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HomeMy WebLinkAbout0224 PARK AVENUE - Health 224 PARK AVENUE, CENTERVILLE A=207 - 105 •1 S��r►�GtiW J�pgGVUfpco z UPC 12534 No.2153�OR �'�sr 000ll HASTINGS♦MN t No...........7 v -. •: y ., Fps..� .................. s a THE COMMONWEALTH OF MASSACI-IUSETTS BOAR® OF HEALTH ........... . ----------------OF.........:.....---.........--•---.......... .......................................... Appliration for UWposal Workii Tons ruction Prrutit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at: n ................_...._.............. .. ....._..._.........--........---...... .........--------•----.....o...:.t _: - • Lo t'' n-Addr ss or Lot No. l�.S�q. 0............... ................ ............... .. .._..._ ..._...........---•--._...................---•--...... ner i, Address Installer �ddress UType of Build i� ize Lot._.___ r__ ____________Sq. eet Dwelling—No. of Bedrooms........................................Expansion Attic ( ) Garbage Grinder (/ aOther—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) d Other fixtures .-- �i(� ................................................................................ .............................. W Design Flow............: ............................ er person per day. Total daily flow..........................Q............gallons. WSeptic Tank—Liquid capacity........_... Ions Length................ Width.............__. Diameter..._............ Depth................ x Disposal Trench—No. .................... idth.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No...../_� `."�D Ferer!___________________ Depth below inlet.................... Total leaching area..................sq. ft. z Other Distribution box ( ) Dosing talc,( ) J /` �� ~' Percolation Test Results Performed by..... ................................... Date........... Depth to ground water........................ Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ Q+' ------•---•-•----•---•--•----••-------------------------------------------------•---................-------------------------------------- •...... ..------- ODescription of Soil-------------------------------------------------------------•----------------•---------------------------------------•----•-•----------------•--•----•--•._........... x U •----•---------•--••--•-------------------••-•-........-•---------•-------•......-•---------•--•---......------------------•----.....---------•------....-•--------•-...........-------------•--........ W .................... ---•----------------••-•------------•---------•----------------------------•------•-••--•-------•--------•-------•----------••--•--•-•-•----•-••----•-•--•--•-•-•-............•---- UNature of Repairs or Alterations—Answer when applicable.................................................................................•.._.......... ------------------------------------------------------------------------------------------------------------•-----------------------------------------------------------------------------.....----•---- Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLL 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 th and of h lth. -4 \ 1 n • Date ApplicationApproved By------. --•--- ••........••..............................................•---•---•........----- Date Application Disapproved f t following reasons---------------------••---------•----•--•----•-------•---------•----------------••---------------........_...-•-- ---- ••--•- - -_-- ----Dam---•-....---•- PermitNo......................................................... Issued....................................................... Date -re, = 105 L.0 C AT ION � yK SEWAGE PERMIT NO. 1�A-� 7 VILLAGE �-e I:e Y v l INSTALLER'S AME i ADDRESS Y C I, a U I L D E R OWNER w d-( A-0 c DATE PERMIT ISSUED O DATE COMPLIANCE ISSUED a v �� H- v.� � r � 1 V ly ► No. D. FEB..-f ............... f THE COMMONWEALTH OF M'ASSAC"NUSETTS BOARD OF HEALTH - ----------------- ...................OF................... .................... ............................................ Appliration for Uhipoiial Works Tomilrurtiolt 11ri"Mit Application is hereby made for a Permit to Construct or Repair an Individual Sewage Disposal System at: 7............................................................................................. ....................5_._......._. Location-Address V I (' or Lot No. ............................ ..................... .................................................................................................. Owner Address ►.a .......................:..., .......... Installer Address Type of Building Size Lot____U 2 :..'Sq.-f6et Dwelling—No. of Bedrooms��----------------------------------------Expansion Attic L(-/ Garbage Grinder a Other—Type of Building ............................ No. of persons............................ Showers Cafeteria,��,(--`�) Otherfixtures . . ..................................................................................................................... Design Flow..... gallons per person per day. Total daily flow...............:21-:,?.-C(________________gallons. -11 WSeptic Tank—Liquid capacity�—'�'��jallons Length________________ Width___________.___. Diameter---------------- Depth________..(..... Disposal Trench—No_.................... Width_____._.___.________ Total Length_._.____.__.___.____ Total leaching area--------------------sq eft. Seepage Pit No...._................/Dia'mefer.................... Depth below inlet_____.._.______._._. Total leaching area..................sq. ft. Z Other Distribution box Dosing tank Percolation Test Results Performed by..., 4:;- Date______:t... ( --------------------------------------- Test Pit No. I................minutes per inch Depth of Test Pit______________._____ Depth to ground wa'ter'.-6---------------------- Pro Test Pit No. 2................minutes per inch Depth of Test Pit_.._._._..______.___ Depth to ground water........................ 0 M ............................................................................................................................................................. Description of Soil............................................................................................................................................•............................ W U ........................................................................................................................................................................................................ W �4 ...................... ----------------------------------------------.................................................................................................................................. U Nature of Repairs or Alterations—Answer when applicable................................................................................................ ............................................................................................................................................................................................. Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 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. S Si e r ------------ -------- ..............-- ------------------- ---------- Date ......... Application Approved B ....... .................................................................................... ........................................ Date Application Disapproved for ollowing reasons:........................................ .................................................................. .T..re. / .... ... ................... ............................ 7 --------------------­-------------**....................................................................................................Date PermitNo......................................................... Issued-....................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ................................OF........ .................i.......... twEntifiraft, of Tompliaurr THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed_(,- or Repaired by----------------.......`-K............. ................ ............................................................................................................................................ Installer at....i..........S.... .................................................... ------------------------------------------------------ ------------------------------------------------------------------ has been installed in accordance with the provisions of TI F 5 of h e—Sanitary Code as described in the application for Disposal Works Construction Permit No--- ...... ...... dated________________________________________________ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATI,SFjkCTORY. h / DATE................................................. Inspector... . ..... .h............... ................ .............................................. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ,Z . .... ............. ......OF... ......................... ....... No..... FEE......) .......... Disposal o hs Tondrudion "punfit Permission is hereby granted.......... !o ........ 2............... .......... N....................................................................... to Construct.( ) or�Repair an Individual Sewage Disposal System atNo........................................................ k ............................. -------------------------------------------------------------*-------- Street as shown on the application for Disposal Works Construction Permit No .............................. ................... 7 7---------- ------------- .............................. Boar of,,-Health DATE. e/'�/ .... ------------------------ FORM 1255 A. M. SULKIN, INC., BOSTON ,L.AGE ��i1���1 .- � ' G. Fl� - DATE S i 'LICANT FEE tgW- M4i•�r� �� %/1_�U� (Non-refundable )RESS TELEPHONE NO Is ?WEER �-7�ljyi TELEPHONE NO. f 'E SCHEDULED _ '(Applicant' s signature) . . o e o 0 0 0 • e a o 0 0 o e e ® • e . • o e e e o o . • • . . . . • o . . . o . . . • . . . . o . • . . . . . o . . . . . o . . . . . . . SOIL LOG 3-DIVISION NAME DATE TIME C> ?A14SION AREA: YES NO � � j NGINEER 4Ni.WATER PRIVATE WELL BOARD OF HEALT EXCAVATOR ;TCH: (Street name, etc. ,dimensions of lot, exact location of test holes and percolation tests, locate wetlands in proximity to test holes ) NOTES : f 4' -- — 7 7A—) , a RCOLATION RATE: ST HOLE NO. ELEVATION: , C)NEST HOLE NO: _ ELEVATION: 3 � ZZ_,v 3 4 4 - 5 6 5'A10D N A9 6 8 8 9 10 � � ►� � � 10 � _ 12 P1 &-D Z-Z 12 13 14 14 15 lA3 15 16 16 ITABLE FOR, SUB-SURFACE SEWAGE: LEACHING FIELD LEACHING PITS LEACHING TRENCHES SUITABLE FOR SUB-SURFACE SEWAGE . REASONS: TE : ENGINEERING PLANS MUST SHOW NUMBER ASSIGNED ON PERC TEST APPLICATION IGINAL: COMPLETED IN ENTIRETY BY Po F , AND RETURNED TO BOARD OF HEALTH 'PY: "RETAINED BY APPLICANT a �s� COMMONWEALTH OF MASSACHUSETTS EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS DEPARTMENT OF ENVIRONMENTAL PROTECTION TITLE 5 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM FORM PART A CERTIFICATION / Property Address: 224 Park Avenue Centerville. MA 02632 Owner's Name: Riverview School Owner's Address: �l3 ro Date of Inspection: December 30 2006 Name of Inspector: (Please Print) James M. Ford Company Name: James M. Ford Mailing Address: P.O.Box 49 Osterville,MA 02655-0049 Telephone Number: (508) 862-9400 CERTIFICATION STATEMENT r. _ I certify that I have personally inspected the sewage disposal system at this address and that the infonnation_reported below is true,accurate and complete as of the time of the inspection. The inspection was performed based bn my � training and experience in the proper function and maintenance of on site sewage disposal systeiwns I am d;DEP approved system inspector pursuant to Section 15.340 of Title 5(310 CMR 15.000). The system: ry - i ✓ Passes Conditionally Passes ' NeqA Further Evaluation by the Local Approving Authority Fa' s rt} r-- w rT Inspector's Signature: Date: . January 4, 2007 The system inspector shayiaof 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. Notes and Cormments ****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. Title 5 Inspection Form 6/15/2000 page 1 I _ Page 2 of 11 i OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) I Property Address: 224 Park Avenue Centerville MA Owner: Riverview School Date of Inspection: December 30' 2006 i Inspection Summary: Check A,B,C;Dior E/ALWAYS complete all of Section D A. System Passes: j ✓ 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. i Comments: i I I I I 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. Answer yes,no or not detennined(Y,N,ND)in the for the following statements. If"not determined",please explain. i 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. I I I ND explain: j Observation of sewage backup or break out or high static water level in the distribution box due to broken or obstructed pipe(s)or due to a broken,settled or uneven distribution box. System will pass inspection if (with approval of Board of Health): broken pipe(s)are replaced obstruction is removed distribution box is leveled or replaced ND explain: i i 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 Boar'of Health): broken pipe(s)are replaced obstruction is removed ND explain: i 2 Page 3 of 11 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address: 224 Park Avenue Centerville MA Owner: Riverview School Date of Inspection: December 30 2006 C. Further Evaluation is Required by the Board of Health: Conditions exist which require.further evaluation by the Board of Health in order to determine if the system is-failing to protect public health,safety or the environment. 1. System will pass unless Board of Health determines in accordance with 310 CMR 15.303(1)(b)that the system is not functioning in a manner which will protect public health,safety and the environment: Cesspool or privy is within 50 feet of a surface water Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh 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 coliforn 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,provided that no other failure criteria are triggered. A copy of the analysis must be attached to this form. 3. Other: 3 j Page 4 of I 1 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address: 224 Park Avenue Centerville MA Owner: Riverview School Date of Inspection: December 30, 2006 D. System Failure Criteria applicable to all systems: You must indicate either"yes"or"no"to each of the following for all inspections: Yes No ✓ Backup of sewage into facility or system component due to overloaded or clogged SAS or cesspool ✓ Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or clogged SAS or cesspool ✓ Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool ✓ Liquid depth in cesspool is less than 6"below invert or available volume is less than '/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 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 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,provided that no other failure criteria are triggered. A copy of the analysis must be attached to this form.] No (Yes/No)The system fails. I have detennined 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 detennine what will be necessary to correct the failure. E. Large System: To be considered a large system the system must serve a facility with a design flow of 10,000 gpd to 15,000 gpd• 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) 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. 