HomeMy WebLinkAbout0149 INWOOD LANE - Health 149 Inwood Yofme
225-025 Centerville
'I
t;
No. / FEE
TS
COMMONWEALTH OF
�MAS;:�i�c-
Board of Health, BARPs)AQ5 MA.
APPLICATION FOR DISPOSAL SYSTEM CONSTRUCTION PERMIT
Application for a Permit to Construct( ) Repair( ) Upgrade k Abandon( ) -XComplete System ❑Individual Components
Location 14 low polo (A00--, 11k Owner's Name �G fy(DG.�li9
Map/Parcel# O Z g, Address
Lot# Z Telephone#
Installer's Name Designer's Name
Address Vk Address /3 ZY' ��61y7S A404-a
Telephone# I Telephone# �f�4 ZIP
Type of Building � �GCJQL�N G Lot Size �� t sq.ft.
Dwelling-No.of Bedrooms Gi' Garbage grinder ( )
Other-Type of Building No.of persons Showers ( ),Cafeteria ( )
Other Fixtures
Design Flow (min.required) r gpd Calculated design flow 890 Design flow provided _gpd
Plan: Date �i,6 Z 2Q�J Number of sheets � Revision Date
Title Si/& 00 �/5�osIK- ��� /�9? 1 AjC Ava,0 G�FNF s,Bs�,C.y 1 4 A.1,4
Description of Soil(s) 110)v lar tC Tr—�
Soil Evaluator Form No. Name of Soil Evaluator✓.0 14-406W,C e of Evaluation
DESCRIPTION OF REPAIRS OR ALTERATIONS
The unde i ed agrees to install the above described Individual Sewage Disposal System in accordance with the provisions of TITLE 5 and
fur of o �th �ineration until a Certificate of�Coomp'ance s been.issued by the Board of Health.
Signe Date
Inspections
f
No �d �r � f FEE
'j
' u.�N
COM46N
WEALTH OF MA9Sa'Af*USETTS
"1 Board of Health, 3A,R 0 S{ ,MA.
APPLICATION FOP, DISPOSAL SYSTEM CONSTRUCTION PERWT
Application for a Permit to Construct( ) Repair( ) Upgrade(V,Abandon( ) - ` ,,Complete Systen>t ❑Individual Components
Location ( t.J�G U� L�b.iC � `/lQ Owner's Name 1j-G 171661V14
Map/Parcel# Address
Lot# 2 Telephone#
Installer's Name frr Designer's Name ���ylfjeJ
Address Address
, n, /��J71/
Telephone# Telephone# �,
Type of Building <`/ l�I.CJ�Z� //u 6 Lot Size l sq.ft.
Dwelling-No.of Bedrooms Garbage grinder ( )
Other-Type of Building No.of persons Showers ( ),Cafeteria ( )
Other Fixtures
Design Flow (min.required)) � � gpd Calculated design flow 'G Design flow proNided U.�j gpd
Plan: Date ��J 2� 2�5� Number of sheets Revision Date
Title5'//7- d' y �c 015100s1_c
Description of Soil(s) 1Y1L_J16)W ZD
Soil Evaluator Form No. Name of Soil Evaluator . �,�f UDE/1f' «`J D e of Evaluation
DESCRIPTION OF REPAIRS OR ALTERATIONS
The unde,.�signed agrees to install'the above described Individual Sewage Disposal System in accordance with the provisions of TITLE 5 and
further. eesao-not top the'syste'"Yn in eration until a Certificate of/Comp•ance beeu.issued by the Board of Health.
Sign G/-'/ — Da e
Inspections
1
,
COMMONWEALTH OF MASSAC14USETTS FEE
f Health; I:�C-4^_3 7�L b (" MA.
CERTIFICATE OF COMPLIANCE
Description of Work: ❑Individual Component(s) 11"Complete System
The undersigned hereby certify that the Sewage Disposal Syst my; C nstruc yl ( ),Repaired ( ),Upgraded ( ),Abandoned ( )
at `7 1 N Ni a�.R. �n t bn le rv,;
has been installed in accordance with the ,p/r9visi ns of 310 CMR 15.00 (Title 5) and the approved design plans/as-built plans relating to
application No.�UU�- /6 S date .7/.`�r�0� Approved Design Flow k6O (gpd)
Installer !U
� I
Designer: ��.>(ZY"2`� Inspector: Date: l�7
The issuance of this permit shall not be construed as a guarantee that the system will function as designed.
_. .
No. UU s^'�6 S� FEE /
C'OMMONWLAL114 OF MASSAC14USETTS
Board of Health, 1"S na/✓�ji-biP MA.
DISPOSAL SYSTEM CONSTRUCTION PERMIT
Permission is hereby granted to; Construct( ) Repair( 1) Upgrade( Abandon( ) an individual,sewage disposal system
at 1 T T Ue �n2 �Q��in ll e as described in the application for
i I
Disposal System Construction Permit No. 2U05 /6 dated �/ �l US .
Provided: Construction shall be completed within three years of the date of his p I All cal conditions must be met.
f
Form 1255 Rev.5/96 A.M.Sulkin Co.Boston,MA Date ��l a.c IVS Board of Health
Town of BArnstable
R.egulatary Services
. , Thomas F. Geiler,Director
: .snttTK&i`Asr.�.
Asp Public Health Division
Thomas McKean,Director
200 Main Street,Hyannis,MA 02601
Office: 508-862-4644 Fax 5087.790-6304
Installer & Designer Certification Fortn
Date: l 2--O/�o� •
/V�0'i?�I 6ro5Sm 2✓j /�/
Designer: Installer: l'/�l C��!/lu�• �-
Address: •.q�3 � /WcUA Welgb& Address: 1/5--
4 0
J '
On Z%��J� Qo% `o7T� �FJLI S�/ was issued a permit to install.a
(date) `-- (installer)
septic system at /A/.W0a1 `��� based on a design drawn by
, // (address)
IV6rma4? 6—,955;W6'7 dated
(designer) j
L.-I I certify that-the septic system referenced above was installed substantially according to
the design, which may include minor approved changes such as lateral relocation of the
distribution box and/or septic tank.
