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Home My WebLink About0651 OLD POST ROAD (CT & MM) - Health `651 Old Post Road. Cotuit P A = 054 014 -- I 0 e--41 + Commonwealth of Massachuse ' ,I l�0 1` tts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 6_51 Old post rd _ Property Address Chuck Pieper Owner Owner's Name information is required for every Cotuit ._ Ma 02635 5/13/15 page. City/Town State Zip Code Date of Inspection ` Inspection results must be submitted on this form. Inspection forms may not be altered in any way. Please see completeness checklist at the end of the form. filling out A. General Information filling out fouls �_�, on the computer, �! use only the tab 1. Inspector: key to move your cursor-donut, Michael DiBuono use the return key. Name of Inspector DiBuono Sewer and Drain raa Company Name 8 Johns path Company Address S Yarmouth , MA 02664 City/Town State Zip Code 508-364-9587 S113522 Telephone Number License Number B. Certification 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 ❑ Fails ❑ Needs Further Evaluation by the Local Approving Authority 15 I' spector's Signature Date The system inspector shall submit a copy of this inspection report to the Approving Authority (Board of Health or DEP)within 30 days of completing this inspection. If the system 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. ****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. ® t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 1 of 17 r ' Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 651 Old post rd Property Address Chuck Pieper Owner Owner's Name information is required for every Cotuit Ma 02635 5/13/15 page. City/Town State Zip Code Date of Inspection B..Certification (cont.) Inspection Summary: Check A,B,C,D or E/always complete all of Section D A) System Passes: ® 1 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: The system contains a 2,000 gallon H2O tank as well as a concrete Distribution box. All tees and baffles are in place. The Distribution box is level and at normal level. The leaching is made up of several infultrators and at'time of inspection levels'appeared'to never have been at abnormal levels. 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. Check the box for"yes", "no" or"not determined" (Y, N, ND) for the following statements. If"not determined," please explain. The septic tank is metal and over 20 years old* or the septic tank (whether metal or not) is structurally unsound, exhibits substantial infiltration or exfiltration or tank failure is imminent. System will pass inspection if the existing tank is replaced with a complying septic tank as approved by the Board of Health. * A metal septic tank will pass inspection if it is structurally sound, not leaking and if a Certificate of Compliance indicating that the tank is less than 20 years old is available. ❑ Y ❑ N ❑ ND (Explain below): t5ins•3113 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 2 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 651 Old post rd Property Address Chuck Pieper Owner Owner's Name information is required for every Cotuit Ma 02635 5/13/15 page. City/Town State Zip Code Date of Inspection B. Certification (cont.) ❑ Pump Chamber pumps/alarms not operational. System will pass with Board of Health approval if pumps/alarms are repaired. B) System Conditionally Passes (cont.): ❑ Observation of sewage backup or break out or high static water level in the distribution box due to broken or obstructed pipe(s) or due to a broken, settled or uneven distribution box. System will pass inspection if(with approval of Board of Health): ❑ broken pipe(s) are replaced ❑ Y ❑ N ❑ ND (Explain below): ❑ obstruction is removed ❑ Y ❑ N ❑ ND (Explain below): ❑ distribution box is leveled or replaced ❑ Y ❑ N ❑ ND (Explain below): ❑ The system required pumping more than 4 times a year due to broken or obstructed pipe(s). The system will pass inspection if(with approval of the Board of Health): ❑ broken pipe(s) are replaced ❑ Y ❑ N ❑ ND (Explain below): ❑ obstruction is removed ❑ Y ❑ N ❑ ND (Explain below): C) Further Evaluation is Required by the Board of Health: ❑ Conditions exist which require further evaluation by the Board of Health in order to determine if the system is failing to protect public health, safety or the environment. 1. System will pass unless Board of Health determines in accordance with 310 CMR 15.303(1)(b)that the system is not functioning in a manner which will protect public health, safety and the environment: ❑ Cesspool or privy is within 50 feet of a surface water ❑ Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 3 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 651 Old post rd Property Address Chuck Pieper Owner Owners Name information is required for every Cotult Ma 02635 5/13/15 page. City/Town State Zip Code Date of Inspection B. Certification (cont.) 2. System will fail unless the Board of Health (and Public Water Supplier, if any) determines that the system is functioning in a manner that protects the public health, safety and environment: ❑ The system has a septic tank and soil absorption system (SAS) and the SAS is within 100 feet of a surface water supply or tributary to a surface water supply. ❑ The system has a septic tank and SAS and the SAS is within a Zone 1 of a public water supply. ❑ The system has a septic tank and SAS and the SAS is within 50 feet of a private water supply well. ❑ The system has a septic tank and SAS and the SAS is less than 100 feet but 50 feet or more from a private water supply well". Method used to determine distance: This system passes if the well water analysis, performed at a DEP certified laboratory, for fecal coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered. A copy of the analysis must be attached to this form. 3. Other: D) System Failure Criteria Applicable to All Systems: You must indicate "Yes" or"No"to each of the following for all inspections: Yes No ® Backup of sewage into facility or system component due to overloaded or clogged SAS or cesspool ❑ ® Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or clogged SAS or cesspool ❑ ® Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool ❑ ® Liquid depth in cesspool is less than 6" below invert or available volume is less than '/2 day flow t5ins•3113 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 4 of 17 : Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 651 Old post rd Property Address Chuck Pieper Owner Owner's Name information is required for every Cotuit Ma 02635 5/13/15 page. City/Town State .Zip Code Date of Inspection B. Certification (cont.) Yes No Required pumping more than 4.times in the last year NOT due-to clogged or E] obstructed pipe(s). Number of times pumped: ❑ ® Any portion of the SAS, cesspool or privy is below high ground water elevation. ❑ ® Any portion of cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply. ❑ ® Any portion of a cesspool or privy is within a Zone 1 of a public well. ❑ ® Any portion of a cesspool or privy is within 50 feet of a private water supply well. ❑ ® Any portion of a cesspool or privy is less than 100 feet but greater than 50 feet from a private water supply well with no acceptable water quality analysis. [This system passes if the well water analysis, performed at a DEP certified laboratory, for fecal coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered. A copy of the analysis and chain of custody must be attached to this form.] ❑ ® The system is a cesspool serving a facility with a design flow of 2000gpd- 10,000gpd. . ❑ ® The system fails. I have determined that one or more of the above failure criteria exist as described in 310 CMR 15.303, therefore the system fails. The system owner should contact the Board of Health to determine what will be necessary to correct the failure. E) Large Systems: To be considered a large system the system must serve a facility with a design,flow of 10,000 gpd to 15,000 gpd. For large systems, you must indicate either"yes" or"no" to each of the following, in addition to the questions in Section D. Yes No ❑ ❑ the system is within 400 feet of a surface drinking water supply ❑ ❑ the system is within 200 feet of a tributary to a surface drinking water supply 0 El the system is located in a nitrogen sensitive area (Interim Wellhead Protection Area —IWPA) or a mapped Zone II of a public water supply well If you have answered "yes" to any question in Section E the system is considered a significant threat, or answered "yes" in Section D above the large system has failed. The owner or operator of any large system considered a significant threat under Section E or failed under Section D shall upgrade the system in accordance with 310 CMR 15.304. The system owner should contact the appropriate regional office of the Department. t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 5 of 17 r Commonwealth of Massachusetts Title 5 Official Inspection Fora Subsurface Sewage Disposal System Form - Not for Voluntary Assessments °°M •''e 651 Old post rd Property Address Chuck Pieper Owner Owners Name information is required for every Cotuit Ma 02635 5/13/15 page. City/Town State Zip Code Date of Inspection C. Checklist Check if the following have been done. You must indicate"yes" or"no" as to each of the following: Yes No ❑ ® Pumping information was provided by the owner, occupant, or Board of Health ❑ ® Were any of the system components pumped out in the previous two weeks? ® ❑ Has the system received normal flows in the previous two week period? ❑ ® Have large volumes of water been introduced to the system recently or as part of this inspection? ® ❑ Were as built plans of the system obtained and examined? (If they were not .available note as N/A) E ❑ Was the facility or dwelling inspected for signs of sewage back up? ❑ Was the site inspected for signs of break out? Z ❑ Were all system components, excluding the SAS, located on site? E ❑ Were the septic tank manholes.uncovered, opened, and the interior of the tank inspected for the condition of the baffles or tees, material of construction, dimensions, depth of liquid, depth of sludge and depth of scum? ❑ ® Was the facility owner(and occupants if different from owner) provided with information on the proper maintenance of subsurface sewage disposal systems? The size and location of the Soil Absorption System (SAS) on the site has been determined based on: ® ❑ Existing information. For example, a plan at the Board of Health. ❑ Determined in the field (if any of the failure criteria related to Part C is at issue approximation of distance is unacceptable) [310 CMR 15.302(5)] D.