HomeMy WebLinkAbout0038 LITTLE RIVER ROAD - Health rt"38 Little River Road
Cotuit P
A = 053 007
P
i
i
/ TOWN OF BARNSTABL:E 1C
LOCATION 37 L;/`�lIidt� �� SEWAGE # l?� "S-3
VILLAGE CD' w ASSESSOR'S MAP & LOT a�
INSTALLER'S NAME&PHONE NO. fci>C-� �; �c-�J� o %�
SEPTIC TANK CAPACITY
,EACHING FACILITY: (type) >W 6 1 /fk�S l/� %J �� (size) r!�J� S1`i C
Y10.OF BEDROOMS
BUILDER O WNER �ff� `
PERMIT DATE: / a COMPLIANCE DATE: 2
Separation Distance Between the:
Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility ��G 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 l�o:ff✓ �i t C=�ii.,.�f��h�'
3
J
wtip
��' —
��a
_ / t �
No. d — 3/ Fee
' THE COMMONWEALTH OF MASSACHUSETTS Entered in computer:
Yes
PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS
ZippliCotion for Miopo$or *potem Cutts�truction Permit
Application for a Permit to Construct( )Repair/)Upgrade( )Abandon( ) L7Complete System O Individual Components
Location Address or Lot No. / Owner's Name,Address and Tel.No.
Assessor's Map/Parcel n S3—007 ah,11,--
Installer's Name Address,and Tel.No. Designer's Name,Address and Tel.No.
Type of Building:
Dwelling No.of Bedrooms Lot Size 0 3� sq.ft. Garbage Grinder(�0
Other Type of Building GeNo.of Persons Showers( ) Cafeteria( )
Other Fixtures
Design Flow 2 gallons per day. Calculated daily flow y d gallons.
Plan Date FS Numb r of s eets Revision Date_A11, tl
Title vrj Q' 3�'
Size of Septic Tank �,LS��•f9 /®da Type of S.A.S "SRO G s
Description of Soil
Nature of Repairs or Alterations(Answer when applicable)
tK
INSIA-LUATION AND GERTIFY IN WRITING
THE SYSTEM WAS INSTALLED IN STRICT
Date last inspected: ACCORDANCE TO PLAN.
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 Certifi-
cate of Compliance has been issued b s Boaz of Health. _ ®/� d3 Signed Date
Application Approved by Date U
Application Disapproved for the following reasons
Permit No. r)d 3 - S73/ Date Issued U
r tl 4 1 F
No. V d / e Fee
THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Lam_ '
Yes
PUBLIC HEALTH DIVISION -T�OWN,..OF BARNSTABLES MASSACHUSETTS
2pplication for Migal5al by.5tem Construction Permit
Application for a Permit to Construct( . )Repair Upgrade( j Abandon( ) 0 Complete System ❑Individual Components
Location Address or Lot No. Owner's Name,Address and Tel.No.
3-5
Assessor's Map/Parcel O S 3 W7
Installer's Name Address,and Tel.No. Designer's Name,Address and Tel.No.
Type of Building:
Dwelling No.of Bedrooms Lot Size *35— sq.ft, Garbage Grinder(_4f0
Other 'lope of Building Af371G eeKfNo.of Persons Showers( ) Cafeteria( )
Other Fixtures • !J
Design Flow L� 7G2 gallons per day. Calculated daily flow_ 7 L!� gallons.
Plan Date f5- -6 3 Number of sheets / Revision Date
Title &,f ' I r
Size of Septic Tank Type of S.A.S '5eewl c
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 Certifi-
cate of Compliance has been issue�,this Boarr of Health.
Signed Cam' Date X,_9///613
Application Approved by L2 6 l"W. KS Date // C)
Application Disapproved for the following reasons
I �
Permit No. d o d 3 Date Issued I]
—————————————————————————---
---------
THE COMMONWEALTH OF MASSACHUSETTS
BARNSTABLE, MASSACHUSETTS
Certificate of Compliance
THIS IS TO CERTIFY, at the On-sit�Seewage Disposal System Constructed( )tR epaired()Upgraded( )
Abandoned( )by
at 3 G G 11i`"/e X/mod' has been constructed i accordance
with the provisions of Title 5 and the for Disposal System Construction Permit No. 0 0 3 - 5-?) dated
Installer Designer
The issuance of this e t shall not be construed as a guarantee that the system w`i'1ffu-n fio - ' d s Rned
�D 3 Inspector .
Date I ��
-------?? --------------------------------
No. o'2 00 3 — �J ' Fee
THE COMMONWEALTH OF MASSACHUSETTS
PUBLIC HEALTH DIVISION - BARNSTABLES MASSACHUSETTS
If5pozal by,5tem Construction Permit
Permission is hereby granted to Co struc (/ )Rep ( )Upgrade( )Abandon( )
System located at 2✓ Co
l?" � )l/tL�� l�L�� ��'' 1�'G/,J,7
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:Con truc 'on must be completed within three years of the date of .s'permit.
Date: 3 Approved by
TOWN OF BARNSTABLE 5C
LOCATION 37 'l, t /t�r� � SEWAGE#
VILLAGE �Dr��� ASSESSOR'S MAP & LOT a53"
- - INSTALLER'S NAME&PHONE NO. /!ci c*o
SEPTIC TANK CAPACITY PA lel 'w .*�-
LEACHING FACrLITY: (type) 8&' e-z t-,we$ (size) 5
NO.OF.BEDROOMS
BUILDER ORAWNRR
PERMTTDATE 7 �el- COMPLIANCE DATE: Z
Separation Distance Between-tl%Ta
Maximum Adjusted Groundwatle to the Bottom of Leaching Facility �'f 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 l�:s° Er�t C3i• •�`,h
3
194
lJ tA)4 .._....__�. -- - � ✓fir t� ,q
3 ,
IL
6s
r
tel.(508)362-4541
939 main street rt 6a
yarmouth port fax(508)362-9880
mass 02675
016w17 cope lellineefin� R c �y �
civil engineers& land surveyors
structural design
p (� me H.Ojala P.E., P.L.S.
~� 9 2004' Daniel A.Ojala,P.L.S.
land court TOWN OF F3A- Timothy H.Covell,P.L.S.
surveys HEALTH pEpTHr L
March 16, 2004 f
site planning
sewage system Thomas McKean, RS, CHO
designs Barnstable Health Department
200 Main Street
Hyannis, MA 02601
inspections
Re: 38 Little River Road, Cotuit
permits
Dear Tom:
On or about 12/4/03, Down Cape Engineering, Inc.
performed an inspection of the septic system as required
on the approved .,plan for. the• septic upgrade.,at the above-
referenced location. +
This is to certify that °the.. system. was installed in
substantial compliance °with°_,the approved plan.
If you have any question`s; please do not hesitate to call
me. F >.
Very y trul yours +: y
,
Arne H: Ojala, PE, PLS
Down Cape Engineering, Inc.
cc: : Bortolotti Construction,
DOWN CAPE ENGINEERING, INC. z
939 Main Street (Route 6A) _ wN
YARMOUTH PORT, MASSACHUSETTS 02675
DATE
(508) 362-4541 Fax (508) 362-9880 ��3
TO SUBJECT
...................................................................:.................................................................................:............................................................... ...........................................,........................................................................................................................................-
..........................................................................................................F.................................................,........,......,...,........................✓................................................� .,................................................................................................................................................................
. ......................................................................_ .........................:...............................................t � ..........._, ................................................................................ .
.................................................... ......................................... .G .............. .............,11 ....:....... ....................................,...............................
...................................................................................................................................................................................................................................................................................................................................................................
............. ................. . ................ .................................... ............... 3 ..... .......................
......................................................................................................................................................................................................................... .
.....................----------------.............................................................................................................................................................................................................................................................................................................................................................................................................
...............................
L
TOWN OF BARNSTABLE
LOCATION 0 (.1 LSEWAGE #
VILLAGE ASSESSOR'S MAP & LOT
RVSTXM-E*S NAME&PHONE NO.
L
SEPTIC TANK CAPACITY 0 %
LEACHING FACII.TTY: (type) (size) O
NO. OF BEDROOMS 3
IT
V
BOOR OWNER aWAJ/
PERMITDATE: CONff"�E DATE:
t �5�•
Separation Distance Between the:
Maximum Adjusted Groundwater Table and Bottom of Leaching Facility Feet
Private Water Supply Well and Leaching Facility (If any wells exist
on-site or within 200 feet of leaching facility) Feet
Edge of Wetland and Leaching Facility(If any wetlands exist
within 300 feet of leaching facility) Feet
Furnished by
5 u -
:TOWN OF BARNSTABLE
LOCATION SEWAGE # 90
VILLAGE ASSESSOR'S MAP & LOTC
INSTALLER'S NAME PHONE NO.
