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Home My WebLink About0946 CRAIGVILLE BEACH ROAD - Health Craigville Beach o� �.... Centerville P A = 226 0820K I. No. 4210 1/3 ORA Pendaflexe `o® _ 10% r Tripp,Vanessa From: Lindsay Montgomery <LMontgomery@robertbour.com> Sent: Wednesday, November 25, 2020 7:27 AM To: Tripp,Vanessa Subject: Revised Title 5 report Attachments: 20201124162922664.pdf Hi Vanessa Please find attached,the revised copy of inspection report for 946 Craigville Beach Road, Centerville. I hope you have a nice Thanksgiving! Thankyou LI Olsa� Movwtgovtkey-� Robert B. Our Co., Inc 363 Whites Path, South Yarmouth, Ma 02664 8 5o8-477-8877 on 1= � - g Buditonbust CAUTION:This email originated from outside of the Town of Barnstable! Do not click links, open attachments or reply, unless you recognize the sender's email address and know the content is safe! i c Commonwealth of Massachusetts - Title 5 Official Inspection Form e Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 946 Craigville Beach Rd. Property Address _Suni Sands Condominiums Owner Owner's Name information Is Centerville Ma. 02632 11-12-20 required for 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:When A. Inspector Information filling out forms on the computer, use only the tab Michael Sears key to move your Name of Inspector cursor-do not Robert B Our Co INC. _._.. use the return __ key. Company Name 363 Whites Path rd Company Address South Yarmouth Ma. _ 02664 Cityrrown State Zip Code ruaen 508-477-8877 _ S114430 Telephone Number License Number B. Certification I certify that: I am a DEP approved system inspector in full compliance with Section 15.340 of Title 5 (310 CMR 15.000); 1 have personally inspected the sewage disposal system at the property address listed above; the information reported below is true, accurate and complete as of the time of my inspection; and the inspection was performed based on my training and experience in the proper function and maintenance of on-site sewage disposal systems.After conducting this inspection I have determined that the system: 1. ® Passes ` .�HtOF 2. ❑ Conditionally Passes , _� ssgcy''. MICHAEL '.N '-'�� SEARS m 3. El Needs Further Evaluation by the Local Approving Authority 0. ) . No,SI14430 4. ❑ Fails ��ii��7F rn11I N 11-12-20 inspector's Signature — 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 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 form should be sent to the system owner and copies sent to the buyer, if applicable, and the approving authority. Please note: 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. 15insp.doo•rev.7126/2018 Tille 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 1 of 16 II Commonwealth of Massachusetts ` Title 5 Official Inspection Form _ Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 946 Craigville Beach Rd. — Property Address Suni Sands Condominiums Owner Owners Name Information is required for every. Centerville Ma. 02632 11-12-20 i - page. CitylTown State Zip Code Date of Inspection C. Inspection Summary Inspection Summary: Complete 1, 2, 3, or 5 and all of 4 and 6. 1) 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: 3500 gal tank, Pump chamber, 12 Chambers _. 2) System Conditionally Passes: ❑ One or more system components as described in the"Conditional Pass"section need to be replaced or repaired. The system, upon completion of the replacement or repair, as approved by the Board of Health,will pass. Check the box for"yes", "no"or"not determined" (Y, N, ND)for the following statements. If"not determined," please explain. The septic tank is metal and over 20 years old* or the septic tank(whether metal or not) is structurally unsound, exhibits substantial infiltration or exfiltration or tank failure is imminent. System will pass inspection if the existing tank is replaced with a complying septic tank as approved by the Board of Health. *A metal septic tank will pass inspection if it is structurally sound, not leaking and if a Certificate of Compliance indicating that the tank Is less than 20 years old is available. ❑ Y ❑ N ❑ ND (Explain below): (6insp.doc•rev.7/2 612 0 1 8 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 2 of 46 r Commonwealth of Massachusetts I Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 946 Craigville Beach Rd. Property Address Suni Sands Condominiums _ _ I Owner Owner's Name information Is Centerville Ma. 02632 11-12-20 _ required for every `— page. City/Town State Zip Code Date of Inspection C. Inspection Summary (cost.) 2) System Conditionally Passes (cont.): ❑ Pump Chamber pumps/alarms not operational. System will pass with Board of Health approval if pumps/alarms are repaired. ❑ Observation of sewage backup or break out or high static water level in the distribution box due to broken or obstructed pipe(s)or due to a broken, settled or uneven distribution box, System will pass inspection if(with approval of Board of Health): ❑ broken pipe(s)are replaced ❑ Y ❑ N ❑ ND (Explain below): ❑ obstruction is removed ❑ Y ❑ N ❑ ND(Explain below): ❑ distribution box is leveled or replaced ❑ Y ❑ N ❑ ND(Explain below): ❑ The system required pumping more than 4 times a year due to broken or obstructed pipe(s). The system will pass inspection if(with approval of the Board of Health): ❑ broken pipe(s)are replaced ❑ Y ❑ N ❑ ND (Explain below): ❑ obstruction is removed ❑ Y ❑ N ❑ ND (Explain below): 3) 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. a. 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: t5insp.doe•rev.712612018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 3 of 10 Commonwealth of Massachusetts i Title 5 Official Inspection Form ` i, Subsurface Sewage Disposal System Form-Not for Voluntary Assessments �. 946 Craigville Beach Rd. Property Address Suni Sands Condominiums Owner Owner's Name information is required for every Centerville Ma. 02632 11-12-20 page. City/Town Stale Zip Code Date of Inspection C. Inspection Summary (cont.) ❑ Cesspool or privy is within 50 feet of a surface water ❑ Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh b. System will fail unless the Board of Health (and Public Water Supplier, if any) determines that the system is functioning in a manner that protects the public health, safety and environment: ❑ The system has a septic tank and soil absorption system(SAS) and the SAS is within 100 feet of a surface water supply or tributary to a surface water supply. ❑ The system has a septic tank and SAS and the SAS is within a Zone 1 of a public water supply, ❑ The system has a septic tank and SAS and the SAS is within 50 feet of a private water supply well. ❑ The system has a septic tank and SAS and the SAS is less than 100 feet but 50 feet or more from a private water supply well"*. Method used to determine distance: ** This system passes if the well water analysis, performed at a DEP certified laboratory, for fecal coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered. A