Loading...
HomeMy WebLinkAbout0049 NORTH BAY ROAD - Health 49 NORTH BAY, OSTERVILLE A= o c� �1 o CY N°p12134 -. 2"1..�5SLG1� co HASTINGS,MN �� 1 n� �� � 0 t _� _� �-- _,.. .{ : - ',� - r- $ G`G. '° j.' "4ti. .{ �• ♦ °:g:: T 4. Y ''. .#,���`X���, ,�.� f ,y:fxr .�.' .',•� Y''`����x ` ''os � ,fir_j � �-t '# •'�k y t r. R.,€�"�t'�• ;� t A y� `� -w. '�� .,�~''� '°`T:L��" YkS: F �.r. . �,s„i�.sy �y�• "�%�'„�+,� �"�„d^`Y'' '� ��',� :uy 3�. "^R4+s""'+t!'�-.a. '"�� s�' �. y"�µr� �. ;�s i g.� _ + d �9.• '.t ,,cr� 6 3. '� i' #Z *a `� .Y .k. tYtr i wy" ,� R `* _ .4,,, r•t d: +. ,.tea, +ti �. _ f: s s{�� �.' ,• s - � x�N. � � �, ,�.,da y�r s�t�t t �- w n e ,� r •,..� k '�I' x'7',' `»ky": ,x.tp ,' y. r, r':°�.=ys� +�' � �, � `. • !y�y ��r ,✓ @ a d- • _ t i, �a� : �_tE f!y 'ti tom'� '' �*;tRL? a:�+��.• �• t ,1�� 4 'L'k?..YaY',,yp ,t'F'+€ ""�.. � °.� "=�. �.� z'��•�p't .,� ., "��„+ �, �JC%����P'.;. Tsj s :-�y Jam,. zf ..; ^#' .xY �* ::..�.,ypr'kr^rj �ainw:, T"tu �'�:;`. 1d1' *•�. t't,�vFi A{ .:r .�.c�, g�Et's v, /,•!a ,Is a ;t =d"y"�i-ts.y,r 3a c,�"` cC t'.. �} rt ,., � ,.y :,. ,±mom" t "fir.,+s� a•�. S- G y`&,s.M,XF*yt }._ '+#: f �``�.+ t+.x'•' 3�'.`.:# •tth�'.� #'+k �G{``�..'�,,` F�'"r^,frzv'^�-} # t � � +. ::t`�•-€ 4 ,.} •$ tr.. .7"'>•ks'Ma '�r,? G, - �.i• ",X,� =r` ` t `� e 1- tev �r`•.(. "';�� #�,t';xa-� �'`+.r Am�`^t �'y�l.a3,��'kG,�"ry,'� ''�' �; F r °� ,a��*�.�,,��''�'�•�y�'��' �ry .�...-r'�'�s y�•"�:sw.� ���€�+•',.��� T,.e�,;.µ ;R�="`r�A?k� %' b ti-.,•� "y3' ...",. <'d".t ' _- �^ sr •a"• rr.� _:' -?`4i r-. -TIP t` ` ' �': ..t•,+m �.r, ntli,.4,.e.`dr k 'rx .. `"ti �r7" ,a: t i �y'.''>'�.":�.;j, s .x�tt"$•a."! i, yt. �3*` '",yh, ';S' + ',^4 f,ce' z*, w�Y�-� -. -f'"„y ¢ -f.`,F�.`�,^ i CCi�e, ``a, ;i •,`•.� G ^�, '4 d., '"'4�f�r>F�u'gs.,y,4,- J"��ry4a�j� .�� ��]e_:�# , 4lK C• t `'+.'x••.y,�".'; ?t q�;t yi n.,'� ,yti:4 4 '� 'Y,� ,.*"` ',� 3ra„'' ,+��. 'IA- ,`,�j�,_ 4.�y � r* t •.,� `,� . y rY �'"t,. wA�t 1 �r,n"'"'.�,. �� x,q ;�,_z'f. t >r # C �, xk ±$;. �•St r S �z. - ' '•� i r!t"�' ,. •b' -s* a<i i A `a�^��: a k 4• Ya. cu.>.' �.��1"", u wt4tg ` . r y `�^ "'+w t ` a t ' Q;,a )ii;Y 6 .!�` 1 r' Ye. T.°,4 u{,� .. i� r. '4�b.may-' '+. f .i Y �S 't•3 a i k i l` - t � n �t+3.} ►�R� ti` -`� >yJ'�.��k ;. rr*•"'a�'ir' } 'z5*� ¢*' wr. `v','�• +,;�$" Y P'x ��,g;:# -W. y y sT �# sg, t `, '4. ,�°,._',�y" ?y; v r ® r. =r•NyX ,t 4 •` tir<r 4�& t',to. E k "a + '�' c3 '� ,w.:"s ��. 4.++�. ,r;. 4 �r �.s Y *y1 " ,y� �. ' 1ks"�r +Sy�3« j yy t " .'- � g �^ ,�C tsi• .lrfPk �h } ..� e * "N .� *. k "?'k 'rizKi" -`i:Z. ,y' ':- 7 t' .. +.� r a- �� • :!r .'.'t`'.. "it Y;,� pf3•, r " 'rY _ t r h a', �`43^ .,�'` ,� i * �"�'.•'l `F l`^�d '�,` # P 'it � w"x ... +a+h),.. 'a. ^r'.i -° rt ,&t's"'[,* 'ta— '�• r & IS c. ' '• �# .ate '' �. "c,� Ya u sa Y;a r M1.��",+"G7•Yy •' :fir �.�+c+ �' ♦w' •`, ^', t'�f,, m-r, *1° t a -,+�, > ,� Y �}� •�'-5:s* �`'i� '7' i� d. ':€�� .}ra, :t a t•- �� a 3 4 r +wr w.- N ,f�` n�, �• ...�'r t+� .� �'�'�+c,. .ss �.� r . + FA k ✓# a �' ;* r4 kt r3 ., re & yC $k n + y Ss 'Y x• t fT ,c'�3€ 3,a." 3 ti 'C t �r `i3 ..;, - a•a my kizt`t z £: ;+1 � -r+, `j�'a.S. �. s :r'• " r + � Y ��c"�•tt" � ' r*ter 4 +f 4a " � � 3r� X "- t•,»•. ,,A;sAI zk 3 i jy'• " a.� ."y'`kH -,. rz 4 'tea f rt +'yZ "` �- „}r .t} ° Qi �� r r i fi m a . 4 = Sri u k ' ;, Cir t §..�'"`'t� � sggrr ` ' cq, r ;t q ;pk` y a + : k *� 'S' t�4.3#7 +/l .T T. { S° 5 i QN: +� y„ %rka-� ,� rM.:kay �'* `Ezz • i '��i'u.4^� `2`,«�+, ask e',..', "h• a.'3^k�#..� .T�F�, Y :rt. k'y'�_'. °4A i�b -y �Ys .,��,` �x.J,,.,t t ` o`k^�y ♦��c. y ,.�c: q �„F�,:�" � �- ' "' `�� ti9�`.+r;��"�"' �t�'���T�". �Fy �"'�.-.;` 'r`r�, a y�°'"���t„ n-lrtz"� ��#'�.r•,� + -y.� ^�y.�';4,�' �` ,��,' Y" a* � a> �'.,['-''� ro .�k'. ko . Tyr•" W,, r-+` x' r. x - -� v �� .. [a } d -� �-e.�,-i� �,�r� �, ';�*y} �V• 1�. .,.�x � T �Y ;� 4.r.I�'C ti.�`ai' f�y•t4M1 � 7 Y 4 .�e� j K S'y']-��r{." ^',�, �S � �i� '' !Y �.� � �•l y4 S F"It � r ''��_ a �•.�.. � Yi�^ a" 3 3.. Kush�s• t•""a ,. ?'.�' ` ,g, 7' s' :.ukD,.yfi. ,y -'at°�.� '°Y K"p..'°4` �+ : # � r•.a °'.�y "vf..` r � O v W _ :Z . .sri'4�. , �' �' `�§ .+& �+�4tR^!,§�, " ':,"+ ': t';'t" ��'Sttryt.•°+• �?�` `� ,. •'G�� s.a,•r,. 'y ,e. Ts •',, a€• $:;t(L9 '"""y��' ," ..$'a`' ,p. i4'e� '' fit„°-' a'S' �"' ,y ' r' ' Q = F J.$ fir,.. zw �� y�*t?. • d �•,.;'. y•'!'� "r`�+,.,-e s ''dS?f ,r `r 's ',t'�p> .��,' 's P+' '.� .r ,r .�' i .> - :'- i�'"•Fig :a • x � _ X�' �..�.+�,�Q;�� '� � x�a��' rt JF'� v ����,� Gz }tom, °q`,y"a7r �*r",�• �r }�r s� Ott{` J -:.,3�'' �f�:.1..� S.F,'t. �f'��'7 �J a �i.. * "fir{ <.re�• Y�'' 63• 'y'^' rrt�# ,ri'.'#k� k a�+ '" .- •u° ss.s +t�•: l ^7 * t d�ri,7 .-••3 dS �7j '<,# a+t' -ei�z},ty"� x i.� .s"r`v�' `- ,.N �F.., #gA � i i�'F �a a „4,� ° d�r1' .`�6� s• � G {" :•gCY,'`g�.'r'�i`. "�' '•i�,,�s'., �, > "c r a _..,• 7� 4 r.k -6 i Fear• k art.��' 'sue ^ 7 � h�" firii `aa "fr€ r ?3 '4s. sr�rl { i . k i '3 , - [ '�' R' �' �' ■ „� i . y�y. .: � Q y'. �^` �° � n ' ,},..A F r.' .. - .: •�` lk".'k msiz'•.:i 't"4, .. "*,. a F + � R "' •"•4:: •§ .'*.ckt ,,. �4�',�, Y '1�',",L.,�_� ; �x•r�,�� �"xe .3� � `•a�7 � �y`� a, s�, Cyr '�+•'.'_� s<, a +. 4?: " 9Ct'sw�xa� "t " 1 n � ' Y f. S, J T�1F 6F rf. #.. x ' r 3, Ott` �w �esyki trr� d � " + ;t a ad ` -0- �{ ..s+, „eY'�' �•- mod ��• �rr5f '� `" *x '+e t� �" t d'•' - �� �•� ixt �!� � ���L•+�'4��� � -rf�.R,:�:. �"4 r•z•T5$`�' " �. �i Sk,+ * .'`�``�-''�+�� � �"j �"• 'ti����-w�` -_^z � }te ; �t:�'`'`,' �.• ' 't3M1" :s t/i... ,,, "� ,�,',•µ 4i , ""`^ rf, '� ...�' ���� .. 1.lei: �'`�.,:?�a� r . �y-��-". {w` FS . a`i -.��.'1,'y�¢' ,u" .a�. �N 1.gi• .!lu . ,.. ¢' '�' � r', +,�:• ' ,,r ,-i*Ss �" VIA tt 4 s , - n� Ly^S: ..Yi {t".�f `fl�'� •t s` "# - h C."t 'k r 'Nk t YtSrw.. �1 � �S"8' *1 _ 3.,<� .. ,�. 8'rF>i� 'Tr. w� °.[�. c:�o '�" #" ';�" r'.°� ip�'.�+."3„t"'�'d`iq'Y 3v`✓"""`. +t°w �� ;.!?� .Y�` 4: . '+si+i4..r. '� ..:.+. .i• a. Yr e s`s 'R �,', :" 4r .t,4:F ! P ri^ NT- Y .rq+# ""{y`'`,��`` .. z v,a, a,/�', e ;' 4$` :'tYJ t- 4exi :a�� . 'fir' .nr :'- �'':r }" ti' - fa .�• m x,'k 4'?Y't<it 'F"'� " t'� f =�:a 'se' ri:'.,s �•r.€�,•.`ma's• t*' z >' �A. s #� r.=h r mid` n y- °y. kf.s "'ft �� 3 a. �?' 4 't-t '' .:4k4 '.':n 't 5 '. • `a r it. ?�"A„ �st'G;., i"w,Tw;. •'�' `...i,� ,+^ ..,t" '4 rt'.i '''.•rt'.• i ya rtga a �x..,,. :. 1'4.;,r'`F4s ! .� fi•�;f E•C Cr."y '� cJa.,'" ,er'. �u RF. i" a 4^ �,. r•>.c "+`� ti;4�' •�.^ a•t'{3rt.,n`� h�s`�; 'k.�#. ����; y, ��' �;"s.. ���,r.Ty*,�Sja..r Q,. :.$ � .h 3� T}r�Y.�k`"d•,,�.s"4� .'it '�`� a �.d �.',°e�a�` �-:Z*wwa'.: fi�� �"` ve` 3' `� " �i+ "'w."� 'S. T� f`* "i�,�x� � ,�^F F a�^�c ,�;..'��y}�+`,°�o��y��`�• r�.� `"��'"�y�syr�, � � '�+'� ��k+.y.7 x�•s�},� ,�.'���, ���., �'� �t�r. �j.`��.� �,,zq.-a� _..^, ��. t a F;'.•S��J A �"����»`.•s J Y r�a �:.� .t 'CE,�'J"k,a�+ ,�,�f, A.,y F 'i .,sy�,a��c ,: � rn,eti I p,'"'S. 7 �+ E y,^. '+."a• 1 y� y,,� ''�'r4- '�'�.,m,,y.. S ,y,,y, Y � .t .X.*. .�h � 3y�R3�f+F . '}•� �'' *v� �fi'`e�_���z S'S'`- -i`r'r+,e$..ri�t�"�A.�,�,��-'M�°'>'���' ,,i..�, ��W�.a, ��>��'ja ��Y�'•€ii' 'w�.,W .. it�� '�•,��i TOWN OF AARNSTABLE LOCATION Ll y �b d l�n'13o y c� SEWAGE# A017 " i3 VILLAGE 0 c,l4,)l`p ASSESSOR'S MAP&PARCEL0)A•023 INSTALLER'S NAME&PHONE NO.�'DDJC)GS SEPTIC TANK CAPACITY ex 1 LEACHING FACILITY:(type) ,-60 aJ Le,) C 6 Z(size) fge DI c�D NO.OF BEDROOMS `] OWNER PERMIT DATE: COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility(If any wells exist on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) Feet FURNISHED BY J)�D OS R 6[ a r ACOT 3a C- p 4r J•, 1._ 41 3--T7 �, y No: - Fee 6 THE COMMONWEALTH OF MASSACHUSETTS Entered in computes PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS s �4pflfation for ]Disposal *pstrm ConstCULtion VermIt Application for a Permit to Construct( ) Repair(�pgrade( ) Abandon( ) Complete System � ndividual Components Location Address.or Lot No. yc) r/ ,j-i� ietw j Owner's Name,Address,and Tel.No. Assessor's ap/Parcel a 4-5,5 Installer's Name,Address,and Tel.No. Designer's Name,Address,and Tel.No. Type of Building: Dwelling No.of Bedrooms 7 Lot Size y6,(60;( sq.ft. Garbage Grinder( ) Other Type of Building _,Q �&,4-je% No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) :77y gpd Design flow provided 67iLJ gpd Plan .Date Number of sheets ;Z Revision Date Title Size of Septic Tank jcfyYj yC 2-0 110 Type of S.A.S. 640 P '10 Description of Soil Nature of Repairs orAlterations(Answer when applicable) ��'j li_ .�/t:r.� 6 /Z-�X a*yd IJ 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 Environmental Code and not to place the system in operation until a Certificate of Compliance has been issued by this Board of Health. Signed Date 1/ i Application Approved by Date 7 Application Disapproved by Date for the following reasons Permit No. Z.0 7 Y Q Date Issued ( 7 -.r,l'-..rT•3 r,...:fi-.f.i .Yy'.,,,"rv'!- -'f.+`"'4, -`7�i .r - .. ^.�-'•..., ,��c,4.;7e;,� ,r..i..T- � � js'_ I �' +.� L ,n�..'7„...,.,....'.ur rr ti•,„r"r•+,+.-�c^3.ya,.,d,yA t.a.,,,. �- r ' S t Fee 4U. THE COMMONWEALTH OF._h ASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION TOWN O ARNSTABLE, MASSACHUSETTS es application for disposal *pstem Construction Permit _ Application for a Permit to Construct( ) Repair(�Upgradef( ) Abandon( ) Complete System © nd dividual Components Sri. . , Address or Lot No.Location Ad �9 �,�/-h ?Zip � Owner s Name,Address;and Tel.No. k yr P y Assessor's ap/Parcel g'02 agS t Installer's Name,Address,and Tel.No. Designer's Name,Address,and Tel.No. Type,of Building: Dwelling No.of Bedrooms'/ Lot Size '16,660 sq.ft. Garbage Grinder( ) t Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) '7 70 gpd Design flow provided /u gpd Plan Date `7 Number of sheets Revision Date Title 1 / Size of Septic Tank 2 Type of S.A.S. 5� Qo/" 'Y0 Lkf°1On ' Description of Soil # Nature of Repairs or Alterations(Answer when'appli able) /�5fo� G ~ .Je W 6 a� 11�•� c'h��6�/s unit-1 .5Iyeve S yk,�A4✓ 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 Environmental Code and not to place the system in operation until a Certificate of E Compliance has been issued by this Board of Health. Signed l r /'?..--.._- Date Application Approved by tn,, Date / �6 / Application Disapproved by Date f for the following reasons Permit No. f? r Y Q Date Issued i - THE COMMONWEALTH OF MASSACHUSETTS rl BARNSTABLE,MASSACHUSETTS Certificate of Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal system Constructed( ) Repaired( ) Upgraded( ) Abandoned(. )by Ovr Gy r �i✓ at d� c Ord has been constructed in accordance r with the provisions of Title 5 and the for Disposal System Construction Permit No. 9/7 7�/ �}dated Installer Designer �S #bedrooms - Approved design flow 770,_ gpd i The issuance of this permit shall not be cpnstrued as a guarantee that the system will4tion as des'gne l Date •M.�� !✓7{ /�! Inspector s No. G l // Fees �G- THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION-BARNSTABLE,MASSACHUSETTS Disposal *PSU3,4171.onstrurtion 3permit Permission is hereby granted to Construct( ) Repair( Upgrade( )^ Abandon( ) i System located at /y �(J �5�r✓r///fZ' and as described in the above Application for Disposal System Construction Permit. The applicant recognized his/her duty to comply with Title 5 and the following local provisions or special conditions. Provided:Construction must be completed within three years of the date of this permit. Date / I !I 1 Approved by. i4w .