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HomeMy WebLinkAbout0656 SOUTH MAIN STREET - Health 656 South Main St Centerville A= 186 - 040 Centerville P z 'C 12543 'k 53LOR :ASTINGS, LIN r n le(0— o�C I i c Commonwealth of Massachusetts �v Title 5 Official Inspection Form T Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 656 South Main Street Property Address ;„a John Tobin Owner Owner's Name information is required for every Centerville ✓ Ma 02632 2-22-19 ; .•� page. City/Town State Zip Code Date of Inspection W, I 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. Inspector Information �/ /8(e/a..• on the computer, Brett Hickey use only the tab key to move your Name of Inspector cursor-do not B&B Excavation use the return key. Company Name 374 Route 130 y Company Address Sandwich Ma 02563 City/Town State Zip Code rmrt (508)477-0653 S113747 Telephone Number License Number B. Certification I certify that: I am a DEP approved system inspector in full compliance with Section 15.340 of Title 5 (310 CMR 15.000); 1 have personally inspected the sewage disposal system at the property address listed above; the information reported below is true, accurate and complete as of the time of my inspection; and the inspection was performed based on my training and experience in the proper function and maintenance of on-site sewage disposal systems.After conducting this inspection I have determined that the system: 1. ❑■ Passes 2. ❑ Conditionally Passes 3. ❑ Needs Further Evaluation by the Local Approving Authority 4. ❑ Fails Brett Hickey � e- " 2 22 19 Inspector's Signature Date The system inspector shall submit a copy of this inspection report to the Approving Authority(Board of Health or DEP)within 30 days of completing this inspection. If the system 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 form should be sent to the system owner and copies sent to the buyer, if applicable, and the approving authority. Please note: 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. t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 1 of 18 T c Commonwealth of Massachusetts �n Title 5 Official Inspection Form Io Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 656 South Main Street u Property Address John Tobin Owner Owner's Name information is Centerville Ma 02632 2-22-19 required for every page. City/Town State Zip Code Date of Inspection C. Inspection Summary Inspection Summary: Complete 1, 2, 3, or 5 and all of 4 and 6. 1) 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: The system was in working order at the time of inspection. 2) 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 Health. *A metal septic tank will pass inspection if it is structurally sound, not leaking and if a Certificate of Compliance indicating that the tank is less than 20 years old is available. ❑ Y ❑ N ❑ ND (Explain below): t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 2 of 18 I d c Commonwealth of Massachusetts �e Title 5 Official Inspection Form col Subsurface Sewage Disposal System Form -Not for Voluntary Assessments u 656 South Main Street Property Address John Tobin Owner Owner's Name information is Centerville Ma 02632 2-22-19 required for every page. City/Town State Zip Code Date of Inspection C. Inspection Summary (cont.) 2) System Conditionally Passes (cont.): ❑ Pump Chamber pumps/alarms not operational. System will pass with Board of Health approval if pumps/alarms are repaired. I ❑ Observation of sewage backup or break out or high static water level in the distribution box due to broken or obstructed pipe(s) or due to a broken, settled or uneven distribution box. System will pass inspection if(with approval of Board of Health): ❑ broken pipe(s)are replaced ❑ Y ❑ N ❑ ND(Explain below): ❑ obstruction is removed ❑ Y ❑ N ❑ ND(Explain below): ❑ distribution box is leveled or replaced ❑ Y ❑ N ❑ ND(Explain below): ❑ The system required pumping more than 4 times a year due to broken or obstructed pipe(s). The system will pass inspection if(with approval of the Board of Health): ❑ broken pipe(s)are replaced ❑ Y ❑ N ❑ ND(Explain below): ❑ obstruction is removed ❑ Y ❑ N ❑ ND(Explain below): 3) 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. a. 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: t5insp.doc•rev.7/26/2018 Title 6 Official Inspection Form:Subsurface Sewage Disposal System•Page 3 of 18 c� Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments ` 656 South Main Street u Property Address John Tobin Owner Owner's Name information is Centerville Ma 02632 2-22-19 required for every page. City/Town State Zip Code Date of Inspection C. Inspection Summary (cont.) ❑ 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 b. 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 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. c. Other: 4) System Failure Criteria Applicable to All Systems: You must indicate"Yes" or"No"to each of the following for all inspections: Yes No ❑ a Backup of sewage into facility or system component due to overloaded or clogged SAS or cesspool ❑ ❑ Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or clogged SAS or cesspool t5insp.cloc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 4 of 18 I Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 656 South Main Street u Property Address John Tobin Owner Owner's Name information is Centerville Ma 02632 2-22-19 required for every page. City/Town State Zip Code Date of Inspection C. Inspection Summary (cont.) 4) System Failure Criteria Applicable to All Systems: (cont.) Yes No ❑ ID Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool ❑ a Liquid depth in cesspool is less than 6" below invert or available volume is less than Y2 day flow ❑ a Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s). Number of times pumped: ❑ 0 Any portion of the SAS, cesspool or privy is below high ground water elevation. ❑ El Any portion of cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply. ❑ El Any portion of a cesspool or privy is within a Zone 1 of a public water supply well. ❑ 0 Any portion of a cesspool or privy is within 50 feet of a private water supply well. ❑ El Any portion of a cesspool or privy is less than 100 feet but greater than 50 feet from a private water supply well with no acceptable water quality analysis. [This system passes if the well water analysis, performed at a DEP certified laboratory,for fecal coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered.A copy of the analysis and chain of custody must be attached to this form.] ❑ 0 The system is a cesspool serving a facility with a design flow of 2000 gpd- 10,000 gpd. ❑ El 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. 5) Large Systems: To be considered a large system the system must serve a facility with a design flow of 10,000 gpd to 15,000 gpd. For large systems, you must indicate either"yes" or"no"to each of the following, in addition to the questions in Section CA. 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 t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 5 of 18 Commonwealth of Massachusetts ,p Title 5 Official Inspection Form i; Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 656 South Main Street Property Address John Tobin Owner Owner's Name information is Centerville Ma 02632 2-22-19 required for every page. City/Town State Zip Code Date of Inspection C. Inspection Summary (cont.) If you have answered "yes"to any question in Section C.5 the system is considered a significant threat, or answered"yes"to any question in Section CA above the large system has failed.The owner or operator of any large system considered a significant threat under Section C.5 or failed under Section CA shall upgrade the system in accordance with 310 CMR 15.304. The system owner should contact the appropriate regional office of the Department. 6. You must indicate"yes" or"no"for each of the following for all inspections: Yes No ❑ R Pumping information was provided by the owner, occupant, or Board of Health ❑ El 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? ❑ El Have large volumes of water been introduced to the system recently or as part of this inspection? ❑ ❑ Were as built plans of the system obtained and examined?(If they were not available note as N/A) ❑ El Was the facility or dwelling inspected for signs of sewage back up? 0 ❑ Was the site inspected for signs of break out? El ❑ Were all system components, excluding the SAS, located on site? El ❑ 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? ❑ El 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: 0 ❑ Existing information. For example, a plan at the Board of Health. ❑ 0 Determined in the field (if any of the failure criteria related to Part C is at issue approximation of distance is unacceptable) [310 CMR 15.302(5)] t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 6 of 18 i Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 656 South Main Street v Property Address John Tobin Owner Owner's Name information is Centerville Ma 02632 2-22-19 required for every page. City/Town State Zip Code Date of Inspection D. System Information 1. Residential Flow Conditions: 4 Number of bedrooms(design): Number of bedrooms(actual): 4 DESIGN flow based on 310 CMR 15.203(for example: 110 gpd x#of bedrooms): 441/gpd Description: 0 Number of current residents: Does residence have a garbage grinder? ❑ Yes [j] No Does residence have a water treatment unit? ❑ Yes 0 No If yes, discharges to: Is laundry on a separate sewage system?(Include laundry system inspection ❑ Yes 0 No information in this report.) Laundry system inspected? ❑ Yes No Seasonal use? ❑ Yes No Water meter readings, if available(last 2 years usage(gpd)): See below Detail: 2018- 265,000gallons 2017- 315,000gallons Sump pump? ❑ Yes ❑■ No Last date of occupancy: Jan 2019Date t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 7 of 18 c Commonwealth of Massachusetts Title 5 Official Inspection Form I°1 Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 656 South Main Street v Property Address John Tobin Owner Owner's Name information is Centerville Ma 02632 2-22-19 required for every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 2. Commercial/Industrial Flow Conditions: NA Type of Establishment: Design flow(based on 310 CMR 15.203): Gallons per day(gpd) Basis of design flow(seats/persons/sq.ft., etc.): Grease trap present? ❑ Yes ❑ No Water treatment unit present? ❑ Yes ❑ No If yes, discharges to: Industrial waste holding tank present? ❑ Yes ❑ No Non-sanitary waste discharged to the Title 5 system? ❑ Yes ❑ No Water meter readings, if available: Last date of occupancy/use: Date Other(describe below): 3. Pumping Records: Source of information: Owner- date of last pump is unknown Was system pumped as part of the inspection? ❑ Yes ❑■ No If yes, volume pumped: gallons How was quantity pumped determined? Reason for pumping: t5insp.doc-rev.726/2018 Tide 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 8 of 18 f Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 656 South Main Street v Property Address John Tobin Owner Owners Name information is Centerville Ma 02632 2-22-19 required for every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 4. Type of System: El Septic tank, distribution box, soil absorption system ❑ Single cesspool ❑ Overflow cesspool ❑ Privy ❑ Shared system (yes or no) (if yes, attach previous inspection records, if any) ❑ Innovative/Alternative technology. Attach a copy of the current operation and maintenance contract(to be obtained from system owner)and a copy of latest inspection of the I/A system by system operator under contract ❑ Tight tank.Attach a copy of the DEP approval. ❑ Other(describe): Approximate age of all components, date installed (if known)and source of information: COC 8-11-2009 Were sewage odors detected when arriving at the site? ❑ Yes ❑■ No 5. Building Sewer(locate on site plan): 1'6" Depth below grade: feet Material of construction: ❑ cast iron ❑■ 40 PVC ❑other(explain): Distance from private water supply well or suction line: Town waterfeet Comments(on condition of joints, venting, evidence of leakage, etc.): t5insp.doc•rev.7/26/2018 Title 6 Official Inspection Form:Subsurface Sewage Disposal System•Page 9 of 18 C Commonwealth of Massachusetts 1- Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 656 South Main Street Property Address John Tobin Owner Owner's Name information is Centerville Ma 02632 2-22-19 required for every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 6. Septic Tank(locate on site plan): 6" Depth below grade: feet Material of construction: ❑■ concrete ❑ metal ❑fiberglass ❑ polyethylene ❑other(explain) If tank is metal, list age: years Is age confirmed by a Certificate of Compliance?