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HomeMy WebLinkAbout0281 SCUDDER ROAD - Health tldde: Roan , Ostdvil?e A= 139-012 I No. I r 1 1 U ids, Fee /0 0.— / Entered in computer: THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes Rpplitatton for Migoar *p5tem Co=stem n i3ermit Application for a Permit to Construct( ) Repair(�pgrade( ) Abandon( ) ❑Individual Components l p _( Location Address or Lot No.2 ( SC u&ev_ Owner's Name,Address,and Tel.No. ld / f Assessor's Map/Parcel Irv, _O DhJ l r/0[�IfO' Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. A. Type of Building: (ovc = rvi vu p AAff0✓t, �nuwtvar ✓rvvl^ o' �� Dwelling No.of Bedrooms �►u Sq 1L r,,c_4 of Size i C '°t h� sq.ft. Garbage Grinder (o ) ���� G v^��� Other Type of Building No.of Persons Showers( ) Cafeteria Other Fixtures Design Flow(min.required) -( 1 o gpd Design flow provided y�r7 gpd Plan Date Number of sheets Revision Date Title / Size of Septic Tank 1 �'� i'�-�® Type of S.A.S. 3 Ghaa�• / t �1 Description of Soil Nature of Repairs or Alterations(Answer when applicable) Date last inspected: Agreement: The undersigned agrees to ensure the construeion 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 Bo of Heal Signed Date ky Application Approved by -44Date ( �d Application Disapproved by: Date for the following reasons Permit No. U d /I —• .,•—, Date Issued k .+o•". No. I Q—' I O,t 4 `a�---�-a r 4a r Fee / y a �� ' r Entered in com ut� THE COMMONWEA. LTH OF MASSACH SETTS p PUBLIC.-HEALTH DIVISION = TOWN,OF``BARNSTABLE,� Yes { MASSACHUSETTSw ppricatiou for Permit Application for a Permit to Construct( ) Repair(✓ Upgrade( ) Abandon( ) Complete System ❑Individual Components x Location Address or Lot No.Z�l SCvci.�« ��. Owner's Name,Address,and Tel.No. Assessor's Map/Parcel O lh��� oO 77 ` A111)U,- Installer's Name,tAddress,and Tel.No. Designer's Name,Address and Tel.No. Type of Building: (tl�o�e : Irk roar+]' rrvur �p�d+nlP�o✓� I �uwrNr iudr^ aI/v /f DwellingNo.of Bedrooms fti re d rrCT�dn� P� 7 f jv r Ffjvn A� _e u f P t Lot ize / sq. ft. Garbage Grinder Other Type.of Building No.of Persons Showers( ) Cafeteria( ) '/ (o Other Fixtures Design Flow(min.required) L/ gpd Design flow provided �`�SI gpd Plan Date Number of sheets 1, Revision Date 1 Title 1 Size of Septic Tank n U a Type of S.A.S. 3) Uv 6(4,,,be,, Description of Soil A -i5 Nature of Repairs or Alterations(Answer when applicable) s Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in y 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 Bo of Healt Y \ Signed 1 Date /n'1� /(-) Application Approved by Date Application Disapproved by: Date for the following reasons Permit No. U 10 / Date Issued t/0 THE COMMONWEALTH OF MASSACHUSETTS S,I BARNSTABLE, MASSACHUSETTS Certificate of Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal System Constructed ( ) Repaired ( ) Upgraded ( ) Abandoned( )by 5�e„p N f at 2 21 I r G>Ii�t,Pr ✓Ifs n t Mi`AP has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No. _?a/U — y� dated Installer Designer #bedrooms Ll Approved design flow 4/1/0 gpd The issuance of this pe it shall not be construed as a guarantee that the system�i-111 ru c:ttimasesigned. Date I� 2 ; , Inspector �-1- No. J O/0 r Li �ri Fee THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION — BARNSTABLE, MASSACHUSETTS lwigpo!gal 6pgtem Congtructfon Permit Permission is hereby granted to Construct ( ) Repair (� ) Upgrade ( ) Abandon ( ) System located at and as described in the above Application for Disposal System Construction Permit.The applicant recognizes his/her duty to comply with Title S and the following local provisions or special conditions. Provided: Constru tion ust be completed within three years of the date of this e h Date i,{� 0 - Approved by +�V:, < 1 TOWN OF BARNSTABLE LOCATION Z �v��e.c SEWAGE# VILLAGE ASSESSOR'S MAP&PARCEL INSTALLER'S NAME&PHONE NO. f`j( � SEPTIC TANK CAPACITY N?C LEACHING FACILITY:(type) (size), A X NO.OF BEDROOMS y HZ® OWNER QAQt m fl^Le� PERMIT DATE: COMPLIANCE DATE: — V'2—(d 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 i car-- go --� Az: 19 13Z� i BIZ 000 �y a 34v2 B 1° ca ass 2 PREPARED BY: Glen E . Harrington , R . S . 9 Leda Rose Lane Marstons Mills , MA 02648 Tel: 508-428-3862 # 281 SCUDDER ROAD , OSTERVILLE 12'-1" 13'-3" o BATH BEDROOM BEDROOM j FOYER N CL GARAGE BREEZE- KITCHEN WAY HALLWAY CL M. CL BATH OWN i� BATH ; LIVING DINING BEDROOM � AREA ROOM I BEDROOM 1 -2' 00 14'-5„ F I R S T FLOOR P LAN /o/ si NO SCALE * . . Full Basement is. unfinished . ` 1 . Town of Barnstable `~ Regulatory Services �. Thomas F.Ceder,Director _ Public Health IDivision .`� Thomas McKean,Director 200 Main Street, Hyannis,MA 02601 Office: 508-8624644 Fax: 508-790-6304 Date: Sewage Permit# 10- Assessor's Map/Parcel I z Installer&Desianer Certification Form Designer: (Zl e w E• t1a rr i ii fo�!�S. Installer: s Address: L e-dc, Ov f E'_ &oe Address: EG, Bfi x -7 PROW Jfl-,J -0i11f eW 0 4-Tqr On was issued a permit to install-a (date) (installer) septic system at Z 8/ ft. v d da r- ed, &'- r based on a design drawn by (address) �r /���4�D�,,e s. dated (desi er) r/ I certify that the septic system referenced above was installed substantially according to the design, which may include minor approved changes such as lateral relocation of the distribution box and/or septic tank. Stripout (if required) was inspected and the soils were found satisfactory. I certify that the septic system referenced above was installed with major changes (i.e. greater than 10' lateral relocation of the SAS or any vertical relocation of any component of the septic system)but in accordance with State&Loc ations. Plan revision or certified as-built by designer to follow. Stripout(if ed and the soils were found satisfactory. GLEN ERIC 01� t HARRINGTON 4 s Signature) No. 1070 t i < Co TA!ate_ (Design s Si (Affix DesfgdWs Stamp Here) LEASE P.ETUM TO BARNSTABLZ PUBLIC HEALTH DIVISION. CERTIFICATE OF CQAP CE NOT BE ISSUED UNTII. BOTH = FORM AND BUILT CARD ARE RECEIVED BY THE BARNSTABLE PUBLIC HEALTH DIVISION. THANK YOU. gAoffice formAdes4nercertification fa m doc Town of Barnstable P# 13 �� Z of , Department of Regulatory Services Public Health Division DMASSate t639• ,6�' 200 Main Street,Hyannis MA 02601 Date Scheduled b Time Fee Pd. OL) i Soil Suitability Assessment for Sewage Disposal Performed By: 1Y 1Yl�sV� fy �H S f31n F'i S \ --z----�— Witnessed By: f/i J t w: _�J r /l� LOCATION& GENERAL INFORMAT O s Location Address ��Ui�Gf Owner's Name (/�/�ilL Address Assessor's Map/Parcel: Engineer's Name 0'� NEW CONSTRUCTION REPAIR Telephone# 01?.9 Land Use I&J 1 UfIGV1 � Slopes(%) Q`? Surface Stones it/C3 Distances from: -Open Water Body. ! 