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HomeMy WebLinkAbout0689 SCUDDER AVENUE - Health 689 Scudder Avenue,Hyannis A= 1' f I � a k pi l a o 8/5/2020 ShowAsbuilt(1700x2800) G• TOWN OF BARNSTABLE LOCATION bt�{gy/p S'el/���Q F SEWAGE VILLAGE ASSESSOR'S NAP 6 LOTgAe /oaf 6Ds- / INSTALLER'S NAIAE 6 PHO17E NO. kk)o J)E44 eog-A y/S-'3w SEPTIC TANK CAPACITY f/)Q�d �A-LLORJ f-�r d LEACHING FACILITY:(type) NO.OF BEDROOMS PRIVATE WELL OR PUBLIC WATER&U-G, BUILDER OR OWNER (,R164y DATE PERMIT ISSUED; 7-4 -9-7 DATE COUPLIANCE ISSUED: •13 _ VARIANCE GRANTED: Yes No 1/ I q � � I O 1 rrpp— L I I V�PoSE9. � G�Rac'E i https://itsqldb.town.barnstable.ma.us:8431/Home/ShowAsbuilt?mp=287061&sq=1 1l1 Commonwealth of Massachusetts a S - OCR I Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments .y. 689 Scudder Ave \`J Property Address ' Todd S Anderson Owner Owner's Name information is required for every Hyannis Port t/ Ma 02647 11/5/18 T_ 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 A. Inspector Information .D-* / 3445 filling out forms on the computer, Michael DiBuono use only the tab key to move your Name of Inspector cursor-do not DiBuono Sewer And Drain use the return Company Name key. 35 Content Lane Company Address Cotuit Ma 02635 City/Town State Zip Code n 508-364-9587 S113522 Telephone Number License Number B. Certification I certify that: I am a DEP approved system inspector in full compliance with Section 15.340 of Title 5 (310 CMR 15.000); 1 have personally inspected the sewage disposal system at the property address listed above; the information reported below is true, accurate and complete as of the time of my inspection; and the inspection was performed based on my training and experience in the proper function and maintenance of on-site sewage disposal systems. After conducting this inspection I have determined that the system: 1. ® Passes 2. ❑ Conditionally Passes 3. ❑ Needs Further Evaluation by the Local Approving Authority 4. ❑ Fails -� 11/5/18 spector's Signature Date The system inspector shall submit a copy of this inspection report to the Approving Authority (Board of Health or DEP)within 30 days of completing this inspection. If the system has a design flow of 10,000 gpd or greater, the inspector and the system owner shall submit the report to the appropriate regional office of the DEP. The original form should be sent to the system owner and copies sent to the buyer, if applicable, and the approving authority. Please note: This report only describes conditions at the time of inspection and under the conditions of use at that time.This inspection does not address how the system will perform in the future under the same or different conditions of use. t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 1 of 18 Commonwealth of Massachusetts lP Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 689 Scudder Ave Property Address Todd S Anderson Owner Owner's Name information is required for every Hyannis Port Ma 02647 11/5/18 page. City/Town State Zip Code Date of Inspection C. Inspection Summary Inspection Summary: Complete 1, 2, 3, or 5 and all of 4 and 6. 1) System Passes: ® I have not found any information which indicates that any of the failure criteria described in 310 CMR 15.303 or in 310 CMR 15.304 exist. Any failure criteria not evaluated are indicated below. Comments: System contains a 2000 Gallon septic tank as well as a distribution box and two concrete leach pits. No sign of failure or back up at distribution box. 2) System Conditionally Passes: ❑ One or more system components as described in the "Conditional Pass" section need to be replaced or repaired. The system, upon completion f p p y p p o the replacement or repair, as approved by the Board of Health, will pass. Check the box for"yes", "no" or"not determined (Y, N, ND) for the following statements. If"not determined," please explain. The septic tank is metal and over 20 years old*or the septic tank(whether metal or not) is structurally unsound, exhibits substantial infiltration or exfiltration or tank failure is imminent. System will pass inspection if the existing tank is replaced with a complying septic tank as approved by the Board of Health. *A metal septic tank will pass inspection if it is structurally sound, not leaking and if a Certificate of Compliance indicating that the tank is less than 20 years old is available. ❑ Y ❑ N ❑ ND (Explain below): t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 2 of 18 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments � 689 Scudder Ave Property Address Todd S Anderson Owner Owner's Name information is required for every Hyannis Port Ma 02647 11/5/18 page. City/Town State Zip Code Date of Inspection C. Inspection Summary (cont.) 2) System Conditionally Passes (cont.): ❑ Pump Chamber pumps/alarms not operational. System will pass with Board of Health approval if pumps/alarms are repaired. ❑ Observation of sewage backup or break out or high static water level in the distribution box due to broken or obstructed pipe(s)or due to a broken,,settled or uneven distribution box. System will pass inspection if(with approval of Board of Health): ❑ broken pipe(s) are replaced ❑ Y ❑ N ❑ ND (Explain below): ❑ obstruction is removed ❑ Y ❑ N ❑ ND (Explain below): ❑ distribution box is leveled or replaced ❑ Y ❑ N ❑ ND (Explain below): ❑ The system required pumping more than 4 times a year due to broken or obstructed pipe(s). The system will pass inspection if(with approval of the Board of Health): ❑ broken pipe(s) are replaced ❑ Y ❑ N ❑ ND (Explain below): ❑ obstruction is removed ❑ Y ❑ N ❑ ND (Explain below): 3) Further Evaluation is Required by the Board of Health: ❑ Conditions exist which require further evaluation by the Board of Health in order to determine if the system is failing to protect public health, safety or the environment. a. System will pass unless Board of Health determines in accordance with 310 CMR 15.303(1)(b)that the system is not functioning in a manner which will protect public health, safety and the environment: t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 3 of 18 c Commonwealth of Massachusetts Title 5 Official Inspection Form �^ to Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 689 Scudder Ave Property Address Todd S Anderson Owner Owner's Name information is required for every Hyannis Port Ma 02647 11/5/18 page. Cityrrown State Zip Code Date of Inspection C. Inspection Summary (cont.) ❑ Cesspool or privy is within 50 feet of a surface water ❑ Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh b. System will fail unless the Board of Health (and Public Water Supplier, if any) determines that the system is functioning in a manner that protects the public health, safety and environment: ❑ The system has a septic tank and soil absorption system (SAS) and the SAS is within 100 feet of a surface water supply or tributary to a surface water supply. ❑ The system has a septic tank and SAS and the SAS is within a Zone 1 of a public water supply. ❑ The system has a septic tank and SAS and the SAS is within 50 feet of a private water supply well. ❑ The system has a septic tank and SAS and the SAS is less than 100 feet but 50 feet or more from a private water supply well**. Method used to determine distance: **This system passes if the well water analysis, performed at a DEP certified laboratory, for fecal coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered. A copy of the analysis must be attached to this form. c. Other: 4 System Failure Criteria Applicable to All Systems: You must indicate "Yes" or"No"to each of the following for all inspections: Yes No ❑ ® Backup of sewage into facility or system component due to overloaded or clogged SAS or cesspool ❑ ® Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or clogged SAS or cesspool t5insp.doc•rev.7/2 612 0 1 8 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 4 of 18 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 689 Scudder Ave Property Address Todd S Anderson Owner Owner's Name information is required for every Hyannis Port Ma 02647 11/5/18 page. Cityrrown State Zip Code Date of Inspection C. Inspection Summary (cont.) 4) System Failure Criteria Applicable to All Systems: (cont.) Yes No ❑ ® 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 '/z 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 groundwater 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 water supply well. ❑ ® Any portion of a cesspool or privy is within 50 feet of a private water supply well. ❑ ® Any portion of a cesspool or privy is less than 100 feet but greater than 50 feet from a private water supply well with no acceptable water quality analysis. [This system passes if the well water analysis, performed at a DEP certified laboratory,for fecal coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered.A copy of the analysis and chain of custody must be attached to this form.] ❑ ® The system is a cesspool serving a facility with a design flow of 2000 gpd- 10,000 gpd. ❑ ® The system fails. I have determined that one or more of the above failure criteria exist as described in 310 CMR 15.303, therefore the system fails. The system owner should contact the Board of Health to determine what will be necessary to correct the failure. 5) Large Systems: To be considered a large system the system must serve a facility with a design flow of 10,000 gpd to 15,000 gpd. For large systems, you must indicate either"yes" or"no"to each of the following, in addition to the questions in Section CA. Yes No I� ❑ ❑ the system is within 400 feet of a surface drinking water supply ' ❑ ❑ the system is within 200 feet of a tributary to a surface drinking water supply ❑ ❑ the system is located in a nitrogen sensitive area (Interim Wellhead Protection Area— IWPA) or a mapped Zone II of a public water supply well t5insp.doc•rev.7/2 612 0 1 8 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 5 of 18 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 0 689 Scudder Ave Property Address Todd S Anderson Owner Owner's Name information is required for every Hyannis Port Ma 02647 11/5/18 page. Cityrrown State Zip Code Date of Inspection C. Inspection Summary (cont.) If you have answered "yes" to any question in Section C.5 the system is considered a significant threat, or answered "yes"to any question in Section CA above the large system has failed. The owner or operator of any large system considered a significant threat under Section C.5 or failed under Section CA shall upgrade the system in accordance with 310 CMR 15.304. The system owner should contact the appropriate regional office of the Department. 6. You must indicate"yes" or"no"for each of the following for all inspections: Yes No ❑ ® Pumping information was provided by the owner, occupant, or Board of Health ❑ ® Were any of the system components pumped out in the previous two weeks? ❑ ® Has the system received normal flows in the previous two week period? ❑ ® Have large volumes of water been introduced to the system recently or as part of this inspection? ❑ ❑ Were as built plans of the system obtained and examined? (If they were not available note as N/A) ® ❑ Was the facility or dwelling inspected for signs of sewage back up? ® ❑ Was the site inspected for signs of break out? ® ❑ Were all system components, excluding the SAS, located on site? ® ❑ Were the septic tank manholes uncovered, opened, and the interior of the tank inspected for the condition of the baffles or tees, material of construction, dimensions, depth of liquid, depth of sludge and depth of scum? ® ❑ Was the facility owner(and occupants if different from owner) provided with information on the proper maintenance of subsurface sewage disposal systems? The size and location of the Soil Absorption System (SAS) on the site has been determined based on: ® ❑ Existing information. For example, a plan at the Board of Health. ® ❑ Determined in the field (if any of the failure criteria related to Part C is at issue approximation of distance is unacceptable) [310 CMR 15.302(5)] t5insp.doc-rev.7/2612018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 6 of 18 Commonwealth of Massachusetts Title 5 Official Inspection Form I a Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 689 Scudder Ave Property Address Todd S Anderson Owner Owner's Name information is required for every Hyannis Port Ma 02647 11/5/18 page. Cityrrown State Zip Code Date of Inspection D. System Information 1. Residential Flow Conditions: Number of bedrooms (design): 6 Number of bedrooms (actual): 6 DESIGN flow based on 310 CMR 15.203 (for example: 110 gpd x#of bedrooms): 660 Description: Number of current residents: Vacant Does residence have a garbage grinder? ❑ Yes ® No Does residence have a water treatment unit? ❑ Yes ® No If yes, discharges to: Is laundry on a separate sewage system? (Include laundry system inspection ❑ Yes ® No information in this report.) Laundry system inspected? ® Yes ❑ No Seasonaluse? ® Yes ❑ No Water meter readings, if available last 2 ears