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Home My WebLink About0045 JOHNNY CAKE ROAD - Health 6 Johnny Cake Road Centerville A = 210 026 4 ;*PwKfaf p� I' p 11 lo) e aESS a(to 1521/3 ORA 100/6 P2 P i Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments r, 45 Johnny Cake Road Property Address Andrew& Bonnie McSpiritt a- Owner Owner's Name information is required for every Centerville Ma 02632 11/3/2017 t.- page. Cityrrown State Zip Code Date of Inspection r�M7 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 Sean M. Jones use the return Name of Inspector key. S.M.Jones Title V Septic Inspection r� Company Name 74 Beldan Ln. 1 Centerville Ma 02632 Citylrown State Zip Code 774-248-4850 smjonestitle5@gmail.com S14522 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 Evaluation by the Local Approving Authority 11/3/2017 Inspector's Signature Date The system inspector shall submit a copy of this inspection report to the Approving Authority(Board of Health or DEP)within 30 days of completing this inspection. If the system is a shared system or has a design flow of 10,000 gpd or greater, the inspector and the system owner shall submit the report to the appropriate regional office of the DEP. The original should be sent to the system owner and copies sent to the buyer, if applicable, and the approving authority. ****This report only describes conditions at the time of inspection and under the conditions of use at that time.This inspection does not address how the system will perform in the future under the same or different conditions of use. t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 1 of 17 �� q VS Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 45 Johnny Cake Road Property Address Andrew& Bonnie McSpiritt Owner Owner's Name information is required for every Centerville Ma 02632 11/3/2017 page. Cityr town State Zip Code Date of Inspection B, Certification (cont.) Inspection Summary: Check A,B,C,D or E/always complete all of Section D A) System Passes: ® I have not found any information which indicates that any of the failure criteria described in 310 CMR 15.303 or in 310 CMR 15.304 exist. Any failure criteria not evaluated are indicated below. Comments: The dwelling located at 45 Johnny Cake Rd Centerville is served by a Title V septic system consisting of a 1000 gallon septic tank, distribution box and 2 1000 gallon precast leach pits. The system was found to be in proper working condition at the time of inspection. B) System Conditionally Passes: r m❑ One o ore 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•3/13 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 y` 45 Johnny Cake Road Property Address Andrew& Bonnie McSpiritt Owner Owner's Name information is required for every Centerville Ma 02632 11/3/2017 page. Citylrown State Zip Code Date of Inspection B. Certification (cont.) ❑ 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): i ❑ broken pipe(s) are replaced ❑ Y ❑ N ❑ ND (Explain below): obstruction is removed F Y 0 N El ND :below (Explain ) ❑ 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•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 3 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments yy< 45 Johnny Cake Road Property Address Andrew& Bonnie McSpiritt Owner Owner's Name information is required for every Centerville Ma 02632 11/3/2017 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 conform 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 Y2 day flow t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 4 of 17 Commonwealth of Massachusetts w Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 45 Johnny Cake Road Property Address Andrew& Bonnie McSpiritt Owner Owner's Name information is required for every Centerville Ma 02632 11/3/2017 page. City(rown 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•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 5 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 45 Johnny Cake Road Property Address Andrew& Bonnie McSpiritt Owner Owner's Name information is required for every Centerville Ma 02632 11/3/2017 page. Cityrrown State Zip Code Date of Inspection C. Checklist Check if the following have been done. You must indicate"yes" or"no" as to each of the following: Yes No ❑ ® Pumping information was provided by the owner,occupant, or Board of Health ❑ ® Were any of the system components pumped out in the previous two weeks? ❑ ® Has the system received normal flows in the previous two week period? ❑ ® Have large volumes of water been introduced to the system recently or as part of this inspection? ® ❑ Were as built plans of the system obtained and examined? (If they were not available note as N/A) ® ❑ Was the facility or dwelling inspected for signs of sewage back up? ® ❑ Was the site inspected for signs of break out? ® ❑ Were all system components, excluding the SAS, located on site? ® ❑ Were the septic tank manholes uncovered, opened, and the interior of the tank inspected for the condition of the baffles or tees, material of construction, dimensions, depth of liquid, depth of sludge and depth of scum? ® ❑ Was the facility owner(and occupants if different from owner) provided with information on the proper maintenance of subsurface sewage disposal systems? The size and location of the Soil Absorption System(SAS)on the site has been determined based on: ® ❑ Existing information. For example, a plan at the Board of Health. ® ❑ Determined in the field (if any of the failure criteria related to Part C is at issue approximation of distance is unacceptable) [310 CMR 15.302(5)] D. System Information Residential Flow Conditions: Number of bedrooms(design): 3+ Number of bedrooms(actual): 3 DESIGN flow based on 310 CMR 15.203 (for example: 110 gpd x#of bedrooms): 330 gpd 15ins-3113 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 6 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form o Subsurface Sewage Disposal System Form -Not for Voluntary Assessments g< 45 Johnny Cake Road Property Address Andrew& Bonnie McSpiritt Owner Owner's Name information is Centerville Ma 02632 11/3/2017 required for every page. Cityrrown State Zip Code Date of Inspection D. System Information Description: Number of current residents: 0 Does residence have a garbage grinder? ❑ Yes ® No Is laundry on a separate sewage system? (Include laundry system inspection ❑ 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: Sump pump? ❑ Yes ® No Last date of occupancy: seasonal 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•3113 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 7 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 45 Johnny Cake Road Property Address