommend Floats 21.38t replacable from top DRILL 3/8 WEEP/VENT HOLE Top Exist Found. Invert 19.05 Invert 18.23 QUA Union Disconnect/ PROP--REPLUMB / ON ALARM 22 Check Valve S-1 4" ft / 9„ min 1%Y « OFF c1:1 >, P Pr( 1� Invert 18.50 1500 Bottom r,3.73 6" STONE UNDER Proposed Septic 1 Bottom 14.00 Proposed REPLUMB SEWER PIPE TO EXIT 6" Stone or corn 1 f.9S FOUNDATION WITH CENTER 30" " BELOW TOP FOUNDATION. 26 Jtn. 0 fig" {_.o} � -��.�1 0 ��I�``^C' r DESIGN DAT/ y N/F GR AM SE BEDROOMS: GARBAGE GRINDER: . REQUIRED CAPACITY: SEPTIC TANK: 3��f 0� BOTTOM LEACHING AREA: [(24' X 32')] SIDE LEACHING AREA: N [NONE] 6 r, r7�cir_r.� 310 CMR: DEPARTMENT OF ENVIRONMENTAL PROTECTION 15.230: continued (8) Grease traps shall be accessible for inspection and maintenance. No structures shall be M: constructed directly upon or above the grease trap access locations. (9) The invert elevation of the inlet of a grease trap shall be at least two inches above the invert elevation of the outlet. The inlet and outlet shall be located at the center line of the tank, and at least 12 inches above the maximum groundwater elevation. (10) Backfill around the grease trap shall be placed in such.a manner as to prevent damage g to the tank. II � (11) Grease traps shall be maintained in accordance with 310 CMR 15.351. (12) Grease removal by other devices located within the building as part of the internal plumbing are not within the jurisdiction of 310 CMR 15.000 and shall not be considered for `•, i compliance with 310 CMR 15.230 except with the prior written approval of the Department. ( `>t' 15.231: Dosing Chambers and Pumps (1) A dosing chamber shall be required for any system designed for intermittent discharge of septic tank or recirculating sand filter effluent, or in conjunction with pressure dosing pursuant to 310 CMR 15.254(2)for any system with a design flow of greater than 2,000 gpd, or where multiple soil absorption systems are proposed. 1 I� (2). All dosing chambers shall have an emergency storage capacity above the working level equal to the daily design flow of the system,and shall be equipped with sensors and alarms to protect against high water due to failure of the pump or pump controls. The volume below the working level shall include an allowance for the volume of all drainage which may flow j back to the chamber when pumping has ceased. (3) The volume_ of the dosing chamber between pump operating levels shall be adequate to II assure the entire soil absorption system is dosed each cycle in accordance with the required number of cycles per day. (4) Construction and materials of dosing chambers shall be in accordance with 310 CMR 'l 15.221 and 15.226. i' g equipped with one 20-inch manhole with a readily (5) All dosing chambers shall be removable watertight cover of durable material. The access cover shall be located within six inches of final grade. ' (6) Every dosing chamber, except for systems serving two dwelling units or less, shall be {i equipped with two pumps the discharge lines of which shall be valved to allow dosing of the entire soil absorption system by either pump. (7) Pumps shall be capable of passing a minimum solid sized P/inch diameter and shall i' be installed in accordance with the manufacturers.specifications. (8) Pumps shall operate in the following sequence: i (a) pumps off (b) primary (lead) pump on (c) backup (lag) pump on and alarm on (d) pumps must alternate. { (9) All pumps must be equipped with an alarm located in the building served which is powered by a circuit separate from the circuit to the pumps. �I{I 3/24/95 (Effective 3/31/95) 310 CMR - 522 ; i 310 CMR: DEPARTMENT OF ENVIRONMENTAL PROTECTION . 15.253: continued (5) Two or more chambers or galleries connected•in series shall constitute a chamber or gallery system. The application of 310 CMR 15.253(l)(c) (pits separation distances) shall.;..: be applied to adjacent chamber or gallery systems as a unit rather than to the individually connected chambers or galleries. t (6) Inlets to chamber and gallery systems installed in trench configuration shall be provided at intervals not to exceed 20 feet. Chamber or gallery systems in bed configuration shall be i provided with at.least ane inlet for:every 40-foot square section. • 15.254: Dosing (1) Gravity Distribution. (a) Dosing systems employing gravity distribution to the soil absorption system shall be restricted to systems designed to accept less than 2,000 gpd. (b) The dosing chamber and pumps shall be designed in accordance with 310 CMR 1 15.231. ` Y (c) Distribution lines to the soil absorption system shall have a minimum diameter of two inches and shall otherwise be in conformance with the provisions of 310 CMR 15.251 (Trenches). (d) Septic tank effluent shall be dosed to the soil absorption system based on the system design flow in accordance with the following frequency: I 1 Soil Type �. Dosing Frequency 1 3 Sands,Loamy Sands 4 Doses Per Day Sandy Loam,Loamy " 1 Dose Per Day f Silt Loam 1 Dose Per Day . Clays, Silty Clay Loamy 1 Dose Per Day (2) Pressure Distribution. (a) Pressure distribution of septic tank/recirculating sand filter effluent to the soil absorption system shall be required for all system designs in excess of 2,000 gpd. (b) The dosing chamber and pumps shall be designed in accordance with 310 CMR 15.231. (c) The pressure distribution system shall be designed in accordance with the procedures set forth in Department guidance. (d) Pumps,alarms and other equipment requiring periodic or routine inspection and maintenance shall be operated, inspected and maintained'in strict accordance with the manufacturer's specifications.In no instance shall inspection be performed less frequently than once every three months. The results of such inspections shall be submitted to the approving authority. 15.255: Construction in Fill Any system where fill is required to replace topsoil,subsoil,peat or other unsuitable or impervious soil layer above the requisite four feet of naturally occurring pervious material t j shall be considered as a system constructed in fill. Any system constructed in fill which extends either wholly or partially above natural grade for the purpose of complying with 310 r j CMR 15.212 (depth to groundwater) is a mounded system. All soil absorption systems constructed in fill shall be sized using the soil type of the underlying naturally pervious I material. .': (2) The finished side slopes of a mounded system shall not be steeper than 3:1 I}' (horizontal:vertical). A minimum 15 foot horizontal separation distance shall be provided u between the soil absorption area and the adjacent side slope as measured from the edge of C the top of the two inch layer of 1/e to 'k inch washed stone aggregate cover. The toe of the I, slope shall be a minimum of five feet from any adjacent property line; or a.swale or other drainage system directing runoff away from the adjacent property shall be installed. �.I - • � Adjustments to the above side slopes may be allowed if a suitable impervious barrier (such as a vertical concrete retaining wall constructed in accordance with 310 CMR 15.255(2)) is installed to mitigate potential sewage breakout. - !t 310 CMR - 530 3/24/95 (Effective 3131/95) IL o�tNKE, Town of Barnstable . P# �.. : Department of Regulatory Services f I� BARNBTABL$ • G'�� G MASS. Public Health Division. Date a - En 39.► 200 Main Street,Hyannis MA 02601 �'1 �� Time / zL._ Fee Pd. �0 Date Scheduled . Soil Suitability Assessment for ewage Dis OS Performed By: Witnessed By: y ,In N,� a x. ��':x•,'C2�'� nc ! iI 5l""�,R`" 'I' r ! ik ....4, v..hk.:d'�{!w ��,,;,^:a ,�y11 •!t ,I s � >s x :,�{ >F��k L x p4 as a k�!ne;:�l,. ^� 1 • �; f, {. •�.^ !' h�ry Location Address �-� � /�D pZ E� I � Owner's Name UA.