4 Page 5 of 11 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B CHECKLIST Property Address: 224 Park Avenue Centerville, MA Owner: Riverview School Date of Inspection: December 30, 2006 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 nonnal 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 detennined based on: Yes No ✓ _ 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(3)(b)]. 5 Page 6 of 11 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION Property Address: 224 Park Avenue Centerville, MA Owner: Riverview School Date of Inspection: December 30 2006 RESIDENTIAL FLOW CONDITIONS Number of bedrooms(design): 4 Number of bedrooms(actual): 4 DESIGN flow based on 310 CMR 15.203 (for example: 110 gpd x#of bedrooms): 440 Number of current residents: 0 Does residence have a garbage grinder(yes or no): n/a Is laundry on a separate sewage system(yes or no): n/a [if yes separate inspection required] Laundry system inspected(yes or no): No Seasonal use(yes or no): No Water meter readings, if available(last 2 years usage(gpd)): Unavailable Sump Pump(yes or no): No Last date of occupancy: Unknown C OMMERCIAL/INDUSTRIAL Type of establishment: Design flow(based on 310 CMR 15.203): gpd Basis of design flow(seats/persons/sgft,etc.): Grease trap present(yes or no): Industrial waste holding tank present(yes or no) Non-sanitary waste discharged to the Title 5 system(yes or no): Water meter readings, if available: Last date of occupancy/use: OTHER(describe): GENERAL INFORMATION Pumping Records Source of information: Unavailable Was system pumped as part of the inspection(yes or no): 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) Tight Tank Attach a copy of the DEP approval Other(describe): Approximate age of all components,date installed(if known)and source of information: Installed in 2001 -per as built card Were sewage odors detected when arriving at the site(yes or no): No 6 Page 7 of 11 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 224 Park Avenue Centerville, MA Owner: Riverview School Date of Inspection: December 30, 2006 BUILDING SEWER(locate on site plan) Depth below grade: Materials of construction: _cast iron _40 PVC other(explain): Distance from private water supply well or suction line: Comments(on condition of joints,venting,evidence of leakage, etc.): SEPTIC TANK: ✓ (locate on site plan) Depth below grade: 2' Material of construction: ✓ concrete _metal _fiberglass polyethylene _other(explain) If tank is metal list age: Is age confirmed by a Certificate of Compliance(yes or no): (attach.a copy of certificate) Dimensions: 1500 air 1. Sludge depth: 2" Distance from top of sludge to bottom of outlet tee or baffle: 30" Scum thickness: 6" Distance from top of scum to top of outlet tee or baffle: 6" Distance from bottom of scum to bottom of outlet tee or baffle: 10" How were dimensions determined: Measuring stick Comments(on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity,liquid levels as related to outlet invert, evidence.of leakage,etc.). Tees were present. The liquid level was even with the outlet invert There did not appear to be any signs of leakage The outlet cover was P below grade. GREASE TRAP: None (locate on site plan) Depth below grade: Material of construction: _concrete _metal _fiberglass _polyethylene _other (explain): Dimensions: Scum thickness: Distance from top of scum to top of outlet tee or baffle: Distance from bottom of scum to bottom of outlet tee or baffle: Date of last pumping: Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage,etc.): 7 Page 8 of I I OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 224 Park Avenue Centerville MA Owner: Riverview School Date of Inspection: December 30, 2006 TIGHT or HOLDING TANK: None (tank must be pumped at time of inspection)(locate on site plan) Depth below grade: Material of construction: _concrete _metal _fiberglass _polyethylene _other(explain): Dimensions: Capacity: gallons Design Flow: Gallons/day Alarm present(yes or no): Alarm level: Alarm in working order(yes or no): Date of last pumping: Coimnents(condition of alarm and float switches, etc.): DISTRIBUTION BOX: (if present must be opened)(locate on site plan) Depth of liquid level above outlet invert: Cormnents(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.): The D-box was not located. A video camera was used for the inspection The D box was approximately 9'below gr ade and was clean with no solids Present. PUMP CHAMBER: None (locate on site plan) Pumps in working order(yes or no): Alarms in working order(yes or no) Coirunents(note condition of pump chamber, condition of pumps and appurtenances, etc.): 8 Page 9 of 11 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 224 Park Avenue Centerville MA Owner: Riverview School Date of Inspection: December 30 2006 SOIL ABSORPTION SYSTEM(SAS): ✓ (locate on site plan,excavation not required) If SAS not located explain why: Type leaching pits,number: ✓ leaching chambers,number: _3 500 gal. drywells-13'x 32'x 2'(per as built card) leaching galleries,number: leaching trenches,number, length:, leaching fields,number, dimensions: overflow cesspool,number: Innovative/alternative system Type/name of technology: Continents(note condition of soil, signs of hydraulic failure, level of ponding, damp soil, condition of vegetation,etc.): The leach field was dry and clean. There did not appear to be any si ns of failure. A video camera was used for the inspection CESSPOOLS: None (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 or no): Comments (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): PRIVY: None (locate on site plan) Materials of construction: Dimensions: Depth of solids: Continents (note condition of soil,signs of hydraulic failure,level of ponding,condition of vegetation,etc.): 9 Page 10 of 11 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: _ 224 Park Avenue Centerville, MA Owner: Riverview School Date of Inspection: December 30 2006 SKETCH OF SEWAGE DISPOSAL SYSTEM Provide a sketch 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. GT- a ► G Fl 14 I- 19 O 2 stied A 5 (3 c Sg s s A (73 sq F C 10 Page 11 of 11 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 224 Park Avenue Centerville, MA Owner: Riverview School Date of Inspection: December 30, 2006 SITE EXAM Slope Surface water Check cellar Shallow wells Estimated depth to ground water 15+/- feet Please indicate(check)all methods used to detennine the high ground water elevation: Obtained from system design plans on record-If checked, date of design plan reviewed: Observed site(abutting property/observation hole within 150 feet of SAS) ✓ Checked with local Board of Health-explain: topographic and water contours maps Checked with local excavators, installers-(attach documentation) Accessed USGS database-explain: You must describe how you established the high ground water elevation: Using Barnstable topographic and water contours maps the maps were showing pproximately 15'+/ to Qr ound water at this site. This report has been prepared only for the septic system and components described herein. This septic system has been inspected and passed as of the date of inspection. This report is not a warranty or guarantee that the system will function properly in the future. There have been no warranties or guarantees, either expressed, written or implied, relating to the septic system, the inspection, this report and/or any components of the septic system which have not been located and inspected. 11 No.)9_J0jQ__31__L_3(0 Fee---- BOARD OF HEALTH TOWN OF BARNSTABLE Application-*r Well CongtructionPermit Applicrion is hereby m de for a perm toCstruct ( ), Alter ( ), or Re air ( )an individual Well at: Location — Address Assessors Map and Parcel -- ------ e ----`/----------- T Owner Address --------------- -- a -- 3 -----�q_x ,�- - Installer — Driller Add Type of Building Dwelling------------------------------------------------------------- Other - Type of Building ----------- No. of Persons--------------------------_-_—------_-__-___ Type of Well_Cr —--`- Capacity---- — Purpose of Well - Agreement: The undersigned agrees to install the aforedescribed individual well in accordance with the provisions of The Town of Barnstable Board of Health Private W otection Regulation — The undersigned further agrees not to place the well in operation un ' a i at iance has been issued by the Board of Health. gg Signed - -- ---------- >>1� date Application Approved By— - __ - _-----—_----- _________— Application Disapproved for the following reasons:----------------------------------—------—___--------_—________—_________ --------------------------------------- --------------------------------- 2 date Permit No. -- ---- Issued-- - u� ® /___ - ----------------------- ate ----•- ------- ---------- - - - ..---------------------------- -- - - - - - - -------------------. BOARD OF HEALTH TOWN OF BARNSTABLE (Certificate ®f Compliance THIS IV_ C_ RTIFY/,�That the Individual Well Constructed (Altered ( ), or Repaired ( ) bY- -��- --------------------------------------------------------------------------------- ----- ------------ Installer ----------------- - --------------------------------------------------------------------- has been installed in accordance with the provisions of the Town of Barnstable Board of Health Private Well Protection Regulation as described in the application for Well Construction Permit No.l );2401'DOEoated THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE WELL SYSTEM WILL FUNCTION SATISFACTORY. DATE-------------------— - ------------------------— — -- Inspector----------------------------------------------------------------------------- BOARD OF HEALTH TOWN OF BARNSTABLE lVe[C Con5truct ion Permit No. -::030 Fee-- ----- Permission is hereby granted-- V G -- -------------------------------------- to Construc (v), A�It r ( ), or Repair ( ) an Individual Well at: No. - —d/ c -�==� v��----—- ----------------------------------------------------------------------------------------------------------------- Street as shown on the application for a Well Construction Permit No. - t�J ��-� �0-------------------------— - Dated----------------- - Board of Health DATE No.-k)c9- _63 o Fee--------------------- BOARD OF HEALTH TOWN OF BARNSTABLE AppiicationArVell Congtructionpermit Applica ' is hereby mae for a permit to C struct ( ), Alter ( ) or Rvair ( )an individual Well at: - -------------------- Location — Address Assessors Ma and Parcel q P Owner Address Installer — Driller 4ddre�s Type of Building Dwelling-----—------------------------------------------------------ Other - Type of Building---------------------------------- No. of Persons---------------------------_--S---------- Type of Well--C'/ISG� - -------------- - Capacity----�------ — ----- ------------------ Purpose of Well-------��!_��a� __-- Agreement: The undersigned agrees to install the aforedescribed individual well in accordance with the provisions of The Town of Barnstable Board of Health Private W 11RPr-otection Regulation — The undersigned further agrees not to place the well in operation unt' Ce Y ' ate �phance has been issued by the Board of Health. i Signed -- ---- ------------- ---------- date Application Approved By— — - ---- —-- -— Sm1 dat Application Disapproved for the following reasons:--------------------------------------------_________—___________---____--_________________ ------------------------------- -------------------------------- --------------------------------------------------- -------------- date Permit No. _ =_D`�— --— --- Issued-----�0 — — --- ate t BOARD OF HEALTH ' TOWN OF BARNSVABLE (Certificate ®f Compliance THIS IS •O C R��That the ndividual Well Constructed ( 4r,"Altered ( ), or Repaired ( ) bY----_?Ald_----- --------------------------------------------------------------------------------------------------------------------------------- at-- _7A4 Installer - ��------------- ------------------------------------------------------------------------------------------------------- has been installed in accordance with the provisions of the Town of Barnstable Board of Health Private Well Protection Regulation as described in the application for Well Construction Permit No. Q0�.Q�Dated--���G •�� THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE WELL SYSTEM WILL FUNCTION SATISFACTORY. DATE-------------------—--------— - - - - ----- -- Inspector------------------------------------------------------------------------ °Ir � Q_ TOWN OF BARNSTABLE i LOCATION c��y PAR �V l= - _ SEWAGE VILLAGE ,� �., ASSESSOR'S MAP & LOT Z 0--) — INSTALLER'S NAME&PHONE NO. ir,�/`/ �. i�/;1 _ �i Z055;; -SEPTIC TANK CAPACITY LEACHING FACILITY: (type)( /, kG�CG5 — (size) NO. OF BEDROOMS BUILDER OR OWNER PERMTTDATE: $ '2-51 COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility (If any wells exist on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet oMl �hhipg facility) Feet Furnished by __ �. _ � Q G w i WN OF BARNSTABLE LOCATION Y P.' O AUC , SEWAGE# 0/ - VILLAGE QX►6(�,I(J, ASSESSOR'S MAP&PARCEL 2 - /O 5 INSTALLERS NAME&PHONE NO. SEPTIC TANK CAPACITY 5W LEACHING FACILITY: (type) SW CA1. PC d (size) 13x 3axa NO. OF BEDROOMS y I OWNER rtuyVIcW SC60 PERMIT DATE: COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility(If any wells exist on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) Feet FURNISHED BY t,03010(0 T I� �T= a ► i9 O 2 A � a c TOWN fl BARNSTABLE ; Q� LOCATION `c7 pEW.AGGE i`� VILLAGES L ASSESS.O. '. MAP.& LOT 3&'s INSTALLER'S NAME&.PHONE NO, / ,f�e i7 .t1G>iay SEPTIC TANK CAPACTTY LEACHING FACILITY: (type) �' ✓ LG -- (size) NO. OF BEDROOMS ;BUILDER OR OWNER. PERMIT DATE: $ ! I 1 COMPLIANCE DATE Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility (If any wells exist . Feet . 