HomeMy WebLinkAbout0093 WILLOW RUN DRIVE - Health 93 Willow Run Drive
Centerville
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TOWN OF BARNSTABLE
LOCATION 3 W I L L.0 w lZ LJ N/ SEWAGE # Q-3 -72-
VILLAGE CENT&2V i LLE ASSESSOR'S MAP & LOT 21
INSTALLER'S NAME&PHONE NO. P MP CO M,'BE R d- ,So/N
SEPTIC TANK CAPACITY C�A6-L llW1
LEACHING FACILITY: (type) I N Ft LLtRAtor..S (size) S
NO.OF BEDROOMS 3
BUILDER OR OWNER W&-rT R RINGS
PERMTTDATE: COMPLIANCE DATE: 7/2 7/9'3
Separation Distance Between the:
Maximum Adjusted Groundwater Table and Bottom of Leaching Facility Feet
Private Water Supply Well and Leaching Facility (If any wells exist
on site or within 200 feet of leaching facility) Feet
Edge of Wetland and Leaching Facility(If any wetlands exist
within 300 feet of leaching facility) 30 Feet
Furnished by
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'TOWN OF BARNSTABLE
LOC ATION bLo t,✓ ,Q v,�/ SEWAGE # 7
VILLAGE C G A lei/L e ASSESSOR'S MAP & LOT 16_ ® �
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INSTALLER'S NAME &,PHONE NO. br. Al A 0AlLdex fi Sam
SEPTIC TANK CAPACITY A d-e o
LEACHING FACILITY:(type) T-44 rd HE'S (size) ,
NO. OF BEDROOMS_ PRIVATE WELL OR PUBLIC WATER
BUILDER OR OWNER
DATE PERMIT ISSUED:
DATE COMPLIANCE ISSUED: 7 -1-7 -
VARIANCE GRANTED: Yes No Q�
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DEED RESTRICTION
WHEREAS,RICHARD S.ROSEN and CHERYL A.ROSEN, of 229 Rock Creek
Lane, Scarsdale,NY 10583,are'the owners of 93 Willow Run Drive,Barnstable
(Centerville),MA 02632, and being shown on a plan entitled"Plan of Land in
Barnstable, Centerville,Mass., for Joseph B. &Mildred E. Daggett, Scale: 1 in=30 ft.,
Dated: April 3, 1962, Charles H. Savery Co.,Registered Engineers, Surveyors, Cotuit,
Falmouth,Cape Cod", which said plan is duly recorded with the Barnstable County
Registry of Deeds in Plan Book 170,Page 29;
WHEREAS,RICHARD S. ROSEN and CHERYL A. ROSEN, as the owner of said
lot has agreed with the Town of Barnstable Board of Health to a restriction as to the
number of bedrooms which can be included in any home built on said lot as a pre-
condition to obtaining construction permit in compliance with 310 CMR 15.000 State
Environmental Code,Title V, Minimum Requirements for the Subsurface Disposal or
Sanitary Sewerage;
WHEREAS,the Town of Barnstable Board of Health, as a pre-condition to granting and
authorizing the issuance of a building permit for the construction to convert existing
space over the garage on this property,is requiring that the agreement for the restriction
on the number of bedrooms in any house constructed on the lot be put on record with the
Barnstable County Registry of Deeds by recording this.document;
NOW THEREFORE,RICHARD S.ROSEN and CHERYL A. ROSEN, do hereby
place the following restriction of this above-referenced land in accordance with this
agreement with the Town.of Barnstable Board of Health,which restriction shall run with
the land and be binding upon all successors in title:
1. 93 Willow Run Drive,Centerville,MA 02632 may have constructed upon the lot a
house containing-no more than three(3)bedrooms. RICHARD S.ROSEN and
CHERYL A.ROSEN agrees that this shall be permanent deed restriction affecting 93
Willow Run Drive,Centerville,MA 02632, and being shown on the plan recorded in
Plan Book 170,Page 29.
Commonwealth of Massachusetts
U
Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form- Not for Voluntary Assessments
93 Willow Run Drive
Property Address
s
Owner Owner's[Name
information is required for every Centerville (Barnstable) Ma 8/5/11
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. General Information
on the computer, ✓/
use only the tab 1. Inspector: /
key to move your l
cursor-do not Chad Hathaway
use the return Name of Inspector
key.
H.P.S.
,y Company Name
1 Warwick way
Company Address
Mashpee Ma. 02649
City/Town State Zip Code
- 1 774 274 2581 12866
Telephone Number License Number
B. Certification
I certify that I have personally inspected the sewage disposal system at this address and thatve ---
information reported below is true, accurate and complete as of the time of the inspection. Tl inspRion
was performed based on my training and experience in the proper function and ma ntenanceeof on M
sewage disposal systems. I am a DEP approved system inspector pursuant to$'ection 15440 ob
Title 5(310 CMR 15.000).The system:
® Passes I
❑ Conditionally Passes ❑ Falls
❑ Needs Further Evaluation by the Local Approving Authority
8/5/11
nspector's ature Date
The system inspector shall submit a copy of this inspection report to the Approving Authority(Board
of Health or DEP)within 30 days of completing this inspection. If the system is a shared system or
has a design flow of 10,000 gpd or greater, the inspector and the system owner shall submit the
report to the appropriate regional office of the DEP. The original should be sent to the system owner
and copies sent to the buyer, if applicable, and the approving authority.
This report only describes conditions at the time of inspection and under the conditions of use
at that time.This inspection does not address how the system will perform in the future under
the same or different conditions of use.
w
t5ins-09/08 Title 5 Official Inspection Form:Subsurface Sewage Posal syste •Pa e 1 of 17
Commonwealth of Massachusetts
Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form-Not for Voluntary Assessments
"p 93 Willow Run Drive
Property Address
Owner Owner's Name
information is required for every Centerville (Barnstable) Ma 8/5/11
page. City/Town State Zip Code Date of Inspection
B. Certification (cont.)
Inspection Summary: Check A,B,C,D or E/always complete all of Section D
A) System Passes:
® I have not found any information which indicates that any of the failure criteria described
in 310 CMR 15.303 or in 310 CMR 15.304 exist. Any failure criteria not evaluated are
indicated below.
Comments:
1500 gal tank in good cond. level no signs of leaks inlet and outlet tee in place Pump chamber pump
and alarm work as should. Dbox level with inlet tee 2"force main and 4" outlet to infultrators
infultrators in good cond no water in infultrators at time of inspection and no signs of failure.
B) System Conditionally Passes:
❑ One or more system components as described in the"Conditional Pass" section need to be
replaced or repaired. The system, upon completion of the replacement or repair, as approved by
the Board of Health, will pass.
Check the box for"yes", "no" or"not determined" (Y, N, ND)for the following statements. If"not
determined," please explain.
The septic tank is metal and over 20 years old* or the septic tank(whether metal or not) is structurally
unsound, exhibits substantial infiltration or exfiltration or tank failure is imminent. System will pass
inspection if the existing tank is replaced with a complying septic tank as approved by the Board of
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):
t5ins•09108 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 2 of 17
Commonwealth of Massachusetts
Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form-Not for Voluntary Assessments
w VgyrY 93 Willow Run Drive
Property Address
Owner Owner's Name
information is required for every Centerville (Barnstable) Ma 8/5/11
page. Cityrrown State Zip Code Date of Inspection
B. Certification (cont.)
B) System Conditionally Passes (cunt.):
❑ Observation of sewage backup or break out or high static water level in the distribution box due
to broken or obstructed pipe(s) or due to a broken, settled or uneven distribution box. System will
pass inspection if(with approval of Board of Health):
❑ broken pipe(s)are replaced ❑ Y ❑ N ❑ ND (Explain below):
❑ obstruction is removed ❑ Y ❑ N ❑ ND (Explain below):
❑ distribution box is leveled or replaced ❑ Y ❑ N ❑ ND (Explain below):
❑ The system required pumping more than 4 times a year due to broken or obstructed pipe(s). The
system will pass inspection if(with approval of the Board of Health):
❑ broken pipe(s)are replaced ❑ Y ❑ N ❑ ND (Explain below):
❑ obstruction is removed ❑ Y ❑ N ❑ ND (Explain below):
C) Further Evaluation is Required by the Board of Health:
❑ Conditions exist which require further evaluation by the Board of Health in order to determine if
the system is failing to protect public health, safety or the environment.
1. System will pass unless Board of Health determines in accordance with 310 CMR
15.303(1)(b)that the system is not functioning in a manner which will protect public health,
safety and the environment:
❑ Cesspool or privy is within 50 feet of a surface water
❑ Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh
t5ins•09/08 Tide 5 Official Inspection form:Subsurface Sewage Disposal System•Page 3 of 17
Commonwealth of Massachusetts
- Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form - Not for Voluntary Assessments
93 Willow Run Drive
Property Address
Owner Owner's Name
information is
required for every Centerville (Barnstable) Ma 8/5/11
page. City/Town State Zip Code Date of Inspection
B. Certification (cont.)
2. System will fail unless the Board of Health (and Public Water Supplier, if any)
determines that the system is functioning in a manner that protects the public health,
safety and environment:
❑ The system has a septic tank and soil absorption system (SAS) and the SAS is within
100 feet of a surface water supply or tributary to a surface water supply.
❑ The system has a septic tank and SAS and the SAS is within a Zone 1 of a public water
supply.
❑ The system has a septic tank and SAS and the SAS is within 50 feet of a private water
supply well.
❑ The system has a septic tank and SAS and the SAS is less than 100 feet but 50 feet or
more from a private water supply well".
Method used to determine distance:
*'This system passes if the well water analysis, performed at a DEP certified laboratory, for coliform
bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or
less than 5 ppm, provided that no other failure criteria are.triggered. A copy of the analysis must be
attached to this form.
