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Home My WebLink About0020 QUAIL LANE - Health 20 Quail Lane Hyannis A- 287 — 1.09 II C� No. ``�:`` �) `�` —� Fee v BOARD OF HEALTH TOWN OF BARNSTABLEI� I 01ppYtcatiou jFor lVerr Cou5tructiou 3pernut Application is hereby made for a permit to Construct Alter( ), or Repair( ) an individual well at: c:)z a)(AeA L L r) n Location-Address Assessors and Parce /vlo,n.e V a J4 -j j� er A ress Installer-Driller Address Type of Building, Dwelling Other-Type of Building No. of Persons Type of Well ��r�a��w 4i " /9J C Capacity Purpose of Well Agreement: The undersigned agrees to install the afore described individual well in accordance with the provisions of the Town of Barnstable Board of Health Private Well Protection Regulation-The undersigned further agrees not to place the well in operation until a Certificate of omp fiance has been issued by the Board of Health. Signed Date Application Approved B 1 Date Application Disapproved for the following reasons: q ` Date Permit No. 1 � LL Issued Date --------------------------------------------------------------------------------------------------------- BOARD OF HEALTH TOWN OF BARNSTABLE Certificate of Compliance THIS IS TO CERTIFY,that the individual well Constructed(-), Altered( ), or Repaired( ) by D A 5A.4,�c// Installer at Qo uu, L N �vc�w ;s Po)T ter, has been installed in accordance with the provisions of the Town of Bamstablq Board of Health Private Well Protect' n Regulation as described in the application for Well Construction Permit No. )44 -03 kl)ated I\ �k THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE WELL SYSTEM WILL FUNCTION SATISFACTORILY. Date Inspector No. `i —G 3 Fee �5- BOARD OF HEALTH TOWN OF BARNSTABLEq 2pplication jfor Yell Construction Permit Application is hereby made for a permit to Construct(tl/), Alter( ), or Repair( ) an individual well at: Ja q �a � L Lr� Location-Address / Assessors {/Ma`p/and Parcel,1{ O ner Address 4,6- 9T I<<I Installer-Driller Address Type of Building Dwelling Other-Type of Building No. of Persons Type of Well /(� �w �/ �� c Capacity Purpose of Well Agreement: The undersigned agrees to install the afore described individual well in accordance with the provisions of the Town of Barnstable Board of Health Private Well Protection Regulation-The undersigned further agrees not to place the well in operation until a Certificate o Gom liance has been issued by the Board of Health. Signed A Date ZJaLIZ�� Application Approved B i Date Application Disapproved for the following reasons: r � 11 2 Date ' Permit No. �V � � LC -a `� �0 Issued \1 1 l Date BOARD OF HEALTH TOWN OF BARNSTABLE_ Certificate of Compliance THIS IS TO CERTIFY,that the individual well Constructed(�), Altered( ), or Repaired( D A ) by �co +,v /� Installer at Jy buu, C (�,/aw,. s �iT r- G has been installed in accordance with the provisions of the Town of Barnstable Board of Health Private W 1 Pr°�tectt* n Regulation as described in the application for Well Construction Permit No. �� -G 3 0 Dated 1 � �� 1 '1 THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE WELL SYSTEM WILL FUNCTION SATISFACTORILY. Date Inspector BOARD OF HEALTH TOWN OF BARNSTABLE l lVerr Con�tructton Permit No. W 1�-' >r L') �� `�� Fee Permission is hereby granted to C. Installer to Construct(✓S, Alter( ), or Repair O an individual well at: No. Jy cJUo� L �r r�� ;n. ,t P. ✓LtU ' Street ~' 7� L \ 1 as shown on the application for a Well Construction Permit No. (� Dated `� Date Approved By,., f Commonwealth of Massachusetts COPY Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 20 Quail Lane Property Address Hugh O'Neill Owner Owner's Name information is required for KpAnoek— Q n V1I MA 02647 November 5, 2010 every page. City/Town State Zip Code Date of Inspection Inspection results must be submitted on this form. Inspection forms may not be altered in any way. Please see completeness checklist at the end of the form. Important:When filling out A. General Information forms the computer, r,use 1. Inspector: ��///) only the tab key to move your Patrick T. Sullivan cursor-do not Name of Inspector use the return key. Ready Rooter, Inc. Company Name P.O. Box 371 Company Address Sandwich MA 02563 City/Town State Zip Code 508-888-6055 SI 12843 Telephone Number License Number B. Certification I certify that I have personally inspected the sewage disposal system at this address and that the information reported below is true, accurate and complete as of the time of the inspection. The inspection was performed based on my training and experience in the proper function and maintenance of on site sewage disposal systems. I am a DEP approved system inspector pursuant to Section 16.340 of Title 5(310 CMR 15.000).The system: ® Passes ❑ Conditionally Passes ❑ Fails ❑ Needs Further Evaluation by the Local Approving Authority �- November 15, 2010 ' " 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,6r has a design flow of 10,000 gpd or greater, the inspector and the system owner shall submit the,a 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 Qf 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-09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 1 of 1 i Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments �s 20 Quail Lane Property Address Hugh O'Neill Owner Owner's Name information is required for Hyannisport MA 02647 November 5, 2010 every page. Citylrown 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: ® 1 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: Recommend removal of garbage grinder. 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)he 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*o the septic tank(whether metal or not) is structurally unsound, exhibits substantial infiltra' n or exfiltration or tank failure is imminent. System will pass inspection if the existing tank is repla ed 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 le s than 20 years old is available. ❑ Y ❑ N ❑ ND xplain below): t5ins•09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 2 of 2 f Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 20 Quail Lane Property Address Hugh O'Neill Owner Owner's Name informatifor y pon is required H annis ort MA 02647 November 5, 2010 every page. Cityrrown State Zip Code Date of Inspection B. Certification (cont.) 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 Boar7E] th): El broken pipe(s)are replaced [IY ❑ N El ND (Explain below): ❑ obstruction is removed Y ❑ N ❑ ND (Explain below): ❑ distribution box is leveled or eplaced ❑ 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 R/fu he Board of Health: ❑ Conditions exist which r evaluation by the Board of Health in order to determine if the system is failing to pealth, safety or the environment. 1. System will pass unf Health determines in accordance with 310 CMR 15.303(1)(b)that the syunctioning in a manner which will protect public health, safety and the environ ❑ 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 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 3 of 3 i Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 20 Quail Lane Property Address Hugh O'Neill Owner Owner's Name information is required for Hyannisport MA 02647 November 5, 2010 every 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 anner that protects the public health, safety and environment: ❑ The system has a septic tank and s ' absorption system (SAS)and the SAS is within 100 feet of a surface water supply tributary to a surface water supply. ❑ The system has a septic tank and AS and the SAS is within a Zone 1 of a public water supply. ❑ The system has a septic tank d SAS and the SAS is within 50 feet of a private water supply well. ❑ The system has a septic tank and S S and the SAS is less than 100 feet but 50 feet or more from a private water supply ll**. Method used to determine distan e: **This system passes if the well ater analysis, performed at a DEP certified laboratory, for coliform bacteria indicates absent and t presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided th 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 %day flow t5ins•09/08 Title 5 Official Inspection Forth:Subsurface Sewage Disposal System•Page 4 of 4 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments " 20 Quail Lane Property Address Hugh O'Neill Owner Owner's Name information is required for Hy p annis ort MA 02647 November 5, 2010 every page. Cityfrown 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. El ® 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 21000gpd- 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 0 feet of a surface drinking water supply ❑ ❑ the system is wit ' 200 feet of a tributary to a surface drinking water supply ❑ ❑ the system is I ated in a nitrogen sensitive area(interim Wellhead Protection Area—IWPA) r a mapped Zone II of a public water supply well !, If you have answered"yes"to an question in Section E the system is considered a significant threat, or answered"yes" in Section D ove the large system has failed. The owner or operator of any large system considered a significa threat under Section E or failed under Section D shall upgrade the system in accordance with 0 CMR 15.304. The system owner should contact the appropriate regional office of the Depa ment. t5ins-09108 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 5 of 5 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 20 Quail Lane Property Address Hugh O'Neill Owner Owner's Name information is p required for y H annis ort MA 02647 November 5, 2010 every 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: F 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? f ® ❑ 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)] y D. System Information Residential Flow Conditions: Number of bedrooms(design): 7 Number of bedrooms (actual): 7 DESIGN flow based on 310 CMR 15.203(for example: 110 gpd x#of bedrooms): 770 GPD I t5ins•09/06 Title 5 official Inspection Form:Subsurface Sewage Disposal System•Page 6 of 6 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 20 Quail Lane Property Address Hugh O'Neill Owner Owner's Name information is H annis ort required for y P MA 02647 November 5, 2010 every page. Cityrrown State Zip Code Date of Inspection D. System Information Description: Number of current residents. 