'on site or within200 feet of leaching..facility) Edge of Wetland and Leaching.Facility(If any wetlands exist Feet ,)yithin 300 feet'Qf1g4hipg facility) Furnished by - r f " r, ro c v V� No. l/"D� �V Y Fee THE*COMMONWEALTH OF MASSACHUSETTS 1--_Entered in computer: PUBLIC HEALTH DIVISION -TOWN OF,BARNSTABLE., MASSACHUSETTS ✓ Zipplication for Migw6ar 6potem Cottgtruction Permit Application for a Permit to Construct( )Repair( )Upgrade(Z)Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. n Ow is ame,Address and Tel.No Assessor's Map/PazcC' iV i/" � A44 � �Z Gi&N ,,_ Ll — rP Installer's ame,Address, d el.N ,AA65by__3r� � Designer's Name,Address and Tel.No. a lOD 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 40 gallons per day. Calcu ted daily flow gallons. Plan Date Number of sheets Revision Date / Title ,. Size of Septic Tank Type of S.A.S. r V U( Description of Soil Nature of Repairs or Alterations(Answer when applicable) Date last inspected: DESIGNING ENGINEER MUST SUPERVISE INSTALLATION AND CERTIFY IN WRI'T„yG Agreement: THE SYSTEM WAS INSTALLED W STRICT The undersigned agrees to ensure the construction and mainteAanceoNMWWR 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 i b hi d of eal Signed Date Application Approved Date Application Disapproved for the following reasons Permit No. Date Issued -� f � No. t Fee . COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLEs MASSACHUSETTS es f 21ppYication for Miopo!gar &P!6tem Congtruction Permit Application for a Pe mt't to Cons uct( )Repair( +)Upgrade(NO)Abandon( ) D Complete System ❑Individual Components Location Address or Lot No.4a, Ow is ame,Address and Tel.No ; Assessor's Map/Parcel 2! a 7 Install s ame,Address,and Tel.No. ��j Desi ner's Name,Address and Tel.No. LKJ// 6x iv 511 4a 0 7mi/ S 4 r1049 d 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 gallons per day. Calculated daily flow gallons. Plan Date Number of sheets Revision Date / LO Title Size of Septic Tank Type of S.A.S. Description of Soil Nature of Repairs or Alterations(Answer when applicable) met.. ; 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 Environmental Code and not to place the system in operation until a Certifi- cate of Compliance has beeji . hi d of eal Signe Date Application Approved . Date Application Disapproved for the following reasons � r~ Permit No. Date Issued �`''" �`' r ' THE COMMONWEALTH OF MASSACHUSETTS , BARNSTABLE, MASSACHUSETTS Certificate of Comps ance`- THIS IS TO CER (l that the On-site Sewage Disposal Syst m Constructed( )"Repaired O Upgraded ) Abandoned( b O1U at been constructed in accordance with the provisio s of Title 5 and the for Disposal System Construction PermigoOV/ 6 dated —c5 Installer � ems, ;� &signer The issuance of this pe 't soall not be construed as a guarantee that the sy wi 14un n as de ign Date Inspector No. ZUU 1 � �U --------------------------Fee It✓ 4 THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLEs MASSACHUSETTS Miopooar 6potem Conotructton Permit Permission is hereby gran�et j1Construct( Repair( )U rad�e System located at ��/ ��1 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 mu t be c9mpleted within three years of the date of this t. I Date: eF Z�o Approved by 7 r r c gar r - Akkn L 'I �J••II 1� r j • • J • A44;e } A TOWN OF BARNSTABLE �FtME p0 i - OFFICE OF i „»,T i BOARD OF HEALTH rAsa map 039. \�� 367 MAIN STREET HYANNIS,MASS.02601 January 30, 2001 Craig R. Short, P.E. P. O. Box 1044 South Dennis, MA.02660 RE: 224 Park Avenue, Centerville Dear Mr. Short: You are granted variances, ort behalf of your client, Kathleen Kocaba, to replace the leaching pit with a new soil absorption system at 224 Park Avenue, Centerville, Massachusetts. The variances granted. are as follows: 310 CMR 16.22.1..(7). To place seven (7) feet of,soil over the top of the soil absorption system, in lieu of the three (3) feet maximum amount of cover allowed. B.O.H., Part Vill: To install a soil absorption system only 78 feet away from a wetland, in lieu of the 100 feet minimum setback required. B.O.H. Part Vill: To utilize the twq:(2) feet of sidewall within the leaching area calculations. These variances are granted with the following conditions: (1) The engineered plans shall be revised to show a clean-out in the sewer pipe located between the septic tank and distribution box. (2) The plan shall be revised to show an additional variance request, to allow the two (2) feet of sidewall to be used in the leaching area calculations, a hough the 5AS is located wfTfT Z5U rc-erofwerfana-s an-cr ieSS ataw T4 feet above the groundwater table. 13 x 3 2'-,c Z r.pQ.S./� 3- f430 �i9 I- s.,9. 5, ,O 2 Y,w�. L[.s /,v - z. �J/STONE / O rpoT aFs./�. S FL 7G. o 14 VF A11 / Q U r .�'4 78.2-9 � too EL 76. !re i �• tl v 2' o ,� 've �s'�,� I •�l GJ� OI \I A I Q I � 5 I it rl- 84.20 Li f 0 P a F F O uN 2) iq TiO�/ EL $+4,70 �.gS'fU/yt L'lJ) S T. b wEG L 4,4= Member ASCIE OFF CRAIG R: SHORT; RE: �" CRAM G r P.O.Box 1044 'SHORT.SOUTH � SOUTH DENNIS,MA 02660 v Cid/tL N LOCUS:. Z 2 4 f A9k FJVfwUl No.27483 Professional Civil Engineer -Soil Evaluator F TOWN-. Cje'N 7' 0/Z V/C G� Licensed Construction Supervisor i Septic Inspectormc Septic Site i Piers i•St►uctures 4-House Designs Office:(508)398-8311 Fax:(508)398-3063 235 Great Western Road CRAIG R. SHORT, P. E. P.O. Box 1044 Telephone(508)398-8311 South Dennis, MA 02660 Fax (508)398-3063 PROFESSIONAL CIVIL ENGINEER,SOIL EVALUATOR,SEPTIC INSPECTOR SEPTIC SYSTEM DESIGNS, COASTAL&BUILDING DESIGNS TO: Thomas McKean Health Director Barnstable Board of Health 367 Main Street Hyannis, MA 02601 RE: CERTIFICATION OF SUBSURFACE SEWAGE DISPOSAL SYSTEM LOCATION OF SYSTEM: 224 Park Avenue,Centerville,MA CLIENT:Kathleen Kocaba PLAN DATE: 12/07/00 revised 01/16/01 FILE#: 1-881 DATE(S)OF/TYPE OF INSPECTIONS: 08/22/01 Inspect Overdig 08/23/01 Inspect installation of S.A.S. 08/23/01 Conduct new test hole to determine current water table 1,Craig R.Short, Civil Engineer,duly licensed as such in the Commonwealth ofMassachusetts, do hereby certify that this firm has visually inspected the constructed subsurface sewage disposal system shown on the referenced approved plan, and further certify that the system, as constructed and shown on the attached As- Built, generally conforms within acceptable tolerance to the regulations, as varied, set forth in 310 CMR 15.000 and the Town of Barnstable Board of Health Regulations,with the following exceptions: Removal of the existing leach pit revealed that the existing was still functioning but was about 20"deeper than the proposed new schedule 40 pipe. Since replacing the pipe as proposed would have required approximately a 100'trench 10'-12' deep through the landscaped yard, the existing septic pipe was tied into the new S.A.S. This lowered the bottom of the S.A.S. about 20". A test was conducted in my presence, and found to be approximately 8.6' below the bottom of the S.A.S. The ground water adjustment for July(since August is not out yet)was 4.3'. This would still provide 4.3' above the maximum adjusted groundwater. I was told by the Installer that he informed the Board of Health Inspector of the above and he concurred that this was OK. The system was then backfilled. Craig Short,P.E.,Engineer Date cc: File 1-881 ' +n �k� ,5�>r Client Kathleen Kocaba �°�.' `' �� Contractor PKM Contracting TOWI'7 OF.B'ARNSTABLE LOCATION a y. PP��Zk fv SWAGE i VI3:I:AGEASSESS':0 MAP & LOT Z O -:10s INSTALLER'S NAME FHONE NO:�/ -= J'.. �� �� �t1G3�9 SEPTIC TANK.CAPACM. LEACHING FACIL=: (type) (size) NO. OF BEDROOMS fBUILDER OR:OWNER- PERMITDATE: 1 . ..COMPLLANCE ..DATE: Separation Distance Between the Maximum Adjusted Groundwater Table to the Bottom of.Leaching Facility . Feet Private.WaterSupply VWell and Leaching Facility {If.any wells exist. on site or wtt]un 200:feet of•leaching facility) Feet Edge of Wetland and Leaclung.Facility(If any wetlands exist Feet within.300 feet oil hi facility) . Fiinushed by G-T Z1 . - Vt' TOWN OF BARNSTABLE �FtNET� b�P�' 'a i►o OFFICE OF i B 9TABL4 $ BOARD OF HEALTH M,G& pp 1639• ��� 367 MAIN STREET MAY HYANNIS, MASS.02601 i_._.._.... nn nnn1 JdllUdly JU, GVV I Craig R. Short, P.E. P. O. Box 1044 South Dennis, MA 02660 RE: 224 Park Avenue, Centerville Dear Mr. Short: You are granted variances, on behalf of your client, Kathleen Kocaba, to replace the leaching pit with a new soil absorption system at 224 Park Avenue, Centerville, Massachusetts. The variances granted are as follows: 310 CMR 15.221 (7): To place seven (7) feet of soil over the top of the soil absorption system, in lieu of the three (3) feet maximum amount of cover allowed. B.O.H., Part VIII: To install a soil absorption system only 78 feet away from a wetland, in lieu of the 100 feet minimum setback required. B.O.H. Part VIII: To utilize the two (2) feet of sidewall within the leaching area calculations. These variances are granted with the following conditions: (1) The engineered plans shall be revised to show a clean-out in the sewer pipe located between the septic tank and distribution box. (2) The plan shall be revised to show an additional variance request, to allow the two (2) feet of sidewall to be used in the leaching area calculations, although the SAS is located with 250 feet of wetlands and less than 14 feet above the groundwater table. (3) The designing engineer shall supervise the construction of the onsite *� sewage disposal system and shall certify in writing to the Board of Health that the soil absorption system is installed in strict accordance with the revised plans. These variances are granted because the proposed soil absorption system meets the maximum feasible compliance standards contained within the State Environmental Code, Title V. Sincerely yours, Susan ttsk, R.S. Chairman Board of Health Town of Barnstable SGR/bcs kocaba • Of THE r DATE: .� FEE: inxNsrast.E. MASS, 16,!5 9. ���� REC. BY Town of Barnstable S=D DATE: Board of Health � ' 367 Main Street. Hvannis MA 02601 w oFC /kr Office: 508-862-4614 Susan G.Rask RS. �(Q� FAX- 508-790-6304 Sumner KfrnM.S.F.� Ralph A 44uph�y;�MD. VARDdNCE REQUEST FORM LOCATION Property Address: 224 Park Avenue, Centerville, MA Assessor's Map and Parcel Number: 207/105 Size of Lot: 88,778 +/— Sq. Ft. Wetlands Within 300 Ft. Yes' XX Subdivision Name: No Business Name: PROPERTY OWNER'S NAME CONTACT PERSON Name: Kathleen Kocaba Name: Craig R. -Short, P.E. 224 Park Avenue P. 0. Box 1044 Address: Centerville, MA 02632 Address: South Dennis , MA 02660 Phone: 508-775-6372 Phone: 508-398-8311 VARIANCE FROM REGULATION(List Res.) REASON FOR VARIANCE(May attach if more space needed) Title 5 Section 15.221 (7) Maximum Cover Allowed over Septic System is 3' A 4. 15' variance requested Barn. Health Regulation Requires 100' from Wetland to Septic System A 22 ' Variance from S.A.S. requested A 6 ' & 23' Variance from Septic Tank Requested Checklist(to be completed by office staff-person receiving variance request"application) —Four(4)copies of engineered plan submitted(e.g.septic system plans). Four(4)copies of floor plan submitted(e.g.house plans or restaurant kitchen plans) f Applicant understands that the abutters must be notified by certified mail at least ten days prior to meeting date at applicant's expense(for Title V and/or local sewage regulation variances only) Full menu submitted(for grease trap variance requests only) Variance request application fee collected(no fee for lifeguard modification renewals.grease trap variancc renewals(same ownedleasee only],ounide / dining variance renewals(same ownerlleasa onlyl.and variances to repair failed scwage disposal systems(only if no expansion to the building proposed]) ✓/ Variance request submitted at least 15 days prior to meeting date VARIANCE APPROVED Susan G. Rask,R.S., Chairman NOT APPROVED Sumner Kaufman,M.S.P.H. REASON FOR DISAPPROVAL Ralph A. Murphy,M.D. Q:/WP/VARIREQ CRAIG R. SHORT, P. E. 235 Great Western Road P.O. Box 1044 Telephone(508)398-8311 South Dennis, MA 02660 Fax (508)398-3063 PROFESSIONAL CIVIL ENGINEER, SOIL EVALUATOR, SEPTIC INSPECTOR SEPTIC SYSTEM DESIGNS, COASTAL&BUILDING DESIGNS NOTIFICATION TO ABUTTERS OF: Applicant: Kathleen Kocaba Certified Mail 224 Park Avenue Return Receipt Requested Centerville, MA 02632 Re: Septic System Upgrade @ 224 Park Avenue, Centerville,MA 02632 Dear Abutter, Please be advised that an application for variances from the Regulations of the Massachusetts Department of Environmental Protection, Title 5, and/or the Town of Barnstable Regulations for Subsurface Disposal of Sewage, has been submitted to the Barnstable Health Department for approval. The following variances are requested: Title 5 Regulation and Barnstable Board of Health Regulation Title 5 Section 15.221 (7)- Maximum Cover Allowed over Septic System is 3' A 4.15' Variance Requested Barnstable Board of Health Regulation Chapter 111, Section 31 —Requires All Septic System Components be installed 100' from Wetland: A 22' Variance required from S.A.S. requested } A 6' &23' Variance from Septic Tank requested The application and plans are available for review at the Barnstable Health Department, 367 Main Street, Hyannis, MA 02601, Monday through Friday (excluding holidays) from 8:30 a.m. to 4:30 p.m. A Tentative hearing date is scheduled for Tuesday January 16,2001 beginning at 7:00 PM. Please call Barnstable Health Department to confirm(508-790-6265) Sincerely,- Craig ort, P.E.. Cc: File Barnstable Board of Health Abutters ABUTTERS OF Paul&Dolores Gianelli 207-163 Kathleen Kocaba Park Avenue Realty Trust 224 Park Avenue, Centerville 24 Lawndale Road Board of Health File#1-881 Stoneham, MA 02180 Christopher P. Kocaba 207/105 Kathleen G. Kocaba Wade Randall McGillis, Jr. 207/22-1 224 Park Avenue 41 Orchard Road Centerville, MA 02632 Centerville, MA 02632 Joan G. Rufleth 207/164 Paul & Gertrude Brown -207/145 230 Park Avenue 27 Orchard Road 207/22-2 Centerville, MA 02632 Centerville, MA 02632 J. Scott Wa 207/5 Sandrara Wazde Bruce& Gael Gilmore 207/136 446 So. Main Street 214 Park AvenueCenterville, MA 02632 Centerville, MA 02632 Leroy&Joy Swayze 207/6 Theresa A. Bisenius 187/46 c/o Fitzgerald, Sean& Jones 211 Park Avenue 436 South Main Street Centerville, MA 02632 Centerville, MA 02632 I Charles& Gloria Padula 207/7 Laura. M. Groark 187/32 148 Old Upton Road d 229 Park Avenue Grafto M 0151 � A 9 i Cent ry e lle MA 02632 Emilio&Mardell Gallo 207/8 Elizabeth J. Markarian 187/63'7 c/o Paul & Catherine Richards 4.18 So. Main Street 155 Beech Leaf Island Road Centerville, MA 02632 Centerville, MA 02632 Eva Jane Needs 207/9 2706 Atlantic Blvd. Vero Beach, FL 32960 L. Phillips Brown 207/10 Nancy A. Brown P. O. Box 1338 Prescott, AZ 86302 Richard& Mary Law 207/150 c/o Richard& Mark B Trust 25 Bacon Road Centerville, MA 02632 40 41 .Sly .IR AG .TJ AG CHURCH O .A(o.sc- !� y ry 62-3 31-Z P 39 trT 1' r ( C �4C .30AC. A�(S� �� .81A 143 °h lot 204 tf R[tT 130 'b 33 9/ J 1.411 O N 1 111 17 p}� ® P Ip 1 .SOAO. © j 20 19 i •16 lov? cor�cntaaT.oru� C-Wr- bz-� © Z 144 .3TAr- .ASAC- i 9►nc lot OF saanlTeei 6L^t5 = ul .46At n .-rim O � je I�OAG c-.,r-L.Li.[�4t 7 31 31- 1-3 N 4 t.'Z� AC g 1 1 la Ac fy C ' -1 'j �� •• 10'1 110 ;SO 0 Ida 0 r5 log ROAD 7 Y1 I O N Q'IC y •(c.t ref, r 4.ob1°cL�tA Q ORCHAR D =Af o , ,Ala ® _ Q 22-1 il• ���Soe��� 39�0 .35P•c' r 55.2. C t DPQ +1 �� 32� D K 'Z9.r" � --� � 6'c f� .► T g•NA•1P D 136 A ro ® o 10 . a �j 12 _ 1 ►� y r .STAG c y►p. 1/ AN34 , 10 Cie)If fA u ` ao r G3I r Vo.OB _ ? 'e 'e I S1 RAMD � � .BTw[T r 4-- I.SSAc mT.� 63-j X^ 7b a .59A•�- t _ v h +� 6L WIT° Y ct .1.2LAC Torwc1'w \�\ o ,_ c�` pO 1 1-19 � Uo e 64 =11 I t b i- ti � n' 54. ll 1 a i7Ta• a �-_ % 6 k M e \ �QT A4 IA \0 �- )� *pp I PREPARED UNDER THE aRECTIDN of THE 41 *1 /X"\ 1� BARNSTABLE BOARD OF ASSESSORS DEC-12-2000 02 : 19 PM KOCABA 508 775 6372 P. 02 Q � �r1 ti N m m N 3 � I - O ry D � I D t a N m i LO �1 N AW N i Town of Rawnstable P# 6/ Department of Health,Safety,and Environmental Serviced THE Public Health Division Date O^ 367 Main Street,Hyannis MA 02601 Y + BAMSTABLKMAM i A�fD MAC�` Date Scheduled �W Time Fee Pd. D �_ Soil Suitability Assessment, or'.Sewage.Disposal Performed By: °7 Witnessed By: :.......... .. .......... .......................................... ............................................ ............................................ ........................, ............. .. ......................... .......... ......... ............ ........................... .............. ....1........ ......... ......... ......................... .............. L tOCATI01`d & G�l`�T yL INFORMA'TIt3N / l Location Address r Owner's Name f CeY L��i�e N'i —D C CO Q /� " Address G ,f Yh� O z43Z Assessor's Map/Parcel: Engineer's Name NEW CONSTRUCTION REPAIR Telephone# a-08) jZes��(e h��Land Use Slopes(%) /a�� Surface Stones Distances from: Open Water Body /` ft Possible Wet Area °° ft Drinking Water Well lll�l ft i Drainage Way ft Property Line 2e It Other ft SKETCH:(Street name,dimensions of lot,exact locations of test holes&perc tests,locate wetlands in proximity t es) t A \'11 ?