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Home My WebLink About0234 LITTLE RIVER ROAD - Health 234 �stt,c; River Rbb a Cotuit A = 054 (06005 si /J I cam, Commonwealth of Massachusetts Title 5 Official Inspection Form �' to Subsurface Sewage Disposal System Form - Not for Voluntary Assessments It 234 Little River Road Property Address Raquel M. Rodriguez and Lynch Owner Owner's Nar�le t. information is required for every Cotuit ✓ MA 02635 May 15, 2019 � page. City/Town State Zip Code Date of Inspection Inspection results must be submitted on this form. Inspection forms may not be altered in any way. Please see completeness checklist at the end of the form. Important:When filling out forms A. Inspector Information <5I# 13433 on the computer, use only the tab Luis Coelho key to move your Name of Inspector cursor-do not Holmes and Mcgrath, Inc. use the return Company Name key. 205 Worcester Court, Unit A4 r� Company Address Falmouth MA 02540 Cityrrown State Zip Code 508-548-3564 S14399 Telephone Number License Number B. Certification I certify that: I am a DEP approved system inspector in full compliance with Section 15.340 of Title 5 (310 CMR 15.000); 1 have personally inspected the sewage disposal system at the property address listed above; the information reported below is true, accurate and complete as of the time of my inspection; and the inspection was performed based on my training and experience in the proper function and maintenance of on-site sewage disposal systems. After conducting this inspection I have determined that the system: 1. ® Passes 2. ❑ Conditionally Passes 3. ❑ Needs Further Evaluation by the Local Approving Authority 4. ❑ Fails May 23 2019 In �ctorrs Sign ure Date The system inspector shall submit a copy of this inspection report to the Approving Authority(Board of Health or DEP)within 30 days of completing this inspection. If the system has a design flow of 10,000 gpd or greater, the inspector and the system owner shall submit the report to the appropriate regional office of the DEP. The original form should be sent to the system owner and copies sent to the buyer, if applicable, and the approving authority. Please note: This report only describes conditions at the time of inspection and under the conditions of use at that time. This inspection does not address how the system will perform in the future under the same or different conditions of use. t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 1 of 18 Commonwealth of Massachusetts p Title 5 Official Inspection Form 1 Subsurface Sewage Disposal System Form - Not for Voluntary Assessments � � 234 Little River Road Property Address Raquel M. Rodriguez and Lynch Owner Owner's Name information is required for every Cotuit MA 02635 May 15, 2019 page. City/Town State Zip Code Date of Inspection C. Inspection Summary Inspection Summary: Complete 1, 2, 3, or 5 and all of 4 and 6. 1) System Passes: ® I have not found any information which indicates that any of the failure criteria described in 310 CMR 15.303 or in 310 CMR 15.304 exist. Any failure criteria not evaluated are indicated below. Comments: 2) System Conditionally Passes: ❑ One or more system components as described in the"Conditional Pass" section need to be replaced or repaired. The system, upon completion of the replacement or repair, as approved by the Board of Health, will pass. Check the box for"yes", "no" or"not determined" (Y, N, ND) for the following statements. If"not determined," please explain. The septic tank is metal and over 20 years old* or the septic tank (whether metal or not) is structurally unsound, exhibits substantial infiltration or exfiltration or tank failure is imminent. System will pass inspection if the existing tank is replaced with a complying septic tank as approved by the Board of Health. *A metal septic tank will pass inspection if it is structurally sound, not leaking and if a Certificate of Compliance indicating that the tank is less than 20 years old is available. ❑ Y ❑ N ❑ ND (Explain below): t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 2 of 18 c� Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 234 Little River Road V Property Address Raquel M. Rodriguez and Lynch Owner Owner's Name information is required for every Cotuit MA 02635 May 15, 2019 page. City/Town State Zip Code Date of Inspection C. Inspection Summary (cont.) 2) System Conditionally Passes (cont.): Pump Chamber um s/alarms not operational. System will ass with Board of Health approval if ❑ p p p p Y p pp pumps/alarms are repaired. ❑ Observation of sewage backup or break out or high static water level in the distribution box due to broken or obstructed pipe(s) or due to a broken, settled or uneven distribution box. System will pass inspection if(with approval of Board of Health): ❑ broken pipe(s) are replaced ❑ Y ❑ N ❑ ND (Explain below): ❑ obstruction is removed ❑ Y ❑ N ❑ ND (Explain below): ❑ distribution box is leveled or replaced ❑ Y ❑ N ❑ ND (Explain below): ❑ The system required pumping more than 4 times a year due to broken or obstructed pipe(s). The system will pass inspection if(with approval of the Board of Health): ❑ broken pipe(s) are replaced ❑ Y ❑ N ❑ ND (Explain below): ❑ obstruction is removed ❑ Y ❑ N ❑ ND (Explain below): 3) Further Evaluation is Required by the Board of Health: ❑ Conditions exist which require further evaluation by the Board of Health in order to determine if the system is failing to protect public health, safety or the environment. a. System will pass unless Board of Health determines in accordance with 310 CMR 15.303(1)(b)that the system is not functioning in a manner which will protect public health, safety and the environment: l5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 3 of 18 c Commonwealth of Massachusetts