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HomeMy WebLinkAbout0072 OCEAN VIEW AVENUE UNIT #A - Health - -- --_ __ - --- -- ---- - --- -- - 'Pr - 0 ,314 0 5l Id-3 n � No. ! Fee t THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS ftpficatiou for �Disposai *pstrm Construction Permit Application for a Permit to Construct( ) Repair( ) Upgrade Abandon( ) ❑Complete System Individual Components Location Address or Lot No.-]Z B oLc" V%w k/e,., Owner's Name,Address,and Tel.No. M+C1geJ 2Cei Assessor's Map/Parcel (o Su .ti Arv- -M-7-7t. Ixstaller's Name,Address,and Tel.No.�opj (,`��� �,t Designer's Name,Address,and Tel.No.ll. -r- �• S® Z z Type of Building: Dwelling No.of Bedroom�'c\4 J� sC,Lot Size 12- 4 A4o sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) gpd Design flow provided gpd Plan Date Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. Description of Soil Nature of Repairs or Alterations(Answer when applicable) So ok�^u Q( Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of Compliance has been issued by this Board e gne Date Q1IY4`ks- Application Approved by Date Application Disapproved by Date for the following reasons Permit No. (9D Date Issued 'a`3� t No., J V Fee 'i THE COMMONWEALTH OF MASSACHUSETTS Entered in computer:_ Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS application for Disposal 6pstem Construction Permit Application for a Permit to Construct( ) Repair(') Upgrade Abandon( ) ❑Complete System Individual Components Location Address or Lot No.72 6 o(.es.n 4,t,v NVe,, Owner's Name,Address,and Tel.No. M.cj-,9fl Assessor's Map/Parcel bDC1"N 5 3c Nobs"T' }�oev lln t I,nstaller's Name,Address,and Tel.No.tor (-i� �-r U). Designer's Name,Address,and Tel.No was Type of Building: Dwelling No.of Bedrooms 44 4.4st Lot Size Z o sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria(—) Other Fixtures ' Design Flow(min.required) gpd Design flow provided gpd Plan Date Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. , Description of Soil Nature of Repairs or Alterations(Answer when applicable) --� �`2 �ac2Y �4 � P`� Q--C-- t ` Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of Compliance has been issued by this Board ' �'Heal� . Srgn—e Date c$ Application Approved by om� Date Application Disapproved by Date for the following reasons Permit No. DD 15 Date Issued '� 5 i ------------------------------------------------- - --- - -- - - -------------------------'------------------------------- I ^^ THE COMMONWEALTH OF MASSACHUSETTS Oro BARNSTABLE,MASSACHUSETTS Certificate of Compliance i THIS IS TO CERTIFY,that the On-site Sewage Disposal system Constructed( ) .Repaired( ) Upgraded c Abandoned O by a l G G at 72 t o(e.cin \/(c4j kVc- C_,a, c,k has been constructe in accordance f with the provisio)ns)of Title 5 and the for Disposal System Construction Permit NcGjO 5:� dated Installer, i Designer #bedrooms A- Approved design flow AJ 'gpd The issuance of this permit shall not be construed as a guarantee that the system wil as designtd. Date��I ' - Inspector 7 No. 9 � Fee� t� THE COMMONWEALTH OF MASSACHUSETTS PUBLIC;HEALTH DIVISION-BARNSTABLE,MASSACHUSETTS _ i Misposal �pstem ConstrUctio Arm Permission is hereby granted to Construct( ) Repair( ) Upgrade( Abandon( ) System located at 77 y -e,J AL/< i 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 co 'pleted within three years of the date of this permit. f Date v Fn r Approved by C— P— 7y TOWN OF BARNSTABLE LOCATION /!J O CC An V 1 G W A VC. . SEWAGE# VILLAGE C 0TU 1+ ASSESSOR'S MAP&PARCEL INSTALLERS NAME&PHONE NO. SEPTIC TANK CAPACITY CQ S S 0'1 LEACHING FACILITY:(type) C"5rPOD) (size) NO.OF BEDROOMS OWNER G rA W POr G PERMIT DATE: 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 facility) Feet FURNISHED BY cTiO^ F o r l '13 C O'ITASL t IS 1 30 /S- Ey� 33 I Built Page 1 of 1 t.U/7A9� S J TOWN OF BARNSTABLE ✓ LOCATION �a Cwv tW Ave. SEWAGE x V]LLAGE C9rV ASSESSOR'S MAP&LOT 3 INSTALLER'S NAME&PHONE NO. SEPTIC.TANK CAPACITY /( 0 LEACHING FACILrrY: (type) �X� P-f /42 (size) / NO.OF BEDROOMS a BUILDER OR OWNER r0Ar�), PERMTTDATE: 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 acility) / J Feet Furnished by A X0 Z fi'1 Uri r0/C C0J1Aq(, a wql� 3 as 30 http://issgl2/intranet/propdata/prebuilt.aspx?mappar=034054&seq=4 8/13/2015 TO F BARNSTABLE RILOCATION W IjCpWn U1� HU>✓ SEWAGE# VILLAGE Ci1 ASSESSOR'S MAP.&PARCEL (J r�h0� INSTALLER'S NAME&PHONE NO. SOgCe //tPV 5�' y6t y 7 77Z, SEPTIC TANK CAPACITY )5 D b (,)GD I-�Z O LEACHING FACILITY:(type) _ /I(size) — 1� NO.OF BEDROOMS �jV�tJ� b v✓Je OWNER 81M PERMIT DATE: �S— �`�� 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 facility"") Feet FURNISHED BY A jlALk, 0, � �� 6G � 7� OCepv View , VrQ S . Novi 4^k EO � -- 7y TOWN OF BARNSTABLE LOCATION -i ll 0 Ce AA V 1 G W A VL SEWAGE# VILLAGE - C 0?—U aT ASSESSOR'S MAP&PARCEL INSTALLERS NAME&PHONE NO. SEPTIC TANK CAPACITY Ca SS P 09 LEACHING FACILITY:(type) C—,E POIo I (size) .NO.OF BEDROOMS 'OWNER G rAW Par 8 PERMIT DATE: 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 facility) Feet FURNISHED BY T/I SpGCTiO^ Or aALk a I A Q 1130 /S yJ33 C0771-49L �✓ TOWN OF BARNSTABLE ✓ "14 ��C�'�V tW Ave. SEWAGE # VILLAGE CUTVi1 ASSESSOR'S MAP & LOT -ooq INSTALLER'S NAME&PHONE NO. SEPTIC TANK CAPACITY LEACHING FACILITY: (type) �x(� s ' ' /4'-'6(size) NO.OF BEDROOMS o� 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 acility) Feet Furnished by Tit! Q, .� . r Co-TrA9L �ronT / 1 a - , J ViA l i �v Ia- _ 3 as 30 Barnstable P�oFiHE Tows Town of Barnstable � C�ty. k--( ,;,- Regulatory Services Department A�mNsca � c � n�eNsraut.r m �o " ;9'. Public Health Division O ArF�i6 MP�A 200 Main Street, Hyannis MA.02601 2007 Office: 508-862-4644 Thomas F.Geiler,Director FAX: 508-790-6304 Thomas A.McKean,CHO February 8, 2008 � Michael & Donna Couto U�q 106 Peakham Road Sudbury, MA 01776 a( Mtn U lM 1,J�`S 7 ORDER TO COMPLY WITH STATE ENVIRONMENTAL CODE, TITLE 5 The septic system located at 72 Ocean View Avenue, Cotuit MA (Beach House) was inspected on July 2, 2007, by James M. Ford, certified Title V Septic Inspector for the State of Massachusetts. The inspection of the septic system showed that the system NEEDS FURTHER �n O\ � EVALUATION under the guidelines of 1995 TITLE V Q 10 CMR 15.00) due to the it �J ��L;j following: Unable to locate the system for the beach house. It was installed in the 1920s or 1930s. No information is available. F After further evaluation by the Health Department, it is detennined that you are ordered to replace the septic system within Two (2) years of the date you receive this notification. Failure to repair/replace the septic system within the deadline period will result in future enforcement action. 