copy of the analysis must be attached to this form. c, Other: 4) System Failure Criteria Applicable to All Systems: You must indicate"Yes" or"No"to each of the following for all inspections: Yes No El ® 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 15insp.doc rev.7/2612018 Title 6 Official Inspection Form:Subsurface Sewage Disposal System•Page 4 of 18 r Commonwealth of Massachusetts `I Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 946 Craigville Beach Rd. Property Address I Suni Sands Condominiums Owner Owner's Name Information is Centerville Ma. 02632 11-12-20 required for every --- - page. Cityrrown State Zip Code Date of Inspection C. Inspection Summary (cont.) 4) System Failure Criteria Applicable to All Systems: (cont.) Yes No ❑ ® 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: ❑ ® Any portion of the SAS, cesspool or privy is below high ground water elevation, ❑ ® Any portion of cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply. ❑ ® Any portion of a cesspool or privy is within a Zone 1 of a public water supply 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 2000 gpd- 10,000 gpd. ❑ ® 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. 5) 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 CA. 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 l5lnsp.dcc rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 6 of is 'i i Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form Not for Voluntary Assessments 946 Craigville Beach Rd. . Property Address _Suni Sands Condominiums Owner Owner's Name Information Is Centerville Ma. 02632 11-12-20 required for every City/Town/Town State Zip Code Date of Inspection page. Y C. Inspection Summary (cont.) If you have answered"yes" to any question in Section C.5 the system is considered a significant threat, or answered"yes"to any question in Section CA above the large system has failed. The owner or operator of any large system considered a significant threat under Section C.5 or failed under Section CA shall upgrade the system in accordance with 310 CMR 15,304.The system owner should contact the appropriate regional office of the Department. 6. You must indicate"yes" or"no"for each of the following for all inspections: 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. El ® 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)] t5insp.doo•rev.7/2612018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 6 of 18 •, I Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 946 Craigville Beach Rd. Property Address Suni Sands Condominiums Owner Owner's Name Information is required for every Centerville Ma. 02632 11-12-20 page. City/Town State Zip Code Date of inspect- ion-D. System Information 1. Residential Flow Conditions: Number of bedrooms(design): 20 Number of bedrooms (actual); 20 DESIGN flow based on 310 CMR 15.203(for example: 110 gpd x#of bedrooms): 2220 Description: NA Number of current residents: Does residence have a garbage grinder? ❑ Yes ® No Does residence have a water treatment unit? ❑ Yes ® No If yes, discharges to: Is laundry on a separate sewage system? (Include laundry system inspection ❑ Yes ® No information in this report.) Laundry system inspected? ❑ Yes ® No Seasonaluse? ® Yes ❑ No Water meter readings, if available(last 2 years usage(gpd)): NA Detail: Sump pump? ❑ Yes ®d No NA _ Last date of occupancy: Date t6insp.doc-rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 7 of 18 I Commonwealth of Massachusetts _ @ Title 5 Official Inspection Form �c Subsurface Sewage Disposal System Form -Not for Voluntary Assessments �... . 946 Craigville Beach Rd. Property Address Suni Sands Condominiums Owner Owner's Name information is Centerville _ Ma. 02632 11-12-20 required for every page. CilylTown State Zip Code Date of Inspection D. System Information (cont.) 2. Commercial/Industrial Flow Conditions: Type of Establishment: Design flow(based on 310 CMR 15.203): Gallons per day(gpd) Basis of design flow(seats/persons/sq.ft., etc.): Grease trap present? ❑ Yes ❑ No Water treatment unit present? ❑ Yes ❑ No If yes, discharges to: Industrial waste holding tank present? ❑ Yes ❑ No Non-sanitary waste discharged to the Title 5 system? ❑ Yes ❑ No Water meter readings, if available: _ Last date of occupancy/use: Date Other(describe below): 3. Pumping Records: Source of information: August 2019 Was system pumped as part of the inspection? ❑ Yes ® No If yes, volume pumped: gallons How was quantity pumped determined? Reason for pumping: t5lnsp.doc-rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 8 of 18 i I Commonwealth of Massachusetts i Title 5 official Ins p ection Form 1i Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 946 Craigvilie Beach Rd. j Property Address Suni Sands Condominiums Owner Owner's Name Information Is Centerville Ma. 02632 11-12-20 required for every -- page, Cityfrown State Zip Code Date of Inspection D. System Information (cant.) 4. 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): Approximate age of all components, date installed (if known)and source of information: 1982 Were sewage odors detected when arriving at the site? ❑ Yes ® No 5. Building Sewer(locate on site plan): Depth below grade: feet Material of construction: ❑cast iron ®40 PVC ❑ other(explain): Distance from private water supply well or suction line: feet Comments (on condition of joints, venting, evidence of leakage, etc.): l5insp.doc•rev.7/26/2018 Title 6 Official Inspection Farm:Subsurface Sewage Dlsposef System•Page 9 of 18 i Commonwealth of Massachusetts L Title 5 Official Inspection Form _ ; Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 9.46 Craigville Beach Rd. Property Address Suni Sands Condominiums Owner Owner's Name information Is required for every Centerville Ma, 02632 11-12-20 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 6. Septic Tank(locate on site plan): 0 Depth below grade: feet Material of construction: ®concrete ❑ metal ❑fiberglass ❑ polyethylene ❑ other(explain) 3500 gal If tank is metal, list age: years Is age confirmed by a Certificate of Compliance? (attach a copy of certificate) ❑ Yes ❑ No 3500 Dimensions: 1" Sludge depth: Distance from top of sludge to bottom of outlet tee or baffle 29" _ 0 — Scum thickness Distance from top of scum to top of outlet tee or baffle 8" Distance from bottom of scum to bottom of outlet tee or baffle 18" _ How were dimensions determined? Stu dge jud a tape Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): 3500 gal tank with inlet and out tees in place, both covers at grade I - t5lnsp.doc rev.7/2 612 0 1 8 Title 5 Official Inspection Form:Subsurface Sewage Disposal System Pege 10 of 18 c Commonwealth of Massachusetts t Title 5 Official Inspection Form Yli Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 946 Crai ville Beach Rd. Property Address Suni Sands Condominiums _ Owner Owner's Name information Is Centerville Ma. 02632 11-12-20 I required for every - page. Cityrrown Slate Zip Code Date of Inspection D. System Information (cont.) 7. 