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Home My WebLink About0002 LONGFELLOW DRIVE - Health 1. 2 Longfellow Drive ti Centerville A = 1.88 - 043 EA/ SMEAD No.2-153LOR UPC 12534 smasd.com • Made In USA FBBIUS®N/W PR001lCFW S�IMHRnEsouRwGOKKERA rs OFn*SR PROGRAM CER7IRED SOURCING WUIWWWROCAMOM O V V + � v (V) � � r �- 93)No. Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS 2ppliLation for -MIsposal *pstrm Construction permit Application for a Permit to Construct(vr Repair( ) Upgrade( ) Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. 1. \On ft�\,J Owner's Name,Address,and Tel.No.(A'A'V� Assessor's Map/Parcel 300 Do m ouol Installer's Name,Address,and Tel.No.`tea y Ci`;i�e s*cp 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( ) Other Fixtures Design Flow(min.required) gpd Design flow provided gpd Plan Date Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. Description of Soil Nature of Repairs or Alterations(Answer when applicable) ,� ;w CZAR A K, .I— C.r Date last inspected: Agreement: The undersigned agrees to ensure the construction and mai tenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Enviro Code and not to place the system in operation until a Certificate of Compliance has been issued by this Bo ealth. Sign Date Application Approved by Date Application Disapproved by Date for the following reasons Permit No. Z'p Date Issued 4�A - ', No. Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: . PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE,vMASSACHUSETTS Yes _0 Zipplitation for Misposal *pstem Constr ittion Permit Application for a Permit to Construct(Vr Repair( ) Upgrade( ) Abandon( ) Complete System ❑Individual Components Location Address or Lot No. Z. ��(� ��av� �`- Owner's Name,Address,and Tel.No.fAu('j)%_j %-%b, NLa�t V F- ®r,t Assessor's Map/Parcel 188 04 3 *3404 50S .. t4, o2 e Installer's Name,Address,and Tel.No.totj G;�;�,4nc,�l 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( ) Other Fixtures Design Flow(min.required) gpd Design flow provided gpd Plan Date Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. I Description of Soil w � Nature of Repairs or Alterations(Answer when applicable) Fu:1,� tnaz ar%6 soarj sk 1'' ,}- Or (sA ra.a e- +e, I-k r -- S nT'L 't'"9 i►�/ V, -r>` i)�`` ;der �k `-�.cr and t \may —�1� SZ, v 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 Enviro nta CI' ode and not to place the system in operation until a Certificate of Compliance has been issued by this Bo d ealtl<I' th. I. Signed Date ' �► Application Approved by Date Application Disapproved by Date for the following reasons r Permit No. Date Issued Ct), o�J Z__% THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE,MASSACHUSETTS Certificate of Compliante THIS IS TO CERTIFY,that the On-site Sewage Disposal system Constructed Repaired( ) Upgraded( ) Abandoned( )by �on�, !b�C Y o J R�t(.e at 2 i +ram\�o�n� _��a has been constructed-in accordance with the provi�'ons o Pule 5 and the for Disposal System Construction Permit No�CI)g$ �^dated `Installer Designer #bedrooms Approved design flow and The issuance of this pe it sh ll not be construed as a guarantee that the system ill funcri n as designe Dated 1 Inspector -------------------------------------------------------------------------------------------------------------------------------------- No. Fee THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION- BARNSTABLE,MASSACHUSETTS disposal *pstrm Construction 31ermit Permission is hereby granted to Construct lV )� Repair( ) Upgrade( ) Abandon( ) System located at G 0✓-,f\ �� (✓i, ( b i .