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Home My WebLink About0599 MAIN STREET (COTUIT) - Health 599 Main Street now Cotuit A= 036-019 i v i SM pp®®E AD y� r No. 10339 srnead.com ® Made on USA. o �L� e � - sAOst Cpe,S J�4i j � � 59 q may-'VXA JN) S3 'uc� Map Page 1 of 2 Town of Barnstable Geographic Information System New sear Parcel Custom Ma Abutters Map Size 0 ❑ Zoom Out ®�In ,,t�viie�egqwer sm,/R I =JPG 021008 8 021005 R . g545 Y25 Y 535 03802D �'� h 038028 q SBY" Map: 036 Parcel: .019 - * �,-, �•� - Location: 599 MAIN STREET(COTUIT) , a Owner: ASHLEY,ANN K r Location Information anon d 038051 w 19 P 599 MA Location 599 MAIN STREET{COTU t» i Acreage 0.56 acres tCurrent Owner Mailing Address ASHLEY,ANN K PO BOX 413 4 COTUIT,MA 02635 F Appraised Value(FY 20153 _ f 038D83 �)` ry, Extra Features $30,400 Out Buildings $39,900 Land $261,700 y' p3Y 1p .* Dy B5tt7 Buildings $165,000 „w:.� ••g Total Appraised $497,000 Set Scale 1 =96 July 009 Coastal v I MAP DISCLAIMER Assessed Value(FY 2015) [ Copyright 010 Town.5 Barnstable:MA All lights reserved.Send questions or comments to GIS Out Buildings $39,900 - - 8arnstablnstableMA v1.2.5494(Production] Land $261,700 Buildings $165,000 =. Total Assessed $497,000 Construction Detail . Style Cape Cod Model Residential Grade Average Stories 1 3/4 Stories _ 'Exterior Wall Wood Shingle Roof Structure Gable/Hip Roof Cover Asph/F GIs/Cmp Interior Wall Plastered . Interior Floor Carpet Heat Fuel Gas Heat Type Hot Water AC Type Central Number of 4 Bedrooms. r Bedrooms - Number of 2 Full Bathrooms Total Rooms 7 Rooms Living Area 2148 Replacement Cost $196,477 Year Built 1970 Depreciation 16 _ http.://66.203.95.236/arcims/appgeoapp/map.aspx?propertyID=036019 5/28/2015 Map Page 1 of 1 Town of Barnstable Geographic Information System New Search I Home I Help Parcel Custom Map Abutters Map Size ® E3 Zoom Out /I j In viewer 1 FV_ El do _ Turn , \ \ h p layers selecting check boxes below Refresh i`: ,�Town Boundaries n E .,�. ` x'� , �u x♦ w x',� ux f Ei Road Names Voter Precincts (. � E. Multiple Address House Numbers Parcel Numbers ., ♦��x � Map&P tiers i Parcels Set Scale 1° = 96 I_ Aerial Photos v I MAP DISCLAIMER Cj,FEMA Flood Zones Effective July 16,2014 Copyright 2005-2010 Town of Bamstable,MA All rights reserved.Send uestions or coViktD46M6city Zone BarnstableMA v1.2.5494[Production] 0 AE-100 year flood p ®AO-100 year flood 0 0.2%.Annual Chance Flood Open Water - - Neighboring Towns 9 - C:I water El Streams Jetties , V C Edge of Water http://66.203.95.236/arcims/appgeoapp/map.aspx?propertyID=036019 5/28/2015 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments Y 509 Main St. Property Address Ann Ashley Owner Owner's Name information is required for every Cotuit Ma 02635 9/27/2011 page. Cityrrown 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. General Information on the computer, use only the tab 1. Inspector: / key to move your cursor-do not use the return Sean M. Jones key. Name of Inspector Capewide Enterprises � Company Name 153 Commercial St. Company Address Mashpee Ma. 02649 City/Town State Zip Code 508-477-8877 SI 4522 Telephone Number License Number B. Certification 1 certify that I have personally inspected the sewage disposal system at this address and that the information reported below is true, accurate and complete as of the time of the inspection. The inspection was performed based on my training and experience in the proper function and maintenance of on site sewage disposal systems. I am a DEP approved system inspector pursuant to Section 16.340 of Title 5(310 CHAR 15.000).The system: ® Passes ❑ Conditionally Passes ❑ Fails ❑ Needs Further Evaluation by the Local Approving Authority 9/27/2011Er Inspectors Signature Date " The system inspector shall submit a copy of this inspection report to the Approving Authority(Bb-.4rd of Health or DEP)within 30 days of completing this inspection. If the system is'a shared system,or has a design flow of 10,000 gpd or greater, the inspector and the system owner�shall suiSmit the�t report to the appropriate regional office of the DEP. The original should be sent'to the system owner and copies sent to the buyer, if applicable, and the approving authority. Mq ****This report only describes conditions at the time of inspection and under the conditions Oise at