- rG r r ��' Glv �� In�J ( ^ PC 7�f C�B�1u� ' ,✓e'��t;��j. Town of Barnstable °F`"E'°w r: Regulatory Services Richard V.Scali Interim Director anfltrsrnet.e. r n>� Public Health Division Thomas McKean,Director 200 Main Street,Hyannis,,VIA 02601 Office: 508-862-4644 i Fax: 508-190-6304 / installer&Designer Certification Form Date: Sewage Permit# Asses§or's VIap\ParceIC7Z- G 23 GOZ Designer: �nylne Wor�(s, LAC• Installer: P.4 f�i2�;•1 �o�t Address: 1Z (lei Cress e_(.1 Rd Address: 1?d. 14.E :o re s k,oka,1Q Mn (?2(03 2 On 1'— (9—1 Q • 3:a -x \�_C was issued a permit to install a (date) (installer) t septic system at �}9 \^ 1� C3s�• based on a design drawn by {address) l �e+e r �. tM c.G.,+ke �L s Evil?nezr'n<, LUCA.i /4 C, dated (designer) 1 certify that the septic system referenced above was installed substantially according to the design; which may include minor approved changes`;such as lateral relocation of the distribution'box and/or septic tank. Strip out (if required) was inspected'and the soils were found satisfactory. 1 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 system'referenced above was constructe nce with the terms of the I\A approval letters(if applicable) OF PETER T. . McENTEE ,w CML nstal er's Signature) NO:35199 RfQ/STER�� (Designer's Signature) (Affix Desigier tamp Here) PLEASE RETURN.TO BARNSTABLE PUBLIC HEALTH DNISiON. CERTIFICATE OF COVIPLIAiNCE WILL NOT BE ISSUED UNTIL BOTH THIS FORM AND AS- BUILT CARD ARE RECEIVED BY T.HE BARNSTABLE PUBLIC HEALTH DIVISION. THANK YOU. l Q:\Scptic\Dcsiencr Ccrrification Fonn Rev 8-14-13Aoc Town of Barnstable P# ATM€ _ Department of Regulatory Services' ` Public Health Division `� 17 % auwaresrs Date_ �p t6.19- �e�; 200 Main.Street,Hyannis MA 02601 Date Scheduled, � / l Time l I Fee Pd. " hs Soil Suitability Assessment for S age Disposal Performed By: pek� '�� Witnessed By. LiOCATION & GENERAL INFORMATION 9 Location Address 6�^ •vbY7� /f� � Owner's Name d h es r�sS f ® ��R A dress�S Assessor's Map%Parcel 0-7Z VZ3_._&0 'Z Engineer's Name S ryK NEW CONSTRUCTION iON ? RrPAIIt _ L Telephone# � 6`�— Land Use.�L S t vL< _ Slopes W Z Surface Stones." Distances from: Open Water Baly --ft Possible Wet Area� — ft Drinking Water Well > ft Drainage Way_ MH— ft Property Line 2.5 7.d 7—Other ft SKETCH:(Street name,dimensi 1 ations of test holes&perc tests,locate wetlands in proximity to holes) 4 �40 a se i' ' 4 . Parent material(geologic) ��15�Ce �� � Depth to Bedrock Depth to Groundwater. Standing Wafer in Hole: /& Weeping from Pit Foce � Estimated Seasonal High GroundwateY _� / Z. r DETERMINA TION FOR SEASONAL HIGH WATER FABLE Method Used: Depth Observed standing in obs.hole: in, Depth to soli mottles:. in. Depth to weeping from side of obs.hole: __ �-o in. Groundwater Adjustment fc. Index Well# Reading Date`— Index Well level ._ Atli,factor ^ Adj,10routidwater Level PERCOLATION-TEST,.— Observation Hole# —1 Time at 9" Depth of Perc Time at 6' Start Pre-soak Time @ _ _ Z f Iq•�� Time;(9"-V) End Pre-soak Z Sr /Vi i^✓1 Rate Min/inch: Site Suitability Assessment: Site Passed_ Site Failed: Additional Testing Needed(Y/N) t { Original: Public Health Division Observation Hole Data To Be Completed on Back--------=-- ***If percolation test is to the conducted within 100' of wetland,you must first notify the. Barnstable Conservation Division at least one (1) week prior to beginning.: Q:1S EP7'ICIPERCFORM.DOC DEEP.OBSERVATION HOLE LOG Eiole#�`=1 Depth from Soil Horizon Soil Texture .Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones;Boulders. _ on istenc ravel © - 'P tom) S toy A z . c _ DEEP OBSERVATION HOLE LOG -Hole#�= L Depth from F Soil Horizon Soil Texture Soil Color .Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consistency,%Gravel) S. to f✓ls" 2 to-13 z- G tN1a 5�+�� 2,, L a� � DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Con5istency,%Gravel)__ T HOLE LOG. hole# DEEP OBSERVATION Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. consi§ten orayt Flood Insurance Rate Man: Above 500 year flood boundary No_ Yes .., Within 500 year boundary No A Yes Within 100 year flood boundary No— Depth of Naturally Occurring Pervious Material Does at least four feet of naturally occurring pervious material exist in all areas observed throughout the area proposed for the soil absorption system? , — If not,what is the depth of naturally occurring pervious material? Certification I certify that on . (date)I have passed the soil evaluator examination approved by the: Department of Environmental Protection and that the above analysis was p.-rformed by me consistent with the required tra' ' expertise and experience described in 310 CMR 15.017. Signature_ ---..- Date_ (47 Q:\.SEPTICIPERCFORM.DOC OCT.30.2000 2:22PM R YSIDE BUILDING CO.508775015 tV0.12 3.' woo Pt7ER v SULi tVAN � RICHARD a: NO. 29733 `" M(TER `.. . 'Roy, -�,�¢�`���,� ��ti ♦ --- . . s t rrrt su ° 1 _.•� a� Ld-T 2 y har I r Vo L o-j 3 a 43 L41 ryl zz's DL .Prr to ►S.1 . ! 0 i goo Z, L loT z 7 IS71:54 -ay iL OCT.30.20 ` 2=23PM.,._:«BAYSIDE BUILDING C0.508775015 N0.12 P.4-, M •SINGLE FAM�I.`� •- b g�iZooT1 ���y�£ -.._ t, w Irt-� �rf4ct.C3AG-E P►SP�iSi��. "rr--off a PAIL_`C FLOW IIo r<�6 = bbo G.P. D. �% bb o G.P.t�. x {5"0 = o G.1? D. bbo x 2007 s -IS 20 CT P. D, �H of Nq�� + . USE Zoo v GAL • TA0Y .�° Pi�ER SULIIVAN • y� No. 29733`' V15POSA\, PIT "- vSF (Z) 1000 CALM STO JO o,�Fs�,OFF A 4E lv \~� 5(DE WA L•L A?-EA X 2.S- D. $oTf'o1`'t AREA 3oe s. N. 9,90 6-.P. D. ��• '/ �t10H.1A0��J��. i A. DESiGIv PERC.oI.ATorJ f2�"C� a' t}r.Y,TF�R w`y ltl 11J Z Ytti++J. oR•- l.'rc�S 4 crs��w�Q' 7:'a 25.E 1 oA �',�.• ZA,3 4•�.,0 1 11L 4't �r � G��'1'FY `1'N,A;f' TN t "�'rxa�v'DO►..P �`�S't��}�t�Y_'a�4'Z S . �(b u e. Mtt'`.7 OF YFtC-�'Cyv.�►J. OVA 1.1Or LZY T&-D ��� 'f�� �L"L��-A.I�•.�. �i;�.1'.."�"•�;�'L'� ��'iS�F,i �'li:�.����� T'r�f�''ss� ��'CE:,�i.ec�i ►985 �•rtiT,r����z�, J � l��c�lf".1.^�e �_ts.� 'f}FIS "�1.11..1..1 t'`a ta4'r' "ia ASS �M�..t ��ti•Wit'� till ki.�-• �' �Ns M�t.1T' 16u�la' c' T}k��. -s Z:J3-r ��t ►�.,.,, T�'Tr�►�►►�0� k:,r.7S"~l...I Fyn«� (��G A..I�-�T. '����`i t;`"�. '�r..► ;%. ;:,`�: TOWN OF BARNSTABLE LOCATION 1J<74, 1 o s ��acJ[, SEWAGE# VILLAGE �...',1�,�. ASSESSOR'S MAP&PARCEL 0''7 Q• "�a NAME&PHONE NO. - SEPTIC TANK CAPACITYQoQ LEACHING FACILITY.(type) Lge,4c>,.;_• ; (size) Ly NO.OF BEDROOMS OWNER Sr�n., PERMIT DATE: COMPLIANCE DATE: \O Cc Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility > S Feet Private Water Supply Well and Leaching Facility(If any wells exist on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) nn Feet FURNISHED BY�� e i v \ 1 Commonwealth of Massachusetts Title 5 Official Inspection Form t r o A e Subsurface Sewage Disposal System Form -Not,for.Voluntary Assessments P Y 49 North Bay Road Property Address Ken Lang Owner Owner's Name information is Osterville MA 02655 March 14, 2012 required for every page. City/Town State Zip Code Date of Inspection Inspection results must be submitted on this form. Inspection forms may not be altered in any way. Please see completeness checklist at the end of the form. Important: A. General Information When filling out ; b forms on the computer,use 1. Inspector. II I U only the tab key to move your Patrick T. Sullivan cursor-do not Name of Inspector use the return key. Ready Rooter, Inc. Company Name P.O. Box 371 Company Address - Sandwich MA 02563 Cityrrown State Zip Code 508-888-6055 S112843 Telephone Number License Number y- B. Certification I certify that I have personally inspected the sewage disposal system at this address and that the information reported below is true, accurate and complete as of the time of the inspection.The inspection was performed based on my training and experience in the proper function and mnagntenance; on�te sewage disposal systems. I am a DEP approved system inspector pursuant to;Section 4340j4 Title 5 (310 CMR 15.000).The system: a' -n ® Passes ❑ Conditionally Passes '❑ Fails , ❑ Needs Further Evaluation by the Local Approving Authority 'March 20, 20121 Inspector's Signature Date , f c 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. ZjV///rOv i t5ins•11l10 Title 5 Official Inspection Form:Subsu go Disposal System-Page 1 of 1 � Commonwealth of Massachusetts ; lugTitle 5 Offic'ial Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 49 North Bay Road Property Address Ken Lang Owner Owner's Name information is Osterville MA -02655 ' March 14, 2012 required for every page. Cityrrown State Zip Code Date of Inspection B. Certification (cont.) Inspection Summary: Check ARAD or E/alwayscoinplete all of Section D A) System Passes: ; ® 1 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: 4 ❑ 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 andars of or the septic tank(whether metal or not) is structurally unsound, exhibital in tration or exfiltration or tank failure is.imminent.System ' will pass inspection if the exis placed with a complying septic tank as approved by the Board of Health. *A metal septic tank will pan if it is Structurally sound, not leaking and if a Certificate of . Compliance indicating that tless than,20 years old is available..: ❑` Y ❑ N" - xplain below): t5ins-11/10 Me 5 Official Inspection Form:Subsufface Sewage Disposal System•Page 2 of 2 Commonwealth of Massachusetts Title 5 Official Inspection- Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 49 North Bay Road Property Address Ken Lang Owner Owner's Name Information is Osterville MA 02655 March 14, 2012 required for every page. Cityrrown State Zip Code a Date of Inspection B. Certification (cont:) 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): a ❑ obstruction is removed ❑ Y ' ❑ N ❑ ND (Explain below): ❑ distribution box is leveled or replace ❑ Y ❑ N ❑ ND (Explain below):_ ❑ The system required pumping ore than 4 times a year due to broken or obstructed pipe(s). The. system will pass inspection if(with approval ofahe Board of Health): ; ❑ broken pipe(s) are eplaced ❑ Y ❑ N El- ND(Explain below): , ❑ obstruction is removed ❑. Y ❑ N ❑,ND(Explain below):. C) further Evaluation is Required by th Board of Health: ❑ Conditions exist which require furthe evaluation by the Board of Health in order to determine if the system is failing to protect publ' health, safety or the environment. 1. System will pass unless Bo rd of Health determines in accordance with 310 CMR 15.303(1)(b)that the system i not functioning in a manner which will protect public health, safety and the environmen ❑ 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•11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 3 of 3 Commonwealth of Massachusetts Title 5 Official Inspection -Forml Subsurface Sewage Disposal System Form -Not for Voluntary Assessments- 49 North Bay Road Property Address ' Ken Lang Owner Owner's Name information is Osterville MA 02655 March.14, 2012 required for every page. Cityffown State Zip Code Date of Inspection B. Certification (cost.) 