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0724 SANTUIT ROAD - Health
724 Santuit Road Cotuit A=006 - 044 f i N ti TOWN OF RNS ABLE e 72Z �- LOCATION VILLAGE T ASSESSOR'S MAP & LOT PL4 ,� !!f ' INSTALLER'S NAME & PHONE NO. CO*/2r-Wv� SEPTIC TANK CAPACITY 1,ZSCG LEACHING FACILITY:(type) (size) w 9 NO. OF BEDROOMS PRIVATE WELL OR PUBLIC WATER BUILDER OR OWNER DATE PERMIT ISSUED: �` � : DATE COMPLIANCE ISSUED: VARIANCE GRANTED: Yes No �/ ���7 `� `��' ���, �0 �5 r � No.. P O ............... THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH TOWN OF BARNSTABLE Appliration for Di-npnittl lVorkii Tomitrnr#inn Vamit Application is hereby made for a Permit to Construct ( ) or Repair (�j an Individual Sewage Disposal System at: CQOp�^t5S`r-�-.) ..........................:s `�. ��.... ram -7.....��--------- -----------•---------------- .--' Locatiioon�-Address q�T or Lot No. &j ............ ......����9..�--...................................................... Owner Address , a `pr� � •►p . -O-L 0=-------------------------- ------------- ' ....`-.!!}3�T1�ice. ............ Installe Address d Type of Building t�I Size Lot............................Sq. feet U Dwelling—No. of Bedrooms_____ -------_---------------------------Expansion Attic ( ) Garbage Grinder ( ) -� aOther—Type of Building ____________________________ No. of persons............................ Showers ( ) — Cafeteria ( ) a' Other fixtures ------------------------------- --- d •-------•----------------------------------- -•---- = W Design Flow.........:-__�....................gallons per person p\ day. Total daily flow---1-L.A.0.............................gallons. WSeptic Tank-Liquid capacity.I:S�galIons Length_1_0-.-_..... Width__(:?_-------- Diameter________________ Depth___-______------ Dis Disposal Trench—No.'s �� '� x p ..:[_... Width_...I..._._._._..Total Length.. ,ti7......... Total leaching area__..................sq. ft. Seepage Pit No______________________ Diameter-------------------- Depth below inlet.................... Total leaching area..................sq. ft. z Other Distribution box ( ) Dosing tank ( ) Percolation Test Results Performed by.......................................................................... Date........................................ Test Pit No. 1________________minutes per inch Depth of Test Pit.................... Depth to ground water........................ Test Pit No. 2................minutes per inch Depth of Test Pit.............. Depth to ground water........................ -------------------------------------------------------------------------------------------------------'----'•-'--------------------------------------------- 0 Description of Soil.................................................................................................................. ..................................................... x U W .............. --------------------------------------------------------------------------------------------------------------------cN V. ----------------------------------------------'-_...... UNature of pairs or Alterations—Answer when applicable---71;� fft-` `t - -_-�_�_QQ__�- jL' 14 ....... .......... ------- ------......------------------------------... Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Environmental Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has b n issued by the and of health. igne. .................... ..------------ . . ... .. ................. ......N----------- —^o-e(J Application.Approved By --- ._........ ----------------------_... '- -----------------------------------------------------... ..... ........... ----------------- Date.................. Application Disapproved for the following reasons: . ............................................................. ..............-----..............------ .. -- - - ---------.............---...._------------- �'^ -------ate-------.-...._ No. ) ..........- - Issued ..------� /L . ..._................. Permit Date ——————————————————————————————————————————————————— ————— TOWN OF BARNSTABLE 72iff LOCATION S-Aga SEWAGE # cl5""J��.� VILLAGE % ASSESSOR'S MAP & LOT INSTALLER'S NAME & PHONE NO. C y1v� SEPTIC TANK CAPACITY j.�SC Z) C LEACHING FACILITY:(type) mow, -'C.rc.Tc PC (sue) 9 NO. OF BEDROOMS '7 PRIVATE WELL OR PUBLIC WATER BUILDER OR OWNER DATE PERMIT ISSUED: DATE COMPLIANCE ISSUED: VARIANCE GRANTED: Yes No I `,ep`c 5' F, 7_5 No.. 1. �r (0 FEB........D... THE COMMONWEALTH OF MASSACHUSETTS - BOARD OF HEALTH TOWN OF BARNSTABLE Appliration for Di_vipnitai Work.6 C vinitrnrtinn ramit Application is hereby made for a Permit to Construct ( ) or Repair (ZCj an Individual Sewage Disposal _y System at: U0 uo rt 55,e Location-Address or Lot No: �M .. ....: � ��`r`� t.oti __U -------------------- ...................................................... Owner Address t� _ Installe Address Type of Building Size Lot............................Sq. feet U U Dwelling—No. of Bedrooms--...q.................. Attic ( ) Garbage Grinder ( ) `4 Other—T e of Building ............................ No. of ersons.............---...--:_- Showers a YP g P , ---- ..-----•--(----)---- Cafeteria ( ) 04 Other fixtures ------------------------------------------------------------------------------------------------- ------ W Design Flow.......... -----------------_--gallons per person per day. Total daily flow---q.��d_...........................gallons. WSeptic Tank l Liquid capacity-1SGb.gallons Length-1-0-__-.-_-_ Width-.�.-------- Diameter----------_.. Depth................ x Disposal Trench Width...... .........'.. Total Length_-3 %....... Total leaching area....................sq. ft. 3 Seepage Pit No--------------------- Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) aPercolation Test Results Performed by.......................................................................... Date........................................ a Test Pit No. I----------------minutes per inch Depth of Test Pit.................... Depth to ground water........................ (T Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ 94 --•-----•--------•--....-•---------------•---------•------••---•-•-------................................................................................... ODescription of Soil........................................................................................................................................................................ U ............................................... -•-•----------•--•------•-----•-••-------...••--------------------------------------•----------...--•------------•-•-- ................................... W --------------------------------------------------------- -------- --....----------•-•--••-------------------------. --- --------------------- ---------------------------------- U Nature of _pairs or Alterations Answer when applicable.--71'V__`.'S. \------�_' oQ..G� ,i.C..'fi :..... 1 c�C U�-Q.::..............•--.............----------•----•------............................. Agreement: ; The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Environmental Code—'The undersigned further agrees not to place the system in operation until a Certificate of Compliance has b en issued by the b and of health. i Signe -- -�.......... . ............. .........................`---..---- -3� ------- C�--J--- Application Approved By --.�'--------------�6-�✓�-1-G� ___.__..-- ----v..----- Date Application Disapproved for the following reasons:. ....:....................... .. ............................................................... ------------------------------- �" -:----- --- -------------------------------------..