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0055 LONGWOOD AVENUE - Health
Hyannis e 0 0 o ° o e e o 0 e o , . e f Commonwealth of Massachusetts Title 5 Official Inspection Form ®� Subsurface Sewage Disposal S /- g p System Form - Not for Voluntary Assessments � °M 55 Longwood Ave. Property Address Heather Coleman Owner Owner's Name information is required for every y H annis MA 02601 6/5/2013 page. Cityrrown 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:out forms A. General Information filling out forms � _ on the computer, use only the tab 1. Inspector: key to move your cursor=do not Wayne Archambeault use the return Name of Inspector key. ty Company Name PO Box 91.4 Company Address Hyannis MA 601 Cit /Town c2 Y State Z p Code w C� 508-775-1362 355 y � Telephone Number License Number ,tea B. Certification s u. ti I certify that I have personally inspected the sewage disposal system at this address and thatte information reported below is true, accurate and complete as of the time of the inspection. Tft insp&tion was performed based on my training and experience in the proper function and maintenance of on site sewage disposal systems. I am a DEP approved system inspector pursuant to Section 15.340 of Title 5(310 CMR 15.000).The system: ® Passes ❑ Conditionally Passes ❑ Fails ❑ Needs Further Evaluation by-the Local Approving Authority 6/5/2013 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 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. t5ins-3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 1 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 55 Longwood Ave. Property Address Heather Coleman Owner Owner's Name information is required for every Hyannis MA 02601 6/5/2013 _ page. City/Town State Zip Code Date of Inspection B. Certification (cont.) Inspection Summary: Check A,B,C,D or E/always complete all of Section D A) System Passes: ® I have not found any information which indicates that any of the failure criteria described in 310 CMR 15.303 or in 310 CMR 15.304 exist. Any failure criteria not evaluated are indicated below. Comments: B) System Conditionally Passes: I ❑ 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•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 2 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments ;M 55 Longwood Ave. Property Address Heather Coleman Owner Owner's Name information is required for every Hyannis MA 02601 6/5/2013 page. City/Town State Zip Code Date of Inspection B. Certification (cont.) ❑ Pump Chamber pumps/alarms not operational. System will pass with Board of Health approval if pumps/alarms are repaired. B) System Conditionally Passes (cont.): ❑ 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•3/13 Title 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 GSM , 55 Longwood Ave. Property Address Heather Coleman Owner Owner's Name information is required for every Hyannis MA 02601 6/5/2013 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 fecal coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered. A copy of the analysis must be attached to this form. 3. Other: D) System Failure Criteria Applicable to All Systems: _ You must indicate"Yes" or"No"to each of the following-for all inspections: Yes No ❑ ® Backup of sewage into facility or system component due to overloaded or clogged SAS or cesspool ❑ ® Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or clogged SAS or 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 '%2 day flow t5ins•3/13 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 M 55 Longwood Ave. Property Address Heather Coleman Owner Owner's Name information is required for every Hyannis MA 02601 6/5/2013 page. Cityrrown 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 h r t e efore the system falls. 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•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 5 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments �M 55 Longwood Ave. Property Address Heather Coleman Owner Owner's Name information is required for every Hyannis MA 02601 6/5/2013 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 N/A) ® ❑ Was the facility or dwelling inspected for signs of sewage back up? ® ❑ Was the site inspected for signs of break out? ® ❑ Were all system components, excluding the SAS, located on site? ® ❑ Were the septic tank manholes uncovered, opened, and the interior of the tank inspected for the condition 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•3/13 Title 5 Official Inspection.Form:Subsurface Sewage Disposal System•Page 6 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 55 Longwood Ave. Property Address Heather Coleman Owner Owner's Name information is required for every Hyannis MA 02601 6/5/2013 page. City/Town State Zip Code Date of Inspection D. System Information Description: Number of current residents: 2 Does residence have a garbage grinder? ❑ Yes ® No Is laundry on a separate sewage system? (Include laundry system inspection ❑ Yes ® No information in this report.) Laundry system inspected? ❑ Yes ❑ No Seasonal use? ❑ Yes ® No Water meter readings, if available(last 2 years usage (gpd)): Detail: Sump pump? ❑ Yes No Last date of occupancy: 6/5/2013 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•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 7 of 17 Commonwealth of Massachusetts Title 5 official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments M 55 Longwood Ave. Property Address Heather Coleman - Owner Owner's Name information is required for every Hyannis MA 02601 6/5/2013 _ page. City/Town 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: owner 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•3/13 Title 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 'M 55 Longwood Ave. Property Address Heather Coleman Owner Owner's Name information is required for every Hyannis MA 02601 6/5/2013 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: