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HomeMy WebLinkAbout0140 FALLING LEAF LANE - Health 140_ Falling Leaf Lane ( Oste`rvilte. 2 Bed A 144 003012 I i lilq-.oo3- ota-- Commonwealth of.Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments „ 140 Falling Leaf Property Address Rafer Owner Owner's Name / information is Osterville ✓ Ma 02655 3/19/2021 required for every • page. City/Town 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 out forms A. Inspector Information ` 51 (Is ds D on the computer, Sean M. Jones use only the tab key to move your Name of Inspector F cursor-do not S.M.Jones Title V Septic Inspection s use the return Company Name key. 74 Beldan Lane Q Company Address Centerville ° Ma 02632 Cityffown P State Zip Code 774-248-4850 smjonestitle5@gmail.c0m, SI4522 lean@smjonestitle5.com license Number B. Certifications I certify that: I am a DEP approved system inspector in full compliance with Section 15.340 of Title 5 (310 CMR 15.000); 1 have personally inspected the sewage disposal system at the property address listed above-,the information reported below is true, accurate and complete as of the time of my inspection; and the inspection was performed based on my training and experience in the proper function and maintenance of on-site sewage disposal systems.After conducting this inspection I have determined that the system: 1. ® Passes 2. ❑ Conditionally Passes 3. ❑ Needs Further Evaluation by the Local Approving Authority 4. ❑ Fails 3/19/2021 Inspector'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 form should be sent to the system owner and copies sent to the buyer, if applicable, and the approving authority.. Please note:This report only describes conditions at the time of inspection and under the conditions of use at that time.This inspection does not address how the system will perform in the future under the same or different conditions of use. t5insp.doc-rev.7/2U2018 Tdle 5 Official Inspection Forth:Subsurface Sewage Disposal System•Page 1 of 18 t A t Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 140 Falling Leaf Property Address Rafer Owner Owner's Name information is Osterville Ma 02655 3/19/2021 required for every page. City/Town State Zip Code Date of Inspection C. Inspection Summary Inspection Summary: Complete 1, 2, 3, or 5 and all of 4 and 6. 1) System Passes: ® I have not found any information which indicates that any of the failure criteria described in 310 CMR 15.303 or in 310 CMR 15.304 exist.Any failure criteria not evaluated are indicated below. Comments: The property located at 140 Falling Leaf Ln Osterville is served by a Title V septic system consisting of a 1500 gallon septic tank, distribution box and a 60'x4'x2' leach trench. Although the system was found to be in proper working condition at the time of inspection this report does not guarantee future performance under similar or increased usage. 2) System Conditionally Passes: ❑ One or more system components as described in the"Conditional Pass"section need to be replaced or repaired.The system, upon completion of the replacement or repair, as approved by the Board of Health, will pass. Check the box for"yes", "no"or"not determined"(Y, N, ND)for the following statements. If"not determined,"please explain. The septic tank is metal and over 20 years old*or the septic tank(whether metal or not)is structurally unsound, exhibits substantial infiltration or exfiltration or tank failure is imminent. System will pass inspection if the existing tank is replaced with a complying septic tank as approved by the Board of Health. *A metal septic tank will pass inspection if it is structurally sound, not leaking and if a Certificate of Compliance indicating that the tank is less than 20 years old is available. ❑ Y ❑ N ❑ ND(Explain below): t5insp.doc•rev.MM2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 2 of 18 t Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 4 140 Falling Leaf Property Address Rafer Owner Owner's Name information is required for every Osterville Ma 02655 3/19/2021 page. Cityrrown State Zip Code Date of Inspection C. Inspection Summary (cont.) 2) System Conditionally Passes(cont.) Pump Chamber pumps/alarms not operational. System will pass with Board of Health approval if pumps/alarms are repaired. El 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): 3) Further Evaluation is Required by the Board of Health: ❑ Conditions exist which require further evaluation by the Board of Health in order to determine if the system is failing to protect public health, safety or the environment. a. System will pass unless Board of Health determines in accordance with 310 CMR3 15.303(1)(b)that the system is not functioning in a manner which will protect public health, safety and the environment: t5insp.doc•rev.7/26/2018 Me 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 3 of 18 c Commonwealth of Massachusetts Title 5 Official Inspection form Subsurface Sewage.Disposal System Form-Not for Voluntary Assessments 140 Falling Leaf v Property Address Rafer Owner Owner's Name information is required for every Osterville Ma 02655 3/19/2021 page. CdyRown state Zip Code Date of Inspection C. Inspection Summary (cont.) ❑ Cesspool or privy is within 50 feet of a surface water ❑ Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh b. System will fail unless the Board of Health(and Public Water Supplier,if any) determines that the system is functioning in a manner that protects the public health, safety and environment: ❑ The system has a septic tank and soil absorption system(SAS)and the SAS is within 100 feet of a surface water supply or tributary to a surface water supply. ❑ The system has a septic tank and SAS and the SAS is within a Zone 1 of a public water supply. ❑ The system has a septic tank and SAS and the SAS is within 50 feet of a private water supply well. ❑ The system has a septic tank and SAS and the SAS is less than 100 feet but 50 feet or more from a private water supply well". Method used to determine distance: This system passes if the well water analysis, performed at a DEP certified laboratory,for fecal coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered.A copy of the analysis must be attached to this form. c. Other: 4) System Failure Criteria Applicable to All Systems: You must indicate"Yes or"No"to each of the following