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HomeMy WebLinkAbout0009 JOHNSON LANE - Health 9 Johnson Lane Centerville A= 193 —076 N SMEAD No. H163OR UPC 10259 smead.com • Made in USA �cvct� AMMO 2J� c�2 a ti Commonwealth of Massachusetts . Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments M 9 Johnson Lane Property Address Cape Cod Homes, LLC Owner Owner's Name information is Centerville MA 02632 September 12, 2013 required for every p page. City/Town State Zip Code Date of Inspection Inspection results must be submitted on this form. Inspection forms may not be altered in any way. Please see completeness checklist at the end of the form. Important:When A. General Information filling out forms on the computer, use only the tab 1. Inspector: key to move your cursor-do not David D. Coughanowr, IRS use the return key. Name of Inspector Eco-Tech Environmental as Company Name 43 Triangle Circle Company Address Sandwich MA 02563 City/Town State Zip Code 508 364-0894 1328 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 rva 7 �r was performed based on my training and experience in the proper function and maintenance of on site ct:. .... sewage disposal systems. I am a DEP approved system inspector pursuant to Section 15.340 of Title 5 (310 CMR 15.000).The system: N Passes ❑ Conditionally Passes ❑ Fails - ,,� y .'.Needs Further Evaluation by the Local Approving Authority September 12,2013 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 17 154- ,Z/� 3 1 ' Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 9 Johnson Lane Property Address Cape Cod Homes, LLC Owner Owner's Name information is required for every Centerville MA 02632 September 12, 2013 page. City/Town State Zip Code Date of Inspection B. Certification (cont.) Inspection Summary: Check A,B,C,D or E/always complete all of Section D A) System Passes: ® 1 have not found any information which indicates that any of the failure criteria described in 310 CMR 15.303 or in 310 CMR 15.304 exist.Any failure criteria not evaluated are indicated below. Comments: Inspector's Note==> The septic system described herein is deemed to pass this Real Estate Transfer Inspection if it does not meet any of the failure criteria enumerated in Section D on pages 4-5. The scope of this inspection is limited to health and environmental compliance and 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. Property is also referred to as 19 Johnson Lane on documents in Health Dept files B) System Conditionally Passes: ❑ One or more system components as described in the"Conditional Pass"section need to be replaced or repaired. The system, upon completion of the replacement or repair, as approved by the Board of Health,will pass. Check the box for"yes", "no"or"not determined"(Y, N, ND)for the following statements. If"not determined," please explain. The septic tank is metal and over 20 years old*or the septic tank(whether metal or not) is structurally unsound, exhibits substantial infiltration or exfiltration or tank failure is imminent. System will pass inspection if the existing tank is replaced with a complying septic tank as approved by the Board of Health. *A metal septic tank will pass inspection if it is structurally sound, not leaking and if a Certificate of Compliance indicating that the tank is less than 20 years old is available. ❑ Y ❑ N ❑ ND (Explain below): t5ins•3/13 Title 5 Official Inspection Fonre Subsurface Sewage Disposal System•Page 2 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments ti 9 Johnson Lane Property Address Cape Cod Homes, LLC Owner Owner's Name information is Centerville MA 02632 September 12,2013 required for every p 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): ❑ 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): _ p ❑ 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 Forrn 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 w 9 Johnson Lane Property Address Cape e Cod Homes LLC Owner Owner's Name information is Centerville MA 02632 September 12,2013 required for every p page. CitylTown State Zip Code Date of Inspection B. Certification (cont.) 2. System will fail unless the Board of Health (and Public Water Supplier, if any) determines that the system is functioning in a manner that protects the public health, safety and environment: ❑ The system has a septic tank and soil absorption system (SAS)and the SAS is within 100 feet of a surface water supply or tributary to a surface water supply. ❑ The system has a septic tank and SAS and the SAS is within a Zone 1 of a public water supply. ❑ The system has a septic tank and SAS and the SAS is within 50 feet of a private water supply well. ❑ The system has a septic tank and SAS and the SAS is less than 100 feet but 50 feet or more from a private water supply well**. Method used to determine distance: **This system passes if the well water analysis, performed at a DEP certified laboratory, for fecal coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered.A copy of the analysis must be attached to this form. 3. Other: D) System Failure Criteria Applicable to All Systems: You must indicate"Yes"or"No"to each of the following for all inspections: Yes No ❑ ® Backup of sewage into facility or system component due to overloaded or clogged SAS or cesspool ❑ ® Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or clogged SAS or cesspool ❑ ® Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool ❑ ® Liquid depth in cesspool is less than 6°below invert or available volume is less than'/Z day flow t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 4 of 17 r Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments M 9 Johnson Lane Property Address Cape Cod Homes, LLC Owner Owner's Name information is Centerville MA 02632 September 12, 2013 required for every p page. CityTrown 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•3113 Title 5 Official Inspection For n Subsurface Sewage Disposal System•Page 5 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments M 9 Johnson Lane Property Address Cape Cod Homes, LLC Owner Owner's Name information is September 12,2013 Centerville MA 02632 Se required for every p page. City/Town State Zip Code Date of Inspection C. Checklist Check if the following have been done.You must indicate"yes"or"no"as to each of the following: Yes No ® ❑ Pumping information was provided by the owner, occupant, or Board of Health ❑ ® Were any of the system components pumped out in the previous two weeks? ❑ ® Has the system received normal flows in the previous two week period? ❑ ® Have large volumes of water been introduced to the system recently or as part of this inspection? ® Were as built plans of the system obtained and examined?(If they were not available note as N/A) ® ❑ Was the facility or dwelling inspected for signs of sewage back up? ® ❑ Was the site inspected for signs of break out? ® ❑ Were all system components, excluding the SAS, located on site? ® ❑ Were the septic tank manholes uncovered, opened, and the interior of the tank inspected for the condition of the baffles or tees, material of construction, dimensions, depth of liquid, depth of sludge and depth of scum? ® ❑ Was the facility owner(and occupants if different from owner) provided with information on the proper maintenance of subsurface sewage disposal systems? The size and location of the Soil Absorption System (SAS) on the site has been determined based on: ® ❑ Existing information. For example, a plan at the Board of Health. ® ❑ Determined in the field (if any of the failure criteria related to Part C is at issue approximation of distance is unacceptable) [310 CM 15.302(5)] D. System Information Residential Flow Conditions: Number of bedrooms(design): 2 Number of bedrooms(actual): 2 DESIGN flow based on 310 CMR 15.203(for example: 110 gpd x#of bedrooms): 220 gpd t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 6 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 9 Johnson Lane Property Address Cape Cod Homes, LLC Owner Owner's Name information is Centerville MA 02632 September 12, 2013 required