-System Information Residential Flow Conditions: Number of bedrooms (design): 5 Number of bedrooms (actual): 5 DESIGN flow based on 310 CMR 15.203 (for example: 110 gpd x#of bedrooms): 550 t5ins•3113 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 6 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form o Subsurface Sewage Disposal System Form - Not for. Voluntary Assessments wM 651 Old post rd Property Address Chuck Pieper Owner Owners Name information is required for every Cotuit Ma 02635 5/13/15 page. City/Town State Zip Code Date of Inspection D. System Information Description: The system contains a 2,000 gallon H2O tank as well as a concrete Distribution box. All tees and baffles are in place. The Distribution box is level and atnormal level. The.teaching.is.made.up of several infultrators and at time of inspection levels appeared to never have been at abnormal levels Number of current residents: Does residence have a garbage grinder? ❑ Yes ® No Is laundry on a separate sewage system? (Include laundry system inspection information in this report.) ❑ Yes ® No Laundry system inspected? ® Yes ❑ No Seasonal use? ❑ Yes ❑ No Water meter readings, if available (last 2 years usage (gpd)): 28,000 32,000_ Detail: 83.3 GPD . Sump pump? ❑ Yes ® No Last date of occupancy: Date Commercial/Industrial Flow Conditions:... Type of Establishment: Design flow(based on 310 CMR 15.203): Gallons per day(gpd) Basis of design flow (seats/persons/sq.ft., etc.): Grease trap present? ❑ Yes ❑ No Industrial waste holding tank present? ❑ Yes ❑ No Non-sanitary waste discharged to the Title 5 system? ❑ Yes ❑ No Water meter readings, if available: t5ins-3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 7 of 17 Commonwealth of Massachusetts T°itlEr 5 Official Inspection- Form Subsurface Sewage Disposal System Form Not for Voluntary Assessments �M 651 Old post rd Property Address Chuck Pieper Owner Owners Name information is required for every Cotuit Ma 02635 5/13/15 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Last date of occupancy/use: Date Other'(d'escribe below): General Information Pumping Records: Source of information: Was system pumped as part of the inspection? ❑ Yes ® 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) and a copy of latest inspection of the I/A system by system operator under contract ❑ Tight tank. Attach a copy of the DEP approval. ❑ Other(describe): t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 8 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Fora Subsurface Sewage Disposal System Form - Not for Voluntary Assessments M 651 Old post rd Property Address Chuck Pieper Owner Owners Name information is required for every Cotuit Ma 02635 5/13/15 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Approximate age of all components, date installed (if known) and source of information: 11 years. Were sewage odors detected when arriving at the site? ❑ Yes ❑ No Building Sewer(locate on site plan): Depth below grade: 18" feet Material of construction: ® cast iron ® 40 PVC ❑ other(explain): Distance from private water supply well or suction line: feet Comments (on condition of joints, venting, evidence of leakage, etc.): System is vented throu ht the roof. Septic Tank (locate on site plan): Depth below grade: 1 ft feet Material of construction: ® concrete ❑ metal ❑ fiberglass ❑ polyethylene El other(explain) 2000 gallon If tank is metal, list age: years Is age confirmed by a Certificate of Compliance? (attach a copy of certificate) ❑ Yes ❑ No Dimensions: 2000 Gallon . Sludge depth: 3" t5ins•3113 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 9 of 17 Commonwealth of Massachusetts T°itlewk 5 Official Inspection Form Subsurface Sewage Disposal System Form Not for Voluntary Assessments °M 651 Old post rd Property Address Chuck Pieper Owner Owner's Name information is required for every Cotuit Ma 02635 5/13/15 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Septic Tank (cont.) Distance from top of sludge to bottom of'outlet'tee or baffle 24" . Scum thickness 3 Distance from top of scum to top of outlet tee or baffle 42" � Distance from bottom of scum to bottom of outlet tee or baffle 1" Sludge stick How were dimensions determined? Tape Measure Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): Recommend pumping if over 3 years. Grease Trap (locate on site plan): Depth below grade: NAfeet Material of construction: - ❑ concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑ other(explain): Dimensions: Scum thickness Distance from top of scum to top of outlet tee or baffle Distance from bottom of scum to bottom of outlet tee or baffle Date of last pumping: Date t5ins•3113 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 10 of 17 Commonwealth of Massachusetts W Title 5 official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 651 Old post rd Property Address Chuck Pieper Owner Owners Name information is required for every Cotuit Ma 02635 5/13/15 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): Tees are in place and levels are normal Tight or Holding Tank (tank must be pumped at time of inspection) (locate on site plan): Depth below grade: Material of construction: ❑ concrete ❑ metal ❑ fiberglass ❑ polyethylene El other(explain): Dimensions: Capacity: gallons Design Flow: gallons per day Alarm present: ❑ Yes ❑ No Alarm level: Alarm in working order: ❑ Yes ❑ No Date of,last pumping:-. Date Comments (condition of alarm and float switches, etc.): *Attach copy of current pumping contract(required). Is copy attached? ❑ Yes ❑ No t5ins-3113 Title 5 Official Inspection Form:Subsurface Sewage Disposa'System-Page 11 of 17 i Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 4M SOy`' 651 Old post rd Property Address Chuck Pieper Owner Owners Name information is CotUlt required for every Mb 02635 5/13/15 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Distribution Box (if present must be opened) (locate on site plan): Depth of liquid level above outiet'invert. At normal level. 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.): Distribution Box is level and at normal level with no signs of carry over or decay. Pump Chamber(locate on site plan): Pumps in working order: ❑ Yes ❑ No* Alarms in working order: ❑ Yes ❑ No* Comments (note condition of pump chamber, condition of pumps and appurtenances, etc.): * If pumps or alarms are not in working order, system is a conditional pass. Soil Absorption System (SAS) (locate on site plan, excavation not required): If SAS not located, explain why: t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 12 of 17 Commonwealth of Massachusetts Title 5 official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments ,M 651 Old post rd Property Address Chuck Pieper Owner Owners Name information is required for every Cotuit Ma 02635 5/13/15 page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) Type: ❑ leaching pits number: ® leaching chambers number: 5 ❑ leaching galleries number: ❑ leaching trenches number, length: ❑ leaching fields number, dimensions: ❑ overflow cesspool number: ❑ innovative/alternative system Type/name of technology: Comments (note condition of soil, signs of hydraulic failure, level of ponding, damp soil, condition of vegetation, etc.): No signs of carry over and no signs of hydraulic failure Cesspools (cesspool must be,pumped as part of inspection) (locate on site plan): Number and configuration Depth —top of liquid to inlet invert Depth of solids layer Depth of scum layer Dimensions of cesspool Materials of construction Indication of groundwater inflow ❑ Yes ❑' No 15ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 13 of 17 I� : Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments •'" 651 Old post rd Property Address Chuck Pieper Owner Owners Name information is required for every Cotuit Ma 02635' 5/13/15 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Comments (note condition of soil, signs of hydraulic failure,,level of ponding, condition of vegetation, etc.): No signs of pondin or hydraulic failure. Privy (locate on site plan): Materials of construction: Dimensions Depth of solids Comments (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): t5ins•3/13 Title 5 Official Inspection Form:.Subsurface Sewage Disposal System•Page 14 of 17 I Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments wM 651 Old post rd Property Address Chuck Pieper Owner Owners Name information is required for every Cotuit Ma 02635 5/13/15 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Sketch Of Sewage Disposal System: Provide a view of the sewage disposal system, including ties to at least two permanent reference landmarks or benchmarks. Locate all wells within 100 feet. Locate where public water supply enters the building. Check one of the boxes below: ❑ hand-sketch in the area below ® drawing attached separately l5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 15 of 17 i Assessing As-Guilt Carols Page 1 oF2 'IUWN OF IiAKN$rABLh LOCATION_�S/ U/ SEWAGE ASSESSOR'S&W&LOT 11 Y—0/V INSTALLER'S NA)AE&PHONE NO. R 95^G SEPTIC TANK CAPACITY' a000 g U::ACH3NG FACILITY:(type) % e/� /ZX`/✓.CL ¢ (size) NO,OF BEDROOMS B QILDER'�—_:rEi f J £ ECG PERMTTDATE; S — v —.