-............------------------------------------------ _ ..�---- ------------------- 11 Permit No. �------------�. I ---- Issued ............... . ..:y�...........Date...... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE 01-ertiftrate of C omplianee THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired ( � ) b -------.................G W.(} .-1.:.w.+ 5 -_--------------................----...........------------.....------------------------------------ eL '. Itstauet 77 at .... ...........__.......- .... , ....... V c f ...+." 6--------------- .ilia....- ....--...... _......._.----------------------------- has been installed in accordance with the provisions of TITLE of he State Environmental Code as described in the application for Disposal Works Construction Permit No. ...... - ---'....�..�� 1. dated ......-_................---------- ------- THE ISSUANCE OF THIS CERTIFICATE SHALL NOT E CONSTRUED AS A GUARANTEE THAT THE SYSTEM WI L UNCTION SATISFACTORY. DATE..... -..../.....r .. � .. - - Inspecto - -'y�f- ----- ---rl-� �. --------------------------_.--_---—_- --------- ------ -- --------- THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH /�- TOWN OF BARNSTABLE `- � No...� ............. FEE............-- , � �is�n��t1 nrk� �un�#r�trtilan �rrnti# �, Permission is hereby granted-------- -------------------- �' Lr.1!�.���. = y G................................................ to Con struct or Repair (�'an Individual Sewage Disposal ystem at ----•.-- ••••-•••------•---........:-��------- ....�-�c wTv"1. c--....t-------- ��--------------------------------•--............. Street as shown on the application or Disposal Works Construc inn Permit No 5 7 _ - .. :_.:.... ated............../7..--. .................. V/ .............. -------------------------------- Bo d tof Health DATE....................... � ....-------------------------------- FORM 36508 HOBBS 6 WARREN.INC..PUBLISHERS Commonwealth of M assachusett . Title a a icy l Inspection For -" A Subsurface Sewage Disposal System Fora►-Not for Voluntary Assessments i i V 724 Santuit Rd. Property Address Howard & Ellen Fr_a_nzblau wn Owner Oer's_Na_me information is Cotuit Ma 02635_ 6/25/2015 required for every - -- — ' -- Slate Zip Code Date of Inspection page. CityfTown Inspection results must be submitted on this form. Inspection forms may not be altered in any way. Please see completeness checklist at the end of the form. Important:When A. General Information filling out forms on the computer, use only the tab 1. Inspector: t key to move your ' cursor-do not Sean M. Jones ¢ use the return Name o----fInspec—tor l key. . S.M.Jones Title V Septic Inspection ---- Company Name 74 Belden Ln. 02632 Centerville Ma ___. .--•---_----- —..._.—_. _......� _. —. — — State Zip Code Cityfrown 774-248-4850 smionestitle5@gmaii.com Sl 4522 Teiephone Nmber License Number u 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 ❑ Falls ❑ Needs Further Evaluation by the Local Approving Authority 6/25/2015 Inspectors 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. Title 5 Orrictal tnspeclion form:Subsudace Smvage sposal System•Paeo 1 of 17 151ns•3113 Commonwealth of Massachusetts ea Title f lclal Inspection r Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 724 Santuit Rd_.....--- — —-- --. — — — -- —---- — -- — ---. Property Address Howard & Ellen Franzblau f Owner Owners Name Information is GotUit _ _ _ _ _ Ma 02635 6/25/2015---- required for every _ _ -- -- --- —.--._ page. CityfTown State Zip Code Date of Inspection B. Certification (cont.) Inspection Summary: Check A,B,C,D or E/always complete all of Section D A) System Passes: [ I have not found any information which indicates that any of the failure criteria described in 310 CMR 15.303 or in 310 CMR 15.304 exist. Any failure criteria not evaluated are indicated below. Comments: The dwelling located at 724 Santuit Rd Cotuit is served by a Title V septic system consisting of a 1500 gallon septic tank, distribution box and 5 Infiltrators. The system was found to be in proper working condition at the time of inspection— 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): 151ns•3113 Title 5 Official Inspection Form:Subsurface Sewage Disposal system•Page 2 of W Commonwealth of Massachusetts t Toll iiI Inspection Form. - Subsurface Sewage�Disposai System Form -Not for Voluntary Assessments 724 Santuit Rd. Property Address--- . -- —--— — Howard & Ellen Franzblau Owner Owners Name _ -- information is C Ma 02635 6/26/201 Afuit 5 required for every -- - —._ -- --.....--- — page. Cityrfown State Zip Code Date of Inspection Bo Certification (cont.) ❑ Pump Chamber pumps/alarms not operational, System will pass with Board of Health approval if pumps/alarms are repaired. : r 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.'Systern will pass inspection-if(with approval of Board of Health): ❑ broken_pipe(s)are replaced [] Y. ❑ N ❑ ND(Explain below): _ y x i �] 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 0 ND (Explain below): ❑ obstruction is removed ❑ Y ❑ N ❑ ND(Explain below): C) F.urther 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. 9. System will pass unless Board of Health,determines in accordance with 3110 CMR 15.303(l)(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 r Title 5 Official Inspedlpn form-Subsurface se%yage Disposal system•Page 3 of 17 15ins•31113 Commonwealth of Massachusetts I - Title Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 724 Santuit Rd. J Property Address Howard &Ellen Franzblau Owner Owner's Name information is Cotuit Ma _ 02635 6/25/2015 required for every — -- - — --` State Zip Code pate of Inspection page City/Town B. Certification (cons.) 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 o d soil absorption n systemface (SAS)an the SAS is within 100 feet of a surface water supply tributary ❑ 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 certifiedlaboratory,for fecal coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 pprn, 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 ait inspections: Yes No El ® 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 El ® Liquid depth in cesspool is less than 6"below invert or available volume is less than'/Z day flow Title 5 or6olal Inspection form:Subsurface Sewage Disposal System•page A of 17 [Sins•3113 4 Commonwealth of Massachusetts Title 5 Official Inspection Form _i Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 724 Santuit Rd. Properly Address Howard & Ellen Franzblau_ Owner Owner's Name information is Cotuit Ma 02635 6/25/20'15 required for every --- —"-- —page. City/Town State Zip Code Date of Inspection ' B. Certification (cons.) Yes No ❑ Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s). Number of times pumped: ❑ Any portion of the SAS, cesspool or privy is below high ground water elevation. ❑ Any portion of cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply. ❑ Any portion of a cesspool or privy is within a Zone 1 of a public well. El M, 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 forma The system is a cesspool serving a facility with a design flow of 2000gpd- © 10,o00gpd. El criteria 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 Hpalth 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 16,000 gpd. For large systems, you must indicate either"yes"or"no"to each of the following, in addition to the questions in Section D. Yes No ❑ ❑ the system is within 400 feet of a surface drinking.water supply ❑ ❑ the system,is within 200 feet of a tributary to a surface drinking water supply the system is located in a nitrogen sensitive area(Interim Wellhead Protection Area-IWPA)or a mapped Zone li of a public water supply well El El 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.. Tilie 5 oirww Inspection Form:subsurface Sov+age Disposal System•P29P 5 of 17 t5ins•M3 Commonwealth of MassachusettsTitle 5 � _ Official i Inspection — Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 724 Santuit Rd_.... --- — — - -- ---- �— — -- — Property Address Howard &Ellen Franzblau —— Owner Owner's Name information is Cotuit Ma 02635 6/25/2015_ required for every —__._..