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0341 PINE STREET (HY - Health (2)
341 .Pine Street Centerv_ ille;%,, A=228 088 - 001 i owr fom we NO. 1521/3 ORA 10% a i i �I TOWN OF'BARNSTABLE LOCATION 3 91 !P►xD[" :51- SEWAGE# A'01 VILLAGE ASSESSOR'S MAP&PARCELDL99 -1 INSTALLER'S NAME&PHONE NO. SEPTIC TANK CAPACITY AC ryn rr,('} i LEACHING FACILITY:(type) ^�fG IBC. j.4•atp (size)y R(XAX, 01 NO.OF BEDROOMS OWNERi_t PERMIT DATE: !2,->-0-2,- 1,N COMPLIANCE DATE: Separation Distance Between the: A6,33,-, scx � �i9tiGi¢7 flow) C'.l�ioA`q2 Maximum Adjusted Groundwater Table to the Bottom of Leaching Facilityb*c,4.5 e l y,7,p2— 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.DgZr, jara,2,) Q(N e 14 R 3-351 e suyT8� � �m Ilk- ismoL3CL TA N1C �,wsat so,s 3-s�,S �I fig` s tii° (�n`iS'7,24 �o ° op No. �_u _ Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION —TOWN OF BARNSTABLE, MASSACHUSETTS Yes application for Misposal *pstrm Construction permit Application for a Permit to Construct( ) Repair( ) Upgrade( ) Abandon( ) ❑Complete System ❑Individual Components 7�1 Location Address or of No. ?I.// P%n p S j Owner's Name,Address,and Tel.No. a�W 69/� _ ,n _ _ Assessor's Map/Parcel C P^�e.�f i'���C M C V �, (I I 1 ) Z erg I-*-,) Installer's Name,Address,and Tel.No. Designer's Name,Address,and Tel.No. SC 6u 1A 1 Q`0 wn 1 nC Coc q� A np Type of Building: Dwelling No.of Bedrooms ! Lot Size sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures 6 Design Flow(min.required) L gpd Design flow provided T gpd Plan Date Number of sheets Revision Date Title Size of Septic Tank / .5,00 Type of S.A.S. 6 C ` 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 Certificate of Compliance has been issued by this Board of Health. y Signed Date Application Approved by — Date Application Disapproved by 'Date for the following reasons Permit No. J h 77'— Date Issued No. Fee' 1 60 THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: YL'or/ es PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS 01pplication for DispoBat.*pstrm Construction Permit Application for a Permit to Construct( ) Repair( ) Upgrade( ) Abandon( ) ❑Complete System ❑Individual Components n Location Address or of No. ?4// P'n o s—IOwner's Name,Address,and Tel.No. Assessor's b� C 1P cd ��e M (�, F 1 I ZSef,A1 I- I • � I Installer's Name;Address,and Tel.No. Designer's Name,Address,and Tel.No. 5C _ 6 v 1 A t go w n 111 p lJ I;' C 0L) A /1 C>`(c j I'Z Type of Building: Dwelling No.of Bedrooms 7 Lot Size sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) j Other Fixtures / Design Flow(min.required) 'I gpd Design flow provided L Ll L gpd i Plan Date Number of sheets Revision Date Title 4¢ Size of Septic Tank / Type of S.A.S. a s 6 C Description of Soil C j 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 i accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of Compliance has been issued by this Bo d of Health. Signed Date j Application Approved by Date Application Disapproved by Date for the following reasons Permit No. )d( 7- D Date Issued >- 1? THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE,MASSACHUSETTS ' Certificate of Carrioitance THIS IS TO CERTIFY,that the On-site Sewage Disposal system Constructed( sq)4 Repaired( ) Upgraded( ) Abandoned(�n)by d�j�)ct Gs s A 1�J rac,�cal :n�Cj X at 3 4 / r n P S I ' �i�1 e y' I C /�/►/� has been constructed in acccordance with the provisions of Title 5 and the for Disposal System Construction Permit No.,070 ram/ dated Installer �c�G�� ►J �ruC Designer #bedrooms Approved design flow q Y gpd The issuance of this permit shall not be construed as a guarantee that the system will function as designed. Date Inspector No. go 13 -`6gfo Fee /&D THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION-BARNSTABLE,MASSACHUSETTS Nspos *pstrm Construction lermit Permission is hereby granted to Construct( ) Repair( ) Upgrade( ) Abandon( ) System located at X 4/ P�n S 1 A t eC i and as described in the above Application for Disposal System Construction Permit. The applicant recognized his/her duty to comply with Title 5 and the following local provisions or special conditions. 's Provided:Construction must be completed within three years of the date of this permit. Date ?j Approved by V i y 1 Privacy violation - 47.50' i. Bedroom Bedroom c m fit I < .. ... N L'J n ' Bedroom ao i 0 !per' t 1.5' lJ I [� ; o OOMT�p i N Lavl Bath l o Second Level b 27.50' in N 18.50, 9.25 Greenhouse . F�moos�t vesdbule10.75' o ..i t p®e�em v ; 13.00' 7 Bulkhead! 8.75' ]K , �,a � Dining Roomc6 f Bath First Level 26.00' Foyer . i Privacy violation 21.50' 1 2 I i skeirn M Apex Medk-.- Comments: i AREA CALCULATIONS SUMMARY LIVING AREA 6REAKDOINN Coder Description _ Net Sim p�T�81s 6► kdo '; Stibtotats i GLh2 _ First Floor 1057.25 . 1051.25 First Floor GLA2 Second Floor I P/H Rear Vestibule 943.00 961.38 47.50 a 18.75 890.63 43.00 7.75 x 21.50 166.63 Green House .104.06 14.7.06 Second Floor 4.25 x 10.50 78.63 47.50 x 13.50 641.25 1 5.25 x 46.00 241.50 I i i ' t - I _ i S I March 21, 2013 TO: BOARD F HE ALTH EALTH FROM: LINDA E. HUTCHENRIDER,OWNER RE: 341 Pine St.,Centerville, MA It is my understanding that the prospective owners of my home on Pine Street were being met with some problems regarding your department questioning the number of bedrooms at my home. As it currently stands we have 4 bedrooms and at one point there was 5. My parents had a large bedroom on the west side and there was a guest room on the southwest side. On the east side was my bedroom and a guest room off of that. Before my parents made a dressing room out of it,there was a 5ch bedroom upstairs on the north side. I was told that you needed a letter from the current owner to prove that we did indeed have that many bedrooms...yes we did. At one point when the house was a two family, it had 3 on one side and two on the other. , If you question anything else on the home—please contact me during the day at the Town Clerk's office and at other times at 508-775-0027. Hope this c ars everything up for you. id s Town of Barnstable °F T ,Regu4atory Services °s Thomas F. Geiler,Director '^MASS. ' Public Health Division 9q'Ar1 3.i0. 1Thomas McKean,Director 200 Main Street, Hyannis,MA 02601 Office: 508-862-4644 Fax: 508-790-6304 Date: y 10 Sewage Permit# Zo P3-pqC, Assessor's Map/Parcel 22$ —{8 - 1 Installer&Designer Certification Form Designer: (DUCHt tJ0WZ Installer: Address: 43 I iz1 , -WbLL CIS Address: 0110X fy�_ SW 1)w 1 Ci1 M A 02 S&3 ye we,- 02C'3 On 3 22 /�54 jjie�ly1ntwas issued a permit to install a (d e) n ' (installer) septic system at NL G7REET based on a design drawn by (address) DAVID D . CovGHAkJt Z, dated (designer) I certify that the septic system referenced above was installed substantially g accordin to the design, which may include minor approved changes such as lateral relocation of the distribution boa and/or septic tank. Stripout (if required) was inspected and the soils were found satisfactory. I certify that the septic system referenced above was installed with major changes (i.e. greater than 10' lateral relocation of the SAS or any vertical relocation of any component of the septic system) but in accordance with State & Local Re ulations. Plan revision or certified as-built by designer to follow. Stripout(if req ected and the soils were found satisfactory. s� ` Assq DAVID oyG� D. a COUGHANOWR N nstaller's Signature) No. 1093 MN . S4Nl7AWPN (Designer's Signature) (Affix Designers Stamp Here) PLEASE RETURN TO BARNSTABLE PUBLIC HEALTH DIVISION. CERTIFICATE OF COMPLIANCE WILL NOT BE ISSUED UNTIL BOTH THIS FORM AND AS BUILT CARD ARE RECEIVED BY THE BARNSTABLE PUBLIC HEALTH DIVISION. THANK YOU. q:\onice forms\designercertification form.doc Town of Barnstable P# �7 Department of Regulatory Services Public Health Division del o ZQ DateNAM 3 1639. 