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HomeMy WebLinkAbout0160 TERN LANE - Health 1.60 TERN LANE CENTERVILLE A = 212 015 //// QECYufpC UPC 10259 No. H�163_0R NAGTINOG.UN S4' N �• 4 2 v N � u i O f Commonwealth of Massachusetts 10023t)g3il Asbestos Notification Farm ANF-001 Asbestos Praj:ect .. ❑ Project Revision ❑ Project Cancellation A. Asbestos Abatement Description. 1.Facility Location: WELCH 160 TERN;LANE Name of Facility Street Address MA 02632 0600000000 Instructions 1.All BARNSTABLE CeVI-T$<v t sections of this form City/Town State Zip Code Telephone must be completed in X X order to comply with MassDEP notification Facility Contact Person Name Facility Contact Person Tithe requirements of 310 Worksite Location: EXTERIOR CMR 7.15 and Department of Labor Building Name,Wing,Floor,Room,etc. Standards(DLS) 2. Is the facility occupied? ❑Yes ❑J No notification requirements of 453 CM 6.12 3_ IS this a,fee exempt notification(city,town,district, municipal housing authority,state facility,or owner-occupied residential property of four units or less)? ❑ Yes R No ftassDEP Use Only 4.B ahket Permit Project Approval,if applicable: Date Received Approval ID# 5.lion-Traditional Asbestos Abatement Work Practice Approval, 2.Submit Original if applicable: Approval ID# Form To: Commonwealth of 6.Asbestos Contractor: Massachusetts NEW ENGLAND SURFACE MAINTENANCE 850 WASHINGTONI STREET P.O.Box 4062 Boston,MA02211 Name Address WEYMOUTH MA 02189 7813372117 City/Town State Zip Code Telephone AC000196 Contract T}Te: 0,%rotten ❑trefbal DLS license# 7. JOHN P.VALLIQUETTE AS060773 Name of Contractor's On-Site Supervisor/Foreman DLS Certification:# 8. NIA Name of Project Monitor DLS Certification# 9_ NIA Name of Asbestas Analytical Lab DLS Certification# M. 1 irml)1.5. 11I2I2018 Project Start Date(MMIDD/YYYY) End Date(MM/DDIYVYY) 7-4 NIA Work Hours-fdanday Through Friday Work Hours-Saturday&Sunday 11.What type of project.is this? ❑ Demolition ❑ Renovation ❑ Repair [Z Other-Please Specify: EXTERIOR Revised: 11il.Y2013 Page l of 4 Commonwealth ofivlassachusetts 40023Dg30 Asbestos Notification form: ANF-001 Asbestos Project# j ❑ Project Revision ❑-Project Cancellation A.Asbestos Abatement Description:(cone.) 12.Abatement procedures(check all'that apply): El Glove Bag ❑ Encapsulation ❑ Enclosure ❑ Dcspasal-only Cleanup ❑ Full Contaimnent Other-Please Specify: EXTERIOR 13_Job is being conducted: Indoors F/� Outdoors 14.Total amount of each type of asbestos Containing materials(ACM)to be removed,enclosed, or encapsulated: 250 Linear Feet(Lin.Ft.) Square Feet(Sq.Ft) Boiler,Breaching,Duct, Transite Pipe Tank Surface Coatings Lin,Ft. S;Ft. Lin.Ft. Sq.Ft. Pipe Insulation Transite Shingles 'Lin.Ft. Sq.Ft. Lin.Ft. Sq..Ft. Spray-On.Fireproofing Transite Panels, 250 Lin.Ft: S%Ft. Lin.Ft: Sq.Ft. Cloths,Woven Fabrics Other-Please Specify: Lin.Ft. Sq.Ft. Insulating Cement Lin.Ft. Sq.Ft. Lin.Ft. Sq.Ft. 15.Describe the decontamination system(s)to be used: AS REQUIRED 16.Describe the containerization/disposal:methods to comply with 310 CNIR7.15 and 453 CMR 6.14(2)(g): AS REQUIRED 17.For Emergency Asbestos Operations,the MassDEP and DLS officials who evaluated the emergency: Name of M.assDEP Official Title of fetassDEP Official Date of Authorization(hiMfDD/YYYY) Waiver# Name of DLS Official Title of OILS Official Date of Authorization(MM/DDfYYYY) Waiver# 18.Do prevailing wage rates as per M.G.L.c. 149, §2.6,27 or 27A—F apply to this yes 0 1T0 project? Revised: 11/13/2013 Page 2 of 4 Commonwealth of Massachusetts 100230 30 Asbestos Notification form ANF-001 Asbestos Project# LA:.i7 ❑ Project Revision ❑'P'rolect.Cancellation D. Facility,Description 1'Current or prior use of facility RESIDENCE 2.Is the facility owner.-occupied residential with 4 units or less? El Yes 0 Not 3.WELCH 160 TERN:LANE Facility Owner Name Address CENTERVILLE MA 02632 oDDDDDDOaD Cityfrown :State Zip Code Telephchd 4.x X Name of Facility Owner's On-Site Manager. Address X MA 0000D D0oDODD000 Ciryfrown State Zip Code Telephone 5.x x Name of General Contractor Address x MA oDtrOD 00000000130 Note:Temporary storage of Asbestos Cityfrown State Zip Code Telephone, containing waste x material i only allowed att the pleas Contractor's Workers Compensation Insurer Of business of a.DLS x 111Q016 Iiaensed Asbestos Policy# Expiration Date(MMIDDlYYYY) Contractor or a transfer station that is 6_What is the size of this facility? 12DD 2 permitted by Mas;DEP and operated-in. Square Feet #of Floors Compliance with Solid' C. Asbestos Transportation & Disposal Waste Regulations 310 CMR 19.000, 1.Transporter of asbestos-cohtaining waste material from site of generation: Directly.to Landfill or F41 To Temporary Stoiage Location aansfer Station, NEW ENGLAND SURFACE MAINTENANCE,LLP 850 WASHINGTON STREET Name of Transporter Address WEYMOUTH 41A 02189 7813372117 City/Town State Zip Code Telephone 2.If a temporary storage location/transfer station is used,list name of transporter of asbestos containing waste material from temporary storage location/transfer station to final disposal site: RED TECHNOLOGIES 10 No RTH WOOD DRIVE Name of Transporter Address BLOOMFIELD CT 06002 86021,82428 City/Town State Zip Code Telephone Note:Contractor must sign this form for DLs Revised: 1.1/13/2013 Page 3 of 4 TOWN OF BARNSTABLE � LOCATION /C� SEWAGE # .96VD-5-7)r VILLAGE 60�"Ilk ASSESSOR'S MAP & LOT INSTALLER'S NAME&PHONE NO. L klell,' `G-AIl r.[404 SEPTIC TANK CAPACITY LEACHING FACILITY:/(type) (size) /,3 jt 4/6 A G d NO.OF BEDROOMS-7 BUILDER O OWNED PERMITDATE: COMPLIANCE DATE:—JJ 1107 hod Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility (If any wells exist on site or within 200 feet of leaching facility) Feet Edge'of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) Feet Furnished by S 9� ,9h ins ••1'f� LPL 9x / Sf. Ah u,� Commonwealth of Massachusetts 100230g30 Asbestos Notification form ANF-001 asbestos Project# i ❑ Project Revision Project Cancellation notification purposes C.Asbestos Transportation&Disposal: (cant.) 3.Name and address of temporary storage locationitransfer stat an for the asbestos cointaining Waste materiaL RED TECHNOLOGIES 203 PICKERING STREET Temporary Storage Location Name Address PORTLAND CT owo 8603421022 City/Town State Zip Code Telephone 4.\lame and location of final'.disposal site(asbestos landfill): MINERVA ENTERPRISES MINERVA Final Disposal Site Name Final Disposal Site Owner Name 900D MINERVA ROAD Address WAYNESBURG OH 44688 3308663435 Cityfrown. State Zip Code Telephone A Certification 'I certify that I have personally examined the foregoing and am KEN FURTNEY KEN FURTNEY familiar with the information Name Authorized Signature contained in this document and PARTNER 1or15f2015 all attachments andthat,based on my inquiry of those Positionfrdle Date(MM@DNYYY) individuals immediately 7813372117 NESM,LLP responsible for obtaining the Telephone Representing information,l believe that the 850WASHINGTON STREET WEYMOUTH information is true,accurate,and complete.I am.aware thatthere Address Cityfiawn. are significant penalties for MA D2189 submitting false information, State Zip Code including possible fines and imprisonment.The undersigned hereby states that I have read the Commonwealth of Massachusetts regulations governing asbestos abatement (453 CMR 6.00 promulgated by the Department of Labor Standards and 310 CMR7.15 promulgated by the Department. of Environmental Protection), and that I am aware thatthis permit application or notification shall not be deemed valid unless payment of the applicable fee is made' Revised: 11/13/2.013 Page 4 of 4 r fVew England nance,LLQ Surface h�ainte -i4 '' 850 Washington Street Weymouth,MA 02189 £. ,.:. -:Y- ,;.,. . USPOSTAGE :cr.,9 .:• s ::twl y $oo.�'Fv AA Qo 5 First-Class Mailed From 02189 10/15/2015 032A 0061833883 -p mv ��� - `.. �.�.� .�_ _ _ .. _:., � , t�l i . �.. o ,. .. y �. . . .. '.- �: '�,'�. �� '- 4 `, n. n z�.. � r a. L- t _ _ -_ l o � l Pd �� R� -5(5 No. �P � i Fee THE COMMONWEALTH OF MASSACHUSET S Entered in computer: Yes PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS 01ppYication for Misposai *pstem Construction Permit Application for a Permit to Construct( ) Repair( ) Upgrade( ) Abandon( ) ❑Complete System [�<ividual Components Location Address or Lot No. l 6 Zec-m- n e Owner's Name,Address,and Tel.No. Cea,-04!'i J Assessor's Map/Parcel5- Installer's 12 a r Name,Address,and Tel.No. Designer's Name,Address,and Tel.No. y 7 P 4f//- s n Type of Building: Dwelling No.of Bedrooms Lot Size 0,30 �e sq.ft. Garbage Grinder( ) Other Type of Building —mil FvA _ No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) © gpd Design flow provided 7';elO gpd Plan Date Number of sheets Revision Date Title Size of Septic Tank 000 G Vv�jp l Velo G T►N k Type of S.A.S. Description of Soil np rr r&Ja4.j0,0f (Niff A+L Sect I4 "tor Zi-►eerv,`dVS L;wQr 2en:Ajce&e-, -_1 Nature of Repairs ,or Alterations(Answer when applicable) '- ,_/ !� c44A I, i S �O ys�r/� 't/ -[l�s /C0� 2 , /Tor s / ✓�/E'X:`t�G^. � 7,yy k i S fv T /`a '��Lt tx rd S t 4e R®IJ Z ` 1br se 0IYw-t.�h �O /�L�4i 0 t+_ Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of Compliance has been issued by this Board of Health. ed Date Application Approved by Date G 27'R 15 Application Disapproved by Date for the following reasons Permit No. co__®��7 Cf'� Date Issued lD za- 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 at t Co 7-&!'A I-A y-w— has been constructed in accordance // 1 with the provisions of Title 5 and the for Disposal System Construction Permit No4;V6^�U dated Installer Designer #bedrooms Approved design flow gpd The issuance of this permit shall not be construed as a guarantee that the system will function as designed. Date Inspector c� �rr��QO �---------------------Fee -----�/-'------------ THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION-BARNSTABLE,MASSACHUSETTS Misposal 6pstem Construction �ermit Permission is hereby granted to Construct( ) Repair( ) Upgrade( ) Abandon( ) System located at [ 7.arr k i'Q h p and as described in the above Application for Disposal System Construction Permit. The applicant recognized his/her duty to comply with Title 5 and the following local provisions or special conditions. Provided:Construction must be completed within three years of the date of this p rmit. Date Approved b 1'R ^1� lJ No. / 150 I � I Fee THE COMM 1EALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes Tipplicatioii for Misposal 6pstem Construction Permit Application for a Permit to Construct( ) Repair() Upgrade( ) Abandon( ) ❑Complete System ndividual Components Location Address or Lot No. r-er,-t G,q -e Owner's Name,Address,and Tel.No. Assessor's Map/Parcel 2 12. 6 1 y— Installer's Name,Address,and Tel.No. Designer's Name,Address,and Tel.No. o,f4-erv,1l1-c A Type of Building: Dwelling No.of Bedrooms Lot Size U 3iJ _/C sq.ft. Garbage Grinder( ) Other Type of Building ges- >..✓ Fgn, - No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) C., gpd Design flow provided -1/4/0 gpd, Plan Date Number of sheets Revision Date Title Size of Septic Tank l CuU (T Pulp l�_GU G T4 Type of S.A.S. Description of Soil �O�n�c-�1oh3 i.��ll SPg��ot 'tG� Z/"D.erv,'Gi�S L;h-or �Ce /nir��.P r�- • , I Nature of Repairs or/Alterations(Answer when applicable) / n / /J �� m,e l_ -'G A.(�r/ , �U C S 1 U+ Y,,ls !c p� 2- far S r l rf^.ir� Uh fa /TLC. / L f .}./ / �. r�H�! /S i�U f /G'� 1�(VL'P -O S 1 �^f �u A/W Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of Compliance has been issued by this Board of Health. Si. ed Date / Application Approved by Date Application Disapproved by Date ,for the following reasons Permit No. --)-C) S — �c 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 at r Go O rh Lsi m e- has been constructed in accordance with the provisions of Title 5 and--the for Disposal System Construction Permit No:X�5 Installer Designer #bedrooms G/ Approved design flow gpd The issuance of this permitshall not be construed as a guarantee that the system will function as designed. Date Inspector ----------------------------------------------------------- ------- --------------- --------- ---------------------------------- No. �� C� _ . Fee /,5 o THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION- BARNSTABLE,MASSACHUSETTS Disposal 6pstem Construction Permit Permission is hereby granted to Construct( ) Repair( ) Upgrade( ) Abandon( ) System located at ( Q 7-p r h -LG k7 . and as described in the above Application for Disposal System Construction Permit. The applicant recognized his/her duty to comply with Title 5 and the following local provisions or special conditions. I Provided:Construction must be completed within three years of the date of this,p rmit. +�,... Date Approved b I No. ^V Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS 01ppYication for Migogaf *pgtem Con!5truction Permit Application for a Permit to Construct( )Repair Upgrade( )Abandon( ) l Complete System O Individual Components Location Address or Lot No. 4® Lp#n,1 La� Owner's Name,Address and Tel.No.o. y- Assessor's Map/Parcel CIM y orllll/el Il 'o W)/�/ate e / el,. Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. Type of Building: Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder( O Other Type of Building C�No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow // gallons per day. Calculated daily flow 3 3 tQ gallons. Plan Date Number of sheets Revision Date Title / v!'c %C �! Size of Septic Tank IS-041 yL /00® Type of S.A.S. rS IV P �e Description of Soil �6 .X/,% X � Nature of Repairs or Alterations(Answer when applicable) Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certifi- cate of Compliance has been issued bytjiis Board of Health. / Sign d Date 9 L✓< Application Approved by Date Application Disapprove the following reasons —Permit No. Date Issued - '�.Y' �� � .,w-� � V �a��l�ltryl�� �^ ,�} j�^'�A'f� l'�;iir/I ''"�•� l Fie THE COMMONWEALTH OF MASSACHUSETTS Entered ipicomputer: Yes PUBLIC HEALTH DIVION -TOWN OF BARNSTABLEs MASSACHUSETTS Zipplicatton for 30ig�o$af *pgtem Con$truction Permit Application for a Permit to Construct( )Repair(6V)Upgrade( )Abandon( ) IJ Complete System ❑Individual Components a Location Address or Lot No. Owner's Name,Address and Tel.No. /�D J`��"/'I �'`!, W i/liar Assessor's MapTarcel C� Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. 130/' UGo / Goys ` 11//1 A,Qrw j7o Type of Building: Dwelling No.of Bed ft rooms Lot Size sq. . Garbage Grinder( !� Other Type of Building � GeNo.