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: " f❑ The system has a septic tank and soil absorption system (SAS) and the SAS is within' 100 feet of a surface water supply or trib ry to a surface water supply. ❑ The system has a septic tank_ and'SAS nd the SAS is within a Zone 1 of a public water supply. ❑ The system has a septic tank and S and the SAS is within 50 feet of a private�water supply well. v` k ❑ The system has aseptic tank and SAS d 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 wat analysis, performed at a DEP certified laboratory, for fecal coliform bacteria indicates absent d the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided th t no other failure criteria are triggered.A copy of the analysis must be attached to this form. 3. Other: -} • • 1 f a 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 ' •E] ® 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 T ❑ ® Liquid depth in cesspool is less than 6° below invert or available volume is less, than day flow t5ins•11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 4 of 4 Commonwealth of Massachusetts Title 5 Official Inspection -Form : Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 49 North Bay Road . • a Property Address F Ken Lang Owner Owner's Name information is required for Osterville MA 02655 March 14, 2012 every page. Citylrown 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. El ® 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. : r. ❑ ® The system fails. I have determined that one or more of the above failure criteria exist as described in 310 CMR 15.303,therefore the system fails. The system owner should contact the Board of Health to determine what will.be necessary to.correct the failure. E) Large Systems: To be considered a large system the system must serve a facility with a design flow of 10,000 gpd to 16,000 gpd. For large systems, you must indicate either" es"or"no"to each of the following, in addition to the questions in Section D. Yes No ❑ ❑ the system is ithin 400 feet of a surface drinking water supply ❑ ❑ the syste is within 200 feet of a tributary to a surface drinking water supply ❑ ❑ the sy m 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 " s°to any question in Section E the system is considered a sign ificant,threat, or answered °yes".in S ction 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•11110 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 5 of 5 Commonwealth of Massachusetts Title 5 Official Inspection. Form • Y Subsurface Sewage Disposal System.Form -Not for Voluntary Assessments r< 49 North Bay Road x Property Address Ken Lang Owner Owner's Name information is Osterville • MA' - ;`. 02655 March`14;2012 4 required for every page. City/Town state `". `" Zip Code Date of Inspection C. Checklist r .. - - $= a•k +-'ti - -F > `.^.9 r Check if the following have been done:You must indicate"yes"or"no"as to each of the following: x. a Yes No -Y ® ❑ ' 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? El ® 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 arid examined? (If they were not." El availablenote 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,`ezcluding 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? ® El information 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 r ' been determined based on: ® ❑ Existing information. For example,'a plan at the Board of Health. ® 0 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 g ` k. • - 8T' - v - �- a -. Residential Flow -Conditions: 'Number of bedrooms•(design). up to 9 Number,of bedroo6isF6ctual): '1$29 GPD" DESIGN flow based.on 310 CMR 15.203(for example. 110 gpd x#of bedrooms): #3 f r 4 t5ins•11/10 Title 5 Official Inspection Forth:Subsurface Sewage Disposal System Page 6 of 6_ Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form Not for Voluntary Assessments '< 49 North Bay Road Property Address Ken Lang Owner Owner's Name information is required for Osterville MA- 02655 '17 March 14, 2012� y every page. Cityl-rown State Zip Code Date of Inspection D. System Information Description: 'Notes in Board of Health file states system is restricted to a max of 9.bedrooms due to size of septic tank(2000 gallons) and garbage disposal. 0 Number of current residents:' Does residence have a garbage grinder? ® Yes ❑t No Is laundry on a separate sewage system?[if yes separate inspection required] ❑ Yes ® No Laundry system inspected? ❑, Yes ❑' No Seasonal use? Z Yes ❑ .'No Water meter readings, if available(last 2 years usage•(gpd)): 2010=28 GPD _ 2011= 33 GPD Detail: Property used in summer only. Light water use over last 2 years. F Sump pump?• • ❑ Yes•® No Last date of occupancy: September 2011 Date Commercial/industrial Flow Conditions: Type of Establishment: Design flow(based on 310 CMR 15.203) Gallons per day(gpd) F Basis of design flow(se/ed / ft., etc.)'. Grease trap present? ❑ Yes ❑ No Industrial waste holdingt? M ❑. Yes ❑ No Non-sanitary waste dise Title 5 system? . ❑ Yes.❑ No Water meter readings, bins•11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 7 of 7 F Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments r• 49 North Bay Road Property Address • ` Ken Lang Owner Owner's Name information is I required for Osterville MA 02655 March 14,2012 every page. cityrrown ," .g State Zip Code Date of Inspection D. System Information (cont.) Last date of occupancy/use:,"/ Date Other(describe beloinr: k - s ° . General,Infonnatiori Pumping Records: a s k • y f Source of information. . ` No records found g Was system pumped as part of the inspection? - Yes 4[o No` VJ If yes, volume pumped:. gallons How was quantity pumped determined? Reason for pumping: • r Type of System• a, ® Septic tank, distribution box, soil absorption system �... Single cesspool ❑ L Overflow cesspool ❑ Privy 44 0 Shared s stem es or no if es, attach revious ins ection records, if an Y (Y ) C y P P Y) ElLL Innovative/Alternative technology. Attach a copy of the current operation and maintenance contract(to be obtained from system Owner) and'a`copy of latest r . inspection of the l/A system by system`operator under contract a ' t' ❑ f.. �` :Tight a copy.of the DEP approval. b ❑ Other(describe): t5ina•11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System Page 8 of 8 r Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 49 North Bay Road Property Address Ken Lang Owner Owner's Name information is required for Osterville MA 02655 March 14, 2012 every page. City/Town State Zip Code Date of Inspection D. System Information (cunt.) Approximate age of all components,date installed(if known) and source of information: System installed January 10, 1986. Certificate of Compliance on file at Board of Health: s Were sewage odors detected when arriving at the site?. ❑ Yes ® No Building Sewer(locate on site plan): _ Depth below grade: ' feet + Material of construction: ❑ cast iron ® 40 PVC ❑ other(explain): Distance from private water supply well or suction line: N/A ` feet Comments (on condition of joints, venting, evidence of leakage, etc.): . R Septic Tank(locate on site plan): i Depth below grade 2 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 iDimensions: 12'2"X 6'8"X 5'8" 2000 gal Sludge depth: t5ins•11110 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 9 of 9 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form Not for Voluntary Assessments " ' 49 North Bay Road Property Address Ken Lang Owner Owner's Name f information is required for Osterville MA 02655 March 14, 2012 ' every page. Cityrrown "State Zip Code Date of Inspection D. System Information°(cont.) ' Septic Tank(cunt.) Distance from top of sludge to bottom of outlet tee or baffle 32" 0,, Scum thickness Distance from top of scum to top of outlet tee or baffle • 140@ Distance from bottom of scum to bottom of outlet tee or,baffle How were dimensions determined? ' Tape measure and dip tube. Comments(on pumping recommendations, inlet and,outlet tee or baffle condition,stiuctural,integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): Inlet and outlet PVC tees in place. Liquid level at outlet invert. Inlet access.under stone patio, viewed with mirror from outlet. Light solids in tank at time of inspection. Riser brings outlet within 6"of grade. Grease Trap (locate on site plan): Depth below grade: 4 feet Material of construction: ❑concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑ other(explain): Dimensions: Scum thickness Distance from top o/scum outlet tee or baffle Distance from bottoottom of outlet tee or baffle 4, Date of last pumping: r Date t5ins•1 Ill 0 Me 5 Official Inspection Forth:Subsurface Sewage Disposal System•Page 10 of 10 Commonwealth.of Massachusetts' Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments "< 49 North Bay Road 4 Property Address . Ken Lang Owner Owner's Name information is required for Cisteiville MA 02655 March 14, 2012 every page. City/Town State •Zip Code Date of Inspection D. System Information (cunt.) 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: F , L Material of construction: ❑ concrete ❑ metal ❑ fibergla 0 polyethylene ❑ other(explain): r Dimensions: t Capacity: gallons Design Flow: - - gallons per day Alarm present: EY Yes ❑ No Alarm level: Alarm,in working order. ❑ Yes ❑° No Date of last pumping: Date Comments(condition of ala and float switches, etc.):' t *Attach copy of current pumping contract(required). Is copy attached? ❑ Yes ❑ No . a t5ins•11M0 Title 5 Official Ins pection Form:Subsurface Sewage Disposal System•Page 11 of 11 Commonwealth of Massachusetts Title 5 Official lnspectionform Subsurface Sewage Disposal System Form -Not for Voluntary Assessments x, 49 North Bay Road Property Address " Ken Lang Owner Owner's Name u information is required for Ostefville 4 : MA 02655 March 14, 2012 every page-* Cityrrown State Zip Code Date of Inspection D. System Information (cont.) Distribution Box(if present must be opened) (locate on site plan): on Depth of liquid level above outlet invert E 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.): One inlet,two outlets. Equal flow. Slight corrosion around outlet lines not affecting system operation. No solids carryover. No sign of high water staining over outlet inverts. Riser brings cover within 6"of grade. Pump Chamber(locate on site plan): Pumps in working order: ❑ Yes ❑ No. Alarms in working order. ❑ ;Yes ❑ No Comments(note condition of pump chamb r, condition of pumps and appurtenances, etc.): } . r . Soil Absorption System (SAS) (locate'on site plan, excavation not required):' ' If SAS not located, explain why: a t5ins-11110 " Title 5 Official Inspection Form:'Subsurface Sewage Disposal System-Page 12 of 12 . r ' Commonwealth of Massachusetts ugTitle 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 49 North Bay Road Property Address Ken Lang Owner Owner's Name information is required for Osterville MA 02655 March 14, 2012 every page. Cityfrown State Zip Code Date of Inspection D. System Information (cunt.) ' Type: ® leaching pits number: stone.tone.'w/4'of ., s ❑ leaching chambers number: ❑ leaching galleries number ❑ leaching trenches number, length: , ❑ leaching•fields +y. number, dimensions: ❑ overflow cesspool 'i number: ❑ innovative/altemative system Type/name of technology: Comments(note condition of soil, signs of hydraulic failure, level of ponding,damp soil, condition of vegetation, etc.): Both pits located and inspected with camera. Both dry at time of inspection. No sign of high water staining over bottem row of holes. 4S+- below invert. 