Andrew& Bonnie McSpiritt Owner . Owner's Name information is required for every Centerville Ma 02632 11/3/2017 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: 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-3113 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 8 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 45 Johnny Cake Road Property Address Andrew& Bonnie McSpiritt Owner Owner's Name information is required for every Centerville Ma 02632 11/3/2017 page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) Approximate age of all components, date installed (if known)and source of information: 1997 per town records Were sewage odors detected when arriving at the site? ❑ Yes ® No Building Sewer(locate on site plan): Depth below grade: 1feet 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.): Joint were ok, no leaks, vented through the roof Septic Tank(locate on site plan): 811 Depth below grade: 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: 1000 gallons Sludge depth: 6" t5ins-3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 9 of 17 Commonwealth of Massachusetts u - Title 5 Official Inspection Form a Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 45 Johnny Cake Road Property Address Andrew& Bonnie McSpiritt Owner Owners Name information is required for every Centerville Ma 02632 11/3/2017 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 3" Scum thickness 3" 611 Distance from top of scum to top of outlet tee or baffle Distance from bottom of scum to bottom of outlet tee or baffle 10" How were dimensions determined? opened covers, took measurements Comments(on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): Tank does not need to be cleaned at this time but should be done soon and every 2 years for proper maintenance. Water level was even with outlet invert, tank was structurally sound and not leaking. Outlet tee was intact. Grease Trap (locate on site plan): Depth below grade: feet Material of construction: ❑ concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑ other(explain): Dimensions: Scum thickness Distance from top of scum to top of outlet tee or baffle Distance from bottom of scum to bottom of outlet tee or baffle Date of last pumping: Date t5ins•3/13 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 45 Johnny Cake Road Property Address Andrew& Bonnie McSpiritt Owner Owner's Name information is Centerville Ma 02632 11/3/2017 required for every 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: 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-3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 11 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form o Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 45 Johnny Cake Road Property Address Andrew& Bonnie McSpiritt Owner Owner's Name information is required for every Centerville Ma 02632 11/3/2017 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Distribution Box(if present must be opened) (locate on site plan): Oil Depth of liquid level above outlet invert Comments (note if box is level and distribution to outlets equal, any evidence of solids carryover, any evidence of leakage into or out of box, etc.): D-box was in good condition, no rot. Water level was even with 2 outlets. 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.): *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•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 12 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 45 Johnny Cake Road Property Address Andrew& Bonnie McSpiritt Owner Owner's Name information is required for every Centerville Ma 02632 11/3/2017 page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) Type: ® leaching pits number: 2x1000 ❑ leaching chambers number: ❑ leaching galleries number: ❑ leaching trenches number, length: ❑ leaching fields number, dimensions: ❑ overflow cesspool number: ❑ innovative/alternative system Type/name of technology: Comments(note condition of soil, signs of hydraulic failure, level of ponding, damp soil, condition of vegetation, etc.): leaching facility consists of 2 precast leach pits piped individually from d-box. Both pits were video inspected and found dry with no visible stain lines. Cesspools (cesspool must be pumped as part of inspection) (locate on site plan): Number and configuration Depth—top of liquid to inlet invert Depth of solids layer Depth of scum layer Dimensions of cesspool Materials of construction Indication of groundwater inflow ❑ Yes ❑ No t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 13 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 45 Johnny Cake Road Property Address Andrew& Bonnie McSpiritt Owner Owner's Name information is required for every Centerville Ma 02632 11/3/2017 page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) Comments (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): Privy(locate on site plan): Materials of construction: Dimensions Depth of solids Comments (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): t5ins•3r13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 14 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 45 Johnny Cake Road Property Address Andrew& Bonnie McSpiritt Owner Owner's Name information is required for every Centerville Ma 02632 11/3/2017 page. Citylrown 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 b I � 2 0 � ZS � 61 �2°6 AZ Zo'6 ,43 iY. 63 26 LeAcK PITS 13 H N7 6 RS Zf' ,Sr Z� t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 15 of 17 Commonwealth of Massachusetts - Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 45 Johnny Cake Road Property Address Andrew& Bonnie McSpiritt Owner Owner's Name information is required for every Centerville Ma 02632 11/3/2017 page. Cityfrown State Zip Code Date of Inspection D. System Information (cont.) Site Exam: ❑ Check Slope ❑ Surface water ❑ Check cellar ❑ Shallow wells Estimated depth to high ground water: 12'+ feet Please indicate all methods used to determine the high ground water elevation: ❑ Obtained from system desig n 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: ❑ Checked with local excavators, installers-(attach documentation) ❑ Accessed USGS database-explain: You must describe how you established the high groundwater elevation: Groundwater elevation was determined by accessing Town of Barnstable groundwater contour map. Before filing this Inspection Report, please see Report Completeness Checklist on next page. t5ins•3/13 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 45 Johnny Cake Road Property Address Andrew& Bonnie McSpiritt Owner Owner's Name information is required for every Centerville Ma 02632 11/3/2017 page. City(rown