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow I gallons per day. Calculated daily flow 3 3 6,�, gallons. Plan Date ®D Nu ber of sheets Revision Date Title S/ 9� 5�- %l' S� S �! G/ X4 C' C } ! 1 Size of Septic Tank / �` 104®A'9W_,4V _Type of S.A.& S / le ,1 Description of Soil Nature of Repairs or Alterations(Answer when applicable) x Date last inspected: 14 Agreement: The undersigned agrees to ensure the construction dind maintenance of the afore,described on-site sewage disposal system in accordance with the provisions of Title 5 of the Env�onmental Code and not to place the system in operation until a Certifi- cate of Compliance has been issued b his Bo do ealth. $L Signoid. © 119 ,1 Date Application Approved by r / &JL Date . Application,Disapprove the following reasons Permit No. Date Issued THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS (Certificate of (Compliance THIS IS TO CERT} , that thy On-site Se age Disposal System Constructed( )Repaired( )Upgraded( ) Abandoned( )by at l6,oelx has-beiDn constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit N Yjdated Installer Designer The issuance of this permit shall not be construed as a guarantee that the sy tem will functi=asi ned. Date �)�� 1 Inspector A-Y �. 1 � �-T7, Fee LO THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLEs MASSACHUSETTS U� niopogar 6potem (Con.5truction Permit Permission is hereby granted to Construct( )Repair( ✓)Upgrade( )Abandon( , ) System located at �l� �e h /� and as described in the above Application for Disposal System Construction Permit.The applicant recognizes his/her duty to comply with Title 5 and the following local provisions or special conditions. Provided: Construction m st be co pleted within three years of the date of hi �pe ii Date: �� Approved by > �} l " "�"`� ��:• isvz.y.. .. ,„z•• y *�u.' ,, ;�.fa ^ ,?'- wn a r� •r,.M,.,,w, .�._ ry h _ {}� r � � _ t ^a c ""' � aci"T •�+- ..`fix e"`Sa7 �� E T ON VMLAGE f�A1` �mi��� ASSESSOR S MAC'°& Lo // Q ` INSTALLER'S NAME fX P1IO�lE NO a�r ��r �, l%dyl�i+ f�iyd z yf� "�!.�G�Fzw ,'' SEPTIC TANK CAPACIT�E LEACH NG:FACILITY (h'Pe} FiY�eJ (size) �3 41-/ k , NO.-OF BEDROOMS_ BUILDER 01 0WNE xP ITD }r � I�A t. 'tl air ERM ATE ��T COMP .�LIANCE TE s Separation Distance Between the Maximum Adjusted';Groun'dwater Table to the Bottom of Leaching Facility ' Feet R, 1 .. 5 4. Pnvaie Water Supply We11 and Leaching FaciLry (If any.wells exist y f on'stte or'wtthin;200.feet of leaching factty) Feet;: Edge of Wetland and'Leaclung Faci�ty(If any wetlands exist .y w.thtn 300 feet of leaching,facility) ti Furnished byr r z Ira y C - t ; 0�! ' !f .7.2 k , y6• t • i. , P 339 578 939 US Postal Servi e Receipt for Certified Mail No Insurance Coverage Provided. Do not use for International Mail See reverse Sent to - / gyp/Street���Pr{/mb�j�/1T (X/ Post/a Postage $ (O Certified Fee Special Delivery Fee Restricted Delivery Fee In rn Return Receipt Showing to Whom&Date Delivered Q Return Receipt Stowing to Whom, Q Date,&Addressee's Address QTOTAL Postage&Fees is Z. M Postmark or Date a Stick postage stamps to article to cover First-Class postage,certified mail fee,and charges for any selected optional services(See front). 1. If you want this receipt postmarked,stick the gummed stub to the right of the return address leaving the receipt attached, and present the article at a post office service y window or hand it to your rural carrier(no extra charge). m 2. If you do not want this receipt postmarked,stick the gummed stub to the right of the m return address of the article,date,detach,and retain the receipt,and mail the article. SICLO 3. If you want a return receipt,write the certified mail number and your name and address rn on a return receipt card,Form 3811,and attach it to the front of the article by means of the gummed ends I space permits. Otherwise,affix to back of article. Endorse front of article a RETURN RECEIPT REQUESTED adjacent to the number. \ Q 4. If you want delivery restricted to the addressee, or to an authorized agent of the O O addressee,endorse RESTRICTED DELIVERY on the front of the article. t CO 5. Enter fees for the services requested in the appropriate spaces on the front of this' receipt. If return receipt is requested,check the applicable blocks in item 1 of Form 3811. li 6. Save this receipt and present it if you make an inquiry. a I �pTHE Toy, Town of Barnstable Regulatory Services • BARNSCABLE, y MASS. Thomas F.Geiler,Director �ATf1 NIA A Public Health Division Thomas McKean, Director 367 Main Street, Hyannis, MA 02601 Office: 508-862-4644 Fax: 508-790-6304 Mr. William&Natalie Bogert 78 Alcott Road Mahwah,NJ 07430 ORDER TO COMPLY WITH 310 CMR 15.00, THE STATE ENVIRONMENTAL CODE, TITLE 5. The septic system owned by you located at 160 Tern Lane, Centerville was inspected on October 1, 1998 by Joseph Macomber, Jr., a Massachusetts licensed septic inspector. The inspection of your septic system showed that your system has failed. The block cesspool was sitting in the groundwater table. On March 15, 2000, the Board of Health granted you two variances to replace the system. According to 310 CMR 15.00, Title 5, septic system shall be repaired within two (2) years of discovery. According to our records, to date your septic system has not been replaced. You are directed to hire a licensed septic system installer to replace the cesspool on or before October 1,2000. You are further directed to maintain the system by hiring a licensed septage hauler to pump the septic system to prevent discharge of sewage or effluent into the buildings, onto the surface of the ground, or in to surface waters. Any person aggrieved by any order issued by the local approval authority may appeal to any court of competent jurisdiction as provided for by the laws of the Commonwealth. RDER OF HE BOARD OF HEALTH Thomas A. McKean, R.S., C.H.O. Agent of the Board of Health ks/q:bugert i -j l oRa - a� °° ou o� JII L�� v 0° 0�.l :."J 4`n 1 II 91 kuy ublic �� Andin Point 6• --\\ _� m s Shirley %\` `y'L14 Lewis Island f ° Q 4. B se � . Nyes -� P Pt Shall P nd �, } y 'G •Gooseberry plsland �•' ewis Pt ulpt ler a •:q . 50 _ ; Lon 0•. .0 Hayes o �, 0 2b�• •D•• •bra be yo (• ,'; '�•n/i/ o �� L ,; ��� :o,:%r� .�19• 0 ..�.;••: `, 'I � © .` a 4. •\• •T a i p ish s O• BM60 '':S �� '� ••a'• •� • HatcrY ` .ze pon n • Beechwood (y =ONo • /.•" I •� .r 4 •an er,,1lC..11 •I C• • ��'�1-. - f07 •�. nn D• I ' t! USGS QUADRANGLE Sullivan- Engineering Inc. Box 659 Osterville MA 02655 � ? G d e-mail:PSulIPE@aol.com - R ' S d SENDER: I also wish to receive the ;2 ■Complete items 1 and/or 2 for additional services. O f0110W1ng services(for an 71 ■Complete items 3,4a,and 4b. /lam m ■Print your name and address on the reverse of this form so that we can r rn this extra fee): di card to you. d ■Attach this form to the front of the mailpiece,or on the back if space does not 1.El Addressee's Address 4) permit. 2.❑ Restricted Delive d W ■Write"Return Receipt Requested"on the mailpiece below the article number. ry N w ■The Return Receipt will show to whom the article was delivered and the date Consult postmaster for fee. delivered. P a o 3.Article Addressed to: 4a.Article Number 0 aZ a 4b.Service Type = E �010 T—�L �— ❑ Registered Certified ¢ i �^ Qaly 3a-- ElExpress Mail ElInsured O1 w lJ� El Return Receipt for Merchandise ❑ COD 0 7. Date of delivery o` a = a NZ 5.Received By: (Print Name) 8.Addre ee's dress(Only if requested Y and fee is pa ) m W L X cc 6.Signature: (Ad essee or Agent) ~ ` O omestic Return Receipt P orm 3811,December 1994 1o2s9s-9s-f3-o2zs d y UNITED STATES POSTAL SERVICE First-Class Mad 'pd-gtaig__e'C��ee P—aFd-II - pm 'Usps--' I(CL Permit No..G-10 •Print your name, addi sslandg' IP Code,inlhis box.* SULLIVAN ENGINEERING INC. P.O. BOX 659 7 PARKER ROAD OSTERVILLE, MA 026M ' SENDER: I also wish to receive the •3 ■Complete items 1 and/or 2 for additional services. d following services(for an I0 ■Complete items 3,4a,and 4b. a) ■Print your name and address on the reverse of this form so that we can r urn this extra fee): card to you. v ■Attach this form to the front of the mailpiece,or on the back if space does not 1.❑ Addressee's Address m permit. El Delive � ■Write"Return Receipt Requested"on the mailpiece below the article number. 2. ry dU) ■The Return Receipt will show to whom the article was delivered and the date Consult postmaster for fee. a delivered. 0 3.Article Addressed to: 4a.Article Number 0 m Oa -7- 517 b A;P�, lZ E � �� Q`� �G 4b.Service Type 0 ❑ Registered Certified - p� rn � El Express Mail El insured y w ❑ Return Receipt for Merchandise ❑ COD O 7.Date of Delivery o e 0 5.Ref ved By: (Print Nine) 8.Addressee's Address(Only if requested Y and fee is paid) M 6.Sig7tur,(Addressee get ~ a -T PS Form 3811,December 1994 102595-98-13-0229 Domestic Return Receipt i First-Class Mail UNITED STATES POSTAL SERVICE ON -Pbstage-&Fees-Paid -Permit No.-G-10— • Print your name addres.!5r, and LIF'_C6d'b-in-thi§_&o_x 4­ SUWVAN ENGINEERING INQ P.O. BOX 659 7 PARKER ROAD OSTERVILLE, MA 02655 lit JhflI1I-,I1!:11-it..... I I.h.1.1. 11... i a; SENDER: o r, I also wish to receive the v ■Complete items 1 and/or 2 for additional services. !Q following services(for an 0 ■Complete items 3,4a,and 4b. _ d ■Print your name and address on the reverse of this form so that we can return this extra fee): r card to you. chi d ■Attach this form to the front of the mailpiece,or on the back if space does not 1.❑ Addressee's Address y permit. � 2.❑ Restricted Delive �+ " ■Write"Return Receipt Requested"on the mailpiece below the article number. livery N ■The Return Receipt will show to whom the article was delivered and the date r Consult postmaster for fee. delivered. a. 0 3.Article Addressed to: 4a.Article Number a9.4- 04 4b.Service Type o �6 3 %�L ���-�— ❑ Registered Certified M U r(n �yj lg oat 3 a El Express Mail Insured w ❑ Return Receipt for Merchandise ❑ COD o 7.Date of D �ivery� o 1 Q 0 a o 5.Received By: (Print Name) 8.Addresse 's Address(Only if requested Y and fee is paid) m L 6.Signat a (Addressee or e t ~ o X , „ t -T PS Form 811,December 19 4 102595-98-s-0229 Domestic Return Receipt UNITED STATES POSTAL SERVIC First-Cass Mail � " `Yy� "° F!(zMage.&FeerPaid "USES:_. �. t f�A - Permit No.G=T'0" •Print your Tian-6, d'ddregs, and ZIP Code in this box • SULLIVAN ENGINEERING INC. f P.O. BOX 659 7 PARKER ROAD T'ERVILLE, MA 02656 0 III SENDER: � I also wish to receive the - ■Complete items 1 and/or 2 for additional services. �GO following services(for an N ■Complete items 3,4a,and 4b. ar ■Print your name and address on the reverse of this form so that we can return this extra fee): in card to you. d ■Attach this form to the front of the mailpiece,or on the back if space does not 1.❑ Addressee's Address perm■Writ e"Return Receipt Requested"on the mailpiece below the article number. 2.❑ Restricted Delivery L ■The Return Receipt will show to whom the article was delivered and the date Consult postmaster for fee. +• delivered. P a 0 3.Article Addressed to: 4a.Article Number 4b.Service Type 0 ❑ Registered Certified p� <n 1 —y,_ ❑ Express Mail El insured ¢ � ❑ Return Receipt for Merchandise El COD o Q/ 0�4 7.Date of Delivery w Z � �-0 I- o 5. a ived By: (Print Name) 8.Addressee's Address my if requested Y and fee is paid) LU IM 6.Signature:(Addressee or Agent) J 2 PS Form 3811,December 1994 102595-98-13-0229 Domestic Return Receipt UNITED STATES POSTAL SERVICE First-Class Mail I� a&Fees Paid USPS Permit No.G-10 • Print your name, address, and ZIP Code in this box • SULLIVAN ENGINEERING INC. � P.O. BOX 659 7 PARKER ROAD OSTERVILLE, RSA 02 dI �-- � `' �- I � � � � � �`. `��. �� .� ,` �� � �i` r � \. • ` J �. { t Z .181 104 177 US Postal Service Receipt for Certified Mail No Insurance Coverage Provided. Do not use for International Mail See reverse nt to m c,, Street&Number i/y Post office,State,&ZIP Code Postage $ 3j Certified Fee Special Delivery Fee Restricted Delivery Fee E+ M.q o°)i Retum Receipt Sho �+ Whom&Date De ' a Return Receipt _2 j— Q Date,&Addressee's O 0 TOTAL Postage&Fe Q V! Postmark or Date E a Stick postage stamps to article to cover First-Class postage,certified mail fee,and charges for any selected optional services(See front). 1. If you want this ceipt postmarked,stick the gummed stub to the right of the return address leavingfthetrebeipt attached, and present the article at a post office service window or h8nd'446our rural carrier(no extra charge). 2. If you do not want this receipt postmarked,stick the gummed stub to the right of the m return address of the article,date,detach,and retain the receipt,and mail the article. rn 3. If you want a return receipt;write the certified mail number and your name and address on a return receipt card,Form M)1,and attach it to the front of the article by means of the _ gummed ends if space permits..Otherwise,affix to back of article. Endorse front of article n RETURN RECEIPT REQUESTED adjacent to the number. Q 4. If you want delivery restricted to the addressee, or to an authorized agent of the �r addressee,endorse RESTRICTED DELIVERY on the front of the article. Go M. 5. Enter fees for the services requested in the appropriate spaces on the front of this E receipt. If return receipt is requested,check the applicable blocks in item 1 of Form 3811. ro 6. Save this receipt and present it if you make an inquiry. 102595.99-M-2588 d Z -181 104 178 US Postal Service Receipt for Certified Mail No Insurance Coverage Provided. Do not use for International Mail See reverse Se t k Street&Number a U Pag Office,State,&_ZIP Code Postage $ if-3 Certified Fee Special Delivery Fee Restricted Delivery Fee N rn Return Receipt Showing to , �2 Whom&Date Delivered a Retum Receipt Stewing to Q Date,&Addressee's Address 0 TOTAL Postage&Fees Postmark or Date 0 U� 0 CO a Stick postage stamps to article to cover First-Class postage,certified mail fee,and charges for any selected optional services(See front). 1. If you want this receipt postmarked,stick the gummed stub to the right of the return address leaving the receipt attached, and present the article at a post office service window or hand it to your,rural carrier(no extra charge). 2. If you do not want this receipt'postmarked,stick the gummed stub to the right of the 0) return address of the article Aate'detach and retain the receipt,and mail the article. _ P 3. If you want a rretum receipt write the certified mail number and your name and address on a return receipt cafd,Form 3811,and attach it to the front of the article by means of the gummed ends if space permits. Otherwise,affix to back of article. Endorse front of article Q RETURN RECEIPT REQUESTED adjacent to the number. 