installed 11/16/2007 permit#2007-474 Were sewage odors detected when arriving at the site? ❑ Yes ® No Building Sewer(locate on site plan): Depth below grade: 1.5' feet Material of construction: ❑ cast iron ® 40 PVC ❑ other(explain): Distance from private water supply well or suction line: feet Comments (on condition of joints, venting, evidence of leakage, etc.): Septic Tank(locate on site plan): Depth below grade: 1 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: 10.5'x5'x5' t Sludge depth: 2° t5ins-3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 9 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 55 Longwood Ave. Property Address Heather Coleman Owner Owner's Name information is required for every Hyannis MA 02601 6/5/2013 page. City/Town 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 35" 3 Scum thickness Distance from top of scum to top of outlet tee or baffle 4.5" Distance from bottom of scum to bottom of outlet tee or baffle 12" How were dimensions determined? measuring rod Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): 1500 H10 tank in excellent condition no sign of leakage I 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•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 10 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments M 55 Longwood Ave. Property Address Heather Coleman Owner Owner's Name information is H required for every Y annis MA 02601 6/5/2013 page. CityTrown 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•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 11 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form a Subsurface Sewage Disposal System Form -Not for Voluntary Assessments M 55 Longwood Ave. Property Address Heather Coleman Owner Owner's Name information is required for every Hyannis MA 02601 6/5/2013 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 0 Comments(note if box is level and distribution to outlets equal, any evidence of solids carryover, any evidence of leakage into or out of box, etc.): box level and water tight riser to 9" below grade 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.): " If pumps or alarms are not in working order, system is a conditional pass. Soil Absorption System (SAS) (locate on site plan, excavation not required): If SAS not located, explain why: t5ins•3/13 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 55 Longwood Ave. Property Address Heather Coleman Owner Owner's Name information is required for every Hyannis MA 02601 6/5/2013 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Type: ❑ leaching pits number: E leaching chambers number: 3 ❑ leaching galleries number: ❑ leaching trenches number, length: ❑ leaching fields number, dimensions: ❑ overflow cesspool number: ❑ innovative/alternative system Type/name of technology: Comments(note condition of soil, signs of hydraulic failure, level of ponding, damp soil, condition of vegetation, etc.): 3" liquid in bottom 21" below invert no stain lines above liquid no signs of ve atation 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-3113 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 13 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 55 Longwood Ave. Property Address Heather Coleman Owner Owner's Name information is required for every Hyannis MA 02601 6/5/2013 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-3/13 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 55 Longwood Ave. Property Address Heather Coleman Owner Owner's Name information is required for every Y H annis MA 02601 6/5/2013 ' _ 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 t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 15 of 17 Assessing As-Built Cards Page 1 of 1 F TOWN OF BARNSTABLE LOCATION -65 latq ✓Ova SEWAGE oo7- 7 VILLAGE g)AeNj _ASSESSOR'S MAP&PARCEL t INSTALLERS NAME&PHONE NO. �5-7?7 7,6 SEPTIC TANK CAPACITY 1600 LEACHING FACILITY:(type) 3 /44d r-;& (size)j133 ?� NO.OF BEDROOMS Z OWNER -1• a Wjc&- � A1,4 ✓Cy t4,I PERMIT DATE: 1 0/_2-3/'D' COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet Private.Water Supply Well and Leaching Facility(If any wells exist on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) Feet FURNISHED BY cretwa,<�v faowr of Hook- alit t: r r. l .s rF . g�z o o't o R �1 3,1" aft 313„ UT- 14OVS& http://town.bamstable.ma.us/Assessing/HMdisplay.asp?mappar=287055&seq=1 6/6/2013 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments ;M 55 Longwood Ave. Property Address Heather Coleman Owner Owner's Name information is required for every Hyannis MA 02601 6/5/2013 page. Cityrrown 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: >11'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: 9/22/2007 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: plan on file at BOH Before filing this Inspection Report, please see Report Completeness Checklist on next page. t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 16 of 17 Commonwealth of Massachusetts w Title 5 Official Inspection Form m Subsurface Sewage Disposal System Form -Not for Voluntary Assessments GIN , 55 Longwood Ave. Property Address Heather Coleman Owner Owner's Name information is required for every Hyannis MA 02601 6/5/2013 page. Cityrrown 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•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 17 of 17 TOWN OF BARNSTABLE LOCATION S5 /orJ41,100 0 A/r/juc- SEWAGE# aco7- LI7i VILLAGE dyF4r✓1 ASSESSOR'S MAP&PARCEL �— -� INSTALLERS NAME&PHONE NO. k0 b i /50-j 5e-Vft 5-08=a 7 S '97 7k SEPTIC-TANK CAPACITY LEACHING FACILITY:(type) (size) 3 NO.OF BEDROOMS LL� OWNER- ^� x-k T ({t II PERMITDATE: l Oh 3 f D'7 COMPLIANCE DATE: d 0 _ 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 260 feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility)' Feet FURNISHED BY zt, . V3 - m C p r i No. ��r �� � < .� Fee �®Q.