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0192 SEA VIEW AVENUE - Health
192 SEA VIEW AVENUE, OSTERVILLE A= 139 088 0 o I a I UPC 12134 TOWN OF BARNSTABLE i LOCATION SeAv%e.U/ SEWAGE# l� 3S1 'VILLAGE ASSESSOR'S MAP&PARCEL INSTALLER'S NAME&PHONE NO. SEPTIC TANK CAPACITY SR,)t=L LEACHING FACILITY:(type) 47.0 (�A%10(size) NO.OF BEDROOMS OWNER SU OCT 5'0 PERMIT DATE: I�� ]IV COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility g. 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 � Q2 04 i�o ® Q s � , TOWN OF BARNSTABLE a TION \O,aSeFlvkei Nor—, SEWAGE #--rr UC '0 1 .GE S I��'� is ASSESSOR'S MAP&LOT .LLER'S NAME&PHONE NO. SEPTIC TANK CAPACITY U�O a 0 LEACHING FACILrrY: (type) 01-1"�- 1�° a (size) 6 X NO.OF BEDROOMS -3 BUILDER OR OWNER PERMTTDATE: COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table and Bottom of Leaching Facility Aa 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 fee of leaghing fac' ' Feet Furnished by -r' P -/ a �2i „ �a?.2,ra -3't 1':Tal C9 142, �, �' � i ��n� o� `fl/y� /l� ��-�� 1��9- LJ�t II) � Town of Barnstable Regulatory Services Richard V. Scali,Interim Director � sARrisrnm,E. t Public Health Division 639. Thomas McKean,Director 200 Main Street,Hyannis,MA 02601 Office: 508-862-4644 Fax: 508-790-6304 Installer&Designer Certification Form Date: iziliojkh Sewage Permit# (to —3 81 Assessor's Map\Parcel 13 -o&$ Designer: Sv11�1w� ���v�e�-,� • (���-t Installer: Address: 6. i3 a x. C 5`i Address: (=1 On 101 Zy I t 6 'Nct�,LQ was issued a permit to install a (date) (installer) septic system at j z S c0, v 1Et. Ayeiu,,,6 based on a design drawn by (address) w V dated u j►5 t G= / (designer) I certify that the septic system referenced above was installed-substantially according to the design, which may include minor approved changes such as lateral relocation of the distribution box and/or septic tank. Strip out (if required) was inspected and the soils were found satisfactory. I certify that the septic system referenced above was installed with major changes (i.e. greater than 10' lateral relocation of the SAS or any vertical relocation of any component of the septic system)but in accordance with State &Local Regulations. Plan revision or certified as7built by designer to follow. Strip out(if required)was inspected and the soils were found satisfactory. Ue ifat.the system referenced above was constructed ' tdd iance with the terms approval ers(if applicable) � rj�OF n�gssa� JOYN(7' n QVI u)� (Installer's Signature) N''.:E.;6 esigner's Signature) (Affix Designer"i Stamp Here) PLEASE RETURN TO BARNSTABLE PUBLIC HEALTH DIVISION. CERTIFICATE. OF COMPLIANCE WILL NOT BE ISSUED UNTIL BOTH THIS FORM AND AS- BUILT CARD ARE RECEIVED BY THE BARNSTABLE PUBLIC HEALTH DIVISION. THANK YOU. Q:\Septic\Designer Certification Form.Rev 8-14-13.doc Town of Barnstable P# �� OFtHE gyp` Department of Regulatory Services �AENSTABM Public Health Division Date I Y I (o MASS. 9� 059.p � 200 Main Street,Hyannis MA 02601 ,�D C Date Scheduled Time ( !vl Fee Pd. b AN , Soil Suitability Assessment for Sewa a Disposal Performed BY: 1 I sed By: � ap .a LOCAL'ION&;GENERAL INFORMATION`. Location Addres Owner's Name S igza i9 AeuJ��� pobe(t Susan rdo�rtso t�skrvt Ile. Address Gdp Ems+ wes�tns+trt Assessor's Ma /Paroel: �� J$,rC,S+tTL Lpoo P 12) D0 { Engineer's Name im 1 nGZr+ ? L �"(Yjw NEW CONSTRUCTION REPAIR Telephone# Q 2 —3 �J! Land es Use :�� Slopes /o •�,. P (° ) t9"3 /o Surface Stones Distances from: Open Water Body %0 ft Possible Wet Area Uq1 ft Drinking Water Well 5DO'} ft Drainage Way %0 ft Property Line to" ft Other Nk ft SKETCH:(Street name,dimensions of lot,exact locations of test holes&perc tests,locate wetlands in proximity to holes) wasysrevcrVjV,q y z* y �39 dF�9Q�i �= -- - Parent material(geologic) Q i Depth to Bedrock Depth to Groundwater. Standing Water in Hole: Weeping from Pit Face Al Estimated Seasonal High Groundwater 24 DETERMINATION FOR SEASONAL'HIGH WATER TABLE Method used. 5 Depth Observed standing