2 Does residence have a garbage grinder? ED Yes ❑ No Is laundry on a separate sewage system? [if yes separate inspection required] ❑ Yes ® No Laundry system inspected? ❑ Yes ❑ No Seasonaluse? ❑ Yes ® No Water meter readings, if available last 2 ears usage d 2008=676 GPD* g ( y g (gP ))' 2009= 594 GPD* Detail: * High water usage in summer months due to irrigation. Sump pump? ❑ Yes ® No Last date of occupancy: CurrentDate 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., et . Grease trap present? E] Yes ❑ No Industrial waste holding tank present? ❑ Yes ❑ No I Non-sanitary waste discharged to a Title 5 system? ❑ Yes ❑ No Water meter readings, if availa e: t5ins-09/08 Title 6 Official Inspection Form:Subsurface Sewage Disposal System•Page 7 of 7 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 20 Quail Lane Property Address Hugh O'Neill Owner Owner's Name information is required for Hy p annis ort MA 02647 November 5, 2010 every 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: Ready Rooter records: Pumped 12/08,+ 12/07 Was system pumped as part of the inspection? ® Yes ❑ No If yes, volume pumped: 1500 gallons How was quantity pumped determined? Site tube on truck Reason for pumping: Maintenance 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 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 8 of 8 Commonwealth of Massachusetts lugTitle 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 20 Quail Lane Property Address Hugh O'Neill Owner Owner's Name information is required for HY p annis ort MA 02647 November 5, 2010 every 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: Septic tank and first pit installed 1981. Second pit added in late 1980's. Town and owners records. Were sewage odors detected when arriving at the site? ❑ Yes ® No Building Sewer(locate on site plan): Depth below grade: 2211 feet Material of construction: ❑ cast iron ®40 PVC ❑ other(explain): Distance from private water supply well or suction line: N/A feet Comments(on condition of joints, venting, evidence of leakage, etc.): Septic Tank(locate on site plan): Depth below grade: 1.5 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: I V X 5'X 4.5' Sludge depth: 3" t5ins-09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 9 of 9 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments °< 20 Quail Lane Property Address Hugh O'Neill Owner Owner's Name information is required for Hy p annis ort MA 02647 November 5, 2010 every page. CityrFown State Zip Code Date of Inspection D. System Information (cont.) Septic Tank(cont.) U11 Distance from top of sludge to bottom of outlet tee or baffle Scum thickness 4" Distance from top of scum to top of outlet tee or baffle 6" Distance from bottom of scum to bottom of outlet tee or baffle 10" How were dimensions determined? Tape measure and dip tube. Comments(on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): Inlet and outlet PVC tees in place. Liquid level at outlet invert. Outlet filter in place. Risers bring covers within 6"of grade. Grease Trap(locate on site plan): Depth below grade: feet Material of construction: ❑ concrete ❑ metal ❑/erglass ❑ polyethylene ❑ other(explain): Dimensions: Scum thickness Distance from top of scum to top of o let tee or baffle Distance from bottom of scum to b ttom 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 10 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments °t 20 Quail Lane Property Address Hugh O'Neill Owner Owner's Name information is H annis ort re uired for y p MA 02647 November 5, 2010 every 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 f alarm and float switches, etc.): *Attach copy of current pumping contract(required). Is copy attached? ❑ Yes ❑ No t5ins-09l08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 11 of 11 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 20 Quail Lane Property Address Hugh O'Neill Owner Owner's Name information is required for Hy p annis ort MA 02647 November 5, 2010 every page. Cityfrown 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.): One inlet, two outlets. No solids carryover. Equal flow. No sign of high water staining over outlet invets. Riser brings cover within 6"of grade. Pump Chamber(locate on site plan): Pumps in working order: ❑ Yes ❑ No Alarms in working order: ❑ Yes ❑ No Comments(note condition of pu p chamber, condition of pumps and appurtenances,etc.): Soil Absorption System (SAS) (locate on site plan, excavation not required): If SAS not located, explain why: t5ins•09108 Title 5 Official Inspection Forth:Subsurface Sewage Disposal System•Page 12 of 12 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments ' 20 Quail Lane Property Address Hugh O'Neill Owner Owner's Name information is required for HY P annis ort MA 02647 November 5, 2010 every page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) Type: ® leaching pits number: 2-6'X6'w/stone. ❑ leaching chambers number: ❑ leaching galleries number: ❑ leaching trenches number, length: ❑ leaching fields number, dimensions: ❑ overflow cesspool number: ❑ innovative/alternative system Type/name of technology: Comments(note condition of soil, signs of hydraulic failure, level of ponding, damp soil, condition of vegetation, etc.): Leach pit#1: Liquid level 10"below invert w/high water staining 4"below invert. Leach pit#2: Liquid level 4' 10" below invert. No high water staining over that level. No sign of past hydraulic failure. Cesspools(cesspool must be pumped as part of inspection) (locate on site plan): Number and configuration Depth—top of liquid to inlet invert Depth of solids layer Depth of scum layer Dimensions of cesspool Materials of construction Indication of groundwater inflo ❑ Yes ❑ No t5ins•09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 13 of 13 f Commonwealth of Massachusetts lugTitle 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 20 Quail Lane Property Address Hugh O'Neill Owner Owner's Name information is p required for Hyannis port MA 02647 November 5, 2010 every 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, gns c failure, level of ponding, condition of vegetation, etc.): t5ins•09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 14 of 14 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 20 Quail Lane Property Address Hugh O'Neill Owner Owner's Name information is H annis ort required for Y P MA 02647 November 5, 2010 every page. City/rown state Zip Code Date of Inspection D. System Information (cont.) SKETCH OF SEWAGE DISPOSAL SYSTEM Provide a sketch of the sewage disposal system including ties to at least two permanent reference landmarks or benchmarks.Locate all wells within 100 feet.Locate where public water supply enters the building. f j I 3 l ' M r s �a= Li -10 a ' o?�` We►Sc1y � ate = Li�' � �a 3 �` 7 t Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 20 Quail Lane Property Address Hugh O'Neill Owner Owner's Name information is required for Hyannisport MA 02647 November 5, 2010 every 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: >5feet 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: 1979 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: ma.water.usgs.gov terraserver-usa.com You must describe how you established the high ground water elevation: No ground water found during system installation. Slope to pond drops below base of leach pits. Property elv=45. Accessed local ground water contours and topo mapping. Before filing this Inspection Report, please see Report Completeness Checklist on next page. t5ins•09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 16 of 16 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 20 Quail Lane Property Address Hugh O'Neill Owner Owner's Name information is required for HY annisport MA 02647 November 5, 2010 every 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-09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 17 of 17 TOWN OF BARNSTABLE LOCATION �y p L ctw, e SEWAGE# 'I-Ns 6` ,a� VILLAGE A, ®arm ASSESSOR'S MAP&PARCEL o�g� ©�Zt 1-11 NAME&PHONE NO.�e,�SaRm��S'} ,�,•C,_ $"��-SQL"CoS�" SEPTIC TANK CAPACITY LEACHING FACILITY:(type) (size) Q - l Sa NO.OF BEDROOMS OWNER PERMIT DATE: COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility S 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 BYR,-r—.� ® % Q O\ D 'p- P- A c� Ll f v O 0 � > b on a w tTjtd r u •� 6` 6, i r TOWN OF BARNSTABLE Ly. .AT10N ��:r,,t Cnr-�... SEWAGE # � 0V VILLAGE,- bV�fit'� ASSESSOR'S MAP& LOT -- INSTALLER'S NAME&PHONE NO. %C6" (16 R I SEPTIC TANK CAPACITYE� x LEACHING FACILITY: (type) 04% rt ® �n ` (size) NO. OF BEDROOMS BUILDER OR OWNER ,s e t PERMITDATE: ! fiy or COMPLIANCE.DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility (If any wells exist on site or within 200 feet of leaching facility) A Feet Edge of Wetland and Leaching Facility(If any wetlands exist a/ 0-� within 300 feet of leaching facility) C Feet Furnished by %4 �`� i Cs Jae A 6' �1 � e No. � � � Fee THE COMMONWEALTH OF MA USETTS Entered in computer: Yes PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Applicatiou for �Digogal :�)pgtem Cougtruction permit Application for a Permit to Construct( ) Repair clI Upgrade( ) Abandon( ) ❑ Complete System ❑Individual Components Location Address or Lot No. Owner's Name,Address,and Tel.,No. Assessor's Map/Parcel ?—1 O5 Installer's Name,Address,and Tel.No. Lg�er's Name,Address and Tel.No. Type of Building: Dwelling No. of Bedrooms Lot Size sq. ft. Garbage Grinder Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) Q 2 C) gpd Design flow provided `?�6 gpd / Plan Date 1 be 6 Number of sheets Revision Date Title c Size of Septic Tank Type of S.A.S. �13 Description of Soil -,-Ic d a Z C r,Z. -Ir X -1 RgOr '( l-q Nature of Repairs or Alteration (Answer when applicable) 3 265m) -� Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of Compliance has been issued by this Board of Health. I Signed Date Application Approved by ° �• 5 Date Application Disapproved by: Date for the following reasons ool Permit No. �0 — Date Issued '/- Fee J � T COMMONWEALTH OF MA HUSETTS Entered in computer: - ,y Yes PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS ZIPPgicati'on for Migpozal 4Y.tem Con0truction Permit Application for a Permit to Construct( ) Repair(111 ( Upgrade( ) Abandon( ) ❑.Complete System ❑Individual Components Location Address or Lot No. Owner's Name,Address,and Tel.No. C� C v��. uwll � J to Assessor's Map/Parcel 7 (� / Installer's Name,Address,and Tel.No. .fA IIgSJr's Name,Address and Tel.No. Type of Building: M Dwelling No.,of Bedrooms Lot Size sq. ft. Garbage Grinder Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) gpd Design flow provided r gpd Plan Date , f 1-6- la G 6 Number of sheets Revision Date Title ` Size of Septic Tank '� �d�� Type of S.A.S. �� /�. `Nec,\%r 5 ()J &b^ , Description of Soil �S� �G.e._� Ci , X .2 r X a k-e-} Nature of Repairs or Alterations Answer when applicable) Q'D kc, QSS>1J0O`. W C� �v P ( PP - � L.. ' Date=last"inspected: Agreement: Theundersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of Compliance has been issued by this Board of Health. 1 �I<3 / J Signed Date G Application Approved by �" > .S Date Application Disapproved by: Date for the following reasons Permit No. ,[O� /" { / Date Issued �r.cz�r.xrisa�,.-•r s, THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS Certificate of Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal System Constructed ( ) Repaired (L./) Upgraded ( ) Abandoned( )by��C at o�d le�:�G. L LG _. t� 0(.Is has been constructed in accordance with the provisions of leTitle^5 and the for Disposal System C nstruction Permit No. 919o`� a (0 dated / �"► I Installer C051& Y Designer P^C..SQ /\ #bedrooms // Approved d 'sigta flow 7 / / gpd The issuance of this permit shall of be const�ued"s a guarantee that the system I f l cf on,as ddje/siginfd.� Date �� Inspector ector ° _ _ --- ------- ----- -------- -----�----------- _—_:��tr�q� — _ No.�/ i--- Fee THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION—BARNSTABLE, MASSACHUSETTS r M!gPont *p6tem �(Clo 5tructton Permit Permission is hereby granted to Construct ( ) Repair ( )) Upgrade ( ) Abandon ( ) System located at 0)<2) clu_t,G.L LwR and as described in the above Application for Disposal System Construction Permit.The applicant recognizes his/her duty to comply with-Titl-e S-arrd-the-Toll-owing-local-provisions or special'conditions.- - Provided: Construction must be completed within three years of the date of this e . Date — Approved by Town of Barnstable •.��"ET°w�: Regulatory Services P Thomas F. Geiler, Director • iARNS'FABLE. i+. a Public ]Health Division a"�a► `'t°' Thomas McKean,Director 200 Main Street,Hyannis,MA 02601 Office:.508-862-4644 Fax: 508-790-6304 Installer & Designer Certification Form e ... Date: �� N� Designer:—!)4V 1 T� w[�hv`� Installer: Address:,. ' Ok5-T Address: � Q UE__— M%A5!!✓10q C RV Vf 5 On i i( CM V` l 6�1X, aLAI"as issued a permit to install a `(date) (installer) septic system at zo, �� 1< �� W ?