State Zip Code Date of Inspection E. Report Completeness Checklist E Inspection Summary: A, B, C, D, or E checked E Inspection Summary D (System Failure Criteria Applicable to All Systems) completed E System Information—Estimated depth to high groundwater ® Sketch of Sewage Disposal System either drawn on page 15 or attached in separate file t5ins•3/13 Title 5 official Inspection Form:Subsurface Sewage Disposal System-Page 17 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 45 Johnny Cake Road Property Address John and Ruth McLaughlin Owner Owner's Name information is Centerville MA 02632 Aril 29 2011 required for every p , page. Cityrrown 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 David D. Coughanowr use the return Name of Inspector key. Eco-Tech Environmental ay Company Name 43 Triangle Circle Company Address r�oa Sandwich MA 02563 CitylTown State Zip Code 508 364 0894 1328 Telephone Number License Number fY C,B. Certification rl certify that I have personally inspected the sewage disposal system at this address and that the f `r; 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 i sewage disposal systems. I am a DEP approved system inspector pursuant to Section 15.340 of ti Title 5(310 CMR 15.000).The system: ® Passes ❑ Conditionally Passes ❑ Fails ❑ weeds Further Evaluation by the Local Approving Authority April 29, 2011 Inspector's Signature Date The system inspector shall submit a copy of this inspection report to the Approving Authority(Board of Health or DEP)within 30 days of completing this inspection. If the system is a shared system or has a design flow of 10,000 gpd or greater, the inspector and the system owner shall submit the report to the appropriate regional office of the DEP. The original should be sent to the system owner and copies sent to the buyer, if applicable, and the approving authority. ""This report only describes conditions at the time of inspection and under the conditions of use at that time.This inspection does not address how the system will perform in the future under the same or different conditions of use. Mns•OW08 TAIe 5 official Inspection Farm:Subsurface Sewage DI osal System-Page 1 or 17 .a f Commonwealth .of Massachusetts ' Title 5 official Inspection Form A Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 45 Johnny Cake Road Property Address John and Ruth-McLaughlin Owner Owner's.Name information is. required for every Centerville MA, 02632 April.29,.2011 page. Gity/Town. State Zip Code Date of Inspection,; B. Certification (cont) Inspection Summary: Check A,B;C;D or E/always complete all of Section D A) System Passes: Z I have not found any,information which indicates that any of the failure criteria described in 3.10 CMR 15.303'or in 310 CMR 15.304 exist. Any failure criteria"not eyaluated are indicated below. Comments: Inspector's Note==> A,septic system is.deemed to pass this Real Estate Transfer inspection if it does not trigger any of the failure criteria listed`below: The.septic system has been evaluated according to the conditions:observed on the day it was inspected No estimate or guarantee of system longevity is made or implied by a passing determination. B) System Conditionally Passes;. El One or more system components as described in the."Conditional Pass"section need to be replaced or repaired The system, upon completion of the replacernent 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* o r-ther septic tank(.whether metal or not) is structurally unsound, exhibits substantial infilt ration:or&filtration 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.20years oldis available,. Y 0 N ❑ ND (Explain below)" 5insr 09108 Titie s offiaal inspedtion:Foun:.Subsurface,Sewage Disposal system-Page 2of 17 Commonwealth of Massachusetts mom Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 45 Johnny Cake Road Property Address John and Ruth McLaughlin Owner Owner's Name information is Centerville MA 02632 Aril 29, 2011 required for every P page. Cityfrown State Zip Code Date of Inspection B. Certification (cont.) B) System Conditionally Passes(cont.): ❑ Observation of sewage backup or break out or high static water level in the distribution box due to broken or obstructed pipe(s)or due to a broken, settled or uneven distribution box. System will pass inspection if(with approval of Board of Health): ❑ broken pipe(s)are replaced ❑ Y ❑ N ❑ ND (Explain below): ❑ obstruction is removed ❑ Y ❑ N ❑ ND(Explain below): ❑ 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 09= Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 3 of 17 r Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 45 Johnny Cake Road Property Address John and Ruth McLaughlin Owner Owners Name information is required for every Centerville MA 02632 April 29, 2011 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 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: D1 stem S Failure Criteria Applicable to All S Y pp stems:Y You must indicate"Yes" or"No"to each of the following for all inspections: Yes No ❑ ® Backup of sewage into facility or system component due to overloaded or clogged SAS or cesspool ❑ ® Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or clogged SAS or cesspool ❑ ® Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool ❑ ® Liquid depth in cesspool is less than 6"below invert or available volume is less than %day flow t5ins•09= This 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 4 of 17 i Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 45 Johnny Cake Road Property Address John and Ruth McLaughlin Owner owner's Name information is required for every Centerville MA 02632 April 29,2011 page. Cityrrown State Zip Code Date of Inspection B. Certification (cont.) Yes No ❑ ® Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s). Number of times pumped: ❑ ® Any portion of the SAS, cesspool or privy is below high ground water elevation. r ❑ ® Any portion of cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply. ❑ ® Any portion of a cesspool or privy is within a Zone 1 of a public well. ❑ ® Any portion of a cesspool or privy is within 50 feet of a private water supply well. ❑ ® Any portion of a cesspool or privy is less than 100 feet but greater than 50 feet from a private water supply well with no acceptable water quality analysis. [This system passes if the well water analysis,performed at a DEP certified laboratory,for fecal coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered.A copy of the analysis and chain of custody must be attached to this form.] ❑ ® The system is a cesspool serving a facility with a design flow of 2000gpd- 10,000gpd. ❑ ® The system fails. I have determined that one or more