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HomeMy WebLinkAbout0164 POINT OF PINES AVENUE UNIT #A - Health 64 Point of Pines Centerville A= 005-029 SMEAD No.2.153LOR UPC_ 12534 smead.com • Made In USA �6ER(�N1F1SItE SF �SRFsWO W� cazrm souRcwa VNAV RPRDGrtuu M CONSTRUCTION DRAWINGS BARN ADDITION 164 Pint ® f Pines Avenue Centerville , Massachusetts Issued 24 February 2021 0 a ev, RCTR f f�EF�'.9t•� Architect SMOOK Architecture&Urban Design,Inc. 8 Lyman St, Suite 206 Westborough,Massachusetts 01581 • , 617-423.3040 www.smookarebitecture.com 3 Clay Smook clay«t)smookarchitecture.com r 8 Drawing List General Notes % jF ulxRlg (:rnrrnl Ao.o General �� •1 Notes Drawing List,&Locus Map m I. All wmmmnmr ffiall cnnl'onn It-Ili IPPliwblz Lnwl,stair and Nminnal Buil.linp CuJes. 1 Cum ,r shell nrslall wnoA ceAm'shlkes mar c file'I`rrather,m w:udl eaiavng house. Di.o Demolition Plans " I. 'fhc eonahvc „hull cnnlirnn In all npplicnblc m,ing scihtcks, 2. Pmvidcteovlinunus ice and''"shield anovIn i cvol'ei'nll new rnofn. d. The Conhactortix nspnvible for'raving all rtiluirrJ It m,1x iM the project pn,m wmm�.ncing 3. [;once'um m shown un,hc roof yhu,.r;nuc,x+hallww,d Cixlvxuacd Dauer,nod u Inreu"n n ,,mimcmlAnwnspouts(NO A(vnu..III .datg,dtcrs).Prwidclgnt,(:'wdln, At.o First&Second door New Work Plans in,m,nar xlr:Jl verir:nR dirncnniuns in the lldJ(inrinJing inf r,nxtinn n„Aorh d,c:xchit:1.1 cnbIk/vcnl)b,;lwccn mty(iAd iud Gulm"."bi ny uW,..—nd.lnmicul:nly eopper ns AZ.o elevations and the ,vcW:nl Jrnwi.g,)nrd nnlify gills nnnhecl of uq diwrepana. they arc dissimilur,nWcriuis. 5 w'lh the Sbi bnnl lin•ince. v,o uclinn meeting ,pri t'] �rhr ro�aaanr nnau na.r a nor 1, -2 1 Elevations `nrr [� , I Irlash'n S i1XIK.4rchit<,:,urc ant l.rli:in Dc..i•n i g tiny ean.Inrelinn,as n ell a>a merging with.M b fl. Cnm cmr.a,aun,ageBdcn'm., m: ,«oar healnf hc<tallx,(,hnrxn..mtelinn 1' inIron. A3.0 SCCt1o11S n,viJ,onJ ivalall na>luug It all vaticJl unJ hurigcmal�va,.:clu'n.,al all Inof , „f Junnion Ind cull. o 1',II c ton m,iJiv•.Nw n crly R:uh all Jcck.vnll intcncaiou�. ncnxGnn>xnJn, 1 b I P rr g� 1' +n.nun Jiwnnilxr n,,.:ul>Ind m 'oils. Funudadnu 2. (:nulk%.col nl,m n,1.1 d. Pn,perly Be,h:ell rnronm wnnhm>and dwra, utu I. 'I'i,e foundaion,'hull he 12"round snnmuhr ImmAmions u+a Irvrl nl4 lief hrbn,IIndl or as .1. InclnB horicnnml paimrd.,I.]Bushing(.nine Io rna,clt Irinr)he,we.•n siding; andnlrA h)am+IiraM1le rode' I)rr"I'riu,vi.1 mn:. -. Pru„de rxpm..ion jninls n1 all cnnerele n.mr I wall inlernedi"n,, Donn unn H'InAnx'a Mrmr Fruming I All w•,nn"w, Wind nlln,',,han he„i,anwbeb,rrd l„''•r1:1 L4" Locus M a p I. .411 own'll:unmg'bull ben'i)Iustr.'uc,l on nrr Frnn,ing Plnn,(by(id'r;j I'ruvide the rcquircd 2. Gxtenur.f wind"',shoo be wbnc ill color.All opc:abW wliu d0l ttt -r do Ibb, C.7 ... All glnving'iddn lg"oflhc rn41b 1111—'hdl ba templed gla>'s.Cuulh Ind Srulo:Nut to:&ale btitlging,blocking:o¢I m¢l':uucnl tic-Joe.,nu4vl.\II nawr fi:uni„g,hall b Prcasurc Tra,lal uau'Is winhri. nl,h l iur I w:mn,hiem n:i.hing m l,wd,i s,per nn,nwa.:mr,d,peaai�Ir":w. r I`n,.idclini.hl)u Iiuv uvcr I in_ver nt':"'.4dvarick,!"nruryai,uhlhtniing,elord and mewed l,: 7. All door hadn:,rc,hall l,eax aelcac:l by dm(Iwnuv. �� me limn"„sago /`�--- ---'-..-:_� ,!// ❑a I r,terinr ll all and Ceiling l:iniah -- l:elcrlur­nlnLuLnO' Bln.um„a,»d,a allFraming; I. .w'aul:,devil,,,g,a,mer.,mba::trd:nymsm,:x.:"nem,W"fs/a" I. )Poll fixming tool'•'"theiw i,a nuhvp>l'nll 1c2a6,g111 cun,uucuou l enr.p,'hoc mnnl n. s1..ye,oath Pl X utlirrv,ise in:arutiun,j m II,", In>Iall sinL;lr I,anrum plmc:mJ duuhlr wp pl:n�:,I all f:wer sh:Jl hu.e J'a Y'b,1 soul„ill'l..aim n,di,and"I-f v Iocltionx.trw-clhalthc.h:ds arexlraighl and lulu Ind�i,hnul.irfrrl. `. Ceilingrrfsiudi"shailhr'I',f fi pinelaiJpe,pendicl,lar In ra fta::, 2. ' IbuM1k atuAa It all win:inw non Dorn lrcatinns anJ Mnveen nnv„'indn,v;,nil door Irzuliols. F.xicriar Walb shall wcr,vc.5/g"C'D;CI'I'rwr,M lconnnn win„lrchilrcl any subsiiunions.loch ns F'Im,ring --- J� _ —rc�. •(J" z� (,5R)uudrr"'Iv,d<:?r'building wary ingallcd:'per:nnnufucin,a�spccifir:niuns.Asn 3. Nr.>fo,er and emiro Sr<unA Bnornhali ha.roall ncu dnn'ing aliall lx rrrlaimrd l:lfi \ - -- adednlbyOwner. /�.. r-„-`. \ -` ....,`\ \``- ta.1~ >ubvtilmiun Oic cunnnci"rn chu,o to ux"J.ip)Vull',innalicd:up mm�uPoc,uw•;, pile I, J_J "�,...�� \ )�, \ `\ ,I,rcincalinn>, in:nJ>h,mnlch ncw:t'clam,cJ ylnr tivonng. ...� \\ \ . Pn,id,and it,all Ikgl,,to`lire-,Inppmg in all„all Inc, n..a.rry,nreA h,ode. _ » l�f"I •�\ \ `•.,\ .1 Pru,1 I- -II adegm,lc bluaLin,ronu,nl for ull ) „c.light n,mlea cab ne s Ind Ucek built / 111 i Iielr:1,111,F ml;IJrn'lyre(Fy IThcr')for ba in( n..,i"I and in a ir,"all F mid,d k'b-hill ba a.d ract.,l b)[)caner. __.f:'• _/ \ \l 1 r h.nn 1i plu la mbing,K, hc,and Beth Hang Framing I \II P . I b \4 ork.hall I,r by l i J-I II w,nu m tv all Co_vl:r,.i Apl,l cnbh Itelt,W 1,nmii,g I'lai„Illy ird'ie,lu I(nh,,,a,and el,ucing. N' 1 R d I,b Cnrl:s and Sn d d _ \ 1 Inr narticnne cli IIioIJ du.rns rcrluired ar rnhcrwxll connectional i\II oat tarIn.....Cnbur.t>.Aa,a,:<ei,>.,aJ1ir'l-ahnll b:ca selral.d by'h.Ctnnu Refer In framing'Inns ps n _. Install one layer of/,"r'nA"tongue and fnnevr I'Ivwond under a ininirnu:n tna li•.II on all r<mfa. +. All II;,d,,Ium Fianne>.Fucccln.Clbin 1.•.:\rc:>,inica and fini>hev shill br ne xulvrtcd _ InwIIIlon J. I'VC i»ping.shall mil)be mil'veJ m Iocntinln allnweJ by cuJr. �/ 1 � / � � I � 5. I_',nJegxme Hot w'.vrr limner rile a project III d"s size:cunliim ui I ill,o,In— —___-_ C } w 7 I. :MI in>u:n,on'I'Al be(:It, (:,At Sl,ruy I',z t b"ith.fion. — - i-. 1r / / , •�¢�U - 1'm,ide the Iin t In im It-Valor•ac required by crxlr: SryBc and{5'nlrr , '•' `d fire/guar: jr,Rah er ll.11er ... ",^".• /�//� 1 )csigi,of Soptic:Scwa a"nnrctiun>and WeI,::umn.vtiun..>l',Jl be b,'otbcn and \Volts:I(-2q ar Hrnee _ odes `+- ,rn will' :u,J n,w•r Lq,J and tilatc C nvtnikd ii -1 — O _Fur Rntcr i peen I(,,,,rrcrrh' z. rm,ida h".ubinh'n>imh«n.d by o,.'na:. i. I'ro„Je smmA a,Iu,"al,nn insulnliun in nr,rrinr walls l,,;lwean B:thrrrcn::and hn,Jin. i, •r Location of f rv��y•g � I Exlcrinr Siding end Frill,Frill, kd,ical,r,1 Lighting N Barn F,t<iiu:Siding ohal l u::nch c,inirig. I. All dr,brical,s'o:k shall be r)c,.g.JBIdd by Otbcrs,IS pc,l_ucnl anJ Nniunal RnilJrng 1V ��� M `•� 'O � 'T CoJc, d II onn,d common o z. an rxmdnnnn,.hwl nr Aark. gnarnrr,. MRin House d. All roof ea,e..nilif:(xcc Jc,:iil,j.Ball he"I11,J,e5nfh,'h"e.n:,inulu,::iuc,l by Iemr:.llardre t. ,\tl light,:,g fixtures nm1 co::bnls shill be n,wicctal b,'Ihis(ywur,. n C.gn,'I inn.E:tvr xoffils shall inunit a cuntiman1,din fur veining pamlat m the exterior'111 1. Oulkts'hull be an,cgmied by Cusle. Isee dIVII,in ill.,sett Jman,gsl nvd harked with n I.bl a,—black sc,,:cn.Spy minid ener J. IYm'ide GI,I oullels and the opproplud,VL lalw•led light finlurry aI Ili wrI Inr aliens 5. prov r�T Bn/7Cy, `g wil>fhn bhivk nl soffit v U,l luemiw=. ide cvmrinr collets will'wam,pmuf set l'<lo'ing covers a'Air.•rRM by r,"'nee. 8.6Ay 'n.`f h. IRnvide 5.-In,.it Cabnu Nm,ntidt de!ectors as directal by Iccal Inlllding Aepanment OO 7• ,mJ npplicablc code,.ia tl dY Healing,\'rnlihalov Ind Air Con Jlliovlvg !•4 r 8I I'hr CnnnnCb,.h,ll regain a Sub Cunlmew,to with Ilse design of dre ?h f O s O S„Ir:n.Cunli,m'1)pr.>iic.,un\avnd s:lhrr,(.,,`iliwl i„n,with the O`rm',Piro, intilall"lien nfthe x)slem. February 24.zoo-issued for Permit O iI 1F Olt —0- JN 1 too s ( AN 8UALt 0091 1� ��. as. w.., �S v Q✓�S,,,� 'M�"l.'---, r �� Hot&V its aw .,. 0 £ t , "a N oy u v u�C H y GRADE h EXISTING STO RAG E F.XISI'ING i O GARAGE oog o jSTAIR // EXISTING ROOFING --- STAIRS �I,OACCOMOI),\ NEW DORMIiIL REMOVE K RELOCA'ri RETiOVE&REi.00AT:J i EXISTING 2'-6'117'-O"DOOR EXISTING WINDOWS GRADE: y FIRST FLOOR DEMOLITION PLAN d ROOF DEMOLITION PLAN Ol O Scale:1/8"_,•-o" Scalr.:,/B"=C-o" o s; d o CG a v LEGPNll � � � J E:%IS'rING CONS"1'RUCI'ION TO REMAIN c ____ EXISTING CONSTRUCTION TO BE DEMOLISHED es 6h r os ox P4 February 24,2021-Issued for Permit O `5 42 G 3o"Wxj6"H EXISTING ACCESS PANEL—_--,_ STORAGE oio FLOORING SHALI,BE EXISTING -.. RECOVERE'D T&G PINE FUTURE WET 42"HIGH WAIA, GARAGE BAR D VEI.UX FIXED SKYLIGHT INSUIATE PATCLITO NEW WINDOW IN TH Col(21"x2f Ro)wrruj 'Xic, EXISTIN AZEK FLAT STOCT(TRTMl MATCH L STINGWHERE, G OPENING--/ INFlIA,0PENING EXISTING WINDOWS KEEP WINDOW TIGHT -4) ON INTERIOR INSULATION&1'.U'Cll 'CO EXIST 8 LA 13 0 WERE RIINIOVED TO EXISTING HEADER NEW 2'-6"x-6'-8" ------ TO MATCH EXISTING F--N--7-1 WOOD DOOR ----------I CORRIDOR REUSE EXISTING DOOR ---------- p ---------- PT PLATFORM (AS SHOWN ON D1.0) El AT BASE OF IJO`I'l I NEW DOOR 2'-6"x6'-8" CI.OSETS Wrrl­I 4"THRESI-101,I) -------- AS SELECTED 13Y OWN17R up w aNEW LOCATION OF r, EXISTING WINDOW z NII KING W WOOD SHAKE N EW FOYF R FI,00 R I N G ROOFING BEI.OW TO— C4 —SHALL.BlIT&GRECOVERED MKLCH EXISTING HOUSE 0 L PIN ------------------ -------------------- - E L NEW LOCATION OF 7_7=7 7=:�= FIEL,D EXISTING WINDOW NEW GUTI'RRTO- 12"X12"COL. DOWNSPOUT TYP FOR 2 OCATI, GRADE z 10 O FIRST FLOOR NEW WORK PI—AN it SECOND FLOOR NEW WORK PLAN n . sci&:1/8" 1*-o" —>�, 0 J.,EGLNI) EXISTING CONSTRU(,rlONTD REMAIN NEW CONs'rRucrION D AV SMOKE DETECTOR CARBON MONOXIDE,DETECTOR io it HEAT DETECTOR0-4 Q WINDOW SYMBOL Fehl'tllry 24,2021-Issued for Permit >o6 WINDOW SCHEDULES_ PELLA CASEMENT s m P OA WINDOW 2941 RO-2'-5 3/4"W x 3-5 3/4"H _ 5 PELLA PI(-7URE ®WINDOW 6032 RO-5'-0 3/4"W x S-5 3/4"H PELLA CASEMENT ©WINDOW 2532 RO-2'-1 3/4"W x 2'-8 3/411 PELLA DOUBLE HUNG p WINDOW 2941 RO-2'-5 3/4"W x 3-5 3/4"H NEW WOOD SHAKE ROOP'I'O 12 MATCH EXISTING HOUSE 7. .� �4 GUl'1'ERTO O DOWNSPOUT ��---I ALI,NEW TRIM - ��{��� SHALL BE AZEK N jr''y(D NEW SHINGL.I'.SIDING u. LJ TO MATCH EXISTING 4' x2 -- In EXIS'1'.'!'.O SHFrI"1'li. 4 GU"l"1'Irli 1'OIto=o3/4"i/- DOWNSPOUT a❑ IzYCOL. ]C 7_ 'l'}'P F FOIL 2 F F '1'.0.SI-UiA'1'H.� ---------------- GRADE. —— — — -1-o / 1,,XIS1'INC:CONCRETF. + FOUNDATION WITH 7 CONCRETE SLAB . EXISTING NEW CANSTRUCi'ION CONSTRUCTION c Q�� E 1G o G Oqd « .o v o SOUTH L'LL'VATION O FAST ELEVATION ^J Ol Scale:1/8" = Scale:1/8"=1'o•• cWS UARC � r � en February 24,2021-Issued for Permit O �ZiF e z 0 w n AQ i i i ------- O�U NEW ---, EXISTING �U a CONSTRUCPIO CONSTRULTION $ v NORTH ELEVATION W i O WEST ELEVATION w 9t QAACy' .6.e4fU �4 G: February 24.2021-Issued for Permit rc ZN h a� CEILING FINISH OF NEW STUDIO SHALL. NEW DORMER 30'*Wx36"Ii 4 5 7 BL•'T&G PINE BOARDS INSTALLED PERT'TO� ACCESS PANEL P RAFI'liRS ---- —,1 �^ T.O.PLA"1'E(DORMER) S'-6" ------ T.O.PLA't'1 (llOKMER) y +i6'b 3/4 Q 16-63/4' NIiW'S'1'U IU NEt\'S'1'UDIU NE;`\'I 4 -N `x tQ — EXIST.T'.O.SHMI'li. 'q -- �,P ,� Exls•r.T.o.slu:A•rH.h ;q v T.O.BEAM T.O.PLATE CONT'RAG'['OR'['O r:x i8'rmC; 111 t ❑ Exls'rlNc: ll1 V BR.IIY FIRE RA"1'ED GARnta? l STORAGE l CEILING °Oj 1711 '1'.O.SH1iA"fH. O1O 71Z1 I�IuWII �u '1'.O.SHIiA'1'1-I. 2 o tl, II7II'wllul lul o_G„ GRADE +: . . GRADl, 'If WAINSCOT',TRIMMED &BOTTOM AT NEW p s ENTRYFOYER � A o5 SECTION 2 SECTION:t O2 O 'l Scale:i/8"=1'-0" y aGi Scale:1/8"=i-o" �{C c ^J T c � B•84�0 A �y R Y9 February 24,2021-Issued for Permit O 8L i - 6 Ajw � ! ?cv� � ✓tom, O�S� ••rot� t W �Acru WOJ �D l N. c 1 f t—C 16 No. /`y1 V j�� Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes Rpprtcatton for Wgpoar *pgtem Con5tructton Vermtt Application for a Permit to Construct( ) Repair( ) Upgrade( ) Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. aner's Name,Address,and Tel.No. 144-porn+Of?(ne6 Ave, Cen4crvill� KOc�er+Annae�r maxL, Assessor's Map/Parcel,-'-A2,5 Q a L ( 6 g 1509)362 -Ll5y aller's Name,Address,and T 1. Designer's Name,Addres and Tel.No. berr 41 L_F:6V- �xC�vGti 1�� -Dow n Zzi� tngi neec in q 508) 'i-17-Wo53 9,59 Main lm t- rr 7.5 Type of Building: Dwelling No.of Bedrooms �3 Lot Size sq. ft. Garbage Grinder ( ) Other Type of Building No.of Persons .Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) 33 gpd Design flow provided 3`7 0 gpd Plan Date 11114101r Number of sheets I Revision Date Title Size of Septic Tank Type of S.A.S. Description of Soil Nature of Repairs or Alterations(Answer when applicable) Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of Compliance has been issued by this Board of Health. Signed Date Application Approved by 4 Date Lf ;LC)9'1 L) Application Disapproved by: Date for the following reasons Permit No. p9_Ot 0_ 10— Date Issued THE FOLLOWING IS/ARE THE BEST IMAGES FROM POOR QUALITY ORIGINALS) I M ^C&L DATA Fee it THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLE, MASSACHUSETTS ig ogaY ip!5tem Con'5truction permit . Permission is hereby granted to Construct ( ) Repair ( �` ) Upgrade ( ) Abandon ( ) Sysfem located at (� ~ �T,A , l. /,( -P, ; 16 `�) ��`\!6? C' and as described in the above.Application for Disposal System Construction Permit.The.applicant recognizes his/her duty to comply with Title 5 and the following local provisions or special conditions. , Provided:: Construction must be completed within three years of the date of this perit.� r Date ' ( —,;I '"f y Approved by C'r i t y /ys fi i t a a No Fee THE COIVIMONW,,EA I::OF MASSACHUSETTS Entered in computer: .__ PUBLIC HEALTH DIVISION- TOWN OF BARNSTABLE, MASSACHUSETTS Yes i Rpolication for OifspoM *p!5tem Construction Vermit f Application for a Permit to Construct( ) Repair( ) Upgrade( ) Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. Ow er's Name,Address,and Tel.No. l( f? LC��r Cx' Assessor's Map/Parcel ,L 1 Ci i �j ( (fir , (. (r I ) ( Cy _lnstaller's Name Address,and Tel.No- (C Designer's Name,Address and Tel.No. 14 �l�t� r1 ��I�Ff1\� �j1 G %((1VCt-� IGrI •.` S1C�LU 1 �ft ��C rill, �. l �f�v''�IC1Eci� MA (�(:� ) `i17 (� (53 '' x,-r •�'1�, J _ _ � Type of Building: Dwelling No.of Bedrooms 3 Lot Size sq.ft. Garbage Grinder ( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) 6 (.) gpd Design flow provided 3 -7 y gpd Plan Date Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S.' Description of Soil Nature of Repairs or Alterations(Answer when applicable) —.-Date last inspected: Agreement:.,., The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of Compliance has been issued by this Board of Health. Signed �r t7L/- 11 �� -�ir Date Application Approved by ( 1 f Date -1L - IV Application Disapproved by: Date for the following reasons Permit No. d Ol o— Date Issued ";L U'I () -- - 2 l°tl THE COMMONWEALTH OF MASSACHUSETTS BARNS/TABLE, MASSACHUSETTS k,/ ' (Certificate of (Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal System Constructed ( ) Repaired ( r) Upgraded ( ) Abandoned( )by �1 2 ,>/,I (i y r, � tG , 1 at ��`1 I i ; t-) i ,(•1, n V f i i t C , \i t has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No.a 010 —10�1— dated Installer Designer ��G r �., i (�_� : t� i t rt I , r ( i , C� #bedrooms 3 Approved design flow j �j (-� gpd The issuancg oy this permit shall not be construed as a guarantee that the system will ,w ti as desi ed. Date to Inspector 3- �f 2010-Apr-22 01:05 PM Ferguson Waterworks 773 5084302657 1/3 .�1 04/22/2010 12:13 FAX 1@001/003 GJ00 Corporate Offices 3471 Old Vestal Road,Mesta(,NY 1385D //�� rr�� KAD 836 4110, 607,729 9381 Fax 607 729 6130 KPI&MRSTICSI�rry c, wwW Itationalpipt:cum �mrrtrun•►nade�mducrss�uce 197() —~ — •— — """ _ FAcsr -rRANSMITTAL OA•rc: 1i C W . �d 0..E1 ��4 S�i p w,'I a�1 ��C•.�i �C� FAX 1,. =.14-3 65 7 t +1 `e- - L) &-r L ��� '�` •ram- -�,. �'e - 4 +�aL v-4L-C- 0 �..C,.->1 e--Ai Cam! r)4-) 2010-Apr-22 01:05 PM Ferguson Waterworks 773 5084302657 3/3 04/22/2010 12:13 FAX Jm003/003 PIPE DRYLICrI0N, $ Including a MOVING Wheel Load (RTO Live LOAd) DLd ■ 1.00 _ R ■ 0.100 PB x 364 pal R, ■ 1000 V41 Priam Load, hv. Condition Eaaktill Haight r 190 Lb / $t outside Diameter, ins. (Note: it 100a r is printed, the calculated dell■cbion __. exceeded the alia►able deflection) _.. �,�.......��.� .•asyth, at •W 4.500 1.00 las 4 2.00 0.00 4.00 J 0.55 t 5.00 J 0.51 a 6.00 ( a 536 % 7.a0 0.43 % A.00 0.62 k 9.00 0.65 Qr (::g%MWAL LOAD, Lb / Ft Inaluding a MUvM wheel Load x20 Li, Load) Priam Load, on Lion Sackfill Weight ■�110 Lb / rb '' 3 Oubalds Diameter, ins. tgh. Ft 9.a00 .... �... .. ..« _._.... 1.00 � 735.4 2.00 I 497.7 3.00 J 376.9 4.00 J 341,a 5.00 I 310.0 6.00 300.0 7.00 393.7 e.00 3i6.7 403.0 io.00 450.0 LID C a�,A 0..,. its( P5 (to mAIgac go.. 1aao �(.t•idL� '@�� �4• 1 - tiO '��• sell% 9CA" -d !ft-q- Soillk a_ �►+g�,>'� 2010-Apr-22 01�05 PM Ferguson Waterworks 773 5084302657 2/3 04/22/2010 12:13 FAX 042/008 PIPE DEFLECTION, k lmlvdiapr a Hovnic; wheel Load (x20 div4 noa4) DLF ■ 1.00 .... K = D.100 P8 ■.234 1021 a' ■ i000 psi » _ Priam head, ep, Condition dacklill weight ■ 130 Lb / rt " 3 Outsid4 Aiamebei', in{. (14000: It 'Over' is printad, the calculated detle0ti0tt exceeded tke Allowable deileatian) n•az�. F6 I s.soo 1.00 1.44 .�.... .... 2.00 0.96 '6 3.00 0.74 y 4.00 0.67 0.00 0.93 ti 6.0o f 0.71 7,00 I 0.77 M a.00 0.76 9.00 0.79 10;OD KXTEMAL L63W. Lb p¢ Tneiudiag a MOVZM2 whael Load iK30 Liv4 road) .... Priam Load, wp, Condition Sacklill weight = 130 Lb - Outaids Diameter, inm, w......e- depth, Ft 3.00 l97.7 3.00 376.0 4.00 1 341.s 8.00 318:8 6.00 360.5 7.00 303.7 0.00 386.7 9.00 GOd.O 10.00 , 430.0 ry \ pc 4Za,re i s ,r ZZ q ps i Jodi I�le�d�l wy [ ` f 000p 5 1� � w orr ""r-v4L wa 1 zO �� .��� , •"".WINDOW/DOOR UN"s �oE bETERMINED sv taut rroew erow •C 99d'14LIGHTTRANSOM .. . 5 5 w NtihMl• � _.�5 ao o .nw - (� ''. ,row a,w - i trait u•rarr rove .. r ro V MISS- 4v I STORAGE fNi 10r rnw _ N ww vz BATH ot 00 Au„ppoµr ' raw w 'arovr raerr � I} taut, a•w a yr av Tywgi,,w�siaoar���� +� !1 kOUNDATION 1 �K 2S 0r Kae waYeo ALL' p� �a -MIN:16•x8•COW FOOTING av T O r, 4'0•BELOW GRADE' uv -0•COW FOUNDATION WALL 9'x7'OVERHEAD DOOR 4W'xff ANCHOR BOLTS W/, } 8•X3Yd/4•PLATE WASHERS . ry n•OC A 6•-12•FROM END OF PLATES a' E GARAGE ®•r r4•SLAB.PITCHED To OVER HEAD,' DOORS -I'nt'STATP FOQTV*S UNDER INT. © .. .. 9'n7'DOOR OPEN"W/ 3' BEARING WALLS 8)STRIA - .4K,1.T SLIDING DOORS tl -10'SONOTUBES ON 24•BIGPOOT Cj 144 t ZTj FOO=4"FOR CAR PORT W/ TALL R ASKNGS/ b B/8•a<8'ANAiOR BOLTS l' �' H WADE Tb MAKE WEAT►IEk. '6 Xr • CEZLZ*AOOF FRAMING rr rr rr 9P T6 -2w/-KNEE WALLS a 3V W/W MMOOD 6• , �" -2"COLLAR TIES 16.00®UNDERSIDE 6 g@ nv uv OFRIDNiE . -2x10 RApTEIts 16.00 - .°v RIpGE BOARD W/2n RIPPED ON TOP FOR a E - - - - - �^O'7/& FULL RAFTER BEARING ' -DOUBLE 1/r SHEATI M(NO ROOM*NAA PENETRATION) N 33 4- INJARICAPE TIES 6 EACH RAPIER TO PLATE12 £ aav OON ECrION 7e $$ ra ur �8 -2x P WA.AR BLOCKM 4'OC 2 BAYS % IN FROM GABLESi a (TYP.6 FLOOR AND ROOF FRAMING) -w CEI MO 70ISTS 16,OC 4 rr h V' raw Pv gs.sA au�e+aa.(aaP aav FLOM FRAMING -16"Ba-W I-JOISTS WoeWi ' CRAWL I LW LVL RIM BOARD SPAM SPACE -DOUBLE FLY 13/4•ad6•LVL ow UPJFIPIISNED AROUND FERIMETER OF STAIRS ` STORAGE -3N•ADVANTE6 SUBFI.00R GLUED 0 L¢ N 2iM RAFTER PLATE SECURAM NAILED ED TO p FLOOR JOISTS #' �7 �•• asT+DM wooD 000a " d01t•' RVSb4-12-10 14. W/OPTIONA BLOCK WALL FRAMING .,F`'�I►�ID swk: IMP=1-17 TAOJB.E ?12x6 SI11/SEAL .' o f eo s 6a p -U4 WALL STUDS 16.00 W/SV*LE s ov t o BOTTOM AM bOUBLE.TOPRATE t 4 ULL HEIGHT VE RTICAL SHEATNQWB end�k IlD M1 PAGE 2 Of 3 a nanr WSW rnanr MSTAUM FROM BOTTOM OF PTPLATE W G TO TOP OF RAFTER PLATE wv 15#FELT HOUSE WRAP j t ,.; ____�..�• .., -. . W. � �� .. � +�,s, +x �J< w27a r .w f� t R f ,r. Go I y� ' �; ch sow 4 1. 4 i!- Ii l"l . � ,�,�R ) �It �If fYY�111 j t 3 i ' r 41 y }l'l,+r- r'ti rrl w, Y f� �I,��r r Y }rj:� �' � 1•. s F I r` WEST ELEVATION TH ELENATI ��➢ E CUPOLA W oTms ' s`r ' l� L 'F,'i� '4. 'T" I i� !. ', r 9 _... ��, I �i 5 �11 f 1 I 1 1�5 i. I—t'_�: IA �✓,G '��all —5---' :.rl - \ .. � .": ,, II -�7 1 k:. 1 j 1 J ' 1 s IT;?. s_••.- I k �,C�, r r - - d I7 ^Y ._..— .4_. dates g-21-10 �. ayse4,u�ro SOUTH ELEVATION EAST:ELEVATION scdei VIP ' 't 6 STAMOFEPONC .0 a IE4W*WOU IE M Ea x 'r JOISTS w oc U4 COUAa TM 16,oc bib C EU"JOISTS 16:oc 8 ' FL=FUN" . � . 6.? 