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HomeMy WebLinkAbout0044 AVALON CIRCLE - Health 44 AVALON CIRCLE OSTERVILLE A = 145 053 y r -J Commonwealth of Massachusetts l ifs- 06�3 �x ,o Title 5 Official Inspection Form I Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 44 Avalon Circle ' Property Address Wakeby Development Co. Owner Owner's Name/ information is required for every osterville 1/ MA 02655 3/16/20 4 page. City/Town State Zip Code Date of Inspection i+ 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 filling out forms A. Inspector Information Ala /'fy0�f on the computer,use only the tab Richard T. Johnson key to move your Name of Inspector cursor-do not D&J Environmental Services use the return Company Name key. 10 Mt. Pleasant Street VAQ Company Address Plymouth MA 02360 City/Town State Zip Code 508-735-8740 S113545 Telephone Number License Number B. Certification I certify that: I am a DEP.approved system inspector in full compliance with Section 15.340 of Title 5 (310 CMR 15.000); 1 have personally inspected the sewage disposal system at the property address listed above; the information reported below is true, accurate and complete as of the time of my inspection; and the inspection was performed based on my training and experience in the proper function and maintenance of on-site sewage disposal systems. After conducting this inspection I have determined that the system: 1. ® Passes 2. ❑ Conditionally Passes 3. ❑ Needs Further Evaluation by the Local Approving Authority 4. ❑ Fails 3/16/20 In s 8Mgna re 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 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 form should be sent to the system owner and copies sent to the buyer, if applicable, and the approving authority. Please note: 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. l5insp.doc•rev.7/2 61201 8 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 1 of 18 Commonwealth of Massachusetts �x Title 5 Official Inspection Form Subsurface Sewage Disposal System Form Not for Voluntary Assessments 44 Avalon Circle L- Property Address Wakeby Development Co. Owner Owner's Name information is required for every Osterville MA 02655 3/16/20 page. Cityrrown State Zip Code Date of Inspection C. Inspection Summary Inspection Summary: Complete 1, 2, 3, or 5 and all of 4 and 6. 1) 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: 2) 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): 15insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 2 of 18 Commonwealth of Massachusetts �r Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 44 Avalon Circle Property Address Wakeby Development Co. Owner Owner's Name information is Osterville MA 02655 3/16/20 required for every page. Citylrown State Zip Code Date of Inspection C. Inspection Summary (cont.) 2) System Conditionally Passes (cont.): ❑ Pump Chamber pumps/alarms not operational. System will pass with Board of Health approval if pumps/alarms are repaired. ❑ Observation of sewage backup or break out or high static water level in the distribution box due to broken or obstructed pipe(s) or due to a broken, settled or uneven distribution box. System will pass inspection if(with approval of Board of Health): Elbroken pipe(s) are replaced ❑ Y ❑ N ❑ ND (Explain below): ❑ obstruction is removed ❑ Y ❑ N ❑ ND (Explain below): ❑ distribution box is leveled or replaced ❑ Y ❑ N ❑ ND (Explain below): ❑ The system required pumping more than 4 times a year due to broken or obstructed pipe(s). The system will pass inspection if,(with approval of the Board of Health): ❑ broken pipe(s) are replaced ❑ Y ❑ N ❑ ND (Explain below): ❑ obstruction is removed ❑ Y ❑ N ❑ ND (Explain below): 3) Further Evaluation is Required by the Board of Health: ❑ Conditions exist which require further evaluation by the Board of Health in order to determine if the system is failing to protect public health, safety or the environment. a. System will pass unless Board of Health determines in accordance with 310 CMR 15.303(1)(b)that the system is not functioning in a manner which will protect public health, safety and the environment: t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 3 of 18 1 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 44 Avalon Circle Property Address Wakeby Development Co. Owner Owner's Name information is required for every Osterville MA 02655 3/16/20 page. City/Town State Zip Code Date of Inspection C. Inspection Summary (cont.) ❑ 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 b. System will fail unless the Board of Health (and Public Water Supplier, if any) determines that the system is functioning in a manner that protects the public health, safety and environment: ❑ The system has a septic tank and soil absorption system (SAS) and the SAS is within 100 feet of a surface water supply or tributary to a surface water supply. ❑ The system has a septic tank and SAS and the SAS is within a Zone 1 of a public water supply. . ❑ The system has a septic tank and SAS and the SAS is within 50 feet of a private water supply well. ❑ The system has a septic tank and SAS and the SAS is less than 100 feet but 50 feet or more from a private water supply well". Method used to determine distance: **This system passes if the well water analysis, performed at a DEP certified laboratory, for fecal coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered. A copy of the analysis must be attached to this form. c. Other: 4) 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 t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 4 of 18 c Commonwealth of Massachusetts Title 5 Official Inspection Form I Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 44 Avalon Circle Property Address Wakeby Development Co. Owner Owner's Name information is required for every Osterville MA 02655 3/16/20 page. Cityrrown State Zip Code Date of Inspection C. Inspection Summary (cont.) 4) System Failure Criteria Applicable to All