HomeMy WebLinkAbout0015 INDIAN TRAIL - Health Centerville
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KEEPING YOU ORGANIZED
No. 12534
2-15SWR
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GUOWAMATSMEADZM
346 PQ-
�TKE Tom,
Town of Barnstable Barnstable
Inspectional Services
MAS& Public Health Division
tea" a 200 Main Street, Hyannis MA 02601 2007
Office: 508-862-4644 Thomas A.McKean,CHO
FAX: 508-790-6304
CERTIFIED MAIL#7015 1730 0001 4987 9446
December 3, 2018
EGAN, ROBERT B &LOUISE A
15 INDIAN TRAIL
CENTERVILLE, MA 02632
ORDER TO COMPLY WITH STATE ENVIRONMENTAL CODE, TITLE 5
The septic system located at 15 Indian Trail, Centerville, MA was inspected on
11/19/2018 by James Ford, certified Title V Septic Inspector for the State of
Massachusetts.
The'inspection of the_'septic system showed that the system"Fails" under the guidelines
of 1995 TITLE V (310 CMR 15.00) due to the following:
• Backup of sewage into the house or facility due to an overloaded or clogged
leaching pit.
You are ordered to repair or replace the septic system within sixty (60) days from the
date you receive this notification.
Failure to repair/replace the septic system within the deadline period will result in future
enforcement action.
PER ORDER OF THE BOARD OF HEALTH
omas cKean,RS.,CHO
Agent of the Board of Health
Q:\SEPTIC\Title V Inspection Report Letters Mailing\Failed or Needs Further Evaluation Letters\15 Indian Trail Centerville.doc
�F1ME Tp�i Town of Barnstable +
Public Health Division ` NC
U.S.POSTAGE>1PITNEYBOWES
BARMABLE, 200 Main StreetHyannis,MA02601 ` ZIP 02601 $ 006.670
7015 1730 0001 4987 9446 v 0000336455DEC 03. 2018.
v� EGAN, ROBERT B&LOUISE A %V
.15 INDIAN TRAM
v NIXIE 015 D1- 3. 0001f '01j1i `
RETURN TO SENDER tl
S" y L S"�4F V R 4Y A--R'S
UNC 13O: OZ601400200 * 0322-0438a-03-46
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SENDE9 COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY
■ Complete items 1,2,and 3. A. Signature
Agent
■ Print your name and address on the reverse X ❑addressee
' I so that we can return the card to you.
■ Attach this card to the back of the mailpiece, B. Received by(Printed Name) C. Date of Delivery
or on the front if space permits. i
1. Al D. Is delivery address different from item 1? ❑Yes �
I If YES,enter delivery address below: ❑No
i
EGAN, ROBERT B&LOUISE A
15 INDIAN TRAIL
'CENTERVILLE, MA 02632
111111111 IIII III I II I II II I I III II II IIIII II I I III ❑Adult Sgnturee Restricted D 1:1elivery oce Type 0 Registered Maid Rpriority Mail r es ri tetl
9590 9402 4116 8092 9359 30 Certified Mail® Delivery
Certified Mail Restricted Delivery ItReturn Receipt for
I I ❑Collect on Delivery Merchandise
❑Collect on Delivery Restricted Delivery Signature Confirmation
2. Article Number(Transfer from service label) TM
I (Tr ❑Insured Mail ❑SignatureConfirmation
7 015 17 3 0 0 0 01 4 9 8 7. 9446 oi'I Restricted Delivery Restricted Delivery
PS Form 3811,July 2015 PSN 7530- -02-000-9053 ` Domestic Return Receipt I
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Town of Barnstable P# .,.
owe �l'r i t i
Department of Regulatory Services
antwscet;$; :
Public wealth Division Date
� >tt�ss.
p s639 �d� 200 Main Street,Hyannis MA 02601 t "1
Time Fee Pd,
Date Scheduled ' t7Q
CC-,
Soil Suitability Assessment for Se e I)isp�asnl
Performed By:. FE^ tf 1-lLC^4f.,e_ 515 15 q Z Witnessed By:
LOCATION& GENERAL INFORMATION
Location.Address '5- Indlq( '7—, q Owner's.Name
_L_7 Address 0n� C
Assessor's Map/Parcel: 216 (jEngineersN
�.Z ' ame �ngi���`� ���� ��C
NEW CONSTRUCTION R'EPA.IR - Telephone# 570 — "7-7-5-3 \3 PSI-0
Land Use l/2.j'cr Slo e$(96) �-
P tf Surface Stones J
Distances from: Open Water Body ft 'Possible Wet Area ft Drinking Water Well( - ft
Drainage Way ,,-)LA. „!t Property Line l� � ft Other
ft
( p/ proximity
_ SKETCH: Street name,dimension of lot,exact locations of test holes& arc tests,Jacate wetlands i`n roxim�t t4.holes)
3
CP3
1
� 1
e
9 N p 14-"'j T7�L9 t C
PArent.material(geologic) Depth to Bedrock
Depth to Groundwater. Standing.Water in Hole: Weeping from Pit Vnee
:Estimated.Seasonal High Groundwater
DETERNIINATION FOR SEASONAL HIGH WATER TABLE
Method Used: .
Depth Observed standing in obs.hole: in. Depth to Boil mottles: it1.
Depth to weeping from side of ohs'.hole: in, aroundwuNr Adjustment ft•
Index Well# Reading Date: Index Well level Adl,'factor Adj.CroutidwaterLevel,m,
PERCOLATION TEST Date Thne
Observation
Hole# j To-y `Time at V
Depth of Perc.
24 �j��lcn••� 71tncat6" ._.�. .. .,,.�
Start Pre-soak Time Q 'lime(9"-6")
End Pre-soak to t,
Rate MinAnch. S k@W-k Q\VI-CA 5 t s
Site Suitability?ssessment: Site Passed Site Failed: Additional Testing Needed(YIN)
Original: Public Health Division Observation Hole Data To Be Completed on Back-----------
**If percolation test is to be.conducted witbin 100' of wetland,you must first notify the,
Barnstable Conservation Division at least one(1) week prior to beginning.