4
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.
a
OF
9
(Tnst� Signature)
• � NORMAN
-W GROSSMAN >
[ w N0. 12705
�IA621e��V;
o- CIVIL
(Des' er's Signature) (Af t mp Here)
PLEASE RETURN TO BARNSTABLE PUBLIC HkALTH DIVISION. CERTIFICATE
OF COMPLIANCE WILL NOT BE ISSUED UNTIL BOTS THIS FORM AND AS-
BUILT CARD ARE RECEIVED BY THE BARNSTABLE PU LIC HEALTH-DIVISION.
THANK YOU.
Q:Health/Septic/Desiper Certification Fonn
�j i TOWN OF BARNSTABLE i
LOC�kTION V-I 1 1eyic A Litn e— SEWAGE # 200'- ''66.
VILLAGE e.n�2r�`+�1� 1-� ASSESSOR'S MAP & LOT
1 S
INSTALLER'S NAME&PHONE NO. �QAO�0 0% (kAS�t'�; s ►c^ ;.n L
SEPTIC TANK CAPACITY �:10 C
LEACHING FACILITY: (type) (size)(09+ � � )L.S'
NO.OF BEDROOMS �l
BUILDER OR OWNER .V o ,O
h
PERMITDATE: 4/21 icy COMPLIANCE DATE: 4 ' Ok U
Separation Distance Between the:
Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet
Private Water Supply Well and Leaching Facility (If any wells exist
on site or within 200 feet of leaching facility) Feet
Edge of Wetland and Leaching Facility (If any wetlands exist
within 300 feet of leaching facility) Feet
Furnished by�` ..
c Al
A'
SEWAGE INSPECTIONS
LOCATION Inwood A" v DATE 9/,49103
VILLAGE ( e,3.t Kyannc o2.t. Na3A ASSESSOR'S MAP do LOT 225-025
•,INSPECTOR �ozpnfz 2_ Mnr_QmPvn
SEPTIC TANK CAPACITY 1500 ga.P-vonz No Box
LEACHING FACILITY: (type) 2-6 'X6 ' cea.spo o P.s (size) .200 era P_P.on.s
NO.OF BEDROOMS 6
BUILDER OR OWNER &33taty 0 R 1///nn1,1A
OWNER MAILING ADDRESS
Same
AA -
1 -
1
Town of Barnstable P# 10) 1)2'±)
Department of Regulatory Services _
, rSTAB1E : Public Health Division Date
9 MAS&
039. 200 Main Street,Hyannis MA 02601 do lop
°rFn�,vr s
Date Scheduled Timer Fee
okra,
Soil Suitability`AssFe sment for .Sewage Disposal• "
Performed By: v A 4 k bAN O EIS COW Witnessed By:
PM
Location Address Owner's Name AL 14O L M
l t4Wo0p C.&*)e Address
Assessor's Map/Parcel: ZZ S/!,Z�� -/ Engineer's Name�yt oeeniLh� �.tt�53►�!A/`�
NEW CONSTRUCTION REPAIR �C Telephone# J449 -64 8 C'
Land Use Slopes(%)_ �� Surface Stones X
l
Distances from: Open Water Body > ft Possible Wet Area / ft Drinking Water Well> Ko% ft
r
Drainage Way > ft Property Line ft Other ft
SKETCH:(Street name,dimensions of lot,exact locations of test holes&perc tests,locate wetlands in proximity to holes)
v;
to
eX115_T.•
SodNv � �p
Parent material(geologic) ' Depth to Bedrock
Depth to Groundwater: Standing Water in Hole: �N Weeping from Pit Face �Nl�
Estimated Seasonal High Groundwater
Method Used:
Depth Observed standing in obs.hole: in. Depth to soil mottles: in.
Depth to weeping from side of obs.hole: in. Groundwater Adjustment ft.
Index Well# Reading Date: Index Well level Adj.factor Adj.Groundwater Level
mom
Observation
Hole# Time at 9"
Depth of Perc Time at 6"
Start Pre-soak Time @ '''* ";f.'.: Time(9"-6")
1
End Pre-soak
Rate Min./Inch
Site Suitability Assessment: -Site Passed Site Failed: Additional Testing Needed(Y/N)
Original: Public Health Division Observation Hole Data To Be Completed on Back-----------.
J.WP/PERCAPPLICATION
4 4 b 3
Depth from Soil Horizon Soil Texture Soil Color Soil Other
Surface(in.) .(USDA) (Munsell) Mottling (Structure,Stones,Boulders.
Consistency.%Gravel)
C9'1'.
0
24" 0 WAMLI 5"0'0 IOYP- 40
16318 C. I MC S�0 16grL �14-
Ito ,. . 2 M0104la 51WP is ye, LA
Blomr
Depth from Soil Horizon' '° Soil Texture Soil Color Soil Other
Surface(in.) _. ; ,, ,,x,, ,,;,t r�. . (USDA) (Munsell) Mottling . (Structure,' tones;Boulders.;';
'Consislp y.%Gra)el)
Depth from Soil Horizon Soil Texture Soil Color Soil" Other
Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders.
1 Consistency.%Gravel)
IX V
Depth from Soil Horizon Soil Texture Soil Color Soil Other
Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders.
Consistency.%Gravel)
Flood Insurance Rate Map: /
Above 500 year flood boundary No_ Yes v
Within 500 year boundary No ✓ Yes
Within 100 year flood boundary No Yes
Depth of Naturally Occurring Pervious Material
Does at least four feet of naturally occurring pervious material exist in all areas observed throughout the
area proposed for the soil absorption system? yv�?
If not,what is the depth of naturally occurring pervious material?
