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HomeMy WebLinkAbout0092 PHINNEY'S LANE - Health (2) -] 92 Phinney's Lane — Sail Inn Centerville A= 209 030 I No. 42101/3 ORA ESSELTEE 10% 0 O O O O f V j tG244�I . 1Dl7-4.4� e G zq4� _ _ 0 t3Ev�Dcrn�Z ; n I , oee-nAe z li g-2>[,oS IDi I�•cx ��- ov Lr—�L PLrtI z� f l 7 yvt,pos}—� — (� P)cDKa,rTll `V i • d e -tine I ula}ercl��s 6EL note-a'b--!1_ 1J - —�— —� Ir, �a}h ,�`5 i i., .._. 2• 2x(n Int-;arr�._-U�Ilh:.w;2x4 �'Ix!''. �-4�_.�-4�_°�'_" -, I I - I��, — l ����b, t't erui :�' �c...��• Ileve-r��, O.•�MG MYNOA =5I4n 1x(; Boa_ b°S14q- . ' :?'1 c.Kvl._l.E. .roc• =9-Co'+ I R.5 o F e r c 9=9° DG244� vL�L{4L v4Z44L p ich 7�.eZ_.. — O i n raib:A1��oor ' ov G' s'r 1 r--,; VIEW � � �Z.Z�Bh}p5�.:vCf ` II •' \ Y .. T TI -L I ',r ,� o z• � I . ..b e _c_ ' D."-'2 2 : ..FWCE GGlae _.. '� m d.._ . FWq G�loQ. ..: 4 1 I I I. = Izu L> .� ev�'�- :. '. ...._. •seWe tn:nimLitn 'mishr� -Alrnen6lana are.-}o.'be:'._.........._.. 4-4" 4=1dz° . 3 to 3-10 3'-l0" 4' q" 4 4,, - n ,> 3.29 94 pLi? r�b1]ED - C'E.S1Ca 1 �{' �en��l�al em h s: Commonwealth of Massachusetts Title 5. Official Inspection Form A Subsurface Sewage Disposal System Form Not for Voluntary Assessments 92 Phinneys Lane _ Property Address Dan Nardini Owner Owner's Name information is required for Centerville MA 02632 July 15,2010 every page. City/Town State Zip Code Date of Inspection Inspection results must be submitted on this form. Inspection forms may not be altered in any way. Please see completeness checklist at the end of the form. Important: A. General Information When filling out I o forms on the 53 computer,use 1. . Inspector: only the tab key to move your Patrick M. O'Connell cursor=do not Name of Inspector use the return key. Septic Inspection Services Co. _ Company Name 189 Cammett Road Company Address Marstons Mills MA 02648 rBA�' City/Town State Zip Code 508.428.1779 S1 12855 Telephone Number License Number B. Certification I certify that I have personally inspected the sewage'disposal system at this address and that the information reported below is true, accurate and complete as of the time of the inspection. The inspection was performed based on my training and experience in the proper function and maintenance of on site sewage disposal systems. I am a DEP approved,system inspector pursuant to Section 15.340 of Title 5(310 CMR 15.000).The system: ® Passes ❑ Conditionally Passes ❑ Fails ❑ Needs Further Evaluation by the Local Approving Authority U July 15, 2010 Job# 10-178 _ In pector's Signature Date The system inspector shall submit a copy of this inspection report to the Approving Authority(Board of Health or DEP)within 30 days of completing this inspection. If the system is a shared system or has a design flow of 10,000 gpd or greater, the inspector and the system owner shall submit the report to the appropriate regional office of the DEP. The original should be sent to the system owner and copies sent to the buyer, if applicable, and the approving authority. ""This report only describes conditions at the time of inspection and under the conditions of use at that time.This inspection does not address how the system will perform in the future under the same or different conditions of use. 15ins•09108 Title 5 Official Inspection Form:Subsurface Sewage DisposalSystem•Page 1 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments r 92 Phinneys Lane 4 _ Property Address Dan Nardini Owner Owner's Name information is required for Centerville MA 02632 July 15, 2010 - every page. City[Town State Zip Code Date of Inspection B. Certification (cont.) Inspection Summary: Check A,B,C,D or E/always complete all of Section D A) System Passes: ® I have not found any information which indicates that any of the failure criteria described in 310 CMR 15.303 or in 310 CMR 15.304 exist. Any failure criteria not evaluated are indicated below. Comments: Tank is not in need of pumping at this time, leaching system shows no signs of surcharge or saturation. B) System Conditionally Passes: ❑ One or more system components as described in the"Conditional Pass"section need to be replaced or repaired. The system, upon completion of the replacement or repair, as approved by the Board of Health, will pass. Check the box for"yes", "no" or"not determined" (Y, N, ND) for the following statements. If"not determined," please explain. The septic tank is metal and over 20 years old*or the septic tank(whether metal or not) is structurally unsound, exhibits substantial infiltration or exfiltration or tank failure is imminent. System will pass inspection if the existing tank is replaced with a complying septic tank as approved by the --r Board of Health. *A metal septic tank will pass inspection if it is structurally sound, not leaking and if a Certificate of Compliance indicating that the tank is less than 20 years old is available. ❑ Y ❑ N ❑ ND (Explain below): l5ins•09108 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 2 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments r .92 Phinneys Lane Property Address Dan Nardini _ Owner Owner's Name information is required for Centerville MA 02632 July 15, 2010 - every page. Cityfrown State Zip Code Date of Inspection B. Certification (cont.) B) System Conditionally Passes (cont.): ❑ Observation of sewage backup or break out or high static water level in the distribution box due to broken or obstructed pipe(s) or due to a broken, settled or uneven distribution box. System will pass inspection if(with approval of Board of Health): ❑ broken pipe(s) are replaced ❑ Y ❑ N ❑ ND(Explain below): ❑ obstruction is removed ❑ Y ❑ N ❑ ND (Explain below): ❑ distribution box is leveled or replaced ❑ Y ❑ N ❑ ND (Explain below): ❑ The system required pumping more than 4 times a year due to broken or obstructed pipe(s). The system will pass inspection if(with approval of the Board of Health): ❑ broken pipe(s) are replaced ❑ Y ❑ N ❑ ND (Explain below): ❑ obstruction is removed ❑ Y ❑ N ❑ ND (Explain below): C) Further Evaluation is Required by the Board of Health: ❑ Conditions exist which require further evaluation by the Board of Health in order to determine if the system is failing to protect public health, safety or the environment. 1. System will pass unless Board of Health determines in accordance with 310 CMR 15.303(1)(b)that the system is not functioning in a manner which will protect public health, safety and the environment: ❑ Cesspool or privy is within 50 feet of a surface water ❑ Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh .t5ins•09f08 ' Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 3 of 17 L .. Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -,Not for Voluntary Assessments. i 92 Phinneys Lane Property Address Dan Nardini _ Owner Owner's Name information is required for Centerville MA 02632 July 15, 2010 - every page. City/Town State Zip Code Date of Inspection B. Certification (cont.) . 