(attach a copy of certificate) ❑ Yes ❑ No 1 Dimensions: 500gallons 2n Sludge depth: 34" Distance from top of sludge to bottom of outlet tee or baffle 0if Scum thickness NS Distance from top of scum to top of outlet tee or baffle NS Distance from bottom of scum to bottom of outlet tee or baffle measured How were dimensions determined? Comments(on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): The tank was in working order at the time of inspection. The tank is not in need of pumping at this time but should be pumped every two years for maintenance. t5insp.doc-rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 10 of 18 i Commonwealth of Massachusetts �s Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 656 South Main Street Property Address John Tobin Owner Owner's Name information is Centerville Ma 02632 2-22-19 required for every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 7. Grease Trap(locate on site plan): Depth below grade: NA feet 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: Date Comments(on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): 8. Tight or Holding Tank(tank must be pumped at time of inspection) (locate on site plan): Depth below grade: NA Material of construction: ❑ concrete ❑ metal ❑fiberglass ❑ polyethylene ❑other(explain): Dimensions: Capacity: gallons Design Flow: gallons per day t5insp.doc-rev.MUM 8 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 11 of 18 r c Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 656 South Main Street Property Address John Tobin Owner Owner's Name information is Centerville Ma 02632 2-22-19 required for every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 8. Tight or Holding Tank(cont.) Alarm present: ❑ Yes ❑ No Alarm level: Alarm in working order: ❑ Yes ❑ No Date of last pumping: Date Comments (condition of alarm and float switches, etc.): Attach copy of current pumping contract(required). Is copy attached? ❑ Yes ❑ No 9. Distribution Box(if present must be opened) (locate on site plan): 0" 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.): The d-box was in working order at the time of inspection. l5insp.doc-rev.7/2 612 0 1 8 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 12 of 18 I Commonwealth of Massachusetts �e Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 656 South Main Street Property Address John Tobin Owner Owner's Name information is Centerville Ma 02632 2-22-19 required for every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 10. Pump Chamber(locate on site plan): Pumps in working order: ❑ Yes No* Alarms in working order: ❑ Yes No* Comments(note condition of pump chamber, condition of pumps and appurtenances, etc.): NA * If pumps or alarms are not in working order, system is a conditional pass. 11. Soil Absorption System (SAS) (locate on site plan, excavation not required): If SAS not located, explain why: Type: ❑ leaching pits number: ❑ leaching chambers number: ❑ leaching galleries number: ❑ leaching trenches number, length: 30'x21' El leaching fields number, dimensions: ❑ overflow cesspool number: ❑ innovative/alternative system Type/name of technology: t5insp.doc•rev.7/26/2018 Title 6 Official Inspection Form:Subsurface Sewage Disposal System•Page 13 of 18 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 'v 656 South Main Street Property Address John Tobin Owner Owner's Name information is Centerville Ma 02632 2-22-19 required for every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 11. Soil Absorption System (SAS) (cont.) Comments(note condition of soil, signs of hydraulic failure, level of ponding, damp soil, condition of vegetation, etc.): The leaching was in passing condition. No sign of past back up observed. 12. Cesspools (cesspool must be pumped as part of inspection) (locate on site plan): Number and configuration NA Depth—top of liquid to inlet invert Depth of solids layer Depth of scum layer Dimensions of cesspool Materials of construction Indication of groundwater inflow ❑ Yes ❑ No Comments(note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): t5insp.doc-rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 14 of 18 Commonwealth of Massachusetts ii. Title 5 Official Inspection Form 15 Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 656 South Main Street Property Address John Tobin Owner Owner's Name information is Centerville Ma 02632 2-22-19 required for every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 13. Privy(locate on site plan): NA Materials of construction: Dimensions Depth of solids Comments(note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 15 of 18 c Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 656 South Main Street v Property Address John Tobin Owner Owner's Name information is Centerville Ma 02632 2-22-19 required for every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 14. Sketch Of Sewage Disposal System: Provide a view of the sewage disposal system, including ties to at least two permanent reference landmarks or benchmarks. Locate all wells within 100 feet. Locate where public water supply enters the building. Check one of the boxes below: ❑■ hand-sketch in the area below ❑ drawing attached separately r sass ing As-BtAlt''Card' xacAz sowAc4s �. assvrAPk PAx cox t rx STAB-Aim SM C TA2*11C;C CITY', } •j{'� " LIAIC'It4(3FlaCTLlIY:l�#p�), 1JE1::C1F BBpItOAMS_, .'"' _•c� 01 PERMiT LlA1 E COMPUANCB i)AY t Soyagetton t>iamnaa Betwccii sts� :. ,.. •. _.. .Maxtmam A(#lWall GmnW,Wr T Bha 160tiouor of I . .Piiga.'oe Watar S �.Faeiirty u x{y YC3ctr aow r.eachu Pao�Sxey(7f wells eiciss am ' ' ,srte�a�i'etiin 2V0 faet.pflBar.Amg a7uy7 ,�,�'!' ;��„ "�dge:af VVWand�tdLmeAing Facilx`i,�1dE"e�j>xvatyartas et�wi3r_ur -:y, - 3DO A - � t ' ; t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 16 of 18 I r- Commonwealth of Massachusetts Title 5 Official Inspection Form �a! Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 656 South Main Street v Property Address John Tobin Owner Owners Name information is Centerville Ma 02632 2-22-19 required for every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 15. Site Exam: ❑■ Check Slope ❑E Surface water ❑■ Check cellar II ❑■ Shallow wells Estimated depth to high ground water: No GW 4' below SASfeet Please indicate all methods used to determine the high ground water elevation: 0 Obtained from system design plans on record If checked, date of design plan reviewed: 1-19-06Date ❑ Observed site(abutting property/observation hole within 150 feet of SAS) I ❑ 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: A plan on file with the Board of Health was used. Before filing this Inspection Report, please see Report Completeness Checklist on next page. t5insp.doc-rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 17 of 18 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 656 South Main Street �V Property Address John Tobin Owner Owner's Name information is Centerville Ma 02632 2-22-19 required for every page. City/Town State Zip Code Date of Inspection E. Report Completeness Checklist Complete all applicable sections of this form inclusive of: ❑■ A. Inspector Information: Complete all fields in this section. B. Certification: Signed& Dated and 1, 2, 3, or 4 checked 0 C. Inspection Summary: 1, 2, 3, or 5 completed as appropriate 4(Failure Criteria)and 6(Checklist)completed D. System Information: For 8: Tight/Holding Tank—Pumping contract attached For 14: Sketch of Sewage Disposal System drawn on pg. 16 or attached For 15: Explanation of estimated depth to high groundwater included t5insp.doc-rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 18 of 18 Town of Barnstable Regulatory Services Thomas F. Geiler,Director Public Health Division Thomas McKean,Director 200 Main Street,Hyannis,MA 02601. Office:508-862-4644 Fax: 508-790-63.04 Installer& Designer Certification Form 200 g Date: 8 t1 o Sewage Permit# i Assessor's Map\Parcel Designer: SuLiivQN EA/rYi�vLERiA��/ We— Installer: —"r-vcG Address: as,7'ER��L MAs r' Address: On was issued a permit to install a (date) (installer) septic system at G.SL 1W oN sT M f7-,Ql based on a design drawn by 5 t✓GL,v/��/ (address) �Iv�rrv��2i�;z,ryc . datedTf UG 2�l i2/Z�/04 (designer) I certify that the septic system referenced above was installed substantially according to the design, which may include minor approved changes such as lateral relocation of the distribution box and/or septic tank. 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 Regulations. Plan revision or certified as-buiftbdes er to follow. R (Installer's_Signature) 1 N--�' No. 29733 SAL (Designer's Signature) (Affix Designer's 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:Health/Septic/Desiper Certification Form 3-26-04.doc ;� - - - , ; -,,, � � i ` ^ l� ST C e,�- �� �� .� � �� �- . ., ¢ i {�" � � � �• �;; � r Fmtl Ma Ph,,a rcele 186040 a Tq�wn of Barnstable .0' w Health Department Health System �� Ir Oil LIA MaplParceim rr�r r 186040 014 Tag Nbr� 00000 Installetl Location B ram'' Test Noti lGation Date 06/14/1993 Stasis ` r�� -ma- '���' Removal'Notificati n DatesTest 1 � r ,r riiimy � r � G yy dorl � �s ban n Remova W0� l� 09/05/1990 �� �' ,�' fs- � Fue&Storetl FO ' Fuel StorageReason H r ac ty structio Leak Detection Cathodic Detection Storage Tdnk Info 000300 i y on J 1 k ._.. � � ,. rAtltlitionalbetailsQ LEAKER NO OTHER INFO AVAIL BD , r r 1 ,c'fi '^ Yr '`" y rrrr-r"ry'" - wig rd l rWOW, ' C r S' ' Add Change Record? I �? IF 71 t „*.� ;"".��.Cr,�,,, / ✓N r /`r s f rim "QK y Search for Map/Parcel 186040 �K. Townaf Barns a le ” v shjr� pf .. Foy Pa c�i Humbe 186040 !7k ' RentalFroperty(1'N) r x ushnes Name one of Gon#r► ut► n( 1N� ��� r �fum�er � � Contam►n�ant Rel YfN IRA` e� 000 � 0000000 duel 5t rage Ta k Perm►t r s� � ��?� %ter„ F Cartl On F e plsposalW41borks �erc-Te5t �s OI1StrlIC�071 f el[i�erm►t _ �,y�F►lelerm► No^ �j' � , Issuance Dater 2 s x Complet►on Date � � � '� ,� ' � �^� Size of Sept►c y161Sa of S S: 16 ,'Tank r, ys aE� r a Comments ! �'"" r (1)300G#2 TANK REMOVED 090590 LEAKER WY'r�a� BD ' rm^r, -r rmrr ^-� r s ate mappar�186040Owner MCLAUGHLIN RUTH& proplocSOUTH MAIN STREET rz- RA 4 rrr e Innovat►ve/Alternat►ve�TechnologyjSptjeSystems * S.