200 Main Street,Hyannis MA 02601 Date Scheduled C�L �/ I � _ Time /v Fee Pd. 6--0 Soil Suitability Assessment for Sewage Disposal Performed By: JI/�U�t �''�i-��1 wo�r Witnessed By: r��6�%""�'►'r r,� LOCATION& GENERAL INFORMATION Location Address pn Owner's Name �4l , e �1�r�et � C_ei4ery t lLq- Address • C�Irt1��r v,llP Assessor's Map/Parcel: Engineer's Name � '� Co ti 41t ewv- NEW CONSTRUCTION REPAIR Telephone# 3194 -a 8_9 Land Use: 4-;1441�;g 1 ! Surface Stones Vld h P Distances from: Open too + p Body ft Possible Wet Area ft Drinking ' ib6'f [� r nkmg Water Well ft Drainage Way 7�+ ft Property Line f ft Other ft SKETCH:(Street name,dimensions of lot,exact locations of test holes&pere tests,locate wetlands 1n proximity to holes) V CD lA 79. -� q 17 SrP • i P-� Parent material(geologic) Q r*yG N1 0 S Depth to Bedrock i 1©.n e Depth to Groundwater. Standing Water in Hole: �_'e n e r, (Weeping from PI Face �01 t Estimated Seasonal High Groundwater M01-2 14gll L i P Tr&rM cj 1)1-FQbQ DETERMINATION FOR SEASONAL HIGH WATER FABLE._ - Method Used: Fri M.0(�P it f �1Ga y1 1�1t't1 F — - Depth Observed standing in obs.hole: In, Depth to soil mottles: In. Depth to weeping from side of obs.hole: in. Groundwater Adjustment f. Index Well#VAIL/-Z9 Reading Datm riih' 1-71 Index Well level Adj,factor&•Z Adj.Groundwater Level Ite 1-IQ Zone -- PERCOLATION TEST pate Time Observation Hole# Time at 9" 2-00 Depth of Perc //60 1 h Time at 6" 3�-00 V Start Pre-soak Time @ _00 Time(9"-6") A B11 h End Pre-soak _oV J Rate Min./Inch YN 1 C Sa,1 S l., Site Suitability Assessment: Site Passed Site Failed: Additional Testing Needed(YIN) " original: Public Health Division Observation Hole Data To Be Completed on Back---------- percolation test is to be conducted within 100' of wetland,you must first notify the. ,Barnstable Conservation Division at least one(1)week prior to beginning. Q:\SEPTIC\PERCFORM.DOC DEEP.OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture .Sdil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones;Boulders. Consistency.%Gravel) VL -36 Lev,M v '-*04 lrrfab4l f I G ?44 L'VS DEEP OBSERVATION HOLE LOG Hole# 2 Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consistency.%Grave O - .6 P Gard teat.), IDYIZ �Z ion �����ojr' to -3 va (Arl in- Gria [0 34-['2Z C- I+lE lvwt C-)q « 5/4- DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(iu.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consistency,%Gravel) (DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color 5011 Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones:Boulders: Consi ten v • Flood Insurance Rate Man: Above 500 year flood boundary No— Yes /' Within 500 year boundary No v + Yes ' Within 100 year flood boundary No.7 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? `'{CS If not,what is the depth of naturally occurring pervious matorial? � Certification I eerti that on ®'' �qq (date)I have passed the soil evaluator examination approved b the fY P P Y Department of Environmental Protection and that the above analysis was performed by me consiste H oFMgssq the requir training,expertise and experience described in 310 CMR 15.017. •DAVID cyGN Signature4 Date Fe l�, 1 U D. N COUGHANOWR `r0 41C E N S�cO Q:1S.EPTiCTERCPORM.DOC /4 EVALUP�o JUL-1-2013 17:05 FROM: TO:15087906304 P.2 LlMassachusetts Department of Environmental Protection 1100179967 Bureau of Waste Prevention—Air Quality Decal Number Project Revision Notification For Asbestos Notification ANF-001 and AQ 06 ImpOAgnt When filling out A Facility Location farms on the WILLIAM FITGERALD computer,use only the tab key 1.Name of Facility to move your 341 PINE ST cursor-do not 2,Street Address use the return key. --» 3. i 4.State 5.Zip Coda ,b 608"69832 6.Telephone Number INSTRUCTIONS B. Project Cancelled 1. This form is only available for Check here if this project is/was cancelled. online filirrp of project date revisions. 2. Enter project decal number, C. Project Dates 3. th Validate that the project 03/2 7/0013 07/D312013 location is correct 1Oflainal StArl0alle mmldd/ d Palo(mmId"w) for the entered decal. 3.Latest Roviscad Start Data(mm/ddlyyyy) 4.t_ale6t Revised End Date(mmJddlyyyy) 4. Enter your new project dates. 5. Certify your notification. D. Revised Project Dates Submit date, changes. 77/02/201 s 07/02/2M 3 1,Revised Start Date(mm/ddtyyyy} 2.Revised End Date Date(mmlddlyyyy) E. tither Project Revisions F. Revision Histo enrc5pdm.00c•rev.Z=4 JUL-1-2013 17:05 FROM: TO:15oe7906304 P.3 ' ti 1Commonwealth of Maseachusetts 10ei7 I � Asbestos Notification Form ANF-001 Oecal ftft Whe Sl g out A. Asbestos Abatement Description forms on ter,use 1. a. Is this facil'It r fee exempt-efty,town,district, municipal housing authority,owner-occupied only the tab key residence of four units Or less?RJ Yes ❑No to move your cursor-do not b, Provide blanket decal number if applicable, get peal Numberuse the return 2. Facility Location: WILLIAM FITGERALD 3 11 PINE ST a.Na Withr BARNSTABLE MA 02632 (S0$)77&9832 Cityrrown d.State o.7�p Coda r.Telepnong NU e'er INSTRUC'nONS 3, Worksite Location: 1.AU e®alorm at this BACKSIDE form must be a.Building Neme/Culldng Location b.Building c Wing d,Floor e.Room completed In order to comply Wth 4. Is the facility ocxupied? Q Yes E]No OW nottnastlon requirements tsoi310 GCMR 6. Asbestos Contractor: 'Intl the Dhi'Iion Of 0ooup66prol AIR SAFE INC 161 ENDicorr STREET Safely(DO$) a, o" dress notjecitlon NORWaOD 02082 781762339Q requirements of 463 - CMR 6.12. c.ChyffavM d.Zo Coda g.Telephone Number AC000W g.Contract Type; Q Written []Verbal T.LOS tense um r ornact Pirgon 1.06-t et Peraml Tile B JAIME E AMAYA A$060847 a.Name of m�4fte 8u or/Foreman b.8 ervlsor/Foreman DOS Certification Number 7, NA a.Name of Pro Monitor b.Pro ea Monitor tlon Number 8 NA s.Name of Ashastos Ana al LabAcbestos.Anal)dlgljApQQ2,QWlflcatlon Number �a 9. 07/03/2013 07/0=013 a. ro at tart DAN Rm-mz b.End Date mmhd �0 7AM-OPM N c.Work hours Mon-Fri. d.Work houre 0 10. a.What type of project is this? o []Demolition 2 Renovation ❑Repair ©Other,please specify: b.r�eecrlbe w 11. a. Check abatement procedures: Glove bag Encapsulation o Enclosure P Disposal only ,4 Cleanup ❑p Other,specify: I.ICr SIDINp z ❑Full containment b.Describe 12. Is the job being conducted. Q Indoors? 0 Outdoors? enfbQlap_doc•102 Asbestos Notification Form-Page 1 of 3 JUL-1-2013 17:05 FROM: TO:150e7906304 P.4 Commonwealth of Massachusetft ■ 10017M7 Asbestos Notification Form ANF-001 Decal Number A. Asbestos Abatement Description (cont,) 13, Total amount of each type df Asbestos Containing Materials(ACM)to be removed,enclosed,or 0 600 a,Total pipes or ducts near olner su aced square 11) a.Bores cores ng,duct.lank Lln� in� � p.tnr}utaur+g cement bftSq.tL a.Car gWod or layered paper f_TmmV"yer coedng8 pipe insulation Lin.A; .% in, qS tL g.Spray-on erepm anng LInL l 3 , n_Trana tB board,Wall board L�n� -p--� f I.clams,woven tabncs in`J J,Other,pleaft spedty: Lam! 60() ILTILL said core pipe EXT BIDING insulation Lm. q. 1-specify 14. Describe the dewntemination system(s)to be used: NA 15, Describe the container Zationldispdsal methods to comply with 310 CMR 7.16 and 463 CMR 6.1 2 8 MIL POLY BAGS 16. For Emergency Asbestos Operations,the DEP and DOS officials who evaluated the emergency: a.Name of a C.Date p jy of Authorization d.DEP Waiver e.Name of DOS Official I DOS dMil a g.Date(mrNdd4,yw)o XAhoraatbn h.DOS Waver# 0 17. Do prevailing wage rates as per M.G.L.c, 149. §26, 27 or.27A—F apply to this project?