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1232 MAIN STREET (COTUIT) - Health
1232Wa' in Street(Cotuit) l Cotuit P I 1 r. I TOWN OF BARNSTABLE OCATION t �� SEWAGE# ,.01'9'- i 33 VILLAGE , - ASSESSOR'S MAP&PARCEL 633 0e4k7;X INSTALLER'S NAME&PHONE NO. SEPTIC TANK CAPACITY LEACHING FACILITY: (type) _7( (size) NO.OF BEDROOMS _3 OWNER PERMIT DATE: j- `Z—{47-7- COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility 4-- Feet Private Water Supply Well and Leaching Facility(If any wells exist on site or within 200 feet of leaching facility) f_4 Feet Edge-of-Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) Feet FURNISHED BY OO 3 No. / I d,f v'" Fee f5z_ THE (OMMON*EALTH OF MA ACHUSETTS Entered in computer. PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes RppliLation for Misposal Opstem Construction permit Application for a Permit to Construct( Repair( ) Upgrade( ) Abandon( ) A Complete System ❑Individual Components Location Address or Lot No. /23 a H4-�n :Sk l Owner's Name,Address,and Tel.No. Aral��O_k Tn ri oU=c�iCIYYF'3 o k .-e.e Assessor's Map/Parcel U 33 -oGQ-GG� 8,wwiam Installer's Name,Address,and Tel.Np. 5�09-�,A9- �9a6 Designer's Name,Address,and Tel.No. 70�-!Q �r lit; G'or5t-►rvc G, s3v,c �x1�1-;���4,- Z-C. moo. �x 4219- o. o e oa��s Type of Building: Dwelling No.of Bedrooms 3 Lot Size nJq 444,4 sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) 3 3 p gpd Design flow provided 9Y5 . 4 gpd Plan Date Number of sheets Revision Date Title s Size of Septic Tank SfUG Type of S.A.S. /.2. 6 Description of Soil s Nature of Repairs or Alterations(Answer when applicable) CJ a/1 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 Environment an of to place the system in operation until a Certificate of Compliance has been issued by this Board of He Signed A Date 0 Application Approved by U7 J c4K /t Date Application Disapproved by Date for the following reasons C r Permit No. Date Issued 51-714 oNo. A / ~t �+ C Fee f l THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes A. . PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS 2pplicatlon for -misposal *pstrm ConetrUction i3ermit i 3 Application for a Permit to Construct Repair( ) Upgrade( ) Abandon( ) �Complete System El Individual Components T: Location Address or Lot No. j l r� � .{ Owner's Name,Address,and Tel.No. �� "!�` ',75 �'-V t y Lei CC:S�c Fl f :CCC �Y171 vi Assessors Map/Parcel p -v �-G ;.t c' ✓ c t t_P flJ1 Ill_ C3�a i4')�cz.n t �tr,n rytnftlY Installer's Name,Address,and Tel.No. 5o:3-4/,),3- `S Designer's Name,Address,and Tel.No. t3vr�,.,Io(xy 'C'ot�sE-rca�.E-c•:�.-� ��;�� �s ,�;:i�'-,`���5; ,s►�C. �o. :��t ca t�. ,Pit X r)",Ll Xf6tr.<,Fc. Mf 0 A . yo,4aa(. ;ate r�w� - s•u�� t��c �.� Type of Building: Dwelling No.of Bedrooms i Lot Size � y 44A -4 sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) '3 ) gpd { Design flow provided Y 5 gpd Plan Date Number of sheets Revision Date r Title ` Size of Septic Tank /, cp, Q l Type of S.A.S. 1/2. 53 Description of Soil Nature of Repairs or Alterations(Answer when applicable) tl-�Xs2�t ,. �. ,,,(• /� Xe,A x. J Date last inspected: / / r Agreement: .� f i;, ,�•� : ' t L �:C,._ tom-- "--•,w.-,,,.....w. 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 ff&J hot to place the system in operation until a Certificate of Compliance has been issued by this Board of H ealth" Signed s / �}f"Z-..--r^^�,^ Date A lication Approved b �r � PP PP y �r Datl Application Disapproved by Date for the following reasons Permit No. f/ 3 Date Issued ' 'yam r v - -- - - - - - --- -- - ---- ------- -- - --------------- -- -- ------- r 0/0 -1 3J THE COMMONWEALTH.OF MASSACHUSETTS BARNSTABLE,f MASSACHUSETTS b,rA ., Certificate of Compliance _.._. 10, THIS IS TO CER IFY,that the On-site Sewage Disposal system1Constructed( Repaired( ) Upgraded( ) Abandoned( )by 1�Mae, �� C � at. 1.132. l'I rr.t m 4• f_i4"4— 9 has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No. �CJ -/ dated Installer !''inn '#A titt��sr'a.1✓: �nrt : r, Designer .�i�:,r..,� #bedrooms 'S Approvvpd,design�flow !'��^ t gpd The issuance of this permit shall no}�jbe construed as a guarantee that the system will functionas`+es'gn°ed. Date (�I 1 57 t � Inspectors,._, � � No. -3. Fee C-0 THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION-BARNSTABLE,MASSACHUSETTS MispoBal *pstem Construction i3ermit Permission is hereby granted to Construct(�� Repair( ) Upgrade( ) Abandon( ) System located at P ,;l 3:,,1. t and as described in the above Application for Disposal System Construction Permit. The applicant recognized his/her duty to comply with Title 5 and the following local provisions or special conditions. Provided:Construction ust be completed within three years of the date of this permit. Date / 7l� Approved by y -20-2018 22:49 From: To:15087906304 Pa9e:1/1 Town .of Barnstable WERegulatory Services Richard V. Scali,.Director Public Health Division . n Thomas McKean,'Dii ector 200 Main Street, Hyannis,MA•0260I Office. 508-962-4644 Fax 508-790-6304 Date q- Sewage Permits a0l'9 J 3.3 Assessor's Map•/Paircel 33 •D 3.S,-Ool •00 Z... Installer:&Designer Certification Farm Designer: S't ty e:�o I Installer: �r'ib Ia►� �� CM�K Address: 'orb. ;(o!2 Address: O-_max 7o q. On as issued a permit to•instau e (date :(installer) /� septic-system at I3a !t-, CC' based on a design drawn by (address) dated v/ ., (d der) t `/' I certify that the septic-system referenced above was installed substantially according,to` the design, which may include.minor approved changes such as lateral relocation of the distribution box and/or septic.tank. Stripout (if required) was inspected and the soils were.found satisfsctory. ; I certify that the septic system- referenced above was installed with major changes (i.e. I4 greater than 10' lateral relocation of the SAS or,any vertical relocation of any component of the septic system)but in,accordance with State &Local Regulations. Plan revision or. certified-as=built by designer to follow. Stripout(if required)was:u¢spected and the soils