4PME F BO RD OF HEALTH Thomas McKean, R.S.,-CHO Agent of the Board of Health I CERTIFIED MAIL# .1 doh a\S0 pooh 103`6 l9h 5 Q:\SEPTIC\Letters Septic Inspection Faihires\72 Ocean View Avenue Beach House�doc COMMONWEALTH OF MASSACHUSETTS� r EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS DEPARTMENT OF ENVIRONMENTAL PROTECTION i TITLE S OFFICIAL INSPECTION FORM.-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM FORM PART A CERTIFICATION Property Address: V:ew Avenue Cottage and Beach House s Cotuit. MA 02635 Owner's Name: Frederick Crawford �t v Owner's Address: Date of Inspection: July 2, 2007 Name of Inspector: (Please Print) Jmnes 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 perfonnedbased onny' training and experience in the proper function and maintenance of on site sewage disposal systems. jI am a)DFP approved system inspector pursuant to Section 15.340 of Title 5(310 CMR 15.000). The system: . cam, €-'- (Cottage-overflow) ✓ Passes ; Conditionally Passesw (Beach house) ✓ eds Further Evaluation by the Local Approving u.- rity a is ` aeaClt �"`;f . -_• c'' O co Inspector's Signature: Date: A 1v H. 2007 v7 CD The system inspector.shall sul a copy of this inspection report to the Approving Authority(Board if 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 6/15/2006 page 1 A ` �► Page 2 of 11 OFFICIAL INSPECTION FORM -NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address: 73 Ocean View Avenue Cotuit, MA Owner: Frederick Crawford Date of Inspection: July 2. 2007 Inspection Summary: Check A,B,C,D or E/ALWAYS complete all of Section!) 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 detennined",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 Jrnminent. 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: 2 Page 3 of 11 al OFFICIAL INSPECTION FORM.-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address: 73 Ocean View Avenue Cotuit, M4 Owner: Frederick Crawford Date of Inspection: July 2, 2007 C. Further Evaluation is Required by the Board of Health: ✓ Conditions exist which require further evaluation by the Board of Health in order to determine if the system is failing to protect public health, safety or the environment. 1. System will pass unless Board of Health determines in accordance with 310 CMR 15.303(1)(b)that the system is not functioning in a manner which will protect public health,safety and the environment: Cesspool or privy is within 50 feet of a surface water Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh 2. System will fail unless the Board of Health(and Public Water Supplier,if any)determines that the system is functioning in a manner that protects the public health,safety and environment: _ The system has a septic tank and soil absorption system(SAS)and.the SAS is within 100 feet of a surface water supply or tributary to`a surface water supply. The system has a septic tank and SAS and the SAS is within a Zone 1 of a public water supply. The system has a septic tank and SAS and the SAS is within 50 feet of a private water supply well. 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 arnmonia 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: Unable to locate the system for the beach house It was installed in the 1920s or 1930s. No information is available. 3 Page 4 of 11 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) .Property Address: 73 Ocean View Avenue Cotuit, MA Owner: Frederick Crawford Date of Inspection: July 2, 2007 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 "/2 day flow _ ✓ Required pumping more than 4'times in the last year NOT due to clogged'or obstructed pipe(s). Number of times pumped_. ✓ Any portion.of the SAS,cesspool,or privy is below_high ground water elevation. ✓ Any portion of cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply. ✓ 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 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 an question in Section E the Y s stem is considered y q a si ni ysignificant threat or answered g , "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 11 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B CHECKLIST Property Address: 73 Ocean View Avenue Cotuit, MA Owner: Frederick Crawford Date of Inspection: July 2, 2007 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. ✓ Detennined 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 Page E of 11 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION Property Address: 73 Ocean View Avenue Cotuit, NIA Owner: Frederick Crawford Date of Inspection: July 2. 2007 FLOW CONDITIONS RESIDENTIAL Number of bedrooms(design): n1a Number of bedrooms(actual): 2 . DESIGN flow based on 310 CMR 15.203 (for example: 110 gpd x#of bedrooms): n1a Number of current residents: 0 Does residence have a garbage grinder(yes or no): n1a Is laundry on a separate sewage system(yes or no): n1a [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/INDUS.TRIAL Type of establishment: Design flow(based on 310 CMR 15.203): gpd Basis of design flow(seats/persons/sgft,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 infonnation: 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(Cottage) Privy Shared system(yes or no) (if yes,attach previous inspection records, if any) Innovative/Alternative technology: Attach a copy of the current operation and maintenance contract(to be obtained from system owner) Tight Tank Attach a copy of the DEP approval Other(describe): Approximate age of all components,date.installed(if known)and source of information: The overflow was original, approx. 