❑Yes R]No 0. Facliity Description N RMIDEN7IAL 0 1. Current or prior use of faclllty.: a 2. Is the facility owrrer-occupied residential with 4 units or less? Q Yes p No ' 3. SAME a.Facility Owner Noma b.Address O o c.City/Town _ _.. tlT....R ode e.Te Nutnbar area code and extension U. 4. a.Name of FadIfty Dwwes On-Site Manager b.On-Site MarmarAddress Q c,CWTown d.Zip Code e.Telephone Number(area code and extension) ■ ant001ap.dac•10102 Asbestos Nalifkition Form•P e 2 or 3■ JUL-1-2013 17:05 FROM: TO:15087906304 P.5 Commonwealth of Massachusetts ice.. 100179267 �"• Asbestos Notification Form ANF-00'1 Docal Number B. Facility Description (cont.) 5' a:Name of General contractor I_.®J b.Address o.CityrTow. a'Zip Code e.'fete hone Number araa Coda and extension f.Contractors Workers Comp.insurer PaIIpy.Number h.Exp.Date mmM 6. What is the size of this facility? a.Square Feet b.Number of floors C. Asbestos Transportation and Disposal 1. Transporter of asbestos-containing material from site to temporary storage site(if neoessary): AIRSAFE� Note!Transfer a.Namaa Trans ort r b.Address Stations must comply with the c.cltyrrown d.Zip Code e.Telephone Number $slid Weste DIvislan 2, Transporter of asbestos-containing waste material from removelAemporary site to final disposal Site: Regulatlons 310 CMR 19.000 a.Name of Trans over b.Address 0.CI crown d.ZiZip Code,..-_.- e.Telephone Number ^ 3. L _ e•ROAM Transfer St�a'tiDnn arid Owner �� b.Aftess ��-- ' c'Ci /Town dzp Cade e.Telephone Number 4. MINERVA ENTERPRISES INC �I a.Final Olsmsal Ste Location Name b.Final Disposal Ste Location Owners Name 9000 MINERVA ROAD _ IWAYNESBURG FiaDISual Site Addes d,Clt 1Town loll T„T 44688 e.state f.Zip Code g.Telephone Number D. Certification The undersigned hereby states,under the DF WALSH penalties of perjury,that he/sha has read the a b.Authorized SI nature c Commonwealth of Massachusetts regulations JVP for the Removal,Containment or Encapsulation of Asbestos,453 CMR 8.00 and c PoslllotvTitie d.Date mmldd P 310 CMR 7.15,and that the information (781}762-3390 JAS Contained in this notification is true and correct e.Telephone Number f,Representing to the IrSst of his/her knowledge and.belief. 161 ENDICOTY o 0.Add read emu. INORWOOD O2062 1 z h.City/Town _._ i,ZIP Code �Q anf001ap.doc•1=2 Asbestos Notification Form•Page 3 of 3 Town of Barnstable Health Inspector oFtH t Regulatory Services Office Hours .� g y 8:30-9:30 Thomas F.Geiler,Director 3:30—4:30 STAB l Public Health Division 1639.r a��� Thomas McKean,Director 200 Main Street,Hyannis,MA 02601 Office: 508-862-4644 Fax: 508-790-6304 AMNESTY PROGRAM APPLICANT — SEPTIC QUESTIONNAIRE' Date:April 3,2013 1. General Information: Size of Property: 1.13acres Address: 341 Pine Street Centerville,MA 02632 Map 228 Parcel 088-011 Name: William G. and Julie A.Fitzgerald Phone#: 508-776-9832 2a. How many bedrooms exist at your property now?3 in main house 1 in accessory apartment total of 4 2b. Are you planning to add any bedrooms?NO If yes,how many? 2c. How many bedrooms total are proposed at this property(including the amnesty unit)? 2d.Please include a copy of the floor plans for the entire property. Neatly use a straight-edge. Show all existing rooms in the home and the proposed amnesty apartment. Provide width measurements of any open doorways. Please label each room clearly. 3. Is the dwelling connected to public sewer? NO If the dwelling is connected to public sewer,skip questions#4 through#9 below. 4. Location of dwelling is INSIDE a Saltwater Estuary Protection Zone? 5 . Location oNwelling is OUTSIDE a Zone of Contribution to public supply wells? co 6. Is tlwelfing connected to an PUBLIC WATER k 7. Is asposal works construction permit on file? YES or NO M 0 (�! ' 8. If}�,how>many bedr obis were approved according to this permit? Bedrooms. 9. W any tmilding per r obtained for construction of additional bedrooms? YES or NO F— C= U p 10. Is there an engineered septic system plan on file at the Health Division? YES or NO 11. Has the septic system been inspected by a DEP certified inspector within the last two years? YES or NO ---------G -------------------------------------------------------------------------------�------------- FOR OFFICE USE ONLY e Public Health Division has no objection to `� bedrooms at this property. C"^ %1,1 Special Conditions: 2"d +=7 w0l �\ �G6I�idGn� qo"- Space. Lspns Signed: Date: -:5v►06vn. L(6t 4t113 AsBuilt Page 1 of 1 TOWN OF BARNSTABLE LOCATION 3 41 iQ St SEWAGE# Apia-LAG VILLAGE ASSESSOR'S MAP&PARCEL age ag-1 INSTALLER'S NAME&PHONE NO. s�! �re�atiU sip..y2D-NS 3y SEPTIC TANK CAPACITY. 19M a�fv-�Aawt% - LEACHING FACILITY:(type) A cc- 3G it 14-go (size)S Qc)uy NO.OF BEDROOMS OWNER �rrc.1J PERMIT DATE:�A2.- IA COMPLIANCE DATE:min acr, iG t3i�j�Git) ' Separation Distance Between the: )04) elcor-s�IIN 4;L Maximum Adjusted Groundwater Table to the Bottom of Leaching F'acilityb tr,4,s el 47.m 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 BYSLura,.al D' 3NC 14 R 3 38� � tl-Sor 'A. 00m o o g—G 5 TA N1C — 7 s S"Rows t� S Arc 30 rk A K A t� IC http://issgl2/intranet/propdata/prebuilt.aspx?mappar=228088001&seq=1 5/29/2013 4 McKean, Thomas From: McKean, Thomas Sent: Thursday, May 30, 2013 8:33 AM To: Dabkowski, Cindy Subject: FITZGERALD- Amnesty Application Good Morning, The floor plan shows a "NEW HALL" Room and unlabeled area on the second floor( see plan G1). This"NEW HALL" is a large enough to be a bedroom. Please ask the applicant to clearly identify the rooms on a revised plan. ra f THE Town of Barnstable Barnstable • ��p tp� Board of Health j�"a�i 9 IIAR MASS.ASS.BLE,� 200 Main Street, Hyannis MA.02601 - Q 16gq. �0 ArF0 MAC a 2007 Office: 508-862-4644 Wayne Miller,M.D. FAX: 508-790-6304 Paul Canniff,D.M.D. Junichi Sawayanagi CERTIFIED MAIL #7012 1010 0000 2843 1907 February 5, 2013 Ms. Linda E. Hutchenrider PO Box 1451 Cotuit, MA 02635 ORDER TO COMPLY WITH STATE ENVIRONMENTAL CODE, TITLE 5. The septic system located 341 Pine Street, Centerville, MA was last inspected j • on 1/13/2013, by David D. Coughanowr, a certified septic inspector for the State of Massachusetts. The inspection of the septic system showed that the system "Fails" under.the guidelines of the 1995 TITLE 5 (310 CMR 15.00) due to the following. • A single cesspool automatically fails in the Town of-Barnstable. You are ordered to repair or replace the septic system within two (2) years from the date you receive this notification. Failure to repair/replace the septic system within the deadline period will result in future enforcement action. PER ORDER OF THE BOARD OF HEALTH Thomas McKean, R.S., CHO. Agent of the Board of Health • Q:\SEPTIC\Letters Septic Inspection Failures or Future Eval\341 Pine Street Cent Feb 2013.doc. Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 341 Pine Street Property Address Linda E. Hutchenrider Owner Owner's Name information is ill Centerve MA 02632 January 13 2013 required for every ry page. Citylrown State Zip Code Date of Inspection Inspection results must be submitted on this form. Inspection forms may not be altered in any way. Please see completeness checklist at the end of the form. Important:When filling out forms A. General Information on the computer, use only the tab 1. Inspector: r key to move your cursor-do not 111 lll��� ��wvv David D. Coughanowr, R.S. use the return Name of Inspector key. Eco-Tech Environmental Company Name 43 Triangle Circle Company Address Sandwich MA 02563 City/Town State Zip Code 508 364-0894 1328 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 ® Fs ❑ Needs Further Evaluation by the Local Approving Authority PC— January 13, 2013 Inspector's Signature Date —4 ca The system inspector shall submit a copy of this inspection report to the Approvi g Authority(Boni of Health or DEP)within 30 days of completing this inspection. If the system is a hared 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. t5ins-11110 Title 5 Official Inspection r ubsurface Sewage Disposal System•Page 1 of 17 r Commonwealth of Massachusetts - Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 341 Pine Street M Property Address Linda E. Hutchenrider Owner Owner's Name information is Centerville MA 02632 January 13 2013 required for every ry 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: B) System Conditionally Passes: ❑ One or more system components as described in the"Conditional Pass" section need to be replaced or repaired. The system, upon completion of the replacement or repair, as approved by the Board of Health, will pass. Check the box for"yes", "no" or"not determined" (Y, N, ND)for the following statements. If"not determined," please explain. The septic tank is metal and over 20 years old* or the septic tank (whether metal or not) is structurally =' unsound, exhibits substantial infiltration or exfiltration or tank failure is imminent. System will pass inspection if the existing tank is replaced with a complying septic tank as approved by the Board of rr- Health. AW *A metal septic tank will pass inspection if it is structurally sound, not leaking and if a Certificate of i Compliance indicating that the tank is less than 20 years old is available. ❑IY ❑ N ❑ ND (Explain below): n't t5ins•11110 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 2 of 17 Commonwealth of Massachusetts .� a Title `5 Off It—O'. l tns-,"pecti'o,n: For""� q - Subsurface Sewage Disposal System Form4 Not,,46 oluntary Assessments m t 34:1 Pine Street, LL. Property,Add�ess Linda E. Hutchenrider` Owner Owners Name information is re-d'for'every CenterVillet.. - MA 026.32' January 13 '201.3 Clt 7T State Zlp Code Date of Inspection page: Y:,,own B. `Certift'cation "(cwt. S) -System'Gonditi'onally;Pa"sses ❑ O.bservation of,sewagp,backup or'break aut;or high' tatic,vvater;le el Ini.the distribution box due tO1'br.oK n;_or obstructed pipes)or due,to a broken settled.or uneven.distflbution box ;System'will 'dss,rnspection;f(witki;approval of Board of Health):. r . El "brokenipipe(sj'are replaced ❑ Y f ElN' '❑ ND'(Explan below); ❑ ofjstructon is;remoued' ❑`Y ❑ N: ❑ ND`(Explain b'elow): - di ., ❑ , lblosox:a�pveo ed Expneaw): ❑ The system requ►red pimping;more,tlan flames a year.due,to broken or obstructed-pipe{sj:The system will p",ass, nsp,ection if(with pp, rovai:of the Board,of Healti7)':: P p . p ❑ Y' ❑ N: ❑ ND:(Explain below; broken ,O:a, i e rem laced El dbstruction is;rerno�ed EllY ❑ N ❑ ND.:,(Eicplain.befow}' C) Further!Evaluation!is,Required:by`the.Boar"d"of Health: x { ❑ Conditions exist which;require'further evaltaafion tiythe Board:of;Healtfivn order to:determine if ;the system is failing to protect''publichealth,safety"or the anVironrn'ent.' 1. System will.pass unless Board#af Health determines !RAC q,nqO with 310 CMR 15.303(1)(b)that the s. stem'is not functionin Mtn a manner which will rotect ubltc health 9 . P P z safetyan,d the4nvtronrrient: El— Cesspool or privy is witliin'S.0Ieet{.of:a surface water ❑ :Cesspoo or privy is within 5.0 feet of a bordering vegetated,.wetland:or>-a,salt marsh 151ns:•11110 Till e'S:Miel Ifispoction Form Subsurface Sewage;DisposaLSysl©m•Page 3 of 17' t Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form.-Not for Voluntary Assessments 341 Pine Street Property Address Linda E. Hutchenrider Owner' Owners Name information is. required'for every Centerville MA D2632: Janua 13, 2013 page. City/Town State zip Cdde Date of inspection B. Certification (cont.) 2. ,System will fall 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 aseptic tank and soli 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 aseptic tank and SAS and the SAS is within 50 feet of a private water supply well. ❑ The system has a septic tank and SAS and the SAS is less than 100 feet but 50 feet or more from a private water supply well**. Method used to determine distance: "This system passes if the well water analysis, performed at a DEP certified laboratory,for fecal coliform bacteria indicates.absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or,less than 5 ppm, provided that no:other failure criteria are triggered.A copy of the analysis must be attached to this form. 3. Other: - D) System Failure.Criteria Applicable to All Systems: You must indicate"Yes"or"No"to each of the following for all inspections: Yes No ® . 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'cesspoof ❑ 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 15ina•1 Sl10 Idles Official fnspw1on Form:Subsurface Senge Disposal System-Pago 4 oft`7. may,K,h.•d;. - .,, ^•"+ram. Commonwealth of Massachusef's otl e :5 O}fficia IrnsYpectton ''For R Suisurface Sewage Dts;posalSystem Form: Not for Voluntary,Assessrnenfs. 341_Fine.Street; Property'Add'ress Llnda..E..Hutchenrider Owner: - - Own.er shame: ' lion is 'en - , equ ed'for'eyery Centerville; MA 02632' JantJ'ary 1�3;2013 page; Cdy/Town' Stale ,Zip Code Date of Inspection B. terification;(cant j _ Yes N;o . Required pumping more than 4 times m the last yearNOTdue Ao clogged or ❑' obstructed pipe{s). Number of tlm'es pumped;. Any portion of,the.SAS,.cesspobl or privy"_is below hlgti grountl.water elevation. Any poitt' of cessp:ool ar'pnvy is within '100 feet of° surface watersupply or _ _ ❑ trlb"utah to a surface water' upply ❑: Any,portion of a-cesspool:or pnvyis within a Zone 1 of a,public'Well.; Any portion of a cesspool or privy is within 50 feet of a;prlyate:waterrsupply well. El Any portion of",a cesspool or pnyy.is less than 1 Q0 feet but,-reater.=than 50'feet from a private water supply well with no acceptable water quality analysis [This system passes tf the well`water analysts, performed at a DEP certtfied 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 falurt:c.rteria'are triggered. A copy of the"analysis acid chain of custody"must bea,'ttached to ttis:form;]' The,system;s a cesspoolserving a facility wa design,flow of 2000gpd- ❑` ,. 10-000gpd. fit p The systemfatls.'1'have d,eterrnined that one or rnor_e wof the above failure Sin, P �a?55 oD. ®: S' SFetvt`? �t.;� criteria existas described rn 310 GMR 15, k0 therefore the•system:falls, The: Y system owner should contact the'Board,of Health to determine what'well be ac'r see: 3Gv'—q d netessa to'correct the failure. ry`. E) t_arge Systems To be considered a large system the system;must serve.a., acility'with,a design flow of 10,000 evi to 15 opp,:;gpd:_ For large systems;:you must indicate either"yes'' or"no''to each of the following, In.addition to.tie' questions in'Section D: Yes, ,No 0 the"syystem is within::400;feet of'a surface3drinking watersupply the,'systemj. Within-200jeet of a tributaryto-alsurface drinking watersupply the.