0 ft Possible Wet Area .7 ft Drinking Water Well ft Drainage Way ft Property Line Other ft SKETCH:(Street name,dimensions of lot,exact locations of test holes&perc tests,locate wetlands in proximity to holes) qyp ,9g � a Q tSDt -_— ll O I � o r iwo a W D } Parent material(geologic) ®���� L` - 'Depth to Bedrock. Depth to Groundwater. Standing Water in Hole: •*�/ e— Weeping from Pit Face Estimated Seasonal High Groundwater DETERMINATION FOR SEASONAL HIGH WATER TABLE Method Used: Se t ( Elm f Depth Observed standing in obs.hole: In, Depth to soil mottles: 4. o "-e Depth to weeping from side of obs.hole: In. Groundwater Adjustment ft. Index Well# Reading Date: Index Well level AdJ,factor, Adj.Groundwater Level, a PERCOLATION TEST Dote af xlme IIA14 Observation Hole# Time at 0" Depth of Perc �.B S 4 Time at 6" Start Pre-soak Time @ ®'�® Time(9"-611) End Pre-soak qr.jG 0 Rate Min./Inch Z Site Suitability Assessment: Site Passed Site Failed: Additional Testing Needed(Y/N) Original: Public Health Division Observation Hole Data To Be Completed'on Back----------- ***If percolation test is to be conducted within 100' of wetland,you must first,notify the. Barnstable Conservation Division at least one (1) week prior to beginning. Q:\SEPTICVERCFORM.DOC 1, i I DEEP.OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture .Soil Color Soil. Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones;Boulders. on istenc 96Gravel) 5 �6 �v 1 w C 1 M-C fia.r,d Z.r: -7 3 .vd DEEP OBSERVATION HOLE LOG Hole# 2--- Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consistency.%Gravel) f �Q I ,� fo��J/2 3� aw and LOY DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Co i toncy,%Gravel) DEEP OBSERVATION HOLE LOG Hole# FfromSoil Horizon Soil Texture Soil Color Soil Other (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consi to I Flood Insurance Rate Man: Above 500 year flood boundary No yes 'Within 500 year boundary No Yes Within 100 yea,.^cad boundary No._,,,,, Yes Death of Naturally Occurring Pervious Material Does at least four feet of naturally occurring pervious`ma�erial 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 l® / (date)I have passed the soil evaluator examination approved by the Department of Environmental Protection and that the above analysis was performed by me consistent with . the required training, expertise and ex rience described in 310 CMR 15.017. Signature � *7ZI 0 Date Q:\S.EPTlCWERCFORM.DOC THE FOLLOWING IS/ARE THE BEST IMAGES FROM POOR QUALITY ORIGINALS) I A , �-, m / IL DATA �� \ s ,,r�'xr �•. .,r-�^'" -.^�`°ia'.� r~� „�� .�-�1a-' Town ofRa" kns Regu11atory Services Department �'ca j 13AFNSTABLE 9� 0 9. �� Public Health Division 200yMain Street, Hyannis MA 02601 2007 m Office: 508-862-4644 Thomas F.Geiler;Director FAX: 508-790-6304 Thomas A.McKean,CHO CERTIFIED MAIL# 70083230000251782893 7/26/2010 Audrey McInerney 281 Scudder Road Osterville, MA 02655 ORDER TO COMPLY WITH STATE ENVIRONMENTAL.CODE, TITLE 5 The septic system located at 281 Scudder Road, Osterville MA was last inspected on May 27, 2010,by Robert Paolini, a certified septic inspector for the State of Massachusetts. The inspection of the septic system showed that the system"Failed" under the guidelines of 1995 TITLE 5 (310 CMR 15.00) due to the following: Single cesspools automatically fail in the Town of Barnstable You are ordered to repair or replace the septic system within Two (2) years from the date you receive this•notification. Failure to repair/replace the septic system within the deadline period will result in future enforcement action. , PER ORDER 0 THE BOARD OF HEALTH as cKean R. H S C O Agent of the Board of Health 0 pal o i Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -,Not for Voluntary Assessments M 281 Scudder Rd. Property Address Audrey McInerney Owner Owner's Name information is required for Ostervllle Ma.. 02655 5/27/2010 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 forms on the computer, use 1. Inspector: VVUIII UUU only the tab key to move your Robert Paolini cursor-do not Name of Inspector use the return key. Capewide Enterprises,LLC. Company Name r� P.O.Box 763 Company Address ",Centerville Ma. 02632 'e"A! City/Town State Zip Code (508)428-4028 S14454 Telephone Number License Number 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 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: HZ= ❑IPasses ❑ Conditionally Passes ®Fails t ❑T Needs Further Evaluation-by the Local Approving Authority 5/27/2010 Inspect 's Slgn Vure V Date The system inspector shall submit a copy of this inspection report to the Approving Authority(Board of Health or DEP)within 30 days of completing this inspection. If the system is a shared system or has a design flow of 10,000 gpd or greater, the inspector and the system owner shall submit the report to the appropriate regional office of the DEP. The original should be sent to the system owner and copies sent to the buyer, if applicable, and the approving authority. ****This report only describes conditions at the time of inspection and under the conditions of use at that time.This inspection does not address how the system will perform in the future under the same or different conditions of use. I t5ins-09/08 �` Title 5 Official Inspection Form:Subsurface Sew a Disposal System age 1 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments M 281 Scudder Rd. Property Address Audrey McInerney Owner Owner's Name information is required for Osterville Ma. 02655 5/27/2010 every page. Cityfrown State Zip Code Date of Inspection B. Certification (cont.) Inspection Summary: Check A,B,C,D or E/always complete all of Section D A) System Passes: ❑ I have not found any information which indicates that any of the failure criteria described in 310 CMR 15.303 or in 310 CMR 15.304 exist. Any failure criteria not evaluated are indicated below. Comments: B) System Conditionally Passes: ❑ One or more system components as described in the"Conditional Pass" section need to be replaced or repaired. The system, upon completion of the replacement or repair, as approved by the Board of Health, will pass. Check the box for"yes", "no" or"not determined" (Y, N, ND) for the following statements. If"not determined," please explain. The septic tank is metal and over 20 years old* or the septic tank (whether metal or not) is structurally unsound, exhibits substantial infiltration or exfiltration or tank failure is imminent. System will pass inspection if the existing tank is replaced with a