—...— page. Cityrrown — — — State Zip Code Date of inspec ion N C. Checklist f Check if the following have been done. You must indicate"yes"or"no"as to each of the following: Yes No f ❑ ® Pumping information was provided by the owner, occupant, or Board of Health i ❑ 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 NIA) ® ❑ Was the facility or dwelling inspected for signs of sewage back up? ® [] Was the site inspected for signs of break out? © ❑ Were all system components, excluding the SAS, located on site? l © ❑ 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: j ® [] 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 16.302(5)] D. System Information Residential Flow Conditions: 4 4--. .—.... Number of bedrooms(design): -- Number of bedrooms(actual): DESIGN flow based on 310 CMR 15.203(for example: 110 gpd x#of bedrooms): Tiue 5 officiai inspection Form Subsorruce sswAyo pieposAi syorem•Page s of 17 (sins•313 Commonwealth of�Yliassachuset r A- TRIe 5 Officilal Inspection For r Subsurface Sewage Disposal System Form Not for Voluntary Assessments 724 Santuit Rd._. —. --= — — - Property Address Howard & Ellen Franzblau ---- Owner owner's Name information is Cotuit Ma 02635 612512015 required for every —.——. ---- -.. - -- page. Cifyll own State Zip Code Date of inspection D. System Information' Description: _—. . 2 Number of current residents: Does residence have a garbage grinder? ❑ Yes ❑X No ` Is laundry on a separate sewage system? (include laundry.system inspection Yes, No information in this report.) t Laundry system inspected? ❑ Yes [ No Seasonal use? © Yes ❑ No Water meter,readings, if available (last 2 years usage(cgpd)), j Detail: I' 2013=64,000 total 176 gpd. 2014 . 99,006_totail 271 gl5d _.:---- _. .. -----.---- (` Sump pump? - - .— ❑ No Yes ® . current ' Last date of occupancy: Date t - i Commerciallindustrial Flow,Conditions: Type of Establishment` - Design flow(based on 310 CMR 15.203): capons per day(gpd) T Basis of design flow(seatslpersonslsq.f., etc:): —— -� Grease trap present? ❑ Yes ❑ No Industrial waste'holding tank present? ❑ Yes El No Non-sanitary waste discharged to the,Title 5 system? ❑,Yes ❑ No Water meter.readings, if,available: . Title s official Inspection Forme Subsurface Sewage Disposal System•Page 7 of Wins•3l13 ° Commonwealth of Massachuseds t} Title 5 Official Inspection For - Subsurface Sewage Disposal System l.orm -Not for Voluntary-Assessments 724 Santuit Rd. - Property Address !-toward&Ellen Franzblau _..----.-------_-_......:—..---..—...—_—..—.------- -.—._—_.— Owner Owner's Name information is _Ma 02635 6/25/2015 required for every COtUit__---..--.—_.----- _ - _ — -- ._-- page. City(rown State Zip Code Date of inspection f De system lnformaflon (cont.) r i Last date of occupancy/use:Other(describe.(describe below): General information Pumping records: Source of information: Was system pumped as part of the inspection? ❑ Yes No If yes,volume pumped: gallons Flow was quantity pumped determined? _...._..._._.---------------------. _—--'---- Reason for pumping: __._......._._.----..--- 1 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): Title 5 offirlaf Inspeclion Form:Subsurface Sevrage DIspoaal System•Page a of 17 15ins•3113 .� Commonwealth of Massachu setts usetts Title f i g l Inspection Form :- � Subsurface Sewage Disposal System Form Not for Voluntary Assessments 724_Santuit Rd...__..—_ — —. —.-- — —-- -- -- Property Address Howard &Ellen Franzblau— Owner Owner's Name information is Cotuit _ __ _._._ Ma — 02635 6/25/2015 required for every CitylTown — State Zip Code Date of Inspection page. D. SYsteM Information (cont.) Approximate age of all components, date installed (if known)and source of information: 17/95 r town records Were sewage odors detected when arriving at the site? ❑ Yes ® No ,€ Building Sewer(locate on site plan): 3 - Depth below grade: 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.). Joint were ok, no leaks,vented through Lhe roof Septic Tank(locate on site plan): v 2 Depth below grade: feet Material of construction: ® concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑other(explain) If tank is metal, list age: years Is age confirmed by a Certificate of Compliance?(attach a Copy of certificate) ❑ Yes ❑ No 1500 gallons Dimensions: 611 _Sludge depth: Tjo 5 or(G81 inspecllon Folm:Su45urfaao Sewage Disposal System•Page 9 of 17 15ins-3113 ' Commonwealth of Massachusetts Title i i l Inspection Form tJ Subsurface Sewage Disposal System Form Not for Voluntary Assessments 724 Santuit Rd. Property Address Howard & Ellen Franzblau Owner Owner's Name information is Ma_ ,02635_ 6/25/2015 required for every . - tui State Zip Code Date of inspection page. Cityfrown l D. SysteM Information (cons.) Septic Tank.(cont.) 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 loll Distance from bottom of scum to'bottom of outlet tee or baffle opened:covers, ook How were dimensions determined? measurements Comments(on pumping,recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert;evidence of leakage, etc.): - Tank does not need to be cleaned now but should be done soon and again.every 2 years for proper maintenance.water level was even with outlet, tank wasi not leaking and was structurally sound_ Inlet cover is on a.riser. Grease Trap(locate on site plan): Depth below,grade; feet — Material of construction: ❑"concrete ❑ metal E]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 - T... Title 5 Official Inspection Form:Subsurface Sewage Disposal system•Page to or 11 t5ins•3113 - - Commonwealth of Massachusetts 1 _ Title 5 Official Inspection For - Subsurface Sewage Disposal System Form Not for Voluntary Assessments 1\ 724 Santuit Rd. - Property Address Howard & Ellen Franzblau - Owner Owners Name information is Cotuit Ma _ _02635_ 6125/2015 required for every -- State Zip Code Date of Inspection page Cityrrown D. System Information (cost.) Comments(on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): Tight or holding Tank(tank must be pumped at time of inspection) (locate on site plan): Depth below grade: --- ^ — ------ Material of construction: ❑concrete ❑ metal ❑fiberglass ❑polyethylene ❑ other(explain): Dimensions: - — — --- -- -- Capacity: 9anons^ ---- Design Flow: gallons per----._—"-- Alarm present: ❑ Yes ❑ No Alarm level: -- Alarm in working order:. ❑ Yes ElNo Date of last pulrping: Hate -�• --— -- Comments (condition of alarm and float switches, etc.): Attach copy of current pumping contract(required). Is copy attached? ❑ Yes U No Title 5 orriUal inspection form:Sutisurlace Sewage Disposal system•page 11 o1 17 t5ins•3113 . Commo nwealth of Massachusetts rTitle Official Inspection For ly - Subsurface Sewage Disposal System Form Not for Voluntary Assessments 724 Santuit Rd. - Property Address Howard &Ellen Franzbiau -- Owner Owner's Name information is Cotuit Ma 02635 6/2512015 required for every -. -- — — — — -- page. CitylTown —� _ State Zip Code Date of Inspection D. System Information (coat.) � Distribution Box(if present must be opened) (locate on site plan): Depth of liquid level above outlet invert — "- Comments(note if box is level and distribution to outlets equal, any evidence of solids carryover, any evidence of leakage into or out of box, etc.): Distribution box was in good condition, no rot,water level was even with outlet invert. Cover is 3' below_;}rade, a riser is suggested to make access easier_ i 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: We 5 Olfidel fnspection form:Subsurface Selvage Disposal System•Page 12 of W t5ins•3113 Commonwealth of Massachusetts .