®® i THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSAICHUSETTS Yes 01ppYfcation for 30iopo5al �&p5tem Construction permit Application for a Permit to Construct( ) Repair Y,) Upgrade( ) Abandon( ) ❑ Complete System ❑Individual Components Locapion Address or Lot NQ� ""nua Own s Name,Address,and Tel.No. 4A l — Assessor's ap/Parcel 9g7155 %1 f 55 &QJ1uP_, &nrz'ls Q4-� Installer's Na e,Address,and Tel. J®9'—�75_ �� ��"�g�y � Designer's Name,Address and Tel.No. CIb\v1Stsn _�_;co Te,c k b C302S 1®8q P1��"V i �1� � fie,�o �Q SOY,601C-h. Type of Building: Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder PP Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) gpd Design flow provided gpd Plan Date Number of sheets Revision Date Title Size of Septic Tank . Type of S.A.S. Description of Soil Nature of Repairs or Alterations(Answer when applicable) �5VCL.QQ Dby 5N S4,VYN iQ `�be, P rf: NCO _CEc4N 40- - «;L_71 8 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 B69 oard of H alth. . tgned Date Application ApproN b Date Application Disapproved by: Date for the following reasons Permit.No. 'Date Issued ---_--- _--_----- --— — — --- — _ � err =,,..-.M's.. �, -u .. y..y" i 1h.:�.v.-:w.� +•-` :.i Rdr'..'"s^iy�r, s :gin � ,ti: .ex '.k_,,' (� No. Fee TF E COMMONWEALTH OF•MASSACHUSE�, T5 Entered in computer: PUBLIC HEALTH DIVISION - TOWN OP`4BARNSTABLE, MAJSS�ACHUSETTS Yes 2pplication for Migonl 6p5temtonotruction Permit Application for a Permit to ConstructAO Repair) Upgrade O Abandon O ❑Complete System ❑Individual Components Location Address or Lot No. Owner's Name;Address,and T 1.No. Assessor's Map/Parcel 9197 J 5 S Installer's Na e,Address,and Tel.No. �~ o �� �(04 OW914" @, � Designer's Name,Address and Tel.No. r c> 'T" 1a2cQ I e-C\ w-0 Q Styes I ch Type of Building: Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder s ' . Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) gpd Design flow provided gpd Plan Date Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. Description of Soil Nature of Repairs or Alterations(Answer when applicable) (.LQQ -71 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 H alth r ig� Date E Application Appro d by Date t Application Disapproved by: Date t for the following reasons 1 G Permit No. 0 ? Date Issued ., ——————————I———— .— — ———————————-- THE COMMONWEALTH OF MASSACHUSETTS BARNSTABM MASSACHUSETTS Certificate of (Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal System Constructed ( ) Repaired ) Upgraded ( ) Abandoned( )by I E . \�C��{ 1\cjD" Sr- Se_P+i(_ at55 1, t. q kaD06 A-VtO e �A14 6-ff-l1)lk 5Pu!- � has been constructed in accordance W �J ry with the provisions Title 5 and the for Disposal System Construction Permit No. [)�7—C_/?5 dated �-el4�X3 d / Installer JI�S�Y� Designer_ �G����p r-p„✓-,� #bedrooms Approved design flow gpd The issuance of this permmiit shall not be construed as a 1 guarantee that the system ill unction as designed.+ s Date I 0 ! 4111 1 (/= f t o1�'�Cl f /7 CD I spector A No.,-7 Fee$ THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION-BARNSTABLE, MASSACHUSETTS hg pogal *p!gtem Construction Permit Permission is hereby granted to Construct ( ) Repair ( ) Upgrade ( ) Abandon ( ) System located at 5J e cw-4 Wood A-N,Q,,.r\jC, 14t4a 1)6 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 flowing local provisions or special conditions. Provided: Construction must be Pompleted within three years of the date of/tl~iis perm' . Date �C) /cd`3 TifC� Approved b ]tom -1'?--' � , a , 02 06P RESTRICTION a WHEREAS, H. Brackett Hall and Nancy E. Hall, of Hyannisport, Massachusetts, are the owners of the real estate located at 55 Longwood Avenue, Hyannisport, Barnstable County, Massachusetts (hereinafter referred to as "Premises") , and more particularly bounded and described on Exhibit "A attached hereto; and WHEREAS, H. Brackett Hall and Nancy E. Hall, as the owners of the Premises have 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 Premises as a precondition to obtaining a disposal works construction permit in compliance with 310 CMR 15 . 00 State Environmental Code, Title V, Minimum Requirements for the Subsurface Disposal of Sanitary Sewage; and WHEREAS, the Town of Barnstable Board of Health as a precondition to granting a disposal works construction permit for a septic system in compliance with 310 CMR 15. 200, State Environmental Code, Title V, Minimum Requirements for the Subsurface Disposal of Sanitary Sewage, and authorizing the issuance of a building permit, 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, H. Brackett Hall and Nancy E. Hall, do hereby place the -following restriction on the Premises above-referred to 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: i' 1 . The dwelling constructed on the Premises may have not more than three (3) bedrooms. 2 . This restriction shall continue in full force and effect until such time that the Premises is connected to Town sewer or the construction of a residence with greater than three (3) bedrooms is allowed as of right, at which time this restriction shall become null and void. For title to the Premises refer to Barnstable County Registry of Deeds in Book 5438, Page 201 . Executed as a sealed instrument this /-'� day of October, 2007 . H. Brackett Hall Nancy E. Hall Commonwealth of�Maas-sachusetts Barnstable, ss : On this /-) day of October, 2007, before me the undersigned notary public, personally appeared H. Brackett Hall, to me known to be the person whose name is signed on the preceding or attached document, and acknowledged to me that he Wed it voluntarily for the stated purposes. Notary Public My Commission Expires: ogal 24p, 2©// Commonwealth of Massachusetts Barnstable, ss: On this 1 day of October, 2007, before me the undersigned notary public, personally appeared Nancy E. Hall, to me known to be the person whose name is signed on the preceding or attached document, and acknowledged to me that she signed it-'v'oh}untarily for the stated purposes. l ! Notary Public t ' i,, ;%� • �IG ��`_S.S My Commission Expires: EXHIBIT A