complying septic tank as approved by the Board of Health. *A metal septic tank will pass inspection if it is structurally sound, not leaking and if a Certificate of Compliance indicating that the tank is less than 20 years old is available. ❑ Y ❑ N ❑ ND (Explain below): l5ins•09108 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 2 of 17 j Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments �M 281 Scudder Rd. Property Address Audrey McInerney Owner Owner's Name information is required for Osterville Ma. 02655 5/27/2010 every page. Cityrrown State Zip Code 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): ❑ obstruction is removed ❑ Y ❑ N ❑ ND (Explain below): ❑ distribution box is leveled or replaced ❑ Y ❑ N ❑ ND (Explain below): ❑ The system required pumping more than 4 times a year due to broken or obstructed pipe(s). The system will pass inspection if(with approval of the Board of Health): ❑ broken pipe(s) are replaced ❑ Y ❑ N ❑ ND (Explain below): ❑ obstruction is removed ❑ Y ❑ N ❑ ND (Explain below): C) Further Evaluation is Required by the Board of Health: ❑ Conditions exist which require further evaluation by the Board of Health in order to determine if the system is failing to protect public health, safety or the environment. 1. System will pass unless Board of Health determines in accordance with 310 CMR 15.303(1)(b)that the system is not functioning in a manner which will protect public health, safety and the environment: ❑ Cesspool or privy is within 50 feet of a surface water ❑ Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh t5ins•09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 3 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments M 281 Scudder Rd. Property Address Audrey McInerney Owner Owner's Name information is required for Osterville Ma. 02655 5/27/2010 every page. Cityrrown State Zip Code Date of Inspection B. Certification (cont.) 2. System will fail unless the Board of Health (and Public Water Supplier, if any) determines that the system is functioning in a manner that protects the public health, safety and environment: ❑ The system has a septic tank and soil absorption system (SAS) and the SAS is within 100 feet of a surface water supply or tributary to.a surface water supply. ❑ The system has a septic tank and SAS and the SAS is within a Zone 1 of a public water supply. ❑ The system has a septic tank and SAS and the SAS is within 50 feet of a private water supply well. ❑ The system has a septic tank and SAS and the SAS is less than 100 feet but 50 feet or more from a private water supply well". Method used to determine distance: **This system passes if the well water analysis, performed at a DEP certified laboratory, for coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered. A copy of the analysis must be attached to this form. 3. Other: D) System Failure Criteria Applicable to All Systems: You must indicate"Yes" or"No"to each of the following for all inspections: Yes No ❑ ® Backup of sewage into facility or system component due to overloaded or clogged SAS or cesspool ❑ ® Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or clogged SAS or cesspool ❑ ® Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool ❑ ® Liquid depth in cesspool is less than 6" below invert or available volume is less than day flow t5ins•09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 4 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments ;M 281 Scudder Rd. Property Address Audrey McInerney Owner Owner's Name information is required for Osterville Ma. 02655 5/27/2010 every page. City/Town State Zip Code Date of Inspection B. Certification (cont.) Yes No ❑ ® Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s). Number of times pumped: ❑ ® Any portion of the SAS, cesspool or privy is below high ground water elevation. ❑ ® Any portion of cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply. ❑ ® Any portion of a cesspool or privy is within a Zone 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- 1 0,000g pd. ® ❑ The system fails. I have determined that one or more of the above failure criteria exist as described in 310 CMR 15.303, therefore the system fails. The system owner should contact the Board of Health to determine what will be necessary to correct the failure. E) Large Systems: To be considered a large system the system must serve a facility with a design flow of 10,000 gpd to 15,000 gpd. For large systems, you must indicate either"yes" or"no"to each of the following, in addition to the questions in Section D. Yes No ❑ ❑ the system is within 400 feet of a surface drinking water supply ❑ ❑ the system is within 200 feet of a tributary to a surface drinking water supply ❑ ❑ the system is located in a nitrogen sensitive area (Interim Wellhead Protection Area—IWPA) or a mapped Zone II of a public water supply well If you have answered "yes"to any question in Section E the system is considered a significant threat, or answered "yes" in Section D above the large system has failed. The owner or operator of any large system considered a significant threat under Section E or failed under Section D shall upgrade the system in accordance with 310 CMR 15.304. The system owner should contact the appropriate regional office of the Department. l5ins•09108 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 5 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 281 Scudder Rd. Property Address Audrey McInerney Owner Owner's Name information is required for Osterville Ma. 02655 5/27/2010 every page. Cityrrown State Zip Code Date of Inspection C. Checklist Check if the following have been done. You must indicate"yes" or"no" as to each of the following: Yes No ® ❑ Pumping information was provided by the owner, occupant, or Board of Health ❑ ® Were any of the system components pumped out in the previous two weeks? ❑ ® Has the system received normal flows in the previous two week period? ❑ ® Have large volumes of water been introduced to the system recently or as part of this inspection? ❑ ® Were as built plans of the system obtained and examined? (If they were not available note as N/A) ® ❑ Was the facility or dwelling inspected for signs of sewage back up? ® ❑ Was the site inspected for signs of break out? ® ❑ Were all system components, excluding the SAS, located on site? ® ❑ Were the septic tank manholes uncovered, opened, and the interior of the tank inspected for the condition of the baffles or tees, material of construction, dimensions, depth of liquid, depth of sludge and depth of scum? ® ❑ Was the facility owner(and occupants if different