usage d Not available per g ( y g (gp )) Water dep Detail: Sump pump? ❑ Yes ❑ No Last date of occupancy: Date 15insp.doc-rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 7 of 18 c Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 689 Scudder Ave Property Address Todd S Anderson Owner Owner's Name information is required for every Hyannis Port Ma 02647 11/5/18 page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) 2. Commercial/Industrial Flow Conditions: Type of Establishment: Design flow(based on 310 CMR 15.203): Gallons per day(gpd) Basis of design flow (seats/persons/sq.ft., etc.): Grease trap present? ❑ Yes ❑ No Water treatment unit present? ❑ Yes ❑ No If yes, discharges to: Industrial waste holding tank present? ❑ Yes ❑ No Non-sanitary waste discharged to the Title 5 system? ❑ Yes ❑ No Water meter readings; if available: / Last date of occupancy/use: Date Other(describe below): 3. Pumping Records: Source of information: Not provided Was system pumped as part of the inspection? ❑ Yes ® No If yes, volume pumped: gallons How was quantity pumped determined? Reason for pumping: t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 8 of 18 c� Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form Not for Voluntary Assessments 689 Scudder Ave Property Address Todd S Anderson Owner Owner's Name information is required for every Hyannis Port Ma ' 02647 11/5/18 page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) 4. Type of System: ® Septic tank, distribution box, soil absorption system ❑ Single cesspool ❑ Overflow cesspool ❑ Privy ❑ Shared system (yes or no) (if yes, attach previous inspection records, if any) ❑ Innovative/Alternative technology. Attach a copy of the current operation and maintenance contract(to be obtained from system owner) and a copy of latest inspection of the I/A system by system operator under contract ❑ Tight tank. Attach a copy of the DEP approval. ❑ Other(describe): Approximate age of all components, date installed (if known) and source of information: 7/5/1993 Were sewage odors detected when arriving at the site? ❑ Yes ® No 5. Building Sewer(locate on site plan): Depth below grade: 4feet Material of construction: ® cast iron ® 40 PVC ❑ other(explain): Distance from private water supply well or suction line: feet Comments (on condition of joints, venting, evidence of leakage, etc.): ` system is vented through the roof t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 9 of 18 i Commonwealth of Massachusetts Title 5 Official Inspection Form - r Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 689 Scudder Ave v Property Address Todd S Anderson Owner Owner's Name information is required for every Hyannis Port Ma 02647 11/5/18 page. Cityfrown State Zip Code Date of Inspection D. System Information (cont.) 6. Septic Tank(locate on site plan): Depth below grade: 3 feet Material of construction: ® concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑ other(explain) 2000 If tank is metal, list age: years Is age confirmed by a Certificate of Compliance? (attach a copy of certificate) ❑ Yes ❑ No Dimensions: Sludge depth: 3 Distance from top of sludge to bottom of outlet tee or baffle 24" Scum thickness 31. Distance from top of scum to top of outlet tee or baffle 4" Distance from bottom of scum to bottom of outlet tee or baffle 30" How were dimensions determined? Tape Measure Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): pumping is recommended t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 10 of 18 C� Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 689 Scudder Ave �V Property Address Todd S Anderson Owner Owner's Name information is required for every Hyannis Port Ma 02647 11/5/18 page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) 7. Grease Trap (locate on site plan): Depth below grade: feet Material of construction: ❑ concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑ other(explain): Dimensions: Scum thickness Distance from top of scum to top of outlet tee or baffle Distance from bottom of scum to bottom of outlet tee or baffle Date of last pumping: Date Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): 8. Tight or Holding Tank(tank must be pumped at time of inspection) (locate on site plan): Depth below grade: Material of construction: ❑ concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑ other(explain): Dimensions: Capacity: gallons Design Flow: gallons per day l5insp.doc-rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 11 of 18 Commonwealth of Massachusetts Title 5 Official Inspection Form �m Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 689 Scudder Ave u� Property Address Todd S Anderson Owner Owner's Name information is required for every Hyannis Port Ma 02647 11/5/18 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 8. Tight or Holding Tank(cont.) Alarm present: ❑ Yes ❑ No Alarm level: Alarm in working order: ❑ Yes ❑ No Date of last pumping: Date Comments (condition of alarm and float switches, etc.): "Attach copy of current pumping contract(required). Is copy attached? ❑ Yes ❑ No 9. Distribution Box(if present must be opened) (locate on site plan): Depth of liquid level above outlet invert Level and at normal level Comments (note if box is level and distribution to outlets equal, any evidence of solids carryover, any evidence of leakage into or out of box, etc.): t5insp.doc-rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 12 of 18 cam, Commonwealth of Massachusetts �r Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments �a 689 Scudder Ave Property Address Todd S Anderson Owner Owner's Name information is Hyannis Port Ma 02647 11/5/18 required for every y page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 10. Pump Chamber(locate on site plan): Pumps in working order: ❑ Yes ❑ No* Alarms in working order: ❑ Yes ❑ No* Comments (note condition of pump chamber, condition of pumps and appurtenances, etc.): * If pumps or alarms are not in working order, system is a conditional pass. 11. Soil Absorption System (SAS) (locate on site plan, excavation not required): If SAS not located, explain why: Type: ® leaching pits number: 2 ❑ leaching chambers number: ❑ leaching galleries number: ❑ leaching trenches number, length: ❑ leaching fields number, dimensions: 4 ❑ overflow cesspool number: ❑ innovative/alternative system Type/name of technology: t5insp.doc-rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 13 of 18 Commonwealth of Massachusetts p Title 5 Official 'Inspection Form 11. Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 689 Scudder Ave Property Address Todd S Anderson Owner Owner's Name information is required for every Hyannis Port Ma 02647 11/5/18 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 11. Soil Absorption System (SAS) (cont.) Comments (note condition of soil, signs of hydraulic failure, level of ponding, damp soil, condition of vegetation, etc.): No ponding no break out 12. Cesspools(cesspool must be pumped as part of inspection) (locate on site plan): Number and configuration Depth—top of liquid to inlet invert Depth of solids layer Depth of scum layer Dimensions of cesspool Materials of construction Indication of groundwater inflow ❑ Yes ❑ No Comments (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 14 of 18 Commonwealth of Massachusetts Title 5 Official Inspection Form I a Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 689 Scudder Ave Property Address Todd S Anderson Owner Owner's Name information is required for every H annis Port Ma 02647 11/5/18 y page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 13. Privy (locate on site plan): Materials of construction: Dimensions Depth of solids _ Comments (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 15 of 18 c Commonwealth of Massachusetts Title 5 Official Inspection Form F' Subsurface Sewage Disposal System Form - Not for Voluntary Assessments V � 689 Scudder Ave Property Address Todd S Anderson Owner Owner's Name information is required for every Hyannis Port Ma 02647 11/5/18 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 14. Sketch Of Sewage Disposal System: Provide a view of the sewage disposal system, including ties to at least two permanent reference landmarks or benchmarks. Locate all wells within 100 feet. Locate where public water supply enters the building. Check one of the boxes below: ❑ hand-sketch in the area below ® drawing attached separately t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 16 of 18 f 11/5/2018 Assessing As-Built Cards G ,TOWN OF BARNSTABLE ay LOCATION SEWAGE# VILLAGE ASSESSOR'S MAP& LOT R /v11S "A- / INSTALLER'S NAME 6r PHOIiE NO.�,�/�/}i(,J�>p� SFPTIC TANK CAPACITY 7Udd [�ISLLLD/IJ /-fir -d LEACHING FACILITY:(type)_ NO.OF BEDROOMS__�__PRIVATE WELL OR PUBLIC WATERG .BUILDER OR OWNER r'R/GGS DATE PERMIT ISSUED: 7-4o --9 DATE COMPLIANCE ISSUED•__ b 1 l.3/ VARIANCE GRANTED: Yes_ No �/ I FRI Fos ED �;ARnc,E http://www.townofbamstable.us/Assessing/H Mdisplay.asp?mappar=287061&seq=1 1/2 Commonwealth of Massachusetts Title 5 Official Inspection Form Ia Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 689 Scudder Ave V Property Address Todd S Anderson Owner Owner's Name information is required for every Hyannis Port Ma 02647 11/5/18 page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) 15. Site Exam: ❑ Check Slope ❑ Surface water ❑ Check cellar ❑ Shallow wells Estimated depth to high ground water: 9+ ft feet Please indicate all methods used to determine the high ground water elevation: ® Obtained from system design plans on record If checked, date of design plan reviewed: 7/5/1993 Date . ❑ Observed site (abutting property/observation hole within 150 feet of SAS) ❑ Checked with local Board of Health -explain: ❑ Checked with local excavators, installers-(attach documentation) ❑ Accessed USGS database-explain: You must describe how you established the high ground water elevation: test hole data on plan Before filing this Inspection Report, please see Report Completeness Checklist on next page. t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 17 of 18 Commonwealth of Massachusetts p Title 5 Official Inspection Form Subsurface Sewage Disposal System Form Not for Voluntary Assessments �i 689 Scudder Ave u— Property Address Todd S Anderson Owner Owner's Name information is H required for every y annis Port Ma 02647 11/5/18 page. Cityrrown State Zip Code Date of Inspection E. Report Completeness Checklist Complete all applicable sections of this form inclusive of: ❑ A. Inspector Information: Complete all fields in this section. ❑ B. Certification: Signed & Dated and 1, 2, 3, or 4 checked ❑ C. Inspection Summary: 1, 2, 3, or 5 completed as appropriate 4 (Failure Criteria) and 6 (Checklist) completed ❑ D. System Information: For 8: Tight/Holding Tank—Pumping contract attached For 14: Sketch of Sewage Disposal System drawn on pg. 16 or,attached For 15: Explanation of estimated depth to high groundwater included t5insp.doc-rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 18 of 18 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments w 689 Scudder Ave _ Property Address Griggs Owner Owner's Name information is required for Hy p annis ort MA April 1, 2014 - 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: A. General Information When filling out forms on the t computer,use 1. Inspector: '7I only the tab key to Move your Patrick M. O'Connell cursor-do not Name of Inspector use the return key. -- — -- Company Name rQ PO Box 1487 Company Address Marstons Mills _ MA 02648 enr� Citylrown State Zip Code 508-776-4186 _ S112855 Telephone Number License Number LU =B. Certification zz m zit.-certify th t1have personally inspected the sewage disposal system at this address and that the U— `Information:reported below is true, accurate and complete as of the time of the inspection. The inspection C' cwas 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 fiitle 5(31[1029MR 15.000). The system: ® Passes ❑ Conditionally Passes ❑ Fails ❑ Needs Further Eval_uuaation by the Local Approving Authority April 1, 2014 Job# 14-21 spector's Sig ture Date The system inspector shall submit a copy of this inspection report to the Approving Authority (Board of Health or DEP) within 30 days of completing this inspection. If the system is a shared system or has a design flow of 10,000 gpd or greater, the inspector and the system owner shall submit the report to the appropriate regional office of the DEP. The original should be sent to the system owner and copies sent to the buyer, if applicable, and the approving authority. ****This report only describes conditions at the time of inspection and under the conditions of use at that time. This inspection does not address how the system will perform in the future under the same or different conditions of use. 1 I I (Sins•3l13 Tille 5 0#,Ipecwn Form Subsurface Sewage Disposal System-Pagel 0l 17 Commonwealth of Massachusetts • Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments u 689 Scudder Ave Property Address Griggs _ Owner Owner's Name information is H annis ort MA __ April 1, 2014 required for y p -- - p every page. City/Town State Zip Code Date of Inspection B. Certification (cont.) Inspection Summary: Check A,B,C,D or E/always complete all of Section L'. 