9d0 RAFTERS f6VC O MAIN ROOF h } IBC v ^ti scwe: 1/4"a 11'A" . P®®F/CE%LI*FAA PAIR 3 of 3 _, S .. .:_ �,,.•�,r.'Y. :...�;r'.�r�.u�f: lnf+L�.-�� .`.__.....�.. .1.��t.:l. <L:_..:.' ...� i f GENERAL STRUCTURAL NOTES: GENERAL STRUCTURAL NOTES:(COMFIT SHEARWALL SCHEDULE: SHEARWALL HOLDDOWN SCHEDULE: 1.ALL CONSTRUCTION IS TO BB IN ACCORDANCE Wml T E WALL FRAMING UPLIFP CONNECTIONS: WALL TYPE SCHEDULE: u MASSACHUSETTS STATE BUILDING MDR FOR ON&AND TWO-FAMILY \ THE DOUBLE AT 71E DWELLINGS.SHVENTH EDITION(780 CM AND ALL AMENDMENTS, 1.ATTACH EXTERIOR WALL STUDS TO It PLYWOOD-(PDOES BIAIXED) FOUNDATION HOLDDOWNS: WHICH I9 BASED ON THE 20N INTERNATIONAL RESIDENTIAL CODE ROOF WTN(n TSP CONNECTOR AT 72'O.G PROVIDE 11 NAEE Qj M COMMON OR GALVAN®BOX NAIL®&'O.C.EDGES AND TO 71M STUD AND(6)-106 NAILS TO THE DOUBLE TOP PLATE IT OC.FIELD. 2.THE WIND DESIGN CRITERIA FOR THIS BUILDING IS IN ACCORDANCE CONIECTORTOIE REELED DIRECTLY T07%PBA6/AIO.N07E:NOT WITH AMERICAN FOREST AND PAPER ASSOCIATION(AFAPANAN0THE J•WHEIIUSINO H2A IRECTLIOR 2X FRAMING.G.Na NOT W 'MINIMUM DESIGN LOADS FOR BUILDINGS AND OTHER STRVCTUMS CONNECTONS'. HPLYWOOD-�,D®060IX•ED) HDU7SD9 W/gSiHtd i'D1AM1DI70.ANCHOR BOF.T.POSITION IASCH7O2).THE BASIC WIND SPHED FORTHE DESIONOF THIS STRUCTURE Q SdCOhDAONOROALVAN®BOX NAILS(�1•OG BD=AND O ssn324 W/ANCHORMATE TO FORMWORK PRIOR 70 IS ILO MILES PER HOUR WITH EXPOSURE CATEOORYT. 2.EXTERIOR WALL STUDS ON THE GABLE ENDS TO BE FULL BRIGHT IT O.C.WELD. CONCRETE POUR FOR CORRECT PLAZEMENT. BTUDB BALLOON PRAM®VNCBM BND TRUES E PNUVREDANDMEN 1.THE CONTRACTOR IS RESPONSIBLE FOR CONTACTING THE ENGINEER OF THE WALL IS'T)BB CTIPPEDTD7IE BNDTRUSS WTIH LIPS IItlC. F'/•1 RECORD FOR THE STRUCTURAL FRAMING INSPEC ION(S).THE M'PLYWOOD-(FOORS BLOCKED) V CONTRACTOR SHALL CONTACT THE ENGINEER OF RECORD 24 HOURS J.ATTACH FIRST FLOOR STUD AND WALL FLATS TO FOUNDATION SILL 11 6d COMMON OR OALVANIEPD BOX HART®2.O.C.®ORS AND MDR TO THE TIME WHEN THE INSPECTION(S)IS 70 BE PERFORMED.THE PLATE WITH(1)DSP CONNECTOR MR IT O.C. 12.OC.FIRM FRAMNO AT ADN)DINO PANPLEDOES SHALL BE O O CONTRACTOR SHALL INSURE THAT ALL STRUCTURAL MEMBERS AND 3-NOMINAL OR WEER AND NABS SHALL BE STAGGERED. CONNECTIONS ARE VISIBLE FOR INSPECTION.IF DURING THE 4.CORNS CT0119 AND STRAPS A96PFCIPI®ABOVE MR UPfBT®TAIL (T' INSPECTION,ANY PORTION OF TILE STRUCTURE IS DEEMED NOT VISIBLE PROVIDE A CONTINUOUS LOAD PAIN FROM THE ROOFTD THE N ;pOR PLYWOOD SHEARWALL TYPES 1.3,AN0FIJS1IID �^rJ'•44 OR IS INACCESSIBLE FOR INSPECTION.FINAL APPROVAL OF MB HNTORE FOUNDATION, ABOVE.Ed COMMON SHEAVANIPEDDOS HADSDI LISTED r, STRUCLURBWILLNOTOSGIVEN UNTILHESCONDT70NISODRBECIEU 1")• U 134 ATTHB CONTRACTORS RXPHN9H GUN NAIl7 MATCHING TH WAIL DIAMETPAAND LENOTH MAV BB USED AS A SUBBIMUM 4.ALL WOOD CONSTRUCTION CONNECTORS AS SPECKED ON THESB 7•COr,�`-TIONS FOR WAIL OPENING MOMIN(9.OIBPER TO DETAIL 2•WF) N DAIS CONSTRUCTION DOCUMENTS TO RE SIMPSON STRONOJIEIN �� HR TOLACK SRIO NIGH MITRING SOTS PLATE ACCORDANCE WITH CATALOG C-2WN.IT IS THE RESPONSIBILITY OF THE HBAD - CONTPACTORTO INSTALL ALL CONNECTORS IN ACCORDANCE WITH L�1'-WTO4'0 (1)LETA9 (new• MANUFACTURERS SPECIFICATIONS. L-4'•1'TO G-W (2)LETA9 (2)8P4« S.ALL ENGINEERED LUMOF.R PRODUCTS TO BE TRIES JOIST INSTALLED IN L-611-TOVO (3)LETA 12 (2)SW* ACCORDANCE WITH MANUFAC TURERS SPECIFICATIONS L-P-I-TD 10'-0' (1)LETA IS (2)SPH66 PROJECT ADDRESS: L•10.1'TO 16'•0' (2)MIN (2)SPH66 IN��RD •ALTERNATE THE CONNECTOR SHOWN FOR THE JACK STUDTOSOLB SOLE PLATE CONNECTION SCHEDULE: PLATE CAN BE SUBSTTMED WITH TIE SA ECONNECTMt SHOWN FOR THE JACK STUDTO HEADER.ATTACH CONNECTOR WITH HALPOF THE CONNEMON TO FLOOR RIM BOARD REQUIRED NAILS TO TO THE JACK STUD AND HALF OF THE REQUIRED NAGS TO THE SECOND FLOOR RENBOARD OR FOUNDATION RIMBOARD. WALLTYPH ROLE PLATE CONNECIONTORIM BOARD CONNECTOR TO BE ATTACHED DIRECTLY TO 2X FRAMING AND . RDEOARD.ALTERNATE CAN NOT BE USED WHEN SOLE PLATE IS ATTACHED DIRECTLY TO FOUNDATION STEM WALL.OR CONCRETE SIAE Q (7)•I6a COMMON NABS Plat 16•. NDt • A.HEADERS FOR DOORS AND WINDOWS TO NAVEL)HE CONNECTOR AT 2 (4)•Ibd COMMON PADS PER IV. ROOF FRAMING CONNECTIONS: THE TOP AND WIT'OM OF ALL CRIPPLE STUDS. (J)•BBIPSON SD935312(1•a x")R'OOD SCREWS PER I6'. B.HGADERS4'•1'AND LONGER REWME(2)JACK SUITS AT HACH END 3 1.ATTACH THE END OF EACH TRUSS TO THE DOUBLBTOPPLATEOP THE OF THE HEADER. EXTERIOR WALL WITH(1)H2.5A CONNECTOR CONNECTOR TO BE CONNECCION TO CONCRETE FOUNDATION APPLIED DIRECTLY TO 2X TOP PLATES ON OUTSIDE FACE OF WALL C.PROVIDE(n ADCLIPONT MPOPALLHMOMATEAMH UP ALTER AIB USBNIIN2A VROM HVERYRAFTFRM WALLATIN BELOW HEADERTOTHBPJNOSTUDADIACWrTOnMOPENINO. gIL pLATI1CONNBCIION TO CONCRBIE _ TSP CONNECTOR PBR NOTH'I'.-WALL FRAMING UPLIFT CONNHCnONS'. A I9fJOTRPOVIRBD WNHN USINU 111 N2A ATEVPRY RAFTER.._ PROVIDE(1)SSP FROM EACH KINOSTUDTO DOUBLE TOPPLATE OF B. 1'DM.ANCTDR SILTS AT 33.O.C. DIE WALL,WITH(1)IN NAILS TO DOUBLE TOP PLATE AND(4)-IRJNAOE 2.BLOCKING TO BE PROVIDED ABOVE THE DOUBLE TOPPLATROP THE TOKINOSTUD.FOR CS 16 STRAP SIPS RPFERTONOIE T ABOVE FOR NOTE"CHORSOLMRBM8@ICFDABOVBTOBEI"DIALWMAIST MIKE ZE EXTERIOR WALL AT THE ROOF WITH ROOF SHEATHING NAELM TO THE FIRST FLOOR HEADERS PROVIDE(1)CS I6 FROM PACHK9408'TUDTO LEGEND: ENGINEERING BLOCKING AT 6'O.C.PROVIDE'V'NOTCH IN BLOCKING TO PROVIDE THE FIRST FLOOR RIM BOARD.FORCE RfRAPSIURBPEILTONOIE^I' 31TEL ANCNOR80LT8 VATTI3'a7'a1"PLATS WABH®L4 WITHT ADEQUATE VENTILATION AS REQUIRED.BLOCKING TO BE ATTACKED ABOVE. MINIMUM EMBEDMENT INTO CONCRETE CONS�IIANTS DIRECTLY TO DOUBLE TOP PLATE OF'THE WALL Wf(1)RAC CONNECTOR. E XING MUD TO RIMBOARD CONNECTION SPECIFIED IN NOTE TT ABOVE / _ Q SI®ARwAFL TYPE r1BREWS1370MRRDAD IS NOT REWIRED WHERE A SHEARWALL BOIDOWN IS ADJACENT TO HREW9TER MA OSEII THE OPHNIW. ' )' PCT41777.71M O stEARWALL OJImIDE' rCT41777•Sla P.SILL9 FOR OPBNM09 LESS THAN 4-0 WIDE REQUIRE(1)A7]CLIP AT • THE BOTTOM OF THE HILL PLATE TO THE KING END AT BACH END OF SHEARWALL CONSTRUCTION: THESILLPLATR FOR OPENINGS 4'&AND LARCIEk PROVIDE COA27 O SHEARWALL HOLDDOWN TYPE .. CLIPS AT EACH END OF THOSIL PLATE ON TFIRTIXANDBGTIONOF I.ALLSFEARWALLSTONAVEIOUB191T1PPIATPSAND DWBIE2% THE SELL PLATE STUDS AT BACH END OF WALL(UNLESS NOTE)OTHERWISS) 0 91EARWALL HOLDDOWN MARKA w?a - 2.FACE HALL DOUBLE TOP PLA79S W/I6INAILS AT I6^01C.USB(14)-16d LAW MQiE `-j NAILS AT EACH SNE OF MIN04UM 4 FOOTIAP SPICES IN TOPPLATES. SNEARWALL J.NAEJNO FOR PERFORATED SIRARWALLS TOBECONTINUED ABOVE ..___. PERFORATE SIEARW'A1L.CONTINUE PLYWOOD ABOVE AND BELOW ALL OPENINGS IN SHEARWALL AND BELOW OPENING WITH NAILING ACCORDING I'D f'7.PFONMI ENO 4.ATTACH DOUBLE 2X STUDS AND BUILT-UP CORNER STUDS AT SPECIFRDSIRARWALLTYPR. - ... SHBARWALL ENDS WITH O)l6d NABS AT6'OC.FORSIX%BN!FLOOR ` SNEARWALLSAND(2)I66NARSAT4.00.SI'AOGMMFORFTRBT XKs)U ROP KING ANDMIX STUDS REQVEt®AT WALL OPENING SNEARWALIS. 1.REFER TO HOLDDOWN SCHEDULE FORME DOWNS ATSHPARWAIL _ ENDS t'. IOBf:10491 SHOP. DATE;04-02-10 C 1 SCAL& NONE . f OPTION#I RM.", E G (1)LETA9 (')�PER RING (Uw IUw OFBACH CRIPPLE toe eAw(sBPLe mm (2)LOTA9 PMXPeeKD)O (I)w R)wPERK R)LETA Ix IdBPPERSAC)Ieeal:RBa xpoenJD (')Av a)wF " R)13rA IS (965 P fees Nora'A9 PER KM (')w R)A23 NPMCR(PFA PLAp L-10'-1"'TO 16'-0" III, x (') . eeRKD+o tuw a)w A W OPTION#2 HEADER SIZE WINaOW/D000.0PFNatO (0-Ole (I)98P L=1-0"704'-0" a� PER RED IOw p)w 0)NB TOPJDOTTOM ar•am oPeAcxaurecSSn)D LP4'-I"T06'-0" wW10. (MRs w R)w O (I) pF m ce le 1MPeRaACN [x1 L-G-1"TOB'-0" wi(om BBSNoIea PERK (SEE OTE Mal&m PER KeiO RPD NOTE V) lqw Rlw a W w mm P7- L-8•-1"TO 10'-0" 01&m Pi KI A0 Na Iryw R)w tT $ Lm10'-1"T016'-0" R)Snln P�Rwo n)w (2)AU RRVE101Y= DATA j=j I.Bx..m 0.e oavxOe IBI ORDAJU l7)JJ1AfX8fU09 ATRA NQCTB OAiION WALL BNAMPOLL9R RO r. NORRQ ®wMWL4A NaEQI atIDro 097/1De IDmADo BILo m —. — ID eaolec AODRe11NMOr � DOMPRAWMONLY OIRE8MAPIANDn1nMPORGAR)BY INPOWOPMM RD CMnUVllx$MA 2 FRAMING®WINDOW AND DOOR OPENINGS wF ):»BBRAsrormROAD eRawstRa,MAozml Pp)p BB1d1N fM 3334142 ENLE Fr1IONBt 9.9� JOeB:10-091 11mQr: DAT& 9B9Y10 S2 SCALL, N@m CL r, ' MODSL NO. DL4 MIIV.&4BBD. MIN.RSBARLEIQHK BUILT-UP CORNER STUDS 3SIBI6 sn IP 1 SD• 2x4 WALL 2x6 WALL (PER DETAILQ 3918M S'a Is 66' 6.O.0 4-O.C. 6c6 DOUOFRFOST 6.O-C PO.0 sTELe 7n a• ., +...,. 74• ssTEN 7n >e .RP•9B100 1 34' %' 4+ ++ ;i +i 8SP IIDUIIOI.I- •N07L:MILEBARTOBICEWERSDON NOL)OWN AND HOLD DOWN, {{{yyy,,,vvv�((( (®Ie^O.C.)� LOCATED 3-PBS.SMMOM UA UFACTDOWN ROMTOP OF FOUNDATION WAIL (pBp p{ApO( (PER PLAN) ++ PERSDIPSON AIM'RIPACNRCR":SPECIFICATIONS. ; c PUN VIEW' ELEVATION VIEW PLAN VIEW HLEVA710NVUW E•�1 /,''LF' P4 REEAR• BSN HOEDOWN ANCHOR NOS: � W U ]•TOS'J RQBAR.'.o d ON7(PLACE SM ARROW wOPANCHOR A W SILL PLATE'. 4 DIAOONALINCORNER I.ATTACH STUDS AT BUILT-UP CORNERTOGBIHM WnH(P)ROWS 1.ATTACK STUDS AT BUILT-UP CORNER TOMMUM WITH MROWS ANCHOR) APPLICATION) OPINII,16P'a T.37NALL8ATW=MRII1 MRYSHBARWAIIB. WIN(0.16TY SJ*)MAKE AT6.0G FOR M STORY MMARWALLS. (V'l (PER OSNM q .d !4 0, L ATTACH SRIDSAT BUILT-UPCORHPA TOGETHER VIM(2)ROWS L ATTACH STUDS AT BUILT-UP CORNBR7'000DBRI WIiN Q)ROWS 391E HOEDOWN ANCIIOR , EDTB NSTANCB OP 160(0.16P•AL.S•)NAILS AT 4.O.C.STAO08RPD FOR IST STORY OF IN(0.16r.3.3-)NAME AT 4.0,C 8TAGOEIHDPoRIBT6roRY 1.7$-FTHRPXAWALL 9HBARWAi3A SHBARVA(LS. MIN.RHBAR 3.75 FOR 2 X6 WAIL 2A HOLD DOWN @ PLAN VIEW 3'MN I BUILT-UP CORNER® UP RID EXTERIOR BUILDING CORNER" wp END OF SHEARWALL (� E 4NO) HILSMINSTAM SHEATHING BDOE NADDW lRDOP SNBA7NNU �/ 0 ROOF RAPIERS 3XBLOCKNGIVI W®J PER PLAN � py RAMRS(NOICHPOR VENT ILATION IP REOUBim. REEK TO ARCHITECTURAL EDGE NAILING PLANS FOR MORE I M) N RHVI810FNSM18 DATE DOUBLE LX TOP ARTS ARDA=ADONM ROOF RA (REPBRTL I64 PORiTO FiF>B^+RD PLANS FO10NS C➢1TTRRVILAMA ANDEAVID.SA(INSTATL PRIORTO B(.00KTNO AND PLYWOOD DOTE SNBA7TEV0)AI. NA 76 2XS,� BEAM TSP(INSTALL PRIOR TO aBC(NSTALLPRIORro RIP SHOWN ON PLAN) PLYWOOD BHeAT1E10) WALLS OR ON lKOM NOT REQUIRED IF PLATE WUBIE 3X TOP PLATES SEEM HOAISUSEDATSVERY 3 TRUSS TO TOP PLATE e TOEDaDNo�� R"FL� RF NE.Z-E ENGINEERING CONSULTANTS ' IT79 MQJSroTO1ROAD BREW57 MA OMiI fn334 74)3333-P14N3 MARX A. NZIE �F t3/OltAl JCR:IOL91 SID@f: DAIt 060I-10 S I SGIB:NONE i TOWN OF BARNSTABLE BOARD OF HEALTH ARTICLE II: MINIMUM STANDARDS FOR HUMAN HABITATION Date ( � Time: in Out Owner Tenant Address D Address I l� iti►��c.Q Com liai3pe Remarks or Regulation# Yes NO Recommendatio 2. Kitchen FacilitiesRro 3. Bathroom Facilities 4.Water Supply 5. Hot Water Facilities 6. Heating Facilities 7. Lighting and Electrical Facilities 8. Ventilation _ - -�- 9. Installation and Maintenance of Facilities 10. Curtailment of Service 11. Space and Use 12. Exits 13. Installation and Maintenance of Structural Elements 14. Insects and Rodents 15. Garbage and Rubbish Storage and Disposal 16. Sewage Disposal 17.Temporary Housing 18. Driveway Width 19. Number of Tenants Observed �7�— �' Li PART II 37. Placarding of Condemned Dwelling; Removal of Occupants; Demolition Number of Bedrooms Number of Vehicles Allowed (max) Number of Persons Allowed (max) Person(s) Interviewed Inspector If Public Building such as Store or Hotel/Motel specify here FROM :down cape engineering inc FAX NO. :15083629880 May. 03 2010 03:07PM P1 -JC(F�-7�T��T ti. '3 Imc. n NbR.13. 1A ahth Divisio ,qA 31 arn as Md.--Kealim, Director Strect,Hymmufis,m,A 02601 Offlir,ct: 50,9-862-1644 Fax: 50"')-790-6304 Dm,e: rermilt,4' mupTateel Address: Address On. 0-- was issued 9-pemilt to in.: Lall a (date) septic system at 0 P/OOA based on a.desig)a drawn by (ad. re S—S) IZI certify tbaL 0-1-c septic system referenced above. was installed substantially according in the, dusle-u, which i-nay include coiaorapproved changes such as lateval reloc.ation ol"the dist,1711111Liou box andlm- septic LWik. *1 ccrtiiv that the septic, system referimceAl. above wars installed with major chatiges, Le- greater than. 10' lateral rcdocation of the SAS or any veilical relocation of any co-mil.10,nent of the -septic, system) but i1aaccordanue wifla Stated Local Regulafi.ons- Plan ro-VIS1011 or certified.,m-built by designor to follow. IDANIELA. ti V . .0 OJA (Installe-l", '111"O'natury CIVIL No.46502 .......... TZ][ijT)RN- -1-0 f-,.ARNSTABLE PUBLIC. InVIS101V. OF C019 Px-JykN(T, WUJ'L N(yy :ffF4, !SSIOED UP�TJL 130111 11108 FORNII. AIND AS-13U.03.,T A-RE BY TEL,'] 0 J. Y FORM 30 C&w HOBBS&WARREN'M THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH CITY/TOWN a DEPARTMENT f q z 100 "A Vk.o I!,pA 1,.% cA ADDRESS t GSM sv<y` csz-6e) el ."C"tat CLC. TELEPHO Nt Address 1 Cock Phi I ,il of- APES VOL- Occupant_ m i-A iLi Vf_v-A[A L. Floor Apartment No. No. of Occupants M /A No. of Habitable Rooms M No.Sleeping Rooms 2- No.dwelling or rooming units_— No.Stories Name and address of owner �o�� Q_ L, E-IE 2ItA&A 10 G -C-Z. ti CY 0T11LQ Q 19 410 Remarks Reg. Vio. YARD Out Bld s.: Fences: Garbage and Rubbish Containers: Drainage Infestation Rats or other: STRUCTURE EXT. Steps,Stairs, Porches: Dual Egress:and Obst'n.: ❑ B OF ❑ M Doors,Windows: Roof Gutters, Drains: �1 Walls: Foundation: C 1 Chimney: BASEMENT Gen.Sanitation: / Dampness: z/ Stairs: Lighting: STRUCTURE INT. Hall,Stairway: Obst'n.: / Hall, Floor,Wall,Ceiling: Hall Lighting: Hall Windows: Vj HEATING (, Chimneys: Central Q Y ❑ N Equip. Repair TYPE: X Stacks, Flues,Vents: PLUMBING: Supply Line: ❑ MS ❑ ST ❑ P Waste Line: H.W.Tanks Safety and Vent(s) ELECTRICAL Panels, Meters,Cir.: ❑ 110 ❑ 220 Fusing,Grnd.: AMP: Gen.Cond. Distrib. Box: Gen. Basement Wiring: DWELLING UNIT Ventil. L to . Outlets Walls Ceils. Wind. Doors Floors Locks Kitchen Bathroom Pantry Den Living Room Bedroom 1 i Bedroom 2 Bedroom 3 Bedroom 4 Hot Water Facil. Sup.Ten.,Gas,Oil, Elect.: Stacks, Flues,Vents,Safeties: Kitchen Facilities Sink L- /. -T4,L �j o OA tove Bathing,Toilet Facil. Vent., Plumb.,Sanit'n.: Wash Basin,Shower or Tub: Infestation Rats, Mice, Roaches or Other: Egress Dual and Obst'n: General Building Posted Locks on Doors: ONE OR MORE OF THE VIOLATIONS CHECKED ABOVE IS A CONDITION WHICH MAY MATERIALLY IMPAIR THE HEALTH OR SAFETY AND WELL-BEING OF THE OCCUPANT AS DETERMINED BY 105CMR 410.750 OF THE CODE OR THE AUTHORIZED INSPECTOR.(See Over) "THIS INSPECTION REPORT IS SIGNED AND CERTIFIED UNDER THE PAINS AND PENALTIES F PERJU " INSPECTOR L TITLE -A ALI G DATE 2G ' TIME l At-00 A.M. THE NEXT SCHEDULED REINSPECTION 1,4 P.M. a , 410.750: Conditions Deemed to Endanger or Impair Health or Safety The following conditions, when found to exist in residential premises, shall be deemed conditions which may endanger or impair the health, or safety and well-being of a person or persons occupying the premises. This listing is composed of those items which are deemed to always have the potential to endanger or materially impair the health or safety, and well-being of the occupants or the public. Because Chapter II, 105 CMR 410.100 through 410.620 state minimum requirements of fitness for human habitation, any other violation has the potential to fall within this category in any given specific situation but may not do so in every case and therefore is not included in this listing. Failure to include shall in no way be construed as a determination that other violations or conditions may not be found to fall within this category. Nor shall failure to include affect the duty of the local health official to order repair or correction of such violation(s) pursuant to 105 CMR 410.830 through 410.833 nor shall failure to include affect the legal obligation of the person to whom the order is issued to comply with such order. r (A) Failure to provide a supply of water sufficient in quantity, pressure and temperature, both hot and cold, to meet the ordinary needs of the occupant in accordance with 105 CMR 410.180 and 410.190 for a period of 24 hours or longer. (B) Failure to provide heat as required by 105 CMR 410.201 or improper venting or use of a space heater or water heater as prohibited by 105 CMR 410.200(B)and 410.202. (C) Shutoff and/or failure to restore electricity or gas. (D) Failure to provide the electrical facilities required by 105 CMR 410.250(B), 410.251(A), 410.253 and the lighting in com- mon area required by 105 CMR 410.254. (E) Failure to provide a safe supply of water. re (F) Failure to provide a toilet and maintain a sewage disposal system in operable co condition as required by 105 CMR 410.150(A)(1)and 410.300. (G) Failure to provide adequate exits, or the obstruction of any exit, passageway or common area caused by any object, including garbage or trash, which prevents egress in case of an emergency 105 CMR 410.450, 410.451 and 410.452. (H) Failure to comply with the security requirements of 105 CMR 410.480(D). (1) Failure to comply with any provisions of 105 CMR 410.600, 410.601 or 410.602 which results in any accumulation of gar- bage, rubbish, filth or other causes of sickness which may provide a food source or harborage for rodents, insects or other pests or otherwise contribute to accidents or to the creation or spread of disease. (J) The presence of leadbased paint on a dwelling or dwelling unit in violation of the Massachusetts Department of Public Health Regulations for Lead Poisoning Prevention and Control, 105 CMR 460.000. (See M.G.L. c. 111 @@ 190 through 199.) (K) Roof,foundation, or other structural defects that may expose the occupant or anyone else to fire, burns, shock, accident or other dangers or impairment to health or safety. (L) Failure to install electrical, plumbing, heating and gas-burning facilities in accordance with accepted plumbing, heating, gas-fitting and electrical wiring standards or failure to maintain such facilties as are required by 105 CMR 410.351 and 410.352, so as to expose the occupant or anyone else to fire, burns, shock, accident or other danger or impairment to health or safety. (M) Any defect in asbestos material used as insulation or covering on a pipe, boiler or furnace which may result in the release of asbestos dust or which may result in the release of powdered, crumbled or pulverized asbestos material in violation of 105 CMR 410.353. (N) Failure to provide a smoke detector required by 105 CMR 410.482. (0) Any of the following conditions which remain uncorrected for a period of five or more days following the notice to or knowledge of the owner of said condition or conditions: (1) Lack of a kitchen sink of sufficient size and capacity for washing dishes and kitchen utensils or lack of a stove and oven or any defect that renders either inoperable. (2) Failure to provide a washbasin and shower or bathtub as required in 105 CMR 410.150(A)(2)and 410.150(A)(3)or any defect which renders them inoperable. (3) Any defect in the electrical, plumbing or heating system which makes such system or any part thereof in violation of generally accepted plumbing, heating, gasfitting, or electrical wiring standards that do not create an immediate hazard. (4) Failure to maintain a safe handrail or protective railing for every stairway, porch balcony, roof or similar place as required by 105 CMR 410.503(A)and 410.503(B). (5) Failure to eliminate rodents, cockroaches, insect infestations and other pests as required by 105 CMR 410.550. (P) Any other violation of 105 CMR 410.000 not enumerated in 105 CMR 410.750(A)through (0)shall be deemed to be a con- dition which may endanger or materially impair the health or safety and well-being of an occupant upon the failure of the owner to remedy said condition within the time so ordered by the Board of Health. HOBBS&WARREN'M THE COMMONWEALTH OF MASSACHUSETTS FORM30 C&w BOARD OF HEALTH O.jA C `ITY ` R /T 'OWN = W i� o,rr'f A a DEPARTMENT MA ADDRESS TELEPH NE /� . n l�N \/�V 1LLe, Address 11 l�G N"( o� �1 N>✓3 >��/E _ Occupant_sv `- Floor r Apartment No. — No.of Occupants Ni No.of Habitable Rooms 44 No.Sleeping Rooms No. dwelling or rooming units — No.Stories Name and address of owner L. SCO- AptA 1 6 2 Q6 WO Sj a G-I i M C in r i'(40L t—\A a k 9,jo Remarks Reg. Vio. YARD Out Bld s.: Fences: Garbage and Rubbish Containers: Drainage Infestation Rats or other: STRUCTURE EXT. Steps,Stairs, Porches: Dual Egress:and Obst'n.: ❑ B ❑ F ❑ M Doors,Windows: Roof Gutters, Drains: Walls: Foundation: Chimney: BASEMENT Gen.Sanitation: / Dampness: Stairs: Lighting: STRUCTURE INT. Hall,Stairway: Obst'n.: Hallall,, Floor,Wall,Ceiling: Hall Lighting: Hall Windows: HEATING Chimneys: Central ❑ Y ❑ Equip. Repair TYPE: Stacks, Flues,Vents: PLUMBING: Supply Line: ❑ MS ❑ ST ❑ P Waste Line: H.W.Tanks Safety and Vent(s) ELECTRICAL Panels, Meters,Cir.: ❑ 110 ❑ 220 Fusing,Grnd.: AMP: Gen.Cond. Distrib. Box: Gen. Basement Wiring: DWELLING UNIT Ventil. L to . Outlets Walls Ceils. Wind. Doors Floors Locks Kitchen Bathroom Pant Den Living Room Bedroom(1), CA Bedroom 2 Bedroom 3 ! ss Bedroom 4 Hot Water Facil. Sup.Ten.,Gas,Oil, Elect.: Stacks � s: Kitchen Facilities Si / o St Bathing,Toilet Facil. Vent., Plumb.,Sanit'n.: Wash Basing Shower or Tub: Infestation Rats, Mice, Roaches or Other.