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0035 HIDDEN LANE - Health (2)
735 Hidden-Lane °Osterville A= 139018 , e _ , No. o :� .�.- �.L..._� _ _�- � Fee , THE COMMONWIVEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS Zippricatton for Migogar *potent Congtruction ermit Application for a Permit to Construct( )Repair( )Upgrade(,/)Abandon( ) RComplete System ❑Individual Components Location Address or Lot No. 3S WI Aokv1 (Ar1 e, Owner's Name,Address and Tel.No. Oskerv-M-e- Robert Tobi ` Assessor's Map/Parcel l 9 70&aSV log'r$ ev (A$'Zv 018 Akw Y6r\&,,MX I000z, Installer's Name,Address d Tel No. � Desner's Name,Address and Tel.No. d���7 %/ COC-E.� f 5�111un"n EDnyt�eer+� � 7 a�2r'^ace 0�712 SO$-�17 -3�� Type of Building: Id & " I S'� Dwelling No.of Bedrooms Lot Size.F) A(RES jq--ft. Garbage Grinder(W) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow gallons per day. Calculated daily flow q146 Ions. Plan Date �L[O`E Number of sheets Z Revision Date Title 5 k Pk n rn Sea FraV� kS J�L It Size of Septic Tank 1500 fit. Type of S.A.S. 3-Soo G,,1 b m6ers Description of Soil- 0--1?, "fop 10YK 91 2.Sy fc1 c.�/ Kos o� 7.SY2 Sly Nature of Repairs or Alterations(Answer when applicable) Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Titl 5 of the Environmental_Code and of to place the system in operation until a Certifi- cate of Compliance has been issued b t s B d of e Signed v— Dat ' Application Approved by _ Date 0 Application Disapproved for the following reas Permit No. 114f Date Issued r. ,,,r,r.•r.-. � .. ..,. •�rp. ... o ! r..Yy.. :tif„". .. .,..,� ..�.. � , =.W' ., -�, . .+-....w.•Y4.•.h .r r''�"�.'.�...._"...;',..'�'y�,R"'R..,-�.r -�. No.L% V V t Fee ) l, i -K THE COMMONWEALTH OF MASSACHUSETTS' #4 ntered in computer: W .r , Yes .. PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS 01POication for MiOP6�41 *p5tem �Congtructiori errrYit Application for a'Permit to Construct( )'Repair( )Upgrade(✓)Abandon( ) Cl Complete,System Individual Components Location Address or Lot No. Y� Lem?-, ,p w. er's a Address and Tel.No. 05ker\JAkR_ t�o�'¢r}N obv� 70 Cas�' J � 5.4re.e� /A,Q.ZV • Assessor's Map/Parcel 3 9 _d 1 8 Ne W Yu rk,N� I000 Z Installer's Name,Addres<.:,.and e1.No. �e%ner'sName,Address and Tel.No. 7 Patter- Q,�, v/f /,JO Type of Building:_• r der °( I>��� ::Dwelling No.of Bedrooms X 5� Lot Size '$ AtRCs Tq ft. Garbage Grinder(4 Other '.w Type of Building No.of Persons Showers( ) Cafeteria( ) s Othe'rFixtures #f Design Flow t gallons per day. Calculated daily flow Sw llo Plan Date � 11 O'( Number of slice s z" Revision Date s" Title 5i 4' r't ��Sc�l �ra�QS _... of 11or• = f Size of Septic Tank �OC+� Type of S.A.S. 3�-00 C10 C l-Pr�becs r 1 Description of Soil IoYKZ /n Z.Sy c� Kos vF 7�5'yR S/Q , Nature of Repairs or Alterations(Answer when applicable) Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of TiW of the Environment Code an of to place the system in operation until a Certifi- cate of Compliance has been issued is B ardgW -J 'r eU) 6 Signed /I Date Application Approved by G� ` � f�; + G�v�� � Date Application Disapproved for the following reasops rr Permit No. Date Issued (� THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS Certificate of Compliance THIS IS TO C$RTI Y,that the On-site Sewage Disposal System Constructed( )Repaired ( ) Upgraded (� Abandoned( ) y at 35 N,d � 11,�1? P��� ha„ constru led in accordance with the provisigt�9'o i{`► �-P�tle.5 and the for Disposal System Construction Permit N '' dated VV Installer ( Designer �� t'v�+'► The issuance of this permit s ' not be construed as a guarantee that t e system ' 1 on as desipte. Date a 1-7 Inspector r' - — -------- - —.-- -------- — {--- No. `— Fee 15 0 THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLE., MASSACHUSETTS f Mi5pa5ar *p5tem Construction Permit Permission is hereby,granted to, nstruct )Repair Ungrade(�)Abandon( ) System located at Hl �en ►� . Gi��vrl -e _ and as described in the above Application for Disposal�System Construction Permit. The applicant recognizes his/her duty to comply with Title 5 and tl<e following local provisions or special conditions. Provided:Constructio f,}� ed within three years of the date of th 7 ,tr Date: A roved b f PP Y � TOWN OF BARNSTABLE LOCATION c �� - is �L SEWAGE #-4 2 a's' — �O VILLAGE Q e�' c,C l/ Z4 ASSESSOR'S MAP,& LOT f% INSTALLER'S NAME&PHONE NO. 4Z 1e 1/i� _ c1� SEPTIC TANK CAPACITY LEACHING FACILITY: (type) 0/ size) I &F� e y , NO. OF BEDROOMS l BUILDER OR OWNER dAe f PERMITDATE: .�%,�� Z-OZ OMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table and 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 exi t within 300 feet of lea dng fa Feet Furnished by � ��; � �� �.. � ®,�, 3 ,�G � � �� ® � �-: �i L ��� �. �,L�vr��fr� . `� � .� Um4ffionwealth of-Massachusetts -=� Title- 5' Official Inspection F,,o,rm SUbslirface Sewage Disposal System Form - Not for Voluntary Assessments C_ 35 Hidden In Property Address _ _----___--- _Bob Tobin two - Owner Owner's Name a, : -- ------- ----7— ------------ „a information is - — requiredforevery Osterville Ma 02655' 8/31/15 page. Cityrrown 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. General Information on the computer, use only the tab 1. Inspector: key to move your cursor-do not Michael DiBuono use the return key. Name of Inspector DiBuono Sewer and Drain - _ ,8n Company Name -- - --- ------ 8 Johns path Company Address - -- — --- ------- - �N� S Yarmouth __ MA 02664 CityTown State; — — Zip Code-- — ---- 508-364-9587 S113522 Telephone Number License Number R.eCertification I certify that I have personally inspected the sewage disposal system at this address and that the information reported below'is tree, 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: ® Passes 'El-Conditionally Passes ❑ Fails ❑ Needs Further Evaluation by the-Local Approving Authority _ 9/2/15 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 is a shared system or has a design flow of 10,000 gpd or greater, the inspector and the system owner shall submit the report to the appropriate regional office of the DEP. The original should be sent to the system owner and copies sent to the buyer, if applicable, and the approving authority. ****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. t5ins•3113 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 1 of 17 Commonwealth of Massachusetts L Title 5 Official Inspection 'F®rm Subsurface Sewage Disposal System Form - Not for Voluntary Assessments. '35-Hidden In. . Property Address --- --- Bob•Tobin Owner ```, — — Owner's Nam informatio n t>4.e required.forAevery OStervll,le _ Ma "02655__ 8/31/15 page. .'� Gity/Town State Zip Code`— Date.of Inspection B. Certification (cont.) Inspection Summary: Check A,B,C,D or E/always complete all of Section D A) System Passes: ® I have not found any information which indicates that any of the failure criteria described in 310 CMR 15.303 or in 310 CMR 15.304 exist. Any failure criteria not evaluated are indicated below. Comments: The system contains a 1500 gallon tank as well as a concrete Distribution box. All tees and baffles are in place. The Distribution box is level and at normal level. The fleaching.islmade up of several le aching'ctiambers'and at time of inspection levels appe'ared'to never have been at abnormal levels. B) System.Conditionally Passes: ❑ One or more system components as described in the "Conditional Pass" section need to be replaced orrepaired. 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 o.r.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): _ _I 4 siiiv r pr • . . 