4. If you want delivery restricted to the addressee, or to an authorized agent of the 6 addressee,endorse RESTRICTED DELIVERY on the front of the article. M j5. Enter fees for the services requested in the appropriate spaces on the front of this E receipt. If return receipt is requested,check the applicable blocks in item 1 of Form 3811. ro 6. Save this receipt and present it if you make an inquiry. 102595-99-M-2598 a I I Z 181 104 179 US Postal Service Receipt for Certified Mail No Insurance Coverage Provided. Do not use for International Mail See reverse Sent to Le �L Sfitet&Num_ber �'3 TL,�e-,L Post Glee,State,&ZIP Code L awC t_e m/V oa,G 3 Postage $ 3 Certified Fee Special Delivery Fee Restricted Delivery Fee Return Receipt Showing to J\%-t_ Whom&Date Delivered `fit a Return Receipt Showing to a Q Date,&Addressee's Address 0 TOTAL Postage&Fees G Postmark or Date € UsPS 0 tL 07 a Stick postage stamps to article to cover First-Class postage,certified mail fee,and � P 9 P P 9 charges for any selected optional services(See front). 1. If you want this receipt postmarked,stick the gummed stub to the right of the return address.,iea`ving the receipt attached, and present the article at a post office service window'orhand it to your rural camer(no extra charge). m i; 2. If,ou,do not want this receipt postmarked,stick the gummed stub to the right of the cc retum!address of the article,date;detach,and retain the receipt,and mail the article. 3. If you want a retumneceipt,write the certified mail number and your name and address on a return eceipt;&aidr�Fonn 3811,and attach it to the front of the article by means of the gummed ends if space permits. Otherwise,affix to back of article. Endorse front of article Q RETURN RECEIPT REQUESTED adjacent to the number. Q 4. If you want delivery restricted to the addressee, or to an authorized agent of the 01 addressee,endorse RESTRICTED DELIVERY on the front of the article. 00 Cl) 5. Enter fees for the services requested in the appropriate spaces on the front of this receipt. If return receipt is requested,check the applicable blocks in item 1 of Form 3811. io 6. Save this receipt and present it if you make an inquiry. 102595.99-M-2588 d . Z, 1t81 104 180 US Postal Service Receipt for Certified Mail No Insurance Coverage Provided. Do not use for International Mail See reverse So It LlL St�t&Number /,,�� Post Otfi ,State,(&ZIP Code Postage $ Certified Fee f . Special Delivery Fee to Restricted Delivery Fee M Return Receipt Showing to Whom&Date Delivered a Return Receipt Showing to Q Q Date,&Addressee's Address O ' o 0 TOTAL Postage&Fees € Postmark or Date .�5 0 rL a t Stick postage stamps to article to cover First-Class postage,certified mail fee,and charges for any selected optional services(See front). 1. If you wajntthis receipt postmarked,stick the gummed stub to the right of the return address leaving the receipt attached, and present the article at a post office service i window 1 hand,it-to your Waal camer`(no extra charge). 2. If yo do qqof want this�jkeipt;postmarked,stick the gummed stub to the right of the Q) return ad ess"bf the article,date,detach,and retain the receipt,and mail the article. 3. If yLO ou we re"�um tege >lvnte the certified mail number and your name and address rn �. ip on a return recei 'card-Fdrm 3811,and attach it to the front of the article by means of the gummed ends if space permits. Otherwise,affix to back of article. Endorse front of article a RETURN RECEIPT REQUESTED adjacent to the number. Q 4. If you want delivery restricted to the addressee, or to an authorized agent of the C t addressee,endorse RESTRICTED DELIVERY on the front of the article. ao M ' 5. Enter fees for the services requested in the appropriate spaces on the front of this E receipt. If return receipt is requested,check the applicable blocks in item 1 of Form 3811. 0 r` ; 6. Save this receipt and present it if you make an inquiry. 102595.99-M-2588 d ;.j SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY ■ Complete items 1,2,and 3.Also complet A.'Received by(Please Print Clearly) B. Date of Delivery item 4 if Restricted Delivery is desired. 6 �i •3 0 ■ Print your name and address on the reverse so that we can return the card to you. C. Signature • Attach this card to the back of the mailpiecej X "P. ❑Agent or on the front if space permits. aC i o C`�� :, ❑Addressee /3 D. Is delivery address ifferent from item 1? ❑Yes 1. Article Addressed I�ES,enter livery address below: ❑ No 3. Service Type p �7(,C Q Z /� ��G 3 !�►Certified Mail ❑ Express Mail L ❑ Registered ❑ Return Receipt for Merchandise ❑ Insured Mail ❑ C.O.D. 4. Restricted Delivery?(Extra Fee) ❑ Yes 2, Article Number(Copy from service label) 7 /d7/ /j j" o elt iii 7dc" PS Form 3811,July 1999 Domestic Return Receipt 102595-99-M-1789 UNITED STATES POSTAL SERVICE First-Class Mail Postage&F_ee Paid /#x, 1''44"�C • Sender: Please prn,,ipy6ur nandaddress, 8ULLIVAN ENGIINEERING INC. P.O. BOX 659 7 PARKER ROAD OSTERVILLE, MA 02M SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY ■ Complete items 1,2,and 3.Also completR A. Received by(Please Print Clearly) B. Date of Delivery item 4 if Restricted Delivery is desired. 00� ■ Print your name and address on the reverse /It� so that we can return the card to you. �, C. ignature ■ Attach this card to the back of the mailpiece,� X ❑Agent or on the front if space permits. ❑Addressee Is delive ddress i erent from item 1? ❑Yes 1. Article Addressed to:(/ If YES,enter delivery address below: ❑ No o I �o a 6 T�hirc, LA(-Z i..Q-tt, H (v 3 d— 3. Registered ice Type i Yertified Mail xpress Mail eturn Ffeceipt for r handise ❑ Insured Mail O.D. 4. Restricted Delivery?>6 ra Yes 2. Article Number(Copy from service label) 1 I:st; i1 �1t{tfrlt i� i +{ t a i II t i ;iitttH i it ?;iiiilii i ii �i/"�'./i (.si�: 7;j i7 �t V ( PS Form 3811,July 1999 Domestic Return Receipt 102595-99-M-1789 i UNITED STATES POSTAL SERVICE First-Class Mail Postage&Fees Paid USPS Permit No.G-10 • Sender: Please print your name, address, and ZIP+4 in this box • LLAi�d1R9 ENGINEERING N CINEE R.O. BOX 659 7 PARKER ROAD OSTERVILLE, MA 02665 I I N SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY ■ Complete items 1,2,and 3.Also complete A. Received by(Please Print Clearly) B. Date of Delivery item 4 if Restricted Delivery is desired. ■ Print your name and address on the reverse so that we can return the card to you. C. Sin ure ■ Attach this card to the back of the mailpiec Agent or on the front if space permits. ❑Addressee D. Is delive ress differe m item 1? ❑Yes 1. Article Addressed to: If YES,enter delivery ss below: ❑No ell- p q 3. S ice Type Certified Mail ❑ Express Mail ❑ Registered ❑ Return Receipt for Merchandise• ❑ Insured Mail ❑ C.O.D. 4. Restricted Delivery?(Extra Fee) ❑Yes 2. Article Number(Copy from service label) �y i I {Si fi i it i iliii 7'i /� {�;/[/� i/ 77i ii :,I i ii f I PS Form 3811,July 1999 Domestic Return Receipt 102595-99-M-1789 UNITED STATES POSTAL SERVICE First-Class Mail P f , Sender: Please ririt-You: � 'r namee address, and ZIP+4 MANS box ...�.. SULLIVAN ENGINEERING INC. P.O. BOX 659 7 PARKER ROAD OSTERVILLE, MA 02655 �.,.�a'Ik'r6:.��p►Qr �1}!14l4lili�t!lSlliil.'31iii�ilii!llili'Ilililllli3i1113l11S4i1 +I SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY ■ Complete items 1,2,and 3.Also complete A. Received by(Please Print Clearly) B. Date of Delivery item 4 if Restricted Deliveryis desired. MA iO ahUY, 03- _Op ■ Print your name and address on the reverse C:Signature �,so that we can return the card to you. C o ■ Attach this card to the back of the mailpiece, X '?�;� �� �: ���� Agent or on the front if space permits. = �—— ❑Addressee D. Is delivery address different from item 1? ❑Yes 1. Article Addressed to: If YES,enter delivery address below: GKO 97- .� o !N 3.'A Certified Type Hsu / Certified Mail ❑ Express Mail i ❑ Registered ❑ Return Receipt for Merchandise V ❑ Insured Mail ❑C.O.D. 4. Restricted Delivery?(Extra Fee) ❑Yes 2. Article Number.(Copy from service label) !! y/ Al /ay 1 s` rii', it 11 !1 ff! If,� li / I�til�vl�v PS Form 3811,July 1999 Domestic Return Receipt 102595-99-M-1789 f UNITED STATES POSTAL SERVICE First-Class Mail Postage&Fees Paid LISPS Permit No.G-10 li • Sender: Please print your name, address, and ZIP+4 in this box • I i I SUL.LWAN ENGINEERING Lam, � P.O. BOX 659 7 PARKER ROAD OST'ERVILLE, AAA 026 _ I (tt]] yy ffii y t 1 j I'. .�.'"S. — ...a�114SriS�S�iLll•SGt-1!•�ES�S.�SSS�}�'�l'SSS}.ISL�1�51��1�4'.::4b1��}l.t.� /7 `l� F // '. r �" � � " \ � _ �,� /. . 15:23 5084283115 SULLLIVAN ENG INC PAGE 03 Mas�tcbasrms peparhrrsnt at Envlron�nenml Proi�e�tfon Bureau of Resource Protection--We*nds WPA Form 21. Determination of A llcablll • pp � Massachusetts Wetlands Protection Act M.G.L. C. 131, §40 Qener$Ilnformation TOWN OF BARNSTABLE ORDINANCES ARTICLE XU11 ease From I Title and Rnal Revision pate of Mans and Other bocgments: Barnstable Coosergpon Gaamus�or, Site Plan Septic System Upgrade dated Jan 21, 2000 by Sullivan 1. Applicant William & Natalie Bogert Fnginwpring- T"ft ll�,.ol►�i�1ip Roa+sr 78 Alcott Road AkftAftw Mahwah wow NJ 07430 so to CM • 2. Property Owner see above wmr a Agora o�r��aaex ass eaq Woe+ Qeterminatlan Pursuant to the authority of M-G-L c.131,§4Q the Barnstable ammm"Coe oa has considered your Request for a Domination of Appficabiiity,with Its supporting documentation,and has Maas the fallowing Determlrration regarding: 160 Tern Lane Centerville, MA 02632 wow 212 (3f 5 Assessor's Map # Parcel # rev. 10/98 Page 1 of 5 /2000 15:23 5084283115 SULLLIVAN ENG INC PAGE 04 M fts Alipwinlilim oft i Wil'Platsdtlen . Butnu of Resoume ProtecUm—Wedunds WPA► Form 2 - Determination of Applicability Massachus its P tech Act M.G.L. C. 1 1 Determin8tion (CON.) The following Ddennimdion(s)islets&"linable to the = S.The area and/or work described on plan(s)and proposed ails and/or project relative to the Wetlands dacument(8)referWad above,which includes all or part of Protection Act and Regulations: the work described In tie Request.is subjeatto review and appMVW by Positive Oetenainstin Note:No work within the MU left of the Wetlands Pfct"On Act may proceed Unfit a final order of Conditions (issued following subrr kw of a Notice'of Intent or Pursuant to the following wetfnds law.bylaw.or ordinance Abbreviated Notice of IntW)has been received from the (name and citation of law). is Wng authority(i.e.,conservation commission orthe Department of Wmnmmw PtoNc lion). - = 1.The area described on the plan(s)referenced above, which ht Uft all or part of the iq described in the Request is an area subject to protection under the Act. Therefore,any removing,filling,dredging,or aWng of #0 area requires the filing of a Notice of Intent. = g.The following area and/or work,if arty,is scrb)ect to -- 2 The delineations of the boundaries of the resource mUticipal bylaw but no to Us Massachusetts "tees HAW Wm*below.described on the plm(s) Wetlands Protection Act: referenced above,which Includes al or part of the era described in the Request,are cWrmef as&Murft ,- = I.If a Notice of lmtarht is filed for the work In the flhred*g Area described on peps and docurmetts referenced above. Therefore,the resource area boundaries confirmed in this which Includes all or part of the work described In the Determutation am binding as to all decisions rendered Request,the epPlioeM MW Consider the following pursuant to the WMads Proteahon Apt and Its regulations Alternatives(Refer to the Wetlands Regulation at regarding sum boundaries for as long as fhfs Determine- 10.58(4)c.for more I*nnation about the scope of Von Is valid.However,the boundaries of resource antes not alternative requirements) fisted dlrectly above are=confirmed by ft Detem*W = AlternaMs fimbd to the lot on which the project is flan.regartileas of whether such boundaries are contained located. on the plans 9dted to tits Determinatton or to the • Request for Oetetmfttation. = Alternative;limited to the lot on which the protea is = 3.The work described on PM(s)and document(a) located.the subdivided tots,and any adprent lots form" referenced above,which Innciudas all or part of the work or presently owned by the wne owner. described In tie Requ K is within an area subject to protection under the Act and will remove,tilt.dredge,or — Akematives limited to tine orlg M pafcef on which the alter that area.T)urefom,said work requires the fi ft of a Purled Is W=d,tits subdivided parcels,any adjaeeftt Notice of Intent pates,and any other land which can reasonably be obtained within the mtupicip>tlity, = 4.The work described an plan(s)and doaumemt(s) referenced above.which includes all or part of the work = Aitemadves add nd to any sips which can reasonably described in the Request,is within the buffer Zone and will be obtelned within the SOMPr4b region of the state. after an Area sublIct to Pr'ef 3lon Urderthe Act.Therefore, aid work requires the filing of a Notice of Intf n- inns 15:23 5084283115 SULLLIVAN ENG INC PAGE 06 WPA Farm 2 • Betemiunan of It App cabillty • n�and��.�a,• ,ame ' onbblt�dtoll� �nddWral6 '���tb�aet�►dM o d Ra�reamwatd Prar�etlan . npbrot tdb Ay tAd1p1 Ord�Ir(if M dlht�ntb�pttb� .� braced�.�nakiir�qu�on Marc pp 11��Mlt baAdtorlbrMY�rstromtM�It d �1�D�aaian� mat �w�dabmwdiatprtbr da�lorr dna�. „�,�,,Q�� Mn larr dMra ialwft uoar �rnpbino wgb�� hdte�,bm.ar mod mordr,ardbaroe,b�rt,arts�lpp�, cam dWd , j tomifm�.ntoatb�A� ��who�amam - ,. OWN gdogial m.�.�dbn�r�•••�s ord dNd. APO w�...eR...� Pop4 .0 : 0814/2000 15:23 5084283115 SULLLIVAN ENG INC PAGE 05 BUMMU of&mum pmcdon--Wedand$ , WPA Form Z - Determination of Applicability Massactr t �ndMp � o M66 Dah minflan (Cont) MeoefM DNpwrtaden d.no am described In the Request Is soya m praimu r Nome: No tuft ardtat under"Wetlands Prfmcdar Aci underthe Act Mm a tter wait described thereon eta the I:n@drm by the appl MM Hum,p the Department of rrgetiremerds for"100wing mmpdon,as plow to 9MfOnMMw P( tetdifuf Is tegltmw to NM a$upwma the Act and re0Mons,no Noftce of Beni Is required: ho OWAM*Wm of APPMM,woek may not proceed on der projetx umestha Ott left:m ect oe atuh • MUM wifan 96 days of OR due du MpM is port. Eimer marked for tatrMd matt orf=d ddirered to the Depart• mrM Walk mey then pmcw atthe ownee's rtek o* upaa ftoft m the Dspzbrmti and to the muservOw _ &The an and/or work desamed In the Request is not emoduion. m Regwn b tot MUM for Supnseinq to reutew and approvd by DetamtinO=are Nsted attiw.eed otttds dogsmwL . � i.The area described fn du Requestla Haman rrea sublet neu.aleNoga�tb to MOM cederdteAct art m Butter Zone. Pub to a mtadCIOw wedw*law,ordina ck or byta w, = 2 fie work described in dre Regtast is witldn an am t �of tom. 80109tto P:oreedton motertb ACL bg will not now* fM, dmdgk Or1W Mn Ma nm me,zW work dM ram requiretbe f q of a t►wM of i ftt Z a TIW work desaibed to the Rsqueat to wWn the tirdter Zone as defined In dra reputetars,but wih not afoer an , Amtdblldttl prtaectloe carderthe ACL YberefQre vdd work does not require the fMq of a tmttw of intent. .t.The wtfk described In the Request Is eft wfihbr an Area UMOUto promdton wxWrMe Act(tndudinp the Bt W Zone).Therefore said work does not regeare the OW of a NOCO of feet M pares and undi acid work alters an Area sAWto Pmtatxion uerderthe Act • �000 v TOWN OF BARNSTABLE OF7MEt0 6�P`' 1ro OFFICE OF i BAaa9TAME, : BOARD OF HEALTH y NABS. p pp 039. 