— COMPLIANCE DATE: Separation Distance Between the: "M'a1CllllLit AdJustcd Groundwater Table and Bottom of Leaching Facility Feet Privatc Water Supply Well and Leaching Facility (V any wells exist on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist witWo 3D0 feet of[caching facility) Feet Furnished by i 0 U 0(� C't W V p g 1 littp://www.towii.bai-nstable.ma.Lis/Assessing/HMd1spIay.asp?mappai=054014&seq=1 5/7/2015 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 651 Old post rd M Property Address Chuck Pieper Owner Owners Name information is required for every Cotuit Ma 02635 5/13/15 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Site Exam: ® Check Slope ® Surface water ❑ Check cellar ❑ Shallow wells Estimated depth to high ground water: 35+ ft feet Please indicate all methods used to determine the high ground water elevation: ❑ Obtained from system design plans on record If checked, date of design plan reviewed: Date ❑ Observed site (abutting property/observation hole within 150 feet of SAS) ❑ Checked with local Board of Health - explain: ❑ Checked with local excavators, installers- (attach documentation) ® Accessed USGS database -explain: usgs map You must describe how you established the high ground water elevation: Property sits 40 ft above nearest water venue. According to usgs maps system is approximately 40 + ft above ground water. Before filing this Inspection Report, please see Report Completeness Checklist on next page. t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 16 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form _ 8 Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 651 Old post rd Property Address Chuck Pieper Owner Owners Name information is required for every Cotuit Ma 02635 5/13/15 page. City/Town State Zip Code Date of Inspection E. Report Completeness Checklist ❑ Inspection Summary: A, B, C, D, or E checked ❑ Inspection•Summary,D,-(System Failure Criteria Applicable to All Systems) completed ❑ System Information— Estimated depth to high groundwater ❑ Sketch of Sewage Disposal System either drawn on page 15 or attached in separate file t5ins-3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 17 of 17 TOWN OF BARNSTABLE LOCATION �S7 lylll,�9®Sl SEWAGE # VILLAGE Cg9 ASSESSOR'S MAP& LOT —© � INSTALLER'S NAME&PHONE NO. D/�T7J �TT, 2n r SQL -93 99 SEPTIC TANK CAPACITY c2000 LEACHING FACII.TTY: (type) (size) IZXw,<z NO.OF BEDROOMS BdILDER OWNE PERMPTDATE: COMPLIANCE DATE: I /,1/0 L Separation Distance Between the: Maximum Adjusted Groundwater Table and Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility (If any wells exist on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) Feet Furnished by o © � � �� ..� � �� y�� r �r-zz.� q � f�_� _��,.e � _ . {. .� ,`� L,� �, No • Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Vs PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE., MASSACHUSETTS 0(ppYication for Zigozal *paem Construction permit Application for a Permit to Construct()()Repair( )Upgrade( )Abandon( ) X Complete System ❑Individual Components Location Address or Lot No. (651 OcQ Pr,9- 2,J) 6o4v J Owner's Name,Address and Tel.No. C"w Ic_s lochcr Assessor's Map/Parcel Ir p 5y pvr-c ek I q 721 010 �s t- M'f Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. y2$-913/�cx�13 rc/ •LO 'J �LS �Fc�a1L®.� 4 (-lfz W�I F) . " , IV PC. �.e. o f wi cjYcv� �7 81 Z Plot.-# slazcf Type of Building: Dwelling No.of Bedrooms 1=tu-- Lot Size 3 sq.ft. Garbage Grinder(Al.) Other Type of Building No. of Persons Showers( ) Cafeteria( ) Other Fixtures C� Design Flow gallons per day. Calculated daily flow SSd gallons. Plan Date T f u�c9�s Number of sheets rmnz, Revision Date Y gI.0 Y l Title Pc,-)" +- PfaA - Prbnns_cD koose. 2ee�xsh,,e+iw, M Size of Septic Tank 1 Snn aA 11 .ems Type of S.A.S. L"cf,,n4 C ljr,,"6ers I/8'X 12.'+e Z rh,- X Description of Soil lee (Tr � erica I Ines any Lavt • P-td lv24! U Nature of Repairs or Alterations(Answer when applicable) Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certifi- cate of Compliance has been issu d b s and Si Date Application Approved kv Date Application Disapproved for the following reasons Permit No. e '�'��,�_ Date Issued 6 l vi No. /1 Fee /L'� Ves THE%POMMONWEALTH OF MASSACHUSETTS_ Entere n computer: PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE., MASaSA HUSET rs y °�prtcatto ,tor Migpogal 6pgtem Con!6truction Permit "7WPli,,ation for a PermiOb Construct(X)Repair( )Upgrade( )Abandon( ) K Complete System El Individual Components Location Address or Lot No. (05-1 C CR ISs 1- Rd� Co Fvt f Owner's Name,Address and Tel.No. C",� cs P<pevr i. Assessor's Map/Parcel 7 21 01 cQ R;s h Instaalllller'r's Name,Address,and Tel.No. Designer's Name,Address and Tel.No.CSOg) i!2$-9/31 esd /3 40S r{ SF ,1tch r� 3 . Slz I✓lar.� Shzcf DS v,'/!� Type of Building: E Dwelling No.of Bedrooms 1=tt u-e Lot Size 33 &•7 S/ sq. ft. Garbage Grinder(Al.) Other Type of Building No. of Persons Showers( ) Cafeteria( ) Other Fixtures nDesign Flow I , oo�R,.., gallons per day. Calculated daily flow 5.16 gallons. Plan Date / I--C,'0m Number of sheets �re�_ Revision Date ' o y t Title I os.!N.1,.n.. fir,, 4- I-1 of a& t2c c os1 s M.i a Ei dri Size of Septic Tank 1500 Type of S.A.S. Ls,&,Aj ckc. 6,,rs Yg'icl2'1cZ'hf- �{ Description of Soil , t,, so'.( 195 P. plan s 10-t o &24 U . • � /l 1 , t t Nature of Repairs or Alterations(Answer when applicable) Date last inspected: Agreement:. The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a cate of Compliance has been issued WB and o ea -` �- Sig}�• Date Application Approved l5. Date LIM � 3` Application Disapproved for the following reasons Permit'No. EY�* � Date Issued u` ————————————————————------------------- THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS (Certificate of (Compliance THIS IS TO CE TIFY,that the On-site Sewage Disposal System Constructed( V Repaired( )Upgraded( ) Abandoned,( )by at ,c;" Jam' !/ has been construc d i accordance with the provisions of Title 5 and the for Disposal System Construction Permit No. )od t - i dated <_ I C1 10 Installer Designer \ The issuance of this pe •t sha 1 not be construed as a guarantee that the s es "'will ction as s' ne�q Date i I Inspector d( { No. �17 / -- -----Fee THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLE., MASSACHUSETTS Ztgoar *p5tem (Construction Permit Permission is hereby granted to Construct( air( )nUp ade( Ab ndon( ) System located at I 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 dat f�'ii' e Date: 5 �1� �� Approved by REVISED PLAN SUBMITTAL SHEET SE 3 -4251 APPLICANT'S NAME: Charles Pieper PROJECT LOCATION: 651 Old Post Road, Cotuit This Project has already been issued an Order of Conditions c, OR Check One r Order of Conditions not vet issued , [Xj This plan will be considered on:. TOWN OF BARN STABLE LOCATION 611V/20S/ SEWAGE # VILLAGE L ASSESSOR'S MAP& LOT - INSTALLER'S NAME&PHONE NO. /iij�/j GyT��' fir yz�-9399. SEPTIC TANK C;APACTTY cR000 LEACHING FACILITY: (type) ��OrJJ (size) IZXWI<?, YP NO.OF BEDROOMS BUILDER OrWNE57 ,PERMTTDATE: COMPLIANCE DATE: 0 Separation Distance Between the: Maximum Adjusted Groundwater Table and Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility (If any wells exist on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility'(If any wetlands exist within 300 feet of leaching facility) Feet Furnished by J e © 0 Ilk s Y Town of Barnstable .°�"'E'�'Y,. Regulatory Services * r Thomas F. Geiler, Director • r +. BARNSTABLF, M^S& g Public Health Division '°rFe ray° Thomas McKean,Director 200 Main Street,Hyannis,MA 02601 Office: 508-862-4644 Fax: 508-790-6304 Installer & Designer Certification Form Date: Jillolaq Sewage Permit# ZGDY— 2 57/ Assessor's Map\Parcel YH q Pal Jc.I Designer: S4,,pkcA A. Q@Ison . Rer. installer: tBcanfmle W; (amstrjr iM Address: Q aKkr _k Address: P o . P5ax 70V IZ �n� � Os4�ru;1(�__ o 2 a SS Me"'EiWa NVIC Duy� On S I-I ldq Sae.06161h6mhaghrq was issued a permit to install a (da e) (installer) septicsystem at 051D Ld d Y based onr a de_ ign drawn by ...=(address) sb�qk. h . W-jlsa., Q6. dated 50,5/laq-- .. - w (designer)- __ _ �__ _,_ ._. P ' `. '_' X 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. I certify that the septic system referenced above was installed with major changes (i.e. 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. STEPHEN �yN (Installer's Signature) o LY w N C� No.30216 y UAL. Designer's Signature)--- - -- (Affix s Stamp Here) PLEASE RETURN TO BARNSTABLE . PUBLIC HEALTH DIVISION. CERTIFICATE OF COMPLIANCE WILL NOT BE ISSUED UNTIL-BOTH-THIS-FORM AND,AND. AS-BUILT CARD ARE RECEIVED BY THE BARNSTABLE PUBLIC HEALTH DIVISION. THANK YOU. Q:Health/Septic/Designer Certification Form 3-26-04.doc L TOWN OF BARNSTABLE LOCATION(!!O . )Q�2kJCLAa ' SEWAGE # VILLAGE AS 'S MAP &�L�OT NAME&PHONE NO(90ZA4R1 _ � SEPTIC TANK CAPACITY 1006 S yLEACHING FACILITY: (type) -Q.� �� (size) r4O. OF BEDROOMS R� • BUILDER 4 OWNER 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 'G, 10 '} COMMONWEALTH OF MASSACHUSETTS. x EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS c DEPARTMENT OF ENVIRONMENTAL PROTECTION t TITLE 5 OFFICIAL INSPECTION.FORM-NOT FOR VOLUNTARY:ASSESSMENTS.., SUBSURFACE SEWAGE DISPOSAL SYSTEM FORM PART A RECEIVED CERTIFICATION Property Address: S/ &l AUG 1 3 20OZ /k-l14 . Owner's Name: TOWN OF BARNSTABLE HEALTH DEPT. Owner's Address: Date of Inspection: nI - MAP - �S�- • Name of Inspec o - (pie se. rint) r• &t"f010 .Company Name. PARCEL Mailing Address: .v. 0 LOT • Telephone Number: • 7 `� ax 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: V Passes Conditionally Passes fN eds Further Evaluation by the Local Approving Authority • � ails _ Inspector's.Signature: / Date: The system inspector shall submit a copy of this inspection report to the Approving Authority(Board of Health or. DEP)within 30 days of completing this inspection. If the system 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 6/15/20.00 page 1 i .. Page 2 of 11 i 6' OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address: - Owner:. Date of Inspection: go 060 Inspection'Summary:[Check A,B,C;D or E/ALWAYS comple'te.all of Section D A. S stem Passes: i I have not found an information which in that an of failure criteria described i y y n 310 CMR 15.303 or in 310 CMR 15.304 exist.