Title 5 Official Inspection Form I Subsurface Sewage Disposal System Form - Not for Voluntary Assessments . � 234 Little River Road �V Property Address Raquel M. Rodriguez and Lynch Owner Owner's Name information is y required for every Cotuit MA 02635 May 15, 2019 page. Citylrown State Zip Code Date of Inspection C. Inspection Summary (cont.) ❑ Cesspool or privy is within 50 feet of a surface water ❑ Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh b. System will fail unless the Board of Health (and Public Water Supplier, if any) determines that the system is functioning in a manner that protects the public health, safety and environment: ❑ The system has a septic tank and soil absorption system (SAS) and the SAS is within 100 feet of a surface water supply or tributary to a surface water supply. ❑ The system has a septic tank and SAS and the SAS is within a Zone 1 of a public water supply. ❑ The system has a septic tank and SAS and the SAS is within 50 feet of a private water supply well. ❑ The system has a septic tank and SAS and the SAS is less than 100 feet but 50 feet or more from a private water supply well". Method used to determine distance: **This system passes if the well water analysis, performed at a DEP certified laboratory, for fecal coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered. A copy of the analysis must be attached to this form. c. Other: 4) System Failure Criteria Applicable to All Systems: You must indicate"Yes" or"No"to each of the following for all inspections: M 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 l5insp.doc-rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 4 of 18 Commonwealth of Massachusetts Title 5 Official Inspection Form _ Subsurface Sewage Disposal System Form - Not for Voluntary Assessments V 234 Little River Road Property Address Raquel M. Rodriguez and Lynch Owner Owner's Name information is y required for every Cotuit MA 02635 May 15, 2019 page. City/Town State Zip Code Date of Inspection C. Inspection Summary (cont.) 4) System Failure Criteria Applicable to All Systems: (cont.) Yes No ❑ ® Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool ❑ ® Liquid depth in cesspool is less than 6" below invert or available volume is less than Y2 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. ❑ ® Any portion of a cesspool or privy is within a Zone 1 of a public water supply well. ❑ ® Any portion of a cesspool or privy is within 50 feet of a private water supply well. ❑ ® Any portion of a cesspool or privy is less than 100 feet but greater than 50 feet from a private water supply well with no acceptable water quality analysis. [This system passes if the well water analysis, performed at a DEP certified laboratory,for fecal coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered. A copy of the analysis and chain of custody must be attached to this form.] ❑ ® The system is a cesspool serving a facility with a design flow of 2000 gpd- 10,000 gpd. ❑ ® The system fails. I have determined that one or more of the above failure criteria exist as described in 310 CMR 15.303, therefore the system fails. The system owner should contact the Board of Health to determine what will be necessary to correct the failure. 5) Large Systems: To be considered a large system the system must serve a facility with a design flow of 10,000 gpd to 15,000 gpd. For large systems, you must indicate either"yes" or"no" to each of the following, in addition to the questions in Section CA. Yes No ❑ ❑ 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 El El Area—IWPA) or a mapped Zone II of a public water supply well t5insp.doc-rev.7/2 612 0 1 8 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 5 of 18 i c Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments � 234 Little River Road V Property Address Raquel M. Rodriguez and Lynch Owner Owner's Name information is Cotuit MA 02635 May 15, 2019 required for every page. Cityrrown State Zip Code Date of Inspection C. Inspection Summary (cont.) If you have answered "yes" to any question in Section C.5 the system is considered a significant threat, or answered "yes"to any question in Section CA above the large system has failed. The owner or operator of any large system considered a significant threat under Section C.5 or failed under Section CA shall upgrade the system in accordance with 310 CMR 15.304. The system owner should contact the appropriate regional office of the Department. 6. You must indicate "yes" or"no"for each of the following for all inspections: Yes No ® ❑ Pumping information was provided by the owner, occupant, or Board of Health ❑ ® Were any of the system components pumped out in the previous two weeks? ® ❑ Has the system received normal flows in the previous two week period? ❑ ® Have large volumes of water been introduced to the system recently or as part of this inspection? ® ❑ Were as built plans of the system obtained and examined? (If they were not available note as N/A) ® ❑ Was the facility or dwelling inspected for signs of sewage back up? ® ❑ Was the site inspected for signs of break out? ® ❑ Were all system components, excluding the SAS, located on site? ® ❑ Were the septic tank manholes uncovered, opened, and the interior of the tank inspected for the condition of the baffles or tees, material of construction, dimensions, depth of liquid, depth of sludge and depth of scum? ® ❑ Was the facility owner(and occupants if different from owner) provided with information on the proper maintenance of subsurface sewage disposal systems? The size and location of the Soil Absorption System (SAS) on the site has been determined based on: ® ❑ Existing information. For example, a plan at the Board of Health. ❑ ® Determined in the field (if any of the failure criteria related to Part C is at issue approximation of distance is unacceptable) [310 CMR 15.302(5)] t5insp.doc-rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 6 of 18 Commonwealth of Massachusetts Title 5 Official Inspection Form to Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 234 Little River Road Property Address Raquel M. Rodriguez and Lynch Owner Owner's Name information is required for every Cotuit MA 02635 May 15, 2019 page. Citylrown State Zip Code Date of Inspection D. System Information 1. 