�systern-is located in a nitrogen sensitive area {Interim Wellhead Protection Area IWPA) or a mapped;Zone.:ll of a public water supply well If you have answered yes 'to any;questiowin Section E the:�system is consideretl a slgnificantthreat or answered ; es rn Section D above_the lar a'"y g ystem has failed The owner or operator of an'y large system considered a significant threat under Section E or failed under Section D,stiall upgrade the system m.accordance with 3'10 CMR 1.5.3'04 The system owner shoultl cost"act the app"ropriate regional office of the Department:, '!Sins:,i•1110: _. TIIa 5:Officlal Inspecllan Fonn':_u utface'sewage Disposal System Page.'S"of17r Commonwealth of Massachusetts _---�� T_ #le 5 Official Inspection on F rm - Subsurface Sewage Disposal:System Form-.Not,for Voluntary Assessments - 341 Pine Street Property Address Linda E. Hutchenrider Owner Owner's Name information is required for every Centerville MA 02632 January 13, 2013 page. cityaown State zip Code Date of in C. Checklist Checkif 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? I A ❑ ® 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? No Tank ❑ 19 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 onthe proper maintenance ofsubsurface 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-15.342(5)] D System Information Residential Flow Conditions: nla 3_(assessor) Number of bedrooms(design): Number of bedrooms(actual) - DESIGN flow based on 310 CMR 15.203(for example:;110 gpd x#of bedrooms): n1a-no plan isins•11ho TFW 6 olGaal Inspection Fomx Subaurrese Sewage Dispos®1 System•Page 6 of 17 Commonwealth 01 Massachusetts Tittle 55 Gffildi` Fins". ecti { 'n F®Ir v._ Suhsurface Sewage Disposal:$ystem For•;m Not;for Voluntary.Assessments «�= 341' Pine StPe`et'; Property Atldr`ess Linda E Hutchenrider Owner Qwners,.iJeme information is required for;every, Centerville MA 02632;: January 13;:;2013,.: page:, Clfy/Town 5tafe_'; .2 PI.Cotle` Date'tof Inspection D•. System Infor-,'ti n ;Description: Number oficurentresidents; Does residence..h-ave a.garbage grinder?' ❑ Y:es .�; Na is laund, . on a se rarate:sewa a:S sterns tf es°hse .agate ins ection re uired Yes ❑ :No rY P 9 Y [ Y__ P P 9 Laundry system inspected? ❑ Yes ®; No Seasonal,use? ❑ Yes ® No Watermete� eadings if a ailable'(last 2I prs usage,(gpd)'):' 60A.P. bet-1 20'11.and.201'2` Sump pump? ❑ Yes No Last date of''.occupancy: currentRate Commerciali•Industrial Flow Condittg,ns Type''of Establishment:. Design flow(based on 310 CMR.15 203) Gallons p'er day '9Rtl)` Basis of design-flow(seatslper_sonslsq.ft: Grease Arap'present? ❑ tYes ❑ No, Industrial:waste holdin tank resent? i. 9 P ❑ Yes ❑ ,No Non=sanitary"waste dlscherged to the Title 5•syste"m? ❑ Yes ❑' N.o Water'meter'readings, iftavaI abi0 ISMS'I i1 i 0• Tllo 5 Official Inspection,Form.Subsurface Sewage Disposal System•Pagoz7 of 1 T C'ommonweslth of'Massaciiusetts . ', v Tale r5, OM co�akl Inspehctiofn} Fi,o << ' Subsurface Sewage Disposal System.Form Not:;for UoluntaryAssessments r. 341`P e-Street' Property Address .. • Lin'da.E: Hutchenrder Owner; Owner Name informafion is required'for every Centerville MA 02632a January 13, 2013 page, City'lTown State Zip Code Date of Inspection D. System Inforrnafilon (cont:j { Lst date a of occupancy/use: 'date' ,Other(descritie-:beloW):� GeneraP=lnforinatiori Pumping Records; Source`of info�matioa `*§:system pumped as part of the`inspection ❑ Yes ' .No If yes, yolumepumped:µ 4611on5' :Howwas quantity pumped determjned? - - Reason for purnpmg Type of System: ❑ Septic tank;distribution box,,soili"absorption system ® Single cesspool ❑ Qyerflow„cesspool ❑ Privy -' ❑ Sharedsystem,(yes or no) (if.yes, attach previous inspection records, ;any) . ❑ ' Inno,�ative/,Alternative technology"eAttach a,,copy of the current operation and'. maintenance contracts(toberobtained.from system.owner)and a copy of latest inspection of the I/A system by system;operator under contract; Tigl t:tank:,Attach,a copy?of the MP approval: ,. ❑' : Other(des,cnbe)=; - (Sins '11/10, Tdle S Off cfal Inspection Form'SubsuAace-Sewage sal'System Page'8 of:17„ hp 'Commopwea[th.of Massac•,husetts 1'itle 'S O{frfi,cial Inspection Form Stibsurtaee Sewage Disposal System Form; Not•for Voluntary Assessments .` 3-0 Pine Street M _ Property Address Linda E. Hutchenrider Owner Owner's:'Name information is Ceervil 01requied for every _ J . , page; City/Town: State: Zip Code Daterof Inspection D -System I'nf6y, " oh (cost;) Approx mate''age of'`all components, date nstaliede'', known},and soarce of°information: Age unknown;-no records db file. Were sewage odors detected when arnV.ing at the site?: ❑ Yes No BuiIding•,S,ewer(locate ont:"site plan}: 1:5 . Depth below.grade: feet Material of'construction: D cast;;iron ' ®40,PUC ❑ other(explain); .:ter•' Distance fr,"om_private water supply we11 orsuction line:; ,feet Comments (on condition of joints,wenting;.evidence,_of'Ieakage, etc,}: Sewer,line appea..rs,for 4 fundoning,wlth`no evidence.of feakage'orbackup into dwe[lin'g. Septic Tank"(locateon site,`plab} Depth below grade: feet, Material of construction: ❑ concrete; ❑ metal ❑flberglas5 ❑ polyethylene ❑ other(explain) If tank is metal, list age:. years Is age confirmed by,,a Cerfificate'of Corn'pliance.?:(attach acopy of'certificate-) ❑ Yes. ❑ No Dimensions: Sludge depth... I5ins r 711.10 Tine 50ff ciaUnspeetion Form:SubsurfaceSewage disposal System Page 9:oG17" Cornrnonwealth of Massachusetts`,x ti itle 5 D)#fi�cia;l l°nspectiion Four s z SuE}surface Sewage�Disposal_SysternForm} NottforwVolu"ntary Pssessments,- 341, Pine Street - Propert-Address ._. Linda E. Hiatehenrider r , - _ Owner, "owners dame. anformafion is MA 02632 January 13;t2013; ` regwred for every 'Centervilte. ;page., Ctty/Town, =i: State Ztp`Code Date df Inspection D,.;System Information (cost } iSeptic`Tank";(cont,)= _ t _ Distance from`top of sludgeao bottom of'outlet°tee.or baffle - Scum thickness Distance fr,,o—''top of`scum to top of� tlettee{or baffle;- Distance from,.bottom,of scram to bottom,of outlef°;tee or',baffle - Howvere dimensions tletermtned? Commentsr(on pumpng�recommendatlons, Inletandvoutletatee pr, baffle condition, structural integrity; 4 ligy, levels�as related to outlet invert,'evrdence of'leakage, Grease;Trap;(aocate;onesite Depth:b.elow grade: feet Material of construction'; - ❑:concrete. ❑,metal ❑fberglass, ❑ polyethylene: ❑other(explain} Dimensions: Scum thickness _ Distance from'top of:'scum fo top o'f outlet'<tee or baffie: Distance,from bottom of scum to'ti?ttom of outlet tee or baffle Date of last pumping: te". t5ins•11)10 Titlo 5 Offival inspection Form Subsurface`Sewago Disposal System Page10 oi.17" Commonwealth of assachusetts F_ i side 5 Official4 Insp�eb ton� F®trr�ir Subsurface•Sewage Disposal:System:Form. Not far Voluntary Assessments 341 Fme Sir..eet Propergy:Address Owner Owner shame - information is Centerv►Ile:- --�. MA. : '0 to2632 January 13;201,3 ,. ,yred'for eyery page Otyrrown; State. `Zip Code Date,of Inspection D: ;System Information Commenfs (on pumping recommendations; inlet-and ouflet'lee,or baffle condition, structura'I integrity;, liquid jeVels as related,to outlet Invert, evidence=of leakage, etc.,); Tighf ar Holtl n'g Tank(tank,must ,be pumped of time of`inspection)(locate;on"site Depth:below grade:. Material of"'Co al ❑ concrete` ❑ mefal ❑fiberglass. ❑ polyethylene. ❑ other:(explain):: Dimensions:; Capacity:; gallons Design Flow!,ga�lpns per day Alarm:: resent: p ❑ Yes 0 No g ❑ 'Yes ❑ No_ Alarm,level`.. Alarm m:workm order: Date,of'aast