2. System will fail unless the Board of Health (and Public Water Supplier, if any) determines that the system is functioning in a manner that protects the public health, safety and environment: ❑ The system has a septic tank and soil absorption system (SAS) and the SAS is within 100 feet of a surface water supply or tributary to a surface water supply. ❑ The system has a septic tank and SAS and the SAS is within a Zone 1 of a public water supply. ❑ The system has a septic tank and SAS and the SAS is within 50 feet of a private water supply well. ❑ The system has a septic tank and SAS and the SAS is less than 100 feet but 50 feet or more from a private water supply well". Method used to determine distance: *'This system passes if the well water analysis, performed at a DEP certified laboratory, for coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered. A copy of the analysis must be attached to,this form. 3. Other: D) System Failure Criteria Applicable to All Systems: You must indicate"Yes" or"No" to each of the following for all inspections: Yes No ❑ ® Backup of sewage into facility or system component due to overloaded or clogged SAS or cesspool ❑ ®, Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or clogged SAS or cesspool , ❑ ® Static liquid level in the distribution box above.outlet invert due to an overloaded or clogged SAS or cesspool ❑ ® Liquid depth in cesspool is less than 6" below invert or available volume is less than_day flow t5ins-09108 Title 5 Official Inspection form:Subsurface Sewage Disposal System Page 4 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments j ,ram 92 Phinneys Lane _ Property Address Dan Nardini Owner Owner's Name information is required for Centerville MA 02632 July 15, 2010 City/Town/Town State Zip Code Date of Inspection p every page. Y _ B. Certification (cont.) Yes No El ® 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. El ® 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. El ® Any portion of a cesspool or privy is within 50 feet of a private water supply well. ❑ ® Any portion of a cesspool or privy is less than 100 feet but greater than 50 feet from a private water supply well with no acceptable water quality analysis. [This system passes if the well water analysis, performed at a DEP certified laboratory, for fecal coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered.A copy of the analysis and chain of custody must be attached to this form.] ❑ ® The system is a cesspool serving a facility with a design flow of 2000gpd- 10,000gpd. ❑ ® The system fails. I have determined that one or more of the above failure criteria exist as described in 310 CM 15.303, therefore the system fails.The system owner should contact the Board of Health to determine what will be necessary to correct the failure. E) Large Systems: To be considered a large system the system must serve a facility with a design flow of 10,000 gpd to 15,000 gpd. For large systems, you must indicate either"yes"or"no"to each of the following, in addition to the questions in Section D. Yes No ❑ ❑ the system is within 400 feet of a surface drinking water supply ❑ ❑ the system is within 200 feet of a tributary to a surface drinking water supply ❑ ❑ the system is located in a nitrogen sensitive area (Interim Wellhead Protection Area—IWPA) or a mapped Zone II of a public water supply well If you have answered "yes"to any question in Section E the system is considered a significant threat, or answered"yes" in Section D above the large system has failed. The owner or operator of any large system considered a significant threat under Section E or failed under Section D shall upgrade the system in accordance with 310 CMR 15.304. The system owner should contact the appropriate regional office of the Department. l5ins-09108 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 5 of 17 i Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 92 Phinneys Lane — Property Address Dan Nardini — Owner Owner's Name information is required for Centerville MA 02632 July 15, 2010 - every page. City/Town State Zip Code Date of Inspection C. Checklist Check if the following have been done. You must indicate"yes"or"no" as to each of the following: Yes No ® ❑ Pumping information was provided by the owner, occupant, or Board of Health ❑ ® Were any of the system components pumped out in the previous two weeks? ® ❑ Has the system received normal flows in the previous two week period? ❑ ® Have large volumes of water been introduced to the system recently or as part of this inspection? ® ❑ Were as built plans of the system obtained and examined?(If they were not available note as N/A) ® ❑ Was the facility or dwelling inspected for signs of sewage back up? ® ❑ Was the site inspected for signs of break out? ® ❑ Were all system components, excluding the SAS, located on site? ® ❑ Were the septic tank manholes uncovered, opened, and the interior of the tank inspected for the condition of the baffles or tees, material of construction, dimensions, depth of liquid, depth of sludge and depth of scum? ® ❑ Was the facility owner(and occupants if different from owner)provided with information on the proper maintenance of subsurface sewage disposal systems? The size and location of the Soil Absorption System (SAS)on the site has been determined based on: ® ❑ Existing information. For example, a plan at the Board of Health. ® ❑ Determined in the field (if any of the failure criteria related to Part C is at issue approximation of distance is unacceptable) [310 CMR 15.302(5)) D. System Information Residential Flow Conditions: Number of bedrooms (design): 5 Number of bedrooms(actual): 5 — DESIGN flow based on 310 CMR 15.203 (for example: 110 gpd x#of bedrooms): 550 _ l5ins•09108 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 6 of 17 Commonwealth of Massachusetts s Title 5 Official Inspection Form A a Subsurface Sewage Disposal System Form -Not for Voluntary Assessments M 92 Phinneys Lane _ Property Address Dan Nardini _ Owner Owner's Name information is required for Centerville MA 02632 July 15, 2010 - every page. Cityrrown State Zip Code Date of Inspection D. System Information Description: Number of current residents: Varies — Does residence have a garbage grinder? ❑ Yes ® No Is laundry on a separate sewage system? [if yes separate inspection required] ❑ Yes ® No Laundry system inspected? ❑ Yes ❑ No Seasonaluse? ❑ Yes ® No Water meter readings, if available last 2 ears usage d N/A irrigation g ( y g (gp ))' system. _ Detail: Sump pump? ❑ Yes ® No Last date of occupancy: Currently Occupied. Commercial/Industrial Flow Conditions: Type of Establishment: — Design flow(based on 310 CMR 15.203): Gallons per day(gpd) — Basis of design flow (seats/persons/sq.ft., etc.): — Grease trap present? ❑ Yes ❑ No Industrial waste holding tank present? ❑ Yes ❑ No Non-sanitarydischarged waste c har ged to the Title 5 system? El Yes ❑ No Water meter readings, if available: — t5ins-09/08 ° Title 5 Official Inspection Form:Subsurface Sewage Disposal System Page 7 of 17 ICommonwealth of Massachusetts Title .5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 92 Phinneys Lane, Property Address Dan Nardini _ owner Owner's Name information is required for Centerville MA 02632 July 15, 2010 - every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Last date of occupancy/use: Date Other(describe below): General Information Pumping Records: Source of information: Tank pumped Jan. 2010 Was system pumped as part of the inspection? ❑ Yes ® No If yes, volume pumped: gallons How was quantity pumped determined? Reason for pumping: — Type of System: ® Septic tank, distribution box, soil absorption system ❑ Single cesspool ❑ Overflow cesspool ❑ Privy ❑ Shared system (yes or no) (if yes, attach previous inspection records, if any) ❑ Innovative/Alternative technology. Attach a copy of the current operation and maintenance contract(to be obtained from system owner) and a copy of latest inspection of the I/A system by system operator under contract ❑ Tight tank. Attach a copy of the DEP approval. ❑ Other(describe): t5ins-09108 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 8 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments " 92 Phinneys Lane _ Property Address Dan Nardini _ Owner Owner's Name information is Centerville MA 02632 Jul 15 2010 required for Y every page. City/Town State Zip Code Date of Inspection D. System Information (cost.) Approximate age of all components, date installed (if known) and source of information: Installed Sept. 1996 Were sewage odors detected when arriving at the site? ❑ Yes ® No Building Sewer(locate on site plan): Depth below grade: 4 — feet Material of construction: ❑cast iron ® 40 PVC —❑ other(explain): Distance from private water supply well or suction line: feet — Comments (on condition of joints, venting, evidence of leakage, etc.): Septic Tank(locate on site plan): Depth below grade: 3'feet — Material of construction: ®concrete ❑ metal ❑fiberglass ❑ polyethylene ❑ other(explain) If tank is metal, list age: years Is age confirmed by a Certificate of Compliance?