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 a Dimensions of cesspool Materials of construction Indication of groundwater inflow ❑ Yes ❑ No t5ins,11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 13 of 13 Commonwealth of Massachusetts Title 5 Official Inspection Form - Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 49 North Bay Road B. ' R Property Address Ken Lang Owner Owner's Name information is Osterville MA ��' 02655 March 14,2012 required for every 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.): r t Privy(locate on site plan): ` i Materials of construction: Dimensions Depth of solids - Comments(note condition of soil, hydraulic failure, level of ponding, condition of vegetation, etc.): • r , ,,'_ • a ... • , t t5ins•11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System Page 14 of 14 Commonwealth of Massachusetts `w, Title 5 Official Inspection Form. i Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 49 North Bay Road y Property Address Ken Lang Owner Owner's Name tnform required ation is required for Osterville MA 02655 March 14,2012 every page. Cdyrrown State Zip code Date of Inspection D. System information (cunt.) 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 a � c.STONE , •P,4no , a f5ins-11H0 Me 5 OffidW hmp mfim Forth:SAwMaoe Smage Dispose!System•page 16 of 15 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System form -Not for Voluntary Assessments 49 North Bay Road Property Address ' Ken Lang Owner Owner's Name information is required for Osterville MA 02655 March 14,•2012 , every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Site Exam: ® Check Slope t ❑ Surface water ® Check cellar a ❑ Shallow wells >4 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: . Dec. 11, 1985 • 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: ma.water.usgs.gov terraserver-usa.com You must describe how you established the high ground water elevation: } Est. high ground water at eiv=5.3 (1985). Base of Leach pits at elv= 17.4. Slope to,East of property drops below base of leach pits.`Accessed local ground water contours and topo mapping Before.filing this Inspection Report, please see Report Completeness Checklist on next page. t5ins•11/10 Title 5 Official Insp ection Form:Subsurface Sewage Disposal System-Page 16 of 16 Commonwealth of Massachusetts • y. Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments .' 49 North Bay Road Property Address Ken Lang { Owner Owner's Name information is required for Osteryille MA 02655 March 14 2012 every page. • cityrrown State Zip Code Date of Inspection E. Report Completeness,Checklist ® Inspection Summary:A, B, C, D, or E checked ® Inspection Summary D (System Failure Criteria Applicable to All Systems) completed ® System Information—Estimated.depth to high groundwater {` r ® Sketch of Sewage Disposal System either drawn on page 15 or attached in;separate file 9 t5ins•11/10 ;.!,, Tide 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 17 of 17 } DATE :j/9/06 PROPERTY ADDRESS 49 North Bay Rd Osterville 00--7- MA 02655 On the above date, the septic system at the address above was Inspected. This system consists of the following: 1.1 1-1500 ga2.2on zept.ic tank.- 2.. 1- Dizta igut ion l30x.. 3., 2- 7000 gaiion ieach.ing fit s. Based on inspection, I certify the following conditions: 4., 7h.iz .is a Tit�e. .�ive .septic .system. (78Code) 5., SePt.ic .system .is .in 122o12e2 wo2k.ing oadea at t Lezenttime. . SIGNATUR Name: Robert A. Paolini `r_ Company: Joseph P. Macomber &`Sonjnc . .. }. Address: P. O. Box 66 C=n Centerville, Mass'02632 Phone: 508-775.3338 or 508-775-6412 , e zz Cl7 M :OS.EPH P. MACOMBER & SON, INC. Tan ks-Cesspool Pumped & Installed Town Sewer Connections Box 66 Centerv�ilte, MA 026.32-0066 775-3338 775.6412 •\ COMMONWEALTH OF MASSACHUSETTS 0 EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS DEPARTMENT OF ENVIRONMENTAL PROTECTION F t y TITLE 5 OFFICIAL INSPECTION FORM—.NOT.FOR.VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM FORM PARTA CERTIFICATION Property Address: . 49 North Bay Rd Osterville MA 02655 Owner's Name: Jon Baker Owner's Address: Same Date of Inspection:-,�a I n 6- -Name of Inspector: (please print Robert A Paolini Company Name: 1 1. Macom ou ''� S:on Inc. Mailing Address: Cen c2v..c e, ct.�.s. 02632 Telephone Number: 5 0 8-7 7 5 33 3 3 8 CERTIFICATION STATEMENT I certify that I have personally inspected the sewage disposal system at this address and that the information reported below is true,accurate and complete as of the time of the inspection.The inspection was performed based on my training and experience in the proper function and maintenance of on site sewage disposal systems.I am a DEP approved system inspector pursuant to�Section.15:340 of Title 5(310 CMR I.&000). The system: XXXPasses Conditionally Passes Needs Further Evaluation by the Local Approving Authority Fails 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,acid the approving authority. Notes and Comments ****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 differepY` conditions of use. T:.,,G Tncnnr�inn Fnrm 6/15/2000 page 1 Page 2 of 11 OFFICIAL INSPECTIONYORM—NOT FOR VOLUNTARY ASSESSM. ENT$ SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FflltM PART A CERTIFI.CATION(continued) Property Address: 49 Nort-h Ray Rd ilstervilly MA ?ASS Owner: on Raker Date of Inspection: 2 /9/0 6 Inspection Sum`mary: .Check A,B,C,D or.E/ALWAYS;.eomplete all of Section.-D A. System Passes:�a�S N 0 1 have not found any information which indicates'#haf 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: S pt.ic zyztem .ins .in RaoRe2 wo2k.ing oadea at the. .Pzezent time., B. System Conditionally Passes: no One or more system components as described in the"Conditional Pass"aection.need to'be.replaced;or repaired.The system,upon completion of the replacement or repair,.as approved by the Board of Health,will pass. Answer yes,no or not determined(Y,N,ND)in the for the following statements.If"not determined"please explain. n o The septic tank is metal and.aver 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. ND explain: n° Observation of sewage backup or break out or high static water level in the distribution box due to broken or obstructed pipe(s)or due to a broken;settled or uneven distribution box.System will pass inspection,if(with approval of Board of Health): broken pipe(s)are replaced obstruction is removed distrib.utioii box is leveled'or replaced ND explain: no The system requited pumping more than 4 times a year due to broken or obstructed pipe(s),The system will pass inspection if(with approval of the Board of Health): broken pipe(s)are replaced obstruction is removed ND explain: , ., . 2. f Page 3 of I I I � OFFICIAL INSPECTION FORM :NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTI.FICATION(continued) Property Address: 49 North BaV Rd Osterville MA 02655 Owners jon Raker Date of Inspection:_ 2/a /0 6 C. Further Evaluation is Required by the Board of Health: NO 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: no Cesspool or privy is within 50 feet of a surface water no Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh 2. System will fail unless the Board of Health(and Public Water Supplier,if any)determines that the system is functioning in a manner that protects the public health,safety and environment- IIsz The system has aseptic tank and soil absorption system(SAS)and the SAS is within 100 feet.ofa surface water supply or tributary to a surface water supply. no The system has aseptic 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. no The system has aseptic tank and SAS and the SAS is less than 100 feet but 50 feet or more froih a private water supply well". Method used to determine distance visual "This system passes if the well water analysis,performed at a DEP certified laboratory,for coliform bacteria and volatile organic compounds indicates that the well is free from pollution from that facility and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5.ppm,provided that no other failure criteria are triggered. A copy of the analysis must be attached to this form. 3. Other: 3 Page 4 of 11 OFFICIAL INSPECTION FORM--NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM.INSPECTION FORM PART A CERTIFICATION(continued) Property Address: 49 North Bay Rd Os ervi a MA •02655 Owner: Jon Baker Date of Inspection: 2 9 0 6 D. System Failure Criteria applicable to all systems: You must indicate"yes"or"no"to each of the following:for all inspections: Yes No _ . X Backup of sewage into facility or system component due:to overloaded.or clogged SAS or-cesspool .. Dischargei or ponding of effluent to the surface of the.ground or surface waters due to an overloaded or clogged SAS or cesspool X Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool X Liquid depth in cesspool is less-than 6"below invert or available volume is less than'h.day flow X Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s).Number of times pumped X Any portion of the SAS,cesspool or privy is below high ground water elevation. X .Any portion of cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply. X Any portion of a cesspool or privy is within a Zone 1.of a:public well. X Any portion of a cesspool or privy is within.50 feet of a private water supply well. X Any portion of a cesspool or privy is less than 100 feet but greater than 50 feet from a private water supply well with no acceptable water quality analysis. [This system passes if the well water analysis, performed at a DEP certified laboratory,for coliform bacteria and volatile organic compounds indicates that the well is free from pollution from that facility and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5.ppm, provided that no other failure criteria are triggered.A copy of the analysis must be attached to this form,.] No (Yes/No)The system fails.I have determined that one or more,,of the above failure.:criteria exist as described in 310 CMR 15.303,therefore the system fails.The system owner.should contact the Board of Health to determine what will be necessary to correct the failure. E. Large Systems: To be considered a large system the system"must serve a:facility with a design now of 101000 gpd to 15,000 gpd• You must indicate either"yes"or"no"to.each of the following: (The following criteria apply to large systems in addition to the criteria above) yes no X the system is within 400 feet of a surface drinking water supply X 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 If you have answered"yes"to any question in Section E the system is considered a significant threat,or answered, !� "yes"in Section D above the large system has failed.The owner or operator of any large system considered a significant threat under Section E or failed under Section D shall upgrade the system in accordance with 310 CMR 15.304.The system owner should contact the appropriate regional office of the Department. 4 .:f _ Page OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS ' SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B CHECKLIST' Property Address: 49 North. Bay Rd Os erville MA 02655 Owner: Jon Baker . Date of Inspection: /9/0 6 Check if the following have been done You must indicate"yes"or"no"as to each of the following: Yes No X Pumping information.was provided by the owner,occupant,or Board of Health X Were any of the system components pumped out in the previous two weeks? X Has the system received normal-flows in the previous two week period? X Have large volumes of water been introduced to the system recently or as part of this inspection? X Were as built plans of the system obtained and examined?