% 119 IQ� �s o �• ,pro C1\ s � J h Parent material(geologic) �'tV -y C J Depth to Bedrock /. y Depth to Groundwater: Standing Water in Hole: Weeping from Pit Face Estimated Seasonal High Groundwater 4 �. ................................................................................................................................................................................................... bE'I'E1CATt�DI�i 'E 'Yt:SAUt, �?VATE12.TABLE ......................I........... ....... .................. .......... ..... ... . _ _._ .. .................................................................................................................... ..................................... ........::...::.....................:::._:::::::::::::::::::::::::::::::::::::::::.:::::::::::::::::::::::.::::::::::::::::::::::::::.:::::::. Tviethod Used: t t/et•z Depth Observed standing in obs.hole: S in. Depth to soil mottles: in. Depth to weeping from side of obs.hole: in. Groundwater Adjustment ft. Index Well#__-.__.,_. .Reading Date:-­.- Index Well level. ___ Adj.factor_ Adj.Groundwater Level PER; OLATICSN TEST Date f T'i Observation Hole# Time at 9" /O 3 G:ov Yi Depth of Perc �G2"�/¢ Time at 6" Start Pre-soak Time @ �O'L9'° �y,t%s Time(9"-6") End Pre-soak /o:30 Rate MinAnch 4 Z Site Suitability Assessment: Site Passed Site Failed: Additional Testing Needed(Y/N) Original: Public Health Division Observation Hole Data To Be Completed on Back j Copy: Applicant q ;DEEP OBSERVATION .0 E LOG Hole Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulderes. Consistency,° Gravel /8ir 19 1P1-cmry / / 1- camr cz�� r/ tt .soh�Q7i /40>01g !02 G2 Loa.h 7�/0 rr 'L /lofa' C3 ccars� 'Z ':DEEP OBSERVATION HOLE LOG Hold Depth from Soil-Horizon Soil Texture Soil Color Soil I Other Surface(in.) , (USDA) (Munsell) Mottling (Structure,Stones,Boulderes. Consistency,%Gravel i J1 - J , ;DEEP OBSERATION HOIE LOG Hole# . .. Depth from Soil Hottzon Soil Texture Soil Color Soil Other Surface(in.) (�USDA)-;, (Munsell) Mottling (Structure,Stones,Boulderes. ' Consistent %Gravel .71 DEEP OBS;EI2.VATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other' Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulderes. Consistent %Gravel Flood Insurance Rate Man: Above 500 year flood boundary No_ Yes Within 500 year boundary No_ Yes Within 100 year,flood boundary No_ Yes Depth of Naturally Occurring Pervious Material Does at least four feet of naturally occurring pervious material exist in all areas observed throughout the area proposed-for the soil absorption system? e If not,what is the depth of naturally occurring pervious material?. Certification I certify that on /-/,0✓ 5j (date)I have passed the soil evaluator examination approved by the Department of Environmental Protection and that the above analysis was performed by me consistent with the required training, expertise and experience described in 110 CMR 11,111, Signature � Wt�� Date 0 2660 j ABUTTERS OF Sa" } Kathleen Kocaba 224 Park Avenue, Centerville Board of Health File#1-881 1 . J��� .,tia'�h ''-� �G .. ,�ati�e:�, ,.�=i: � ate'' ,,��,��/ fir.r�i��,ri" �� — �` .-- `, � � r r �� CERTIFIED'U.S.'Postal Service (q9mestic Mail Only; Provided) I� Article Sent To: ru O Postage $ 3 405 yo �? � Certified Fee r QQ tm Er— Return Receipt Fee i ��` reark O E3 (Endorsement Required) L O Restricted Delivery Fee i �r Ogg O (Endorsement Required) \S p Total Postage&Fees $ s ru ru Ni m o- si Laura M. Groark I1- 229 Park Avenue ................... Centerville, MA 02632 Certified Mail Provides: ■A mailing receipt ■A unique identifier for your mailpiece ■A signature upon delivery ■A record of delivery kept by the Postal Service for two years Important Reminders: ■Certified Mail may ONLY be combined with First-Class Mail or Priority Mail. s Certified Mail is not available for any class of international mail., ■ NO INSURANCE COVERAGE IS PROVIDED with Certified Mail. For valuables,please consider.Insured or Registered Mail. ,,. ■For an additional fee,a Return Receipt may be requested td°6ide proof of delivery.To obtain Return Receipt service,please complete and attach a Return Receipt(PS Form 3811)to the article and add applicable postage to cover the fee.Endorse mailpiece"Return Receipt Requested".,To-receive a fee waiver for a duplicate return receipt,a USPS postmark on your Certified Mail receipt is required. ■For an additional fee, delivery may be restricted to the addressee or addressee's authorized agent.Advise the clerk or mark the mailpiece with the endorsement"Restricted Delivery". e If a postmark on the Certified Mail receipt is desired,please present the arti- cle at the post office for postmarking. If a postmark on the Certified Mail receipt is not needed,detach and affix label with postage and mail. IMPORTANT.Save this receipt and present it when making an inquiry. I ` PS Form 3800,July 1999 (Reverse) 102595-99-M-1938 CERTIFIEDstal Service •. (Domestic Mail On . Provided) ilO: Article Sent . Er F7- r-3 Postage $ r .1171-0 Certified Fee Q Postmark p- Return Receipt Fee He N N 3 (Endorsement Required) to r-3 Restricted Delivery Fee O O (Endorsement Required) p Total Postage&Fees $ ` nU \ i. M " Paul&Dolores Gianelli S o- Park Avenue Realty Trust °' o 24 Lawndale Road =-------------=- � . -Stoneham, MA 02180 Certified Mail Provides: ■A mailing receipt ■A unique identifier for your mailpiece ■A signature upon delivery ■A record of delivery kept by the Postal Service for two years Important Reminders: ■Certified Mail may ONLY be combined with First-Class Mail or Priority Mail. ■Certified Mail is not available for any class of international mail. ■ NO INSURANCE COVERAGE IS PROVIDED with Certifiedj Mail. For I valuables,please consider Insured or Registered Mail`=:,. ■For an additional fee,a Return Receipt may be requested to provide proof of delivery.To obtain Return Receipt service,please complete and attach a Return Receipt(PS Form 3811)to the article and add applicable postage to cover the fee.Endorse mailpiece"Return Receipt Requested".To receive a fee waiver for a duplicate return receipt,a USPS postmark on your Certified Mail receipt is required. ■For an additional fee, delivery may be restricted to the addressee or addressee's authorized agent.Advise the clerk or mark the mailpiece with the endorsement"Restricted Delivery". ■ If a postmark on the Certified Mail receipt is desired,please present the arti- cle at the post office for postmarking. If a postmark on the Certified Mail receipt is not needed,detach and affix label with postage and mail. IMPORTANT.Save this receipt and present it when making an inquiry. PS Form 3800,July 1999 (Reverse) 102595-99-M-1938 IPbs.tal Service .. Only;� .I Article Sent • a C3 Postage $ 3 X Certified FeeEr I v di r3 Return Receipt Fee Postmark �$ q era 0 (Endorsement Required) � Q� C:3 Restricted Delivery Fee /d 0 (Endorsement Required) �� O p Total Postage&Fees s —9. Q 1 0'. ru a. ru Nb m L. Phillips Brown it sr. Nancy A. BroIr wn U5 NP. O. Box 1338 .---------------- Prescott, AZ 86302 Certified Mail Provides: ■A mailing receipt ■A unique identifier for your mailpiece ■A signature upon delivery ■A record of delivery kept by the Postal Service for two years Important Reminders: ■Certified Mail may ONLY be combined with First-Class-Mail or Priority Mail. - s.A ■Certified Mail is not available for any class of internatidno ail. ■ NO INSURANCE COVERAGE IS PROVIDED with Certified Mail. For valuables,please consider Insured or Registered Mail. e For an additional fee,a Return Receipt may be requested to provide proof of delivery.To obtain Return Receipt service,please complete and attach a Return Receipt(PS Form 3811)to the article and add applicable postage to cover the fee.Endorse mailpiece"Return Receipt Requested".To receive a fee waiver for a duplicate return receipt,a USPS postmark on your Certified Mail receipt is required. ■For an additional fee, delivery may be restricted to the addressee or addressee's authorized agent.Advise the clerk or mark the mailpiece with the endorsement"Restricted Delivery". ■If a postmark on the Certified Mail receipt is desired,please present the arti- cle at the post office for postmarking. If a postmark on the Certified Mail receipt is not needed,detach and affix label with postage and mail. IMPORTANT.Save this receipt and present it when making an irnquiry. I PS Form 3800,July 1999 (Reverse) 102595-99-M-1938 (DomesticU.S.Postal Service CERTIFIED MAIL RE I Ln a Article Sent�Tb: ru -�� o Postage $ ��-,NNIS Certified Fee i co ostmark 10— Return Receipt Fee CID(Endorsement Required) r Q C Pestdcted Delivery Fee O (En`dorsement Required) p Totni a arse a A eonPI:3 fru�nj f m "a' Elizabeth J,Markarian Q- c/o Paul& Catherine Richards Cr 155 Beech Leaf Island Road C3 ................ Centerville, MA 02632 Certified Mail Provides: ■A mailing receipt ■A unique identifier for your mailpiece e A signature upon delivery ■A record of delivery kept by the Postal Service for two years Important Reminders: s Certified Mail may ONLY be combined with First-Class,Mail or Priority Mail. ■Certified Mail is not available for any class of international mail. s NO'INSURANCE COVERAGE IS PROVIDED with Cel ified Mail. For valuables,please consider Insured or Registered Mail. ■For an additional fee,a Return Receipt may be requested to provide proof of delivery.To obtain Return Receipt service,please complete and attach a Return Receipt(PS Form 3811)to the article and add applicable postage to cover the fee.Endorse mailpiece"Return Receipt Requested".To receive a fee waiver for a duplicate return receipt,a USPS postmark on your Certified Mail receipt is required. ■For an additional fee, delivery may be restricted to the addressee or addressee's authorized agent.Advise the clerk or mark the mailpiece with the endorsement"Restricted Delivery". s If a postmark on the Certified Mail receipt is desired,please present the arti- cle at the post office for postmarking. If a postmark on the Certified Mail receipt is not needed,detach and affix label with postage and mail. IMPORTANT:Save this receipt and present it when making an inquiry. PS Form 3800.July 1999 (Reverse) 102595-99-M-1938 d .� SENDER: I also wish to receive the follow- Z ❑Complete items 1 and/or 2 for additional services. ing services(for an extra fee): W Complete items 3,4a,and 4b. ❑Print your name and address on the reverse of this form so that we can return this ai d card to you. 1• ❑ Addressee's Address ❑Attach this form to the front of the mailpiece,or on the back if space does not it a) permit. 2• El Restricted Delivery cn .L. ❑Write"Return Receipt Requested"on the mailpiece below the article number. ❑The Return Receipt will show to whom the article was delivered and the date a 0 delivered. a) 13 3.Article Addressed to: 4a.Article Number d cA Elizabeth J, Markarian 4b.Service Type e I ❑ Registered Certified tr c/o Paul& Catherine Richards 9 cm ❑ Express Mail ❑Insured S I S S Beech Leaf Island Road ❑ Return Receipt for Merchandise ❑COD Centerville MA 02632 0 4 7.Date of Delivery zo[ - - -------- - 1 •-k 9 5.Received By: (Print Name) 8.Addressee's Address(Only if requested and c it-E ' C a �� fecc e is paid) �i 6.Signature(A dressee orA ent) 0 1 N PS Form 11,December 1994 102595-99-13-0223 Domestic Return Receipt UNITED STATES POSTAL SERVICE First-Class Mail 111111 Postage&Fees Paid USPS Permit No.G-10 ................ ........................ ..... .............. ....................... ...... _.............................. ............................. ................................. .................................... .. • Print your name, address, and ZIP Code in this box • G'RA9� R. S.407 P Saag $eao12, N4 02660 (._......................_........................................_.................._.........................._............._....................._..........._.........._...................... t (DomesticU.S.Postal Service CERTIFIED MAIL RECEIPT Only; il� Article Sent To: nmi 0 Postage $ III- Certified Fee U , OEN N�S' 4 Cr- Return Receipt Fee Po ar O (Endorsement Required) r U7 He O Rettricted Delivery Fee O (Endorsement Required) 111 V O p Total Postage&Fees $ ru �.ni Nami S ........ Theresa A. Bisenius Er Stree Er 211 Park Avenue r` cuy,a Centerville,MA 0263 Certified Mail Provides: ■A mailing receipt ■A unique identifier for your mailpiece e A signature upon delivery ■A record of delivery kept by the Postal Service for two years Important Reminders: ■Certified Mail may ONLY be combined with First-Class Mail or Priority Mail. ■Certified Mail is not available for any class of international mail. i R;i. ■ NO.INSURANCE COVERAGE IS PROVIDED.with Certified Mail. For valuables,please consider Insured or Registeredil: ■For an additional fee,a Return Receipt may be requested to provide proof of delivery.To obtain Return Receipt service,please complete and attach a Return Rec�,ipt(PS Form 3811)to the article and add applicable postage to cover the fee.Endorse mailpiece"Return Receipt Requested".To receive a fee waiver for a duplicate return receipt,a USPS postmark on your Certified Mail receipt is required. ■For an additional fee, delivery may be restricted to the addressee or addressee's authorized agent.Advise the clerk or mark the mailpiece with the endorsement"Restricted Delivery". ■If a postmark on the Certified Mail receipt is desired,please present the arti- cle at the post office for postmarking. If a postmark on the Certified Mail receipt is not needed,detach and affix label with postage and mail. IMPORTANT:Save this receipt and present it when making an inquiry. PS Form 3800,July 1999 (Reverse) 102595-99-M-1938 SANDER: I also wish to receive the follow -@ ❑Complete items 1 and/or 2 for additional services. Ing services(for an extra fee): CD Complete items 3,4a,and 4b. ❑Print your name and address on the reverse of this form so that we can return this ai card to you. 1• ❑Addressee's Address d ❑Attach this form to the front of the mailpiece,or on the back if space does not permit. 2. ❑ Restricted Delivery N i .t. ❑Write'Return Receipt Requested"on the mailpiece below the article number. ❑The Return Receipt will show to whom the article was delivered and the date C Cp delivered. .� "a) 3.Article Addressed to: 4a.Article Number m 4b.Service Type d o Theresa A. Bisenius ❑ Registered rtified G 211 Park Avenue ❑Express Mail nured S Centerville, MA 02632 ❑ Return Receipt for Merchandise ❑COD 0 7.Date of Delivery 5.Received By: int Name) S.Addressee's Address(Only if requested and c UJI e K S fee is paid) cIM 6.S ature(Ad ssee or Agent) j 0 • I y PS Form 3811,December 1994 102595-99-B-0223 Domestic Return Receipt UNITED STATES POSTAL SERVICE First-Class Mail Postage&Fees Paid LISPS Permit No.G-10 ......................................................................................................................................................._.........................................................................................__........ • Print your name, address, and ZIP Code in this box • G'2A9C� R. s.