(attach a copy of certificate) ❑ Yes ❑ No Dimensions: 10.5' long x 5.2'wide- 1500 gal._ Sludge depth: 211 15ins•09108 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 9 of 17 Commonwealth of Massachusetts Title .5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 92 Phinneys Lane — Property Address Dan Nardini Owner Owner's Name information is Centerville MA 02632 July 15, 2010 required for every page. Cityfrown State Zip Code Date of Inspection D. System Information (cont.) Septic Tank(cont.) 30" Distance from top of sludge to bottom of outlet tee or baffle — 1 Scum thickness — Distance from top of scum to top of outlet tee or baffle 6" — 13" Distance from bottom of scum to bottom of outlet tee or baffle — How were dimensions determined? Measured — Comments(on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): Liquid level was found at bottom of outlet invert and tees were intact. Tank is not in need of pumping at this time. Grease Trap (locate on site plan): Depth below grade: feet Material of construction: ❑concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑ other(explain): i Dimensions: — i Scum thickness — i Distance from top of scum to top of outlet tee or baffle — I� Distance from bottom of scum to bottom of outlet tee or baffle — 1 Date of last pumping: Date — li 15ins•09108 Title 5 Official Inspection Form:Subsurface Sewage Disposal System Page 10 of 17 } Commonwealth of Massachusetts . Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 92 Phinneys Lane Property Address Dan Nardini _ Owner Owner's Name information is Centerville MA 02632 July 15, 2010 required for — every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): I — i i Tight or Holding Tank(tank must be pumped at time of inspection) (locate on site plan): i Depth below grade: I Material of construction: i ❑concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑ other(explain): I Dimensions: — Capacity: — gallons 1 Design Flow: - - gallons per day Alarm present: ❑ Yes ❑ No li i Alarm level: Alarm in working order: ❑ Yes ❑ No Date of last{pumping: Date I Comments (condition of alarm and float switches, etc.): I f — { I " Attach copy of current pumping contract(required). Is copy attached? ❑ Yes ❑ No I j t5ins•09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 11 of 17 1 i i Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 92 Phinneys Lane _ Property Address Dan Nardini _ Owner Owner's Name information is required for Centerville MA 02632 July 15, 2010 - every page. Citylrown State Zip Code Date of Inspection D. System Information (cont.) Distribution Box (if present must be opened) (locate on site plan): 0,l Depth of liquid level above outlet invert — Comments (note if box is level and distribution to outlets equal, any evidence of solids carryover, arty evidence of leakage into or out of box, etc.): Pump Chamber(locate on site plan): Pumps in working order: EJ Yes No Alarms in working order: ❑ Yes ❑ No Comments (note condition of pump chamber, condition of pumps and appurtenances, etc.): Soil Absorption System (SAS) (locate on site plan, excavation not required): If SAS not located, explain why: t5ins•09108 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 12 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 92 Phinneys Lane _ Property Address Dan Nardini _ Owner Owner's Name information is required for Centerville MA 02632 July 15, 2010 - every page. Cityfrown State Zip Code Date of Inspection D. System Information (cont.) Type: ❑ leaching pits number: — ® leaching chambers number: 8 Infiltrators. _ ❑ leaching galleries number: — ❑ leaching trenches number, length: — ❑ leaching fields number, dimensions: — ❑ overflow cesspool number: — ❑ innovative/alternative system Type/name of technology: Comments (note condition of soil, signs of hydraulic failure, level of ponding, damp soil, condition of vegetation, etc.): Stone and soils surrounding SAS were probed with no signs of saturation found. Cesspools (cesspool must be pumped as part of inspection) (locate on site plan): Number and configuration — Depth—top of liquid to inlet invert — Depth of solids layer — Depth of scum layer — Dimensions of cesspool — Materials of construction — Indication of groundwater inflow ❑ Yes ❑ No t5ins•09108 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 13 of 17 • Commonwealth of.Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 92 Phinneys Lane Property Address Dan Nardini _ Owner Owner's Name information is required for Centerville MA 02632 July 15, 2010 ' - every page. Citylrown State Zip Code Date of Inspection D. System Information (cont.) Comments (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): Privy (locate on site plan): Materials of construction: — Dimensions — Depth of solids Comments (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): t5ins•09108 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 14 d 17 Commonwealth of Massachusetts - Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments r 92 Phinneys Lane Property Address Dan Nardini _ Owner Owner's Name information is required for Centerville MA 02632 July 15, 2010 every page. cityfrown State Zip Code Date of Inspection D. System Information (cont.) Sketch Of Sewage Disposal.System: Provide a view of the sewage disposal system, including ties to at least two permanent reference landmarks or benchmarks. Locate all wells within 100 feet. Locate where public water supply enters the building. Check one of the boxes below: ❑ hand-sketch in the area below ❑ drawing attached separately %/ I / / / r\*/ / / /\ /\/\!\/\!\/\/♦/\/\/\/\ \/\/\i/\/\i/\/\i/\ / I / / / /%/%/%/%/ % % I / / / / / J I /% % %/%,%,%,% % % , / 53 36 34 35 r i ., Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 92 Phinneys Lane Property Address Dan Nardini Owner Owner's Name information is required for Centerville MA 02632 July 15, 2010 every page. Cityfrown State Zip Code Date of Inspection i D. System Information (cont.) i Site Exam: ® Check Slope ® Surface water ® Check cellar ® Shallow wells Estimated depth to high ground water: 15+ — feet Please indicate all methods used to determine the high ground water elevation: ❑ Obtained from system design plans on record If checked, date of design plan reviewed: Date z Observed site(abutting property/observation hole within 150 feet of SAS) ❑ Checked with local Board of Health -explain: ❑ Checked with local excavators, installers-(attach documentation) ❑ Accessed USGS database-explain: You must describe how you established the high ground water elevation: Pond at rear of property is considerably lower than bottom of SAS. Before filing this Inspection Report, please see Report Completeness Checklist on next page, 15ins-09/06 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 16 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments w„ 92 Phinneys Lane Property Address Dan Nardini Owner Owner's Name information is Centerville MA 02632 July 15, 2010 j required for every page. Citylrown State Zip Code Date of Inspection E. Report Completeness Checklist i ® Inspection Summary: A, B, C, D, or E checked ® Inspection Summary D (System Failure Criteria Applicable to All Systems) completed i ® System Information—Estimated depth to high groundwater ® Sketch of Sewage Disposal System either drawn on page 15 or attached in separate file I i i i 3 3 1} t J f f 4 t I f ' I 1 1 I 1 1 i 7 1 i fI1 I i ! i 1 i . j I i t5ins-09108 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 17 of 17 i p1 TOWN OF BARNSTABLE \ LOCATION 9 Z //�f i eV-5 / o, SEWAGE # �U '— /�✓ VII:LACE ���r��'Ivi/I� ASSESSOR'S MAP & LOT9"�c ® INSTALLER'S NAME&PHONE NO. /�'a�lv40 �v 771—?3,� SEPTIC TANK CAPACITY - /��5-c)0 6:,L- LEACHING FACILITY: (type) � c, r (size) 49 K S-,6,A�t NO.OF BEDROOMS BUILDER O OWNE /I�ar/�iir/i PERMITDATE: 9�7 fl COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table and 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) 4 Feet Edge of Wetland and Leaching Facility(If any wetlands exist ® � Feet within 300 feet of leap ng facility) Furnished by Rey - r r3 5 -� 3 V � Y l i au� • TOWN OF BARNSTABLE LOCATION � �b V1vkX0 LA - R&WAU E#��bn S VILLAGE ASSESSOR'S MAP&PARCEL 'S NAME&PHONE NO�ear(-:clC C�Av k:W 4018 kq)-% SEPTIC TANK CAPACITY 1500 LEACHING FACILITY:(type) �����Tr��f S ��� (size) NO.OF BEDROOMS J Q OWNER PERMIT DATE: C�DATE�r+ r T t3 1 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 \J\J\/\/\f\l4Jt/\i\Jt/4/\i4f4f\f\f\/kJ\/\!