►n to"orb yo " Clustered �r �'iisllA��TyP� IA Servi a Tyke� � jiadd records �'4 1ATe'records� I r rr r �v� r TON^ OF BARNSTABLE LOCATION 6 s6 Ste. A,t SEWAGE Cog VILLAGE C(�,��ec (,� ASSESSOR'S (MAP&PARCEL 4 INSTALLER'S NAME&PHONE NO. a G SEPTIC TANK CAPACITY 15ZO GJAk LEACHING FACILITY:(type) k (size) Z x 30 NO.OF BEDROOMS , � OWNER P` O�p PERMIT DATE: l COMPLIANCE DATE: J Separation Distance Between the: / Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility .O 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 le .ng I Feet FURNISHED B5 �(4S I 30 27 3q" 9- 2) 3 No. . DOSIL?" N� f �/. .,. I ` l Fee ��a~ v THE COMMONWEALTyy H OF MASSACHUSETTS Entered in compui re PUBLIC HEALTH DIVISION - TOWN OF B'ARNSTABLE, MASSACHUSETTS Yes 2[pplication for �Digpo5al i§pgtem Construction Permit Application for a Permit to Construct( ) Repair( ) Upgrade 0o Abandon( ®Complete System ❑Individual Components Location Address or Lot No. Owner's Name,Address,and Tel.No. 6?!. S. MAIN S? ASS ToH 706IN Ca:/✓7?�R✓rr-r•� /►'I Cio ►BAN-TCW-., v RAwSaN t?p. i3t.OG- Z.�.v Assessor's Map/Parcel ( S& O q O VI G rom 0, KY Installer' Name,Adaress,and Tel.No. Designer's Name,Address and Tel.No. tf O$1-4Z 0-334 y M,a, (IGCCI�;SIclt $O8"fag SUI-LrVAA- &IVGirvr:Q¢.ING. (NG Z o'C. ST. 0smt 1 ssaq -r PAR R RD CISTMO-VILLA AIN. Type of Building: -L Y T Dwelling No.of Bedrooms L4 of Size 26 S6'G sq.ft. Garbage Grinder (N 0 Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures r Design Flow(min.required) y 40 gpd Design flow provided 441 gpd Plan Date :3414, 11. ZOO G Number of sheets 2-- Revision Date WZ1 16 Title Sri Ex►strlho C&NI)I'T1,P05 , �Z P2oPossP IMProtlaN- wr-f Size of Septic Tank I SOo GALLON) Type of S.A.S.11'X 3 0 LSAe-Veyp QCsp Description of Soil 0" G' Lon m -ORGANIC —O— /i�-23"' F*I L.L . 23 �- 44 22' -/505t+ EkZtj LOAM SANO IOYR S G -B-.. 2'�-7G�� L't .YEL'I51; ligr.0 M450 -SAND �..s 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 thi and of alth. n' g Signe Date o7 Application Approved by i W- am, Date W de- Application Disapproved by: Date for the following reasons Permit No. G 0�' i 7 Date Issued a G . .� Fee U `` Y4f Entered in com uta— r THE COMMO WELTH F p ;.. N�. O MASSACHUSETTS �.. n, ._...x�. t F ., Yes PUBLIC HEALTH DIVISION .TOWN OF,BARNSTABLE, MASSACHUSETTS .. Application for Migonl *p5tem Cow5truction Perri' it Application for a Permit to Construct Repair Upgrade PP ( ) P ( ) pg (X) Abandon( �) ®Complete System ❑Individual Components Location Address or Lot No. Owner's Name Address,and Tel.No. �56'S. I�/%AIN sit �0H TC, 3 4 Cta1V-rj 12VIL-t_tr , i1'IASS CA,TC1 NA.N-TtlG;lov (ZA�/SaN Rp. t3LD( a v Assessor's Map/Parcel I S(0 0 y U V I L-1'D R I N.V. Installer' Name,Address,and Tel.No. Designer's Name,Address and Tel.No. 5 U 5r- y 2 o`3 3 4 y ry 1CfiXC,k Slc? �� L(�� SuL1-IVAN ceNG1WL=ZP.1NO (rtic. -7FAR =R V-P, OSTCRVILLe-, ` fi. � Type of Building:!. n ,, Dwelling 'No.,of Bedrooms 14 �� Lot Size 2 5, $SG T sq.ft. Garbage Grinder ((.l 0 rt Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures p; rif • 4�"'Fed Design Flow(min.required) 4I O gpd Design flow provided 4 H I gpd r, Plan Date 5A t4. 1 9, 7-0 a G Number of sheets -2- Revision Date (Z Z`1 0 Co Title �1 CC.W/)1,T10N5 { mv2.- P(Z0P0.5E17 IMProyLiNGni1T Size of Septic Tank 1 5-00 GALLUNS Type of S.A.S. 2.1 X 3 0 1-L ALN 1 aJy 13G-U Description of Soil o - (0 1 L O A M -O R G A N,C. -0- 2.3" FI L.L. 2.3 2_" VE121 S R B2•N LaAMy SANOD 10`�R S G —C3— H-L"--7(. L7 .YLEL'1514 gRN MGD .SAND Nature of Repairsor Alterations(Answer wh n 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 offcalth. ,.� f /� Signed 6� Date - ApplicationApproved by: ` i J1.1r:,_� Application,Disapproved by Date for the,fo`llowing reasons _ Permit No. G 0 Date Issued THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS (Certificate of Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal System Constructed ((/)� Repaired ( ) Upgraded Abandoned( )by .`����, C �- �-nj at 6 56 5• M A I N ST CC--rVTL=P_V I LL.E F fn 4 has been constructed in accordance / s c..., n f!(l . G U� 14 7 dated (a a with the provistons°f Title 5 an`d the for Disposal System Construction Permit No. -" Installer3f�c t tc C C 1 I �r Designer S U L:L OUA N 3z IV&+Nj5*Z RI ryy I IN�- #bedrooms 14 Approved design flow 4 140 gpd The issuance of this permit sha 1 not °e trued as a g that th system wi 1 tian as esi ned. Date _ Insp ctor JI✓ J1-" .."�„ -------------------------------------------- No. /6 0 - 14 ? Fee THE COMMONWEALTH OF MASSACHUSETTS J, , PUBLIC HEALTH DIVISION—BARNSTABLE, MASSACHUSETTS 1=i!6 pogar �&p!tem Construction Permit Permission is hereby granted to Construct ( ) Repair ( ) . Upgrade (X) Abandon ( ) System located at 6 6_6 S. MAIN S T R 1:,_a;T" C,,'/V"ri R✓L•L-Lf M, -5*5 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: Constructio m�st be completed within three years of the date of this p Date 1, 07 Approved by `� t Town. of. Barnstable 4 Board of Health 200 Main Street, Hyannis MA 02601 Office:. 508-862-4644 Wayne Miller,M.D. FAX: 508-790-6304. Paul Canniff,D.M.D. August 31, 2006 Mr:. Peter Sullivan, P.E. Sullivan. Engineering, Inc. P.O.. Box 659. Osterville, MA.02655. Dear Mr. Sullivan,. You. are. granted conditional. variances on behalf of your client,. Jon Tobin,.. to construct an. onsite sewage. disposal. system at 656. South Main Street,. Centerville. The variances. granted.are as.follows:. Section. 360-1,.Town.of. Barnstable Code:. To. install. a septic tank 75 feet away from a. bordering.vegetated.wetland, in. lieu of the required 100 feet separation.distance. Section. 360-1,.Town.of. Barnstable.Code: To install. a soil.absorption.system 97 feet away from.a. bordering vegetated wetland, in. lieu of the required 100.feet separation.distance. Section. 360-1,.Town of. Barnstable. Code:..To propose.a.future. reserve area for the soil. absorption system 97 feet away from a. bordering vegetated.wetland, in. lieu of the required 100 feet separation distance. 310 CMR 15.255(2)(g): The breakout wall will. be located four (4)feet away from the soil.absorption. system, in lieu of the ten (10) feet minimum separation distance required. Wp/SullivanTobin2006 1 These variances are granted with the.following. conditions: (1) No more than. four (4). bedrooms. total. are authorized at this property. Dens, study rooms,. offices, finished. attics, sleeping lofts, and similar-type rooms are. considered. "bedrooms" according to the. MA Department of Environmental Protection.. (2) The applicant shall. record.a.properly worded deed restriction,. signed. by the property owner, at the. Registry of Deeds restricting the number of bedrooms.at this. property to.four (4),, before.the applicant obtains a. disposal.works. construction. permit. (3). The. septic system. shall. be installed. in. strict accordance with. the. revised engineered plans.dated January.19, 2006.. (4) The designing engineer shall supervise. the construction of the. onsite sewage disposal. system. and shall. certify in. writing. to. the. Board. of. Health that the system. was installed in. substantial compliance with. the. plans. dated. January 19, 2006. These variances are granted because the physical constraints at the site severely restrict the location of the. soil. absorption system. due to the proximity wetlands. Sin rely your ayn Miller,. M.D. Chair an Wp/SullivanTobin2006 S pek.'-- c-1 PZt v DATE: Q" FEE: 1 d 5r. OO BARNBPASM 1639� s MASS, REC. BY QQ Town of Barnstable SCHED. rD4ATE:-/-b f IT' Board of Health 200 Main Street,Hyannis MA 02601 Office: 508-862-4644 Susan G.Rask,R.S. FAX: 508-790-6304 Sumner Kaufman,M.S.P.H. Wayne A.Miller,M.D. VARIANCE REQUEST FORM LOCATION _Property Address: /7-r41 l7 eJ C �ree-i- ��rf��✓� �lP_ Assessor's Map and Parcel Number: /0& o Size of Lot: ' (c _ S_ l Wetlands Within 300 Ft. Yes V/ Business Name: - No Subdivision Name: APPLICANT'S NAME: .��n U Ej j 11 Phone Did the owner of the property authorize you to represent him or her? Yes No -� PROPERTY OWNER'S NAME CONTACT PERSON Name: 3cs ri I Obi n Name: � �C/r c/a Han-Te-K yC Address: / 00 i�1 GiX y�l R� �1�i5 aao Address: �� PC /3c'X Nc4 y 6skrv,'iie rn a D-4W�!� Phone: �/ _L^b _5 Phone: 6-0f cr-33 VARIANCE FROM REGULATION(List Reg.) REASON FOR VARIANCE(May attach if more space needed) I) [ D�P.z &:- -7 Ot�:.7 d f AQ n1Vr-LLc� �r1N,�L��. �'j;x 9 r1 ,ye- ejt r'--Owu ON fv i9 r E I .S ea:he)L 3(00- i tQe ' 'rc•C:/ C�e�' 3/6)Cm2a. dr �/vi, rc�i� G/�sc�t ,pv;n Qf NATURE OF WORK House Addition 0 ????? House Renovation Repair of Failed Septic System � 6r�c.��'«t Checklist (to be completed by office staff-person receiving variance request application) Please submit copies in 4 separate completed sets. Four(4)copies of the completed variance request form _✓ Four(4)copies of engineered plan submitted(e.g.septic system plans) Four(4)copies of labeled dimensional floor plans submitted(e.g.house plans or restaurant kitchen plans) Signed letter stating that the property owner authorized you to represent him/her for this request 1% Applicant understands that the abutters must be notified by certified mail at least ten days prior to meeting date at applicant's expense (for Title V and/or local sewage regulation variances only) tv A Full menu submitted(for grease trap variance requests only) C:\Documents and Settings\decollik\Local Settings\Temporary Internet Fi1es\0LK3\VARIREQ.D0C /I r y Jon Tobin Sullivan Engineering Inc. 656 South Main Street 7 Parker Road Centerville Osterville MA 1 Variance to Code of the Town of Barnstable Chapter 360 On-Site Sewage Disposal Systems Article I Section 360-1. Location to water bodies Required: 100 feet Requested: 75 &97 feet from BVW to system There is no proposed increase in flow therefore; The work is not new construction as defined by Title 5, 15.002 "New construction shall not include the replacement of an existing building totally or partially destroyed or demolished if there is no increase in flood' DEP Policy#: BRP/DWM/Pep-P00-6 use of the B Horizon State Title 5 Variances Required 310CMR2.55(2) requires that the breakout wall be 10 from the edge of the leaching Four(4) feet is provided at the closest point Wall to be waterproof, no weep holes and constructed out of concrete. May 11 06 12:24p Jon Tchin '585 924-0779 p.1 a May 12,2006 Town of Barnstable Board of Health 200 Main Street Hyannis, MA 02601 RE: Property at 656 South Main St. Centerville,Ma. Dear Board of Health, As owner of the above referenced property, please be advised that Sullivan Engineering, Inc. has my permission to represent me before your Board in all matters pertaining to the pro os septic system at my property. erely,, ' on i i I SULLIVAN ENGINEERING INC. 7 PARKER ROADIP O BOX 659 OSTERVILLE, MA 02655 Peter Sullivan P. E. Mass Registration No. 29733 psullpe@aol.com phone 508-428-3344 fax 508-428-3115 DIRECT ABUTTER LIST FOR MAP 186 PARCEL 040 Board of Health Variance Request for Jon Tobin 656 South Main Street, Centerville MAP [PARCEL OWNER NAME 186 039001 Alphege T. Nault Vivian's Real Estate 627 S Main St. Centerville, MA 02632 186 039002 Vincent G. Bradley & Maureen D. Bradley 285 Wall Street Kingston, NY 12401 186 041 Claire E. Poskel, Tr. 950 E Broadway South Boston, MA 02127 r - Sullivan Engineering Inc. 7 Parker Road Box 659 Osterville MA 02655 Peter Sullivan P.E. Mass. Registration No. 29733 phone 508-428-3344 ABUTTER NOTIFICATION LETTER RE: Board of Health Public Hearing To Whom It May Concern: As a direct abutter of a proposed project, please be advised that a Variance Request has been filed with the Town of Barnstable Board of Health. The specific