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HomeMy WebLinkAbout0184 EAST BAY ROAD - Health 184 east Bay Road Osterville f } I 1 N SMEAD No.2153LGN UPC 12134 HABTOM UN No. FEE A j < COMMONWEALTH OF MASSACHUSETTS - Board of Health, .tt.1��.� r 3prrf� i ,MA. APPLICATION FOR DISPOSAL SYSTEM CONSTRUCTION PERMIT Application for a Permit to Construct(\/RepairO Upgrade( AbandonO - 1GComplete System ❑Individual Components Location ner's Name ?e�S Map/Parcel# 1 , Address Lot# A Telephone# Installer's Name C ��/� Designer's NarSTEPHEN J. DOYLE AND A SSOMIES Address // Address 42 CANTERBURY LANE ,eQo a' sTo«r ,llf 4 EAST FALMOUTH Telephone# 10 8,4 S`1T Telephone# 608/540-2534 L Type of Building Lot Size rAi !7 g r, sq.ft. /VW7ff-1--n7—__DXo.of Bedrooms_A 0Y.1 s j Garbage grinder ( ) ti Other-Type of Building No.of persons Showers ( ),Cafeteria ( ) Other Fixtures Design Flow (min.required) 510 gpd Calculated design flow Design flow provided !) gpd Plan: Date tr Number of sheets , Revision Date Title V M ry-114— LAP!A 0k A+®.►-3. Description of Soils) i'G ` y,44Q Soil Evaluator Form No. Name of Soil Evaluator 5v: (�(� Date of Evaluation 0 DESCRIPTION OF REPAIRS OR ALTERATIONS The undersigned agrees to install the above described Individual Sewage Disposal System in accordance with the provisions of TITLE 5 and further agr a to of to pI ce the cysstt%gym in operation until a Certificate of Compliance has been issued by the Board of Health. L ed G (s�t��� Date 3 PO4 ections TOWN OF BARNSTABLE Lax ATION / 'A kG 4 d4f SEWAGE # 41LAGE XA ASSESSOR'S MAP & LOT INSTALLER'S NAME&PHONE NO. / � SEPTIC TANK CAPACITY /157021 LEACHING FACILITY: (type) 5-00--7 �-S (size) 41;?�`is•P3)(,7, NO. OF BEDROOMS BUILDER OR COW �9�7riY4 PERMITDATE: " l`t- 0 COMPLIANCE DATE: 7 C� 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 -141-/Xy 1pf74 l',y, R� wo 11ad c Ca✓PY� A /3 30 30 37 36 �= TOWN OF BARpNSTABLE vCA'ITONI�'Y G I« &;e �04ct SEWAGE # LAGS CaIV& ASSESSOR'S MAP & LOT INSTALLER'S NAME&PHONE NO. SEPTIC TANK CAPACITY LEACHING FACILITY: (type) (size) NO. OF BEDROOMS BUILDER OR OWNER PERMITDATE: 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 Property Address: 184 East Bay Road - ----- tr' Osterville Owner. Barbara Andreas9n Date otlnspectloo: — 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. ' r O 3 v\ /O v O A-a- 31 t3-2- /o 13 ,.; �s-n r,..,v+"� r... ' �•'n � .'1"K < ,�..., t,^w .�,r.F.� { .�... �,( •K:.., .. Ar. `�'�^ter•..-.m'ti •f^�'^•r�^'. h..�_ .r. +�-;, No. .•LQV �V a FEE'+ 19 IM0 W LIH-OF-MRSSACHUSETTS Board of Health, -'11-;AdZ y.1 s1'A MTt d ,MA. APPLICATION FOB DISPOSAL SYSTEM C®NSTRUCTIONARMIT �- Application'for a,Permit to ConstructVRepairO Upgrade(V�Abandon( - (a Complete System ❑Individual Components r Location IS4,9,- YSIa,„ '�7 f��oPUI `�O � er's Name Map/Parcel# Address Lot# l (p Telephone# Installer's Name• �• C. � 621 t 7 Designer's NaMPHEN I DOl LE.AND ASSOCIATES Address / Address 42 CANTERBURY LANE O ..3 6/i/vn f Ili X,4 EAST FALMOUTH MASSAC Telephone# i c�a f,.7 S Telephone# 508/540.2534 F Typ,of Bu ding„___ Lot Size_ 'ZA i sq.ft. ellin. - `o.of Bedrooms GAL e Sir �" S 1 C� 1„1 C`t•-h \ Garbage grinder ( ) Other-Type of Building No.of persons Showers ( ),Cafeteria ( ) Other Fixtures t A.Design Flow (min. required) z' 5 T D gpd Calculated design flow S S d Design flow provided fo(} gpd Plan: Date I-S 0 S., Number of sheets ` J Revision Date -�- Title �t?.�' �l l.. uV�2.�g`k A,-O.ry. "t;eU P,- 1 b4 r A•�i� 'r5AJ l G...u9►� x Description of Soil(s) Jam't C� �e't�� /�tq Soil Evaluator Form No. Name of Soil Evaluator 56 - l:W .CL Date of Evaluation 4�--j�C DESCRIPTION OF REPAIRS OR ALTERATIONS t The undersigned agrees to install the above described Individual Sewage Disposal System in accordance with the provisions'of TITLE 5 and further agr es to,not to place the system in operation until a Certificate of Compliance has been issued by the Board of Health. Signed G^% '�' Date ' 3 - 04 v �n5 ections P 4 � No. GCJS~ -a FEE 3� o� '" COMMONWEALTH OF MASSA(ITUSETTS S�r�g �,1 Board of Health, ( &r 14�I0 NIA. CERTIFICATE OF COMPLIANCE Description of Work: ❑Individual Component(s) Q&omplete System The undersigned hereby certify that the Sewage Disposal System; Constructed ( ),Repaired ( ),Upgraded (!Abandoned ( ) by: at I r has been installed in accordance with thww s of 310 CMR 15.00 (Title 5) and the approved design plans/as-built plans relating to application No. �1Jv 1- &? dated ` Approved Design Flow 540 (gpd) Installer Designer: Inspector: Date: The issuance of this permit shall not be construed as a guarantee that the system will function as designed. No. OU -'L'/6 C� FEE 'COMMONWEALTH OF MASSACHUSETTS Board of Health, rn/kJ t�(�f.l , MA. DISPOSAL SYSTEM' CONSTRUCTION PERMIT Permission f is hereby granted to; Construct( ) Repair( ) Upgrade k) Abandon( ) an individual sewage disposal system ' at �l Coll��.�. �I �f L�1�.P ter, as described in the application for Disposal System Construction Permit No. auJ.S '( n.2,:dated 671t Avj— f ' Provided: Constr'uction shall be completed wi in ree Vears of the date of this er :it. All loqd conditions must be met. A/ /I + ti Form 1255 Rev.5/96 A.M.Sulkin Co.Boston,MA Date ! �� V J Board'f'W alth r"eprU tl .F 0,✓7' %1 C, , Town of Barnstable Regulatory Services Thomas F. Geiler,Director NAM » aanxsrrt>ats, Public Health Divisioa Thomas Mclean,Director 200 Main Street,Hyannis,MA 02601 Office: 508-8624644 Fax: 508-790-6304 Installer&Designer Certification Form Date: 0 Z. - ZZ-0(19 Designer: SIEPTTFN,T_ nnti'l F AND ASSOCIATES Installer: 42 CANTERBURY LANE _ Address: EAST FALMOUTH,MASSACHUSETTS 02636 Address: )0 0• 6V 3 j On 'i t DJ was issued a permit to install a (date) (installer) septic system at- t b v*o-r- ��, ©�rr-szkAk-t- ed on a design drawn by (addrdss) 5, aC-J L A oL-0 dated f (designer) V I certify that the septic system referenced above was installed substantially according to the design, which may include minor approved changes such as lateral relocation of the distribution box and/or septic tank. I certify that the septic system referenced above was installed with major changes (i.e. greater than 10' lateral relocation of the SAS or any vertical�relocation of any component of.the septic system) but in accordance with State&Local Regulations.. Plan revision or certified as-built by designer to follow. or AIASS�a�� �pXjk Of�q� G\S?ERF �® CHRISTINE (Installer's Signature)' ® o STEPHEN N R 6Y H A� J. DOY ® �e•C'/ST60 SANiTARk (Designer's Signature) ix Designer's Stamp Here) PLEASE RETURN TO BARNSTABLE PUBLICUALMIDBqgM ..CERTIFICATE OF COMPLIANCE WILL NOT BE ISSUED UNTIL BGTII TRIS FORM AND AS- BUILT CARD ARE RECEIVED BY THE RARNSTABI.,E PUBLIC``HEALTH DIVISION. THANK