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0103 WINGFOOT DRIVE - Health
03 Wingfoot Drive, Barnstable =349 - 067 0 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments A3 WING FOOT DRIVE Property Addt , MARYANN AND JOSEPH PICCERELLI Owner Owner's Name information is required for BARNSTABLE MA 02675 9/18/08 every page. City/Town State Zip Code Date of Inspection Inspection results must be submitted on this form. Inspection forms may not be altered in any way. Please see completeness checklist at the end of the form. Important: A General Information When filling out forms on the computer,use 1. Inspector: only the tab key to move your LISA C LYONS cursor-do not Name of Inspector use the return key. f Company Name 62 W.HYANNISPORT CIRCLE Company Address HYANNIS MA 02601 City/Town State Zip Code (508)790-9270 S14786 Telephone Number License Number rn n B. Certification rGa I certify that l have personally inspected the sewage disposal system at this addres d that tfre� lul information reported below is true, accurate and complete as of the time of the inspe n. The Ipectipn was performed based on my training and experience in the proper function and mainten nce of an sit r sewage disposal systems. I am a DEP approved system inspector pursuant to Sect1 n 15.34?of Cr' Title 5(310 CMR 16.000).The system: t ® Passes ❑ Conditionally Passes ❑ Fails ❑ Needs Further Evaluation by the Local Approving Authority 2� v Ins cto's Signatu a Date The system inspector shall submit a copy of this inspection report to the Approving Authority (Board of Health or DEP)within 30 days of completing this inspection. If the system is a shared system or has a design flow of 10,000 gpd or greater, the inspector and the system owner shall submit the report to the appropriate regional office of the DEP. The original should be sent to the system owner and copies sent to the buyer, if applicable, and the approving authority. ****This report only describes conditions at the time of inspection and under the conditions of use at that time. This inspection does not address how the system will perform in the future under the same or different conditions of use. a t5ins-09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 1 of 17 Commonwealth of Massachusetts Title 5. Official Inspection..Form- Subsurface Sewage Disposal System Form -Not for Voluntary Assessments M , '103 WING FOOT DRIVE Property Address MARYANN AND JOSEPH PICCERELLI Owner Owner's Name information is required for BARNSTABLE MA 02675 9/18/08 every page. City/Town State Zip Code Date of Inspection B. Certification-(cont) Inspection Summary: Check A,B,C,D or E/always complete all of Section D A) System.Passes:.. ® 1 have not found any information which indicates that any of the failure criteria described in 310 CMR 15.303 or in 310 CMR 15.304 exist.Any failure criteria not evaluated are indicated below. Comments: B) System Conditionally Passes: ❑ One or more system components as described-in the."Conditional.Pass"section.need.to.be. replaced or repaired. The system, upon completion of the replacement or repair, as approved by the Board of Health, will pass. Check the box for"yes", "no"or"not determined" (Y, N, ND)for the following statements. If"not determined," pleaseexplain: The septic tank is metal and over 20 years old"or the.septic tank(whether metal or not) is structurally unsound, exhibits substantial infiltration or exfiltration or tank failure is imminent. System will pass,inspection if the existing tank is replaced with a complying septic tank as approved by the Board of Health: *A metal septic tank will pass inspection if it is structurally sound, not leaking and if a Certificate of Compliance indicating that the tank is less than 20 years old is available. ❑ Y ❑ N ❑ ND (Explain below): t5ins-09/08 Title 5 Official Inspection Forth:Subsurface Sewage Disposal System•Page 2 of 17 Commonwealth of Massachusetts ugTitle 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments-:103 WING FOOT DRIVE Property.Address MARYANN AND JOSEPH PICCERELLI Owner Owner's Name information is required for BARNSTABLE MA 02675 9/18/08 every page. City/Town State Zip Code Date of Inspection B..Certification (cont.) B) System Conditionally Passes (cont.): ❑ Observation of sewage backup or break out or high.static water level in the.distribution box due to broken or obstructed pipe(s) or due to a broken, settled or uneven distribution box. System will pass inspection if(with approval of Board of Health): ❑ broken pipe(s)are replaced ❑ Y ❑ N ❑ ND (Explain below): ❑ obstruction is removed ❑ Y ❑ N ❑ ND(Explain below): Q distribution box is leveled or replaced ❑ Y ❑ N ❑ ND (Explain below): ❑ The system required pumping more than 4 times a year due to broken or obstructed pipe(s). The system will pass inspection if(with approval of the Board of Health): ❑ broken pipe(s)are replaced ❑ Y ❑ N ❑ ND (Explain below): ❑ obstruction is removed ❑ Y ❑ N ❑ ND (Explain below): C) Further Evaluation is Required by the Board of Health: ❑ Conditions exist which require further evaluation by the Board of Health in order to determine if the system is failing to protect public health, safety or the environment. 1. System will pass unless Board of Health determines in accordance with 310 CMR 15.303(1)(b)that the system is not functioning in a manner which will protect public health, safety and the environment: ❑ Cesspool or privy is within 50 feet of a surface water El Cesspool'or privy is within 50 feet of a bordering vegetated wetland or a salt marsh t5ins•09/08 Title 5 Official Insp ection Form:Subsurface Sewage Disposal System•Page 3 of 17 Commonwealth of Massachusetts Title 5 Official. Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments �M '.103 WING FOOT DRIVE Property Address MARYANN AND JOSEPH PICCERELLI Owner Owner's Name information is required for BARNSTABLE MA 02675 9/18/08 every page. City/Town State Zip Code Date of Inspection B.r Certification.(cont) 2. System will fail unless the Board of Health (and Public Water Supplier, if any) determines that the system is functioning in a manner that protects the public health, safety and,environment: ❑ The system has a septic tank and soil absorption system (SAS) and the SAS is within 100 feet of a surface water supply or tributary to a surface water supply. ❑ The system has a septic tank and SAS and the SAS is within a Zone 1 of a public water supply. ❑ The system has a septic tank and SAS and the SAS is within 50 feet of a private water supply well. ❑ The system has a septic tank and SAS and the SAS is less than 100 feet but 50 feet or more from a private water supply well**. Method used to determine distance: ** This system passes if the well water analysis, performed at a DEP certified laboratory, for coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure Criteria are triggered.A copy of the analysis must be attached to this form: 3. Other: D) System Failure-Criteria.Applicable to All Systems: You must indicate"Yes"or"No"to each of the following for all inspections: Yes No ❑ 0 Backup of sewage into facility or system component due to overloaded or clogged SAS or cesspool ❑ ® Discharge or ponding of effluent to the surface of the ground or surface waters due to an-overloaded or clogged SAS or cesspool ❑ ® Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or Cesspool ❑0l E] Liquid depth in cesspool is less than 6°below invert or available volume is less than '/2 day flow t5ins•09/08 Tide 5 Official Inspection Forth:Subsurface Sewage Disposal System•Page 4 of 17 f Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments M ,. `'103 WING FOOT DRIVE Property Address MARYANN AND JOSEPH PICCERELLI Owner Owner's Name information is required for BARNSTABLE MA 02675 9/18/08 every page. Cityrrown State Zip Code Date of Inspection B..Certification, (cont.) Yes No ❑ ® Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s). Number of times pumped: ❑ ® Any portion of the SAS, cesspool or privy is below high ground water elevation. ❑ ® Any portion of cesspool or privy is within 100 feet of a surface water supply or tributaryto a•surface water supply: ❑ ® Any portion of a cesspool or privy is within a Zone 1 of a public well. ❑ ® Any