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: Tank was not in need of pumping at time of inspection. Leaching pits were empty. B) System Conditionally Passes: ❑ One or more system components as described in the"Conditional Pass" section need to be replaced or repaired. The system, upon completion of the replacement or repair, as approved by the Board of Health, will pass. Check the box for"yes", "no" or"not determined" (Y, N, ND) for the following statements. If"not determined," please explain. The septic tank is metal and over 20 years old` or the septic tank (whether metal or not) is structurally unsound, exhibits substantial infiltration or exfiltration or tank fail-re is imminent. System will pass inspection if the existing tank is replaced with a complying septic tank as approved by the Board of Health. *A metal septic tank will pass inspection if it is structurally sound, not leaking and if a Certificate of Compliance indicating that the tank is less than 20 years old is available. ❑ Y ❑ N ❑ ND (Explain below): t5ins-3/13 Title 5 Official Inspection Form.Subsurface Sewage Disposal System-Page 2 of 17 f Commonwealth of Massachusetts • Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 689 Scudder Ave Property Address Griggs Owner Owner's Name information is required for y p H annis ort MA April 1, 2014 - every page. Cityrrown State Zip Code Date of Inspection B. Certification (cont.) ❑ Pump Chamber pumps/alarms not operational. System will pass with Board of Health approval if pumps/alarms are repaired. B) System Conditionally Passes (cont.): ❑ Observation of sewage backup or break out or high static water level in the distribution box due to broken or obstructed pipe(s) or due to a broken, settled or uneven distribution box. System will pass inspection if(with approval of Board of Health): ❑ broken pipe(s) are replaced ❑ Y ❑ N ❑ ND (Explain below): ❑ obstruction is removed ❑ Y ❑ N ❑ ND (Explain below): ❑ distribution box is leveled or replaced ❑ Y ❑ N ❑ ND (Explain below): ❑ The system required pumping more than 4 times a year due to broken or obstructed pipe(s). The system will pass inspection if(with approval of the Board of Health): ❑ broken pipe(s) are replaced ❑ Y ❑ N ❑ ND (Explain below): ❑ obstruction is removed ❑ Y ❑ N ❑ ND (Explain below): C) Further Evaluation is Required by the Board of Health: ❑ Conditions exist which require further evaluation by the Board of Health in order to determine if the system is failing to protect public health, safety or the environment. 1. System will pass unless Board of Health determines in accordance with 310 CMR 15.303(1)(b)that the system is not functioning in a manner which will protect public health, safety and the environment: ❑ Cesspool or privy is within 50 feet of a surface water ❑ Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh L15ins13 Title 5 Official Inspection Form Subsurface Sewage Disposal System-Page 3 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments M 689 Scudder Ave Property Address Griggs Owner Owner's Name information is H annis ort _ _ MA required for Y P _ April 1, 2014 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 manner that protects the public health, safety and environment: ❑ The system has a septic tank and soil absorption system (SAS) and the SAS is within 100 feet of a surface water supply or tributary to a surface water supply. ❑ The system has a septic tank and SAS and the SAS is within a Zone I of a public water supply. ❑ The system has a septic tank and SAS and the SAS is within 50 feet of a private water supply well. ❑ The system has a septic tank and SAS and the SAS is less than 100 feet but 50 feet or more from a private water supply well**. Method used to determine distance: ** This system passes if the well water analysis, performed at a DEP certified laboratory, for fecal coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal . to or less than 5 ppm, provided that no other failure criteria are triggered. A copy of the analysis must be attached to this form. 3. Other: D) System Failure Criteria Applicable to All Systems: You must indicate "Yes" or "No" to each of the following for all inspections: Yes No ❑ ® Backup of sewage into facility or system component due to overloaded or clogged SAS or cesspool ❑ ® Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or clogged SAS or cesspool ❑ ® Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool ❑ ® Liquid depth in cesspool is less than 6" below invert or available volume is less than day flow 15ins•3/13 Title 5 Official Inspection Form.Subsurface Sewage Disposal System•Page 4 of 17 Commonwealth of Massachusetts w Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 689 Scudder Ave Property Address Griggs Owner Owner's Name information is required for Hy p annis ort _MA _ '-'pril 1, 2014 — - - every page. CitylTown State Zip Code Date of Inspection B. Certification (cont.) Yes No ❑ ® Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s). Number of times pumped: ❑ ® Any portion of the SAS, cesspool or privy is below high ground water elevation. ❑ ® Any portion of cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply. ❑ ® Any portion of a cesspool or privy is within a Zone 1 of a public well. ❑ ® Any portion of a cesspool or privy is within 50 feet of a private water supply well. ❑ ® Any portion of a cesspool or privy is less than 100 feet but greater than 50 feet from a private water supply well with no acceptable water quality analysis. [This system passes if the well water analysis, performed at a DEP certified laboratory, for fecal coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered. A copy of the analysis and chain of custody must be attached to this form.] ❑ ® The system is a cesspool serving a facility with a design flow of 2000gpd- 10,000gpd. ❑ ® The system fails. I have determined that one or more of the above failure criteria exist as described in 310 CMR 15.303, theref(ire the system fails. The system owner should contact the Board of Health to determine what will be necessary to correct the failure. E) Large Systems: To be considered a large system the system must serve a facility with a design flow of 10,000 gpd to 15,000 gpd. For large systems, you must indicate either"yes" or"no" to each of the following, in addition to the questions in Section D. Yes No ❑ ❑ the system is within 400 feet of a surface drinking water supply ❑ ❑ the system is within 200 feet of a tributary to a surfac(.�. drinking water supply ❑ ❑ the system is located in a nitrogen sensitive area (Interim Wellhead Protection Area— IWPA) or a mapped Zone II of a public water supply well If you have answered "yes" to any question in Section E the system is considered a significant threat, or answered "yes" in Section D above the large system has failed. The owner or operator of any large system considered a significant threat under Section E or failed under Section D shall upgrade the system in accordance with 310 CMR 15.304. The system owner should contact the appropriate regional office of the Department. 15ins•3/13 Title 5 Official Inspection Form Subsurface Sewage Disposal System•Page 5 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form Not for Voluntary Assessments 689 Scudder Ave — Property Address Griggs --- ------ — ----- Owner Owner's Name information is Hyannisport MA April 1, 2014 required for — State Zip Code Date�f Inspection every page. CitylTown C. Checklist Check if the following have been done. You must indicate"yes" or"no" as to each of the following: Yes No ® ❑ Pumping information was provided by the owner, occupant, or Board of Health ❑ ® Were any of the system components pumped out in the previous two weeks? ® ❑ Has the system received normal flows in the previous lwo week period? ❑ ® Have large volumes of water been introduced to the system recently or as part of this inspection? ® ❑ Were as built plans of the system obtained and examined? (If they were not available note as N/A) ® ❑ Was the facility or dwelling inspected for signs of sewage back up? ® ❑ Was the site inspected for signs of break out?' ® ❑ Were all system components, excluding the SAS, located on site? ® ❑ Were the septic tank manholes uncovered, opened, and the interior of the tank inspected for the condition of the baffles or tees, material of construction, dimensions, depth of liquid, depth of sludge and depth of scum? ® ❑ Was the facility owner(and occupants if different from :-wner) provided with information on the proper maintenance of subsurface sewage disposal systems? The size and location of the Soil Absorption System (SAS) on the site has been determined based on: ® ❑ Existing information. For example, a plan at the Board of Health. ® ❑ Determined in the field (if any of the failure criteria related to Part C is at issue approximation of distance is unacceptable) [310 CMR 15.302(5)] D. System Information Residential Flow Conditions: 6 Number of bedrooms (design): 6 - Number of bedrooms (actual): 660 DESIGN flow based on 310 CMR 15.203 (for example: 110 gpd x# of bedrooms): Title 5 Official Inspection Form Subsurface Sewage Disposal System•Page 6 of 17 l5ins•3113 r Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 689 Scudder Ave Property Address Griggs Owner Owner's Name information is required for Hyannisport MA_ _ April 1, 2014 every page. City/Town State Zip Code Date of Inspection D. System Information Description: Number of current residents: 0 Does residence have a garbage grinder? ❑ Yes ® No Is laundry on a separate sewage system? (Include laundry system inspection ❑ Yes ® No information in this report.) Laundry system inspected? ❑ Yes ❑ No Seasonal use? ® Yes ❑ No Water meter readings, if available (last 2 years usage (gpd)): N/A IrrigationSystem. Detail: Sump pump? ❑ Yes ® No Last date of occupancy: UnknownDate Commercial/industrial Flow Conditions: Type of Establishment: --- — Design flow (based on 310 CMR 15.203): Gallons per day . pa> Basis of design flow (seats/persons/sq.ft., etc.): --- — Grease trap present? ❑ Yes ❑ No Industrial waste holding tank present? ❑ Yes ❑ No Non-sanitary waste discharged to the Title 5 system? ❑ Yes ❑ No Water meter readings, if available: - 15ins•3/13 Title 5 Official Inspection Form Subsurface Sewage Disposal System•Page 7 of 17 r Commonwealth of Massachusetts Title 5 official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 689 Scudder Ave Property Address Griggs - -- ---------------— Owner Owner's Name information is H annis Ort MA _ April 1, 2014 required for y p --_- —_-._-. _ P _ every page. Cityfrown 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: Pumped 5/29/13 Was system pumped as part of the inspection? ❑ Yes ® No If yes, volume pumped: gallons How was quantity pumped determined? ----------— Reason for pumping: --------- Type of System: ® Septic tank, distribution box, soil absorption system ❑ Single cesspool ❑ Overflow cesspool ❑ Privy ❑ Shared system (yes or no) (if yes, attach previous inspection records, if any) ❑ Innovative/Alternative technology. Attach a copy of the current operation and maintenance contract (to be obtained from system owner) and a copy of latest inspection of the I/A system by system operator under contract ❑ Tight tank. Attach a copy of the DEP approval. ❑ Other (describe): t5ins•3/13 Title 5 Official Inspection Form Subsurface Sewage Disposal System•Page 8 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 689 Scudder Ave Property Address Griggs Owner Owner's Name -------------------- --------- information is H annis ort _MA_ April 1, 2014 required for Y p _—.- p every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Approximate age of all components, date installed (if known) and source of information: Compliance date: 10/18/93 Were sewage odors detected when arriving at the site? ❑ Yes ® No Building Sewer(locate on site plan): Depth below grade: reel Material of construction: ❑ cast iron ® 40 PVC ❑ other (explain): - ---- - Distance from private water supply well or suction line: feet Comments (on condition of joints, venting, evidence of leakage, etc.): Septic Tank(locate on site plan): Depth below grade: 1------------ -- feet Material of construction: ® concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑ other(explain) If tank is metal, list age: years Is age confirmed by a Certificate of Compliance? (attach a copy of certificate) ❑ Yes ❑ No Dimensions: 2000 gal. Sludge depth: 0 ---- t5ins•3/13 Title 5 Official Inspection Form Subsurface Sewage Disposal System•Page 9 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 689 Scudder Ave Property Address - - -- ------_--------- -- - Griggs Owner Owner's Name -------- ----__--..