(( and as described in the above Application for Disposal System Construction Permit. The applicant recognized his/her duty to comply with Title 5 and the following local provisions or special conditions. Provided:Construction must be c•mpleted within three years of the date of this pe Date �� , '� 1 Approved by ti o Doc: 1.353:489 08-30-2018 8:38 BARNSTABLE LAND COURT REGISTRY DEED RESTRICTION WHEREAS, John E. Murphy Jr and Nancy E. Murphy Trustees of 2 Longfellow Drive Realty Trust u/d/t dated November 11,2009 document No 1128050, Certificate of Title No 190049 of 2 Longfellow Drive, Centerville MA 02632 , are the owners of_2 Longfellow Drive located in_Centerville MA , and being shown as Lot 62 on Land Court Plan 24614-C. WHEREAS,John E. Murphy Jr. and Nancy E. Murphy Trustees_, as the owners of said lot have agreed with the Town of Barnstable Board of Health to a restriction as to the number of bedrooms which can be included in any home built on said lot as a pre-condition to obtaining a disposal works construction permit in compliance with 310 CMR 15.00 State Environmental Code,Title V,Minimum Requirements for the Subsurface Disposal of Sanitary Sewage; WHEREAS,the Town of Barnstable Board of Health, as a pre-condition to granting a disposal works construction permit for a septic system in compliance with 310 CMR 15.200, State Environmental Code,Title V,Minimum Requirements for the Subsurface Disposal of Sanitary Sewage, and authorizing the issuance of a building permit for the construction of a single family home on this property, is requiring that the agreement for the restriction on the number of bedrooms in any house constructed on the lot be put on record with the Bamstable County Registry of Deeds by recording this document. NOW, THEREFORE, the Trustees_do hereby place the following restriction on the above-referenced land in accordance with their agreement with the Town of Barnstable Board of Health, which restriction shall run with the land and be binding upon all successors in title: 1. 2 Longfellow Drive, Centerville , MA may have constructed upon the lot a house containing no more than three(3) bedrooms. The Trustees agree that this shall be a permanent de_ed restriction affecting the house located on_2 Longfellow Drive Centerville,MA, and being shown as Lot_62 - on the Land Court Plan 24614-C For title see Deed filed with the Barnstable Registry District of the Land Court as Document No 1128051 on Certificate of Title No.190049. Property Address: 2 Longfellow Drive, Centerville, MA 02632 Executed as a sealed instrument this Jday of August 2018. J4m4urphy62 T t Nancy E. Murphy Trustee CO NWEALTH OF MASSACHUSETTS Barnstable, ss. On this day of_August, 2018 ,before me, the undersigned notary public, personally appeared 166&£. x.$SA!) c_ma , and proved to me through satisfactory evidence of identification, which was a MA driver's licenses,to be the persons whose names are signed on the preceding or attached document, and acknowledged to me that they signed it voluntarily for its ted ose. ' 4 N r Publi My commission expire 10 ) r �r !r .f: acknlNIFAMOged •• ' be free act and.deed before me, the same to be Notary Public My com pim • (dgte) -deed re-,., qJ, /) trustee(s) of the 144�jt:*t- v D�I �14 under a Declaration of Trust Jedo7VI�id registered as Docume_ t N t-lik — "/d . hereby certify that: 1. Said trust is in full force and effect, 2. All the beneficiaries are of full age. 3. All the beneficiaries are competent. 4. All the beneficiaries of said trust have consented to the Signed under the ain and nalties of perjury thisday of ,�U �'� 20/g7' us e Trustee BARNSTABLE REGISTRY OF DEEDS John F. Meade, Register BARNSTABLE COUNTY REGISTRY OF DEEDS A TRUE COPY,ATTEST_ JOHN F.MEADE,REGISTER P 9 11 1 9 BORTOLOTTI CONSTRUCTION, INC. �r 45 INDUSTRY ROAD, MARSTONS MILLS, MA 0261 Ci 508-771-9399 508-428-8926 FAX: 508-428-9399 9 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION Property Address: Date Of Inspection Ii spector's Name: /Olner's Name and Address: CERTIFICATION STATEMENT: 1 Certify that I have personally Inspected the Sewage Disposal System at this address and that the informa- tion reported below is true,accurate and complete as of the time of Inspection. The Inspection was perform- ed based on my Training and Experience in the Proper Function and Maintenance of On-Site Sewage Dis- posal Systems.Tile system: 1 Passes Conditional as es Needs Fu i E I on By the Local Approving Authority Failure Inspector's Signature Date: The System Inspector shall submit a copy of this Inspection Report to the Approving Authority with 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 Department of Environmental Protection. The Original should be sent to the System Owner and copies sent to the