Loading...
HomeMy WebLinkAbout1359 FALMOUTH ROAD/RTE 28 - Health 1359 Falmouth Road (route 28) Centerville P A - 229 086 0 0 UPC 12543 ' No. 53LOR wac•.,�..� MN No. Fee _*THE COMMONWEALTH OF MASSACHUSETTS Entered in computer:_ / PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes RppliLation for -Misposal 6pstem Construction permit Application for a Permit to Construct(INe*'O'Repair( ) Upgrade( ) Abandon( ) ❑Complete System ❑Individual Components Location 4trikeAddress or Lot No. ,U� �ikv',AN Owner's Name,Address,and Tel.No. 4� " Q�Vt Assessor's Map/Parcel � ®g6 Installer's Name,Address,and Te.No.-" C:1,,,�be"4 Designer's Name,Address,and Tel.No. kk\ °'Zoe cu- Bd i sou V&-i cla A, I LL C_ b(f. Vk L.8 eves'* yas�►�� , s fry o s Z Lpn Type of Building: $ Dwelling No.of Bedrooms Lot Size t�t, on sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) 40 gpd Design flow provided BB�TS70 gpd Plan Date `� ���11� Number of sheets l Revision Date Title Size of Septic Tank tv ;-er , ,fit)® Type of S.A.S.� 3� �c.� ���� ��JE/,f- Description of Soil S W.— Nature of Repairs or Alterations(Answer when applicable) Date last inspected: Agreement: The undersigned agrees to ensure the const=ental t�artce"T�io t e afore described on-site sewage disposal system in I with the provisions of Title 5 of a En ' and not to place the system in operation until a Certificate of Compliance has been issu*by.thisWh. 0 Date Application Approved by Date Application Disapproved by Date for the following reasons r Permit No. Date Issued ' 11011 pa. f No. k'� Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes t` PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS ftplication for -Misposal *pBtemi Construction Permit. Application for a Permit to Construct(!Repair( ) Upgrade( ) Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. ,lxi Owner's Name,Address,and Tel.No. �^0.^�te k 1N\v f4 CC r\,.t Cv:,ne- 4Z pr Assessor's Map/Parcel q o °� fat�i'a Installer's Name,Address,and Tetl.No.-t" C;,,�� 0 Designer's Name,Address,and Tel.No. k`` CA t- kv nt, `� lK^LSC64 b� 1ly�c 3 CGC 1� r t I _ YL Type of Building: Dwelling No.of Bedrooms Lot Size 13 � sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) 440 gpd Design flow provided 4 so gpd Plan Date f c Number of sheets Revision Date Title Size of Septic Tank _ — Type of S.A.S. 3 1 S7, Description of Soil SEC �.- Nature of Repairs or Alterations(Answer when applicable) s Date last inspected: Agreement: E 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 Envir entnm^ al Code and not to place the system in operation until a Certificate of Compliance has been issued by this Boa ealth. -1 .t Signed [ / f Date o A Application Approved by `�, I i fIJ j� r0 ; Date tL'l' vf V I Application Disapproved Date for the following reasons l Permit No. �VWIDate Issued -------------------------------------------------------- THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE,MASSACHUSETTS - Certificate of Compliance h ` THIS IS TO CERTIFY,that the On-site Sewage Disposal system Constructed( Repaired( ) Upgraded( ) Abandoned( )by e.•�� C € �TQ �(r at s q � _ �, r�� _. has been constructed in act ance i �1— with the provisions of Title 5 and the for Disposal System Construction Permit NA .6 ted Installer Designer �.1�\ !'� #bedrooms Approved design flow ! / / and The issuance of this permit hall not be construed as a guarantee that the system will ctio s design d. Date i'till Inspector Inspector i. vu ------------ -------------=------------ -------------------------------------------------------------------------------------- _ No. ./ Fee r THE COMMONWEALTH OF MASSACHUSETTS p PUBL C HEALTH DIVISION -BARNSTABLE,MASSACHUSETTS op Misposar *pstent Construction i3Prtnit Permia ssion is hereby granted to Construct( ) Repair( Upgrade( ) Abandon( ) 1" �J System located at / and as described in the above Application for Disposal System Construction Permit. The applicant recognized his/her duty to comply with Title 5 and the following local provisions or special conditions. x Provided:Construction s e o 1 t d within three years of the date of this permit. Date Approved by i y r . � Town of Barnstable WE Inspectional Services Public Health Division BAMffrast.e, Thomas McKean,Director i6I9• �� o ° 200 Main Street,Hyannis,MA 02601 Office: 508-8624644 Fax: 508-790-6304 Installer& Designer Certification Form Date: Sewage Permit# Assessor's MapWarcel j-J &78�0 Designer: A- n! Installer: �I to✓rF�� 0 Address: Address: d -� On ID �l—1 was issued a permit to install a (date) ( nstaller) L�k septic system at ! X— /j'le� 4 based on a design drawn by (address) dated (designer) �/ I ceiy that the septic system referenced above was installed substantially according to the design, which may include minor approved changes such as lateral relocation of the distribution box and/or septic tank. Strip out (if required) was inspected and the soils were found satisfactory. I certify that the septic system referenced above was installed with major changes (i.e. greater than 10' lateral relocation of the SAS or any vertical relocation of any component of the septic system) but in accordance with State & Local Regulations. Plan revision or certified as-built by designer to follow. Strip out (if required) was inspected and the soils were found satisfactory. I certify that the system refere ove was construe i� c ith the terms of the I\A approval lette pplicable) 6 Scott A. 0i o McGann P(Insta�ller's Signature) v #1224 rs fN (Designer's Signature) (Affix e Here) PLEASE RETURN TO BARNSTABLE PUBLIC HEALTH DIVISION. CERTIFICATE OF COMPLIANCE WILL NOT BE ISSUED UNTIL BOTH THIS FORM AND AS- BUILT CARD ARE RECEIVED BY THE BARNSTABLE PUBLIC HEALTH DIVISION. THANK YOU. WoWeptAHEALTMSEWER connecASEPTIMesigner Certification Form Rev&14-13,DOC TOWN OF BARNSTABLE LOCATION,3 ba+„9,� V, SEWAGE# a VILLAGE C_— . �A—S7S—ESSOR'S MAP&PARCEL INSTALLER'S NAME&PHONE NO. SEPTIC TANK CAPACITY l? J, LEACHING FACILITY:(type) 5 0� (,c-P, kuvw(,_(size) 1'3)(Z y NO.OF BEDROOMS ^ / OWNER ✓`' jt,!�t, PERMIT DATE: w_ Y_t°t COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility(If any wells exist on site or within 20..0 feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) Feet FURNISHED BY Grt, o� q3 `/0 q& q EEO] < << 61 cN Massachusetts Department of Environmental Protection i Bureau of Resource Protection f WELL DRILLER Please specify work performed: Address at well location: New Well Street Number: Street Name: 1359 FALMOUTH ROAD Please specify well type: Building Lot#: Assessor's Map M Irrigation 229 Assessor's Lot#: ZIP Code: Number Of Wells: 1086 102632 City/Town: Well Location BARNSTABLE In public right-of-way: GPS Yes C}No North: West: 41.65669 70.33662 Subdivision/Property/Description: Mailing Address: —i click here if same as well location address. Property Owner: Street Number: Street Name: ALVES 1359 FALMOUTH ROAD City/Town: State: Engineering Firm: IBARNSTABLE MASSACHUSETTS ZIP Code: 02632 Board of health permit obtained: O)Yes C_-) Not Required Permit Number: Date Issued: W201027 10/15/2010 Page 1.of 1 Massachusetts Department of Environmental Protection h Bureau of Resource Protection—Well Driller Program . Well Completion Reports(General) R „ WELL DRILLER - GENERAL WELL FORM DRILLING METHOD Overburden Bedrock - Auger Choose Bedrock WELL LOG OVERBURDEN LITHOLOGY From Drop in Extra fast or slow Loss or addition of To(ft) Code Color Comment drill stem drill rate fluid C10 Sand And Gravel GO 4 Brown_- Ye� Fast Q Slow Loss r Addition F1—67 30 __ Sand And Gravel I Brown r Ye r Fast r Slowl Loss 0 Addition 30 33 Fine To Coarse Sand Brown E,Ye Q Fast r Slow r Loss r Addition WELL LOG BEDROCK LITHOLOGY _ Visible Extra From Drop in Extra fast or slow Loss or addition of To(ft) Code Comment Rust Large (ft) ' drill stem drill rate fluid Staining Chips Choose Code ( Ye Fast Slow Gj Loss GJ Addition r Ye r Yes; ADDITIONAL WELL INFORMATION Developed F('?Yes r No Disinfected r;Yes �' No , Total Well Depth 33 Depth to Bedrock Fracture Surface Seal Type None Enhancement t-)Yes G No CASING FF Is Casing From: 11 To: 0 From To Type Thickness Diameter Driveshoe _ n F 30 Polyvinyl Chloride _ �� Schedule 40 SCREEN From To Type s Slot Size Diameter 30 33 Stainless Steel Well Point_ _ 0.012 WATER-BEARING ZONES _r DRY WELL; :From R To Yield(gpm) m 12 I 33 15 PERMANENT PUMP(IF AVAILABLE) 2 Wire Constant Speed Pump Description I Horsepower Submersible 1/2 Pump Intake Depth(ft) 30 Nominal Pump Capacity(gpm) 10 Page 1 of 2 Massachusetts Department of Environmental Protection �. Bureau of Resource Protection—Well Driller Program Well Completion Reports(General) ANNULAR SEAL I FILTER PACK .Water,. ;From To Material 1 Weight Material 2 Weight(gal) Batches Method Of Placement Choose Material Choose Material --Choose One-- LL _ C � i C � � � � � 11 WELL TEST DATA _ Pumping Time ' Time To Recovery(ft Date Method Yield(gpm) Lever(ft Pumped BGS) Recover, BGS) 10/22/2010 Constant Rate Pump 15 1:00 13 001 12 WATER LEVEL Date Measured Static Depth BGS (ft) Flowing Rate(gpm) 10/22/2010 12 _ 15 _ COMMENTS - • m ! WELL DRILLERS STATEMENT This well was drilled or altered under my direct supervision,according to the applicable rules and regulations,and this report is complete and accurate to the best of my knowledge. Driller I PATRICKM DESMOND Registration# Supervising Driller Signature DESMOND,PATRICK Firm IDESMONDWELL DRILLIN' Rig Permit# 099 Date Job Complete 11/12/2010 NOTE:Well Completion Reports must be filed by the registered well driller within 30 days of well completion. t Page 2 of 2 ENVIROTECII LABORATORIES,INC. MA CERT. NO.:M-MA 063 8 Jan Sebastian Drive Unit 12 Sandwich,MA 02563 (508)888-6460 1-800-339-6460 FAX(508)888-6446 Client Name Desmond Well Drilling Location Alves, 1359 Falmouth Rd— Address PO Box 2783 Centerville,MA Orleans MA 02653 Sample Date 10/22/10 Collected By Desmond wells Sample Time 11:45 Sample Type New Well/Irrigation Date Received 10/22/10 r. Lab Order Number DW-103176 Well Specs 4"SCH40 PVC/ 33712' Location Source Date Collected Time a Collected Continents Analysis Requested Units Recommended Limits Analysis Result Method Date Analvzed Analyzed By Total Coliform /100ml 0 0 SM9222B 10/22/2010 IRS pH pH units 6.5-8.5 5.78 SM4500-H-B 10/22/2010 LL Specific Conductancen umhos/cm 500 94 EPA 120.1 10/22/2010 LL Nitrite-N mg/L 1.00 <0.004 EPA 300.0 10/22/2010 LL Nitrate-N mg/L 10.0 <0.01 EPA 300.0 10/22/2010 LL Sodium mg/L 20.0 14.1 EPA 200.7 10/26/2010 MC Total Ironn mg/L 0.3 0.04 EPA 200.7 10/26/2010 MC Manganesen mg/L 0.05 0.014 EPA 200.7 10/26/2010 MC Comments: Low pH indicates high corrosive characteristics. Water meets EPA standards and i suita a for drinking for parameters tested. - -- -- - Date Rolm aari Laboratory Di r ctor BRL=Below Reportable Limits *See Attached Page 1 of 1 aCert ication is not available for this analyte for non potable water samples.. i No.