A certain parcel of land together with the buildings thereon situated in Barnstabie (Hyannis Port), Barnstable County, Massachusetts, bounded and described as follows. Beginning at a cement bound on the comer of Washington Avenue and Longwood Avenue; thence South 060 55' 00" West by Longwood Avenue, 81.65 feet to land now or formerly of George E. Musgrave et ux ; thence North 860 32' 00" West by land now or formerly of said Musgrave, 90.51 feet to land now or formerly of William J. O'Neil, Jr., et ux; thence North 11° 10' 40" East by land of said O'Neil, 87.34 feet to Washington Avenue; thence South 830 05' 00" East by Washington Avenue, 85.51 feet to the first mentioned bound. Containing 7,400 square feet. Subject to a first mortgage to Cape Cod Bank & Trust Company and recorded August 29, 1996 in Book 10366, Page 54. Subject to a second mortgage to Cape Cod Bank & Trust Company, N.A. and recorded September 24,1999 in Book 12559, Page 202. For title refer to the deed recoreded in Book 5438, PAge 201. PROPERTY ADDRESS: 55 LONGWOOD AVENUE, HYANNIS PORT MA 02647 n r "�""�.�:-'fir,.•,,.,;.-�.'"".°-,�'�" . �r tibbr=tts EnginEe ing corps CONSULTING ENGINEERS 716 County Street TaudonMA 02 78 0 Tel.(508)822-6934 Fax.(508)880-7811 Client: Eco-Tech Job No. Inst. 07-1828 43 Triangle Circle Date: 10/2/2007 Sandwich, MA Report No.GS7264P Project: 55 Longwood Ave - Hyannisport, MA Combined Hydrometer and Sieve Analysis Report Dry Sieve Analysis Hydrometer Analysis of the Portion Passing the #10 Sieve Sieve % Pass. Size MM Sieve Size MM % Pass 3.0" 100.0 76.100 No. 10 2.00000 100.0 1.01, 100.0 25.400 No. 18 1.00000 80.6 1/2" 99.2 12.700 No. 35 0.50000 40.9 3/8" 98.9 9.510 No.60 0.25000 13.3 No.4 97.0 4.760 No. 140 0.10500 4.4 No. 10 83.9 2.000 No. 270 0.05300 2.7 0.05072 2.8 0.03590 2.5 0.02933 2.3 0.02076 2.0 0.01468 2.0 0.01040 1.8 0.00736 1.5 0.00522 1.0 0.00369 1.0 0.00261 1.0 ` 0.00135 1.0 Percent of Total Sample For Triangle Classification Retained on the No. 10 Sieve Based on Material passing the No. 10 Sieve % Retained (2mm) = 16.1 %o Sand 97.28 %Silt 1.72 % Clay 1.00 Remarks: Matt Rebello Technician Christopher M- White/PE Laboratory Director TIBBETTS ENGNEERNG CORP. . Soil Grain Size Analysis Using ASTM D-422 # U.S. Standard Sieve Size �■ Total Sample Curve —0— Mat. Pass. #10 Curve 100 270 #140 �60 #35 {�18 10 4 3/8"/2".3j4".0" 15" 2" 3" 100 90 90 80 80 70 70 60 60 >, 50 50 a� tc c 40 40 v a U 30 V n 30 20 20 10 10 0 .001 .01 1 1 10 100 Grain Size in Millimeters Job No, Inst. 07-1828 55 Longwood Ave — Hyannisport, MA Report No. GS7264P :Town of Baths table: k- o Regulatory:-Services ThomasP.-Geiler,Director- . Public Heaith'Division :. Thomas McKean;Director 200"Main-Street;Ryams;MA:02601 Office 508-86214644 Fax 508 790-6304� ^ f. Installer&Designer:Certirkation Form Date Sewage Permft# ._- -Assessor's-Map arce Designer - P Installev.. �. Ob1 nSol S�. Address .: 4b7Man Address: Y �7� : `� `► was:issued a permit to install a .(date),,.. (installer) septic system at.55 .ttU -on a"design:drawn by (address) :. (designer) y I cerh that:the se tics rein referenced above was installed substantiall accordin to fY- p ys . Y. g the:design;:which may include minor approved changes-such:as lateral relocation of.the distribution:box-and/or septic tank:: I certify that_the septic system referenced above vvas installed with major:changes (i:e. greater.than 10' lateral relocation of the SAS or any vertical relocation of any component - 'of the septic system but in accordance"with State &Local Regulations: Pian:zevision or certified-as built_by designer to-follow.- _...- OF Iygssq a /i G ti D t bV' cs _ . (Installer's Signature). .COUGHANOWR. No.1-0 3: �G1STE��C SgAf R1PN... (Designer's Signature) (Affix Designer's Stamp.Here) PLEASE 'RE'IIJRN T®.'BARNSTABLE :PUBLIC HEALTH .IDIVISION.. CEItTIFICA :::COMPLIANCE ;WILL..NOT-BE. ISSUED-UNT L BOTH THIS'.:FORM..AND,.AS-BUILT:'CA :RECEIVED:BY THE'BARNSTABLE PUBLIC.HEALTT3 DIVISION THANK U:YO : Q_Rialth/Septic/Designer Certification Form 3-26 04.iioo t { Town of Barnstable P# Department of Regulatory Services Public Health Division 3f Zbd 7 NAM SlOII Date Y / _-• _ ' !200 Main Street,Hyannis MA 02601A. Date Scheduled l/t/ Time , 1! /0b Fee Pd. Soil Suitability Assessment for Sewage Disposal Performed By.agjWfid�j1 0+11 D . Witnessed By: C Ow(Z LOCATION& GENERAL INFORMATION Location Address S / ����_y019d A a e- Owner's Name Jjq i_9e y �f7��i17�Sir r Address S5 600fwood k1k Assessor's Map/Parcel: Z� N n41 Spv r�D _A� _ ____Engineer's Name �" qr�d D^ c.,�lVg'jtan 'Wr NEW CONSTRUCTION REPAIR V111, Telephone# 5eq Land Use t+ i I 46 Slopes P ( ) O Surface Stones Distances from:{ Open Water Body ft Possible Wet Area too ft Drinking Water Well 100 ft `w Drainage Way O 1 ft Property Line 10 t ft Other ft SKETCH:(Street name,dimensions of lot,exact locations of test holes&Pere tests,locate wetlands in proximity to holes) WA511ltZ,14 SAVE Z: GN rn co w � cn GD- 51.'�t Parent material(geologic) V b(s g� ) h Depth to Bedrock Depth to Groundwater. Standing Water in Hole: °►D a Weeping from Pit FAI Vlo n e Estimated Seasonal High Groundwater 5 6— DETERMINATION FOR SEASONAL HIGH WATER TABLE Method Used: f r)mQtc'r Depth Observed standing in obs.hole: e in, Depth to soil mottles: a in. Depth tow ping from side of bs.hole: t10 K in. Groundwat r Adjustment 7.2- ft., Index Well#i llW-IRPeading Date: 07 Index Well level. - Adl.tdctor '4-- Adj.Groundwater level„r PERCOLATION TEST Date 2 �r'07 Tim i�i4 M Clbservation ("1 Hole# �' - Time at 9" CA F " Depth of Perc i^n� Time at 6" l 15 Start Pre-soak Time® Time(9„-6") 5��1 in in,,h -- End Pre-soak © v Rate MinJlnch "IN 1 e) Y111S,�✓e � �/ •i s Site Suitability Assessment: Site Passed Site Failed: Additional Testing Needed(Y/N)<11 �1 Original: Public Health Division Observation Hole Dita To Be Completed on Back�------_— ***If percolation test is to be conducted within 100'of wetland,you must first notify the. Barnstable Conse;'vation Division at least one(1)week prior to beginning. Q:�.SEPTICIPERCFORM.DOC DEEP.OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture .Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. on i tenc % rave Pill 4-0 LoA�� �t��(f?- V6 '00T F02blf� �JD s1 C� �R� �( t© K� 4 done l D L.�c� �r1G e C-.. MAD � ►� �(��� dhe -Dose DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consistency,% ray 0•-1q 'PILL . -- — t Loftm SAN) io orti �r qb� c6.-eW CI Swbq LOAM to�R 94 �)OHp Pill gble �6'0-130 C 2 M61 'ERN 10 biz& O Ke L'&05e DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Cnitec Gravel) DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consistency, Flood Insurance Rate May: ` t Above 500 year flood boundary No Yes Within 500 year boundary No '✓ Yes,:_. Within 100 year floral boundary No �� Yes Depth of Naturally Occurring Pervious Material Does at least four feet of naturally occurring pejyious material exist in all areas observed throughout the area proposed for the soil absorption system? ' e5 If not,what is the depth of naturally occurring pervious material? Certification — k00� (q%� - _ I certify that on (date)I have passed the soil evaluator examination approved by the Department of Environmental Protection and that the above analysis was performed by me consistent with the required ammg,a ertise a e perience described in 310 CMR 15.017. 7 Signature �7L^ Date F' .2D O/ Q\SEPTIC�PERCFORM.DOC 1 OF; Tnty Barnstable Town of Barnstable ZA NWABM + ;BdCdC i KA 9 Board of Health Fay 200 Main Street, Hyannis MA 02601 zoos Office: 508-8624644 ' Wayne Miller,M.D. FAX: 508-790-6304 Paul Canniff,D.M.D. Junichi Sawayanagi October 16, 2007 Mr. David Coughanowr, R.S. 43 Triangle Circle Sandwich, MA 02563 RE: 55 Longwood Avenue,Hyannis A 28T-'55 Dear Mr. Coughanowr, You are granted variances, on behalf of your clients, H. Bracket and Nancy Hall, to construct a replacement onsite sewage disposal system at 55 Longwood Avenue, Hyannis. 4 The variances granted are as follows: 310 CMR 15.211: The soil absorption system will be located six and one-half (6.5) feet away from the easterly property line, in lieu of the ten (10) feet minimum setback required. 310 CMR 15.211: The soil absorption system will be located seven (7) feet away from the northerly property line, in lieu of the ten (10) feet minimum setback required. 310 CMR 15.211: The soil absorption system will be located 13.7 feet away from the foundation wall, in lieu of the twenty (20) feet minimum setback required. 310 CMR 15.211: The septic tank will be located 5.7 feet away from the southerly property line, in lieu of the ten (10) feet minimum setback required. 310 CMR 15,211: The septic tank will be located 5..9 feet away from the foundation wall, in lieu of,the ten (10) feet minimum setback required. 310 CMR 15.221 (7): To place five (5) feet of soil cover over the top of the soil absorption system, in lieu of the three (3) feet maximum cover allowed. Q:\WPFILES\CoughanowrHal155Longwood2007.doc The variances are granted with the following conditions: (1) No more than three (3) bedrooms maximum are authorized at this property. Dens, study rooms, offices, finished attics, sleeping lofts, , and similar-type rooms are considered "bedrooms" according to the MA Department of Environmental Protection. (2) The applicant shall record a properly worded deed restriction, signed by the owner of the property, at the Barnstable County Registry of Deeds restricting the property to three (3) bedrooms maximum. A copy of the recorded deed restriction shall be submitted to the Health Agent prior to obtaining-a disposal works construction permit. (3) The septic system shall be installed in strict accordance with the plans dated September 22, 2007. (4) The designing engineer or registered sanitarian shall supervise the construction of the onsite sewage disposal system and shall certify in writing to the Board of Health that the system was installed in substantial compliance with the plans dated September 22, 2007. These variances are granted because physical constraints at the site severely restrict the location of the septic system components due to the very small size of the lot. The proposed new septic system appears to be designed to meet the maximum feasible compliance standards contained within the State Environmental Code, Title V. Sinc r ly yo(,iD. yne ile hair an Q AW PFILES\Coughano wrHal155 Lon gwood2007.doc �QF�ME rp�� DATE: ` FEE y MASS. �p i639. ��� REC. BY Town of Barnstable {� SCHED. DATE: �� / .Board of Health 200 Main Street,Hyannis MA 02601 Office: 508-862-4644 Susan G.Rask,R.S. FAX 508-790-6304 Sumner Kaufman,M.S.P.H. Wayne A.Miller,M.D. VARIANCE REQUEST FORM ' LOCATION Property Address- Assessor's Map and Parcel Number: Size of Lot: 74-00 5 f Wetlands Within 300 Ft. Yes Business Name: No ✓ SubdivisionName: 4 T - APPLICANT'S NAME: QN19 D, C00GNA'W0W 2, RS Phone tad SC+ 0 4 4- Did the owner of the property authorize you to represent him or her? Yes No PROPERTY OWNER'S NAME CONTACT PERSON Name: fit- �R�CKET ���1C`� �C,(., Name: bkUID C006 PQIV2 Address: SS' LOdJ6WOOD NVE QV03 f5 9'OZT t4 Address: �3 l t 0G(,L e1 6NAWKN, IM Phone: �6$ SR 3 Phone: IS761? ?a4 VARIANCE FROM REGULATION(List Ices) REASON FOR VARIANCE(May attach if more space needed) E)05MtG 517'E COQD6TIOQS LPftUE 00 NATURE OF WORK: House Addition 000000 House Renovation ❑ Repair of Failed Septic System Checklist (to be completed by office staff-person receiving variance request application) Please submit copies in 4 separate completed sets. Four(4)copies of the completed variance request form _ Four(4)copies of engineered plan submitted(e.g.septic system plans) Four(4)copies of labeled dimensional floor plans s`• bmitted(e.g.house plans or restaurant kitchen plans) Signed letter stating that the property owner authorized you to represent him/her for this request 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 fee for lifeguard modification