- Egress Dual and Obst'n: General Building Posted ft pb<7 Locks on Doors: ONE OR MORE OF THE VIOLATIONS CHECKED ABOVE IS A CONDITION WHICH MAY MATERIALLY IMPAIR THE HEALTH OR SAFETY AND WELL-BEING OF THE OCCUPANT AS DETERMINED BY 105CMR 410.750 OF THE CODE OR THE AUTHORIZED INSPECTOR.(See Over) "THIS INSPECTION REPORT IS SIGNED AND CERTIFIED UNDER THE PAINS AND PENALTIES F PERJUR ." INSPECTOR TITLE /CAA L'7// A.M DATE "2 D ^ U9 TIME '� �� P.M. A.M. THE NEXT SCHEDULED REINSPECTION �� P.M. 410.750: Conditions Deemed to Endanger or Impair Health or Safety The following conditions,when found to exist in residential premises, shali be deemed conditions which may endanger or impair the health, or safety and well-being of a person or persons occupying the premises. This Ikting is composed of those items which'are deemed to always have the potential to endanger or materially impair the health or safety, and well-being of the occupants or the public. Because Chapter 11, 105 CMR 410.100 through 410.620 state minimum requirements of fitness for human habitation, any other violation has the potential to fall within this category in any given specific situation but may not do so in every case and therefore is not included in this listing. Failure to include shall in no way be construed as a determination that other violations or conditions may not be found to fall within this category. Nor shall failure to include affect the duty of the local health official to order repair or correction of such violation(s) pursuant to 105 CMR 410.830 through 410.833 nor shall failure to include affect the legal obligation of the person to whom the order is issued to comply with such order. r (A) Failure to provide a supply of water sufficient in quantity, pressure•and temperature, both hot and cold; to meet the ordinary needs of the occupant in accordance with 105 CMR 410.180 and 410.190 for a period of 24 hours or longer. (B) Failure to provide heat as required by 105 CMR 410.201 or improper venting or use of a space heater or water heater as prohibited by 105 CMR 410.200(B)and 410.202. (C) Shutoff and/or failure to restore electricity or gas. (D) Failure to provide the electrical facilities required by 105 CMR 410.250(B), 410.251(A), 410.253 and the lighting in com- mon area required by 105 CMR 410.254. (E) Failure to provide a safe supply of water. (F) Failure to provide a toilet and maintain a sewage disposal system in operable condition as required by 105 CMR 410.150(A)(1)and 410.300. (G) Failure to provide adequate exits, or the obstruction of any exit, passageway or common area caused by any object, including garbage or trash, which prevents egress in case of an emergency 105 CMR 410.450, 410.451 and 410.452. (H) Failure to comply with the security requirements of 105 CMR 410.480(D). (1) Failure to comply with any provisions of 105 CMR 410.600, 410.601 or 410.602 which results in any accumulation of gar- bage, rubbish,filth or other causes of sickness which may provide a food source or harborage for rodents, insects or other pests or otherwise contribute to accidents or to the creation or spread of disease. (J) The presence of leadbased paint on a dwelling or dwelling unit in violation of the Massachusetts Department of Public Health Regulations for Lead Poisoning Prevention and Control, 105 CMR 460.000. (See M.G.L. c. 111 @@ 190 through 199.) (K) Roof,foundation, or other structural defects that may expose the occupant or anyone else to fire, burns, shock, accident or other dangers or impairment to health or safety. (L) Failure to install electrical, plumbing, heating and gas-burning facilities in accordance with accepted plumbing, heating, gas-fitting and electrical wiring standards or failure to maintain such facilties as are required by 105 CMR 410.351 and 410.352, so as to expose the occupant or anyone else to fire, burns, shock, accident or other danger or impairment to health or safety. (M) Any defect in asbestos material used as insulation or covering on a pipe, boiler or furnace which may result in the release of asbestos dust or which may result in the release of powdered, crumbled or pulverized asbestos material in violation of 105 CMR 410.353. (N) Failure to provide a smoke detector required by 105 CMR 410.482. (0) Any of the following conditions which remain uncorrected for a period of five or more days following the notice to or knowledge of the owner of said condition or conditions: (1) Lack of a kitchen sink of sufficient size and capacity for washing dishes and kitchen utensils or lack of a stove and oven or any defect that renders either inoperable. (2) Failure to provide a washbasin and shower or bathtub as required in 105 CMR 410�150(A)(2)and 410.150(A)(3)or any defect which renders them inoperable. (3) Any defect in the electrical, plumbing or heating system which makes such system or any part thereof in violation of generally accepted plumbing, heating, gasfitting, or electrical wiring standards that do not create an immediate hazard. (4) Failure to maintain a safe handrail or protective railing for every stairway, porch balcony, roof or similar place as required by 105 CMR 410.503(A)and 410.503(B). (5) Failure to eliminate rodents, cockroaches, insect infestations and other pests as required by 105 CMR 410.550. (P) Any other violation of 105 CMR 410.000 not en6merated'in`105 CMR 410.750(A)through (0)shall be deemed to be a con- dition which may endanger or materially impair the health or safety and well-being of an occupant upon the failure of the owner to remedy said condition within the time so ordered by the Board of Health. Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments °M 164 Point of Pines Erd' Property Address Allison Wald Owner Aenterville ner's Name information is required for Ma. 02632 7/11/2007 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. -_z t_x Important:When filling out A. General Information t `--- •:.... forms on the computer,use 1. Inspector: =( j only the tab key I� 36 � ,f —a y to move your Robert Paolini G/ c cursor-do not Name of Inspector use the return key. Ca ewide Enter rises,LLC _ r Company Name t� P.O.Box 763 r`' m Company Address Centerville Ma. 02632 0f City/Town State Zip Code (508)428-4028 Telephone Number License Number B. Certification I certify that I have personally inspected the sewage disposal system at this address and that the information reported below is true, accurate and complete as of the time of the inspection. The inspection was performed based on my training and experience in the proper function and maintenance of on site sewage disposal systems. I am a DEP approved system inspector pursuant to Section 15.340 of Title 5(310 CMR 15.000).The system: ® Passes ❑ Conditionally Passes ❑ Fails ❑ Needs Further Eval o e Local Approving Authority 7/11/2007 Inspector's Signature Date The system inspector shall submit a copy of this inspection report to the Approving Authority(Board of Health or DEP)within 30 days of completing this inspection. If the system is a shared system or - has a design flow of 10,000 gpd or greater,the inspector and the system owner shall submit the report to the appropriate regional office of the DEP. The original should be sent to the system owner and copies sent to the buyer, if applicable, and the approving authority. ****This report only describes conditions at the time of inspection and under the conditions of use at that time.This inspection does not address how the system will perform in the future under the same or different conditions of use. 164 point of pines•06/06 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 1 of 15 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments M 164 Point of Pines Rd. Property Address Allison Wald Owner Owner's Name information is required for Centerville Ma. 02632 /11/2007 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 D A) System Passes: ® I have not found any information which indicates that any of the failure criteria described in 310 CMR 15.303 or in 310 CMR 15.304 exist. Any failure criteria not evaluated are indicated below. Comments: The septic system is in proper working order at the present time. B) System Conditionally Passes: ❑ One or more system components as described in the "Conditional Pass" section need to be replaced or repaired. The system, upon completion of the replacement or repair, as approved by the Board of Health,will pass. Answer yes, no or not determined (Y, N, ND) in the ❑for the following statements. If"not determined," please explain. ❑ 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. ND Explain: ❑ Observation of sewage backup or break out or high static water level in the distribution box due to broken or obstructed pipe(s)or due to a broken, settled or uneven distribution box. System will pass inspection if(with approval of Board of Health): ❑ broken pipe(s)are replaced ❑ obstruction is removed 164 point of pines•08/06 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 2 of 15 �,. Commonwealth of Massachusetts . W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 164 Point of Pines Rd. Property Address Allison Wald Owner Owner's Name information is required for Centerville Ma. 02632 /11/2007 every page. City/Town State Zip Code Date of Inspection B. Certification (cont.) B) System Conditionally Passes (cont.): ❑ distribution box is leveled or replaced ND Explain: ❑ The'system required pumping more than 4 times a year due to broken or obstructed pipe(s). The system will pass inspection if(with approval of the Board of Health): ❑ broken pipe(s)are replaced ❑ obstruction is removed ND Explain: 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 2. System will fail unless the Board of Health (and Public Water Supplier, if any) determines that the system is functioning in a manner that protects the public health, safety and environment: ❑ The system has a septic tank and soil absorption system (SAS)and the SAS is within 100 feet of a surface water supply or tributary to a surface water supply. ❑ The system has a septic tank and SAS and the SAS is within a Zone 1 of a public water supply. ❑ The system has a septic tank and SAS and the SAS is within 50 feet of a private water supply well. 164 point of pines•08/06 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 3 of 15 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments , M 164 ,Point of Pines Rd. Property Address Allison Wald Owner Owner's Name information is required for Centerville Ma. 02632 /11/2007 every page. City/Town State Zip Code Date of Inspection B. Certification (cont.) C) Further Evaluation is Required by the Board of Health (cont.): ❑ 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: i **This system passes if the well water analysis, performed at a DEP certified laboratory,for coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or P 9 9 q 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: " J r 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 El ® Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool ❑ ® Liquid depth in cesspool is less than 6" below invert or available volume is less than 1/2 day flow ❑ ® 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. 164 point of pines•08/06 Title 5 Official Inspection Forth:Subsurface Sewage Disposal System•Page 4 of 15 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments �M 164 Point of Pines Rd. Property Address Allison Wald Owner Owner's Name information is required for Centerville Ma. 02632 /11/2007 every page. City/Town State Zip Code Date of Inspection B: Certification (cont.) D) System Failure Criteria Applicable to All Systems (cont.): ; Yes No ❑ ® Any portion of a cesspool or privy is within a Zone 1 of a public well. ❑ ® Any portion of a cesspool or privy is within 50 feet of a private water supply well. ❑ ® Any portion of a cesspool or privy is less than 100 feet but greater than-50 feet from a private water supply well with no acceptable water quality analysis. [This system passes if the well water analysis, performed at a DEP certified laboratory,for fecal coliform bacteria indicates absent and the presence ) of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered.A copy of the analysis and chain of custody must be attached to this form.] The system is a cesspool serving a facility with a design flow of 2000gpd- ❑ ® 10,000gpd. ❑ ® The system fails. I have determined that one or more of the above failure criteria exist as described in 310 CMR 15.303,therefore the system fails. The system owner should contact the Board of Health to determine what will be necessary to correct the failure. E) Large Systems: To be considered a large system the system must serve a facility with a design flow of 10,000 gpd to 15,000 gpd. For large systems, you must indicate either"yes"or"no"to each of the following, in addition to the questions in Section D. Yes No ❑ ❑ the system is within 400 feet of a surface drinking water supply ❑ - 0 the system is within 200 feet of a tributary to a surface drinking water supply ❑ ❑ the system is located in a nitrogen sensitive area (Interim Wellhead Protection Area— IWPA)or a mapped Zone II of a public water supply well If you have answered "yes"to any question in Section E the system is considered a significant threat, or answered "yes" in Section D above the large system has failed. The owner or operator of any large system considered a significant threat under Section E or failed under Section D shall upgrade the system in accordance with 310 CMR 15.304. The system owner should contact the appropriate regional-office of the Department. 164 point of pines•08/06 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 5 of 15 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments �^M 164 Point of Pines Rd. Property Address Allison Wald Owner Owner's Name information is required for Centerville Ma. 02632 /11/2007 every page. City/Town State Zip Code Date of Inspection C. Checklist Check if the following have been done.You must indicate"yes"or"no" as to each of the following: Yes No ® ❑ Pumping information was provided by the owner, occupant, or Board of Health ❑ ® Were any of the system components pumped out in the previous,two weeks? ® ❑ Has the system received normal flows in the previous two week period? El ® 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)] 164 point of pines•08/06 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 5 of 15 �. Commonwealth of Massachusetts W Title 5 Official, Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 164 Point of Pines Rd. Property Address Allison Wald Owner Owner's Name information is required for Centerville Ma. 02632 /11/2007 every page. City/Town State Zip Code Date of Inspection D. System Information Residential Flow Conditions: Number of bedrooms (design): 3 Number of bedrooms (actual): 3 DESIGN flow based on 310 CMR 15.203 (for example: 110 gpd x#of bedrooms): 330 Number of current residents: 2 Does residence have a garbage grinder? ® Yes ❑ No Is laundry on a separate sewage system? [if yes separate inspection required] ❑ Yes ® No Laundry system inspected? ® Yes ❑ No Seasonal use? ® Yes ❑ No Water meter readin s, if available last 2 ears usage d 2005:19,000 9 ( Y g (gpd)): 2006"10,000 Sump pump? ❑ Yes ® No Last date of occupancy: unknown Date Commercial/Industrial Flow Conditions: Type of Establishment: Design flow(based on 310 CMR 15.203): Gallons per day(gpd). Basis of design flow (seats/persons/sq.ft., etc.): Grease trap present? ❑ Yes ❑ No Industrial waste holding tank present? ❑ Yes ❑ No Non-sanitary waste discharged to the Title 5 system? ❑ Yes ❑ No Water meter readings, if available: Last date of occupancy/use: Date Other(describe): 164 point of pines•08/06 Title 5 Official Inspection Form:Subsurface Sewage Disposal System Page 7 of 15 �. Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments ^M 164 Point of Pines Rd. Property Address Allison Wald Owner Owner's Name information is required for Centerville Ma. 02632 /11/2007 every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) General Information Pumping Records: Source of information: 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) ❑ Tight tank. Attach a copy of the DEP approval. ❑ Other(describe): Approximate age of all components, date installed (if known)and source of information: 1977 Were sewage odors detected when arriving at the site? ❑ Yes ® No 164 point of pines-08/06 Title 5 Official Inspection Forth:Subsurface Sewage Disposal System-Page 8 of 15 �. . Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments ,M •'`v 164 Point of Pines Rd. Property Address Allison Wald Owner Owner's Name information is required for Centerville Ma. 02632 /11/2007 every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Building Sewer(locate on site plan): Depth below grade: 14." feet Material of construction: ❑ cast iron ®40 PVC ❑ other(explain): Distance from private water supply well or suction line: feet Comments (on condition of joints, venting, evidence of leakage, etc.): Joints appear tight.No evidence of leakage.System vented through the D-Box. Septic Tank (locate on site plan)': 1 pu • Depth below grade: 18@ feet Material of construction: ® concrete ❑ metal ❑fiberglass ❑ polyethylene ❑ other(explain) r t If tank is metal, list age: years Is age confirmed by a Certificate of Compliance? (attach a copy of certificate) ❑ Yes ❑ No ---------------------------'---------------------------------------------------------------------------------------------- Dimensions: 9'6"x5'x5'T' Sludge depth: 0 Distance from top of sludge to bottom of outlet tee or baffle 30" Scum thickness none 91, Distance from top of scum to top of outlet tee or baffle 16" Distance from bottom of scum to bottom of outlet tee or baffle I How were dimensions determined? Measured 164 point of pines•08/06 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 9 of 15 Commonwealth of Massachusetts W Title 5 Official Inspection Form _ a Subsurface Sewage Disposal System Form -Not for Voluntary Assessments GSM , 164 Point of Pines Rd. Property Address Allison Wald Owner Owner's Name information is required for Centerville Ma. 02632 /11/2007 every page. City/Town 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.): Pump tank every 2-3 years.lnlet and outlet tees are in place.No evidence of Ieakage.Tank appears structurally sound. 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.): 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): 164 point of pines•08/06 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 10 of 15 �. Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments �M 164 Point of Pines Rd. j Property Address Allison Wald Owner Owner's Name information is required for Centerville Ma. 02632 /11/2007 every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Tight or Holding Tank(cont.) 