--------- ---- / Fee---- -------- BOARD OF HEALTH DESM RAY WELL DRILLING, 'TOWN OFF B A R N S T A B L E 5 RAYBER ROAD,BOX 2783 ORLEANS,MA 02653 F13)240-1000 2plicattold,forWell Con0truct[onPermit Application is hereby made for a permit to Construct , Alter ( ), or Re air ( )an individual Well at: Location — Address _ Assessors Map and Parcel —,�j— Owner Address Tom, Installer — Driller Address Type of Building Dwelling—-- _—_-------____--------__.___.-- Other - Type of Building ___ No. of Persons--- __---------_ Type of Well Capacity—/G-<SPAt —__— Purpose of Well-R-r—ea __ `� � 6.v 1.T-4 klk rovc— Agreement: The undersigned agrees to install the aforedescribed individual well in accordance with the provisions of The Town of Barnstable Board of Health Private Well Protection Regulation — The undersigned further agrees not to place the well in operation until Aertificateof mpliance has been issued by the Board of Health. Signed ate Application Approved By -_ _ ___�_— �'b date Application Disapproved for the following reasons: _ _ —_—__._------------------------- —' date ----- Permit No. — — -— Issued----- -— - ----___----- - date BOARD OF HEALTH DESMOND WELL DRILLING, INC.T O W N OF B A R N S T A B L E 5 RAYBER ROAD,BOX 2783 OR LEANS,MA 02653 (508)240-1000 Certificate Of Compliance TH TO CERTIFY, That the Individual Well Constructed (v-<Altered ( ), or Repaired ( ) by LIZ _— -- — --- —_--____-- �-� installer at_ ! ?� - - - -- -------------------------- has been installed in accordance with the provisions of the Town of Barnstable Board of Health Private Well Protection Regulation as described in the application for Well Construction Permit No. -----------Dated----------- THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE WELL SYSTEM WILL FUNCTION SATISFACTORY. DATE _ _ Inspector --��--____-- ' -7 , No.- a �' -- --- ( Fee-------------- BOARD OF HEALTH TOWN OF BARNSTABLE DESMONDVELL DRILLING, INC. S RAYBERNS,AD,MA 02653OX 3 Zipplicatiouffor Veri Con.5truction permit ORLEANS,MA 02653 (508)240-1000 Application is hereby made for a permit to Construct �-<`Alter ( ), or Re air ( )an individual Well at: 3_ .__t 4-Lh40 UT4 RoW�p — -—--�- (0 5C' -- Location — Address Assessors Map and Parcel ^ n —YVj F�_A('Xi l4'LVF / 35 t f4 Lt!Yt�c� -1 2d� Gr�2 U1L4� Owner _ Address 5- 14 - Installer — Driller Address -- - -------------- Type of Building Dwelling _-------------------____-- Other - Type of Building- ____ No. of Persons--- Type of Well -C-41126)` _ LOGL L.__ Capacity �pA Purpose of Well- p ___ --- - - ------ -__— w t-r 14. `/'k ()v c_ Agreement: The undersigned agrees to install the aforedescribed individual well in accordance with the provisions of The Town of Barnstable Board of Health Private Well Protection Regulation - The undersigned further agrees not to place the well in operation until a ertificate.of Compliance has been issued by the Board of Health. Signed --- -----_- _ A fb-- ate Application Approved By I LIZ,, V daI te Application Disapproved for the following reasons: date Permit No. -- Issued------------- --=- -------- date BOARD OF HEALTH DESMOND WELL DRILLING, WT O W N OF BARNSTABLE 5 RAYBER ROAD,BOX 2783 ORLE4NS,MA 02653 240-1600 Certificate (of (compliance (508) THIS S TO CERTIFY, That the Individual Well Constructed ( Altered ( ), or Repaired ( ) _ Installer has been installed in accordance with the provisions of the Town of Barnstable Board of Health Private Well Protection Regulation as described in the application for Well Construction Permit No. _-_-____________Dated----- -------- THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE WELL SYSTEM WILL FUNCTION SATISFACTORY. DATE------ - - Inspector-- ----- --- -- i f--------------------------e----------------�-----------------------s—.-------'oe—.-----..es^. t BOARD OF HEALTH ' TOWN OF BARNSTABLE DESMOND WELL DRILLING, INC. 5 RAYBER ROAD,BOX 2783 ,ORLEANS,MA 02653 Veil Cootructionpertnit (508)240-1000 No. ► o U - 10� _ Fee------- Permission is hereby granted�)?-,w� � _ CIV rz7/L.-- b_R•l LL -------------- to Construct ( ), Alter ( ), or Repair ( ) an Individual Well at: No.� ( l Nt t /C. 1IIL(._X---- --__ Street —as shown on the application for a Well Construction Permit No.- Dated DATE 0 �°— Board of Health i now— r. 'i` _��j•�.�• � op�Iicf '7F�� ►` � � .�i 1 �,h�;3y •„gYF i th S i �`R ,fir �� .++-T ,� �� ' � � ,�� ., i •r 'F~ , * � v{ � .. • y_ 7� i � I 1�•� r7•s ) ... * .yam �i' a� 1� �4m41 ,'. `.�kR y:. � dS=:�Y )�•�. f'+f i t \�.Y"':�' _.�r'y�. �„ � �y�'r',�'�.. y.� �r� f �..�z },.�' ,a is�ti 4 Je 71. Wk s _ w ••:S • II r"'i6ty T, �4"�� < p i .�,• _ p°,• 5 f � £;i .'n" 1(`, •�; a .:. 7 i.ice' • l 3 , } .t t; _ y 1••11 .s. K • • 086 Selected Parcel •. - - • - • • • '• 01 11 _ • • •RAcreage: Location: • '•'1 • • • III Feb 16 10 10: 44a Colleen Mason (508) 833-2177 p. l COMMONWEALTH OF MASSACHUSETTS EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS DEPARTMENT OF ENVIRONMENTAL PROTECTION David B.Mason,R.S,Certified Title V Inspector,508-833-2177 TITLE 5 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM FORM PART A CERTIFICATION I Property Address: 1359 Falmouth Road,Centerville I 1/V Owner's Name:De Almeida Owner's Address:7 Sweet Fern Lane,Sandwich,MA 02563 Date of Inspection:February 8,2010 at NOON A Name of Inspector:(please print)David B.Mason Company Name: N.A. Mailing Address:4 Glacier Path East Sandwich,MA 02537 � ''I Telephone Number:508-833-2177 p, CERTIFICATION STATEMENT I certify that I have personally inspected the sewage disposal system at this address and that the information reported below is true,accurate and complete as of the time of the inspection.The inspection was performed based on my training and experience in the proper function and maintenance of on site sewage disposal systems.I am a DEP W rn approved system inspector pursuant to Section 15.340 of Title 5(310 CMR 15.000). The system: Passes Conditionally Passes _ Needs Further Evaluation by the Local Approving Authority Fails Inspector'sDate: February 12,2010 The system inspector shall submit a copy of this inspection report to the Approving Authority(Board of Health or DEP)within 30 days of completing this inspection.If the system is a shared system or has a design flow of 10,000 gpd or greater,the inspector and the system owner shall submit the report to the appropriate regional office of the DEP.The original should be sent to the system owner and copies sent to the buyer,if applicable,and the approving authority. Notes and Comments:Tank should be pumped as a matter of maintenance. The information as identified represents only the condition of the system on February 8,2010 at noon.Increase in occupancy may result in hydraulic failure. ""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. v Feb 16 10 10: 44a Colleen Mason (508) 833-2177 p. 2 Page 2 of 1 I OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION(continued) Property Address: 1359 Falmouth Road,Centerville Owner's Name:De Almeida Date of Inspection:February 8,2010 Inspection Summary: Check A,B,C,D or E/ALWAYS complete all of Section D A. System Passes: _X I have not found any information which indicates that any of the failure criteria described in 310 CMR 15.303 or in 310 CMR 15.304 exist.Any failure criteria not evaluated are indicated below. Comments:Parking area should be defined to prevent parking on septic tank and pump chamber. B. System Conditionally Passes: One or more system components as described in the"Conditional Pass"section need to be replaced or repaired.The system,upon completion of the replacement or repair,as approved by the Board of Health,will pass. Answer yes,no or not determined(Y,N,ND)in the,for the following statements.If"not determined"please explain. The septic tank is metal and over 20 years old*or the septic tank(whether metal or not)is structurally unsound,exhibits substantial infiltration or exfiltration or tank failure is imminent.System will pass inspection if the existing tank is replaced with a complying septic tank as approved by the Board of Health. *A metal septic tank will pass inspection if it is structurally sound,not leaking and if a Certificate of Compliance indicating that the tank is less than 20 years old is available. ND explain: Observation of sewage backup or break out or high static water level in the distribution box due to broken or obstructed pipe(s)or due to a broken,settled or uneven distribution box.System will pass inspection if(with approval of Board of Health): broken pipe(s)are replaced obstruction is removed distribution box is leveled or replaced ND explain: __ The system required pumping more than 4 times a year due to broken or obstructed pipe(s).The system will pass inspection if(with.approval of the Board of Health): broken pipe(s)are replaced obstruction is removed ND explain: OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS CiTRCITRFAfF RF,WAf F.1)ICPOCAi.CVCTFM INCPVCTION FORM Feb 16 10 10: 44a Colleen Mason (508) 833-2177 p. 3 Page 3 of I 1 PART A CERTIFICATION(continued) Property Address: 1359 Falmouth Road,Centerville Owner's Name:De Almeida Date of Inspection:February 8,2010 C. Further Evaluation is Required by the Board of Health: Conditions exist which require further evaluation by the Board of Health in order to determine if the system is failing to protect public health,safety or the environment. 