�n,S�-WdDI� Address P'o` L )( `� Assessor's Map/Parcel: CJZ /�GU O/Z Engineer's Name `J. AD I I-L NEW CONSTRUCTION REPAIR Telephone# SO "17S-1700 Land Use �`� �'' �� Slopes(%) 0 .V J 6yo Surface Stones Distances from: Open Water Body­_,�flO ft Possible Wet Area—&QLft Drinking Water Well y k ft --i �lll t Drainage Way ���� ft Property Line �� ft Other �I� 5 6O ft _ SKETCH:(Street name,dimensions of lot,exact locations of test holes&per tests,locate wetlands in proximity to holes) V 7q 2o ny , 7"6 C __ kV OT3 Parent material(geologic) ' Depth to Bedrock Depth to Groundwater: Standing Water in Hole: < Weeping from Pit Face 7 "' Estimated Seasonal High Groundwater Jp!,y„N v�YM; Method Used: ` _ - - - - -ir.- Death r.cr)i!mgtt!es '°- Depth`Ubser ed standing in oos.hU'.e: _ —- --i° -- Depth to weeping from side of•obs.hole: in. Groundwater Adjustment ft. Index Well# Reading Date: Index Well.level Adj.factor Adj.Groundwater Level_ ,!�'�3' i !1: I$.�i nnl,. I , , �:,i .N ` t!a N"-�"IV !i�I^ L.itiu >diir � -i'.: 'L! �..wm�" u4FKa° !{ �6�t�:! L �AhS.�i,.l n.uGfi I��Q, uwt�n;Vi,i e<L��� k:,a3:1G:^ r' 7- Hole#Observation ;Z Time at 9" Depth of Perc . t .4 s� i/ 1/ Time at 6 . 1 Start Pre-soak Time(a3 ��•� � � 'f/.°SZ•'t�CJ � '�Time(9'-67) End Pre-soak i IV4kv OG110?i2-0�' I ' '�0 s Rate MinAnch G2 /4) Site Suitability Assessment: Site,Passed Site Failed: Additional Testing Needed(Y/N) Original: Public Health Division Observation Hole Data To Be Completed-on Back-------- Q:HEALTH/WP/PERCFORM ik .rrF' F"ilq" ,:,:.Y i ! .lr',. Y��i' pI ;''ta .�Lt va ' 4� I iltk i tq$ia .!, ,. east. att x Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling Structure,Stones,Boulders. Consistency.%Gravel jdyr hU 3G /79 �'i s� c% / % �- 7// A15 — nay:-!, uL.�uLtr, „P +,'d Il to iit•a�:i�•I'Nrh it",� .h S , x.< own i'v 1. a'ytli i tl,,i li,ilNi yi.I ,�alr,'' I !ilh`r P� qg w�ypl��r'ii''i LIF v�y'a' 1, :'!� � t.ni n. ��Iluai Irry.,!p.! dxnG iF�'!'...-. .'�1Mr,L-Ilca•I,•{�.dira��''wNlinli�d�.,�lial��l!� Depth from I Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling Structure,Stones,Boulders. Consistenc %Gravel —ZO// / /70 ,-- no 1�472" C 2 c1 /d /o 1 170q- ......-........,•::::.......Mail .. ,,;.,. :.: ,x !4. . l.:. :i��Yi'l�x!I!!N°P?i'gll tl.�i!xL: .i1a,°',`,��I:. it ! .iv iS 1 1. 4.. IP`h i L. , k..n! , !III ' '''x' f,l� N;'u � ;�.7' � N;w.GWti u� I�la '�� II�I 7�knka�sk!^�(�,pyyl�Ik���'.,Ms''���, '; � � !d� P. r � .I.� 47'&:,�th wf i�'f�t ,�I,yL�r I jj� I'I Iu lil�!x i N�'�1�„(��I d§: i WIN;J:. divR u�,f�.+�' ?;. k.sFS.' iJ v'' a, ,ru,n •c.,L_..1.�.'.^k var h!t t,�s'Wcks Sat'..4.i �' Depth from Soil Horizon Soil Texture Soil Color of Other Surface(in.) (USDA) (Munsell) -Mottling Structure,Stones,Boulders. , << Consistency,%Gravel 60 -7 S r JV6 /S Gr�P /0 r 7 7 v' ll r!vi.,' �nl'I�I,wl!v 1.�"��.,��Ijl �' � � �, .��'f,,Ats:�l�I�!lkP'1•,ryN:A.s'011i N 5: I� �„�..,"° ',.�,..r.'�.. .6�I4AI,i� ,16 GS L,i�INhi�gvd xl ldllk�!.,. Depth from Soil'Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Mansell) Mottling Structure,Stones,Boulders. Consistency,%Gravel Flood Insurance bate Map:_ _ Above 500 year flood boundary No_ Yes Within 500 year boundary No_ Yes Within 100 year flood boundary No_ Yes Depth of Naturally Occurring Pervious Material Does at least four feet of naturally occurring pervious material exist in all areas observed throughout the area proposed for the soil absorption system? _ If not,what is the depth of naturally occurring pervious material? Certification I certify that on A)© (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 tr ' ' expertise and exp 'ence described in 310 CMR 15.017. Signature u,._ Date Q:HEAJ.TH/WP/PERCFORM I_ Town of Barnstable FINE Regulatory Services BARNSTABLE, Thomas F. Geiler, Director 9�AMAW.39 : •�� Public Health Division r rFD MP'�A i Thomas McKean, Director 200 Main Street, Hyannis,MA 02601 Office: 508-862-4644 Fax: 508-790-6304 January 12, 2006 SECOND NOTICE Mr Parker Koopman P 0 Box 13 Cummaquid, MA 02637 NON-COMPLIANCE WITH STATE ENVIRONMENTAL CODE TITLE V. The septic system owned by you located at 97 VanDuzer Road, Cummaquid, MA,was inspected on, October 171h 2005 . By Robert A. Paolini, a certified septic inspector for the State of Massachusetts. The inspection of your septic system showed that your system had"FAILED" under guidelines of 1995 STITLE 5 (310 CMR 15.00)DUE TO THE FOLLOWING: System is in hydraulic failure You have 2 years from the date of the system failure to bring the system into compliance. If there are any questions.about this reminder,please feel free to contact the Barnstable Health Department. BARNSTABLE HEALTH DEPARTMENT T as McKean, R.S., C.H.O. Agent of the Board of Health Town of Barnstable f ' Public Health Division y A R'j U.S.P0STjp%C-1Er; BARN 200 Main Street ;� `,' ii ,. . + $ Hyannis, MA 02601Ulu F Anab700.5'''I 1160sep000 0191 0980 h - fL !c!almed ss `� �. ❑ptteni �Rafuse .. -0 7 pt=d-Not Known O No Such Knu� Gy '. Vacant Street Cj Nu.�h�� i ?' Cltpegible Mr. P rker opman y ❑No Mail Receptac;e P. Box 1 .. Box Closed-No Order anstabl MA 02630 ❑Returned For BetiE'r ~ ❑Posta Addrr,�s ge Due .� i' 0960 '[ 00 _9-T'z s0oz SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY ■ Complete items 1,-2,and 3.Also complete A. Signature _ item 4 if Restricted Delivery is desired. ❑Agent 0 Print your name and address on the reverse X so that we can return the card to you. ❑Addressee ; ■ Attach this card to the back of the mailpiece, B. Received by(Printed Name) C. Date of Delivery j ) , or on the front if space permits. 1. Article Addressed to: D. Is delivery address different from Rem I ❑Yes ter If YES,enter delivery address below: ❑No Mr. Parker Koopman ?� P. O.,Box 13 i Banstable MA 02630 T04. ervice Type i Certified Mail ❑ Express Mail ' \` Registered ❑ Return Receipt for Merchandise Insured Mail ❑C.O.D. estricted Delivery?(Extra Fee) ❑Yes 1 2.. Article Number (Transfer from service labeq PS Form 3811,February 2004 D e eturn 8eceipt (- 102595-02-M-1540 UNITED STATES POSTAL SERVICE %. r�r jfrest.Cl.ass Mail =-r ._„ �..u �,, Postage&Fees-Paid WSPS Permit No.GA . t.J • Sender: Please print your rxlame, address, and ZIP+4 in this box • j Town of Barnstable Health Division 200 Main Street i Hyannis, MA 02601 i i i i i Ut.��144UUt-6C� Cc�U2 ���e�is��s�i�ts J COMPLETESEN ER: • 'COMPLETEON ON'DEL VERY ■ Complete items 1,2,and 3.Also complete A. S' re item 4 if Restricted Delivery is desired. nt ■ Print your name and address on the reverse dressee so that we can return the card to you. B e,Iceived y(Printed Na C. Date of D liv ry ■ Attach this card to the back of the mailpiece, � /e 0 I or on the front if space permits. D. Is delivery address different from item 1? ❑Yes 1. Article Addressed to: If YES,enter delivery address below: ❑No I "Mr Parker Koopman .0. Box 13 3. Service Type "Cumnlaquid NIA 02637 ❑Certified Mail 8 Express Mail ❑ Registered ❑Return Receipt for Merchandise ❑ Insured Mail ❑C.O.D. I 4. Restricted Delivery?(Extra Fee) ❑Yes 2. Article Number (transfer from service label) PS Form 3811,August 2001 Domestic Return Receipt 102595-02-M-1540 ff:,3 zap rr ,;•S'�'+ � .-�'L'� � I � D �r ILr) .. �•� . I co Ln �, �}<'� �e 5 F/ S"T, u'9k Y'�`Y �vt�✓� �i�iw'f ul Postage $ 9 {�1IS j\ p Certified Fee /� Postmark p / \\ C7 p Return Reciept Fee Here (Endorsement Required) p Restricted Delivery Fee 19?Q co (Endorsement Required) 06 .A 1 1 Total Postage&Fees $ M aSent To r a.M r� -- --V r----- ----=�e- n-------------------------- S`treer;Apt No.; � or PO Box No. ^T• 0, �3O.. Y ��9 ... ........................