#oR7, R-e --- -- So c $e"01", IW 4 02660 G f_.............................................._..._..........._.............................................................................................._._.............. U.S. Postal Service CERTIFIED MAILRECEIPT D. . Insurance Coveraqe Provided) O Article Sent To: ni rij —eel IO Postage $ 33 .0 Certified Fee 1S AOr ���N IT' r� Return Receipt Fee P �tmark p (Endorsement Required) - a,�A1(rY�' Restricted Delivery Fee 0 �� O (Endorsement Required) �cP O Total Postage&Fees ru r. ru r n L St?-s! cr s Bruce&Gael Gilmore ""•"""------"""""" °- 214 Park Avenue C3 -. Centerville, MA 02632 Certified Mail Provides: ■A mailing receipt a A unique identifier for your mailpiece ■A signature upon delivery ■A record of delivery kept by the Postal Service for two years Important Reminders: n Certified Mail may ONLY be combined with First-Class Mail or Priority Md,l. ■Certified Mail is not available for any class of-international mail. ■ NO INSURANCE COVERAGE IS PROVIDED with Certified Mail. For valuables,please consider Insured or Registered Mail. s For an additional fee,a Return Receipt may be requested to provide proof of delivery.To obtain Return Receipt service,please complete and attach a Return Receipt(PS Form 3811)to the article and add applicable postage to cover the f fee.Endorse mailpiece"Return Receipt Requested".To receive a fee waiver for a duplicate return receipt,a USPS postmark on your Certified Mail receipt is required. ■For an additional fee, delivery may be restricted to the addressee or addressee's authorized agent.Advise the clerk or mark the mailpiece with the endorsement"Restricted Delivery". s If a postmark on the Certified Mail receipt is desired,please present the arti- cle at the post office for postmarking. If a postmark on the Certified Mail receipt is not needed,detach and affix label with postage and mail. IMPORTANT.Save this receipt and present it when making an Inquiry. PS Form 3800,July 1999 (Reverse) 102595-99-M-1938 ai o SENDER: I also wish to receive the follow Z ❑Complete items 1 and/or 2 for additional services. ing services(for an extra fee): NComplete items 3,4a,and 4b. ❑Print your name and address on the reverse of this form so that we can return this ai card to you. 1 ❑ Addressee's Address ` ❑Attach this form to the front of the mailpiece,or on the back if space does not permit. 2. ❑ Restricted Delivery 4) Y ❑Write"Return Receipt Requested"on the mailpiece below the article number. c ❑The Return Receipt will show to whom the article was delivered and the date p delivered. at v o 4a.Article Number d 3.Article Addressed to: 7�gdo E ! 4b.Service Type m I ; Bruce& Gael Gilmore ❑ Registered ertified w214 Park Avenue' ❑ Express Mail ❑Insured Centerville, MA 02632 ❑ Return Receipt for Merchandise ❑COD o w Q 7.Date of Delivery � Z 5. eceived By: (Print Name) 8.Addressee's Address(Only if requested and r- LU P 0 �l ✓n� .� fee is paid) c 6.Sig (Add efes�s Agent) a � e to PS Form 3811,Dec er 1994 102595-99-13-0223 Domestic Return Receipt L 1 UNITED STATES POSTAL SERVICE First-Class Mail 111111 Postage&Fees Paid USPS Permit No.G-10 ................................................................................................................................................................................................................... ...............................................� • Print your name, address, and ZIP Code in this box • 0 12" 10114 i i se"M 2 , /W'j 0.2660 i i 7 l I U.S. Postal Service CERTIFIED MAIL RECEIPT (Domestic Mail Only;:No Insurilrice Coverage Provided) m a m -rF r-3 Postage $ 3 is�t ."0 Certified Fee Postk Er Return Receipt Fee 1 d �, e r3 p (Endorsement Required) p I3 Restricted Delivery Fee r-3 (Endorsement Required) O Totoil Postage&Fees $ru PS fM Na, ir si► Paul&Gertrude Brown ............ Q' 27 Orchard Road am.. cni Centerville, MA 02632" """"""""'r Certified Mail Provides: ■A mailing receipt ■A unique identifier for your mailpiece s A signature upon delivery e A record of delivery kept by the Postal Service for two years Important Reminders: a Certifilad Mail may ONLY be combined with First-Class Mail or Priority Mail. ■Certified Mail is not available for any class of international mail. ■ NO INSURANCE COVERAGE IS PROVIDED with Certified Mail. For valuables,please consider Insured or Registered Mail = ■For an additional fee,a Return Receipt may be requested to provide proof of delivery.To obtain Return Receipt service,please complete and attach a Return Receipt(PS Form 3811)to the article and add applicable postage to cover the fee.Endorse mailpiece"Return Receipt Requested".To receive a fee waiver for a duplicate return receipt,a USPS postmark on your Certified Mail receipt is required. s For an additional fee, delivery may be restricted to the addressee or addressee's authorized agent.Advise the clerk or mark the mailpiece with the endorsement"Restricted Delivery". ■If a postmark on the Certified Mail receipt is desired,please present the arti- cle at the post office for postmarking. If a postmark on the Certified Mail receipt is not needed,detach and affix label with postage and mail. IMPORTANT.Save this receipt and present it when making an inquiry. PS Form 3800,July 1999 (Reverse) 102595-99-M-1938 0 SENDER: I also wish to receive the follow- in ❑Complete items 1 and/or 2 for additional services. Ing services(for an extra fee): d Complete items 3,4a,and 4b. ❑Print your name and address on the reverse of this form so that we can return this ti > card to you. • ❑Addressee's Address d ❑Attach this form to the front of the mailpiece,or on the back if space does not fr permit. 2• ❑ Restricted Delivery N t ❑Write'Return Receipt Requested"on the mailpiece below the article number. c ❑The Return Receipt will show to whom the article was delivered and the date C. p delivered. .� 0 3 3.Article Addressed to: 4a.Article Number - t9&Vq(7�U air a 3 E 4b.Service Type O Pahl&Gertrude Brown `! ❑ Registered jCertified 7 rn 4 27 Orchard Road ❑ Express Mail ❑Insured c cc , iZ C ! Centerville,MA 02632 ❑ Return Receipt for Merchandise ❑COD ` a 7.Date of Delivery z o �-- -- - - - -- — -J _ - U cca r- 5.Received By: (Print Name) 8.Addressee's Address(Only if requested and e W fee is paid) 4/ 10 0 6.S ign�tur (Addressee or Agent) a �� ly PS Form 3811,December 19 4-- .- 102595-99-6-0223 Domestic Return Receipt UNITED STATES POSTAL SERVICE First-Class Mail Postage&Fees Paid USPS Permit No.G-10 ............................_..................................................................................._.........................................................................................................._....------------------................ Print your name, address, and ZIP Code in this box • y s-1/o29, P.c i A0. '9" 1044 Soma `beam" IW4 02660 I (DomesticI U;& Postal Service CERTIFIED MAIL RECEIPT / Insurance CoverageProvided) nj E-0 Article Sent To: � Ip Postage $ , 53 JzgE-tN,, p T Certified Fee V 9 Postmark O ir Re turn Fee I � p (Endorsement Required) � 0)� C3 Restricted Delivery Fee O (Endorsement Required) E. OTotal Postage&Fees $ mNan Wade Randall McGillis, Jr. ---------------- Er ir sere 41 Orchard Road «r Centerville, MA 02632 Certified Mail Provides: s A mailing receipt ■A unique identifier for your mailpiece ■A signature upon delivery ■A record of delivery kept by the Postal Service for two years Important Reminders: ■Certified Mail may ONLY be combined with First-Class Mail or Priority Mail. ■Certified Mail is not available for any class of international mail., ■ NO. INSURANCE COVERAGE IS PROVIDED with Certified Mail. For valuables,please consider Insured or Registered Mail. r. o For an additional fee,a Return Receipt may be requested to provade proof of delivery.To obtain Return Receipt service,please comPCete and attach a Return Receipt(PS Form 3811)to the article and add applicable postage to cover the W.Endorse mailpiece"Return Receipt Requested".To receive a fee waiver for a duplicate return receipt,a USPS postmark on your Certified Mail receipt is required. ■For an additional fee, delivery may be restricted to the addressee or addressee's authorized agent.Advise the clerk or mark the mailpiece with the I endorsement"Restricted Delivery". ■ If a postmark on the Certified Mail receipt is desired,please present the arti- cle at the post office for postmarking. If a postmark on the Certified Mail receipt is not needed,detach and affix label with postage and mail. IMPORTANT-Save this receipt and present it when making an inquiry. PS Form 3800,July 1999 (Reverse) 102595-99-M-1938 f_ a v SEWER: I also wish to receive the follow w ❑comF,ete items 1 and/or 2 for additional services. ing services(for an extra fee): N Compete items 3,4a,and 4b. ❑Print y)ur name and address on the reverse of this form so that we can return this ai card toyou. 1. ❑Addressee's Address ` ❑Attach fiis form to the front of the mailpiece,or on the back if space does not y permit.; 2. ❑ Restricted Delivery a) r ❑Write'Return Receipt Requested'on the mailpiece below the article number. ❑The Return Receipt will show to whom the article was delivered and the date C p delivereu'. Z 0 d 3.Article Addressed to: 4a.Article Number 4) c i 1 4b.Service Type a Wade Randall McGillis, Jr. ❑ Registered Certified M m V LL 41 Orchard Road ❑ Express Mail ❑Insured 5 x+ y c Centerville, MA 02632 ❑ Return Receipt for Merchandise [I COD a 7.Date of Delivery 5.Received By: (Print Name) 8.Addressee's Address(Only if requested and c �? C fee is paid) F c 6.Sidnatulg(Adr(ressee or Agent) N ,7 - PS Form 3811,December 1994 102595.99-13-0223 Domestic Return Receipt UNITED STATES POSTAL SERVICE ge&t Fee First C ii Postage s Paid LISPS Permit No.G 10 ...................................................................................................................................._............_..................................................................---_---_-- • Print your name, address, and ZIP Code in this box • RG /3" /044 I �'out� $esys, MA 02660 U.S. POSTAL SERVICE **** SO DENNIS 02660 247378 44.00 CAROL # @5 12-27-00 14:16:04 CUSTOMER RECEIPT 098 POSTAGE STAMPS 47.68 ($2.98 x 16) TOTAL 47.68 CHECK #005 47.68 CHANGE .00 *** THANK YOU *** U;S. Postal Service CERTIFIED MAIL RECEIPT E. Provided)m "Article Sent To� CO ra F E3 Postage $ 33 -I- .fi ,,,p Certified Fee v S Er Return Receipt Fee r n� O (E dorsement Required) ,�O� He O O Restricted Delivery Fee (Endorsement Required) O Total Postage&Fees $ r ` l Ill 7 ' Richard&Mary Law U�,PS ------_ 117 Er c/o Richard&Mark B Trust fo- � ' 25 Bacon Road ...................L. Centerville,MA 02632 Certified Mail Provides: ■A mailing receipt s A unique identifier for your mailpiece ■A signature upon delivery ■A record of delivery kept by the Postal Service for two years Important Reminders: e Certified Mail may ONLY be combined with First-Class Mail or Priority MdJ. e Certified Mail is not available for any class of,international m 'I e NO INSURANCE COVERAGE IS PROVIDED with Cer Mail. For valuables,please consider Insured or Registered Mail. ' ■Forran additional fee,a Return Receipt may be requested to provide proof of delivery.To obtain Return Receipt service,please complete and attach a Return Receipt(PS Form 3811)to the article and add applicable postage to cover the fee.Endorse mailpiece"Return Receipt Requested".To receive a fee waiver for a duplicate return receipt,a USPS postmark on your Certified Mail receipt is required. ■For an additional fee, delivery may be restricted to the addressee or addressee's authorized agent.Advise the clerk or mark the mailpiece with the endorsement"Restricted Delivery". ■If a postmark on the Certified Mail receipt is desired,please present the arti- cle at the post office for postmarking. If a postmark on the Certified Mail receipt is not needed,detach and affix label with postage and mail. IMPORTANT:Save this receipt and present it when making an inquiry. PS Form 3800,July 1999 (Reverse) 102595-99-M-19M SENDER: I also wish to receive the follow- ) ❑Complete items 1 and/or 2 for additional services. ing services(for an extra fee): at Complete items 3,4a,and 4b. O Print your name and address on the reverse of this form so that we can return this y > card to you. 1. ❑Addressee's Address 4) o Attach this form to the front of the mailpiece,or on the back if space does not > permit. 2. ❑ Restricted Delivery in ❑Write'Return Receipt Requested'on the mailpiece below the article number. U, O The Return Receipt will show to whom the article was delivered and the date a p delivered. �ad�> a 3 A icle Addressed to: 4a.Article Number O 67f a O( c 4b.Service Type Richard&Mary Law j ElRegistered - Certified wtM y c/o Richard&Mark B Trust ❑ Express Mail ElInsured E c25 Bacon Road I ❑Return Receipt for Merchandise ❑COD ` a Centerville, MA 02632 7.Date of Delivery w � �g - � 0 CrI Cr 5.Re ved By: (Print Name) 8.Addressee's Address(Only if requested and c w fee is aid) 5 6.SigL�Ure{Add a see or A�il*l o r' ^ to PS Form 3811,December 1994 102595-99-B-0223 Domestic Return Receipt UNITED STATES POSTAL SERVICE First-Class MailPostage&Fees Paid USPS Permit No.G-10 ........................_...................................................................._................................................................................................_....._................_....---------._....._...------.__------- �; • Print your name, address, and ZIP Code in this box • 10411 s0' `hs /L1r�J 02660 k (II �Y ICI ..............._.......-......................_....................._................................................................-..............................................................................................................