"SEPTIC TANK CAPACITY /S—OC) 691:;;': •
LEACHING FACILITY:(type) - r� 1/,—e,Z;
NO. OF BEDROOMS S PRIVATE WELL OR'PUBLIC WATER
BUILDER OR OWNER_ 171e- /C,r;t rc,,A4
DATE PERMIT ISSUED: /off
DATE COMPLIANCE ISSUED:
VARIANCE GRANTED: Yes No
mot17,4 �
r -
ate"
'L
ASSESSORS MAP NO:_.�.+ ._......__
PARCEL NO:, /-9 :
NO.... .L1:.s. Q
THE COMMONWEALTH OF MASSACHUSETTS
BOAR® OF HEALTH
TOWN OF BARNSTABLE
Apphrutiou for Disposal Works Tunstrurtiun Frrutit
Application is hereby made for a Permit to Construct ( ) or Repair (Y) an Individual Sewage Disposal
System at: /
3.8 L 1/ ,/P_/!!!vr2 =------- ..............................................................................•...................
Location-Address or Lot No.
a
�/ /' Ow r Address.............QCr�4!L.SJL-�<< ---------------
............•.....--------•-•-.
Installer Address
dType of Building Size Lot----------------------------Sq. feet
Dwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( )
Other—T e of Building No. of persons............................ Showers — Cafeteria
Pa Other fixtures -----•--------------------------------- - -
W Design Flow............................................gallons per person per day. Total daily flow............................................gallons.
WSeptic Tank—Liquid capacity ®ggallons Length.............:.. Width...._........... Diameter................ Depth................
x Disposal Trench—No...................... Width.................... Total Length.................... Total leaching area....................sq. ft.
Seepage Pit No..................... Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft.
Z Other Distribution box ( ) Dosing tank ( )
'-� Percolation Test Results Performed by........................................................................... Date........................................
aTest Pit No. I................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........................
x ............................................. r�.r� --'-----------�°v------------.............
ODescription of Soil--------------- ---•...................................................---------------------------------------------------------------------.----
x �QtB�t -s
U ---------•----------------•----------------------------•-------------------------------•--•-----------.
W
UNature of Repairs or Alterations—Answer when applicable------------- i11�f_:__. 7/ /2------------------------------------------------
--------•----------------------------------•----•----------•-------------------•-...._..---...----------•-------•-----------••-----------------••-•-...................................................
Agreement:
The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with
the provisions of TITLE 5 of the State Environmental Code—The undersigned further agrees not to place the
system in operation until a Certificate of Compliance has been issued by the and of health.
Signed ... J D
Dare
Application Approved By ----
Dace
Application Disapproved for the followi g reasons- ----------------------------------------------------------------------------------------------------------------- -- -- ---------
- - ------------------------------------------ ----------------------------------------------------------------------------------- --------..................................................... ----...................................
/ Dare
PermitNo. ... t1...7 `......................... Issued ------------------......----------------------------------- -- --
Dare
No.. /�- 70 r r_ �� _ FEs .... '_
Zr
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
TOWN OF BARNSTABLE
Appliration for Disposal 10orkii Tonotrnrtinn Prrutit
Application is hereby made for a Permit to Construct ( ) or Repair (k-ran Individual Sewage Disposal
System at: ,/ 7
.... -•--•-•-----------------------•--•......------................
..............
..............._
Location-Address or Lot No.
Ow r Address
•-•--•........................•.
Installer Address
d Type of Building Size Lot............................Sq. feet
Dwelling—No. of Bedrooms..........................................................Expansion Attic ( ) Garbage Grinder ( )
`q Other—T e of Building No. of persons............................ Showers — Cafeteria
0.1 Other fixtures -------------------------------------------•--
W Design Flow............................................gallons per person per day. Total daily flow............................................gallons.
WSeptic Tank—Liquid capacity Z�Qgallons Length................ Width................ Diameter---------------- Depth................
x Disposal Trench—No..................... Width.................... Total Length.................... Total leaching area....................sq. ft.
Seepage Pit No..................... Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft.
Z Other Distribution box ( ) Dosing tank ( )
'-� Percolation Test Results Performed by.......................................................................... Date........................................
Test Pit No. I................minutes per inch Depth of Test Pit.................... Depth to ground water---__._-___________._--.
44 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water..........
.................................
0 Description of Soil-----------------------------------------------------------------------------------------------------------------------------------------------------------------
W ..••---•---•-••------••------•••......------caJ a r....S f?-------------------------------------•-------------------------------•--•-.---------------•--•-•--••--••------•-•----------
W
VNature of Repairs or Alterations—Answer when applicable_____________F!x�j 2 .'__.______..__.___.____.____.____..__._....___.
Agreement:
The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with
the provisions of TITLE 5 of the State Environmental Code—The undersigned further agrees not to place the
system in operation until a Certificate of Compliance has been issued by the b<ard of health.
Signed ---::�a�-Z. ....._ -------------------------------------------------------- ---�.....^ ...................
� Dace
Application Approved By .............. ��� ,>7 -,a,-�:�-------------------- -------------- r/a'
Date
Application Disapproved for thlf0-1-10 i g reasons- -----------------------------------------------------------------------------------------------------------'---------------------
----------------- ------------------------------------------------- ------ ----------------------------------------------------- ----------------------------------------------------------------- ----------------.......................
qDate
Permit No. { -------,._c)...... -4.--- ..--- Issued -------.................
...............................
Date
THE COMMONWEALTH OF MASSACHUSETTS
1 ` BOARD OF HEALTH
TOWN OF BARNSTABLE
(gerlifiratr of Contylianre
THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired (� )
by..... -------------------------------------------------------............................................---------............------------------------------------
.// Installer
at .... ... f� � � tom. -------- ��
has been installed in accordance with the provisions of TITLE 5 of The State Environmental Code as described in
the application for Disposal Works Construction Permit No. ----------- -.-.5.7,1).... dated ------------------------------------------------
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE
SYSTEM WILL FUNCTION SATISFACTORY.
DATE------------------------ /.. -J`- f ........................ Inspector r .. ........
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
�J TOWN OF BARNSTABLE
FEE.__
Mipoottl Works Tontr ion rrmit
Permission is hereby granted.........z:.enc /Q?_... --------------------------------------------------------------------------------------
to Construct ( or Repair ( ) an Individual Sewage Disposal System
atNo. ^_........ cC.._ ...�Qa.....1! .(i...-......l /........ ...................................`�...y-------,s- - Street 70.
j}r��//
as shown on the application for Disposal Works Construction Permit No:_-_/0/...5-__,.__. Dated..........................................
--------- ------
DATE. / Board of Health
------- --------------------------------
FORM 36508 HOBBS&WARREN.INC..PUBLISHERS
+` Commonweofth of Massachusetts n 4FcC�� y
Executive Office of Environmental Affairs
Department of 1`9,�',.
D E P Environmental Protection �` • .t.
Wllllam F.Weld s {
Governor
Trudy Coxe ,
tSecnta,y EOEA
I David B.Stre hs
;t'`' ° SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART A
CERTIFICATION
�d(-Vi1
Property Address: v�tr Address of Owner: Mv' �lrJ�c
Date of Inspection: ;Lq q If different)
'r `Name of Inspector: —0--o
,.: Company_Name, Address and Telephone Number.
CS -Z • ���pis
' r f 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
' V, maintenance of on-site sewage disposal systems. The system:
Passes _.s...
Conditionally Passes
Needs Further Evaluation By the Local Approving Authority
Fads 1;. i'� e. - • ! D
iiirl' =ti' £. t.
} Inspector's Signatur Date: 9—p'1,9
' he,System•Inspector shall submit a copy of this inspection report to the Approving Authority within thirty (30) days of completing this
inspection; If the`system is a shared system or'has a design flow of 10,000 gpd or greater, the inspector and.the system owner shall submit
k,fe.the report to the appropriate regional office of the Department of Environmental Protection. �."