YOU. Q:Health/Septic/Designer Certification Form Town of Barnstable P# ®k j •} Department of Regulatory Services r Public Health Division Date 200 Main Street,Hyannis MA 02601 /'2 Date Scheduled • Time Fee Pd. Soil Suitability Assessment for age Disizosal Performed B : y- Witnessed By LOCATION&GENERAL INFORMATION Location Address Owner's Name �• Address Assessor's Map/Parcel: 1. ,0 / Engineer's Name NEW CONSTRUCTION _Z REPAIR Telephone# Land Use i>✓ `3 i rn�ti Y.1, Slopes Surface Stones Distances from: Open Water Body� i�O --ft Possible Wet Area_ �ft Drinking Water Well LTft Drainage Way P ft Property Line 10 ft Other ft SKETCH:(Street name,dimensions of lot,exact locations of test holes&perc tests,locate wetlands in proximity to holes) • iz Parent material(geologic) Depth to Bedrock — Depth to Groundwater. Standing Water in Hole: Weeping from Pit Face Estimated Seasonal High Groundwater A - 1 DETERMINATION FOR SEASONAL HIGH WATER TABLE Method Used 1� 4 S �TT�ji-,c►o� In. Depth Observed standing in obs.hole: In. Depth to SQII mottles: Depth to weeping from side of obs.hole: ia, Groundwater Adjustment ft fictor A .droundwater Level Index Well# Reading Date: Index Well level�:_,.,,,,s.... Adj. ,....e.-� � PERCOLATION TEST Dille . Tlme Observation Z Time at 9" Hole# =_.1. I' Time at 6' -- Depth of Pero ' Start Pro-soak Time @ 1 d; do I 0: 1 5� Time(9"-6") ---- End Pre-soak 1 "• I tir `Q Z- 1 Rate Min./Inch t�tsite.•Failed: Site Suitability Assessment: Site Passed Additional Testing Needed(Y/N) 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 Conseicvation Division at least one(1)week prior to beginning. Q:1SEMC1PERCFORM.DOC DEEP.OBSERVATION HOLE LOG Hole#---EOth-th Depth from Soil Horizon Soil Texture .Sdil Color Soil• er Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones;Boulders. Conjisgmcv.Warkye 0-60 oJl; y t o'�J yti it it -14.%.&r�' -131 4-7 141� VA r ��_.,4�• C,,y }.✓l,r,,;p.s��a.l,P .Z, s J 6/� �� •!� �o/� Gu rtra�i�s- . DEEP OBSERVATION HOLE LOG Hole# Z Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders.. CnnsigenpL40 a 6't-kip �p li "-�• �- S j 0�i'e '= i� (i martini ;,i- q-t 5 0 DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color. Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure.Stones,Boulders. Cmsi to Gravel) DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Mansell) Mottling (Structure,Stones:Boulders. veil Flood Insurance Rate Map: 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? _ 6; > >y If not,what is the depth of naturally occurring pervious material? Certification I certify that on '� J(date)I have passed the soil evaluator examination approved by the Department of Env- ental Protection and that the above analysis was performed by me consistent with the required training,expertise and experience described in 10 C1vIlt 15.017. Date D a Signature RCFORM.DOC Q:\SBPTIGIPS ... COMMONWEALTH OF MASSACHUSETTS EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS . DEPARTMENT OF ENVIRONMENTAL PROTECTION TITLE J OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM FORM PART A CERTIFICATION Property Address: 184 East Bay Road S8a Osterville Owner's Name: Barbara Andreason Owner's Address: i Date of Inspection: Name of Inspector:(please print) Wi 1 1 iam E_ • Robinson Sr. Company Name: William E. Robinson Septic Service Mailing Address: P O Box 1089 Centerville, MA Telephone Number:_ _(508) 775-8776. CERTIFICATION STATEMENT I certify that I have personally inspected the sewage disposal system at this address and that the information reported below is true,accurate and complete as of the time of the inspection.The inspection was performed based on my training and experience in the proper function and maintenance of on site sewage disposal systems.I am a DEP approved system inspector pursuant to Section 15.340 of Title 5(310 CMR 15.000). The system: Passe Co Sitiona11 Passes 17 Beds Further Evaluation by the Local Approving Authority Fails Inspector's Signature: 42 ,;� �„�� Date: The system inspector shall submit a copy of this inspection report to the Approving Authority(Board of Heatth-% 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 approxing authority., Notes and Comments ****This report only describes conditions at the time of inspection and tinder 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 I 1 Page 2 of I 1 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION(continued) Property Address: 184 East Bay Road Osterviiie Owner. Barbara Andreason Date of Inspection: v Insp tion Summary: Check A,B,C,D or E I ALWAYS complete all of Section D A. S stem Passes: have not found'any information which indicates that any of the failure criteria described in 310 CMR 15.303 r in 310 CUR 15.304 exist.Any failure criteria not evaluated are indicated below. Comme tc: B. System Conditionally Passes: ne 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. Answ yes,no or not determined(Y,N,ND)in the for the following statements.if"not determined"please expla' . The septic tank is metal and over 20 years old*or the septic tank(whether metal or not)is structurally unund,exhibits substantial infiltration or exfiltration or tank failure is imminent System will pass inspection if the e t qg 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: O\bservation 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 inspection if with 1- pass P approval of Board of Health): broken pipe(s)are replaced obstruction is removed distribution box is leveled or replaced ND explain: Thelsystem required pumping more than 4 tunes a year due to broken or obstvctcd pipe(s).The system will pass inspection if(with approval of the Board of Health): broken pipes)are replaced obstruction is rcozotred ND explain: Page 3 of I OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS ' SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION(continued) Property Address: 184 East Bay Road Ostervi e Owner:_ Barbara Andreas n Date of Inspection: "vZ-Gr 6\S. C. Further aluation 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 determides in accordance with 310 CMR 15.303(1)(b)that the system is Doi functioning in a manner which will protect public health,safety.and the environment: _ Cesspool or privy is within 50 feet of a surface water _ Cesspoolior 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 watei 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. Th7system has a septic tank and SAS and the SAS is less than 100 feet but 50 feet or more from a privat water supply well" Method used to determine distance " is system passes if the well water analysis,performed at a DEP certified laboratory,for coliform bdct'eria and volatile organic compounds indicates that the well is free from