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Home My WebLink About0048 BAY STREET - Health 12 Bay Street u Osterville A= 117 -034 7M=. 4 . o a , e s p 8: ° d n , 0 r > n. > ° b a a n rv' a ° 4 w a p , G c ° ° F e a ° �l Z�l�� _.. �t� ��,. �,,,,;.Z. `c�-q�►� L✓il�,a�t Gin 3 Ily 41 I --, t � I No. '7 Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes apphtation for miop08al ,*pBtrm construction Vermi.t Application for a Permit to Construct(V�Repair( ) Upgrade( ) Abandon(41—_ omplete System ❑Individual Components Location Address or Lot No. 8QI/ �Q-v Owner's Name,Address,and Tel.No. ` I Assessor's Map/Parcel (Y i("]—® 7 el(dJ `OM �92r �0'9 b,, � WG1/43 I 4 Installer's Name,Address,and Tel.No. Designer's Name,Address,and Tel.No. Jv�l/Uq/1 �i✓�'inFefi�l "t�1IGl4, aws - , 0 ff Type of Building: U Q Q Dwelling No.of Bedrooms 7 Lot Size O V sq.ft. Garbage Grinder( ) Other Type of Building R--5+ 80W 11•�/3 f No.of Persons Showers( ) Cafeteria( ) Other Fixtures U Design Flow(min.required) '�/YO C PD gpd Design flow provided 7 �i'4 gpd Plan Date 3// S 20 t 7 Number of sheets Revision Date Title 41- .Xi► -eh-�S /, Size of Septic Tank Pro f 7 0� 6q( Ff-Z 0 Type of S.A.S. Description of Soil T f7-( o"�e r� F (I (� G�(o f� g�� CC44" F'10 , e� (o> nu< CB`t D �'I La -�" �� ,S t,= �- l2 0`� �4 c 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" vironmental e and not to .la cf e system in operation until a Certificate of Compliance has been issued by this Board of Hea� Signed A Date Application Approved by Date �- Application Disapproved by Date for the following reasons Permit No. �7 Date Issued of Fee No. Entered in computer: THE COMMONWEA TH*O ASSACHUSETTS Yes PUBLIC HEALTH DIVISION - TOWN OF)BARNSTABLE, MASSACHUSETTS 2ppfiration for N406al 6pstem ConBtrUrtion Vermit A� } Application for a Permit to Construct Re air U ade an don Com lete System Individual Components PP lv) P ( ) Ply (\) i (��P Y ❑ P Location Address or Lot No. /2 8-,C S:+ '✓ ,� � Owner's Name,Address,and Tel.No. / / Assessor's Map/Parcel a «—t� t�l� (j /G1�7 U� L' WiL��S! // Installer's Name,Address,and Tel.No. Designer's Name,Address,and Tel.No. Type of Building: Dwelling No.of Bedrooms 7 Lot Size �CJ �j sq.ft. Garbage Grinder Other Type of Building 2e-S } r. No.of Persons Showers( ) Cafeteria( ) { Other Fixtures Design Flow(min.required) L��/G �7� gpd Design flow provided �r ,�D gpd Plan Date / ,72a 17 Number of sheets Revision Date Title �_ �orn @�r�x-c1Se. 1 'f S f Size of Septic Tank /era ! i 00 �a/ I-/-Z 0 Type of S.A.S. (44, Description of Soil -T I Cy F -F (-C/Fgti P,t') lZ o' C• 2 r 'he -San Nature of Repairs or Alterations(Answer when applicable) Nk 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 Environment e and not.to a the system in operation until a Certificate of Compliance has been issued by this Board e Signe ' ,,Date Application Approved by ' f Date- Application Disapproved by Date for the following reasons Permit No. V-0 Date Issued -----------------------------------------------------------------------------------------------------•---------------------------------- THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE,MASSACHUSETTS Cutifirate of Compliatire THIS IS TO CERTIFY,that the On-site Sewage Disposal system Constructed(P<_ Repaired( )t Upgraded( ) Abandoned( )by �SJL�itCeG�t 6tG at /2-13ur// S4 r C-c'4 has been constructed-in accordance' with the pro isions of Title 5 and the for Disposal System Construction Permit No. // dated Installer _ Designer S c. /��'v o h r h�;6 r- f•h cj #bedrooms 47 Approved design flow /V gpd The issuance of this permit hall not be construed as a guarantee that the system ill fimc asid. 2 Date / ?j J/1� Inspector --------------------------------------------------------------------------------------------------------------------------------------- No. D 0 (:7- ()?] Fee 150. THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION- BARNSTABLE,MASSACHUSETTS Misposal *pstrm ConstrUrtion permit Permission is hereby granted to Construct( "} Repair Upgrade( ) Abandon System located at /2 Q R i/ &4r^-$e4 r\/( and as described in the above Application for Disposal System Construction Permit. The applicant recognized his/her duty to comply with Title 5 and the following local provisions or special conditions. Provided:Construction must be completed within three years of the date of this permit. Date �� Approved by ��'�-�` vim, ,f, , �``�, � --- _ Town-of-Barnstable— _.. Regulatory Services R,khar..d V. Scal ,Interim Director ;G eeMsrAB :+ ^� 6�q. Public Health Division s A�0 c Thomas MV Kean,.D rector 200:Main Street,Hyannis,MA 02601 Office: 50878624644 Fax:'.508-'790-6304 Installer. &Designer Certification Forth Date a Sewage.Permit# 'Zot.7-a7-7 Assessor's MaplParrel Sullivanngneeng&. onsulting; Designer: EiriC Inc.� Installer: 7 Parker Road'1 PC Box 659 f �� Address G B Address: Q` Osterville,MA 02655 On Z2- 2rFC� r � 2t� ��f'� was issued a.permit='to install a (date) (installer) septic system at 12Q ^� based on.a design drawn by- (address Sullivan Engineering&Consulting, Inc., dated 3 AZ� ZO'17 (designer} 1 certify that the septic system referenced above was`installed substantially according to `the design, which may.include minor approved changes such as;lateral relocation iof the distribution box and/or-septic tank. Strip:out (if required) was inspected and the soils were found satisfactory. l certify, that the septic system referenced above was installed with;major changes-(i.e. greater than 10' lateral relocation of the SAS or any vertical relocation of any,component of the septic system) but:in accordance with State & Local Regulations. Plan revision,or certified as-built by.designer to follow: Strip out(if required) was inspected and the soils were found satisfactory: .1 certify that;the system referenced above was constructed i Hance With the terms of the 11A•approval letters(if applicable) RtE y (Installer''s Signature} � ��' ��CIISTFR� (Designer's-Signature) (Affix Desig amp Here) PLEASE RETURN TO BARNSTABLE PUBLIC HEALTH DIVISIONi. CERTIFICATE OF COMPLIANCE WILL NOT BE ISSUED UNTIL BOTH THIS FORM AND AS BUILT CARD ARE RECEIVED.BY THE, BARNSTABLE PUBLIC HEALTH DIVISION.' THANK YOU. QAS'epticTesigner Certification Fonn Rev 8-14-1.Idoe Town of Barnstable P# i Department of Regulatory Services : .ARMABM ; Public Health Division Date L ZZ I NIAIMUL p 16;¢p�P 200 Main Street,Hyannis MA 02604 �Ep MAt Date Scheduled 3 Time Fee Pd. -v Soil Suitability Assessment for Sew ge asposal Performed By:S u 1 i\V A-o l �l yl ee rMC ? CAA1 t'� itnessed By: (,ry: P LOCATION& GENERAL INFORMA ION a Location Address j 2 b�v S� Owner's Name (��y�U ? 1 Address Uc7� /LI�-CV1 Sf, (lh+ @Z bs�erv�ll� y Wt.11e0eV , K4A 6)21q Assessor's Map/Parcel: 'JI Engineers Name q 1 j11 0 �1 5��11u�s �n5ia,cerc J NEW CONSTRUCTION REPAIR Telephone# `, j Land Use R c5 i lJ4,1�gt Slopes(%) 0"15 Surface Stones Distances from: Open Water Body 1�G ft Possible Wet Area 00 k' ft Drinking Water Well •IP� ft Drainage Way .5'i 0 f ft Property Line ft Other ^-� ft SKETCH:(Street name,dimensions of lot,exact locations of test holes&perc tests,locate wetlands in proximity to holes) Ar 117037 FD Parent material(geologic) ®G f '1 Depth to Bedrock Depth to Groundwater: Standing Water in Hole: 6--� Weeping from Pit Face >✓ CSr-L� 'rl Estimated Seasonal High Groundwater DETERMINATION FOR SEASONAL HIGH WATER TABLE Method Used: Depth Observed standing in obs.hole: in. Depth to soil mottles: in. Depth to weeping from side of obs.hole: in. Groundwater Adjustment ft. Index Well# Reading Date: Index Well level Adj.factor Adj.Groundwater Level PERCOLATION TEST Date ". ? Time �f Observation Hole# r 01 ej Depth of Pere �e"Oy'3 S Start Pre-soak Time @ Time(9"-6') End Pre-soak RateMin./Inch �Z/►7%'� r� Site Suitability Assessment: Site Passed Site Failed: Additional Testing Needed(Y/1) Original: Public Health Division Observation Hole Data To Be Completed on Back----------- ***If percolation test is to be conducted within 100' of wetland;you must first notify the Barnstable Conservation Division at least one(1)week prior to beginning. Q:\SEPTIC\PERCFORM.DOC / DEEP OBSERVATION HOLE LOG', Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consist ° ve er C2 Al-F'ne SgA-1 f0 2 C DEEP OBSERVATION HOLE LOG ''Hole# 2 Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consistenc ° Grave � to C o ?Ae( DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Mansell) Mottling (Structure,Stones,Boulders. Consistency.%Graven r j DEEP OBSERVATION HOLE LOG Hole Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA), (Munsell) Mottling (Structure,Stones,Boulders. . Consistency.%Gravel) i i Flood Insurance Rate Man: Above 500 year flood boundary No_ Yes Within 500 year boundary No Yes Within 100 year flood boundary No��Yes Depth of Naturally Occurring Pervious Material Does at least four feet of naturally occurring pervious material exist in all areas observed throughout the .. area.proposed for the soil absorption system? e1 If not,what is the depth,of naturally occurring p rvioe us material? Certification L 2I certify that on � ( (date)I have passed the soil evaluator examination approved by the Department of Environmental Protection and that the above analysis was performed by me,consistent with the required trami mi expertise and experience described in.310 CMR 15.017. Signature Date Q:\SEPTIC\PERCFORM.DOC ` TOWN OF BARNSTABLE LOCATION ©AY.,��: � SEWAGE# -2i01-1 "VILLAGE O�PU"L C- ASSESSOR'S MAP&'PARCEL . L INSTALLER'S NAME&PHONE NO. C3(�t S 0A ; SEPT x-IC TANK CAPACITY 090 /!0 0 QAC• LEACHING FACILITY: (type) CRP^'?4*- /S (size) 7 0® cpk x NO. OF BEDROOMS OWNER PERMIT DATE: ."�1 COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility(If any wells exist on site or within 200 feet of leaching facility) Feet Edge of Wetland;arid Leaching Facility(If any wetlands a ist within 300 feet bf lekhinswf 1 Feet FURNISHED IAVT '' �. 14 Ll 15 53 03 a o� `� G7 0[Mcic::] r TOWN OF,BARNSTABLE -LOCATION to GAV S SEWAGE# VILLAGE ASSESSOR'S MAP&PARCEL t 1'7 0'>-7 INSTALLERS NAME&PHONE NO. SEPTIC TANK CAPACITY USSPOO LEACHING FACILITY: (type) PST (size)NO.OF BEDROOMS y OWNER ClArk PERMIT DATE: COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility(If any wells exist on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) Feet FURNISHED BY_ /1rAzcTrOn FOrrJ 1 I 3a yl TOWN OF BARNSTABLE LOCATION 12 Sh" 5+: SEWAGE# 1 Z- Ga4-- "VILLAGE 04' epyitfe_ ASSESSOR'S MAP&PARCEL INSTALLER'S NAME&PHONE NO. �50"— Ve" SEPTIC TANK CAPACITY IS�e LEACHING FACILITY..(type) (size) Lnoo�_ NO. OF BEDROOMS OWNER PERMIT DATE: - d iZ COMPLIANCE DATE: 3� Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet FrivaW 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 wetlands4exist within 300 feet of leaching facility) Feet FURNISHED BY . s r i A,3z 3q Jul 09 2016 08:59 Jim The Inspector Man 5085349919 page 18 03-4- Commonwealth of Massachusetts F Title 5 Official Inspection Fora Subsurface Sewage Disposal System Form -Not for Voluntary Assessments E 12 Bay Street z� Property Address George Grant Owner Owner's Name information is required for every Osterville ✓ MA 02655 7-8-16 page. City(rown State Zip Code Date of Inspection Inspection results must be submitted on this form. Inspection forms may not be altered in any way. Please see completeness checklist at the end of the form. Important:When filling A. General Information on or p the computer, a\``��t tHtOF AIA ' use only the tab Inspector:1. Ins t� ' ��: key to move your p =q�:'• '• •.SG cursor-do not ,lamesD,Sears _ JAMES R1 use the return key. Name of Inspector Y Capewide Enterprises LLC �':o o;�4 Company Name . 