,;•.Certification
I c4rtifythat on `. (date)I hd e': se -the soil,evaluator examination approved by the
.Department of Environmental Protection andEi t th Bove analysis was performed by me consistent with
'the required training xpertise,and'expe enca Ws, 'ed 310 -MR 15 017:+ 7'
Y t
ry 'Slgnature v ,^y �:��� '�, .i r C�yn. Date �/< - R' •'
—A
~f4'• i, •rtl 1Cynf 'f trw J� t i. 4^ft. ' 'l.
iv
p�
} WP/PERCAPPLICATION jt .Ac"
f eY �' a, � "� f�c}'�'i,+: ^i .gip'" +' �'...' .i;.a•
I
Num9e2 on hou-6e -i,3 154 r I D
0 ATE 9I-t9/03-----
PROPERTY AOORESS: _14-9Tnwoocl-Rve------
-------- '00
------------------------
On the above date, I inspected the septic systerrv--at the above address.
Tnis system consists of the lollowing: RECEIVED
9. 1- 1500 gai eon aept.ic .tank.
2. 2-6 'X6 ' KCe s,j1zoo'j,,s caet Leaching gilts,
3. No Dint zigution 9ox OCT 2 12003
Based on my inspection, I certify the lollowing condltlons: TOWN OFBARNSTABLE
4. 7h.iz .is a .t.i..Ue live zept-ic zy'ztem. (78 Code) HEALTHr,EPT.
5. The .6ept-ic zyhtem .iz .in /2ao/2e2 wo.¢k.ing o zde2
at the /2ee,6ent time.
6. Na.in ce,3.e12*o!ee' -,' ha.e wazte wate2 54' geeow the .inve/zt pipe. The
ove2liow ��oo_pzz /?2ezent ey day.. _
7. Ne.ighgo2 cia.imz that the ovelz .jow cezz/zooi
.iz on h.iz lz2o/�e2t y, 7h is mutt deg I G NAT U R
�7,4iookecl into. L3oazd o/ lleaeth w.iiC have -
---
- -- -- -
to 14-ke one thpi!.MaCombe r_J r .
Company : )gjtpt 2__ MS?S4m�2,r 6_ Son, Inc .
� 00 5S : @QX _��- ------------
Ce-DSJeCYLI-LP-, a - _2Z632- 0066
P ^one 508 . 775_ ) ) 38 _
TmIS CERTIFICATION DOES NOT CONSTITUTE A GUARANTY OR WARRANTY
a
JOSEPH P. MACOMBER & SON, INC.
Tanks-Cesspools-Le+chllelds
Pumped & Installed
Town Sewer Connections
p 0 Box 66 Centerville, MA 02632-0066
275.3338 775.6412
-\ COMMONWEALTH OF MASSACHUSETTS
EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS
DEPARTMENT OF ENVIRONMENTAL PROTECTION
y
TITLE 5
OFFICIAL INSPECTION FORM—NOT FOR.VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM FORM
PART A
CERTIFICATION
Property Address:149 Inwood 4ve
!Jest Kyann.i�Ro2t. (7a�s�.
Owner's Name: F.s.t.a.ty- 04 /2. P. Bu22owz
Owner's Address: srim o
Date of Inspection:9/A 9/0 3
Name of Inspector: (please print) aoze/zh P. Nacomee2 a2.
Company Name: 7— �_ h7ncnmpvn R .Son. Inc.
Mailing Address:_R. AA
02632
Telephone Number: — /f—
CERTIFICATION STATEMENT
I certify that I have personally inspected the sewage disposal system at this address and that the information reported
below is true,accurate and complete as of the time of the inspection.The inspection was performed based on my
training and experience in the proper function and maintenance of on site sewage disposal systems. I am a DEP
approved system inspector pursuant to Section 15.340 of Title 5(310 CMR 15.000). The system:
41fk;6numona-nv Passes
Needs Further Evaluation by the Local Approving Authority
Fa' s
Inspector's Signature: , Dater
The system inspectors 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 Nieghgo2 cea.imz that the ze.cond ce,3,5-pooi
.ia on h:ia /2/zo/?e/tty. /1a.6 .it ztaked out now. It a/2/rea2,
that -it .iz. lh.iz mutt 9,e gooked into at th.ia time.
Bao,zd heaeth may not acce/zt .it a.6 it .iz.
****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 page 1
Page 2 of 1 1
OFFICIAL INSPECTION FORM— NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART A
CERTIFICATION (continued)
Property Address: 149 Inwood Rve
Glut Kyann.i��o2 , �1as�s.
Owner: Estate O, R. P. 13u22ow.
Date of Inspection: 9129103
Inspection Summary: Check A,B,C,D or E/ALWAYS-complete all of Section D
A. System Passes: Condit ionaiiy
ILS 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:
The .se t.ic zil,6tem .iz .in /zo ea wo2k.iny o/zde2 at .the p2ezent .time.
.SP_ron-d cv.AAPooe arrpeau to Le on the ngiThjo2.s �zaoRe2 y as
.6takecd out now. 7h.iz need,3 to le add/ze.6.sed. Boa/zd O� Hea etlz may
not acce/2t it a s .it .i.6.
B. System Conditionally Passes:
t
A6 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.
N D explain:
4Ub 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:
A0 The system required pumping more than 4 times a year due to broken or obstructed pipe(s).The system will
pass inspection if(with approval of the Board of Health):
broken pipe(s)are replaced
obstruction is removed
ND explain:
2
Page 3 of 1 1
OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART A
CERTIFICATION(continued)
Property Address: 149 Inwood Ave
e,3 yanra cz/zoa ,
Owner:Ebtate 0� /2. %. Bo22owz
Date of Inspection: 9129103
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(l)(b) that the
system is not functioning in a manner which will protect public health,safety and the environment:
1t✓� 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:
d1b 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.
/0 The system has a septic tank and SAS and the SAS is within 50 feet of a private water supply well.
