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Home My WebLink About0344 LAKE ELIZABETH DRIVE - Health 344 LAKE ELIZABETH DR, CENTERVILLE A = 227 031 UPC 12534 No.2._.=_ :` Mwosp HASTINGS,MN --7-7 l b7 Q TOWN OF BARNSTABLE LOCATION VILLAGE -ILk ll ASSESSOR'S MAP&PARCEL ITtStAI 7FR'S NAME&PHONE NO. tanC IC Can SEPTIC TANK CAPACITY O LEACHING FACILITY:(type) (size) 16 . NO. OF BEDROOMS 3 OWNER \o e -Q sea PERMIT DATE: C ATE:. '! Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility(If any wells exist on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) Feet FURNISHED BY H 1 ty i4 - o 5® s� Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments R M 344 Lake Elizabeth Drive Property Address Tom Hoppensteadt Owner Owner's Name information is Centerville MA 02632 Jul 10, 2014 required for every y 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 - - �I on the computer, / use only the tab 1. Inspector: key to move your cursor-do not Patrick M. O'Connell use the return key. Name of Inspector ,y Company Name PO Box 1487 Company Address Marstons Mills MA 02648 City/Town State Zip Code 508-776 4186 SI 12855 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 16.340 of Title 6(310 CMR 16.000). The system: ® Passes ❑ Conditionally Passes ❑ Fails ❑ Needs Further Evaluation by the Local Approving Authority July 10, 2014 Inspector's Signatur 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. eSewaq/el�posal t5ins•3/13 - Title 5'Ofricial Inspec o F Subsu'ice System•Page 1 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form o Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 344 Lake Elizabeth Drive Property Address Tom Hoppensteadt Owner Owner's Name information is Centerville MA 02632 Jul 10, 2014 required for every y page. Citylrown 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: Tank was not in need of pumping at time of inspection. Leaching pit had 2 feet of standing water. 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): I 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 344 Lake Elizabeth Drive Property Address Tom Hoppensteadt Owner Owner's Name information is Centerville MA 02632 Jul 10, 2014 required for every y page. City/Town 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 -i 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 16.303(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 Offical Inspection form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 344 Lake Elizabeth Drive Property Address Tom Hoppensteadt Owner Owner's Name information is required for every Centerville MA 02632 July 10, 2014 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 ❑ Z Backup of sewage into facility or system component due to overloaded or clogged SAS or cesspool ® Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or clogged SAS or cesspool ❑ ® Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool ❑ ® Liquid depth in cesspool is less than 6" below invert or available volume is less than 1/2 day flow Mrs•3/13 Title 5 Official Inspection Form Subsurface Sewage Disposal system•Page 4 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments w 344 Lake Elizabeth Drive Property Address Tom Hoppensteadt Owner Owner's Name information is Centerville MA 02632 Jul 10, 2014 required for every Y page. City/Town State Zip Code Date of Inspection B. Certification (cont.) Yes No ❑ ® Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s). Number of times pumped: ❑ ® Any portion of the SAS, cesspool or privy is below high ground water elevation. ® Any portion of cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply. ❑ ® Any portion of a cesspool or privy is within a Zone 1 of a public well. ❑ ® Any portion of a cesspool or privy is within 50 feet of a private water supply well. ❑ ® Any portion of a cesspool or privy is less than 100 feet but greater than 50 feet from a private water supply well with no acceptable water quality analysis. [This system passes if the well water analysis, performed at a DEP.certified laboratory,for fecal coliform bacteria indicates absent and the presence of ammonia nitrogen and.nitrate nitrogen is equal to or less than 6 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 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. 151ns•3/13 Title 5 Official Inspection Forth:Subsurface Sewage Disposal System-Page 5 of 17 Commonwealth of Massachusetts Title Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments M 344 Lake Elizabeth Drive Property Address Tom Hoppensteadt Owner Owner's Name _ information is required for every Centerville MA 02632 July 10, 2014 page. City/Town State Zip Code Date of Inspection C. Checklist Check if the following have been done. You must indicate "yes" or"no" as to each of the following: Yes No ® ❑ Pumping information was provided by the owner, occupant, or Board of Health ❑ ® Were any of the system components pumped out in the previous two weeks? ❑ . Has the system received normal flows in the previous two week period? ❑ ® Have large volumes of water been introduced to the system recently or as part of this inspection? ❑ Were as built plans of the system obtained and examined? (If they were not available note as N/A) ❑ Was the facility or dwelling inspected for signs of sewage back up? ❑` Was the site inspected for signs of break out? ❑ Were all system components, excluding the SAS, located on site? ® ❑ Were the septic tank manholes uncovered, opened, and the interior of the tank inspected for the condition of the baffles or tees, material of construction, dimensions, depth of liquid, depth of sludge and depth of scum? ® ❑ Was the facility owner(and occupants if different from owner) provided with information on the proper maintenance of subsurface sewage disposal systems? The size and location of the Soil Absorption System (SAS)on the site has been determined based on: ® ❑ Existing information. For example, a plan at the Board of Health. ® ❑ Determined in the field (if any of the failure criteria related to Part C is at issue approximation of distance is unacceptable) [310 CMR 15.302(5)) D. System Information Residential Flow Conditions: Number of bedrooms (design): 3 Number of bedrooms (actual): 2 DESIGN flow based on 310 CMR 15.203 (for example: 110 gpd x#of bedrooms): 330 t5ins•3/13 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 344 Lake Elizabeth Drive Property Address Tom Hoppensteadt Owner Owner's Name information is Centerville MA 02632 Jul 10 2014 required for every Y page. Cityrrown State Zip Code Date of Inspection D. System Information Description: -Number of current residents: 3 Does residence have a garbage grinder? ❑ Yes ® No Is laundry on a separate sewage system? (Include laundry system inspection ❑ 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: Currently Occupied. 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: t5lns•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 7 of 17 I Commonwealth of Massachusetts Title 5 Official Inspection .Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 344 Lake Elizabeth Drive Property Address Tom Hoppensteadt Owner Owner's Name information is y Centerville MA 02632 Jul 10 2014 required for every , 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: May 9, 2014 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): t5lns-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 w 344 Lake Elizabeth Drive Property Address Tom Hoppensteadt Owner Owner's Name information is Centerville MA 02632 Jul 10, 2014 required for every _ y page. City/Town State Zip Code Daie of Inspection D. System Information (cont.) Approximate age of all components, date installed (if known) and source of information: Compliance date 10/4/82 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.): 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: 8.5' long x 5.2'wide. 1000 gal. 0„ Sludge depth: t5ins•3/13 Title 5 Official Inspection Forth: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 ww '344 Lake Elizabeth Drive Property Address Tom Hoppensteadt Owner Owner's Name " information is required for every Centerville MA 02632 July 10, 2014 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 Scum thickness 0.1 Distance from top of scum to top of outlet tee or baffle Distance from bottom of scum to bottom of outlet tee or baffle How were dimensions determined? Measured Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): Liquid level was found at outlet invert. Tees were intact and clear. Tank had liquid only, no solids Grease Trap (locate on site plan): Depth below grade: feet Material of construction: ❑concrete ❑ metal ❑fiberglass ❑ Polyethylene y El 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 M 344 lake Elizabeth Drive Property Address Tom Hoppensteadt Owner Owner's Name information is required for every Centerville MA 02632 July 10, 2014 page. Cityfrown 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 y ❑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-3113 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 w. 344 Lake Elizabeth Drive Property Address Tom Hoppensteadt Owner Owner's Name information is required for every Centerville MA 02632 July 10, 2014 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 Comments (note if box is level and distribution to outlets equal, any evidence of solids carryover, any evidence of leakage into or out of box, etc.): Pump Chamber(locate on site plan): Pumps in working order: ❑ Yes ❑ No* Alarms in working order: U 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 requir::d): If SAS not located, explain why: 15ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 12 of 17 ? �L\' Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 344 Lake Elizabeth Drive Property Address Tom Hoppensteadt Owner Owner's Name information is required for every Centerville MA 02632 July 10, 2014 page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) Type: ® leaching pits number: One 6 x 6 pit. ❑ 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 pit had 2 feet of standing water with no high stains observed 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 344 Lake Elizabeth Drive Property Address Tom Hoppensteadt Owner Owner's Name information is Centerville MA 02632 Jt:' 10, 2014 required for every _Y page. Citylrown 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.): Lmn.•3113 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 14 of 17 Com monwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments '< 344 Lake Elizabeth Drive Property Address Tom Hoppensteadt Owner Owners Name information is required for every Centerville MA 02632 July 10, 2014 page. Ctty/Town State Zip Code Dste 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 � 3y�► ty 1tCIAI �y 5a t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System.Page 15 of 17 Commonwealth of Massachusetts Title 5 official Inspection Form o Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 344 Lake Elizabeth Drive Property Address Tom Hoppensteadt Owner Owner's Name information is Centerville MA 02632 Jul 10, 2014 required for every y page. Citylrown 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 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: Perc test records. ❑ Checked with local excavators, installers - (attach documentation) ❑ Accessed USGS database -explain: You must describe how you established the high ground water elevation: Perc test performed two years ago found water at 15 feet. 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 u 344 Lake Elizabeth Drive Property Address Tom Hoppensteadt Owner Owner's Name information is required for every Centerville MA 02632 July 10, 2014 page. City/Town 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 Systims)completed ® System Information —Estimated depth to high groundwater ® Sketch of Sewage Disposal System either drawn on page 15 or attached in separate file t5ins•3113 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 17 of 17 �- No. C/`w � Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS 2ppliCotion for Mi5pont bpgtem Com5truction Vermnit Application for a Permit to Construct( . )Repair( )Upgrade( )Abandon X ❑Complete System ElIndividual Components Location Address or Lot No. 3 t�t�/��e �/� y��j A�� Owner's Name,Address and Tel.No. / Assessor's Map/Pazcel r 77 INC GL9)--? 771-4023 Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. Type of Building: Dwelling No.of Bedrooms_o Lot Size IIT .�O sq.ft. Garbage Grinder(N0 ) Other Type of Building No. of Persons Showers Cafeteria('40) Other Fixtures ll Design Flow ® G►P�� 1 w �ON)Ons per day. Calculated daily flow gallons. Plan Date Number of sheets Revision Date Title Size of Septic Tank /OQD 4 4/&ss Type of S.A.S. v Description of Soil; t .5 6 !uJ)Ay 44f 2LAd Nature of Repairs or Alterations(Answer when applicable) Date last inspected: 1 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 Environmental Code and not to place the system in operation until a Certifi- cate of Compliance has been iss and a h. Sig ed Date r Application Approved b Date Application Disapproved for the following reasons Permit No.` � �7 7 Date Issued f�J c9:-�� i 'No. t CO5 Fee _ i - THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEA DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS TXI Z(pp Yicativp forigozalipotent Cottetructfonerntit Application for a Permit to Construct( )Repair( )Upgrade( )Abandon X O Complete System ❑Individual Components Location Address or Lot No. Owner's Name,Address and Tel.No. 3 Y! &h V�6ef�t D�, Assessor's Map/Parcel Cvtl 56b-771--4� 73 Installer's Name,Address,and Tel.No. Designer's Name;`Address and Tel.No. Type of Building: Dwelling No.of Bedrooms_ ? Lot Size sq.ft. Garbage Grinder Other Type of Building No.of Persons Showers( Cafeteria(A" ) Other Fixtures Design.Flow �d C� .D�� 164yo...,03 ns per day. Calculated daily flow gallons. Plan Date r Number of sheets Revision Date Title $ Size of Septic Tank !6W � Type of S.A.S. Description of Soil .1;c.,«td hto A-Gp, u a 4 A Nature of Repairs or Alterations(Answer when applicable) Date last inspected: h i1 r — 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 Environmental Code and not to place the system in operation until a Certifi- cate of Compliance has been issued-by thisZoard of Kea th. Sigel ed C y Date Application Approved by i _ �' _ Date / `+ Application Disapproved for the following reasons Permit No, CO 5 8�-7: Date Issued THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS ' Certificate of Compliance r THIS IS TO CERTIFY,that thejOn-site Sewage Disposal System Constructed( )Repaired ( )Upgraded( ). - Abandoned by L".rtf1t11X t H at `_i ILI G1 1 ,� c0 !