----------------.._--__ - information is H annis ort MA_ _ April 1, 2014 required for y p p every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Septic Tank (cont.) Distance from top of sludge to bottom of outlet tee or baffle - Scum thickness 0 Distance from top of scum to top of outlet tee or baffle — Distance from bottom of scum to bottom of outlet tee or baffle ------ - - - How were dimensions determined? Measured Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): Tank had liquid only, no solids_ Liquid level was at bottom of outlet invert and tees were intact. _ Grease Trap (locate on site plan): Depth below grade: feet Material of construction.- concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑ other(explain): Dimensions: ----- - -- Scum thickness -- - Distance from top of scum to top of outlet tee or baffle -- --- Distance from bottom of scum to bottom of outlet tee or baffle — Date of last pumping: Date t5ins•3/13 Title 5 Official Inspection Form.Subsurface Sewage Disposal System•Page 10 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 689 Scudder Ave Property Address Griggs Owner - ------ ------ - Owner's Name information is H annis ort MA _April 1, 2014 required for y p --- — I every page. Citylrown State Zip Code Date of Inspection D. System Information (cont.) Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): Tight or Holding Tank (tank must be pumped at time of inspection) (locate on site plan): Depth below grade: -- Material of construction: ❑ concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑ other (explain): Dimensions: ----- --- --- ` Capacity: gallons Design Flow: gallons per day Alarm present: ❑ Yes ❑ No Alarm level: — — Alarm in working order: ❑ Yes ❑ No Date of last pumping: Date Comments (condition of alarm and float switches, etc.): Attach copy of current pumping contract (required). Is copy attached? ❑ Yes ❑ No 15ins•3113 Title 5 Official Inspection Form Subsurface Sewage Disposal System•Page 11 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 689 Scudder Ave Property Address Griggs Owner Owner's Name ---------------- ------- —_---- information is annis ort MA April 1, 2014 required for H Y p __. p _ every page. City/Town 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 011 - 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.): No solids or high stains present. Pump Chamber(locate on site plan): Pumps in working order: ❑ Yes ❑ No" Alarms in working order: ❑ Yes ❑ No" Comments (note condition of pump chamber, condition of pumps and appurtenances, etc.): * If pumps or alarms are not in working order, system is a conditional pass. Soil Absorption System (SAS) (locate on site plan, excavation not required): If SAS not located, explain why: 15ins•3/13 Title 5 Official Inspection Form Subsurface Sewage Disposal System•Page 12 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 689 Scudder Ave ----------------------------------- Property Address Griggs Owner Owner's Name — -- - ---- --------- -- — information is p required for Y P H annis ort MA April 1, 2014 _ _-_ every page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) Type: ® leaching pits number: Two 1000 galpits. ❑ 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.): Pits were empty at time of inspection with no definite sidewall stains. Cesspools (cesspool must be pumped as part of inspection) (locate on site plan): Number and configuration -- -- Depth-top of liquid to inlet invert - Depth of solids layer - Depth of scum layer ----- - - Dimensions of cesspool Materials of construction --- Indication of groundwater inflow ❑ Yes ❑ No 15ins•3113 Title 5 Official Inspection Form.Subsurface Sewage Disposal System•Page 13 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 689 Scudder Ave Property Address -- -- ---------- - --- ---- Griggs Owner Owner's Name information is required for Hyannisport _ _ —_ MA April 1, 2014 _ 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, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): t5ins-3/13 Title 5 Official Inspection Form Subsurface Sewage Disposal System•Page 14 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form Not for Voluntary Assessments 689 Scudder Ave Property Address G rIRSIS Owner Owner's Name information is required for Hyannisport MA April 1, 2014 every page. C-it ylTown State Zip Code Date of Inspecti.on D. System Information (cont.) Sketch Of Sewage Disposal System: Provide a view of the sewage disposal system, including ties to at least two permanent reference landmarks or benchmarks. Locate all wells within 100 feet. Locate where public water supply enters the building Check one of the boxes below: ® hand-sketch in the area below ❑ drawing attached separately 15 1 a;'it Garage 30 45 ..y tN I 4 4 Y.JI yi Y Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 689 Scudder Ave Property Address Griggs Owner Owner's Name information is required for Hyannisport _ _ MA_ _ April 1, 2014 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: 15+ feet Please indicate all methods used to determine the high ground water elevation: ❑ Obtained from system design plans on record If checked, date of design plan reviewed: pate ® Observed site (abutting property/observation hole within 150 feet of SAS) ❑ Checked with local Board of Health - explain: ❑ Checked with local excavators, installers - (attach documentation) ❑ Accessed USGS database -explain: You must describe how you established the high ground water elevation: Surface water at end of road is considerably lower than SAS Before filing this Inspection Report, please see Report Completeness Checklist on next page. 15ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 16 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments ,. 689 Scudder Ave Property Address Griggs Owner Owner's Name information is required for Hyannisport _ _ MA April 1, 2014 every page. CityfTown 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 l5ins-3/13 Title 5 Official Inspection Form.Subsurface Sewage Disposal System•Page 17 of 17 CommonweoM of MossOChuseltS Executive Office of Environmentol Affairs Department of Environmental Protection 1Aam F.WNdGlow WN Tnedy Core "oo Pour Celknol I-VIWY tL GVAMW DMM S.Struts 8 e SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM �4 s �� C'�4� :�C_ ! h�C�ERT�IFXAMION s�- Property Address- Address of Owner. 210 Date oof Inspector.c rn�t-z". � (It different) y o�0�Sl 1�9 Name Coln Na �an elaphon Number. Fpl�BIF CER CATI N STATE NT Z I certify that I have personally inspected the sewage disposal system at this address and that the information reported below is true,accurate and complete as of the time of inspection. The inspection was performed based on my training and experience in the proper function and maintenance of on-site sewage disposal systems. The system: Passes _ Conditionally Passes _ Needs F Evaluation By the Local Approving Authority _ Fails y Inspector's Signature: � Date: � z The System Inspector shall a copy of this inspection report to the Approving Authority within thirty(30)days of-completing this inspection. If the system is a shared system or ban a design flow of 10,000 gpd or greater,the inspector and the system owner shall submit the report to the appropriate regional office of the Department of Environmental Protection. The original should be sent to the system owner and copies sent to the buyer,if applicable and the approving authority. INSPECTION SUMMARY: Check A, B, C,or D: A) SYSM PM PASSES: I)save not found any information which indicates that the system violates any of the failure criteria as defined in 310 CMIt 16.303. Any failure criteria not evaluated are indicated below. 13) SYSTEM CONDITIONALLY PASSES: One or more system components need to be replaced or repaired. The system,Upon completion of the n replacement or repair,Paves Indicate yes,no,or not determined(Y.N,or ND). Describe basis of determination in all instances. If'bot dater'miner,explain why not) The septic tank is metal,cradled,strscturally naeeund,shows substantial infiltration or e:Sltration,.or teak failure is imminent. The system will pass inspection if the existing septic tank is replaced with a pon! 08d teak as approved by the Board of Health. (revised 11/03/95) I One VAnter Street a Boston,Meseschusew 02108 • FAX(611)66661049 a Telephone(611)2924M Pmied on Recycled Paper ,F a � t SUBSURFACE SEWAGE DISPOSAL INSPECTION FORM PART A CERTIFICATION( ntinued) Property Address: Owner. Date of Inspection: B)SYSTEM CONDITIONALLY PASSES(continued) n. f-• 84fWangest or breakout or high static water observed in the distribution Dos is due to broken or obstructed pipe(s) of due two`a bra settled or uneven distrrbutio box. The m will n if(with approval of the Board of system pass inspection pp :►��y r1 * ken pipe(s) replaced ;\ # ctioa is r is leveDsd or replaced _ o"''eThe system spurred pumping more than times a year due to broken or obstructed pipe(s). The system will pass mspectibfi4(with approval of the Board f ealth): broken pi s)are placed obstuuctio is rem C) FURTHER EVALUATION IS REQUIRED BY E BOARD OF H Conditions exist which require further oval' ion by the Board of Health ' order to determine if the system is failing to protect the public health,safety and the environment. 1) SYSTEM WILL PASS UNLESS BOARD OF HEALTH DETERMINES THAT E SYSTEM IS NOT FUNCTIONING IN A MANNER WHICH WILL PROTECT THE PUBLIC HEALTH AND SAFETY 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 SUPPLI IF APPROPRIATE) DETERMINES THAT THE SYSTEM fS FUNCTIONING IN A MANNER THAT PROTECT THE UBLIC HEALTH AND SAFETY AND THE ENVIRONMENT: The system has a septic tank and soil absorption system and is within 100 feet to a surface water suppl r tributary to a surface water supply. _ The system has a septic tank and soil absorption system and is within a Zone I of a public water supply well. The system has a septic tank and soil absorption system and is within 50 feet of a private water supply well. The system has a septic tank and soil absorption system and is Ices than 100 feet but 50 feet or more from a private water supply well,unless a well water analysis for oo)iform bacteria and volatile organic compounds indicates that the well w free from pollution from that facility and the presence of ammonia aitrogen and nitrate nitrogen is equal to or lass than 5 ppm. 3) OTHER (revised 11/03/95) 2 f SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION(continued) Property Address: Owner. r Date of Inspection: DI SYSTEM FAILS: I have determined that the system viola one or more of the following eriteria as defined is 310 CMR 15.303. The basis for this determination is identified below. Board of Health should be tarred to determine what will be necessary to oorrect the failure. Backup of sewage into facility or system component to an overloaded or SAS or 1. � clogged oesapoo Discharge or ponding of effluent to a surface f the ground or surface waters due to an overloaded or clogged SAS or cesspool. _, Static liquid keel in the distribution above outlet invert due to an overloaded or clogged SAS or cesspool. Liquid depth in cesspool is less 6"below invert or available volume is less than 1/2 day flow. Required pumping more t 4 times ' the last year NOT due to clogged or obstructed pipe(s). Number of times pumped Any portion of the So' Absorption Syste ,cesspool or privy is below the high groundwater elevation. Any portion of a pool or privy is wit 100 feet of a surface water supply or tributary to a surface-star supply. Any portion of cesspool or privy is wit a Zone I of a public well. Any portion/of a cesspool or privy is within 50 feet of a private water supply well. Any portion of a cesspool or privy is leas t 100 feet but greater than 50 feet from a private water supply well with no acceptable water quality analysis. If the we has been analyzed to be acceptable,attach Copy of well water analysis for eoliform bacteria,volatile organic compounds,ammonia nitrogen and nitrate nitrogen. E]LARGE SYSTEM FAILS: The 66 ring criteria apply to large systems in addition the criteria above: The system serves a facility with a design flow of 10,000 or greater(Large System)and the system is• health and safety and the environment because one or of the following conditions exist: significant threat to public the system is within 400 feet of a snr aoe water supply the system is within 200 feet of a trbutary to a drinking water supply _ the system is located in a nitrogen sensitive aria(Ica Wellhead Protection Ana(MPA)or a mapped Zone 13 of a public I wister supply well) The owner or operator of any such system shall bring the system and into funk Compliance with the groundwater treatment program requirements of 314 CMR 5.00 and 6.00. Pleese oonsuh the local regional etfiioe of the Department for further information. (revised 11/03/95) 3 ' e SUBSURFACE SEWAGE DISPOSAL SYSTEM IIMPECTION FORM ,. PART B CHECKLIST Property Addraim. Owraer. n.Le of Ia.p.oti �=a--Y-q 7 Check if the following have been done: �— u ping information was requested of the owner,occupant,and Board of health. LOOM of the system components have been pumped for at least two weeks and,the system has been receiving normal flow rates during that period. Large volumes of water have not been introduced into the,system recently or as part of this inspection. built plans have been obtained and examined. Note if they are not avail"with N/A. L,--Tl a facility or dwelling was inspected for signs of sewage back-up. The system does not receive non-sanitary or industrial waste flow .!