367 MAIN STREET MpY \ HYANNIS,MASS.02601 March 15, 2000 Peter Sullivan, P.E. Sullivan Engineering, Inc. P. O. Box 659 Osterville, MA 02655 ' RE: 160 Tern Lane,Centerville Dear Mr. Sullivan: You are granted variances, on behalf of your clients William and Natalie Bogert, to construct a replacement onsite sewage disposal system at 160 Tern Lane, Centerville. The variances granted are as follows: 310 CMR 15.211(1): To install a leaching facility at the property line, in ` lieu of the ten (10) feet minimum setback distance required. Part Vill, SECTION 10.00: To install a leaching facility 92 feet away from wetlands in lieu of the 100 feet minimum separation distance required. The variance is granted with the following condition: • The designing engineer shall supervise the construction:of the onsite sewage disposal system and shall certify in writing to the Board that the system was installed in strict accordance with the submitted plans dated January 2, 2000. The variances are granted because the existing system consists of a deep leaching pit which is, in all probability sitting in the groundwater table. Thus, the replacement system may alleviate a source of pollution to the groundwater in this area. Sincerely yours, Susan G. Rask, R.S. Chairperson Board of Health Town of Barnstable SGR/bcs tern �- �TIN d DATE: 0 _00 FEE: �1 -, �11 •�'a'Y�0 i BAR ARABLE I f/ 1639• ��� M e 'EC. BY / ;�,� Town oaf Barnstable SCHED. DATE: N 2 5 C Board of Health 1508- soy° NO IO 367 Main Street, Hyannis MA 02601 Office2�,-4644 Susan G.Rask,R.S. FAX: 508-790 G304 Sumner Kaufman,M.S.P.H. Ralph A Murphy,M.D. VARIANCE REQUEST FORM LOCATION Property Address: T�"�1 Z Q/U e/Ver Yj /Xf, _ Assessors Map and Parcel Number: o�) 0/6, Size of Lot: • 3�a&rr, Wetlands Within 300 Ft. Yes 1/ Business Name: No Subdivision Name: APPLICANT'S NAME: U er7- Phone Number PROPERTY OWNER'S NAME CONTACT PERSON ' v//,'vQfj Name: f�{1/'/lt(¢mi 6 9- IViC�"��i er� Name: i)J)) a PF' 0 Address: 7er /9 1eOt� iFIt • t /77ri 17u Address: /• D • B O X 4,6_1 QSAPrY///if Od&,6y Phone: o70/ — ` 9._ 7d Phone: Is the owner of the property aware of this request for variance(s)? Yes / No VARIANCE FROM REGULATION(List Reg.) REASON FOR VARIANCE(May attach if more space needed) 3/oCm2 A5.aji(/) . m%h 4�c;K jjoknas Era,-, pgmmrN, b Xe 'Rio)Af.-,AeJl- re�err � "4e-r'l Indx/'rwm iedsible Cor»x�l/abc, -® 'j 6wn of axe,rAs&blc cart 97F- �1„s;� Se aj e. n1 Rt%rnun� e 4 j'Le-o— �1:iie"'Sd— 9Wuw7 7u .S�t t6x. /•oo e }he 't/aoit I e l 77( . o' n4 e& /D ' — 9v1 FeCf' r©r/Kest; Checklist(to be completed by office sta person receiving variance..request application) Four(4)copies of engineered plan submitted(e.g. septic system plans) Four(4)copies of floor plan submitted(e.g. house plans or restaurant kitchen plans) Applicant understands that the abutters must be notified by certified mail at least ten days prior to meeting date at applicant's expense(for Title V and/or local sewage regulation variances only) Full menu submitted(for grease trap variance requests only) Variance request application fee collected(no f«for lifeguard modification renewals,grease trap variance renewals(same ownerneasee only),outside dining variance renewals(same owned leasee only),and variances to repair failed sewage disposal systems(only if no expansion to the building proposedn Variance request submitted at least 15 days prior to meeting date VARIANCE APPROVED Susan G. Rask,R.S., Chairman NOT APPROVED Sumner Kaufman,M.S.P.H. REASON FOR DISAPPROVAL Ralph A. Murphy,M.D. Q:/wr/VARZREQ i` t Sullivan Engineering Inc. Box 659 Osterville MA 02655 Abutter Notification List of Direct Abutters of 160 Tern Lane, Centerville Map 212 Parcel 15 Map Parcel Owner 212 13 Stanislaus A. &Grace A. McLean 120 Tern Lane Centerville, MA 02632 212 16 Jean M. Oakley Evelyn A. McPeake 114 Willimantic Drive Marstons Mills, MA 02648 212 18 Janice L. Sauro 163 Tern Lane Centerville, MA 02632 212 19 Donald J. Connor 119 Pleasant St. E Longmeadow, MA 01028 i Commonwealth of Massachusetts Title 5 Official Inspection Form 13 Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 160 Tern Lane , Property Address , William Bogert Owner Owner's Name information is Centerville ✓ Ma 02632 12-19-19 required for every page. City/Town State Zip Code Date of Inspection <. Inspection results must be submitted on this form. Inspection forms may not be altered in any way. Please see completeness checklist at the end of the form. Important:When filling out forms A. Inspector Information / 'q3,-Lg 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 Company Name key. 374 Route 130 w Company Address Sandwich Ma 02563 City/Town State Zip Code r (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 I Brett Hickey oN, � e'o°o°ama 12-19-19 fie:2020 oi.06 t6:a I:WO6'6P 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 ii I Commonwealth of Massachusetts �a Title 5 Official Inspection Form ?= ,I, Subsurface Sewage Disposal System Form -Not for Voluntary Assessments ........... ; 160 Tern Lane u Property Address William Bogert Owner Owner's Name information is Centerville Ma 02632 12-19-19 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) SystemPasses. ■❑ 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. System is okay for 4 bedrooms per board of health. 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): I t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System.Page 2 of 18 Commonwealth of Massachusetts Title 5 Official� Inspection Form� w; ii Subsurface Sewage Disposal System Form Not for Voluntary Assessments I , 160 Tern Lane V� Property Address William Bogert Owner Owner's Name information is Centerville Ma 02632 12-19-19 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. ❑ 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 5 Official Inspection Form.Subsurface Sewage Disposal System•Page 3 of 18 i c Commonwealth of Massachusetts Title 5 Official Inspection Form �1. Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 160 Tern Lane Property Address William Bogert Owner Owner's Name information is Centerville Ma 02632 12-19-19 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 I, ❑ 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 ❑ Q Backup of sewage into facility or system component due to overloaded or clogged SAS or cesspool ❑ El Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or clogged SAS or cesspool t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 4 of 18 Commonwealth of Massachusetts Title 5 Official Inspection Form / 0 Subsurface Sewage.Disposal System Form -Not for Voluntary Assessments 160 Tern Lane Property Address William Bogert Owner Owner's Name information is Centerville Ma 02632 12-19-19 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 El 0 Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool ElLiquid depth in cesspool is less than 6" below invert or available volume is less El than %day flow ❑ 0 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. ❑ ❑ Any portion of cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply. El a Any portion of a cesspool or privy is within a Zone 1 of a public water supply well. ❑ El 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 p PP Y p q Y Y I system passes if the well water analysis, performed at a DEP certified laboratory,for fecal coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered. A copy of the analysis and chain of custody must be attached to this form.] ❑ ❑ The system is a cesspool serving a facility with a design flow of 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 Y 9 pp Y ❑ ❑ 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 l5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 5 of 18 c Commonwealth of Massachusetts Title 5 Official Inspection Form �I Subsurface Sewage Disposal System Form -Not for Voluntary Assessments of 160 Tern Lane Property Address William Bogert Owner Owner's Name information is Centerville Ma 02632 12-19-19 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 El ❑ 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? ❑ E-1 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? 0 ❑ Were as built plans of the system obtained and examined? (If they were not available note as N/A) ❑ 0 Was the facility or dwelling inspected for signs of sewage back up? n ❑ Was the site inspected for signs of break out? 0 ❑ Were all system components, excluding the SAS, located on site? 0 ❑ 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? ❑ 0 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. ❑ ❑ 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 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 160 Tern Lane V Property Address William Bogert Owner Owner's Name information is Centerville Ma 02632 12-19-19 required for every page. City/Town State Zip Code Date of Inspection D. System Information 1. Residential Flow Conditions: Number of bedrooms (design): 4 Number of bedrooms(actual): 4 total DESIGN flow based on 310 CMR 15.203 (for example: 110 gpd x#of bedrooms): 440/G P D Description: 3 main house + 1 in cottage 0 Number of current residents: Does residence have a garbage grinder? ❑ Yes F1 No Does residence have a water treatment unit? ❑ Yes Fol No If yes, discharges to: Is laundry on a separate sewage system? (Include laundry system inspection ❑ Yes RI No information in this report.) Laundry system inspected? ❑ Yes F!] No Seasonal use? Yes ❑ No Water meter readings, if available(last 2 years usage(gpd)): See below Detail: 2018- 72,000gallons 2017- 74,000gallons Sump pump? ❑ Yes ❑■ No Last date of occupancy: 2 weeks Date t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 7 of 18 c Commonwealth of Massachusetts i= ,p Title 5 Official Inspection Form f;11 Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 160 Tern Lane L Property Address William Bogert Owner Owner's Name information is Centerville Ma 02632 12-19-19 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- last pumped 2 years ago 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.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 8 of 18 f Commonwealth of Massachusetts Title 5 Official Inspection Form t, 1 Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 0 160 Tern Lane V� Property Address William Bogert Owner Owner's Name information is Centerville Ma 02632 12-19-19 required for every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 4. Type of System: ❑ Septic tank, distribution box, soil absorption system ❑ Single cesspool ❑ Overflow cesspool ❑ Privy ❑ Shared system (yes or no) (if yes, attach previous inspection records, if any) ❑ Innovative/Alternative technology. Attach a copy of the current operation and maintenance contract(to be obtained from system owner) and a copy of latest inspection of the I/A system by system operator under contract ❑ Tight tank.Attach a copy of the DEP approval. Other(describe): (2) pump chambers, d- box and leach feild Approximate age of all components, date installed (if known)and source of information: 20 years per coc Were sewage odors detected when arriving at the site? ❑ Yes ❑■ No 5. Building Sewer(locate on site plan): 2' Depth below grade: feet Material of construction: ❑ cast iron H 40 PVC ❑ other(explain): Town water Distance from private water supply well or suction line: feet Comments(on condition of joints, venting, evidence of leakage, etc.): t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 9 of 18 Commonwealth of Massachusetts ip Title 5 Official Inspection Form '= �1� Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 160 Tern Lane u Property Address William Bogert Owner Owner's Name information is Centerville Ma 02632 12-19-19 required for every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 6. Septic Tank(locate on site plan).- 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 311 Sludge depth: 33" Distance from top of sludge to bottom of outlet tee or baffle On 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 Commonwealth of Massachusetts Title 5 Official Inspection Form J. Subsurface Sewage Disposal System Form Not for Voluntary Assessments r 8' 1 160 Tern Lane Property Address William Bogert Owner Owner's Name information is Centerville Ma 02632 12-19-19 required for every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 7. Grease Trap (locate on site plan): NA Depth below grade: 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): NA Depth below grade: Material of construction: ❑ concrete ❑ metal ❑fiberglass ❑ polyethylene ❑ other(explain): Dimensions: Capacity: gallons Design Flow: gallons per day t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 11 of 18 Commonwealth of Massachusetts ,p Title 5 Official Inspection Form ?= r Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 160 Tern Lane u Property Address William Bogert Owner Owner's Name information is Centerville Ma 02632 12-19-19 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): o" 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. t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 12 of 18 I Commonwealth of Massachusetts �v Title 5 Official Inspection Form i� N Subsurface Sewage Disposal System Form -Not for Voluntary Assessments v 160 Tern Lane Property Address William Bogert Owner Owner's Name information is Centerville Ma 02632 12-19-19. 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.): Cottage has a pump chamber that was in working order as well as the main dwelling. Pumps and alarms were tested and in working order. 