portion of a cesspool or privy is within 50 feet of a private water'supply well. ❑ ® Any portion of a cesspool or privy is less than 100 feet but greater than 50 feet from a private water supply well with no acceptable water quality analysis. [This system passes if the well water analysis, performed at a DEP certified laboratory,for fecal coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered.A copy of the analysis and chain of custody must be attached to this form.] The system is a cesspool serving a facility,with a design.flow of.2000gpd- ❑ ® 10,000gpd. ❑ ® The.system fails..I have determined that one or more of the above failure criteria exist as described in 310 CMR 15.303,therefore the system fails. The system owner should contact the Board of Health to determine what will be necessary to.correct the failure. E) Large Systems: To be considered a large system the system must serve a facility with a design flow of 10,000 gpd to 15,000 gpd. For large systems, you must indicate either"yes"or"no"to each of the following, in addition to the questions in Section D. Yes No ❑ ❑. the system is.within 400.feet of.a.surface drinking water supply ❑ ❑ the system is within 200 feet of a tributary to a surface drinking water supply ❑ ❑ the system is located in a nitrogen sensitive area (Interim Wellhead Protection Area—IWPA) or a mapped Zone II of a public water,supply well If you have answered "yes"to any question in Section E the system is considered a significant threat, or answered "yes" in Section D above the large system has failed. The owner or operator of any large system considered a significant threat under Section E or failed under Section D shall upgrade the system in accordance with 310 CMR 15.304. The system owner should contact the appropriate regional office of the Department. t5ins•09/0$ Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 5 of 17 Commonwealth of Massachusetts Title 5 Official, inspection Form.. Subsurface Sewage Disposal System Form -,Not for Voluntary Assessments /:103 WING FOOT DRIVE s Property Address MARYANN AND JOSEPH PICCERELLI Owner Owner's Name information is required for BARNSTABLE MA 02675 9/18/08 every page. City/Town state Zip Code Date of Inspection C. Checklist. Check if the following have been done.You must indicate yes"or"no"as to each of the following: Yes No ® ❑ Pumping information was provided by the owner, occupant, or Board of Health ❑ ®. Were any of the system components pumped out in the previous two weeks? ® ❑ Has the system received normal flows in the previous two week period? ❑ ® Have large volumes of water been introduced to the system recently or as part of this inspection?- ® ❑ Were as built plans of the system obtained and examined? (If they were not available note as N/A) ® ❑ Was the facility or dwelling inspected for signs of sewage back up? ® ❑ Was the site inspected for signs of break out? ® ❑ Were all system components, excluding the SAS, located on site? ® ❑ Were the septic tank manholes uncovered, opened, and the interior of the tank inspected for the condition of-the baffles or tees, material of construction, dimensions, depth of liquid,depth of sludge and depth of scum? ® ❑ Was-the facility owner(and occupants-if different from owner) provided with information on the proper maintenance of subsurface sewage disposal systems? The size and location of the Soil Absorption System(SAS)on the site has been determined based on: ® ❑ Existing information. For example, a-plan at the Board of Health. ❑ ® Determined in the field (if any of the failure criteria related to Part C is at issue approximation of distance is unacceptable) [310 CMR 15.302(5)] D. System.Information Residential Flow Conditions: Number of bedrooms.(design): 5, Number of bedrooms.(actual): 5 DESIGN flow based on 310 CMR 15.203 (for example: 110 gpd x#of bedrooms): 550 t5ins•09/06 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 6 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments °M -103 WING FOOT DRIVE Property.Address MARYANN AND JOSEPH PICCERELLI Owner Owner's Name information is required for BARNSTABLE MA 02675 9/18/08 every page. City/Town state Zip Code Date of Inspection D. System Information Description: Number of current residents: 2 Does residence have a garbage grinder? ❑ Yes ® No Is laundry on a separate sewage system? [if yes separate inspection required] ❑ Yes ® No Laundry system.inspected? ❑ Yes ®. No. Seasonal use? ❑ Yes ® No Water meter readings, if available last 2 ears usage 2007: 266gpd 9 ( Y 9 (gPd)) 2006: 260gpd Detail: Sump pump? ❑ Yes ® No Last date of occupancy: CURRENTDate Commercial/Industrial Flow Conditions: Type of Establishment: Design flow(based on 31.0 CMR 15.203): Gallons per-day(gpd) Basis of design flow(seats/persons/sq.ft., etc.): Grease trap present? ❑ Yes ❑ No Industrial waste holding tank present? ❑ Yes ❑ No Non-sanitary waste discharged to the Title 5 system? ❑ Yes ❑ No Water meter readings, if available: t5ins-09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 7 of 17 Commonwealth of Massachusetts Title 5 Official. Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments - 103 WING FOOT DRIVE Property.Address MARYANN AND JOSEPH PICCERELLI Ovmer Owner's Name information is required for BARNSTABLE MA 02675 9/18108 every page. City/Town State Zip Code Date of Inspection D..System Information (cont.) Last date of occupancy/use: Date Other(describe below): General Information Pumping,Records: Source of information: OWNER Was system pumped as part of the inspection? ❑ Yes ® No If yes, volume pumped: gallons How was quantity pumped determined? Reason for-pumping:. OWNER PUMPED AS MAINTENANCE LAST MONTH Type of System: ® Septic tank, distribution box, soil.absorption system ❑ Single cesspool ❑ Overflow cesspool ❑ Privy ❑ Shared system (yes or no) (if yes, attach previous inspection records, if any) ❑ Innovative/Alternative technology.Attach a copy of the current operation and maintenance contract (to be obtained from system owner) and a copy of latest inspection of the I/A system by system operator under contract ❑ Tight tank.Attach a copy of the DEP approval. ❑ Other(describe): t5ins-09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 8 of 17 4 Commonwealth of Massachusetts Title 5 Official Inspection Form _ Subsurface Sewage Disposal System Form -Not for Voluntary Assessments �M s 103 WING FOOT DRIVE Property,Address MARYANN AND JOSEPH PICCERELLI Owner Owner's Name information is required for BARNSTABLE MA 02675 9/18/08 every page. Cityrrown State Zip Code Date of Inspection D. System Information (cunt.) Approximate age of all components, date installed (if known) and source of information: INSTALLED 11/20/97 PER BOH Were sewage odors detected when arriving at the site? ❑ Yes ® No Building Sewer(locate on site plan): Depth below grade: 15"feet Material of construction: ❑ cast iron 0 40 PVC ❑ other(explain): Distance from private water supply well or suction line: N/A feet Comments(on condition of joints,.venting, evidence of leakage, etc.): NO EVIDENCE OF LEAKING Septic Tank(locate on site plan): Depth below grade: 6nfeet Material of construction: concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑ other(explain) If tank is metal,-list age: years Is age confirmed by a Certificate of Compliance? (attach a copy of certificate) ❑ Yes ❑ No Dimensions: 10.5'X 6' Sludge depth: 2" t5ins•09108 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 9 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments -103 WING FOOT DRIVE Property Address MARYANN AND JOSEPH PICCERELLI Owner Owner's Name information is required for BARNSTABLE MA 02675 9/18/08 every page. City/Town State Zip Code Date of Inspection D.-System.Information.(cont.) Septic Tank (cont.) Distance from top of sludge to.bottom.of outlet tee.or baffle. 