� Title 5 Official Inspection r for Voluntar Assessments i S Not y Subsurface Sewage Disposal Form- y 724 Santuit Rd. -- Property Address Howard &Ellen Franzblau_.__- Owner Owner's Name information is C o tuit_ Ma_ 02635 _ 6/25/2015 required for every CitylTown ^ State Zip Code Date of Inspection page. D. System Information (cont.) . Type: ❑ leaching pits number: -- — -- _ 5 Infiltrators leaching chambers number: -- ❑ leaching galleries number. -- — — ❑ leaching trenches number, length: - leaching fields number, dimensions: — ❑ overflow cesspool number: [] innovative/alternative system Type/name of technology: i Comments(note condition of soil, signs of hydraulic failure, level of ponding, damp soil, condition of vegetation, etc.): No lush ve etation, no sj ns oLP.ast hydraulic overloe tng.._ Cesspools (cesspool must be pumped as part of inspection) (locate on site plan): Number and configuration J-- --- --- Depth—top of.liquid to inlet invert - — — — Depth of solids layer — Depth of scurn layer — Dimensions of cesspool Materials of construction Indication of groundwater inflow ❑ Yes ❑ No THW 5 official Inspection Form:Subsurface Sewage Disposal System•P89e 13 of 17 l5ins•3113 - _ Commonwealth of Massachusetts Title 5 OfficialInspect-Ion Form Subsurface Sewage Disposal System Form Not for Voluntary Assessments et 724 Santuit V Property Address Howard & Ellen Franzblau _..._-- _-- ---.. .-- .—. —.------ -------_�.._—..�_- Owner Owners Name information is COtul __ _ _ _ Ma 02635 t required for every C otui wn — State Zip Code Date of inspection page. D. System Information (cunt.) Comments (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): Privy (locate on site plan): Materials of construction: Dimensions Depth of solids --- Comments(note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, , R etc.): Title 5 ol6ciai Inspection Form:Subsurface soerage Disposal System•Page 14 of 17 t5inc.3113 Owner owner s Name information is Cotuit Ma 02635 6t25/2015_._ required for every —.--•- - -� State Zip Code Date of Inspection page. city/Town Do 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 l ❑ drawing attached separately i { � z A..F ; ySr 16 A-3 SL Title 5 official inspection Form:Subsurface Sewage Disposal Sy51em•page 15 of 17 15ins•3113 - Commonwealth of Massachusetts Title f i I I Inspect"Inspect"on Form _ Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 724 Santuit Rd. — --------.------- .___.—. — Property Address Howard &Ellen Fraiizblau ___-----____—.-- Owner Owners Name information is Ma 02635 6/25/2015 _--_ required for every Cotuit _-_ —_—.--- State Zip— Code Date of Inspection page. City/Town — — D. System Information (coat.) Comments(note condition of soil, signs of hydraulic failure, level of ponding,condition of vegetation, ..........-_..... ---.—...— I 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.): TWO 5 oificiai impeetion Form:Subsurface Seeiage Disposal System-Page 14 of 17 151nc•3H3 - Commonwealth of Massachusetts -- - �� Toptle 5 Official Inspection Form fs Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 724 Santuit Rd. Property Address Howard & Ellen Franzblau - -- - -- . Owner Owner's Name information is Cotuit page. cityrTown Ma 02635 _ 6/25/2015 required for every - - — -- State — Zip Code Date of Inspection D. System Information (cons.) Sketch Of Sewage Disposal System: Provide a view of the sewage disposal system, including ties to at least two permanent reference landmarks or benchmarks. Locate all wells within 100 feet. Locate where public water supply enters the building. Check one of the boxes below: ® hand-sketch in the area below ❑ drawing attached separately I 1> 1----i t-1 . = Sg rb 11-3 st, rifle 5 official Inspection Form:Subsurface Sewage Disposal System ?age 15 of 17 t5ins•3113 ' Y Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form Not for..Voluntary Assessments t` 724 Santuit Rd. — Property Address - -- Howard & Ellen Franzblau — Owner Owner's Name - Information is Cotuit Ma _ _02635 — 6/25/2015 required for every --- — - —page City/Town State Zip Code Date of Inspection D. System Information (cons.) i Site Exam: i ❑ Check Slope ❑ Surface water ❑ Check cellar ❑ Shallow wells 12`+ Estimated depth to high ground water:Please indicate 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: pate---- ❑ Observed site (abutting property/observation hole within 150 feet of SAS) ❑ Checked with local Board of Health-explain: ❑ Checked with local excavators, installers-(attach documentation) ❑ Accessed USGS database-explain: You must describe how you established the high ground water elevation: Groundwater elevation was determined by accessing Town of Barnstable contour map. Before filing this Inspection Report, please see Report Completeness Checklist on next page. Tine 5 Official Inspeclion Form:Subsudace Sewage DISPOSa1 System Page 16 of 17 15ins•W3 Commonwealth of Massachusetts, Title 5 Official Inspection r Subsuv Face Sewage t)tsposal System Form-Not for Voluntary Assessments F _ 724 Santuit Rd. Property Address H_o_w_ard_& Ellen Franzblau —.... _..._.__.... _ _—.. _.---- Owner Owner's Name _.�.-..--- ..............--..._---- --- - information is Cotuit Ma 02635 _ 6/2512015 required for every — --- J State Zip Code Date of Inspection page. CityJTown E. Report Completeness Checklist _ QQ Inspection Summary: A, B, C, D, or E checked © inspection Summary D(System Failure Criteria Applicable to,All Systems)completed 0 System Information—Estimated depth to high groundwater. ® Sketch of Sewage Disposal System either drawn on page 15 or attached in separate file I i The 5 olrciat Inspeclian Form Subsudace Sewage Disposal System•Page 1 r or 17 :Sins-3n3 COMMONWEALTH OF MASSACHUSETTS EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS R 2 DEPARTMENT OF ENVIRONMENTAL PROTECTION ,re Lb TITLE 5 . OFFICIAL INSPECTION.FORM—NOT FOR VOLUNTARY AS SSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM FORM PART A CERTIFICATION a"6- Property Address: 724 Santuit Road 19-eld` jj Cotuit Owner's Name: Catherine McGranachan � � Owner's Address: '71Y Po Date of Inspection: 7/12/2005 Vy Name of Inspector: (please print) Patrick T. Sullivan Company Name: Ready Rooter Mailing Address: P.O.Box 371 Sandwich,MA 02563 Telephone Number: (508)888-6055 1� CERTIFICATION STATEMENT f 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: AZPasses i Conditionally Passes Needs Further Evaluation by the Local Authority Fails Inspector's Signature: mil-- 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 j 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. i I Page 2 of I 1 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address: 724 Santuit Road Cotuit Owner: Catherine McGranachan Date of Inspection: 7/12/2005 Inspection Summary: Check A,B,C,D or E/ALWAYS complete all of Section D C. System Passes: have not found any information which indicates that any of the failure criteria described in 310 CMR 15.303 or in 310 CMR 15.304 exist.Any failure criteria not evaluated are