1920s/193N. Were sewage odors detected when arriving at the site(yes or no): No 6 L Page 7 of 11 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: 73 Ocean View Avenue Cotuit, AM Owner: Frederick Crawford . Date of Inspection: July 2, 2007 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) (Cesspool acting as aseptic tank) Depth below grade: Steel cover to grade Material of construction: concrete _metal _fiberglass polyethylene ✓ other(explain) Stone If tank is metal list age: Is age confirmed by a Certificate of Compliance(yes or no): (attach a copy of certificate) Dimensions: 6' W x 7'T x 9'bottom to grade Sludge depth: -- Distance from top of sludge to bottom of outlet tee or baffle: Scum thickness: Distance from top of scum to top of outlet tee or baffle: Distance from bottom of scum to bottom of outlet tee or baffle: How were dimensions determined: Veasuring stick Continents(on pumping recommendations, inlet and outlet tee or baffle condition,structural integrity, liquid levels as related to outlet invert, evidence of leakage,.etc.): The cesspool was made of stone. A steel cover was to grade An outlet tee was present The cesspool was dry, GREASE TRAP: None (locate on site plan) 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: Cottinents(on pumping recommendations; inlet and outlet tee or baffle condition,structural integrity, liquid levels as related to outlet invert, evidence of leakage,etc.)- 7 Page 8 of 11 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: 73 Ocean View Avenue Cotuit MA Owner: Frederick Crawford Date of Inspection: July 2, 2007 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: gallons 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 alann 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): Alarns in working order(yes or no) Corrunents(note condition of pump chamber,condition of pumps and appurtenances,etc.): . t 8 Page 9 of 11 OFFICIAL INSPECTION FORM -NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FOR M PART C SYSTEM INFORMATION(continued) Property Address: 73 Ocean View Avenue Cotuit, MA Owner: Frederick Crawford Date of Inspection: July 2. 2007 SOIL ABSORPTION SYSTEM(SAS): ✓ (locate on site plan,excavation not required) If SAS not located explain why: Type leaching pits,number: leaching chambers,number: leaching galleries,number: leaching trenches,number,length: ` leaching fields,number, dimensions: ✓ overflow cesspool,numb er: 1 Innovative/alternative system Type/name of technology: Comin.ents(note condition of soil, signs of hydraulic failure, level of ponding,damp soil,condition of vegetation,etc.): The overflow cesspool was 5'W x 6'T x T bottom to grade The overflow was dry with clean sand It was made ofcement block A steel cover was to grade. CESSPOOLS: ??Beach house) (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.):. Unable to locate the system for the beach house It was original from the 1920s/1930s No information was available 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 .. ' Page 10 of 11 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 73 Ocean View Avenue Cotuit MA Owner: Frederick Crawford Date of Inspection: July 2, 2007 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. '13 CoITASL' (3 Ack (3 . I Q 1 30 1-5- yF 33 10 <<� Page 1.1 of 11 OFFICIAL INSPECTION FORM -NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 73 Ocean View Avenue Cotuit, MA Owner: Frederick Crawford Date of Inspection: July 2. 2007 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-plares 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"naps Checked with local excavators, installers-(attach documentation) Accessed USGS database-explain: You must describe how you established the high ground water elevation: Using Barnstable topographic and water contours maps the maps were showing approximately 25'+1-to Around water at this site. Note: The estimated depth to ground water at the beach house is approximately 5'(unable to locate the system) This report has been prepared only for the septic system and components described herein. This septic system has been inspected 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 septic system, the inspection, this report andior any components of the septic system which have not been located and inspected. 11 TO: TOM FROM: SHARON DATE: 2/8/08 RE: 72 OCEAN VIEW AVE, COTUIT SEPTIC INSPECTION—BY JIM FORD. 508-862-9400 Judith gave me the attached Septic report this week that came in at the time Judith was switched to 100% scanning. It had a notation on it from you that the Beach House needs further information/inspection Jim had inspected the property which has two building on it and noted both on report. The issue is that the "Beach House"has a toilet but he could not locate the septic. It's a very overgrown area and he said it was only 3 feet away from the ground water. He thought it would be in failure because he couldn't identify where the septic is going, but he noted on report - Further Evaluate—for our decision. Please advise. .F John Skowronski MA 72 Ocean View Ave. Cotuit,MA. PO Box 772 02635 Health Division Mr. Thomas McKean 12 Jan.2006 '1 200 Main Street Hyannis , MA. 02601 RE :72 Ocean View Ave, Cotuit MA. Dear Mr. Mckean: I am writing to inform you that a berm is being placed over the septic tankAits ' question on 13 J . 2006. W=c eC ��¢ �u�yc;�-� In addition I am placing$2000 in escrow with Mr. Michael Coutou,the new owner, so that a new tank that is in compliance with code will be placed in the spring. Very truly yours, JAn Skowronki,M.D. " a Q. C) z MIN rn to r•- TOWN OF BARNSTABLE nn n sLQCE1TI0N�Q Oren A ti t ecJ I�V r SEWAGE # VILLAGE__CO ( l ASSESSOR'S MAP&LOT INSTALLER'S NAME&PHONE NO. SEPTIC TANK CAPACITY ISO 0 GA( — � LEACKNG FACILITY: (type) (size) oZ O X O i NO-OF BEDROOMS 3 BUILDER OR OWNER PERMIT DATE:3 L q� COMPLIANCE DATE: Separation Distance Between the: Mazimum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility (If any wells exist :on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) Feet Fuhushed by i A 1 o rc� g C97 'D��a� o13 COMMONWEALTH OF MASSACHUSETTS EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS DEPARTMENT OF ENVIRONMENTAL PROTECTION. TITLE 5 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM FORM PART A CERTIFICATION Property Address: 72 Ocean View Avenue Cotuit, MA 02635 Owner's Name: John&Helen Skowronski Owner's Address: 1 0 � ra Date of Inspection: January 3. 