Systems: (cont.) Yes No ❑ ® 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 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 water supply well. ❑ ® Any portion of a cesspool or privy is within 50 feet of a private water supply well. ❑ ® Any portion of a cesspool or privy is less than 100 feet but greater than 50 feet from a private water supply well with no acceptable water quality analysis. [This system passes if the well water analysis, performed at a DEP certified laboratory,for fecal coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered.A copy of the analysis and chain of custody must be attached to this form.] ❑ ® The system is a cesspool serving a facility with-a design flow of 2000 gpd- 10,000 gpd. ❑ ® The system fails. I have determined that one or more of the above failure criteria exist as described in 310 CMR 15.303, therefore the system fails. The system owner should contact the Board of Health to determine what will be necessary to correct the failure. 5) Large Systems: To be considered a large system the system must serve a facility with a design flow of 10,000 gpd to 15,000 gpd. For large systems, you must indicate either"yes" or"no"to each of the following, in addition to the questions in Section CA. Yes No f ❑ ❑ the system is within 400 feet of a surface drinking water supply ❑ ❑ the system is within 200 feet of a tributary to a surface drinking water supply ❑ ❑ the system is located in a nitrogen sensitive area (Interim Wellhead Protection Area—IWPA) or a mapped Zone II of a public water supply well t5insp.doc•rev.7/26/2618 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 5 of 18 c ,n Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 'erc 44 Avalon Circle Property Address Wakeby Development Co. Owner Owner's Name information is required for every Osteryille MA 02655 3/16/20 page. City/Town State Zip Code Date of Inspection C. Inspection Summary (cont.) If you have answered "yes"to any question in Section C.5 the system is considered a significant threat, or answered "yes"to any question in Section CA above the large system has failed. The owner or operator of any large system considered a significant threat under Section C.5 or failed under Section CA shall upgrade the system in accordance with 310 CMR 15.304. The system owner should contact the appropriate regional office of the Department. 6. You must indicate"yes" or"no"for each of the following for all inspections: Yes No ® ❑ Pumping information was provided by the owner, occupant, or Board of Health ❑ ® Were any of the system components pumped out in the previous two weeks? ® ® Has the system received normal flows in the previous two week period? ❑ ® Have large volumes of water been introduced to the system recently or as part of this inspection? ® ❑ Were as built plans of the system obtained and examined? (If they were not available note as N/A) ® ❑ Was the facility or dwelling inspected for signs of sewage back up? ® ❑ Was the site inspected for signs of break out? ® ❑ Were all system components, excluding the SAS, located on site? ® ❑ Were the septic tank manholes uncovered, opened, and the interior of the tank inspected for the condition of the baffles or tees, material of construction, dimensions, depth of liquid, depth of sludge and depth of scum? ® ❑ Was the facility owner(and occupants if different from owner) provided with information on the proper maintenance of subsurface sewage disposal systems? The size and location of the Soil Absorption System (SAS) on the site has been determined based on: ® ❑ Existing information. For example, a plan at the Board of Health. ® ❑ Determined in the field (if any of the failure criteria related to Part C is at issue approximation of distance is unacceptable) [310 CMR 15.302(5)] t5ins .doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 6 of 18 P P 9 P Y 9 Commonwealth of Massachusetts Title 5 Official Inspection_ Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 44 Avalon Circle Property Address Wakeby Development Co. Owner Owner's Name information is Osterville MA 02655 3/16/20 required for every page. Cityrrown State Zip Code Date of Inspection D. System Information 1. Residential Flow Conditions: Number of bedrooms (design): 3 Number of bedrooms (actual): 3 DESIGN flow based on 310 CMR 15.203 (for example: 110 gpd x#of bedrooms): 330GPD Description: Number of current residents: 1 Does residence have a garbage grinder? ❑ Yes ® No Does residence have a water treatment unit? ❑ Yes ® No If yes, discharges to: Is laundry on a separate sewage system? (Include laundry system inspection ❑ Yes ® No information in this report.) Laundry system inspected? ❑ Yes ® No Seasonaluse? ❑ Yes ® No Water meter readings, if available (last 2 years usage (gpd)): Detail: Not available Sump pump? ❑ Yes ® No Last date of occupancy: presently Date t5insp.doc-rev.7/2 612 0 1 8 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 7 of 18 Commonwealth of Massachusetts �x ,p Title 5 Official Inspection Form r Subsurface Sewage Disposal System Form -Not for Voluntary Assessments x 44 Avalon Circle `J Property Address a Wakeby Development Co. Owner Owner's Name information is Osterville MA ' 02655 3/16/20 required for every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) . 2. Commercial/Industrial Flow Conditions: Type of Establishment: Design flow(based on 310 CMR 15.203): gallons per day(gpd) Basis of design flow(seats/persons/sq.ft., etc.): Grease trap present? ❑ Yes ❑ No Water treatment unit present? ❑ Yes ❑ No If yes, discharges to: Industrial waste holding tank present? ❑ Yes ❑ No Non-sanitary waste discharged to the Title 5 system? ❑ Yes ❑ No Water meter readings, if available: Last date of occupancy/use: Date Other(describe below): 3. Pumping Records: Source of information: owner Was system pumped as part of the inspection? ❑ Yesr® No If yes, volume pumped: gallons How was quantity pumped determined? Reason for pumping: t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 8 of 18 Commonwealth of Massachusetts Title 5 Official Inspection Form r a y g p Subsurface Sewage Disposal System Form - Not for Voluntary Assessments � � - 44 Avalon Circle v Property Address Wakeby Development Co. Owner Owner's Name information is required for every Osterville MA 02655 3/16/20 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 4. 