indicated below. Comments: B. System Conditionally Passes: One or more system components as described in the"Condi 'onal Pass"section need to be replaced or repaired.The system,upon completion of the replac/nrer,as approved by the Board of Health,will pass. Answer yes,no or not determined (Y,N,ND)in thefollowing statements. If"not determined"please explain. The septic tank is metal and over 20 years ol tank(whether metal or not) is structurally unsound,exhibits substantial infiltration or exfiltrat' ure is imminent. System will pass inspection if the existing tank is replaced with a complying septic t,�nk 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 ol�is available. ND explain: Observation of sewage backup or reak out or high static water level in the distribution box due to broken or obstructed pipe(s)or due to a broken, ttled or uneven distribution box. System will pass inspection if(with approval of Board of Health): broken pipe(s)are replaced . obstruction is removed distribution box is leveled or replaced ND explain: The system require umping more than 4 times a year due to broken or obstructed pipe(s).The system will ' pass inspection if(with a roval of the Board of Health): broken pipe(s)are replaced obstruction is removed ND explain: Page 3 of 11 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address: 724 Santuit Road Cotuit Owner: Catherine McGranachan Date of Inspection: 7/12/2005 C. Further Evaluation is Required by the Board of Health: Conditions exist which require further evaluatioZthoard of Health in order to determine if the system is failing to protect public health,safety or the environ1. System will pass unless Board of Health detecordance with 310 CMR 15.303(1)(b)that th system is not functioning in a manner whi will protect public health,safety and the environment: _Cesspool or privy is within 50 feet a surface water Cesspool or privy is within 50 fe of a bordering vegetated wetland or a salt marsh 2. System will fail unless the Board of Health and Public Y ( Water Su,Kpher,if any)determines that the system is functioning in a manner that protects the public health,saw y and environment: _The system has a septic tank and soil absorption system(S S)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�i's within a Zone 1 of a public water supply. rr 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/t e SAS is less than 100 feet but 50 feet or more from a private water supply well". Method used tor'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. f 3. Other: I_ Page 4 of 1 I OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPO SAL SYSTEM INSPECTION FORM PART A CERTIFICATION(continued) Property Address: 724 Santuit Road Cotuit Owner: Catherine McGranachan Date of Inspection: 7/12/2005 D. System Failure Criteria applicable to all systems: You must indicate"yes"or"no"to each of the following for all inspections: Yes No _,,Z Backup of sewage into facility or system component due to overloaded or clogged SAS or cesspool _vZ Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or clogged SAS or cesspool V1— Static liquid level in the distribution box above outlet invert due to and overloaded or clogged SAS or cesspool _✓ Liquid depth in cesspool is less than 6"below invert or available volume is less than %day flow Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s).Number of times pumped Any portion of the SAS,cesspool or privy is below high ground water elevation. Any portion of cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply. Any portion of a cesspool or privy is within a Zone I of a public well. ✓Any portion of a cesspool or privy is 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.] ll �Q(Yes/No)The system fails. I have determined that one or more of the above 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 facilit with a design flow of 10,000 gpd to 15,000 f gpd You must indicate either"yes"or"no"to each of the followi (The following criteria apply to large systems in addition t the criteria above) yes no _the system is within 400 feet of a surface rinking water supply the system is within 200 feet of a trib tary to a surface drinking water supply _the system is located in a nitroge sensitive area(Interim Wellhead Protection Area—I WPA)or a mapped Zone II of a public water suppl well If you have answered"yes"to any q stion in Section E the system is considered a significant threat,or answered "yes" in Section D above the large ystem has failed.The owner or operator of any large system considered a significant threat under Section or failed under Section D shall upgrade the system in accordance with 310 CMR 15.304.The system owner sho d contact the appropriate regional office of the Department. Page 5 of 11 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B CHECKLIST Property Address: 724 Santuit Road Cotuit Owner: Catherine McGranachan Date of Inspection: 7/12/2005 Check if the following have been done. You must indicate"yes"or"no"as to each of the following: Yes No Pumping information was provided by the owner,occupant,or Board of Health Were any of the system components pumped out in the previous two weeks? Has the system received normal flows in the previous two week period? _ Have large volumes of water been introduced to the system recently or as part of this inspection? Were as built plans of the system obtained and examined?(If they were not available note as N/A) Was the facility or dwelling inspected for signs of sewage back up? ✓ _ Was the site inspected for signs of break out? Were all system components,excluding the SAS, located on site? Were the septic tank manholes uncovered,opened,and the interior of the tank inspected for the condition of the baffles or tees,material of construction,dimensions,depth of liquid,depth of sludge and depth of scum? Was the facility owner(and occupants if different than 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 distanc is unacceptable)[310 C.MR 15.302(3)(b)] i Page 6 of 11 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION Property Address: 724 Santuit Road Cotuit Owner: Catherine McGranachan Date of Inspection: 7/12/2005 RESIDENTIAL FLOW CONDITIONS Number of bedrooms(design): Number of bedrooms(actual): l DESIGN flow based on 310 CMR 15.203 (for example: 110 gpd x#of bedrooms): Number of current residents: I— Does residence have a garbage grinder(yes or no):N=� Is laundry on a separate sewage system(yes or no):,-�'�[if yes separate inspection required] Laundry system inspected(yes or no): — Seasonal use: (yes or no): Xz Water meter readings, if available(last 2 years usage(gpd)): a <;Z; Sump Pump(yes or no):.Aio Last date of occupancy: COMMERCIAL/INDUSTRIAL Type of establishment: Design flow(based on 310 CMR 15.20Xta gpd Basis of design flow(seats/persons/sgft Grease trap present(yes or/ee: Industrial waste holding tas or no): Non-sanitary waste dischatle 5 system(yes or no): Water meter readings, if aLast date of occupancy/use OTHER(describe): GENERAL INFORMATION , Pumping Records Source of information: L%n s Q<Z - Was system pumped as part of the inspection(yes or no):,9Q If yes,volume pumped: gallons--How was quantity pumped determined? Reason for pumping: TYPE OF SYSTEM Septic tank,distribution box,soil absorption system _Single cesspool _Overflow cesspool Privy _Shared system(yes or no)(if yes,attach previous inspection records, if any) _Innovative/Alternative technology.Attach a copy of the current operation and maintenance contract(to be obtained from system owner) Tight tank _Attach a copy of the DEP approval Other(describe): Approximate age of all components,date installed(if known))and source of information Were sewage odors detected when arriving at the site(yes or no): � Page 7 of 11 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: 724 Santuit Road Cotuit Owner: Catherine McGranachan Date of Inspection: 7/12/2005 BUILDING SEWER(locate on site plan) Depth below grade: QQ" Materials of construction:_cast iron v 40 PVC_other(explain): Distance from private water supply well or suction line: i91 Comments(on condition of joints,venting,evidence of lea cage,etc.): SEPTIC TANK: locate on site plan) Depth below grade: Material of construction: f oncrete_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: < �.S Sludge depth: " Distance from the top of sludge to bottom of outlet tee or baffle: 3p'` 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—\.A p!