HomeMy WebLinkAbout0057 MAUREEN ROAD - Health E57 MAUREEN RD., CENTERVILLE
A=228-062
�lll J�QECYC�oCo
UPC 12543 a
No. 53LOR t°pST-c
HASTINGS, MN
C _ _
No. � Fee $5 0
.t
THE COMMONWEALTH OF MASSACHUSETTS Entered in computer:
' Yes
PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS
ZIpprication for Oiopaar *pgtem Conotruction Permit
Application for a Permit to Construct( )Repair( x)Upgrade( )Abandon( ) O Complete System ❑Individual Components
Lo ation Address or Lot No. Owner's Name,Address and Tel.No.
'7 Maureen Rd.. , Centerville , MA Estate of John Oonnor c/o v
Assessor's Map/Parcel �p l ilane
06 3- 1212 Hancock St . , Quincy, MA
Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No.
Wm. E. Robinson Septic Service
P.O . Box 1089, Centerville , MA
Type of Building:
Dwelling No.of Bedrooms 3 Lot Size sq.ft. Garbage Grinder( )
Other Type of Building No.of Persons Showers( ) Cafeteria( )
Other Fixtures
Design Flow gallons per day. Calculated daily flow gallons.
Plan Date Number of sheets Revision Date
Title
Size of Septic Tank /._C Type of S.A.S.
Description of Soil S and.
Nature of Repairs or Alterations(Answer whenapplicable) 2 r�-O� G�wc. �✓� y S��-.
/S—o O 9_ l � V
Date last inspected:
Agreement:
The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system
in accordance with the provisions of Title 5 of the E vironmental Code and not to place the system in operation until a Certifi-
cate of Compliance has been issued by thi oar f Health.
Signed Dat j� ��
Application Approved by F r Date _y
Application Disapproved for the following reasons
Permit No. — Date Issued
TOWN OF BARNSTAB.LE C \
LOCATION .<7 C Ll- SEWAGE# '29- J
VII.LAGE<::� sa-%Z/k u 1 //G ASSESSOR'S MAP&LOT
INSTALLER'S NAME&PHONE NO.
SEPTIC TANK CAPACITY 0
LEACHING FACILITY: (type) (size) A:,r!
NO.OF BEDROOMS
BUILDER OR OWNER Co A$ -6 �
PERMTTDATE: COMPLIANCE DATE-3 — q— a! 7
Separation Distance Between the:
Maximum Adjusted Groundwater /hina
m of Leaching Facility Feet
Private Water Supply Well and L (If any wells exist
on site or within 200 feet of le Feet
Edge of Wetland and Leaching Flands exist
within 300 feet of leaching fac Feet
Furnished by
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No, 7 / % Fee $50
THE COMMONWEALTH OF MASSACHUSETTS Entered in computer:
M PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUS tTS Yes
_
rf Rpplication for &.5pooal *pgtem Congtrurtion Permit
Application for a Permit to Construct( )Repair( X)Upgrade( )Abandon( ) ❑Complete System El Individual Components
Location Address or Lot No. Owner's Name,Address and Tel.No. 1 `t
5-7 Maureen Rd.. , Centerville , MA Estate of John Oonner c/o 25yilane
Assessor's Map/Pazcel 7 Z Lf 06
_C.•_ 212 Hancock St. , Quincy, MA
Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No.
Wm. E. Robinson Septic Service
P.O . Box 1089, Centerville, MA t
Type of Building: - I
Dwelling No.of Bedrooms 3 Lot Size sq.ft. Garbage Grinder( )
Other Type of Building No.of Persons Showers( ) Cafeteria( )
Other Fixtures
Design Flow gallons per day. Calculated daily flow gallons.
Plan Date Number of sheets Revision Date
Title
Size of Septic Tank S-0-c> Type of S.A.S.
t�.
J.
Description of Soil Sand.