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 Description: Number of current residents: 2 Does residence have a garbage grinder? ❑ Yes ® No Does residence have a water treatment unit? ❑ Yes ® No If yes, discharges to: Is laundry on a separate sewage system? (Include laundry system inspection ❑ Yes ® No information in this report.) Laundry system inspected? ❑ Yes ® No Seasonal use? ® Yes ❑ No Water meter readings, if available last 2 ears usage d 130 GPD 9 ( Y 9 (gp ))� Detail The client does have a sprinkler system Sump pump? ❑ Yes ® No Last date of occupancy: Current Date t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 7 of 18 Commonwealth of Massachusetts �n Title 5 Official Inspection Form Subsurface Sewage Disposal System Form Not for Voluntary Assessments 234 Little River Road Property Address Raquel M. Rodriguez and Lynch Owner Owner's Name information is required for every Cotuit MA 02635 May 15, 2019 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 2. Commercial/Industrial Flow Conditions: Type of Establishment: Design flow(based on 310 CMR 15.203): Gallons per day(gpd) Basis of design flow (seats/persons/sq.ft., etc.): Grease trap present? ❑ Yes ❑ No Water treatment unit present? ❑ Yes ❑ No If yes, discharges to: Industrial waste holding tank present? ❑ Yes ❑ No Non-sanitary waste discharged to the Title 5 system? ❑ Yes ❑ No Water meter readings, if available: Last date of occupancy/use: Date Other(describe below): 3. Pumping Records: Source of information: Home Owner: Bortolotti Pumping Was system pumped as part of the inspection? ❑ Yes ® No If yes, volume pumped: gallons How was quantity pumped determined? Reason for pumping: Pumping done every 3 years. Last pumped August 9, 2018 t5insp.doc•rev.7/2 612 01 8 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 8 of 18 c Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 234 Little River Road Property Address Raquel M. Rodriguez and Lynch Owner Owner's Name information is Cotuit MA 02635 May 15, 2019 required for every page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) 4. Type of System: ® Septic tank, distribution box, soil absorption system ❑ Single cesspool ❑ Overflow cesspool ❑ Privy ❑ Shared system (yes or no) (if yes, attach previous inspection records, if any) ❑ Innovative/Alternative technology. Attach a copy of the current operation and maintenance contract(to be obtained from system owner)and a copy of latest inspection of the I/A system by system operator under contract ❑ Tight tank. Attach a copy of the DEP approval. ❑ Other(describe): Approximate age of all components, date installed (if known) and source of information: About 24 years old from town records Were sewage odors detected when arriving at the site? ❑ Yes ® No 5. Building Sewer(locate on site plan): Depth below grade: 32 inches p g 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.): MPlumbing is in good condition and no evidence of backup or leakage. t5insp.doc-rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 9 of 18 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 234 Little River Road Property Address Raquel M. Rodriguez and Lynch Owner Owner's Name information is y required for every Cotuit MA 02635 May 15, 2019 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 6. Septic Tank(locate on site plan): Depth below grade: 15 inchesfeet Material of construction: ® concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑ other(explain) There is a metal cover on outlet end of septic tank and its an H2O septic tank. If tank is metal, list age: years Is age confirmed by a Certificate of Compliance? (attach a copy of certificate) ❑ Yes ❑ No Dimensions: 11'-0"x 6-2" Sludge depth: 7 inches Distance from top of sludge to bottom of outlet tee or baffle 27 inches Scum thickness 1 inch Distance from top of scum to top of outlet tee or baffle 6 inches Distance from bottom of scum to bottom of outlet tee or baffle 13" inches How were dimensions determined? measuring tape Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): The structural integrit of the septic tank was structurally in good condition and effluent is at working level. The outlet tee was also in good condition and did not notice any saturated soils around the tanks. I' t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 10 of 18 c Commonwealth of Massachusetts �n Title 5 Official Inspection Form 1 Subsurface Sewage Disposal System Form - Not for Voluntary Assessments � 234 Little River Road ,v Property Address Raquel M. Rodriguez and Lynch Owner Owner's Name information is y required for every Cotuit MA 02635 May 15, 2019 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 7. Grease Trap (locate on site plan): Depth below grade: feet Material of construction: ❑ concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑ other(explain): Dimensions: Scum thickness Distance from top of scum to top of outlet tee or baffle Distance from bottom of scum to bottom of outlet tee or baffle Date of last pumping: Date Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): 8. Tight or Holding Tank(tank must be pumped at time of inspection) (locate on site plan): Depth below grade: Material of construction: ❑ concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑ other(explain): Dimensions: Capacity: gallons Design Flow: gallons per day t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 11 of 18 Commonwealth of Massachusetts Title 5 Official Inspection Form � Subsurface Sewage Disposal System Form - Not for Voluntary Assessments .......... !