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HomeMy WebLinkAbout0082 SEA MEADOW CIRCLE - Health 82 Sea Meadow Circle Centerville A = 246 232 No. 42101/3 ORA O O O O CA S� r f ' _ p � TOWN OF B�ARNSTABLE LCM ATION �c, 8Z c�.M2c.&w L.i 2CC_G' SEWAGE # 260 l V ;LAGE Cep ASSESSOR'S MAP & LOT 2MWO �-a3� �Pec� ' MMNAME&c PHONE NO. CAZMEA P• MAY SEPTIC TANK CAPACITY 1 too LEACHING FACIL=: (type) -Tcec�c), (size) 11 X 2—to X Z. r . 3 - 3osoz NO.OF BEDROOMS BUELDER OR OWNER �Ie�Cher" PERMIT DATE: {8" l I'o COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility (If any wells exist on site or within 200 feet of leaching facility) A Feet Edge of WetlIfeeto and hing Facility(If tlands exist within 300f leaching facility) IJ A Feet Furnished by - v �! x Ic _ �y< O I��L f'3 TOWN CV BAPLASTABLE LOCATION .�£A In LA2)0W C 14 SEWAGE VILLAGE ASSESSOR'S MAP & LOT A 23 a MTALLER'S NAME&PHONE NO. 64 IV CC -fa'r- 7 9-f 2 r SEPTIC TANK CAPACITY /1 Z P1Oct fox LEACHING FACILITY: (type) (size) NO.OF BEDROOMS BUILDER OR OWNER` /-)t g7 c, £A PERMITDATE: I G-!/-o l COMPLIANCE DATE: 111 ©I 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) Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) Feet Furnished by f r �t Ick a2y. 0 3• f COMMONWEALTH OF MASSACHUSETTS EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS + d DEPARTMENT OF ENVIRONMENTAL PROTECTION TITLE 5 v OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM FORM PART A CERTIFICATION Property Address: #82 Sea Meadow Circle Centerville,MA Owner's Name: Fletcher Family Trust Owner's Address: #P.O.Box 550429 Dallas Texas,75355 Date of Inspection: 3/07/07 Name of Inspector: (please print) Mr. Carmen E. Shay { Company Name: Shav Environmental Services,Inc. Mailing Address: 185 Ashumet Road Mashpee,MA 02649 Telephone Number: (508)-548-0796 �Fy CERTIFICATION STATEMENT -_ I certify that I have personally inspected the sewage disposal system at this address and that the infor I ation reported below is true,accurate and complete as of the time of the inspection. The inspection was performed Used on my, r*i 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: XX Passes A Conditionally Passes Needs Furth valuation by the Local Approving Autho f?1ii1,Ej l ,!!I✓.^ Fails E. n SHAY Inspector's Signature: L?15k� Date: 03/07/07 Tif <) IFS INSN �• The system inspector shall submit a copy of this inspection report to the Approving Authority(Board of H DEP)within 30 days of completing this inspection. If the system is a shared system or has a design flow of 10,000 gpd or greater,the inspector and the system owner shall submit the report to the appropriate regional office of the DEP. The original should be sent to the system owner and copies sent to the buyer, if applicable,and the approving authority. Notes and Comments No evidence of hydraulic failure observed in SAS. Excavated covers and probed stone ****This report only describes conditions at the time of inspection and under the conditions of use at that time.This inspection does not address how the system will perform in the future under the same or different conditions of use. Title 5 Inspection Form 6/15/2000 page 1 Page 2 of 11 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address: #82 Sea Meadow Circle Centerville,MA Owner: Fletcher Family Trust Date of Inspection: 3/07/07 Inspection Summary: Check A,B,C,D or E/ALWAYS complete all of Section D A. System Passes: XX 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. Answer yes,no or not determined(Y,N,ND) in the 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 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. ND explain: Observation of sewage backup or break out or high static water level in the distribution box due to broken or obstructed pipe(s)or due to a broken, settled or uneven distribution box. System will pass inspection if(with approval of Board of Health): broken pipe(s)are replaced obstruction is removed distribution box is leveled or replaced ND explain: 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 obstruction is removed ND explain: 2 Page 3 of 11 OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION(continued) Property Address: #82 Sea Meadow Circle Centerville,MA Owner: Fletcher Family Trust Date of Inspection: 3/07/07 C. Further Evaluation is Required by the Board of Health: Conditions exist which require further evaluation by the Board of Health in order to determine if the system is failing to protect public health, safety or the environment. 1. System will pass unless Board of Health determines in accordance with 310 CMR 15.303(1)(b)that the system is not functioning in a manner which will protect public health,safety and the environment: Cesspool or privy is within 50 feet of a surface water Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh 2. System will fail unless the Board of Health(and Public Water Supplier,if any)determines that the system is functioning in a manner that protects the public health,safety and environment: _ The system has a septic tank and soil absorption system (SAS)and the SAS is within 100 feet of a surface water supply or tributary to a surface water supply. The system has a septic tank and SAS and the SAS is within a Zone 1 of a public water supply. _ The system has a septic tank and SAS and the SAS is within 50 feet of a private water supply well. _ The system has a septic tank and SAS and the SAS is less than 100 feet but 50 feet or more from a private water supply well". Method used to determine distance "This system passes if the well water analysis,performed at a DEP certified laboratory, for coliform bacteria and volatile organic compounds indicates that the well is free from pollution from that facility and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm,provided that no other failure criteria are triggered. A copy of the analysis must be attached to this form. 3. Other: Page 4 of 11 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION(continued) Property Address: #82 Sea Meadow Circle Centerville,MA Owner: Fletcher Family Trust Date of Inspection: 3/07/07 D. System Failure Criteria applicable to all systems: You must indicate"yes"or"no"to each of the following for all inspections: Yes No XX Backup of sewage into facility or system component due to overloaded or clogged SAS or cesspool XX Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or clogged SAS or cesspool XX Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool XX Liquid depth in cesspool is less than 6"below invert or available volume is less than '/z day flow XX Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s).Number of times pumped XX Any portion of the SAS,cesspool or privy is below high ground water elevation. XX Any portion of cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply. XX Any portion of a cesspool or privy is within a Zone 1 of a public well. XX Any portion of a cesspool or privy is within 50 feet of a private water supply well. XX Any portion of a cesspool or privy is less than 100 feet but greater than 50 feet from a private water supply well with no acceptable water