for all inspections: Yes No ❑ ® Backup of sewage into facility or system component due to overloaded or clogged SAS or cesspool ❑ ® Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or clogged SAS or cesspool t5insp.doc•rev.7126r2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 4 of 18 Commonwealth of Massachusetts F UTitle 5 Official Inspection Form Subsurface Sewage Disposal System form-Not for Voluntary Assessments 140 Fatting Leaf Property Address Rafer Owner Owner's Name information is required for every Osterville Ma 02655 3/19/2021 page. cityrrownstate Zip Code Date of Inspection C. Inspection Summary (cont.) 4) System Failure Criteria Applicable to All Systems: (cont.) Yes No ® Static liquid level in the distribution box above outlet invert due to an overloaded or,clogged SAS or cesspool - ® : Liquid depth in cesspool is less than 6"below invert or available volume is less than '/2 day flow g Required pumping more than 4 times in the last year NOT due.to clogged or obstructed pipe(s). Number of times pumped: Z Any potion 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. Z Any portion of a cesspool or privy is within Zone 1?of a public water supply well. ❑ Any portion of a cesspool or privy is within 50 feet of a private water supply well. ® Any portion of'a cesspool or privy is less than 100 feet but greater than 50 feet from a private water supply well with no acceptable water quality analysis. [This system passes if the well water analysis,performed at a DEP certified laboratory,for fecal coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered.A copy..,of the analysis and chain of custody must be attached to this form.] The system is a cesspool serving a facility with a design flow of 2000 gpd- ® 10,000 gpd. ❑ -® The system fails. I have determined that one or more of the above failure criteria exist as described in 310 CMR 15.303, therefore the system fails.The system owner should contact the Board of Health to determine what will be necessary to correct the failure: 5) Large Systems: To be considered a large system the system must serve a facility with a design flow of 10,000 gpd to 15,000 gpd. For large systems, you must indicate either"yes"or"no"to each of the following, in addition to the questions in.Section CA. Yes No ❑ ❑ the system is within 400 feet of a surface drinking water supply ' 11 ❑ the system is within 200 feet of a tributary to a surface drinking water supply ❑ 0 the system is located in a nitrogen sensitive area(Interim Wellhead Protection Area—IWPA)or a mapped Zone II of a public water supply well t5insp.doc•rev.7/25/2018 Tole 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 5 of 18 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 140 Falling Leaf Property Address Rafer Owner Owner's Name information is Osterville Ma 02655 3/19/2021 required for every page. citylrown state Zip Code Date of Inspection C. Inspection Summary (cont.) If you have answered"yes"to any question in Section C.5 the system is considered a significant threat, or answered"yes"to any question in Section CA above the large system has failed.The owner or operator of any large system considered a significant threat under Section C.5 or failed under Section CA shall upgrade the system in accordance with 310 CMR 15.304.The system owner should contact the appropriate regional office of the Department. 6. You must indicate"yes"or"no"for each of the following for aft inspections: Yes No ® ❑ Pumping information was provided by the owner,occupant, or Board of Health ❑ ® Were any of the system components pumped out in the previous two weeks? 0 ❑ 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 backup? ® ❑ Was the site inspected for signs of break out? ® ❑ Were all system components, excluding the SAS, located on site? ® ❑ Were the septic tank manholes uncovered, opened,`and the interior of the tank inspected for the condition of the baffles or tees, material of construction, dimensions, depth of liquid,depth of sludge and depth of scum? ® ❑ Was the facility owner(and occupants if different from owner) provided with information on the proper maintenance of subsurface sewage disposal systems? The size and location of the Soil Absorption System(SAS)on the site has been determined based on: ® ❑ Existing information. For example, a plan at the Board of Health. ® ❑ Determined in the field(if any of the failure criteria related to Part C is at issue approximation of distance is unacceptable) [310 CMR 15.302(5)) t5insp.doc•rev.7282018 Title 6 Official Inspection Form:Subsurface Sewage Disposal System•Page 6 of 18 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 140 Falling Leaf Property Address Rafer Owner Owner's Name information is required for everyOsterville Ma 02655 3/19/2021 page. Citylrown State Zip Code Date of Inspection D. System information 1. Residential Flow Conditions: Number of bedrooms (design): 2 Number of bedrooms(actual) 2 DESIGN flow based on 310 CMR 15:203(for example: 110 gpd x#of bedrooms): 220 gpd Description: Number of current residents: 2 Does residence have a garbage grinder? ❑ Yes ® No Does residence have a water treatment unit? ❑ Yes ® No If yes, discharges to: Is laundry on a separate sewage system?(Include laundry system inspection ❑-.Yes ® No information in this report.) Laundry system inspected? LT Yes ® No Seasonal use? ❑ Yes ® No Water meter readings, if available(last 2 years usage(gpd)): Detail: Sump pump? ❑ Yes ®, No Last date of occupancy: current Date t5insp.doc-rev.7/26W18 Title 5 Official Inspection Forth:Subsurface Sewage Disposal System-Page 7 of 18 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 140 Falling Leaf Property Address Rafer. Owner Owner's Name information is required for every Osterville Ma 02655 3/19/2021 page. City/Town State Zip4Code Date of Inspection D. System Information (cont.) 2. Commercial/Industrial Flow Conditions: Type of Establishment: Design flow(based on 310 CM 15.203): Gallons per day(gpd) Basis of design flow(seats/persons/sq.ft., etc.): Grease trap present? ❑ Yes ❑ No Water treatment unit present? ❑ Yes ❑ No If yes, discharges to: Industrial waste holding tank present? ❑ Yes ❑ No Non-sanitary waste discharged to the Title 5 system? ❑ Yes ❑ No Water meter readings, if available: Last date of occupancy/use: Date Other(describe below): 3. Pumping Records: Source of information: Was system pumped as part of the inspection? ❑ Yes ® No If yes, volume pumped: gallons How was quantity pumped determined? Reason for pumping: t5insp.doc•rev.7262018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 8 of 18 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 140 Falling Leaf Property Address Rafer Owner Owner's Name information is required for every Osterville Ma 02655 3/19/2021 page. CitylTown State Zip Code Date of Inspection D. System Information (cunt.) 4. Type of System: ® Septic tank, distribution box, soil absorption system ❑ Single cesspool ❑ Overflow cesspool El Privy ❑ Shared system(yes or no)(if yes,attach previous inspection records, if any) ❑ Innovative/Altemative technology.Attach a copy of the current operation and maintenance contract(to be obtained from system owner)and a copy of latest inspection of the I/A system by system operator under contract ❑ Tight tank. Attach a copy of the DEP approval. ❑ Other(describe): Approximate age of all components, date installed (if known)and source of information: system installed 2000 per town records Were sewage odors detected when arriving at the'site? ❑ Yes ® No 5. Building Sewer(locate on site plan): . Depth below grade: met Material of construction: ❑cast iron ®40 PVC ❑other(explain): Distance from private water supply well or suction line: feet Comments(on condition of joints, venting, evidence of leakage, etc.): Joints in good condition, no leakage, vented through roof. t5insp.doc•rev.726=18 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 9 of 18 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 140 Falling Leaf Property Address Rafer Owner Owner's Name information is required for every Osterville Ma 02655 3/19/2021 page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) 6. Septic Tank(locate on site plan): Depth below grade: 1 feet Material of construction: ®concrete ❑ metal ❑fiberglass ❑ polyethylene ❑other(explain) If tank i -�s metal, list age: years Is age confirmed by a Certificate of Compliance?(attach a copy of certificate) ❑ Yes ❑ No Dimensions: 1500 gallons Sludge depth: 5" Distance from top of sludge to bottom of outlet tee or baffle 3' Scum thickness 21' Distance from top of scum to top of outlet tee or baffle 7" Distance from bottom of scum to bottom of outlet tee or baffle 10" How were dimensions determined? Opened covers and took measurements Comments(on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): Tank does not need to be cleaned now but should be done soon and again every 2 years for proper maintenance.water level was even with outlet, tank was not leaking and was structurally sound. t5insp.doc-rev.7126/2018 Title 5 Official Inspection Forth:Subsurface Sewage Disposal System•Page 10 of 18 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 140 Falling Leaf Property Address Rafer Owner Owner's Name information is required for every Osterville Ma 02655 3/19/2021 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 7. Grease Trap(locate on site plan): Depth below grade: feet Material of construction: ❑concrete ❑ metal ❑fiberglass ❑ polyethylene ❑other(explain): Dimensions: Scum thickness Distance from top of scum to top of outlet tee or baffle Distance from bottom of scum to bottom of outlet tee or baffle Date of last pumping: • Date Comments(on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert,evidence of leakage, etc.): 8. Tight or Holding Tank(tank must be pumped at time of inspection)(locate on site plan): Depth below grade: Material of construction: ❑ concrete ❑ metal ❑fiberglass ❑polyethylene ❑other(explain): Dimensions: Capacity: gallons Design Flow: gallons per day t5insp.doe•rev.726/1418 Title 5 Official Inspection Forth:Subsurface Sewage Disposal System•Page 11 of 18 Commonwealth of Massachusetts .Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 140 Falling Leaf ' Property Address Rafer Owner Owner's Name information is required for every Osterville Ma 02655 3/19/2021 page. City/Town state Zip Code Date of Inspection D. System Information (cont.) 8. Tight or Holding Tank(cont.) Alarm present: ❑ Yes ❑ No Alarm level: Alarm in working order: ❑ Yes ❑ No Date of last pumping: Date Comments(condition of alarm and float switches, etc.): Attach copy of current pumping contract(required). Is copy attached? ❑ Yes ❑ No 9. Distribution Box(if present must be opened)(locate on site plan): Depth of liquid level above outlet invert 0" Comments(note if box is level and distribution to outlets equal, any evidence of solids carryover, any evidence of leakage into or out of box, etc.). Distribution box was video inspected and found level and in good condition with no rot. Water level was even with outlet invert with no signs of past backup_ t5insp.doc-rev.712 8 12 0 1 8 Me 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 12 of 18 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 140 Falling Leaf Property Address Rafer Owner Owner's Name information is required for every Osterville Ma 02655 3/19/2021 page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) 10. Pump Chamber(locate on site plan): Pumps in working order: ❑ Yes ❑ No" Alarms in working order: El Yes ❑ No* Comments(note condition of pump chamber, condition of pumps and appurtenances, etc.): Y If pumps or alarms are not in working order, system is a conditional pass. 11. Soil Absorption System(SAS)(locate on site plan, excavation not required): If SAS not located, explain why: 1 Type: ❑ leaching pits number: ❑ leaching chambers number: ❑ leaching galleries number: 0 leaching trenches number, length: .1 60'x4'x2' ❑ leaching fields number,dimensions: ❑ overflow cesspool number: ❑ innovative/altemative system Type/name of technology: t5insp.doc•rev.7rW018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 13 of 18 I Commonwealth of Massachusetts � Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments �P'4 140 Falling Leaf Property Address Rafer Owner Owner's Name information is required for every Osterville Ma 02655 3/19/2021 page. Citylrown State Zip Code Date of Inspection D. System Information (cunt.) 11. Soil Absorption System(SAS)(cunt.) Comments(note condition of soil, signs of hydraulic failure, level of ponding,damp soil,condition of vegetation, etc.): No signs of past overloading, pipe leading to trench was clean. No lush vegetation, soil was dry with no sign of past saturation. 