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Home My WebLink About0039 ACORN DRIVE - Health 39 ACORN DRI V OSTERVILLE ,. h I \ A = 120 035 I a No Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: ti/ ! Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS 01pprication for Mig o� r *p5tem Construction Permit Application for a Permit to Construct( )Repair( Upgrade( )Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. 39 p r&) r. 0S .Owner's Name,Address and Tel.No. Assessor's Map/Parcel I a� ' (�3 I�A(lAC_ 6t--e-eAJk)ZQX Installer's Name,Address,MNUNCO Designer's Name,Address and Tel.No. 350 Main Street Type of Building: Dwelling No.of Bedrooms - Lot Size sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow gallons per day. Calculated daily flow gallons. Plan Date Number of sheets Revision Date Title Size of Septic Tank n Type of S.A.S. Description of Soil Nature of Repairs or Iterations(Answer when applicable) --L hS Date last inspected: Agreement: . The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certifi- cate of Compliance has been issued by this Board of, V Hea\lt . Signed Date a U Application Approved by Date Application Disapproved lor the following reaso 61L!1'_� Permit No. Date Issued /` i .• On Fee�v THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLES MASSACHUSETTS ZIpprication for Xhgaat *pgtem Construction Permit Application for a Permit to Construct( )Repair(.4pgrade( )Abandon( ) ❑Complete System El Individual Components Location Address or Lot No. �AU�.. 39 ��o t/J l - �.s .Owner's Name,Address and Tel.No. �?'I`ee,tJWUDc� Assessor's Map/Parcel1 D U J7 J Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. Type of Building: Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder( ) Other Type of Building No. of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow gallons per day. Calculated daily flow gallons. Plan Date Number of sheets Revision Date ` Title Size of Septic Tank Type of S.A.S. Description of Soil t ed�' f.4 0 f 0 Nature of Repairs or Iterations(Answer when applicable) 1n314 Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certifi- cate of Compliance has been issued by this Board of Hea\lt . Signed V Date A / Application Approved by � �l �� Date __. d Application Disapproved or the following reason Permit No. Date Issued —————v————— —————————————————— - THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS Certificate of Compliance THIS IS TO CERTIFY, that the On-site Sewage Disposal System Constructed( )Repaired ( ✓)Upgraded(. ) Abandoned( )by r1q A)C U at C u n 1 I S t!f u l l has bee constructed in ac ordance with the provisions f Title 5 and the for Disposal System Construction Permit No. � ated 2 Y/ Installer . fte- K,---✓0 Designer The issuance of this permit ishalllo be construed as a guarantee that the system will function as designed. Date d Ill Inspector `-Po 'c .--------_.—.--. —Z --- - —— — —(-/ :. No. � �L Fee THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION.- BARNSTABLES MASSACHUSETTS l ligosal *pstem Construction Permit Permission is hereby granted to Construct( )Repair( Upgrade( )Abandon( ) System located at 32 �C o/ ,,J / T. �s 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. i Provided:Constr ctio (must be om 1 ted within three years of the date of thi Date: /71 7 i� Approved b _ J .. PP Y , 1/6/99 NOTICE: This Form Is To Be Used For the Repair Of Failed Septic Systems Only. CERTIFICATION OF SKETCH AND APPLICATION FOR A DISPOSAL _ WORKS CONSTRUCTION PERMIT WITHOUT DESIGNED PLANS) I, C"O"v1yq-z" , hereby certify that the application for disposal works construction permit signed by me dated ; concerning the property located at -Ir i S ?L meets all of the following criteria: / This failed system is connected to a residential dwelling only. There are no commercial or business uses associated with the dwelling. • The soil is classified as CLASS I and the percolation rate is less than or equal to 5 minutes per inch. /There are no wetlands within 100 feet of the proposed septic system There are no private wells within 150 feet of the proposed septic system / There is no increase in flow and/or change in use proposed There are no variances requested or needed. • The bottom of the proposed leaching facility will not be located less than five feet above the maximum b Y P P _ adjusted groundwater table elevation. [Adjust the groundwater table using the Frimptor method when applicable] /If the S.A.S.will be located with 250 feet of any vegetated wetlands,the bottom of the proposed leaching facility will not be located less than fourteen (14)feet above the maximum adjusted groundwater table elevation, Please complete the following: A) Top of Ground Surface Elevation (using GIS information) r ll i B) G.W.Elevation +the MAX. High G.W. Adjustment.