quality analysis. [This system passes if the well water analysis, performed at a DEP certified laboratory,for coliform bacteria and volatile organic compounds indicates that the well is free from pollution from that facility and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered. A copy of the analysis must be attached to this form.] NO (Yes/No)The system fails. I have determined that one or more of the above failure criteria exist as described in 310 CMR 15.303,therefore the system fails. The system owner should contact the Board of Health to 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. You must indicate either"yes"or"no"to each of the following: (The following criteria apply to large systems in addition to the criteria above) yes no the system is within 400 feet of a surface drinking water supply the system is within 200 feet of a tributary to a surface drinking water supply the system is located in a nitrogen sensitive area(Interim Wellhead Protection Area—IWPA)or a mapped Zone II of a public water supply well If you have answered"yes"to any question in Section E the system is considered a significant threat,or answered "yes" in Section D above the large system has failed.The owner or operator of any large system considered a significant threat under Section E or failed under Section D shall upgrade the system in accordance with 310 CMR 15.304.The system owner should contact the appropriate regional office of the Department. Page 5 of 11 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B CHECKLIST Property Address: #82 Sea Meadow Circle Centerville,MA ` Owner: Fletcher Family Trust Date of Inspection: 3/07/07 Check if the following have been done. You must indicate"yes"or"no"as to each of the following: Yes No XX Pumping information was provided by the owner, occupant,or Board of Health XX Were any of the system components pumped out in the previous two weeks? XX _ Has the system received normal flows in the previous two week period`? XX Have large volumes of water been introduced to the system recently or as part of this inspection ? XX _ Were as built plans of the system obtained and examined?(If they were not available note as N/A) XX _ Was the facility or dwelling inspected for signs of sewage back up? XX _ Was the site inspected for signs of break out XX _ Were all system components,excluding the SAS, located on site `? XX _ 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 ? XX 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: Yes no XX _ Existing information. For example, a plan at the Board of Health. XX _ Determined in the field(if any of the failure criteria related to Part C is at issue approximation of distance is unacceptable) [310 CMR 15.302(3)(b)] Page 6 of 11 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION Property Address: #82 Sea Meadow Circle Centerville,MA Owner: Fletcher Family Trust Date of Inspection: 3/07/07 FLOW CONDITIONS RESIDENTIAL Number of bedrooms(design): 3 Number of bedrooms(actual): 3 DESIGN flow based on 310 CMR 15.203 (for example: 110 gpd x#of bedrooms): 330 Number of current residents: 0 Does residence have a garbage grinder(yes or no): No Is laundry on a separate sewage system(yes or no): No [if yes separate inspection required] Laundry system inspected(yes or no):_ Seasonal use: (yes or no): no Water meter readings, if available(last 2 years usage(gpd)): Sump pump(yes or no): No Last date of occupancy: Currently Unoccupied COMMERCIAL/INDUSTRIAL Type of establishment: Design flow(based on 310 CMR 15.203): gpd Basis of design flow(seats/persons/sgft,etc.): Grease trap present(yes or no):_ Industrial waste holding tank present(yes or no): Non-sanitary waste discharged to the Title 5 system(yes or no): Water meter readings, if available: Last date of occupancy/use: OTHER(describe): GENERAL INFORMATION Pumping Records Source of information: None on File since new installation in 2001 Was system pumped as part of the inspection(yes or no): If yes, volume pumped: gallons--How was quantity pumped determined? Reason for pumping: TYPE OF SYSTEM XX Septic tank,distribution box, soil absorption system Single cesspool _Overflow cesspool _Privy _Shared system(yes or no)(if yes, attach previous inspection records, if any) _Innovative/Alternative technology. Attach a copy of the current operation and maintenance contract(to be obtained from system owner) Tight tank _Attach a copy of the DEP approval Other(describe): Approximate age of all components,date installed(if known)and source of information: 2001-per Owner Records&BOH Records Were sewage odors detected when arriving at the site(yes or no): No .,, 6 Page 7 of 11 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: #82 Sea Meadow Circle Centerville,MA Owner: Fletcher Family Trust Date of Inspection: 3/07/07 BUILDING SEWER(locate on site plan) Depth below grade: 18" Materials of construction:_XX cast iron _XX 40 PVC_other(explain): Distance from private water supply well or suction line: Comments(on condition of joints, venting,evidence of leakage,etc.): SEPTIC TANK: XX (locate on site plan) Depth below grade: 12" Material of construction: XX concrete_metal_fiberglass_polyethylene —other(explain) If tank is metal list age:_ Is age confirmed by a Certificate of Compliance(yes or no):_(attach a copy of certificate) Dimensions: 5' deep x 5'wide by 8' long (1000 gallon) Sludge depth: 4. 75' Distance from top of sludge to bottom of outlet tee or baffle: 3.00' Scum thickness: '/2"Scum Laver Noted Distance from top of scum to top of outlet tee or baffle: 6" Distance from bottom of scum to bottom of outlet tee or baffle: 12" 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.): Structural integrity of tank was ok.No evidence of cracks,leaks,or water infiltration/exfiltration. Inlet Baffle present and in good condition. Outlet Tee also in good condition. Liquid level equal with outlet invert. GREASE TRAP:_(locate on site plan) Depth below grade: Material of construction:_concrete_metal_fiberglass_polyethylene_other (explain): Dimensions: Scum thickness: Distance from top of scum to top of outlet tee or baffle: Distance from bottom of scum to bottom of outlet tee or baffle: Date of last pumping: Comments(on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert,evidence of leakage,etc.): T .. . . r .