-Any failure criteria not evaluated are indicated below. Comments: i B. System�Conditionally Passes: . ..., __....Qne 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. i Answer yes,no or not determined(Y,N;ND)in the for the following statements. If"not determined!'.please explain. I 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. I 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): ai broken pipe(s)are replaced obstruction is removed distribution box is leveled or replaced ND explain: i 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): i broken pipe(s)are replaced I obstruction is removed i ND explain: f , i 2 Page 3 of I 1 OFFICIAL INSPECTION FORM -.NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE.SEWAGE DISPOSAL SYSTMINSPECTION FORM PART A CERTIFICATION(continued) Property Address: 5/ - A Jglf Owner: "All Date of Inspection: 00 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. L. System will pass unless Board of Health determines in accordance.with 31.0 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 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 I , Page 4 of 11 j i OFFICIAL.INSPECTION FORM—,NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACESEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A i CERTIFICATION'(continued) Property Address: au Owner: 1110 Date of Inspection: G OD a D. System Failure Criteria applicable to all systems: You must indicate"yes"j 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 V Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or 2JRequired cesspool Liquid depth in cesspool is less than 6"below invert or available volume is less than %z.day flow pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s).Number f 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 withima 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.] I (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 Systems: To be considered a large system the system must serve a facility with a design flow of 10,000 gpd to 15,000 gPd• 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) i i 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 I 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 P PP Y 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 I Page 5 of 11 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B CHECKLIST Property Address: lL� ec, ii- 4 Owner: Date of Inspection: d� 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 t"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? c/ 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 backup? fWas the site inspected for signs of break out? Were all system components,excluding the SAS, located on site jZ_ 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 r Page 6 of I I OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE`DISPOSAL SYSTEM INSPECTION FORM PART C i SYSTEM INFORMATION Property Address: Aaa_lz 6601 Owner. L44f ICI P 1-1/ Date of Inspection: : QU LOW CONDITIONS RESIDENTIAL Number of bedrooms(design):3. Number of bedrooms(actual): DESIGN flow based on 3 l OJQ MR 15.203 (for example: 11.0 gpd x of bedrooms): Number of current residents: t Does residence have'a garbage grinder(yes or no): . `.. Is laundry on a separate sewage system (yes or'no) if yes separate inspection required] Laundry system inspected,( es or no): Seasonal use: (yes or;no): Water meter readings, if aV91able(last 2 years usage(gpd)): 1. Last date of occupancy: M Sump pump(yes or n I COMMERCIALANDUSTRIAL� Type of establishment: . Design flow(based an 310 CMR.15.203): gpd Basis of&sign flow I(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 information: Was system pumped as part of the inspection es or no): If yes, volume pumped: w 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 i -16zother(describe): ; S A roximate age of all components,date installed(if known)and source of information: CiC.slj r"� Were sewage odorsi detected when arriving at the site(yes or no i 6 Page 7 of 1 I OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: / Oial Owner: Date.of Inspection: BUILDING SEWER(locate on site plan)L,off& 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:%cate on site plan) Depth below grade: Q 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: �� 'x j 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 Comments(on pumping recomme dations, inlet and outlet tee or baffle condition,structural integrity, liquid levels related to outlet invert, a idence of leakage, etc.): 0 q-9 o� GREASE TRA✓�L-(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 i Page 8 of I 1 OFFICIAL INSPECTION FORM_NOT FOR.VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C . SYSTEM INFORMATION(continued) Property Address: Owner. Date of Inspection. o2CJO I TIGHT or HOLDING TANI��(.f'(fank 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.): i DISTRIBUTION BO: r(if present must be opened)(locate on site.plan) Depth of liquid levelabove 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.): I PUMP CHAMB��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.): f i j 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: Owner.46 Date of Inspection: ao� SOIL ABSORPTION SYSTEM(SAS):_(locate on site plan,excavation no.t 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,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.): CESSPOO��. cesspool must be pumped as part of inspection)()ocate 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.): PRIVE\/��"�(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: oeoewl Owner: M Date of Inspeetio 00Z 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. cow ell, 10 Page 11 of I 1 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: j/KW -� )eO-dic ' e /L Owner: Date of Inspection: ( '1 SITE EXAM s�% t 9(-- Slope Surface water Check cellar Shallow wells + Estimated.depth to ground water '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: Checked with.local.excavators, installers-(attach documentation) Accessed USGS database-explain: You must describe how you established the high ground water elevation: ,5. VatOf ZZ-e /0/ M0 VAzZ 5W V � s s 11 Permit Number: Dare: Completed by:. Hl•GH GROUND-WA.i E;R LEVEL COMPUTATION Site Location,: �!�! / 1r�°C ' Lot No.. Owner: 'Rach . '`r� %/'` V Address z j z ® � �5 Contractor: / Address: Notes:. STE:?- 1 . Measure depth to-water table .•:. tonearest.1./10','rtt......_......... Date e •..' •JrQ�� Z� • month/day/.Year ST.E,P. 2 Using.Water-Level.Range Zone and Index W611Na.p..locate site and'determine: O'.Appropriate.index wehl_.............._......................��.rll. .. �, C Water-level range zone.. .............................._......_....... ,;__.. S t cP;:3:, Using-monthly.report"Current " Water R.esources'Conditions" determine current•de:pth-to 7. water.Level for•indez well .................... month/year ST••EP• 4 Using.Table.o.;-Waterdevel Adjustments for index Well (S•TEP'2/\)_current depth' to water'devel for.index well (STEP 3L and water-level zone (STEP-26) determine-water-level adjustment ......:............................:........................................:............. .. STEP:.S Estimate depth to,hiyh water by subtracting th.e•water level adjustment.(STEP 4) from measured.depth to.water level-at site.(STEP'1) ._.:...._...._..:........................:.....................................................-.............. 17 i .Y�kin � ----------------------------- 1eoc� I ct t . A BORTOLOTTI CONSTRUCTION, INC. 45 INDUSTRY ROAD,MARSTONS MILLS, MA 02648 5.08-771-9399 508-428-8926 FAX: 508-42&9399 v0 SUBSURFACE SEWAGE DISPOSAL.SYSTEM INSPE.:CTION FORM � PART A � CERTIFICATION �i Property Address: Bate Of Inspection . � Inspector's Name: l Owner's Name and Address. ±' C'FRTIFICATION STATEMENT: I Certify that I have personally Inspected the Sewage Disposal System at this address and that the informa= tion reported below iit rue;accurate and complete as of the time of Inspection. The Inspection was perform- ed based on my Training and Experience in the Proper Function and Maintenance of On-Site Sewage Dis- posal Systems. a system: Passes ConditionallyPa es xhNeeds Fur valu at' n/., a Local.Approving Authority Inspector's Signature / Date: �1 � The System Inspector shall.submit a copy of thislnspection Report to the Approving Authority with Thirty (30)Days of completing this Inspection. If the System.is a Shared System or has a:Design Flow of 10,000 gpdr or greater,the Inspector and the System Owner shall submit the Report to the appropriate Regional Office of the Department of Environmental Protection. The Original should be sent to-the.System Owner and copies sent to the Buyer,if applicable and the Approving Authority. INSPECTION SUMMARY: A) S`VS T RM PASSES: I have not found any Information which indicates that the System violates any of the fail- tire criteria as defined in 310 CMR 15.303. Any Failure Criteria not evaluated are indi- 'cated below. B) SYSTEM CONDITIONALLY PASSES.: One or more System Components need to be Replaced or Repaired. The System,upon completion of the Replacement.or Repair,Passes Inspection. Indicate yes,nor,or not determined(Y,N,OR ND). Describe bases of determination in all instances. If"not determined",explain why not. The Septic Tank is Metal,Cracked,Structurally Unsound,shows Substantial Infiltration or exfil= tration;or Tank.Failure is imminent. The System will Pass Inspection if Existing Septic Tank is Replaced with a conforming Septic Tank as Approved by the Board Of Health. Sewage'Backup or Breakout or High.Static Water`Level observed:in the Distribution Box is clue to broken or obstructed pipe(s)or due.to a broken,settled or uneven Distribution Box. The System will pass Inspection if(With Approval of the Board Of Health): SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Broken pipe(s)replaced Obstruction is removed Distribution Box is leveled or replaced . The System required pumping more than four times a year due to broken or obstructed pipe(s). The System.will pass inspection if(with approval of The Board Of Health): Broken pipe(s)are replaced Obstruction is removed. C)FURTHER EVALUATION IS REQUIRED BY THE BOARD OF HEALTH: Conditions exist which require further evaluation by the Board Of Health in order to determine if the System is failing to protect the Public Health,Safety and the Environment. 