of the above failure criteria exist as described in 310 CMR 15.303, therefore the system fails. The system owner should contact the Board of Health to determine what will be necessary to correct the failure. E) Large Systems: To be considered a large system the system must serve a facility with a design flow of 10,000 gpd to 16,000 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 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. t5ins-09108 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 6 of 17 Commonwealth of Massachusetts -- _T Title 5 Official Inspection Form Subsurface Sewage Disposal System Form Not for Voluntary Assessments 45 Johnny Cake Road Property Address- John and Ruth McLaughlin Owner Owner's Name information is. required for.every Centerville MA M32: April 29,,2011. page. Cityrrown state zip Code Date of inspection C. Checklist Check if the following have been done:You must indicate"yes"or"no" asito each of the following: Yes No 0 ❑, Pumping information was provided by the owner.; occupant,or Board of Health ❑ Z1. Were any of the-.system components pumped out in the previous two weeks? ❑X ❑ Has the system received normal flows in.the previous two week period? 0 Have large volumes of water been introduced to the system recently or as part of this inspection? ❑ Were as.b_uilt plans°of the system obtained-and examined?;(If they were not available note as.NIA) ❑ Was the facility or dwelling inspected for signs.Of sewage backup? 0 ❑ Was the site.inspected for signs of break out? ED ❑ Were all system components, excluding the SAS, located OnSlte?' ® ❑ 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? a ❑ 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: 0 ❑ Existing information. For example;a plan at-the Board-of Health. ❑ 0 Determined in the field (if any of the failure criteria related'to Part Cis at issue approximation of distance is unacceptable) [310 CMR 15.302(5)] D. System Information Residential Flow Conditions: Number of bedrooms(design): n(a Number of bedrooms(;actual): 3 DESIGN flow based on 310 CMR 15.203 (for example: 11.0 god x#. ,of bedrooms): n/a-no plan t5ins•091d8 Title 5 Official Inspection Form:Subsurface Sewage Oisposal System-.Page 6 of 17` Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 45 Johnny Cake Road Property Address John and Ruth McLaughlin Owner owners Name information is required for every Centerville MA 02632 April 29,2011 page. Cityfrown State Zip Code Date of Inspection D. System Information Description: Number of current residents: 1 Does residence have a garbage grinder? ❑ Yes ® No Is laundry on a separate sewage system?[if yes separate inspection required] ❑ Yes ® No Laundry system inspected? ❑ Yes ❑ No Seasonal use? ❑ Yes ® No Water meter readings, if available last 2 ears usage d 67 4pd 9 ( Y 9 (gP ))� Detail: 2009-2010 Sump pump? ❑ Yes ® No Last date of occupancy: t current 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.fL, 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-OM Title 5 Official Inspectlon Form:Subsurface Sewage Disposal System-Page 7 of 17 Commonwealth of Massachusetts -- Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 45 Johnny Cake Road Property Address John and Ruth McLaughlin Owner owners Name information is required for every Centerville MA 02632 April 29, 2011 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: 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-OS= Title 5 Official Inspection Form:Subsurface Sewage Dispose!System•Page 8 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form _ = Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 45 Johnny Cake Road Property Address John and Ruth McLaughlin Owner Owner's Name information is required forevery Centerville MA 02632 April 29, 2011 page. Cityrrown statel Zlp.Code Date of Inspection D. System Information (cunt.) Approximate age of all components, date installed(if known)and source of information: Age 14+ years. Certificate of Compliance dated 1/9/97 (permit 95-1004). Were sewage odors detected when arriving at the site? ❑ Yes 0 No Building Sewer(locate on site plan): Depth below grade: feet Material of construction: ❑ cast iron ❑40 PVC El other(explain): Distance from private water supply well or suction line: feet Comments (on condition of joints., venting, evidence of leakage, etc.): Sewer line not accessible for inspection: Septic Tank (locate on site plan): Depth below grade: 0.5 feet Material of construction: Z 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:. 8.5 ft x 6 ft x 5 ft(1000 gal) Sludge depth: 4 in 15ins•09108 Title 5 Official Inspection Form:Subsurface sewage Disposal System•Page of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 45 Johnny Cake Road Property Address John and Ruth McLaughlin Owner owner's Name information is Centerville MA 02632 A nl 29, 2011 required for every P page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) Septic Tank(cont.) Distance from top of sludge to bottom of outlet tee or baffle 30 in Scum thickness 2 in Distance from top of scum to top of outlet tee or baffle 9 in Distance from bottom of scum to bottom of outlet tee or baffle 13 in How were dimensions determined? As built card Comments(on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): Pumping is not required at this time but maintenance pumping is recommended within and every two years. Tank appears structurally sound and functioning as intended. No evidence of leakage in or out was observed. Grease Trap(locate on site plan): Depth below grade: feet Material of construction: ❑ concrete ❑ metal ❑fiberglass ❑ polyethylene ❑other(explain): Dimensions: Scum thickness Distance from top of scum to top of outlet tee or baffle Distance from bottom of scum to bottom of outlet tee or baffle Date of last pumping: Date t5ins•09= 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 46 Johnny Cake Road Property Address John and Ruth McLaughlin Owner Owner's Name information i e Centerville MA 02632 A rll 29 2011. required for every P , page. Citylrown State Zip Code Date of Inspection D. System Information (cont:) Comments-(on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet,invert, evidence of leakage, etc.): Tight or Holding Tank (tank must be:pumped'at-Time of inspection) (locate on site plan): Depth below grade: Material of construction: ❑,concrete ❑ metal ❑`fiperglass ❑ 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 t51os•;09/0a- Title 5 Official Inspection Formi Subsurface Siawwago Disposal System;Page 11 of 17 Commonwealth of Massachusetts Title 5 Official. Inspection Form Subsurface Sewage Disposal•System Form-Not for Voluntary Assessments 45 Johnny Cake Road Property