pollution from that facility and the pre�ence 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 Page 4 of 11 , OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION(continued) Property Address: 184 East Bay Road Osterville Owner: Barbara Andreason Date of Inspection: " D. System Failure Criteria applicable to all systems: You must indicate"yes"or"no"to each of the following for all inspections: Yes No _ ( ackup 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 logged SAS or cesspool _ Static liquid level in the distribution box above.outlet invert due to an overloaded or clogged SAS or / cesspool d Liquid depth th in cesspool is less than 6"below invert or.available volume is less.than der _ p p y 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. t /Any portion of cesspool or privy is within 100feet 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 coliform bacteria and volatile organic compounds indicates that th P Y Pe 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.] y� (YestNo)The system fails.I have determined that one or more ofthe 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 1 rge system the system must serve a facility with a design now of 10,000 gpd to 15,000 gpd• You must indicate tther"yes"or"no"to each of the following: (71te following cri eria apply to large systems in addition to the criteria above) yes no the s sleet is within 400 feet of a surface drinking water supply the-ystem is within 200 feet of a tributary to a smface drinking water supply - _ — t e system is located in a nitrogen sensitive area(interim Wellhead Protection Area.—IWPA)or a mapped one 11 of a public water supply well If you h ve answered"yes"to any question in Section E Lite system is considered a significant threat,or answered "yes"i Section D above the large system has fatted.The owner or operator of arty large system considered a significant threat under Section E or failed under Section D shall upgrade the system in accordance with 310 CMR 15.3, 4.The system owner should contact the appropriate regional off-ice 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: 184 East Bay Road Ostervi e Owner: Barbara Andreason Date of Inspection: - j'Aa-® 57 Check if the following have been done.You must indicate"yes"or"no"as to each of the following: Yes N '. _ /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? il 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? v — 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 bafflesor 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 7" Determined Existing information.For example,a plan at the Board of Health. 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)] y 5 Page 6 of 11 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION Property Address: 184 East Bay Road - Osterville owner: Barbara Andreason Date of Inspection: �` n O g FLOW CONDITIONS RESIDENTIAL. Number of bedrooms(design):. L/ Number of bedrooms(actual): DESIGN flow based on 310 CMR 15.203(for example: 110 gpd x N of bedrooms): .L/ Number of current residents: Does residence have a garbage grinder(yes or no): Is laundry on a separate sewage system(yes o no):_ [if yes separate inspection required] Laundry system inspected(yes or no): Seasonal use:(yes or no):/&/1 Water meter readings,if available(last 2 years usage(gpd)): 2004 - 32, 000 Sump pump(yes or no): k � - 5-2�0 Last date of occupancy: o-b 5 COMM ERCIAL/INDUSTRIAL Type of establishment: Design flow(based on 0 CMR 15.203): gpd Basis of design flow( atslpersons/sqft,etc.): Grease trap present( es or no):_ Industrial waste hol ing tank present(yes or no):_ Non-sanitary wast discharged to the Title 5 system(yes or no):_ Water meter read�ngs,if available: Last date of oc pancy/use: OTHER(de cribe): GENERAL INFORMATION Pumping Records Source of information: Was system pumped as part of a inspection(yes or no): d If yes,volume pumped:__gallons--How was quantity pumped determined? Reason for pumping: TYPE OF SYSTEM —Sep-c tank,distribution box,soil absorption system �le 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 install d(if known)and ours of information: Were sewage odors detected when arriving at the site(yes or no): S 6 • ]'age 7 of I I OFFICIAL INSPECTION FOI01-NOT FOIL VOLUNTARY ASSESSMENTS • SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION F. OI01 PAItT C SYSTEM INFORMATION(continued) Property Address: 184 East Bay Road Os erVi e Owner: Barbara Andreaso Date of Inspection: - x{, , BUILDING ENVER(locate on site plan) Depth bel w grade: Materials of eonsirmclion:_cast iron _40 PVC other(explaut): Distanc Gont private water supply well or suction lute: Comm nts(on condition of juults,venting,evidence of leakage,etc.): SEPTIC TANK:`(local"on site plait) s Depth below grade: Material of constructiot _concrctc metal fiberglass�,olyedlylene. _ouicr(explain) , _ If tank is metal list a :r Is age confinned•by a Certificate of Com iliance es or no certificate) 1 (>' ) _(attach a copy of Dimensions: Sludge depth: Distance Gom to of sludge to bullonl of outlet Ice or battle Scum thickness. Distance from, rom top of scull,to top of outlet tee or baffle: Distance fror bottom of scum to bottom of outlet tee or baffle: l low were mcnsions delcnnincd: Comments on pumping recommendations,inlet and outlet ice or bathe condition,structural intcgrity, liquid levels as related o outlet invert,evidence of leakage,etc.): CREASE TRAP.Z ?Cate on site plan) Depth below grade:_ Material of cons etion:_concrctc metal fiberglass pol}•ethylene__other (explain): Dimensions: Scull)thickncs/�: Distance Got f,op of scum to top of outle0ce or baffle:_ Distance fr it bottom of scum to bottom of outlet tee or battle: Date of las pumping: COnuncn (on pumping reconunendatiuns, inlet and outlet lee or battle condiliu:t,structural integrity,liquid levels as relate to oullct invtrt,evidence of leakage,-eic.): 7 'age 8 of l l OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Properly Address: 184 East Bay Road s ervi e Owner: Barbara An ream Dttte or inspection: f—�E c> TIGHT or HOLDING T K:_(tank must be pumped at time of inspection)(locate on site plan) Depth below grade: Material of construction concrete_metal_fiberglass_polyethylene other(explaut): Dinunsions. Capacity: / gallons Design Flow: / gallonstday Alarm present(yEs or no): Alarm level: Alarm in working order(yes or no):— Date of last p ping: . Comments(condition of alann and float switchcs,ctc.): DISTIUBUTION BOX: V (if present must be opencd)(locate on site plan) Depth of liquid level above outlet invert: Conuments(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 CIIANIB R: (locate on site plan) Pumps in wor g order(yes or no):_ Alarms in wo -ing order(yes or