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0085 HOLLINGSWORTH ROAD - Health
85 14611ingsworth Oster--Ville" A 140 069 E i No. 4210 1133 BGR ESSELTE R 10% 4 a a 0 r , G �� f v" � 0 �� �I a � III 8 No. � Fee ` .. ' THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes 01pplitatlon for Misposaf ,pstrm Construction Pffmit Application for a Permit to Construct(Al Repair( ) Upgrade( ) Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. 7114 Owner's Name;Address,and Tel.No.(774)5 LI • 3 g 4 9 �,g" pAR.�Fs�.i r4 Assessor's Map/Parcel Jdp -�p(p )Q© Ao X 463 13A P. 7)'t Lx- /164 024AP6 Insta er's Adc an 1lNo. . 'Jr 0 Designer's Name,Address,and Tel.No. FX4-" v7H 5N61M"AlOV6 sic. 101 ctti*5w- ALoa-sia-w t7 Ac*-briny 1%A1 L 2 Sofa Type of Building: -& F/44/MO Dwelling No.of Bedrooms 4 Lot Size 134 sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) gpd Design flow provided JS gpd Plan Date 5 1111. Number of sheets Z' Revision Date : � 2 7 �6 Title J''FP17e ✓`y.S70-iw -,b"CS gr f* 1W 4 0,7 7Y Size of Septic Tank ��®� Type of S.A.S. Fed✓Jb/fi,= e'd Ad— Description of Soil eomsE Sr D S Nature of Repairs or Alterations(Answer when applicable) . . t Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintena e of the afore described on-site sewage disposal system in accordance with the provisions of Title-§-o fhe nvir e tal Code of t ce the system in operation until a Certificate of Compliance has been issued i rd of He ned { Date Application Approved by ` Date (Z Application Disapproved by. Date for the following reasons Permit No. i Date Issued � 4bb tu. ^� 1 �... �r y .�•W.f+� 1.. yNo. .fO `C7VV/ �. ®. 1� Fee t ��r• / k' .41 . / Entered in computer: THE COMMONWEALTH OF MASSACHUSETTS 'I PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes ftplication for Disposal *pstrtn Construction Permit Application for a Permit to Construct(A) Repair( ) Upgrade`(,) Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. 4- w 4 cv OM T/4 "'o Owner's Name,Address,and Tel.No.(7 74)SL I - 3 e 4 q Assessor's Map/Parcel I�O -U � 0� q &, A'i Js T?+,i,L L /tarp U 2 6 �a Installer's Ad e s an el.`No. `,5 0 ©/T Designer's Name,_Address and Tel.No. ( 0 "4 9--J 2 Z 'r�i'/, US ' v '®� / /' C-1.14lo(v�/ � 1v,Fi 11vE E re'//v G /.I C. 9€ � r TJcf 1;�1ClJr�r� Jac,?Si=cci l7 /Alfa DFnIV I ✓ Type of Building: F P c i71 c v 7714 i 1', z 5174 d .r Dwelling No.of Bedrooms Lot Size �6 sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) 440 gpd Design flow provided - ` gpd Plan Date />/f�lo Number of sheets �/ Revision Date �/ /6 Title 5E/077( Size of Septic Tank fU� Type of S.A.S. /Fri fd/L C- t° Description of Soil 4 (Pfjf;1S�' S/'tyL)y r }t. b Nature of Repairs or Alterations(Answer when applicable) ' Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenan ce of the afore described on-site sewage disposal system in accordance with the provisions of/Tit'le 5-of the Envy e tal Code d riot to place the system in operation until a Certificate of +" Compliance has been issued by/Phis oard of Health. i ed Date Application Approved by Date Application Disapproved by Date for the following reasons w Permit No. �VbitsDate Issued ------------------------------------------------------------------------------------------------------------------------------------- THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE,MASSACHUSETTS • Certificate of Compliance THIS IS TO CERTIFY,that the On-site.Sewage Disposal system Constructed( ) Repaired( ) Upgraded( ) Abandoned( )by X. at�� /-/-v /Z TW e�57 has been constructed in accordance with the provisions f Title 5 and the'for Disposal System Construction Permit No (6—�4 5 dated Installer - �'� Designer Irl di'J(V 7 FAvG/>V Z /l%ail G /n L #bedrooms Approved design flow A � gpd The issuance o l this Hermit shall not be construed as a guarantee that the system will c n designed. h Date 1 1 ' Inspector t --------------------------------\`-------- ------------------------------------------------------------` No.gol 6 r Ib+ Fee THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION- BARNSTABLE, MASSACHUSETTS Misposal 6pstem (Construction Permit Permission is hereby granted to Construct `/Repair( ) Upgrade( ) Abandon System located at /�D //�GSG� d IL 7�-) ✓11 �S y and as described in the above Application for Disposal System Construction Permit. The applicant recognized his/her duty to comply with Title 5 and the following local provisions or special conditions. Provided: onstruction must be completed within three years of the date of this permit. Date Approved by , TOWN OF BARNS ABLE✓ LOCATION it)Q�;64 7 SEWAGE# 0 "' l VILLAGE rad�lk ASSE 'S MAP&PARCEL 0-06q INSTALLER'S NAME-&PHONE NO. cn/C o O 1'rj` SEPTIC TANK CAPACITY LEACHING FACILITY.(type -J G. ize) .5 O® t.' -Zc- NO.OF BEDROOMS OWNER ,A e rel PERMIT DATE: _ (� COMPLIANCE DATE: - 'Separation Distance Between the: w 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 WetlanLeaching chingFaci.i f any wetlan 4xist within 300 feet o facili i Feet FURNISHED J G. r ®r'_ 51 L r 7 C Ce f� Town. of Barnstable .� .� Regulatory Services Richard V. Scali,Interim Director BAMSTABM M^M Public Health Division 1639. Fn► °i Thomas McKean,Director 200 Main Street,Hyannis,MA 02601 Office: 508-8624644 Fax:`508-790-6304 Installer & Designer Certification Form Date: q/� Sewage Permit# 2©16 — !95' Assessor's Map\Parcel 140 6 7 Designer: ;4,14 6Vi}/ &,6,4tltE-,AX1P 4 Installer: /40-) /-/ 00 �7xr✓C]7 0't/ Address: 17 AC/W P-0?Y GA Nam- Address: /0D /3®tC 1914 pZf¢& On (0-- 2— /6- 11V'- was issued a permit to install a (date) (installer) septic system at based on a design drawn by (address) ffL/1? i5N&/R/,F-eA� dated .6/;2 7`/, (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. Strip out (if required) was inspected and the soils were found satisfactory. 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. Strip out(if required) was inspected and the soils were found satisfactory. I certify that the syste referenced above was constructed in compliance with the terms the IAA approval le ers (if cable) �,ZH OF M4, (Ins a e Sign e) BORSEI I Cyrt, o civil. -+ No.35054 O A� STEP Q ocFS ( igner's Signature) (Affix Des' p 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:\Septic\Designer Certification Form Rev 8-14-13.doc J + Town of Barnstable -,P 6 ba Department of Regulatory Services 1 ,wutarear�a H Public Health Division Date �v MASS. �, �'a39• �� 200 Main Street,Hyannis MA 02601 Date Scheduled ( � ~ Time 1 LA M Fee Pd, $10 d i Soil Suitability Assessment for Sew ' e1< ,Disposal .� ' 1,� Q� • Performcd•By: m Gi�l✓C� [�v��S�t�(.'� Witnessed By: ,. �U1 t„�. ( �� • LOCATION&.GENERAL IENT4 ORMATION Loeallon Address S ROLL/�t/(a S WO/Q Owner's Name /D�) Q��L L A- l7S7L,t2✓/[.[. Address /gyp /boy 4$3 l3�9+QNS73�>+l: Assessor's Ma /Parcel•` p �4b� O(P9 Engineer's Name F'A l rA 0VT#4 ON 61+v EE-41 NEW CON^SSTRUCTION � REPAIR Teler�phone#(S'Os) 495-122S- Land Uae t\ �r�'�-- �L Slopes(96)_ Z. /J tsurrace Stones Distances from: Open WatcrBody-�! "L R Possible Wet Area Drinking Water Well �Z (.�. • Dralhaga Way n ft Property Line t Other ft SKETCH:(Street name,dimensions of lot,exact locations of teat holes&pare tests,locate wetlands-in proximity, to holes) ,rp- 1 � 86 qon 4-0 t.0 w cL s k/c�12 Parent material(geologic) Depth to Bedrock Depth to Oroundwater. Standing Water In Hole: - C�N- Weeping from Pit Fae81 (� Estimated Seasonal High Oroundwater ���� = 31, t] DETERMINATION FOR SEASON•AL•HIGH WATER TABLE Method Used: Depth Observed standing in obs.hole: In. Depth to soil mottles: In.' Depth to weeping from side of obs.hole: In. Groundwater Adjustment . Index Weill Reading Date: Index Well level Acj4actor- r: Adj.Orount Mdr-leVal- PERCOLATION TEST Observation Hole# Time at 9"' _ Depth of Pero c Time at 6" Start Presoak Time® Time(911•61 _ ` End Pro-soak ' Rate Min./Inch , t �� �•FV )—�.S S �: Site Suitability Assessment: Site Passed SItF Falled: Additional Testing Needed(YIN) Original: Public Health Division Observiition Hole Data To Be Completed on Back--- - ***If percolation test is to be conducted within 100' of wetland,you must first notify the Barnstable Conservation Division at least one(1)week prior to beginning. Q:ISEPTICU'BRCPORM.DOC DEEP.OBSERVATION HOLE LOG Hole# Depth from Salt Horizon Soil Texture Sdil Color Soil• Other Surface(in.) (USDA) (Munsell) Mottling (Stnucture,Stoner;Boulders. tsistency.%'Gravall DEEP OBSERVATION HOLE LOG Hole#-- -- Depth from Soil Horizon Soil Texture Soil Color Soil Other Surfaco(in.) (USDA) (Munsell) Mottling , (Structure,Stones,Boulders. Can0stenov. DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(In.