(If they were not available note as N/A) X Was the facility or dwelling inspected for signs of sewage back up? X Was the site inspected for signs of break out X Were all system components,excluding the SAS,located on site? X_ _ 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? X_ _ Was the facility owner(and occupants if different froM owner)provided with information on the proper maintenance of subsurface sewage disposal systems? The size and location of the Soil Absorption System(SAS)on the site has been determined based on: Yes no x Existing information.For example,a plan at the Board of.Health. X _ Determined in the field(if any of the failure criteria related to Part C is at issue approximation of distance is unacceptable)[310 CMR 15.302(3)(b)) 5 r.. Page 6 of 11 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL;:SYSTEM:INSPECTION FORM PART C SYSTEM INFORMATION Property Address: 49 North Bay Rd Osterville MA 02655 Owner: Jon Baker Date of Inspection: 2 /9/0 6 FLOW CONDITIONS RESIDENTIAL Number of bedrooms(design): 5 5 Number of bedrooms.(actual): DESIGN.flow based on 310 CMR 15.203(for example: 110 gpd x#of bedrooms): 5 5 0 Number of current residents: 4 Does residence have a garbage grinder(yes or no): n o Is laundry on a separate sewage system(yes or no):n o [if yes separate inspection required] Laundry system inspected(yes or no): n o Seasonal use:(yes or no):�z 2 0 0 4=6 0, 0 0.0 ga e e o n s G%[7 64 3 8. Water meter readings, if available(last 2 years usage(gpd)):2 0 0 5=7 3, 0 0 0 ga.P.P o n s GP D 0 2 0 0 Sump pump(yes or no):n o Last date of occupancy: h e a z o n a.e COMMERCIAL/INbUSTRIAL Type of estat-4,pd hmment: NIA Design flow on 310 CMR 15.203): gpd Basis of degign''flow(seats/persons/sgft,etc.):, Grease trap present(yes or no):_ Industrial waste holding tank.present(yes or no): Non-sanitary waste discharged to the Title 5 system.(yes or no):_ Water meter readings,if available: Last date of occupancy/use: . OTHER(describe): GENERAL INFORMATION Pumping Records Source of information: 8112100 12uml2ed gy m¢com9ea Was system pumped as part of the inspection(yes or no): n o If yes,volume pumped:_gallons-•How was quantity umped determined? Reason for pumping: TYPE OF SYSTEM. X Septic tank,distribution box,soil absorption.system .. _Single cesspool _Overflow cesspool Privy _Shared system(yes or no)(if yes,attach previous inspection records,if any) _Innovative/Alternative technology.Attach a copy of the current operation and maintenance contract(to be obtained from system owner) Tight tank. _Attach a copy of the DEP approval _Other(describe): Approximate age of all components;date installed(if known)and source of information: 1/1n/R6 in. laf-.Ped py � .� o P •'' � Were sewage odors detected when arriving at.the site(yes orno): n o 6 Page 7 of 11 OFFICIAL INSPECTION FORM—NOT FOR.VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 49 North Bay Rd 0sterville .14A 02655 Owner: Jon Baker Date of Inspection: .2/9/0 6 BUILDING SEWER(locate on site plan) Depth below grade: 2 4" Materials of construction:_cast iron . A 40 PVC_other(explain): Distance from private water supply well or suction line: 20 c Comments(on condition of joints,venting,evidence of leakage,etc.): ao•intz appeaa ; .ight., No ieakge vented th2ou,gh hnuAa »ont SEPTIC TANK:y e Alocate on site plan) 15 0 0. ga.e 2 o n Depth below grade: 7 8" Material of construction:X concrete_metal_fiberglass polyethylene —other(explain) If tank is metal list age: Is age cbnfiimed by a Certificate of Compliance(yes or no):_(attach a copy of certificate) Dimensions: 10' V X5.'.8"X5' 8" Sludge depth:t?a ce f Distance from top of sludge to bottom of outlet tee or baffle: t a a ce Scum thickness: za a c e Distance from top-of scum to top of outlet tee or baffle: to a c e Distance from bottom of scum to bottom of outlet tee or baffle: t a ac e How were dimensions determined: m e a z ua ecl Comments(on pumping recommendations, inlet and outlet tee or baffle condition,structural integrity,liquid levels` as related to outlet invert,evidence of leakage,etc.): Pump .tank eve2y 2 to 3 yeazz,, 'Ineat 9 outiet teez a a ,in 2,P(zra_ 7ank .is ztauctuaaUy zound. GREASE TRAP: n 00(locate on site plan) Depth below grade: Material of construction:_concrete_metal_fiberglass polyethylene_other (explain): Dimensions: Scum thickness: Distance from top of scum to top of outlet tee or baffle: Distance from bottom of scum to bottom of outlet tee or baffle: Date of last pumping: Comments(on pumping recommendations,inlet and outlet tee or baffle condition,structural integrity,liquid levels as related to outlet invert, evidence of leakage,etc.): gaea.6e tapa i.3 not /2aezemt Page 8of11. OFFI,CIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFA CE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 49 North BaY Rd Osterville MA 02655 Owner: Jon Baker Date of Inspection: .4.19.10r, TIGHT or HOLDING TANK: n o (tank must be pumped at time of inspection)(locate on site.plan) Depth below grade: Material of construction:. concrete metal fiberglass polyethylene other(explain): Dimensions: Capacity: gallons Design Flow: gallons/day Alarm present(yes or no): Alarm level: Alarm in working order(yes.or no): Date of last pumping: Comments(condition of alarm and float switches,etc.): 7.ight o2 hoid.ing tankz ane not /2aeZent DISTRIBUTION BOX:yei (if present must be opened)(locate on site plan) Depth of liquid level above outlet invert: 0 Comments(note if box is level and distribution to outlets equal,any evidence.of solids carryover,any evidence of leakage into or out of box,etc.): Box .ih 2evei., Kays 3 eate2aL6., No zo e d eaa2yovea o2 .leakage .in o/t out o� fox PUMP CHAMBER: "'0 (locate on site plan) Pumps in working order(yes or no): Alarms in working order(yes or no): Comments(note condition of pump chamber,condition of pumps and appurtenances,etc.): l uml2 cham&ea j,3 not 122eZeat. 8 Page 9 of 11 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 49 North Bay Rd Osterville MA 02655 Owner: Jon Baker Date of Inspection: SOIL ABSORPTION SYSTEM(SAS): (locate on site plan,excavation not required) not located explain why: If SAS P . Located .6ewe 12a.ge 90. Type X leaching pits,number: 2 leaching chambers,number: 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.): �. Loamu t0 din /nil Nn ,tin1,_ QT%��� nn�nnn 9 vegetation i,3 noamai CESSPOOLS: no (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 nr no): Comments(note condition of soil,signs of hydraulic failure,level of ponding,condition of vegetation,etc.): ce.3,3/2ooL6 ate not /2aezent PRIVY: no (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.): l/L-(.vtl .ib not /22e%ent 9 Page 10 of 11 J OFRO� IAL INSPECTION FORM '' NOT FOR VOLUNTARY ASSESSMENTS SIRSURFACE SEWAGE,DISPOSAL SYSTEM INSPECTION FORM PART C. \ SYSTEM INFORMATION(continued) Property Address: 49 North Bay Rd Osterville MA 02655 Owner: Jon Baker Date of Inspection: 2 /9/o ti SKETCH OF SEWAGE DISPOSAL SYSTEM Provide a sketch of the sewage disposal system including ties to at least two,permanent reference landmarks or benchmarks.Locate all wells within 100 feet.Locate where public water supply enters the building. w e e 10 Page 11 of 11 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARYCTION.FORM ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM S PART C SYSTEM INFORMATION(continued) Property Address: .49 North Bay- Osterville MA 02655 Owner: Jon Baker Date of Inspection: 2/9 10 6 SITE EXAM Slope Surface water Check cellar Shallow wells Estimated depth to ground wate4l feet Please indicate(check)all methods used to determine the high ground water elevation: •N U Obtained from system design plans on record-If checked,date of design plan reviewed-.. u e z Observed site(abutting property/observation hole within 150,feet of SAS) Checked with local Board of Health-explain:a s o„: 0 f r n,?d no . Checked:with local excavators,installers-(attach documentation) �e. m a. u� Accessed USGS database=explain.e /� �—. You must describe how you established the high ground water elevation: /l,3ed. : Cai2e Cod Comm.izion ldatez 7aaee Coritoults -And %ugtie ldate2 Sul?l?.t?y (deii head aoteetion _a/tea ma 12., Se t 1995 Oaten ae,3ouitee-s o .ice ca a cod comm•i,6ton., Leaching Pit •:4et Groundwater; Feet Below Bottom of Pit High Groundwater Adjustment 1.8 ft per Fnmpter Method Therefore,the.vertical separation distance between the bottom t of the leaching pit and the adjusted groundwater table is 4 tin feet. I 11 i vnnnr.r.-wt•t..•+�r+u+�a,wn.,rw>.r+nn sArwo •• • `rOWN OF _AARNq:CART.F BOARD OF 118A1,T11 > -SUBSURFACK SEWAGE .DISPOSA4 SYSTEM INSPECTION FORM - PART D C1:itTtF1CATION `••4tY•T•:,51�Ti111.5bTT7Ml/1A1•/f11I1T�1!!f�►HPIIR77*'•AR771 Ally 1M�t I A -TYPE OR PRINT CLEARLY- PROPEnTY INSPVCTP1? ' STREET ADDF ES$ 49 North Bay Rd Osterville • �. ASSESSORS MAP,. BLOCK AND 'PARCE'L OWNER's NAME Jon Bab&r PART' D CERTIFICATION ' NAME 'OF INSPECTOR Roteat P.a.ogin.i 41 COMPANY NAME ;o.6aph '.P.t Macomlaa'''T' Son Inc COMPANY ADD.RSSS Box 66 C z n e4v.1.2le P1a6.6' 02632 Str94. Town-or City. 8tatt LIP COMPANY TEGCPHONE f 508. 07.5 - 3338 FAX 50-8•,1790 f 578 QERT-I•FICATION. STATEMENT I. certify that. I have personal-ly ..ins•pected ..the sewage 'dieposa`l. system at klecommenOa his address and that-th:e• information reported .is true,. a.oetirate, add omplete as of the time ..of inspection., The In sgectivn was performed and any tions regard.ing. upgrade-, -maintenance,, and i;ep4Ar ., maintenance of on- site sewage disposal systems, Check one; Systeui PASS*D The inspection wh ic.h •I have ..conducted has .,n•ct• found any information which indicateq that the syt3t4m. ,fails to ' iLdequately. protect .publi•c health or the envi.ropment as defined in- .3.10 CMR. 16-►80.3-, Any failure criteria trot -evaluated are as stated. in the FAILUI .M CRIVE•R,xA .see.tion o'f this. form, ' System FAILED* The fnspectioh which I have cat, 'ted -has .'.found that the system fails to rrotec.t the public Health and tho enV4ronmen•t • in acoo'rd•&nee with Title 6 , 310 CMR 15 , 3031 and as specifically noted -on .PART' C FAILURE CRITERIA of this i ec'tion .form. Inspector tignatur - .Oats . ne copy of this oei tl f i.cat.f b must to rovi'ded 'to : the .QWN8R•, the g yEn . where appli••aable) and th!i 139ARD Or HEA $'11. * rf the inspection FA1L'V)., the ,owner'.ox "o aez►ator s;hal . upg>",ad�'.the system. within one year of the ala't-e of the inspection, unless. al;'low�ed n Qr requi;red t.horw{se as. provided in �J—o CMR 18 . 306 .. I 4cL �OriG `��M r f��S r /�k��aovs F'crm.� # 85-1151 m i JC�{'tG I cowls 2 U�8�01f.GV1S � U { C .Z000 m II.Wu ►-au� eJ IN /j c drat MS 4l 46 i_ x M x O®® i v9®® N C4NN U ��r oedal ! �I.CQQ.WoI1 CO CiI-�( 27rr Ze !ra 63 i i i - ( � lvnti�wt der- is �eehc- � lJ f��dlYbo k, 0 4J'oRa : ' ;�a s v f- ¢�cGe.s` 1✓�syirc4zdQ V3OIt vKq reAviet 4n hG OU7, To wl.51u r< l (= ,5 p rt t,.C.% vvb PeN 1 . 9 I i 99 i 1 i i 3 r 4 1 i � � OC_T.30.2000 . 2:22PM BAYSIDE BUILDING C0.5097750155 N0.127 P.2i4 7Z —dZ3 1 N PERMIT ; . L 0 C A T t l� AGE tMQ VILLAGE 1lIST ALL ER'S NAME A ADDRESS -S - Sv IMac 011► Rull.ofR OR OWN to, DATE PERMIT ISSUED DATE C0MP1,1ANCE 155UED 0, ASSESSORS MAP PARCEL N0; -- 1 �t �� Fee------------ -- ._-..- BOARD OF HEALTH TOWN OF BARNSTABLE App[icationArVell Con5tructionPermit Application is hereby made for a permit to Construct (--- vl, Alter ( ), or Repair ( )an individual Well at: elci t ------------ ----- Locati n — Address Assessors Map and Parcel c a ----------------------- - - ------------------------------------------------- -------------------------- Owner Address f--------------- n-: o,� 9 � o v� Installer.