'r ii ,r :. ijr. t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 2 of 17 I Commonwealth of Massachusetts W Title 5 Official .Inspection Form Subsurface Sewage.Disposal System Form - Not for Voluntary Assessments 35 Hidden In Property Address Bob Tobin Owner Owner's Name information is required for every Osterville Ma 02655 8/31115 page. City/Town State . Zip Code Date of Inspection. B. Certification'(cont.) ❑ Pump Chamber pumps/alarms not operational. System will pass with Board of Health approval if pumps/alarms are repaired. B) System Conditionally Passes (cont.): ❑ Observation of sewage backup or break out or high static water level in the distribution box due "`to broken or obstructed pipe(s) or due to a broken. settled or uneven distribution box. System will pass inspection if(with approval of Board of Health): ❑ broken pipe(s) are replaced ❑ Y ❑ N ❑ "ND (Explain below): ❑ obstruction is removed ❑ Y ❑ N ❑ ND (Explain below): ❑ distribution box is leveled or replaced ❑ Y ❑ N ❑ ND (Explain below): ❑ The system required pumping more than 4 times a year due to broken or obstructed pipe(s). The system will pass inspection if(with approval of the Board of Health): ❑ broken pipe(s) are replaced ❑ Y ❑ N ❑ ND (Explain below): ❑ obstruction is removed ❑ Y ❑ N ❑ ND (Explain below): C) Further Evaluation is Required by the Board of Health: , ❑ Conditions exist which require further evaluation by the Board of Health in order to determine if the system is failing to protect public health, safety or the environment. 1. System will pass unless.Board of Health determines in.accordance with 310 CMR 15.303(1)(b)that the system is not functioning in a manner which will protect public health, safety and the environment: ❑ Cesspool or privy is within'50 feet of a surface water,. ❑ Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh t5ins•3/13 Title 5 official Inspection Form:Subsurface Sewage Disposal System•Page 3 of 17 _ Commonwealth of Massachusetts _ W Title 5 Official Inspection Form _ — Subsurface'Sewage Disposal System Form - Not for'Voluntary Assessments �r 35 Hidden In .. . �. Property Address •, ._,;, _ - Bob Tobin Owner Owner's Name information is \g . required for every t,l0sterviII' Ma 02655 8/31/15 page. City/Town'- State -Zip Code Date of Inspection B. Certification cont. 2. System will fail unless the Board of Health (and Public water Supplier, if any) determines that the system is functioning in a manner that protects the public health, safety and environment: ❑ The system has a septic tank and soil absorption system (SAS) and the SAS is within 100 feet of a surface water supply or tributary to a surface water supply. ❑ The system has a septic tank and SAS and the SAS is within a Zone 1 of a public water supply. ❑ The system has a septic tank and SAS and the SAS is within 50 feet of a private water supply well. ❑ The system has a'septic tank and SAS and the SAS is less than 100 feet but 50 feet or more from a private water supply well". Method used to determine distance: *;*�FThis=system passes if the well water analysis;performed'at a DE certified laboratory, for fecal f;r: a `colif6rn bacte'ria'indicates absent and the'presence'of ammonia nitrogen and nitrate nitrogen is equal --to or"less"thain`5-pprri, provided that no other failure`criter mare triggered. A copy of the analysis must be attached to this form. s I'd i 3.1 Other: UOJ D) System Failure Criteria Applicable to All Systems: ".You'must indicate "Yes" or"No" to each.of the following for all inspections: C►r E !:J :�;.rit:,?7: i 4 !Yes ,ij• 't ;1i J• _._.� _._I No 3f ;7' iJ lirii? i itt:.�i1 ,1j r Backup of,sewage into faci►l,ity or system component due to overloaded or ►t•w,r, d„ir,;,0 .,,:, ®...:._.� clogged SAS or cesspool `,o,> f, t.❑-I,., ., •. Discharge or ponding of.effluent°to,the-surface of the•ground or surface waters due to an overloaded or,,c►ogged,SAS gr cesspool t, ❑ ® Static liquid level in the,distribution:box•above outlet invert due to an overloaded or clogged SAS or cesspool .. ❑ ® Liquid depth in cesspool is less than 6" below invert or available volume is less than %day flow 15ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 4 of 17 r Commonwealth of Massachusetts W Title 5 Official Inspection For Subsurface Sewage Disposal System Form - Not for Voluntary Assessments \a 35 Hidden In t Property Address Bob Tobin .._ . ,�•, ..,_ , Owner Owner's Name. information is Osterville Ma 02655 8/31/15 required for every _ page. City/Town State Zip Code Date of Inspection B. Certification (cont.) Yes . No ❑ ® Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s). Number of times pumped.- ❑ ® Any portion of the SAS, cesspool or privy is below high ground water elevation. ❑ ® Any portion of cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply. ❑ ® Any portion of a cesspool or privy is within a Zone e 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 1tharr.100 feet,but greater than 50 feet from aprivate water supply well wit h no acceptable water quality analysts. [This system passes if the well water analysis, performed at a DEP certified : laboratory, for fecal coliform bacteria indicates,absent and the presence i;,;of-ammonia nitrogen and nitrate nitrogen,is_equal toor less than 5 ppm, : :;provided that no other failure criteria,are triggered.>A copy of the analysis and chain of custody must be attached,;to:this,form.]. :; ❑ ® The system is a cesspool serving a facility with a design flow of 2000gpd- .10,000gpd. ❑ ® The system fails. I have determined that one or more of the above failure criteria exist as described in 310 CMR 15.303, therefore the system fails. The system owner should contact the Board of Health to determine what will be necessary to correct the failure. E) Large Systems: To be considered a large-system the system must serve a facility with a design flow of 10,000 gpd to 15,000 gpd. - t For large systems, you must indicate either":yes" or"no" to each of the following, in addition to the questions in Section D. Yes No ❑ ❑ the system is within 400 feet of a surface drinking water supply ❑ ❑ the system is within 200 feet of a tributary to a surface�drinking water supply the system is located in a nitrogen sensitive area (Interim Wellhead Protection El -D' "= Area_IWPA),or a mapped Zone II of a public'water.supply well If you have answered"'yes"fto'any question in Section E the system-is considered a significant threat, or answered "yes" in Section D'above the large system has failed.'The owrier or operator of any large system considered a significant threat under.Section E or failed,under Section D shall upgrade the system in accordance with 310 CMR 15.304. The system owner should contact the appropriate regional office of the Department. t5ins•3113 Title 5 Official Inspection.Form:Subsurface Sewage Disposal System•Page 5 of 17 Commonwealth of Massachusetts _ Wa Title 5 Official Inspection ' F®rm Subsurface Sewage Disposal System Form - Not for Voluntary Assessments \a 35 Hidden In - Property Address _Bob Tobin. Owner Owner's Name information is "t;�',fs IZ 0: 1+ , required for every 0 tervlll, , - Ma 02655 - -8/31/15 page. __City/Town "" _ _ State -.-Zip-code --- -Date of Inspection C. Checklist :; . Check if the following have been done. You must indicate"yes" or°'no" as to each of the following: Yes No ❑ ® Pumping information was provided by the owner, occupant, or Board of Health ❑ ® Were any of the system components pumped out in the previous two weeks? ® ❑ Has the system received normal flows in the previous two week period? ❑ ® Have large volumes of water been introduced to the system recently or as part of this inspection? ®' ❑ Were;as built plans of the system obtained and examined? (If they were not available note as N/A) ire. sr:' : ® ❑ Was the facility or dwelling inspected for signs of sewage back up? 1(K ® ❑ Was the site inspected for signs of break out?'Y OCILD 00: el 11® ❑ 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: 1 ® ElExisting 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)] D. System information Residential Flow Conditions: {.� Number of bedrooms (design): 5 Number'of bedrooms (actual): 4 DESIGN flow based on 310 CiVIR 15.203 (for`example: 110'gpd x#of bedrooms): 550 15ins•3113 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 6 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments .. 