3. Other:
D) System Failure Criteria Applicable to All Systems:
You must indicate"Yes"or"No"to each of the following for all inspections:
Yes No
❑ ® Backup of sewage into facility or system component due to overloaded or
clogged SAS or cesspool
❑ ® Discharge or ponding of effluent to the surface of the ground or surface waters
due to an overloaded or clogged SAS or cesspool
❑ ® Static liquid level in the distribution box above outlet invert due to an overloaded
or clogged SAS or cesspool
❑ ® Liquid depth in cesspool is less than 6" below invert or available volume is less
than 1/2 day flow
t5ins•09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 4 of 17
Commonwealth of Massachusetts
W Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form - Not for Voluntary Assessments
93 Willow Run Drive
Property Address
Owner Owner's Name
information is required for every Centerville (Barnstable) Ma 8/5/11
page. City/Town State Zip Code Date of Inspection
B. Certification (cont.)
Yes No
❑ ® Required pumping more than 4 times in the last year NOT due to clogged or
obstructed pipe(s). Number of times pumped:
❑ ® Any portion of the SAS, cesspool or privy is below high ground water elevation.
❑ ® Any portion of cesspool or privy is within 100 feet of a surface water supply or
tributary to a surface water supply.
❑ ® Any portion of a cesspool or privy is within a Zone 1 of a public well.
❑ ® Any portion of a cesspool or privy is within 50 feet of a private water supply well.
❑ ® Any portion of a cesspool or privy is less than 100 feet but greater than 50 feet
from a private water supply well with no acceptable water quality analysis. [This
system passes if the well water analysis, performed at a DEP certified
laboratory,for fecal coliform bacteria indicates absent and the presence
of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm,
provided that no other failure criteria are triggered.A copy of the analysis
and chain of custody must be attached to this form.]
❑ ® The system is a cesspool serving a facility with a design flow of 2000gpd-
10,000gpd.
❑ ® The system fails. I have determined that one or more of the above failure
criteria exist as described in 310 CMR 15.303, therefore the system fails. The
system owner should contact the Board of Health to determine what will be
necessary to correct the failure.
E) Large Systems: To be considered a large system the system must serve a facility with a
design flow of 10,000 gpd to 15,000 gpd.
For large systems, you must indicate either"yes" or"no"to each of the following,in addition to the
questions in Section D.
Yes No
❑ ❑ the system is within 400 feet of a surface drinking water supply
❑ ❑ the system is within 200 feet of a tributary to a surface drinking water supply
❑ ❑ the system is located in a nitrogen sensitive area (Interim Wellhead Protection
Area—IWPA)or a mapped Zone II of a public water supply well
If you have answered"yes"to any question in Section E the system is considered a significant threat,
or answered"yes" in Section D above the large system has failed. The owner or operator of any large
system considered a significant threat under Section E or failed under Section D shall upgrade the
system in accordance with 310 CMR 15.304. The system owner should contact the appropriate
regional office of the Department.
t5ins•09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 5 of 17
Commonwealth of Massachusetts
Title 5 Official Inspection Form
_ s Subsurface Sewage Disposal System Form -Not for Voluntary Assessments
w 93 Willow Run Drive
Property Address
Owner Owner's Name
information is required for every Centerville (Barnstable) Ma 8/5/11
page. Cityrrown State Zip Code Date of Inspection
C. Checklist
Check if the following have been done. You must indicate"yes" or"no" as to each of the following:
Yes No
® ❑ Pumping information was provided by the owner, occupant, or Board of Health
❑ ® Were any of the system components pumped out in the previous two weeks?
® ❑ Has the system received normal flows in the previous two week period?
❑ ® Have large volumes of water been introduced to the system recently or as part of
this inspection?
® ❑ Were as built plans of the system obtained and examined?(If they were not
available note as NIA)
® ❑ Was the facility or dwelling inspected for signs of sewage back up?
® ❑ Was the site inspected for signs of break out?
® ❑ Were all system components, excluding the SAS, located on site?
® ❑ Were the septic tank manholes uncovered, opened, and the interior of the tank
inspected for the condition of the baffles or tees, material of construction,
dimensions, depth of liquid, depth of sludge and depth of scum?
® ❑ Was the facility owner(and occupants if different from owner) provided with
information on the proper maintenance of subsurface sewage disposal systems?
The size and location of the Soil Absorption System(SAS)on the site has
been determined based on:
® ❑ Existing information. For example, a plan at the Board of Health.
❑ ® Determined in the field (if any of the failure criteria related to Part C is at issue
approximation of distance is unacceptable)[310 CMR 15.302(5)]
D. System Information
Residential Flow Conditions:
Number of bedrooms (design): 3 Number of bedrooms (actual): 3
DESIGN flow based on 310 CMR 15.203(for example: 110 gpd x#of bedrooms): 330
t5ins•09108 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 6 of 17
Commonwealth of Massachusetts
Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form -Not for Voluntary Assessments
w a 93 Willow Run Drive
Property Address
Owner Owner's Name
information is required for every Centerville (Barnstable) Ma 8/5/11
page. City/Town State Zip Code Date of Inspection
D. System Information
Description:
Number of current residents: 2 seasonal
Does residence have a garbage grinder? ❑ Yes ® No
Is laundry on a separate sewage system?[if yes separate inspection required] ❑ Yes ® No
Laundry system inspected? ® Yes ❑ No
Seasonal use? ❑ Yes ® No
Water meter readings, if available(last 2 years usage (gpd)):
Detail:
g2009 ') wo Sal
c u r rt-�_, yw 9w�
Sump pump? ® Yes ❑ No
Last date of occupancy: Date
Commercial/Industrial Flow Conditions:
Type of Establishment:
Design flow(based on 310 CMR 15.203): Gallons per day(gpd)
Basis of design flow(seats/persons/sq.ft., etc.):
Grease trap present? ❑ Yes ❑ No
Industrial waste holding tank present? ❑ Yes ❑ No
Non-sanitary waste discharged to the Title 5 system? ❑ Yes ❑ No
Water meter readings, if available:
t5ins-09108 Tide 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 7 of 17
Commonwealth of Massachusetts
up
Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form -Not for Voluntary Assessments
93 Willow Run Drive
Property Address
Owner Owner's Name
information is required for every Centerville (Barnstable) Ma 8/5/11
page. Cityrrown State Zip Code Date of Inspection
D. System Information (cont.)
Last date of occupancy/use: Date
Other(describe below):
General Information
Pumping Records:
Source of information: no info
Was system pumped as part of the inspection? ❑ Yes ® No
If yes, volume pumped:
gallons
How was quantity pumped determined?
Reason for pumping:
Type of System:
® Septic tank, distribution box, soil absorption system
❑ Single cesspool
❑ Overflow cesspool
❑ Privy
❑ Shared system (yes or no) (if yes, attach previous inspection records, if any)
❑ Innovative/Alternative technology. Attach a copy of the current operation and
maintenance contract(to be obtained from system owner)and a copy of latest
inspection of the I/A system by system operator under contract
❑ Tight tank. Attach a copy of the DEP approval.
❑ Other(describe):
t5ins•09/08 Tide 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 8 of 17
Commonwealth of Massachusetts
Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form- Not for Voluntary Assessments
w yr� 93 Willow Run Drive
Property Address
Owner Owner's Name
information is required for every Centerville (Barnstable) Ma 8/5/11
page. Cityrrown State Zip Code Date of Inspection
D. System Information (cont.)
Approximate age of all components, date installed (if known)and source of information:
1997 plan
Were sewage odors detected when arriving at the site? ❑ Yes ® No
Building Sewer(locate on site plan):
Depth below grade: 12"feet
Material of construction:
❑ cast iron ®40 PVC ❑ other(explain):
Distance from private water supply well or suction line: 15+
feet
Comments (on condition of joints, venting, evidence of leakage, etc.):
Septic Tank(locate on site plan):
Depth below grade: 8"feet
Material of construction:
® concrete ❑ metal ❑fiberglass ❑ polyethylene ❑ other(explain)
If tank is metal, list age: years
Is age confirmed by a Certificate of Compliance?(attach a copy of certificate) ❑ Yes ❑ No
Dimensions: 1500 gal tank
Sludge depth:
t5ins-09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 9 of 17
Commonwealth of Massachusetts
- Title 5 Official Inspection Form
o Subsurface Sewage Disposal System Form - Not for Voluntary Assessments
wM 93 Willow Run Drive
Property Address
Owner Owner's Name
information is required for every Centerville (Barnstable) Ma 8/5/11
page. Cityfrown State Zip Code Date of Inspection
D. System Information (cont.)
Septic Tank(cont.)