\/\J\!\/\f\J4i\Jt tf4J\f♦i\J\/\J\f\i\Jt' , - ♦/\J\J\J4f\,♦f\ft/\I♦f i \ ♦ ♦ 4 1 \ 1 4 \ \ \ 1 \ \ ♦ \ ♦ \ ♦ \ 1 \ \ 4 \ \ 4 ♦ \ 4 4 \ 4 \ 4 4f \ikJ\/4I\f♦J\i\/\f\J4 \/\J\J4/\f\f4i♦ J F J F J I 4 4 \ 4 4 \ \ ♦ t \ 4 1 k \ \ \ \ ♦ \ \ \ t 4 4 4 4 4 k \ t ♦ \ ♦ 1 \Jtftl4 \ t \ 4 4 \ 4 \ \ t \ t \ t t \ t \ \ ♦ \ 4 \ \ \ \ 4 t \ t \ t \ 4 ♦ \ \ ♦ \ \ \ 4 ♦ 1 1 4 \ 1 k \ \ t t \ \ \ \ \ \ \ \ \ \ \ \ \ \ \ ♦ ♦ t 4 \ \\/tJ\JtItJ♦/tJ\J\J\ \ \ \ \ \ \ 4 ♦ \ \ 53 34 36. 35 TOWN OF BARNSTABLE. LOCATION 201 "Z" Z44i�G SEWAGE # VILLAGE _F _ ASSESSOR'S MAP&LOT S NAME&PHONE NO. i SEPTIC TANK CAPACITY AAWC LEACHING FACILITY: (type) (size) NO.OF BEDROOMS //>> BUILDER OR OWNER Pd� 1G41A',e - mPE-PJ4FPDATE: wl—t—9P45; eeMPMMqCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table and Bottom of Leaching Facility I 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 leac 'n Xci Feet Furnished I601, Ilk i 0 � 8 �,s� OVd s.. 96 Fee No. THE COMMONWEALTH OF MASSACHUSETTS UBLIC HEALTH DIVISION - TOWN OF BARNSTABLE., MASSACHUSETTS Zipphration for Miopooal bpgtem Congtrurtion Permit Application is hereby made for a Permit to Construct( )or Repair an On-site Sewage Disposal System at: Location Address or Lot No. �t�n Owner's Name Addre and Tel.No. o Assessor's Map/Parcel / v / G ��� , / Installer's Name,Address,and Tel.No. Des ner's Name,Address Gd Tel.No. i�eeff� 7 --�/ / Type of Building: Dwelling No.of Bedrooms Garbage Grinder(IMO Other Type of Building 4e No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow /le, gallons per day. Calculated daily flow gallons. Plan Date St'' Z 4" QA Number of sheets Revision Date Title Description of Soil Nature of Repairs or Alterations(Answer when applicable) 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 been issued b of alth. Sign Date Application Approved by a Date Application Disapproved for the following reasons Permit No. zAb Date Issued r `No ` Fee F F THE COMMONWEALTH OF MA'SSACHUSETTS f 7 A PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS } R- 1 > 01pprication for 30i.5pool *pgtem Construction Permit Application is hereby made for a Permit to Construct( )or Repair(/an On-site Sewage Disposal System at: Location Address or Lot No. ' r Owner'sName," Addre s and Tel.No. j �I Z /, Assessor's Map/Parcel �� C�'/97�P 9 Z /'rl/I A f Installer's Name,Address,and Tel.No. Des ner's Name,Address and Tel.No. '2 7 - 3061 -y yr Type of Building: Dwelling No.of Bedrooms e Garbage Grinder WO Other Type of Building ce No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow / gallons per day. Calculated daily flow SS`� gallons. Plan Date Z Z V 9'A Number of sheets Revision Date l Title Description of Soil S Ze �1�`e Nature of Repairs or Alterations(Answer when applicable) Ir+le 10 lllr`le P t 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 been issuedb oard�of alth. ed Sign 1 Date Application Approved by p .� e r' Date Ell Application Disapproved for the following reasons Permit No. Date Issued THE COMMONWEALTH OF MASSACHUSETTS 7-4::7 BARNSTABLE, MASSACHUSETTS Certificate of Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal System ins led( )or repaired/replaced(✓)on by Installer /oi-7�G� , �'p�l✓Tl�//G)'/©n ' at 0A0_4 5 7WW2` rL '/ s constructed in accordance with the provisions of Tide 5 and the for Disposal System Constructio rn t No. dated Date�,�13 2 :Z g Inspector 1 it THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYS- TEM WILL FUNCTION SATISFACTORY. -------------------- ----- No. 0 20/ _v 3d Fee /4d 'J THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION . BARNSTABLE., MASSACHUSETTS Mig;po/5�al *p/g`tecm Construction Permit Permission is hereby granted<o to construct( )repair(✓)an On-site Sewage System located at No.# f 7, //ll'li'+/✓� c!r�Yr rZ11 A Street and as described in the above Application for Disposal System Construction Permit. "' !• /7 � / ace � / �.� The applicant recognizes his/her duty to comply with Title 5 and the following local p ovisions or special conditions. F ° � All construction must a co leteed' within three years of the date below. Date: `7 / Approved by ` a / Board of H(e� I: V TOWN OF BARNSTABLE LOCATION /p SEWAGE # > Va.LAGE ifei) ASSESSOR'S MAP & LOT ZdJ�"l?c3® INSTALLER'S NAME&PHONE NO. d0� 0 � CPxss7; 7'7l_ SEPTIC TANK CAPACITY — LEACHING FACILITY: (type) �L• �,,u/r�rS (size) NO. OF BEDROOMS BUILDER O OWNE PERMIT DATE: 7 COMPLIANCE DATE: l � Separation Distance Between the: Feet Maximum Adjusted Groundwater Table and Bottom of Leaching Facility � 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 d Feet within 300 feet of leap 'ng facility) Furnished by 3 4 O a�� DATE. y 64 ;. QC�C�C�I�GD PROPERTY ADDRESS: 92 LT-ore TG T 6 J U N .7 1996 Centerville Mass . KALTHDCPT 0263'2:: - . TOWN 0F'BARNST M I On the above date, I inspegted the septic system at the above address. This system consists of the' following: 1 . ' 2-6'xa' block cesspools . ' 2..:. 1 -block cesspool under the asphalt driveway. Size was not determined. Based on my Ins.nection, I certify the following conditions: 1 .-This - is not a title five septit---system.- 2._- This- is a sewage s.ytem consisting of" three -cesspools. . 3. :One cesspool that serves the downstairs bathroom is under the asphalt driveway. The size was not­determ1ned::but. has been located. . o The sewage. system is. in- proper working-order at, the `prese:nt time. 5 . The main cesspool is. .165 ' from the pond. Overflow is 135 ' from pond. 91GNATUR!�: Name: J_P _M_acomber Jr... ---- Company:.P_Macomber & Son' Inc . Address:— ------- Cent�rvilLe Mass : 0.2.632 ' ` Phone: _ THIS CERTIFICATION DOES NOT CONSTITUTE A GUARANTY OR WARRANTY JOSEPH P. MACOMBER & SON,. INC. �. Tanks-Cesspools-Leazhflelds Pumped & Installed Town Sewer Connectlons P.O. Box 66' Centerville, MA 02632.0066 775.3338 775-6412 Commonwealth of Massachusetts Executive Office of Environmental Affairs Department of Environmental Protection William F.Wald Trudy Coxe 00V WW a""`'ry Argto Paul Celluccl David B.Struhs U.Ganrnor C°nvn6Wwwr s SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION Property Addrw.&- 92 Ph' nneys Lane Centerville Mass kddr�ess of owner. 278 Riverwood Road Date of Inspection: 6/1 /4 (If different) Naples ,Florida Name of Inspector. Joseph P. Macomber Jr. 33961 Company Name,Address and Telephone Number. J.P.Macomber & Son Inc . Box 66 Centerville ,Mass . 02632 508-775-3338 CERTIFICATION STATEMENT I certify that I have personally inspected the sewage disposal system at this address and that the information reported below is true,accurate and complete as of the time of inspection. The inspection was performed based on my training and experience in the proper function and maintenance of on-site sewage disposal systems. The system: ,Passes _ Conditionally Passes _ Needs Further Evaluation By the Local Approving Authority _ Fails / Inspector's Signature: � L,cllLuf �. Date: The System Inspector shall submit a copy of this inspection report to the Approving Authority within thirty(30)days of completing this inspection. If the system is a shared system or has a design flow of 10,000 gpd or greater, the inspector and the system owner shall submit the report to the appropriate regional office of the Department of Environmental Protection. The original should be sent to the system owner and copies sent to the buyer, if applicable and the approving authority. INSPECTION SUMMARY: Check A. B, C, or D: A] SYSTEM PASSES: —Z,,-,have not found any information which indicates that the system violates any of the failure criteria as defined in 310 CMR 15.303. Any failure criteria not evaluated are indicated below. B) SYSTEM CONDITIONALLY PASSES: One or more system components need to be replaced or repaired. The system, upon completion of the replacement or repair,passes inspection. Indicate yes, no, or not determined(Y,N,or ND). Describe basis of determination in all instances. If"sot determined',explain why not) vf�(� The septic tank is