153 Commercial StreetV'��n,pt N wPE,•�``�� Company Address Mashpee MA 02649 Cityrrown State Zip Code 508-477-8877 S1623 Telephone Number License Number IN B. Certification I certify that I have personally inspected the sewage disposal system at this address and that the information reported below is true, accurate and complete as of the time of the inspection. The inspection was performed based on my training and experience in the proper function and maintenance of on site sewage disposal systems. I am a DEP approved system inspector pursuant to Section 15.340 of N Title 5 (310 CMR 15.000). The system: 2 ® Passes ❑ Conditionally Passes ❑ Fails 5 ❑ Needs Further Evaluation by the Local Approving Authority d 7-8-16 spedor's Signature Date The system inspector shall submit a copy of this inspection report to the Approving Authority(Board of Health or DEP) within 30 days of completing this inspection. If the system has a design flow of 10,000 gpd or greater, the inspector and the system owner shall submit the report to the appropriate regional office of the DEP.The original should be sent to the system owner and copies sent to the } buyer, if applicable, and the approving authority. *""This report only describes conditions at the time of inspection and under the conditions of use at that tune. Thho irrxiput;uun does not awress flow the systmem will perform In the ruture under =7 the same or different conditions of use. - R 15ins"doc-,ev.6116 _ Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 1 of 17 t i Jul 09 2016 08:59 Jim The Inspector Man 5085349919 page 19 Commonwealth of Massachusetts Title 5 Official Inspection Fora Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 12 Bay Street Property Address George Grant Owner Owner's Name information Is Osterville MA 02655_ 7-8-16 required for every page. City/Town State Zip Code Date of'lnspection B. Certification (cont.) Inspection Summary: Check A,B,C,D or E I always complete all of Section D A) System Passes: ® I have not found any information which indicates that any of the failure criteria described in 310 CMR 15.303 or in 310 CMR 15,304 exist. Any failure criteria not evaluated are indicated below. E Comments: The system is a 1500 Gal. Polyethylene tank. Note: Covers are screwed in place and pit B) System Conditionally Passes: ❑ One or more system components as described in the"Conditional Pass"section need to be replaced or repaired. The system, upon completion of the replacement or repair, as approved by the Board of Health, will pass. Check the box for"yes", "no" or"not determined" (Y, N, ND) for the following statements. If"not determined," please explain. The septic tank is,metal and over 20 years old' or the septic tank (whether metal or not) is structurally unsound, exhibits substantial infiltration or exfiltration or tank failure is imminent. System will pass inspection if the existing tank is replaced with a complying septic tank as approved by the Board of - Health. "A metal septic tank will pass inspection if it is structurally sound, not leaking and if a Certificate of Compliance indicating that the tank is less than 20 years old is available. ❑ Y ❑ N ❑ ND(Explain below): t5ins.doc-rev.6/16 Title 5 Official Inspection Form:subsurface sewage Disposal system page 2 of 17 Jul 09 2016 09:00 Jim The Inspector Man 5085349919 page 20 - Commonwealth of Massachusetts Title 5 Official Inspection Form F p f. Subsurface Sewage Disposal System Form - Not for Voluntary Assessments E M 12 Bay Street _ Property Address George Grant Owner Owner's Name information is required for every Osterville MA 02655 7-846 page. City/rows State Zip Code Date of Inspection B. Certification (cont.) ❑ Pump Chamber pumps/alarms not operational. System will pass with Board of Health approval if pumps/alarms are repaired. B) System Conditionally Passes(cont.): ❑ Observation of sewage backup or break out or high static water level in the distribution box due to broken or obstructed pipe(s) or due to a broken, settled or uneven distribution box. System will pass inspection if(with approval of Board of Health): ❑ broken pipe(s) are replaced ❑ Y ❑ N ❑ ND (Explain below): ❑ obstruction is removed ❑ Y ❑ N ❑ ND (Explain below): ❑ distribution box is leveled or replaced ❑ Y ❑ N ❑ ND (Explain below): ❑ The system required pumping more than 4 times a year due to broken or obstructed pipe(s). The system will pass inspection if(with approval of the Board of Health): ❑ broken pipe(s) are replaced ❑ Y ❑ N ❑ ND (Explain below): ❑ obstruction is removed ❑ Y ❑ N ❑ ND (Explain below): C) Further Evaluation is Required by the Board of Health: ❑ Conditions exist which require further evaluation by the Board of Health in order to determine if _ the system is failing to protect public health, safety or the environment. 1. System will pass unless Board of Health determines in accordance with 310 CMR 15.303(1)(b)that the system is not functioning in a manner which will protect public health, safety and the environment: ❑, Cesspool or privy is within 50 feet of a surface watPr ❑ Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh E l5ins.doc•rev.6/18 - - Tille 5 official Inspection Form:Subsurface Sewage Disposal System•Page 3 or 17 F Jul 09 2016 09:01 Jim The Inspector Man 5085349919 page 21 Fi t Commonwealth of Massachusetts r Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 12 Bay Street Property Address George Grant _ Owner Owner's Name I information is required for every Osterville MA 02655 7-8-16 page. CityfTown State Zip Code Date of Inspection t B. Certification (cont.) 2. System will fail unless the Board of Health (and Public Water Supplier,if any) determines that the system is functioning in a manner that protects the public health, safety and environment: ❑ The system has a septic tank and soil absorption system (SAS)and the SAS is within 100 feet of a surface water supply or tributary to a surface water supply. ❑ The system has a septic tank and SAS and the SAS is within a Zone 1 of a public water supply. ❑ The system has a septic tank and SAS and the SAS is within 50 feet of a private water supply well. ❑ The system has a septic tank and SAS and the SAS is less than 100-feet but 50 feet or = more from a private water supply well". - Method used to determine distance: *�Thic cyctom pacooa if tho wall wator anolyoio, parforrnc d of a DCf ccitificd lahora(vi y, fvi rc�.al coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered. A copy of the analysis must be attached to this form. 3. Other: D) System Failure Criteria Applicable to All Systems: You must indicate"Yes" or"No" to each of the following for all inspections: Yes No ` Backup of sewage into facility or system component due to overloaded or clogged SAS or cesspool El ® 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 4111110MM is less than 6" below invert or available volume is less than '/2 day flow )0j'T t5ins-doc•rev.6/16 Title 5 tidal Inspection Form Subsurface Sewage Disposal Syslant•Page 4 of 17 Jul 09 2016 09:01 Jim The Inspector Man 5085349919 page 22 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 12 Bay Street Property Address - George Grant - Owner Owner's Name information is required for every Osterville MA 02655 7-8-16 page. City/Town State Zip Code Date of Inspection B. Certification (cont.) Yes No ❑ ® Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s). Number of times pumped.- ❑ ® Any portion of the SAS, cesspool or privy is below high ground water.elevation. ® Any portion of cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply. ❑ ® Any portion of a cesspool or privy is within a Zone 1 of a public well. ❑ ® Any portion of a cesspool or privy is within 50 feet of a private water supply well. ❑ ® Any portion of a cesspool or privy is less than 100 feet but greater than 50 feet from a private water supply well with no acceptable water quality analysis. [This system passes if the well water analysis, performed at a DEP certified laboratory,for fecal coliform bacteria indicates absent and the presence _ of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered.A copy of the analysis and chain of custody must be attached to this form.] ❑ ® The system is a cesspool serving a facility with a design flow of 2000gpd- 10,000gpd. - ❑ ® The system fails. I have determined that one or more of the above failure criteria exist as described in 310 CMR 15.303, therefore the system fails. The system owner should contact the Board of Health to determine what will be necessary to correct the failure. E) Large Systems: To be considered a large system the system must serve'a facility with a design flow of 10,000 gpd to 16,000 gpd. For large systems, you must indicate either"yes" or"no" to each of the following, in addition to the questions in Section D. Yes No ❑ ❑ the system is within 400 feet of a surface dunking water.supply ❑ ❑ the system is within 200 feet of a tributary to a surface drinking water supply ❑ Ej the system is located in a nitrogen sensitive area (Interim Wellhead Protection Area—IWPA)or a mapped Zone II of a public water supply well If you have answered "yes" to any question in Section E the system is considered a significant threat, or answered"yes" in Section D above the large system has failed. The owner or operator of any large system considered a significant threat under Section E or failed under Section D shall upgrade the system in accordance with 310 CMR 15,304. The system owner should contact the appropriate regional-office of the Department. 15ins.doc-rev.6116. Title 5 Official Inspection Form:Subsurface Sewage oisposal System-page 5 of 17 Jul .09 2016 09:02 Jim The Inspector Man 5085349919 page 23 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments a. 12 Bay Street Property Address George Grant Owner Owner's Name ° information is Osterville MA 02655 7-8-16 required for every - page. City/Town State Zip Code Date of Inspection C. Checklist Check if the following have been done. You must indicate"yes"or"no"as to each of the following: Yes No E. C ❑ ® 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 cut? ® ❑ 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 L information on the proper maintenance of subsurface sewage disposal systems? E The size and location of the Soil Absorption System (SAS) on the site has been determined based on: t ® ❑ Existing information. For example, a plan at the Board of Health. El ® Determined in the field (if any of the failure criteria related to Part C is at issue approximation of distance is unacceptable) (310 CMR 15.302(5)] D. System Information Residential Flow Conditions: Number of bedrooms (design): 3 Number of bedrooms(actual): 3 DESIGN flow based on 310 CMR 16.203(for example: 110 gpd x#of bedrooms): 330 r . t5ins.doc-rev.6/16 Title 5 Official Inspection Form:SubsLwface Sewage Disposal System•Page 6 of 17 r c Jul 09 2016 09:03 Jim The Inspector Man 5085349919 page 24 Commonwealth of Massachusetts i Title 5 Official Inspection Form = nsp Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 12 Bay Street Property Address George Grant Owner Owner's Name information is required for every osterville MA 02655 7-8-16 page. CitylTown State Zip Code Date of Inspection 3 D. System Information Description: The system is a 1500 Gal. Polyethylene tank and pit. r; } F; Number of current residents: 4 Does residence have a garbage grinder? ❑ Yes ® No Is laundry on a separate sewage system? (Include laundry system inspection ❑ Yes ® No information in this report.) F. Laundry system inspected? ❑ Yes ® No Seasonal use? ❑ Yes ® No Water meter readings, if available last 2 ears usage 2014-41,000Gals g ( y g (gpd)) 2015-22,000Gal's Detail: c l Sump pump? ❑ Yes ® No Last date of occupancy.