for every P page. CityrFown 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 Seasonaluse? ❑ Yes ® No Water meter readings, if available(last 2 years usage(gpd)): 12 gpd Detail: Sump pump? ❑ Yes ® No Last date of occupancy: never 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-3/13 Title 5 Official Inspection Form Subsurface Sewage Disposal System-Page 7 of 17 t Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments M 9 Johnson Lane Property Address Cape Cod Homes, LLC Owner Owner's Name information is September 12, 2013 Centerville MA 02632 Se required for every p 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: owner Was system pumped as part of the inspection? ❑ Yes ® No If yes,volume pumped: gallons How was quantity pumped determined? Reason for pumping: Type of System: ® Septic tank, distribution box, soil absorption system ❑ Single cesspool ❑ Overflow cesspool ❑ Privy ❑ Shared system (yes or no) (if yes, attach previous inspection records, if any) ❑ Innovative/Alternative technology.Attach a copy of the current operation and maintenance contract(to be obtained from system owner)and a copy of latest inspection of the I/A system by system operator under contract ❑ Tight tank.Attach a copy of the DEP approval. ® Other(describe): pump chamber t5ins•all 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 M 9 Johnson Lane Property Address Cape Cod Homes, LLC Owner Owner's Name information is Centerville MA 02632 September 12,2013 required for every p page. City/Town State Zip Code Date of Inspection D. System Information cont. Y (cont.) Approximate age of all components, date installed (if known)and source of information: 6+years. Certificate of Compliance for new system dated 4/16/2007(Permit#2006-230) Were sewage odors detected when arriving at the site? ❑ Yes ® No Building Sewer(locate on site plan): Depth below grade: 2 feet Material of construction: ❑cast iron ®40 PVC ❑other(explain): Distance from private water supply well or suction line: feet Comments(on condition of joints, venting, evidence of leakage, etc.): Sewer line appears structurally sound with no evidence of leakage or backup into dwelling. Septic Tank(locate on site plan): Depth below grade: less than 1feet 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: 10.5 x 5 x 6-1500 gallon Sludge depth: none t5ins-W 3 Title 5 Official Inspection Form Subsurface Sewage Disposal System•Page 9 of 17 Commonwealth of Massachusetts . Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 9 Johnson Lane Property Address Cape Cod Homes, LLC Owner Owner's Name information is September 12, 2013 Centerville MA 02632 Se 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 34 in Scum thickness 0 in Distance from top of scum to top of outlet tee or baffle 10 in Distance from bottom of scum to bottom of outlet tee or baffle 14 in How were dimensions determined? Design plan 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. Maintenance pumping is recommended every 2-4 years.Tank is H-20 load rated and appears to be structurally sound and functioning as intended. Tees in sound condition. 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 I Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments M 9 Johnson Lane Property Address Cape Cod Homes, LLC Owner Owner's Name information is Centerville MA 02632 September 12,2013 required for every p page. City/Town 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 Subsurface Sewage Disposal System Form -Not for Voluntary Assessments M 9 Johnson Lane Property Address Cape Cod Homes, LLC Owner Owner's Name information is Centerville MA 02632 September 12,2013 required for every p page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) Distribution Box(if present must be opened) (locate on site plan): Depth of liquid level above outlet invert at outlet inverts 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 appears structurally sound and functioning as intended. No evidence of leakage in or out was observed. Few solids in sump.Water was observed flowing out of the distribution box in a rapid and unobstructed manner. Pump Chamber(locate on site plan): Pumps in working order: ® Yes ❑ No* Alarms in working order: ® Yes ❑ No* Comments(note condition of pump chamber, condition of pumps and appurtenances, etc.): Pump activation float switch was actuated and pump was obseved to operate normally.Alarm switch was actuated and confirmed operational. Pump chamber is H-220, load rated and appears to be structurally sound and functioning as intended. * 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 W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments M 9 Johnson Lane Property Address Cape Cod Homes, LLC Owner Owner's Name information is September 12, 2013 Centerville MA 02632 Se required for every p page. Cityfrown State Zip Code Date of Inspection D. System Information (cont.) Type: ❑ leaching pits number: ❑ leaching chambers number: ❑ leaching galleries number: ❑ leaching trenches number, length: ® leaching fields number, dimensions: 1, varies ❑ 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.): Soils above leaching field appear unsaturated. No evidence of surface ponding, breakout, lush vegetation, or other evidence of hydraulic failure was observed. Water was observed flowing out of the distribution box and into the leaching field in a rapid and unobstructed manner. 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 Forat 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 9 Johnson Lane Property Address Cape Cod Homes, LLC Owner Owner's Name information is p required for every Centerville MA 02632 September 12,2013 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Comments(note condition of soil, signs of hydraulic failure, level of ponding,condition of vegetation, etc.): Privy(locate on site plan): Materials of construction: Dimensions Depth of solids Comments(note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): t5ins•3/13 Title 5 Official Inspection Form Subsurface Sewage Disposal System•Page 14 of 17 I Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 9 Johnson Lane Property Address Cape Cod Homes, LLC Owner Owner's Name information is Centerville MA 02632 September 12, 2013 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 R C 2 CIVK 17 c 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 M 9 Johnson Lane Property Address Cape Cod Homes LLC Owner Owner's Name information is Centerville MA 02632 September 12,2013 required for every p page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) Site Exam: ❑ Check Slope ❑ Surface water ❑ Check cellar ❑ Shallow wells Estimated depth to high ground water: 7 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: 5/17/2006 Date ❑ Observed site(abutting property/observation hole within 150 feet of SAS) ❑ Checked with local Board of Health-explain: ❑ Checked with local excavators, installers-(attach documentation) ❑ Accessed USGS database-explain: You must describe how you established the high ground water elevation: Approved design plan on file with the Board of Health shows bottom of system to be 5 feet above the adjusted high groundwater table. Before filing this Inspection Report, please see Report Completeness Checklist on next page. t5ins•3113 Tide 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 M 9 Johnson Lane Property Address Cape Cod Homes, LLC Owner Owner's Name information is required for every Centerville MA 02632 September 12,2013 page. Cityrrown State Zip Code Date of Inspection E. Report Completeness Checklist ® Inspection Summary:A, B;C, D, or E checked ® Inspection Summary D (System Failure Criteria Applicable to All Systems)completed ® System Information—Estimated depth to high groundwater ® Sketch of Sewage Disposal System either drawn on page 15 or attached in separate file t5ins-3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 17 of 17 i NOTE: 1,)the Rrcperty line in!ormalra-..shown.os eamp8ed!rem aro;fobllt.reCorJ in!crmolfon: ;^ l2.)The lopog opM1¢Fn!crmat on was oblo'ned +om on.o the graved sunny petkvierd / Sepftmbe+26 2004. 