„., 7 Page 8 of 11 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: #82 Sea Meadow Circle Centerville,MA Owner: Fletcher Family Trust Date of Inspection: 3/07/07 TIGHT or HOLDING TANK: (tank must be pumped at time of inspection)(locate on site plan) Depth below grade: Material of construction: concrete metal fiberglass_polyethylene other(explain): Dimensions: Capacity: gallons Design Flow: gallons/day Alarm present(yes or no): Alarm level: Alarm in working order(yes or no): Date of last pumping: Comments(condition of alarm and float switches,etc.): DISTRIBUTION BOX: Present (if present must be opened)(locate on site plan) Depth of liquid level above outlet invert: Comments(note if box is level and distribution to outlets equal,any evidence of solids carryover,any evidence of leakage into or out of box,etc.): No cracks noted—distribution appears to be equal. . Top of D-box is 2 feet deep. PUMP CHAMBER: (locate on site plan) Pumps in working order(yes or no): Alarms in working order(yes or no):_ Comments(note condition of pump chamber,condition of pumps and appurtenances, etch Page 9 of 11 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: #82 Sea Meadow Circle Centerville,MA Owner: Fletcher Family Trust Date of Inspection: 3/07/07 SOIL ABSORPTION SYSTEM(SAS): XX (locate on site plan,excavation not required) If SAS not located explain why: Type leaching pits,number:_ leaching chambers,number: leaching galleries, number: XX leaching trenches, number, length: 1 Trench—11 wide by 29 feet long,2' deep. 3-30-50 Infiltrators 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.): No evidence of hydraulic failure, ponding damp soil or stressed vegetation. SAS is 3.0 feet to top. Probed stone with no evidence of hydraulic failure. 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 or no): 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.): . . .„�,. 9 Page 10 of 11 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: #82 Sea Meadow Circle Centerville,MA Owner: Fletcher Family Trust Date of Inspection: 3/07/07 SKETCH OF SEWAGE DISPOSAL SYSTEM Provide a sketch of the sewage disposal system including ties to at least two permanent reference landmarks or benchmarks. Locate all wells within 100 feet. Locate where public water supply enters the building. SEE ATTACHED AS-BUILT 10 f TOWN OGr BAR�ISTABLE LOCATION SEWAGE # I VILLAGE ��i',g1.41ii4t£ I ASSESSOR'S MAP.& LOT INSTALLER'S NAME&PHONE NO. 1� 6411IC-0 SEPTIC TANK CAPACITY cc x LEACHING FACILITY: (type) (size) NO: OF BEDROOMS -BUILDER OR OWNER Pet gT £i�e PERMIT DATE: COMPLIANCE DATE: Ttd (' 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) Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) Feet Furnished by I i £Cle i ay-,1 it -'0 3• 1 ^ i I . i i _ I Page 11 of 11 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: #82 Sea Meadow Circle Centerville,MA Owner: Fletcher Family Trust Date of Inspection: 3/07/07 SITE EXAM Slope Surface water -None Check cellar -Yes Shallow wells—None Estimated depth to ground water 30 feet Please indicate(check)all methods used to determine the high ground water elevation: Obtained from system design plans on record-If checked,date of design plan reviewed: XX 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) XX Accessed USGS database-explain: You must describe how you established the high ground water elevation: Inspector has performed Pere tests in area. Per USGS MAP PLATE 2: Elev. of Ground= 14 Feet Elev.Of Groundwater= 1 Feet Elev. Of Bottom of Leach Trench 10 Feet Therefore: 10—1 =9 feet separation between Bottom of Leach Trench and Groundwater. Groundwater Adjustment using Index Well MIW-29 : 1.9 feet Adjusted Groundwater Separation= 10'.—2.9=7.1 feet between bottom of Trench and adi. eroundwater Grade=Elev. 14 feet Tank Trench Bottom of Trench=Elev. 10 feet Adj. Groundwater= Elev.2.9 No. � Fee �~� —✓ THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE., MASSACHUSETTS 01pplication for Migpo al *p$tem Con.5truction Permit Application for a.Permit to Construct( )Repair( K)Upgrade( )Abandon( ) ❑Complete System ehidividual Components Location'Addiess or Lot Noa S E4 oyj £i¢&lni Owner's Name,Address and Tel.No. �> C/'P44f V1 �Lt Abe `�/3�✓/� G r_7c1T t/,=- Assessor's Map/Parcel a £,� a o w C/� Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. 01,4-.v c O Type of Building: Dwelling No.of Bedrooms _ Lot Size sq.ft. Garbage Grinder Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow gallons per day. Calculated daily flow gallons. Plan Date Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. Description of Soil Z$��<1 / Nature of Repairs or Alterations(Answer when applicable) of £�O L/�C J) oX Date last inspected: Agreement: The undersigned agrees to ensure the construction Ad 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 iss by this Board of Healt . Signed Date /D Application Approved i° Date,�''e'`�'��a�" l Application Disapproved for the following reasons Permit No. Date Issued Tk/7WtiJF_B AJ i,g•` r �^rr.r.:`K a a. 3� z -... S" S::.F A v; C is x' LOCATION �'`FAa [� , '. EWAGE # t; � r VILLAGE :.C°��l l/.t L£.. t ASSESSOR'S MAP"& LOT � INSTALLER'S NAME&PHONE'NO. A. �d /V C0 .mar. 9 9.5, •�y-n d g' � � SEPTIC.TANK.CAPACITY _ - /T Z'o1'oCt 2) 'd"x_: . LEACHING FACILITY: (hype)- (size) '.:-NO.OF BEDROOMS ;._. BUILDER OR OWNER .PERMIT DATE: t o=a i-o f. COMPLIANCE DATE: I I" Separation'Distance-Between the. '" Maximum Adjusted�GroundwaterTable and Bottom of Leaching Facility Feet Priyite Water Supply Well and Leaching'Faeility (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 { Q l l 7t i r Y 013 Z� 6 No. LI��// L7 w �t-� � Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS Yes application for Oigogar *ywm Construction Permit Application for a Pe rut to Construct( )Repair( K)Upgrade{ )Abandon( ) ❑Complete System Individual Components Location Address or Lot No.yq .5,E4 Al C.4 Cl e Owner's Name,Address and Tel.No. Assessor's Map/Parcel e,4 e V t L L t VIZ £�� ,2 VK 3 t le— Assessor's ya ����� a Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. its C 6 4-V -Y�R sod ��r-� •p Type of Building: Dwelling No.of Bedrooms �-7) Lot Size sq. ft. Garbage Grinder(6/0 Other Type of Building No. of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow gallons per day. Calculated daily flow gallons. Plan Date Number of sheets Revision Date Title Size of Septic Tank � �t�C_ Type of S.A.S. Description of Soil 'X Nature of Repairs or Alterations(Answer when applicable) �i f r,0,4/'s C 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 issu by this Board of Healt -I SignedL,d Date /4 Application Approved Date Application Disapproved for the following reasons Permit No. Zekl it Date Issued ,"Oo0o, THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS Certificate of (fampliance THIS IS TO CERTIFY, that the On-site Sewage Disposal System Constructed( )Repaired ( 6 Upgraded( ) Abandoned( )by /-,d (4, iA"C G at F, �^ -S £A £ Oa i C//C /P G"�i�C L t has been constructed in accordance with the pro, 'sions of Title 5 and the r Disposal System Construction Permit N1� �' dated �d�s���5 f Installer Designer ,,The iss ce of this pe it shall not be construed as a guarantee that the system will fun as d signed. ��}} Date ( ! 1 l Inspector t :< A S/ - - ---r.No.,�"l�Cl, 9 E✓;• --————�——-----------——---—---—.—.—Fee � ��•fr'�^, _ _ z✓ THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLE, MASSACHUSETTS '=igpogar *p5tem Construction Vermit Permission is hereby granted to Construct( )Repair( --t)Upgrade( )Abandon( ) System located at 8 02 SZfI /17 Z" ,(�yav C^�,C ('ipy�c'�.