metal,cracked, struct;:raily unsound, shows substantial infiltration or ex.Mtrationy.or tank failure is imminent. The system will pass inspection if the existing septic tank is replaced with a ponforming septic tank as approved by the Board of Health. (revised 11/03/95) I One Winter Street • Boston, Massachusetts 021M i FAX(617) 556-1049 • Telephone (617)292-55oo �� Printod on Recycw Paper SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION(oontinued) PropertyAddrom 92 Phinneys Lane Centerville ,Mass . Owner. Allen Fuller Date of Inspeo4on:6/1 /96 BI SYSTEM CONDITIONALLY PASSES(continued) ,jZA,ei Sewage backup or breakout or high static water level observed in the distribution box is due to broken or obstructed pipe(s) or due to a broken,settled or uneven distribution box. The system will pass inspection if(with approval of the Board of Health): broken pipe(s)are replaced obstruction is removed distribution box is levelled or replaced The system required pumping more than four times a year due to broken or obstructed pipe(s). The system will pass inspection if(with approval of the Board of Health): broken pipe(s)are replaced obstruction is removed CI FURTHER EVALUATION IS REQUIRED BY THE BOARD OF HEALTH: _ Conditions exist which require further evaluation by the Board of Health in order to determine if the system is failing to Protect the public health,safety and the environment. 1) SYSTEM WILL PASS UNLESS BOARD OF HEALTH DETERMINES THAT THE SYSTEM IS NOT FUNCTIONING IN A MANNER WHICH WILL PROTECT THE PUBLIC HEALTH AND SAFETY AND THE ENVIRONMENT: Cesspool or privy is within 50 feet of a surface water AZp Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh. 2) SYSTEM WILL FAIL UNLESS THE BOARD OF HEALTH (AND PUBLIC WATER SUPPLIER,IF APPROPRIATE) DETERMINES THAT THE SYSTEM IS FUNCTIONING IN A MANNER THAT PROTECT THE PUBLIC HEALTH AND SAFETY AND THE ENVIRONMENT: 4: ) The system has a septic tank and soil absorption system and is within 100 feet to a surface water supply or tributary to a surface water supply. dr The system has a septic tank and soil absorption system and is within a Zone I of a public water supply well. dW The system has a septic tank and soil absorption system and is within 60 feet of a private water supply well. ALO The system has a septic tank and soil absorption system and is less than 100 feet but 50 feet or more from a private water supply well,unless a well water analysis for coliform bacteria and volatile organic compounds indicates that the well is free from pollution from that facility and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 6 ppm. 3) OTHER The system consists of thrpp R1'nnk r.Accr,nnl The se•wa._gp- system does nnt. V1..al- to any (revised 11/03/95) 2 ' PART A ���j 1 CERTIFICATION (continued) PropertyAddraa•: 92 Phinneys Lane Centerville ,Mass . Owner: Allen Fuller Date of Inspection: 6/1 /96 D) SYSTEM FAILS: • I have determined that the system violates one or more of the following failure criteria as defined in 310 CMR 15.303. The basis for this determination is identified below. The Board of Health should be contacted to determine what will be necessary to correct the failure. Backup of sewage into facility or system component due to an overloaded or clogged SAS or cesspool. Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or clogged SAS or cesspool. Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool. Liquid depth in cesspool is less than 6"below invert or available volume is less than 1/2 day flow. Al O Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s). Number of times pumped d,!p Any portion of the Soil Absorption System, cesspool or privy is below the high groundwater elevation. Any portion of a cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply. Any portion of a cesspool or privy is within a Zone I of a public well. Any portion of a cesspool or privy is within 50 feet of a private water supply well. Any portion of a cesspool or privy is less than 100 feet but greater than 50 feet from a private water supply well with no acceptable water quality analysis. If the well has been analyzed to be acceptable,attach copy of well water analysis for coliform bacteria, volatile organic compounds, ammonia nitrogen and nitrate nitrogen. El LARGE SYSTEM FAILS: rram�,, The following criteria apply to large systems in addition to the criteria above: A09 The system serves a facility with a design flow of 10,000 gpd or greater(Large System)and the system is a significant threat to public health and safety and the environment because one or more of the following conditions exist: 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 &117 the system is located in a nitrogen sensitive area (Interim Wellhead Protection Area(IWPA)or a mapped Zone U of a public water supply well) The owner or operator of any such system shall bring the system and facility into full compliance with the groundwater treatment program requirements of 314 CMR 5.00 and 6.00. Please consult the local regional office of the Department for Anther information._ (revised 11/03/95) 3 r SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B CHECKLIST PropbrtyAddress: 92 Phinneys Lane Centerville ,Mass . Owner. Allen Fuller Date of Inspection:6/ /9 6 • Check if the following have been done: ;Pumping information was requested of the owner, occupant, and Board of Health. , one of the system components have been pumped for at least two weeks and the system has been receiving normal flow rates during that period. Large volumes of water have not been introduced into the system recently or as part of this inspection. 1 " ZA,built plans have been obtained and examined. Note if they are not available with'N/A _K4hs facility or dwelling was inspecwd for signs of sewage back-up. L 2The system does not receive non sanitary or industrial waste flow 2- The site was inspected for signs of breakout. 11����� All system components,aicluding the Soil Absorption System, have been located on the site. N`O6e sew ptic tank manholes were uncovered, opened, and the interior of the septic tank was inspected for condition of baffles or tees, material of construction, dimensions, depth of liquid, depth of sludge, depth of scum. ,,,ZThe size and location of the Soil Absorption System on the site has been determined based on existing information or ap ted by non-intrusive methods. The facility owner(and occupants, if different from owner) were provtded with information on the proper maintenance of Sub- surface Disposal System. (revised 11/03/95) 4 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION Property Addres-w92 Phinneys Lane Centerville ,Mass , Owner, Allen Fuller Date of Inspection: 6/1 /9 6 FLOW CONDITIONS RESIDENTIAL: Design flow: Dons pGi'•aj'4-�S Number of bedrooms: Number of current residents: Garbage grinder(yes or no):_i Laundry connected to system(yes or no)�_.i Seasonal use(yes or no):A Water meter readings, if available: Q !� ?_ _ �� f Last date of occupanry:d&le C O M M ER C LAL/INDUSTRIAL• Type of establishment_ 41)4 Design flow:,A j gallons/day Grease trap present: (yes or no)-A2Q Industrial Waste Holding Tank present: (yea or no)" Non-sanitary waste discharged to the Title �t�5 system: (yes or no) Water meter readings, if available:' /LJA VV Last date of occupancy: OTHER: (Describe) 10a Last date of occupancy: Nil - -- GENERAL INFORMATION PUMPING RECORDS and o of information: � m0104M _ System pumped as part of inspection: (yes or nog If yes, volume pumped: ons Reason for pumping. _ TYPE OF SYSTEM 40 Septic tank/distribution box/soil absorption system single cesspool ZOverflow cesspool Privy Shared system(yea or no) (if yes, attach previous inspection records, if any) Other(explain) APPROXIMATE AGE of all components, date u:stalk,d (if known) and source of information: ti"-7d �i•f�1QJ'S c t�J� Sewage odors detected when arriving at the site: (yea or no) � (revised 11/03/95) 6 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C. • SYSTEM INFORMATION (continued) Property Address: 92 Phinneys Lane Centerville ,Mass . Owner: Allen Fuller Date of Inspection: 6/1 /96 SEPTIC TANK:Qf�.. , (locate on site plan) Depth below grade;._4814 Material of construction: concrete _metal _FRP —other(explain) Dimensions:_ Sludge depth: AJ L Distance from top of sludge to bottom of outlet tee or baffle:.XI4_ Scum thickness:_ _#j'A Distance from top of scum to top of outlet tee or baffler_ Distance from bottom of scum to bottom of outlet tee or baffle..