1!I Iry L1-111 ow 6ey,t \ u -0 Me datum used is NOD 79,a rixed mien seo-lever ZONE s r ' RD-I r xraan -r 7°netk, rtRIf A—( )47;560 St' \ ! "aa/]50.'Vf'Wi5 L(iryYrtf5:t4dS) [ Vt dlh� i J 125' ' it�!. seYonlsJO' LOCATION MAP: '^ \ f Side 10' a 2000s Rear.10' ASSESSORS REF.: '.7 FLOOD ZONE: Mop 19J.Panel on t 20 o D dr c(see prop) C^^ma^Ry Pa^e,^Q OVERLAY DISTRICT: 125e001 0015 C 1 0 Aagtisl,a,.1565 AP—Agir a Proloclian District \ , 1 Ste\ As Shown ot,,Non Enlil!d Rt ised Ca dwoler P,feclron 0 doy Disl is-Ap:J t991 It 1 , t t l t , ; , 1 �?`4• , \ l I t�I t 1 I •,� I �' , i6s�1 \\ \\ t 1 1 l I � '., `fit , II l w`\\•\, 0, "- , vA ell 46 crol- `VAV A\11\VA V ( r nap;-d ., o_Y GrSn 75.7oW o `\ `\\v\\\ \ ` l i1A Av v ,tvtv vA v v lvv s� pmvn PREPARED BY, .. Existing Conditions Sullivan Engineering;Inc. CapeSUCV !'� ? Plan of Land at Sheldon F. Stewart Po eo 65Q. PO Ba 218 PO Box 2170 0 1 'ae.MA 0 655 MA 0260-0718 (^o 19-Johnson Lane lei Centerville, Ado. 02632 (.ca)7e v..(w n.ns m. (sos7>raasor(s)'W-:vs ta. Bamstable,r,enie,,.i,1cI Mass . 7° o o >a .° s� comp/p,a/tr I field: PIIR/RRL September 7.8.2004 1^=20� Co p;JDrarl:vnxp7kt C489_261 D p I I' bat i i e SECTION-t :a°'�v+kio•:°oroc"-..:o°N6 SCzIE:I e20 wa,wonox y rl t i I l�lo rNA ZMt.. ft am 00- m NU °uaoaR �. 1"'rnovtr.ae sara.,< i � I ' 1111 Dorn f 2sc t oojs,c{Ad;.f 19.IEes) r I I o 1 ! d SECTION > 1 \ } \ 0 ,.00 - VbriincetoRisideatiiitDbirictRD-1.Bulk Rtphdous,' 1 •o� .Iv / iltioimnm Setbsck Front Yard - .. Rtquind:30'fcq Proposed:11S.fett at the atosdt point VJ 1 doe \ ' <0h•Pi . , f \ LJ it�o°� Nw \ , � -h. �` \� // � sea. \ � •. \ \� t• 3t -', � I III�III\ \��\\ \ � t� 1166 o. 1"41 \ 1\t \ , Duc zR i ' \ ' '1'�Itl 9•fl A \.\ 1\i\ . 1\ t� 1't, \,\\\ 11 \\\\ \\\\ \ \ \ �\\II `-- rk\\ 146.44 ,\ \1 IN \ \ \ \ \\y'� by DISK Av➢76:24W y � v,, �'�' \ v;v;Nw, ntte:" PREPARED FOR: PREPARED 9Y.• Sullivan Engineering,Inc. CapeSury N 2A— SITE PLAN Sheldon F. Stewart Ro eox 659. e1- ne pPROPOSED IMPROVEMENTS PO Box 2110 ostmxne,AIA D2655 N}enn)s MA 06 O7I8 jV U l9 JONNSON LAME Cenferville; Mo. 02632 tsd9N:a-xu+(W)423-irrs.r. rsaer2Eo-7s z2 p s)rxi-2:os r�. 61 PSArramto tv.+'.may.�eel D CENTERVILLE,MASS. (c0 to o `+o 20 lo rat: ID IAJD Pieta: WK/RRL Date: Safe: _ Rereaw: PS' - ComP./Droft:VMK/RRL September28,2004 As shown — Pro 122026 Orcbinp I C489—M ',Vote,$udolY o This Lo Mu ,00ci ware,, EG.42:0 � F.G.43.3. �`venr 2.L e a_.'f.0 es Shewn h s n+On A e Aodroer, rl \.• ``� 1 Leas!7 2 ors Prior0 Any mar an r Allis r l'-.'� . + at 141 5 r/ et cr a' Project The CO t ae Shall moo e.The Rea ed a0,00'�Sl. f til Project to DIG SAFE I Bea 44 723a � 'CCO Got 139 7 r 1SCO Gcl umo �— �� 3.The-entrecta sRequired to Secure Apo condle $zpric ensi ICncmber f 42;0 5; =••- A .,� t� Pe m. From Town_Agencies For,.ars cn` - 5 f• �,/" 4.ns c Ins ; cysers as c fired cNl r p.2 f msi'•.zd ,-, ..~ ..-.,.. . dd�rtg�5 _... ,.> � 1 oae /l a.. 5.1 i S trucrures Buried Four Feet i4.),ir Mo a ar DEVELOPED PROFILE OF PROPOSED SEPTIC SYSTEM, 1 c!r_.o newer+oae t' 2D.a d g y/ s uc+:o Scale o,$eore S+stem to b. ins:ailed -ccoroanceWiFn 'Y 3t4 uR t5n0 Latest•Rr scn:ra The To—of Ba s Ctile 50a a of -deal r Regula:w s. 2= c 4'—=a.ss DESIGN DATA 12D a 41 eFp v,am 7 1'1?lomg-roCe bell:SO PV,r _, mil Single Fay-2 Bzdrocros �� j i 3,Death of inlet Tee Below FBw Line!10'Min. No Garbage Grinder .__ _ ..�._ I r-->—.,T `--•-r.��_ - neotn of Outlet Tee Below:rlow LEne�14'Min. Daily Flow t 2 At Ilogo]._=220 god L. ant ...¢6 cc dmr-t • , ��1c Ges Baffle. $eotre 7onkt2209Dd:200%-140god ilex lrsfciea Use a 1500 Gallon Septic Tank I N .Lcial 61dg,3_,es Codes ) LEACHING.AREA 'tom./r, ' UseoBottom Areo On58 s.Required FOm i An S<n 4c 0 )C ( f„ Sea - E 303 s fProvided. LEACHING BED DESIGN a� t. All Pipes to be Schedule 40 PVC Pertorcled with Ends lobe Vented'.Use PLAN m.e&.X PARTIAL.PLAN j 1 ub s t Ft S»ate Leo ping Distribution ed ,Snown�es}nn .Not to Scale - . PIJC Fir.. S¢a:ic,40•ani G.'Ce n - IO tit n} TOW 4G 0' 2 f! S S < =C :� ..-_-1 ..� _. r¢ r... < t 220b uc _ 3 aiorm 8 5 . ., varies vr .3z TOW n3.5 r m e' vm - .+, OF r I ' Frs1,Grad 43.3 I - 5 te, sui4_ _ 000tf 367 Fi s•'+ ( I SecJrc e o I`�", I I •'¢•. I—,4z-.0 -P1• 0., SULL[Wel -Sarrem EI.35.3. _ Leo<++i 9 .2r3T39. --in,l,huble Cnamber A b�IVIL 6or fie. _ ti V SECTIONS A r- (IOCO.--ALIN SE;T IC'TA,NK) Nmib Scale' - __. PUMP CHAMaER DETAIL TL ComOac:d FilI ter i sor¢.f 4"eNO—led, PVC P _ No State Title V Variances Required eJ S .Ya. a v Sccrs of Health Variances Required �- Pea S+eite -'-rt'•^ - - _.,:._. »-.u, ) �l � Cnry v ToNn of Bamsta6le Chapter360 } r C 7 -374-Ifr2, _-- On-Site Sewage Disposal Systems t ; L able i4Fsned. ! s,4M. A Article 1:Location of Components '— 100 foot separation required for all L o s=o" I ! - components from wetlands lro r.?l`` Var;¢s 4. , _r3 SEPTIC SYSTEM DETAILS Septic Tank:.56.feet provided from BVW 19 JOHNSON LANE Pump Chamber:70 feet provided.from Swi GENTERVfLLE MASS. CROSS SECTION OF LEACHING BED ° y Leach Field:82'feet provided from BVW ' n �; rmuo Scale E .>ni' z.5`r - -iJ.. -- SULLIVAN ENGINEERING INC. R serve Area:80 feet?rGvidad from BV N v :eed restrcticn required for 2 bedroom design OSTERVI LLE,MASS. SHEET 3of3 l 3 AsBuilt Page 1 of 1 TOWN OF BARNSTABLE I LOCATION �T SEWAGE## J � ��Y.P y VILLAGE /! ASSESSOR'S MAP&PARCEL INSTALLERS NAME.&PHONE NO; �-� � 413l OJ-'3 0 SEPTIC TANK CAPACITY / SSOO LEACHING FACILITY:(type) (size) 3 03 Y J NO.OF BEDROOMS _ OWNER I PERMIT DATE: <Z17 Zd G COMPLIANCE DATE: I Separafion 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 Edgy of Wetland and Leaching Facility(If any wetlands exist / ! within 300 feet of leachin facility) z�' Feet r FURNISHED BY —A /-a i6. 9 ' � �cd,.o a� � /7 , 4 ( .3-D2�, p . http://issgl2/intranet/propdata/prebuilt.aspx?mappar=193076&seq=1 9/11/2013 t Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 9 Johnson Lane Property Address Joseph Palino and Donna Packer Owner Owner's Name information is required for every Centerville MA 02632 December 20, 2012 page. City/Town State Zip Code Date of Inspection Inspection results must be submitted on this form. Inspection forms may not be altered in any way. Please see completeness checklist at the end of the form. Important:When filling out forms A. General Information on the computer, use only the tab 1. Inspector: key to move your cursor-do not David D. Coughanowr, R.S. use the return Name of Inspector key. Eco-Tech Environmental r� Company Name 43 Triangle Circle Company Address Sandwich MA 02563 City/Town State s-7Zip Code h - , 508 364-0894 1328 <; 1 Telephone Number License Number B. Certification ' I certify that I have personally inspected the sewage disposal system at this address and that#'he information reported below is true, accurate and complete as of the time of the inspection. Th@ insp-otion 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 December 20, 2012 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. l5ins-11/10 Title 5 Official Inspeclio or Subsurface Sewage Disposal System-Page 1 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments �^M 9 Johnson Lane Property Address Joseph Palino and Donna Packer Owner Owner's Name information is required for every Centerville MA 02632 December 20 2012 page. Cityrrown State Zip Code Date of Inspection B. Certification (cont.) Inspection Summary: Check A,B,C,D or E/always complete all of Section D A) System Passes: ® I have not found any information which indicates that any of the failure criteria described in 310 CMR 15.303 or in 310 CMR 15.304 exist. Any failure criteria not evaluated are indicated below. Comments: Inspector's Note==> The Pump Chamber is in place and system has been inspected by the Barnstable Health Department, as attested by issuance of the Certificate of Compliance and Engineers Letter of Certification. However, the pump, float switches and control panel are not completely installed. Buyer is aware of situa Ion and will has agreed to complete the installs ion of the pump chamber appurtenances before placing system into service. B) System Conditionally Passes: ❑ One or more system components as described in the"Conditional Pass" section need to be replaced or repaired. The system, upon completion of the replacement or repair, as approved by the Board of Health, will pass. Check the box for"yes", "no"or"not determined" (Y, N, ND) for the following statements. If"not determined," please explain. The septic tank is metal and over 20 years old* or the septic tank(whether metal or not) is structurally unsound, exhibits substantial infiltration or exfiltration or tank failure is imminent. System will pass inspection if the existing tank is replaced with a complying septic tank as approved by the Board of Health. *A metal septic tank will pass inspection if it is structurally sound, not leaking and if a Certificate of Compliance indicating that the tank is less than 20 years old is available. ❑ Y ❑ N ❑ ND (Explain below): t5ins•11110 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 2 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 9 Johnson Lane M Property Address Joseph Palino and Donna Packer Owner Owner's Name information is required for every Centerville MA 02632 December 20, 2012 page. Cityrrown 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•11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 3 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments M 9 Johnson Lane Property Address Joseph Palino and Donna Packer Owner Owner's Name information is required for every Centerville MA 02632 December 20 2012 page. City/Town State Zip Code Date of Inspection B. Certification (cont.) 2. System will fail unless the Board of Health (and Public Water Supplier, if any) determines that the system is functioning in a manner that protects the public health, safety and environment: ❑ The system has a septic tank and soil absorption system (SAS) and the SAS is within 100 feet of a surface water supply or tributary to a surface water supply. ❑ The system has a septic tank and SAS and the SAS is within a Zone 1 of a public water supply. ❑ The system has a septic tank and SAS and the SAS is within 50 feet of a private water supply well. ❑ The system has a septic tank and SAS and the SAS is less than 100 feet but 50 feet or more from a private water supply well**. Method used to determine distance: **This system passes if the well water analysis, performed at a DEP certified laboratory, for fecal coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered. A copy of the analysis must be attached to this form. 3. Other: D) System Failure Criteria Applicable to All Systems: You must indicate "Yes" or"No"to each of the following for all inspections: Yes No ❑ ® Backup of sewage into facility or system component due to overloaded or clogged SAS or cesspool ❑ ® Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or clogged SAS or cesspool ❑ ® Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool ❑ ® Liquid depth in cesspool is less than 6" below invert or available volume is less than Y2 day flow t5ins•11/10 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 ;M 9 Johnson Lane Property Address Joseph Palino and Donna Packer Owner Owner's Name information is required for every Centerville MA 02632 December 20 2012 page. Cityrrown State Zip Code Date of Inspection B. Certification (cont.) Yes No ❑ ® Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s). Number of times pumped: ❑ ® Any portion of the SAS, cesspool or privy is below high ground water elevation. ❑ ® Any portion of cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply. ❑ ® Any portion of a cesspool or privy is within a Zone 1 of a public well. ❑ ® Any portion of a cesspool or privy is within 50 feet of a private water supply well. ❑ ® Any portion of a cesspool or privy is less than 100 feet but greater than 50 feet from a private water supply well with no acceptable water quality analysis. [This system passes if the well water analysis, performed at a DEP certified laboratory,for fecal coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered.A copy of the analysis and chain of custody must be attached to this form.] ❑ ® The system is a cesspool serving a facility with a design flow of 2000gpd- 10,000gpd. ❑ ® The system fails. I have determined that one or more of the above failure criteria exist as described in 310 CMR 15.303, therefore the system fails. The system owner should contact the Board of Health to determine what will be necessary to correct the failure. E) Large Systems: To be considered a large system the system must serve a facility with a design flow of 10,000 gpd to 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. l5ins•11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 5 of 17 r Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 9 Johnson Lane 'M Property Address Joseph Palino and Donna Packer Owner Owner's Name information is required for every Centerville MA 02632 December 20, 2012 page. CitylTown 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): 2 Number of bedrooms (actual): 2 DESIGN flow based on 310 CMR 15.203 (for example: 110 gpd x#of bedrooms): 220 gpd l5ins•11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 6 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments wM 9 Johnson Lane Property Address Joseph Palino and Donna Packer Owner Owner's Name information is required for every Centerville MA 02632 December 20 2012 page. City/Town 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? [if yes separate inspection required] ❑ Yes ® No Laundry system inspected? ❑ Yes ❑ No Seasonaluse? ❑ Yes ® No Water meter readings, if available (last 2 years usage (gpd)): 0 gpd Detail: 2011, 2012 Sump pump? ❑ Yes ® No Last date of occupancy: never 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-11110 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 7 of 17 1 I Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 9 Johnson Lane Property Address Joseph Palino and Donna Packer Owner Owner's Name information is required for every Centerville MA 02632 December 20 2012 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: buyer 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: p Y ® Septic tank, distribution box, soil absorption system ❑ Single cesspool ❑ Overflow cesspool ❑ Privy ❑ Shared system (yes or no) (if yes, attach previous inspection records, if any) ❑ Innovative/Alternative technology. Attach a copy of the current operation and maintenance contract(to be obtained from system owner) and a copy of latest inspection of the I/A system by system operator under contract ❑ Tight tank. Attach a copy of the DEP approval. ® Other(describe): Pump Chamber l5ins•11110 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 8 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 9 Johnson Lane M Property Address Joseph Palino and Donna Packer Owner Owner's Name information is required for every Centerville MA 02632 December 20 2012 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Approximate age of all components, date installed (if known) and source of information: Age: 5+years. Certificate of compliance for new septic system was issued 4/16/2007 (Permit#2006- 230 at Health Dept). Were sewage odors detected when arriving at the site? ❑ Yes ® No Building Sewer(locate on site plan): Depth below grade: 2 feet Material of construction: ❑ cast iron ® 40 PVC ❑ other(explain): Distance from private water supply well or suction line: feet Comments (on condition of joints, venting, evidence of leakage, etc.): Sewer line appears structurally sound with no evidence of leakage or backup into dwelling. Plumbing into sewer line appears unfinished. Recommend completion of all indoor wastewater plumbing before placing water using fixtures into service. Septic Tank(locate on site plan): Depth below grade: 1 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: 11x 6 x 6- 1500 gallon tank Sludge depth: 0 in t5ins•11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 9 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments �M10 9 Johnson Lane Property Address Joseph Palino and Donna Packer Owner Owner's Name information is required for every Centerville MA 02632 December 20 2012 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 34 in Scum thickness 0 in Distance from top of scum to top of outlet tee or baffle 10 in Distance from bottom of scum to bottom of outlet tee or baffle 14 in How were dimensions determined? Design plan 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. Maintenance pumping is recommended every 2-4 years. Tank and tees appear structurally sound and functioning as intended. 