The,original should be sent w!ne stem owner and copies sent to the buyer, if applicable and the approving au `•Lonny.`,r
3> INSPECTION SUMMARY:
h '*Check`A, B, C,Or D: !s;•, _ +y', i, r. f, ,riE
d a t s' '?!aY'J ila tit•.:' . . F ;,�t i , , - 1,
anti ; A] SYSTEM ASSES
�11 : ,.,tail r� 1.,`i„ s ,.,..f, <. ,. s' 7 , .e irY : �.4;) -
�a,� I have not found any information which indicates that the system violates any of the failure criteria as defined in 310 CMR 15.303. > >
Yr Any failure criteria not evaluated are indicated below. Y
SYSTEM CONDITIONALLY PASSES:
'sa 14
to be replaced or repaired. The system,`upon completion of the replacement or repair,
One°or more system components need
passes inspection. rsr,t ?rtt
4
'I dicateyyes,.no, or not determined.(Y, N,`or ND).' Describe basis of determination in all instances.,,If"not determined";,explain'why riot),r
The septic tank is metal, 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,conformingaeptic tank as
�tf( `' approved by.the Board of Health. :ti4.s a
4M,-r
st�? (revised 8/25/95).
� .
no VVinter'Street • Boston,Massachusetts 02108 4 FAX(617)558.1049 • Telephone(617)292-5500 ;�!
Printed on Recycled Paper
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART A
CERTIFICATION (continued)
�v\ t
Property Address: 3� �'-►t'�`e t`t` `v�"�' `"
Owner: J'AV COCA. x Iv :
Date of Inspection: .,_<y .
B]SYSTEM CONDITIONALLY PASSES (continued)
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
The system required pumping more than four 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
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.
SYSTEM WILL PASS UNLESS BOARD OF HEALTH DETERMINES THAT THE SYSTEM IS NOT FUNCTIONING IN A MANNER
WHICH WILL PROTECT THE PUBLIC HEALTH AND SAFETY AND THE ENVIRONMENT:
s�x � r t Il��;� rs!.gry{*}jyriy��5.nt
�t Via• ` _ 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.
P 1xi s !:' -,l;M1.,.;� ,,y ., ; t �,,,�• ! 'r .�, ,t. _ , 4. ..A s d x" ,.} p.r,y"'vrr dd
2).411 SYSTEM WILL FAIL UNLESS THE BOARD OF.HEALTH (AND PUBLIC WATER SUPPLIER, IF APPROPRIATE),DETERMINES THAT
THE SYSTEM IS FUNCTIONING IN A MANNER THAT PROTECT THE.PUBLIC;HEALTH AND SAFETY AND THE r( 1 pai+ltr,ptE'
'F ENVIRONMENT:
,t;t!tt�u;dig
_ IhP system has a septic tanK anu soli absorption system anu is withitl iOG feel to a Suliace 'wager Suaj+i' Or tributary- t0 a•
surface water supply. '}_ :"fo, "Z ;1011":t MAR
;f _ The system ha aseptic tank and soil absorption system and is within a Zone I of a public water supply well. r ..
k� The system has a septic tank and soil absorption system and is within 50 feet of a private water supply well.
The system hjis a septic tan{ and soil absorption system and is less than 100 feet but 50 feet or more from a private water
supply well, unless a well water analysis for coliform bacteria and volatile organic compounds indicates that,the well is'`,;
free from pollution from that facility and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5(
p
*tii+r�An tixili wl ii!'.';: i. ppm. ,"IJ�,,,q ,_ n;;i•i ±.tef ..; , r t" :' �'. sw �'t..2s� t�•y'!!� Ari 1 4+3
b
SYSTEM FAILS: 41
?
I have determined that the system violates one or more of the following failure criteria as defined in 310 CMR 15 303..The basis t'
4= for this determination is identified below. -The Board of Health should,be contacted to determine what will benecessaryr to correct`;
the failure. Y Y}} Fr
Backup of sewage into facility or system component due to an overloaded or clogged SAS.ort cesspool
r s ` , is',
4!
'�� rR.,^. y LC � a-Ni ,l't.j�'u{tstr't iD-1 i. is�td.v: t 1„f 't'.. ",.1' tit'., '., _. t,^t• If a.� aPtM r:+ x � :.. ..7'��� : .
.r~.= Discharge or ponding of effluent.to the surface of the ground or surface,waters due to an overloaded or clogged SAS ort; :
sfl y :
cesspool.. of �, n;f arri ,.,IW tIf
Ky , � 2 ' J
i €^ , revised 6/15/.y5) =$� Sart Fi �Av t
1 N
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART A
CERTIFICATION (continued)
Property Address: 3 a L.;'4ve .
t"
Owner: 1 '• C;0 `t°�
Date of Inspection:
D) SYSTEM FAILS(continued):
� Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool.
N,V"r 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
r
' Any portion of the Soil Absorption System, cesspool or privy is below the high groundwater elevation.
# ° ' An onion of a cesspool or privy is within 100 feet of a surface water sup I or tributa to a surface water supply.
Y portion P P 'Y PP Y rY
8 a` -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.
x Any portion of a'cesspool or privy is less than 100 feet but greater than 50 feet from a private water supply well with no
r acceptable water quality analysis. If the well has been analyzed to be acceptable, attach copy of well water analysis for
coliform bacteria, volatile organic compounds, ammonia nitrogen and nitrate nitrogen.
k pii q�l.
'y11 LARGE'SYSTEM FAILS:
1,4
The following criteria apply to large systems in addition to the criteria above:
The.design flow of system is 10,000 gpd or greater (Large System) and the system is a significant threat to public health and safety' r
t f' and the environment because one or more of the following conditions exist:
e the system is within 400 feet of a surface drinking water supply
x the system is within 200 feet of a tributary to a surface drinking water supply +,
x� the system is o in a nitro located en sensitive area (Interim_Wellhead Protection Area(IWPA) or a mapped Zone II of a ,E
g
a !' public water supply well?
The owner or operator of any such system shall bring the system and facility into full compliance with the groundwater treatment program 3,
require ents of 314 CMR 5.00 and 6.00. Please consult the local regional office of the Department for further information. is
a W {
'A(revised 8/35/95) 3 a ,a
e
'� S '
k 4
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a
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART B
CHECKLIST
pcul
Property Address: ` `�—
Owner: ✓ GGttry
"-Date of Inspection: Z>
t Check if the following have been done:
'.r ;Z Pumping information was requested of the owner, occupant, and Board of Health.
j01None of the system components have been pumped for at least two weeks and the system has been receiving normal flow rates,
during,that period. Large volumes of water have not been introduced into the system recently or as part of this inspection. .
(�As built plans have been obtained and examined. Note if they are not available with N/A.
/The facility or dwelling was inspected for signs of sewage back-up. ;
` The system does not receive non-sanitary or industrial waste flow
' t!The site was inspected for signs of breakout.
AII system components, excluding the Soil Absorption System, have been located on the site.
t
VThe septic tank manholes were uncovered, opened, and the interior of the septic tank was inspected for condition of baffles or
tees, material of construction, dimensions, depth of liquid, depth of sludge, depth of scum.
' The size and location of the Soil Absorption System on the site has been determined based on existing information or .
�* approximated by non-intrusive methods.
_ he faGili) G'.;r,c er;t occupants, if differe.nt frog-: ovmer) were provided with information on the proper maintenance of Sub-
Surface Disposal System.
tii3 .4 t '�J1
,--V
3• X •
IX
sa
a.�,��u"u;' i _ - - •art/ #,.-.
3 asy.
ro #} 7
� t - t
Vt-:riff
blreviaed 8/15/95)' 4
x
,u
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM.
PART C
SYSTEM INFORMATION
Property Address: ' �1e— tom" C"VTUt�t�-
Owner: r wV C.00L."'tN
Date of Inspection:
FLOW CONDITIONS
RESIDENTIAL:
Design flow:_ W gallons
Number of bedrooms:
Number of current residents:
Garbage grinder(yes or no):_
Laundry connected to system (yes or no):
Seasonal use (yes or nol'
Water meter readings, if available:
`i
Last date of occupancy:
COMMERCIAUINDUSTRIAL:
4`Type of establishment: �(
�r #,.Design flow: Rallons/day
Ra`Grease trap present: (yes or no) ;. ,
_;. Industrial Waste Holding Tank present: (yes or no)_ .�
? Non sanitary waste discharged to the Title 5 system: (yes or no)_
, ;,Water meter readings, if available:
�q last date of occupancy:
f.
OTHER: (Describe)
t Last date of occupancy
A^F.'
GENERAL INFORMATION �y
'PUMPING RECORDS and source of information: /
S. —7 t7, ?1ttklA"Xi
` System pumped as part of inspection: (yes or no)_
Lrx ' If yes, volume primped: gallons
Reason for um in
p p K•f 1"jt31i74 aloe Sf
TYPE SYSTEM
Seppc tank/distribution box/soil absorption system
ingle cesspool
` KOverflow cesspool ;,
k�b. Privy
k� Shared system (yes or no) (if yes, attach previous inspection records, if any)
` Other(explain) _
,�f APPROXIMATE AGE of all components, date installed (if known) and source of information:
r
iZ a
Sewage odors detected when arriving at the site: (yes or no),
� (sevised 8/15/95)
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART C
SYSTEM INFORMATION (continued)
• � L..{.�,'� �Q�v -' •(tfL, Grp Ti!��:'► .