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders, Consistency, DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color 8011 Other Surface(In.) (USDA) (Munsell) Wiling (Structure,Stones',Boulders, t Flood Insurance Rate Map:Above 500 year flood boundary No Yes /Within 500 year boundary No Yes Within 100 year flood boundary No,.,— Yes,:,_..._ J)epth of Naturally Occurring Pervious Material Does at least four feet of naturally occurring pervious mtiterlal exist in all areas observed thrpughout the area proposed for the soil absorption system? V r;;=�- If not,what is the depth of naturall y occurring pervious material? ,.. Certi�fiication 7 �' I certify that on l • D (date)I have,passed the soil evaluator examination approved by the Department of Environmental Protection and that the above analysis was performed by me consistent wit the required training,c e n ericnce described in 10 CMR 15.017. �1N OF 44 Date_! t `-� o� MICHAR.J. �y Signature BORSELLI rn CIVIL N0.35054 A�O,c�C'�STEP�c��P Q:15•BFTlLVBRCFORM.DOC FSS�ONAL EN��� TOWN OF BARNSTABLE cl le1 LOCATION �� �I�LLZNG���i•�0���7 �� SBWAGE # c'oo i-7 78 VILLAGE ®� ��LC L� ASSESSOR'S MAP 6z LOT INSTALLER'S NAME & PHONE NO. A & B CANCO 775-6264 SEPTIC TANK CAPACITYX LEACHING FACILITY:(type� �$Ub 4d ORKWL7Lg (size) 13'X 2' NO. OF BEDROOMS PRIVATE WELL OR PUBLIC WATER BUILDER OR OWNER W DATE PERMIT ISSUED: 61 001 DATE COMPLIANCE ISSUED: lol'"11" 61 VARIANCE GRANTED: Yes No KFI, ; O-Ki v t W� + f i a , , 4 n Fee t_t�e c F� No. U / THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS application for Mizpoar *pttem Construction Permit Application for a Permit to Construct( )Repair( )Upgrade( )Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. l ��Jrl s-W a✓14-h Owner's Name, e,Address and Tel. o. Assessor's Map/Parcel IL1 0- d 41 0 S�. Lott-VA l A Installer's Name,Address"TGNCANOO Designer's Name,Address and Tel.No. 350 Main Street W. Yarmouth, MA 02673 Type of Building: Dwelling No.of Bedrooms_ Lot Size sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow gallons per day. Calculated daily flow gallons. Plan Date Number of sheets Revision Date Title Size of Septic Tank 106rO 2X(tc / --_Type of S.A.S. Description of Soil �'✓�� 1� Nature of Repairs or Alter tions(Answer when applicable) l O�2 Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environm tal Code and not to place the system in operation until a Certifi- cate of Compliance has been issued by this Board f eal Signe L Date 6 ) d'1 Application Approved by Date ' Application Disapproved or the following reason f la Permit No. bqX2 I 0► Date Issued - � ter^. . ,* f,. -y F "_e' .I,^fib- I"• z""By"": /-- ^' 1�/ Fee U /V THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: ✓✓✓ Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS - 01pphcation for Migozal *pgtem Construction Permit Application for a Permit to Construct( )Repair( )Upgrade( )Abandon( ) ❑Complete System ❑Individual Components r Location Address or Lot No. o 12 c.Q Owner's Name,Address and Tel.Pip. Assessor's Map/Parcel Installer's Name!Address,and Tel.-No- Designer's Name,Address and Tel.No. Type of Building: Dwelling No.of Bedrooms Lot Size sq. ft. Garbage Grinder( ) Other Type of Building No. of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow gallons per day. Calculated daily flow gallons. Plan Date Number of sheets Revision Date Title Size of Septic Tank /000 2,<rf{; Ci Type of S.A.S. Description of Soil Nature of Repairs or Alter tions(Answer when applicable) /l i�J w-e//�s ev ' �- Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environm tal Code and not to place the system in operation until a Certifi- cate of Compliance has been issued by this Board f eal Signed'. - Date J6 of d, 1�� v �h Application Approved by ✓/f� �t �'� Date Application Disapproved or the following reasons f T- v Permit No. buw Date Issued THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS Certif irate of (Compliance THIS IS TO CERTIFY, that the On-site Sewage Disposal System Constructed( )Repaired(I}Upgraded( ) Abandoned( )by C,-q'j C o at S- i s 11 5 e+t u l s ,e constructed in accordance with the provisions of Title 5 and a for Disposal System Construction Permit No. dated Installer Designer The issuance of this permit shall not be construed as a guarantee that the syste • will function a designed. Date I l Inspector G,,1 V. G No. v Fee �d THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLE: MASSACHUSETTS Miopool,*p5tem Construction Permit Permission is hereby granted o Construct( )Repair( grade( )Abandon( ) System located at �- a��'. S L�/a e5o, 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: Cons 6 of m st be completed within three years of the date of tthi e' tJ Date: CC Approved b F f � PP Y � r r 1/6/99 NOTICE: This Form Is To Be Used For the Repair Of Failed Septic Systems Only. CERTIFICATION OF SKETCH AND APPLICATION FOR A DISPOSAL WORKS CONSTRUCTION PERMIT (WITHOUT DESIGNED PLANS) .: I, ��N1�✓1 �� , hereby certify that the application for disposal works construction permit signed by me dated a 16, , concerning the property located at g meets all of the following criteria: /This failed system is connected to a residential dwelling only. There are no commercial or business uses associated with the dwelling. /The soil is classified as CLASS I and the percolation rate is less than or equal to 5 minutes per inch. There are no wetlands within 100 feet of the proposed septic system ;,-.--"There are no private wells within 150 feet of the proposed septic system There is no increase in flow and/or change in use proposed 1 • There are no variances requested or needed. /The bottom of the proposed leaching facility will not be located less than five feet above the maximum adjusted groundwater table elevation. [Adjust the groundwater table using the Frimptor method when a licable] • If the S.A.S.will be located with 250 feet of any vegetated wetlands,the bottom of the proposed leaching facility will not be located less than fourteen (14)feet above the maximum adjusted groundwater table elevation, Please complete the following: A) Top of Ground Surface Elevation(using GIS information) 1 B) G.W.Elevation X1. 6 +the MAX. High G.W. Adjustment DIFFERENCE BETWEEN A and B �� 3 SIGNED : DATE: o� Q [Please Sketch proposed plan of s stem on bacl<]. NOTICE Based upon the above information, a repair permit will be issued for bedrooms maximum. No additional bedrooms are authorized in the future without engineered septic system plans. q:health folder:cert � '�• e �.� Y� �{d,"''� r � J � s�-S l"� , � , , - OR TOWN OF BARNSTABLE LOCATION f7.ULLJA)C sI.�CJI�'T�l x-Q SEWAGE # O��'`f76 VILLAGE C�l����i l���-LLB ASSESSOR'S MAP & LOT J qD Qb INSTALLER'S NAME PHONE NO. A & B CANCO 775-6264 SEPTIC TANK CAPACITY t�X ia�4 �6aZa LEACHING FACILITY:(type� $Z3� � ' l�t'L�.S (size) ZS 3 r Z P NO. OF BEDROOMS PRIVATE WELL OR PUBLIC WATER BUILDER OR OWNER DATE PERMIT ISSUED: kao) DATE COMPLIANCE ISSUED-. . 6 VARIANCE GRANTED: Yes No t I 'Wive ( I If J Od Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments c.ra !'Ti M 85 Hollingsworth Road t. Property Address Linda Murphy f Owner Owner's Name / information is required for every osterville V Ma 02655 8-31-15 page. City/Town State Zip Code Date of Inspection t,a 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 A. General Information filling out forms on the computer, ✓ use only the tab 1. Inspector: key to move your cursor-do not Matthew F. Gilfoy use the return Name of Inspector key. B&B Excavation Company Name 14 Teaberry Lane Company Address I Sandwich Ma. 02644 City/Town State Zip Code (508)477-0653 S113640 Telephone Number license Number I 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 y ❑ Needs Further Evaluation by the Local Approving Authority 8-31-15 Inspec or' ignature 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•3/13 \ Title 5 Official Inspection Form:Subsurface e�posal System•Page 1 of 17 `V I Commonwealth of Massachusetts W Title 5 official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments ,M 85 Hollingsworth Road Property Address Linda Murphy Owner Owner's Name information is required for every Osterville Ma 62655 8-31-15 page. City/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: B) System Conditionally Passes: ❑ One or more system components as described in the"Conditional Pass" section need to be replaced or repaired. The system, upon completion of the replacement or repair, as approved by the