%F' 234 Little River Road Property Address Raquel M. Rodriguez and Lynch Owner Owner's Name information is Cotuit MA 02635 May 15, 2019 required for every page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) 8. Tight or Holding Tank(cont.) Alarm present: ❑ Yes ❑ No Alarm level: Alarm in working order: ❑ Yes ❑ No Date of last pumping: Date Comments (condition of alarm and float switches, etc.): *Attach copy of current pumping contract(required). Is copy attached? ❑ Yes ❑ No 9. Distribution Box (if present must be opened) (locate on site plan): Depth of liquid level above outlet invert 0" Comments (note if box is level and distribution to outlets equal, any evidence of solids carryover, any evidence of leakage into or out of box, etc.): The d-box was about 2 feet down and was level and no signs of high water stains above the oulet tee's. t5insp.doc-rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 12 of 18 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 234 Little River Road Property Address Raquel M. Rodriguez and Lynch Owner Owner's Name information is required for every Cotult MA 02635 May 15, 2019 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 10. Pump Chamber(locate on site plan): Pumps in working order: ❑ Yes ❑ No* Alarms in working order: ❑ Yes ❑ No* Comments (note condition of pump chamber, condition of pumps and appurtenances, etc.): * If pumps or alarms are not in working order, system is a conditional pass. 11. Soil Absorption System (SAS) (locate on site plan, excavation not required): If SAS not located, explain why: During my inspection I did witness that the tank showed no signs of failure or backup and the soils around the soil absorbtion system were also dry. Type: ❑ leaching pits number: ❑ leaching chambers number: ❑ leaching galleries number: ® leaching trenches number, length: 2, 4' x 40' ❑ leaching fields number, dimensions: ❑ overflow cesspool number: ❑ innovative/alternative system Type/name of technology: l5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 13 of 18 Commonwealth of Massachusetts lip Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 234 Little River Road Property Address Raquel M. Rodriguez and Lynch Owner Owner's Name information is Cotuit MA 02635 May 15, 2019 required for every page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) 11. Soil Absorption System (SAS) (cont.) Comments (note condition of soil, signs of hydraulic failure, level of ponding, damp soil, condition of vegetation, etc.): I did check the conditions of the soil for any signs of failure around the leaching field. I did not witness any signs of failure. 12. Cesspools (cesspool must be pumped as part of inspection) (locate on site plan): Number and configuration Depth—top of liquid to inlet invert Depth of solids layer Depth of scum layer Dimensions of cesspool Materials of construction Indication of groundwater inflow ❑ Yes ❑ No Comments (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): t5insp.doc-rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 14 of 18 Commonwealth of Massachusetts Title 5 Official Inspection Form li Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 234 Little River Road u Property Address Raquel M. Rodriguez and Lynch Owner Owner's Name information is Cotuit MA 02635 May 15, 2019 required for every page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) 13. Privy (locate on site plan): Materials of construction: Dimensions Depth of solids Comments (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): t5insp.doc-rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 15 of 18 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 234 Little River Road Property Address Raquel M. Rodriguez and Lynch Owner Owner's Name information is required for every Cotuit MA 02635 May 15, 2019 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 14. Sketch Of Sewage Disposal System: Provide a view of the sewage disposal system, including ties to at least two permanent reference landmarks or benchmarks. Locate all wells within 100 feet. Locate where public water supply enters the building. Check one of the boxes below: ® hand-sketch in the area below ❑ drawing attached separately I D-4o.X Z CPric TAo K _ 13jig l_��► 2g Cpvr-�It t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 16 of 18 c Commonwealth of Massachusetts Title 5 Official Inspection Form �1, Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 234 Little River Road Property Address Raquel M. Rodriguez and Lynch Owner Owner's Name information is required for every Cotuit MA 02635 May 15, 2019 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 15. Site Exam: ® Check Slope ® Surface water ® Check cellar ❑ Shallow wells Estimated depth to high ground water: 6' + down 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: November 1, 1995 Date ❑ Observed site (abutting property/observation hole within 150 feet of SAS) ❑ Checked with local Board of Health -explain: ❑ Checked with local excavators, installers-(attach documentation) ❑ Accessed USGS database -explain: You must describe how you established the high ground water elevation: Checked the perc test and no signs of high ground water around the hole that I dug down around the d-box. Before filing this Inspection Report, please see Report Completeness Checklist on next page. t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 17 of 18 c Commonwealth of Massachusetts Title 5 Official Inspection Form 14 Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 234 Little River Road �V - Property Address Raquel M. Rodriguez and