Property Address: ew
3
• Owner: Cc v
c6�J y
Date of Inspection:
SEP71C TANK• ✓
(locate on site plan)
cc r
Depth below grade: `
Material of construction: Yoncrete _metal _FRP_other(explain)
Dimensions:
Sludge depth: "
Distance from top of sludge to bottom of outlet tee or baffle:
Scum thickness:
Distance from top of scum to top of outlet tee or baffle:
Distance from bottom of scum to bottom of outlet tee or baffle:
Comments:
(recommendation for pumping, condition of inlet an outlet tees.or baffles, de th of liquid level in relation to ou(tl�t invert, structural n,-!r;t`;t}
integrity, evidence of leakage, etc.) � Cy�'z"� ���'` II * R `
# IA� 4
GREASE TRAP: r J t =r# , f
(locate on site pan) e s a y
Depth belo%% grade: j•7 ,,,, .;�t,a > r;
`Material of construction: `concrete _metal _FRP —other(explain)
�'z �Dimensions:
` -iN''f `.Scum thickness:
aVALI
Distance from top'of scum to top of outlet tee or baffle: 5 t7En '' ' ' .
ray w
Distance from bottom r c
� rl7r.i in hottom pl owlet tee orba111P'
�t Comments: r; 7r ... : .,ti
(recommendation for pumping, condition of inlet and outlet tees or baffles, depth of liquid level in relation to outlet invert, structural R
JZ
.'integrity, evidence of leakage, etc.) q
rat V;,^,
'r
tP77«4 15 Hn .vf v"t--:✓•udrn `Y Y+' r.. 7.' F"
7f` k s, n..:�..u.�' ,ww. .f v,.v.. .+o- e 7 ` i•.t ' st? h it'"',i7J,;. 11jF 1 i:p,';. 4a sAixopm,
M 6
` (revised St!5/95)
r�zK . Zt
.�:..inn',1.uA F. • ,.
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION-FORM
PART C
SYSTEM INFORMATION (continued)
Property Address: e�-Y— �1
i
Owner:
'Date of Inspection:
J,,
TIGHT OR HOLDING TANK:-
(locate on site plan)
Depth below grade:
Material,of construct _concrete_metal _FRP—other(explain)
,f •
Dimensions:
Capacity: gallons
Design flow: gallons/day
Alarm'level:
F '
Comments:.
.(condition of,inlet tee, condition of alarm and float switches, etc.)
.7,
r'
x'«t DISTRIBUTION BOX:
;r (locate on site plan) x} s< I 'c' ,l ,rm,�Q "
f` Depth of liquid level above outlet invert: y'""`—s T ; i;+, f 4t! ZU"' : "
k,t'' .(note;ii levei and distribut1w, equi+i, e�idcnce of sulid> ca;r�u�ei, evidence of leakage into or out of box, etc.) ,t
gA71 R•r
h
Hsu A- fit
a }t
'PUMP CHAMBER:
}t, (locate on,site plan)
#, Pumps in working order,(yes or no)
,�3,, }
�� b;'gComments:
(note condition of pump chamber, condition of pumps and appurtenances, etc.)
44���r�!t.'.a�•'•w,Y✓!b•'ad+'♦+.,...., w. .r ., .. . :... ... .... ,. ,, xp,.x �o-r, 'a»a», n1gn..3•,.am �b�� S
ti •
P�
.''i 7
}a(revised .6/15/95)
K*
F �
y
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART C
i C SYSTEM INFORMATION (continued)
Property Address:
Owner:
Date of Inspection: ` •_' �)_rf,�
SOIL ABSORPTION SYSTEM (SAS):_
(locate on site plan, if possible; excavation not required, but may be approximated by non-intrusive methods)
If not determined to be present, explain:
Type:
leaching pits, number:_
leaching chambers, number:
leaching galleries, number:
leaching trenches, number,length:
leaching fields, number, dimensions:
overflow cesspool, number:
Comments: (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation,etc.)
CESSPOOLS: [
(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 ground,%atc
inflow (cesspool must be pumped as part of inspection)
Comments: (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.)
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.)
(revised 8/15/95) B
I
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART C
SYSTEM INFORMATION (continued)
Property Addre,�s: �� ►'TTI��i��" /�1' C U�Y '�
`i Owner: Y I'1✓ �U(v.�t�,J
Date of Inspection:
SKETCH OF SEWAGE DISPOSAL SYSTEM.
"a. include ties to at least two permanent references landmarks or benchmarks
locate all wells within 100'
4
q I
P/
q w
Z' µ.Nti } .#a }t
MN
`DEPTH TO GROUNDWATER
�oQ, Cy t�rc�u�CZ Ipt- gr�ov� r��h
Depth to groundwiter:_-jkLfeet
method of determination or approximation:
Vievised 6/15/95) . 9
—f ' z} �a gx� � EE
Gd 0
o
XS a`"i
Y o
y
EXISTING COLUMNS
TO REMAIN'- N
E
O Y
y t0 U
3' 3• '
EQUAL MAL
AEGF5 1
2B1(XO
R 6O x 6- CENTER IN
ON EXISTING '� C
`- RAMTINS:NO wMIN51 OPENING O�
x 'A
BEDROOM 3 _ BRICK PATIO . W _N
HASCOH 3953(TEMP) -
' REMOVE EXISTING >7 _!_ RO, - 4 x 4- d CENTER IN EXISTING -
LNIMNEY �//7 -- # LU
wNTINS:2/1 OPENING ' V
1.'/// 4%4-5 4 CENTER IN
E%E--Ny
: NTINS:2/1 OPENING :y]' O V
LINEN p t
ASCAW 2g2I f <
CENTER IN EXISTING RO.:2-5 514 X I-q 3 4 �At SN W4Lt5 L
OPENING wNTINS:2 WIDEI �9A ASLOH 1953(TEMPJ �CENTER IN E%I5TITOPENING
ASLAW 3921 �� m �,
CENTER IN EXI5TMG R ..2-5 3/4 I-9 3/4 � ASCOH 2953dTEMPJ
OPENING NTIN5:2 WIDE) HA L. RO: -5 4 X 4 CENTER IN EXISTING W
I�-r (wNTINS:2/2) OPENING
MECH.
r
CENTER IN EXISTING R0.:2-53/4X1-g3/4 PEW
__ __Yl�_
OPENING (MIWIN5:2 WIDE)
ALIGN WALLS
FOLDING El
COUNTER - - - .
A 2921
' 4 x 4 CENTER IN 15TING _
'INSTALL A AWNING' OPENING
I.AUNDRY i'1 ' '+y' (w'I :2 WIDE) �.?+�c ati wE^
ASCAW 2g2I
�y CENTER IN EXISTING RO 2-5 3/4 X 1,3/4 A 2g2I oEUa
OPENING, (MURTINS:2 MO _
°� O:2- 3 4 x"3 4 CENTER IN E%ISTING - Z.
�
%� 'INSTALL A AWNING' OPENING 1 2 _
hP C (M1NT . WIDE)
"3 e _
JE
------
ty
O f�_
-------------------------
--------- ------------------ -
O
------------------------------ ASCCM 3921 O
------' -------------- - RO 3-53/4 X 19 3/4+ CENTER IN EXISTING - to Q�
_______
OFFICE 'INSTALL AS AWNIN6' OPENING L L L J
REMOVE LANDING (—TING:2 WIDE) - Q
AN L�R PORTION
REBUILD AS SHOWN ______________________________ A� M2921 V/
RD:2-5 3/4%Iq 3/4 CENTER IN E%ISTAG Q�
'INSTALL A5 AWNING' OPENING J
_--___---_ (wNTIN5:2 WIDE) (13 1 V `
(U c
00
LL ' GENERAL PUN NOTES WALL/DEMO N O -
> to
to
-ALL EXT.WALLS TO BE 2X4'S 0 16' O C7CIO
-
OL MESS NOTED OrIffRMSEJ ________ WALLS AND ITEMS TO C
BE REMOVED N.-
-ALL INT.WALLS TO BE 2X45 0 16'
O.G.MLLE$$NOTED OTHERWISE) EXISTING WALLS TO
• REMAIN >•
` -WALLS WITH POCKET BOORS TO lob no.: IOI6
BE 2X65 nYPICAU NEW WALLS
date : 9 SEPT 2010
x 4
-IlMMPA EDi. ARCHITECT SRIES
wITN IMPAC-RESISTANT 6LAS5 MEETING DEMO NOTES SC318 NOTEDOF MASS.STATE BILD6.LODE
(REFER TO ELEVATIONS FOR GRILLE
PATTERNS) EXISTING DASHED WD PATCHEO AS BOWS!WALLS drawn: .AUKMW
t NEEDED OR REPLACED AS NOTED.