- Present Date Comrneraiatllndustrial riuw Conditions: Type of Establishment: Design flow(based on 310 CMR 15.203): Gallons per day(gpd) Basis of design flow(seats/persons/sci t., etc.): Grease trap present? ❑ Yes ❑ No z Industrial waste holding tank present? ❑ Yes ❑ No Non-sanitary waste discharged to the Title 5 system? ❑ Yes ❑ No Water meter readings, if available: 15ir1s.doc rev.6116 - Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 7 of 17 Jul 09 2016 09:03 Jim The Inspector Man 5085349919 page 25 Commonwealth of Massachusetts Title 5 Official Inspection Fora E Subsurface Sewage Disposal System Form -Not for Voluntary Assessments M '< 12 Bay Street Property Address George Grant Owner Owner's Name information is Osterville MA 02655 7-8-16 required for every _ - page. City/Town State Zip Code Date of Inspection L D. System Information (cont.) Last date of occupancy/use: Date Other(describe below): E General Information , Pumping Records: _ Source of information: NA Was system pumped as part of the inspection? ❑ Yes ® No If yes, volume pumped: gallons r How was quantity pumped determined? Reason for pumping: — Type of System: ® Septic tank, distribution box, soil absorption system ❑ Single cesspool ❑ Overflow cesspool c ❑ 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 l/A system by system operator under contract ❑• Tight tank. Attach a copy of the DEP approval. . ❑ Other(describe): 15ins.doc rev.6116 Title 5 official Inspection Form:Subsurlace Sewage Disposal System-Page 8 of 17 Jul 09 2016 09:04 Jim The Inspector Man 5085349919 page 26 Commonwealth of Massachusetts j Title 5 Official Inspection Fora Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 12 Bay Street Property Address George Grant Owner Owner's Name information is Ostervllle MA 02655 7-8-16 required for every _ page. City/Town State Zip Code Date of Inspection D. System Information (cant.) - Approximate age of all components, date installed (if known)and source of information: 1984 Permit 84 - 1035-Pit/2012 Permit 2012 - 027 Tank Were sewage odors detected when arriving at the site? ❑ Yes ® No Building Sewer(locate on site plan): 32" Depth below grade: feet Material of construction: _ ❑ cast iron ®40 PVC ❑ other(explain): Distance from private water supply well or suction line: feet Comments (on condition of joints, venting, evidence of leakage, etc.): - Pipeing is 4" PVC SCH 40. F Septic Tank (locate on site plan): Depth below grade: 21 feet Material of construction: ❑ concrete ❑ metal ❑ fiberglass ® polyethylene ' ❑ other(explain) If tank is metal, list age: years Is age confirmed by a Certificate of Compliance? (attach a copy of certificate) ' ❑ Yes ❑ No 1500 Gal. Polly Dimensions: Sludge depth: t5ins.doc•rev.6116 Title 5 Official Inspection Form:sul sur ace Sewage Disposal System•Page 9 of 17 Jul 09 2016 09:04 Jim The Inspector Man 5085349919 page 27. O Commonwealth of Massachusetts Title 5 Official Inspection Form a Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 12 Bay Street Property Address George Grant Owner Owners Name information is Osteryille MA 02655 7-8-16 required for every . page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Septic Tank (cont.) Distance from top of sludge to bottom of outlet tee or baffle 29 0" Scum thickness Distance from top of scum to top of outlet tee or baffle 81, 1811 . Distance from bottom of scum to bottom of outlet tee or baffle - How were dimensions determined? Asbuilt-Tape Sludge Judge = Comments(on pumping recommendations, inlet and outlet tee or,baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): Tank at working level. In and outlet tee. No sign of over loading. Note: Cover's on tank are screwed in place. Grease Trap (locate on site plan): Depth below grade: rpp► Material of construction: ❑ concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑other(explain): Dimensions: Scum thickness - Distance from top of scum to top of outlet tee or baffle t Distance from bottom of scum to bottom of outlet tee or baffle Date of last pumping: Date 15ins.doo•rev.6/16 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 10 of 17 Jul 09 2016 09:05 Jim The Inspector Man 5085349919 page 28 • E Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments , j 12 Bay Street = Property Address George Grant Owner Owner's Name information is Osterville MA 02655 7-8-16 required for every f page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, - liquid levels as related to outlet invert, evidence of leakage, etc.): F 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 Alarm present: ❑ Yes ❑ No Alarm level: Alarm in working order: ❑ Yes ❑ No Date of last pumping: Date Comments (condition of alarm and float switches, etc.): g *Attach copy of current pumping contract(required). Is copy attached? ❑ Yes ❑ No t5ins.doc-rev.6116 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 11 of 17 Jul 09 2016 09:06 Jim The Inspector Man 5085349919 page 29 Commonwealth of Massachusetts Title 5 Official Inspection Form A e Subsurface Sewage Disposal System Form-Not for Voluntary Assessments �C Ovy C6-eot Property Address George Grant Owner Owner's Name information is Osterville MA 02655 7-8-16 required for every = page. City/Town State Zip Code Date of Inspection = D. System Information (cont.) Distribution Box (if present must be opened) (locate on site plan): Depth of liquid level above outlet invert No Box Comments (note if box is level and distribution to outlets equal, any evidence of solids carryover, any - evidence of leakage into or out of box, etc.): ; Pump Chamber(locate on site plan): Pumps in working order: ❑ Yes ❑ No` a 2 Alarms in working order: ❑ Yes ❑ No* Comments (note condition of pump chamber, condition of pumps and appurtenances, etc.): =3 V " If pumps or alarms are not in working order, system is a conditional pass. Soil Absorption System (SAS) (locate on site plan; excavation not required): If SAS not located, explain why; y 15ins.doc-rev.6116 _ Title 5 Orficial Inspection Form:Subsurface Sewage Dlsposal System•Page 12 of 17 Jul 09 2016 09:06 Jim The Inspector Man 5085349919 page 30 Commonwealth of Massachusetts . Title 5 Official Inspection Form a Subsurface Sewage Disposal System Form-Not for Voluntary Assessments _ 12 Bay Street r Property Address E. George Grant Owner Owner's Name information is Osterville MA 02655 7-8-16 required for every __— page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Type. ® leaching pits number: 1 ❑ leaching chambers number: ❑ leaching galleries number' ❑ leaching trenches number, length: ❑ leaching fields number, dimensions: ❑ overflow cesspool number: Elinnovative/alternative system E Type/name of technology: Comments(note condition of soil, signs of hydraulic failure, level of ponding, damp soil, condition of vegetation, etc.).- Leaching is a 1000 Gal. H-20 pit. Pit at 33" below grade wlcover at 15". 18"water in pit.Wall's are clean: No sign or over ioaotng or sona carry over, No nign stain line. Cesspools (cesspool must be pumped as part of inspection) (locate on site plan): Number and configuration' Depth—top of liquid to inlet invert Depth of solids layer Depth of scum layer Dimensions of cesspool Materials of construction . H. Indication of groundwater inflow ❑ Yes ❑ No ISins.doc•rev.6116 ` _ Title 5 Official Insmchon Form Subsurface Sewage Disposal System•Page 13 of 17 =- Jul 09 2016 09:07 Jim The Inspector Man 5085349919 page 31 Commonwealth of Massachusetts , Title 5 Official inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 12 Bay Street Property Address _ George Grant Owner Owner's Name information is required for every Osterville MA 02655 7-8-16 page. Cityrfown State Zip Code Date of Inspection D. System Information (cont.) Comments(note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, e — ot1.). - -. Privy(locate on site plan): Materials of construction: Dimensions Depth of solids Comments (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): e 15ins.doc rev.6/16 - Title 5 official Inspection Form:Subsurface Sewage Disposal System•Page 14 of 17 - Jul 09 2016 09:07 Jim The Inspector Man 5085349919 page 32 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sowagc Disposal system Form -Not for Voluntary Assessnirsfits 12 Bay Street Property Address George Grant Owner Owner's Name information is required for every Osterville MA 02655 7-8-16 'page. Cityfrown State Zip Code Date of Inspection n D. System Information (cont.) Sketch Of Sewage Disposal System: Provide a view of the sewage disposal system, including ties to at least two permanent reference landmarks or benchmarks. Locate all wells within 100 feet. Locate where public water supply enters the building. Check one of the boxes below: ® hand-sketch in the area below = ❑ drawing attached separately 0 � o 3 l5ins.tloc rev.6/16 Title 5 Official Inspactlon Forms Subsurface Sewage Disposal System•Page 15 of 17 Jul 09 2016 09:08 Jim The Inspector Man 5085349919 page 33 C Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments y 12 Bay Street 4A - Property Address George Grant Owner Owner's Name information is Osterville MA 02655 7-8-16 required for every page. CityFrown State Zip Code Date of Inspection D. System Information (cont_) Site Exam: ❑ Check Slope ` ❑ Surface water ❑ Check cellar E ❑ Shallow wells D N 12'+ _ Estimated depth to high ground water: 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: pate ® Observed site (abutting property/observation hole within 150 feet of SAS) ❑ Checked with local Board of Health-explain: ❑ Checked with local excavators, installers-(attach documentation) ❑ Accessed USGS database- explain: You must describe how you established the high ground water elevation: Ck. area and abutting property. Before filing this Inspection Report, please see Report Completeness Checklist on next page. 15ins.doc•rev.6/16 Title 5 Official Inspection Form:subsurtace Sewage Disposal System•Page 16 of 17 Jul 09 2016 09:08 Jim The Inspector Man 5085349919 page 34 Commonwealth of Massachusetts Title 5 official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments " 12 Bay Street Property Address George Grant J Owner Owners Name information is required for every OSterville MA 02655 7-8-16 page. Cityrrown State Zip Code Date of Inspection E. Report Completeness Checklist ® Inspection Summary: A, B, C, D, or E checked ® Inspection Summary D (System Failure Criteria Applicable to All Systems)completed ® System Information—Estimated depth to high groundwater ® Sketch of Sewage Disposal System either drawn on page 15 or attached in separate file l5ins.doc•rev.6/16 Tille 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 17 of 17 i No.lz�/CT -'t�'� Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS YeS 2ppliLAtion for Mispo8AY 6pstem Construction permit Application for a Permit to Construct( ) Repair(Upgrade Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. IZ &4x S4. B ills MkSS. Owner's Name,Address,and Tel.No. `Cry►►.