renewals, grease trap variance renewals [same owner/leasee only], outside diming variance renewals [same owner/leasee only], and variances to repair failed sewage disposal systems [only if no expansion to the building proposedD Variance request submitted at least 15 days prior to meeting date VARIANCE APPROVED Wayne A.Miller,M.D.Chairman NOT`APPROVED Sumner Kaufman,M.S.P.H. REASON FOR DISAPPROVAL Susan G.Rask,R.S. Q:\HEALTH\Application Forms\VARIREQ.DOC �t C) S September 22, 2007 To Whom It May Concern: I hereby authorize David D. Coughanowr to represent us at a hearing before the Barnstable Board of Health requesting variances to Title 5 for the installation of a septic system at 55 Longwood Avenue in Hyannis Port. H. Brackett Hall r TIBBETTS ENGINEERING CORP. L nuuMQ W 3090 Acushnet Avenue 716 County Street DATE New Bedford,Ma 02745 Taunton,Ma 02780 10/2/07 (508)998-3700 (508)822-6934 JOB NO. Inst. 07-1828 rmurvoe@tibbettsengineering.com kb-gers@tibbettsengineering.com www.tibbettsengineering.com ATTENTION David Coughanower TO ECO-Tech RE: 55 Longwood Ave 43 Triangle Circle Hyannisport,MA Sandwich,MA WE ARE SENDING YOU Attached ❑Under separate cover via the following item: ❑ Shop Drawings ❑ Prints ❑'Plans Samples ❑ Specifications ❑ Copy of Letter ❑ Change order ® Reports COPIES DATE NO. DESCRIPTION r. 1 Grainsize report No. GS7264P i THESE ARE TRANSMITTED as checked below: : r), ❑ For approval ❑Approved as submitted ❑ Resubmit copies for approval ® For your use ❑Approved as noted ❑ Submit copies for distribution ® As requested ❑Returned for corrections ❑ Return corrected prints ❑ For review and comment ❑ ❑ FORBIDS DUE ❑ PRINTS RETURNED AFTER LOAN TO US TYPE OF DELIVERY: ❑ UPS ❑ FEDERAL EXPRESS ❑ CERTIFIED MAIL ❑ PRIORITY MAIL ❑ EXPRESS MAIL ❑ FIRST CLASS MAIL El HAND CARRIED' ❑ PICKED UP BY CLIENT REMARKS. j r i COPY'TO: . } SIGNED:Derek Mello If enclosed are not as noted,kindly notify us at once. tibbr=tts EnginEm-hg Corp. CONSULTING ENGINEERS 716 County Street,Tauuton.MA 02780 Tel.(508)922-6934 Fax.(508)880-7811 Client: Eco-Tech Job No. Inst. 07-1828 43 Triangle Circle Date: 10/2/2007 Sandwich, MA Report No.GS7264P Project: 55 Longwood Ave- Hyannisport, MA Combined Hydrometer and Sieve Analysis Report Dry Sieve Analysis Hydrometer Analysis of the Portion Passing the#10 Sieve Sieve % Pass. Size MM Sieve Size MM % Pass 3.01' 100.0 76.100 No. 10 2.00000 100.0 1.0" 100.0 25.400 No. 18 1.00000 80.6 1/2" 99.2 12.700 No. 35 0.50000 40.9 3/8" 98.9 9.510 No. 60 0.25000 13.3 No.4 97.0 4.760 No. 140 0.10500 4.4 No. 10 83.9 2.000 No. 270 0.05300 2.7 0.05072 2.8 0.03590 2.5 0.02933 2.3 0.02076 2.0 0.01468 2.0 0.01040 1.8 0.00736 1.5 ' 0.00522 1.0 0.00369 1.0 0.00261 1.0 0.00135 1.0 ,zPercent of Total Sample For Triangle Classification Retained on the No. 10 Sieve Based on Material passing the No. 10 Sieve % Retained (2mm) = 16.1 % Sand 97.28 Silt 1..72 % Clay 1.00 Remarks: Matt Rebello Technician Christopher M.. White/PE Laboratory Director TIBBETTS ENCIINC ERRING CORP. C Soil Grain Size Analysis Usina ASTM D-422 # U.S. Standard Sieve Size Total Sample Curve —L— Mat. Pass. #10 Curve 100 #270 4140 #60 #35 #18 10 #4. 3/8"/2" 100 90 90 80 80 70 s 70 � 60 60 � c 50 50 c i.L c 40 40 . � v 30 30 � a- 20 20 All 10 10 aa1 .01 .1 1 10 100 Grain Size in Millimeters Job No, Inst. 07-1828 55 Longwood Ave — Hyannisport, MA - Report. No. GS7264P ` = TOWN OF BARNSTABLE LOCATION S S G.o G, t� n o,.j �)Z SEWAGE # VILLAGE ASSESSOR'S MAP & LOT 7 6 INSTALLER'S NAME & PHONE NO. 44 SEPTIC TANK CAPACITY /6 6 O LEACHING FACILITY:(type) F ! (size) NO. OF BEDROOMS PRIVATE WELL OR PUBLIC WATER BUILDER OR OWNER )�G DATE PERMIT ISSUED: DATE COMPLIANCE ISSUED: VARIANCE GRANTED: Yes No v .��, � �, i I vC � �, . J s �o� fi G ,' ,_._,� .. '3 �, - r� �� L 0,,,C A TJON SE, A G PE IT NO. S S W-J-6 /+ �l� VILLAGE I N S T A L L E fS a NAClE & ADDRESS N U I L D E R OR OtWnE DA T E P ERMIT ISSU E D DATE COMPLIANCEI ISSUED 3` ti f � - t ,. J ��� �b -- _ _ _ ����� i 1 f� Y•� �. t, ALL PIPE SPECIED ARE ELEVA ATIONS E L O W PROFILE EXPRESSEDLINV DECIMAL FEET NOT FEET AND INVERT INCHES.TIONS RAISE COVERS TO WITHIN SIX INCHES OF FINAL GRADE VENT TOP OF FOUNDATION PIPE ONE INSPECTION RISER FOR LEACHING GALLERY TO EL = 33.49+- WITHIN 3 INCHES OF FINAL GRADE AS INSPECTION PORT. 33.00 D-BOX ALL PIPE 5 Ft SCHEDULET B 40PVC 3" DROP H-20 MAX AND TO PITCH AT FLOW LINE 1/8 to/Ft MIN. 1o„ _ 28:00 14' H=20 40 GAS�� PRECAST BAFFLE ORYWELL \29.50 �6i n BOTTOM OF UOO ON LEACHING , LEACHING 2'�.93 LE C ING' zpcpa BASE GALLERY 6 in STONE BASE 28.10 2F.83 GALLERY 1500 GALLON (END VIEW) 25.63 5.00 Ft SEPTIC TANK SEE DETAIL ON REVERSE Ilk 5.9 f t �6 ft e1 4 ft 6.5 ft ` bl 10.5 ft • ADJUSTED SEASONAL Y 5.2 HIGH GROUNDWATER �l (n -00-1 �-IW -zw (nrW -InW -i-IW ;u azm oam rnzm omm 00m -T1 O 2 3 O i rn o m = O m�0 >cnn am arnn am arnn O O 3 rimI n 3 ° aOA. n2� �m� );-t W�)0 -O� �lJ -I O y r Z z (ZlIOrn �I�n) ��N °mN �aN 1'�- f�-r�. �y� o z C O ~ ��-< mm n V O o° -TI n m�� mm a�cn 0°cn Dmco o rn cm O a 0 m �— o 0 3 0 0 ��z o5 0 �o� ��� �rtr ,,mom f�'. ° c o°° ,rn3m o�n man �3a �m> Z -I a �J Z r-9 nx0 Zmy o y Zz� m J una -<Mm n�i 1 Z yz �m� m�� �°? ° �� rn°rn rnrnrn W MZF c c< c--- �°� W �� vsza — oo� 0 �O n° crnn-m y�Z EDo�X -c: mzm rn� M ci oocn 1 (�n cn�a V) 12 �rnr- 0-0 o � � Z � � F! m v 1 ~° o ° o� ;l3 0 0 �J S�IINds pN- I _ 1 o z rn 1 m ��dll n1S t,r-1 1 mn° ('n po FTJ n o p1p m� 1 � o Z rn orn Q f?� 1 3b3N 3N1 1 m z a C Z A rn \ , 2I3M39 31�°a3� O C�J rn 1 Co o m o y Z m u! X 3N1� �31VM 3 O � m o 2 � z u! rn �r �w03 rn mo 0- rn U) NI, 1SVJ Z >� amr Wn s5 O TF�1 1 om mmrn y zcmn �NIN N t5rn� r-- < O 0• r�V ym� =..moo r- w \ �p Z O � �m �0 =orr, o rnr- GJ� v J 3 mZ o-rc r-on m -�a .4-TA ~ �1m0 a I �zo ~ omm in1 \ w-z \ I c cn2 Z \ ❑ 1 z (n r 3 p Irt 3 O m ` Z tJ3NI-1• 1 =rr,z m � o y �rn Frn °Z0 `M om COiyM \ > i r 2 r cn )rri� m 2 3 z �r 1 ' > e o�z o0 = n „ ` / rn m>.