� based on a design drawn by --� (address) �" ,lbV l D M�"+ 7-5 dated Z 18 (designer) �- i1q2� 3 certi that the septic system referenced above was installe�tY eP Ys substantially according to 'Anhe design, which may include minor approved changes such as lateral relocation of the "stribution box and/or septic tank- I certify-that the septic system referenced above was installed with Major changes greater tlian'10' lateral relocation of the SAS or any vertical'relocation of any component of the septicysystem)but in accordance with State&Loca1;Regtdations. Plan revisiort or certified as-bunt by designer to follow. r ZH�FMgs z =baviD. �y. (Installer's Signature) 6• n WSON fm No.tQ66' ..sn sgNlTp% (I3 er s Signature) �Af X e '.s Stamp Here) PLEASE RETURN TO BARNST-AULt PUBLI .HEALT$.DIVISION. C LI&T—MCA.TE OF COMPLIANCE WELL' NO. -:-3E -SSUEID_- 'BOTH--TfDs FORM " BUILT CARD ARE RECE - +D B ';THE.BARNSTABLE PUBLIC SE 'D SION THANK YOU. Q: Health/Septic/Designer Certification Fora - g c.c>' Town of Barnstable ` P# Department of Regulatory Services s i Public Health Division Date MAM taffy �a 200 Main Street,Hyannis,MA 02601 MKKt� 4. woo Date Scheduled A&Time Fee Pd. D� Soil Suitability Assessment for Sewage Disposal Performed By: v I r `"' Witnessed By:db'"�`�-T /00,-1rr LOCATION& GENERAL INFORMATION Location Address Y` !� Owner's Name kLt c`� HJ �j�tJ Address )C)r Assessor's Map/Parcel: S Engineer's Name NEW CONSTRUCTION REPAIR Telephone# 6 -7 J Land Use 0,4&1 / ^�v "1 `-�•.f `Slopes(%) v ,� Surface Stones Distances from: Open Water Body ft Possible Wet Area---- Drinking Water Well ft Drainage Wa ft Property Line !O / ft Other ft SKETCH:(Street name,dimensions of lot,exact I dons of test holes&perc tests,locate wetlands fn pros' o holes) U� Parent material(geologic) Depth to Bedrock 10 v Depth to Groundwater. Standing Water in Hole: V 'A Weeping from Pit Face - Estimated Seasonal High Groundwater �. DETERMINATION FOR SEASONAL HIGH WATER'TABLE Method Used: Depth Observed standing in obs.hole: _ _- in. Depth to soil mottles: in. Depth to weeping from side of obs.hole: in. Groundwater Adjustment ft. Index Well# Reading Date: Index Well level.� ,„ Adj.factor ,e� Adj roue water tool,,,e PERCOLATION TEST Dgte Observation 11, - Hole# Depth of Perc Time at 6' Start Pre-soak Time @ Time(9"-6") End Pre-soak 1 / RateMinJlnch v `�t r' c ' Site Suitability Assessment: Site Passed Site Failed: Additional Testing Needed(Y/N) Original: Public Health Divisions' Observation Hole Data To Be Completed on Back---------- ***If percolation test is to be conducted within 100' of wetland,you must first notify the. Barnstable Conservation Division at least one(1)week prior to beginning. Q:\SEPTICIPERCFORM.DOC DEEP.OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture .Soil Color Soil Other Surface(in.) (USDA) (Mansell) Mottling (Structure,Stones;Boulders. Consistency. Gravel) /",Y. /L72r3 _3 t XZC DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell Mottling (Structure,Stones,Boulders. Consistency,% TY DEEP OBSERVATION HOLE LOG . Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consistency.%Gravel) s a •s DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other. Surface(in.) (USDA) (Munsell Mottling (Structure,Stones,Boulders. Consi t f r Flood Insurance Rate Mau: Above 500 year flood boundary No Yes - . Withiu,500 year boundary No v' Yes Within 100 year flood boundary No!! Yes Death of Naturally Occurring Pervious Material Does at least four feet of naturally occurring per"' material exist in all areas observed throughout the area proposed for the soil absorption system? If not,what is the depth of naturally occurring per ious material? Certification I certify that on4nvi2wtal (date)I have passed the soil evaluator examination approved by the Department of Erotection and that the above analysis wasWperf ed by me consistent withthe required training,expe se and x erience described in 110 CMR 15oDgSignature DateZ' Q:\SEPTl0PERCFORM.DOC Urn COMMONWEALTH OF MASSACHUSETTS Z EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS DEPARTMENT OF ENVIRONMENTAL PROTECTION V � I TITLE 5 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM FORM PART A CERTIFICATION Property Address: 20 Quail Lane Hyannisport Owner's Name: Hugh&Katherine O'Neill Owner's Address: Date of Inspection: December 7,2007 Name of Inspector: (please print) Patrick T. Sullivan Company Name: Ready Rooter Mailing Address: P.O.Box 371 Sandwich,MA 02563 Telephone Number: (508)888-6055 CERTIFICATION STATEMENT I certify that I have personally inspected the sewage disposal system at this address and that the information reported below is true,accurate and complete as of the time of the inspection.The inspection was performed based on my training and experience in the proper function and maintenance of on site sewage disposal systems.I am a DEP Approved system inspector pursuant to Section 15.340 of Title 5(310 CMR 15.000). The System: Passes Conditionally Passes Needs Further Evaluation by the Local Authority Fails 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. Notes and Comments i ****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. 4 CI r 1 Page 2 of 11 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION(continued) Property Address: 20 Quail Lane Hyannisport Owner: Hugh&Katherine O'Neill Date of Inspection: December 7,2007 Inspection Summary: Check A,B,C,D or E/ALWAYS complete all of Section D A. System Passes: 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: cz, 1" J B. System Conditionally Passes: One or more system components as described in the"Condi 'onal Pass"section need to be replaced or repaired. The system,upon completion of the replacement or rep ir,as approved by the Board of Health,will pass. Answer yes,no or not determined (Y,N,ND)in the for the following statements. If"not determined"please explain. The septic tank is metal and over 20 years old* dr the septic tank(whether metal or not)is structurally unsound,exhibits substantial infiltration or exfiltratioh�or tank failure is imminent. System will pass inspection if the existing tank is replaced with a complying septic tank as approved by the Board of Health. *A metal septic tank will pass inspection if it is structurally sound,not leaking and if a Certificate of Compliance indicating that the tank is less than 20 years old is available. ND explain: Observation of sewage backup or break out or high static water level in the distribution box due to broken or obstructed pipe(s)or due to a broken,settled or uneven distribution box. System will pass inspection if(with approval of Board of Health): broken pipe(s)are replaced obstruction is removed distribution box is leveled or replaced r ND explain: The system required pumping more than 4 times a year due to broken or obstructed pipe(s). The system will pass inspection if(with approval of the Board of Health): broken pipe(s)are replaced obstruction is removed ND explain: j' f f r Page 3 of 11 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address: 20 Quail Lane Hyannisport Owner: Hugh&Katherine O'Neill Date of Inspection: December 7,2007 C. Further Evaluation is Required by the Board ofHealth: Conditions exist which require further evai�tation 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 ot'flealth determines in accordance with 310 CMR 15.303(1)(b)that the system is not functioning in anner which will protect public health,safety and the environment: _Cesspool or privy is thin 50 feet of a surface water Cesspool or privy i within 50 feet of a bordering vegetated wetland or a salt marsh 2. System will fail unless the Board of Health(and Public Water Supplier,if any)determines that the system is functioning in a manner that protects the public health,safes 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. i The system has a septic tank and SAS and tie 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 used4o determine distance "This system passes if the well wate��nalysis performed at a DEP certified laboratory, for coliform bacteria and volatile organic compounds indicates that the well is free from pollution from that facility and the presence of ammonia nitrogen and r6trate nitrogen is equal to or less than 5 ppm,provided that no other failure criteria are triggered. A copy df the analysis must be attached to this form. i ,i 3. Other: i' i,. Page 4 of 11 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION(continued) Property Address: 20 Quail Lane Hyannisport Owner: Hugh&Katherine O'Neill Date of Inspection: December 7,2007 t 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 and overloaded or clogged SAS or cesspool Liquid depth in cesspool is less than 6"below invert or available volume is less than'h day flow Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s).Number of times pumped Any portion of the SAS,cesspool or privy is below high ground water elevation. Any portion of cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply. _ Z' Any portion of a cesspool or privy is within a Zone 1 of a public well. Any portion of a cesspool or privy is 50 feet of a private water supply well. ! Any portion of a cesspool or privy is less than 100 feet but greater than 50 feet from a private water supply well with no acceptable water quality analysis. [This system passes if the well water analysis, performed at a DEP certified laboratory,for coliform bacteria and volatile organic compounds indicates that the well is free from pollution from that facility and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm,provided that no other failure criteria are triggered.A copy of the analysis must be attached to this form.] (Yes/No)The system fails. I have determined that one or more of the above 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 facilit ith a design flow of 10,000 gpd to 15,000 gpd• You must indicate either"yes"or"no"to each of the followi (The following criteria apply to large systems in addition to a criteria above) yes no the system is within 400 feet of a surface ' ing water supply the system is within 200 feet of a tributary to a surface drinking water supply the system is located in a nitrogen/ensitive area(Interim Wellhead Protection Area—IWPA)or a mapped Zone II of a public water supply,dvell If you have answered"yes"to an / y que'stion 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 Ior 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. r Page 5 of 11 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM. PART B CHECKLIST Property Address: 20 Quail Lane Hyannisport Owner: Hugh&Katherine O'Neill Date of Inspection: December 7,2007 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? .Z_ Was the facility owner(and occupants if different than owner)provided with information on the proper maintenance of subsurface sewage disposal systems? The size and location of the Soil Absorption System(SAS)on the site has been determined based on: Yes No Existing information.For example,a plan at the Board of Health. Determined in the field(if any of the failure criteria related to Part C is at issue approximation of distance is unacceptable) [310 CMR 15.302(3)(b)] Page 6 of 11 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION Property Address: 20 Quail Lane Hyannisport Owner: Hugh&Katherine ONeill Date of Inspection: December 7,2007 FLOW CONDITIONS RESIDENTIAL Number of bedrooms(design): 'T Number of bedrooms(actua :�_ DESIGN flow based on 310 CMR 15.203 (for example: 110 gpd x# oms): �'� Z> Number of current residents: a Does residence have a garbage grinder(yes or no): �4 J Is laundry on a separate sewage system(yes or no):.,,�[if yes separate inspection required] Laundry system inspected(yes or no):— Seasonal use: (yes or no):�j Water meter readings,if available(last 2 years usage(gpd)): Qa , . _. < Sump Pump(yes or no):.