••---••-- ony,Sty ZIP+4 A a Ga 6 3 7(• nima , Certified Mail Provides: (e�anaa)ZooZeunr'ooeeuo d sd e A mailing receipt a A unique identifier for your mailpiece ■ A record of delivery kept by the Postal Service for two years Important Reminders: e Certified Mail may ONLY be combined with First-Class Maile or Priority Malle. a Certified Mail is not available for any class of international mail. o NO INSURANCE COVERAGE IS PROVIDED with Certified Mail. For valuables,please consider Insured or Registered Mail. o , a For an additional fee,a Return Receipt may be requested to provide proof of delivery.To obtain ReturnReceipt service,please complete and attach a Return Receipt(PS Form 3811)to the article and add applicable postage to cover the fee.Endorse mailpiece"Return Receipt Requested".To receive a fee waiver for a duplicate r' r. receipt,a USPSe postmark on your Certified Mail receipt is required. sr m For an additional fee, delivery may be.restricted to the addressee or addressee's authorized agent.Advise the clerk or mark the mailpiece with the endorsement"Restricted Deliv_ery".• a If a postmark.on'the Certified Mail receipt is desired,please present the arti- cle at the post office for postmarking. If a postmark on the Certified Mail receipt is not needed,detach and affix label with postage and mail. IMPORTANT:Save this receipt and present it when making an inquiry. Internet access to delivery information is not available on mail addressed to APOs and FPOs. G�THE Tp� Town of Barnstable BARNSTABLE, * Regulatory Services 9 MASS. g Y �A i639• Thomas F. Geiler,Director rED MA'S a Public Health Division Thomas McKean,Director 200 Main Street, Hyannis, MA 02601 Office: 508-862-4644 Fax: 508-790-6304 November 24th, 2005 _. Mr. Parker Koopman . P. O.Box 13 Banstable,MA 02630 NON-COMPLIANCE WITH STATE ENVIRONMENTAL CODE TITLE V. The septic system owned by you located at 97 Vanduzer Road,�Barnstable,MA, was inspected on October 17th, 2005, by Robert A. Paolini a certified septic inspector for the State of Massachusetts. The inspection of your septic system showed that your system has "FAILED' under guidelines of 1995 TITLE 5 (310 CMR 15.00)DUE TO THE FOLLOWING: System is in"hydraulic failure You have 2 years from the date of the systern failure to bring the system into compliance. If there are any questions about this reminder, please feel free to contact the Barnstable Health Department. BARNSTABLE HEALTH DEPARTMENT i LaCO Ir D ' .. • 0 Im Postage $ OJI .0 1�, Certified Fee t7�O P..ostmark O Cl Retum Receipt Fee A i, / � 0 (Endorsement Required) /S i gre C3 Restricted Delivery Fee DEC6► (Endorsement Required) a ra Totat Postage&Fees $ •",o` ASPS Sent o E3Ln NSvmt Apt No @t r r' --- ----- - --------------------- o�PO Box No. --- ,3 = City,State,ZI Qrhs c b M q 0,7636 Certified Mail Provides: A mailing receipt (as�anaa)zppzaunf'ooes�odsd o e A unique identifier for your mailpiece o A record of delivery kept by the Postal Service for two years Important Reminders: n Certified Mail may ONLY be combined with First-Class Mail®or Priority Maile. o Certified Mail is not available for any class of international mail. n NO INSURANCE COVERAGE IS PROVIDED with Certified Mail. For valuables,please consider Insured or Registered Mail. o For an additional fee,a Return Receipt may be requested to provide proof of delivery.To obtain Return Receipt service,please complete and attach a Return Receipt(PS Form 3811)to the article and add applicable postage to cover the fee.Endorse mailpiece"Return Receipt Requested".To receive a fee waiver for a duplicate return receipt,a USPSe postmark on your Certified Mail receipt is required. o For an additional fee, delivery may be restricted to the addressee or addressee's authorized agent.Advise the clerk or mark the mailpiece with the endorsement"Restricted Delivery". a If a postmark on the Certified Mail receipt is desired,please present the arti- cle at the post office for postmarking. If a postmark on the Certified Mail receipt is not needed,detach and affix label with postage and mail. IMPORTANT:Save this receipt and present it when making an inquiry. Internet access to delivery information is not available on mail addressed to APOs and FPOs. DATE 10/17/05 PROPERTY ADDRESS 97 VanD(Jzer Rd Cummaquid MA '02637 ' On the above date, the septic system at the address above was Inspected. This system consists of the following: 1.- 1- 1000 ganon zep.t.ic. tank.- 2., 1- Dizt2.i&ut.ion Box.: 3., 1- ieach.ing 12it.1 , Based on inspection, I certify the following conditions: 4., 7hiz iz a 7.itze Five Septic zy,tem (78 code) 5.. Si eptic z yht em .i s .in h yd zau 2.ic �a.i eu)te.- new eeach.ing a2ea needs to &e .in.6ta eied., v, SIGNATURE v s�; Name: Robert A. Paolini � w Company: Joseph P. Macomber & Son Inc . o Co Address: P. 0. Box 66 Centerville, Mass 02632 Phone: 508-775.3338 or 508-775-6412 ti L P. MACOMBER & SON, INC. Tan ks-Cesspools-Leachf lelds Pumped & Installed Town Sewer Connections x 66 Centerville, MA 02632-0066 775-3338 775.6412 COMMONWEALTH OF MASSACHUSETTS EXECUTIVE OFFICE`OF ENVIRONMENTAL AFFAIRS a DEPARTMENT OF ENVIRONMENTAL PROTECTION y Jr. TITLE 5 OFFICIAL INSPECTION FORM—.NOT:FOR-VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM FORM PART-A CERTIFICATION Property Address: 97 -yanDtiz ar Rd ummaaui d MA 02617 Owner's Name: Parker Koopman Owner's Address: .. yMmGQv((' ►yiG02-Co37 " Date of Inspection: 1.0/17/0 5 Name of Inspector:(please print) Robert A Paoli ni Company Name: % (�acom&ez & S:o.n Inc. Mailing Address: -Cp-nteliviTee, cc.s.s.""02632 --� Telephone Number: 5 0 8-7 7 5:3 3 3 8 CERTIFICATION STATEMENT I certify that I have personally inspected the.sewage disposal system at this address and that the information reported below is true,accurate and complete as of the time of the inspection.The inspection was performed based on my training and experience in the proper function and maintenance of on site sewage disposal systems.I am a DEP approved system inspector pursuant to-Section.15:340 of Title 5(310 CMR 15:000). The system: Passes Conditionally Passes Needs Further Evaluation by the Local Approving Authority YYX Fai Inspector's Signature: Date: / 0,1 The system inspector shall submit a copy of this inspection report to the-Approving Authority(Board of Health or DEP)within 30 days of completing this inspection.If the system is a shared system or has a design flow of 10,000 gpd or greater,the inspector and the system owner.shall submit the report to the appropriate regional office of the DEP.The original should be sent to-the system owner and copies sent to the buyer,if applicable,and the approving authority. Notes and Comments ""This'report only describes conditions at the time of inspection and under the conditions of use at that system will perform in the future under the same or different time.This inspection does not address how the I conditions of use. Title 5 Inspection Form 6/15/2000 page I f Page 2 of 11 OFFICIAL INSPECTION.FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM !` PART A CERTIFICATION (continued) Property Address: 97 VanDdzer Rd Cumma.quid MA 02637 Owner: Parker KoolDman Date of Inspection: 10 17 0 5 Inspection Summary: Check A,B,C,D or E/ALWAYS eompleteall of Section:D A. System Passes: NO y E S I have qft found information which indicates that any of the failure criteria described yin 310 CMR 15.303 or in 310 CMR 15.304 exist.Any failure criteria not evaluated are indicated below. C mmo nls: B. System Conditionally Passes: NO One or more system components as described in the"Conditional Pass".section need tote 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. NO 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 exfilration: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: NO 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 ieplaced ND explain: NO 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: 2 Page 3 of 11 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION(continued) Property Address: 97 VanDUzer Rd Curnmaquid MA 02637 Owner:, Parker Koo man Date of Inspection: 1 0 1 7 0 5 C. . Further Evaluation is Required by the Board of Health: NO Conditions exist which require f irther.