Address John and Ruth McLaughlin Owner Owner's Name information is required for every 'Centerville MA 02632 April 29,2011 page. Cityfrown State Zip Code Date of Inspection D. System Information (con#..) Distribution Box(if present must be opened) (locate on site plan): Depth of liquid level above outlet invert at;outlet invert Comments (note if box is level and distribution to out equal, any evidence of solids'carryover,any evidence of leakage into:or out of box, etc.); D-box appears.structurally sound with no evidence of leakage in or out. Some olds in_sump. A bucket of water was poured into the distribution box and was observed to pass through in a rapid and unobstructed manner, and could be heard splashing down into both leach pits. I Pump Chamber(locate on site plan): Pumps in working order: ❑ Yes ❑ No Alarms in working order: ❑ Yes ❑ No Comments{note condition of pump chamber, condition of pumps and appurtenances, etc.): Soil Absorption>System (SAS) (locate on site.plan,,excavation not.required): If SAS not located, explain why: [Sins-09108 Titie'5 Official Inspection Form:-Subsurface Sewage Disposal System:Page:12:01'17 Commonwealth of Massachusetts Title 5 official Inspection Form Subsurface Sewage Disposal System Form , Not for Voluntary Assessments 45 Johnny Cake Road Property Address John and Ruth McLaughlin Owner Owner's Name information is Centerville MA 62632 Aril 29 2011 required for every P page. Cityrrown State Zip.Code Date of Inspection D. System Information (cont.) Type: 0 leaching pits number: '2 ❑ leaching chambers number: leaching galleries number: ❑ leaching.trenches 'number, length: ❑ leaching;fields number, dimensions: ❑ overflow cesspool number: ED 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-.).- Soi'Is above leaching.pits appear unsaturated. No evidence of surface ponding; breakout, lush vegetation, or other evidence of hydraulic failure was observed. A bucket of`water was poured into the distribution box and was observed to pass through in:a rapid and unobstructed manner, and could be heard splashing down into both leach pits. Cesspools (cesspool must be pumped_as part of inspection)(locate on site.plan): Number and configuration Depth—top of liquid:to inlet invert Depth of solids layer Depth of scum layer Dimensions of cesspool Materials rof construction -Indication of groundwater inflow ❑ Yes ❑ No t5irts•99/08 Title 5,0fricial nspection Fomi:.Subsudace Sewa9e Disposal system•Page,13 of 17 Commonwealth of Massachusetts Title 5 Official Inspec ion Farm Subsurface Sewage Disposal System Form =Not for Voluntary Assessments 45 Johnny Cake Road Property Address John and Ruth McLaughlin Owner Owner's Name information is Centerville MA 02$32. A 'ril 29,-2011 required for every __.._._. _P page. Cityrrown State Zip Code. Date of Inspection D. System Information (cunt.) Comments_ (note condition of'soil,.signs=of hydraulic failure,,level of ponding, condition of vegetation, etc.) Privy (locate on site plan): Materials of construction: Dimensions Depth of solids Comments(note condition of soil, signs of hydraulic failure, level of ponding,-condition of vegetation, etc:)` tSins-09108 Title,5COfficial Inspection Fom:'Subsurface Sewage Disposal Systom•Page.14 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 45 Johnny Cake Road Property Address John and Ruth McLaughlin Owner Owner's Name information is Centerville MA 02632 A nl 29, 2011 required for every P page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) Sketch Of Sewage Disposal System: Provide a view of the sewage disposal system, including ties to at least two permanent reference landmarks or benchmarks. Locate all wells within 100 feet. Locate where public water supply enters the building. Check one of the boxes below: ® hand-sketch in the area below ❑ drawing attached separately A � w 3 Z� I�`lz n c c � Q SEPTlC Q TW K O o -3 ❑ P_ � (EACH p!r LEO SoKNcvq C( -K ROf+D P tT t5ins•09MB Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 15 of 17 Commonwealth of Massachusetts Title 5 official Inspection Form UVSubsurface Sewage Disposal System Form-Not for Voluntary Assessments 45 Johnny Cake Road Property Address John and Ruth McLaughlin Owner Owner's Name information is Centerville MA 02632 Aril 29, 2011 required for every p page. Cityfrown 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: 15+ft 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: Certificate of comlpiance issued 1/9/97 ❑ Checked with local excavators, installers-(attach documentation) ® Accessed USGS database-explain: Barnstable GIS Department records You must describe how you established the high ground water elevation: Town of Barnstable GIS Department records indicate that the property is over 15 feet above groundwater table. Before filing this Inspection Report, please see Report Completeness Checklist on next page. t5ins-09108 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 16 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form s Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 45 Johnny Cake Road Property Address John and Ruth McLaughlin Owner Oviine(s Name information is Centerville MA 02632 Aril 29, 2011` required for every p page. Cityrrown State Zip Code: Dateo 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 Z System Information — Estimated depth to high groundwater Z. Sketch of Sewage Disposal System either drawn on page 15 orattached in separate file 15ins•091..8 Title 5 Official Inspection Form:Subsurface Sewage Disposal system-Page 17 of 17 TOWN OF BARNSTABLE '•LOCATION ��S �� ah v CA K 5 SEWAGE #1 VII I AGE (�i e J, l i t_ ASSESSOR'S MAP& LOT INSTALLER'S NAME&PHONE NO. 4ACc�,m mi?, 77.5'-> SEPTIC TANK CAPACITY LEACHING FACILITY: (type) (size) NO:QF BEDROOMS BMPER OR OWNER �4t---AG A�•:. PE1tIi+YI'�`DATE: 3O ,`� S" COMPLIANCE DATE: Separation,Distance Between the: ' Maximum Adjusted Groundwater Table and Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility (If any wells exist , og:ste::or within 200 feet of leaching facility) Feet F.dge;of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) Feet Fttrnishied:.by si . t, O qqqq O. • 9 * 1: I TOWN OF BARNSTABLE LOCATION 4' i 1e,1joA%" C_A k 5 SEWAGE # DD V VILLAGE "sT �f d I�- ASSESSOR'S MAP & LOT 1 6.611a INSTALLER'S NAME&PHONE NO. MACC�m 6101 775"- A SEPTIC TANK CAPACITY leeY7 c Al LEACHING FACILITY: (type.) (size) NO.OF BEDROOMS --3 BUILDER OR OWNER IM, G PERMTTDATE: 1 --30 COMPLIANCE DATE:1,-� Separation Distance Between the: Maximum Adjusted Groundwater Table and Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility (If any wells exist on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) Feet Furnished by t� , � �� \ ��'�/ i� \� 1\�� . '�'� �/`'` +.