from owner) provided with information on the proper maintenance of subsurface sewage disposal systems? The size and location of the Soil Absorption System (SAS)on the site has been determined based on: ❑ ® Existing information. For example, a plan at the Board of Health. ❑ ® Determined in the field (if any of the failure criteria related to Part C is at issue approximation of distance is unacceptable) [310 CMR 15.302(5)] D. System Information Residential Flow Conditions: Number of bedrooms (design): 3 Number of bedrooms (actual): 3 DESIGN flow based on 310 CMR 15.203 (for example: 110 gpd x#of bedrooms): 330 t5ins•09108 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 6 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 281 Scudder Rd. Property Address Audrey McInerney Owner Owner's Name information is required for Osterville Ma. 02655 5/27/2010 every page. City/Town State Zip Code Date of Inspection D. System Information Description: Number of current residents: 1 Does residence have a garbage grinder? ® Yes ❑ No Is laundry on a separate sewage system? [if yes separate inspection required] ® Yes ❑ No Laundry system inspected? ® Yes ❑ No Seasonaluse? ❑ Yes ® No Water meter readings, if available last 2 ears usage d NA 9 ( Y 9 (gP ))� Detail Sump pump? ❑ Yes ® No Last date of occupancy: 5/27/2010 Date Commercial/Industrial Flow Conditions: Type of Establishment: Design flow(based on 310 CMR 15.203): Gallons per day(gpd) Basis of design flow(seats/persons/sq.ft., etc.): Grease trap present? ❑ Yes ❑ No Industrial waste holding tank present? ❑ Yes ❑ No Non-sanitary waste discharged to the Title 5 system? ❑ Yes ❑ No Water meter readings, if available: t5ins•09108 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 7 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Fora _ Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 281 Scudder Rd. Property Address Audrey McInerney Owner Owner's Name information is required for Osterville Ma. 02655 5/27/2010 every page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) Last date of occupancy/use: Date Other(describe below): General Information Pumping Records: Source of information: Was system pumped as part of the inspection? ❑ Yes ® No If yes, volume pumped: gallons How was quantity pumped determined? Reason for pumping: Type of System: ❑ Septic tank, distribution box, soil absorption system _ ® Single cesspool ❑ Overflow cesspool ❑ Privy ❑ Shared system (yes or no) (if yes, attach previous inspection records, if any) ❑ Innovative/Alternative technology. Attach a copy of the current operation and maintenance contract(to be obtained from system owner) and a copy of latest inspection of the I/A system by system operator under contract ❑ Tight tank. Attach a copy of the DEP approval. ❑ Other(describe): A-, t5ins•09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 8 of 17 e Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments G M , 281 Scudder Rd. Property Address Audrey McInerney Owner Owner's Name information is required for Osterville Ma. 02655 5/27/2010 every page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) Approximate age of all components, date installed (if known) and source of information: 1953 Were sewage odors detected when arriving at the site? ❑ Yes ® No Building Sewer(locate on site plan): Depth below grade: 3' 6' feet Material of construction: ® cast iron ❑ 40 PVC ® other(explain): Orangeburg Distance from private water supply well or suction line: 10+ feet Comments (on condition of joints, venting, evidence of leakage, etc.): Joints appear tight.No evidence of Ieakage.System vented through the house vents. Septic Tank (locate on site plan): Depth below grade: feet Material of construction: ❑ concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑ other(explain) If tank is metal, list age: years Is age confirmed by a Certificate of Compliance? (attach a copy of certificate) ❑ Yes ❑ No Dimensions: Sludge depth: t5ins•09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 9 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments °M 281 Scudder Rd. Property Address Audrey McInerney Owner Owner's Name information is required for Osterville Ma. 02655 5/27/2010 every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Septic Tank(cont.) Distance from top of sludge to bottom of outlet tee or baffle 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 How were dimensions determined? Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): Grease Trap (locate on site plan): Depth below grade: feet Material of construction: ❑ concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑ other(explain): Dimensions: Scum thickness Distance from top of scum to top of outlet tee or baffle Distance from bottom of scum to bottom of outlet tee or baffle Date of last pumping: Date t5ins-09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 10 of 17 tw Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 281 Scudder Rd. Property Address Audrey McInerney Owner Owner's Name information is required for Osterville Ma. 02655 5/27/2010 every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): Tight or Holding Tank(tank must be pumped at time of inspection) (locate on site plan): Depth below grade: Material of construction: ❑ concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑ other(explain): Dimensions: Capacity: gallons Design Flow: gallons per day Alarm present: ❑ Yes ❑ No Alarm level: Alarm in working order: ❑ Yes ❑ No Date of last pumping: Date Comments (condition of alarm and float switches, etc.): *Attach copy of current pumping contract(required). Is copy attached? ❑ Yes ❑ No t5ins•09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 11 of 17 e Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments ;M 281 Scudder Rd. Property Address Audrey McInerney Owner Owner's Name information is required for Osterville Ma. 02655 5/27/2010 every page. Cityfrown State Zip Code Date of Inspection D. System Information (cont.) Distribution Box(if present must be opened) (locate on site plan): Depth of liquid level above outlet invert 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.): Pump Chamber(locate on site plan): Pumps in working order: ❑ Yes ❑ No Alarms in working order: ❑ Yes ❑ No Comments (note condition of pump chamber, condition of pumps and appurtenances, etc.): Soil Absorption System (SAS) (locate on site plan, excavation not required): If SAS not located, explain why: t5ins•09108 Title 5 Official Inspection form:Subsurface Sewage Disposal System•Page 12 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments M 281 Scudder Rd. Property Address Audrey McInerney Owner Owner's Name information is required for Osterville Ma. 02655 5/27/2010 every page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) Type: ❑ leaching pits number: ❑ 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.): Cesspools (cesspool must be pumped as part of inspection) (locate on site plan): Number and configuration two single cesspools Depth—top of liquid to inlet invert dry dry Depth of solids layer 1' 1' Depth of scum layer 0" 0" Dimensions of cesspool Both 6'x8' Materials of construction Concrete Block Indication of groundwater inflow ❑ Yes ® No t5ins•09/08 Title 5 Official Inspection Form;Subsurface Sewage Disposal System•Page 13 of 17 Commonwealth of Massachusetts u - Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments ,M 281 Scudder Rd. Property Address Audrey McInerney Owner Owner's Name information is required for Osterville Ma. 02655 5/27/2010 every page. Cityfrown 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.): Sandy soil.System shows signs of hydraulic failure.Both have been full at one time. Privy (locate on site plan): Materials of construction: Dimensions Depth of solids Comments (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): t5ins•09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 14 of 17 Map Page 1 of 2 Town of Barnstable Geographic Information System Parcel Viewer Custom Map I F Abutters Map Size zoom Out 'In y K RJd IS��N tS 71R K]i I q i s .S, 1:n ® I i IVI i i! 2.0 Fee,t Set Scale 1" = 20 I Aerial Photos I MAP DISCLAIMER r-miri-ht,)nnr-,)n1n T- ,.M R—f.hla KAA All Ai hoc race-, lhttn•//(,A, 101 Q5 ')'1A/nrrime/annoPnann/man acnv9nrnnartvTT1=11Q01')kmannnr1iar.1-= p A/a/1)M • Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 281 Scudder Rd. Property Address Audrey McInerney Owner Owner's Name information is required for Osterville Ma. 02655 5/27/2010 every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Site Exam: ® Check Slope ® Surface water ® Check cellar ❑ Shallow wells Estimated depth to high ground water: Bottom of CP 10' feet Please indicate all methods used to determine the high ground water elevation: ❑ Obtained from system design plans on record If checked, date of design plan reviewed: Date ❑ Observed site (abutting property/observation hole within 150 feet of SAS) ❑ Checked with local Board of Health -explain: ❑ Checked with local excavators, installers- (attach documentation) ❑ Accessed USGS database-explain: You must describe how you established the high ground water elevation: USED:USGS Observation Well Data.USED:Technical Bulletin 92-0001 late#2 annual ranges of P 9 groundwater elevations. Before filing this Inspection Report, please see Report Completeness Checklist on next page. t5ins•09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 16 of 17 t Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 281 Scudder Rd. Property Address Audrey McInerney Owner Owner's Name information is required for Osterville Ma. 02655 5/27/2010 every page. City/Town State Zip Code Date of Inspection E. Report Completeness Checklist ® Inspection Summary: A, B, C, D, or E checked ® Inspection Summary D (System Failure Criteria Applicable to All Systems) completed ® System Information—Estimated depth to high groundwater ® Sketch of Sewage Disposal System either drawn on page 15 or attached in separate file t5ins-09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 17 of 17 ���._ FINE -� LINE � � ` • - * 1 _ 4 ` .. Lj ARCHITECTURAL DESIGN uu w.Fl T Archl ec urelDesign. VI �m 6AY ROAD.OSTFR MA 02655 Q41/2 r ` - n... ... ... ...._.. T 12... _ _ ..... ...... ... ... _ 1 12 I P P LO 0 0 _ < - _ W•Co FRONT ELEVATION u) .: 7 — . SCALE:1/4'•=1, A D.W LL Y a q m C:) • - 1 - Q-D Q rLLJ GO m a = _ co IL _.. _ Doherty Residence sterville Ma 0 655- 12 .. ? _7 ..l El El .......... .:.. .:.. .. .... .... - SEf ISSUE MTES _...... .. .. .-... .._.._. - ... ... _ ..... .. .. "..-_ .DATE ISSUE FrLEinmII...l I.I..I ...F.T MEi.l.. ....F..M.E l 1-....L 1..............E ® M FM 0 - a DATE DEscwRnoR- P P , v Front and REAR ELEVATION Rear SCALE:1/4"=1'-0" - 12 Elevations SHEETn1OFS f Al - • PATE: 11W-1 w FINE LINE ARCHITECTURAL DESIGN t .. '. • ._ ... .. .. .. � : r� � wuuYVEST BAYrchlt,ctu�IDFRSIgn. ::' �: > NOTES' r .. .. - 12 El LO L11,00 + 1 - - LEFT ELEVATION: .�. SCALE:1/4"=1.-0" 4 - LL ILL - . � w;o in .emu - '.. ' 9. > - LO 2 �: .._ _ .. .. - i<- Wa ' Doherty Residence ' Osterville Ma;02655. SET ISSUE OATES y �OA1E ISSUE.. '® .. yy q OATEOESCRIRTION RIGHT ELEVATION e r SCALE:1/4"+T-O" ... - Left and Right Po -} Elevations ` .. .. .. SHEET s2 OF A2 FINE F Lr!n LINE ARCHITECTURAL DESIGN .. }. �� • . 1 • - - � SOB-420-1296 - - . - - - FlneLineArchit CuralDeslq YVEST BAY ROAD.OSIER LLE,m MA O 655 '.. - .. 9-0 .. /B._b.. w, 31._4.. -, r ..1.-0• 24.-0. - .. - r �• NOTES: ' ° bw' it'-ti" 1T-tt' b•-9' 5'-6" 5'-6" 12'-0" 17'-0" I ry I mo LAN IN6 � m .. -... - —————————————,— -———— .. - - ..N- a M rt1 S REMOVE r U40 O I r "TI z a k.s 1 I� W CO J O - 0— Ell LIVING DINING ,� 5.• to s P Z X LPN ING 4 I I I 1 I I I- ~ ' LL Q F (3J Arv2s _ BEDROOM I —E W I - - MASTER• - • � I I 1 I I I -I •'OAK - - ,kti _ ,- _1_1_l_L_L_L_L1J_J. STING („) 3 O KITCHEN L-- - Q a � IZI r r t ... .. 90 .. — _ REF. — O c . 5 4 4x4 PST UP/DN 4x4 PST UP/DN 4x4 PST UP/DN FIRE l' ;D - �'Ln .. 4x4 PST UP/DN ` _ - - L-j .. - .. ■ a• a' UPILL — —_— —_,, _—_—_—_ 3VY LPLLY COL• - 4�.,. 52 b'- 1/4" ryM� TN -10 2 - GARAGE - - - - W m d 30 1/B•xb0 1/b' OAK OAK . i M MUDROOM2.150 - - TILE FLOOR P . "j • i TY124410 .. - . - BEDROOM'#2 PYVDR FOYER ' „ 5TUDY P - L m 3o vaxe0 T/e- OAK OAK - OPK n OAK 2¢ g4 �4 Q•� I 3' 1/ T-4 1/2" 12' /4' �• Q __ 3Q 4 Doherty Residence Q < IFE] D N a - Osterville Ma,02655 MASTERp NDRY 3Q .. • BATH AK •P - - - - TILE - _. _. .. _ ... _ -� 9'-/' 11'-3 1/2" - � � SET ISSUE 0.4TE5 . BATH I DATE ISSUE LURBLE55' cv a PORCH TILE cusroM u2 - .. SHOYVFR TILE TILE O ' N DATE .'DESCRIPTION mob'-10 1/2" /2' O'-0' - b•_b• 3'-a 1'2' -B" b'-3 1J2' 5'6' S'-G' 2'-S, .'D• V O' • 2 9 . 14-a- 11'-0' 244 . First Floor FIRST FLOOR PLAN Purl 5GALE:1/4"=TO" - - - • _ * . SHEET p30FB .. _ . • - OA1 V2B/XJII - FINE LINE ARCHITECTURAL DESIGN p - r . .. _ • - Y - _ 508-420-1296 FI—i—rch t CuralDeelqq _ - - B r F5T L,A ROAD OSTERVILLE,m + • , MA 02655 NOTE5: • 2'-5" B'-0" 16'-6' H'-0' Y-5' IS'-0' 8'-0" b'-0' 6-0 � SX 16-51/4' , CO BEDROOM#3 FAMILY L— t . - OAK FLOOR OAK FLOOR L N O W'.00 J,O . I Trvzaaz V J LO GL 2¢ I: 1 30 1/B"X 52 T/B' It w z > 26 o W ` • .' i 4x4 PST UPON 4x4 PST UP/DN � Q - 4x4 P T UP/DN - 4x4 PSTLLT O ryryn . . 