-A.)jq Comments: (recommendation for pumping, condition of inlet and outlet tees or baffle. depth of liquid level in relation to outlet invert, structural integrity, evidence of leakage, etc.) GREASE TRAP. (locate on site pian) Depth below grade:,"100f Material of constr(.rti6n4V'g:oncrete _metal _FRP _other(explain) Dimensions, Scum thickness: Distance from top v'i scum to top of outlet tee or baffle: .144 Distance from bottom of Crum i� hopnm of outlet tee or baffle: Comments: (recommendation for pumping, condi—n. of inlet and outlet tees or baffles, depth of liquid level in relation to outlet invert, structural int�p�ity, idence of leakage, etc.i •'6 (revised 6/15/95) 6 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(oontinued) Property Address: 92 Phinneys Lane Centerville ,Mass . Owner. Allen Fuller Date of Inspection: 6/1 /9 6 TIGHT OR HOLDING TANK;—d,�tJe, (locate on site plan) s Depth below grade:- dd Material of conatr u tion;/Aooncrets_metal_FRP—other(explain) - Dimensions: A)A Capacity: AA gallons Design flow: ons/day Alarm level: ik— Comments: (conditio of inlet tee, condition of alarm and float switches, etc.) ��[� �-E�3Mrf'��t�'TS • DISTRIBUTION BOX&UP, (locate on site plan) Depth of liquid level above outlet invert: y� Comments: (note if1e�1 and distribution is equal, evidence of solids carryover, evidence of leakage into or out of box,etc.) W' '--0'V4 nle yy'S PUMP CHAMBER:,d,�,,/L (locate on site plan) Pumps in working order:(yes or no)-4� Comments: (note °n of pump chamber, condition of pumps and appurtenances, etc.) ° 0'f (revised 11/03/95) 7 SUBSURFACE SEWAUU Ut�31'uZ3fu.Dnaatna PART C S1'STEht INFORMATION (continued) P,portyAddrosa: 92 Phinneys Lane Centerville,Mass . owner- Allen Fuller Date of Inspection: 6/1 /96 SOIL ABSORPTION SYSTEM (SA9):Z11 (locate on sits plan. if possible;excavation not mquurii, but uu'y be upprozimawd by non-intrusive methods) If not determined to be present, ezplain: Type: leaching pits, number:D— leaching chambers, number leaching galleries, number: leaching trenches, number,length: leaching fields, number, dime)ions:_ -- overflow cesspool, number:_ Comments: (note condition of soil, signs of hydraulic faiiurv.NO' f p n Sg Of tton of hydra to io Letcfa, a pondinl7: Loam lur or _ o repairs are nePc�P� AF bhp �roecnF. ime. CESSPOOLS: a (locate on site plan) "% Number and configuration: - Depth-top of liquid to inlet invort: Depth of solids layer: — Depth of scum layer: ------- Dimensions of cesspool: X Materials of construction: Indication of groundwater: inflow(cesspool must be pumped as part of uu+pc..tionl Comments: (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.) ame as PRIVY:Wit.. �. (locate on site plan) Materials of oonstru n: Dimensions: Depth of solids: Commanu;.(note I ndition of soil, signs of hydraulic failure, level of goading, condition of vegetation, etc.) (revised 11/03/95) b rnis r u SYSTEM INFORMATION (oontinued) w PropertyAddnesa:92 Phinneys Lane Centerville ,Mass . Owner. Allen Fuller Date of Inspeotion6/1 /96 SKETCH OF SEWAGE DISPOSAL SYSTEM: include ties to at least two permanent referenceii landmarks or benchmarks locate all wells within 10O' Centerville Osterville Marstons MIlls Water Company 428-6691 Zr I . EPTH TO GROUNDWATER �i pth to groundwater. 1r + feet — G (; of determination or_appro ' in bottom of main ces_spo � it GesspooI 11:j: ' tered . revised 11/03/95) 9 z V i THE COMMONWEALTH OF MASSACHUSETTS DEPARTMENT OF ENVIRONMENTAL PROTECTION BE IT KNOWN THAT Joseph P. Macomber, Jr. Has satisfied the Department's qualifications as required and is hereby authorized to use the title CERTIFIED TITLE 5 SYSTEM INSPECTOR as provided in 310 CMR 15 .340 and S ection 13 of Chapter �1 A of the General Laws. Issued by The Department of Environmental Protection. ` June 8, 1995 Acting Director of the ion of Water Pollution Control -I-0jjtj op Barnstable BOAUD OF HEALTH 11 1SWIFAU SFWAGE DISPOSAL SYSTEM INSPECTION FORM - PART D CERTIFICATION -TYPE OR PRINT C1,EARLY- PROPERTY INSPECTED STREET ADDRESS 92 Phinneys Lane Centerville,Mass . ASSESSORS HAP , BLOCK AND PARCEL # OWNER' s NAME Allen Fullor PART D - CERTIFICATION NAME OF INSPECTOR Joseph P.Macomber Jr. COMPANY NAME J.P.Macomber & Son Inc. COMPANY ADDRESS Box 66 Centerville ,Mass . 02632 Street Town or City State LIP COMPANY TELEPHONE ( 508 ) 775 3338 FAX ( 508 ) 790 1578 CERTIFICATION STATEMENT' I certify that I have personally inspected the sewage disposuj system at this address and that the information reported is true , accurate , and complete as of the time of .-inspection . The inspection was performed and any recommendations regardii)g upgrade , maintenance , and repair are consistent with my training and experience in the proper function and maintenance of on- site sewage disposal systems . Check one : XX—XXXXXX Systeui PASSED The inspection %qjjictj I have conducted has not found any information which indicates that the system fails to adequately protect public health or the environment as defined in 310 CHR 15 . 303 . Any failure criteria not evaluated are as stated in the FAILURE CRITERIA section of this form . System FAILED The inspection which I have conducted has found that 'the system fails to Protect the public health and the environment in accordance with Title 5 , 3.10 CMR 15 , 303 , and as specifically noted on PART C - FAILURE CRITERIA of this inspection form . Inspector Signaturer 4.,11 � Date 6/1 /96 7 One copy of this certification must be provided to the OWNER, the BUYER ( where applicable ) and the I30AIZD OF HEALI'H. If the inspection FAILED, the owner or"'o'P' er' ator shall upgrade the ayatem within one year of the date of the inspection , unless allowed or required otherwise as provided in 310 CMR 15 , 305 . "n,*A A_ t � O I II II II II II II II II II 11 II II II II II Ot e0 II II II « N O II II II � O II II II II II II II II II 0 II II II II II II 11 II II II II II O II II II II II II 00 II II II o a II II II 00 II II II x II II II x II 1 Q GENERAL CONDITIONS FOR DEMOLITION A. PROVIDE SELECTIVE DEMOLITION F I T OL ONO N ERIOR PARTITIONS AN DBUILDING COMPONENTS DESIGNATED TO BE REMOVED. B. REMOVE HOLLOW ITEMS OR ITEMS WHICH COULD COLLAPSE. G. REMOVE ANY ABANDONED UTIUITIE5 AND WIRING SYSTEMS. D. NOTIFY OWNER OF SCHEDULE OF 5HOT-OFF OF UTILITIES. e. THE CONTRACTOR 15 RESPONSIBLE FOR SURVEY OF EXISTING CONDITIONS AND CORRELATE DEMOLITIONE LOOK PLAN WITH THE DRAWINGS AND TO VERIFY THE EXTENT OF DEMOLITION REQUIRED. O REMOVE WALL AND DOOR AS INDICATED. F. THE CONTRACTOR 15 TO VERIFY CONDITIONS AT THE 51TE TO DETERMINE WHETHER OREMOVE WALL AS INDICATED. DEMOLITION METHODS PROPOSED FOR USE WILL NOT ENDANGER BY OVERLOADING, FAILURE,OR UNPLANNED COLLAPSE. OREMOVE EXISTING MASONRY FIREPLACE AND CHIMNEY FROM BASEMENT FOUNDATION TO ROOF. G. THE CONTRACTOR 15 TO PERFORM DEMOLITION OPERATIONS BY METHODS,WHICH DO NOT REMOVE AND SALVAGE FREE STANDING GAS STOVE AND WOOD FIREPLACE SURROUND. ENDANGER ADJACENT SPACES NOT TO BE REMODELED, NORTH REMOVE RAISED HEARTH AND DINING ROOM HEARTH. „. THE CONTRACTOR 15 TO PERFORM DEMOLITION OERATION TO PREVENT DUST AND O REMOVE CLOSET,STAIR,BATH ROOM PARTITIONS AND DOORS AS INDICATED. POLLUTANT HAZARDS. (D FIXTURES EXISTING BATHROOM FIXTURES AND ALL PLUMBING ASSOCIATED WITH THESE I. THE CONTRACTOR 15 TO PROVIDE REMOVAL AND LEGAL DISPOSAL OF ALL MATERIALS IN FIXTURES AS INDICATED. FIBERGLASS TUB15HOWER TO BE SALVAGED AND REUSED IN BASEMENT. ACCORDANCE WITH ALL STATE AND LOCAL LAWS. THE CONTRACTOR 15 RESPONSIBLE FOR REPORTING TO THE OWNER AND HAZARDOUS WASTE MATERIALS THAT MAY BE ENCOUNTERED O REMOVE EXISTING WINDOW AND CUT OPENING FOR NEW WINDOW A5 INDICATED. DURING DEMOLITION OR CONSTRUCTION. .l. WHERE EX15TING WALL ARE REMOVED,THE CONTRACTOR SHALL PATCH EXISTING