�-- Assessor's Map/Parcel dugs 1 1 7 —03 7 rL Q 1 s� C-Acvvoit t%14• czr,-%T Installer's Name,Address,and Tel.No. FaV: SlMtj-S Designer's Name,Address,and Tel.No. Pd•�i� 71 Wxtm6s Ini US M1%.a&g6 SroS�76 4 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(min.required) 33y gpd Design flow provided gpd Plan Date Number of sheets Revision Date Title Size of Septic Tank +�j(� Type of S.A.S. Description of Soil Nature of Repairs or Alterations(Answer when applicable) N-181Xce- ee-1S-,g0ak &3iy\N Date last inspected: zoo Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of Compliance has been issuerbthis Board of H gne Date Application Approved by Date / -- Application Disapproved by Date for the following reasons Permit No. oc>/,,,3k ^c a 77 Date Issued .:ram-- • - _ ��,,`` No.�)� Fee /®v THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS Yes 2ppYication for Misposal *pstem Construction permit Application for a Permit to Construct( ) Repair��Upgrade( ) Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. 1Z aA�S}. Q4trvi it MKS-, Owner's Name,Address,and Tel.No. &e0frrle (,,t..�„}- 6z6" lz os�e.v„;lle �W SS' Assessor's Map/Parcel 1'7 —03 7' � 7$1"y6 5-W r Z Installer's Name,Address,and Tel.No. Eft 15TcVE4 S Designer's Name,Address,and Tel.No. P_o.(�O,. 71 Mw>6151015 Ma.o26yv s�S-7769a'sy Type of Building: Dwelling No.of Bedrooms `` Lot Size sq.ft. Garbage Grinder( ) Other Type of Building f�-sae-"t�Z1 No.of Persons Showers( ) Cafeteria( ) i Other Fixtures ` Design Flow(min.required) gpd Design flow provided gpd ` Plan Date Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. Description of Soil Nature of Repairs or Alterations(Answer when applicable) ReONe-r- Co(1-!_yseA Cc�lk (,,Ah Ka I SOU Qbg). T► ,1_6 Can N4 ko ' ►Itx�p_ qwa okeAo.j wiv_ Date last inspected: ?_06 Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of i Compliance has bee issued by this Board of He Date Application Approved by a Date / r� Application Disapproved by Date for the following reasons Permit No. '1Q Date Issued THE COMMONWEALTH OF MASSACHUSETTS C_ t ,7 �\ BARNSTABLE,MASSACHUSETTS 0-r, Certificate of Compliance THIS 1S 0 CERTIFY,that the On-site Sewage Disposal system Constructed( ) Repaired Upgraded( ) Abandoned( )by I IL c_ 5Te u E fij S at 1 Z Bo 4 b4cryA\e_ has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit Ne'�O-O V-'7 dated Installer ERlt STfUV_u 5 Designer #bedrooms "� Approved design flow ,,, gpd , r` � The issuance of this permit shall not bejconstruefd as a guarantee that the system,will function as(d)esigned. Date 1'` �1 I Inspector -------------- No. 9.oj Fee THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION-BARNSTABLE,MASSACHUSETTS Misposal *pstem Construction Vermit Permission is hereby granted to Construct( ) Repair( Upgrade( ) Abandon( ) System located at I Z &14 S�• �S tCry�� and as described in the above Application for Disposal System Construction Permit. The applicant recognized his/her duty to comply with Title 5 and the following local provisions or special conditions. Provided:Construction must be completed within three years of the date of this permit. Date 1 /30 Approved by ' ti COMMONWEALTH OF MASSACHUSETTS EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS DEPARTMENT OF ENVIRONMENTAL PROTECTION TITLE S OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM FORM PART A CERTIFICATION Property Address: 12 Bay Street Osterville,MA 02655 Owner's Name: Estate of Elisabeth Eaton Clark Owner's Address: li r a' Date of Inspection: . July 16, 2007 / i ~' M= Name of Inspector: (Please Print)Jaynes M. Ford r Company Name: James M. Ford Mailing Address: P.O.Box 49 Osterville,MA 02655-0049 d 1. Telephone Number: (508) 862-9400 r\3 CERTIFICATION STATEMENT cn r_ I certify that I.have personally inspected the sewage disposal system at this address and that the info mation reported below is true,accurate and:complete as of the time of the inspection. The inspection was performed-based on my training and experience in the proper function and maintenance of on site sewage.disposal systems. I am a DEP approved system inspector pursuant to Section.15.340 of Title 5(316 CMR 15.000). The system: ✓ Passes C itionally Passes eed Further Evaluation by the Local Approving Authoritya ails Inspector's Signature: Date: July 19, 2007 The system inspector shall sub a copy oft is inspection report to the Approving Authority(Board.of Health or DEP)within 30 days of completing this inspection. If the system is a shared system or has a design flow of 10,000 gpd or greater,the inspector and the system owner shall submit the report to the appropriate regional office of the DEP. The original should be sent to the system owner and copies sent to the buyer, if applicable,and the approving authority. Notes and Continents ****This report only describes conditions at the time of inspection and under the conditions of use at that time. This inspection does not address how the system will perform in the future under the same or different conditions of use. Title 5 Inspection Form 6/15/2000 page l r Page 2 of I 1 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address: 12 Bay Street Osterville. MA Owner: Estate of Elisabeth Eaton Clark Date of Inspection: July 10, 2007 Inspection Summary: Check A,B,C,D or E/ALWAYS complete all of Section D A. System Passes: ✓ I have not found any infonnation which indicates that any of the failure criteria described in 310 CMR 15.303 or in 310 CMR 15.304 exist. Any failure criteria not evaluated are indicated below. Comments: B. System Conditional) Passes: Y Y One or more system components as described in the"Conditional Pass" section need to be replaced or repaired. The system,upon completion of the replacement or repair, as approved by the Board of Health,'will pass. Answer yes,no or not determined(Y,N,ND)in the for the following statements. If"not deternined",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 inuninent. System will pass inspection if the existing tank is replaced with a complying septic tank as approved by the Board of Health. *A metal septic tank will pass inspection if it is structurally sound,not leaking and if a Certificate of Compliance indicating that the tank is less than 20 years old is available. ND explain: Observation of sewage backup or break out or high static water level in the distribution box due to broken or obstructed pipe(s)or due to a broken,settled or uneven distribution box. System will pass inspection if (with approval of Board of Health): broken pipe(s)are replaced obstruction is removed distribution box is leveled or replaced ND explain: The system required pumping more than 4 times a year due to broken or obstructed pipe(s). The system will pass inspection if(with approval of the Board of Health): broken pipe(s)are replaced obstruction is removed ND explain: 2 , I Page 3 of 11 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address: 12 Bay Street Osterville, MA Owner: Estate of Elisabeth Eaton Clark Date of Inspection: July 10, 2007 C. Further Evaluation is Required by the Board of Health: Conditions exist which require further evaluation by the Board of Health in order to determine if the system is failing to protect public health,safety or the environment. I. System will pass unless Board of Health determines in accordance with 310 CNIA 15.303(1)(b)that the system is not functioning in a manner which will protect public health,safety and the environment: Cesspool or privy is within 50 feet of a surface water Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh 2. System will fail unless the Board of Health(and Public Water Supplier,if any)determines that the system is functioning in a manner that protects the public health,safety and environment: The system has a septic tank and soil absorption system(SAS)and the SAS is within 100 feet of a surface water supply or tributary to a surface water supply. The system has a septic tank and SAS and the SAS is within a Zone 1 of a public water supply. The system has a septic tank and SAS and the SAS is within 50 feet of a private water supply well. The system has a septic tank and SAS and the SAS is less than 100 feet but 50 feet or-more from a private water supply well". Method used to determine distance "This system passes if the well water.analysis,perfonned at a DEP certified laboratory, for coliforin bacteria and volatile organic compounds indicates that the well is free from pollution from that facility and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm,provided that no other failure criteria are triggered. A copy of the analysis must be attached to this form. 3. Other: 3 F Page 4 of 11 OFFICIAL.INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address: 12 Bay Street Osterville, MA Owner: Estate of Elisabeth Eaton Clark Date of Inspection: July 10, 2007 D. System Failure Criteria applicable to all systems: You must indicate either"yes"or"no"to each of the following for all inspections: Yes No ✓ Backup of sewage into facility or system component due to overloaded or clogged SAS or cesspool ✓ Discharge or ponding of effluent to the surface of the ground or surface waters.due to an overloaded or clogged SAS or cesspool ✓ Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS'or cesspool ✓ Liquid depth in cesspool is less than 6"below invert or available volume is less.than day flow ✓ Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s). Number of times pumped_. ✓ Any portion of the SAS,cesspool or privy is below high ground water elevation. ✓ Any portion of cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply. ✓ Any portion of a cesspool or privy is within a Zone 1 of a public well: ✓ Any portion of a cesspool or privy is within 50 feet of a private water supplywell. ✓ Any portion of a cesspool or privy is less than 100 feet but greater than 50 feet from a private water supply well with no acceptable water quality analysis. [This system passes if the well.water analysis, performed at a DEP certified laboratory,for coliform bacteria and volatile organic compounds " indicates that the well is free from pollution from that facility and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm,provided that no"other failure criteria are triggered. A copy of the analysis must be attached to this form.] No (Yes/No)The system fails. I have determined that one or more of the above failure criteria exist as described in 310 CMR 15.303,therefore the system fails. The system owner should contact the Board of Health to determine what will be necessary to correct the failure: E. Large System: To be considered a large system the system must serve a facility with a design flow of 10,000 gpd to 15,000 gpd You must indicate either"yes"or"no"to each of the following: (The following criteria apply to large systems in addition to the criteria above) Yes No the system is within 400 feet of a surface drinking water supply the system is within 200 feet of a tributary to a surface drinking water supply _ the system is located in a nitrogen sensitive area(Interim Wellhead Protection Area-IWPA)or a mapped Zone Il of a public water supply well If you have answered"yes"to any question in Section E the system is considered a significant threat,or answered "Yes" in Section D above the large system has failed. The owner or operator of any large system considered a significant threat under Section E or failed under Section D shall upgrade the system in accordance with 310 CMR 15.304. The system owner should contact the appropriate regional office of the Department. 