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 Distribution Box (if present must be opened)(locate on site plan): Depth of liquid level above outlet invert no Comments (note if box is level and distribution to outlets equal, any evidence of solids carryover, any evidence of leakage into or out of box, etc.): Box is Ievel.Box has 3 Ilaterals with equal distribution.No evidence of solids carryover.No evidence of leakage into or out of box. Pump Chamber(locate on site plan): Pumps in working order: ® Yes ❑ No Alarms in working order: ® Yes ❑ No 164 point of pines-08106 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 11 of 15 �. Commonwealth of Massachusetts w W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 164 Point of Pines Rd. Property Address Allison Wald Owner Owner's Name information is required for Centerville Ma. 02632 /11/2007 every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Comments (note condition of pump chamber, condition of pumps and.appurtenances, etc.): Pump chamber appears structurally sound.No evidence of Ieakage.Pumps and floats in proper working order. 1 Soil Absorption System (SAS) (locate on site plan, excavation not required): If SAS not located, explain why: Type: ❑ leaching pits number: ❑ leaching chambers number: ❑ leaching galleries number: ❑ leaching trenches number, length: ® leaching fields number, dimensions: 18'x34'x1' ❑ 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.): Sandy dry soil.No signs of hydraulic failure.No ponding or damp soil. 164 point of pines-08/06 Title 5 Official Inspection Forth:Subsurface Sewage Disposal System-,Page 12 of 15 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments ;M 164 Point of Pines Rd. Property Address Allison Wald Owner Owner's Name information is required for Centerville Ma. 02632 /11/2007 every page. City/Town State Zip Code Date of Inspection D.-System Information (cont.) 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.)-. 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.): 164 point of pines•08/06 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 13 of 15 r 0 > Commonwealth of Massachusetts lugTitle 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 164 Point of Pines Rd. Property Address Allison Wald Owner Owner's Name information is required for Centerville Ma. 02632 /11/2007 every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Sketch Of Sewage Disposal System: Provide a sketch of the sewage disposal system including ties to at least two permanent reference landmarks or benchmarks. Locate all wells within 100 feet. Locate where public water supply enters the building. 31 ---------------- �q ll ��>' a iov palm vi pmw-w�.. Commonwealth of Massachusetts H Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments wM 164 Point of Pines Rd. Property Address Allison Wald Owner Owner's Name information is required for Centerville Ma. 02632 /11/2007 every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Site Exam: l ❑ Check Slope ® Surface water ❑ Check cellar ❑ Shallow wells Estimated depth to ground water: Bottom of leaching field 7' feet Please indicate all methods used to determine the high ground water elevation: ® Obtained from system design plans on record 1977 If checked, date of design plan reviewed: Date Date ❑ Observed site (abutting property/observation hole within 150 feet of SAS) z Checked with local Board of Health -explain: As-Built card ❑ Checked with local excavators, installers- (attach documentation) ❑ Accessed USGS database-explain: You must describe how you established the high ground water elevation: Used:Gaherty& Miller model 12/16/94 ground water elevations.Used:USGS Observation well data June 1992.Used:Technical Bulletin 92-000-01 plate#2annual ranges of ground water elevations. 164 point of pines•08/06 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 15 of 15 30� . Town of Barnstable P# CIA '4 Department of Regulatory Services DAMerA6IE. , Public Health Division Hate a 0L� 26J9, `e� 200 Main Street,Hyannis MA 02601 D ��O Date Scheduled iine Fee Pd. Soil Suitability Assessment for Sewage Dis osal 0 4 01A 74-01. Performed By: Witnessed By: ApL OCATION GENERAL INFORMATION/ Owner's Name/ Location Address �(O P# t„`� Q l rtR� �� e rl Address Assessor's Map/Parcel: Z30/6 I Engineer's Name UJ 0 cJ P-1 NEW CONSTRUCTION Y REPAIR Telephone Land Use 1 Slopes(%) //l Surface Stones N Distances from: Open Water Body `� ".' ft Possible Wet Area 12� ft Drinking Water Well A ft Drainage Way ft Properly Line ft Other ft i SKETCH:(Street name,dimensions of lot,exact locations of test holes&pere tests,locate wetlands?n proxf mity to holes) CD If •C i c� a C, r_ � R'd 0 s P ` 7 Parent material(geologic) Depth to Bed"Ork 0 Depth to Groundwater: �, Standing Water in Hole:_ � ,�— Weeping from Pit RitNe _--,—T— t Estimated Seasonal High Groundwater OVA DETERMINATION FOR SEASONAL HIGH WATER TABLE Method Used: Depth Observed standing in obs.hole: 11'y�' \ in, Depth to soil mvttlgs;--Hit In. Depth to weeping from side of obs.hole: in. Groundwater Adjustment ftt Index Well# Reading Date: Index Well level- --- Ad.l.raetor ' -:� Adj.Croundwater Level _ ki PERCOLATION TEST Date Tittle .Observation Time at 4" Hole# 1_t\� Depth of Perc Time at 6" Start Pre-soak Time @ Time (9"•G") End Pre-soak Rate Min./Inch G 7- 1 �� Site Suitability Assessment: Site Passed Site Failed: Additional Testing Needed(YIN) Original: Public Health Division Observation Hole Data To Be Completed on Back----------- ***If percolation test is to be conducted within 100' of wetland,you must first notify tile. Barnstable Conservation Division at least one(1) week prior to beginning. Q:\S Er'TIC\PERCFORM.DOC DEEP.OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Sdil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones;Boulders. o isten r.vet to r 3 d yo"-! Cat DEEP OBSERVATION �3 NATION HOL E L Depth from • LOG. HOle# P Soil Horizon Soil Texture Soil Color Soil'. Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. O„_ :► J Cons•s enc % ra el V- 3�'t C / LS J.s 01, L r � DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Ilorizon Soil Texture Soil Color Surface(in.) (USDA Soil Other ) (Munsell) Mottling (Structure,Stones,Moulders. 0,( u ,,t fi— Consi to ,�Grgv_el) ��t_ ,t �. Syf6 o'- hu` C DEEP OBSERVATION HOLE LOG Hole# Depth from Surface(in.) Soil Horizon Soil Texture Soil Color Soil r Othe (USDA) (Munsell) Mottling (Structure,Stones;Boulders. 41_ ��t � ons' tnLS p Y4 IV V r. , r Flood Insurance Rate Maa• Above 500 year flood boundary No__ Yes Within 500 year boundary No_ Yes Within 100 year flood boundary No_ _ Yes Depth of Naturally Occurrine Pervious Material Does at least four feet of naturally occurring pervious material exist in all areas observed throughout the area proposed for the soil absorption system? If not, what is the depth of naturally occurring pervious material? Certification I certify that on (date)I have passed the soil evaluator examination approved by the Department of Environn,enMal R'Wecticn and that ahe. abuve anaiysis was performed by me consistent with . the required training,expertise and experience described in�10 CMR 15.017. Signature Date Q:%.S E PTICU'ERCFO R M.DOC COMPLETE . COMPLETE ■ Complete items 1,2,and 3.Also complete A. gna item 4 if Restricted Delivery is desired. Agent ■ Print your name and address on the reverse ddressee so that we can return the card to you. Received by(P' to ame) �(a! of Del' E ■ Attach this card to the back of the mailpiece, — i or on the front if space permits. �i'011- 1. Article Addressed to - -✓, D. Is delivery address different from item 11 es Q` If YES,enter delivery address below: 00No r 3. se ' Type 6 2— Certltied Mail 0 Fxpress Mall p r ❑Registered Q'Retum Receipt for Melchandlse w ❑Insured Mail ❑C.O.D. 0 f 3'70 4. Restricted Delivery?(Extra Fee) 0 Yes 2. Article Number ! •r r;, ?- - - - (Transfer from service.labe ` i 1'7 0 0 P 2150 0�0 0 2 '7,0 4 i19637 PS Form 3811,February 2004 Domestic Return Receipt - t o2ss5-0z-M-154o UNITED STATES POSTAL SERVICE ~`* RAC;. 0:1 . 1 �.:....-' *-Sender: Please print your name, address, and�' filhis box ((j Town of Banistable : �J Health Division. 200 Main Street Hyannis,N.1;k 02601. I� I I ` Health Master Detail Page 1 of 1 .n A,, Parcel S ut c Perc vveil Fuel Tank Parcel: 30-06 Location: 164 POINT OF PINES AVENUE #A CENTERVILLE Owner: WA D ALI ON T Business name: Business phone:F Rental property: Deed restricted: Number of bedrooms Contaminant released: Fuel storage tank permit: . Save Parcel Changes Return to Lookup Parcel Info Parcel ID: 230-069 Developer lot: Location: 164 POIN I OF PINES AVENUE =A Primary frontage: 55 Secondary road: Secondary frontage: Village:CENTERVILLE Fire district:C-0 MM Sewer acct: Road index: 1290 Asbuilt Septic Scan: 230069_1 Interactive map Town zone of contribution:AP (Aquifer Protection Overlay State zone of contribution:OUT District) rner Info Owner: WALD, ALISON TR Co-Owner:%BERMAN, ROGER L & ANNE - BAILEY, TRS . Streetl: POLE NOMINEE ]'RUST Street2: 102 POND STREET p, City:WINCH ESTER State:MA Zip: 04890. Country: US: Deed date: 1.1/2./1.998 Deed reference: 11.808/1.88 Land Infra Acres: 1.11 Use: Multi Hses MDL-01 Zoning:RD-1 Neighborhood: PF07 Topography:1...evel Road: Paved Utilities: Public Water,Gas,Septic Location:Lake/Ponca Front,Excel thew Construction Info *Uik inq, €ojYea DuiRlEffective Area '.edroorn s B'athroor s 1 1958 1351 3 Bedroom 1 Full + 1H 2 1958 1783 3 Bedroom Al Full + 1H Buildings value:$313,300.00 Extra features: $5,000,00 Land value: �769,500.00 a http://issgl/intranct/healthMaster/HealthMasterDetail.aspx?ID=230069 6/10/2008 Cape Cod Vacation Rentals— Kinlin Grover GMAC - Property Page Page 1 of 4 IN LINGmAcI Home Property List>i� Property Owners» -Gape Cad>> •Links+a •Homes for Sale rt OVER Vacation Rentals Property Search » Office Locations >> About).) Contact>> eNews>> • ,c. �rw—•— g Property Details TBERM2 164 Point of Pines, Barnstable-Centerville - _ GUESTS BEDS BEDROOMS BATHS RATES 4 2 2 $1,900 Oil ;l er to ' send inquiry >> Calendar Ijune, 2008 _ i� Reserve Online Now June 2008 July 2008 Reserving online is fast, easy, and S M T W T F S I S M T W T F S secure. The calendar on the left 25 26 27 28 29 30 31 291301 1 1 2 3 4 5 ( shows the days that this property is 1 2 3 4 5 6 7 6 7 8 9 10 11 12 currently available as blue on white, 13 14 15 16 17 18 19 and days that are not available as 8 9 110111 12113 14 gray. To make a reservation for � 20 21 22 23124125 26 9 Y• 115 16 17 18 19 20 21 22 23 24 25 26 27 28 27 28 29 30 31 1 2 this property now, select an available L4 5 6 7 g 9 arrival date for the first night of your 29 30 1 2 3 4 5 stay by clicking on the calendar on PLEASE NOTE: All properties are available Saturday to Saturday with a the left. 7 night minimum unless otherwised noted. First Night Last Night Town Barnstable- Centerville Pictures http://www.vacationcapecod.com/viewproperty.aspx?PropertyID=30557 6/10/2008 Cape Cod Vacation Rentals—Kinlin Grover GMAC - Property Page Page 2 of 4 picture to •- picture to •- (click picture . enlarge) enlarge) (click picture to enlarge) . enlarge) • • . • •• • . •p . •• 1 • 1 11: Cape Cod Vacation Rentals—Kinlin Grover GMAC - Property Page Page 3 of 4 f i i (click picture to enlarge) (click picture to enlarge) (click picture to enlarge) (click picture to enlarge) (click picture to enlarge) Amenities Business Entertainment Outdoor Convenience • Wireless Internet Hook • Radio • Outdoor Furniture • Clothes Washer Up • Color TV • Deck • Dryer http://www.vacationcapecod.com/viewproperty.aspx?PropertyID=30557 6/10/2008 Cape Cod Vacation Rentals—Kinlin Grover GMAC - Property Page Page 4 of 4 • No Land Line • Cable Channels • Porch • Cleaning Supplies Telephone Kitchen • Private Dock • Pet Friendly-No Cats • Free WIFI • Dish Washer • Brick Patio • Pet Friendly-May Living • Microwave • Boat Slip Consider • Pondfront • Air Conditioned • Fireplace COPYRIGHT 2004 GMAC HOME SERVICES : LEGAL .. PRIVACY ASSOCIATES ONLY EQUAL HOUSING OPPORTUNITY'S Information Policy Site Usage Agreement © 1999-2007 Escapia, Inc. Kinlin Grover GMAC Vacation Rentals is powered by Escapia Vacation Rental Software I ClearStay Vacation Rentals ib Barnstable Vacation Rentals I Centerville Vacation Rentals I Cotuit Vacation Rentals I Cummaquid Vacation Rentals Hyannis Vacation Rentals I Hyannisport Vacation Rentals I Marstons Mills Vacation Rentals I Osterville Vacation Rentals I Cataumet Vacation Rentals I Grey Gables Monument Beach Vacation Rentals Pocasset Vacation Rentals I Brewster Vacation Rentals I Ocean Edge Resort Vacation Rentals I Chatham Vacation Rentals I Dennis Vacation Rentals I Eastham Vacation Rentals I Falmouth Vacation Rentals I E. Falmouth Vacation Rentals Falmouth Hts Vacation Rentals I N. Falmouth Vacation Rentals I Teaticket Vacation Rentals I W. Falmouth Vacation Rentals I Woods Hole Vacation Rentals I Harwich Vacation Rentals I The Belmont Vacation Rentals I Mashpee Vacation Rentals I New Seabury Vacation Rentals I Popponesset Vacation Rentals I S. Mashpee Vacation Rentals I Orleans Vacation Rentals I Provincetown Vacation Rentals I Sandwich Vacation Rentals I Wellfleet Vacation Rentals I Yarmouth Vacation Rentals I Truro Vacation Rentals Disclaimer: All information deemed reliable but not guaranteed.All properties are subject to prior sale or rental,change or withdrawal. Listing broker(s) and information provider(s)shall not be responsible for any typographical errors,misinformation,or misprints and shall be held totally harmless. http://www.vacationcapecod.com/viewproperty.aspx?PropertyID=30557 6/10/2008 Town of Barnstable oFT„E T Regulatory Services �P` o Thomas F. Geiler, Director x. Public Health Division BARNSTABLE, 9 MASS. $ Thomas McKean, Director 039. �0 1t3tii AjFG MA.A 200 Main Street Hyannis, MA 02601 Office: 508-862-4644 Fax: 508-790-6304 June 10, 2008 Roger Berman 102 Pond Street Winchester, MA 01890 As of October 1, 2006 a new rental registration ordinance was put into affect requiring all property owners of rental units to register their rental units with the Town of Barnstable Health Division. According to our records, you own the rental property at 164 Point of Pines, Cenertville. Enclosed is an application. Please use a separate application for each rental unit you own. Should you need more applications, they are available online at w w:town.barnstable.ma.us. Go to the Health Division page by looking in the Department Menu. There is a link to the Rental Registration information on the Health Division page. You may print out as many as you need, and return them to the Health Division with the appropriate 2008 fees included. Failure to comply with this ordinance will result in the issuance of a non-criminal ticket citation in the amount of$100. Each day of non-compliance is considered a separate offense. Should you have any questions, please feel free to call 508-862-4644. Thank you in advance for your cooperation. Timothy B. O'Connell Health Inspector Health Division Direct #508-862-4646 R t Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 0 Point of Pines Rd. / 7� /o��.f �t / ! qqb Property Address Allison Wald Owner Owner's Name information is required for Centerville Ma. 02632 7/3/2007 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. Important:When filling out A. General Information forms on the computer,use 1. Inspector: only the tab key to move your Robert Paolini cursor-do not Name of Inspector use the return key. Capewide Enterprises,LLC Company Name r� P.O.Box 763 Company Address Centerville Ma. 02632 �hO City/Town State Zip Code (508)428-4028 Telephone Number License Number B. Certification I certify that I have personally inspected the sewage disposal system at this address and that the information reported below is true, accurate and complete as of the time of the inspection. The inspection was performed based on my training and experience in the proper function and maintenance of on site sewage disposal systems. I am a DEP approved system inspector pursuant to Section 15.340 of Title 5(310 CMR 15.000).The system: w � Passes ❑ Conditionally Passes ❑ Fails c� Needs Further Evaluation by the Local Approving Authority 0 M ,J 7/3/2007 Inspector's Sig to 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. 164 point of pines-08/06 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 1 of 15 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments ,M s•`'v 170 Point of Pines Rd. Property Address Allison Wald Owner Owner's Name information is required for Centerville Ma. 02632 7/3/2007 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 D A) System Passes: ® I have not found any information which indicates that any of the failure criteria described in 310 CMR 15.303 or in 310 CMR 15.304 exist. Any failure criteria not evaluated are indicated below. Comments: The septic system is in proper working order at the present time. 7 B) System Conditionally Passes: r ❑ One or more system components as described in the"Conditional Pass"section need to be replaced or repaired. The system, upon completion of the replacement or repair, as approved by the Board of Health,will pass. Answer yes, no or not determined (Y, N, ND) in the ❑ for the following statements. If"not determined," please explain. ❑ 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. ND Explain: ❑ Observation of sewage backup or break out or high static water level in the distribution box due to broken or obstructed pipe(s)or due to a broken, settled or uneven distribution box. System will pass inspection if(with approval of Board of Health): ❑ broken pipe(s) are replaced ❑ obstruction is removed 164 point of pines•08/06 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 2 of 15 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments °�M ,• 170 Point of Pines Rd. Property Address Allison Wald Owner Owner's Name information is required for Centerville Ma. 02632 7/3/2007 every page. City/Town State Zip Code Date of Inspection B. Certification (cont.) B) System Conditionally Passes (cont.): ❑ distribution box is leveled or replaced ND Explain: ❑ The system required pumping more than 4 times a year due to broken or obstructed pipe(s). The system will pass inspection if(with approval of the Board of Health): El ' broken pipe(s)are replaced ❑ obstruction is removed ND Explain: 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 2. System will fail unless the Board of Health (and Public Water Supplier, if any) determines that the system is functioning in a manner that protects the public health, safety and environment: ❑ The system has a septic tank and soil absorption system (SAS)and the SAS is within 100 feet of a surface water supply or tributary to a surface water supply. ❑ The system has a septic tank and SAS and the SAS is within a Zone 1 of a public water supply. ❑ The system has a septic tank and SAS and the SAS is within 50 feet of a private water supply well. 164 point of pines•08/06 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 3 of 15 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments °M 170 Point of Pines Rd. Property Address Allison Wald Owner Owner's Name information is required for Centerville Ma. 02632 7/3/2007 every page. City/Town State Zip Code Date of Inspection B. Certification (cont.) C) Further Evaluation is Required by the Board of Health (cont.): ❑ The system has a septic tank and SAS and the SAS is less than 100 feet but 50 feet or more from a private water supply well**. Method used to determine distance: **This system passes if the well water analysis, performed at a DEP certified laboratory,for coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered.A copy of the analysis must be attached to this form. 3. Other: } D) System Failure Criteria Applicable to All Systems: You must indicate "Yes" or"No" to each of the following for all inspections: Yes No ❑ ® Backup of sewage into facility or system component due to overloaded or clogged SAS or cesspool ❑ ® Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or clogged SAS or cesspool ❑ ® Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool ❑ ® Liquid depth in cesspool is less than 6" below invert or available volume is less than '/2 day flow ❑ ® Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s). Number of times pumped: ❑ ® Any portion of the 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. 