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): Approximate age of all components, date installed (if known) and source of information: System upgraded 1/17/01 Were sewage odors detected when arriving at the site? ❑ Yes ® No 5. Building Sewer(locate on site plan): Depth below grade: <1 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.): joints structurally sound, no signs of leakage. t5insp.doc•rev.7/2 612 0 1 8 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 9 of 18 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 44 Avalon Circle Property Address Wakeby Development Co. Owner Owner's Name information is Osterville MA 02655 3/16/20 required for every page. City/Town State Zip Code Date of Inspection D. System Information '(cont.). 6. Septic Tank(locate on site plan): <1 Depth below grade: feet Material of construction: ® concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑ other(explain) 4' If tank is metal, list age: years Is age confirmed by a Certificate of Compliance? (attach a copy of certificate) ❑ Yes ❑ No Dimensions: 1000 Gal. 3„ Sludge depth: Distance from top of sludge to bottom of outlet tee or baffle 34" Scum thickness Distance from top of scum to top of outlet tee or baffle 5 Distance from bottom of scum to bottom of outlet tee or baffle 13" How were dimensions determined? Field Measurement/Mfg. Specs. Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence'of leakage, etc.): Concrete baffles in place,liquid level below invert, no evidence of leakage. Recommend system be pumped to extend useful life of system components...This inspection does not guarantee future functionality of the system. t5insp.doc-rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 10 of 18 c ,G Commonwealth of Massachusetts �^ ,p Title 5 Official Inspection Form �nl Subsurface Sewage Disposal System Form - Not for Voluntary Assessments. 44 Avalon Circle Property Address Wakeby Development Co. Owner Owner's Name information is Osterville MA 02655 3/16/20 required for every page. City(rown State Zip Code Date of Inspection D. System Information (cont.) 7. Grease Trap (locate on site plan): Depth below grade: feet Material of construction: ❑ concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑ other(explain): Iv 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 Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): 8. 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: gallons Design Flow: gallons per day t5insp.doc-rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 11 of 18 c� Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 44 Avalon Circle Property Address Wakeby Development Co. Owner Owner's Name. information is Osterville MA 02655 3/16/20 required for every page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) 8. Tight or Holding Tank(cont.) Alarm present: ❑ Yes ❑ No Alarm level: Alarm in working order: ❑ Yes ❑ No ti I Date of last pumping: Date �V Comments (condition of alarm and float switches, etc.): *Attach copy of current pumping contract(required). Is copy attached? ❑ Yes ❑ No 9. Distribution Box(if present must be opened) (locate on site plan): 0„ 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.): box level, equal distribution of liquid to outlets, no evidence of solids carryover, no leakage observed. 15insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 12 of 18 c� Commonwealth of Massachusetts �r ,p Title 5 Official Inspection Fora Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 44 Avalon Circle Property Address Wakeby Development Co. Owner Owner's Name information is Osterville MA 02655 3/16/20 required for every page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) 10. 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. 11. Soil Absorption System (SAS) (locate on site plan, excavation not required): If SAS not located, explain why: Type: ❑ leaching pits number: ® leaching chambers number: 2 x 500 gal. ❑ leaching galleries number: ❑ leaching trenches number, length: ❑ leaching fields number, dimensions: ❑ overflow cesspool number: ❑ innovative/alternative system Type/name of technology: l5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 13 of 18 f Commonwealth of Massachusetts I Title 5 Official Inspection Form r Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 9 P Y rY � 44 Avalon Circle u— Property Address Wakeby Development Co. Owner Owner's Name information is Osterville MA 02655 3/16/20 required for every page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) 11. Soil Absorption System (SAS) (cont.) Comments (note condition of soil, signs of hydraulic failure, level of ponding, damp soil, condition of vegetation, etc.): no evidence of hydraulic failure, no no damp soil, normal vegetation. 12. Cesspools (cesspool must be pumped as part of inspection) (locate on site plan): Number and configuration Depth—top of liquid to inlet invert y�J Depth of solids layer 111 " Depth of scum layer Dimensions of cesspool Materials of construction Indication of groundwater inflow ❑ Yes ❑ No Comments(note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 14 of 18 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments c^ / 44 Avalon Circle Property Address Wakeby Development Co. Owner Owner's Name information is required for every Osterville MA 02655 3/16/20 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 13. Privy(locate on site plan): Materials of construction: Dimensions Depth of solids �l Comments (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): t5insp.doc•rev.7/2 612 0 1 8 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 15 of 18 c Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 44 Avalon Circle Property Address Wakeby Development Co Owner Owner's Name information is Osteryille MA 02655 3/16/20 required for every page. City[Town State Zip Code Date of Inspection D. System Information (cont.) 14. 