2006 �. Name of Inspector: (Please Print) James M. Ford < Company Name: James M. Ford E3 C Mailing Address P.O.Box 49 �Z Osterville,MA 02655-0049 Telephone Number: (508)862-9400 C T 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 Nee urther Evaluation by the Local Approving Authority Fail Inspector's Signature: M Date: January 6. 2006, The system inspector shall sub it a copy of this inspection report to the Approving Authority(Board of Health or DEP).within 30 days of completing this inspection. If the system is a shared system or has a design flow of.10,000 gpd or greater,the inspector and the system owner shall submit the report to the appropriate regional office of the DER 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 6/15/2000 page 1 Page 2 of 11 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A -. CERTIFICATION (continued) Property Address: 72 Ocean View Avenue Cotuit, MA Owner: John&Helen Skowronski Date of Inspection: January 3. 2006 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: 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: 2 Page 3 of 11 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address: 72 Ocean View Avenue Cotuit, AM Owner: John&Helen Skowronski Date of Inspection: January 3. 2006 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 CNIR 15.303(1)(b)that the system is not functioning in a manner which will protect public health,safety and the environment: Cesspool or privy is within 50 feet of a surface water Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh 2. System will fail unless the Board of Health(and Public Water Supplier,if any)determines that the system is functioning in a manner that protects the public health,safety and environment: The system has a septic tank and soil absorption system(SAS)and the SAS is within 100 feet of a . surface water supply or tributary to a surface water supply. The system has a septic tank and SAS and the SAS is within a Zone 1 of a public water supply. The system has a septic.tank and SAS and the SAS is within 50 feet of a private water supply well. 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: 3 Page 4 of 11 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address: 72 Ocean View Avenue Cotuit, MA Owner: John&Helen Skowronski Date of Inspection:. January 3, 2006 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 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 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 11 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B CHECKLIST Property Address: 72 Ocean View Avenue Cotuit, AM Owner: John&Helen Skowronski Date of Inspection: January 3, 2006 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 Page 6 of 11 it OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION Property Address: 72 Ocean View Avenue Cotuit, MA Owner: John&Helen Skowronski Date of Inspection: January 3, 2006 FLOW CONDITIONS RESIDENTIAL Number of bedrooms(design): 4 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: 2 Does residence have a garbage grinder(yes or no): Yes Is laundry on a separate sewage system(yes or no): n1a [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: Currently occupied COMMERCIAL/INDUSTRIAL Type of establishment: Design flow(based on 310 CMR 15.203): gpd 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: Pumped 2 months ago-per owner 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/Alternative technology. Attach a copy of the current operation and maintenance contract(to be obtained from system owner) Tight Tank Attach a copy of the DEP approval Other(describe): Approximate age of all components,date installed(if known)and source of information: Installed on 516198-per as built card Were sewage odors detected when arriving at the site(yes or no): No 6 Page 7 of 11 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 72 Ocean View Avenue Cotuit, MA Owner: John&Helen Skowronski Date of Inspection: January 3, 2006 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: 10" P 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: 1500 gal. Sludge depth: 2" Distance from top of sludge to bottom of outlet tee or baffle: 30" Scum thickness: 1" Distance from top of scum to top of outlet tee or baffle: 6" 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.): Cement tees were present. The liquid level was even with the outlet invert There did not appear to be any signs of leakage GREASE TRAP: None (locate on site plan) 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. ` Page 8 of 11 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 72 Ocean View Avenue Cotuit, 11 M Owner: John&Helen Skowronski Date of Inspection: January,3, 2006 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: gallons 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: ✓ (if present must be opened)(locate on site plan) Depth of liquid level above outlet invert: Even Comments(note if box is level and distribution to outlets equal,any evidence of solids carryover, any evidence of leakage into or out of box,etc.): The D-box appeared to be in normal condition. No solids were present 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 Page 9 of 11 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 72 Ocean View Avenue Cotuit, W Owner: John&Helen Skowronski Date of Inspection: January 3 2006 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: 4-20'x 10'(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 Qalleys had 2"ofliauid on the bottom The scum line was 6"up from the bottom There did not appear to be any sizns o failure. 