4 Page 5 of 11 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B CHECKLIST Property Address: 12 Bay Street Osterville, MA Owner: — Estate of Elisabeth Eaton Clark Date of Inspection: July 10, 2007 Check if the «followi n have been done: g You must indicate yes or no as to each of the follow mg: Yes No ✓ Pumping information was provided by the owner, occupant,or Board of Health ✓ Were any of the system components pumped out in the previous.two weeks ? ✓ Has the system received normal flows in the previous two week period? ✓ Have large volumes of water been introduced to the system recently or as part of this inspection? ✓ — Were as built plans of the system obtained and examined?(If they were not available note as N/A) ✓ Was the facility or dwelling inspected for signs of sewage back up ✓ Was the.site inspected for signs of break out? ✓ — Were all system components,excluding the SAS, located on site? _ Were the septic tank manholes uncovered,opened,and the interior of the tank inspected for the condition of the baffles or tees,material of construction,dimensions,depth of liquid,depth of sludge and depth of scum? ✓ _ Was the facility owner(and occupants if different from owner)provided with information on the proper maintenance of subsurface sewage disposal systems ? The size and location of the Soil Absorption System (SAS)on the site has been determined based on: Yes No ✓ _ Existing information.. For`example,a plan at the Board of Health. ✓ _ Determined in the field(if any of the failure criteria related to Part C is at issue approximation of distance is unacceptable) [310 CMR 15.302(3)(b)]: 5 i I Page 6 of I 1 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION Property Address: 12 Bay Street Osterville, MA . Owner: Estate of Elisabeth Eaton.Clark Date of Inspection: July 10, 2007 FLOW CONDITIONS RESIDENTIAL Number of bedrooms(design): n/a Number of bedrooms(actual): 4 . DESIGN flow based on 310 CMR 15.203 (for example: 110 gpd x#of bedrooms): 440 Number of current residents: 0 Does residence have a garbage grinder(yes or no): n/a Is laundry on a.separate sewage system(yes or no): n/a [if yes separate inspection required] Laundry system inspected(yes or no): No Seasonal use(yes or no): No Water meter readings, if available(last 2 years usage(gpd)): Unavailable Sump Pump(yes or no): No Last date of occupancy: Unknown C OMMERCIALANDUSTRIAL Type of establishment: Design flow(based on 3I0 CMR 15.203): Qpd. Basis of design flow(seats/persons/sgft,etc.): Grease trap present(yes or no): Industrial waste holding tank present(yes or no) Non-sanitary waste discharged to the Title 5 system(yes or no)' Water meter readings, if available: Last date of occupancy/use: OTHER(describe): GENERAL INFORMATION Pumping Records Source of infonnation: Pumped after the inspection for maintenance Was system pumped as part of the inspection(yes or no): No If yes,volume pumped: gallons--How was quantity pumped determined? Reason for pumping: TYPE OF SYSTEM Septic tank,distribution box,soil absorption system Single cesspool Overflow cesspool Privy Shared system(yes or no) (if yes,,attach previous inspection records,if any) Innovative/Alternative technology. 'Attach a copy of the current operation and maintenance contract(to be obtained from system owner) Tight Tank Attach a copy of the DEP approval Other(describe): Approximate age of all components,date installed(if known)and source of information: A pit was added on Nov, 1311984-per as built card Were sewage odors detected when arriving at the site(yes or no): No . 6 . Page 7 of 11 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 12 Bay Street Osterville, MA Owner: Estate of Elisabeth Eaton Clark Date of Inspection: July 10, 2007 BUILDING SEWER(locate on site plan) Depth below grade: Materials of construction: cast iron 40 PVC other(explain):• Distance from private water supply well or suction line: Comments(on condition of joints,venting,evidence'of leakage,etc.): SEPTIC TANK: ✓ (locate on site plan) (Cesspool acting as a septic tank) Depth below grade: S" Material of construction: concrete _metal _fiberglass _polyethylene ✓ other(explain). Concrete cesspooi block If tank is metal list age: Is age confirmed by a Certificate of Compliance(yes or no): (attach a copy of certificate) Dimensions: 5'W x 3'T x 6'botto»z to grade Sludge depth: 6" Distance from top of sludge to bottom of outlet tee or baffle: -- Scum thickness: 1" Distance from top of scum to top of outlet tee or baffle: -- Distance from bottom of scum to bottom of outlet tee or baffle: How were dimensions determined: Measuring stick Comments(on pumping recommendations, inlet and outlet tee or baffle condition,structural integrity, liquid levels as related to outlet invert,evidence of leakage,etc.): The cesspool had 2'ofliauid.on the bottom. The cover was S"below grade GREASE TRAP: None (locate on site plan) Depth below grade: Material of construction: _concrete metal _fiberglass _polyethylene _other (explain): Dimensions: Scum thickness: Distance from top of scum to top of outlet tee or baffle: Distance from bottom of scum to bottom of outlet tee or baffle: Date of last pumping: Comments(on pumping recommmendations,inlet and outlet tee or baffle condition,structural integrity,liquid levels . as related to outlet invert,evidence of leakage,etc.): 7 Page 8 of 11 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 12 Bay Street Osterville, M,4 Owner: Estate of Elisabeth Eaton Clark Date of Inspection: July 10. 2007 TIGHT or HOLDING TANK: None (tank must be pumped at time of inspection)(locate on site plan) Depth below grade: Material of construction: _concrete _metal _fiberglass _polyethylene _other(explain): Dimensions: Capacity: gallons Design Flow: gallons/day Alann present(yes or no): Alann'level: Alarm in working order(yes or no): Date of last pumping: Comments(condition of alarm and float switches,etc.): DISTRIBUTION BOX: None (if present must be opened)(locate on site plan) Depth of liquid level above outlet invert: Comments(note if box is level and distribution to outlets equal,any evidence of solids carryover;any evidence of leakage into or out of box,etc.): PUMP CHAMBER: None (locate on site plan) Pumps in working order(yes or no): Alarns in working order(yes orno) Comments(note condition of pump chamber,condition of pumps and appurtenances,etc.): 8 Page 9 of 11 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 12 Bay Street Osterville, MA Owner: Estate of Elisabeth Eaton Clark Date of Inspection: July 10, 2007 SOIL ABSORPTION SYSTEM(SAS): ✓ (locate on site plan,excavation not required) If SAS not located explain why: Type ✓ leaching pits,number: 1 -6'x 6'(1000 awl.) leaching chambers,number: leaching galleries,number: leaching trenches,number, length: leaching fields,number;dimensions:. overflow cesspool,number: Innovative/alternative system Type/name of technology: Corn ments note conditio n of soil signs of hydraulic failure( g y , level of ponding,damp soil,condition of vegetation, etc.):. The pit had 2'ofliauid on the bottom. There did not appear to be any signs o�failure The cover was 12"below Qrade The bottom to Qrade was 9. CESSPOOLS: None (cesspool must be pumped as part of inspection)(locate on site plan) Number and configuration: Depth-top of liquid to inlet invert: Depth of solids layer: Depth of scum layer: Dimensions of cesspool Materials of construction: Indication of groundwater inflow(yes or no); Comunents (note condition of soil,signs of hydraulic failure,level of ponding,condition of vegetation,etc.): PRIVY: None (locate on site plan) Materials of construction: Dimensions: Depth of solids: Comments(note condition of soil,signs of hydraulic failure,level of ponding,condition of vegetation, etc.): 9 Page 10 of 11 OFFICIAL, INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 12 Bay Street Osterville. MA Owner: Estate of Elisabeth Eaton Clark Date of Inspection: July 10, 2007 SKETCH OF SEWAGE DISPOSAL SYSTEM Provide a sketch of the sewage disposal system including ties to at least two permanent reference landmarks or, benchmarks. Locate all wells within 100 feet. Locate where public water supply enters the building. � a 3a y� 10 Page 11 of I I OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: 12 Bay.Street Osterville. MA Owner: Estate of Elisabeth Eaton Clark Date of Inspection: July 10, 2007 SITE EXAM Slope Surface water Check cellar Shallow wells Estimated depth to ground water 25+/_ feet Please indicate(check)all methods used to detennine the high groundwater elevation: Obtained from system design plans on record-If checked, date of design plan reviewed: Observed site(abutting properly/observation hole within 150 feet of SAS) ✓ Checked with local Board of Health-explain: topoSraphic and water contours maps Checked.with local excavators, installers-(attach documentation) Accessed USGS database-explain: You must describe how you.established the high groundwater elevation: Usinz Barnstable to o ra hic and water contours.ma s the)nays were showing qpproximately25'+/_site. round water at this This report has been prepared only for the septic system and components described herein. This septic system has been inspected and passed as of the date of inspection..This report is not a warranty or guarantee that the systent will function properly in the future. There Have been no warranties or guarantees, either expressed, written or implied, relating to the septic system, the inspection, this report and/or any components of the septic system which Have not . been located and inspected. 1I - CLERK BARNSTALE, =9 52 rE0 MPS Town of Barnstable Zoning Board of Appeals Comprehensive Permit Decision and Notice Appeal 2002 -35 -Clark Applicant: Elisabeth E.Clark Property Address: 12 Bay Street,Osterville,MA Assessor's Map/Parcel: Map 117 Parcel 037 Zoning: Residential C Groundwater Overlay: AP-GP District Applicant: The applicant is Elisabeth Clark,with an address of 12 Bay Street, Osterville, A. . Ms. Clark is the individual to whom this Comprehensive Permi M t is issued for the conversion of an unpermitted studio unit located adjacent to the single-family dwelling as an accessory affordable rental unit in accordance with all conditions of this permit. Relief Requested: The applicant has applied for a Comprehensive Permit under the General Law of the Commonwealth of Massachusetts,Chapter 40B —§20-23 and in accordance with the General Ordinance of the Town of Barnstable Chapter III;Article LXV, "Pre-existing and Unpermkted Dwelling Units and for New Dwelling Units in Existing Structures," more commonlytermed the "Accessory Affordable Housing Program The zoning relief necessaryfor this Comprehensive Permit to be issued is that of a variance to Section 3-1.3 (2) of the Zoning Ordinance—Accessory Uses to permit an accessory apartment unit to a single-family owner-occupied residential dwelling.The issuance of this Comprehensive Permit would allow for an owner- affordable apartment unit located within the single-family occupied single-family residence with an accessory dwelling. Locus and Background: The property is a .19 acre lot that is developed with"a 4=bedroom,2-bathroom, 1,481.square feet single-__ family,Cape style home. The property was owned'by the applicant's family (from whom she bought the ` during World 48 years ago. It appears that the applicant's family had the unit added sometime War II and have used it for friends and family off and on since that time. As the unit probably predates the inception of the Town's Zoning Board of Appeals,the applicant started using the unit regularly to house her mother after the applicant's.another suffered an illness. Therefore,it is the belief of Town Staff that the unit went in legally,although there are no records available that indicate legal non- documented by evidence of a Special Permit,it.qualifies for the conforming use. Since this cannot be Amnesty Program. The apartment is a studio adjacent to the parent single-family home. The area is estimated to be approximately 520 square feet. The locus is in a.Residential C,AP - GP District. The unit has ffordable Housinaen documented to pre-exist to January 01.,2000, and qualifies for the Accessory 1 o Program as an Amnesty unit.. 03 CENTERVILLE-OSTERVILLE-MARSTONS MILLS FIRE DEPARTMENT OIL/HAZARDOUS MATERIAL RELEASE BTREET ADDRESS OF RELEASE; TIME OF RELEASEnm.k.... PRODUCT RELEASED., ESTIMATED QUANTITYN -------------------------------------------------------------------- HARBOR MASTER C I Y�-,.G IkXl 1,40 DATE__ TIME.... OTHER AGENCIES: ownew--t.00k----i_n and-found-these-to-bs-a,ppvGx �� ' ^ ! __________________-__-____________ ----------------------------- . ' :REPORT BY DATE m±�-�]��-��_��]x��__�_-_-_~____--- : _-��-------- � WHITE COPY - FIRE DEPARTMENT YELLOW - DEQE PINK - BOARD OF HEALTH � . U C-O-MM FDRM # 58 � / | ` ^.