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: 13'X46'X6" leaching fields number, dimensions: ❑ overflow cesspool number: ❑ innovative/alternative system Type/name of technology: t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 13 of 18 Commonwealth of Massachusetts Title 5 Official Inspection Form I* Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 160 Tern Lane V Property Address William Bogert Owner Owner's Name information is Centerville Ma 02632 12-19-19 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 SAS was in working order at the time of inspection. No evidence of past back up was observed. 12. Cesspools (cesspool must be pumped as part of inspection) (locate on site plan): NA Number and configuration Depth—top of liquid to inlet invert Depth of solids layer Depth of scum layer Dimensions of cesspool Materials of construction Indication of groundwater inflow ❑ Yes ❑ No 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 f Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 160 Tern Lane V� Property Address William Bogert Owner Owner's Name information is Centerville Ma 02632 12-19-19 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.): l5ins .doc-rev.7/26/2018 p Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 15 of 18 c Commonwealth of Massachusetts Title 5 Official Inspection Form �1� Subsurface Sewage Disposal System Form -Not for Voluntary Assessments l; 160 Tern Lane Property Address William Bogert Owner Owner's Name information is Centerville Ma 02632 12-19-19 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 Assessing As-Built .Cards ..-��r^-'�-- 'TOWN OF BARNS TABLE LOCA`1710N _ y ®r�u 'w t _.., _. .SEWAGE# Vil L.AGE �� tt a'�✓i1,{e ASSESSORS S M.A.P INSTAL-ER'S NAMP a PHONE NO. SE!`TIC TANK CAPACITY 1.l7Jv e"vg° � fp q� e� �✓yi,�C�r4�� LEACHING FACn_TTY+ (type) ±2_e _- (siae)._? 'x tl4 ,! No.oi-,nEr.)Rooms BUILDER O OWNE /l�xa..•� } FERMITDATE=:�_ rl Separation Distance Between the: PPP .Maximum.Adjusted GrovruiwaterTahle to the Latta=.at of Leaching.Facility Feet Private Water-Supply Well and Leaching Facility (I.f any wells cx..ist. on site or--thin 200 feet of leaching facility) Feet EAge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) Furnished by _.. ... tf � d-..t �� „r tr -s _ $b 3 t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 16 of 18 F L Commonwealth of Massachusetts ,lp Title 5 Official Inspection Form �= 1 Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 160 Tern Lane v� Property Address William Bogert Owner Owner's Name information is Centerville Ma 02632 12-19-19 required for every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 15. Site Exam: ■❑ Check Slope ■❑ Surface water FNI Check cellar ❑■ Shallow wells 5' below SAS Estimated depth to high ground water: feet Please indicate all methods used to determine the high ground water elevation: El Obtained from system design plans on record Jan-21-2000 If checked, date of design plan reviewed: Date ❑ Observed site(abutting property/observation hole within 150 feet of SAS) ❑ Checked with local Board of Health -explain: ❑ Checked with local excavators, installers -(attach documentation) ❑ Accessed USGS database-explain: You must describe how you established the high ground water elevation: A plan on file at the local Board of Health was used to determine high groundwater. Before filing this Inspection Report, please see Report Completeness Checklist on next page. i t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 17 of 18 c Commonwealth of Massachusetts �n Title 5 Official Inspection Form �= �1� Subsurface Sewage Disposal System Form -Not for Voluntary Assessments l; 160 Tern Lane Property Address William Bogert Owner Owner's Name information is Centerville Ma 02632 12-19-19 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 W 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 1348 Quincy Shore Drive Quincy, MA 02169 December 16, 1998 Thomas McKean, Director Department of Public Health Barnstable Health Dept . 367 Main Street Hyannis, MA 02601 re : 160 TERN LANE CENTERVILLE, MA Dear Mr. McKean: This letter is being written to advise you that as of today, December 16 , 1998, there is NO WATER BEING USED/ NO BATHROOM FACILITIES OPERATING at the 160 Tern Lane property, all in response to your 21 day notice to me. The water was turned off by DOWNEAST PLUMBING/RICHARD VEARA per my request . He came to the house and DRAINED AND WINTERIZED THE SYSTEM. As we discussed in our past two telephone conversations, I was to notify you .of this fact as our sesspool is not in compliance and is a failed system. We expect to sell this property and the water will NOT BE TURNED ON BY ME UNDER MY OWNERSHIP. We expect the new owner will be installing a new system to comply with Title V requirements as he has knowledge of this failed system and is purchasing the property with full •responsibility for compliance. Thank you for your assistance with this matter. Very truly yours, Sara A. McCole :a- Z 203 499 053 US Postal Service Receipt for Certified Mail No Insurance Coverage Provided. Do not use for Integnationaftil4See reverse [Sentto ANunper tre OSt , fate,&MIMP8 p Postage Certified Fee Special Delivery Fee Restricted Delivery Fee uO Return Receipt Showing to Whom&Date Delivered a Return Receipt Showing to Whom, Q Date,&Addressee's Address 0 TOTAL Postage&Fees CO Postmark or Date 0LL U) o_ I \ I Stick postage stamps to article to cover First-Class postage,certified mail fee,and charges for any selected optional services(See front). 1. If you want this receipt postmarked,stick the gummed stub to the right of the return address leaving the receipt attached, and present the article at a post office service window or hand it to your rural carrier(no extra charge). 2. If you do not want this receipt postmarked,stick the gummed stub to the right of the a�i return address of the article,date,detach,and retain the receipt,and mail the article. LO 3. If you want a return receipt,write the certified mail number and your name and address rn on a return receipt card,Form 3811,and attach ft to the front of the article by means of the gummed ends if space permits. Otherwise,affix to back of article. Endorse front of article a RETURN RECEIPT REQUESTED adjacent to the number. Q 4. If you want delivery restricted to the addressee, or to an authorized agent of the O O addressee,endorse RESTRICTED DELIVERY on the front of the article. M 5. Enter fees for the services requested in the appropriate spaces on the front of this 9 receipt. If return receipt is requested,check the applicable blocks in item 1 of Form 3811. ii 6. Save this receipt and present it if you make an inquiry. 102595-97-a-0145 a �OE1HET ti Town of Barnstable Qe * wwsenst.e. t Department of Health, Safety, and Environmental Services MASS. i639• Public Health Division �0 prFD11'0�p P.O. Box 534, Hyannis MA 02601 Office: 508-8624644 'Thomas A.McKean,RS,CHO PAX: 508-790-6304 Director of Public Health November 24, 1998 Sally McCole 1348 Quincy Shore Drive Quincy, MA 02169 ORDER TO COMPLY WITH 310 CMR 15.00, THE STATE ENVIRONMENTAL CODE, TITLE 5. The septic system owned by you located at 160 Tern Lane, Centerville was inspected on October 1, 1998 by Joseph Macomber, Jr., a Massachusetts licensed septic inspector. The inspection of your septic system showed that your system has failed under the guidelines of 1,995 TITLE 5 (310 CMR 15.00)due to the following: • Block cesspool was sitting in the groundwater table. You are directed to hire a licensed professional engineer (PE) to design a system that will bring the septic system in compliance with 310 CMR 15.00, The State Environmental Code, Title 5 within twenty-one(21) days of your receipt of this letter. You are also directed to hire a licensed septic system installer to install the system components within forty-five (45) days of your receipt of this order. You are further directed to maintain the system by hiring a licensed septage hauler to pump the septic system to prevent discharge of sewage or effluent into the buildings, onto the surface of the ground, or into surface waters. Any person aggrieved by any order issued by the local approval authority may appeal to any court of competent jurisdiction as provided for by the laws of the Commonwealth. PER ORDER OF THE BOARD OF HEALTH Th as A. McKean, Agent of the Board of Health q/db/title5e.doc mccole/wp/q/Is Town of Barnstable Department of Health, Safety, and Environmental Services Health Division 367 Main Street, Hyannis MA 02601 office: 508.790-6265 Thomea A.McKean FAX: 508-775-3344.. Director of Public Health 1MR MARN9UBlia, MAC. [ENGINEER'LETTER] TO: (Date) .n • ORDER TO COMPLY WITH 310 CMR 15.00, THE STATE ENVIRONMENTAL CODE, TITLE 5. The septic system owned by you located at I 0 1�n 1-4rQ Ce�'v� was inspected on tr�� by � r f �. �<7r a Massachusetts licensed septic inspector. The inspection of your septic system showed that your system has failed under the guidelines of 1995 TITLE 5 (310 CMR 15.00) due to the following: J?�J Ocj< C aA LA_-5 s.P,11 You are directed to hire a licensed professional engineer (PE) to design a system that will bring the septic system in compliance with 310 CMR 15.00, The State Environmental Code, Title 5 within twenty-one (21) days of your receipt of this letter. You are also directed to hire a licensed septic system installer to install the system components within forty- five(45) days of your receipt of this order. You are further directed to maintain the system by hiring a licensed septage hauler to pump the septic system to prevent discharge of sewage or effluent into the buildings, onto the surface of the ground, or in to surface waters. Any person aggrieved by any order issued by the local approval authority may appeal to any court of competent jurisdiction as provided for by the laws of the Commonwealth. PER ORDER OF THE BOARD OF HEALTH Thomas A. McKean, R.S., C.H.O. Agent of the Board of Health Town of Barnstable a Ted i • C,e.rti ,�1 , . 2129 i5 DATE. 1 O PROPERTY ADDRESS: •160 'Fern Lane O Centerville,Mass. 02632 o ,/WO, bb On the above date, I Inspected the septic system at the ab This system conalsts of the following: 1 . 1 -6 'x6 ' block cesspool . Based bn my In8c action, I certify the following conditions: 2 . This is not a title five septic system: ' 3 . This is a sewage system. 6 . Thd sewage system is failure. 7 . . System is in failuzebecause the cesspool is in the water table., 8 . The system must be graded to title five septic system. ( 95 Code ) 81GNATURr: Name J P Macomber Jr_ i '. . -.- ------- Company:_`. P_Macomber & Son-Inc , Address:_-Sax-6b------�a---,-- __Cente_rviIleAesj.;_02b32 ' ' Phone: ' THIS CERTIFICATION! DOES NOT CONSTITUTE A GUARANTY OR WARRANTY JOSEPH P. MAMM-BER & SON, INC. Tank&-C*upool&-Laachfleld& Pump+d r, Instilled ' Town Sewer Connections P.O. Box 66' Centerville, MA 02632.0066 77.5.33U 775-6412 COMMONWEALTH OF jvLASSACHUSETTS EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS DEPARTMENT OF ENVIRONMENTAL PROTECTION ONE WINTER STREET, BOSTON, MA 02108 617.292.5500 r TRUDY CO; WILLIANi F.WELD ScCfcl: Govcmor DAVID B.STRU: ARGEO PAUL CELLUCCI Commissiol Lt.Govcmor SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A _ Z 1 0 CERTIFICATION Property Address:1 60 Tern Lane Centerville,Mass Address of Owner: 1 Quincy Shore Date of Inspection: 10/1 /9 8 (If different) Drri Ve Name of Inspector: tuber Jr Quincy,Mass. 02169 ed system inspector pursuant t'o Section 15.340 of Title 5 (310 CMR 15.000) Company Name: J.?.Macomber & Son Inc. Mailing Address: BOX 66 Centerville,Mass, 02632 Telephone Number: 508-775-1338 CERTIFICATION STATEMENT I certify that I have personally inspected the sewage disposal system at this address and that the information reported below is true, accurate and complete as of the time of inspection. The inspection was performed eased on my training and experience in the proper function and maintenance of on-site sewage disposal systems. The system: _ Passes _ Conditionally Passes eeds Further Evaluation By the Local Ap roving Authority Fails Inspector's Signature: ► Date: ,/�_ ._ The System Inspector shall submit a copy of this inspection report to the Approving Authority within thirty (30) days of completing this inspection. If the system is a shared system or has a design flow of 10,000 gpd or greater, the inspector and the system owner shall submit the report to the appropriate regional office of the Department of Environrri,?ntal Protection. The original should be sent to the system own, and copies sent to the buyer, if applicable, and the approving authority. INSPECTION SUMMARY: Check A, B, C, or D: AI SYSTEM PASSES: 1,D I have not found any information which indicates that the system iolates any of the failure criteria as defined in 310 CMR 15.303 Any failure criteria not evaluated are indicated below. COMMENTS: BI SYSTEM CONDITIONALLY PASSES: Nd One or more system components as described in the "Conditions: Pass" section need to be replaced or repaired. The system, upc completion of the replacement or repair, as approved by the Boa,:.' of Health, will pass. Indicate yes, no, or not determined (Y, N, or ND). Describe basis of determination in all instances. If"not determined', explain why not. The septic tank is metal, unless the owner or operator h:,s provided the system inspector with a copy of a Certificate of ... Compliance (attached) indicating that the tank was insta:._A within twenty (20) years prior to the date of the inspection; the septic tank, whether or not metal, is cracked, structL._Ily unsound, shows substantial infiltration or exfiltration, or tar failure is imminent. The system will pass inspection if t: a existing septic tank is replaced with a conforming septic tank as approved by the Board of Health. (revised 04/25/91) Page i of 10 DEP on the World Wide Web: hap1t .... magnet.stale.ma.us/dep Printed on Rec; :J Paper SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address: 160 Tern Lane Centerville,Mas.s. 02632 Owner: Sally McCole Date of Inspection: 1 0/1 /98 B) SYSTEM CONDITIONALLY PASSES (continued) , AVf . Sewage backup or breakout or high static water level observed in th distribution bo is due to broken or obstructed pipe(s) or due to a broken, settled or uneven distribution box. The system will pass inspection if(with approval of the Board of Health). Describe observations: broken pipes) are replaced _ obstruction is removed distribution box Is levelled or replaced The system required pumping more than four times a year due to broken or obstructed pipe(s). The system will pass inspection if(with approval of the Board of Health): broken pipes) are replaced obstruction is removed Cl FURTHER EVALUATION IS REQUIRED BY THE BOARD OF HEALTH: VQ_ Conditions exist which require funher evaluation by the Board of Health In order to determine if the system is failing to protect the public health, safety and the environment. 