35 Hidden In Property Address ---- Bob Tobin Owner ame — — -- — — information is required for every Osterville Ma 02655 _ 8/31/15 page. City/Town State Zip Code Date of Inspection D. System Information Description: The system contains a 1500 gallon tank as well as a concrete Distribution box. All tees and baffles are in place. The Distribution box is level and at normal level. The leaching is made up of several leaching chambers and at time of inspection levels appeared to never have been at abnormal levels Number of current residents: ? Does residence have a garbage grinder? ❑ Yes ® No Is laundry on a separate sewage system? (Include laundry.system inspection information in this report.) ❑ Yes ® No Laundry system inspected? - , . , ,. ® Yes .❑ No Seasonaluse7 ® Yes ❑ No Water meter readings, if available last 2 ears usage d 168 GPD g ( Y 9 (gp ))� Detail: Sump pump? R . .. . El Yes ® No Last date of occupancy: Date Commercial/Industrial Flow Conditions: Type of Establishment: Design flow(based on 310 CMR 15.203): Gallon's per day(gpd) Basis of design flow (seats/persons/sq.ft., etc.): - . ----- -...---___ Grease trap.present? ❑ Yes ❑ No •Industrial.waste,holding tank present? El Yes ❑ No Non-sanitary waste discharged to the Title 5 system? El Yes ❑ No Water meter readings, if available: t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 7 of 17 N Commonwealth of Massachusetts - Title 5 Official Inspection -,Form -- - Subsurface Sewage Disposal System Form Not for Voluntary Assessments a 35 Hidden-In Property Address I 1 dr.) „o" _Bob Tobin__..._ __. ... - -- - - - - - .; Owner Owner's Name information is i-1 t(\I; 'r't required for every;,,Ostervil,le Ma. 02655- 8131/15;,,-!�-I ---.:. — page. Clty/Town State Zip Code Date of Inspection D. System Mf®Irmation (cont.) Last date of occupancy/use: Date Other (describe below): General Information Pumping Records: Source of information: Putfio6d i6 2014 Was system pumped as part of the inspection? ❑ Yes ® No If yes, volume pumped: gallons How was quantity pumped determined? Reason for pumping: Type of System: ® Septic tank, distribution box, soil absorption system ❑ Single cesspool ❑ Overflow cesspool ❑ Privy ❑ Shared system (yes or no) (if yes, attach previous inspection records, if any) ❑ Innovative/Alternative technology. Attach a copy of the current operation and maintenance contract (to be obtained from systemt.o,,wner) and.Ialcopy of latest _ . ,� Inspection of the I/A system by system operator'under contract `' '' Tiglt�tank. Attach a copy of th'e DEP approval. ❑ Other (describe): t5ins•3113 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 8 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Fora Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 35 Hidden In Property Address _. Bob Tobin Owner Owner's Name _ information is required for every Osterville _Ma _ 02655 _ 8/31/15 page. City/Town State Zip Code. Date of Inspection D. System Information-(cont.) Approximate,age of all components, date installed (if known) and source of information: 9 years Were sewage odors detected when arriving at the site? ❑ Yes ❑ No Building Sewer(locate on site plan): Depth below grade: 28 feet Material of construction: ® cast iron ® 40 PVC ❑ other(explain): — ------ Distance from private-.water supply well or suction line: Comments (on condition of joints, venting, evidence of.leakage, etc.): System is vented throught the roof. Septic Tank (locate on site plan): Depth below grade: 2 ft isc r. e . b , feet Material of construction: " ® concrete 0 metal ❑ fiberglass ❑ polyethylene. ❑ other(explain) 1500 gallon If tank is metal,'lest age years Is age confirmed by a Certificate of Compliance? (attach a.copy of certificate) ❑ Yes ❑ No Dimensions: 1500 Gallon --- ' Sludge depth: 3„ t5ins•3113 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 9 of 17 i R Commonwealth of Massachusetts E. .� Title 5 Official Inspection F®rm Subsurface Sewage Disposal System Form - Not for Voluntary Assessments. �e 35 Hidden-In Property Address Bob Tobin _ - ---- - Owner Owner's Name,, information is I t •1; �;C" required for every Cisterville Ma 02655 M1/15 page. - City/Town - State Zip,Cbde Date of Inspection D. System Information (cont.) Septic Tank (cont..) Distance from top of sludge to bottom of outlet tee or baffle 24 Scum thickness 3 Distance from top of scum to top of outlet tee or baffle 42" Distance from bottom of scum to bottom of outlet tee or baffle 1" Sludge stick How were dimensions determined? Tape Measure Comments (on pumping r..ecommendations, inlet and outlet.tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.):1 . : No evidence of Ieakinq,Tees and or baffles in place at time:of inspection.`'' _.. Grease Trap (locate on site plan): Depth below grade: NA 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 t5ins•3113 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 10 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Fora Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 35 Hidden In Property Address 0! 1 z;,tJ;- Bob Tobin.. . . . _ _. .. .. _ _. _. Owner Owner's Name information is •�t,f,,,,,rf required for every Osterville Ma 02655 8/31/15ti page. Cityrrown I State Zi Code p. _.. Date of Inspection D: System Informati®n (cont.) Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, . liquid levels as related to outlet invert, evidence of leakage, etc.): Tees are.in place and levels are normal. Tight or Holding Tank (tank must be pumped at time of inspection)_(locate on site plan): Depth below grade.- Material of construction:" . ❑ fiberglasspolyethylene (explain): ❑ concrete El metal g ❑ El Dimensions: Capacity: - — gallons Design Flow: gallons per day Alarm present: ❑ Yes ❑ No Alarm level: Alarm in world g 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 t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 11 of 17 l Commonwealth of Massachusetts T°itle,^1 fficial, Inspection' 'To,rM. . Subsufface Sewage Disposal System Form - Not for Voluntary Assessments e a t} 35...Hidden.ln__Property Address 1 _. -----Bob f1iGC1 (:C� Owner Owner's Name information is required for every Ostervtll"en Ma -' `921555 8/31/15 page. City/Town- "-• - -- — - " State Zip Code Date of Inspection D. System Information (cont.) Distribution Box (if present must be opened) (locate on site plan): Depth of liquid level above outlet invert At normal level 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 is level and at normal level with no tsi ns'of carry over or decay. {" Pump Chamber(locate on site plan): -'t:• ' Pumps in working order: ❑ Yes ❑ No* Alarms in working order: ❑ 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. Soil Absorption System (SAS) (locate on site plan, excavation not required): _ 1mij If SAS not located; explain why: t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 12 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form' Subsurface Sewage Disposal System Form -Not for Voluntary Assessments a 35 Hidden In Property Address Bob Tobin Owner Owner's Name information is required for every Osterville Ma 02655 W31/15- page. City/Town State Zip Code Date'of Inspection D. System Intormration (cont.) Type: ❑ leaching pits number:. — ® leaching chambers number: 4 ❑ leaching galleries number' — ❑ leaching trenches number, length: --- ❑ leaching fields number, dimensions: — ❑ overflow cesspool number: — — innovative/alternative system Type/name of technology: — ----- Comments (note condition of soil, signs of hydraulic failure, level of ponding, damp soil, condition of vegetation, etc.): No signs of carry over and no signs of hydraulic failure. 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 l5ins•3113 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 13 of 17 Commonwealth of Massachusetts - - Title 5 Official Inspection,,rrn Subsurface Sewage Disposal System Form - Not for Voluntary Assessments e 35 Hidden In �...