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 03G 4 d ' f 9 i t5insp.doc-rev.712612018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 16 of 18 c Commonwealth of Massachusetts Title 5 Official Inspection Form J I Subsurface Sewage Disposal System Form - Not for Voluntary Assessments M � 44 Avalon Circle Property Address Wakeby Development Co. Owner Owner's Name information is Osterville MA 02655 3/16/20 required for every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 15. Site Exam: ® Check Slope ® Surface water ❑ Check cellar ❑ Shallow wells Estimated depth to high ground water: 5+ feet to bottom of leaching facility feet Please indicate all methods used to determine the high ground water elevation: ® Obtained from system design plans on record If checked, date of design plan reviewed: 2001 Date ® Observed site (abutting property/observation hole within 150 feet of SAS) ❑ Checked with local Board of Health -explain: ❑ Checked with local excavators, installers-(attach documentation) ❑ Accessed USGS database -explain: You must describe how you established the high ground water elevation: Obtained from site observation, visual elevation, As Built card on file at BOH Before filing this Inspection Report, please see Report Completeness Checklist on next page. t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 17 of 18 c Commonwealth of Massachusetts Title 5 Official Inspection Form I Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 44 Avalon Circle Property Address Wakeby Development Co. Owner Owner's Name information is Osterville MA 02655 3/16/20 required for every page. CitylTown State Zip Code Date of Inspection E. Report Completeness Checklist Complete all applicable sections of this form inclusive of: ® A. inspector Information: Complete all fields in this section. ® B. Certification: Signed & Dated and 1, 2, 3, or 4 checked ® C. Inspection Summary: 1, 2, 3, or 5 completed as appropriate 4 (Failure Criteria) and 6 (Checklist) completed ® D. System Information: For 8: Tight/Holding Tank— Pumping contract attached For 14: Sketch of Sewage Disposal System drawn on pg. 16 or attached For 15: Explanation of estimated depth to high groundwater included � III t5insp.doc-rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 18 of 18. Doc=988s536 12-14-2004 12:50 BARNSTABLE LAND COURT REGISTRY DEED RESTRICTION WHEREAS, Tricia Leslie, of 44 Avalon Circle, Osterville,MA 02655, is the owner of 44 Avalon Circle, located at Osterville, MA, and being shown on Land Court Plan Number 34608- B; WHEREAS,Tricia Leslie, as the owner of said lot has agreed with the Town of Barnstable Board of Health to a restriction as to the,number of bedrooms which can be included in any home built on said lot as a pre-condition to obtaining a-disposal works construction permit in compliance with 310 CMR 15.000 State Environmental Code, Title V, Minimum Requirements for the Subsurface Disposal of Sanitary Sewage; WHEREAS,the Town of Barnstable Board of Health, as a pre-condition to granting a disposal works construction permit for a septic system in compliance with 310 CMR 15.200, State Environmental Code, Title V, Minimum Requirements for the Subsurface Disposal of Sanitary Sewage, and authorizing the issuance of a building permit for the construction of a single family home on this property, is requiring that the agreement for the restriction on the number of bedrooms in any house constructed on the lot be put on record with the Barnstable County Registry of Deeds by recording this document; NOW, THEREFORE, Tricia Leslie does hereby place the following restriction on the above- referenced land in accordance with this agreement with the Town of Barnstable Board of Health, which restriction shall run with the land and be binding upon all successors in title: 1. 44 Avalon Circle, Osterville, MA 02655 may have constructed upon the lot a house containing no more than three (3) bedrooms. Tricia Leslie agrees that this shall be permanent deed restriction affecting 44 Avalon Circle, Osterville,MA 02655, and being shown on Land Court Plan 34608-B. : d'1v1 Aof ZZ For title of Tricia Leslie see Land Court Certificate of Title Number 166832. EXECUTED as a sealed instrument this da y of C • 2004. w� Tricia-reslie COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, SS. On this day of December,2004, before me,the undersigned notary public,,personally appeared Tricia Leslie,.prov ough satisfactory evidence of identification,which was Driver's Li�V rson whose name is signed on the preceding or attached document, and ac she ign it,,41untaAy for stated purpose. _ DEEDS. A T COPY,ATTEST My commission expires: 0� .�OFMAS ,��'•q PUg1.�r',r�' JOHN F.MEADE,REGISTER i i Barnstable Assessing Search Results Page 1 of 2 :r c 41, .. p h A�''� r:a� r €Bs 1. 71 Home: Departments:Assessors Division: Property Assessment Search Results 4 AVA 1 Owner: LESLIE,TRICIA Property Sketch Legend Map/Parcel/Parcel Extension Vi 145 /053/ t � Mailing Address ........... - _ LESLIE,TRICIA 44 AVALON CIR OSTERVILLE, MA.02655 ulu �f E 2005 Assessed Values: Appraised Value Assessed Value Building Value: $182,700 $ 182,700 Extra Features: $8,800 $8,800 Outbuildings: $700 $700 Land Value: $ 138,300 $ 138,300 Interactive Property Map: ap requires Plug in: Totals:$330,500 $330,500 1 have visited the maps before Show Me The Map « April 2001 photos available Sales History: Owner: Sale Date Book/Page: Sale Price: LESLIE,TRICIA 10/7/2002 C166832 $349,900 LESLIE, EDWARD 11/6/2001 C163333 $295,000 JOHNSON,VAN H & NANCY P 5/15/1994 C133928 $ 144,500 LANE,ALAN D&GAIL M 3/15/1992 C126034 $ 1 LANE,ALAN D 8/15/1985 $94,000 GAVIN, ROBERT F 9/15/1983 C93593 $ 15,300 NORTARTOMASO 7/15/1982 $ 105,800 HOME FED SAV& LOAN 1/15/1982 $5,000 2005 REAL ESTATE Tax Information: Tax Fates: (per$1,000 of valuation) Land Bank Tax $59.99 Town Fire District Rates Other F $6.05 Barnstable-Residential $2.12 Land B. Barnstable-Commercial $2.80 C.O.M.M. FD Tax(Residential) $333.81 C.O.M.M.