1. System will pass unless Board of Health determines in accordance with 310 CMR 15.303(1)(b)that the system is not functioning in a manner which will protect public health,safety and the environment: Cesspool or privy is within 50 feet of a surface water Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh 2. System will fail unless the Board of Health(and Public Water Supplier,if any)determines that the system is functioning in a manner that protects the public health,safety and environment: _ The system has a septic tank and soil absorption system(SAS)and the SAS is within 100 feet of a surface water supply or tributary to a surface water supply. The system has a septic tank and SAS and the SAS is within a Zone I of a public water supply. The system has a septic tank and SAS and the SAS is within 50 feet of a private water supply well. The system has a septic tank and SAS and the SAS is less than 100 feet but 50 feet or more from a private water supply well**.Method used to determine distance **This system passes if the well water analysis,performed at a DEP certified laboratory,for coliform bacteria and volatile organic compounds indicates that the well is free from pollution.from that facility and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm,provided that no other failure criteria are triggered.A copy of the analysis must be attached to this form. 3. Other: OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS 9TTR1.RITRFACV CF.WAGF MRPl1RAI,CVCTRM tNCPFCT10N FnRM Feb 16 10 10: 44a Colleen Mason (508) 833-2177 p. 4 Page 4 of 11 PART A CERTIFICATION(continued) Property Address: 1359 Falmouth Road,Centerville Owner's Name:De Almeida Date of Inspection:February 8,2010 D. System Failure Criteria applicable to all systems: You must indicate"yes"or"no"to each of the following for all inspections: Yes No X_ Backup of sewage into facility or system component due to overloaded or clogged SAS or cesspool X Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or clogged SAS or cesspool X Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool NA Liquid depth in cesspool is less than 6"below invert or available volume is less than%day flow —X— Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s). Number of times pumped_____. X_ Any portion of the SAS,cesspool or privy is below high ground water elevation. X Any portion of cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply. _X Any portion of a cesspool or privy is within a Zone 1 of a public well. _X Any portion of a cesspool or privy is within 50 feet of a private water supply well. X Any portion of a cesspool or privy is less than 100 feet but greater than 50 feet from a private water supply well with no acceptable water quality analysis.(This system passes if the well water analysis, performed at a DEP certified laboratory,for coliform bacteria and volatile organic compounds indicates that the well is free from pollution from that facility and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm,provided that no other failure criteria are triggered.A copy of the analysis must be attached to this form.] _NO_(Yes/No)The system fails.I have determined that one or more of the above failure criteria exist as described in 310 CMR 15.303,therefore the system fails.The system owner should contact the Board of Health to determine what will be necessary to correct the failure. E. Large Systems: To be considered a large system the system must serve a facility with a design flow of 10,000 gpd to 15,000 gpd. You must indicate either"yes"or"no"to each of the following: (The following criteria apply to large systems in addition to the criteria above) yes no ` the system is within 400 feet of a surface drinking water supply the system is within 200 feet of a tributary to a surface drinking water supply the system is located in a nitrogen sensitive area(Interim Wellhead Protection Area—I WPA)or a mapped Zone 11 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. OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS Feb 16 10 10: 45a Colleen Mason (508) 833-2177 p. 5 Page 5 of 11 PART B CHECKLIST Property Address: 1359 Falmouth Road,Centerville Owner's Name:De Almeida Date of inspection:February S,2010 Check if the following have been done.You must indicate"yes"or"no"as to each of the following; Yes No _X — Pumping information was provided by the owner,occupant,or Board of Health _X_ Were any of the system components pumped out in the previous two weeks? X _ Has the system received normal flows in the previous two week period? _ _X Have large volumes of water been introduced to the system recently or as part of this inspection? X _ Were as built plans of the system obtained and examined?(If they were not available note as N/A) _X_ — Was the facility or dwelling inspected for signs of sewage back up ? X_ _ Was the site inspected for signs of break out? _X — Were all system components,excluding the SAS,located on site?(INCLUDING THE'SAS) _X_ _ Were the septic tank manholes uncovered,opened,and the interior of the tank inspected for the condition of the baffles or tees,material of construction,dimensions,depth of liquid,depth of sludge and depth of scum? _X_ _ Was the facility owner(and occupants if different from owner)provided with information on the proper maintenance of subsurface sewage disposal systems? The size and location of the Soil Absorption System(SAS)on the site has been determined based on: Yes no _X_ — Existing information.For example,a plan at the Board of Health. _X_ _ Determined in the field(if any of the failure criteria related to Part Cis at issue approximation of distance is unacceptable)[310 CMR 15.302(3)(b)] OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS CTTRCTTDTi A!'F CTi WAf_Ti T17C1D�1CAT CVC'f`Ti M TNCFTi("T'Tl1W TilIDM Feb 16 10 10: 45a Colleen Mason (508) 833-2177 p. 6 Page 6 of 11 PART C SYSTEM INFORMATION Property Address: 1359 Falmouth Road,Centerville Owner's Name:De Almeida Date of Inspection:February 8,2010 FLOW CONDITIONS RESIDENTIAL Number of bedrooms(design):3_ Number of bedrooms(actual): DESIGN flow based on 310 CMR 15.203(for example: 110 gpd x#of bedrooms):330 Number of current residents:_0 Does residence have a garbage grinder(yes or no):NO(Not Allowed) is laundry on a separate sewage system(yes or no):NO [if yes separate inspection required] Laundry system inspected(yes or no):NA Seasonal use:(yes or no):NO Water meter readings,if available(last 2 years usage(gpd)):2008;23000gpd 2009;29,000gpd Sump pump(yes or no):NO Last date of occupancy:Unknown COMMERCIAIAND USTRIAL Type of establishment: Design flow(based on 310 CMR 15.203): gpd Basis of design flow(seats/persons/sq t,etc.): Grease trap present(yes or no):_ Industrial waste holding tank present(yes or no): Non-sanitary waste discharged to the Title 5 system(yes or no): Water meter readings,if available: Last date of occupancy/use: OTHER(describe): GENERAL INFORMATION Pumping Records Source of information:Board of Health 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:Maintenance pumping of septic tank is required. TYPE OF SYSTEM X_ Septic tank,distribution box,soil absorption system _Single cesspool _Overflow cesspool _Privy _Shared system(yes or no)(if yes,attach previous inspection records,if any) _Innovative/Alternative technology.Attach a copy of the current operation and maintenance contract(to be obtained from system owner) Tight tank _Attach a copy of the DEP approval _Other(describe): With pump chamber Approximate age of all components,date installed(if known)and source of information: 15+ Were sewage odors detected when arriving at the site(yes or no):NO OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS QTTDQTTDU AI'V QV,Q7Ad'IV T%TQDnQAI QVQTL`MTIIJQDJVA'rr'Tr%XT V.l1Dj&X Feb 16 10 10: 45a Colleen Mason t5081 833-2177 p. 7 Page 7 of i l PART C SYSTEM INFORMATION(continued) Property Address: 1359 Falmouth Road,Centerville Owner's Name:De Almeida Date of Inspection:February 8,2010 BUILDING SEWER(locate on site plan) Depth below grade:Approx.34 Inches Materials of construction:_cast iron _X_40 PVC_other(explain): Distance from private water supply well or suction line:_NA Comments(on condition of joints,venting,evidence of leakage,etc.): Appears in good condition. SEPTIC TANK:N.A.(locate on site plan) Depth below grade: 10 Inches Material of construction: X_concrete metal_fiberglass__polyethylene _other(explain) If tank is metal list age:_ Is age confirmed by a Certificate of Compliance(yes or no):_(attach a copy of certificate) Dimensions: Typical 1000 gal_ Sludge depth:4 inches Distance from top of sludge to bottom of outlet tee or baffle:28inches Scum thickness:variable 0 inches to 6 inches Distance from top of scum to top of outlet tee or baffle:0 inches Distance from bottom of scum to bottom of outlet tee or baffle:Not applicable no scum at outlet tee How were dimensions determined:actual measurements 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 tee is PVC.Outlet tee is PVC and appears in good condition. No evidence of leakage.outlet tee in place. Effluent level with outlet invert. Maintenance pumping is recommended. GREASE TRAP: 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.): OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM Feb 16 10 10: 45a Colleen Mason (508) 833-2177 p. 8 Page 8 of 11 PART C SYSTEM INFORMATION(continued) Property Address: 1359 Falmouth Road,Centerville Owner's Name:De Almeida Date of Inspection: February 8,2010 TIGHT or BOLDING 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:_X_(if present must be opened)(locate on site plan) Depth of liquid level above outlet invert:Level with 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.): 30 inches below grade.. Effluent level with outlet pipe. 