-REFER 10 ELEVATIONS FOR WINBOW f6V. `
I♦: R.O.HEIGNT5 ABOVE SJEFLOOR BUILDER TO VERIFY EXISTING
L ROUGH OPENINGS AND COI-BARE
WORDERING INBO RI W S12E5 PRIOR TO rev., ,
< B A S E M E N T / .L O W E R L E V.E L' P L A N A- 1
ISSUED FOR REVIEW Bbt I of a
EXISTING
64- o U E
t9AN�-Z ymy+ `R
NEW RAIL INS.BALUSTERS s,A .An :hne 3 s
RAILINGS AND POSTS x'� x s x OCR -
<4 <n <ry
5 X4 XI cocDECKING - ¢ *_
PT EF EXISTING
EG
D K
EXISTING 5LOPEt1A
^'� c
CL6.TO REMAIN
DOWN TO LEVEL
OF KIFLAT TCHEN
EN T E 4
K
s
- y
C 4-•
CUSTOM 10 SERIES'ENCOMPASS'ASCDH 3365 SLIDING WINPOWS
R O.:2-9 3 % NO.:4-II X 5-0 iEXXISSTIING FLAATT ROOF2/2) WALLS 0N. (MAtTINS:2 WIDE AT TOP) NE -S�ARNAFIL'ROOFINSMEMBRANEA5CDN 9665TINGRO.:2-93 - It
TALL „ OUSTOM 10 SERIES'ENLOMPA55'LAP/ . i `AIDINGWINDOWS
N �
EDGE OF FLAT/ ________ L___ ;; (WMIN5:2 WIDE AT TOP) , N Cn
FAMILY
�x rc rc
............. -.. -. - ROOM
n - —
0
�: Ui _ co
�4,UX4 POP CUSTOM IO SERIES'ENCOMPASS �)
".}-" _ .---•- _ - _ (11MTIN5: DEWA
P
-.-..- ------------ i
i
I
� n
' n
....«......... Xn - .. aJ
REMOVE 15TM6-..--. x
RO,2-13/4%3-53/4 LNIhNEY PATCH FLRJ o w - qn _ - m ,�
71
(HUNTING.2/2) --------------"-------.---_- D :., t ry (v - ._
�KiTLHEN pE5IGN --,f' m CUSTOM IO SERIES'EICOMPASS'
• 8Y OTHERS ---J SLIDING WINOOWS
L
R.O.:4-II%5-0 -
rc `
R9AITINB 2 WIGE AT TOP)
3'-II 3 S' /,i•/- EWAL^ EWAL 5'-2
- ____ :WALL �
I OVEN
j 5-6
AScpH 254I SEAT•......... PDR.
3/4 X 3-5 3/4 PANTRY VE TIBULE RM. PAsa'INo TOWW�OR W
(MIMTINS 2/2) KTN XI TING ROOF u
• WINEREF. ASC4M 2535 fU J
__ GOATS m Q RO:1-I HIDE
X 2-II 3 4 (REFER i0 ELEVS 't
BELO;y MMriNS:2 mvE x 2 HIGH)
IS
ALIGN WALLS
�D=R IN EXISTIN6 ASLDH 2953 PM �, BAD:
OPENIIIG R o.:2-5 3/b X 4-5 3/4 SHIFT EXISTIN6 „ (/-�^
(WINTINS:2/2) DOORS IF NEEDED 4' ROGUE VALLEY DOOR-(R) `V•,
TO ALLOMMDDATE NEW DN. `_ (3-OXb-6)
POWDER ROOM -J BEDROOM I
FOYER 462 G LUST.GRILLES - 8%4-O
/ (2 WIDE X 2 HI611 � R
DINING RO.:5-2 1/2%b-II
PORCH _
N`ENfER IN BASTIN& ASLDN 2953
OPENING RO.:2-5 3/4 X 4-55 3/4 y 1� M - -eta••O
/Y i _- RELOCATE EXIST. n6 u o c m--Qyo
/m ASLD�12953 CENTER IN EXISTING -octj r o-?:c
HALL DWR RD,2-5 3/4 X 4-5 3 4 OPENING � oh—
\J==
3 ee e
CENTER IN EXISTING A%PH 2953
OPENING RO.:2-5 3/4 x a 4-5 3
flit
REMOVE EXIST DOOR 2_5 ASLON 2953 CENTER IN EXISTING
PORRTTION OF StAIRS; DN' R.O.:2-5 5/4 X 4-5 OPENING �
RE13UILP AS SHOWN (MJNTINS:2/2)
ALIGN WALLS
4�
'� A IPH 4153(FIXED) CENTER IN EXI5TIN6 O ^`
LIVING F SEAT _ _ - - RD,3-II 5/4 X 4-5 3/4 OPENING - 0 NEW FOR ROOM
(MNrtINS:3 WIDE X 2 HIGH)
I_________________
yy� BEDROOM 2 O CV) O O
-- ALIGN WALLS O
ENTRY N N LL
V^` N N O
C
NEW WOOD FRAMED (A W
LANDING Alm STEPS '➢
W/I%4 IPE DECKING 2'6' 2'-6' Q
J�=
�u'� O\ 7 ram-•
o0(r)O i
O-� V IL
m k� � xn xn
GENERAL PLAN NOTES Z. hi •v
�y WALL/DEMO rymn
-ALL EXT.WALLS TO BE 2X45 6 16' T',y g ivy
o4 UK-Es5 NOTED oTNERWISFa -___-- 5t o
WALLS AND ITEM5 To job no.: Iolb
-ALL INT.WALLS TO BE 2X45 b 16' BE REMOVED
04.IUNLE55 NOTED OTHERWISE)
date : 9 SEPT 2010
EXISTING WALLS i0
-WALLS WITH POCKET DOORS r0 z� z� REMAIN SCalO AS NOTED
BE 2X65(TYPICAL) k'4
NEW WALLS
-ANDON5PRENLH SLIDING TO BE FELLA' - - drawn
IMPACT-RESISTANT ARCHITECT SERIES _ JALMMW
..IMPACT-RESISTANT SLA55 MEETING
TTH ED,OF MASS.STATE 51 CODE � 4 DEMO NOTE5 rev.
(REFER TO ELEVATIONS FOR GRILLE
PATTERNS) EX15TIN6 "} 0 rev.
F - ASH
REFER TO ELEVATIONS FOR WNOOW EXI$TI,yS DED WINDOWS a WALLS -
TO BE 6 VASNO AND PATCHED AS
NEEDED(M REPLACED A5 NOTED.
o R.O.HEIGHTS ABOVE'a,9FLOOR A-2
O R TOUGH OPENINGSAND WNPARE
g FIRST FLOOR PLAN SECOND FLOOR PLAN
WITH NEW WINDOW SIZES PRIOR TO
ORDERING
� SCALE: I/4" I-O' SCALE: I/4" - I'-O"
ISSUED FOR REVIEW sht 2 Of 4
E
o E o
m id aM'i
io
EXISTING CHIMNEY
TO REMAIN
EXISTING LNIN4EY v y Z
P.T.RED CEDAR ROOF
i0 REMAIN 5HIN&LE5 ON ICE I WATER — V
MEMBRANE.P.T.RED M q
ID I] CENTAR SHINGE RIDGE
P.T.RED CEDAR RCOF 1 E%ISTj� QEXIST.
5HINGLES ON ICE I MUTER y ` -
I¢MBR/,�@ P.T.RED
v�NTAR SHINGLE MD OE w W
'5ARNAFIL'ROOFINLS MEMBRANE E
STANDING SEAM ' TO BE APPLIED TO EXI5TItS
COPPER ROOF ` m m ROOF STRUCNRES U
EXISTING I%CORNANDO DS j1E
STANDING SEAM
TO BE REMOVED AND RERACED COPPER ROOF tt
(TO MATCH EXISTING) FWIgLROWN
NEW RAILINGS,BALU5IERS A
AND POST-REFER NEW RAILINGS,BALUSTERS
ANp POST•REFER
TO DETAIL TO DETAIL
I `
��TOP OF FIN.FLR. ��TOP OF FIN.FLR. "�7 C
V•SECOND FLOOR V 0 SECOND FLOOR
:- ION PTE PECKII� IX41PE DECKING
EXISTING WOR TO � � ON P.T.FRAME U � In
REFINISHED FINISH
TO BE DETERMINED BY
CLIENT. ® ON F.T.DECKING
FRAME(RT.
