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Home My WebLink About0079 SAND POINT - Health e 79 Sand Point. Osterville) 032 A-073 - t 3 - 30Z Fims...��..............' THE COMMONWEALTH OF MASSACHUSETTS 4 BOAR® OF HEALTH Fvw(4--.._.......OF......T�.Nu.iIGir ................................ Appliration for llhipwi ai 10orkii Cnoustrurtivit ramit Application is hereby made for a Permit to Construct ( �r Repair ( ) an Individual Sewage Disposal System at: = ( . ................_....... ... (�i .. ....... �.._�iim-1300...............................:_!�r..........� -• - - Locati n-Add ess or Lot No. -- A'a ._.. �c� - .. ----------------•-•. �c.r _.... s� xa......... 1 Owner w .......... ��..`..p Address '�� Installer Address p UType of Building ++'',,,__,__ Size Lot.....4R.�� _Sq. feet ,.. Dwelling—No. of Bedrooms�___.tI. .--_ ____gAa-_Expansion Attic ( ) Garbage Grinder ( ) Other—T e of Building No. of persons____________________________ Showers — Cafeteria a Other fixtures ----=---------•-••-•--•--------- W Design Flow____________________5�.!_...................gallons per person per day. Total daily Pow____._._..__.________5!5b.........gallons. WSeptic Tank—Liquid cgapacityl.SCPD.gallons Length................ Width................ Diameter________________ Depth................ x Disposal Trench—NO,..L_.x?/FFfSS..Width.....:�.Z....... Total Length....... .... Total leaching area..... 72 ...sq. ft. Seepage Pit No..................... Diameter.................... Depth below inlet.................... Total leaching area___...............sq. ft. z Other Distribution box ( ✓S Dosing tank ( ) '—' Percolation Test Results Performed by ,4x1Z.-_._ ------ Date....:�__. ...... Test Pit No. 1......L _._minutes per inch Depth of Test Pit....... -_.______ Depth to ground water.......... Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ a ---------------------------------------•----•--•---------------------------............................................................................. Descriptionof Soil =--------•---•••---• •--------------------------•--------------------------------------••-------------------- va --------------------------- U Nature of or eration Ansrwhen a�b _ J/Uer Agreement: The undersigned agr es o stall the aforedescribe iv>dual Sewage Disposal Syste i accordance with the provisions of iITL1 5 o e State Sanitary Code— The undersigned further agrees not to place the system in operation kntil a Certificate of Compliance has ileen iss d by the board of health. ®` l ApplicationApproved By... --- - •.................................•-----------•---•-------•-----..._......---_.. ........"-------- Date Application Disapproved or he following reasons-------------------------------------------------=-------------•------------------------•--••------•-------_--•_. ---------------------••-•-•---------•--------•--......----•---•-•---------•--•----------•---------------•--------------------- .................................................................... Date PermitNo......................................................... Issued........................................................ Date •. :� • 1 � r No... F:nc.... .............. THE COMMONWEALTH OF MASSACHUSETTS f� •'- > BOAR® OE HEALTH �, ApplirFa#iou for Uhipoii al Vorkr, Tomitrurtiou ranfit Application is hereby made for a Permit to Construct ( ti/or Repair ( ) an Individual Sewage Disposal System at: ' .....................................................----•........-.............................. --•---•--••--•---•---..._._....._..------......R !............-'- -='------•----.....--- Location-Address or Lot No. Owner f"`} r ! Address _ Installer Address r QType of Building Size Lot.......... ___vC:!`---_Sq. feet Dwelling—No. of Bedrooms___ " ._::___�__.__`_'t Expansion Attic ( ) Garbage Grinder ( ) p-t Other—Type of Building ____________________________ No. of persons............................ Showers ( ) — Cafeteria ( ) Q' Other fixtures _________________________________ _ W Design Flow...................?_: ___.__...._._....._gallons per person per day. Total daily flow......................... ...................gallons. 1:4 Septic Tank—Liquid capacity:__::...Q.gallons Length................ Width................ Diameter................ Depth................ Disposal Trench—No..��.__jlf_ its Width____.1 Total Length....... Total leaching area.... ----sq. ft. Seepage Pit No..................... Diameter.................... Depth below inlet..................... Total leaching area..................sq. ft. Z Other Distribution box Dosing tank ~' Percolation Test Results Performed by......... .......f.:-................................... f__.=.1��Date.............L Test Pit No. 1.........17_._minutes per inch Depth of Test Pit.........::.......... Depth to ground water....... -%............ fs, Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ ------------------------------------------------- _... _------------------------------------ ------------ ____-------------- -••------------ •----------- 0 Description of Soil.............--------------•--..__.....-------•----....._.._.....-•----------------------------------•------------------------•--------------•-••--•-----•----------••- V' __----••---•-•................. r t= f `= = `...................... .....— .. ...........................................................- - '- W -•-•-•---------------•-------._.. ......................................................................... ------ -----------••p•"."`w.r-.� . ------- U Nature of or erationsA AnswIg when apppl. b _ �•--��..._. ___ , . A Bement e%`�°--�`nr�----- -. -. 1�. _-:�/e��.._..-•-• - - --f- ---_ ..-- M� The undersigned agre s o stall the aforedescribed ividual Sewage Disposal System i ccordance with the provisions of iITIL- 5.of e State Sanitary Code— The undersigned further agrees not to place the system in oper tion til a Certificate of Compliance has been issued by the board of health. 1 , i Sig e'd•9= �..�. � _`'^ ti t=uf -�...--•--•-----•---------• .... Da Application Approved BY ..... .='=---.-----••--•-••-•••-------------- Y Date Application Disapproved or he following reasons:................................................................................................................. ......................................................-.................................................................................................................................................. Date Permit No......................................................... Issued--------------•--•-•--••-•-- ..................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH OF. 1 Li s rt � t } i ..........I................. -.�......................................................._.................... Twrrtifirat e of Tomplianre THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed (1✓) or Repaired ( ) bY-------ti--•................... _ C :� > ) t �. ..........................................................(= "o al •--_. ..... - Instal ler t at _�,E- C, , ,.,a �_r-lid t - E . < r<r,?,c5 a..- .......... -- 1 r --•--- ................................ has been installed in accordance with the provisions of T�T I j of The State Sanitary Co le S 4�i bed in the application for Disposal Works Construction Permit No.____.n._' ............ date date ................................................ THE ISSUANCE F THIS CERTIFICATE SHALL NOT BE CONSTRU A GUARANTEE THAT THE SYSTEA+9/WI FU (�TION SATISFACTORY. DATE--/..� �..Q/___________________________•-•------__---•----_____ Inspector-•-•- -- •--=-------------=------...__._....._...----..._..-•---....-------•----. J HE COMMONWEALTH OF MA SACHUSETTS BOARD f�OF HEALTH {� l OF.. t t a . ;- "`...........................0 ..............:.......:............... x......_.__...__....._....._....:..... r q cr FEE ................. O .._..__. _.._.. �►i��rr��l �rk� ��a�a��ruan/ �eraati# Permission is hereby granted.......................................... .._.__-........__-__._..__.._....._.... to Construct ( fv or Repair ( ) an Individual Sewage Disposal System at No. --- --° .... .... ....... Street ��/ as shown on the application for Disposal Works Construction Permit Na._ _:__ ' �Dated = .... ✓ .............. ................. ...... •--. ----•---------------------------••......................... Board of Health OO od' DATE ........................................ - �: b q' FORM 1255 HOBBS III;WARREN• INC., P,UBLISHERS 3 �- TOWN OF BARNSTABLE L- �1710N POlAT _ SEWAGE # Ja�.LAGE Ost'e��V�� ASSESSOR'S MAP &LOT 023- o3a INSTALLER'S NAME&PHONE NO. SEPTIC TANK CAPACITY 1 5 W LEACHING FACILITY: (type) 3- `�' ►�� (size) y S-oAA— NO.OF BEDROOMS JBUII DER OR OWNER �tnq °ERMIT 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 leac T/ ng facility Feet . Furnished by 1SOG �w+ J • Fo/d A bvci NAAc Q OIL i 3 O y a3 ao ` Fro^ a ao ay GA(Alf- . Y i2O CA T ION SEWAGE PERMIT NO. " VILLAGE INSTA LLER'S NAME & ADDRESS B U I L D E R OR OWNER DATE PERMIT ISSUED DATE COMPLIANCE ISSUED l0 ' - I 1 DECR I ; EXISTING WRUNG I 1 Ia 1 PROPOSED MOTION 11'9 1/2' 11'O 1/2' DIST.DOE + 1 + IILOW DIINSMS SEPTIC TAN( LOCATION OF SEPTIC SYSTEM 1 FROM A56UILT DATED 10/31/93 I LOCATION #79. PARTIAL PLOT PLAN SHOWING LOCATION OF PROPOSED ADDITION SCALE 1' = 20' y 'II .` TOW T GF BARNSTABLE LOCATION l S�1✓1� KOn+ SEWAGE # 83"W0-1- VILLA G- E O S lV+ ASSESSOR'S MAP & LOT 4"13 O3 INSTALLER'S NAME&PHONE NO. /�VI: 0 1 /0V SEPTIC TANK CAPACITY I Suo la�o LEACHING FACILITY:t(type) pow b+qu SSWS (size)Z 51"ov� X 302 NO.OF BEDROOMS • BUILDER OR OWNER ) log PERMITDATE: SA) COMPLIANCE DATE: /0 F3 ,3 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 leaching facili ) Feet Furnished by 5 ,t, r� Ape—V Mel .�p� Al- 'A a a°�' Rooms r f-z.;L- Iy A3• O O � G�esT' House_ COMMONWEALTH OF MASSACHUSETTS 'EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS DEPARTMENT OF ENVIRONMENTAL PROTECTION TITLE 5 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM FORM PART A CERTIFICATION Property Address: 79 Sand Point Osterville. MA 02655 Owner's Name: Dourzlas Kinz Owner's Address: Date of Inspection: February 2. 2006 Name of Inspector:(Please Print) James M. Ford Company Name: . .• James M.Ford Mailing Address: . P.O.Box 49 Osterville,MA 02655-0049 Telephone Number: (508)862-9400 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 aid DEP_ approved system inspector-pursuant-to Section 154340 of Title 5(310 CMR 15.000). The system: 3 ✓ Passes j Conditionally Passes Needs Further Evaluation by the Local Approving uthority77 - Fai s Inspector's Signature: Date: March 1 2006 Y The system inspector shall su m•t a copy of this inspection report to the Approving Authority(Board of Health or DEP)within 30 days of compl g 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. Notes and Comments . Revised from report dated February 7,2006 Seepage 6, (actual bedrooms and see letter attached) ****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. Title 5.Inspection Form 6/15/2000 page 1 • Page 2 of 11 i OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address: 79 Sand Point Osterville. MA Owner: Dou !g as King Date of Inspection: February 2. 2006 Inspection Summary: Check A,B,C,D.or E/ALWAYS complete all of Section D A. System Passes: ✓ I have not found any information which indicates that any of the failure criteria described in 310 CMR 15.303 or in 310 CMR 15.304 exist. Any failure criteria not evaluated are indicated below. Comments: B. System Conditionally Passes: One or more system components as described in the"Conditional Pass"section need to be replaced or repaired. The system,upon completion of the replacement or repair,as approved by the Board of Health,will pass. Answer yes,no or not determined(Y,N,ND)in the for the following statements. If"not determined",please explain. The septic tank is metal and over 20 years old* or the septic tank(whether metal or not)is structurally unsound,exhibits substantial infiltration or exfiltration or tank failure is imminent. System will pass inspection if the existing tank is replaced with a complying septic tank as approved by the Board of Health. *A metal septic tank will pass inspection if it is structurally sound,not leaking and if a Certificate of Compliance indicating that the tank is less than 20 years old is available. ND explain: 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 distribution box is leveled or replaced ND explain: The system required pumping more than 4 times a year due to broken or obstructed pipe(s): The system will pass inspection if(with approval of the.Board of Health): broken pipe(s)are replaced obstruction is removed ND explain: 2 Page 3 of 11 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address: 79 Sand Point Osterville. AM Owner: Dou lag s King Date of Inspection: February 2, 2006 C. Further Evaluation is Required.by the Board of Health: Conditions exist which require further evaluation by the Board of Health in order to determine if the system is failing to protect public health,safety or the environment. 1. System will pass unless Board of Health determines in accordance with 310 CNM 15.303(1)(b)that the system is not functioning in a manner,which will protect public health,safety and the environment: Cesspool or privy is within 50 feet of a surface water Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh 2. System will fail unless the Board of Health(and Public Water Supplier,if any)determines that the system is functioning in a manner that protects the public health,safety and environment: The system has a septic tank and soil absorption system(SAS)and the SAS is within 100 feet of a surface water supply or tributary to a surface water supply.. The system has a septic tank and SAS and the SAS is within a Zone 1 of a public water supply. The system has aseptic tank and SAS and the SAS is within 50 feet of a private water supply well. _ The system has a septic tank and SAS and the SAS is less than 100 feet but 50 feet or more from a private water supply well". Method used to determine distance "This system passes if the well water analysis,performed at a DEP certified laboratory,. for 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: 79 Sand Point Osterville, AM Owner: Douglas King Date of Inspection: February 2. 2006 D. System.Failure Criteria applicable to all systems: You must indicate either"yes"or"no"to each of the following for all inspections: Yes No ✓ Backup of sewage into facility or system component due to overloaded or clogged SAS or cesspool ✓ Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or clogged SAS or cesspool ✓ Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool ✓ Liquid depth in cesspool is less than 6"below.invert or available volume is less than day flow ✓ Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s). Number of times pumped_. ✓ Any portion of the SAS,cesspool or privy is below high ground water elevation. ✓ 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 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 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 System: To be considered a large.system the system must serve a facility with a design flow of 10,000 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 the system is within 400 feet of a surface drinking water supply the system is within 200 feet of a tributary to a surface drinking water supply the system is located in a nitrogen sensitive area(Interim Wellhead Protection Area-IWPA)or a mapped Zone II of a public water supply well 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 ti Page 5 of 11 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B CHECKLIST Property Address: 79 Sand Point Osterville, AM Owner: Douglas King Date of Inspection: February 2. 2006 Check if the following have been done:.You must indicate"yes"or"no"as to each of the following: Yes No ✓ _ Pumping information was provided by the owner,occupant,or Board of Health , ✓ Were any of the system components pumped out in the previous two weeks? _ ✓ Has the system received normal flows in the previous two week.period? _ ✓ Have large volumes of water been introduced to the system recently or as part of this inspection? ✓ _ Were as built plans of the system obtained and examined?