� | / ' i � � | ^ '`a O C T ION S`fEW A C E ' PERMIT NO. ,YILLAGE I N S T A LLER'S NAME i ADDRESS - Et 8 UILDER OR; OWNER n DATE PERMIT ISSUED' ?/��' F DATE COMPLIANCE ISSUED a 1 1 V r �? = ; -� /d� '� ��•. 2L�a .. , � � -`� two,, ,,,, , J �� y � � - � � � '�a \ � o�.j � . � �- y�, /�.E-� No................. ThE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALT / t \\ ......... --1... ...OF......... �t�sl ! J� ApplirFation for Bhipoii al Works Cnnnitrur#inn ramit Application is hereby made for a Permit to Construct ( ) or Repair ( 44-'an Individual Sewage Disposal System at .._4 .......... .f .................................. .................................................................................................. Location-Address or Lot No. ... ..... ---- - - ...... Owne r,•y —�j Address Installer Address d Type of Building Size Lot..........0.................Sq. feet U Dwelling No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) a0 r Other fixtures .........-•----------••---•----- • W Design Flow.............................................gallons per person per day. Total daily flow.........................................:..gallons. WSeptic Tank—Liquid capacity............gallons Length-------_------ Width................ Diameter________________ Depth................ x Disposal Trench—No.`_'...................Width.................... Total Length............-....... Total leaching area....................sq. ft. Seepage Pit No--------------------- Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) Percolation Test Results Performed by-•---•---••--...•--••-•--••-•••--•------••-----•--•-•.................... Date........................................ Test Pit No. 1................minutes per inch Depth of Test Pit...................- Depth to ground water___________-_._---._.__- Gz, Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water___--____•_-___-----___- R+' --- ---- Descriptionof Soil cJ . ...................................................................................................................................... x U -------------------------------•----•---------•--•-----•---•----------------._......---•-----...--------------...._.... -•-------- U Nature of Repairs or Alterations—Answer when applicable......,1: ^_ _.... 1� -�._ Q�_._._._. --------••-----------------------------------------------------------------------------------•--------------------------------------------------------------------------------------------------...----- Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITIU 5 of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been •ssued by th oar f health Si -- --•-- ----------- ....... -1-�.... I)..te. B Application Approved By........... =••.---•- - --- . ................................ ----•-�� ....... Date Application Disapproved for the following reasons----- ---------•---------------------•---------------------------------------•---------------------._....-••----- .........-•---•-----------•.............•...........-•----------•-•--••--------•---•-•-----.....-------•-._.....••••-•-•-----•......----•---••---•---••------------•-------•-•----•------.....--•----•--- Date PermitNo......-...................................._............. Issued....................................................... Date THE COMMONWEALTH OF MASSACHUSETTS •JBCARD OF HEALI; Applira#inn for Uispao al Works Tnnstrnrtion ramit Application is hereby made for a Permit to Construct ( ) or Repair (ev Individual Sewage Disposal System at: `:. Location-Address or Lot No. ............ ..... ..-•••••••••.. .... ` Owner Address �:Y° ;j _ !� f. r`. �Sr a�'3 � :.......................•----^___....._....._.._....----.............--------•------••--- Installer Address d Type of Building . Size Lot............................Sq. feet U Dwelling A No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( ) Other—T e of Building No. of persons............................ Showers — Cafeteria p•l Other fixtures-----------_--------------•••-- - Design Flow............................................gallons per person per day. Total daily flow........................_...................gallons. Septic Tank—Liquid capacity............gallons Length............... Width---------------- Diameter................ Depth................ xDisposal Trench—No..................... Width.................... Total Length.................... Total leaching area....................sq: ft. Seepage Pit No..................... Diameter---------------------- Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank Percolation Test Results Performed by.......................................................................... Date........................................ aTest Pit No. I................minutes per inch Depth of Test Pit------------_....... Depth to ground water......................... Test Pit No. 2.................minutes per. inch Depth of Test Pit.................... Depth to ground water........................ DDescription of Soil-----..... ,?.< c 'r ""-"--........-"•-""-""-"--"--"--•--"-----•-----•---•••- x 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 TITLE 5 of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has beeryissued by th/boardof health. . � Signed, ---- _ Date Application Approved B !` ... ...................:. PP PP Y - /, .1 ^^" � D ate Application Disapproved for the following reasons: --------------------------------------------------------"------------------------------------------------- ......_...."--•-"-•------....--"--"-"•---'•"-.._...-•--••"--"--•"--"-.....""••-""-"•--•_-"•"•-----""-"_----•----"-"-•"---"-----'----------'-•--"-"--•-----•---"-•----••'---•-•----•-'-•---•-'-•••--••-• Date PermitNo.......................................................-- Issued.....................- Date THE COMMONWEALTH OF MASSACHUSETTS �. .r_,.. BOARD OF HEALTH .. .l........ .. . ............... . ........ t.......OF........�. ✓:.; `:.rat...... . . ... .....: ............ Trdifiratr of TompliFanrr THISI F, x That the Individual Sewage Disposal System constructed ( ) or Repaired C j-~ by.... r p .....------•--" Installer ' has been installed in}accordance with the provisions of TITLE 5 of:The State Sanitary Code as described in the application for Disposal Works Construction Permit No..._ A0---3_.57.:.:--_--- dated................................................ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY.DATE............................................... 6-J'S1.-"•---••-••- Inspector.......-_.........1Z.... ................................................. THE COMMONWEALTH OF MASSACHUSETTS _ = BOARD OF HEALTH 1 ? 5 a > ..... f ...OF....... � .r ram ' No......................... FEE `.t::'.............. Biiipos a1 orbi Twnn itrudion rrnti# . f N Permission is hereby granted__r__.... "`__../...1..................... �?'f' '...... .......... ..a. .`r ..._._... ....................................._._.. to Construct ( o` ,Repair (,�x n,Individual Sewage Dasposah5ystem Street as shown on the application for Disposal Works Construction Permit No..................... Dated.......................................... �• ,.� `--•-' Board of Health DATE.......................................................... FORM 1255 A. M. SULKIN, INC., BOSTON QIA -A.-- B16F..OO�RE- ^ALL5 IN 4 2 .0 2�6 Fg� 57-�AALI �5 1.� AT TO-)TO BE rA-IIAN'IZE�51�=L.ANC�.CR 5OLT5 ASP A 5OLTI �T��CNOF -- 0 m 0'TH�<ON21'N12 --T-- C 12 R31.--RNFR5 I6—&E TO HA�(X 2xb 51M -,N&A�E -"XB'PLAT;AA5I�, 5. FC Ti�Al KE1,FRVVID=2 Ro�l 07 P, Al�;IOR 5 LT5 AT 7-02 OL�50,-T5 5�AL HX2-5P52.5 N BGTD 4 5/,3'DIAME-R AN�14OR BOLT REBAR.TO-�BOTTOX�,r A�L; _O�P-ATEfU��rAS--�KZO N 6,CNA 5,V�OUPLER�,BETAE-51'55T524-515- (.�F,R TO -5 ON A-]FOR 711 51,Ai-BE-A M,11,01�5IL-1 IR SLI, �IER T -APEO ROO INTO HOCOPOAN POSITION SSTB24 z P.T.2X4 PLATE ON�-.UF TO BE H E I 51T ON�P ER 51L AV AIZI ORMATE 70 FORY�RK PRIOR TO�046K-TE -C�O�N�.;N]T�RAY5ETFASTENIN5 E�. 3> POIR FOR CORqECT PLAOVK-NT, 00 CRIETE rRO'-51 AALI-5,'3TZY.�ALL=A'L 5CE 9ETAI-.�,NOTE5 ANI?5C,,EPUL�ON?�-.5-1 El ATI AR I AN HORBOLT 5 AM)OTHER�ONNEECTCR5 FOR A �QRA6� CRAIL)-0 LIE U THI�K N1- AT,O, PJNJ.�, =I)�X.IN-S OF BE--M5P�0 11 FO,�, -01,110,111 1 NEI 1111 1A IAI-- TO ",BE BAB-:>ON 5RAOE'-ON�ITICN5�-O� FROM PIN SRA:)�TO BOTTOM Or 55-;X�-4 57:EL&DI-W11 To HAVE 1/2NOXIC BASE PLA7E5 AT-(4;516"OIA�'ZURAI�40R 30-�T5 AT BABE 31. OOX'-RE-T- �ONNE-TION AT TO'TO 57 sk.,5011�OO�-AF. ME5,1 1,N6 MIL.VAPOR BARRIER OV IR�'I�LLIRA�-- 6"��L COMPA�ITIBP 10 15% X OR��-'5:Ff 3> ----------------! P`A/ 4"1 G NO COLUXWPOST PCOTIN&56HE�,ULE CA I TOP OF ITEM TO 5- -W'Xi2'Tl,< 1(5)45 RE5AR 0 12 0.�.E- lO 5ELOA tXIST IN,FLR 1 ,--, I-----------1---------- FLR. ------------------- ----------------- W P5 R aA�WIT C E12 -0 I. �O ---- ------ -------- �`-C� 2 FROM TOP OF 5TIEM NTfl E7�-A cc TOP OF FC,�,STEM EWAL OU'Al- TOP OF FO[,NO� F�"IN 1 !4- 1/:ZL =L-T(=W 7 ---------- -------- ---------- TO' FGJN�KA1-TO BE REETE�'- DEE AIL FO A I E�LOA F�N!5_ 2�"X V 5p- 12 .-x PLq. ON D=4' AT LVL 10-K IS TINI 6<EY 7 i- R,-'-REBAI 1'1,170 El. �LL 6 FOI-7 IN'0�'O.C. ,D*011 i 65�7.P,1A1 `- NE.A CONIC .0 ------------- IL -------------- -------------I ---- -------- ------------------ - ----- MATO Jf2 P5 Tn vTw -------------------- 4'1 OP HO�E FLOOR 1 11 V-5 00- AW�- -------- --------- ----------------I . .- K T I I I ',- ,Q� T A,N- X57 'IN&IN EX15; F =CJNE L L��El Or A7 S,El,/VSHEL �ATION Hks P -.2 51-�-AT D E ijo.5�-on �,FT m 5 C AL E 1/2 1 0 CO�ER A �2g A OOINC�To LL W-5 REPAIR 5," Uv2 0— �Rill- �-BAR 4-INTO EX.CO�1- 1 51'A I I t- f ZL.' 3'MART#13:7-� L-L siR� �TRIIOT,�Al POIN�ATION'10�=5 M--0.'SRO"';REBAR LVL A' (51 KALL FOOVN6012'OL.�cR, TOF�-�OTII'111,,WOI66ONC, -aAL BQJ.A_1 --- WII,BOT�N5 OF LL HE151T FOUIPATION �L I FOOTfN6 �x- -0V T 1`�S T FRO5. LS TO BE 5EURED kV (CAST FROM 2X4) Sz NO FOOT.N6 TO 15�P-A�W NATIER Of,pqoz�5aL V) -- -- ------------- FRO5TNAI_I Cu A MAINT IN A-C.MIN" 2 ?5TA,7-7 ------- - FROM 6RAD TO MOVE�Xlsl IN'. oo CRET�5TREN6F�MIN F'6 BOOOP51 FOOIN6 S 'L TO L=E AT AT" I,,Ll,5PACP CAIN T.2 iezutm, BE A�C,56-fD L- ANO P AJ-L REIW��N&51AMS TO BE A5�-Abl= 9.:5T IRA�IE 60.