�The site was inspected for signs of breakout. All system components,excluding the Soil Absorption System, have been located on the site. The septic tank manholes were uncovered,opened,and the interior of the sgtic tank was inspected for condition of baMes or tees,material of construction,dimensions, depth of liquid,depth of sludge,doph of scum. _The size and location of the Soil Absorption System on the site has been docerminsd based on existing information or approximated by non-intrusive methods. f= e facility owner(and occupants,if different from owner)were provided wkh,information on the proper maintenance of Sub- Surfaoe.Disposal System. (revised 11/03/95) 4 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION Property Address:. Owner. 44tilonlv FLOW CONDITIONS ` NXSIDEN7 z Design 4ow: 7 ons Number of bsdrooms: Number of current rssidentf:J�� Garbage grinder(yes or no):LZie Laundry connected to system(que or no). Seasonal use(yes or no): Water meter readings,if available: '42o O c2 c Last date of occupancy: COMMERCIALANDUSTRIAI. Type of establishment: Design ilow:_--gallons/day Grove trap present: (yes or no)_ Industrial Waste Holding Tank present: (yes or no)_ Non-&&unary waft*discharged to the Title 5 system: (yes or no)_ Water meter readings,if available: Last date of occupancy: OTHER(Describe) Last date of occupancy: GENERAL INFORMATION PUMPING RECORDS and source of information: -- /9S3 - System pumped as part of inspection: (yes or If yes,volume pumped: gallons Reason for pumping: TYPE OF SYSTEM tanWdistribution bmUmil absorption system 8i"If carpool Overnow Cesspool privy Shared system(yes or no) (if yes,attach previous inspection records,if any) Other(asplain) APPRoiab ATE AGE of all oomponents,date installd(if la►own)and source of information: Sewage odors detected when arriving at the site: (yes or no) �v (revised 11/03/95) 6 SUBSURFACE SEWAGE DISPOSAL SYSTEM IITION FORM PART C SYSTEM INFORMATION (oontinuab Property Address: Owner. Date of Inspoculf SEPTIC TANK_ (locate on site plan) Depth below grade:Z Gi - } �� M��,,asnaal oof oonstruction:_oonawte_metal_FRP ather(aplaia) y/y�pVns: -)O ~ . S depth: !lsludge �'� Distance from top of sludge to bottom of outlet tee or baffler Sam thiclaress: /• // Distance from top of scum to top of outlet tee or baffle:� Distance from bottom of scum to bottom of outlet tee or baffle:_ Comments: (recommendation for pumping�ondition of islet and Dull o ,depth-of Level in ti a to outlet ' integrity, evidence of leakage ) ' GREASE TRAP:_ (locate on site plan) Depth below grade: Material of construction:_concrete_ etal F1tP_other(esplain) Dimensions: Scum thickness: Distance from top of scum to top of outlet tee or e: Distance from bottom of scum to bottom tlet tee or baffle: Camnments: ("co datio pumping, condition of islet and out tees of baffles,depth of ' is relation to outlet invert,structural integrity, evidence of leakage,etc.) (revised 11/03/95) 6 a SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) I Owner.Property �o \!� Date of Inspection: y— 7 TIGHT OR HOLDING TANK_ (locate ca site plan) h below : Material of ooastructioa:_concrete_ _FRP Depthode _other(uplain) Dimensions: Capacity: gallons Design flow: pllons/day Alarm level: Comments: (condition it tee,condition of alarm and float switches,etc.) DISTRIBUTION BOX:_ (locate on site plan) Depth of liquid level above outlet invert: Comments: (note iflevel and distn ion it en solids carry r,evide of leakage intoKor out of box,etc. 42-44 PUMP CHAMBER_ (boat*on site plan) Pampa in working order.(yes or no) Comments: (ama,condition of pump ehamber pum ps mps and appurtenances,etc.) (revised 11/03/95) 7 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM t PART C Q SYSTEM INFORMATION(continued) Property Ad x't� s Owner. !'l'1 _ t Date of Inspectionvp (a� cc�� BOLL ABSORPTION SYSTEM (SAS): Gooste on site plan,if possible;excavation not required,but may be approximated by nou4namsive methods) If act determined to be present,explain: Issehin6 Pits,numbenj—" 1(nod Chamber$,number:teachtng _ latching galleries,number: teaching trenches,number,length: Joachim g fields,number,dimensions: overflow cesspool,number: Comments: (n condition soil,signs of hydraulic fifilure, level of ponding, condition Hof vegetatio .) fv CESSPOOLS:_ (beate on site plan) Number and configuration: Depth-top of liquid to inlet invert: Depth of solids layer: Depth of scum layer: Dimensions of cesspool: rials of construction: ladies of groundwater: 1 must be pumped as part of inspection) Comments: (sole condition of soil, alit failure,keel of pending,condition of vegetation,etc.) PRIVY: (locate plan) of constr Dimensions: Depth of solids: Comments:(note condition of an,signs of hydraulic Wars, of pending,condition of"Ptsition,etc. (revised 11/03/95) g it R SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C C, a SYSTEM INFORMATION (continued) Property Address. Owner: !. Date of Inspection SKETCH OF SEWAGE DISPOSAL SYSTEM: include ties to at least two permanent reference landmarks or benchmarks locate all wells within 100' 13 r 44 �l 'C= Cz c 3 —c ` DEPTH TO GROUNDWATER Oepth to groundwater: feet CC method of determination or approximation: J E -r''= (revised $/15/95) 9 G TOWN OF BARNSTABLE . LOCATION ��U b SEWAGE # VILLAGE � I S�� ASSESSOR'S MAP & LOT�� fo S 6�I INSTALLER'S NAME & PHOI4E NO. a co A. SEPTIC TI:NK CAPACITY 7000 4A4nGdAJ LEACHING FACILITY:(type) (size) u - NO. OF BEDROOMS. _PRIVATE WELL OR PUBLIC WATER 4 BUILDER OR OWNER DATE PERMIT ISSUED: DATE COMPLIANCE ISSUED: ' 13 VARIANCE GRANTED: Yes No V VA P ti �_ 9C - — AAb��>o� ,yb � c7i1� r" Jc J ASSESSORS MAP NO: 6� Fes .- THE COMMON H OF MASSACHUSETTS -.•. ' `^G OAR® OF HEALTH R % .1....... OF..... ..................................... Ap iratiori for Disposal Works Tomitrnrtion V ami# Application is hereby made for a Permit to Construct ( ) or Repair (11�_an Individual Sewage Disposal System at: ... ------A .........4.gp.T. ......... :......1------------------------• p Location /Address / Q�j g—p� ��pg��� ` or Lot/ ro��.�� 'Qe��,( ...........!.-Y........6 {�? ��....... .............. d VV 1-s±/'�!Y.!!o'�._.E J�......17 Ke i'�Y 15�"1...� .......... �fJ Q Nner Address - a .................................. .."'c._`---•--•-----------•---•---•-----•-•---•----•------•-• Installer Address UType of Building Size Lot___. zLy_� feet Dwelling—No. of Bedrooms..............(P................____.__..Expansion Attic ( ) Garbage Grinder ( ) �a Other—Type of Building No. of persons............................ Showers YP g ---•--•-•----------••---•--• P ( )--- Cafeteria ( ) dOther fixture ------------------------------------------------------------------------------------------------------------------- W Design Flow.................. ..... ......_ gallons per person per day. Total daily flow____.._.._........._._...__.61�9..gallons. WSeptic Tank—Liquid capacitygallons Length................ Width---------------- Diameter____.._---_-___- Depth................ x Disposal Trench-No. .................... Width.................... Total Length.............._----- Total leaching area....................sq. ft. Seepage Pit No--------------------- Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( VI Dosing tank ( ) Percolation Test Results Performed bY.......................................................................... Date........................................ Test Pit No. 1----------------minutes per inch Depth of Test Pit.................... Depth to ground water.................______. 44 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ M .---•------------------------------•----•--•-------------------••--------••-•--------•----...--------........----------•--•----• ......... ........•------•-- O Description of Soil...........................................................................................................................................•-............................. W U -•--•---•-•--•••----------•---••••-•••------•---.....•-••-----•-••----•--•-----•----•----•--------•--•--•--•-•--•----•--•------••---•-••----•--•---••---•----•-----------------••-••----•--•------•--•-- W x ------------------------------------------------------------------------------------------- ------------------------------------------------------------------------- ..... V N ture of Repairs or Alterations—Answer when applicable____Q.�C fop______tWt (1._..__ ..-�. � . ` Ali-----' O. �a�4f1(��'`� W'1`14....-�-T1"t.... /----------------------------------------------•------------------------•...................... Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Environmental Code—The undersigned further agrees not to place the s stem in operation until a Certificate of Com ce has b iss ed b the and of health. Y P Y Signed _ ? l �.p -a -----, Date ✓ Application Approved B ---------- -- - -- ----- ------------- -------- ---- -- �'.. .......... ............................................. ..... ,.� '... ..................................... Date Application Disapproved for the following reasonr- ............................ ......--------.........--- ................................................. - -- ------------------------------------- -------------------- ---- ----------------------- --------------------- ---------------------------------- ------ --------------------- ---- ----------------- ------------------ Permit No. - .-... Issued ........- �- � Date Date { No----------------- ( C> t� i LDS �t„ Fmc............................. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH - �. oF....... Et�"......................................... ApphrFation for Utipustal Workg Tonotrurtion ramit Application is hereby made for a Permit to Construct ( ) or Repair an Individual Sewage Disposal System at: U p&,',At��-� r's. �� � nt:D;? .15 O vl U_T' _.._......^n........ —t.......... .......... ... -•--------------•----------•-------------------------------•--• ........... Location-Address �� or Lot No. /�2.1 .. 3..cc?.._ r � r� ----- ,Jr t`1l�tc . �'!............ - L e(5 -----`---- owner Address W Installer Address Type of Building Size Lot---- �_,_ Sq. feet U Dwelling—No. of Bedrooms.............6..._.......__ .__..Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ____________________________ No. of persons___--_--_-__-_-__--______- Showers ( ) — Cafeteria ( ) QI Other fixture W Design Flow.................. c ........d... per person per day. Total daily flow............................ ..gallons. WSeptic Tank—Liquid capacity_4V—Dgallons Length................ Width................ Diameter................ Depth................ x Disposal Trench—No..................... Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No--------------------- Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( ✓S Dosing tank ( ) Percolation Test Results Performed by.......................................................................... Date........................................ Test Pit No. 1----------------minutes per inch Depth of Test Pit____________________ Depth to ground water........................ Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ a •--•---•••••----•---...••----•-••-••--•-•-••-•-•••-•---•••-••.......••-••-•--••-•--••-...._......•---...--•--•........................................................ 0 Description of Soil............................................................-•--•-•-----------------------------------•--------------------------------------------------••-•-•-•.----- W V --••-•-•••-•••-••--•---•-•-••••-••-••-••-•-••--......•-----•-•-•••-•••--•----••-•-•-•••.............••-••-•-•------•••-••-••••---•......-•-••.......................................................... W ---------------------------------------------------------------------------------------•-•----------------------------...------....------....-------•••••............•. --•••--•-•••......-••-------••- U Nature of Repairs or Alterations—Answer when applicable...__t-_N�AQ[.:)E-:_______ ....... V------ ------ --------�!-LA V------------------------------------------------------------------------------------------------- Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Environmental Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been issued by the board of health. Signed ----------- -------------------------------------------------------------------------- ---- -- -- ---------------------------------------- Application Approved Byr f...::....................*��.. - ....................................................... - ....... D ?.............. . Date Application Disapproved for the following reasons: .........................................r'.................. ------......