12. 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 Indication of groundwater inflow ❑ Yes ❑ No Comments(note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): t5insp.doc•rev.7126=18 Tale 5 Official Inspection Forth:Sub9 arece Sewa ge Disposal System•Page 14 of 18 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Nqt for Voluntary Assessments 140 Falling Leaf Property Address Rafer Owner Owner's Name information is required for every Ostenrille Ma 02655 3/19/2021 page. Citylrown State Zip Code Date of Inspection D. System Information (cont.) 13. 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 t5msp.doc•rev.7r4fM18 lade 5 Official Inspection form:Subsurface Sewage Disposal System•Page 15 of 18 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 140 Falling Leaf Property Address Rafer Owner Owner's Name information is required for every Osterville Ma 02655 3/19/2021 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 14. Sketch Of Sewage Disposal System: Provide a view of the sewage disposal system, including ties to at least two permanent reference landmarks or benchmarks..Locate all wells within 100 feet. Locate where public water supply enters the building. Check one of the boxes below: ® hand-sketch in the area below ❑ drawing attached separately t5insp.doc•rev.7/26/2018 Title 5 ORicial Inspection From:Subsurface Sewage Disposal System-Page 16 of 18 Commonwealth of Massachusetts MEMO Title 5 official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments ° 140 Falling Leaf Property Address Rafer Owner Owners Name information is required for every Osterville i' Ma 02655 3/19/2021 page. Cityrrown State Zip Code Date of Inspection D. System Information (cont). 15. Site Exam: ❑ Check Slope ❑ Surface water El Check cellar Shallow wells Estimated depth to high ground water: 12'+ 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: Date ❑ Observed site(abutting property/observation hole within 150 feet of SAS) ❑ Checked with local Board of Health-explain: Checked with local excavators, installers-(attach documentation) ❑ ` Accessed USGS database-explain: You must describe how you established the high ground water elevation: Groundwater was established by accessing town of Barnstable groundwater contour maps: Before filing this Inspection Report, please see Report Completeness Checklist on next page. t5msp.doc•rev.7126=18 Title 5 official Inspection Form:Subsurface Sewage Disposal System•Page 17 of 18 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 140 Falling Leaf Property Address Rafer Owner Owner's Name information is Osterville required for every Ma 02655 3/19/2021 page. Citylrown State Zip Code Date of Inspection E. Report Completeness Checklist Complete all applicable sections of this form inclusive of: ® A. Inspector Information:Complete all fields in this section. ® B. Certification: Signed& Dated and 1, 2, 3, or checked C. Inspection Summary: 1,2, 3, or 5 completed as appropriate 4(Failure Criteria)and 6(Checklist)completed ® D. System Information: For 8:TightMolding Tank—Pumping contract attached For 14: Sketch of Sewage Disposal System drawn on pg. 16 or attached For 15: Explanation of estimated depth to high groundwater included t5insp.doc•rev.MMM18 Title 5 official Inspection Form:Subsurface Se wage swage disposal System•Page 18 of 18 BAXTER, NYE & HkOLMGREN, INC. Registered Professional Engineers and Land Surveyors 3 812 Main Street,Osterville,MA 02655 (508)428-9131 FAX:(508)428-3750 February 16, 2001 RECEIVED FEB 2 0 2001 TOWN OF BARNSTABLE Board of Health HEALTH DEPT. Town Hall 367 Main Street Hyannis, M A 02601 _PT: Lv* 1� Falling Leaf Lane Osterville, Massachusetts Members of the Board: On behalf of our client, McShane Construction, we are requesting a variance from the Board of Health decision of October 7, 1997. This decision required that four lots (1,•12,'22, &:23) have septic systems equipped with enhanced nutrient removal. To date McShane Construction has constructed the following septic systems on Falling Leaf Lane: Fast System— 3 Ruck System— 12 Recirculating Sand Filter— 1 Total= 16 This is over one-half of the buildable lots (24) in this subdivision. On the basis of the number of alternative systems constructed on this subdivision, we are requesting that the requirement for an alternative system on Lot 12 be waived. The proposed house will be a two-bedroom house. I am ready to meet with the Board at one of its meetings to discuss this matter. Please advise me as to what meeting this will be on the agenda. Very truly yours, ephen A. Wilson PE CC: McShane Construction # 98023 Land Surveys • Subdivisions • Septic Design o Wetland Filings • Site Design 6,' C0 1q0 TOWN OF BARNSTABLE LOCATION SEWAGE # F3 Z C� VILLAGE 04T v' `` ASSESSOR'S MAP & LOT INSTALLER'S-NAME&PHONE NO. Mr—St a..v 9ZX-F'SGO SEPTIC TANK CAPACITY ®O LEACHING FACILITY: (type) �VIC_�a� (size) pp 00 YX NO'.OF BEDROOMS ' 'Z-- BUILDER OR OWNER PERMITDATE: COMPLIANCE DATE: 7/06 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 J_A � 3 z3" �L=q 7- 2 6o-V ---� Ay 7z dy =4 zl�z t 7. 155K r� No. � 9 Fee THE COMMONWEA T OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS 01ppYication for Mizpooar 6pgtem Construction 3dermit Application for a Permit to Construct(,Repair( )Upgrade( )Abandon( ) �omplete System ❑Individual Components Location Address or Lott No. �% Owner's Name,Address and Tel.No. G�1 A;1ZX0&LE Assessor's 1GIap�%PTarcel-�/1�6 f7f= L�IJ• OS U�1 `�(�A 1� � 5i� �J�T j-1k)ye l� S 05 [mac Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. Type of Building: Dwelling k----No.of Bedrooms Lot Size lS)3YD sq. ft. Garbage Grinder Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures ,. Design Flow 3 ri n gallons per day. Calculated daily flow gallons. Plan Date umber of sheets Revision Date I — 2 Title ­o:^ /� Size of Septic Tank 6W& Type of S.A.S. CeG f Description of Soil 6 1 i �v, r �l Nature of Repairs or Alterations(Answer when applicable) DESIGNING ENGINEER MUST SUPERVISE IN5 IALLAI ION AND CERTIFY IN WRITING Date last inspected: THE SYSTEM WAS INSTALLED IN STRICT ACCORDANCE TO PLAN. 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 Envir ent ode and not to place the system in operation until a Certifi- cate of Compliance has been issued by this d It / Signed C2 Date `g 9 Application Approved by Date Application Disapproved for the following reasons Permit No. Date Issued r" L ----------------------------------.