Nature of Repairs or Alterations(Answer when applicable) 2- "" O9 C-
S-0 C) 9 /
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 E vironmental Code and not to place the system in operation until a Certifi-
_ Cate of Compliance has been issued by thi oar f Health. Z
Signed �-+ Dat
Application Approved by C Date —
Application Disapproved for the following reasons
Permit No. 592—1c�� Date Issued
---------------------------------------
THE COMMONWEALTH OF MASSACHUSETTS
Connor BARNSTABLE, MASSACHUSETTS
(Certificate of (tompriance
THIS IS TO CERTIFY,that the On-site Sewage Disposal System Constructed( )Repaired ( X )Upgraded(' )
Abandoned )by Wm. E . Robinson Septic Service
at 57 Maureen Rd.. , Centerviiie, VIA has been constructed in accordance
with the ovisi rls of itl S and the fo D' osal Sy to Construction Permit No. dated
gym. `� . o�insone 'tic e .
Installer Designer I
The issuance of this p I I sh ll not be+construed as a guarantee that the stem will func.ion al desiglrted�
Date �� ' Inspector t � 1(k e , �
No. --�� --------------------------Fee $50 —
THE COMMONWEALTH OF MASSACHUSETTS
PUBLIC HEALTH DIVISION - BARNSTABLE, MASSACHUSETTS
Connor 'Wi5po5af *pgtem Construction Permit
Permission is hereb g�a ted to Constru td( ,) C Snt(e ffTdd e( Abandon( )
System located at ( Maureen
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 must be completed within three years of the date of thi t
Date: 3 y— / / Approved by ,
NOTICE: This Form Is To,Be Used For The Repair Of Failed
Septic Systems Only.
CERTIFICATION OF SKETCH AND APPLICATION FOR A
DISPOSAL WORKS CONSTRUCTION PERMIT (WITHOUT
ENGINEERED PLANS)
I, William E. Robinson, Sr. ,hereby certify that the application for disposal works
construction permit signed by me dated 3 _ concerning the
property located at 57 Maureen Road, Centerville, MA meets all of the
following criteria:
* There are no etlands within 100 feet of the proposed leaching facility.
* There ar no private wells within 150 feet of the proposed septic system.
* Ther is no increase in flow and/or change in use proposed.
* T ere are no variances requested or needed.
* If the proposed leaching facility will be located with 250 feet of any wetlands,the bottom of the
proposed leaching facility will nA be located less than fourteen(14)feet above the maximum adjusted
groundwater table elevation.
Please complete the following:
A)Top of Ground Elevation(according to the Engineering Division G.I.S. map) 3,7—
B)Observed Groundwater Table Evaluation(according to Health Division well map)_2 0
SIGNED: _ DATE S 6'
LICENSED SEPTIC SYSTEM INSTALLER IN THE TOWN OF BARNSTABLE NUMBER 60
(Attach a sketch plan of the proposed system. Also if the licensed installer posesses a certified plot plan,
this plan should be submitted).
f ,
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ar--] � _ �
,�� TOWN OF BARNSTABLE
LOCATION �'7 ////eta 9,4 kC3 SEWAGE
VILLAGE�E�-i �s; /�� ASSESSOR'S MAP& LOTr
INSTALLER'S NAME&PHONE NO. 'f
SEPTIC TANK CAPACITY
v
LEACHING FACILITY: (type) - S — (size) 1;NO.OF BEDROOMS
BUILDER OR OWNER
PERMITDATE: 3'`/ `� COMPLIANCE DATE-3 - .— �?
Separation Distance Between the:
Maximum Adjusted Groundwater Table to the ottom of Leaching Facility Feet
Private Water Supply Well and Leaching acility (If any wells exist
on site or within 200 feet of leachin facility) Feet
Edge of Wetland and Leaching Faci ' (If any wetlands exist
within 300 feet of leaching fac' ty) Feet
Furnished by
— — c f.