__._.. Property Address Bob Tobin }` Owner Owner's Name information is ' ' required for every Osteryllle,l ;,, Ma 02655____ 8/31/15 ,,.' page. .-City/Town -— - _ - -State _.. _ --Zip:Code- - ^ . ' Date"of Ins- tlori;r;:. D. System Information (cont.) Comments note condition of soil sig ns gns of hydraulic failure, level,of ponding,condition of vegetation, etc.)-. No signs of ponding or hydraulic failure. Privy (locate on site plan): Materials of construction: Dimensions Depth of solids — i Comments (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 14 of 17 I� I Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments •,i . 35 Hidden In Property Address Bob Tobin Owner Owner's Name information is Osterville Ma 02655 N J 8/31/T5 required for every _ page. City/Town _ State Zip Code_. Date of Inspection. D. System Information (cost.) - r 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- i t5ins•3113 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 15 of 17 Commonwealth of Massachusetts .: °Title; Official Inspection Form Subsurface,Sewage Disposal System Form - Not for Voluntary Assessments a 35•-Hidden In— Property Address'-__' Bob Tobin Owner Owner's Name information is - —._ _.._- 9_tFi`tt0 go ':'t, 0Z required for every Osterville .`t4;•0 t, Ma 026.55 . . 8/31/15 page. City/Town'"' State" Zip Code Date of Inspection r , r:r t.�;.: D. System Information (cont.) ;,,.: rce Site Exam: ® Check Slope ® Surface water ❑ Check cellar ❑ Shallow wells 15+ ft Estimated depth to high ground water: feet Please indicate all methods used to determine the high ground water elevation: ❑ Obtained from system design.plans on_record If;checked, date of design plan reviewed: Date ❑I '''"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: Property sits 30 + ft above the Osterville river Before filing this Inspection Report, please see Report Completeness Checklist on next page. t5ins•3113 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 16 of 17 7/14/2016 Assessing As-Built Cards TOWN OF BARNSTABLE LOCATION �����/Dd1i��{ �� SEWAGE# VILLAGE fJ J'/r C,[ C/ Z_ Y' ASSESSOR'S MAP&LOT 4Z t7 INSTALLER'S'NAME&PHONE N0. SEPTIC TANK CAPACITY / LEACHING FACILITY:(type) � :f�ru c-%� ,-- c/rf t54Ze) /•z � ?, ,-W, #x NO.OF BEDROOMS BUILDER OR OWNER d,G y PERMITDATE: - ,�� COMPLIANCE DATE: — Separation Distance Between the: Maximum Adjusted Groundwater Table and 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 e ' t within 300 feet of lepAing fa '' )� Feet Furnished by " rr tf,7 f.7. t http://www.townofbarnstabl e.us/Assessing/H M displ ay.asp?mappar=139018&seq=1 1/2 Commonwealth of Massachusetts- Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments .'' 35 Hidden In Property Address Bob Tobin Owner Owner's Name information is Osterville Ma 02655 8/31/15 required for every — — page. City/Town State Zip Code Date of Inspection E. Report Completeness Checklist ❑ Inspection Summary:A, B, C, D, or E checked ❑ Inspection Summary D (System Failure Criteria Applicable to All Systems) completed ❑ System Information— Estimated depth to high groundwater ❑ Sketch of Sewage Disposal System either drawn on page 15 or attached in separate file t5ins•3113 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 17 of 17 %�. Commonwealth of Massachusetts Title 5 official Inspection Form • ^ - Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 35 Hldden In L t-, _ 1 _ Property Address_____..-___.________._____.__� —_. - -- __.--_--�— - - ------•--- r � -- Bob Tobin Owner Owner: information is Ostervlllef }> ' " Ma- 02655 8/31/15 C• required for every - -- a _,s��c<,.-- ---- - _ __- _ - -.._a..� Clt /Town . -, State Zip Code Date of Ins ection r page. Y L... P P f:oz I - Inspection results must be submitted on this form. Inspection forms may not be altered in anyN way. Please see completeness checklist at the end of the form. Important:When General Information filling out forms on the computer, use only the tab 1. Inspector: key to move ycur cursor-do not Michael DiBuono use the return Name of Inspector key. DiBdono Sevve'r.and Drain',' rea Company Name --- - -- — .8•Johns path Company Address Prw„ S-Yarmouth MA 02664 --- -- --------- -- ---------- > /a ,City/Town State _ Zip Code -h 508„364-9587 S113522•, ;Telephone Number License Number B. Certification 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: ® 'Passes ❑ Conditionally Passes ❑ Fails ❑ Needs Further Evaluation by the Lo-ca4 Approving Authority - 9/2/15 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 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 DER The original should be sent to the system owner and copies sent to the buyer: if applicable, and the approving authority. ****This report only describes conditions at the time of inspection and under the conditions of use at that time. This inspection does not address how the system will perform in the future under the same or different conditions of use. �ow VS ISins•3113 Title 5 Official inspection Form:Subsurface Sewage Disposal System•Page 1 of 17 . . Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form ' Not for Voluntary Assessments 35 Hidden |n Property Address Bob Tobin --__� Owner Owner's Name _ inmnnaxonis Osb*�iUe Ma 02855 8/31/16 ��ui�gm,��� . page. ouy�o*n State Zip Code Date ofInspection B. Certification (cont.) �] Pump Chamber pumps/alarms not operational. System will pass with Board of Health approval if pumps/alarms are repaired. ! B) System Conditionally Passes (conL): ' El-Observation of sewage backup or break out or high static water level in the distribution box due � tobnoken or obstructed pipe(s) or due toa bnnkan, settled or uneven distribution box. System will pass inspection if(with approval of Board of Health): ` � . � broken pipe(s) are replaced 0 Y El N [l ND (Explain below): �0 obstruction is removed 0 Y n N EI ND (Explain below): � Fl distribution box is leveled or replaced [:J Y D N El ND (Explain be|ow)� � } } --------- --�'- -'------ - � —'— - ---^--- - -------- --r----'---- --- _---------------—_---_-___-. ---__'__----_------ 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 ofHea|Uh): U broken pice(s) are replaced El 0 N [I ND (Explain below): � obstruction iuremoved El Y [I N EI ND (Explain be|ow): ` C) Further Evaluation is Required by the Board of Health: � [] Conditions exist which require further evaluation by the Board of Health in order to determine if the nyu&am is failing to protect public hea|Uh, safety or the environment. 1. System will pass unless Board of Health determines in accordance with 310 CK8R 15.3O3M)(b) that the aystenn is notfu�cdnnin0 in rnannerxvhichvviU p,mtectpublic health, � safety and the environment: ' El Cesspool or privy is within 5O feet ofa surface water El Cesspool or privy is within 50 feet of a bordering vegetated wetlan d rasaUmarsh Commonwealth of Massachusetts �N W Title 5 official Inspection Form — Subsurface Sewage Disposal System Form - Not for Voluntary Assessments /e 5 Hi dden idden In ' — ------------------_-----.._..--- ------------- - — -...-------------- Property Address Bob-Tobin Owner ----- ------------ ----------_____...----------- .