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.): OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM Feb 16 10 10: 46a Colleen Mason (508) 833-2177 p. 9 Page 9 of I I PART C SYSTEM INFORMATION(continued) Property Address: 1359 Falmouth Road,Centerville Owner's Name:De Almeida Date of Inspection:February 8,2010 SOIL ABSORPTION SYSTEM(SAS): X_(locate on site plan,excavation not required) If SAS not located explain why: Tyler `X_leaching pits,number:2-550 gallon pits _leaching chambers,number:_ leaching galleries,number: leaching trenches,number,length: leaching fields,number,dimensions_Unknown 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 24 inches below grade with riser. Pits are empty without staining. CESSPOOLS:_(cesspool must be pumped as part of inspection)(locate on site plan) Number and configuration: Depth-top of liquid to inlet invert: Depth of solids layer. Depth of scum layer. Dimensions of cesspool: Materials of construction: Indication of groundwater inflow(yes or no): Comments(note condition of soil,signs of hydraulic failure,level of ponding,condition of vegetation,etc.): PRIVY:_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.): OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM Feb 16 10 10: 46a Colleen Mason (508) 833-2177 P. 10 Page 10 of I 1 PART C SYSTEM INFORMATION(continued) Property Address: 1359 Falmouth Road,Centerville Owner's Name:De Almeida Date of Inspection: February 8,2010 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. F 1 I i I {( . E 1 , r7L i I YJ _i o ' i OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM Feb 16 10 10: 46a Colleen Mason (508) 833-2177 p. 11 Page 11 of 11 PART C SYSTEM INFORMATION(continued) Property Address: 1359 Falmouth Road,Centerville Owner's Name:De Almeida Date of Inspection:February 8,2010 SITE EXAM Slope Surface water Check cellar (crawl space) Shallow wells Estimated depth to ground water 20_feet Please indicate(check)all methods used to determine the high ground water elevation: _X_Obtained from system design plans on record-If checked,date of design plan reviewed: X_Observed site(abutting property/observation hole within 150 feet of SAS) ^X Checked with local Board of Health-explain:Recent Test Holes, Existing engineer records with BOH X_—Checked with local excavators,installers-(attach documentation) Accessed USGS database-explain: You must describe how you established the high ground water elevation: Utilized existing site design information on file with the Board of Health. e i COMMONWEALTH OF MASSACHUSETTS EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS d DEPARTMENT OF ENVIRONMENTAL PROTECTION , pqM Svev 350 MAIN STREET WEST YARMOUTH,MA 508-775-2800 TITLE 5 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM FORM PART A CERTIFICATION MAP 229 PAR 086 Property Address: 1359 FALMOUTH ROAD RECEIVED CENTERVILLE,MA 02632 Owner's Name: MORLEY,ANN Owner's Address: 1359 FALMOUTH ROAD JUL 14 2003 CENTERVILLE,MA 02632 Date of Inspection JUNE 16,2003 TOWN OF BARNSTABLE Name of Inspector:(please print) JAMES D. SEARS HEALTH DEPT. Company Name: A& B Canco 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 inspection was performed based on my training and experience in the proper function and maintenance of on site sewage disposal systems. 1 am a DEP approved system inspector pursuant to Section 15.340 of Title 5(310 CMR 15.000). The system: ✓ Passes Conditionally Passes Needs Further Evaluation by the Local Approving Authority Fails Inspector's Signature: Qa�VU4Date: 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 tot he buyer,if applicable,and the approving authority. Notes and Comments ****This report only describes conditions at the time of inspection and under the conditions of use at that time. This inspection does not address how the system will perform in the future under the same or different conditions of use. Title 5 Inspection Form 6/15/2000 1 Page 2 of 1 I OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address: 1359 FALMOUTH ROAD CENTERVILLE,MA 02632 Owner: MORLEY,ANN Date of Inspection: JUNE 16,2003 Inspection Summary: Check A,B,C,D or E/ALWAYS complete all of Section D A. System Passes: ✓ I have not found any infonnation which indicates that any of the failure criteria described in 310 CM R 15.303 or in 310 CM 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 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 I I OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION(CONTINUED) Property Address: 1359 FALMOUTH ROAD CENTERVILLE,MA 02632 Owner: MORLEY,ANN Date of Inspection: JUNE 16,2003 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 detennine 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(l)(b)that the system is not functioning in a manner which will protect public health safety and the environment: Cesspool or privy is within 50 feet of a surface water Cesspool or privy is within 50 feet of a bordering vegetated wetland or 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 detennine 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 1 1 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION(CONTINUED) Property Address: 1359 FALMOUTH ROAD CENTERVILLE,MA 02632 Owner: MORLEY,ANN Date of Inspection: JUNE 16,2003 D. System Failure Criteria applicable to all systems: N/A 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 J Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool ✓ Liquid depth in pits is less than 6"below invert or available volume is less than '/z 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 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 fonn.) NO (Yes/No)The system fails. 1 have detennined 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 detennine 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 I I 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 CMR 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 1 I OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B CHECKLIST Property Address: 1359 FALMOUTH ROAD CENTERVILLE,MA 02632 Owner: MORLEY,ANN Date of Inspection: JUNE 16,2003 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 backup? ✓ Was the site inspected for signs of break out? ✓ Were all system components,excluding the SAS,located on site? I ✓ 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 CMR 15.302(3)(b)] Title 5 Inspection Form 6/15/2000 5 Page 6 of I I OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION Property Address: 1359 FALMOUTH ROAD CENTERVILLE,MA 02632 Owner: MORLEY,ANN Date of Inspection: JUNE 16,2003 FLOW CONDITIONS RESIDENTIAL Number of Bedrooms(design): 4 Number of bedrooms(actual): 3 DESIGN flow based on 310 CMR 15.203(for example: 110 gpd x#of bedrooms: 440 Number of current residents: 2 Does residence have a garbage grinder(yes or no): YES Is laundry on a separate sewage system(yes or no): NO [if yes separate inspection required] Laundry system inspected(yes or no): YES Seasonal use(yes or no): NO Water meter readings,if available(last 2 years usage(gpd)): N/A Sump pump(yes or no) NO Last date of occupancy: PRESENT COMMERCIAL/INDUSTRIAL Type of establishment: Design flow(based on 310 CM R 15.203): Basis of design flow(seats/persons/sqft,etc.): Grease trap present(yes or no): Industrial waste holding tank present(yes or no): Non-sanitary waste discharged to the Title 5 system(yes or no): Water meter readings, if available: Last date of occupancy/use: OTHER(describe): GENERAL INFORMATION Pumping Records Source of infonnation: N/A Was system pumped as part of the inspection(yes or no): If yes,volume pumped: gallons—How was quantity pumped determined') Reason for pumping: TYPE OF SYSTEM ✓ 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): Approximate age of all components,date installed(if known)and source of information: 1994 PERMIT#94-261 Were sewage odors detected when arriving at the site(yes or no): NO Title 5 Inspection Form 6/1.5/2000 6 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 1359 FALMOUTH ROAD CENTERVILLE,MA 02632 Owner: MORLEY,ANN Date of Inspection: JUNE 16,2003 BUILDING SEWER(locate on site plan): ✓ Depth below grade: 28" 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: 2' Material of construction: ✓ concrete metal fiberglass polyethylene _ other(explain) I If tank is metal list age: Is age confirmed by a Certificate of Compliance(yes or no): (attach a copy of certificate) Dimensions: 1,500 GALLON PRE CAST Sludge depth: 2" Distance from top of sludge to the bottom of outlet tee or baffle: 28" Scum thickness: I" 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: 17" How were dimensions determined: ASBUILT AND 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.): TANK AT WORKING LEVEL.TANK AND COVERS 2' BELOW GRADE.OUTLET TEE.NO SIGN OF OVERLOADING. 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.): Title 5 Inspection Form 6/15/2000 7 Page 8 of I I OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 1359 FALMOUTH ROAD CENTERVILLE,MA 02632 Owner: MORLEY,ANN Date of Inspection: JUNE 16,2003 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.,): DISTRIBUTION BOX IS Y BELOW GRADE.TWO LINES OUT. BOX IS CLEAN.NO SIGN OF OVER LOADING OR SOLID CARRYOVER. PUMP CHAMBER: N/A (locate on site plan) Pumps in working order(yes or no): Alanns in working order(yes or no): Comments(note condition of pump chamber,condition of pumps and appurtenances,etc.): Title 5 Inspection Form 6/15/2000 8 Page 9 of I 1 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 1359 FALMOUTH ROAD CENTERVILLE,MA 02632 Owner: MORLEY,ANN Date of Inspection: JUNE 16,2003 SOIL ABSORPTION SYSTEM(SAS): ✓ (locate on site plan,excavation not required) If SAS not located explain why: Type ./ leaching pits,number: 2 leaching chambers,number: leaching galleries,number leaching trenches,number,length leaching fields,number,dimensions: overflow cesspool,number: innovative/alternative system Type/name of technology: Comments(note condition of soil,signs of hydraulic failure,level of ponding,damp soil,condition of vegetation,etc.) LEACHING IS TWO 1,000 GALLON PRE CAST PITS WITH RISERS. 