Lynch Owner Owner's Name information is required for every Cotuit MA 02635 May 15, 2019 page. City/Town State Zip Code Date of Inspection E. Report Completeness Checklist Complete all applicable sections of this form inclusive of: ® A. Inspector Information: Complete all fields in this section. ® B. Certification: Signed & Dated and 1, 2, 3, or checked ® C. Inspection Summary: 1, 2, 3, or 5 completed as appropriate 4 (Failure Criteria) and 6 (Checklist) completed ® D. System Information: For 8: Tight/Holding Tank— Pumping contract attached For 14: Sketch of Sewage Disposal System drawn on pg. 16 or attached For 15: Explanation of estimated depth to high groundwater included t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 18 of 18 THE COMMONWEALTH OF MASSACHUSETTS r PUBLIC HEALTH DIVISION - W�\RNSTABLEs MASSACHUSETTS Certificate if Comp4ance THIS IS TO CERTIFY,that the On-site Sev.!!i^A Disposal.System installed or re ed/re laced �� P ( �, P� P ( )on _ by: <_ ; � o for _ P a .� R lr`�FE _� - �'�� z-� has been 'onstru ed 'n acco dance with the provisions of Title 5 and the for Disposal System Construction Permit No.�5'l��' dated Use of this system is conditioned on compliance with the provisions set forth bel Zoe # . TOWN OF BARNSTABLE LOCATION -r �rr�� '='' �i�. SEWAGE# 45—I e(A9 VILLAGE C v � ASSESSOR'S MAP& LOT�54 fob-mot»' INSTALLER'S NAME&PHONE NO.Q r q�a� A,6,-e� SEPTIC TANK CAPACITY � 1 y 0 G A`- LEACHING FACILITY: (type) T r ry L`,�' `) (size) NO.OF BEDROOMS 3 BUILDER OR OWNER C V-1 reF�)11Ef `�. � g Vic-�A PERMITDATE: COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater.Table and Bottom of Leaching Facility 5cg Jest124eet Private Water Supply Well and Leaching Facility (If any wells exist on site or within 200 feet of leaching facility) 1 S Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) Feet Furnished by 4o Ar S TAMK a 5c- ;= 30 ' ¢ g� =4�,_ 2 FCC 40� z 3 L,—rrc� v �,►2, pe-DQ-fl 0_5 006 - a o_s`" .. No. g J — Fee /y�t� /t7 ' r �+ b g c• THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE M'ASSACHUSETTS W.. Z[pplication for Digpogar *pgtetu. Congtruction Permit Pe Co/t],struc )or 4e an 01i siwLe Sewage Disposal System at: Application is h by i 1 t d .S5✓'✓ . Location Address o Lot No. ( AD Ov,ner's Name,Address ed're' NO 0. 60T0 Imo' M AF RU- G-s s`h Installer's Name,Address,and Tel.No. Designer's Name,Address pnd Tel. — � Type of Built:i.1g: Dwelling�� Nof of Bedrooms Garbage Grinder( ) Others Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixt es Design Flow gallons per day. Calculated daily flow S'Ja gallons. Plan Date 11'-1=q 5 Number:x sheets_2— Revision Date _ Title -- - n (,� ------- -- - Description of Soil �FI� RLA44 tt,�, (.ymCI� Nature of..�,rairs or Alterations(Answer when.applicable) Date last inspected: ' 1 Agreement: The undersigned agrees to ensure the constrict;.on and maintenance of the afore described on-site sewage disposal system in accordancewith the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certifi cafe of Compliance has been;-tied by this Board of.,Health.. Signed Date Application Approved by Application Disapproved for the following reascns Permit No. / `/ � Date Issued 0 t r � ti- .. ,��.Yor _ .. r , fy; , . w r. .wwi«•. _ �. y y is. _ 3 t�"*T y, 1^ e�. !"• a -... �'S — ...� 'S��r% .n � No. 'a3 y „ •�, _Fee a THE COMMONWEALTH OF MASSACHUSETTS f ; PUBLIC HEALTH DIVISION -TOWN:OF BARNSTABLE, MASSACHUSETTS 0[pprication for Mi4ont *pgtein,:Congtruction Permit :wy}b".�;t �.v.. per;, ! , ( .Application is hereby e r a�PeFmi _ Co struc��or Rep. - an On site Sewage DisposafSystem at: Location Address o Lod No Owner's Name,Addre s d TQ . 6AP e17 No trt- / Installer s,Nar`ne,•Address and iel.No. Designer's Name,Address d Tel. o. ' r d>t-Ir Q. 4 . Nyt' IV... M. Mk Type of Buildi> g 3' ¢ }t _ DX1Ii g No;.of Bedrooms Garbage Grinder.( ) Other `�:Typ�-of Building No.of Persons Showers( ) Cafeteria( ) Other Fixturesr e Design Flow 5 / ga 1 ns per day. Calculated daily flow gallons.� ,it- Plan Date I1-1-Q S Number of sheets' Za Revision Date , Title Description of Soil tom?-rle ` L_Ah1 PN LoT lb rr M4, PW 64462S NC t4 ~ Nature of'Repairs o`r Alterations(Answer when applicable)` i P f y f:1 Date'last inspected: Agreement: _- f The undersigned agrees to ensure the constcuc�oq 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- r` Cate of Compliance has been issued•by this Board of Health. h� -Signed Date ,`Application Approved by Application Disapproved for the following reasons ! µ X..�A Permit No. 7 -- i Date Issued �•=' ; ��': � THE COMMONWEALTH OF MASSACHUSETTTS s PUBLIC HEALTH DIVISION - BARNSTABLE, MA�SSACHUSETTS '` Certificate of Compliance t 1 �\ THIS IS TO CERTIFY,that the On-site Sewage Disposal System ins or rreePa ed/replace-d'( )on by for Nel /c-r1,�'? Fitt-vim L„ R as�- t&&- t has been constructed ' aceo dance - ' with the provisions of Title 5 and the for Disposal System Construction Permit No. =��/� dated' 0.1 / . Use ofthis system is conditioned on compliance with the provisions set forth below ;IN�E FAti+►U�{ 3 F3t�RL I r E PL.Ae`i oN BAGk u i�0 6A¢pA`� Gw►J�6-2. LDT � �--1'ifi� `�►J�"'2 Q� �`ri-' �`�' SQT1G TANS a X'joo sLU 6PD u�F 1 Soo GAS LZAr-41 6 5'(STtA �S�N IL- X x4-C (22 TQAzW--+1 G�s 4TuGATtoN AIZI=A 26CVD. AA&SF AppuGaro�+ AVZA 51'r,-CwACL AtzeA= Bc<,j)(E=,32o IF -At L_. OF ' Le"tuI- T W-A n o,sn AREA = Ac4 x,,�x 2,37o s'F -arAL AMEA OF P�¢[oLA71ot'J �Tlr �- 5�4t'v/11.1Gi.( 2 /s-�z STo►JE r,c�,� �I4"1��2 sTo►ls 1_ L Rai AM ' ::a ;,'� F ?,' �'-•-- - A. r r_a L �► SON D� �� dIIXTEfl F�-29 T9-3( o-s�ur� Loe,•w� � + I�'7G 3' t 5aaoq LoM,n I S •g Le y S�uo %4 7a' boK G►t. ° Mom• . ,� Satin ' �� IEL.OP'4� P1tOFl�• tip �GAL�=r C�11�1�� GLC�T PLAt�I o warms- 1�: T Imo; �•7rT-��i`1" Po �rzoPos� I �>��`>` T�•IAT 't-N E emu-,�--u-+N� sNowN P1.A�1 R�E�C.