�" i a i ',. .('l has been constructed in accordance µ with the provisions of Title 5 and the for Disposal System Construction Permit No. dated Installer_ Desiener_ _ The issuance of this permit shall not be construed as a guarantee that the system will function.as designed. Date ! Inspector No. �7 Fee Cq ' THE COMMONWEALTH OF MASSACHUSETTS .PUBLIC HEALTH DIVISION - BARNSTABLE, MASSACHUSETTS Mfgpo!6a[ *pgtem Con!5truction 3permit Permission is hereby granted to�Construct )Repair'� )Upgrade( )Abr�ndc n /-� �} System located at f 5tl l 4c T`�l Za 6� 1 . �!�^' . f � l 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 rqust be completed within thrce years of the date�of this pee -it. Date: tU 5 Approved bye COMMONWEALTH OF MASSACHUSETTS EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS DEPARTMENT OF ENVIRONMENTAL PROTECTION ONE WINTER STREET, BOSTON MA 02108 (617) 292-5500 TRUDY COXE Secretary ARGEO PAUL CELLUCCI DAVID B. STRUHS Governor Commissioner SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION Property Address: 344 Lake Eliza b e t h Drive Name of Owner Betty Ann Lehmann Crai ville ,Mass . O2636 AddressofOwnw: 344 ace Elizabeth Drive Data ofInspecuon` 11 /155/. 99 Craigville ,Mass . 02636 Name of Inspector:(Plea:ePnnt) Joseph P.Macomber J r . 1 am a DEP approved system inspector pursuant to Section 15.340 of Tide 5(310 CMR 15.000) ComparwNarne: J. P.Macomber & Son Inc . Mang Address: Ea. 66 C e p t e r v i 11 e , Mass Telephone Number: CERTIFICATION STATEMENT I certify that 1 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 Inspection. The Inspection was performed based on my training and experience in the proper function and maintenance of on-site sewage disposal systems. The system: ZPasses _ Conditionally Passes _ Needs Further Evaluation By the Local A proving Authority _ Fails 1 Inspectors Signature: Date: A/5 The System Inspect r all submit a copy of this inspection report to the Approving Authority(Board of Health or DEP)w)thin thirty(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 DepartmentoKmvironmenW Protection. The original should'be.sent toVm system owner and copies sent to the buyer,If applicable, and the approving authority. . NOTES AND COMMENTS revised 9/2/98 Page 1of11 i*Printed on Recycled Paper I SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION(continued) PropertyAddress: 344 Lake Elizabeth Drive Craigville ,Mass . Owner; Betty Ann Lehmann Date of ku pec*m: 1/1 5/9 9 INSPECTION SUMMARY: Check A, B, C, o/ D: A. SYSTEM PASSES: _y1h I have not found any information which Indicates that any of the failure conditions described In 310 CMR 15.303 exist. Any failure criteria not evaluated are indicated below. COMMENTS: Single cesspool in the rear of t-he ho„ca__g_ervice. the ,Iownr-t;air-s bath . NOt eh-eWft eft as burl when system upgraded in 1982 B. SYSTEM CONDITIONALLY PASSES: /V'b 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. Indicate yes,no,or not determined(Y,N,or ND). Describe basis of determination In all Instances. If "not determined", explain why not. & The septic tank is metal, unless the owner or operator has provided the system Inspector with a copy of a Certificate of Compliance(attached)Indicating that the tank was installed within twenty(20)years prior to the date of the inspection;or the septic tank, whether or not metal,is cracked,structurally unsound, shows substantial Infiltration or exfiltration, or tank failure is imminent. The system will pass inspection if the existing septic tank is replaced with a complying septic tank as approved by the Board of Health. AIDS Sewage backup or breakout or high static water level observed in the distribution box is due to broken or obstructed pipe(s) or due to a broken, settled or uneven distribution box. The system will pass Inspection if(with approval of the Board of Health). broken pipe(s)ere replaced obstruction is removed distribution box is levelled or replaced The system required pumping-more than-four-tines-a yeardue to broken or obstructed pipe(s). The system wilFpass-- Inspection If(with approval of the Board of Health): - - broken pipe(s)are replaced obstruction is removed revised 9/2/98 Page 2of11 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION(continued) Property Address: 344 Lake Elizabeth Drive Craigville ,Mass . owner: Betty Ann Lehmann Data of Inspection:1/15/9 9 C. FURTHER EVALUATION IS REQUIRED BY THE BOARD OF HEALTH: 4a Conditions exist which require further evaluation by the Board of Health In order to determine If the system is failing to protect the public health,safety and the environment. 1) SYSTEM WILL PASS UNLESS BOARD OF HEALTH DETERMINES W ACCORDANCE WITH 310 CMR 15.303(1)(b)THAT THE SYSTEM IS NOT FUNCTIONING IN A MANNER WWCK VdI1PROIECT THE PUBLIC HEALTH.AND SAFETY AND THE EN ZIJR0NMENT: Cesspool or privy Is within 60 feet of surface water Cesspool or privy Is within 60 feet of a bordering vegetated wetland or a salt marsh. 2) SYSTEM WILL FAIL UNLESS THE BOARD OF HEALTH(AND PUBLIC WATER SUPPLIER,IF ANY)DETERMINES THAT THE SYSTEM IS FUNCTIONING IN A MANNER THAT PROTECTS THE PUBLIC HEALTH AND SAFETY AND THE ENVIRONMENT: 44D 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 soil absorption system and the SAS Is within a Zone I of a public water supply well. The system has a septic tank and soil absorption system and the SAS is within 50 feet of a private water supply well. The system has a septic tank and soil absorption system and the SAS Is less than 100 feet but 50 feet or more from a private water supply well,unless a well water analysis for coliform bacteria and volatile organic compounds indicates that the well is free from pollution from that facility and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm. Method used to determine distance V,4 (approximation not valid).- 3) OTHER revised 9/2/98 Page 3orit SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION(continued) Property Address: 344 Lake Elizabeth Drive Craigville ,Mass . Owner: Betty Ann Lehmann Data of Inspection:l/15/9 9 D. SYSTEM FAILS: You must indicate either"Yes" or"No" to each of the following: _ I have determined that one or more of the following failure conditions exist as described in 310 CMR 15.303. The basis for this determination is identified below. The Board of Health should be contacted to determine what will be necessary to correct the failure. Yes No,, Backup of•sewage into feciRe-�or-sTatee++component-due Ko an overloaded orcbggedBAS-or-cesspod. ��•--%�-= Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or clogged SAS or cesspool. -.J10,V(e— Static liquid lev I in the istribution box above outlet Invert due to an overloaded or clogged SAS or cesspool. Liquid depth in cesspool is less than 6" below invert or available volume is less than 1/2 day flow. Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s). Number of times pumped 10 . Any portion of the Soil Absorption System,cesspool or privy is below the high groundwater elevation. Any portion of a 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 I of a public well. Any portion of a cesspool or privy is within 60 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. If the well has been analyzed to be acceptable, attach copy of well water analysis for +coliform bacteria,volatile organic.compounds, ammonia nitrogen-and nitrate nitrogen. - E: LARGE SYSTEM FAILS: You must indicate either "Yes" or"No" to each of the following: The following criteria apply to large systems in addition to the criteria above: The system serves a facility with a design flow of 10,000 gpd or greater(Large System)and the system is a significant threat to public health and safety and the environment because one or more of the following conditions exist: Yes No the system is within 400 feet of a surface drinking water supply the systemda•witWn 200 feetof�t +tar�rtoaourfaoadrinkingwatercupply ••• - --• --••• _ _ ._ the system Is located in a nitrogen sensitive area(Interim Wellhead Protection Area=IWPA)or a mapped Zone Il of a public water supply well) The owner or operator of any such system shall upgrade the system in accordance with 310 CMR 15.304(2). Please consult the local regional office of the Department for further Information. revised 9/2/98 Page 4of11 r i SUBSURFACE SEWAGE DISPOSAI,SYSTEM INSPECTION FORM PART B CHECKLIST PropertyAddress:344 Lake Elizabeth Drive Craigville ,Mass . Owner. Betty Ann Lehmann Date of Inspection: 1/15/9 9 Check if the following have been done:You must indicate either"Yes" or"No" as to each of the following: Yes No Pumping information was provided by the owner,occupant,or Board of Health. _ Z. None of the systemcompoaents.Maua:bean puaipadJ*FatJ&ast two•aweeke aadthe•aystsm hasbaeoasceiasag ewasai flow rates during that period. Large volumes of water have not been Introduced Into the system recently or as part of this inspection. _ As built plans have been obtained and examined. Note if they are not available with N/A. JC _ The facility or dwelling was Inspected for signs of sewage back-up. The system does not receive non•sanitary or industrial waste flow. _ The site was Inspected for signs of breakout. _ All system components.Aluding the Soil Absorption System,have been located on the site. _ The septic tank manholes were uncovered,opened, and the interior of the septic tank was Inspected for condition of baffles or tees,material of construction,dimensions,depth of liquid,depth of sludge, depth of scum. The size and location of the Soil Absorption System on•the site has been determined based on:- _ Existing Information. For example, Plana H. _ Determined in the field(if any of the failure criteria related to Part C Is at issue,approximation of distance is unacceptable) 116.302(3)(b)l 41 _ The facility owoar.(and.^^,.. pants-f diftaraW fraauuvnadAuaraptaWdad with Informal oann tha prn.;ar Maipta„AMSrrf SubSurface Disposal Systems. I t revised 9/2/98 page sorit J SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION Property Address: 344 Lake Elizabeth Drive Craigville ,Mass . Owrw: Betty Ann Lahmann Date of kmgw ctkm:1/15/9 9 FLOW CONDITIONS RESIDENTIAL: Design flow: 11O g.p.d./bedr m. Number of bedrooms(d sign): Number of bedrooms(actual): Total DESIGN flow_S Number of current residents:_ Garbage grinder(yes or no):-416 Laundry(separate system) (yes or no):_40; If yes,separatsdrupection.required Laundry system Inspected (yes or 0 Seasonal use(yes or no):_a �o Water meter readings,If svpDable(last two year's usage(gpd): J947(yes Sump Pump or no): rr Last date of occupancy:=^� IV i..f�j C O M M ER CIA LMI D U S TR IA L Type of establishment: Al44 Design flow: d ( Based on 15.203) Basis of design flow A/ Grease trap present:(yes or no) Industrial Waste Holding Tank present:(yes or no), Non-sanitary waste discharged to the Title��tem:(yes or no) Water motor readings,if available: Last date of occupancy: to OTHER:(Describe) Last date of occupancy: Nlf GENERAL INFORMATION PUMPING RECORDS and source of infor tionn- Jrr1,Ori�Si�u-y Systerrf'pumpodlras pa of inspection: (yes or no), If yes,volume pumped: gallons Reason for pumping: TYPE OF SYSTEM Septic tank/distribution box/soil absorption system Single cesspool Overflow cesspool Privy oVA Shared system(yes or no) (if yes,attach previous Inspection records,If any) I/A Technology etc.Attach copy of up to date operation and maintenance contract A/h Tight Tank AN Copy of DEP Approval Other APPRO TE AGE of all components, data Installed4if known)-and source of4nformation: l0 Sewage odors detected when arriving at the sita:.(yes or no)_ revised 9/2/98 Page 6of11 • SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(core rivad) Property Address: 344 Lake Elizabeth Drive Craigville Owner: Betty Ann Lehmann Date of hwectioe: 1/15/9 9 BUILDING SEWER: (Locate on site plan) Depth below rode: � Material of construct! nn:l cast Iron/D PVC other,( xplai ) �3y m4e Ire ku Distance from pn ate water sup ly well or suction I lilt Diameter R_ Comments:(condition of joints,venting,evidence of hmJw9e,-etc.) Joints a vented through the h SEPTIC TANK / (� (locate on site plan) tl Depth below grade: Material of construction:Zoncrete_metal_Fiberglass _Polyethylene_other(explain) If tank Is(petal,list age AL Is.agge-confirmed by Certificate of Compliance (Yes/No) Dimensions: jyg&4 lira Sludge depth: /! Distance from top of sludge to bottom of outlet tee vrtmffle Scum thickness:_ i/1 Distance from top of scum to top of outlet tee or baffle: ,� lr Distance from bottom of scum to bottom of outlet jea or baffle: _/ How dimensions were determined:Mw,4 a [ Comments: (recommendation for pumping,condition of inlet and outlet tees or-baffles,depth of liquid level in relation to outlet invert, structuralintegrity, evidence of leakage,etc.) Pump tank & cesspool every 2-3 years; Tnl Pt 9 n„t1 Pt tees are in place • Li ani d level at n„t1 At i nirert i 8 fife' 6i.A Jii6h�ea l Tha tanI< i —structupaljy 89Und-. The—t-t nit 5he-t , GREASE TRAP: (locate on site plan) Depth below grade: Material of construction: —4—concrete45L4netal4LAFiberglass4APolyethylene V other(explain) AM Dimensions: Alk Scum thickness:—AQ Distance from top of scum to top of outlet tee or baffle:—Ad Distance from bottom of scum to bottom of outlet tee or baffle: Date of last pumping:ALL Comments: (recommendation for pumping,condition of inlet and outlet tees or baffles,depth of liquid level