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 Page 10 of 11 OFFICIAL INSPECTION FORM NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 72 Ocean View Avenue Cotuit,MA Owner: John&Helen Skowr-onski Date of Inspection: January 3. 2006 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. 13 a 30`' aO 3 a'1 a3 Y ay as 10 Page 11 of 11 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 72 Ocean View Avenue Cotuit, MA Owner: John&Helen Skowronski Date of Inspection: January 3, 2006 SITE EXAM Slope Surface water Check cellar Shallow wells Estimated depth to groundwater 35+/- 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 mans Checked with local excavators,installers-(attach documentation) Accessed USGS database-explain: You must describe how you established the high ground water elevation: Using Barnstable topographic and water contours maps, the maps were showingyoroximately 35'+1-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. 11 No. " Fee THE COMMONWEA OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS 01pprtcation for 3Diooml *pztem Congtruction Permit Application for a Permit to Construct( )Repair(V')Upgrade( )Abandon( ) El Complete System ❑Individual Components Location Address or Lot No. 7 a OCCAA v:t e V q-.,e. Owner's Name,Address and Tel.No. '� M. �ow' 3coln r� S Assessor's Map/Parcel Cer,_l 7 O Cep u e w Rve• - O S `oR .z Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. L^O(ZJa e%16dmetJJ t5 CSt:- -1 r^,( 121, 4ZD 'ti J(0111O Type of Building: Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder( ) Other' Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow gallons per day. Calculated daily flow gallons. Plan Date Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. Description of Soil Nature of Repairs or Alterations(Answer when applicable) no Y�s 11 v�e (��1 E�s Tc dh As.c coo r►► fir- A�����•o�\o b�oe. Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certifi- cate of Compliance has been iss by this B and of a Signed Date Application Approved by Date r Application Disapproved for the following reasons Permit No. Date Issued �— f , No`i 9 � ezA � Fee THE COMMONWEA T OF MASSACHUSETTS Cered in computer: .i; . Yes " t , . PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLES MASSACHUSETTS A - 01pprication for )Diopogaf *proem Construction Permit a Application for a Permit to Construct( )Repair(f Upgrade( )Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. 7 3, ©C e A,(\V•'% e v Pt C. Owner's Name,Address and Tel.No. Assessor's Map/Parcel Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. GOR_0 � rn w 13 C»� -c..-,•--%Nlr n. 0� Type of Building: Dwelling No.of Bedrooms Lot Size sq. ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow gallons per day. Calculated daily flow gallons. Plan Date Number of sheets Revision Date Title v Size of Septic Tank Type of S.A.S. Description of Soil Nature of Repairs or Alterations(Answer when applicable) `' 10 �:µ - �� �� o s \'ur C1�J1 \�ur Ica 1'..`ll Q. Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certifi- cate of Compliance has been issued by this B and of `, alY�h. Signed Date Application Approved by Date _41 Application Disapproved for the following reasons I Permit No. r ✓�Z Date Issued n:E ———————————_————————————-- - THE COMrONWEA T, 6" ASSMSETTS& S J Certif irate of (tompliance s THIS IS TO CER?Ythat On-site Sewage Disposal System Constructed( ) Repaired(k )Upgraded( ) Abandoned( )by ;to at 7: Cc&,i,i;t r,� /�r. _... has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No. .* dated J' .� Installer[�.1,m y c,.j Designer The issuance of this permit shall not be construed as--a guarantee that the system will function as designed. Date `�� 1 CP C'> Inspector — — No.� �_ —�� ----- ,f--{---------—r-----Fee THE COMMONWEAL H OF MASSACHUSETTS/ tY PUBLIC HEALTH DIVISION - ARNSTABLEi MASSACHUSETTS Mioozaf *p.5te Construction`9ermit Permission is herebyranted to Construct k / g ( )Repair(1�Upgrade( )Abandon( ) I System located at `7 2 Qc A),r- (o_l_� , / ' and as described in the above Application for Disposal System Construction Permit. The applicant recognizes his/her duty to comply with Title 5 and the following local provisions or special conditions. Provided:Construction must be completed within three years of the date of this vr7it. Date: Approved by �---1 r 1 0 �� IOV9N1 NOTICE: This Form Is To Be Used For the Repair Of Failed Septic Systems Only. CERTIFICATION OF SKETCH AND APPLICATION I OUT OR A DISPOSAL WORKS CONSTRUCTION PERMIT (W ENGINEERED PLANS) hereby certify that the application for disposal works construction permit signed by me dated concerning the property located at 7a OCAl e ►��e G-' ,C _ �dT,°j meets all of the following criteria: e There are no wetlands located within 100 feet of the proposed leaching facility e There are no private wells within 150 feet of the proposed septic system e There is no increase in flow and/or change in use proposed There are no variances requested or needed. If the proposed leaching facility will be located within 250 feet of any wetlands,the bottom of the proposed leaching facility will RW be located less than fourteen(14)feet above the maximum adjusted groundwater table elevation. , n Please complete the following: A)Top of Ground Elevation(according to the Engineering Division G.I.S.map) �94_ B)Observed Groundwater Table Elevation(according to Health Division well map) 3 SIGNED DNT : - LICEN SEPTIC SYSTEM INSTALLER IN THE TOWN OF BARNSTA E NUMBER (Attach a sketch plan of the proposed systern.Also If the licensed Installer pose.sses a certified plot plan. this plan should be submitted]. q:health folder:cert I 0 O i S -� � . -MAJA Noust, C Fl, TOWN OF BARNSTABLE LOCATION �a oa&) Velw SEWAGE r i U.