�C L £ and as described in the above Application for Disposal System Construction Permit. The applicant recognizes his/her duty to comply with Title 5 and the following local provisions or special conditions. ,Provided: Construction must be completed within three years of the date of thise"rtnit. Date: Z4 Approve ' .. _ f% / TOWN OF BARNSTABLE LOCATION CNM—U SEWAGE # 'VILLAGE ASSESSOR'S MAP & LOT d- INSTALLER'S NAME&PHONE NO. 7'sov-,r- kin SEPTIC TANK CAPACITY IoG LEACHING FACILITY: (type) _ y7cq NO.OF BEDROOMS CM-BLROWNER PERMITDATE: ICI 1 � COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility (If any wells exist 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 TOWN OF BARNSTABLE LOCATION �uf S¢`'�"�a�v� ��%cf� SEWAGE # E JF llI VILLAG ASSESSOR'S MAP & LOT 2 yd INSTALLER'S NAME & PHONE NO. � ►� l .�aG�� t� EPTIC TANK CAPACITY ©LEACHING FACILITY:(type) —(size) S 2 8 ®O. OF BEDROOMS 3 PRIVATE WELL OR PUBLIC WATER BUILDER OR OWNER 54 DATE PERMIT ISSUED: DATE COMPLIANCE.ISSUED: /,o mac. --4s7 VARIANCE GRANTED: Yes No l/ ��, < _ �•� , M ��'� y ^7 / \ e �•\ � � � � \ �� M� ` � \\ ., _� ° • ti: \yam'..'`S�. u No.. -O..-/.r._..(P�?7 FRs.......7�.. THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH ow. .........._....oF.... .9 r-S-"P-t�r3..LE Appliratiou for Diapnsal Works Cfontitrnrtinn nutit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage.Disposal System at: / --�Z S�}_/!'l ffj-Qac.�1 C tl C,c ....v�vT 8.f..! .......- Coca'on- ddress I'G �� a(� of Lot No: -..^-.•---^--- .4�!!�_....7�.._.�'rtt ---..-•...•-------------------•-----._.... ---------------- ------------------------------------- Owner Address � Installer Address i Type of Building Size Lot-.t??DA ..........Sq feet t ' Dwelling—No. of Bedrooms............................................Expansion Attic (44 Garbage Grinder (moo) a Other—Type of Building _RX5............... No. of persons........3............... Showers ( ) — Cafeteria ( ) Other fixtures W Design Flow.................//P.................gallons per person per day. Total dail flow....._..330...-..._•.....-..••___...gallons. WSeptic Tank—Liquid capacity/ gallons Length---..�.... Width...... .---- Diameter---------------- Depth................ x Disposal Trench—No. ...... ..... Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No...l�1r!`e- �Meter-------------------- Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( /) Dosing tank ( ) aPercolation Test Results Performed bY......................................................................... Date----------- ............................ Test Pit No. I................minutes per inch Depth of Test Pit.--.--.............. Depth to ground water--.--................--. fsr Test Pit No. 2................minutes per inch Depth of Test Pit......--............ Depth to ground water........................ a ----------------------------................................................................................................................................. 0 Description of Soil.....................................................................................................----------------------------------------------------•-...._.••--•- x U •-•-•-•-•-•---•--•-•--••••••••••-•--•----•-••---•-----•--•--.....••-•••--•-----•-••••--------------•----•-----•-•-•-•---------••-•---•----••-•--••-•--•••-•---•--•-••-••-•......-•---••••••....-•••-•... w x ---------------------------------------------------------------------....................................•-••----------••-••-•••----••--••-•-•---•••--•--•-•••••-••---•---•---•--••-------•-----•-•... U Nature of Repairs or Alterations—Answer when applicable............................................................................................... --------------- ------------•--------------•------------------------------------•-...........----------....------------------------------------•-----------------------------------------........_---••• Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of'THE 5 of the State Sanitary Code— The undersigned further agrees not to place the stem in operation until a Certificate o• Compliance has be issued by the d f health. f®� `�— Signed•- V, 1... ....._ ----------------------------------------------•------- �/ r ate Application Approved BY --------------------- Date Application Disapproved for the following reasons---------------------•-------------------------------------------------------------------•-•-••-•---•---•--•---•- ..-••-•-........••-••--•••---•-••----•••••••••-•----•---•••---•...---•-•--•-----•-•---....•-------••-•--•-••------------------------------------••--------------------------------•------- Date Permit No.........�---7-•"=......IR_®2--------------- Issued....................................................... Date No....?f:... � Fimic ..7 ......". ... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ...---- ..... ................... ,1 ppliration for 11hipasal Works Tomitrurtinu rrutit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at: S� � r� �9: "1£.riJow r C�.� o^�ca7- c�3 � ................_......-•----•--------•----•-•---.......---•-------..........---•--.............. ................................ --------------•-----------.---.-- •�•• —,� Locaion_Address or Lot No. T � � �............................-•• ----._ ......--------------------------------------... ---- -- --...----• --........----.........---------......---•---- Owner Address a_l ..1 .. rl ':..... ...... ... , I.......... ( Installer Address Q Type of Building Size Lot.�i--------------------Sq. feet V Dwelling—No. of Bedrooms.......... ..........................Expansion Attic (tL) Garbage Grinder (tea) PL, Other—Type of Building 2�L.5 .............. No. of persons........3.........._.____ Showers ( ) — Cafeteria ( ) Q' Other fixtures ........................................... d -•-------•----------------•-------------•----••-•----•-•-------------------•-----•------•------------ w Design Flow..................�/U..................gallons per person per day. Total daily flow--------330.........................gallons. WSeptic Tank—Liquid capacity/ _gallons Length.....5 __.____ Width...._a....... Diameter---------------- Depth................ x Disposal Trench—No----/�,.._-.�-.___ Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No.__ _.._.. __`;3ameter.................... Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box (/ ) Dosing tank ( ) Percolation Test Results Performed by.......................................................................... Date........................................ a Test Pit No. 1................minutes per inch Depth of Test Pit.................... Depth to ground water........................ Gi, Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ P+ •---------------------------------------------------------------- --------------... 0 Description of Soil.................................................................................................................................... x w UNature of Repairs or Alterations—Answer when applicable----------------------------------------------------------------------------------------------- ------------------------------------------•-------- Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with Rl'-T -• the provisions of 1 T T:q u of the State Sanitary Code—The undersigned further agrees not to place th s stem in operation until a Certificate - Compliance has bqep issued by the of health. /O(Va-�� � G Signed_. .'