Q:\S EPTIC�PERCFORM,DOC
DEEP OBSERVATION HOLE LOG Hole# M
Depth from Soil HorizonSoil Texture Soil Color Soil Other
Surface(in.) (USDA) (Mansell) Mottling. '(Structure,Stones,Boulders..
on i tenc % r vel
r)LC_
-z� A Loges, S4K tc1 `ft2 ylZ
7e- 9 1 Cz FM SaH�Q ( to`(�shy
BEEP OBSERVATION HOLE LOG Hole#Depth,from Sol]Horizon Soil Texture Soil Color Soil Other
Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders.
Consistency,W ravel
Q- 19 f- LC
(9- A
t® � ylZ
26- q
cl — 7Z
Cz {= Sq . . . lei �o�(✓Ls7y
DEEP OBSERVATION HOLE LOG Hole
Depth from Soil Horizon Soil Texture Soil Color Soil. Other
Surface.(in.) (USDA] (Mansell) Mottling (Structure,Stones,Boulders.
/n� tt C nsis Gravel).
f-t
t a'f t2 y
215y
BEEP OBSERVATION HOLE LOG Hole#
Depth from Soil Horizon Soil Texture Soii Color Soil Other
Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders,
onsi ten ra
A CS�, Sy-q W_(�Z 4 I z
9-Zy tso,,;,, SAY u0
2`1 -t 2c� C l`t�cL � 2� 6 -
Flood Insurance.Rate Map:
Above,5Oo year flood`boundary No— Yes
Witlun 500 year boundary 'No Yes
Within 100 year flood boundary No__!S Yes,
Depth of Naturally Occurring Pervious Material
Does at least four feet of naturally occurring pervious material exist in all areas observed throughout the
area proposed`for the soil absorption system? —
If not,what is the depth of naturally occurring pervious material?
Certification
I certify that on (date)i have passed the soil evaluator examination approved by the
Deparftlient of Environmental Protection and that the above analysis was.performed'by me consistent with
the.required training,ex7p�errtis�e and experience described.in 310 CMR 15.017.
Signature /
�QS V "�.�---- Date
�l �.
QtvEPTICTERCFORM:DOC
_ f
TOWN OF BARNSTABLE
LOCATION !� IA/ d IAI 7'If 41Z, SEWAGE #
VILLAGE G e.4,T ASSESSOR'S MAP & LOTL�
INSTALLER'S NAME & PHONE NO. ,T,t ,yi A
StPTIC TANK CAPACITY
LEACHING FACILITY:(type) yi (size)
NO. OF BEDROOMS PRIVATE WELL OR PUBLIC WATER
BUILDER OR OWNERd �
DATE PERMIT ISSUED:
DATE COZIPLIANCE ISSUED:
VARIANCE GRANTED: Yes No
:.s
1
Town of Barnstable Barnstable
ity
Inspectional Services i eaica J.F
srASM
�� Public Health Division
200 Main Street, Hyannis MA 02601 2007
Office: 508-862-4644 Thomas A.McKean,CHO
FAX: 508-790-6304
CERTIFIED MAIL# 7015 1730 0001 4987 6919
January 24, 2019
David Cougan
40 Saint Botolph Street, Apt#21
Boston, MA 02116
ORDER TO COMPLY WITH STATE ENVIRONMENTAL CODE, TITLE 5
The septic system located at 15 Indian Trail, Centerville, MA was inspected on
11/19/2018 by James Ford, certified Title V Septic Inspector for the State of
Massachusetts.
The inspection of the septic system showed that the system"Fails" under the guidelines
of 1995 TITLE V (310 CMR 15.00) due to the following:
+ Backup of sewage into a component of the system.
You are ordered to repair or replace the septic system within one (1)year from the date
you receive this notification.
Failure to repair/replace the septic system within the deadline period will result in future
enforcement action.
PER ORDER OF THE ARD OF HEALTH
Thomas McKean, R.S., CHO
Agent of the Board of Health
Q:\SEPTIC\Title V Inspection Report Letters Mailing\Failed or Needs Further Evaluation Letters\15 Indian Trail Centerville
REVISED 1-25-19.doe
SECTIONSENDER: CqMPLET16 THIS SECTION COMPLETE THIS DELIVERY
■ Complete items 1,2,and 3. A. Sign
■ Print your name and address on the reverse Agent
so that we can return the card to you. L7 Addressee
■ Attach this card to the back of the mailpie-de, —, eived by(Printed Name) C, Daje o elivery
or on the front if space pe Its i�
1. Article Addressed to:, 4 J Is delivery address different from item 17 Yes
y If YES,enter delivery address below: No
j Dav41dCoug �a - � _ 5Ay sr
40 Saint'� 3otolph St, Apt# 21
Bostonjr.'MA 02116 FEB 12018
❑3 Adult Sign atu. 1� O ReggisteredMalll"' ed
❑Adult Signature Re ry
9590 9402 1934 6123 1098 83 ❑Certified Mail Restricted Delkery Reetum Receipt for
❑Collect on Delivery Merchandise
2: Article Number(Trahsfer from service/abal)' ❑Collect on Delivery Restricted Delivery 0 Signature Confirrnation'T'
❑Insured Mail ❑Signature Confirmation
17 15 17 3 0`.0 0 1f 4 9 8 7 6 919 ❑Insured Mail Restricted Delivery Restricted Delivery
(over$500)
F15~ orm 00 1 1,July2015 PSN 7530-02-000-9053 Domestic Return Receipt
USF�,ATAfkSl[!� ,#
First-"'a«s Mail
Postage'&Fees Paid
USPS
Permit No.G-10
9590 9402 1934 6123 1098 83
jUnited States •Sender:Please print your name,address,and ZIP+4®in this box;
Postal Service _
Public Health Division
Town of Barnstable
200 Main Street
Hyannis, MA 02601
I
Town of Barnstable Barnstable
Inspectional Services ;edcac j
x nwt:xsTASM
M 9. ,�� Public Health Division
s 200 Main Street, Hyannis MA 02601 2007
Office: 508-862-4644 Thomas A.McKean,CHO
FAX: 508-790-6304
CERTIFIED MAIL#7015 1730 0001 4987 9446
December 3, 2018
EGAN, ROBERT B & LOUISE A
15 INDIAN TRAIL
CENTERVILLE, MA 02632
ORDER TO COMPLY WITH STATE ENVIRONMENTAL CODE, TITLE 5
The septic system located at 15 Indian Trail, Centerville, MA was inspected on
11/19/2018 by James Ford, certified Title V Septic Inspector for the State of
Massachusetts.