------------.--------------- ...........................................--------------------------------------------------------------- ---- -------- ------------------------------------- ------ --- ------------ -- ---------------------------------------- ., 1 , . ^ Date s . 7 Permit No. ..Ff.... " .. '.....,i..f... `.... ..... Issued ........ " `= r =, •� Date --- -------.::;................ THE COMMONWEALTH OF MASSACHUSETTS --ll•^ BOAR,D OF HEALTH .................I_.(.aW4----... OF ...... .AA145T7P:- --------------------------------------- C11er#ifirate of C11ompliaace THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired (v ) by-----------------------------------------------------------------------------d-sp.r -------------------------------------------------------------------------------------------------------------------------------------------------------------------- Installer at .---------------- 'J ... t ... - . . ... -- ------------....----...................--- .. . ------........... . ---- ..............------ ........ has been installed in accordance with thprovisions of TITLE 5 of The State Environmental Code as described in the application for Disposal Works Construction Permit No. .........r...--.-_--- .f- ---- dated "'.6 -..Z-------------- THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE--------------------..........-------------1..©.' { �---------- Inspector ---------- ...... ...... ..... THE COMMONWEALTH OF MASSACHUSETTS '---^" BOARD OF HEALTH , A ...........OF................/..1�.. �.1!( Ir✓ f , No......:.:...::. FEE..::....... * �, Disposal orko Tono#r iort rrmft Permission is hereby granted............... ?...-----••--••••--•••••••-•••-•••-••----••--•---•-••--••••-•••••••••--...........................--- to Construct ( ) or Re.air_� ) an Individual Sewage Disposal Systextl� 0V41I(P0, �' atNo............................................................... AV.l2....... {' ................................. -• - Street r� o -1 � as shown on the application for Disposal Works Construction Permit No �-_-. . D�ated.__._.�._......�....�-----_-- = - .G-- ------------------------•-•-------------••----- DATE_ > ...................... Board of Health FORM 1255 HOBBS & WARREN. INC., PUBLISHERS � 1 TOWN OF BARNSTABLE LOCATION v ,3ef SEWAGE # </ VILLAGE � Zg 2 ASSESSOR'S MAP 6z LOT , INSTALLER'S NAME 6z PHONE NO. �� ?,,,, wa �� mod• , ,�2 dC' (�d ' i SEPTIC TANK CAPACITY LEACHING FACILITY:(type) d _ (size) ��— NO. OF BEDROOMS PRIVATE WELL OR PUBLIC WATER BUILDER OR OWNER.-e, DATE PERMIT ISSUED: DATE COMPLIANCE ISSUED: VARIANCE GRANTED: Yes No �-� J p T A V .I� t 1 . 1 4 ,ASSESSORS MAP NO: ,- PARCEL NO.: • THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH ----.TOWN. ........................OF......BY R STABLE ----------------- ------------------------------•-•--------------•- Applira#ion for Uggpnual Works Tomitrurtiun rrrutit Application is hereby made for a Permit to Construct ( ) or Repair ( X) an Individual Sewage Disposal System at: .........689 SCUDDER AVENUE�-_..j1XAN.N.1�, MA__02601 Location-Address or Lot No. JAMES P. INGP.AM same as above ......................_.......................................................................... W CAMMETT CONSTRVftION P.O. BOX 160 YAMOtTHPORT, MA 02664 Installer Address dType of Building Size Lot............................Sq. feet Dwelling—No. of Bedrooms.__...._...................................Expansion Attic ( ) Garbage Grinder ( ) p`4 Other—Type of Building ............................ No. of persons.......2................... Showers ( ) — Cafeteria ( ) a' Other fixtures ----------------•------•-------- - W Design Flow............................................gallons per person per day. Total daily flow............................................gallons. . 9 Septic Tank—Liquid capacity............gallons Length................ Width................ Diameter................ Depth................ Disposal Trench—.\?o. .................... Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No--------------------- Diameter-------------------- Depth below inlet.................... Total leaching area............._....sq. ft. Z Other Distribution box ( ) Dosing tank ( ) Percolation Test Results Performed by.......................................................................... Date........................................ a Test Pit No. I................minutes per inch Depth of Test Pit.................... Depth to ground water..................... G1 Test Pit No. 2•-__•_-.--.-----minutes per inch Depth of Test Pit.................... Depth to ground water..--.................... •-•--------•--------••-•-•-•------••-•----...--•---••-•-------------------------•---•----------••---......................................................... 0 Description of Soil...........SAND................................................................................................................................................... x W ----------------------------------------------------------------------------------------------------------.........................................--•-----------•••-•-••••......••-•••-••............ V Nature of Repairs or Alterations—Answer when applicable_---INSTALLING...2.--- TONE___PACKED__GALLEYS .........Tic)---EXISTING...SEPT.IC...S.YS.TEM..................................................................................................................... Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of'I`I'! p 5 of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been issued b the board of health. Signed .5 .... vff Application Approved BY `" .s ! ,10�- .....................Date.............. Date Application Disapproved for the following reasons---------------•--------•---••----•--•------------------•-----------------------------------------------------... ---•-----•--•--------•----....-••....------•-••••--•-•-•----•------•-•-•••••---------•...................••----•---•-•--------•---••------•-•---•--•-•-•••-----••••-•-----------•---•••-•-------•----•-- g Date PermitNo.---•--.a..1:. .. �- ----------------------- Issued-........................._............................. Date W No..� :.. .. FEE. 2! �..� THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH Tom ........................0F......11t.�R�1zS.TAPBIE.............--------------..........--------.------------ Appliratinn for Disposal Works Toast ttrtiun Upprutit Application is hereby made for a Permit to Construct ( ) or Repair (X ) an Individual Sewage Disposal System at: -------•68... SCUDDER__ADENUE,....HYANNIS.,...S&..A2601................................................................................................ Location-Address or Lot No. JAPiEE.S . NPI �1ECt ...1.5...Blame. S_._P.---•--I_ GRA---M------------------------------------•-----. � Owner W CAMMETT CONSTRUCTION P.O. Bj)X 160 YmObtHPORT, MA 02644 Installer Address d Type of Building Size Lot............................Sq. feet Dwelling—No. of Bedrooms.......4__________________________________Expansion Attic Garbage Grinder ( ) Other—Type e of Building ____________________________ No. of ersons._....2_......_....._______ Showers p., yp g p ( ) — Cafeteria ( ) }i d Other fixtures .-•--•--------------------------------------------------•--•------•-••••-•--•-------•-- "' Design Flow............................................gallons per person per day. Total daily flow............................................gallons. P4 Septic Tank—Liquid capacity------------gallons Length................ Width................ Diameter__-_____-___-_ Depth................ 1, Disposal Trench—No..................... Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No __________________ Diameter.................... Depth below inlet.................... Total leaching area__ ._...._...sq. ft. _ _Z .;. Other Distribution box.(. ) y Dosing tank--( ) { ; t a Percolation Test Results Performed by._....___... ............. Date............_........................... a fir Test Pit No. I................minutes per inch Depth of Test Pit.................... Depth to ground water-. __-_____-_•_-_______- !' rX4 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ P4 0 Description of Soil. SAND--------------------------------•---...........-----------•----------------------------------------------•--------------------------------•-.----•- x . W V Nature of Repairs or Alterations—Answer when applicable...INSTALLING...2...STONZ..PP,CKED-_C•AI,LEY$ ------ TD•--EXISTING S.EPTIC---SYSTEM......................................................................................................................... .t Agreement: " ~ The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of'TTi,:-: 5 of the State Sanitary Code— The undersigned further agrees not to place the system.iri" operation until.a Certificate of Compliance has been issued by the board of health. �� } ' Signed.. .. ' '•.- / f -- ------ �C Application Approved By...... • f_z- Date ¢ Date Application Disapproved for the following reasons:...................................................................................... ---•---------••••......••..----- ......................... Date n Permit No.......�. .......................................... Issued-....................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ......TOWN.......................OF..........BARNSTABLE .............................................••........ A Trrtifiratrof Tlantpf�anrr l THIS IS TO CERTIFY That the Individual Sewage Disposal System constructed O or Repaired �C } by TT CONSTRUCTION . •••.--•- -••••---•-•-•-•--•----------•....---•--•••--•---•••-•-------••-••--•-•-••----••••••---------------------•---•---•--•....----••-••------....••-•-- G ��++^^iiTT77��yy��cc�pp `' m Installer at......t.89...S-C. DJ)&-l._ Y �_l__.HYAN T W J d--- has been installed in accordance with the provisions of TIE` 5 of The State Sanitary Code as described in the 'f- application for Disposal Works Construction Permit No............I............................ dated------------------------------------------------ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUE® AS A GUARANTEE THAT YHE SYSTEM WILL FUNCTION SATISFACTORY. DATE...................... ................................ Inspector-•----••---.••-•�- THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH •..........................................O F._...........................................----.................................... r Disposal Works %1_14instr iolt prrmit Permissionis hereby granted........................................................................................................................................ - to Construct ( ) or Repair ( ) an Individual Sewage Disposal System atNo....................................................................................................•..._.._.__...___..._.--------- _.._._•_•----------------------------------------- ........ Street as shown on the application for Disposal Works Construction Permit 1�Fo.._..._ .._ -•-- - ---------------------••-- Board of Health DATE............................................................................... FORM 1255 HOBBS & WARREN. INC..,PUBLISHERS r ILI 93 .. . ; SmdU oR MYLAME R.FIE76.Iln IUi01-BOMM - OMLM 713 CESOM M LACRIOR /I�f slag dA mFTR m p POW F1411IwB . :; fr Bo•Ptlpl� ... _ � ... �M CW�Y/' c1�13 N/-... - wYHA PMBT. - .... 7B1'D•aRT LOAD OF BEM, f ... .. Pow m Mw . cwm Raw am • YAW,gjaaM . ...... 'ME1r RaaE m WT01.. .... .. f' .... ... � .... .. ... ..I.. � ...... .... � .... .. ..... .�� ... � Meow AwtZT 9RIaE now(7TP.) FLAstexa rol cl®sc winnow Ow crfft -- ROM �.�-_ • �� J_ 'SSE p4Mr.,i Net�f` At EXSTM Kr(NO ow cAp . ROW - - C ar�TFx TAatE .. WATE ... Z'TPIC4L � � _ CTtP. - - xlo"h"t WlE7 a MATCH PRAWERB'- ::9aId6 - . ... ee ��.�^�.' �� v II 9 r.. NORTHERN ELEVATION A-8 'SCALE: Ye"=1'-0" — z WESTERN ELEVATION A 9 'SCALE: " 1 0 ' . .C4j PPEIJ ALE/ CHIPPENO.u:� U1lvQlSUO.(t$/ - 4roG Uuw'�`s r.,,ALLLe �r4 xLrH• be duel C?)ra „da 4c7c i.• � ( 3 i �aalrlit�a'wRnv' eLAc(c)': .. ....... 'lla:wRPOIa/ME PAMF1'.• -- ' CEMENT. .... I�i� �I t I�I� ✓„ � ;1�' ... ..;:.. ... Sm101E Raw(TP:)': .. .. .. , Row vmma=� EdsTw EasIm — - Rw wlMf)(yW.CAP ' _ - Mf -CSEi(7tiTAIl 6EE 17E1:1!L'T.1-. Wwoew.CAP 11 .. ..Rw ... ,-. q. ..., .. ... - - ..... .. I ,...... it •— � �'4`.• ALE I�FV W7NQ. .� .. _ b _.— 4 l � L" cnRMER eoARn I ^, ( - ,aeING 1•mA 00liP 4 :. I - I ... .. ..... ... .. .:. .... .. .. .... _—_ ---- --__ _..__ __ Lw1aBlE�Dawt ta/�B WE ___ ____ TtlI OASIRN � ! _ ... SEC,I)R�cw tN c,K n�2 MAW Towra naoR. .�IdRMRw�Pa ___ate, � Lear aABa '� .. SOUTHERN ELEVATION A .SCALE: Ye"_I"—o" --'-- — — — r EASTERN LEVATION —s'. . :w. .. �. .. .. .. ,� C,IRC..Er�nen.:.'`�T Areuuc rn•�/�,n`7B5:.0 Ns .. ... ... S !)Rh,4/1.\�✓/-S.IV r)ICJ,.Y_ .. .. ... ... ....... hLIN5'I-f FIkZ5! r.: r-:.t'e Q�ItT--e:= .. — rt=g' fit-3"7.ca. :. .. ... .. •. a, y .. '- .. .: ... - S E:D,,: ; :'PROP , LE. ...ATIONS' ' B19S121gGT, Inc.Mr. &Hrb. J. Brian ONe01 L''T _ llanova. Pa. . 