------�...---••----- ......-�-----•-----------•------••-- l� a Application Approved By......... ..___ �...�:_.�.�. ..�.,>:._ ate Date Application Disapproved for the following reasons:------•------------------------------------------------•-----------------------•---------------------.._..__..._ ---------•----------------------•---------------------------...------------------.....-•---•--------...-----------------•-------------•------•-•------••----••--•-•-•--•-------------•-•----•-•---•----- Date PermitNo.--..--- ------ RC- ---------------- Issued....................................................... Date THE COMMONWEALTH OF MASSACHUSETTS _ BOARD OF HEALTH ti �? N�iK1r? L � OF.......:............................................................................. C�rrtifirttte of fa�aut�rlittur�e THIS IS TO CERTIFY, That t e I d vidual Sewage Disposal System constructed (� or Repaired ( } by .............. lG. _ti h0 -7�0 Installer /!f has been installed in accordance with the provisions of T i'LIE j of The State Sanitary Co eet' as described in the application for Disposal Works Construction Permit No------ '._7_{...&.n.7 j..... dated------------------------........................ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT YHE SYSTEM WILL FUNCTION SATISFACTORY. wpm DATE........................f. �.... Inspector_..... -= THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH No.6 ��?7OF _..._-... Disposal Workii Tumitrurtivit rrutit Permission is hereby granted............. ...... t�,�......_. _ �.�e AA � Iep.---••-------•-••------------------------------------------•----.............._ to Construct ( ) or Repair ( ) an I ivvriidual Sewage Disposal System atNo................................. •- l[ �r /'................................................................................... Street as shown on the application for Disposal Works Construction Pe*it N 9:7 E'�_�___ Dat o d- ---•--•---- - - •----•-----•----------------- / -- -Board of Health RM 1255 HOBBS & WARREN, INC.. PUBLISHERS s q� COMMONWEALTH OF MASSACHUSETTS = EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS . - a DEPARTMENT OF ENVIRONMENTAL PROTECTION 350 MAIN STREET sa WEST YARMOUTH,MA 508-775-2800 TITLE 5 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM FORM PART A CERTIFICATION MAP 246 PAR 232 Property Address: 82 SEA MEADOW CIRCLE CRAIGVILLE,MA 02636 Owmer's Name: FLETCHER,DAVID Oxvier's Address: 82 SEA MEADOW CIRCLE CRAIGVILLE,MA 02636 Date of Inspection OCTOBER 10,2001 Name of Inspector:(please print) JAMES D.SEARS Company Name: A&B Canco Mailing Address: 350 Main Street West Yarmouth,MA 02673 Telephone Number: 508-775-2800 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 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: X Passes Conditionally Passes Needs Further Evaluation by the Local Approving Authority Fails Inspector's Signature: PDate: /4 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 th d co ies sent tot he buyer,if applicable,and the approving authority. ECEP ED Notes and Comments OCT 3 � 2001 TOWN OF BARNSTABLE HEALTH DEPT. Ithat r4nspection my describes conditions at the time of inspection and under the con i ion f use at spection does not address how the system will perform in the future under the same ons ofuse.orm 61 "/2000 1 ~ Page 2 of 11 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address: 82 SEA MEADOW CIRCLE CRAIGVILLE,MA 02636 Owner: FLETCHER,DAVID Date of Inspection: OCTOBER 10,2001 Inspection Summary: Check A,B,C,D or E/ALWAYS complete all of Section D A. System Passes: X I have not found any information which indicates that any of the failure criteria described in 310 CUR 15.303 or in 310 CMR 15.304 exist. Any failure criteria not evaluated are indicated below. Comments: B. System Conditionally Passes: N/A One or more system components as described in the"Conditional Pass"section need to be replaced or repaired. The system,upon completion of the replacement or repair,as approved by the Board of Health,will pass. Answer yes,no or not determined(Y,N,ND)in the 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 complying septic tank as approved by the Board of Health. *A metal septic tank will pass inspection if it is structurally sound,not leaking and if a Certificate of Compliance indicating that the tank is less than 20 years old is available. ND explain: _ Observation of sewage backup or break out or high static water level in the distribution box due to broken or obstructed pipe(s)or due to a broken,settled or uneven distribution box. System will pass inspection if(with approval of Board of Health): broken pipe(s)are replaced obstruction is removed distribution box is leveled or replaced ND explain: 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 obstruction is removed ND explain: Title 5 Inspection Form 6/15/2000 2 Page 3 of 11 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION(CONTINUED) Property Address: 82 SEA MEADOW CIRCLE CRAIGVILLE,MA 02636 Owner: FLETCHER,DAV1D Date of Inspection: OCTOBER 10.2001 C. Further Evaluation is Required by the Board of Health: N/A 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 salt marsh 2. System will fail unless the Board of Health(and Public Water Supplier,if any)determines that the system is functioning in a manner that protects the public health,safety and environment: The system has a septic tank and soil absorption system(SAS)and the SAS is within 100 feet of a surface water supply or tributary to a surface water supply. The system has a septic tank and SAS and the SAS is within a Zone 1 of 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 and volatile organic compounds indicates that the well is free from pollution from that facility and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm,provided that no other failure criteria are triggered. A copy of the analysis must be attached to this form. 3. Other: Title 5 Inspection Fonn 6/15/2000 3 Page 4 of 11 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION(CONTINUED) Property Address: 82 SEA MEADOW CIRCLE CRAIGVILLE,MA 02636 Owner: FLETCHER,DAVID Date of Inspection: OCTOBER 10,2001 D. System Failure Criteria applicable to all systems: N/A You must indicate"yes" or"no"to each of the following for all inspections: Yes No X Backup of sewage into facility or system component due to overloaded or clogged SAS or cesspool X Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or clogged SAS or cesspool X Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool X Liquid depth in pit is less than 6"below invert or available volume is less than Yz day flow X Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s). Number of times pumped X Any portion of the SAS,cesspool or privy is below high ground water elevation N/A Any portion of cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply N/A Any portion of a cesspool or privy is within a Zone 1 of a public well N/A Any portion of a cesspool or privy is within 50 feet of a private water supply well N/A Any portion