— Driller Addre Type of Building Dwelling-------------------------------------------------------------- Other - Type of Building ---------------- No. of Persons------------------------------------------------------ n Typeof Well- --- -- -- ------------------ Capacity------------------------------------------------------ - ------ Purpose of Well----1,�i4A_r"-'--`-"-=--------0-^' �----------- Agreement: The undersigned agrees to install the aforedescribed individual well in accordance with the provisions of The Town of Barnstable Board of Health Private Well Protection Regulation - The undersigned further agrees not to place the well in operation until a Certificate .of mpliance has been issued by the Board of Health. Signed- `�f�J - - - - - ---------------------------- < - - date - - ---------- date .� '5� 'Or-'9�' Application Approved By- —-- - ------------------ = - - - ------------------------- date Application Disapproved for the following reasons:----------------------------------------------------------------------------------------------------- -------------------------------------------------------------------------------------------------- ------------------ -- - �i� date Permit No. ---J "-�!�'Y____------------ Issued - - �------`-- --� - date BOARD OF HEALTH TOWN OF BARNSTABLE C ertif irate ®f Compliance THIS IS TO CERTIFY, That the Individu I Well C nstructed ( �), Altered ( ), or Repaired ( ) S�u.� N l `�_�i� ---------------------- --------------------------------------------- Installer L f NO t�S lie/yy a at- -F= —� — T—�� =---- - -- ------------------------------------------------------------------------------------------- has been installed in accordance with the provisions of the Town of Barnstable Board of Health Private Well Protection Regulation as described in the application for Well Construction Permit =*"`- ---- ''X6 THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE WELL SYSTEM WILL FUNCTION SATISFACTORY. DATE- --- —-— -- — - ---- - -- Inspector--------------------------------------------------------------------------- G !� TOWN �O_F4 BARNSTADLE ti�LOCATION / !!f 66A SCU/1,K��A ���_ SEWAGE # VILLAGE 5> 'U/ �YSI�-� /T ,Jy, ASSESSOR'S MAP & LOT . -QQ INSTALLER'S NAME&PHONE NO. SEPTIC TANK CAPACITY /5Z)0 LEACHING FACILITY: (type) r2'1C Q (size) AM IPQ � 7 NO.OF BEDROOMS 0 BUILDER OR OWNER �/U�f ( ,der PERMITDATE: COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility (If any wells exist on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) Feet Furnished by �1t 1 3Q9/ Al I C>aT04 ro,. ON 0ee- � = _b_ "_"' F ----- -- No. ---- BOAR' OF HEALTH TOWN Of BARNSTABLE Application forlVell CongtructtonPermit Application is hereby made for a permit to Cols ;uct ( 4'9, Alter ( ), or Repair ( )an individual Well at: ---- ---0- __o S74/u i�/r^�_ Locatidn - Address Assessors Map and Parcel 7 / —Owner A �t J /� q ddress J iv ,r �>/ G c l ►J l r I^ ___ D . J d�C__/G(�1 /` ------ Installer— Driller Address Type of Building Dwelling -------------------------------------------------------- Other - Type of Building ---------------------- No. of Persons----------------------------------------------------- c Typeof Well- - -- --------;-------------------------------- Capacity--------------------------------------------------------- ---— Purpose of Well----r-1i r_ T�`'"` -�^ 1_�----------- Agreement: The undersigned agrees to install the aforedescribed individual well in accordance with the provisions of The Town of Barnstable Board of Health Private Well Protection Regulation - The undersigned further agrees not to place the well in operation until a Certificate .of Cl mpliance has been issued by the Board of. Health. Signed date - Application Approved By � � - — -- ------- ------- -------------- date Application Disapproved for the following reasons:------------------------------------------------------------------------------------------------ -----------—-- -_---- --- ----- - - ------------------------- ----------------------------------------- �- — R, " �-�---°-�------ -------------- ate Permit No. - — ---_------•--- Issued ------- date ;�^.sm .�rPa r�ss�xa.-mca. 2'�aicl2rsas >s.�csE .car�..r�+m• �_ __ '�.,.commsnF0 BOARD OF HEALTH TOWN OF BARNSTABLE C ertif irate ®f ComPliance i THIS IS TO CERTIFY, That th Individu 1 W1 11 Constructed ( "), Altered ( ), or Repaired ( ). eel by----------------D sc(`^J"'`--(___--- --------------------- ----- - - -- --- -- }Installer at-----Lll_ N��[_�U _1�—�- -- d$�`e/cJr ll,� ------------------------------------------------------------------------------------------ has been installed in accordance with the provisions of the Town of Barnstable Board of Health Private Well Protection Regulation as described in the application for Well Construction Permit Voree -'_.VV' X'__155Dated THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE WELL SYSTEM WILL FUNCTION SATISFACTORY. DATE---------------- -- -- Inspector------------------------------------------------- ----------- �wra:aa;am,rm.�aso..esra .�m. aa asses. BOARD OF HEALTH _ TOWN OF BARNSTABLE Ivell Con5truct ion Permit No. &----t-- � Fee- Permission is hereby.granted--6A-- «''�-1°`r -------------=---' -r-`r - to Construct ( �, Alter ( ), or Repair ( ) an Individual Well at: 4 ,y No. ----------- - - Street as shown on he application for a Well Construction Permit Y No. ----- -- - ''-—' '- - - -- - - Dated--- k---,_g------ 7` ------------------------- f f%---7 Board of Health DATE— ----- - -- ENVIROTECH LABORATORIES, INC. MA Cert. No.: M-MA 063 449 Rte. 130 • Sandwich, MA 02563 (508)888-6460 • i-800-339-6460 FAX(508)888-6446 CLIENT: Mrs. Baker LOCATION: 49 North Bay Rd. ADDRESS: Osterville, MA SAMPLE DATE: 5-2-96 COLLECTED BY: D. Pennini/ DA Scannell DATE RECEIVED: 5-2-96 TIME: 11:00AM LAB I.D. #: E5-055 JOB TYPE: New well SAMPLE I.D. #: E5-055 WELL SPECS.: 37, RESULTS OF ANALYSIS: Parameters Units Recommended Limit Result Coliform bacteria/100m1 (MF Method) 0 0 pH pH units 6.0-8.5 5.58 Conductance umhos/cm 500 120 Sodium mg/L 28.0 10.0 Nitrate=N/Nitrite-N mg/L 10.0 5.00 Iron mg/L 0.3 0.17 Manganese mg/L 0.05 0.030 COMMENTS: Low pH indicates high corrosive characteristics. Yes WATER IS SUITABLE FOR DRINKIWnPURPOSF.10FOR PARAMETERS TE . XXX Date S�t/q/� Ro ald J. aari Laboratory Director _ IT = Less Than tic s` /7 !�& j( 72 -4' LO CAT I N tSFWAGE PERMIT NO. VILLAGE % I N S T A LLER'S NAME i ADDRESS B U I L D E R OR OWNER A� d- . Aqrs, O ce j' DATE PERMIT ISSUED -30_ -- i r** - DAT' E" ' ' COINPLIANCE ISSUED . �q �' � b, \� -. t �,� �r � � � � �`� � � Foundation Certification in Osterville (Oyster ' -Harbors Mass. Prepared For Ba side Buil&2 Com an , Inc. Assessor's Map : MAP: 72 PARCEL:- 23-2 LOTS: 49 & 262 Baxter, Nye & Holmgren, Anc. Community Panel Number : 250001 0018 D Registered Professional F.I.R.M. Map Zones: Al & C Engineers and Land Surveyors Plan Reference : Land Court Plans 15354 — 112 & 136 812 Main Street Deed Reference — LC Cert.: 104855 Osterville, MA., 02655 Phone - (508) 428-9131 Fox - (508)-428-3750 Owner : Job Number. 20099A8,0WG Scale 1." = 40' Date NOVEMBER 8, 2000 D i(31 N I O N i O O O O CB%DH FND 3 !n� �P� o � I ,�,F. . ?-TOP OF COASTAL BANK � o q o U� N _ N 0' II �I Q � 100' I t� WETLAND DELINEATION BY ENSR MICHAEL,BALL,-,WETLANDS.SCIENTIST _ ; - _ -- - FLAGGING DATE: 10-20-1999 PK NAIL SET RA-1 PROPOSED EL = 25.65' 0' ADDITION o NGVD �• I 1 132.8' 0 o Q W nj O �<v O RA-2 33.1' XISTING U GCE ^ RA-3 APPROXIMATE SIN �- SEPTIC SYSTEM FAMILYCr LOCATION PER wE�LING Q SEWAGE PERMIT ECK SE #49 m z 85-1151 o RA-4 J co Lnp TOP OF _ P O COASTAL BANK S I6.49'20" W Z EDGE OF PAVEMENT 204.6g' ' o 0 N 't O o RA-6 _ V) LOCUS LOT 49 L. C. PI. 15354-112 RA-7 LOT 262 L. C. PI. 15354-136 48,625 S. F. t SEE DEQE FILE No. 1-.12 Acres f SE 3-2185 I CERTIFY THAT TO THE BEST OF MY KNOWLEDGE THE STRUCTURES, EXISTING AND PROPOSED, SHOWN HEREON oi6r � ARE IN COMPLIANCE WITH THE APPLICABLE BARNSTABLE ZONING DISTRICT SIDELINE ' AND SETBACK REQUIREMENTS, ARE LOCATED IN RELATION TO THE MONUMENTS SHOWN, AND ARE NOT LOCATED WITHIN THE SPECIAL FLOOD HAZARD AREA AS SHOWN HEREON. REGISTER D PROFESSIONAL LAND SURVEYOR DATE i� AD,) i PROPOSED I LEGEND N S.A.S. N M x 10.98 EXISTING SPOT GRADE 01) _ N EX/S77NG LEACH PIT 26,33 --14 -- EXISTING CONTOUR o o gaQ WITH BE PUMPED, FILLED TH x x 26.36 � TEST PIT oe North SAND AND ABANDONED ° I N 07.54'53" W f 6,55 PROPOSED POOL FENCE BENCHMARK o 1;\ Bay a W ai CB DH FND pl'FT, TR e e 7. 4J ? , Z 24,77 150.0 x Li _3 2FT,PINE 2 _, •?: .•',1 ° C 4• ' LOCUS 18.1 H PINE 27,00 ��.... ,•; b .,26.58 ( > U 8,INCH PINE 25,rb4 x26,08� O• .r- a T x2 .51 ` Lj " 25.4 x. o 'er` Lawn'1 b �::'� -2 O PATIO w �--- d \ Ed'e �: 9 L.C,C. 15354 grid a Street Q (n EX/STING LEACH PIT x 25,26 L2� l\ /11 ;;; O ; hr. m TO BE REMOVED, �' 1;;; ?1 J ' / � Garden 26,39 ,as� ACCESSOR , 25.81 West a w O PROP 9 22 i DWELL/NG� 25 '6 POOL j 1ic,. EE (,f49B) 26.053�/ , Bay tl EXISTING SEP77C TANK Za /26 0 TOF=2Z00 (TO REMAIN) 0v INV..(OUT)=23.30t r w 24J4 C 26 OS - '�� :PA 1%ED: 100' BUFFER LINE 0- Q BENCHMARK bh PA TIo - W 3 -�� .:PARKING. �MED _ —- ___ _ _ W m m Right car. bulkhead x 25 -_ _ 26,26 `24,26, PROPOSED POOL FENCE --- - - - - ..:.::. N L Pch. HOUSE IS 77N 9 PROPOSED POOL //� � `' Z100' BUFFER LINE � Z N �� TOF=27.00 , ACCESS GATE tx 21_" 0 � 4 No\l :6 N o Pch 24.57 23,18 x 20,94 ,. �? a � � S �4 n PA TIO / ,9 a+. N o _ ��� i O_ 23.09 0 0 04 x 23.96 2 N to 2 i - o 00 �\\ �.�- ' ^ \ ---22- �' L _ _•— �-�-L�3�S 149` &,26�'-'1r�� �,�N�"uss��y� o a w a ' P_ _------ -- .- -- 1.1t Ac. -' 14` Pc�NZEE M \_ �ARCEL_1.D:--07 =02 -002 ` .. M :I, w 16 ------->c�62- -- ------ x 14,91 J .------ I FEMA F 000 i31s N0,35�p9 BARNSTABLE COASTAL BANK x 15.25 ,,-- F Isl Z Taken from Foundation Certification -14 12.50 _12__ -x 11 9 Tpp OF c0A TAL BANK Z�E'4 /�LOQD by Baxter & Nye & Holmgren, Inc. 1 _- ' - - -•-------.-.-.,..-.- AE(EL12) - n dated 11/8/2000 1 00'± BUFF ,FR49A4 SALT-MARSH me 9.14 x — _ _ � o ��10 N MADEP POLICY 92-1 x /,.- �� x 6,38 -d'— `\\ _ — Z c Figure 3 10,2E 117.5561 6.57 i 6,30 x `'-A;;: ; J o 8.6 Y x 6.89 S 0001'20" W 157.80' ---- '' . ' N 3 Ni �— _-__ a R=1220.00' 7.05 6,6 d4e of 6.32 Poverrew- �T V 6r6�1 CB DH FND TIP OWNER OF RECORD NOR_TCd----- ��1 �� _ 6.01�, '.::,:X:':: S 0725p�� o 4 g•� KASS, DENNIS M & BARCLAY B _ �RI VE 6 -- 3515 NORTH SAVANNAH PLACE ---- �— ----� 6,43 693 vo VERO BEACH, FL 32963 _ 6 \ a g)H M FLOOD HAZARD DESIGNATION j v� 2 «o MAP N0. 25001C0756J � ®� a PLAN REVISION - 2/20 18 EFFECTIVE DATE: JULY 16, 2014 I s •�3 m � ZONE AE (EL12) NAVD88 DATUM 1) S,A.S. LOCATION AND CONFIGURATION I c Ca`2 w Uj ti '4 i r L.C.C. 15354 _ LEGEND N 11 M x .98 EXISTING SPOT GRADE ® �__ = 0 EXISTING LEACH PIT 26.33 1 - EXISTING CONTOUR z a Q TO BE PUMPED, FILLED WITH x x 26,36 IS TEST PIT veo % North J g SAND AND ABANDONED x �� D III Da ai 54'53 W BENCHMARK a Z 1� y W N 07* 6,55 PROPOSED POOL FENCE o 0 CB DH FND 00' He e 27 44 `\ J 7 wL. 24,77 150• x g J 2FT.PINE 2 ��� 1 ' LOCUS F- c 18,I H PINE 27,00 �� �' 0' ; 11 N w U 8,INCH PINE l� x •2.6.081 .0 �� 2 ,51 x 26,58 (i 1 w W L 25.4 x• l Lo n n �' . P-2 O. x PATIO \�=� Ed4e o/ _ _ Y TP-1 Badge Street Q (n x x 25.26 O EXISTING LEACH PIT \��� _ �� 11 0 1 n�' I �� O m TO BE REMOVED I N j j Garden 26.39 I 48 ACCESSORY ,�J 2s.81 Yt j ; 25 '6 PROP 9 I x'j DWELLING" x POOL 4 W EE (#49B) i� � 26.09 EXIS77NG SEPTIC TANK Za. /26 ® TOF=27.00 / (� Q c (TO REMAIN) �$ — IN (OUT)=23.30+ 24,74 VED: 100' BUFFER LINE W Q 3 BENCHMARK bn \\ PA rio � PARK%NG ��ED _ =_=- _ m o Right car. bulkhead =25 _- - `2� N m =26.04 - q PROPOSED POOL FENCE iEXlS77NG �.. 