project information is as follows: Applicant : Jon Tobin Project Location: 656 South Main Street, Centerville Assessor's Map and Parcel: Map 186 Parcel 040 Project Description: Proposed construction of an on site septic system. The septic system will require a variance from Town of Barnstable Board of Health Regulations to install a septic system 75' & 97' from a water body and a variance from State Title 5 to allow 4 feet from the breakout wall to the edge of the leaching Applicant's Agent: Sullivan Engineering Inc. Public Hearing: Location: Barnstable Town Hall 367 Main St., Hyannis 2nd Floor conference room Date: July 18, 2005 Time: 7:00 PM Plans and the application describing the proposed activity are on file at the Board of Health office, 200 Main Street, Hyannis and at Sullivan Engineering's office. Please call if you have any questions regarding this application. Bta 21360 P} 265 0-58593 09-19--2006 a 01 =446� DECLARATION OF RESTRICTION We Jon S. Tobin and Jean Tobin,of 23 Fall Meadow Drive Pittsford,New York 14534 being the owners of Lot 10,as shown on a plan of land recorded with the Barnstable County Registry of Deeds in Plan Book 82,Page 43,hereby impose the following restriction upon said land,which said restriction shall run with the land and be binding upon our successors and assigns thereto: The structure constructed or placed upon the Premises shall contain no more than four(4) bedrooms unless and until(a)such structure is connected to the public sewer system,or(b)the Board of Health of the Town of Barnstable permits otherwise. Property Address: 656 South Main Street,Centerville,Massachusetts For title,see deed recorded with the Barnstable County Registry of Deeds in Book 20914, Page 93. WITNESS our hands and seals this`mil day 2 06. nS I 1 Jean To STATE OF NEW YORK County of Ontario On this 14th day of September ,2006,before me,the undersigned notary public, personally appeared Jon S.Tobin and Jean Tobin,proved to me through satisfactory evidence of identification,which were driver licenses to be the persons whose names are signed on the preceding or attached document,and acknowledged to me that they signed it voluntarily for its stated purpose. Notary Public 4vty Commission Ex : 6/28/08 Yo* Ogren �3 0 BARNSTABLE REGISTRY OF DEEDS J r. Town of Barnstable Board of Health 200 Main Street Hyannis MA 02601 Office: 508-862-4644 Susan G.Rask,RS. FAX: 508-790-6304 Sumner Kaufman,MSPH Wayne Miller,M.D. August 5, 2005 Mr . Peter Bilodeau 83 Bunker Hill Road Osterville, MA 02655 Dear Mr. Bilodeau, During the public meeting of the Board of Health held on Tuesday August 2, 2005,the Board determined that the septic system located at 656 South Main Street, Centerville must be replaced or upgraded to conform with State Environmental Code, Title 5 and Town of Barnstable Codes. You submitted architectural plans designed by ERT Architects dated June 27, 2005 showing extensive renovations planned for the home, estimated to be 75% greater than the assessed value. You also testified that you dug hole and the groundwater table is approximately 14 inches below the bottom of the existing leaching facility. Section 360- 20 of the Town of Barnstable Code reads as follows: "the Board of Health may require repair or replacement of an onsite sewage disposal system if any of the following apply...the bottom of the cesspool or leaching facility is less than four feet from the observed maximum groundwater elevation." The Board is of the opinion that the proposed house renovations are extensive and that the existing leaching facility is too close to the groundwater table. Therefore,the septic system must be upgraded or replaced to conform with State Environmental Code, Title 5 and Town of Barnstable Codes prior to the construction. 4ay 4er, D. _ - - - - -I _ � 'y � V C �� �'�d�5� �� �� �l �� !�1 �� C/ �,/�J TO: Wayne Miller, M.D. Chairman, Board of Health FROM: Peter Bilodeau DATE: June 19, 2005 RE: 656 South Main Street, Centerville I am requesting a determination from the Board of Health regarding Section 360- 20 C. This Regulation reads as follows: "the Board of Health may require repair or replacement of an on-site sewage disposal system if any of the following apply: C. The bottom of the cesspool or leaching facility is less than four feet from the observed maximum groundwater elevation." The existing septic system at 656 South Main Street passed an inspection by Robert Bortlotti on June 24, 2004. The top of the ground is at elevation 6.8 in the area of the existing septic system. According to Bortolotti's report, the bottom of the SAS is 2.6 feet below grade. Today, I dug a test hole and observed groundwater at 46" deep in the area of the septic system. This means that the groundwater is approximately 14" below the bottom of the SAS. According to John Norman of Bortolotti Construction Company, this met the standards for the purposes of a septic system inspection report. It does not trigger any of the failure criteria in Title 5. I do plan to renovate the home to 75% of what the house is assessed at by the Town (which is greater than 50%). The number of bedrooms will not be changed. Attached is a plan of the proposed additions. There is adequate room for 100% SAS reserve area. It is available at the southwest portion of the property in front. The groundwater in this area does not appear to contribute to any shellfish estuaries to my knowledge. Attached are floor plans of both the existing and future proposed house. Please let me know if I am able to obtain a building permit for the renovations per the plans enclosed. . _ �B - 362— Os . - � �; low �3 � F�P� ((� o z�s.� I S MCP COMMONV/-'ALTH OF NLSSSACHUSETTS EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS DEPARTMENT Off' EISrVIRONME;&j4,LRPROTECTIO ES MAP NO, PARCEL NO. TITLE 5 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENT'S SUBSURFACE SEWAGE DISPOSAL SYSTEM FORM PART A CERTIFICATION Property Address: � i 1vtG .��,c/� � RECEIVED Owner's Name: l ' 1 2004 Owner's AddressARNSTABLE Date o£Inspection: — � f/� � H DEPT. Name of Inspects; lease pri ) r + Company Name: '' 6e- Mailing Address: Telephone Number: - CERTIFICATION STATEMENT I certifi'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 nr•, 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 C Conditionally Passes Needs Further Evaluation by the Local Approving Authority Fails Inspector's Signature: Date: The system inspector shall submit a copy of this inspection report to the Approving Authority(Board of Hea hh or DEP)within 30 days of completing this inspection. If the system is a shared system or has a design flow of 10,000 apd 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 C. ****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 r � Page 2 of 11 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL, SYSTEM INSPECTION FORM +ti PART A CERTIFICATION (continued) Property Address `66 � Q Owner: Date of I spection: 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 CNIR 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: j Observation of se%va6e;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 Hea,lth):. broken pipe(s)are replaced obstruction-is removed ND explain: 2 Pace 3 of 1'1 OFFICIAL INSPECTION FO M - NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION(continued) Property Address: , , Owner: - - Date of I pection: 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 I 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: 3 i Page 4.of l 1 OFFICIAL-INSPECTION FORM—NOT.FOR 'VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PANT A CERTIFICATION(continued) Property Address• &771AA Owner: Date of spection: Vie ( D. System Failure riteria applicable to all systems: You must indicate"yes" or"no"to each of the following for all inspections: Yes Nq _ V Backup of sewage into facility or system component due to overloaded or clogged SAS or cesspool Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or clogged SAS or cesspool Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or f cesspool Liquid depth in cesspool is less than 6"below invert or available volume is less than '/s day flow _ Required pumping more than 4'times in the last year NOT due to clogged or obstructed pipe(s).Number of times.pumped / Any portion of the SAS, cesspool or privy is below high ground water elevation. Any portion of cesspool or privy is within 100 feet of a surface water supply or tributary to a surface f water supply. V/ Any portion of a cesspool or privy is within a Zone 1 of a public well. _ T Any portion of a cesspool or privy is within 50 feet of a private water supply well. Any portion of a cesspool or privy is less than 100 feet but greater than 50 feet from a private water supply well with no acceptable water quality analysis. [This system passes if the well water analysis, performed at a.DEP certified laboratory,for coliform bacteria and volatile organic compounds. indicates that the.well is free from pollution from that facility and the presence of ammonia nitrogen and nitrate nitrogen.is equal to or less than 5 ppm, provided that no other failure criteria. are triggered.A copy of the analysis must be attached to this form.] VO (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. 4 I f r Page 5 of l l OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B CI-IECICL,IS'T. Propert Address: Owner. ' Date o spection: J Check if the following have been done. You must indicate"yes"or"no"as to each of the following: _ Yes ,,No Pumping.information.was provided by the owner, occupant, or Board of Health Were.any of the system components pumped out in the previous two weeks? (,Has the system received normal flows in the previous two week period? ✓Have large.volumes of water been introduced to the system recently or as part of this inspection? Z_ Were as built plans of the system obtained and examined?(If they were not available note.as N/A) Was the facility or dwelling inspected for signs of sewage back up Was the site inspected for signs of break out? _ Were all system components, excluding the SAS, located on site _ Were the septic tank manholes uncovered,opened, and the interior of the tank inspected for the condition 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 fi-om 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 o Existing information.For example, a plan at the Board of Health. Determined in the field(if any of the failure criteria related to Part C is at issue approximation of distance is unacceptable) [310 CMR 15.302(3)(b)] 5 Page 6ofII OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION Property A dress: r Owner: Date of. spection: _ FLOW CONDITIONS RESIDENTIAL C,� Number of bedrooms(:design): Number of bedrooms(actual): DESIGN flow based on 310 15.203 (for example-. 