The inspection of the septic system showed that the system "Fails" under the guidelines
of 1995 TITLE V (310 CMR 15.00) due to the following:
• Backup of sewage into th due to an overloaded or clogged
leaching pit.
You are ordered to repair or replace the septic system within pxtyoC� qays from the
date you receive this notification. ---C7
Failure to repair/replace the septic system within the deadline period will result in future
enforcement action.
PER ORDER OF THE BOARD OF HEALTH
omas cKean, R.S., CHO
Agent of the Board of Health
Q:\SEPTIC\Title V Inspection Report Letters Mailing\Failed or Needs Further Evaluation Letters\15 Indian Trail Centerville.doc
r
Town of Barnstable
9� "6 Regulatory Services Department
rfn ran'
Public Health Division
200 Main Street,Hyannis MA 02601
Office: 508-862-4644 Richard Scali,Director
FAX: 508-790-6304 Thomas A-McKean,CHO
Feb 6, 2007
Rev. 5/11/16
DEADLINES TO REPAIR FAILED SYSTEMS
(Town Code §360-44 and Title V: 310 CMR 15.000)
An"x"marked in the ❑is the failure criteria and associated repair deadline
60 DAY DEADLINE CRITERIA
❑ Discharge or ponding of effluent to the surface of the ground
❑ Pumping more than 4 times during the last year not due to cloggeBd,or obstructed
pipe �- dw
Backup of sewage into
ONE (1) YEAR DEADLINE CRITERIA
❑ Static liquid level in the distribution box above outlet invert due to an overloaded or
clogged SAS or cesspool
❑ Any portion of the SAS, cesspool, or privy below high groundwater elevation
❑ Any portion of the cesspool within a Zone 1 to a public well
❑ Any portion of a cesspool within 50 feet of a private water supply well with no
acceptable water quality analysis. (This system passes if the water analysis
indicates the well is free from pollution).
TWO (2)YEAR DEADLINE CRITERIA
❑ Single Cesspool
❑ Any"conditionally passed systems" (broken cover, relocation of a pipe,relocation
of a driveway due to H-10 components, etc)
❑ Leaching facility with standing liquid level at or above the invert pipe (per Town
Code §360-20 h)
OTHER
\ \
s
Repair deadline: OIL
/'ram•
i
Q:\SEPTIC\DEADLINES TO REPAIR FAILED SYSTEMS.doc � �
Commonwealth of Massachusetts
Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form - Not for Voluntary Assessments
15 Indian Trail rw
Property Address ,
The Estate of Louise Egan
4:p
Owner Owner's Name v
information is •/ 'rr-
required for every Centerville Y MA 02632 11/19/2018 :,
page. City/Town State Zip Code Date of Inspection `:`'
Inspection results must be submitted on this form. Inspection forms may not be altered in any
way. Please see completeness checklist at the end of the form.
Important:When filling out forms A. General Information
on the computer,
use only the tab 1. Inspector:
key to move your
cursor-do not James Ford
use the return Name of Inspector
key.
Ford Septic Services LLC
,Iy Company Name
P.O. Box 49
Company Address
Osterville MA 02655
City/Town State Zip Code
508-862-9400 S 12482
Telephone Number License Number
B. Certification
I certify that I have personally inspected the sewage disposal system at this address and that the
information reported below is true, accurate and complete as of the time of the inspection. The inspection
was performed based on my training and experience in the proper function and maintenance of on site
sewage disposal systems. I am a DEP approved system inspector pursuant to Section 15.340 of
Title 5 (310 CMR 15.000). The system:
❑ Passes ❑ Conditionally Passes ® Fails
❑ Needs Further Ev uation by the Local Approving Authority
11/19/2018
In spec Signature Date
The s m inspector shall submit a copy of this inspection report to the Approving Authority (Board
of Health or DEP)within 30 days of completing this inspection. If the system has a design flow of
10,000 gpd or greater, the inspector and the system owner shall submit the report to the appropriate
regional office of the DEP. The original should be sent to the system owner and copies sent to the
buyer, if applicable, and the approving authority.
****This report only describes conditions at the time of inspection and under the conditions of use
at that time. This inspection does not address how the system will perform in the future under
the same or different conditions of use.
t5ins.doc-rev.6/16 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 1 of 17
Commonwealth of Massachusetts
f p Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form -Not for Voluntary Assessments
15 Indian Trail
Property Address
The Estate of Louise Egan
Owner Owner's Name
information is
required for every Centerville MA 02632 11/19/2018
page. Cityrrown State Zip Code Date of Inspection
B. Certification (cont.)
Inspection Summary: Check A,B,C,D or E/always complete all of Section D
A) System Passes:
❑ I have not found any information which indicates that any of the failure criteria described
in 310 CMR 15.303 or in 310 CMR 15.304 exist. Any failure criteria not evaluated are
indicated below.
Comments:
B) System Conditionally Passes:
❑ One or more system components as described in the"Conditional Pass" section need to be
replaced or repaired. The system, upon completion of the replacement or repair, as approved by
the Board of Health, will pass.
Check the box for"yes", "no" or"not determined" (Y, N, ND)for the following statements. If"not
determined," please explain.
The septic tank is metal and over 20 years old* or the septic tank (whether metal or not) is structurally
unsound, exhibits substantial infiltration or exfiltration or tank failure is imminent. System will pass
inspection if the existing tank is replaced with a complying septic tank as approved by the Board of
Health.