-�• DIFFERENCE BETWEEN A and B ( • SIGNED : DATE: J [Please Sketch proposed plan of system on bacl<]. NOTICE Based upon the above information, a repair permit will be issued for bedrooms maximum. No additional bedrooms are authorized in the future without engineered septic system plans. q:health folder:cert e � � .� e� ^� s ,rt.,,F ."'r' s',,w 'Gd^R'° '`:;`Y •{,,,1x $¢,y'^""".+x.,saz—r ^`^�"' ;-9 " '.t'E` . tz -a.- "..'fir: =acT ? ._ -, —iW� Olt TOWN OF BARNSTABL . E r LOCATION !t.� SEWAGE !�O��] - VILLAGE ASSESSORS MAP LOT INSTALLERS NAME '& PH NE NOA.&%B CANCO 775-6264 _ SEPTIC...TANK CABaACITY LEACBING FACILITY:(g�peZ� 9� �i• t66f(size) " X NO OF BEDROOMS PRIVATE WELL OR,PUBLIC WATER BUILDER OR OWNERT�^ B`a I DATE. PERMIT ISSUED: DATE COMPLIANCE ISSUED• VARIANCE GRANTED: Yes No I /* _ ., L�-j-. I • _ / COM-NIONWEALTH OF NU sSACHUSETTS EXECUTIVE OFFICE OF EN �IRONMENTAL AFFAIRS pE0 y 0 DEPARTMENT OF ENVIRONMENTAL PROTECTION 99g ONE R"INTER STREET. BOSTON NLk 0210S (611) 292.5.500 TRUDYCORE Secretary ARGEO PAUL CELLUCCI DAVID B. STRUHS Governor Comsnissicner t t\ SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION'FORM RP L PART A 3 CERTIFICATION q Property Address: "1 �CO�tJ �Q-� OS�2�vrk� Name of Owner p�,cslnctita co, .je-- ` M(,SSAddress of Owner: Sp,VN� _- Date of Inspection: 1( 30 P� p � � Name of Inspector:(Please Print) I am a DEP approved system inspector pursuant to Section 15.340 of Title 5(310 CMR-15.000) Company Name: 1JJ 1 0 Mailing Address: CJT 10�i��. . T Telephone Number: _`'{� fr "( 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 inspection. The inspection was performed based on my training and experience in the proper function and maintenance of on-site sewage disposal systems. The system: Passes _ Conditionally Passes _ Needs Further Evaluation By the Local Approving Authority _ Fails ( s Inspector's Signature- Date: 3p (y. The System Inspector shall submit a copy of this inspection report to the Approving Authority (Board of Health or DEP)within thirty (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 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. NOTES AND COMMENTS n p f I N5,, v lip revised ,9/2/.98 Pal;cIofII ' L� Pr.nted on kmr(led Paper SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) 'roperty Address: Jwner:COLA (J< `C Date of Inspection: INSPECTION SUMMARY: Check A, B, C, or D: A. SYSTEM PASSES: _ I have not found any information which indicates that any of the failure conditions described in 310 CMR 15.303 exist. Any failure criteria not evaluated are indicated below. COMMENTS: ' B. SYSTEM CONDITIONALLY PASSES: One or more system components as described in the "Conditional Pass"-section need to be replaced or repaired. The system, upon completion of the replacement or repair, as approved by the Board of Health, will pass., Indicate yes, no, or not determined (Y, N, or ND). Describe basis of determination in all instances. If "not determined", explain why not. _ The septic tank is metal, unless the owner or operator has provided the system inspector with a copy of a Certificate of Compliance (attached) indicating that the tank was installed within twenty (20) years prior to the date of the inspection: or the septic tank, whether or not metal, is cracked, structurally unsound, shows substantial infiltration or exfiltration, or tank failure is imminent. The system will pass inspection if the existing septic tank is replaced with a complying septic tank as approved by the Board of Health. _ Sewage backup or breakout or high static water level observed in the distribution box is due 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). broken pipe(s) are replaced obstruction is removed distribution box is levelled of 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 . revised 9/2/98 Page 2ofII SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address: Owner: Date of Inspection: 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 HEALTH DETERMINES IN ACCORDANCE WITH 310 CMR 15.303(1)(b)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 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 AND SAFETY AND THE 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 soil absorption system and the SAS is within a Zone I of a public water supply well. The system has a septic tank and soil absorption system and the SAS is within 50 feet of a private water supply well. _ _ The system has a septic tank and soil absorption system and the SAS 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 free from pollution from that facility and the presence of,ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm. Method used to determine distance (approximation not valid). 3) OTHER , r f -revised 9/2/98 Page 3of11 ' SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) property Address: Owner: Date of Inspection: D. SYSTEM FAILS: You must indicate either "Yes" or "No" to each of the following: I have determined that one or more of the following failure conditions exist as described in 310 CMR 15.303. 