� 4} Df.l uwl Pl y S w t'ru �14E s DEU W15 Able Z;GTbA4V- 2WL)IESM e)F T-(6 w vjM OF MAT' —t5t>2r4lF�W-ro l 5 T"LL1�AT� W l T'I�I N /� SPsu4L FIsvD HAZONE. �' NyE ING LA1.ID -StJQvw= • ca•1at N� �D✓� � , �� 05TEQVIt1.& MASti. OFFS � �YoM $VII.Dlhllr` 4E•1OQLI:" NOT VSPD Tb. 65TJ4BUSy PRD�EY2T`/ l_tIJE�s, C>~I2�S l-,.•(I.Jct� PET• C-ami , Ly 1JG14 Mir R F ev Ex 1.57. I IA WEU- 14.9 ,�. 1 Yw� � 3L N u -Cl 'Dwv.s d � \ 9EW- \b. is frr f "IL :, rr IN. SLOT 27 s OF SAVER M 2 uric, 1►J F�r17— � \.. � \, V � a I�I�E FA M It, 3 P!-.A" OW 'B AGK- 46=EOF N 0 GA¢t JA`� lW�.l�E� LOT x Ito ,,zmr- TANL _ �jpo =ldPO 6F� U�F ICAO GAL. I. AGL}1 kv 5`f sjjVA 1.1 'Z- Xx4C x 2' T¢�=WGalES 4r-rU GATtON AMA ZGtP'D. CM 4o nd lSi: =a dL SF �PPLIGd.TON AIZ.�A v�SIbN 51t�YJAL.1_ AtzeA= �c<-j x 2=�5F t)srAI L OF LEAG��u� T 1GI ' 32o sf f -Tm%i- AMA s lul0 5F All Mid ' Ne�c. P�ZGoc.�TloIJ I7dTE L 5 �� 2" '/s-�z staff sAL UAlrg -.Tow or WIER Ns 210A ,�� o-sAunr L:oA-w� i iMi"ZG 3' Q$ Lc� S�.uo L�1 '�tte►JaN '2`u4- �4• � 4 25•b C� . 2�i,1; s ter '-=n"Z , TAB r C f 7 SAtiID PItOFIL�- NO W 0 W Aron. L LJ 1 101-4 t/,urc,i r P 6se& vom Dc- rz, I I l 9 S I Lszln F`f T AT .rA E 'Dw t-LL4m L, 51 rvtivN Pl.Au EIJC� N API-y5: wlTµ -rj4E s1t>E.UW9 AQI> act[. u126an��'( 9)1= TAG V wN OF MAT- r,,4 Pam- C°-S - to��l gA►� l S IJO'1—L1aG TIED W'I T 41 N A SP6��AL FLtIvD �iA ZONE. BA 1Z A NYm 1 I-Z Svev�Yt>zS ; �Asti OFF•sers. mom bVii'DINO6 4Na Nor B1": QppUGaNT: v5m Tb I*,TA, 5w sq PRopE¢Ty Lwff,5. Cge-1S L` w-a Per. CAmiS Ly oc�4 Zo4E TZ,F.-"\ . \ \ l tit( 7A WELL ----- - x-- - u•ti > � g 3L N u y � l 1.01 / Pao 17 / ••• \ I ?A ° � S 1Arr . n I... 2l •3 ^^,, I � V tN or 1 Rx.„A� a aAXiERYou M pg- uric. It"1 T745N7— TOWN OFBARNSTABLE LOCATION � ` _ ' �' Ave �e7. SEWAGE# VILLAGE '7 �—* ASSESSOR'S MAP&LOT c-ob-oDS INSTALLER'S NAME&PHONE NO. SEPTIC TANK CAPACITY 17 v el LEACHING FACILITY: (type) ry t_,.c S NO.OF BEDROOMS 3 BUILDER OR OWNER 6 46-rv%�7 = PERNIITDATE: COMPLIANCE DATE: Separation Distance Between the:. Maximum Adjusted Groundwater.Table and Bottom of Leaching Facility `aF Les; Private Water Supply Well and Leaching Facility on site or within'200 feet of leaching facility) (If any wells exist 1 7 Edge of Wetland and LeachingFeet Facility(If any wetlands exist within 300 feet of leaching facility) Furnished by Feet 0 x C tN rlITN -� m �! � d � O No. — Fee --------- BOARD OF HEALTH TOWN OF BARNSTABLE Application-*rVell Cootruction Permit z Applic tion i hereb made fora vermit to ons ruct Alter ( ), or Repair ( )an indivi ual Well at: Location — Address Assessors Map and Parcel - ---------- Owner I Address elf°Y] -- 11—�' , -- 2, y�C�: 1Z� -�3v-ew�` e.v--aZ63_� Installer — Driller Address Type of Building Dwelling ---101)VE, ---------------------------------------- Other - Type of Building----`------------------------ No. of Persons--------------------- -- ----------- W� Type of Well ---4II-----'--V C,-------- -------------------- Purpose of Well -----\'Ac'.Le ------ Agreement: The undersigned agrees to install t e'afo ' escribed i ividual well in accordance with the provisions of The Town of Barnstable Board of He t ivaIf 11 Protect' n/Regulation — The undersigned further agrees not to place the well in operation until e t fica a omplia has been issued by the Board of Health. Q Signe - - ------ - -L�` date Application Approved - =----- --------------- - -24 date Application Disapproved for the'following reasons:-------------------------- -------------------------------------------------------- ----------------------- -- ------ ----------------------------------------------------------- /,� 4 date Permit No. -�14'- __�a �-- — -- Issued-- / - 0-`- ------------------ date BOARD OF HEALTH TOWN OF BARNSTABLE (tertificate ®f (Compliance THIS IS TO CERTIFY, That the Individual Well Constructed (V Altered ( ), or Repaired ( ) by---------------AAA---C—G p-E--------W n�------------------------------------------------------------ — — —---------- Installer at------- �_ _ �L �� -------------�aw-%��------ --- -- -- --- --- has been installed in accordance with the provisions of the Town of Barnstable Board of Health Private Well Protection Regulation as described in the application for Well Construction Permit No`/--440 ated`f-" -Ai THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE WELL SYSTEM WILL FUNCTION SATISFACTORY. DATE- --- ---- — - — -- Inspector----------------------------------------—--- ------------ L ter,.,_, ,..... --,. $ .r _ -- l- ._. ne, N . '. ------------------- No. ----- ,�'"" Fee- BOARD OF. HEALTH qr TOWN OF BARNSTA`SLE Application r UIPI[Conkruct ion 3permit Applic tion is hereb r made for a permit to onstructAlter ( ),s or Repair ('. )an individual�'Well at Location - Address Assessors Ma and Parcel -----� P- -L.J it�-- L -V-- ----------- w owner Address Installer — Driller' "r., Address Type of Building x. Dwelling-----60wa ---------------------------------------- Other - Type of Building--------------------------------- No. of Persons-------------------------------—--- 411 �vL W S4' � N Type of Well- -- - — -- -- ---�!"L� ,< ✓ apacity--i'� � -- - --— --- Purpose of Well----- ----- Agreement-, The undersigned agrees to install t e a\fo a escribed i Lvif'dual well in accordance with the provisions of The Town of Barnstable Board of He t vaC� ell Protect' n/Regulation - The undersigned further agrees not to place the well in operation until e t hca a omplia a has been issued by the Board of Health. r.. 'date a. —Application Approved date - Application Disapproved for the following reasons:------------------------------------------------------------------_-__---------- - ---- - - date rr Permit No t"'- - l ---- Issued �. - _ date �.+sws-��..sm-a.�c ww....r��na.o.e�aeemr�:�.'em�®-.ter-�-anu.r�.�«aw.�e ars�e�e�...a ars rrme�n•�e+sr waoQ-.a..