that time.This inspection does not address how the system will perform in the future under the same or different conditions of use. Un 5 t5ins•11/10 Title 5 Official Inspection Forth:Su I Sewage Disposal System•Page 1 of 1T Commonwealth of Massachusetts Title 5 Official Inspection Form A Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 599 Main St. Property Address Ann Ashley Owner owner's Name information is required for every Cotuit Ma 02635 9/27/2011 page. CitylTown State Zip Code Date of Inspection B. Certification (cont.) Inspection Summary: Check A,B,C,D or E/always complete all of Section D A) System Passes: ® I have not found any information which indicates that any of the failure criteria described in 310 CMR 15.303 or in 310 CMR 15.304 exist. Any failure criteria not evaluated are indicated below. Comments: 13) 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 exfiiltration 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): t5ins-11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 2 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 599 Main St. Property Address Ann Ashley - Owner Owner's Name information is required for every Cotuit Ma 02635 9/27/2011 page. Cityrrown State Zip Code Date of Inspection B. Certification (cont.) B) System Conditionally Passes(cont.): ❑ Observation of sewage backup or break out or high static water level in the distribution box due to broken or obstructed pipe(s)or due to a broken, settled or uneven distribution box. System will pass inspection if(with approval of Board of Health): ❑ broken pipe(s)are replaced ❑ Y ❑ N ❑ ND(Explain below): obstruction is removed ❑ Y ❑ N ❑ ND(Explain below): ❑ distribution box is leveled or replaced ❑ Y ❑ N ❑ ND(Explain below): ❑ The system required pumping more than 4 times a year due to broken or obstructed pipe(s). The system will pass inspection if(with approval of the Board of Health): ❑ broken pipe(s)are replaced ❑ Y ❑ N ❑ ND (Explain below): ❑ obstruction is removed ❑ Y ❑ N ❑ ND(Explain below): C) Further Evaluation is Required by the Board of Health: ❑ Conditions exist which require further evaluation by the Board of Health in order to determine if the system is failing to protect public health, safety or the environment. 1. System will pass unless Board of Health determines in accordance with 310 CMR 15.303(1)(b)that the system is not functioning in a manner which will protect public health, safety and the environment: ❑ Cesspool or privy is within 50 feet of a surface water ❑ Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh t5ins-11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 3 of 17 Commonwealth of Massachusetts Title 5 official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments '( 599 Main St. Property Address Ann Ashley Owner Owner's Name information is required for every Cotuit Ma 02635 9/27/2011 page. Cityrrown State Zip Code Date of Inspection B. Certification (cont.) 2. System will fail unless the Board of Health (and Public Water Supplier, if any) determines that the system is functioning in a manner that protects the public health, safety and environment: ❑ The system has a septic tank and soil absorption system (SAS)and the SAS is within 100 feet of a surface water supply or tributary to a surface water supply. ❑ The system has a septic tank and SAS and the SAS is within a Zone 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. 3. Other: D) System Failure Criteria Applicable to All Systems: You must indicate"Yes"or"No"to each of the following for all inspections: Yes No ❑ ® Backup of sewage into facility or system component due to overloaded.or clogged SAS or cesspool ❑ ® Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or clogged SAS or cesspool ❑ Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool ❑ ® Liquid depth in cesspool is less than 6° below invert or available volume is less than '/Z day flow t5ins•11110 Titles Official Inspection Form:Subsurface Sewage Disposal System•Page 4 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 't 599 Main St. Property Address Ann Ashley Owner Owner's Name information is required for every Cotuit Ma 02635 9/27/2011 page. Cityrrown State Zip Code Date of Inspection B. Certification (cont.) Yes No ❑ ® Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s). Number of times pumped: ❑ ® Any portion of the SAS, cesspool or privy is below high ground water elevation. ❑ ® Any portion of cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply. ❑ ® Any portion of a cesspool or privy is within a Zone 1 of a public well. ❑ ® Any portion of a cesspool or privy is within 50 feet of a private water supply well. ❑ ® Any portion of a cesspool or privy is less than 100 feet but greater than 50 feet from a private water supply well with no acceptable water quality analysis. [This system passes if the well water analysis,performed at a DEP certified laboratory,for fecal coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered.A copy of the analysis and chain of custody must be attached to this form.] ❑ ® The system is a cesspool serving a facility with a design flow of 2000gpd- 10,000gpd. ❑ ® The system fails. I have determined that one or more of the above failure criteria exist as described in 310 CMR 15.303,therefore the system fails. The system owner should contact the Board of Health to determine what will be necessary to correct the failure. E) Large Systems: To be considered a large system the system must serve a facility with a design flow of 10,000 gpd to 15,000 gpd. For large systems, you must indicate either"yes"or"no"to each of the following, in addition to the questions in Section D. Yes No ❑ ❑ the system is within 400 feet of a surface drinking water supply ❑ the system is within 200 feet of a.tributary to a surface drinking water supply ❑ ❑ the system is located in a nitrogen sensitive area(Interim Wellhead Protection Area—IWPA)or a mapped Zone II of a public water supply well If you have answered"yes"to any question in Section E the system is considered a significant threat, or answered"yes"in Section D above the large system has failed..The owner or operator of any large system considered a significant threat under Section E or failed under Section D shall upgrade the system in accordance with 310 CMR 15.304.The system owner should contact the appropriate regional office of the Department. t5ins-11l10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System Page 5 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 't 599 Main St. Property Address Ann Ashley Owner Owner's Name information is required for every Cotuit Ma 02635 9/27/2011 page. Cityrrown State Zip Code Date of Inspection C. Checklist Check if the following have been done. You must indicate"yes"or"no"as to each of the following: 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)) D. System Information Residential Flow Conditions: Number of bedrooms(design): Number of bedrooms(actual): DESIGN flow based on 310 CMR 15203(for example: 110 gpd x#of bedrooms): t5ins-11110 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 6 of 17 Commonwealth of Massachusetts lugTitle 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 599 Main St. Property Address Ann Ashley Owner Owners Name information is required for every Cotuit Ma 02635 9/27/2011 page. Cityrrown State Zip Code Date of Inspection D. System Information Description: Number of current residents: 2 Does residence have a garbage grinder? ❑ Yes ® No Is laundry on a separate sewage system?[if yes separate inspection required] ❑ Yes ® No Laundry system inspected? ❑ Yes ® No Seasonal use? ❑ Yes ® No Water meter readings, if available(last 2 years usage(gpd)): Detail: 2009= 57,000 total= 156 gpd 2010=81,000 total=222 gpd Sump pump? ❑ Yes ® No Last date of occupancy: Date Commerciallindustrial Flow Conditions: Type of Establishment: Design flow(based on 310 CMR 15.203): Gallons per day(gpd) Basis of design flow(seats/persons/sq.ft., etc.): Grease trap present? Yes ❑ No Industrial waste holding tank present? ❑ Yes ❑ No Non-sanitary waste discharged to the Title 5 system? ❑ Yes ❑ No Water meter readings, if available: t5ins-11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 7 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 't 599 Main St. Property Address Ann Ashley Owner Owners Name information is required for every Cotuit Ma 02635 9/27/2011 page. Citylrown State Zip Code Date of Inspection D. System Information (cont.) Last date of occupancy/use: Date Other(describe below): General Information Pumping Records: Source of information: Was system pumped as part of the inspection? ❑ Yes ® No If yes, volume pumped: gallons Now was quantity pumped determined? Reason for pumping: Type of System: ® Septic tank, distribution box, soil absorption system ❑ Single cesspool ❑ Overflow cesspool ❑ Privy ❑ Shared system (yes or no) (if yes, attach previous inspection records, if any) ❑ Innovative/Alternative technology.Attach a copy of the current operation and maintenance contract(to be obtained from system owner)and a copy of latest inspection of the I/A system by system operator under contract ❑ Tight tank. Attach a copy of the DEP approval. ❑ Other(describe): t5ins•11/10 Title 5'Official Inspection Form:Subsurface Sewage Disposal System•Page 8 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments y 599 Main St. Property Address Ann Ashley Owner Owner's Name information is required for every Cotuit Ma 02635 . 9/27/2011 page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) Approximate age of all components, date installed (if known)and source of information: 1987 per town records Were sewage odors detected when arriving at the site? ❑ Yes ® No Building Sewer(locate on site plan): Depth below grade: 2 feet Material of construction: ❑ cast iron ®40 PVC ❑ other(explain): Distance from private water supply well or suction line: 1 feet et Comments (on condition of joints, venting, evidence of leakage, etc.): Joints ok, no leakage, vented through roof Septic Tank(locate on site plan): Depth below grade: 1 feet Material of construction: ® concrete ❑rmetal ❑ fiberglass ❑ polyethylene ❑ other(explain) If tank is metal, list age: years Is age confirmed by a Certificate of Compliance?(attach a copy of certificate) ❑ Yes ❑ No Dimensions: 1500 gallons 61 Sludge depth: t5ins•11/10 Tide 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 9 of 17 f Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments M 't 599 Main St. Property Address Ann Ashley Owner Owner's Name information is Cotuit Ma 02635 9/27/2011 required for every page. Cityfrown State Zip Code Date of Inspection D. System Information (cont.) Septic Tank(cont.) Distance from top of sludge to bottom of outlet tee or baffle 3.5' 2, Scum thickness 6,' Distance from top of scum to top of outlet tee or baffle Distance from bottom of scum to bottom of outlet tee or baffle 10" opened covers and took How were dimensions determined? measurements' Comments(on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): Tank does not need to be cleaned now but should be done soon and again every 2 years as maintenance. Water level was ok,tank was not leaking and was structurally sound. Putlet baffle intact and in good condition Grease Trap(locate on site plan): Depth below grade: feet Material of construction: ❑concrete ❑ metal ❑fiberglass ❑ polyethylene ❑ other(explain): Dimensions: Scum thickness Distance from top of scum to top of outlet tee or baffle Distance from bottom of scum to bottom of outlet tee or baffle Date of last pumping: Date t5ins•11l10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 10 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments y 599 Main St. Property Address Ann Ashley Owner Owners Name information is required for every Cotuit Ma 02635 9/27/2011 page. Cityfrown State Zip Code Date of Inspection D. System Information (cont.) Comments(on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): Tight or Holding Tank(tank must be pumped at time of inspection) (locate on site plan): Depth below grade: Material of construction: ❑concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑ other(explain): Dimensions: Capacity: gallons Design Flow: gallons per day Alarm present: ❑ Yes ❑ No Alarm level: Alarm in working order: ❑ Yes ❑ No Date of last pumping: Date Comments(condition of alarm and float switches, etc.): Attach copy of current pumping contract(required). Is copy attached? ❑ Yes ❑ No t5ins•11/10 Title 5 Official Inspection Forth:Subsurface Sewage Disposal System•Page 11 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form. Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 599 Main St. Property Address Ann Ashley Owner Owner's Name information is required for every Cotuit Ma 02635 9/27/2011 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Distribution Box(if present must be opened)(locate on site plan): W Depth of liquid level above outlet invert Comments(note if box is level and distribution to outlets equal, any evidence of solids carryover, any evidence of leakage into or out of box, etc.): Box was functioning as intended. No sign of past hydraulic overloading, no major rot, box was structurally sound. 