�- � Last date of occupancy: COMMERCIAL/INDUSTRIAL Type of establishment: Design flow(based on 310 CMR 15.203): gpd Basis of design flow(seats/persons/sq. ft. tc.): Grease trap present(yes or Xe: Industrial waste holding tans or no): Non-sanitary waste dischare 5 system(yes or no): Water meter readings, if av Last date of occupancy/use: OTHER(describe): GENERAL INFORMATION Pumping Records /. Source of information:'�Z,,t!,z,:%ati Was system pumped as part of the inspection(yes or no):�5 If yes,volume pumped: _t,,;�gallons--How was quantity pumped determined? is,—, Reason for pumping: TYPE OF SYSTEM �eptic tank,distribution box,soil absorption system _Single cesspool _Overflow cesspool Privy _Shared system(yes or no)(if yes,attach previous inspection records, if any) _Innovative/Alternative technology.Attach a copy of the current operation and maintenance contract(to be obtained from system owner) Tight tank _Attach a copy of the DEP approval _Other(describe): Approximate age of all components, date installed(if known)and source of information: �J;i r w� ` v�.s'i�1 \r;t �/ "'...e J�Lyi _..�t� W�,�Q \��.S ��7.i.`C 3^� J'N�-c�s•�� Were sewage odors detected when arriving at the site(yes or no): L�� Page 7ofII OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: 20 Quail Lane Hyannisport Owner: Hugh&Katherine O`Neill Date of Inspection: December 7,2007 BUILDING SEWER(locate on site plan) Depth below grade: 'ZDQ" Materials of construction:_cast iron�0 PVC other(explain): Distance from private water supply well or suction line:_ ,11A Comments(on condition of joints,venting,evidence of leakage,etc.): SEPTIC TANK: t/ (locate on site plan) Depth below grade: k�j " Material of construction: concrete_metal_fiberglass_polyethylene _other(explain) If tank is metal list age:— Is age confirmed by a Certificate of Compliance(yes or no):—(attach a copy of certificate) Dimensions: Sludge depth: Distance from the top of sludge to bottom of outlet tee or baffle: 3 T Scum thickness: y )1 Distance from top of scum to top of outlet tee or baffle: " Distance from bottom of scum to bottom of outlet tee or baffle: 1�" How were dimensions determined:',pe Comments(on pumping recommendations, inlet and outlet tee or baffle condition,structural integrity,liquid levels as related to outlet invert,evidence of leakage,etc.): -r�,_i�.C. \C,C-� < �Sga �-C CS '�{'i` \p v �n Op �"C6l`�'V h•A�a ea�� \�1" GREASE TRAP:_(locate on site plan) Depth below grade: Material of construction:_concrete metal_fiberglass_polyethylene_other (explain): Dimensions: Scum thickness: Distance from top of scum to top f outlet tee or baffle: Distance from bottom of scum t bottom of outlet tee or baffle: Date of last pumping: Comments(on pumping rec endations,inlet and outlet tee or baffle condition,structural integrity, liquid levels as related to outlet invert, idence of leakage,etc.): Page 8 of 11 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: 20 Quail Lane Hyannisport Owner: Hugh&Katherine O'Neill Date of Inspection: December 7,2007 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: /woing Design Flow: Alarm present(yes or no): Alarm level: Alarm (yes or no): Date of last pumping:Comments(condition of alares,etc.): DISTRIBUTION BOX: (if present must be opened)(locate on site plan) Depth of liquid level above outlet invert: C)" Comments(not if box is level and distribution to outlets equal,any evidence of solids carryover,any evidence of leakage into or out of box,etc.): 1 c r y-;b��.r'"" � r s •o�-C""� 1�`7 c1 _`, � ,- e-�-`�- _r` PUMP CHAMBER: (locate /ber, Pumps in working order(yes or no): Alarms in working order(yes or no): Comments(note condition of pump cdition of pumps and appurtenances,etc.): Page 9 of 11 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 20 Quail Lane Hyannisport Owner: Hugh&Katherine O'Neill Date of Inspection: December 7,2007 SOIL ABSORPTION SYSTEM(SAS):—Z(Iocate on site plan,excavation not required) If SAS not located explain why: Type teaching pits,number: Q leaching chambers,number: leaching galleries,number: leaching trenches,number, length: leaching'fields,number, dimensions: overflow cesspool,number: innovative/alternative system Type/name of technology: Comments(note condition of soil,signs of hydraulic failure,level of ponding, damp soil,condition of vegetation, etc.): s� CESSPOOLS: (cesspool must be pumped as part o inspection)(locate on site plan) Number and configuration: Depth—top of liquid to inlet invert: Depth of solids layer: Depth of scum layer: Dimensions of cesspool: Materials of construction: Indication of groundwater inflow(yes or no . Comments(note condition of soil,signs o ydraulic 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 hydraulifailure, level of ponding,condition of vegetation,etc.): i• Page 10 of 11 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 20 Quail Lane Hyannisport Owner: Hugh&Katherine O'Neill Date of Inspection: December 7,2007 SKETCH OF SEWAGE DISPOSAL SYSTEM Provide a sketch of the sewage disposal system including ties to at least two permanent reference landmarks or benchmarks.Locate all wells within 100 feet.Locate)where public water supply enters the building. / pp 10 1 \ 1 I _ Li �` I Page 11 of 11 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM' PART C SYSTEM INFORMATION(continued) Property Address: 20 Quail Lane Hyannisport Owner: Hugh&Katherine O'Neill Date of Inspection: December 7,2007 SITE EXAM Slope l Surface water Check cellar Shallow wells Estimated depth to ground water >S feet Please indicate(check)all methods used to determine the high ground water elevation: Obtained from system design plans on record—If checked,date of design plan reviewed: Observed site(abutting property/observation hole within 150 feet of SAS) , Checked with the local Board of Health-explain: Checked with local excavators, installers-(attach documentation) Accessed USGS database-explain: v-,,,.,,, �,� t, s �o✓ You must describe how you established the high ground water elevation: - V— Vim. 1�3 Cne�!'- Town of Barnstable OF'THE 1p� Regulatory Services anxxsrnste Thomas F. Geiler, Director 6 3� .�� 9 Public Health ,Division Thomas McKean,Director 200 Main Street, Hyannis, MA 02601 Office: 508-862-4644 Fax: 508-790-6304 This septic system inspection report was completed by a private inspector who is certified by the State of Massachusetts, Department of Environmental Protection. Although the Town of Barnstable Health Division received the original/copy of this report; this Division does not warranty the functionality of the septic system in the future nor does this Division agree with any technical observation s and interpretations contained within this report. In addition,by receiving this report the Town of Barnstable Health Division does not automatically approve the number of bedrooms listed within this report. The actual number of bedrooms approved at a particular property would-be listed on the "Disposal Work Construction Permit". If you should have any questions regarding this report,please contact the certified Septic System Inspector who conducted the inspection. r DELIVERY ■.Complete items,l,2,'and 3.Also complete A. Signature item 4 if Restricted Delivery is desired. . X ❑Agent ■ Print your name and address on the reverse ❑Addressee so that we can return the card to you. B. elve (Printed Name) C. Date of Delivery ■ Attach this card to the back of the mailpiece, or on the front if space permits. D�I' `address different from item 17 ❑Yes 1. Article Addressed to: `, S,�er�te , live, address below: ❑No � } N Imo! •O • :r ��ay. �� 3�� ae pe L!Certified Maii ❑Express Mail ❑Registered 0 Return Receipt for Merchandise ❑Insured Mail ❑C.O.D. 4. Restricted Delivery?(Extra Fee) ❑Yes 2. Article Number i ; IN1 7�005 1190''10000 +01j91`"'06,4_`5 (rmnst'er from service Iabeo �; PS Form 3811;February 2004 Domestic Return Receipt 102595-0240-1540 I UNITED STATES Pa~ Xt t stag 8s Fes�?�d j • Sender: Please print your name, address, an ZIP+4 A?this t ox • ze .f t F Li 1. N Town of Barnstable ,�- Health Division N ^ '8 200 Main Street � —Hvannis._MA_026.O1 111l1il31ilE1�lfi�3Ef333��t11l11i13dl�iltil�ilt�lif��??331?!if e i , OF SHE TO Town of Barnstable Barnstable Al- R1C4iCaClty �� 4tiAttt , r Regulatory Services Department MASS. �Q j 9�16;9 Public Health Division Arfo""A�p 200 Main Street, Hyannis MA 02601 2007 -' j Office: 508-862-4644 Thomas F.Geiler,Director FAX: 508-790-6304 Thomas A.McKean,CHO January 3, 2008 Hugh & Katherine O'Neill P.O. Box 397 Hyannisport, MA 02647 I ORDER TO COMPLY WITH STATE ENVIRONMENTAL CODE, TITLE 5 i The septic system located at 20 Quail Lane (cottage) Hyannis, MA was inspected on December 7, 2007 by Patrick T. Sullivan, certified Title V Septic Inspector for the State of Massachusetts. The inspection of the septic system showed that the system FAILED under the guidelines of 1995 TITLE V (310 CMR 15.00) due to the following: A single cesspool system is an automatic failure in the Town of Barnstable. You are ordered to repair or replace the septic system within Two (2) years from the date of this notification. Failure to repair/replace the septic system within the deadline period will result in future enforcement action. PER.ORDER OF TH OARD OF HEALTH as cKea.n, R.S., CHO Agent of the Board of Health411 h p t 4 as Q:\SEPTIC\Letters Septic Inspection Failures\20 Quail Lane(cottage).doc 7005 1160 0000 0191 0645 _ �j �--- 6;4. r r j V COMMONWEALTH OF MASSACHUSETTS EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS i DEPARTMENT OF ENVIRONMENTAL PROTECTION i A f t \� V TITLE 5 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM FORM Y PART A CERTIFICATION Property Address: 20 Quail Lane(Cottage) . Hyannisport Owner's Name: Hugh&Katherine O'Neill Owner's Address: •�Sq--i t\:*Oovk a MA I)-tUA"1 Date of Inspection: December 7,2007 Name of Inspector: (please print) Patrick T. Sullivan Company Name: Ready Rooter Mailing Address: P.O.Box 371 Sandwich,MA 02563 Telephone Number: (508)888-6055 CERTIFICATION STATEMENT I certify that I have personally inspected the sewage disposal system at this address and that the information reported below is true,accurate and complete as of the time of the inspection.The inspection was performed based on my training and experience in the proper function and maintenance of on site sewage disposal systems. I am a DEP approved system inspector pursuant to Section 15.340 of Title 5(310 CMR 15.000). The System: Passes Conditionally Passes Needs Further Evaluation by the Local Authority ��ails Inspector's Signature: � Date: I-), 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. Notes and Comments i S ****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. Page 2 of I 1 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address: 20 Quail Lane(Cottage) Hyannisport Owner: Hugh&Katherine O'Neill Date of Inspection: December 7,2007 Inspection Summary: Check A,B,C,D or E/ALWAYS complete all of Section D 7 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: i i B. System Conditionally Passes: One or more system components as described in the"Conditional Pass'section need to be replaced or repaired.The system,upon completion of the replacement or repair,as approved by the Board of Health,will pass. Answer yes,no or not determined (Y,N,ND)in the for the following statements. If"not determined"please explain. f 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 availdble. ND explain: Observation of sewage backup or break out or high static water level in the distribution box due to broken or obstructed pipe(s)or due to a broken,settled r uneven distribution box. System will pass inspection if(with approval of Board of Health): broken pipe(s)are replaced obstruction is removed distribution box is leveled or replaced ND explain: t 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): t broken pipe(s)are replaced obstruction is removed ND explain: Page 3 of 11 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION(continued) Property Address: _20 Quail Lane(Cottage) Hyannisport Owner: Hugh&Katherine O'Neill Date of Inspection: December 7,2007 C. Further Evaluation is Required by the Board of Health: Conditions exist which require further evaluation by t 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 deter ines in accordance with 310 CMR 15.303(1)(b)that the system is not functioning in a manner which