pumpmg< Date. Comments (condition;,of alarm and,flo.atswitches etc.);; *Attach copy of current purriping contract required) Is copy attached?. ❑. Yes [� No t5ms 1 U.10 Ttfe 5 0ffiaal Inspection Farm Subsurface;$iwage Disposal Syslem`•PaBe.1 t:of.:17' Comrnonwea • !th of Massachiusetts. t 5-Off, a� °Inspection Fo3r Subsurface Sewage ONO osalSysteri Form ., Not.for Voluntary Assessrrtenfs. - t 341:'Pin'e Street Pcapeity Atlere`ss Linda E Hutchencder Owner' Ownes Name information is required for every Cen)erville MA 0 a . January 13,,t2013 page; Clty/Town _ _ State;: Zfp�Code' Date of Inspection D System "In'format�on (cost"7j px Distribution'Box;(if present must.be oper%ed) {locate on'site plan}' Depth of liquid level aboveEoutlet invert= `Gornments,(note if[Y&is level and;di5trib,ution ta,;outlets:'equal,'any evidence of,Wids carryovOr,,.any eviden"ce:of�l'eakage<;into or out of"box,etc:): Pumli Gtiamber{locate on site p`lari}: Pumps in w,arking"order: ❑ Yes: ❑ ,N,o': Alarms m working older: ❑ Yes ❑ No Comments',(note condition of pump chamker,:;corid,ition gf pumps and appurtenances, etc j Soil Absor ton.S stem,"SAS'` locate_on site_ lan,excavation,not'required p y { ) , =R ): If.SAS not located; explain;why::. - I Title 5 Of(icaal Inspection Form.subsudeceiSewage Qisposal sy"stem Pago a2-of'17 Commonwealth ' Vd- sach.usetts Title 5 0ffecil Fnsp erctiori} Form o Subsurface'Sewage,D.isposal:System Forme;<.,Not''for Voluhtary:Y","ssn eats; 841 Pme Street P[opertyAddress; Linda E. Hutchenrder Owner Ownet s Name - information is Centerville:. MA' 02632 January 13;"2013' required'for every 1 page. City/Town- Skate, Zrp Code Dake of Inspection D.;S, tem I'nformat o.n (cost:) ,ype, leaching"pits number: ❑ leaching chambers number - ❑' leaching.galleries number: ❑ leaching trenches number, length:, ❑ leaching fells -number, dimensions: ❑ - overflow cesspool; number: ❑ sinnovative/aiternative,systern 'Type Matt e,of technology;;` Comments (note°condition,of soil,_signs of<hydraullc failure;.level of pending;,dampsoil, condition of vegetation,: Cesspools,(cesspool mustbe pumped,as part of inspection);{locate;onsite''plan)• Number and configuration Depth—top�of liquid tc inlet ihVert ?`feet below,inlet invert: Depth_;of solids layer Depth of scum layer Dimensions orcess,poo( e�iai, of construction Mat concrete:;block Indication of,groundwater`inflow,. ❑ Yes [] No l5vi§.•find, Ttt1e 5 O cIaI Inspect gn,Eorm,Su bsurface:SowageDisposal-Sysle ri.C ago.l3:of 17 ,Com'rnonweafth of aMassachusetts -• x � •.�, ` T' l rrn ` S"ubsurf ice SewagerDisposatdSystem,,Form;�NotforVoluptarytAssessments .- 341;Pine,Street. _ Property Address. - - - max; ; Linda, E. Hutchegrder :Owner:: Owners Narne} ;information is C 62eevile.requtredfryn Janua ry13,K013 o, ;page. Clty/Town; Zip.Cotle Dateof.lnsp`e'ction. -' D ;:System Information t(con"t".) Comments (note condition,, soil; signs ofhytlrau`lic failure; level of ponding,.conditionfiof vegetation, " Cesspool was opened and,found to have approxtma#ely;2 feet of capacity left In the'Town of ;Barnstable allysmgle cesspool system are considered to be failed per section 360 9 of the Barnstable Town Code Q'wner indicates that a second single cesspool system exists across driveway; No pipe eading.<out.,of thi .cesspool in the frontlawn wal- It rued Privy (locate on site plan)„ r? Materials of;construction: 'Dimensions- (Depth'of,$olids. Comments(note,co ntlition',f'soil,�signs of'hydrat he failure, le el,ofponding, condition of vegetation, ;etc.): Ako.1:1N0 Title,5 Offciel!n'speclion'Form*,Subsurfaco,5owage Disposal System Page 1 S of 17" Commonwealth of Massachusetts a Title 5 official Inspectdon Form. Subsurface Sewage Disposal!System Form -.Not for Voluntary Assessments,. PropertyAddress, .Linda E: Hutchenrider Owner Owner's Name information fs _ - regwred"for eveiy, Centerville. January`1;3;2013; page; City/Fown State-: Zip"code, Dateofanspect16m D..Sys,tem nforrn- ton (cost:) Sketch-4fiSewage DisposalL�System; Provide a view of the sewage disposai.s7ystem, including ties to at least two,pe_rmanent-reference,landmarks orben hmarks vutt Locate all wells hin 1`00 feet.:Locate where public water suppiy enters the building Check one of,tlie_boxes;below M hand sketch in the area below ❑ drawing attached separately 1?�i55�(3(.� ZtJD D WN L;C L CJ s,"POOL, ,Fo��r . . aPe Ne p: 1, 1 .;L _ t5ins•11ho', TiUe'S`O(ficial fnspechen Form Sut3surrace Sewage Disposal System ;Pape 15 of'17` Commonwealth of.Massachusetts: 1'�tle 5 Offi aft erction F�rrn — Subsurface:Sewage,Dis.posaf`System Forme, Not'for Voluntary Assessments' 341 Pine Street PropertysAdi[essi Linda E `,Hutchenftle'r Owner- Owner's Name;• informat'ion'As u, requlred'for every CentenNille `_ MA: 2632•__ January 13, 2013..- page C1tylTown -" State` Zlp C Z. ode. bate.ofanspectiorr D.,•System Informv tio�n (cost j; -Site Exam: _ 0 Check_SloPe. {Surface."water Check cellar Shallowwelfs' Estimated.depth,to�.h gh ground`water•." 20 fe."et Please indicate all methods used.to determine the highagroundhwater elevation: ❑ Obtainetl;fro:m'system design,plans,ron,record - Ifchecked, date of design plan.reviewed: o _at ❑' Qbsenred,site t'at;utting property/,observation hole,rwithtn 1:50 feet of SA'S). ;❑ Checked with.tocal;Board_ofHealth=:,.explain: ❑` Checked with [oval excav ators; installers-=(attach tlocumentatiori•)` Accessed.USGS database explain; Barnstable GIS You.must descnb`e how you established fi%e high ground watereleyafion., Town,oflBarnstabte GI5 Department records indicate that the property is ovt f 20 feet above ;groundwater{fable; - - Before filing this Inspectto'n Report„please see Report.Compteteness Ch`ecklistuon.nexfi page. l5ins 11/10 "7iUe 5'oftelel lnspocli6n 0onn Subsurface Sewage•Dsposal,System Page 1fi of 17 Commonwealth,of Massachusetts l Title 5Official ,,,ft, .ectior .:Fora Subsurface.,Sewage Disposal,System;Form;-Notifo�`Uol'untary,Assessments - 341 Rine,Street Property Address Linda E. Hut' hencider _ . .Owner Owner's Name _ information Is Ceriteruille MA 0202 "Janus 13, 201;3 regwred for eJery Y a e. Cdy/l'own State. Zi Code' Date'of:Ins ecttori ,-P 9 A` P, E Repo> t Completeness .Checklist Inspection Summary A;:B, C, D; or E,-,checketl: Inspection'Summary D (Systern Failure Cetera APP[icable�to All S,ysterns}completed - Esa phghgr, u-dwate,rrmationmtSystem_ rfo t o o Sketch,of Sewage Disposal $,ystern either drawn on Pageattached in separate file _ q 15ins•'51/10. - Tttle 5`Oifcial Inspection F.onn:.$ubsurface',SBwage Disposal :y%bm.-,Page 17 of-17 .. .,...,.�.e%' �.r1�1i 1��'4` "ems,-z„ =r4� "®'>�--71"�.� '`.`�aT.���at•cwsF6�^"ar-�r' + xv�...-:.aka. ...._ .. ...-.; .a ., - .. ... .. ,. .._. I 4 _ v - a t } ..... r ON c ell i S _.._ , i r y _ t r , e i i , t r , _._..... i , i , i y r t � 1 , 0 , pp''�� kZ I i. rv, • 7 t INe Ail : ZO Al 47 ee ---------------- , -r b _ _ _ _ Y .. .. r $ t,n QDO _._ , THIS PLAN IS INTENDED SOLELY FOR INSTALLATION OF THE SEPTIC SYSTEM / /� DI /fj /\/�C Q�^/ /C� �CD CENTERVILLE. MA DEPICTED ON IT. FOR ANY OTHER CHANGES TO THE PROPERTY INCLUDING \ VARIANCE(� /�•� 'y c I I W U c PLACEMENT OF ADDITIONS. SHEDS, FENCES OR SWIMMING POOLS. OWNER A3 \ \ MAY BE GRANTED IMMEDIATELY BY HEALTH AGENT OR HEALTH INSPECTOR. NOT SHOULD CONSULT WITH A MASSACHUSETTS REGISTERED LAND SURVEYOR. �•„ \ 310 CMR 15.221(7) COMPONENT TO MO sT � 8 PAVED \ O� DEPTH TO FINISH GRADE. 