were.found satisfactory. I certify, s� m ieferenced above was constructed'in compliance'with the terms of the provak'Ietters (if applicable). �NGFP k�N�EbWpN��s, (Installer's Signature) . wa, atzsa (Designer's Signature) (Affix Designer , V •e 'RETURN TO.BARNSTABLE PYJBLXC EmALT'H.DIVISION: :CERTIFICATE OF COMPLIANCE'.VVILL•. NOT..BE ISSUED UN TM-BOTH THIS' FORM' AND AS- BMT,CARD-ARE RECEIVED BY TIM BARNSTABLETUBLIC HEALTH DIVISION. THANK YOU. ; ' •,• ' q:loffice'fonnaWesi�trcettification fionm.doc Town df Barnstable Departinent of Regulatory Services a�waresf�s f Public Health Division Date _ MARS 200 Main Street,Hyannis MA 02601 `Date Scheduled Zo 1 - t Time Fee Soil Suitability Assessment for Sewage Disposal Performed By: 15�e-c'1'� k c- GhM 4 Witnessed By:_a6"j rj A.4 U 1 LOCATION&.GENERAL INFORMATION Location Address t,232 �aa St• Owner'sNamo l J pp v v ; Address a 2y V�+0 L0.B uSl• Assessor's Map/Parcel '1�3 I'GGg I Oo 2 Engineer's Name4St► UPC— NEW CONSTRUCTION RBPAIR Tele hone# Land Use• t r� I Slopes M n Surface Stones its&xc- Distances tiiom: Open Water Body k d� r ft Possible Wot•Area�Iyo ft Drinking Water Well OO ft Dralhage Way > ft Property Line t�ft Other ft SIMTCHC(Street name,dimensions of lot,exact locations of test holes& ore testa• , p ,locate wetlands-in proximity to holes): 0 �. N x Parent material(geologic) Depth to Bedrock > 5a t ' r Depth to Oroundwatar. Standin Waterin Hole: AONZ" rah► P g t..�•V D Weeping iYom Pit Fnca Estimated Seasonal High Groundwater a DETERMINATION FOR SEASONAL•RIGH WATER TABLE Method Used: Depth Observed standing in ohs,hole: In, Depth to sell mottles In,' Delith to weeping from side of obs.hole: In, Groundwater AtJuattrtent ft. Index Well-# Reading Dato: Index Well level Adj hotor ,.,.�. Adj.Clroundwator•Levol•„_ PERCOLATION TEST Dote , TIme , Observation Hole# Tt Tinto at 4" Depth of Pero _ •Time at 6" Start Pro-soak Time @ I l O I Time(411•6") and Pro-soak i1 Ito ` Rate Min./Inch . L 2 K w �Lt, 25 q((e#4S d0 P 6►a `ram So4� Site Sultablllty Assessment: Sits Passcd J Sitp Failed: Additional Testing Needed(Y49 Original: Public Health Division Observation Hole Data To Be Completed on Back------- ' ***If percolation test is to be conducted within 100' of wetland,you must first notify the Barnstable Conse}wation Division at least one(1)week prior to beginning. Q:\SBPTlC1PBRCFORM.)OC DEEP.OBSERVATION HOLE LOG Hole# ?t' Depth from Sall Horizon Soil Texture Shcl Color Sall. Other Surface(in.) (USDA) (Munsell) Mottling (Stnueture,Stoned;Boulders. . �sietancy.%'Oravell DEEP OBSERVATION HOLE LOG Hole Depth from Sall Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. ��- 32' t� �s • 2 1'10 DEEP OBSERVATION HOLE LOG Hole# i e Depth from Soil Horizon Sall Texture Sall Color Sall Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders., o k$A s k�,e arc cta��r DEEP OBSERVATION HOLE LOG Hole# Depth Pram Sall Horizon Sall Texture Sall Color Boll Other Surface(In.) (USDA) (Munsell) Mottling (Structure,Slopcs;Boulders, 0-Ifs k k'W a►+t ha jut Flood Insurance Rate Man: / Above 500 year Mood boundary No— Yes Within 500 year boundary No= Yes Within 100 year flood boundary No.-C— Yes ))eath of Naturally Occurrint;Pervious Material Does at least four feet of naturally occurring per lour material exist in all areas observed thrpughout the area proposed for the soil absorption system? If not,what Is the depth of naturally occurring pervious material? Certification I certify that on lD •2002 (date)I havepassed the soil evaluator examination approved by the Department of Environmental Protection and that the above analysis was performed by me consistent with . the required training,expertise and experience described in�110 CMR 15.017. Signature Datb 2 1`(' Q:xSEPTlC%PR11CPORM.DOC TOWN OF BARNSTABLE f LOCATION /�,��``� SEWAGE # VILLAGE_ ASSESSOR'S MAP & LOT INSTALLER'S NAME PHONE NO. J004.J.-M 49 .,:SEPTIC TANK CAPACITY LEACHING FACILITY:(type) Cq (size) 4)I((,-f Y P NO. OF BEDROOMS PRIVATE WELL OR PUBLIC WATER_�t/ BUILDER O WNER �� DATE PERMIT ISSUED: IT- DATE COMPLIANCE ISSUED: VARIANCE GRANTED: Yes No � . ' �\ �. _�I �� �' " -- r TOWN OF BARNSTABLE LOCATION 1� M�1�1 ST SEWAGE # r:VILLAGE C d�V 1+ ASSESSOR'S MAP & LOT 033r cl IN,STALLER'S NAME&PHONE NO. SEPTIC TANK CAPACITY l 0VU — O LEACHING FACILITY: (type) 0-411tt„S 3 (size) 4 x y NO.OF BEDROOMS BUILDER OR OWNER PERMITDATE: COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility (If any wells exist on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching fa i1i �— l Feet Furnished by T�1 .S�Cil 4 1) �l . Foee (j 0 iaG as a LQJ- SL 8' So 3 l q !9 ............ ...... FIZ11.......................... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH �.........OF...... ....13.. ........ Appliration for 14sVosal Works Tonstrurtion ramit Application is hereby made for a Permit to Construct or Repair (I an Individual Sewage Disposal System at: ..................... ........................... ... ......T.....ja..I........................................ Location Addr ss or Lot No. ............ ..........C.a..It.LK J..T.......... ..............."I',-,--,'-----------------------------------o--—----- 0-ner Address ............................ .......................................................................................................... .. ..... ;eer27" Address n Type of Building Size Lot..Z�,57010.Sq. feet U Dwelling—No. of Bedrooms__.....A3...............................Expansion Attic Garbage Grinder Other—Type of Building ............................ No. of persons............................ Showers Cafeteria Otherfixtures ....................................................................................................................................................... Design Flow......S.115. .........................gallons per person er dq., Total daily flow.....33.0....... ---- Ions. ...�'epti Septic Tank—Liquid capacity1000.gallons (P. �Vidth J0... Diameter................ Depth. ........... Disposal Trench—No.,-,,,,,.7 Width....G............. Total Length.....tl......... Total leaching area.. .. ........sq. ft. Seepage Pit No.3..G.0.....t- ................ Depth below inlet.... ............. Total leaching area..................sq. ft. meter.... Other Distribution box Dosing tank ( ) Percolation Test Results Performed byl_3460<� tf�T ... .............. Date4- tl. ...3.3....... Test Pit No. 1................minutes per inch Depth of Test Pit.1.44..... Depth to ground water.._..._____... _ Test Pit No. 2................minutes per inch Depth of Test Pit.._................. Depth to ground water------------------------ ....................................................10....................................................................................................... 0 Description of Soil.... ---------P.M.-t-2 ............................... �4 -Z?�-p-r-�-`�-1---�..� ......Ws._:o........ J_X ............................................................. ----------------------------* I ....................................................................................................................................................................................................... U Nature of Repairs or Alterations—Answer when applicable............................................................................................... ....................................................................................................................................................................................................... Agreement: The undersigned agrees to install the aforedescribed Individual Sewage osal System in accordance with e g- led g the provisions of T I T 1Z- 5 of the State Sanitary Code—The undersigned __rthe_ rees not to place the system in operation until a Certificate of Compliance has, been iie the board of�llt4h. tied? t. Signed ... ..... ...L%'d ............ ..........�'__u Date ...... Application Approved By---...... /YA-Al. ..... . ................................................. --- Date Application Disapproved for the followiz�g reasons:.............................................................................................................. ......................................................................................................................................................................................................... O Date PermitNo...........� ------------------ Issued........................................................ Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH .....OF...... -�.3..........i.................................. THIS IS TOACERTIFY, That fqe In�,&Y, idual Sewage Disposal System constructed or Repaired L Z"t/1 by-------------------- .....11,21..... .........:.......;!-" ........................................................................................ Ire at . .I .. .......... .............................. ..... ......................................................................................... ........ has been installed in accordance with the provisions of TIT 5 of The State Sanitary Code as described in the application for Disposal Works Construction Permit No. 6.�M............. dated-------1 > THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE................................................................................ Inspector.................................................................................... NOIJ Fizz.......................... .4 THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ......... W-1.).........OF...........13.. - - -I.. ............ Appliration for Disposal Works Toustrurthin ramit Application is hereby made for a Permit to Construct or Repair ()0 an Individual Sewage Disposal System at: ........................... ..... A-----I T ........................................ Location-Add "I : ss r Lot No. W T.Q.1...e.. ..... ....................................................... .... ...... ...C .......... ... ... 4, Owner Address . ... ............................ ------------ ------------------------------------------------------ In er Address Type f Building Size �Lot.._Zn 570.OSq. feet 7- Dwelling—No. of Bedrooms-------A3...............................Expansion Attic Garbage Grinder (W Other—Type of Building ............................ No. of persons.........................__. Showers Cafeteria Other fixtures -------_---_------:------------------ ----------- ----------"--------------- Design Flow......5,5...............:........gallons per person .0......................Olons.,p;r day.. Total daily flow......3.3 Septic Tank—Liquid capacityt(100.gallons Length...0...-&"Width%.1Q0..1`Diamcter---------------- Depth.,.5_773 Disposal Trench—No.j.,.k.;,...... Width......-.._....... Total Length.....-....___.... Total leaching area.. -1j.4 ...sq. f t. Sinlet........_.........Seepage Pit No:'-...GO......A)?ameter.................... Depth below Total leaching area..................sq. f t. Other Distribution-box ( ) Dosing tank ( ) 'P -Percolation Test Results Performed by.ISAX'11-.V�...:;�.. ... )EI ....................... Date 1.4 Pit_ .......Test Pit No. I......:Ztt..minutes per inch Depth of Test P Depth to ground water......�-0. Test Pit No. 2................minutes per inch Depth of Test Pit..___......._.. Depth to ground water........................ ............................................................................................................................................................ 0 Description of Soil.... .........R.V t-. r 47 .............................. ............................................................. y .......NN - - ------------- .........SAINJJ..) -----------------*------------ ........................................................................................................................................................................................................ U Nature of Repairs or Alterations—Answer when applicable............................................................................................... ........................................................................................................................................................................................................ Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Duspo al System in accordance with the provisions of T IT IE 5 of the State Sanitary Code—The undersigned rther grees not to place the system in er operation until a Certificate of Compliance has been i the board of Ith. Signed.. ....... ... ............... ....... ................ ....... ........ .... ANA-A D Ite ApplicationApproved By...... .. ......... ............. ................................................. ......... Ll=Y .. Date Application Disapproved for the follow ioreasons:.............................................................................................................. ......................................................................................................................................................................................................... �q Date PermitNo.......... T� ..................... Issued....................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEAL .................................. (Intifiratr of Tompliattrr THIS IS TO ERTIFY, That e 4iny I Sewage Disposal System constructed or Repaired ,�4 C�l t?e) by----------------------------I ...................................................................................... ----- ------------------- ------- ------ ---- s er" 1 at.........Lz.-Z .......... o .................................. ..................:........................................................................................ has been installed in accordance with the provisions of TITj� 5�of ,he State Sanitary Code as described in the application for Disposal Works Construction Permit No .......... ............. dated.......t� .2 ........ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE... ..... Inspector..... .... --------- ------------------------------------------------ THE COMMONWEALTH OF MASSACHUSETTS BOAR OF HEALTH OF HE ALTH ............OF.....7"'�......... ... . ......................................... N .................... FEE._..................... otts Disposa nr Permission is hereby grante ........ ....... .... ..... ............................................................................ Seb to Construct or RepUai an nd' idual S a e D. System at No......L2.1-2 ......... ... . . .. ........ ... . ......a....... ... .... ............................................................................... Street as shown on the application for Disposal Works Construction.qermit No -?�&ated...... ---------------------*....... ------------------------- S - 7111........................... ... B o�rh Health DATE.............................................. .......... FORM 1255 HOBBS & WARREN, INC., PUBLISHERS r . , COMMONWEALTH OF MASSACHUSETTS EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS ' DEPARTMENT OF ENVIRONMENTAL PR G T-ION RECEIVED OCT .2 8 2003 TOWN OF BARNSTABLE HEALTH DEPT. TITLE 5 OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM FORM PART A CERTIFICATION MAP Property Address: 1232 Main Street �o Cotuit, M..4 02635 PARCEL, Owner's Name: Estate of John Mather LOT :, v Owner's Address: Date of Inspection: September 27, 2003 Name of Inspector: (Please Print) James M. Ford Company Name: James M. Ford Mailing Address: P.O. Box 49 Osterville, MA 02655-0049 Telephone Number: (508) 862-9400 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 the inspection. The inspection was performed based on my training and experience in the proper function and maintenance of on site sewage disposal systems. I am a DEP approved system inspector pursuant to Section 15.340 of Title 5(310 CMR 15.000). The system: ✓ Passes Conditionally Passes Needs Further Evaluation by the Local Approving Authority Fails Inspector's Signature: Date: September 30, 2003 The system inspector shall subm i copy of this inspection report to the Approving Authority(Board of Health or DEP)within 30 days of completing this inspection. If the system is a shared system or has a design flow of 10,000 gpd or greater,the inspector and the system owner shall submit the report to the appropriate regional office of the DEP. The original should be sent to the system owner and copies sent to the buyer, if applicable,and the approving authority. Notes and Comments ****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. Title 5 Inspection Form 6/15/2'000 page I Page 2 of i l OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address: 1232 Main Street Cotuit, J�IM Owner: Estate of John Mather Date of Inspection: September 27, 2003 Inspection Summary: Check A,13,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: B. System Conditionally Passes: One or more system components as described in the"Conditional Pass"section need to be replaced or repaired. The system,upon completion of the replacement or repair,as approved by the Board of Health,will pass. Answer yes,no or not determined (Y,N,ND)in the for the following statements. If"not determined",please explain. The septic tank is metal and over 20 years old* or the septic tank(whether metal or not) is structurally unsound,exhibits substantial infiltration or exfiltration or tank failure is imminent. System will pass inspection if the existing tank is replaced with a complying septic tank as approved by the Board of Health. *A metal septic tank will pass inspection if it is structurally sound,not leaking and if a Certificate of Compliance indicating that the tank is less than 20 years old is available. ND explain: Observation of sewage backup or break out or high static water level in the distribution box due to broken or obstructed pipe(s)or due to a broken, settled or uneven distribution box. System will pass inspection if (with approval of Board of Health): broken pipe(s)are replaced obstruction is removed distribution box is leveled or replaced ND explain: The system required pumping more than 4 times a year due to broken or obstructed pipe(s). The system will pass inspection if(with approval of the Board of Health): broken pipe(s)are replaced obstruction is removed ND explain: I 2 Page 3 of 11 OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address: 1232 Main Street Cotuit, MA Owner: Estate of John Mather Date of Inspection: September 27, 2003 C. Further Evaluation is Required by the Board of Health: Conditions exist which require further evaluation by the Board of Health in order to determine if the system is failing to protect public health, safety or the environment. 