EFRAME PER
NEW RAILINGS.0ALV5TER5 RAN)
AND PLAN)
OSTS(REFRAME FER -
00
V O�PRST F TCFPOF N.FL
LOOR— eRST PLR O _
� ® _ Ell V �
__ f.Y cn
TO REMP.I NOLUMN5 _
NEW RAILINGS,BALU5TtiR5
AND POSTS-REFER
%SKIRT WITH I%4 VERT. TO DETAIL E D
OFDECKING AT SIDES TOP OF FIN.FLR. 0*0
A DECK W I/4'MIN, IAWER LEVEL u
IR5PACE Ix4 IPE DECKING
ON FRAME ',
FRONT ELEVATION RIG AHT E L E V A T I O N
SCALE: I/4' 1'-O" SCALE: 1/4' - 1 -O"
- EXI5TING CHIMNEY
TO REMAIN -
_�
P.T.RED CEDAR ROOF eyO afl m
P.T.RED CEDAR ROOF ��'
SHINGLES ON ICE WATER SHING:A ON ICE I WATER _m m "q mr o 0
MEMBRANE.P.T,RED '-
MEHBRANE P.T.RED - CEOA4 SINGLE RIDGE 9 I] I]
VENT
SHINGLE RIDGE "ENT _ EXIST QEXIST. St
' _ -
'�iARNAFIL'ROOFING MEMBRAIE EXISTING IX CORIERBOARD$ m_ m
TO 8E APPLIED TO EXISTING TO BE REMOVED AND RERACED
ROOF STRUCTURES (TO MATCH EXI5TIN6) - CU /^W
I ll
EXISTING I%CORNEREOARDS
TO BE REMOVED AND REPLACED L V
(TO MATCH EXISTING)
Q W
Rt�
EXISTING W.L.SHINGLE ' ` C
(�fOP OF FIN.FLOOR
_� TOP OF FIN.FLR Q N
�0 SECOND FLOOR T �iIBINb t0 BE REMOVED � N
' AND REPLACED fTO MATCH 0 SECOND FLOOR �/
E%ISTIN61
` IE IE ' TDBA L5-BEERS m m L LTV L V >
0 ^`
NEW RAILIN65.BALUSTERS
TO DETAIL
-REFER Hi I..�L• � LL ro W
O IE IE W ON P.T.FDAEALIIE� IE
' R/ (J11 �� o
ION P.T.FDRAME C J .
O` J7
n TOP OF FIN.RR. TOP OF FIN.FLR.
FIRST FLL`(M FIRST FLOOR
EXISTING RAM DECK � m m O
C
FING DE REMAIN
EXISTING MN C
TO REMAIN
�.�
EXISTING COLUMNS '" NEW P.T.DECK
TO REMAIN FRAMING w/1X4
Q IPE DECKING fob no.: 101b
LOP OF FIN. TOP OF FIN.FLR_ IX SKIRT WITH 1%4 VERT.
date R SEPr�010
aLKEW/I/4'MIN, $talB AS NOTED
V e LOWEti LEVEL— —_ I�-DECKAL k16-AT SIDES _
EXISTING WC.5HIN61-E drawn KMW
5101NG TO BE REMOVED
AND REPLACED(TO MATCH NEW RAILINGS,BALUSTERS
EXISTING) TO p.TA�LS-�� FBV.
I rev. ,
F I
4
O
REAR ELEVATION _ 3
LEFT E L E V A T I ON
SCALE. I/4' • I'-O'
SCALE: I/4' I'-O'
ISSUED FOR REVIEW sbt s of 4
a
RED CEDAR ROD,
RED CEDAR ROOF �Ni1KKET'STYLE YIAITEREiMEN < v0
SHINGLES W ICE f
WATER MEMBRANE m _ _
5TRU05ryREE ROOF N
rr [O
PROVIDE RAFTER N
SLOCKING A5 NEEDED ON lXB
2X4 TAPERED IPE ON IX BLOCKING
TO ACHIEVE SOFFIT HANDRAIL ON IX -
DE— 12 5UBRAIL 2'
L
I%IFE c v
FVC GUTTER ON M N
IX5AX8 FASCIA/ IXB FASCIA
RAKE 4X4 P.T.POST 12
W/IX WRAP LEAD COATED COPPER N i6
EXIST. FLASNIN6 � s
M-.
H E
19PVC SOFFIT ——
Q 2.2 BALUSTERS
O
{p Cl
ON 115 BED MOLDIN6
ON IX FRIEZE DOARD p y
77T!!�
ON IX BLOCKING u'S IX ON 2X4 TAPERED
�N LOWER RAIL
IX HEAD CASING C
r^ CT
^15455 BASE
S 1 V2 S' IXB NRAP S .B014 BED MOLDING W
6 In' WL. ON%FRIEZE BOARD _
SL ON
SHIN6LE5 I%BLOCKING —
WL.SHNGLES 4- ,
6'EXP.•/-1 ~)
IXS/1X6 LORNERBOARDS 6 V4'
T
TO MATCH EM5T. O V
,O/MMA CCH EEXISRTBOARDS U
OEAVE DETAIL AT DORMER (TYPICAL) O DETAIL AT DECK5 O EAVE/RAKE RETURN (TYPICAL) al En �
SCALE:1 In'•1'0• SCALE:r.1- 11/2'-r0'
'
RED CEDAR ROOF STANDING SEAM COPPER ROOF 1
SHINGLES W/ICE 1 ON IS LB.FELT N 5/5'LD -
MEMBRANE PLYWD.SHEATHING
ON EX
ON E%ISTING ROOF
STRICTURE 0
EXIST.
12
PROVIDE RAFTER
EXIST.77
BLOCKING AS NEEDED
TO ACHIEVE SOFFIT
PROVIDE RAFTER DEPTX
BLOCKING AS NEEDED
TO ACHIEVE SOFFIT
DEPTH
IX LAP
1
`VC GUTTER ON -
I%B FASCIA - ' - ==
.BOO.CR ON
O� %FASCIA BOARD -
m'S
IX PVC SOFFIT IX PVL SOFFIT
.8014 BED MOLDING /a -6014 BED EO-PII46— F Qi A=m co U m U
ON IX FRIEZE BOARD ON IX FRIEZE BOARD/
ON IX BLOCKING HEAD CASING(NO BLOCKING) a n^' m
4 5/0-
8 B/4' I `<� O T� we
(5LE�N6-) S �'v (a�
O (1)^'
L-- W N
O EAVE DETAIL (TYPICAL) O EAVE DETAIL AT BAY WINDOW `O
SOA.LE:1 1/2'=r0• SCALE:I In•.1'0•
N CU
cc
Cr
L2f V 4)a
N 4-/
O� J �
>•� In
O
C
N._
cr_
job no.: 1o16
date R SEPT 2010
scale AS NOTED
drawn
rev.
rev.
Q
o . A—4
o I
ISSUED FOR REVIEW rht 4 of 4
,
PROVIDE IF
SYSTEM PROFILE TEST HOLE LOGS
NECESSARY )
ACCESS COVER TO WITHIN 6" OF FIN, GRADE (NOT TO SCALE
PROVIDE INSPECTION PORT TO FINISH ARNEE H. OJALA PE
{{� ACCESS COVER (WATERTIGHT) TO GRADE ENGINEER:
P; MINIMUM .75 OF COVER OVER PRECAST
FIN. GRADE 2� SLOPE REQUIRED OVER SYSTEM / 1 H.O' SAM WHITE, RS
m 2" DOUBLE WA HED EASTON WITNESS: / I OLD POST ROAD
r EL. 13.74' RUN PIPE LEVEL \ DATE: $/6 03 -1
- 1 G� FOR FIRST 2' _ °� LOCUS
j___ PERC. RATE < 2 MIN/INCH
EXISTING 1�500 �a
a H-20 50 GAL. CHAMBERS 17.0' _
GALLON S♦=PTIC 4 A TEE I 10546
T 20 1 *' 4w IH-2o CLASS SOILS P#
TANK (H- ..) GAS' . a 6. 4' Cl CJ C) CB CI O C7 CJ
(RE-USE) 16.51 " ca 16.17' C1 L7 C] 0 Cl Q L7 C� C7 0
BAFFLE COTUIT BAY
6" CRUSHED SOtt **
16,
Q M MCI ID m c. m,� �,� � ELEV.� ELEV. `
§ STONE OR MEcFWICAL �o� 2' G7 CI [� C1 l� L7 I� a :� 0 14.17' 1_B 3 14.5
COMPACTION. (15.221 (21) So�38
1
DEPTH OF FLOW = 4--�- (_L,X SLOPE) ( 1 % SLOPE) 3/4" TO 1 1/2" DOUBLE WAaHEa STONE FILL FILL
TEE SIZES: 14" 8„
INLET DEPTH a 10" B A
9.6'
OUTLET DEPTH 14° LFS LS LOCATION MAP NTS
PUMP LEACHING �, „ 10YR 3/2
FOUNDATION---EXIST ST 2 32 D BOX 19 36 1OYR 5/6 15.3 16
CHAMBER FACILITY 4.55, ASSESSORS MAP 53 PARCEL 7.