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: n 0 Cesspool or privy is within 50 feet of a surface water n 0 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: n 0 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. n0 The-system has a.septic tank and SAS and the SAS is within a Zone 1 of a public water supply. n o The system has aseptic tank and.SAS and the SAS is within 50 feet of a private water supply well. n o The system has aseptic tank and SAS and the SAS is less than 100 feet but 50 feet or.more front a private water supply well".Method used to determine distance vizua e "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: 3 Page 4 of 11 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION(continued) Property Address: 97 VanDozer Rd Cummaguid MA 02637 Owner: Parker Koonman Date of Inspection: 1 0/1 7/0 5 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 Discharge or ponding of effluent to the surface of the ground or surfacematers due to an overloaded or clogged SAS or cesspool Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool. . _ Liquid depth in cesspool is less than 6"below invert or available volume is less than'%.day flow Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s).Number of times pumped X Any portion of the SAS,cesspool or privy is below high ground water elevation. _ Any portion of cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply. X Any portion of a cesspool or privy is within ai Zone 1.of a:public well. Any portion of a cesspool or privy is within.50 feet of a private water supply well. �^. Any portion of a cesspool or privy is less than 100 feet but greater than 50.feet from a private water supply well with no acceptable water quality analysis. [This system,passes if the well water analysis, performed at a DEP certified laboratory,for coliform bacteria and volatile organic compounds indicates:.that the.well is free from pollution from that facility and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm,provided that no other failure criteria are triggered.A copy of the analysis must be attached to this fore.] . yES (Yes/No)The system fails.I have determined that one or moreAfthe 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 1.0,000 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 X the system is within 400 feet of a surface drinking water supply X the system is within 200 feet of a tributary to a surface drinking water supply X 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 f Page 5 of 11 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL:SYSTEM INSPECTION FORM PART B CHECKLIST Property Address: 97 VanDbzer Rd CummaQu.i d MA 026 7 Owner: Parker KooAman Date of Inspection: 1 0/1 7/0 5 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 NIA) 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?. 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. X _ 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 11 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS .SUBSURFACE SEWAGE DISPOSAL>SYSTEM.INSPECTION FORM PART C SYSTEM INFORMATION Property Address: 97 VanDVzer Rd Cummaquid MA 02637 Owner: Parker KooAman Date of Inspection: 1 0/1 7/0 5 FLOW CONDITIONS RESIDENTIAL Number of bedrooms(design): 4 Number of bedrooms.(actual): DESIGN flow based on 310 CMA 15.203(for example: 110 gpd x#of bedrooms): 4 4 0 Number of current residents: 2 Does residence have a garbage grinder(yes or no):ao Is laundry on a separate sewage system(yes or no):n o [if yes separate inspection required] Laundry system,inspected(yes or no): n o Seasonal use? (yes or no): n o 20 0 4=8 0, 0 0 0 ga.e e o n s W=219,4 7 Water meter readings,if available(last 2 years usage(gpd)):2 0 0 5=12 3, 0 0 0 ua.e.e o rz'6 qp D=3 3 6. 98 Sump pump(yes or no):n o Last date of occupancy: /2 2 e-sent COMMERCIAL/INDUSTRIAL Type of estabJ�litrient: N14 Design flow(ia'sed on 310 CMR 15.203): gpd 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: none 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: •cn.3ta.2.2ed 3120189 macom9e2 Were sewage odors detected when arriving at.the site(yes or no):y e 6 Page 7 of 11 OFFICIAL INSPECTION FORM—NOT FOR.VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION'(continued) Property Address: 97 VanDGzer Rd Cummacruid MA 02637 Owner: Parker Kponman Date of Inspection: 10 17 0 5 BUILDING SEWER(locate on site plan) Depth below grade: 18" Materials of construction:_cast iron _40 PVC_other(explain);. Distance from private water supply well or suction liner Comments(on condition of joints,venting,evidence of leakage,etc.): ao.intz appeaa tight nozi nA o4 Pon, ))aaiad i440"gh Aou,3e ven.t.' SEPTIC TANK:,q e Alocate on site plan)* 1000 ga.P i o n Depth below grade: 12" 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"X5 ' 8"X4' 10" Sludge depth: 12" Distance from top of sludge to bottom of outlet tee or baffle: o v e 2. t e e 3 Scum thickness:. 6" Distance from top of scum to top of outlet tee or baffle: 0 Distance from bottom of scum to bottom of outlet tee or baffle: 5'2" How were dimensions determined: m e a-3 u 2 e d Comments(on pumping recommendations,inlet and outlet tee or baffle condition,structural integrity,liquid levels as related to outlet invert,evidence of.leakage,etc.): Pume tank eve .I iet an z .iz ztauctuaa.Phy sound GREASE TRAP:noo(locate on site plan) Depth below grade: Material of construction:. concrete metal fiberglass___polyethylene other Mater g —P — (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.): gltzabe t2afl iA n n 1 .4217 0 A 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: 97 VanDOzer Rd Cummagui-d MA 02637 Owner: Parker Koopman Date of Inspection: 1 0/1 7/0 5 TIGHT or HOLDING TANK: Na (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.): 7-4ght o2 hoid-ina tanks aae not QAn-svml DISTRIBUTION BOXY e-3 (if present must be opened)(locate on site plan) Depth of liquid level above outlet invert: o vea 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.): 13ox �3 .eevei ha,3 2 eatelta ez - No Qeakage Soeidz ate Rae Aeal PUMP CHAMBER: n o (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.): PumI2 chamPea iz not aae-sen 8 Page 9 of 11 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued). Property Address: 97 VanDdzer Rd Cummacguid MA 02637 Owner:. Parker Koopman Date of Inspection: 1 0/1 7/0 5 SOIL ABSORPTION SYSTEM(SAS): (locate on site plan,excavation not required) If SAS not located explain why Located zee /gage '10., Type X leaching pits,number: I leaching chambers,number: leaching galleries,number: leaching trenches;number,length: leaching fields,number,dimensions: overflow cesspool,number: innovative/alternative system Type/name of technology: Comments(note condition of soil,signs of hydraulic failure,level of ponding,damp soil,condition of vegetation, etc.): medium .sand.,. Leaching 12it .iz .in a/ze wet., Vege.tat.ion .i s gaeen.' CESSPOOLS: no (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.): ceh,6/200 .s alLe_ nOf 12avAP-M1 PRIVY: n o (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.): l 2.ivy .ib not /22e-en:t 9: Page 10 of 11 O CIA,INSPECTION POW-NOT FOR VOLUNTARY ASSESSMENTS SSURFACE SEWAGE DISPOSAL SYSTEM'INSPECTION FORM �� PART C SYSTEM INFORMATION(continued) Property Address: 97 VanDdzer Rd. Cummaguid MA 02637 Owner: Parker Koopman Date of Inspection: 1 0/1 7/0 5 y .SKETCH OF SEWAGE.DISPOSAL SYSTEM Pr 'de 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. e� . . / 00, , �� �� 10 Page 11 of 11 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ION FORM SSESSMENTS . SUBSURFACE SEWAGE DISPOSAL SYSTEM INS PART C SYSTEM INFORMATION(continued) Property Address: 97 Vanduze.n Ronrl Cummawt id Nez Owner: l aakea KooRman Date of Inspection: 10/17/0 5 SITE EXAM . Slope Surface water Check cellar Shallow wells , Estimated depth to ground water feet Please indicate(check)all methods used to determine the high ground water elevation: -NO Obtained from system design plans on'record-If checked,date of design plan reviewed: u e.3 Observed site(abutting-property/observation hole within 150 feet of SAS) Checked with local Board of Health-explain: �s R u.