IVA The system has a septic tank and SAS and the SAS is less than 109 feet bu 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:
h Mein conz iztz o 1500 gaiion ze/2t.ic tank and two
ezz ooiz .in ze2ziez. %he zecond cezz/2ooi a/2/2ea2z to Re
on lb-P nv:r_Q jo/zz ua2cl fiat it ztaked out now. 7h.i-s nee o e
add/ze.6.6ed. /3oaacl o�e heae w.ii—R have to zuee on th.iz. They may
not acce/?t .it az .it .iz.
3
Page 4 of 11
OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART A `
CERTIFICATION(continued)
Property Address:149 Inwood 4ve
0e,6 yann.i�31Zo2 , t?azz.
Owner: E,6.tcLte 0)e R. l, 13u22ow,3 f._.
Date of Inspection: 91,1910 3
D. System Failure Criteria applicable to all systems:
You must indicate"yes"or"no"to each of the following for all inspections:
Yes No /
�ackup of sewage into facility or system component due to overloaded or clogged SAS or cesspool
ischarge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or
clogged SAS or cesspool
2, Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or
cesspool
� .
iquid depth in.c�s p9elis iess than 6"below invert or available volume is less than ''A day flow
:j2Z4equired pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s).Number
of times pumped O ,
�y portion of the SAS, cesspool or privy is below high ground water elevation.
y 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 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 trigge ed. q copy of the analysis must be attached to this form.]
Pwzs ,C ;-rjaxw�
AID (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
4f the system is located in a nitrogen sensitive area(Interim Wellhead Protection Area—IWPA)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.
4
Page S of I I
OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART B
CHECKLIST
Property Address: 115449Inwood Ave
eh yann•l.•612o , t�a 3 b.
0wner:E,6tate / , l , 722ow6
Date of Inspection: 77IT/03
Check if the fo1lowin R have been done. You must indicate' s"or"no" as to each of the foIlowin :
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
ZHas the system received normal (lows in the previous two week period ?
/Have large volumes of water been introduced to the system recently or as pan of this inspection
Were as built plans of the system obtained and examined?(!f 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 ?
Y _ Were all system components, ek'rluding the SAS, located on site ?
Were the septic tank manholes uncovered,opened, and the interior o
the tank
ected for the
o.f thhee baffles or tees, material of construction, dimensions, depth of liquid, depth of sludgena an depth of scumndit or.
v' Was the facility owner(and occupants if different from owner provided
maintenance of subsurface sewage disposal systems ? )P tded with information on the proper
The size and location of the Soll Absorption System (SAS) on the site has been determined based on:
Yesl no
✓/ Existing information. For example, a plan at the Board of Health.
v — Determined in the field(if any of the failure criteria related
is unacceptable) (310 CMR 15.302(3 to Part C is at issue approximation of distance
S
Page 6 of I I
OFFICIAL INSPECTION FORM — NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART C
SYSTEM INFORMATION
Property Address: �14�9P Inwood Ave
rTe— _yann77/2o2 , Pia.6,6.
Owner.&3iai_,e / . / . Buzaow,6
Date of Inspection:
RESIDENTUL
FLOW CONDITIONS
Number of bedrooms(design):_±/_ Number of bedrooms (actual):
DESIGN now based on 310 CMR 15.203 (for example: 110 gPd x M of bedrooms): ��/�� �6��4
Number of current residents: ("L_
Does residence have a garbage guider(yes or no):
Is laundry on a separate sewage systes or no): (if yes separate inspection required)
. a
Laundry system inspected or no):
Seasonal use: (yes or no):
Water meter readings, if available (last 2 years usage(gpd)):2007=52, 000 9a.P2on,= 142. 47 gl)D
Sump pump(yes or no):� _ ya.P-eon.= 73. 98 g/DD
Last date of occupancy:
COMM ERCIALANDUSTRIAL
Type of establishment:
Design now(based on 310 C1f?t I s.703): A „pd
Esasi.s of dcsig7t flow(scaurpersons/sgft,ctc.):
Grease t:np present (yes or no): , --
Industrial waste holding tank present (yes or rso):A),,Q
Non•sa.niury .waste discharged to the Title 5 system (yes or no);
`~rater incter readings, if available:
Last date r;f occupancy/usr.:
OTHER (describe);
GENERAL I�'i'!"O!U ATION
i'bmpin� Records
Source ofir?for?nation: 9 '98103 i3um;-ed �_Lr!c- c2,/'c;:
Was systern pumpcd as pan of the inspection (yes or no%:, f, ))
If yes, volume pumpcd:___ yallnns .. }{os�r was rulmiry pumped de(cmflncd7 ,CL
Rcason for pumping:
t YPi£ 017 SYSTEM
pt!c tank, EI*strsut�ar:,� soil absorption systc.rr;
Single cesspool
Ovcrnow ccsspocict
Ph�ry
r��). Shared system(yes or no)('if yes;arIsch previous inspection records, if any)
�11)lnnovativeJAltcrnativt technology, attach, a copy of tt?; cturert operssion and traintcnance conrrart (to be
ooibLncd born system owner)
/Ur) ,ight Urtk ri.?/� Anarh..�•Cnp�r,f t:)t'Dl o nppr0;bi.,
A ' Other(de5crtocj:
�pl��xirnatc 22C of all Co date ir,staHet) (if known) ant; source of information:
,.ere s{Wagt c)dors detected whCtl arrtvtng at LhC site (yes or no):
6
Page 7 of I I
OFFICIAL INSPECTION FORM — NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART C
SYSTEM INFORMATION (continued)
Property Address:199 Inwood Ave
Owner: Eztate 04 R. P. Buazow.s
Date of Inspection:
BUILDING SEWER(locate on site plan)
' rl
Depth below grade: lAf
Materials of construction: cast iron _L140 PVC NO other(explain): NA
Distance from private water supply well or suction line: A tt
Comments (on condition of joints, venting, evidence of leakage, etc.):
n [rz op?orin fi phf Nn oi) Yr/oq -o 04 1CQ4119648. 7-4" 4644-4 h
vented thizouy tine •zoo/ vents.