*A metal septic tank will pass inspection if it is structurally sound, not leaking and if a Certificate of
Compliance indicating that the tank is less than 20 years old is available.
❑ Y ❑ N ❑ ND (Explain below):
t5ins.doc•rev.6/16 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 2 of 17
Commonwealth of Massachusetts
Title 5 Official Inspection Form
�- Subsurface Sewage Disposal System Form - Not for Voluntary Assessments
15 Indian Trail
Property Address
The Estate of Louise Egan
Owner Owners Name
information
equir for
is every Centerville
required for eve MA 02632 11/19/2018
page. City/Town State Zip Code Date of Inspection
B. Certification (cost.)
❑ Pump Chamber pumps/alarms not operational. System will pass with Board of Health approval if
pumps/alarms are repaired.
B) System Conditionally Passes (cont.):
❑ Observation of sewage backup or break out or high static water level in the distribution box due
to broken or obstructed pipe(s)or due to a broken, settled or uneven distribution box. System will
pass inspection if(with approval of Board of Health):
❑ broken pipe(s) are replaced ❑ Y ❑ N ❑ ND (Explain below):
❑ obstruction is removed ❑ Y ❑ N ❑ ND (Explain below):
❑ distribution box is leveled or replaced ❑ Y ❑ N ❑ ND (Explain below):
❑ The system required pumping more than 4 times a year due to broken or obstructed pipe(s). The
system will pass inspection if(with approval of the Board of Health):
❑ broken pipe(s) are replaced ❑ Y ❑ N ❑ ND (Explain below):
❑ obstruction is removed ❑ Y ❑ N ❑ ND (Explain below):
C) Further Evaluation is Required by the Board of Health:
❑ Conditions exist which require further evaluation by the Board of Health in order to determine if
the system is failing to protect public health, safety or the environment.
1. System will pass unless Board of Health determines in accordance with 310 CMR
15.303(1)(b)that the system is not functioning in a manner which will protect public health,
safety and the environment:
❑ Cesspool or privy is within 50 feet of a surface water
❑ Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh
t5ins.doc•rev.6/16 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 3 of 17
Commonwealth of Massachusetts
F Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form -Not for Voluntary Assessments
15 Indian Trail
Property Address
The Estate of Louise Egan
Owner Owners Name
information is
required for every Centerville MA 02632 11/19/2018
page. Cityrrown State Zip Code Date of Inspection
B. Certification (cont.)
2. System will fail unless the Board of Health (and Public Water Supplier, if any)
determines that the system is functioning in a manner that protects the public health,
safety and environment:
❑ The system has a septic tank and soil absorption system (SAS)and the SAS is within
100 feet of a surface water supply or tributary to a surface water supply.
❑ The system has a septic tank and SAS and the SAS is within a Zone 1 of a public water
supply.
❑ The system has a septic tank and SAS and the SAS is within 50 feet of a private water
supply well.
❑ The system has a septic tank and SAS and the SAS is less than 100 feet but 50 feet or
more from a private water supply well".
Method used to determine distance:
**This system passes if the well water analysis, performed at a DEP certified laboratory, for fecal
coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal
to or less than 5 ppm, provided that no other failure criteria are triggered. A copy of the analysis must
be attached to this form.
3. Other:
D) System Failure Criteria Applicable to All Systems:
You must indicate "Yes" or"No"to each of the following for all inspections:
Yes No
® ❑ Backup of sewage into facility or system component due to overloaded or
clogged SAS or cesspool
❑ ® Discharge or ponding of effluent to the surface of the ground or surface waters
due to an overloaded or clogged SAS or cesspool
❑ ® Static liquid level in the distribution box above outlet invert due to an overloaded
or clogged SAS or cesspool
❑ ® Liquid depth in cesspool is less than 6" below invert or available volume is less
than 1/day flow
t5ins.doc•rev.6/16 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 4 of 17
Commonwealth of Massachusetts
Title 5 Official Inspection Form
�- Subsurface Sewage Disposal System Form - Not for Voluntary Assessments
15 Indian Trail
Property Address
The Estate of Louise Egan
Owner Owner's Name
information is Centerville
required for every
MA 02632 11/19/2018
page. City/Town State Zip Code Date of Inspection
B. Certification (cont.)
Yes No
❑ ® Required pumping more than 4 times in the last year NOT due to clogged or
obstructed pipe(s). Number of times pumped:
❑ ® Any portion of the SAS, cesspool or privy is below high ground water elevation.
❑ ® Any portion of cesspool or privy is within 100 feet of a surface water supply or
tributary to a surface water supply.
❑ ® Any portion of a cesspool or privy is within a Zone 1 of a public well.
❑ ® Any portion of a cesspool or privy is within 50 feet of a private water supply well.
❑ ® Any portion of a cesspool or privy is less than 100 feet but greater than 50 feet
from a private water supply well with no acceptable water quality analysis. [This
system passes if the well water analysis, performed at a DEP certified
laboratory,for fecal coliform bacteria indicates absent and the presence
of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm,
provided that no other failure criteria are triggered. A copy of the analysis
and chain of custody must be attached to this form.]
❑ ® The system is a cesspool serving a facility with a design flow of 2000gpd-
10,000gpd.
® ❑ The system fails. I have determined that one or more of the above failure
criteria exist as described in 310 CMR 15.303, therefore the system fails. The
system owner should contact the Board of Health to determine what will be
necessary to correct the failure.
E) Large Systems: To be considered a large system the system must serve a facility with a
design flow of 10,000 gpd to 15,000 gpd.
For large systems, you must indicate either"yes" or"no"to each of the following, in addition to the
questions in Section D.