in relation to outlet invert, structural integrity, evidence of leakage,etc.) Grease trap is not prey -nt - revised 9/2/98 Page 7ortl. - SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 344 Lake Elizabeth Drive Craigville ,Mass . Ownw: Betty Ann Lehmann Data of knl"tion: 1/15/9 9 TIGHT OR HOLDING TANK:_4fiL(i- (Tank must be pumped prior to, or at time of, inspection) (locate on site plan) Depth below grade:./IA Material of construction:AA/ concretedifmetal/Ai Flberglass�,Polyethylene,Aother(expiain) A14 Dimensions: Capacity: gallons Design flow: gallons/day Alarm present Alarm level: AR Alarm in working order:Yos48 NoNA Date of previous pumping: V4 _ Comments: (condition of inlet tee,condition of alarm and float switches,etc.) Tight or holding tanks arP not lrpspnt DISTRIBUTION BOX:_NDU�'+ (locate on site plan) Depth of liquid level above outlet Invert: AM Comments: (note-if level and distribution Is equal, evidenoe of solids carryover,evidence of leakage Into or out of box, etc.) — -Distribution box is not present PUMP CHAMBER:j Q (locate on site plan) Pumps in working order:(Yes or No)—&Z Alarms in working order(Yes or No)�/Z< Comments: (note condition of pump chamber,condition of pumps and appurtenances,etc.) ump chamber is not nrPSPnt revised 9/2/98 Page 8of11 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART d SYSTEM INFORMATION(continued) Property Address: 344 Lake Elizabeth Drive Craigville ,Mass . owner: Betty Ann Lehmann Data of trupection:1/15/9 9 SOIL ABSORPTION SYSTEM(SAS).—L/ (locate on site plan,if possible;excavation not required,location may be approximated by non-intrusive methods) If not located,explain: Type: leaching pits,number: leaching chambers,number: leaching galleries,number: leaching trenches,number,length:--oy - leaching fields,number,dimensions: V overflow cesspool,number: Alternative system: Name of Technology:7A-Me ZZ Comments: 11n to condition of soil, signs of hydraulic failure,level of ponding, damp soil,condition of vegetation, etc.) Luamy sand to medium fine sand : No signs hydraulic failnrP or p i ng; Soi 1 s arP not dnm_p -Angst nr_o or eel - -- CESSPOOL: (locate on site plan) Number and configuration: Depth-top of liquid to inlet nvert: Depth of solids layer: Depth of scum layer: N Dimensions of cesspool: Materials of construction: Indication of groundwater: Inflow(cesspool must be pumped as part of inspection) , Did not pump eesspool: in the rear of the house _ This reGGpnol serviras the Hnwnztairs barhrggm. Comments: note condition of soil, signs of hydraulic failure,level of pending,Condition of,vegetation, etc.) No signs of hydraulic failure or ponding . Vegetation is normal . PRIVY:`f Nt (locate on site plan) Materjals of construction: W14 Dimensions: Depth of solids: 41R Comments: (note condition of soil, signs of hydraulic failure,level of ponding, condition of vegetation;etc.) Privy is not present . revised 9/2/98 page 9orn I - "J SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(confwwed) PropertyAddr"s: 344 Lake Elizabeth Drive Craigville ,Mass . Owrwt: Betty Ann Lehmann Date of Inspection:l/1 5/9 9 SKETCH OF SEWAGE DISPOSAL SYSTEM: Include ties to at least two permanent reference landmarks or benchmarks locate all wells within 100'(Locate where public water supply comes Into house) ;y lock cessyool A9 1000 gaflon Ay O _ �� septic tank O 0 revised 9/2/98 Page 10or11 r Q�L 0 C A/T. 0 Sj WAGE -PERMIT NO. VILLAGE IN.STA LL JS N7e,"Zllog E i ADDRESS C�55r BUILDER per, 5 DATE PERMIT ISSUED DATE COMPLIANCE ISSUED Joy I ,, ry lwf r^' kjw,1.T��,¢l� s�vi cis � j c�wJ 5e.e- ^e- �a SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) PropertyAddre":344 Lake Elizabeth Drive Centerville ,Mass . owner: Betty Ann Lehmann Date of hnpectio":1/15/9 9 NRCS Report name Soil Type_ Typical depth to groundwater USGS Date website visited Observation Wells checked Groundwater depth: Shallow Moderate Deep SITE EXAM Slope Surface water Check Cellar Shallow wells l Estimated Depth to Groundwater / A/ Feet Please Indicate all the methods used to determine High Groundwater Elevation: Obtained from Design Plans on record swved.Site(Abutting prop. , bservation hole,basement sump etc.) _4f.16etern-ined from local conditions Checked with local Board of health Checked FEMA Maps Checked pumping records _v4hecked local excavators,installers Used USGS Data Describe how you established the High Groundwater Elevation. (Must be completed) Used water contours map . Gahrety & Miller Model 12/16/94 1 revised 9/2/98 Page 11of11 i SIP } I l 0 C A TV02AIZ�--e S Cy A G E -PERMIT NO. VILLAGE I W S T A LL , SJ CqA E & ADORESS R�L-/6 BUILDER DATE PERMIT ISSUED DATE COMPLIANCE ISSUED 'TPA* i p , TOWN OF BARNSTABLE &OCATION V41 gj r e SEWAGE # 6 ✓II,LAGE 4OVff. ASSESSOR'S MAP & LOT INSTALLER'S NAME&PHONE NO. " -SEPTIC TANK CAPACITY IWd LEACHING FACILITY: (type) �X� �+ (size) NO.OF BEDROOMS BUILDER OR OWNER �rr'y /Pd� PERMIT DATE: COMPLIANCE DATE: Separation Distances een 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 etlands exist within°300 feet o le hi cility) Feet Furnished by lock cess ool � .ram. �a 1000 gallon / septic tank _ O f nnn cyallon 0 7 3 No.=.............. [...... Fx .......... THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH .T own Barnstable OF.......................................... ............. Appliration for Digpn,u al Workii C owitrurtion amit Application is hereby made for a Permit to Construct ( ) or Repair ( X) an Individual Sewage Disposal System at 3/ ..... ZF --- -------------------------------------------•-•• ...........---------------------•---•---.....--- Location-Address or Lot No. ..................................................... 12,�..Fake..ElizahetYi..11r.......Cxadgirdlla,._.MA....... Owner Address a A &.B--Oe.aep c_).QL 5exy1.ae......................................... 128..Bishs�gs..Terrace.,..H,yannis,--MA.....0260d...... Installer Address d Type of Building Size Lot............................Sq. feet U .--..Expansion Attic age Grinder (( ) Garb ) Dwelling a No. of Bedrooms...................... -------------• — aOther—Type'of Building ............................ No. of persons...............2----------- Showers ( ) Cafeteria ( ) Q' Other fixtures ............................... .. W Design Flow............................................gallons per person per day. Total daily flow............................................gallons. Gd Septic Tank—Liquid capacity............gallons Length................ Width................ Diameter.--------------- Depth................ W Disposal Trench—No. .................... Width.................... Total Length.................... Total leaching area....................sq. ft. x Seepage Pit No--------------------- Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) Percolation Test Results Performed by.......................................................................... Date........................................ aTest Pit No. 1----------------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........................ ---------------------------•-------•-----------------------••--••-•-----=---------------•-------....--•.=----..............-•-----•-••-••-•-••-••-•----•---•- Descriptionof Soil..... and.............................:........................................................................................................................... x c, w •-------------------------------------- ------ --- - -----------------------------------------------------------------•---------------------------------------------------------------...._...-•---- U Nature of Repairs or Alterations—Answer when applicable_..installation••of-a__l,.000..gallon_- eptiQ--tank, distribution_box,_•and--a__1.,000 gallon, pre-cast, stone-•packed•-leach•-pit---�overflow,�•.-• Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITiZ 5 of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has eenissued by the board of health. ign ... ..............vs a.0• - --,(... 10, /82 ale Application Approve/By./.. ..10� .82-------------------•--••-•-.............................. Date Application Disappro following reasons:-----•-•...............•••••••...--••--..................--•------•-• .................................. •----------------------------•----------......................................................................................................................................... ----------------- --- // Date Permit No...82------------------------------------------------ Issued.....101-..4182 Date A •� IN � G' R2- •--. F�s....... ..00 THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH ........... ..T.°-�...---......OF............arras table. Appliratiun for BiipuuFal Works Tomitrnr#inn Famit Application is hereby made for a Permit to Construct ( ) or Repair ( x) an Individual Sewage Disposal System at: ..127.... IJA... .................................................................................................. Location-Address or Lot No. Samuel.." ... 'xes Qn..---•-----------------------•-------•--............_ 127..T.al e-. li .bet -Zry . -------- Owner Address W` .. c4c _Cess oo S z ps._uezaace yt�r, is,---T ..,..0 0.1•----- d?o �.....� Y:. �. 12'�.. ishD Installer T Address � Type of Building Size Lot............................S q. feet �., Dwelling—No. of Bedrooms...................... _...__.............Expansion Attic ( ) Garbage Grinder ( ) Other—Type of Building ............................ No. of persons...............2----------- Showers ( ) — Cafeteria ( ) dOther fixtures -------------------------------•-----------....------..---•------------------•--------------------•----------------------...-•--------•...........---- W Design Flow............................................gallons per person per day. Total daily flow-----------_...............:........_.......gallons. WSeptic Tank—Liquid capacity...._.......gallons Length................ Width................ Diameter................ Depth................ x Disposal Trench—No..................... Width.................... Total Length.................... Total leaching area....................sq. ft. 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. 1................minutes per inch Depth of Test Pit.................... Depth to ground water--.---.______-__-______- fXq Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water-----._____-____----____ ---•---•------------------------------------------•---••--•--------•-----------•---••-•.........---......................................................... Description of Soil....Sand.............. ".d U Nature of Repairs or Alterations—Answer when applicable.__irs�alla ion--of-a-1-,000_- a��o -_��-j� .-tank, distribution bax, and a_1,000___9allon ...pxe-cast, stone-- packed leach pit---(weow�•,-. Agreement: The undersigned agrees to install the afor'edescr�bed Individual Sewage Disposal System in accordance with the provisions of TITLZ 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 the board of health. ig r.. ff.�_. -�t I�x.� ` 10ll2 Date Application Approved By. :. _-- .................----------•-•--....----------•----. ---- Date Application Disapprov or a following reasons----------------------------------------------------------------------------------------------------------------- -------------•---•--•-•--•------------------------------------------•----...---------------•-------------...----•-----------------------------10......---ti2-•-------...-------Date----...._.... Permit No..82- Issued Issued...10�..-�-YY�� Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH Town...................OF...............i, rnstable........................................... (Irr#if iratr of (SompliFanrr THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired (x ) by A.. ..R.Cesspool Service: -2E.B *1hopZt.Te.rXUCe....-J�y!annliz...1VA.....a2,5A1............................................. at127 Lake �lizabethUr ,... le Installer .__ ._ -_ . .... .... ..-• ------ has been installed in accordance with the provisions of TLr ,,,,j�of,The State Sanitary Code$ jggaf ed in the application for Disposal Works Construction Permit No.__........+�....__(O.................. dated__ ............................................. THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUE .AS A UARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE--••••-•-10f ..__.1 ................................................ Inspector........... ............ ....................................................... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH own Farnstable ..........................................OF...........::....._..._........._.................................................... �, No.g2- �� ... FEE.,$...5.00......... �iu�o��al urk� �on��rinn rrani� , Permission is hereby granted.........._.A..&.B.-Cesspool Service -------------------------------•---...---------......------•--..................... to Con t ct or Repair ) an Individual Sewage Disposal System s11L� Ilk E lizabeth r?r., Craigville, IAA - Samuel T. Freston at No..........................................................................................................................................................................................-..... Street n as shown on the application for Disposal Works Construction Permit No.' ____.. ed.._........101.1*lz..._._...... ------------------------ -------- - '...........-------_-.... ...------•--•----••-----••- 10/ /82 I Board of Health _ DATE........................... =- ........................................... < FORM 1255 HOBBS-6 WARREN. INC.. PUBLISHERS v I V yr iv Vr Dtm-4.a 1 A L r- LOCATION Y2VOP, , SEWAGE# VILLAGE 1b I/a,4 467,leff, ASSESSOR'S MAP& LOT INSTALLER'S NAME dt PHONE NO: ALA. S SEPTIC TANK CAPACITY LEACHING FACILITY:(type)/�X$ r�" (size) �J "NOS.OF BEDROOMS BUILDER OR OWNER AdT`T� o4w.w. �, I dy1,w" PERMrrDATE: OMPLIANCE DATE: Separation DistancefS"een the: e u Maximum AdJjstd Groundwater Table to the Bottom of Leaching y Facilit N Feet . � �` Private Water Supply Well and Leaching Facility (If any wells exist pn site or within 206 feet of leaching facility) �i�.., Feet Edge of Wetland and Leaching Facility(I/any etlands exist within-300 feet o le hi cility) Feet Furnished 6y - - 4e lock cess ool d NI c 1000 gallon septic tank 1innO gallon Dr' Et f• DAYE:1/15/99 PROPERTY ADDRESS: 3'44 rake Elizabet:h ,)rivg Craig ,Mass . f 02636 a 31 On the above date, I Inspected the &optic system at the above addreas. This system consists of the following: 1 . 