�t— Comments(on pumping recommendations, inlet and outlet tee or baffle condition,structural integrity, liquid levels as related to outlet invert,evidence of leakage,etc.): ( nn 1Cz� OVQ(�� In t...': GREASE TRAP:_(locate on site plan) `] Depth below grade: Material of construction:_concrete_metal_fibergl s_polyethylene_other (explain): Dimensions: Scum thickness: Distance from top of scum to top of outlet t/and Distance from bottom of scum to bottom ofbaffle: Date of last pumping: Comments(on pumping recommendations, et tee or baffle condition,structural integrity,liquid levels as related to outlet invert,evidence of leaka r Page 8 of 11 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: 724 Santuit Road Cotuit Owner: Catherine McGranachan Date of Inspection: 7/12/2005 TIGHT or HOLDING TANK: (tank must be pum at time of inspection)(locate on site plan) Depth below grade: Material of constructi>arm e_metal fiberglass_polyethylene_other(explain): Dimensions: Capacity: lo Design Flow: ns/day Alarm present(yes or Alarm level: ing order(yes or no):Date of last pumping: Comments(condition oat switches,etc.): DISTRIBUTION BOX:__Z(if present must be opened)(locate on site plan) Depth of liquid level above outlet invert: 0" Comments(not if box is level and distribution to outlets equal,any evidence of solids carryover,any evidence of leakage into or out of box,etc.): �r'.t J PUMP CHAMBER: (locate on site plan) Pumps in working order(yes or no): Alarms in working order(yes or no): Comments(note condition of pump chamber, ndition of pumps and appurtenances,etc.): I Page 9 of I 1 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 724 Santuit Road Cotuit Owner: Catherine McGranachan Date of Inspection: 7/12/2005 SOIL ABSORPTION SYSTEM(SAS):Az—/�(locate on site plan,excavation not required) If SAS not located explain why: Type leaching pits,number:_ leaching chambers,number: leaching galleries,number:_ leaching trenches,number,length: leaching fields,number,dimensions: overflow cesspool,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.): CESSPOOLS: (cesspool must be pumped as 7paofi/nspection)(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( s or no): Comments(note condition of so' ,signs of hydraulic failure, level of ponding,condition of vegetation,etc.): PRIVY: (locate on site plan) Materials of construction: Dimensions: Depth of solids: Comments(note condition of soil,signs of hydr lic failure,level of ponding,condition of vegetation,etc.): Page 10 of I 1 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 724 Santuit Road Cotuit Owner: Catherine McGranachan Date of Inspection: 7/12/2005 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 here public water supply enters the buildin . t3 O Page 11 of 11 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: 724 Santuit Road Cotuit Owner: Catherine McGranachan Date of Inspection: 7/12/2005 SITE EXAM 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: __6btained 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 the 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: COMMONWEALTH OF MASSACHUSETTS ID EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS DEPARTMENT OF ENVIRONMENTAL PROTECTION M V• TITLE 5 X4 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM FORM PART A �. CERTIFICATION Property Address: 724 Santuit Road C Cotuit Owner's Name: Catherine McGranachan Owner's Address: Date of Inspection: 7/12/2005 Name of Inspector: (please print) Patrick T. Sullivan Company Name: Ready Rooter L Mailing Address: P.O.Box 371 Sandwich,MA 02563 ,. Telephone Number: (508)888-6055 CERTIFICATION STATEMENT. I certify that I have personally inspected the sewage disposal system at this address and that the informatory' reported below is true,accurate and complete as of the time of the inspection.The inspection was perforified based on myay training and experience in the proper function and maintenance of on site sewage disposal systems. I am.a{DEPM approved system inspector pursuant to Section 15.340 of Title 5(310 CMR 15.000). The Sstem: c_a Passes r- QD M Conditionally Passes Needs Further Evaluation by the Local Authority Fails Inspector's Signature: ��.— Date: 'J 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. Page 2 of I I OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address: 724 Santuit Road Cotuit Owner: Catherine McGranachan Date of Inspection: 7/12/2005 Inspection Summary: Check A,B,C,D or E/ALWAYS complete all of Section D C. System Passes: have not found any information which indicates that any of the failure criteria described in 310 CMR 15.303 or in 310 CMR 15.304 exist. Any failure criteria not evaluated are indicated below. Comments: B. System Conditionally Passes: One or more system components as described in the"Condi 'onal Pass"section need to be replaced or repaired.The system,upon completion of the replacement or rep er,as approved by the Board of Health,will pass. Answer yes,no or not determined (Y,N,ND)in the or 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 exfiltrati n or tank failure is imminent. System will pass inspection if the existing tank is replaced with a complying septic tank as approved by the Board of Health. *A metal septic tank will pass inspection if it is structurally sound,not leaking and if a Certificate of Compliance indicating that the tank is less than 20 years old/is available. ND explain: Observation of sewage backup or reak out or high static water level in the distribution box due to broken or obstructed pipe(s)or due to a broken, ttled or uneven distribution box. System will pass inspection if(with approval of Board of Health): broken pipe(s)are replaced obstruction is removed distribution box is leveled or replaced ND explain: The system require umping more than 4 times a year due to broken or obstructed pipe(s).The system will pass inspection if(with a roval of the Board of Health): broken pipe(s)are replaced obstruction is removed ND explain: Page 3 of I 1 _ s OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address: 724 Santuit Road Cotuit Owner: Catherine McGranachan Date of Inspection: 7/12/2005 C. Further Evaluation is Required by the Board of Health: Conditions exist which require further evaluation by th oard 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 dete ines in accordance with 310 CMR 15.303(.1)(b)that the system is not functioning in a manner whi will protect public health,safety and the environment: _Cesspool or privy is within 50 feet a surface water Cesspool or privy is within 50 fe of a bordering vegetated wetland or a salt marsh 2. System will fail unless the Board of Health(and Public Water S plier,if any)determines that the system is functioning in a manner that protects the public health,saf y 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. 