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. Yes No _ Backup of sewage into facility or system component due to an 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 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_. _ 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 Zone I of a public well. _ Any portion of a cesspool or privy is within 50 feet of a private water supply well. Any portion of a cesspool or privy is less-than 100 feet but greater than 50 feet from a private water supply well with no acceptable water quality analysis. 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: 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: The system serves a facility with a design flow of 10,000 gpd 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: Yes No - the system is within 400 feet of a surface drinking water supply the system is within 200 feet of atributary 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 upgrade the system in accordance with 310 CMR 15.304(2). Please consult the local regional office of the Department for further information. Page revised 9/2/98 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B CHECKLIST Property Address: Owner: ✓ N� y Date of Inspecbon: t` 1C�% Check if the following have been done: You must indicate either "Yes" or "No" as to each of the following: Yes No _ Pumping information was provided by the owner, occupant, or Board of Health. None of the system components have been pumped for at least two weeks and-the system has been receiving normal flow 'T rates during that period. Large volumes of water have not been introduced into the system recently or as part of this inspection. _ As built plans have been obtained and examined. Note if they are not available with NA_ 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. All system components, excluding the Soil Absorption System, have been located on the site. _ The septic tank manholes were uncovered, opened, and the interior of the septic tank was inspected for condition of baffles or tees, material of construction, dimensions, depth of liquid, depth of sludge, depth of scum. The size and location of the Soil Absorption System on the site has been determined based on: Existing information. For example, Plan at B.O.H. Determined in the field (if any of the failure criteria related to Part C is at issue, approximation of distance is unacceptable) [15.302(3)(b)1 3 - _ The facility owner (and occupants,if different from owner) were provided with information on the proper maintenaaca-0f Subsurface Disposal Systems. revised 9/2/98 Page 5of1l SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION p � t 'roperty Address: 39 ROV—p Owner: j Date of Inspection: , �\ r. I FL OW CON DITIONS IT ONS RESIDENTIAL: - Design flow:,530 g•p•d•/bedroom. Number of bedrooms (design): Number of bedrooms (actual):> Total DESIGN flow A* Number of current residents: 0`Z Garbage grinder(yes or no):� Laundry(separate system) ( es or no): 1J; If yes, separate inspection required Laundry system inspected be or no) + Seasonal use (yes or no):� ` , OUC _' Water meter readings, if available (last two year's usage (gpd): VA 1 ` oZ r rt�k Sump Pump (yes or no): Last date of occupancy:iio6ttii COMMERCIAUINDUSTRIAL: Type of establishment: Design flow: qpd ( Based on 15.203) Basis of design flow 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: OTHER: (Describe) Last date of occupancy: GENERAL INFORMATION PUMPING RECORDS and source of information: " System pumped as part of inspection: (yes or..no)_ If yes, volume pumped: gallons, 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) I/A Technology etc. Attach copy of up to date operation and maintenance contract Tight Tank Copy of DEP Approval Other r. APPROXIMATE AGE of all components, date installed (if known) and source of information: } 35�p �- x Sewage odors detected when arriving at the site: (yes or no) 1 revised 9/2`/96 Page 6ofII r SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) 'roperty Address: 2"I stray-Yll Owner: //s�� pp Date of Itrupection k(�3a BUILDING SEWER: (Locate on site plan) Depth below grade:_ Material of construction:_cast iron_40 PVC_ other (explain) Distance from private water supply well or suction line Diameter Comments: (condition of joints, venting, evidence of leakage,etc.) SEPTIC TANK:�Jt� (locate on site plan) Depth below grade:_ ° Material of construction: concrete_metal _Fiberglass _Polyethylene_other(explain) If tank is metal, list age_ Is age confirmed by Certificate of Compliance— (Yes/No) Dimensions: " 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 dimensions were determined: IJ 'omments: (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.) GREASE TRAP: (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: (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.) revised 9/2/98 _ Page 7of11 E SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) 'roperty Address: Owner: Date of Inspection: TIGHT OR HOLDING TANK: (Tank must be pumped prior to, or 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 a Alarm present Alarm level: Alarm in working order: Yes _ No_ Date of previous pumping: Comments: ' (condition of inlet tee, condition of alarm and float switches, etc.) DISTRIBUTION BOX: (locate on site plan) Depth of liquid level above outlet invert: i Comments: (note if level and distribution is equal, evidence of solids carryover, 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, condition of pumps and appurtenances, etc.) . t revised 9/2/98 I'agc8of11 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) 'roperty Address: 3CN r}UDVf.N Owner: Cp<1 N k-,' . Date of Inspection:•'t a5 - , SOIL ABSORPTION SYSTEM(SAS): S (locate on site plan, if possible; excaAtion not required; Location may be approximated by non-intrusive methods) _ If not located, explain: Type. leaching pits, number:_ leaching chambers, number:_ leaching galleries, number:_ leaching trenches, number, length: leaching fields, number, dimensions: overflow cesspool, number:__A_S�N)'_ Alternative system: Name of Technology: Comments: (note condition of soil, signs of hydraulic failure, level of p nding, damp s il, condition of vegetation, etc.) o Nv 5t �" ti �N CESSPOOLS:_ (locate on site plan) Number and configuration: Depth-top of liquid to inlet Lnvert: a 4 Depth of solids layer: )epth of scum layer: Dimensions of cesspool: V 4ArX � Viec Materials of construction: Indication of groundwater: N inflow (cesspool must be pumped as part of inspection) S\1�Q R �PUw1�4'JC �QYh UvtG1Ml� �Y\)CA Comments: (n to condition of soil signs of h draulic failure, leve of ponding, condition of et t n, etc.) / %! two PRIVY:PA (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.) ` .revised 9/2/98 Pal;c9 of'II SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) 'roperty Address: }1V1� )weer: U ,t 4..) Date of Insp ction: `l \tb C, ' SKETCH OF SEWAGE DISPOSAL SYSTEM: include ties to at least two permanent reference landmarks or benchmarks locate all wells within 100' (Locate where public water supply comes into house) 1 Piz 30 revised 9/2/98: Page 10of11 r � � SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) roperty Address: 3�1 Owner:C'C'cyNe— Date of Inspection: •: 9 4 NRCS Report name Soil Type— Typical depth to groundwater USGS Date website visited Observation Wells checked Groundwater depth: Shallow Moderate Deep SITE EXAM Slope Surface water ,t7 Check Cellar Shallow wells Ncj Estimated Depth to Groundwater 2�) Feet Please indicate all the methods used to determine High Groundwater Elevation: _ Obtained from Design Plans on record ' Observed Site (Abutting property, observation hole, basement sump etc.) _ Determined from local conditions ' Checked with local Board of health Checked FEMA Maps Checked pumping records Checked local excavators, installers Used USGS Data Describe how you established the High Groundwater Elevation. (Must be completed) •, ViS• n�oej►cc� Svv2tJ ` ��1��6�tG NVQ'g�`��2� Wit. �A• (qC1z�. revised 9/2/98 Page IIofII PROPERTY ADDRESS: '39 Acorn Drive RECEIVL`, 0sterville ,Mass . APR 2 5 1996 HEALTH DIP T. .0265'5• . , TOWN OF EAI"NSTA E On the above date, I Inspected the septic system at the above address. This .system consists of the following: 1 : '.26.' 5t8l .:b'1'ock cesspools . Based bn my insraction, I certify the following conditions: 1 . This is not' a' title five.. septti-v system 2. This is, a-- sewage system 3. fihb•sewage systetn" is in proper working order at the present. time . SIGNATUR7: ' Name: J.P_M_acomber Jr_.. t 'J.P.Macocnber. & Son• 'Inc Company: A d d_re s s:_-B."_66-------A------ --Centerville LMass__0.2.632 ' THIS CERTIFICATION DOES NOT CONSTITUTE A GUARANTY OR WARRANTY JOSEPH P. MACOMBER & SON,. INC. Tanks•Ceupools-Leazhfleld: Pump#d & lnst:lled ammam I Town Sewer Connections P.O. Box 66' Centerville, MA 02632-0066 775-3338 775-6412 Commonweaith of Massachusetts Executive Office of Environmental Affairs Department of Environmental Protection William F.Weld Trudy Cox* Governor 8ir"7 ArQeo Paul Celluccl David B.Struhe LL Gw%rrwr Cort�mfulorwr SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION Proporty Addr" :39 Acorn Drive Osterville,Mass . Address of Owner.2 Barkridge Lane Date of Insprotlon: 3/23/96 (If different) Norfolk".,-Mass. Name oflnspooton Joseph P.Macomber Jr. 02056 Company Na:ne,Address and Telephone Number. J.P.Macomber & Son Inc. Box 66 Centervil'le ,Mass . 