- - ----- ---- Owner's Name information is required for every Osterville _ — Ma 02655 8/31/15 page. City/Town State Zip Code Date of Inspection B. Certification (Cont.) Yes No ❑ ® Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s). Number of times pumped: ® : Any portion of the SAS, cesspool or privy is below high ground water elevation. ❑ ® Any portion of cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply. ❑ ® Any portion of a cesspool or privy is-within a Zone 1 of a public well. Any portion of a cesspool or privy is within 50 feet of a private water supply well. ❑ ® Any portion of a cesspool or privy is less than 100 feet but greater than 50 feet from a private water supply well with no acceptable water quality analysis. [This system passes if the well water analysis, performed at a DEP certified ;_ laboratory, for fecal coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or,less than 5 ppm; provided that no other failure criteria are triggered. A copy of the analysis and chain of custody must be attached to this form.] ❑ ® The system is a cesspool serving a facility with a design flow of 2000gpd- 10,000gpd. ® The system fails. I have determined that one or more of the above failure criteria exist as described in 310 CMR 15.303, therefore the system fails. The system owner should contact the Board of Health to determine what will be necessary to correct the failure. E) Large Systems: To be-considered-a large system the system must serve a facility with a design flow of 10,000 gpd to 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 D. Yes No ❑ ❑ the system is within 400 feet of a surface drinking water supply ❑ ❑ the system is within 200 feet of a tributary to a surface drinking water supply ❑ the system is located in a nitrogen sensitive area (Interim Wellhead Protection Area — IWPA) or a mapped Zone II of a public water supply well i. If you have answered "yes" to any question in Section E the system is considered a significant threat, or answered "yes" in Section D above the large system has failed. The owner or operator of any large system considered a significant threat under Section E or failed under Section D shall upgrade the system in accordance with 310 CMR 15.304. The system owner should contact the appropriate regional office of the Department. l5ins•3f13 Title 5 Official Inspection Form.Subsurface Sewage Disposal System•Page 5 of 17 M� 7.1 � � r Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form Not for Voluntary Assessments 35 Hidden In Property Address Bob Tobin Owner Owner's Name information is required for every Osterville Ma 02655 8/31/15 page. City/Town State Z ip Code Date of Inspectio-n— D. System Information Description: The system contains a 1500 gallon tank as well as a concrete Distribution box. All tees and baffles are in place. The Distribution box in level and at normal level. The leaching is made up of several leachinq chambersd atd of inspection levels appeared u_to never have been at abnormal levels. - . Number ofourr 2entrenidonts� ----_-----_ ~ Does�residence have a garbage grinder? ' Fl Yes No [� |s laundry ona separate sewage system? (Include laundry system inspection �� yen �� No information in this report.) �� �~ Laundry system inspected? 0 Yes El No Seesona| use? Yea No Water meter readings. if available (last 2 yearn usage (gpd)). 1.68 GpO -_--- Detail: ^ _ _ --- - - - -- - ___'_--_-__-_____-__-___.---_ | Sump pump? �� Yes �� No �� �� � Last date ofoccupancy: ' ComrnerciaNndustha| Flow Conditions: Type ofEstablishment: '------------ _ Design flow (based on 310CMR 15203): ------- Gallons--- Basis nf design flow (soab/pereons/sq.ft, etcj� _ ' Grease trap present? . El Yes n No ` Industrial waste holding tank present? . ' El Yes EJ No Non-sanitary waste discharged to the Title 5 system'? Yes n No Water meter readings, if available: 15ins-3113 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 7 of 17 � � . . Commonwealth OfMassachusetts ~�^~��U�� �� »����~��^�� � N���������~��^���� ����h~0�� 8 � �N~= �� �~�UUU�*U�wU Inspection Form ��000m Subsurface Sewage Oiop000| System Form ' Not for Voluntary Assessments 35 Hidden |n � - Property Address � ��----------------'-- ------------- Bob Tobin Owner --'---------'-----'-- -' — --- --- ----- ' ------ -----------'---------------- � Owner's Name information is � required for every OsbervUle Ma ___ 02655 _ 8/31/15 ----- page. CuylTvwn State Zip Code Date df|nnpoohvn D. System Information (cont.) Approximate age of all oomponenhs, date installed (if known) and source of information'. � 9_>_iea_rs'_-___ Were sewage odors detected when arriving st the site? [l Yes 0 No � | ` Building Sewer (locate on site plan): � ` 28^ Depth below grade: -'-- -'---------- eot Material ofconstruction: � � , M cast iron N40PVC other(explain): ' Distance from private water supply well or suction line: feet Comments (on condition of joints, vondng, evidence nfleakage, etc.): S nha _is vented throught the of. _-_'-_____-__-_____ __-_-_ SepUnTank (locab* onsdephan): || DeDepth2 �below grade: - .e* ' Material ofconstruction: E concrete El metal El fiberglass El polyethylene [l other(explain) 150O U | �-----_-------- . If tank is meta[ list age: years Is age confirmed by a Certificate of Compliance? (attach a copy of certificate) Yes No � Dimensions: -----------1500GaUon'-'---------------- "^ocex"°~u"o/"p"""/x'"mm-p"n"ow`r � . . Commonwealth mfMassachusetts -�--��U�� �� �-���'��^��U Q������������~���� ����0°0�� 88 �U~~ �� ��'U8 ��*8��U Inspection �-��nnow Subsurface Sewage Disposal System Form Not for Voluntary Assessments 35 Hidden |n `-' Property Address -'----- -'-------------------�--------- � Bob Tobin � Owner Owner's Name -------------- - ----- mfonnouonio required for every Oshen/i||e Ma 02665 8/31/15 page city/Town State Zip Code Date ufInspection D. System Information (cont.) Comments (on pumping nocommendadons, inlet and outlet tee or baffle condition, structural integrity. liquid levels an related bo outlet invert, evidence ofleakage, oh:j: Tees are in place andlevels normal. , ' Tight'or Holding Tank (tank.must be pumped at time of inspection) (locate on site plan): Depth below grade: -------� ---�-- Material ofconstruction: � concrete 0meta| El fiberglass El polyethylene other(explain): Dimensions: �---'-- ---- — | Capacity: na|wno Design Flow: ----'---' go|bmo per day � Alarm present: Yea No Alarm level: Alarm in working order: [l Yes Fl No | Date cf last pumping: Comments (condition of alarm and float switches, etcj: ' _ � __--___-____--_____'_____ °A#achcopycfnurrontpumpingoontna(t (required) |snopyattached? El Yen [l No Title s Official Inspection Form:Subsurface Sewage Disposal System-Page,`m`, Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form Not for Voluntary Assessments 35 Hidden In Property Address Bob Tobin Owner Owner's Name -------- | information is � required for every Ost*mi||e Ma 02655 _ 8C31/15 page. City/Town ` State Zip Code Date vf inspection �—�-------- D. System Information (cont.) Type: El leaching pits number ---�----'--�-- . ` 0 `^ i ' leaching chambers number: 4�� -- '` leaching galleries �� nggo e ns number El leaching trenches number, length. leaching fields number, dimensions: Fl overflow cesspool number: El innovadvo/u|ternadveoystam Type/name oftechnology: ----�-' - ---------------------------- Comments (note condition of soil, signs of hydraulic failure, level of ponding, damp soil, condition o/ ' vegetation, eh:j� - No signs cf carry and i of ` � _-__---_ __- � ___ __ ' - ' Cosmpoo|s (oesspon| mustbepumpedaspartofinspecdon) (|ooaheonsitep|an): ' Number and configuration � Depth -top ofliquid to inlet invert � Depth of solids layer Depth of scum layer ' Dimensions ofcesspool Materials cfconstructionIndication of groundwater inflow Yes------�--�-------__--__- No (5ins-3/13 Title 5 Official Inspection Form.Subsurface on/"p"sa/x/"*m-Page mo/`r Commonwealth of Massachusetts a Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments t 35 Hidden In Property Address Bob Tobin Owner Owner's Name --- -- -- --------- — --- — — ---- information is required for every OStervllle Ma 02655 8/31/15 page. City/Town' State Zip Code Date of Inspection D. System Information (cont.) Sketch Of Sewage Disposal System: Provide a view of the sewage disposal system, including ties to at least two permanent reference landmarks or benchmarks. Locate all wells within 100 feet. Locate where public water supply enters the building. Check one of the boxes below: ❑ hand-sketch in the area below ®:drawing attached°sepa rate ly l5ins-3113 Title 5 Official Inspection Form Subsurface Sewage Disposal System•Page 15 of 17 Assessing As-Built Cards Page 1 of i TOWN OF B A,1 t4STABLE f LOCATION _/U y`r is iL SE WAGE Si C`C'� VILLAGE