Board of Health, will pass. Check the box for"yes", "no" or"not determined (Y, N, ND)for the following statements. If"not determined," please explain. The septic tank is metal and over 20 years old* or the septic tank(whether metal or not) is structurally unsound, exhibits substantial infiltration or exfiltration or tank failure is imminent. System will pass inspection if the existing tank is replaced with a complying septic tank as approved by the Board of Health. *A metal septic tank will pass inspection if it is structurally sound, not leaking and if a Certificate of Compliance indicating that the tank is less than 20 years old is available. ❑ Y ❑ N ❑ ND (Explain below): t5ins-3113 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 2 of 17 Commonwealth of Massachusetts - Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments GSM , 85 Hollingsworth Road - Property Address Linda Murphy Owner Owner's Name information is required for every Osterville Ma 02655 8-31-15 page. Cityfrown 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): El 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 healthi safety and the environment: ❑ Cesspool or privy is ithin 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 i Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form Not for Voluntary Assessments ,M 85 Hollingsworth Road Property Address Linda Murphy Owner Owner's Name information is Osterville Ma 02655 8-31-15 required for every _ page. Cityrrown 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: **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. 3. Other: D) System Failure Criteria Applicable to All Systems: You must indicate"Yes" or"No" to each of the following for all inspections: Yes No ® Backup of sewage into facility or system component due to overloaded or clogged SAS or cesspool ❑ ® Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or clogged SAS or cesspool ❑ ® Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool ❑ ® Liquid depth in cesspool is less than 6" below invert or available volume is less than '/2 day flow t5ins•3113 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 4 of 17 4 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 85 Hollingsworth Road Property Address Linda Murphy Owner Owner's Name information is Osterville Ma 02655 8-31-15 required for every _ page. Cityrrown 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 El El Area system is located in'a nitrogen sensitive area (Interim Wellhead Protection Area—IWPA) or a mapped Zone II of a public water supply well If you have answered "yes"to any question in Section E the system is considered a significant threat, or answered "yes" in Section D above the large system has failed. The owner or operator of any large system considered a significant threat under Section E or failed under Section D shall upgrade the system in accordance with 310 CMR 15.304. The system owner should contact the appropriate regional office of the Department. t5ins-3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 5 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 85 Hollingsworth Road Property Address Linda Murphy Owner Owner's Name information is required for every Osterville Ma 02655 8-31-15 page. Cityrrown 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) ® ❑ _ Was the facility or dwelling inspected for signs of sewage back up? ® ❑ Was the site inspected for signs of break out? ® ❑ Were all system components, excluding the SAS, located on site? ® ❑ Were the septic tank manholes uncovered, opened, and the interior of the tank inspected for the condition of the baffles or tees, material of construction, dimensions, depth of liquid, depth of sludge and depth of scum? ❑ ® Was the facility owner(and occupants if different from owner) provided with information on the proper maintenance of subsurface sewage disposal systems? The size and location of the Soil Absorption System (SAS) on the site has been determined based on: ® ❑ Existing information. For example, a plan at the Board of Health. ❑ ® Determined in the field (if any of the failure criteria related to Part C is at issue approximation of distance is unacceptable) [310 CMR 15.302(5)] D. System Information Residential Flow Conditions: Number of bedrooms (design): 3 Number of bedrooms (actual): 3 DESIGN flow based on 310 CMR 15.203 (for example: 110 gpd x#of bedrooms): no flow provided t5ins•3/13 , 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 ,M 85 Hollingsworth Road Property Address Linda Murphy Owner Owner's Name information is Osterville Ma 02655 8-31-15 required for every _ page. City/Town State Zip Code Date of Inspection D. System Information Description: Number of current residents: 2 Does residence have a garbage grinder? ❑ Yes ® No Is laundry on a separate sewage system? (Include laundry system inspection ❑ Yes ® No information in this report.) Laundry system inspected? ❑ Yes ® No Seasonaluse? ❑ Yes ® No Water meter readings, if available(last 2 years usage (gpd)): see below Detail 2013-60,000gallons 2014-53,000gallons Sump pump? ❑ Yes ® No Last date of occupancy: current Date Commercial/Industrial Flow Conditions: Type of Establishment: Design flow(based on 310 CMR 15.203): Gallons per day(gpd) Basis of design flow(seats/persons/sq.ft., etc.): Grease trap present? ❑ Yes ❑ No 4 Industrial waste holding tank present? ❑ Yes ❑ No Non-sanitary waste discharged to the Title 5 system? ❑ Yes ❑ No Water meter readings, if available: t5ins-3/13 ` Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 7 of 17 1 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments ,M 85 Hollingsworth Road Property Address Linda Murphy Owner Owner's Name information is required for every Osterville Ma 02655 8-31-15 page. Cityfrown State Zip Code Date of Inspection D. System Information (cont.) Last date of occupancy/use: Date Other(describe below): General Information Pumping Records: Source of information: last pumped 2011 per owner 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 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): t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 8 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 85 Hollingsworth Road Property Address Linda Murphy 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: 2001 Were sewage odors detected when arriving at the site? ❑ Yes ® No Building Sewer(locate on site plan): a 3, Depth below grade: feet Material of construction: ❑ cast iron ®40 PVC ❑ other(explain): Distance from private water supply well or suction line: feet Comments (on condition of joints, venting, evidence of leakage, etc.): Septic Tank(locate on site plan): 2'6" Depth below grade: feet Material of construction: ® concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑ other(explain) If tank is metal, list age: years Is age confirmed by a Certificate of Compliance? (attach a copy of certificate) ❑ Yes ❑ No Dimensions: 1000 gallon Sludge depth: 11" t5ins-3/13 Title 5 Official Irspection Form:Subsurface Sewage Disposal System•Page 9 of 17 Commonwealth of Massachusetts Title 5 official Inspection Form Subsurface Sewage Disposal System Form.- Not for Voluntary Assessments ^M 85 Hollingsworth Road Property Address Linda Murphy Owner Owner's Name information is required for every Cisterville Ma 02655 8-31-15 page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) Septic Tank(cont.) Distance from top of sludge to bottom of outlet tee or baffle 25" 4" Scum thickness 6„ Distance from top of scum to top of outlet tee or baffle 13" Distance from bottom of scum to bottom of outlet tee or baffle , How were dimensions determined? measured Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): At time of inspection septic tank appeared to be in working order with liquid level equal with outlet invert. Tank should be pumped every 2 years for maintenance. 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 t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 10 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments wM , 85 Hollingsworth Road Property Address Linda Murphy 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.) Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): Tight or Holding Tank(tank must be pumped at time of inspection) (locate on site plan): Depth below grade: Material of construction: ❑ concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑ other.