= m mo 0 CD rV ` � `CO o a \ m � in --�. w rn rn o o r- ti Fo C4 _ _ w am m m z �o� a z-0 r- rti __ Cs- $11�`'���a`' + --� be Z y rn 3 m r O oTj z = o�' � oMMoN� --- -� O� ^�O CD o o = W� Z �� ^ / O J ` O t�� /� �/ m-W a fT1 Z Dm r o0 m = D o 3nN� \ Vv � 3 -la o O > y00 �a� � Y) D Z � O = �oZ � Ul 3 3 m =r-M0= p aW _ > m Imo- y C m 3� 03�r-�nm ao o� ®� o o r N y m� �m �z z nzoo > rn w n D °� ® rn zo rn 0 , oomoz m 0j _C � z o M "_ U� ny > I O ,, cn i 1 9 m 1n —o ro y r C m..m (1 �o.zo�a N � mn ® m ZQ J Z i �u �>m m �� �� �y ctl to W N �a �Z (n =O�r-O m co Q)F- �1' y r O = Q >m>>z wrn i a 0) a ° ,(�, O o (D=0OZ O 411) � VI O -irn 11 1 (]) o(n O • O O >o�z � Ulm O z y • �CD c> wnz . n =• m cn (r) M cf) cn c . a) Cm� � o � r o h m Nrncn o rn O f�l y > ° mmyrn3 ,1 uAi Z O O O mz M .1, 3 a Z � M m aiv I I o cn 0-0 z fU ' ° Z O � cr) ' -V in 0) ' ' n m ( 3ClN3A V • 2 Z� z 31131V3V l a m��o� N 3 m N n X O a � J cnzo 0� CO m O Ro Ul ro cN11 rn W i i p �° ' I Zp O < c`n m. (n -I] O O m to m I I Z rn ' . I -4 Z b m 3 0 o m �l o o p 0 Z z r— 0 2 (� " 3f1N3n V O C)i m�9 rn y > C) Ul y v J p OOOMJNO� r- ;a o N m n > Z p r > � o z zo-<�.. Z N cD rn < (� � � n0 n m c c D oo�zn� N r rn F 3 ra-~ > c W 0o r-cn z 6 3 Z f to rn-I r � m m z < Uri m LT1 > _ O 17 IYANOUGH -ii > 0 0 z--4 m -q rn r- w AVENUE > m �0 3 0 f Z m SOIL TEST -1 OG DESIGN CALCULATIONS DATE OF TEST: SEPTEMBER 20. 2007 DESIGN FLOW: 3 BEDROOMS X 110 GPD = 330 GPD SOIL EVALUATOR: DAVID D. COUGHANOWR. L.S.E # 461 SEPTIC TANK: 330 GPD X 2 DAYS = 660 GALLONS WITNESSED BY: DONNA MIORANDI. HEALTH DEPT. INSTALL 1500 GALLON SEPTIC TANK (MINIMUM ALLOWED) PERC NUMBER: 11894 DISTRIBUTION BOX: USE 3 OUTLET D-BOX. SOIL ABSORBTION SYSTEM: A 33 Ft x 8.5 Ft. x 2 Ft LEACHING GALLERY CAN LEACH TEST PIT 1 NO GROUNDWATER ENCOUNTERED PARENT MATERIAL: PROGLACIAL OUTWASH A6ot = (33 x 6.5 ) = 260.5 sF PERC AT �2 fn - 20 MIN/INCH IN Cl SOILS Asdw = ( 33 + 33 + 8.5 + 8.5 ) x 2 = 166 sF Atot = 446.5 sf ELEVATION DEPTH SOIL USDA SOIL SOIL COLOR SOIL OTHER Vt 0.74 x 446.5 = 330.4 GPD 34.15 (INCHES) HORIZON TEXTURE (MUNSELL) MOTTLING USE A 33 Ft x 8.5 Ft x 2 Ft GALLERY. Vt = 330.4 GPD > 330 GPD REOUIRED 0-14 FILL 14-40 B LOAMY SAND 10 YR 5/6 NONE FRIABLE 40-86 Cl SANDY LOAM 10 YR 5/4 NONE FRIABLE LEACHING GALLERY CONSTRUCTION 2698 DETAIL 86-134 C2 MEDUIM SAND 10 YR 6/3 NONE LOOSE SHOREY PRECAST CONCRETE 22.96 500 GALLON DRYWELL STON 1500 GALLON SEPTIC TANK NO DIMENSIONS AND DETAIL NO T TO TEST PIT 2 PAARENOTUNDWATE MAATERIA EPROGLACIRALD OUTWASH 33.5 F0 1 1 USE SHOREY ST-1500-H-10 SCALE 2 MIN/INCH IN C2 SOILS m ELEVATION DEPTH SOIL USDA SOIL SOIL COLOR SOIL OTHER m 4. 1 In (INCHES) HORIZON TEXTURE (MUNSELL) MOTTLING to O O O 1 LD TAPER 32.50 0-16 FILL °D m 0D t 18 38 B LOAMY SAND 10 YR 5/6 NONE FRIABLE o 38-80 Cl SANDY LOAM 10 YR 5/4 NONE FRIABLE 3 -g- e-6- 8-6� 8-6 3'-9 0 5 F'f.- 8 In 25.83 60-130 C2 MEDUIM SAND 10 YR 6/3 NONE LOOSE 3 3.0 Ft NO O 21.67 LEACHING GALLERY .e VO CROSS SECTION VIEW USE SHOREY PRECAST SPIN GALLON LEACHING DRYWELL (H-2e LOADING) GROUNDWATER ADJUSTMENT In 2 In PEASTOhE 2 in FEASTOhE EXISTING GROUNDWATER LEVEL INLET CENTER OUTLET BASED ON TOWN OF BARNSTABLE END COVER END GIS DEPARTMENT RECORDS. 28 /4 In T -4 in In EFFEC-1 2 In p2AVEL DEFECTIVE 1-1 2 3/4 7n-T VEL in 26 3 IN DROP INDICATED GW 3.00 —> A, v FLOW LINE INDEX WELL M1W-29 FROM ZONE A 46 in 58 in 46 in BUILDING 10 1n 14 D BOX READING DATE AUGUST. 2007 READING 9.0 150 In 48 ADJUSTMENT 2.2 INSTALLER MAY SUBSTITUTE AN APPROVED GEOTEXTILE LIQUID GAS ADJUSTED G W 5.2 FABRIC IN PLACE OF THE PEASTONE LAYER SPECIFIED LEVEL BAFFLE NOTES 500 GALLON DRYWELL DIMENSIONS AND DETAIL USE H-20 UNIT INSTALL ONE INSPECTION CROSS SECTION VIEW 01) INSTALLER TO OBTAIN DISPOSAL WORKS PERMIT BEFORE STARTING WORK. RISER TO WITHIN THREE INCHES OF FINAL GRADE AND INDICATE LOCATION 3) ALL COMPONENTS INSTALLED SHALL MEET THE MINIMUM REOUIREMENTS ON AS-BUILT CARD. OF MASSACHUSETTS TITLE 5 SEPTIC CODE (310 CMR 15). 4) INSTALLER TO VERIFY LOCATIONS OF ALL UNDERGROUND UTILITIES BEFORE EXCAVATING FOR SYSTEM. c SEWAGE DISPOSAL SYSTEM PLAN 5) EXISTING CESSPOOLS TO BE PUMPED. COLLAPSED. AND FILLED. DODO o _ jnv 6) ALL STONE TO BE DOUBLE WASHED AND FREE OF IRON. FINES AND DUST IN PLACE. 0000000000o p0000 —TO SERVE EXISTING DWELLING Z) ECO-TECH ENVIRONMENTAL RECOMMENDS THE INSTALLATION OF LOW FLOW FIXTURES ��000000000 OOp AND APPLIANCES. AND BIANNUAL PUMPING OF THE SEPTIC TANK. moo p s H. BRACKET AND NANCY HALL 8) SYSTEM IS NOT DESIGNED TO WITHSTAND VEHICULAR LOADING. DO NOT JZ? �g 55 LONGWOOD DRIVE HYANNIS PORT. MA PARK OR DRIVE VEHICLES OVER SEPTIC SYSTEM. In 9) SEPTIC TANKS SHALL BE INSTALLED LEVEL AND TRUE TO GRADE ON''A LEVEL ECO-TECH ENVIRONMENTAL STABLE BASE THAT HAS BEEN MECHANICALLY COMPACTED AND ON TO WHICH 43 TRIANGLE CIRCLE SANDWICH MA 02563 SIX INCHES OF CRUSHED STONE HAS BEEN PLACED 'TO MINIMIZE UNEVEN SETTLING. ETE-2718 I SEPTEMBER 22, 2007 1 1212 ALL PIPE ELEVATIONS SPECIFIED ARE INVERT ELEVATIONS - FLOW PROFILE EXPRESSED IN DECIMAL FEET NOT FEET AND INCHES. }c RAISE COVERS TO WITHIN SIX INCHES OF FINAL GRADE VENT TOP OF FOUNDATION PIPE ONE INSPECTION RISER FOR LEACHING GALLERY TO EL = 33.49+- WITHIN 3 INCHES OF FINAL GRADE AS INSPECTION PORT. 33.00 D-UOX ALL PIPE T 5 f t SCHEDULE 08 VC /3" DROP H-20 MAX AND TO PITCH AT FLOW LINE 1/8 zin/FL MIN. 10" = II 2e.00 14 H-20 46" GASH PRECAST BAFFLE DRYWELL 30^00 29.50 6 im LLEEACH LEACHING OTTOM F 21.93 LEACHING GALLERY MIN BASE 29.75 6 in STONE BASE 28.10 GALLERY 1500 GALLON - 27.83 (END VIEW) 25.83 5.00 Ft + T T SEPTIC IC TANK SEE DETAIL ON REVERSE 5.9 Ft I- f� 76 Ft e) 4 Ft 8.5,Ft b) 10.5 Ft ADJUSTED SEASONAL P 5.2 HIGH GROUNDWATER. 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N co m < n —�{ m 1n z Cn V J < 2 z > cn Zn z N r nl r- 3 n 0 > c � o �oc�� p Z = '' mo rrn 3 mYAIV � z �mzrnz �'� rn r- 01- w AVENUE < 0��'3mo r Z m SOIL TEST LOG DESIGN CALCULATIONS DESIGN FLOW: 3 BEDROOMS X 110 GPD = 330 GPD DATE OF TEST: SEPTEMBER 20. 