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 Comments(on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): 8. Tight or Holding Tank(tank must be pumped at time of inspection)(locate on site plan): Depth below grade: Material of construction: ❑concrete ❑ metal ❑fiberglass ❑ polyethylene ❑other(explain): Dimensions: Capacity: gallons Design Flow: gallons per day — lbinsp,doc•rev.7/26/2018 Title 6 Official Inspection Form:Subsurface Sewage Disposal System•Page It of 18 f` I c Commonwealth of Massachusetts Title 5 Off p Official Inspection Form f . Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 946 Craigville Beach Rd. Property Address Suni Sands Condominiums — Owner Owner's Name information is required for every Centerville Ma. 02632 11-12-20 page. CityTrown Stale Zip Code Date of Inspection D. System Information (coat) 8. Tight or Holding Tank(cont.) 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 9. Distribution Box(if present must be opened) (locate on site plan): 0 Depth of liquid level above outlet invert Comments(note if box is level and distribution to outlets equal, any evidence of solids carryover, any evidence of leakage into or out of box, etc,): D Box is 16x16 with 3 outlet pipes, cover at_ Lade .. t5insp.doc-rev.712612018 Title 6 Official Inspection Form:Subsurface Sewage Disposal System-Page V of 18 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 946 Craigville Beach Rd. u Property Address Suni Sands Condominiums Owner Owner's Name information is Centerville Ma. 02632 11-12-20 required for every page. Cityfrown State Zip Code Date of Inspection D. System Information (cont.) 10. 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.): Pump and alarm are in working order * If pumps or alarms are not in working order, system is a conditional pass. 11. Soil Absorption System (SAS) (locate on site plan, excavation not required): If SAS not located, explain why: Type: ❑ leaching pits number: ® leaching chambers number: 12 ❑ leaching galleries number: ❑ leaching trenches number, length: — — ❑ leaching fields number, dimensions: ❑ overflow cesspool number: ❑ innovative/alternative system Type/name of technology: 15insp.doc rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 13 of 18 , I Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form Not for Voluntary Assessments 946 Craigville Beach Rd. Property Address Suni Sands Condominiums Owner Owner's Name information is Centerville Ma. 02632 11-12-20 required for every Slate Zip Code Date of Inspection page, CitylTown D. System Information (cost.) 11. Soil Absorption System (SAS) (cont,) Comments (note condition of soil, signs of hydraulic failure, level of ponding, damp soil, condition of vegetation, etc.): SAS is 12 flow diffusors in a field Pattern. flows are clean and dry with no sign of failure 12. Cesspools (cesspool must be pumped as part of inspection) (locate on site plan): Number and configuration J 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 Comments (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): t5insp,doc rev.712 612 0 1 8 Title 5 018clal Inspection Form:Subsurface Sewage Disposal System-Page 14 of 18 Commonwealth of Massachusetts Title 5 Official Inspection Form �, -- Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 946 Craigville Beach Rd. _. Property Address Sun! Sands Condominiums _ Owner Owner's Name Information is required for every Centerville Ma. 02632 11-12-20 page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) 13. 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.): t6lnsp.doc rev.7/2 6120 1 8 Title 5 Official Inspection Form:Subsurface Sewage Disposal System Page 15 of 18 I Commonwealth of Massachusetts � Title 5 Official Inspection Form / Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 946 Crai ville Beach Rd. `r Property Address Suni Sands Condominiums Owner Owner's Name information is Centerville Ma. 02632 11-12-20 required for every State Zip Code Date of Inspection page. City/Town D. System Information (cont.) 14. 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 F_ t6insp.doc rev.7/262018 Title 5 Official Inspection Form:Subsurface Sewage DIsposal System-Page 16 of 16 Commonwealth of Massachusetts � Title 5 official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments �! 946 Craigville Beach Rd. Property Address Suni Sands Condominiums — Owner Owner's Name information is required for every Centerville Ma. 02632 11-12-20 page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) 15. Site Exam: ® Check Slope ® Surface water ® Check cellar ® Shallow wells 5' Estimated depth to high ground water: feet Please indicate all methods used to determine the high ground water elevation: ® Obtained from system design plans on record 1-25-82 If checked, date of design plan reviewed: 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 — Before filing this Inspection Report, please see Report Completeness Checklist on next page. l5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 17 of 18 ' Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 946 Craigville Beach Rd. -. Property Address Suni Sands Condominiums — Owner Owner's Name Information Is Centerville _ Ma. _ 02632 11-12-20 required for every page. City/Town State Zip Code Date of Inspection E. Report Completeness Checklist Complete all applicable sections of this form inclusive of: ® A. Inspector Information: Complete all fields in this section. ® B, Certification: Signed & Dated and 1, 2, 3, or 4 checked ® C. Inspection Summary: 1, 2, 3, or 5 completed as appropriate 4(Failure Criteria)and 6(Checklist)completed ® D. System Information: For 8: Tight/Holding Tank—Pumping contract attached For 14: Sketch of Sewage Disposal System drawn on pg. 16 or attached For 15: Explanation of estimated depth to high gr oundwater r Included 6,"4.4 t S C rbV-Y1 0 P sA'i A,10 16insp.doc rev.712612018 Title 6 Official inspection Form:Subsurface Sewage Disposal System Page 18 Of 10 Nov 05 20, 10:12a Capewide Enterprises 5084774977 p.4 10/28/2020 Assessing As-Built Cards S OWN0PBARNSTAB E . � t�v;t 5�+.,F.Ad Co s, toCn7loN�` C .•. , .t3�� R�sEwAGcri=+�.�� d I VILLACIsty. Rt 1 �+u�r ASSESSOR'S MAP do PARCEL r- 1t+isFR4 {iFttS NAME de PHONE NO."_r'e% r,. St;l'f1C TANK CAPACITY 3 SbJ_ C-.al4ati LFACfiING FACILITY:(type)4bci 3�'Pe*er S {size) TICS (size) NO.OP BEDROOMS_H C6 OWNER 3C• ,'�t�' rtix�n PERMIT PAIL: COMPLIANCE DATE: Nepumlion Ulstnnec aetw•ean the. MaKimumAdjutt dGromdwatecTahlctoAcBotlomof Leaching Pncl;lty _Feet PtlYew Mler Supply Well and Ltaching Facility(If any wells exist na tits or ivitl+in 100 reel or kachlab Jh eiliq) Feat 1 ULcnf Wellend and Lwhlny Focllity(rfany wedeads exrat within _ 300 rai oricewolt ntc my) �peet r+URNISftEllBY„_ ., �� i l Nvx�l.