no):— Comments( otc condition of pump chamber,condition of pumps and appurtenances, ctc.): Page 9 of I 1 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 184 East Bay Road' Osterville Owner: Barbara Andreason Date of Inspection: E,�0--0$— SOIL ABSORPTION SYSTEM(SAS): (locate on site plan,ezcavatiodnot required) If SAS not located explain why: Type leaching pits,number:_ leaching chambers,number: leaching galleries,number: leaching trenches,number,length: leaching fields,number,dimensions: overflow cesspool,number: innovative/altemative system Type/name of technology: Comments(note condition of soil,signs of hydraulic failure,level of ponding,damp soil,condition of vegetation, etc.): Z(cesspool CESSPOOLS: must be pumped as part of inspection)(locate on site plan) Number and configuration: 3 Depth—top of liquid to inlet invert: Depth of solids layer: Depth of scum layer: Dimensions of cesspool: $ dr es Materials of construction: 1_w S ��� C. h el Indication of groundwater inflow(yes or no): Comments(note condition of soil,signs of hydraulic failure,level of ponding,condition of vegetation,etc.): PRIVY: floc eon site plan) Materials of co traction: Dimensions: Depth of so Us: Comment (note condition of soil,signs of hydraulic failure,level of ponding,condition of vegetation,etc.): Page 10 of 1 l ; OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 184 East Bay Road Osterville Owner: Barbara Andreas Date of Inspection: 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. ff� _f 1 �- 31 �- fvj 10 Rage I of 11 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 184 East Bay Road Osterville Owner. Barbara Andreason Date of Inspection: �C�„�a-U SITE EXAM Slope Surface water Check cellar Shallow wells Estimated depth to ground water / feet Please indicate(check)all methods used to determine the high ground water elevation: Obtained from system design plans on record-If checked,date of design plan reviewed: Observed site(abutting property/observation hole within 150 feet of SAS) Checked with local Board of Health-explain: Checked with local excavators,installers-(attach documentation) Accessed USGS database-explain: You must describe how you established the high ground water elevation: c' Y17 a U _ I I1 CAT ION SEWAGE PERMIT NO. "VI L_l AG E ` I N S T A LLER'S NAME i ff ADDRESS B U I L D E R OR OWNER DATE PERMIT ISSUED _ , •-- DATE COMPLIANCE ISSUED 3- ,A��� I '��INt7 r - ` 551 y, 72 tdb I' FAN 10` f I IXs►5T'rNt, P w � 03- I:ZsmNE , J Z, FEB...... .............. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ..........................................OF......................................................................................... Appliration for Uhipasal Works Toustrurtion ramit Application is hereby made for a Permit to Construct or Repair an Individual Sewage Disposal System at: VIX....2>10.................. ............................................. ---------- ....... ............--------------------------- .J.ocation-Address or Lot No. ....................................... .................... ............................................ Ow4er— Address .......04 ......... .... .. . Installer Address /* Type of Building Size Lot............................Sq. feet U Dwelling—No. of Bedrooms....3.............................. ---Expansion Attic Garbage Grinder Other—Type of Building ............................ No. of persons............................ Showers Cafeteria Otherfixtures ...................................................................................................................................................... Design Flow.......... 7------------------_gallons per person per day. Total daily flow..__.._ ......................gallons. P4 Septic Tank—Liquid capacity............gallons Length................ Width................ Diameter_______-_-_---_- Depth.............._. Disposal Trench—No..................... Width............._._.... Total Length........._...._..... Total leaching area....................sq. ft. Seepage Pit No..................... Diameter.................... Depth below inlet.._....-__.......... Total leaching area..................sq. f t. Z Other Distribution box ( ) Dosing tank ( ) Percolation Test Results Performed by.......................................................................... Date........................................ Test 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.__......_............_. ............................................................................................................................................................ 0 Description of Soil........................................................................................................................................................................ W U ........................................................................................................................................................................................................ ....................................................................................................................................................................................................... U Nature of Repairs or Alterations—Answer when applicable.......P4-4_6----- cl.Ar� 12.*.1.....0._V.r�A.-(;Zll Ok) — — _X - - -.(,? --e ... ..................... • ---------P I.. .......1­0----- Agrebment: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of 11'PLIS 5 of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of C mpliance 1ba&44@eu_issued by he Ith sued by ........... . ....I.th...Sign Signed....... ......... .. ............ . . ....................... . ........... atApplication Approved By.......... ................................... Date Application Disapproved for th ollowing reasons:.............................................................................................................. ........................................................................................................................................................ ...................................... ----- Date PermitNo------- .........................—-------------------- issued---------- ............. Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ...........................................O F.......................................................................................... Appliration for Uiipnsaal Workii Tonstrnrtinn Vamit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at: .......�. _... ~r .. .. ... ....5 .................. ...... -......