2007 SOIL EVALUATOR: DAVID D. COUGHANOWR. L.S.E * 461 SEPTIC TANK: 330 GPD X 2 DAYS = 660 GALLONS WITNESSED BY: DONNA MIORANDI. HEALTH DEPT. INSTALL 1500 GALLON SEPTIC TANK (MINIMUM ALLOWED) PERC NUMBER: 11894 DISTRIBUTION BOX: USE 3 OUTLET D-BOX. SOIL ABSORBTION SYSTEM: A 33 Ft x 8,5 Ft- x 2 Ft LEACHING GALLERY CAN LEACH TEST PIT 1 NO GROUNDWATER ENCOUNTERED PARENT MATERIAL: PROGLACIAL OUTWASH Abot. = (33 x 8.5 ) = 260.5 sf PERC AT 72 sn - 20 MIN/INCH IN C1 SOILS Asdw = ( 33 + 33 + 6.5 + 6.5 ) x 2 = 166 sf Ato 446.5 or . ELEVATION DEPTH SOIL USDA SOIL SOIL COLOR SOIL OTHER vt 74 446.5 = 330.4 GPD (INCHES) HORIZON TEXTURE (MUNSELL) MOTTLING USE A 33 Ft x 8.5 FL x 2 Ft GALLERY. Vt = 330.4 GPD > 330 GPD REOUIRED 34.15 0-14 FILL 14-40 B LOAMY SAND 10 YR 5/6 NONE FRIABLE 40-86 Cl SANDY LOAM 10 YR 5/4 NONE FRIABLE LEACHING GALLERY CONS RUCTION 26.9E 86-134 C2 MEDUIM SAND 10 YR 6/3 NONE LOOSE SHOREY PRECAST CONCRETE 22.98 500 GALLON DRYWELL STON 1500 GALLON SEPTIC TANK TEST PIT 2 NO GROUNDWATER ENCOUNTERED DIMENSIONS AND DETAIL NOT TO PARENT MATERIAL: PROGLACIAL OUTWASH 33.5 f 0 USE SHOREY ST-1500-H-I0 SCALE 2 MIN/INCH IN C2 SOILS m ELEVATION DEPTH SOIL USDA SOIL SOIL COLOR SOIL OTHER (} e (+- 1 In 32.50 (INCHES) HORIZON TEXTURE (MUNSELL) MOTTLING � O O O Ln TAPER 0-18 FILL m m °D 1B-38 B LOAMY SAND 10 YR 5/6 NONE FRIABLE 0 0 5 Ft- 3B-80 C1 SANDY LOAM 10 YR 5/4 NONE FRIABLE 3 -9" 6-6" 8-6" 8-6" 3'-9' 0 8 In 25.83 NOT TO 80-130 C2 MEDUIM SAND 10 YR 6/3 NONE LOOSE 3 3.0 f t SCALE 21.67 LEACHING GALLERY 1` CROSS SECTION VIEW 10 GROUNDWATER ADJUSTMENT USE SHOREY PRECAST 500 GALLON LEACHING DRYWELL (H-2:0 LOADING) jr-7 2 fn PEASTCAE r2 in PEASTOAE EXISTING GROUNDWATER LEVEL INLET CENTER OUTLET BASED ON TOWN OF BARNSTABLE END COVER END GIS DEPARTMENT RECORDS. 28 /4 1n T 24 In In -1 2 in GRAVEL EFFECTIVE 3/4 In TO 26 M.. .M.M..M.. ... INDICATED G W 3.00 DEPTH 1-I 2 fn GRA In 3 IN DROP INDEX WELL M1W-29 -► FLOW LINE ZONE A 46 in 58 in 46 in BUILDING 10i^ 1 4 D-BOX READING DATE AUGUST. 2007 READING 9.0 1501 in 48 ADJUSTMENT 2.2 INSTALLER MAY SUBSTITUTE AN APPROVED GEOTEXTILE LIQUID GAS ADJUSTED G W 5.2 FABRIC IN PLACE OF THE PEASTONE LAYER SPECIFIED LEVEL BAFFLE NOTES 500 GALLON DRYWELL DIMENSIONS AND DETAIL USE H-20 UNIT INSTALL ONE INSPECTION CROSS SECTION VIEW D INSTALLER TO OBTAIN DISPOSAL WORKS PERMIT BEFORE STARTING WORK. RISER TO WITHIN THREE ^ INCHES OF FINAL GRADE AND INDICATE LOCATION 3) ALL COMPONENTS INSTALLED SHALL MEET THE MINIMUM REOUIREMENTS ON AS-BUILT CARD. OF MASSACHUSETTS TITLE 5 SEPTIC CODE (310 CMR 15). 4) INSTALLER TO VERIFY LOCATIONS OF ALL UNDERGROUND UTILITIES BEFORE EXCAVATING FOR SYSTEM. � SEWAGE DISPOSAL SYSTEM PLAN Q� 36 5) EXISTING CESSPOOLS TO BE PUMPED. COLLAPSED. AND FILLED. ppp OQ in 6) ALL STONE TO BE DOUBLE WASHED AND FREE OF IRON. FINES AND DUST IN PLACE. 000000p0000 ���0� -TO SERVE EXISTING DWELLING 7) ECO-TECH ENVIRONMENTAL RECOMMENDS THE INSTALLATION OF LOW FLOW FIXTURES ppppa000p �Q 81� H. BRACKET AND NANCY HALL AND APPLIANCES. AND BIANNUAL PUMPING OF THE SEPTIC TANK. a 8) SYSTEM IS NOT DESIGNED TO WITHSTAND VEHICULAR LOADING. DO NOT 1oZ 55 LONGWOOD DRIVE HYANNIS PORT, MA PARK OR DRIVE VEHICLES OVER SEPTIC SYSTEM. 1n 9) SEPTIC TANKS SHALL BE INSTALLED LEVEL AND TRUE TO GRADE ON A LEVEL ECO-TECH ENVIRONMENTAL STABLE BASE THAT HAS BEEN MECHANICALLY COMPACTED AND ON' TO WHICH 43 TRIANGLE CIRCLE SANDWICH MA 02563 SIX INCHES OF CRUSHED STONE HAS BEEN PLACED TO MINIMIZE UNEVEN SETTLING. ETE-2718 I SEPTEMBER 22, 2007 2/2 MATGI4 EXISTING . RAKES WITH 12" - .. OVERHANG ' ASPHALT ROOK - ,. 2 ® MATCH EXISTING ® F91 - - A RAKES AND - ® OVERHANG - EXISTING EXISTING ® Ali] EXISTING . LEFT ELEVATION FRONT ELEVATION PHAL' ROOFIN - o° 2+ EXISTING EXISTING Fm nFEM Fm rm RIGHT ELEVATION REAR ELEVATION R1L71ND ANDVOM mium .SEC. i c GUILDER JOB ADDRESS DESIGN - DATE REVISION DRAWN BT PAGE SCALE THOMAS P DAMELIO 55 LONGWOOD AYE. PROPOSED pORMER ✓�^%�-✓��/ � °�0 ° ��/�31/ ��� 0 ° 10-30-13 N JB •�"' S va°.r o• J DC�s ig�ns BUILDING 3 REMODELING WYANNISPORT, MA. �j m-A OF-W, LS�„ 0284.19 M`��%H6D R@Bp IR ALL W D(ACT&I=Nm WENFORGEMENT OF A"GWLREIE FOOTINGS W ALL FOOTIMG!MALL 2 fE1D B6OW FROBTL v9a11 D9^M1�. OW1BIBld MOOT BE DETERM"'M BT LOCAL SOW OONDRIONS AND ACCEPTABLE OU VERIFY STRUCIIRAL LaEMSNTS FOR DBSIGN i OUR PA.OLFf Sid L z FOR SITE CONDITIONS OR FOR THIS UN OF NEN DRAOiNOS OARING CONSTRUCTIM PRACTICES OF GONSTW6TION.VBZIFY DE 14 WM LOCAL L4IGINLESL UY LOCAL 04GNM AND&A DM OFFICIALS. 4Wr9iI rAftA MA.CIMM '.w.mm_r.A<.xa�u_res..r.- .��rt^....c- r�:wr.Aaar:.v -,zrr_-r.�r-s.c..-._.__..:r_n+os-.•+sc-.c--e:.�.¢:�•^n. +err.-�mrsrtc:.mar,�rtc�eamxusm.gin-cc...y'rr+c�:¢s^ivsu., man au-�s __2^�v�rr--� - —�'_ _ ,�-•_ -. x-�vrs�_®_-zxr..a�..c.—=aa_v aearrsvr. ._ ._Yc:y:.��av�»fuc'-arxm.�%ncss•"' _ , i STATRB OOwN EXISTING - IXIS7ING EXIST BATH BEDROOM BATH - - EXISTING BEDROOM EXIST.SHOWER - O EXISTING - KITCHEN WmiR BTAIRB . OPENING ., ---- --- ---- EXIBt. SIrPxBV1-PARAua+POLe -------------- DECK EXISTING F; Poet®To no'xaokM ------ CCNC.FOOTM BEL= PEN QQ .I ------------- ------------- EXISTING EXISTING S £ EXISTING - BEDROO BEDROOM I EXIST. I I 1 LIVING v �� E L - ; I BATH - EXISTING CNANF£ q� DECK I aw coon - d AREA EXISTING Q SITTING 2 ram' re' AREA 4'-0" 4'-II' eraw DouIN LANOLNO . 9V!'X3l(l PARALLAM ta' POLJ cOm& - L1 - ----- J m �.---- ----- m 1 =� EXISTING.FIRST FLOOR PLAN NEIu DORMER , AREAI j ti �2X16 OG o � I� I/7"PA �t 11 •-------------'�-� A COLUMN&. P I: EXIST, I m s EXISTING 4'-0°�2 .- I f .m BEDROOM I - I i I OVAL i PROPOSED SECON' FLOOR PLAN Ruu meN ,� IXI TING I , ----------------------------------' D I EXISTING I - f. IBEDROOM i I i . I I I W I NOT 1�ISME` I ;-•-----------------_=•------------------------------------------ ENGINEER RWORT SPECIFICATIONS .. DATED II-11-13 18 PART OF THIS DESIGN, SNOWS CONNECTION AND DESIGN //✓20�/g ------------------------- ------ EXISTING SECOND FLOOR PLAN REQUIREMENTS. JOB ADDRESS DESIGN QQQQ���Q DATE REVISION DRAWN BY SCALE THOMAS P DAMELIO 58 LONGWOOD AVE. 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