(If they were not available note as N/A) ✓ Was the facility or dwelling inspected for signs of sewage back up? ✓ _ Was the site inspected for signs of break out? ✓ _ Were all system components,excluding the SAS,located on site? ✓ _ Were the septic tank manholes uncoveredi opened,and the interior of the tank inspected for the condition of the baffles or tees,material of construction,dimensions,depth of liquid,depth of sludge and depth of scum? Was the facility owner(and occupants if different from owner)provided with information on the proper maintenance of subsurface sewage disposal systems? The size and location of the Soil Absorption System(SAS)on the site has been determined based on: Yes. No ✓ _ Existing information. For example;a plan at the Board of Health. ✓ _ Determined in the field(if any of the failure criteria related to Part C is at issue approximation of distance is unacceptable) [310 CMR 15.302(3)(b)J.. 5 f Page 6 of 11 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION Property Address: 79 Sand Point Osterville. MA Owner: Douglas King Date of Inspection: February 2, 2006 FLOW.CONDITIONS RESIDENTIAL Number of bedrooms(design): 5 (per design plan) Number of bedrooms(actual): 6 Note;see attached letter DESIGN flow based on 310 CMR 15.203(for example: 110 gpd x#of bedrooms): 550 describing bedroom count Number of current residents: 0 Per title 5 Does residence.have a garbage grinder(yes or no): n/a Is laundry on a separate sewage system(yes or no): n/a [if yes separate inspection required] Laundry system inspected(yes or no): No . Seasonal use(yes or no): No Water meter readings,if available(last 2 years.usage(gpd)): Unavailable Sump Pump(yes or no): No Last date of occupancy: Unknown COMMERCIAL/INDUSTRIAL Type of establishment: - Design flow(based on 310 CMR 15.203): epd Basis of design flow(seats/persons/sqft,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: Unavailable Was system pumped as part of the inspection(yes or no): No If yes,volume pumped: _gallons--How was quantity pumped determined? Reason for pumping: TYPE OF SYSTEM ✓ Septic tank,distribution box,soil absorption system Single cesspool Overflow cesspool Privy Shared system(yes or no) (if yes,attach previous inspection records,if any) Innovative/Alternative technology. Attach a copy of the current operation and maintenance contract(to be obtained from system owner) Tight Tank Attach a copy of the DEP approval Other(describe): Approximate age of all components,date installed(if known)and source of information: Installed on 10131183 ner as built card Were sewage odors detected when arriving at the site(yes or no): No 6 I Page 7 of 11 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 79 Sand Point Osterville: AM Owner: Douglas King Date of Inspection: February 2, 2006 BUILDING SEWER(locate on site plan) Depth below grade: Materials of construction: _cast iron _40 PVC _other(explain): Distance from private water supply well or suction line: Comments(on condition of joints,venting,evidence of leakage,etc.): SEPTIC TANK: ✓ (locate on site plan) Depth below grade: S" Material of construction: ✓ concrete _metal _fiberglass _polyethylene _other(explain) If tank is metal list age: Is age confirmed by a Certificate of Compliance(yes or no): (attach a copy of certificate) Dimensions: 1500 gal. Sludge depth: 2" Distance from top of sludge to bottom of outlet tee or baffle: 30" Scum thickness: 12" Distance from top of scum to top of outlet tee or baffle: 10" Distance from bottom of scum to bottom of outlet tee or baffle: 6" How were dimensions determined: Measuring stick Comments(on pumping recommendations, inlet and outlet tee or baffle condition,structural integrity,liquid levels as related to outlet invert,evidence of leakage,etc.): Tees were present. The liquid level was even with the outlet invert There did not appear to be au signs of leakage The quest house flows to this system. Recommendgymping the septic tank GREASE TRAP: None (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.): 7 Page 8 of l l OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 79 Sand Point Osterville, MA Owner: Douglas King Date of Inspection: February 2. 2006 TIGHT or HOLDING TANK: None (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.): DISTRIBUTION BOX: ✓ (if present must be opened)(locate on site plan) Depth of liquid level above outlet invert: Even 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.): The D-box was level and clean. No solids were present r � + PUMP CHAMBER: None (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.): 8 f Page 9 of 11. OFFICIAL.INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 79 Sand Point Osterville, MA Owner: Dou lag s King Date of Inspection: February 2. 2006 SOIL ABSORPTION SYSTEM(SAS): ✓ (locate on site plan,excavation not required) If SAS not located explain why: Type leaching pits,number: ✓ leaching chambers,number: 3-flow diffusors with 4'stone(per designplans) 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.): The flow diffusors were dry. There did not appear to be any signs of failure The bottom to grade was approximately 4' A video camera was used for the inspection. CESSPOOLS: None (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 or no): Comments (note condition of soil,signs of hydraulic failure,level.of ponding,condition of vegetation,etc.): PRIVY: None (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.): 9 t, Page 10 of 11 OFFICIAL INSPECTION FORM-NOT,FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL.SYSTEM IN FORM' PART C SYSTEM INFORMATION(continued) Property Address: 79 Sand Point Osterville MA Owner: Douglas King Date of Inspection: Februa 2 2006 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. F �OOr OIL. i 3 O , O � y f ► 93 ao F�M GA(All- a 20.. ay 3 ay'° 39 t. y 10 a . Page 11 of 11 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION.(continued) Property Address: 79 Sand Point Osterville, MA Owner: _ Douglas King Date of Inspection: February 2. 2006 SITE EXAM Slope Surface water Check cellar Shallow wells Estimated depth to ground water 9 feet Please indicate(check)all methods used to determine the high ground water elevation: Obtained from system design plans on record-If checked,date of design plan reviewed: ✓ Observed site(abutting property/observation hole within 150 feet of SAS) Checked with local Board of Health-explain: Checked with local excavators,installers-(attach documentation) Accessed USGS database-explain: You must describe how you established the high ground water elevation: A test hole was done on the last inspection and ground water was observed at 9'below grade There is no high ground water adjustment for this site due to proximity to a tidal be. This report has been prepared and the system inspected and passed as of the date of inspection. This report is not a warranty or guarantee that the system will function properly in the future. There have been no warranties or guarantees,either expressed, written or implied,relating to the system, the inspection and/or this report. 11 v MAR-01-2006 16:31 A.M.WILSON ASSOCIATES 5084209795 P.01 Q A.M.Wilson Associates Inc. . TO: Doug King FROM: Arlene M. Wilson,PWS Certified Title 5 System inspector RE: Septic System Capacity 79 Sand Point, Oyster Harbors (2.1029.02) DATE: 3/01/06 At your request, I made an inspection of the main house and guest quarters at the above captioned site this morning for the purpose of determining how many bedrooms exist for purposes of Title 5. Please understand that this may be different than the bedroom count under Building Code standards. 1 have also reviewed the floor plans for the main house,the septic system layout, as-built cards obtained from the board of Health,and the current and previous Septic System Inspections reports for the site. I did not do an actual inspection of the system itself. For purposes of Title 5, the main house and guest quarters may be considered to be one facility, as they are serviced by a single septic system and are both located on the same lot. Also under Title 5, for dwellings with more than eight(8)rooms excluding hallways, bathrooms, unfinished cellars and unheated storage areas, the number of bedrooms for purposes of determining wastewater flow is arrived at by counting total rooms,dividing by 2 and rounding down. Consequently, for this site, although there are a total of six(6)rooms set up with beds and which provide more than minimum requirements for height, light, ventilation, area and privacy,there are only presumed to be five (5)bedrooms for Title 5 design purposes. There are ten (10)rooms or areas in the main house plus the one room guest quarters for a total of eleven(11)rooms. Using the Title 5 formula(divide by two and round down)only 5 rooms need be counted for bedroom flow purposes. This would require a septic system design capacity of 550 gpd. Because this system was designed in 1983, the capacity analysis should utilize the 1978 version of Title 5 for flow rates. That code allowed 1 gal./day for every square foot of bottom area and 2.5 gal/day for every square foot of sidewall in soil which had percolation rates of 2 min/in. or faster, which is the case for this property. Thus, for a leaching facility which as 3 galleys totaling 4'x24'with 4'of stone, an area totaling 32'x1.2',the