1)SYSTEM WILL PASS UNLESS BOARD OF HELATH DETERMINES THAT THE SYSTEM IS NOT FUNCTIONING IN A MANNER WHICH WILL PROTECT THE PUBLIC HEALTH AND 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 APPROPRIATE)DETERMINES THAT THE SYSTEM IS FUNCTION- ING IN A MANNER THAT PROTECTS THE PUBLIC HEALTH AND SAFETY AND THE ENVIRONMENT: The system has a Septic Tank and Soil Absorption System and is within 100 Feet to a Surface Water Supply or Tributary to a Surface Water Supply. The System has a Septic Tank and Soil Absorption System and is with a Zone 1 of a Public Water Supply Well. The System has a Septic Tank and Soil Absorption System and is within 50 Feet of a Private Water Supply Well. _The.System has a Septic Tank and Soil Absorption System and is less than 100 Feet but 50 Feet or more from a Private Water Supply Well,unless a Well Water Analysis for coliform bacteria and volatile organic compounds indicates that the Well is from pollution from the facility and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm. D)SYSTEM FAILS: I have determined that the System violates one or more of the following Failure Criteria as defined in 310 CMR 15.363. The basis for this determination is identified below. The Board of Health should be contacted to determine what will be necessary to correct the failure. Backup of sewage into facility or system component due to an overload or clogged SAS or cesspool. . Discharge or poi 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 clog- gM SAS or cesspool. Liquid depth in cesspool is less than 6"below invert or available volume is less than 1/2 day flow. Required pumping more.than 4 times in the last year NOT due to clogged or obstructed pipe(s). Number of times pumped _ 2 - SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM' PART A CERTIFICATION(continued) Any portion of the Soil Absorption System,cesspool or privy is below the high groundwater elevation. Any portion of.a 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 Zoned 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 than1.00 Feet but greater.than 50 Feet from a private water supply well with no acceptabie water quality analysis. If the well has been analyzed' to be acceptable,attach copy of well water analysis for coliform bacteria,volatile organic compounds,ammonia nitrogen and nitrate nitrogen. E) LARGE SYSTEM FAILS: The following criteria apply to a large system in addition to the criteria above: The design flow of a system is 10,000 ggd or greater(Large System) and'the_system is a significant threat to public health and safety and the environment because one or more of the following conditions.exist: 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. The owner or operator of any such system shall bring the system and facility into full compliance with the groundwater treatment program requirements of 315 CMR 5.00 and 6.00. Please consult the local regional office of the Department for further information. SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B CHECKLIST Check if.the following have been done: Pumping information was requested of the owner,occupant,and Board.of Health. _None of the system components have been pumped for atleast two weeks and the system has been receiving normal flow rates during that period. Large volumes of water have not been introduced into the system recently or as part of this inspection. __ZAs-built plans have been obtained and examined. Note if they are not available with N/A. The facility or dwelling was inspected for signs of sewage back-up. The system does not receive non-sanitary or industrial waste flow. The site was inspected for signs of breakout, 4 All system components,excluding the Soil Absorption System,have been located on site. _ The septic tank manholes were uncovered,opened,and the interior of.the septic tank was in- spected for condition of baffles or tees,material of construction,dimensions,depth of liquid., depth of sludge,depth of scum. X The size and location of the Soil Absorption System on the site has been determined based on existing information or approximated by non-intrusive methods. - 3 - f H SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B CHECKLIST(continued) /The facility owner(and occupants,if different from owner)were provided with information on the proper maintenance of Subsurface Disposal System. SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION FLOW CONDITIONS RESIDENTIAL: Design Flow: gallons Number of Bedrooms: Number of Current Residents: / Garbage Grinder: Laundry Connected To System: Seasonal U p—''se: Water Meter Readi gs if lable: Last Date of Occupancy � - COMMERCIAL/IND USTRIAL: Type of Establishment: Design Flow: gallons/day Grease Trap Present: (yes or no) Industrial Waste Holding Tank Present: Non-Sanitary Waste Discharged To The Title V System: Water Meter Readings,If Available: Last Date of Occupancy:. OTHER: (Describe) Last Date of Occupancy: GENERAL INFORMATION PUMPING RECORDS any source of information: System Pumped as part of inspection: yes,voluii►e pumped: gallons Reason for Pumping: TYPE OF SYSTEM: Septic Tank/Distribution Box/Soil Absorption System Single Cesspool Overflow Cesspool Privy Shared System(If y ,at previous inspection records if any il"Other(explain): �' S A P OXIMATE AGE of all comp nents,date installed if known) and source of information: jLb- Sewage odors detec ed when arrivin at the site:- -4- L SUBSURFACE SEWAGE DISPOSAL .SYSTEM INSPECTION FORM PART C GENERAL INFORMATION (continued) SEPTIC TANK: Depth below grade: Material of Construction: -�Concrete metal FRP Other (explain) Dimensions: ., `�i`(p° S Sludge Depth: f1 Scum, hickness: Distance from top of sludge to bottom of outlet tee or baffle: 137 Distance from bottom of scum to bottom of outlet tee or baffle: >9 Comments: (recommendation:for pumping,conditioin of inlet and outlet tees.or baffles,depth of liquid level in relation to outlet' vert,structural integrity,evide a of.leakage,etc. 'Na �r 10 GREASE TRAP:bJC Depth Below Grade: Material of Construction: concrete metal FRP Other (explain): Dimensions: Scum Thickness: Distance from top of scum to.top of outleftee or baffle: Comments: (recommendation for pumping,condition of inlet and outlet tees or"baffles,depth of liquid level in relation to outlet invert,structural integrity,evidence of leakage,etc.) TIGHT OR HOLDING TANK: f � Depth Below Grade: Material of Construction: concrete metal FRP Other (explain): Dimensions: Capacity: gallons Design Flow: gallons/day Alarm Level: Comments: (condition of inlet tee,condition of alarm,and float switches,etc.) DISTRIBUTION BOX: Depth of liquid level a ovt invert: Comments: (note if level and distribution is equal,evidence of solids carryover,evidence of leakage into or out of box,etc.) PUMP CHAMBER:,-Z�,)— Pump is in workin order: Comments: (note condition of pump chamber,condition of pumps and appurtenances,etc.) - 5 - SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) SOIL ABSORPTION SYSTEM(SAS): l (Locate on site plan,if possible; excavation not required,but may be approximately by non-intrusive methods) If not determined to be present,explain: Type: Leaching pits,number: Leaching chambers,number: Leaching galleries,number: Leacahing trenches,number,length: Leaching fields,number,dimensions: Overflow cesspool,number: Co ments:fnote conidtion of soil,signs of hydraulic failure level o p.onding,co dition of vegetation,etc:)_ CESSPOOLS: 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(cesspool must be pumped as part of inspection) Comments: (note condition of soil,signs of hydraulic failure,level of ponding,condition of vegetation, etc.) . PRIVYc Materials o construction: Dimensions: . Depth of Solids: Comments: (note condition of soil,signs of hyddraulic failure,level of_nonding,condition of vegetation; etc.) I - 6 - SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) SKETCH OF SEWAGE DISPOSAL SYSTEM: Include ties to atleast two permanent references,landmarks or benchmarks. Locate all wells within 100 Feet. 7 0 r a 1 DEPTH TO GROUNDWATER: Depth to groundwater: 21 Feet Method of Determination or Approximation: L /M f - 7 - CI Ie•e• T In• �w• s'-s• FouNDnnoNS - 1--------'---------'--------------------------- I. FOUNDATIONS SHALL BEAR ON GOMPPLTED GRANULAR FILL OR HAS p4 BAR BOTH DIR. 4 . W/GONG PER ABOVE NA,ni UND15TWI SiNG A MINIKAH BEAWN6 OILS L---- - C CAPACITY OF 2 TONS PER SWARE FOOT(A5 VERIFIED BY THE -��-J 6EOTECHNICAL ENGINEER).STRUCTURAL FILL SHALL MEET THE RZoIREMBRS OF THE GFDTECAL HNI REPORT. T 2.ALL EXTERIOR FOUNDATIONS SMALL E A MINIMUM OF 4'-0' Di FINISHED BRACE. 