1
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4
" COMMONWEALTH OF MASSACHUSETTS
EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS
�> DEPARTMENT OF ENVIRONMENTAL PROTECTION
ONE HINTER STREET. BOSTON:n1A 02)108 617-192-s500
Estate of John C . Connor
V1'ILLIAM F.%GELD c/o Atty. David. Spillane TRUDs Secretary
Governor
Govemor
ARGEO PAUL CELLUCCI DAVID B.STRUHS
Lt.Governor SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM Commissioner
PART A
CERTIFICATION
Property Address: 57 Maureen Rd . ,Centerville Address of Owner:
Date of Inspection: 5_/4 - q � (If different)
Name of Inspector: Wm E Robinson Sr
I am a DEP approved system inspector pursuant to Section 15.340 of Title 5 (310 CMR 15.000)
Company Name: Wm E Robinson Septic Service
Mailing Address: PO Box 1 089 , Centervi 1 1 e, NIA 02632
Telephone Number; 5 0 8 ? 7 7 5—R 7 7 A
CERTIFICATION STATEMENT
I certify that I have personally inspected the sewage disposal system at this address and that the information reported below is true, accurate
and complete as of the time of inspection. The inspection was performed based on my training and experience in the proper function and
maintenance of on-site se\%age disposal systems. The system:
8
_ Passes 4
_ Conditionally Passes
Needs Further Evaluation By the Local Approving Authority A �♦
Fails ILdIYEO
Inspector's Signature: �v I 9 _ Date: iA AY 1 2 1999 '
The System Inspector shall submit a copy of this inspection report to the Approving Authority it in�thirt"ftlehQomplearjg this
inspection. If the system is a shared system or has a design flow of 10,000 gpd or greater, the i sgector andl`IVINWyem own r hall submit
00�7>
the report to the appropriate regional office of the Department of Environmental Protection. The <rngi,nall should be sent t the ystem owner
and copies sent to the buyer, if applicable, and the approving authority. >
INSPECTION SUMMARY: Check A, B, C, or D:
A] SYSTEM PASSES:
I have not found any information which indicates that the system violates any of the failure criteria as defined in 310 CMR 15.303.
Any failure criteria not evaluated are indicated below.
COMMENTS:
B] S TEM 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.
Indica 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 conforming septic tank
as approved by the Board of Health.
(revised 04/25/97) Page 1 of 10
DEP on the World Wide Web', httpJt ww.magnet.state.ma.usldep
��'J Printed on Recycled Paper
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART A
CERTIFICATION (continued)
Property Address: 57 Maureen Rd.. , Centerville
Owner: Estate of John C . Connor c/o Atty. David. Spillane
Date of Inspection: _7-16_ Q
81 YSTEM CONDITIONALLY PASSES (continued)
Sewage backup or breakout or high static water level observed in the distribution box is due to broken or obstructed
pipets) or due to a broken, settled or uneven distribution box. The system will pass inspection if(with approval of the
Board of Health). Describe observations:
broken pipe(s) are replaced
obstruction is removed
distribution box is levelled 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 the Board of Health):
broken pipe(s) are replaced
obstruction is removed
C) FUR HER 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.
SYSTEM WILL PASS UNLESS BOARD OF HEALTH DETERMINES THAT THE SYSTEM IS NOT FUNCTIONING IN A MANNER
WHICH WILL PROTECT THE PUBLIC HEALTH AND SAFETY AND THE ENVIRONMENT:
r 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 FUNCTIONING IN A MANNER THAT PROTECTS THE PUBLIC HEALTH AND SAFETY AND THE
t ENVIRONMENT:
The system has a septic tank and soil absorption system (SAS) and the SAS 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 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 (approximation not valid).
3) THER
(revlsed.09/25/97) Page 2 of 10
l � I
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART A
CERTIFICATION (continued)
Property Address: 57 Maureen Rd.. , Centerville
Owner: Estate of John C . Connor c/o Atty.t David. Spillane
Date of Inspection: 3
DJ YSTEM FAILS:
You ust indicate ei:,.er "Yes" or "No" as to each of the following:
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.
Yes No
Backup of sewage into facility or system component due to an 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.
_ 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 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 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.
Ej LA GE SYSTEM FAILS:
You m st indicate either "Yes" or "No" as 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 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)
The o ner or operator of any such system shall bring the system and facility into full compliance with the groundwater treatment program
require ents of 314 CMR 5.00 and 6.00. Please consult the local regional office of the Department for further information.
(revised 04/25/97) Page 3 of 10
- 1
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SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART B
CHECKLIST
Property Address:
57
Maureen Rd.. , Centerville .
Owner: Estate of John C . Connor c/o Atty. David. Spillane
Date of Inspection: 3
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.