Distance from top of sludge to bottom of outlet tee or baffle
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
How were dimensions determined? sludge judge
Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity,
liquid levels as related to outlet invert, evidence of leakage, etc.):
tank got pumped after inspection due to thick scum and sludge levels
Grease Trap(locate on site plan):
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
t5ins•09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 10 of 17
Commonwealth of Massachusetts
Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form - Not for Voluntary Assessments
93 Willow Run Drive
Property Address
Owner owner's Name
information is required for every Centerville (Barnstable) Ma 8/5/11
page. Cityrrown State Zip Code Date of Inspection
D. System Information (cont.)
Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity,
liquid levels as related to outlet invert, evidence of leakage, etc.):
Tight or Holding Tank(tank must be pumped at time of inspection) (locate on site plan):
Depth below grade:
Material of construction:
❑ concrete ❑ metal ❑fiberglass ❑ polyethylene ❑ other(explain):
Dimensions:
Capacity: gallons
Design Flow: gallons per day
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
t5ins•09108 Tide 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 11 of 17
Commonwealth of Massachusetts
W Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form-Not for Voluntary Assessments
w 93 Willow Run Drive
Property Address
Owner Owner's Name
information is required for every Centerville (Barnstable) Ma 8/5111
page. Cityrrown State Zip Code Date of Inspection
D. System Information (cont.)
Distribution Box(if present must be opened) (locate on site plan):
Depth of liquid level above outlet invert at working level
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.):
D Box is a D133
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.):
light to no carry over from tank floats are secure and pump seems to be in good cond. with weep hole
ran pump to test weep hole and flow to d box
Soil Absorption System(SAS) (locate on site plan, excavation not required):
If SAS not located, explain why:
infultrators are dry and appear to be level
t5ins•09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 12 of 17
Commonwealth of Massachusetts
Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form - Not for Voluntary Assessments
93 Willow Run Drive
Property Address
Owner Owner's Name
information is required for every Centerville (Barnstable) Ma 8/5/11
page. Cityrrown State Zip Code Date of Inspection
D. System Information (cont.)
Type:
❑ leaching pits number:
® leachind chambers number: 5
❑ leaching galleries number:
❑ leaching trenches number, length: µ
❑ leaching fields number, dimensions:
❑ overflow cesspool number:
❑ innovative/alternative system
Type/name of technology:
Comments(note condition of soil, signs of hydraulic failure, level of ponding, damp soil, condition of
vegetation, etc.):
Cesspools(cesspool must be pumped as part of inspection) (locate on site plan):
Number and configuration
Depth—top of liquid to inlet invert
Depth of solids layer
Depth of scum layer
Dimensions of cesspool
Materials of construction
Indication of groundwater inflow ❑ Yes ❑ No
t5ins•09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 13 of 17
Commonwealth of Massachusetts
Title 5 Official Inspection Form
o Subsurface Sewage Disposal System Form -Not for Voluntary Assessments
93 Willow Run Drive
Property Address
Owner Owner's Name
information is required for every Centerville (Barnstable) Ma 8/5/11
page. City/Town State Zip Code Date of Inspection
D. System Information (cont.)
Comments(note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation,
etc.):
Privy(locate on site plan):
Materials of construction:
Dimensions
Depth of solids
Comments (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation,
etc.):
t5ins•09108 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 14 of 17
Commonwealth of Massachusetts
Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form- Not for Voluntary Assessments
r 93 Willow Run Drive
Property Address
Owner Owner's Name
information is
required for every Centerville (Barnstable) Ma 8/5/11
page. City/Town State Zip Code Date of Inspection
D. System Information(cont.)
Sketch Of Sewage Disposal System: Provide a view of the sewage disposal system, including ties to
at least two permanent reference landmarks or benchmarks. Locate all wells within 100 feet. Locate
where public water supply enters the building. Check one of the boxes below:
® hand-sketch in the area below
❑ drawing attached separately
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fc' r
t5ins•09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 15 of 17
Commonwealth of Massachusetts
Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form- Not for Voluntary Assessments
93 Willow Run Drive
Property Address
Owner Owner's Name
information is required for every Centerville (Barnstable) Ma 8/5/11
page. City/Town State Zip Code Date of Inspection
D. System Information (cont.)
Site Exam:
® Check Slope
® Surface water
® Check cellar
® Shallow wells
Estimated depth to high ground water: 8.5
feet
Please indicate all methods used to determine the high ground water elevation:
® Obtained from system design plans on record
If checked, date of design plan reviewed: 1997Date
❑ 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:
info on file at town hall SAS is mounded with walls to maintain ground water seperation
Before filing this Inspection Report, please see Report Completeness Checklist on next page.
t5ins-09/08 Tide 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 16 of 17
Commonwealth of Massachusetts
Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form-Not for Voluntary Assessments
•r 93 Willow Run Drive
Property Address
Owner Owner's Name
information is required for every Centerville (Barnstable) Ma 8/5/11
page. City/Town State Zip Code Date of Inspection
E. Report Completeness Checklist
® Inspection Summary: A, B, C, D, or E checked
® Inspection Summary D (System Failure Criteria Applicable to All Systems) completed
® System Information—Estimated depth to high groundwater
® Sketch of Sewage Disposal System either drawn on page 15 or attached in separate file
t5ins-09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 17 of 17
COMMONWEALTH OF MASSACHUSETTS
ID EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS
_ Cc DEPARTMENT OF ENVIRONMENTAL PROTEC ^ /
ONE WINTER STREET, BOSTON, MA 02108 617•292.550 ?•0 A ��
�/� L
WILLIANI F 'A0C Dl'C0�1 ELD �'
Goscmor 11 CA SCCrCW
ARGEO PAUL CELLUCCI '' °NOFB 6 -199 AV STRUH'
Lt.Govcmor SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION RM T�9pTTgBIF missionc
FO
PART A V
CERTIFICATION
Property Address: 93 Willow Run Drive CentervilI44dress of Owner: 9
Date of Inspection: 9/3 0/9 7 (If different)
Name of Inspector�q- �77
I am a DEP app ved system rnspec or pu�suaAt to Section 15.340 of Title 5 (310 CMR 15.000)
Company Name: J.P.Macomber & Son Inc.
Mailing Address: BOX 66 Centerville,Mass _ 02632
Telephone Number: 508-775-3338
CERTIFICATION STATEMENT
I cenify that I have personally inspected the sewage disposal system at this address and that the information reported below is true, accurate
and complete as of the time of inspection. The inspection was performed based on my training and experience in the proper function and
maintenance of on-site sewage disposal systems. The system:
i
-/Passes
Conditionally Passes
Needs Further Evaluation By the Local Approving Authority
Fails c Q
Inspector's Signature: Date: ��'O —j 7
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 Depanment of Environmental Protection. The original should be sent to the system owner
and copies sent to the buyer, if applicable, and the approving authority.
INSPECTION SUMMARY: Check A, B, C, or D:
AI SYSTEM PASSES:
I have not found any information which indicates that the system violates any of the failure criteria as defined in 310 CMR 15.303.
Any failure criteria not evaluated are indicated below.
COMMENTS:
B) SYSTEM CONDITIONALLY PASSES:
X2a 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.
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 has provided the system inspector with a copy of a Certificate of
Compliance (attached) indicating that the tank was installed within twenty (20) years prior to the date of the inspection, of
the septic tank, whether or not metal, is cracked, structurally unsound, shows substantial infiltration or exfiltration, or tank
failure is imminent. The system will pass inspection if the existing septic tank is replaced with a conforming septic tank
as approved by the Board of Health.
(revised 04/25/97) Page 1 of 10
DEP on the World Wide Web: httpJtwww.magnet.state.ma.us/dep
t� Printed on RecyGed Paper
• . I r T,
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART A
CERTIFICATION (continued)
Property Address: 93 Willow Run Drive Centerville,Mass .
Owner: FranzWetterings
Date of Inspection: 9/30/97
B) SYSTEM CONDITIONALLY PASSES (continued)
�z) Sewage backup or breakout or high static water level observed in the distribution box is due to broken or ocs:ructec
pipew or due to a broken, senled or uneven distribution box. The system will pass inspection if (with approval of me
Board of Health). Describe observations:
broken pipe(s) are replaced
obstruction is removed
distribution box is levelled or replaced
The system required pumping more than four times a year due to broken or obstructed pipe(sl The system will pass
inspeclron if (with approval of the Board of Health):
broken pipets) are replaced
obstruction is removed
C) FURTHER EVALUATION IS REQUIRED BY THE BOARD OF HEALTH:
Conditions exist which require funher evaluation by the Board of Health in order to determine if the system is failing to protcci the
public health, safery and the environment,
1) SYSTEM WILL PASS UNLESS BOARD OF HEALTH DETERMINES THAT THE SYSTEM IS NOT FUNCTIONING IN A MANNER
WHICH WILL PROTECT THE PUBLIC HEALTH AND SAFETY AND THE ENVIRONMENT:
/fL0 Cesspool or privy is within 50 feet of a surface water
�D Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh.
2) SYSTEM WILL FAIL UNLESS THE BOARD OF HEALTH (AND PUBLIC WATER SUPPLIER, IF APPROPRIATE) DETERMINES THAT
THE SYSTEM IS FUNCTIONING IN A MANNER THAT 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 suppIN 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 Weil
j The system has a septic tank and soil absorption system and the SAS is within 50 feet of a private water supply well
, j The system has a septic tank and soil absorption system and the SAS is less than 100 feet but 50 feet or more from a
private water supply well, unless a well water analysis for coliform bacteria and volatile organic compounds no,cates Ana.
the well is free from pollution from that facility and the prese a of ammonia nitrogen and nitrate nitrogen s Kc a! to or
less than 5 ppm. method used to determine distance /U (approximation not valid)
3) -OTHER
,Tn.H E R
,ICE'
Ir•��••d 0�/75/97) Y•p• 2 of 10
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART A
CERTIFICATION (continued)
Property Address:.93 Willow Run Drive Centerville Ma
Owner: Franz Wetterings
Date of Inspection: 1 0/8/97
D) SYSTEM FAILS:
You must indicate el:- er "Yes" or "No" as to each of the following:
vd_ I have determined that the system violates one or more of the following failure criteria as defined in 310 CMR 15.303 The bass
for this determination is identified below. The Board of Health should be contacted to determine what will be necessary to correct
the failure.
Yes No ,
Backup of sewage into facility or system component due to an overloaded or clogged SAS or cesspool
Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or clogged SAS or
cesspool.
Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool
Liquid depth in ow-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 supple
Ad Any portion of a cesspool or privy is within a Zone I of a public well.
Any ponion of a cesspool or privy is within 50 feet of a private water supply well.
_ Any portion of a cesspool or privy is less than 100 feet but greater than 50 feet from a private water supply well with no
acceptable water quality analysis. If the well has been analyzed to be acceptable, attach copy of well water analysis for
coliform bacteria, volatile organic compounds, ammonia nitrogen and nitrate nitrogen.