1. System will pass unless Board of Health determines in accordance with 310 CMR 15.303(1)(b)that the system is not functioning in a manner which will protect public health,safety and the environment: Cesspool or privy is within 50 feet of a surface water Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh. 2. System will fail unless the Board of Health(an Public Water Supplie r,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 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 ppm,provided that no other failure criteria are triggered. A copy of the analysis must be attached to this form. 3. Other: M 3 I Page 4 of 1 I OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address: 1232 Main Street Cotuit, MA Owner: Estate of John Mather Date of Inspection: September 27, 2003 D. System Failure Criteria applicable to all systems: You must indicate either"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 ✓ 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 I of a public well. ✓ Any portion of a cesspool or privy is within 50 feet of a private water supply well. ✓ Any portion of a cesspool or privy is 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 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 ppm,provided that no other failure criteria are triggered. A copy of the analysis must be attached to this form.] No (Yes/No)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 System: To be considered a large system the system must serve a facility with a design flow of 10,000 gpd to 15,000 gpd• You must indicate either`yes"or"no"to each of the following: (The following criteria apply to large systems in addition to the criteria above) 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. 4 Page 5 of 1 I OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B CHECKLIST Property Address: 1232 Main Street Cotuit, MA Owner: Estate of John Mather Date of Inspection: September 27, 2003 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: Yes No ✓ 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(3)(b)]. 5 i Page 6 of 11 OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION Property Address: 1232 Main Street Cotuit, M4 Owner: Estate of John Mather Date of Inspection: September 27, 2003 FLOW CONDITIONS RESIDENTIAL Number of bedrooms(design): n/a Number of bedrooms(actual): 4 DESIGN flow based on 310 CMR 15.203 (for example: 110 gpd x#of bedrooms): 440 Number of current residents: 0 Does residence have a garbage grinder(yes or no): n/a Is laundry on a separate sewage system (yes or no): No [if yes separate inspection required] Laundry system inspected(yes or no): No Seasonal use(yes or no): No Water meter readings, if available(last 2 years usage(gpd)): Unavailable Sump Pump(yes or no): No Last date of occupancy: Unknown COMMERCIAL/INDUSTRIAL Type of establishment: Design flow(based on 310 CMR 15.203): and Basis of design flow(seats/persons/sqft,etc.): 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: Last date of occupancy/use: OTHER(describe): GENERAL INFORMATION Pumping Records Source of information: Unavailable Was system pumped as part of the inspection (yes or no): No If yes,volume pumped: gallons-- How was quantity pumped determined? Reason for pumping: TYPE OF SYSTEM ✓ Septic tank,distribution box,soil absorption system Single cesspool Overflow cesspool Privy Shared system (yes or no) (if yes,attach previous inspection records, if any) Innovative/A Item ative technology. Attach a copy of the current operation and maintenance contract(to be obtained from system owner) Tight Tank Attach a copy of the DEP approval Other(describe): Approximate age of all components, date installed(if known)and source of information: May 28187-per as built card Were sewage odors detected when arriving at the site(yes or no): No 6 C Page 7 of 11 OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: 1232 Main Street Cotuit, M4 Owner: Estate of John Mather Date of Inspection: September 27, 2003 BUILDING SEWER(locate on site plan) Depth below grade: Materials of construction: cast iron _40 PVC other(explain): Distance from private water supply well or suction line: Comments(on condition of joints, venting, evidence of leakage,etc.): SEPTIC TANK: ✓ (locate on site plan) Depth below grade: 16" Material of construction: ✓ concrete _metal _fiberglass _polyethylene _other(explain) If tank is metal list age: Is age confirmed by a Certificate of Compliance(yes or no): (attach a copy of certificate) Dimensions: 1000 gal. (H-20) Sludge depth: 2" Distance from top g of sludge to bottom of outlet tee or baffle: 30" Scum thickness: 6" Distance from top of scum to top of outlet tee or baffle: 8" Distance from bottom of scum to bottom of outlet tee or baffle: 10" How were dimensions determined: Measuring stick Comments(on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert,evidence of leakage, etc.): Tees were present. The liquid level was even with the outlet invert. There did not appear to be any signs of leakage. Recommend Pumping GREASE TRAP: None locate on site plan) ( P ) Depth below grade: 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: Comments(on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert,evidence of leakage,etc.): 7 I Page 8 of 11 OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: 1232 Main Street Cotuit, AM