(explain): Dimensions: Capacity: gallons Design Flow: gallons per day Alarm present: ❑ Yes ❑ No Alarm level: Alarm in working,order: ❑ Yes ❑ No Date of last pumping: Date Comments (condition of alarm and float switches, etc.): *Attach copy of current pumping contract(required). Is copy attached? ❑ Yes ❑ No l5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 11 of 17 I Commonwealth of Massachusetts W Title 5 official Inspection Form o Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 85 Hollingsworth Road Property Address Linda Murphy 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.) Distribution Box (if present must be opened) (locate on site plan): OilDepth of liquid level above outlet invert Comments (note if box is level and distribution to outlets equal, any evidence of solids carryover, any evidence of leakage into or out of box, etc.): At time of inspection D-box is in working order with no sign of back up or carry over. Pump Chamber(locate on site plan): Pumps in working order: ❑ Yes ❑ No* Alarms in working order: ❑ Yes ❑ No` Comments(note condition of pump chamber, condition of pumps and'appurtenances, etc.): * If pumps or alarms are not in working order, system is a conditional pass. Soil Absorption System (SAS).(locate on site plan, excavation not required):. 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 w Title 5 Official Inspection Fora Subsurface Sewage Disposal System Form - Not for Voluntary Assessments J ,M 85 Hollingsworth Road Property Address Linda Murphy Owner Owner's Name information is Osteryille Ma - 02655 8-31-15 required for every - page. City/Town State Zip Code Date of Inspection D. System Information (coot.) Type: ❑ leaching pits number: ® leaching chambers number: 2-500gallon Elleaching galleries - number: ❑ leaching trenchesy number, length: ❑ leaching fields: number, dimensions: ❑ overflow cesspool number: ❑ innovative/alternative system Type/name of technology: x , Comments (note condition of soil, signs of hydrauk failure;level of ponding, damp soil, condition of vegetation, etc.): , At time of inspection leaching appears to be in working order with no sign of hydraulic failure., Chambers were dry at time of inspection. Cesspools (cesspool,must'be pumped as part of inspection) (locate on site plan): Number and configuration y 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 El No t5ins•3/13 Title 5 Official Inspection Form Subsurface Sewage Disposal System•Page 13 of 17 I Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments �M 85 Hollingsworth Road Property Address Linda Murphy 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.) Comments (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): 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.): t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 14 of 17 Commonwealth of Massachusetts . Title 5 official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 85 Hollingsworth Road Property Address Linda Murphy Owner Owner's Name information is required for every Osterville Ma 02655 8-31-15 page. Citylfown 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 separately vznl, �S. 1 3' Fr o n4 Nvsyo,J Drive u� (0, r t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 15 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 85 Hollingsworth Road Property Address Linda Murphy 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 (pont.) Site Exam: ® Check Slope ® Surface water ® Check cellar ® Shallow wells Estimated depth to high ground water: GW>8.3' per permit 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: permit dated 6-27-01 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: Perk test on permit dated 6.27-01 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 f - Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments GSM ,•'" 85 Hollingsworth Road _ Property Address Linda Murphy Owner Owner's Name information is required for every Osterville Ma 02655 8-31-15 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•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 17 of 17 TOWN OF BARNSTABLE LOCATION `ice SEWAGE VILLAGE O 5 l . ASSESSOR'S MAP & LOT f (s- 04 INSTALLER'S NAME & PHONE NO. b i »-s a l Sr F 79 SEPTIC TANK CAPACITY LEACHING FACILITY:(type)' 1&-o $ (size) G NO. OF BEDROOMS 3 PRIVATE WELL OR PUBLIC WATER BUILDER OR OWNERjr i /c DATE PERMIT ISSUED: DATE COMPLIANCE ISSUED: ��—,3 I►_ $, + ,a 'q ;z .j { VARIANCE GRANTED: Yes No > ' }e � �I..v �; � J. �� ) - b a � �� l e i 1 L O C.A T ION / SEWAGE PERMIT 010• x �S fY6���-G 5 w � n��► VILLAGE s INSTA LLER'S NAME i ADDRESS } R U I l D E R OR OWNER DATE PERMIT ISSUED 6 _y11 DATE COMPLIANCE ISSUED l I j �- /Gx0 ° No.-q.A THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH TOWN OF BARNSTABLE Appliration for Uhipmai Works Tomitrnrtiun ramit Application is hereby made for a Permit to Construct ( ) or Repair (x) an Individual Sewage Disposal System at: 85 Hollingsworth..Rd .........................•----•-•-•---------..........---..........-------•------•.......----•---- Location.Address or Lot No. _Mrs...... ... hY---------------•-•-.......-----------•----------......•._...... ..........--...................................................................................... Owner ddress. W W.E. Robinson Septic Service P.O. Box 1089 centerville Installer Address Type of Building Size Lot............................Sq. feet Dwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( ) a� Other—T e of Building No. of persons............................ Showers YP g --------•------•------------ P ( ) — Cafeteria ( ) Other fixtures ----------------•------------------------------------- W Design Flow............................................gallons per person per day. Total daily flow............................................gallons. WSeptic Tank—Liquid'capacity........_...gallons Length................ Width................ Diameter................ Depth..... x Disposal Trench—No. .................... Width.................... Total Length....................,Total leaching area....................sq. ft. Seepage Pit No-----------_------- Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) aPercolation Test Results Performed by.......................................................................... Date........................................ Test Pit No. 1................minutes per inch Depth of Test Pit.................... Depth to ground water........................ 44 Test Pit No. 2................minutes per inch Depth of.Test Pit.................... Depth to ground water........................ 9 ---•----•-•-•-••••----•-------------•-•--------•-----------•--------•....................................................................................... 0 Description of Soil-------------sand------------------------------------------------------------------------------------------•---------------------•------------------------------- x W UNature of Repairs or Alterations—Answer when applicable................................................................:............................... ixistall--a•.1.,0RQ..ga1..sEptic...tank-----------------------•-•--•--------------------------------......---------------------•---•---------.....-----•-------- Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Environmental Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has be w issue b b d of health. e Signed e �... ' .. ..: .. !-.................... .............. DateApplication Approved By . . .�.1 ..... .�------- .. ..--. . ---... ... -- --- ------------------------------------ ........................................ )91 Disapproved for the following reasons: ....... ................................................... .......................... ..................------------- ------ ... . - Permit N --- ---- Issued ............. IM THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE Applira#ion for Disposal Works Tnnstrnrtion Prrmit Application is hereby made for a Permit to Construct ( ) or Repair ( x) an Incividual Sewage Disposal System at: 85 Ho1_Lj.z�a .rt-h Rd ...---------•----_____...-•- -•- ............................. -•------------------••----•-......---•---•---- - .......... Lccation-Address or Lot No. _) S. T. 1f111�...................11ne---.-------- ....-._.--.- _........--............ ......---•--........................-•-•-- Owner Addres=. f W.E._Robinson Septic_Service _Pi10. Box 1089 Centerville ........ Installer Addres: VType of Building , Size Lot............................Sq. feet .-I Dwelling—No. of Bedrooms.........3...................................Expansion Attic ( ) Garbage Grinder ( ) Other—T e of Building No. of persons............................ Showers — a Other—Type g ---------------------------• P (---->.......Cafeteria ( ) Otherfixtures ------------------------------------------------•----------••----••----------•----••-•--•-••-••----•----•-•-. .....-•---- W Design Flow............................................gallons per person per day. Total daily flow............................................gallons. WSeptic Tank—Liquid capacity............gallons Length................ Width................ Diameter................ Depth----_-.---._-. x Disposal Trench—No..................... Width...._............... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No--------------------- Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) 1.4 Percolation Test Results Performed by.......................................................................... Date........................................ Test Pit No. I................minutes per inch Depth of Test Pit.................... Depth to ground water......................... (N Test Pit No. 2................minutes per inch Depth of.Test Pit.................... Depth to ground water........................ P4 --• -----•-----------••••--••••.............•------•------......------....................----••-•---................----......---------........-----•_----• ODescription of Soil............-'''-'-d.........................................................•---•----•-•----••-•---------•-----•••--------------••-----•......-•-•-•--•------------- "W U -------------------•••----------•--•----------•-----...-••••-------......------------.........-•---••--•--------••-••---.....----------•---•---•--------••- W UNature of Repairs or Alterations—Answer when applicable............................................................................................... --ingiz --------•---••------------------------------------------------------------------------------------------------------------ Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Environmental Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has bees issue by e bo rd of health. Signed ..�/��,/✓ ,.,,,,� Date Application Approved By ....1- T 1 AL"e".e,.. `, - -.. '------------------------------- . ---------...---Date Application Disapproved for the following reasons• .....................................................-- ------------------------------------------------------------------------ - t ------------------------------------------------------------ ------------..... te ........................................ --------- ---- ----------- ..17 Permit No. - ----- ------------------- Issued -----------------.1. / Dare THE COMMONWEALTH OF MASSACHUSE17S BOARD OF HEALTH TOWN OF BARNSTABLE QJ.er#ifirate of Q-1 uiptiance THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired ( x ) by Rohl.x? on SQnti^ '"�zioe................................ e Installer 85 Hollingswoftt Rd Osterville at --------------------------------------------------------- ...------ has been installed in accordance with the provisions of TITLE 5 of,The State Environmental Code as described in the application for Disposal Works Construction Permit No. .-.'Q 'CA '_4.. dated ............................. ........................... THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE---------------- 1. N Inspector -------------------------------------------------- THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH /� TOWN OF BARNSTABLE No... � �1.._ FEE..-IDQ;00....... Disposal Works TonstrudivitUprrutit Permission is hereby granted--- sg--- - tat �-_hex'v --- ---•---------------------------------- ................................ to Construct ( ) or Repair (X) an Individual Sewage Disposal System at No.---n_)ia1Ungswrazth. 2 7 0_stP Tile---------------------------------------- Streetram.. 1 --------------------------- a /^--^ �� / �-'' as shown on the applic 'on for isposal Works Construction Per .•�To 1.?�� ._! Dat l::�� ._. `!.. _.1 o ..........................................r_.____ _- �h.......:_...__............. � ) .......... Board of Health DATE.............----�—�'------------- FORM 36508 HOBBS&WARREN.INC.,PUBLISHERS 5�- .3 No.......80-2.3 Fps ..... THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH ......_.T own....O F..Barns Able----------------------------------------------------------- Appliratilan for Diipnsal Workg Tomitrnrtiinn pamit Application is hereby made for a Permit to Construct ( ) or Repair (x) an Individual Sewage Disposal System at: ....8.�..Hollingsworth..��.,...Ostervi..Ift 26_5.5 --•-----•---•---------------------•--.....---....-•--••--•------- ............................... Location-Address or Lot No. John Murpt?Y,.._Jr:... 85..Ho11gw4ki..#�d....Qlat�r�fl�.e. Q245 .... Owner Address a A & B Cesspool Service 128--Bishogs.Te cate-_HX Cii�i:s_,....a�Q�.-------•------ ....... Installer Address .� Type of Building Size Lot............................Sq. feet U Dwelling—No. of Bedrooms................3_.........................Expansion Attic ( ) Garbage Grinder ( ) Other—Type of Building ............................ No. of persons...._..4...__..__._.._... Showers ( ) — Cafeteria ( ) a' Other fixtures --------------•- P ---------------------------------••-------------------- W Design Flow............................................gallons per person per day. Total daily flow.._.._............._..._............__....._gallons. WSeptic Tank—Liquid capacity------------gallons Length................ Width-_--_-__.__--___ Diameter...--___-______- Depth.............. x Disposal Trench—No. .................... Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No---_--------------- Diameter-------------------- Depth below inlet..................... Total leaching area..................Sq. ft. z Other Distribution box ( ) Dosing tank ( ) `-� Percolation Test Results Performed by---------------------------- -------------------------- - - -- Date........................................ Test Pit No. I................minutes per inch Depth of Test Pit.................... Depth to ground water........................ rX4 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ x ............................................................................................................................................................ ODescription of Soil---------------5AUd.---------•---------------••-----------------•--•------------------------------------------------------------------------------....--•------- x U .................................................-....................................................................................................................................................... W ---------------- --------------------------------------------------------------------•------------ -------------------------------------------------------------------------------------------•------- UNature of Repairs or Alterations—Answer when applicable------installatlon__of__a__i,_QOA..ga llonr__�re=_Cast stone packed id ... -- -•------------------------------------------------------------------•- Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with T^ the provisions of l:l:1T/'i 5 of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been issued by thb and of health. D Signed_ ? G:rL��/'`��^ `':.°=''- ------ ------1.— .80....--••-- �� -----------------•............................... Date Application Approved By...... ��.� .. _ _____________5�.7.6/8Q.......... Date Application Disapproved for the following reasons-------------------------------------------------------•----------------------------------------------........-- -•---------------•---------------•----------------------------------------------------------------------------•------------------------------......----------------------------------------------_------ Date Permit No.............80- Issued 5/16/80 Date G Y 13Q- Z � No....:................... FEs...... ....5W-. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH j. Apo irFation for Elinpniial Work.5 Tonotrurtiun rranit ., y Applications hereby made for a Permit to Construct ( ) or Repair (X.) an Individual Sewage Disposal System at: ...@.35MMW ...............•--.......-•-•----..__.....--------•---•----•--------•------------..............:._ Location Address or.Lot No. R Owner Addr�eyss p Installer Address Type of Building Size Lot............................Sq. feet Dwelling—No. of Bedrooms_______________ ..........................Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ............................