in obs.hole: in. Depth to soil mottles: in. Depth to weeping from side of obs.hole: in. Groundwater Adjustment ft. Index Well# Reading Date: Index Well level Adj.factor Adj.Groundwater Level_ PERCOLATION:TEST: Date; Time Observation t 2 Hole# Time at 9" 3 Depth of Pec Ll I Zy Time�at 6" S Start Pre-soak Time @ Time(9"-6") S End Pre-soak Rate Min./Inch 'W„� 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:\SEPTIC\PERCFORM.DOC DEEP OBSERVATION HOLE LOG Hole#: Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consistency,%Gravel) DEEP OBSERVATION HOLE LOG . ' Hole#>3 Depth from Soil Horizon Soil Texture Soil Color. Soil Other Surface(in.) (USDA) (Mansell) Mottling (Structure,Stones,Boulders. Consistency.%Gravel) FKL- -35--Q)Z C _ `DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Mansell) Mottling (Structure,Stones,Boulders. Consistency.%Gravel) DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consistency,%Gravel) -1ll Flood Insurance Rate Mau: Above 500 year flood boundary No_ Yes Within 500 year boundary No Yes Within 100 year flood boundary No ✓ Yes Depth of Naturally Occurring Pervious Material Does at least four feet of naturally occurring pervious material exist in all areas observed throughout the area proposed for the soil absorption system? If not,what is the depth of naturally occurring pervious material? Certification I certify that on (date)I have passed the soil evaluator examination approved by the 5E Z Department of Environmental Protection and that the above analysis was performed by me consistent with the required training,expertise and experience described in 310 CMR 15.017. Signature Date. iol l— -- Q:\SEPTIC\PERCFORM.DOC TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel Application # l6 �i✓J ����J' -Health Division Date Issued Conservation Division Application Planning Dept. Permit Fee 1 Date Definitive Plan Approved by Planning Board Historic - OKH Preservation/ Hyannis Project Street Address Village s rafu,/ Owner SO'Ad iM��S�N Address WO Telephone T-uti01 Permit Request 0t�a r2n)yt' 3 S�VuO��- AD0 rrti�1�S , A Grnt��CC1-� c�G Iv Square feet: 1 st floor: existing 7-11 proposed o0 2nd floor: existing 1-WI proposed 194 Total new 40 Zoning District —Flood Plain Groundwater Overlay Project Valuation 00,000 .00 Construction Type Wbed> Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family ® Two Family ❑ Multi-Family(# units) Age of Existing Structure V1 Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No Basement Type: 0 Full N Crawl ❑Walkout ❑ Other Basement Finished Area(sq.ft.) - - Basement Unfinished.Area-(snft)_ 20 Number of Baths: Full: existing 3 new Half: existing new Q Number of Bedrooms: 4 existing G new ro Total Room Count (not including baths): existing new U First Floor Room Count Heat Type and Fuel: 4111 Gas ❑Oil O Electric ❑ Other Central Air: W Yes ❑ No � Fireplaces: Existing New O Existing wood/coal stove: ❑Yes Vd No Detached garage: ❑ existing ❑ new ,size—Pool: ❑ existing ❑ new. size _ Barn: ❑ existing ❑ new size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No 1f yes, site plan review # Current Use Proposed Use i�l APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name &Ai2H .J S-W7A Telephone Number Yap 479 Address Po Gt x 310 0 5TV-"1Lt6 License# CS - Home Improvement Contractor# Email 'A4GvLlAAN6 Worker's Compensation # �aS��J��f�j� iD252l6 ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO Zwu-e SIGNATURE DATE ��Il c . . No. Fee (� THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Rpplicatiou for Misposal 6pstem CouslTuotiou permit Application for a Permit to Construct(✓Repair( ) Upgrade( ) Abandon( ) []'Complete System ❑Individual Components Location Address or Lot No. lei Z 5eA-Vft--s� / Owner's Name,Address,and Tel.No. Assessor's Map/Parcel Installer's Name,Address,and Tel.No. Designer's Name,Address,and Tel.No. Type of ding: Dwelling No.of Bedrooms Lot Size I S,�S®� sq.ft. Garbage Grinder(IVW) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) (Q&0 gpd Design flow provided Caro f, gpd Plan Date aNjoer ICI, take Number of sheets 1 Revision Date Title 5tk ?