SEPTIC TANK: t (locate on site plan)
Qepth below grade: ,LP
Material of construction:;zc
ncrete/metal(f_fiberglasWO polyethylene
/Vdother(explain)
If tank is metal list age: Is age confirmed by a Certificate of Compliance (yes or no):,vL1 (attach a copy of
certificate)
Dimensions:lei��
a Slud do thT—'
g P /.�.�.u..
Distance from top sludge to bottom of outlet tee or baffle:/.�
Scum thickness: .1
Distance from top of scum to top of outlet tee or baffle:
Distance from bonom of scum to bottom of outlet tee or baffle:
How were dimensions determined:_ �sa
Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels
as related to outlet inven, evidence or leakage, etc.):
Pump the zeptir,, �qnk AUgA 2_3 Uv_rJ/7,s_ In-eat � ou4.9et tees
ate 4-n /?Z¢ce. /ne tank .t•s b 2ue u2a .36un ' and zhowz no
ev-idence ol Peakage"-Liqdid ieve e c't 'the ou .het .irive2t .ins 570
GREASE TRAPk�4(locate on site plan)
Depth below grade:A
Material of construction:4 concretgM metal. fiberglass,g!d_polyethyleneARother
(explain): A
Dimensions: .1w
Scum thickness: y
Distance from top of scum to top of outlet tee or baffle:
Distance from bottom of scum to bottom of outlet tee or baffle: iW
Date of last pumping: x V
Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels
as related to outlet invert, evidence of leakage,etc.):
�2�ea�se .t_2a� .i.t no.i �nv.�flnf_
i
7
Page 8 of 1 1
OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART C
SYSTEM INFORMATION(continued)
Property Address: 17,� t Inwood Rue
Gl .st flyanni.6po t,
Owner:E,6tate 01 /2. a. 13ultaowe
Date of Inspection: 9/19/0 3
TIGHT or HOLDING TANKL�)-6(tank must be pumped at time of inspection)(locate on site plan)
Depth below grade: 09
Material of construction: concrete�metal,&JA_fiberglass ,g& polyethylene W other(explain):
Dimensions: AM
Capacity: gallons
Design Flow: gallons/day
Alarm present(yes or no):
Alarm level: A),+_ Alarm in working order(yes or no):
Date of last pumping: --42&
Comments(condition of alarm and float switches,etc.):
Tight on ho.ed.ing tank.6 ate not p2ezent
DISTRIBUTION BOX: z1if present must be opened)(locate on site plan)
Depth of liquid level above outlet invert: ,l114
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.):
PUMP CHAMBERQ&,V,(locate on site plan)
Pumps in working order(yes or no): Q&
Alarms in working order(yes or no): ,&y
Comments(note condition of pump chamber, condition of pumps and appurtenances, etc.):
liimn ohnm0oa ;A nnf�Q_ QAOUf
8
Page 9 of 1 1
OFFICIAL INSPECTION FORM —NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART C
SYSTEM INFORMATION(continued)
Property Address:1149f Inwood Ave
Oazit Hyanni�/2o,7,
Owner: Ea.ta.te 0,e R. P. l3u)tzow.3
Date of Inspection:_9,29/03 .
SOIL ABSORPT N S VTEN (SAS): !/ (locate on site plan, excavation not required)
If SAS not located explain why:
Lo cu e . 10
Type
A)d leaching pits, number:
leaching chambers,number: O
.,jjQ leaching galleries,number:0
.A& leaching trenches, number, length:
?leaching fields,number, dimensions:
S—overflow cesspool;number. A
0 innovative/alternative system Type/name of technologY://7710-
7�
!YG _
Comments (note condition of soil, signs of hydraulic failure, level of ponding, damp soil, -condition of vegetation,
etc.):
Loamy Sand to med.u.m 1.i.ne 3andL No 3ign,3 oZ hydaauiic �aieuae
o2 nondina. Soiiz a/te d2u Vecet'a. Z'-0n Z� n0ama1
CESSPOOLS: ✓ (cesspool ri st b� pump as part of inspect ion)(locate on site plan)
Number and configuration:
Depth - tap of liquid to inlet invert: l- ` /�
Depth of solids layer: '
Depth of scum layer: �y
Dimensions of cesspool: / �'
Materials of construction:
Indication of groundwater inflow(yes or no): 4.)d
Comments (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.):
_1L�L0 //A
PRIYYiL)e.(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.):
217, ))u 1A not nmy.tonf
9
Page 10 of 1 1
�. A. c
OFFICIAL INSPECTION FORM —NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART C '
SYSTEM INFORMATION(continued)
Property Address: 17509 Inwood Ave
lJeTt Ky¢n n.«ao2t, Nazi.
Owaer:6,6tate 0� /2. P. 13u22ow.3
Date of Inspection: 9/,19103
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.
• o
w" o — CK\
Q
r�
O >s;
J
/Sy �/✓ w 00 -
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: 11� Inwood Ave
Oez.t /lUann.iz/202.t, �lazz.
Owner: £ztaie 0,1 /?. p. L3u2now.6
Date of Inspection: _ 9/g9/03
SITE EXAM
Slope
Surface water
Check cellar
Shallow wells
Estimated depth to ground water/t'/ /feet
Please indicate (check)all methods used to determine the high ground water elevation:
q£S Obtained from system design plans on record - If checked, date of design plan reviewed: 9/19/0 3
y£S Observed site(abutting property/observation hole within ISO feet of SAS)
N_L�_ Checked with local Board of Health-explain: Az gu.i Q.t ea/id
y-LL Checked with local excavators, installers- (artach documentation)
y-4(, Accessed USGSdatabase-exp lain:h.t.t12//.town. &aILnzta9.ee, ma, uz.
You must describe how you established the high ground water elevation:
zed: G 7odeL 12116194 '/Jlound wate2 e.Peva —ionz a&ove zea ievei.
zed: LLS to une 1992
zed: 11 7ot-An :roP O1ip.OPy.in 9 -000- 1 % ate #2 Annua—P 2angez o� g2oun wate2
u 1992
2.