34" Scum thickness 1/2' Distance from top of scum to top of outlet tee or baffle 10" Distance from bottom of scum to bottom of outlet tee or baffle 13" How were,dimensions determined? SLUDGE JUDGE Comments(on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): TANK RECENTLY PUMPED AS MAINTENANCE. NO EVIDENCE OF LEAKING; BAFFLES IN GOOD CONDITION. Grease Trap (locate on site plan): Depth below grade: feet Material of construction: . ❑ concrete ❑ metal ❑fiberglass ❑ polyethylene ❑ other(explain): Dimensions: Scum thickness Distance from top of scum to top of outlet tee or baffle Distance from bottom of scum to bottom of outlet tee or baffle Date of last pumping: Date t5ins-09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 10 of 17 f Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments M ,103 WING FOOT DRIVE Property Address MARYANN AND JOSEPH PICCERELLI Owner Owner's Name information is required for BARNSTABLE MA 02675 9/18/08 every page. City/Town State Zip Code Date of Inspection D. System Information(cont.) Comments(on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels.as related to outlet invert, evidence of leakage, etc.): Tight or Holding.Tank(tank must.be.pumpeddrat time of inspection)(locate on.site plan):. Depth below grade: Material of construction: ❑ concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑ other(explain): Dimensions: Capacity: gallons Design Flow:. gallons per day Alarm present: ❑ Yes ❑ No Alarm level: Alarm in working order: ❑ Yes ❑ No Date of last pumping: Date Comments(condition of alarm and float switches, etc.): *Attach copy of current pumping contract(required). Is copy attached? ❑ Yes ❑ No t5ins-09108 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 11 of 17 I Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments '.-103 WING FOOT DRIVE Property Address MARYANN AND JOSEPH PICCERELLI Owner Owner's Name information is required for BARNSTABLE MA 02675 9/18/08 every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Distribution Box(if present must be opened) (locate on site plan): Depth of liquid level above outlet invert 0" 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.):. DISTRIBUTION BOX APPEARS IN SOUND CONDITION; NO EVIDENCE OF SOLIDS. CARRYOVER. NO EVIDENCE OF LEAKAGE. Pump Chamber(locate on site plan): Pumps in working order: ❑ Yes ❑ No Alarms in working order: ❑ Yes ❑ No Comments (note condition of pump chamber, condition of pumps and appurtenances, etc.): Soil Absorption System (SAS) (locate on site plan, excavation not required): If SAS not located, explain why: t5ins•09/08 Title 5 Official Insp ection Form:Subsurface Sewage Disposal System•Page 12 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Forth -Not for Voluntary Assessments ^M 103 WING FOOT DRIVE Property Address MARYANN AND JOSEPH PICCERELLI Owner Owner's Name information is required for BARNSTABLE MA 02675 9/18/08 every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Type: ❑ leaching pits number: ❑ leaching chambers number: ❑ leaching galleries number: ❑ leaching trenches number, length: ® leaching fields number, dimensions: 1 @ 20'X62' ❑ 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.): NO EVIDENCE OF PONDING; SOIL DRY. A TREE STUMP WITHIN SAS AREA. DOES NOT APPEAR TO HAVE AFFECTED FUNCTIONING OF SYSTEM. Cesspools (cesspool must be pumped as part of inspection) (locate on site plan): Number and configuration I Depth—top of liquid to inlet invert Depth of solids layer Depth of scum layer Dimensions of cesspool Materials of construction Indication of groundwater inflow ❑ Yes ❑ No t5ins•09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 13 of 17 Commonwealth of Massachusetts . Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments M , 103 WING FOOT DRIVE Property Address MARYANN AND JOSEPH PICCERELLI Owner Owner's Name information is required for BARNSTABLE MA 02675 9/18/08 every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Comments (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): Privy (locate on site plan): Materials of construction: Dimensions Depth of solids Comments (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): t5ins-09/08 Title 5 Official Insp ection Form:Subsurface Sewage Disposal System-Page 14 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments GM , :103 WING FOOT DRIVE Property Address MARYANN AND JOSEPH PICCERELLI Owner Owner's flame information is BARNSTABLE MA 02675 9/18/08 required for every page. CityrTown state Zip Code Date of Inspection D. System Information (cont.) Sketch Of Sewage Disposal System: Provide a view of the sewage disposal system, including ties to at least two permanent reference landmarks or benchmarks. Locate all wells within 100 feet. Locate where public water supply enters the building. Check one of the boxes below: ® hand-sketch in the area below ❑ drawing attached separately A g 64 TANG I o4� SI�4 V Pox C1 109' 56`7` �h� UiJE I 1 t5ins•09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 15 of 17 • Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 103 WING FOOT DRIVE Property Address MARYANN AND JOSEPH PICCERELLI Owner owner's Name information is required for BARNSTABLE MA 02675 every page. Cityrrown 9/18/08 State Zip Code Date of Inspection D. System Information (Cont.) Site Exam: Check Slope Surface water ® Check cellar Shallow wells Estimated depth to high ground water: >12' feet Please indicate all methods used to determine the high ground water elevation: ® Obtained from system design plans on record If checked, date of design plan reviewed: 9/18108 Date ❑ Observed site (abutting property/observation hole within 150 feet of SAS) ❑ Checked with local Board of Health-explain: ❑ Checked with local excavators, installers- (attach documentation) Accessed USGS database-explain: You must describe how you established the high ground water elevation: PER PLAN, NO GROUNDWATER ENCOUNTERED AT 174"DURING SOIL EVALUATION. TEST HOLE WAS IN AREA OF SAS. Before filing this Inspection Report, please see Report Completeness Checklist on next page. t5ms•f79A(Tti Title 5 Offidaf fnspection Form:Subsurface Sewage Disposer System,Page 16 of 17 I Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments ° y 103 WING FOOT DRIVE M Property Address MARYANN AND JOSEPH PICCERELLI Owner Owner's(Name information is required for BARNSTABLE MA 02675 9/18/08 every page. City/Town state Zip Code Date of Inspection E. Report Completeness Checklist ® Inspection Summary:A, B, C, D, or E checked ® Inspection Summary D (System Failure Criteria Applicable to All Systems) completed ® System Information—Estimated depth to high groundwater ® Sketch of Sewage Disposal System either drawn on page 15 or attached in separate file 1 t5ins-09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 17 of 17 I P� R_30 0 P� N z3 sue' .L PROPOSED / g COVERED POR 1} - � • cn Y, N_ O �p O MAP 349 EX151114G PCL 66 ��' O*Ey N s� w o � Q pp0 LOT 185 47,585t S.F. SHED (1.09 t AC.), 2g6 86 „� S 3�•50'p0„ W MAP 349 i PCL. 68 1 MAP 349 , ! i PCL. 70 . . SKETCH PLAN LOCUS : 103 WINGFOOT DRIVE CUMMAQUID (BARNSTABLE), MA REF PLAN BOOK 235 PAGE 149 9�y JOHN G Z � PLAN PREPARED DE ST,JR. bl41ter9 ROBERT SULLIVAN o No. 36859„ qNF a 1 y°Q- SURV SCALE 1"=60' DATE 1/06/2014 DATE RE ND SUR R ASSESSORS MAP: 349 PARCEL : 67 DEMAREST N St JRV G 338 MAYFAIR ROAD SOUTH DENNIS, MA 02660 FILE=12088.DWG 508-364-9049 ...r v TOWN OF E ARNSTABLEy` Lt'f iinON,10 ,A u� SEWAGE# VII.LA_GE� � ��11 _ASSESSOR'S MAP&LOT INSTAL-LER'S'NAME&PHONE NO. SEPTIC TANK CAPACITY LEACHING FACILITY: (type) t ZJ 7 (size) NO:OF.BEDROOMS BUILDER OR OWNER. PERMIT DATE: I _COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table and Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility (If any wells exist on site or within 200 feet of leaching facility Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) Feet Furnished by .a 6 7 No. / � Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE., MASSACHUSETTS application for )Digpotar *pgtem Construction Permit Application for a Permit to Construct( )Repair( )Upgrade( )Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No.j `V 77 PF, Owner's Name,Addr s and Tel.No. % J-05WH PICC12141. Assessor's Map/Parcel — 0,3 % Installer's Name,Address,and Tel.No. a37 Desi ner's Name,Address and Tel.No. 1o�J P,4UI- stv f_rS,e F, S� oo,-&x 565 11F- H4WMoW Type of Building: 4e4--'Y o-1/.Si' 7 7 S/i C 'Z Dwelling No.of Bedrooms Lot Size sq. ft. Garbage Grinder( ) Other Type of Building No. of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow ���� gallons per day. Calculated daily flow gallons. Plan Date:JUL--? 