1-6 ' x8 ' block cesspool. �vfL 2 . 1-1000 gallon septic tank. L 3 . 1-1000 gallon precast leaching pit . Based bn my Ine�ctlon, I certify the following conditions: 4• The font system is a 'title five .septic••.s:yftem. ( .78 Co-de 5 . The septic system i•s in groper working order- at the present .time . 6 . The cesspool system in the rear of the' house• is .prior to the 78 code .The cesspool is in proper working order at the present • t•ime . •Cesspools cellar., bathroom. . S`IGNATURr: !" , Name: J . P_H_acomber Jr. i ' .' 9 • Company:_J. P.Macomber. & � on• 'Inc ,, •� c4„ �� ---- Addreas•_,g.o,�_66_�___,:.�__ _ � '4ti' y Phone; THIS CERTIFICATION DOES NOT CONSTITUTE A GUARANTY OR WARRANTY JOSEPH P. MACOMBER '& SON; INC. T+nks-CsupoolYLeachflelda . Pump+d L Instilled Town Sewer Connections P.O. Box 66' Centerville, MA 02632.0066 77.5-3338 775-6412 f •rrr.+Znr.—n.rerT—aTnrnn+wtsn.s••nrtrerrrntrr+��en+.e*n+ern tsrntit++s�rrv.s•n TOWN OF Barnstable BOARD OF HEALTH SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM - PART D •- CERTIFICATION I �� •••mar•:-:er—r...=••.�rnmr.+n•rr.�rwams•.raTrt�'r—v��m.r�ttr�Tei+rww��+-Ae�re�-.ers ann.+ v.+rrr•r�•�r•—..A -TYPE OR PRINT CLEARLY- PROPERTY INSPECTED STREET ADDRESS 344 Lake Elizabeth Drive Craigville ,Mass . ' ASSESSORS MAP, BLOCK AND PARCEL # OWNER' s NAME Betty AnnLehmann PART D - CERTIFICATION NAME OF INSPECTOR Joseph P.Macomber Jr. COMPANY NAME J. P.Macomber & Soar -Inc . COMPANY ADDRESS Box 66 Centerville ,Mass . 02632 Strevt Town, or City State LIP COMPANY TELEPHONE ( 508 775 - 3338 FAX ( 508 ) 790- 1578 R CERTIFICATION STATEMENT I certify that I have personally inspected the sewage disposal, system at this address and that the information reported is true , accurate, and complete as of the time of .inspection . The inspection was performed and any recommendations regarding upgrade , maintenance , and repair are consistent with my training and experience in the proper function and maintenance of on- site sewage disposal systems . Check one: System PASSED The inspection which I have conducted has not found any information which indicates that the system fails to adequately protect public health or the environment as defined in 310 CMR 15. 303 , Any failure criteria not evaluated are as stated in the FAILURE CRITERIA section of this form. System FAILED* The inspection which I have con acted has found that the system fails to protect the j-)ublic health and the environment in accordance with Title 5 , 310 CMR 15 , 303, and as specifically noted on PART C - FAILURE CRITERIA of this inspection form . Inspector Signature A d, a Date Aly Onb copy of this ertification must be provided to the OWNER, the BUYER (where applicable) and the BOARD OF HEAL711. * If the inspection FAILED, the owner or operator shall upgrade ' the eystem. within one year of the date of the inspection, unless allowed or required otherwise as provided in 3.10 CMR 16 - 305 . partd.doc a k 1 1 e o e 8 � n {OV1,1 L-PI "EARN', 7017. jil -? { Di -5G t. EXIST. DECK a ------ O EXIST. EXIST. I u BEDROOM BATH O i 00 EXIST. EXIST. o a a KITCHEN ° DINING CLOS.I Li I I S ff4r ffi4r S - - -—-—- �� EXPANDED ANDERSEN "" ' BASEMENT $H"R I I DOUBLMUNG ' I W/ItNPAOT EXIST. I NE I �� GLAZING BEDROOM CLOS.i EXIST. 5 BATH LIVING b ' 2sx6V ' ' I O I I ' _ I ' CLOS ANDVENT FAN T§i A.SE� OUTSIDE 1 l 0 AAN2= I I _ _ _ _ _____ --------------------- - � __ =3-----J� _ NEW31 9/'x11 7Ar FOLDINGDI y LVL Sam(FLUSH) ,rp i CLOS.,4 —————— -— x a " CLOS. Sr x Sff ANDERSEN BIFOLD A.SERIES r 9'$ r4r ADH74M 6 EXIST. 9V x 6T a DECK b NEW NEW lk STUDY m BASEMENT AAN= A A YA A A4 Aq A4 3Vx67 A4 a ANDERSEN AAO A14 Sp h AND ANDERSEN BFIRST FLOOR PLAN A-SERIES AANN20- MULLED ADHU"2 AWNING W/WACf 8'� GLA23M 8ti6" LEGEND: �� F� O EXISTING WALLS ems' 13'4r CONSTRUCTION TO ® NEW CONSTRUCTONE REMOVED BASEMENT PLAN THE D RBN OMARIE 6UNI)CH SCALE : DRAWING NO.: oa,00eCO GRAL B N rNW A ®Q® COTUIT BAY DESIGN, LLC NEW ADDITION/REMODELING FOR: D , �� MIM 1/4 1 -0 43 BREWSTER ROAD IN 7108E CRAMINNI FCOWIRIMM 11 MASHPEE ,MA. 02649 HOPPENSTEADT RESIDENCE OFTMOWN _,M� umcr PH. (508)274-1166 ,1®EpNW�K181 71EWWflFx FAX(508)539-9402 ,,,R�,,,�, , 6/22/2012 344 LAKE ELIZABETH DRIVE CENTERVILLE, MA AMOPIR0P "'°O1 Al „�OF,� NEW AZEK RAKE BOARDSTO MATCH EXISTING 12 ' 2 MATCH E%IST. T�OFOF PLATE 0 00 El FIRSTFLOOR I UB-OOR TOP OF RATE BASEMENT BLAB FRONT E L E VAT I O N VERIFY ALL VALLEYS&CRICKET CONSTRUCTION IN THE FIELD . NEW RIDGE VENT NEW ASPHALT ROOF SHIiGLES TO MATCH EXISTING NEW AZEK FASCIA.FRIE M &SOFFIT BOARDS TO TOP OF RATE MATCH EXISTING Ej NEW AZEK CORNER BOARDS NOTO MATCH EXNwMn NEW W.C.SH94M FIRST FLOOR BIDING TO MATCH SUB_FLOOR EXISTING TOP OF RATE -- ❑ ❑ ❑ ❑ ■ BASEMENT � SLAB �� IIII LEFT ELEVATION RIGHT ELEVATION NEW ADDITION/REMODELING FOR: SCALE : DRAWING NO.: ®Q® COTUIT BAY DESIGN, LLC VALWRE""`�nffl"AFMT'""'°� INmamotwi BalcolarnYIC,ION 43 BREWSTER ROAD ,,,,w,o MASHPEE ,MA. 02649 HOPPENSTEADT RESIDENCE �� n eeCRAWIP AMeaaYwR"eUM PH. (508)274-1166 � �7M DATE FAX(508)539-9402 344 LAKE ELIZABETH DRIVE CENTERVILLE, MA 6/22/2012 AROW10a e f 1� INSTALL 6/B'ANCHOR BOLTS AT 3B'ac.MAX W/SIMPSON BPS 5/B.3 BEARING RATES S' Ir PLACE BOLTS WITHIN B'-16.OF EACH CORNER AND TO A B.MINIMUM DEPTH �— EXIST. >b o BASEMENT >b p N VERIFY ALL VALLEYS d CRICKET g„ CONS TRU A Ci1DN IN THE FIELD Y� �� EXIST.3-2x8GRT 0 df _EXIST.w_ooE 3'4r _71 NEW 2 x Sb E)aBT•RIDGE NEW ROOF TO BE ——— 118'oc. BUILT OVER EMST.ROOF STRUCURE I I I I I I I I I I I II I ® P.T.B x 8 POST I i I BBB END OF — -----�REMOVEEXWT.--J i i i I I P.T.2x6 BILL W/SEALER / LVL HEADER FOUND.WALLS I ____ I I NEW3_1 3/4 x11 7/B' xB I FLUSH BEAM 9-1 34'z71/P J --- LVL BEAM(FLUSH fo - I NEW 31/PDIA I I I STEEL LAMY COLUMN IIIII 4 a r------z 4NEW 3vx90'x12 I �`""` F°°'°° ��ILyO ANCHOR BOLT DETAIL NEW BASEMENT SCALE:1/2 =1'-0• ��OL NO SLAB HEIGHT) G��A EiISTINGc 4 x STEP DOWN WALL.VERIFY I HIGHT IN THE FELD W/ OWNER&EXIST.GRADES I I I d, x SOLID z x e BLOCallo a THE OUTBmE N A I A A A TWO RAFTER B CEILING JOIST BAYS q I q FOR AIR A4 A4 A4 A4 FLOW ONWE UNDERSIDE U ALLOW�DE OFF ROOF A4 I -----------J sHEATroNo -- — ---------- SOLID BL.00gNO 48'oa;. NEW B'CONCRETE FOUNDATION AT EAN TWO JOIST BAYS WALLS W/05 VERTICAL BARS AT 40'ox..6-7•FROM OUTSIDE 13LW TYPICAL ASPHALT FACE OF WALL.GRADE BO BARS ROOF SHINGLES NEW B'x 18'CONCRETE FOOTINGS \�`� 6/B'COX PLYWOOD SHEATHING W/2x`KEYTO`°BELOW`RADE FLOOR FRAMING PLAN 2x10RAF„RS `(((((( 16B FELT PAPER ROOF FRAMING PLAN WDND WASH SIMPSON H 2.5 HURRICANE CLIPS 1?