2¢ .. ..:-.. • � I UNFINISHFDNNHEATED - 5 Q V � ... /. 2g BATH » STORAGE, } o GL \ GL u3. - _ -I W to - l si 3/B" 4-3' _ ' ca m a - .. .. - // I .BEDRO Mtt4.: b �♦ - .. ,:I.. I _ - e - I n „ I Doherty Residence Osterville Ma,D2655 F - O iyy0 E1 I e1 - ry SET ISSUE—ES Lry DATE .ISSUE • T-6 5/B' B'-10 5/e" - 8'-10 5/B" T-5 5— 3'-3 1/4" 3'-3 1/4' - R DATE DESCRIPTION 5EGOND FLOOR PLAN - 5GALE:1/4"=.V-O" - Second Floor - Plan .. .. DATE: 1-1W11 - .p ... *. I a • y FINE LINE -.« - ARCHITECTURAL DESIGN • - FlneLineArcttit WrelDeslgg' BYVEST BA�ROOAD.SOSTERVILLE.m. 24'-0" .... .. .. VERIFY IN FIELD F7 a - - -- .I ____ ___ __ __ " - I EXISTING EJEOTOR I I (0 In y '1 : r 1 - I EXI5TNI BATH EX n—POST - v =( ____ ----- _ ---------- 2 m — - W w y i LLI .. .. I .. I FRAME OVER EXISTING STAIR. I- 1'x CD UJ 1 - •• - -1 1 1 I 1 I VERIFY PI FIELD Q C3 - - VERIFY IN FIELD I = - REMOVE EXISTING CHIMNEY FOUNDATION - I I - FOOTNG 1� FOOTING a _,. --- I - 5� 5Fw ... ... NE COLUMN NEVI GO-LUMN .. i 1 r.. a - I` D NGDO GARAGE. i i. m Z II III I � I w. _ 4 � 'ii. _ III iu i i ' i i .. � i � • m Q � I m d (h. • I,i 1 IIII (5)T 1/4'LVL STAIR BOX 1 IIII IIII (.':I I � I Ii• 1 IIII' IIII r v - ... .. IIII IIII EXISTING Posr IIII « I �. - i Doherty Residence - — -- -- Ostery lllsMar 02655 I . JrinI ---- — ——————————- ------ L— — ___ __ ____________ __ _ ___ ___ SETISSUEDATES 'DATE 158UE I ® F VERIFYIN FIELD aL _________---________---_________________________________J 1 a .FOOTING � - -.r: 6-P.T.POST ( �� —-—- i - -"'l"�/�.____ 1 • GALV.METAL POST ANCHOR - ___—___ - .. •P DATE DESDRIP110N 10•-ONO TUBE".PIE¢YV _ - - •r - .. :. -"BIG FOOT'FOOTING TYP. - 1V- 24'-0" - - Foundation III .. SHEET x5OF 8 .. . - .. DATE: V18/3011 FINE LINE ` r _ ARCHITECTURAL DESIGN RIDGE VENT (2)W'LVL STRUCTURAL RIDGE - - - 12 2x10's IV'O.G. - • FIReLiOeArchiteUu�eIDe6I n _ • _ 508-020-1396 qq PLYWDOD SHEATHING/ - ` I,WEST BAY ROAD.OSTERYILLE, . 1 _ A5PNALT SHINGLES RIDGE _ _ MA 02655 RIGID WIND WASH BARRIER RECd11RED DGE VENT 2 12 " ATF RTE R EDGE OF EXTERIOR WALL (3)1 3/4'x 16"LVL'RIDGE _ 'v - NOTES: . 4 1/2 CEO\6"O G' 60(i: -4 COLLAR TIE TYF. d 5 - aj 79 SIMPSON H2.5 FASTENERS ATALL f R38 F.G.INSULT -3x105 O 16'O.C. o \ - TOP P TYPPIATE - 'C NS ®!G"O 9D f o bo C . • .. - .. ASPHALT SHINGLES \ \ C - - ' - BLOCKING 4'-O'O.C. 5/B"COX PL� • - b \\ IN FIRST TWO VST AND RAFTER BAYS FROM GABLE \ \ r .FAMILY BATH - BONUS 13 11 T/b'BGI 90 IJ05T5 0 12.O.G. 115 FASG W/I14 SECOND MEMBER .- CONTINVOUS VENTING SOFFIT - . FRIEZE BD.W/BED MOULDING . .. � 1 STEEL BEAM '• .. H TYP,EXTERIOR WA11.• �� . i0 i0 2xb EXi.5ND5 O 16"O.CI - _ a �: m KITCHEN STUDY —1 F.G.INSULT - - atb'9 A 16"O.C. - - 1n'CDX SHEATHING/ —1 F.G.INSUL. ` u1 GARAGE - W 1/2"COX 5HFATHING r . : TYVEK/W.C.SHINGLES . r ' 14 R E .FIRST FLOOR ---------------- Z___ ____________________ _____ LOOR O EXISTING F 5Y5TEM 3xBs 0 16O.C. _-- --- ----.Yl'6M ---.----------—-.------ . PT_I1 0 16.0.0. SIMP.METAL PST BASE cc LS7 12"SONG TVBE PIER W/ G nn ✓1� m . �'i _ • .. EXISTING FOUNDATION WALL -w J Do �a ,� A _ ouuuWWWLLIII V -C) LO ID k z� za Q W LL LL .- ,gn - EXISTNG FOUNDATION WALL AND FOOTING - 24'-0" W I�i u] ♦ - VERIFY M FIELD - - 1..Z 4 W x - ` SECTION C caLLI . B DGE VENT SECTION ,1 SECTION - - - LVL STRUCTURAL RIDGE - i -���LL RI cl) 1' GO Lu _` • ' .h 4 « ' _ t, ~ .. I . s. - .. TYP.ROOF - ., .� Lu W 12 Co O - ASPHALT SHINGLES • RIGID WIND WASH BARRIER REQUIRED - w AT EXTERIOR EDGE OF EXTERIOR WALL _ 2x105 - - M . TOP PLATE + 13 . ®16,,0G \604 4 -2x COLLAR TIE TYP v - 51MPSON H2.5 - 1� • FASTENERS AT - _ RAFTER/TOP PUTS JINCTIONS TY. - R38 F.G.INSU 9 105 B 16'O.C. L, ' 1 _ • BLOCKING 4-0'OC Doherty Residence's • '• - ' IN FIRST T,0 J015T AND RAr TFia - ' - BAYS FROM GABLE WALL Osterville Ma,02655- BEDROOM#5 - BEDROOM#4' - - 13 }P.T.2x12's TYP i SET ISSUE 0.4TE5 r '00 - - DATE ISSUE 11 T/W BC190-J05T5 0 12 O.G. - TYP.EAVES - lxB FASGA/lX4 SECOND MEMBER .. - _ GONTINVGUS VENTIN650FFIT .. Q • - _ ry p _ i0 \ - TYF EXTERIOR WAIL. - - _ R OATS DESCRIPTION LIVING BEDROOM#2 2xb Exr.sTups o 16•oci - . 1V 1/2I5HEA •' 1/2'COX SHEATHING/ S - . TYVEK WRAP/W.C.SHINGLE EXISTING FLOOR SYSTEM 2xbs o 16.O.C. - Pi 6x6 POST - . - m x .. - - - SIMP.METAL FST 6ASF p 12-—No TUBE PIER B.F:28 TYP. .. - OIW-i-i If Sections ID -> IF - xam&FOUNDATION WALL AND FOOTING - . - - VERIFY IN FIELD SHEETv60F8^ - 5ECTION A - - L • - _ ..DATE T1wW11 FINE LINE ARCHITECTURAL DESIGN • - FineLl A rch t tu�eiDeslgqn WL-ST BAY ROAD.OSTE:RVILLE,m - r , NOTE5: T/e'LVL FLUBH M 11 1/5'LVL FLUBH (5)11 l/B'LVL 4 (a111 T/B"LVL FLUSH N •;' - - (a)Dtt05 TYP r s V _J � ; J ram. Q .. W CL 11 11 v•w (] OD 11 /a•LVL H - } O Lij •, .. .. _ ( 11 T/a'LVL > - i o T DN rv12t35 TL BM B - PST DN i m Z. - - •-, N -1 a t/]'LALLY COL 5 1/7 LALLY COL S QM } Q . Jf� - m.I O _ U 3 Doherty Residence Osterville Ma,"02655 _ (B)11 T/B'LVL HDR� (B)1 T/b•LVL HDR - . - SET ISSUE—ES DATE ISSUE Y (y P.T.3x135 TYP F q .. p DATE DESCRIPTION SEGOND FLOOR FRAMING SCALE:1/4"=1'-0" Framing Plans _ r t SHEETx70F8 ' - GATE: T/3B/301T FINE - LINE ARCHITECTURAL DESIGN r 508-42D-1296 FlneLl—chit tu�elD"q T' . - B WEST BAY ROAD.OSTERVILL, HA 0-6 52 52 a F' N Uc) N O p - p p - 4x6 PST DN - « LVL NOR W O J LLJ (2)13/4"X 91/4" "C2 Lu W 0 r ITDN 4x4 PST DN (yl 4'%i"LVL R2YiE x4 PST ON p — G , DO V 4X4 T N I - U 52 " x4 PST DN (1)1 3./4'x 11 l B'LY RIDbE O 4x PST ON ' Q 4x6 PST ON y 1 4"x 11 VB"LVL Rai sv x4 P5 ON I a — w W - 4. a 2-11 T/B".LVL y, ..K CO Z.zt s m . T Yi. � F"fEiiS r 2%105 2)I1 T/8 LVL H DR Doherty Residence Osterville Ma,02655 2)114'x-1 1/4'LVL - ,L j TO(3)11 1/4'LYL HDR SET ISSUE WiS .f RAFTEfiS 2[1 a 16'O.G.TYP.. • DATE ISSUE.. ..._ k4x 6 4 L _ DALE DESCRIPTION L - ROOF FRAMING 5GALE:1/4"=V-0" - Roof. Framing ` ti S4 - .DATE: T/2B/XJIT. I FINE LINE ARCHPTECTUR.A.L DESIGN LL1wr.FIneLlneArChltecturelDe ItpILom O' B Y'E5T6AY ROAD OSTERVILLE, A B - - • _ 9 5 � m � � •m - 'gym � � • d. — • m - g l I . 'I Ch I I to i E>�TM6 I � z Q tq b 0 ®° R O S i z J u L" m LNING DINING - > o oAK oAK O FLL ' MA5TER. U fgl AVtSI 4 BEDROOM - I• "-�.-. i i ! I i I I REraavE -g¢ - J '- OAK 7 - - _1_1 1_L_L_L L LJ_J EX6nN6 CD �EL7 . KITCHEN - , =_ W W O � �`. yh ]B "L-- w O W Q r- ` m .. S¢ REF. - ]B • 0 , GO I 0 4x4 PST UP/DN 4x4 PST UP/DN - - 4.4 PSTUP/DN FIRE (t 4z4 Psr UP/pN yB •- _ p RATED ...a -' .. m - ly W +. II a a• - uP '6. CI IL-- IM-__---_---- sre eMA- _---'-— -- G Z . •-1 /z I a•-1 a- ' a• m TM441¢ - ]_ /" � '� � o .GARAGE t• .. 901/B'XBO vv oAK: ' �] OAK^ it �• �,J .. 