04tW7 Number of sheets Revision Date Title Size of Septic Tank sty 6A4 - Type of S.A.S. Description of Soil O- ` �' C t ` - G 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 plaq the system in operation until a Certifi- cate of Compliance has been is by this Board of lth. Sign Date l Application Approved by Date 40 3 Application Disapproved forte folio ng reasons Permit No. 7- Z Date Issued No. / ' S!" j s", f� _ Fee fg,,00MMO.NWEALTH OF MASSACHUSETTS Entered in computer:�Ilt� h Yes PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLES MASSACHUSETTS Zipplication for Digpoga[ *pgtii Congtruction Permit Application for a Per?"t to Construct( ;)Repair( )Upgrade( )Abahidon( ) ❑Complete System Individual Components Location Address or Lot No. �� `,�]F, ° Owner's Name,AddreU and Tel.No. Assessor's Map/Parcelr,,,r,sj2j �a t ,' Installer's Name,Address,and Tel.No. �� Desi � r ner's Name,Address and Tel.No. 1 635 -� rou�, cvs> Type of Building: /QG h� Q q/$?', Dwelling No.of Bedrooms Lot Size 4 * sq. ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow, _54 gallons per day. Calculated daily flow gallons. Plan Date .. Ll�� , tf Number of sheets Revision Date uls . l K Title Size of Septic Tank i • Type of S.A.S. Description of Soil 0-30 L* C� _ 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 1 the system in operation until a Certifi- cate of Compliance has been iss y this Board ofNeMth. Sign �' Date Application Approved by Date Application Disapproved for tkelfollovAng reasons ` 7- , � % Permit No. L/ Date Issued THE COMMONWEALTH OF MASSACHUSETTS ' BARNSTABLE, MASSACHUSETTS, G (Certificate of (Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal System Constructed( )Repaired( )Upgraded( ) Abandoned( )by at has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No. dated Installer Designer The issuance of this permit shall not be construed as a guarantee that the system will function as designed. Date 1- ® ' Inspector ————————————————————————————--—————————— No. - J Fee 10.E r THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLES MASSACHUSETTS 'Wi5po5al *pgtem (Construction Permit Permission is hereby granted to Construct( )Repair( )Upgrade( 'Abandon( " ) System located at I o A U / Y&Sit /6mnA flin and as described in the above Application for Disposal System Cgrristruction Permit. The applicant recognizes his/her duty to �. comply with Title 5 and the following local provisions or special conditions. Provided: Construction must be completed within three years of the"date of thispernit. j _ Date: �^ /' Approved by %%✓ / v OF BARNSTABLE TO WI ��-� SEWAGE# LOCATION,.a� y A R'S MAP&LOT SFES� C � I INS.TALI:EWS NAME&PHONE NO. r SEPTIC TANK CAPACTTy (size) 72Z (type) I i LEACHING FACIL NO .OF BEDROOMS �1 U I<— U1IDER OR O B COMPLIANCE DATE: I PERMITDATE: f Separation Distance Between the: Feet I Maximum Adjusted Groundwater Table and Bottom of teaching uacility 1 Well and Leaching Facility (If any wel Feet Private:Water Supply fFac nsite.or within 200 feet of leaching any wetlands exist Feet e of Wetland and Leaching Facility(If Y . Ed•8. :�: ` :wt}iin 300 feet of leaching facility) Furtush�by ZL - ' Uj vN i f► , J tads, 0051 Town of Barnstable P# 894 s Department of Health,Safety,and Environmental Services �1t+Erq,� Public Health Division Date Q, 367 Main Street,Hyannis MA 02601 aARNBPABI$ Date Scheduled Time o.oo Fee Pd. /oo� Soil Suitability Assessment for Sewage Disposal Performed By: 13 10016r WitnessedBy:y7eZR,;Z 0,4,1,1i/147 o . LOCATION & GENERALINFORMATION Location Address /0 3 tNiNC. F�oev1T Owner's Name I( ca.�l+vt Address )O3 (.✓�-�v4 f Assessor's Map/Parcel: 311 .1 oT/eS Engineer's Name .;r yo:a;tiEr. NEW CONSTRUCTION X REPAIR Telephone# P.�r�.E sc✓F07-r6,e,<0 Land Use f csi o�i✓ri AL Slopes(%) JO—/J Surface Stones o wwv0 I Distances from: Open Water Body y/0' ft Possible Wet Area 7 ft Drinking Water Well k.vow.Jt Drainage Way >ZS ft Property Line > ft Other ft SKETCH:(Street name,dimensions of lot,exact locations of test holes&perc tests,locate wetlands in proximity to holes) �IAlGp �aaY Los' NVi • J Parent material(geologic) 62,r.A41A-_ TlL. Depth to Bedrock y00 Depth to Groundwater: Standing Water in Hole: // Weeping from Pit Face No Estimated Seasonal High Groundwater . DETERMINATIaN FOR.SEASONAL Tt`Il[GH i�'A'TEI 7C LE . Method Used: 647, n%0 w.rr04 Alo-r&1v&a'N1vT3se,00 Depth Observed standing in obsi hole: in. Depth to soil mottles: in. Depth to weeping from side of obs.hole: in. Groundwater Adjustment ft. Index Well#_ Reading Date:_ Index Well level-. Adj.factor Adj.Groundwater Level PERCOLATION'TEST' D9te %s'S3 Tite loo_O Observation Hole# J Time at 9" 7,5%50 Depth of Perc zo a"yZ Time at 6" 916737, Start Pre-soak Time @ 0;d Time(9"-6") /Z%NZ End Pre-soak Rate Min./inch y%/ AT o�5�2e%a^J OF ` Site Suitability Assessment: Site Passed Site Failed: Additional Testing Needed(Y/N) �Ah Original: Public Health Division Observation Hole Data To Be Completed on Back—� Copy: Applicant DEEP OBSERVATION YIOLE LOG ' Hole'# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulderes. % 0 3o Jaw ZOAwt o e N GaB rr� 30 Joe G LOAM, )0ye e,/ -yo% "AesB GeAVf-L- s/t,Ty _ N AD?-JZZ Gti C,L.o — v�my 9,,Awe rr? 120-17L C, s�Ah.o DEEP OBSERVATION HOLE LOG Hole Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulderes. % r ` DEEP OBSERVATION_HOLE LOG Hole Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulderes. % DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulderes. % Flood Insurance Rate Maw Above 500 year flood boundary No' Yes ,)P Within 500 year boundary No k Yes Within 100 year flood,boundary No k 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? Y3S If not,what is the depth of naturally occurring pervious material? Certification I certify that on 6-16 (date)I have passed the soil evaluator examination approved by the Department of Environmental Protection and that the above analysis was performed by me consistent with the required training,expertise and experience described in 310 CMR 15.017. Signature _ Date �5�9� r, A No. `, �C?.. 4 e F�s:....�...01....... THE COMMONWEALTH OF MASSACHUS TNS^ BOAR® OF HEALT ;/ ..... ._----------------OF................................-- - ............. Appfiratiou for Uhipug a1 ork� Cho , i�r rrut Application is hereby made for a Permit to Construct ( ) or R9. ( } an Individual Sewage;,Disposal System at: �v l�'`3 `�'•►.. �1.11./... ........... R ------ --........----.... c�Nltt�!► .k.c.e�.. - �� cation•Address Lot No. v'��., a/.�.�c.c4- ---•----....7- ..,<, : 1../.,�.....-• ..................................................••---•----------••......-----•-•--- .................... ...............••-- /Owner Addr W ............ L. �A.F- ------- L� K r ('vA .. ?._p..3A_._<.✓.._.....: T ?:l�.exav�' Installer Address r Type of Building Size Lot............................Sq. feet U Dwelling—No. of Bedrooms............................................Expansion Attic ( ` ) Garbage Grinder ( ) `k Other—T e of Building No. of persons............................ Showers — Cafeteria 04 Other fixtures .........-•-•----•----•-•--......•...--•-•-•-•--- ......-•--------•----•----••-•-•--•----••--- W Design Flow............................................gallons per person per day. Total daily flow._:_:........_.....__.......... ......•..="-. gallons: WSeptic Tank—Liquid capacity............gallons Length------_-"------ Width................ Diameter................ Depth................ x Disposal Trench—No..................... Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No..................... Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) '-, Percolation Test Results Performed by.......................................................................... Date........................................ aTest Pit No. 1________________minutes per inch Depth of Test Pit.................... Depth to ground water-___--:.---------------- fZ4 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water___......_......._.._.._ n+' -------------------------=----------------•--•------------•-------••---•-------•------------•-----------•-•-------•-------••-•---------•-•--------•---.-••-- 0 Description of Soil------.----•-----.....