+ri.:.e�a�...ss�e'w�rr.�mywr...®�m��a.o e�-a mtimc BOARD OF HEALTH TOWN OF BARNSTABLE . c�ert fixate of. am YiaMe T IS1IS:,,TO>CE'RTIFY, That the'Individual'Well Constructed (Altered ( ), or Repaired.(- ) . " b --- -- ------------------------------- ° Installer at------LL LL f� � I-�- � J -;E 'A------------------------- -------------------- .has been installed in accordance with the provisions of the Town of Barnstable Board of Health Private Well Protection Regulation as described in the application for Well Construction Permit THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE WELL SYS FEM WILL FUNCTION:SATISFtACTORY . DATE-------------------- - -- - --- ---- -- Inspector-------------------------------------.----------------------------- BOARD OF, HEALTH TOWN -Of BARNSTAB`LE. 4 Vell Cootrurtion jermit No. � � - - Fee Permission is hereby granted-- ----- ---- to Construct ( , Alter ( ), or Repair ( ) an Individual Well Well at: No. - - � -----— °" - 1 F'- -- - - `- - -' ----------------------- _— -�' Sheet r------ - - as shown on the application for a Well Construction Permit No. ---��="---- Dated---��-----�-�---------------- ------��------------------------- Board of Health DATE rI t 10Q-30-I a TF-1 s E11�7T 'FAMIL-( 2��s, IpL-A nQ -5A4i,- 4&ZLOF 4AaPA�,Qum I./ I A 3 -EDV-re, TAWP. - 6AL. AMA APF�L4�:�ot,j A2E* A�xw L, 57W L OF T76y, J�oTTom lor� 5z** "TIP" kcr WM-r-T V, S4 DtK C WAI-ev— LIM TAT rAS J;�L&w SOCA-EQN49 Agt> 'XrWft_ INC 4�v,-xr e", :-AeT> T(:7 %TA--"-k W ------------------- - -- - - - - - -- --- --- -- - -- ------ --- - ------ 4, 4 j + + + �4 + 4, 4'.4 .4 + + I + 4 + 1 41;4 41 47 t+ lf; J,+ + f,I :f,:f: in 3"1 Hj 3,,17 N'3 S' 1601S 3iou 0 H 3-j3J 0Y F!H.L Sty- ID F1 :+ 4 1, j 1!:J7 f: 4 :+ j + }. .+ t t + + + + + A +: --------------------------------- -- --- -- - --- - - - -- -- -- - --- - ----------------------------- ------ "o d -H!"I L'-Y Oc�k o. i-a �4- TA 3ti rS AML ewm ir �LLO 'A BuTtA *me 15 10 0 E'7�99GSGOST bi 'd-dC17) ENVIROTEGH LABORATORIES, INC. MA Cert. No.: M-MA 063 449 Rte. 130 • Sandwich, MA 02563 (508)888-6460 • 1-800-339-6460 FAX(508)888-6446 CLIENT: Chris Lynch LOCATION: Lot 9 ADDRESS: Little River Rd. Cotuit, MA SAMPLE DATE: 12-7-95 COLLECTED BY: All Cape Wells DATE RECEIVED: 12-7-95 TIME: N/A LAB I.D. #: E12-077 JOB TYPE: New Well SAMPLE I.D. #: E12-077 WELL SPECS. : 311/ 52, RESULTS OF ANALYSIS: Parameters Units Recommended Limit Result Coliform bacteria/100m1 (MF Method) 0 0 pH pH units 6.0-8.5 5.44 Conductance umhos/cm 500 98 Sodium mg/L 28.0 12.3 Nitrate-N mg/L . .10.0 0.16 Iron mg/L 0.3 0.10 Manganese mg/L 0.05 0.132 Volatile Organics See attached report. EPA 601/602 0.7 Chloroform COMMENTS: `" Low pH indicates high corrosive characteristics. Manganese is not a health hazard. Yes No WATER IS SUITABLE FOR DRI PURPOS R PARAMETERS TESTED. XXX / Date 'Ronald Saari Laboratory Director IT = Less Than 1 2 10:0 7 GROUNDWATER ANALYTICAL ENVIROTE4CH ^-------------------508 759 4475 GROUNDWATER ANALYTICAL EPA METHODS 601 and 602 Volatile Organics (GC/PID/ELCD) Field ID: E12077 Lab ID: 12385-01 Project: Lynch/Lot 9 Little River Batch ID: VG3-0478-W Client: Envirotech Sampled: 12-07-95 Cont/Prsv: 40ML VOA Vial/HCl Cool Received: 12-08-95 Matrix: Aqueous Analyzed: 12-11-95 PARAMETER CONCENTRATION REPORTING LIMIT (ug/L) (u9iL) Dichlorodifluoromethane BRL 5 Chloromethane BRL 5 Vinyl Chloride BRL 5 Bromomethane BRL Chloroethane 5BRL 5 Trichlorofluoromethane BRL 1,1-Dichloroethene BRL 1I I Methylene Chloride trans-1,2-Dichloroethene BRL I 1,1-Dichloroethane BRL cis-1,2-Dichloroethene * BRL 1I Chloroform 0.7 j 1,1,1-Trichloroethane BRL I Carbon Tetrachloride BRL I Benzene BRL 1 1,2-Dichloroethane 1 Trichloroethene BRL I 112-Dichloropropene BRL I Bromodichloromethane BRL I 2-Chloroethyyl Vinyl Ether BRL 1 cis-1,3-Dichloropropene BRL 5 Toluene BRL 1 trans-1,3-Dichloropropene BRL I 1,1,2-Trichloroethane BRL I Tetrachloroethene BRL I Dibromochloromethane BRL I Chlorobenzene BRL I Ethylbenzene BRL I meta-and Para-Xylene * BRLBRL 1 ortho-Xylene * BRL I Bromoform BRL 1 1, 1,2,2-Tetrachloroethane BRL I 1,3-Dichlorobenzene BRL 1 1,4-Dichlorobenzene BRL 1 1,2-Dichlorobenzene BRL 1 1 QC SURROGATE COMPOUND SPIKED MEASURED RECOVERY QC LIMITS a,a,a-Trifluorotoluene 30 32 1,2-Dichloroethane-d4 30 106 % 87 - 113 33 110 % 83 - 117 BRL = Below Reporting Limit. * Non-target compound. Method References: Method 601 - Purgeable Halocarbons and Method 602 - Purgeable Aromatics, 40 C.F.R. 136, Appendix A (1986). i 2 APPLICATION FOR PERCOLATION TEST AND OBSERVATION PITS LOCATION LI rrcz- K (c�ES� �i� NO. 8 VILLAGE_ GOT-1•r — DATEj APPLICANTS L FEE_ 100 ADDRESS X V\A t\,M r,V ro TELEPHONE NO. 00 (Non-refundable ENGINEER .t XTb'L - Y C�C� _TELEPHONE NO. DATE SCHEDULEDPm IMpq° ,5 1�pA,c tom _ �_S (Applicant's signature • • • • • • • o 010 0 0 0 • o • ORS biAP • •OT" e NU e e •; e o • • • o o e • o e e • • • • • • o • • • e • • • • • • • • e e W e • • • • • • • o • • • • • • e • e • • • • ASSESS 6:. L SOIL LOG SUB-DIVISION NAME DATE TIME ID AAA--,EXPANSION AREA: YES NOXrt ENGINEER:')�' ; TOWN WATER PRIVATE WELL-? BOARD OF HEAL? EXCAVATOR SKETCH: (Street name, etc. ,dimensions of lot, exact location of test holes and • percolation tests, locate wetlands in proximity to test holes) NOTES: ID i• PERCOLATION RATE.- TEST HOLE NO: ELEVATION: TEST HOLE NO: ELEVATION: � 2 O3.i O• SQNDr LoCin,� 1 G-,�J�� 3 zr-rq' E, 2 1. 3 7 A4E0, ,r,a,uv 7 �. g 1(� 10 • 11 iv /D 11 12 12 13 13 14 14 15 15 ' 16 SUITABLE FOR SUB-SURFACE SEWAGE: 16 LEACHING FIELD LEA NG PITS— LEACHING TREN:CHE§ UNSUITABLE FOR SUB-SURFACE SEWAGE. REASONS: NOTE: ENGINEEIRING PLANS MUST SHOW NUMBER- ASSIGNED -ON PERC TEST APPLICATION ORIGINAL: COMPLETED IN ENTIRETY BY P E, AND RETURNED TO BOARD OF HEALTH COPY: RETAINED BY APPLICANT off4 I' of E a t,:';F f'.A R 9u 7 f P, I 'S'S{l EXI5nN6 J I STRUCTJRAI.FOUNDAT!GN ROTES A N _ a _ . . I w La T OF FIN,-LOOR - 24'CONNECTIONS OF FNLL HEIb T Fpl`OAl.ON - _ - •EX.