02632 CERTIFICATION STATEMENT 508-775-3338 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 inspection. The inspection was performed based on my training and experience in the proper function and maintenance of on-site sewage disposal systems. The system: asses Conditionally Passes _ Needs Further Evaluation By the Local Approving Authority _ Fails Inspector's Slynaturo: Q14�1��'! w�'tru't�G�/! ' Date: y The System Inspector s submit a copy of this inspection report to the Approving Authority within thirty(30)days of completing this inspection. If the system is a shared system or has a design Dow of 10,000 gpd 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: Check A, B, C, or D: AJ SYS PASSES: I have not found any information which indicates that the system violates any of the failure criteria as defined in 310 CUR 15.303. Any failure criteria not evaluated are indicated below. BJ 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, no, or not determined(Y, N, or ND). Describe basis of determination in all instances. If"not determined", explain why not) �0 The septic tank is metal, cracked, structurally unsound, shows substantial infiltration or exfiltration,.or tank failure is imminent. The system will peas inspection if the existing septic tank is replaced with a conforming septic tank as approved by the Board of Health. (revised 11/03/95) I One Winter Street 0 Boston, Massachusetts 02108 0 FAX(617) 556-1049 v Telephone (617)292.55W SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION(continued) ProportyAddresa: 39 Acorn Drive Osterville ,Mass . 02655 Owner. Peter Higgins Date of Inspection: 3/2 3/9 6 B]SYSTEM CONDITIONALLY PASSES (continued) Sewage backup or breakout or hA static water level observed in the distribution box is due to broken or obstructed pipes) or duo to a broken,settled or uneven distribution box. The system will pass inspection if(with approval of the Board of Health): ' broken pipes)are replaced obstruction is removed distribution bos is levelled or replaced The system required pumping more than four times&.year due to broken or obstructed pipe(s). The system will pass inspection if(with approval of the Board of Health): broken pipes)are replaced obstruction is removed Cl FURTHER EVALUATION IS REQUIRED BY THE BOARD OF HEALTH: , Mt) 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,anfety and the environment. 1) SYSTEM WILL PASS UNLESS BOARD OF HEALTH DETERMINES THAT THE SYSTEM IS NOT FUNCTIONING IN A MANNER WHICH WILL PROTECT THE PUBLIC HEALTH AND SAFETY AND THE ENVIRONMENT ,420 Cesspool or privy is witbia 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 FUNCTIONING IN A MANNER THAT PROTECT 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 within a Zone I of a public water supply well. The system has a septic tank and soil absorption system and is within 60 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 free from pollution from that facility and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm. 3) OTHER . ,S,vstem consists of .two 61x8l block cesspools. One is acting as a sex2tic tank and the water is passing to the second. cesspool. (revised 11/03/95; ! a• f SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION(oontlnuod) PiwpertyAddreu: 39 Acorn Drive Osterville ,Mass . 02655 Owner. Peter Higgins Date of Iwpootton:3/23/96 e y • DI SYSTEM FAILS: e • I have datarmined that the system violates ona or more of the following failure criteria as defined in 310 CI M 15.303. The basis for this datarmination is idaatiW 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 overloaded or clogged SAS or cesspool. Ag Discharge or ponding of effluent to the surface of the tround or surface waters due to an overloaded or clogged SAS or cesspool IJVX Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool. Al Liquid depth in cesspool is less than 6"below invert or available volume is less than U2 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 Soil Absorption System, cesspool or privy is below the high groundwater elevation. i 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 Zone I of a public well Any portion of a cesspool or privy is within 60 feet of a private water supply well. it Any portion of a cesspool or privy is less than 100 feet but greater than 60 feet from a private water supply well with no acceptable 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. El LARGE SYSTEM FAILS: The following criteria apply to large systems in addition to the criteria above: A/6 The system serves a facility with a design fow of 10,000 gpd or greater(Large System)and the system is.a signiticaut threat to public health and safety and the environment because one or more of the following conditions exist: IVthe system is within 400 feet of a surface drinking water supply • 49 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 Psotaction Area(IWPN 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 oomplianca with the groundwater treatment program requirements of 314 CMR 6.00 and 6.00. Please consult the local regional office of the Department for Anther information.