� 1t0 ter- 1 v 1 4u�Ura ��Y�ow.0 33� l i http$://vNrtv.tawnofbarnS lable,US/Ceparinlerits/Ass essing/Property_ValueslHMdlsMay,asp?ni@ppar=2260082OA&seq=l 112 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments LUPY 946 Craigville Beach Road Suni Sands Condos Property Address John Darigan Unit#36 Owner Owner's Name information is required for Centerville MA 02632 November 15, 2010 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:When filling out A. General Information forms on the I computer,use 1. Inspector: only the tab key to move your Patrick T. Sullivan cursor-do not Name of Inspector use the return key. Ready Rooter, Inc. Company Name �+ P.O. Box 371 Company Address Sandwich MA 02563 City/Town State Zip Code 508-888-6055 SI 12843 Telephone Number License Number B. Certification I certify that I have personally inspected the sewage disposal system at this address and that the information reported below is true, accurate and complete as of the time of the inspection. The inspection was performed based on my training and experience in the proper function and maintenance of on site sewage disposal systems. I am a DEP approved system inspector pursuant to Section 16.340 of Title 5(310 CMR 15.000).The system: ® .Passes ❑ Conditionally Passes ❑ Fails ❑ Needs Further Evaluation by the Local Approving Authority November 16, 2010 Inspector`s Signature � ------ 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. I � I t5ins•09108 Title 5 Official Inspection Form:Subsurface S4'ge Disposal System•Page 1 of 1 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments `t 946 Craigville,Beach Road Suni Sands Condos Property Address John Darigan Unit#36 Owner Owner's Name information is required for Centerville MA 02632 November 15, 2010 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: I have not found any information which indicates that any of the failure criteria described in 310 CMR 15.303 or in 310 CMR 15.304 exist. Any failure criteria not evaluated are indicated below. Comments: System services 7 buildings. 20 total bedrooms. 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 cq pietion of the replacement or repair, as approved by the Board of Health, will pass. Check the box for"yes", "no"or"not deter�ned" (Y, N, ND)for the following statements. If"not determined," please explain. / The septic tank is metal and over 20 ye rs old*or the septic tank(whether metal or not) is structurally unsound, exhibits substanti I infiltration or exfiltration or tank failure is imminent. System will pass inspection if the existing t7t, 'is replaced with a complying septic tank as approved by the Board of Health. *A metal septic tank will pass ins gon if it is structurally sound, not leaking and if a Certificate of Compliance indicating that th7ND k is less than 20 years old is available. ❑ Y ❑ N (Explain below): t5ins•09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 2 of 2 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 946 Craigville Beach Road Suni Sands Condos Property Address John Darigan Unit#36 Owner Owner's Name information is required for Centerville MA 02632 November 15 2010 every page. Cityrrown State Zip Code Date of Inspection B. Certification (cont.) B) System Conditionally Passes (cont.): ❑ Observation of sewage backup or break o t or high static water level in the distribution box due to broken or obstructed pipe(s)or due to broken, settled or uneven distribution box. System will pass inspection if(with approval of Boar of Health): ❑ broken pipe(s)are replaced/ / ❑ Y ❑ N ❑ ND (Explain below): ❑ obstruction is removed ❑ Y ❑ N ❑ ND (Explain below): ❑ distribution box is 1 7 led 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 /10 Y ❑ N ❑ ND(Explain below): fL C) Further Evaluation is Required 'y the Board of Health: require f❑ Conditions exist which evaluation by the Board of Health in order to determine if the system is failing to protect�ublic 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 systj(n is not functioning in a manner which will protect public health, safety and the environment: Cesspool or privy is within 50 feet of a surface water ❑ Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh t5ins•09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 3 of 3 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 946 Craigville Beach Road Suni Sands Condos Property Address John Darigan Unit#36 Owner Owner's Name information is required for Centerville MA 02632 November 15, 2010 every page. CitylTown State Zip Code Date of Inspection B. Certification (cont.) 2. System will fail unless the Board of Health (and Public Water Supplier, if any) determines that the system is functioning in a manner that protects the public health, safety and environment: ❑ The system has a septic tank and oil absorption system (SAS)and the SAS is within 100 feet of a surface water supp or tributary to a surface water supply. El The system has a septic tank d SAS and the SAS is within a Zone 1 of a public water supply. ❑ The system has a septic tang 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 dista0e: r r **This system passes if the well ater analysis, performed at a DEP certified laboratory, for coliform bacteria indicates absent and th presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that other failure criteria are triggered.A copy of the analysis must be attached to this form. 3. Other: D) System Failure Criteria Applicable to All Systems: You must indicate"Yes"or"No"to each of the following for all inspections: Yes No ❑ ® Backup of sewage into facility or system component due to overloaded or clogged SAS or cesspool ❑ ® Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or clogged SAS or cesspool ❑ ® Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool ❑ ® Liquid depth in cesspool is less than 6" below invert or available volume is less than %day flow t5ins•09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 4 of 4 f Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 946 Craigville Beach Road Suni Sands Condos Property Address, John Darigan Unit#36 Owner Owner's Name information is required for Centerville MA 02632 November 15, 2010 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 tributary to a surface water supply. ❑ ® Any portion of a cesspool or privy is within a Zone 1 of a public well. ❑ ® Any portion of a cesspool or privy is within 50 feet of a private water supply well. ❑ ® Any portion of a cesspool or privy is less than 100 feet but greater than 50 feet from a private water supply well with no acceptable water quality analysis. [This system passes if the well water analysis, performed at a DEP certified laboratory,for fecal coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered.A copy of the analysis and chain of custody must be attached to this form.) ❑ ® The system is a cesspool serving a facility with a design flow of 2000gpd- 10,000gpd. ❑ ® The system fails. I have determined that one or more of the above failure criteria exist as described in 310 CMR 15.303, therefore the system fails. The system owner should contact the Board of Health to determine