1' f The system has a septic tank and SAS and the SAS.is within a Zone I of a public water supply. r j/ The system has a septic tank and SAS and the YAS is within 50 feet of a private water supply well. _The system has a septic tank and SAS andthe 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. f r` i 3. Other: i Page 4 of 11 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION(continued) Property Address: 724 Santuit Road Cotuit Owner: Catherine McGranachan Date of Inspection: 7/12/2005 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 and overloaded or clogged SAS or cesspool _✓ Liquid depth in cesspool is less than 6"below invert or available volume is less than ''/z day flow Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s).Number of times pumped Any portion of the SAS,cesspool or privy is below high ground water elevation. Any portion of cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply. Any portion of a cesspool or privy is within a Zone 1 of a public well. V-1 Any portion of a cesspool or privy is 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 forma l'-"'�(Yes/No)The system fails. I have determined that one or more of the above 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 facilit with a design flow of 10,000 gpd to 15,000 gpd. You must indicate either"yes"or"no"to each of the followi (The following criteria apply to large systems in addition t the criteria above) yes no _the system is within 400 feet of a surface rinking water supply the system is within 200 feet of a trib tary to a surface drinking water supply the system is located in a nitroge sensitive area(Interim Wellhead Protection Area—IWPA)or a mapped Zone II of a public water suppl well If you have answered"yes to any q stion in Section E the system is considered a significant threat,or answered "yes"in Section D above the large ystem has failed.The owner or operator of any large system considered a significant threat under Section or failed under Section D shall upgrade the system in accordance with 310 CMR 15.304.The system owner sho d contact the appropriate regional office of the Department. Page 5 of 11 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B CHECKLIST Property Address: 724 Santuit Road Cotuit Owner: Catherine McGranachan Date of Inspection: 7/12/2005 Check if the following have been done. You must indicate"yes"or"no"as to each of the following: Yes No Pumping information was provided by the owner,occupant,or Board of Health _ Were any of the system components pumped out in the previous two weeks? _ Has the system received normal flows in the previous two week period? Have large volumes of water been introduced to the system recently or as part of this inspection? Were as built plans of the system obtained and examined?(If they were not available note as N/A) _ Was the facility or dwelling inspected for signs of sewage back up? ✓ _ Was the site inspected for signs of break out? _ Were all system components,excluding the SAS, located on site? _ Were the septic tank manholes uncovered,opened,and the interior of the tank inspected for the condition of the baffles or tees,material of construction,dimensions,depth of liquid,depth of sludge and depth of scum? ,,e� _ Was the facility owner(and occupants if different than 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)] Page 6 of 11 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION Property Address: 724 Santuit Road Cotuit Owner: Catherine McGranachan Date of Inspection: 7/12/2005 FLOW CONDITIONS RESIDENTIAL Number of bedrooms(design):_q__ Number of bedrooms(actual): 44 DESIGN flow based on 310 CMR 15.203 (for example: 110 gpd x#of bedrooms): 4 0 Number of current residents: Does residence have a garbage grinder(yes or no)VJ--':, Is laundry on a separate sewage system(yes or no):;�:i-4if yes separate inspection required] Laundry system inspected(yes or no): Seasonal use:(yes or no): Xc ^�� �.4�1' CIO Water meter readings, if available(last 2 years usage(gpd)): z; .{s a � p 1p, Sump Pump(yes or no):"co _ Last date of occupancy: COMMERCIAL/INDUSTRIAL Type of establishment: Design flow(based on 310 CMR 15.203)• gpd Basis of design flow(seats/persons/sgft tc.): Grease trap present(yes or no):_ Industrial waste holding tank prese (yes or no): Non-sanitary waste discharged to e Title 5 system(yes or no): Water meter readings, if availa e: Last date of occupancy/use: OTHER(describe): GENERAL INFORMATION Pumping Records Source of information: L%c, Rpr, Was system pumped as part of the inspection(yes or no):,b(Z2i If yes,volume pumped: gallons-- How was quantity pumped determined? Reason for pumping: TYPE OF SYSTEM Septic tank,distribution box,soil absorption system _Single cesspool _Overflow cesspool _Privy _Shared system(yes or no)(if yes,attach previous inspection records, if any) _Innovative/Alternative technology.Attach a copy of the current operation and maintenance contract(to be obtained from system owner) Tight tank _Attach a copy of the DEP approval Other(describe): Approximate age of all components,date installed(if known)and source of information- Were sewage odors detected when arriving at the site(yes or no): 4E7 Page 7 of 11 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: 724 Santuit Road Cotuit Owner: Catherine McGranachan Date of Inspection: 7/12/2005 BUILDING SEWER(locate on site plan) Depth below grade: Materials of construction:_cast iron t/40 PVC other(explain): Distance from private water supply well or suction line: J Comments(on condition of joints,venting,evidence of lea cage,etc.): SEPTIC TANK: (locate on site plan) Depth below grade: `_ Material of construction: oncrete_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: 'r j. Sludge depth: 3 ' Distance from the top of sludge to bottom of outlet tee or baffle: 34" Scum thickness: k" u>i . Distance from top of scum to top of outlet tee or baffle: �" Distance from bottom of scum to bottom of outlet tee or baffle: 1-7 How were dimensions determined Comments(on pumping recommendations, inlet and outlet tee or baffle condition,structural integrity, liquid levels as related to outlet invert,evidence of leakage,etc.): ZS% w \ r' GREASE TRAP:_(locate on site plan) Depth below grade: Material of construction:_concrete_mtbeets_polyethylene_other (explain): Dimensions: Scum thickness: Distance from top of scum to top of outlet tDistance from bottom of scum to bottom offfle:Date of last pumping: Comments(on pumping recommendations, tee or baffle condition,structural integrity, liquid levels as related to outlet invert,evidence of leaka Page 8 of 11 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: 724 Santuit Road Cotuit Owner: Catherine McGranachan Date of Inspection: 7/12/2005 TIGHT or HOLDING TANK: (tank must be pum d at time of inspection)(locate on site plan) Depth below grade: Material of construction:_concrete_metal fiberglass_polyethylene_other(explain): Dimensions: Capacity: gallo Design Flow: ga ns/day Alarm present(yes or no): Alarm level: Alarm i working order(yes or no): Date of last pumping: Comments(condition of arm and float switches,etc.): DISTRIBUTION BOX: (if present must be opened)(locate on site plan) Depth of liquid level above outlet invert: J Comments(not if box is level and distribution to outlets equal,any evidence of solids carryover,any evidence of leakage into or out of box,etc.): PUMP CHAMBER: (locate on site plan) Pumps in working order(yes or no): Alarms in working order(yes or no): Comments(note condition of pump chamber, ndition of pumps and appurtenances,etc.): 1 � j Page 9 of 11 I { OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS j SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) I Property Address: 724 Santuit Road Cotuit Owner: Catherine McGranachan Date of Inspection: 7/12/2005 I ` t SOIL ABSORPTION SYSTEM(SAS): Z(locate on site plan,excavation not required) If SAS not located explain why: i Type leaching pits,number:_ leaching chambers,number: leaching galleries,number: :a.