• (revised 11/93/95) 3 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B CHECKLIST Prop-artyAddr-z: 39 Acorn Drive •Osterville ,Mass . 02655 owner. Peter Higgims ' Date of Inip"tion:3/2 3/9 6 Chock if the following have boon done: Pumping information was requested of the owner, occupant, and Board of Health. None of the system components have been pumpod for iat least two weeks and the system has boon receiving normal flow rates during that period. Large volumes of water have not been introduced into the system recently or as part of this inspoction. 4L/As built plans bave been obtained and examined. Note if they are not available with N/A ,ZThe 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. ZA11 system components,l cluding the Soil Absorption System, have been located on the site. N1.1le'Jj%e septic tank manholes were uncovered, opened, amd the interior of the septic tank was inspected for condition of baffles or tees, material of construction, dimensions, depth of liquid, depth of sludge, depth of scum. ZThe size and location of the Soil Absorption System on the site has boon determined based on existing information or a prozimated by non-intrusive methods. The facility owner(and occupants, if different from owner) were provided with information on the proper maintonance of Sub- .Surface Disposal System. (revised 11/03/95) 4 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION PropartyAddr." 39 Acorn Drive Osterville ,Mass . 02655 owner Peter Higgins Date of Inspection: 3/23/9 6 FLOW CONDITIONS RESIDENTIAL: • Design flow-ins e Number of bedrooms:, Number of current residents: Garbage grinder(yes or no):_ Laundry connected'to system(yes or no):*S Seasonal use(yes or no): & �f 7 / k Water meter readings, if available: 1 - OCR Last date of occupancy:.a4L COMMERCiAL/INDUSTRIAI• Type of establishment: �� - Design flow:_Aj ,gallons/day Grease trap present: (yes or no)" Industrial Waite Holding Tank present: (yes or no)-A18 1-6 Non-sanitary waste discharged to the Title 5 ryst•em: (yes or no) Water meter readings, if available: Last data of occupancy: l p OTHER (Describe) Last date of occupancy: GENERAL INFORMATION PUMPING R RDS d urce of information: System pumped as part o� ion: (yea or no) S - If volume um o yes, pumped- '7` Reason for pumping: -' 1 y� JYelyt�� TYPE OF SYSTEM o septic tank/distribution box/soil abscrption system Single cesspool _ Overflow cesspool Privy Shared system(yes or ao) (if yes, attach previous inspection records, if any) Other(explain) APPROXIMATE AGE of all components, data installed(if known) and source of information: Sewage odors detected when arriving at the site: (yea or no) (revised 11/03/95) 6 I ' SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(oontinued) PropertyAddress: 39 Acorn Drive Osterville,Mass . 02655 Owner. Peter Higgins Date of Inspection:3/23 96 SEPTIC TANK e e (locate on site plan) Depth below grade: Material of constructio 1Qooncrete_metal_FRP_other(ezplain) Dimensions Distance from top of sludge to bottom of outlet tee or baf4q;+ A Scum thiclmess:_A)A Distance from top of scum to top of outlet tee or baffle:_ )6 Distance from bottom of scum to bottom of outlet tee or bame: A)Jq 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.)' 11L}a GREASE TRAI-&b Kle_ (locate on site plan) Depth below grade.10T Material of construction concrete_metal A _FRP_other(ezplain) Dimensions 1A Scum thickness: Distance from top of scum to top of outlet tee or baflle:,L, Dist— from bottom of scum to bottom of outlet tee or baffle: / A Comments: (recommendation for pumping,condition of inlet and outlet tees or bames,depth of liquid level in relation to outlet invert,structural integrity, evidence of leakage,etc.) tt/14 (revised 11/03/95) 6 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(oontinued) Property Address: 39 Acorn Drive Osterville ,Mass . 02655 Owner. Peter Higgins Date of Inspeoti0n:3/23/9 6 TIGHT OR HOLDING TANY-AI'A'e, , (locate on site plan) e Depth below gs•ade: A _ Material of construcdion:JAconcrete_metal_•FRP_other(esplain) Dimensions:— Capacity: w no ► Design flow: ons/day Alarm level:_ Comments: (condition of islet tee,condition of alarm and float switches,etc.) Cekj44R0W71 DISTRIBUTION BOX42We, (locate on site plan) Depth of liquid level above outlet invert:_k1A _ Comments: (note if leve�and distn'bution is equal, evidence of solids carryover, evidence of leakage into or out of box,etc.) PUMP CHAMBER:!V,� (locate on site plan) Pumps in working order:(yes or no)_4L4 Comments: (notq pondiin of pump chamber;condition of pumps and appurtenances,etc.) (revised 11/03/95) 7 SUMURFACE 8EWACfE'DISr69AL-sYsTEM INSPECTION FORM SYST ;"_':.........:�?