1) SYSTEM WILL PASS UNLESS BOARD OF HEALTH DETERMINES THAT THE SYSTEM IS NOT FUNCTIONING IN A MANNER WHICH WILL PROTECT THE PUBLIC HEALTH AND SAFETY AND THE ENVIRONMENTi itJO 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 APPROPRIATE) DETERMINES THAi THE SYSTEM IS FUNCTIONING IN A MANNER THAT PROTECTS THE PUBLIC HEALTH AND SAFETY AND THE ENVIRONMENT: The system has a septic tank and soil absorption system (SAS) and the SAS is within 100 feet to a.surface water supply or tributary to a surface water supply. The system has a septic tank and soil absorption system and the SAS Is within a Zone I of a public water supply well. The system has a septic tank and soil absorption system and the SAS Is within SO feet of a private water supply well. The system has a septic tank and soil absorption system and the SAS is lesi than 100 feet but 50 feet or more from a private water supply well, unless a well water analysis for eoliform 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 egwl to w less than 5 ppm. Method used to determine distance AM (approximation not valid). 31 OTHER WA ZY, 1,4 I?._ (revised 04/as/17) 1400 3 of 10 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address: 160 Tern Lane Centerville,Mass . Owner' Sally McCole Date of Inspection: 1 0/1 /9 8 D) SYSTEM FAILS: yo must indicate ei;%.er 'Yes' or 'No' as to each of the following: I have determined that the system violates one or more of the following failure criteria as defined in 310 CMR 15.303. The basis for this determination is identified below, The Board of Health should be contacted to determine what will be necessary to Correa the failure. Yes N Backup of sewage into facility or system component due to an overloaded or clogged $AS or cesspool. Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or clogged SAS or cesspool. Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool. 4 Liquid depth in cesspool is less than 6' below invert or available volume is less than 1/2 day flow. Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s). Number of times pumped _ Any portion of the Soil Absorption System, cesspool or privy is below the high groundwater elevation. .__ Any portion of a cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply. Any portion of a cesspool or privy is within a Zone I of a public well. Any portion of a cesspool or privy is within 50 feet of a private water supply well. Any portion of a cesspool or privy is less than 100 feet but greater than 50 feet from a private water supply well wrth no acceptable water quality analysis. If the well has been analyzed to be acceptable, attach copy of well water "lysis for coliform bacteria, volatile organic compounds, ammonia nitrogen and nitrate nitrogen. E] LARGE SYSTEM FAILS: You must indicate either 'Yes' or 'No' as to each of the following:- The following criteria apply to large systems in addition to the criteria above: The system serves a facility with a design now of 10,000 gpd or greater (large System) and the system is a significant threat to public health and safety and the environment because one or more of the following conditions exist: Yes No, the system is within 400 feet of a surface drinking water supply /f 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 tl of a public water supply well) The owner or operator of any such system shall bring the system and facility into full compliance with the groundwater treatment program requirements of 314 CMR 5.00 and 6.00. Please.consult the local regional office of the Department for further information. (swia�d,01/a3/)7) Y�9. 3 of 10 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B CHECKLIST PropcnyAddress: 160 Tern Lane Centerville,Mass. Owner: Sally McCole Datc of Inspection: 1 0/1 /98 Check if the following have been done: You must indicate either 'Yes' or.'No' as to each of the following: Yes No Pumping information was provided by the owner, occupant, or Board of Health. f� None of the system components have been pumped for at least two weeks and the system has been receiving normal flow rates during that period, large volumes of water have not been Introduced into the system recently or as part of this inspection. As built plans have been obtained and examined. Note if they are not available with /A _ The facility or dwelling was inspected for signs of sewage back-up. The system does not receive non-sanitary or Industrial waste flow. The site was inspected for signs of breakout. _ All system components, t!�4uding the Soil Absorption System, have been located on the site. The septic tank manholes were uncovered, opened;and the interior of the septic tank was inspected for condition of baffles or tees, material of construction, dimensions;depth of liquid, depth of sludge, depth of scum. — The size and location of the Soil Absorption System on the site has been determined based on: Z/ The facility owner (and occupants, if different from owner) were provided with information on the proper maintenance of Sub-Surface Disposal System. Existing information. Ex. Plan at B.O.H. _ Determined in the field (if any of the failure criteria related to Pan C is at issue, approximation of distance is unacceptable) (15.301(3)(b)) s I SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION Property Address: 160 Tern Lane Centerville,Mass. Owner: Sally McCole Date of Inspection: 1 0/1 /9 8 FLOW CONDITIONS RESIDENTIAL: Design flow: 11 D g p.dJbedroom for S.A.S. Number of bedroom : Number of current residents Garbage grinder (yes or no): _3CPpQ cql/on (r J— ga d0 Laundry connected to syste (yes or no)J6 19G6 J G qF� Seasonal use (yes or no): Fqq?; a�j� ��15 Water meter readings, if available (last two (2)year usage (gpd): 622:( ?,coo 9cl Im Cr -D Sump Pump (yes or no): Last date of occupancy:�/1� COMMERCIAUINDUSTRIAL: Type of establishment: �Ui$ Design flow: A)* allons/day Grease trap present: (yes or no)A& Industrial Waste Holding Tank present: (yes or no)-d20 Non sanitary waste discharged to the Title $system: (yes or no)��' Water meter readings, if available: i{/ Last date of occupancy: OTHER: (Describe) 14 Last date of occupancy: GENERAL INFORMATION PUMPING RECORDS and source of information: s"r-F_ PEE '57,1- . System pumped as part of inspection: (yes or no) S If yes, volume pumped: allons Reason for pumping: Ct , -�'¢ !'' TYPE OF SYSTEM _A Septic tank/distribution box/soil absorption system Single cesspool 1J.6 Overflow cesspool — 4),6 Privy Shared system (yes or no) (if yes, attach previous inspection records, if any) 4 VA Technology etc. Copy of up to date contract( Other APPROXIMATE AGE of all components, date installed (if known) and source of information: y.+?—f� Sewage odors detected when arriving at the site: (yes or no)- (revised 04/25/97) Page 5 of 10 C r 4 ) Custorner Dab-a En��,, Screen 1 WN Name:, WA I'VICCOle Address- 1 bi-i Tern Lane SMCC.' Code: Town: Centerdle State:MA Zip: FA AlIng Ex"S': -1-34 83 0 U i tl(,%,i Shore Dr Quincy NelA 02159 Tel 775-3814 Te12 -N Notes: Y M 0 PUMP I Pool '105.00 9 12 @ 9-CI 6AK PUMP I pool 135.00 UT92 4,12T94 PUMP 1 Pool 145.00 4�2T94 7,120,195 PUMP 1 pool 145.00 814,195 7,10196 p urrip I pool 145.00 7,11 T 19 6 7128,197 pUrnp I pool 145.00 T3197 10,11 98 sew i nsp 250.00 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: 160 Tern Lane Centerville,Mass . Owner: Sally McCole Date of Inspection: 1 0/1 /9 8 BUILDING SEWER: (Locate on site plan) /I Depth below grader Material of construction:,. cast iron,040 PVC,�/Aother (explain) Distance fromprivat water supfily1well or suction line 0` Diameter _V Comments: (condition of joints, venting, evidence of leakage, etc.) J&Its appear tight- Nn F.yi riPnce I aekage SYGtam is vented through the h9ilRe vent SEPTIC TANK:A'hVe_ (locate on site plan) Depth below grade: Material of construction VA concrete4Mmetal oV,4FiberglassA/I PolyethyleneJAother(explain) AW If tank is metal, list age Is age confirmed by Certificate of Compliances (Yes/No) Dimensions: Sludge depth: VA Distance from top of sludge to bottom of outlet tee or baffle:AL/L Scum thickness:-M Distance from top of scum to top of outlet tee or baffle: AA Distance from bottom of scum to bottom of o tlet tee or baffle:,_ How dimensions were determined: 1U Comments: (recommendation for pumping, condition of inlet and outlet tees or baffles, depth of liquid level in relation to outlet invert, structural integrity, evidence of leakage, etc.) Sept i r- t-a nk i S not piresent GREASE TRAP:/ (locate-on site plan) Depth below grader Material of construct ionconcrete,r?Ametal,IFiberglassiyd_PolyethyleneyAoCher(explain) Dimensions: Scum thickness: AN Distance from top of scum to top of outlet tee or baffler Distance from bottom of scum to bottom of outlet tee or baffle:.&& Date of last pumping: Comments: (recommendation for pumping, condition of inlet and outlet tees or baffles, depth of liquid level in relation to outlet invert, structural integrity, evidence of leakage, etc.) (revised 04/25/97) Page 6 of 10 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: 160 Tern Lane Centerville,Mass. Owner: Sally McCole Date of Inspection: 10/1 /98 TIGHT OR HOLDING TANK:A (Tank must be pumped prior to, or at time, of inspection) (locate on site plan) Depth below grade: material of consuuaion,�concretet4metalrYFiberglassi Polyethylene/,�Aother(explain) Dimensions: Capacity: gallons Design flow: gallons/day Alarm level: Alarm in working order*h Yes:LIP No Date of previous pumping: Comments: (condition of inlet tee, condition of alarm and float switches, etc.) Tiqht or hoidin7 tanks are not present DISTRIBUTION 8OXA�Ve- (locate on site plan) Depth of liquid level above outlet inven:,'Olp _ Comments: (note it level and distribution is equal, evidence of solids carryover, evidence of leakage into or,oul of box, etc.) Tni ctri hilti nn box is not present PUMP CHAMBER:J&e- (locite 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 appunenances, etc.) Pump chamber is not prose lr.v1..0 Ot/)S/11) Y.p. � of l0 I SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: 160 Tern Lane Centerville,Mass. Owner: Sally McCole Date of Inspection: 1 0 1 98 SOIL ABSORPTION SYSTEM (SAS): (locate on site plan, if possible; excavation not required, but may be approximated by non-intrusive methods) If not determined to be present, explain: Type: leaching pits, number. leaching chambers, number: leaching galleries, number: leaching trenches, number,length: leaching fields, number, dim sions: overflow cesspool, number: Alternative system: Name of Technology: Comments: (note condition of soil, signs-of hydraulic failure, level of ponding, condition of vegetation, etc.) None of the above are present CESSPOOLS (locate on site plan) Number and configuration: Depth-top of liquid to inlet inv Depth of solids layer: Depth of scum layer: Dimensions of cesspool. Materials of construction: Indication of groundwater: inflow (cesspool must be pumped as pan of inspection) Loamy sand to merjiitm ganrd; Pumped r-acz�_pnnj Water tahle Water' intrusion••'t,00k place. Comments: (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.) Loamy sand to medi tim sanr3 -rpggpnnI i g i n bud rajiI i r- fa7.lLliG� Cesspool is in the water table. All vegetation is normal . PRIVY: (locate on site plan) Materials of construction: Dimensions: /1�J Depth of solids:t Comments: (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.) Privy is not present. (r.v1..d 0�/75/f7) y.y• 1 of 10 SUBSURFACE SE%YACE OISPOSAI SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION jcontinucd) Propcnr Addrtif: 160 Tern Lane Centerville,Mass. °"^"` Sally McCole O+u or tn►pcct;on; 1 0/1 /9 8 SKETCH Of SEWACE DISPOSAL SYSTEM: indvdc tits to at least two permancnt rcfcrences landmarks or benchmarks localt all wells within 100' (locatc whcrc public waW SupplY comcs into house) cN ioor��}coci Ifo j c� 1 w0 Ted 1 a r lr.r►�.0 0�/IS/c11 /.p• of 10 r SUBSURFACE SEWAGE DISPI;: A SYSTEM INSPECTION FORM T C SYSTEM INFOR:.; .TION (continued) Property Address: 160 Tern Lane Centerville,Mass. Owner: Sally McCole Date of Inspection: 1 0/1 /9 8 I Depth to Groundwater Feet Please indicate all the methods used to determine High Groundwater Elevation: Obtained from Design Plans on record Observation of Site (Abutting property, observation hole, baserrvr*sump etc.) etermine it from local conditions Check with local Board of health Check FEMA Maps heck pumping records heck local excayators, installers Use USGS Data Describe in your own words how you established the.High GrourNzl-,rcrEleyation. (Must be completed) Pumped inflow cesspool. Water intrusion took place. Water rose 8" in the cesspool when pumping had ceased. a•r.wn"•."-n Iw.--�T� .wrww•wrrwrr•n��n+�atnw+�n►rw►�wT r�r�v*�'��I lnn .T•+r-'r.•-.ir.rn.•:.tr.r' 30 TOWN OF Barnstable LVJARD OF HEALTH SUnSURFACE MACE DISPOSAL SYSTEM INSPECTION FORM - PART D .- CERTIFICATION I `� ��•TI.11•'.•t: -T.111{'••T.TT{TT.TII•11.1rI TIRIIfIf�f.R:rt•IT'YnR\RR�t-1'TR�r/A'Al�lt!'.�7 I�.1. 1'�f'I•T'Y+'11•-r•l '-TYPL OR PRINT CLEAALY- PROPERTY INSPECTED STREET ADDRESS 160 Tern Lane Centerville,Mass . ' ASSESSORS MAP, BLOCK AND PARCEL # _ l�. /� Id- OWNER' s NAME Sally McGole PART D - CERTIFICATION NAME OF INSPECTOR Joseph P.Macomber Jr. COMPANY NAME J.P.Macomber & Soil- Inc. COMPANY ADDRESS Box 66 Centerville,Mass . 02632. street Town or City Stat• L1P COMPANY TELEPHONE ( 508 ) 775- 3338 FAX ( 508 ) 790 _ 1578 A CERTIFICATION STATEMENT I certify that I have personally inspected the sewage disposal system at this address and that the information reported is true , accurate , and complete as of the time of ,inspection . The inspection was performed and any recommendations regarding upgrade , maintenance , and repair are consistent with my training and experience in the proper function and maintenance of on- site sewage disposal systems . Check one : 1 Systeui PASSED , The inspection which I have conducted has not found any information which indicates that the system fails to adequately protect public health or tile. environment as defined in 310 CMR 16 . 303 . Any failure criteria not evaluated are as stated in the FAILURE CRITERIA section of is form. System FAILED* The inspection wllicll I have �concted has found that the system fails to protect the public health and the environment in accordance with Title 6 , 310 CMR 15 . 303 , and as specifically noted on PART C - FAILURE CRITERIA of this inspection form . Inspector Signatur Date .