�P.t r•a a d no . Checked with local excavators,installers-(attach documentation) e,6 Accessed USGS database-explain htt/� town. �aan�t¢�2e. ma. ups �--. You must describe how you established the high ground water elevation: 11.sed. : Cape Cod Comm�� ion 1Jatea 7a&fie Coritoua,3 And Pug eic lJatea SuR/:�y G1eQ$ head aotection .aaea�s ma Se t 1.995 Oatea aehouacez o i.ce cape cod commZ,6..on., Top of Cround Leaching Pit -eet GroundwaterO Feet Below Bottom of Pit High Groundwater Adjustment 1.8 ft per Frimpter Method , Therefore,the vertical separation distance between the bottom of the leaching pit and the adjusted groundwater table is �a feet. 11 S'TT.1ff rI f•rs,•rv�•Tfrnrmt.nte+riTnnasrrrrltr.•sTreTRrlRsrrtTlm'1 fsr.R'ecs TfQ't♦S�Rerl - _ TOWN OF BARNSTABLE BOARD OF IIEALTII SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM - PART D • CEILTIFICATION a�-t•rf-nrsgs+s-rrar+nm—'f�nf•e'�+as'!sr<mnRa�t�ter7 tsert T!•t^T•.-C:f�T.tt�^.�T1SrRMR:TTI TffC.ItST . -TYPE OR PRINT CLEARLY- PROPERTY INSPECTED STREET ADDRESS 97 VanDdzer Rd Cummaquid MA 02637 ASSESSORS MAP, BLOCK AND PARCEL OWNER's NAME Parker •Koopman PART D - CERTIFICATION I NAME OF INSPECTOR Roge2t Paoiin.i COMPANY NAME a oaePh i llacom9e44'S' Son Inc COMPANY ADDRESS Box 66 Cent eltv.iia Nazz 02632 Street Town or City State LiP COMPANY TELEPHONE ( 508 1. 7:75 - 3338 FAX ( 508 1790 - 1578 CERTIFICATION STATEMENT I certify that I have personally. .inspected the sewage disposaY system at this address and that the information reported is true, accurate, and omplete as of the time of ,inspection . .The. inspection was performed and any recommendations regarding upgrade , , maintenance , and repair are consistent with my training and experience in the proper function and maintenance of on- site sewage disposal systems Check one: t Systeui PASSED ' The inspection which I have conducted has not found any information which indicates that. the system fails to adequately protect public health or the environment as defined in 310 CMR: 16 . 303 , Any failure criteria not evaluated are as stated in the FAILURE CRITERIA section of this form, `L System FAILED* \ The inspection which I have con acted has found that 'the system fails to Protect the public health and the environment in accordance with Title 5 , 310 CMR 15 . 303, and as .specifically noted on PART C - FAILURE CRITERIA of this inspection f , Inspector Signature Date ' ne copy of this certification must be provided to the OWNER, the BUYER where applicable ) and the BOARD OF HEALTH. * If the inspection FAILED,, the owner or."operator ahall upgrade ' the system. within one year of the date of the inspection, unless allowed or required otherwise as provided in 3.;10 CMR 15 . 305 . ' TOWN OF BARNSTABLE 9 41 2cp-7 �jLOCATION `. gal—004-_ Cummaauid SEWAGE # Vtd=CAGE � C/c ASSESSOR'S MAP LO.T^ ; INSTALLER'S NAME & P'HONE NO J• G� dY,o'Y� i�G SEPTIC TANK CAPACITY LEACHING FACILITY:(type),1? 7' (size), NO, OF BEDROOMS PRIVATE WELL OR PUBLIC-WATER BUILDER OR OWNER ICE—�-7Ai++�Ce DATE PERMIT ISSUED: DATE COFIPLIANCE ISSUED: VARIANCE GRANTED: Yeses No_� !a 1 Al / q / !3 7' ell, • r oZ g i 'No..... FxE........$.... THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH ------. ....T.o.wn...............OF...........Ba rn s t ab l e AVVItkFation for DhgpmFai Works Tnnitrnrtion "umit J�D Application is hereby made for ermit to Construct ( ) or Repair (XXk an Individual Sewage Disposal System at: g 7 V �� u Rbj-d ................_.. _... . ?Yl.: - - `:..-----_____------------------------------- Location Address or Lot '�o. .............P_axkpaz---Ko�opmari--------------------------------------------- ••-•••••-•------------------------------------------•----•-•--------•-•-•-•-•------------•------- Owner Address a .............J_.P-_Maccuub�& � Installer Address Type of Building Size Lot............................Sq. feet V DwellingX-No. of Bedrooms.............a__-_______•--_____•_-__-•_--Expansion Attic ( ) Garbage Grinder ( ) `4 Other—Type T e of Building ......... No. of persons............................ Showers Ga YP g --•-----•---------- P ( ) — Cafeteria ( ) p" Other fixtures ................ d -•---••---------------------- -•--••------•-•------•.. ---------•--•------------••-------•-------- W Design Flow............................................gallons per person per day. Total daily flow.............................................gallons. 9. Septic Tank—Liquid capacity...........gallons Length................ Width................ Diameter---------------- Depth................ x Disposal Trench No`".................... Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No. ......._.... Diameter____________________ Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution'box ( ) -.'Dosing tank ( ) Percolation Test Results Performed by.......................................................................... Date........................................ ,4 Test Pit`No. 1.............. .minutes per inch Depth of Test Pit.................... Depth to ground water........................ 44 Test Pit No. 2................minutes per inch (Depth of Test Pit.................... Depth to ground water........................ P4 ----------------------------------••----....----•-.. ....................................................................................................... ODescription of Soil---------------------------------------•------•-------•--•------------•---•--•-----------------------------------------------------------------......-•--•-------•••••- V W R VNature of Repairs or Alterations—Answer when applicable...............4___.P.j_&Wt} €€•n•s-So-s-------------------------------- --•----•---•-••----•------•-•---•-----•-•---•-•--------•--•-••••-•----•--•-•--•••----=-•-------------•---••...-••---•------••--•-•---•••••------•••--•-••••-•---......-•-•--•------•--•-•-•--•......... Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with T!`1"^ _ the provisions of i T l i IE 5 of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance has.be issued y P dot hea h. Signed .....� . Date Application Approved By................ 1 ...15_--8--a2- i Date Application Disapproved for the following reasons---------------------•---------•--------•---------------•--------•-------....................................... ................................••---•••...--•-------•----•-...----------•-•---•------••-...•--•---•-•••-•-•-•••••-•-•..._-•---•--•-------------------••-••------•--------•----••---•--•---•--•.....•.. G p Date PermitNo..........D....-`=--.--•.o•----------------------- Issued--•------------------------•------•-------••----------- Ds_,. r THE FOLLOWING IS/ARE THE BEST IMAGES FROM POOR QUALITY ORIGINALS) I A , m / �GL�"- LI DATA A✓; Nj ... .. ...... 1/ THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH `'.r>vltf ----------..0F............?':zr .:�.= s ---.......