02 0 d. F.L. i Vi �Gulph Rd. FLB 899 Scudder Ave. (no)Gm-wae 8 DRAWN BY., BRIAN S7M= (510)213-1 's_,P-,P A. .. ON-"SIC Hyanniepo t.M � � + oval a _ l Stl J✓i;N eh'' -- .. h.t r'L 1) Stl 1°201`', �Q'.. .I bfjii�`�._. .'i::. 1't\Iv`Ci•�( hLti cnG 14ON �... ..' ':. ...•' `.. : ... r \ ,: :;' - P (. tnw P{�1 UcC.b¢�ll?4n(. ( 1.11 .. A. � FAMILY RM NEW ORTOOPBE KITCHEN,BEAM EENONE ... I ER I uti� .�ti c t - --- - .iF815cxctitau4v2 LE•`tAa)NfAr z,.. I __ MEN I /G..,•.-�L-a-,.�; o .L ... i-eFyOulc .. ....... I .. .._.;_' ...- I I /: I ( _ I I. 8U9S-IN _ ... , ... . .. IKK5e56Ai]ko'Otq SNCEKiGCK,— .. - R-aw-C'Slam DONN. .: __J. L._.. _:- t.) .. ... - _ ... .. _. ITT U '` 1 _ PORCH v 8*1e ED SQUARE POSTS ON Y 1 TO REQUIRED 0" BEDROOM 5, ,I i I °� r e: e'8' � 5 1' S'1' S 9' I /cam - c-cucom)'Ce—) =R-3b tm b. - 0y m NEW W OFFSETS imp .: ...i �—AND FRAME MAINS . 1 m � M^ATrp�Te+O OuP 2` W ' r S m O SEALED ACCESS IN NEW . .. .. PORCH FILOOR.TOP TO BE MAINTAIN.EkISTML n41511 N,TI .. - •. I.., .. :.. R,. °di • I T �_ fiRl(7C PORCH AND PORCH FLOOR .. :. '.. ..S n * tm T .1. STEP BELOW NEw..:. ... - m l/r .... ..: O 1i1 1 .G5_ : RAISED FLOOR o CE7LMO LIP _ Q BEAM THAT :. � �.., ::. .- -- }�-/ 4 •` �__ '. -RUNS OVER COLUMNS - - J - - ®' _O. W -1• ... �.— : ..4:22(N'JC'A..(J.AIN�. ,...r,. ... ;. _ • - Q._PR-OPOSED NEW FIRST FLOOR PLAN e'c.c.eo .BASOBonnn ��SCALE: CE�aocK .. VV-fAONE."P1C157`c 4{ I � - .. 'C - b SRA.L+tre r .. - owa/n^rc4 s-s-Ptwn -; .::8(•IecT1iacM Wnw _ NtTkbE' LS - /a zt fEJ Slit...-` - . 2..6 P.T.$\FLw( I I , "'BLOCK�ON AAA :.- a ,'..L.- .., (I II t' _�� .�• _..- i���._: .. .. .. ... ...._ .. ... ser r -MITT C�?t6"P(56r5 ,� . aPAKFUE to rC,::}tY.fSEJvK°. _. .. - ... $,w6vgL tow S/ x'l yc`cyCa YZ yz'.pL Y. ` - SOdA,Y�G/.nn.IIJbC+4 _C�� ,-, ,Can 1'.5Eo-cEu-) --J MW.' ' _ ( J I Eh1;�Tt:NCl FtiUSH NQIN�`E[ty:rla s) -lalTgfiWIZ.. .. s6alow 'SFk -4rCTZASi1`.1'5OVR-1,0,5t la. �. .-. Nam), by PjFZOee OI:v WV 0E614N5.. ECa2 I.uLAni. DATE OF PREUMk4RY -, ,B singer, Inc. L. Bis . �p :-. arE.orvlANs:PUNS -e=7e xre a odew io .' ... .. :.. �;.'- .,... .. .. ... F 1602'Old Glilph Rd. +T - - J. . Villanova, Pa. 18085 . FLB REVISIONS:.', & znts 9 Scudder Ave• Ebon.:(e,o)50-Base �.c ,, .. .... .. '. N. .�... ... .. _ ....... ) REV6roNs: � �BdyeuWeport, LA. (t0o).eae-OaSO �e�oOo .. .... .. ... - .... .. .. ... �.,. ,.- ..., -J98: � REV190NS ,ns.+s� - ORAYIN'BY: [iOAN STRUCK 1 (610)2U.i -� ,.; - .' .I .. h T— r . ��. DECK 4 ' a n n I Rom. } LOW SLOPE ROOF :DECK ' =t :. l r WDE INDOW TO ..... .. .... .. .. I .... �: —V' gym;' .. -.:: g; g.... # �'�; .. :.4 S s;: ,r'.. ', � TJ B OkkSE ^ 1 10 I set I I -- .. a. t ti .. Jjk}I�:...�.ma• jII •ii 1Y/.R/:. kr zII IIIIi I ..4} \5��LR,2��•I,. aIf� I rI 0�9�W .,.. S x w��2 r�k �.. r MASTER BEDROOM 1:BATH -2 i 'BEDROOM B EDRO M SITTING ROOM 'BEDROOM BEDROOM OOFEU DOOR PZ:q DECK k l'Oi EXTEND FLAT ROOF• WTH COPPER PROPOSED NEW ;SECOND FLOOR PLAN 9N 1 -0Ya tt hj � f} )1 EA )a F. ty : .... 7... ... -�. r,'. Y. c w .. .. r i L.,,Biss ng Inc. BkY6bBY. _ Mr. Neill Y502 Old Pa.1ph d. DEL! & Mrs. ]. Brian 0'..:689 Scudder Ave. o �:(ei�)6xs oesoe_DRAWN BY: BRIAN STRUCK -(670)213-1396ON F96 ^HyTisport, MA � r n0� iz.b•- 6.O t-s 6 o• r 1. L .. f wr 7 33 EP TV QQ n Cl —liw I i t —.. j Jag V"tPr f�T. .O I R ' C, r � � a.v....vs .u- -... - - m+ �. w - y w .. —aw• a r-a... r .. .... ._- ..- _. _r-.r a-<®a. _r 1 - v z ? p : F z OD P p J zng m Hil ps m" p � � i pp 9 f o •. Y N 4r C p I 3a rF: mr. r,n oa rnnN rn r. z I a Wo z � 7 i -10 j I7J v Fff� � I I I I �,Ir•�- � � _ ! ��� � TS � � � L1 �x ED I X .. .. --�N i l - YK---- --tit i 1 i a � 31 it ell CD _ N � j 40 V v . , { hlz ' IV �1 rA � to M. 0 (V A. N 5 hOJ { O pIC . L rA .. _ i N f I Lpy+ a` {{ i ' S o i i I _ 1 Jt' IMP I t. j ��� Ya ..Sxa .nha�da S _a f � 8. Jl:+ ^ � j. S i• ./ ... _ b q � . p s _ - s & =_: �Q a hint a• � ✓ I`91 �"� PAI { ,. 1116. 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TrP.vaPTlcA-.,.aa r.Ati IpN.(dwODHARNO mAtib.--_--_.._._.._. - OR I$ea _ Bd IGtl b°®fLe ITJ"FIHLD 3HHATHa THAN♦• : '00 Gd aP EDae/b•Fop - WALL 6TN0 epAGalD.....-- ._-•_• ..__.-�PT t d-''�- , _ ' mALl eraRr OPFeeTr__. ------- GENERAL:NAILING 8CE•4tirDULS 4. .._ I WALLS' .. �WAiL aruoe " -- AeLe a.-......_._.-_. ':zF 9: . . toArJBeAr+Ba PALu---•---..-._.. ._y(•4 L t71'TJIQp�- � ' • T ,1 muffs ad Con+oP. as./.: rroP1GAOOeRANIG --_._ - '..: �-OMLe lJID BALL ' '.RBl H®aNT @10WALL _ Rffi%}..---.-__-.__.___..--__._...__.. •J. i .. .. ... .. .. ... ... .... :. ,------- meF• ------- Arm M1ooR LW61N_- .--rRa w .-___-'-.- �! .. i °t.•� ... - cRo w' - �-----_.--.---- -•----°_Pr>o.Ro_ _ . :'• T - .. ' i : ... AND ixa CONIFLfOIR:LATB+At EPIAGH•a R.O.F�U..-_... ,:,. •'- 'Tip•1 OR eV C®llo RdtWNO a.....•K•bPwcaR J4L C1Tll IN4 O'.00KaID•{PT•GPAC'---el mID--- e eAYe._..-.._-_•--..___ .—.-__.--_... .. a At • - � µ _ ,, u'• -;' .. 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I H61 HalaHr ante(116 a pn0761__-•------- T OPB,INOBU1 aiEDc Ali G'Q�wwNGQ M TARF6 ....... .. : .... _ - .. .. - .. .... - NON90AD lmaRa6L WALL O--------a�FORD to N'Y7CLR5 F Q a7.<K_�L .. {•••• •• _ }e-1wTaPANa._.__--...._.--_- ..............tx .. ... e61P.TBrAm-__._.--._--- ---= r ca__ 1 MAXIMUM WALL STUD HEIGHT 87UD BpAG(NG1 s _�; Hu NmGNT ataob rNa op enroe,._-----_..___m>s;e v.._......--'--'-'---- I 1 1 Px sRKr.+uu ewEaTwmb To p"T RPLPr Ado eNeaR a u aNa 19L� I RAFTER CONNECTION AND WA SHEATHING REOIItliBEl9ra ar°A Oa)OP N6Avc$!. ..... ... .. .. ....,101'91AL,NB6Nr aP.1ARLAT DPBPIa• - ._---_-_--_-. � y .t _- _ - - _ riNTRi °�OO _.A_-- eY• ;�•�.._ ... -. - _.Rtlie IJ_ -_... 1 HE'^DER SPAN .�,pnnJA NWS9 .P::F';. LATERAL '-`+'r'��'•-'--, - .. . 616 MND TrrR----------------_____._--.-._ RT.J I 91m ��� _ �NAIL ePALUIa,.__-_--..--..._•__...-_.__rAgLB!G'M RDl!a P La%1.___-__..--•_.._._.--b PL-L . :. '. I"NA&IPA T1 --------_.___---_._•-------mAmLH 10J.................----------_--_-..._�}>•. PAGE OF BL _ e .. ... 6NHAR ero•DmGTTal1 rl�.OI I6d GOr4GN XA6b1 f.A�'H.IW..._.---------------------- -- roJ..-_....... --.- ►�L,.. - .. .y 1 MX4 ^1� _..----...._.._ ..... . ... ... .N ADDIRORJ„1 e}PA•7N91G fYAe mAu WIIN OPEib1R>a'a•r-621"CPrO®Ta............._...-....-_. _�- •. ..... ... . e • rj NorRiat NBaHr DP rauaeT oPaMND .-.._._ .D.N J'+ °' L j -� .. Ism .�'iL_AL- ... .,.y 9' 7.7X9, 9 693 9 •, ...^ rp"KA.WAC4q.-_...._-____�...........RTAe a aA-1 r {-LE------.-_.__._. .. - .. : .• eAMCMOP ....... .-_.mAB1i IU...-•_•_-•_............._.-•.--_......L�.el -j .....R. „ b3X6 _ 9 .... "• rifiLO NVI.BPAapIR - . .' -, .. ONHAR CON1mGTIG•I M0.Oa If+d COMMON NAea)mABLe N.....�-: ................±_�,L PAGE OF � � .... ..� -',{-�.A. .. .. odXQ 6 eTp. 961 .. .. � A ..... 1 ba ADDITIONAL 611ewTNB19 rOR e1441 Lull OPalaW>I'a•eGaDKW GG11tlFPTbJ.-_- l .. - . CLApDMO. - 5A.4 f — RdraD FOR WBm bPE°P.-...-_••- .. �.. •• .. .. ... ..P ... =Rig. 1 '4 �''�D9^' ba0 9•I ROOFROLP PRgAI'IeJa M,,W BPAW CHECK[IPGR KAFT M UGH AII4 OPAN TaOI.ae!EICPb Wf9a1rH1 ... —JL .. , ___—.— ._•�....•-. 6901HxH Iw......_-..--__•a A(aMLLFR OF Y GP Ln-_JL i :. -, �3 .. i . � 11' 44%10.r { I a rs AND HEADERS ROOF oYERNANO..- ... 'rR me oR RAMM%GdwecroD P AT LDAoeeavw KUa TL,5LE 9. WAI_I.OPENINGS - F�EApCR6 BiUND . . . . . r= . - ... .. ' .. .... .. PRDPIeRTART GDmlECTORa - .. . �'.` - ... .. . .:...............-----•-------.-o-:e�LP�_ . .:_.....-. IN LOApBEARINCs WALLS AROUND WALL Of N'Ji 18®PER mABLR at.l__..._.._............. ....Sei•1.SPLF._f�""I p'9T^_9• .. IRDfB arPY,ON,,&OWNk P C`CLI.AP TM -.`aasl�e�........-.' t 8nI1JPn OF Y W L�_>/ ariPLi ne MET a RB ENratbTY.EYLLItlH16 THQ aPECWIG EY 9TKIN f/01ED IN 1'^J GOnPLT WRH THE .-S aAeu RAml ounooFeP._........-.__ .. ... .. .. .... rralbe aP RAP}aR CONNHCTbIa/AT NRNOAOBF?RPIs a14LLa I L r' b•90 GM'630LLLI frFlt L IF•-6 Q�KL'6S h MET M 1'3=NTIRHTr iHBt T 7:JJ_:1e0MfiTA4 eTRAPR . ... ..: pRpmwrT r COlaae:'IDFS Pa 6UTJE .. ,p,p IWIIa ARB NOT RE4Iea®PeR THe'.FGFI'IWl r ` •-----•- A,BTM GTRAPH PER P&M b - - unrr__.._..-..-_ -• mAde w:..._-. . w nn��...AL_. .. ... uteRAL bp.a lad eaT'noN erae.b}. RI4ol9 w,------..--••----.-._. I.Sffi1B._ .l EI+90.aAMS aTRAPe PM ROME 6 . ... ...............m93e Tso CeR(ae.aD AND a'SOOJ ---. . -- —� .. ... I ROOT aNeATNaY TYq...._-•-"-.... In .IK,Vw bdP_�(_ c. .... ...._ AOOI aTCAnma 1HIGDRAa-...---_. ...- --_-•_-_..._---?..... _.__.- ... ... .. UPLif STRAPS Flfd9aE A w . .• •.. ROOP gCaTlOtl p.A6Tisxm___.....- -.rTARLE L:�-_-- -__-....___- .__�.. O•ALL b1RAPB Al H T INu E'GORNEW 6 O NOLO OOB476 PER FIrAeRD Ea AND P MWI Tti 1 T n"' �G T 9H5A H .I.. ENING 1JP TD a PT.9Ha:L BQ P6drIITiT WNeR 5>V 19.•70T:^.. O TNc PER:EN .. . _P IL _ L pfCFprIOM•OP LiPaa41T OF .. .. , •. TREOWREMEN1a F'IANG TABLES k) WALLb A MW LN NOMINAL THrKNEH6 P •IG ... ...::: / .... .. .... ... A6LE l0 A!V III A TI�1 OF Wi4l 6HEATWN6 A W LOING."f%r*At. Ofi�.-EFIMHi@ P AHRGHN'FULL NEIaHr.. .. ...... ... " . .. a A:PRD 9 r . _ aT1EATWIY3 N.O HAa.BPAGIND REOICRHI•RiNTa,. ... .. ': •. . �. ., ., .. ..... .... ....... ... .. . ..... ...... ... ... .. ... • W1, .. ... .. "h : - Bruce Devlin Desig. s a-sc�t�rz� >sE 1•TI A .327�5 i l - NOTE: ZONE: 1) The-property line information shown was - - RF compiled from available record information. Area.(min.) 43,560, SF 2) The topographic information was obtained Frontage (min) 20'. r v from an'on the round survey performed on Width (min) 125 11/i 6/201 B. Setbacks: 3) The.datum used:is NA VD '88. Front 30' y •- 4) Survey performed was done using Side 15' conventional instrument survey method. and Rear 15: 1.'i e/�f RTK: CPS. • r ' iltT.. r a 1 AYA a •YY• f / F . - I LOCATION.MAP: r"-2 000f ASSESSORS.REF.: P 1 Ma .287 orcel:O6 P OVERLAY DISTRICT: ; AP - Aquifer Protection`District FLOOD ZONE: X (Min Flood Hazard) Community Panel No.. I ,A. ' #250001 Avenue Jul 0568 J Wachusett y 16, 2014 e of pave -7 _. S DIRECTIONS 08 Land Taking Per 3 30. _ 86102 20sE From Hyannis - Follow Main Street to the West -Plan Book.60/67 86' oo' �� `� End Rotary, lake third exit onto Scudder.Ave. 5 Turn right onto smith street at the stop sign. I �a 0 Lfl4 80 R�2�, '/ Continueo toinC aigvilt BeachueRoad and left o, left onto West Bay onto. So Z bridge to Osterville; and: Septic Setbacks: . J: Rood. #134 is-:on the left. /. t \ / 1C ( c n/f _30 Setbak 'on Ch apel A ssoc iat'n .:: � ' REFERENCE at Hyannis Port NGravel th of Description eQ Plon LCP 14153B:(Lot A): •„ \ l I Book 60.167.(Road Taking) 0 �. I� Sep tic: a ;O .. A PerXTe Loca Card'n m o Permit 93=319 I 6 Bedrooms Proposed. a� g, 20x40'a Pool Garage. Grovel Drive Gravel DriveCD LA O c \.._ .:i �.. o� Farley S. & C U ad. /. `x g a� Elizabeth M. Lewis CD / 1 cs 0 "' erg : 2 Sty:. - w/f.Dwelling. Z - porch... Porch _ l 15' Setback 132.19 : N89-43`50"W n/, _.LEG END: " Ellen W. Griggs Trustee r CDT Cedo Tree: 'T G.`Realty Trust ' .HT Holly Tree T Dec iduous.ciduoua Tree o oue Tree CIfer t. s Utility Pole : . _E— Electric. _-G— Gas .. .... ...... .... •. ..1 .... ... .. © Wetland Flag # Light Post [7 CB/OH =OHW— Overhead Wires r 25---- Elevation Contour TITLE: PREPARED FOR: :. PREPARED BY.' s; Site Plan Engineering & Proposed Improvements :,\Todd S. Anderson ltl PO Box 813 Sulli'van Consu ng,Inc. At t 7 Parker .. Hyann►s .Por MA 02647 -� 689 Scudder Ave. (508)428.3344 P.O.Box 659 • Roed,Ostervllia,MA 02655 secl®sullivanengin.com_• www.sulliv r19ngin.corn Barnstable (Hyannis Port) MASS. _ fio Draft: CTR camp: CTR 1 ��. ... .... 20 0 - ,:.10 20 .- 40 _ DATE: SCALE: - Review: CTR: Field C7R/WHK December 3,2018 1"=20 Pro! # 380034 Proj. O'Neill " ` ! N � ( ~ 71 BRICK TERRACE I...... --= IfF FAMILY RM DINING RM ui ----------- LIVING RM KITCHEN REMOVE L BUILT-IN _j 16 REMOVE 1:r BUILT-IN L I DOM DEN ---- UP BEDROOM ------ 11 41 L11 0 UP -up Apr O c- FIRST FLOOR DEMOLITION PLAN SCALE: Y4"=1'-0" GARAGE PLANS FOR INTERIOR DEMOLITION TO INVESTIGATE EXISTING CONDITIONS DEMO WALLS AND T MAINTAIN STRUCT�AL INTEGRITY TO CARRY SECOND FLOOR LOAD LT_ DATE OF PRELIMINARY PU�NS. 1�2-6-18 F.L. Bissinger, Inc. DATE OF FINAL 1-10-19 Mr. & Mrs. J. Brian O'Neill 1502 Old Gulph Rd. A9 1-23-19 Villanova, Pa. 19085 REVIStO 689 Scudder Ave. Pho­(610)525-6438 FLB REVISIONS: 9 C, 10 REVISIONS: Hyannisport, MA F. (010)525-0 30 ON-966 . .... ... .... ... . .. ... ......... 4 l al at r MASTER BEDROOM BEDROOM Ail DOM rt DOM —7 ——— BEDROOM BEDROOM u ON. ON. SECOND FLOOR DEMOLITION PLAN IWI SCALE: yy"=i'—O" \Y// x— — — — PLANS FOR INTERIOR :/L DEMOLITION TO C- 7. 7 INVESTIGATE X A Ff X\jI 'h. EXISTING CONDITIONS Z - DATE OF PRELIMINARY PLANS: 12-6-18 DATE OF FINAL PLANS: I-Io-19 F.L. Bissinger, Inc. 'n�1ph Rd C Pa 1 9085 �_o.3o 1502 TE�-S—IONS Mr. & Mrs. J. Brian O'Neill 1502 Old Culph Rd. I Villa At U1 REVISfONS: Villa nova,Scudder Ave. Phone: ,nova. Pa. 19085 .�FLB�. REwsoNs 0_ (610)525-6436 Hyannisport, MA F— :(810)525-0930 —9 10,1110 BRICK TERRACE T------ ---------- FAMILY RM DINING RM ----------- LIVING RM KITCHEN REMOVE BUILT-IN L — — — -Jill REMOVE BUILT-IN J DOWN DEN UP I II BEDROOM UP .