B
*THE INSTALLER SHALL VERIFY THE
LOCATIONS OF ALL UTILITIES AND ALL " ' MS VARIANCES REQUESTED UNDER MAX. FEASIBLE
BUILDING SEWER OUTLETS AND ELEVATIONS PERG COMPLIANCEREDU115.405:
PRIOR TO INSTALLING ANY PORTION OF 1OYR 5/8 ta: REDUCTION IN SETBACK, SAS t0 FOUNDATION
C (20' TO 10-)
NOT ALLOWED 24" 12.5'
SEPTIC SYSTEM SEPTIC DESIGN: (GARBAGE DISPO:;ER IS ' )
DESIGN FLOW: 4_ BEDROOMS 1 10 GPD) 440 GPD MS C **ON 5/8/02 (P#10238)D ON ABUTTING SITE
L . _
USE A 440 GPD DESIGN FLOW
I' • ie.o' 10YR 6/6
ALARM AND CONTROL PANEL SEPTIC TANK: 440 GPD ( 2 ) = 880 MS
T❑ BE INSTALLED INSIDE 1500
BUILDING, ALARM TO BE ON INV, IN 12.0' USE A _ _ GALLON SEPTIC `ANK (RE-USE EXISTING)'
__ L GEND
SEPARATE CIRCUIT FROM PUMP 1000 GAL. H-10 S/' 2 PRESSURE PIPE TO D'BOX 2.5Y 5/6
70A GAL.+ SLOPE TO DRAIN PACK TO PC LACHING., 100.0 PROPOSED SPOT ELEVATION
t ALARM ON -
m,FLOAT SWITCH RESERVE. WEEP HALE SIDES: PERIMETER ENGTH 10: ' x 2 {.74) 51
SETTINGS: PUMP ON CHECK VALVE t00x0 EXISTING SPOT ELEVATION
K 4• WORKING RANGE 8 BOTTOM: BOTTOM AREA = 4134 sf (.74) _ 21_ 120" 8.3' 126" 4.0, too PROPOSED coNrouR
ZOELLER 'WASTEMATE
. a' SUBMERSIBLE MODEL M282 1/2 HP PUMP TOTAL: 637 S.F. 472 GPD 100 EXISTING CONTOUR
i PUMP OFF e• SYSTEM (OR EQUALS --�-- NO WATER ENCOUNTERED
1
USE (4) H-20 500 GAL. LEACHING CHAMBERS WITH NOTES:_
oc�0000 ow
6- CRUSHED STONE OR �o 3' STONE AROUND IN CONFIGL RATION SHOWN ; 3. >
COMPACTION
PUMP CHAMBER y
M.,.. >.` 1 DATUM IS
NGVD
I
I (NOT TO SCALE) y EXISTING
2. MUNICIPAL WATER IS
IL : - -.._
, !� t', ,� ��a n„•.r .-)!T" T/^ n�Q
5' REMOVAL of UNSUITABLE so1L NOTE: EXISTING LEACHING FACILITY IS IN AREA PRECAST + c T 20
«>.: 4. DESIGN LOADING FAR AwL FRECAS. JNT� ,0 BE AASHO H-_
REQUIRED AROUND PORTION OF OF PROPOSED SAS. REMOVE ALL CONTAMINATED u Fix W'.TH THE EXCEPTION 01 T
PERIMETER OF LEACHING FACILITY fiF NE PUMP CI-iAME3rR WHICH IS H-10
(HATCHED AREA), DOWN To SOILS WITHIN 5 OF NEW FACILITY AND REPLACE' 5, PIPE JOINTS TO BE MADE WATERTIGHT.
SUITABLE SOIL LAYER (T4 Cl PROVIDE VENT WITH WITH CLEAN MED. SAND #„F t
LAYER). REPLACE WITH CLEAN CHARCOAL FILTER AND
�? 6. CONSTRUCTION DETAILS TO BE IN ACCORDANCE WITH MASS.
MED. SAND. BUGscREEN (FINAL ENVIRONMENTAL CODE TITLE V.
PLACEMENT WITH �� 7. THIS PLAN IS FOR PROPOSED SEPTIC SYSTEM ONLY AND IS NOT
HOMEOWNER
TO BE USED FOR ANY OTHER PURPOSE.
CONSULTATION) PROVIDE APPROX 87' OF 40 BENCH MARK - TOP OF
( 1' MIL LINER AT 5' OFF PORTION _ / >' 8. PIPE FOR SEPTIC SYSTEM TO SCH, 4p-4" PVC.
OF PERIMETER OF SAS, AS CONC. 13OUND EIS. - 13.20.
SHOWN. TOP A7 ELEV. 17.0', ?:.:.`b'
9. COMPONENTS NOT TO BE BACKFILLED OR CONCEALED WITHOUT
" BOTTOM AT EL: 13.0' _I ;:" INSPECTION BY BOARD OF HEALTH AND PERMISSION OBTAINED
- "
I ., 3 FROM BOARD OF HEALTH.
2A 6 16,s2 / I a.a06oe"sai=o`aeo' 10. PUMP & REMOVE EXISTING LEACH. FACILITY
i A / }
I� . w `J' ,02 + 3.72 ;`'., down cape engineering, inC,
f'<<,;:<
A( EXIST, 4 BR cr 26 /
DWELLING / $� Y CIVIL ENGINEERS TITLE 5 SITE PLAN
W LAND SURVEYORS
main s rlou 02675
2ND STY 0/HANG ' $ I Y r h, T'la 939 t a t38 LITTLE RIVE A
! SHEL (, ,' 4 10.8 GaFtAGj; IN THE TOWN OF:
fi I AY + £ 4
(COTUIT) BARN STABLE
1 , 1 1 0 ARh y / 4.93
. ,cRE PREPARED FOR: PETER M c K E L LA R
ky
UTIL DOLE : ' 15.26
OVERHEAD UTILS. FROM `� <<>:kfi N 0 0 20 40 6
E "
2 a
I a>
L T S
--
6
O 9,8 :
1
I 5 .14
`;ram
3,63
4.4
F
ft
H 2 3 '
3.7
9 f.1
2,60
,
PROP. PC F: }
t
I
. PR VI N WITH ,
n`9 'PROVIDE VET H 2. 4t � .mot �>�,% ;?:-?
t.
/ 3 z' :.' << »t;>:<'' " AUGUST 19 2003
<,•; .� CHARCOAL. FILTER'AND --/ ;..} .?., � 3»:'`�, ,,.'w."„-�.q,l - - '� ��'k � 20 DATE: '
EXIST. SEPTIC TAA 2>
BUGSCREEN (FINAL' REV. 9/15/03 (SAS/LINER)
USE) / 1 'i ilI 1 PLACEMENT WITH (RE- (Q .sis?.§':,??:tt't'':^:•%3's``"�p ��
HOMEOWNER' ` ;
CONSULTATION) °" r,�ljjj
X H Of
. s.