—.---- Sip, .- s No. ` Fee � < ` THE COMMONWEA T OF MASSACHUSETTS I Entered in computer: r Yes- PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS Z(pprication for Migoal *potem Construction Vermit {� Application for alPermit to�,Construct( epair( )Upgrade( )Abandon( ) omplete System Individual Components f \ Location Address or Lot No. /t �'" 1` Owne�r_'s/'Name,Address /teand �Tel.No.1541, /FAjQ�/�� Af_)�� Assessor's ap/P ce _ j 1 ej ! /-,ZujL G Installer's Name,Address,and Tel.No. v Designer's Name,Address and Tel.No. Type of Building: / Dwelling �No.of Bedrooms Lot Size 151 3L/1) sq.ft. Garbage Grinder "' Other Jype of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow t l ate'.E gallons per day. Calculated daily flower ,gallons. Plan',Date - & Zrurnber of sheets / Revision'Dated— ' iTitle 4PP- -d C ojutz MAa=- Size of Septic Tank 1 4;t�a191-r Type of S.A.S. � t 1 Description of Soil r Nature of"Repairs or Alterations(Answer when applicable) r Date last inspected r r - 'Agreement: �,� The undersignedfgrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of ttie Enviropmentogode and not to place the system in operation until a Certifi- cate of Compliance has been issued byahis d al - , Date R/to% 9 . Application Approved by i Date "'°' `' Aw �t 4 ? Application Disapproved for the following reasons Z, _ i Permit No. "" Date Issued " ---------- ---------- ,,: THE COMMONWEALTH OF MASSACHUSETTS _ BARNSTABLE, MASSACHUSETTS Certificate,of Compliance - THIS IS TO CER ,th t the -s' e S Di posal System Constructed( )Repaired( )Upgraded( ) Abandoned(= )by at v 0 /Lj-fa, has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No. 240 dated Installer -Designer— %#n The issuance ofdlis a shpIl not be construed as a guarantee that the s i ugc ionas sign 1� t Date Inspector/ _____ ___ No. � lGo -----------------------—---.Fee X&'6/r THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLE., MASSACHUSETTS Mtgogal *pgtem Construction Vermit Permission is hereby granted to Construct( A)-Repair( )Upgrade( )Abandon( ) System located at + 1� �,L/_ C,�.1i e!2SR `t ;La& and as described in the above Application for Disposal System Construction Permit. The applicant recognizes his/her duty to comply with Title 5 and the following local provisions or special conditions: Provided:Construction must be completed within three years of the date of this permit. Date: Approved by a' f �.SI G.►-t DATA � y �c!-o �Z�`i -51 NEE FAM Il.`� 3 f3IDR��vvl ' iu o 5AU33AZ�s &-VWV 6W— N I ' 1 b DIAa LY FLOW = 3 x 110 = 300 u�& 200o GAL. M ' S�PnC-- / nA LLEAGI}IQ6 9(6 MK L1 4r-FUGA71ON AeEA 2FL3)'D. / 3 ao �» 10.E /5F = 44� F M Mr>u S!c APPLIC-&WH A¢F� �ESl6N = Z4o SitF\,gA L As�A= Z (2)�Gv� N �TTOM AIZ G Cs -TOTAL A2r4 = / PE>ZGoi.ATIDEJ �dTE L S MN/iWcl{ ' �� 1VN I � , o WILLIAM C. rib ,9 No. 19334 F01ST0i SUV0 V& Z7 YEl T-e+y 2 T 9- 7,6,6 Lisp J:!) b r-O ZS46 '�Y z p ; .�y� 2ooC► , VerAIL aF 4GµIUL T �{ tZEMC� +L 1'APY- ' F.6.ffjA#AA, 'P6Ne 117QD fit_[_. P1 PIr vB>:Y�oFtL�•% �3 STwG i a t P` CE�T1 AI D Pot PLAN! ZhTa&-a -s -r�oN cr- -r ,��4 LocATI0 4 : d5 l t V I LL.C, p LIIS > ; 1 Z Ib�� ScaLl✓ „� �A.1� �o : 3v •q` I 4GZ-p 1=`f rHAT T14 E PP-V P I SE 51 towN PLA{J 1Z E NG7✓ I-FEIZWW czMPL`15 wITA Tj1 E Fz. ZZ- BAGIG EF4VIZEMEIJT OF T145 7004 of 14fAF:- 4-4 PAPAL a- (Z �3 0e►.r5 t4hc�.►�v t s I�cs'L�T� w 11-1.1 l N � _ SP�AL FLrop HAZAZD ZONE. N`/E Ih1G ��CIn L !.{1�1D SUQVI='/CZS • Fd1GIi.lEEY� �.�f o51'�evl� MdSS. uSeD .Tv' 567A,5usy Pr2opFs•ry L►Q55. Ono, 4,14 STEPHEN G\ ALLYN (:!♦ The septic system for the dwelling shall include enhanced nutrient removal as i,u N��L3o°Nb J p0 FG'!S approved by the Board of Health. a , The dwelling shall not have not more than 'bedrooms. REVISED: DESIGNING ENGINEER WJST SUPERVISEegtti I INSTALLATION AND CERTIFY IN WRITING THE SYSTEM WAS INSTALLED IN GTRI-T wnl1y1E1 �, / ACCORDANCE TO PLAN. C. NYE �,b Stl���' j' 16 5t N6Ls FA+IL,( 3 I3eDa� ks o GAOF3Avs r-ZQVW � t t D �a.Lt_Y t=t.ow 3 x do = 33C? I 5ZrnG TANL 3 w x 200 _ GGD eP ISrsO . C." Ll�AGL}II.IG 5�(STI:�VI pES�►1 l / � �7 4r-FU C-AT10N ApF,4 Q6C�'D., pQ0 Q05i:D / 3 ao 6» 10.j d. /SF 44( F M `Mr"'st✓ APPtJeVnOH AVE& "DE5j6N U - 240 toTToM AMA PEZGoCATlo14 p WILLIAM ��, __ ✓ � C. N Y E . N.G �w>tic� LR No. 19334 O FQ�sTEPy�4- _ - �Hp SUK\44 _ P .�-�� ,� i IM/ ZSO I 4S r7-0 1gj , 'y zy z I iz t ter'too w:.� _ A4 j vG3� - - 144, IJ (J�A DE'TAI L of dG�l►JL T> N7!'t�f/�\iP+t 1'A1�1� 4. �1 0 �L� F•6. S L ybC. r R + z• Ya-�Z sso► EL -peoFtL ALt PI Pt v Br= .� 4 PEE S 2 •/s.-I�a sToNG. CEE11 PIED PLOT PLAIQ r or -iZEw-�4 ��r�*►� p LIDS tla,: k2 16"% Sca � �, - 'PATE 10 : 3O •q` I G�zTt�`� T�IAT 'rN E PAP ,l�S�SKIN PL1�:IJ 1ZE'�E�1GE:- I}I`t7F,vN t PL.yS w tTK 1-1}E SI re 1wI_ A►,D> 1--c11-' " j?_ c. K- 3ae5 Q` ZZ q--r - zE0U1zGMEWT of T11s TowN Af'OF -14-4 Pit_ 3 (z �3 0�►.�i t4f'11�►.av t 5 L��L1X1�T� w I r�1 N /� . we- 5P6u AL FL VCV HAZAZ-=.` ZON E. WL&u4 : NYE f MA 05 T'E LL:�r V oFF1=SeTS �YoM �V�1, t t�C�S SI-1o�XD NOT g� QPF( 4N4 C>STGF-Vj CLz .kAIC,I-�UA OS T y USED .Tt7 Es,T14Bc�I51.� I�r opE¢Ty` Li►JES. 4s� 1 c> STEPHEN �\ ALLYNls WILSON �l The septic system for the dwelling`shall include enhanced nutrient removal as No.302 s �90 �FG/STE�`�� approved by the Board of Health: Y The dwelling shall not have not more than 3 bedrooms. REVISED: r�!� e-g ' DESIGNING ENGINEER MUST SUPERVISE or wKtua+ J: INSTALLATION AND CERTIFY IN WRITING C THE SYSTEM WAS INSTALLED 1N STRICT NYE ACCORDANCE TO FLAN. rst . aV�- 'b 5►.31i�-. li. TOWN OF BARNSTABLE �ETHETO OFFICE OF 6 '^ BAMSTAM BOARD OF HEALTH MABB. pj �p A39. ��� 367 MAIN STREET c�nY� HYANNIS, MASS.02601 March 22, 2001 Stephen A. Wilson, P.E. Baxter, Nye & Holmgren, Inc. 812 Main Street Osterville, MA 02655 RE: ` 60.42 Fafling.Leaf Lane Osterville Dear Mr. Wilson: You are granted a variance, on behalf of your client, McShane Construction Company, from the Board of Health decision dated October 7, 1997 regarding Lot 12 Falling Leaf Lane, Osterville. This variance will allow the owner to utilize and maintain an onsite sewage disposal system onsite, without the use of any innovative/alternative enhanced nutrient removal technology. This approval is granted with the condition that the property contain no more than two (2) bedrooms maximum. Dens, study rooms, finished attics, sleeping lofts and similar type rooms are considered "bedrooms" according to the Massachusetts Department of Environmental Protection. This variance is granted because eighteen (18) of the twenty-four.