- ocation-Address or Lot No. • alf_.._. .4�✓. Y. .S,�11. ..................................... ............................................................................................. owner"" Address Installer Address Type of Building Size Lot............................Sq. feet Dwelling—No. of Bedrooms.... ..................................Expansion Attic ( ) Gafbage Grinder ( ) Other—T e of Building No. of persons............................ Showers a Other—Type g ---------------------------- P ( ) -- Cafeteria ( ) Otherfixtures -----•-------------------------•-•---------------•-•-----••••-••-•---•----•------=---•--•--•••••--•-••......-•••--. ----•- W Design Flow..........,,'""" -5- ----------------------gallons per person per day. Total daily flow........ ram-........................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........................................ aTest Pit No. 1...........:....minutes per inch Depth of Test Pit.................... Depth to ground water........................ fx Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water________..---•---_..___. --------------------------•-------------•-----------------------------...------ ---------------- ..--------•------------------ 0 Description of Soil------...---•---------------------------------•--•---•-•-----......----•---•-••--------------------------------------------------------------••-----------..........._.. x w x ••--••-•--••----------------••--•-------------••............-•-•••......---•-------•-•-•--•-•--------•••-----••------------•-- ••-••-•-••_..._. ---- ---- - -- U Nature of Repairs or Alterations—Answer when applicable____--1 - _ ___ L24!6' ��i�0� 4urr 4— 1 z' f ram' "'err r !`/ '-%' ............................. Agree ent. The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITIE 5 of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of C mpliance ued by he atd of�l Signed - ............... Application A roved`B ...................••-•----••- - a PP PP y--•-•---- ................... ------- ........ ate Application Disapproved for th ollowing reasons:................................................................................................................ ---------------------•----...----•-------•--•---•--•---------•-•-•-----------.._.....-----......--------- ----------------------------------------------- ------------- --------------------------•--- �� � •;„ ate Permit No........ ---••••-•-•._...... issued_----..3-._ � - --- ....................... Date THE COMMONWEALTH OF MASSACHUSETTS , y BOARD OF. HEALTH ..........................................OF..................... .............................................................. At Tntifiratp of Tout liFanrr THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired ( ) by.................................................................................................................................................................................................... I ller at n 11tt P - ----•------ ' ` ---•------ has been n accordance with the provisions of TIT F The State Sanitary ' de as described in the application for Disposal Works Construction Permit No----8 _�............... dated_-_. ..._. ................ THE ISSUANC .OF THIS CERTIFICATE SHALL NOT BE CONSTRUE® AS A GUARANTEE THAT THE SYSTEM WILL FURCTI N SATISFACTORY. 7 DATE................. ................... Inspector......... ----- ................. ............................... h THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH FEE........................ Rapos al" arks 109k1anstrnrtion "unfit Permissionis hereby granted.............................................................................................................................................. to Construc ( ) or pair ( ) an Jndividual Swage Disposal System at Street as shown on the application for Disposal Works Construction Permit No... Dated....... ............... ............. t bB4 •••--------•..................•......----oard of Health DATE .. .. .... ... -----•-------•-----...... FORM 1255 A. M. SULKIN, INC., BOSTON- - - U� pp O' _ 14, ,,_i• - TYPI-CAL NOTES: 9'-i• - STRUCTURAL WGIN!!R/DESIGNeR TOP KFOIW FRAMING INSPSECTION Si' DIAM CORRUGATED ZEN FRAMING IS COMPLETE AND 7•RIOR TO WGLOSURE 31Y INTERIOR • GALVANI AY�WD/STEELGRAVE WALL PLASTER BOARD/FINISH. ____ __ _______ SED, TITICAl- . I I - e T-------2T--------I I ---- ------- 'ff f i I I ----I I I j j r------ i w`� -�� p y I I I I 4x4x,260 Tuee 4x4x,250 Tuee STEEL UP/DN. STEEL UP/DN. ON x'xW.W DP. ON 50 5•xlz' DP. x4x 250 TUBE CONK,FOOTING,T1T. 4x4x,260 TUBE C.ONC.FOOTING, BEAM PKT, rn. I I 3 L( _ I EEL UP STEEL UP I 1 I — ------------ --------------- I I (� �do� -3 1 d r----- — El rru -----------i------------ .--— BEAM PKT. I I - I � le'-10" 16�-a• y W� lo•THICK k r-Io' I r —� I I 1 I I I 3 31s d5 ��a I CONc.wLL'oN a R I ( WN zoA•xto coNc. 1 I I I 1 z FOOTING I ._ 2._ . I 16'42• l NCBTE rP. II— � rI �---—�I — ———L =i7 1I —— rr 1—I 1 CONC. �—�—'---kFcrG°Pr r �] $ 1 /� .l.(/Y J� L I—J L--J L.—ii_J L__J �III I�J l 02Si5�4=�� BEAM T. I I n 2)�x 1 I I I BASEMENT I II r p I/2•coNc. FILLED' ——— } y'In� U✓� C/� 8 8 I I 1 I I I STL.LALLY COLUMN ✓� \ W w r ON ni•xx xlz' OF. e•coNc,Bu r—— I o 1 J FLUSH I I .CONC..FOOTING, TYP. n FOR-FIREI'LACe I i I r�d 4- Q �' L——J FOUNDATION WALL r .Z I I I VL I L—_J I b I rl L— J I L__ n EXTEND OOTING I2' I I . 1 RI I c pPRNn 11 E— .... O eraN F.P. — LL 8 D .P - - — -- o - - - w S.-Ill u '-u 6' a u° w z• C/] e 6 tisse I B ............................... ......}................................. ............... L....................,.............................. ................................................................................................._..... ...................1............................................................................I............................................ s 7 I I : ( UP aeAFt PST. r—— r—— r ——-i 1 r—— € DROPPED I I I 7 i. I I ILL a)I'rxll%' LVL I 1 I YP b I I ----------- -- 1 L--J I L-- J g I TY�,%• �IRE�e GGI'm 1 JJ I f IIIrIryII- eCAn'.PKT. L ,e I I •CONNECTIONS W/LIVING SPACE i 1 j l a 4 e . . , 10'ti vl' I �iY U v r 25 —I J I r—I—-i r I� I II I I I I• b� GARAGE SLAB FLUSH I J L I I t.1 .I TWITW&x 7'-tO' ILu F GARIOfE W/26s5 TOP�EDOTTOH AEA R� I cv 2J2xl2 ( 0 CONC. WALL ON I d REST FOUNDATION ON p'XIO'STRIP FOOTING. I I p,_0, I Q I X CFO�N I 'xl0' CONC. Z Z . I I j�F PW. ROVIDE 04»HORIZ.BARS CONT.IN STRIP f sY< FOOTING W/KEYWAY.LAP TOP S6 BARS TO I RAIN WALL DARE.PROVIDE TRANSITION �- , QLu VERTREINFORCING OOR I 0.W Ps�Ie ero s°PA"ciaaR 1 n .� BOLTS 00-01O.c.MAX. I I r}----- -----=---I----- --1� b I .o � �Q�< ' I 3 1/2 CONC. FILLED I - STL,LALLY COLUMN PERI PITCH Iro'PER FOOT I L-------------� — �---- * ----f — t I I Z W �u I TOWARDS DOORS I ' Z.If I I 1 I b I L_DGn MKT. R 1 Igk ------- ——————— Q_ W�m� - < I Is�gg n I I I I • i I � N �F Z F C A I I A 10'C40 THICK k 4 N it ...