-All Classes $1.01 Cotuit FD-All Classes $1.28 http://www.town.barnstable.ma.us/tob02/Depts/AdministrativeServices/Finance/Assessing... 1/19/2005 Barnstable Assessing Search Results Page 2 of 2 Town Tax(Residential) $ 1,999.53 Hyannis-Residential $1.52 Hyannis-Commercial $2.39 W Barnstable-Residential $1.44 W Barnstable-Commercial $2.10 Total: $2,393.33 Due to rounding differences these values may vary Land and Building Information Land Building Lot Size(Acres) 0.39 Year Built 1984 Appraised Value $ 138,300 Living Area 2259 Assessed Value $ 138,300 Replacement Cost$202,946 Depreciation 10 Building Value 182,700 Construction Details Style Cape Cod Interior Floors CarpetHardwood Model Residential Interior Walls Drywall Grade Average Heat Fuel Oil Stories 1 Story F A Heat Type Hot Water Exterior Walls Wood Shingle AC Type None l Roof Structure Gable/Hip Bedrooms..-"5 Bedrooms-- Roof Cover Asph/F GIs/Cmp Bathrooms 2 Bathrooms Total Rooms 10 Rooms Extra Building Features Code Description Units/SQ ft Appraised Value Assessed Value FPL2 Fireplace 2 $5,400 $5,400 DOR Dormer 10 $ 1,400 $ 1,400 BRR Bsmt Rec Room 450 $2,000 $2,000 SHED Shed 96 $700 $700 Property Sketch Legend BAS First Floor, Living Area FST Utility Area (Finished Interior) UAT Attic Area(Unfinished) BMT Basement Area(Unfinished) FTS Third Story Living Area(Finished) UHS Half Story(Unfinished) CAN Canopy FUS Second Story Living Area(Finished) UST Utility Area(Unfinished) FAT Attic Area(Finished) GAR Garage UTQ Three Quarters Story(Unfinished) FCP Carport GRN Greenhouse UUA Unfinished Utility Attic FEP Enclosed Porch PTO Patio = UUS Full Upper 2nd Story(Unfinished) FHS Half Story(Finished) SFB Semi Finished Living Area WDK Wood Deck FOP Open or Screened in Porch TQS Three Quarters Story(Finished) http://www.town.bamstable.ma.us/tob02/Depts/AdministrativeServices/Finance/Assessing... 1/19/2005 TOWN OF BARNSTABLE LOCATION 6 l � G©�i GIY� SEWAGE # VILLAGE �� �'�✓1 f/ ASSESSOR'S MAP & LOT s�sj INSTALLER'S NAME&PHONE NO. ADr1V ����- ��` ✓��' SEPTIC TANK CAPACITY lOariGN'L LEACHING FACILITY: (type) OoCh!l wc4 C k.-i (size) NO. OF BEDROOMS BUILDER OR OWNER PERMITDATE: COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Sf 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 ��.� -1;4- vv 3a' I .33' a66' ' 60 Fee No. v — THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS 01mlication for Diopoml *pztem Construction permit Application for a Permit to Construct( )Repair( Y�Upgrade( )Abandon( ) El Complete System [�'6ividual Components Location Address or Lot No. ,p ��tale Owner's Narpe,Address and T,1.No. Assessor'sMap/Parcel l Installer's Name,Address,and Tel.No. Designer's Name,Addremand Tel.No. Type of Building: Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder(100 Other Type of Building ;�7_5g e&4G No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow ZZ 1!�1 gallons per day. Calculated daily flow , 63?9 gallons. Plan Date Number of sheets Revision Date Title Size of Septic Tank 1,-;9ea 5p el of S.A.S. �Z°✓cif'�J`^if' Description of Soil 2 9 Nature of Repairs or Alterations(Answer when applicable) Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certifi- cate of Compliance has been issued b is Bo of ealth. Signed Date Application Approved Date Z / j Application Disapproved for the following reasons Permit No. 0 117 /�,t Date Issued Now "i/ ` `+' Fee 15 't t THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes °s PUBLIC-HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS 0(ppYication for Migooal *pztem Construction Permit Application for a Permit to Construct( )Repair( ✓ Upgrade( )Abandon( ) El Complete System L311tdividual Components Location Addressor Lot No. I, ,f /1 /®� �; p Owner's Narrl��ddress�T�.y Sa v j/ o f9 Assessor's Map/Pazcel 03 r /V/ Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. 7 71- 939� Type of Building: Dwelling "No.of Bedroomsn Lot Size sq.ft. Garbage Grinder( � Other Type of Building /SP„S% eHlcNo.of Persons Showers( ) Cafeteria( ) -Other Fixtures t Design Flow //� gallons per day. Calculated daily flow 3�� gallons. Plan Date Number of sheets r 7 Revision Date "title Size of Septic Tank /©DU'944'11� ,X�31`/may Type of S.A.S. A? 7— Description of Soil 2 Nature of Repairs or Alterations(Answer when applicable) Date last inspected: r 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 Health. Signed z-j Date Application Approved _ Date Application Disapproved for the following reasons K Permit No. 2 4>6 Date Issued THE COMMONWEALTH OF MASSACHUSETTS A/ BARNSTABLE, MASSACHUSETTS (Certificate of (Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal System Constructed( )Repaired( Upgraded( ) Abandoned( )byQr at �y �!/Q�OdI G�v'�' �✓�` '��/// has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit I f313 l4,,.