` No. of persons-------4_._.__............ Showers ( ) — Cafeteria ( ) Q' Other fixtures ------------------------------------------------------ W Design Flow....................................:::-------gallons per person per day. Total daily flow............................................gallons. WSeptic Tank—Liquid capacity .gallons Length................ Width---------------- Diameter---------------- Depth................ Disposal Trench—No: ........:........ Width.................... Total Length.................... Total leaching area....................sq. ft.. 3 Seepage Pit No----------- Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft. z Other Distribution box ( ) "y' Dosing tank ( ) 1 ' Percolation Test Results Performed bY=-----------------------------------•-••---•----------•------•--••---••-• Date........................... ---•-•--- a Test Pit No. 1---------,___•_.minutes per inch Depth of Test Pit.................... Depth to ground water........................ (Z, Test Pit fro 2...... _�__.__niiriutes per inch Depth of Test Pit.................... Depth to ground water........................ Chi O Description of Soil.__. -- _-;' 4---------- ----- W -----------------•--• ----•--•--- - -------- ------------------- ----------------- -- --------------- ----- -------•-- --- ------------------------- -=- .........-------------=- -------------------------------- -------- ------............................................................... U Nature of Repairs o Alterations . Answer when applicable__---i�'1AVJU tifM__ ._i� 1100 4P fte no wed_1,aCh. ---t -- over. -_ •• ----------..------• --- C--••----••--.= �4._...- • •--------------------------------- ---------- Agreement: . The undersigned,agrees to install the aforedescribed Individual Sewage'Disposal System in accordance with the provisions of'2-ITiE 5.of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of,Compliance has been issued by the b and of health. Signed ........ ---- ........... Application Approved,.BY-•-: -- ................................................ •------- - ........... Date Application Disapproved for the following reasons-----------------------•--------------------------------------•-------------•---------------------------------- --•-----•-•--------•-----------•-•--------------•••-•--=------------------•------------•--•-•--------------•-•---------------------------------------------------------------------------- ---------- Date s Permit No..............8(••-- -•----------•---•--•-•--. Issued__....._5�069 .-•- 1 Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH .......................T.OwA....O F.......P4�E1tstable....... .......................................... Trdif iratr of TompliFanrr 7", is O CER I Y hat thed'vidual Sewage Disposal System constructed ( ) or Repaired (X ) by I ft �s8TI�� c oe v fl its s To p.- ls., NA 601 has been installed in accordance with the provisions of TITLE r of The State Sanitary Co j a�escribed in the application for Disposal Works Construction Permit.No.____ - .___ .r date _-..._.__ .. .8 ....................... THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED A§ A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. i ,�v_ �-vIZA DATE..-- - ....................................... Inspector___. f __ . . 4 ........... THE COMMONWEALTH:OF MASSACHUSETTS BOARD OF HEALTH 'Town bl�: �Q Z � ............................ .......OF.. ..........................................----.................................. .6� No.......... ............ FEE.............,:......... pj it aspoo 352 Permission is hereby granted..................... Hymnist. 1 0 to Cons c ) or Re air 8 ) an Individual Sewage Disposal System atNo. ••--•-•-------------•----•---------•--•-••-----•-_. ............................................. Street as shown on the application for Disposal Works Construction ermit No. ......._ D ted.............:. 6. ._..._____.... ,a?.!Y... ------------------------•-------------------- ' � oard of Health DATE.. -------------------------------•••-•.......---- FORM 1255 HOSES & WARREN, INC.. PUBLISHERS ,,:� . FIBERGLA5S/A5PHALT ARCH, STYLE SELF-SEALING ROOF ¶Q} SHINGLES W/3 YEAR WARRANTY O CONTINUOUS RIDGE VENT. L ON IS-FELT PAPER .p FALSE VENT 24-EACH END N � g ICE AND WATER BARRIER FIRST 3-FT.ITYPJ I'-L'ON dp VALLEYS ITYP.) 12 E1I {) U b �12 3RD FLR.SUB FLOOR 3RD FLR.TOP PLATE - - - - - - - - - - - 2ND FLR.TOP PLAT _ f YY a n S�a u COVERED PORCH 12 z P.T.FRAMING WITH COMP0517E m m 12 - DECKING.STRUCTURAL POSTS. - J VINYL BEAD BOARD CEILING AND VINYL RAIL SYSTEM AS SELECTED BY OWNER IF REQUIRED BY CODE W P m Q Z -14W o 0 2ND FLR.5UB FLOOR _ _ _ _ 2ND FLR.5UB FLOOR a Q Ij N IST FLR.TOP PLATE - - _.-.-_ _ 1ST FLR.TOP PLAT a n R PERGOLA DETAIL ~N W U)F OVER GARAGE DOOR (Q Q ~ Q 4�4 aoa FIN15H GRADE TO BE Z.d) DETERMINED IN THE ______ __ FIELD AT TIME OF OO CORNER BOARD(TYP.) . w Z w CONSTRUCTION BY THE CONTRACTOR ITYPJ _J J LiW fD J J u) n of 1ST FLR.5UB FLOOR IST FLR.5UB FLOOR Q O> O O w TOP SILL PLATE - _ TOP SILL PLAT _fy W a �j U O N w Glllllllllillllllllilillllllllllllllllllllllillll 11161IIIIiillll!IIIIIIIIilllililRllJllilllllllillllliilllllllllillllllllllllllllllllllllllllllil'ili!i!II 1 Illntl' iillllili'lllll - :: ? - Z L�— v i l[�'I�'�� 11y- Him, u�hL L -�m'1 .L ll: , ):ll -'PS yLL L- aj (Q I. I_ -'I- ^t t�,"j - I `)P'dC=-�-'(1 ".,� :T 1 ! �t_.Lr L.. .._I--�LIli{➢L" rl Lw.111i'1I1�,II.fil fit.i�_- f� N II II I -..I_rrL�"^I.f=11 r1 11 E1_'11�:�1-T-'1�=1` - 1 1�1`IL ' ,�i.,�ILI t�':1 Ltl III-I :I'�J111 �1111 LI I_�)IT..III I- ��r_:rv141j fi_n 11 F=. POURED CONCRETE W W III 1�Hi _ ',J �'I Tj-llF-Ir MO ORE III t- III -�-rr m o ='� .�,.'i !ts-._r"I'�1�i I u�i :ilr`T' -u`r -7t��-ilitlklil �4r75�> li��llu..T,.J.I:`f1I FouNDnT1oN wALLs _ '•v ,I}/ f si 1 ..Tk+I yt IIII 1i„ Jt 1C 111 ila��1 I,'u-�- ll' II M I:_i= ± iT°- L//I A/I` o AND FOOTINGS(TYP.) (v W 2 CC F Q W t — — — i r-------------- I I tI v 70P OF FOOTING TOP OF FOOTING -------------------------------------------- FRONT ELEVATION SCALE:1/4-1-0' 3 E ��-E � m z f � 0 m S FIBERGLASS/ASPHALT ARCH. STILE SELF-SEALING ROOF m G SHINGLES W/30 YEAR WARRANTY ON 152 FELT PAPER I- ICE AND WATER BARRIER FIRST 3-FT.(TYP.)F-L'ON VALLEYS (TYP.) 3RD FLR.SUB FLOOR - - _ - - - __ - - - _ - 3RD FL . 2ND FLR.TOP PL R TOP PLATE ATE I X 5 AZEK PVC CORNER BOARD TYP.) X 3 AZEK PVC SHADOW F-117 Pill III III 12 E m p BOARD OVER 1 X B AZEK p PVC RAKE BOARD(TYP.) 12 u - 0 rc m ¢o WHITE CEDAR SHINGLES(TYP.) 2ND FLR.5UB FLOOR T 2ND FLR.SUB FLOOR IST FLR.TOP PLATE IST FLR.TOP PL AT < i X i POST(TYP.) � � a _ 00 FINISH GRADE TO BE }. uJ A/ DETERMINEDIN THE FIELD AT (L III III 11111t TIME OF CONSTRUCTION BY O Q O THE CONTRACTOR(TYP.) V L IST FLR.SUB FLOOR_ _ I5T FLR.SUB FLOOR :r lu TOP SILL PLATE :.. . '. -. :-j- _ _ TOP SILL PLAT (n Z _- - -w- 1:-�- -°- 11i r~ _ _ 1-III IIIIIII IIIIIII IIIIII( IIIIII IIII IIIIII YY � f-W IIIIIIIIII IIIII!IIIIIIIIIIIIIII IIIIIIIIIIIIIIIIII!IIIIIIIIIII IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII IIIIII IIIIIIIII L 10'OIA.CONC.FILLED 1- 1' II- II - II II _ - _ _ Tj (f -¢ -I II-I I - __ m it�T .l_1�.1 T w 0 w SONOTUBE WITH 29'DIA.BASE _�j1=7 BIGFOOT BF-28 ITYP.) I LI I II' �1 '�"` 1' .I w L/- L- CONCRETE PAVER PATIO PLACED ON COMPACTED GRAVEL AS REQUIREO BY Q F PAVER MANUFACTURER.LIMITS OF PATIO ( POURED CONCRETE TO BE DETERMINED IN THE FIELD FOUNDATION WALLS AND TOP OF FOOTING '- FOOTINGS(TYP.) TOP OF FOOTING O Q REAR ELEVATION SHEET: SCALE:I/4'=1'-O' A2 0 Z 4 6 B 10 Y QF 10 o GENERAL NOTES: FOUNDATION NOTES: w L CONTRACTOR SHALL VERIFY ALL DIME51ON5 AND I. CONCRETE SHALL BE f'c 3000 p.,-28 DAYS. Y (` NOTIFY SQ DE51GN ASSOCIATES OF ANY y Z DISCREPANCIES.AMBIGUITIES.OR INCONSISTENCIES 2. THE GENERAL CONTRACTOR SHALL VERIFY ALL C)PRIOR TO PROCEEDING WITH THE WORK. DIMENSIONS. ANY DISCREPANCIES.INCON515TENCIES 2. STAIRWAYS: OR AMBIGUITIES SHALL BE REPORTED TO 5Q DE51GN - sj L+J Al REQUIRED STAIRWAYS SHALL NOTE LE55 THAN ASSOCIATES PRIOR TO PROCEEDING WITH THE WORK. S W cr 3'-O'IN CLEAR WIDTH. MAXIMUM RISE SHALL BE I 8-1/4'. MAXIMUM RUN SHALL BE 9'WITH NOSING NOT 3. THE SILL PLATE OR FLOOR SYSTEM SHALL BE TO E%GEED -I/4'. MINIMUM HEADROOM SHALL BE ANCHORED TO THE FOUNDATION WITH 5/e"0 BOLTS _ WITH 3'X 3'X 1/4'WASHERS PLACED 32"ON CENTER y 5 AND NOT MORE THAN 12 INCHES FROM CORNERS OR )HANDRAIL15)SHALL BE LOCATED.IN EACH STAIR END PLATES.A MINIMUM OF TWO ANCHOR BOLT5 15 38'-O' 5Y5TEM WITH MORE THAN THREE(3)RISERS.AT A REQUIRED FOR EACH SILL PLATE.BOLTS SHALL HEIGHT OF 30'MIN.1 36'MAX.MEASURED EXTEND A MINIMUM OF 15 INCHES INTO MASONRY OR VERTICALLY FROM THE NOSING OF THE TREADS. SEVEN INCHES INTO CONCRETE. GUARDRAILS.31'MIN,IN HEIGHT,SHALL BE _ _ 2 K N - a-2 INSTALLED IN FLOOR.PORCH.AND/OR BALCONY 4. A PERIMETER SEAL SHALL BE PROVIDED UNDER 2.4 AREAS MORE THAN THIRTY(30)INCHES ABOVE A PRE55URE TREATED SILL. FLOOR OR GRADE BELOW, MAX.CLEAR OPENING BETWEEN RAILS/BALUSTERS OR FLOOR SHALL NOT 5, FOUNDATION WALLS SHALL EXTEND AT LEAST EIGHT 10'DIA CONC FILLED EXCEED FIVE G)INCHES. INCHES ABOVE THE FINISHED GRADE ADJACENT TO SON TUBE WITH 28'DIA. THE FOUNDATION AT ALL POINTS.EXCEPTION:WHERE BASE BIGFOOT BF-2B(TYP.) 4 3.WINDOW SIZES SHOWN WITHIN ARE BASED ON SIMONTON. MASONRY VENEER 15 USED.FOUNDATION WALLS SHALL b WINDOW SIZES 1 QUANTITIES SHALL BE VERIFIED BY EXTEND A MINIMUM OF FOUR INCHES ABOVE THE THE GENERAL CONTRACTOR PRIOR TO ORDERING. FINISHED GRADE. P THE WINDOW MANUFACTURER SHALL PROVIDE THE { �� `` I 130 X 3 O., ROUGH OPENING SIZES. WINDOWS MUST MEET THE \ f �� FOLLOWING CRITERIA: �- -1 Q W O A)GLAZING CL05ER THAN 18"TO THE FLOOR AND - ' 'IO'DIA.CONC, 1 50(n _ N EXCEEDING SIX(L)SQUARE FEET IN AREA MUST BE 50NOTUBE N j TEMPERED GENERAL MIN.