total leaching capacity would have been±590.8 gallons per day (h gal/day x 384 s.f. bottom+2.5 gal/day x 206.8 st of sidewall 20 Rascally Rabbit Road Unit 3 508 420-9792 Marston Mills, MA 02648 FAX 508 420.9795 MHR-01-200b ib:J2 A.M.WILSON ASSOCIATES 5084209795 P.02 assuming 0.94'of effective sidewall height). This capacity is sufficient to service the presumed five(5) bedroom count currently provided by Title 5. It therefore should be unnecessary, so long as there is no garbage disposal,to add capacity to this system in order for it to pass a Title 5 Inspection as related to system capacity versus facility serviced. Please understand that this letter is limited solely to these two issues and should not be relied upon for any other purpose. cc: Atty. Stephen Marcus Robert Kinlin 306AW01 TOTAL P. 2 COMMONWEALTH OF MASSACHUSETTS EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS DEPARTMENT OF ENVIRONMENTAL PROTECTION TITLE.5 OFFICIAL INSPECTION FORM NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM FORM PART A CERTIFICATION Property Address: 79 Sand Point Osterville, MA 02655 Owner's Name: Dou lab`s KingG� Owner's Address: o Date of Inspection: February 2, 2006 Name of Inspector: (Please Print) James M. Ford' Company Name: James M.Ford ' Mailing Address: P O:Box 49 '- Osterville.MA 02655-0049 _ Telephone Number: (508)862-9400 C-�_, c i CERTIFICATION STATEMENT u; a I certify that I have personally inspected the sewage disposal system at this address and that theB ormation reporCed below is true, accurate and complete as of the time of the inspection. The inspection was perfoffet d basedt.my11 training and experience in the proper function and maintenance of on site sewage disposal system . I am ra,DEP; approved system inspector pursuant to Section 15.340 of Title 5(310 CMR 15.000). The sys em: n_ co M ✓ Passes Conditionally Passes Ne ds Further Evaluation by the Local Approving Authority Fat Inspector's Signature: Dater February 7. 2006• The system inspector shall s'A 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 i 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 different conditions of use. ` Title 5 Inspection Form 6/15/2000 page I Page 2 of 11 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address: 79 Sand Point Osterville. NM Owner: Dou la��s King Date of Inspection: February 2. 2006 Inspection Summary: Check A,B,C,D or E/ALWAYS complete all of Section D A. System Passes: ✓ I have not found any information which indicates that any of the failure criteria described in 310 CMR 15.303 or in 310 CMR 15.304 exist. Any failure criteria not evaluated are indicated below. Comments: B. System Conditionally Passes: One or more system components as described in the"Conditional Pass"section need to be.replaced or repaired. The system,upon completion of the replacement or repair,as approved by the Board of Health,will pass. Answer yes,no or not determined(Y,N,ND)in the for the following statements. If"not determined",please explain. The septic tank is metal and over 20 years old* or the.septic tank(whether metal or not)is structurally unsound,exhibits substantial infiltration or exfiltration or tank failure is imminent. System will pass inspection if the existing tank is replaced with a complying septic tank as approved by the Board of Health. *A metal septic tank will pass inspection if it is structurally sound,not leaking and if a Certificate of Compliance indicating that the tank is less than 20 years old is available. ND explain: 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 distribution box is leveled or replaced. ND explain: The system required pumping more than 4 times a year due to broken or obstructed pipe(s). The system will pass inspection if(with approval of the Board of Health): broken pipe(s)are replaced obstruction is removed ND explain: 2 Page 3 of 11 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address: 79 Sand Point Osterville. AM Owner: Dou lag Date of Inspection: February 2. 2006 C. Further Evaluation is Required by the Board of Health: Conditions exist which require further evaluation by the Board of Health in order to determine if the system is failing to protect public health,safety or the environment. 1. System will pass unless Board of Health determines in accordance with 310 CMR 15.303(1)(b)that the system is not functioning in a manner which will protect public health,safety and the environment: Cesspool or privy is within 50 feet of a surface water Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh 2. System will fail unless the Board of Health(and Public Water Supplier,if any)determines that the system is functioning in a manner that protects the public health,safety and environment: The system has a septic.tank and soil absorption system(SAS)and the SAS is within 100 feet of a surface water supply or tributary to a surface water supply. The system has a septic tank and SAS and the SAS is within a Zone 1 of a public water supply. The system has a septic tank and SAS and the SAS is within 50 feet of a private water supply well. The system has a septic tank and SAS and the SAS is less than 100 feet but 50 feet or more from a private water supply well". Method used to determine distance "This system passes if the well water analysis,performed at a DEP certified laboratory, for 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: 79 Sand Point Osterville. MA Owner: Douglas King Date of Inspection: February 2, 2006 D. System Failure Criteria applicable to all systems: You must indicate either"yes"or"no"to each of the following for all inspections: Yes No ✓ Backup of sewage into facility or system component due to overloaded or clogged SAS or cesspool ✓ Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or clogged SAS or cesspool ✓ Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool e- ✓ Liquid depth in cesspool is less than 6"below invert or available volume is less than 'h day flow ✓ Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s). Number of times pumped_. a ✓ Any portion of the SAS,cesspool or privy is below high ground water elevation. ✓ Any portion.of cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply. ✓ Any portion of a cesspool or privy is within a Zone 1 of a public well. ✓ Any portion of a cesspool or privy is within 50 feet of a private water supply well. ✓ Any portion of a cesspool or privy is less than 100 feet but greater than 50 feet from a private water supply well with no acceptable water quality analysis. [This system passes if the well water analysis, performed at a DEP certified laboratory;for 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 System: To be considered a large system the system must serve a facility with a design flow.of 10,000 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 the system is within 400 feet of a surface drinking water supply the system is within 200 feet of a tributary to a surface drinking water supply the system is located in a nitrogen sensitive area(Interim Wellhead Protection Area-IWPA)or a mapped Zone II of a public water supply well 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 r Page 5 of 11 OFFICIAL INSPECTION FORM,:-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B CHECKLIST Property Address: 79 Sand Point Osterville, MA Owner: Douglas King Date of Inspection: February 2. 2006 Check if the following have been done: You must indicate"yes"or"no"as to each of the following: Yes No ✓ Pumping information was provided by the owner,occupant,or Board of Health ✓ Were any of the system components pumped out in the previous two weeks? ✓ Has the system received normal flows in the previous two week period? . ✓ Have large volumes of water been introduced to the system recently or as part of this inspection? ✓ _ Were as built plans of the system obtained and examined?(If they were not available note as N/A) ✓ Was the facility or dwelling inspected'for signs of sewage back up ✓ Was the site inspected for signs of break out?. ✓ _ Were all system components,excluding the SAS,located on site ✓ _ Were the septic tank manholes uncovered,opened,and the interior of the tank inspected for the condition of the baffles or tees,material of construction,dimensions,depth of liquid,depth of sludge and depth of scum? ✓ _ Was the facility owner(and occupants if different from owner)provided with information on the proper maintenance of subsurface sewage disposal systems? The size and location of the Soil Absorption System(SAS)on the site has been determined based on: Yes No ✓ _ Existing information. For example,a plan at the Board of Health. ✓ _ Determined in the field(if any of the failure criteria related to Part C is at issue approximation of distance is unacceptable) [310 CMR 15.302(3)(b)]. 