ill protect public health,safety and the environment: _Cesspool or privy is within 50 feet of a surface water Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh 2. System will fail unless the Board of Health(and Public Water Supplier,if any)determines that the system is functioning in a manner that protects the public health,safety and environment: _The system has a septic tank and soil absorption system(SA�)and the SAS is within 100 feet of a surface water supply or tributary to a surface water supply. _The system has a septic tank and SAS and the SAS is within a Zone 1 of a public water supply. The system has a septic tank and SAS and the SAS"is within 50 feet of a private water supply well. _The system has a septic tank and SAS and the SAS is less than 100 feet but 50 feet or more from a private water supply well". Method used to determine distance "This system passes if the well water analysis;'performed at a DEP certified laboratory,for coliform bacteria and volatile organic compounds indicatedthat the well is free from pollution from that facility and the presence of ammonia nitrogen and nitrate ni#ogen 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. e j 3. Other: Page 4 of 11 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION(continued) Property Address: 20 Quail Lane(Cottage) Hyannisport Owner: Hugh&Katherine O'Neill Date of Inspection: December 7,2007 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 and overloaded or clogged SAS or cesspool Liquid depth in cesspool is less than 6"below invert or available volume is less than %day flow _Lz 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. __Z 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. Z. Any portion of a cesspool or privy is 50 feet of a private water supply well. X Any portion of a cesspool or privy is less than 100 feet but greater than 50 feet from a private water supply well with no acceptable water quality analysis. [This system passes if the well water analysis, performed at a DEP certified laboratory,for coliform bacteria and volatile organic compounds indicates that the well is free from pollution from that facility and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm,provided that no other failure criteria are triggered.A copy of the analysis must be attached to this form.] G (Yes/No)The system fails. I have determined that one or more of the above criteria exist as described in 310 CMR 15.303,therefore the system fails. The system owner should contact the Board of Health to determine what will be necessary to correct the failure. E. Large Systems: To be considered a large system the system must serve a facility with a design flow of 10,000 gpd to 15,000 gpd. You must indicate either"yes"or"no"to each of the follow' g: (The following criteria apply to large systems in addition the criteria above) yes no j _the system is within 400 feet of a surface/drinking water supply _the system is within 200 feet of a tri �tary to a surface drinking water supply _the system is located in a nitrog 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��4estion 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 or failed under Section D shall upgrade the system in accordance with 310 CMR 15.304.The system owner shp ld contact the appropriate regional office of the Department. Page 5 of 11 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B CHECKLIST Property Address: 20 Quail Lane(Cottage) Hyannisport Owner: Hugh&Katherine O'Neill Date of Inspection: December 7,2007 Check if the following have been done. You must indicate"yes"or"no"as to each of the following: Yes No _Z _ 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 k UjanhWes 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 than owner)provided with information on the proper maintenance of subsurface sewage disposal systems? The size and location of the Soil Absorption System(SAS)on the site has been determined based on: Yes No _/Existing information._For example,a plan at the Board of Health. _,Z'- Determined in the field(if any of the failure criteria related to Part C is at issue approximation of distance is unacceptable)[310 CMR 15.302(3)(b)] i Page 6 of 11 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION Property Address: 20 Quail Lane(Cottage) Hyannisport Owner: Hugh&Katherine O`Neill Date of Inspection: December 7,2007 FLOW CONDITIONS j RESIDENTIAL Number of bedrooms(design): Number of bedrooms(actual): DESIGN flow based on 310 CMR 15.203 (for example: 110 gpd x#of bedrooms): 0,-)CZ�N Number of current residents: Does residence have a garbage grinder(yes or no):. Is laundry on a separate sewage system(yes or no):dZ!_Q[if yes separate inspection required] Laundry system inspected(yes or no): Seasonal use: (yes or no): .Y� Water meter readings, if available S (last 2 years usage(gpd)): t X Lr Sump Pump(yes or no):mac, Last date of occupancy: ,s,, ,.,�4 rr- COMMERCIALANDUSTRIA Type of establishment: Design flow(based on 310 MR 15.203): gpd Basis of de/homg s/persons/sq. ft. etc.): Grease traps or no):— { Industrial wg tank present(yes or no):Non-sanitaharged to the Title 5 system(yes or no):Water metef available: Last date.o /use: OTHER(describe): GENERAL INFORMATION Pumping Records Source of information: AL-kE> Was system pumped as part of the inspection(yes or no): (�. ,.- If yes,volume pumped: gallons--How was quantity pumped determined? , Reason for pumping: TYPE OF SYSTEM Fin tank,distribution box,soil absorption system i/Single cesspool _Overflow cesspool _Privy _Shared system(yes or no)(if yes,attach previous inspection records, if any) _Innovative/Alternative technology.Attach a copy of the current operation and maintenance contract(to be obtained from system owner) _Tight tank Attach a copy of the DEP approval Other(describe): Approximate age of all components,date installed(if known)and source of information: a r0 lr S� y z "r_-; 0 Were sewage odors detected when arriving at the site(yes or no): A__)<�i Page 7 of 11 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: 20 Quail Lane(Cottage) Hyannisport Owner: Hugh&Katherine ONeill Date of Inspection: December 7,2007 BUILDING SEWER(locate on site plan) Depth below grade: �rJ` Materials of construction:_cast iron_40 PVC t/ other(explain):0 Distance from private water supply well or suction line: Comments(on condition of joints,venting,evidence of leakage,etc.): SEPTIC TANK:_(locate on site plan) Depth below grade: Material of construction:_concrete_met _fiberglass polyethylene —other(explain) If tank is metal list age:_ Is age con ed by a Certificate of Compliance(yes or no):_(attach a copy of certificate) Dimensions: Sludge depth: P Distance from the top of slud to bottom of outlet tee or baffle: Scum thickness: Distance from top of scu to top of outlet tee or baffle: Distance from bottom scum to bottom of outlet tee or baffle: How were dimensio determined: Comments(on pu ping recommendations,inlet and outlet tee or baffle condition,structural integrity,liquid levels as related to outl t invert,evidence of leakage,etc.): GREASE TRAP:_(locate on site plan) Depth below grade: Material of construction:_co Crete_metal_fiberglass_polyethylene_other (explain): Dimensions: Scum thickness: Distance from top of sc to top of outlet tee or baffle: Distance from bottom f scum to bottom of outlet tee or baffle: Date of last pumpin . Comments(on pu ping recommendations, inlet and outlet tee or baffle condition,structural integrity, liquid levels as related to out t invert,evidence of leakage,etc.): i Page 8 of I 1 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 20 Quail Lane(Cottage) Hyannisport Owner: Hugh&Katherine ONeill Date of Inspection: December 7,2007 TIGHT or HOLDING TANK: (t ust be pumped at time of inspection)(locate on site plan) Depth below grade: Material of construction:_concrete metal_fiberglass_polyethylene_other(explain): Dimensions: Capacity: Vinn ons Design Flow: ons/day Alarm present(yes or no Alarm level: Ang order(yes or no): Date of last pumping: Comments(condition of alarm and float switches,etc.): DISTRIBUTION BOX: (if present mus a opened)(locate on site plan) Depth of liquid level above outlet invert: Comments(not if box is level and distrib tion to outlets equal,any evidence of solids carryover,any evidence of leakage into or out of box,etc.): PUMP CHAMBER: (locate on site plan) Pumps in working order(yes or no): Alarms in working order(yes or no): /f Comments(note condition of pump chamber condition of pumps and appurtenances, etc.): Page 9 of 11 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 20 Quail Lane(Cottage) Hyannisport Owner: Hugh&Katherine O'Neill Date of Inspection: December 7,2007 SOIL ABSORPTION SYSTEM(SAS): (locate on site plan,excavation not required) If SAS not located explain why: Type leaching pits,numb r:_ leaching chamber ,number: leaching galleri ,number: leaching trenchZI,number, length: leaching fieldg,number,dimensions: overflow c es spool,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.): t CESSPOOLS: (cesspool must be pumped as part of inspection)(locate on site plan) Number and configuration: , Depth—top of liquid to inlet invert: .3 Depth of solids layer: `C7\—,a Depth of scum layer: 4z:!!, , � Dimensions of cesspool: L Materials of construction: Indication of groundwater inflow(yes or no): Comments(note condition ofsoil,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,sign hydraulic failure, level of ponding,condition of vegetation,etc.): r Page 10 of 11 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: 20 Quail Lane(Cottage) Hyannisport Owner: Hugh&Katherine ONeill Date of Inspection: December 7,2007 SKETCH OF SEWAGE DISPOSAL SYSTEM Provide a sketch of the sewage disposal system including ties to at least two permanent reference landmarks or benchmarks.Locate all wells within 100 feet.Locate where public water supply enters the building. L� J ` Page l l of 11 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: 20 Quail Lane(Cottage) Hyannisport Owner: Hugh&Katherine O'Neill Date of Inspection: December 7,2007 SITE EXAM Slope;/— Surface water tL:2c> Check cellar Shallow wells Estimated depth to ground water feet Please indicate(check)all methods used to determine the high ground water elevation: Obtained from system design plans on record—If checked,date of design plan reviewed: Observed site(abutting property/observation hole within 150 feet of SAS) Checked with the 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 elevati Qn: lC�'C"4 )aT"tT i- Co oQ w Zo c� �nNvd4� • v THE Town of Barnstable OF Tp� Regulatory Services s,►xr+srnsM Thomas F. Geiler,Director 9�A ' AM Public Health .Division Thomas McKean, Director 200 Main Street, Hyannis, MA 02601 Office: 508-862-4644 Fax: 508-790-6304 This septic system inspection report was completed by a private inspector who is certified by the State of Massachusetts, Department.of Environmental Protection. Although the Town of Barnstable Health Division received the original/copy of this report; this Division does not warranty the functionality of the septic system in the future nor does this Division agree with any technical observation s and interpretations contained within this report. In addition, by receiving this report the Town of Barnstable Health Division does not automatically approve the number of bedrooms listed within this report. The actual number of bedrooms approved at a particular property would-be listed on the"Disposal Work Construction Permit". If you should have any questions regarding this report,please contact the certified Septic System Inspector who conducted the inspection. t t Nc',. Y BOARD OF HEALTH TOWN OF BARNSTABL.E Zipplication-*r Well Me0truction-Vermit Application is hereby made for a permit to destruct an Individual Well at. Location - Address _ �rs Map and Parcel _ G-Z0Q er Address Installer - Driller Address Type of Building ' Dwelling-- - Other - Type of Building—� No. of Persons-____----.._._ - _-- Type of Well—_—_----______—____---___________ Capacity--------______ __-- Agreement: The undersigned agrees to destruct the aforedescribed individual well in accordance with the provisions of The Town of Barnstable Board of Health Private Well Protection Regulation. Signed - ----- date Application Approved By — ------- ----- — , date Application Disapproved for the following reasons:------- - --- -�---- -��- date Permit No. — Issued--- date � BOARD OF HEALTH TOWN OF BARNSTABLE Certificate Of Compliance THIS IS TO CERTIFY, That the Individual Well destructed by---- ` Installer at . . . . --�!I. . . . . . ?aL\. . an7.. . . 