-•---•--------••----------------•----•----------•-=-•--•----------------------------------------------------------------......................... xx _ = } --- -- U Nature of Repairs or Alterations—Answer when applicable:__________________.........-lQ!l1lrN..... -----------------------•-•-•-----------------------------------------------........------------------------------------------------------------...... .................................... Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with `t . . the provisions of TITIE 5 of the State Sanitary Code The undersigned further agrees,not to place the system in . operation until a Certificate of Compliance has bee suc y the board f health. / Si ne ------- ---- = . Application Approved, /' D � Application Disapproved for the following reasons: ------------ --•-----•---•-••-•--...--•----•-•----••••-••-•••••-•-•••••......---••••••-•------••--•--......--••--•----••-------•-•-•-•-••--•---•-••--•-•-•--••-•-•••--•=---'---••--•-•-•••••--•••----••-•••-•-------- Date PermitNo......................................................... Issued-...................................................... Date ..... .................... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH _ ......... ....................-----------_OF.......................................................................................... AVVIiratiou for Biipnaai Workii Tomtrurtion Famit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at: /6,J �H v`•.. ................----•-.....---•-•...�;FZ �: - r�.�sr rz.� s�_t.�1... ._........... �^^�• cation- s •Lot No. ---------------�_�%-, _r .. ........... _:f. .t�r .t_.l _r_...... .......------------.....-----...----------•- ........-------- ------....---........ Owner Add,e 1.4 Installer Address dType of Building Size Lot............................Sq. feet V Dwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( ) PL4Other—T e of Building No. of persons............................ Showers — Cafeteria a d Other fixtures -----•-------------------------------------------------------------------•--•----------.---------------------------•------------•-------.....-----•-- ' W Design Flow............................................gallons per person per day. Total daily flow-----------.................................gallons. WSeptic Tank—Liquid capacity............gallons Length................ Width................ Diameter____-___-___--- Depth................ x Disposal Trench—No..................... Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No..................... Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) aPercolation Test Results Performed by.......................................................................... Date........................................ ,a Test Pit No. 1................minutes per inch Depth of Test Pit..................... Depth to ground water........................ Test Pit No. 2................minutes per inch Depth of Test Pit...................:'Depth to ground water........................ a ••-•-•-•---•-------••---•--••----...-•••••---•-••••-•-••................••-•--•..._..............._........................................................... 0 Description of Soil..........................................................................................------------•---------------------------------------------------•-•-••------.' U •-•-•-•-•....-••••••------•-•--••----------••-•-•-•-•-----.._�.............................•••••••._._.....••--•-•-----•----•--•-----•••----••-•.--••••..........••......•-••----•••-...........--••--... W ------------------------------------•-------------------------------------------------•----------------••-•----••--- j UNature of Repairs or Alterations—Answer when applicable........................................__._....1G -4!__..-,C ........................-=----------••-----•---------------......... --.....•--•-----•-•--•-•--••-••------•----•------•---------•••----•-•••--•••-•----------••---••---•-•-••-•-•-••............. . Agreement The undersigned agrees- to install the'..aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance has beeps sue y the board f health. , • -� 5-~- e Application Approved f- -- - ter'.: ....--•-- - �.f_ _... - a✓B�_ 4.---- DaSe Application Disapproved for the following reasons:_..----•-------------------------•---------------------------------------------•---------------••------------- .................••••--••-----•-••-••-••••••--••••--•-••----•--•---•---•--•---•-------......•••---•----- Date PermitNo...................................----•--•-•----._...... Issued....................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ..........................................OF..................................................................................... _ �rrfi�irtt#r of f�la�t��i��trr THIS IS TO CERTIFY, at the Individual Sewage Disposal System constructed ( ) or Repaired ( ) by..............•-•-- •/?.--•-•-_. � ---------------....._.....---------------...-----...------......---.......--------....-•--••------------...._: - all has been installed in accordance with the prov•sions of TITLE 5 of The State Sanitary Code as described in the application for Disposal Works Construction Permit No._Cf.Z_.-j6�i................ dated................................................ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISF 1CT RY. DATE........................................................ i,� .......... Inspector..................................................................................... . .� THE COMMONWEALTH OF MASSACHUSETTS,'`� n1 BOARD OF HEALTH i z .OF..............................••-----•--.-• `=-, •--•--....._............ No... FEE...... Disposal 10orkii Tymniitri inn pamit Permission is hereby granted to Construct ( ) o Repair/( an.Indivi ual ewag Disposal System j atNo.. .... ---------W------••-!c�,',�'�'•-------------------------••--•----•------..... Street as shown on the application for Disposal Works Construction Permit No..................... Datej.......................................... Bo of Health DATE � FORM 1255 HOBBS & WARREN. INC., PUBLISHERS SE-W- -a-CAE-PERMIT-U-0. D1 ►T_E_P_E_R_N_�1�'_L55UE.D;__ Z p� PiD. L0CA1` 10M SEWAGE PE12VIT CGO. 1103 w,���? PA sue-3eo VILLAGE - INSTA LLER'S NAME A► ADDRESS GUILDER OR OWNER DATE PERMIT ISSUED DATE COMPLIANCE ISSUED l/��� �v twtL •f Hovs�t /03' 6 G No.J.27/l-_..... G?�ly���5/ Finc,_a�� .... ' THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH >, df?�i✓ i. ....OF......... -.....4..........cx L� - j�3 App iratioo -for Uiopoittl Workii Tutu trurtioo Vrrntt Application is hereby made for a Permit to Construct (/' ) or Repair ( } an Individual Sewage Disposal Syst a L or of No. Ow r Address Installer Address QType of Buildipg" Size Lot----------------------------Sq. feet V Dwelling dd No. of Bedrooms------------------------------ -- -Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ---------------------------- No. of persons....____--________----_---_. Showers ( ) — Cafeteria ( ) a' Other fixtures _.. W Design Flow__ _________________ �___ . allons per person per., day. Total daily flow........ _..�".... gallons. WSeptic Tank Liquid capacity.______gallons Length---------------- Width................ Diameter---------------- Depth.__....._.....-- x Disposal Trench—No..................... Width---------- _.:_ Total Length.................... Total leaching area....................sq. ft. Seepage Pit. No.-_---_ ` Diameter._ U� y�___._______ ���___ Depth below inlet.................... Total.;aching area..................sq. ft. z Other Distribution box ( ) Dosing tank C- ; 71 `y Percolation Test Results Performed bY------------- ..................................................... Date--`-- -- r P a Test Pit No. I................minutes per inch Depth of Test Pit.................... Depth to ground water..-.-----.--._-.--.--._- ri Test Pit No. 2................minutes per inch Depth of Test Pit-------------------- Depth to ground water-...........