E) LARGE SYSTEM FAILS:
f h following:
Y m indicate either "Yes" or "No" as to each o the
You must
The following criteria apply to large systems in addition to the criteria above:
/1 The system serves a facility with a design flow of 10,000 god 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
/W the system is within 400 feet of a surface drinking water supply
40 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 11 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 oHice of the Department for further information
lr wised Y&g• 3 of 10
1J�
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART B
CHECKLIST
Property Address: 93 Willow Run Drive Centerville Ma
Owner: Franz Wetterings...
Date of Inspection: 1 0/8/9 7
Check if the following have been done: You must indicate either "Yes" or "No" as to each of the following:
Yes No
{L/ Pumping information was provided by the owner, occupant, or Board of Health.
4Z 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 N/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 a Iudinp�TFJ Absor ti y is em 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:
_ The facility owner (and occupants, if d fferent 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 Part C is at issue, approximation of distance is
unacceptable) (15.302(3)(b))
(revised 04/25/97) Page 4 of 10
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART C
SYSTEM INFORMATION
Property Address: 93 Willow Run Drive Centerville Ma
Owner: Franz Wetterings
Date of Inspection: 1 0/8/9 7
FLOW CONDITIONS
RESIDENTIAL:
Design flow: ./bedroom for S.A.S.
Number of bedrooms:
Number of current residents:
Garbage grinder (yes or no):T
Laundry connected to system (yes or no):A-S
Seasonal use (yes or no): /�f l
Water meter readings, if available (last two (2) year usage (gpd): �
Sump Pump (yes or no):_11D IQ 96 z '7�,,Ne4)
Last date of occu an q�__V�� ,
P n' �
COMMERCIAUINDUSTRIAL:
Type of establishment: /i
Design Clow: /J4 allons/day
Grease trap present: (yes or no),&Y,
Industrial Waste Holding Tank present: (yes or no)��
Non-sanitary waste discharged to the Title 5 system: (yes or no)-o
Water meter readings, if avails le:,41114
;
Last date of occupancy: 4
OTHER: (Describe)
Last date of occupancy:
GENERAL INFORMATION
PUMPING WORDS d source of info mation: /yam
Systeni pumped as part of inspection: (yes or no)
If yes, volume pumped: lions r/
Reason for pumping: 4 , W , 6C 5?' 7
TYPE OF SYSTEM
Septic tank/distribution box/soil absorption systemJ-
,V d Single cesspool
AX) Overflow cesspool
j(Z Privy
Shared system (yes or no) (if yes, attach previous inspection records, if any)
VA Te nology etc. Copy of up to date contract?
Other k
APPROXIMATE AGE of all components, date installed (if known) and source of informatio,,�Z/9/kl
Ah
Sewage odors detected when arriving at the site: (yes or no)_
(revised 04/25/97) Page 5 of 10 _
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART C
SYSTEM INFORMATION (continued)
Property Address: 93 Willow Run Drive Centerville Ma
Owner: Franz Wetterings
Date of Inspection: 1 0/8/9 7
BUILDING SEWER:
(Locate on site plan)
I/
Depth below grader
Material of construction: k—Icast iron _,k140 PVC _ other (explain)
Distance from private water supply well or suction line /L
Diameter /
Comments: (condition of joints, v nong, evide a of leakage, tc.)
SEPTIC TANK:Z�ODyf�/ 'v
(locate on site plan)
Depth below
grad
n-t nstrumon / — — —
material of construction: concrete metal Fiberglass Polyethylene _other(explain)
If tank is metal, list age Is age confirmed by Cenificate of Compliant (Yes/No)
Dimensions:
Sludge depth:
Distance from top osludge to bosom of outlet tee or baffle: U
Scum thickness:
Distance from top of scum to top of outlet tee or baffle:_
Distance from bonom of scum to bonom of outlet to or baffle-0
How dimensions were determined:
Comments
(recommendation for pumping, conditigp of inlet and outlet tees or baffles, death f liquid lev in relation to o (let invent structural
integrity, evidence of leakage, etc.)
57 LJ
GREASE TRAP: e
(locate on site plan)
Depth below grader
Material of con struct ion;(Aconcretevx—metaWZFiberglass.UZPolyethylene)(Aother(explain)
Dimensions:
Scum thickness:/_
Distance from top of scum to top of outlet tee or baffle:�/7
Distance from bosom of scum to bottom of outlet tee or baffle:1iw
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.)
P.g. 6 of 10
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART C
SYSTEM INFORMATION (continued)
Property Address: 93 Willow Run Drive Centerville
Owner: Franz Wetterings
Date of Inspection: 1 0/8/9 7
TIGHT OR HOLDING TANK:d,�m,&(Tank must be pumped prior to, or at time, of inspection)
(locate on site plan)
Depth below grader
Material of construction4!lconcrete.J�OmetalN,*fiberglasWAPolyethylene4l/ other(explain)
ti
Dimensions: W114
Capacity: gallons
Design flow: gallons/day
Alarm level: Alarm in working orderit//�Yes;��No
Date of previous pumping: 9/ _
Comments.
(condition of inlet tee, condition of alarm and float switches, etc.)
DISTRIBUTION BOX:
(locate on site plan)
Depth of liquid level above outlet invert: WC)
Comments:
(no if vel a d distribution is eq al, evidence of sy lids carry ver, evidence of leakag into or out of box, etc.)
14
PUMP CHAMBER—
(locate on site plan)
Pumps in working order: (Yes or No) !(
Alarms in working order (Yes or No)
Comments:
(n9ocondition of pump harnber, condition of pumps and appurtenances, etc.)
y � �
(revised 04/25/91) Pn9e 7 of 10
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART C
SYSTEM INFORMATION (continued)
Property Address:93 Willow Run Drive Centerville Ma
Owner: Franz Wetterings
Date of Inspection: 1 0/8/9 7
SOIL ABSORPTION SYSTEM (SAS):y
;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:,f.}/ T1^y{r/^S
leaching galleries, number:_D
leaching trenches, number,length:
leaching fields, number, dimensions: O
overflow cesspool, number: G
Alternative system:
Name of Technology: 5 1 7Y42/o-
Comments:
(note condition of soil, signs of hydrauli failure, level of ponding, condition of vegetation, etc.)
1
CESSPOOLS: gyve_
(locate on site plan)
Number and configuration:
Depth-top of liquid to inlet invert: 4),Q
Depth of solids layer: AA
Depth of scum layer:
Dimensions of cesspool: �J.¢
Materials of construction:
Indication of groundwater:
inflow (cesspool must be pumped as part of inspection)
Comments:
(note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.)
5e-1
PRIVY: LdIC/L
(locate on site plan)
Materials of construction: ti Dimensions:
Depth of solids:
Comments:
(note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.)
i^2
(revised 04/25/97) Page 8 of 10
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART C
SYSTEM INFORMATION (continued)
Property Address: 93 Willow Run Drive Centerville Ma
Owner: Franz Wetterings
Date of Inspection: 1 0/8/9 7
SKETCH OF SEWAGE DISPOSAL SYSTEM:
include ties to at least two permanent references landmarks or benchmarks
locate all wells within 100' (Locate where public water supply comes into house)
i
� I
i3
i
goo
(revised 04/25/97) Page 9 of 10
SUBSURFACE SEWAGE DISP, , SYSTEM INSPECTION FORM
C
SYSTEM INFOI ON (continued)
Properly Address: 93 Willow Run Drive Centerville Ma
Owner Franz Wetterings
Date of inspection: 1 O/H/9 7
' //
Depth to Groundwatef Feet
Please indicate all the methods used to determine High Groundwaie{Elva:ion:
Obtained from Design Plans on record
observation of Site (Abuning property, observation hole, basemen-s,mp etc.)
Determine it from local conditions
Check with local Board of health
Check FEmA Maps
Check pumping records
heck local excavators, installers
Use USGS Data
Describe n your own words how you established the High Grounciva,cr-Elevation (Must be completed)
J.P.Macomber & Son Inc. Installed this system
in July of 1993 .
(r•vl••G 0//75/97) P•5. of 30
F
.n r+ nrr—•rr.rrr.-m.n mra-•nr.rerr.mn•.r+-+ar:+.r-r.+rm r�s•�yr.►�n-.sr.rx,. e�'v.s.-.�.ra-,1�-..-.-r-T-.—T- _. __
TOWN OF Barnstahl P BOARD OF HEALTH
SUIISURFACF 9FWAGE DISPOSAL SYSTEM INSI'FCTION FORM - PART D - CERTIFI CAT 1ON
-TYPE OR PRINT CI.EARL1'-
PROPERTY INSPECTED
STREET ADDRESS 93 Willow Run Drive Centerville,MaSS .
ASSESSORS MAP , BLOCK AND PARCEL #
OWNER' s NAME Franz Wetberings
PART D - CERTIFICATION 1
NAME OF INSPECTOR _ Joseph P. Macomber Jr .
COMPANY NAME Joseph P. Macomber & won , Inc .
COMPANY ADDRESS Box 66 Centerville , Ma . 02632-0066
5 t r Q Q t Town or City Scat• t I P
COMPANY TELEPHONE (508 ) 775 -3338 FAX ( 508 ) 790 .-1578
CERTIFICATION STATEMENT
I certify that I have personally inspected the sewage disposa-1 system nt
this nddress 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 :
Syste6 PASSED
The inspection which I have conducted has not found any information
which indicates that the system fails to adequately protect public
health or Lhe environment as defined in 310 CMR 15 - 303 . Any failure
criteria not evaluated are as stated in the FAILURE CRITERIA section of
this form ,
System FAILEll* \
The inspection which I have conducted has found that the system fails to
Protect the public health and the environment in accordance with Title
5 , 310 CMR 15 , 303 , and as specifically noted on PART C - FAILURE
CRITERIA of this inspection form .