-_--------------------------------------- Appliratiaatt for Dispaasaal Works (�.a nstrurliaaat Vrrattit Application is hereby made for a Permit to Construct ( ) or Repair ( .,) an Individual Sewage Disposal System at: --•--------•.... s a. 1 nt...R-g-=1 ....Qo:a=t f�?: .c3 ... --•--••---••-----------------•----•-------. ----------.._... j Location-Address or Lot No. ............. 3_ '_: ,O ner._.... Address....................•.................•..... .......••---...•-••-•••••-•-•---•......-- W -----------•------------------------------- ,.a t:U ue•�c-Installer Address UType of Building Size Lot............................Sq. feet Dwellingt No. of Bedrooms............. .............................Expansion Attic ( ) Garbage Grinder ( ) P., Other—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) Otherfixtures -------------------------------•---•------------•------------------------------------------------•---•---------------------•-•---•---•.........---_.. W Design Flow............................................gallons per person per day. Total daily flow............................................gallons. 1:: Septic Tank—Liquid capacity............gallons Length---------------- Width................ Diameter................ Depth................ 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 ( ) Percolation Test Results Performed by.......................................................................... Date......................................1.4 .. Test Pit No. 1................minutes per inch Depth of Test Pit.................... Depth to ground water-.-___________-_---__-_. r-T4 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ P •---•-------•-----------------•-----••--------•---••--•--------.....--------•---......---•--._............................................................... 0 Description of Soil........................................................................................................................................................................ x == -------------------------- --------------------------------------------------------------------------------------------------------------------------------------------------------------------------•-- U Nature of Repairs or Alterations—Answer when applicable................. ......r :._.. __.____.._......__,............._.__.._........... •------------------------------------------•-------•--------------------------------....•---••-•--••---•----•-•------------------•--••-----•••-•-••----•-----•--•-------••-•......----•••---•-•-••-•---- Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of IT .;a. i 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 of health. r illr Sin�,f- �_.. - _..z......_, 1_., ----• --------------- Application g Daze Approved B ....................../ '_._L- -8 PP Y c= Viz;:::: 1 Date Application Disapproved for o o wang easons:......................•-•-•------•-••---•-------•--•--•-------•............................ ...••....-- the f --•---•---•----------•----------------------------------------------------•-----•--------...-•----------.•-••-•--•-•--••••••----••-•---•-------•--•-•---•----•••-•-----•------•------•-----•--•••--••--- Date PermitNo.......... •n�..�- .....................................r---------------------_ Issued_.................. 757 Lit_ THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH .. : ..............OF............Py:a. t ....................................... x,....r.:.. (In ifirFatr of f omplitturr THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired (r• ) by........T r "."=_==:::Y-- = ------------------------•--------....------------------------------•-----...--•-•-------•---.......---•-•------•--•-•------------•--•••......-•--------- Installer at.. _a -------•-------•--•-•--------•--•----••-------------•-----•------•----•-----•-------•----.-.------------------ has been installed in accordance with the provisions of TITIE 5 of The State Sanitary Code as described in the application for Disposal Works Construction Permit No.......... .. ry---__-__----_ dated_______________________________________ THE ISSUANCE OF THIS CERTIFICATE SHALT. NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY_. DATE.......................... ._'r�r.$.:.i�.` ............................. Inspector..................... 4 ............................................ THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH s:TV.11...................OF................13arV.at b.1.e......................--_........... , No.......... ....... .... FEE.......t....2i-9.t,.40 Disposal Workii Tomitrudiaatt rrutit Permission is hereby granted...........J...F...t �l callals:3r...__.....-•.•......................... to Construct ( ) or Repair ( X1 an Individual Sewage Disposal System at No...3 9_..'T_?_.5 123 LA?!iI__1?n a it---c ja i ma3 q•'•a _d...-----•......•- Street as shown on the application for Disposal Works Construction Permit No..... 7 Dated.......................................... ......................................• .......................................................... ` -•................................. Board of Health DATE------------------/-----�--�.---�•� FORM 1255 HOBBS & WARREN. INC.. 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' Ad�dotFon� ;and i bno�ations° o ���e Homet of Parker - J A All t;'�t? 6 saX sQ�rys ssSs GRAW,NG NUMBER SYev#nlV1 Shu A �, �Tue L Oberdorf'RA` �•� '+- t I I I I I I I ' - Ir l- jDN I I:I II '` .n S:t�Additions and Renoat o -- L,. P The Home of Parker and:.Marta KOO rnan p ; OGIATES ARCHITECTS AKRO ASS ,ra. .. 310..Barnstable Road..:H annts_.M'.' ac��ei eT 9'7 Ua -: Duzer Road; Cummaqu & MA o?o� n man6RA;, Alice L.Ot?erdorfSRA; aF , tel:'S08 978 Steven M Shu I i I 10 V;TTY.E 5!!1e41 Ur['.h-,'.+: AIT1,t; F.. YI .6 r:;, � y VA 3 t IFF y '('t.2-.ti !'!• ..'.A_._.__.y- .,t,.:... �. � :. �_m- — _.:3.-. .Yr.F'."it."n'`.Y'?_ "';�F. X£ -J - Su...K .P it,.! I �, � _ LFGF'` Ili Cr •ye �.lr(i , `1/ I - -i [ .... t�mLt n6 _ ._. .. ly - ' ijI ,r I ;ij{ �. 1 :Iz;.I l'f`L'. :Y.,:, Ct ':K-,r -. \ t I f(✓ht 5V say, �3/.{ h4cNt/'/. 1. ' t f 4 A S .1•.- ..T_.,. ...7..... .:.,—::..,I. _'1.:.._.i._,._3_..f�.. :,.... 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[! - FIRE DEPARTMENT DATE 1 ' I+ ` BOTH SIGNATURES ARE REQUIRED FOR PERMITTINGJUG L S .5 ar 7rl 1ti0T LL . • • J 1 6 NGLI: 6� Cil ING f ui I fxz.I i p! s � I c .. -. up _ �x _.-u��,. •x ,max. Azc v.�--- -� �isv�carLTti f�i tc i 5 Vo co ..�iCl�j•r,iNG GGNi1!-f 1%�P?=, -„ t'7g<.� �t�� f'tor-..� ! J oc� V i (('/1{m� Additions and Renovations tox'7�,�� ^��The Horne of Parker and Marta Koopman p AFRO ASSOCIATES ARCHITECTS L E 97 Van ®uzer Road, Cummaquid, MA 1. 8-778-60 Road, Hyannis, MA 02501 � tel. 5:08-y78r6060 fax 508-778-2558 , Steven M.Shuman,RA Mice L.Oberdorf,RA GNMvwG NNNeeN t , ° ' !. -�AB5 oN as` 'sL!�cse?c�rcR-- Cmorcw' ...." � 1 � •. '._"aEE.ENV44. Am.tHLVS: - - - , ._ - dLOML PlN.PNE Up1� �. a U LE H!CfrJ ntAtIiN' Z15( f-lm- LAB5 rn.,."-J ..� 2Z 5r-- '-z'I ec x"75L MC-gruv-A3 1 a - - ..- • I132 •53 N%Wn4'..,Z410WC,.1530 I _ - WG: a 33 S'5 .'24 P141 15 DS:Z'7 OVW CA5 DIT kT.Ah-RFp -. 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Additions and Renovations to The Home of Parker and Marta Koo mane p AKRO ASSOCIATES_ARCHITECTS . 97 Van Duzer Road Cummaquid MA 31 Barnstable Road, Hyannis, MA 0255 tel_ 508-778-6060 fax 508 778 2558 Steven M.Shuman,RA Alice'L_Oberdorf,RA z. aF z , ! t {t { Tr t - i 1 • } 46 It it ! TL tit !j lip j 1 rx�i-<77 �iclKi�riG �r�. ,a� ! i.!s, :.. heC;:` r ��r�a✓ �.cnr•i 14 Addy Jog end Ret� vations �0 aoa.. Tie Heo# Parker and f�araCot `man p tkkO..ASgid, A-t ARCttl7 ECTS 9 7 Uc1T �U Ze r bad, :--u: 171 aqu-J'd, sto sarn sta6t�Koad, Ryamr�s, nda �2se� .v tel SDg 778 .