3.NO FONCATON5 OR SLABS SHALL BE PLACED IN WATER OR 4 ON FROZEN 6ROUN0 FIB INELL C 4.THE CONTRACTOR SHLULD REVIEW THE GEOTECHNICAL REPORT 30'X.90'XI2"FOOTING WITH CONCRETE _ \ -- -- --- -- PREPARED BY THE 6EOTE C.A..GON5ULTANT5.ANY N4 p4 BAR BOTH DIR. RFLONREN VATION5 MADE BY THE REPORT SHALL BEGONE W/CONC 50NOTLW ABOVE PART OF THE JOB SPECIFICATIONS. , TYP_ j \ j 5.BASEMENT LEVEL FOUNDATION WALL5 ARE NOT DESI6HED TO t --- - .0 INFILL W/GONCRETE FIREPLACE FDN. \ \� BE FREE9TANDIN6.W NOT PLACE BACKFILL WITIDUT _ 6"GMU FIREPLACE FON. ADEWATE BRAGIN6 OR LNT1L FIRST FLOOR FRAMING IS IN T „ 8'GMU W/CLEAN0JT \\ C PLACE AND NAB CUTIED FOR SEVEN DAYS. r— T REINFORCED CONCRETE j EXISTING CHIMNET' L- ---- CRAWL 5PAGE W/ ' FILL W/SAND FOUNDATION 3'MUD SLAB I. ALL 5TRIGNRAL CONCRETE SHALL BE NORMAL WEIGHT,STONE AND POUR FOOi A66RE6ATE CONCRETE,AND SHALL BE PROPORnONED•MIXED S MUD 91A0 \' 9'd W/5".131 BOTH DIR. AND FLACED LNDER THE SUPERVISION OF A CONTROL ENGINEER YV5 1/2'•GONG.FILLED IN ACGOFDANCE WITH ACI 315,318 AND 801 STANDARDS,LATEST \ VV4-4 BAR BOTH IDIR EDITIONS.CONCRETE SHALL DEVELOP THE FOLLOWING 28 DAY - - LALLY COL. 91REN6T5: _—_ YW3 I/2'GONG.FILLED - _— A.CONCRETE FLATAi EXPOSED TO WEATHER 4000 PSI 1 >' LALLY COL. T2 a (6%AIR ENTRAINED) _ _ __ _ _________ B.E%TERIOR WAI.I-a•F�TIN65.PIERS AND SLABS EXPOSED ------\\\, \\ �__ ___ TO WEATffR:T000 P91(6%AIR I 0.ALL OTHER CONCRETE:3000 P,ENTRA NED) 2.REINFORCING BAR5 INCLUDIN6STIRRUPS SMALL GONEORM TO ASTM __ —.—.—.—.— __._._._ — — —i A615 WITH&iµ:Ti PSI-flnD STREi KTH MINIMM A44CA aRAGE I AND SPLICE REWIRF2.ESITS FOR REINFORCING IN ACCORDANCE \ DOWEL Ni FOUNDATION ___P �______� __E�7 _ SBA __ ______ _--_' _ _Ii 4 WITH A 1 DID,LATEST EDITION.WELDED WIRE FABRIC SHAD. \ WALL INTO EXISTING L N�VEFOR ��I CONFORM TO A5TM AIDS. p5 a 12'O.G. I t -FOOTING BULKHEAD Ih 3.CONCRETE WALLS SHALL BE CAST IN ALTERNATE PANELS NOT \ EPDXY 6ROUTED IN I R BOTH DIR i 1 E%G®IN6 IOC FT.F L.EN6Tt THE USE OF FOUR STRIPS AT SPLICES \:. PREDRILLED HOLES TYP. P 1/2"GONG.FILLED GUT WALL SYNC •�\�\ .• •� . O HORIZONTAL REINFCRCIN6 MAY BE USED TO EXTEND Tff LEN6TI - OF POURS. ^ \� 4.SLABS ON GRACE SHALL BE PLACED IN STRIPS 1N ACCORDANCE LALLY COL. ANO BASEMENT FILL EXISTING WIT/THE LATEST ACI RECOMIKWATIONS. 2--O'TYP.UNO AS REO'D FOR LIGHT WELL 5.`.LABS ON GRADE SHALL E PLACED ON A LAYER OF YELL GRADED - \ PffP AND N4AINT. WITH CONCRETE 6RANAAR MATERIAL COMPACTED TO 9%OF MAXIKAH DRY DIDe TY. BP AC ES 6.OETAILIN6 OF RENFORCEMENT SHALL Be ACCORDING TO THE LATEST EDITION OF AO 915*OETAIL5 AND DETAILING OF CONCRETE - \� Y NOT ALLRES•. j - - l.NOT ALL OPENINGS TAL PRH CONCRETE SLABS AND WALLS ARE '. Y GUT WALL ABi CE DRAMI ON STRUCTURAL pRAWIN6S.OPENINGS INDICATED G THE CRAWL SPADE DRAWINGS D R ANY ADDITIONAL OPENINGS OR INSERTS REWIRED \ AND BASEMENT MST E VERIFIEp WITH RESPECTIVE TRADES BEFORE PLACENEM AS READ FOR 05 CONCRETE. AND MAINT. 8.SEE ARCHITECTURAL D RC+flT 5 FOR_FINISHED. DEPRESSIONS.RE6LET5. ••` Ni AND OTHER O THE EXTCRIO FINISHES. \\��\ O ACCESS i 9.CONCRETE EXPOSED TO THE EXTERIOR SHALL E AIR ENTRAINED. \ 9 MUD SLAKE vv 10.UNLESS NOTED OTHERWISE•PROVIDE THE FOLLOWING,CLEAR COVER _� - FOR REINEORCI%STEEL: " •� - A.FOOTIH65:3' 4 \ ___, - B.FOUNDATION WALLS:2' .[ VV4 A4'AR' i D I n \ \ .\\..\ G.INTERIOR SLABS:I' W/4 p4 BAR BOTi DIR - _ _ ______ _____ __ •\___ _ RELEASED.FOR BUILDING PERNII 0436D4 D.EXTERIOR SLABS,2' W/d 1/2"GONG.FILLED I E PIERS I PILASTERS:2'TO TE5 :\ LALLY COL. L j T�\\ �.. DRAWL SPADE W/ - I - REMOVE EXIST. TO'OF FOOTINS REVISIONS DATE 5TRUGTURAI STD \ 5'MUD SLAB EXCAVATE Dd TO TOP le'3' -BS' 3'-3 In' s•-l' I. ALL STI ICTARAL STEEL WORK SHALL CONFORM TO THE �. 3MUD 5I�/}ND POUR n T 12o, OF FOUIDATIOI )..+ARK f._ SPECIFICATIONS FOR DE516N,FABRICATION AND ERECTION _ LINE OF GIRT PJ3V. OF STRUCTIJ RAL STEEL FOR BUILDINGS'OF THE AMERICAN W j INSTITUTE OF STEEL CONSTRUCTION. \ 6 2.THE 5TRUCT RAL STEEL SHALL CONFORM TO THE FOLLOWING. T I\ U T K & A.STFUCTURAL 5HAPE5:ASTM A512(GRADE 50) _ B.PLATES AND ANGLES:ASTM A36 \ - I8'X3O•%12'DEEP ". S S ~'{-I A T E;S G.STTd10MRAL TI,BIN6:ASTM ASOO GRADE C \ GONG.FOOTING Y'U ;� �'` D.STRUCTURAL PIPE:A5TM A500 DRAPE C L CONCRETE PIER ABC✓•VE = - t°. R Q H I E C T S \� ' 90'X5O'xl2'FOOTIN6 T F �\ W/4 p4 OAR BOTH DIR. - ARGtk-IITE�iRTJ Ri;.'$c LALLY COGONC.FILLED INTEERIOF2p. SIR-^pN ... REMOVE a GONG.PIER \ - BP v KEY: o�E=�s333� o�Iaa3 __ __ ____ L P LINE OF GIRT ABV \ c: EXISTING FOUNDATION WALL www H�THERAR�HITI;�T� CRAWL SPADE W/ X 3'MUD SLAB \ � F vv .v vvAv\v V\ A�e`vo\v - - �\ NEW W FOUNDATION WALL ALL \ � GOTUIT I � I n - \? O MA55AGHUSETT5 r-�In• e'e• s•-u In• � . �\ �\ I/2"CIA.ANCHOR RODS ®4'-0'TYP. o \ T r�F_ m,�2'-O'TYP.LINOLip, II I II1=\\�A,40\� \ 4"THICK GONG. 6"SLAB ON GRADE APPROACH APRON SLOPED TO DRAIN .� 2-p6 CCONT. IS x - r 4 P. KEY PLAN \\ B-pa coNr. .. \. +w a 24"o.G. \ vv FOUNOATION . .\ 5'CLEAR COVER \\\�� •-0" , FLAN ------------------------------------------------------------- ------------- - ----- 2 FOUNDATION WALL DETAIL FOUNDATION PLAN _�Q� - I 1 I I I ro'-0• b•-la e In• v-I em• m. a-i yr q•q It'•II In' -p ln' -- -- - I , EXISTING TERRACE I I 1 1 I I § O®— pp5� 5 e q , I 4 I O I - f I to I I SINiXS ftPl LI'IMp RI]1 I _ I _ I - 1 I Y(D �. ® a Y EE - I i e FM - � b oo T:- ,I? - , - - - - ,✓T ,Inll I •�'• 0 111 I - 1 00 �NNi,9i 9QEf III 4`0ll 111 1 1 camel - - T91Y+ fM' 1' QO A I•o v.' II ,Inlll ,s ,+ III 1 � P 1 � ex q GOMLW.f¢r -' - III Ip III III ; ` --�- � - 111 III I I ❑ ® � I © s � Na,��,N ; 1 RELEASED roR enLOINs PERr-n oa�.oa ,a yr v-I yr x II In , Im REVISIGN5 GATE T E 1 - 9' 9'4 d' ]'<' 15'-II In' 5'-i In' ]•-la ]'-IP 5'-I I? - ' raARK UTKg ft& SSO ATES R C,'H I��-E C T S , ARCHITEC�fiJRE`Sc i R INT RIOR�UESIGN © L� I J GARDEN COURT b -a In• I a -I 506 m e ID ® Si®IR V6TIBlP �® T � • . I ---- ........... -- ---------------- --q - --P--------- � J PIEPER 651 ,> a RESIDENCE ----- -- - P - COTUIT MASS ACHU5ETT5 I I off' I ® I V I I , I I I , I I 1 I § 1 I � I � -_ ____________________ IY ____ _J______________ _T P 1 I KEY PLAN I I I b ---� MAIN FLOOR PLAN P 1 I 1 1 FIRST FLOOR PLAN 1 lia• 1'-0• I 1 O O A e I'0..I I --------------------------------------- ------- ------------- ----------------- -------------------------- - (D 0 Q (D V (D 0 (D 0), (D (D ((D D (D ------------I ----------------- ---------------- nap ow 21 01 ----------------------------------------------------------- ------- (D I OO RELEASED FOR 5VILDIN6 PEWIT 04.26.04 ---- ....... ..... I DATE ------ ----------------- ------I------ f N"i A R K H u T K S _4f�& A SpA T Ez�S HD A R ,Ag CTS INTER OR OEySIG[V ---------------------------------------------- I I I A I I FIFFFR &51 RESIIJENGE COTUIT MA55ACHU5FTT5 0 KEY PLAN SEC, FLOOR PLAN 5ECONP FLOOR FLAN 1/4' p 1-0' -A-102 _._._.__ © © O O O © © O ® ® O O E E O 8 � 8 R ED ELEAS FOR BUILDING PERMIT 04-26,04 ... - ,:L.. I510N5 DATE NORTH ELEVATION/SECTION w'ARK va• = r-o �-� UTK R & A SS CIATES ;. RkJHI'T'ECTS ARGG-ttTEG��, iJRE�;�Be INTF�RIOR O+I�'^�IG1V ._ w.u.r,aa,mu r.ue PIEPER 651 o �- _. " _ 7......,,.maA.,.,..., RESIDENCE 0 0 0 .... .,.. ._.. _ GOTUIT 0 0 0 _ ... -. . ... ... .. . .. . ... -. .. MASSAGHUSETTS - --- o 0 0 0 0 Laj 0 0 N 0 0 pl O O -. _ KEY PLAN .�., 7. ELEVATIONS (-71)WEST ELEVATION I/4' c I'-0' A-201 i I m � - I ® ® ® ® ® o q�; tr © �F�� ® ® ® ® ® 00000 (D ®®® ®®® � x RELEASED FOR BUILDING PERMIT 04—WO4 1510N5 DATE (7)SOUTH ELEVATION va• 1•-o• IM A R K A H UTKEAR & _. r` SSC� r. .ATES �: RC,H1T-ACTS ARC,,FFH� ITEC"T"tJ R E';8c . INTERIOR p�51 G_N - a. PIEPER 651 - RES DE GE _... COTUIT - -- 0 0 0 0 0 MA55AGHU5ETT5 ® 0 rr KEY PLAN a 7 ELEVATIONS EAST ELEVATION 1/4" - 1-0• A—.202 5TI;CCO FIN15H ON DUROCK OVER 2X WOOD FRAME Q � 12 T'PILAL ROOF A55EM5LY .. 12 I ALASKAN YELLOW CEDAR SHINGLES ,. P 1 CEDAR BREATHER FABRIC , IGE AND WATER SHIELD MEMBRANE 5/5.COX PLYWOOD ROOF SHEATHING 2XIO DORMER RAFTERS 6 12"O.G. CELLULOSE INSULATION TO MIN.R-30 WZ'GYPSUM BOARD ON IX3 STRAPPING OXb RED CEDAR PERGOLA RAFTERS ON 6X0 RED CEDAR BEAM 416 NPALS \ b(IO®12' I� T.O. W_RMER PLATE .—.—.-------._.—._. 2X8 Cg1PR TIE el7'OL. \\ b .— . •119'-10' - _ B_O_DOLLAR TI ElGE7 LING RAFTER 1: —.—._._._.—.—.—._._.—.—.—.—.—.—._._.—.—.—.—._.—._--.—.—/ T.O. DOOR ROUGH OPENING __ _- T.O_DGRMER PLATE .116'-2 1/4' ._.—.—.—.—._.—._.—.—. I _.—.—._._._.—.—.——.— LC. FLASHING—————————————————— —— /. IX3 ON IXB RED CEDAR RAKE IX3 ON IXb RED CEDAR FASCIA 9FE ,, T.O. WINDOH ROUGH OPENING 1%6 RED CEDAR SHIPLAP SIDING SPECIFIEDD BE BY —'—'—'--'---'—'—'—'—'—'—'—'---'—'—'—�—'---'—�---'------------.116—I11/4'-ON lS BUILDING FELT - ENGINEER 2X RED CEDAR HEAD CASING ROOF DECK A=J�EMBLY I "EAGLE"CLAD DOUBLE HUNG WINDOW 5/4X4 MAHOGANY DECK 2X P.T.TAPERED JOISTS AT Ib"O.L. i PLAYROOM \ \ TYPICAL WALL A55EMBLY EPDM MEMBRANE ON 5/4"P.T.PLYWOOD WHITE CEDAR SHINGL 5 MAX, EXP. 2X P T.TAPERED J015T5 AT Ib"O.L. I5+BIILOI"FELT 9/4"PLYWOOD SUBFLOOR U2'GDX PLYWOOD SHEATHING 2X6 WALL SNDS B Ib'OG. RELEASED FOR BUILDING PERMIT 0426.04 CELLULOSE INSULATION TO MIN.R-19 GLIEM REVIEW 10.0'iD3 1/2"GYPSUM WALL BOARD VVSKIM-GOAT CABLE RAIL SYSTEM PLASTER FIN15H ISIONS DATE T.O. SUBFLOOR AT PI-AYROOM _ T.O: SUBFLOOR AT PLAYROOM.—— EPDM MEMBRANE ROOF OVER 3/4"1/2" MARK WOO 1 LVL RAFTERS TAPERED t/4'/FT. PLY D SHEATHING ON 1 3/4"X Mll ;Y \/ r{ UTKEE T.O. PLATE AT PLAYROOM .109•-111 3/4 _._ _ A SSOG LAT E;S T.O. 2SR FLOOR SUBFLOOR —._�,—,--- -_. ._ _--.—--------------- .—--- ._.—.—.—.—. ._- ._._._.—. ._ ._._._.—.—.—.—:_ T.O. 2ND FLOOR BF'L , f I SECTS T.O. TRANSOM ImVGl1 OPENING \ T.O. TRANSOM RDUGH OPENING A RC TR HITEGaTW RE'Sc .106'-2 1/2' ---.—.—.---.—.—.—.—.— .109'-1' INTERIOR O�St G_IV T.O. DOOR ROUGH OPENING .106-el ii '.—. —.—.—.—.—.—.—.—.—.---.—.— LIVING ROOM o,.,f soma 944 F _ SECOND FLOOR ASSEFIBLY 3/4'PLYWOOD SUBFLOOR p HALL It T/b'TJI FRO 350 JOISTS 6I6"O.G. FIBERGLASS SOUND BATT INSULATION — I1 3 STRAPPING o Ib"O.G. 5KI GYPSUM WALL BOARD W/ SKIM-GOAT PLASTER FINISH PIEPER 651 EXISTING TERRACE CABINETS CABINETS ENTRY PORCH RESIDENCE F- GOTUIT ADD 2X6 FT 511-1-PLATE To I MASSAGHUSETTS EX15T1NG FOUNDATION USING - EXI5T.ANCHOR 501-T5 T.O. 1ST FLOOR SUBFlAOR —.—_.—.—._._._.—.—.