100' BUFFER LINE z Pch. HOUSE 49 PROPOSED POOL :` � TOF=27 00 > ACCESS GATE 21.37.:• 0 v rn O V CL x 20,94 PATlO Pch 24.57 23.18 // 'y `Sa,. o N x �� �0 F Z z v- 00 --24-- Oj o = 23.96 23A9 2 /- N x x 23.27 3' -1 Ste /- .. '�`' \� x 2.2r4I' ____-- '� J - � Y 'oo \ 22---- _ _-- 1-LOTS 149 �t_26� x1r i�' o a � a -20- 48 6160± -14 -- ---___- ------��---PARCEL_1_® --02-=�2 =002 FEM i'3.1e" N o ZONFLOOD U a x x 14.91 - �-- __� E X �x� � -_ BARNSTABLE COASTAL BANK 15,25 -72 _Z Taken from Foundation Certification -14 x 12,50 - _ -x 11.59 TOP OF COASTAL BANK Z NEA FLOOp ��` LLj } by Baxter & Nye & Ho/mgren, Inc. _--- •— - -• .-.-._.._.-.-.-.—.-.-._.-.._. _ .` ��.: dated 11/8/2000 100't BUFFS�i�RPA4 `yALT-MARSH co 0 x.':.'t N o a 00 MADEP POLICY 92-1 x ��' ��- �� x 6,38 _� - - d Z a o - Figure 3 1o,2s �117.55�` 6.57 ���' 6,30 x \`�, 00 it Q N s,6 Y x 6.89 A=157.80' -----__ ,`;. cn N2 - _ R=1220.00' 7,05 6.6d9e of 6.32 Povemer�t' - _� ^ 3379' CB DH FND TIP OWNER OF RECORD ROAD \\ '' x ' '.S 0725' 0 0a NORTI�- --- XY ,�__,_- 01,,6 �O�" w �W KASS, DENNIS M & BARCLAY B o a 3515 NORTH SAVANNAH PLACE _6-__ ---�\6,43 6.93 w0 M VERO BEACH, FL 32963 1\ FLOOD HAZARD DESIGNATION _ 6 1A 0Z� ��L..� MAP NO. 25001CO756J (D N$ EFFECTIVE DATE: JULY 16, 2014 I I m3 d 00 o ZONE AE (EL12) NAVD88 DATUM I w W aU n NOTE: TO PREVENT BREAKOUT, THE PROPOSED N FINISH GRADE SHALL NOT BE < EL: 23.0 ((00 SEPTIC TANK FOR A DISTANCE OF 15' AROUND THE INSTALL RISERS & COVERS OVER THE INLET & OUTLET AND SET TO WITHIN ,PROPOSED D-BOX PERIMETER OF THE S.A.S. GENERAL NOTES: O 6" OF FINISH GRADE, INSTALL RISER & COVER PROPOSED S.A.S. 1. ALL CHANGES TO THIS PLAN MUST BE APPROVED BY THE LOCAL Q SET TO 6" OF GRADE INSTALL RISER & COVER OVER ONE CHAMBER AND BOARD OF HEALTH AND THE DESIGN ENGINEER. JJ T.O.F=27.Ot SET TO 3" OF F.G. TO SERVE AS INSPECTION PORT 2. ALL WORK AND MATERIALS SHALL CONFORM TO THE REQUIREMENTS �- (D OF THE STATE ENVIRONMENTAL CODE, TITLE V, AND ANY APPLICABLE W F.G. EL.=26.3f F.G. EL.=26.6t _1 F.G. EL.=26.1 t � F,G. EL=26.4f - LOCAL RULES AND REGULATIONS. W J a� MAINTAIN 2% SLOPE OVER S.A.S. 3. THE SEWAGE DISPOSAL SYSTEM SHALL NOT BE BACKFILLED PRIOR TO INSPECTION AND APPROVAL BY THE BOARD OF HEALTH AND THE V) U DESIGN ENGINEER. ® s-�% 3MIN) L = 28' 4. ANY CONDITIONS ENCOUNTERED DURING CONSTRUCTION DIFFERING W t 0 S=1% (MIN.) FROM THOSE SHOWN HEREON SHALL BE REPORTED TO THE DESIGN4"SCH40 PVC 4"SCH40 PVC 2" LAYER OF 1/8" TO 1/2" ENGINEER BEFORE CONSTRUCTION CONTINUES. x as as DOUBLE WASHED STONE 5. ALL ELEVATIONS BASED ON NAVD88.. < 0(OR APPROVED FILTER FABRIC) m14^ 6 aaa aaaaaa6660 6. THE DESIGN ENGINEER IS NOT RESPONSIBLE FOR THE FAILURE OFEXISTING ]443�tIQUID aaaaaaa -3/4- To 1-1/2" DOUBLE W_ THE CONTRACTOR OR OWNER TO NOTIFY THE LOCAL BOARD OF � QVEL PROPOSED 4' 4.8' 4' _ WASHED STONE • HEALTH FOR PROPER INSPECTIONS DURING CONSTRUCTION. D_ cAs INV.=22.9.7 _ INV.=22.80 7. WATER SUPPLY PROVIDED BY TOWN WATER SUPPLY. INV.=23.3f 'g �� EFFECTIVE WIDTH = 12.8' (EXISTING-VERIFY 5 OUTLETS INV.=22.50 8. THERE ARE NO POTABLE WELLS WITHIN 150 FT. OF THE PROPOSED ) U c EXISTING SEPTIC TANK H-20 5-500 GALLON LEACHING CHAMBERS WITH 4' PROPOSED SEPTIC SYSTEM. OF STONE AROUND & 3 OF STONE BETWEEN INSTALL PIPE 9• ALL AREAS CLEARED FOR CONSTRUCTION SHALL BE RESTORED AS O_ AGREED UPON BY OWNER AND CONTRACTOR OR AS OTHERWISE W Q 3 H-20 RATED CF BETWEEN CHAMBERS DIRECTED BY THE APPROVING AUTHORITIES. (n m o TOP CONC. ELEV.= 23.6t m BREAKOUT ELEV.= 23.00 10. IT SHALL BE THE RESPONSIBILITY OF THE CONTRACTOR TO VERIFY NOTES: INV. ELEV.= 22.50 aaa as THE LOCATION OF ALL UNDERGROUND UTILITIES, PRIOR TO BEGINNING a 9aaM6 a®aaa ®a ® CONSTRUCTION. W 1) CONTRACTOR SHALL VERIFY ALL EXISTING PIPES & ease aaaaB ®®®® 1 1. WHERE REQUIRED, CONTRACTOR SHALL REMOVE ALL UNSUITABLE SOILS INVERTS EXITING HOUSE, PRIOR TO INSTALLATION. BOTTOM ELEV.= 20.50 4' 8 5 3' IN THE AREA BENEATH AND FOR 5' ON ALL SIDES OF THE S.A.S. AND 0 Z 0 2) D-BOX SHALL BE SET LEVEL AND TRUE TO GRADE 4' OF NATURALLY OCCURRING REPLACE WITH CLEAN SAND AS SPECIFIED IN 310 CMR 255(3). ON A MECHANICALLY COMPACTED -' CRUSHED STONE PERVIOUS MATERIAL AND 5' VARIES-SEE SKETCH BASE, AS SPECIFIED IN 310 CMR 15.221(2). 12. AREAS REQUIRING STRIPOUT OF UNSUITABLE MATERIALS SHALL BE 0 ABOVE GROUNDWATER 0 3) INSTALL INLET & OUTLET TEES AS REQUIRED. LEACHING SYSTEM SECTION INSPECTED BY DESIGN ENGINEER PRIOR TO BACKFILL• d- CL NO GROUNDWATER, EL.=15.3 - 13. THIS ENGINEER IS NOT RESPONSIBLE FOR ANY UNDOCUMENTED SEPTIC a 0 4) GAS BAFFLE TO BE INSTALLED ON OUTLET TEE 3/4" TO 1-1/2" DOUBLE SYSTEM COMPONENTS NOT SHOWN ON THE PLAN. d AS MANUFACTURED BY TUF-TITE, ZABEL OR EQUAL. WASHED STONE 3" LAYER OF 1/8" TO 1/2" d a N SEPTIC SYSTEM PROFILE DOUBLE WASHED STONE Z 1 o (OR APPROVED FILTER FABRIC) m0 � _ 3N �N o . DESIGN CRITERIA - SOIL LOG a U DATE: SEPTEMBER 27, 2017 (REF#15,481) NUMBER OF BEDROOMS: 5 (main house) + 2 (acc. dwg.) = 7 SOIL EVALUATOR: PETER McENTEE PE(SE#1542) SOIL TEXTURAL CLASS: CLASS I (LOADING RATE=0.74 GPD/SF) WITNESS: DONALD DESMARAIS R.S.HEALTH AGENT z DESIGN PERCOLATION RATE: <2 MIN/IN ELEV. TP- 1 DEPTH ELEV. TP-2 DEPTH N - � DAILY FLOW: 770 GPD 47.3' 26.3 A 0" 26.3 A 0" Z r___________________ LOAMY SAND LOAMY SAND z DESIGN FLOW: 770 GPD I 1 10YR 4/2 10YR 4/2 GARBAGE GRINDER: NO-not allowed with design BOTTOM AREA 00 25 8 B s" 25•$ B s" 800.0 S.F. N LOAMY SAND LOAMY SAND -0 M LEACHING AREA REQUIRED: (770 GPD) = 1040.5 SF 01 J 10YR 5/s 10YR 5/6 j' N °o 0 .74 GPD/SF =34.5' -I� 24.3 24" 24.1 C 26" w c EXISTING SEPTIC,TANK: 2000 GALLON CAPACITY 1 Uj C PERC z PROPOSED D-BOX: 1 INLET, 6 OUTLET (MINIMUM), H-20 RATED j j 30"/48" sn c" USE 5-500 GALLON LEACHING CHAMBERS IN SERIES WITH 4' ­4 12.8' 1-- MED. SAND MED. SAND ~ OF STONE AROUND AND 3' OF STONE BETWEEN PERIMETER=150.6' 2.5Y 6/6 2.5Y 6/6 •e` � SIDEWALL AREA: 150.6'(PERIMETER LENGTH) x 2'(EFF. DEPTH) = 301.2 SF SAS DIMENSIONS o :20 BOTTOM AREA:.............................................................................. = 800.0 SF SKETCH n 15.3 132" 15.3 132" TOTALAREA:..................................................................... 1101.2 SF �,•� i' PERC RATE <2 MIN/IN. "C" HORIZON c` m v o DESIGN FLOW .PROVIDED: 0.74 GPD/SF(1101.2 SF) = 814.9 GPD NO GROUNDWATER ENCOUNTERED c p13' 00 C w LU 7 77`7`7 KA ss -:0 F NC:E-' RENOVATION70 THERESIDE RESIDENCE H 4.1 :-OYSTER HARBOR..MA WA 9 NORT BAY s u r m r" � ana BA- ,:�: 49' ..NORTH Y. s �TER HARBOR G ERAL NOTES: EN .......... �ARCHITECTURE DE %T 508 420 5298,,,., �.,'.F 5084202240,.' ITE TURALABBRE 10N.,:� G M 0 V M D AWIN Y BO PR J 13E�qTp!j� Y UR I ��Js LS KASS: �,OWNEF�, TIA ARCH17IMMAtA..L I D ]TITLE sREET, :MRAND MRS�KASS 411 NORTHBA ALA,'.FLOORPLANS�,'ATIONS: JE NU!��ER' All, Still oljk--;'� �76 -DING SEcn S Ai��;ATiO �:,AZI BUILDMELEN, m TRUCTURAL ENGINEER. A5.1 WWDOWAN- ERIC CEDERHOLM 1:-E.IA DUSTING FLOOR PLANS Y; RAWN W DaSTtNG ELEVATIONS 1,, OW15 ALE:AS N97E STRUCTURAUDRAW SE97ON INGS FOUNDATION PLAN 20 SLO DAT SEPTEMBER 66. SECOND FLOOR FRAMING..%.t G PLAN... Ill: ROOF FRAMIN on CH!TECTUf3E 10 6aU 5 NON lGF(M SA T Fi WS 42.�vO�, ... ..... TI tLE iT C -777g"�NO 7 �10N 7 0:1 _..-. . . ,' KA SS x,. . >: _ ;. . ,.' . ,. ., "; — _ . a , ;:.. _. ...., as NoarHDENC .,.. .:,.,,. .. ,,...::. ... • ::; .. :,.. ::, . . ,: ..r,.; .:-,.: ,;;::c., t, .�., OYSTER'HA. O A .. r. . . ..... .. ._ . . ,,. _: S M .,.. i I - t.. .,_ ::. ,.,J -e:.:r., - - - -- ,, k,. ::,;.I,,,. , . .... ..... ..... ..,: _..a... , ,. i ..M,. ,.f. .. _ r, _.. ...> .... ... .. ,A :x...... :, x. ,. a; r ,., .. n .. ..r .... M. .a_, .. .-.,. r.. ,. .,. ..k. - .....,.,.r -.. ., ..,_. ,. : r. ..I,. �. a. , 1 :, 1. . .:,. ,.: ... : r.,y , - r .. ..: s.� ._ _ .: .. _: : ,.,. ,. ,,. .. ,. .. Y:: .. .. , ..-. :.: r .,..-... .. .. : .. .., ::: ,- .. ..n,.. t .. , ._. . - .. r .. .. ,.. 7,: T -::: : : : ::: +f , T :,,r. : ... _ r .. .. t ., -.,. .. t:..». K ,. :.:. .,e :... .... .. r •.,.. .. h .. :. t , r R , e. a ... F .... .....: ..' ,.:. ::.rn,.�.>.. . .. _.7 .. ... t:-. :....r .i. .,,,.: ._.. ..... .:, :, '_GENERAL.NOTE ... ...M : ................ ...:. ...n F... % ,., :. '. ,,..' .. .. } r r .... r: .,. ,.. f. ...... ,: ,,. ,., ....,:..:. .. :., .. ... .. ..: .. .G....... :. s, ,..:. , 1. :..- ,. .:. :P:.1.. ... .. , ,...:... r.,... .,.. .. in.er.Wp bp'�I MrM uwr.rn'. .. x.. } v ... ..... *,... .r .... ,. .. . ..i,. , ....:.. _. ,. a f.: rea.awgrn srG t/n,s . .: ....1 ... ..r:.. .: , J. t ,... .. .r .. .. .. _ __ , .:: ... r.. �...:. ...., .. . ,... ....r �,.,. 4 _.v. } .:. .,_..:3.. .. .:.. ,,:. ., .... .... 1 n.xm.romea...P.,,mmi..x:,�n:�r ,... ..�. ..-. :.1-..::.. ,, ..� ' "';:,. ...r.. .. .. ,.... .. mlWam.wnee.b�nvmpsn.en m..mr moui':ao-w .: µ:. ..a.::.:- ,.: ;. , f ,. .. .'�! :'I :. ... .. .. ,. ..._. .. .... ... .. ......i'.. .._.. .v, y... ..a ..e..... ... :. .: .. .. m,wadra wee.rr wmww:ae,::.4oew»nar,ww:. . n a'y.., r r ..,a .... ... t.. .. ... ,�.: .. ,...:. ..-:. :t :,x .. .::. ,� .:. 'c :: ...:.. R ",. .f'!':,. :. ,. :: :,emrbrmaauaw.rmwenuwan.N.w.erroper.,.mge- 4. , , t.. .,..> , :r .x . 1 Y. s. ,,. .,.,:, , ., ,., .. .. ,.: .. .,. ....v,... .,.t ....: .I. .. ,� .,. ). x:q ro ;.. M .. ... .rn.. , , :. .... ..,.. , ',t., 1 „ ::n:. ,... .';:v, bouprum u,:aro: : .... .. v...., ...., R .. ,. .. ..ag' ,,'. .. ...,: ., , .:: .f. .,,: a .a n . ,... ._ :..., .:..,. x ...r.. ....... ,..: ,. t I .-., .. h r...,. .. ✓�'. Y t'. a..:. ... ..._. :.♦. >.. ... �. i. e. .. �w .. _. ... .. ,.. .r .a ,. k ... `.£ r .. ,. ... . ,C.. ...5 s...,- .... ..,.,..., ... v. „ t f. , :':: ,. .. ,..: ... -.,. ... .5. ., .. ... .. :. .. .. ...:...... I: ,.. .. ,,, ..:ri ....c .a. .r....r v. t..) : . Y , ...>,.... 7. r..,.. ,.. . ::..... .: ...-.., r. ............. , ,,..:.. -.......a ... ��I. .. ..:.... ...:w,:, .r,.. t n, ,., _, r r.. :,:-. _.... .. ter. ',._.,... ,? ,. .a:. ... . .......�. .. ... ,. .. .. ..,. r ..,,. :.,.:. .. .. :, .._ .. , na..., ._. .. 'r .. ,r, , :.,, .._:. .:...,....�, ,..r.,. ..r_. ...: s. .. ., ..,..... ...b .. , .. i ., 1 .• .._ ... a. . :.: ,, ..y ,..:.. .. ::. v s...t.:..,. H,..,:,.�.f.,,.. ,,:. r �., .,. „ , _ _ .-. .. ,. .. .... ... 5.._.. .. .. ,. --r w `:I , {' r x::.: t r: .,. t ....:. .: r « ,a. .. .. ... r, -. u i.,.:. r. :...: I ..:.,r .,., :... ., : ."r ...... ,r.: .r. ..,. :.. .. R '::, „ - ... :. .:: ,. , ..�i!,. c .:i ,.:. ... ..:. ...:: ____ .. .. .:. .:...r. .. v. .. .. .. V .., - -....,...... :.... ......... .-.... - .. .. :,. K _ _. : .- .. _. - ... _. , .. :, _ __ _ .;. . .: ._ _. _. _. _ , - ._. . _. _ . _., ,. . , 3 .: ... ;. .. _. - :::. r .: �: .: .. _. .. . .. _ .' > ,F -. .. .., .: J:.. .:. .....SCALE.,,/4.. ,-0' ... .. .. :... ........ .. ... ... EXISTING ROOF PLAN .....: _ . 3. SCJALE ,4"_.; _ EXISTING SECOND FLOOR PLAN 2 ... • •:,, ,::: '`.NI-HOL.EFF ,:.. - r - .. :: .. .. .. .a._,:: . ..i .......- .. .... .. ... ::._.,.. ARCHITECTUR S G .. .. < . . .... .. ::.'.. .:.' o:; .. ., . . .. , ': ' , BSS .. .. .:. .., .:. .....:: .. .:. ... .., . ,. :. .. ... ...... .. .. ..,.. :-.: .. ..... ... ._ .. .. :...._ ..... .. ,.. .. :A, .. ..:, :6... .,..:..... ... ;:.., i i ._ .: ... n. ;. > :. .. ... : .. ...:.. > .: ,r . .. _ .: ,: .: v ::::,. s i ..:.. P :..:. F:-, . , - :. ..F. - NUMBER.. .. .. - .. . .. ... .. -... .. .. > ROJECT '9 :;. :':5 �.,..:'. DRAWN BY. ... i,: .,,.:. ... ,t '.:. ., ..:. .::,�..: .::r:.. •., ... . ..,:;.::, ......::.. ... .. ... ... .. .:.. .. ... ... .. : r...:. ..... .. .I .. .. _. .. c: A -•e,� G. r . .. .. ..,.. ... ....... . . .. ',..,:.:.':.. �. -. ,. ....,.. :.