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-11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 10 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments wM 9 Johnson Lane Property Address Joseph Palino and Donna Packer Owner Owner's Name information is required for every Centerville MA 02632 December 20, 2012 page. City/Town 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-11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 11 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments °M 9 Johnson Lane Property Address Joseph Palino and Donna Packer Owner Owner's Name information is required for every Centerville MA 02632 December 20, 2012 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Distribution Box(if present must be opened) (locate on site plan): Depth of liquid level above outlet invert below 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.): Distribution box appears structurally sound with no evidence of leakage in or out. Less than 1 inch of water in sump. Distribution box appears to have never seen any flow. 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.): Installation of pump, float switches and alarm panel appear incomplete. Buyer is aware of situation and has agreed to complete installation of pump chamber appurtenances before placing system into service. Soil Absorption System (SAS) (locate on site plan, excavation not required): If SAS not located, explain why: t5ins•11/10 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 ;M 9 Johnson Lane Property Address Joseph Palino and Donna Packer Owner Owner's Name information is required for every Centerville MA 02632 December 20 2012 page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) Type: ❑ leaching pits number: ❑ leaching chambers number: ❑ leaching galleries number: ❑ leaching trenches number, length: ® leaching fields number, dimensions: 1, variable ❑ 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.): Soils above leaching field appear unsaturated. No evidence of surface ponding, breakout, lush vegetation, or other evidence of hydraulic failure was observed. Distribution box appears to have never seen any flow. 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-11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 13 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments �M 9 Johnson Lane Property Address Joseph Palino and Donna Packer Owner Owner's Name information is required for every Centerville MA 02632 December 20 2012 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Comments (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): Privy (locate on site plan): Materials of construction: Dimensions Depth of solids Comments (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): t5ins-11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 14 of 17 P Commonw6adthl Massachusetts Title S Officia.l Inspection Form Subsurface-Sewage Disposal System Form N6t, r Vdl ntary Assessments' 9:Johnsowlane Property Address Joseph Paling and:Donna Packer Owner Owner's Narlie information is reGuired;'for every Centerville. MA 02632' December 20;2012 page. Ctty/Town, State Ztp Code+ Date•oflhspect on D. S ,Stern Informeltr'on (coat) Sketch;Of Sewage Disposal SysferS ProJ:de a uiew ofth-e sewage disposal, ,ystem„ihcluding ties.to at least two peimarient reference landmarks or Benchmarks;Locate all wells wi#hin 1:001eet locate where public:watersupply enters the`buildirig. Check one,•ofth boxes below; �. hand sketch ih,the;area below: 0. drawing aftached:?separately c - _ g �� o0 ti pvp cc�67 O �- r ,vx i5ins titHo; Title 5;Olricial Irispeciion Porm:'Siitisudace Sewage Disposal Syslom',P.age',15:ok17 Commonwealth of Massachusetts r Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 9 Johnson Lane Property Address Joseph Palino and Donna Packer Owner Owner's Name information is required for every Centerville MA 02632 December 20, 2012 page. City/Town 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: 7 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: 5/17/2006 Date ❑ Observed site (abutting property/observation hole within 150 feet of SAS) ❑ Checked with local Board of Health -explain: ❑ Checked with local excavators, installers- (attach documentation) ❑ Accessed USGS database -explain: You must describe how you established the high ground water elevation: Approved design plan on file with the Board of Health shows bottom of system to be 5 feet above the high groundwater table. Before filing this Inspection Report, please see Report Completeness Checklist on next page. t5ins-11/10 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 9 Johnson Lane Property Address Joseph Palino and Donna Packer Owner Owner's Name information is required for every Centerville MA 02632 December 20 2012 page. Cityrrown State Zip Code Date of Inspection E. Report Completeness Checklist ® Inspection Summary: A, B, C, D, or E checked ® Inspection Summary D (System Failure Criteria Applicable to All Systems)completed ® System Information— Estimated depth to high groundwater ® Sketch of Sewage Disposal System either drawn on page 15 or attached in separate file t5ins•11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 17 of 17 No. .��.�1�C'r r 1 Fee IY•' THE COMMONWEALTH OF MASStXCHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION - TOWN OF BARNST-ABLE, MASSACHUSETTS Application for Th6ponl 6p5tem con5tructiou permit Application for a Permit to Construct(V/ Repair( ) Upgrade( ) Abandon( ) ❑ Complete System ❑Individual Components Location Address or Lot NO.? J'Oh/7 SarL Owner's Name,Address,and Tel.No.5he1cL17-,L 51 ` Assessor'sMap/parcel © (o j�y•—ceaa3 Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No.S o J 1 rq/f i Type of Building: Dwelling No.of Bedrooms Lot Size 5/ aZ�L(_sq-4f. Garbage Grinder (40 Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) ��t? gpd Design flow provided gpd Plan Date t; t q e , ,2176 Number of sheets cK_ Revision Date /� 1 Title /'/ /°1iLrr Prey4s-oe, aAx,1-a/„t _5� 1e_�S }gym �°/4 �i_3 Size of Septic Tank /�Q+t CL•/�Ot Type of S.A.S. Gh/"/K hel— d"n Description of Soil 3"®o� )"CS _ •,-X 6Y �� 7 ` �� lk a.a p � � � ��,5� d�r,� �.rc�9.� 6r�n�i�'i o /D yr .3/z _ "— 9'" �- ro+v M' , �v S /D �/ `� `o?�'• F7" C � t,�vP/Inui.,� 61-7 s'gk-z t: �e1 Nature of Repairs or Alterations(Answer when applicable) S ff r Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Envi tal Code an of to place the yste in operation until a Certificate of Compliance has been issued by this Board He t . C6 �/J�% 3_ Signed Date Application Approved by 4 r• i— acc S Date Application Disapproved by: Date for the following reasons Permit No. Date Issued a 3 Fee `r�!l6 C) '00 s r. THE COMMONWEALTH OFUSE,T .y Entered in computer: •` + r Yes PUBLIC HEALTH DI VISI `OWN OF BARNSTiABLE; MASSACHUSETTS Rppr cation for MigogaY gppztent Cou.5truction Permit ^fi4J j Application for a Permit to Construct( Repair( 'Upgrade O Abandon O ❑ Complete System ❑Individual Components Location Address or Lot N : 9 jbh n S o& kc `� Owner's Name,Address,and Tel No. ��f'dart t Assessor's Map/Parcel Q 17(p /!� a P/`' Installer's ame,Address,,and Tel.No. Designer's Name,Address and Tel.No. Ul J i Ya n 'Lt �h �� Parlte r !Zd- )01' 5U loScl S0a`-c/a f --3 3 94LI Cj s,Ler v�'1 P, rn q Od 045Y Type of Buil ng: 1 Dwelling No:of/Bedrooms ;�. 1 Lot Size . 57 �Gt-Csd"' Garbage Grinder ( d Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required). a� gpd Design flow provided 4Q T gpd Plan Date f />(j Number of sheets Revision Date N� Title /!e /�/441 �°ry�p4s 27, ?