of a cesspool or privy is less than 100 feet but greater than 50 feet from a private water supply well with no acceptable water quality analysis. (This system passes if the well water analysis performed at a DEP certified laboratory,for coliform bacteria and volatile organic compounds indicates that the well is free from pollution from that facility and the presence of ammonia nitrogen and nitrate nitrogen is equal or less than 5 ppm,provided that no other failure criteria are triggered. A copy of the analysis must be attached to this form.) NO (Yes/No)The system fails. I have determined that one or more of the above failure criteria exist as described in 310 CMR 15.303,therefore the system fails. The system owner should contact the Board of Health to determine what will be necessary to correct the failure. E. Large Systems: N/A To be considered a large system the system must service a facility with a design flow of 10,000 gpd to 15,000 gpd. You must indicate either"yes" or"no to each of the following: (The following criteria apply to large systems in addition to the criteria above) Yes No the system is within 400 feet of a surface drinking water supply the system is within 200 feet of a tributary to a surface drinking water supply the system is located in a nitrogen sensitive area(Interim Wellhead Protection Area—IWPA)or a mapped Zone II of a public water supply well. If you have answered"yes"to any question in Section E the system is considered a significant threat,or answered "yes"in Section D above the large system is 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. Title 5 Inspection Form 6/15/2000 4 Page 5 of 11 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B CHECKLIST Property Address: 82 SEA MEADOW CIRCLE CRAIGVILLE,MA 02636 Owner: FLETCHER,DAVII) Date of Inspection: OCTOBER 10,2001 Check if the following have been done. You must indicate"yes" or"no"as to each of the following Yes No X Pumping information was provided by the owner,occupant,or Board of Health X Were any of the system components pumped out in the previous two weeks? X Has the system received normal flows in the previous two week period? X Have large volumes of water been introduced to the system recently or as part of this inspection? N/A Were as built plans of the system obtained and examined?(If they were not available note as N/A) X Was the facility or dwelling inspected for signs of sewage back up? X Was the site inspected for signs of break out? X Were all system components,excluding the SAS,located on site? X 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 X 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)has been determined based on: Yes No N/A Existing information. For example,a plan at the Board of Health. X 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(3xb)] Title 5 Inspection Form 6/15/2000 5 Page 6 of 11 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION Property Address: 82 SEA MEADOW CIRCLE CRAIGVILLE,MA 02636 Owner: FLETCHER,DAVID Date of Inspection: OCTOBER 10,2001 FLOW CONDITIONS RESIDENTIAL Number of Bedrooms(design): 3 Number of bedrooms(actual): 3 DESIGN flow based on 310 CMR 15.203(for example: 110 gpd x#of bedrooms: 330 Number of current residents: 2 Does residence have a garbage grinder(yes or no): YES Is laundry on a separate sewage system(yes or no): NO [if yes separate inspection required] Laundry system inspected(yes or no): YES Seasonal use(yes or no): NO Water meter readings,if available(last 2 years usage(gpd)): 1999 265,000/2000 110,000 Sump pump(yes or no) NO Last date of occupancy: PRESENT COMMERCIAL/INDUSTRIAL Type of establishment: Design flow(based on 310 CMR 15.203): Basis of design flow(seats/persons/sgft,etc.): Grease trap present(yes or no): Industrial waste holding tank present(yes or no): Non-sanitary waste discharged to the Title 5 system(yes or no): Water meter readings,if available: Last date of occupancy/use: OTHER(describe): GENERAL INFORMATION Pumping Records Source of information: N/A Was system pumped as part of the inspection(yes or no): NO If yes,volume pumped: gallons—How was quantity pumped determined? Reason for pumping: TYPE OF SYSTEM X Septic tank,distribution box,soil absorption system Single cesspool Overflow cesspool Privy Shared system(yes or no)(if yes,attach previous inspection records,if any) Innovative/Alternative technology. Attach a copy of the current operation and maintenance contract(to be obtained from system owner) Tight tank Attach copy of the DEP approval Other(describe): Approximate age of all components,date installed(if known)and source of information: PERMIT#87-607 NEW DISTRIBUTION BOX 2001 Were sewage odors detected when arriving at the site(yes or no): NO Title 5 Inspection Form 6/15/2000 6 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 82 SEA MEADOW CIRCLE CRAIGVILLE,MA 02636 Owner: FLETCHER,DAVID Date of Inspection: OCTOBER 10,2001 BUILDING SEWER(locate on site plan): X Depth below grade: 12 Materials of construction: Cast iron X 40 PVC _ other(explain) Distance from private water supply well or suction line: Continents(on condition of joints,venting,evidence of leakage,etc.): SEPTIC TANK(locate onsite plan): x Depth below grade: 3 Material of construction: X concrete metal fiberglass polyethylene other(explain) If tank is metal list age: Is age confirmed by a Certificate of Compliance(yes or no): (attach a copy of certificate) Dimensions: 1,500 GALLON Sludge depth: 6" Distance from top of sludge to the bottom of outlet tee or baffle: 24" Scum thickness: 1" Distance from top of scum to top of outlet tee or baffle: 11" Distance from bottom of scum to bottom of outlet tee or baffle: 18" How were dimensions determined: PLAN AND TAPE Comments(on pumping recommendations,inlet and outlet tee or baffle condition,structural integrity,liquid levels as related to outlet invert,evidence of leakage,etc.): TANK AT WORKING LEVEL.INLET TEE,OUTLET BAFFLE.TANK AND COVERS 5"BELOW GRADE.NO SIGN OF OVERLOADING SEEN IN TANK. TANK PUMPED AFTER INSPECTION. GREASE TRAP(located on site plan) N/A Depth below grade: Material of construction: concrete metal fiberglass _ polyethylene other (explain): Dimensions: Scum thickness: Distance from top of scum to top of outlet tee or baffle: Distance from bottom of scum to bottom of outlet tee or baffle: Date of last pumping: Continents(on pumping recommendations,inlet and outlet tee or baffle condition,structural integrity,liquid levels as related to outlet invert;evidence of leakage,etc.): Title 5 Inspection Form 6/15/2000 7 Page 8 of l l OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 82 SEA MEADOW CIRCLE CRAIGVILLE,MA 02636 Owner: FLETCHER,DAVID Date of Inspection: OCTOBER 10,2001 TIGHT or HOLDING TANK: N/A (tank must be pumped at time of inspection)(locate on site plan) Depth below grade: Material of construction: concrete metal fiberglass polyethylene other(explain) Dimensions: Capacity: gallons Design Flow: gallons/day Alarm present(yes or no) Alarm level: Alarm in working order(yes or no): Date of last pumping Continents(condition of alarm and float switches,etc.): DISTRIBUTION