what will be necessary to correct the failure. E) Large Systems: To be considered a large system the system must serve a facility with a design flow of 10,000 gpd to 16,000 g d. For large systems, you must indicate ither"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 syst is within 200 feet of a tributary to a surface drinking water supply ❑ ❑ the sys em 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 Se on D above the large system has failed. The owner or operator of any large system considered a si nificant 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•09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 5 of 5 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 946 Craigville Beach Road Suni Sands Condos Property Address John Darigan Unit#36 Owner Owner's Name information is required for Centerville MA 02632 November 15 2010 every page. Cityrrown 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): 20 Number of bedrooms (actual): 20 DESIGN flow based on 310 CMR 15.203(for example: 110 gpd x#of bedrooms): 2220 GPD Lt5i ns•09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 6 of 6 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 946 Craigville Beach Road Suni Sands Condos Property Address John Darigan Unit#36 Owner owner's Name information is required for Centerville MA 02632 November 15, 2010 every page. City/Town State Zip Code Date of Inspection D. System Information Description: Number of current residents: 2 in#36 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 Seasonaluse? ❑ Yes ® No Water meter readings, if available(last 2 years usage(gpd)): unavailable Detail: Sump pump? ❑ Yes ® No Last date of occupancy: Current Date Commercial/Industrial Flow Conditions: Type of Establishment: / Design flow(based on 310 CMR 15.203): r Gallons per day(gpd) Basis of design flow(seats/persons/sq.ft., Grease trap present? ❑ Yes ❑ No Industrial waste holding tank /the ❑ Yes ❑ No Non-sanitary waste dischargee 5 system? ❑ Yes ❑ No Water meter readings, if avail t5ins•09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 7 of 7 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 946 Craigville Beach Road Suni Sands Condos Property Address John Darigan Unit#36 Owner Owner's Name information is required for Centerville MA 02632 November 15, 2010 every page. Cityrrown 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: Ready Rooter records: Pumped every Oct. since 2003 Was system pumped as part of the inspection? ❑ Yes ® No If yes, volume pumped: gallons How was quantity pumped determined? Reason for pumping: Type of System: ® Septic tank, distribution box, soil absorption system ❑ Single cesspool ❑ Overflow cesspool ❑ Privy ® Shared system (yes or no) (if yes, attach previous inspection records, if any) ❑ Innovative/Alternative technology. Attach a copy of the current operation and maintenance contract(to be obtained from system owner) and a copy of latest inspection of the I/A system by system operator under contract ❑ Tight tank. Attach a copy of the DEP approval. ® Other(describe): Pump chamber t5ins-09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 8 of 8 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments °( 946 Craigville Beach Road Suni Sands Condos Property Address John_Darigan Unit#36 Owner Owner's Name information is required for Centerville MA 02632 November 15, 2010 every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Approximate age of all components, date installed (if known)and source of information: System installed 1982. As built and engineered plans on file at Board of Health. Were sewage odors detected when arriving at the site? ❑ Yes ® No Building Sewer(locate on site plan): Depth below grade: 1 feet Material of construction: ❑ cast iron ®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.): Septic Tank(locate on site plan): Depth below grade: 0 feet Material of construction: ®concrete ❑ metal ❑fiberglass ❑ polyethylene ❑ other(explain) If tank is metal, list age: years Is age confirmed by a Certificate of Compliance? (attach a copy of certificate) ❑ Yes ❑ No Dimensions: 17'X 6.5'X 6' 3500 gallons Sludge depth: 1/2 t5ins•09108 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 9 of 9 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 946 Craigville Beach Road Suni Sands Condos Property Address John Darigan Unit#36 Owner Owner's Name information is required for Centerville MA 02632 November 15, 2010 every page. Cityrrown 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 52" Scum thickness 1" Distance from top of scum to top of outlet tee or baffle 61- Distance from bottom of scum to bottom of outlet tee or baffle 16" How were dimensions determined? Tape measure and dip tube. Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): Inlet and outlet PVC tees in place. Liquid level at outlet invert. Metal covers are to grade. 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 Ztoboftorn tlet tee or baffle Distance from bottom of sc 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 10 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments ag 946 Craigville Beach Road Suni Sands Condos Property Address John Darigan Unit#36 Owner Owner's Name information is required for Centerville MA 02632 November 15 2010 every page. Cityfrown State Zip Code Date of Inspection D. System Information (cont.) Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): Tight or Holding Tank(tank must be pumped at time of inspection) (locate on site plan): Depth below grade: 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•09/08 Title 6 Official Inspection Form:Subsurface Sewage Disposal System•Page 7 f of 1 f Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 946 Craigville Beach Road Suni Sands Condos Property Address John Darigan Unit#36 Owner Owner's Name information is Centerville MA 02632 November 15 required for , 2010 every page. Cityrrown 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.): One inlet, three outlets w/equal flow. No solids carryover. No high water staining over outlet inverts. 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.): All floats and alarms working. Two pumps in chamber. Both checked and working. Soil Absorption System (SAS) (locate on site plan, excavation not required): If SAS not located, explain why: Lt5in. B Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 12 of 12 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 946 Craigville Beach Road Suni Sands Condos Property Address John Darigan Unit#36 Owner Owner's Name information is required for Centerville MA 02632 November 15, 2010 every page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) Type: ❑ leaching pits number: ® leaching chambers number: 12 flow diffusors ❑ 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.): 3 rows of 4 units w/4'of stone. 