----_---._-. - ------------------ ---- -- -I--- - --�- • . ODescription of Soil------------------------------ -_ �' �- : ""- ( -------- ------------ -- x W ---------------------------------------------------- --------------------------------------------------------------------------------------------------------------------------------------------------- UNature of Repairs or Alterations—Answer when applicable._.--........................................................................................... ---------- --------------------------------------------- ------------------------------------------------------------------------------------------------------------------ --------------------------- Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of Article NI of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance has bee 'ssued by t oard of hea h. Signed--. �� ------------------------------------- -------------a---------------- Application i � Dat A roved B _�__-__._.._. PP Y------- -��-��`+E `------- ------fd',.`_"__�. -------- --- /---"Date---�----- Application Disapproved for the following reasons------------------------------------ !.- •-••••••••••-•--••-•-•---•--•---•--••-------•----------------•-•-•---....._..--------•---------------•----••---....---•----•-----•••-----------------------------------........--------------------•---. Date Permit No :�-�------. Issued----_----------------------.......................... Date No. ,a....•••........ THE COMMONWEALTH OF MASSACHUSETTS BOARD 9f HEALTH " _ OF...... Appliration -for 4%ipoiitt1 Workii Towitrurttlatt Pprutit Application is hereby made for a Permit to Construct _( ) or Repair ( ) an Individual Sewage Disposal System / C .., --1------- L tion:rA - � p No r t ,, • ------•-•--•••---•------------• ---•-•-•--------•• t :..:..... Owner !f Address.................................... Installer Address dType of Buildi9// Size Lot............................Sq. feet U DwellingZe"No. of Bedrooms--------------- -- -------------------Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ____________________________ No. of persons_-_____-._________--___-___ Showers ( ) — Cafeteria ( ) W Other fixtures - -------- ---------------------------------------------- _-____._ .__� ____ lions per person per day. Total daily flow.._____._._ `____________ _ _-.--- W ------------- Design Flow______________ � p p p y. y . . gallons. WSeptic Tank Liquid capacity _. allons Length................ Width................ Diameter______.....__._ Depili....._____._.... x Disposal Trench—N 11 Widtl tat:Length-------------------- Total leaehing r1 ea----=------ -----sq. ft. Other Distr>buti box Dosing tank p aching area__________________sq. it. z ( ) g ( ) , Seepage Pit No______________ Diameter:_ e th below inlet_-___-____________. Total le Z Percolation Test Results Performed by.......................................................................... Date--------------------------------- � Test Pit No. 1................minutes per inch Depth of "Pest Pit.................... Depth to ground water...-_.-..---..--.-.-_- G%, Test Pit No. 2................minutes per inch Depth of Test.Pit........_.____._._-_ Depth to ground water-_.-. --_--.----.--.--. O Description of Soil------------------- V.-s4-14A._. = -------= = ice!--- -- x W ------------------------------------- --------- ----------------------------------------------------------------------------------------------------------------------------•-------------------------=- UNature of Repairs or Alterations Answer when applicable--------------------------_-___----___._----____---.-___..._.-.--_-------.-..--.---..----------- -------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of Article YI of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been is d y the boarde h 1. ed •- ,� - - --/• ate' - --- ---- ------- Application Approved By... --------------- -- _ � - � /"' D e Application Disapproved for the f 0m6ing reasons-------------------------- ------ .................................................... -------=---------•---=------------------------------------------------------------------------------•---•..------------------•----------------------------------------------------------------------••••- Date PermitNo......................................................... Issued........................................................ Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH y - :. ......:... ..OF....... '...........: ....... err#if irate of TIMPtianrr THIS IS TO CERTIFY, Thy the Individual Sewage Disposal System constructed (" or Repaired ( ) b ... '� `i -- ------ ---- --------- ................. a Inst111er lt� has been installed in accordance i h the provisions of-Article. o T�e Sta " Sanitary C1aARANTEE d crib in the -application for Disposal Works Construction Permit NO..._._._._:: = .- -------- dated..... P ,�%______....... THE ISSUANCE OF THIS CERTIFICATE SHALL. NOT BE CONSTRUED AS A G THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE----•-...... ���----•---•--•-----............................ Inspector_---•- - THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH J� No.-- 2- FEE---�............ Permission is ereby granted---------- ................-••------•------- -___-•--- --_----•--_.._....--•••---•-------••---:..._._ to Constr t ( ) or,•Repair ( an Individual • ge Disp I System r at No g ( -••-•-. -• ' �-a -= Streety _ � _ - P' as shown on the application for Di .osal Works Construction Per. t :-_________ Dated... __�__.. _ ____ __________ oo ---------- - ---- --- -------------- -------------- ------ 'G�f " Board of ealth DATE............. ................................... FORM 1255 FIOBBS & WARREN. INC.. PUBLISHERS. L r i II I III IQI �i __ III ici1 n � � �� El H�� � ,I u [ON. -01,27 l03 wireF��y� _--- - � I CROP S :TON a -- i 1 VRATI-1.. 1. SUNROQN�_ e IL ... u � . o j, C'RbSS S� TInN D�S1GN I-IOSE .�. E . : _ IRll�l�l R )DEN ENTRY P1C POUNDATiQi 'Pit.i�t �y"-r� RIDCk E:VENT: '7ya, tt: 4 C-va;NT `ro_LATTiG ._.. CQN71Nl�u5... 5OCCtT VIJV't' \� I CONTta�{UOf-S`..501 Vt -,'VgNT OC ;ZX4..=16°o.C:.: ..W CDx PLY::. t ell, ?.7:SIL1 2x10-i rri �RIt316Fx ,2 6"9.T,SlI_ u�ctt=lu— li( 11.9111 i11. tI WEfltt s€fist ''<}li= % e—tllfltYll�lllt ?IU=Ott=ttt .�111 . F:NT�2Y �;ECDO 1 Tu T1CL _ V1^NN 7 � vh"CPA. WY , 2x8 1 I. I�.'�At�i7lhcE.tg1;�S .So�r7 Yi:.NT. 2x to-16!'oc, 2%SS,ZEAM) . .. +lN�i1r11rll�f�f 11 r _.__...__ V 1 — _ .__.._.. ._..... -- _._ ._ -.._. . ...... _._ _....., __..-..- __ _ tL.yLS1W5,-WiG.ldte.b.—_ : r. - 41 41 Ac K ' 1 ---- .. _..... r. rAl hionew Cep, R �1' �o a' 9I'T'l .It:'. r rli op i1 ft IIII s L - T. i ya - .. KITS EN � : — MA- �T M SITI'I{ ��� — ! i _ V r - 11A= floTl-1 • � ! - iR1 NPl�f� ROOM � a'° :� I _..- ROOM z a R nRQ( 6y1 2 ii «�y" 8'loll... 12'�" _.. A�DROOm S- KIN- _ r-- t - -r el L_. +— -- i C MDR C T}�Y I b:6 :_..:.__.. C NC PCCCCRI �G� SIDNL�J P'lRS7 PI-OOR PLAN.`,VO-o' u =&IED .+TOW ,.(t . .- i BOTTOM t�F�}.TEST HOLE OR USOSPROBABLE WATER TABLE..ELEV. SEWAGE DISPOSAL SYSTEM PROFILE NOT T4 SCALE ° . ,,.r"' lt�✓Ck.� AiCri:'1N.Q 'F'Fe�.Rtf; - TV ,,,, Goa. i€ t`L TEXT COLOR MOTTLM 07. ,r 3 59.3' 55.7 -a -- - -7 - TES. . 57 `G` - t ALL WORKMANSFIP AM MATEFAALS SHP AS §.5 j TntE 5 ht�Q T►-E TC+1.JN OF iOLE 2 �,#-� ♦ REGOJ ATIOW FOR TFE DACE 0 IQRlZ TEXT COLOR tiAQTTL 3 J `` �;C --—� 2: ALL COVERS To. SANITARY UWS SHAL 1 1� Wfrf*4 Ir 0r- � OR . R. VALQR,_-- T3 S Ft&L RE3E t l ,2 4. ALL ITS OF TFIE #TARP S t ♦ �! WIT TttNDM FHO LOAD@ UNLESS TI -- .� ACAS..! ♦♦ 9 F — ? ft:T.,O� Q�VES OR PRE' i OR �t ♦ $o >^ flili AW `� UNTS USED Bti G I # "TA .1N PLACE: t - Y . 5 S ,o r. ♦ bETE IAT i � � °_ . ` 8 NQ HAS BEEN MADE A • `3 4 sari ret� : t 7. ` �lSTAATiQ!<t TFE coK R�RCTO( P .1ATE 1'ROTEGTl4N TO f+ tTTi[�0 EX AVATpAi M E& t 8. PRIOR TO & CJ.IFG Ttf tTALAT t Ste! 59:9 9. ` TE€ hTCOI T I NfTF Fi a I�3Slmu A TIC BOARD OF t � ♦ DESIGN A G AT(ONS` ` 59.2 NUM3F S®r s r D S <:LtT PR " SITEt �t' OF € QAY .SAY 103aQT E IN -TAB. - t - LEAC • L T tE. -CV AC"- EQ OFL HE _ - ,�.: C,. . . ,may. _._ _ *Refer to"General Nalling Schedule-Table 2.WFCM Wood Frame Construction Manual Note:All construction shall be In accordance with American Forest and Paper Association "Wood Frame Construction Manual for One and Two Family dwellings(WCFM).Contractor shall be responsible to review all details to assure proper Installation,methods. D_ J J FRANIELINE�OF EXISTING DWELLING C [L CM Shinglets-, Q/ , -C C.0 C U ��0) LO LAe halt Ov (� cd 0Ef 0 ShPngle—1 EXISTING y �LoLXI) DWELLING Q U ry- (D m W.C.ShinglesLLLL --I F ,11 :P Proposed z Q � - O FRONT ELEVATION > Q , � Scale; 1/4"=1'-0" 0 � - Q J W C0 L p Shl h late � - z � � m \ w � Aluminum EXI STIN N .Gulter - DWELL G i2 O Soreen d Sore ad Sore s - C>6LL 0!