(24) homes constructed in this subdivision utilize innovative/alternative technology. The October 7, 1997 decision of the Board of Health required only four lots (Lot 1,12, 22 and 23) to have septic systems with enhanced nutrient removal technology, and any other lots which were proposed to have three (3) bedroom homes constructed on them to also contain innovative/alternative technology-type systems. This lot (#12) only has two bedrooms constructed on it. It is the opinion of the Board of Health that the development overall as constructed, meets the spirit and intent of the 1997 agreement. Sincerely yours, Susan G. Rask, R.S. Chairman Board of Health Town of Barnstable SGR/bcs Ieaflane BAXTER, NYE & HOLMGREN, INC. Registered Professional Engineers and Land Surveyors 812 Main Street,Osterville,MA 02655 (508)428-9131 FAX:(508)428-3750 Augtis(9th,'2000 Board of Health Town Hall 367 Main Street Hyannis, MA. 02601 J/1 �w �/ Re: Lot 12 Falling Leaf Lane Members of the Board; This letter is to inform you that the above noted septic system.1*8s installed in substantial compliance with the plan dated January 8 1% 1998 If you have any questions or comments please call me. Very truly yours, tDpgh e n A.W i I s o n.,�?.E- cc:McShane Construction 98023-12 Land Surveys Subdivisions Septic Design • Wetland Filings Site Design TOWN OF BARNSTABLE �ETHET� OFFICE OF 9ARY9TAZL a BOARD OF HEALTH y MASS. Al op 1639. \�� 367 MAIN STREET HYANNIS, MASS.02601 March 22, 2001 Stephen A. Wilson, P.E. Baxter, Nye & Holmgren, Inc. 812 Main Street Osterville, MA 02655 RE: `Lo�"t 12 Fallin—_ L n 9 et Osterville A. .� Dear Mr. Wilson: You are granted a variance, on behalf of your client, McShane Construction Company, from the Board of Health decision dated October 7, 1997 regarding Lot 12 Falling Leaf Lane, Osterville. This variance will allow the owner to utilize and maintain an onsite sewage disposal system onsite, without the use of any innovative/alternative enhanced nutrient removal technology. This approval is granted with the condition that the property contain no more than two (2) bedrooms maximum. Dens, study rooms, finished attics, sleeping lofts and similar type rooms are considered "bedrooms" according to the Massachusetts Department of Environmental Protection. This variance is granted because eighteen (18) of the twenty-four.(24) homes constructed in this subdivision utilize innovative/alternative technology. The October 7, 1997 decision of the Board of Health required only four lots (Lot 1,12, 22 and 23) to have septic systems with enhanced nutrient removal technology, and any other lots which were proposed to have three (3) bedroom homes constructed on them to also contain innovative/alternative technology-type systems. This lot (#12) only has two bedrooms constructed on it. It is the opinion of the Board of Health that the development overall as constructed, meets the spirit and intent of the 1997 agreement. Sincerely yours, Susan G. Rask, R.S. Chairman Board of Health Town of Barnstable SGR/bcs leaflane rr x 1 r �ngleHome. FA ' stewater Treatment System 'p,��v�i yy,, _ •• Ala_ 49� getsy«y,�r ix r s vl'Nt F,✓;���t�Y nk 1 . •:>i�.iF..�i it }�_� � �' .. .. 11 ! • �; •� �. . �� - --- t to {t},c.�., 4_. R i S 3 �( !. y �� '� y � r�, The wnslewa�er from n single family have flows into the landscape friendly Single Home'FAS7QD i w •ors, c .'3�y r e ;r a systenr which has been approved under Title 5 by the Massachusetts Department of Environmental ti z r , W +y�x +F "' Protection for remedial and provisional use. `�,1 no filters to clean.or replace and contains only x s� The Problem {' one moving part-the airblower.No maintenance is required by the homeowner. Traditional residential septic systems and even 9 enhanced on-site residential treatment systems In addition to its aesthetic features and i.fswaste frequently fail to meet the stricter effluent treatment abilities,Single HomeFAST®achieves requirements dictated by current environmental Z r , q denitrification (the reduction of nitrate based ey �sEs r s x;: and health laws and regulations. Affected � homeownersmustupgradetheirexistingsanitary Pollutantswhichadverselyaf#'ectthewaterquality r � : .y r T.'3y a g a. of groundwater)in a single tank.The treatment toy�� systems. insert's high surface-to-volume ratio and two settling zones maintain constant bacterial growth H . • • ti ' ' °y °�' ' ¢ i'� '�r��L '1 The FAST° Sol I U t I O fl during both low and peak usage. Constant Tts t, s F , �} bacterial growth ensures a continuous level of The proven Single Home FAST® (Fixed treated effluent. ' Activated Sludge Treatment) system meets or ' 6k. exceeds Massachusetts Title 5,regulations Founded in 1946, Smith & Loveless, Inc. is a governing treatment and effluent requirements. . _ worldwide leader in the design and manufacture £ This low profile, landscape-friendly system of wastewater treatment equipment. Its FAST® I{ G r Sn11ih & LoVeles nc n , features a main treatment insert which installs technology has been used in municipal, underground inside a concrete or fiberglass tank, industrial, marine, and commercial biological 4�a j .�ti similar in size and shape ro a standard septic treatment systems.A product of this technology, r tank.Constructed of mostly corrosion-resistant the Sin le Home FAS I� system was designed materials, the Single Home FAST"system has especially for residential use.., ,s" ,"brochur5 144�y, FY"�} y P Ar r Home FASTO astewater -Treatment System r 10 �a b �1�}r�F FAS'Im`wa's the�firssevr+a�e} �.�'C°{s' a treatment Systerh to o tam Canadian Great, Lakes `certrftcatrottthe4s h stnngenE marine standar to 5 The low-profile thewold) andYon ;Oth� � Single Home O P �f11St SyStCms tO�Ob U s�� FAsr treats Coast Guard re. li'ication' P flows of up to 10 persons or a — —- ' �. five bedroom -- - -- -- ;.Single Home,FA 'l 4as y ! home. Larger I 3 t 1{ also been approved�b the and multiple O ! SRato Massach'e o units are also ' a ,taYsn �x available. ibothrreM 111atte, Contact your 4 r " rovisiorlal`il5e J X representative ! for details. x y.Smtth&Loveles80 a`ai ` f leads Sherrdust + 1 t I bran rn ,,;this n.. r. xg g t�cfit'do �N tomewasteW tern tnaet=x ;t Standard Features : 1. Influent from House Sewer line 4. FAST®Media - houses the 7. Solids Collection Zone -,holds r{ r4 �', eryt. "friendly bacteria" in an the solids which have settled. connects directly from the y { z 13 Occasional solids removal is house sewer line pipe and can environment ideal for rapid re ;,� � .; ' .