Buyer,if applicable and the Approving Authority. SUMMARY: A) SYSTE PASSES: I have not found any Information which indicates that the System violates any of the fail- ure criteria as defined in 310 CMR 15.303. Any Failure Criteria not evaluated are indi- cated below. B) SYSTEM CONDITIONALLY PASSES: One or more System Components need to be Replaced or Repaired. The System,upon completion of the Replacement or Repair,Passes Inspection. Indicate yes,nor,or not determined(Y,N,OR ND). Describe bases of determination in all instances. if"not determined",explain why not. The Septic Tank is Metal,Cracked,Structurally Unsound,shows Substantial Infiltration or exfil- tration,or Tank Failure is imminent. The System will Pass Inspection if Existing Septic Tank is Replaced with a conforming Septic Tank as Approved by the Board Of Health. 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): - 1 - F :"SUBSURFACE SEWAGE DISPOSAL SYSTEM ,INSPECTION FORM PART A CERTIFICATION (continued) Broken pipe(s)replaced Obstruction is removed Distribution Box is leveled or replaced The System required pumping more than four times a year due to broken or obstructed pipe(s). The System will pass inspection if(with approval of'File Board Of Health): Broken pipe(s)are replaced Obstruction is removed. 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 the Public Health,Safety and the Environment. 1)SYSTEM WILL PASS UNLESS BOARD OF HELATH DETERMINES THAT THE SYSTEM IS NOT FUNCTIONING IN A MANNER WHICH WILL PROTECT THE PUBLIC HEALTH AND 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. 2)SYSTEM WILL FAIL UNLESS THE BOARD OF HEALTH(AND PUBLIC WATER SUPPLIER,IF APPROPRIATE) DETERMINES THAT THE SYSTEM IS FUNCTION- ING IN A MANNER THAT PROTECTS THE PUBLIC HEALTH AND SAFETY AND THE ENVIRONMENT: The system has a Septic Tank and Soil Absorption System an_d is within 100 Feet to a Surface Water Supply or Tributary to a Surface Water Supply. The System has a Septic Tank and Soil Absorption System and is with a Zone 1 of a Public Water Supply Well. The System has a Septic Tank and Soil Absorption System and is within 50 Feet of a Private Water Supply Well. The System has a Septic Tank and Soil Absorption System and 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 from pollution from the facility and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm. D)SYSTEM FAILS: I have determined that the System violates one or more of the following Failure Criteria as defined 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. Backup of sewage into facility or system component due to an overload 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 clog- ged SAS or cesspool. E, 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 ill the last year N01due to clogged or obstructed pipe(s). Number of times pumped - 2 SUBSURFACE SEWAGE DISPOSAL 'SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) 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 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. 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: The following criteria apply to a large system in addition to the criteria above: The design flow of a system is 10,000 ggd 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:. -The system is within 400 Feet of a surface drinking water supply The system is within 200 Feet of a tributary to a surface drinking water supply The system is located in a nitrogen sensitive area Interim Wellhead Protection Area (IWPA)or a mapped Zone 11 of a public water supply well. The owner or operator of any such system shall bring the system and facility into full compliance with the groundwater treatment program requirements of 315 CMR 5.00 and 6.00. Please consult the local regional office of the Department for further information. SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B CHECKLIST Check if the following have been done: Vrgumpin information was requested of the owner,occupant,and Board of Health. None of the system components have been pumped for atleast two weeks and the system has been receiving normal flow rates during that period. Large volumes of water have not been introduced into the system recently or as part of this inspection. s-built plans have been obtained and examined. Note if they are not available with N/A. 