� J O - z O CY) 7 cr_ O — 12L Approximate Grade - Iverlfyl t !, Proposed 2 LEFT ELEVATION ' ©CopyrlgM 2013 by scale: 1/4"=1•-0" n ZIBRAT&McCARTHY ua / \ 1 ass gne /{�\ NOTE: This drawing Is protected as an "Architectural work"under section 102 of r 0 4 8 Me the copyright act(title 17)and may not s be reproduced,copied or used without J express permission of Its author. i i *Refer to'General Nailing Schedule-Table 2.WFCM Wood Frame Construction Manual Note:All construction shall be In accordance with American Forest and Paper Association'Wood Frame Construction Manual for One and Two Familyy dwellings(WCFM), Contractor shall be responsible to review all - detalfa to assure proper Installation methods, FRAMELINE OF D- EXISTING J DWELLING C ry— C0 rD EXISTING rn CV CV ® DWELLING U � 5cc _ ❑ CZ t - 3MLO 0 od ) 1 t r `W,C,Shln lee- LC.Shinglee� Aluminum Gutter L0 Q U Scree ad Screened Screened Screened Approximate Grede rify - O (ve ) ILL 3 REAR ELEVATION z Q O Scale: 1/4"=1'-0" _ > Q 0 L1J FRAMELINE OF I Q EXISTING- DWELLING - . D Q Cn . Q CC _ cn LEXISTING - CDC0 DWELLING LAepheR \ - shinglee� n NOR cc: O`W,C.Shinglee� - Aluminum Gutter - O 0 O Cf) OFFH z O �, ❑ CL Proposed 4 RIGHT ELEVATION ' ©copyright 2013 by Scale: 1/4"=1'-0" n ZIBRATBMoCARTHY u r e e g n e NOTE: This drawing Is protected as an 2 'Architectural work"under section 102 of o n e 12 the copyright act(title 17)and may not be reproduced,copied or used without express permission of Its author. *Refer to"General Nailing Schedule-Table 2.WFCM Wood Frame Construction Manual Note:All construction shall be in accordance with American Forest and Paper Association"Wood Frame Construction Manual for One and Two Famllyy dwellings(WCFM).'Contractor shall be responsible to review all detalts to assure proper Installation methods, J J 21'-4' v, 5 8. 15'-10' c Ch CYD r ------------ ----------------------------------�- Q NCO ----- VENT --- O 0 ---------- - -- ---) --------- 1r I r--- ----- --------- 1 U ---- ------- — . r---------- - --- --i i. i 3 i 3'-8'thk,poured j - 5/8'Anchor bolts w/3" pd i j OO cone,wall on keyed j i x 3'x 1/4"plate washer L I 8'xl8"wide footing, i i 072'O,C07'min.em- ( y (� O i ) i i 'v bedment(dbl s°corners) i 1 PR i i 4'OVIDE MIN.FROST j 1 PROTECTION) l Q U Q i j i Drop top of wall g j 12'&run thk'n 1 - 1 Blab over .i block ) NOTE: continuous footing -wall above DROP TOP OF WALL --- ----- --------- - - ----.--- 7"FROM PROPOSED __ -_ _ -_ -- -8 - GARAGE WALL i _ _ 1 ) -- - - -- - -- ------ j )1'-4' 2'-8" It i 3'-8" I 1 � , 1 v 1 O existing f el d. existing found.. continuous footing well aboveas required (Underpin as reqd) ------------------ --------- ------- i 2s5To & _ �- L=----- z Q Bottomd'24% ------------ ------------ --8- --- O ---------------- --------------- ------ --� - 1 ` 1/2" cdx wan gbo�a NOTE: i i to ~\ � Shingles contractor to verify i i to G g w/foundation Installer top of wall elevation 0 LLJ 1/2" dia, lag screws or Q J cc Flashing through bolts w/ washer NOTE: s� Contractor to verify w all existing dimensions 0 prior to construction i Q (n 28"x28'xl2'thk. poured concrete i I column Its. - i : Q �---+ 0 (`r1 m lx4 mahogany decking Drop t��of well ; I \ 2X80 16"O,C, [- __! else over - > '—IC�OLJC7�7LOO 12'-0' 12'-0' /r 1 C wolminized 2x8 T P i � 0 Wolminized 3/4" slab o comp concrete i i O ` slab on compacted 111E i , blocking (min.2'slab pitch) i i � O shim Q 0 4 shim o v e r e OrC 3'-8'tnk.poured �' 1 L1J ILLoono,well on keyed i C.JV DETAILS BPRO wide(eating. co 1/2" dia, approved (18'0,c,) FROS MIN' i - O _ 0> V l expansion, epoxy Or PROTECTION) 1 0— adhesive anchors SCa/e I S ------------------ ------------------------------ - co w/ washers ---------------------------------- ------ t2 Drill&DowaI to existing found. as required (Underpin as rsq'd) \ 2s5 Top& BottomP24 L 24'-0' ®CopyrlgM 2013 by Proposed ZIBRAT&McCARTHY LLv e s g n B FOUNDATION PLAN NOTE: This drawing Is protected as an A3 "Architectural work"under section 102 of , Scale; 1/4"-I'-O" ° a s the copyright act(title 17)and may not e n be reproduced,copied or used without 1 express permission of Its author, t" *Refer to "General Nalling Schedule-Table 2,WFCM Wood Frame Construction Manual WINDOW SCHEDULE - Note:All construction shall be In accordance with American Forest and M DESCRIPTIO Oty. Sqft,Total Sgft, COMMENTS Paper Assoclatlon Wood Frame Construction Manual for One and Two Family dwellings(WCFM),Contractor shall be responsible to review all AA TW2442 10.87 2'-6 I/8'X4'-4 7/8' ANDERSEN 400 SERIES details to assure proper Installatlon methods. CL © AW21 4.8 2'-0 5/8'X2'-4 7/8" ANDERSEN 400 SERIES 14'-0' 21'-4' J © A21 4.0 2'-0 5/8'X2'-0 5/8" ANDERSEN 400.SERIES J TW24310 10.05 2'-4 7/8"X4'-0 7/8" ANDERSEN 400 SERIES `� -8' 10'-4' 5' Total: _ Note; Contractor to verify all millwork information including rough openings, clearances and quantities prior to,construction, b t� M Cc V- *Verify glass height (tempered glass as needed) - - pitch V I. - --------- P U c -DOOR SCHEDULE BEARING WALL,. C y L0 fFWH60 CRIPTION Oty, S ft, Total Soft, ROUGH OPENING COMMENTS - 3 d- ------------------------- _ n 66 39,34 39.34 6'-0"x6'-B" ANDERSEN 00 SERIES D c3 i U co OO "SCREENED DR (BY OTHERS) ° GARAGE -To i o �-- CMD- L0 THERMA-TRU 9 LIGHT. THERMA-TRU Pro owed $, b) 'THERMA-TRU 12 LIGHT 17.80 17.80 THERMA-TRU Q SGPREENED N '� U s PORCH f� m Total: $7.11 a m Note; Contractor to verify all millwork information including rough (OPTIONAL TRAY CEILING) I Zo 2XV*18"on 8'block ourb I - N openings, clearances and quantities prior to construction. 4'-3J6" T-8' 4'-3 5'-7 "'--- ------------------------------ \ BEARING WALL -3 - -- - BUILT-IN•„ so CLOSET CLOSET BENCH © BEARING WALL' PORCH _ � Y Exbting N g MATCH EXISTING .� HALL Gae F,P. PLATE HEIGHT s�f'D C'1'D ego O ExistingMATCH EXISTING-- BATH/LAUNDRY FLOOR FINISH B o 32' BEARING WALL U P 2X6016'on 8'block curb �- ---------- O Ezleting o 20'-11' Q HALL ExIstIng Existing m Q � w . CLOSETS FAMILY y ALL XR.O. A w Co ROOM sv � I Q -- I G X?GE I Q & Cf) —�I ,,��m..00�_V.t� pith ; pC z 1311 374 XII 7/8'Ivl - - - 08 NOTE: W Existing Provide IHr fire I > BATH separation between ' garage 8.living v Q ace ci I � cc g 12'-0' 7� - 12-0' O �— M� Ow I � Existing iLLJ L1_ BEDROOM ; m U Z - ---------- O 0 0 6'-8' ®Copyright 2013 by ZIBRATBMcCARTHY L� Proposed e e g n a NOTE; Thla drawing Is protected as an FIRST FLOOR I O O D PLAN I n (�I 24-0' A4! "Architectural work"under section 102 of I I L 11 r l„_/"�I y o o e 12 the copyright act(title 17)and may not. be reproduced,copied or used without Scale; 1/4.=1'-O" a express permission of Its author, P A *Refer to "General Nalling Schedule-Table 2,WFCM Wood Frame Construction Manual Note:All constructlon shall be In accordance with American Forest and Paper Assoclatlon"Wood Frame Construction.Manuel for One and Two Familyy dweilings(WCFM).Contractor shall be responslble to review all dotalf$to assure proper installation methods. WINDOW SCHEDULE M DESCRIPTIO City. Sqft.Total Scift.j COMMENTS J (2)TW2442 10.87 2'-6 I/B'X4'-4 7/8' ANDERSEN 400 SERIES ®AW21 4.8 2'-0 5/8'X2'-4 7/8' ANDERSEN 400 SERIES Q A21 4.0 2'-0 5/8'X2'-0 5/8' ANDERSEN 400 SERIES TW24310 10.05 2'-4 7/8'X4'-0 7/8- ANDERSEN 400 SERIES r_Y_ CO Total: rn Cz N N Note; Contractor to verify all millwork information including rough U 6 rn openings, clearances and quantities prior to construction, Co I _ m *Verify glass height (tempered glass as needed) U E DOOR SCHEDULE N c o M DESCRIPTION Oty. S ft. Total Sqft, ROUGH OPENING COMMENTS_ FWH6068 39.34 39.34 6'-0'x6'-8' ANDERSEN 400 SERIES r-y— m ® ;32'SCREENED DR (BY OTHERS) C� 32-THERMA-TRU 9 LIGHT THERMA-TRU ® 32-THERMA-TRU 12 LIGHT 17.80 17.80 THERMA-TRU Total:1 57.11 Note; Contractor to verify all millwork Information Including rough openings, clearances and quantities prior to construction, BEARING WALL BELOW '------------------------- - - O BEARING WALL BELOW 7)2" -- ---=_— -------------==--- --------------- - -------- �' provldeia0Coss N Q 1. 