5 Page 6 of 11 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS ,SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION Property Address: 79 Sand Point Osterville,MA Owner: Douglas King Date of Inspection: February 2. 2006 FLOW CONDITIONS RESIDENTIAL Number of bedrooms(design): S Number of bedrooms(actual):. S DESIGN flow based on 310 CMR 15.203 (for example: 110 gpd x#of bedrooms): SSO Number of current residents: 0 Does residence have a garbage grinder(yes or no): n/a Is laundry on a separate sewage system(yes or no): n1a [if yes separate inspection required] Laundry system inspected(yes or no): No Seasonal use(yes or no): No Water meter readings,if available(last 2 years usage(gpd)): Unavailable Sump Pump(yes or no): No Last date of occupancy: Unknown COMMERCIAL/INDUSTRIAL Type of establishment: Design flow(based on 310 CMR 15.203): gpd Basis of design flow(seats/persons/sqft,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: Unavailable Was system pumped as part of the inspection(yes or no): No If yes,volume pumped: _gallons.--How was quantity pumped determined? Reason for pumping-, TYPE OF SYSTEM ✓ Septic tank,distribution box,soil absorption system Single cesspool Overflow cesspool Privy Shared system(yes or no) (if yes,attach previous inspection records,if any) Innovative/Alternative technology. Attach a copy of the current operation and maintenance contract(to be obtained from system owner) Tight Tank Attach a copy of the DEP approval; Other(describe): Approximate age of all components,date installed(if known)and source of information: Installed on 10/31/83-Der as built card Were sewage odors detected when arriving at the site(yes or no): No 6 i Page 7 of I 1 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 79 Sand Point Osterville, AM Owner: Douglas Kintr Date of Inspection: February 2. 2006 BUILDING SEWER(locate on site plan) Depth below grade: Materials of construction: _cast iron _40 PVC _other(explain): Distance from private water supply well or suction line: Comments(on condition of joints,venting,evidence of leakage,etc.): SEPTIC TANK: ✓ (locate on site plan) Depth below grade: 5" Material of construction: ✓ concrete _metal _fiberglass _polyethylene _other(explain) If tank is metal list age: Is age confirmed by a Certificate of Compliance(yes or no): (attach,a copy of certificate) Dimensions: 1500 gal. Sludge depth: 2" Distance from top of sludge to bottom of outlet tee or baffle_: 30" Scum thickness: 12" Distance from top of scum to top of outlet tee or baffle: 10" Distance from bottom of scum to bottom of outlet tee or baffle: 6" How were dimensions determined: Measuring stick Comments(on pumping recommendations, inlet and outlet tee or baffle.condition,structural integrity, liquid levels as related to outlet invert,evidence of leakage,etc.): Tees were present. The liquid level was even with the outlet invert There did not appear to be any signs ofleakage The guest house flows to this system. Recommend puniging the septic tank. GREASE TRAP: None (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.): 7 Page 8 of 11 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 79 Sand Point Osterville, MA Owner: Douglas King Date of Inspection: February 2, 2006 TIGHT or HOLDING TANK: None (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.): DISTRIBUTION BOX: ✓ (if present must be opened)(locate on site plan) Depth of liquid level above outlet invert: Even 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.): The D-box was level and clean. No solids were present PUMP CHAMBER: None (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.): 8 r Page 9 of I 1 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 79 Sand Point Osteryille. MA Owner: Dou lg as King Date of Inspection: February 2, 2006 SOIL ABSORPTION SYSTEM(SAS): ✓ (locate on site plan,excavation not required) If SAS not located explain why: Type leaching pits,number: ✓ leaching chambers,number: 3-flow diffusors with 4'stone(per design plans) 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.): The flow diffusors were dry. There did not appear to be any signs offailure The bottom to grade was approximately 4' A video camera was used for the inspection. CESSPOOLS: None (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 or no): Comments (note condition of soil,signs of hydraulic failure,level of ponding,condition of vegetation,etc.): PRIVY: None (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.): 9 e ' Page 10 of 11 . OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL.SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 79 Sand Point Osterville, MA Owner: Douglas King Date of Inspection: February 2. 2006 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. ....._.__......... __.....,_. _. F a00r r a i • 3 O A 13 y 1 &3 ao Fronn a a►O C1v 6WAIL 3 ay`° 38 10 ' I r ' Page 11 of 11 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 79 Sand Point Osterville, MA Owner: Douglas King Date of Inspection: February 2, 2006 SITE EXAM Slope Surface water Check cellar Shallow wells Estimated depth to ground water 9 feet Please indicate(check)all methods used to determine the high ground water elevation: Obtained from system design plans on record-If checked,date of design plan reviewed: ✓ Observed site(abutting property/observation hole within 150 feet of SAS) Checked with local Board of Health-explain: Checked with local excavators,installers-(attach documentation) Accessed USGS database-explain: You must describe how you established the high ground water elevation: A test hole was done on the last inspection and ground water was observed at 9'below grade There is no high ground water adjustment for this site due to proximity to a tidal bay. This report has been prepared and the system inspected and passed as of the date of inspection. This report is not a warranty or guarantee that the system will function properly in the future. There have been no warranties or guarantees,either expressed, written or implied,relating to the system, the inspection and/or this report. 11 COMMONWEALTH OF MASSACHUSETTS EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS DEPARTMENT OF ENVIRONMENTAL PROTEION _' LPTTITLE 5 OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM FORM PART A CERTIFICATION Property Address: 79 Sand Point Osterville, MA 02655 (Main House& Guest House) Owner's Name: Bob Vila Owner's Address: Same Date of Inspection: June 29, 2001 Name,of Inspector: (Please Print) James M. Ford Company Name: James M. Ford i Mailing Address: " t= P:O. Box 49 � - °Map: 073 Osfervilk,`M.4 02655-0049 Ai. :Parcel• 032; Telephone Number: (508) 862-9400 CERTIFICATION'STATEMENT I certify that I have personally inspected the sewage disposal system at this address and that the information reported below is true,accurate and complete as of the time of the inspection. The inspection was performed based on my training and experience in the proper function and maintenance of on site sewage disposal systems. I am a DEP approved system inspector pursuant to Section 15.340 of Title 5(310 CMR 15.000). The system: ✓ Passes CoAditignally Passes N �urther Evaluation by the Local Approving Authority 'Fai s Inspector's Signature: Date: July.6, 2001 The system inspector shall subll copy of this insp tion 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. :. 