4'*n�� ? ' . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . has been destructed in accordance with the provisio f the To of Barnstable Board of Health as described in Permit the application for Well Destruction No.. . .-" . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . at. . . . . .. . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . .. . . .. . . . . . . . . . . .. . . . . . . . . . . . . .. . . .. . .... ..... . ... ...... . has been destructed in accordance with the the provisions of the Town of Barnstable Board of Health as described in the application forWell Destruction Permit No. . . . . . . . . . . . . . . . .. . . . . . . . . . . . .. .. . . . . . . . . . . .. .. .. . . .. .. . ... . ...... ... . .. . . . DATE---- --- -- Inspector-- ---- ---___ p f /r/'�� _ �,, --r-- 14 =. e. BOARD OF HEALTH TOWN OF BARNSTABLE �.��Cication,�'or�eii �e�truction hermit ! Application is hereby made for a permit to destruct an Individual Well at: _ �►.a� tam£ 4,14nA,c0,. r* Location — Address Assessors Map and Parcel Lf"0 1f AQ L 16, tAsr2,F_S_ A/C --- -- ---_— i►��fA GT uO Owner f � /y T^ MA. Address -� -- Installer — Driller r — Address Type of Building Dwelling— �p ^- i t Other - Type of Building No. of Persons--------------- ---------- Type of Well Capacity--- Agreement: ----------_---- The undersigned agrees to destruct the aforedescribed individual well in accordance with the provisions of The Town of Barnstable Board of Health Private Well Protection Regulation. Signed— ---- date Application Approved By— _ _---- date Application Disapproved for the following reasons:---- — — ------ date Permit No. _ Issued--��-------------- - r r date BOARD OF�HEALTH TOWN OF' "BARNSTABLE r Certificate ®f Compliance THIS IS TO CERTIFY, That the Individual Well dest u ted by-----------` Installer — — at . . . . �. . :. . . . ,. !C. . . .l '�C z%t r��'�; .� .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . has been destructed in accordane e=with the provisio s of the To of Barnstable Board of Health as described in the application for Well Destruction Permit No.. -r / . . . at.. . . . . . . . .. . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . _ . . . . :.. . . . . . . .. ..... ... ... ... .. . .i ... .; has been destructed in accordance with the the provisions of the Town of Barnstable Board of Health as described in the application for Well Destruction Permit No. . . . . . . . . . . . .. ... . . . . . . .. . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . ..`. . ..... ...... . . . C. DATE Inspector— BOARD OF HEALTH TOWN OF BARNSTABLE Well Be5truction Permit No.----------- - Fee- Permission is hereby granted--------�fL r- ---trZ^�`�, — ---------------------------- to destruct an Individual Well at '-^ r ' street _ as shown on the application for a Well Destruction Permit / No. _--------------- — ---- • — -- Dated -- — I`---------------- Board of Health DATE \ fi ' I t TOWN OF BARNSTABLE CATION Qd SEWAGE# LAGE ��,� ,.�ASSESSOR'S MAP&PARCEL oC` INSTALLERS NAME&PHONE NO. /�rA SEPTIC TANK CAPACITY LEACHING FACILITY:(type) l (size) l NO. OF BEDROOMS c� OWNER PERMIT DATE: COMPLIANCE DATE: Separation-Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility ? S 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 "T/ C07. T7 o- o a c� TOWN OF BARNSTABLE ,?OCATION SEWAGE# VILAGE_ T �,,,� , ASSESSOR'S MAP&PARCEL 0?7 ms INSTALLERS NAME&PHONE NO. SEPTIC TANK CAPACITY ( 5'a4 o( S LEACHING FACILITY:(type) (size) tome4 G�(5 edema NO.OF BEDROOMS OWNER U PERMIT DATE: COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility S 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 lc 73 Ll, O O �--- � a L Vi L� .0ole h i 11 a, f Legend I Le 9 qEKED AR MAIN HOUSE 6 WITH TOWER �`� .. A22 ///�� 2� � ADDITIONS SAVE CLAW FOOTTUB 'tot 4 f ��. / TOWER NO. - FOR FUTURE RE-USE 666 CON��ACO MA ' 'i:'BEDROOM#5::':':: v: is BATH::::: :.HA7:Cf1EU:'A1iFA9.I/iDICA`ff':': AREAZTO.BEDEMOGSSO::. .......... 20 Quail Lane I 72 Renovations TOWER BASE Barnstable Massachusetts cos Areas of Existing Plan 2 Not To Scale NK ........ ....... BATH;;; .: '::.SAVE SOAPSTONE:-"':: :':::' ..HATCFIED'AREA6INDICAYE:::::::::::::.::::::::.':::':.;.:. :.:':SINK FOR FUTURE.':.:'::::'::.' REASTOBEI7EMOLISEO::..............::::..':::::::::.... ............ .. ...........RE-USE ...................... .............. . : :`KITCHEN i':iiiliii:isisisi 'isi::ii�:i?:i::......: ::crr::?iiii:.::: :'i:. :'.:" n Notes Demolition o es The Contracto s shall familiarize himself with and verify all ................................... rt) b WALL - .....—...—..—..—... existing conditions. EXTERIOR ————— OVE , PORCH LEVATO - - For renovation projects,the Contractor shall review with the Architect L?�.. .....:..:......... . .)::.;..,:., and Owner the extent of the demolition prior to commencement of the work. Special Consideration should be given to protect and ccOK_r I...:..:?;} :':�;';`?:?:?i:?:?:�?i?i?i?i?i' segregate areas not scheduled for modifications. Materials and FAMILY ROOM .......................................... ... details should match existing unless noted otherwise. ........................: DSK Dewing Schmid Kearns F..00vall i...r1or.1drig ARCHITECTS+PLANNERS since zooe OFFICE PANTRY 'r::rirrrr:r: isi:.ir:?rcccrcr???::?: 30MonumentsquaSTAIR — i - - and roofing. y�s.3n.7soo017-02 e HALL 1. Remove all exterior trim. —— LIP - Remove all interior plaster on wells and ceilings. zao Elm s m, _ soutn onnmoutn MA 07743 _ - Remove all windows.Sliding glass panels at front porch to remain. 508.999.0440 3 _ _ TJ::.':.'....':.':.::':':::::::::::::::.::.::: " :. w dskap.com A2-1 3 1! -2 Permit Set 9 December 2013 DINING ROOM I ENTRY HALL I LIVINGROOM: `'::'r::r'r:rrr'7:'?: - ...........................I:c:'r ::::HATOHED AREA91ND1CATE AREASETDO BE'DEMOLISfiA:.... :. '::.':I.'::.'.' y a No. Date Revision By ION ENCLOSED PORCH - CURVED PICTURE WINDOW TO BE REMOVED AND RE-INSTALLED IN NEW WALL IN NEW LOCATION -- 11-¢1S _PERMIT SET ECR SLIDING GLASS PANELS TO BE REMOVED DN -- I010 PRICING SET TO GC ECR No. Date Issued to By Title i EXISTING 4 FIRST FLOOR PLAN A2 1 i North Date 12-9-2013 Existing First Floor Plan scale b No t EX1'1 v4•=r-o• o r® Jo . 22- Drawn By ECR DA,R�y�T 4 WITH TOWER Az.z v� w Q � No.4301 , Cry ON ORD, VV QFM 20 Quail Lane Renovations Barnstable OwER ROOM Massachusetts BATH j-N.ING CLOSET STAI OBATH DSK Dewing Schmid Kearns M 'r ARCHITECTS+PLANNERS HALL LAUNDRY o Suite 2008 CLOSET 30 Monument Square Concord,MA 01742 UP - - 978.371.7500 L CLd$ET� r 280 Elm Street South Dartmouth CLOSET. - MA02748 508.999.0440 3 /J www.dska7.00m HALL A2-2 Permit Set 9 December 2013 BEDROOM#1 BEDROOM#2 BEDROOM#3 BEDROOM#4 BATH O CLOSET No. Date Revision By -- 1t-9-13 PERMIT SET ECR -- 4.15-13 PRICING SET TO GC ECR No. Date Issued to By Title EXISTING FIRST FLOOR PLAN North Date 12-9-2013 &JE1xisting Second Floor Plan......... sale EX1'2 v4knmo r® Job No. 7220 Drawn By ECR Legend EXISTING PLASTER WALLS \�OG AR -. EXISTING RUBBLE AND GRANITE 'Dew EXISTING FOUNDATION WALLS v EXISTING BRICK WALLS/COLUMNS 14 INDICATES WALLS TO BE REMOVED j EXISTING CONCRETE Q No°m M r---------------- J---�--_—_� —--�-- , FOUNDATION WALLS ,V 'f V r-------------fir— —fir rl ... I I FOUNDATIONIWALLSMA CLI AT OND ` WITH TOWER WALLS TO REMOVE R —______ NEW WALLS I I II II III NEW CONCRETE WALLS III it II I I I I I General Notes IL - ---A --- -- '2' --- All work shall conform to state and local codes and the requirements N SHIPS 2 0 Quail Lane -- SHIP nth r— Sf NEW ;� �Wn I I of the local fire department r LADDER,';},• �ojy I 1 The General Contractor shall keep the pmject generally dean of all Renovations II debris and pick up at the end of each work day. TOWER I III - All work shall be done in a workmanlike manner. Materials and up T01 111 equipment are to comply with and be installed according to Barnstable r r 7 1 manufacturers'recommendations and industry standards. Massachusetts ---J I 2 WITH TOWER I ff11 p'1 r ——— I Az-a O - The Contractor(s)shall familiarize himself with and verify all oos�' 1 � existing Conditions. w � II II III - For renovation projects,the Contractor shall review With the Architect ' INDICATES WALLS TO BE REMOVED and Owner the extent of the demolition prior to Commencement of to sr J L___ the work. Special Consideration should be given to protect and _ I _ -_=3__ _L _I, segregate areas not scheduled for modifications. Materials and rr NEW STONE OR SRICKI_ANNN(:j e9re9 , NEW RECESSED LIGHT FIXTURE I l l I details should match existing unless noted otherwise. NEW STONE OR NEW DOOR&SIDELIGHTS TO MATC61 BRICK WALK I o FRONT DOOR WITH NEW CUSTOM I Save all doors removed for possible future re-use. NEW RECESSED I WOOD SCREEN R L J L[___=ZI———— , Save Kitchen Soapstone sink and both claw foot tubs. LIGHT FUCTURE NEW FLOOR FRAMING AT L__ — I OO ELEVATOR SHAFT.NEW III I rc n FLOORING TO MATCH EXISTING. - At all exterior Walls that have the studs exposed during construction, EL{ I 1 2 1 fill stud cavities with icynene insulation full height.NEW WINDOW NEW WINDOW NEW WINDO IrL ——— — —— —DN Sound Isolation Batts installed,full height,at all bathroom,bedroom, iMlcrowave L_ .tot -I and laundry walls. See Wall Types. r IDS 1 REAR B L�-IN CABINETRY® _ _ _ _ FJ —= I ENTRY \ MUDROOM t NEW HOSE BIB 1 —— 1 3Is L L. - JKI105EN 96 �Il 108114SEE GENERAL O I 1�1 - Non=_sABour I ,@", „ 2 0 Exterior Material Notes EXISTING 3 - ___ dqT� ; IDSK Dewing Schmid Kearns WINDOWS lya,y -----I- D t o LI ARCHITECTS+PLANNERS a' a li 10 I 1. % I el 5 pN LAUN Y I� I 1.WINDOWS —her =______—___=i - Rai - N r R ! ! 109 tna: --�ALIGN WINDOW 1 ALL EXISTING WINDOWS TO BE REPLACED WITH PELLA Suite 2006 1 y F ! li WITH vnNDow FJ----= I ARCHITECT SERIES CLAD WINDOWS,SIMULATED DIVIDED 30 Monument Square STAIR Tue z ABOVE.SEE ———— _ LIGHTS WITH SPACER BAR,LIGHT LAYOUT AS SHOWN ON Concord,MA 01742 ----- I HALL ELEVATION. 978.371.7500 I I EDGE OF X S IN EUSED C IJ ELEVATIONS. NEW I 'EXISTIN0 1D� up I 1 Washer Dryer OT TU —�S---S-_--_ —; WINDOWS NOTED AS'EXISTING WINDOW"INDICATE NEW 280 Elm smeet BIB Se / �� C OPENING EXSTG �uPPar binabt — INDICATES WALLS WINDOWS IN AN EXISTING LOCATION AND SAME SIZE. South Dartmouth TO BE REMOVED MA 02748 WD FLRG — WINDOWS NOTED AS"NEW WINDOW AREA NEW WINDOW IN A MA 02748 11 �� { g © '? NEW LOCATION AND/OR OPENING. NEW CASED SwPENINO� JJ z-u. _ -——— t BUILT-IN www'dskap— /�-t o rc SHELVES t 2 2. EXTERIOR SIDING 2'-8' y g y/ W/CABINET w�-2 l��I ALL NEW WHITE CEDAR SHINGLES,PERFECTION,RESAWN AND 'u5 d EXISTS ``++ BELOW T REBUTTED FOR STRAIGHT CLEAN EDGE TO MATCH EXISTING. FIREPLACE, i V S \ -fI I - EXPOSURE TO MATCH FROSTING EXPOSURE. SHINGLES LEFT Permit Set HEARTH a o o I I TO WEATHER AS EXISTING CONDITIONS. 