—._.—._._._.— T.O. 1S1 FIlJOR SUBFLOOR T.O. EJt1 STI MG FOUNDATION MALL 0 1/4' .—.—.—._.------ LVL GIRT-5EE 5TRUCTURAL5 FIRST FLOOR ASSEMBLY FOR SIZING IX HARDWOOD FLOOR TEO 3/4'FLYWOPP'BFLOOR 3 1/2"GONG.FILLED LALLY COL. 9 1/2"TJI PRO 250 JOISTS®12"O.G. ON 30"X30"X12"GONG.FOOTING F1 FIBER6LA55 BATT INSULATION TO R-I9 EXISTING FOUNDATION WALL TO REMAIN- 5EE 57RUCTURAL PLAN5 KEY PLAN SECTION B BUILDING SECTION 5 A GENERAL NOTES I. THE VESISN 15 IN ACCORDANCE OF TN THE STATE BUILDIN& CODE OF THE COMMONYVSALTH OF MASSACHUSETTS.2 THE STRUCTURAL PRAMN65 SHALL BE USED IN COKAWTION ------ WITH THE ARCHITECTURAL,MECHANICAL,ELECTRICAL-PULI1,03INS, AND LANDSCAPE DRAMNSS,AND S�l ICATIONS. ------ DETAILS SHOM AS rM ARE APPLICABLE TO ALL --------------- ------------- -- ------------ SIMILAR CONDITIONS. vLRIN6 ALL PHASES OF ------ ERECTION AND CONSTRUCTION. vw CONSTRUCTION --------------------- --------- --------- ---------------------- I. ALL LUMBER USED SHALL CONFORM TO THE POLLOKNG,SPECIES, A.ALL LUMBER FOR TFW95M SHALL BE AS REOUIREO BY A 11 THE TRUSS supptlm LAMINATED,VENEER LUMBER(LVL)SHALL HAVE AN ALLOV013LE SENOTRESS OF AN 2800 F51, Al.L� SHEAR STRESS OF BPS. �PS.ANO A MOOUI.16 OF ELASTIC� Or 2.0 X NODS PEI. 1 0 10 11 04 C.PARALl.AMS 4-AMU WALL HAVE AN ALLOWABLE 5ENm11,1& STRESS OF 2200 P9.AN AU-0VIABLE COMPRESSION STFM55 PARALLEL TO GRAIN OFBODO PS,AND A�OF M-Asrc'TY OF IUD X M PSI. ALL OTHER ULRIBER SHALL BE.SPRUCE-PINE-FIR AS FOLLOM, L 2 IOJST5 8 6 WEIRS-NO.1/NO.2 OR BETTER am r STUO5-NO.1/NO�M BETTER a BEAT &IROM-NO W I OR BETTER 2.ALL WOOD N CONTACT WITH NCRIEVE SHALL BE PRESSURE TREATED. 5. ALL EXTERIOR WALLS SHALL BE SHEATHED IN 1/2'APA EXTERIOR II 'T PF 12'tC. 4.GRADE, MFLZORPOVA&I I 2TCOAT E`EE"014"ZLYrW4O0oDrGVL""SWAND NAILED TO FLOOR MEMBERS. A"ROOF SHEATHINS SHALL BE 51b'APA EXPOSURE I PLYHOOD ONftANF.PROVIDE PLYWOOD ------------------ 6.NAILING PATTERN FOR EXTERIORPLYWOOD,60 NAILS a 6* : AT -I Al ------------------- ------ ll 11-il-til-I lirld-11 11 1 1� k K T: I I L AT EDGES, TEAND MATLODA*DATSETHAEMNWTUVtttALMLS UNLESS AN�DNO=N-LOOTHAVW r BEARING,"ALLS OVER WIN HEISHT,PROVIDE ONE�OF 0IOOD ------------ q Y2 TJI RC 150 W 0 VESISH WAOSS 1. THE WILDINS HAS SEEN DE549NED TO WNFORM TO THE THE R49SACHUGETTS STATE EULPIN&COM AND TO RESIST FOLLOWING LOADS, FUNSNOA I?P-21 PSF(ZONE) 5.eXPOSUIRE 6) UONE WSMI DESISN, 3 b O SEISMIC EXPOSLFE,GROUP I SEISMIC PERFORMANCE LATFbORY,C SITE COEFFICIENT,9-1.0 STRUCTURAL SYSTEMA.LOA05EARINS AALL SYSTEM RESPONSE MODIFICATION FACTOR.R=6 I� DEFLECTION AMPLIFICATION FACTOR,W-4 ANALYSIS PR{A'—E--65-A INTENT OF THE STRUCTURAL DRAWINGS r ORAR STRUCTURAL FEATURES AND STRUCTURAL DESIGN FOR THE PROJECT. ITECTJRAL DETAILS ARE SH"INCIDENTALLY 0,�WALL BEAR LILJ— ORAIMNS5 MUST I H- IN C� TIOH YQT`THE STRUCTURAL RELEASED FOR BLDB PERMIT OS.IID4 ------------------------------------------------------ � REVISIONS DATE SHOP ORA0NSS I. ALL SHOP DRAWINGS SUBMITTED TO THE ENSINEER SHOULD INDICATE THE DATE REVISION NUMBER AND ISSUE DESCRIPTION OF IND ICATE REFERENCE°RAWINSS ITHE STRUCTURAL CONTRACT G ARK W SHOP'DRAWINGS A NOT PREPARED ACCORDING TO THE i ORAINSHOULD BE USED PREPARE THE SHOP�NI66)- A UTKf%R, & LATEST STRUCTURAL�NI65,THE SHOP�NSS KILL BE pLnR`W"T"O"T REVIEW 2. P, S S ALL SHOP op"U'lGe,SHALL BE CHECIQED BY THE SUBCONTRACTOR A T E-�S tF AND f;U!VI&w BY THE 6EH5RAL CONTRACTOR PRIO,TO A R BEEN ECIBY.KFD (-fH'I C T;s' BY THE SUBCONSUBMISSION.SN TRACTOR 01,REVIEF'Ev BY DRAFUN65 WHICH HAVE THE GENERAL 00"TRIVITOR KLL Be RETURNED MTHOUT REVIEA REVIEW OF SHOP DRAWINGS By THE ENGINEER DOES NOT RELIEVE THE C.04TRACTOR FROM FULL CONFORMAN'E TO THE CONTRACT I—Ei:i4l R Mal—Grq ROOF FRAMM6 NOTES �p� 1 1. FOR TYPICAL DETAILS AND GENERAL NOTES REFER TO SHEET S-Ice AND ALL BUILDING SECTIONS(SHEETS A-$OI THRU A-506). I L-------------------_- FA t 2 FOR PLATE HEIGHT.SEE AFXHITELTURAL DRAIM1,165. 3.GENERAL AND CtWrPWTOR NOTE; POSTS(4X6 AND LARSM AND 5 OR MORE JACK STUDS SHALL exTav Dom CONTINUOUSLY FROM THE ROOF AND SECOND FLOOR AR--.T.-T---- WAR., U TO THE FOUNDATION KALL LKLESS INTERRUPTED BY A 9EAiM OR JACK 5T105 AT ALL JACK STUD AND POST LOCATIONS PROVIDE MATCM)N&BLOCKING STUDS BELOH FIRST FLOOR SWATHINS 001M TO FOUNDATION WALL OR LVL BEAMS 4.FRAMIN&SUPM-F.R SHALL 5UBMff LVILAN HSER INFORMATION FOR PIEPER 6751 APPR�A.. ------------------------- RESIDENCE X-6-LVL INDICATES THE NUMBER OF 1 3/4*X S 1/2 LVLS. X-8'LVL INDICATES THE NUMBER OF 15/4'X 1 14'LVL'S X-1 -LVL INDICATES THE NUMBER OF I SW X q 1/4'LVL S. COTUIT X-12 LVIL INDICATES THE NUMBER OF 914 X 11 1/0" X-14'LVL INDICATES THE NUMBER OF 3/4 X 14'LVLLS�VL S. MA55ACHU5ETT5 X-16-LVL INDICATES THE NUMBER OF 5/4*X W LVLS. 6-'X.V INDICATES THE NUMBER OF JACK STUDS, -XKV INDICATES THE NUMBER OF KINS STUDS. T. '-LAM'IM:40ATES PARALLAM CCU M B.ALL EXTERIOR WADERS SHALL BE(2)2 X 12 UNIO, 4.ALL INTERIOR HEAVERS 944AU BE(2)2 X U UNO. 10.PROVIDE I JACK STUD ON EACH 5109 OF ALL DOOR,WINDOW AND FLUW FRAME OPENINGS AND AT EACH END OF BEAMS AND&IRDER TRUSSES UNLESS NOTED OTHEREUSE. L PROVIDE HURRICANE ANCHORS AT EACH BEARING POINT OF ROOF RAFTERS AND TRUEGES URRI6ANE ANCHORS SHALL BE SELECTED BY ENGINEER AS INDICATED ON THE ORAYUN55,SPEGIFICATIOW. 12.PROVIDE POST CAP.AT ALL POST COLUMNS TO SECIM POSTS TO GIRDER TRUSSES OR LVL 5.TIePOrlNS FOR 61RDER TRUSSES SHALL BE DE516INED AND SUPPLIED BY THE TRJ35 SUPPLIER KEY PLAN Flf;Z5T FLOOR FRAMING PLAN IST FLOOR FRAMING PLAN ------------------ --------------------- A— 50ALE: 1/4 ------------------------------ --------------------------------- • B A-X%% A- S ______-_ ____________________ .__________________________ ________4______ ______ -______lel _____________________�I 1 y'� �4 Q�'f y'f I Al eB' QV� 10• b' b' I I 1 I I O •T 16' II OTI O 4 B 7X Z I I M14 2 - I ' I I I I _ I N b �� ryry I (yl'L (21]%IO/EAOBt ( 10 10' (J)I'L W h L (2)1 L -�ff u i I v"1 v"I 1 9 TJI wllolloL t 1o.LVL 0)3x10lEFDER r. 14' ! I _ I O (�H'LVL (1)H VL ______________________________________ ________________ RF.LEASM FOR BLp PERMIT 05.0,04 IRLvie'low. DATE H L A%%X I MARK U T KKR & SSOCIATES a A RCfH ITzE CTS I � A RG�H ITEG"T'U R EN,6c 234 � b�R INTERIOR DESIGN L 234 ______ O o.ac.sosse999aa vsx I MI c.. wuwov��HS:9 _ 01'O ^Ln 9ia G�vvowo sT.suits s.F I f _ � _ vnone:soesa000ae �,tNw ozsao _____ �9V3'T.O PRO FXJ I •16'OL. I I I L---------- (3)B'LVL w-Apm tZ 2u6.6 . aln•TjPRoaO J - PIEPER 651 •16 oL. a _ RESIDENCE n I I tib -------------------------- -- -------- -= ---------------- GOTUIT ' ------------ ------------ --=--------------------------------- i MA55AGHUSETT5 ------- ------------------------------------------------ I ---------------------------------------------------------------- ------------------------------------------------------------- m ------------------------------ ---------------'-------------- `I ---------------------------- ---------------------------------- ------------------------------------------------------------- i / KEY PLAN -------------------------------------------------------------- --------------------------- ---------------------------------- ----------------------------- --=--------------------------------- i SECOND FLOOR --------------------__________ ________________------------------- 2ND FLOOR /FLAT ROOF FRAMING PLAN FRAMING PLAN SCALE: 114" II_OII A 102 5/03 A- 2X12 DORMER RAFT 2 X&SOFFIT FRAMING 110,14 11 LINES) r-7-7 T-- SEE PLAN FOR SIZE :2X8 T 11 I- II FULL W16W MEN&SW ol II SIR JW 2XIO ealm VIE 2X 5UI V�AR CLA V�T RS HORIZ.t21 2XI,001W. PS,I-V R CAUPPLE STEM(TYP) 4 MAI L .12 oz—— A a I , RAFTER I C, II Im.I I 2Yh SOFF .10ism-SIX I FOR SPI FRAMNS wrm E T, �!m Rl ... .. . .. I - ,,I] -11"'I""'. "", " I! ii, IS SEG-T I ON 1-1 NV i"I5 oil zz �zz zzz Z�11 zz- zzz� Z�zz zzzz "n zz�z zzzz zzz �m Ll zzz�Z��z �Zzz �Zzz zzz: zz�z �Zzz�zzz�Zzz zz� �z zzz:�Zzz zzz zzzz�zz� Z�nz�ZZZ Z�Z�LZZ� Z�Z�ZZZZ�z j�z� ZZ ��z.... ........I zz�z zzz�zzz� �nq zzz�Z�Z�zzzz �N z z z zzz zz��zz��Zzz zzz; zz:;zz �zz;Z�zz�zz Mz zz�Izzz zzz� L zzzz Z� �zz Z�z Z�t�=z zzzz Z= Pt d 2X6 voll I 2XI2 PORMIR Ill SIMI I C� "Al STRW LVL W-APM- LVI - F71 SEE I I SIZE Ld LU v XI `01 4EF 1 16,�z -7, FT 2,112 DORMI 1111111- ROME I OPISIIHS J STIR L15) 2X12 ROOF RAFTERS VE HEESPET KING IE:1 I �m 1 (2)=al LL PORMIR CA41MIK I RELEASED I Ill FEIIIII '11, L H -------- III W 2M ODI 1 Eij V IVX 1 1 eELdW H%SIMPSON ST"m rrl M A R K A Sol FRAMING(17�I l SOFFIT PRA WAS I Hm H U T K Vgk& 111/5*T•ll FLOORA sS AT ES .10I-5EE PLAN I SPA A R(�rHfy- C T S AM ANGLE ELEVATION/SECTION 2-2 El 56ALE: 3/8" = Ill 290 APPLIED ROOF RAFTERS a 16-OL. =2 Rl 2 X 6 SOFFIT FRAI WASEW LIl =2 DORMER RAFTERS.I FIEFER I 2W ROOF RAFTERS 0 16-OL. RESIDENCE m cal.ARR TIES 6 I OL. -- it 1-160 FIVE NAILS C, TUIT Al MASSACHL)51ETTS 2 X.10 1160 1 NAILS 2XIOVORMER RAFTEFZ50 12-OL. 2-817 TOE I AND KANI Z��z z�zz zz�z"nz, O 7 -7 . .... ... . .. ..... zzzzzz�zzM zzz�z zzzz,�� zzz�zz�Zzzz .. .. . .. .... .... .. ... .... zzzz�zz�zzz�Z�zz�Zzzz . .... ... . .I .. zzzzz nuzz zzzz�tzz �ZZZZ ��ZZZ ZZZZZZ �zzzzz zzzz��Z�zz��z z�z��Zzz�zzzz��Zzzz:zzzz�z �Znzz Z�zzz�zz�zz zztz��zz�z zz ;Zzzz zzzz z zzz z z zzz z z M^ z zz::z z ;Zzzz zzzzz �Z�z; zzz�Z�zzzz zz�zzz;;Z�� zz;zz�zz�z zzzzz UZ ZC��z 'M �Zzzz z CI zzzzz Mzz Mzz�zzzzzz zzzz�� zzzzz��Z�zzz z z zzz� ��tzzz��zzz� z zz Mi (Z W TOE NAILS W25 VMP50N I STRAP Z�zzz�zz�zz�:zz��Zz tzzzzz�Zzzz��z zz�z =Z�Z��zz�zz z��zz�zzzzz��zzz zzz;z� �zz zzz�z zzzz KEY PLAN zzzz��zzz��zzzzz�zzzzzz Z=�z�zz zzzzz �zzzl�zz�:�zz:� z zz�z, zzzzzz . .............�,TIS Q,m W, z�z z `zz�z�z�zz��z��z�zzz z z zzzz�Zzzz��Zzzz�zz--4, lzzE zzzzz zzz�zz zzzzzz�zzzzz��zzz��Zz�-zzz zzzz��Z�z Z�zzz zz�tzz zzzz:zzzzz�zz�zzz�zzzz�z�z� zzzzz zz�z� zzzzz; zzz�z Z�zz�z ��zzz zzz�z� zzzzz zzz�z �Zzzz zzzzz�z�z zzzzz zz�= z�zzz��zzzz� o 210 10R.RI 6 11'011. ROOF (W2X10 1-1) x1 FRAMING PLAN ROOF FRAMINIG, PLAN 50ALE: 1/4" = 1'-1 SECTION 3-5 SCALE: 3/5" I'l jj;: Q *. be 1 2 cr.n e n " �Y.. SOII. LOGS DATE:December 5 003 On g �� Aa�G`1 Y © G� ' ° ��,� � . + o: a ;°t.,. P#=P-10,624 .