Cl J'IfC f e_i' %� Y, ASSESSOR'S MAP LOT-/ INSTALLER'S NAME&PHONE NO. SEPTIC TANK CAPACM LEACHING FACILITY:(type)��1 :)riry e�c �• e ire (s;�e) >z ,r,� NO.OF BEDROOMS BUILDER OR OWNER l PERMITDAT E 4.7 1-1-4 COMPLLANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table and 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) sect t Edge of Wetland and Leaching Facility(If any wetlands)ex ;. within 300 feet of le ng fa Furnished by / v 11/ t /-X ,4 �� ' r7 littp://www.townofbariist,ible,tis/Assessing/HMdlsplay.asp'?nTappai-=13901 S&seq=1 5/29/2014 ' ~ ' Commonwealth of Massachusetts ��^��U�� �� W����~��^�� U Inspection ����0~�8� � 8 �U~� �� �"�UUU�*���� �� �~= �~�*����nu �— ��uowm Subsurface Sewage Disposal System Form Not for Voluntary Assessments 35Hiddon |n -- ----'--------------------------------'-----Bob TobinProperty Address Owner ---------------------'---'--------'--- ----'---------------------------- � Name information is required for every OnUan/iUe Ma O2G55 8/31/16 page. City/Town S\x\c Zip Code Date o,Inspection E. Report Completeness Checklist El Inspection Summary: A, 8, C. O. orEchecked [l Inspection Summary D (Gyotem Failure Criteria Applicable VnAll Systems) completed �] System information — Estimated depth ho high groundwater � Fl Sketch of Sewage Disposal System either drawn on page 15orattached in separate file ` � � � � � ` � � . Official Inspection Form:Subsurface Sewage Disposal System-Page`/*,' Uc wn of Barnstable FTHE Tq��� Regulatory Services Thomas F. Geiler, Director • HnRNSPABM 9�A i63. � Public Health Division Thomas McKean, Director 200 Main Street,Hyannis,MA 02601 Office: 508-862-4644 Fax: 508-790-6304 Installer & Designer Certification Form Date: 2 0 p Sewage Permit# ZOOL1 - SdPj Assessor's Map\Parcel JSJ—018 Designer: FAA mx_c.t-� Installer: Address: Lo 7c cc-S Address: Ayw DC541NIsloer�1s�1 On 1�4z�,� ,&as issued a permit to install a (date) .Cnstaller) f.o as2T lag(&A septic system at 1711 lW6/ 1,4 L// 42//CZ, based on a design drawn by �- (address) 30,1 11441 G/Il6NeMlWe— dated �/G .fit(/ (designer) 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. Of PPETE SU �ae n (Installer's Signature) €0.297 CIVIL OAIAL� (Designer's Signature) (Affix Designer's Stamp Here) PLEASE RETURN TO BARNSTABLE PUBLIC HEALTH DIVISION. CERTIFICATE OF COMPLIANCE WILL NOT BE ISSUED UNTIL BOTH THIS FORM AND AS-BUILT CARD ARE RECEIVED BY THE BARNSTABLE PUBLIC HEALTH DIVISION. THANK YOU. Q: Health/Septic/Designer Certification Form 3-26-04.doc s � r CON -rip, taa�ee'o •. O 1D6'o•Yck Egcm�.Onod z aS T•Y .' Meeter Bedroom ath Q f 94 s UvInB Room . 23,.r x 201-3' ' • � __�O Dlning Room -. • r y 1 1 d � ome Oftka � Foyar' 1 !'^H � tr•lo j3'•3"x,r-7" Kitchen 1 � • Front Parch Dock ro —__ Covaiud , - Walkway . Flrat Floor Plan 23'-0"x Ceaing Height=7'-B" Workohop - ' 12'd"x23'4" , Two Car Gamic , 9 F I`= OereAa•First Floor Pten 'F CelHng HeIgM a.......V.V...• ' 35 Hidden Lane — 1 Osterville, MA 02655 ° ° .clap.,emie Vic) d.,4wges " i ddmcg open m - - . , 14'•4'ItIJrina Rae%Bel.. . � 8'10" Bedroom Bedroom. �° 0 Hall - l 35'•0"x W-P' 13'-0°x 20W - - 0 Bath I:* �2-rx Q eri B� SO - caw Open m ewe poyar Babw ______ _ . Becand Floor Plan - Gelling HeIgM=T-B" • - UnOMahed Space 24Arx 30'-0' Oareae•6eeond Floor Plan Celling HalgMa Iz-T _. Ct 35 Hidden Lane T� 2 Osterville, MA 02655 anew&alo A� T • 4'-1" UNFINISHED, { STORAGE DN. El HALF WALL VERIFY HEIGHT OF — o WALKWAY ROOF TO S.F.WINDOW A LOCATION — — _ I � D r D C C A4 3,-4„ 2,_g� 4--icy, 2'-8 3'-4" 3'-4" 3'-4" (GABLE DORMER) (SHED DORMER) (GABLE DORMER) 40'-a' I FOR STRUCTURAL COMPONENTS ONLY oj a e� z a It c co coC4 a .24 A a co i W . ! 6's rs ra ss ss .ra r r E— A? A6 A i:sn:e imoa,z E„I �l C\2 C�SELOWIGRASDE " ,D m m0., .. 2 P.T.2x8►WI,xSF USE SIMPSON BC-APOSTCAPS _ 1--�F+1 co Q . ILTED M SOLID SJLOCMJNOEWJ(CSS IEOGE R WNW LAO WN90lTS P..2x s , _ u' - EI Co O� . ® Is. oa.WIJOISTB F4WOER8 AT BOTH FNOS (SEE SUPPLIED OETAILSHEEI) I I .. qi sr I I — — — — — — — — — — — — — — — — — --�---� I ISEE SEC'IONIC�IABI I I I - I zx9t Yaa . I I o m :77 I P.T. I it I IULKHFAO 22L2 2p_� I 6 . IBASNc.SLAM I i I . d m n TYP ------ B r — TYP. b I i I •y BEA PKT - 4,.76•x1 ,.9ELVLCONRNUOUSGDR I Ulf I0 �I '' -2-P.T.2x 0. IS FULL UNFlN. 4 wmoow BASEMENT BIERM POCKETS s — (4 CONC. wWoows.eaax9Posr zw co I I w BEvono coRNERs I as UP TOR BACK ,r$ I O I� �w I I rP.,ocoNc p '' I - Pxr -I I e2 .76'x,s,9E GOO GI I �l' PKT.SEAM FOUND.WNIS . - - - I- - ATwW�ARREEM !V wit-MeaLaAr dl L — L • •COLUID,MA i I. TOPOFWALL MPSON LCC SERIES(,(O. • I I V1 L—,TP.Ns,O --- azxax,o 0-- CONCRETE FOOTING I I cONQ FOOTINGS I 8 m m DOW E FLOOR g O I ^ I IIASEMMENr CALI JKIiDNENSTS�I8W�0 . WINDOW A (VERIFY IN �wJ I 1 W z 91?TJI PR0110JOIS18 ,8'aa - - - - - - - - - oy — — — — — — — J — — — — — — — — — — — — — TPd_' - T.2x,O,EDGERBOARDLAGSOLTEDTO IL FTA _ I SOLID BIOGING W/RJl81GERLOK BOLT6 r.J� .. F u P.T2x Bb ,4 on.. SEE 6UPA mHASN AT BD7I,ElIDS Q _ I A A F ^ � \ \ P.T.2x et W/1:8 \ \ � \ V L . OR2P.T.2x Lo A B C o1A.'IIGFOOT FOOTRN3 T� UNDER IY O,A.&OfWTUBEG AT V1 co - .. PORCN�o•Dw ,r-r - „•-r „•$ „•-T »•-� - SCALE 1/4" = V—O" PiaoxrMAT�Ps,.J7uTtrAR� o!� c x�snArg'(t) DATE FOUNDATION/FRAMING.PLAN 7�28�2005 Ple�n� gg�o CtirlOR�n«J .udrt f NOTES: JOB N O. � , (I.)WALL VERTICAL CONTROL JOINTS 2S o.c.MAX. . F -TM �L r?�IT WATTEORSTOPTNDMA i Pu�s1T� TO B I N (2)PART ON WALLS ABOVE R BLOCIONG UNDER D WG. N O. - _ l 4 .i cour RIOIEVTDD TYPICAL ROOF CONSTRUCTION FOR STRUCTURAL it&'�16na(FlRortl(D 15) - COMPONENTS ONLY 12 211 COX D SHEATHING . ... 3.ASPHALT ROOF SHINGLES, to __ __ 1.15/FELT PAPER .. . .... .. - 617(RKGO)SATE.INSULATION®FLATCESINOS . a 6(R�%HIGH DENS.INSULATION®SLOPED CESJNOS 1 xSD® 12 7.2x 12 RIDGES 46 ac S.SWSON H 25 HURRICANE CUPS®ALL RAFTERS COfN 3V OF ROOFSHIEID ON BO110N O cv . r,ato FOR TJII CEJUNNG JJOIbI W CD . RAFTER FRANINOCUB 14'.TJ CEI NGJOISTS®IW— TOPOFPLATE �W��-•1.r{ NON43EARNG WALL I 'I'M mar, (AUIJ11 OON71 3STRAPPING SOFFIT VTNTS ALUMINUM - TALCUVLOILY W ^' TYP.2 x!STUDS®16on S.tC LOS Wi1?GYP.So.FR TYP.EXT:WALLCONST. 12 INTERIORWNL8 BEDROOM#1 3.VrPLxr'W�oon'a�aTimAG w 1��0.w'G Q+ . .... 2.13Wx7 WWL 4'Td:G S,6(R.1S)IIATT.INSULATION �./�M 1.,?OYPSUM BOARD _ E 00 - PLYWOODSUfIFLOOR, LEGGING OLVf:DO NAILED `J a WTYVEKVAPORSARRIER SECOND FLOOR O�1 . O IIl TJI110JOISTSe IW (SIDCKPERIAFRJ F P _ BEAD BOARD SQUASH 41.76 x 1618E LVL BBB 1?GYP.BOARD - 7YP.5 W.7 VP18E ON 1 x3 STRAPPING LVLHEAo6t Hr CIA COLUMNS COVERED DEN/ MASTER m PORCH STUDY BEDROOM TBO SQUISH PLYWOOD SUGFtoop. NNIOOMNY SLOQ49 GLUED 3 NAMED FIRST FLOOR _ sUSFLOOR tiB SW P.T.3xBb 16 na 91?TA 110miSf8®16 oa(BLOCK PER LMFRJlJoamp000mau P..2x BY 16 '41.74x1618ELVLGSNT 41.7@x1618ELVLCXRf INSULATION BAIT. NULiPSON BCI TVP.4: P.T.POSTAL . INSU(ATION(RZiDN POSTCAPA 1xSH x0 CASM TY 1Sa P-, MISTS WN GERS C. - TYP.1?DIAANCIgR 11P PoMUM..WALLS LB ,TYPICAL!•OIA.ASIM A36. .BOLTS ATTOPOFW .• STEEL COLD NWN SRCPSON �'� 134' T4 - wrTROFwaL. FULL 3' LCC SERIFS m DAAwITooF waus BASEMENT A' g C E. SHAWGRNDE roP of BLAe TYPICILL 24Y IP CONC.FOOTING TYPICAL TE DOTING i 1 CONCRETE x4rxI SIMPSON POST C41PIBh9E 21'DI0.�WWr FOOTING TYP.2x6KEY .. 17010.80NDRIBES ATALLSCREENEOPORCH UNDER 17 OUL SONOTUBESAT - TO W O SELOW GRADE 27; - PoST 6 PORCH lP DEEP BUILDING SECTION @ STUDY/MASTER BEDROOM �3N�s •� . i co .. 1.76x1618 ELVL 1.76x 14.1.0ELVLSEIM O O y WD r . )w WALL ON. T�-1 1= m � ww' z !x8 . - 70 4IML CATION OF FWSHUImERBEARN VAILOHDVE 1 TIC O P ABC ' HAI u.l a vw1 Z 4 GS C .. ON 91?BNODlE81EDJ 16j pr,3 H A 2.2x 10 N eY BWALLFAWNG (^ 0. 76x L I Z _ _I.W. CL 76x� E Wcoo 1Wt. — — — — — — -- I sx1 sr dP I U a IKWO ALL O _. I . . a I ' SCALE A I 1'-0" AB DATE 7/28/2005 JOB NO. 2r-W R. TOBIN D WG. N 0. A5 - i SECOND FLOOR FRAMING PLAN A A D� 80 D87U08 SSW 1 FOR STRUCTURAL COMPONENTS ONLY i TYP.ROOF CONST. 12 10F C --- (S)1.76•x 7.212.1S E LVL HEADER. IK TAM TYP.ROOF CONST. WO p LVL HEADER FOR W-1Ito ix6"¢® ROUNDWINUOW ^� 4W 3x,v.HR 1F'Ox: cEIl�1NO�lSfB '>4E N � W BEM7 1r T.II3WC8UNOJOIBI6®1Ba TOPOFPLATE TOPOFPLATE , r,w"C '"�J.