.68 �y1
to
day �ti
%r..: ARNE
ARNEH
:.
i ry' JALA y CIVIL, y
l
34f1
:.?°y BOARD HEALTH
OSTE /
OF A /( � S
' -- ZIUA14
i PROVIDE SHORING;.,.DWELLING DURING EXCAVATION --- MA ACNE . QJ LA, " ' .L.S. DATE
' 3- Q FOR SEPTIC SYST i�' S REQUIRED
i' E 2 ;..,. APPROVED DATE
PROVIDE IF SYSTEM PROFILE . TEST HOLE LOGS
( NECESSARY
.74 ACCESS COVER 1'0 WITHIN fi OF FIN. GRADE (NOT TO SCALE)
PROVIDE INSPECTION PORT TO FINISH ARNE H. OJALA, PE
ACCESS COVER (WATERTIGHT) TO ` GRADE ENGINEER:
MINIMUM ',75' OF COVER OVER PRECAST �! FIN. GRADE 2% SLOPE REQUIRED OVER SYSTEM / 18 O' WITNESS: SAM WHITE, RS
2" DOUBLE TAHEDEASTON
EL, 13 RUN PIPE LEVEL DATE:.74' $/6/C)3 I OLD POST ROAD
LOCUS
-�- v FOR FIRST 2'
� EXISTING ,1s2`QQ < 2 MIN/INCH
.��a - PERC. RATE _ /
H-20 50 GAL. CHAMBERS ` 17.0' 10546
r l GALLON SEPTIC 1 ,t, 4,A TEE w
i
I` TANK H- 20 oW IH-2o � CLASS SOILS P#
( ) GAS 9 .1,6.34 MmoL7 000 `-3 `1(RE-USE) BAFFLE + 16.51 o C',
COTUIT BAY
16.17 E� ooa o o � oaE� r. **
„ HANICAL CI Cl C7 0 E� 171 E: E7 ED 010 ELEV.. ,. ELEV,
fi CRUSHED STONE OR MEC 8 2 E� Q � E� = E71 [ 0 [_� c 14.17' --- 1 a.3 � 1 4.5
COMPACTION. (15.221 [21)
DEPTH OF FLOW = 4 ( �_ �'SLpP�) (-1-7. SLOPE) 3/4" TO 1 1/2" DOUBLE WASHED STONE FILL FILL
14" $„
TEE SIZES:
INLET DEPTH = 10 9.6' B A
OUTLET DEPTH = 14" LFS LS LOCATION MAP NTS
PUMP LEACHING 1OYR 5 6 •� 1OYR 3 2
FOUNDATION--EXIST ST 2 32 D BOX 19 36 / 15.3 16 /
j CHAMBER FACILITY 4,55
ASSESSORS MAP 53 PARCEL 7.
B
*THE INSTALLER SHALL VERIFY THE
LOCATIONS OF ALL UTILITIES AND ALL PERC MS VARIANCES REQUESTED UNDER MAX. FEASIBLE
BUILDING SEWER OUTLETS AND ELEVATIONS 1 COMPLIANCE ts.4o5:
1 a: REDUCTION IN SETBACK, SAS TO FOUNDATION
PRIOR TO INSTALLING ANY PORTION OF C 10YR 5/8 (20' TO 10-)
SEPTIC SYSTEM SEPTIC DESIGN: (GARBAGE DISPOSER Is NOT ALLOWED ) 24 12.5
DESIGN FLOW: 4_ BEDROOMS 110 GPD) = 440 GPD MS **TESTHOLE 2 PERFORMED ON ABUTTING SITE
C ON 5/8/02 (P#10239)
USE A 440 GPD DESIGN FLOW
1a.o' SEPTIC TANK: 440 GPD 2 = 880 10YR 6/6
ALARM AND CONTROL PANEL __._) MS
TO BE INSTALLED INSIDE
BUILDING, ALARM TO BE ON USE A 1500 GALLON SEPTIC ANK (RE-USE EXISTING L GEND
SEPARATE CIRCUIT FROM PUMP y INV. IN 12.0 0 0 GAL. - 0 S/ " ` ) 2'5Y 5/6
10 H I 2 PRESSURE PIPE TO D'BOX
700 GAL-* SLOPE TO DRAIN BACK Tb PC LEACHING: too.o PROPOSED SPOT ELEVATION
FLOAT SWITCH ALARM ON RESERVE WEEP HOLE SIDES: PERIMETER LENGTH:10i'' x 74) -- 51
SETTINGSr PUMP ON -- CHECK VALVE 100X0 EXISTING SPOT ELEVATION
4' WORKING RANGE 8. BOTTOM: BOTTOM AREA = 4;4 Sf 7� _ 21 120" 8•3' 126" 4.0'
100 PROPOSED CONTOUR
ZOELLER 'WASTEMATE
4' SUBMERSIBLE MODEL M282 1/2 HP PUMP TOTAL: 637 S F 472 GPD 100 EXISTING CONTOUR
PUMP OFF 8' SYSTEM (OR EQUAL)
USE (4) H-20 500 GAL. LEAS ZING CHAMBERS WITH NO WATER ENCOUNTERED
6 CRUSHED STONE OR cr�a000 coo NOTES'
a
_--�- 3' STONE AROUND IN CONFIGURATION SHOWN {
COMPACTION ----�"^�
`t NG�'D
PUMP CHAMBER 1. DATUM Is
(NOT TO SCALE) _ ,XI`al"IN(� - r�_•
2. MUNICIPAL WATER 'S ?
3. MII'�IMUM PIPE PITCH TO BE 1/8" PER FOOT.
I 5' REMOVAL OF UNSUITABLE SOIL NOTE: EXISTING LEACHING FACILITY IS IN AREA ' 4. DESIGN LOADING FOR ALL PRECAST UNITS TO BE AASHO H- 20
y
REQUIRED AROUND PORTION of OF PROPOSED SAS. REMOVE ALL CONTAMINATED WITH THE EXCEPTION OF THE PUMP CHAMBER WHICH IS H-10
PERIMETER OF LEACHING FACILITY SOILS WITHIN 5' OF NEW FACILITY AND REPLACE
(HATCHED AREA), DOWN To 5. PIPE JOINTS TO BE MADE WATERTIGHT.
SUITABLE SOIL LAYER (TO Ct PROVIDE VENT WITH WITH CLEAN MED. SAND Y
LAYER). REPLACE WITH CLEAN CHARCOAL FILTER AND
6. CONSTRUCTION DETAILS TO BE IN ACCORDANCE WITH MASS.
MED. SAND. BUGSCREEN (FINAL t% ENVIRONMENTAL CODE TITLE V.
PLACEMENT WITH �s.. 7, THIS PLAN IS FOR PROPOSED SEPTIC SYSTEM ONLY AND IS NOT
[� HOMEOWNER
�I
CONSULTATION) PROVIDE APPROX 87' OF 40 BENCH MARK - TOP OF TO BE USED FOR ANY OTHER PURPOSE.
r;,` t21 MIL LINER AT 5' OFF PORTION CONC. HOUND EL. = 13.2 8. PIPE FOR SEPTIC SYSTEM TO SCH. 40-4" PVC.
C J OF PERIMETER OF SAS, AS
SHOWN. TOP AT ELEV. 17.0', I r` 9. COMPONENTS NOT TO BE BACKFILLED OR CONCEALED WITHOUT
G BOTTOM AT EL. 13.0' _ _ >' INSPECTION BY BOARD OF HEALTH AND PERMISSION OBTAINED
FROM BOARD OF HEALTH.
l ,
} 20 6 '.. a ors W6-.x2-a5+1
I S,, +16-82 ' iax soa sei-oaeo 10. PUMP & REMOVE EXISTING LEACH. FACILITY
A q�
az + 3.72 3 down nape engineering, inc.
A EXIST, 4 BR rr / T 5 S P
o f 2 DWELLING TITLE E SITE LAN
I O ;;� CIVIL ENGINEERS
r �I ' �� LAND SURVEYORS
CT� Q ���j/ +s.8z OF
i ►f?� T q �p + ,; �_ 939 slain st• yarmouth, ma 02675 38 LITTLE RIVER ROAD
t
SHEL 4 10,8 GARAGE
I DR, EWAY�. 4, + :`< `" ` IN THE TOWN OF:
"'; 3.95 2.47
'� 1 , > . y 3 ' 4.93{. '•`" ,,,- (COTUIT) BA R N STA B L E
PARIw�.,,:,
RE
,
I +9.69 6,53 PREPARED FOR: PETER M c K E LLAR
a' I' UTIL POLE h
I
5,26
f OVERHEAD UTILS. FROM r 0
HE
s;;., 20 20 40 60
„k
P L TO HS ----1 6
O E' v�.
E
'.f
d- 1
O
1 "2 due
i y l
I�
14
{+
Y:f•
3.7
3
H -
36
13 +
PROP. PC 2.60 w < S
PROVIDE VENT WITH
3
CHARCOAL FILTER AND 1 , .► ; 1, = 20 DATE:
I " EXIST. SEPTIC TA t v " AUGUST 19 2003
BUGSCREEN (FINAL x {3f
L- PLACEMENT WITH (RE-USE) REV. 9/15/03 (SAS/LINER)
ff -AJ S
HOMEOWNER
CONSULTATION) / « 4 OF r , h if' x to n
«tip
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._.. ......
- A H E o (-ALA
OJALp. c t ✓ aa...
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:...
BOARD OF HEALTH
qEC
2fi34t1 No
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a) V
f I PROVIDE SHORING >3`DWELLING DURING EXCAVATION . MA ate .:- �U ^--
k r1 03---,220 FOR SEPTIC SYST.��' 5 REQUIRED APPROVED DATE A�R14 H. OJALA, ��"z'.L.S. ^DATE