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.): Soil Absorption System (SAS)(locate on site plan, excavation not required): If SAS not located, explain why: t5ins•11110 Title 5 Official Inspection Forth:Subsurface Sewage Disposal System•Page 12 of 17 f Commonwealth of Massachusetts Title 5 official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 't 599 Main St. Property Address Ann Ashley Owner Owner's Name information is required for every Cotuit Ma 02635 9/27/2011 page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) Type: ® leaching pits number: 1 1000 gallons ❑ leaching chambers number: ❑ leaching galleries number: ❑ leaching trenches number, length: ❑ leaching fields number, dimensions: ❑ overflow cesspool number: ❑ innovative/alternative system Type/name of technology: Comments(note condition of soil, signs of hydraulic failure, level of ponding, damp soil, condition of vegetation, etc.): At time of inspection the leach pit had 50%available leaching with no signs of past hydraulic overloading. 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 t5ins•11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 13 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments y<a 599 Main St. Property Address Ann Ashley Owner Owner's Name information is required for every Cotuit Ma 02635 9/27/2011 . page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Comments(note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): Privy(locate on site plan): Materials of construction: Dimensions Depth of solids Comments(note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): t5ins•11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 14 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments °t 599 Main St. Property Address Ann Ashley Owner Owner's Name information is required for every Cotuit Ma 02635 9/27/2011 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) ' Sketch Of Sewage Disposal System: Provide a view of the sewage disposal system, including ties to at least two permanent reference landmarks or benchmarks. Locate all wells within 100 feet. Locate where public water supply enters the building. Check one of the boxes below: ® hand-sketch in the area below ❑ drawing attached separately b, 3 t4 S' . o A-3 s� B_ 3Stb,. 3 3 t5ins•11/10 Title 5 Official Inspection Porte:Subsurface Sewage Disposal System-Page IS of 11 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 599 Main St. Property Address Ann Ashley Owner Owner's Name information is required for every Cotuit Ma 02635 9/27/2011 page. Cityfrown State Zip Code Date of Inspection D. System Information (cont.) Site Exam: ❑ Check Slope ❑ Surface water ❑ Check cellar ❑ Shallow wells Estimated depth to high ground water: 20+ feet Please indicate all methods used to determine the high ground water elevation: ❑ Obtained from system design plans on record If checked, date of design plan reviewed: Date El 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: Groundwater elevation was determined by accessing Town of Barnstable groundwater contour maps. Before filing this Inspection Report,please see Report Completeness Checklist on next page. t5ins-11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 16 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments �< 599 Main St. Property Address Ann Ashley Owner Owner's Name information is required for every Cotuit Ma 02635 9/27/2011 page. Cityrrown State Zip Code Date of Inspection E. Report Completeness Checklist. ® Inspection Summary: A, 6, C, D, or E checked ® Inspection Summary D (System Failure Criteria Applicable to All Systems)completed ® System Information—Estimated depth to high groundwater ® Sketch of Sewage Disposal System either drawn on page 15 or attached in separate file t5ins-11l10 Title 5 Official Inspection Forth:Subsurface Sewage Disposal System•Page 17 of 17 TOWN OF BARNSTABLE LOCATIONS 729 ,SEWAGE # VILLAGE �O �I ASSESSOR'S MAP & LOT 5 INSTALLER'S NAME & PHONE NO. % ��/ ��Wl SEPTIC TANK CAPACITY i LEACHING FACILITYi(type (size) o S LStk NO. OF BEDROOMS__3 _PRIVATE WELL OR PUBLIC WATER— BUILDER OR OWNER DATE PERMIT ISSUED: DATE .COZIPLIANCE ISSUED-- VARIANCE GRANTED: YesNar O r= ' U _ � cl i _f -No .. .::. F�s :.... ..d THE COMMONWEALTH OF MASSACHUSETTS BOAR® ®F HE LT . . ................... OF... Appliratiou for Uisvoottl Workii Touatrurtion Prrutit Application is hereby made for a Permit to Construct ( ) or Repair ��an Individual Sewage Disposal System at ... . ' 1 ............ ........................... ....... .. u!:.,.. --------.....--=--------............----- nLocatio Add �.ss_/ or Lot No. ....,11 .. '�-------------•-••-•---- ------------------------------------------ ---------------------------------------•------ W Owner -Address Installer Address Type of Building +� Size Lot............................Sq. feet U Dwelling—No. of Bedrooms....1.8_..................................Expansion Attic ( ) Garbage Grinder ( ) `4 Other—Type T e of Building No. of ersons____________________________ Showers � YP g ---------------------------- P ( ) — Cafeteria ( ) 04 Other fixtures .----•--•---------------------------•--•--------------•-••--••-•--•-•-•---••••-••--••----••••-••--•---•--•-•----•-------••••---•-----•-•.........-••- W Design Flow............................................gallons per person per day. Total daily flow.........:...................................gallons. WSeptic Tank—Liquid capacity............gallons Length________________ Width................ Diameter................ Depth................ xDisposal 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........................................ a ,.� Test Pit No. 1__..............minutes per inch Depth of Test Pit.................... Depth to ground water------------------------ (T. Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ 9 ._..---•--•-----------------•-----........_._.._..--------.........-------............_..._..........-----:.---._...__......---••--•-••---••------••--•••--•- 0 Description of Soil........................................................................................................................................................................ x V .._..-••-•-•••••-•---•--••---•••..:...........................................•-•-•-----••••-•••-•--•--•-.:.----••-•••••-------•••-•-•----•--••-....-•-•-•-•-•._...••--•--•-•--•••-•••-•--••••••••---- W •--•-•-•---•------------------------------------•-•-----------------------------•---•-•---- ---•-••••._... U Nature of R airs or Alterations— nsvver when applicable__ 1` _ ..�_�'_____________ !r _ /.. !__:_._._._I_COQ .... Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been i d th rd iealth. _ -- ......... -- • ................. -•............. .� � .... ..7 Dat Application Approved By....................... •••--�-�--�-... ...... --- ,.---.............. ----•--••------- 2 Dal Application Disapproved for the following reasons-----------------------------------------......................= -------------------------------------------••---...-------:....-•---------•----------------••----.......---•-••-••-•-••••••-----•••---•-•-•--------•---•---•-••--•-•----•-----••-•--•-----••-•---------- Date Permit No..7-. r -�-----------------•----....._.. Issued. Date No ........... ...... Fizic,�...�.�-1-.....6..` THE COMMONWEALTH OF MASSACHUSETTS BOARD- F HEALTH .r ' ..............OF.... III.. ...:: .. .. a ........................... Appliration for DioVooFal Works Tontrnrtion Prrmit Application is hereby made for a Permit to Construct ( ) or Repair ( an Individual Sewage Disposal System aat ... � !`. ... . .l.. .._....::� _-----•---------------------- --•--••-1 ✓ ......................................................... r ? Locatio "Add ss r or Lot No. Owner Address ...........................•-•-------•--.. Installer Address UType of Building Size Lot............................Sq. feet Dwelling—No. of Bedrooms--------------------------------------------Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) Other fixtures . -•------------------------------•--••........ W Design Flow............................................gallons per person per day. Total daily flow....._.._.__.__._...__.___________..........gallons. Gd Septic Tank—Liquid capacity............gallons Length................ Width................ Diameter._._____--_---_. Depth................ 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........................ P4 ...•--••--•-••---------------•-•-••••-••-•-•••-•----••---•----•...-•---...........•--•--•--•-_•••.............................................. ----- • " 0 Description of Soil...................................................................................................................................................................... x ---------•---- -----------------•--------------------------------------------------•-•--------••-------••••- f� --•------------ •-- ;A::................. - -•--- V Nature of Repairs or Alterations^ Answer when applicable__�?}f.__i�Z ----------- ...... ..........Ae /C a •-•----------•---•...../.........-•••-•-•---- Agreement: , The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITI-2 5 of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been issued b 'the board health. Signed- '� j"=fir '!f-...... /` ,✓-°�'�=�:�= . '�. �/ r -, --- _,,t = w_.� Dater',..• Application Approved BY -'' '== =- '`_fL � �. ..__.._.. ~7 Dat Application Disapproved for the following reasons------------------------------------------•--•--------------...--------------------------------------...-•••----- ----------------------------••--------•-----------------.._....---•-------------......-----------........_...-•--------••-----------------------...-----------------------------•••----................ Date PermitNo...........`........................................... Issued....................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOAR[;)--.,,OF HEALTH �...............` .................. ......................... ....... .. .. ... ........................ Tntif irab of (11ontph anrr THIS IS,T,O ,E..,&T_I.FY, That th Individual,Sewage Disposal System constructed ( ) or Repaired ✓ y 1 /� Installer .......................................................... has been installed in accordance with the provisions of TITIE 5 of The State Sanitary Code as described in the application for Disposal Works Construction Permit No------ dated-._.._i- �...........` �_�___{............... TIME ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUE® AS A GUIRANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE.............,---6-1...... ..�c.. _ .......................... . Inspector.., .. -•---•---••-•--------------- THE COMMONWEALTH OF MASSACHUSETTS '- BOARD_. OF HEALTH Nof_.'�.'............. ...............OF..... !.i %"' .�"y_1-...Chi--. .................................. :ety t ! FEE........................ R1111 o al W ko Tonotr i ffll Writ �' f Permission is hereby granted-......-•-•••lC._,r`'f >" � n to Construct (_ ) or Repair ( an Individual Sewage Disposal System 1 at No. .........................1} C.`.-'------ .................-•--.--t:......-------------•--------.....-•--....-•---•--•---•--•--••-•••••-••---•-••-•----•-----_--••-- Street " as shown on the application for Disposal Works Construction Permit No .... .-Dated....._ ................................. - _ DATE.. „ -•-•- :r..._._...... t �• Board of Health _� FORK 1255--HOBBS & WARREN, INC.. PUBLISHERS �1 RIDGE VENT co FM FM Ell IIII I I R2 3 0 L� - - - - z 0 r x* mz 00 PROPOSED FRONT ELEVATION Z 05Z M g J r 00 - - Wcn oo M oz MWCO ca REFER TO 2009 IRC Q a w 0 8TH EDITION MASSACHUSETTS Z 06 W GENERAL NOTES: A. 1. Before final Drawings and Specifications are issued for W construction,they shall be submitted to all governing building C agencies to insure their compliant with all applicable local and national codes. If code discrepancies in Drawings and/or Specifications appear,the Designer shall be notified of such. discrepancies in writing by Builder or building official,and allowed to alter Drawings and Specifications so as to comply with governing codes before construction begins. 2. Upon written receipt of approval from the governing official, approved final Drawings and Specifications shall be submitted to the Builder by the Designer. 