6 'X6 '
ezzPoo.�z S_
Groundwatcrl�rcct Below Bottom of Pit High Groundwater Adjustment 1.8 1 ft per Fnmptcr Method
Therefore, the vertical separation distance between the bonorrt lA
Of the leaching pit and the adjusted groundwater table is
feet.
11
WX
(..wwnr•-n•rr.-Tr- �n.-ww•rl.wln..tn.ts+.wn.7.n ww7T1r.Rw.n r�er��1►I��nVT .�•+•,�-'-+�- . ,-
TOWN OF 13a2rc.6tagie WARD OF HEALTH
SUBSURFACE SEWWAOR DISPOSAL SYSTEM INSPECTION FORM - PART D •- CERTIFICATION
—TYPE OR PRINT CI.EARl,Y—
P110PERT Y INSPECTED
STREET ADDRESS . f49 Inwood Ave lde,6t /iya2rzi,3/202.t,
ASSESSORS MAP , BLOCK AND PARCEL ` d �
OWNER' s NAME E.6.ta.te 0e A../O. lBu2ao
PART D - CERTIFICATION
NAME OF INSPECTORJ_oseph P.Macomber Jr.
COMPANY NAME J. P.Macomber & Son Ind'.`
COMPANY ADDRESSBox 66 Centerville Mass . 02632
Street ITovn or C ty Stat• tIP
COMPANY TELEPHONE ( 508 ) 775 - 3338 FAX ( 508 ) 790 -.1 578
7TIFICATION STATEMENT
I certify that I have personally inspected the sewage disposal system nt
this address and that the information reported is true , accurate , and
omplete as of the time of ,inspection . The inspection was performed and any
recommendations regarding upgrade , maintenance , and repair are consistent
with my training and experience in the proper function and maintenance of on--
site sewage disposal systems ,
Check one :
System PASSED
The inspection which I have conducted has not found any information
which indicates that the system fails to adequately protect public
he.alLh or- Lhe environment as defined in 310 CMR 16 . 303 , Any failure
criteria not evaluated are as stated in the FAILURE CRITERIA section of
this form .
System FAILED*
The inspection Which I have con cted has found that the system fails to
Protect the 1)tlblic health and the environment in accordance with Title
6 , 3.10 CMR 15 , 303 , and as specifically noted on PART C - FAILURE
CRITERIA of this inspection form ,
IV
Inspector Signature Date `0��`4
ecopy of this certification must be provided to th.e OWNER, the BUYER
an
Where applicable ) and the BOARD OF HUAL'I'll.
w If the inspection FAILED, the owner or"'operator shall u
within one year of the date of the inspection , unless allowed dortrequiredm
otherwise as provided in 3.10 CMR 16 . 306 ,
partd , doc
' �� �`s su.e . . .
�� � �� �� f
� �
Septic Inspection Information
10/23/2003
tta jHyannis
.........#"i lJoseph Macomber Jr.
INFE
........................
........................
s#E i':h Neighbor cliams that the overflow cesspool is on his property.
....................
r .
Y
20�
24 2\26
30 28
I
,
18
3
r g
®room,
30 / I Proposed
2
28
6 \ � _ \IS
2K Pr p.2,000 Piro. s
�,. Gal n Septic /18' 6$'
IS \
20 22\ �� \ �o &09 ank / Vied, 11,
_� \ �P4' \ 10
16 \ 2\00r 4o Existing o� 3. / / zz
o� 6 Bedroom /
I / aca Dwelfing �3. ��j 1 l 24
I House#149
14
No Wetlands or
Potable Wells
12� 150'of Prop.S.A.S.
� \ boy I/
10
% Existing Septic Tank
00 \
&LeachinglAt to be r \
Pumped ut&Remove
24
\ P
A CEL\2S22
\
18
LEGEND
\ IExist.,Spot Elev................. 35+3
Exist. Contour..................- - - -36 - - - -
Prop. Spot Elev..................
35.9
Prop. Contour................... 36 \ \
Setback Dimension............ _ 13'
_Perc/Obs..Test.Location...•
Prop. Water Service.......... W ' •\ /4
ti
\ \12
�10
\ X\,
b0
`\ REVISION DATE 8Y
,/ ` h� ;� •• `dab[' \
WSffi/Z SEWAGE N Qf I, s
y s �` ror +
9 NORMAN G
r q�DISPOSAL PLAN o GROSSMAN
J. 3 " No. 12705
3 c'"�
149 INWOOD LANE A
L a
»vr» � �g 9 �`-d n1 EG►STE�E�
+� . SIpN L
LOCUST" BARNSTABLE, MA. �A OF
�e q�
�y,0c APPLICANT: ENGINEER: NORMAN fn
Al Holman Norman Grossman, PE, RLS "�
No. 12775 ¢ ,.
149 Inwood Lane 93 Falmouth Heights Road, #4
LOCUS MAP West Hyannisport, MA Falmouth, MA 02540 "
SCALE : 1"= 2000' 508-548-1920 U
MAP SEC PAR LOT FLOOD ZONE ELEV. MAP SCALE DATE I ISHEET NO.I PLAN NO.