BOX: X (if present must be opened)(locate on site plan) Depth of liquid level above outlet invert: 0 Comments(note if box is level and distribution to outlets equal,any evidence of solids carryover,any evidence of leakage into or out of box,etc.,): DISTRIBUTION BOX IS 9"X15",18"BELOW GRADE.BOX IS NEW OCTOBER 2001. ONE LINE IN,ONE LINE OUT. PUMP CHAMBER: N/A (locate on site plan) Pumps in working order(yes or no): Alarms in working order(yes or no): Comments(note condition of pump chamber,condition of pumps and appurtenances,etc.): Title 5 Inspection Form 6/15/2000 8 Page 9 of I I OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 82 SEA MEADOW CIRCLE CRAIGVILLE,MA 02636 Owner: FLETCHER,DAVID Date of Inspection: OCTOBER 10,2001 SOIL ABSORPTION SYSTEM(SAS): X (locate on site plan,excavation not required) If SAS not located explain why: Type leaching pits,number: X leaching chambers,number: 3 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.) LEACHING IS THREE(3)FLOWS WITH 2' STONE.LEACHING IS 22"BELOW GRADE.2"WATER,NO SIGN OF SOLID CARRY OVER OR OVERLOADING. CESSPOOLS: N/A (cesspool must be pumped as part of inspectionXIocate on site plan) Number and configuration: Depth—top of liquid to inlet invert: Depth of solids layer: Depth of scum layer: Dimensions of cesspool: Materials of construction: Indication of groundwater inflow(yes or no): Continents(note condition of soil,signs of hydraulic failure,level of ponding,condition of vegetation etc.): PRIVY: N/A (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.) Title 5 Inspection Form 6/15/2000 9 Page 9 of 11 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 82 SEA MEADOW CIRCLE CRAIGVIILLE,MA 02636 Owner: FLETCHER,DAVID Date of Inspection: OCTOBER 10,2001 SKETCH OF SEWAGE DISPOSAL SYSTEM Provide a sketch of the sewage disposal system including ties to at least two permanent reference landmarks or benchmarks. Locate all wells wnthin 100 feet. Locate where public water supply enters the building. Art'it, £AR c2 >r• 0 Title 5 Inspection Form 6/15/2000 10 i Page 11 of 11 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 82 SEA MEADOW CIRCLE CRAIGVILLE,MA 02636 Owner: FLETCHER,DAVID Date of Inspection: OCTOBER 10,2001 SITE EXAM Slope Surface water Check cellar Shallow wells Estimated depth to no groundwater 10 feet Please indicate(check)all methods used to determine the high ground water elevation: X Obtained from system design plans on record-If checked,date of design plan reviewed: Observation 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: yo 0 3e/T&-^ .L£,Oryivi i/o 13a77:M 7. !� Title 5 Inspection Form 6/15/2000 11 l , . , _ I �' .,AS BEd�'4n► . � �i , ' I AY �. � 04 usDU e. I CA'PAG `7Z' P 2 5 l bg3 Gip , : .I 1� 22A Gio G P'b � t Tom_ =d l C. I ZT11►� OrZl_ 55 i 1 _ I a : , 1 , ti { 41 r d_ . + 4 1 I , l .. - ` Zt loll 0 f t , : ' •ice \ \ M � I � ma - fu Cn � I. +..,,` { � -,,,\ C3 C� ._----wry_ �,� �• __ ' ��, ,_ _ _- - - .__ _ __ 1 : j , , I ow 4 tic.:7M�•x Fa ♦ riJ .J 1 ?0 CT 4 S ci-t A 0 'F%!L \a q t7 _ r j { "rNkA irl loft I I 6A, - , or k'' 1p ra L.F—="/AC-T, CF PETER !�ti _. o SULLIi c , ot E?GU L lCi7YJA i�f� CkSI� ,,�*- -'-° 'A Pj WSJ—`T'SV.I-�`='✓ _ _ (Vb, 2373� ,. i-:P�Vrz. o 7z_ la �U t— E"' U�SS/ON N�\���`� _ , ; 66 Sea Meadow Circle0 Osterville A= 246-239 *see 82 Sea Meadow Circle / \� 1- Il I o e i I I � e M Town of Barnstable r# 3 3 r Department of Regulatory,Services Public Health Division Hate.i+ A •b39 �d' 200 Main Street'Hyannis MA 62601 .- Date ScHedtiled / Time Fee Pa. * d CC Soil Suitability Assessment for Sewa a Disposal Performed B Gy"Q✓ s_ J--e-� Y `t Witnessed 13 LOCATION& GENERAL INFORMATION Location Address Owner's Name Af)QFhe, �„�L�•n Ad dress �s V g q s J-or"t PrLu'k. /24 p 2Y4- Z39 t Engineer's Name Assessor's Ma /Parcel: �i � � NEW CONSTRUCTION x REPAIR' Telephone# $,- 737^�-7bp'' Land'Use S�f/ "4 �. : ,. Slo es %j Z='� ' . p ( )- _ ,.Surface Stones Distances from:y Open Water Body �7 r ft Possible Wet Area ft , Drinking Water Well ft Drainage Way. ft Property Line Z'�-1--- ft Other "SKETCH:<(Street name;dimensions of lot,exact locations of test &perc tests,locate wetlands fn proximity to holes) Lacs (�� ` 6 Z $f APZA 1 5 t � . . Parent material(geologic) JGS 7�I f 2 T�3g y Depth to Bedrock Depth to Groundwater. Standing Water in Hole: 167 V �Y4� Weeping from Pit Face Estimated Seasonal High Groundwater ?4 11 DETERMINAT (�N FOR SEASONAL HIGH` WATER TABLE Method Used: lied c�. ( Yp►t-c- �c^e 44n Depth Observed standing in obs hole: In, Depth to soil mottles; . . In.` Depth to weeping from side of obs.hole: in. Groundwater Adjustment ft Index Well# Reading Date: Index Well level Adj.factor Adj.(routndwater Level PERCOLATION TEST Data , "me {. Observation Hole# - Time at 9" - Depth of Perc �74 .V 3 1 �'^' w Time it 6". Start Pre-soak Time® 'Time(9"•6") - End Pre-soak Rate MinJlnch Site Suitability Assessment: Site Passed__of _ Site Failed: Additional Testing Needed(Y/N) Original: Public Health'Division Observation Hole Data To Be Completed on Back-- If 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# 71 Depth from Soil Horizon Soil Texture. Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones;Boulders. Consistency. Gravel) F - 36 3 s re yoz 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,%Gravel) DEEP OBSERVATION HOLE LOG Hole# 3 Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.)` 1 (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consistency. Gravel) (Z> S L U X5/8 DEEP OBSERVATION HOLE LOG Hole# _. Depth from Soil Horizon 'Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones;Boulders. Consist z, 61 7, r'1=5 � f-;� S otw� r Flood Insurance Rate Map: Above 500 year flood boundary. No Yes , Within 500 year boundary No Yes es Within 100 year flood boundary No Yes Death 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? If not,what is the depth of naturally occurring pervious material? Certification I certify that on0. _(date)I have passed the soil evaluator examination approved by the Department of Environmental Protection and that the above analysis was performed by me consistent with the required training,expertise and experience described in 310 CMR 15.017. Signature Date Q:1SBP'nLAPERCFORKDOC 2'-0""GRANITE 3�_6" !CE�DAR OSTS, RIVACY PANELS ` Y D RS, DISCUSS o Z DEC PTIONSO m UTDOOR SHOWER l l DECK - REQUEST DETAILS LAVW �o ® pv� TILE BATH N o= CA _ - - - „- - - - - - - - �� o TILE - - 7 TRIMMED HEADER- - _ i 6x6 P.T. POST O �- ITRIMMED TO 7x7 - - 23 q uj I _ _ �..N>�R7SNEE�®LC96QVE�EESEGIiQ6t=- ��� r ICI 3,-6° FlN -��I I a BEDROOM Io1 FRONT PORCH ti� I I � o N WOOD FLOOR I�I DISCUSS DECKING OPTIONS z I=E vT ", ill 3'-10" AN, 3-10" FIN. ` �� ;1 r �, ( f Q� (2) Vr6-6'B im I I I o o SHELF&POLE i l o Z BUILDING - - f I = I� H CLOSET = o o P a C.D -C NTE�LINE - - - -1�1M- IMNIREGBEE SMIC !N m , c .4nA� � `"�w CLOSET / v' °O �" JL C = v I I I f I I Isi SHELF&POLE I I 11 I I (2) 1' -6'8 216-6'-8' � o IWI I�EVCROSS MED CEILING TIESI I t I I � G ,n f� I SECTIONSI I I I , , �CA t 0 aE If I LIVING BEDROOM di c I WOOD FLOOR ? WOOD FLOOR ° . _ �x�UNDER-KNEE�ACC YE