-LAGE C ASSESSOR'S MAP & LOT day' 0 1 � _co INSTALLER'S NAME&PHONE NO. SEPTIC TANK CAPACITY ` ' 1J 00 LEACHING FACILITY: (type) y+ 6A/I'-Vf (size) aox b NO.OF BEDROOMS BUILDER OR OWNER Svl (n1 ib L Odl 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 I Facility(If any wetlands exist within 300 feet of leachin facility) Feet Furnished by �nS�Gully, �• �()�� 3 � 13�-► I�a�° a 306 ao 3 a'1 a3 Y ay as TOWN OFBARNSTABLE t C, LOCATION �!Q Or eAA U c ecJ 17 V r, SEWAGiN q " �c{ VILLAGE D ASSESSOR'S MAP & LOT INSTALLER'S NAME&PHONE NO. SEPTIC TANK CAPACITY t SO O G.4 �t / LEACHING FACILITY: (type) (size) o� X O NO.OF BEDROOMS 3 II BUILDER OR OWNER A's PERMITDATE:3 - q ` l BI COMPLIANCE DATE: 6 J� Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility (If any wells exist on site or within 200 feet of.leaching facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) Feet Furnished by 6 I I ti �o rcA • TOWN OF BARNSTABLE ::1;OCATION ,, (Dchl fJ I V SEWAGE # VILLAGE CdrUl ASSESSOR'S MAP & LOT INSTALLER'S NAME & PHONE NO. r SEPTIC TANK CAPACITY 150 A I LEACHING FACILITY:(type) - G,% (size) NO. OF BEDROOMS _PRIVATE WELL OR>P <LIC WAT.7.R BUILDER OR OWNER .5 KC)(A)�0 N DATE PERMIT ISSUED: , DATE COMPLIANCE ISSUED: _ . ` VARIANCE GRANTED: Yes No �� _ r I ' d �1 5N l No.-q� ...11f FIms..... ... THE COMMONWEALTH OF MASSACHUSETTS �9 BOAR® OF HEALTH ea a� .TOWN OF BARNSTABLE�.�c Z . Appliration for Dispow l Workii C�nn��rnr�tnn ernti� � Application is hereby made for a Permit to Construct ( ) or Repair 0O an Individual Sewage Disposal tem at: Sys j t QTUI. --... ..... ------•------------------------------------ ------------...................---------- Location-Address - or Lot No. ............................... ....................------... -----------------------------------........-------- Owner Address -------------------------------- -------------------------------------------------------------------------------------------------- Installer F Address Type of Building Size Lot............................Sq. feet U Dwelling—No. of Bedrooms..............4------------------------Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ........................... No. of persons............................ Showers ( ) — Cafeteria ( ) Q' Other fixtures .----------•.................••. . . W Design Flow............................................gallons per person per day. Total daily flow............................................gallons. W Septic Tank—Liquid"capacity............gallons Length--_---_-___---- Width................ Diameter--.---_----.--_ Depth................ x Disposal Trench—No..................... Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No--------------------- Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) Percolation Test Results Performed by.......................................................................... Date........................................ Test Pit No. I................minutes per inch Depth of Test Pit.................... Depth to ground water........................ f� Test Pit No. 2................minutes per inch Depth of.Test Pit...:................ Depth to ground water.....................--. a :.:... -------- x . Description of Soil---------------------- f,#AJA...... ---:SYsf�1�-4-- 'S!� .�� e �� U --------------------------------------------•---------------------------------------•-------------------------------------------•.......... r-, :I ----•-----------------------------------------------------------------------------------------------------------------------------------------------------------------------------••--•--------•-----.•. V Nature of Repairs or Alterations—Answer when applicable............................................................................................... ----------------------••-------•-----------•------------....---------------•-----------------•--....--•-••------•--•-----•---------•-•--•-••....---•----------....-----..._----•-------.......-•--•.---- Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Environmental Code—The undersigned further agrees not to place the system in operation until a Certificate of Compli ce has been issued by th oard of health. (► g Signed ..- - --- - ...........- A-------- Application Approved By ............. -- ------.�\ ..... . .. ................................................... ......€t { . Dam Application Disapproved for the following reasons- -------------------------------------------------------------- --------------- ------------------------- ---------------- ---- ...................................................... PermitNo. ------ .............I.F......................... Issued ............................... -- -- --- ---------to Daze t FEB........ ........-- THE COMMONWEALTH OF MASSACHUSETTS BOARD OF H,BALTH TOWN OF BARNSTABLE �%� Appliratinn for Uigpoii al iftlrks Tnnitrnrtiun ramit Application is Hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at: Location.Address or Lot No. �'.��y�� Address �`__+wq_ ................ ............ -•-••---....-•----------•-----•--.....--•-•-••--------............................................ Installer Address Q Type of Building Size Lot............................Sq. feet v Dwelling No. of Bedrooms..................................a g— ......Expansion Attic ( ) Garbage Grinder- ( ) Other—Type of Building .............................. No. of persons............................ Showers ( ) — Cafeteria Pk ( ) QOther fixtures -------------•---•------•------•-----------•---•--•---"---•----------••--••-----•-----------•-------•-•--------- W Design Flow............................................gallons per person per day. Total daily flow............................................gallons. WSeptic Tank—Liquid capacity............gallons Length................ Width................ Diameter................ Depth................ x Disposal Trench—No..................... Width.................... Total Length.................... Total leaching area....................sq. ft. 3 Seepage Pit No..................... Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) a Percolation Test Results Performed by....................................:.................................... D ate..........-............................. Test Pit No. 1----------------minutes per inch Depth of Test Pit.................... Depth to ground water........................ Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ a ................................................ = ... "+ ------------------•------------------ x . Description of Soil...................... £� }.°� �j � �f �"- � ---�---------------------- W ---5-----..�-----•----------------------•--------•-•-----------•--•-----------------------•-----------•--•---- --••----•-••------------••-------••---•--------•••••---•••••---••--••-•-•-------•-••-------••----•-----••-••---------••--•-••---••-•---•-•--•••-•-•-••-----------••--•-•-•-•--•--•-•-•••................ " V Nature of Repairs or Alterations—Answer when applicable............................................................................................... • ------------•----------------...................................... Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Environmental Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been issued by the oard of health. Signed r/a—---------IF--------- t^' . %�J / n�yy ---- -- --- ------- ------ Application Approved BY 0 -D..�- ------------------------------------------------------------- ------ Application Disapproved for the following reasons- ---- -------------------------------------------------------..............................................................------- ------------- -------------------------- ---------------------- ----- ------ ------------------------ ----- --- --------- ------------------------------------------------------ --------------------------------------- Permit No. ----..7 Issued ........................ Date a Dace THE COMMONWEALTH OF MASSACHUSETTS c BOARD OF HEALTH TOWN OF BARNSTABLE Tier#ifi ate of (�ontyliance THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired by ............................ .------------, --------. .....---...................................----- ..........--------...---- ------ -------------- ............ Installer at ................... 1 ----- has been installed in accordance with the provisions of TITLE 5 of The State Environmental Code as described in the application for Disposal Works Construction Permit No. ........ .......y./.r�............. dated ................................................ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SAfTISI}FACTORY. . --I-�� ' DATE '................. Inspector ................. .:. --------------------- THEr r COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE FEE....5 Dispo.oal Vorb Tnntrnrtiaon amit Permission is hereby granted--------- c3 -......ti to Construct (_ ) or Repair ( ) an Individual Sewage`Dispasal System atNo. - •-••••---- •................•---- ------------------------------------•---•-------------------------................ Street as shown on the application for Disposal Works Construction Permit No. Dated.......................................... ------------------ --- -----------••-----.----•-•-------------.------ DATE. ' Board of Health . .a:......••--•••-••....-•••••---•---------- FORM 36508 HOBBS&WARREN.INC..PUBLISHERS 7 THE COMMONWEALTH OF MASSACHUSETTS BOARD OF I-9EA TH .............OF—........J6.C' .. .. ... ... AVVIiratinn for Bi,q uiitt1 Works Tanfarnrtton Punift Application is hereby made for a Permit to Construct ()<) or Repair ( ) an Individual Sewage Disposal System at: .............9-------- ......................i a U' -__3 .... �v / Lgcat• on-Addr ss or t No. ---•----------- Owner Address W ,l- Typ `' 1- !�--------------- �'� �� /1!� 1 -�f/�!-ice a ------------------ Installer Address Q Type of Building Size Lot_--------------------------Sq. feet U Dwelling—No. of Bedrooms--------------- -._..Expansion Attic—�') Garbage Grinder E--)U •-- a4 Other—Type of Building -..f.�:IAAW� ........ No. of persons-...�`---------------- Showers f—=) — Cafeteria�) Q' Other fixtures ------------------------------------------------------ W Design Flow.........- .d-------------------------gallons per person er day. Total daily flow--------------- 2-.6.�_--__-------..--gallons. 9 Septic Tank•�--Liquid capacity-�i _gallons Length-. 1Vidth---------------- Diameter---------------- Depth-------------- xDisposal Trench—No..................... Width-------------------- Total Length.................... Total leaching area--------------.-----sq. ft. Seepage Pit No--------I---------- Diameter..)S3.e_o....... Depth below i .le __- _ _..._. ��t l�eaching area------------ --sq. it. Z Other Distribution box ( ) Dosing tank ( ) — d;— _ x�e% -- Z -- '4' Percolation Test Results Performed bY.......................................................................... Date....----------------------------------.. Test Pit No. 1----------------minutes per inch Depth of "Pest Pit.................... Depth to ground water...._......-------..---- �14 Test Pit No. 2----------------minutes per inch Depth of Test Pit..................... Depth to ground water......-..-..------.-.--- t4 �+..............----------------------------------•---.....................------..-----•--------•-•-............................................ •------ 0 Description of Soil �s4 ---------------- • ---•--. x - W U Nature of Repairs or Alterations—Answer when applicable.........................................................................._--.--------..------ ----------------------------- ........................ -----------------...-------------------•.-----------------------------------------------------------------.........-.-. ----------------------- Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of Article XI of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been issued by the board of health. Sig ad •• •.................. R•'- •-- -•Pic •-- Date Application Approved B --- -- - - - - ------- - PP PP Y ---------------------------------------- Date Application Disapproved for the following reason :..................................................................................................... ....--•-••.......................••••----•--...---.....---------•--............----•-'-..........._........ Date Permit No......................................................... Issued... D ate 1 � No. t FEE..M'w...-r : THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEA TH OF �... :..���Iir�a$ilatt fur` i,��rn.