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. l 11 system components,excluding the Soil Absorption System,have been located on site. the septic tank manholes were uncovered,opened,and the interior of the septic tank was in- spected for condition'of baffles-or tees,material of'con'struction,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 or approximated by non-intrusive methods. - 3 _ ' SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B CHECKLIST(continued) The facility owner(and occupants,if different from owner)were provided with information on the proper maintenance of Subsurface Disposal System. SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C _ SYSTEM..INFORMAT'ION. - _ _... ._ -- FLOW CONDITIONS RESIDENTIAL: " Design Flow:330 gallons Number of Bedrooms: L? Number of Current Residents: Garbage Grinder: Q Laundry Connected To System:ISeasonal Use: /(,O Water Meter Readings,if vailable: Last Date of Occupancy: COMMERCIAL/INDUSTRIAL.: " "Od Type of Establishment: ; Design Flow: gallons/day- Grease Trap Present:-(yes or no) Industrial Waste Holding Tank Present: Non-Sanitary Waste Discharged To The Title V System: Water Meter Readings,If Available: Last Date of Occupancy: OTHER: (Describe) Last Date of Occupancy: GENERAL INFORMATION PUMPING RECORDS any source of information: AP19, Apo 04 System Pumped as part of inspection: If yes,volume pumped: gallons Reason for Pumping: TYPE OF SYSTEM: ✓Septic Tank/Distribution Box/Soil Absorption System Single Cesspool Overflow Cesspool - Privy Shared System(if yes,attach previous inspection records if any) _.. . Other(explain): AJ�PROXIMATE AGE of all coin ponents,date installed(if-known)and source of.information: Sewage odors detected when arriving at the site: -4- SUBSURFACE SEWAGE'DISPOSAL SYSTEM INSPECTION FORM' PART C GENERAL INFORMATION (continued) SEPTIC TANK: Depth below grade: Material of Construction: concrete metal - FRP Other (explain) Dimensions:jRS' 'X S` Sludge Depth: Scum Thickness: Distance from top of sludge to bottom of outlet tee or baffle: 3?— Distance from bottom of scum to bottom of outlet tee or baffle: /Z Comments: (recommendation.for pumping,conditioin of inlet and outlet tees or baffles,depth of liquid level r in rela 'on to o tlet invert,structural integrity, vidence of leakage etc.) C] ii 4 /7 GREASE TRAP: 19t&— Depth Below Grade: Material of Construction: concrete metal FRP Other (explain): Dimensions: Scum Thickness: Distance from top of scum to top of outlet tee or baffle: - 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.) TIGHT OR HOLDING.TANK:_<� /w Depth Below Grade: Material of Construction: concrete metal FRP Other (explain): Dimensions: Capacity: gallons Design Flow: gallons/day Alarm Level: Comments:(condition of inlet tee,condition of alarm and float switches,etc.) DISTRIBUTION BOX: Depth of liquid level above outlet invert: 14 Comments: (not if level and distribution is equal,eviden a of solids carryover,evid ce of leakage into or out of box,etc.) PUMP CHAMBER:/121�— Pump is in working order: Comments: (note condition of pump chamber,condition of pumps and appurtenances,etc.) - 5 - SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION.FORM PART C SYSTEM INFORMATION(continued) SOIL ABSORPTION SYSTEM(SAS): (Locate on site plan,if possible;excavation not required,but may be approximately by non-intrusive methods) .If not determined to be present,explain: Type Leaching pits,number: Leaching chambers,number: Leaching galleries,number: Leacahing trenches,number,length: Leaching fields,number,dimensions: Overflow cesspool,number: Comments�;(note coni tion of soil,si s of hydraulic failure level of p ndin , ondition of vegetation,etc.)_ CESSPOOLS . 