110 gpd x#of bedrooms): Number of current residentsJR Does residence.have.a garbage grinder(yes or no): Is laundry on a separate sewage system ( e or no):/L�if ye, separate inspection required] Laundry system inspected e or no): Seasonal use: (yes or no): ®�� ® WOO meter readings, if a ale(last 2 years usage(gpd)):� /,— 3 Sump pump(yes or no): �\ (� Last date of occupancy: COMMERCIAL/INDUSTRIAL t# 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): "thei RAL INFORMATION Pumping Records Source of information: Was system.pumped asyes or no): If yes,volume�pumped: gallons--:How was quantity.pumped determined`?. Reason for pumping: TYPE.OF SYSTEM eptic tank,distribution box,soil absorption system _Single cesspool _Overflow cesspool _Privy _Shared system(yes or no)(if yes, attach previous inspection records, if any) _Innovative/A Item ative technology.Attach a copy of the current operation and maintenance contract(to be obtained frorn system owner) _Tight tank —Attach a copy of the DEP,approval _Other(describe): i p roxim tea �of all co one s, d at 'iistalled if ow and source of information: r,, s Were sewage odors detected when arriving at the site(yes or no)� 6 Page 7 of I I OFFICIAL INSPECTION FORM —NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM IN FO (PM ATIO/JN (continued) Property.A dress: ���ji �U�/CI,P,�` OwnerG Date of nspectio : BUILDING SEWER(locate on site plan) Depth below grade: Materials of construction:_cast iron +0 PVC_oth-er(explain): Distance from private water supply well or suction line: Comments (on condition of joints, venting. evidence of leakage, etc.): SEPTIC TANK: (locate on site plan) Depth below grade: Material of construction: _concrete_metal_fiberglass_polyethylene _other(explain) If tank is metal list age:_ Is age confirmed by a Certificate of Compliance(yes or no):_(attach a copy of certificate) Dimensions: /0"5 u ) Sludge depth: Distance from top of sludge to bottom of outlet tee or baffle: Scum thickness: 0 tr Distance from top of scum to top of outlet tee or baffle: . Distance from bottom of scum to bottom f outlet tee car baffle: How were dimensions determined: I 101 ,10,A, Comments (on pumping recommen ations, ' et and outlet tee or baffle condition, structural integrity, liquid levels related outlet inve e i ence of leakage.etc.): C, t P tea,✓ • _ l GREASE TR% ocate 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.): v 7 Page 8 of 11 OFFICIAL.INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PANT C SYSTEM INFORMATION(continued) Property Address: .; e; (g ' r 0 Owner: Date of I spection: 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: v Comments(condition of alarm and float switches, etc.): DISTRIBUTION BOX: /(if present must be opened)(locate on site plan) Depth of liquid level above outlet invert: L�� % � � Comments (note if box.is level and distribution to outlets equal, any evidence of solids carryover, any evidence of ,1 kage into or out of box, et . /-� i, I,.)- PUMP CHAMBERW(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.): " 8 Page 9 of 1 I OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE'DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: 771ju Owner: Date of I spection: SOIL ABSORPTI .N SYSTEM (SAS): locate on site plan, excavation not required) If SAS not located explain why: Type leaching pits,number:_ eaching chambers, number: 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.) 1, CESSPOOL esspool must be pumped as part of inspect ion)(]ocate on site plan) Number and configuration: Depth—top of liquid to inlet invert: Depth of solids laver: 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 I I OFFICIAL, INSPECTION FORM -NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SE-WAG]E DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORNIATION(continued) Property Address: _ 0zf%_1k°- && Owner: v Date of I pection. idu 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. 1 a cat o O i i 10 Page 11 of I I OFFICIAL INSPECTION ;FORM—NOT FOR.VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL, SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: Owned - CCU Date of pection: j SITE EXAM Slope Surface water Check cellar Shallow wells Estimated depth to ground water 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: Observed site(abutting property/observation hole within 150 feet of SAS) Checked with local Board of Health-explain: hecked with local excavators, installers-(attach documentation) Accessed USGS database-explain: You must describe how you established the high ground water elevation: 52 rc�e le 11 1t y Permit Number: Date: 4�. Completed by: i7 H'!GH' C.R0U'ND-!1iVA,TER Li=\/EL COMPUTATION � y�T I+7ry fi� Site Location:__!,/ i r�� d69! �7 ��/�° �6 Lot No. •Owner: N �1� �/ ;Address: ff/nn�� 64 t_iLS�14 LY�./Contractor: Address' V e✓j = Notes: ^y.; STEP 1 Measure depth to stater table � d :... . to nearest 1/10.ft. ........................ .Date Z ©/ ! month/day/year F. STEP 2 Using Water-Level 9anoe Zone and Index Well Map locate site and determine: Appropriate index Well.................................................... B Water-!evel range zone ..................................................... STEP 3 Using monthly report "l Ul";`eil'C 'Ala-ier Resources Conditicnl determine currant depth to ( L U water level fo; index inteli ...... � 6� 91,................. �� month/year STEP Using Table of Water-level Adjustments for index well (STEP 2A:), current depth to water level for index well (STEP 3), and waterdeve! zone (S T EP 2B) a determine water-love! adjustment STEP 5 Estimate depth to high kntater by subtracting the water- level adjustment (STEP 4' r from measured death io water level at site (STEP 1) ........................................ J� 4A' ..................................................... Figure 1I.--Roprodi.icidle compGltation form, i F i I E R 6 U 6 a 4 f U 6 a u Q t\ a a a .19 Ahu <1 C J .0 rp :LnETM �U t� i x �5 INC PO BOX 343 YARMOUTHPORT, MA 02675 7EL/rAX (508) 362-8"3 t C66556 SOUTH MAIN STREET CENTEMALLE, MA F , J CS) m ra m m Ln m CJ Gi OD i W Cn "- tQ cc • cc w- W 1 e OF m p H m i u� z 0 EXiS I Ill\J' FIRST FLOOR PLAN EnTi -n 1ARCHITECTS,INC. sin BOX 343 YARKk1TWORT, 40A Oi2675 TEL/-AX 130$} 362-M3 6'--6 SOUTH MAIN STREET CENTERMLiLE, MA CD Ul m m Cn m w CJ OD F-' OM at CS i � BATH s hJ CU Im CQ ca LIU] EXISTING EXISTING BEDROOM #4 BEDROOM #5 m D llr- n H rm •m I Z n I d EXISTING SECOND FLOOR PLAN 1> E I R TAP-CfflMCT8,lWC. PO BOX 363 YARMCKJ7WORT, MA 02675 7EL/FAX (508) -M2-adW I 656 SOUTH MAIN STREET CENTERVILLE, MA cm TOWN OF BARNSTABLE LQCA ¢S' �� S f SBWAGE #yO _ ASSESSOR'S MAP 6z LOT f y. ; ISTA;tr .�R' I�IiLM. Qc PhIONS NQ;. A 4 B,CANCO 775-6264 SEPTIC TANK CAPACITY I FOO Gk LEACHING FACILITY:(type) (size) NO. OF BEDROOMS PRIVATE WELL OR PUBLIC WATER &l-e&. BUILDER OR OWNERc DATE PERMIT ISSUED: �"' ►�6°' �d DATE COMPLIANCE ISSUED: VARIANCE GRANTED: Yes No r . till / t! Commonuvealth of Massachusetts z. Division of Fisheries & Wildlife Mass Wi/d/ife Wayne F. MacCallum,Director May 31, 2005 Barnstable Conservation Commission . 367 Main Street Hyannis,MA 02601 RE: Applicant: Peter Bilodeau Project Location: 656 South Main Street Project Description: House addition NHESP File No. 05-17877 Dear Commissioners: Tlie applicant listed above has submitted a Notice of Intent and site plans (dated 4/8/05)to the Natural ro Heritage &Endangered Species Program (NHESP) of the Massachusetts Division of g p g Fisheries &Wildlife, in compliance with the rare wildlife species section of the Massachusetts Wetlands Protection Act Regulations(310 CMR 10.37 & 10.58(4)(b)), for the subject project. Based on a review of the information that was provided and the information that is currently contained in our database, the NHESP has determined that this project occurs near but not within the actual habitat of state-protected rare wildlife species. It is our opinion that this project,as currently proposed,will not adversely affect the actual habitat of state-protected rare wildlife species. Please note that this determination addresses only the matter of rare wildlife habitat and does not pertain to other wildlife habitat issues that may be pertinent to the proposed project. Sincerely, Thomas W. French, Ph.D. Assistant Director cc: Peter Bilodeau Robin Wilcox, Sweetser Engineering DEP Southeastern Regional Office, Wetlands Program www.niasswildlife.org_ Division of Fisheries and Wildlife Field Headquarters, One Rabbit Hill Road, Westborough, MA 01581 (508) 792-7270 Fax(508) 792-7275 An Agency of the Department of Fisheries. PVildhfe& Environmental Law Enforcement TITLE,'V CALCULATION CHART (1995 Code) ` COMPONENT 3 BEDROOMS 4 BEDROOMS 5 BEDROOMS 6 BEDROOMS Min. Required"area for<5,mpi soil(1995 Code) 446 sq. ft. 595 sq. ft. 743 sq. ft. 892 sq.ft. --] SEPTIC TANK 1500 Gallons 1500 Gallo{, 1500 Gallons 1500 Gallons DISTRIBUTION BOX Distribution Box Distribution Box Distribution Box Distribution Box SOIL ABSORPTION SYSTEM:' Cultec Recharger 330's 4 (334 GPD) 6 (471 GPD) 8 (606 GPD) -9 (674 GPD) , (NOTE:5 are not enough- INOTW are not edough- - 71.5 X$ �} .3 X2 provides only 401 GPDI provides only 538 GPD) Cultec Recharger 336's(with 2'stone surrounding SAS) 34 x 8.3 x 2• 49 x 8.3 x 2 64 x 8.3 x 2 Cultec Recharger 330's(with 3'stone surrounding SAS) 3 (332 GPDI) 5 (490 GPD) [NOTE:4 are 6(569 GPD) 8 (728 GPD) 28.5 x 10.3 x 2 not enough-providei only 411 51 x 10.3.x 2 60x1O.3x2 GPDI 43.5 a 10.3 x 2 , High Capacity Infiltrators 4 (394 GPD). 6(461 GPD) 7(598 GPD) 8(467 GPD) H.G Infiltrators(with 4'stone on sides,3''stone'on ends and 1$inches underneath) 33x10.8x2• 39.25x10.8x2 52x10.8x2 58x10.8x2 INOTE: 4'stone is not recommendeed,more ioriltrator units are recommended) 7(448 GPD) [NOTE: 6 9.(557 GPD)'[NOTE:8 11(665 GPD)[NOTE:10 Infiltrator 3050's 5(331 GPD) are not enough,only 399 are not enough,only 515 are not enough,only 631 Infiltrators 3050's(with 2 ft.stone surrounding SAS) 34'x 8.2 x 2 GPD capacity] GPD capacity] GPD capacity] 47x8.2x2 59x8.2x2 71x8.2x2 Infiltrators 3050's(with,3 ft.stone surroun ing SAS)" 4(345 GPD). 6(445 GPD) 7 (550GPD) 10(660GPD) 30x10.2x2 39.5x10.2x2 49.5x10.2x2 60x10.2x2 Infiltrators 3050's(with 4 ft.stone surrounding S.A.S.) 3(335 GPD) 5 (443 GPD) 6 (551 GPD) 8 {665 GPD) [NOTE: 4'stone is not recommended,more infiltrator units "25 x 12.2 x 2 34 x 12.2 x 2, 43 z 12.2 x 2 52.5 x 12 2 x 2 are recommended) 500 allon Chambers 4 (395 GPD) 5 (477 GPD) 6 (560 GPD) 8 (724 GPD) 500 Gallon Chambers/Drywells(with 2'Stone) 31 x 9.1 x 2 46.5 x 9.1.x 2 55 x 9.1 x 2 72 x 9.1 x 2 500 Gallon Chambers/Drywells(with 3'stone on sides&ends) 3 (384 GPDI) 4 (477 GPD) 5 (574 GP,,) 6(669 GPD) 31.5x11.1x2 40x11.1x2 48.5x1L x2 57xIIJx2 500 Gallon Chamhers/Drywelis.(with 4'stone on sides_&ends) 2(355 GPD) 3(462 GPD) 4 (570 GPP) 5(677 GPD) ' (NOTE: 4'stone is NOT RECOhDKENDED,more chambers are recommended] 25 a 13.1=2 33.5 a 13.1:2 •12:13.1 s 2 50.5 i 13.1 a 1 Flow Diffusors(with 2'stone surrounding SAS and 12"deep 4(343 GPD) 6(485 GPD) 7(x 8 x2 76 GPD) 9 (x 8 GPD) stone on bottom) 36x8x2 - 52x8x2 6l1a8x2 Flow Diffusors(with 3'stone surrounding SAS and 12"deep 3 (340 GPD) 5(506 GPD) . 6(589 GPD) 7(671 GPD) stone on bottom) 30x10x2 46x10x2 54x10x2 62X10X2 Leaching Trench r 60'X 4'-X 2' or(2) "80' X.4'X 2' or(2) (2)48'X 4' X 2' or (2)57' X;;;] .30'X 4'X 2' 40' 3C4'X 2' (4)24'X 4'X 2' (4)28' X Leaching Field 446 S.F.(330GPD) 595 S.F. 743 S.F. 892 S.F. ALL MINIMUM S A.S. SIZE REQUIREMENTS LISTED ABOVE ARE BASED UPON THREE ASSUMPTIONS (1) No garbage grinder,(2)Class I Soil(0.74 GPD/S.F.),(3)No wetlands within 250 feet of S.A.S.and groundwater is greater than 14'below SAS 1:CiuRTIry - . FEs ... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE Appiiration for Disposal Works Tonstrudiun ratnit Application is hereby made for a Permit to Construct ( ) or Repair (x) an Individual Sewage Disposal System at: ...(40.5_. ...�.�:s'_�..'N� 4 .... t ..... ---------------------------------------------------------- e� pp C La tion-Address or Lot No 7— ♦g ` p Cr_ .GtL.SI.�}.1C1�1._v..1....................... .................................... -••�1.\�Q�� ...... Owner 1 Address a ----•�-....._. �r,�11 .Q..-•--•---.....-•--------•----------•------------ ---- C'� -`n 0.