� ./.f!.'JC_ W �'{_ BEAHA LVLNEADER 19E LVLOEAD9R H F+4 TYP. x^ TYP. LOFT R HCO p 'WALL WALL LOFT BEraro CONST. F uwGBEvoND CONST. 'W O 1� / / �Lio eLOL WAS / , NAx ® a / Z.D T�i KBIL1 w SECOND URF OOR SECOND FLOW: L 91?T91,0FLOORJOISTSQ19— T1p OF LATE TOP° PLA 51Kz71N•19E' - y1.,e a1.B ELVLBEPM 1.7Az1B L9E WLBEA7/ - "' LVL HEADER S _ TILL 1.75`xaOD•/9ELVLHEADER . Ell]❑0. .. .. BTAIRS ��ao BEYOND COVERED LIVING m Lo m PORCH FOYER ROOM FOYER �� ORFIRST$ONO 6L SUBF _ WSFLO R 6UBFlDOR � SUBFLOOR - P.L 2x a1. 1P— 9 1?TJ1110 FLOOR JOISTS 6I W— ..2xftG L I 4175 z 1B•19 E LVIGIRf .41.78'.z 1C 19E LVLfROtT - ' TYP.IIDOER ' TYP.IED6FR DET^W DErJIL I TYP.1?DIAANCHOR FULL UNFIN. p , FlOLT5�4Se4. m BASEMENT 4 FULL UNFIN: �ss BASEMENT n®BUILDING SECTION @FOYER TOP OF GIAB TYP.2x6H0':Y - • • F-�-1 B BUILDING SECTION FOYER/LIVING ROOM ® a TYPICAL ROOF CONSTRUCTION I r RAFTERS®SHEATHRURim 2 ASPHALT 1F•I'""777 Z 1 r, a 150 FELT ROOF PAPER GlF9 '/- 12 4.166FELr PS.IT Ot-GSI APER INSULATION 0 FLAT CEILMS �I w ' 10 r`_ S.9•(R�HIGH DENS INLAATON®SLOPM CSLLNGS r, w . 7.2.12RIDGE BOAA°(FWSNBGTrOIQ 14.O•I1. ' &90WSOH N I9 IWRRICAHIE CLIPS CALL RAFTERS O Vl � O . i . 12 ;1 11 12 .. i112� ICEIWATER fiHIELOON BOT70HA. E`�I . SINPSONaC60 =U a OF ROOF _ r�l E- - SERIES BASE 2x BJUNDER WINDOW _ ~L•9 w BOTTOM OI I� '�ROOFOIlfUNE .. .. 2x12CENN0JOIS7S®18'an' 2z10CEILNGJOBIS®iBm. -- - 'CELNOJOI818 W. ... H - ^2x BLEDGER B0. / FI ADM 11 .W/2-2[BBMAOt O . - 1 J I °P°°UBTa�BETWEEA. w - .NAILED®2Rua ( ( / � ON°1'8'b BOARD ~y sWRPSONBCB W,2•,6 GNARA TYP.WALL CONST. SERIES fM (IJTIB EA HIND OBOTHSB RAF( KED lYYll/ / Q16•oa NAIL SHEATONOroBOM By smulsm YYY / 2x4 crep.a 16.On 1.2x B6N°sC 16'aa�IOLKL�% • Lsw 6EBE6 WJt2 OYP.00. 21?PLYWOOD Sf SIJLAGHA Its �..( I�to / / / BEDROOM#3 BEDROOM#2 4.QGYPPSMBBw�"°" R '�' b1 SW.7'IWLM- 1 / S.W.C.SHINGLE SMG . /6WIPBON H 4 HLIR CANE BT60 .6.TYVE(VAPOR BARRIER p� ^ g1Pe AT RAPIERS PLYWOOD SURFLOOK GILm SNARED SECOND FLOOR fi1JBFLOO R _ 6 Ile X51 ELVLHFAOFR F..�.{ J N 9l?TJI110 F(AORJOISf6®tB`uu Elt (�Fl`� O l Z H a1 SIB z71N•LVL. EAD BOARD SLOCH11 P7-Purl Tx SMx4P.LPL78TVIF - BLOCI(S ?OYP'� 04•/.78x 1B 19E (16-1.76z 1B 19E WAD BOARD 1x6HIx8CA6QUi6 ' ON1z]b'iRAPPING LVL BEAM(FLUS14 LVL SEAM(FLUSH) 81NPSONPOGTCAWBASE rr,, . lvawoouRlRa s ucl ELVUIEADHR SCREENED TYP.ROOF DECK r 1•�/ xs COVERED KITCHEN DINING PORCH 1.2/B PLYWOOD T� / � M TYP.LEDGER ATTACHMENT ZRUBBERF�l�WEIROOFRNO m PPPr 9, 1. J NPSOw HL - P.T.2s 10 LEDGER BOARD ELAASD BLR.TIDro � PORCH � ROOM. a2x4SLEEPERB®1(r e . 10e (Sff SlLID9V�Um OETmolmA0.6H�,(�DBOA1�S BLQcmH0 PLY WOOD 6LRIR.00R. MR SHEAR WALL SEE OETAILSHEET 0.1x4DEOWNG . BT'° SCALE emu° PER OIUma NAILED °�� FIRST FLOOR NNIOGARY 9UEFLOOR e-P.T:Tz84 8/2 TJ11f0 FLOOR J0187S®iB4 . WJtxaFASCIA P.T.2xexmtB'oa. P.T.2xVe 12'O.e. ..2z ® o. bP.T2xe+.yB 1/4" = 1'-O' ' 41.75 x 10.1.8E LKOIRT 7 z e FASCIA . ... .. INSUTATON BR.M DROP FOR ROOF . �ISTSHANG DATE TYP.17 CON0. of 61NP60N LCC DECK FRA4RNO ,Og aWWGERG' a � {} n Y�y/pBM9 fOR L1i G02i6 NEF�RaL.F��Y,�..INFIED) TYP.4x4 P.T.PObTW ta'�'•t 7/28/2005 TI@IW yL PARAUAW 210 Olm - TYPICALBO.O.ASITAAW FULL 1JIT7'LF�- Ix9IxGCASR4G R 7x94¢ �. Jo BET WASHERS 2BOta'Bt(GF00rFO0I= y °O BASEMENT I UNDI aw OUtJDlUBEOAT DAAIPROOFWMJS FULL UNFIN. ,RJLPsoNABuu REARWAL� FRAMING DETAIL . . PORL7/47OE�P BELOW BASEMENT CONC.,LAB § POST DAM JOB NO: BALLOON FRAME�STLIDS.NO PLATE LINE,BLOCK AS REQUIRED f O/L►40J). . . . . TYRCAL2Px 1P TOP OF SLAB TO B I N . '.. /x4 z.OE CONC.FOOT L� .0011rRE(EE xF007ID71GP . ' 5i 1 :n IrBELOI�E DWG. NO. I QU AC .. . nBUILDING SECTION DINING ROOM/SCREENED PORCH �°`'°a`°`� � REAR WALL FRAMING� IWPL ATBDT,E�6A6 p _ rl FOR STRUCTURAL COMPONENTS ONLY �C)C\2 W a'O A� C y'E--1 1 E~wac\2 E�U)C �c o za ,sa lad ,a s as U F.to A B P.AFrM80K8MaX' C RAFIERtX1Na7RUCTON Ag 4 - --- — — — — — I VL I o t I I � I I � j I at 1 M 1 0 N 11 roNEr 1 Qi N o zi b N yoil 4 Np- , s:tanwoEeo_amameew uia x 11'� e•1 l�' O uosrun PWr O UNa - - - `� P a -o � I % I LL 1.4 y j I w z — — — — — — — — Fri ICJ r1 . F-1 C ^ ¢ aU11AF1EN6 ,m�. §. Lo -44 - - bt 3Wx7 IW ELK - - - - - - - - 1'-Y V1 cr) A B C SCALE 1/4N = fi'-0" t cwsLE00RAN32) cael�uoNNElo DATE 7/28/2005 JOB NO. ROOF FRAMING PLAN TOBIN NOTES: 1.)ALL ROOF RAFTERS TO BE 2 x 12's Q 16"oc(FIR OR KD 15) DWG. NO. UNLESS'OTHERWISE NOTED OA 2.) USE SIMPSON H 2.5 HURRICANE CUPS AT ALL RAFTER ENDS - A w e*.Ci b 9trpt rn ntrcw L t- 0.0.3. 40f.e(b CA41 Xe-4M>�= 7 { FOR STRUCTURAL !1 COMPONENTS ONLY C.) waoo �y Aa�CD ossps W w H a sea �D x^ co 0 to i A 13 i' C A5 A8 NstRucnoN r----- ————————— --. ;. ------- -------- - i al A � I I � I I i I I ' t — . ._ 4 1crX3socEmNDm�sta®tcea . - BElO1N Iti FOR ClO.MISfS W - zx I Z r�-- Q r^' I z O p p I N A A6 F•+� I - - - z .. Ii I W L ------ ------ ------- ----- —————— --------J — ------- ----- 4 2 t 8 RHFiER9 1G' t F F W 11'-T 11'-T 11'A' 11'•T tt'-T v` .... .. Lo ———_——_ —— —— —————_— 7 r/� /'yam F--1 V 1 1.-.✓ Z1 3Ira71N'ZELvL SCALE 1/4" 1'-0" es sa Vs 14'4r W-7 sa es .. - (OASLEDORMEM coneLE DORMER, (Opal MMBi) DATE 7/28/2005 JOB NO. CEILING JOIST PLAN TOBIN DWG. NO. - a - i ,.. ! I ,. .... ♦fir [ J�� DEShGN DATA NOTES Finch Grade _ Single Family _ at Supply F Lot is Municipal Water. tf S' F 5 Bedroom 1 Water S or This Muni Wa ° 3' }. . . Filter Garbage Grinder 2. Location of Utilities Shown on This Plan Are 9„M;,, With NO Gar r compacted Fill Fabric Daily Flow= 110 x 5 = 550 GPD Approx. At Least 72 Hours Prior to.Any 1/9" 1/2" Septic Tank: 550 GPD x 200% = l l 10 GPD Excavation For This Project the Contractor y 1r` i k z Pea Stone f w Use 1500 Gallon H-20 Septic Tank -Shall Make the Required Notification to 3' Dig Safe (1-888-344-7233) 3/4"-, 1n^ LEACHING AREA 3:The Contractor is Required to Secure Appropriate LEACHING Double washed Permits From Town Agencies For Construction 550 GPD /0.74 = 743.2 SF Rid, 2 B Required,CHAMBER stone Defined b This Plan:y Sidewall =2'(12.83' + 42')2 = 219.3 SF Within 6" of 4. Install Risers to Wf i -= --� -_- Bottom)Area= 12.83' X 42' = 538.9 SF Finished Grade. 4-10^ .758.2 SP Total Provided 5. All Structures Buried Four Feet or More or Subject 12'-10" a. i to Vehicular Traffic to be H-20 Loading. CROSS SECTION OF CHAMBER LEACHING CHAMBER DESIGN- ,` 6. Septic System to be Installed in Accordance With NOT TO SCALE 310 CMR 15.00 Latest Revision and the Town of All Pipes to be Schedule 40. Use Barnstable Board of Health.Regulations. 4-500 Gal. Leaching Chambers in a Wash4Stone Field as Shown. 7. All Piping to be Sch. 40 PVC. OF SUWW .29733 CIVIL TEST HOLE FT EL.3, BY: SULLIVAN ENGINEERING _ F.G.EL.30 � � � E F.G.ELF.30.4 . DATE: 09/.10/04 EL. 26.2`i .. czz See Note 41tYP•) � - n n _- TOP SOII, 12" 1 OYR 3/..4 DARK YELLOWISH BROWN EL. 25.2 Too El,27.4 15ooGauon a r�, C LAYER Septic Tank 0 H-20 H-2 FROM 10YR 5/8,YELLOWISH BROWN H Flow uili rs H 20 X a t a s i " As Required ;�...kxAx..M EL 2e4 h Leaching TO 2.5Y 6/6 OLIVE YELLOW.. Chamber r 'SY H-2oz WITH HUES OF 7.SYR 5/6 - STRONG BROWN 5°'.iv2 -I' x {,.e:.. 1 x. - ..:5ai°,. ..>,„,..a.- a. •.......... ,.. _ n.:c.U,,.a..}: ,..1...' ..-. But.II.24.4 Id Bedding,^T"s,&&feels i 93 it MEDIUM TO COARSE SAND EL. 18.5 as Per Title 5 - Engineerto verify suitability ofsoil. - m AD eeSails a&Replace NO GROUNDWATER ENCOUNTERED 10'Min.