9>?ULLY COL MUOROOM, - q, r co a II nLe M t�# ' a a0 B0 1/B-xb0 r2' 26 F , V V 4 T 4' 19 QD Roherty Residence 'Q 4 MBATM I DRY • � t o- Osterville Ma,02655 TILE 12��4- N A I C, SET ISSUE R41E9 - t s v BATH I PORCH k - . TO.P CUSTOM #2j��Jj SHOVMt T0.P T6E _ wj, I - fe m O O O O _ is lE• DESCWRDR MW First Floor FIR5T FLOOR PLAN Plan SGALF:V4'_r-0^ A3 FINE LINE ARCHITECTURAL DESIGN uwu eST BAY RO) NYeIDesIG ' B WEST.BAY ROAD.OS MA 03655 - - NOTES: o` N - BED O a3 - 1LY I }, _ CO to to OAK FLO (V OR . Twalto L - HALF WALL : m - CO 1 I � JQS 4z4 PST UP/fJN 4x4 PST UP/DN w A Q 'do UPON - ■4x4 PST UP/DN �'. _ I C•) LLf Q .,.ew- \ • ....- - 90 1/B'X 53l/ _ Q nit h BATH. t - I SST Ea GE TPA ... 52 In Do z \ CO00 r—— I' I TMi2463 m LL / \ - w t/B'x 53 T/B' M / I B # .\ 1 I � Doherty Residence r R Osterville Ma,02655 nm �m gygye - � Pn SET ISSUE BATES . g L lUE . - - TE DESCRP SECOND'FLOOR PLAN V—ALE:'1/4'=p-p• Second Floor Plan I SST-40FS - o 8a m FINE LINE ARCHITECTURAL DESIGN uuw.Flne B T BAY BAY chlCec[uralDesiggnn NB?i ROAD.O5T32VRlE;m - HA 02659 - NOTES: V PY M FIELD -- — -- — ——— - j 1 1 E#TMG E.IELTOR I - M z ' r ------- --'----- -- ---.— 'P E%6TNC BATH W Ob 1 E%ISTNG POST 1 I v J N I z > -- —' I_. L--.-------- J W 1 r ——— --_ ---1 FRAME OVER E%ISTING STNR Wof C�l . i` HELD C VB31FY M FIELD 1 1' +••' • AN TIN6 LNBaNEY FOUNDATION • ` �M.^ -I _ Ate"" I I� ppp IFYM - - CHOR BOLD U Ew5 ~ 1 I, NEw GOWMN XEYI COZUMN _ ar �..:. 1 1 :'L - I I SIZE Ali SPALM6 _ � 00 t - I I VJ Ln GARAGE _ I `j' �<�I m Z I:;. - .IIII f5)l va•LVL STAIR Box IIII Q -a S I I 1.. I I CO d j �u IIII IIII D j :.I j L I ' - Cn I ,.bi. IIII IIII 1 I 1. I I _ - � I - IIII IIII EmnH6 FOSTI HE 1 I III 1 Ip III III k - I I r— -- -- '-, .,, ., ! ;:! �Doherty Residence Osterville Ma,102555 , I ul I IR w m fl 1 iii iii iii - -------� ---- -- ----- ------ v I L---------------------------------- T I it II II INFI" Ui AND I BLOGKGVf AND I - ____ ___________ __ ___—__ _—_— __ 11 II SM LLLER MEHBE I II 5 FMAAiLER HEr+eERs i a r � �• � � SET ISSUE DATES 3t¢ FM Clf� 1 11 I II S.0,,ER PAN - 1.' 1 aISSUE IN II____ II _ __ __— 'o F� F'ELZ, — � �.,ji I Na aTsry 6%6 P.T.POST DESCRFnDN 6ALV.METAL POST ANCHOR _ F - ]B••BIG FOOT'FOOIMC TYP. 'Foundation SHEET-50FB . 51 .. - DATE B/Z M ' FINE Lrti LINE RIDGE VENT ARCHITECTURAL DESIGN (2)16•LVL STRUCTURAL RIDGE L lYP ROOF 12 -10' O 16'O.C. - 5 / S/B'PLYWOOD SHEATNW6/ - 508-42D-13% ASPHALT SHMGLES FlneLlneNc111tectura�eaipn.com RIDGE VENT B YIfST BAY ROAD.OSTB2VI{,LE.. AT E WIND WASN E OF EXT REOUIRED MA 026SS 11 AT EXTERIOR EDGE OF E%fER1pR YYNJ_ _ (S)1 9/4'x 16'LVL'RID6E 13 2x4 COLLAR TIE TYP. Q 5 TOP PLATE . 41n� ,6'O�, o"' 3, NOTES: 910 13 m b gym/ �f 0 SMP".�OH H25 12 13 .. 4 .¢� 60 m T6"O, FASTENERS AT ALL - 12 .Q 4 1- C, 2XtOs m Ib'O.L. RAFRAFTER�CmoS/TOP PLATE TTr. ` QvI RSB F.G.M5UL./ \\ O 16.0 BLOCKING 4'-0'O.G. - ASPHALT S IIN6LES .0 . M FIRST TWO JOIST AND RAFTER S/B'COX PLYWOOD m BAYS FROM&ABLE u/ FAMILY BONUS ' n 13 d, m. - -- TYP.EAVES - 11 T/B'BG 90 I-JOISTS m 12'O.G. 1zB FA50A/1X4 SECOND MEMSER CONTMUOUS VENT—SOFFIT - .2x105 O 16'OL. 1xB FRRg BD.W/BED MOULDM& . n - STEEL BEAM. �.TYPE—L^M YULE - . m 2x6 EXT.5TUD5 m 16'O.GI R21 F.G.HS I-J KITCHEN STUDY 1/2•LDX SHEATHING/ R21 F.G.INSUL. N GARAGE TYVEK WRAP/MG.SHINGLES .. .b _ 1/T COX 9HEATHIN6 .. ' - O .. TYVEK/W.G.SHMGLES 4 - -.. CNLO /J - -T'6%b - FIRST FLOOR O � E%15TN6 FLOOR SYSTEM 2xBs o 16'O.G. P POST_____ ____ —___.__ _______.__———_._.________ _— __ ____________________ _____ `J 14 �• PT 2x103 0 16'O.L. 51MF.HETAL PST BA5E * O IT 50N0 EXISTING FOUNDATION WALL - w Co 1 b J CD q J - w T. b F. + 1 IT., FinF. .. a LL z w u-X - 'LLTI el VHiIPY M FIELD J w h.: MM.5EGTION G LaW O 7 5EGTION B ,'^ aD (2)16'LVL STRUCTURAL RIDGE' L/ LO • - - TYP ROOF - `y CD 2X/0'b m 16.OL- / w w . .. 13 9/B'PLYWOOD SHEATHNG/P r O _ - ASHALT 5HINGLES - 9 A . Rlbm vYND WASH BARRMR REQUIRED - - - .. ^ m a AT EXTg210R F E 0-1 EXTERIOR TOP PLATE. - 4 V2 r-.eo L' op. 2x4 COLLAR TIE TYP. S0IPSON N2.5 4 yy^11 _ OC 'FASTENEI 9 AT ALL - - RAFTER/TOP PLATE 1 JJNCTIONS TYP. 1 RBB Fb. a1105 O16'O.G. Hill . BLOLKM&4-O`0L. - - - - M FRETTWOJ015TNlp RAFTER - . DOherty Residence BAYS FROM GABLE V14LL - Osterville Ma,02655 m . BEDROOM#3 BEDROOM#4 1 _ 13 3-P.T.an]b TY'P - - SET ISSUE MTES I 11 T/O'BG90 I-.GISTS m-12'OL - - IX& lx0 PA9GIA/Iz45EGOND M1i@1BER F - GONTIWIOUS VFTITW650FFIT � I LC+ . OEsau FTM . .. _ _ IL VING p BEDROOM tt2 alb ExT.5n s1W0-0w - ry ti. R31 F.6.MSULI m 1/2'LDX SMEATHIN6/ TYVEJC_iNRAP/WG.SHMGLES . FJ05TN&FLOOR SYSTEM a1Bs o Ib'O.G. - - :: FT-6 POST . m � 51MP.METAL PST BASE , .SONG TUBE PIER YY/ _ �y s b� Sections VERIPY IN Fff1JJ -. SECTION A - 52 ' - DATE 8/IVII - FINE LINE ARCHITECTURAL DESIGN - PtneLlneArcM1lL turalDesl1��,,.cam, ' ' 0 WE,aT eAY IROAD OS18tJLLE, - _ • NOTES: (SJ 11 T/B"LVL FLL511 (S)11 T/B'LVL FLUSH (S)it Y/B'LVL FLUSH y • „ .. .. N - _ f3)11 l/B'LVL FLUSH- � - � � N L" C. O W c6 • (9J 2xt0's'h•P [•' J O v J � CD t m � o I _w • t) ni"Lv r ,.'ire•LVL HOR w' t Z _ } O y 1 G Q' In f0»T/B•ivL sW o Fsr m]s new eElDn 52 - - W Z V� •91/24LLLY GOL 9VS tPLLY C4L - _ _ } O IM W CO � V O i g I Doherty Residence $ ( Osterville Ma,02655 O t L (91111/B LVL HDR (B)1 T/0'LYL DR SET ISSUE BRTES �- pATE ISSVE (2)P.T.2 121 TYP : T 40 t SECOND FLOOR FRAMING SLA :1/A'=V-O"L:E P • Framing Plans S H FINE LINE ARCHITECTURAL DESIGN - ' - • FlneLlneArchlL<ctu�alDeal{p1.cant B WEST BAT ROAD.:OSTERVILLP, - MA 03653 • - NOTE5: sa sa a p T T M U CD 117 I _ z Qo m_ TO(3),1 M4T LDVL HDR - - 'nLLi Go t pp m V ED J Ln • F u� — h)19/4•x 9 1/4•LVL o. (a)11 T/a'LVL XM ` ` w 0 F ` R J z w 1 +. m W - - Q �+• JL N 4x4 P3T x x4 I%T PH —— Q n 1 0 TC.4 P5T ON (1)1—'v 11 T/B•LV RmGE O 4x4 PST DN ' Ln4xG P9T DN— (]l l 4 x 1 VB LVl RmbE x4 PS DN. - LLJ co Z co7Z-- ,1.4Ln- .. _ Doherty Residence P/Em,a 4-x 4 ,LVL Osterville Ma,02655 ' 4xb s)1 DX 1 f j � TO(3)11 1/4'LVL XDR , E RAFTERS Drib a iwoz.1TP. O SEf 15511E GATE$ BATE ISSUE �11MT bxb P5T xb T —� I 6xb TY OF \ LOESM ON ROOF-FRAMING 5CALE:1/4"=1'-0" .. Roof Framing _ BXEET ab OFB 54 . DATE bnvn B.M. = 26.97' APPROX. NGVD 26.57' Bay St. N ON C.B. 1 f n d. P� 3-20• DIAM. ACCESS MANHOLES • 26 7,' 11' 2 W tea Rd SITE PLAN 7.50 B. M . es C.B. 1 fnd. SCALE: 1 " = 20' � 7.75' , CONTOUR INTERVAL=2' \ O t <°°a VO •'• N G of atr _ m THE ACCESS COVERS FOR THE SEPTIC TANK, C, edge 7.5 ' INLE1 OUTLET DISTRIBUTION BOX AND LEACHING COMPONENT 9 7 96 SHALL BE WITHIN 6" OF FINISHED GRADE. ¢� Q- ' 27.58' X X 25.65' ;; INSTALL TUF-TITE GAS BAFFLES OR EQUAL SITE Jaa & 818' OD ON ALL OUTLET TEE ENDS y v ^^yam° ,�p�5• T.H. :•:•+:tii: Sa:.�•;v•a�.: ''.!.+. ?:. !r, a\\`�y is ..,s;••;S: :�.