�EFOR�-D BAR5 Ln L,OW OVN..TLEE C�AIR 09�UR F--NINFORCIN TO BE 5- ON 2b'V A 5�1-1- Or FOOTIN5 TO BO�i CMIS FO NG5(OAA ACARIST FARTH)AND 20FAT 51DE OF FOOT IN.5 OR Co N�FR.WIN&AT AALL5, V) '157 ;HXNEY/ Ul) 0 AIOI Mw�ll T - -NERA�NOTE I,F W -` MIAINT IN-01 MIN-- SEE S.RLIC-7,,R�i 5E 15 .Rom CIRAD,TO AN-�, !-AL OE= IL5 FOR 07�-� ZZ BOTTOM OF FOOOTI- RE REVENT-B A-LI 6,ON'XH-CT:ON5 INE-IPW E ---EX15TIN6 I.N F Ei-P.REF--,R TO STVXC-.,RAL 0 N =3 DRAAI� 0 6�OF COMPATED�RiSHE BTONE----/ GRA�E > LL- TO 5AINC�7 SLAB L- �NT L JOINTS-NO BI&IFIR SITCTI-Vt42. `OABR T4AN 600 5OUAP-1 FEIHT - --�OPTONE FCR�H A5=E. 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T BE61N°Si IN .- {MTITINS DINING/LIVING RJN 3Yr-6 ( /ENI.ER L..G`_E HALL AS S-ONn'IN PLAN 4 — 2 a e 6 5' ok.-EN=RED m SPAce (n - YY in I OLI71N5 PATIO DOOR AO IIIOEa 4 TI m I N-INs 3 niv X 5 -) vOWSrRENO POOR O B AND- �I a V N DdJBL--LN6:AD"26SG -- I I ! DGE Of 4T_-.__ ____ DN. r..II I.i X E-E 0 G A55 AND wWDOD ANEL5 AND N ! v FASTENING S.STEM ME TINE 5T.ED OF MA55 N \ 6!°) I _-_ ------- 5L0„D-6. \ -_ � m i I di m Ii R_OEH IGO ABOVEn ¢ 2 E X-O 5TA -BLDG G.iDL(R_FER O ELEVATIONS FOR L 0.BL AD-2bso S 2n � 2 n s FOR AINDOA 'SFLOGR M,J 1!N5:b r 6) a�� °I I� • RO.2-e X t i : �. K ally I ••AT DIN n5i��V1!.5 � D I!-- t£° HALL POOR BY 51,MP50,4 OFE 1 _ ___ _ -- ___________. INTERIOR DOORS AND L45ED o J _�.____ _ i E:snillvi N.+OREb 154T OF I --------' - I'' Y 11 ._____ _CX'- L L..N J.,!6N�, ! I P Yri00 R.AIT T NAIN6 AT M. oI ! I YCHEle O -.� .' ' --_. - .. 4 1 _ dJ2-5h2 n!`-5'B2-5/8'OIAMETc3c : 2 m DdJ ° 4'-6- _ 4 2- 'I,'2..1".-v w E N6- 1 3 2'./2` 4 - I I Ij A\.,tiOR 3.i 4 A 51'T EA E¢Wi nu:�5 Arn^OS- _ JhTIN..4'4 -. __-- r._ ...,_ -_.� B-VCEN SSTB24 S/b`H2A..D ROD o e'-Ic I I - - ------ - -.- m o HOLDDOAN PO^,T;ON PF¢oR c AN 4ORMA TO FCR I _ WOKSI / \` \ / / -_- �I I LO\.REF �¢FOR GORZG..1�L.MEn:. Sax 'I I ••B•HOR1z,BTVD POCKET ABOVE - - --- I. / RM _ ai`�!,N� �i M5TR. KNDDYV&LIDIN6 DOOR t TRAW0�15 RO.6'�i• ' ',/_ -'I BATH. I W.LG. -- "L _ j 301 I O'"If o (N s-�?vS:6 1A D'i 28eb n ��- _ -- i S-aA I ECJ L _ EGVA �9I ;+s v.jI `I�I y<-•"I/` +. /`2'" Is'-E• t+Y I 5,. 5,KITGLiEN it !A__ D_' G j! `o- -u-`<-scoDO I 2Er/4 HALL,p I� WALL5 S AND=M5 Tc o , I BE ED EINS w.A_Ls TO R REMAMAIN I II I:i JOUBL_-.,nG A.M1 164E I nEn hA O h 6/- SZ LLS DE`uG NG'=5 m l I PO GH - I I EXIS-IN'6 DASrED WINDOWS!YIALL5 Q V Ln ,D EF REMOVED AND PATOHED A-, I N D�OR REP EV A5 NOTED FAMILY I II MSTR.BEDROOM j O P T.6X6 POST5—�/ i 6 i. DETAI DRT-EG'E0-R R 4TI_C �FI OLtOYV X T-- A;2e4e In N.6 i 61i E mQ ON P Pv bX4-e L(LA• LU if - f _ - �' o0 p job no.: 1620 -� A5 j AS L date 14 NOVEMBER 207 �1 i�w I scale AS NOTED g 4 �Qrw drawn: IKMw B� � x Nm fln alum Je`a rev. �� 6Iy� Id � °� Lv o2rc rev. I I / <ybo A_ EX srINv -----------------I i orP47K n _ 22 5T F ` COR F _ .AN m 5 y AEI_ LIVINO,AREA_4a;Sr(E.<1 T).121 51;NEn:=1,21 51 TO— ISSUED FOR PERMITTING sht 2 of q v E E EX!STING uoM"� � O 2 C IN N I ,_ n ar an s ury Ell � I _ E O ++ ,0*11M I i o ; I I I I I Vy 1 _T_—"— ---- -- GENERA FAN-5 ') I�------- ---- p -A-_EX'rcALS i0 B=2%a5 0!6' c N _; ' �; BATH. E fi�✓`-\ i Gn NOTED vG GrRv,sE; BATH '� i j ALL IN WA_-TO BE 2X45 0 16' 1 I _ 'L I 0-,OAS-ES`NOTED OTHERWI5E) I OFFICE I // /i '•1 r I - 14'ERIOR OOGR5 a CASED OPENING LOCATIONS i NOT OIN'V ^NEED ARE TO BE BEGIN?5TUD5 uz _____ 1 'I 9_E-HU\C-.A04!264a (4/2")FROM CLJSEST WALL As SHOWY IN P1 Ak _.. ✓AL� 4 .a____ _ f c- c 3„ - ___._. ....-._—. (.UNiIN 6'6iK R _ - _ _ _ D EM1TREJ IN PAGE L.__. i R.v:2-6Xc_. ,�V`e N.I.JO.VSrZNGN DOOR TO BE AIvJERSEN 1: I A-SERIES W/NO\IMPALT RE51AND ..- \ G-A55 AN'J PLYWOOD°AY15 AND '�m W —fit-T 'x HALL _DG OF LA,i FASTEN Iv.SY5T-H NEFTIN6 HT„ED.OF MA55. - I EX•.',O , O ED GLG. I I 5 ATE 9LD,.CODE(REFER'O E NATIONS FOR = I E OF FLAT/ fL-ER-C E..EVA-10*l5 FOR nIt.DOn Da E-w,Ns AN 26AA BEDROOM 3 D ' X G• IGr-Ts Asor suBFLOGR /^�` Ln A R 2-E%4a I MJD NA.L DOOR B"51NF50N % I NOPE�NG5 TO MANTERIOR TCH HE16HT OFED y (, Q) EiEDROOM 2 ExlsnNc-r€+ERe n'oTEv O DOUBLE-HUNG:AD 26" R- to tSS �- NJINTINS b l 6 �E••� 1 E" ----- O CU E m c li ni N ON= O I• i - i � � --'—-- — -- —I ---- T I n - -- - - r -- I ¢ p t i Ij nAL L/DEMO � job no.: 1620 hLL5 AND ITEMS TO AS AS ;I __.____ BE RENOVED f , date i<NCVFr`2ER 2011 1 I� XI5TIti5 WALLS TO II REMAIN I Scale AS NOTED I � NEW WALLS i drawn: I:Ntw IDF190 NOT'c5 rev. EX 5T NG DASHED AINDOAS[WAL_5 t' � rev. j C S F�MOVED AID PA-.-'.':'AS ") T �\ NEE:Y_D OR REPLACED AS NOTED. i ols R i EXISTING 'S E 00 m 5 G A_E _ G ISSUED FOR PERM ING Sm 3 of a OND FLGOR L'�VING AREA Ele SF(EX-5- -ES 5F;TO 5E Rom:v`/-G)=B21 5F TCTAL o E E u � rd 'u L V) fd LAN11'EVER�p 2xa JO!5T5 w NAILEi TO II va'1-,O;STS p 'OLGG�VE3 ANO NAIL FED¢ � NAJJ'JFALTL'RER'_G'Jii.ELit�S) � C PROV 8L0vI:INb N eEiWr.EN P.T.7 DE I XIO LOWS A II �/-]' •� EXIS-IW`¢AMI!JG L O-Nr'eAEeLR TI_O_R t(7 x 9/-L¥ -�R METING ¢A \ ON A R TRJ STE OF135X .7 REwJ\SnncE �CwoT yO� UPON eEN^vA-^Ns _-j AT GABLE /I I3IoI /�r�wF FULL:BLE SNP--I rU.LL I � v II� { r l I ICI I w N ®'lXa V 4k _ 11 I�wl I (3)1 5/5" 13/5 x q L VL IRS G L AR ul T 9 La _ -- ICI - - __ ___ - I (])1 � ��If I� \_-J ! 34_�j/5:��V_ p s 3 /_"x 2 v pe. �� L r II 1 L va ose L oGER �� c Ie c I ) E I) i A5 I \ feTTAGGp O.N pr J{. JL JL JL 1 J1L 1L JL J - .' I r3Tt .�X1 a'Xb FLOpR JUISiS �Ir "' ..... - ®16"O.L. ____ _----_- 1 I 3/:.% T Bj.1 Y t Y Y Y t Y t Y t 't t Y t Y t Y t _ � -- 4 .- � -".--I �(•K lq '_ AArt -� Y rYr Yt:Yt 1 .`-'Ff Ylt YIY'.Yr Y-..7r Y Y1- Yt YYYI - q , m 1 1 c /11 Q) y LI�CF � U� .`"-I V Lo Lo I 1 Q 5 ./ c0 r a X 4'2.. -S"x ,.1.... 3u B 19" -1/� l !4'x lr ..�;�4. +.0 LO�f' - VL eT. JIe EE ✓v ,," \ - .I 3/4 X -:_VL i3 OT�r- O 1 tttt `tco s IA m f �I d � __ p »oj `I vi q� I I II IIICO ALL POSTING OONn TO ¢ _ _ _ t+ _ _ __ '.� w,4 w,4i TO BE P-6xb COLUMNS LOY'FROM BC-O^"JF -- pOu9LE RATE O TOP /4 X 11�/ xl I �i O.G.' ; - OF COW,-P-(REFER - - //��{J�` N TO S-.CT xr(�Ll SAT til '.T i' I i _ __ L 1L JL JL 1L 1L 1L JL JL JL 1IL Ji 1L•J LJ1L JL 1L JIL JL 1L JL 1 JLJ I�JI Ifi ' ' .�II O L •V co - L7 i 1L JL i f T- i � N --- Va' A LEpGEe nl v2-MA �7S E 16p="cc. O (V- o G A AS C)—0 r N N A5 A5 W N N 5E C� ONt) LOOR PRAM NG FLAN ¢ O F I R5 T PLOOR RAM I IN a � L ,AN Ln G AL E I SGAL E: /4" = 1'-v" S IL job no.: ia2a L] - WOOD POST DOWN 5EARING WALL 5-LE LOW - ,ALL POSTS @ END5 OF BEAMS TO BEALL EXTERIOR SHEATHING AT MAIN date 14 Novem5zR ton 15) 2X4'S OR (5) 2X65 UNLESS NOT ED BODY OF HOUR TO BE -7/16" GDX ((5) 2X6'S AT ALL EXTERIOR %ALL S) PLYWOOD WITH 5D NAILS @ 5`42" (T"P.) scale As uc=v x - WOOD POST UP AND DOWN drawn: <mm « « - BlEARIN6 WALL ABOVE-(REFER TO STRUGT. DETAILS) - ,ALL WINDOW HEAD RS TO BE i2 2X6'S - H 2-5D 2 W/ 55T=24 /S" DIAMETER rev. x - WOOD POST UP DU 5 5 _ _ WALL ABOVE �% i.i2" PLYWOOD UN' NOTED ANCHOR BOI T W%CNN 5/6 COUPLER NUT rev. BETWEEN 55 24 € 5/8"THREADED ROD J Knwm"°j, INTO -OLDDGW\. POSITION 55TB24 W/ TO•.'ET :O..A 'ION ;5'..AGE JOIST.. ,AS - SEE STRUG`L IDE 6A\ERAL \G =5 ANGHORMA r- O �'ORMWORR PRIOR TO AL �.. S-2 i r r c AND TYFIGAL DETAILS FOR OTHER G^vNGRET� POUR FOR CORRECT PLACEMENT. �a1 i 'y REQUIRENEI"'S Nt=DED FOR PLUMB GLEAAANGE) \, = m ISSUED MI NG sht 'f of q N _. .... _ . _ . ._.. __ _........ _ ._._ .__..... ._ _ __...... . _ _...------ _ ._._.. _ __. _ _ .__.. __..__._ .. . -...... _ ._-_- ------ . . ......... ... _ _._.. -..._ d. o e LO � cc - • o -cl o +� I 1 ` _ Q• y 0 11 t a0 t� J t�jp W H CD 0-4 a 17o x �� t Ila l �s m co cn 4-1 ove+rhe }} :o N W m cc Wd � 4 - ,0 L W 0 b jcb W., 1620 Y c { ��^' �' date A5 NOTEV) �/,�� ,O�1 �(�tt^ l �.--�Il —1�? ��Vti• erase 5/16, = V - 0" drawn .I.A.L.. ,3 --- -- 9 E E ITi• 6:-W 0 v V o � N e D 3'-7' 31-5' Ix co {A g q S o 15 �-—EIWE°A��' ` / ONR VENT m orr� ,T BY79 s O 4S w y 24 O MO U �g #g'•� I 6ENERAL PLAN NOTES w N -O NOTED C OTTHERAAW 16• ' 'P PRE-FABRICATED I — DOUBLE4UN6:AM ZB50 I 6A5 FIRET'LACE W FlL5H ALL IM.WALLS TO E0M=S 6 16' N5,6/6 fE+�RM(BT'TOlW AND i _R OL.(IM.FSG NOTED OTF�iWISE) c RAW .99 2-B X SA 51M c I __________________________________ _____________________________________ I M.L5 WIN POCKET WOKS TO DOUBLE406,ADN 28W I I O BE 2Xb5(TTPICAU V C N5,6/6 -INTERIOR DOORS M CASED OPENING LOCATIONS V R0,3-8 x 5-0 I DINING/LIVING I TRAN50P$UBovE��IWm ZpBI�6 TUT DII�?Fil01l<�ARE TO B651N 9 SNOS _ ^• RO.,2 I! § (4�I2.1 FROW TIN� T WV1 AS s110{W Ix PLAN r ' �c _ P GEMERED v y .� COUBLE-IA.NG:ADH 1850 I I - 71 bL1—Pin D� IIg06B-4 _ EIXSE OF FLAT/ 'RD.,I Ih DE O X 6-0 -Po DOOR To ANDERSEN N 5LOPED Clb. 'A-•�R�W NLNdNPAGT RESISTANT 3 m �ay a o STAY ANU PLYWWD PANELS A!ID W 4 En u BTN®.of MASS. a� r"�x - - Imx s�T'e a o6c�E To ELEVAnoNs FOR DOUBLE-TUTS,ADH 7850 2 B%SO i I O SrtK ••IZ'-0'Gb K tI K AAT DININ6 I II gp{ ' -�r ABOVESl O OR AIM, 22 OELEVVATINSFORKNOM •/�� Na L m HALL DOOR BY 54M" N ffi I •O�PBSLnIN ________ ' I -51 ALL EXTERIOR SNEATHIN6 AT M/JN IT m Y HEN DESIGN L_� - - BODY OF M74E TO BE 7/I6'LDX QI I PLYIUOD MTH W NAILS 6 YAW(TYP) I I ° �j 3038 RD,2,3 X 4 �UNG:ADFI _ O RD.: 3B '-b 4 3 5 ' '4 V2' '-3' n 3'-Z 12• WA, -I PIU-SO 2S W SST824 W-DIAMETER 3 9 B•-Io In• 'Ba /-) �ANGIpiR 4 COpRE�RRO m , ' I HDLDDOYN.POSITION 55TB24 W . ' \ AAW+1ORKATE TO FORWURK PRIOR TO tU0K9 CONCRETE POUF FOR CORRECT PLACEMENT. r --------- --------- PDR.. I RM. S O M5TR.O DDUR 4 iRATGOPS P . B'3• 9 WI -0 (7)1.6X7-0 ° BATH. DDJBLEilAl6:ADII 2840 m ••B MCKEr AB. W.I.G. X xs:6 4-D/6 o�sm�m..gs.:Eo EQUAL 4 m -10 I'-' 2'3' 3'- 5'-4' p WUBLE40*AIM 289E J'• r ' , w gEUa c'^c w m c $ INS 6/b RO..2-ex MUD RM. KITG EN HALL^T 1 �1" WALL/DEMO ;^3 m'a=m `•m< . y _______ �.• ________ WALLS AND ITEMS TO y r ��r use`m<ems...••'�b y -OX EIC�G BE REMOVED • MSTIN6 WALLS TO DOUELE-IUS:ADx 209E REMAIN F r W.6/61 NEM WALLS R.O.:2-6x4-8 CH F__------ DEMO NOTE5 N VI — Q) V m V N _______ , E%ISTMG DASHED WINDOYSI WALLS O r y I TO�REMOVED AND PATG®A$ +-' 6 FAMILY M5TR.BEDROOM eta°R REPtADm ND�D' c-PN-� N,r M T VE �. 0 V - (a ` Cu N O bw um DECKIN6� .T. DOUBLE-fRMtS,ADH ZB4B ¢ C m C �p w O A5 AS job no.: 1620 date 27 vECEmeeR 201 scale A5 NOTED drawn: KMw an IN $ rev. ail rev. Ebsnx6 n — ° F I R S T FLOOR PLAN ,/•�` L m 5 C A L E, 1/4' I -O" FIR5T FLOOR LIVING AREA=4q7 5F(EX15T)•7TT 57 INEN=1,124 SF TOTAL ISSUED FOR REVIEW sht 2 Of q � J ExI5TIN& V 99'-2112' 2.0• 1 y V) o_ O 2'-6 in' 4'-2° 4'-2' 6'-10' to 9'-IO' b'b' I � � •O u N L Rig o J✓ h s N lC E O - O ++ O 4D U -_ -------------------------- Vy p4 v� N , xf B r� AS �_______ ________ 9oro- R Ho �I{''(I I GENERAL AN NOTES 2 xS0 QO I -ALL EXT.WALLS TO EE 2X45 a 16- m BATH.3 OL NNI.Es6 NorED oTIE9LV15E) , BATH.2 OFFICE A\/�/l ALL gN WALLS TO BE 205 a Ib' m ma==��=vi a Bo= - V ________� _ 3T�CU60Je�oe -[a OL.Md.E55 NOIED Oi1ERWI5E) '9��:-G ' ' c ^c uYm�m$ �n`j-.c� INTERIOR DOORS!LASED OPENIN6lOLATI0N5 b � g. , e' lNOTDIMEWIWNW ARE TO BE BE61N 9 57WS `-e -e E m --'- ----------------------------_____-- 6' - 4 )FROM THE LlO5E5 WALL AS 5HONN IN RAN 3`m ( ------------- ---- -- -- - -EOUAL� EGllAL -I In' I'-a• s'-0' 4'! - I'--0' '- OR CENTERED IN SPACE c am.p5 ;- R.O.:2N--6 X� -WI D TO BE ANOFRSEN c-3 HALL EDGE oP Fuv 6LAssNOn'r�oPnNas Sam m� SLOPED GL6. PAST@11N6 STST@A NEETINb BTN ED.OF MA55. a ma- co`m(jF a�.4 c u STUN PATTEAl) IRB'1�TO ELEVATIONS FOR m av e DOu - ADN 26aa SLOPED v BEDROOM 3 -fn REFER TO ELEVATIONM ABOVE S FOR RamnNs:6/b)) u� P.O.,2-6 X 4-a LINEN - M1D HALL DOOR BY 5INPSON _L BEDROOM O ------- N�6sTCA IEI=TCr N •+ O V y DOIIP f ! b ^^�`` � Rf _________ _________________________________ R.O.ED sa66) V) W �L N u IE cu N N O N �� LL- W.I.G. Q >L m N �O O f V= �, 'Q T cn --------------------------------------------------------------------- - a� ¢W O WALL/DEMO � A WALLS AND ITEM TO job no.: 1620 BE REMOVED date 21 DEGEMELER 201 . EXISTN6 WALLS TO REMAIN BCBIe A5 NOTED L1rBWn: KMW DEMO NOTES rev. EXISTINS DASHED WINDOWS!WALLS rev. TO BE REMOVED AND PAT0W AS NEEDED OR REPLACED AS NOTED, ♦L - EnsnN6 m SECOND FLOOR PLAN A- 3 h SCALE, 1/4" - 1'-O' 51!ONO FLOOR LIVING AREA=656 5F(EXIST)-65 5F(TO BE REMOVED)=0215F TOTAL f ISSUED FOR REVIEW Sht 8 Of q E%I5TIN6 h C, E - u o u yj p f0 o_ v 7-6 I/2'yy yy 4'_]" yy yy ax ry� 4,_2•N,x "'X „ad ci =,ax ax aX ax Y ua s Y u, E p - O Y m 4= O {p U i i C N F � O � o 0*01m 3 ------------------ A5 T. bB7EIt&PLAN NOTES Q O 2 BX'r0 O -ALL EXT.'AALL5 TO BE 2X45 0 16- BATH.3 ac MILE55 NOTED OTlERWW -ALL INT.WALL5 TO BE 2X45 0 16' °^o OL.