•��.�r�` �-,tea '�`� 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.): n CESSPOOLS: (cesspool must be pumped as part o mspection)(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(y s or no): Comments(note condition of so' ,signs of hydraulic failure, level of ponding,condition of vegetation,etc.): PRIVY: (locate on site plan) Materials of construction: Dimensions: Depth of solids: Comments(note condition of soil,signs of hydr lic failure, level of ponding,condition of vegetation,etc.): Page 10 of 11 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: 724 Santuit Road Cotuit Owner: Catherine McGranachan Date of Inspection: 7/12/2005 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 There public water supply enters the buildin . `fit _ Sit O EF L Page 11 of 11 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: 724 Santuit Road Cotuit Owner: Catherine McGranachan Date of Inspection: 7/12/2005 SITE EXAM Slope Surface water Check cellarf Shallow wells Estimated depth to ground water > s feet Please indicate(check)all methods used to determine the high ground water elevation: __�_6btained 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 the 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: ✓�� �rav-�� chi��,.r :�ru�'t��., �U �e.\l�.r Jc— PLAN FOR ADDITIONS 4 RENOVATIONS AT FRANZIBLAU RESIDENCE • 124 SANTUIT ROAD COTUIT MA. 02635 DRAWN BY: o BUILDING CO.- ��- INC- tro00 FALMOUTH RD., SUITE 31, CENTERVILLE, MA. 02632 PHONE: 508-428-3200 i FAX: 508-420-1321 - EMAIL: INFOloOLDECAPEBUILDERS.COM OWNER OF RECORD: HOWARD and ELLEN FRANZBLAU 124 SANTUIT RD. INDEX: I COTUIT MA. 02635 A-1 EX/ST/Nls FLOOR PLAV6 A-2 FOUNDATION PLAN ,) 04-3 LOWER LEVEL FLOOR PLAN d� r A-4 MAIN FLOOR PLAN FRONT ELEVATION I A-6 REAR ELEVAT/ON 4 A-1 LEFT $ R/6/4T ELEVATIONS _ Jv A-8 SECTIONS l� A-S LOWER LEVEL FRAMING'PLAN A-10 MAIN FLOOR FRAMING PLAN ASSESSORS MAP/PARCEL / A-11 ROOF FRAMING TOWN OF BARNSTABLE - 006/044 II � 42'-0" 4'-31.5° T'_O" 3'-6" T'_6" 15'_5" 4'-315" + 303] 903J 3032 ]03] 303] CwELKwK 6T• PFL m BY. Ppt 71 N 4 P v __,_______ r .. Q - m in Q O . o �aau ZZ 5'-4n - 3•-foa T'_2" - 9.-0" 12'-0„ W-0. " Z Z42-0 u pW e to OZ.4O 1ST FLOOR PLAN-EXISTING a e .9 . 6•-i4•n 3'-d° ]•-I�'n 3'-�° 3'-W!•n 3WID . cl -4 O tu Q rb• - J•b• rb• 4 - J ------------ _- + o'aJ�•.3'-�• 9•-w•n 3'-1• DATE, 3'•IK•a 9'-a• .� 8/1/06 -----_---_ •. ,. - SCALE. PROJECT NO. • 2005052 SHEET NO. BASEMENT PLAN-EXISTING ecaLe'va•.r.o- COPYRIGHT OLDE CAPE BUILDING CO.,INC.2004 NO. IOF11 ORaIIUH BT, PFG , —WKED BTU PK NEW FOUNDATION 6"HIGHER THAN EXISTING. - Q Q ----------------- ---------------------------------------------------------------------------------------------------------------------- U zU �d3U u'-lD xroY I —Z @t. G Q. 1 9 w � l� ' I DROP Iz° ----- --- ---------- ------ -- - ' -- --- --- ------ - ----------- - -- ------- - ----------- -- --------- --------- ---------- -------- --- ----- - § o s £ e. 3�b• '�0,, ,I, •J- ______________ � CIR --------------------- _ ____ _______________ _______ __ --------------------------------------------------------------------------------------- I-- -------------------- -------------------------------------------------------------------------------------------------------- a e e • v_ - v i 7 U 4 �jQM _ r�g. • IL �p 1 NEW FOUNDATION 6"HIGHER THAN EXISTING.. O to FOUNDATION PLAN BCALE�vI'.1'O' - .. < r �+ DATE, NEW EXISTING " S/1/06 SCALE. PROJECT NO. 2005052 + SHEET NO. COPYRIGHT - ,. - OLDE CAPE BUILDING CO.,INC.2004 . NO.2 OF II I i O' l DR PLM BYE PFC ' CHECKED BY. PFC b - q° GUEST EDROOM >p N b'A 3133' 6� GL ' ® BAT n 1p S� 3'-Ik`x 3'-4' b'-]i➢`n 3'<' Y-les`x 3'-4• ° 3'-lie`x 3'i• Q � L V LAUNDRY° mIq . 'o. 9'.3ie° 6•a' e O F 9 D AREA sb. FD BATH " d DAR GARAGE Y-4' YO' e m Q 11�Itl O I y a ' s UP ? ! ;GLO. FAMILY ROOM A A DOWN 7.ei.• ~IL Z �VVV1 - a J LL W BEDROOM r � ,IIn.36 HOME OFFICE 's m • 1U13032 3________ __________________ TU3031 I- (upper-level lW+g3?3 - ----- ----- y — �( m --6 lie' ' " O Lu O GARAGE and LOWER LEVEL d) DATE, SCALE: PROJECT NO, . 2009052 . SHEET NO. �43 COPYRIGHT OLDE CAPE EWILDING CO.,INC.2004 NO.3 OF 11 PRAWN Y. PFL LNELKm BY. F'FL .AS FIREPIALE y� MASTE BEDROOM N — IB'-0• o LINE OF WALLS BELOW \� r'` '{,• l :p �/`�} ti TW34310 O H �p WET BAR p O 2'-0• _ ; £ V WA -IN CLOSET BATH s/3 uzooLU �8 GREAT ROOM � � e m �2 LL bT DOWN 't B'6h• iC IL Z UP - - 6, WMDOW BEAT in • • • � • • :{�_ _ __ ___ 5'-0• � J 'lgll Imo- m 6 9'-Bh• I2'-Wi' 9 WlN BEAT OFFI riE • GABINETB 4b - • Lu GAB FIR-,— 0 a LU O H 42'-0' z j2 a MAIN and UPPER LEVEL = DATE, +- SCALE: PROJECT NO. 2005052 SWEET NO, r A4 • COPYRIGHT ' OLDE CAPE BUILDING CO.,INC,2004 No.4 OF 11 ' - CNEGKm BYr PFC- • . W I B O I G a � 0 II • �d 01 . NEW GARAGE SLAB 3/2XI2 GIRT + "^ 9 a - i FOOTING AND LALLY COLUMN - _ O Z . I I p p 1 7 Qw I 7 e e m Z X FOOTING FOR/WALL J • UNDER FLOOR FRAMING NEW SLAB EXISTING SLAB e ---------- ------------------ ------------------------------ • - W • lu ----------------------------------------------------------------------------------------------------------------------------------- r _ I � zU ac � 4 id z ;l N r LOWER LEVEL FLOOR.FRAMING PLANS . O DATE, SCALE. PROJECT NO. . .,. 2005052 SHEET NO. COPYRIGHT - OLDE CAPE BUILDING CO.,INC.2004 116- NO.%OF 11 r ��_6 S' 43� � Oil oil-oil 15-5 lo 3032 3032 3032 2032 3032 21 611 --- 2' III, CA 2 - 1 r .. N -- --. --------- .t 6 ---------- / - ----- ---------- C ry CIA (f� 3032 3032 3032 3032 I i I I . I x 3'-4" 2-Ib X 3'-4 cn L•' N � C N N. x p —O 2-g" 2'-6" 2'_6" e _ N D 4 , --———— — — cq x iq � IH v 4 v v v - 3'-14b° x 3'-4" 3'-1�8" x 3'-4" x 3'-4" ------------------- --------------------------------------------------------------------- 42'-0`" IBAVEMENT . FLAN-EXISTING- i r" c Remove Wi,ncloW i 6'-2%" x 3'-411 x 3'-4 I r t I I _ 2 / I =_ - I I" �vw _j- _--j11 a f a -------------------- _ _ J o � ^�' � --_— I —` __—_- -- ---------------" - ---- ------ Ih•JY vV 11 N G - I - -------------- ----- Q _ NWN 0. �•' 2-0 5-0 _ a I 1 s amt ly ROom =_=__; ; _=____ Computer Room o J • v v 1- v 3'-1%11 x 3'-4" , y 3'-1%" x 3'-411 --'— e - - ----— 6'_2�411 x 3'-4" I ----- ----------- ------------ 1 • eASEMENT PLAN- NEW , -------- SCALE: 114" -- 1/"V � U S ti � � ✓' v s `- i �Crt/t* �6 G.,g/i� � .. /f.,,_.._ � - 1 1 6'-2V2" x 3'-�544u 2032 3032 i 1 -----• i l't i i i i o o ,1 I-41 LID ll T I C4 , Ad i as i----- ---- ' --_--------- ------r -- ------------------- ---=----------- ---- T ———————————————— 1 —————————— —— —1— -- - --- i 1 , 1 / 1 4-011 20 ol 1 • i o 1 � 1 O 1 i _ 1 TW2852r3 TW3032' TW2$42-3oe 10 1 —1 Z Re-, look Sit eel ' f c'c� cr a Ti1I of 44 AIORTCYA GrE I SPE. C TIO LAN Scale: f a L yfggy I LOT 57 204,67' --� LOT 54 . 48,000± S.F. , . . ✓ 5 6 .,A CD Cu N `; #724 1 y', "A.. 'DR 4w 275.95' .-,, SANTUTT ROAD CERTI 'ICATION TTO12NLi Y, BANK,AND THEIR TITLE TNSU ANCE COMPANY THAT THE MAIN BUILDING, FOUNDATION OR 1NCE W fTH THE LOCAL ZONING BYLAWS IN EFFECT WHEN CONSTRUCTED (WITH RESPECT TO UnUi MEN'TS ONLY OR IS EXEMPT FROM VIOLATION ENFORCEMENT ACTION UNDER CLASS. GENERAL A, SECTION 7, z 12 -- 6� ` 12 6 . ✓L 'S Sr✓ 1�� 1 'l ® -_ 4 N sti�c� ® ® . I � N a � i c AV SCALE: C N SECTION ,t,LE. I/4 i-O