` Iated / %-/Z-r Installer Designer f A n )G The issuance of this permit s 1 not be jonstrued as a guarantee that the system w�j11 functilonas dgsigned. Date I 0 Inspector --------------------------------------- No. Ar�a�--� J� Fee THE-COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLE., MASSACHUSETTS li5po5al OpOtem Con!truction Permit Permission is hereby granted to C nstruc ( )Repair( Upgrade( )Abandon( ) System located at � � C�/'G C' OS/,ifrUi Ile and as described in the above Application for Disposal System Construction Permit. The applicant recognizes his/her duty to comply with Title 5 and the following local provisions or special conditions. Provided:Construction must be completed within three years of the date of th'ahermit. Date: 'a 042 Approved �> UMod99 ' NOTICE: 'Phis Forma Is To Betsed For the Repair Of Fade Se tic Systems.Only. P d CERTIFICATION OF SKETCH AND APPLICATION FOR A TyLSPOSAL WORKS CONS TRUC nON PERMIT OUT DESIGNED PLANS lT, �ar �'f/, herefly certify that the appGcazion for' disposal worksf p construction permit signed by me dated J / concerning the Property located.at meets,a11 of the . following citeria:. id The failed system is canne=cd to a residential dwea ' Q tin,only. There are no commercial or business uses associated with the dwelling, "le soil is classified as CLASS I and the pe..oiation:ate is less than or ezuai :o itinutes per nci There are no wetlands within 100 cct of Ire zroposed septic system • :her.,are no private wP; t_ .ills within._50 fee,oI the proposed sz-lnc s�sem. 6 fie:a is no inc:a se in flow and/or.c oo ,_in se proposed There are no varanczs lzque aed or needed. The bottom of the proposed leaching facility viU not be located 1 - _ less than Eve feet above the aladmum adjusted groundwater table elevation. (Adjust the groundwater.table using the:imptor ethod when appiicableJ, if-the S.k S. will be located with 250 feet of any vegetated wetlands. the bottom of the proposed leaching facility will not be located less than iourteen(14)feet above the nta.'am=adjured groundwater table elevation, Please complete the following A) Top of Ground Surface EIevation(using GIS information) 3) G:W-E Vation /7r +the MAX 11i gh G.W. Adjustment.. e DlFrFER.ENCE BETWEEN A and B / t SIGNED : DATE: roposed Flan of system on back].p TOWN OF BARNSTABLE LOCATION j SEWAGE # VIZLAGE $ I"lOjljLo ASSESSOR'S MAP & LOT S-�S- j INSTALLER'S NAME&PHONE NO. SEPTIC TANK CAPACITY /Oor6�L LEACHING FACILITY: (type) (size) • >carx� NO. OF BEDROOMS 3 BUILDER OR OWNER PERMITDATE: COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted.Groundwater Table to the Bottom of Leaching Facility ff Feet ------------------- Private Water Supply Well and Leaching Facility (If any wells exist on site or within 200 feet of leaching facility) q Edge of Wetland and Leaching Facility(If any wetlands exist Feet i within 300 feet of leaching facility) L9 Furushed 6y 6c_Z Feet `i Y I er \9 r WOE O �£ i ._._ /,h D� •J Li Li 0' left �/log z o ei� enc e. , No..?....1..9(°�...... Fim.......5 2 --------- THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH lq� 7-&u vL...................OF.... .........-.... . ................................. Applir�a#iou f for Dhipos al Works Toustra tion Prrutit Application is hereby made for a Permit to Construct �or Repair an Individual al Sewage Disposal 1� Sy', at-: ... _ .��1.. .... -- .....- _-- ............................... Loca' Addr s or Two. 0 . __ ��r. .......U�-- - -------•---•-------•-- .......... . •... .......................... er Addre i- a . •----- --- -- ---- ----•-• ............................................ Installer Address 7 e of Building Size Lod... ------Sq. feet Dwelling—No. of Bedrooms................................ .Expansion Attic ( ) Garbage Grinder Other—T e of Building No. of persons............................ Showers — Cafeteria a' Other fixtures ---------------------------•-•-- • -••••.:_. . ... W Design Flow...... gallons er'" er'sah per day. Total daily flow............................................gallons. g g P P P Y Y WSeptic Tank—Liquid capacity.10:1.81..gallons Length............... Width................ Diameter................ Depth................ x Disposal Trench—No. .................... Width- ....... Total Length....____ `......'Total leaching area....................sq. ft. Seepage Pit No-------!_-.--_.•__-.:Diameter......... ........ Depth below inlet_ ............. Total leaching areas,......I......sq. ft. Z Other Distribution box ( ) Dosing tank '-, Percolation Test Results 1, Performed bY.......................................................................... Date......... � Test Pit No. 1...... •----•minutes per inch Depth of Test Pit.................... Depth to ground water.... f� Test Pit No.-2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ Description of Soil...6--•-- •---•- ------ .......................... W UNature of Repairs or Alterations—Answer when applicable............................................................................................... Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TIT Z 5 of the State Sanitary Cod undersigned rther agrees not to place the system in operation until a Certificate of Compliance has been ued e board iealth. Si ,ed.. . ................•-•'-••-----...••••••----••••••.. (� Date Application Approved BY /• Date Application Disapproved for the following re ns--------------------------------•----•----------------------......---------=-•--•------------------........-•---- --------------•--•--------•--•-•-•-•------••------...----•--•-----------------......................................................................................................................... Date PermitNo......................................................... Issued....................................................... Date No..�...y l ......i o.... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF H A TH .....................OF... :... . . ................................. Appliratilan for Elispo al Works Tonstrurtion ramit Application is hereby made for a Permit to Construct r J or Repair ( ) an Individual Sewage Disposal .Sy a 5. _..... ............. .. .. :...::...... ...................... --- ..................... Loca Add s or 1`10. ner Addre j7 '. ...... .._ . . ........ 4.. ............................................ Installer � Address L/ pe of Building Size Lot....l �j..�7 t Sq, t �, Dwelling—No`. of Bedrooms-----::...:.............s:_................Expansion Attic ( ) Garbage Grinder ) Other—T e of Building ....................:....... No. of ersons..........._._......._...... Showers PA —Type g � p�� ( ) — Cafeteria ( ) Otherfixtures ---------------------_-=------•..................................................................................................................... Design Flow......11: �f.._":......................gallons`per person per day. Total daily flow........................................