_ None of the system components have been pumped for at least 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.
_ As 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/ _ All system components, excluding 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:
L� _ The facility owner (and occupants, if different from owner) were provided with information on the proper maintenance of
Sub-Surface Disposal System.
1/ _ Existing information. Ex. Plan at B.O.H.
_ Determined in the field (if any of the failure criteria related to Part C is at issue, approximation of distance is
unacceptable) [15.302(3)(b)]
(revised 04/25/97) Page 4 of 20
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART C
SYSTEM INFORMATION
Property Address: 57 Maureen Rd. , Centerville
Owner: Estate of John C . Connor c/o Atty.. David. Spillane
Date of Inspection:
FLOW CONDITIONS
RESIDENTIAL:
Design flow:-2 g.p.d./bedroom for S.A.S.
Number of bedrooms:
Number of current residents:
Garbage grinder (yes or no):ZO
Laundry connected to system (yes or no) a3S
Seasonal use (yes or no):ii, d 1998 NONE (0 gal'
Water meter readings, if available (last two (2) year usage (gpd):
Sump Pump (yes or no):ZkQ 1997 122, 000 gal.
Last date of occupancy:7-
COM RCIAUINDUSTRIAL:
Type o e tablishment:
Design flo Gallons/day
Grease tra present: (yes or no)_
Industrial aste Holding Tank present: (yes or no)_
Non-sanita waste discharged to the Title 5 system: (yes or no)_
Water met r readings, if available:
Last Z: (Describe)
occupancy,:
OTH
Lastoccupancy:
GENERAL INFORMATION
PUMPING RECORD) and source of information:
/0
System pumped as part of inspection: (yes or no)-,a"
If yes, volume pumped: gallons
Reason for pumping: y�12 s yt a t" SV S
TYPE OF YSTEM
eptic tank/distribution box/soil absorption system
Single cesspool
Overflow cesspool
Privy
Shared system (yes or no) (if yes, attach previous inspection records, if any)
I/A Technology etc. Copy of up to date contract?
Other
APPROXIMATE AGE of all components, date installed (if known) and source of information:
Sewage odors detected when arriving at the site: (yes or no),J—L- B
(revised 04/25/97) Page 5 of 10
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART C
SYSTEM INFORMATION (continued)
Property Address: 57 Maureen Rd.. , Centerville _
Owner: Estate of John C . Connor c/o Atty. David. Spillane
Date of Inspection: 3-10— $
BU DING SEWER:
(Loca on site plan)
Depth low grade:
Materia of construction: _cast iron _40 PVC_other (explain)
Distanc from private water supply well or suction line
Diamet r
Comm nts: (condition of joints, venting, evidence of leakage, etc.)
SEPTIC TANK:
(locate on bite plan)
e �
Depth below grade:f
Material of construction: concrete _metal _Fiberglass _Polyethylene _other(explain)
If tank is metal, list age _ Is age confirmed by Certificate of Compliance _(Yes/No)
Dimensions: -'k OC 6
Sludge depth: n
Distance from top of sludge to bottom of outlet tee or baffle: S
Scum..thickness: 0 J
Distance from top of scum to top of outlet tee or baffle: T- i ,
Distance from bottom of scum to bottom of outlet tee or baffle: /
How dimensions were determined: A,1r%C.� ��� j✓-s����
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.) o'er A/ f, eIF
Y-a 1�- »�✓ t;
3 — 1 1=6
GREA E TRAP:
(locate on site plan)
Depth low grade:
Material f construction: _concrete _metal _Fiberglass _Polyethylene _other(explain)
Dimensi ns:
Scum thi kness:
Distant from top of scum to top of outlet tee or baffle:
Distan from bottom of scum to bottom of outlet tee or baffle:
Date of ast pumping:
Commen :
(recomm ndation 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.)
(revixed 04/25/97) Page 6 of 10
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART C
SYSTEM INFORMATION (continued)
Property Address: 57 Maureen Rd.. , Centerville
Owner: Estate of John C . Connor c/o Atty. David. Spillane
Date of Inspection: . —/a"$7
TI HT OR HOLDING TANK: (Tank must be pumped prior to, or at time, of inspection)
(lo to on site plan)
Dept below grade:
Mate al of construction: _concrete _metal _Fiberglass _Polyethylene —other(explain)
Dime sions:
Capac ty: gallons
Desig flow: gallons/day
Alar level: Alarm in working order _ Yes; _ No
Date of previous pumping:
Co ents:
(co dition of inlet tee, condition of alarm and float switches, etc.)