164 point of pines•08/06 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 4 of 15 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments �M 170 Point of Pines Rd. Property Address Allison Wald Owner Owner's Name information is required for Centerville Ma. 02632 7/3/2007 every page. City/Town State Zip Code Date of Inspection B. Certification (cont.) D) System Failure Criteria Applicable to All Systems (cont.): Yes No ❑ ® Any portion of a cesspool or privy is within a Zone 1 of a public well. ❑ ® Any portion of a cesspool or privy is within 50 feet of a private water supply well. ❑ ® Any portion of a cesspool or privy is less than 100 feet but greater than 50 feet from a private water supply well with no acceptable water quality analysis. [This system passes if the well water analysis, performed at a DEP certified laboratory,for fecal coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered.A copy of the analysis and chain of custody must be attached to this form.] ❑ ® The system is a cesspool serving a facility with a design flow of 2000gpd- 10,000gpd. ❑ ® The system fails. I have determined that one or more of the above failure criteria exist as described in 310 CMR 15.303, therefore the system fails. The system owner should contact the Board of Health to determine what will be necessary to correct the failure. E) Large Systems: To be considered a large system the system must serve a facility with a design flow of 10,000 gpd to 15,000 gpd. For large systems, you must indicate either"yes"or"no"to each of the following, in addition to the questions in Section D. Yes No ❑ ❑ the system is within 400 feet of a surface drinking water supply ❑ ❑ the system is within 200 feet of a tributary to a surface drinking water supply ❑ ❑ the system is located in a nitrogen sensitive area (Interim Wellhead Protection Area— IWPA)or a mapped Zone II of a public water supply well If you have answered "yes"to any question in Section E the system is considered a significant threat, or answered "yes" in Section D above the large system has failed. The owner or operator of any large system considered a significant threat under Section E or failed under Section D shall upgrade the system in accordance with 310 CMR 15.304. The system owner should contact the appropriate regional office of the Department. 164 point of pines•08/06 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 5 of 15 Commonwealth of Massachusetts W Title 5 Official Inspection Form o Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 170 Point of Pines Rd. Property Address Allison Wald Owner Owner's Name information is required for Centerville Ma. 02632 7/3/2007 every page. City/Town State Zip Code Date of Inspection C. Checklist Check if the following have been done. You must indicate"yes"or"no"as to each of the following: Yes No ® ❑ Pumping information was provided by the owner, occupant, or Board of Health ❑ ® Were any of the system components pumped out in the previous two weeks? ® ❑ Has the system received normal flows in the previous two week period? ❑ ® Have large volumes of water been introduced to the system recently or as part of this inspection? ® ❑ Were as built plans of the system obtained and examined? (If they were not available note as N/A) ® ❑ Was the facility or dwelling inspected for signs of sewage back up? Z ❑ ` 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)] 164 point of pines•08/06 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 6 of 15 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments ^M 170 Point of Pines Rd. Property Address Allison Wald Owner Owner's Name information is required for Centerville Ma. 02632 7/3/2007 every page. City/Town State Zip Code Date of Inspection D. System Information Residential Flow Conditions: Number of bedrooms (design): 3 Number of bedrooms (actual): 3 DESIGN flow based on 310 CMR 15.203 (for example: 110 gpd x#of bedrooms): 330 Number of current residents: 2 Does residence have a garbage grinder? ® Yes ❑ No Is laundry on a separate sewage system? [if yes separate inspection required] ❑ Yes ® No Laundry system inspected? ® Yes ❑ No Seasonal use? ® Yes ❑ No Water meter readings, if available last 2 ears usage (gpd)): 2005:0 g ( y g 2006:16,000 Sump pump? ❑ Yes ® No 7/3/2007 Last date of occupancy: Date Commercial/Industrial Flow Conditions: Type of Establishment: Design flow(based on 310 CMR 15.203): Gallons per day(gpd) Basis of design flow(seats/persons/sq.ft., etc.): }Grease trap present? ❑ Yes ❑ No Industrial waste holding tank present? ❑ Yes ❑ No Non-sanitary waste discharged to the Title 5 system? ❑ Yes ❑ . No Water meter readings, if available: Last date of occupancy/use: Date Other(describe): 164 point of pines•08/06 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 7 of 15 Commonwealth of Massachusetts - Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments ° 170 Point of Pines Rd. M Property Address Allison Wald Owner Owner's Name information is required for Centerville Ma 02632 7/3/2007 every page. City/Town State Zip Code Date of Inspection D. System Information (cont.)- General Information Pumping Records: Source of information: 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) ❑ Tight tank.Attach a copy of the DEP approval. ❑ Other(describe): Approximate age of all components, date installed (if known)and source of information: system installed 1977 Were sewage odors detected when arriving at the site? ❑ Yes ® No 164 point of pines•08/06 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 8 of 15 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 170 Point of Pines Rd. Property Address Allison Wald Owner Owner's Name information is required for Centerville Ma. 02632 7/3/2007 every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Building Sewer(locate on site plan): Depth below grade: ` 2 feet Material of construction: ❑ cast iron ®40 PVC ❑ other(explain): Distance from private water supply well or suction line. 10,+feet Comments (on condition of joints, venting, evidence of leakage, etc.): Joints appear tight.No evidence of Ieakage.System vented through D-Box to vent stack. Septic Tank(locate on site plan): Depth below grade: 18"feet Material of construction: ® concrete ❑ metal ❑fiberglass ❑ polyethylene ❑ other(explain) If tank is metal, list age: years Is age confirmed by a Certificate of Compliance? (attach a copy of certificate) ❑ Yes ❑ No --------------------------------------------------------------------------------------------------------------------------- Dimensions: 10'6"x5'10"x57- Sludge depth: 2" Distance from top of sludge to bottom of outlet tee or baffle 28" Scum thickness none 9" Distance from top of scum to top of outlet tee or baffle Distance from bottom of scum to bottom of outlet tee or baffle 16" How were dimensions determined? measured 164 point of pines•08/06 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 9 of 15 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments ° 170 Point of Pines Rd. M Property Address Allison Wald Owner Owner's Name information is. required for Centerville Ma. 02632 7/3/2007 every page. City/Town J 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.): Pump tank every 2-3 years.lnlet and outlet tees are in place.No evidence of Ieakage.Tank appears structurally sound. r Grease Trap (locate on site plan): Depth below grade: feet Material of construction: ❑ concrete El 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.): 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): 164 point of pines•06/06 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 10 of 15 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 170 Point of Pines Rd. Property Address Allison Wald Owner Owner's Name information is Centerville Ma. 02632 7/3/2007 required for every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Tight or Holding Tank(cont.) 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 Distribution Box (if present must be opened) (locate on site plan): Depth of liquid level above outlet invert No 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.): Boxis level.Box has 3 outlet laterals with equal distribution.No evidence of solids carryover.No signs of leakage into or out of box. Pump Chamber(locate on site plan): Pumps in working order: ® Yes ❑ No Alarms in working order: ® Yes ❑ No 164 point of pines•06/06 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 11 of 15 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface-Sewage Disposal System Form - Not for Voluntary Assessments ^M 170 Point of Pines Rd. Property Address Allison Wald Owner Owner's Name information is required for Centerville Ma. 02632 7/3/2007 every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Comments (note condition of pump chamber, condition of pumps and appurtenances, etc.): Pump chamber appears structurally sound.No evidence of Ieakage.Pumps and floats are working properly. Soil Absorption System (SAS) (locate on site plan, excavation not required): If SAS not located, explain why: Type: ❑ leaching pits number: ❑ leaching chambers number: ❑ leaching galleries number: ❑ leaching trenches number, length: ® leaching fields number, dimensions: 18'x23'x1' ❑ 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.): Sandy dry soil.No evidence of hydraulic failure.No signs of ponding or damp soil. 164 point of pines•08/06 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 12 of 15 Commonwealth of Massachusetts W Title 5 Official Inspection Form a Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 170 Point of Pines Rd. - Property Address Allison Wald Owner Owner's Name information is required for Centerville Ma. 02632 7/3/2007 every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 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.): 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.): 164 point of pines•08/06 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 13 of 15 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 170 Point of Pines Rd. l Pr a Are op rty Address Allison Wald Owner Owner's Name information is required for Centerville Ma. 02632 7/3/2007 every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Sketch Of Sewage Disposal System: Provide a sketch of the sewage disposal system including ties to at least two permanent reference landmarks or benchmarks. Locate all wells within 100 feet. Locate where public water supply enters the building. f \ , _ - ,f , � , .Sys \ 164 point of pines•08/06 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 14 of 15 i Commonwealth of Massachusetts W Title 5 Official Inspection Form _ Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 170 Point of Pines Rd. Property Address Allison Wald Owner Owner's Name information is required for Centerville Ma. 02632 7/3/2007 every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Site Exam: ® Check Slope ® Surface water. ❑ Check cellar r ❑ Shallow wells Estimated depth to ground water: Bottomof leaching field 8'to water 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: Date ❑ Observed site (abutting property/observation hole within 150 feet of SAS) ® Checked with local Board of Health -explain: plan on file - ❑.. Checked with local excavators, installers- (attach documentation) ❑ Accessed USGS database-explain: You must describe how you established the high ground water elevation: Used:Gaherty and miller model 12/16/94 ground water elevations.Used:USGS Observation well data June 1992.Used:Technical Bulletin 92-000-01 plate#2 annual ranges of ground water elevations. 164 point of pines-08/06 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 15 of 15 v v c m��dy R7�1J�e po ?oink' r DATE: Z/1D`/•99 PROPERTY ADDRESS: 470 Pbi•nt Of Pines Centerville-,-Mass/ 02632 , On the above date, I Inspected the "ptic system at the above addrea8. This system conslsts of the following; 1 . 1-1000 galL'16n septic . 5 .. Separate electrical panel 2 , 1-Pump 'chamber . within the cottage . P." .. 3 . 2-pumps alternating . i�► Q \ 4 . Floats on , off and alarm PI EIV-0 Based bn my InPcactlon, I certily the following condlt "FEB j 6 . This is a • title five septic system. (•'•78VGode ) 2 1999 7 . The septic system is in 'p,roper 'working order TOWN OF at the present' time . 8 . Pumped septic tank and , pump chamber at time i of inspection. 81GNATUR F / Name . .J . P. Recomber Jr�,` r ; . Company:'_- P_Macotqber. & �on"Tnc Address; _.B4.,x_6i------:1------ E!e.eUA 11 e jLkpjj_Q 26 32• ' ' , Phone: THIS CERTIFICATION DOES NOT CONSTITUTE A GUARANTY OR WARRANTY MMVM JOSEPH P. MACOMBER '& SON INC, T+nk&-C•upoolj-Leachflelds , . Pump*d 4 Instsllo Town Sewer Connections P.O. Box 66' Centerville, MA 02632.0066 77.5-3338 776-6412 COMMONWEALTH OF MASSACHUSETTS EXECUTIVE OFFICE OF ENvIRONMENTAL AFFAIRS DEPARTMENT OF ENVIRONMENTAL PROTECTION ONE WINTER STREET, BOSTON MA 02108 (617) 292-5500 TRUDY COXE Secretary ARGEO PAUL CELLUCCI DAVID B. STRUHS Governor Commissioner SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION Pro.perty Address: 17 0 Point Of Pines Nama of owneA l l i s o n Wald C e n t e r v ille M Address of owner:71 p e i o ad Date oflnspecticn: , �7 T 0/9 9 Providence R. I . 02906 Name of Inspector:(Please Print) Joseph P.Macomber Jr . I am a DEP approved system inspector pursuant to Section 15.340 of T-rde 5(310 CMR 15.000) company Name: J. P .Macomber & Son Inc . MaaVAddress: Box 66 Centerville ,Mass - n2632 Telephone Number: 509 775 3339 CERTIFICATION STATEMENT I certify that 1 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: Y Y Passes _ Conditionally Passes Needs Further Evaluation By the Local Approving Authority _ Fails Inspector's Signature- f Date: t / The System Inspe shall submit a copy of this inspection report to the Approving Authority(Board of Health or DEP)within thirty(30)days of completing this inspection. If the system is a shared system or has a design flow of 10,000 gpd or greater,the inspector and the system owner shall submit the report to the appropriate regional office of the Department oKinvirorimental Protection. The original should be sent toga system owner and copies sent to the buyer, if applicable, and the approving authority. . NOTES AND COMMENTS revised 9/2/98 Page lorn I ice} Printed on Recycled Paper SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION(continued) PropwiyAddir"s: 170 Point Of Pines Centerville ,Mass . owner: David Grossman Data of k-pecvoo:2/10/9 9 INSPECTION SUMMARY: Check A, B, C, or A A. SYSTEM PASSES: I have not found any Information which indicates that any of the failure conditions described in 310 CMR 15.303 exist. Any failure criteria not evaluated are indicated below. COMMENTS: B. SYSTEM CONDITIONALLY PASSES: �V One or more system components as described in the "Conditional Pass' section need to be replaced or repaired. The system,upon completion of the replacement or repair,as approved by the Board of Health, will pass. Indicate yes,�no, or not determined(Y, N, or ND). Describe basis of determination in all instances. If "not determined', explain why not. &L/ The septic tank is metal, unless the owner or operator has provided the system Inspector with a copy of a Certificate of Compliance(attached)Indicating that the tank was Installed within twenty (20)years prior to the date of the Inspection;or the septic tank, whether or not metal,is cracked,structurally unsound, shows substantial Infiltration or exfiltration, or tank failure is Imminent. The system will pass Inspection if the existing septic tank Is replaced with a complying septic tank as approved by the Board of Health. k or breakout or high static water level observed in the distribution box is due to broken or obstructed pipe(s) Sewage backup g or due to a broken, settled or uneven distribution box. The system will pass inspection if(with approval of the Board of Health). broken pipe(s) are replaced obstruction is removed distribution box is levelled or replaced The system required pumphig more than-four-times v yeardue to broken or obstructed pipets). The vystem VAI-1msr Inspection If(with approval of the Board of Health): - - broken pipe(s) are replaced obstruction Is removed revised 9/2/98 Page 2ofII SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address: 170 Point Of Pines OwnK: David Grossman Data at Inspection: 2/10/9 9 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 the public health,safety and the environment. 1) SYSTEM WILL PASS UNLESS BOARD OF HEALTH DETERMINES W ACCORDANCE WITH 310 CMR 15.303(1)(b)THAT THE SYSTEM IS NOT FUNCTIONING W A MANNER WHICH.WILL.PRO3XC'T THE PUBLIC HEALTH.AND SAFETY AND THE EN1pBONME1dTs Cesspool or privy Is within 60 festvf surface water Cesspool or privy is within 60 feet of a bordering vegetated wetland or a salt marsh. 2) SYSTEM WILL FAIL UNLESS THE BOARD OF HEALTH(AND PUBLIC WATER SUPPLIER,IF ANY)DETERMINES THAT THE SYSTEM IS FUNCTIONING W A MANNER THAT PROTECTS THE PUBLIC HEALTH AND SAFETY AND THE ENVIRONMENT: The system has a septic tank and soil absorption system(SAS)and the SAS Is within 100 feet of a surface water supply or tributary to a surface water supply. The system has a septic tank and soil absorption system and the SAS Is within a Zone I of a public water supply well. The system has a septle tank and soil absorption system and the SAS Is within 60 feet of a private water supply wail. The system has a septic tank and soil absorption system and the SAS Is less than 100 feet but 60 feet or more from a private water supply well,unless a well water analysis for collform bacteria and volatile organic compounds indicates that the well Is free from pollution from that facility and the presence of ammonla nitrogen and nitrate nitrogen is equal to or less than 6 ppm. Method used to determine distance (approximation not valid).- 3) OTHER 41 4 f/ it revised 9/2/98 Page 3of11 SUBSURFACE SEWAGE DISPOSAL SYSTEM WSPECTiON FORM PART A CERTIFICATION(condrxm4l • Property Address: 170 Point Of Pines Ave Centerville ,Mass . Owrw: David Grossman Burns & Livenson Date of tnspectkm:2/10/9 9 D. SYSTEM FAILS: You-must Indicate either"Yes" or"No" to each of the following: 1 have determined that one or more of the following failure conditions exist as described in 310 CMR 15.303. The basis for this - determination is Identified below. The Board of Health should be contacted to determine what will be necessary to correct the faiure. Yes No , Backup of-sewage irrtofecilitywr-e"temcomponent-duetto an overloaded orvlegQed•fyAS-or-csaspod. 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 levLathe tributt'o box above utlet invert due to an overloaded or clogged SAS or cesspool. 77 Liquid depth in cerspeel is less than 6" below Invert or available volume is less than 1/2 day flow. ZRequired pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s). Number of times pumped Q-. Any portion.of the Soil Absorption System,cess ooI or r(vy Is�below the high groundwat elevation. r - ' ` 04r-)Ava t0A s cV k-;4A)re�/ / y .