-,Up 2=3- ------- lf_j lit rF I____j II �iQ FIRST FLOOR DEMOLITION PLAN tl �_9 SCALE: Y4"=1'-0" GARAGE H PLANS FOR INTERIOR DEMOLITION TO INVESTIGATE II EXISTING CONDITIONS DEMO WALLS AND— MAINTAIN STRUCTURAL INTEGRITY TO CARRY SECOND FLOOR LOAD I it DATE OF PRELIMINARY PLANS: 12-6-18 F.L. Bissinger, Inc. DATE OF FINAL PLANS: 1-10-19 Mr. & Mrs. J. Brian O'Neill 1502 Old Gulph Rd- Yp A9 REVISIONS: 1-23-19 Villanova, Pa. 19085 FLB REVISIONS: 689 Scudder Ave. Phone:(810)525-6418 — 9 C, 10 REVISIONS: Hyannisport, MA Fee: (510)525-093 DRAWN BY: BRIAN STRUCK (610)213-1396 I c I MASTER - i BEDROOM I I I /----- - 1I I r '` ' �a i ;i BEDROOM I I I ----------- --- IF_ s a T' T--IF— 6 .1 i - -- — — --- -- — — � i Down --- _ --- DOM ` BEDROOM _- BEDROOM I ` I I U I _ i I 1 SECOND FLOOR DEMOLITION PLAN SCALE: Y4"=l'-0„ \Y/ I !31 I i31 i PLANS FOR INTERIOR DEMOLITION TO 77 �\\ I INVESTIGATE X FT 7 I X i \\ Y EXISTING CONDITIONS DATE OF PRELIMINARY PLANS: 12-6-18 ,p •II o F.L. Bissinger, Inc. 1,y(T L/L4Ag DATE OF FINAL PLANS: 1-10-19 Mr. & Mrs. J. Brian O'Neill 1502 Old Gulph Rd. REVISIONS: Villaone (6 Pa. 6438 FLB 1 O O 'M REVISIONS: 689 Scudder Ave. Phone:(6Lo)sz6-ease ""�'""`' 1 Q REVISIONS: Hyannisporl. MA p ran (s1o1 szs-o9so 0 0 DRAWN BY: BRIAN STRUCK (610)213-1396 m .t�,leea..:y.r tr. o�att ON-966 Zsi SUN PORCH , 719 �\ BRICK TERRACE Mom 414^ p N r — — — — — — SUN PORCH FAMILY RM \All DINING RM I I - - - - - - - � LIVING RM KITCHEN Q - - - - - - - - - C WN i�. - - - - - - - - L_ J - -' DO — — — DEN ---- UP 3 BEDROOM T BASEMENT \ O oUTP 0 O -- -J I (:T:) EXISTING FIRST FLOOR PLAN A-2 SCALE: S'4"=V-0" GARAGE DATE OF PRELIMINARY PI-ANS: 12-6-18 F.L. Bissinger, Inc. DATE OF FINAL PLANS: 1-9-18 Mr. & Mrs. J. Brian O'Neill 1502 Old Gulph Rd. ��"� ��7- REvISIONS: Villanova, Pa. 19085 ./FLB . REVISIONS: 689 Scudder Ave. Phone:(6l0)525-6438 c `Z OF 10 REVISIONS: Hyannlsport. MA F— (610)525-0930 DRAWN BY: BRIAN STRUCK (610)213-1396 F+�e.n�t e�og�r 1r. 0 V a A` ON-966 �r�W«n Awl - - - - - - - - - - - - - - - - - - - I x \\ MASTER VDOM BEDROOM O BEDROOM I O BEDROOM �LAUNDRY DOWN �- - - - - - - ,]��T'TH ---- DOWN ———- - — — BEDROOM =__= BEDROOM I I °P \ I i I I \ I � I ON. L� EXISTING SECOND FLOOR PLAN I- SCALE: W'=V-0., \Y/ - -;- - - - ;K - - - -;;- - / /i f�- 7 \ >: I - - - - - - - - - - - - - - - - - -- I i I I DATE OF PRELIMINARY PLANS: 12-68 F.L. Bissinger, Inc. 1„r DATE OF FINAL PLANS: 1-9-19-1 Mr. & Mrs. J. Brian O'Neill 1502 Old Gulph Rd. a\o REVISIONS: Villanova, Pa. 19085 . FLB REVISIONS: 689 Scudder Ave. Phone:(610)525-6438 3 OF 1 0 REVISIONS: Hyannisport, MA Fex: (610)525-0930 DRAWN BY: BRIAN STRUCK (610)213-1396 Fhe�t i.ein .r jr. 0 a ON-966 nr�wieot !T-�a '7"1�`i�1u1-M_ T— i rl ILAII I @;L 11 ;R-1�� NORTHERN ELEVATION WESTERN ELEVATION A-4 SCALE: S'8..=1'-0" A-4 SCALE: Y8"=1'-0" I i 1 I � rIll k►_�llll�� ����; �. I In ljo ICJ �I SOUTHERN ELEVATION 4 EASTERN ELEVATION A-4 SCALE: Y8 =1'-0" A-4 SCALE: Y8"=1'-0" EXISTING ELEVATIONS DATE OF PRELIMINARY PLANS: 72-6- F.L. Bisd Gulp , Inc. A4 DATE OF FINAL PUNS: 1-5-te Mr. & Mrs. J. Brian O'Neill 1502 Old Gulph Rd. ae'� 2 y REVISIONS: Villanoa, Pa. 19085 .IFLB o. REVISIONS: 689 Scudder Ave. Phone:v(610)525-6a38 c BY: BRIAN STRUCK /� OF 10 REVISIONS: Hyannisp Ort. MA DRAM Fax: (610)525-0930 ODRAMV`(610)21}-139fi n. � Lei.,—', Va ON-966 NEW WALL TO REPLACE EXISTING PORCH POSTS& BEAM.MAINTAIN ROOF STRUCTURE ABOVE.VERIFY FOUNDATION STABILITY. BRICK TERRACE k J I )WA — — 000 ----_--_-- FAMILY RM I NEW BEAM TO BE � CARD �= RECESSED INTO \ CEILING AS MUCH ROOM AS POSSIBLE,TO BE 9 ' SIZED BY ENGINEER — — — — — — — ---------� rr---------� LIVING RM — — — — — — — !---------j IL-------- DROPPED KITCHEN BEAM TO By O BE r REMOVE ENGINEER A J - - - —I BUILT-IN ��- ---- - Tl L---- --- � L — I I NEW BAY TO i��' )� J \ p COPY EXISTING 1/ I // I I SLIDE N, I BUILT-IN 6'-0'x6'-0'wOER DOWN OVE DN.8" _._J L i- J!L L SLIDER - -t ---- - DEN ---- DP - �- --- PORCH m 1 - -- _ 9'-0' 9'-0' L- _ 8"x6"FINISHED SQUARE POSTS ON 13'-2 RI FOUNDATION TO REQUIRED DEPTH THIS AREA MAY HAVE LOWERED CEILING TO � I \ 5'-6' ',y 6'-a' I 5'-4' 5'-6' I �' MATCH FLOOR ABOVE 0 ' FOR BATHROOM 11 BEDROOM ADDTION �04 10s \ y NEW WALL OFFSETS 4'-e" I TO MATCH EXISTING REMOVE HATCH DOORS AND FRAME MAINTAIN O UP ON.(�2�8 B•/ y BEAM AND ROOF .STEPS DOWN TO BASEMENT SUP AND PROVIDE WEATHER 10} SEALED ACCESS IN NEW ?, PORCH FLOOR,TOP TO BE O MAINTAIN EXISTING FLUSH WITH PORCH FLOOR ,p c BENCH BRICK PORCH AND STEP BELOW NEW d PEGS RAISED FLOOR BEADBOARD CEILING UP FROM BEAM THAT RNS OVER COLUMNS 2"U �- -Jw --- r - - DN. z-4 BATH ioz J J D 0 ---- I It BAR TILE FLOOR l PROPOSED NEW FIRST FLOOR PLAN A-5 SCALE: Y4"=1'-0" �I EXISTING AM I. 11 II GAME ROOM USE TILE WETBED TO LEVEL FLOOR II I I I I I I II I' 6'-o'D6'-o'wLUR 6'-o'.e'-o'woea I z' k' DATE OF PRELIMINARY PIANS: I-}-19 z GARDEN _ F.L. Bisd Gulp , Inc. WALL R SION6`INAL PIANS: I-5'9 P ' Mr. & Mrs. J. Brian O'Neill 1502 Old Gul h Rd. 2 REASIONS: 1-21-19 Villanova, Pa. 19085 ' FLB REVISIONS: 1_y_1g 689 Scudder Ave. Phone:(6zo)525-6496 5 of 1 0 REVISIONS: 1-29-19 Hyannisport, MA Fss (610)8525 0900 0 2 O DRAWN BY: BRIAN STRUCK (610 213-1396 V `` REVISIONS: 3-20-19 ON-966 RAILING REQUIRED IF ACCESS TO ROOF DECK II II DECK LOW SLOPE ROOF u NEW USE WIDE WINDOW NEW WINDOW TO MATCH TO USE EXISTING WINDOWS ON EITHER RIGHT SIDE JAMB SIDE.ALIGN WITH ",'�rj 1` tz'-a• EXISTING DOOR BELOW —UP _—— 6LIDER SLIDER — O \/ it BATH211 \� a L — II A Poach 14• 3•_3• OBATH - -- r-6 MASTER J BEDROOM I I iT BATH I \ 'N 1 li BEDROOM ADD _J_��__ J L�:J O L lob _J BUILT-IN o Y 4• ° 210 L I-I_ — zoz`e• SITTING 2— — zo9 LAUNDRY O \+ L__J - --- ROOM O 1�---- -- m-can x'-6 zofi i T T . xos — r - - - - - - - ® _ IIM1 111JJ -- DOWN —ZI s'-o•.6'70' - — 5'-0•.6'-0• x' \\ � — — °° BEDROOM -- BEDROOM , RED v_- ----" DECK ARMOIRE II I, II I L — ON. I I - i i 1 PROPOSED NEW SECOND FLOOR PLAN �\ I ON. A-6 SCALE: Y'4„=1.-0„ II / ll I II Y I. I cti _'II I— `� - \- - - \ I i F-- F--� SCT_VREEN _ L/—`J \\ I I DATE OF PRELIMINARY PIANS: 1-J-t9 F.L. Bissinger, Inc. o,T DATE OF FINAL PINJS: t-6-19 P / Mr. & Mrs. J. Brian O'Neill 1502 Old Gul 1 Rd. � �2 REVISIONS: 1-15-19 P REVISIONS: 1-21-19 Vill ho—(6 )52 6438 FLB . 689 Scudder AVe. Phone:(6I0)525-8436 REVISIONS: t-29-19 nxcxnrcr C 6 OF 1 0 H annis ort. MA Fu: (610)525-0930 REVISIONS: ]-20-19 Y P m DRAWN BY: BRIAN STRUCK (610)213-1396 REVISIONS: J-25-t9 NEW LOW SLOPE ROOF. RAISE STRUCTURE TO ALLOW FOR CONTINUATION OF CEILING HEIGHT THAT IS OVER DINING AREA. II it II II — — — — — — — — — — SHINGLED WALL WITH OPEN 4'SLOT AT BASE TO ALLOW WATER DRAINAGE — — — — — — — — — — — — — — ❑ RAILING MUST MEET CODE FOR HORIZONTAL LOW SLOPE COPPER DEFLECTION ROOF TO ALLOW ❑ SHIP'S HEADROOM IM GET LADDER TO FAUX CHIMNEY DECK FRAMED ABOVE RIDGE 3-4 4 L Li 24'-0" 4'-0' rJUST DIMENSION TO ADJUST DIMENSION TO J F ❑CCOMMODATE LADDER ACCOMMODATE LADDER r//\D - — — — — — — F- I I r-- r__� L_ L I I I I I I I I I I — — — — — — — — — — I I I I I I I I I I I I - - - - > PROPOSED NEW ROOF PLAN I ( A-7 SCALE: S'4"=1'-0° I I I I II II II II L - - - - � I� it i� it \-- DATE OF PRELIMINARY P—S: t-3-19 1 F.L. Bissinger, Inc. a T DATE OF FlNAL PLANS:: t-15-19-8-t9 P 1P \� Mr. & Mrs. J. Brian O'Neill 1502 Old Gul h Rd. � 2 ftEVISI0N5: REVISIONS: I-21-19 Villanova, Pa. 19O85 FLB REVISIONS: I-29-19 689 Scudder Ave. Ph.—(610)525-6435 OF 1 0 REVISIONS: }_2p_19 Hyannisport, MA Fez: (610))525-0930 'J7 DRAWN BY: BRIAN STRUCK (610)213-1396 gEV1510N5: 3-25-19 Praaeet �Rlaen T� 0V a``0 ON-966 KEY YA W ROOFO TO MATCH CIF T C THIN BRIM WENEER YULTPu RAFTERS AND GHINGLES TO MATCH HNGU WITH L-SHAPED COLLAR TIES DESIGNED BY r.SHIP'S LADDER NEW WALL SS ........... ENGINEER i0 STRENGTHEN —ERS PAINT ROOF(RAYING TO TO HAWS MP— EVERYMINC NNHE SUPPORT LOAD 6 DECK 60'RTCH SANG(NEW) MATCH ADJACENT - COPPER ROOF ON FLAT ROOF DECK Dg2MER,BU SINDLL 1.12 AS RAFTERS TO ACCESS WINDOW�/INTERIOR MAKHODE HEADROOM -STING BRICK SHUTTERS BEHIND PAINT E—.. —HALF RWND WIN AND D CHIMNEYS NHnE NEW ROOF TO _Il YATpI FLASHING EXISTING I` T M SHCLE ROOF (TIR.) _ NEW ROOFING ON V F it EXISTING 91FAMINC • �• -— —'FILL IN OPENINGS N N yJ-0 AND ADD SIDING PF}r.{II�-'spy TO MATCH EKISTING ® � - MAICN FJO L 'W. -E. 911NSE5 ®® .. Sd® COfINFR BBOARD Mi CAREEN WALL MATCH MSTNC ALL RNUNGS BY'THE EXTEND AND GATEWAY SIINGLES PORCH COIJPANY' P-A-RS ME CHIPPENDAHE PANEL' CORNER BOARD 29•.47W CHANGE SIDING TO MATCH-BOARD SIDING MI5 FACADE ONLY) NORTHERN ELEVATION WESTERN ELEVATION A-8 SCALE: 1/a"=l'-0" A—g SCALE: Ye"=V-0" ALL RAIUNGS BY-THE PORCH COMPANY 'ME CHIPPFNOALE PANEL' 2V.41 y' EXISTING BfiIX —_ -- NEW WINDOW n ®.4 H it - EXISRNG ITING 00 • +i „�..,..,,. .. .. .. ... ............. ...... $MINGLES ®® CODE C—UAHT RAIUNG REWIRED OPTION TO BUILD RARING UNLESS'WINDOWS ARE INSTAU— AND WALXABLE DECK INSTEAD OF DOORS,WINDOWS TO SURFACE IN 2ND PHASE HAWS ROUGH OPENING HEAD AND JAMB WIDTH THAT— ACCOMMODATE 5'XT SLIDING DOORS s SOUTHERN ELEVATION �4� EASTERN ELEVATION A-8 SCALE: Ye"=V-0" A-8 �J SCALE: 3e"=1'-0" JL DATE OF PRELIMINARY PL F L Bssin FNS: tt-]-19 In p DATE OF FINAL PUNS: 1-8-19 . . iOld ph, U c. Pot r, /` REVISIONS: -t5-t9 Mr. & Mrs. S. Brian O'Neill 1502 1 `' 0 POSED ELEVATIONS Gulger Rd. A,p �2 n REVISIONS: i-21-19 Vlllanova, Pa. 19085 FLB 689 Scudder Ave. Ph.D.:(610)s25-6438 8 of 1 O REMSIONS: I-29-19 1 RE`ASIONS: }_20-19 Hyannisport, MA FWX:v.a (610)525-0930 �� O ON-966 DRAM BY: BRIAN STRUCK (610)213-1396 REVISIONS: 3-25-19 f F� H rl BRICK TERRACE w IIJ- - - - - - - --- -----_____ _____--__-_______ I-------`----------------' ; ri DINING RM FAMILY RM � I I II I [4 I 4� III I .i I f 1 --- I , LIVING RM KITCHEN " - - - — — — — — r REMOVE — BUILT-IN L — I _ --,- - I - - I Imo' I I _-— - __ n �• REMOVE ___ _______ ;I _ I-- / � \� BUILT-IN DOWN I_I L --; DEN ---- I -e---- 1 l l UP I I I IIIII _ _ L_------ i'I I I II II I I BEDROOM qqv O UP - -SUP LI III I I ui ---J II ' L--J II I I 1 FIRST FLOOR DEMOLITION PLAN II A-9 SCALE: i/4„-1'-O" I I I I I I GARAGE (I - PLANS FOR INTERIOR DEMOLITION TO II INVESTIGATE EXISTING CONDITIONS DEMO WALLS AND MAINTAIN STRUCTURAL I - _ INTEGRITY TO CARRY SECOND FLOOR LOAD / ] / LIB u DATE OF PRELIMINARY PLANS: 12-6-18 /p /�, F.L. Bissinger, Inc. v1r, L/-/--\°1l`"lful DATE OF FINAL PLANS: 1-10-19 Mr. & Mrs. J. Brian O'Neill 1502 Old G a. 1 08 FLB ti REVISIONS: 1-23-19 Villanova, Pa. 19085 REVISIONS: 3-20-19 689 Scudder Ave. Phone: (610)525-6438 c 9 OF 10 REVISIONS: Hya nnisp Oct, MA Fa (610)525-0930 �� DRAWN BY: BRIAN STRUCK (610)213-1396 tee°.Lk y��,'m ". V z V ON-966 1 I - - -I-I- - - -1_ MASTER I BEDROOM III — II I ----„� ! ` „i i o i!,. BEDROOM I i I I 11 r - - -I-I- - - ---- - --�-- DOWN DOWN 7-7�---�� BEDROOM =__= BEDROOM � n II { { UP I III II � I � II I I I lii it �-�li — I I L II II \ I / ON. SECOND FLOOR DEMOLITION PLAN TL A-10 SCALE: Y4.,_1,-0., II \ IY / II PLANS FOR INTERIOR DEMOLITION TO INVESTIGATE F-I / i : I ;I \\\ '111 EXISTING CONDITIONS / L \i LJ \ ----------- I - I I I DATE OF PRELIMINARY PLANS: 12-6-18 F.L. Bissinger, Inc. il 1 r, DATE OF FINAL PLANS: 1-10-19 Mr. & Mrs. J. Brian O'Neill 1502 Old Gulph Rd. ��FLBToL REVISIONS: 3-20-19 Villanova, Pa. 19085 REVISIONS: 669 Scudder AVe. Ph.—(610)525-6438 o� 1 O OF 10 REVISIONS: Hyannisport, MA Far (610)525_0930 ar DRAWN BY: BRIAN STRUCK (610)213-1396 �`a`^ ON-966 u B1 "1r' w�a1 'I C.B. GRAPHIC SC Jv ALS CS DESIGN DATA, FND. I o 20 L.C.Q. 141538 SINGLE FAMILY— 6 BEDROOMS NO GARBAGE GRINDER an d DAILY FLOW = 110 X 6= 660 G.P.D. SEPTIC TANK = 660 X 150% =990 C.P.D. SsmcTAM — USE 2000 G a " t SIDEWALL AREA = 188 S.F. X 2 = 377 S.F, 377 S.F. X 2,•5. = 942 G.P.D. S86'08'00"E; BOTTOM AREA 78 S.F. X 2 = 156 S.F. 156 S.F. X 1.0 156 G.P.D. TOTAL DESIGN = 1098 G.P.D. I isi Kip. TOTAL DAILY FLOW = 660 G.P.D. 141, �� a PT AVENUE w I CERTIFY THAT THE PROPOSED FOUNDATION SHOWN HEREON S86-08'00"E COMPLYS WITH THE SIDELINE AND SETBACK REQUIREMENTS OF �1' 102.81 . THE TOWN OF BARNSTABLE, AND IS NOT LOCATED WITHIN THE ✓" ID. FLOOD?LAIN, 4� tK m FND. DATE: > 6-. r9)�&R.L.S, �` OFF 3 PI 2 NOTE: ALL STRUCTURES SET MORE THAN CB 9, 85 ,�. FOUR FEET DEEP OR SUBJECT TO F-ND. 0, 2 AC. VEHICLE TRAFFIC SHALL BE D. BOX DESIGNED TO H-20 CAPACITY. © p PIT #1 1 i � , r 19/63 18 MAPLES Cn h PROPOSE© 1 g" MAPLE �= DRIVE 18" MAPLE = 4 131',9 2' STONE DRIVE PROPOSED GARAGE -- �.. ...� PROPOSED 2000 GAL. � SEPTIC �''`�,, i �.. 1'Ai�K a 1 La 18, c I g W ��G�rr�� I� GAS - F.F. ELEV.- 4.3.74' 's F PROPOSED ADDITION °' o z 30, L.C.C. 141538 l I , 1 I r LOT A r q 12,269 S.F. I 0.28 AC;' 132.19, i l S89'43'50"E I tM c"j { 4, s C.B. r t FND. RVING{ i ,: o PLOT PLAN OF LAND C .V. IN BENCH MARK FND. , EL = 36.63 N.G.V.D. (HYANNISPORT) jBARNSTABLE MASS. T'OP OF' i FOUNDATION FOR E G.= 41'± 2 000 GAL. PIPS 40.7 � R INV. ►NV; 38. 4b P.V.C• GPT1C LANK INV. 40.3 LEE GRIGGS g C" pUI.0 DIST. INV, 40,5 1 1000 CAL. BOX INV, �a I I LEACH i 39.0 � 10.00' SCALE: 1 " — 20' DATE: JULY S 1993 t"" y� PItTIS INV. .38 6 .'®� n+.� O F ]3AXTER & NYE INC, -A OF Tz � �pE .. , . REGISTERED LAND SURVEYORS "< SULLIVANpy 1i V yu YyN � � {11 1 ^ iA�1.4.Itl A\Ip w.�` q�, CIVIL ENGINEERS K A. , P 0.29733 ;; WASHED OSTERVILLE, MASS, ,, a 5'�ONL PRO NO SCALE #.�.YOs1 I