- ,,alWeM-e 15w1YG s GIs ie, JS *31 Size of Septic Tank �. 1 aL//dytl Type of S.A.S. 1e Gf7 O Description of Soil O_3 p 00!�j 6, r4 6r>7 /D Ljj 1- '313 4 3-S l derC �jt rCn 6ri�,SQh'� arch, /0 r 312- 9;0 1 r ll n t -XI n. lot vrt ,?,e:f ' k 7 a s ,.�Q,P' Nature of Repairs or Alterations(Answer when applicable) �„sj',�.�''. •„ ,r- �?� 3 V Date last inspected: C1✓ JV" Agreement 4 i The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Enviro ental Code and notttoopplace the ystem in operation until a Ce�ttificate of ; r Compliance has been issued by this Board Heal th . ��' 3� r Signed Date Application Approved by r" Date Application Disapproved by. Date r _ for the following reasons " Permit No. Date Issued THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS (Certificate of Compliance € THIS IS TO CERTIFY,that the On-site Sewage Disposal System Constructed (1) Repaired ( ) Upgraded ( ) Abandoned( )by Cj ( 96VY/'T" g- Ot//`11, at 9 �Uh/7 C[l7L Ct 17 , etjkrYl'l has beenzconstructed in accordance 1// with the provisions of Title 5 and the,for Disposal System Construction Permit No. dated Installer 1v8lii r� Designer #bedrooms '1 Approved design flow. The issuance of this permit shall not)be cnstrued as a guarantee that the system will fu ►l� ned. Date / Inspector —————— ——————————; ——=——————————————————— No. f Fee L 5 0 THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION —BARNSTABLE, MASSACHUSETTS Migpogal *p�tem �tCongtruction Permit Permission is hereby granted to Construct .*- Repair ) Upgrade ( ) Abandon ( ) System located at /9 7d hnse>L 1-Cc 1L L and as described in the above Application for Disposal System Construction Permit.The applicant recognizes his/her duty to comply with Title 5 and the following local provisions or special conditions. Provided: Construction m/ust b/completed within three years of the date of this permit. Date 5 h ? Approved by V I.JC'� l�, > l fH E Town of Barnstable ��� Regulatory Services sn�ivsr;�st , ; Thomas F. Geiler,Director 'Q Public Health Division Thomas McKean,Director 200 Main Street,Hyannis,MA 02601 Office: 508-8624644 , Fax:.508-790-6304 Installer& Desi ner Certification Form Date: o Designer: i —, S u L-LI v ice,.t Installer: e� /P 457�/1t ���-�/�: Address: S u�� �,�,K, �► ,n� �cit a�6��c Address: T7 On f7 �& O/ (date) was issued a permit to install a (installer) septic system at /1 13'0 h.ISeW v based on a designdrawn b y . GUL.t„\0a.tu 'EK)Gkvu��r2.f�ICQcdated SiET' 2�3, (designer) I certify that the septic system referenced above was in ' include minor a stalled substantially according to the design, which may distribution box and/or septic tank. --.._ _ e on of the i c� G' ze;,� ' _- IPS 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 •ep system)but in accordance with State & Local Regulations. Plan revision or certified as-built by designer to follow. OF (Installers Signature) 111IL-MAN �. NO.297 UAL O �SA� (Designer's Signature) (Affix Designer's Stamp Here) PLEASE RETURN TO BARNS TABLE PUBLIC HEALTH DDISION. .CERTIFICATE QF COMPLIANCE WILL NOT BE ISSUED UNTIL BON THIS FORM AND AS- BUILT CARD ARE RECEDED BY THE BARNS TABLE P LIC HEALTH DMSIQN. T ypU_ Q:Health/Septic/Designer Certification Form I TOWN OF BARNSTABLE LOCATION Ta 2�41S&,,tl /,N. SEWAGE# VILLAGE ,44-:' ASSESSOR'S MAP&PARCEL INSTALLERS NAME&PHONE NO. �j , � � Cam. V3-X-®,5'3 SEPTIC TANK CAPACITY / 5-4OO LEACHING FACILITY:(type) 4,e 4c- (size) 3 03 Y F NO.OF BEDROOMS OWNER' PERMIT DATE: /7 lee COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility(If any wells exist on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist / within 300 feet of 1eachin facility)) Feet FURNISHED BY r-� r s � O-4 s r a - Town of Barnstable Board of Health 200 Main Street, Hyannis MA 02601 Office: 508-862-4644 FAX: 508-790-6304 Susan G.Rask,R.S. Sumner Kaufman,MSPH Wayne Miller,M.D. Mr. Peter Sullivan, P.E. October 17, 2005 (:::Sullivan Engineering, Inc. P.O. Box 659 O Osterville, MA 02655 Ll x Dear Mr. Sullivan, You are granted conditional variances on behalf of your client, Sheldon Stewart to construct a replacement onsite sewage disposal system at 19 Johnson Lane, Centerville. The variances granted are as follows: Section 360-1 Town of Barnstable Code: To install a septic tank 56 feet away from a bordering vegetated wetland, in lieu of the required 100 feet separation distance.. Section 360-1 Town of Barnstable Code: To install a pump chamber 70 feet away from a bordering vegetated wetland, in lieu of the required 100 feet separation distance. Section 360-1 Town of Barnstable Code: To install a soil absorption system 82 feet away from a bordering vegetated wetland, in lieu of the required 100 feet separation distance. Section 360-1 Town of Barnstable Code: To propose a future reserve area for the soil absorption system 80 feet away from a bordering vegetated wetland, in lieu of the required 100 feet separation distance. These variances are granted with the following conditions: (1) No more than two (2) bedrooms total are authorized at this property. Dens, study rooms, offices, finished attics, sleeping lofts, and similar-type Sullivankhnson2005 rooms are considered'"bedrooms" according to'the MA Department of Environmental Protection. (2) The applicant shall record a properly worded deed restriction, signed by the property owner, at the Registry of Deeds restricting the number of bedrooms at this property to two (2), before the applicant obtains a disposal works construction permit: (3) The septic system shall be installed in strict accordance with the revised engineered plans dated September 28, 2004. (4) The designing engineer shall supervise the construction of the onsite sewage disposal system and shall certify in writing to the Board of Health that the system was installed in substantial compliance with the plans dated September 28, 2004. These variances are granted because the physical constraints at the site severely restrict the location of the soil absorption system due to the proximity wetlands. Sinc 'ely your , ayne iller, M.D. Chair n Sullivankhnson2005 t_05-1 apt-2006 a 1 1 m 21 ct 'DEED RESTRICTION Sheldon F. Stewart of 602 Shoot Flying Hill Road in Barnstable (Centerville), as the owner of 19 Johnson Lane, Barnstable (Centerville), by deed recorded in the Barnstable Registry of Deeds in book 5716 page 017, agrees that until such time as technology changes and the Barnstable Board of Health changes its regulations or otherwise grants permission, any house built on the premises at 19 Johnson Lane, Centerville, shall have no more than two (2) bedrooms. Sheldon Stew COMMONWEALTH OF MASSACHUSETTS Barnstable County On this seventh day of March, 2006, before me, the undersigned notary public, personally appeared Sheldon F. Stewart proved to me through satisfactory evidence of identification, which was &-n15-e to be the person whose name .is signed on this document and acknowledged to me that he signed it voluntarily for its stated purpose. Notary Public My commission expires: Cheryl K.Gruenstem Notary Public My Commission Expires:02/23/07 Frank Sch el Engineering R ords anager of THE to E-911 Data Liai n y��wo , Town of Ba sta le BARNSTABLE MASS. i of Barnstable 163 q. 1�� Engineering Division •Fp MA`f A Department of Public Wor 367 Main Street,Hyannis, 2601 gineering Division (508)862-4085 a Street, Hyannis MA 02601 Fax:(508)862-4711 Office: 508-862-4088 Robert A. Burgmann, P.E. Fax: 508-862-4711 Town Engineer SUBJECT:Numbering of Buildings Map No. Z.3 Parcel No. O 76 Date M,1:5� /T 0(, Dear Property Owner, Notice is hereby given in accordance with the General Ordinances of the Town of Barnstable, Chapter III,Article V, Numbering of Buildings, adopted March 3,1931, revised July 21,1994, public convenience and�jecessity requires the assignment of number_ for your property located on c /DttivSU��J f�,v� 6--m 7-et /1 L1 6. STREET NAME VILLAGE This number should be affixed to your building so that it is visible from the street as outlined in Exhibit"E", Town of Barnstable Rules and Regulations for Numbering of Buildings. Please contact Mr.Frank Schlegel at the Engineering Division at(508) 862-4088 and be prepared to provide all telephone numbers at this location so that your E-911 acco t records can be confirmed when the correct building number is posted. 