----...... fU.Sl.Postal Service.' CERTIFIED MAIL RECEIPT (Pornestic Mail Only; I �.p— 'Article Sent To:'' 0 Postage $ Certified Fee L/v p— Return Receipt Fee lG��.1tis H ®a I O (Endo]r ant Required) Q f Restricted Delivery Fee �O C3 (Endorsement Required) d Total Postage&Fees $ ��qo Lei ru N Name m ------- p-� Stree� Eva Jane Needs U .............. Ir 2706 Atlantic Blvd. ------------ rC3. cuy,a Vero Beach, FL 32960 Certified Mail Provides: ■A mailing receipt ■A unique identifier for your mailpiece ■A signature upon delivery ■A record of delivery kept by the Postal Service for two years Important Reminders: ■Certified Mail may ONLY be combined with First-Class Mail or Priority Mail. ■Certified Mail is not available for any class of international mail..,., ■ NO INSURANCE COVERAGE IS PROVIDED with Certified�Mail. For valuables,please consider.Insured or Registered Mail. ■For an additional fee,a Return Receipt may be requested to provide proof of delivery.To obtain Return Receipt service,please complete and attach a Return Receipt(PS Form 3811)to the article and add applicable postage to cover the fee.Ehborse mailpiece"Return Receipt Requested".To receive a fee waiver for a duplicate return receipt,a USPS postmark on your Certified Mail receipt is required. ■For an additional fee, delivery may be restricted to the addressee or addressee's authorized agent.Advise the clerk or mark the mailpiece with the endorsement"Restricted Delivery". ■ If a postmark on the Certified Mail receipt is desired,please present the arti- cle at the post office for postmarking. If a postmark on the Certified Mail receipt is not needed,detach and affix label with postage and mail. IMPORTANT.Save this receipt and present it when making an inquiry. I PS Form 3800,July 1999 (Reverse) 102595-99-M-1938 o SENDER: I also wish to receive the follow- w ❑Complete items i and/or 2 for additional services. ing services(for an extra fee): N Complete items 3,4a,and 4b. ❑Print your name and address on the reverse of this form so that we can return this y card to you. 1• ❑Addressee's Address 2 d ❑Attach this form to the front of the mailpiece,or on the back if space does not permit, 2. ❑ Restricted Delivery N r' ❑Write'Return Receipt Requested"on the mailpiece below the article number. c ❑The Return Receipt will show to whom the article was delivered and the date a p delivered. '0 3.Article Addressed to: 4a.Article Number a, a OW 6 � E 4b.Service Type d Eva Jane Needs El Registered rtified Cn w 2706 Atlantic Blvd. ❑ Express Mail El Insured y O ' Vero Beach, FL 32960 ❑Return Receipt for Merchandise ❑COD a I 7.Date of Delivery 0 Z --- -- - -- - - F 5.Received By: (Print me) 8.Addres e's ddress(Only if requested and c � 7 f f fee is paid) 0 6.Signature(Addressee rA,gent) y ► !' i 1 �I� 'f° i. lill iilil II li II li IIII►. Ili � PS Form 811,December 1994 102595-99-B-0223 Domestic Return Receipt --U.S. Postal Service ..mestic Mail Only; No�'lnsuiance Coverage Provided) I ru ' C3 Postage $ Q �p Certified Fee / C p- • Return Receipt Fee '' os ar 0 (Endorsement Required), ere Q ,j,�iestneted Delivery Fee (indorsement Required) aO Total Postage 8 Fees f11 rU Ne Im Er Emilio&Mardell Gallo --==............. °" 418 So. Main Street Centerville, MA 02632 Certified Mail Provides: ■A mailing receipt ■A unique identifier for your mailpiece ■A signature upon delivery ■A record of delivery kept by the Postal Service for two years Important Reminders: ■Certified Mail may ONLY be combined with First-Class Mail or Priority Mail. ■Certified Mail is not available for any class of international mail. ■ No INSURANCE COVERAGE IS PROVIDED with Certified Mail. For valuables,please consider Insured or Registered Mail. ■For an additional fee,a Return Receipt may be requested tWrovide proof of delivery.To obtain Return Receipt service,please completeanFapach a Return Receipt(PS Form 3811)to the article and add applicable postage to cover the fee.Endorse mailpiece"Return Receipt Requested".To receive a fee waiver for a duplicate return receipt,a USPS postmark on your Certified Mail receipt is required. < ■For an additional fee, delivery may be restricted`to-the addressee or addressee's authorized agent.Advise the clerk or mark the mailpiece with the endorsement"Restricted Delivery". ■If a postmark on the Certified Mail receipt is desired,please present the arti- cle at the post office for postmarking. If a postmark on the Certified Mail receipt is not needed,detach and affix label with postage and mail. IMPORTANT.Save this receipt and present it when making an inquiry. PS Form 3800,July 1999 (Reverse) 102595-99-M-1938 SENDER: I also wish to receive the follow- in ❑Complete items 1 and/or 2 for additional services. ing services(for an extra fee): m Complete items 3,4a,and 4b. d ❑Print your name and address on the reverse of this form so that we can return this i card to you. 1• ❑ Addressee's Address o Attach this form to the front of the mailpiece,or on the back if space does not it permit. 2. ❑ Restricted Delivery rn r ❑Write'Return Receipt Requested°on the mailpiece below the article number. ❑The Return Receipt will show to whom the article was delivered and the date a 0 delivered. w 0 3.Article Addressed to: 4a.Article Number- _- - -- d r ;Vq1?3o?X 009 67�( ��S E a c, 4b.Service Type d Emilio&Mandell Gallo ❑Registered k—ertified Cr Cn 418 So. Main Street cn ❑ Express Mail ❑Insured cc Centerville, MA 02632 ❑Return Receipt for erchandise ❑COD _ __ _ -- _-- _�-� 7.Date of 2 eliv a z >. 5. t t ) 8.Add te ee's A dress(Only if requested and e fee is paid) 5 6.Signature(Addressee or Agent) 0 N PS Form 3811,December 1994 102595-99-B-0223 Domestic Return Receipt UNITED STATES POSTAL SERVICE First-Class MailPostage&Fees Paid USPS Permit No. -10 • Print your name, address, and ZIP Code in this box • 1 '0 0. /3ox 1044 So�stlz `heruai� 1L1A 01660 E (DomesticU.S. Postal Service ' CERTIFIED MAIL RECEIPT Only; tlt - / Postage $ , 33 [�,,,p Certified Fee Q Ir Return Receipt Fee p (Endprsement Required) C3 Restricted Delivery Fee (Endorsement Required)C3 TG @@�I Postage&Fees .p ru ru p m Charles&Gloria Padula _ U, ----"""""""-"""""- Ir 148 Old Upton Road N c Grafton, MA 01519 ""'""'""""""""" Certified Mail Provides: ■A mailing receipt ■A unique identifier for your mailpiece ■A signature upon delivery ■A record of delivery kept by the Postal Service for two years Important Reminders: ■Cert jed Mail may ONLY be combined with First-Class Mail or Priority Md,l. ■Certified Mail is not available for any class of.international mail. a NO INSURANCE COVERAGE IS PROVIDED with Cerrtlfied Mail. For valuables,please consider Insured or Registered Mail. ■For an additional fee,a Return Receipt may be requested to provide proof of delivery.To obtain Return Receipt service,please complete and attach a Return Receipt(PS Form 3811)to the article and add applicable postage to cover the fee.Endorse mailpiece"Return Receipt Requested".To receive a fee waiver for a duplicate return receipt,a USPS postmark on your Certified Mail receipt is required. ■For an additional fee, delivery may be restricted to the addressee or addressee's authorized agent.Advise the clerk or mark the mailpiece with the endorsement"Restricted Delivery". s If a postmark on the Certified Mail receipt is desired,please present the arti- cle at the post office for postmarking. If a postmark on the Certified Mail receipt is not needed,detach and affix label with postage and mail. IMPORTANT.Save this receipt and present it when making an Inquiry. PS Form 3800,July 1999 (Reverse) 102595-99-M-1938 a o SENDER: I also wish to receive the follow in ❑Complete items 1 and/or 2 for additional services. ing services(for an extra fee): y Complete items 3,4a,and 4b. ❑Print your name and address on the reverse of this form so that we can return this Ci card to you. 1• ❑Addressee's Address o ` ❑Attach this form to the front of the mailpiece,or on the back if space does not r permit. 2• ❑ Restricted Delivery ) .t. ❑Write'Return Receipt Requested'on the mailpiece below the article number. ❑The Return Receipt will show to whom the article was delivered and the date a o delivered. U 3.Article Addressed to: 4a.Article Number s a -71 E 4b.Service Type01 Charles&Gloria Padula ❑ Registered Certified w 148 Old Upton Road ❑ Express Mail ❑Insured S o' Gtafton MA 01519 ❑ Return Receipt for Merchandise ❑COD O 0 a - 7.Date of/Delive o 5.Received By: ( tint Name) 8.Addressee's Address(Only if requested and c I` � fee is paid) F I 6 Sig re dres ee or gen IIII o '15S Form 3811,December 1994 102595799-f;-0223+ Domestic Return Receipt / f - - UNITED STATES POSTAL SERVICE First-Class Mall Postage&Fees Paid USPS Permit No.G-10 ................. ..... ............. ..... ...... ......... ............... ....................................................... ........................ . ................. ....................................................------.-------------- j • Print your name, address, and ZIP Code in this box • j /3oa 1044 saktk he u, MA 0.2660 I i � ............................................................................................................... . .............................. .........................................................................................................._...1 11Is�9::1.1s111S.lid:l1119$111:1 ., CERTIFIED MAIL RECEIPT D. .•. a Article Sent To' ru ra l_d C3 Postage $ 3N1N. 026'6,0 I1 —a Certified Fee < < U os Er ,Return Receipt Fee �( er p (Endorsement Required) (I rL� Here C3 Restricted Delivery Fee O (Endorsement Required) ©( O Total Postage&Fees s ,7 q V� ru ru M J. Scott Warde o- -------------------- Er Sandra Warde 0 446 So. Main Street •-------------------- M1 Centerville, MA 02632 Certified Mail Provides: ■A mailing receipt ■A unique identifier for your mailpiece r ■A signature upon delivery ■A record of delivery kept by the Postal Service for two years Important Reminders: ■Certified Mail may ONLY be combined with First-Class Mail or Priority Mail. ■Certified Mail is not available for any class of international mail._ ■ NO(INSURANCE COVERAGE IS PROVIDED with Certified Mail. For valuables,please consider.Insured or Registered Mail. ■ For an additional fee,a Return Receipt may be requested to provide proof of delivery.To obtain Return Receipt service,please complete and attach a Return Receipt(PS Form 3811)to the article and add applicable postage to cover the fee.Endorse mailpiece"Return Receipt Requested".To receive a fee waiver for a duplicate return receipt,a USPS postmark on your_Certified Mail receipt is required. ■For an additional fee, delivery may be restricted to the addressee or addressee's authorized agent.Advise the clerk or mark the mailpiece with the endorsement"Restricted Delivery". ■If a postmark on the Certified Mail receipt is desired,please present the arti- cle at the post office for postmarking. If a postmark on the Certified Mail II receipt is not needed,detach and affix label with postage and mail. ` IMPORTANT.Save this receipt and present it when making an inquiry. PS Form 3800,July 1999 (Reverse) 102595-99-M-1938 d .o SENDER: I also wish to receive the follow- r o Complete items 1 and/or 2 for additional services. ing services(for an extra fee): d Complete items 3,4a,and 4b. ❑Print your name and address on the reverse of this form so that we can return this ai card to you. 1• ❑Addressee's Address ` ❑Attach this form to the front of the mailpiece,or on the back if space does not permit. 2. ❑ Restricted Delivery N a ❑Write'Return Receipt Requested'on the mailpiece below the article number. ❑The Return Receipt will show to whom the article was delivered and the date p delivered._ 3.Article Addressed to: 4a.Article Number d �; 1 Q a a0 67 6 d-1 = i e J. Scott Warde { 4b.Service Type 0 El Registered ertified Cb N Sandra Warde ❑Express Mail ❑Insured E w 446 So. Main Street cc N ❑Return Receipt for Merchandise ❑COD c N Centerville MA 02632 `o a 7.Date of De ery Z -, __ - ---- —_ 1 /� d 9 o T z 5.ReceivedBy: (Pint a e) 8.Addre ee's dress(Only if requested and c I fee is paid)Icc 00 6.Si re( r rAg nt) N PS ,6rm 811,December 1994 102595-99-Rd223 Domestic Return Receipt UNITED STATES POSTAL SERVICE First-Class Mail Postage&Fees Paid USPS Permit No.G-10 • Print your name, address, and ZIP Code in this box • 1 12" >01/4 Swd4 2e-,W, M4 02660 _............_..............................__.............__..............................................._..._...__.............................................................._...............---........................................... -7777777 U.S.Postal'Service CERTIFIED MAIL RECEIPT '(Dornestic Mail • . Ins-61rance Coverage Provided) ��rti6le Sent To' �p Im 'I D Postage $ �t Certified Fee 1,�cya Q- Return Receipt Fee ostmark O (Endorsement Required) Here C3 R ttricted Delivery Fee `O (Endorsement Required) p Total Postage&Fees ru fit Nan M Ir Joan G. Rufleth n- 230 Park Avenue o ciey, Centerville, MA 02632 Certified Mail Provides: ■A mailing receipt ■A unique identifier for your mailpiece ■A signature upon delivery ■A record of delivery kept by the Postal Service for two years Important Reminders: s Certified Mail may ONLY be combined with First-Class Mail or Priority Mail. ■Certified Mail is not available for any class of international mail. ■ NO ONSURANCE COVERAGE IS PROVIDED with Certified Mail. For valuables,please consider Insured or Registered Mail. ■For an additional fee,a Return Receipt may be requested to provide proof of delivery.To obtain Return Receipt service,please complete and attach a Return Receipt(PS Form 3811)to the article and add applicable postage to cover the fee.Endorse mailpiece"Return Receipt Requested".To receive a fee waiver for a duplicate return receipt,a USPS postmark:on your Certified Mail receipt is required. e For an additional fee, delivery may be restricted to the addressee or addressee's authorized agent.Advise the clerk or mark the mailpiece with the endorsement"Restricted Delivery". ■ If a postmark on the Certified Mail receipt is desired,please present the arti- cle at the post office for postmarking. If a postmark on the Certified Mail receipt is not needed,detach and affix label with postage and mail. IMPORTANT:Save this receipt and present it when making an inquiry. PS Form 3800,July 1999 (Reverse) 102595-99-M-1938 .o SENDER: I also wish to receive the follow- 0 Complete items 1 and/or 2 for additional services. ing services(for an extra fee): a) Complete items 3,4a,and 4b. ca ❑Print your name and address on the reverse of this form so that we can return this ai d card to you. • ❑ Addressee's Address ❑Attach this form to the front of the mailpiece,or on the back if space does not d permit. 2. ❑ Restricted Delivery 4) r ❑Write'Return Receipt Requested'on the mailpiece below the article number. ❑The Return Receipt will show to whom the article was delivered and the date o o delivered. at U 3.Article_Addressed to: - _ 4a.Article Number d E 4b.Service Type Joan G.Rufleth ❑ Regist ed`'�RV/<� Certified Cn 230 Park Avenue ❑ ExP•ress Maio F ❑Insured CCenterville, MA 02632 ❑Return Receip f r Mercha if}se ❑COD a 7.D 'terdf Deliveryp, 0 F 5.Received B : (Print Name) S.Add r @@see-s..Address.(Owy if requested and c W t, tee is p'aid)�� M t- 0 6_Signature es gent) i PS'Form 811 Dec64ib&"I994r!' ! "! j . ''"' 102565-69-13-023 Domestic Return Receipt Ir UNITED STATES POSTAL SERVICE v First-Class Mail � G� Postage&Fees Paid't% E , 6 USPS t? P m Permij No.fG.\17t)�K,,® -j........................................... .............................. .... ------- tN..�t .. I----------...................................................................-..... _ ........... ..................................... 0 Print your na ,% g0ress,<,--and ZIP 6&'inzthi8�box 0-2660 ............................................................................................................................................................................................................................................... U'&Postal Service CERTIFIED MAIL RECEIPT (Domestic Mail Only, No,Insurance Coverarg�e�Provided) ltiArficle Sent To: �`0 m Tel 1-3 Postage $ i 33 400 C� I`—o Certified Fee cP I Er •Return Receipt Fee �- 1Wi Po p (Endorsement Required) I_ U) C3 Restricted Delivery Fee 'Z Z-) O (Endorsement Required) CC Oa —/Total Postage&Fees � ` qr), i�Er- N Christopher P. Kocaba ----------------- Er s Kathleen G. Kocaba C3 c; 224 Park Avenue ------------------ Centerville, MA 02632 II Certified Mail Provides: ■A mailing receipt ■A unique identifier for your mailpiece ■A signature upon delivery m A record of delivery kept by the Postal Service for two years Important Reminders: o Certified Mail may ONLY be combined with First-Class Mail or Priority Ma,l. s Certified Mail is not available for any class of.internatQonal mail. s NO INSURANCE COVERAGE IS PROVIDED with Certified Mail. For valuables,please consider Insured or Registered Mail: ■For an additional fee,a Return Receipt may be requested to provide prof of delivery.To obtain Return Receipt service,please cornplbte and attach a Return Receipt(PS Form 3811)to the article and add appli&k a postage to cover the fee.Endorse mailpiece"Return Receipt Requested".'t receive a fee waiver for a duplicate return receipt,a USPS postmark on your Certified Mail receipt is required. ■For an additional fee, delivery may be restricted to the addressee or addressee's authorized agent.Advise the clerk or mark the mailpiece with the endorsement"Restricted Delivery". ■If a postmark on the Certified Mail receipt is desired,please present the arti- cle at the post office for postmarking. If a postmark on the Certified Mail receipt is not needed,detach and affix label with postage and mail. IMPORTANT:Save this receipt and present it when making an inquiry. PS Form 3800,July 1999 (Reverse) 102595-99-M-1938 SENDER: I also wish to receive the follow- 'y ❑Complete items 1 and/or 2 for additional services. ing services(for an extra fee): N Complete items 3,4a,and 4b. i ❑Print your name and address on the reverse of this form so that we can return this y m card to you. 1• ❑ Addressee's Address ❑Attach this form to the front of the mailpiece,or on the back if space does not permit. 