8' WATER IN PITS. WALLS CLEAN GOOD SHAPE.NO SIGN OF OVERLOADING OR SOLID CARRYOVER. CESSPOOLS: N/A (cesspool must be pumped as part of inspection)(locate on site plan) Number and configuration: Depth—top of liquid to inlet invert: Depth of solids layer: Depth of scum layer: Dimensions of cesspool: Materials of construction: Indication of groundwater inflow(yes or no): Comments(note condition of soil,signs of hydraulic failure,level of ponding,condition of vegetation etc.): PRIVY: 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 .r Page 9 of I I OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: 1359 FALMOUTH ROAD CENTERVILLE.MA 02632 Owner: MORLEY,ANN Date of Inspection: .TUNE 16,2003 SKETCH OF SEWAGE DISPOSAL SYSTEM Provide a sketch of the sewage disposal system including ties to at least two pennanent reference landmarks or benchmarks. Locate all wells within 100 feet. Locate where public water supply enters the building. I i 33' � I i Title 5 Inspection Fotm 6/15/2000 10 Page I I of I I OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: 1359 FALMOUTH ROAD CENTERVILLE,MA 02632 Owner: MORLEY,ANN Date of Inspection: .TUNE 16,2003 SITE EXAM Slope Surface water Check cellar Shallow wells Estimated depth to no groundwater 12 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: HAND DUG TEST HOLE.NO WATER AT 12'. TEST HOLE 4' BELOW BOTTOM OF PIT. �;t-a z f i i I Title 5 Inspection Form 6/15/2000 11 1 07 APPROVED Dapenn=a VF 3ac B ............ ALTHE COMMONWEALTH OF MASSACHUSETTS Sigt►ed BOARD OF HEALTH "'TOWN OF BARNSTABLE Appliration for Diripoonl Work,i Tomitrnrtion ramit Application is hereby made for a Permit to (.construct ( ) or Repair ( V<an Individual Sewage Disposal System_ at: �. . ..... . -------------------------------------------------- ... ic,;u n-:\ddrrss or Lot No. - 1?12Q.--••---•-- �y-------------------------- ......... --.......-- otener A s Installer Address d Type of Building Size Lot............................Sq. feet U Dwelling—No. of Bedrooms...............'j!_.___..__..___-__.____Expansion Attic ( ) Garbage Grinder (A)o 04 Other—Type 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. 3 Seepage Pit No..................... Diameter._-_._____..._-_._.. Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) Percolation Test Results Performed by.......................................................................... Date---- ................................... Test Pit No. I................minutes per inch Depth of Test Pit.................... Depth to ground water........................ 44 Test Pit No. 2................minutes per inch Depth.of Test Pit.................... Depth to ground water........................ 04 -------------------------------------------------------------------•------------•------....--------•------ -... .-----.----- -...... .......... ....... 0 Description of Soil.................................................................................................... ----------------------------------------------------.....--•------- x U ---------•-----------------------------•--•----......---------------------------------------•----------------------•-----------------------------------•-----.......------------.........------........ ---------------------------------------------- --------------------------------------------------------------->-------------------------- U Nature of Repairs or Alterations—Answer when applicable......l.. ��------5./�.........� .a............9.......'�.�`.���� ..-W-/-----�------•--3.. Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Environmental Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been issue y the board of health. s Signed .............. l�,r;., ,,,,,,_,------------------------ .......... ............. .....:5.. f Dare Application Approved By .. ........ �? — - ............._...---. ----------------_------................. ........ .-�G�:..�� Date Application Disapproved for the following reasons: ..................... ........... ............... ............................................................................... ................. .............................................................................. .... ................................ . ...�- ....... ... ........................................ Permit No. �....�..��-. ------- Issued ---....! ............ —`. Da Uare No................_....... F�s...: `1. ----".." THE COMMONWEALTH OF MASSACHUSETTS V w 141BOARD OF HEALTH TOWN OF BARNSTABLE Appliratinn for Di ipimul Works Towitrnr#inn rrrmit Application is hereby made for a Permit to Construct ( ) or Repair ( to an Individual Sewage Disposal System at: ze!� ......�;Mkle:14......................................... ....................................... Location-Address or Lot No. Addre s Installer Address UType of Building Size Lot............................Sq. feet .� Dwelling—No. of Bedrooms................�/-----------------------Expansion Attic ( ) Garbage Grinder (,4)1)) aOther—Type of Building -------------------------•-- No. of persons---------------------------- Showers ( ) — Cafeteria ( ) dOther fixtures ------------------------------------------------------------------------ •--.........--.._......--•...-•-••-•••-•----•---•-••--•----------••-----•--- W Design Flow--------------------------------------------gallons per person per day. Total daily flow............................................gallons. 04 Septic Tank—Liquid capacity............gallons Length---------------- Width---------------- Diameter................ Depth................ Disposal Trench—No. .................... Width.................... Total Length.................... Total leaching area....................sq. ft. 3 Seepage Pit No..................... Diameter-------------------- Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) aPercolation Test Results Performed by........................................... .............................. Date........................................ Test Pit No. I................minutes per inch Depth of Test Pit.................... Depth to ground water........................ GXq Test Pit No. 2................minutes per inch Depth of Test Pit_................. Depth to ground water........................ a ....•-•--•-•-----••-....--•----••••••--•••--------•------•-•-•-•-•-••-•------------•................................•--••-•--------------•------------....--- 0 Description of Soil....................................................................................................................................................................... x U W ......................................................................................................................................... ........................................................�_ U Nature of Repairs or Alterations—Answer when applicable...../.�_.--__.. 5 ........ .2 ._-_.•.....-J._...___: ...locp Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Environmental Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been issued)by the board of health. Signed ...... ......................... .........; '.. ... ..".:�►.tf Dale A lication A roved'B �� � ......... .. .............................................. `:.//Y:.... Application Disapproved for the following reasons: . ..............................:................................................................ .......................... ... .................... .. ................. . . ................................. ............................ -- . . --.......................... . ........................................ Dare Permit No. 7........... .......�...................... Issued .................� .........`... Z1... ------------------------------------------------------------------------ THE COMMONWEALTH OF MASSACHUSE77S BOARD OF HEALTH TOWN OF BARNSTABLE C�ertifirate of Compliance THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired ( ✓�� by ................... ...+.._6._...'..(.A). .,. i.............................................----------- -------------------------------------------........................................................... I i � Ins"t'ullcr at ...13,51...........�13.t.►�l.,t.t.Xj-4--X- ---.-------i�--` ----------- C..2-:v: e-----.sl..�.l.:. c, .:................ -- - - - ..... has been installed in accordance with the provisions of TITLE 5 of The State Environmental Code as described in the application for Disposal Works Construction Permit No .. ...,., ----- dated ------- .� ... ... 'dL . ... / THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE / SYSTEM WILL FUNCTION SATISFACTORY. . DATE._....................�i.... va-- .. _...._ -- Inspector ...............� -.. - -.... ------------ -- THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE FEE.......,•5�.".Q....:'.. Diapnutt1 Workii Tnnotrutinn "erutit Permissionis hereby granted-------- ------ --••-••-e'4Z CA....------------------------------------------------•--•--...................... to Construct ( ) or Repair ( )san Individual Sewage Disposah System atNo.....� _5 ........... ------- ....................( t /= -------------- Street = / as shown on the application for Disposal Works Construction Permit 6:_ ...._..._ Dated._ ..._ Y / ....ram? _ -_ ------- Board of Health DATE..----- ' .........../ � -jf ....................... FORM 36508 HOBBS&WARREN.INC..PUBLISHERS TOWN OF BARNSTABLE LOCATION l/3 Sc7 d F SEWAGE # VILLAGE( ' ,gyl e u�`/ �-- ASSESSOR'S MAP & LOT 0?6 INSTALLER'S NAME & PHONE NO. 4-103 C4ACV SEPTIC TANK CAPACITY /,�SSOL-) LEACHING FACILITY.