�5+0,r/, 5,VA1 o{ �i4 eve;�42e- X _ Any portion of a cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply. Any portion of a cesspool or privy Is-within a Zone 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. If the well has been analyzed to be acceptable,attach copy of well water analysis for -coliform bacteria,volatile organio•compounds, ammonia nitrogen-and nitrate nitrogen. - I- LARGE SYSTEM FALLS: You must Indicate either"Yes" or "No" to each of the following: The following criteria apply to large systems In addition to the criteria above: 410 The system serves a facility with a design flow of 10,000 gpd or greater(Large System)and the system is a significant threat to public health and safety and the environment because one or more of the following conditions exist: Yes No 2 the system is within 400 feet of a surface drinking water supply AJI? the system•ls within 200 feetotEa tributary to a4uAaoa• Fk4d V-wtor••supplY• 10 the system is located in a nitrogen sensitive area(interim Wellhead Protection Area;-IWPA)or a mapped Zone 11 of a public water supply well) The owner or operator of any such system shall upgrade the system in accordance with 310 CMR 15.304(2). Please consult the local regional office of the Department for further inforjtiation. i revised 9/2/98 Pzge4of11 I ' I i SUBSURFACE SEWAGE DISPOSAL,SYSTEM INSPECTION FORM PART B CHECKLIST PropeetyAckke": 170 Point Of Pines Centerville ,Mass . Ownw: David Grossman Burns & Livenson Date of Inspection:2/1 0/9 9 Check if the following have been done:You must Indicate either'Yes' or'No' as to each of the following: Yes No Pumping Information was provided by the owner, occupant,or Board of Health. None of the systemcompoaenis.kama:bean pua►pad4oPatJeasi two•aweeka and-tba'rystem hssbaeaa*ceiaiwywsadl flow rates during that period. Large volumes of water have not been Introduced Into the system recently or as part of this inspection. _ As built plans have been obtained and examined. Note if they are not available with N/A. _ The facility or dwelling was Inspected for signs of sewage back-up. The system does not receive non-sanitary or industrial waste flow. _ The site was inspected for signs of breakout. _ All system components,' kxciuding the Soil Absorption System,have been located on the site. The septic tank manholes were uncovered,opened, and the interior of the septic tank was Inspected for condition of baffles or tees,material of construction, dimensions,depth of liquid,depth of sludge,depth of scum. The size and location of the Soil Absorption System orrthe site has been determined based on:- _ Existing information. For example, Plan at B.O.H. _ Determined In the field(if any of the failure criteria related to Part C Is at Issue,approximation of distance is unacceptable) 115.302(3)(b)) _ The facilityowner. pala*■(Sn>j•.`•�.--�►J}dlliardpit flOGL.G1ilIIelj�iKalB-plali(dBd.LVijh lniGL[S18L00.0n thn lLpnr m�ipjn...r..•e ..j SubSurface Disposal Systems. .I i revised 9/2/98 Page 5of11 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION Property Address: 170 Point Of Pines Centerville ,Mass . Owner: David GrossmAN Burns & Livensin Date of Inspection:2/10/9 9 FLOW CONDITIONS RESIDENTIAL: Design flow: g.p.d./bedroom. Number of bedrooms d sign): Number of bedrooms(actual): Total DESIGN flow Number of current residents- . Garbage grinder(yes or no): Laundry(separate system) (yes re If yes,sepatuelnspection.required Laundry system inspects es or Seasonal use(yes or no): Water meter readings,if av liable(last two year's usage(gpd): Sump Pump(yes or no): ��� � Last date of occupancy:_ CO M M ER CIA L/INDUSTRIAL: Type of establishment: Design flow: Vl� npd ( Based on 15.203) Basis of design flow Grease trap present: (yes or no),.,1,1 Industrial Waste Holding Tank present:(yes or no)A�4 Non-sanitary waste discharged to the Title 5 system:(yes or no),�y Water meter readings,if available: Last date of occupancy: OTHER:(Describe) Last date of occupancy: AIR GENERAL INFORMATION PUMPING RECO S and so rce of information: System pumped as part of inspection: (yes or no) . If yes,volume pumped: �0) Ilo s (a' / Reaa o�pu ing: JcLL1G�iS 71 &W/ h4m TYPE 0 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) I/A Technology tc.Attach copy of up to date operation and maintenance contract Tight Tank Copy of DEP Approval Other AGE of alf components date installed{if known)-end source of4nformation: Sewage odors detected when arriving at the site:(yes or no),_ revised 9/2/98 Page 6ofII Macomber Customer History Screen 2/8/99 Customer number 872 r f N Company Name ...... - .,ram `,i< ' Customer Name Allison-Wald JobAddress �� �WM � J o b St ate MA -W ��.,. JobZl 02632 p � � A� �< . T e I . 4 e Fax Bllling Address `a KA BlllingClty Providence 1121, BlllingState BIIIIngZlp 02906 Notes SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 170 Point Of Pines Centerville ,Mass . Owns: David Grossman Burns & Levinson Data of kapecBon: 2/1 0/9 9 BUILDING SEWER: (Locate on site plan) tj Depth below grade: Material of construction:_cast iron/40 PVC_other(explain) Distance from,private water supply well or suction line IO Diameter y Comments: (condition of joints, venting,evidence of leakage,-etc.) 7.Joints annPar tight Nn PV; de-nc-e._..of 1eakn8 - - The system i Qugh tha mnnifnlrj of the SEPTIC TANK: V? ,U5 leaching field . (locate on site plan) Depth below grade: Material of construction:-L/concrete_metal_Fiberglass _Polyethylene_other(explain) If tank is metal,list age_ 1s.age_confirmed by Certificate of Compliance(Yes/No) Dimensions:s^ Pr ,vd Sludge depth:_ Distance from top of sludge to bottom of outlet tee yr baffle- "— Scum thickness:_ Distance from top of scum to top of outlet tee or baffle:_ Distance from bottom of scum to botWm of outle tee or baffler How dimensions were determined: Comments: (recommendation for pumping, condition of inlet and outlet tees or-baffles,depth of liquid level in relation to outlet invert, structuroHntegrity, evidence of leakage, etc.) Pump tank and pump chamber annually . Inlet & outlet tees are in place ;The tank i G gtrurt-nrgU V ennnd and chnw,, nn alzidonga--€ leakage GREASE TRAP: (locate on site plan) Depth below grader Material of construction- concret44metaWZFiberglassa PolyethylenwUAother(explain) Dimensions: Scum thickness: AN 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: Comments: (recommendation for pumping, condition of inlet and outlet tees or baffles, depth of liquid level in relation to outlet invert, structural integrity, evidence of leakage,etc.) Grease trap is not present . revised 9/2/98 Page 7or11 SUBSURFACE SEWAGE DIS.POSAL.SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Prop"Address: 170 Point Of Pines Centerville ,Mass . Owrw: David Grossman Burns & Levinson Date of lnspectlon: 2/10/•�'��i9 9 TIGHT OR HOLDING TANX:A/0VC(Tank must be pumped prior to, or at time of, Inspection) (locate on site plan) Depth below grade:4)A Material of construedonMconcrete rnetalj�4Fiberglasa��Polyethylene other(explain) Dimensions: Capacity: ZIA gallons Design flow: gallons/day Alarm present Alarm level: Alarm In working order:Yovyj NoA,* Date of previous pumping: 4)A _ Comments: (condition of inlet tee,condition of alarm and float switches,etc.) iQ t or holding tanks nre Uot presee4 . DISTRIBUTION BOX:Z (locate on site plan) Depth of liquid level above outlet invert: Comments: (note-if level and distribution is equal, evidence of solids carryover, evidence of leakage into or out of box, etc.) —Distribution box has three intera=siNe evideftee—ofsaiids PUMP CHAMBER* (locate on site plan) .Pumps in working order:(Yes or No) Alarms in working order(Yes or No) Comments: note condition of pump chamber,condition of pumps and appurtenances,etc.) ump chamber is st_rnrtiiral l v Qn,,.,d . ShOW6 RE) e-y}dettee—of, , alarm um e witnin tne cottage . revised 9/2/98 Page 8of11 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART d SYSTEM INFORMATION(continued) PropertyAddras: 170 Point Of Pines Centerville ,Mass . own": David Grossman Burns & Levinson Data of Inspection: 2/10/9 9 SOIL ABSORPTION SYSTEM(SAS) (locate on site plan,If possible:excavation not required,location may be approximated by non-Intrusive methods) If not located, explain: Type: leaching pits,number: leaching chambers,number: leaching galleries,number:_ leaching trenches,number,leng th: leaching fields,number,dimen.}lons: / bh' overflow cesspool,number: U Alternative system: c,, l Name of Technology: Comments: Inote condition of soil, signs of hydraulic failure,level of ponding, damp soil, condition of vegetation, etc.) Loamy sand to medium honey sand - No signor of hydranlir failttrc nr nnnli� Cnilr, nr��At d�l♦7�� 11 •re,�et�tlel3 iS J CESSPOOLs:Apve (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(cesspool must be pumped as part of Inspection) 0 s s n n �JVV1s are itVL pl et5 e11L , Comments: (note condition of soil, signs of hydraulic fallure,.level of ponding,condition of.vegetation, etc.) Cesspools are not present . PRIVY:�U 7V Z— (locate on site plan) Materjals of construction: NA Dimensions: NA Depth of solids:_ Comments: (now condition of soil, signs of hydraulic failure,level of ponding, condition of vegetation,etc.) Privy is not present . revised 9/2/98 Page 9of11 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(cwtinued) Property Address: 170 Point Of Pines Centerville ,Mass . Ownw: David Grossman Burns & Levinson Date or Irupec* 2/10/9 9 SKETCH OF SEWAGE DISPOSAL SYSTEM: Include ties to at least two permanent reference landmarks or benchmarks locate all wells within 100' (Locate where public water supply comes Into house) 1T1r1-11b 4?1`) �Q +U1% 0/-1 Y 4 b VC l revised 9/2/98 Page 10of11 SUBSURFACE SI: :DISPOSAL SYSTEM INSPECTION FORM PART C SY: INFORMATION(continued) Pr,pertyAddr,": 170 Point Of Pines Centerville ,Mass . Owner: David Grossman Burns & Levinson Date of Inspection:2/1 0/9 9 NRCS Report name _. Soil Type_ Typical depth to groundwater USGS Date website visited Observation Wells checked Groundwater depth: Shallow ate Deep _ SITE EXAM Slope Surface water Check Cellar Shallow wells Estimated Depth to Groundwater Feet Please indicate all the methods used to determine High G .Ndier Elevation: fObtained from Design Plans on record Observed.Site(Abutting propert�bservation holc. :meat sump etc.) determined from local conditions Checked with local Board of health Checked FEMA Maps /Chocked pumping records l/ Checked local excavators,installers Used USGS Data Describe how you established the High Groundwater Elc . (Must be completed) Installed system 1977 Permit # 537 revised 9/2/98 Page II of II Y t a•nnnr+rn.•.�r—..•rt—srn:am•ntnrrs�+na�n.+•e*mi:�e•.•nonrnrn*nm mr+t-�rna�rssn.s-s .. �) TOWN OF Barnstable HOARD OF HEALTH SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM - PART D •- CERTIFICATION I �._ �:«•rn-T•••:er—T.II7.�.ITT{}ITRI•II.'ff'fTTiCi7fiTf:T1:r�.5•i�1VT.1.771'RRrTCRIOWrAl1NRIiYr�IR7 s+nn •mrr+-•r.-�.—..A -TYPL OR PRINT CI.EARLY- PROPERTY INSPECTED STREET ADDRESS 170 Point Of Pines Centerville ,Mass . ' ASSESSORS MAP, BLOCK AND PARCEL # OWNER' s NAME Allison Wald PART D - CERTIFICATION NAME OF INSPECTOR Joseph P.Macomber Jr . COMPANY NAME J . P.Macomber� & Sorg• If u . COMPANY ADDRESS Box 66 Centerville ,Mass . 02632 Street Town or Clty State LIP COMPANY TELEPHONE ( 508 1 775 - 3338 FAX ( 508 ) '790 - 1578 CERTIFICATION STATEMENT I certify that I have personally inspected the sewage disposal system at this address and that the information reported is true , accurate, and complete as of the time of .inspection . The inspection was performed and any recommendations regarding upgrade , maintenance , and repair are consistent with my training and experience in the proper function and maintenance of on- site sewage disposal systems . Check one: Systeui PASSED The inspection which I have conducted has not found any information which indicates that the system fails to adequately protect public health or the environment as defined in 310 CMR 15 . 303 , Any failure criteria not evaluated are as stated in the FAILURE CRITERIA section of this form . System FAILED* The inspection which I have con Lcted has found that the system fails to protect the public health and the environment in accordance with Title 5 , 310 CMR 15 . 303 , and as specifically noted on PART C - FAILURE CRITERIA of this inspection form . Inspector Signature Date One copy of this c .ification must be provided to the OWNER, the BUYER ( where applicable ) and the BOARD OF HEAL111I. * It the inspection FAILED, the owner or..).operator shall u d within obe year of the date of the inspection, unless allowed ortrequiredm otherwise as provided in 3•10 CMR 16 . 305 . partd.doc a President: Member of: ROBERT BRUCE ELDREDGE, R.L.S. CAPE COD SOCIETY OF PROFESSIONAL Hyannis Office Manager: 81dredge SngtneerznQCo, nC, ENGINEERS AND LAND SURVEYORS ROBERT P. BUNIKIS, P.E., R.L.S. MASS. ASSOC. OF LAND SURVEYORS AND CIVIL ENGINEERS AsgOciates: AMERICAN CONGRESS ON we SURVEYING AND MAPPING ALBERT A. MORSE, P.E., R.L.S. rnrn ,� �� rn J PHILIP WEINBERG, P.E., R.L.S. Registered Registered AMERICAN SOCIETY FOR J F 4• ','� /� / TESTING AND MATERIALS �dna l�lu[l MAIN OFFICE: Spp urvemor"s bngtneer3 33 NORTH MAIN STREET yy� (i �} SO. YARMOUTH, MASS. 02664 Material (geSting: Sod Concrete, Avement TEL. ,(617) 398-2246 BRANCH OFFICE: 712 MAIN STREET HYANNIS, MASS. 02601 TEL. (617) 775-2244 November 221 1977 Barnstable Board of Health Town Hall ' " Hyannis, Ma. 02601 Re: Stephen L. -.Wald, Sewer Disposal Systems, Point of Pines Ave., Centerville,. Ma. Dear Members: This is to certify, that the Sewer Disposal Systems, have been substantially con- structed as shown on plan of Sanitary Sewer Disposal System, Centerville, Mass. , for Stephen L. Wald, Dated August 5, 1977. Scale 1 inch equals 20 feet. Drawn by Eldredge Engineering Co. Inc. The exceptions to this plan is as follows, on lot #2 the septic tank size has been increased from 1,250 gallons to 1,500 gallons. And the leaching bed has been in- creased from 18 X 34 feet to 18 X 37 feet, with a total leaching area of 666 square feet. On lot #3 the septic tank size has been increased from 15000 gallons to .1,500 gallons. And the leaching bed has been increased from 18 X 23 feet to 18 X 28 feet, with a total leaching area of 504 Square feet. If there are any questions pertaining to this matter, please contact me at this office. i Very truly yours, /La� �/ //:� Robert P. Bunikis Eldredge Engineering Co. Inc. 712 Main Street Hyannis, Ma. 02601 CC: Stephen L. Wald Joseph P.. Macomber $ Sons Inc. DATE: .2/8/99 PROPERTY ADDRESS: 164--Point .0 Pin-es" ' Centerville ,Mass . 02632 On the above date, I Inspected the septic systom at the above address. ThIs system conslsts of the following: 4 1 . 1-1250 •gallon septic tank . 4 . 1-Leachfield 34 ' x18 ' Separate pan 2 , . 1-Pump chamber 5 . 3-laterals i 3 . 1-Distribution box . 6 . 2-pumps alternating . RECEE IVED \ 7 o f }�I�ht alarm ff If©oatIr 13ased 'on my In don I ce�Ry tfhe owing coridl7- ndE6 1 2 1999 t 4 . This is a title five septic system. K"'T18rCode ) � TOWN OFRga - 5 . The septic system is in 'groper •wo•rking order at the present' time . 6 . Pipes were separated in the pump chamber . These have been repaired . & . Pumped tank and pump chamber at time of inspection .'>- �1GNATURry Name ; J P. H*acomber Jr�` Y' ComP an • �d P.MacotQber. & on"Tnc ,, ----- --- • I Address ' __C e n t_eLr v�1 L e �,1�,q,9,y,;_Q 2 b 3.2• •' � ' , Phone: _Spg� 338_______ •.1 THIS CERTIFICATION DOES NOT CONSTITUTE A GUARANTY OR WARRANTY i JOSEPH P. MACOMBER '& SON, INC. T+nkt-C#upooIPLoachfI#Ids . PUmprd 4 Inst4IIW Town Sewer Connections P.O. Box 60' Centervllls, MA 02632.0066 7 7.5-3 3 U M-6 412 I COMMONWEALTH OF MASSACHUSETTS EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS DEPARTMENT OF ENVIRONMENTAL PROTECTION ONE WINTER STREET, BOSTON MA 02108 (617) 292-5500 TRUDY COXE Secretary ARGEO PAUL CELLUCCI DAVID B. STRUHS Governor Commissioner SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION Property Address: 164 P o n i t-O-Pines Name of Owner Allison Wald Centerville , Mass . 02632 AddressofOwnw:71 Edgehill Road Date of Inspection: 2-5/99 Providence R . I . 02906 Name of Inspector:(Please Print) Joseph P.Macomber J r . 1 am a DEP oved system inspector to Section 15.340 of Trtle 5(310 CMR 15.000) Company Name. J.7 Macomber & Son Inc . Ma&V Address: Box 66 Centerville ,Mass . 0 2 6 3 2 Tele twra Number: 5 Q R 7 7 3 2 2 2 CERTIFICATION STATEMENT I certify that I have personally inspected the sewage disposal system at this address and that the information reported below is true, accurate and complete as of the time of inspection. The inspection was performed based on my training and experience in the proper function and maintenance of on-site wage disposal systems. The system: asses Conditionally Passes Needs Further Evaluation By the Local Approving Authority _ Fails Inspectors Signature: 44 Date: The System Insp r shall submit a copy of this inspection report to the Approving Authority(Board of Health or DEP)within thirty(30)days of completing this inspection. If the system is a shared system or has a design flow of 10,000 gpd or greater,the inspector and the system owner "shall submit the report to the appropriate regional office of the Department of*Envirohmental Protection. The original should'be sent tovw system owner and copies sent to the buyer,if applicable, and the approving authority. . NOTES AND COMMENTS revised 9/2/98 Pagel of11 iJ Printed on Recycled Paper SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) PropertyAddre":164 Point—O—Pines Centerville ,Mass . Owner. David Grossman Burns & Levinson Date of ku pection: 2/8/9 9 INSPECTION SUMMARY: Check A, B, C, or D: A. SYSTEM PASSES: I have not found any Information which indicates that any of the failure conditions described in 310 CMR 16.303 exist. Any failure criteria not evaluated are indicated below. COMMENTS: B. SYSTEM CONDITIONALLY PASSES: /V7 One or more system components as described In the"Conditional Pass" section need to be replaced or repaired. The system, upon completion of the replacement or repair,as approved by the Board of Health,will pass. Indicate yes,no, or not determined(Y, N. or ND). Describe basis of determination in all Instances. If "not determined", explain why not. The septic tank is metal, unless the owner or operator has provided the system Inspector with a copy of a Certificate of Compliance(attached)Indicating that the tank was Installed within twenty(20)years prior to the date of the Inspection; or the septic tank, whether or not metal, Is cracked,structurally unsound, shows substantial Infiltration or exfiltration, or tank failure Is imminent. The system will pass Inspection if the existing septic tank is replaced with a complying septic tank as approved by the Board of Health. Sewage backup or breakout or high static water level observed in the distribution box is due to broken or obstructed pipe(s) or due to a broken, settled or uneven distribution box. The system will pass inspection if(with approval of the Board of Health). broken pipe(s)are replaced obstruction is removed distribution box is levelled or replaced /0 - The system required pumphtg-more then four dmes a yeardue to broken or obstructed pipe(s). The vystem wiR-pess-- Inspection If(with approval of the Board of Health): - broken pipe(s)are replaced obstruction is removed revised 9/2/98 Page 2of11 i SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION(continued) PropenyAdCresa: 164 Point Of Pines Centerville ,Mass . Ownw. David Grossman BurnS & Levinson Date of kmP—ei°'>: 2/8/9 9 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 the public health, safety and the environment. 