Yes No
❑ ❑ the system is within 400 feet of a surface drinking water supply
❑ ❑ the system is within 200 feet of a tributary to a surface drinking water supply
❑ ❑ the system is located in a nitrogen sensitive area (Interim Wellhead Protection
Area—IWPA) or a mapped Zone II of a public water supply well
If you have answered "yes" to any question in Section E the system is considered a significant threat,
or answered "yes" in Section D above the large system has failed. The owner or operator of any large
system considered a significant threat under Section E or failed under Section D shall upgrade the
system in accordance with 310 CMR 15.304. The system owner should contact the appropriate
regional office of the Department.
t5ins.d6c•rev.6/16 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 5 of 17
Commonwealth of Massachusetts
Title 5 Official Inspection Form
f F Subsurface Sewage Disposal System Form -Not for Voluntary Assessments
15 Indian Trail
Property Address
The Estate of Louise Egan
Owner Owner's Name
information is required for every Centerville MA 02632 11/19/2018
page. City/Town State Zip Code Date of Inspection
C. Checklist
Check if the following have been done. You must indicate"yes" or"no" as to each of the following:
Yes No
® ❑ Pumping information was provided by the owner, occupant, or Board of Health
❑ ® Were any of the system components pumped out in the previous two weeks?
® ❑ Has the system received normal flows in the previous two week period?
❑ ® Have large volumes of water been introduced to the system recently or as part of
this inspection?
® ❑ Were as built plans of the system obtained and examined? (If they were not
available note as N/A)
® ❑ Was the facility or dwelling inspected for signs of sewage back up?
® ❑ Was the site inspected for signs of break out?
® ❑ Were all system components, excluding the SAS, located on site?
® ❑ Were the septic tank manholes uncovered, opened, and the interior of the tank
inspected for the condition of the baffles or tees, material of construction,
dimensions, depth of liquid, depth of sludge and depth of scum?
❑ ® Was the facility owner(and occupants if different from owner) provided with
information on the proper maintenance of subsurface sewage disposal systems?
The size and location of the Soil Absorption System (SAS)on the site has
been determined based on:
® ❑ Existing information. For example, a plan at the Board of Health.
® ❑ Determined in the field (if any of the failure criteria related to Part C is at issue
approximation of distance is unacceptable) [310 CMR 15.302(5)]
D. System Information
Residential Flow Conditions:
Number of bedrooms (design): 4 Number of bedrooms (actual): 4
DESIGN flow based on 310 CMR 15.203 (for example: 110 gpd x#of bedrooms): 440
t5ins.doc-rev.6/16 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 6 of 17
Commonwealth of Massachusetts
Title 5 Official Inspection Form
_
Subsurface Sewage Disposal System Form - Not for Voluntary Assessments
.......... . 15 Indian Trail
Property Address
The Estate of Louise Egan
Owner Owners Name
information isequired for every
Centerville
MA 02632 11/19/2018
page. City/Town State Zip Code Date of Inspection
D. System Information
Description:
Number of current residents: 3
Does residence have a garbage grinder? ❑ Yes ® No
Is laundry on a separate sewage system? (Include laundry system inspection El Yes ® No
information in this report.)
Laundry system inspected? ❑ Yes ® No
Seasonal use? ❑ Yes ® No
Water meter readings, if available (last 2 years usage (gpd)):
Detail:
unavailable
Sump pump? ❑ Yes ® No
Last date of occupancy: currently
Date
Commercial/Industrial Flow Conditions:
Type of Establishment:
Design flow(based on 310 CMR 15.203): Gallons per day(gpd)
Basis of design flow(seats/persons/sq.ft., etc.):
Grease trap present? ❑ Yes ❑ No
Industrial waste holding tank present? ❑ Yes ❑ No
Non-sanitary waste discharged to the Title 5 system? ❑ Yes ❑ No
Water meter readings, if available:
t5ins.doc•rev.6/16 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 7 of 17
Commonwealth of Massachusetts
(P Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form -Not for Voluntary Assessments
15 Indian Trail
Property Address
The Estate of Louise Egan
Owner Owners Name
information isequired or every Centerville MA 02632 11/19/2018
page. City/Town State Zip Code Date of Inspection
D. System Information (cont.)
Last date of occupancy/use: Date
Other(describe below):
General Information
Pumping Records:
Source of information: pumped in 2017
Was system pumped as part of the inspection? ❑ Yes ® No
If yes, volume pumped: gallons
How was quantity pumped determined?
Reason for pumping:
Type of System:
® Septic tank, distribution box, soil absorption system
❑ Single cesspool
❑ Overflow cesspool
❑ Privy
❑ Shared system (yes or no) (if yes, attach previous inspection records, if any)
❑ Innovative/Alternative technology. Attach a copy of the current operation and
maintenance contract(to be obtained from system owner) and a copy of latest
inspection of the I/A system by system operator under contract
❑ Tight tank. Attach a copy of the DEP approval.
❑ Other(describe):
t5ins.doc-rev.6/16 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 8 of 17
i
Commonwealth of Massachusetts
Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form - Not for Voluntary Assessments
15 Indian Trail
Property Address
The Estate of Louise Egan
Owner Owners Name
information is
required for every Centerville MA 02632 11/19/2018
page. City/Town State Zip Code Date of Inspection
D. System Information (cont.)
Approximate age of all components, date installed (if known) and source of information:
installed date-6/29/1989
Were sewage odors detected when arriving at the site? ❑ Yes ® No
Building Sewer(locate on site plan):
Depth below grade: feet
Material of construction:
❑ cast iron ®40 PVC ❑ other(explain):
Distance from private water supply well or suction line: feet
Comments (on condition of joints, venting, evidence of leakage, etc.):
Septic Tank(locate on site plan):
Depth below grade: 16"feet
Material of construction:
® concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑ other(explain)
If tank is metal, list age:
years
Is age confirmed by a Certificate of Compliance? (attach a copy of certificate) ❑ Yes ❑ No
Dimensions: 1500 gal.
Sludge depth: 4
ti
Lt5,n..dcc•rev.6/16 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 9 of 17
Commonwealth of Massachusetts
0 Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form - Not for Voluntary Assessments
u 15 Indian Trail
Property Address
The Estate of Louise Egan
Owner Owners Name
information is Centerville
required for every MA 02632 11/19/2018
page. City/Town State Zip Code Date of Inspection
D. System Information (cont.)
Septic Tank(cont.)