�tt1 larks Cn�tt��ttrtim�t ler�ti# Application is hereby made for a Permit to Construct O or Repair ( ) an Individual Sewage Disposal System at: u --------�C... V C...-----••-•- ,I •••�� ...��f r V f �c*n-Add ss i or t No. -•••-• ! = -----•---• a T Owner Address - ---- --- - - Installer Address Type of Building Size Lot----------------------------Sq. feet U Dwelling—No. of Bedrooms............... Expansion Attie-'� ') Garbage Grinder { )--------------------- - .aA Other—Type of Building __rRAV V......... No. of persons----_:R--•__-___-•-.__ Showers Cafeteria.{:..) 11' Other fixtures d ------------- -- - W Design Flow----------•�O____________________•__-_gallons per person per,da��Total,daily flow............... _- 5....._._.... ... W Septic Tank i-Liquid capacitvld-d0.gallons Length_.___.__tingth e idfh................ Diameter___._....-..._.. Depth.--..._._._._.. x Disposal Trench—N�,i__________________ Width..:_______.._____:.PTotal � _;_---. Tota':' leaching area--------------......sq. ft. Seepage Pit No________ __________ Diameter.- Q 4_Q____-_-_ Depth below i le #C. 1 leaching area._-__--_.__ __.sq. 1t. z Other Distribution box ( ) Dosing tank ( ) 4a� Gl.� 'P� 16_ aPercolation Test Results Performed by-------------------------------------------------------------------------- Date-----------:--.._-.--------------------. Test Pit No. 1................minutes per inch Depth of Test Pit.................... Depth to ground water------------------------y' �14 Test Pit No. 2----------------minutes per inch Depth of Test Pit-.______..__________ Depth to ground water-_.-_._---_.__-._--_.-.. --- --------- -- -------- -------------------------- --------------------- --------- --- D Description of Soil- -srELN_D`a!- --------------- ----- ---- - - x U ------- ---------- r� � � � �* � '--j� Wr---------------------------------------------- ---------------------------------='' -------------- -------------------------------------------------- U Nature of Repairs or Alterations—Answer when applicable------------------------------------------------------------------------------------------------ ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- -••------' Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of Article XI of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certifica.e of Cbmpliance has been issued by the board of health. Sig --------------------- 9XV---- �.._ ate Application Approved By.... f ----- - Date Application Disapproved for the following reasons:................... ................................................. ---------------------------------------------------------=------------------------------------------------------•------••.....-••-•----••-------•--•-------••---.._....•-••-----------------•--•-----•-- �' Date PermitNo......................................................... Issued-----------------...................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD F HEALT ......��...........OF.........0.. e . Qlrr#ifirW of Tontphattrr A.T O I ; That the Individual Sewage Disposal System constructed'; or Repairedby.... •--• --K ........... -----•--••••••-•-•----•--- .... I Installer • ----------------------- --------------- �. [� has been installed in accordance with the provisions of Arti �I of The State Sanitary Code described in the application for,Disposal.Works Construction Permit No`._�' :_��. .............. dated.... '--_ '___7s""....__...... THE ISSUANCE OF THIS CERTIFICATE SHALT. NOT BE CONSTRUED #S A GUARANTEE THAT THE SYSTEM WILL FUNCT N SATI ACTORY. --•-••--. ----•-•• .................................7.17J71 Inspector.. THE COMMONWEALTH OF, MASSACHUSETTS BOARD PF HEA TH 2 '.............. .OF..... . ......: ..... .. 41 'JR---------•••••. FEE,/- ---••-......... T r rti�ttPrl2ttf Permission is hereby granted`. . . •••---••V=-r---------------------------•--. ........................................... to Const t ) r R r ( ) allSel% ge Disposal ysteat No' 1! d T'�• LT..U..,_ f ..� 1 ---------------------=....................... '`' Street .► as shown on the application for Disposal Works Coif t uctio ermi _ Dated_._.= .` �s Board alth DATE-- 7 FORM 1255 ORBS & /1RREN, INC.. PUBLISHERS h r �. � y � 1 - � I +. _. �... . � .,�... r � � * l t F 1 � � - � � 4 ., �� � + r .. I � «, � .. � i" 24'-3- 5-3 7/8' 5'-3 7/8" 5-3 7/8. lo 1 B B Cr �-- ---------------------- B O 11 Ii N 1 N I V-71W 5-10" ElevaIE tion t�9Z' retaining wall i l` Q Bunk �{ Elevation @96' 00 N s Co - 1 N W r LWW = linen Lo I I � ac engingpm� I 06 4 i urea BathroomQZ JJi I I 101 N 04 03 0 - Y f i g v 00 -- --------------._.••-- ` 0 0 JM �` 4 N 'fir I \ \ retaining waU v 3`-2- 3-4 112" 2-11" 3'-7 1/2' 4;• A A I f 6'-7 -------- -------- 6'-7" C 4'-01/4- ------------- i ---------------- 2 FIRST FLOOR PLAN A2.1 Scale: 114" = 1'-0" C.C r.. 4 sanr sans• sr�nr sa hs• �1t` JF�•C 1.? Iq t ��.r w a�i• ♦ / 4+ ''i qq .nr p.f,• I Bunk R-,2 Bunk. iW tot C-10. I I O-, 71)6m Ca!CiBIF% aot " t �§ a °4 to QIT I s Bra O �. } , Belhmmuia 1 rF O I a p 100 was 1 j1 uE --- ----_---_— _--� � S a outdoor '•shower - �tt ��v^� 3 �``�yA • 31 GARAGE FLOOR PLAN FIRST FLOOR PLAN t Scale:l/4^=V-O" .. i � .t scale:,14"=1'-0" ;i 3, ARCHrTECrURE --------------- -- -------------------- ---- ------ ---— — — -- — -- an raarn Pn.. . � T P` 4 pitch M1 6 r L 1 �eK t1 5- _______ ReVI8lOL8 bats Not.. 1pftch phEch pitch \11""" ------ ---- ----------------- -m "! - The Coutu Residence r 3 ROOF PLAN n0� 72view evmwe Caftift,MA Floor Plans ,�/ 1'tJ (fir k "WIY IllyR., •^�� Q 1 (i1{ 11VIP - "�9S *� ° ° {l[!N{GL➢O MSS � . 4 'f� �y�.�A th DIYNY BT•CMB °y Wt '}' R lk l l�6 - . 7-7; VVtnd s Window All ® 4 Sides a sides Aq ® 4 Sides 12 12 —18 12 - 1 t ,ar GRADE ELV.98.6T - GRADE ELV.93.54' A. 5 SIDE ELEVATION FRONT ELEVATION Sca 4 Scale:114"= +t- i WJINTEN BBDUM ARCUrECrURE 12 ' 113 HEIGHT FROM TOP OF PLATE TO BOTTOM OF COLLAR TIE IDOOR&WINDOW HEAD HEIGHT SEE>;7RUCTURAL DRAWINGS - FOR ALL.FRA.MING6IEMSERS - Revisions H° k' jra t '0 4 AIf�•yyyN p•�px3• 4� The Coutu 1Ti c� rr s` Residence BUILDING SECTION Scal ti '� Viaw Avenue IA b 1 ElevationslSections Plan IA APBr- kw,