�<........................................................................................................................1:.....1.:...................1.. � �. WALL ON BASEMENT NOTES: �W� GON'T 20'x10• WNC. LL Q v I FOOTING I. MAIN FOUNDATION WALLS TO DE l0'FOURID GONG. W/1WIS BARB TO!' 10 THICK k 4'-6' a BOTTOM REST FOUNDATION ON 10 STRIP FOOTING. 29 CONC. WALL ON PROVIDE 50"HORIZ,BARON IN STRIP FOOTING W/ :a _ I p' MIN, L TOP OF FOOTING.PROVIDE 6;%Xlp ANCHOR 5 I/2'CONC.FILLED —— — FOOTING 2'xl0' CONC KEYWAY.�E•5 VERT. DOWELS•24.O,C ki FOO EXTENDED N STL LALLY COLUMN DOLTS 4-O O.C.MAX. I z,ALL STRUCTURAL STEEL COLUMNS TO BE 5 1/2'CONCRETE FILLED LALLY 1 I o - COLUMNS TO IDCTEND TO FOOTING SELa L PROVIDE i•xi'xp/S'CAP PLAT! p'-i• 10'-0' 4'-p' 11' O' 4'-p' a 7'.M 5/4'BABE PLATE W/2 ft/4' DIA,BOLTS.WELD ALL CONNECTIONS cI FOOTINGS TO BE 56'x36'x1 2' SQUARE CONCRETE W/5 ab BARS EACH.WAY, j I I PROVIDE I2•SLAB FOOTING FOR p. DOUBLE FLOOR J018T6 UNDER ALL PARALLEL PARTITIONS, WIx �I DRICK STEP. INCLUDE•4 I Lb I I RI2AR8 S OU 0.C,TO TIE. 4.CONCRETE SLAB TO BE 4' POURED CONC.ON COMPACTED FILL. CUT JOINTS ALONG WALLS AND BEAM COLUMN LINES. E pZ �9999 � d. IN TO FOUNDATION. Q I I 1 I Oi G D 5. CONTRACTOR TO PROVID[BASEMvfr V[NTl,l�ATION As E ji ap - REWIRED BY COD!(WINDOWS OR MECHANICAL) B I~" 10' THICK x 4'-S' I I n �`.✓ '8 i CONTRACTOR SHALL INSURE THAT ALL FOUNDATION WALLS MAINTAN I < CONC. WALL ON I 41-0, MINIMUM COVER. 1 I FOOTIN'TNG 20•x10' CONK. I 7,PROVIDE WEB STIFFENING PLATES AT ENDS OF STEEL BEAMS TYP.CONTRACTOR.SHALL FOOTINGp I ) MAINTAIN 4B MINIMUM S.SEE STRUCTURAL DRAWINGS FOR LOCATIONS OF ALL STRUCTURAL COLUMNS. q CONTRACTOR SHALL NOT SCALE DRAWINGS FOR DIMENg ION B. ANY MISSING, —————___———— MOOTING COVERAGE �' ———— — — J I - IaCORRECT OR QUESTIONABLE DIMENSIONS NOT ORauGHT TO THE ATTENTION' OF THE DESIGNER BECOME THE RESPONSIBILITY OF THE CONTRACTOR• Rp _ IO.GARAGE AND OTHER PILLED FWNDATION9. 10' PWRED CONCRETE WALL' � \ W/21 06 TOP DOTTOM BARS. REST FOUNDATION ON 20'XIO STRIP FOOTING. • .�, ————————————————————— PROVIDE?•n5 CONTINUOI/9 FbRIZONTAL BARS AND KITWAY IN STRIP FOOTING. Q \ ' - LAP TOP DARB TO MAIN WALL BARB. PROVIDE TRANSITION R[INFORCING W/q C 0) R8 BPAC[D�12'O.C.VERTIG4LLY. PROVIDE pro•Xlz gNCy1OR.ppLTg S 24'-O' IS'-i' Iq'-i' Ib'_O• 4B�- O.C.HA%. � O) m O O � Z o � Q PATIO CENTIE W/GABL.E O TEMP FN se-B � Y 1i' r►inlie-s ' § p I § KITGNEN § y _ `wr'uLeveRvi MEABOVE T § J -- o -------------- ------------- MASTER,BEDROOM 'S f _-____----__J S' DIA COL.. PINOVIuReE-41a � PROrirm2o°� K'TRANSOM - i >~ W li TRANSOM IO• d .. Ew Q ��� 16�"D• '- &3�q� =�� _ REF y,IALL. o - S' DIA. 4 �p •. I - � - OVEN COL. _ n �.7i CONTRACTOR MALL FNSURE UZ TWAT 1'IRDrLACG/CNII'MCY I ♦- x� NY q CONSTRUCTION COMPLIES IO A 0 ; i'�i'P.T.MST \ LOCNAL AR�AND T6�FE1•Y AND NCODES: WRAPPM TO W.AG. .I I CAB �. 4",CAE- TYPICAL - TYPICAL X O 2sb I b.l '• �./ BA WOARDr Q� �A IANTRY �.I Ib MI o "` A ININ CN IN E 10 E IONiI ! § SCALE 114'I M. MATN .-A.r i;_y 5'-S.. S'_i' cfJSIDE Boss eoie - e'VIA. 2iiSnBRTRY BB+cM uNE4 ———— coL , W cn ............... .. n .. ......... ....1.............1 I I I I I I .... ..... _ ........ .. ...L.. ........ ..... 1 .7 ............................ �7wq I I •. O � i i'. 4•2I I FRONT ING LAV Q b 2cie - 1 a 15'-I' STEP _� - 20 MIN.DOOR ��}►j/�J�.,J�yJ SPLAY AT ABLE COUNTER 61NK �i/ It FLOOR LIVING. PT. 22" STAIRS RAILING•POSTS 26G6 -- a .. 2d FLOOR e0 FT. 22K - ABOVE FIRE PROOF I TO CEILIM4 1 1 I BELOW STAIR TOTAL LIVING 4%5 Qiie oPEN TO i iiJ I DEN/STUDY GARAGE eo IT. ee4 d PULL DOWN i v 2oie ABOVE a I I U�NFINISNED B O AG!BO FT. 47I b V STAIRS FOR �i NW i j ' I I� - W ATTIC ABOVE �� b 24N:6 ! FOYER I '� I I ? TOTAL De BALCONYCOVERED AREA FT. i�4 U) 60 �( 4ose BALCONY ARF1�8 eo FT. 210 R Z . '_II•. 5'-4' 2' 5'-IO' 11-i' S'-4' 0 15-e' Y ATTIC STORAGE AREA SO FT. am - w>Q DOGS tu/2)14'B.L. D' 4� n TOTAL 7DD5 � L.! ' 12'TRANSOM ABOVE _ _ 'o BEERRGA-A-9a'DOOM W/ --------- N� INTEGRATED 61DE LIGMT6- h REAR VENT Q W }0 •§ - - - GAS FIREPLACE, W v - a VERIFY n 4!� b W,oWNtSc N 'i GARAGE FL-MI" _ O ENTER W/GAeI § in Q § PROVIDE I LAYER 6/e• '.FJ� J—L - w�4} •CONNECTIONSEX' W LIVING b i BRICK ? TWIS52 2L.:-Tm S62 § 4 d v ❑ DRICp STEP ❑ ❑ I GABLE b OLu L� x g A o lL _ F ......... ......... .. ................. ......... A d................................................:.................................................... 6 6 N '4 r°2' -4OL BRICKERY PPED To 10'So.. - - 7. BRICK STEP R LW R.T.POST - WRAPPED TO 10'BO. tt 4_4. i G + TYPICAL d o D .. G NOTE: ' fits ALL WINDOWS ARE TO BE �IC w oC ANDERSON 400 SERIES g € TW W/ APPLIED GRILLES , its l c § INSIDE AND OUTSIDE TN24W TH2452 _ DW7241e L%R241D V - - 0 ALL EfNTlRIOR SMALL BE 2Ki N WpLL6 1 0. •li O.G U LESS OTWERW BE NOTED. _O 2.16�0'C UN'i—O�T14MO SMALL OC NOTED d ; N 10'-O' 4'_Da II'-0' 4'-D' - S.CONTRACTOR SHALL VERIFY ALL WINDOW 10 'VIA m ly-a i'-a 5'-i' RouGM OPENINGS PRIOR TO ORDERING WINDOWS. p 24'-O' - IS'-i' - Iq'-i' - li'-o' D'_p• 4.CONTRACTOR SMALL VERIFY ALL DIMENSIONS _ PRIOR TO CONSTRUCTION. CONTRACTOR '- - ASSUMES RESPONSIBILITY FOR ANY MISSING OR N 7e'-6' - INCORRECT DIMENSIONSNOT OT BROUGHT TO T'NE ATTENTION OF TWE DESIGNER O z -�r COfTER W/CABLE CENTS III/GABLE N Tt o I TW7M i _• 1 a BALCON7, I I LI o i BEDROOM #5 n I ' a i § BEDR�OM #3 i I a I .. �ROVIDDR�O18 1. pr� N: -iza eF WIDEENB��-4 I - ID'-e• Ip,-i 15. IB'-i, D'-el ' IDf_p• ' - C .si� >i� b n I -p. ai• 4-O• n I i 4-•0' :a-i• D-el BEDROOM #4 a' ENTERTAINMENT - I as 9 LINEN 0 g O LIN ______ C GORDCL.CFIII NEY IN DOie •Ilie '• ' e•AROUND file Dose o ATTIC AREAcn �8 .n BATH #6 sile rNcanTAr ROR IQ, a ' BATH #4 Q coNs7RyOTION COI1M IEs v1/ALL a'-e IACAI eTATC AND NATIONALe O �IR�AND e+41•IE CODES. ------ n § E..-'�5 O -3 ----- ? a I Pc:-:all" C - j ""` ------- - " all" a W� . f C 7 I ...................................... . ...... .... ......oie...... .. ......................�. ............ ................. Z Q a T - 7 0 26 1 - •. ----------- - i I vti I .¢ iW C.O. � I I s u s o e a • v • i l • a 1 5 `J� ---- ---- BATH #3 ` cb V I C �• ON LAUN. I O f file :z TO CEILINGCF!zN TO I FULL 21 a�, o T I uNEN --- -- i ADOJE - t(.�,^ LOFT I I r 1 � v I BED ROOM #2 - Q Z ` I .Q> I 6'_4. D'_4.1 I 4'-a• ___- y�-off- o h I. UNr �-- 11 - a ---- --�r-o• r Ipg_p. I r llll---- Q 0 1 p� T4;2a� p �u/J w>LL ' ' TYtleDa'7+t` feDa T14246a - I - •- - _ - `� .Q_ i TWIDDa• FRIT,'141Dleea ^ _1 1 q it CENTER w/ ABLE .. - Z .....I 6 b ......................................i...............UNrINIDNED....... T................................................... >a ............... A Iw CABLE - O {!