Distance from top of sludge to bottom of outlet tee or baffle 20
Scum thickness 3
Distance from top of scum to top of outlet tee or baffle 5
Distance from bottom of scum to bottom of outlet tee or baffle 10
How were dimensions determined? measure
Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity,
liquid levels as related to outlet invert, evidence of leakage, etc.):
The Tees were present. The liquid level was even with the outlet invert. There was no sign of
leakage.
Grease Trap (locate on site plan):
Depth below grade: N/a
feet
Material of construction:
❑ concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑ other(explain):
Dimensions:
Scum thickness
Distance from top of scum to top of outlet tee or baffle
Distance from bottom of scum to bottom of outlet tee or baffle
Date of last pumping: Date
t5ins.doc•rev.6/16 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 10 of 17
Commonwealth of Massachusetts
Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form - Not for Voluntary Assessments
15 Indian Trail
Property Address
The Estate of Louise Egan
Owner Owners Name
information isequired for every
very Centerville MA 02632 11/19/2018
page. Cityrrown State Zip Code Date of Inspection
D. System Information (cont.)
Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity,
liquid levels as related to outlet invert, evidence of leakage, etc.):
Tight or Holding Tank (tank must be pumped at time of inspection) (locate on site plan):
Depth below grade: N/a
Material of construction:
❑ concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑ other(explain):
Dimensions:
Capacity:
gallons
Design Flow:
gallons per day
Alarm present: ❑ Yes ❑ No
Alarm level: Alarm in working order: ❑ Yes ❑ No
Date of last pumping: Date
Comments (condition of alarm and float switches, etc.):
*Attach copy of current pumping contract(required). Is copy attached? ❑ Yes ❑ No
t5ins.doc-rev.6/16 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 11 of 17
I
Commonwealth of Massachusetts
rp Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form -Not for Voluntary Assessments
15 Indian Trail
Property Address
The Estate of Louise Egan
Owner Owners Name
information is
required for every Centerville MA 02632 11/19/2018
page. Citylrown State Zip Code Date of Inspection
D. System Information (cont.)
Distribution Box(if present must be opened) (locate on site plan):
Depth of liquid level above outlet invert even
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.):
The D-box is showing its age. Solids were present
Pump Chamber(locate on site plan):
Pumps in working order: ❑ Yes ❑ No"
Alarms in working order: ❑ Yes ❑ No"
Comments (note condition of pump chamber, condition of pumps and appurtenances, etc.):
N/a
* If pumps or alarms are not in working order, system is a conditional pass.
Soil Absorption System (SAS) (locate on site plan, excavation not required):
If SAS not located, explain why:
t5ins.doc-rev.6/16 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 12 of 17
Commonwealth of Massachusetts
F Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form -Not for Voluntary Assessments
15 Indian Trail
Property Address
The Estate of Louise Egan
Owner Owners Name
information is
required for every Centerville MA 02632 11/19/2018
page. City/Town State Zip Code Date of Inspection
D. System Information (cont.)
Type:
® leaching pits number: 1- 1000 gal.
❑ 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.):
The pit was full, liquid was up to the inlet pipe The scum line was up to the cover.
Cesspools (cesspool must be pumped as part of inspection) (locate on site plan):
Number and configuration N/a
Depth—top of liquid to inlet invert
Depth of solids layer
Depth of scum layer
Dimensions of cesspool
Materials of construction
Indication of groundwater inflow ❑ Yes ❑ No
t5ins.doc-rev.6/16 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 13 of 17
Commonwealth of Massachusetts
r� (P. Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form - Not for Voluntary Assessments
15 Indian Trail
Property Address
The Estate of Louise Egan
Owner Owner's Name
information is Centerville
required for every MA 02632 11/19/2018
page. City/Town State Zip Code Date of Inspection
D. System Information (cont.)
Comments (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation,
etc.):
Privy(locate on site plan):
Materials of construction: N/a
Dimensions
Depth of solids
Comments (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation,
etc.):
t5ins.doc•rev.6/16 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 1.4 of 17
Commonwealth of Massachusetts
r� Title 5 Official Inspection Form
<1 Subsurface Sewage Disposal System Form - Not for Voluntary Assessments
c 15 Indian Trail
v�
Property Address
The Estate of Louise Egan
Owner Owners Name
information is
required for every Centerville MA 02632 11/19/2018
page. City/Town State Zip Code Date of Inspection
D. System Information (cont.)
Sketch Of Sewage Disposal System: Provide a view of the sewage disposal system, including ties to
at least two permanent reference landmarks or benchmarks. Locate all wells within 100 feet. Locate
where public water supply enters the building. Check one of the boxes below:
® hand-sketch in the area below
❑ drawing attached separately
BA c,k
A-
i
O 3
Y
a SL a$
3 33 33
y a� Ys
t5ins.doc•rev.6116 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 16 of 17
Commonwealth of Massachusetts
Title 5 Official Inspection Form
?, Subsurface Sewage Disposal System Form -Not for Voluntary Assessments
C, 15 Indian Trail
Property Address
The Estate of Louise Egan
Owner Owners Name
information is Centerville
required for every MA 02632 11/19/2018
page. CltyrFown State Zip Code Date of Inspection
D. System Information (cont.)
Site Exam:
❑ Check Slope
❑ Surface water
❑ Check cellar
❑ Shallow wells
Estimated depth to high ground water: 20' groundwater
feet
Please indicate all methods used to determine the high ground water elevation:
❑ Obtained from system design plans on record
If checked, date of design plan reviewed: Date
❑ Observed site (abutting property/observation hole within 150 feet of SAS)
® Checked with local Board of Health -explain:
Topo and water contours map
❑ Checked with local excavators, installers- (attach documentation)
❑ Accessed USGS database-explain:
You must describe how you established the high ground water elevation:
see above
Before filing this Inspection Report, please see Report Completeness Checklist on next page.
t5ins.doc•rev.6/16 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 145 of 17
Commonwealth of Massachusetts
Title 5 Official Inspection Form
S Subsurface Sewage Disposal System Form -Not for Voluntary Assessments
15 Indian Trail
L-
Property Address
The Estate of Louise Egan
Owner Owners Name
information is CenteNille
required for every MA 02632 11/19/2018
page. Cltyrrown State Zip Code Date of Inspection
E. Report Completeness Checklist
❑ Inspection Summary: A, B, C, D, or E checked
❑ Inspection Summary D (System Failure Criteria Applicable to All Systems) completed
❑ System Information—Estimated depth to high groundwater
❑ Sketch of Sewage Disposal System either drawn on page 15 or attached in separate file
t5ins.doc•rev.6/16 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 17 of 17
i
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THE COMMONWEALTH OF MASSACHUSETTS
S BOARD OF HEALTH
.......Town.._...................O F.....Barra.s.babl.e.........--..........................................