-(t YPe) v? 4 000 dAl f (size) E� NO. OF BEDROOMS PRIVATE WELL OR PUBLIC WATER- BUILDER OR OWNER 01ZjE 1,4-11,eO6 DATE PERMIT ISSUED: `5"' J$ -`T V DATE COMPLIANCE ISSUED: VARIANCE GRANTED: Yes No f (1� U`� TOWN OF B�AR�N/STABLE C � LOCATION o/T4 JZ=1 SEWAGE # v VILLAGE C•eel?tt a.,—r IZ ASSESSOR'S MAP & LOT,2A 9- IN STALLER'S NAME&PHONE NO. 14Ltz SEPTIC TANK CAPACITY /,, OCR 64--110AI LEACHING FACILITY: (type) dC''-4-000_.67'/ (size) A !�'ll'S1 . NO.OF BEDROOMSk BUILDER OR OWNER PERMIT DATE: / 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 C - 1 a � I I AIVes Residence 1 359 Falmouth Road Barnstable, MA e �q 4� I I I I I x I I I ! I I I I ERCSn NG i = I I I I I �-uG�1 i�. rpol NFr Aa ! MNDOWIN CPAWL 5PACE -ALL. . IC ITN V'EL N N i EXIS I!G CONG. HO r VALI. y[ppy� FYP l0 WhITB FINISH F' --}Ex15TiNG STUi^, NOTE: WIIJUCh'IN C� PEPLACF EXIT ING COOK VATH Di;V:FULL i WORK IN EASEMENT CONSISTS OF Ci:Ah'L L DOO2 UPDATING EXISTING UTILITIES AND AH 5FA-F 6 ! THE RE CONFIGURING EXISTING i^.'ALL P`" ! WALLS AND DOonS P. L n. -„;•x 1 I-^. / ° Ell ss I-f:CI WCE EA.TINE e ' I NFW� 1� 1O'h71,,W, 1[w FULL " V, �:°AR:2Ecr• I I.TE DOON 5ULFITAAC TIA^VE EXISTING REMO`.'E EU45TINC. "-tea / ---T DOOR Ul'-4 TUD e Il' i \ALL ! 1 -._____1 ......... ....... ...-..._I._.. ....._..... ............. ........—._ __ ...._. - _.__.. -. ._._..._.__ �s.oannF N[v L.---- ------ ` I - O'OI ENIGC TO I F� O AR(,yAr E1I5TING / 4V.45ryEKt l l5`ty. UTn 1",•veNr—/ \ D vex •-NEW s7U0 I_�D Ain .F ',VAU- ,.xI,�TLN-'.OFENI I-- -�- ----- ATIAP IS E -----� —^---J-------------------------.-------- I a N,p77liEfT, y STUD WALL o � UTILITY �� STORAGE ----------- {tN E5e� L1TIUTY V JJT-�/ PAD CUT wall.fOF 0 e>:ISTING 51rJ, r H4A DOc ABOVE / FLU4.551NG CrtSE ;aC"(:'0NE W,-, ! ^''`q`"• �- L�mm velar vnC coNT ncoE �, M51'I NG.� a15TING� I ! WII,10O." 'WINCOW I ! PERMlT SET Y E?S r L design BASEMENT PLAN 3 Oakland way SCALE: 1!4"=1'-0" mattapoisett,ma 02739 774-644-9168 edwinsargent@,COmcast net sx ifn4'�'::aG'w:�. +�* i I NOTE: 1 1 X1 7 DRAWINGS ARE NOT TO SCALE BASEMENT PLAN ® 1 m fz ays a" s? pia 0?JUL 2018 EAS As NOTED a�.nF,;�:,;a *"r'�;�e:;aff''�Y";=" r.'�.:s'.'��•��"T2 `x9 Alves Residence a'-NI/r r—g eyr 1 1359 Falmouth Road rR g 3 Barnstable, MA .,, . �x �n�., ate• I �_d �"�•.��r•��,_: � � � �- � - 3rvV.:n ------------ -__--- - l _r Imo_---___--__ a T 7CF, ___ _ __ _________ _ �� I �E 1 ,wnc uDD ! I I �i � �,r.A 3tA c I I i I I I I �• I t I I I i j i�, I I � T^+5i rn f .. ro I 1 Srtnwc I ! # I 1 - I, I I I I�' ! I c'-0'/� ...,n,J ( Nn;n IV] I � .•xrn - ------- � 1 • • i % 1 ! I I ; ill l' I I �.� -- - ' - ,_„ — --.._ _ -n c �` A" Illi _________- I I �— a �: `(Ir, ! I t• 1 I ( I x F i -- ----- fir / J I I I t' I � 9JJ u( e ec r r t .+- ROOF SHEATHING FASTENING: nr_•-,�w a o,_. 8d C04'1W-@ ALL 4 FT PANEL EDGES 2 ROOF FRAMING '� °" (i-'\FLOOR FRAMING 8d @ 6"/6"TYPICAL scntF:ai,e=ra• scALe:yne=r-o• a' nrsxv. --rts // !/ LP rg IIF-- I I i I I I i III -11 1/4'R.o.® II BASE OF WDOW (i y j i2'JACI: i 13i ILIL z'i ( .�xen-��:.lo� 2rc 5iUc5 I , i Ivh i 4 WALL FRAMING @ SUNROOM N 2o'-G ES resign 6'-01/2' I 5'-11 t!4' I B t/Z �t"• cl'�O S— i Sy��,Fo�, 3 oakland way mattapoisett,ma 02; 7 I/2' 7 1/2- 774-644-9168 ` Ik'`y f, Wo.3o565 ,. c Mnrt�tsn�, ,y edwinsargentC�comcast net ¢ • y-, b �', ia, 09G •2J T y I JhW ,oP si4P�;��.,����' Ph of�'S �,FRAMING PLANS NOTE: 1 i X1 7 DRAWINGS ARE NOT TO SCALE f ��FRAMING PLAN @ SUNROOM £GALE: 6•�,�1+' - , PERMIT SET '67J�01 ati NOTED — —'— — 07 JUL 2018 EAS AS NOTED --_- -_.—__-- �(?, 2"WII:E T,QE.4C? I —_. —_-_.—.—_—,.— •I S:R Alves Residence - - -- ° b „ 1 359 Falmouth Road �- Barnstable, MA Q x k FIC.'-C'.IN„ 57'EP L01N1J j ~4 �d SUNROOM DECK © 12 X 20 405 S.F. lr r-71/2' 6'-11/2• I;t; u ! "ONES :p —ST'FPI'INC- t�-tI I/2' To[zulrJG eATIC �C E �} TOTAL AREA I DINING ROOM — — 4 2016 S.F. i i 13 X to ! ,_-----— EE33J C-r Itd LINE C1'SCO'IID \(///L I I INn CEILING y J MASTED I ((�/Jr BEDROOM _ 3 ATTIC 1pgx Access - -- KITCHEN T O V 11 X 12 `•' � 2'-0° 0'-2 1}'4° i 6'- 1/4° � 6-0 1/4° 1 =1E, 4° YNLL HT i .,ENTE7 OVER SIIJh I D // f T�7•AICROYJAVE —I I -- — (— H 0. O C_ -'.1i V T�I--�:___ o• UN 2' 21 DEic -- I CLO 30 F. �{ .stvc mover I Pt JN ( \ / ! I ! 6 X 0 BATH / V I �!ax'11 ,�q A-15.1 .4?i.t A R100v 2-8 ?O Y CA5.1 I FCM1IC.0 IV!GATE OUl'SIDtT tlI+lltl�ljF uea: I' G�4rE1)Agyy, � t 4 IC ABOVE // •'+ E�. 'vc 4Nn srer ��5' IAA1'fAP015ptTr w "P MA r"PP 1 S°jp pgc Ue TO 0H OF 5TORAGE 5 R OAVI 3'p• 'b" //� �F PERMIT SET �E o ©E j design I 3 Oakland wav 'q; tnattapoisett,ma 02739 j. ----- 774-644-9166 ` edwinsargent@comcast.net FIRST FLOOR PLAN i • FIRST FLOOR H i SCALE: 114"=1'-0° I �- I �- i PLAN ' 4s CALLED •� NOTE: 11 X1 7 DRAWINGS ARE NOT TO SCALE NORTH O 1 ad's 07 JUL 201 8 EAS AS NOTED l ° Alves Qe: Residence 1359 Falmouth Road Barnstable, MA COUNTER u_Or _CLR CLR i_ 5'-6" 4 KITCHEN —i CLO-- — t e DCE CABINR;S FU: H7 A INET \ t _ B.- ' 1/4" FULI.517E 5TACKABLE ? i -- •-- MICROWAVE St+YLICtn' ABOl'E —.i / FOR WALL AT EX151'ING TO f.LIGN VI!NEW CCJNSTP.UCIION MUN2 O � ' I 000 ---- 5'.0"VANITY 4 KITCHEN FLOOR PLAN �' i NOTE: BATH KITCHEN AND BATH I FIXTURES, CABINETS, a 8 X 1 0a: ��0� APPLIANCES AND q �% COUNTERTOPS TO BE I IL- — — — — — — SELECTED BY OWNERS I J l ` r- 0 01 0 0 = - _ F:AtJGE \ I'tOOU _ Wn.X3E. '2I X 36 W I L±i iL�l /4V21 2-I X 36 \ 4 ! v:A.;S oeDPs 0 0 0 CD I I I YE f'ILLER tS P..;l,p COUNTER OEM-. B36 3E'FARMER, B 1 2 3C'CDOKTOP Wi 06 2I DB3C :'Ut.L w48 x 30 ON 6/'SF.TO FH 2a TRASH 10 E3_', RVPJUGERA1Q.R 51N!:BAIL UF.AV.'ER BASE POT51 PANS OUT f..;ATCH TOE IJC: EpiCE --2 '`A� 0-1R5 AI.PI.ILL Ill' 2. s..DCFP CABINET GIP55 DO C\\\� 1 ORS AL'CVL ;� 1�,44PED ARC),/ S design ,w pF 3 Oakland way mattapoisett.ma 02739 ' a Na.20543 74-644-9168 61ATtAP0152T" edwinsargen[@comtast net f, 1 KITCHEN ELEVATIONS ®atrR of�PsS°` SCALE: 114"V-0" ab� KITCHEN PLAN j % %/ • /� — & ELEVATIONS s NOTE: 1 1 X 1 7 DRAVI�INGS ARE NOT TO SCALE PERMIT SET 07)UL 201 8 EAS AS NDTCD I Awes i Residence E> 1359 Falmouth Road Barnstable, MA 'M N I �RVGE`JEN-. G)PPEP,ROOF a:t'ENTRY N %8'MICE'6OAF,D iTYPI X3 PAK�TRIM ��- Fa k FL.FA;iCfS rNtRO,L L-Xlfr' OR NO 5: ' - I PVC FR r7E�/ I i ELI -� I ' --i-J--{ (i� II-T'I n l \ V8 \C 5Cff.. KEAO EEA If'-\INl KIDINC ICI I ; IF f \` P�M - TI 1 P00.IR.: V ON-VENT _� y 1;IiVn�V'CASINJ 1 X 81 VC PETURN j I �— II i �(I. ) i O. h;N 17 RJ- ANN � II iJ M. BF. .n k4 CG.J E FAROS �t GPTI:D I'. I .. RI"DI P:D C.OSR. .i j -� PP.E FORMTD PVC I tf I flC`: '61)\ GPN`F!-, FIRST FLOOR �_y Rt-m-r r.r I_�>"...�.__.. ....,-..._._._.._._......-T..,.._..--.-.._.-.._.:..1.f..�..._,._.,,.._...,..�......"... _..._.r..,.«.. ..._..,_»,...r ._. ..,_.,-. IJFW TRjyIEVV I'Il(P l.M1jSOOI I NORTH ELEVATION I's. ,y 1 y. �.SED ARCk�r g wo.aos®s � IA I 12 �q \� --4C:'R ARCIIITECTVP-._ - r---- ,�2 Ex,--mN' r \� '/ /�� SHINGLE(rYF) OP NOTE_PO O'JF.FJinNG '� � ��` J CON"R 0.SETnL STgNCING.._ AROUND TO fNFEI i i \�� f 2 SEAM1t F,OCF AT EMRY V eilsrlNe<A=.CIA / clsrmG�r' =_/ PERMIT ET ': S (y I i a r:Cr.AP reNce I I S d e s I g n NOHOW. 3 Oakland way maztaPoffset[,ma hkW�' 02739 -'ANE ARA"r.-)cos.: 774-644-9168 } . edwinsargent@comcast.net � LIE- _ __ � '��-- ELEVA�90NS r,VAC WIi-�/ U'NUP(INTAPT AN, ^ri ^:LEARGfE.S' EXNAU5'r R 6.. MEAD POOR {>tr EAST ELEVATIONN m, OTE: 11 X1 7 DRAWINGS ARE NOT TO SCALE [r[# 2 $G4 E fi .p D7 JUL 2018 EAS AS NOTED �4N,,:ate �i xY.Y'L.'ktrS" N' y u a 5N 4; t n Alves Residence t� 4? r k 1 359 Falmouth Road (;arnstable MA kkkm�� {1Y•; f�. Y �3 ti 1 % f o l SOUTH ELEVATION '. Y (�s C. aD .I. A-� o I: 4 ;.� OF Qtly OF MP rz PERMIT SET ' 3 Oakland way mattapoisett,ma 02739 774-644 9168 �+ edwinsargent@ omcast net " w _........_...__..._.._-._.____ _.__F.__.___._. __.. _._-...._L __..___._. __.__._.__ ELEVATIONS ' I _: __ WEST ELEVATION y NOTE: 1 1 X1 7 DRAWINGS ARE NOT TO SCALE �? � Oi JUL 2018 FAS AS NOTED Alves �h Residence __ kifl 1 359 Falmouth Road �y,'' Barnstable MA s 4 "t,"-w" F.�_-rTEi•i 54[ATI',,:TO- LV I.!If ADCF:r 3 GRID I_ r 3 I2V.rF\UR N - rASTEN FLL r.111T SnEk-,MNG TO ALL FKAIJING A'MTIS Ci O C. 11M50NL21 _ 1 / I / / (3)2X4 3.5..Y: 5.11/4 11 PI P,T: b F F COOED- -ALL /� IC-1P;-�C1N PCflOf Ac n-T.ATIcrNS E4,SUP / Hr i 5'11n 14 cu5eo s•nnw ' CJ7JC Fu1.' I ,/ a I k7s PORTAL FRAME @ GARAGE 5 SECTION @GARAGE 4s same: uk C � e p X.4 CA51MG C^^?JORMEj: %4 GA5ENG;q:MULLION S'�KUCI'UPAL MUU-IOW / SLOC.G O.0 UM Ni-//' 1 �-:--1II- - II r-----.----;--I------- 1 X G WINDOW CASING�I LaLL11 I PP,t`ORMED PVC -- - �. , , MMDOW 51U,(lYP) II ;,j I It. (2j 2X6 0 12-O.C. 0 16'O.C.2X6 0 16'O.E. NLL HT S7U05 ——— MNLL..T M1 0 STNM L 1- XXX NORTH ELEVATION SOUTH ELEVATION�1 /„� EAST ELEVATION W FST ELEVATION SCA['.1!A=1'-0" 1'-0 1 F. 4 SCALE: t'.0 srue gam: i s�neo nsrcyP� �, .� a ba�1� hF� ,4 , design oakiand wayto �- t - mattapolsett,ma 02739 tr; °'+t�IAATTOP016F1T, o`O nl'. 4 �, INp 2t 74-644 9768 a ' q N%$ fl�,_ edwinsargent@conlcast.net rH of GARAGE SECTION & ELEVATIONS NOTE: 11 X1 7 DRAWINGS ARE NOT TO SCALE PERMIT SET m '07JUL20'3 EAS AS NOTED k' Alves Residence -C,TP,CUT BIRC'5 MOW H G / ,N f:.12 ROOF EAVE5 b 1359 Falmouth Road ---jG !-'FAV AL DRIP(I YF) r1 �df ,rMA ,:;f::�,N K A, IS I x p\� I !� XD FFJ I /// �t _J� kAF`E'i,I`-C rA 6EnU fGUGE M} r - I Eu'-rFe IOWM1 5POUT Ell FASCIA�/• .1 W \ _ "N :%dl"r VENTED SO`\I7 J t --FVC IRlln �`_rV If INI ! C. )Vv:.10 VL Fyw CONI`_OF I VENI+ / I Q / r±( KI I �_ I`• ® L'EHn LL 5-,CAF) IN-ILL OP`'LIl':JOA�N:SLL Pro S!4 X. PVC FRIEZE S)4 Y. PVC RIEL[—� // h FAUEF r' / .3 PLOP FL,.,i CAF SI1:Jr'E EY.IS rING J _ Yi.-VC.C.,vING Y,C F VC CASING PVC T'PJI:A i FAFTEFS Z¢-*.-- �!�,tp•: j r— —U'1'EF,IOR RECE55Er, M w 2? _ I 1 �. FIN DOWN LIGyT SOFFIT KITCHEN I Q I —GX41 F.I. .I Wi C%IStINi; C 2XG0 I I I. / fVC R1 j j NC^SOUR I POST fiFTLVF.Ed LOORP, '. CAVEAT NEW 6i72 ROOF PITCH EAVE AT NEW 8H2 ROOF PITCH �Pv fFIN, G� I B',t/.mG o 9 Q 5 BAS;: LAUNDRY LIVING ROOM SUN ROOM SCALE -,-0' sCALE't'-IC' F• .,y NEV✓RID FI NC _' �` 1 1 „Tr n SDI °J I 4 rfilC'JC 5h[AIT'ING J 1 I .W_.