(TYP) IDOL W B)EMERGENCY EGRESS: SLEEPING ROOMS SHALL --BUILT-UP 2X N HAVE AT LEAST ONE 11)OPERABLE WINDOW OR STRUCTURAL NOTES: 8'CONC.FOUNDATION I WOOD BEAM(TYP.) I U 4 Y F EXTERIOR DOOR TO PERMIT EMERGENCY EGRE55 WALL 13000 pv)WITH OR RESCUE. A REQUIRED WINDOW MUST BE 1.STRUCTURAL LUMBER B N O q W N OPERABLE FROM THE INSIDE WITHOUT THE USE OF ALL STRUCTURAL LUMBER SHALL BE fb=900 pal MIN. TO DAMP PROOFING N W W TO GRADE ON CONY. q-5 I oGj I V Q Q SEPARATE TOOLS AND SHALL CONFORM TO THE KEYED 18"W.X 12"D. FOLLOWING: 2.CONVENTIONAL LUMBER: CONC.FTG.(3000 pao PORCH ABOVE p Q Q N o I.THE SILL HEIGHT SHALL NOT BE MORE THAN ALL FRAMING MUST BE 2"MIN,CLEAR FROM ALL MASONRY. d-' - FORTY-FOUR 1441 INCHES ABOVE THE FINISH pQ =(n r- FLOOR. 3.DOUBLE FLOOR JOISTS UNDER WALLS RUNNING Z 2.THE WINDOW SHALL PROVIDE A MINIMUM NET PARALLEL TO THE FLOOR FRAMING.TYPICAL. CLEAR OPENING AREA OF 3.3 SQUARE FEET -- -- - -- - - — Z WITH A RECTANGLE HAVING MINIMUM NET 4.ENGINEERED LUMBER: " •::. - - CLEAR OPENING!DIMENSIONS )I TWENTY 1201 ALL ENGINEERED LUMBER SHALL BE re=2.800 pv MIN. _ O Y INCHES BY TWENTY-FOUR(291 INCHES IN EITHER DIRECTION. IF A DOUBLE HUNG UNIT IS 5.LOADINGS -� II LINE OF DECK J W Z .. ]X G P.T.SILL WITH SILL SEAL AND 5/8'DIA. I � ABOVE(TYP.(� �o� O uj O 3 USED THEN SUCH DIMENSIONS APPLY TO THE MINIMUM UNIFORMLY DISTRIBUTED LIVE LOAD: P ANCHOR BOLT5 WITH 3'X 3'X i'PLATE U 0 BOTTOM HALF. ATTICS(ROOF SLOPE NOT STEEPER THAN 3 IN 12-NO " WASHERS.BOLTS SHALL BE INSTALLED IN N W W STORAGE-10 P5F - - 5.DIMENSIONING STANDARDS USED WITHIN THE ATTIC5(LIMITED STORAGE)-20 ESE ACCORDANCE WITH THE FOUNDATION NOTES L• in U m DOCUMENTS ARE AS FOLLOWS.UNLESS OTHERWISE LIVING AREAS(EXCEPT SLEEPING ROOMS)-40 P5F L - --- Y NOTED: BEDROOMS-30 ESE m :> q` O m O ud A)EXTERIOR DIMENSIONING AT BUILDING CORNERS STAIRS-40 PSF ACCESS ID 3 U REPRESENTS AN OUTSIDE OF STUD DIMENSION, EGRESS U 2X LEDGER B)EXTERIOR DIMENSIONING AT WINDOWS AND DOORS ROOF LIVE LOAD, WINDOW 54" O� BOLTED 4 N W REPRESENTS A DIMENSION TO THE CENTER OF LIVE LOAD=30 PSF b SQUARE M.O. _ UNFINISHED p p U THAT OPENING.FROM THE CENTER OF ANOTHER - ¢� BASEMENT FLOOR OPENING.OR THE OUTSIDE OF THE STUD. SNOW LIVE LOAD: - pm b C)INTERIOR DIMENSIONING AT STUD WALLS LIVE LOAD=30 P5F 9'MIN. SLAB RETARDER pal) 10 MILL VAPOR RETAARDER § REPRESENTS A DIMENSION TO THE MIDDLE OF THE $y v E STUD. 'o IE O c S D)INTERIOR DIMEN510NING AT STAIRS REPRESENTS x IB'WIDE X I]"DEEP O�".: A DIMENSION TO THE FINISHED PACE OF THE STAIR. 3'-O'X 12, CONTINUOUS CONCRETE O mg m EP TYP. 11OOTING WITH 2'X 4' d o G y G.STRUCTURAL HEADERS 1 BEAMS SHALL BEAR ON THE T G-1�' am u m FOLLOWING: G 3 G 4 KEYWAY(TYP.) A)DOUBLE HEADERS SHALL BEAR ON 4.4 WOOD - - - - - - - -I - - - - - - - - - - - - - - 4,1,11 .• .. E QE POSTS.B)TRIPLE HEADERS SHALL BEAR ON 4.G WOOD r � T--- --- --- mPOSTS. b —�C)STEEL BEAMS SHALL BEAR ON 3-I/2'0 STEELPIPE COLUMNS.DI LAMINATED VENEER LUMBER(LVL)PRODUCT$ I 13)2X10 BUILT-UPL _J I L -i5P ECIFIED WITHIN ARE SIZED FOR MICROLLAM I WOOD GIRT BRAND. IT 15 THE SOLE RESPONSIBILITY OF THEI y - GENERAL CONTRACTOR TO VERIFY AND I !� I f31 2XI0 BUILT-UP I o i COORDINATE ANY SUBSTITUTIONS. LAMINATED I ';i I 12 DEEP SPREAD WOOD GIRT VENEER LUMBER SHALL BE HANDLED AND I FOOTING I CAR GARAGE INSTALLED IN STRICT ACCORDANCE WITH THE ` MANUFACTURER'S SPECIFICATIONS. a----_-. N 4"MIN.CONGREP E SLAB ON ICI GRADE 13000 )WITH GXG 10 MIL VAPOR RETARDER w T.BEARING PLATES SHALL MATCH OR EXCEED THE ..� - OUi WIDTH OF ALL BEAMS THAT BEAR UPON THEM. b 8.ALL DUCTWORK AND HOT I COLD WATER PIPING SHALL BE INSULATED AND WHERE NEC BUILT-UP ESSARY A VAPOR I----- TAR3BARRIER FOR THE DUCTWORK TO PREVENT CONDENSATIONC LY ENTRY SAW ( I _ - qy'' 1 I - ONTRACTION O BEAM TOYPD1. I - ~ - - - - - - - - -_---- - - - - - - - + - - - - - JOINT(TYP.) -3- I • I I I I ,' I I I k ��A ROP FOUNDATION o - - - - _ -_J LL AS NECESSARY_ T GARAGE DOOR ------- -- -- —__--- -- ---- ___ m. ]X BOLTED 10"DIA UBE FILLED I -- ------------ --,. I F W Do SOMA CO WITH FILLED .q ,TOPl=r oouNoen DIA.BASE BIGFOOT ul a< W FOUNDATION o I COVERED PORCH BF-28(TYP.) - �— - ABOVE "111= I Xe BUILT-UP �� LL -- 21 WOOD a'4 Z r Lz / !i_ \ mi 1, >_lam Z - Tliq-T O L.) 0 Z ~00 T-3 Y_8. T•-3• 2_3. y._G, ]'-3.F 0 In U.I Q. 0 0 Q to �_Q ILL z 0 L 6'ITTP.I Q S r J,TOP OP FOOTING G • U LLu u { FOUNDATION PLAN p SCALE:1/4-1-0" O A l Q Q. SECTION A SCALE:1/4"=1'-0� A-I SHEET: iv 2 0 2 4 6 8 Io A � of 10 Li d 2 d Li WXTORIOR DOOR sC1-IiCULe 14'-0• 24.-0- TAG OTT 5'-3}' 3'-5}• s'-3i ROGUE VALLEY ROUGH MODEL HARDWARE DESCRIPTION OPENING I 1 4{12 OBL.BORE h6 CASING 4-9/9 JAMB PFJ 9-LITE 7 PANEL 44-1/2'.82-1/2' T._O.. U : . T._O. 4._e. -B#' 4._e. � l= THERM-TRW ROUGH TAG OTT MODEL HARDWARE DESCRIPTION OPENING 7 1 5-210 12-8.{-8) OBL.BORE hS CASING 4-1/14 JAMB PFJ i PANEL 34-1/7'.02-1/2' R 3 1 5-212(2-8.1-0) OBL.BORE h6 CASING 4-1/14 JAMB PFJ 4-LRE I 31-1/7'.82-V2* 4 1 5-242(3-0.1-0) OBL.BORE h6 CASING 4-1/14 JAMB PFJ 9-LITE 3B-I/Y.W-1/2' ••3'-1'WIDE X C-r HIGH ROGUE VALLEY SPECIAL ORDER DOOR-CONFIRM R.O.WITH MANUFACTURER In \ o lu ° o -A4W o 0 WINDOW t PATIO COOK S=HMMUL0 B o 70N = N Wlmmcwjs A-s COVERED PORCH ly* N TAG OTY I.ITF.S TYPE AMODELL N ROUGH A-K UECKINCG WITH PT NG FRAME SUPPORTED ON - O 3:� 1.. �U) Q \ q { 3WH DOUBLE HUNG TWMI Yd'X 4'-91/9' CONC FILLED SONOTUBES W D 3WH DOUBLE HUNG TW446-2 1'AD V4'X 4'-41/4' o ()d) I!) p Q I 312H DOUBLE HUNG TLI2446-3 T-2 3/4'X 4'-4 1/4' z 2 3WH DOUBLE HUNG 7W7137 7'-i I/8'X 3'-5 I/7' I—, — 0 � I 3WH DOUBLE HUNG TW437-2 1'-K)V4'X 3'-5 V]' ZERO u �Z WW I 3WH DOUBLE HUNG TW432-3 i'-1 3/4,X 3'-51/Y CLEARANCEGAS �J J N p D! FIREPLACEJEW W W w EB G A 3WH AWNING AWN71 7'-0 I/7'%1'-01/Y Q O p p = I 3WH DOABLE HUNG TW432-7 1'-10 V4'X 41-4 V4' SEAT SHIN N=W O U Q -----� m I P.T. Z III U El O > y I QD� DL m o I BEDMASTER GREAT ROOM b Q O m on(j HARDWOOD HARDWOOD 2-e x B- SATH '.A11U T Q o a L3 U PATIO DOOR MUD 71LE p p U J I I I 30H I FRENCHWOOD GUDOIG PD{OIS XO C-0 1/4'X C-11 V1' ue O o I 31112H FRENCHWOOO GUDING PD9018 OXO 9'-0 1/4'X C-8 1/1' Q O IINIIII O o m &v m _ E SOLID P05T STEEL BEAM SOLID POST ABOVE ISEE `p IN WALL(TYP) IN WALL ITYP) — — y C O _ — FRAMING PLANS) — -- m m�s 09 i HOUR FIRE y -. � .5 q RATED DOORp 2-e x e-e :-e x e-e o c m C I C�5� \\ �5/B'TYPE X /4O C �II'I I A 5HEETROCK ON i III OIIII WALLS AS NECESSARY _ q I CAR GARAGE-25S S.F. = 2 inotE a ISLAND I 4'MIN_CONCRETE SLAB 13000 pv)WITH IXI 10/10 W.W.M.ON COMPACTED ° I _ Kdr I GRAVEL O •? G$ a a�D1 ® z °o HEAT �I BATH �� < ® I D ----------- I _ o TILE HAKIT� W-O'X T'-0"O.H. GARAGE DOOR D.W. SINK +a -T,-`-- _ — _ THICKEN SLAB TO d C I O I 12'AT DOOR a j OPENINGS(TYPAjj i I © b 0 s•-'. c-r 2'-0• r-i• e'-o- o COVERED PORCH F AZEK DECKING WITH PT FRAME SUPPORTED ON w Q CONC FILLED SONOTUBE5 �•/ (L ix �O 00 zp oc Q z cn OC4 a�W OU � N= OC�O ~ Lu w U cn O 22'-0• is-0• T-0. T'-o- W U ~O 38'-0' IL SHEET: FIRST FLOOR PLAN J SCALE:1/4'=1'-0- CONDITIONED SPACE=1351 S.F. A2 2 0 2 4 6 B 10 11 OF 10 M Z S = CXTCRIOR DOOR 9Ci-IC MIJLC 1 W ROGUE VALLET ROUGH W f d TAG OTT HARDWARE DESCRIPTION 8-T1 3'-II' 9'-3J�' MODEL OPENING U ai9 OI 1 UA2 OBL.BORE 65 CASING 4-9/4 JAMB PFJ 9-LITE 7 PANEL 99i/7'v B1-v7 vv yy TNERMA-TRU ROUGH I'-10}" M'-ij" R TAG OTT MODEL HARDWARE DESCRIPTION OPENING y^ 7 1 3-710 17-0 v 4-8) OBL.BORE bS CASING J-9/4 JAMB PFJ i PANEL 31-1/7 v 83-v7' W 3 1 5-762 12-8 v L-81 DEL.BORE Id CASING 9-9/4 JAMB PFJ 9-LITE 34:1/7' O I 5-7U(3-0•8-8) DEL.BORE b5 CASING 4-9/4 JAMB PFJ 9-LJTE 