6'x v-r , Robert A. Burgmann, P.E. Town Engineer encl.: .B. Rules &Regs. _ Common Questions — Site Map — Assessors Change Form 9 Johnson Ln, Centerville, MA 02632 was Recently Sold - Zillow Page 2 of 5 9 Johnson Ln, CENTERVILLE, MA 02632 contacts local agent Get advice about selling a home ..... { Photos Map Bird's Eye Street View Ronnie Mulligan Sold on 1/23113:$250,000 . Zestimate°:$360,857 r ,. Cale(978)291-5809 Est.Mortgage:$1,009/mo Marie Souza Team ' { _ (8 reviC'W51 Get Pre-approved t ♦'H r -- Call:(508)534-8115 CHASE Cash Back can save you thousands Mor in n N ri (38 reviews) Bedrooms: 3 beds -� Call:(508)534-8782 Bathrooms: 3 baths _ Single Family: 1,674 sq ft ✓ !Your Name Lot: Contact for details "— Phone Year Built: 2006 — Last Sold: Jan 2013 for$250,000 Email Address Heating Type: Forced air,Other Oq t I would like advice about selling a home ;v tar jer 1 similar to 9 Johnson Ln,Centerville,MA 02632. ... .......... F-1 r I want to get pre approved. Correct home facts Save this home Get updates Email ' more- Contact Agent Learn how to appear as the agent above ._......... ..__.... Description Newly Completed-Centerville-Views of Lake Wequaquet with almost 1700 SgFt of luxurious living!Open floor plan with kitchen,dining,great room combination w/gas fireplace&wood floors throughout.Brand new custom kitchen with Cherry cabinets&granite,professional grade stainless appliances.Spacious master bedroom suite features walkin closet&large private deck w/waterviews.Large guest bedroom wl private bath also... More :: an db Cooling Parking Basement Type Unknown Garage-Attached Unfinished Fireplace Floor Covering Attic Yes Hardwood No More See data Sources Similar Homes for Sale Zestimates 45 Tern Ln,Centerville,... Value Range 30-day change$/sgft Last updated Cemetvdle For Sale:$350,000 MA 026.f2 Zestimate $360,857 $310K-$397K -$3,083 $215 09/10/2013 Beds:3 Sgft:1304 Baths:2.0 Lot:0.49 ac Rent Zestimate $1,8001mo$1.3K-$2.5K/mo $1.08 09/09/2013 Owner tools Post your own estimate �� 45'1 Bin 45 Tern,Barnstable.M... Barnstable. For Sale:$350,000 Market guide Zillow predicts 02632 home values will increase 2.8%next year,compared to a 1.4% h4a 026J1 Beds:3 Sgft:1304 rise for Barnstable as a whole.Among 02632... Baths:2.0 Lot:0,49 ac more 2?5 Capn 225 Capin Liiahs Rd,Ce... For Sale:$339,500 Zestimate Listing price Rent Zestimate j more- 1 year 5 years 10 years Centerville MA 02632 Beds:3 Sgft:1428 i -- -I Baths:2.5 Lot:0.6 ac This hclrna 02632 See listings near 9 Johnson Ln j http://www.zillow.com/homedetails/9-Johnson-Ln-Centerville-MA-02632/80863064_zpid/ 9/12/2013 9 Johnson Ln, Centerville, MA 02632 was Recently Sold - Zillow Page 3 of 5 Ready to Move?Is Your Credit Score?Check for$0 Neighborhood View larger map q;Home Values C Listings ` I Nearby Schools in Barnstable Worst Best Data provided by GreatSchools.org and Maponics Grades Distance Centerville Elementary(assigned) K-3&ungraded 1.9 mi Barnstable Intermediate School(assigned) None 2.3 mi Barnstable High(assigned) 8-12&ungraded 2.5 mi Veritas Academy K-8 1.1 mi West Barnstable Elementary K-3&ungraded 2.1 mi Barnstable Community Horace Mann Charte... K-3&ungraded 2.4 mi Bayberry Christian School 1-4,6-7 2.5 mi i More schools in Barnstable Contact a local agent http://www.zillow.com/homedetails/9-Johnson-Ln-Centerville-MA-02632/80863064_zpid/ 9/12/2013 9 Johnson Ln, Centerville, MA 02632 was Recently Sold - Zillow Page 4 of 5 Get advice about selling a home Ronnie Mulligan Your Name Marie Souz Team Phone Nile Morin Email Address Call:l508)534-8782 1 would like advice about selling a home similar to F_J I want to get pre-approved. Contact Agent Learn how to appear as the agent above Browse more 02632 listing agents lot 01 Nearby Similar Sales � 244 Patriot Way,Centerville,MA 02632 ! | Sold on omoo 3:s36o,0o / 9 Johnson Ln, Centerville, MA 02632 was Recently Sold - Zillow Page 5 of 5 Capital One www.capitalone360.com/purchase Get$1000 Off Closing Costs I _ I r • a r ' ' k. Style your'home with x_ ° * the photos you love. r =� Nearby Cities Nearby Zip Codes Other CENTERVILLE Topics Homes For Sale in East Homes For Sale in 02601 Apartments for Rent in 02632 Falmouth Homes For Sale in 02632 Houses for Sale in 02632 Homes For Sale in Harwich Homes For Sale in 02635 Houses for Rent in 02632 Homes For Sale in Mashpee Homes For Sale in 02648 02632 Real Estate Homes For Sale in South Homes For Sale in 02668 Condos Dennis Houses for Sale in Homes For Sale in South Newest Listings in Yarmouth Home Values Hanes For Sale in Town of Real Estate Agents Bourne Refinance Homes For Sale in Town of Mortgage Rates Brewster Homes For Sale in Town of Falmouth Homes for Sale in Town of Orleans Homes For Sale in Town of Sandwich Homes For Sale in Centerville Homes For Sale in Cotuit Homes For Sale in Cummaquid Homes For Sale In Hardwich Homes For Sale in Hyannis Homes For Sale in Marstons Mills Homes For Sale in Monomoscoy Island Homes For Sale in Otis ANGB Homes For Sale in Teaticket Homes For Sale in"Vest Barnstable 9 Jonnson Ln,CENTERVILLE,MA,02632 is a single family home of 1,674 sgft.Zillow's Zestimate0l for 9 Johnson Ln is$360,857 and the Rent ZestimateO is$1,800Imo.This single family home has 3 bedrooms,3 baths,and was built in 2006.The 3 bed single family home at 45 Tern Ln in Centerville is comparable and for sale for$350.000,This home is located in Centerville in zip code 02632. Ronnie Mulligan and Marie Souza Team provide real estate services in 02632.The closest ZIP codes are 02601 and 02635.East Falmouth,Harwich,and Mashpee are the nearest cities. About Zestimates Jobs Help Advertise Terms of Use&Privacy Policy Blog Mobile Site Yahoo!-Zillow Real Estate Network @ 2006-2013 Zillow FOIIOW US f 6+ http://www.zillow.com/homedetails/9-Johnson-Ln-Centerville-MA-02632/80863064_zpid/ 9/12/2013 n ' 474r Ia rca 1Td 11'-z• 4'-1• Ia P-1r z-r 7-1r V.r BOOKSHELVES/. h ^ 1'dxCd Tl X•d CENTERTADRAWT - =>Ti.i 0=�tJ:` n_ co a IQ Q m CASED BrEa OR MCROlA11 BEAMAW4E-(XEARSPAN ✓ OPRONAL 1f-la. C�6ED STEEL OR M,BCROLAM _ _ _ - 1.0 4• BRICK SEAM ABOVE-(XEARSPAN 19 f�o CIIDANEY f .. � _. i PROVIDE SIB•FIREODDE GYPSUM VMERE GRA{GE ABLRSDwmjJHG KITCHEN I 138XBU = LIVING ROOM I 2TO X 151D Ini + c 9 / •�•;: .;..,•. S.2' Ira R2• f-- s8 4•a • ?+7 \ M1p DINING ARE m i I O 7'0X1116 O // (E/ ` W CASED STEM ORMP 16A / 1J � BEAM ABOVE-CL,Td1RSPAN AR 1&d MUD RM. _ r a O I O b O I I. x � a}` 1-711 C• ��p 71, t SniPSTO PLATFORM ^� AT FIRST FLOOR LEM A tt a'�• Sd Sd 4'F 2-0P ��114r f IF 2d W-w Sa 2Id 3 3Id STEPS TO GRADE 8•DLL FIBERGLASS ARtl FnacTu AL COUYL FIRST FLOOR PLAN FIRST FLOOR LAANG AREA 730 S.F. WINDOW SCHEDULE LTR- QTY. ROUGH OPENING REMARKS I GLAZING . A 5 34 IVX66IW M 6 R6 5x&9=4&5S S.F. B 5 341VX531W 2B42 DOUBLE HUNG 6 OVER6 5 X8.7=43Z S.F. C 4 246VX246W A2I AWNING 4x2.3 S.F.-93 S.F. 28 1/7 X 781? SOBVS SKYLIGHT 7.1 S.F. E 1 11P x lr 14 LIGHT GARAGE TRANSOM - .. TOTAL WINDOW GLAZING 109.3 S.F. DOOR SCHEDULE # QTY. DOOR SIZE REMARKS GLAZING 1 1 3d•X S4' ENTRY DOOR WISIOELArKM R-6 MN. 12A S.F. ' 2 8 74r X Sa 6 PANEL INTERIOR DOOR 3 1 74r X SA• 9-UTE STEEL FIRE DOOR R-5 MIN. 9.5 S.F. 4 2 Bd x Sa' S INTERIOR&FOLD 5 1 Id X Pd SUDNG GLASS DOOR 30.0 S.F. 6 1 VA•x T4r OVERHEAD GARAGE DOOR 24r X 11-I• 6-PANEL INTERIOR SLJDING DOORS 24 %Id 15 LKs1NT STEEL FOE DOOR R-5 MN.INA TOTAL DOOR GLAZING 51.5 S.F. "Expect the Best" FIRST FLOOR PLAN • CHAMPION DATE APR 11 2006 PROJECT:20'X 28'COLONIAL 2 BEDROOM,2 12 BATH �� B U I L D E R S . I N Ci . SCALE: 1/4'=1-(Y 19 JOHNSON LANE 300 OAKASSESSOR'S MAP 193,PARCEL 76 EMBRO STREET,A781I82&3TE Dret6ng&02006 Greywing Design 008 888-0886 CENTERVILLE,MA PEMBROKE MA 781 8263800 •�.