-. ' ( I BUILC OL C'FFT -W--•- --- T+ �` IA7 2 X",,',MIN(,50 T L'±' NEW FA.JCI!,AI J5 VW NEW T PO('f r:J^.STRI Ii"IGIJ \ i �`-SnNPSON PrvE �� _ �_—,.•„ I,l +^ / w^IJ51 RL..TION CONC�1CR _ R 3ti firAi" i AF HFC SPIJCE P ,�� 2X.Ola, G-O.C. F �• a •� �3J.'KG:..IN A C C±AU G Y'IC 6=:.n4 _ IM1:n �C MI i F M/C VW EP.aT I ACES. RIUC A J'51DCr\'ALL ! _ _- - �z n j S' "1 LI AL FOR, - UTI!ITIY --_---- FAMILY ROOM CC'n:;SL^.9 . 5 SFRUc:Uff F5 51OPFU ERIN5TPIj I..RAI RIDGES-CVAI LEYS I YL1 I ABCl/. / INSULA T P FFI E SI OPEC CCIU`Jv5 k 4C 5A"T IN UV17 On iUNFACED) u 1 FOY VAPOR 5\FRF. h-9 1/4 - ---- "I I/2 G:N6 w.�.IM COAT'.ASTcR(SNI(JO`I FINIShI) Lt 5/41. PVC.FR!Er'E j 8 It j fY:G PVC CAFIING .}M' 1 k -EXISTING CONSTRUCTION b 115 RN•t 5tiO\:'N 5HAWP saFnT FOUND I'NhRIeS — I 51MP50N 11 2.5A ',5TICr.FP,AKIING BEYOND SECTION @ LIVING!SUNROOM N 4N.^.jrNfR TIES-D HOi.D-CC;ATIS FE?,i-kAndING CR.ANINv5 a� SECTION @ PORCH OTYPICAL EAVE AT EXISTING CONSTRUCTION B } scA e.a/e=r.c• FCALE I^-I'.n: ^� �i -+� NOV,ROOF FRAMING C"; 1 -COW 5GFFc VeN1 FIC E\EM KTCHEN!CiNING� !-IiJS'JLATIONL6aGl7,n_Ir/ L�3 I 14%I'VC FRET'e V rRL�'EN U vTlOi2 !YL'"*' ±- —_ 2 X L I`DGFR F I \50LAE H A P-, RIDGE VFN1 l F45Tr1I Cq I& O.C. — =AI V J01.5T HANGER 2 X 8 GLG.IOI- 115U rICN DAR-I ® I ^ ^n R aP I X{.STAPPIG •1 eel v j ISI:IA.TC HEADER'\ PlC V/RIGID FOA�BEADB7ARD CLG I_ iNJ5IUJ.A'V'EEn Hi-ADEV5 JL PVCD'NG y-Z V:i RIGID`OJ0 PVC 5AND ALIGNS VJ\ B O BEAU iJPFl` B1:F SIIDINC?GOR- DINING KRCHEN � I II y { I I 9CDROOh-WALL c nSTRuc:oN I I 1 �Flpry;`: c --- -- A B RPD StE HIN V r!'N`-ULAllO'J JU1LI I---6 E&DrFt EI XALI (DING FEF hE!ATION ' _ _ _ _ _ _ _ _ _ _. _ _¢ 1 I 6 NIIJ�S SNC 1 I l DING ....-.._. .. ___. V _ Y �', � _ .: .,ISTINC I ' Y),Y Y�.�Y A f 1� ` Y Y Y Y r y Y ti K%Y 'X-X, ,�.±.,,,?r?.. .LOOTS O f AI,NEW ' ) n PORCH CEILING CONNECTION FG 'UL WALL a n s 6 SCALE:1`=I'0' F 71 .J 6ATr IN5ULA ION(UNFACED) / .- E IN LILATION IN / :OLY VAPOR 6r±RRIr.R I-„u'6 W- rlN+rnai PLA ter. � - �.�... ..,..._Y.J', x,;` IJ' �.�� _ _ .,�... Mi F.30 BAT7 INSULATION ""•-'--'.._.e_. _.4.-._... __...,._.,..,._..._......_„.._ CONCRT-, MAL, /'\ ��. ' ME L.ALL 5ECI ION) �� SIh1 0 5"Or1'N 9 J`AOF,D I oV SHEATHING U c _ a SIDING T SFcg ,— DEGc1NG SECTION @ KITCHEN(DINING @� 2X5 F.T.JOIST 2 -- SECTION @ BEDROOM y 4" �yp .^ SCALE:3,8'�I'tl �stl design (. 3 Oakland way TYPICAL WALL SECTION a r� mattapoisett,ma 02739 ` cv �^»� a 774 644 9168 k' a 1,2"U Gr L\LA:,S C. i 6 ,nFP AR i 1... O C STAGGER'e B \ rF I Pt.% r edwm sargen�acomcsen ,�.F9 _. .. GALV'01_-HANGER S4Q F,'�i% �a?'�r - [�-,a 4" N,rx 2X5 P.T.LEDGER + �' ,N• ri rWT I x�®�I ®I I V 1.1 B7o.2058:T` � J�\`� pY\9'TAP015F.Ti-, r� Iry • �' �' I �a£v"`r1��"xa`b•''''�:x'��ra�i:'ida' a�t.ra`�.x�'I: A tT�OF 1A DECK/HOUSE CONNECTION e 5 NOTE: 1 1 X1 7 DRAWINGS ARE NOT TO SCALE r�� /V PERMIT SET ^'° EAS AS NOTED I c, s�,07)UL 201 8 I ` Alves �x. t�l esi erne 135 Falmouth Road Barnstable, MA I i I ^' NOTE: WNDOW'SITES ARE APPROXIMATE WTNDO��"SCHEDT-TLE: YTRIFY AILL R.OUCA OPENINGS WITH WINDOW MANUFACTURER EXTERIOR DOOR SCHEDULE: NOTE: VERIFY ALL ROUGH OPENINGS WITH DOOR MANUFACTURER NOMINAL ANDERSEN NOMINAL !` blA]tlt LOCATION TYPE EXAMPLE COMMENTS MARK. LOCATION TYPE MATrR[.4L MATERIAL COMMENTS UNIT SIZE - _ --'�----- — --- __ LT[T SIZE _ A LAUNDP1• 30 X 40 D5L HUNG TW2432 LOW E I (71 — SIDE LNTPY 2-�1 C X G�L'" HINGED rIb�KGLA55 � FULL LIT` n CD '0J KITCHEN (2)30 X40 17)5i HUNG (2)TV12.432 DBL MULLED LOW E I O fiFDROOM 9 0 Y.G-I J" SLIDING DOOR ;, MASTER BATH 32 X 5G D5L HUNG 1W2G4G I LOW E O 5UNPOOM. t -0"X 6'-10" 5LIDINC DOOR pV m MASTER BEDROOM 32 X 5G DBL I1UNG f TW2.64G —' I LOW E __——_ ® 5UNPOOM C"Y G'-101. ri MASTER,BEDROOM 32 X 5G D5L HUNG i TlA'2G4G LOW E O SUNK ff M -O"X G'-10" SLIDING DOOR I — O DINING 34 X 5G DBL.HUNG TW2P4G LOW E © SL!NPOOM; 9'-0"X G'-1 O" SLIDING DOOR i --- V 5UNROCi'✓1 32 X 5G. DBL HUNG TW2G4G LOW E O 5UNPOOM, 32 X 5G D5!.HUNG T1A'2646 LOW E , r e 5UNPOC•M G-0"BASE CASEMENT NXED I CUSTOM LOW E S 1 12 PITCH EA 50F.I1T 2'-0"± '3 —O' 1 NOT U5ED I -- ---i --- I--- '--- ; O I GAP,AGE A 12 r AWNING �—(4)A !2 i LOW E STRUCTURAL MULL IN FIELD — O I GARAGE I 3G X 5G I DBL I1UNG T11'254G I LOW E GARAGE 1 3G Y 52 DBL HUNG TW284G ROOM FINISH SCHEDULE: O�— GP�P 1GE —L 3G X 5= DBL.HUNG TW2-03G NOTE: \VERIFY EXISTING EASE AND CASINGS no B 9A_9A_ MENT 32 X 2I ! SLIDING CTR -- --- ROOM FLOOR WALLS 13ASE CAI' CASINGS CEILING COMMENTS VINYL KITCHEN P.ED OAF, GWB VW,5KIMCOA`PLASTER 5"MATCH EX!S MATCH 3.5"MATCH EX15: C 15 k.''5KINdCOAT i 5MCOTH PAINTED TPIR4 O. KIICHEIJ 21 Y.38 5KYLIGi1T V55 C04 LOW:E -- --- ---- .. --- —1 ! DINING P.ED OAK GWI5 V141 SKIMC OA7 PLA51[ 1 5°MATCH EXIS MATCH 3.5"KIASCH D,15T G'.t✓3 NN SKIN',COAT i Sh4COTtl PAINTED TRIM O KITCHEN 21 X 38• SKYLIGHT V55 CO" LOW E BEDROOM PFD OAK vV'✓8 V!!SKII%4CO.AT PLASTER COLONIAL iMAgEY'I 3.5"COI.ON!AL GV.ti 54H SKIMCO.AT i 51�1Ci?TH FAINTED LPIfJ O 5l1NROC•1.4 30 X 38 S;Q1 IGHT V55 Nt04 LOW E SOLAR SPADE -- � µ BATH CERAMIC TILE 42"B[ADBOARD WAINSCOT sa 5UNP001•.4 30 X 35 SKYLIGHT V55 M'J4 50LAR SHADE C-WB N'SK!PvICOAT PLA51 ER 5"COLONIAL YES 3.5"COLONIAL G'WB V.7 5K!14COAT/51"4001H PAINTED TRIM LAUNDRY RED CAI, 42"5E.A'JBOARD WAINSCOT ! .I GV,B V:0 5K fMCOAT PIASTER 5"COLONIAL j YE 3.5"COLONIAL I GW5 li%5N000A1'/SMOOTH PAINTED TRIM — (•~ 5UNPOOM FLAG5TONE GWB N9 5KIM'_QAI PLASTER. 5"COLONIAL I YES FLAT !GVV'B W/5KiMC0A'I';51MOOTH PAINTED TRIM �w t F k[ yL�4yX:A��S E design V,en nrl� '• rF aI 3 Oakland way ;I N mattapoisett,ma 02739 tao.2n56' 774-644-9168 ' 4 W edwinsargent@comcast.net a s �,rygtpPnl4E'I v, J WA S6Mur Chi or� SCHEDULES PERMIT SET , ; . U�t y,Yy07)UL2018 EAS AS NO FED Alves -- — - - Residence _ } i 359 Falmouth Road j fiF Barnstable MA L I � F DECK 905 S.F. � 4a, G.I.I G.F.I ELECTRICAL LEGEND:_ I I I Q-I V✓ALL MCUIJTED FIXTURE �� 3 4 F7 LUOP,5-f!21P YYY II — <f OuruooF FLocD I° I _ I F I. RECESSED 'TOTAL AREA DININ OOM .I� -� 2015 S.F. I I 1" TT DO'J:NLIC i�T � 5U .4CE MOUNTED u ILL II I I I; OP.F FIXTURE: i nnsTF 0ORM J I CEILING FAN/ __ BEDRIB1-0 LIGHTCic ' aj t_A•-«'�� h� o ! O PEND.ANT PI,XTURE - -, I DN I I O DOOR BELL 1 $ 5`NITCII Rvl .b I � rovcPowAv� ---- '-� 3-VJAY 51I:17Ca1 o � I � LIN 2' 2a Mj CEiDNG CXHAU5T FAN/LIGt!T F. i .F.I. DUFLEX RECEPIA.CLE ATH I / s 11 I C-.F. 6R00v0,FAULT CIRCUIT I IN PRU"TER " 51n91CHED DUPLEX RECEPTACLE SPECIAL COIINECTION ' / (APPLIANCE-51ZE * ACCO DINGL.') (� I ® DATA 1 1~` COIt4Ml!NICP,TION 5 PHOTOELECTRIC 5MOKE II i DETECTOR. ,°'' II 1 HEAT I i I O DETECTOR P110VDELEC!-KIC 5N10KE z z CA=BON MONOXIDE _ DETeC"iOP. „!a t T y N h ES dL 3 oakland ways iy 2 tjp. mattapoisett,ma 02739 ' 1' S?33 tpAitA9D1sM. a n„u,� .� 7 .!i 774-644 9168 MA Sp°a t'ti,„' ,uo' i0 edwinsargentCa'comcast.net Off OF FIRST FLOOR ELECTRICAL PLAN ¢ SCALE: „4 _,.D' -- - - �fI �11 t, FIRST FLOOR G'✓ i .PLAN �p PERMIT SET ; 07 JUL 2018 EAS AS NOTED �A Alves—_---_� ( Residence 1359 Falmouth Road _ Barnstable MA ID\. ---- -- UREEZEW.'., B-r4 D PSSCE ALCE�:T I+iIFnO7^_N+a'1-@o"- c _—� v rd,�i _r-°,!+I•tte-0IP.:�:--!'�emw�„-..�7u l�_0._1�"ire!C"_=rO-0_''___Lv_F-�_r J-LIM1]I�Y--Y I_—' a--r_ I a SaU NRUOiM Sd +Zd SUNflUUM 0w_ i_+s-r-4sd-•1I=-r-eaE'tt10r 'I_ 'r F R5rU ; TT �: ;WSLAION SOUTH ELEVATION EAST ELEVATION �� II N+rB O^sR+T•-aH• ELEVATION OOM oFCK WEST BEDROOM 2--' i BED900M BEDPOOAiT f - .,} ,N - , 2£0 ARC tF mot- f,Sys TFc, SECTION @:BEDROOMS ° Q !l0.20563 � F• �� SCALE:+/8"=i'-0" '+ - "-A EXISTING BASEMENT PLAN �EXISTINGFIRST FLOOR PLAN t�0" g f� rphf of Ar IC DEA'OI.ITOIJ F%IS'ING 4��1 BEDnOUM ROOhG1 4-_ SU RDO DECK PERMIT SET i DfI�AOLI ON C%IS"IIJC "74 UEt:J f0O 1 n J STING p _ DECK i----� -'I ! ~_ ' DEMO NOTES; �2r f 0(`�,I G"C C "-'-"""'-"""'""""` ,I 5UNCCOM°OUNDAT ON 'O - .FAN,^, G %I U SCAN P Y"' r. FOUNUS:ION ununv '—FonnN.;(•FKIFr m I 1 I I +'' °` "' '�` I PROVIDE PROPER SHORING FOR ALL FIELrI AREAS OF DEMOLITION { ' \` OKE G C � PROVIDE WEATHER PROTECTION TO ALLP.I.F.; DCAO4NtSA VAGC I1IN<POOMI WAU,{ Y.4 SECTION @.LIVING ROOM - '. ' F%ISTwC-PAUO h DEMOU.ON o°WALLu AREAS EXPOSED DURING DEMOLITION _II f 5HOWN DASHED AND CONSTRUCTION r➢ �t�I I PROVIDE SUFFICIENT DUST PROTECTION rq` 11 II TO AREAS NOT IN AREA OF WORK design ------ y - �'I - I'I`OEMOU;'CNEtl�11NG II tq-' I 3 oakland way k� _ rl FHO_T WALL Fo voATIGN II `� �•� PROVIDE PROTECTION FOR matta oisett,ma 02739 E' / p�INN,�Gr_ clt Tnrin I 14 II II P t ----G' r, L L-J j II II '1 ®'jl � II EXISTINGSURFACES TO REMAIN 774 644-9168 I I I L_g_-L J L II edwinsar9entOcomcast.net GA'.4GE IN I O --- l I II- 1 4 KITCHEN DINING I 7 DISPOSE OF MATERIAL IN ACCORDANCE ' .r-s''.4�x ..... FOREGROUND a _ 41' suN oon+ n wourON nrRl.Acr., I '1 I� \\\ /i� II WITH ALL STATE AND LOCAL ` T  OR.TArrr.ANUHOTWNT'R II II I \ / I II REQUIREMENTS �EXISTING & DEMO LL_ -JII PLANS & ELEVATIONS FOUNDATION DEMOLITION PLAN FIRST FLOOR DEMOLITION PLAN G SCALE: N.T.S. SECTION @ KITCHEN etc, 07 JUL 2018 EAS AS NOTED NOTES 1. DATUM IS NAVD 88. OUTIH ROAD (ROUTE 28) 2. MUNICIPAL WATER IS EXISTING Q F ALM 3. THIS PLAN IS FOR PROPOSED WORK ONLY AND ph�pe NOT TO BE USED FOR.LOT LINE STAKING OR ANY eo orsA,p OTHER PURPOSE. Rite 28 4. CONTRACTOR SHALL BE RESPONSIBLE FOR- Dote 28. P 4g CALLING DIGSAFE(1-888-344-7233) AND co VERIFYING THE LOCATION OF ALL UNDERGROUND & R '� - OVERHEAD UTILITIES PRIOR TO COMMENCEMENT OF- 01 ..E Lo us s� WORK. ,a n SIDEWALK Al 5. PORTION OF SITE LIES WITHIN PRIORITY HABITAT w AS PER 2017 PRIORITY AND ESTIMATED HABITAT 1 0 MAP u 47 .6. PROVIDE DRYWELLS FOR ROOF RUN—OFF(OR STONE TRENCHES ALONG DRIP LINES) S a° p9 7. PROVIDE STAKED SILT FENCE AS SHOWN FOR �• e 6 45 WORK LIMIT LINE n N v I ry 45 - .. I PAVED 44 - LOCUS MAP .DRIVE SCALE 1"=2000't. h3 ASSESSORS MAP 229 PARCEL 86 � I N 4 43 5 I ZONING SUMMARY a� ZONING DISTRICT: RD-1 RESIDENTIAL DISTRICT I MIN. LOT SIZE 43,560 S.F., 43 MIN. LOT FRONTAGE 20' I a2 MIN. LOT WIDTH 125' MIN. FRONT SETBACK 30' I ` MIN. SIDE SETBACK 