$ BAR ER 37 WIDE ICE/WATER SHIELD ALUMINUM DRIP WGE NOTES: FOUNDATION PLAN INSTALL TWO FULL HEIGHT STUDS B TWO JAG( FASCIA.SOFFIT,MTCH E)GS 1•) ALL ROOF RAFTERS TO TE 2 x 10's �. STUD AT EACH SIDE OF ALL ROUGH OPENINGS 1 x s STRAPPING wi BOARDS TO MATCH EiISTfNO UNLESS OTHERWISE NOTED UNLESS OTHERWISE NOTED 1R'(iYPSUMBOARD 2.) USE(2)SIMPSON H2.5 HURRICANE CLIPS AT ALL RAFTERS ENDS wTNDow rrn.z x B WALLS VERIFY GUTTER TYPEA.AYOUT W/OWNERS DETAIL AT ROOF (ROUGH OPENING) SCALE: SCALE:1/2•=1'-0' R.O. STUD DETAIL THE ®�® COTUIT BAY DESIGN, LLC NEW ADDITION/REMODELING FOR. nMC0, SCALE; DRAWING NO.: ��,081-10 „IOLBERlMPONB98FMTMC0NnW 1/4 1-0 43 BREWSTER ROAD IN TIMN pWyNNGS F00NSTWJCnM A3 MASHPEE ,MA. 02649 HOPPENSTEADT RESIDENCE °� CR PH. (508))274-1166 7m DATE FAX(508)539-9402 344 LAKE ELIZABETH DRIVE CENTERVILLE, MA I s/22/2012 NOTES: • 1.) CONTRACTOR IS TO VERIFY ALL EXISTING CONDITIONS &DIMENSIONS IN THE FIELD `a 2.) CONTRACTOR TO VERIFY ALL INTERIOR&EXTERIOR MATERIALS, IECC2009 RESIDENTIAL ENERGY EFFICIENCY DETAILS DETAILS,&FINISHES IN THE FIELD WITH OWNER CLIMATE ZONE 5A(USE EITHER PRESCRIPTIVE VALUES OR RESCHECK CALCULATION 3.) ROUGH OPENING HEAD HEIGHT OF WINDOWS AT TABLE 402.1.1(MINIMUM PRESCRIPTIVE INSULATION&FENESTRATION REQUIREMENTS) FIRST FLOOR TO BE F-W ABOVE SUBFLOOR FENESTRATION SKYLIGHT cEB 0No WOOD FRAMED WALL FLOOR BASEMENT WALL BASEMENT SLAB CRAWL SPACE WALL 4.) ALL CONSTRUCTION TO CONFORM TO 780 CMR MASSACHUSETTS UN=ACTOR U-FACTOR R-VALUE WVALUE R vALUE R_VALUE R vxuE rwa LIE STATE BUILDING CODE,8TH EDITION AMENDEMENT&IRC2009 f 0.35 `-7 / oM_-j 1 38 1 20 30 111113 10(2 Fr.DEEP) 10113 5.) ALL AZEK TRIM TO BE PAINTED WHITE&ALL JOINTS/NAIL HOLES SEALED. NOTES: 6. 110 MPH EXPOSURE B WIND ZONE,1.50 ASPECT RATIO 1.R-VALUES ARE MINIMUMS&U-FACTORS ARE MAXIMUMS. 2.10/13 MEANS R=15 CONTINUOUS INSULATED SHEATHING ON THE INTERIOR OR EXTERIOR 7.) ALL SHEETS OF PLYWOOD WALL SHEATHING TO BE INSTALLED VERTICALLY, OF THE HOME OR R-13 CAVITY INSULATION AT THE INTERIOR OF THE BASEMENT WALL OR HORIZONTALLY W/BLOCKING AT EDGES,3-EDGE/12"FIELD NAILING 3.REFER TO IECC 2009 CHAPTER 4 FOR ALL INSULATION&ENERGY REQUIREMENTS 8.) ALL LVL LUMBER/BEAMS TO BE 1.9E U480 LOAD,VERIFY ALL SHOWN SIZES WITH LUMBER SUPPLIER NAILING SCHEDULE 9.) ALL WINDOWS&DOORS TO HAVE SILL PANS&ICE/WATER SHIELD FLASHING 110 MPH EXPOSURE B WIND ZONE 10.) FOLLOW ALL MANUFACTURER'S SPECIFICATIONS FOR INSTALLATION OF ALL JOINT DESCRIPTION NO.OF COMMON NAILS NO.OF BOX NAILS NAIL SPACING SIMPSON COMPONENTS ROOFFRAMIIG: BLOCKING TO RAFTER(TOE MAIL®) 2-ed 2,101 EACH ENO 11.) ALL CONCRETE USED FOR FOUNDATION WALLS,FOOTINGS&SLABS RIM BOARD TO RAFTER 540NAIID) aled sled EACHE0 TO BE 3000 PSI WALLFRAMOQ TOP PLATESAT OTERSECIGN®(FMf NAILED) 4.18d 5-1m ATJOINTS 12.)VERIFY ALL PLUMBING&ELECTRICAL DETAILS W/OWNERS ON THE SITE �s�TUD��N �) 2-led led 12C' ALONG EDGER DURING FRAMING CONSTRUCTION FLOORFRAMvRa 13.) THIS SITE IS IN THE 110 MPH WIND BORNE DEBRIS AREA,EXPOSURE-B- JOIST TO SILL,TOP RATE OR GIRDER(TOEMUM +m 4.10d PERJOIST END &WITHIN ONE MILE OF NANTUCKET SOUND PER STATE OF BLOCKING PAS) 2-8d5-le s10d EA1 BLOCK BLOLTUG TO SIL OR TTP PLATE(TOE NAn� s1m sled EACH gDCJI MASSACHUSETTS WIND SPEED MAPS LEDGER STRIP TO BEAM ORGTRDER(FACE NAILED) Mad 4.1m EkHJOIST JOIST ON LEDGER TO BEAM(TOE N uq sed S-1m PER JOIST 14.)GLAZING PROTECTION PER 780 CMR 5301.2.1.2 TO BE IMPACT GLAZING BANOxwr rDJoKBT(EONAID) sled 4-Ned PERJOKST VERIFY ALL WIND BORNE DEBRIS PROTECTION BNOJOTBTTOeTuaRTTP PLATE(TOEN 11lJ00 2 Tea sled TAT°RFooT REQUIREMENTS W/OWNERS PRIOR TO START OF CONSTRUCTION ROOF SHEATHING:- WOOD STRUCTURAL PAIRS(PLYWOOD) 15.)TIMBER FRAMING TO BE SPRUCE/PINE/FIR NO.2 GRADE RAFTERS OR TRUSSES SPACED RP TO IV ea m 1m W ED WF13D RAFTERS OR TRUSSES SPACE)OVER 1T na ed im 1•EDOE/4'FTE.D NEW ROOF COAST. GABLE END WALL RAKIE OR RAKE TRUSS W/O NG ad /m VEDGEWFIELD GABLE END WALL RAKE OR RAKE TRUSS m 10d e-EDGEWF13D 1.2 x 10 RAFTERS Q IV Oc. WI STRUCTURAL ouiLOONERS 2.5W COX PLYWOOD SHEATHING GABLE ENO WALL RAID:OR RAID=TR18S W/LOOKOUT BLOCKS ed tm P EDGEW FEW 3.ASPHALT ROOF SHINGLES CEILING SNE THNG: 4.15 0 FELT PAPER CONT.RIDGE VEER GYPSUM WALLBOARD m COOLERS - T EDiEMO-FE D 5.11- )BATT INSULATION IN CELINGS 8.2 x 12 RIDGE BOARD WALL SNEATHI G: 7.SIMPSON H2.5 HURRICANE CUPS AT ALL RAFTERS WOOD STRUMURAL PANELS(PLYWOOD) 8.icEmATER SHIELD AT BOTTOM 3P OF ROOF STROB SPACED LP TO 241on ed ,m FIELD EDGEMr FD 9.PROP-A VENT VENTILATION CHUTE BETWEEN RAFTERS 1/r&25WF193MOAFWPANES ed - r®GETFIELD 10.WIND WASH BARRIERS 2 x B TES @ 1T oA 1!r GYPSUM WALLBOARD ed COOLERS - T LDGEMT FIELD LIATICH FLOOR SHEATHIN& 12 WOOD STRRICTURAL PANELS(PLYWOOD) EXIST. WOOD LESS TISdGFSS m ,m T EDGEMr FIELD TOP OF PLATE 2 x e'°®18'oa GREATER THAN 1•Tfg046 1m Ted T®GET FIELD CONT.AW&8N NE'W,/r GYP.BOARD SOFFIT VENTS ON STRAPPING NEW WALL CONST. �1T llro'moa NEW ,.2 x 5 STUDS®1T oJl STUDY 3'6,err(R-Mi GATT Po PLYWOOD e LATIO N 4.1/r GYPSUIM BOARD NEW 3a•ADVANTECH 5.W.C.SHINGLE SIDING PLYWOOD SUBFLOOR. 8.TYVEK VAPOR BARWR(EXTERIOR) FIRST FLOOR GLUED&NAILED 7.POLYVAPOR BARRIER PITERIOR) SUBFLOOR 3013 L x oc. NEW T(R-00) GATT 04WL NEW T CONCRETE FOUNDATION WALLS W/S5 VERTICAL BARS NEW AT 48'=.5•r FROM OUTSIDE FACE OF WALL'GRADE SID BARS BASEMENT DAMP PROOF WALLS BELOW GRADE 4.OONC.SLAB P.T.2 x 8 SILL W/SEALER NEWT x 1S'CONCRETE FOOTINGS W/2 x 4 KEY TO 410 BELOW GRADE r RIGID 4 INSULATION + (R10) as A I' BUILDING SECTION @ STUDY ;T MTHE DESKINER- ®Q® COTUIT BAY DESIGN, LLC NEW ADDITION/REMODELING FOR: L� SCALE; N DRAWING NO.: OROM ISKMAREFOLIODN THM DRAWDM PRIORTO BrARrOF 43 BREWSTER ROAD INmmam MEW EaMSYMCI IN 1/4 1 -0 C 7NEDEORAYII/IOB ffN9rF Ktl1 INE DOIOB/CFD WRIOUTMOIPY01071f! A4 MASHPEE ,MA. 02649 HOPPENSTEADT RESIDENCE OESIN610PANY9ESCUR FOR7N U OPTEDW1YI01fi8AKEAMOTHERUEOF DATE PH. (508))274-1166 �� 7NEVfifrn FAX(508)539-9402 344 LAKE ELIZABETH DRIVE CENTERVILLE, MA r�Nm 6i22r2012 ACT OF 1= CEN TERVILLE PINT 15.54 O� BASw CAT LOCUS �" C) G O 15.6/ �T O 1 V PARCEL ID: �v 15.6/ �^� 227/030 W pG,Qq S6 , r 00 TBM: TAGBOLT �/ Rrl� / �7?' CRAIG�R�A4�A ON HYDRANT v/ / 70 EL=19.00 �/ 1 o"P 'oo 5"P 15.4 \675. W \ TgNaq� LOCUS MAP O LOCUS INFORMATION / \�v �O. ?-�L10"P L.P. LAM PLAN REF: 118/3 v IS TITLE REF: 12100/281 PARCEL ID: MAP 227 PAR. 31 ZONING: "RC" 20-10-10 W ,h FLOOD ZONE: "C" COMMUNITY PANEL: 250001-0008-D DATED:07/02/92 o _ CERTIFIED PLOT PLAN a�,sy s98 ^� #344 _- (PROPOSED ADDITION) DWELLING - LOCATED AT: UPOLE p Ss .7 344 LAKE ELIZABETH DRIVE �. qp A _ _ _ , ---- oHw 7ooF TOF=22.70_ CENTERVILLE, MA. 1 PREPARED FOR cEssPooL THOMAS R. HOPPENSTEADT & ° AD PARCEL ID: KATHLEEN E. McMAHON � - -_-_ ,moo' 227/099 JUNE 22, 2012 w ry PARCEL ID: 227/031 I.P. AREA=11,587t S.F. P��H of M4ss9 PARCEL ID: Is4 �� EDWARD cys r r 227/032 s4 A. V, ro . STONE N .289 �! No c := PARCEL ID: C Ln � r•, 227/100 6 MacDougall Surveying GRAPHIC SCALE 8c Associates P. O. Box 2428 20 0 10 20 40 .80 Mashpee, Ma. '02649 PH. (508)419-10.86 ( IN FEET ) fax 508 419-1087 1 inch = 20 ft. email: macdougallsurvey@comcast.net SHEET 1 OF 2 J#1438