� EXISTING LEGEND PROPOSED •. " o -.. • , p ?; ENGINEER: BOARD OF HEALTH AGENT: M Stephen Wilson,P.E. Donna Morandi � � Stake do lac Set/Found '� �'• TEST PIT 1 43.6 n¢- ° Mag Nail Set/Found G.S.E. = 39.9E _ ce H 0 Concrete Bound O e o S �� ® Gas Gate \ i r 41'' r...-- 81'07 00. \ Eo Electric Meter 6 p E 467.29' TD x 43.7 . $p•1r ,',� 0 ` 0 AG ao - �/' O Catch Basin n • O r ►a.. P ' ': o a 2" 2.29' �►. �.-'-/ D4L9 SET 39.7 - - Water Gate TIC' ° �► ,i 1� Water Meter .. �; pc ° A 43,E,.. 40 >� 1 �\ - 36, > ono ® Telephone Riser Cote -0- Utility Pole OA ¢o: " P SANDY LOAM CB DH FND ' 4t,F; fa iC Awp 4 0,1 \D � `\ .EP E 2� Contours P*M/.. t Mrcn�r N�srS ,e 1± 5 10 YR 4 1 D.E.P. File ME 3• 4251 r' 41,6 �uP 4ao ,'/ x 37 p0 Spot Grade -b / I/84/25.o- 39.7 • a] Test Pit • , o •,� B CONSERVATION NOTES: PA7ZCEL AREA TO MHW 125, , z 00 a '/ 7 - -_ Conc. Concrete u " SANDY LOAM %33,674t SO i FT. - _ 37,1 g ) �' 0.77E ACRES X � '' -- ' PROJECT BENCHMARK a EP Edge of Pavement 12 10 YR 4/2 1 EXISTING HOUSE 70 BE RAZED TO FOUNDATION 40.0 ; BCC Bottom of Concrete Curb C1 rr �' 39,2�, CBI1 SEAL FNDF.F.E. Finish Floor Elevation LOCUS MAP MEDIUM SAND 2) ADDITIONS WILL BE MADE TO THE FOUNDATION. EL. r- 40.02 11 1" = 2000' 36r 10 YR 5/8 ,r WOODED ,�/ �,.- - J �; EL-I'= 40.86' MLW IP Iron Pipe 3) EXISTING BRICK PATIO WILL REMAIN. C2 %% �,'' M ,. 0,1 � . 39�' ,�• Ir' LS Landscaped Area 4) ALL ROOF LEADERS SHALL DISCHARGE INTO DRY WELLS. ' / � WOODED ' GENERAL NOTES MEDIUM SAND � � ,� r r ZONING DISTRICT: RF 132. 10 YR 6/4 5) LIMIT OF WORK/EROSION CONTROL BARRIER SHALL BE MAINTAINED �' i' /X 2r'7 % Jrr OVERLAY DISTRICTS: AP (AQUIFER PROTECTION) � ,�/� ,' � r , x 37,3 x 137,3 RPOD (RESOURCE PROTECTION OVERLAY DISTRICT) PERC O IN GOOD REPAIR FOR THE DURATION OF THE PROJECT. Z 42.4/ � / / ' t r` PROJECT BENCHMARK: DATUM LANDWARD OF WOOD BULKHEAD = NGVD (RM-41) ��_ M�/IN �/ ,7 !/ 31 38.9 ``` �� SEAWARD OF WOOD BULKHEAD = MEAN LOW WATER MINIMUM LOT AREA: 2 ACRES UNABLE TO SDAIc 6) ALL EXCESS EXCAVATED MATERIAL TO BE REMOVED OFF SITE. N R 38.9 MINIMUM FRONTAGE: 150 FRONT YARD = 30' SIDE YARD = 15' REAR YARD = 15' 7) ANY REVISIONS TO THIS PLAN REQUIRE CONSERVATION COMMISSION APPROVAL. o p PROP96ED PAR NG Nfo ,' I IBM = CONCRETE BOUND WITH SEAL FOUND O ELEV.= 40.02' NGVD No WATER ENCOUNTERED / COURT / 8) NO WORK SHALL BE PERFORMED ON THE STAIRWAY WITHOUT WRITTEN APPROVAL N ap 39.tn }r 41 / LOCUS PROPERTY IS SHOWN AS: OF THE ABUTTER. N " STONE DRIVE ALL SYSTEM COMPONENTS SHALL BE INSTALLED IN ACCORDANCE WITH ASSESSOR'S MAP 54 - PARCEL 14 p o i/ 4 / 8,4 37,5 / TIRE V OF THE STATE SANITARY CODE DATED MARCH 31,1995 36.7 ANY LOCAL RULES APPLICABLE. 9) EXISTING SEPTIC TANK do LEACH PITS SHALL BE PUMPED AND REMOVED. 37.0 O ' I r ANY CHANGE TO THIS PLAN MUST BE APPROVED IN WRITING LOCUS DEED: -� ,i. • ;5. 3r�.3 ,' DEED BOOK 17,048 PAGE 64 r © SSA sET r % WOODED r� , 37.6 ST�NE DRIVE 'r i N/F KAUFAMN BY DESIGNING ENGINEER r , X 40,5 / 37:7 • r PLAN REFERENCE: X 3e,r,0. � `, j 18.8 I PLAN BOOK 180 PAGE 31 , / , #2 , 11000 GAL. WHEN CONSTRUCTION IS COMPLETED, PRIOR TO BACKFILLING, X 39.4 S. 10• i , LEACH PITS NOTIFY THE ENGINEER & BOARD OF HEALTH AGENT COMMUNITY PANEL NUMBER 250001 0018 D / r STONE DRIVE ! M/l y r': r i FOR INSPECTION. THE FLOOD INSURANCE RATE MAP DEFINES THIS AREA AS ZONES ENCROACHMENT ' �r • 'o ' r PROPOSED GARAGE COURT;� �' -kr 3: � , a r APPROX. ,�� X 39.2',' - r 36 ; EXISTING SEPTIC SYSTEM IS 70 BE PUMPED AND REMOVED C, VI 1 (EL 9.0) - A13 (EL 12.0) = BASE FLOOD ELEVATION (B.F.E.) 119* SO. Fr. r✓ I _ ,'.b I , r OR FILLED WITH CLEAN SAND. PROPERTY OWNER: PLAN BOOK 326 PAGE 80 37.3 / ' SEPTIC TANK J CATHERINE J. BABCOCK C/0 CHARLES & MOLE PIEPER TEMPORARY CONSTRUCTION FENCE N/F KEALLY �J 1 X3 ,2 r x 37, z N 35.3 f- 34.4 loot OFFSET FROM 721 OLD POST ROAD ► i s / 23. COASTAL BANK THESE ELEVATIONS MUST NOT BE CHANGED WITHOUT WRITTEN . . COTUIT, MA 02635 2'x 2'x V WOOD STAKE o ' 0 APPROVAL BY DESIGNING ENGINEER OR APPROVED EQUAL PROPOSED ADDITION , _ / 37.0. 5, ' N O SILT FENCE , 7.0 2 �j /j/ o o ALL SANITARY DISPOSAL SYSTEM PIPING TO BE 4' PVC., SCH 40 4 + �' �' NG o PROPOSED ADDITION MIRAFl 140N OR 2 4 / D / r' � rn APPROVED EQUAL r . y ^, 0 NG r EXCAVATE AND REPLACE ALL UNSUITABLE MATERIAL SURROUNDING I 1�•6 SURROUNDING THE LEACHING FIELD FOR A DISTANCE OF 5, PER ' PROPOSED ADDITION :<' : ',: '� Leaching Area Requirements. 4 :.;,. �.43 1 310 CMR 15.255. 37.0 �'= 3,,9x 8 4 12 9 x '' 5 BEDROOMS A7 110 GPD/BEDROOM = 550 GPD it x 3 7,i •''3 6:7 �S J 3 4 3, �0 LOCATION OF UNDERGROUND UTILITIES ARE APPROXIMATE AND _. 00, _ `o SHOULD BE VERIFIED IN THE FIELD BY THE APPROPRIATE eR� o C PATIO _ UTILITY COMPANY PRIOR TO ANY CONSTRUCTION. - NO GARBAGE GRINDER , � •�''� 3 6�, CK pAno �-� , KS ' 5C' I • 48 •( i UM 36 9 y� 3f�,3 r' 's �--' � � GOASTAI.—BANK M L (TYP) WORK PERC RATE = 2 /1 MIN. / INCH (CLASS . 1 ) r 35,E R OF W0l��C / EXISTING SEPTIC SYSTEM LOCATION IS APPROXIMATE PLAN OF PRECAST LEACHING CHAMBERS AREA LIAR = 0.74 GPD/S.F. ) 37 q\ J '33'1 ,'' r% PER INSPECTION CARD DATED 7/30/2002 PERFORMED BY ROBERT J. BORTOLOTTI NO SCALE %-,= ,•''-• STAKED BALES x 3 �f WOODED f ;s x 34.4 4 33s / 1 THIS PLAN IS BASED ON AVAILABLE RECORD INFORMATION ,• MIN. LEACHING AREA OF SAS. : , Flow x7.8� STAK�'sET �,3 �� /' �� PLANS AND AN ON THE GROUND FIELD SURVEY BY THIS FIRM 550 GPO/ 0.74 GPD/S.F. = 744 S.F. MIN. ,f��,��// 34.9 �' X 31,5' �o 29,4 ON 07/1%3 TOP OF SET 4' INTO GRANITEISTEPS / �i x�3,3 �,' �/ MANHOLE FRAME AND GROUND cRouNO PROPOSED SYSTEM CB ` �, 4 0 \35,3 35,0 COVER TO GRADE " " SIDEWALL (12 +48)(2)(2) = 240 S.F. FND `, 34,•� �4.3 / _ (IF UNDER PAVEMENT) 3A - I 4" EMBEDMENT BOTTOM 12' X 48' = 576 S.F. �> > X37 of R�sWASHED $TONE (MIN.) --___ 3 .5 , /TOP OF COASTAL BANK i TOTAL = 816 S.F. TOWN DEFINITIONTay' -x 33.8- 3 �--OF' �liLK /' STA SET 28.0 per' STEPHEN �cn 32,5 --STATE:AI`la0� ..c x.� - 2"PEAS70N 1' (MIN.) 8- (MIN.) _ �? - ` --------�'r.- =�_ -__�=___________ r"77_�-___--- _ CB � •r. DESIGN SCHEDULE ELEVATION _ - _ L�'-- TIMBER STEEF.' �' � ---___- __ ------------- 0 - � x",-,•�-y�+J•.n �_.;^4?':�} •�'•••.7• ..'+^..-, � __-- "�_�------ -----•-—__-___-_---- .��--X r'-r 4 �0.30216 0 � , „�> p � s. kt•'-.� _:;k FINISHED FLOOR ELEVATION 38.3 :� J �- ___ ,��___�-__-_..�___ _===_ i: � �o ST 24" 12" s' '+.= }�•^3 r r '�t 0 O ,r'r;{;r,'T :tiL= = :_a "' `"`��'3 %� '` i' •�. 2'x 4' WOOD STAKE SEWER INVERT AT FOUNDATION 27 3 -- ter;, •-� —--—- _ __ - '� r � EFFECTIVE .,= • _>„ s:> � �r:•.., 37.2 - _ -- = ►ooDEoc- 20 SS OVAL EZ �=} .-af;�•S.��.' 1+j'.:�rk7''`1;•'hii� ry • it• �• 1d� pp •- -9.0._..r,, -J''.- , --_ �,�,� EXISTING WOOD BULKHEAD " t;��r:Tiy�tfr,,fi g:� •itil�••-c Jii;r:�. .iw.�-,4 •.f:�^- •�!(��'�•• .' - - -/` --------- DEPTH 12 ..::..:...•,,�,,;: .,� x: ?�Y�[� .�'@` sxr+t E''r ti•Iy.., .>,�� ,• tea' -%- - ---__�_=— -- _------------- :_-�•:� •,w.'•7:ktiy=:;. •=M; : t;Q.,• ,.:.��.;;;:X:�'y. : :- . . . SEWER INVERT INTO SEPTIC TANK 37.0 27 -7�-,�''�}-._ -, -- ,--� _------- ----- -�5 - 651 Old Post Road Y-:..�. x 2 x 3 WOOD STAKE, - -J - �- - `--- -:I SE 3-2028 d 4, 4, 4, - _ __- - -- - +h'x 3' REINFORCING STEEL SEWER INVERT OUT OF SEPTIC TANK 36.7 `5 8 •� :� i = i% - - — =__��-1 _ _ 12 - B.F E SE 3-2937 • TOP OF COASTAL BANK i, - %• - - •._ i -- OR APPROVED EQUAL i. . --w -'j _ _ ..; -- WATERWAYS LICENSE {�2638 12 SEWER INVERT INTO DISTRIBU77ON BOX 36.5 STATE DEFINITION - - - __----- ^"___ _____-- Cotulty Massachusetts ''!; %;5- -''�-'-- ,, �� DEPT. OF THE ARMY PERMR: SEWER INVERT OUT OF DISTRIBUTION BOX 36.3 �� ,;,' - /�'=- -= _= x_4,__ -=�` SS ` x 6,1 �. ' %- : �� -_-' �-� E�. , `~ I CENED-OD-R-03-89-2731 PREPARED FOR SEWER INVERT INTO LEACHING SYSTEM 35.9 -- 8 BEACH GRASS CONCRETE LEACHING CHAMBER DETAIL LIMIT OF WORK DETAIL ,' �y'-' WOOD STEPS � .:i' ��'1 -•�-- -��' -�' STAKE SET (H 20 LOADING) NO SCALE BOTTOM OF LEACHING SYSTEM 33.9 17.9 ;, !� - x 6,r o WOOD STEPS Charles Pieper NO SCALE - -/.� ��'-- STAKE SET WATER TABLE: NONE OBSERVED AT EL 28.9 - ,- o S.F. Sb -=-x 5,7 WOOD BULKHEAD %-- - _BEACH GRASS NSe TOP OF BULKHEAD T<TLE ■ ` - Wetland Permit Plan -- _ -f �� EL 5.3 �. NOTE: IF AREA OVER SEPTIC SYSTEM IS UNPAVED, MANHOLE COVER do --'---` �� wA� -0.26 Proposed House Reconstruction FRAMES ARE NOT NEEDED. ADJUST CONCRETE COVERS TO 6' BELOW FINISHED GRADE. s r PIL1N 't 8Y MEAN HIGH ■ . . • • • " . . . • ■ • • . • • e • ■ • • • • x TYPICAL SYSTEM PROFILE OBSERVED MEAN LOW WATER _0,26 • 3 125 ■ . . ■ ' 8-22-03 O 9:30 am F.F.E. 38.28 PER _ x -0 26 NOT TO SCALE ■ • BA=R NYE & HOLMGREN INC. FINISHED GRADE - 39't �►�P WAS BAY M •M o 9 am COTUIT Registered Professional R MANHOLE COVER AND FRAME -0,16 x OgS5-22- f (ADJUST � �) Engineers and Land Surveyors 812 Main Street, Osterville, Massachusetts 02655 �-~ MANHOLE COVER & FRAME 4• VENT X -1.36 Phone - (508)428-9131 Fax - (508)428-3750 FINISHED GRADE OVER TANK -5f FINISHED GRADE OVER D. BOX 38.5E FINISHED GRADE OVER LEACHING TRENCH • 38.Of 4• AIM 4" SCH. 40 PVC -+3 min• - 4 SCH. 40 PVC FIRST 2' (TO BE LEVEL) x -1.26 X -L36 20 0 20 40 '�. (TYPICAL) - -- O 2.07G then O 2.OX x -1.86 OL2■ (m x -1,26 ° ( 9" (min) Cover x -1.66 SCALE IN FEET O 2.07G _ py� �r _ 6■ SUMP - r ' 10" NEE INSTALL - 4 SCH. 40 PVC 36" (max) Cover -:`- GAS ►•�• i •. -�•+'f CONCRETE LEACHING CHAMBERS CONNECTION "- ' SCALE. —20 DATE. 01/08/2004 r 1A;,:.'a::i't• ±i'�fc;' :r:+�i� x -1.36 x -1.46 6" CRUSHED 4 DIA. PVC x k;;+�- ,s�•r. ,, x -1.46 Y REINFORCED -f STONE '~•• x -1,66 • —1— 2 25 04 Raze House ,:;: • : _• . • . - - ; ••,:•.�.::-�. •�. . • . - ••� -�: Y•.•.-,:.. —2— 4 14 04 Add Notes Rev. Hse. col -* ., � _• X -2.16 EL. 33.9 _1.66 DRAWING NUMBER 5 MIN \—Vy" STONE x -1,86 x -1,96 x -2,C6 2,000 GALLON SEPTIC TANK DISTRIBUTION BOX LEACHING CHAMBER No Groundwater Observed O Elev. 28.9 0: 03 03-031 surve worksht 03-031 s 3.dW H-20 H-20 H-20 2003-031