44'X 40'. No sign of ponding. No sign of past hydraulic failure. Cesspools(cesspool must be pumped as part of inspection) (locate on site plan): Number and configuration Depth—top of liquid to inlet invert l Depth of solids layer i Depth of scum layer t` 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 13 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 946 Craigville Beach Road Suni Sands Condos Property Address John Darigan Unit#36 Owner Owner's Name information is required for Centerville MA 02632 November 15, 2010 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.): / t Privy(locate on site plan): Materials of construction: / Dimensions i Depth of solids I Comments(note condition of soil, sig s of hydraulic failure, level of ponding, condition of vegetation, etc.): t5ins•09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 14 of 14 Commonwealth of Massachusetts lowTitle 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 946 Craigville Beach Road Suni Sands Condos Property Address John Darigan Unit#36 Owner Owner's Name Information is required for Centerville MA 02632 November 15,2010 every page. Cityrrown 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 3 � ��= t 6-3= 33 `t t5ins•09108 Title 5 Official InspeWon Fonts Subsurface Sewage Disposal System•Page 15 of 15 I Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments "t 946 Craigville Beach Road Suni Sands Condos Property Address John Darigan Unit#36 Owner Owner's Name information is required for Centerville MA 02632 November 15 2010 every page. Cityrrown 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: 5 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: January 25, 1982 Date ❑ Observed site(abutting property/observation hole within 150 feet of SAS) ® Checked with local Board of Health-explain: Previous Inspection 2005. ❑ Checked with local excavators, installers-(attach documentation) ® Accessed USGS database-explain: ma.water.usgs.gov terraserver-usa.com You must describe how you established the high ground water elevation: Test hole for system installation shows adj. ground water at elv= .5. Base of SAS at elv= 5.5. Accessed local ground water contours and topo mapping. Before filing this Inspection Report, please see Report Completeness Checklist on next page. t5ins•09/08 Title 5 Official Inspection Forth:Subsurface Sewage Disposal System-Page 16 of 16 commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments °< 946 Craigville Beach Road Suni Sands Condos Property Address John Darigan Unit#36 Owner Owner's Name information is required for Centerville MA 02632 November 15, 2010 every page. Cityrrown State Zip Code Date of Inspection E. Report Completeness Checklist 0 Inspection Summary: A, B, C, D, or E checked ® Inspection Summary D(System Failure Criteria Applicable to All Systems)completed ® System Information—Estimated depth to high groundwater ® Sketch of Sewage Disposal System either drawn on page 15 or attached in separate file t5ins•09108 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 17 of 17 Su�� 6TOWN OF BARNSTABLE LOCATION �G VILLAGE C�.,,v�ru'v�.L�e� ASSESSOR'S MAP&PARCELAU, -4*-o, Fk s�cc� Ip IDSs- NAME&PHONE NO.';Zrtaa,- y SEPTIC TANK CAPACITY 3 S-OCD 3 c.� cMv C5 LEACHING FACILITY:(type)t� (size) $Lzj!�, _ NO.OF BEDROOMS a O OWNER-at 3<Z Jt6wrr1�,A.� PERMIT DATE: COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility S 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 r 0 33 ' COMMONWEALTH OF MASSACHUSETTS Z f EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS a DE3'ARTMENT OF ENVIRONMENTAL PROTECTION * e� ! y O,9M S�6 350 MAIN STF RET (D WEST YARMOUTH,MA %P Z+�' 508-775-2800 TITLE 5 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM FORM PART A CERTIFICATION S�� MAP 226-PARC 082 Property Address: 946 CRAIGVILLE BEACHE-UNIT 36 CENTERVILLE,MA 02632 Owner's Name: AUCOIN,PETER _ -n Owner's Address: 405 I.IBERTY HIGHWAY ,, PU-1NAM,CT 06260 -c Date of Inspection MAY-,CH 9,2005 Name of Inspector:(please print) JAMES D.SEARS r Company Name: A&B Calico -..� Mailing Address: 350 Main Street West Yarmouth,MA 02673 Telephone Number: 508-775-2800 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 inspecnon was performed based on my training and experience in the p:oper function and maintenance of on site sewage tt sposal systems. I am a DEP approved system inspector pursuant to Section 15.340 of Title 5(310 CM 15.000). The system: ✓ Passes Conditionally Passes Needs Further Evaluation by the Local Approving Authority Fails Inspector's Signature: Date: The system inspector shall subrrgt 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 tot he buyer,if aplilicable,and the approving authority. Notes and Comments NO1 : :j Y a s EM SHARED WITH ALL CONDO UNITS. ****This report only describes conditions at the time of inspection and under the conditions of use at that time. This inspection does not address how the system will perform in the future under the same or different conditions of use. Title 5 Inspection Form 6/15/2000 1 Page 2 of 11 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address: 946 CRAIGVILLE BEACH ROAD CENTERVILLE,MA 02632 Owner: AUCOIN,PETER Date of Inspection: MARCH 9,2005 Inspection Summary: Check A,B,C,D or E/ALWAYS complete all of Section D A. System Passes:.( I have not found any information which indicates that any of the failure criteria described in 310 CUR 15.303 or in 310 CUR 15.304 exist. Any failure criteria not evaluated are indicated below. Comments: B. System Conditionally Passes: N/A One or more system components as described in the"Conditional Pass"section need to be replaced or repaired. The system,upon completion of the replacement or repair,as approved by the Board of Health,will pass. Answer yes,no or not determined(Y,N,ND)in the for the following statements. If"not determined" please explain. _ The septic tank is metal and over 20 years old*or the septic tank(whether metal or not)is structurally unsound, exhibits substantial infiltration or exfiltration or tank failure is imminent. System will pass inspection if the existing tank is replaced with complying septic tank as approved by the Board of Health. *A metal septic tank will pass inspection if it is structurally sound,not leaking and if a Certificate of Compliance indicating that the tank is less than 20 years old is available. ND explain: Observation of sewage backup or break out or high static water level in the distribution box due to broken or obstructed pipe(s)or due to a broken,settled or uneven distribution box. System will pass inspection if(with approval of Board of Health): broken pipe(s)are replaced obstruction is removed distribution box is leveled or replaced ND explain: The system required pumping more than 4 times a year due to broken or obstructed pipe(s). The system will pass inspection if(with approval of the Board of Health)" broken pipe(s)are replaced obstruction is removed ND explain: Title 5 Inspection Form 6/15/2000 2 Page 3 of 11 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION(CONTIlIUED) Property Address: 946 CRAIGVILLE BEACH ROAD CENTERVILLE,MA 02632 Owner: AUCOIN,PETER Date of Inspection: MARCH 9, 2005 C. Further Evaluation is Required by the Board of Health:N/A Conditions exist which require further evaluation by the Board of Health in order to determine if the system is failing to protect public health,safety,or the environment. 