�.3i.2iZ1 One copy of this certification must be provided to the OWNER, the BUYER ( where applicable ) and the I30ARD OF HEAL1'll. i * It the inspection FAILED, .the owner or•'.operator shall u d within o'ne year of the date of the inspection, unless allowed ortrequiredm otherwise as provided in 3.10 CFJfi 16 . 305 . partd .doc C Wt 7 � S IN THE THE COMMONWEALTH OF MASSA.CH USETTS DEPARTMENT OF ENVIRONMENTAL PROTECTION BE IT KNOWN THAT Joseph P. Macomber, Jr. Has satisfied the Department's qualifications as required and is hereby authorized to use the title CERTIFIED TITLE S SYSTEM INSPECTOR as provided in 310 CMR 15 .340 and Section 13 of Chapter 21A of the General Laws. Issued by The Department of Environmental Protection. liinc x IP,S Acidly, Dircclor of [lic 11 t lull vl Wait[ !'ulluliun Control -J e l — zo A�P- I'A cef &A E ttAN o•� '2 i� 2e�3' dt1fl roJ Ate.1 V • F .•. A-pel,cdm4v^ 12 too OWN2dpv �� Cc z� �` S '6 3 (y_ Q room ( I. ' lw '4G,•ac�Pi I f C'S�1D r ' a ° y r i q oil wEouAQUET -LAKE - TEs �' ° 24bopening Above For M.H. .19 1/2�iD Gahr.Pipe Fdr Frame 9 Cover. r t�B Lftler Supply FarThit Lot Is Municipal water. Flom Support @DGE �,�6•R £�r33«5 LLoeollonolUfiMinShormenThisPion Are Apprex. At Least]2 Hours Prior to Any Excavation ForThb Project The Contractor Shall Make The Required / 1 To 0 Box C o �� 6B0'r�1 I Notif icotim to Dig Safe(1-800-322-4844) Pump Power a Float Control - N CRg�.E 3 The Contractor b R uired to Secure A dote Cables cal B led i El eo►dades �(p _ f H/AL L e Permits From Tbwn Agencies For Constryp altos With Local a Idq.9 Elec.Codes. I e� Defined byThis Plan. I p 6Q v x. 4��0 From•Septic NISI; iN TAQ4jRis LgWN �� 4 Install Rivers oil Required to Within leaf 4"0 From-Sepic Precast Pump Finished Grade. Chamber COTT,gGC 1'REIr LL•A E Tbt"iE F*RE AP Groundwater Zone Oc 8.0' DE � ERE L�E OR Jit-t A 6 A Assessors Map 212 �e�e S-All Structures Buried Four Feet orMore aSuDject o� NAN pd' Poreel 15 10 Vehicular Troffio robe H-20 Loading. r•t •.�,:+: CCri/ER6D r R CIE¢ bLE 6 Septic System to be Installed in Accordance With COVER& L.p Lot Area �` 310 CMR 15.00 Latest Revision AndThsTownef WALkWAY 0.38 Ac Barnstable Board of Health Regulations. PLAN 7. All Piping to be Sch 40 PVC 4'0 Sch.40 PVC Finished \ I From Septic Tank Grade b I DESIGN DATA *1 EX\ST, Single Family=3 Bedroom IS >t •'E°� �° CRAW L_ I Cottage*11, PD c m I N i. Conduit Thru Cho mberGalv To D-Box iv SLAG SPAC DDooilyFlo1en110 3=n330+110=440GPD Chai 4: o \ 1 Septic Tank:440 GPD x 200 z 880 GPD Fables. r 9 Fbat Chain a° • EmergertcyStoroge a Cobles. • Min.2Cover f orb Use 1500 Gallon Septic Tank Vol.440 Gal. r q,e I la n EI.36 ' 2"0 Sch.40 PVC b< LEACHING AREA Mercury Float + Threaded Pipe �4.1r PumponEl.36.4 Switchs-3Req'd a4•� 440 GPD/0.74 r 595.SF Required r _� s, the Bottom Area only. Pump off El 36.1 Check Valve L► 4 `p0 B5o9t8t 8.F Total Provided ed 598 S.F. t Bottomsecure f Ca mbar `d Q N '� Re1�LIwr 01 i3T1JR�6P LEACHING.BED DESIGN Bottom of Chamber 5@ L.AWN W raid C&SLNE9 Bottom El.D4.0 «F.• ,•� •` �6�easMhe�nd �'te / All Pipes to be Schedule 40.PVC n st W ftf:Mc V I rAN 1S 0- 1 C Perforated With Capped End,the -� > Le,4c4 s ext"$r / 3-4`DistributionLines in 13'x46' SECTION 0. i5r PUMP MIN. 3 washed Stone Leaching Bed osShown. (1000 DETAIL Ty• �I CWAMaeR r Not to Scale O Pre Tat Oa1e 0 f IOY1000 eesra- P.eralwr 8 O Eta-40.6 Tap of"do OF ' 8Q 00' i T~ 40 C. x t0' r�eta• loan son.s.+a GYMNI ' e 11• ri Comm sad a Gravel 7.SYR4)6 fl Comm srd a Gravid ism 5A �I� 2o'a Clear"e' Clear" r"sd a ete li anwel 1orRse,32.5 ll�tlan � SULLIV, r1► / r �10.29739 W / MLr _ 041• t) Loam a Sam Dana 6TR2.611 Me-40.5 Top of Hole CIVIL a-14' n Caw"sr,d a anvel 73YPAM • 14'-= Fl Caere•srd a anvd T.M 54 G' =-or C caw"sad a Gravel 10YR5616 �•� a�,/ p D LO eH BE�D \ Qseee f arena L.ewi 2 mares Per rws E,.325 G Ar TRANSPLAPIT Lril/6�TN PROP "r $pVN 46' 4"0 Vent — --- --- ---- _ -- %4oL-LyTIPKF- 5 4!gNE 0 SolFramet3Covet D•Box F.G.41.3t To EI.40.8 Directions: From Hyannis follow Route 28 F-G.39.5 at FG. Ina 40.3 toward Centerville; Right at the lights onto PLAN VIEW lnv4o.6 Bat.Ei.39.8 Old Stage Road; Right onto Shoot Flying Crawl ' Scale: 1"= 20' Space 39.�388 �° Hill Road; Right onto Tern Lane and LS= on Pump NOTE'Waterproof/Seal Concrete Septic Tank ' g k Chamber a Pump Chamber With 2 Coots of V 34.8 house Is on the left #1 60. nnh� Approved Sealant. Lake Wequaquet Credo Design Water Elev. Bedding as See►teavloa Per Title 5 S -eaerpaoted:nn Poo Fo'C'aain. SITE PLAN I DEVELOPED PROFILE OF PROPOSED SEPTIC SYSTEM N we Not taScale 4 SEPTIC SYSTEM UPGRADE • r Poo slow ! AT 1r,te,�na ;a wI pva =I V2�Drrde r 160 TERN LANE Maximum Feasible Compliance -d' Variances Requind CENTERVILLE t MASS. 1. 310CMR15.21](I):Knimufty Setback Distances from property line FOR 10(ten)fat required 0(2xro)feet provided. W I L LI AM B. B 0 G E RT _ 2. Town of Barnstable Part VM:Onsite Sewage Disposal Regulations CROSS SECTION OF LEACHING BED Section 1.00. The'100 Foot"R'.gulation.Distance from ponds to be 100 feet SCALE: AS SHOWN DATE: JA N.21 ,2000 92(ninety two)feet provided. SULLIVAN-ENGINEERING INC.-- Nettasc.r ` OSTERVILLE, MASS. ti ATTACHEMENT "A _-_ MITIGATION SUMMARY (UNDER TOWN OF BARN. CH. 704) HARDSCAPE 0-50' HARDSCAPE 50-100' EXISTING Z327 SF 1,708 SF PROPOSED 2,029 SF 1,653 SF = 298 SF NET BENEFIT = 55 SF NET BENEFIT �0 t y ? ° /` (f ` WC Ct NOTE: 1200 SF OF EXISTING LAWN, PROXIMATE TO ` Lake C�f O (� /► '/j D THE CONCRETE WALL, MLL BE REMOVED TO PROVIDE ° l / EXTRA PROJECT BENEFIT. NATIVE PLANTINGS o 1 PROPOSED UTILIZING CAPE COD COOPERATIVE EXTENSION SERVICE'S SPECIES UST AT RECOMMENDED n PLANTING DENSITIES o 3 M11'(�(�E 0#-A Z. PROP.RE-GRADING(TYP) o o V PROPOSED SILT FENCE REMOVE LAWN PROPOSED NAIVE VEGETATION 1 (2 S.F.t) - S88'32'10"E 108't S88'32'70" 708't LOCUS MAP \ I % APPROX. VITAE uRU—BS—�a,��%a-a,t APPROX. u-� EXISTING OPEN NOT TO SCALE .y,�.yf i EXISTING OPEN I % 1 IN E PIER 4'X AL leJ l'lli INTERIM APPROVAL PILE PIER 4'%70'$6660 O f37 _ DB 10855 PG 154 ®6660 ASSESSORS MAP 212 PARCEL 15 r INTERIM APPROVAL I o0 of r --- --------->L'— OB 10855 PG 154 1 t` [39)- w 1 N I s 1 I / 11 eq N DRIVE: R VED 37\ I EXISTING SA D I 40� 3J I ZONING SUMMARY - _ I I C�R<E t2.8 I rn I 'o� ZONING DISTRICT: RD-1 \ I I I Y MIN. LOT SIZE 43,560 SF P VI� I o MIN. LOT FRONTAGE 2p' 16'\ I \ i \� WOOD W I I P DRIVEWA A I a \ r MIN. LOT WIDTH 125' W I GUY \ I i i I PLA M Z I rc p ° MIN. FRONT SETBACK 30' Q I ° LAVm Q° I --� ! I `--�'-_l I GQo 'NT 10 '-i \ S�' U,r PROP.RET.T.W.ELEV.38't� MIN. REAR SETBN. SIDE ACK 10' Z I I I ill (KEYSTONE OR EO.) N NOTES u I LAWN I a L`1 0 l I m t'O I 9 I Io i s s 4 � I v IW a » 1 1 a ' SITE IS LOCATED WITHIN ESTUARINE la H iDBO I 1 I i OI > r ola of m i I�o '� LA m WEQUAQUET PROTECTION DISTRICT lw �I I o �\ [ $ I m WEQUAQUET Iloo I o I 3 3 o . I z LAKE VERTICAL DATUM: NGVD II W I t- i 22'Q i i �I z LAKE I w d rn I -- o , .3 m o I IL c i ---- I _ a i I i '� o , NOTE: PER3-3410 SSOC (ISSUED 1999). a I ire r. �r 1 \I WI 4 y � `^"'w �_ Jr - `� i f �; MEAN ANNUAL HIGH WATER LEVEL (WEO. LAKE) = 34 NGVD. EXTENT OF BORDERING ---� 'a �___� I ' r. LAND SUBJECT TO FLOODING = ELEV. 35 \$ `_`l_j �I I E%ISTWc 11 1 u I � i 4 a (AT CONC. WALL ON LOCUS). al II 3• f o- v PU P CHAIN. P pIpp�p DWELLING PU P CRAM. ml{ OWEWNG I T 1FNDN.= 420• 1 1i1 1 FAST I EL 39.s' � j EXIST_ PIER (NOT DEPLOYED AT TIME OF �J I nl 1 1 Ji3 1 N J I rJ 1 is SURVEY): INTERIM APPROVAL #6660 /I 6 1 1 1 lei 1 g J ' B ��� 1 iN ^ ALL ROOF RUN-OFF SHALL BE DIRECTED J HOLLY I 1 �_ °oj �? R�G��WR(/��F�) TO DRYWELLS OR TO DRIP TRENCHES J w 9 0• 1 - �Z 1 J 1 I PROPOSED NATIVE I I VEGETATION WORK LIMIT LINE OF SILT FENCE TO BE I STAKED IMMEDIATELY LANDWARD OF 1 i 1 1/ o �) I t� i E)057IN CE CONCRETE WALL AND AS SHOWN IN AREA our X j 1 EIOSTIN CE GUY OT AREA I OF SAND BEACH - GUY - 1 LOT AREA I LAWN 1 WIRE 0.38 0.38 AC WIRE 1 - 0.38 AG i ti 1 1 PROP STAKED SILT n ONG FDc DICE REFERENCES 1 FENCE ALONG 1 I S� I DEED BOOK 12348 PAGE 154 1 PROPERTY LINE � S�2.01 2p. DEED BOOK 10855 PAGE 154 [ a PLAN BOOK 1PLAN BOOK 8 7PACE PAGE1113 I \� ?.142pe I EXISTING rn DWELLING ,g '$ SITE PLAN OF EXISTING CONDITIONS ' PROPOSED SITE PLAN SITE PLAN I 1" = 20' 160 TERN LANE CENTERVILLE 1' = 20' 3 PREPARED FOR O `"°°M4, AKRO ASSOCIATES oR 508-362-4541 0`� DAN16LA fox 508-362-9880 donnccpe.com 0. s CML OJALA ,Jows tspe eodineeiina ills q �No.403 SEP OCTOB 13, 2 01 P P REV. OCTOBER 2, 2013 civil engineers ONA land surveyors o-L"201'� ,;r;� Scale:i"=20' CONSERVATION 939 Moin Street (Rt. 6A) DATE DANIEL A. OJALA, P,E•, P. S. OWNER OF RECORD: WIWAM AND NATAUE BOGERT DCE#13-093 YARMOU7HPORT MA 02675 0 10 20 30 40 50 FEET 1 1.ALL EXTERIOR WALLS SHALL BE 2X6(d 16"O.C.UNLESS OTHERWISE NOTED. 2.ALL INTERIOR WALLS SHALL BE 2X4 @ 16-O.C.UNLESS OTHERWISE NOTED. 3.CONTRACTOR SHALL VERIFY ALL WINDOW ROUGH OPENINGS PRIOR TO ORDERING WINDOWS. 4.CONTRACTOR SHALL VERIFY EXISTING ALL DIMENSIONS PRIOR TO GUEST RM. E' CONSTRUCTION.CONTRACTOR ASSUMES RESPONSIBILITY FOR ANY MISSING OR INCORRECT DIMENSIONS NOT BROUGHT TO THE ATTENTION OF THE j DESIGNER. A B C T A.5 A.5 GENERAL NOTES i 3 chg.Window to Door 6/11/15 22'-0' O EXISTING CTR. w/RIDGE �_4. 71_4a I-4. 7'-4. T-4. T-4. 7�-�" ADH305O�ADH3OSO AD 050 ADW6050 ADFI3050 NO. REVISION DATE lV n, COPYRIGHT ` Y. ❑ NORTHSIDE HEREBY EXPRESSLY RESERVES ADH3050 A H3050 ADH3050 ADH3050 ADH3050 o ITS COMMONIAWCOPYRIGHT.THESES 14. . j I PIANSARE NOTTOSEREPRODUCED TAPERED COLUMN , STEEL r C NGEOORCOPIEDINANYFORMOR i 10" AT BASE TO 8°AT TOP in a I I PROPOSED MDR MANNER"TSOEVER WITHOUT FIRST EXISTING w/SHINGLE BASE PRb POSED FAMILY ROOM OBTAINING THE EXPRESS WRITTEN TYPICAL PERMISSIONAND CONSEM OF NOg1HS10E PATIO FWGDSObB NING ROOM I I 20Bx,6-0 STEP DESIGN A660tlATE5. FOUNDATION WALL ILL REMAIN BUILDER: ! II O ADH2648 306B jSTER ON 2.6 STUDS II BOXED BEAM EXISTING STUDS. T BACK TOP PLATE I GAS l7 CONTINUE 2x6 STUDS SISTER ON x6 STUDS FIREPLACE I PROPOSED PLATE MGT. I I TO EXI5TIN STUDS. N SISTER ON 2x6 STUDS ,,qqppD TO EXISTING BTM. CUT BACK''[[OP PLATE I H w TOT STUDS. FATE TO ACCOMMODATE I I TO CONTINII�2.6 STUDS CUT BACK TOP PLATE 2k6 STUDS. II TO PROPOSEED PLATE GT. TO CONTINUE 2x6 STUDS 50.COL. ADATTO Ec�CTCIONM,MBOT MH --< 1x-mxtt'-v AT3F 5-001B.a TOPROPOSED PLATE MGT. PTO IAT ? DESIGNER:i AD TO EXISTING TM. 2x6 STUDS. PLATE TO ACCOMMODATE NORTH S I D E 2.6 STUDS. ACCESS DR 6" SPACE DESIGN TO CRAWL SELOW STAIz ADH2650 ASSOCIATES F 30"C.O. In 2 1 1.1 DLSTINRIVE RESIDENTIAL&COMMERC DESIGNX PROySED 101 MAIN STREET'YRMOUTNPORT•M026J5APRON KI CHEN 668 , (508)362-2210 (508)362-9802 In EXISTINd NORTNSIDEDESIGN.COM « DL PROPOSED j noRxsld.l@comcast.nd BEDROOM STRUCTURAL ENGINEER: IP I CLG. LINE TAYLOR LkL7L�HGD _-_- 0GB j AEOVE SISTER ON 2x60 STUDS DESIGN LLC LIRUDS. 2"CASED OPENING 2 DOOR — ADH2650 CUT BACK TOP PLATE 248 TO CONTINUE 2x6 STUDS STAMP:266E 256B -�4:: TO'PROPOSED PLATE MGT. 3068 4 LITE DOOR 5 B" 6' 3° 2' 4' 266 ADD TO EXISTING BTM. OPEN TO PLATE TO ACCOMMODATE ABOVE a 3�_O. 2.6 STUDS. v PR POSED PROPOSED I S ORAGE PANTRY P POSED ADH2648 ADH264B ORAGE CLOSET PROPOSED FOYER PROPOSED p UP 2�6B BATH AAN2625 m o ADH2634 ADH2634 m m 3 O THE MA INSULA ED ADH2634 OH2634 PROJECT: FI R3GLLB DOOR PROPOSED 5'-0' BOGERT iV CTR, w/RIDPRO OSED `9 6'-4" IX4 ONHOPGTN RDECEKING RESIDENCE A c EN RY m —� 160 TERN LANE A.S TAPERED COLUMN CENTERVILLE,MA. 10° AT BASE TO 8"AT TOP y I'-8' I'_B• w/ SHINGLE BASE TYPICAL TITLE 0 1 ' 0' I 3'- 3'-°" FIRST . B � FLOOR PLAN A.5 A.5 NOTE- ALL WINDOWS ARE TO BE SCALE: ANDERSEN A SERIES x 13'-II" 2 22'-0' w/APPLIED GRILLES 0 1 2 4 6 ' W-0' INSIDE AND OUTSIDE �I PROJECT# SHEET PROPOSED AREA I.t FLOOR LIVING I355 50. FT WALL KEY 14-14 A.1 2nd FLOOR LIVING 1115 50. FT. I EXIST,GUEST ROOM 367 SO. FT. C� EXISTING WALLS L L.GARAGE/5TORAGE AREA 657 SIP FT. C=====] WALLS TO BE REMOVED DATE: OF ENTRY AREA 35 50- FT. EXIST. PATIO IBO 50. FT. ® PROPOSED WALLS 1219/14 17 i 1' 1.ALL EXTERIOR WALLS SHALL BE 2X6 @ 16'O.C.UNLESS }I II OTHERWISE NOTED. I I 2.BE 2X4 @ 16'O.C.UNLESS ALL INTERIOR WALLS SHALL OTHERWISE NOTED. 1 r r r I 3.CONTRACTOR SHALL VERIFY ALL WINDOW ROUGH OPENINGS I I PRIOR TO ORDERING WINDOWS. r I r / 4.CONTRACTOR SHALL VERIFY r ALL DIMENSIONS PRIOR TO r I I I i CONSTRUCTION.CONTRACTOR r ASSUMES RESPONSIBILITY FOR I ANY MISSING OR INCORRECT r I I DIMENSIONS NOT BROUGHT TO THE ATTENTION OF THE / DESIGNER. r � EXISTING ROOF j A B C r I TO REMAIN I I I r A.5 A.5 A.5 GENERAL NOTES , r I r r r I r I 1 , , I r 1 r r I r I I - I r I r I r J _______ ______________ ______________ _____ ' I EMOVE I I ___________________________ _ _ _______________ T NO. REVISION DATEEXISTING ROOF 71____________ _____-___-____/ , J , TILSI EHEREBY EJtP0.E33LY RE3ERVE3 ADH264011AiiVb.DH2640 AAN2628 , ADH265 DHQbS ADH2650 , AAN262a NO, M C O—COPYRIGNT.TNESE3 - 1 'i0 PLMr3 ARE NOT TO BE REPRODUCED N CHANGEDORCOPIEDIN ANYFORMOR PROPOSE) 2668 Q I I �j MANNERNMAT30EVERWITNOUTFIRST I M.B TH ' I I I ADH2650 , UI OBTAINING THE EXPRE33 KRITTEN ( I I ASSOp PROPOSEp DE PERMISSION AND WNSEHT OF NORTIRIOE I I 31GN AlE3. Q }-1o8 „I„ BEDROOM 266a ^1 20'A-x1C I" BUILDER: ` I I I VAULT I I I i I I c I 6 i 1 2665 1 I I 5'WALL i D' iI ji1 ADH26 IL-- ---' -'- --,I; - '^ DESIGNER: , . ID E z 2668 DESIGN AAN262 I j ATTIC STORAGE ASSOCIATES BTN.OF COLLAR ; I �? TIES TO BE 6'-6° I 266a 1 016TINCTIVEAESIDEMIAL&COMMERCIALDESIGN I i j MAX. FROM FLOOR 2-2665 3'-4' 4'-7' q'-4° '—a" m 4'-4° 10'-4° , t t, SAl MAIN STREET•YAPMOUTHPOflT•MA 026]5 I ADH2640 ATTIC STQRAGE j ;668 PROPOSED (5081 362-22 30 (508)362-9802 ! ------------------------*-----r------------------- PROPOSED z'-lo° -z° ° —————— BATH T ; NORTHSIDEDESIGNXOM ' i i LOFT `ml ry I mrthsmelocomosl.Rel j DN. t 2-2668 ADH2O54 1514 13 12 11 1 I - I s I , STRUCTURAL ENGINEER: 3 I ---- ----- - I TAYLOR T o a ! I N 7 DESIGN LLC 5'WALL > I > OPEN TO 6 s PROPOSED AAN2628 I STAMP: j ; ! q BELOW 5 BEDROOM 4 I ATF�016 4'WALL 2 I I n I I O v EADH2(".40 �L I DH2640 __ __________________ ______ _____ ________________, H , IIj ( Ii m PROJECT:PR OPOSED —____ ___— .. / AP142624 rP112624 AAN2628ADH 650 AAN2625 BOGERT I I-------- ----------- RESIDENCE 4 160 TERN LANE A.5 i i CENTERVILLE,MA. ----------- TITLE: r�° CTR. w/ENTR7 SECOND 3'.. 7'-0" 3-ra RIDGE 10'-e' 6'-4" FLOOR PLAN � e c A.5 A.5 SCALE:1/8"=1'-0" 26'-0° 35'-II' 6'-O° 0 1 2 4 8 NOTE: CONTRACTOR TO PROVIDE FALL PREVENTION ON ALL WINDOWS PROJECT#: SHEET WITH SILLS ABOVE 72'ABOVE FINISH GRADE PER CODE.ALL 14 14 �" L WINDOWS SHALL HAVE FALL PREVENTION DEVICES AND 514ALL COMPLT WITH THE REOUIREMENT5 OF A5TM F2090. WINDOW OPENING DEVICES SHALL BE 5ELF ACTING { AND SHAL L BE POSITIONED TO PROHIBIT THE E FREE PAS SAGE OF OF A 4'DIAMETER RIGID SPHERE THROUGH THE WINDOW OPENING DATE: WHEN THE WINDOW OPENING LIMITING DEVICE IS INSTALLED IN 12/0�14 11 ACCORDANCE WITH THE MANUFACTURER'5 INSTRUCTION5. r n •• r Z=n-�! 