DISTRIBUTION BOX:_V
(locate on site plan)
Depth of liquid level above outlet invert:_
Comments:
(note if level and distribution is equal, evidence of solids car over, evidence of leakage into or out of box, etc.)
A, z�cZ.tI } 6�14
PUM CHAMBER:_
(locate on site plan)
Pumps in working order: (Yes or No)
Alarm in working order (Yes or No)
Com nts:
(note ondition of pump chamber, condition of pumps and appurtenances, etc.)
(revised 04/25/97) Page 7 of 10
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART C
SYSTEM INFORMATION (continued)
Property Address: 57 Maureen Rd.. , Centerville
Owner: Estate of John C . Connor c/o Atty. David Spillane
Date of Inspection: j-16e-1
SOIL ABSORPTION SYSTEM (SAS): (✓
(locate on site plan, if possible; excavation not required, but may be approximated by non-intrusive methods)
If not determined to be present, explain:
Type:
leaching pits, number:_
leaching chambers, number:.
leaching galleries, number:
leaching trenches, number,length:
leaching fields, number, dimensions:
overflow cesspool, number:
Alternative system:
Name of Technology:
Comments:
(note condition of soil, signs of hydraulic,failure, level of ponding, con ition of vegetation, ets.)
s ✓J.o 1`
y d ` V
CESSPOOLS:
(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: hC iL
Indication of groundwater:
inflow (cesspool must be pumped as part of inspection)
Co ents:
(note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.)
PRI
(loca on site plan)
M erials of construction: Dimensions:
D th of solids-
0 ments:
(not condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.)
(revised 04/25/97) Page a of 10
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART C
SYSTEM INFORMATION (continued)
Property Address: 57 Maureem Rd.. , Centerville
Owner: Estate of John Connor c/o Atty. David. Spillane
Date of Inspection:
SKETCH OF SEWAGE DISPOSAL SYSTEM:
include ties to at least two permanent references landmarks or benchmarks
locate all wells within 100' (Locate where public water supply comes into house)
`.�K fitly./
6
t A3
<�
l
(revised 04/25/97) Page 9 of 10
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART C
SYSTEM INFORMATION (continued)
Property Address: 57 Maureen Rd.. , Centerville , MA
Owner: Estate of John Connor c./o Atty. David Spillane
Date of Inspection: 3 e 7
r tX
Depth to Groundwater L Feet
Please indicate all the methods used to determine High Groundwater Elevation:
Obtained from Design Plans on record
pt Observation of Site (Abutting property, observation hole, basement sump etc.)
Determine it from local conditions
Check with local Board of health
Check FEMA Maps
Check pumping records
Check local excavators, installers
Use USGS Data
Describe in your own words how you established the High Groundwater Elevation. (Must be completed)
Jos T Welz 3-T-<7
.J
a�T r
(revised 04/25/97) Page 10 of 10
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6.6 POST ON 10`SONOTUBE
CA C-O'BELOW GRADE,IAN.
BETL OUT 0 BASE,TIP.
- ------------'--------------'----------'--- ------------ PHO ARCHITECTS
COUABORATM ARCHI
1 -� '1 WAKEFIELD MASSACELUSETIS
(761) 246-0988
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2.4 F4WA-LL. SDNG TO MATCH EXISTING L SANDORSE A.LA. PRTNC]PALNG__LBE.._/EX�n._ _rL_________________________________________________ __ I FLOORi 2( 4)P. GENERAL NOTES:
r---- ------------- ---- , ItOCATION
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-------- ; I 10•THICK CONC.WALL I I Olht5lbE SHRR. ALL DIMENSION TO BE FIELD VMFYED&
T__--_--- I I I i I r5 REBAR TOP ana 801TOA/
I 1 1 1 3000 PSI CONCRETE ( 1 I I Feat WAY rn. CHECKED. CONTRACTOR TO REPORT CHANCES
_ I 1 W/24'X 12'CONT. AND OMISSIONS TO ARCHITECT.