-BAT CCNT ,L -----------JI STORAGE D-o- Ic'-w 6 w'.v li'Lo• 111 �� N n E��h zY G g m eaa-�va4Da�•rwlDDa - � o o ou UL • I O Tom.. p,_r r_qv• .�° ,o yi r ------------------------------------— I �♦ /' 1 ____________ _______________- vs 1 I N se'-•• to«a n' o' y_o. � gs z BALD ONY HUM 4AWTER w/G _____-�I U iB � ! CONTRACTOR TO rROVID I (CONTRACTOR TO PROVIDE I Eel c_______-_t_____ El ACE-- UNDER EAVES j j ACESS UNDER EAVES o - fi - w C/] 98 I\ l JR _ I Q ----> °•° ............................... ---------- ----- --- ----------------- I - - I CAI \ O W Cam/] < - `\ roIMT RI°°wNDGE ATTIC STORAGE \.............. .............. ............................. ............................. m'-e• PROVIDE RoucN ;, _ ^ PLUMBING FOR - FUTURE BATW CONTTOR TO I cif v� j Y VERIFYYLLOC.ATION9 �� - � ., a _____________________________ _ _________________.-_-_-__ _ �� I . 77 u CONTRACTOR TO rwvloE • n s q \`y . I AC E85 UNDER EAVES > • ---- w� UN OPEN TO zw CL w Q>a • CUSTOM EYEBROW - .. n _ _ V W a, / W z. Lr L" I I .0 lL w - n` - I 6 a ............................ ................................I..........I .......... i b Q 0.N OL I I ONT102I ----------' Bill six,I 12 e-------------- r � m o m � � Z BLOCKING FOR PLYWOOD r' 2)1 Vq 4 LVL • • • PLYWOOD _ BIDE - - . ry BLOCKING BETWEEN • 2TS � 8 A < � • W L1 TNRu-BOLT 2 ROWS rn W2'BOLTS I2' O.G. TYPICAL (/3 2)1 Vxt1t' LVL K TRUSS 9 4IQRAf•F�04B. SCALE 1/2' - I'-W G CONTINUOUS RIDGE VENT - - _ RIME RIME I I L L 4x6 POST DN w/2xe li'1 00 GF POST ON • >5 N y, €p � i tf lnR . - LAY-ON ROOF FROM RIDGE 2xe NAILER FROM RIDGH- - _ - Oe �q w/2xe 16'O.C. > y1yy�2aZ5 �zSSz 8 2xe NAILER q E ASFNALT ROOF WINGLCS `ero•cox eNeATNING I 2)1•jx1I 14 ,LVL - - 0Eza��w<15 n o 2x10 16'O.G. ' NEARER - IDw BUILDING PAPER - �I II p - UNFINIBHW 0 p it UNFlNISNED 2xe CEILING ATTIC STORAGE o ATTIC STORAGE R$v o JOISTS 16,D.C. F 1a=4'. �I . ' el'-2' 0. 2 10 li'O.C. Q -W. 8 `yr RIDGE uy%�"im.T6G PLYWOOD SUB-noott`� r CEILING ,R-Bo FDGLe.INSUL 2xIO.16',O.C. - e)1�II'('LVL B)1'j<il%,LVL GLUED AND NAILED, M � JOISTe 16'O.C, 1 ,r « RAFTER VENT CS r' 111 2xe CEILING CANTILEVERED C�O t•1:9�R_.—._.— _ JOISTS li'O.C. =w CID - Im IX FASCIA tN/ALUMINUM GUTTER q,6 �, ,- i i. 1174' TJI li'O.C. FLUB 411'4' LV 2)2),1U bt SOFFIT - - - • eY't'�v� \54 HH #5 3FORM # WALL ENTERTAINMENT „ -n BEDROOM #5 HALL STAIRWELL HALL ? Ix FRIEZE lb VENT BAFFLE 1 2fto 16'D.C. `may L- -- hg - R-19 FBGlB cea1NG. INSUL 1 r « --1r-- O r--�r-- « u �• rJ1 16'D.C.o.c. 2f4116.O.C, JOISTS 16,O.C. I r--�~.— e/4,T6G PLYWOOD SUB-FLOOR - -• W COX_SIIEATNING I I__J 11 L GLUED AND NAILED, T'T 1/2'4WD - VAPOR BARRIER i'-e• '-to' '-e' e'-i' 20'-2' -- -- IB'-6' - 12'-e' - �j�r�tlonooa.—.—._._ —.—.—.—.— — _ TTVIX FIOUSPI•IRAP Y _ — — — — II 'TJI li'O.C. 2nx12 - SIDING(SEE ELEVS.) .—. _. ._ - - _ W-21 e'-4' 6'-la e'-Io' 2'-10' 6'-2' I ` �" 2e'-0' I '-S' 1114,TJI 16,O.G. — — _ _ FLUB" FLUSH � FLU¢�HN � - ,. 2nx12 I ,S ITall'(•LVL I W,^ B)1'jx11 l LVL - I _� FAux BoxED I 2nxt2 B)I'(Ixll'�' LVL FlRE PROOF i l i i i B/4'T66 FL SUB-FLOOR FLUSt•1 . \\ • GLUED AND NAILED, TYP Z Q b 1_____ I � 'BELOMI STAIRS � Q M. BATH H.I.C. H�� I fY :-__- -==a DINING i « $- MUD RM. GARAGE Nit 1B'-r TYP u.N.o. A.9 l) (n l7 a F CAPPED iF--- _ 1wEEWALL y. tl _J _ I I �1E Lu w uj u RIM JOIST II'i('TJI 16'O.C_ ir.--'1 - I t F• RGP'IOVABLE (n Q- . FlRST FLOOR AX. - ._._._._._ t 2X6 P.T SILL ,, - --, Z N LL I4/SILL SEALER _ _ _ / - DROPPED FLUSH DROPPED DROPPED fa POURED COW-WALL / 5)1%x11'4' LVL 2nxt2 2)1%'fl 14, LVL _ B)t•jxu'L' LVL J 2)2xM A 6'COI"-BLABCrED FILL F� FL i'pAl'�•LVL S fLUSN-_ -. C _ I f I-,'1 - � V O W _ 6%6 6/6 WWF TOP IA OF SLAB « BA EMENT7—Y. 21'-2' 1�-If It - , .(Y - / / \ - CONTROTOR SHALL VF . BABB'IENT SLAB _ _ GGG MAINTAIN MI NIMUM M FOOTING 1 p C A.9 ax A.9 .� SECTION � $A �E o .. _ m - s CQ Uj W POST ON POST ION 2xb IL.INQ . RIDGE J0 0TS X O.C. FROM RIDGE .. _ NUOU6 RIDGE VENT - 9 1 11 V LVL RIDGE II I I -R-SO PBGLS.INSUL 7 w I A.6 I / AU{T I{MAUL7 CM M CLG. rr rr r. r rr r rr rr rr ASPHALT ROOF SHINGLES y` SW CDX SHEATHING HE DE'k' LVL HEADER �('LVL y HEADER r HEADER ISS BUILDING PAPER BEDROOM #3« 9 0 uNEN BATH #4 # LINEN o «®BEDROOM #2 ;- 6FBGLe.INBUL rc . - 2XIO 16,O.Q. « 9 « 1/2'COX.SHEATHING 2xb GEEING S/4•TtG PLYWOOD BUD-FLOOR ,GNS GLUED AND NAILED, TYP JOISTS 16,O.C• I2'-4' '-W '-10' '-10,a '-S' 17'-S' VAPOR BARRIER C VENT BAFFLE TYVlIC ILOUBLWRAP ;; BIDING(BEE ZLEVS.) 1%FASCIA _ _ 1 —,—.— — — — — }i s w ALUMItTIII'1 GUTTER .. 1x SOFFIT y II V TJI I6'O.C. I I t ��Ngg6� STRIP VENT )I%XII 7`•LVL FLUSH S)F 1�'plll T`, LVL i. zY O / �oul Hi x HEADER S)I N.III%. LVL I TYPDU N.O. > N eggdz ' I%FRI= to MASTER BEDROOM . M. BATH WI-C� DEN/STUDY A6 �m 5/4'TtG FL SUB-FLOOR € �� � I GLUED AND NAILED, TYP �� A.9 11 ' TJI 16,O.C. Lei ���i3����� A.6 �l--FIRST FLOOR ._. .—.—.—.—.—.—.— p RIM JOIST va EIT MET zxe CEILING RiDGe14' LVL -/ - - CONTINUOUS RIDGE VEI'T _ DROPPED O)I}Fltl • LVL _Q E— 3gg JOISTS 16•O.C. - 5)1%FIIN LVL 2)2.12 RIDGE BASEMENT 3 11�n•�F�eNPOST DIN 91 O,W Vim] $ E\\-' ! D FLY V'Y \ - BEYOND Z Q '].A.6 zXi li'O PLYWOOD, Iz•O.C. A.9 / CUT TO SHAPE OP IT-z' S'-4' S'-4• I6'-O' ' \ I EYEBROW FOR DORMER BA6E'IEtf SLAB _ _ .— 0 ROOF p 2)1 tall 74 VL sn.l2 - - - D HEADER , HEADER S)1%%It V LVL R-60 LB�INdUL - — —10'TOURED CONC.WALL z^ S' , S' 1'- • t T-2' ASPHALT ROOF SHINGLES 4'CONC.SLAB 7XIO DECK JOISTS UNFINISHED SECTION 6'COMPACTED FILL a TAPERED>i'i FT. ATTIC STORAGE h bib•COX SHEATHING - iw ui'wwF TOP IA of SLABPOR ROOF DECK (.� I' IMt BUILDING PAPER - TOG PLYWOOD SUB-FLOOR - - B GLUED AND NAILED, TIT RAFTER VENT \ S)I,*pll74' LVL 6 S� ' 3)1�i, LVL / II%'TJI 10'O.C. LEV LR JOISTS VENT BAFFLE Sb.b.lz� 4=4LE�.-.—.--- b O)I%.tlV LVL _._.—'— —'—'—' PITCH a` yid - h� :9.5.12 g� W . . \ CEILING.LI E BCY D Tx FASCIA .. _ - 2 o d PITW aQ T-6' 6'-6' 9'-10' W/ALUMINUM GUTTER n V PIT& PITW _ « ddd w M Q 1X SOFFIT $f 10 DlCIL JO9T TAPERED COR-A-VENT - aid ! SLOPE FT.FOR ROOF DECK 12 .IN NT STRIP VENT _ « SLOPe SLOPE Qif Q t CANTILEVERED t24' �tv SOFT I%FlLIQS - A.6 Q II�' TJI 16'O.0 to PLAT ROOF DECK (` a izS BEAMS CANTILEVERED V « 902 RIDGE K W w W}U ..!24' FOR ROOF DECK !V4 T6G PLYy�pp S-F1.00R '(7 TOTAL EVENLY SPACED) 9 ED AND NAIL D, TIT a� - - - _ FhTW V/ rz'n<`. A.6 2X6 CEILING SLOPE SLOPE - W JOISTS li'O.C. PITCH PIT& - m Q z .W W N t _ _ _ _ r .: N } z-0 PLUSH F *5.5.12 W CRICKET AS O STEEL BEAM WI 6) II�`' LVL ______ _ PITCH z 11AZ I4.i4 RlIAJIRED 10,14 J /� PITCH -ITCH 1A-W R-19 FBGLS,INSUL 6 NE4 .' LVL - - PIT - 4X6616'O.C. T-10' T-i• 4'-0' O Y VO'COX.6HEATHING A'6 6/4•TtG PLYWOOD -FLOOR n - i'ni'P.T.FORT 0./ U2•rym GLUED AND NAIL D, T7P I MICA KRAPPED TO to'60. _ i - '—nn VAPOR BARRIER V! rnlnc HOu6ewRAP / \ MI ` FOYER i I PROVIDE DURA-ROCK u 12 P102 " 9 I I WHERE CONCRETE SLAB ... 