(IALESS NOTED 07lERri15E) mLy OFFICE , INTERIOR DOORS I CASED OPENING LOCATIONS i�`m m w t,o'oF mS c t �t NOT DIMENSIONED ARE TO BE U A B NOM n m `ca c m-I (4 I/2')FROM THE CL05E5T WALL AS SNOWN IN PLAN e m n3 o- _______________________________ OR LENiERED IN SPACE ^„?�, cmmm_anm EOIUL� EgIAL 6'-I I/1' I'-4' _ 5, ______ ____4A__ _ _.�. ADN2644 a�c�umm=q^mn c—m R O.:2-6%41 -WINDOWS/FREryCN DOOR TO BE AI✓DER5EN °A-SERIE5'W/(ION-IMPALT BE HALL ED6E OF FLAT/ 6LA%AND PLYWOOD PANEL5 AND L o m c m 5-0%E%.'LO. FASTENING SYSTEM MEETING 8TH ED.OF MA55. _m SLOPED CLG. 5TATE BLD6.LODE(REFER TO ELEVATIONS FOR m_.a m.=m as n m S MAITIN PATTERNS) DOI ADH 7644 EDGE OF FLAT/ OW -REFER TO ELEVATIONS FOR WIND MMnNs:6/6) - SLOPED O.b. 3 _ RD.HEI&HT5 ABOVE 5)BFLOOR �RD 2-6%44 BEDROOM LINEN MD HALL DOOR BY 51MP50N - '.. lU U) BEDROOM.2 NEW IMERIOR DOORS AND LABED OPENINGS TO MATCH HEIGHT OF V EXISTING 144ME NOTED Q V) --------------------------------- RD.,2-6%4-4 I4' �, IW V) 4- Ln O (L)to L) O LO LL- w.I.c. c zs E m o O N= u O r cn ¢w 0 WALL/DEMO G A AS w 5AND ITB5TO job no.: i62o BE REMOVED �r (fete AT 1 DEMESER 201 E%ISTIN6 W 5 TO REMAIN scale AS NOTED ...:^..—•...."t NEW WALL5 drawn: KMW DEMO NOTES rev. Fx15nN6 DA51ED w1NDows r wAus rev. TO BE REMOVED AND PA NO A / NEEDED OR REPEALED ASS NOTED. EJQSTIN6 tcc - A- 3 ECOND FLOOR PLAN 5 C A L E: 1/4' = 1'-O- 5El N P FLOOR LIVING AREA'Ebb EF(EXI5T)-65 5F(TO BE REMOVED)=521 5F TOTAL ISSUED FOR REVIEW Sht 9 Of q 4 � !••7 m D O ro � 5'-0 I/2' 2'_T^ 2'-T' 3'i' c .N R Ixro elL`Cp TYPB"c ,-, m , /�- BULKIffAD MU 12' EXTENSION y POWER VENT BY H E FOR 51M�LAR)LpU� O - O N U � h O fp U ry �� S. 2 GENERAL PLAN NOTES •OR W V)V � N -ALL EXT.WALLS TO BE 2X45 II 16• EZ -qz; OL(UNLESS NOTED OTHa I5FJ J P&5 FIRE ILATED a POII&-EHflRYS:hDfl 2B5O I 6A5 FIREPLACE W/FLUSH I -ALL TNT.WALLS TO BE HERS 9 Ib' Np OL.(IMESS NOTED OTffRW15E) , INS:b/6) LOIMTRY OR SIMILAR) a RO.:2-B X SO c I __ __ _________ ______ -----____��__TOWN A ____ - _HALLS WITH POCKET DOORS TO - • : m I O BE 2%65(ttPIGAL) C DOUBL 51 b/6ADH 2B50 I TRANSOMS(ABOVE):(4J ATF 2BI6 -INTERIOR DOORS r CASED OPENING LOCATIONS O R,O:2•B X 5-0 I NOT DIMENSIONED ARE TO BE BEGIN 5 5ND5 DINING/LIVING (MNJTINS:5 WIDE) (4 In')FROM THE CLOSEST HALL AS 5HOWN IN PLAN 4 in RO.,2-S x 1-6 Q OR L RED IN SPACE /w v m SLIDING PATIO DOOR:FW6111065-4 - v, DOUBLE-NUNS:ADH 2850 I (MMINS:5 WIDE X 5 HI6M •_ INS,b/6) EWE OF FLAT/ RD:11-10 X 6-5 ;WINDOWS WHOM DOOR TO BE ANDERSEN Iw V1 RO.:2-B%5-0 I SLOPED GCS. O GLASS AND PLYWOOD PANELS AND V, -SERIES No RESISTANT I 7^ ___ VOIN ;� __________________ ____________ ______________ _______ STIN PeAWELODE RffBt ELEVA ON$FOR LVIIBLEHUN6:ADH 2B50 I 4IryIgry .j RN61 `P N5:6/6 S- goryo FOR-v RO:2-B%5-0 i gSa � K •`AT DININIG/LIVI rc I K -ROEHEI6HT�S ELEVATIONS _ MID HALL DOOR BY SIMPSON o*' 1) i I •NOPENINGS TO DMA°T°GH HEIGHT OF AND_______ CASED 2 EXISTING WHERE NOTED _ _______ ____________ _ BOOKS II-0%l LOALL--- ITCHEN DESIGN -BODY OFF HH01.5E ERIOR TO BETHINT/Ib AT MAIN QI m T L—'1 B I FLYW'.AOD WITH BD NAIL5 B 3'A2'to PJ � I ° Q WU04XTN5H 4J6:ADH 2O50 - . INS:4/4 4'-6" 4'-0 In' 2'-2' a STING— 3'-2 L2 9'4' -HDUS-SDS2.5 W/55T524 SAY DIAMETER O RO.:2-0%3HS ANCHOR BOLT Kt CNN SM'COUPLER NVT BETINTO EEN HOLVIVO 4 1 POSITION EADED ROD INTO ANCHORMA R PORVION' PRIG W/ BOOKS \ - CONCRETE POUR FOR WRRELTT P ALEMEM. I m ' R TO ----- --- RM. c T T MSTR. LLII ••B'NORIZ.STO POCKET ABDvE Y0IDOH4�WO NG DOOR 1 TRANSOMS RO.V r (2)Ifi -0 (2)1-6%T-0 ' o BATH. avuBLE-14RK:ADH 2840 _ _ p _ W.I.G. Ns:b/6 mP a RO,2-BX4-B `nmomo me S'-B I EQUAL 4}'4 9' -10 V'I'-' 2'i' 3'- 5'-4' ccwo«�m�a Y of DOUBLE-WAK:ADH 2B4B NS:I " b j�°Sc K TG ENROO,2-b x MUD RM. tI HALL � WALL DEMO am"�3�oaa�gm�q m� W P 4 m Y m AALLS AND ITEMS TO m c' BE REMOVED �8 EXI$TIN6 WALLS TO REMAIN DOUBLE-?pmmi ADH /6) 2-8 X 4-8 HEW WALLS - CH 1 DEMO NOTE5 W M ----- .-------- �-- TOI BE REMOVED ANDNVGW�WA S O � - j NEEDED OR REPLACED AS NOTED. VJ L FAMILY MSTR'BEDROOM N_I�1 Th E ER T IVE b u� u'S: .v (� L V) rn IPE DELKINSJ Ni voUBLE-HAka,ADH 2B46 ¢ m LL r. E m N N M--� 4 ii'u5 RO.:2-8 X 4-6 N ON= Ilo �p _ iL oar LU N O G A job no.: I62o A5 A5 date 21 DECEMI 201 _ scale AS NOTED drawn: KmA tLf$14 rev. rev. A FXTSTIN6 - - -2 ° F I RST FLOOR PLAN m_ ry 5 L A L E: 1/4' = 1 -O" FIRST FLOOR LIVING,AREA=49T 5F(EXIST) 727 SF MEMO=1,724 5F TOTAL ISSUED FOR REVIEW snt 2 of Q a .n E CA 7 � Q1 V � N V cc • V C 47 C 4 � y � ----- 8 Uf i R - • Co o �m 0-4 V .tm � .. ZVI , w +t x O C I � 0 b V N Do a - N r� E ONO= o .Q -0 as LL W O . b ^ ,Job W.: 1620 lY �lr' 'Ply_ A ��eIbf7�'�ddi7�hr /� A5 NOTED 3f1lo11' ilp O14 �� .4®n C`l�l CSC ��V��O► o� , ecale 3116 = I' - O drawn J.A.L. OVERLAY DISTRICT: , FLOOD ZONE' GP - Groundwater Protection Overlay District ' y ' SEPTIC NOTES Zone X (Minimal Flood Hazard) Estuarine Watershed Overlay District ' - Community Panel No. RPOD - Resourse Protection Overlay District r DESIGN DATA 1.Location of Utilities Shown on This Plan Are Approx.At Least 72 Hours #250001 0544 J Single Family Prior to Any Excavation For This Project the Contractor Shall Make July 16, 2014 j w 4 Bedroom @ 110 GPD the Required Notifications to Dig Safe(1-888-344-7233)and contact '/No Garbage Grinder Sullivan Engineering&Consulting Inc.(508428-3344). Total Daily Flow=440 GPD 2.The Contractor is Required to Secure Appropriate Permits From Town Use a 1500 Gal Septic Tank Agencies For Construction Defined by This Plan. ZONE; r 3.Wherever Sewer Lines Must Cross Water Supply Lines Both Lines Shall Split RC/BA Be Constructed of Class 150 Pressure Pi and Shall be Water Tested to ZoningRC (RPOD) LEACHING AREA Pe Area min.) 87,12 (RPOD) Assure Watertightness. In General Water Lines Shall be Constructed in , 440 GPD/0.74(LIAR)=595 SF Required Frontage (min) 20' 7r Sidewall=2(8 - Coordination With COMM Water,and Shall be in Accordance Width (min) 100' . +48)2,=2245F With 248 CAR 1.00-7.00&310 C11Bt I5.00. Bottom Area=(8'x 48)=384 SF Setbacks: Fron t 20' _/ 4.A Minimum of 9"of Cover is Required for All Components. Total Provided=608 SF(450 GPD) Side 10' LOCATION MAP: 5.All Structures Buried Three Feet or More or Subject Rear 10' to Vehicular Traffic to be H-20 Loading.It is the Engineer's �� ZoningBA Scale: 1" = 2000'f LEACHING CHAMBER DESIGN Area min. Recommendation that H-20 Always be Used. (min.) -- All Pipes to be Schedule 40. Use 6.Install Watertight Misers and Covers to Within 6"ofFinished Grade , Frontage (min) 20' ASSESSORS REF 5-500 Gal.Leaching Chambers in a Width (min) -- Map AM, GFQaL4W / 8 Over Septic Tank Inlet,Outlet;D-Box,and One Leaching Chamber. Setbacks: 8'x 48' Double Washed Stone Field as Shown. All covers are to be maximum 18"for concrete or 24"Cast Iron. Fron t 20' l i 7 01�7 Side -- �� 7.Septic System to be Installed in Accordance With 310 CAM 15.00& Rear -- c 2 co 248 CAIR 1.00-7.00 Latest Revision and the Town of Banistable Board ofHealth Regulations. n/f N N 8.All Piping to be Sch.40 PVC. m Cathryn A. Wright ��'-• 9.D-Box Shall Have a Minimum Inside Dimension of 12,and a Minimum a o Sumpof6". cb dh _ °' 10.The Separation Distance Between the Septic Tank Inlets and 1� n c:-o S88* 04 v cFn d h n/f Outlets Shall be No Less than the Liquid Depth.Net Tees Shall Extend � 74.17 Anthony P Elio Tr. a Minimum of 10 Below the Flow Line.Outlet Tees Shall Extend 14 -• \ Equipped PERC TEST: 15,289 N z� � 1.0 Below the Flow Line,and Shall be ui With a Gas Baffle. :RF D 37- �\ F-77fi -Tr-r��z�- 1Q'�gtkOk_ PROPOSED ORMED BY:CHARLES ROWLAND,EIT- SULLIVAN ENGINEEI • SOIL EVALUATOR NO.13586 Y j Existing Sill BARN Abutters r 1 37.6'� o r-"" ! Block Foundation WITNESSED BY:DONNAMIOANDI,R.S.-TOWN OFBARNSTABLI 1� Sty �� \�'. 1 Shed Building Barn MARCH 13,2017 I p.m LTo Be 1 � I TO BB. a �D ern REMOVED n f v ! O Finish Grade TEST HOLE- 1 / t`� 4c�111.�[ll�d `. EL.34.5 William E Wright Jr. 4 1 Plastr Pit ... . r as per Septt 3' Max. :;, I _ 9„ Min Compacted Fill F LL. ....... Filter 0 BE Fabric 6" RQBOS (SFIE RIVE) 34.0 LL;D ADDI�p� EMOVED � �`, �� And/Or Lot B ✓ Gdrderr . . .. 8,785s Lawn 2,. 1 Pea Stone C PILL.. .. 3 10.3 I wn Per Record Ian p 3' H-20 36 ( LEINFILL) ..... .. ..'.' 31.5 a• 3/4" - 1 1/2" B LAYER 10YR 416 L6wn LEACHING Double Washed DARK YELLOWISHBROWN L6 Stone L.., Qulkhead CHAMBER 60rr LOAMY SAND 29.5 \ Joan Peters of Cl LAYER IOYR 4/6 I. Osterville Inc. r 4' - 10" -� I DARKYELLOWISHBROWN B.M. �- 8' FINE SAND / Sill x x 30.3 " #0.2 .1 #12 36.6' o� �.� - 50 C TEST 1 2. Sty w/f a ( o 4s CROSS SECTION OF CHAMBER �.. PERC RATE<2 MUV/IN(L Dwellin TAR=0.74) 27.0 - g ' TOYM Abutters NOT TO SCALE NOT YELLOW Z Shed n -1 MED.-FINE SAND o" 120 2* PROPOS 24.5 l *SETBACK TO L 2Q S D-BO ` FOUNDATION �, k¢p�- Garden VARIANCE FOR NO INCREASE _ IN FLOWP PO Shell Dr'r3 ' - g KC TES T HOLE-2 cb/* 10.2PROPOSED TH 1 House F.F. El. 36.6 4. S.A.S. Lawn ..........Pro.Born F.F. D. 38t EL.3 5 , $ TH- (YP) Vent-with Char Coal Filter ... FILL.' 4' ,. Vent See Note 6 t Final Location of Vent to be F.G. EL. 35.0* - *Final Foundation GradingTo Be F.G. 6rr ..(SHELL.DRIVE)'.'..'........'. 34.0 . Gwen Coordinated With Landscape Plan field adjusted .. Edge o ave� ...M Flow Equilizers 1 ......... 36". (CLE- -FILL) 31.5 '.0 4 cb/dh House EL. 32.25 � As Required �- - - o=3: nd Barn El. 35.00' []IB LAYER 10YR 416 EL. 1500 Gallon T� EL. 31.50 rr nstaller To DARK YELLOWISHBROWN m� Bay Street o!o j Confirm Prior Septic Tank EL. 31.50 LOAMY' Dc o Any Work H-20 Required H-20 60 29.5 (See Note 5) D-Box EL. 30.83 Cl LAYER 10YR 4/6 H-20 DARK YELLOWISH BROWN n D 0. 0 Leaching FINE SAND To Be Installed On Chamber / Stable Compacted Has 0 Bedding,'.T"s Inspection Port, tf.Eirczitii4teiad Exerrtdwe::Bt:.:Rplge.::: 90" 27.0 & Baffels All t?nsu�tob{e Sods 1Nit{�iri 5.' of A14f as Per Title 5 S Thy Qu#er Penrns#sr of:.'Th4::SysfeMLo qc N BROWNISH YELLOW T. MED.-FINE SAND EL. 23.5 f 132" 23.5 �n No Groundwater Per Test Hole 2 DEVELOPED PROFILE OF SYSTEM I EL. 5 SITE ITE PASSED NOT TO SCALE Per r.o.B. Standard T/TLE PREPARED BY. - PREPARED FOR: NOTES: P�Site an • 1.) The property line information shown was _ Proposed Imp1 olveew 1entS Engineering & Harry El. Jr & Jane M. EkblOt1'1 compiled from available record information. � ivan 282 Linden Street Unit 282 '� At consuiting, Inc. 2.) The topographic information was obtained./ Q �+ Wellesley, MA 02482 from an on the ground survey performed on. l 2 UG�J Street (508)428-3344 • P.O. Box 659 • 7 Parker Road, Osterville, MA 02655 19/Aug/16. Bamstable Mass seciesullivanengin.com • www suilivanengin.com Otosterville) 3.) The datum used is Approximate NAVD '88 ri Draft JOD 20 0 10 20 40 80 based on Town of Barnstable GIS. --4. DATE SCALE: ,r= Review: CTR March 15, 2017 1 20 Project: 36026