���� ,,M,�_,�,,,� p„� B'd 2Td Td Td V8318' as B-a' 13!4r Td Td N - FEB YLIONTI 0 s ❑ § I BOVE I t.0 T § �� � � � � Y jATH__ PT DECK WITR WWORAIL - 4 OVER RUBBER ME143RANE I ATTIC I F § ROOF SURFACE 3.1• T-' 4'd 9d ACCESS T-10• I I 0 O CHIMNEY , E --s:: v v 0x a1 WALK-IN 6 F CLOSET O sTePBDowNL191as1 BEDROOM#2 InX16to1710 __ ______ i MASTER BEDROOM O230x 120 BATHFDCrIJRE � b FANAJGHT O 4 O O�! b O .T�• Td 'h ' I 6'd Td W t4• Tom• 8'd Tom• 6 r T-7 W-V 8'd - 49d SECOND FLOOR PLAN ENERGY INFORMATION SECOND FLOOR LNING AREA 840&F. LIVING AREA OVER UNCONDITIONED SPACE=852 S.F. CEILING AREA UNDER UNCONDITIONED SPACE=650 S.F. GROSS WALL AREA 1ST FLOOR=1D93 S.F. GROSS WALL AREA 2ND FLOOR=1012 S.F. TOTAL GROSS WALL AREA=2105 S.F. GROSS WINDOW AREA=107 S.F. +GROSS DOOR AREA= 52 S.F. TOTAL WINDOW A DOOR AREA= 159 S.F. GROSS WALL AREA=2105 S.F. LESS GLAZING AREA=-159 S.F. NET WALL AREA=1946 S.F. NOTE:ALL WINDOWS&DOORS TO HAVE A U-VALUE.35 OR BETTER .. "Expect the Best" SECOND FLOOR PLAN & SCHEDULES • CHAMPION DATE: APR 11 2006 PROJECT:20'X 26'COLONIAL * 2 BEDROOM,2 12 BATH � B U I L. D E R S , I N Ci . SCALE: 1/4"=1'-0" 19 JOHNSON LANE ASSESSOR'S MAP 193.PARCEL 76 300 OAK STREET,SUITE 155A Drafting&©2006Greywing Design 508 888-0886 CENTERVILLE,MA PEMBROKE MA 781 8263800 CONTINUDLIA RIDGE VENT(TYP.) r ASPHALT OR RSEROLAbS ROOF SHINGLES OVER 2%10 RIDGE BOARD(TYP.) APPROVED BACKING OVER W EXTERIOR CONTINUOUS RIDGE VENT(TYP) ASPHALT OR FIBERGLASS ROOF SHINGLES OVER 1 12 \ PLYWOOD OVER 2 X 8 X W RAFTERS®1S O.C. 4 APPROVED BACKING OVER RA EXTERIOR PLYWOOD OVER 2 X B%11'RAFTERS®18.0.C. � 2 X 8 X B COLLAR TIES @ 18.O.C. I 1122 2 X S X 4W COLLAR TIES 0 IT O.0 12 12I 1 X e STRUTS 10� 2%8tir®1B'O.C. 1g A �� ICE&WATER SHEILD ICE&WATER SHIELD AO AG ATJ P R20 2XBCEILING JOISTS I 8.O.C. - - - COAT.DRIP EDGE VENT/ I X 3 STRAPPING @ I8"O.C. 1!I GYPSUM BOARD(TYPICAL) TYPICAL WALL CONSTRUCTION VINYL SIDING OVER 'TYVECK"OVER 117 EXTERIOR PLYWOOD OVER2"X4'XT-4"STUDS Z+ ®18.O.C.WITH 2 TOP AND I BOTTOM SECTION ROTATED Y PLATE.T-8 1/I STUD WALL 0. ' INSTALL P.T.DECK OVER RUBBER MEMBRANE ROOFING(PER MANUFML472TCH Mr13N.1GUTTERS 314•PLYWOOD SUBFLOOR - b PROVIDE FIRECODE 2Y ® GYPSUM WHERE GARAGE ABUTTS DWELLING 1 X 3 STRIPPING 0 18.O.C. TYPICAL WALL CONSTRUCTION 1?GYPSUM BOARD(TYPICAL) VINYL SIDING OVER TYPICAL WALL CONSTRUCTION 'TYVECK"OVER iR'EXTERIOR b __________ VINYL SIDING OVER 2 x fD RIDGE BOARD(rrP-) 'TWECK'OVER 1?EXTERIOR PLYWOOD OYERSX4'XB'STUDS PLYWOOD OVER 7 X 4"X B'STUDS ASPHALTOR FIBERGLASS ROOF SHINGLES OVER 10.O.C.WITH 2 TOP AND 1 BOTTOM __________ EXTERIOR 18'O.C.WITH 2 TOP AND 1 BOTTOM APPROVED BALKING OVER I/r ERIOR PLATE=B-4 1?STUD WALL __________ T PLATE=V-4ITSTUD WALL I 12 PLYWOOD OVER 2X8%1e'RAFTERS®/B•O.0 __________ b I C R-1S F.G INS11LFINISH HST FLOOR BEYOND T . ____ _ FINISH---------- 3 1(!R-11 FIBERGLASS INSULATION QRADE __________ - 2 X 0 X VT COLLAR TIES fir O.0 I PITCH I9G MIN.TOWARDS ENTRANCE ' B'R-1B F.G INSLA-. 12 Y4•PLYWOOD eUBFLOOR b __________ 2Y ® or. 12 = WP.C.FOUNDATION WALL ' gxg 3.2X 12S OR 4-2 X IDS WOOD BEAM 3ILL Wrim ' —" -- - -"— 4 2X8 C6LIN0 JOLST9@18'O.C. B"X/B'P.0 FOOTING } 1"X 13•STEEL ANCHOR =- - BOLTS®B-0'O.G 91?G CONCRETE FILLED I X 3 STRAPPING 0IS"Or- GARAGE SECTION • STEEL COLUM14(rYP.) Ir P.0 FND.WALL T-1P HIGH 1/7 GYPSUM BOAfifl(TYPICAL) TYPICAL WALL CONSTRUCTION VINYL DINGOVER 'T`/VECM OVER 17 EXTERIOR PLYWOOD OVER 2"X 4"X T-0"STUDS 4'POURED SLAB WITH N a 18'O.C.WrrH 2 TOP AND 1 BOTTOM / e'%e•010 W WM OVEN6 MIL POLY VAPOUR 4 PLATE-T-81?STUD WALL / BARRIER OVER COM DEARTH t` YP PLYWOOD SUBFLOOR 8•X Ir CANT.P.C.FIG. ZS X iP POURED CONCRETE TRENCH FOOTING FOR COLUMNS 2. b TYPICAL BUILDING SECTION IX3 STRAPPING 016-D.D. I/!GYPSUM BOARD(TYPICAL) TYPICAL WALL CONSTRUCTION VINYL SIDING OVER 'fYVEW OVER 12•EXTERIOR - - PLYWOOD OVER 7 X 4'X B'STUDS 01S'O.C.WITH 2 TOP AND 1 BOTTOM T PLATE-B'-412'STUD WALL b 3 V2 R-11 FIBERGLASS INSULATION - 8'R-IS F.G INSUL YF'PLYWOOD SUSFLODR ' 3.2X1ZSOR4.2%108WOODBEAM ' .......... . 8'P.C.FND.WALL T-10'HIGH 4 4'POURED CONCRETE BULB WITH a-x 6'HO W WM OVER 6 MIL POLY VAPOUR RI BARER OVER COMPACTED EARTH LIVING ROOM SECTION "Expect the Best" BUILDING SECTIONS CHAMPION DATE: APR 11 2006 PROJECT:29 X 28'COLONIAL 2 BEDROOM,2 1Q OATH BUILDEE R S . I N C . SCALE: 1/4"=V-0" 19 JOHNSON LANE 300 OAK STREET,SUITE 155A ASSESSOR'S MAP 183,PARCEL78 PEMBROKEMA 781826.3800 Drafting&©2006GreywingDesgn 50888M886 CENTERVILLE,MA a�yn.wwa,wow.m,rd mby,.mnw..11oJ.w...IYnp.nv�. - v � . t . � FRONT YARO•�' W „.. . � WITH 67A1GiD I Gx°ST 'rRAVG LGD pi AY BAt-e 8 F.F. WAY i I 43.0 .i/ '� T.b.W.50.0 \ To.W. yt,.o F.G.`12.0 LAWN C EX1ST• \ / Q SECTION 1 �esu t ag=r•o'rAGE o� . \ 1 SCALE. =20 FouNr.acnort .. \ ) Cj41 FEMA Zone Line os shown on FIRM \ ' BUFFER Panel 250001 0015 C {August 19, 19 ) 85 (�FRo�fTYARD S�TgAGK 1 p \ i NAY. TRA F. 42.0 LAwi F.F• .r f {{ iX1S-r. �S1LT'F1lNGG WITEt \ \ r \ CrRA0IL STAKY D 1-►AY BALLS SECTION 2 \ I SCALE:i"=2d p j \ \ R-41.1'Q R=4&4. Sly 1 034 t \ ` sue \ 00 co io l \ 1.. L� \\\ �-► \ QD p jj��scS. ....� \ \ 1• �q\ g t t t o r 1 t t , V. A\1 4 Sol to / \ 4 U�\\ i � � ` •�\� \ \ \ \ \ \ \��^\\ \\ ttt +t , \\ \ 1 , ttl �� -G — — -3s- -t- —' � \ � \ o !P+ '�d setbock \ \ \ \ CID QOng116 Wolter at, tDeed \\\ ,\ Resource Line os Flagged � ~'•• \ \ \ \ \\\\ \ \ \ \\\ \\�y by ENSR, July 26, 2004 �+ Directions to the Site. From Hyannis take Route 28 toward Centerville. At —0 the set of lights at Old Stage Road, take a rl ht. Take a right onto Shoot — �: `� \ \ \� \ \ \ \ \ \ \ `\ \ \\+`' g t Flying Hill Road. Take a right onto �.• .. \\ \\� \`, �o \� Johnson Lane and site is on the right. \\ \ \� �, \ \ \ \ \ \ �\ . , Wr, Variance to Residential District RD-1 Bulk Regulations, \\ \ \\ V. Minimum Setback Front Yard Required:30 feet Proposed: 17.5 feet at the closest point. —�se Title: PREPARED FOR: PREPARED B Y. Sullivan Engineering, Inc. CapeSury SITE PLAN Sheldon F. Stewart Po Box 659 PO Box 718 N Cb- PO Box 2110 , MA 02655 Hyannis MA 02601-0718 p PROPOSED t MPROVEMENTS ostervule, l9 JOHNSON LANE Centerville, fI`IrMO. 02632 (508)428-3344 (508)428-3115 fax (508)790-7902 (508)790-7905 fax PSuIIPE�bol.com capesurvOcapecod.net ® CENTERVILLE , MASS. -� 20 0 10 20 40 60 Comp./Draft: M J D Field. WHK/RRL . � Date: Scale: Review: PS Comp./Draft: WHK/RRL September 28, 2004 AS Show.n 1121 Proj. #22026 ` Drawing # C489-2c1 FRONT YARD' i � pl.lFFE{i, I i St"c'ONCK ' i Zo Si LT FEND. WITH 5rA.K`0 — MMST TRAVICt_CD }-{AY B/s.LtS F F WAY I ; �i3.o ./ " T.O.W.So.d r \ p. C. EXIST. F.G,ti2.0 LAwN 1 ti /// \ I SECTION 1 mmbsuskF-0.=roo S- OFF s \ ' SCALE:1 = 20 1=ou40at toN \ m FEMA Zone Line as shown on FIRM :ROWYYARO 5�TgAGK i Q ( BUFFER F Panel 250001 0015 C (August 19, 1985) 1-- i- _A \ , 1 EXIST, TRAvaLdo F 6,y2.d LAwN _ I F.F• \ � ••12.0 1 tX I I$lr �S14T'FleNGG WITH %AAY BALIrj \ 1 SECTION 2 \ \ I SCALE-1"=2d R-41, O VN - '�°► ( \ ,t ° ' ��i��,\ 0 � ` •Q,2 .ohm`! \ - t � �0 R= 7 4 , .Ln 03 AA 7Too 0 tin I < , t .\ N \ \ �i \ s ,1 1 1 \ 1� } 1 `. °� �. \ \ \ .\ \ \', \ ti 1 \ ` 10 1 `fir f '• tit \ ,\, \ \\ `\\ ��,, \ V\ V. \1 1` ,tVh� 14 q \ \ \ \ + 1 2 ,rs \ \ � Waipad 6k 1724I \ ` S. 01 Resource Line as Flogged \4j by ENSR, July 26, 2004 Directions to the Site: From Hyannis \ \ \ take Route 28 toward Centerville. At \ \ \ \�\ the set of lights at Old Stage Road, take a.right. Take a right onto Shoot \ \ \ \ \ ' \ ` ' \ �$ ' � 3 Flying Hill Road. Take a right onto \. Johnson Lane and site Is on the right. \ \� \ \ \ \ ' \ \ �o Variance to Residential District RD-1 Bulk Regulations, \ \ \ \ \\ \ '\ \ \ ` \ \ \ \ �N, a : Minimum Setback Front Yard �\ \\ \ \ \ '••\ \ \` \ \ \ \ ��\ � �� �� ��q �� Required:30 feet \ \ \\.\ \ \ \ \ \ \ \ N, Proposed: 17.5 feet at the closest point. ` "-5e--_ \\\\\ \ \ \ \� \ \ \ \ �\ Title: PREPARED FOR: PREPARED BY.• - CapeSury N � SITE PL N Sullivan Engineering, lnc. N A Sheldon F. St�,warf Po Box 659 PO Box 718 0 PROPOSED fMPROVEMENTS Pry BOX 2110 Osterville, MA 02655 Hyannis MA 02601-0718 1v ' IS JOHNSON LANE Centerville, MC. 02632 (508)428-3344 (508)428-3115 fax (508)790-7902 (508)790-7905 fax < PSU11PE0001.com copesurv@copecod.net o CENTERVI L L E , MASS. 20 0 10 20 40 60 Comp./Draft: M J D Field: WHK/RRL Date: Scale: Review: PS Comp,/Draft: WHK/RRL September 28, 2004 As Shown � _ 1 Proj. #22026 Drawing # C489_2G1