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(cesspool must be pumped as part of inspection) Comments: (note condition of soil,signs of hydraulic failure,level of ponding,condition of vegetation, etc.) PRIVY Materials of construction: Dimensions: Depth of Solids: Continents: (note condition of soil,signs of hyddraulic failure,level of ponding,condition of vegetation, etc.) - 6 - SUBSURFACE SEWAGE.DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) SOIL ABSORPTION SYSTEM(SAS): 1� (Locate on site plan,if possible;excavation not required,but may be approximately by non-intrusive methods) if not determined to be present,explain: Type Leaching pits,number: Leaching chambers,number: Leaching galleries,number: Leacahing trenches,number,.length: Leaching fields,number,dimensions: Overflow cesspool,number: Co iments- (note coni tion of soil,si s of hydraulic failure level of p ndin ,condition of vegetation,etc.)_ Y CESSPOOLS . . Number and configuration: Depth-top'of liquid to inlet invert: Depth of solids layers Depth of scum layer: Dimensions of Cesspool: Materials:of construction: Indication of groundwater: Inflow(cesspool must be pumped as part of inspection) Comments: (note condition of soil,signs of hydraulic failure,level of ponding,condition of vegetation, etc.) PRIVY: Materi sag of construction: . Dimensions: Depth of Solids: Comments: (note condition of soil,signs of hyddraulic failure,level of ponding,condition of vegetation, etc.) _ 6 _ F SUBSURFACE SEWAGE DISPOSAL.SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) SKETCH OF SEWAGE DISPOSAL SYSTEM: Include ties to atleast two permanent references,landmarks or benchmarks. Locate all wells within 100 Feet. 4 y DEPTH TO GROUNDWATER: / Depth to groundwater:. �b Feet Methoo of lJotermination or A prox'nation: l e W 7 - `A•'�TON�� lJI�' SEWAGE # Q GE -- .i' `� Q ASSESSOR'S MAP& LOT , fALLER'S NAME & PHONE NO.�� M �C3GLtux IC S 7.ZSJU� TIC TANK CAPACITY GY.t L_ CHING FACILITY-.(type} `� S (s3ze)_W jd t�4.s4'(►,+_c m OF BEDROOMS��PRIVAT$ WELL PUBLIC ATEP! ta� r _DER OR OWNER N c+i E PERMIT ISSUED: III CD E COMPLIANCE ISSUED: LANCE GRANTED: Yes No IL qoq w �1� •c..��-L(._. _ �Z 5� J (U i O C m r7 TOWN OF BARNSTABLE LOCATION \ SEWAGE # ASSESSOR'S MAP & LOT INSTALLER'S NAME & PHONE NO.� M 7--t&J\l/�'? .. y 1 SEPTIC TANK CAPACITY C3"GI L> LEACHING FACILITY:(type) 3��,�rt,.,)NJ-4 (size) Wfa P S � NO. OF BEDROOMS c� PRIVATE WELL <PUBLIC ATER BUILDER OR OWNER � MAJC, DATE PERMIT ISSUED: �cl� DATE COMPLIANCE ISSUED; e✓�./ 4- 7` ' a VARIANCE GRANTED: Yes No y . ' I t G2 4 (hX O A Aro TA lr\gNO c� Q 3y THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE Ati 1 ��lirtttinn for �lt� �� al Wnrb� Cnnwitrn.r#inn Frrmit Application is hereby made for a Permit to Construct ( ) or Repair ( an Individual Sewage Disposal System at: 9....L ...... ... ....._.... Lo ition Address _ Lot No. \1 c�n._1 _.._.....�_> I .............. O�c er ddr s Installer Address UType of Building Size Lot............................Sq. feet �.� Dwelling— No. of Bedrooms......_.Q:_s----------------------------Expansion Attic ( ) Garbage Grinder ( ) a Other—Type of Building ---------------------------- No. of persons---------------------------------- Showers ( ) — Cafeteria ( ) Otherfixture --------------------------------------- ------------------------------------------------------------- W Design ,Flow________________ ________.. .__..gallons per person per day. Total daily flow............................................ WSeptic Tank—Liquid capacity..l0_O�Pgallons Length---------------- Width................ Diameter................ Depth................ x Disposal Trench--No. .................... Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No..................... Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) 1.4 Percolation Test Results Performed by.......................................................................... Date........................................ Test Pit No. I................minutes per inch Depth of Test Pit.................... Depth to ground water........................ 44 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ 9 ---------------------------------------------------------•-•-------••---------..---••---------------------------------------------...------------........... ODescription of Soil............................................................................................ ---------------------------• ............................................... x U w ----- -----........................... Nature of Repairs or Alterations—Answer when a licable._._._... ... �.