E TlOIl _ _ o OUTDOOR KITCHEN ' 8'-011 12'-0" 12'-0" A10.6981 FRONT PORCH FRAMING OUTSIDE FRAMING TO CENTERLINE NCO ' AAA nIOFM�ssP` 1ST FLOOR PLAN POOLHOUSE 6'-2" ' 11'-811 6'-2" 82 SEA MEADOW CIRCLE CENTERV I LLE, MA JULY 11 , 2011 SHEET 1 OF 8 { RICK EIFLER, ARCHITECT, 978-371-1774 24'-0" 0 1 4 8 12 4 P.T. FRAMED-SHOWER DECK FLU FT-2i I�I P.T. 44 POST ON STANDOFF SSE ON g ji1 II IU II II I I'I�f 12" $ 3000# CONCRETE PIER BEARING I I mllo II ON UNDISTURBED SOIL 4 BELOW GRADE wo a I I-6" - II7'-O'd! III '••' d I I I I w III I -Ilca' II II II II I1 _ PT. 2x�1 LEDG B W14NGER1 _ 11 --------- .L ANDERSEN 2820 I 1 _ I I ---------------- -- ------------------- I -oi i I o PROVIDE BEAM POCKETS I �1 I IF USING DROPPED BEAM i N - - - - - = - - ` L - I I of I I 1 I - - - - - - - - -1 N I I t M1 I I I o III I I o o T-- I I o 1 ====_==__- I Icn I zl I I a� Iw 1 I m Ckf 1= I ml I 1 I�t - -I, I Z I-Wit-r•-� � I Io �I o Lj i BASEMENT i t "I 1 4" REINFORCED 3000#CONCRETE SLAB OVER I o cm z 1 I I Z J I 8 MIL POLY OVER COMPACTED SAND/GRAVEL I I g I _________=T- I CONFIRM SLAB ELEVATION = 92.17' i I o I=I hI I o ~'I i _ FINISHED 1ST FLOOR = 93.17' l o0 __= I� 1 l of I I I i = a Q o . Ea ao _V.T_2x8 DI JOBTS 16"0_C:_ I I �� 1 cf) AN. DECK 7" BELOW FIN. 1ST FLOOR I� o I_ �I_-1 2'8-68 - pfo aI __________ 1 Im I W ml Iw - o I I o a I I B I 1 cN LnI I 2x8 FLOOR JOISTScm I W I c3 I Lq oI o' w I I t o Ic-q Ell I I I d 1��=______ 18 I of I o N �EviED AR�y�r o � -2"0 3000#CONCRETE BIGFOOT 94; T PIER BEARING ON UNDISTURBED l I ^ I l No.698 o SOIL 4' MIN. BELOW FINISHED GRADE 1 =l I j CONCO Jy I I JI 1 MA I --------------- ----�-r----------------=-----I __ANDERSEN 2820_ _�,,,-•___--- --_, .. ___ _...- ----------J E3 7'_ " o TO C.L. PIER g PRELIMINARY FOUNDATION POOLHOUSE &-o" 17'-10" 6'-211 82 SEA MEADOW CIRCLE CENTERV I LLE, MA FRONT DECK FRAMING JULY 11 , 2011 SHEET 2 OF 8 81-311 4'-0, RICK EIFLER, ARCHITECT, 978-371-1774 POOL DECK TO FRONT OF FOUNDATIQN WALL, SUBJECT TO FINAL GRADING 0 1 4 8 12 12 19 CF TW28310 z LOW SLOPE HIP ROOF LOFT LEVEL I — — — — — - — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — 4'-0" 7"AZEK TRIM OVER 3 2z8 HEADER / x AZEK WINE T S E - FWH6061100 TW2842-2 Y CIDE RP T k \ RVi Ic is \ x \ O Y - J COORDINATE STEPS TO GRADE W POOL PATIO - CONFIRM AN. GRADE ELEV. 99.00' I I I I I I I I I I I i I I o.698 C CO - 1 - - - - - - - - - - - - — — — — — — — — — — — — — - — — — — — — — — — — — — — — — —� t` JHOFMQ"' t — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — � FRONT (POOL) ELEVATION POOLHOUSE 82 SEA MEADOW CIRCLE CENTERVILLE, MA JULY 11 , 2011 SHEET 3 OF 8 RICK EIFLER, ARCHITECT, 978-371-1774 0 1 4 8 12 28'-0" SHINGLED RIDGE VENT 14" x 24' LVL RIDGE BEAM x6 TRI O ,poo��o0 12 9 OC pl yo' 36" HIGH CAPPED WALL SGlgToy sy� y O c - It I Wio pgo'OF It I �i v I I Ylm�, _ _ _ _ _ _ _ _ _ _I _ _ _ LOFT FLOOR LEVEL I 2x8 WIND BAFFLE BLOCKING& 2x8 @ 16 - - - - _ - _ - - - - - - - - - - - - - - - - - - - - - - - HURRICANE TIE RA RSTO TOP PLATE VENTED SOFFIT 70° SHIP'S > o_ LOFT Uj CD 3i DETAIL so� + cm U rc opq ol vi 36 o o 00 p CV DAR A 110srs L LAV � LIVING o PINISHED FLOOR 00 GLUENAb RAY R O INSQ 0 P.T. 2x8 @ 16 (2) 7 1/4 LV 2x8 FLOOR JOISTS @ 16" 0. . W BRIDGING @ MID SPAN ANCHORED • . STEP UNDER WALL P.T. 2x6 SILL — FINISHED GRADE I I � I I o 0 I � � � o D 41R I_ g � a Q��\ p� •Fi FO BASEMENT � och 0.698 b PROVIDE INTERIOR PERIMTER DRAIN TO SUMP coCON D, y 4" qEjNFORCED 3000# CONCRETE SLAB OVE MIL POLY OVER COMPACTED SAND/qqVEL PIT OR EXTERIOR PERIMETER FOOTING DRAIN �,dJ TO DAYLIGHT OR DRY WELL, SUBJECT TO 12z24 FINAL GRADING INN of - - -I - - - - - - -� UNDISTURBED SOIL CROSS SECTION @ LIVING POOLHOUSE 82 SEA MEADOW CIRCLE CENTERVILLE, MA JULY 11 , 2011 SHEET 4 OF 8 RICK EIFLER, ARCHITECT, 978-371-1774 0 1 4 8 12 SHINGLED RIDGE VENT 14" x 24' LVL RIDGE BEAM x6 TRI O 2x8 TIES 4'O.C._ _ _ �� q�o�y 12 um �O 9 F L OC A� D /Ns90 ��OOFs �roN yFq�� LOFT A� N� N N 2x8 WIND BAFFLE BLOCKING& 2x8 @ 16 All 11 11 JJ8 FLOflR JOISTI3 @ 14T O.C. BRI ING @IMIDS N 11 11 7K HURRICANE TIE RA ERS TO TOP PLATE 2 2x8 & 2 2x8& (2) 2x8 + RIGID VENTED-SOFFIT HANGERS HANGERS INSUL. EADER 0 z c2 S Oo - - S eV:; 60 0= - I ., C) 0 0 00 LLJ BEDROOM BEDROOM � z ,� 3 FINISHED FLOOR E 3 4"T&G P 11 RAY R 0 IN TIO 2x8 FLOOR JOISTS 16" O.C. W BRI GING @ MID SPAN ANCHORED ' P.T. 2x6 SILL 0 COORDINATE FINISHED GRADE cl o IN THE FIELD �o o z ED A h/rep mci BASEMENT o a C' No.698 BULKHEAD OPENING o o PROVIDE INTERIOR PERIMTER DRAIN TO SUMP CONCO 8"CURB STEP PIT OR EXTERIOR PERIMETER FOOTING DRAIN TO DAYLIGHT OR DRY WELL, SUBJECT TO �HOFM �P 4 REINFORCED 3000 CONCRETE SLAB OVER 8 MIL POLY OVER COMPACTED SAND GRAVEL 12x24 FINAL GRADING UNDISTURBED SOIL CROSS SECTION @ BEDROOMS POOLHOUSE 82 SEA MEADOW CIRCLE CENTERVILLE, MA JULY 11 , 2011 SHEET 5 OF 8 RICK EIFLER, ARCHITECT, 978-371-1774 0 1 4 8 12 4 SHINGLED RIDGE VENT r - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - I I 1 1 1 I I L I L I `1 2x8 TIES 4' O.C.TRIMMED SIDES& BOTTOM I 0 1 Ed 0 c I z I _ 3 h - - - - -i I 12 2 1/21 - I PAN FLASHING @ I IREfURN CAPPED I GABLE WINDOW SILL I (WALL @ LADDER I I 1 - LOFT LEVEL1 @ I ALUMINUM DRIP DRIP EDGE - - - - - - - - - - - - - - _ ALUMINUM GLITTER ON lx8 A7FK FASCIA - 3 2x8 ICI 7" AZEK TRIM OVER 3 2x8 HEADER HEADER MITERED 10 AZEK CAP/BASE —� X 0 flu TW2842 TW2842 I Y co - o OUDOOR KITCHEN a x8 ALLK OVLR ZX8 P.T.FRAMM DECK CONFIRM POOL PATIO ELEV. 99.00' = 6x8 P.T. GRADE BEAM I I MAINTAIN GRADE OVER 2820 1 t, I SEPTIC TANK i o I t 8'-0" I 1 TYPE S t I BADE�O 3 fT. 1 BULKHEAD l I I i t CONFRM REAR GRAD 96.00' • - - - 11 � I I i 0.16981 I I t CONCOR , 1 y I 1 _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ - - - - - - - STEPI OF t I — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — RIGHT (STREET) ELEVATION POOLHOUSE 82 SEA MEADOW CIRCLE CENTERVILLE, MA JULY 11 , 2011 SHEET 6 OF 8 RICK EIFLER, ARCHITECT, 978-371-1774 0 1 4 8 12 TW28310 �o 0 — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — - I TW2842 TW2842 0 " f17 r7- OWN FRONT GRADE 99.00' / I I CONFIRM REAR GRADE 99.00' I (TYPE S/ HEADI I I I I � I I I �1 , UIKHE9D QPEOGA I I — — — — — = I —I CO I— — — — — — — — — — — — — — — — - — — — — S�—I— — — — — — — — — — — — — — — — — — — — — 1 - bW I - - — — — — — — — — — — — — — — — -- - -.— - - - - I )ifOFAAP`'�'' REAR ELEVATION POOLHOUSE 82 SEA MEADOW CIRCLE CENTERVILLE, MA JULY 11 , 2011 SHEET 7 OF 8 RICK EIFLER, ARCHITECT, 978-371-1774 0 1 4 8 12 I— — — — - — — — — — — — — — — — — — — - — — — — — — — — — — — - - - - - I I I I I I i I - I F I I \ II I I I — — — — — — — — — — — — i — —�— FM TW2032 TW2842 I - - J ` I CEDAR TRIMMED SHOWERCPORCH i q2820 \ OUTDOOR SHOWER W VCEDAR T IMM D P.T. FRAMED DECK + CEDAR POSTS & PRIVA Y PANELS \ I I I I N0.6981 cn. I I I I CONCO I MA J - - — — — — — — — — — — — — — — — — — — — — — ———' — — — — — — — — — — I I OFt��`'c'@ I — - - — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — �— �— — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — —I LEFT SIDE ELEVATION POOLHOUSE 82 SEA MEADOW CIRCLE CENTERVILLE, MA JULY 11 , 2011 SHEET 8 OF 8 RICK EIFLER, ARCHITECT, 978-371-1774 0 1 4 8 12