�1 Hl� sort v I r� =«;F,4 "_-: 4'KIEi'(`IUZi. 1!.,a ; 21r_a - � 'ta'o —�-•g a 13�2 q. I .10�c'� 63'-2�4 $I-9/a �I 41* 77Z�i UZfi. 1 I TW31�41- 1-�Ii,734+9G1 I I _- ( ; ----------- -------+• Imo-_: I p� --� - d . i 5 I , �;qn�t+NG. 5Gt•5'W/GRG _ I >:E I N� I 3 � n?! —-'-t ' —1'- WWM ou GfAtU f I Uy.. Va�e. 1 a I '� �. I eq..C:L'CVU,• 6c 7F. � h' � ! I i �' _-Y dl; d � ' �jI I 1 L I .I! 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G±1 _E 2 EZc>G.c; a � 1"='�c•'-�� V�'F z Additions and Renovations to A L�-. 8 T4e Home of Parker and Marta K oonman N AKRO ASSOCIATES ARCHITECTS L<' le Road Hyannis, MA 026 r stab 0 1a Ban 'I - 3 , Ya 97 Van Duzer Road, Cummaquid, MA tel. 508-778-6060 fax 508-778-2558 Stevga M.Shaman,RA Alice L Oberdorf,RA - i LV,ED " Loll E} e LU .) : r -- �,, �\ _l 1 dPfi E O j min nH.. cE.yTlnr� �. - fi r l Ih =5T-ii UO2Tp �C�.V!>`.il�t�{ � ., M Yrers E rce�ca t�c�m !k 03`_ , f,t t 1 i - - - i � L�x151�,Tt(, y%Ov1'F! �.LEVL�'(1f.6.1 _—._—_._—__ �xfs-rl.^IG. �d�7.' �'�EVA'flnna _. �XI7'ff,..iC "vG>Q'rp? �1.ti.\//•:11.!Sx.: Additions and Renovations to � -" The Home of Parker and Marta Kooprnan AKRo AssocIaTEs ARCHITECTS MA 97 Van, Duzer. Road, Cummaquid, MA 3l. 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'r .F� � �, ,,,,. ,,..,., a.<s .. t an.R� A e .. ... .> A � �z�_. .,.-.,... s _,M... ........ .. .,.,_.., . .,,_. _ ,.., _s. ,,, - ,..,.-,_. ,z 5t�1�eri-1k4.S,tum , �, . rR�, a, _ r �~5�' 1. .. - ,.. ^ - , : t, ...r., f'1 k d. I V I 4-Z2cd`1arf�P�S d .� � - 1{A71�'(b� �'. ,. .. 'Y J� .EX��iN6.1X/Of�iYk"�✓Sc".S 16^C'�r i � . .. t �5 - bsFt. ,f /�y I t ` 3 °s�•� �Y< ���5 r"/C'LOL t -AxIoit - I I i , L .. + IF, / ix�i Fie rC&cN�/✓G I _ P I MEW Ili ' I I - 83. LONGVIEW DRIVE C. PALTSIOSESONCENTERVILLE MA. 02632 SCALEi�y'�,r/-� APPROVEDBY: DRAWN BY: ?/�LjjYGy DATE: S U!r REVISED 771-1410 « BUILDIN G & REMODELING LICENSE # 006653 DRAWING/UINBER "'LAND REPROGRAPHICS 6 SUPPLY CO. JOB NO. B05-13 NOT TO LEGEND ALARM & PUMP NOTES Koopman.dwg SCALE Von DuzerRd. K MAXIMUM FEASIBLE COMPLIANCE APPROVALS REQUESTED: 1. ALARM TO BE WIRED BY ELECTRICIAN ON NOTES TH 1 TEST HOLE LOCATION, NUMBER 2 CAR GARG. SEPARATE CIRCUIT FROM PUMP. 1. LOCUS IS A.M. 352, PARCEL 60 & 12. ESTIMATED WATER LINE LOCATION 1. NO RESERVE AREA IS PROVIDED. 310 CMR 15.248. 2. ELECTRICAL WORK TO BE INSPECTED BY _....._...__�;_____ (Open storage above) •v E ESTIMATED LOCATION UNDERGROUND ELECTRIC BRDM WIRING INSPECTOR. 2. ELEVATIONS SHOWN ARE TOWN GIS f0.3 . oo poet Rd 3. ALARM TO BE LOCATED IN HOUSE. 3. LOCUS IS IN FLOOD ZONES C, A4(EL.12), AND V4(EL.14) ON FIRM DATED JULY 2, 1992. x Horbor GAS LINE MARKINGS 4. PUMP TO BE CAPABLE OF PASSING 4. ALL PIPES TO BE 4" SCH 40, AND PITCHED AT 1/4" PER FOOT. (UNLESS NOTED) $ 7 EXIST. & PROP. ELEVATIONS ('X' MARKS POINT) BATHJ 1-1/4" SOLIDS AND INSTALLED IN STRICT 5. MUNICIPAL WATER IS AVAILABLE. LOTS WITHIN 100' ARE ON TOWN WATER. PROPOSED CONTOUR BDRM 6 CONFORMANCE WITH MANUFACTURER'S . COMPONENTS TO BE AASHTO H-10, UNLESS NOTED. N EXISTING CONTOUR II' 7, INLET TEE TO PROJECT DOWN 13", OUTLET TEE DOWN 14 m SPECIFICATIONS. WATER TEST D-BOX FOR EQUAL FLOW 8- PROPOSED IF TWO OR MORE LINES, BRDM 5. USE MEYER SRM4, 4/10 HP PUMP, OR D-BOX EXIT PIPES TO BE LEVEL FOR FIRST TWO FEET, ROE 6P u�1 UTILITY POLE (IF SHOWN) BFRP EQUIVALENT. 9. DEPTH OF COMPONENTS NOT TO EXCEED 3', OR VENTING MUST BE PROVIDED. ' EXISTING DRAINAGE CATCH BASIN ---- 6 MAINTENANCE EONADE FOR EASY NCE OF PUMP: BUILD SAFE BUILD UP COVERS: 1 OVER PUMP TO GRADE, 2 OVER SEPTIC TANK WITHIN 6" OF GRADE. r LOCATION MAP FENCE (IF SHOWN, NOT ALL SHOWN) t0R -PROVIDE UNION/DISCONNECT IN 2" PVC 10. STONE TO BE DOUBLE WASHED 3/4 TO 1 1/2" WITH 2" MIN. 1/8 TO 1/2" PEA STONE ON TOP. TREE (IF SHOWN, O NOT ALL SHOWN) /V CONC. BOUND=19.75 TOWN GISt0.3' LVRM BATH BENCH MARK--TOP CENTER OF - LINE AT TOP PUMP CHAMBER SO PUMP 11. IF UNSUITABLE SOILS, OR SOILS DIFFERING FROM THE SOIL LOG ARE FOUND, CAN BE REMOVED FROM TOP OF TANK. CONTACT THE BOARD OF HEALTH, OR R.J. CADILLAC. TEST HOLE 1 UNINSUI -RECOMMEND FLOAT BRACKET AT COVER So 12. IF AN OVERDIG IS CALLED FOR BELOW, FILL MATERIAL FOR 5' AROUND AND UNDER LEACHING r9m--j ENTRY _ FLOATS CAN BE ADJUST./REPLACED FROM TOP. IS TO BE CLEAN GRANULAR SAND MEETING SPECIFICATIONS OF 310 CMR 15.255(3). STC 13. PUMP AND FILL ANY EXISTING CESSPOOLS. REMOVE ANY CLOGGED SOIL, BLOCK, AND STONE IN DEPTH (inches) ELEV.(feet) LEACH AREA, AND DISPOSE OF AS DIRECTED BY HEALTH AGENT. N /F KITC�DINRM _j PROPOSED 1000 GALLON 14. ALL CONSTRUCTION TO MEET TITLE 5 AND LOCAL REGULATIONS. 15» Fill 0 GRAMSE D - D B layer 10yr 5/8 PUMP CHAMBER RAISE GRADE 9" OVER SOUTH TEST HOLE DATE: November 29, 2005 sandy loam PERFORMED BY: Ron Cadillac, Soil Evaluator 36 15% ravel 17 3 M FIRST FLOOR MAKE WATER TIGHT CORNER OF LEACHING, AS g FLOOR FDL ; COVER TO GRADE SHOWN. WITNESSED BY: Donald R. Desmarais, Inspector PERC RATE: <2'-00"/inch (C layer) � z NOT TO SC, Recommend Floats 21.38t SOIL SURVEY(1993): Eastchop loamy fine sand N/F i {19569 replacable from top Top Exist Found. DRILL 3 8 WEEP/VENT VENT HOLE GEOLOGIC MAP(1986): Cape Cod Bay lake deposits C1 layer 10yr 7/1 silty clay loam C. & L. DUNN 19 3 N Invert 19.05 Invert 18.25 -I v ►0 63 Quick i corm _ Baffle 98 14.3 QU D S eCt/ PROP -REPLUMB Fse s Baf a Invert 19.73 perched water Invert 18.23 ALARM 22. Union Proposed 12 CULTEC C-4 UNITS I 20.2/ w Check Valve S=1 �4"�ft 9 " min. covertail 20.11--No pea stone 178" 5.5 9a ON 15" C2 layer Gley N5/ / OFF 11 ' P Prop. Use Filter Cloth S=1/8"/ft min. Inspection Port clay LOT 7 ' Invert 18.50 1500 Gal. P .•-- p I / m I Proposed Septic Tank 262" -1.5 I • LOT 20 ________________ Bottom 13.73 6" STONE UNDER Sanitary 3" \�, WIN Bottom 14.00 Tee ^moo \ 21.1 Proposed 9.4 TEST HOLE 2 � I Invert 19.90 Invert 19.65 i� oN o ' 2os ` j `� _ REPLUMB SEWER PIPE TO EXIT 6 Stone or compact Proposed Proposed 8, 5 N/F � o W 3H 1 I I I I I l l r o l Bottom level ( ) `' / FOUNDATION WITH CENTER 30" 26 1 18, I I 4, DOEPTH inches 20.3 ELEV. feet B. & A. DUNN � * 33 :: ;, % BELOW TOP FOUNDATION. g� C2 TH 3=14.4 .. -3» , ' r� 5� DESIGN DATA Fill ir 70 u N/F GRAMSE BEDROOMS: 5 20 BENCH MARK--TOP SPIKE SET F�..• i '` " 18.6 DOWN 1 = 21.29 TOWN GISf0.3 '� �, ,�� GARBAGE GRINDER: No LEACH AREA + :: ' :•� 49'-9" OFF FRONT CORN. GARAGE ON RANGE LINE `� "' :. ` , _ , REQUIRED CAPACITY: 550 GPD''' �8•• O 9 SEPTIC TANK: 1500 GAL USE 12 C LTEC C-4 UNITS, AS SHOWN 48.0a C1 layer 7.5 5 6 WITH 4 OF STONE ALL AROUND TO y / + �oJ5 /`t BOTTOM LEACHING AREA: 768 SF MAKE A 32' X 24' X 8 1 2" DEEP coarse sand [(24 x 32 )] LEACH AREA. USE 4 PERFORATED PIPES w/25% gravel TH 2 SIDE LEACHING AREA: 0 S.F. 6 /// . SET LEVEL BETWEEN HUMPS ON THE �3� clean �� [NONE] OUt 0��9 � �,�33sa •� . ,, -4 UNITS, AS SHOWN, CAP ENDS. SEE 72 .. „68 G D Piet SPACING DETAIL 14.3 6`3C�6, DESIGN CAPACITY: '� p �,. G .. + a ' °� 1:r, ' 3S'� [(768 SF) X .74 GPD/SF] Oyr �` `�`. ;-� o �-� -0.2 ./ \ ���- g i s48• ly silty clay loam �� ` PUMP CHAMBER STORAGE CAPACITY: 550 GAL. no water pK ,� ' . 19.n J DOSES PER DAY: > 4 172" 6,0 PERFORATED `� _ /ram � 5' REMOVAL W/BARRIER PIPE SET / // �' TEST HOLE 3 BE- /' 6 ,' DO 5 ALL AROUND REMOVAL DOWN 20 f LEVEL MPS OCOARSE BARRIER, A SHOWN DEPTH (Inches) ELEV,20 4) TWEEN HUMPS `` � � / }t52 �/ TO CO RSESSSNO UON SOUTH CORNER `rQ ��� Y z OF OVERDIG (BARRIER SHOWN DARK BLUE). Fill PIPE SPACING 3' DEEP IMPERVIOUS �' 92 BARRIER--60 L.F. OF p,, / 1 DETAIL 40 MIL POLYETHYLENE ,� + F�P R.J. CADILLAC TO INSPECT 5 19.15 PRIOR TO BACKFILL. (MILLER BREAKOUT**) s� F TOP BARRIER=TOP ���\ ;A - 1"=10' PEASTONE=20.11,GRADE �9p�� �P"'O� + 6.41 ��- ABOVE BARRIER=20.4 MINA sr' 48 C1 layer 7.5yr 5/6 ** BARRIER IS STIFF N/F BETTI F��, ' & OBTAINABLE FROM < -�"" EOG�- + coarse sand MILLER ENVIRONMENTAL 9 \�� w/15% gravel 508-697-3710. + �" LOT 36 72" 14.4 �1 +� � �✓ ( '-� C2 layer 10yr 7 1 SALT MARSH I BENCH MARK--SOUTH CORNER OF siltynoawaterm y , z71�' CONC. STOOP=21.74 TOWN GISf0.3 156 7.4 SITE PLAN TOTAL AREA= 4. 