_...gallons. W ' WSeptic,Tank Liquid capacity...._.......gallons_ Length..............�. Width................ Diameter................ Depth................ x Disposal Trench—No. �................... Width......i............. Total Length.........../......: Total leaching area..._................sq. ft. Seepage Pit,No---------------------- Diameter........4?._..... Depth below inlet....::_......... Totaf leaching area__. .c.. ....sq. ft. Z Other Distribution box (' ) Dosing tank ( ) w Percolation Test Results Performed bY......................................--••-•••---.------- -••-•............ Date........................................ a Test Pit No. I................minutes per inch Depth of Test Pit._.................. Depth to ground water._ _ -._._.___._.---_. fT4 Test Pit No. 2..-----•---•-•--minutes per inch Depth of Test Pit--------------•..... Depth to ground water..`.__ ----- --.--. . r. Description of Soil �`J....... C.... �!--------------- �� ............:......_.....----- x L Z... W ---••••---••---------•-------•--••••-••-••----•-----•--•••-•-••••-•••...............--•-••-••---••----••••-•-•-•----------•-•-•---•••••-•-•----•-•--•-••........................•-••-•-•--......--•••- U Nature of Repairs or Alterations—Answer when applicable.............................................................................................. ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- Agreement: L The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of iITL; 5 of the State Sanitary Co sje e undersigned urther agrees not to place the system in operation until a Certificate of Compliance has beext ue e board health. = - ate Application Approved B PP PP Y ................. / Date Application Disapproved for the following r ons:......... --••-•••-•-•-•-•-••-•••-•---••••-•-•-•--•-••••---•--•---•-••••--•:•--.........-•••-•-••......•--.---- ....................................•--------------------------------•-----------------........,..-----......................-----------------------------•••-- :h>:4c+;:,' Date Permit No.......................................................- Issued..........---•••• 4 t --••. ;..----------------------- Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ...........OF... .. .. rr........... (9rdifiratr of faamplianrr S II TO C FY t the ,vidt} SewaD> pal System constructed ( or Repaired ( ) 7Imtaller 01 .»y at ; L = -a , "1 �` 644elt�.............•............ has been installed in accordance with the provisions of TI 1 5 of The State Sanitary Code as described in the application for Disposal Works Construction Permit No.__. ._ , C/ 9 S- 7.�-._-__••_•-- da.ted - THE ISSUANCE OF THIS CERTIFICATE SHALL E T BE CONSTRUE® AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE............................... ..................... ' Inspector...----- .�f--........................................................... .- THE COMMONWEALTH OF MASSACHUSETTS BOARD HEALTH' p .....................OF.. / y���./ ............... .a*:r No......................... FEE.,. : ........... . Map 1 nrko pan ion ramit Permission is �feby granted_.._. .._..... ._. -ell,..... .y ,;. , to Constr t o epair ( n Incldual SRra > pg�-f yyj at No......�...�.---_. - ---•-•- .' '�-, .....- - _. t'--�nr -' '• . ;""�Street 5 as shown on the application for Disposal Works Construction Per ,if' ated................ G` Board of fiealth;� w� DATE.....................�''�� r;;;� FORM 1255 HOBBS & WARREN, INC., PUBLISHERS Vw- QO C•-SArZUAGC— &.Wt j:--&IUD( -1-0u a iib -4 � s �— lsr.P•V.% -9 5 F. 1K►Mt►l. 'r.E�l'tc T tk = 330� (SC • A 6. Pn td. 4 USA- t Oo =co A L.. cra cj C1�.bcY,4l..L �'E.A = f�i0 �.1". i 1� Q•'� �o. z 4 ip 'JF- �C '4.5 < 3 7S .lG.P.D; Y ^1lz�, , 3cJ7`r"OK/l .o � ST-. S I ioU s.�. ► .o = o �.F v. TdrA L• -a EsiGN Mli-ll �co GV-flGDLQTtC?I.l l2aTE : ( IQ � mI.Q 02 �SS. �,'�� IA DF s !$ t3feKTt+E } 4n :11,�� . : S►bf �y� TtrST �fto�7� - G,= �i ,41 Tor Fwo`stco.o ol •4''Pii'i!= tu "P.P y. �,o � �ooc7 tt.+Y. •;�. 4"�P� DKT IW. •� ,r 2, WV Sic INV.. J Tn�tK (�A4. . �{G ` 4 LS404 H F>jr �1^r j STos.JE `IG 0 C�r~"r't fin PL(:)'-r P�.111,I � t t LbGA'►"Icat,1 ��.�1 SGAL't C M Iz T I►_-{ T I-d A-F T 14� '�'0l7 f4'C* j o N 5 Now F't--Q i�.1 T2 F tz� l �-f�:i:f�z5t,1 Gc:;�l�'t_�l5 W i'Y'1-i Tt-t�.: �1p� L1►�E: . Awn `aETU ALC14 V L�JlVC-AAc,WTly OF T►-tt:. zz 1'o w Q at= 3 LA Q.b (XVer Vz bl t2s=GfSI�.IZ1=D 1.J�.IJG SU�.Vi�.YV�.S C7t_/A►-.f i t..JOT ZA`� -lp vt.� AN OSTE vtl�t ['e .c� 1AS , 1WSt"CJA'.n�=lei"- �it}F';�/try' ;� 'Y'l�t :� t:,1F4.:�i=_C"�, '�il•1Ge:,/l.D ./�i�l=�l_IC_'t5.1-JT'.• � ' �!""� U..-'i1 LLM1 r10 A, '... lj� ' Q q /101IN / PARCEL 22 - ro � 0 PARCEL 24 � � Ld rz ui �lPaA / P EL ARC 21 _ / O - PARCEL 23 - yer NOTE: - NEW CONSTPUCTION - �- A� s PARCEL 22 \\% 54owN shaD ZONE RC GROUNDWATERPROTECTION \ AVALCN TQ DISTRICT GF \ CIRCLE LOT ARE!- 17,075.SF +_ I d LOT COVERAGE: ALL STRUCTURES 3605 S= IMPERVIOUS SURFACES - 1.450 TOTAL COVERAGE y GRAD; !EVAT(0 }S OF THE SITE•WILL- REMAIN UNCH4,{GED AS A RESULT OF THE NEW CONSTRUCTION. GALL RECHARGE WILL BE DISPOSED ON-SITE.' AS PERMITTED BY GP REGULATIONS, — — TOTAL IMPERVIOUS COVERAGE WILL y, BE LESS THAN 50% OF LOT AREA: do V • 1 or a e ME aR.nW.SvnOC LR.nwl SPnGe � QB stORnbe ilffMlYCO DhSPA'CITf � /OJ f ' SiOKnOe I �L vF-XZTTNG BASEMENT PLAN VOOLTh GeGK - ' - ui di V -n--------I- m c: II r—i 1. it L-J ii 0 pa pa IcfrQS:n I 11 I . 76JROQ9 1 i 11 11 i . 11 'i oan i i I Q C 71 D"R` WOD�"pew EXISTING FIRST FLOOR PLAT I a ae O I O 69 U � 1 & X ROOF OVYJt I 9TLRnCe I - �/ I I r----n ., I 0.0EtT I IMSTCR DCDROO,Y 1 1 1 HnLL - I 1 a� '1-1B-0S I I l___-- �j ____________________ -_-____-____ 1 I 1 1 1 Y-O• 1 i - i 1 �� EXISTING SEGCND FLOOR PLAN $ — �. ®olm®. . R 1Jx-I n-,w.ro.a� riei.a-v>,:r�,w I e,.s,., eLsv.ow•,,.•._.w. HLS/.O`d v TO loN m+ED PLO R p'1r1 FL R MATCH H= rL TO MATCH �.xISTiNG p � eN MATCH m EJIISTrrG I r n TmG —TI Cx1.5 GARAGE � aosrs � .rc S oe*�.