36 in SCALE '^ 60inROFUIRED - VARIANCE COVER REQUESTED. M STREET sr n n n O 00 A//y Sr PINE Z u n 5.0 f t +UJI r t er �� c, '\\ �.e�eC� ax fr \�� /�8 8 \ Foo ��h �Jy 0 `a W a I b1 t` `\� " '� fr \ 0F PA v 0 �P �O Al zJ a W �h yob IN - A � - O¢ IIIIIIIII ' 0 o 0 Lu o o m a z C4 / / \`�E�FwA\\\� o I I I I I I I I I I I I 0 W Lu vWi O av 0 /Z A / TER �\ \ L Cu# U V U !/-\1 P Z z \ / \ um 1 N CD �\ AREA DEPICTED / �' / / �� 5� CONTOUR S >" I IIIIIIIIII O LOW SPOT 'A\ /�� 40 o o�+ C� �= x EL = 37.30 - PARCEL 1 / / I Q �, EXISTING 40---- p n 0� �=Q' CS aC7 \scaLE: 11n=►2o fti a FINAL 40,--- v- __ o II I�IIIIII _ � O /� �p4 n/� v cv) m= in Q IIIII1111IIIII �3e / / // L E14'EU D CN 2 � / / / OQ °� I II QO p�G�3C�C L� �l ft ��/ ' 1500 GALLON o a0 II IIIiIIII / // r SEPTIC TANK �z M assn MAP 228 Pa88-1 / I �Q� Fl SowSNp,� 53 EXISTING LEACH a a I� PIT/CESSPOOL O �N� ^ / `��� �®® UTILITY POLE $ n TEST PIT & D-BOX 13 `L'w _ / / DECIDUOUS CONIFEROUS Z ��� l - . / �., TREE TREE a _ F=o o m / ' �i REROUTE 1Q HERE ER LINE �0�' INCHES.LETTER DENOTESMTYPE IN O-OAK M-MAPLE_ P-PINE C-CEDAR O o o ,� ��5 �e ry� �jN�FhfgS �� o (� �? Off' N�Z tM N Q. s90tN pF MAss W- (� / I o+ DAVID: yes o`'� OAVID .I► / / .S�q �� CT1ON BENCH MARK o� D. D O W / B FNpN E �ONNE rP-2 p TOP OF CONCRETE C�No.H1093 R C0UGHANOWIR UT�p STEP CORNER - •p o �c Q Q / / F e F �� s Ci �o q. a VENT ® ELEVATION = 53.27 � m m cc Z w / �o PIPE a-c BARNSTABLE GIS DATU s �rUar�l �41 2 I� z Q / yF0 ��, ., o 0 a W 50 / �� o° ,� o_rF� SEWAGE EDEXPOSA�L o SYSTEM PLAN �p / PROPOSED O a fr �G Q I W c 48 52 / /LEACHING o + P w SYSTEM ti JQ`�' o EST. LINDA. E. HUTCHENRIDER - SEE DETAIL ON BACK N J twit N PLAN. OWNERISI OF RECORD 53ILL. cn341 PINE STREET o GARB, G CENTERVILLE. MA LL w SCALE: l in = 20 ft o 54 o Nlr*�� R �R�� Q PROPERTY ADDRESS II ^ "" O 20 40 pT o; a co ®� a oWE� 43 TRIANGLE CIRCLE ^ . O J O �. 2 8 ARCEL 8 w 10 20 EXISTING CESSPOOL TO BE PUMPED, COLLAPSED &. FILLED._ \` SANDWICH MA 02563 DF ASSESSORS 14P 2013 8 � n / , lur, INSTALLER MdY MOVE VENT PIPE TO DIFFERENT LOCATION. 54 508 364-0894 -m.o ETE-3693 I Po 1/2 IVERSIMI Ik FEB 2013 SOUL TEST LOG SOILDATE V TEST: DAVID. D. 14, GH WITNESSED UBY:OR� DONALD DESSMAA AAIS,O HEALTH DEPT. E S P ` N C A L C U L A T � O N PERC NUMBER:• 13871 DESIGN FLOW: 4 BEDROOMS X 110 GPD 440 GPD TEST PI NO GROUNDWATER ENCOUNTERED T 1 PARENT MATERIAL: PROGLACIAL oUTWASH SEPTIC TANK: 440 GPD X 2 .DAYS = 880 GALLONS PERC AT 60.In - 5 MIN/INCH IN C SOILS INSTALL NEW 1500 GALLON SEPTIC TANK ELEVATION DEPTH SOIL USDA SOIL SOIL COLOR SOIL OTHER DISTRIBUTION BOX: USE 6 OUTLET H-20 D-BOX. DISTRIBUTION BOX 53.90 (INCHES) HORIZON TEXTURE (MUNSELL) MOTTLING 0-12 Ap SANDY LOAM 10 YR 3/2 NONE FRIABLE SOIL ABSORBTION SYSTEM:. DIMENSIONS AND DETAIL USE: SHOREY DB-6 H-20 . 12-36 B LOAMY SAND 10 YR 3/4 NONE FRIABLE INSTALL 25 ADS ARC 36 HC BIODIFFUSERSooqpr NOT USE 60.90 osox 36-148 C MEDIUM SAND. 10 YR 5/4 NONE LOOSE 25 UNITS x 5.0 ft / UNIT = 125 L.F. TO ib in 41.57 12 5.0 L.F. x 4.80 S.F./L.F = 600.0 S.F. SCALE 600.0 S.F x ..74 G.P.D. / S.F. = 444.00 GPD NO GROUNDWATER ENCOUNTERED USE 25 ARC 36 HC BIODIFFUSERS AS CONFIGURED BELOW FROM TEST PIT PARENT MATERIAL: PROGLACIAL OUTWASH Vt - 444.0 GPD > 440 GPD REQUIRED S TANK = TTO 5 MIN/INCH IN C SOILS - 0, . AS ELEVATION REFER TO DEP APPROVAL LETTER TRANSMITTAL 0 O DEPTH SOIL USDA SOIL SOIL COLOR SOIL OTHER # X235253 FOR CERTIFICATION OF ADANCED 53.80 (INCHES) HORIZON TEXTURE (MUNSELL) MOTTLING DRAINAGE SYSTEMS BIODIFFUSER SYSTEMS. 6 In STONE BASE 0-10 A SANDY LOAM 10 YR 2/2 NONE FRIABLE 24 2A P CROSS SECTION VIEW 10-34 B ' LOAMY SAND 10 YR 4/4 NONE FRIABLE 50.97 34-142 C MEDIUM SAND 10 YR 5/4 NONE LOOSE 41.97 1500 GALLON SEPTIC TANK SOLD ABSORPTION DIMENSIONS AND DETAIL CONSTRUCTION GROUNDWATER ADJUSTMENT SYSTEM TENMI DETAIL USE SHOREY ST-1500—H-10 H 20 EXISTING GROUNDWATER LEVEL USE ADS ARC 36 HC BIODIFFUSERS RATED BASED ON LOW SPOT ON LOT NOT GRAVEL FREE INSTALLATION USE DEP UNITS NO WATER OBSERVED APPROVED INSTALLATION PROCEDURES. OBSERVED GIN NONE AT 37.30 TAPER SCALE INSPECTION INDEX WELL MIW-29 ® ® PORT 25.0 ft ZONE D � READING DATE JANUARY. 2013 READING 8.5 5 ft- O ADJUSTMENT 4.7 0 8 in , ADJUSTED GIN BELOW.42.00 ;. L $ �(` cry NOTE �. z !p ft-6 in 5 '� O 1). INSTALLER TO OBTA(N DISPOSAL WORKS PERMIT BEFORE STARTING WORK.. 2) INSTALLER TO VERIFY LOCATIONS OF ALL UNDERGROUND UTILITIES BEFORE EXCAVATING FOR SYSTEM. INLET CENTER OUTLET 25 UNITS TOTAL 5.0 ft PER UNIT 3) ALL COMPONENTS INSTALLED.SHALL MEET THE MINIMUM REQUIREMENTS COVER . COVER COVER OF MASSACHUSETTS TITLE. 5 SEPTIC. CODE (310 CMR 15). IN DROP CROSS SECTION VIEW 4) ECO-TECH .'ENVIRONMENTAL RECOMMENDS THE INSTALLATION OF LOW_ FLOW FIXTURES FLOW LINE AND APPLIANCES., AND BIANNUAL PUMPING OF THE SEPTIC TANK. FROM BUILDING 10 In - 14U TO RESTORE. VEGETATIVE COVER 5). SEPTIC TANKS SHALL BEANSTALLED LEVEL AND TRUE TO GRADE ON A LEVEL. '^ D-BOX BACKFILL WITH CLEAN PERC STABLE BASE THAT HAS BEEN MECHANICALLY COMPACTED AND ON TO WHICH. 48 ►n SAND TO TOP OF CHAMBERS SIX INCHES OF CRUSHED STONE HAS BEEN PLACED TO MINIMIZE UNEVEN SETTLING. . LIQUID GAS 6) SYSTEM IS NOT DESIGNED TO.WITHSTAND VEHICULAR LOADING. DO NOT _ LEVEL BAFFLE AFF PARK OR DRIVE VEHICLES OVER SEPTIC.SYSTEM. 6 in STONE BASE E F DEPTH ul Hors L �. o Ind► ra DEPTH EXISTING. SEWAGE DISPOSAL SYSTEM PLAN SEPARA TION BETWEEN INLET AND 2.8 75' OUTLET TEES SHALL NOT EXCEED EFFECTIVE W PAGE 2 OF 2 IDTH =.5 x 2.875'.= 14.375' SUITABLE MATERIAL: LIQUID DEPTH:. . LINDA E. HUTCHENRIDER _ v 5 ROWS OF -AR -36 S USE RO 4 C HC AD CROSS SECTION VIEW - BIODIFFUSER UNITS-NO STONE 341 PINE STREET CENTERVILLE. MA FEBRUARY 14. 2013 ETE-3693 THIS PLAN IS INTENDED SOLELY FOR INSTALLATION OF THE SEPTIC SYSTEM VARIANCE REQUESTED `ENTERVILLE MA DEPICTED ON IT. FOR ANY OTHER CHANGES TO THE PROPERTY INCLUDING \ L PLACEMENT OF ADDITIONS. SHEDS. FENCES OR SWIMMING POOLS..OWNER .wry. - \ \ - MAY BE GRANTED IMMEDIATELY BY HEALTH AGENT OR HEALTH INSPECTOR. NOT X ryF SHOULD CONSULT WITH A MASSACHUSETTS REGISTERED LAND SURVEYOR. Uj• \ \ 310 CMR 15.221(7) — COMPONENT TO V n sr 4\pA� DEPTH TO FINISH GRADE. 36 in SCALE m ?'9i,I, �AXnREQUIRED OF COVER REQUECTED.O M g STREET sr n „ n Opo �Q�, \` \ O S Sr PINE Z 5.0 P`� OOJ� Z wd I b1 `\I � \ h �\ O l`PgVE �. 0 m > Z � - Z IN� i f / / f 50 h O� IIIIIIIII �v Oa a / / \ \�\ v 0 O O Q a o Q4 Q /�` `�\ F►yq\�\ �IIIIIIIIIII o LL,m �� a / / \ \ LOCUS � �°- Z a o — 1AER Z W Z p O / Q G \ v — �` AREA DEPICTED 0 / 5\ CONTOURS ¢ / > �j O �� \ / /\<4 a� IIIIIIIIIII O LOW SPOT :A oo� ;x x EL 37.30 - PARCEL ] EXISTING 40-� /--40 �NaZ 00 SCALE: I In=120 fr/ A� FINAL 40 40 vv1 l M IIJ) Q �Q Q c+)uj X Q O O o ft i O ~� IIIIIIIII 0 PARCCEL� �l � Isoo GALLON o • w II 14- / T SEPTIC TANK a� AREA 49070 9ff ¢_ / OP O �o E� S F'cN 53 EXISTING LEACH — � 3, pN �Z M ASSR MAP 2ZS Pa S8 � / -� � � ?Sx� PIT/CESSPOOL aQ �� Bonn C4 - ox O ®� Q 0 UTILITY POLE $ _ TEST PIT D-BOX 13 v l DECIDUOUS CONIFEROUS z Q / / J ti` TREE TREE w `o m / -� REROUTE 1Q �i 11 12-P SEWER LINE -NUMBER REFERS TO DIAMETER.IN Q / �� HERE g0 INCHES. LETTER DENOTES TYPE. O-OAK M-MAPLE P-PINE C-CEDAR ~J O m L0 / ��� �1 �,0 rycp ��M d�Mq� LA Q cv p QO C6 / / ��� d �tcg SqC �yqH OF. .... © N / Lu O / o� DAVID y� �� qo �p,�v�Lp cP �- ��/ S� , �� 10N �� p � �� DAVID L� qe F NECT BEU�'Il�sPll MARK o —+ o D. �+ O / Np ON COUGHANOWIR �' d 0 q� � W / N Iv�E C rF'-2 p j TOP OF CONCRETE No. 1093 COUGHANOWR F w c LA Z Q / FU1 e ® / STEP CORNER s o a,o m / 2 VPI?E A co ELEVTION = 53.27 o f � BARNSTABLE GIS DATU Z W O Z / r bry , 1 z = / / syFo 0/ � ICISEWAGE DISPOSAL SYSTEM PLAN 0 O d W 50 PROPOS 0 o-rF ( EO 0 ff �G �.t. -TO SERVE EXISTING DWELLING Q I g c 48 52 / /LEACHING 0 + P W SYSTEM I Z. UJIIn PLAN. / / - SEE DETAIL ON ®ACK ry�J~ - DA E. HUTCH EST LIN ENRIDER O N 53 �, ERlS1 OF' RECORDOWNM ' O �'� 1995 v 341 PINE STREET o _ OAR CENTERVILLE. MA: �, 54 w W ^ .