«LIAE FIRST FLOOR Y • A AALLS TO FROS:MLLS TO BE SrL' W KE!(GAS-FROM 2X4) N -.`0 FGVT'NS TO BE PLACED IN TOP OF r110 FLOOR 1III C s `• mJ TT7 -MPR OR Tit02LN SOIL i 1�' ._ _- •F.RST FLR. H m u •CONCRETE i.DA STREN&TM MN FL•9000 PSI a • - ._-_____ TOP OF G AT 25 DAYS -„_ -_F0. TION WALL (� AT MOTOP 0' OUNO o T�� -AR1A�INFORCI 60 O SE CBE A5TM A615. •' ._ ....- --- �(AT bARAIf� 0 �O U l - -CLEAR LOVER FOR REIAPORCIN6 TO BE B' 1 TO BOTTOM$OP FOOnN6s(CI5T PGAINST r' EARIFU AN✓D 2'Ai 5;pE5 I]F'TE hLL Y E -_ N6 1 C LONLItETE �TYPICAL DETMLL5 FAOR OTHER . W KEY Q T 9 REW,B,,NTSIn TOP OF FOUOATIOV TO DC •ALL cTEEL CONAELTONS MELDED 1, ti,. 2'i I/1'BELOW E FINISH L FLO IV FIELD.REFER TO STRWTRAL � OOR AT FIRST PLOOR i : --- —' —' I � -RF'LOMNQ9ED TO , SLAB No DVT CONTROL,t2MT5-NO BIGGER SECTIONS i I i _ TOP OF F06ADA TO iMAN0SpNRE FEET ___ - .________._ _ __________________________ 'BELON EAST. FLOOR AT FIRST FBMEI 51E0 II REGREA-rION l i , �FBI �7• i ., DRILL 9)REHAR 4'IWO EX.LONG. B FOUNDATION DETAIL y '? WALE. FOOTING 12'O.0 T. '9 AS SCALE,A L E-: I'/2' -O L. I r v /6ECLR� EPpxY GROUT:ftEBAR - r A TO SOT 12'MIN.I WO NEW WALL t f}7p i :I I II N6 : t I; -- -- ---------- ----- I r; --------------- --- - i— ---- --- -- --- -- - - FONIDAnON GENERAL NOBS: I - to -fANCR[TE FRp"WALLS TO BE'O' i I ` F%STING kOj%OATON - ----- ----- --- - - - - KF'M.. ..- - -....--- . T«1cK ON 2a•A2'()NICE%NOTeD`ca.T. v __--__ W'N-L- FORM 2x4 D** j CO NC.TOO'XI W KEY(NESHT OF P'AlL ' ' TO BE BASED ON GRADE CONDIi1UNS 4 M)r FROM FIR bRALE TO BOTTOM OF FOOTING) - 7 Fg RESAR AT TOP OM.Y. V -BA5EM SLABS TO BE♦'CONCRETE �� A�ICNORPBOLTS 7'-0 T SILL N A2 't :B000 P51)W W W 6x6 WI4XW,4 NNE LVT OPEtO,�,i IN E%ISi._. p GRAB q OZ.MR W PER SILL 1 12' MESH ON b MIL.VAPOR BARRIER WALL TO LEVEL OF Q _ _ FROM COWERS TYPICAL: is OVER C ED TO g5PCO GRAVEL ' :; �T(•�'�R MIN(])BOLTS PER$ILL - COMPACTED i0 9g%MAX.DRY pENSITY - _ : : 1 , : : : 2'CONC- OUST I•: SILL5 TO BE(2)2X6 IPRE551RE HEATED)W 9/B'XI2- qq��ffEE //} � b.ALVANIZED STEEL ANCHOR BOLTS•9'-0'OG MIN AND : COVER(O{OOP511 j I `--tNEXLAVATEO-- g..,_ q oa , Q u s 12 FROM CORNERS(6ARAbE TO HAVE(Z/�Nb SILLS - Q W ANCHOR BOLTS AT 2-0'OL)BOLTS 5HALL ENSA6E i BOTH PATES AND FASTENED W 9'XS'PLATE MASHERS. ! ' Rc 5NALL BE A MIN.OF 2 BOLTS PER SILL.MASER : i _ -------------------- To SIT ON I.APER SILL ' ; -- CASTFORM ]:(a KEY W I DRILL w REBAR a•!Nro Ex,CONC.----:=- �- � ASEMENT I B _ ' WALE�12'OL VERTICAL SlA%TO 4'LOM I5R SECURE W B,-6Rq,T:REBA3 ___ _ - - .-- c I b PROP TOP Of ��arZ is-. 1 b•CELL-GRADED GRAVE:. TO PRO-ECT 12'MIN.INTO WIN CONC _ I I _ WALL TO OCT.OF A r.g,a u"d coMm.ro'sf6 MnX,vRr DENSITY;sue WALL.FoonN6 �ICON FROST AS Soci go TO BE SLOPED APPROX B'DOWN To n t I OVERlEAD DOORS ,p m KI. _ ^1myms�c- (2)P.T.2x6 SILL W S/D'XI2'-, GI DRILL-4,'RtHAR 4'INTO EX.LONG. i. 4 4 MAINTAIN 4'p'MN.-.-.__ '>!Q+3 a a m m- •CONNECTION$OF FLLL HE16,1T FONIDAT:ON ANCHOR BOLTS a W' WALL t T!N6/)Z'OL.VFAT. a FROl155BADE TO W4LL5 t0 FRC5TWALLS io BE SQLIXED W I O.L.MIN(2)PER SILL N 12' 11 O.C. G 1 SELVR[ EPDXY GROUT;REHAB /y� ! BOTTOM OF FOOnN6 KEY(LAST FROM.2X4) FROM LOWSRS T—A.: ;1 `�I TO PROD 12•MR INTO%EMI LONL. �I I-I W ' F� V/ : -^mm : I _ a ' 'MIN.(]J BOLTS PER SILL AS WALL 1 TINS : 5 s : N.r BLOCKPN6 AS N73DED) I - , mt m _ BSc I _ — ---i— -. ___ ____ __ _ <3V : , 2 'Y 10•CONCRETE PR05TAALL--- -CEDAR SHINGLES ++ WW T :: . OV 24'XI2'CONC.FOOTING - _ ---ON f.ONGRETE FR.%MAINTAIN, O y v (A MAIMAIN 4'-0'MIMMRf FROM ON IZ'LONL.FOOTING MANTAN I y.r GRADE TO BOTTOM OF 1O ..IN& 4'-0'Y.IMIM.M FROM GRADE �+ 0y TO BOROM OF FOOTINS FyLI uHELOWEEwMm N/ C 41 NOTE:SIDES OF NBV Fd.F�. EWNA(ILSLTO LLIbN WTN I' I PORCH L� O� E� 9 PIN SLAB TO FONDD FLOOR 6AEQEm SCY�lD I Ida AND P A RSH AND W FIELDSTONE .--' `t i a Y1A.L W 9 REBM_ ; I i 1 C U .. _ VENEER FINIS4ED FLOOR ro�RISERS c- v •W OZ ' •MAIN HOUSE - __........:......... _._ __________.. -------- _________ __ PROF'iOP OF FCiFmATON I I II �' �� N � b'CONCRETE SLAB W NA'NNCHED E06E:_-'/ 14 9/4'FROM EAST.FINISHED Q , bxb(2.I Z.I 6AVSEt WA MESH(SET IN FLCOR AT FIRST FIOOR MORTAR BED J C CENTER OF SLAB ON VAPOR SM ER ON B'OP COMPACTED CRUSHED STONE QED OF GRADE.PORCH AS c N J :3 Sj ��0 LL BLLE-5TONE PAVERS R FLOOR OF-- I� U PORCH(PITCH FLCOR Va,PER 12' I I ^` V I.. 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Incorporated . 1e4 Katherine Lee Bates Rd Falmouth Massachusetts 02540 508.540.e805 FAX 508.648.8313 LOT 10 439 NCE M N O N PUMPS r•) 0 W 0 Q o = U U Z t3: WIMMIN 0 J POOL W Q 197.9' GAS o METE CL EXISTING ` PATIO _j �d LLB HW . SEPTIC SYSTEM o PER �- W 'Q INSTALLERS ORCy HOUSE. 159.5' (~ � CARD #234 a I _, z O d. Q V) ELECTRIC 168• -- ` 21,3 7 cos� �. ,��.:�M,. . a► „ � LOT 9 -PAVED N — U DRIVEWAY Op mm PROPO.�£ SHED 60, 439 SF rv,. . ..�__ Aaornav ,. _ .._,... . p o � 5• , � J U o (1 . 39 ACRES)Lij 5 N 7 629'5� LL LOT 8 27 10 • scale 1 30 CM o date y9r E � �ti 22 OCT 20, 2013 62 cn drawn TJB checked 89.7! job. number XISTI NOTES: 13014 HOUSE 218 1. LOCUS IDENTIFICATION: revisions HOUSE No. 234 LITTLE RIVER ROAD ASSESSORS No. 54 006 005 LOT 9 PB 485 PG 61 < , 2. LOCUS IS WITHIN: ,„ ,K,t- ZONING DISTRICT: RF FLOOD ZONE: C BUILDING CODE WIND EXPOSURE CATEGORY: 8 AQUIFER PROTECTION OVERLAY DISTRICT LEGEND NATURAL HERITAGE PRIORITY HABITAT PH401 (PARTIALLY) 3. LOCUS IS NOT WITHIN: PROPERTY LINE WIND-BORNE DEBRIS REGION 0 o d FENCE ZONE II OF .A PUBLIC WATER SUPPLY 4. LOT COVERAGE BY S-TRUCTURES: EXISTING STRUCTURES EXISTING: 1,482 SF, 2.459� • PROPOSED: 2,358 SF, 3.90% 09 30' 60' 90' SWIMMING POOL: 611 SF, 1.01% 5. SEPTIC SYSTEM WAS DRAWN AS OUR INTERPRETATION OF PROPOSED STRUCTURES AS-BUILT SKETCH BY INSTALLER. drawing number B21 -36