1. System will pass unless Board of Health determines in accordance with 310 CMR 15.303(1)(b)that the system is not functioning in a manner which will protect public health safety and the environment: Cesspool or privy is within 50 feet of a surface water Cesspool or privy is within 50 feet of a bordering vegetated wetl<.nd or salt marsh 2. System will fail unless the Board of Health(and Public Water Supplier,if any)determines that the system is functioning in a manner that protects the public health,safety and environment: The system has a septic tank and soil absorption system(SAS)and the SAS is within 100 feet of a surface water supply or tributary to a surface water supply. The system has a septic tank and SAS and the SAS is within a Zone 1 of public water supply. The system has a septic tank and SAS and the SAS is within 50 feet of a private water supply well. The system has a septic tank and SAS and the SAS is less than 100 feet but 50 feet or more from a private water supply well". Method used to determine distance "" This system passes if the well water analysis,performed at a DEP certified laboratory,for coliform bacteria and volatile organic compounds indicates that the well is free from pollution from that facility and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm,provided that no other failure criteria are triggered. A copy of the analysis must be attached to this form. 3. Other: Title 5 Inspection Form 6/15/2000 3 Page 4 of 11 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION(CONTINUED) Property Address: 946 CRAIGVII.,LE BEACH ROAD CENTERVILLE,MA 02632 Owner: AUCOIN,PETER Date of Inspection: MARCH 9,2005 D. System Failure Criteria applicable to all systems: You must indicate"yes"or"no"to each of the following for all inspections: Yes No ✓ Backup of sewage into facility or system component due to overloaded or clogged SAS or cesspool Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or clogged SAS or cesspool ✓ Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool ✓ Liquid depth in leaching is less than 6"below invert or available volume is less than11/2 day flow Required pumping more than 4 tunes 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 N/A Any portion of cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply N/A Any portion of a cesspool or privy is within a Zone 1 of a public well N/A Any portion of a cesspool or privy is within 50 feet of a private water supply well N/A 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 or less than 5 ppm,provided that no other failure criteria are triggered. A copy of the analysis must be attached to this form.) NO (Yes/No)The system fails. I have determined that one or more of the above failure criteria exist as described in 310 CMR 15.303,therefore the system fails. The system owner should contact the Board of Health to determine what will be necessary to correct the failure. E. Large Systems: N/A To be considered a large system the system must service a facility with a design flow of 10,000 gpd to 15,000 gpd. You must indicate either"yes" or"no to each of the following: (The following criteria apply to large systems in addition to the criteria above) Yes No the system is within 400 feet of a surface drinking water supply the system is within 200 feet of a tributary to a surface drinking water supply the system is located in a nitrogen sensitive area(Interim Wellhead Protection Area—IWPA)or a mapped Zone II of a public water supply well. If you have answered"yes"to any question in Section E the system is considered a significant threat,or answered "yes"in Section D above the large system is 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 CUR 15.304. The system owner should contact the appropriate regional office of the Department. Title 5 Inspection Form 6/15/2000 4 Page 5 of 11 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B CHECKLIST Property Address: 946 CRAIGVILLE BEACH ROAD CENTERVILLE,MA 02632 Owner: AUCOIN,PETER Date of Inspection: MARCH 9,2005 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 systesri 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)has been determined based on: Yes No ✓ 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 CNM 15.302(3Xb)] Title 5 Inspection Form 6/15/2000 5 i Page 6 of 11 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION Property Address: 946 CRAIGVILLE BEACH ROAD CENTERVILLE,MA 02632 Owner: AUCOIN,PETER Date of Inspection: MARCH 9,2005 FLOW CONDITIONS RESIDENTIAL Number of Bedrooms(design): Number of bedrooms(actual): DESIGN flow based on 310 CMR 15.203(for example: 110 gpd x#of bedrooms: Number of current residents: Does residence have a garbage grinder(yes or no): Is laundry on a separate sewage system(yes or no): [if yes separate inspection required] Laundry system inspected(yes or no): Seasonal use(yes or no): Water meter readings,if available(last 2 years usage(gpd)): Sump pump(yes or no) Last date of occupancy: COMMERCIAL/INDUSTRIAL Type of establishment: CONDOMINIUMS Design flow(based on 310 CMR 15.203): 2,200 NOTE:UNIT 36/2 BEDROOM Basis of design flow(seats/persons/sgft,etc.): 2,200 Grease trap present(yes or no): NO Industrial waste holding tank present(yes or no): NO Non-sanitary waste discharged to the Title 5 system(yes or no): NO Water meter readings,if available: N/A Last date of occupancy/use: UNKNOWN OTHER(describe): GENERAL INFORMATION Pumping Records Source of information: YEARLY PUMPING Was system pumped as part of the inspection(yes or no): NO If yes,volume pumped: gallons—How was quantity pumped determined? Reason for pumping: TYPE OF SYSTEM 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 copy of the DEP approval Other(describe): PUMP CHAMBER Approximate age of all components,date installed(if known)and source of information: UNKNOWN Were sewage odors detected when arriving at the site(yes or no): NO Title 5 Inspection Form 6/15/2000 6 II OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 946 CRAIGVILLE BEACH ROAD CENTERVILLE,MA 02632 Owner: AUCOIN,PETER Date of Inspection: MARCH 9,2005 BUILDING SEWER(locate on site plan): N/A Depth below grade: Materials of construction: Cast iron _ 40 PVC _ other(explain) Distance from private water supply well or suction line: Comments(on condition of joints,venting,evidence of leakage,etc.): SEPTIC TANK(locate onsite plan): Depth below grade: 0 Material of construction: _ 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: 3500-GALLON PRE CAST Sludge depth: 3" Distance from top of sludge to the bottom of outlet tee or baffle: 51" Scum thickness: 1" Distance from top of scum to top of outlet tee or baffle: 8" Distance from