ADJACENT O D 1 WALLS,FLOORS AND CEILING AS REQUIRED WITH FINISHES TO MATCH EXISTING. " REMOVE EXISTING DOOR AND CASING AS INDICATED. NOTE EXISTIING ITEMS TO BE REMOVED AND SALVAGED FOR REINSTALLATION. OREMOVE EXISTING INTERIOR PARTITION AS INDICATED. O REMOVE CAP OFF OF HALF HEIGHT PARTITION TO PREPARE FOR FULL HEIGHT PARTITION. NO. REVISION DATE to REMOVE FRENCH DOORS AND CASINGS AS INDICATED. ii REMOVE CLOSET WALLS,ROD&SHELF,AND DOORS. (V t2 REMOVE EXISTING CASEMENT WINDOWIFOR NEW CLOSET.WINDOWSTO BE RE-USED IN ADJACENT SPACE. Yellow DOGj Farm - Mayo t3 REMOVE DOUBLE HUNG WINDOW AND ADJACENT WALL FOR NEW 2'-8"x 0-8"EXTERIOR 92 Phlnney's Lane DOOR. Centerville MA 02632 to REMOVE EXISTING BATHROOM FIXTURES,PARTITIONS,AND DOOR. SCALE: I�8��= -��� is REMOVE EXISTING EXTERIOR DOOR. '� TITLE: 1st Floor Demolition Plan s REMOVE EXISTING B.I.MILLWORK.SALVAGE SINK AND FAUCET FOR RE-USE. tr REMOVE FROM CORNER OF GARAGE WALL THE EXISTING FOUNDATION STEM DATE:FEBRUARY 23,20 12 WALL AND SLAB AS NECESSARY FOR NEW GARAGE FOUNDATION. to REMOVE EXISTING INTERIOR WALL SHEATHING MATERIAL TO STUDS. is DURING DEMOLITION WHEN DUCT WORK IS EXPOSED TRY TO RELOCATE MICHAEL A.JIMERSON A.I.A. INTO DUCT AS INDICATED ON THE FLOOR PLAN DRAWING.IF THE DUCT IS ARCHITECTURE&INTERIORS UNABLE TO BE REMOVED NEW CLOSET LAYOUT MAY CHANGE DUE TO THIS 193 Horseshoe Lane FIELD CONDITION. Centerville,MA.02632 5087754264 majarch@comcast.net a Iw 1 HEADER HT.54" uP HEADER HT.84-1/2' lit m '� O CLG.HT.89+ = CLG.HT.93' `I. TOP OF FOUNDATION 88"A.F.F. Q = J /? w BOTTOM CORD OF TRU55 JOISTS 90"A.F.F.ta D UP W 8-1/2"0 ASH CLEAN OUT f i (3) 1I-I/4°BEAM-1-_—___—_ (3)9-1/4"BEYtIb—, I __\--------------------------------- a BOTTOM OF SOFFIT 90"+ --3-1/2'LALLY COLUMN(TYPICA / / N HVAC UNIT CONCRETE FLOOR TO TOP OF CONCRETE WALL 89" + UP = 90-1/2"TO BOTTOM OF FLOOR JOISTS Z" = 9'FLOOR JOISTS 171 3 _ CLG.HT.419" ic CLG.HT.91-1/2"+ _J C.L.WATE On ELECTRICAL PANEL BOX I EXTERIOR ELECTRICAL PANEL BOX LIGHTING y ., „ ... „ ,., ., D W N K R HEADER HT.3 OI 4-1/2" HEADER HT.84-112" NIT ACU M 51 LL HT.68- 4" 51 LL H7.68-3/4' ¢57-I/2"A.F.F. GRANITE NORTH LANDING CRAWL SPACE GENERAL CONDITIONS FOR DEMOLITION DN p O�� I O A i 0 OO �� A. PROVIDE SELECTIVE DEMOUTION OF INTERIOR PARTITIONS AN DBUILDING COMPONENTS �v� Iv L N DESIGNATED TO BE REMOVED. B. REMOVE HOLLOW ITEMS OR ITEMS WHICH COULD COLLAPSE. C. REMOVE ANY ABANDONED UTILIITIE5 AND WIRING SYSTEMS. OREMOVE EXISTING STAIRS AND SHELVING AS INDICATED. D. NOTIFY OWNER OF SCHEDULE OF SHOT-OFF OF UTILITIES. OREMOVE ASSOCIATED WASTE PLUMBING PIPES AS NECESSARY WITH REMOVEL E. THE CONTRACTOR 15 RESPONSIBLE FOR SURVEY OF EXISTING CONDITIONS AND CORRELATE D OF BATH ROOM FIXTURES ABOVE. WITH THE DRAWINGS AND TO VERIFY THE EXTENT OF DEMOLITION REQUIRED. (D REMOVE EXISTING MASONRY CHIMNEY FROM BASEMENT TO ROOF. P. THE CONTRACTOR 15 TO VERIFY CONDITIONS AT THE SITE TO DETERMINE WHETHER 2 DEMOLITION METHODS PPOP05ED FOR USE WILL NOT ENDANGER BY OVERLOADING, O4 REMOVE FX15TING WINDOW. CUT OPENING IN CONCRETE WALL AS NECESSARY FAILURE,OR UNPLANNED COLLAPSE. FOR THE INSTALLATION OF A 2'-8"x 0-8°NEW EGRESS DOOR. G. THE CONTRACTOR 15 TO PERFORM DEMOLITION OPERATIONS BY METHODS,WHICH DO NOT NO. REVISION DATE ENDANGER ADJACENT SPACES NOT TO BE REMODELED. H. THE CONTRACTOR 15 TO PERFORM DEMOLITION OERATION TO PREVENT DUST AND POLLUTANT HAZARDS. \.� 1, THE CONTRACTOR 15 TO PROVIDE REMOVAL AND LEGAL DISPOSAL OF ALL MATERIALS IN ACCORDANCE WITH ALL STATE AND LOCAL LAWS. THE CONTRACTOR 15 RESPONSIBLE FOR aiu.r. REPORTING TO THE OWNER AND HAZARDOUS WASTE MATERIALS THAT MAY BE ENCOUNTERED Yellow Dog Farm - Mayo DURING DEMOLITION OR CONSTRUCTION. 92 Phinney's Lane „ J. WHERE EXISTING WALL ARE REMOVED,THE CONTRACTOR SHALL PATCH EXISTING ADJACENT Centerville MA 02632 WALL5,FLOORS AND CEILING AS REQUIRED WITH FINISHES TO MATCH EXISTING. NOTE EXISTIING ITEMS TO BE REMOVED AND SALVAGED FOR REINSTALLATION. SCALE: I/8°= TITLE: Basement Demolition Plan DATE:FE13RUARY 23,2012 MICHAEL A.JIMERSON A.I-A. ARCHITECTURE&INTERIORS 193 Horseshoe Lane _ Centerville,MA.02632 508 775-4264 majarch@comcast.net 14°RAISED CEILING OVER NEW 5TAIR5 6 DINING ROOM(5EE REFLECTED Ag811 CEILING PLAN.. I"x 2°STRAFING I G"O.C.EACH DIRECTION OVER NEW RAISED CEILING JOISTS" VE FINISHED x 4° @ I G"O.C.w/4°CLOSED CELL GRADE B 2#5 HORIZONTALLY CONTINUOUS @ „_ SPRAY FOAM INSULATION R-VALUE 25. TOP. EW 30 FIT.PARTITION. 3/4"CRUSHED STONE @RETAINING WALL _ - _ 8"CONCRETE FOUNDATION WALL(4,000 ( - - P.5.1.). . -I/12 WOOD MOULDING CAP. PERIMETER. -1 "CLOSED CELL SPRAY FOAM INSULATION K-38 INSULATION @ RAIDED CEILING JOISTS @ I G°O.C. _ /2"GYPSUM BLUE BOARD w/ 1/8"SKIM GRACE.TROCCR BELOW GRADE p _ _ 1/2"FIBER BOARD EXPANSION JOINT. COAT KEENE'5 CEMENT VENEER PLASTER WATERPROOFING MEMBRANE II GROUT WITH SEALANT ON TOP OF JOINT. ? SMOOTH FINISH ON STAIR SIDE-OF HALF SPRAYED ON. I - 1 HEIGHT PARTION.WOOD WAIN5COTT PANELING TO MATCH ON _ 4"CONCRETE PAVING SLAB w/GXGxW 1,4 WWF, I" FROM TOP OF SLAB. ROOM SID OF HALF HEIGHIT NG PARTITDION.G J 3'_Q" #5 @ 2'-8.DOWELLS. NOTE:COAT SLAB w/CLEAR 51LOXANE WATER R'-� t:N15 IIED I S T FLOOR II REPELLENT AFTER CONCRETE SLAB HAS CURED. .l� ISTING EXTERIOR WALL. $„ II II . _ ' ISTING FOUNDATION WALL. 2#5 STEEL RE-BARS @BOTTOM _ ' _�. —2"COMPACTED SAND. HORIZONTALLY. _ "x 1 0"STAIR PLATFORM FRAMING. FILTER FABRIC. $ G MIL.POLY.VAPOR BARRIER. 314"T.EG.PLYWOOD 51-113FLOOR AND TREADS. G'MIN.CRUSHED STONE. T - = it G"CRUSHED STONE. 8�4" 7 STAIR STRINGERS(2) 1-1/4"x 1 1-7/5" 4"0 PERFORATED SCHEDULE 40 I.3E LSL FOR 40 psf LIVE LOAD AND 2 P.V.C.FOUNDATION DRAIN PIPE. 4 psf DEAD LOAD. OMPACTED SUB GRADE. @ RETAINING WALL PERIMETER. 1 2"x 24"CONTINUOUS FOOTING 3000 2°x 6"P.T.(TYPICAL BASE). P51. r'.�I;T Loop. 1 BETA I N I N G WALL SECTION 7-3/4" RISi= 12" 1RFA,p (i g T?�FjDS) (-- 2 STAID SECTION/ELEVATION A1 .0 A1.0 z �{ I .' ...... X "2 � I z 5'-101' I -0 :..• z CLG.HT.93"� #5 REBAR 24"LONG,DRILL INTO 9 5 EXERCISE ROOM p EXISTING FOUNDATION AND SET TOP OF FOUNDATION 88°A.F.F.+ '• �]m WITHNON-SHRINKING EPDXY GROUT 'x 10 3ILI CLG.HT.89° L- -y... BOTTOM CORD OF TRU55 JOISTS 90"A.F.F. 11 2 5TOKAGE/MECH. 1 T 1 m UP DI GARAGE. 1 I I r-- CUT OPENING @EXISTING WINDOW AS NECESSARY / 3 O " U NOT IN SCOPE OF WORK) FLOOR DRAIN AND I �' DOOR FOR NEW PLAY ROOM. - -_ �1 /I U NEW 5'-O"X 6'-8 FOUNDATION I i :i.•j ri,} o.P �-EX5TG.(3)9-I/4°BEAM e+ "Z 2' CASED OPENING DRAIN AT DRYWELL 8-I/2°0 ASH CLEAN OUT ... 2 - --- _B f --------------- ------------------ FOP THE IN5TALLATION Of' x 6• 3 �71 1 50 GALLON r l �✓�� a CAPACITY. 112 ; -__ _______________________ HALL +CLG.HT.90" N REVIEW LOCATION I 11 / N w/LAND5CAPE ) 10 /� - ( I PLAY ROOM / UNIT CONCRETE FLOOR TO TOP OF ti S' , s' UP ARCHITECT. r' 18�• I I 9 / UNIT CONCRETE WALL 89°. 54 •4 s '-11 77-�� r 6 FOR PLAY ROOM CEILING / 90-1/2"TO BOTTOM OF FLOOR JOISTS 1._ ( I 1"x 2"5TRAPING 1 6"O.C.EACH DIRECTION. _ - ---. • 9°FLOOR JOISTS.STAIR STRINGS ? I7 - +'GYPSUM BLUE BOARD w/*'SKIM COAT `^"' I ^' 1 Al ■ 0 �'t\ (3)2°x 12"P.T. I 6 KEENE'5 CEMENT VENEER PLASTER 5MOOTH FIN15H. A �:AZEK,"I I5 PAINT EXISTING CONCRETE FLOOR AND WALLS. ' T TAD5 AND I PROVIDE FOR EXISTING 2 ks.Irk NO. REVISION DATE 3 I 4 +CLG.HT.91-1/2' \ / 7 3/4'R15ER5. I EXTERIOR LIGHTING WIRING. UNDRY ROOM I� I 3 BATH ROOM t MECH.PM. RAIL P05T AND I HANDRAIL ( I 2 ELECTRICAL PANEL B X I� SYSTEM BY AZE K itcrw 4ILL BOTTOM w/G"0 TRADEMARK' % .".< -.._ D W� IFIZZI OI R aiu+r i a ,•'. - n,. .,•, ° .W.TA K ACU M HEADER STONE AND RAILING,5-3/4° "- "' '�° "` T- NIT - CONNECT DRAIN PIPE 5QUARE NEWEL i•L— --- $: _ YeIIOW DOL� F2f17) - Mayo P05T w/FLAT ---"'" 1. FROM BOTTOM TO #5 REBAR 24"LONG DRILL INTO EXISTING FOUNDATION -'` ' ' " Lane 51 LL HT 68 3/4' CAP. DRYWELL. UP AND 5ET WITH NON-SHRINKING EPDXY GROUT. "1 r �'ttH�� � 1 7"0 HOLE ,= Centerville sMA 02632 ` +57-1/2'A.F.F. (3)GRANITE TREAD5 AND GRANITE + SCALE: I/8"= I'-O" RISERS TO TOP OF CONCRETE. LANDING DRAWL SPACE TITLE: Basement Plan,Stair Section, Retaining Wall Section BASEMENT FLOOR PLAN DATE:FEBRUARY 23,2012 Q NEW 2°x 4-WALL OFF 5ET I°FROM FOUNDATION P.T.51LL w/4' OPEN CELL SPRAY FOAM INSULATION(R value of 7 per inch)R-28. It Q EX15T1NG WALL MICHAEL A.JIMERSON A.I.A. 0 NEW 2'-4'INTERIOR PARTITION w/I HR.RATED GYP5UM.WALL ARCHITECTURE&INTERIORS BOARD. 