2. ❑ Restricted Delivery 0 .t. ❑Write-Return Receipt Requested"on the mailpiece below the article number. ❑The Return Receipt will show to whom the article was delivered and the date C p delivered. 'm 3.Article Addressed to: 4a.Article Number aXOXC1 7 0366 7 CL E Christopher P. Kocaba 4b.service Type a V ❑ Registered Certified M y . Kathleen G. Kocaba w ❑ Express Mail ❑Insured c ; 224 Park Avenue 0 Eli Return Receipt for Merchandise ❑COD a° Centerville, MA 02632 7.Date of Delivery � ej --- � � _ --- - - r - a 5. a eived By: (Print Name) 8.Addressee's Address(Only if requested and c / fee is paid) cc c tre(Addressee or 0T N PS Form 3811 Deceni er 1994 to259a-99-B-o223 Domestic Return Receipt tt t, . . . .. t I li p UNITED STATES POSTAL SERVICE First-Class MailPostage&Fees Paid USPS Permit No.G-10 .........................................................................................._..........._..........._............_..........................._....................................................... _.............................................. • Print your name, address, and ZIP Code in this box • (?RM� a. s.40a, a� } o. 12" >01/j/ a >n .• CERTIFIED,MAI,L RECEIPT -7 (Domestic Mail Only; No Insurance Coverage Provided) rq m O Postage $ 3 * ,,,p Certified Fee 0� 0' Return Receipt Fee Postmark C3 tndorsement Required) NNI Here O Restricted Delivery Fee I3 (Endorsement Required) 9O Total Postage&Fees I nj l 2 7 ` m Leroy&Joy Swayze c/o Fitzgerald; Sean&�jbIr- e o 436 South Main Street �rSPS -------------- Centerville, MA 02632 Certified Mail Provides: ■A mailing receipt ■A unique identifier for your mailpiece ■A signature upon delivery ■A record of delivery kept by the Postal Service for two years I Important Reminders: 'r ■Certified Mail may ONLY be combined with First-Class Mail or Priority Mail. s Certified Mail is not available for any class of international mail.l a NO INSURANCE COVERAGE IS PROVIDED with Certified Mail. For val0ables,please consider Insured or Registered Mail.—- r ■For an additional fee,a Return Receipt may be requested to provide proof of delivery.To obtain Return Receipt service,please complete and attach a Return Receipt(PS Form 3811)to the article and add applicable postage to cover the fe@.Endorse mailpiece"Return Receipt Requested".To receive a fee waiver for a duplicate return receipt,a USPS postmark on your Certified Mail receipt is required. a For an additional fee, delivery may be restricted to the addressee or addressee's authorized agent.Advise the clerk or mark the mailpiece with the endorsement"Restricted Delivery". ■If a postmark on the Certified Mail receipt is desired,please present the arti- cle at the post office for postmarking. If a postmark on the Certified Mail receipt is not needed,detach and affix label with postage and mail. IMPORTANT:Save this receipt and present it when making an inquiry. PS Form 3800,July 1999 (Reverse) 102595-99-MA938 4 CRAIG R.SHORT, P.E. f 235 Great Western Road P.O.h Dennis,4 i U•S POSTAGE South Denni MA 02660 Q SO DENNIS.MA DEC266000 Cr t nnrEosrn_rfs 2i. / Q,�b�I�/yA, nosr�tsEnvics AMOUP;T Q�4' °y°Y'�9r°��'� 9 3220 0009 6742 4138 _ I 0000 � J�C� O grrP N 9ti ass _— --�- _ 00098093-05 a o 00` sG�ArBa 09e �` _ O ,� aye, sry or�f'�s�,� l 9� Cr �i OA°Sr° '0►� 4. _"bra �^ E L y&Joy S ` yze y �fi� I tf�'L _ c/o ' zgerald, S_ &Jo s NOT!CL 36 South. .:. Stre + iCT�l pt' Centerville' A 02 I _ - - _ p! FY 6 2001 ' _n:..v`'A'6 .. A ., T # . .�iM: / —8— d .o SENDER: I also wish to receive the follow- rn ❑Complete items 1 and/or 2 for additional services. ing services(for an extra fee): r N Complete items 3,4a,and 4b. ❑Print your name and address on the reverse of this form so that we can return this g i d card to you. 1 1. ❑ Addressee's Address ❑Attach this form to the front of the mailpiece,or on the back if space does not d permit. 2• ClRestricted Delivery Cl) .t. ❑Write'Return Receipt Requested"on the mailpiece below the article number. ❑The Return Receipt will show to whom the article was delivered and the date o �\ p delivered. r- 3.Article Addressed to: 4a.Article Number Qf C- c' o Leroy&Joy Swayze 4b.Service Type f c� o f ❑ Registered _ertified rn c/o Fitzgerald, Sean&Jones I rn ❑ Express Mail ❑Insured W cc 436 South Maul Street I ❑ Return Receipt for Merchandise ❑COD O I \ a ; Centerville, MA 02632 J 7,Date of Delivery o I Z I �. r r 5. Received By: (Print Name) 8.Addressee's Address (Only if requested and m W fee is paid) i j T 6.Signature(Addressee.or Agent) PS Form 3811,December 1994 102595-99-8-0223 Domestic Return Receipt CRAIG R. SHORT, P. E. 235 Great Western Road P.O. Box 1044 Telephone(508)398-8311 South Dennis, MA 02660 Fax (508)398-3063 PROFESSIONAL CIVIL ENGINEER, SOIL EVALUATOR, SEPTIC INSPECTOR SEPTIC SYSTEM DESIGNS, COASTAL&BUILDING DESIGNS NOTIFICATION TO ABUTTERS OF: Applicant: Kathleen Kocaba Certified Mail 224 Park Avenue Return Receipt Requested Centerville, MA 02632 Re: Septic System Upgrade @ 224 Park Avenue, Centerville,MA 02632 Dear Abutter, Please be advised that an application for variances from the Regulations of the Massachusetts Department of Environmental Protection, Title 3, and/or the Town of Barnstable Regulations for Subsurface Disposal of Sewage,has been submitted to the Barnstable Health Department for approval. The following variances are requested: Tide 5 Regulation and Barnstable Board of Health.Regulation Title-5-Section l5,221-(7).'`" Maximum Cover Allowed.over Septic System is 3' A 4.15' Variance Requested Barnstable Board of Health Regulation Chapter 111, Section 31 -Requires All Septic System Components be installed 100' from Wetland: A 22' Variance required from.S.A.S. requested A 6' &23' Variance from Septic Tank requested The application and plans are available for review at the Barnstable Health Department, 367 Main Street, Hyannis, MA 02601, Monday through Friday (excluding holidays) from 8:30 am. to 4:30 p.m. A Tentative hearing date is scheduled for Tuesday January 16,2001 beginning at 7:00 PM. Please call Barnstable Health Department to confirm(508-790-6265) Sincerely, Craig P.E. . Cc: File , ,.Barnstable Board of.Health > u Abutters - t D A5 a25 le 8 --- o U A I A5 -------------=---- » --------- - -- - LINDIUTES WALLS TO BE REMOVED •I i s ' EXIST. MASTER BEDROOM To INDICATES BE RRE WALLS TTTorVeD � Ziff ------- � � � is -----— � •— �K'� 8 � �yrm 4 € c6�� A5 PROPOSED 2X6 , OWALL c ' Q E- , O pwO g tp, uu CONTRACTOR TO ADD iX 5 NEW FRENCH DOORS t pp UTWEDRAL CEILING. U EXIST. t 3 - GREAT ROOM of pY5Y5g {q i REF _—_—_— � gG �Q3 Ec CONTRACTOR TO ADD 1 C I I NEW UDINETRY t APPLIANCES TO PROJECT SCOPE. G®. __it I� Q1 ■ypy rip6y�IIIsltll yp qak '{yR� I Go i- -'�:.�-. ---i � � I I . `6�•�SO �C 6[Ff C6�C I��Ni`I II CONTRACTOR TO I CONTRACTOR TO ADD REMOVE EXISTING FALSE ROOF RAFTERS 7'-4' WALL �'TD—CRF —CATWEDRAL— CEILING 1 RE�'IOJE UPPER I'-0' WINDOW O EXIST. I i I - (REMODELED) CONTRACTOR REMOVE EXISTING DOORS 1 SWINDOWS A CONTRACTOR TO REPLACE w/NEW AS INDICATE I Z 111 PANTRY ADD NEW PANTRY ON PLANS. id Q Q Z W ——— fwato. rwGsote rWG4oce ^ w:Q Y- Q w L CONTRACTOR TO O n/Q a REMOVE EXISTING LL RESIDE. INFILL tL L. �ItZ EX Lu SUNROOM a J�V U _ W FIRST FLOOR PLAN tL T- WALL KEY STRUCTURAL NOTCe- EXISTING WALLS IO I. ALL EXTERIOR WINDOW HEADERS TO DC p __] WALLS TO BE REMOVED UNLESS W/III/7'CDX TEE. PLATES \ ---- UNLC89 OTHERWISE NOTED. PROPOSED WALLS ALL WINDOW MULLIONS TO BE SOLID O \ 202X4 POSTS UNLESS OTHERWISE NOTED. O POSTS•STEEL SCAM ENDS ARE S 1/7'CONC. •E r' ly_ 4'- 4'-�' t'-4' 4'-0' FILLED STEEL LALLY COLUMNS UNLESS OTHERWISE NOTED.ALL OTWER POSTS TO DE SOLID tX,1 EXTERIOR WALLS, AND O SOLID 4X4•INTERIOR WALLS UNLESS •` N Z 0' OTWERWISE NOTED. , W C'( { i F_* A A5 rn i RFDROOM #2 ' (RD'pDELlD) ' b G c CONTRACTOR TO , REUSE EXISTING BEDROOM DOOR � --- a-asaeW88 g ---.. t DICYLIG"T ~ 6 m CL. PROPOSED .', . ydALl�v J STORAGE tl, , 0 Z�iSi V-4' - coNTRAc7OR TO B,_q, i�., , C!�.� N to RELOCATE TUB SS " NL INDICATES WALLS _ _ _ _ CD rZ4 Z Q TO DE REMOVEDPROF �y BATH tt2 ,`J°° --- BEDROOM #4RL - ———— In WALL PROP. LOFTl4l ¢� -', BNEL►/BEAT ��€���6,16���tlMg� OPEN TO BELOW Z Q W Q- R ZIOU w Q AIL U4 Flu . U U W to SECOND FLOOR PLAN N WALL KEY - EXISTING WALLS _ STRUCTURAL NOTCS� [_____] WALLS TO BE REMOVED ALL CXTC1tIOR WINDOW rrCW PLATES TOM m UNLEIS W IIV4'SE NOTED. ►LATlB p PROPOSED WALLS VNLCSB OTHERWISC NOTED. ALL WINDOW MULLIONS TO BC SOLID O 7I2ft4 POSTS UNLESS O7WlRWISC NOTED. p FOSTS I STEEL BEAM ENDS ARE S 1/7'CONC. '� -0 FILLED STEEL LALLY COLUMNS UNLESS OTWERWIS! NOTED.ALL OTWER POSTS TO DE SOLID•X•I TERIOR WALLS, AND �+ O ^, SOLID 4 EX X••INTERIOR LULLS UNLESS N Z `Y OTHERWISE NOTED. Ol O o g � a o P I E C.) z f_ill � - - - - - -'—'— — - - - - - - - - - - - - - - - - - - - - - - -'—'- - - - - - - - - - - - - - - - - - - ---'- - - w vas SOUTH ELEVATION Q H PROPOSEDC/D Inn M 4DOITION EXISTING DORMER I.BEDROOM ADDITION, .• CONTRACTOR TO MATCW CONTRACTOR TO REPLACE RAKE DETAIL TO EXISTING ¢ EXISTING WINDOW V NEW S 1155 ga� CASEMENT WINDOW.,• - PROPOSEDyy 6o� gQQlF . SKYLIGWT - h3R 3 iftl$ i I CONTRACTOR 70 MATCW i FACIA/SOFFIT TO EXISTING ._.—._. —._._. .—. .— _.L._.—._.—._._._._._._ _._.—._ ._._.—.—.—.- - LWISSI .. tu M CONTRACTOR TO MATCH Iok U ' BIDING TO EXISTING. - Ir Z lU Q .-.-.-._._._._._. _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ — —'- - - -'— �a� ' Q o WY> W �QLU ass=asB=Clm LJ I W a W n W � wNU CONTRACTOR REMOVE EAST ELEVATION $REPLACE EXISTING WINDOWS. STRUCTURAL NOTES: ALL EXTERIOR WINDOW HEADERS TO BE m S 20=0 W/EXTERIOR CDX FLITCH PLATES UNLESS OTHCRWIS!NOTED. _._,—. ._._.—.—._._ ALL WINDOW MULLIONS TO BE SOLID p n —._.—._.—.—._.—.—.—._._._.—.—.—.—.—.—.—._.—.—.—.—.—.—._._.—._.—._._._._.—.—.—._._._._._._._._._._._ _.—._._._.—.—.—.—.—.— 202XA POSTS UNLESS OTHERWIBE NOTED. O POSTS E STEEL BEAM ENDS ARE E 1/7'CONC. •� ? FILLED STEEL LOLLY COLUMNS UNLESS OTNfltWIBL NOTED.ALL OTHER FOSTS TO BE SOLID AXA 1 EXTERIOR WALLS AND —BB SOLID 4X4 1 INTERIOR WALLS VNLC N Z OTHERWISE NOTED. c,1( MIX o 0 U) 8 o _ ------------ .-.- - - - o i, --------------------- ® p = RAN - - - - - - - - — — — — — — — — — — — — — — — — w WEST ELEVATION xz� ��� c� — — — — — - _.— — — — — — — — — — — — —.—._._.—._._.—.—._._._.—._._._._._._.—._._._._.— CONTRACTOR TO MATCH Jill ROOF SHINGLES TO EXISTING p a a CONTRACTOR TO MATCH 1p gl Y E'Cgpp� FACIA/601FIT TO EXISTING �gS��E�f3�i^ Itl SSS CONTRACTOR TO MATCH SIDING TO EXISTING. - Lu Ll �C24 ZW — — — — — — — — — — — _ — — — — ......— —.— —._._. ull W A maw w y W a.Z (a JnW w u STRUCTURAL NOTES, co ALL IXTCRIOR WINDOW HlADCRB TO BE S 2*2X10 W I11/Y GDX FLITCH PLATES \ UNLCBB OTHERWISE NOTED. Q _ ' - ALL WINDOW MULLW TO BE SOLID � O \ .— _ _._._._._.—.—._.—.----------- — — — — — (A POSTS UNLEB90THEmWIBE NOTED. S NORTH ELEVATION POere erCCL BUM ENDS ARE S 1/2'CONC. e FILL!D STClL L4LL7 COLUMNS UNLESS OTHERWISE Y NOTED.ALL OTHER POSTS TO BE SOLID iXi OfTlRIOR WALLS, AND .y O SOLID A%4 INTERIOR WALLS UNLESS N Z OTHERWISE NOTED. .a - DOR ADDITION EXISTING CONDITIONS CONTINUOUS RIDGE V9NT— PROPOSED DORMERADDITION_ 2=12 RIDGE AHPNALTRCOP SHINGLES CONTINUOUS RIDGE VENT ON 2YIO ROOP RAFTERS STRUCTURAL RIDG! 8 '. UNDER OCIBITNG 202 RIDGE Z Z y 0/i'COX SNlATNING STRUCTURAL RIDGE U ASPNALTROOF BNINGLCB W _ _ S�S'li'O.0 _ — UNDER D(ISITNG ON 2.10 ROOF RAFTERS o p — — —' -—-—' —'—'—'—'—'—'—'—'—'—'—'—'—'—.—'—'— E/0'COX SNEATNING IBR WILDING PAPER — — — / — \\` i=� — — - _ EN BUILDING PAPER R-30 FBGI.S.INOUL IX FASCIA / 1I II II II It II II II II W ALUMINUM GUTTER II II 11 II II II 11 II II II I. IX FASCIA FS WALUMINUM GUTTER •.—.—.—.—.. — -� 1 —' —.—,—. = II I1 n II u n u n II I LOFT u n u u n u n n ToREEXISTING KNeIWALL REMAIN M � 1 I II I II I II II I 0' II II II II II II II II I TO b r PROPOSED 11 It 11 VAULTED CEILING II II 11 II II II II I �" \P VAPOR O4RRIER I 'I II i' I`;I� - BEDROOM tit 2 VAPOR BAJIRIIR TYVEK NOUSWRAP IJ IkU lLrlll II II II n II II II I 11 It 11 11 11 It 11 I' S.2 SIDING(BEE LLCVe.) —.—. EXIST. FLOOR JOIST TO REMAIN .—.—.—.—.—.—.—.—. —.�.�.—.�.�.—.�.�.—.�. —.— — Tl'VIX(ME G II 11 11 11 II II II IX BT.FLOOR JOIST TO REMAIN — \ \ .�\\. — _ _ \ — SIDING S!C lLGVS. . 2XMI6'O.C. 2XiSti'O.C. S ►L , ;< PROF. Q CAS�oa�`d•�� .. .. I \ \\\ EXIST.FLOOR JOIST TO REMAIN EXIST.FLOOR JOIST TO REMAIN —.— —,— EXIST. FLOOR JOIST TO REMAIN9<�,I 1.2 I.� S \ E- s Ex- �oLfF o � -'- ...... -'- - - -'--'- -'- - - - -'- -'- — - -' -'-,- -'- -' - -'-'- - - 3 zQC/:) GROSS SECTION PROPOSED BEDROOM #4 B CROSS SECTION THRU M.BEDROOP'1 It BEDROOM #2 ? SCALE: 1/4"'•1'-0" SGALEI I/4'•I'-0' A 4 tE py ■■■■ ADDITION CONTINUOUS RIDGE VENT DDITI �y 2.12 RIDGE tltltltl 5 STRLCTURAL ASPW,111.7ROOF SWING RAFTERS - xgiuuu���aEpg � l �ipQp1 UNDER IX181TNG I D/S'COX SNCATNING 3`Y1 �i tS 88 I✓O. IRA BUILDING PAPER � � d�{3�j 3R6yyy II li it :1 11 II II II II II II II II 11 II II II II II K sy1 y YsQ/■■ —�—.—.—.—.—.—.—.—.—.— — ------ ----------- _R-EO FBGLB.INSUL I II II it II II II II II II II II II II II 11 II 11 AI' G��768 ��6�CEf 6C� ---- II 11 II II II II II II II II II� II EXALTIN IIII IIII IIII IIII."I u 11 IX FASCIA II II II II II II WALL TO B!�'1 I �\ W ALUMINUM GUTTER II tl 11 II II II II II II II II 11 REMOVED II II II -tl ..—.—.—.—.—.—.—. — `\.L.i. —.t —.—.—.—.— —.—.—.—.—.—.— .—.—.—. —II—II—II 11—II 11 II—II 11—II—II-11 II —.—.—.—rr.—. — —.—.—. T1II111IIIIII��III�III�1I',' � N I 11 II II 11 II II II II II II II II II\. \ 5.2 3M II bQFT ON 2XIO ROOF PROP, PROP T ROOF SNINGLIB 11 II II II II 11 11 II II II OA'COX SNlATNING �� oj �� �I IXIHT. IXIEDREXIST. 0 0E SATI-I w \\ \ �� I -VAPOR DARRIlR Id1 WILDIIXn PAPER �. i — '(REMODELED) B\ROOM #3\ \� (REMODELED). O (SEElWRAP _ I --J \\ \ 4r Z W _._._.— - � IXIHT.FLNR JOINT TO REMAIN — — — — _ SIDING(B!!ELM.) —.—.—.—.—.—. i I�CI, \ \ � � Q \ 2XMI6'O.C. - — __ .—. — — _ —,—.—.—,—, B 0 to O.C. EXIST. FLOOR JOIST TO REMAIN EXIST. FLOOR JOIST TO REMAIN — _ Z P_7 �^Q 11II O 4 V' .\ I PROPOSED �, \ _ = W it BEAMLLI FWS RI FLOOR I I \\.\ \SLAM \ U p �o M.BEDROOM \ \_ GREAT ROOM 0) a 111 a W 1 (REMODELED) i, � \\ \� h V ALI T. LOOR IST TO REMAIN IF \ \\ w .