bottom of scum to bottom of outlet tee or baffle: 20" How were dimensions detennined: PLAN&TAPE Comments(on pumping recommendations,inlet and outlet tee or baffle condition,structural integrity,liquid levels as related to outlet invert,evidence of leakage,etc.): MAIN TANK AT WORKING LEVEL,INLET TEE—OUTLET TEE. BOTH COVERS AT GRADE. GREASE TRAP(located on site plan) N/A Depth below grade: 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: Comments(on pumping recommendations,inlet and outlet tee or baffle condition,structural integrity,liquid levels as related to outlet invert,evidence of leakage,etc.): �I Page 8 of 11 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 946 CRAIGVILLE BEACH ROAD CENTERVILLE,MA 02632 Owner: AUCOIN,PETER Date of Inspection: MARCH 9,2005 TIGHT or HOLDING TANK: N/A (tank must be pumped at time of inspection)(locate on site plan) Depth below grade: Material of construction: concrete metal fiberglass polyethylene other(explain) Dimensions: Capacity: gallons Design Flow: gallons/day Alarm present(yes or no) Alarm level: Alarm in working order(yes or no): Date of last pumping Comments(condition of alarm and float switches,etc.): DISTRIBUTION BOX: ✓ (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.,): D-BOX IS 16"X 16"—12"BELOW GRADE,I LINE IN—3 LINES OUT.BOX IS CLEAN&SOLID WITH STEEL COVER AT GRADE.NO SIGN OF OVER LOADING OR SOLID CARRY OVER. PUMP CHAMBER: ✓ (locate on site plan) Pumps in working order(yes or no): ✓ Alarms in working order(yes or no): Comments(note condition of pump chamber,condition of pumps and appurtenances,etc.): PUMP CHAMBER IS 1000-GALLON PRE CAST WITH STEEL COVERS AT GRADE.TWO PUMPS,PUMPS AND ALARM WORKING—NO SOLID CARRY OVER. Title 5 Inspection Form 6/152000 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: 946 CRAIGVILLE BEACH ROAD CENTERVILLE,MA 02632 Owner: AUCOIN,PETER Date of Inspection: MARCH 9, 2005 SOIL ABSORPTION SYSTEM(SAS): (locate on site plan,excavation not required) If SAS not located explain why: Type leaching pits,number: �— leaching chambers,number: 12-40 X 44 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.) LEACHING IS THREE ROWS OF FOUR FLOWS PER ROW WITH 4'STONE. NO SIGN OF OVERLOADING. CESSPOOLS: N/A (cesspool must be pumped as part of inspectionXlocate on site plan) Number and configuration: Depth—top of liquid to inlet invert: Depth of solids layer: Depth of scum layer: Dimensions of cesspool: Materials of construction: Indication of groundwater inflow(yes or no): Comments(note condition of soil,signs of hydraulic failure,level of ponding,condition of vegetation etc.): PRIVY: N/A (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.) Title 5 Inspection Form 6/15/2000 9 Page 10 of 11 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS. SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 946 CRAIGVILLE BEACH ROAD CENTERVILLE,MA 02632 Owner: AUCOIN,PETER Date of Inspection: MARCH 9, 2005 SKETCH OF SEWAGE DISPOSAL SYSTEM Provide a sketch of the sewage disposal system including ties to at least two permanent reference landmarks or benchmarks. Locate all wells within 100.feet. Locate where public water supply enters the building. �9 C 3 � g c .4/ a A S/6 5� ' El o � 4 i Title 5 Inspection Form 6/15/2000 10 Page 11 of 11 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 946 CRAIGVILLE BEACH ROAD CENTERVILLE,MA 02632 Owner: AUCOIN, PETER Date of Inspection: MARCH 9, 2005 SITE EXAM Slope Surface water Check cellar Shallow wells Estimated depth to no groundwater 5 feet Please indicate(check)all methods used to determine the high ground water elevation: Obtained from system design plans on record-If checked,date of design plan reviewed: �— Observation 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: TEST HOLE 5' NO WATER TEST HOLE 3' BELOW LEACHING Title 5 Inspection Form 6/15/2000 i l I I b b b C 0 oy o e U � _ 0 00 p0 _____—______ Ic\ I I I I I 1 — 1 I I I I • I s I � - I AMcracnm TW 1 0S 1 D I � I � ' 0 � Ander<enmTw24S10-2(4"nulll - I I Ardcrsanm I FwG60xb 1 1 (� � I - I I > I > p / o I /m roir..." • 0 Andcrscnm W 1 BZ 1 O a _ r Anaersenm Tw2o42 i � o r.m.1•-I fJ�/a`Yv'-Ova• a I ..�ly�� ...,.". ........._,... ..,,.. a,.s E n I I HIM 0 0 I Andera.nB Tw 2 49 l o-4 f 4",nu111 I � C r.m.l o-l 0 5/e•x m-O ve• Andcrsenm T-W 2 4 S 1 O-2(9"mull 1 I I s I I ' 0 Thern.•Trum PG I a I F ro. } , 0 0 I x I __J I f I I . I I Anderaenm Tw 2 4 5 1 G-4 r 4"mml 1 A Andersenm TW 2104 2 -- I I s I MEET I � Y+ I A Andcrsanm TW 2042 ....::: �.... C .. ., ........ . I Anderaanm T-w 1 e,5 I c . o l ; I • ora Yoxo• : I _ AMsrscnm PWd,cs0&1 IF- -1... .7—1 BS 10 Andsrasnm TW 1 BZ 1 0 1 p. I I I { I I I I 0 � ' 0 ' A T C? _i a S 0fp II ,;3 Sn �r T 6e 6E i `} 0 (p T Copyright e2006 by lcenneth Sadler Assaclates: eTOV DRAWN 5Y: S 1 These plans are protected under Federal PROJECT: A'I'IOT1S r0�X1S'I'Ind)�'IDUSefDr: m d` copyright Laws.The original purchaser of this Pre je Ct# 1629 Yfy4yETH hADLE�-Jg-. 1 t plan is authorl2ed to construct one and only one home using this plan ModlFlcatlonor I' Professional Building Designer c0 reuse iz�rohibited,uitnout express written N3 0 permission of the Designer. C3 , O : : _I _ cr enclea,CrYOr9 and/or Om199 ns Any dis W a A n LOCATION ncnewea.elmenaana.ane/ar f�ennekh Nadler Assaoia�es d aamgaaontameddn let—dawments O LF-li�in-y S: __�!= 9 4�O GrAI vine�eaGh DAd shall be bralgm to the attention of —ul-6/-15/as pr4fessianalbuildingdesign t esgner prior to the comnenigna I O/2&Oei nstructlon RcceedngGenkery II to 1 can uctionconantutes nee eof Ith str the acceptscignI I IAI& cornrnerclal•re5ldentlaf"""""" I e of nlee.emand/oaiqI/I I/OGd i-....: ii....l.... dsrbep rret1uerroreandyor ofthe s uc,4a—P1sn 9/2 WO!o : P.O.BOx 1149•NyeMla.MA 02601•508.190.9937 became thereapOnsbit Of the -+---i.....q.ksadleroksadesign.com•www.ksedeslgncom j- - ? hooding comractor. • I 22t0" I 6 A �; 6 -9 �y Cn Q- f f °Q 2 ' 3 - I I I 0 I I � 0 6 Andcr<cnw AW 2 2 1->(widc mull I mu 0� -- -- — Andcrscne Aw2S I-e(widc mulil � S ry �Q .p I � I I I I o 1 I - Andcrwne AW 2 1 I I I I � I I I I I I I I I I I 1 Q - Anderccnm TW 14, 1 1 4`1-1,111 Andcr<sno FW41 Z OG 1 1-9 � p C➢ � " r.o.11'-9 a/4"x!d-1 1` p, Q I I I I I I I Acdcr—AW 21 V-0 S/0'x 2'-4>/B" O IOW I Z _ ---____ ___ 0 0 o t' Q Q ,- k\ - I I o I z o 1 I I I I � --_ -- L s o e CP acau<cnm AW 2I 1-O(widc mold Ip Anderccnm AW Z S 1-9(wide mull I S/0'v E'-9>/B' p Q Q :V I I I I 0 I 0 sa S J IV\ ma °° N N A O z f - 4'-5 1/9" I%'-!x•a/9` 9'-O" Gopyrlght 02006 by Kenneth Sadler Associates: DRAWN BY: U Theaeplaneareprotected Under Federal PROJECT: F-enovakions T-o exis4-in.house for: Copyright Laura.The orl ual chaser of this Pr jcet 1629 9 purchaser O Y-ENNETH yAr�LEK—.1�. ° plan Is authorlud to construct one and only Professional Sulldln De91 ner Z o e home using this plan Modification or r 9 9 reuse l5.prahlblied withouLexprrsz.wrR[en JO{-�.N �,� I �ON 3 parmisslon of the Designer. 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