� (oontinuod) Propertymdnmu 39 Acorn Drive Osterville ,Mass . 02655 ' Owners Peter Higgins Date of Impeottons 3/23/96 SOIL ABSORPTION SYSTEM Coate oa site plant,if Po"";excavation not requ*but may be epprozimated by non-intrusive nlethods� . . If not determined to be prawn:,expo; . Types leaching pits,number:;,( leach.tag trenches,niimber,length leaching fields,number,dimenslons overflow cesspool,cumber• Comments:(note cLamyonditio of soil,signs of hydraulic failure i'•�! atr^ Condition f ve _gigns sand; 0 inn & gravel; 'I�o nsof h �rau�i°c' ') gs> !- f—ping; �u ation_...s .-- Y f�; 1 ure ; o z s - CESSPOOLSs —7 (locate on site plan) Numbsr and configuration: Depth-top of liquid to inlet in Depth orsolUs L1yor (►,<j Depth of scum�Dimemsi osu of mpooL•Materials of cotruction: re, Iadicatloni otground,vate:; inflow(ow I m be Pumped as part of inspect: / Comments:(note Condition of solL sy°lf° "T�f"pro c� T.na_my sand to sand Y'8�G No signs of" y` ' ) i ure or ponding. .ST..e�et.a_tlon is nnrma Pxlwt (locate on site plash .ua Deg ,• D ,.V .... of ns: Co ( 0° on hydraulic f" r0. :an of ve+��+of . . ¢+station,:tc.) IV1¢ . (revised 11/03/.95)• $ PropertyAddresa: 9 Acorn Drive Osterville ,Mass . 02655 Owner. eter Higgins Date of Inspection: 3/23/9 6 SKETCH OF SEWAGE DISPOSAL SYSTEM: • include ties to at least two permanent references landmarks or benchmarks locate all wells within 100' Centerville Osterville Water Company 428-6691 DEPTH TO GROUNDWATER Depth to groundwater. 12 1 + feet method of determination or approximation:Pumped main cesspool. Cesspool is not in t h e Xater table . - (revised 11/03/95) 9 TOWN OF Barnstable BOARD OF HEALTH -TYPE OR PRI14T C1,EARLY- STREET ADDRESS 39 Acorn Drive Osterville,Mass . 02655 ASSESSORS MAP , BLOCK AND PARCEL PART D - CERTIFICATION NAME OF -INSPECTOR Joseph P. Macomber Jr. . COMPANY NAME J.P.Macomber & Son Inc. Street Town or City Stat* LIP CERTIFICATION STATEMEN,r I certify that I have personally inspected the sewage dispos�j system at this address and that the information reported is true , accurate , and complete as of the time of .iinspection . The inspection was performed and any recommendations regarding upgrade , maintenance , and repair are consistent with my training and experience in the proper function and maintenance of on- site sewage disposal systems . Check one : XXXXXXXS-Ysteui PASSED The inspection which I have conducted has not found any information which indicates that the system fails to adequately protect public health or Lhe environment as defined in 310 CHR 16 . 303 . Any failure criteria not evaluated are as stated in the FAILURE CRITERIA section of this form . System FAILED The inspectio-n which I have condVCted hag found that 'the system yui |S to protect the public health and the environment in accordance with Title S , 310 CHR 15 . 303 / and as specifically noted on PART C - FAILURE CRITERIA of this inspection form . Inspector S . . riic One copy of this ertification must be provided to the OWNER. the BUYER where applicable and the 130ARD OF )MAL'I'll. ' If the inspection FAILED, � owner °— ' wi �hin one y r »[ the �b or o� v�or�tor shall upgrade t�� u�nt�m rh e date e of the i»aPect1«o , unless allowed or reguired otherwise ue �a provided in 310 ChR 15 . 305 . � p • Sf G,r Ln w � ti t b TH E COMMONWEALTH OF MASSACHUSETTS DEPARTMENT OF ENVIRONMENTAL PROTECTION BE IT KNOWN THAT Joseph P. Macomber, Jr. 0 Has satisfied the Department's qualifications as required and is hereby authorized to use the title CERTIFIED TITLE 5 SYSTEM INSPECTOR as provided in 310 CMR 15.340 and Section 13 of Chapter 21A of the General Laws. Issued by The Department of Environmental Protection. June 8, 1995 Acting Director of the ' ion of Water Pollution Control 0 C,c-, TOWN OF BARNSTABLE li LOC LION SEWAGE # -7 L� VIL''.-JAGE (��`/Ly'< � ASSESSOR'S MAP LOT INSTALLER'S NAME Gz PHONE NO. A & B CANCO 775-6264 SEPTIC TANK CAPACITY /� �• LEACHING FACILITY:(type) 2- 5-00 jLClrRw (size) 1-7 2 NO.OF BEDROOMS PRIVATE WELL OR PUBLIC WATER BUILDER OR OWNER +`-DATE PERMIT ISSUED: DATE COMPLIANCE ISSUED; VARIANCE GRANTED: Yes No r`� �� , . it v , �•,� ...'_. ..v.-.��_ � -_ �� R ► , ! � , ' P..i ., .� �.. _, ,� I L1�9� �� v 4 q J TOWN OF BARNSTABLE a!^4TION 3'% AC MW SEWAGE # o VIL.AGE ASSESSOR'S MAP&LOT—LZ-010 q S a INSTALLER'S NAME&PHONE NO. SEPTIC TANK CAPACITY iNT10-2 S'btPt x St LEACHING FACILITY: (type) Q\Wb ,.'F1aW (q%sk221 (size) S 1)i R A 6 gF NO.OF BEDROOMS BUILDER OR OWNER C Q�AVO L-, EEC'DATE: `i\'b®1 Ct 0 COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table to the 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_ ,�)Aa-o 3cl V atve._:. Oz 01 3® 1 , -NEW EW N __ U _ _ -� — — I - F _ - �;i,?, y_"..�r..�; — ✓ =4' I I ! i'i! li I I j 0 �� =�I I �I -- — _ --_ — — —-- ----—----- — = f IFOR NEW L NEW AND IN M.TIRING -- --- �. I - r - ---- - -_-- ---- - — --- ; tt(�'�f't... NEW VINYL BIDING__.