�� bacterial growth. The high required r N r c r fir ,: } x4 handle the equivalent of 10 J w� t� MCA s surface area-to-volume ratio � a, v persons or a five bedroom home ensures a continuous level of $, System Tank - houses the j. epresented6" treated effluent system.Available in concrete or 2. Primary Settling Zone - fiberglass configurations encourages rapid settling of S, Draft Tube -disperses the large solids entering th®um liquid evenly over the upper 9. Odorless liquid Effluent - and away'4 from the Fast mediasurface of the media,providing discharges into the leach field continuous circulation of the • or disposal well after being �. Treatment Insert - packed wastewater disinfected with bacteria-laden media, the k r"; liquid circulating through the 6. -Totally Enclosed Blower - T 10.Vent - ventilates treatment . J, insert is essentially clear and supplies,air which provides section, similar to the earthy free of suspended solids,unlike oxygen for the bacteria to grow smell of a well-maintained those In conventional a0tivated and multiply compost pile sludge systems }bx,. „�Y9 Y ts -.lid �' . x , •.A �f 1 a 'l't j OI V �,nta .k rl i ?' i e Stateb 520t Solutions for a'World of Water Problems 21�7&! ���i: ©May 5,1995 Smith&Loveless,Inc. DEED, RESTRICTION j 77141 _ 4g f 1 WHEREAS, e4os-,-.SV7fve_7Gem.of /9/ Le vellS MA TA1i (owner's name) (addr ss) is the owner of No .A`u LeA4 z located at ° t ®� Ve (address) MA (hereinafter referred to as No 6 //1�Sz,�y and being shown on a plan entitled "Subdivision of Land in dsC2ycll ri MA, Property of e51�,�r-� et al, duly recorded in Barnstable County Registry of 4 Deeds in Plan Book, Page _ ; N WHEREAS, the owner of said lot has agreed with the Town of (owner's name) Barnstable Board of Health to a re striction as to the number of bedrooms which can be included in any home built on said lot as apre-condition to obtaining a : °o variance from the 310 CMR 15.214 State Environmental Code, Title V, Minimum Requirements for the Subsurface Disposal of Sanitary. Sewage and to.obtaining Y a building permit for this lot; 0 ox Q WHEREAS, the Town of Barnstable Board of Health, as a pre-condition to granting the variance from 310 CMR 15.214, State Environmental Code, Title V, Minimum Requirements for the Subsurface Disposal of Sanitary Sewage, and authorizing the issuance of a building permit for the construction of a single family home on this lot is requiring that the agreement for the restriction on the number of bedrooms in any house constructed on the lot be put on record with the Barnstable County Registry of Deeds by recording this document, NOW, THEREFORE, &43 fyc bOdoes hereby place the following restriction on (owner's name) — - his above-referenced land in accordance with his agreement with the Town of Barnstable Board of Health, which restriction shall run with the land and be binding upon all successors in title: )Kd �If iN� 1 , e,+f- bV may have constructed upon the lot a house containing no (address) more than jhf o bedrooms. IM.C541rtVf (111- 5kV agrees that this shall be permanent deed restriction (owner's name) O �qq 1-e,0! "A , affecting IVD, located on 9Skt2Cj/l MA, and being shown on the plan'recorded in Plan Book l , Paged . poke-SAw For title of rg„rOgyc�wAee the following deed: Book 17,14 91 Page !23 (owner's name) Executed as a sealed instrument this �i x day of. DeC_P berL,2v,,�, (date) ARNSTABLE COUNTY REGISTRY -OF DEEDS JOHN F. MEADE, REGISTER EGISTER RECEIPT #: 2000 32071 RG170R RINTED: WED 12/06/00 11:27 : 12 BATCH: 8901 USTOMER: N/A PAGE: 1 OOK-PAGE: 13410 236 RECORDING FEE: 10 . 00 NSTRUMENT #: 77141 POSTAGE: .33 ECORDING DATE: WED 2000-12-06 11:24 MARGINAL REF FEE: .00 DDRESS: 140 FALLING LEAF LANE COPY FEE: .00 STATE EXCISE: .00 OTAL AMOUNT DUE: 10.33 COUNTY EXCISE: .00 AID BY: CASH CASH ------------------------------------------------------------------------------- TOR/GTEE GROUP: 001 OWN: BARN BARNSTABLE NSTRUMENT: RS RESTRICTION CONSIDERATION: .00 TATE EXC CONSID: . 00 COUNTY CONSID: . 00 RANTOR: GRANTEE: ESCRIPTION: 12 388/22 MARGINAL REF BOOK-PAGE: RANTORS: MCSHANE CONSTRUCTION RANTEES: BARNSTABLE TOWN OF (HEALTH) -------------------------------------------- ----------------------------------- eturn addRESS: MCSHANE CONSTRUCTION P 0 BOX 429 OSTERVILLE MA 02655 ---------------------------------------------------------------- JOHN F. MEADE REGISTRY OF DEEDS BARNSTABLE COUNTY i J. .rO6100 #000000 771.41 # RECORD FEE iO.33 TOTAL_ i O -33 CASH 10.33 I #O1 #1111 11:32 HAVE A MICE DAY JOHN E. MEADE BARNSTABLE COUNTY 12/0 /00 #000000 a, 'f 7i4i ## RECORD FEE 10.,33 TOTAL.. 10 -33 CASH 10.33 Ci:r�:JJ 0048 ##Oi ##iiii 1132 HAVE A NICE DAY BARNSTABLE COUNTY REGISTRY OF DEEDS JOHN F. MEADE, REGISTER REGISTER RECEIPT #: 2000 32071 RG170R PRINTED: WED 12/06/00 11: 27 : 12 BATCH: 8901 CUSTOMER: N/A t PAGE: 1 BOOK-PAGE: 13410 236 RECORDING FEE: 10 . 00 INSTRUMENT #: 77141 POSTAGE: . 33 RECORDING DATE: WED 2000-12-06 11 : 24 MARGINAL REF FEE: . 00 ADDRESS: 140 FALLING LEAF LANE COPY FEE: . 00 STATE EXCISE: . 00 TOTAL 'AMOUNT DUE: 10 . 33 COUNTY EXCISE: . 00 PAID BY: CASH CASH ---------------------------- GTOR/GTEE GROUP: 001 TOWN: BARN BARNSTABLE INSTRUMENT: RS RESTRICTION CONSIDERATION: . 00 STATE EXC CONSID: . 00 COUNTY CONSID: . 00 GRANTOR: GRANTEE: DESCRIPTION: 12 388/22 MARGINAL REF BOOK-PAGE: GRANTORS: MCSHANE CONSTRUCTION GRANTEES: BARNSTABLE TOWN OF (HEALTH) -------------------------------------------------------------------------------- return addRESS: MCSHANE CONSTRUCTION P 0 BOX 429 OSTERVILLE MA 02655 -------------------------------------------------------------------------------- 4' 1 i l OPTIONAL y DORMER 3S E OPTICNAL TRANSOMSre 10 t 17 I: E fE '��•� ---- - ---- i� FF C3C3 vi w Q[�CI� F CC�OC� CIC7�Q 00do x O I ......................................... ._................ s -- - - - - -- - - a . _ BEACON FRONT ELEVATION 7 Ali � SCALE: ydi'-=rp61?' tFfLE �1�EL) � t US�ds Coll _ O 10/^_1i193'] 11:11, JO0^_1C'--'J6 J C 11;';`.