225 025 2 C --- 250001 0008 D 1"=40' Feb. 24, 2005 C-149inw 1 OF 2 I H-907-1
t
SEPTIC SYSTEM PROFILE
FIRST FLOOR F_ (NOT TO SCALE) y
ELEVATION 26.25 FIN. GRADE AT FIN. GRADEOVER FIN. GRADE OVER
FOUNDATION SEPTIC TANK FIN. GRADE OVER SOIL ABSORPTION SYSTEM
TOP FOUNDATION 24.0 23.0 DISTRIBUTION BOX 220
ELEVATION 25 0 + + 22.0
INVERT AT + ++ RISER SET TO W/I
+ + 6"OF FIN.GRADE
FOUNDATION �a,�s"v - + ++
ELEVATIONS __'2 7- +
o + + 3 /DOUBLE-WASHED 1
+ 2" 1/8 -3/4 PEASTONE
+ + Lk .3 f b g
/+ s^
+ + � 6'" SUMPYEiff
PYQ PIPE
+++ 2000 GALLON 4 � 18.50
+ SEPTIC TANK '
BASEMENT FLOOR + ++ H-10 LOADING 7 HOLE DIST. BOX ate.��
GAS BAFFLE ON OUTLET TEE a 18.00
ELEVATION 19.0 ++ + S
+ + r H-20 LOADING I'�•5
+ TO BE SET ON A LEVEL 18'
++ + SEPTIC TANK SET LEVEL AND TRUE TO GRADE AND STABLE BASE 3' 3 DIST. LINES 6'0'O.C. =17 3'
— — — — — — —
ON 6 CRUSHED STONE BASE ON
MECHANICALLY COMPACTED NATURAL MATERIAL
DESIGN DATA SOIL EVALUATION
DATE OF TEST: FEB. 11, 2005
NUMBER OF BEDROOMS................... ,fib-�//
LOGGED BY: J.E. LANDERS-CAULEY LEACHING FIELD
G.P.D./BEDROOM................................ 110"G.P.D. WITNESSED BY: DON DESMARAIS (Not to Scale)
TOTAL DAILY FLOW............................ 880 G.P.D. TOWN OF: BARNSTABLE
GARBAGE DISPOSAL.......................... NO PERC RATE: LESS THAN 5 MIN/IN
LEACHING REQUIRED........................ 880 G.P.D. SOIL CLASS: 1 ( 0.74 GALS./S.F:) SOIL ABSORPTION SYSTEM
LEACHING PROVIDED........................ 905 G.P.D. GROUND WATER: NONE ENCOUNTERED
SEPTIC TANK REQUIRED................... 2000 GAL. r
SEPTIC TANK PROVIDED................... 2000 GAL. 0" 24.5 TEST PIT#1 off TEST PIT � Qf NOTES:
�t 1. ELEVATIONS BASED UPON TOWN OF BARNSATBLE GIS.
SIDEWALL AREA................................. 0 S.F. 141' O/A LOAM o� q�yG TOPOGRAPHY BASED UPON GIS TOPOGRAPHY.
LOAMY SAND NORMAN PROPERTY LINE INFORMATION FROM BOOK 64, PAGE 23.
BOTTOM AREA.................................... 1224 S.F. 24" B 10YR 6/8 a ROSSMAN NORTH ARROW NOT TO BE USED FOR SOLAR ORIENTATION.
TOTAL AREA........................................ 1224 S.F. az'� 4' No. 12705 "' ALL PIPING TO BE CAST IRON OR SCHEDULE 40 PVC.
TOTAL AREA X 0.74 G.P.D./S.F........... 905.7 G.P.D. A CIVIL o ALL SYSTEM COMPONENTS TO BE INSTALLED IN ACCORDANCE
�fC/STOk WITH SEC TITLE V AND LOCAL BOARD OF HEALTH REGULATIONS.
ct) /o 7. NO CHANGES TO LOCATION/ELEVATION OF SYSTEM COMPONENTS
T WRITTEN APPROVAL OF ENGINEER OR BOARD OF HEALTH.
I � ssq�y NOTIFY ENGINEER 24 HRS. IN ADVANCE FOR AS-BUILT INSPECTION.
MEDIUM }
103" C-1 10YR 6/4 a ` > a s�Zi
,a No. 12775
MEDIUM TO Al Holman SHEET NO. 2 OF 2
FINE SAND x�L Lea
C-2 10YR 6/4 Parcel 25, Hse. #149 Inwood Lane H-907-2
1
4
•\ '`\ THIS DRAWING WAS TAKEN FROM
AN ELECTRONIC CAD FILE PROVIDED
\ BY THE PROFESSIONAL REGISTRANT.
A HARD COPY OF THE STAMPED
_ AND CERTIFIED DRAWING,WHICH
\ - \ DOCUMENT IS ME ACTUAL RECORD
INSTRUMENT.19 AVAILABLE FOR
INSPECTION AT THE OFFICE OF
W.WYLIE GASTON IV,ARCHITECT.
••\ \\ RELEASES/DATES
\
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,\ I
\ 1
•\ 1
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1 01Aec loxr:a\Nabnp9\&ream\
GARDEN xAxe
NOT FOR CONSTRUCTION
RELEASED FOR CONSTRUCTION
- % AEvlewep er.
I
xk
/i i
SITE PLAN
\ STEPS UP -
^7Y
✓ �, 'b W.WYLIE GASTON IV
(4D D 869.0969(404)879.1706 -
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ziiiios osooi T II.HB
AO . 0
SITE PLANDRIVE I A0,0SCALE:I/Se=F-011
A\ i
THIS DRAWING WAS TAKEN FROM
AN ELECTRONIC CAD FILE PROVIDED
• • BY THE PROFESSIONAL REGISTRANT.
A HARD COPY OF THE STAMPED
+ AND CERTIFIED ORAWINO,WHICH
DOCUMENT IS THE ACTUAL RECORD
INSTRUMENT,IS AVAILABLE FOR
INSPECTION AT THE OFFICE OF
W.WYUE GASTON IV,ARCHITECT.
RELEASES/DATES
12
�S
2X8 CEILIFG
RAFTERS AT 16'O.C.
. 1XS RAFTERS AT W'O.C.
R7 V2'
D
24'DEEP TISM BEAR 5PARNNG
25'-9 V2'FRAMM WIDTH ,
m.CE1LM R-30 TYP.
06A.RAFIFR R:
OTYP.
LINE OF ROOF
BETQA
Cq
TOP PLATEuJ {—
Lu
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------ - OCTAGW(AL WROOW U
LIVING o <
KITCHEN a
FUM
000o Z
WJJL WAILS R-19 TTP. (/�
FN FLOOR LY 2 _
--------
OCTAGONA WIFSOOW
N STAIR
W'Rl TO
FOYER
11'
0
W
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STORAGE DEN vi pc`n.w'C daA:Ds�aN ek
NOT FOR CONSTRUCTION �,55
RELEASED FOR CONSTRUCTION LJ
RevIEwEO SY.