App iratioo for Ui_qpooal Works Toostror#ioo rrmit
Application is hereby made for a Permit to Construct ( ) or Repair JX� an Individual Sewage Disposal
System at:
.............15...liadi.axl.... r_al.1...Qajltarxillaj. ....... ........................•--•---•--...-------------•---•--...--•--.......-•-•------................
Location-Address or Lot No.
............Eagam........................................................................ ..........
........................................................................................
Owner Address
W ...P.Macomber Jr.. ..........-•---------•.....................•••••. .....-----.............-••-----•----•..••••
Installer Address
Type of Building Size Lot.....:......................Sq. feet
�--� Dwellings No. of Bedrooms.........3.................................Expansion Attic ( ) Garbage Grinder ( )
aOther—Type of Building ............................ No. of persons.....................--..... Showers ( ) — Cafeteria ( )
Otherfixtures -----------------------------------•------.........---.------••-------•.....-----•----...-----•-------------------••----------•-......__........••---•
W Design Flow............................................gallons per person per day. Total daily flow............................................gallons.
WSeptic Tank—Liquid capacity............gallons Length...... ......... Width................ Diameter................ Depth................
x Disposal Trench—No..................... Width.................... Total Length.................... Total leaching area....................sq. ft.
Seepage Pit No..................... Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft.
Z Other Distribution box ( ) Dosing tank ( )
aPercolation Test Results Performed by.......................................................................... Date........................................
Test Pit No. 1................minutes per inch Depth of Test Pit..................... Depth to ground water------------............
;X4 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................
04 -------------•••-----••--••--------•--•-.....-•••---••---•-----...•---------------•-------•--_------------•-•--...._.........•-•-----•--. -•------•---.-----
0 Description of Soil.................... -------------------------------------------••-----••---------------------------------------------------------------------------•-----•-------------
W Sand & Gravel
V .............................................. ------------------------------......................................................................................................................
UNature of Repairs or Alterations—Answer when applicable.-..............................................................................................
--------.-•-- m----•----••-------•------•-••-----•-•---------------•--•---------.........]-1_500...spa.1.].on...tanx...1---1000---gallon...P t...----
Agreement:
The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with
the provisions of i i - 5 of the State Sanitary Code—The undersigned further agrees not to place the system in
operation until a Certificate of Compliance has be n issued rd of heal
Sign = . --------••-- -- ..................... ... /2_S./5.9...__.....
Date
Application Approved By------ -- --••. -• --- --------------••---------...--•---••------------------..._--••-• ---•----4y�����-
Date
Application Disapproved for the following reasons-------------------------------------------------------------...................................................
----------------•-•••----•--••----------•-----•----...----------••--••--------•-•------------•---•----------•--•-••••---•----•-•--•-••--------------------•...•-•-•-••--•----•••--------------•----••--
,� Date
Permit No.... .�c�?�................................
Issued.......................................................
Date
No...Lat..J_ F.Ric U.....1:F'X..)2-..
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
Appliration for Disposal Works Tunstrn.rtiun Frrmit
Application is hereby made for a Permit to Construct ( ) or Repair EX-.K) an Individual Sewage Disposal
- System at:
.. ... . ..r.T. .... ..-•..................................................
Location.Address or Lot No.
...........: .i:................... ................................................... ._..................------••............ ---•-•------....--•••-.........................._.
Owner Address
Installer Address
Pq
d Type of Building Size Lot............................Sq. feet
Dwelling;—No. of Bedrooms...........:t.................................Expansion Attic ( ) Garbage Grinder ( )
aOther—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( )
� Other fixtures .................•--•••-------.......--•-•---•-.........
WDesign Flow............................................gallons per person per day. Total daily flow----.........................................gallons.
WSeptic Tank—Liquid capacity............gallons Length................ Width................ Diameter---------------- Depth................
x Disposal Trench—No..................... Width.................... Total Length.................... Total leaching area....................sq. ft.
Seepage Pit No..................... Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft.
Z Other Distribution box ( ) Dosing tank ( )
Percolation Test Results Performed by.............•-•-••-•-••----•-•-•---••••••------•----•-•--••-•-••--....... Date........................................
,.� Test Pit No. I----------------minutes per inch Depth of Test Pit.................... Depth to ground water-.--_-.--____-__--__--.
rX4 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................
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0 Description of Soil.....................T -----------• - ------------------------------------------------•-------------------------•.........................
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--------------------
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Agreement:
The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with
the provisions of TITLE, 5 of the State Sanitary Code—The undersigned further agrees not to place the system in
operation until a Certificate of Compliance has b n is sued yet pe bo,rd of heal,h
r Yn. � -ja
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APPlicationApproved BY '�......• t ------------------------••----•---•--•-••.......-- •----•------•----••-•-•--•---•--•--•--•-
Cl rf r.•Date
Application Disapproved for the following reasons:................................................................ -•--•--•-•-•- ...............................
•••-•--•........-••-•--------•--•-----------••••....-••------••••-••--•----•---•-••--•-•---•--••-•••------•-•-•••-•-••--•---•••--•••--••--•-•-------•--•--••---••------• ..............................
Date
Permit No._ �:....- = `.. Issued...