I ___ _ _ 1 CONC.FOOTING BASEMENT
UNE OF DECK ABOV1_-
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a' ' 1 I 4•CONIC SLAB PROVIDE FRENCH DRAIN AT PER.TYP.
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TIE TO EXISTING WALL L PROVIDE ACCESS THROUGiCUT I TIE TO ETOSTNG WALL a
REBAR Jr O.C. EXISTING DOOR HERE TO NEW I REBAR tY O.C.6'MN.
PENETRATION FOUNDATION i PDEIUTI04
OI
.2
1 ,
of
CI
I
\I
3j
BASEMENT z
EXISTING I
aI
15•wh 40 I
r--- t)P, r-1-� 3/6'PL STIFF
I I POST I I I STEEL BEAM PLATE
----------------------+�-+------ ----------*-+-i----------------------
BEAM ABOVE
l_ I COLUMN T/S COL
GARAGE �—36•X36•X16•CONC.FOOTING 36•X36•X16•CONC.FOOTING INTERMEDIATE SECTION
EXISTING -
1s'-o
TIE TO EXISTING WALL 66
REBAR 127 O.C.6.MIN. 3/8•PLATE STIFFENERS 3/B•THICK
PENETRATION
♦ I/Y DIA.BOLTS
3/4•BOLTS
__yHF�D�SDCL� CAP P TE X BM VADTH
I END SPLICE
I COMP. FILL FOR SLAB
I 1
I
' 4'CONIC,MOO PSI CONC. I 1 1 0 22X 6 SILL 4
I w/6X6-W1.4XW1.4 WKF RENF. AT MID I I 4'CCNC SLAB 1 I 0
I I DEPTH OF SLAB OVER 6•(MN.)COMP. I ; W/6>8-W1.4XWI.4 WMF I CONCRETE 3
GRAVEL PITCH TO DRAM REINIF.OVER 6- 2 I COMP.GRAVEL (MN.) I � I- FFOUNNDATION
1WALL
1 I 1 L________________ I I 6'THICK CONIC WALL 4'-0'BELOW t wood
J I GRADE W/M PS CONCRETE ON 24'X 12' j CIRT I
I I I CONT.
-------J
I j 10'FOUNDATION.DROP FON WALL IY I r---------------------
00NC'F00TING 1� a y• i 1 II 1 No. Revision/Issue Date
j I AT DOOR OPENING TV i I
L_________ ___ ___J 1 � � ��
PROPOSED RENOVATIONS
PROPOSED FOUNDATION PLANT2XSEA2
[�A
: ALLOW 1/2'AIRSPACE
FOUNDATION PLAN
IWl000 IN CONTACT BETVIEEN CONCRETE AND & DETAILS
SCALE: 1/4' = 1'-0' ONIC. MUST BE P.T. AND UNTREATED LUMBER
Ftp}et rgrw a4 AatrM
FO %'111°1E ^ BEAM POCKET (WOOD) McNAMARA RESIDENCE
ALL PLACED 0. S MUST BE
PLACED ON UNDISTURBED SOIL OR COMPACTIb
S DDEPPTHFILL H..(4NOOMN')(CONTRA LESS CTORDTO VVEORIFY saL scALE: '• " ' - °• 57 MAUREEN ROAD
CONDITIONS UNDER ALL FOOTINGS.) CENTERVILLE, MA 02632
t
10 JULY 2004
I sue.
PHOENIX COLLABORATIVE ARCHITECTS
j. STEPS TO POOL DECK
PHOEHIX COL1 ABORAT[VE ARCHITECTS
RAKEPMD MASSACHUS TTS
ADD THIRD ROW OF NAILS O MID HEIGHT (781) 248-D988
FOR BEAM HEIGHT 16•AND DEEPER DECK b SANDORSE ALA PRMCIPAL
8'-9 1 Y 15'-1• 8'-I,
ELEVATION
STEP TO DECK
(TEMP.) GENERAL NOTES:
12'O S208
SLGL DOOR I ; 2'6 FR. ALL DIMENSION TO BE FIELD VERIFYED g
I I CHECKED. CONTRACTOR TO REPORT CHANGES
® ®16d NAILS o 12'D.C. SPA AND OMISSIONS TO ARCHITECT.