____- ........ U P PP I------------------ U ............. -0_5�...... �- ` ` ._ lk�. _� � h....�. ��=SOS-t Agreement: r The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Environmental Code—The undersigned further agrees not to place the system in operation until a Certificate of ComplianAe has been issu health. Signed ..... ... .. ...................... ...�/..�.e�`�....4.. Application Approved By . FG _0 "" ..... .................. Dare Application Disapproved for the following reasons: ................... ............................... ......- ............................ .................................. ........................................................ .. .... - - . .......................... . . . .................................... .............. - ................... p� -e Permit No. 9001-1%"".._�.. ...1J Issued o Date 00 Fmc... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE Appliration for Uirivmi al Works C omitratrthin Frrutit Application is hereby made for a Permit to Construct ( ) or Repair ( (/f an Individual Sewage Disposal System at, rsc - .:..... ...-L , Q�.s......................... ••• - � � ? ��..�.. �Sd.roga��n-�ddress- � t� j�_�-� Lo o--------- ------ -----••-•---••---- II C. _ - '.. tN ..... --•-•• ---- ............................. On ier ddr s Installer Address Type of Building r� Size Lot............................Sq. feet DwellingNo. of Bedrooms......_._ _.*�_. -:Ex— : :___ _ pansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ---------------------------- No. of persons---------------------------- Showers ( ) — Cafeteria ( ) da' Other fixtures -.._....•.1............... . . .. ..................................t -- . ... ----------............................. .......................................... Design Flow............................ r< �' gallons per person per day. Total daily flow............................................gallons. WSeptic Tank—Liquid capacity....____.UgalIons Length--.------------- Width---------------- Diameter.-..------------ Depth................ :V. Disposal Trench--No. .................... Width...........•--------- Total Length.................... Total leaching area....................sq. ft. 3 Seepage Pit No--------------------- Diameter-------..........._ Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ). Percolation Test Results Performed by.......................................................................... Date........................................ Test Pit No. I................minutes per inch Depth of Test Pit.................... Depth to ground water........................ 44 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ -----------------------------------•---------------•-----------•-----•--•-----•-••-•---•--•-----•............................................................ 0 Description of Soil......................................................................................................................................................................... U ---•---•----------------•-------------....--------...-----------------......-----------•-----------------------------------•----•---------............................................................. UW ••••••••.........................•-•-----•------•-•------•-•--------••. ............................ --------- --- ------- Nature of Repairs or Alterations—Answer when applicable._______ --••••-- � G ________ _________ _C_ - _ - ?G ` •-e.O _ Agreement: ` The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Environmental Code —The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been issu �b}- �a-rd-ofhealth. Signed ... ...._ . .- -----=--- . .......'�J......- .. .................................. �} Dare ApplicationApproved By .............. �(... ...... ............................................. ..................._. .t7........ Dare Application Disapproved for the following reasons: .......... ........................................................:....... ..... . ........................................ ......................................................... .. . ............................... ...................... p� ........................................ -Daze Permit No. �'�'' .._.. Issued ......................................................../. Dare THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE Cer#ifiratr of Contyliartre THIS IS TO CEKTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired ( �) by ......... �-C.( Y..�'-n1�K....._---------------------------------... -....... _..--- - •" Ins�allcr at ............. .....(_{.;.r1 ._1 -�.� 1. ...........�_( -----------..cA k'S�-'�J1..�.z......---..... .......... - has been installed i.daccordance with the provisions of TITLF 5 of The State Environmental Code as descr'bed in the application for Disposal Works Construction Permit No. _. .... ...._ j.j..... dated r,�� .,Zf.. l THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUE AS A GUARANTEE THAT THE SYSTEM WILL UNCTION SAT.IS,FACTORY. __ Inspector ........................ ..---...----.-.------......--...'............. DATE.............. i � I -----------------_ ---------------------------------- -------------- THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE No. ..r.. � FEE.. �....��..'J RapnoFal Works Tuntrurtion "rrntit Permission is hereby granted--------- cc_-) :_�:. . --------------------------------------------- to Construct ( ) or Repair an Indiyyrlual Sewage Disposal �gtem , atNo........ .....iLC)_11.'_.)............ ................... ---•----------- --------------- ............................ styy�ej as shown on the application for Disposal Works Construction Permit _•?"..'` __ Dated.._._,r .'.. "�.. ...._.r ..--•-•-•-•••••••.. --- - - -xt. t.9.--. ..... Board of Health --------DATE.---•------ --.----1------•-•-=--�-----------•--------------•---•- FORM 36508 HOBBS&WARREN.INC..PUBLISHERS FINE -0" LINE ARCHITECTURAL DESIGN li 4'-B" 1'-10• ' " •-10" 4'-8• ' mry soBr2o-t2s6 HM-:9K B\ 84Y 4026M NOTE$: REFINED DRAFT. I I i 1 DH I 1/4 4-4 B 4 Ttua4to . so vaxbo va• . UP Bra 5ECOND FLOOR ' • 4 oAlc 9 Q _ 2BbB 4 4 - ry 5TL BM.A9P/E FWSN .. -Y O TW2446 B'-T T-5' 3-Tri2446 - 30 1/B'XSb T/B' O GE 60 1/B'x56 l/B" IT GARAGE - PLATFORM � ryb STEP t' 9 F-——————— I I I I TYV24410 - - I 1 I 30 vB•xbO va• r • I I I I 9070 90'f0� Vq-01 J.-O q-01 ' I 1 I mj -0" 10'-0" K 4•-6' J FIR5T FLOOR PLAN I 5EGOND FLOOR PLAN C� 5CALE:1/4 =1'-0" 5GALE:1/4 =1'-0" w Q rr vJ Q (3/PT 9 1/a•LVLB /`� 11 11'-1' :2 ---- -- ---------------- ----- ------------- 1 (3/2,B HOR f91]xB HOR (3)2x8 HDR I MURPHY r� ---------------------- ----------- I r3�, H GARAGE I ,,II I It`I I I I I I 91 119 I I O.. o I _, I I I qq Sato cwn ISSUE I I I I j � j sErrssuE aTEs IMTE I'it l I I I GARAGE I`•< I'D a Ib-1.c. TO— 4 i i sn Br _ ___________ 5T DN TO (]1 16'LVL MDR _ T 4xb R3T ON TO ______ M 0 v I I I 1/2'LVL HDR axa TON TO f3)9 VT LV HOR 5TL BM 12�j s k AMCMOH Bol. I I Dael I I 1 'I I ano a,b• .c. , I 9 I `I 1f .• I n I a �';;I 1 :• I f3 2IB DR 9)2xB HD I FLOOR PLANS I�: ---------- — ;. I 3)2x10 H R (91 ,O DR (B)DclO H 91,0 0 16.O.C. —_ 26•-0' I � I J L FOUNDATION PLAN 2ND FLOOR FRAMING ROOF FRAMING L A2 5GALE:1/4 1'""= -0" SGALE:1/4"„=1'-O" 5GALE:1/4""=1'-0" DAIS D/IB/ptl =e. ___.__._....--•-__-- z . NeP!CT MRdRp7 ALL fDO6TG v` 0 • TO TTOEN a COMPLIANCE WITH C B s j PfRRtOO7OO W -� "AOT LCALi DRAWING{POR OMHNGONE. ANY M6bINGG,, W. ADLi DIMRNBIONe NOT BROUGHT TO THi ATT7tNT10N Mi T13 Ri1PONNBLLIT'(OP T1p:CONTRACTOR -� � IIl .!BY STRUCTURAL PJKINEER/DEGGRER R _ TR AND PRIOR TO 1 GRROft WALL PLASTRR 5DJ PrAWK Y TO ADAWT IRJGHT OP NCW POWNDATIOµ TO ALIGN NEW - U `O lJOSTG NNReH PLOOR IL•11 V2' .K JOISTS 10 TS DE P UNDER ALL PARALLEL P pNS.ARTTT p e'TTIRAL DRAWN Colutilt.G POR LOCATORS Of ALL STRUCTURAL e Z r1 10 O 3/1' P-O' Z 1- TTING WA LLS E 2 RUCTION ,1 b®TNG O 1 ARE X'S CO ST N cofortnRR N LLS ASOV! AeOV! W 4 AR S S E SHOWN A 2X 'S 4 Rfi »ff i OR i Iu,.T TO PRICE OUT 2XL WALLS :.::•::'::;•::tt•:;•::::t;:•:::t;•;:•::::::t_:::•::•::�:•::•:::::•'.-:::.:-::::.-::. : :.: ADDITION ................................... ........................................ ... .... ......... . 