Inspector Signature Date
One copy of this certification must be provided to the OWNER , the BUYER
( Where applicable ) and the 130ARD OF II EALT'1I
• If the inspection FAILED , the owner or "'operator shall upgrade the eyatem
wir.hin one year of the date of the inspection , unless allowed or required
otherwise as provided in 310 CMR 15 . 305 .
partd . doc
Fze$..�...30._00
THE COMMONWEALTH OF MASSACHUSETTS '
BOAR® OF HEALTH ,
TOWN OF BARNSTABLEC-
Appliratiou for Uhi 00a1 Works To = t# a
Application is hereby made for a Permit to Construct ( ) or Repair FXI an Individual Sewage is .sal
System at:
.93__Willow Run Drive C e n t e r v i l l e -------------•------•--.............--------------•---.....---••-••-----•--•-•---...........•-----
------------------ ----------•-- ---•--•----...------................
Location-Address or Lot No.
Wet t e r l ng..---•..................:.•-----•-•--...--•---•--------...---••-.-•--- --------------------------------------------------...............................................
Owner Address
WJ.P.Macom'per...Jr --_- :...... .........
Installer Address
QType of Building Size Lot............................Sq. feet
U DwellingYL No. of Bedrooms............2................. .Expansion Attic ( ) Garbage Grinder ( )
~ ............... No. of ersons...._--..................... Showers —
p., Other—Type of Building ............. p ( ) Cafeteria ( )
Q' Other fixtures .....................
d ---------------------
W Design Flow............................................gallons per person per day. Total daily flow............................_...............gallons.
9 Septic Tank—Liquid capacity............gallons Length................ Width................ Diameter................ Depth................
Disposal Trench—No..................... Width.................... Total Length.................... Total leaching area....................sq. ft.
Seepage Pit No----_--------------- Diameter.................--. Depth below inlet.................... Total leaching area..................sq. ft.
Z Other Distribution box ( ) Dosing tank ( )
�_q Percolation Test Results Performed by.......................................................................... Date........... ............................
W
Test Pit No. 1................minutes per inch Depth of Test Pit.................... Depth to ground water........................
Gr4 Test Pit No. 2................minutes per inch Depth of.Test Pit.................... Depth to ground water........................
:..
Sanrave
0 Description of Soil.........................................................................................................................................................................
x
U ---•-•-•-...-•----•-•--•--•--•-------•----•-------•-•-•-•-----••--......•--•-------•-------------•-------••-----•-•-----•----•------•-•--------••-••------•------------•--------...--•--•-•-•-••---•----
W
- - - -- - --- -
........................................ -- - -- -- - -----------------------
=—!5a9---gal:lon---fank...1-pump-chamber
U w1Natturfi ffR a' s Alteratin—An wer when applicable.-- ----7..................... P.
h �rlarm. istri ution x and seinfiltrators ackecl _l _
. ---•------------------------------------------------------------••......--------•--------- •. ----.....--------------•••----•-•--•-••-•-••-
s one.
Agreement: = y 0'h
The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with
the provisions of TITLE 5 of the State Environmental Code—The undersigned further agrees not to place the
system in operation until a Certificate of Complia ce has been ' sued by the b ar of health.
Signed ..... . . .... ill-- d........................ 1 .........
1 92 Dare
Application Approved By ------------- --- -... ..... -- ............ ........ .. Date
Application Disapproved for the following reasons- ......................................................--------------------- ----------------------- -- ----------------------
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- ----------------------- ---------
c� Date
Permit No. -------2'?�--.- .''--) --------_-------- Issued .......:. ........- .......................---------------
Darete
r IL
a- Fing.. -. ._....«..«
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH - s-�-
TOWN OF BARNSTABLE
=-- Auul ration for Disposal Works Cann-- r x�tn��� trutit
r �s
Application is hereby made for a Permit to Construct ( ) or Repair (ZX)Xan Individual Sewage Disposal
System at:
.9 _.Wi:llow Run Drive Centerville a
Location-Address or Lot No.
.......-------------Owner.......................................... -----------.* i re......-------------•--._......... .-.__--------___---=----=__.............__.
._..... -
In. -- Adress \ -.......__.
l r'n n Installer Address a
ypero "Building ` Size Lot____________________________Sq. feet
V Dwelling X_No. of Bedrooms____.__...__2____________________________Ex anion Attic� � - p ( ) , Garbage Grinder ( )
Other—Type e of,Buildin ____________________________ No. of ersons_________________ ____ Showers G.I - yp _ g p — Cafeteria
Other fixtures . )
W _J_
De,gn ow _........................................gallons per person per day. Total daily flow_;-------------_------_-----------...._...--gallons.
WSeptic Tank—Liquid capacity------------gallons Length................ Width____________ __ Diamker---------------- Depth-------------
x Disposal Trench—No ___________________Width_.__..____________.. Total Length____.____._.._______ Total leaching area--------------------sq. ft.
Seepage Pit No----_-------------- Diameter.................... Depth below inlet.................... Total'leaching area__________________sq. ft.
z Other Distribution box ( ) Dosing tank
Percolation Test Results Performed by-........................................................................
Date-----------------------------------'-
a
a; Test Pit No. L__�__________mmutes per inch Depth of Test. Pit;_,j'?-------------- Depth to ground water_------------------
44 Test Pit No. 2................minutes per inch Depth of Test Piti------------------- Depth to ground water________________________
O ' . Description of Soil------Sand & Gravel :� �`�
•----•---------------------------------------------------------------------------------------------------- .-< ; ._..._.._-_..
1-1500 Fallon tanllf hamber,pump c
U Nature of Repairs or Alteratio s—Answer when applicable_______ _____
with light ,& Alarm. distribution box and seven ff :ltra'tors�packed ri -
Agreement:' Stone............................................................ . -
The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with
the provisions of TITLE-S�4e State Environmental Code, The undersigned further agrees not to place the
system in operation until a Certificate of Compliance has been issued by the boar&of health.
- - - 12f
/l8/9
2Signed --- ---------
Due
Application Approved BY q . ,- « "` ----------------------------------------------------
Date�•,-- -'-- -
Application Disapproved for the followi�reasons:
- - - ------------------------ --------------------------------------------------------------------- ------------------------------------------------------- ----------------------------------------
Date
PermitNo- -------- ....1-- ----------------------------- Issued ------ ------------------------------ -------------------
Date
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
TOWN OF BARNSTABLE
Certtftrate of Compltttne
THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or RepairedX(XXX)
by J.P.M1-1 acomber_ Jr.
-------------------------------- --------
- --------------------------------------------------------------------
Insraller
atm-_93_-Wi-llow- Run Drive- Centerville
------- -- - - ----- ---------- --------- -----_ ------ -- .W
has been installed in accordance with the provisions of TITLE 5 of The State Environmental Code as described in
the application for Disposal Works Construction Permit No. -...--`f? --- _E'- - __ dated -----------------------------
HAT THE
SYSTEM WILL FUNCTION SATISFACTORY.
DATE----------------- - - ---------------------------------- Inspector ------ �.�
-----------•-------------------------------------------------
c ✓
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
No......_ ✓..!D_ FEE..TOWN OF BARNSTABLE $ 30.00
�k.. .....................
Disposal Workii Tonstrnr#ion famit
Permission is hereby granted J.P.Macomber Jr.
................................................................................................................................Construct ( ) or Repair (XX) an Individual Sewage e Disposal System
willow Run Drive Centerville
at No.. ---------------------------------•----------- - -- ---------------...------------.......-------------------...-------....----
,. Street q,,
as shown on the application for Disposal Works Construction Permit No.;D:22----- Dated...........................................
------- ------------------------------------------------------------
(J Board of Health
DATE.. "E'-----------------------•---------
FORM 36508 HOBBS 6 WARREN.INC..PUBLISHERS
. z
cc
fa a ✓
ypfINC Tp.A The Town of Barnstable amp.
Health Department
{ ""'a'
rw•
. 367 Main Street, Hyannis, MA 02601
.631. ,F
Office 508-790-6265 Thomas A. McKean
FAX 508-775-3344 Director of Public Health
March 22, 1993
J. P. Macomber, Jr.
P. O. Box 66
Centerville, MA 02632-0066
RE: 93 Willow Run Drive, Centerville
ORDER TO CEASE AND DESIST CONSTRUCTION OF ON-SITE SEWAGE DISPOSAL
SYSTEM
Attached is an enforcement order from the Conservation Commission
to Parazetta Wetterrings regarding 93 Willow Run Drive,
Centerville. The Barnstable Consservation Commission has
determined that the proposed septic system upgrade is in
violation of the Wetlands Protection Act G.L. c131:40 and the
Regulations promulgated pursuant thereto 310 CMR 10.00.
Please be advised that Disposal Works Construction Permit #93-72
is hereby suspended. You are ordered to cease and desist
installation of the proposed septic system.
You may request a hearing if written petition requesting same is
received by the Board within seven (7) days.
Failure to comply with an order may result in a fine of up to
$500. Each day's failure to comply with an order shall
constitute a separate violation fine.
PER RDIER OF E BOARD OF HEALTH
Thomas A. McKean
Director of Public Health
Town of Barnstable
TM/bcs
cc: Frans & Parazetta Wetterrings
Kendall Ayers
Jerome Dunning
i
310 CMR 10.99
Form 9
DEOE File No
r+- P�Of THE t (To be orovioed by DEOE)
YIN
Commpn,��Pal h !0 ^11 C,,., Town
of Massachusetts + DA819T48LE, i ADphCent
639
.Enforcement Order
Massachusetts Wetlands Protection Act, G.L. c. 131 , §40
TOWN OF BARNSTABLE ORDINANCES, ARTICLE XXVII
From Barnstable Conservation Commission Issuing Authority
To Frans & Parazetta Weterrings
Date of Issuance March 22, 1993
Property lot,parcel number. address Map #210/#58, 93 Willow Run Drive, Centerville
Extent and type of activity
Fill being stockpiled adjacent to a fresh water wetland: Said fill to be used
in conjunction with a septic system upgrade.