� L 27.87' 'ati}r:::• df 27 18' ven :.;;: STEEL REINFORCED PRECAST CONCRETE a s.1s :'``'i PLAN VIEW .16 .: iy i.p. 0 3-20" REMOVABLE COVERS X 27.96 �O 27.73' O T.H. #1 '°`v, ,.: �� . :::- ;. e" 26.0 ' -.3r-m>r'clearance to '' ;�.�• "O S TE R VI LLE�WI A N N O" tJ1 INLET B• mn•1 3 min. filet to outlet a.� . ,�o� 5.55 ` ' .- T ' Xo �G ? to•min. Llquld I" OUTLET @~heoa g�°Je\ cell, /t etg C.O. °���' �o os °°"' -�. era aeain NO SCALE See Note #14 v+a s0 70 ,,• a� • •'--s � - j• - s ' CONSTRUCTION NOTES 11'-0• W-2• �oo $� CROSS-SECTION END-SECTION 1. Contractor is responsible for Digsafe notification 0. 2 \NG and protection of all underground utilities and pipes. N� r TYPICAL 1500 GALLON H-20 SEPTIC TANK 2. The septic tank and distribution box shall be set 25.00' e e 6 V`IE 25.29' X 23.8 level on 6" of 3/4"-11/2" stone. Og oa o NOT TO SCALE 3. 'Backfill should be clean sand or gravel with no stones over 3" in size. oage de 4. This system is subject to inspection during installation 09, �,g�ot gt° to Glen E. Harrington, R.S. s�oa p GENERAL NOTES 5. The contractor shall install this system in accordance 25.38' X 1. ADDRESS: #281 SCUDDER ROAD, OSTERVILLE with Title V of the Massachusetts Environmental Code. 2. ASSESSOR'S NUMBER: MAP 139 PARCEL 012 6. If, Burin installation the contractor encounters an X 23.55' 3. DEVELOPER'S LOT: LOT #5 9 Y 25.53' X O CBSSp OI 4. TOPOGRAPHIC INFORMATION WAS COMPILED FROM AN ON THE GROUND INSTRUMENT SURVEY. SOIf conditions Or site conditions that are different 5. TOWN WATER IS PROVIDED TO THE SITE & SURROUNDING PROPERTIES. from those shown on the Soil log Or in our design C 17.12 6. BORDER OF VEGETATED WETLANDS LOCATED BY GLEN E. HARRINGTON, R.S. the installer shall halt installation and immediately notify 0 �� G 7. REFERENCE PLAN: PLAN BOOK 46 PAGE 11 Glen E. Harrington, R.S. 40 25.44 X 25.41 X K 9 F` 3? WOR 7. No vehicle or heavy machinery shall drive over the �i� X 23.47' S+ X 23.39' X 23.53' L�N11� OF K 94' �y�� septic system unless noted as H-20 septic components. co„ BAN 11 _ a P �F g 8. The contractor shall contact the Designer and Board of Health 22.56'®cesspool .47' .fnd. T� at least 24 hours in advance to inspect and certify the system. '.I� X 23.13' 9. All piping shall be SCH 40 PVC 2 LOT 5 7 6, 10. No wells are located within 150' of proposed SAS. 22.18' X AREA= 18,295f sq. ft. 11. This design plan shall be used for the septic installation only. 12. Install observation port to 3" of grade and vent in SAS, as shown. H 13. The garage interior plumbing shall be relocated to allow an outlet, SOIL EVALUATION & PERK TEST 7.08 �,/ �1� 5��� as Xwn. „ Date of SOIL EVALUATION: AUGUST 26, 2010 VEGETATED WETLAND l,wr3 �„ r 14. Encase the 4 Sch 40 PVC building sewer with 6 dia. SCH 40 PVC Desi n Calculations �r Evaluation Performed By. Glen E. Harrington, R.S. 11.55 / g �� �t, ,- L to provide 10 feet of protection at sewer/water line crossing. Excavator: ERIC STEVENS, STEVENS CONSTRUCTION 7.14 Number of Bedrooms: 3 Existing Hf Percolation Rate:< 2 mpi assumed, 24 gals applied during presoak 15. Pump and fill abandon existing cesspools in accordance Witness: David W. Stanton, Rs., BOH Agent � Garbage Disposal: Not allowed with this design. y'° 1�y tw`�• Septic Tank Capacity Required: 330 Gal./Day x 200% = 660 gals. N' with 310 CMR 15.354. OF Septic Tank Capacity Provided: 1 500 gal. H-20 (min. per Title V) d 1 6. Contractor shall notify the Conservation Commission to inspect Test Hole Test Hole h� I ' Y P No. 1 No. 2 ORp� \p Leaching Capacity Required: 330 Gal./Day 'r �� cesspool abandonment and main sewer lines are connected up. WIN SOILs ELEV. DEPTH <PR) 17. Use Acme Precast 1,500 gal. H-20 septic tank, 5-Hole H-20 SOILS ELEV. P O\v Application Rate for <2 min./inch = 0.74 gal/sq. ft. o s.7s' o ,� .3s' � ` Proposed Leaching Structure: 1-33.5' x 13' x 2' Leaching Trenches 5.5 ' \ Bottom Leaching Area Provided = 435 sq.ft. distribution box and three H-20 500-gal chambers or equal. _ 1oYR,�3/2 0myR3%2 `V Side Leaching Area Provided = 186 sq. ft. I rf get KVI Total Leaching Area Provided = 621 sq. ft. x 0.74 gpd/sq.ft=459 gpd. LOCAL UPGRADE APPROVAL VARIANCE REQUESTED: r W . Leaching Capacity Provided =459 gpd. > 330 gpd. required. 2e loins 3.75' 30• !Weec es' // 310 CMR 405 (1)(b): A VARIANCE IS REQUESTED TO ALLOW THE PROPOSED SAS �• cl c, PERK JEST #13042 TO BE CONSTRUCTED APPROXIMATELY FOUR FEET FROM GRADE IN LIEU OF THE P � mwdee MW40 DEPTH: 36-W REQUIRED THREE FEET. A VENT WITH CARBON FILTER IS PROPOSED. 25Y7/3 BEGIN SOAK: 00:00 MIN 2.SY7/3 END SOAK: 8:00 MIN TIME: aDo MIN.- UNABLE TO SOAK. LOCAL UPGRADE APPROVAL VARIANCE REQUESTED: 120• 5.7W 138• 4.SW USE <2 MPI FOR DESIGN PURPOSES No Observed Ground water 310 CMR 405 (1)(g): A VARIANCE IS REQUESTED TO ALLOW THE FORCE MAIN AND MAIN SEWER LINE TO BE INSTALLED WITHIN 10 FEET OF A WATER SUPPLY LINE. Soil Evaluation Certification SCH 40 PVC ENCASING SHALL BE INSTALLED FOR A MIN. 10 FEET OF PROTECTION. I certify that on October, 1995, 1 have passed the soil evaluator examination approved by the DEP and that the analysis was performed by PROPOSED SEPTIC SYSTEM REPAIR me co 'stent with the required training, expertise and experience described in 31 15 r PREPARED FOR STEVENS CONSTRUCTION GLEN E. HARRINGTDPrR.V _ AT SYSTEM PROFILE Provide 4" dia. SCH 40 PVC 281 SCUDDER ROAD vent with carbon filter Existing Dwelling Not to Sale (OSTERVILLE) BARNSTABLE 5 HOLE H-20 T , of Fndn. F.Iev.u20.73 ; DIST. BOX Existin Grade = 26.0 Finished grade over system=2% slope away Existing Grade = 26.5't OWNER: DAVID DOHERTY - LEGEND CELLAR Septic tank covers must be D-Box cover shall be One chamber cover shall be Min. 2"-1/8"-1 2" Double-Washed Stone WALL S = 02 within 6" of finished grade within 6" of finished grade within 6" of finished grade or goo-textile filter cloth _ Approxi of location �'('AOFMA PREPARED BY: S=.01 To of Peastone Elev.=22.6't wa�er I ne tG` wo =+" - PROPOSED Level for 2' S=0.01 ft/ft Invert Elev.=22.08' -18- Existing contour G Glen E. Harrington, R.S.��x,mt."'`"�", House-34 _. _ ,_.- , Garage-64' 1500 GAL. 9' 21' New 1,500 gal. I±RI 9 Leda Rose Lane Ex. House SEPTIC TANK P-22.29' 0 0 C 0 0 0 24" septic tank H IN 7o arstons Mills, MA 02648 In H-20 eP Existing cesspool p el: 508-428-3862 Prop. Garage Install Gas gof a Facility Elev.=20.08' (to be pumped & removed) F Inv. elev.= 24.08' Inv. elev.=22.80' or a ual = G{S•T Fax: 508-428-3862 3/4"-1'k" Double-Washed Stone 5' Min. required, 5.2' provided o•p• Observation Porte 6" OF 3/4"-11/2" STONE LEACHING CHAMBERS S =20' DRAWN BY: GEH DATE: 5 OCT 2010 6" OF 3/4"-11/2" STONE Hole #2 lev.=14.85' C.O. Cleon-out DATUM: Approx. NGVD FILE: StevensDoherty SHEET 1 OF 1