`C RC11 ::u Eu; ------------ _- - ---- ____-____.L'_______ , ' 1 r m , 4 r 111111 yy i - u i i ------r- I i I --- ----i-=_---= r r O l0 r 1•-1 1/0' 4 -1 � ao IT-� Ve• �D 1q i • � i m i a Stevan C. Hades, Arahiteat Note• I Q/21/9 9 2_ Is D"u.0 cou P-D• .1 anlall IofflNt team np ara Shan aced I"jrr ahaa Omwlar, h�ago"huaalla DWI (AM) NO-1411 DnSlop may.owl j= as ladba►ad- nA•1 pNro r111 V p a IM:hm shown 1G/�li 1999 11: l� 50^_,^.1t 96 S C H,", ES PP.CH 12•-, 1/8'CP jp -, 1..• „ _ IT ° I Ile v x > W r * I � 1 IJ 7E n A� m -------------------- + D m o= ' O p '^ A j D) 71 =m -O \ v 71 CZ o .......... 1y , 1 I i `-------------------- j . I j ❑Steven C. He Architect Note: 1 O/21/9 9 3. le Ib7 llama Caurt .n gd6,�!1 8e»II IWMt anwnp G»OUR MW tor pIliftim ry��aa..r1' rf�a .nM1�►. U.a.aAurw O@611 (ep0) Ytp-NII De�ninp eu�n.t wL u Indio&9" nnDl DIMN ML Or In.wb shawm 1�/�1/1999 11:15 ` u ::'•t0 '.:'>� S C Ii:a'rC'� r1E:C11 F-;:a •---------- LT A 1 e LA A . r • o 1 1 - '• ;1 1 1 i O 1 1 , Goz() : :- ------- 14 Z nm Utz ......... np In M Y w r o > m m A r• m m :1 ------ Steven C. ft r Architect Note: I O/21/9 9 u dl AV V o.,l..•P.LL Mll toan.t dMWIAM u.WUA IS" or rr.uml- h u shown Mwtbn MamuhumUs QMl (aoe) s.o-tau w..toP nup nx.®r m wwua nlW �I�M rUlbe sualm i 1C1/^1/1999 Tl: :l 50 ''1u.� i96 S 07 rAm rI lvu = •! © K ® 1 tit Y/MAMGttf Al 71(G'D v _ rtOh to/Tttt A&Ov! 1[i4 A y y , Y - 10 li • � � 7 r � ; • FIT 6 ' , o 4 � t r-&J r•s r}}. 6.swry w � r� • 1 .; o Z7 3 1 I • 9 • I � T S�O � � " .• r-r - K � � oQ W Q O CAD � C" ? Yr N C V 0 4 1; p � •_.. 1 I - r-�• r-1• y r •-Iv- r-�o• .•a• sr-o W El8te�en C. d , Arahlteat Note-It Y)tl�lo W,u1•r.a Ih �I AU brmal dmwt p am shoo Mow Joe n� lbMos - trsv w Yrpsab�wtu 6tLL(as0)W.1411 Dm Aqp spry MA arils so la/leols.. /Yyl X sill.IMre Ill e}ru MHM"a-& 1�/�1/1599 11:15 5002"10'.-;,j6 S C PAIL 00 8 ar Ll A A p © w a 4 > 1 a D C p i• O O a: < 7 Y ff > ® , r , u 7X4 CEILING JOISTS • W O.G. a r •� W/NAHGER6 AS REQ'O w .� FROM RAFTERS MOVE :_Y o In ® Rg 0 QC, _ ,• ��s O 1 E%JK , C A 1 p 1 O 1 1 I - ------- 1 i - W 1 r 1 � , V >1 � O •�= J 1 --- -- --`i___ _ Y �I� mlD ; ; o R1.Y _ 1 1 � 1 1cl y j • u , _ >A n U , y •O t� O — ;Aft _ • ►+ Ct = o to - r-r •-i /r .•-�• r- yr � J I at u 0 i O -- ------- — O • tv Mi > O U O • n m 1m N W V-Y 1/7• • ;; _off - o 3•-6- �' y'-Io• - a-IO• _�- IT-o 6'-o• 11: 1IS S03240-, 'JG S C II;',YE= APCH F'c.GE 09 _ T- r- I �•-s IiT -I yr r-r -------- --- ------- ------ - , 1 I 1 I 8040 -y� •5 I i I I GGGG F I I;. r I 1 > I•. 1 � 1 1ri �. , � J § 1 - V4. ` 4'-11N' I 1 411 -- .. 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' PAO (TYPI 2 tS REINF ROOS TOP I BOTTOM PROVIDE SPLASH IOF WALL I 2 sS n BLOCKS • ALL BUILDING SECTION OOTIGS s IN �+ DOWNSPOUTS OR — BLDRS OPTION (- �' PIPE UNOERGROUND SCALE: 3/14° = I'-.O" a- '' TO ORYWELLtTYP) \ n io 0 z !LOT 12..SCHOONER VILLAGE - BEACON 10/21/99 ;,WINDOW SCHEDULE -.. _..... �- WINDOW FRAME COMMENTS A DH 2452 - 2'=6 118"X 5'•5 1/4" 5 (3)ALIGN W/DOOR HEAD ITV GR.RM. B DH 2856-2 Y-7 13/16"X Y-9 1/4" 2 TEMPERED-- - _ .0 DH 2432 - 2'-6 1/8"X T-5 1/4" ---.. ... 4 (1) IN ATTIC,(2)IN BASEMENT D DH 2O32 Z'-2 1/8"X 3'•5 1/4" -- --.,.,.d 1 FFDH 24462'-6 1/8"X 4'-91/4" € 7 (2)IN GARAGE DH 2O52-3 6%5 112"X Y-5 1/4" - i 21 G O M I T T E. D -' H TR2428 r'2%6 I'8"X 2'-11 U4" „G,r WEP1D -- _ 3;ABOVE OWS I BSMT 2817 -�2*-8 5/8"X I'-? 114^ - - 31 _ --K - O M I T T E D ' u L ;CTN28-2 HALF=i ROUND Y-7 7/8"X 3%0 1/2, 2:OVER"B" WINDOWS ----- M !DH 6 4'-11 13/16"X4'-91/4" � 1 N .14 LIGHT_GARAGE TRANSOM 9'-2"X P-2" 2;OPTIONAL _ 'AWNING AR214 •8'-2"X 1'-5 112" 1,OPTIONAL ABOVE FOYER J a cJ 0 c.J a n L7 • f J r ci w ;LO1 12-SCHOONER VILLAGE - BEACON 10/21/99 CL DOOR SCHEDULEL!W - - - - -, . ELEV. SIZE IMAT.!FfN. MAT. -FIN. _ 1,FOYER _ T-0"X 6'-8" iINSUL ' I.. - WAT'SIDELITES,STORM/SCREEN 2 FOYER CLOSET 2'-61' `�— --- — + — i I ----- ...__._.. 3 OFFICEISTUDY 2•-0 1 4 O M I T T E D I 51BATH82 — - - - - - r-4'• - r •--� 6 BATH#2 LINEN 2.-0" _ 7 BEDROM#2 `_' 8,BR112 CLOSET _ BI-FOLD -- - - 9_BR1i2 CLOSET - — } 2'-8" �T -- BI-FOLD - --- u 10!GREATROOM 3'-0"X 6'-8" INSUL FW HINGED FWH3168AR _ I 1 MASTER BEDROOM_ 2'-6" 12 PANTRY - LE - - 2'-0"X 6'-8" --TDOUB o� 13 MBR CLOSET 4'-0"X 6'-8" B F --- _. - 14 NOR CLOSET _. - 44-0" X 6'-8" �- iBI-FOLD -- -- - 15.MBR CLOSET 4'-0"X 6-8" BI-FOLD 16 MSTER BATH A �2'_4 } _ - _ - -- - . i7IM BATH LINEN _ IS.M BATH W/C 1214^ 19;HA LL CLOSET 2'-6" - 20 ATTIC - 21 GARAGE/HOUSE 2'-8" INSUL FIRE CODE _-.. 22 BASEMENT 2'-g" 2'.8" INSUL ' _ - 9 LITE co - ---. 9'-0XT24GAE -0 __- - OVERHEAD - 2SARAGE 9'-0"X T-0„ - ,. _ _-.. _. - --- __ OVERHEAD 26°LAUNDRY (OPi`L) 2'-6" OPTIONAL - -- - - - 27 BASEMENT LITE — . - . 28 WALK-IN GLO. MBR 114^ m m 'ci r, 10/21/1999 11:15 50621102396 S C HAYED ARCH PAGE 02 1 a MAScheck COMPLIANCE REPORT Massachusetts Energy Code Pe .mit # MAScheck Software Version 2 . 01 Release 2 Check d by/Date CITY: Barnstable STATE: Massachusetts HDD: 6137 CONSTRUCTION TYPE 1 or 2 Family, Detached HEATING SYSTEM TYPE: Other (Non-Electric Resistance) DATE: 10-21-1999 DATE OF PLANS: 10/21/99 TITLE: Beacon PROJECT INFORMATION: Lot 12- Schooner Village Osterville, MA _ COMPANY INFORMATION: _ McShane Construction COMPLIANCE: PASSES ti Required UA = 565 Your Home = 552 Area or Cavity Cont. G1 ing/Door Perimeter R-Value.. R-Value U- alue UA CEILINGS ' 444 30 . 0 0. 0 16 CEILINGS 1712 30 . 0 0 . 0. 60 WALLS: Wood Frame, 16" O. C. 2720 13 . 0 0 . 0 223 GLAZING: Windows or Doors 300 0.470 141 GLAZING: Windows or Doors 22 & 290 6 GLAZING: Windows or Doors 20' 0,310 6 GLAZING: Windows or Doors 21 0:300 6 GLAZING: Windows or Doors ..11 0.450 5 DOORS 35 0 i.480 17 DOORS 18 0� 190 3 FLOORS: Over Unconditioned Space 2094 30 . 0 0 . 0 69 HVAC EQUIPMENT: Boiler, 82 . 0 AFUE ------------- --------------------- ----------- COMPLIANCE STATEMENT: The proposed building design described he is consistent with the building plans-, specifications, and other cal ulations submitted with the permit application. The proposed building has been designed to meet the requirements of the Massachusetts Energy Co The heating load for this building, and the cooling load if appro riate, has been determined using the applicable Standard Design Conditio a found in the Code. The HVAC equipment selected to heat or cool the bui ding shall be no greater than 125%, of the design load as specified in Sections 780CMR ..1310 and J4 . 4 . Builder/Designer Date