�- - � °�!f) 06o THE HOME DEPOT 2612 65 INDEPENDENCE DRIVE HYANNIS, MA 02601 (508) 778-8948 f 2612 00056 67811 05/30/08 SALE 14 SCOT56 08:39 PM 5019 r . uj 4 v 04787' 1037q�SMOKE DtL�eA> 7.99 .. SAL TAX 0.40 TOT CASH $8.39 E v �, CH sNGE DUE 1.61 } 2612 56 57811 05/30/2008 5014 RETURN POLICY DEFINITIONS POLICY ID DAYS POLICY EXPIRES ON A 1 90 08/28/2008 THE HOME DEPOT RESERVES THE RIGHT TO LIMIT / DENY RETURNS. PLEASE SEE THE RETURN POLICY SIGN IN STORES FOR DETAILS, NOBODY BEATS OUR PRICES. . .GUARANTEED. SEE STORE FOR 10% PRICE GUARANTEE DETAILS. :t:rM Wt)C]CKY[YC)C�'1t':t It:C N'Yc 7E WY(7�)r]C 'X X'7t Y(1k'W****W*.X.X /Fwm._$ !� ....3A...A.Q... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE Appliration for Di_npwial Work.6 Tnnitrnrtiun jhrnfit Application is hereby made for a Permit to Construct ( ) or Repair (XX) an Individual Sewage Disposal System at: 45 Johnny Cake Road Centerville ...... ..... ------------------------•---.....------------------------------------•-- -------••-----•---•---••--•-•---------...•--••---•-•-•-••--•--•-------............---•••-•--..---- Location-Address or Lot No. ......................_.....John_..McLaughl..n----------------------••. Owner Address aJ.P.Macomber Jr_,_______________________ Installer Address UType of Building Size Lot............................Sq. feet Dwellin4X-XNo. of Bedrooms---------------------------------------- ---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 ( ) 0-4 Percolation Test Results Performed by............... .......................................................... Date........................................ a a Test Pit No. I----------------minutes per inch Depth of Test Pit........------------ Depth to ground water....--........--........ Test Pit No. 2----------------minutes per inch Depth of Test Pit--...............--. Depth to ground water..--.................--. P4 --------------------------------------------------------•---........--------- ............................................................................... ODescription of Soil......................................................................................................................... .........................------•-•---------- � .............................S XId....&...Gravel-----------------------------------------....----------------------...----------------•-----------------....-•----•------- W U Nature of Repairs or Alterations—Answer when applicable-_Omit---C.e_sspclal.s._.lnst&ll...1.-1.0.0.0.... .. •____________________ ---box----and---1---1-QDD---ga.11nn...Leaich...pit Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Environmental Code—The undersigned further agrees not to place the system in operation until a Certificate of Complia ce has en issue by the board of health. Signe - -------- --- ------/ ... - ---- -----3._/2.7./.9..`0........... Application.Approved B .................. ...._. ------- ----------------------------- ------_------ / *``iDate � Dace Application Disapproved for the following reafonf: ....... ........................ --------------------- -----------------....._------...._.._-- -----------------------------------------._------._._._......._... --------.--------------------------- (� D Permit No. ....:...L :.'... ��. ........ Issued --- " ��Tj'''.7r� ........ Daze 0 � No9C -,-�w 1�.._. ��/ Fivs..5....3.11.o.11Q.... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE Appliration for Dtirpo ttl Workii ( owitxnrtion Prrmit Application is hereby made for a Permit to Corstruct ( ) or Repair �X) an Individual Sewage Disposal System at: 45 Johnny Cake Road Centerville .............•••-•---•----•---•----••----•--••-•...........••------.........---................... -•----•-------•-----.....•-----•--•-••---..........--•---......-••-------------------•-----....... Location-Address or Lot No. John McLaughlin ......................_.......................................................................... -----•---------------------•-•................------.........-•---•--....----------------••------. Owner Address aJ.P,M.aagomber Jr. Installer Address UType of Building Size Lot............................Sq. feet DwelliridXXNo. of Bedrooms--------------------------------------------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 ( ) Percolation Test Results Performed by-------------------------------------------------------------------------- Date........................................ a Test Pit No. I................minutes per inch Depth of Test Pit-------------------- Depth to ground water........................ LZo Test Pit No. 2................minutes per inch Depth of Test Pit-------------------- Depth to ground water........................ P4 ....................................... ..................................................................................................................... DDescription of Soil........................................................................................................................................................................ x Sand....&...Gravel C) W UNature of Repairs or Alterations—Answer when applicable....Omit.... esanools....... za -it. . .•.1--1 (lln...__. ---------------------- gallon tankt1 -distribution__box-- and---1---1-O0.0..,asllon.-leajch..�ap��_-. Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Environmental Code—The undersigned,further agrees not to place the system in operation until a Certificate of Complia cc, has been issued by the board of health. Sign e ......... �-/`/--/L/-// 3/27/95 ......................-------- ..............--Dare......-.......... Application.Approved B ..:. ''� ,7o 7 Date Application Disapproved for the following reasons: ......._.....__......"__ ----------------------------------------------------- ---------------------- .............................................._.....-----------------------........._......._...._..---------------------------------_---- --------------------------------------------------- ........................................ ace Permit No. �z-✓ "" — ---- _ D � _..... Issued ------ ...--.��"' Dace THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE CZ>ertiftrate of Complianre THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired (xxx� y at ---------------------------- 4 5 Johnny Cake...Road Cen-ter11"vi1le-----------------•------------------------------------------------------------ has been installed in accordance with the provisions of TITLE of he State Environmental Code as escribed in the application for Disposal Works Construction Permit No. dated_ _ 1 THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUEVAS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE---------- ------- -----------.....