12.12 I PITW BIDING(B!!lLEVB.) ; , - i t BRICK 19 AT FRAMING PITW IS r , .. - FLUBN I PITCH L - qM JOBT \\ / - z�ht12 I I - 14.IO t6.6,14 CRICKET AB Li6b �7ziQ h PIRBT FL.DOR 11 T(,' TJI MK'O.G. I I .— —.—.— PI PITW �' REQUIRED > Wei Ill.F S 4 "W SILL BGIZALIM_ILL — — — — DROPPED - II��' TJI li'O.C. DROPPED - - PI PITW PITCH R PIT ggg � Y SRp4i 2)1 VI V LVL 2)1%xll V LVL - - 12,12 PITCH 6 I/O'COLIC.FILLED � �[ BIAP� - - W FOURID CONC.WALL STLBEYOND Io Y COLUMN ' CONTRCTOR SHALL B�io�P� 1o.1z � SLOPE !4S Iz PIT OAS- PITW 8 `8 kill ��#Q� Q_ MAINTAIN 4S'MINIMUM - PIT& ___I_____• PITCH _ 7 pp FOOTING COVERAGE r ALIGN BASEMENT i 8 lb �� —RIDGES B E �$ C2 5 \ PITCH RIDGE -I-1 PI CUPOLA ti BASEMENT SLAB 'p - C 4'CONC.SLAB 1\ / - 1\ / I2.14-^ III .. ' ROOF y - O 6'COMPACTED PILL. -S - \.�. Z12 S ILTOP OO _PLAN 6X6 6/6 WWF TOP IA OF BLAB A.q co SECTION A.9 z N �• r _ IP FND.CD Afasa et East ty 1� LOCUS PARCEL, 168 frianno 4, 95f sq.f Neck Pond Crystal �s Lake - a LIO v � c.o v 31.6' i 80.7 �Xj 00005 c 4 �� �A� 15.9' S v('f ou�►C�- � R PRtiQ SB"IN D 45.3' 1 GRAPHIC 10 20 Fin.Floor El. 18. 7' Fb2bh Grade M 191t ... 771 1/B" to 1/2" Washed Stone 0 3' Thick et 6"A 7T[M7RT/T'W� Fin&h Grade EL Afain 1 1�7 EL EWER---po Da -mmilm 5.3' WER 6 N Lw_ 8.5' --o-J whAR l. . East Bay L 8 12.83 �NV EL INV EL i3*/'1_iJ* El. 67' 10'Aft 14" Affm Locus INV EL INV EL INV EL 14.45, 13.67' 1 JIZ' Irbabed Stone 14.65' 4 34- BelowRopr Line 15.05' 14.80' 4$ Liquid Level 48- 4 HOLE DISTRIBUTION BOX 0-� 4' ' 42' 58" 4t I 'anno PROPOSED LEACH TRENCH Number of Trenches - I Number of Chambers - 4 PROPOSED LEACH TRENCH - END VIEW 1 N.T.S. 1500 GALLON SEPTIC TANK Neck Pond 1 Install Four 500 Gallon Units Bottom of Deep Observation Hole #1 El. 5.5' with Four Feet of Stone at Sides and Ends. crystal Lake X,(D C-_ T-T;S;- M.A.1=:1 PRECAST REINFORCED CONCRETE DISTRIBUTION BOX USGS Groundwater Adjustment: Install on a level base Zone B Minimum wall thickness = 2" Well M1W 29 Minimum inside dimension = 12" Adjustment - 1.8'_ El. 4.1 Outlet inverts shall be equal to each other and at 2" minimum below inlet invert. IP FND. 1500 GALLON REINFORCED CONCRETE SEPTIC TANK The distribution lines from the distribution box shall all have Minimum Construction Materials Per 310CMR 15.226(2) equal inverts as determined by flooding the distribution box to Tees shall be constructed of Schedule 40 PVC and shall extend a the height of the distribution line invert after all lines have Remove all unsuitable material 5' around SAS 11.6' ASSESSORS DATA: minimum of 6" above the flow line of the septic tank and be on been sealed in place. down to the "C; layer and replace with clean MAP 140 PARCEL 168 the centerline of the septic tank located directly under the Invert adjustments shall be made by filling with durable and granular sand per 310 CHR 15-255 (3), (4), (5). clean-out manhole. nondeformable material permanently fastened to the line or and (6). - LOCUS ADDRESS- The inlet pipe elevation shall be no less than 2" nor more than 3" reconstructing the lines until all inverts are of equal elevation. 184 EAST BAY ROAD, OSTER VILLE above the invert elevation of the outlet pipe. REFERENCE DEED.• 1633 - 200 Septic tank shall be installed level and true to grade on a level, stable base that has been mechanically compacted and on which 6" of crushed stone has been placed to ensure stability and ZONING DISTRICT- RF-1 to prevent settling. Septic tank shall have a minimum cover of 9 OVERLAY AP AND RPOD Two 20" manholes with readily removable impermeable covers BUILDING SETBACKS:' of durable material shall be provided with access ports. FRONT - 30 The outlet tee shall be equipped with gas baffle. Design Data: SIDE AND REAR - 15 Five Bedroom (Increased Flow) @ 5 X 110 = 550 GPD Required Flow No Garbage Disposal Allowed 112.4' PARCEL 168 LOCUS DOES NOT LIE IN A Use: Chamber Trench 421 x 12.83**W x 2' EfflDepth 24,795�- sq.ft. FLOOD HAZARD ZONE. [42' + 42' + 12.83 + 12.83] x 2.0 = 219 sf 42' z 12.83 = 538 sf 757 x 0. 74 = 560 ORD Total Design Flow Denotes Spot Top CB E1.19.86' Flow Increase From Existing Four Bedroom to Five Bedroom Grade (Typ) LCB FM GENERAL CONSTRUCTION NOTES 1. All the workmanship and materials shall conform to D.E.P Title 5 and the Town of Barnstable rules and regulations for the subsurface 103.0' `disposal of se wage. Pump and FillX 2. At least one access port over tank tees shall be accessible Existing Cesspools within 6" of finish grade, with any remaining access ports brought ... .. .. ....... to within 6 ** of finish grade. Ground Water V.. ............ ......... Test JRt S All components of the sanitary system shall be capable of USGS Groundwater Adjustment: 27.9' withstanding H 10 loading unless they are under or within 10 ft Zone - B of drives or parking H-20 loading shall be used under or within Y ...... Well - M1W 29 17 0' 10 ft of drives or parking unless noted Plastic equals may be Adjustment - 1.8 El 4.1' used in lieu of all precast units. ...... 4. The excavator/contractor shall verify the location of all site Water Test Pit 08104105 utilities prior to any excavation, and shall be responsible for Existing 1 69.5' El. 16.3 all matters relating to electric easements. Pa ved 5. Sewer pipes shall be 4" Schedule 40 PVC laid at a min, 0.02 slope. SO FM Driveway 34.2' 6. Any masonry units used to bring covers to grade shall be mortared in place. 28. 7' 7 Finish grade shall have a minimum slope of 0.02 ft per foot. �� ' 16`8fl GRAPHIC SCALE 8. Should water services connection be located closer than ten feet from sewage components, service line shall be set in PVC and 0 20 0 10 20 40 80 & TP.. :176' Pressure tested 0 Existing 78' • 08' Gas Sere. 10. IN FEET 1 inch = 20 ft. -------- -Adj, Ground Prater El. 4.1' Proposed Gas Sery ...... -Ground Water EZ 2.3' TPI El 17 5 0» TP2 El 17 5' E11.7' N Soil Log P#11081 _O" STEPHEN J. "A ► SL I Oyr 612 "A' SL I Oyr 610 BM Top HydlSpindle Do\(LE Perform Ele v 20 88 #37559 Septic Upgrade Plan of Land Performed Bjr S. Doyle 6 Date., Sept. 7, 2005 Da t um: NG VD-t- Prepared For- Perc Rate: <e Min/Inch BOH: Don Desmaris "B LS I 07r 312 "B" LS 1 Oyr 312 • SB FWD, A`1 184 EAST BA Y ROAD In 48" 48 e Oste-rville, Massachusetts 110111 "C111 14 Scale: 1 20' Date: September 13, 2005 FINE 2 5X 614 FINE 2 5y 614 SAND PUC 54" SAND PERC 64" Prepared Bj- 60 64 IV ovii Stephen J Doyle and Associates 4,9 "Cl VARIEGATED LAYER OF LS 11C; VARIEGATED LAYER OF LS 42 Canterbury Lane, E. Falmouth, MA 02536 WITH FINES 25Y512 84`(*nlo.69 WITHMW 2.5 Y 512 89 JIJ-(EL 10.09 9 T ILLIAM Telephone: 5081540-2534 AM LIEBERMAN 210- _7---e C) Z M-M 100311 11c; NO.23971 JA. MED. 2.5,v 614 MED. 2 5y 614 SAND SAND 'GAIAL V 'IF] 5.5, 144" El 5. 0' 150" No Water Encountered No Water Encountered NO, DATE DESCRIPTION BY