1) SYSTEM WILL PASS UNLESS BOARD OF HEALTH DETERMINES W ACCORDANCE WiTH 310 CMR 15.303(1)(b)THAT THE SYSTD IS NOT FUNCTIONING IN A MANNER WWCH WLLLPAQIECT THE PUBLIC liEALTRAND SAFETY AND THE EKMONMENT. Cesspool or privy Is within 60 feet of surface water Cesspool or privy is within 60 feet of a bordering vegetated watland or a salt marsh. I I �I 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 AND SAFETY AND THE ENVIRONMENT: y�5 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. r The system has a septic tank and soil absorption system and the SAS Is within a Zone I of a public water supply well. The system has a septic tank and soil absorption system and the SAS Is within 60 feet of a private water supply wall. Q10 The system has a septic tank and soil absorption system and the SAS Is less than 100 feet but 60 feet or more from a private water supply well,unless a well water analysis for collform bacteria and volatile organic compounds indicates that th well is free from pollution from that facility and the presence of-ammonla nitrogen and nitrate nitrogen Is equal to or less than 6 ppm. Method used to determine distance WO (approximation not valiid).- 3) OTHER Variances were granted by the RarnGtable Board Of Health _ S11S is with. 89 ' Qf Laire . See Page 16A revised 9/2/98 Page 3of11 SUBSURFACE SEWAGE DISPOSAL.JYSTEM INSPECTION FORM PART A CERTIFICATION(continued) PropertyAddre": 164 Point Of Pines Centerville ,Mass . Owner: David Grossman Burns & Levinson Date of Inspection: 2/8/9 9 D. SYSTEM FAILS: You must Indicate either"Yea"or"No" to each of the following: ejAf I have determined that one or more of the following failure conditions exist as described In 310 CMR 15.303. The basis for this determination Is Identified below. The Board of Health should be contacted to determine what will be necessary to correct the failure. Yes No Backup of*swags intofeciNtrw-sTetemcomponent•due-to en overloaded orcloggedSAS-orceaspool. i 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 d' tr' uU;gr)ppkgve�a�qt in " 7'to an)'UE1,rloaded or clogged SAS or cesspool. Liquid depth in eesspooFis leas than 6" below invert or available volume is less than 1/2 day flow. Required pumping more tf�4 times in the last year NOT due to clogged or obstructed pipe(s). Number of times pumped Any portion of erSoil so on System,cess ool or privy is below th high groundwater elevation. 751 Y�rlw�� _ Any portion of a eeaspeoF•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 60 feet of a private water supply well. �. Any portion of a cesspool or privy is less than 100 feet but greater than 60 feet from a private water supply well with no acceptable water quality analysis. If the well has been analyzed to be acceptable, attach copy of well water analysis for •►coliform bacteria, volatile organio-compounds, ammonia nitrogen-and nitrate nitrogen. - E. LARGE SYSTEM FAILS:You must Indicate either "Yes" or"No" to each of the following: The following criteria apply to large systems in addition to the criteria above: tM The system serves a facility with a design flow of 10,000 gpd or greater(Large System) and the system is a significant threat to public health and safety and the environment because one or more of the following conditions exist: Yes NQ� the system is within 400 teat of a surface drinking water supply the system•irwitiwa 200 testot�tsibutar�r to awrfaoa drk�lciwg�wator wpply —• • - -- - /& the system is located in a nitrogen sensitive area(Interim Wellhead Protection Area=IWPA)or a mapped Zone If of a public water supply well) The owner or operator of any such system shall upgrade the system in accordance with 310 CMR 15.304(2). Please consult the local regional office of the Department for further infor,)nation. revised 9/2/98 Page 4of11 t SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B CHECKLIST PropertyAddresa:164 Point Of Pines Centerville ,Mass . Owner: David Grossman Burns & Levinson Date of Inspection: 2/8/9 9 Check if the following have been done:You must Indicate either'Yes' or'No' as to each of the following: Yes No i Pumping Information was provided by the owner, occupant,or Board of Health. -None of the systerncornposants.ha►ra1am pumped4opatJeast two.,4vo s aadthe system h"J;aaoascaira 004mal flow rates during that period. Large volumes of water have not been Introduced Into the system recently or as part of this Inspection. Z _ As built plans have been obtained and examined. Note if they are not available with N/A. / _ The facility or dwelling was Inspected for signs of towage back-up. The system does not receive non-sanitary or Industrial waste flow. _ The site was Inspected for signs of breakout. L _ l All system components,**,eluding the Soil Absorption System,have been located on the site. _Z _ The septic tank manholes were uncovered, opened,and the Interior of the septic tank was Inspected for condition of baffles or tees,material of construction, dimensions,depth of liquid,depth of sludge,depth of scum. The size and location of the Soil on stem Absorption Sy stem y the e site has been determined based on: _ Existing information. For example, Plan at B.O.H. Determined in the field(If any of the failure criteria related to Part C Is at Issue,approximation of distance is unacceptable) 115.302(3)(b)) The facility owaar. anr�(and.—cup f difforaat froaLowner,wars4waulded wIth informatioann �—�.� � 7ha jyL nr mainjun.rce..f SubSurface Disposal Systems. I revised 9/2/98 Pat&5of11 � I SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION Property Address: 164 Point Of Pines Centerville ,Mass . Owner: David Grossman Burns & Levinson Date of UwPectkm: 2/8/9 9 FLOW CONDITIONS RESIDENTIAL: Design flow:�J/0 g.p.d./bedroom. Number of bedrooms(design): 41 Number of bedrooms(actual):, Total DESIGN flow ft�_ Number of current residents Garbage grinder(yes or no): Laundry(separate system) (yes or If yes,separafelnspection.required Laundry system inspecte as or no Seasonal use(yes or Water meter readings,if av !able(last two year's usage(gpd): C ���� ONUS " �✓�` a/� '"" Sump Pump(yes or no): Last date of occupancy: CO M M ER CIA L/INDUSTRIAL: Type of establishment: Design flow: d ( Based on 15.203) Basis of design flow � Grease trap present:(yes or no)_ Industrial Waste Holding Tank present: (yes or noL44 Non-sanitary waste discharged to the Title 5 system: (yes or no)AA1 Water meter readings,if available: Last date of occupancy: 141A OTHER:(Describe) ltl;ll Last date of occupancy: GENERAL INFORMATION PUMPING RE ORDS source of inf r ation: 1 . System pumped as part of insp tion: (yes or no) 15 If yes,volume pumps gallons O Reason for pumping: TYPE O SYSTEM Septic tank/distribution box/soil absorption system Single cesspool Overflow cesspool Privy /(7 Shared system(yes or no) (if yes, attach previous inspection records,if any) 41 I/A Technology etc. Attach copy of up to date operation and maintenance contract r,,6 Tight Tank ;44 Copy of DEP Approval Other APPR MATE AGE 9f all comp9nents, date installediifknown)•and source.of4oformation:_— 1��— ��✓ - Sewage odors detected when arriving at the site:(yes or no) revised 9/2/98 Page 6of11 . Macomber. Customer History Screen 2/8/99 Customer number 3398 n lxl C Sk 4 tf ! k tk E Company Name Allison Wald � � lrll/Otc6` MESH rQdWald Customer Name '`rx��� JobAddress rT=� tr.d yS#At`t1eC JobClt JobState � °� { � � JobZlp � Tel - Faxf TIM Billing Address 71 Edgebill Bd BIIIIngcity Providence -------- BIIIingState BIIIIngZip 02906 Notes 7/_--29191--fin T & Chamber 185 QD main 8113/91 II 21K letter I E Macomber. Customer History Screen 2/8/99 Customer number 871 Company Name �� �� At J rn Customer Name AIIisfln_Wald ��'�� JobAddress JobClt yceatelyffille JobState � SS JobZlp 02632 r ��x� Tel � ; Fax BIIIing Address g � BI IIIngCity Providence BIIIIngState BIIIIngZip Notes ,•ate 1 Z-D / N � -_R. Q, 03 I�z os►K V-1 r fiT07 �. a 41 �i �..iircK 4114 sa IA Rk :+ . �:.-�-'- t 9•`} .mot�rJ � .�c lei y�ar_r 72 10 Jr LC,4CN/NG7:.9.. • p a � �t 7,,T .-uT k h .�` i. �.4 �F Y°k � �/ ..- �l S t:'"� �4; �r-�+,', � .• �� �. ¢�-�� � � � ,�,�';�r rF� i ,ti•.. {-:•, t.r ,�-t,,,. k....;. ,�'• f t+ � CLSS-P.G U1 �`� ..1Zi .1,Y.,t Y..a ► f •`.,j ? 1r '9't y, 1 •4�'..._k Ti•� L{' } 1' � /y,p �/ - - i+q t 4A! �; .� *Cr"`at'�b � f' � i� Y ��� y' TCJ f3'E R�/•7U v<Q, � SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 164 Point Of Pines Centerville ,Mass . Owner: David Grossman Burns & Levinson Date of Inspection: 2/8/9 9 BUILDING SEWER: (Locate on site plan) Depth below grade:,LC,-/� Material of construction:_cast iron Z0 PVC_other(explain) Distance from Private water supply well or suction line Diameter q11 Comments:(condition of joints,venting, evidence of leakage;-etc.) - Joints appear tight No evidence of leakage - S stem is ve d with vent beside Elm treia SEPTIC TANK:/ (locate on site plan) /r� r>�9E>r �ovar� Depth below grade:1w Material of construction:concrete_metal_Fiberglass _Polyethylene_other(explain) If tank Is Inetal,list age 4j�d. Js.age.confirm�ed b/y Certificate of Compliance i (Yes/No) Dimensions: Sludge depth: Distance from top of�sludge to bottom of outlet tee orbaffle: Scum thickness: (� O Distance from top of scum to top of outlet tee or baffle: x Distance from bottom of scum to bo m of ou et tee or baffle: U How dimensions were determined: Comments: (recommendation for pumping, condition of inlet and outlet tees or-baffles,depth of liquid level in relation to outlet invert, 3tructuref4ntegrity, evidence of leakage, etc.) Pump and clean pump chamber annually . Inlet & nutl pt tppq are in nl ara The t-Qk is struGt1,il;'ally QQund . Tank GREASE TRAP:Ae� (locate on site plan) Depth below grade: Material of construction W4concreteVAnetaW, Fiberglass4),'PolyethylenWV4 other(explain) Dimensions Scum thickness: Distance from top of scum to top of outlet tee or baffle:A.4 Distance from bottom of scum to bottom of outlet tee or baffle: A/4- Date of last pumping: Comments: (recommendation for pumping, condition of inlet and outlet tees or baffles, depth of liquid level in relation to outlet invert, structural integrity, evidence of leakage,etc.) Grease trap is not present . revised 9/2/98 Page 7of11 SUBSURFACE SEWAGE DISPOSAL.SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(c"dkwed) Property Address: 164 Point Of Pines Centerville ,Mass . Ownw: David Grossman Burns & Levinson Date of inspec800:2/8/9 9 TIGHT OR HOLDING TANK:(,(Tank must be pumped prior to, or at time of, Inspection) (locate on site plan) Depth below grader Material of construction:4—concrete�metaliygFlberplass./Lif�Polyethylene�other(explaln) Dimenslons: yA Capacillons Design gaallon Design flow: gallons/day Alarm present Alarm level: h7 Alarm in working order:Yes,0 No&/W Date of previous pumping: Comments: (condition of inlet tee,condition of alarm and float switches,etc.) 1 t i DISTRIBUTION BOX:', (locate on site plan) Depth of liquid level above outlet Invert: i Comments: (note•if level and distribution is equal, evidence of solids carryover, evidence of leakage into or out of box, etc.) — — Di,tri hiiti nn hnv one ateral . ,x an PUMP CHAMBER: (locate on site plan) Pumps In working order:(Yes or No) Alarms In working order(Yes or No) Comments: (note condition of pump chamber,condition of pumps and appurtenances,etc.) Pum ch -pumps alternating - F1 nntg i nn off 5,1 arm. R;Ampp ;;Jr-pa #A se-pate T End removed all waste and liquids . revised 9/2/98 Pseeaof11 L • SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) PropwyAckiress:164 Point Of Pines Centerville , Mass . Owner: David Grossman Burns & Levinson Dau of inspection: 2/8/9 9 SOIL ABSORPTION SYSTEM(SAS)�����`" "� �"— (locate on site plan,if possible;excavation not required,location may be approximated by non-Intrusive methods) If not located, explain: Type: leaching pits,number:, leaching chambers,number: leeching galleries,number: leaching trenches,number,length: Q f(1I�j leaching fields, number, dlmenslons: overflow cesspool,number: Alternative system: Name of Technology:=1Y 78 G!'Je Comments: (note condition of soil, signs of hydraulic failure, level of ponding, damp soil, condition of vegetation, etc.) I namlr canr( t-n morn aim o@-nd, ; Ne g;Sgg 9i j4yd :'aUjj6 fSJ-1-14F6 @F. peRd!Rg . Sells are not 4atftp . All yegebab4:ett is normal . CESSPOOLS: Q (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(cesspool must be pumped as part of Inspection) Cesspools are not present _ Comments: (note condition of soil, signs of hydraulic failure,level of ponding,condition of.vegetation, etc.) Cesspools are not present . PRIVY:dl Qt . (locate on site plan) Materjals of construe on: /1>�9 Dimensions: lf'Aw Depth of solids:, Comments: (note condition of soil, signs of hydraulic failure,level of ponding, condition of vegetation;etc.) Privy is not present . revised 9/2/98 page 9orn I SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 164 Point Of Pines Centerville ,Mass Owner: David Grossman Burns & Levison Date of"Pection: 2/g/9 9 SKETCH OF SEWAGE DISPOSAL SYSTEM: Include ties to at least two permanent reference landmarks or benchmarks locate all wells within 100'(Locate when public water supply comes Into house) l �O 07 4 _J revised 9/2/98 Page ioorii 1 ' �•nr.*sr..-nrsr.•rr- rnrm•Ass+rrv-nrtrnrrrrmr.•r+•+e+orrt�s�rn-nn+mrn-�s*+a-.nsn•or r�rrr•r-ern+-:,.z-.r-•` I TOWN OF Barnstable BOARD OF HEALTH l SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM - PART D •- CERTIFICATION �� �^•Tr•tR••. : .-T.lir.••.T.TTe,T Rni'R.rl.T+llrms'err+r'mT.r-'1�1TR7arnvf-TfRIw.SIr�ItrfOmR�Rs9irs 7�.r1 •.+-rrt-•t+`1r•••.•� -TYPE OR PRINT CI.EARLY- PROPERTY INSPECTED STREET ADDRESS 164 Point Of Pines Centerville , Mass . ' } ASSESSORS MAP, BLOCK AND PARCEL # OWNER' s NAME Allisson Wald e®ra. PART D - CERTIFICATION I NAME OF INSPECTOR Joseph P.Macomber Jr . COMPANY NAME J. P.Macomber & Hdif 'Inc . COMPANY ADDRESS Box 66 Centerville ,Mass . 02632. Street Town or City State LIP COMPANY TELEPHONE ( 508 ) 775 - 3338 FAX (508 ) 790- 1578 A CERTIFICATION STATEMENT I certify that I have personally inspected the sewage disposal system at this address and that the information reported is true , accurate , and complete as of the time of -inspection . The inspection was performed and any recommendations regarding upgrade , maintenance , and repair are consistent with my training and experience in the proper function and maintenance of on- site sewage disposal systems , Check one: • ' Systeui PASSED The inspection which I have conducted has not found any information which indicates that the system fails to adequately protect public health or the environment as defined in 310 CMR 15 . 303 , Any failure criteria not evaluated are as stated in the FAILURE CRITERIA section of this form. System FAILED* The inspection which I have con tcted has found that the system fails to Protect the jiublic health and the environment in accordance with Title 5 , 310 CMR 15 . 303, and as specifically noted on PART C - FAILU RE CRITERIA of this inspection fo. m . / o Inspector Signature Date One copy of this rtification must be provided to the OWNER, the BUYER - ( where applicable ) and the 130ARD OF HEAL1111. * If the inspection FAILED, the owner or'"'operator shall u d within one year of the date of the inspection, unless allowed ortrequiredm otherwise as provided in 3.10 CHR 16 . 305 , partd .doc SUBSURFACE:;is DISPOSAL SYSTEM INSPECTION FORM PART C SY. INFORMATION(continued) Property Address: 164 Point Of Pines Centerville ,Mass . Owner: David Grossman Burns & Levinson Date of Inspection: 2/8/9 9 NRCS Report name Soil Type_ _ Typical depth to groundwater USGS Date website visited Observation Wells checked Groundwater depth: Shallow a Deep _ SITE EXAM Slope Surface water Check Cellar Shallow wells Estimated Depth to Groundwater L Feet Please indicate all the methods used to determine High C- vater Elevation: Obtained from Design Plans on record Observed.Site(Abutting propert bservation hcle. „cat sump etc.) Determined from local conditions Checked with local Board of health Checked FEMA Maps ZChecked pumping records Checked local excavators,installers Used USGS Data Describe how you established the High Groundwater EI, (!dust be completed) Installed system in 1977 . Engineered drawn plan on page 11A Permit # 537 I - revised 9/2/98 Page 11of11 00 THE COMMONWEALTHicbFCN4.'4'SSACHUSETTS BOAR® OF HEALTH Town OF._..Barnstable Applira#ion for Displaimi Markii Tnns#rurtion unfit Application is hereby made for a Permit to Construct ( ) or Repair (X ) an Individual Sewage Disposal System at: Lot 2 Point of Pines .... Location-Address .................... ............................................ Lot No......................................... ,___Stephen..Wald Centerville or caner Address a Joseph P. Macom er & Son Inc . Centerville Installer Address Type of Building U Size Lot..... ......... .........Sq. feet U 40 Dwelling—No. of Bedrooms.............................. .. .Expansion Attic ( ) Garbage Grinder ( ) Other—Type of Building ............................ No. of persons............................ Showers ( ) = Cafeteria ( ) a' Other fixtures ............................ . W Design low..........................................gallons per person per day. Total daily flow..........yya...................gallons. 04 Septic I�quid capacity/ $7v.gallons Length................ Width__,S_'_>�__. Diameter---------------- Depth................ Disposal 1—No. ...... ........... Width....1k_-..... Total Length..X..�..... Total leaching area__Z!Z....sq. ft. Seepage Pit No--------------------- Diameter---_---------------- Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosin ( Q t a Percolation Test Results Performed by. `%(rkl �,/. �- 7 -_--------------------------- Date....8.�..`?��...�........_.. 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........................ ---- Description of Soil - .. --�_•� ---•-- - '�' '�L� � .A. .... �....s..._.... Z-A. . . ...........................�r......................................... W ------------------------- r---/� ----------/lop -- ..---------...---------------------------------------------------------------- U Nature of Repairs r Alterations—Answer when applicable_.As....shown...on..Engil7.ears---Plan.................. Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of iITLL 5 of the State Sanitary Code—The undersigned further agrees not to place the system in j operation until a Certificate of Compliance has e issued y th boa health. n Sign . f .o`er----•-•-•-- � 1 .... Date Application Approved By....... . --� ----•-9_7 Z3 .7------ 7--- ----........ -- � Date Application Disapproved for the following reasons:................................................................................................................ *� Date Permit No. f. ._....... - Issued P Date n TOWN OF BARNSTABLE LOCATION OF' P#'n L S SEWAGE# 10I0 - /O Z VILLAGE Cc_rr)cr u;)1 L ASSESSOR'S MAP&PARCEL 030 G 9 INSTALLER'S NAME&PHONE NO. Q C xea v vx4 i o�N 477-DG 53 SEPTIC TANK CAPACITY 1 SOO 5 T / l oo o Pc. LEACHING FACILITY:(type) pc-rS: F?pe 54o^c- (size) j-z.� /o x a y Trcnct+t5 NO.OF BEDROOMS 3 OWNER Raq c r- f3 cr r-1 can PERMIT DATE: 1/- 2 O- /0 COMPLIANCE DATE: q-30 -/0 t Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility(If any wells exist on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) Feet FURNISHED BY Al- a1 : IIt -3° J IAz B BZ,-38 A3' �$ A B3- -13 A y ' -73 3y -8y, Z Cs - a° DS-so y cB❑C D []cB LOCATION -� SEWAGE gPERMIT NO. VILLAGE I N S T A LLER'S NAME & ADDRESS BUILDER OR OWNER DATE PERMIT ISSUED DATE COMPLIANCE ISSUED 9�� �. 77 iS�3 6.o�.a�r y�d.4 ='�iTaN�' /LdC�9 fq.SC�/� $F�e rAi✓iT` TOWN OF BARNSTABLE LOCATION (01-1 '?Omt of ?bY)-P,6 SEWAGE # VILLAGE it S9S/`J ASSESSOR'S MAP & LOOT .INSTALLER'S NAME&PHONE NO. SEPTIC TANK CAPACITY g✓�/ ✓ J LEACHING FACILITY: (type) c�/x��/�6 (size) ` A NO. OF BEDROOMS BUILDER OR OWNER 0/Jm/W-- PERMITDATE: COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table and Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility (If any wells exist on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility (If any welland exist within 300 feet eacng ]�) - Feet Furnished b �.: '.�;' ` ��� .- �� � . �9, n �. .� _��..