-....7---`---.D/.. 7 ---------- Inspector ........ ..`.. ...... ...... --------------------------------- THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH No? --�G��- TOWN OF BARNSTABLE FEE.�.'._..30.'.��••-. Rqumal Vorkii Tunitrudion rrntit Permission is hereby granted---J-P..Macomber Jr - -- to Construct ( ) or Repair (4X) an Individual Sewage Disposal System 45 JohnnyCake )~ d Centerville at No......... . ...............................................Y , Str• as shown on the application for Disposal Works Construction Permi � Dated. _...... %s �j .........•••••. P ' �..'"---------------'�2........... s../ y Board of Health / DATE --" FORM 36508 HOBBS 6 WARREN,INC.,PUBLISHERS ! THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH ........................ .................OF............-..-..........._..-.- Appliration for Disposal Works Tonstrnrtiun rumit Application is hereby made for a Permit to Construct ( ) or Repair ( Z-Y*an Individual Sewage Disposal System�6 t_tea !��--• C' t 10 ---------------------------•-----....------- .. Location-Address ...e ®� or Lot No. , Owner Address /✓� ._____ �. .................... --•-----•-------------------------------------•--...._._...----------------•------•-•----•....---- Installer Address UType of Building Size Lot_____________________,__.___Sq. feet Dwelling O. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ____________________________ No. of persons............................ Showers ( ) — Cafeteria ( ) Other fixtures . W Design Flow..._.........................................gallons per person per day. Total daily flow--------------------------------------------gallons. WSeptic Tank—Liquid capacity............gallons Length................ Width................ Diameter................ Depth................ 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........................ 1-4 44 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ { •-- ----- �-, - -•--•...-• ......................................................................................... o Description of Soil--------..Jt�.� ._.. . ------------------------------------------------•------------------------....---.....-------- x U --•-•-•-••--••-•--•••--....---•-••---•---•---•------•-•--...---••-•------•...•-------------•-----•--•••-•----••---••----•-•--•-•-------•-•-----•••-----••------•--••-•--•-•----••---•-•••--•-•-----•---- x ................................................................................................................................. V Nature of Repairs or Alterations—Answer when applicable.......el=I _'""__A�� -------------------------•---------•-----------...-----------------•------•-----•------.....------------•------------•-------------------------------------------------------------------•-----...--•--- Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provision of iITLL 5 of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been issued by boapd of h 'lth. Signed- _...__ .: F D Application Approved By....... . . .. .. .. ...........•. ------•-•• • .. .�..�................ ....•----• Date Application Disapproved for following reasons---------------•------------------------------------•---------------------------------------------------•-••••••- .........•-•.......................•------•------•------....ff..-------...------•------------•-----•--------•-••--•--•----•-••-•-•••-------•----•--•---•••••-----------•-----•---•----•••---•---••••----- Permit No...... - -1-�•-_l............................. Issued......` •-- Date Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ............. ...............•-----.....OF.....-----..... ..................... ......_...--........................... ApphrFation for Dispaii al Works Tonstrnr#ion rrntit Application is hereby made for a Permit to Construct ( ) or Repair ( )`an Individual Sewage Disposal System at , i r ;r0 r!f.t. . ( 's'l sj '�.,,aPx r. ��•+ F , Location-Address or Lot No. ,T fv� Owner Address Installer Address � Type of Building Size Lot___________________________S q. feet Dwelling O. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( ) pa, Other—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) QIOther fixtures ------------------------------------------------------...-------------------------------------------------•---------------........--•--•----•----•-•-- d 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 ( ) 1.4 Percolation Test Results Performed by_....................................................................... Date........................................ Test Pit'No. I................minutes per inch Depth of Test Pit.................... Depth to ground water---__----_______•-_----. LT4 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ o=0tv..............., .................................................•-....----........---......-•••••.•••... Description of Soil..........„r,; ... ___ .... x V .........................................................•-•---•--.......---•--------._.....--•-••••--•-...-----•-----------•-----•--••••-••-----•--•....••----...•--------•-----•-•--•••-•-•--•-------- W ----------------------------------------------------------------------------------- -••--------------------•-•-------- UNature of Repairs or Alterations—Answer when applicable__....e .. .......................:............................. -------•-----------------------•--------------------------•-----------........---------------••--•----------......------------------------------------------•-----------. ............................. Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITIL: 5 of the State Sanitary Code—.The undersigned further agrees not to place the system in operation until a Certificate of Compliance has beer issued by the board of health. .. F oaf rt.r Si ned. it. Date Application Approved By......... _ .. ..t.�, 1.: " Date Application Disapproved for t following reasonns:--------------------------------------------------------------- = -•----••------------------------....................-----------•--•--••--••-------------••---•----•--------•--••-•-----•---••-•••-•----•--------•------------•---------•-•----••-----------•----•----- Date Permit No....... .. _ Issued........ --- THE COMMONWEALTH OF MASSACHUSETTS BOARD; OF ..... : . . ...... e HEALTH . F......d " ... ... ...................... Tntifiratr of TompliFanrr THIS,IS. Q. CERTIFY, That'the Ind v>dt Sewage Disposal System constructed ( ) or Repaired (4,)-- 101 Installer r r has been installe44n accordance with the provisions of TITLE 5 of The State Sanitary Code as described in .the application for Disposal Works Construction Permit No------` -_-_•__- ---__• dated-..