-. .,... :...... . .... .... .: .: .......: .....;., ...... .... :,... r. .. .... .....-.: ...:. .. .....:.._..._ .. ..... ..... .. ... ..... ..... _ --- __ - . ... .n .. ....._. ... :'...' ..... .. ..:.. .. .... ...... ..:. .. .. -_,.. .. .. ..., ... .... e.. .. . SCALE AS NOTED -.:... .. ... ...... .... .. .+ .....,... .. ... _ .. ... .. .. .. .... .:.... ... .._. .... .. .. .. .. �:DATE'SEPTEMBER OS..2019 .. _ .... ... .. .r.. .. .. , .:. ___ _ ..;. .y,.. :.,.: I j= 4 .:'.. .. ': ,. .. :::: '. ":::. .. o. .. -. s .. .:. ..: .:.. .. ......_ .. ... .. :.. ...:,. :...... .. r : P: I ..:.,::. ....,:1 ..,. ,...... ..: ::.. '..; .. .. :. -. ;.. , ,..::. Amp F O ...: ':', ., , i .:' ., v , :, ' , l .. ...;: .1 .,,., .1. r .. 8 ,. .: .. ,, TLE :.. .-::1 ,: is r .. .. ".: :'P, ., .: . .. . .: .. ". .. .. .. ,a. ..:.:. .. , .. :; ..... ... .. ...... -...,.... .. N. .. ..... .... t. ,. .. .. ... ...,... . ........: .... ... .. ,... .. .... .. . r ..: ... .... .: :,..... ... .. ... .. .. .. :. .. ... ,.. .. ..... ..... .... ... ... .s. .. _. ..,. ..... .. ... .. ,.... .. .. .. :'.Y .. .. , ,: .n. - :: :.:., I:'. , .l. . :'r' .. ...,�.. .,,: t: 6. . r.., t Ex1 1 `. .; , .., >. '.: :;. ,: SCALE.1l4•a�,-0: .. - ' EXISTING FIRST FLOOR PLAN. 1 w a r br , .. l,y .> : .. ..:.:' . : : '6, _. , .'' ' ,. .. ,w `-:., . :. ..t,.,. . v +,. e m u.d r A ...r 4., ,.3._.... ., «.. ,...., , .. ,. .. ,, ..w,. .�.,.nkr:.( L 7 v—�7 .. 7-7:7 .777 - L ...... 2 if z pI ESIDENCE'. RT p H BAY 49 N oi' BORS,MA p PYSTER,HAR r. 71: ---------777--. q,: - . �r; , .. , :"o 7 2 CLOSE111WA TOJ q BE DE.CLZMED. GENE RAL. NOTES NEW SUILT-I q. - ------------- v ENING 1.�Fd.d PC'OP NEW BUILT P. T,: -IN p F2 15 d w.4—I.'o arma w, b L A2 7, 1 L L ------------------------------ Z42 IPA L= r 0 �OOFPLAN jSECOND"FL U M L/A 1'4 C ES FAR HITE TURE 0 STING NEW MARVIN WINDOW ASSEM ...... FIR oe�o� FIR Ell BLOCK N ON LS AND IbCUCA2854 CAS�MMWJ FIXED 508 4�0 5296 5084202240 ARED FCR NSTAllATI N NEW 'F.' RE 11B (SUB.IT SHOP DRAWN.. h 4DAnCOTNSW L�CMCrDSITEMPOR, SHORING nic FOUPIROTE rtF Ro TO N7 FLOC, oN�mo I iLON w AFIR NEW FOUNDA70N V o .622 OD f .......... .7�7 r of WIN 2 4-(HI Wl MARVIN DOOR ASS CH DOOR,,INSWING EN .......... L 011�------------ NT ATO.AND REPAIR PATE:r SE17V�BER 20i@,: ------------ -------- CMN r �f LCDUTCIO�DR ISR, E E D, SLOPED DISTURBXD M13YON IIAT� 14. XISTING LIV;�ICB R� ------------ STON E TILE DO OWN 8 lve WA2 m Fty RLAT.U TILEIRAT 30 LINE�F :�j L------7- MARVIN Aj NEW L FIRST FLOOR PLAN -777777=r 7,; 777 � J - KA SS 0 RESIDENCE.- 4. 49 NORTH SAY,,.' 4j, j:,: ER HARBORS,N�A OYST b �d d tih o'df. id -51 4.1 F ROOFCONSMUCnON J WNGLES PE�IoN ,.�L , C.. sAm,f, ��ER PDX F�LT OvEj� j (R-38)KF.Fe6RGI-A88 GENERAL NOTES: CFILING-%�INSTAI-L- 4 FLAT A,. pw o pp.o E.A��FL THE INTEP.38i�TIONI ENT '�Toll d b ETI P d "Q I e IQ e.: 4PP-q- 7 7, �W, FAL U 6 H I FA E 8TIZ V6 �MSLS TO=H% BE d Pd V.;, t Fxi MG:LIVIMG W�X F� 40. :"6, b. lo& .... ....... xistigig F I lb j F f! 4 P 4 How c6NcpzTa FouND M FOUNDATION M-AN a DST lom OR DIMENS 8 hFtZCF _I et�IE NT. i 4', q p DATICN.*.7 t F. U j E S�N6 prl Ro p d -0, BULD.I.N&SECTION TH90UGH b.�NL! p ARCHITECTURE DESIGN F. V. i.7 M 111. A6 T:SO8 4k'5298 F 51M 42 q NO:6622, F .... ...... ....... ...... r -—-— — — —-—- TO ew.6oF _�G" 7. �7:7 q %; Ra ....... OVER 360 ooF p I PROACT NU 8:12:9' m... d ATHP"IF—WNG..Il.TA I-L T A J� '12-fR-38)K.F;F q 4 j OF RAFT�FS'AT THE ANTURSE m ArRpn"O��N PR8 TO PRO= TO THE.LMAVo VBNT$,TYF:,'..i.. 4 2 7 :P�P%�IDAPI�-"T -77777777'' R. T, ?A�,:N7P, NIG ITE TO MATCH) q m oATE� SEPTE—M W. 7 R j. =CH EXISTING. -BOA SOF 6 i �A 1�46 O�'DAR BEAD: 'J p. d7f'�77 UNDERSI. OF J�. ' ' .,r_, OF p: j PROF(LE TF 4 TO WTCH EXISnNbrb�, q 4 P, :y g r 'r E T NPW,�CONC 'POUNOAT DETAIL3 FOR PIMBI431 j IT j P pi' BUILDING SECTION q r p. r A 3 RM SCAL�:1 4�" 1 C). ILDINGSECTION B U F q :v.i .......... KASS r ` RESIDENCE 9 NORTH BAY _. : .. 'OYSTER HARBORS 4MA GENERAL NOTES.1 ^ ' � mau,.wmwv,.>r•a...�we m..orw�.oa.:,e,.ma, ,. ....:: Mo j. , i •i : 1 r. 4 r • n 5 1 9. , P O C 1 : 4 F SCALE.14' 1'k / 0 _ F IRST FLOOR.PLAN' J. CHO�A FF N E _r S' ITECTU RE+DESIGN,i. , ARCH 22 MARVINI n ICholaefl.COm 8s° t. t�J PROJECT NUMB R'E ..::. ... .';r... - .. ,,:. .. .DRAWN BV.:. , ... ,,. r.. :`'MARVIN MARVIN W N W A IDE ENTR . S Y FRONT'ENTRY : ,.:, A24 , _:: . CUC 2 24.::. ,.:3xC OO 2844SEM MARVIN:.D . . R., . .MAN ..TBD. T '. TA :.1 x `OHECK'ADJAGENT EXISTING `:-WINDOW STICKER F R MATCHING r.. .. .. .... .. .. .. .., ..:. .... ..... .. .: ........ .. .... ... .. .:,..:..�: _. :.... •; ':.`!. •1:�DATE:SEPTEMSER OB 2018 b •:ACCURACY , ;l. ............ .. ..�: ... __.. ., .. �.. ..' ems'' ,. .... .-.. .... .:.... .. .. .: -:.-. .:... 77 , i f n; : s CHED,'1._E S UL S ASSEMBLY:: ;, : r • ,.. INSWING'FRENCH'DOOR - .:. -;,.,. •.:: ,: :.<. ,, 54 . .. ..: 1. WLF.IXED - `CUIF..D12068 2xCUG;428 TRAN M SO 5 932 28 b A . 1 5 .. _ ... ..... _. .. ... ... .... _.. ....:..: ..... .. r. ...... ...... .. ._. _..,..,.. ..,. �. •�'�.!0. WINDOW:AND:DOOR SCHEDULE SCALE:14 1, TOWN OF BARNSTABLE 20!2 mo -7 ;'° 8: 4 5 - General Notes ............_..._ ..... . \/ . --- -- - y .... ............... MASTER SUITE y 94 ' DINING 93.75 kitchen 94-3/16 ...........,. LIVING ow e 93.75 93.l T ....-....... i i is familyamily . „a 51 v «�' - No. Re.�van/issue Dale TL Fine Woodworking 135 Barnstable Rd Hyannis,MA 02601 T.774-836-5571 F.508.437-0264 Kass Residence 1 First Floor Existing Conditions Plan Osterville,MA. 1 Scale:?/4„= 1'-0 rAM 1lb�p-0. FWA • - - General Notes y;eq s ........ ...._._:..._._.. - £ SL 96 ;sen6 8/£-V6 a;lns;s9n6 J ;san6 6£6 6£6 8/L`£6 176 U3e4 - OL solo jay e5ij4o sly No.. Revision/Issue Dale TL Fine Woodworking 135 Hamsmble P& Hyannis,MA 02601 T.774-836-5571 F.508-437-0264 Kass Residence ' 1 Second,Floor-Existing Conditions Plan OsteMfle,MA 1 Scale: 4�� — V-0" J KASS 09.08-12 S K-2 �' - - RMA� ! F`wC oODVV General Nnles ,' .... Master O Master i; Bathroom Closet 110 i --- 108 ........ ............... FYI ...................... .......... I aster Bedroom ,, 1� Q ester Vestibule Dining Room 107 ' 104 10tchen a C LWing Room • 106 Powder -------..._... _ _...._...._.. - ,.... 105 •wit r .;ram} w,�� Li _..___�.._s'....;. ...._ Foyer 101 j Family Room 103 i ^ ._---------..--------- ....... mr:we•rr - r Liv;ng Room Ceiling 09/20 • roe. ; ' No. Revision/Issue Dote •�. mm--- IL Fine Woodworking 135 Barnstable Rd, Hyannis,MA 02601 IIL T.774836-5571 F-506_43740264 wekn we.om wee Kass Residence 49 North Bay Road 1 �stervine,MA 026ss First Floor - Proposed Layout, Progress Print A1.1 Scale.- 4 1►_Off aASS . RMA IL 8843 +oi ,m Guest Guest Suite Closei uite Bath: 0enerol Notes 209 20$ `l Y Stair Hall 206`., ' ---­----------........ ------------------ ::ID7 I ------------------------ ................. ........................ ............... i ----............... ...... 6 .; °tb a Kid Guest Suite Kids Bath 207 Guest Bedroom ' 205 r • 210 - - F ..off _ _ • 17t Kids Bedroom _) � " 204 Kids Closet Hall 202 207 240 . O �, O . i New Office i BuiR-In,TBD _.nmn _16. I I— �'—N-C..d Opft ----------- e Hall Bathroom204 211 Her Office 201 ++ New Of6Ce I V Living Room Ceiling 09/20 Bum-la,TBDj - '.-.a• "H$is'Ofce No:I Revision/Issue Dale 46'� 212 TL Fine Woodworking ew Awning - - - 135 Barnstable Rd. Window . Hyannis,MA 02601 T.774-83(r5571 FM8437-0264 NEW CN2424 NEW CNfi054 NEW CN2424 Centered on - Centered on Picture Centered on Picture ow Be Window Below Window Bel .._.._._........................._.__.._...................._.....:..................--- ......... _ r•;a..�«.m. «,wan., Kass Residence 49 North Bay Road . Osterville,MA 02655 1 Second Floor - Proposed Layout, Progress Print ,2212 a1.2) Scale: % = 1'_®►� �_,,-(. A1 .2 mam� RMA LE,qQ�. Breakfast Area. General NoleS sm N—st*Layout ___------- _------- --------------- __._ New 4S zfi25' I eB'. Family Room 102 .-...... . _..:. _ __._-. New4.W x 525'Reller - - 7 A6.0 $ - '6• wl• 4 2 .. BAcc^ Add CudDm Mantle -71 , 6 Abon .. - - 0 - - `New E�Mrahurra � _ - Living Room Plan 1 A6.0 3 n_ r1-0 a A6.0 3 n_ r n Scale:/s - • Scale: /s -1-0 / \ - Ul mg Room Ceiling D5/20 ❑�❑ ��� _ - .. No. �[as.mw^eJsion/Issue Dole F. r r + TL Fine Woodworking 135 Barnstable Rd. * ® ® Hyannis,MA 02601 - T.774-8363571 F.508-437-0264 7HE P.oia�Horn.ma aeem. Kass Residence 49 North Bay Road r, rLj. Osterville,MA 02655 D -ia KASS 2 k... A6 0 3 A6.o Scale:8"=1r-Orr A6.o Scale:8"= P-0° ` RMA --- _ General Notes 103 1 : 13' Tell Pantry \� I --�---'- ....- ---------- -------- - 36•Gooktop - -- ---- ,n,CC'' wl Wall Below?' . Storage �'d• I - I 37.E 37 stalwing/Cowling Hefele: - i Drawers Below Sheet Storage IS Lents. 1416 I . I w______----_______________________________ _____--_________-_-____-___- _ 125ts• I 1 I I Glace UP,• Above I � � ■ Drarlers�abw. ; 43�. � Ki 'tch en - \ 103- Dowers Below I I -----... F—_______________ - I I .- Fully Double Trash W Petrd 90'Aprtat Fmrd-F■tMtolns BYtic PW-Out. - I I I - I - 1 11 8• I -F& i Soffit Above Connecting I - 1 103B i Flanking Cabinetry ,48• is - a - I I Kitchen Layout 9/20 LI .36•Re6igeratw No. Revision/Issue Date. 1 I .— Glass UppeAbove 433• I . Drawers I, TL Fine Woodworking i 135 Barnstable Rd ' Hyannis,MA 02601 T.774-8365571 F,508-437.0264 'I I I Kass Residence ------------- --------------------------=--- --..--------------------- 49 North Bay Road OstervWe,MA 02655 Existing Ceiling Line . KAW "' � I � C10 t~F woovw �, 14 Gene of Notes To LNilg Rod" 4 2108" - 31 Dining RoomLl L-1 L 104 ` 17�" 1 16 2 A6.2 Scale:�/'=1'-0" ( A6:2 3 4 IF - 103B New Cased Opening to Match Existing —� I . ._... ..... _ ...._ Dining Room Plan° A62) Scale:3/"=1'-0" 11777 if A6-2 Scale:3/4"=1'-0" Ele,otlo- 09/20 - No. Re 6—/Issue - Dale TL Fine Woodworking 135 Barnstable Rd. Hyannis,MA 02601 To KW= To UWp Roan T.774$36.5571 F.508-437-0264 Kass Residence 49 North Bay Road Osterville,MA 02655 KAss Q242 A6.2- 3 4 �i4�,o A6.2 Scale: 1'-0" A6.2 Scale: RMA�. t i Gonerol Noles ew.e Aerie _ ReosAtl AA.il ' - �r TB�•.d Termartl T re®mmn , Ae.a 3 \ 4 L�—�-- tttoeyo..r � 4 Powder Room 1 � 2 3 4 A6.3 Scale:%4"=1'-0" , Scale:iq"=1'-0" A63 Scale:%4"_T-0" _A63 Scale:iq"=1'-0" A6.3 Scaler%4"= 1'-0" O 8r tee 5' 72" s• 28 Living Room __ . _ • 26i. 106 947 _ _ - $• 12 To MosbrVea®We Lidnq Room Fir<Oloce 09/20 1 aaat84S 5. .._ _ __ 13• -i No. Recision/Issue. Dole Reph—Mantel W - 548 TL Fine Woodworking 8 - 1. 135 Barnstable Rd 422 Hyannis,MA 02601 T.774.836-5571 F.508-4374)2rA 724. Kass Residence ..... .� - 48 46. 49 North Bay Road . 1 Osterville,MA 02655 A6.3.1 Scale:%4"=V-O" KAM - 10-22_12 A6.3 Livia Room NOTED A6.3.1 Scale:3g"= l'-Q" ~ RAMS �C'OgY LegR:3- General Notes i HO ' " MI: CL�� : `I} C 1 1 L L 1 A6.4 Scale:%4n= 1'-0" A6.4 Scale:�4'=P-0" 7__ Master Bathroom A6.4 Scale:3/4"=l'-0" ZMD c N'4wvb - _L '1 9 A6.4 Scale:�4�=1'-0° Ate. Scale: 1'-U° „.. Master emn oe/zo Master ClosetNo. Revision/Issue Dole 1091, TL Fine Woodworking 135 Barnstable Rd. 2 y Hyannis,MA 02601 ., 7 n6A.t 3 T.774-836-5571 F.508-437.0264 4 Kass Residence 49 North Bay Road Osterville,MA 02655 KASS • - 10.22-12 A6.4 1009 o RMA O � F,►'�'oonwo¢� Generol Notes ------------ ............... ....... ............ 4Y re - ( �Z 2 �'nm) - -------- ------- +'-----� \'x� .,q _ No. RevW—/Issue TL Fine Woodworking 135 Barnstable Rd_ S ��D Hyannis,MA 02601 8437- T.774-8365571 F.508�37-0264 F=---31 - F71 Olt. o a Kass Residence 0 8 8 m 49 North Bay Road Osterville,MA 02655 Ickes 09:20-12 A6.6 _�. 314t,'-0'