The Barnstable Conservation Commission _ has determined that the activity described
above is in violation of the Wetlands Protection Act. G L c 131 . §40. and the Regulations promulgated pur•
suant thereto 310 CMR 10 00. because
K Said activity has been is being conducted without a valid Order of Conditions.
Said activity has been is being conducted in violation of an Order of Conditions issued to
. dated
File number . Condition number(s)
C Other(specify)
The Barnstable Conservat t on Commiss nn hereby orders the following:
The property owner. his agents, permittees and all others shall immediately cease and desist from further
activity affecting the wetland portion of this property.
Wetland alterations resulting from said activity shall be corrected and the site returned to its original con-
dition.
9.1
Effective 11/10/89
f] Completed application Corms and plans as required by the Act and Regulations shall be filed with the
Barnstable Conservation Commission on or before (date).
and no further work shall be performed until a oubtic hearing has been held and an Order of Conditions
has been issued to regulate said work Appi;cation forms are available at: the Commission office,
367 Main Street, -Hyannis .
® The property owner shall take every reasonable step to prevent further violations of the act.
® Other(specify)
No additional fill shall be brought onto the site nor shall said fill be
dispensed on-site without having first obtained the necessary wetlands
permit and other permits as appropriate.
Failure to comply with this Order may constitute grounds for legal action. Town
of Barnstable Ordinance, Article XXVII provides:
Any person who violates any provision of this ordinance, regulations thereunder, or
permits issued thereunder, shall be punished by a fine of not more than three
hundred dollars ($300.00) . Each day or portion thereof during which a violation
continues shall constitute a separate offense, and each provision of the ordinance,
regulations or permit violated shall constitute a separate offense.
Questions regarding this Enforcement Order should be directed to: Kendall Avers, 790-6245
Issued by Barnstable Conservation Commission
Signature(s)
My Commission Expires: Nov. 6, 1998
otar P blic
(Signature of delivery person
or certified mail number)
Notes This Enforcement order is not appealable to DEP. Any appeal must be
directed to the Superior Court.
9.2
310 CMR 10,99
Form 2 nit No. DA-93021
Commonwealth t � { C;N,Tow,n Centerville
o1 Massachusetts HARYsHLE. ,
+ ADDS cent Weterrings
pp ,G)0• ��0/
•P .✓ craw Aril 15 1
.•Ty
Doe Rsown Fled P r 993
Determination of Applicability
Massachusetts Wetlands Protection Act, G.L. C. 131, §40
TOWN OF BARNSTABLE ORDINANCES, ARTICLE XXVII
From Barnstable Conservation Commission Issuing Authority
To Frans & Parazetta Weterrings Same
(Name of person making request) (fume of property owner)
93 Willow Run Drive
Address Centerville, MA 02632 Address
This determination is issued and delivered as follows:
0 by hand delivery to person making request on (date)
by certified mail, return receipt requested on May 14, 1993 (date)
Pursuant to the authority of G1. c. 131 , §40, the Barnstable Conservation rnmimi,ani nn
has considered your request for a Determination of Applicability and its supporting documentation, and has
made the following determination(check whichever is applicable):
Location: Street Address 93 Willow Run Drive, Centerville
Map Number:
210 Parcel Ntimher= SR
1. :1 The area described below. which includes all/part of the area described in your request, is an
Area Subject to Protection Under the Act. Therefore, any removing,filling, dredging or
altering of that area requires the filing of a Notice of Intent.
2. _ The work describes below, which includes all/part of the work described in your request, is within
an Area Sub;ect to Protection Under the Act and will remove, fill, dredge or alter that area.There•
fore. said work requires the filing of a Notice of Intent.
t.
Effective 11/10/89
2.1
r ? P
OL ,� r /� ,
11
tl�
�T
1
,(i
PROPOSED
RIGHT 00 ❑❑ c
k�l
L '
a
mil '.If.r
FRONT
SCALE,BW ii
'Eu
ITI
�r o l- I -
r r4 SCOPE OF WORK fiT
f
EQU
~7� DEMO EXISTING SINGLE CAR GARAGE � �r �
lr' Y r f
5 C 7"- ,• '.\TI .1.2 ? 1L. tj } f..I. sr OVEaxANc ROTAE SHED AND MOVE SHED TO THE PRESENT
LOCATION OF THE EXISTING GARAGE luau
FLOBH MOONT LIOH9S
TlT _ 1
`_r_ 'i'—r � CONSTRUCT NEW TWO CAR GARAGE IN THE >r ''" 'trti
LOCATION OF THE EXISTING SHED
El
LY,f
PROPMDSIE$D 1►� P%(DPOSED D
C)Copyright 2011 by LEFT - REAR......Daniel A.Solver SCALE:va°..Ib" +. - ecA eE ro•.rc•
Chatham Drafting&Design Service
PROPOSED GARAGE FOR N�E. _
D� enie]A.5'ylvar ALL Dnffi RION&OPHNINO BIZEa ^
AND LOCATIONS TO BEBy OW R PRIOR
Chetlu9m O�a/'ung r Dee�cLn Ee�`v/ce BTAHT OF PPHQIBCP.�HPRIOH
" - �'sos-rsrsaas Residential&Cgmmelciel s.:s Ns-- "„•"
R. C� ° R. C�� � °�o ° 5 � - 93 wimo wRUNDR.,CENTERVILLE, D� BY: D.S.
. Cape Cod,MA SCALE: AS,NOTED A-1 O'
.•.,:..�n:In.ma..wne.°aa .�om DATE:1PJ12/11 L .
24'.0" 8,.0„ /, 8,.0,E 8-:0"
-----------------------------------------------------------------------
---------------------------------------------------------------
EzR•F.L WI
- p 2-4s6"poet
' P,ovlde W6•d•.mrLm W. tr P.C.WALL POUNDATION WALL—\
wl S4S•xVa•wuhme®1`t• e`PH[GH WITH A B]TUEmJOUa �\ ...
.: ox 1®cme wn• ASPHALT(OR EQUJ P.C.F ON A -
emEedme" 6• I6•CONT EQUJ9 P.C.FOOTING(TYPICALI
0
B'etud"/B'-6•welle E-52'k IB•Irl
. 12z6.
N. a'CONCRETSSLAB _______ _________ _____ ____ <
W/WIRE .,• N t9Ve.N6'--.
PoLVttNDSR woB"/caiLu6o
<,CAST rwB GARAGE
d-HOLTB PSR
6ffiL PoLV VAPOR BARaRIER " 'CODS �
. EARTH
"WATERPROOFING -
c+i �6•Xd'.WALL
e,oP bP olw"ll B•& - TYPICAL WALL WALLS HRYSD -.
'TO PoOTINO 1
rvv a•tN."leb over = ,
1 9
6X16
OD0
Booan aBeob
-- _ NOAPRON er-- -----�-- -- ---------' hen w"•DB,rt"6fn"o tb'ATo-6rm•f mTT p vO"BoIC. _ ___________ ______, .
________________ .. ,_-__ O O------ --- ----- ----- -- ---- --. B B
24,.0„ : : .29,.0,E .'.
FOUNDATION FIRST FLOOR
ALL CONSTRUCTION SHALL BE IN ACCORDANCE WITHAMERICAN FOREST AND PAPER ASSOCIATIONS'
"WOOD FRAMING CONSTRUCTION MANUAL"FOR ONE AND TWO FAMILLY DWELLINGS,(WFCM).: -
------ "_,------- ------- ---------` "- -- --------- CONTRACTOR SHALL BE RESPONSIBLE TO REVIEW ALL ENGINEERING REPORTS AND DETAILS TO
ASSURE PROPOER INSTALLATION METHODS. - 24'-0" 81-01,
2 X 10"16"O.C. -
.. - - a=9RPRRAIB__.. �� _ .. BRR SN&Sl':•A-I•
. ENTERTAINMENT STUDIO
' O .. T .. '' I -.. PDRDRC%DRTAIIB
---------------
fin.
0 11 W
FULL HEI HT C ALL'?
. BLOCKING T O.C.PER WFCM - - &TRANSOMSABOVS
Q .•WALL W/CANED OPENING
cID
g a I,.
c EXERCISE�ROOM El BATH
FRONT _ GENERAL NOTES -
.FLOORS WALLS(EXTERIOR) ROOF .. DH _ t_ .". �, ®�
JOIST LAYOUT(TYPICAL) FIADR JD SI EX1B AS NDTSD
16'O.C.W/DODELEJOI.STBBLOW DORUHRR'(T-41/E•)-E X e•X T-o•STUDS-O.C: EX16-SOLD)LUNRER 16-O.C.AA INDICATED FLOOR R-BR
PARTITIONS.BI4CHED.PER WPCdA .W/DOUBLE PLATE&SINOLB SNOB(TYPICAU _____O aI -^ I
SCALE,V4".10' .. &W COX OR EQU.SHEATHINO WALLS(SXTSRIOR)R�11
GARAGS-FU'SPOOR FASTENED PER WCPtd NAUdNG SCHEDULE
SUB FLOOR W T&G OWED&FASTENED _. a-.