4"Kneewall J-I Proposed 2 2 5y p b LU co SECOND FLOOR PLANco ------------ s--- - Edge of level Q z . Scale: 1/4"=1'-0" gal ng _ _____ Cr m CD____-____________________________________________________-___ PROPOSED Z C J,) STORAGE U l cr ------------- ------ ----- OC Q Q mCl- O Edgge of level S, r O 4'Kneewall I oeIgg 4'Kneewall TLij L" co provide access provld access z p ry— CO o ` 1^ 24'-0" ®Copyright 2613 by ZIBRAT&McCARTHY u.P 8 e e 1 g n a NOTE: This drawing Is protected as an 'Architectural work"under section 102 of A 5 the copyright act(title 17)and may not o 4 e Q be reproduced,copied or used without s express permission of Its author. rTr—r—T�f r *Refer to "General Nailing Schedule-Table 2.WFCM Wood Frame Construction Manual Note;All construction shall be in accordance with American Forest and Papery Association Wood Frame Construction Manual for One and Two SEE DETAIL "A" deiallfs to assure proper Installationtor methods.all responsible to review all D_ J 28'-0' J 4'-0' 10'-0' Cor-a-vent 10'-0' 4'-0' t) 202 Ridge r2 -----„--- --- -- . - - C SEE DETAIL "D" 12 I. I. ,I II „ .I r ,i c I' Ico cr- CD 6 I/4'Iibergl 2X IB C. 12XVIS'O.C. 12 2X80I8'O,C. U c neulatlon -N E; lf') 2x8@I ,o,• MA -EXISTING " I/ odx'Ply, PITCH ?rB C C o bj ?23-3033 =533� CIO L=__'i_-__1'---9__.. -° _iL___=� " _ %�___"----°----'�--- U _ 6'-4- 12'-0 SEE DETAIL 010 "B" G„ N p go 5Ya' I9'i" , bi V NA I M _ I 9I/ IOtl18O.C. 2X8°I9'O,C, 50 2X8@I6'O,C. (312XB 10Ya' FAMILY ROOM . 18'-0%' f (STING 121-1 3/4'XII 7/8" .__� PLATE I I/4'fiberglass DETAIL "A" meulation PATE N -° "-� 2x8�°IB'o,o. 2x4016'o,c, S 3•_6• Proposed 12'-0 12=A" v2'cdx Ply, v2"odx Ply MUD ROOM/HALL NOTE: G�RAGE lending sz Pr d Pro c Poeetlbo Provide IHr fire r-4� GARAGE >o a4o separation between - garage a storage a ace Stair—=� 7Y,' beyond - 3/4' &G 7 2X80le'O,C. O 2X8118'O.C. bo =b. 4"poured cony Blab 0 s• � 2X8°16'O.C. l 1-4' thickened Approximate Grade Approximate Grade - b) 3`9"x8'thk. - eleb below (verify) _. (verify) z M 2'-0' 2'-0" bearing well 7 poured cony 28'x28'xl2"thk,poured O wall on 16'x conc,column fig. to 8'thk,poured — conc.wall Q (PROVIDE MIN. PROTECTION) SECTION A SECTION .B o Scale 1/4"-1'-0" Scale I/4"=1"-0" Q J cc LLJ D < 21'-4` c Z Q < 202 Rldge 12 Co % 8 r/ 14'-0' - LI_I -- 6"O.c, - - C rl U Q12 � r _. CC . ry�0 G N 3 2X80.16'O'c. SEE DETAIL "C" 0 O �J LL is 2x6 (3)2x w/ 7 'z1/2'f or US O - 2x4°I6'o.o, Prdosed (wrapped) CL PrMd 1/2'cdx Ply. � P RCH Q G� AGE GGE 0z 2XBPI6'0.C. tlYa" 4'poured conc.slab M 8'gravel M ©Copyright 2013 by 3'-g'x8"thk. ZIBRATBMcCARTHY u� B e eT�a poured conc. ///—-\\\ wall on IB"x bD NOTE: This drawing Is protected as an 8'thk.poured 6 "Architectural work"under section n of SECTION C SECTION D °°n° wall the copyright act(title il)and may not o a e � be reproduced, copled or used without 8 express permission of its author. Scale 1/4."=Y-0•" Scale 1/4"=l�-0" 1 F *Refer to"General Nailing Schedule—Table " 2.WFCM Wood Frame Construction Manual Note:All construction shall be In accordance with American Forest and Paper Association Wood Frame Construction Manual for One and Two CD 12 Family dwellings(WCFM).Cpntractor sh I be.responsible to review all details to assure proper Installation m d9. J d J E; $ +/- _j Asphalt Shingles OG — _ c - —1L - -_— - -_ _—_ _ — _1 - - ry co 1/2" CDX"Sheathing 8" @\`O Irk - - '— rl - - - - -r - - - —iT — — r - - - Q -vcco I cc cNl I I CV Simpson H2.5A (J o p I � - {cane Tie I I Hurr , I I I � � II II II — I Aluminum Drip Ede STORAGE 9 Aluminum Gutter I 06 U c6 Asphalt Shingles I I ii I I I cv Op g" 1/2" CDX Sheathing k 1 I y co o 9 1/2" BCh16" I. I 11 U 8" # I m _ _ 1� = cc 2" cont, screened vent strip Aluminum DripEde N 2 1/4" crown moulding 9 f2).2x10 w/ ° f 1/2" fillers White cedar shingles Aluminum Gutter 8" over #15 Felt 2x6@ 6' over 1/2" CDX over 2x4 @ 16"o,a i i 2 1/4" crown -� 2" cont, screened vent stri A �ET�Al 2 1/4" crown moulding L.L g ETA o Q A6 > Q f o J � D < 2" screened Q CO vent strip Z Shingles - Asphalt S gles crown 6" Q 3 5/8 1/2" CDX Sheathing m molding ' Simpson H25A 7" — ' @\6 - Hurricane Tie — — — — — os _ cc Aluminum Drip Edge 6" j r 0 Aluminum Gutter 6 3/8 CLf- GM w/ 1/2" filler L 2" cont, screened vent strip 0 , Cn 2 1/4" crown moulding White cedar shingles O z over 415 Felt over 1/2" CDX O over 2x6 @ 16"o,c. rr CY) 0 6x6—wolm, (wrapped) syz"I �." ETAIL A(� (DORMER) F ®Copyright 2013 by ('C---)D`T A I V ZIBRATBMcCAHY up 8 � RT g n e 6 � =1-0ANOTE: Thisdrawing la protected as an7 "Architectural work"under section 102 of ��A ` 12 the copyright act(title 17)and may not ° ° e be reproduced,copied or used without as express permission of Its author.. .. _ - 0 TOP OF FOLMATION or T FELEV. = 58•ill F CONCRETE COVERS 4- SCH-ED'JLE 40 PVC PPE MN. PITCH, 1/8' PER FT, 4- CAST IRON PIPE �� MAX G-'tr S3 (OP EOUAL) Mf-A&*A P+TCH 1/4" PER FT. ram` / 2 OF 1/8- To 1/2" ()VEk aTfc FLOW LIME s yl -- ------,�. i LOCATION MAP a � 14" -ELEV. = S� ! 4" ci)o. SCH ao P VC pert, ppE ELEV. = ELEV. - _S/_ LEVEL o a1,� s�.v�� ELEV. KEV LEACHP,63 TRENCi-a DISTRIBUTION' 2 ------ - 4EL; cm" G "GaMrs�Tar BOX FFFECTIVE I_FNGT�' ZC+NE TO BE WATER TESTED ^-- /Sn) GALI-ON F MORE THAN ONE OUTLET Z' EFFECTIVE WD'I I SEPTIC TANK r CRUSHED D STONE (MiASHEU) BOTTOM OF -TEST HOLE OR USGS PPOBA\B E. WATER TABLE ELEV. = _L—_ {A SEWAGE DISPOSAL SYSTEM PROFILE ,- ; --- _ NOT TO SCALE 278 Q S',�=y �c..►r G/trdQr c,/V4 C r ST DATE OF SOIL O IL E ST _H 'S L3---- / � s+a�',�ti',, �� �..-'" ,2<?���a �^,'�G��r+.•, ��,..,.��-� 5,�.•►G �, WITNESSED BY a _N1 — ��.���.r►{__L"� LU66GU ray L t� ` PERCOLATION RATE _�S MN/IV(�-i. AesFK 3a HL " /��' / \,� \ 5 OBSERVATION HOLE 1 `� `�, ELEV.-44.E DEPTH HORZ TEXT COLOR MOTTLING V) / 41'y L.AyAp\ G I -..�4v, 1 1 o9-iZ Gz ��T, y' �58 3 L_ s.r►� f / 52. 1 1-152. AAy&e G3 /s As G7ao o{z L3e-;"e- TirA,i [� wN cr ,,,vs PlSdG 59.3 ` =55.7 WATER AT-&-4- EL------ / , I� �t+u. �6 _ `.s s- - �-'--� NOTES: -) 4L.. i. ALL WORKMANSHIP AND MATERIALS SHALL CONFORM TO D.E.P. OBSERVATION HOLE 2 « I �,�,� � --; �6.5`, 52 9 TITLE 5 AND THE TOWN OF �__��� RULES AND !. \ / REGULATIONS FOR 1 HE SUBSURFACE DISPOSAL OF SEWAGE, ELEV.= DEPTH H-iORIZ TEXT COLOR MOTTLING - �1-- - -- ---- �� 2. ALL COVERS TO SANITARY UNITS SHALL BE BROUGHT TO B I GO WITHIN 12- OF FINISHED GRADE. 9 3. EXCST�VG AND FINAL GRADES SHALL REMAIN ESSENTIALLY THE SAME 4. ALL CC!N4PONE_NTS OF THE SANITARY SYSTEM SHALL BE CAPABLE OF WITHSTANDW H-H10 LOADING UNLESS THEY ARE UNDER OR WITHIN 58. 9 w - 10 FT. OF DRIVES OR PARKING AREAS. H-20 LOADING SHALL BE l •� j% uSED 44)ER OR WITHIN 10 FT, OF DRIVES OR PARKING AREAS. � 5. ANY MASONlARY UMTS USED TO BRING COVERS TO GRADE SHALL � BE MORTARED IN PLACE. 58 8 6. NO DETERMINATION HAS BEEN MADE AS TO COMPLIANCE WITH r DEEDED OR ZONING REGULATIONS. JGN YOUNG N YOUNG�s \ 2. DEG INS TALATION THE CONTRACTOR IS RESPONS6LE TO PROVIDE \- B r � Lcn � \� / WATER AT--_— EL-_--- 18 \ ADEQUATE PROTECTION TO ABUTTING PROPERTIES AND MAINTAIN A SAFE EXCAVATION AREA, 8. PRIOR TO BACKFLL ING THE INSTALLATION THE ENGV� .R AND THE 59 HEALTH AGENT SHALL 8E NOTIFIED FOR INSPECTION. 9. ANY .ALTERATIONS TO THIS DESIGN MUST BE APPROVED BY THE ENGINEER AND THE BOARD OF HEALTH DESIGN CALCULATIONS \ �' \�� 59.2 I NUMBER OF BEDROOMS LEGEND: GARBAGE DISPOSAL UNr, rn .;Lc � PROPOSED SITE PLAN OF LAND IN Cl,w'IMIQUID.MASS. EXISTING SPOT ELEVATION x TOTAL ESTIMATED FLOW EXISTING CONTOUR (AP_GAL./BR./DAY X -. BR.) S 5o GAL./DAY � 103 WINGFOOT DRIVE FINAL SPOT ELEVATION REQUIRED SEPTIC TANK CAPACITY //� GAL. FINAL CONTOUR — ACTUAL SIZE OF SEPTIC TANK sue' GAL j/t'7 i SOIL TEST LOCATION + LEACHING AREA REQUIREMENTS t!,8 AS PREPARED FOR SCALE DATE ,1ULY 8,Q97 UTILITY POLE --,a,- SDEWALL AREA GAL./S.F. JOSEPH PICCIRILLI 1"=30' REV. 8-Z 847 TOWN WATER /..\ BOTTOM AREA 1� GAL./S.F. APPROVED: BOARD OF HEALTH pAUL E. SWEETSER.PROFESSIONAL LAND SURVEYOR CATCH BASIN �9 LEA CAPACITY (BOTTOM - SIDEWALL) GAL./DAY S.S.L. SEPTIC SETBACK LINE y) 9-EET OF P.O.BOX 565-E. HARWICKMA 02645 c508)432-8539 B.S.L. BUILDING SETBACK LINE RESERVE LEAC CAPACITY DSO GAL./DAY FEE N0. DATE AGENT � 1465-00 1 1