----- ................ THE ISSUANCE OF TINS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. � DATE............. •-...---. ' ...........:...................•------.._....---- Inspector--_ THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH f r , ..........................................OF...... f� ..!...... t fps �° 7` a?c.'!4� .:.................... ; No....... --L..... ......• Dispa p al nxkii T.nnstrudion . rrniit._ _ rr i Permission is herebyanted _'_ '�" - F'%` % '* to Construct ( ) Qp Repair (Z,4 an Individual Sewage Disposal ystem 1 at 1V0..... '� ...1�'G:a.°"O :a��'� G c' z-�f:. `•�... lr,d a a! Street as shown on the application for Disposal Works Construction Permit N ....... Dated_...._.�.t-.5-4Sr+ _-_:.... i ..................... --• --- ...................................... DATE.........-- r of Health ----••• r f FORM 1255- A. M. SULKIN, INC.. BOSTON l r L O CATION )J ) S UW A G E PE RMIT NO. S' - VILLAGE .,1NSTA LLER'S NAME`,: a ADDRESS B UILDER OR OWNER DATE PERMIT ISSUED DATE COMPLIANCE ISSUED 2 �� " � ;� �� .. ��.�. � � �, �� , �� z , , �..- . ,' BENCHMARK: DRAIN.MANHOLE RIM EL=4&44:FEET � r NZ- PAVED S s GP DRIVEWAY r Ike \ POST TREE .r� STUMP TREE . t lb Cl THRESHOLD Y ELEV=52..4 i SHED `i #45 EXISTING DWELLING PROPOSED 3-BEDROOM - �` DWELLING TO.REPLACE EXISTING \X.� FT' EUEh52.4' r--- oEac LUF AREA=4,0E8t sE �> e J MAC'. 2.10, LOT 026 KWELL CD - - f, \r" ` h j B A DO NOT 50ALE DRAWIN65. ALL WORK TO BE DONE IN 8 CONFORMANCE V4TH 180 GMR 51.00 MASSACHUSETTS 4'X 6 GRANITE SLAB, STATE 131-06 CODE qTH EDITION. BUILDER TO VERIFY ALL ! OR DECK& STEP TO DETAILS AND DIMENSIONS. THI5 PLAN 15 COPYRIGHTED BY GRADE PER CODE GIATTINO DE516N AND 15 PROVIDED FOR A ONE TIME BUILD. ALL BEARI N6 POI NT5 TO HAVE GONTIN UOU S BLOCKI NG -1" q'-10" 4'-q" DOWN TO FOUNDATION. 0 0 01 PA551VE D02 ACTIVE - - - - - - - - Living Area Snuare Footage= 1840 5F 36"xbo° g; BATH - - J G 0 L J FBRGLSHR Si n o Oc5-0' X 5-4 Entry Level =1008 5F(includes stairwell) Vq/SEAT TILE I - - _ - - - - -� Upper Level = 832 5F(excludes stairwell) n 5_5 21'-0" _ '- 30"VAN ITY o r 6ross 5nuare Footage=2-I12 5F MASTER BATH �I m 8'-10"X 9'-4" M1 KITCHEN I Basement Level= 840 5F TILE I 1'-11": 20 -4 X 13-b Entry Level = 1005 SF �b - Upper Level = 864 5F o W/D 12" AN ITY - -- �i Ob 5 5H. I I GENERAL NOTES: 13'X 4' b" ISLAND. ASPHALT 5HINGLE ROOF m o I t 10'-2" VINYL SIDING &CORNER BOARDS 5'-6" 'Ni -All 3'-b" I ALUMINUM WRAPPED ROOF TRIM -2668 - (5A5 FIRED WARM AIR HEAT&A/C SOUTHERN YELLOW PINE FLOORING UNFINISHED BASEMENT 5HEETROCK WALL5&CEILIN65 m CLOSET dZ) _ 1z SMOOTH GEILING5 54' X 5-9" :fl i ti 1'-41/4" cn (3)1-3/4 X16 LVL BM IN FLOOR PAINTED FJ&P 2-1/2,COLONIAL CA51N65 (4)2X6 — — — (4)2X4 (FLUSH W/TOP OF J5T5) 5-1/4X 5-1/4 - PAINTED FJ&P 5-1/4 BASEBOARD o P05T — — — — P05T — (DRYWALL WRAP) _ — — — — PSL POST o PAINTED TWO PANEL MA50NITE DR5(SOLID GORE _ _ _ _ _ _ _ _ —_ _ 668 _ —_ _ — —_ — —— — — —— —— —_ _ _ _ _ _ _ _ FOR BED &BATH DRS, HOLLOW GORE FOR BALANCE) C4 _ (3)1-3/4 X q-1/4 LVL BMA 3-1/2 X 5-1/4 15"DEEP STONE WA5H AROUND HOUSE (DRYWALL WRAP) 1 5L POST 05 HARVEY WHITE WINDOW5& PATIO DOORS WITH LOW-E/ARGON INSULATED 6LA55, INTERNAL 6RIDS,.3" FLAT EXT CASING W/51LL STAIR R.O. o NOSING, 6-q/16"JAMBS, SCREENS, & HARDWARE: 05 LIVING WINDOW SCHEDULE NUMBER LABEL QTY R/O DESCRIPTION MA5TER BORM 18 -11 X 13 -6 01 2032-2 1 50 1/4"X41 1/2" MULLED UNIT (Z v SOUTHERN YELLOW PINE FLOORING 02 24310 2 30"X49 1/2" DOUBLE HUNG 12'-2" X 1 T-4" O 03 25310 1 34"X4q 1/2" DOUBLE HUNG m 5OUTHERN YELLOW PINE FLOORING H ° 04 284b 5 34")51 1/2" DOUBLE HUNG 0 c"n 05 12552 b 34"Xb51/2" DOUBLE HUNG 5YP TREADS FUTURE OAS DIRECT 06 2852_2 1 166 1/4"X65 1/2" MULLED UNIT [H OPEN RAIL F- VENT STOVE 01 VELUX V5 bob 3 44 1/4"X45 3/T SKYLIGHT —UP P— PER GORE DOOR SCHEDULE c� o NUMBER LABEL QTY I R/O DESCRIPTION Q GO X D01 3066-LH 15 LITE 1 158 1/2"X82 1/2" 1 EXT. HINGED-GLASS PANEL I D02 6065 DBL 15 LITE 1 115 1/4"X82 1/2" EXT. DBL. HINGLED-GLA55 12'-101/4" 23'-1 314" 003 3068-RH 1 38 1/2"X82 1/2" EXT. H I N G ED DR - - - - - Main- - - - - _ - I W A - 05 05 D01 J 05 05 6'-6" 1'-b" T-61, --� 6'-b" 4'-0" r45 DREW& BONNIE MCSPIRITT 36'-0" G IATTI NO D E 51 G NJOHNNY CAKE ROAD 4'X b' GRANITE SLAB, 312GHcopeeGroton,MA 01450NTERVILLE, MA Resldentlal Design 5erdces 9'IBJi48-2548 OR DECK&STEP TO Maureen GlatinoDes n.com 8/24/1-7 11/13/11 12/21/1-1 PAGE NO. GRADE PER CODE ENTRY LEVEL PLAN q/5/11 12/13/11 12/21/11 B 1 A - 1/4"=1'-0" 10/11/11 12/15/11 2/2/18 8 1i I DO NOT SCALE DRAWING5. ALL WORK TO BE DONE IN B �`� CONFORMANCE WITH-180 GMR 51.00 MASSACHUSETTS 8 l STATE BLDG CODE 9TH EDITION. BUILDER TO VERIFY ALL DETAILS AND DIMENSIONS. TH15 PLAN 15 COPYRIGHTED BY GIATTINO DESIGN AND 15 PROVIDED FOR A ONE TIME BUILD. ALL BEARING POINT5TO HAVE CONTINUOUS BLOCKING 10'-b., — 12-4" 6'-b" DOWN TO FOUNDATION. 04 03 04 S SMOKE DETECTOR - PHOTOELECTRIC TYPE SMOKE DETECTORS LISTED n "12"VANITY IN ACCORDANCE WITH UL211 OR UL265 LOCATED I 1-4 1/2' `~ PER l80 GMR R314, OR PER LOCAL OFFICIAL " FALSE 12'-11 1/4" ��--8'-5 1/4" I = 12'-3" 10" FALSE -ALL UNITS HARD WIRED WITH BATTERY E m I cv RAKE STAND-BY POWER BATH v i I -ONE EACH IN EACH SLEEPING ROOM 0 8-pTILE '-1, I b - IN THE IMMEDIATE VICINITY OF BEDROOMS �� I - OR TO BATH CONTAINING A SHR OR TUB NEAR ALL STAIRS _ O\` / - N EACH ADDITIONAL 5TORY(B5MT, HABITABLE ATTICS) b o o co m 2_p _ Ln -FOR EACH 1000 5F OF AREA OR PART THEREOF 04 II ow 't' 5 5H i (CO) CARBON MONOXIDE DETECTOR N i - ONE ON EACH STORY INSTALLED& MAINTAINED = 2668= 1 04 BY OWNER PER l80 GMR R315, 521 GMR 31.00, a C,4 — i 24b GMR, & NFPA l20 OR PER LOCAL OFFICIAL o — ATTIC e� 5 I Q BEDROOM #2 ® co AGGE55 5 BEDROOM #3 PER CODE 12'-2" X 23'-2" HALL `- -' ' 11'-T' X 23'-2" WIDE PINE FLOORING cv l'-0" X 14'-3" WIDE PINE FLOORING WIDE PINE FLOORING - o o az N N 04 , DN I L m 3'-3" 1 q, 1,,C13 04 .1z 5TAI R R.O. o i m 36" HIGH HALF o i 1z WALL W/PINE CAP LINE OF 8' HIGH FLAT CLG — — — — — — — — — — — — — — — — — — — — — — — — — — — — — 5KYLT OVER 5KYLT OVER y r 1 SKYLT OVER 2-41/2" � d 4'-3"HOT @ Lk � o WALL b 30"X 45"AGGE55 DR(WEATHER KNEE 5PA(:,E m I STRIPPED) 35'-0"X 4'-1" INSULATED, UNHEATED, UNFINISHED — — — — — — — — — — — — — — — — — — — — — — RAFTERS TO 51T ON 2X6 BEARING PLATEWl3-1/2" RAFTER SEAT. �tTTINO DESIGN ANDREW& BONNIE MO5PIRITT 51MPSON H2.5 CLIPS INSTALLED +�I. 45 JOHNNY CAKE ROAD IN BOTH ORIENTATIONSi4so GENTERVILLE, MA sidential Design 5erdes 970�48-2548 36'-0" Maureen Gla¢inoDes n.com 8/24/1l 11/13111 PAGE NO. UPPER LEVEL PLAN 12/21/1l 9/5/1 l 12/13/1 l 12/2-1/11 2 1/4"=1'-0" 10/1 l/11 12/15/1 l 2/2/18 B A 8 l F