-Slab .All Unsuitable Soils Within 5 of N - w_Foundation The Outer Perimeter of•rhe System APPROX. GROUNDWATER @ EL. 2.5 k DEVELOPED PROFILE OF PROPOSED SEPTIC SYSTEM A rox.Groundwstar II.25 PER T.O.B. GROUNDWATER MAPS NOT TO SCALE Per T.O.B.GrotndwvalerMWs i - Revision Add Proposed Garage Date: 09/13/05 i. FF11 _ Title: site Plan Prepared By- C Prepared For: Ca eSUt1/ Date: June 23, ZJ04CD Proposed Improvements Sullivan Engineering, Inc. ; p Robert T Tobin At PO Box 659 7 Parker Road 70 East 10th Street .35 Hidden Lane osterville, MA 02655 ; Osterville, MA 02655 Apartment 2U Scale: As Noted fv (508)428-3344 (508)428-3115 fox (508 Za-3994 (508)42t7-3995 fax New York NY 10003 P Barnstable (Osterwu,e) Mass, PSullpEavcl.cam capesurvOcapecodnet Project 98074 A WN 1 A DECK W ... _ E d �ED oABOVE ❑0 move HGOFWN316, FM 60611R' F"welDERSEN l6 C C • iVVII S FWOW611 ANDERSEN AN] L FWN�S C C Q F A C�3 I A TTP.4 x 4P.T.POSf VV/ 1i5/t xeG161N0' yr ANDERSEN - aPLUMSINGwALL ; FWG606111 SCREENED 4 . % — MASTE I PORCH - — BATH (VAULTED CEILING) I (VMII.TEO CENNG) .. - .. I - I c MASTER BEDROOM ON. . � LIVING ^ ROOM I� DINING b oDe,ot (: ROOM sME 1a m CONTRACTOR) . CONTRACroR) � _3 t.76"x 1C 19E LV_LBEAM 1 FLUSH UNDER BEARING WAILASOVE Ip m 6'd a ... _ $ LF UN. a t ® &F(x as, 4x8POSTUPV AWNET HALL 9'd DOWN t4s © tab3axeS SIT G0. /.lB 14 9 L BEAM �11.7 AW 19 ELVLflEA0.ABOVE DN —i N -------- ABOVE2SOrs FOYER _ PDR. 8 °WAL OD La RM.� BUILTd1caeINETaeovEl 2DEN/ �� E- TUDY FORTHECONTENT Ixs LDR KITCHEN ;Ow � O PANTRY IATGUTVROWNER) F D I" I UP er 6 —� COVERED Roc 1EVAL1Er466-vAvwsmEntRRB ^ as TNEFenA-TRu cc®GVPcs tm •1"•� I PORCH INalaGwm 1 4 h� a I I I_• ---- -----__---- ————— ————— ——————————— ------ ---- y • _ - a OUL cOLUSWA a A B Q -. �--i FIRST FLOOR PLAN SCAL WINDOW SCHEDULE �I TYPEMANUFACTURER'S UNIT ROUGH OPENING REMARKS FIRST FLOOR 2030 S.F. 1 SECOND FLOOR = 2039 S.F. I /4N — 6 -ANDERSEN TW 2105z �-0 are;x 3'S 9/6" CASEMENT G. SCREENED PORCH 106 S.F. DATE COVERED PORCH 406 S.F. C TW 21046' 3'-0 1/8",x a'-9 1/a" DOUBLEHUNG - D P3050 3'-01/2"x6-031W ° © SMOKE DETECTOR / 7/28/2005 F TW 254210 2'011/e"x a51 4" �DOUBLEHUNG �1 ...///. JOB N O• G AFFw601..1 5-11 3/4"x V-9 711(" ARCH GENERAL NOTES: H TW 21042 T-o tra":x a5 14• DouBLEHUNG 1.) CONTRACTOR IS TO VERIFY ALL EXISTING CONDITIONS TO B I N J CTQA 3 7-0 1�x V-0 W QUARTER ROUND &DIMENSIONS IN THE FIELD ... .. .. K AFFW 608 F-11 34•x 8•-9 5Ar ARCH 2.) CONTRACTOR TO VERIFY MATERIALS,DETAILS&FINISHES . .. THEOEsxR+ERtR7ALLBENOTRffDffANr DWG. NO. ' L CIR 24' 7-4 7/8°x X-4 7/6" CIRCLE IN THE FIELD WITH OWNER ERRORSOROM18MONBPJMR MON THESE ORAVVINOS PRIOR TO START OF M. A31 T-0trz"' 2'-0 sw AwNWG 3.) ROUGH OPENING HEAD HEIGHT OF WINDOWS AT w�eE HE FIRST FLOOR TO BEV-11•ABOVESUBFLOOR OJ THESE ORAINMMSIFCONSTRUcnON /0 NOTE:CONTRACTOR TO VERIFY ALL WINDOWS WITH OWNERAND ROUGH OPENINGS COM6ENCESwRNOUTHOTIFYINGTTE Llama WITIiWINDowMANUFACTURERPR1oRTooRDERINGOFWINDOWu 4.) ANDERSEN TILT-WASH WINDOWSWiHIGHPERFORMANCE SIGNEtOFANVERRORSOREOM ARE SOLELY OEI66pNa LOW E GLASS,WHITE VINYL EXTERIOR in o�EOWNERNOTED.ANYOTHERRUSEGFE THESE ORAVVINW REQUIRES RE W WTTEN . I CONSENTOFTNEDEMGNHt .t' . FD ED SRE—TYP,RFAC \ BRICK ClBMNEY COFR.RIDGEVENT i TVPICALAW4ALT .. .. 0 CO ROOF SHMLES �Oy(\ �10 WaO 1x8RAKEe W .. W..30RP8QARD ® TOP DP PLATE E�Wy �. ® El ® ® CO8R xRNERSOARDS 1~-�M FW+1 r\ EW�O ® ® r O co�'o 1x8 FASCIAE - ry FRIEZE e0A18)8 - � I sUBFLOOR • .. TOP OF PLATE . . �' .. TVPMJ1Ll2x@RED - .. F-M r TO THE AT FROM ONLY Lim A ::1 F P DIA T ' FWBT FIDOR gag .. 6D8FLOOR - FRONT ELEVATION I i C 3-2 3f 3-2 - 8-T f-1P C-Ur 9-2 J K ABOVE H H H HI LwI H J : L ® �1 ROOM I M Fz-I BE LOW I O I LINE OF WALL E-'+ p - BELOW L- 1sa RauNo — -------- I — —m. — © ® BEDROOM#2 " Q' w .. BEDROOM# @ lIASONRY CIBADEY ^ 00 1 BIFOID - MO ff gMp BIFOID w b STOR- os.a�3 co Ai F.P.. ��---1 Y4• --- -- POW (VERIFY S� 3x_ WFl I 77x88 !f 4 / LOFT m$ s•$ L Y@x88. BEDROOM i3 Q Qi .BATH on 4' omo i�lA W. OPTIONW. FOR V SOLA.. .. - S4x6TOIOM . Sxi b -.. co co o. FOYER -� ---_ „� BELOW /°\ TH SCALE CCE68 P CAB BD"x68' ._- BIFOID j p�NFlE88 N-- FI1 :1/4" = V-0" 6N� a�ET F DATE. YNNMOMBEAT/ b GNEL E 7F m /2 pCJ/r]WFL%SSo O J (VERIFYINF83M D p (VFAIMMIR LM - L. . av -- ————— ——— E — --- E JOB NO. h F F § - .. CENTEfffD EOFWAIL TOBIN ABOVE gELOyV . El F DWG. .NQ. 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I II,IIIi. IIIII 'I ww�ww� www : •' ww�wwwwwwww. www I II �II �®_ wwwwwwwwo www _ wwww w wwww. www _ JOB. • ' TO i • ■ ■ e f f i HeAT ,D a w STqF 4� f " V zF FIRS DdOR 11'-- via C e H flu g vT GOA f5 /14 a M . 1 ._ �. � �'e_-_ - __ - -__ __ _- ,�-,a,--.m�--._�...,--.�—•-...-,-,.. -;r...-.-.__ .._., _.__ ...-_�-^—T--_......,.._....._._. .._ _._,.,. ...._.--,--_,__... .c._ ._,._—r=,-..-...,-_.�....�..,.,-�,.—_..'-�---.-.-..,...-_�-,----gym.,—..._..��-..,-,-..,,..-,.---...--,..-„-... , 2 a 5 �� `� ¢ CtbseT CtogeT' A -- - - - - - - - - - - - - - - - -- - - - - _50_` KNEE WAS Nopo6et>�U T yo y-emoo0. BOO PRb'm:SeD 61 ASS Ol WA LL-- NEW MALL.S u E 5T,ky-, t t k e 4 f 9 r - RjwE•YEN•t' � - ' Te Be Remaaep r b SIT et : •' TY P W%*� �f SIOA AT Pla��t RsoF O io e �U UIL�i-IDN . AN 14.)A, o►r+ Cc�1�r.u�S .. �. .= a\ v ®�►� aO r-%c>Set> ee toAk FA t P.AFTIEr?S F'biZNEw lZ•VAlvt° 4 , lie n , - _ _ - M.__ :_._ - E t `rlr p AO Ociti - e i _ 9' DIRECTIONS: From Hyannis take Route 28 toward Osterville. ZONE: • '�� d At a set of traffic lights, take a left onto Osterville West Barnstable Road, and follow RC • ' to the end. Take a left onto Main Street. Take Area (min.) 87,120SF (RPOD) `° r a right onto Parker Road. Take a left onto mamas Fronta a (min) 20' •'•,'�� + Third Avenue. Take a right onto Hidden Lane Width (min) 100' ••;� •b' and follow to the end. House is on the right, 1135. •.Setbacks: Front 20' °' ••+ ° "' Sr Side 10' a • "• ';���•'. Rear 10' b� " " � andh, b� � • NOTE: 1.) The property line information shown was •°' ark�r Neck •• OVERLAY DISTRICT: �- compiled from available record information. ° Pond 6' uo AP — Aquifer Protection District s 2.) The topographic information was obtained N As Shown on Plan Entitled -0:' ea' in `9 from an on the ground survey performed on w "Revised Groundwater Protection n •o eP ." o v or between June May 20 & June 8, 2004. Overlay Districts" — Aril, 1993 rna Y P • •,� __ .Q ;.\ U`- _ 3.) The datum used is NGVD '29, a fixed mean U? sea level datum. O \ o� II FLOOD ZONE: Location oM a Map:B & C (see Plan) Community Panel No. 1"=2,000f' n \ #250001 0016 D o \\ July 2, 1992 1 \ / TBM E1=29.3' NGVD J 1 \ top of concrete bound I 1 1 / ASSESSORS REF.: / I 1 Map 139, Parcel 018 ? / Stockade Fence \ I 1 o z / / N Madden �" E / bb o 11 Owner. IN.n,T / Ann A 12�59 78.45 O \ Robert peed 9 N �� / 0 East 10t 'Street o / 155 0 1 Apartment 2U New York NY 10003 N CB/D Re5evis `. O 1 Fnd Q I l �00� \ /L m 0.62' Off O \ S� \ Ny� 0 �t _.30— O 0 Lawn \\ I Fnd I Lot 28 a \ 33,900±SF Upland SEPZ\O ORODEjP\�S� \OEOMeter `1 \ \' IP 1,060±SF Wetland OPOsso OF 2 F S ZO BE \ \ \ / Fnd „ \ 34,960±SF to Pon `SEEX\S.�,NGONEp OR ?,IV D \ ° s&T- N79�26121 E / ABPNO ' \ Set G OAR VED \ D(}ye Set \O. EyUS�B�REMO PaveoNF�OURD / ZO \ Rp5 D�oWNE � N \ / Poe I / 0 l \ 1170' ; \Q GP�P� 0 Lawn / 0 Q/ \ I <L \ I h \ TO j•y,R CB/DH endPROPOSED \° Lawn 101, Lawn ` D \ \ Fr1,..•''' n J PRO PROPOSED DOB REc _-29/............ ' '........ "' \\ \'\ S �a d 1 ALL R / 1... .�..... ... .................090C E ay-AkD Set FO01PIRN, fREP'S, 139.1' NOOSE *IN lP \ \` \� , A co p.D7�l /2 --2s I � — I1 l \ 1 S&r \ � _ Lawn ........ Se �' I WORK PR UMIt 25f�',... OPOSED OD OF EA�1 I I I I PIONO ED — — — ? /�......\....... \ \ tuber Edo � / 20— FEMA Zone Line m �/ \ ....\ ... 106.v' as per FIRM o \ \ ..... Panel # 250001 0016 D _ \ — _ \ \ \\ \ ►--'� Lndng __ — \ / / / — — F B EMA Zone Line 20_ POSED NPT \ / / // �1 / / Lndng Nl // j / = / / AS Al A2 1 ���"" ►►► \ \ Lndng — Limit of BVW — -� as flagged by ENSR Al— Lndng 15t on 17/MAY104 i / Ede of Pond EI=3.7' msf � q p Located 071JUN104 q � 4" Pond � Neck (q Great Pond) Pe rsion Add Proposed Gora e 10,91131051' Title: PREPARED FOR: PREPARED BY.- CapeSury Proposed Improveme�, n v, g . g, �- Site Plan SullivanS Engineering, Inc.Inc is Rob�,rt T. Tobin PO Box 718 PO Box 659 r^ Osterville, MA 02655 Hyannis MA 02601-0718 At 70 E ast 10th Street parrment 2U (508)428-3344 (508)428-3115 fax (508)790-7902 (508)790-7905 fox A 35 Hidden Lane PSullPE@ool.com copesurv@copecod.net New York, NY 10003 0 Barnstable (Osterville) Mass. Comp./Draft: JOD Field: RRL/WHK/JPM II I 20 0 10 20 40 60 Date: Scale: M-MR-M Review: PS Comp./Draft: WHK/RRL June 23, 2005 1 =20w Proj. # 98074 Drawing #