•, ( ,asrs O ryryry�n777j��. TO MATCH W TO MATCH_ - • E:(I5711•IG � .. ucXu wrorovvn �. -� TO MATCH � Ex:BTTIG b dyJi -- T :.-- '� CRAWL SPACE >a.r NEW BASEMENT N BASEMENT _ - - TA�m r ac.c.,s •s..ne tiE4lBA EW SEMENT ° occas �.. . NI Im r ncTca � a car.ww -. Q.. •. _'. _Y Y — - a9� - o Lsv ,cam.' mn� �^ rb et-s.--��.ri.air TYPICAL FOV'fDATIOi f TYPICAL FOUNDATION' tr TYPCAL F ND.ATION '--=TAIL 2 S DTAfL `; DETf FOUNDATION T 5O DcTA1L w sc �o) Id cc.3e •yr ro Lu H O a�.,o• � �r.v N E F F cy�------- _ _—___—_ -i W a r 7•y Yi•; 4� Q �' CRAWL resiro T V e yc. - �•--�{� 9.r'Porrr rLf23. Z S ---------- — i raR naccvnc � ___ 9_POCRT—-r E _ ' r . /i. , SrLD ORGH �' r , r r r ra a e �- ------- f-------- ,p•-�' T-O' i CH2AL L SPACE , . r I r r r I I '\' ...�.•. r6' rm e.vr.e rn*r ex5TM,WSIPen= r r ^��; ' OnpnOC SLi'•n C1•CV.To r & n ; r t A`r_*—rr o•t d ea+e rro uoere ern.. -�r•-.r ! w z-r nFs iTTrn / Q F n.e vnY. J W A n y7 o r A GARAGF Z Z 2 CAR O 0 rr-a• i= F e / e a DeTA0.. M cverfe { - I r I ' 'r r r r , r r' I r x r r i 4 / 4 rCL:Dn`r<f'Rfr rLJ�F WRT - _ D rr r r i __7 , H_nD 4NnTYT,r0 _ �*�— r ro-:evrs�n.a Sinn -0 ro w.rc rs�n »�r ,o• NOTES: ti U D w 1. ^55Hep 50t_ C^RING G^P^GITT S.4- GONG. D^5ffr-FNT T er z;' r e•x r o ccx,c.r o. srcP ; 3000 rsr SL^CS TO DC KCR-q�OR•.ED WITH . _ ----------------- ---- >or.-ro.' GXG1t0-10 W. W. ('L ITYP.1 OR r�r ra.,c. ^SSU- T TOP OP PY: - FLOOR - _ ------------- __ __ -- _ _-_1_----�--1 ; SUDFL. 70 De CLBV. 0'-O' ID^TUt'1 eLeV! P�eRGL/•.5 N1TCRt'1XTURC. lea rre. j OUND PIy6AN 3 AT;ON 4i-,I GONGRere 6.PReSSURe Teen TeD SILL. PLA7e5 k"' AS NOTED F AT1Ci`4 _ �.> - TTP. FOUtip —— 4 FIGS. TO De"tOM , -1 X 1'-0ON HfGH TO DC GOLTCp TO FOLBNp^TIOri F d' • c UNpCR 10, W^LLS. WALLS WITH V2' X 10 ^I-IGHOR -- a @@ DOLTS ^T i'-O' FROM GORr 5 a' S L --- NOTE. 4.PTGS. 4 THIGK'I"fp SL^fT✓ TO DC gyp ,.-,T rn^X. V-0. O/G - _ oeTAz ReINFOP-GCD WITH 2 GONTIN'U5 +4 f5ARS DATUM ELEVATION (O'-O'1.TO -------- 1 BE ESVATION OF TOP FIRST eXGCPT WHERTG5. C>F- ON SGLIp L. E F 7.^LL ^("'GEES - -PO • 4S . OR —- -- _ GOFIDIN^TION OP e,^NIB CXGCPT IF FLOOR — LCDGC. SUBFL. ALL OTF-+cR s-A• �. LDOR --— DFSIGNATED ELEVATIONS ON 07HCRW'ISC NOrCO. THESE DRA4;1NGS TO BE TAKEN � b. gJST SL^DS UNpet2 G4^WL � �xrra. o-�. iea• n'-s' '^%-z• FROM DATUM. n SP^C•CS 70 DC Z' GONG. on;SOIL. 6 1 0 CRAWL b ^ t.reXGnVnTep �� q 6 R �rau'o ., C RAWL a SPAce - o roase Y=XSrInG ResaencE CRAWL �rtTn WAG- ® Qo ® �,rCxcnvnrcp nE SASEMENT - >J its . • rt onSeriCnT rlooR . I �rcrr ernrrus BASEMENT PLAIT` 0 o W � _ < a / ° = dE '\ ATIgW eB ul W NEW PA2Trn0ns sµoWN SHADED �e w u -- -- -- -- -- a m :. \1%6, 0 '' I P > xaes{eD i nOTCS: RO t •.�.R.�e — w� Z < G I � ' ° I ���em.%r � � nEW � ''�_=�2K��'�� ar cz�srrtz ciracn �'..• a b!o I ooa cc..ec a.yR..oe a I gAMIL•/ROOM 0 Tv�T o W I n5c.[nf ntTCsv I F� a •v.• uw• _ . g W LLJ. t.EW L---- 1 I A 4 i i W V1 I CaR C-ARAGE i ti 9-< S i � exrsrvro �� eX sTno _r- 7 DCPROOH WP1G ROdt � i ercRnce ''F a __� - �� r r; ..r+ie•.ro• e r .n.RCRr R<r a — t gam. a FIRST FLOOR. PLAN g 0:1£VATION A R WINDOW SCHEDULE. Q PLAN DESIGNATION TYPE R.O. WIDTH R.O. HEIGHT ANDERSEN NO. QUANTITY x A DOUBLE HUNG 3'-8' 5'-9' TW 1856-2 1 CEI B DOUBLE HUNG 3'-O 1/4' 5'-9' TW 21056 2 © • (' SLIDING DOOR 5'-0' 6-11' FWG 50611 R 1 b i33 r D SLIDING DOOR 11'-10" 6'-11° FWG 120611-4 1 Q E AWNING 2'-5- T-5 1/2' AR 251 1 2 o a j' DOUBLE HUNG 4'-5' TW 2842-2 �� Q r G. FX. OVER DH 5'-8' T-5- CTN 28-2 OV=R TW 2842-2 1 ® © $® R FX. OVER, DH 5'-8' 6'-5' CTN 30.OVER TW 2842-2 I EGRESS CASEMEN IT 2'-5' 5'-O 1/2' CW 15 2 d FX. OVER. DH 5'-0' 6'-10' CTN 30 O`/ER TW 2446-2 K AWNING 2'-t' T-1' A 21 1 .' L CIRCLE 2'-t' DIAM. CIR 20 1 SPRING-LINE WINDOW 5'-3' 3'-6 1/2' SE 541 1, N GLASS BLOCK FILE). 01M. 4'-O"1/2' PPG 'DEL-PHI" 8' X V X 3 1/8, N:.4 SKY LIGHT 26' 44' SKS 2845 8 0 o p SKYLIGHT 42" 44' SKS 4446 1 z o o F e d 0 cl E-I l; JE1 ' y s 0 � M _ I i g 3 0a L._?� — to-T NEW PAP_-n-nCNS SHOWN SHADED SMOKE DETECTOR • -• S=CONC FLOOR PLAN ,.. • • A- non G I T I CRblro - af.rTRtX.T- j I Y. HMO o � ,gin a�., �x�l� • � - � FRONT ELEVATION A-A e:asr oxen cr m+ W j ca�lwcr�cri •. � = e vL — T Al 4' 3 - tttt I ( - - - - — - - -- � a Y Li IF-31 liFil! B ff] FEF .tea. �� � —..--------•------------- - - ' I I . � cHrsrno I n,ecn ar rcv —.. - ca+s.rw,crw, AR ELEVATI f I RE O �e (° \ o i— Vt i / i a^^ GARAGE SIDE — ELEVATION �I OFFICE SIDE ELEVATIJN C-C —__-- A-4 `• LK a exnm��.� a a / 4 C CCAC ' reiVrlxG�T Ct Lit q r1-� cRs ra x cxr ro . W rGR ncca�Jr�L1•ro q �ORT TrC RW sc�aw rcRCM a�' o . .. ♦ �sT�cTLRc. � � � - 0 - - - C . o • u NOTE: FIRST FLOOR FRAMING PLAN 1. 'TRUSS JOIST' fTIs AND LVLs . O � BY WEYERAEUSER. i < 2. REFER TO 'TRUSS Q F JOIST•.MANUAL FOR INSTALLATION DETAILS. u . Qua ix :fir `ems-�ui•, vd�`=—'-1 ���� V ox�srro uic.v+ ` fir LL O a I' r..N r oic � e Roc. - exisrw - ,sg. O o N R00.1• � J 0 x e LL Z i w 0 —_°�� rc� � �;�s fir---- •, Cxt51.fS exsrr+o - p(•p(rpOM LN.vS RLbYI roTtR - • - .. —'— • C IN F AM G PLAN SECOND FLOOR R a .1. ALL ROOF RAFTERS TO BE 2 X 6, 2 X 10 02 L SS& CALLED FOR Ot'tA5 ROOF PLATY DRAWINGS. m 5� 2. ALL RCOF RAFTERS . G�7 _ TO BE DOl1GLA5 FIR/LAFZCH „y Nu. 2 WITH A MINIMUM f- . Fa - 575 vat (SINGLH) ANO - 0 PA ,A 1005.vas (REPETATIVE;• - A NO E - 1.600.000 L � a Q 1 �I �I o �� v''e• P < fl �� -51 A El OO ae cc c wvm ems. ROOF FRAMING 9L.AN t • � n \ a log � ) \ - • a J...a.ea... STORAGE ATTC I • W � Z OF-PL^T5 -- — m tl , .nsw 1 / G F MASTER BEDROOM K I{ W V• CLOSET rc rv:c ocrrs 0, < s.rrno w,v n.aw asv. •mom•cw .—. _—..—..—_.--.— —_.—. ..—._ ti.. a. � . c.eaea v.•.inn.xe... t u R Gf�tzP�GE • ca,v v. Hock ` anw, op • Z - Z FIT GARAGE < 91 tj TOP O/'\R11hOE SL,^P;) - - - —— TYPICAl- BU1L-DING SECTION i i 1 � ° e Ul "-----TOP OF PLf\TE m m NEW MASTER BEDROOM r < g �g ce r clew-SeGO Fl>fL_. eLEU." s / N . r Rr>• 0 w U O a, NEW FAMILY ROOMca J 1 ffW ELF-v. Ui, It IriMV aKs - 2 _ ov CRAW SPACE BASE MENT - .. e�cxxm.. nrro_ TYPICAL BUILDING SECTION