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O '• BREEZEWAY Q ;x s I ._ pp{p RBATH 1: O E— O 6€V RENOVATED f O wEn •1 F MASTER Z Q F Y CLOSET HALL`_:. FALL ma KITCHEN i eon .. Po6r Rm iu016�m KN*(4Kw tT01 Fm V 2 00, R M"Tw atamwu"T - � z s4 Ra am ISM AIIOMI -a - fm to=2"WIN SLAB srR .. vFi 71 .®sa NWW am AewW L�BE ��A ImteuL mlfel<Effwm — o gs � ei $q ii MASTER pmOxQ70 � ¢ 91 Byy�pit. T POmAa 91, BATH. DININGRO = m lit acaG LP T L1 Ne ~ a°Rtp[ i i QQ r sd��yy1 4aR ypB b _ llA1P0E1 � i 7G b �E�18i4��L��k'€��QC 1 1 4— Mir IYM t RETDTYI LX T6 RAAJU "wm I , Z Q�L W BmmeNlJIwjm COMACTTIR m 11-COMM=STA AR V O KI�.Wq Q m 1 mm m!lilcm IR RM I V!.WN 11TAIS OACC MR A n•••`_Of V-r. -1 •A C)�� IL 30= WINDOW t DOOR SCHEDULE °0 w 10. MANUFACTURE TYPE R.O. REMARKS a tj tj w Uj 1442 ANDERSEN WD DBL HUNG T-C V8'x 4-5 1/4' - O Z 2444 ANDERSEN IUD DBL HUNG 2-L V8'x 4-1 1/4' -1 LU nU 1432 ANDERSEN IUD DBL HUNG 2'-L V8' x 3-5 1/4' 1L w 14310 ANDERSEN WO DBL HUNG 2-4 VB'x 4-1 1/4' T24111 ANDERSEN TRANSOM 2•-1 V8' x 7-1 1/6' I BASEMENT WINDOW 2'-8' x I-1' t . I ILOLS ANDERSEN SLIDER C-O'x 6-8' ' L ALL ilCl'fiR10R WALLS*HALL BE 2X4 ERIOR FRENCH DOORS 5-0'x L'-Ir •X.O.C.UNLESS OTHERWISE NOTRD. 2.A =RIOR ANELED DR. 2•-L• x L•-8' u -UNLOR OTH OT 0. ,;I S IL•O.C.INTERIOR u NII SHALHALL BE 2X F I S.CONTRACTOR GRALL VRRIPY ALL WINDOW p f• ERIOR ANELED DR. 2'-0' x C-8' ROUGH OPfiNdG6 PRIOR TO ORDRRING WINDOW6. ERIOR BL PANELD ORS. 6'-O' x L'-8' p.CONTRACTOR BNALL V8RE+7 ALL dMlNBION6 ` PRIOR TO CON6TT2UC'T1011 CONTRACTOR ASSUMlS RlDPON&BIIJTY POR ANY M WING OR PRIOR BL PANELD DRS. L•-O'x C-8• R-RTTFNTROECT X OPOka THENOT K- DESUAL M TO a w =r TERIOR -LITE DOOR 2'-8' x 4-8' ly y f o 9¢7 Q . i 4AMBOLTING/NAIUNG i 0 TiBEAMS � C � Www er NB NAMS.r ec LU a U S z t1E N SMl W W a O-T f aow.oF yr am t0.».r aG _ w L W IA Q r I 1 m r O A a aaln a I/a•own ta. 'r , - ix tut Beta y W s r `N 1 S R L MU V2• EA T13 B Kb pis Z z a+ao �Z . 19 • :A-r a am a Vr avl toL»•roc IK a auL xlaa _ 161 . pp yg! oaeTlr.golQllOWI U z azF�3 �a ' aaoaaa amaac ' l r is itiAi:iS: :r•;: .Q d�R LAY-ft MOP . .Na N/68t ^.. .:. r^?:i?i''. _ jy1 rL.j c.J \; I zQ� H. I �K°IM.OWe 1 9C5 PM.M. - PI N• �a" a'4 Z• n' RID ?I .. V )—,1 V y i ' u7-0N V �� 6e y91 0 r ?5 t L t,L U. i� ,Y•'I H 6 i•i i 'i '6" G i - li.. 4� 9 B p sal; 4i' PE .... ..._. ...... ...... ...... ...... ...... ...... ...... .._.. .... ..... ...... ...... ...... ...... _.... ...... ...... ...... N..BOblR 1 � s•-r r-IO• a-r = w uE a aAll.Beia � � c� -- ---- -- --- ---- -- --- - -- - ------ -----, �' Z QC w t 1 Q � )� IDUES =SAW I o BE EM woRtN 'r-0 a• P 7-0-IL 0 O EXTERIOR alALl.6 SHALL BE 7X4 lN1 J:.UNLF58 OTHERWISE NOTED. Il g Q•V. W .0 UN�68 OTHERWISE NO BALLS SMALL OTTED 4 i3 FI O ZV m-y O yppSp�Q TRG SUii 1 OOWRa F•• .TRACTOR WALL TOVERIFYOR ALL GIWK WINDOW B!t41I7'ILa m BE '® O. O=J W OPENMG6 PRIOR TO ORDERING WINDOUS. TRACTOR SHALL VERIFY ALL DIMENSIOIIS - I r. _j Q (•-O Ill TO CONSTRUCTION. CONTRACTOR �%I� �+/� Tt •.t ES REaroN POR AM MISMNc OR 1 a/Bow FaT S.-IO. RE"?' 'C`ED a- u" F' v W TTP ION:r NS OT SRO TO 1 v4 T V3iVl BGII ASSVE Q Q z rnxTION OP THR DeSGNER Z O Z L�TIpQ�X/ T mtwm M TK alma 7n ; (y t ncAcwBmR� pROTEp °M ®cam SW"ju PATptKalAo O O U TES :I —* B OMo�m+acwtm �moBTA V O cr ITRACTOR SMCA.LL CONSTRUCT AND MASMr TEMPORAREa Y , --- WIu Ou Mp I W ' mm TURLLMDITEGIBTY OF SMTITIKGRNO SETAE WORK PROGRESSES- al m a Tom IEl10VPD (n oi NTRACTOR SHALL ND SITE INIOR SPECT RI!'T•XG ALL E700T'G v. ADJUSTKENNT5 AS NECESSARY TO ENSURE COMPLIANCE EAITH i PARAMETERS AS WORK PROGRESSES. ITRACTOR WALL NOT SCALE DRAWINGS FOR DRMENSIONS ANY MISSING. E�DESIGNNER BECOME RESPONSIBILITYRENSIONG OP T1IE OT DRTTCONTRAGTAOTTR.ENTON !TO itill 11111111111111111111111 NIWPECT B7 STRUCTURAL ENGSU:ER/DESKaNER OOOWI 0 -RAKING COMPUTE AND PRIOR TO •SURE B7 INTERIOR BALL PLASTER BD!PWSK ITRACTOR TO ADJUST IlJGHT OP wEu FOUNDATION M ALIGN NEW 1 SECOND FLOOR PLAN 1 „�D0e1 ; 4 FLOOR TOE ADJUST !'BEEN FLOOR. UBLE FLOOR JOISTS UNDER ALL PARALLEL PARTTMONS TO DV!{AS momm DOOtl V r MBCm ; r STRUCTURAL ORAWIlGB FOR LOCATIONS OF ALL STRUCTURAL COLUMNS SCALE: V 9'=1'-0' I �uBMTrGGfJie n �a�T"G.�� , Y . d _______________—_____--_ -- 1 �____—_-____-_—_ ___—_ 1RAll�II ___ ___J .. F, , TRACTOR TO OETERMaVE S'tT WILL BE MORE COST EFf'lCTIVE mod WE 2 MOVE THE ENTIRE ROOF l RPIRAML 0