3B-V7•87-VY vv 3'-C WIDE X C-8'HIGH ROGUE VALLEY SPECIAL ORDER DOOR-CONFIRM R.O.WITH MANUFACTURER tti BI lot II W F- I A-s I I I I Q I �4W a 0 I I o 9 0 9n x 5 WINMOW • PATIO MOOR l9CMi®MI.ILR Q P K I WINMOW9 TAG OT7 11TE9 TYPE Acv En EN MODEL OPENING ROUGHI U ¢ Q A i 3WI1 DOUBLE HUNG TWIMi 7'-1'X 1'-9 1/1' OVE^RECE a'L fleEea n D l�,jY(tif)') pp g 38OH DOUBLE HUNG T02N1l-7 T-10 V1'X N'-91/1' I *U9/SNxt+' Y TJyAT�BA..LJ X:a 9a+ I 3911H DOABLE HUNG TWINi-3 T-7 3/4,X 1'-9 Vi' I I J p 2 380H DOUBLE HUNG TW7937 T-1 I/8'X Y-5 1/7' F - W Z W = w of I 3WIH DOUBLE HUNG TW7137-7 140 V9'X 3'-5 V]' z 5-r ECF �nU ~ Q -� 1 W W p��L,� I BEDROOM II�IIIII�IIII- B a� > ° Q 3 I 3WIH DOABLE HUNG TU0137-3 T'-7 3/4'X T-5 V3' BATH J�_ .O � �= CARPET � � ~ iC Y w O 3WIH AWNING AWNL Y_D I,7'X 7_D 1,7' o _"`IIIltlllll�llll ,r -IIII�IIIIII�II---� X< W p z C > > 1 303H DOUBLE HUNG TW7937-7 1'-lo V1'x 1,-4 V1' I W.I.C.I r 1 �4Z BATH I CID N m m .,�_ 1 I CARPET TILE z Q O m ° ° W-I-<< a+° w41, w a O Wlc. -I CARPET 9' n O 3 Y `CARPET-= � + N = 1111�tlllll�ll w w Q° u PATIO MOOR _ A J +° a-exe-e A 1 J I 310IH fRENCHW000 GLIDING PDiOie XO C-0 V1'X i'-B 1/1' 4 }6 1 3817H FRENCHWOOD GLIDING PD90lB OXO T-0 1/Y X C-8 1/1' o ® M1 O 5 D m am C>i)a OPEN TO BELOW jy Q ,� BEDROOM �° BEDROOM xm BONUS ROOM CARPET X< m - - CARPET CARPET = - I F ----OPEN RAIL ITYP.) > r I I C, b �UJ ------------- --- --- w0-06 Q O 3.-9. 1L�'Z U� 3 N W 38'-0" N'-O' O 0 U-!9/W Q Q O w z0� SECOND FLOOR PLAN Lu = O 0 SCALE:1/1'-I'-0' N Q UJ Q CONDITIONED SPACE-1540 S.P. f.- z OQ Q 06 0- SHEET. d _ A32 0 2 4 6 8 10 1/9-V-0- or 1 0 25' BUILDING LINE -(AS DESCRIBED ON LOT 3A PB 46, PAGE 11 F2) SHED M YLES J. & ALI SON R. z /i EDWARDS j 22"/16" DOUBLE 04 TRUNK OAK( IP LOT 11 N74'22'51" WIRE FENCE O+34.4 FOUND N/F �33.2 33.4 0 33.2 114.06' IP N 33.8 v ; D�.. MICHAEL G. & FOUND 33.8 I PP 32.6 SUSAN M. SHED N CRASNICK, TRS. SHED 33.7 ° Q o l 33.1 33.6 1 --�--- 0 y PROJECT 96:8 v 33.8 14' HOLLINGSWORTH 33.5 .�O � /POND ••• LOCATION S.7 ROAD 16" O 33. + PORCH .7 I I G RAGE ( ARE.e1 I pR/l�`YgY OAK 3.9 I I 6 I � 32.9 NOT TOSCALE BENCHMARK: o a I 34.0 I �'( NAIL & CAP n -- I EL. 32.69 v 29.Z - -- - woo 19 rn 20'A//N. I ' -0 1 LOT 4A I V33.8 33.39,682t S.F. 33.81,500 GALLON I a w .Sx"P71C TANK -n 16"/16 ' 34.0 I +34.2 n DOUBLE 11' _n`" 9 TRUNK OAK O \ Q+33.9 33.9 � O -J ! cn 33.9 PROPOSED 8 O �- _ N o 0 34.0 ql HOUSE I I I i� o THE GYWTRAC7W 0 m col"POR. I I � � Lu o �E L���/� m m O I z W 7HE EA7SnNO WATER 13' I SERtf6F AND RE-RIXJTE/T TO -n 3 A ( PROWAF A 10' r^ f3' I I I N/N/NUN-WRARA;70V FRaV NE AS AN LOT 10A m SSSTEN GW NSF ALITMAl7W 6W,C ' JOHN R. & 34.0 33.8 PA I O ) 3.3 THE WATER.5R19CE LEGEND PHYLLIS M. CHICKEN 3 32 3 .8 33.8 GANEY Coop 2g1' S -_ 34 -- - - EXISTING 2' CONTOUR BOX B I T_.___._____ 33.1 -- 60 J - 500 G4LL6W +33.5 EXISTING SPOT ELEVATION 33.7 34.0 OVANBERS TWIN f ` 9' I .��g' I 4'u�sTGWEALL x36.o PROPOSED SPOT ELEVATION T.H.1 T.H.2 a� ARGIMNO 33.9 33.9 � PP `�' EXISTING UTILITY POLE - - .�'__ 10'Niiu. 0 OAK EXISTING TREE / 33.4 33.6 34.1 33.8 T.H.1 EXISTING TEST PIT 14» !^ CEDAR I �'� mIP t.! STORAGE Z FOUND O IRON PIN 7.2 BIN 14" PINE OO 34:2 `� `, _ 0 34.6 I ~` POST & RA CE 20" I 34.0 �8" DECID, OAK N74'22'S2"W / 101.09, 34.3 �-4. 33.9 �N I � _ 25' BUILDING LINE LOT 5A (AS DESCRIBED ON N/F I PB 46, PAGE 11 F2) 5/27/16 UPDATE SEPTIC SYSTEM TO FOUR BEDROOMS. REVISE LOT LAYOUT DONALD M. SULLIVAN, %R. DATE REVISION & LAURA DARWIN PLOT PLAN -- HOUSE RECONSTRUCTION FOR #85 HOLLINGSWORTH ROAD PREPARED FOR GENERAL NOTES: BARNSTABLE HARBOR BUILDERS IN 1. . HOUSE NUMBER:- 85 OSTERVILLE MA 2. ASSESSOR'S NUMBER: MAP 140, PARCEL 069, LOT 4A 10 0 5 - 10 20 PLAN DATE: MAY 11, 2016 PLAN SCALE: 1"=10' ' 3. ZONING DISTRICT: RC CIVIL ENGINEERING * O r T WETLANDS PERMITTING 4. FLOOD HAZARD ZONE: X (FEMA MAP 25001 C0757J) �p,,j,,lv1 V T� = . 5. TOPOGRAPHIC INFORMATION COMPILED FROM AN ON THE GROUND SURVEY. SCALE: 1 INCH 10 FEET WASTEWATER DESIGN COASTAL ENGINEERING 6. ELEVATIONS SHOWN ARE BASED ON NORTH AMERICAN VERTICAL DATUM (1988). sq� TITLE 5 PLOT PLANS PIERS AND DOCKS 7. LOT COVERAGE BY EXISTING STRUCTURES: 2,081 S.F./9,682 S.F. = 21.5% s goxsElu CIVIL LAND USE PLANNING COMMERCIAL/RESIDENTIAL No.35Q54 8. LOT COVERAGE BY PROPOSED STRUCTURES: 2,080 S.F./9,682 S.F. = 21.5% ���sI Serving Cone Cod anal Sarthdastwn Nossodiusetts 9. FLOOR RATIO AREA (FAR): 1ST FLOOR (1,356 S.F.) + 2ND FLOOR (1,540 S.F.) = 2,896 S.F./9,682 S.F. = 29.9% 17 ACADEMY LANE, SUITE 200 FALMOUTH, MA - 02540 -- 508.495.1225 PROJECT NUMBER: 16027 CAD FILE NAME: 16027SP DRAWN BY: L.M./D.M.M. SHEET 1 OF 2 t. F/NI-W G,IPADE SJ'1ALL BE"2Z M/N/MUM OVER ALL .SEPAL SYSTM CGN/PIYYENTS USE 4",01A S40VEADULE 40 PIS' aP CAST/ROV PIPE 20'M/N/MUA/SETBAGW mawEDlr a-STAVE TCl GL�LLAR iYALL 10'M/N/MUM SETBACK REMOVABLE COVERS SET TO WITHIN REMOVABLE COVERS SET 6" OF FINISH GRADE (TOTAL OF 3) TO WITHIN 6" OF FINISH GRADE (MIN. OF 2) S011„_TEST ELEY _ .3.5'O�E FLEIC = .340E E'LE"1! _ J..Ot Date of soil test: 4-27-16 Test taken by. MICHAEL BORSELLI, P.E. ELEK = 32.0E Results witnessed by. DAVE STANTON S = .02 M/N. INWRrEWY 3' MAX Percolation rate: < 2 MIN./INCH IN C _ _ s. = 30./T Ground water NONE �� 2-LAYER Or IA-" TO 1/2" 1500 GALLON .�' S'ET F/R.Sr a00E YARIES fYA.SHED S7L7VE SEPTIC TANK 2' S = .O1 M/N. ELEK = 3.0 TEST HOLE #1 TEST HOLE #2 .a, ®®®® 0 =now� � Q (H-10 LOADING) o ®®a®®®®®®®®®® 0" 0" •• ' II 4 0/5, BOX ®®®®®®®®®®®®® ELEK = 2Q17 12 12 ('f/ 20 LOAD/NG,f " q . q Wtd e a h SET SEPTIC TANK ANO 0/S7R/B41TI0N BOX u II LOAMY SAND LOAMY SAND ONE LAYER OF CRUSHED STONE , /NSTALL ,9/4"rO 1 1/2"OG1%BLE' , $' WA.S M,, CRUS VED S70VF ALL 5f Z W W AROUNO CHAMBERS AND bVi011 30" 30" 1 70 771E BO=W OF NZ-CHAMBER SYS7£M. REFER 70 LAYOUT a- PROFILE. � 9 SYSTEM FOR MGRE OETA/LS 9071a1/ 01 TEST/1aE,6WY = 23O NOT TO SCALE c c COARSE SAND COARSE SAND 4" ,3 - Ra(0YABLE 24"VIA. COMPS REMOYABLE 24"D/A. COPER 132" 132" 2 - OUTLETS 1 3/4" ,� . . .•. •• .. •:r • +�O°EN AT 7ZF SET " ' OUTLET t� O INLET 3 M/N. f7PW TANK COLFR /NLET KNAGALIT 4 TYPICAL OF 5 _ o INLET " a L'to/GINL'FMINEI-Wr&'OW a4ZBELOfY � :. o � `� 6" 4" 8 L/(XAD LEVEL GAS BA I I ,• .. t� 2 - OUTLETS 4 . � 24" 24" .I PLAN VIEW CROSS-SECTION 77 7. .. BASIS FOR DESIGN: 5 2"N DB-5 DISTRIBUTION (H-205 B B BOX LOADINGS 7nrAL DAiL Y FLoiv/S BA-qo wv 4 B£OROaf/.S No GARBgGE 0/SPOSAL NOT TO .SCALE 1500 GALLON SEPTIC TANK (H-10 LOADINGS. 7OrAL 0A&Y/Z001- no avlZrawa/X 4 9EVROWS = 440 GPD NOT TO SCALE 6077W AREA PROPOSED = 4M S:F. 570E AREA PROPOSED = 185 S:F. 7DTAL LEAGYING AREA PWI240_0 = $15 Sr 8' - 3 1/2" APPL/CAAaV RATE= 0.74 6 FDA F. 4 1 " DE.S7GWLEAGK�/NOCAPAG77Y= 455G,PO > 440G90 O ® ® ® ® 33" 24" 8' - 6" CROSS-SECTION " 5/27/16 REVISED INVERT ELEVATIONS CONSTRUCTION NOTES: $ - 6 a DATE REVISION s .. a : SEPTIC SYSTEM DETAILS 1. /NSTALLA77a'V Or' 7HE PRa°0.9E0 _WR=SYSTEM_9V4 L BE/N.40aW,04N6F AVIH TITLE 5 a • 5" KNOCKOUT AND 7111'60AAV arHEAL7N RE4YJLA17aK£ FOR #85 HOLLINGSWORTH ROAD 2. A LAY 6F 711E PLANS.SHALL BE AYA/LAB/_E aV.SY7£.AW REFERENCE AT ALL 77MES 21" DIAMETER COVER PREPARED FOR DUR/NG >H£/NSTALLAnavL - >�£. nCS,S>�I, _ BARNSTABLE HARBOR BUILDERS 0 .3. NO OVANarS rO THE"G Y"A" BE PZWO MED M7HaUr 711E APPROVAL of S0711 " IN FALVOZ17H ENGI'NEER/NQ INC AND 711E BOARD a-HEALTh! I 5 KNOCKOUT 5" KNOCKOUT ��P��N OF Mgss9� OSTERVILLE MA MICHAELJ. 4. 771E M0770 SYS7FA//S S/BC"CT rO/NST0Z-Cl76W BYFAL&a1)7-/EN(YNEER/NG; INC z BORSELLI O PLAN DATE: MAY 11, 2016 PLAN SCALE: 1"=10' ANO THE BOARD 6F HEAL Th/ d o CIVIL v No.35054 .5 711E 6M)9FAC76119 -WALL N075CY FALAW171 FWNEER/NG INC AND THE ROAR, 12r HEAL T11 " A� G/S T'NALE �kQ CIVIL ENGINEERING WETLANDS PERMITTING INS PECT SPECT TNF AC M SYSTEM PR/OR rO BACKF/LL. INSallE/NSTANCE.S� M 5 a?E THAN 611E KNOCKOUT I N�'\� L M 0 U INS ,F0)7aV MAY SE NEEDED. 711E GLWTJPA0r6W SHALL aVL Y BA0rAZL 7N£PaPAaVS a , 711E • : , s T SYSTEM THAT/1AkF BEEN/NSpE-OW ANO APPROkFA9 BY FALMa(/T11 ENGINEER/N22 INC AND •• a . • a WASTEWATER DESIGN COASTAL ENGINEERING 711E BOARD ar/1EAL711 p 6 IF THE aW/7?ACTM ENCWN7£RS ANY IIAR14AaVS IN.9M'aW,0/77aV.S SVQV AS DIFFERING ! LAN VIEW TITLE 5 PLOT PLANS PIERS AND DOCKS aL S .9 r&W06,yPAPHY, W&ANOS OR OTHER CaVO/77aVS 7NA7 MAYRE(ri(//RE RE-EI/ALUAAaV aF LAND USE PLANNING GI NEER� COMMERCIAL/RESIDENTIAL TWE OEY6 , TIYE 6W7RA074W 49/ALL /MA1E0/A7EL Y crrVTA07 FALV6V1W ENGINEERING; INC 500 GALLON LEACHING CHAMBER H—10 LOAD I N G SBrv/ng Cope Cod and Southeostmn Mossochusetts SCALE: 1" = 2' 17 ACADEMY LANE, SUITE 200 FALMOUTH, MA - 02540 - 508.495.1225 PROJECT NUMBER: 16027 CAD FILE NAME: 16027DT DRAWN BY: L.M./D.M.M SHEET 2 OF 2