Owner: Estate of John Mather Date of Inspection: September 27, 2003 TIGHT or HOLDING TANK: None (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: Qallons Design Flow: gallons/day Alarm present(yes or no): Alarm level: Alarm in working order(yes or no): Date of last pumping: Comments(condition of alarm and float switches, etc.): DISTRIBUTION BOX: None (if present must be opened)(locate on site plan) 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.): PUMP CHAMBER: None (locate on site plan) Pumps in working order(yes or no): Alarms in working order(yes or no) Comments(note condition of pump chamber,condition of pumps and appurtenances,etc.): 8 r • Page 9 of 11 OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: 1232 Main Street Cotuit, MA Owner: Estate of John Mather Date of Inspection: September 27, 2003 SOIL ABSORPTION SYSTEM(SAS): ✓ (locate on site plan,excavation not required) If SAS not located explain why: Type leaching pits,number: leaching chambers,number: ✓ leaching galleries,number: 3-4'x 4'(per as built card) 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.): The galleries were dry. There did not appear to be any signs of failure. The galleries were 12"below grade. CESSPOOLS: None (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 or no): Comments (note condition of soil, signs of hydraulic failure, level of ponding,condition of vegetation,etc.): PRIVY: None (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.): 9 I Page 10 of 11 OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: 1232 Main Street Cotuit, M4 Owner: Estate of John Mather Date of Inspection: September 27, 2003 SKETCH OF SEWAGE DISPOSAL SYSTEM Provide a sketch of the sewage disposal system including ties to at least two permanent reference landmarks or benchmarks. Locate all wells within 100 feet. Locate where public water supply enters the building. iab as a0 O a 18 6 3 3o 3 � q 19 10 F Page 1 I of 1 I OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: 1232 Main Street Cotuit, MA Owner: Estate of John Mather Date of Inspection: September 27, 2003 SITE EXAM Slope Surface water Check cellar Shallow wells Estimated depth to ground water 25 +/- feet Please indicate (check) all methods used to determine the high ground water elevation: Obtained from system design plans on record- If checked, date of design plan reviewed: Observed site(abutting property/observation hole within 150 feet of SAS) ✓ Checked with local Board of Health-explain: topographic and water contours maps Checked with local excavators, installers-(attach documentation) Accessed USGS database-explain: You must describe how you established the high ground water elevation: Using the Barnstable topographic map and the Cape Cod Commission water contours map,the maps were showing approximately 25'+/-to ground water at this site. This report has been prepared and the system inspected and passed as of the date of inspection. This report is not a warranty or guarantee that the system will function properly in the future. There have been no warranties or guarantees, either expressed, written or implied, relating to the system, the inspection and/or this report. I I1 I - SETBACKS RF ZONE BUILDING SETBACKS.(MIN.) r - FRONT YARD 30' ?, r MAP 18 r � SIDE & REAR YARD 15' ' LOT 061 MAP 33 LOT 010 MAP 33 `l! �„_.Y�, •.--»--�.,,,,.,1 LOT 013 "' APPROX. a . 2.T S72'42'50"E ocnTCloN + 32.00 � SHOWER � —• •-- --• � � ��� S73'35'50"E 201.22 UP_92/40A ,6 O �C ;" 1,11 UHr OHE .a . BM C Ira Ljj AL FF=50.71 _ p —EX— GAS CHIMNEY 3 I . PROP PAVED. BLK I C 1 LOCUS MAP BM PAVED DRIVEWAY HD �11232 � y o1 r NOT TO SCALE MAP 18 16.4 r LOT 060 LAN� TREES/� . I S PE )) 72.42'S0°W so.00 BENCHMARK .- GSARAGE SLAB EL=48.5 --- PLANTER SHRUBS MAG NAIL 51.3� .2 ' ABOVE EXISTING) W F 49.0 100.5' N MAIN STREET o '48 z l I M ELEVATION 49.09' N I 48 2ND1FL Rt ,2.s3' x 25.0' � MAP 33 GENERAL NOTES EX.SHED T j� ELOCA�fED DE¢K 1 SAS SYSTEM LOT 001 2 1" pL I I VER OUT / I TP 3 1. RECORD OWNER = 2p -t g BRENNAN, SUSAN L. ET AL O O 7824 UNDERBRUSH LANE TREES/ > ORLANDO, FL. 32819 TP # SHRUBS w DEED SK. 18428 PG. 142 BUILDING _ TANK D-BOX W ._ PLAN BK. 207 PG. 105 SETBACKS 0 P 0-0 — V) 2. PROPERTY IS SHOWN AS LOT 033-009-002 ON ASSESSOR'S MAP 33 AND ® WOOD FENCE M 1 •� 09 APPEARS TO LIE WITHIN THE RF DISTRICT PER THE BARNSTABLE __ 35.00� �• GIS RECORDS. UP_41 N70'34'40"W .�_ N71.56'00"W 3. PROPERTY LINES SHOWN WERE. DERIVED FROM AN ON THE GROUND SURVEY CONDUCTED 09/18/2014. LINES OF OCCUPATION, AND FOUND MONUMENTATION. MAP 33 MAP 33 LOT 005 LOT 006 4. ORIGIN OF ELEVATIONS IS ASSUMED. 5. PARCEL LIES WITHIN FLOOD ZONE C PER FIRM MAP 250001 0018 D LAST REVISED 7/2/1992 AS SHOWN ON THE FEMA WEBSITE. 1 6. EXISTING CONDITIONS SHOWN HEREON WERE COMPILED FROM I AN ON THE GROUND SURVEY CONDUCTED 12/21/13 AND I PLANS ON RECORD. 7. SEPTIC LOCATION FROM AS BUILT RECORDS PROVIDED N P.14 I I BY THE BARNSTABLE BOARD OF HEALTH. EDWIN 9Oy 8. ORIGIN OF BEARING FROM PLAN BOOK 266 PAGE 71. LOCUS PLAN ROTATED Existing Grade Inc. �ro H. G�� TO MATCH REFERENCED PLAN. POJECT Surveyors & Civil Engineers 8 CIVIL • SCALE CLIENT PO Box 612 - SEPTIC DESIGN PLAN 558 • N®. ARCHITECTURAL INNOVATIONS FOR o� o1/2s/,5 Dennisport, MA 02639 �o �f�O 15 30 508-694-6501 Ph/Fax P.O. BOX 2056 1232 MAIN STREET SHEET NO. ssIONA� �a . COTUIT, MA 02635 COTUIT, MA 02635 1 OF 2 #ODTE REVISIONS SOIL LOG TEST HOLE 01 - ELEV.•4& DEPTH FROM ELEVATION OTHER (� d4IES� DESIGN FORMULA: SURFACE SOIL SOIL TEXTURE SOIL COLOR SOIL MOTTLING S1GNfS.eOULDERS, 1. ALL SYSTEM COMPONENTS SHALL BE INSTALLED IN COMPLIANCE WITH THE STATE SANITARY CODE (INCHES) (r HORIZON (USDA) (MUNSELL CONSISTENCY, I<GRAVEL) TITLE V AND THE TOWN OF BARNSTABLE BOARD OF HEALTH REQUIREMENTS. Milk! REQUIRED PROVIDED 0'-18' 48.7' A LOAM 10 YR 4/2 NONE FRIABLE � IW-38' 45.0' B LOAMY SAND 15 Y 8 4 NONE FRIABLE 2. ANY CHANCE TO THIS PLAN MUST BE APPROVED BY THE BOARD OF HEALTH AND DESIGN ENGINEER. DAILY FLAN. 38"-120' 38.2' C MED SAND 2.5 Y 8 3 NONE FRIABLE 3. HEAVY EQUIPMENT SHALL NOT TRAVEL OVER DISPOSAL SYSTEM DURING OR AFTER CONSTRUCTION. 