� .i v'�K r ��` .. _� �> t ��7 /ifi�if/7� B �"�/Ilt� � N i! No.............. .'� r .� f FEB... . ... ......... , ,,., THE COMMONWEALTH&OF MASSSACHUSETTS BOAR® OF HEALTH �Ik .......................I'.o wn........OF....B�.T'nss:b Bj��;CP;�ta.b.ie................................... , ppliratinn for Mywial Works Tonstrnr#inn rumit . l Application is hereby made for a Permit to Construct ( ) or Repair (X ) an Individual Sewage System at: P-Znt---Qf-Pleas---------•....--•-•----------------- -----•----•-•••-•-•••-.........---..--....-............--..--..-...-......--------.....----=----•- Location-Address or Lot No, �1a:ld----------------------------------------•...--------------- ....--.Ce.-atervi:�•.le...................•............................................ Owner Joseph_t: Macomber & Son Inc ., Centerville Address ------------------•-••••••-•---•-----•- ------••-•••••-••••-•--•--.•.......•--.....-........•...•..•..-----••••--••••--•-•------------•-•- Installer Address QType of Building Size Lot............................Sq. feet aDwelling—No. of Bedrooms..............V----__-.•....................Expansion Attic ( ) Garbage Grinder ( ) p, Other—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) P4 Other fixtures ------------------------------ ------ W Design Flow............................-...............gallons per person per day. Total daily flow----------- ....................gallons. 1:4 Septic Tank—Liquid capacity............gallons Length................ Width---------------- Diameter..--..-..------- Depth................ W Disposal Trench-No. ..................... Width_---------------_ Total Length..................... Total leaching area-.-__----_--_-:--:sq. ft. x� Seepage Pit No-------- -------- Diameter.....-..-.....-•..-- Depth i below nlet..................... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) a Percolation Test Results Performed-bY-------------------- -----............................................... Date........................................ 14 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-.-.--_-.---__----_-_--- -----------•-------------------------------------........................................................................................................... ODescription of Soil ......................................................=------------------'----------------------------=--------------------s-----------------•---------•----- M -----------------------------------------------------••--'•-......-------.......'.'----------•--------------.._..'------..._...----_----..-_--_...-----------------_---_-----•-.---------------------- Nature of Repairs or Alterations—Answer when applicable---A. c h wn F n 1~ Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLS 5 of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance hasrbee n issued by t o 'd f health. � . . s(-tit_ /1�,% Signed-•--`--,----•----------------------r---.�`--•------•-------------•---•------•----- -•,�- ---_==-----•-------- . » . - Date r J -. Application Approved B f PP PP Y----•------•-----------------------------•.....-•---••--'--..•-..-..---------�,-'----------•----•-- ----------------•--- -------------- Date Application Disapproved for the following reasons:-•-------------------------•--------------------------------................................................... .................-....................................................................................................................................................................................... Date PermitNo...... - =--------------------•------------•------- Issued....................................................... ' Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ........................awn.......OF..:.-Barn-s.tab.7..e................................................. ifirat of Tlaanplianrr THIS IS TO CERTIFY; That the Individual.Sewage_Disposal-System constructed ( ) or Repaired (X) to by.. ,T. gph_..P Macomber...&.._Son..Inc- _.. ---------------------------------••---•--...•-...--••-•---- -------------------..._,----------•-•-•- taller at--•• Lot.-2•.Point._of_ Pines , -Centervi_iTe .Wald +i has been installed in accordance with the provisions of TITITE 5 of The State Sanitary Code as described in the `} application for Disposal Works Construction Permit No......................:...::............. dated..........................-..................... THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARARTEE i' HAT TIDE • SYSTEM WILL FUNCTION SATISFACTORY. DATE................................................................................ Inspector-------------------------------------------------------•--••---------•............. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH '" '� C. Town........OF.----.Barnstable , ... ...................................:.................. No......................... FEE.-o.S..- ....... Rapotial Works Tupwitrudion - rrmff Permission is hereby granted--------- wnh•-P __Macouber & Son Inc . __ __ --- - -- to Construct ( ) or Repair � ) an Individual Sewage Disposal System at No.-.-.- Q <.Po nt--_of_____..nes,_:_Centerville �_ Wald -----•--••••--•-•-••••--•••-•••-•••-•-••••-•-----•-•---•-•........... ' Street as shown on the application for Disposal Works Construction Permit No--------------------- Dated.......................................... Board of Health DATE.....................................................................---•--•--•- 9 FORM 1258 HOBBS & WARREN, INC., PUBLISHERS - - I { V:r Z Cn t ► IN cr w � q Z � L -LNG 4- Z� I lOw - ----------------- I , � --- cr W C, -2-010 _ I I I I U 4=a" ! T.O.FOUWATION t2'-3 4'-9 4-3 V2' 9-4 1'-0' t7-S t/2' ia'fi 1/2' j. W 1 I I —__----____—_—_—_---_-- I q' •� T.O.SHEIF cr B.O.BEAA1 POCKET' i .. .._EQUA.._ 'i''73/4 i Q L EQUAL B.O.BEAN POCKET ! I -0 o I I , B.O.BF+.N n I '-a' L5'-9 t/z' 12=5 i/z' 6'-0' BASEMEYr ECH.Vr'1 I DOORTO BE I UP —I I ! 1 SELECTED BY I J AREA II OWNfER B.O.BEAM POCKET I i _�I I I ! - - r-------- 3 ,S'-Y a-u^ ,2'no' j e l >-to' I 48b Ci 9.-0, a ' I �• a l B.C.BEAM POCKET B.C.BEAM PocT�T B.O.BEAM POCKET I I I - ------ r—ALI — - I UP y U3 r• .S 4-4" jI 8' p .�. I - 9 ta2O• 6' pw Tn IV t4' iv Mm 8'-2' 12'-3, __ m______________ a cl Ft 4. I I I B.O.BEAM POC B.O.BEAM POCRFT I I II I ' I B.O.BEAM Po¢,aT I� 4 8 n t • - �_- 9 p' ...I-.._ _....1 9,-ii 1-Y I � 7-0' ! a8•-p' �i al i I I rl'J •�j I I I I I I n - I t �? I I i r—J I C I RI O: 4 i Issued: June,S.sou L_— ————— —— ———- ----- b --------------- ,,,,��✓✓""""��. Foundation Plan 59'-0• _ ' �� • FOUNDATION PLAN li 1 m CM N A L'D 00 - 1D CO yA 1 t 1 t v Z fFDr 1• i-93/a 3"a'-93/4 4=13/4 i-t 3/4" i tD C RO RO RO p 0 „03 o _I _ j W . .. _ _ .. ..... ... ... ....._._ i __ ..... _ 3i-o � � .'^ @ .4' ...i' . ..._ .-.. _ 9�t/1 O,c' p, ; BEDROOM V RG k 1 t-6' L I d III I U 13'-0" 4_p` 9'-0" � '' t6'-6t/1" 51/]. 3, •-� I a 3'-53/4' 'J'-53/4• q-o"� x-81/Y q=tot/x' 'i St/a'm� I . m,O 1.t SO RO RO m '' i'-o' •o i-a1S' 3�_0. 65'-0' (- —— ———— — ———————— ———— —— _— I "CiASSIC SERIES'STEEL SWED HILCO DOOR 3'o' 7-5" r I MODEL WRH E%TL-10-AS NEEDED } 3=6" 3'-� 3'-6'r I S" 3'_i 3_4, 3� I I TV '��'^ •�� O —3C.=_ r I O j -� I I I `°I N s9SET - - - iCLOSET I- •� - ---� '- -i---- --- L----- -- — -- ----- — m v`i r�SET 1 l�U J WOOD DECRIITG A9 I ',Qmi i iI 9C- m ______ 1 ?=�I:�, r�_ -- r--_—GREAT ROOM — ____—_—___ _ �J $13 SELECTED BY OWNER ,.t, ^r 1 I ��^ 2.5' S t/]' -/ l/1" I � ^� I � � � 7'y •�.t ' I III " !• j I S - =', I FIRsr FIlIUR 1 1 �' vPSI'U1 of HEA LATOR CAS I 35 I SCREENED L I L FIREPLACECALIHER BATH I p PORCH MODEL 4I➢V6]g7t 1 �;— ,m 1 �p too O n 6s / II --- -- -- -----------� --------- -� Im 0 hI SCREEI.'ED POACH ---_• ---____ r—___----_—_� r—_---__— E ' O- - .0•-6' 4-t � ]•7, '9-}� ---- ------ - -------------- I - hc � 6t/x••a /a_— 5 fi__ 1' I x' S'-6' 3 I S tL 10 l ' sta _ ;6 r B-6' r I fi4" 3-1u' 6 �� P) I sa C ® I \ 1 L- L - ---- - J L. \�..� -- -r�or-t _4"--1 _10 a 4 ❑ O 1 ---- —t-- j -- �I, --o— tl - +-;'-ot--3•--6x._;�—l-3i.-0a—.'—Ia�.—76.—— ' I; CD1 IC[APBOARO {•i• NW SIDCC F YER IC DR 16t 14-o �•5 S l/xI� " ] 3'-6" -osa-o' 7=xt/i II PLO.. I KITCHE7 3 t/i 1]- RO ® 3 x U 1n5 <I ~ y --_. i I! ADt i I t 3/4' 7Y-7 t/4 i$ I ft" 4r Roy 9 -N I I ISLMD a'a- Ir Ho n I i i m� i ��Jj�jl i jet i MM .-1 U �I 7 r G.$-.-- iTO p I I• _I . �'"7/4fn � aS ] I '-6' RO3'53/4" aO" a® 7'�' Ro STORM DOOR ' AS PER OWNER I P)RCH I I ACRADE DEN a�O .�• �I i � -qI ;too Jam_ I I 1 WOOD DECRLNG AS 3 I I I l SELECTED BY OWNER vmi�Q 1 j of I .I _I Wued: June tS.xotl First Floor p �4fr. G -------- ��..�'. Plan J-53/4 RO - 13,'41i - .•' SER�C.aa`'�_ - RO 111 5._B. S B, S:B. 6.-1. 1�^; -•; L'. U F ,� FIRST FLOOR PLAN - A1 ,81 O y Z NO 0, �^� Z N O 1 l 1 Z _ Q m C' 2 � O C r-------- 1 ---------- ' I CQ w 3=-0• 1 ,I 17'-51/a^ O'-6 W I I I I ~ U 3'-93/4" 3'"1° -i-u 3/4• n' a'-6" 9'-0 1/2^ .ro i w C7OM I I' i. 3'-53/4 3" 3-53/4° I .'I RO RO 1 I I Q ! I I I GRE�ATROOM j hI ; % r-- ------;-- L------------ L-------- --- --------- I I --------- ----------- ------------- /2 DULMORKBY�To OTHERS I x ! II I 11 w I 1 I BELOW OFFSET FLUE TO ALLOW BOOM vl I ! Gi CHIMNEY FOR DUCTWORK I L---- I —————————— ------J I it I I I I II II I � I I I I I I I I I I I I I I I I \\ - ----------JL-----------� I----------- - I 1 --———J I W.y.: ALIGN IN-MRIOR WINDOWS O 7 ©I I t >�. WITH EXTERIOR WINDOWS 3-53/4 3-53/4 •1 i'3'53/4 11• '-o ! I V y RO AO SO I y I _ SST. Q q��° I I N U ni Vj [ m EXHAUST FAY "] — i J U3 N h I 0: BEDROOM - _ =-�- •" - •Fy a�°Oil I2 F I©a;a a+ II SECOND FLOOR SRYIIGHTS ON Q'.ta=6' ROOF BELOW i i — 6 \ /O i CLAFBOAR V 1 '` S[DD.'G I . EXHAUST FAN I 1-4" -81/2" CLOSET L RO DvEY 4I 205 CLOS. 11 t/2 DN 1 -0 ...._....... . --�n--------f — ago HALL �I t`e, 412 Sato ]- 1/2" 10 1/1 ] /3 V � SEDROOM 23a I OHl o� n�06 II xu' I 3 1/z° a'61 I A I S1/a• i l C f 2 m I� RATH -1 230 n Ii; �m [ecued: June 15,2011 - --- -- — - ------ Second Floor 03 <- Plan RO SO C-) I e e SECOND FLOOR PLAN w1.2 Seek:l/9 'i-o• G V'� ; Ais2 NOTES ALL SYSTEM WIT SHALL OR BE 1. DATUM IS WEQUAQUET LAKE DATUM SYSTEM SYSTEM PROFILE MARKED WI LEGEND PROVIDE MIN. 20" DIAM. WATI;[RTIGHT FOR MAIN DWELLING ONLY COMPARABLE MEANS FOR FUTURE LOCATION. 2. MUNICIPAL WATER IS EXISTING SYSTEM DESIGN. ACCESS COVERS TO WITHIN 6 OF N. GRADE (NOT TO SCALE) ke�0 0� - - 99 - EXISTING CONTOUR ((EXISTING (OR TO GRADE IF UNDER DRIVEWAY PROVIDE OBS. PORT WITHIN 3" OF FIN. GRAD 3. MINIMUM PIPE PITCH TO BE 1/8" PER FOOT. Ln We u uet 99.1 GARBAGE DISPOSER IS NOT ALLOWED LE DW�WNG 9, (OR TO FIN. GRADE WHERE UNDER PAVEMENT 4 a4 \ 4. DESIGN LOADING FOR ALL PROPOSED ST & PC TO BE Luke X EXIST. SPOT ELEV. 41 ,0' 2% SLOPE REQUIRED OVER SYSTEM AASHO H-1Q, FOR D'BOX, H-20 99 PROPOSED CONTOUR DESIGN FLOW: 3 BEDROOMS ® 110 GPD = 330 GPD MINIMUM .75' OF COVER OVER PRECAST 41 .9 MIN. 43.9 MAX �98.4) PROPOSED SPOT EL. USE A 330 GPD DESIGN FLOW PRECAST H-1 8' MIN. COVER 5. PIPE JOINTS TO BE MADE WATERTIGHT. RISERS (TYP.) 1' MIN. COVER p 4"0SCH40 PVC a` TH1 47SCH40 PVC 2'0 PIPES LEVEL 1ST 2' 2" DOUBLE-WASHED PEASTONE 6. CONSTRUCTION DETAILS TO BE IN ACCORDANCE WITH Xc TEST HOLE SEPTIC TANK: 330 GPD (2) = 660 f OR GEOTEXTILE FABRIC 310 CMR 15.000 (TITLE V.) Locus I USE A 1500 GAL. SEPTIC TANK 39.0 �D• 14• m 40.9 7. THIS PLAN IS FOR PROPOSED WORK ONLY AND NOT TO 2� SLOPE OF GROUND 1500 GAL H-10 TEE , BE USED FOR LOT LINE STAKING OR ANY OTHER Pad °te e�5 38.16 rEE �37.91 0 ° 00 ° 0000000 ° ° 0 ° 000 ° ° ° ° 000 °SEPTIC TANKu u o 000000000000000000o°°ooO0000°°°o°°°o°o°°°o°o°°°o° o000000010000 USE A 1000 GAL. PUMP CHAMBER0 00000 00000o c0 e• SUMP 40.41' °o°o°O°o°°o°o°O°o°0000° o0000000a000000000000000000000o e°o °eococ000 PURPOSE. Greof r h Q J P 4' LIQ. LEVEL ° Oo°0000°0000° 12• MIN TNT. DIM. o00000000000000000000000 0000000 m Q ° °o°o°o o°o°o o° °o°°o°°o°o°°o°°o°°o°°o°°o°°o°°o°°o°°o°°oo°°o°°o°°o°°o°°o°°o°°o°°o°°o°°o° °o°°o°°o°°o°°o°°o°°o° 39.8' UTILITY POLE �a LEACHING: ACME OR EQUAL Q`�Q 40.61 ' 40.44r 4" PVC SET AT .005'/' SLOPE J� 8. PIPE FOR SEPTIC SYSTEM TO SCH. 40-4" PVC. FIRE HYDRANT p�[v ON 6" DOUBLE WASHED 3/4" - 1 1 Lr /2" STONE J 9. COMPONENTS NOT TO BE BACKFILLED OR CONCEALED Route 28 NOTE: NOT ALL SYMBOLS MAY APPEAR IN DRAWING SIDES: N/A 0 0 0 0 0 0 0 0 0 0 o c � WITHOUT INSPECTION BY BOARD OF HEALTH AND 00000000000000000000 OOC ADD INLET TEE BOTTOM 2(24 X 10) (0.74) = 355 GPD o„o„o„O„O„o„O„o„o„O„ „or NOTE: SCH 40 PERF. PVC PIPE RATED H-20 LOADING PERMISSION OBTAINED FROM BOARD OF HEALTH. ' TOTAL: 480 S.F. 355 GPD 6" CRUSHED STONE OR MECHANICAL 5 10. CONTRACTOR SHALL BE RESPONSIBLE FOR CALLING COMPACTION. (15.221 [2]) DIGSAFE (1-888-344-7233) AND VERIFYING THE *THE INSTALLER SHALL VERIFY THE TUF-TITS EF-4 LOCATION OF ALL UNDERGROUND & OVERHEAD UTILITIES LOCATIONS OF ALL UTILITIES AND ALL USE (2) 24 x 10 STONE AND 4 PVC SCH. 40 FIELDS, 0.5 DEEP IN EFFLUENT FILTER PRIOR TO COMMENCEMENT OF WORK. ONFIGURATION SHOWN BUILDING SEWER OUTLETS AND C OR EQUAL) HIGH WATER LAKE ELEV ' LOCUS MAP W/MOLDED IN GAS . 34.8 11. ANY UNSUITABLE MATERIAL ENCOUNTERED SHALL BE ELEVATIONS PRIOR TO INSTALLING ANY 2 DEFLECTOR REMOVED 5' TM PORTION OF SEPTIC SYSTEM ( % SLOPE) ( 1 % SLOPE) ( 1 7: SLOPE) LEACHING FACILITY. AND AROUND THE PROPOSED NOT TO SCALE H-20 12. EXISTING LEACHING FACILITY SHALL BE PUMPED AND ASSESSORS MAP 230 PARCEL 69 MA FOUNDATION - 42' ST 51 ' PUMP 41 ' - D' BOX 5' LEACHING REMOVED OR PUMPED AND FILLED WITH CLEAN SAND. APPROVED DATE BOARD OF HEALTH CHAMBER FACILITY 13. WETLAND RESOURCE AREAS FLAGGED BY VACCARO LOCUS IS WITHIN FEMA FLOOD ZONE C ENVIRONMENTAL CONSULTING AS SHOWN ON COMMUNITY PANEL #250001 0005 C NOTE: SEPTIC SYSTEM INSTALLED 4/30/10 14. PROVIDE DOWNSPOUTS TO DRYWELLS OR DRIP LINES DATED REV. AUGUST 19, 1985 TO STONE TRENCHES FOR ROOF RUN-OFF. WEQU AQU ET n% ^� 15. REFER TO PLAN BY HORIUCHI AND SOLIEN, LOCUS IS WITHIN AP AND ESTUARINE PROTECTION LANDSCAPE ARCHITECTS, FOR LANDSCAPE DETAILS DISTRICT REMOVE TREE STUMP LAKE 16. REFER TO PB 526 PAGE 4 FOR SEASONAL DOCK, EDGE OF WATER 12/6/2007 AND STABILIZE ERODED PUMP CHAMBER COVER TO FINISH GRADE RAMP AND SUCTION LINE LICENSE (#5631).BANK WITH NA11VE ZONING DISTRICT: RD-1 O STONE EXISTING 79.4'x 1'1.2' ALARM AND CONTROL PANEL / 17. WORK LIMIT LINE TO CONSIST OF STAKED SILT FENCE. FRONT SETBACK: 30' _ ""' SIDE & REAR: 10' n/ 34 DOCK (SIC. #5631) TO BE INSTALLED INSIDE `v'�' �' �� ��' � '?�>)� ��''`y� V-�D_2 �� BUILDING. ALARM TO BE ON INV. IN 37.40' 18. NOTE: FUTURE BARN WITH BATHROOM WILL BE V- -- ,,, V ,,.� V--401 SEPARATE CIRCUIT FROM PUMP 2" PRESSURE LINECONNECTED TO SEPTIC SYSTEM. 4 PVC PIPE TO DETAIL OF = 1000 GAL. H-10 S ) CONNECT TO SEPTIC TANK AT MIN. 2% PITCH. SLEEVE ONE OF 2 ' 600 GAL.+ SLOPE TO DRAIN BACK TO PC (NO LOW SPOTS LINE WHERE CROSSES WATERLINE FOR 10' EITHER SIDE OF FIELDS � SMALL WIRE 0 EXIST. VEGETATIVE BUFFER BETWEEN ALARM ON RESERVE WEEP HOLE CROSSING. I FENCE egHk EDGE OF WATER AND EDGE OF LAWN FLOAT SWITCH EXCEPT AT DOCK SETTINGS: PUMP ON CHECK VALVE TEST HOLE LOGS 1 4" WORKING RANGE 8" TOTAL UPLAND AREA ZOELLER "WASTEMATE" I 51,127t SF B2 PUMP OFF 4" SUBMERSIBLE MODEL M282 1/2 HP PUMP TEMPORARY ACCESS FOR 36 �� �•. \ 8 SYSTEM (OR EQUAL ENGINEER: DAVID FLAHERTY, R.S., SE2755 STUMP REMO ) V-406 ST ON. RESTORE I __ \. ��� ���� DONNA MIORANDI, RS o�o� 000 000 0000 � PRO DOCK WITNESS: �b AREA ONCE COMPLETED. S GATE NOTE: SEPTIC TANK AND PUMP OCTOBER 27, 2008 C I�� SHED J J> PUMP CHAMBER VEHICLE LOADING OARE ADING T RATED FOR DATE: I o B1 B�, < 2 MIN INCH � PERC. RATE _ / V-4W PROP. WORK LIMIT LINE 38 .,`.•V 30 "BORDERING LAND SUBJECT To (NOT TO SCALE) 36 Q 39 LAWN 'I FLOODING" (TO ELEV. 35.0') CLASS I SOILS P# 12398 PROPOSED ROOF DRYWELLS: O -37 SEASONAL y 40 ` INFILTRATOR QUICK4 HI-CAPACITY OR co DOCK %� �� OPOSEO DWE c APPROVED EQUAL GRAVELESS DRYWELL Ln TREE/BRUSH AREA ST GE'� y SYSTEM- 1 UNIT PER 1000 SF ROOF MIN. 4 ELEV. 2 ELEV. [� ELEV. ELEV. CD AREA ~ UNITS TO BE SET IN COARSE SAND ONLY. 42.7' rr 42 0' •1 v V" i� 'tom. 0 0 0 42.9 Orr 42.2' Js- COORDINATE DOWNSPOUT LOCATIONS WITH �-T Y- ARCHITECT FIELD ADJUST TO AVOID A / A A j A EXIST. SHED ` \ (RE-LOCATE) _ ' LAWN �, / I _ _ �._�r �1..�: ; ,: ., I LS /BLS LS LS ' UNSUITABLE ' � UNSUITABLE UNSUITABLE c6 11 02Clu �� ��- \\' APPROX. `� k \ 1 OYR 3/2 1 OYR 3/2 UNSUITABLE 1 OYR 3/2 1 OYR 3/2 �� LEACHING O aQ. " " / " rr CB /f i EXIST. `� AREA / ExIST. ` ��` 7 6 $ 7 DECK NS / STONE (�EMOVE) FFLOOR � NOTE: SEPTIC TANK AND PUMP CHAMBER ARE NOT DESIGNED B B _--_; O �: B B EL=45.0' /'� / (REMOVE)DRIVE '� \ ELEV. = 42.84' 2 FOR VEHICLE LOADING L LS LS iW // / - \ `�\ \ O �� �� V !1 LS UNSUITABLE LS t� // �/ UNSUITABLE �/ UNSUITABLE �/ UNSUITABLE 11 i 7 �� /�" EXISTING DWELLING 'i HIGH WATER LAKE ELEVATION 34.8' Q w \ 19 IOYR 5/6 24 10YR 5/6 10YR 5/6 10YR 5/6 � (BARNSTABLE NATURAL RESOURCES 20 26 � O o�� ,' � ,� j �� i' c� O�PX,� � �Ii & BOARD OF HEALTH) EXISTING c� , �' y5 C SLEEVE SEWER DWELLING � � � ExisnNc V_ c d 14 0' �� TOP FNON UNSUITABLE UNSUITABLE LINE FOR 10' � � EITHER SIDE OF / ELEV=41.9' /�S UNSUITABLE /� UNSUITABLE /� /� 42� / CROSSING WITH, G 0' n r rr n , rr WATERLINE 40 2.5Y 6 3 39.4 38 2.5Y 6 3 / / 38.8 40 2.5Y 6 3 ' EXIST.y / �- / � /G ` C x BARN ® � � 39.5 39 2.5Y 6/3 38•9 _ I MIIJ G / W I k SLEEVE SEWER LINE FOR 10' EITHER 7 ?� PATCH JF k V- 2 SIDE OF CROSSING WITH WATERLINE PERC C2 C2 C2 C2 FIND2.OO CB 43 SLAB O 45.3't / G Sf �fNf W ,/�� CARD E �� AS NECESSARY PERC FIND 3 TIC 8) TANK c W RE-LOCATE WATER AND GAS LINES AS J� �, MCS MCS MCS MCS --�� LG. OAK /� _G- _ - SAVE �A� 0 J� \ :I REQUIRED TO ACCOMMODATE NEW )/ LF W \ DWELLING (WATER TO CONTINUE TO BE 1 30" OBS. WATER 31 .9' 1 1 2" OBS. WATER 32.5' 128' OBS. WATER 32.2' 1 1 2' OBS. WATER 32.7' DWELLING THROUGH NEW DWENG TO / EXIST. ST 0 6 EXISTING COTTAGE) rr 2.5Y 5/6 r 2.5Y 5/6 r rr 2.5Y 5/6 .. 2.5Y 5/6 TH4 EXIST. 0 �42 \ �S ,� 144 30.7 120 32.0 132 31 .9 120 32.2 V A5 / / r 3 BUILDING 3` q (REMOV : WATER CERTAIN COTTAGE FOUNDATION � r00� �1 Q� `COVER LANDSCAPEPLANTINGS TO BE PLAN)REMOVED (REFER TO LAWN �� I T E PLAN TITL � 2 V 00� c EXISTING 5 BR 1 COTTAGE L �1 , - - BENCHMARK FFLOOR OF iigJR-1 \ " EXIST. P NAIL IN 18" OAK Q Q ELEV=38.08' / - 45.33 0 `' ELEV=41.9' 3 so DECK =-46 FIND �'PQ Uy � .` \ \ - , WEQU AQU ET 164 POINT OF PINES AVENUE E I EXIST. LAKE K E COTTAGE ` L=5.20' FksT� 4` I SAS AREA �,; �,, �� CENTERVILLE R=145.33' \ 5�2, \ \pR�Fp I +/ 0 P I N E \ P DRIVEWAYW I V-203 S PREPARED FOR o20 Q OENUE EXIST. LEACHING FACILITY FIND i ^�,� ROGER & ANNE BERMAN �"I CALCULATION OF EXISTING IMPERVIOUS VS. PROPOSED w 15 NOVEMB R 14, 2008 IMPERVIOUS SUBJECT TO ALTERATION WITHIN 100' BUFFER REV. APRIL 29, 2009 PAVEMENT, SHED REMOVAL) �w p ZONE:2 z REV. 4/9/10 (SMALLER BARN) �61 EXISTING: ROOFED DWELLING, PATIO, WALKWAY. 1864 SF w io REV. 4/14 10 (REMOVE PROP. HSE) PROPOSED: BARN, DWELLING, PATIO, PORCHES: 3363 SF = OPERATE G POINT REV. 4/20/10 (SLEEVE WATERLINES, MOVE SAS) REV. 4/21 /10 (SAS) EXISTING IMPERVIOUS TO BE REMOVED (PAVEMENT) = 1590 SF o { REV 12/8/10 (DWELL. & ASBLT. SEPTIC) EXISTING PAVEMENT TO BE NET LOSS OF IMPERVIOUS: 90 SF 5 BUOYANCY CALCS: REPLACED WITH GRAVEL SHED PROP. RAMP 1500 GAL H-10 ST WGT 11480 LBS (SHOREY) (1590 SF WITHIN 100' OF PROP. 6' FENCE CB ACCESS GATE �_ Scale: 1"= 20' 1.14' x 10.5 x 5.67 x 62.4 = 4235 LBS UP (OK) RESOURCE AREA) _ FND _ �,.. EXISTING BITUMINOUS PAVEMENT TO REMAIN V 101 °V-102 1000 GAL. H-10 PC WGT 8240 LBS 25 50 75 :oo 0 0 20 G 40 50 FEET CAPACITY - GPM I 1.9 x 8.5 x 4.83 x 62.4 = 4867 LBS UP (OK) CAUTION: PRESENT AND OVERHEAD UTILITIES PRESENT IN AREA OF SEPTIC r.rG,.,'y - PUMP CURVE FOR M YE R S S R M 4 4/10 HP PUMP „��----= off 508-362-4541 z� ssq fax 508-362-9880 SYSTEM w ^ cti c downcape.com GANI _A. Gn A m '�ol OIA'�\ �IVI No 40 q8c down cope engineering, Inc. .� �. � 6�a2 civil engineers e' t�� J,' Ian d surveyors 939 Main Street ( Rte 6A) O 7-3 O 6 DATE DANIEL A. OJALA, P.E., P.L.S. 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