�. .. ..5...... 5 ... JK2SIRa u Installer Address Type of Building Size Lot............................Sq. feet U Dwelling—No. of Bedrooms.--.....�.................. .....Expansion Attic ( ) Garbage Grinder ( ) '4 Other—T e of Building No. of persons............................ Showers — Cafeteria Ga Other fixtures -------------------------------- . WDesign"Flow.........................:..................gallons per person per day. Total daily flow............................................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--------------------- Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) Percolation Test Results Performed by.......................................................................... Date........................................ Test Pit No. I................minutes per inch Depth of Test Pit.................... Depth to ground water-.-.-.---------------.-- �Tq Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ 9 -----------------------------------------------------------•---....•---------..........----••---•--.......................................................... 0 Description of Soil........................................................................................................................................................................ x V --------------------------------------------•--•-•--•-----------•-------------------.._._......-------------------------•--•-------------------.....----------------------------------...--------------- TL V Nature of Repairs or Alterations—Answer when ap licable..InSi .k...... -kV Vk Q ..... ---------------------------------------------------------------------------------- Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Environmental C de— undersigned further agrees not to place the system in operation until a Certificate of Compliant e . sue by the board of health. Sine ---- ---- ------- ------------------ ................................................... .-- Date ` d Application Approved By -------------------- -'--...---......------------------------.....---- ............. ............... -.--.................... Date.......--........ Application Disapproved for the following reasons- ---------------------------------- ---------------------------------------------------------- -----------------................ ------------------------------------------------------------------------------------------------------ --------------------------------- ....................................................... ........................--------------- G� �/ Uate Permit No. ...................1..0.. ..59:....1... Issued .. 5'"�s -c10 ------------------------- ------.............. Date No.._ .v_.. ! FB$ ... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE Appliration fur- Dhip sal lark, T o nstrnrtinn rrmi# t I Application is'hereby made for a Permit to Con t¢uctlo" '){or Repair (X) an Individual Sewage Disposal System at* t Mom- Lo tion-Address \ J or Lot No. ``� v„ �� Co SCE So v� k� �Mo•�v� S t --- -----•-•--.._....---•...•---•-••-------•--------------• ..--.........._... QOwner r Address w 3 \ S. ..._.rn o. ........ W eST v1�2yc1e�u��n Installer Address UType of Building Size Lot............................Sq. feet Dwelling—No. of,Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( ) a`4 Other—T e of Building No. of persons............................ Showers YP g ---------------------------• P ( ) -- Cafeteria ( ) a4Other fixtures -------------------------------------------••---------......•---•----------•••-•-•-•-•----............-•.......••.... W Design Flow............................................gallons per person per day. Total daily flow............................................gal Ions. WSeptic Tank—Liquid capacity............gallons Length---------------- Width................ Diameter................ Depth................ x Disposal Trench—No..................... Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No..................... Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) aPercolation Test Results Performed by.......................................................................... Date........................................ Test Pit No. 1................minutes per inch Depth of Test Pit.................... Depth to ground water.......:................ (Z4 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ RS ----------------------------------••---....------••--------------•-•--------....--•.......-------•--........................................................ 0 Description'of Soil...............................................................................--------------------------------------•-----....----•---••----------------.._._......--- x w _ ------------------------------------------------------------------------•--------------.....---------------, U Nature of Repairs or Alterations—An wer when applicable_-��S`_�\---__-_�.5 ©. A��oy.••S �i c__T Aye -- ------------------•----------••---••-----•••------......_... Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Environmental�de—The undersigned further agrees not to place the system in operation until a Certificate of Complian e�ha beegissed by the board of health. � '� ---------------------------------------- Application . ------. ------------------------------------------------------- '� APProved BY J Date Application Disapproved for the following reasons- -------------............................................................................-------- .............................. --------------------------------------....................... L----------------------- --......................... .......................... ------------------------------------------------ --------.......D-a-te................... q ; Permit No. 0------......�................. Issued ��'^ ` d a Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE C erttftrate ,:of terayCinure THISJS 0 CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired by ..............�> �N C7 /t .. .. - In .............................. ..J ......- ..- ..............at 0 f /,f l V rl K.............--..........................-.-..-.................-. has been installed in accordance with the provisions of TITLES qff hee SSttate Environmental Code as described in the application for Disposal Works Construction Permit No. ............................. .............. dated .......�/3 `--� THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE........�.. ---------------- ..............-............ Inspector .`�.. -- x,•� THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH 'CID 3 cf TOWN OF BARNSTABLE 3> No......................... FEE........................ Disposal Works Tnntrudiun "Vrrmit Permission is hereby granted.... C fiw"V�✓ -•---•------- •---.._.. ._...... to Construct (_ ) or_Repair (-- an Individual Sewage is o System atNo. v� �................•--•---•---•--•-•-•--•---------................� :�...-.---•- `-- --Q•-----�-.............---........---••-•----......------............-•---•--- Street ( L( as shown on the application for Disposal Works Construction Permit No..................... Dated...._:__....tl_/_._.__.. ............ -•..... �D -w Board of Health DATE............ ................................................................. FORM 36508 HOBBS♦!t WARREN.INC..PUBLISHERS I � I � i i I I I I i I. I j i I I ' I 1 F ! , i j I I ! ' I i � ! I O '�vtm�n� ��' � j I � I � i i i I I i �So♦ I � ► I � i s CFI a� 0�,��s� I i I � i I I i i ► • �- • N I I Ii III � — i Iooil I i ERT 26-o ARCHITECTS,INC. NOTES: .. rn ARCM/TECRIRE CONSTRUCTION 9'-2• 9'-t• 6'-4^ ' INTERIORS PLANNII'IC THE CONTRACTOR SHALL BE RESPONSIB FOR IMPROVING THE THET6h1 939 MAIN STREET, DI FOUNDATION &MAKING IT COMPLIANT W SECTION 3107.5.3 OF TH M BOX 343 EDITION OF THE MASS STATE BUILDING ODE ENCLOSURES BELOW BASE FLOOD ELEVATION;'WHICH SETS FORTH THE ODE,. MINIMUM CRITERION: REMOVE EXIST'G A MINIMUM OF TWO OPENI GS HA G A TOTAL NET AREA OF NOT SS CHIMNEY CONTRACTOR TO ADJUST TOP YARMOUTHPORT, MA 02675 THAN ONE SOUARE INCH 645 MM��FOR EVERY ONE SQUARE FOOT 0.1 M')) OF WALL TO ALIGN FINISH FLOORS OF ENCLOSED AREA SUBJ CT TO FLOODING SHALL BE PROVV�(I(pp}}ED. 7H BOTTOM A 8 0' tel (508) 362-8883 OF I ALL MMEDIATELY ADJACENTTOHTHHEEELOC1ATION U TIMI UPENINGM OPENINGS A.5 A.5 A.5 fax (508) 362-4883 SHALL NOT BE EOUIPPED WITH SCREENS LOUVERS VALVES OR OTHER AND DISCHARGE OF FLOODWAT-ERSUCH OtVICES PEIiM1T THE AUTOMATIC ENTRY 3 a r---------i-----'---- -----------------------'____'_ ------------ ----��- ' ADDITIONS&RENOVATIONS �LINE•OF NEW MR.PETER BILODEAU SCREENED PORCH NEW CRAWL ABOVE SPACE SCREENED m 656 SOUTH MAIN STREET .. l^ I _ PORCH ABOVE C�R�LE,mA. �SQ A. t U 1 ` DRILL &GROUT QQ5 BARS a 12'O.C. VERT TN TO PROVIDE 10" DIAM.-SONG- . EXIST. FDN. TO TIE NEW TUBE W//BIGFOOT FOOTING FDN. TO EXISTING. FOR COLUMN SUPPORT ABOVE �-�e� t l �r Q--��--� - - - -- - - -- -- - -- -- L - -----____==_-- ---------- ------------------------------------------------- ---- ---- --- ------------'---------------------------------- ------------- / I CONTRACTOR TO ADJUST T P NEW PORCH A R ABOVE OF WALL TO ALIGN FINISH FLOORS PORCH ABOVE NEW IN WIDE ' ` I OPENING FOR I / ACCESS TO }___________________________________ ______________ NEW CRAWL SPACE. LOCATION TO BE DETERMINED BY OWNER. :2 LINE AF LL yERIOR WAn ABOVE DRILL &GROUT #5 BARS NEW GARAGE N TO SLAB EXIST. FDN. TO TIE NEW FDN. TO EXISTING. GARAGE &OTHER FILLED FOUNDATIONS: 8" W/20 TOP &BOTTOM BAR. j-�--! I ESTO FOUNVIDE 2DATION ON 18"X10" STRIP FOOTING. -1 ________� ________ ______ 1 N BP ' , + ; l ' '-' F------� r------T F------BP �.-r------- F OTING W/K YW Y ROBVIDE 5/8'X12" ANCHOR N THESE PLANS ARE NOT TO BE USED FOR PERMITTING OR CONSTRUCTION PURPOSES ORIQ STAMPEDE 9GNED ' ' + ' ' ' BOLTS 4 0' 0 C MAXWITH AN NETT'DROPPED GIRT � , — D.C.� SUMP AND SIGNATURE IL 3-3' , I 1____I___! ____ ___! 6 DATE ISSUED: 6.27.05 4'-8' 6'-O• 6'-0' 6'-O" 6•-0• 6'-0• 6'-0' 4'-9^ PITCH 1 8" PER FOOT DOORS A 5 TOWARDS �, EXISTING BACKFILL W/CLEAN REVISIONS: �r��{{�' BASEMENT DRILL &GROUT$5 BARS COMPACTED FILL — EXIST. F. VERT N TO 5 FDN. FDN. TO I TIE NEW FDN. TO EXISTING. DROP TOP OF WALL A.5 0 DOORS 12" PERMIT SET 6.27.05 I ;o PROGRESS SET ' ___________________ _ ; PRICING SET __---- --- ---- ------ -- -- --------- PROGRESS SET ------------------------------------------------ PROVIDE 10" DIAM. SONO- °p TUBE W/BIGFOOT FOOTING FOR COLUMN SUPPORT ABOVE UNE PORCHFABOVE L / / - _ O LIMNS -_ , 1........._..... 1 � I _......_....._,.._:_�I__.._..._.. -COLUMNS WI N SO REGISTRATION SCALE: 1/4•-I'-O' BASEMENT NOTES: 0 1 2 4 8 L NEW FOUNDATION WALLS TO BE 8"POURED GONG.W/20/5 TOP Q BOTTOM BARS. REST FOUNDATION ON 10"Xi8"STRIP FOO7LIINO. C PROVIDE 30A5 NORIL BARS CONTINUOUS IN STRIP FOOTING W/ A B SHEET N0. KEYWAY.PR VIDE VERT.DOWELS 0 24"D.C.HORIL EXTE DED A.5 A•D 3'-6"MIN.ABOVE OF FOOTING PROVIDE 5/8"XIT'ANCHOR A.5 A.5 BOLTS O 4•-0"D.C.MAX _ 2- DOUBLE FLOOR JOISTS UNDER ALL PARALLEL PARTITIONS 3.DUST CAP TO BE 4"POURED GONG.ON COMPACTED FILL FOUNDATION PLAN CUT JOINTS ALONG WALLS AND BEAM COLUMN LINES. 