3 BEDROOMS O 110 GPD/BEDROOM 330 GPD SOIL LOG TEST HOLE #2 - 8EV.•47.9# 4. TIGHT JOINT (T.J.) PIPING SHALL CONSIST OF POLYVINYL CHLORIDE (PVC) PIPE, SCHEDULE 40. SEPTIC TANKS: ELEVATION ALL PIPES TO BE LAID ON FIRM BASE AND TO BE WATERTIONT. ALL CONNECTIONS AND JOINTS 33A GPD x 200?b DSURFACE (FEET) HORIZON S01I, TEXTURE SOIL SOIL:MOTTLING 8 DES,T SHALL BE MECHANICALLY SOUND AND TIGHT. 860 GAL ,500 GAL (INCHES) ( j�CHING AREAS: 0'-14' 48.73' A LOAM 10 YR 4/2 NONE FRIABLE S. DISTRIBUTION BOX SHALL BE WATER TESTED FOR LEVELNESS. � 28'-32' 45.2Y B LOAMY SAND Lb Y 8 4 NONE FRIABLE 8. NO GARBAGE GRINDER IS ALLOWED. 2'CHAMBERS ® 8.5 LONG x 4.83 WIDE 2 EFFECTIVE DEPTH - 4 STONE 3Y-12W 37.9' C MED SAND 2.5 Y 8 3 1 NONE I FRIABLE :::d7, DISTRIBUTION BOX SHALL HAVE AN INLET TEE EXTENDING TO ONE INCH ABOVE THE SIDEWALL:((12.83x2)'t(25.O.Ox2'))x2 151.3 SF SOIL LOG TEST HOLE #3 - ELEV-•4&2' OUTLET INVERT ELEVATION. I BOTTOM: (12.83'x25.0') 320.8 SF pgpTM FROM p ttg�UpNRE� S. SEPTIC TANK MALL BE EMBOSSED WITH SEAL STATING CONFORMANCE WITH ASTM C 1227-04. TOTAL: 472.0 SF SURFACE ELEVATION SOIL SOIL TExTURE sal sdL MOTTLING atDNF ,80ULOERB, LEACHING CAPACITY: (INCHES) (FEET) HORIZON (USDA) (MUN CONSISTENCY, X 0RAV15j 9. ALL SEPTIC SYSTEM COMPONENTS SHALL BE DESIGNED TO WITHSTAND H-10 LOADINGS. SIDEWALL: 151.3 SF x 0.74 GAL SF 112.0 GAL 0'-18' 48.7' A LOAM 10 YR 4/2 NONE FRIABLE 10. SEP11C TANKS SHALL BE PROVIDED WITH AT LEAST THREE 20' DIAMETER MANHOLES WITH READILY BOTTOM: 320.8 SF x 0.74 GAL/SF 237.4 GAL 18'-38' 45.0' B LOAMY SAND 2.5 Y 8 4 1 NONE I FRIABLE REMOVABLE IMPERMEABLE COVERS OF DURABLE MATERIAL 38"-120" 38.2' C MED SAND 2.6 Y 8 3 NONE FRIABLE TOTAL: 330 GAL 3 9.4 AL SOIL LOG TEST HOLE #4 - ELEV.=47.90 I& CONTRACTOR SHALL OVER EXCAVATE LEACHING PIT BOTTOM TO A DEPTH DEPTH FROM OTHER ((STRUCTURE, 11. BEFORE BACKFILUNG THE SYSTEM THE CONTRACTOR $HALL NOTIFY TH OF HEALTH TO INSPECT. OF FIVE FEET TO VERIFY THAT NO GROUNDWATER WILL BE ENCOUNTERED. SURFACE ELEVATION SOIL SOIL TEXTURE SOIL COL WL MOTTLING STONES,BOLIUM , 2.Q f (INCHES) (FEET) HORIZON (USDA) (MUNSELLL) CONSISTENCY, X GRAVEL) 12. CONTRACTOR UITABLE SOILS UNDERTE WITH THE BOARIENWEt TO THE AREA OF THE PROPOSED LEACHING SYSTEM.THE EXCAVATION OF 14. ALL UNSUITABLE SOIL MATERIAL IN AREA OF AND BELOW PROPOSED SOIL 0'-18' 48.85' A LOAM 10 YR 4/2 NONE FRIABLE ABSORPTION SYSTEM (S.A.S.) SHALL BE REMOVED AND REPLACED V47H CLEAN. 15"-38' 44.9' B LOAMY SAND 2.5 Y 8 4 NOW FRIABLE COARSE SAND WITH A PERCOLATION RATE OF 2 MIN/INCH. 38'-120' 1 37.9' 1 C I MED SANG I 2.5 Y 8 NONE FRIABLE I& AREA 5 FEET BEYOND OMIT OF SOIL ABSORPTION SYSTEM (S.A.&) SHALL BE PERCOLATION TEST BYe SCOTT NcGANN (NOTES 13 , 14 AND 15 DO NOT APPLY FOR THIS DESIGN) EXCAVATED OF UNSUITABLE MATERIAL TO TOP OF C2 LAYER. FORt EXISTING GRADE, INC. WITNESSED BYiBARNSTABLE BOH AGENET DONNA NIDRANDI THREE MANHOLE COVERS. BRING A MINIMUM OF ONE DATEi 9/25/2014 PERC RATES (B MPI IN C LAYER COVER TO WITHIN 6" OF FINISHED GRADE. BRING OTHER NO GROUNDWATER ENCOUNTERED COVERS TQ WITHIN 12" OF FINISH GRADE. 1. SEPTIC TANK SHALL BE EMBOSSED WITH SEAL TOP OF FQUNOA110NE 9 MIN. COVER OVER TANK. 2. CORROSION RESISTANT AS BAFFLE SHALL BE `1 WITI I MINIMUROW OF M ONE ACCESS ORTGPERAMBERS CHAMBER ELEV®49.0 INSTALLED ON SEPTIC TANK OUTLET TEE. 4'.(TYP) 4' TYP) DOUBLE WASHED2" C3ue F.G.�48.5f CED Ir ;1DOUBLE PEA CFI ova�WATEnair MIMSM COM '� 44 o 3/4' TO I-I/2' 4 2" OF 1/8"-1/2" 35' ° 4� °+ ° 4� ° WASHED STONE SAffl� UNE DOUBLE WASHED PEAST�ONE 24 o q e° p G a 4 4'PVC 0 2!E " 8" SUMP 1X TOP PEASTONE ELEV 45.82' 4 I I� 4 PVC O 3SC 4, -` F.G.m48t 4, INV. IN 1 500 GALLON 14-0 4'- I 1 46.76' SCEPTIC TANK INV. OUT 4" PVC O 2Z TYI'. TYP. 4'-10 c1 46.51 • 12' - oDo O oD oaf INV. IN 00000oe % 00 % M0N00 ►o �o C o n o ° oo INV. IN o 44.62' 5' MIN MUM \ .1�i LEVEL STABLE 6' 44.95 NV. PUT 25.0' -� SEPARA ION ' ; CRUSHED STONE BASE 52 '�•78 BOTTOM OF 3 4- - 1-1 2- DOUBLE 00TTOM OF III STA E ,� 8.25' TRENCH 42.62 3' MIN. WASHED CRUSHED STONE TRENCH 42.62' BOTTOM OF TRENCH GROUNDWA ER �� R A� ��(Id �\ 20" MI ' USE CONCRETE PRODUCT, INC. 1500 GAL STABLE 8" LEVEL FOR ENTIRE QV�� C. \k �+-e MIN. SEPTIC TANK OR APPROVED EQUAL LEVEL CRUSHED STONE BASE LENGTH p\, .1- 2" MIN. MAINTAIN 10.0' TYPICAL HAMBERI CORROSION RESISTANT GAS BAFFLE FROM , " BY TUFTITE OR APPROVED EQUAL Qe ��-10" MIN. 14 RESERVE (NOT To SCALE) M'" TYPICAL SEPTIC SYSTEM PROFILE Hi. Existing Grade Inc. CIVIL N o.41294 N M w PROJECT NO. Surveyors & Civil Engineers ,sTe�e SCALE CLIENT SEPTIC DESIGN PLAN De 5 Box 612 i.FSS,oNAL E ` w-- 01/26/15 De Box MA 02639 ARCHITECTURAL INOVATIONS FOR m 0 15 so P.O. BOX 2056 1232 MAIN STREET 508-694-6501 Ph/Fax SHEET No. - - COTUIT, MA 02635 COTUIT, MA 02635 DATE REVISIONS 2 OF 2 S2 3 S2 `. S1 Nq V, Z Gl m Q / :� 7'-J" 30-2• 7-G, I�-I, I�-I° fNv 1-• QP I I QP v O " —— — —— - - - - -- - -- - - — ----- - - - - — i III •( F 3 ,.P w :; � �LL e Z 3 U I# 06AR4eECEILIG AWALS in I u I III � �n I nl WET BAR �Fp N III I I I U O I I Y III 1 § m � uj 0 a LOFT 2 III •I I U 293"x 13'-10' _ III .I AZEK DECK G � I Q � QP I y, III O P O I'- U2• I'-I O 3'-7 I/2' aK,2J P HSS 4X4X1/ HSS 4X4X1/ ——_ �i DN Q " O O POST 81 W14 X 43 STEEL BM. POST --—— I P $ DN 1 _ 1 F a LINEN � FOSS Jr'—_—_7 I°. ---- ..I N 2'-2 1/2" _ _ ------ I`Q ---- SH ER 2CAR GARAGE � �I � USE(3)1 3/4"X 9 12"LVL RIM BD. I I. BEDROOM`W-Ia,F r-D• § q TO AVOID BALLOON FRAMING m 13'b'x 13'-10" I § ($STAIR OPENING BATH: USE AFPA PORTAL FRAME DETAIL " FOR GARAGE DOOR OPENING ,t © ,rl `cIP n 3 (3)1 3/4"X9I10 NTINUP1 US LVL HEADER (INRAP STRAP AROUND DR) ~STRAP AROUND HDR) F 1/2' 2'-7 I!2' T-3" 10P 6'-1 OF 4'S' IT 25-9 4-5' 30-2` m Z O n ID proposed proposed GARAGE PLAN t t—;= STUDIO PLA N 1/4" = 1'-0" - 1/4" = l'-O" - -- --------------------------.:I . r-.