Date
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
,
...................................... .................................................I......................
Trrtif irab of Tomplianrr
THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired'(.X
s-
,� . .,r . .
b .; , :U.......
Installer
at.•--•------J....1 nd z ax __.'__I=a g 1 Cti:rl t�rvz??.e
•----------------------------------------------------------------------------------------------------------------------------------------------------
has been installed in accordance with the provisions of TI'"iZ 5 of The State Sanitary Code as described in the
application for Disposal Works Construction Permit, No...._ .................................. dated......-.----_.-.-.-__----_-.-__-.-.--.-..--•..-
THE ISSUANCE OF THIS CERTIFICATE SHA&Wdlr di�� ONSTRUED AS A'`.-GBJkR'A�NTEE THAT THE
SYSTEM WILL FUNCTION SATISFACTORY.
DATE...................... .' .:•.!K?---•----•................. Inspector-----------....----- -..� ............................................
THE THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
0W-n t
F Bar'1's -,S1•)1
FEE........................
f-
5 Dispnsa1 Works Cannstrnrtion rrmit
. .r Jr .
Permissionis hereby granted..:•-•--.'..............•-•--••-----•----•-•------•--•-•--••----•--•-----._........--•-----•--••••••.......-••-•-............---•---••-......
to Con uct,( or 4 air. `(``�' an Individual Sewa e-Disposal System
at No " "
'_i-. a I t a I C nLcrv� g P Y
Street
as shown on the application for Disposal Works Construction Permit No.;................... Dated___;_-_-_-.- __--__-.•---------
l ..._....
,p ! ell j 1 r:?`i i
DATE G�f •-••-•---•--•---------- j 'T t �Bga-rd•
FORM 1255 HOBB & ARREN. INC.. PUBLISHERS
TOWN OF BARNSTABLE
�� I�/ d >�N T,�? t/L SEWAGE #
LOCP'TION
VILLAGE G e,r.T ASSESSOR'S MAP & LOT Zd �D 30
INSTALLER'S NAME & PHONE NO. ,j ,o A C 6 d/ Rt P x 3o4i 714ELMY
SEPTIC TANK CAPACITY /S'oo
LEACHING FACILITY:(type) (sue) �•° °
NO. OF BEDROOMS PRIVATE WELL OR PUBLIC WATER
BUILDER OR OWNERP
DATE PERMIT ISSUED:
DATE COMPLIANCE ISSUED:
I
VARIANCE GRANTED: Yes No
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12,
r
4'-113�'
N
In
_ Q
Kitchen Bedroom 10'-3Y2"
" Lin Cl. 11'b�b'
�: - Garage 13115� 3' Closet Closet
, 3668 Door (V
12'
Living Room 13 33�4 Bedroom 3 „
11'-104
P
2
32'
i
i
Existing First Floor Plan
Pamela McGirr & David Coogan Date: 1/21/2019
15 Indian Trail
Centerville, MAC 02632
Drawn by: Mark Macallister
Existing First Floor Plan Scale: 1/4"= 1'-o°
Macallister Building, Inc. Sheet No.
b4 Ebenezer Road .�
Osterville, MA 02655
- i
it
F
Roof
Roof Knee Wall
Knee Wall 45 1/2"H Typ.
)0 L
12'-7/2' 11'
Roof Roof Roof O
Bedroom B om
N
J 15'8 S N
t4y2et 3'-S/2' Closet
Knee Wall Knee Wall
4'-5y4"
32'
I
Existing Second Floor Plan
Pamela McGirr & David Coogan Date: 1/21/2019
15 Indian Trail
Centerville, MA 02632
Drawn by: Mark Macallister
Second Floor Plan Scale: 1/4"= 1'-0"
Macallister Building, Inc. Sheet No.
64
nezer Road
Ostervelle?MA 02655 40 2
1
a
c�
12'
i=
26"OH
1
Bo•rsan4aFN
V
LIn.
Kitchen Be«.a 3 4'sh
N ruv �
11'3 24'B— 24'Bau Ewr3.s'D \ C
I I Ln
i- I I 1N/I GIo5.
36'x�r wane -
Ilgnwith wall ❑ .m
5
(2)9?'LVL beja'
/ � 2aes•Pu 000.
Garage _127 '_4�".5 x 3.5 PSL post 5X5 P5L 4
in wall ea.end Np.
Post wrapped In
trim
(it 12'
Table
lo
16' Living Room Master
Bedroom King Bed
p
5 F-1
32'
Proposed First floor Plan
0(� Pamela McGirr & David Coogan Date: 1/21/2019
,,,///��� � 15 Indian Trail
/ Centerville, MA 02632 Drawn by: Mark Macallister
'A I I ' Proposed First Floor Plan Scale: 1/4"= 1'-o°
Macallister Building, Inc. Sheet No.
64 Ebenezer Road
Osterville, MA 02655 4
li
I
12'
I
i
1
f
1
y I
lQ T.5 ••
O
Kitchen r — — Bedroom
Garage _ — closet Closet
2668 Door N
lT t
16' Living Room Bedroom
Demolition Notes up
o Hatched wall indicate walls to be removed
1. Pull up kitchen tile and underlayment
2. Remove all fixtures,flooring and drywall from bathroom
3. Remove cabinets from kitchen
4. Remove all doors and door frames indicated with dashed lines
5. Pull up hardwood flooring remains at removed bedroom closets
all the way to the rear of the home 32
b. Remove drywall from walls in existing bedrooms. Drywall in front
bedroom basement stair wall to remain in place
T. Lable all existing wiring prior to cutting/capping or re-locating
6. Ensure proper temporary shoring is in place prior to removing existing
wa115 Demolition Plan
Pamela McGirr & David Coogan Date: 1/15/2019
15 Indian Trail
Centerville, MA 02632
Drawn by: Mark Macallister
First Floor Demolition Plan Scale: 1/4"= 1'-0"
Macallister Building, Inc. Sheet No.64 Ebenezer Roa490
V
Osterville, MA 02655