4. CONTRACTOR To PROMDE BASEMENT VENTILA ON AS 2'-5• 6'-4 1/2• 1 6'-4^ 7'-7• 7'-7• 6'-4• V-4 1/2' 2'-5• 3'-9' 9'-6• g'_6^ TOTAL NUMBER OF SHEETS O AN IXRED BY CODE(WINDOWS OR MECHICAL IN SET: S.CONTRACTOR SHALL ENSURE THAT ALL FOUNDATION WALLS MAINTAIN 6 0 4'-0"MINIMUM COVER. S SEE STRUCTURAL DRAWINGS FOR LOCATIONS OF ALL STRUCTURAL COLUMNS - 26'-O• THIS SHEET INVALID 7.CONTRACTOR SHALL NOT SCALE DRAWINGS FOR DIMEN40N5 AN MIssINc, UNLESS ACCOMPANIED BY WCORRECT,OR OUESTIONABLE OIMENSIONS NOT BROUGHT TO THE ATTENnON OF THE ARCHITECT BECOME THE RESPONSIBILITY OF THE CONTRACTOR. - ' A COMPLETE SET OF WORKING DRAWINGS ERA' ARCHITECTS,INC. 25'-1" 20'-0- 6'-D' - ARCnnECr E CONSTRUCEION INTERIORS PLANNING 6'-5- s'-1r 6'-5" 6'-6" 6'-5" 939 MAIN STREET, D1 PO BOX 343 NOTE: _ YARMOUTHPORT, MA 02675 A B tel (508) 362-8883 FIRST FLOOR TO BE ELEVATED A:5 5 A.5 toX (sob) 3s2—a883 TO AT LEAST BASE FLOOD ELEVATION ll'-0' . TW2636 TW2636 TW26421 TW2642 ADDITIONS&RENOVATIONS II 1' FOR: -_ = MR.PETER B 10" DI A. TURNC AFT FIBE GLASS ; KITCHEN - - ILODEAU COL w�TuscAN CAP &B SE. TIP. BREAKFAST o ... .. op AREA 3CEEE��F"�BOE - 656 SOUTH MAIN STREET oC LL - �s�a-MAHrtGaNv=DECRrnt CENTERVILLE,MA. ... _ ON.FT'FRAivi114G'-... ...... .., 2868 2'-2 tJ2" 20 MIN. DOOR - I _ ___ _ PCOMBUSTIBLES AS ` ._--_..-_.....__LL77.. RL1E^: �.—:_-'_.�=:r��`�k.�--__.._--_--__::.j:_L-:r. OUTLINED IN CODE. j -----.__ '--_-_FWGbO'68=::=.._--_.:oa_.__ 9._2. PROVIDE 2 LAYERS 5 8" 'o_........._................_...._..._..._._.....__......_......_._..---....._._. // -""- TYPE "X" FIRECODE GWB - -5'-3 1/2" V-10' 5'- " 7' 3'-Y ON 1/2" GOLDBOND RESIUENT N BUILT-INS FURRING CHANNELS® CEILING - o- C.0 TWO—CAR 3 RAISED 12" HEARTH � � --�- � � ' � GARAGE TUB// ' _ GAS FIREPLACE ' HOWE _ MI-1_ -i,�.R �I DOOR OPENERS SHALL U MOUNTED VENT F.P. OUT DINING "T- 'f-LL T is ON RESILIENT MOUNTS. o THE LEFT ELEVATION AREA PITCH SLAB 1/8" PER FT g_7• i TOWARDS DOORS a THESE Paws ARE NOT TO BE us ,- 5'-10" T FOR PERMITTING OR CONSTRUCTION 1 1 J I V7 i, W / PURPOSE UNLESS MIH AN ORIGINAL�ARCHITECTS ED 6 z 3 2 PROVIDE 1 LAYER 5 8" TYPE "X" FIRECODE GWB STAMP AND SIGNATURE < - 0 CONNECTIONS W/ LIVING SPACE 9 1 11 1 13�14�15 � - 3 5'-9 1 2' O 1 I 1. I N GREAT DATE ISSUED: 6.27.05 n t3O n 1D m I i REVISIONS: ROOM F p6 i i 6 OPEN - RAIL bl DEN e I 9070 GARAGE DOOR I I 9070 GARAGE DOOR AFOYER -o . c 1 PRO UP e7 4'-3 1/2- p`00 a ;o g o PERMIT SET 6-27.05 3 -,o PROGRESS SET o a PRICING SET PROGRESS SET . -TOP 42 .-TW S42- ._. - _ .--TW 642. 4..... .. ........... _. --THE A"TRtt--- _. .. ._ INTALL-A4fO IBERGLASS-. .... . 800R--W/ kdGM75- __. .. _ ..._. . C{QV�RE. -P9€�cC. — o . . .. .. ... — - " 1X4'MAHOGAN DE'Y CKING "- - - TYPICAL NOTES -- .. _ _ ON=R T FRAMING- ..-__— _._..__.. ._.._.__. _...__.._ ... _.. ..._. .. _.._ _.. _. STRUCTURAL ENGINEER SIGNER TO PERFORM FRAMING INSPSECTION '1�.-.DJ....;-T-UR.NCRAF-T-T-ZRBERGl_ S.S: -.:--.-'_ . ._ . . . ..:::-_-:__ ..//ppFE .—._..._______._.__....._..._..._.....__.._....____.._..._......._._ _____. ..._..__.._..___...._.—._.....____.—.._._._..._......_.___....__ WHEN FRAMING IS COMPLETE AND PRIOR TO ENCLOSURE BY INTERIOR .. ...____COL:-YY.�.-:S.USCAIN:...(.X�'�...$t::$3,'$E.:.- REGISTRATION _...._.____...__._._...__..___._._.—.__._—_._.._.__.._.._. - .-..___ — __ _ _________ _ WALL PLASTER AR -...._._... __._..._..._.._......_._.__._.._._............_.. . TASTE BOARD _.....__..__.._.............____._..._......______..........._.......__.........._._.... CONTRACTOR$HALL SCHEDULE AND PROTECT FORM WEATHER ALL EXISTING HOUSE COMPONENTS AND INTERORS DURING CONSTRUCTION AND CONSTRUCT TEMPORARY STRUCTURES/ETICLOSIRCES AS MAY BE NECESSARY TO INSURE SUCH PROTECTION. SCALE: 1/4'-1'-0' CONTRACTOR SHALL SITE INSPECT ALL EXISTING VS.PROPOSED UGN COLUMNS W/ CONDITIONS PRIOR TO AND DURING CONSTRUCTION AND NOTIFY DESIGNER SONOTUB BELOW 0 1 2 4 8 OF ANY DESCREPANCIES AND/OR CHANGES THAT MAY BE ENCOUNTERED. CONTRACTOR SHALL CONSTRUCT MID MAINTAIN TEMPORARY WADS// ' SHORING ETC.TO MAINTAN/pROTECT EXISTING HOUSE ANO STRUCNRAL INTEGRITY OF EXISTING HOUSE. SHEET N0. CONTRACTOR SHALL SITE INSPECT/yEq�SY ALL EXISTING VS.PROPOSED A B C CONDITIONS PRIOR TO AND DUBINC CONSTRUCTION AND MAKE ADJUSTMENTS A- EP NECESSARY INSURE cwPUANCE w1TN DESIGN PARAMETERS As 2'-5• 12'-8 1/2" A.5 15'-2" A.WORK 5 12'-6 1/2" 2'-5• 3'-1" 9'-0• A•S •_D" �^ HATCHED AREAS INDICATE EXISTING CONDITIONS. T F L O O R P L A N NOTES,ALL EXTERIOR WALLS SHALL BE 2X4 FIRS DASHED LINES INDICATED EXISTING CONDITIONS TO BE ftD ER AOVED/ALTED. O 16"D.C.UNLESS OTHERWISE NOTED. iv iv AS USED IN THESE DOCUMENTS."PROVIDE'MEANS"FURNISH AND INSTALL" 15'-5' 12'-10' 2'-6" 14'-8" 26'-O" 2 ALL INTERIOR WALLS SHALL BE 2X4 '' TOTAL NUMBER OF SHEETS O 16 O.C.UNLESS OTHERWISE NOTED. IN SET: WHERE AN ITEM IS REFERRED TO U SINGULAR NUMBER IN THE CONTRACT 3.CONTRACTOR SHALL VERIFY ALL WINDOW I 0 DOCUMENTS,PROVIDE AS MANY SUCH ITEMS AS ARE NECESSARY TO COMPLETE ROUGH OPENINGS PRIOR TO ORDERING WINDOWS. THE WORK. DRAWINGS AND SPECIFICATIONS SHALL BE TAKEN TOGETHER;PROVIDE WORK SPECIFIED AND NOT SHOWN AND WORK SHOWN AND NOT SPECIFIED AS THOUGH 4.CONTRACTOR SHALL VERIFY ALL DIMENSIONS REQUIRED EXPRESSLY BY BOTH.ALTHOUGH SUCH WgRK I$NOT SPECIFICALLY - PRIOR TO CONSTRUCTION. CONTRACTOR SHOWN OR Y'EGFlW.PROVIDE SUPPLEMENTARY OR MISCELANEOUS ITEMS. ASSUMES RESPONSIBIUTY FOR ANY MISSING OR THIS SHEET INVALID APPURTENANCES.DEVICES OR MATERIALS INCIDENTAL TO OR NECESSARY FOR INCORRECT DIMENSIONS NOT BROUGHT TO SOUND,SECURE AND COMPLETE INSTALLATION. THE ATTENTION OF THE ARCHITECT. UNLESS ACCOMPANIED BY A COMPLETE SET OF WORKING DRAWINGS ERT N ARCHITECTS,INC. 5._0. 20'-0" 4'-0' - ARCRTTCCrVRE CONSTRUCTION . 2'-8- TMEA10A5 PLANNTNG OVER.KITCHENRBELOW 7-6 1/2- 939 MAIN STREET, 01 PO BOX 343 YARMOUTHPORT, MA 02675 A 6 C tel,(508) 362-8883 A.5 A.5 A.5 fox (508) 362-4883 . � w.mT,wo+rTEtR.ear FINE GABL ENDOWS TW2642 TW 642 TW2642 ' - ADDITIONS Q RENOVATIONS 41 3 FOR tib _ NIR PETER.. R I BILODEAU MINI :I BEDROOM - .. d+ ` c. 3-7 1/2" zN - C-}� - 656 SOUTH MAIN STREET :0 2 r. :. _...-....._. CENTERVILLE,MA. ------- o ? NV rlcf-i< G�F�fit-AMIN6iN6 1 --- ------------- ----------'-- -_...... ...... .. .. _...... � ......... TW2642 TW2642 TW26 2 A 1 I v .-......._..__..__.-..__.___._-..__...._.._.___._._.._.......___._._..-_... 3• '3^ i 266 I_-?__?__; y-__ 2568 264 FWG6068 TW2642 O I tG i + NEN It w _ e BEDROOM a .ATH._.A Xs/ J 21 A o MASTER BEDROOM I- HOWE \ m i-aA,TFI- v1 2668 2'-5 1/2" e m `o THESE RANT ARE NOT TO hI 5 USED.. FOR PERMITTING OR CONTTRU • 20'-1 3/4' 4-T 5-1 1/2' ' SNERENDOW SEµUNpN��HE SIGNED—IN ORIGINAL a U) STAMP MID SIGNATURE I gp gp O m IN GAB WINDOW— IN DATE ISSUED: 05 ON n �i TU8 ._.._.._..._i._.._�_......_...5.._..... ____ _ ._.L__..._ . io HO i ! i ....j. ....i..._. • 'a EVASIONS Mi 8 : -- OPEN T- -LOFT - o BEDROOM 7a6s —RPEN o - SPA' i RAIL 3• T`b25421 LINEN T 2 TW2642 T. T. c 4'-3 1/2- 51-0. PERMIT SET 6.27.05 m PROGRESS SET PRICING SET TW2642 TW2647' - TW2642 TW2642 PROGRESS SET .... .CENIE�M7NOOW5 _._ N¢R D A-''_'.-_ . .. _ VER FlR51 FLOOR .. - — . ... .. .. ..'-BF O ..... _....�VER�FIRS NFLOOOR.. _ WS".".HELOA! ..... ...... ._ .._._. ..... _. _ _ ._. .. ......._..._...WINDOWS::I3ELO.W_......._......................_ .... .. ..._ .. ... _ _.......... _..........._ .___._. ...—- .. _._.. .. . — -D E.:f-- .:. .......... _ .. —... .. _.. —_. .............. .—.._. . __ _ _ .._...____.._-WATEAif'i�00 .__.___.. ._.__-_ .._ _.. .._.-...__..__ .._ ................._................._._.._._.....__......... ..:................_......__...__........_iX4-MAHOG NY DECKING_.........__................_._.................._._._....... ..__ ......_........................... -..-..---...._.._...----" .7dT._ _A_FdING== .............__._...._---'--._....---"----'--- -'---- . .._.__.__._........__._.-...-_-..__._. _..-_..._...._._......__.__.__._.....____._..._....._-._._.____._.._......__._ .... .. REGISTRATION SCALE: 1/4'-1'-0' o 1 2 4 8 A 8 C SHEET N0. A.5 A.5 0 A.2 3'-6' 3.-O. ND ALL EXTMIai WALLS SHALL BE iXs SECOND FLRPLAN N 0 16.O.C.UNlE55 OTHERWISE NOTED. 5'-6' 8'-0 1/2' 5'-6' 3'-7" 6'-4" uI 9'-8 3/4' T-11' 2.ALL WTERIOR WALLS SHALL BE 2X4 TOTAL NUMBER OF SHEETS 0 loll O.C.UNLESS dI1ERWSE NOTED. IN SET' 3.CONTRACTOR SHALL VERIFY ALL WINDOW 0 24'-0' ROUGH OPENINGS PRIOR TO 01tDERING WINDOWS. 0I G 4PRICONTRACTOR IRVCTOrICONTTRRACIOR DIMENSIONS THIS SHEET INVALID �I ASSUMES RESPONSIBILITY FOR ANY MISSING OR INCORRECT DIMENSIONS NOT BROUGHT TO UNLESS ACCOMPANIED BY THE ATTENTION OF THE ARCHITECT. _ A COMPLETE SET OF WORKING DRAWINGS S'Pb ff D� naagA xt* �® fbftL ." ML 1-7 r ......... . 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I- ' - ­!� I , ,''.�r ' _�:�l,­l,,;: _I I 1� -" . _� I 11::�,. ,- I.I.I r 11 .�" '� -'' :�, --- - _ r�, _ -�'_r-�I,; ,:, y -r- - ' 1 ' I I,- -� � - ,�,�:�,,: : r �� _ ,I, ,-I I I ,- _11 - � , ,- `�� .,- , , I - I - ,"i -- �� ,- 11 , - � - ;" ­1 I I ,-.- - r I 1� I -I- -- - - - r, I -� �� 11,-.1,,�I, -,-- -,---- -- - . �,,, �, I I , I . o. . r I I - r .- -- ,.., I-1,_ ,,.: -.- . �",�,' � .,�L;�,r,q.j I , �:�_ ,- I I�-I -- - r� � , � ,I�! I 1' � , " � - . .., 1. -�r ,- I -.,r � ,," -t,�--,:,",,-- -1�-- � --� , ­�,- ­i.- , ,, - -:, , � r-.�,��, ,,r, -I I I I-_. I r; . � 11 r - ,. � - - ,.."� - - -- � ._-- I I r I.1 ; - , ,�_� '� 11 I . I I� � I .� ,I I -_�I �. -I r,. r r_I I ASSESSORS REF.: ZONE: FLOOD ZONE: RD-1 Zone A10 (el 11) Map 186 • ' ' •Y' - Community Panel No. Parcels 040 - b Area (min.) 87,120 SF (RPOD) � - Frontage (min) 20' #250001 0016D 'y Width (min) 125 July 2, 1992 Setbacks: • Fron t 30' OWNER. Side 10' McLaughlin Real Estate Holdings, LLC Rear 10' 31 Curtis Street `" ,,, • ` "° Scituate MA 02066 t ad. OVERLAY DISTRICT: REFERENCES:CW AP - Aquifer Protection District : \\, ,o• 1�> � Plan Book 82/43 As Shown on Plan Entitled 80/113 "Revised Groundwater Protection % ` moo ���^o Deed Book 16490162 } � a Overlay Districts" - April, 1993 % \\`r@fa 'may 1��• Locus Map evws _-•e v`Y' ev"----•--•- _�;�,. 5 Scale: 1"=2,000±' / . � \ T•. I �'o• \ \ I �—ems R� 0, °�i. t¢e ,�� ode / � ` •` \ \ '� ,,, Lot 10 \ i' 17,700±SF(uplond) l 8,156±SF(wetlond)NI `\•\ 25,856±SF(total) 'o:\ Wetland Resource Line J ! \ \ \ spa;\ as Flagged by ENSR /evwio 50• ............ ..... \ January 4, 2006 cows s°� 1 a lawn J °g. fi Lam IBM Qa7.5(n9vd) / T of M aB ado° / 9q��9 2 ;\\\; /� Ode •' , ! ;/\ \ Gc°g6 / R�2cG �O .\ 17.3• O- O Lawn ! f G3 CAD am \. \ —7— \ poi / r Ok C�gg��aAb 9�OJ evw16 ` `ae Legend. CD Wetland Flag Notes. $ Soils Test Pit © Gas Gate 1.) The property line information shown was O ® Water Gate compiled from available record information. -0 Guy •)• Utility Pole 2.) The topographic information was obtained from an on the ground survey performed on Deciduous Tree or between 051JAN106 & 10/JAN/06. —OHW— Overhead Wires 3.) The datum used is NGVD '29, a fixed mean - 25- - Elevation contour sea level datum. 0 Hydrant Conc © Water Gate (round) Headwall 1= .. yw c :g oae, canc b Headwall Title: PREPARED FOR: PREPARED BY.• . . . CapeSury Existing Conditio Jon Tobin Sullivan engineering, Inc. rn _ PO Box 659 7 Parker Road Plan of Land-at C/o HAN TEl< Osterville, MA 02655 Osterville MA 02655 ♦ 100 Rawson Rd, Bldg 220 ee{, Victor / (508)428-3344 (508)428-3115 fax (508) 420-3994 (508)420-3995 fax ctor NY 14564 PSullPE@ool.com copesurv®capecod.net ' BamstabletCeenterviiie) Mass. ~' Comp./Draft: Field: WHK/JPM N 20 0 10 20 40 60 Date: ,lama 19 2006 Scale: 1 n-20, Review. Comp./Draft: RRL rY .. Proi # 25043 Drowing # C247_4gl n •• s n: = ' F.G.ILI See Note4(•Typ.) G,10.5 Max X­9�Min. Finish Grade ML is Tee or Filter 4"0 Perforated ;. Baffle Compacted Fill Fabric PVC Pipe r - 9.05 1500 Gal. 8 6 B I 5 1/8"-1/2" 9 e 8.8 5 Septic Tank 8 5 .25 _ Pea Stone tH-20) - - Adjusted Groundwater E1.3.5 - Double Washed If Encounted Remove&Replace All m Stone e _ Unsuitable Soils Within 5'of The T - *• Outer Perimeter of The System. " - �,..,•: -•r DEVELOPED PROFILE OF PROPOSED SEPTIC SYSTEM 1-9 21'-0" 1-9' Not to Scale r .