8± ACRES FOR PLAN IS A VALIDONLY IF IT PARKER M . KOOPMAN ANI ORIGINAL RED STAAMPOAND SIGNATURE. PY EARS LOTS 209 369 & 799 97 VAN DUZER ROAD ���ZN��gSS�cy OF tilgSsq CUMMAQUID (BARNSTABLE), MA �° AL Gn ON D JAN U AR Y 26 2006 SCALE: 1 "= 30' CAD E JA s c ' ��GlSTER�O l �cESS\0 RON ALD J. CADILLAC, PLS, RS S4NtTAR\N gti0 SUR\4 PROFESSIONAL LAND SURVEYOR & REGISTERED SANITARIAN P.O. BOX 258 WEST YARMOUTH, MA 02673 ss,�o9s• (508) 775-9700 8�0� REVISED 3/21 /06 -- REVISED PUMP DRAW @2006 BY R.J. CADILLAC HEALTH AGENT APPROVAL DATE F REVISED 3/15/06 -- LEACH AREA PAGE 1 OF 1 JOB NO. B05-13 NOT TO LEA ALARM & PUMP NOTES Koopman.dwg SCALE Van DuzerRd. - MAXIMUM FEASIBLE COMPLIANCE APPROVALS REQUESTED: 1. ALARM TO BE WIRED BY ELECTRICIAN ON NOTES 2 CAR GARG. SEPARATE CIRCUIT FROM PUMP. TH 1 TEST HOLE LOCATION, NUMBER 1. LOCUS IS A.M. 352, PARCEL 60 & 12. W ESTIMATED WATER LINE LOCATION 1. NO RESERVE AREA IS PROVIDED. 310 CMR 15.248. (open storage above) 2. ELECTRICAL WORK TO BE INSPECTED BY -o BRDM BATH WIRING INSPECTOR. 2. ELEVATIONS SHOWN ARE TOWN GIS f0.3 . o point Rd• - E ESTIMATED LOCATION UNDERGROUND ELECTRIC 3. ALARM TO BE LOCATED IN HOUSE. 3. LOCUS IS IN FLOOD ZONES C, A4(EL.12), AND V4(EL.14,) ON FIRM DATED JULY 2, 1992. a- Harbor GAS LINE MARKINGS 4. PUMP TO BE CAPABLE OF PASSING 4. ALL PIPES TO BE 4" SCH 40, AND PITCHED AT 1/4' PER FOOT. (UNLESS NOTED) _ 8.7 EXIST. & PROP. ELEVATIONS ('X' MARKS POINT) BATHJ 1-1/4" SOLIDS AND INSTALLED IN STRICT 5. MUNICIPAL WATER IS AVAILABLE. LOTS WITHIN 100' ARE ON TOWN WATER. CONFORMANCE WITH MANUFACTURER'S 6. COMPONENTS TO BE AASHTO H-10, UNLESS NOTED. EXISTING CONTOUR 7. INLET TEE TO PROJECT DOWN 13" OUTLET TEE DOWN 14". 0 SPECIFICATIONS. � m 8----- PROPOSED CONTOUR BDRM BDRM KITCH B. IF TWO OR MORE LINES WATER TEST D-BOX FOR EQUAL FLOW BRDM 5. USE MEYER SRM4, 4/10 HP PUMP, OR roA D-BOX EXIT PIPES TO BE LEVEL FOR FIRST TWO FEET. ROE 0', BRDM EQUIVALENT.UTILITY POLE (IF SHOWN) 9. DEPTH OF COMPONENTS NOT TO EXCEED 3', OR VENTING MUST BE PROVIDED. EXISTING DRAINAGE CATCH BASIN 6. TO PROVIDE FOR EASY AND SAFE BUILD UP COVERS: 1 OVER PUMP TO GRADE, 2 OVER SEPTIC TANK WITHIN 6" OF GRADE. LOCATION MAP MAINTENANCE OF PUMP: FENCE (IF SHOWN, NOT ALL SHOWN} SECOND FLOOR -PROVIDE UNION/DISCONNECT IN 2" PVC 10. STONE TO BE DOUBLE WASHED 3/4 TO 1 1/2" "WITH 2 MIN. 1/8 TO 1/2" PEA STONE ON TO'P. BENCH MARK--TOP CENTER OF LINE AT TOP PUMP CHAMBER SO PUMP 11. IF UNSUITABLE SOILS, OR SOILS DIFFERING FROM THE SOIL LOG ARE FOUND, 0 TREE (IF SHOWN, NOT ALL SHOWN) CONC. BOUND=19.75 TOWN GISf0.3' LVRM BATH CAN BE REMOVED FROM TOP OF TANK. CONTACT THE BOARD OF HEALTH, OR R.J. CADILLAC. TEST HOLE 1 UNINSULATED -RECOMMEND FLOAT BRACKET AT COVER SO 12. IF AN OVERDIG IS CALLED FOR BELOW, FILL MATERIAL FOR 5' AROUND AND UNDER LEACHING ENTRY FLOATS CAN BE ADJUST./REPLACED FROM TOP. IS TO BE CLEAN GRANULAR SAND MEETING SPECIFICATIONS OF 310 CMR 15.255(3). 13. PUMP AND FILL ANY EXISTING CESSPOOLS. REMOVE ANY CLOGGED SOIL, BLOCK, AND STONE IN DEPTH (inches) ELEV•20.3 STORAGE 0 0.3 LEACH AREA, AND DISPOSE OF AS DIRECTED BY HEALTH AGENT. N/F • KITC\DINRM PROPOSED 1000 GALLON 14. ALL CONSTRUCTION TO MEET TITLE 5 AND LOCAL REGULATIONS. 15„ Fill Q GRAMSE B layer 1Oyr 5/8 RAISE GRADE 9" OVER SOUTH PUMP CHAMBER andy loam TEST HOLE DATE: November 29, 2005 s CORNER OF LEACHING, AS PERFORMED BY: Ron Cadillac, Soil Evaluator 36" 15% ravel Ln FIRST FLOOR �' 0 MAKE WATER TIGHT g 17.3 M FLOOR PLANS COVER TO GRADE SHOWN. WITNESSED BY: Donald R. Desmarais, Inspector } PERC RATE: <2'-00"/inch (C layer) Q I NOT TO SCALE Recommend Floats 21.38t SOIL SURVEY(1993): Eastchop loamy fine sand -� N/F d9 I {19.56 replacable from top DRILL 3/8 WEEP/VENT HOLE Top Exist Found. GEOLOGIC MAP(1986): Cape Cod Bay lake deposits C1 layer 10yr 7/1 19.9 silty clay loam U C. & L. DUNN f 19 3 y� Invert 19.05 Invert 18.25 J 10 I `� 63° ` Quick Disconnect PROP-- P M Use Gas Baffle 98 --- --- -- 14.3 L I ► 1 1 O6, / RE LU B Invert 19.73 perched water 2G` 00 3s., Invert 18.23 ALARM 22.5"1:3Union Proposed 12 CULTEC C-4 UNITS �' Check Valve S=1 /4 /ft 9 min. cover 20,11--No ea stone 178 5.5 ON 17.5 see detail p C2 layer Gle N5 / ' 98 19� OFF 11 " � Pro Use Filter Cloth clayy / Invert 18.50 1500 Gal. P S=1/8"/ft min. - Inspection PortBT I 79 / ' 262" -1.5 u.w 01� Proposed Septic Tank ________________ / L OT 20 Bottom 13.73 6" STONE UNDER 3 J 3 rr I • 210 l Sanitary r 20.32 w 3 I Bottom 14.00 Tee //20.32 \ / 21,1 / I Proposed �19.4 TEST HOLE 2 3 / l Invert 19.90 Invert 19.65 �i QP� �� ���0.3 / REPLUMB SEWER PIPE TO EXIT 6 Stone or compact Proposed Proposed 5 Bottom level N/F o� pQ) r ��, l ' I » I , I I I 8, DEPTH inches ( ) 22. 20.42 ° , 41 �, 3 TH 1 / FOUNDATION WITH CENTER 30 26 , , L 8, ; ; N ; 4,J D (inches) ELEV•20e3 , 15.7 I 1 - �- B. & A. DUNN ` "''"�'' 3X, / BELOW TOP FOUNDATION. CD 81 C2 TH 3=14.4 ,'::.::{..e �2D.46 ��� W 3 +1�. 6 < Fill 3 20 / DESIGN DATA +1 wtw 0 / �, N/F GRAMS E 14 d� BEDROOMS: 5 " ti r 20 18.6 BENCH MARK--TOP SPIKE SET ;:;;.� ,t` � '•.; 3 / / r� GARBAGE GRINDER: No LEACH AREA :.� ` DOWN 1"= 21.29 TOWN GISf0.3 :..... .:...y , � o.> �" ��' a REQUIRED CAPACITY: 550 GPD (49-9" OFF FRONT CORN. GARAGE ON RANGE LINE) �� `� 3 21 0 i 9� / j v `�►. '"' '� �8,, ✓.oaf} gyp,y`°� 9J r' SEPTIC TANK: 1500 GAL. 48 C1 layer 7.5yr 5/6 CU TEC C-4 UNITS AS SHOWN ..a USE 12 L 0 WITH 4 OF STONE ALL AROUND TO ;; `., `.,\ i 1 ; ��5� � `•J, / ,,� � �r BOTTOM LEACHING AREA: 768 SF MAKE A 32 X 24 X 8 1 2 DEEP coarse 16.1 / sand 0�. Co 9,`' [(24 X 32 )] w/25% ravel 3.3 TH 2 SALT MARSH LEACH AREA. USE 4 PERFORATED PIPES g � 5e ,-' 1 SIDE LEACHING AREA: 0 S.F. ` �/ 1O - \ / /J/ /r ] SET LEVEL BETWEEN HUMPS ON THE 19.1 Clean .W ..Jj:. , 19.4 / 9.62 NONE ` �33 ,, out ,� ��g 14,5 rr r N E C-4 UNITS, AS SHOWN, CAP ENDS. SEE 72" 14.3 s 14 / 3 DESIGN CAPACITY: 568 GPD C2 layer 10 r 7 1 .� /7f P �,o�°f' - r , O61 PIPE SPACING DETAIL. i +`ad1U �°� \'�\ 3. / 35 , [(768 SF) X .74 GPD/SF] Y Y / _ ; , silty clay loam 40 0.2 ° PUMP CHAMBER STORAGE CAPACITY: 550 GAL. no water le,a 1 . 19.71 7/Jl 8.9 � DOSES PER DAY: > 4 172" 6.0 k ` 15.6 8 0 i / D `�PERFORATE /6' ��' ti ,��,k 5' REMOVAL W/BARRIER PIPE SET ___ _ 13,2 ��°% TEST HOLE 3 15.1 °e6 ,� ��j/� DO 5 ALL AROUND REMOVAL DOWN 20 DEPTH inches ELEV,(feet) LEVEL BE- o TO COARSE SAND. USE IMPERVIOUS ( ) TWEEN HUMPS iJ ' o� 9 +11,52 VP BARRIER, AS SHOWN ON SOUTH CORNER 0 20.4 OF OVERDIG (BARRIER SHOWN DARK BLUE). Fill ,2 co I5,1 4 PIPE SPACING 3' DEEP IMPERVIOUS 9s��q >>> sd'' N� 912 ® / ,y p / BARRIER--60 L.F. OF �� 9��F� `•'p,, tP`' i� / R.J. CADILLAC TO INSPECT 15" 19.15 DETAIL 40 MIL POLYETHYLENE � o c ,z� i +�,�8 P �`� �'� PRIOR TO BACKFILL. (MILLER BREAKOUT") s� F 5 TOEASBONEI R=TOGRADE ��9 Fy \ ���o �o: -__ +VE �' `' 48s° C1 layer 7.5yr 5/6 1 =10 *BOBARRIERE S STIFF IN N/F BETTI � ��� , / & OBTAINABLE FROM \F \ �o�F..- +�� coarse sand MILLER ENVIRONMENTAL �� LOT 3 6 w/15% gravel 508-697-3710. �' 72" 14.4 SALT MARSH C2 layer 10yr 7/1 BENCH MARK--SOUTH CORNER OF silty clay loam no water CONC. STOOP=21.74 TOWN GISf0.3' 156" 7.4 SITE PLAN TOTAL AREA = 4. 8 ± ACRES FOR PLANONLY IF IT PARKER M . KOOPMAN ANI OR GINALS REDS STIAAMPOPY AND SIGNATURE. EARS LOTS 209 369 & 79, 97 VAN DUZER ROAD nF A2.1,,59� _ �P�ZN�Sgcy CUMMAQUID (BARNSTABLE), MA \ / JAN U AR Y 26, 2006 SCALE: 1 "= 30' RONALD J. CADILLAC PLS RS A�N,ISTATRE\ � ��tioEss,, oe- SURNJ PROFESSIONAL LAND SURVEYOR & REGISTERED SANITARIAN b� P.O. BOX 258 s' s9 WEST YARMOUTH, MA 02673 sso�s (508) 775-9700 701, REVISED 3/29/06 -- PUMP SETTINGS ©2006 BY R.J. CADILLAC HEALTH AGENT APPROVAL DATE F REVISED 3/15/06 -- LEACH AREA PAGE 1 OF 1