\\ - IL _2"10•Ib'.O.C. EXIST.FLOOR JOIST TO REMAIN GENERATOR\ \ EXIST. X \ \ \?I —DETERMINE IXIHT.B SCAMAM LOCATION CATION 1 BR! \ TO CA RO EXIST. ST. RRY PM"!D IXIHT. \. IT LOADS. � BASEMENT — —-—-—-—-— m o s C =uilll.. - - - - --— —- --- - - - - ---- - - - - - --'- - - GROSS SECTION TNRU BATH -' - - - - - - -'- - Y i CROSS SECTION TI-IRU M.HEDROOM N 1Il D SCALES 1/4'-]'-0' ~ D A5 3-2a10 l-2X10 _-WECA WlADCR WEADE HEADER 2x • L•C.C. 8 0 0 A5 _ -----------XIt'LV ------- O 1 S-1 Y1•X FL R PLLL FLOOR DE.AM I 4.4 POST N DOWN TO 1 EXIST.GIRT p$ 1 B-2XI0 1 LEADER 1 2-2XI0 I C < ;+ B-2XM HEADER A5 c HEADER D-2.10 ' >; jxNlADR . x U' U EXISTING FLOOR FRAMING TO REMAIN 8-2.10 7giEEYeJ p�! (6�6G�i�i HEADER I g� �b �3zz4C � a u _ 1 L__JI I II I I Z Tiff 1A1 TYPICAL LVL/GLULAM BOLTING/NAILING I IL MULTI 1 9/4' DFAMS I - =e. zIJ STRUCTURAL NOTES. K W a PIS:lL p.a' a Rawl a ILO Null•w O,C. HEADER ®® Lu J Q ALL EXTERIOR Y�IINDOW HEADERS TO BE Q C Q W 2S2X10 W NN/7 GDX PL17CW PLATES < _ —tY I UNLESS OTWlRWI86 NOTED. LL -^Q J -* —w ALL WINDOW MULLIONS TO BE SOLID 0. 1(,�)1 J y - 2112M POSTS UNLESS,OTNERWIBE NOTED. a j POSTS•STEEL BEAM ENDS ARE a 1/2•WNC. Lt- PILLED STEEL LALLY COLLN S UNLESS OTMERWIS! Q NOTEOLLu •MCp D-A' a Rota OI IrJ'OIAM SCL»•1Y O.C. D 4X4•INTERIOR WALLA UNLESS O < SOLID LXL CXTRIOR WALLS. ND A OTHERWISE NOTED. 21 Lu n W LL J CV U Lu Y - GENERAL NOTES: ZO L MKbZ17 STRUCTURAL ENS COMPLETE AN TO PRCORM CLAMING 5Y INTERIORWNCN LAMING IS COMPLESI AND PRIOR TO M FRA IN IN ISECTON ALL WALL PLASTER BOARD/MNIBW. Lu LL SC;WEDULE AND PROTECT FORM WFAWER gXICONTRACTOR AND NG LOUSE BND INTERIORS ORS DURING C AS MAY BC EXISTING NRA!C011PONEMB AND INTERIORS DURING CONSTRUCTION NECESSARY TO INSURE SUCH PROTECTION. MULTI aJ 1/2• DEANS CONTRACTOR BWALL SITE INSPECT ALL EXISTING VGX PROPOBCD CONDITIONS PRIOR TO AND DURING CONSTRUCTION AND NOTICY DESIGNER s' OF ANY DESCRE►ANCICS AHD/OR CRANGCS TWAT MAY BC ENCOUNTERED. {aI a• CONTRACTOR SWALL CONSTRUCT AND MAINTAIN TEMPORARY WALLS/ SHORING ETC. TO MAINTAINTROTECT EXISTING WOUSE AND STRUCTURAL p O SECOND FLOOR FRAMING INTEGRITY.E C.EXISTING NOOSE. I CONTRACTOR BNALL SITE INSPECTNCRIFY ALL EXISTING VS.PROPOSED 2 Race D-�' ]RAi or Iq'DUM Sol»•W O<. SCALES I/4•�II-Da CONDITIONS PRIOR TO AND DURING CONSTRUCTION AND THANE ADJUSTMENTS 1 w AS NECESSARY TO INSURE COMPLIANCE WITH DESIGN PARAMETERS AS WORM PROGRESSES. O Y N 2 W O U7 ASPHALT SWING Ag 4 PROe V COX SHEATHING 202 NIP 2x12 NIP R!O BATT IN9UL. - - - 10' li O. _ Y,r GWD ✓SKIM COAT PLASTER ON If STRAPPING B li'O.C. Y CONT.RAPTOR V�d'T i VLNT BAFFLE // W O � ICE AND WATER BARRIER MEMBRANE / CARRY LT 5'-0'FROM LAVE / AL.DRIP EDGE OVER ICE f WATER BARRIER / I � O I A CORA-VENT STRIP VENT IX FREIZE L EXISTING ROCIF SIDING I RAMING TO REMAIN I - C TYP.WALL I ( Ag - I � I �I aHO O�M7ICA EAVE DETAIL I Iva^� i---- ----- E .. Ik N 1 1-$10_d BIDING TO MATCH DfISTING ' I I � 'v,auei•'',r,• I •rnEK•NousewRAP I � ,. 5 CDX PLYWOODOle 2xi B Id',O.C. EXISTING JP\ R-IR FIBERGLASS INSUL. I VALLEY REMAIN TO = 10 i MIL.POLY VAPCIR BARRIER G.W.D. I - IIZ'LVL i AREA OF 99? xpt ' � g65tl 2 TYPICAL WALL DETAIL ZF.A.T.' ROOF TO-REMAI 1 I OPEN TO TYPICAL LVL/GLULAM BOLTING/NAILING I BELOW W EMULTI 1 3/41 BEAMS Q STRUCTURAL NOTES, Lu:) f POI - � ALL EXTERIOR WINDOW HlADOlB TO BE 'lI'1x10 W/III/II'COX FLITCH PLATES r UNLESS OTHERWISE NOTED. Z Q J Lu- ALL WINDOW MULLIONS TO SE SOLID 0. 202X/POSTS UNLESS OTHERWISE NOTED. - f: W�[J POSTS 0 STEEL SEAM ENDS ARE D 1/2'CONK. c0c FILLED STEEL LALLY COLUMNS UNLESS OTHERWISE F Q tu i M¢!R D-p f RWi w YY DWt SOLTs R O•D.L SSOOL0 4X4•INTERIOR WALLS UNLESS SOLID i%i B EXTERIOR WALLS.AND LL 9 \-ED.ALL OTHER POSTS 0.F- OTHERWISE NOTED." ILL I W N IIZI bbll J n u O w r GENERAL NOTES: w M.. D-�• f Rdi p vY DUM B0.Ti•O'D.C. WHEN FRAMING lNGINCER E AN TO ORFO E FRAMING INBPBE RI OR WHEN MASTER ICOMPLETEI W. PRIOR TO ENCLOSURE BY INTERIOR Y CONTRACTOR SHALL SCHEDULE AND PROTECT FORM WEATHER ALL EXISTING HOUSE COMPMENT9 AND INTERIORS DURING CONSTRUCTION NECESQDNSTRUCT SARY TO INSURE�SUCH RY SPR PROTECTION. AS MAY BE MULTI B 1/2'BEAMS CONTRACTOR SHALL BIT!INSPECT ALL EXISTING VS.PROPOSED a] S CONDITIONS PRIOR CI AND DURING CONSTRUCTION AND NOTIFY ENCOUNTERED. OF ANY DE9GREPANCIlS AND/OR CHANGER THAT MAT BE ENCOUNTERED. {J � CONTRACTOR SHALL CONSTRUCT AND MAINTAIN TEMPORARY WALLS/ r Y SHORING ETC.TO MAINTAIWPROTECT EXISTING WOUSE AND STRUCTURAL p O S INTEGRITY OF EXISTING H01/8!, I GONTRA.CTOR SHALL BIT!INSPECTNERIFY ALL EXISTING VS.PROPOSED f PIFGqMj-- f Raw w VY DHn BOlT1 R D•O.C. CONDITIONS FRIOR TO AND DURING CONSTRUCTION AND MAKE ADJUSTMENTS y Ci ROOF FRAMING PLAN WORK PlRO�GRG89l9 INSURE COMPLIANCE WITH DESIGN PARAMETERS AS e o `--- SOIL TEST P 98I6.11' BENCHMARK DATE OF SOIL TEST 1 /E� E)o 20 FT. MINIMUM FROM CELLAR TOP OF FOUNDATION 10 FT. MINIMUM FROM SLAB OR CRAWL SPACE L�I�END: SOIL TEST DONE BY C. ►''a�/ ? - Sy, o 1-2- n E. CLEAN SAND EXISTING SPOT ELEVATION 00,�0 WITNESSED BY ��`� H �+') / 2 A a l .i3•o,N. ELEV s4.7 10 FT. MINIMUM a EXIS-nNG CONTOUR ----00---- OBSERVATION HOLE 2 ELEV.- LOAM 8q-� (ASSUMED) CONCRETE FINAL SPOT ELEVATION 00.D 4" SCHEDULE 40 PVC PIPE �� AND SEED COVERS FINAL. CONTOUR 0 PERCOLATION RATE � Z MIN./INCH AT,/O-- ��BINCHES MIN. PITCH 1/8" PER FT. 2• LAYER OF SOIL TEST LOCATION �o a'. UTILITY POLE -4 DEPTH HORIZ TEXTURE COLOR MOTT. OTHER �- q Sand ut4sui7;• 1/8' TO 1/2' Y o Y2 Town WATER w- ..—., ��ryry cc flfl // r WASHED STONE VENT CATCI L BASIN ��� l /9 L.oa .T '� AT�rA 14 s 4' CAST IRON PIPE - 2��"� 8,3.0o N07 REQUIRED , O 24 _S-a nac S/£� v' GAS J NE G ' (OR EQUAL MINIMUM k%/s-� Z 1 CU. FT. OF CESS` OOL C.P. CLEA40UT —�� C.0. PITCH 1/4 PER FT. 3 MAX. s CONCRETE O L. 80,3, a ANCHOR FLOW LINE T` Sdy /oyR � ,r MIN. � 8/. ZO 2'0" 0 ' a®®®Q=dlr-,I�14�1G�I�� • ' Ca Goa,,, G V• LEVEL • ®®®®®Idlj®L�®Ed ' •24 ° 11, /, GAS V o g0.00 6' SUMP ELEV. = 7Y.�� ®®®®®IL�Ed®®® ELEV. 7; .+ N 0 ELEV. o AFFLE ELEV. I 06�OF B DISTRIBUTION 3 �;/4a. / 500 GP.LLON DRY WELL5 0 LIQUID OUTLET BOX J STONE W AN DEPTH TEF TO BE PLACED ON FIRM BASE) TO BE WATER TESTED ' I 4 FEEETT 14 19 INCHES ( /3 X 32 c' Dt r TRENCH FORMATION - r 5 � 1500 GALLON IF MORE THAN ONE OUTLET No WATER ENCOUNTERED AT /G$ 7o-a 6 FEET 24 INCHES (TO BE PLACED ON FIRM BASE) SOIL ABSORPTION WELL rv�,r/ i ELEV. 7 FEET 29 INCHES ZONE 1� 8 FEET 34 INCHES SEPTIC TANK 3/4" TO 1 1/2' SYSTEM (SAS) INDEX ,e-,x / Y /1V �, WASHED STONE ADJUST --� ; �,�•. � 7, ,200, DESIGN CALCULATIONS USGS PR08A131E WATER TABLE ELEV. - l NUMBER OF BEDROOMS `� SEWAGE DISPOSAL SYSTEM PROFILE OBSERVED WATER TABLE ( / / ) ELEV. - r� GARBAGE DISPOSAL UNIT _� NOT TO SCALE BOTTOW OF TEST HOLE ELEV. - �''� `�` o � CIO 110 TOTAL ESTIMATED FLOW Al o�' �� � k - � REQUIRED SEPTIC GAL/BR./DAY ANK CAPACITY R) �S c GAL/DAY �tb ACTUAL SIZE OF SEPTIC TANK 1500 GAL .,ma SOIL CLASSIFICATION = \ \ DESIGN PERCOLATION RATE MIN./IN. 7 R x / •-.-, ur" 4Z v ,ic: ra L L w � Ogl3 S� \ i - �k \ \ \ \\ LEACHING AREA EFFLUENT LOADING13 xT 3 2 t 2'.x 90' SQ FT. AY/S.F. -, - ti\A C? / k LEACHING CAPACITY (AR X R�) 4 r GAL/DAY4-/J VAI �,- �v c.E )ZF, uL 3 I n/} I I F j/ ` \' \ RESERVE LEACHING CAPACITY ? NR GAL/DAY ^ -o,,,/N 14A.3.�h .7J- - 3 4 4.S G Ac/qi9 y i coQ TZ, v.x%r-s J oo �rz o.-• 1it/�TL.R.�/� T-� Sri c sys�-� , j �, NOTES: ( \ � -� �� � i G f' � 1. ALL WORKMANSHIP AND MATERIALS SHALL CONFORM TO D.E.P. 5 AND 0 SATLA/- iQ23LE RULES AND ' �C o.ti -s- �-�- T�r= c.lz�T7 P �% - 1 a� REGULATIONS OR TOWN SUBSURFACE DISPOSAL OF SEWAGE. �,+C + f 'Q _ _ SHALL BE BROUGHT G cG3 ' VA?Z/r9 NC E Fri''G�i�l .S`�`�'7 C Ti°7.V.-�-,E:,� Q CJ �` o.` �S 8 - DIST.��X 2. COVERS 0 T BR T TO y , / X i__ ,�� JE/i WITHIN 6' OFT FINISHED AGRADE. 3. ALL COMPONENTS OF THE SANITARY SYSTEM SHALL BE CAPABLE OF WITHSTANDING H-10 LOADING UNLESS THEY ARE UNDER OR WITHIN 10 FT. OF DRIVES OR PARKING AREAS. H-20 LOADING SHALL BE k USED UNDER OR WITHIN 10 FT. OF DRIVES OR PARKING AREAS. ANY MASONARY UNITS USED TO BRING COVERS TO GRADE SHALL �• V,r f L ri / , ,, " •-- - BE MORTARED IN PLACE. CO 5. NO DETERMINATION HAS BEEN MADE AS TO COMPLIANCE WITH DEEDED OR ZONING REGULATIONS. OWNER APPLICANT IS TO qB �••° �' k / / i OBTAIN SUCH DETERMINATION FROM APPROPRIATE AUTHORITY. TION CONTRACTOR �q. / \� 6. S TO CALL *DIG-SSAFEr AT ARE O1w 888-344-MATE 7233 AT LEAST 72 HOURS 1 i / EXCAVA SOIL A13SOI2P I ION - � `3 � PRIOR TO COMMENCING WORK ON SITE ' � SYSTEM s 7. CONTRACTOR IS TO VERIFY GRADES AND ELEVATIONS AS WELL AS I r'.f \ I` i �7 / / ik �. o SITE CONDITIONS PRIOR TO COMMENCING WORK ON SITE. ANY VARIATION J \ , SIB o; -/1,, I I Q - g 0_ _ IS TO BE BROUGHT TO THE ATTENTION OF THE DESIGN ENGINEER .- 0 IMMEDIATELY. 8.\ \ d, 1k �� C> i�' L 9. LOT IS SHOWN ZONE C- k 91 1 \ �' 1 _ _ - N ASSESSORS 1AAP 2 a 7 AS-PARCEL ALL ABLE MATERIAL SHALL BE \\ \ NDER AND FOR k \ / ,` ` k g O' - 0 — - 10. A MINIMUMT OF 5' AROUND LEACHING FACILITY D SE FROM UREPLACFD `W-TH x: - MATERIAL AS SPECIFIED IN 310 CUR 15.25,'L(3). CO CV CO CO _ 6b F- I h , - `J a 13 k / w �TI n, Al- � O / R S3r46'09"E 1 76.00' 051 (IV 7 APPROVED: BOARD OF HEALTH DATE AGENT 2 r ze PROPOSED SEPTIC DESIGN I ;' � � � i k 5 _ - i o 0 20 w a as �� FOR KATBLEEN KOCABA i �r� PROJECT LOCATION 224 PARK AVENUE / \ CENTERVELLE , MA 02632 CRAIG R SHORT PROFESSIONAL ENGINEER ii 508- P.O. BOX 1044 398-8311 SOUTH DENNIS, MASS 02660 r, a10 :L I rl , DATE Z� 7/0o sCALE N = 2 O SHOD L.c >i';' II p G o� c` CIVIL Aid 483 \��� t REVISED JOB NO. �'Jrtvti. 'Yv '6 REVISED LOCATION MAP [ SHEET / OF / 01998 CRAIG R, SHORT, _`.E ,�,,..y••„�„ .�,,,M_, w�• ,c- .-, ". „ _ :_ � p,,'� ..fir . a 1 J r 777 ._W_.....:..-_.w..�.........an»r..n....,.....................__......_...._..a•-.......__.....:.....,. _a�......«.,,.............,,..�..................:..„..,,.,,•-.r..... tea.,._.... .. ».w;...._.a».,- ..+•.-.. _ ,., »,..+^�...,-4-..+........,,,,..._... . -._..._�. .._,...�.y=._...a....._». ., ...........�_.__.._... .�.._.._�.-_^____.-. ..._--...._-._._ a "Y', �...,, ,, _ '9+i•• _ .�" t' # °,,'�+,'. .:t`� .. a t1\ ,;"'�'r ,,y�-, • -E S7 1 +,O L ES 1 , t ei C •� y P o p n j / s', .11J N'"� F, f � 7-0 l i.rf d.. t J y t rC0L Li14"'I0'4 (/lJ /7�/J. ✓ j ' l?� ,���.+�.'' f/ 1 ��i��� t�� PAv+L Nast /UDR RAY 0- 614 LOAM AND krINE 1`�' +, i ! SANCW SUQSOI L 7 96- 1 �24"- /44 MEUIL,'M SOPN—a } r &cox , LEACH NO WRTER EN Cn; NTc P pfor t �- /Coco , ,, 2� �3 4 EL z r i GA L LDN 5EP rt rRN;r !.C>G> �. ,�� I J• aL4 L OA!�t AN,0 FINE ---� s m O A � � � SA�'ilQY SUL3`aJ�L ; I i i +{ c144r� 14-4 M-CO L_/M LAN b - t f NO ck.1A7,4*R NL c`. JN TCk�L3 "?� a y jr^a 1AJATZ'R Y �!l 1f 1 t j - StDF`lC, SYSTEM caNs rf?uc r/ON �,aA L. �.. � O - 24 't LOAM AN b 911V& ------ »` CON FC ti?M TO PIA Ski, EN V 114&tq M N'"AL I SAN r,�?+' GA RNS Tp BLE NCAL 'rM RC&UL.ATIONS PRDP0516 Q BED ROOIAS ' ©E5/Cr•N rLow 3:30 614L 'DAY t . 05 RECUIR447 ..'} /-•, / y �,�/ 2-0 # .°flA p 1l0 p�" b iw a. A",i a�. '6,.31 �3{ C_•/,PA 1 I �'`,, _� _ „45e MIN. I Nf_�i ri R 3 P 2 LEACH r /E r.a t - i ! { 96 14 , >' ', M1 .J t`Iu.� 3 L..L!) c -t ?_�} �j £'' } r! f`/J V • ✓t jr IJ , , A S 'ram r a..J ..ti,. ^,�- / �"/�l/ �.•,� ��'_; ,' {" �,., � ,�,+ f F'�''f7F':,3 ;zr>,� .v r tvass �ti f r . / �'' ��^ �� r`', r•-- �- .« � a C�� V�.I L.� G--1 f 1 ..,"� :(�, .».,R •t,�� � t �. !�,c `� �r \ �! P""� , 1 . = �.. y.• 1 . _ �- F ` o i^ r ' f. a r, r , Tr r Y lI i` M x ✓` r. l.r} � ,,,ram y� / �'; jam' .-..•. �, , y 61 �...; x \ _ . _.+ `��r ,., a�'� 9.y•" C..... µme""* • T^_ ry i �a'�,�'1�:. L/n�J!T � �� �C7 u.• �rJ fi J' �✓�3 t."4 /'fit) A U6' 1?-yiG�? 0,�' F�r� G>r'Ed�.�� ��C✓.� U�/� C� • �,�': L �L•-. W c "b r ,►' "7` `"t , G C 11 T 7 Z) /9 >>!?'©u�til.�q ,77 Y,� -O = k� '=' �' Re V� ,5 ¢0 ��ti`� `��` ` �E :Gi T�T:i y } `,.;�� 10'�`/1 I.C '+ QJ�>•)+--�.. c. _. ,S I�,.,r.. - .•,'a�:r«; s, L%' TZ,ex J r` ,��'r'`��'•�. t H 0 J ,. � !•n t!•damv �� �` ' ' �V SOIL TEST 20 FT. MINIMUM FROM CELLAR DATE OF SOIL TEST 42 0 ..;I, TOP OF FOUNDATION L G D- SOIL TEST DONE By • LLEV, 4.- 10 FT, MINIMUM 10 FT. MINIMUM FROV SLAB OR CRAW.. SPACE CL"� �ami) EXISTING !�POT ELEVAnDN 00.0 WTNLSSLU 51' CONCRETL ElISTINC, CONTOUR OBSERVATION HOLE 2 ELEv. (ASSUMED) COVERS 7 QAW AND SELD FINA SPOT ELEVATION L ­0 / IR I -INCH INCHES 4' SCHEDULE 40 PVC PIPE FINALCONTOUR-­--ly- PERCOLATIUN RATE WIN./ miN, PITCH 1/8* PER 11. 2* LAYER OF SOIL TEST LOCATION ibjto�W RE C0L0_R '__�_6t_TT, 9jS(k_ 04 UTILITY POLE -0- . . . . .. 1/80 TO 1/2' yl TOWN WA7ER —W ; >,I?z K WA.%iED STONE -oc- --- CATCH BASIN VENT �m) I '.s_ - ,�� - -_ - _��__:� , 4* CAST IRON PIPE _ J (OR EOU.�4) MINIMUM CESSPOOL 0 C.P. PITCH 1/4 PER FT. I cu� CLEANOU i :3 CONCR ANCHOR A FlOW LINE ­ L_ loo - - -- -.,lk;z5L5u- () M If -0 �J U EJ U L:j kk cz�i6�Lai L..�LJ ELEV. tZ'12 A. N 0 /. z:c� 4L evi V. LEVEL -71 M�l li--_ 6 -153 ��wuu- Uyuq �1� SUMP FELE V� 61 ELEV. ELEV. ii�mx 11 DISTRIBUTION 1?001 E 500 GALLON DRY WELLS QUID TUT 19 0 x STONE IN AN j (TO BE_��&6 ON FIRM BASE) TO BE 'WATER 'TESTED 4 FECT 14 INCHES - _r�_Fe� IRE:NCH FOklAA,50N ­'0 WATER F AT ELEV. 5 FEET 19 INCHES 1500 GALL-ON IF' MORE THAN ONE OUTLET WELL lyt,lyv i" ENCOUNTERED 6 FEET 24 INCHES I TO BE PLACED ON FIRM BASE) SOIL AB ONE_�=­ FEET 29 INCHES SORPTION 114_� FT-[:T 34 INCtES j SEPTIC TANK 3//4* TO 1 1/2--i SYSTEM (SAS� !NDEX WASHED STONE ADJlJST r.�­f 7f,* r-4ev '7'a, 4 �,ljt Hld#y44r-*rr 74(, 911). DESIGN CALCULATIONS NUMi3lim OF BEDROOMS US" P_R_08A�_*A_TER_—TA&—E ELEV. m (t, GARBAGE DISPOSAL UNIT SEWAGE DISPOSAL SYSTEM PROFILE Qb.-kg'vf,) WATER TAWI ( / / ) ELEV. TOTAL ESTIMATED FLOW NOT TO SCALE aoTTOW OF TEST HOLE ELEV. 14 BR.) GAL/DAY ( 110 GAL./�'BR./DAY X REQUIRED SEPTIC TANK CAPACITY GAL. /4� I ACTUAL SIZE OF SEPTIC TANK 1500 GAL SOIL CLASSIFICATION DESIGN PERCOLATION RATE MIN. IN. wi E -LUENT LOADING RATE 77?_ GAL/DAY/S.F. Z SQ. FT. LEACHING AREA ?J -K 4" 7/ G,. ►,,.. 7°", �. r1'�7 �C �� �, .�\ /. ` \ p LEACHING CAPACITY X RATE) GAL./DAY 7Z. ",r_ALF 4W V,,9 RESERVE LEACHING CAPACITY GAL-/DAY T A y NOTES: 4p RIALS SHALL CONFORM TO D.E.P. 1. ALL WORKMANSHIP AND MATEJ TITLE 5 AND THE TOWN OF RULES AND 0') 04 2z, SURFACE DISPOSAL OF SEWAGE. 7 -5 REGULATIONS FOR THE SUB C3 ) w 4' -3 7 Al 7 DIST 2. ALL COVERS TO SANITARY UNIT'S SHALL BE BROUGHT TO 4k ErgWITHIN 6" OF FINISHED GRADE. _k, ALL COMPONLNTS OF THE SANITARY SYSTEM SHALL bE CAPABLE OF -10 LOADING UNLESS THEY ARE UNDER OR WITHIN Lo WITHSTANDING H Ir 10 Fr. OF DRIVES OR PARKING AREAS. H-20 LOADING SHALL BE Al USED UNDER OR WITHIN 10 FT. OF DRIVES OR PARKING AREAS. J 4. A.NY MASONARY UNITS USED TO BRING COVERS TO WADE SHALL ?1 torp BE MORTARED IN PLACE. 5. NO DETERMINATION HAS BEEN MADE AS TO COMPLIANCE WITH REGULATIONS. T IS TO DEEDED OR ZONING REGULA OWNER / APPLICAN FROM APPROPRIATE AUTHORITY. OBTAIN SUCH DETERMINATION FCONTRACTOR 6. UTILITIES SHOWN ARE APPROXIMATE ONLY, EXCAVATION CONTRA -SAFE' AT 1-888-344--7233 AT LEAST 72 HOURS IS TO CALL *DIG A SC)U� ABSOMION PRIOR TO COMMENCING 'WORK ON SITE. _rn ELEVATIONS AS WELL AS S Y S'rL-M a� 7. CONTRACTOR IS TO VERIFY GRADES AND r- SITE CONDITIONS PRIOR TO COMMENCING WORK ON SITE. ANY VARIATION Jj A- NQNELR C�l IS TO BE BROUGHT TO ffiL ATTENTION Of THE DE54GN E IMMEDIATELY, A- b, PARCEL IS IN FLOCk ZONE AS PARCEL 9 LOT 15 SHOWN ON ASSESSORS MAP , 't Z ID / Ct '" 4 I C). ALL UNSUITABLE WATMAL SHALL BE REMOVED FROM UNDER AND FOR Jy A A WINUUW OF 5' AROUND LEACHING FACILITY AND BE REPLACED VATIH c MATERIAL AS SPLWIM W 310 ChtR 15.255L(3), A_ Ar X Cy), A, 0 L 40 0 LLI C) All o Ar w/v of At 7 S3_7'46'09*F 176 %Q1 Ar 0) 4, 7- 1, 7 APPROVED: BOARD OF HEALTH z 7 I;p A< Ar DATE AGENT PROPOSED SEPTIC DESIGN FOR .0' KATHLEEN KOCABA PROJECT LOCATION 224 PARK AVENUE CENTERVELLE,, MA 0263)2 J C) CRAIG R. SHORT PROFESSIONAL ENGINEER 508- P.O. BOX 1044 SOUTH DENNIS, MASS 02660 398-8311 DATE SC rliA al —, ,/o 0 0 4 ocW C rl A!G SHORT JOB NO. REVISED L Me, REVISED A LOCATION MAP OF SUMP jaa 7,24 �. 4: 01998 CRAIG R, SHORT, P.EJ