3. If code discrepancies are discovered during the construction - process,Designer shall be notified and allowed ample time to remedy said discrepancies. RIDGE VENT 4. All work performed shall comply with all applicable local,state — — — — —and national building codes,ordinances and regulations,and all other authorities having jurisdiction. — — — — —— — - 12 B. All contractors,subcontractors,suppliers,and fabricators,shall be _ _ — U) responsible for the content of Drawings and Specifications and for — — — — _— —— — - z TCH TO the supply and design of appropriate materials and work 0 EXIST, performance. _ — — Q C. All manufactured articles,materials and equipment shall be applied, ASPHALT SHINGLES installed,erected,used,cleaned and conditioned in strict — — _ _ _ — O accordance with manufacturers recommendations. _ — — Z D. All alternates are at the option of the Builder and shall be at the W Builder's request,constructed in addition to or in lieu of the typical construction,as indicated on Drawings. z E. SPB Designs is not responsible for any plan discrepancies. Builder&Homeowner to review plans before start of construction. — — f- U z - � W W U) Q a W r H SOLARIUM NOT � J SHOWN FOR CLARITY r: u O 11 Q Ln V U SCALE 114"=1,-. - - — DATE 5/15/15 DRAWN BY PAB REAR ELEVATION- REVISIONS: PROPOSED RIGHT ELEVATION t' DRAWING NUMBER � - � ��/WJA ° Al COPYRIGHT SPB DESIGNS 2015 Ali uQ�U4 E U O L cd A C '7 - Q N N LANDING ' 6'-21/a" i Q 3'-0" � i---- o o -----i NOTE:ALL EXTEROR WALLS ARE 2X6 ' p 12'-0' ' V i Z ' BATH co 0 0 O 5 � � z (DININ BEDROOM #2 W Z 00 Oo i a � ' KITCHEN °Z z z a co M co V ' II ; V) D Xz CD I I J I I o z m O N FAMILY ° ' o o -j o p Q o G II T QU aw In GREAT II ` ' -- -- - ` ` ROOM od V ., n ROOM SCUTTLE 3i TZ z ' W REMOVE IIIII ' EXISTING WINDOW IIIII®r ' LIVING ROOM o BEDROOM #1 1 I NOTE:BUILDER TO VERIFY EXISTING&NEW DIMENSIONS II I FOYER TW2446 5'-93/a" V-21/a" ------- 4 c/) Ln z Q EXISTING WALL= O O z PROPOSED FIRST FLOOR. NEWINA�L= ® �Z Lu 0 z r5 w 00 o w is � z �_..: a J i— 00 C Q In cc CD O SCALE DATE 5/15/15 DRAWN BY PAB REVISIONS: DRAWING NUMBER COPYRIGHT SPB DESIGNS 2015 A2 2X8 P.T. DECK JOISTS @ 16" O.C. 514" r EXISTING WALL= -- NOTE:REFER TO AMERICAN o a o D WOOD&PAPER ASSOC. a h- m a H NEW WALL= O 10"CONCRETE FILOLED ; PRESCRIPTIVE RESIDENTIAL X.a m a �` SONOTUBE 4'-0"BELOW !r WOOD DECK CONSTRUCTION GUIDE ___ GRADE I V N N �-------------- ------------------ -r -----+ --------------------------------+ I I 1 , I pv d p d a pv d • p d • •I. 1 O I i 8"X7'-10"CONCRETE ii ; CIS (2)1/2"DIAMETER HURRICANE WALL W/20"X10 THRU-BOLTS W/WASHERS. TIES H2.5A i ; CONT.CONC.FOOTING ii o BEAM MUST BEAR FULLY C ON 6"X6"NOTCH WITH A MIN 6"X6"P.T.POST. P.T.LEDGER BOARD W/ �}LL GAIZ 2-2X8 P.T.BEAM LVANED ALUMINUM FASHING&5"(2) L > Z 1EDGEROK @ 24"O.C. °• ;,II r •y�^�uj '1ICrJ,I� II , u W ; ' r UQU I ; Z tLLLlI�JJlLL O Oil 4 i /L♦ SIMPSON ABU66 W/ I , ; L ; y c �U n °• 1 C 5/8"ANCHOR BOLT V- i } J H @ EACH SONOTUBE (n J z �� 1 X ¢Q II 1 O I I _ I I IciwU co �U ;i I 2PLY BEAM 0 I lih' w � O I � ' ' I > BASEMENT DECK SECTION DETAIL ILL m O C9 IC%k 1 1 , Z U = *'CONCRETE SLAB 1; SCALE:1/411= 1'-U' ' ' 0 ; ' 1= ¢8 3,000 PSI @ 28 DAYS n 1 0 O Z w n w 3/4"AGGREGATE ' I Z II , z 9 O coU) uj c// zcrm I 1 1 l OLf) W CV j Z °• ' � Z t4 c00 0= I, • , d' G I , V' lLp= J �j 1 , z z Pn MATCH NEW FOUND. I' � ' a z m �O � ELEVATION W/EXISTINC-I'i v ; J O i Z --------- FOUND_ELEVATION ': °` ; Q V "' 0 06 L1. 2X8 CEILING JOISTS @ 1611 O.C. ° ° - ° ° o z RIDGE VENT MATCH NEW FLOOR JOISTLu X ______ - I ---- 0 -- -------- ------------1- ELEVATION W/EXISTING W (� 2X12 RIDGE ; FLOOR JOIST ELEVATION ' 1 I , W < A5 1 12' 2X10 RAFTERS NOTE:BUILDER TO VERIFYFLOO EXISTING&NEW DIMENSION S 12 1/2"CDX ROOF SHEATHIN 1 1 I I 1 I I I I 11 1 •__________ , 1X6 COLLAR TIES Lim MATCH TO @ 16' EX, PITCH FRAMING PLAN. O ; ; ; o FOUNDATION PLAN- L(!L)JI I I I H j 1X6 1X8 Z I I—^ N V, , I 1 I I I r , 1 I I I I I x I 1 I I 1 I I I 1 HURRICANE HURRICANE W TIES H2.5A R-38 TIES H2.5A 1 ; 2X8 CEILING JOISTS � I ' ' ' ' z' ' ' ' ' ' ' iX3 STRAPPING z ' 11 @ 16 O.C. 1 1 I 1 I I 1 1 I I 1 W/1/2"GYPSUM , � 1 I I I I I 1 I I , , Q I I 1 I > O1 I I I I 1 I 1 I I 1 W wFAMILY ROOM O 1 , I I , I I I , I I r--1 •� R 1 , R-21 = I , I I I I I I 1 I I I I (� W O Vz 3/4".T&G � , , I I 1 I I , I I I 1.._ FLOOR SHEATHING 2X10 FLOOR JOISTS ' I I I I I 1 I I I H 0 W LL • 2-2X6 P.T. R-30 W � � SILL PLATES - , I I I I I I I , ; cl) Z • I , I I I I 1 I 1 1 1 , `T L CZI 1 • --- =-- -- — — --- =-- OBASEMENT ' --- --- --- pC co � O U) 1� Ln U 2X10 RAFTERS @ 161I O.C. p P• W ; , SCALE 1/4"=V-U' DATE 5/15/15 4"CONCRETE SLAB DRAWN BY PAB e•o•• •o:• : -------- REVISIONS: SECTION A ROOF FRAMING PLAN- DRAWING NUMBER COPYRIGHT SPB DESIGNS 2015 ��