►° LEACHING BED SECTION R• Not to Scale �; ,' •� ,,+'�� j 4'-d' 21'-0" 10'-0„ 2-0 q, -•% '_ �1� . ' it '• i r••.• ♦/ARIANCE �tp I14.•. • r i 10.0 10.5 i // ♦♦ , coo y � . 'fir•:,.,.,., ,...` 12 Driveway ♦o• �` �1. •* Top of Wo l l : ,9 �, J• py�pe i .....•.:',._'••::• •'. Sot Z5 10.25 i ♦fie _ i � 3`•�^� 9 �^oa/ .S s -< is Grode Exist Ad uNed Groundnoter El.3.5 , ♦ \1�J1 SECTION A-A ,�.w„ ♦.` 1 �, „ Not to Scale a�' ,� �� / / eve, RR ILLR.- Ali IK �,, 3 37.3 `I Locus Map Q�aQ�°� evws _•�vw7_--•--•-� ;:�-•..� Scale: 1"=2,000t' %� a ♦ � G'� ! �� Lot 10 ` I w��c \ +J IYc,°// `K M `��� \ 9� / A • 17,700±SF(upland) I /,°,�� `\ l ♦•♦ S.�" ♦ \ C11- y _? l 8 156±SF wetlond ` \ ♦'� '� '���� �♦ 25,856tSF(totol) ) \ A 'o'♦ Wetlond Resource Line J ' ! b \ \ ♦ �o Q s%♦ as Flogged by ENSR JO^o♦ January 4, 2006 /evwto saw♦ 1 � ,�, ?/. �,, � � '• ? �% 4) '0. ♦ I / �• !C �OS�Ocr .`0� o� °♦+ /Al `♦ 1 q) � `♦ �� nl �. F. r ♦ ' 1 �`1 L,1 f C ` ` �a r in i IL Zop c� t 40 ca � p ?� ♦ ♦e t. lam'O .� CtS . . ,, .• � �QO O. � i v ors •♦ \\\ ,. ;� �- /j \♦ ♦\�� \ d. 0 '13 , PLAN VIEW �• .:� �� Scale I 20' DESIGN DATA s/9 .�� \ `�'O°V�TR� o \ o ♦ i 4y fi.1 -_7 \ Single Family 4 Bedroom +. \ i �4�R��,tii No Garbage Grinder ♦ °�� ``.✓ \ \ g(OS 4'�� / Daily Flow= 4 x 110=440gpd SepticTank•440gpd x 200%=880gpd Use a 1500 Gallon Septic Tank.(H-20) ♦�♦ 6�\ CQ ` JZ1 r LEACHING AREA ` ��•Q /� 4409pd/0.70=,629 J.f.Required Bottom Area: 21 x 30 =630 s.f.Provided i �`a��°�� • r�p� / LEACHING BED DESIGN At I Piping to be Schedule 40 PVC ' ra♦ ♦ ♦A Perforate#With Ends Capped User 8-4 0 Distribution Lines in a \ �/ ♦�♦� J, 5� 21 x 30 Washed Stone Bed. `' e Cfl BVW16 2 NOTES yj♦a 1. Water Supply For This Lot is Municipal Water. 0'-TEST w OLE N o.l St-,-7.o o T�sT HOLE. N e.2. E�. -7,O 2.Location of Utilities Shown on This Plan Are Approx. b At Least 72 Hours Prior to Any Excavation For This O t_0P.r/1 -ORGANIC .O I.oAM=ORGANIC / Project The Contractor Shall Make The Required Notification to DIG SAFE-1-888-344-7233, f FtL_L- Flt-I._ 5.The Contractor is Required to Secure Appropriate Permits From Town Agencies For Construction Vrm Ism ORht. t-oAMY YEL ISH Brim, t. op,"Y Defined by This Plan. S4, B -S AN e %o Yf�t 5/!0 42, sAN t> 1 O Y R 5/!e 0� 4 Install Risers to Within 6°of Finished Grade a if Located LT.YE1a°�H t3RN MEt? C L•T,Ye.%.:%Sw pr2N MEA inPovementlnstaliManholeFrame9GratetoGrade.H-20 C SA,M0 a,5•`/ 4 9LKNO 2,5 Y /,/3 ��•' b' 5.All Structures Buried Three Feet(3•)or More or 6ROUNDWA•TB.t2(a7'b2." Gt2outapwATGl2 b2t1 Subject to Vehicular tobeH-20Loading. PCsRc.•No• %12�0 6.Septic System to be Installed in Accordance With pNrF-' W/2.N/o 1,v � 310 CMR 15.00 Latest Revision And The Town of GROut.IOwATL?R a nSusTMCN-r Vr.P-r"-, `'IO" Barnstable Board of Health Regulations. IBY• SUI.I-%VAN ENfr1N6EC21Nfs INC-1 7. All Piping to be Sch.40 PVC. � GROUNDWATERCg7 EL.. l,8 SO%L,�VALL1ATOfi`•3'OH1.1 O'DeA�SEZ, „ 1NDtsx"ti/S\_U' MtW Zq ZONE A V./%TNE55! O•bE SMARA%5 TCt%3,,blo,H, S.Depth of Inlet Tee Below Flow Line: 10 ,Min. AD3'USTMGJNTt I.-7'APR%t- ZOO(, Q>=RG, RAz E 0 Depth of Outlet Tee Below Flow Lineu14 Min. ! ADauSTt=oGR0uNDWArL=R EL, 'S.50 %',:'To 9" v MIN/INICr+ Conc With Gas Soffle, Cl"'TO 4" 46 MIN/1 h1 C 1•I Heodwoll I Directions: From Hyannis-Tale Main Variance to Code of the Town of Barnstable ( Street to West End Rotary;Follow Chapter 360 On-Site Sewage Disposal Systems , West Main Street;Take a left onto Article I Section 360-1.Location to water bodies Pine Street,which turns into South Required:100 feet Requested:75&97 feet from BVW to system 4,� Main Street;Property will be on the , There is no proposed increase in flow therefore; 12 right,#656. The work is not new construction as defined by Title 5,15.002 I "New construction shall not include the replacement of an existing building totally or partially destroyed or demolished if there Is no increase in fltw%/ i DEP Pofty#:BRP/DWM/Pep-P00.6 uae of the B Horizon ► ""'•"sear Q State Title 5 Variances Required 310CMR2.55(2)requires that the breakout wall be 10 from the edge of the leaching oad Four(4)feet is provided at the closest point I Wall to be waterproof,no weep holes and constructed out of concrete.. b Canc ' Headwall Title: PREPARED FOR: PREPARED BY.• Inc. Ca eSury Jon Tob►n Sullivan Engineering, p Cb PROPOSED IMPROVEMENTS S C/o HAN- Tic1� PO Box 659 7 Porker Road Osterville, MA 02655 Osterville MA 02655 656 SOUTH MAIN STREET 100 Rawson Rd, Bldg 220 (508)428-3344 (508)428-3115 fax (508) 420-3994 (508)420-3995 fax LV CENTERVILLE , MASS. Victor NY 14564 PsullPEcool.com copesurvftopecod.net 0 -� 20 0 10 20 40 60 Comp./Draft: MJD Feld. WHK/JPM !V Dater January �9, 2006 Scale: As, SI10W11 Review: PS Comp./Draft: RRL ry Proi. # 25043 Drawing # C247_4g1 0 Tobin Resid ence SzeZ(D) U h ME Im 2 To ( )� Q�j � � � g IJVIJC°I�CJ.1 �JISISc�-� ( - U-ti K- 1 Lis[ of Drawings � cow, Swka. W-W (FINAL LAY-OUT AND DESIGN JI T♦ �'-�' Or T MPR) SOl1D BLOCKING DN.TO FOUNDATION ® SMOKE DSTECTOR 2 X L STUDS AT IL•O.C. 2 X i STUDS AT I1L'O.C. F S G AT TWO TONS Pa" 800 FOOD T ACITY AS AT E RKD HANGERS AT ALL REO'D CON PER CODS FOR ,ry I 'C ZONE - AN! (20 MINI ONO LOAD) ' V. - - -- -- - --- - - till k"'111 DETAIL W5 � � PLAWIIMI, SCALE. v4•- r-O• I� h ----- --- ---- ------ -4p ; 0C: Vtku r-O• N-1" fl'-Y $Si' N-T �„ i i2 K HL MAW HOR.ARV. 4IOt h MLA�SI�y� h PILL (OR ,! a imiiLiV r� UHEXCAV ATEO) DETAIL W 6 cow.uAr o/ r SLAB Lace m �1S F � or PPRAM $': - r ` Cl) acALa yr r O 3' AIV SLAS LED" DETAIL W9 RLW IOR.MV. SCALEI y SN N IR.ILQ11 MO14 A!V h __.. . . . , 1 ........... - __ 1{'afrTillL AW: w i l I f I ,As 8 s-r Y-a w I 1't`A L~PRAM ___ I 12)K HL.PLIMH HOR.,yV. --_.__._._._.. � 1 Y it f3/�XtyOR. ( _ §i , ` IAM h R. caw. y k '° t PILL W w PLUSH HOR.Asv � mini y4v R,iV PLUM — COME SLM O/ G } - - ;l - h h U)-R) O)N'•ML rumor_ 1 HM MV. y Z Iao •q- ,n fin; li77 }r-al D I IOR As /ALL S I SW LEDGE MNL1; QOX + A� �1 r A—,,�► DETAIL W3 -- w-- E -=RIB 9 4 f tu U — ova SCALE: 1/4'-f-O• Mr wVLt HGTJ R �ZLL f' L NNIII U o T to J� I � c �• aP-* 2' Zy a m i+ — Ln L(1 h FOUND T ION FLAN UNEXcA ATED SCALE: 1/4'.r-W fi UNLESS OTHERWSE ► z } VA-F'' D O"' ' X NOTED TO OM. Z DETAIL W2 A, _ A, ® SCALE: 1/M-r-O• < i ® OE7KL � 2 t F- �IT � ® fp�i'M fft)1A11 < r Sw LSD" am UNLESS OTHER a. _ A2 Al2 �.o. WISE NOTED Y DETAIL W I ORA1 A SCALE: yr-r-O• Y-T W-T W-W q r ----- — G�RI�RAL NOTtSTiritY(' �2 T Y?^?N! rRorar Ms. O/"pS•O �t r-o• _ w-o• Y-r �p �i r-o• rt -�yr *-a• — r - - W-W — —r�r — — —r—r— — vr — — - - r-r T-r 4 y m - - L T I EC�1 I�"oon Aa I I .-------- ------ a F .Ara <---- -- ---- r-o• I ! rr-r I - - --• ---------- -- - -- Q' Erg k OV 4gLoL 1 , SCREENED k ` PORCH IL -• � J}G., I s Kr + r-a Y-�' r r I I r MTR I t . —_ } • rYt r-skrr -- +-1• A -— -— -- w `OV_ W t - - I' �POYER y Aa I w A �� /� �' Yi• t.•-O' !06 _vj . i ENTR r�PANTR CLO ET t - - CLOSETING �i �� A I i J U °° P CH t - $ n _ T • T iF. .r.m U� - - - � � t' y O Q ..om z Ptl101[. SE A'1 --- — w Q Ki O3iL • W Z O _ % r t, uLL � C I r-o• — i-0' i r-O' I � IE� F- f I ALn y Q rani Ln `a d LESS OTHERMSE NOTED 1 X •STUD$ AT It- O.C- 9 X L i STUD* AT K' O.C. F • --------------- p, yti,► 1 X 4•TUDti AT K' O.C. A Tti tit ----`- CMAN�i!M r•LATE NOT. O ® n RED GLASS AT TMEN UNTS +� • x Al u UNLF-88 OTHE WI$E NOTED �- r ', ON PLAN�� 4�DOAV AnnT "ALL BE�pON�pgW I�yMREERs4000N 7'L rUl�{IA�N AIM Err C°LAD6 Y1. dJ Tr8 GRN76 BLS LOYf-E I --------------- OBL.�j S rLq LMI ALL �(TSMOR "ARiNG I WALL 11ANDACHy MIARCR TMAN fy 1 X ! I F E►-1¢RiC_-i�M ��AOpTRRALL .--- ® ®-- ® -- ------ �r Me. �N °"M ANlPM EilID LOADI �'-r r-r Y-T s-r yr f-r Y-T I-0 yr 7+ Y-!' AA A �1 TO fCFlD - - r f a-r Y-r It-�• A 3 or A 11 a+e� Y-�• r-s• �-� FIRST FLOOR PLAN ■R TO SHUT�s•���1�FO�R 2T-0• w'-*' - — E,scAL of -r-o AREA„ m sa.FT. war w G MOsr'f('r�1C-ATfONa —-- ------ — - -- am --_ - PUMM ro. Q►-0EFO 6 �1 G AS ----__.. --- --------- - x 0"am w4x Iz es�t - T T M _._ 5P = s — w I v- xL oip!ii4 yob:CID a C __ — IN NL PLUSH bolt. ---' --- -- _ ------ - i _ - _ _• i r-o 1rT It0llabt ---- T Hill ® w' I � . w _ I'1.1 M Nb- TT A8 I e — __ w t w a�'rew = tQ W o'�c _- ----------- - — _ Q �.J =- - o x A, a -- Al -- p wga WLL i Al 00 A UNLESS OTHERUMSE NOTEDIn u 2 1 W Di!*TJ UO SOME � its '�---� 1•�pp� ,{p��T6 / AT {� D,� by T LAY�AND Ol61GN SY TJAS � BY TJ MM J f 1X4CA&JOISTS ATN'OP_ 0 , _ a, 7 X L CM.JOISTS AT K'O.c. U� •� Z ^ •®-► 2 X S CLG,JOISTS AT bl'OG. IL 'q .41 i t©---► 1 X 10 CL4.JOISTS AT IC O.C. FIRST FLOOR ° T � 3 X n CLG.JOISTS AT It•O.C. I+ 9ii ' Z jr CEILING.: FRAMING FLAN SOLID LILOCIONG DK O rOM�AT1pN .___ 'boil• NN'pBNGIN!lRED HANGlR6 AT ALL < 1 -1N a SCALE: 1/4'-r-O �CZ OIIS N W1R1lICAIS�f�O /�H�IIRIID LOAD) w _ l -- {TI 1bR tf�T W. '9� GM '�iu''1Ne �`�`i►�T WO :Yaks A 4 A 12 Boom by S11N • os_oa�-o W-4- VVERALL PRAM SOLO. 7 —_ UNLESS OTHERWISE NOTED -- w_r r-c xr-r L /-S' '•� —_.—__—_--_— 7 X ! STUDS AT 16'O.G. O-0. 4 Y-4' 4'-0' r-r Y-T V4' Irr r�V!• 2 r. STUD AT O.C. 4,•,p, �-0. ] X4 STUDS A7 li' O.G. i CHANGE IN PLATE HOT. `ErIPERED GLASS AT THM UNITS (!, SMOKE DOTSCTOR tl _-- ALCOVE � � a 3 T ; UNLESS OTHERWISE NOTED UNLESS OTHERNIM Norm ON PLAN SXC0%Q PLOOR PLATS W.T.SHALL Ss \\ S'-A V 3' A5 V SU1WL00R • - _— I \ ONDOW NUtBIRS ON PLOOR PLAN AIM AIM PO POR R ANOSRSSN 400 SW GItlDs O/LOS-S 7 MBULATED GLASS W/ / �T.O/ D9L. JACK bTi1DS EXTER.NM SEARING Lo i AA��,L� WALL a,g (! LARGER THAN .)7 X 4 - i AND SPANNNG r-r 'HMP�N'SNGNL'E WO HANGERS AT ALL IQQ'D CONNICTl0k5 PEN CODE POR (..� 'C' ZONE - HURRIGANS MO MPH ONO LOAD) � y ' SDRM. s3 i � ,,.mD.•.nc _ O ! RElER T T sIU i . ItM- s GElawIM NOTO %T E!'!C 'ICATIONa AT. -NT&JSN,040R iu - i Y Q If BATH sZ i V TSFIP.CLAM( t AS h i ®ATN 13 P -- as :. 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V WPM - F--Row CUT a MCT+aI II C <- -. > Al M WYCumi yy RRR F.-_ ♦T W PLR Tl Al Q TOM c) �wLriLv l U > x�►�r��� xo; �` I� x � O W Q 4� - -jorLY�vi co86� ro> �i <4,y-� p z 14 O�O OA DORMER SECTION „D-i,I - -__- UD °M SCALE. 1/4' - I-O' - _� M. -y aco I RAC / YOD 4v Al n x L Al © © 4T a pp F REFLECTED CEILING PLAN --- UNLESS O UNLESS OTHERWISE NOTED 88THERWISE NOTED — o< • _ --- -$-__� '- Ate - ---------' n� W < !OWIRZ"COND FLOOR SU6PLOOR / 11* i 2 X 4 CLG a 4'ROV444 FLAT CLG, HOT. rOTt AT O.C. pi SY O S`-S 1,-X ROUGH PLAT CLG.. HGT. O/ t � - 1 X L CLG. JOISTS AT IL'O-C. Y t < 41 SC'I .Hg* SECOND FLOOR SIAPL.IIIt ® IO'-S 1/2' ROUGH PLAT CLG H4T O/ t---®> 3 X/CLG. W(STS AT LL•O.C. yyF HIGHER "COND FLOOR SUDPLOOR � 'V-S 1.12' ROUGH PLAT CLG. HGT, O/ 7 X 10 CLG.JOISTS AT IL•Or- 4Y LOWER SECOND FLOOR b"LOOR E ' SECONDFLOOR ® `HIC�0 1/ ' RO FLAT �HGT. 0/ �M�G O'TO PO{MDATION SECOND FLOOR H REFLECTED CEILING FLAN .� t2/12CLG BLOM --X) kTOWALL ** 2XiORAPTlRSATIL'OJ CEILING FRAMING FLAN � N' ENGSItMD HANGEAs AT ALL KALE, V4•- �-O' Cs'� FLAT LR7R AbV,DOOR/MNDOIY Q'D CONNS.0 T'IOIIS P!R CODE POR SCALE I/4'- !-O' C' ZONE - HURRICANE !AO rIP'H ZO LOAD) L'SERE PLAT SOPTMT - SIBT 60"C" O ATr-CsV. LOW* SECMW Psl R 'fi0 TTp=/�1;1,�.�OtR A6 c Lxtvlw SOPFrT - SEE ° G IG� d,Lss ' [� DETAIL sL.1AI �pR 5!'�C>lICA w. t a)A�nnL - VAULT Cu. NOTaTEflbw 'f•IafIS , .wa.c, oroal.,^ J i G A8 7 * r l R Auru YAK7A i*MA W ftAs.�4m EQUAL EQUAL _. _ 'Y-i• 1 L x O AM u, _ I * _ Ca AS I I as I I RAFTER.RARINg GOAL saws " u y u x X x--- ---x-- x- X Rj rw 1 <- - now m al >4�OEM D R7p �L A -I o/YMR. AL1G1►AWA zOq =waO G� F u } Ua �Q/ rs•-a•r A4.' '�'� UNLESS_OTHERWISE NOTED t O �� ] X 1 RAPTRRb AT U'O� Q. 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