3 MANTLE TO I =_ 9 December 2013 °o DINING ROOM REMAIN o ENTRY HALL w LIVING ROOM --- ;--�ALIGN WINDOW 102 Col 103 1 10 104 ¢ WITH WINDOW III 3. ROOFING 3 o Z ABOVE.SEE III 1 NEW ASPHALT SHINGLES,GAF BRAND,TIMBERLINE',PEWTER z snnwaucw000 u woos Now000 ELEVATION. II GRAY. NEW WALL SCONCE IN ro=suw f Nan �NNn EXISTING WINDOW NEW WALL 4. SHUTTERS EXISTING SCONCE LOCATION H z RELOCATED INTO ALL SHUTTERS TO BE NEW WOOD SHUTTERS HUNG IN A NEW WALL 1 —\ I I I I TRADITIONAL MANNER WITH TRADITIONAL HARDWARE. NEW WALL r 5.FOUNDATION EXISTING FOUNDATION POSTS TO BE REMOVED. NEW F J CONCRETE FOUNDATION WALLS AS PART OF NEW FULL HEIGHT EXISTING WINDOW NEW WINDOW OUTLINE OF WALL BASEMENT.SEE BASEMENT PLAN. EXISTING DOOR TYPE I StI ABOVE 1 10-24-D WINDOWS ECR 1 COVERED PORCH BSIDELIGH75 00 NT. Date Revision By ON TO_AM .,STING LIGHT 1 6.TOWER ENTRY PORCH TO BE 101 TO REMAIN EXISTING CURVED REMOVE EXISTING ONE STORY ADDITIONS AROUND THE BASE RE9UILr AS NEEDED. ENTRY Oasnno wtKw g /// WINDOW To BE OF THE TOWER.TOWER WALLS TO BE REBUILT TO ORIGINAL / ALL AND slzEs tI rioowrw,q // CARE FULLY REMOVED aerws rc OCTAGONAL SHAPE. ROOF SHAPE TO REMAIN. TO MATCHATCH EXISTING XISTING PORCH / �/ AND RELOCATED TO _ -- NEW WALL. PERMIT SET ECR FIXED INSULATED GLASS PANES AT SMALL - _ SPACES BETWEEN POSTS.t W4H LIGHT C— —— — —— ————�� IOdrrIj PRI LAYOUT. CING SET TO GC ECR N S Al S FLUSH .mi a ,wi uai STONE - I PRICING SET TO GC ECR ON O•I�D I I LANDING © — O� No. Date Issued to By Title �1OrmaO00 ° NEW WIDER STAIRS SIMILAR ® C-0 PROPOSED THREE SETS OF SLIDING GLASS WINDOWS TO EXISTING STAIRS. SIMILNEW RAILING TO MATCH HAVE ONE SLIDING PANEL EXISTING. /°^�'� r „�^ ` FIRST FLOOR PLAN HAVE ONE SLIDING PANEL WITH SCREEN AND !"TO`!rT TWO FIXED PANELS,INSULATED GLASS. A2-1 NEW RECESSED LIGHT LIGHT LAYOUT TO MATCH EXISTING. FIXTURE North Date 12-9-2013 1Proposed va r=to-0r osea First Floor Plan rr a SP _ SP�4+LeYL � JSoba leN o t/a=1t2'2D0 A1 '1 Drawn By ECR Legend - . EXISTING PLASTER WALLS EXISTING RUBBLE AND GRANITE V �V FOUNDATION WALLS Q EXISTING BRICK WALLS/COLUMNS 0 No.4301 CON RDA ——————- - -' EXISTING CONCRETE r--------------- — - - FOUNDATION WALLS I I EXISTING INFILL AT FOUNDATION WALLS WITH TOWER WALLS TO REMOVE 2 ------- I • NEW WALLS I —'r^— NEW CONCRETE WALLS I I I NEW WINDOW 20 Quail Lane L-� oN "�h r J Renovations SHIPS 3 LADDER 3 - ------ ------- _.. - --- TOWER ROOM.- _ _ - -z. - - I - - --- -- — - - - - --- ---- - -- ----- - _. Barnstable .fable.- - -- --- -- - Toe WITH TOWER Massachusetts EXISTING WOOD A2-3 FLOORING TO REMAIN /J----------------------------- / NEW FLOOR FRAMING AT ROOF / CENTERWINDOW ELEVATOR SHAFT.NEW ———————————— / ON DOOR BELOW FLOORING TO MATCH 'BELOW '. // EXISTING. ROOF FLOW EXISTING WINDOW NEW WNDOW Zr NEW WFDOW NEW INDOW 1 BATH I: INDICATES WALLS-1 I E BUILT-IN TO BE REMOVEDCLOSET SEAT CLOSET 204�. I STAIR LANDING0 m 02 1 7114 1Ore L \ ¢ U/// ® _ = DSK Dewing Schmid Kearns u ® tD LOCATE BATH a'-o' EXISTIN D 3 1 \\ ARCHITECTS+PLANNERS z HALL = WALL TG STAIR#1 D 203 ALLOW T MIN DN C SET FDRESSING -�ALIGN WINDOW \ 1 Suite 200E w 2 WITH WINDOW \ 30 Monument Square S h Concord,MA 01742 EXISTING i -- ---- ------------ 270 ELEVATION. r———— 978.371.7500 = BELOW.SEE UP HALL J. riewwow000 I L;�i�; ,201 C SET `_- �_ 280 Elm Street CLOSET 0 _ South Dartmouth oow ioo' SHEL I MA 02748 207 L 508.999.0440 I �G ��• �l ---.-' — ® \\y EXISTING OPENING I www.dskaD.mm �1 AEuux - AND CLOSET D �_2 u :== ______ t 1 Permit Set 3 SHq�R i 9 December 2013 O - ALIGNWINDOW i BEDROOM#1 BEDROOM#2 L I BEDROOM#3 WrrH WINDOW f BELOW.SEE 2D$ 2D6 ` BAATH 2D9 = ELEVATION. n � nmwraGro Ft�m�wre�o 8 � nvevreoumevva� I I G - I-� I II _ JI EXISTING WINDOW EXISTING WINDOW EXISTING WINDOW EXISTING NDOW INDICATES WALLS I I 4-21-1) WINDOWS JTOBE REMOVED OUTLINE OF WALL BELOW. I No. Date Revision INSULATE ENTIRE FLOOR CAVIT'THAT IS EXPOSED TO / ROOF BELOW THE EXTERIOR. / 1 12-9-I! PERMIT SET ECR (G7) G�O Q -- IaI-U PRICING SET TO GC ECR ————————— / \\�J� No. Date I Issued to BY Title PROPOSED SECOND FLOOR PLAN North Date 12-9-2013 �1 Proposed Second Floor Plan Seale Al v4=r-a• o r r .• s' Job No. ,220 /'1 Drawn By ECR Legend EXISTING PLASTER WALLS EXISTING RUBBLE AND GRANITE FOUNDATION WALLS ad ` q EXISTING BRICK WALLS/COLUMNS pN�ya.y py FOUNDATION ga®® r------------------------------------ CONCRETE t,/IY- EXISTING d.. -. ION WALLS '. EXISTING INFILL AT � - 1 FOUNDATION WALLS 3 I I WITH TOWER WALLS TO REMOVE A22\ I NEW WALLS I I �— NEW CONCRETE WALLS I I I I I I I I ---� INDICATES WALLS ' TO BE REMOVED \ 20 Quail Lane \ \ Renovations N I Barnstable CONCRE,E - FOUNDATION ! I ^ r— --,WITH TOWER Massachusetts I 1 2W x Vh CONCRETE FOOTING L------ 10'CONCRETE FOUNDATION- STONE LANDINGI i WALL WITH TWO N5 BARS AT ABOVE TOP,MIDDLE AND BOTTO I — — — — — — — — — — — — — — — rt•-T- T -1 IL ,I I I I I I I I I I I I I I I I I I I I I I I I I I E—r�7(ISTING fLOO�2 FR�WIIN�TO I2EMltIN—I� �—I—�IS 1 00 ING TO REMAIN •: I NEW CLAD AWNING I I I I I I I ,• REMOVE BASEMENT WINDOWS, I I I I I I I N 20 W 1 EW OPENING I I CENTERED ON I I I I I I I I I I I I ' EXISTING MEET DSK Dewing Schmid Kearns KITCHEN WINDOW I I I I I I I I I NOTE:HURRICANE HOID ARCHITECTS+PLANNERS ABOVE I I I I y y l I I II I DOWNS AND OTHER I I Lo I COASTAL REQUIREMENTS 70 I I l 0 1 n G o f I I suite mos NEW LAL CO4UM S w 0 N BE INSTALLED AS PER CODE. i I EAAMMSs I 1 `� I II 30 Monument Square AT END O B I hEERSDE m Concord,MA 01742 j o 978.371.7500 NEWrD11EP 2I CONFRETIE FOpTINy P 280 Elm Street South Dartmouth BE WEMISTI�IG N ST MA 02748 BRI K CH MN J EJSTI G B�AMJNEW CLAD AWNING 508.999.0440 � 1_L_LJI I� J -1L— 1rBASEMENT WINDOWS, _ _ __ _ _ _ -- — J — —rCENTERED ON J_1_1_ _1_L_LJ www.ddgp.mm1wlNDowsIII1L___ _ IJI I I 1 �L.ExilrnN6 FLdOR FiZwi r TIP REIIWNi—� I- m __ ________ 1 1 poSuBL� I I I I I I I Permit Set I I I 1 s dtlISTSI I I I ' , lip 9 December 2013 ' LALLY COLUMNS,CO CR i 1 K FILLED ON ELO C TIN CR Ew1oUJ'1 E I I I I I---� --- —FOOTINGS BELOW STINb �olsts eElow UNFINISMEDIBASEMENT Z _BEAMS,TYPICAL. EXISTING WALL(i B0 . r pw I I I I •: I --'�Q - --------------------{-- ----- -- - - -- I I I I I i .. -I--T-T-r-r �-r-r-1�11- � -rI--II-'1--r1 r��I-,I- T-r-r�I �DST20B� '-�L- �� r-jr`-rL-1'-1- trjl`-i'-�-r ------------------- INo. Date I Revision By I EJI I G IST FL�^R��_. 1 Y T "MING RI 1 I '` I I I I I I I I I I I I I I I I I I I I I I I I I •?-t EGP'A# -- 1T PERMIT SET ECR .• I I PRICING SET TO GC ECR L1LJ_ LLLI—IL � LJ LLLI—ILLLJ_ _LLL1� c No. Date Issued to By ..,.— — - — — — — — — — — — — - — — — — — — — — - -----------'------------------- Titre PROPOSED 2 BASEMENT PLAN& FRAMING PLAN North Date 12-9.2013 2 TProposed Basement $ Framing Plan Scale ,/<_,'D •=,.-u• o rP Job No. ,220 A 1 -3 Drawn By ECR EXISTING -`l VIERE D A/Q? CHIMNEYS rV TO REMAIN EXISTING ROOF ® Q STRUCTURE TO No.4301 - REMAIN,NEW \ CO MA Dr ASPHALT SHINGLES (j Celli NEW WOOD �[Tt� SM RS TYPICAL u ; I NEW EXTERIOR LIGHT FIXTURE IN SAME LOCATION 1 NEW ROOF Fro WITH NEW SHINGLES i I BRACKETS _ 2nd floor III �•— — — — — f;I�I — _ — _ — _ _ _ __ — — — — — 1 — — — Celli 20 Quail Lane INDICATES EXISTING Renovations (RTWO BE EMOVED ® ' ®I® 1; ® ®I® '- PREMA NTO EM S - s-- — - - - - I— _ ® ooRExisting West Elevation IS G a -- - Barnstable GLASS - - — - j I I BETWEEN REMOVED Massachusetts 1 HOUSE D PANELS AN TOWER _ l sT fl or ! I I _1sf Floor mower -------..--_--__---- -----...-- _------- ---- — — NEW CONCRETE � ,. .' FOUNDATION, I NEW BASEMENT WINDOWS NEW RAILING TO MATCH EXISTING NEW CONCRETV FOOTING_ _ 1 n I RAILING. 2 NEW 4'CONCREIE SLAB � Basement NEW CONCRETE FOOTING _ _ Proposed West Elevation EXTENT OF HOUSE TO REMOVE DSK Dewing Schmid Kearns ARCHITECTS+PLANNERS __ Suite 2008 30 Monument Square EXISTING CHIMNEYS TO REMAIN REMOVE CHIMNEY� Concord,MA 01742 978.371.7500 '1.A0 Elm Street NOTE: South Dartmouth WINDOW TAGS Mn 01748 ADDED TO EXTERIOR 508.999.0440 NEWASPHALTSHINGLES ELEVATIONS 1 I www.dsk•P•mm l Permit Set _ 9 December 2013 floor - I Ceilin O NOTE NEW WINDOW ® ® ® ®NW SHINGLES® ® ® ® "® ® ® ® ® ® ® TYPE I AND AN EXISTING NEW RAILING TO WINDOW ON COVERED E MATCH EX STING PORCH 101 AND NOT RAILING. ® ® ® ® ® 1 ® Eli] ® SH OWN ON ELEVATION. BEE PLAN. NEW ASPHALT SHINGLES— \ \\ \\\ \1 I 2nd floor Ceiling 1 L11-IJ WINDOWS ECR �� ExIsnNG D MAI -————— No. Date Revision ByEXISTING . f . V r---� PORCH TO N EXISTING CURVED I REMAIN e°" o'" WINDOW TO BE F RELOCATED TO NEW NEW RAILING CURVED WALLTO MATC m m EXISTING $-9-1] PER IT SET ECR RAILING NEW STAIRS AND -- IaI5-I3 PRICING SET TO GC ECR RAILING REBUILT TO EX MATCH ISTING — — — — II _ _ 1stfloor No. Date issued tO BY 4 Existing South Elevation NEWSHINGLES Title PROPOSED EXTERIOR ELEVATIONS Date 12•9-2013 NEW 4•CONCRETE SLAB — — — — — — — ��LLL Basement Scale 1/4•=1'-0• w ^_1 Job No. 7220 NEW CONCRETE FOOTING H1 Proposed South Elevation Drawn By ECR AR EXISTING CHIMNEY 'fan BEYOND TO REMAINIF] F'^ I • �\ REMOVE CHIMNEY DEW,,{r/A VY� No.4301 CONC Dr 3rd floor 0 5'-5" 5'-5' Celli - - — ® EXISTING CURVED WINDOW TO BE RELOCATED TO NEW • CURVED WALL ® ® ® — RO FAT TOWER — Existing Existing East Elevation / NEW SHINGLES OOF AT EMRY / OO DR - - - - - - - - - - - - - - 2ndfloor 20 Quail Lane _5 Celli BRADKET Renovations ---, INDICATES Window Schedule ® ® ® ® ® BPETWEEN I OBE HOUSE& TYPE UNIT DIMENSION MNFCTRER CATALOG# OPERATION LIGHT LAYOUT NOTES T07. REMOVED ® ® ® ® TDWF}R i m Barnstable Q 2'-1'W x 3'-7 3/4'h PELLA 2547 Double Hung 6 over 6 custom height,see note#9 S G - m m I i I Massachusetts eQ 1'-Sb+x 4'-31/2"h PELLA Custom Fixed 2w 4h see note#5. NEw _ DOOR _ _ — — — — _ _ — _ — _ — _ —— —__—I I _ 15t flOOf �OWeT QC 8"w x 4'-3 1/2"h PELLA Custom Fixed 1w 4h see notes#5 and#6. - Floor "NEW CONCRETEEL tbd QD 8"w x 4'-3 1/2"h PELLA custom Fixed 1w 4h a"notes#5 and#6 NDATION NEW BASEMENT I Q9'-1 3/4'W x N-31/2'h PELLA custom Sliding 3w 4h — NEW STAIRS AND W%Ows RAILING REBUILT TO 1 _ 'Q existing curved size n/a n/a Fixed 9%,4h exstg curved window,note#8 MATCH EXISTING NEW CONCR�OTING — — — — QG 2'-9'w x 3'-11'h PELLA 3347 Double Hung 6 over 6 confirm same size as attic window at other end of house — — — — — — — — — — — — — — — — — — — — — — — — — — _ _ _ — — — _ Basement Q 2'-9'w x 4'S"h PELLA 3353 Double Hung 6 over 6 — — — — — — — — — — — — — — — — — — — — — — — — — — — — Q 2'-9 x x 4'-9"h PELLA 3357 Double Hung 6 over 6 see note#10. Proposed East Elevation Q4-6 w x 5'-5"h PELLA 5465 Double Hung 8 over 8 custom Window size Q 2'-91w x 4'-9"h PELLA 3357 Double Hung 6 over 6 confirm sill Is at or above 36' f kitchen counter height WINDOW SCHEDULE NOTES EXTENT OF HOUSE TO REMOVE NOTE:TOWER WINDOWS ABOVE DSK Dewing Schmid Kearns THAT ARE NOT LABELED WITH A ARCHITECTS+PLANNERS WINDOW TAG,ARE WINDOWS THAT 1 1. PELLA WINDOWS SHOW UPON OTHER ELEVATIONS Suite 2000 -Architect Series Aluminum Clad,double hung windows.Also sliding windows,fixed panels and basement awning windows. —— AND ARE TAGGED THERE 30 Monument Square -Insulated Low-E glass.Confirm locations of tempered glass where needed. Plywood panels to be supplied instead of impact glass. f REMOVE CHIMNEY EXISTING CHIMNEYS TO REMAIN Concord,MA 01742 -Simulated divided lights with spacer bar and 7/8"muntins.Light layout as per schedule and exterior elevations. 97e.371.7500 - ve, Factory primed Interior and exterior.Exterior to be white. r —— za0 elm se -sash locks to be Historical Spoon-stle lock in oil rubbed bronze finish. L__J NOTE: South Oartre uth -No sash pulls. WINDOW TAGS MA 0274a -Sliding$. ADDED TO EXTERIOR 508.999.0440 -Sliding Windows to be Pella 350 Series,vinyl,white exterior frame,718"SDL with spacer bar. I ELEVATIONS 1 2. Windows marked as'EXISTING WINDOW or'EXSTG'means that new Pella Clad windows are to be installed NEW ASPHALT SHINGLES www.dskap.c in existing rough openings. New windows will be basically the same size as existing windows. Windows mere'NEW WINDOW are the Windows specified in the schedule above and are new openings in new locations. Permit Set 3. Review window sizes with Architect before ordering. 4. Interior wood stool typical at all new windows. �� — 9 December 2013 5. At'existing windows'use existing rough openings.GC to Field verify sizes. — — — — — — — — _ — — 3rd Floor 6. Confirm that Window type C and D are the same size. I _ — Ceilin _ 7. Sliding Window to have middle panel sliding and two side panels fixed.Screen at sliding panels. 