4!le 4_4' 4n 41 4! Z:I" t8-44z 3 It ----�.-Z' AoH 29-a4-5 2. — I I --- L0,16 Of WAM SeLcwz) � LnRcv{ 4(p✓3 N n O r n ,1 1 ,1 M o M1 o v 8 4 ZI-O 4 4 s' 1 Ck MAKff e Fx D11E M ,� N _v �of 1.nrlEy r'Lu� o tn N - I� 4 -N g �' 0 � I c�. ' _ J N "' STCizL`G� fJNt=jN15HED � w Z8-8 7 On I `�'�• t7 5 L 11DWO. =o RA1 NO FmlrSk N Q 411 -lie4n{ =3. a Cam° I[ Z n e_n Q S I4 I va° I =o 3 O 13 LINE OY L0 V,e9L6W [>OoF Eh >G gELOu1 Ir n n n r o f I s-3 z-o 8-o Z•OO 7-8 s-4n z_on IIG 2— n IG-I" I AVKas Isr Zn II �i•-o° I A New Home on Lake Wequaquet for Bill and Natalie Bogert a: r� AKRO ASSOCIATES ARCHITECTSZO1� �s 160 Tern Lane,Centerville,Massachusetts 27 FastviewTerrace,Marstons Mills,MA 02W i ' mares_ Tel.and Fax: 508-419-1217 - 3 of S 1302. r 4'-l0" 3e'-o" 4=Io" zz'-o" z31 L'I �dl! 4�0° iC0" Lo'b�' G° Ce'->'jn �n G�8" ,,. I , O,_a° p 1, d , d , ,1 I do I ° n , h O G-�' G" (, S 4-4 13-4 4 11-o S�¢ -7-L . �� --- I � ACN >•850-S p.DNLa-tYj-L �I — I H.3• -- — _ oI 1 d9 19 qI� ,O O — P R O Na J B° 3L4d Z9'-o° 5L41 4`-z" o_ DI-hNG PCE� - L\VING AYf4 °P I°' 6£neoo 4 I c ALH2p9E'Z � Z' 'y1 cY IWTDW�9D _ - ! dJ NAYpWOOD. 3 dD R N ¢ N _ , .W gOCob u I e� o 1 " n I v n ` " ,}�` 4- ,, 5 0 d r � I-0 -a' 4 8'-� 2-L �' O 12-0 4 '7-D 4 5-1 4 5=7" ZG 4� 5'--!> IXP 6ElIM ABxc•�- � � �4° 20 _ g _ l Hrzu"o. O 4&8 4" ,N Q N V M a POTTf�`( RCoM _ Kmor-N d- 61 5nf6f VWYI- n'ERFMIc TILL G.T• FIDEowb. v- ¢ zf�'IOw Gp lo'_1d,. 4d4-4 ° '7�0° 4I I -7'B" �9 S'-C-° 114n Q d BErrzc�•M 3 , HZJ�3r�•z. =o �9 - LL � � 5 n IlAepv>000 S N� n•6 __' I ! A — (o° s t 4n -C Le ° n I a , " , " " l0° 4 G G'-10 G Co-10 3-5 5-¢ �-={ <J-k 7-1 . [�nz546-Z i ICtcFtzfAB-z DCFlz848-2 . d.. GONC¢ETE-�.A-7014 ^. r hggb Z9IL r-" I11_4o ZI1`" I 0 9Z_IOq -- A New Home on Lake Wequaquet for ��� 5Lce>r- FIN' Bill and Natalie Bogert `�" �� r✓; _10 ° 5 AKRO ASSOCIATES ARCHITECTS Wig,•"° 160 Tern Lane, Centerville, Massachusetts 27 FastvlewTerrace,Marstons Mills,MA 02649 h,or _ [Tel.and Fax: 508-419-1217 z of a 13 oL WEQUAQUET LAKE NOTES Jo S I&bGaw Pi For 24'OOpem"g Above For M.H. S/� ifs L Water Supply ForThis Lot is Municipal Water. Float Su From aCover. EDr,E ER In.53.5. 2.Location of Utilities Shown onThisPlon Are Appra PPS At Least 72 Hours Prior to Any Excavation ForThis �'�►►'• ."�r'•:': OF Protect The Contractor Shall Make The Reqquired y•• 136ALt4 Notification to Dig Safe(1-800-322-4844) Pump Powers Float Control 4 To D-Box CoNC� �� 3 The Contractor is Required to Secure A Cables Installed in Accordance - ' WALL A q Appropriate With Local Bldg.a Elec.Codes. \� - @ `k Permits From Town Agencies For Construction Defined byThis Plan. I P Rr p 4 4 Install Risen as Required to Within leaf a i 4"0 From.Septic Precast Pump C tsr 1N5 @uIR>s:p LAWN 0 Finished Grade. Tank.Sch.40PVC Chamber TT4GB CPoR SUREE �C1'MEETG AtzEq AP Groundwater Zone 06C\�C 5.AllStructuresBuriedFourFeetorMoreorSubject 6 8.0' ., pE TTAGrc LINE OR p4 RADts Assessors Map 212 ae to Vehicular Traffic to be H-20 Loading. a M Fl-Ovy TO }1 MPa1- J,er a`s�:4 4':::•. 6-ho..fN �[To BEANp� Parcel 15 6 Septic System to belnslalledinAccordance WNh COVERtiD .;;WI Lot�jE!_C Lot Area �\ 3tO CMR 15.00 Latest Revision And TheTownof �NALkWAy 0.38 AC Barnstable Board of Health Regulations. PLAN / T. All Piping tobe Sch40 PVC . 3 44 Sch.40 PVC Finished From Septic Tank Grade e ! DESIGN DATA _,,,' l- •'sisws 4 *I EXIST, W/ , F Single Family:3 Bedroom l°s ►�t •'A`D� �� tO p \ D'wE>`L1NG CRAW t- Cottage;I10GPD ' C I 5 PA C With no Garbage Grinder Conduit Thru ChamberLGCah'a Q N For Power a Float .` To D-Bax O v S f} Daily Flow= I10 x 3=330 t 110=440 GPDEmerguicy Stooge Cables. a; Min.2'Cover c1 \ Ae I CNVJ SeptieTonkr440GPDz20p%=880GPD Vol.440Gal. f 1 Use 1500 Gallon Septic Tank larm on E1.3 ' 2'0 Sch.40 PVC q•o LEACHING AREA Mercury Float Threaded Pipe < Pump on El.364 Sat. i 440 GPD/0.74=595.SF Required Switchs-3 Req'd W a, Use Bottom Area Only Check Valve > "� f� Bottom Area=13'z46'=598 &F Secure Po offE136.1 4 _ ' �� 598 SF.Total Provided Bottom of Chamat p p Al �� tzep�ews olsn+tz®>=n LEACHING.BED DESIGN BOttOmEL'34.0 'a,. ARM 6Washed t� LAWN w1'Tlt 1=E.9CUES All PipestObeSthedute40.PVC `' .I% re'r. Stone Min. .:t. MO R ov Tgt,�K p tC, Perforated With Capped Ends.Lee -� 1 P_xt87 / 3-4 Distribution Lines in 13 z46 1 SECTION tl t Pot_' Washed Stone Leaching Bed as Shown. (1000 GALLON) s' \ Pump- 3 PUMP CHAMBER DETAIL O PercTest'-- Dateoll=2000 SElrc P.SuBvan Not to Scale _ t - D-1 pA. Iaat Nak 1 Ele-40.5 Top of Mole 85.0p' m Tir_�.� tC)• os a Loam Some Send SYR2.sn :i - ,•611• A Coarse Sand a Gravel 7.5YR418 11•-so' B Coarse Sand a Gravel 7.5YR 54 / r 20'-08' C Coarse Sand a Gravel 10YR5W Be•32.5 Bottom of Mole 3 Tear Holo : s O Loam a Some Send 5YR2.5/1 Be-40.5 T op of Halo l5­14• A Coarse Sand a Gravel 7.5YR41e 14'-W B Coarse Sand a Gravel 7.5YR We 2r-W C Coarse Sand OF op E >�A \ Class f Material toss 2 mkwtes�a Gravel 1 oYR5&B ��5 Bottom of Mole TIC-,QN a,. °�•>>; pr`pNROED ALo R �t 1 R Ttuatv$Pt_AMT LXIST P r BCUNp RO�p 46' r 4"BVertt �lL 33 i-1OLLyTR�e5 �,4 D-Box F.G. To E1.40.8 CIVIL /{a Set Frame a Covet Im1.40.3 F.G.39.5 at FG. PLAN VI EW n n n 171 �•. Inv 40.6`"Bot.El.39.8 Crawl 5.0' " ' Space 39.0 0 Scale: I =20 �1500 Gallon Pump �NOTE:Waterproof/Seal Concrete Septic Tank 38.8 Septic Tank Chamber a Pump Chamber With 2 Coats of 34.8 Approved Sealant. Lake Wequoquet aosi Design Water Elev. Bedding as SWenws - - Per Title 5 See . �_t paced:ng Mar ter arediap. SITE PLAN tRrkriC� DEVELOPED PROFILE OF PROPOSED SEPTIC SYSTEM �. 1e , N . Not to Scale SEPTIC SYSTEM UPGRADE AT r Psa Stone ' 160 TERN LANE o • Pya 3K tv2r'oeaelo CENTERVILLE , MASS. a�'w 'e Wa d Maximum Feasible Compliance 3-0. 3._d s3.�. " ' Variances Required 12_0 1. 310CMR15.211(1):Minimum Setback Distances from property line FOR 10(ten)feet required 0(zero)fetn provided. W I L L I A M B. B O G E R T 2. Town of Barnstable Part VHI:Onsite Sewage Disposal Regulations Section 1.00. The"100 Foot"Regulation.Distance from ponds to be 100 feet SCALE: AS SHOWN DATE: JA N.21 ,2000 CROSS SECTION OF LEACHING BED 92(ninety two)feet provided. SULLIVAN ENGINEERING INC. Not to scale OSTERVILLE, MASS. Legend: DIRECTIONS: ZONE: , From Hyannis — Take Route 28 West towards RD-1 �~ "` ` ® Drain Manhole Centerville; Take a right onto Old Stage Road, Area min. 87,120 SF RPOD • ' ° "s �' "� t • �o Birch Tree and then a right onto Shootfl n Hill Road; ( ) QS Sewer Manhole 9 N 9 Front a (min)20" Q Guy Take a right onto Tern Lane; Site will be on the Width min) 125' le 401 •O- Utilit Pole left, g160. setbac s: t' 8 z (' El ORB 9 Road Bound Front 30' y Holly Tree Side 10' .4 .v b • '��'`pUt Y O Vent Pipe Rear 10' �•d � tgpO Iron Pipe O v Test Pit �' •"`Cay .rs• r'�". : Deciduous Tree • p s 3ti 0 Well OVERLAY DISTRICT: a 5 —OHW— Overhead Wires AP — Aquifer Protection District r — 25— Elevation Contour + Coniferous Tree .S....... Underground Utility Line ASSESSORS REF.: y Map 21Z Parcel 015 i ems. FLOOD ZONE: • � x ��'' r �' i zone Xt \ Q) Community Panel No. ^�<\ #25001 C 561 J 1 July Location Map: :v Stanis/pus &G ace q 1"=2.000t' A Proposed Mitigation O I 45 S.F. 3' Wide Strip \`Op 12" CMP 100.0' , 50%Late Lowbush Blueberry ---- — -------------------------- 1 Gallon Pot 3' O.C. cR=3 Forced Septic c a 50%Dense St. John's Wort Main c (T O 1 Gallon Pot 3' O.C. U 0 0� Cs Z 111CU \ e F 8 32' 0"E i 10�/f t0 1 Arborvatea Water Level c 4; .51� i IiEl=33.7' (By Loge) o ^� Lawn / O 3 Ala ' / \ B / / Barrier � ! C,, y Drain a.ge••'Eosement o Rem O''ain nc Block o \ �1 Paved Driveway 20 Tide I It.1 / Slate Slabs N �ee-PB71113 - _ I `� 1 /Tap of Wall Ntu b TO Be Re-sci ided t --- EI=35.7' N � Reserved arcel ' 1 +. / d W way \ : �..,, Lot 3 ---� t°°tT� J Remo ed l _ it J ^+ 34.0' Conc Apron Stones Cover to Id.— Re 1 9 I moved `` J j Ti Approved 1-.1 0• I Walk to Rej� O -•-42 I: :For erttoval o I ° I111'� i Tp � of.8'Wall J �: \ I! I I o 1 E 35 ^ 3 ( Y I 0nr IS Septic.Tanks u, : _____1 -- 0, 1r ( X g�:Moved ° --- o m J I ^F R� if Needed / I 3 3 �Xlstln9 ay `Lawn L I f a ° BR� v ' r /:... .: :.. . ..� I a I., 1 �ty w1f i j i 1 I 1�• Place Silt a / ^ 1= 0.5' ' PROVIDE Fence along 5h ( Propose DRIP EDGE I ii I Existing Fence `v Porch FOO ROOF t I rop0 ed Mitigation 565 S.F. F i a RNNOFF Z3%late lowbush blueberry 'Rts I W °t I P Gallon Pots 3' �.C. H Lawn f t �3x bearberry ! 4'1 Pots 1' O.C. v i / x 1 3 Sweet Fern Be G— ` 9 / 1 i llon Pots 3' O.0 oved`,,. , s; Ede of' w G4 t O f Pro ose�P Building J Lawn To Be f 1 Top of Wall `' Removed 35.8' 1 1 1 I A�O�vote ParEel Area o , Maintdined TO Wall ( I FV% N/F/ , fp �� ) Lake Elevation o q M 4 91 12,840f Srr� 0 1 E1=33. '\CO cP\ eke \ N ) _ 1 BUFFER ZONE CALCUL NSco kola of Wall EXISTING PROPOSED \ E{=35.7 0-50' 0-50' STRUCTURES=1,986 S.F. STRUCTURES=1,909 S.F. HARDSCAPE=507 S.F. HARDSCAPE=437 S.F. TOTAL=2,493 S.F. TOTAL=2,346 S.F.(147 S.F.Reduction) _ 50-100' 50-100' STRUCTURES=526 S.F. STRUCTURES=893 S.F. HARDSCAPE=1,273 S.F. HARDSCAPE=1,143 S.F. TOTAL=1,799 S.F. TOTAL=2,036 S.F.(237 S.F.Increase) Notes: PROPOSED MITIGATION: 1.) The property line information shown was Required Mitigation PraposedMitigation compiled from available record information. 0-50'Buffer 45SF+565SF=610SF 2.) The topographic information was obtained -147X 4=588 SF ofmidgation credit 610 SF ofMitigation Proposed from on on the ground survey performed on 50-100'Buffer or between 1411MAR114 and 18/MAR/14. 237X 3=711 SF ofMitigation Required Total Mitigation Regained 3.) The datum.used is mean sea level REV.: Add Mitigation PlantingNotes. 419115 based on Wequaquet Lake datum. Remove proposed Dwelling & propose 711-588=123SFofAitigationRequired Elev=33.75' on March 17, 2014. REV.: Additions to ExistingBuilding2/19/15 Reduce Proposed 80dina Width 80614 TITLE' Site Plan PREPARED FOR: PREPARED BY.• i Proposed Improvements William & Natalie Bogert CapeSury At 1 Engineering m 78 Aleott Rd. S ��/,�rfn1, (� i,� 23 West Bay Rd, suits e ti U i .{VLn VOnsul� ,Ine Osterville MA 02655 160 Tern Lane Mahwah, NJ 07430 g (508) 420-3994/420-3995fox @8. V (UM 4 W•PA Bm 6E9•7 P OwRm OabrMlhl YA 02666 www.copesurv.com adOndOv uwgt. •www AMrwndncam 11 Barnstable (Centerville) Mass. 20 20 Draft: CTI? DATE.• July 15, 2014 SCALE: 1,,=2.- 0, Field: RRL/KAR Review:RRL/PS Comp/Draft: WHK/RRL Project 1999050_Boger ' BLOCKING 1.ALL EXTERIOR WALLS SHALL �� RIDGE VENT ASPHALT ROOF SHINGLES PER MANUFACTURER'S BE 2X6 cQ 16"O.C.UNLESS ROLL VENT INSTALLATION SPECS. OTHERWISE NOTED. SIDING SEE ELEVATION S6°COX SHEATHING 1/8" ABOVE TOP OLD TOP OF OOF IST 2.ALL INTERIOR WALLS SHALL RIDGE BOARD INSULATION PER CODE BEAM O BE 2X4 Q 16"O.C.UNLESS 'TYVEK"HOU5EWRAP WRUCCT RAL SIZES OTHERWISE NOTED. MMAA FACE MOUNT HANGER 3.CONTRACTOR SHALL VERIFY k2°COX PLYWOOD �1 Gx STRAPPING @A 16*D C. 0 ALL WINDOW ROUGH OPENINGS PRIOR TO ORDERING WINDOWS. 2x6 @ 16'O.G. BEAM SIZES VARY 0 4.CONTRACTOR SHALL VERIFY 15tt FELT PAPER J. ICE AND WATER BARRIER MEMBRANE ALL DIMENSIONS PRIOR TO INSULATION PER CODE 5/6'COX PLYWOOD CARRY UP 3'-O• FROM EAVE (((/// PAD BEAM 0 CONSTRUCTION.CONTRACTOR RAFTER VENT \ ASSUMES RESPONSIBILITY FOR 6 MIL. POLY VAPOR BARRIER WHERE INSUL. OVER RICE t WAIP FTER BARRIER /v\ INSULATI ANY MISSING OR INCORRECT DIMENSIONS NOT BROUGHT TO PER CODE THE ATTENTION OF THE 2x10 RAFTERS 0 , DESIGNER. GENERAL NOTES CORA-VENT STRIP VENT BOLT 2X PADDING THROUGH 2 BOLTS @ AM TYPICAL RIDGE VENT DETAIL IX FRIEZE STEEL BEAM " C. DIAM A325 1/ HDIAM STAGGERED TOP It BOTTOM SCALE I-I/2" I'-O" SIDING TYPICAL WALL DETAIL FLOOR JOIST 0 SCALE 1-1/2" = 1'-O" BIT.Ji.FILLER TYP.WALL , _ TOP OFF W/FLEXIBLE JOINT SEALANT A /�`/TYPICAL EAV E DETAIL NO. REVISION DATE -� SCALE 1-1/2" = 1'-0" ,> JOIST TO STL. E3M. CONNECTION COPYRIGHT NORTHSIDE HEREBY E%RESSLY RESERVES DO NOT BACKFILL WALL 2-CONC.DUST CAP SCALE I-I/2'.I'-O' ITS COMMON LAW COPYRIGHT.THESES UNTIL CONCRETE WAS ATTAINED 7 DAY STRENGTH PLANS ARE DORCO IED BE NANY OUCED RMO CHANGED OR COPIED IN ANY FORM OR AND BOTH TOP/BOTTOM 6'COMPACTED OBTAINING THE F-RESS WRITTEN MANNER WHATSOEVER WITHOUT FIRST OF WALL ARE PROPERLY FILL PERMIONONSENTOFNORSIDE SERCURED. ° - DESIGNISS ASSOCIAANDCTE TH S. 20 06 REBARS, CONT. �.'.;. r BUILDER: TOP 4 BOTTOM CARRY DAMPROOFING —III— �• F OVER TOP OF _—III FOOTING �. .... .. I I—III—III—III—I I I 2X4 KEYWAY •' ' DESIGNER: 30#6 REBARS, CCNT. I" — —III—III NORTHSIDE III III—III—II ® DESIGN — III—III ASSOCIATES III —III III—III— —1 —III II II II II "TYVEW HOU5EWRAP I DISTINCTIVE RESIDENTIAL&COMMERCIAL DESIGN r2'COX PLYWOOD 141 MAIN STREET'YARMOUTHPORT-MA 0267S (WS)362-2210 (5011)362-9W2 5' 10' L S' 2.6 @ 16'O.C. NORTHSIDEDESIGN.COM 0x0 P.T. POST "onhlIdlL@c"mcazc"et xmu fg7RNc sww. a!wsAcrtn taMAMR� INSULATION POST CONTINUES of ' ^��"'"°^^° "�T• PER CODE FOR NEWEL P05T 144 T R gff9ip!CPIDLRQ✓9 6 MIL.POLY VAPOR BARRI MAHOGANY DECKING STRUCTURAL ENGINEER: ER TYPICAL DUSTCAP t FOOTING TAYLOR 5 SCALE 1-1/2' - 1'-0' �r �'G.W.B. BIT.JT. FILLER, L• PLYWD, SUBFLOOR P.T. DECK NOTCH POST AND THRU BOLT DESIGN LLC TOP OFF W/FLEXIBLE GLUEE 4 NAIL TO JOISTS JOIOI STS Ib°O.C. i AT BEAM TO POST CONNECTION STAMP: JOINT SEALANT I SIDING SEE ELEVATION WWF 6X6 6/6, TOP 1/3 OF SLAB UL 2)2x10 P.T. RIM JOIST OR DBL. PERIMETER SIMPSON A866 DO NOT BACKFILL WALL 4'CONC,SLAB HEADER ° UNTIL CONCRETE HAS 'COX P.T. PLYWD. w ATTAINED 7 DAY STRENGTH / 77 60TTOM 6' 'a Q AND BOTH TOP t BOTTOM 6'COMPACTED K PROJECT: OF WALL ARE PROPERLY • FILL a l7 5ERCURED. FF_ 2x6 P.T.SILL e I : —— — Ah PROPOSED I —III— SILL SEALER o In BOGERT III_ ' _ PROVIDE Id DIAM.50NOTUBE 2@ ta5 KEBABS, CONT. In " RESIDENCE TOP t BOTTOM ANCHOR BOLTS @ 36'O.C. W/BIGFOOT FOOTING(BF2B) I -III MIN.7'EMBEDMENT CARRY DAMPROOFING ` x3"A/4'PLATE WASHER yl FOR COLUMN SUPPORT ABOVE ° Z OVER TOP OF III-III ,I}... FILL 1 TAMP 5'OUT FOR I ° ° FOOTING — is III—III—III—III— FT. SLOPE. PROVIDE LANE CENTERV160 ILLE MA. III III i : III—i I—III—III—III 2" BED OF "STONE WHERE NO GUTTERS - 1l 2X4 KEYWAY - y' - TITLE: BUILDING I—III—II - I a I '.t. 11 III—III—III 2 @ A5 REBARS CONT. - _ _ - I SECTIONS 30 P5 REBAR5, CONT. + �.. I I I I—III—I t AROUND ALL OPENINGS II '; II III—III—III I IDAMPROOFING SCALE:1/8"_1.-0" I 177111=1 I 1=1 11­11 1=1 I 1=1 I I_=I I I—III I I=I I I= I I-I I I EI I I I IfI I a I 1=I I I—I 1 ATYPICAL DECK POST DETAIL ° 1 2 4 6 TYPICAL SILL DETAIL V SCALE 1-1/2" - 1'-0° PROJECT#: SHEET - NEAR�al.0 ewuwun ac wro,:em.�,ocwT'Ir r.oTonu r°cvr' SCALE 1-1/2" = P-0" 14-14 A.6 DATE: OF //,., STORAGE SLAB It FOOTING 1219/14 11 uto SCALE 1-1/2' - I'-O'