__— j FRONT ELEVATION �X I V I I I\ _ AND ALUM,TRIM _ -- -- - -- - — - - r - • I� y RIGHT ELEVATION EXISTING 4 4'-0" 13'-0" � � � -------MATCH EXI5T.— � II-0 -_ -- _ ANEW -_ — -- Q EXISTING A 1 I SITTING AREA I _ U cooR r LOJlER tl r—j NEW VINYL BIDING- NSW Ui u TuaM naw M----i - I AND ALUM.TRIM p —4 O MATCH EXIST,TRIM SIZE--m n a ? �—2x8 C.J.—> II \\`wJl4 o REAR ELEVATION I' v 1'-2�{, %6 POET 2•-8" sin•LVL NOR.aeove 2'-$" I NEW - cos= .�• 9�-0° 4'-3'h° - -�—�Y" raiee I C235 14. y - _ -�•�.�t_ _ ____ ;. �r� . _ �I O II O 24X20 24X20 !j 5 EXISTING ;e304 I- i KITCHEN BI caTueoR"u eel 6 .'2 �. 4'-4 9/16 -I , U._____ _ _. EXISTING A 1 .i M/BEDROOM JJJ a I ; i - _ 4 i ' -I EXISTING NEW s1A'LVL MDR.d90VE GARAGE P �aenovE wnu PoeT 1 v 3'2" W-61+" 3'-2" III II'II:II19'I.; �4 111IIII Id ;l ' i IIII'I IIII'j 4�11IIIII11111 I I� Cl IIII I I I I 2NEW I 4310 ; I I 3� 3 " " ------------------ _ O" I ! EXISTING- I LIVING ROOM I D:ISTINC- - —r I! ' IX15TING BEDROOM°2 — -- -- M- NEW BEDROOM-2 ; /t II MATCH EXIST.ROOFINGINYL SIDING-- I AND ALUM.TRIM — — Ti NEW EXTERIOR WALLS EXISTING NEW INTERIOR WALLS COVERED FIRST FLOOR PLAN 11I� j PORCH N vT I(- EX f G I t 1 EXISTING WALLS LEFT ELEVATION STEP p TIMOTHY GRAY BLDG• 4 REM.1 GREENWOOD RESIDENCE I v ENLARGE EXISTING SITTING AREA- I': DATE REVISION 'DRAWN BY PAGE SCALE AMID MASTER SEDi�00M" 10-13-OCR �I L v<°.i o" r: J jC eee n� MASHPEE, MA. 029,49 I 39 ACORN DRIVE d __— k II ✓a of �! OSTERVILLE MA. 1 �� //1 PJRfMdSEQ=ORLJ'.'NG6 LEdVE9 PJRGM:eER RE9POA'9/B�FOR GOMp 4n'..1:uTN LGL� 2IX.tGT BtZc M'D REIn'TORGE/1q'T OF<LL GpA'GpE/E!'�T/NGS (9J A[L RIMTiNG6 6NfJ1 EXTENT BELAI✓FRA4ltlNE vER/FT DEPTH. P.O.DOX 1B5, '��98�� I j Q LACdL BflLD/N'3 GODEe.GNp ORD//Lc/YEA 3 OE9lGN9.`f<Y NDT BE MELD;%lE5PON9/BLE rc14T®EO.�.'TERH/NS BY LOGdL 60IL GOn'D//On'u IND 4CLP)•CB:E (Il VET.—9)RyOWY ELEMENTS FOR DE9/GN F 56E 2 FOR 6T COAD/T/ON9 OR FOV+THE 4^E OF TMEA DRLJ/h'GS-LY/R/AG CO,yST.¢ULl/ON.' PR,GCl/GES OF GON9TR--"m VER/FY DES/GN UNN LOCAL ENGIN.cr2 !4/TM LOGdt q•G/NEER,6ND�[D/NG OIF/JdL9• I (lE9T BARN9TAELE HA O]G69 r ! TYP.2X4 PT SILL 2X8'e o 16"O.C.—� VI EXISTING-FOUNDATION WALLS J 3/4"T/G PLY. !ICI II I �i I! !I li II I II �I II !' ;I I• il� ,-I NAILED a GLUED. 2X4 PTGIRDER BELOW I II !I j NEW FOUNDATION WALLS J i SILL SEALER ! /"CONCRETE WALL 14"°I SILL SEALER ! I I I ! DAMP.PROOFING CSA APPROVE / CRAW' L PACE I I, li i 2X8'e a 16"O.C.I I ; I � ' 1•COhC.6L19 TO M1TCN IXI9T,B29ETiENi FLOOR. p _�__•p� / 2X6 KEY !` ° I II II li I 4„ + d j I I /1 o xtz 2X8'e " I"CONC.FTC. ij I ' I— N a COMPACTED GRANULAR I� , 't I i :I w— U i - O I w� I � z z— I I �I i II — D F I �I •' :� a a 51S HELF AN D FO OTING NC DETAILS LS S I CO NCRETE RETE WAL L m �: 'I -- 'mx p x I '1 I , I � --- --- ----- y Ei I d I - ' 28'-0" ----------------------------------------------------- C , ' C ;I, I 4 TYP.SHELF,"DROP f 'v u NEW _ < BASEMENT B -0"M - ! ' ..- L_.__. 3-ZxlO' - ..._. I EXISTING 8 NEW FIRST FLOOR PLAN j p T•I'�P.30 X3o"X12 -- - - ' CONC.FTC.W/3-IQ"RD, 4"THICK o� o� - t CpNC,FILLED COL. ��CONIC,SLAB �w Q rc i LOWER OR O G M F OI •S m o ONG WALL 36"L i µµ ' a •___-;__ IF NEEDED. na w�r.G • j ________________ _______ _ _ _I --------- --------------- ____________________ „ " / i :0---------------------------------1----------------------------------------------- -------------------------- 7OWT COVER_._ / __ - •-;L , lui , : I ' 1 tee•.. �"CONCRETE WALL D . ! AM PROOFING esA DAMP. o< APP , ------ ------ I I � O"X30"XI2" CON r=-: ° b C,FTG.W/3-1/2"RD. 4' /' a TYP. ; I : CONC.FILLED COL, - "POURED GONG.SLAB 1 I ! 2X6 KEY e d d / - /10"X22"CONC,FTC. v _ . p p COMPACTED GRANULAR/ I ---------------------------------------- ----------------- I / D I ---------------------------- ---------------------------------------- -------------------; FOOTING FOOTING DETAILS 8" CONCRETE WALL I ! EXISTING 8 NEW FOUNDATION PLAN 1 v ENLARGE EXISTING SITTING AREA DATE REVISION DRAWN BY PAGE SCALE TIMOTHY GRAY BLDG, t REM,{ W GREENWOOD RESIDENCE Jg� MASHPEE, MA. 02649 I ppI 39 ACORN DRIVE AND MA5TER BEDROOM. _ j 10-13-OCR ✓s I •� of v<=io^ j lrj ✓�✓ ��✓�/gng LQ-N. �"p'G COOE!<AO ORD/KSNCE3 13 OF8/GN6 H<f NOT 6E Npy R_9PoNe/BLE nJ3r 9-aErcRfRA�er LOGAC fOL.CO�moNB 61.'D ACC�rAB!E I 1 I m OSTERYILLE MA. I; �� lU -'�—'•`+E O=ORL.SN✓•• 'B LE4YE9 PJRGN26`_.0 RE9PON!/LE IOR C,pyPL/1•,�=llgrN.M1fC 2FXiLT 6)g LN^IREMIORCEr•IENT A'<LI.C.OACRETE(ClOTINGS l!/ALL iGOAA'1s9 B1{L(,L.q'1H�1�9Q.GV/fiQ05)LNE VBF/FT"D�TK ' " � • ' • u (�) O r c Il VERIFY SrR(�IUR.CI.EL"/9EN1E fCR DE9/GN 19/ZE i I •O.HOX N! 't50B1l81J190 +S Z T•G1p LOTp/r/ON90R lO,Q THE(LSE OF 13/c9E DRA'[tlN�p!/R/ry�Ny �r/OK PRSCr/.:ES OF GOA'STR:L^r/OK VER/.Y pF3/GN ffNTN LO.:SL Eti'G/NE82. wrN LOCK ENG/NEE4.a�BV/LOAG 01�/O16C6. I '�I! -. ... P • - (fElT 9dRNlT°EBLE MA Q76•D -�-.