._ .. r FN FLOOR LA
. 111A.FLOOR R-)t1TP. .
STONE VBIEER CN
EXIST.FOamATION
EX15T.CCl. - EXIST.COL. sxesr T rLe:
(YE RIFT LOCATIOW (VERIFY LOCATION' BUILDING SECTIONS
C
FEW STEEL GARAGE
COLuIN AND
FOOTING W.WYLIE GASTON IV
(40,0 869-0969(404)879-1706
I I
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0 NOMO
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� osoa4
-
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(
V - THIS DRAWING WAS TAKEN FROM
AN ELECTRONIC CAD FILE PROVIDED
F BY THE PROFE6BIONAL REGISTRANT.
A HARD COPY OF THE STAMPED
AND CERTIFIED DRAWING.WHIDN
DOCUMENT IS THE ACTUAL RECORD
INSTRUMENT.16 AVAIIABLE FOR
INSPECTION At THE OFFICE OF
W.-E GASTON IV,ARCHITECT.
RELEASES/DATES
U
minim ❑❑ w
z �
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Q �
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4 5OUTHWE5T ELEVATION z
————————————————————————————————————————————————————————— T—
A2.1 SCALE:I/4"=1'-0" � Z
3 NORTHWEST ELEVATION
A2.1 SCALE:1/4'=1'-0'
- PIRECTOR.:c\mexir�\enae�\
NOT FOR CONSTRUCTION
r�
RELEASED FOR CONSTRUCTION❑.
i ED BT.
Ll I
- 1 i
I
ELEVATIONS
GUEST HOUSE
1 ' I
W.WYLIE GASTON IV
(404)869-0969 QM 879-1706
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60UTHEA5T ELEVATION NORTHEA5T ELEVATION__ DRAWINo NDNeeA
42.1 9CALE:1/4"=1'-0' A2.1 SCALE:1/4"=1'-0'. A2 .1
I
THIS DRAWING WAS TAKEN FROM
AN ELECTRONIC CAD FILE PROVIDED
BY THE PROFESSIONAL REGISTRANT.
A TURD COPY OF THE STAMPED
AND CERTIFIED DRAWING,WHICH _
rolLEr DRaa Laanw
DOCUMENT IB THE ACTUAL RECORD
IA INSTRUMENT,IS AVAILABLE FOR
AT STAR
E REAM
DER BATHTUB DRAIN LOCATION DOABLE HEADER INSPECTION AT THE OFFICE OF
AT STIR IOING AT STAIR OFENNG W.WYLIE GASTON IV,ARCHITECT.'
RELEASES/DATES
BLOMW.BETUEEN BLOCYJNG OPEN FOR
DEL. � EETWEEN 2X1018 STAIR
9'-3 V2'
LINE OF BEARIW WALL AT LIRE OF BEARIIG UW1 AT
MAIN LEVEL SUFFORTDY MAN LEVEL SUPPORTING
SECOND R.WR ABOVE SECOND Rant
I
2X6 EXTERIOR WALL 2%6 Ek7ERlg2 WALL
FRAMWG TTP. FRANWG TTP.
I
1
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uu �
O
—COL"LOCATION - :$ COLIAN LOCATION
.
BELOW AT"RAISE LEVEL BRM AT LEVEL ONE
b+ I BEAM BELCU7
GARAGE LEVEL LVL BENT �
_ W
zw
U)
U
Q
0 N
p Q
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25'-S In'FfMM ~
25'-8 V2•W.4M G .. cr
Z O
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�1 FRAMING PLAN - LEVEL ONE ❑ FRAMING PLAN - LEVEL TWO
ALI SCALE:1/4'=1'-0' ALI SCALE:1/4"=1'-0" Z
2
W-0 V2^ 1'-II3/4
6 V4' I'-5' b'-2• V-5^ b 1/4'
_____________
❑ 13
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DO ENTRY
LL31 - ..._.. -
PLRCII `O
---� °IREc.°R.:closTnes\sneNsl
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TP ❑❑� I I 1 NOT FOR CONSTRUCTION
1— I RELEASED FOR CONSTRUCTION
EXISTING. ®\8 I LIVOG 00
.—N"Y - ❑
�.�N BATH
EXISTa's ❑ _
FC1A'DA11LN WALL 'R S IF
s - W a ------ ❑ ❑❑
CONCRETE FOOTING ------ - .
AID STEEL CCLIBN .
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Id
- COLIAN SUPPORTING
i_____ i .. is --------- SECOND FLOOR BEA1T _ CLOSET ZP
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DN TO
Lmm
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DARK£ s v I.. O5'ic
-I' 4.- 5'-6' 7'-m'� 20'-S 112
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sxssT rNLs:
------- f-- ------------ --------- - FLOOR PLANS
- IgTG GUEST HOUSE
DEN m REDR�,t'7 IS�I' I O K1iGEa
25'-V OUTSIDE FOUNDATION WALL c 1 II i
... L�i2..A2 i'111 I __...
DAU - I --
�uI W.WYLIE GASTON IV
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Alterations to the Fir5t Floor plan
Holman �e5idence 5rale: V 4" - 1"-0" April il.2005
149 Inwood Cane ,. 2' o. 4' 11.
West Hgannl5port, MA Corkador: AVL &Company
Ostervllle,MA I of 5
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Alterations to the Second Floor plan
Holman �c5idence Scale: 1/4 m 1"-0" April 11,2005
149 Inwood Laney 2 4- 8,
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West Huanni5port, b Contractor; A\/L&Company sleet
05terville,MA 2 of 5
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Alterations to the Third Floor plan
Holman V e5idence Scale, 1/4" - -OH *ii 11,2005
1 49 Inwood Lane ,' 2' 0. ,'
West H4anni5port, MA Contractor; AVL&Company Sheet
05tmille,MA 3 of 5
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