4— ———— 8. Price as Type A:c new Curved window with insulated lass and SDL. I 9. Window Type A:confirm size noted on schedule fits into existing rough opening. Note that there are seven .EXISTING Type A windows shown Mon second floor of Tower. 9 ® ® ® ® ® I I YnNDow NOTE: 10. Confirm that Me Window Type I In Bedroom 209 meets egress code requirements. BEHIND SEE ELEVATION r_ — WIN I i 2/A2-3 FOR m r ------- --- --t-- ELEVATION OF HOUSE l J BEHIND i BEHIND TOWER. r , - - - - ------------ -- - ------- ----- - — NEW SHINGLES 2nd floor NEw RooF _ Ceiling 1 10-11-IJ W1ND0WS ECR EXISTING No.I Date I Revision By ----- ®i PORCH TO ® ® NEW ® ® REMAIN I I I I ® ®aRpcKErs II I I I I m - j ANOTHER NEW RAILING PERMIT SET ECR II ® ® K TYPE TOMATCH -- lalrrp PRICING SET TO GC ECR �I IIF- II WINDOW EXISTING a Issued to ey I _ J l —� _ _ I BEHIND _ RAILING _ Isf fI00f No. Date --L�------ T�.O.W_. ._. ---- �- - ... .... i 6WQi Title Yfbd - NEwcONCRETE I I I I PROPOSED FOUNDATION EXTERIOR ELEVATIONS �EW CON�OTING— — — — Date 12-9-2013 NEW 1'CONCRETE SLAB I _ Basement Scale 1/4'=1'-0" �k /� /� - _ _ - - _ - _ - - HL L Existing North Elevation NEW CONCRETE FOOTING — — — — — — — — — — — — — — — — Job NO. 1220 Proposed North Elevation with Tower a Drawn By ECR L vs•=1w• _ AR TYPICAL ROOF CONSTRUCTION: �v�S�p NEW ASPHALT ROOF SHINGLES OVER V ROOFING FELT. Fez. e -EXISTING ROOF SHEATHING TO REMAIN. AA IF REPLACEMENT NEEDED,USE 5/6•COX PLYWOOD. V ' -ICVNEINE INSULATION,OPEN RAFTERS CE LRR TO REMAIN. 1. -3/4•STRAPPING. -BEADBOARD.EXISTING TO REMAIN IN AS MANY AREAS AS POSSIBLE, NOTE:GRACE ICE AND WATER SHIELD OVER ENTIRE ROOF ON NEW AND EXISTING AND 3' ATTIC UP THE WALLS AT THE JUNCTURE WITH ROOF. I 1 EXISTING EAVE TRIM TO BE REPLACED WITH SAME PROFILES AND SIZES AS EXISTING 20 Quail Lane Renovations Barnstable Massachusetts FIRST AND SECOND - FLOOR TYPICAL WALL CONSTRUCTION al EXISTING WALLS TYPICAL CONSTRUCTION al NEW WALLS .-NEW WHITE CEDAR SHINGLES. -NEW WHITE CEDAR SHINGLES. -EXISTING WALL SHEATHING TO REMAIN. -NEW WALL SHEATHING. -EXISTING STUDS TO REMAIN. -NEW 2z6 STUDS d9 IWO.C.. (ACTUAL 2.4 STUDS) -NEW ICYNENE INSULATION,OPEN CELL -NEW ICYNENE INSULATION,OPEN CELL FULL CAVITY,R-19. FULL CAVITY,R-14. -NEW INTERIOR 12'BLUEBOARD AND -NEW INTERIOR 12'BLUEBOARD AND COVERED PORCH SMOOTH SKIM COAT,PAINTED. SMOOTH SKIM COAT,PAINTED. SOI CONTINUOUS SEALANT FINISH FLOOR _ _ _ _ _ _ _ _ _ jB— IRM FINISH FLOORCONF RIM JOIST DSK Dewing Schmid Kearns CONTINUOUS SEAL AR{N(<<1 -•` TYPICAL FLOOR CONSTRUCTION: �; 8• ♦) f• -EXISTING WOOD FLOORING TO REMAIN NEW 2z6 PRESSURE-TREATED SILL PLATES • < .�'.hJ e.,1e IN MOST ROOMS. ANCHORED TO FOUNDATION WALL WITH SW DIA NEW SHINGLE SIDING : G G -EXISTING SUBFLOOR TO REMAIN. ANCHOR BOLTS AS PER MA BUILDING CODE,TYP. ON 12'PLYWOOD GRADE -EXISTING FLOOR JOISTS TO REMAIN. SHEATHING AND 3/d' EL 50.6' (ACTUAL 2z6 STUDS) _ to STRAPPING 1 INSTALL ALL CODE MANDATED HURRICANE EXISTING GRADE "A 0..."" .q HOLD-DOWNS REQUIRED FOR COASTAL LOCATIONS. n 2'ICVNENE INSULATION,OPEN CELL a T ICYNENE INSULATION,OPEN CELL d a w dskap—M FULL HEIGHT AT FOUNDATION WALL FULL HEIGHT AT FOUNDATION WALL ON ALL SIDES.R-7 ON ALL SIDES,R-7. Pemlit Revisions A 4 10•CONCRETE FOUNDATION WALL REINFORCED d' e,. 10 J anu_'J 2014 EXISTING WITH TWO B5 RODS AT TOP,MIDDLE AND GRADE BOTTOM OF WALL,CONTINUOUS. NEW BASEMENT NEW BASEMENT B03 B03 "d_ 0 d a ed DAMP PROOFING d d N0. Date Revision By 1 RIGID INSULATION EXPANSION JOINT AT e ENTIRE PERIMETER.CONTINUOUS SEALANT ° .8 .g ALONG TOP. G CAPILLARY BREAK OVER FOOTING 1 i-gyp pER�1T—revisions ECR 4'CONCRETE SLAB WITH Bz8 W WF REINFORCING (DAMPPROOFING OR MEMBRANE) cor4nr4uouszs•.1z•coNCRETE -- it-9-AU PERMIT ECR "• • `• a• 0 FOOTING No. Date Issued tO By d° d ° _ _ _ TOP OF SLAB d^ o d 4r a d FILTER FABRIC Title WALL SECTION: a a < a e TWO STAGGERED LAVERS OF I' d e °d. CLOSED CELL RIGID INSULATION a 6•MIN CRUSHED STONE SET ON GEOTEXTIL Date 12-9-2013 FABRIC.LAP ALL JOINTS A MINIMUM OF 12' 4'DIAMETER PERFORATED 2-O,. DRAIN PIPE Scale 1'=1'-0' Section at Covered Porch Section Job N0. 1232 A3' Drawn By ECR Electrical Schedule GENERAL NOTES SYMBOL DESCRIPTION SYMBOL DESCRIPTION ALL ELECTRICAL WORK SHALL CONFORM TO THE REQUIREMENTS OF STATE AND LOCAL CODES. SINGLE POLE LIGHTSWITCH WITH COVER PLATE. RECESSED LOW VOLTAGE CABINET PUCK LIGHT. a.In room,Outlets shall be located no greater than COORDINATE TRANSFORMER LOCATION. 1• 12'apart and no greater than 6'frorn any comer. V THREE WAY LIGHT SWITCH WITH COVER PLATE. u UNOERCASINETSTRIPLIGHTING.SWITCHONFIXTIRE b.Provide weatherproof outlets at exterior location and VERIFY LENGTHS AS REQUIRED. In Conservatory. FOUR WAY LIGHT SWITCH WITH COVER PLATE. FLUORESCENT CLOSET STRIPLIGHT MOUNTED ON 111 c9, WALL ABOVE DOOR(VERIFY LENGTHS). CONTRACTOR TO VERIFY THAT EXISTING SERVICE TO HOUSE IS ADEQUATE FOR NEW LOADS. No.4301 y SINGLE POLE DIMMER LIGHT SWITCH WITH COVER PLATE. Y PORCELAIN KEYLESS LAMPHOLDER,WIRED TO SWITCH. I$ THREE WAY DIMMER LIGHT SWITCH WITH COVER PLATE. SURFACE MOUNTED CEILING LIGHT FIXTURE. 2' LOCATE AND INSTALL SMOKE DETECTORS AS REQUIRED BY LOCAL FIRE DEPARTMENT. OPlCOR SELECTED BY OWNER,INSTALLED BY CONTRACTOR MA $" FAN CONTROL SWITCHES BY FAN MANUFACTURERS. Q PENDANT CEILING FIXTURE. 3. ALL DEVICE PLATES AND SWITCHES TO BE WHITE. SELECTED BY OWNER,INSTALLED BY CONTRACTOR y� $e AUTOMATIC JAMB LIGHT SWITCH-MOUNTED LOW ON JAMB. ... WALL MOUNTED LIGHT SCONCE FIXTURE(MR"HEIGHTS). 4, SEE INTERIOR ELEVATION DRAWINGS FOR ADDITIONAL INFORMATION ON FIXTURE LOCATIONS. r I �N SELECTED By OWNER,INSTALLED BY CONTRACTOR DO NOT SCALE FROM THESE DRAWINGS IF DIMENISONS ARE NOT GIVEN. A, DUPLEXWALL RECEPTACLE WITH COVER PLATE. 0RI 3&4'LIa.RECESSED DOWNUGHT FIXTURE' 6. T MOUNTED I2•A.F.F.UNLESS NOTED OTHERWISE. (SPECIFICATION TO BE DETERMINED) y1 QUAD BOX RECEPTACLE WITH COVER PLATE. O w Y RECESSED DOWNLIG't FIXTURE-EXTERIOR uno CONFIRM ALL LIGHT,SWITCH AND OUTLET LOCATIONS WITH OWNER PRIOR TO INSTALLATION. T (SPECIRCATON TO SE DErERNINED) UNLESS OTHERWISE NOTED OUTLETS SHALL BE LOCATED: p DUPLEX WALL RECEPTACLE WITH COVER PLATE. 0. S REGESSEO DOWNLIGHT FIXTURE WITH LENS FOR WET 6. 14"AFF TO CENTER OF BOX AND SWITCHES SHALL BE LOCATED V SPLIT WIRED TO WALL SWITCH, APPLICATIONS ISPECIFICATXIN TO BE DETERMED) GROUND FAULT INTERRUPTER RECEPTACLE. >ATT 4'RECESSED WALL WASH DOWNLIGHT FIXTURE 44"AFF TO CENTER OF SWITCHES. (SPECIFICATION To BE DETERMMNED) RECED PICTURE RECEPTACLE WITH COVER PLATE. p a TRACK LIGHTING NOTE THAT OUTLETS REQUIRED FOR APPLIANCES ARE NOT SHOWN. T ESSMOUNTED W A.F.F.UNLESS NOTED OTHERWISE. ,L SPECIALPURPOSE OUTLET. ® CONFIRM ALL ELECTRICAL REQUIREMENTS FOR APPLIANCES. T (DEDICATED CIRCUIT WHERE REQUIRED). FJa PANASONIC WHISPER CEILING'#FV-0NO2-]O CFM 7• •;•\ g (DEDICWECIRCUIRWHER OUTLET ,� DOuLE FLOOD LIGHT FIXTURE MOD TOUNDERSIDE CONFIRM NEWROOWITH OWNERS THAT EXISTING FIXTURES AND SWITCHES ARE APPROPRIATE 20 Quail LaneDUPLEX - OF SPEC.WITH CT IN BRASS FLOOR OUTLET WITH RECESSED PLUG DOORBELL PUSHBUTTON CONNECTED TO 6'VERIFY LOCATIONS IN FIELD RECESSED WALL DOOR CHIME-'NUTONE&B-14WH ICXIME) CONFIRM ALL LOCATIONS OF TELEPHONE,CABLE NAND COMPUTER OUTLETS WITH OWNERS. Renovation S WALL MOUNTED TELEPHONE JACK THERMOSTAT VERIFYMOUHTINGHEIGHT. O 9. TOWER T01 4 COMBINATON CAE1UE A.AND COMPU TER NETWORKING(CATS) JACMOUNTED A. OTHERWISE. TOWER ROOM Barnstable TG2 Massachusetts I I Rage and —fF n WExh"Hcotod FRO RL --- BATH gh LOSET STAIRLANDING \ = 1 MUDROOM t08 // S `\ Bi--.A-T--,{Hoff {61JFDSK Dewing Schmid Kearns 38. 1 � HALT IEXISTINGARCHITECTS+PLANNERS KITCHEN BWIt4n 1 6� 203 _ STAIR#t _— \ Re(r10 T IR I \ \ -0-- —� m / /TO BSEMNT / L 30 Monnument Square 11 FIXTURE \ WDRy ` \ \ Concord,MA 01742 DRESSING 978.371.]500 bHALL uR L ET /1280 Elm Street — D - 207 - 201 MA 02748South rtmouth ¢w o ----- / \ ( 508.999.0440 www.dskaD.— i \ \\ ICY \\ NEW PENDANT 1 ENTRY HALL I \\ I / Permit Set \ FIXTURE, BEDROOM#2 \\ \ CENTERED IN i \ 703 I I 208 I \\ 9 December 2013 LIVING ROOM 1 I O w / BEDROOM#1 / I 1 /BATH — EXISTING LOCATION OFSCONCETO / / FIXTURE, I _ REMAIN,NEW ¢/ CENTERED FIXTURE,CONFIRM N ROOM _ WITH OWNERS. �} \ BEDROOM#3 DINING ROOM / IJ+ F7l 209 102 I O - - _ f COVERED PORCH \ REMOVE EXISTING \ WALL SCONCE No. Date Revision By ENTRY PORCH \ / /--- -- ------ /----- /----- —� S 1 It-9-IJ PERMIT SET ECR \_ __O. -- 0-6-I3 PERMIT SET ECR L _ _ No. Date Issued to By l ----------------- ------------------ Title ELECTRICAL FLOOR PLANS North Date 12-9-2013 Electrical First Floor Plan Electrical Second Floor Plan SDale " -0" E 1 '1 1 v4=r D o 2 va=T m o r�H Job No. 1220 Drawn By ECR raid OWN • DEw�ti NO.4301 C NCO F00, 20 Quail Lane Renovations Barnstable Massachusetts STONE LANDING ABOVE I \ I DSK Dewing Schmid Kearns ARCHITECTS+PLANNERS Suite 2008 \ I Concord,MA.371.7900 01742 ` --------_ 976 N TA R I 280 Elm Street -------- NI �� I southDanmouth 508.999.0440 Co_1---- ---------9------------ ——————— ------------ —dslaD.a— I � UNFINISHED BASEMENT 1 __ sa, \ ---- Permit Set 9 December 2013 IL I 4 I j i 1 -- -----------------1----------- \ No. Date Revision By \ \ I -- If•9-IJ PERMIT SET RR I No. Date Issued to By Title ELECTRICAL FLOOR PLANS i North Date 12.9-2013 Electrical Basement Plan Score 1/4"1 • El '2 v4•=ra• o rP Job No. 1220 Drawn By ECR i ASSESSORS MAP : , ? TEST HOLE L 0 G S NOTES: PARCEL /�� l SOIL EVALUATOR : 1 )W1 , I�� G5 FLOOD ZONE: 1XI/o/ �P�.IC4C 1) The installation shall comply with Title V and Town of Barnstable Board of _. . ___ _ _.._ WITNESS : !J�'�'`( O REFERENCE: _ �� C� Health Regulations. 7 DATE: � r=� 2) The installer shall verify the location of utilities, sewer inverts and septic %9w17 c'Gv, j— - /l PERCOLAT I ON RATE: Z I ( + P �C�7 components prior to installation and setting base elevations. ____. I ,Ik � 4j' 3) All gravity septic piping to be 4 inch Sch 40 PVC at 1/8"per foot. The first TH- 1 TH-2 4 two feet out of the d-box to the leaching shall be level. tz" s plan is not to be utilized for property line determination nor any other fpurpose other than the proposed system installation: _ 5) All septic components must meet Title V specifications. /mil V� 1 6) Parking shall not be constructed over H 10 septic components. 1i E� 7 IUD '�/ $1 7) The property is bounded by property corners and property lines. LOCATION MAPT,31 � 1 --- *J' 1 8) The property owner shall review design considerations to approve of total - 4yrN �j �j � ( °`'` �'` design flow and number of bedrooms to be considered for design. Receipt of payment for the plan and installation based on the plan shall be deemed v 12, (1, approval of the design flow by the owner. ' ? 9) The existing leaching or cesspools shall be pumped and filled with material per Title V abandonment procedures. Those within the proposed SAS shall VU �'�, �� p' W� be removed along with contaminated soil and replaced with clean washed 1 sand per Title V specs. .` 10)System components to be 10 feet from water line. Sewer lines crossing the water line shall be sleeved with 4 inch SCH 40 PVC with ends grouted if /1 1 SEPT] C SYSTEM DESIGN 11) If a garbage grinder exists it is to be removed and is the responsibility of the 1 j owner to ensure such. p y FLOW ESTIMATE 12)The installer is to take caution in excavation around the gas line. 13)The installer shall verify the location, quantity and elevation of the' q y sewer I .111 3EDROOMS AT //0 GAL/DAY/BEDROOM -ZZCbAL/DAY lines exiting the dwelling prior to the installation. SEPTIC TANK 77t1f GAL/DAY x 2 DAYS GAL USE r� DGALLON SEPTIC TANK / I SOIL' ABSORPTION SYSTEM i �1 b S I DE AREA: Z X Z 2, 5 R 1�' , ,, at 1r �� BOTTOM AREA: 2 �✓- ''Z� /`�' if 001) TIC SYSTEM SECTION �£ 1f1k) `\ ��U{ • F��tw 'fi•S. Rf �." zz 0 0 D 0 (GOO GAL �,� SEPTIC TANK kro 6 '1 G SITE AND SEWAGE PLAN / _�__ _ ___ , L OCAT ION : k\W �o / . '� PREPARED FOR : ask , SCALE: DAV I D B . MASON R5 DATE: c�Z 0 N DBC ENVIRONMENTAL DESIGNS DATE HEALTH AGENT EAST SANDWICH . 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