--- -- .. --- I I Z I 0 - t", I MYvS'S"THICK POURH)CONCR:TFTOUNDATION I I I ROST WALL ON 9Y 1 C°CONTINUOUS CONC. I W Q Q I O'DIA.CONCRETE SONOTUBPS W! I FFOOTING BOTTOM TO BELOW FR05T UNE(4MIN-) I I ABU6G POSE T BA5E NY 5/0•IWCNOR I ANCHOR.BOLf5�3�°O.L. "' G rO?,ECBVE 1.6 P.r.FOSrS I I I I Z 5OrrOM5 TO BELOW FROST L NE 1 I I I I I_ 0 I I I LL I I 11" I F- I I . I I BcxaL'x1rTHIC% 4"'o, I F I Q D 0 A ( CONCRETE FOOT NG — U FBOVEL POSTS I I 'UNOER POSTQ I IINTERIOR DOOR SCHEDULE F- 1n toI KEY ROUGH OPENING W x H SIZE STYLE NOTES Z CONCRETE SLAB I Z I I 14 I O 32"x83" 2'-6"X6'-8' RIGHT HAND SWING DOOR-BPANEL SOLID CORE MASONITE Z Q — I I "4 TH.CK CONCRETE SLAB FLOOR I I I J —_--� 1 I I 2 32"X83" 2'-6"X6'-8" LEFT HNdDSWINO DOOR SOLID CORE MASONITE Q NY FIBS?,MESH REINFORCING, I I O C n- _——— I OVER G MIL POLY VAPOR BARRIER ( I G NOTES: 1 ) ONCIFAN MIN.''BELOW FOUNDATION AIR DATIONF, I 3 5'1-1/4"X7'01/d" 2'-6"%6'B' POCKET DOOR-SPM EL SOLID CORE MASCNfTE T.O.BIAB MIN.4'BELOW FOUNDATION WALL [IROVARWATON WALL PERMEfR 30"% 2-4"X6'-8° RIMY HAND SAMO DOOR-B PANEL SOLID OOREMASNITE V 0 A 'OCi2"FOM 0NF PLgTEALVANCR BOLTSOF_TE5USE813I WASHERS LT J _ EMBENfMENf MIN. ILL. WINDOW & EXTERIOR DOOR SCHEDULE - L____J I ;� � L� I KEY ROUGH OPENING W x H ITEM# STYLE NOTES a ti I L J I II O©© T-10"%6'- ' D FRES WALL I2-TO ECEIVE sue 2'8"x 6'8" RH FIRE DOOR SOLID CORE MASONITE —_ CAL 11 A GARAGE DOOR 3'-2°x8-1 310°RH INSWING 9LITE DOOR FIBERGLASS proposed ————-- -- —-------- DATE : 04/26/2018_ 9W X VH OVERHEAD DOOR STEEL ----EI F O U N D A T 10 N P L A N O 7-10"x 6-11' 78"x 6'8" LH FIRE DOOR SOLID CORE MASONITE SCALE: AS NOTED 1/4" = 1'-0" 9'-G" 2'-O y'-G' Q 2'-10"x V-11" 2'8"LH INSWING 9 LITE DOOR FIBERGLASS OF 7-610XW-8718' TW2446 DOUBLE HUNG I ANDERSEN 400 SERIES DRAWING#: ,-4 I/2" I 2'-7 1/2'. I 3" 101 N T. ma� � Q z m CCWTtNUOUSOWNERV lil vj N curou-SEE AM RAKE TRIM®GABLE ENDS: Fm I RIDGE VENT X Z I Xa,I X3 BU LT-OUT RN•E zit IXG RAKE TRM Xa,1 X3 AZEC RAKE®DORMER. .ANDERSEN 400 SERIE5 e �a U DM'WDWS W/ X4 ClSIh6 ' /// D uD �- ARC.,,LTUR4L ASPHALT SHINGLES =O N ~ 12 BOARD Q J . 1 CEILING MEGMT g (�DOFhIF.R d AZEK DECKING, _ 76'-a /2'NDw HOP. w.c.SHINGLES Q PNUNG AND TRI ® AZEK DECKING, J'� (TYPIOAL) +' RAILING ING WTRIM F F F F RYPICX5'0.N"5". B'SOFPT OVERHANG I - f�'P CAL B' i s 'ND FLOOR_4 44 ArEHT. _N'DW MOPI X9 BOARD LJ—L_LJ L.J—L1.J ® FIR.Sr R5i rL FLOOR thy;. D W SHINGLES �•;•- �� (P'Pi.C.CAQ I XV05 CORNER BD5. .._ (TYPICAL) C C ;TDP'OP;,FOUND. �- 1 OVERHEAD GARAGE DOORS proposed ti ; proposed LEFT SIDE ELEVATION FRONT ELEVATION ' c - 0 CONTINUO CUPOl4-SEE ONMERFm AZEK RAKE TRI � P.1DGE VENTS rc M®GABL ENDS: I Xa,I X3 BUILT-OUT RAKE ANDERSEN 400 SERIES Dh WTI N'!I X4 CA51NG Xa, X3 AZEC RAKF- DOP.MPR L ARCMIfECNRAI ASPHALT 511IN.L.E_: , 12 E� CEIUNG HE.GHT V-8 ti2•_WDW HDR _ AZEC W I XG FRF12EeCARD RAILING ,ND FR)n+ c C N�P.I F F 5 DORMER. F F F f �IB F 2ND FLOOR. Q C) `)PLATE MT. f OR/WDIA'MDR 1 XB FIRST FL BOARD W.C.SHINGLES FIRST BOOR Z (TWIC.N.) W.C.SHINGLES Q. IXQIXSCORNF.RBDS. (TYMCAL) (TYPICAL) Q I XGI 05 CORNER BD5. (,41 (TYPICAL) (v) w TOP OF POUND. �� J c ui U P. J W proposed z F proposed REAR ELEVATION RIGHT SIDE ELEVATION DATE: 04T2(3(2()t8 SCALE: ASN+OTED DRAWING Ik AZ - 3 f S2 31 N Z m� O CONTINUOUS RlD VENT I ( N 2XI2 P.DGE BOa;G 2x4 COLLAR E5 01C"O.C. O Vr O -- - - -- - - - - - Z SOL D B OCK NG ND 0 RM W LL LL Z� F 12 .. I o J� U �G 3xl0 ROOF RATERSdIC'O.C. Lax ..,�2xl0 PJRLIN-TYF. N/5/S"CDKP xM1Vfi.$REAMING< I 0 45PHALT ROOF SnINGL. - O xB CEILING JSrS./ X COLLAR TIPS®16"D.C. a1 R FBGL.-N s \ HZ.5 HURRICANFClIP5 9 "T I FL O JOI TS 1 "O. IW"o O P.'•/ALJE a 49 "' Wj EACH CLOSED CELL FOAM ceiling ht. ANonerFr,IAssINsulAna( -- a 0 ALL SLOPEp CEILINGS FLUSH LVL \ \ Do U R VALUE—30 SHED DORMER BT'OND \ \ e N - M 'v \ 3/4"T<G PLY.\O 3JBPLL- DN �' LOFT L\ 9 /z'PJOST5 JO}3'f.ltD �'.- \ FL FIBERGLASS S 11(y l pP JJ \; BL VL \ C FIBERGLASS IN 11LATfidvx-,' HSS 4%4%1/ SS 4X4 1/4 n2.S nURRICAur cI1P5 tItIRP���I�I \ - R VAWE a 30 ( ( POST g1 W1 X S EEL BM. OS Q EACH R tR(rxP.) II' II \•` c Z 9 } t second Floor 1 top plate OPEN -------------------- -- __ .. f0 � OBL LVI. 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I 2 CLOSED CELL FOW a _ , AND FIBJ.GIASS INSULATION" 2x 10 ROOF RAFTERS®1 w O.C. @ ALL 5L0Fe5 \ "I N,COX"0 SnFATHING< " R VALUE-30 2Y8 CEIL NG JETS./ ASPHALT POOP SH NGLES Z LONAR.r.e5(2 1 H2.5 HURRICANE GUFS / W!FBGL NEUL \ O a EACH RAFTER(".) P VALUE�49 &5OFFR OVERHANG ceiling ht. W Q F- (N ICFL) \ dormer late ht. V 0 ANDERSEN 400 SERIES DH WWOW5 / \ 3i4°TLC PLYWO.5UBr9L0OR ON F D 0 91/2-A5J20 ALL JOIST 2ND Z / BEDROOM LOFT \ \ FLOOR JasT9©Iv O.C. X 1 RI GE 60 RD b a / //'D R VALUE-30 = - a U Q 2,6 ETHER STUD WALL5 WJ / ou \ 12 R21 1N5UlAn0N,l/2-FLYND. �L$ w SHEATHING.HOL'Se WRAP<Wc. Z second-floor h-' 5H1NGIf+S B r)tPOSUPF Q top Plate - = fn J SOLID BLOCKING SOLID BLOCNNG LVLHEADER UNDER00-IRMALL B/NFIR!COOEG:'PS.BD. UNDER DORMER WALL Of •, Z d W14x43STEELBEAM GARAGE CEILING<w.nLs window header h (2)2XIO'E @GAMBREL Q Ur (2)2x10'S @ GAMBREL S BREAK L NE BREAK LINE Q Z To N S•xtY O.H.GARAGE DOORS TWO CAR Qf 4 p GARAGE F n IM N Q 0 6 ik LL top of found.WI R w iti — ft P.l.2u.SILL PIArE 11'i 5W ANCHOP. — — — — — —— — — — — _ 4'rH•CK PDURED CONCRETE SLAB FLOOR BOLTS,MAX. 'O.C.<G"-1 2'FROM ^* NtiH 6"x6"-I Or10'fIBPR MESH RPINf ORCING END OP FL.{TES.USE 3^,3'x1/4'YLA2 a ON CLEAN COMFACTEO GRANULAR BASE WASHERS.BOLT EMBENTMENT MIN.?° DATE: 04/26/2018 &THICK POURED CONCRETE FOUNDATION LL WA - I ON I ON G'CONTINUOUS CONIC.Foon"IG BOTTOM TO BELOW MOST 0E 14'MINJ 2X10'S 2X10 FRAFTERS @ 16'O.C. 10'S SCALE: AS NOTED _ @ 15'O.C. 16"O.C. S2 SECTION THRU GARAGE @ BEDROOM Dlznwwcn A3 1/4•=r0 ROOF FRAMING PLAN A3 - 3 . 1/4°=T-7 t ---F; T-F- -71- 1-1-7�77 Ij 4 44 -4- j 7' 4'-J ---------- --- --------------- ........... 4-4 ............. ------------ z ------- 3;z 10 . 7 TIP A: I ci Ise Box PROV i Ve tAAW"OLE A LL -S LAS --O),,l -G k t-A RUC Ufzr-5 ,E)Z' ZA TER IV re BACW04*,A to EL 5-r i t4 A-r I Ib I -r,:�> ur- V siz-1 1:1 S�D Op NV le Q G I PAW IV 0'PST CIVI:- 0 A'S LS A, ALL LOA M C.- Is 7'- AtL -5?7 U LII AP-P--.)'ZOX X L/ 4L Z- 'L�y 4-ILI 4 (z Y L/ /&-0 L)'T)'L) TY -Ac Tv A I- ),�.j '45 LOC-A7)6 0*,Iz- �.5YS P's 5F-;PT) ujiTH -r)TL S F A t;� 1-25 V11- �,eAl6lAle 4CR