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 different conditions of use. Title 5 Inspection Form 6/15/2000 page 1 Page 2 of 11 OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS 4 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address: 79 Sand Point Osterville. MA _ Owner: Bob Vila Date of Inspection: June 29, 2001 Inspection Summary: Check A,B,C,D or E/ALWAYS complete all of Section D A. System Passes: ✓ I have not found any information which indicates that any of the failure criteria described in 310 CMR 15.303 or in 310 CMR 15.304 exist. Any failure criteria not evaluated are indicated below. Comments: B. System Conditionally Passes: One or more system components as described in the"Conditional Pass"section need to be replaced or repaired. The system,upon completion of the replacement or repair,as approved by.the Board of Health,will pass. Answer yes,no or not determined(Y,N,ND)in the for the following statements. If"not determined",please explain.,; The septic tank is metal and over 20 years old*or the septic tank(whether metal or not)is structurally unsound,exhibits substantial infiltration or exfiltration or tank failure is imminent. System will pass inspection if the existing tank is replaced with a complying septic tank as approved by the Board of Health. *A metal septic tank will pass inspection if it is structurally sound,not leaking and if a Certificate of Compliance indicating that the tank is less than 20 years old is available. ND explain: 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 distribution box is leveled or replaced ND explain: The system required pumping more than 4 times a year due to broken or obstructed pipe(s). The system will ass ms ection if with approval of the Board of Health broken pipe(s)are replaced obstruction is removed ND explain: 2 i Page 3 of 11 ! OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address: 79 Sand Point Osterville. MA Owner: Bob Vila Date of Inspection: June 29, 2001 C. Further Evaluation is Required by the Board of Health: Conditions exist which require further evaluation by the Board of Health in order to determine if the system is failing to protect public health,safety or the environment. 1. System will pass unless Board of Health determines in accordance with 310 CMR 15.303(1)(b)that the system is not functioning in a manner which will protect public health,safety and the environment: Cesspool or privy is within 50 feet of a surface water Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh 2. System will fail unless the Board ofHealth(and Public Water Supplier;if any)"determines thkt the system is functioning in,a manner that protects the public health,safety and environment r _ The system has a septic tank and soil absorption system(SAS)and the SAS is within 100 feet`of a surface water supply or.tributary to a surface water supply _ The system has aseptic tank'and SAS and the SAS is within,a Zorie.l;of a public watersupply., The system has a septic tank and SAS and the SAS is within 50 feet of a private water supply well. _ The system has a septic tank and SAS and the SAS is less than 100 feet but 50 feet or more from a private water supply well". Method used to determine distance. "This system passes if the well water analysis,performed at a DEP certified laboratory, for coliform bacteria and volatile organic compounds indicates that the well is free from pollution from that facility and the presence of ammonia nitro;gewand 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: - "F; t. . ... � ., ,_ _ '.S e_,a. ifL •.'. ..� i..,,.. 'a „b .v . r,.{. .''S r 'w' .. "'' ,. 'kW 4k r't 3 ' w Page 4 of l 1 OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS t SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A .CERTIFICATION (continued) Property Address: 79 Sand Point Osterville. MA ___.. _.__..._._.... Owner: Bob Vila Date of Inspection: June 29, 2001 D. System Failure Criteria applicable to all systems: You must indicate either"yes"or"no"to each of the following for all inspections: Yes No _ ✓ Backup of sewage into facility or system component due to overloaded or clogged SAS or cesspool ✓ Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or — clogged SAS or cesspool ✓ Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool ✓ Liquid depth in cesspool is less than 6"below invert or available volume is less than V2 day flow ✓ Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s). Number of times pumped_ ✓ Any portion of the SAS,cesspool or privy is below high ground water elevation. ✓ 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 l: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 mater 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'System: To be considered a large system the system must serve a facility with a design flow of 10,000 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 the system is within 400 feet of a surface drinking water supply the system is within 200 feet of a tributary to a surface drinking water supply the system is located in a nitrogen sensitive area(Interim Wellhead Protection Area-IWPA)or a mapped Zone I1 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 Page 5 of 11 ! OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B :.CHECKLIST Property Address: 79 Sand Point Osterville. MA Owner: Bob Vila Date of Inspection: June 29, 2001 Check if the following have been done: You must indicate"yes"or"no"as to each of the following: Yes No ✓ Pumping information was provided by the owner,occupant,or Board of Health 1 ✓ Were any of the system components pumped out in the previous two weeks? ✓ Has,the system received normal flows in the previous two week period? ✓ Have large volumes of water been introduced to the system recently or as part of this inspection? ✓ Were as built plans of the system obtained and examined?(If they were not available note as NIA) ✓ Was the facility or-dwelling inspected for signs of sewage.back up?"4. , • Was the site inspected foi-signs of break:out?' ~l Were all system components;excluding the SAS,located'on site? ✓ Were the septic tank manholes uncovered;opened,and the interior of the.tank inspected for the condition of the baffles or tees,material of construction,dimensions,depth of liquid,depth of sludge and depth of scum? ✓ Was the facility owner(and occupants if different from owner)provided with information on the proper maintenance of subsurface sewage disposal systems? The size and location of the Soil Absorption System(SAS)on the site has been determined based on: Yes No ✓ Existing information. For example,a plan at the Board of Health. ✓ Determined in the field(if any of the failure criteria related to Part C is at issue approximation of distance is unacceptable)(310 CMR 15.302(3)(b)]. 5 Page 6 of 11 OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS • SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM.INFORMATION Property Address: 79 Sand Point Osterville, MA Owner: Bob Vila Date of Inspection: June 29, 2001 FLOW CONDITIONS RESIDENTIAL Number of bedrooms(design): S Number of bedrooms(actual): 5 DESIGN flow based on 310 CMR 15.203 (for example: 110 gpd x#of bedrooms): SSO Number of current residents: 0 Does residence have a garbage grinder(yes or no): n/a Is laundry on a separate sewage system(yes or no): No [if yes separate inspection required] Laundry system inspected(yes or no): No Seasonal use(yes or no): No Water meter readings, if available(last 2 years usage(gpd)): Unavailable Sump Pump(yes or no): No Last date of occupancy: Approx. 2 years ago COMMERCIALANDUSTRIAL Type of establishment: Design flow(based on 310 CMR 15.203): gpd Basisof design 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: None on file-per treatment plant Was system pumped as part of the inspection(yes or no): No If yes,volume pumped: gallons--How was quantity pumped determined? Reason for pumping: TYPE OF SYSTEM ✓ Septic tank,distribution box,soil absorption system Single cesspool Overflow cesspool Privy Shared system(yes or no) (if yes,attach previous inspection records,if any) Innovative/Alternative technology. Attach a copy of the current operation and maintenance contract(to be obtained from system owner) c. Tight Tank Attach a copy of the DEP approval Other(describe): Approximate age of all components,date installed(if known)and source of information: Oct 31183-per as built card Were sewage odors detected when arriving at the site(yes or no): No 6 Page 7 of 11 '1 OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM,INSPECTION FORM PART C ''''SYSTEM4 INFORMATION (continued) Property Address: 79 Sand Point Osterville, MA ' Bob Vila Owner: Date of Inspection: June 29, 2001 BUILDING SEWER(locate on site plan) - Depth below grade: Materials of construction: cast iron =40 PVC _other(explain): 1 Distance from private water supply well or suction line: Comments(on condition of joints,venting,evidence of leakage,etc.): SEPTIC TANK: ✓ (locate on site plan) Depth below grade: 5" Material of construction: ✓ concrete metal fiberglass. Polyethylene. _other(explain) If tank is metal list aged - -. - Is age confirmed by.a Certificate of Compliance(yes or no) � (attach a-copy.of certificate) t Dimensions: 1500 gal. Sludge depth: 2" Distance from top of sludge-to,bottom of outlet tee-or baffle: _ 29..". .. Scum thickness: 10" ..... �, - Distance from top of scum to top of outlet tee or baffle: 10" Distance from bottom of scum to bottom of outlet tee or baffle: 6" How were dimensions determined: Measuring stick Comments(on pumping recommendations,inlet and outlet tee or baffle condition,structural integrity,liquid levels as related to outlet invert,evidence of leakage,etc.): The tees were present The liquid level was even with the outlet invert. The Quest house flows to this system. Recommend pumping every three years. GREASE TRAP: None (locate on L site plan) Depth below grade: Material of construction: _concrete metal _fiberglass _polyethylene'_other t (explain): Dimensions: : Scum thickness: r..._:. "L 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 ` ev Comments(on pumping recommendations,.inlet.and-outlet tee or,baffle,condition structural,integrity;hqutd,aegels as related to outlet invert,evidence of leakage,etc.): Page 8 of 11 OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM,INSPECTION FORM PART C .SYSTEM'INFORMATION (continued) Property Address: 79 Sand Point { Osterville, MA Owner: Bob Vila , Date of Inspection: June 29, 2001 TIGHT or HOLDING TANK: None (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.): DISTRIBUTION BOX.: ✓ (ifpresent.must be.opened)(locate on,site plan). Depth of liquid level above outlet invert: Even 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.): The D-box was level and there were no suns of leakaize or solids. There were no signs of back-up or failure from the leach field. PUMP CHAMBER: None (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.): 8 Page 9 of I 1 OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C 'SYSTEM*iNFOkM' ATION (continued) Property Address: 79 Sand Point - Osterville. MA .' Owner: Bob Vila Date of Inspection: June 29, 2001 SOIL ABSORPTION SYSTEM(SAS): ✓ (locate on site plan,excavation not required) If SAS not located explain why: Type leaching pits,number: ✓ leaching chambers,number: 3-flow diffusors with 4'stone(per design plans) 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 pondhig,damp soil,condition of vegetation, etc.): The flow diffusors were located abut riotdui up'-:There►'ere'n'o sigms ffa lure in the D-box:. The bottom'to.Qrd was approximately 4' CESSPOOLS: None (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 or no): Comments (note condition of soil,signs of hydraulic failure,level of ponding,condition of vegetation,etc.): i PRIVY:. None (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.): 9 Page 10 of 11 OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C 'SYSTEM'INFORMATION (continued) Property Address: 79 Sand Point Osterville, AM Owner: Bob Vila Date of Inspection: June 29, 2001 Map: 073 Parcel: 032 SKETCH OF SEWAGE DISPOSAL SYSTEM Provide a.sketch of the sewage disposal system including ties to at least two permanent reference landmarks or benchmarks. Lddate all wells within 100 feet. Locate where public water supply enters the building. A - 3(0 (o 'P"o nT' - 13 ?door Aa" Rov+^ I A?3 i Nolte � i 0 6ue,sT- !-�ovsQ , 10 Page 11 of 11 OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION'FORM PART C -SYSTEM INFORMATION (continued) Property Address: 79 Sand Point z.,• i Osterville. MA Owner: Bob Vila Date of Inspection: June 29, 2001 SITE EXAM Slope Surface water Check cellar {' Shallow wells Estimated depth to ground water feet Please indicate (check)all methods used to determine the high ground water elevation: r 4 Obtained from system design plans on record-If checked, date of design plan reviewed: ✓ Observed site(abutting property/observation hole within 150 feet of SAS) Checked with local Board of Health-explain: Checked with local excavators, installers-(attach documentation) Accessed USGS,database-explain: You must describe how you established the high ground water elevation: The bottom of the flow diffusors to grade was approximately 4. Hand augered down next to the D-box to groundwater, which was 9'below grade on the incoming tide. There is no high groundwater adjustment for this site. This report has been prepared and the system inspected and passed as of the date of inspection. This report is not a warranty or guarantee that the system will function properly in the future. There have been no warranties or guarantees,either expressed, written or implied, relating to the system, the inspection and/or this report. • 11 BAXTER & NYE, INC. Registered Land Surveyors 32 Wianno Avenue/ Osterville,Massachusetts 02655/ Tel. (617)428-9131 f . WILLIAM C.NYE,R.L.S.-President RICHARD A.BAXTER,R.L.S.-Vice President October 27 , 1983 Town of Barnstable Board of Health Town. Hall South Street Hyannis, MA 02601 Attn: John Jacobi RE: Vila Septic System Oyster Harbors ` Dear' Mr . Jacobi : We have checked the elevations of the septic tank,.and flow diffussors and found they have been set as shown on plans filed with the Board of Health Very truly yours , �l Richard A. Baxter , R.L. S . RAB/bc MEMBERS OF CAPE COD SOCIETY OF PROFESSIONAL ENGINEERS AND LAND SURVEYORS/AMERICAN CONGRESS ON SURVEYING AND MAPPING MASSACHUSETTS ASSOCIATION OF LAND SURVEYORS AND CIVIL ENGINEERS S ,;''TG;WN OF BARNSTABLE -�'NDERGROUND FUEL-AND-- -HEM I CAL_.STORAGE REGISTRATION OWNER-AN INSTALLER INFORMATION ADDRESS: �: to r" 17 ( `'/5 s" fx' iJ�,$K PPg"Ir1AP NO. CO 3 PARCEL NO.QI S" 9>0 OWNER NAME: l)AhJf','I:�/ rfC i ,E..VILLAGE: �tf T fie., A tL of t cZa _ f — f INSTALLATION DATE: I BY 44' E' 41 t I c )fi& IB C' . ADDRESSe r� rat /,t3 ._ rill lPERT. NO. g L�'%(}. TANK INFORMATION t �`. LOCAT I ON <^ �OF TANK: u %f I1 CAPACITY 0('`C) !a'!1_< TYPE ��P� AGE FUEL`•f/CHEMICAL�"/"i TES ING CERTIFICATION C ] P S C ]Z DATE { LEAK DETECTION C�J] CHECK I F. . /9RAND s �[ ZONE OF CONTRIBUTION C ] YE ] NO DA TO BE REMOVED IRE DEPT.- .PERM'I T Y 'SL�F�� ] YES C ] NO E-- r') -r. _`-J n , • J t1 . � CONSERVATION �f�1 f43 CHECK IF N/A DATE. , BOARD OF- HEALTH :TAG NO. C ]C ] DATE !? PI OV I DE A SKETCH HOW I NG THE ANK .,LOCATION..O TH OEW BA K :OF THIS :CARD `y Jy � ��\\ ` ev� V c � i Q� c t r -• M64N for w4 o-Z6 ki d� J Q AS VL.-- LcT o � Of fool F17CHA:,O A +'; Z E3,KTER a r AJOX BE.AGf/ /(ousel /S 1_v4,4TLD W1rh'1A) _CE,2T f;1'-A 1 7-//,g FGA:�D PZ-4/N, Zwe A:13 x4,4P ZS wl-/8 c ' T,�AT 7-,4 � aw 4z. ,LoG�1T/O.C// pyST 4l�le s` ,S',�/OWit r yE,2E0.1/CDis-!OL YS �s//�h� SC,4 L.E- / j OATS ,¢-/7-,97 7' E4/.</E A,A/o SETBA Ck i Rd2-4 7WBLE AAAC7 /.S iVo7" �UA) lam' e.,1.OaWdA K1,04 0,4/-4D 83 4,446 Ccve7 J t-A14 /33$¢ 4•/7 a7 ,BA XT,E.2E�VYE /NC. ' y 7;-'//S A34,41,"/.5'XAO7' a.V Apt/ Th./_4C-- j 0��4SE'TS.Syou/y S,�,rov�z� .c/a7' B� ,/ I %SEl� 74 !/E AGF'.L/C.4/V7'17A�liEG HosM776 TOWN OF BARNSTABLE OFFICE OF Beaa9TAU i BOARD OF HEALTH NAM 367 MAIN STREET i Do HYANNIS, MASS. 02601 'FPY B' December 22 , 1988 Mrs . Priscilla Hostetter 86 Sand Point nsterville, MA 02655 Dear Mrs . Hostetter: Enclosed is valve tag #844 to replace #667 which has been lost. Please immediately attach this new tag to the fill pipe of your underground tank . If there are any further questions or problems please feel free to call me at 775-1120, .Extension 183 . Thank you, Donna Miorandi Health Inspector .."` INDICATES EXISTING m.. - ..... 1 CONSTRUCTION M REMAIN;PROTECT DURING CONSTRUCTION. 320 Congress Street\Fourth Floor Boston,Massachusetts 02220 INDICATES AREAS TO BE REMOVED Telephone:617.422-0952 • �Faceitnile:617.422.0%2 . r Ostervi0e Telephone:508.420.6296 TILE Y .-. � DARNROOkI -- PROGRESS WINE STORAGE O My 25.2006 CONCRETE Issues Number Dare D-6pli. _ I i CRAWL SPACE CRAWL SPACE - - UNEXCAVATED. CoNcRETE _ NECNA c&/ $Tma Revisions 1 Numbs D_, D..pii. ' � wnrnoou I CARPET I ---- I Cbaked by: _ D—b): CONMM Schuster Residence ----------------------- 79 Sand Point Oyster Harbors,MA CRAWL SPACE UNEXCAVAIM `--------------------------- BASEMENT DEMOLMON PLAN . D—bg Scare: P:v)ect Numbrr BASEMENT DEMOLITION PLAN p6601 SCALE 1/4' t'—C+' l Welnud D100 Y: .. _ INDICATES EXISTING ' CONSTRUCTION TO REMAIN;PROTECT DURING CONSTRUCTION. 320 Congress Sum\Fourth Floor Boston,Massachusetts 02210 . _--_-_- INDICATES AREAS - TO BE REMOVED Telephone:617.422.0952 Faoim9c:617.422.0962 _ - Ostmille Tell ephone•.508.420.6296 I ,� I evWtv3�dhdF6amcam '. . -r -------- ------------------- 1 ! OI pl I nl 1 RI jP SCREII7 PORCH Ijl I LONERED PORCH tl iil - � - - BRICK w REMOVE BRICK IN IN � i I REMOVE BRICK IN II' n :ARE� pl THIS ARIA REMOVE BRICK IN THIS AREA i i III ! III - ^ 1 1 -__--- ______ _______ _______------_ _ Al BRICK ---------------------------- m I i I REMOVE PORTION - I I I OF EXISTING II I I STONE WALL - r---------------------- I I r II i I 1 1 R PROGRESS ETdOVE _ PiEft _ _____ • HDWO I I 1 1-�_.