10' '4 I " MIN. REAR SETBACK 10' o I MAX. BUILDING HEIGHT 30, 41 40 OWNER OF RECORD 39 EMANUEL & ANDREA ALVES I o 42 EMERSON ROAD MILTON, MA 02186 I LOT 3 REFERENCES i PARCEL 2 I 41,470t S.F. °i DB 29594 PG 318 PB 91 PG 137 8,200t S.F. PB 177 PG 129 3g SE3-4902 PIER AND LANDSCAPING APPROVAL (C OF C ISSUED 2012) i GRAVE a� I DRIVE _ f 40 4 ary 45 - MITIGATION CALCULATIONS: (LP \ I - HARDSCAPE 0-50' 50-100' \ I EXISTING: 702.5 SF 2685 SF o91 ��\ i �/ PROPOSED: 618.5 SF 2563 SF �-- �- DECREASE: -84 SF -122 SF 3e `LPG GRAVEL REQUIRED MITIGATION NONE —� �� P DRIVE PROP. E DRIVE 1/ PAVED I DRIVE / 0 PROP.I 114W i GRA / EXISTING RIVE DWELLING(HATCHED) EXIST. SUNRM. TOP OF C.i I EL 40.4FNDN (L>EM • ' - Cw SO DEMO G4RAGE; \ PROP. SUNRM. PROP.ADD'N ON FROST WALL I DECK(DEMO SITE PLAN REMOMMs4�14 7�4W 3 33 OF FW> ��,KTI �' S 3132 1359 FALMOUTH ROAD 3 0 3 9 (CENTERVILLE) BARNSTABLE PREPARED FOR ° EMANUEL & ANDREA ALVES DANIELA y6,r •33 2B / = A. my o OJALA a on wa-362-4541 $ " I.5M_362-9860 �Z1/ / OJALA CIVIL No.46502 MARCH 20, 2018 I dorncape 7 O SEASONAL o U.40980P P N O down Cape en ineering,incr 3� PIER 2� / 40�� gNOe SN' OP of S ptNAl E"r� civil engineers p2 EL. suave _ land surveyors Scale:l"=20' 959 Moln Street (Rte 6A) 29 P,�� f� YARMOUMPORT MA 02675 2 ` 1� I Q�/. ^_ V 0 10 20 30 40 50 FEET LICE #16-287 / / DANIEL A. OJALA, P.E., P.L.S. CENTERVILLE> MA CONSTRUCTION NOTES TOP OF 20" DIAMETER COVER WITHIN 8" OF FG 20" DIAMETER COVER e FOUNDATION � 1•) ALL WORK SHALL CONFORM TO THE STATE ENVIRONMENTAL CODE, TITLE 5 (310 CMR 15.000): 40.4 WITHIN 6" OF FG �o STANDARD REQUIREMENTS FOR THE SITING, CONSTRUCTION, INSPECTION, UPGRADE, AND EXPANSION OF ON-SITE SEWAGE TREATMENT AND DISPOSAL SYSTEMS AND FOR THE TRANSPORT " ce AND DISPOSAL OF SEPTAGE, AND THE LOCAL BOARD OF HEALTH REGULATIONS. EL=40f EL=40� Q `� Locus 2.) ANY SEPTIC SYSTEM COMPONENT INSTALLED IN A LOCATION WHERE THERE IS POTENTIAL FOR \\ /\�zx/ VEHICLES OR HEAVY EQUIPMENT TO PASS OVER It SHALL BE DESIGNED TO WITHSTAND AN H-20 LOADING. IF UNDER AN IMPERVIOUS SURFACE, SYSTEM SHALL BE VENTED TO THE ATMOSPHERE. ° 3.) TO MINIMIZE UNEVEN SETTLING, SEPTIC TANKS AND D-BOX SHALL BE INSTALLED ON A STABLE 38.5t GEOTEXTILE ee� MECHANICALLY-COMPACTED BASE ON SIX INCHES OF CRUSHED STONE, Proposed 38.9 Sit 4.) COVERS OVER THE INLET AND OUTLET TEES OF THE SEPTIC TANK, THE DISTRIBUTION BOX, AND 37.0 FABRIC Q`ne THE SOIL ABSORPTION SYSTEM SHALL BE RAISED TO WITHIN 6" OF FINAL GRADE. LEACHING FIELDS, TRENCHES, AND OTHER SOIL ABSORPTION SYSTEMS WITHOUT ACCESS MANHOLES SHALL HAVE AT LEAST ONE (1) INSPECTION PORT CONSISTING OF PERFORATED 4" PVC PIPE PLACED J VERTICALLY TO THE BOTTOM OF THE SOIL ABSORPTION SYSTEM WITH A CAP, TIED WITH MAGNETIC ° �O MARKING TAPE, ACCESSIBLE TO WITHIN 3" OF FINAL GRADE. \37.5 37.07 36.9 3 4" to S 5.) PIPING SHALL CONSIST OF 4" SCHEDULE 40 PVC OR EQUIVALENT, PIPE SHALL BE LAID ON A 37.75 d N 36.5 _ (VI 1-1/2 STONE tad MINIMUM CONTINUOUS GRADE OF NOT LESS THAN 2% FROM THE BUILDING TO THE SEPTIC TANK, Existing °�° `- DB-3 (Double wash) AND NOT LESS THAN 1% OTHERWISE. GAS BAFFLE H-20 SITE LOCUS 6.) DISTRIBUTION LINES FOR THE SOIL ABSORPTION SYSTEM SHALL BE 4" DIAMETER SCHEDULE 40 10.5't D- BOX THREE (3) 500 GALLON PRECAST NOT TO SCALE PVC (OR EQUIVALENT) LAID AT 0.005 FT/FT. UNLESS OTHERWISE NOTED. LINES SHALL BE CAPPED 34.5 CONCRETE LEACH CHAMBERS WITH 4' OF A7 END OR AS NOTED. 25't STONE ON ENDS AND 4' ON SIDES 1.) Assessor's Map 229 Parcel 086 7.) LINES FROM THE DISTRIBUTION BOX TO BE LEVEL FOR THE FIRST TWO (2) FEET BEFORE EXISTING -----27f ---25'± WITH 3� SEPERATIONS PITCHING TO THE SOIL ABSORPTION SYSTEM, DISTRIBUTION BOX SHALL BE WATER TESTED TO 1,000 GALLON 7 1 '�c ,r r in �� 5.8, 2•) Book 29594 Page 318 ASSURE EVEN DISTRIBUTION. SEPTIC TANK LEACHAMS J 3 ) PL. Bk. 177 Page 129 8.) GROUT TO BE USED AT ALL POINTS WHERE PIPES ENTER OR LEAVE ALL CONCRETE STRUCTURES FLOW PROFILE uft pr C/,ir IYr� 4.) This property is not in a Wellhead IN ORDER TO PROVIDE A WATERTIGHT SEAL. TO Remain ( D VIEW) ' ( ) f Protection District 9.) HEAVY EQUIPMENT SHALL NOT BE ALLOWED TO OPERATE OVER THE LIMITS OF THE SEWAGE NOT TO SCALE m e 5.) This property is in Flood Zone X DISPOSAL FIELD DURING THE COURSE OF CONSTRUCTION OF THE SYSTEM. EL=28.7 Bottom Test Hole 10.) IN ACCORDANCE WITH 310 CMR 15.221. ALL SYSTEM COMPONENTS SHALL BE MARKED WITH EXCAVATION NOTES (d�1�� Raise caner to within MAGNETIC MARKING TAPE. �n�yr� 1) EXCAVATE ALL MATERIAL ABOVE SOIL HORIZON C2(SEE DEEP O8SERUAnON C� 6" of finish grade 11.) THERE ARE NO KNOWN WELLS WITHIN 150' OF THE PROPOSED SOIL ABSORPTION SYSTEM. `�J HOLE LOG)AT APPROXIMATE ELEVATION 332, FOR A LATERAL DISTANCE OF 5' (WHERE POSS18LE) /N ALL PIRCC17ONS BEYOND THE OUTER PER/METER OF THE LEACHING A EA. Map 245 t -_I�v 12.) FROM THE DATE OF THE INSTALLATION OF THE SOIL ABSORPTION SYSTEM UNTIL RECEIPT OF Parcel 91 2) FILL MATERIAL SHALL CONSIST O/ CLEAN GRANULAR SAND. FREE FROM ORGAN/Cf p THE CERTIFICATE OF COMPLIANCE, THE PERIMETER SHALL BE STAKED AND FLAGGED TO PREVENT MArrER AND OTHER DELETERIOUS SUBSTANCES, WHICH MEErS THE TEXTURAL �,c USE OF THE AREA THAT MAY CAUSE DAMAGE TO THE SYSTEM. CRITERIA PUT FORTH IN SECnO/V 13.255(3) OF TITLE 5. 13.) THE DESIGNER WILL NOT BE RESPONSIBLE FOR THE SYSTEM AS DESIGNED UNLESS ->, \ s) SCARIFY THE BOTTOM SURFACE OF THE£XCAVAr/l7W PRIOR TO PLACEMENT CONSTRUCTED AS SHOWN ON PLAN. ANY CHANGES SHALL BE APPROVED IN WRITING BY THE \ OF FILL INTO THE RETAINING STRUCTURE. C O a _ °D °D ``. 4J PLACE FILL ONLY WHEN 80TTOM SURFACE/S DRY. 14•) THE BOARD OF HEALTH REQUIRES INSPECTION OF ALL CONSTRUCTION BY AN AGENT OF THE O \ \ �~ 40 to BOARD OF HEALTH AND THE DESIGNER. THE DESIGNER SHALL CERTIFY IN WRITING THAT THE SEWAGE DISPOSAL SYSTEM WAS INSTALLED IN ACCORDANCE WITH THE TERMS OF THE PERMIT AND THE APPROVED PLANS. 48 HOURS ADVANCE NOTICE IS REQUESTED. \ ~ \c', ' D-Box 15.) LOCATION OF UTILITIES IS APPROXIMATE AND CONTRACTOR SHALL BE' RESPONSIBLE FOR DETERMINING THE LOCATION OF ALL UNDERGROUND AND OVERHEAD UTILITIES PRIOR TO \ ` / 44 4 -8.5' t 2' 8.5' 2'� 8.5' 4' COMMENCEMENT OF ANY WORK. THIS INCLUDES, BUT IS NOT LIMITED T0, REQUESTS TO DIGSAFE, 6 ANY PRIVATE UTILITY COMPANIES, AND THE LOCAL WATER DEPARTMENT. Q \ \ `'.., Lots 3 & Parcel 2 ' 42 \ a 37.5' 16.) CONTRACTOR SHALL VERIFY THAT ALL WASTELINES ARE CONNECTED BY WATER TESTING U \ c 49,670± Sq. Ft. WITHIN THE DWELLING PRIOR TO INSTALLATION OF ANY SEPTIC COMPONENTS. o \ / \ T r , 42 17.) CONTRACTOR SHALL VERIFY EXISTING INVERT ELEVATIONS PRIOR TO INSTALLATION OF ANY J ,� \ �, - SEPTIC SYSTEM COMPONENTS. ao _ 18. TEST HOLES COMPLETED PER STATE ENVIRONMENTAL CODE, TITLE 5. SOILS CAN BE �`' \ C 3s O \ �`., ,� 4p, ,� \ �Noteowiio*+� S f'J 1t VARIABLE AND TEST HOLE DATA IS NO GUARANTEE OF SOIL CONDITIONS IN OTHER AREAS. IF �*•, � � 1 SOILS DIFFER FROM THOSE SHOWN IN THE SOILS LOGS, DESIGN ENGINEER IS TO INSPECT THE \ '-- --o -°� SOILS PRIOR 'TO PROCEEDING WITH INSTALLATION OF ANY SEPTIC COMPONENTS. �: �. -p o_ 19.) EXISTING SEPTIC COMPONENTS TO BE LOCATED, PUMPED DRY, FILLED WITH CLEAN SAND AND -- \ .__.. ���' • ABANDONED IN PLACE OR REMOVED AS REQUIRED. AREA TO BE COMPACTED TO MINIMIZE SETTLING. 0 \ ~' 7P O LL_ OHouse #1359 A z_ _ 3 Bedroom a Test Hole , (EL=4o.ot) TEST HOLE LOGS _ '� ` r ;o � 501I See Note See Note Depth Elev. foyer Soil Class Soil Color Mottling _ �� `-' 0"--24" 38.0 A Loamy Sand 10YR 3/2 None _ 24"-54" 35.5 B Loamy Sand 10YR 5/6 None dew / 54"-82" 33.2 C1 Sandy Loom 2,5Y 7/1 None 82"-136" 28.7 C2 Loamy Sand 2.5YR 6/3 None 1 - � Two Car 38 NO GROUNDWATER ENCOUNTERED 8'S0. _ _`7- Garage r 40 Test Hole (EL=40.Ot) Depth Elev. Layer Sail Class Soil Color Soil Mn SYSTEM DESIGN CALCULATIONS 0"-20" 33.3 A Loamy Sand 10YR 3/2 None N _ \ t ' r 20"-41" 36.6 B Loamy Sand tOYR 5/6 None SEWAGE DESIGN FLOW REQUIRED: 3 BEDROOM DWELLING ® 110 GPD/BEDROOM = 330 GPD �g0 3z0' \ ,� 60,33• A 41"-72" 34.0 C1 Sandy Loam 2.5Y 7/1 None SEWAGE DESIGN FLOW PROVIDED: THREE (3) 500 GALLON CHAMBERS Map 245 `�`- 4�. -' Loam WITH 4' STONE ON THE ENDS AND 4' STONE ON THE SIDES AND 2' SEPERATION IN MIDDLE 72"-,36" 28.7 C2 Y Sand 2.5YR 6/ None Parcel 91 Vt = [(37.5x 12.83) + 2(37.5 + 12.83) (2) x .66 = 450 GPD PROVIDED NO GROUNDWATER ENCOUNTERED 450 GPD PROVIDED > 330 GPD REQUIRED nth Off DATE of STING: 9/T M SEPTIC TANK CAPACITY REQUIRED: 330 GPD X 200 = 660 MINIMUM SOIL EVAL TOR: SC MCGANN (MINIMUM) `rs WITNESS: DA STANTON, BARNSTABLE BOH SEPTIC TANK CAPACITY PROVIDED: 1,000 GALLON SEPTIC TANK (EXISTING) ip�� Note: PERCOLATION R LESS THAN 8 MIN/INCH Scott PERC IN C2 LAYER A w This plan is only valid for current regulations and may NO GROUNDWATER ENCOUNTERED ( U McGann „n* not be suitable for future regulation changes that may occur, ,� #1224 C-0 co I CERTIFY THAT I AM CURRENTLY APPROVED BY THE Note: Proposed Sewage Disposal System Connection DEPARTMENT OF ENVIRONMENTAL PROTECTION PURSUANT TO 310 CMR 15.017 TO CONDUCT SOIL NOTE:LOCATION OF UTILITIES IS APPROXIMATE AND ALL Floor Plans to be submitted 1359 Falmouth Road Centerville MA EVALUATIONS AND THAT THE SOIL ANALYSIS HAS BEEN , PERFORMED BY ME CONSISTENT WITH THE REQUIRED UNDERGROUND AND OVERHEAD UTILITIES MUST BE with Building Permit application DETERMINED IN THE FIELD PRIOR TO COMMENCEMENT Prepared d b TRAINING, EXPERTISE, AND EXPERIENCE DESCRIBED IN OF ANY WORK, THIS INCLUDES, BUT NOT LIMITED TO, Prepared for: p y' 310 CMR 15.017. 1 FURTHER CERTIFY THAT THE REQUESTS TO DIGSAFE, ANY PRIVATE UTILITY COMPANIES All Cape Septic LLC RESULTS OF MY SOIL EVALUATION AS INDICATED ON AND THE LOCAL WATER DEPARTMENT. GRAPHIC SCALE Emanel Alves THE ATTACHED SOIL EVALUATION FORM, ARE ACCURATE 618 Route 28 AND IN ACCORDANCE TH 310 CMR 15.100 THROUGH 30 0 15 30 60 120 42 Emerson Road West Yarmouth, MA 02673.15.107 Milton, MA �" (508) 771-4200 Scott McGann, Certified Soil Evaluator altcapeseptic®gmail.com ( IN FEET ) 1 inch = 30 ft. Date: 10/2/19 Sheet 1 of 1 By: MA Check: SM I Project No. AC-192