\`
PER W NAILING SCHEDULS VE'COX OR SQU.SHEATHING PDLL HEIGHT WATER PROD?AE A ROOF R 98 W/VENTING
ALLAPPROPRIATB PAbTBNSRB/HANGERS 1TVECE.OR FgU.HOUSS WRAP ASPHALT BHIN01.� BOUND DAA RHM4G BETWERN FIDOmI
1NTBRt)R WALIE(CONTRACTOR OPTION) ,' I N ___ __ _______ _________ _..'ICI BE APPLIED ... v
. .. W.C.aHINGLFEOHCLAPROARDWHERe INDICATED COLLARIRAPIERTIHSASINDICATED ��.•_ ..___I _
ALL FRAMN'OdBHEATIUNG T'O BB NAILED PER WFCIH VENMRO TO CODE TOPS TED - _ % 1Z''O"
NAMENO SCHEDULE/ CHECK LISTI
24'-0"
Copyright 2011 by CEILINGS/WALLS (INTERIOR) �Fsa G BE AFPL®PER wPCM
DHnielA.Sylver SECOND FLOOR
1l1 QYPSU6L BOAHp W/EXCEPTION OPOAMOB -
ac,Am,1/4'..I'-0'
Chatham Drafting&Design Service -
GARAORWW-PE X -
_ ..... _
Daniel A.3yI
N ALL DH�PImom'oPHNING SIEES .
PROPOSED GARAGE FOR
.. .. ANDIDCATIONS. BHVBRDm ..
( START
RT OF CONTRACTOR PRIOR
Chatham Draf't/x1 t aT'ART OPQ Q � Q Q - .. PA:sva�sT�slsfi Resid� � ��� �° o Zof zNy- 93 WILLOWRUNDR.,CENTERVILLE, D�A, BY: D.S.cape Cod, iO
SCALE: AS NOTED A-2 O�
. ww:.tn:D�e�w,6"•ae .� DATE:12112/11 w
- — — — — — — — — — — — — — — — — — — - 2-1 3/4x 16"lvl — - - -- - —
4 x 6"post
2 x 10"16"o.c. - T-
dormer rafters 6 °8"BOXED TRIM
i-
STYLE TO -
MATCH HOUSE _
- - 88
-- - 12
' 2 5 1/2+/-
O@Is�o c
2 6"16"o.c.
2-13/4" 111/4"'lvl+'2".filler
x i '�, .
12
2 s 10"rafters 1 112"i 3"ground - f_2x6"W/1/2' fillers
�j 12
l 1/2"a C�.,JI i I •f 'I
2 112"ground 1 1/2" gr'o
a 2" 2 1/2" urid: J L _� - O
2 x 6"16":o.c.
" E-
-
- /�-2g6"@l6"o.c.
�k (typical) O
DETAIL "A"
.. 2a 6"16" u
2x10 @16'o.c.
1 112".x 3"ground
1 1/2"x 2 1/2"ground
z x s^ls"o.c. 2-3 1/2"x 16"lvl: blocking per WFCM
DETAIL"A"
2 x6"16"o.c.(typical) 2 x6"16"'o.c.(typical)
/}
O' Bee detail "Bn sheet"Ai_4"
for wall construction
T E� 2x8sill,' dbl.2 x 6"shoe
2 x 10"rafters - „P.T.P T
UL L
- P P. P.
FRAMING ( .rYPI CAL)
Copyright 2011 by - SCALE 1/2' 11-0'1_ .. -
Daniel A.Sylver
Chatham Drafting&Design Service
!fors: ...
.
PROPOSED GARAGE FOR � DaaielA.SYlve��� au.nmffi+�oxe.oee"was¢sa
ImmwcnMONSToax�
hethem D�gi'ting t Dea/gn 5ery BY T"�g�er. R'"$
. a .: : a ... soe-rsrsrss Residential&Commercial :cas-assrsr,G .. .
� � D � � D _ L C �^ cape�d n�A DRAWN Bv:oDs
B croa r
RICHAED (o CHER Ao 2R099H 93 WILL OW RUNDR.,CENTER MA SCALE:.AS NOTED A 3 O
DATE:I Z112/11 °'�
DECK DETAIL (TYPICAL) 2X10" P.T.
JOIST 16"O.C. _
1'PVC SPACER
r DECKING TBD 4 X 4"POST
LEDGER
DBL.RIM
2-6/16""LEDGER LOCKS" III 2-2 X12"P.T.
"GRACE OR EQU. W/1/2"SPACER (. j
OR 1-5/8"BOLT 11 NGOECR.S W!AL.OVER
....... (CLOSET) (BATH)
4X6"POST
SON TO POST
hh CONNECTOR
V'I
PROVIDE SIMPSON TYPE d V X 4'SONA
POST CAP AT ALL SPLICES ,
AND CONTINUOUS BEAM _ 711
CONNECTIONS O O
p p pp
8'MAX a
STAIRS
48"TREAD WIDTH
81/4"MAX HGT.
' I
9' MIN.TREAD DEPTH
THREE STRINGERS
j CLOSED RISERS _
HAND RAIL HGT.34"-38"ABOVE FINISHED
SLOPE OF SURFACE OF RAMP SLOPE
A INTERIOR WALLS
RAILING DETAIL (TYPICAL) 4 �`°`�'R''''Q"
ErtevtdHeeder
' n!—oII Double Pm�al Fnmo(twobnced weH
BLOCKIN /....._ _ ..../
E:tevt orxeedm �..
Single Portal Feeme(ovo braced well Pe"e0---- —�i weeded of
�j DOOR WINDOW SCHEDULE
`�N,r !' - Min s•=ll.ag•nec nar. ' i000a xeeam soap
i STERGIS"WINDGATE" _ Ear.NP.LSTAzs
I I 8'fe lE
I I I Peetm top Plaee to Hradec with two Feetev LOP Plan to beadm w Awn
I I I mwe of 16D einkm veil®9'P.c Typ. f]gD sinker mile®T O.C. ,
ID MAN.# WINDOW SIZE R.O. TOTAL SQ.FT. CLEAR OPENING
I6Wge Pppoeileeheethl� (Type®D
2-2X10"PT 2.4
I A 3054 29 1/2 X 53 1/2 30 X 64 10.9 celvmiaedbm PeEe s• Fetmrn ��ena Ftamivg
24 5/8 X 21 1/2 s• eH a=m;ng(eePa.,Hies"e.•oa sold•iyP.
naL HDND
warn ps•
-
I O B A2424 23 1/2 X 23 1/2 24 X 24 3.8 18 1/2 X 18 1/2
�I Aw G MI".2 2:4• v neeaea.Pmd ePlm
_ A2424/1R3012 x M;P.fzl ae eePa sage.eheu Pemr a.m
�y� O Bl 23 1/2 X 35 24 X 35 1/2 5.7 18 1/2 X 18 1/2 miles m Wes"" -
I w l AWMNO W/TRAN90M LT 9tructurel Plywood nmiMd 2 a' U height
3042 24 5/8 X 16 1/2 va^Plywood suer Pae raw rs•e.isng;re imd
I FD
DBL HUNG 29 1/2 X 41 1/2 30 X 42 8.5 m seen P-0 sage.
i � Min 4ama soap type ae-apwP ae.�e(emneaaea
I 2-3054/2-TR3012 59 X 65 59 1/2 X 65 1/2 26.6 24 5/8 X 21 1/2 mnmem.na Padea ins aamivg)Im„Hea
I DHL GwnswusOM PmnPr emrm.alet m.srlmla).
I Min.1E60Il tie dowv 42WN Dowv
I Owim(Eei No.8TO6)
Device Her.No.3rDH14
j
DOORS
I i om ag•Du AnPhor Hem w/r mia.embeadmenc '
$r-Orr ID MAN. DISCRIPTION SIZE R.O. UNIT
v ll". WEAVE AS SHOWN SQ.F'
............. ................ _.......... ........- FRONT ELEVATION
/ A THan1n,Ru 1 3/4"9 LITE 37 6/8/82 38 1/2"/82 1/2" S0 - PORTAL FRAME SEGMENT -- SIDE ELEVATION
B. TBD GARAGE DOOR 9`0"/T-0" TBD 63
TERG 1'SLID R 33"/791 3472" 80" 17.6 PORTAL FRAME WITH HOLD DOWNS (TYPICAL)
C TxS205TRu
D STERGIS 6'SLIDER 71 1/2"/79 1'2" 72"/80': 40
E TBD 1 3/8"-6 PANEL 2-6/6-8 2-8 1/2/6-10 V2 N/A DETAIL "B"
F TBD 1 3/8"-6 PANEL 1'-.0/6-8 1-2 1/2/6-10 1/2 N/A
Coyright 2011 J
Dpaniel A.Sylver
Chatham Drafting&Design Service
cyJ4"
NO : •T"\ n
PROPOSED GARAGE FOR —t Daniel A.Sylver A LDD EN910N9,OPENDQ0 OR
AND LOCATIONS TOBE VERTFM
Chatham Dre9feiP4 loost n Service R YA OH
° a °� o ��� � �o005�� - 93 WILLOWRUNDR.,CENTERVILLE, 1Y111 °' "'ssse Resident al&Commercial fu+60.4 aJ62169 DRAWN BY: D.S.
���� ca e mod,NIA °
P SCALE: AS NOTED A-4 p
_�'"R'—ddm DATE:12J12111
DECK DETAIL (TYPICAL \\
2 X 10" P.T.
JOIST 16"O.C. -
1'PVC SPACER —�
DECKING TBD 4 X 4"POST - -
LEDGER
DBL-RIDS /
2-5/16""LEDGER LOCKS" 2•2 X12"P.T. - ..
"GRACE OR EQU. W/ll2"SPACER --
OR 1-518"BOLT 16"O.C.
OVER
HANGERS W/AI �(CLOSET) (BATH) _
4X6"POST .. _
ON POST C ® ® ® ® \
CONNECNEC TOR
pl
PROVIDE SIMPSON TYPE V X 4'SONA
POST CAP AT ALL SPLICES
AND CONTINUOUS BEAM
CONNECTIONS . O O .
EI.ElEl.-I
D
STAIRS p
r op
I a MAX48"TREAD WIDTH
8 1/4"MAX HGT.