193 Horseshoe Lane Q NEW INTERIOR PARTITION 5EE PLAN FOR THICKNESS w/GYPSUM Centerville,MA.02632 WALL BOARD BOTH SIDES. 508 775-4264 majarch@comcast.net Y. NEW STORAGE CLOSET /. tw—.; .. CLG.HT.A&1/2•$ $ $ LIBRARY/INTERNET (NOT CLG.HT.66-1/2•$ I I 11 I I $CLG.HT.69' $CLG.HT.90-1/z• I OFF 5ET 1'4'OF EX15TING CEILING RAFTER5-IN5TALL I - I NEW 2"x l OF RAFTER5 1 5"ABOVE EX15TING RAFTERS. I BOX VERTICAL PERIMETER WITH BLOC KING A5 — BOTTOM O iF NECE55APY TO SHEATH WITH Z^GYP5UM BLUE BOARD $LIN 1 � D BE I I W SK M COAT KEENBS CEMENT VENEER PIASTER 1 ___________ I 5MOOTH FIN15H.1"x 2•WOOD 5TRApPING @ I G"O.C. 7 J1, *, (NO EACH DIRECTION FLOR HORIZONTAL SERVICE OF NEW RAISED CEIG. Z GYPSUM BLUE BOARD•A SKIMCLG.nT.B9'COATKEE LIN CEMENT VENEER PIASTER SMOOTHCLG.HT.AB-12'$ ATi1C ACCESS $ $CLG.HT.90-12' FINISHFOR NEW RA15ED CEIUNG. 5-1/2'CLOSED CELL PULL ON STAIR HALL SPRAY FOAM INSULATION R-3a.TYPICAL AT ALL RAISED BOTTOM Of HALL CEILING SPACES. BOXED. f $CLG.HT.102-1/2' GREAT ROOM $ - _ DINING ROOM II II II II II II II it II (NOT IN SCOPE OF WORK) II it II -4•TYPICALOFF5ET - KITCHEN II II II (NOT IN SCOPE OF WORK) CLG.HT.ea 112-$ MUD ROOM ,1 1 4 L REFLECTED CEILING/FRAMING PLAN ®NEW 2'x G'WALL w/R-29 IN5ULATION Q EXISTING WALL ®NEW 2"x 4"WALL OFF 5ET I"FROM FOUNDATION P.T.SILL w/4- BREAKF T ROOM OPEN CELL 5PRAY FOAM IN5UTATION(R value o1 7 per inch)R-28. (NOT I N SC E OF WORK) —NEW INTERIOR PARTITION 5EE PLAN FOR THICKNE55 w/GYP5UM WALL BOARD BOTH 510E5. 1 2 NEW STORAGE C OSET t 2 LIBRARY/INTERNET _ New IN BOOKCASKCA5 ES 42'HEIGHT. 1 (NOT IN SCOPE OF W I O m SAND AND FINISH EXISTING HARD WOOD FLOOR w b 1 O NEW ISL 1.3E 3-I/2'x 9-I/4'BEAM. B I2 CONTRAGT01 TP PROVIDE OWNER AN ALLO"Cl!FOR z U i v A i'x 20•x 9-/2'STONE HEARTH ON BOTH D OF IN i'' NEW 3G'HEIGHT PARTRION zz,I '1 `� T? " NEW BUILT OKCASES. N W BUILT IN BOOKCAS FIREPLACE FY 14 FLUSH INSTALLATION TO THE 4 u5 w/PAINTED WOOD PANELING ADJACENT W(I)CID FLOOR. "0B TO MATCH EX15TING ON DINING ry N a. I I 1 ROOM 51DE ONLY. -ro e ^gII DINING ROOM `II T HALL I Ohl l HALL WRAPPED WITH 3COLUMN COVER•COLUMN s I GREAT ROOM REBUILD MASONRY FIREPLACE 50 THAT OPEN5 FROM III SAND AND FIN15H EXISTING HARD WOOD FLOOR i n I SAND AND FINISH EXISTING(YARD WOOD FLOOR i T I VVEENEER150UARE AND RECTANGULAR STONE IN I I GROUT-LE551N5TAUATION 15 THE 5PEOMC 5TONE PRODUCT TO BE U5ED.COLOR OPTION TO BE I I I I DETERMINED 800-231-2200; vww1awn.1se t0.th,C.cp a;e L5 eo,,wo o 1n Mashpee,MA. A1 . 1 II I �z 00 KITCHEN (NOT IN SCOPE OF WORK) NO. REVISION DATE N _ (NOT IN SCOPE OF WORK) 00 II II II II II II MUD ROOM ON Yellow Dog Farm - Mayo 92 Phinney's Lane Centerville MA 02632 SCALE: 1/8"= 1'-0" TITLE: 1 st Floor Plan&1 st Floor Reflected Ceiling Plan ® BREAKFAST ROOM DATE:FEBRUARY 20,2012 /� (NOT IN SCOPE OF WORK) STI LOOP, PLAN MICHAEL A.JIMERSON A.I.A. F ARCHITECTURE&INTERIORS ®NEW r=G'WALL.1R-29 1N5u An 193 Horseshoe Lane oN Centerville,MA.02632 EXISTING WALL 508 775-4264 ®NEW 2"x 4'WALL OFF 5ET I-FROM FOUNDATION P.T.51LL w/4- OPEN CELL SPRAY FOAM INSULATION(R value of 7 per inch)R-28. majarch@comcast.net —NEW INTERIOR PARTITION 5EE PLAN FOR TNICKNF55 4 GYPSUM WALL BOARD BOTH 51DE5. HEADER HT.84" —UP HEADER HT.84-1/2" CO m OCLG.HT.89+ = CLG.HT.93" � o � / - V _ TOP OF FOUNDATION 88"A.F.F.+ " - /02 Q= L----------------- ot BOTTOM CORD OF TPU55 JOISTS 90"A.F.F. / 2e p._ UP a - _v 8-1/2"0 A5H CLEAN OUT _m ,I w= (3) 1 I-I/4"BEAM ;jf (3--I/4"B6Ylo— ___ ____ ,. ——————————— ————————————————— J------ ----------- — -------� --------- ---------- --------- s =NQ cn N a BOTTOM OF SOFFIT 90 3-1/2'LALLY COLUMN(Tl'PICA)/ -- —————————————————— ————————— CONCRETE FLOOR TO TOP OF CONCRETE WALL 89" 7 P J w= 90-1/2"TO BOTTOM OF FLOOR J015T5 ~ <— --I 9"FLOOR JOISTS 1 3 N s N N 0 CLG.HT.49" — N w= '-2 I~ =F CLG.HT.91-1/2'+ a C.L.WATERw= =u� ELECTRICAL PANEL BOX C)= EXTERIOR ELECTRICAL PANEL BOX LIGHTING :, M HEADER HT.84-1/2" HEADER HT.84-1/2" Via. , a:• „ ". . ',e '..., °. . . 51 LL H 3 68 /4° 51 ILL HT 68- 3/4° +57-1/2"A.F.F. GRANITE NORTH LANDING CRAWLSPACE GENERAL CONDITIONS FOR DEMOLITION A. PROVIDE 5ELECTIVE DEMOLITION OF INTERIOR PARTITIONS AN D13UILDING COMPONENTS DEMOLITION ELOOK PLAN DE5IGNATED TO BE REMOVED. ! B. REMOVE HOLLOW ITEM5 OR ITEM5 WHICH COULD COLLAP5E. C. REMOVE ANY ABANDONED UTIUITIE5 AND WIRING 5Y5TEM5. OREMOVE EXISTING 5TAIR5 AND 5HELVING A5 INDICATED. I D. NOTIFY OWNER OF 5CHEDULE OF 5HOT-OFF OF UTILITIES. OREMOVE A550CIATED WA5TE PLUMBING PIPE5 A5 NECESSARY WITH REMOVEL E. THE CONTRACTOR 15 RESPONSIBLE FOR 5URVEY OF EX15TING CONDITIONS AND CORRELATE D 2 OF BATH ROOM FIXTURE5 ABOVE. WITH THE DRAWING5 AND TO VERIFY THE EXTENT OF DEMOLITION REQUIRED. O3 REMOVE EXISTING MA50NFY CHIMNEY FROM BA5EMENT TO ROOF. F. THE CONTRACTOR 15 TO VERIFY CONDITIONS AT THE 517E TO DETERMINE WHETHER DEMOLITION METHOD5 PROP05ED FOR U5E WILL NOT ENDANGER BY OVERLOADING, OREMOVE EX15TING WINDOW. CUT OPENING IN CONCRETE WALL A5 NECE55ARY FAILURE,OR UNPLANNED COLLAP5E. FOR THE IN5TALLATION OF A 2'-8"x 0-8"NEW EGRE55 DOOR. G. THE CONTRACTOR 15 TO PERFORM DEMOLITION OPERATION5 BY METHODS,WHICH DO NOT NO. REVISION DATE ENDANGER ADJACENT SPACES NOT TO BE REMODELED. H. THE CONTRACTOR 15 TO PERFORM DEMOLITION OERATION TO PREVENT DUST AND POLLUTANT HAZARD5. I 1. THE CONTRACTOR 15 TO PROVIDE REMOVAL AND LEGAL D15PO5AL OF ALL MATERIALS IN ACCORDANCE WITH ALL 5TATE AND LOCAL LAWS. THE CONTRACTOR 15 RESPONSIBLE FOR ` REPORTING TO THE OWNER AND HAZARDOUS WA5TE MATERIAL5 THAT MAY BE ENCOUNTERED Yellow Dog Farm - Mayo DURING DEMOLITION OR CONSTRUCTION. 92 Phinney's Lane J. WHERE EX15TING WALL ARE REMOVED,THE CONTRACTOR 5HALL PATCH EX15TING ADJACENT Centerville MA 02632 WALLS,FLOOR5 AND CEILING A5 REQUIRED WITH FIN15HE5 TO MATCH EXISTING. NOTE EX15TIlNG ITEM5 TO BE REMOVED AND SALVAGED FOR REIN5TALLATION. SCALE: 1/8"= 1'-0" TITLE: Basement Demolition Plan DATE:FEBRUARY 23,2012 MICHAEL A.JIMERSON A.I.A. ARCHITECTURE&INTERIORS 193 Horseshoe Lane Centerville,MA.02632 508 775-4264 majarch@comcast.net SEPTIC PROFILE TEST HOLE LOGS 7_ T.O.F. AT EL (NOT TO SCALE) ACCESS COVER TO WrrHlN fr OF FIN. GRADE ACCESS COVER (WATERTIGHT) TO ENGINEER:__L_>_ VrTHIN 15" OF FIN. GRADE COVER OVER PRECAST 2% SLOPE REQUIRED OVER SYSTEM OMINIMUM .75' Of [�_— D. WITNESS- 77 I —RUN PIPE LEVEL DATE: (DB_Z_ FOR FIRST 2' PROPOSED-iL Z_ v GALLON SEPTIC PERC. RATE TANK (H-E-) p# �161 CLASS - SOILS Al t J SLOPE) 6- CRUSHED STONE OR MECHANICAL DEPTH OF FLOW COMPACTION. (15.221 (21) 6 *_'2 J Cr TEE SIZES: (-% SLOPE) SLOPE) INLET DEPTH 15 LOCATION MAP OUTLET DEPTH ASSESSORS MAP PARCEL FOUNDATION----- SEPTIC TANK D' BOX LFACHINO FACILITY 10 FLOOD ZONE BUILDING 4'ONE: SETBACKS: FRONT — ''2 SIDE — 10 REAR — 10 Y' PLAN REFERENCE: 2 z ( I_ 17,5 1tt/A� ^D \ l �j 7_ --NOTES:- DATUM IS 5 Q"A 47 w 2. MUNICIPAL WATER IS SEPTIC DESIGN: (GARBAGE msposcR is f-44;"� L­�-O 10— e- / / / 3. MINIMUM PIPE PITCH TO BE 1/8" PER FOOT. DESIGN FLOW: —E_ BEDROOMS GPD) GPD �; �� / / ' • \ 4. DESIGN LOADING FOR ALL PRECAST UNITS TO BE AASHO—H 'j > L SE A GPO DESIGN FLOW P*PE JOINTS) TC CE MADE �%" 'ERTIGHT 4'r + SEPTIC TANK: Li GALLONS GPD 6. CONSTRUCTION DETAILS TO BE IN ACCORDANCE WITH MASS. ZAI ENVIRONMENTAL CODE TITLE V. USE A i'506:) GALLON SEPTIC TANK 7. THIS PLAN IS FOR PROPOSED WORK ONLY AND NOT TO BE LEACHING USED FOR LOT LINE STAKING. SIDES: (2±—) GPD 8. PIPE FOR SEPTIC SYSTEM TO SCH. 40---4" PVC. 44, BOTTOM- S C,-, GPD 31 9. COMPONENTS NOT TO BE Bt vKFILLED OR CONCEALED WITHOUT TOTAL: Z4.-4 S.F. _� GPD INSPECTION BY BOARD OF HEALTH AND PERMISSION OBTAINED 4- 474 FROM BOARD OF HEALTH. �/ .� 10. EXISTING CESSPOOLS TO BE PUMPED AND FILLED WITH CLEAN -401 442 0 !6-ro SAND OR REMOVED AS NECESSARY. to" > 'w .0 SITE AND SEWAGE PLAN OF tJ �2 0 I IN THE TOWN OF: BOARD OF HFIALTH z APPROVED DATE MA PREPARED FOR: 0 "A-7 1-0 Feet -49 SCALE: DATE: ".o' POO 1 ` down cape engineering, inc. OV�_ CIVIL ENGINEERS AFOIE LAND SURVEYORS ("'JA LA I.A ge4 PHONE 508-362-4541 FAX 508-362-9880 JOB# 939 main st. yarmouth, ma A DATE L 3'