TUB
�4 olA n Ru Bars w/ ON
6'0•HIGH
Or DIA.WASHERS I I , ENCLOSURE O
�I 1 SHOWER
I H
SECTIONS ' ' M BATH
t I I c
FAMILY ROOM ; EE N R
HOUSE GARAGE ; ', 2.6 9
INSULATION YERS 8�
TYP. INTERIOR 2/LA TYPE X" -e i �1 20E-Ts-
2'
10
BOA WALL GYPSUM BOARD DECK
ANCHOR BOLT BEARHdG WALL I 1 I II c
AT 61 O.C.FOR ANCHOR BOLTI 1 I 20SIZE AND SPACINGP.T. SILL PLATEREFER TO GENERAL NOTES MIN. GAS CURB
DEPTH , UP 14R CONCRETE I I LINE OF EXISTING
SLAB 'AIN) 2'8 '61I4 RE-6AR REMOVE LaV TOILET za o.c. _________a0• ' Ki TCH N REuuNs
MSTR BEDROOM
thickened this (ACTUAL LAYOUT 1 Q
Wab
GAS CURB DETAIL 4 STEP TO 20 �°`uLG
�� 2'6 MT CDUNC ; t.
I EX.
SCALE: ," ,, - 0• i FLAT CEILING FLAT CEILING
4.6 4.6 WOOD 14x6 WOG°
fWT T FOUND. I POST TO FOUND. I POST TO FOUND.2'6
PROTECTION
30ARD OVER ; _
OAMPROOFlNG ______________BEAN AT RIDGE ABO ___ ________________' �
SACK FILL TO EX. EX II •
10- THICKACONC. volume ceiling II
+ 'WALL
II
:;RAVEL CONCRETE
BASEMENT EX. it
UNDISTURBED SLAB II
— 10' DINIINeROOM UNG BEDROOM #3 BEDROOM #2
sycSMA !
STONES REMAINS II
•RIGID INSULATION GARAGE _ II EX
=00T1NG -�'� LINE OF EXISTNG
u
CRAINAGE
oll II0'I I I I
III EIPEWFILTER
2
-DOTING DEPTH
(4'-0•MIN. BELOW
.zROST OR TO
a3
UNDISTURBED SOIL) I 3'0X6'8 STEEL DOOR
2
CONCRETE FOOTING FARMERS PORCH
f No. Revision/Issue Date b
SCALE: Ie I- IFULL BASEMENT
10" SQUARE COLUMNS, TYP.
s'a.ro ooTHO
PROPOSED RENOVATIONS
GENERAL NOTES:
------ -
I. DESIGN IS IN ACCORDANCE WITH MASS CODE,SIXTH EDITION. NOTES:
2. LOADS: ROOF SNOW: 30PSF + DRIFTATTIC AND ALL VALLEYS 1. PROVIDE I.W.B. 6'-0•AT PERIMETER
FIRST FLOOR �PSF � FIRST FLOOR PLAN
SECOND FL. J0 PSF 2. ALL WINDOWS SHOWN ARE TO BE & DETAILS
PORCH 60 PSF PROPOSED FIRST FLOOR PLAN DOUBLEANDERSONH WINDOWS "TILT WASH'
3. MATERIALS: DOUBLE HUNG OR AWNING WINDOWS
CONCRETE 3000 PSF
REINFORCING CA
40 scale: 1/4' = 1'-0"
STRUCTURAL STEEL 24000 PSI MCNAMARA RESIDENCE
LVL BEAMS
BEAMS. JOIST. COLUMNS CONNECTIONS SIMPSON
DIMENSIONS SHALL BE VERIFIED WITH THE ARCHITECTURAL DRAWINGS.
o. FIELD MEASURE
TTEDDI FOTINGSSHALL BE PLACED N H DRY ON UNDISTURBED SOIL, FREE FROM 57 MAUREEN ROAD
ORGANIC MATERIALS.