�I HDWD I r___ �APq��ry�; I July 25.2006 • \`````��°c♦ - �i 1� i i 1 1 r�� IP ��444""`�yyy�P'.1' I i 11 � i i _�I REMOVE BRICK ____ I$$Be$ I . AND BL� Number Derc IN REMOVE PORTION OF EXISTINGTHIS D—pt- ``� WALL TO CREATE W HIGH WALL I I —_— l1 NASRR BEDROOM I L___,i �^^♦ I i I i � - i . _ HDN9 II I 1 1 1 1 ILLI REMOE PIER VE I I REMOVE ° II Ir___ I H-___�I• I ` ; BLUESTONE IN I 0 1 1 0 IRIII SIDN __ THIS ARIA -- I IF-=-==q1 �i 1 II 11 11 1 111 r— ---- O 7 Ir ---=ar T-,I _ II II S� 11 11 11 HDND _U I. I Irvelunli II .. J 6-z== __==dl it II L�� \\` ROOM ♦ I P=== I i i i f6 n o U n l l ` i n THE 1 ♦♦, � 1 ..I;1 I I /4",-�i REMOVE DUSTING .''n - ir_r__ ===_Y ! I❑ FENCE ANO WTE 1 I, of 1 - - 1u� -- -� Revisions Ili ii Ilml STONE PIER I 6 ____-_`---__ _____________ Numbtt Darc D,,.qd. REMOVE TILE IN I nl f-- TILE THb AREA W NU ON 4 REMOVE STONE WALL _— • i n ii BRIG( °♦♦ q i i i l i REMOVE TILE M THIS AREA ��:,__-- ) �r jj ._-•• m I I pp 1 FAMILr RooN Ilj r� REMOVE 1:1________________L F-+-1 { _L I VASTER BATHROOM \ p !' I I q P r 11` HDWD 11 Y STONE PIER THE + JI ------- i Ili I I � iChecked by: Lv=a=ccvc==J j _ i q ♦ 1 III 1 I REMOVE ♦ 1 It�" _ I ! Dnv by: + I i 4 ♦ .... -. - - i in. STONE WALL f •�' STORE PIER TO REMAIN Schuster Residence i TILL79 ---� ------------- S2IIa Point �___�___ Oyster Harbors,MA I I FIRST FLOOR i DOJOUTION PLM I I j I D-ig kale: - i 1 _ ➢mro Nmabm.. / 1 1 FIRST FLOOR DEMOLITION PLAN • * I SCALE-. 1/4' 1•-0' OWN ' D101 Em hhii ryry � � INDICATES EXISTING 320 Congress street\Fourth Floor CONSTRUCTION TO Boston,Massachusetts 02210 REMAIN:PROTECT DURING CONSTRUCTION. Telephone.617.422.0952 -------- ---- INDICATES AREAS Facsimile.617.422.D%2 -- TO BE REMOVED ' osterville Telephone.508.420.62% _______________________________________ I_________________ I t t I I ! ' iREMOVE ROOT M . I I THIS AREA �I -' I ! I A00VE I. i _ ------------------------------------------------ I -- 1 D n WOOD " I n REMOVE DECK AND II , I HANDRMS INiF115� li i - , 1 AREA II i a 1 BmIi00M Y II 1 CARPET --- _____ ______ I _ PROGRESS I HDWD I L___i I " r- l CLOSET • r �REMOVE L100R IN I _ iH15 AREA I REMOVE SLOPED yy N I I i &Iy 25.20M � C IN THIS It s 'pil II i__ AREA V♦: I ;ell: n �--' i ♦` -'LL_---- ----� bli i 1 I ( � ISSUCS ♦ I .n �-. y � E--� I I n=ll=' _ I 111 II I III q TILE CARPET ! It n s It , I IIl II I o-a --- r--'• �i�yI- s n .��- i I lii it -� I- t Nt j Z�^\�♦ R I`-------------- ------------------+, '1 _ 1 __ 11 - ® 11 I f" _ _ l- l Ir -IF= =--91 I REMOVE AOPET/ I . r-/ ♦�_It 11 . ' NM�n :�r.l' I 1 I '� -�� • CEILING IN THI$ AREA t =611 II IF== I it I , ♦ 11 1' I I r� 1 T - - f-- T I CmM CEOSEf I i HDWD I .� __ tt�I i` IiATNR00N 1 u n` a�`\♦�♦ ii 1 I j 1 6� sOtp I I - I 71IE d'� ♦�-I' ♦♦n I II �� p II 1 it I I I a fl ue 11 i _ I 1 ------� I ,:'-�____^• I -'. '�-.. IJEDRooM D io Revls ns --�♦. t Iu y t tt1 i ' CARPET _.-.---------.._._.------._..._---.._.,---------------- ASvnher Dam Drsaipuw III 1 =1 III 1 I ! . I tt t i n l I , I I I 1 I ! --------------- -------------------' -- ------ ----' _ -...... - -- -------- -- --- --- I TILE ♦♦. � ; oEac ; � ,' � j� ) ; '♦♦ ea,umON 3 ' -------...............----------_....._ II1� ♦ 1 O 1 "? FIE --� - '• ____________ t REMOVE SKYLIGHT 6_ i II � c>�iWly: . j Onna by. 1 I CARPET .. f Schuster Residence -- 79 Sand Point Oyster Harbors,MA fi --.. (SECOND FLOOR I�DEVOLR1ON FLAN I • D-vg Sak: 0_1ECOND FLOOR DEMOLITION PLAN >'!-NumW OW" u g 0, t INDICATES EXISTING - CONSTRUCTION TO REMAIN:PROTECT - - DURING CONSTRUCTION, INDICATES NEW STUD 320 Congress Street\Foonh Floor WALL CONSTRUCTION; I Boston,Massachosetta 02210 MATCH STUD WIDTH AT EMSTING WALLS. Telephone:617.422.0952 Faminule•.617.422.0962 i Osterville • Telephone:508.420.6296 • �aysuJrenoducktmm.cam � TILE PROGRESS - WR7E STORAGE : CONCRETE �' ..--..- .. Jul,25.20D6 Issues - N-ba D.. Dmcnpu UP 19R .._...__....... STEP UP tT i CRAWL SPACE ' CRAWL SPACE — UNIXCAVATED CONCRETE - . MECNAVICAV _____ . STORAOE _ CONCRETE 1 Revisions Number Dv, Dn*fi s . � • ....\ PLAYROOM �� _ � - , CARPET CRAWL SPACE - ACCESS DOOR I f j I • t i Drawn by: - - CRAWL SPACE OMCFUE �. Schuster Residence 79 Sand Point - - - Oyster Harbors,MA UP t' CRAWL SPACE' 1JR0D LMCAVATED b DRAIN TO • DRYWELL V BASEMEN AND FOUNDATION PLAN R Dnni.g Sutr. A BASEMENT / FOUNDATION PLAN - I SCALE: 1/4' 1'—p' Pmiar Sumbec obou REMAIN; PROTECT t• �' �1'- '._ DURING CONSTRUCTION. tti<�7 INDICATES NEW STUD 320 Congress Street\Fourth Floor WALL CONSTRUCTION; Boston,Massachusetts 02210 MATCH STUD WIDTH AT le WIDE EXISTING WALLS. Telephone: 617.422.0952 _ - - BLUESTONE - EDGING Facsimile:617.422.0962 Ostervllle OF FRONT NEW IC0 DOOR& Telephone:508.420.6296 COLUMNS BY - DORMER ABOVE f� SIMILARCRAFT OR 14°WIDE BLUESTONE ,..- EDGING I. I I '.SCREEW PORCH II 11" 1'-0" ^ ;NEW PAVING, NEW Y-0"x2'4 �. CORAL STONE COVERED PORCH PAVING b OPEN ABOVE NEW GATE QT NEW•PAVING NEW 6'-0"SLIDING i 1 DOORS / r TERRACE STEP DW i STEP ON STEP ON i ! STEP ON STEP DN x '\� t TG E, v ,NEW PAVING �-- � � �— 1 f- �^ �~ .� � .. i-___ �J�•''. .� NEW 6'-0"dr-0" I NEW 8'-0"x6'-0" EXISTING STONE 1"k` r SLIDERS L, SLIDERS j j - SLIDERS - I" WALL I II I ® I NEW FIXED DOORS NEW 5-O'xB'-0 I -- --- - PERMIT A N D SLIDERS OPEN TO it FANILY ROOK NEW 6-0° SLIDING x _ x - CONSTRUCTION S E T ABOVE GREAT-ROOM li HDWD DOORS '•,f H I I STAIN FLOORS/REFINISH c - "--' - ! ! i j August 8,2006 STAIN FLOOT/REFINISH - I ---" - - "-" L - --- _. BLUESTONE _ I Issues 60" FIAT NEW COLUMN I i NEW COLUMN j EDGING I ! Number Date Description SCREEN TV BY °�i' TO REPLACE II IIE _NG. L. OWNER .^ _----.._._ _ ..-._._._ -____--_-- EXISTING NEW POCKET 36° HIGH _ f ' MASTER BEDROOM - VESTIBULE UP I DOOR WALL 1' 12R J11 HDWD 3!" 4'g°t < -0°I UP 15R X- Tt" N/NEON 1 _. _. _ ..._, ! �50 E PAVING j �®2 0 73/4 _�--�-_ CABINET I - NEW FIXED I -'- -- - - ---.. --- - - .. I I CLOSET IN DOORS y ._.. e NEW 2x4 STUD WALL -- .� i I N POWDER / i NEW CORAL --- j ROOM ANTRY .. 1'- 1� 3'- UP 15R ! ;.' 5 MIIAR SOUND R -.. _ FO ER Y TILE ®73'i" L...S ON PA PROOFING INSULATION �...q. --- , °- 1--- H.I - �I ®�... tFP T VING 1 I -- i _ -TILE a DOWN STAR NEW DECORATIVE 14R _ _L.. t ._... t 110 \ REF. -.- TREAD,HANDRAIL ' - i_ i....__. .. V _ ALIGN ABOVE 0® \ 9 AND BALUSTER .(.. 1 I SLIDING DOORS 1 _ �j BENCH 11 ` _. _. --- '-- -'- -- ._ - - WOOD I I o EXISTING zO !-. ( -� - Nmbc,OO Date Description ISTI G --" 0 / n DUCTWORK �1 _I.__ 1 I I t g„ 3, I pep I I STEP G �.. ALIGN Ilb SI" fit° ! SI 1 . WAl1C-IN CLOSET I / I 7 t 4 LAVATORY i ,., PEDESTAL r-_ DOWN I I , 0 r._. BLUESTONE i i MUD ROOM A ® %I D 4T __ -,NEW 6'0°...ORS - 1r __ SLIDING DO 1 LE 5,-1"L A"--`6_4" WINE REF. --- �:- MASTER BATHROOM POCKS M m COOLER, 5'1° �i' o W 1 DOOR 'a \. LAUNDRY (. �) TILE _ TILE _,- _.-• j POOL 34° HIGH •O �� 3d HIGH NEW 1T0 b '% r10E COLUMNS BY _ _ ALIGN `T ----- ._. ..-' TURNCRAFT OR O sic.rasa- - I `- ---'-- SIMILAR FRONT I' NEW 6 0" Checked by /.....� DRESSING DOOR ,._ _f. 1 SLIDINGI DOORS, 1 � A I i I ; I ® � j Drawn by: CA NEW WINDOWS - j BLUESTONE "°�° Schuster R ---'-KRCHEN^- - _ Residence STUDY 30 e NEW TILE DW DW ! WALL79 Sand Point (OVEN MV I x Oyster Harbors,MA O O B B DN 13R08" 1 x NEW GATE- DRYWELLO - WODRAIN WS FIRST FLOOR PLAN - NEW STAIRS DOWN TO BASEMENT x Drawing Scale: FIRST FLOOR PLAN SCALE: PojcctNusber. 06004 L ^ J Dste Issued: e I■ ■ ) � U r s gg INDICATES EXISTING ' - CONSTRUCTION TO Tr, - REMAIN;PROTECT DURING CONSTRUCTION. 320 Congress Street\Fourth Floor INDICATES NEW STUD I Boston,Massachusetts 02210 - = WALL CONSTRUCTION: MATCH STUD WIDTH A7 Telephon=617.422.0952 • EKISTRIG WALLS Fac hnDe:617.422.0962 _ ---------- `,, Osterviue Telephone:508.420.6296 OF FRONT DORMER I' \I }....' - I T I NEW RAILING 04 TO ER¢OW II I I ALIGNS WIM I - WALL BELOW El ABOVE NEW WINDOWS © E 0 ----- ---- - st IF IOr 5r J -- BEDROOM 2PROGRESS �WAUFIN CARPET _ - - CEOSEI REVERSE SWNG OF - , F NEW FRENCH - JOYa2006 ."I.-000R DOORS - ' OPEN TO I I UP 2R - DECK - Issues ` . ... • BELOW WD00 Wu�M Date - Dcxripriw. 9- uNEN I I —NEW TRAY CEILING---------- I FW CEILING HEIGHT= I I -- �� THE ® UP 2R ON 15R __ ___ CARPET I� ® I -- --- -- - -- DOWN ISR' aPE�+ro cEaw aosEr j SHELF ,. I' BE�Ow� HDWD ®, to J WPIIFM I I. -Revisions \ CIASET . 74 I 5-B• ,'4 C' 19 I - I ®' G \ BEDR004 J Niun - - u I IX - CARPET ...... ba Dttt . ; I '. BATHROOM 1 I I FLAT ROOF REVERSE SWING OF . I I I EX I o ®\. EKISIING DOOR V .. i TILE Owdal by: MONT CD DOOR DA by: ` ------ O NEV W'RIDO•WS ----------- I . t Schuster Residence 79 Sand Point Oyster Harbors,MA SECOND FLOOR PLAN I SECOND FLOOR PLAN . 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