10 9"MIN.TREAD DEPTH
THREE STRINGERS
CLOSED RISERS _
�J HAND RAIL HGT,34"-38"ABOVE FINISHED
SLOPE OF SURFACE OF RAMP SLOPE
RAILING DETAIL (TYPICAL) 4 INTERIOR WALLS
SCALE,W.1'O'
21_011 Bnm dx,dw
BLOCKING
I
DOOR WINDOW SCHEDULE I
STERGIS"KTOGATE" M1v.s.11.96•mt em. - laaar Hmd.r 9[np
Rd N.L9TAaa
...... . . ..
-
Lewd 16D unan oeW 0 w o lyp.
PeYep by p1.b m eudm w M1wo
mw.d lBD uvlm n.iL®e•O.C.
ID MAN.# WINDOW SIZE R.O. TOTAL SQ.FT. CLEAR OPENING
IOpna w.p oppoub.Wulhiva lTrpiuU
2-2X10"PT nBn s.a
t I I P.tlm.edNioabemm wl eD mmmpe or
I 1 A DBLNUNO 3054 29 1/2 X 69 U2 30 X 64 10.9 24 6/8 X 21 1/2 &mb'la'�bW,m m wow TYp.
_
1 1 - A2424 a Mlu.1d[e 1B• -
I I B AwtONO 23 1/2 X 23 1/2 24 X 24 3.8 18 1/2 X 18 112
Mm.a B.a• vn..dW w. .p4
xin 07 ha Pvml adan.hell mmr o.ar
B1 A2424/1'R3012 23 112 X 35 24 X 35 1/2 5.7 18 1/2 X 18 112 W e.n.9.e b o.mmoe
A.'LuG Wl TBAN90M ml a oym whbip
C 3042 ...eA..z.•d..a n.+ab[
nBL xuNa 29 1/2 X 41 1/2 30 X 42 8.6 24 b/8 X 16 1/2 Ls'Ylywaad aBa ds•°°'u"a "a°"°°
Mi..aaL9a9b.p bW ti"dmm d..im(.bedded
1 1 D 2-3064/2-TR3012 69 X 66 69 1/2 X 65 1/2 26.6 24 5/8 X 21 U2 mm mm.[.ed paw mb tr.med tn.1.B.d -
1 I D-305412- R3012 - m.nve.[m...rnet e..anrolu �
I 1 1
I Miu taoop W do.n aaoon TV Down
I I I - - - De.lm(a.t No.arDd Davim Bd.v..9rvxla�
DOORS
i � � 0..are•Du<a.bm e.a.(r�...mewde.nr, -
I
I
81'011 '\—WEAVE AS SHOWN ID MAN.# DISCRIPTION SIZE R.O. SQ.F r
- S2150 A 1 374"9 LITE -37 6/8/82 38 1/2"/82 1/2" �4�LLELEYATIQX
.. n1eaMATau _ 20 PORTAL FRAME SEGMENT "-- '
SIDE ELEVATION
B TBD GARAGE DOOR 91-0"/7-0" TBD 63 - -
C rnS2MA0 1 3/4"15 LITE 33 5/8/82 34 1/2/82 1/2" 17.8
D STERGIS 8'SLIDER 711/2"/7911" 72"/80"" 40 - PORTAL FRAME WITH HOLD DOWNS (TYPICAL)
- g TBD 13/8"-6PA,1EL 2.8/6.8 2-81/2/6-101/2 N/A DETAIL "B" .F TBD 1 3l8"-6 PANEL 1'-0 16-8 1-2 112/6-10 U2 N/A
Copyright 2011 by
Daniel A.Sylver _
Chatham Drafting&Design Service
PROPOSED GARAGE FOR N ^
�•-•^---•'-�^""'j DedvelA.Sylver�' 4 ALL DIVEIN910N9,OPIMNO 91ZB8
AND LQCATIONB TO a8 VBRIPIRD
,,,asssss^^^^^^ BY OWNBAMONT8ACE Y810B
Chatham Draft//Ig t Dee/gn $B!V/ce BTABTQPPROIBCT.
�J _pa-darrsrslas ResideD[iabfi Commenciel r.�pspver "-..'
,�� ���� - 93 WILL UN CENTERVILLE MA m_ � e _ _ DRAWN BY: O.S. e
"�" �"1 0. _�J� SCALE: AS NOTED A-4 -
DATE:1ZI12111 - a'
t
V/N=TO=G4P, STpf•'St4/4S /PE SLEEVE O✓ER TmIGAL.R5ER5 Nr/NIMJM F/N/>rN Feahl�c O,�CnIInG Fce=ra lei 6L/V,J�NO •�50�
5 iih:44.i �L\�(r��N4ERE CGGCRS �.%==LOLUM,\' LAADlN6 TO L4NJ/N6.4T-'i+ TiH SE,\'C 5.-L -1==!YUn^_E55 Ci HcRNlw n'O%Ei1 Q �V' .
Si 4/a i/i '- N,\%5-ED pcEn%\LS ,\=,c / ALL 5E T.510,6
% GOLU A'.PER 1 /2¢/SE¢B /3 RISERS /.a/SERS /34/SE.QS /6.4/55¢5 /i.4/SEQS /9 aISE¢5
/J�/.¢O.\SOP.FEQ ='O' v "• = 2OO-C /FO A%'BG/JlN6 C=E A,vEADMEn NI 11 ITY LI ',Ti 4AD 20071
V-1 4L./FOF\%A J
/NiER %IONiL EUI!DlA'6 CODE Qe-22-G9
J ,4/65rlFFEH<R5 5"E" 5'-e".�'S_
' A OR D5 F!OOQ \ I V1 lN6 HpL c 9//S' b.-0• 6-S°.E? 1.GGNTe4GTOa 5-'� ✓v4/FY ALL C0A r/GAS-1hJ D/•MENSIO 5 4, E X 5/iE
..C/5 0 -U Re,G I U / -�� a, e•p' a•9' /O'-b` //3" /2'G' ___ _____ A 50/4 6E4 f/6 /n/VU,N=/,OI ocF c=R TASLE/B0=2 F0¢GLI r'5AN Li Y,5KTY ILA
5 /6\ED FG¢ W y -L T4V4 ilVcSl //-/O//?' E-E' 6'B'V 6'B` cLArF_Y 5/L /•4n:i ,\;� 5/-=46¢`,I,,S.r'F/,\5.='EG i/AV OR 5G/LS
_ a•_6 /O'S//2' //'-/` ____ _____ ____
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a .�ya�jg Map 210, Parcel 58 Zone 8 & C (see plan)
Community Panel No.
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. ZONE: August 19, 1985
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° OVERLAY DISTRICT: `
Area (min,) 87 120 SF
:4i aa�`� • '�. Fronta e (min) 20'
° ,� oQ G • Width (min) 125' AP — Aquifer Protection District \
x, o Setbacks: New Location o
-'�
Side Front 10� Of Cottage O k d k15
Rear 10' 33!53�
New Location
o \
LOCATION MAP: ��� Of G84ag'e(24)(24), o
o 0
Scale: 1" — 2000'f Deck & Stairs� , O9� N f 106-�, . o
NSF Nadd / : ':: :: : ;, �F C-
... \ \
d S 6 CB/DH ra...•,•, ti r
Of 2 Fnd ;:;:?::: ' Q \
R,Gh �028� Lawn U) o rn 77 \
1.00
CBIDH
N ,k'• �
Fnd Paved
�. Area \\ \� Stone of \
Al2 N \
• `� / A14 CB/DH\ \
A11 \\ / / \ \\\°ro \\\ 0\ r� Fnd \
Septic System
As Per TOB card �' ;N'', \\o \\ \\ s Lawn \
A13 \ o; \�\� Lawn \It `��� ��\ Top ofl Bank
�� __ /f�\ (E1=34') per DEP
A15 �� „ \�\ ii \\� �� See SE3-3581
�e ! A10 \ fc�t \�� �� \\�\ 261
C8 � F
�� Fnd I Isolated ` \�\ X
�� „ I Vegetated A16
36 \ / Wetland
See SE3-3581
\ 0 A17 � O
Farce/Area A9 A18 �� stone Ed9 °15 1
\ ` 4,400±SF Wetland 'As 0 ,,s' ° J
\ \ _
`\ \\ 32.700E Upland /A2 Al O
ems'
\\ \ 37,100±SF Total i ��. \\� 0 j
\ \\ 0 0 ems'
_ \ % A7 R
`\ CP
A5 i N�F beth F
\\ \ pR�\6 '- 0 EIiZo 21
-0 2 \\ G^ \\ $TONE e� �23g8�2
1G
\ / M h
46
Q �3
Ag / Legend:
-----_ 0 Sewer Manhole
-(o- Hydrant
El Concrete Bound w/Drill Hole
\\ ! 1A06 Y4sf -0- Utility Pole
r + o Deciduous Tree
10
\ 1/ c, RICHARD R. Light Post
\\ \\ 1O o L'HEUREUX D Wetland Flag
NO. 34312 0 0-0-0 Post & Rail Fence
\\ \\\ ""e��, 'AR � ,�, ❑_❑_❑ Stockade Fence
\ \ vQ —oHw Over Head Wires
E-► Underground Utility
� r
Title: PREPARED BY: PREPARED FOR: Notes/Revision:
Plot Plan Of Land 1.) The property line information is from available record
CapeSury deeds and plans,
A/�
Q �/��i Richard& Chery/Rosen 2.) The topographic information was obtained by an on
✓3 t Willow ll ow Run Drive the ground survey performed on or between & '
7 Parker Road 08/DEC/11.
BBARNS TA L E (Cen tervill e) Mass Osterville MA 02655 3.) The datum used is NGVD '29, a fixed mean sea level
(508) 420-3994 / 420-3995fax datum. o
www.ccpesurv.com
20 0 10 20 40 80 ..,`
Date: December 9, 2011 1 "=20'
Scale: Field: RRL/WHK/MLL Review: RRL
Comp/Draft: RRL Drawing # C318_3g1