NAIUNG SHALL BE MADE IN ACCORDANCE WITH MBC APPENDIX •C•. CENTERVILLE, MA 026
-•� 3. BEAM BEARING ON COLUMNS SHALL BE IN FULL WIDTH OF BEAMS
CAP PLATES SHALL BE EXTENDED TO COVER BEAM WIDTH.
3. SOLID BLOCKING SHALL BE PROVIDED WITHIN THE FLOOR UNDER COLUMNS AND BEARING WALLS.
0. JOIST AND BEAM HANGERS SHALL BE PROVIDED SHOWN OR NOT, ALSO
PROVIDE HURRICANE TIES. CAP AND BASE COLUMN CONNECTORS SHALL BE PROVIDED.
"I ,I. TRUSS JOIST( TJI) SHALL BE SELECTED FOR LIVE LOADS AS SHOWN ABOVE 20 PSF DEAD LOADS. tO JULY ZOOS
?. OPENINGS IN BEARING WALLS OVER 4 FEET SHALL BE PROVIDED WITH DOUBLE JACKS.
PHOENIX COLLABORATIVE ARCHITECTS 118"=11,0"
f
ipy 12 PROVIDE HURRICANE TIES TYP.
SEE
ASPHALT ROOF SHINGLES
ELEV.
3/4' PLYWOOD PHOENIX COLLABORAT[n ARCHITECTS
� 202 ROOF RAFTER /15 FELT WAKEFIZAD MASSACHUSETS
PROPER VENT AT JOIST/EAVE (781) 248-0988
$- CONNECTION
Sp'_p• ALUM EDGE
PETER L SANDORSE ALA PRINCIPAL
s-o• 1s'-o•
CEILING JOIST 1x4 TRIM BOARD GENERAL NOTES:
3x5 ALUM. GUTTER & DOWNSPOUT
ALL DIMENSION TO BE FIELD VERIFIED&
2(2x4) PLATE 1x12 FASCIA BOARD CHECKED. CONTRACTOR TO REPORT CHANCES
36'HIGH RAIL 2 CONT. SCREENED VENT. AND OMISSIONS TO ARCHITECT.
'
1x8 SOFFIT
BAL ONY q T.O. SASH 0 6'—Ns' A.F.F.
FACE TRIM ix6 + - ABY. WINDOWS
2x4 EXT. STUD WALL
2'8 W/ F.G. INSUL.
E A VE OVERHANG PROPER VENT ALL VOL AREAS
DETAIL AT HOUSE
a
a
wndowe center on door below _
with double stud pkt between •� LOFT
'a aoh
OPEN TO BELOW F
a =
I
_ STRUCTURAL RIDGE BEAM
ON 14R CONT.PoCCE VENT STRUCTURAL RIDGE BEAM
W/POST TO FWNDAIICN,TTP.
WNE OF EXISTING 10 RAFTERS O 16'O.C.
W/R-30 INSULATION,W/
i. 72 PROPER VENTILATION,TYP.
,0-t1Y 7-6' 4 1— t2
4
FANELCCE55 a LIBRARY
ATTIC — —
t= le
36'RAIUNG
LOFT
2xIO LYL 0 1
c
x �
F
PROPOSED LOFT PLAN W�
0
�= 2x4 EXTERIOR STUD WALL
CLO. 4
� 4
scale: 1/4' 1'-0' S7€P DOWN 3
_ a� - 2
2x10 s 0 1 O.0
2(2x6)P.T.PLATE 2x10 s O 12 O.C. PLATE
r----�
, I No. Revision/Iswe Date
1 I
_ I 1
BASEMENT i = to POURED CONCRETE F-
4* ROPOSED RENOVATIONS
m 1 I FOUNDATION WALL
1 I
I I
1 I 24'x 12'FTG,TYP.
CONC.SLAB ON I I
CLAN COMPACTED FILL LOFT PLAN &
BUILDING SECTION
PROPOSED BUILDING SECTION MCNAMARA RESIDENCE
Scale: 1/4• s 1'-0' 57 MAUREEN ROAD
ii CENTERMLLE, MA 02632
.f
D-
10 July 2004 3
sue.
PHOENIX COLLABORATIVE ARCHITECTS