� SCALE: 1 in 20 ft- O H �� O R NM�� . . PROPERTY ADDRESS O. II 0 0 20 40 OT SRO w O CO ��, �o a 43 TRIANGLE CIRCLE ASSESSORS MAP 228 P^ReEL 88-1 OWED n n 20 EXISTING. .CESSPOOL TO BE PUMPED. COLLAPSED 8. FILLED. \ SANDWICH MA 02563 D11TE FEBRUARY 14. 2013 INSTALLER MAY MOVE VENT PIPE TO DIFFERENT LOCATION: 5�8 364-0894 54 _mo ETE-369.3 1 P.112 VERSION. DATE OF TEST:° FEBRUARY 14. 2013 SOIL TES LOCH (�`� WITNESSED UBY:OR DONALD ESSMAARAAIS.O HEALTH DEPT. D E � � `J N C A L C U L A T � OO I1 V NJ PERC NUMBER: 13871 DESIGN FLOW: 4 BEDROOMS X 110 GPD 440 GPD NO GROUNDWATR TEST PIT 1 PARENT MATERIAL: PROGLAC ALR OUTWASH SEPTIC TANK: 440 GPD X 2 DAYS .880 GALLONS PERC AT 60 in - 5 MIN/INCH IN C SOILS INSTALL NEW 1500 GALLON SEPTIC TANK ELEVATION DEPTH SOIL USDA SOIL SOIL COLOR SOIL OTHER DISTRIBUTION BOX: USE 6 OUTLET H-20 D-BOX. DISTRIBUTION BOX 53.90 (INCHES) HORIZON TEXTURE (MUNSELL) MOTTLING 0-12 Ap SANDY LOAM 10 YR 3/2 NONE FRIABLE SOIL ABSORBTION SYSTEM: DIMENSIONS AND DETAIL USE SHOREY DB-6 H-20 50.90 12-36 B . LOAMY .SAND 10 YR 3/4 NONE FRIABLE INSTALL 25 ADS ARC 36 HC BIODIFFUSERS USE NOT DBOX 36-148 C MEDIUM SAND 125 L.F. TO 16 10 YR 5/4 NONE LOOSE 25 UNITS x 5.0 ft / UNIT = In 41.57 125.0 L.F. x 4.80 S.F./L.F = 600.0 S.F. SCALE 600.0 .S.F x .74 G.P.D. / S.F. 444.00 GPD NO GROUNDWATER ENCOUNTERED ---► TEST PIT 2 PARENT MATERIAL: PROGLACIAL OUTWASH_. USE 25 ARC 36 HC BIODIFFUSERS AS CONFIGURED BELOW ANK c T — TEST O S MIN/INCH 1N C SOILS - Vt 444.0 GPD > 440 GPD REQUIRED O 00AS ELEVATION DEPTH REFER TO DEP APPROVAL LETTER TRANSMITTAL O O `� - SOIL USDA SOIL SOIL COLOR SOIL OTHER * X235253 FOR CERTIFICATION OF ADANCED 58.80 (INCHES) HORIZON TEXTURE (MUNSELL) MOTTLING DRAINAGE SYSTEMS BIODIFFUSER SYSTEMS. A \0 6 In STONE BASE 0-10 Ap SANDY LOAM 10 YR 2/2 NONE FRIABLE 24 in Z CROSS SECTION VIEW 10-34 B LOAMY SAND 10 YR 4/4 NONE FRIABLE 50.97 34-142 C MEDIUM SAND 10 YR 5/4 NONE LOOSE 41.97 1500 GALLON SEPTIC TANK SOIL ABSORPTION DIMENSIONS AND DETAIL CONSTRUCTION GROUNDWATER ADJUSTMENT S YS TE Mi DETAIL. use USE SHOREY ST-1500—H-10 H-2o EXISTING GROUNDWATER LEVEL USE ADS ARC 36 HC BIODIFFUSERS RATED BASED ON LOW SPOT ON LOT NOT GRAVEL FREE INSTALLATION - USE DEP UNITS — NO WATER OBSERVED TAPER 1 in TO APPROVED INSTALLATION PROCEDURES. OBSERVED OW NONE AT 37.30 INDEX WELL M1W-29 SCALE PORTCTION ZONE D 25.0 ft . READING DATE JANUARY. 2013 READING 8.5 a 5 ft-. O ADJUSTMENT 4.7 8 in +� ADJUSTED OW BELOW 42.00 -- - ul NO 0 .T E S . O l) INSTALLER TO OBTAIN DISPOSAL WORKS PERMIT BEFORE STARTING WORK. ft_6 in - 2) INSTALLER TO VERIFY LOCATIONS OF ALL UNDERGROUND UTILITIES BEFORE EXCAVATING FOR SYSTEM. INLET CENTER OUTLET 25.. UNITS TOTAL - 5.0 ft PER UNIT 3) ALL COMPONENTS INSTALLED SHALL MEET THE MINIMUM REQUIREMENTS COVER COVER COVER OF MASSACH,USETTS TITLE 5 SEPTIC CODE (310 CMR 15). 1N DROP CROSS SECTION VIEW. 4>. ECO-TECH ENVIRONMENTAL RECOMMENDS THE INSTALLATION OF LOW FLOW FIXTURES FLOW LINE AND APPLIANCES, AND BIANNUAL PUMPING OF THE .SEPTIC TANK. FROM 10 In = t•► TO RESTORE VEGETATIVE COVER BUILDINGU 5)' SEPTIC TANKS SHALL, BE INSTALLED LEVEL AND TRUE TO GRADE. ON A LEVEL '^ D-BOX BACKFILL WITH CLEAN PERC STABLE BASE THAT HAS 'BEEN MECHANICALLY COMPACTED AND ON TO WHICH. 48 In SAND TO TOP OF CHAMBERS SIX INCHES OF CRUSHED STONE HAS BEEN PLACED. TO MINIMIZE "UNEVEN SETTLING. LIQUID GAS 6) SYSTEM 1S NOT DESIGNED TO WITHSTAND VEHICULAR LOADING. DO -NOT LEVEL BAFFLE PARK OR DRIVE "VEHICLES OVER SEPTIC SYSTEM. --------------- 10.75 /n HI CAP. I6 inch 6 in STONE BASE EFF DEPTH UNITS TOTAL DEPTH —EXISTING SEWAGE DISPOSAL SYSTEM PLAN SEPARATION BETWEEN INLET AND ?875' ISTING SUITABLE . PAGE2OF2 OUTLET TEES SHALL NOT EXCEED EFFECTIVE WIDTH 5 x 2.875' = 14.375' MATERIAL LIQUID DEPTH LINDA E. HUTCHENRIDER USE 5 ROWS OF a—aRc-s6 He ADS CROSS SECTION VIEW BIODIFFUSER .UNITS NO STONE 341 PINE STREET CENTERVILLE. MA FEBRUARY 14. 2013 1 ETE-3693 1�t j 46'$ IECC2009 RESIDENTIAL ENERGY EFFICIENCY DETAILS CLIMATE ZONE 5A(USE EITHER PRESCRIPTIVE VALUES OR RESCHECK CALCULATION 6-3- 7.10' 1B'-7- tz-r 6•ar TABLE 402.1.1 (MINIMUM PRESCRIPTIVE INSULATION&FENESTRATION REQUIREMENTS) FENESTRATION SKYUGHi CEILING WOOD FRAMED WALL FLOOR BASEMENT WALL BASEMENT SLAB CRAWL SPACE WALL U-FACTOR U-FACTOR R-VALUE R-VALUE R VALUE R-VALUE R-VALUE R-VALUE _-_REMOVE EXIST. 0.35 0.60 38 20 30 10113 10(2 FT.DEEP) 10113 r____--F-BUMPOUT NOTES: --- — 1.R-VALUES ARE MINIMUMS&U-FACTORS ARE MAXIMUMS. I i 2.10/13 MEANS R=15 CONTINUOUS INSULATED SHEATHING ON THE INTERIOR OR EXTERIOR B OF THE HOME OR R=13 CAVITY INSULATION AT THE INTERIOR OF THE BASEMENT WALL AND. AND. A tJp. A7 ANDERSEN 3.REFER TO IECC 2009 CHAPTER 4 FOR ALL INSULATION&ENERGY REQUIREMENTS FWM606B I TW2 TW2446 APLR C2 ______ _____ 2 tlx 6'6• g_q^ _ A -- SINK IDW h— - tl Ib O O __ I1 t; tl CLOS.I� UP N t RANGE REMOD. KITCHEN CW135 AND. © " (VERIFY KITCHEN EXPAND. NEW A2S7 � © REMOD. OUT W/OWNER) BATH#1 4 x 6 POST IN REF I ,p BEDROOM#1 —— WALL FROM LIVING/ ———___ I ABOVE DINING 19 7-T 2'6'x 66 4x6 POST IN 9-1(r WALL FROM I - - ABOVE I fn F- � ABOVE — ED / \ BATH#2 TALL O74"x 66 14:`r PANTRY Y . (D 76 x 66 © PKT.DOOR to IJ 87 -` N \� © o T-T NEW NEW NEW D. AA2251 II REMOD. 73, NEw § NEW _ >$ NEW I i HALL PORCH STUD F b II II �aCLOS.� NEW P.T.4Y..4 POSTS B Wl CASING 8o BASE NEW 4EW A7 T.6 NOTES: f P7 1.) CONTRACTOR IS TO VERIFY ALL EXISTING CONDITIONS &DIMENSIONS IN THE FIELD 2.) CONTRACTOR TO VERIFY ALL INTERIOR&EXTERIOR MATERIALS, err x< 5 v DETAILS,&FINISHES IN THE FIELD WITH OWNER 3.) ROUGH OPENING HEAD HEIGHT OF WINDOWS AT FIRSTFLOOR PLAN FIRST FLOOR TO BE 6'-8"ABOVE SUBFLOOR 4.) ALL CONSTRUCTION TO CONFORM TO 780 CMR MASSACHUSETTS STATE BUILDING CODE,8TH EDITION AMENDEMENT&IRC2009 LEGEND: 5•) ALL AZEK TRIM TO BE PAINTED WHITE&ALL JOINTS/NAIL HOLES SEALED. 6.) 110 MPH EXPOSURE B WIND ZONE EXISTING WALLS 7.) ALL SHEETS OF PLYWOOD WALL SHEATHING TO BE INSTALLED VERTICALLY, r--� CONSTRUCTION TO BE REMOVED OR HORIZONTALLY W/BLOCKING AT EDGES,3"EDGE/12"FIELD NAILING 8.) ALL LVL LUMBER/BEAMS TO BE 1.9e U480 LOAD,VERIFY ALL SHOWN ® NEW CONSTRUCTION SIZES WITH LUMBER SUPPLIER 9.) TIMBER FRAMING TO BE SPRUCE/PINE/FIR NO.2 GRADE (D SMOKE DETECTOR 10.) FOLLOW ALL MANUFACTURER'S SPECIFICATIONS FOR INSTALLATION OF ALL SIMPSON COMPONENTS ©CARBON MONOXIDE DETECTOR 11.) ALL CONCRETE USED FOR FOUNDATION WALLS,FOOTINGS&SLABS TO BE 3000 PSI 12.)VERIFY ALL PLUMBING&ELECTRICAL DETAILS W/OWNERS ON THE SITE DURING FRAMING CONSTRUCTION THE®� COTUIT BAY DESIGN. LLc NEW ADDITIONMEMODELING FOR: CONSTRIDVERCTION.7HEBoSH&L BE OT OONmNT SCALE : _ DRAWING NO.: EDW ERRORS OROYSSIOft ARE FOUND ON THESE ORAWWNGS PRIOR TO START OF 43 BREWSTER ROAD MU.BE'�"°""�B"`°THECO'RECTOR 1/4"= 1'-0" YWII BE RESPONSIBLE FOR THE CON,EM MASHPEE ,MA. 02649 FITZGERALD RESIDENCE IV THESE DR^AW+ M"'OOEL,F RTH _OF THE W7/W HD71FYING THE h'+' OESIG/EROF ANYERRORSIP NG,THE NS PH. (508.))274-1166 THEMDRAWNGSARESOUEITFORTHEIAE DATE FAX (508)539-9402 CONE T OF THE DEO ANT GT/x3 AE OF Al 341 PINE STREET CENTERVILLE, MA no' `��°��T E"�R°' 9/12/2013 CONSENT OF THE OE�OHfR WaEAT,E ARWRECTURAL OOPYgpHR PROTEOTION 1-, r 46'-10' 5=-(r 3'S a-. 9-(l 27-C V-T (SHED DORMER) (SHED DORMER) 4'-7 4'-7 5'•10' 6d 6-T 4'-2 A B7 F MM68R A7 AND. A7 AND. DOOCFNJOOD AND. 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