(q,- Ploeg5 S(PhL Size of Septic Tank JSb® 6s�,_ TypeofS.A.S. C,-•' 500 (,A4_(►%,jg4r5 r IZ-1�"x50�e� Description of Soil I5,0&8 Q-qv Nature of Repairs or Alterations(Answer when applicable) Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the n ironmental Code and not to place the system in operation until a Certificate of Compliance has been issue y is Boar of al Si to Application Approved by Date Application Disapproved by Date for the following reasons Permit No. Date Issued Yy, . 1 No. { Fee .V THE COMMONWEALTH OF MASSACHUSETTS N Entered in computer: Yes PUBLIC HEALTH DIVISION - TOWN OF.BARNSTABLE,"MASSACHUSETTS application for Disposal 6pstem Construction Permit Application for a Permit to Construct(✓)' Repair( ) Upgrade( ) Abandon( ) �'(.omplete System El Individual Components Location Address or Lot No. 'CA Z 56A-0*C )6 , ''Owner's Name,Address,and Tel.No. VYb//�7oh Assessor's Map/Parcel f - Installer's Name,Address,and Tel.No. Designer's Name,Address,and Tel.No. 4 Type of B 'u. ding: ! � E Dwelling No.of Bedrooms �e Lot Size S,7 S 0 y sq.ft. Garbage Grinder 04) Other -- Type of Building ti, No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) &(00 gpd Design flow provided GG(a gpd Plan Date a\u\Kr 1q. 1 O1(a Number of sheets Revision Date r Title S ik Z(c.^ t cu u5e,k 5(A C_ Size of Septic Tank ISO o 6a -Type of S.A.S. 5- 560 6* (4k,,, k,,-5 i1,a IZ-1a` xSo-6�` Description of Soil ?'L it- C5,0a8 0-q" 'FltL ((hQS!XL -0k\vE-1A151 i .-07 C, LA7c+, fAco <i\/IjJ Inc �1� Nature of Repairs or Alterations(Answer when applicable) i Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the anvironmental Code and not to place the system in operation until a Certificate of Compliance has been issued this Boar of Halt(. Si Date Application Approved by �J/� �/ Date (/ Application Disapproved by l_ Date for the following reasons Permit No. / Date Issued � r ' --------------------------------------------------------------------------------------------------------------------------------------- THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE,MASSACHUSETTS ' Certificate of Compliance THIS IS TO TIFY,that the On-site Sewage Disposal system Constructed(.�f Repaired( ) Upgraded( ) Abandoned( )by / /y at \► l:.�►J y C� has been conWced ac!?aid awith the provisions of Title 5 and the for Disposal System Construction Permit N . Installer Designer ®#bedrooms (Q Approved design flow gpd 'r'+ The issuance of thisl f W e it shall not be construed as a guarantee that the system will •tion as designed. ti / `j Date I Inspector , ----------- _'_^: ________--_________________________-__-__--______-___ ___-_______________-___________ No. Fee 5 d THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION-BARNSTABLE,MASSACHUSETTS Disposal 6pstem Construction Permit Permission is hereby granted to Construct //Repair( ) � U grade( /) Abandon( ) System located at �,Z SF pt Utz W 4r t/C�'ra and as described in the above Application for Disposal System Construction Permit. The applicant recognized his/her duty to comply with Title 5 and the following local provisions or special conditions. Y r � , I Provided:Construction must b compl/eed within three years of the date of this permit. Date Approved by Y � PROPERTY ADDRESS:-1-9-2 Se iew Ave er.v—i-lle,Mass -------- ---02655 ----------------- On the above date, I inspected the septic system at the above address. This system consists of the following: 1 . 1_1500 gallon septic tank. 2. 2-1000 gallon leaching pits . . 3. 1 -Distribution box. ° Based on m inspection, 1 ce Y p . , rtif the following g conditions: 1 . This is a title five, septic system. ( 78 Code ) 2. The septic system is in proper working order at the present time. 3 . No repairs or pumping needed at this time . t SIGNATURE:_ Name: Joseph—P. Macomber Jr. Company:_J P_Macomber_& Son Inc. tip, rid' Address: 9 Centerville,Mass . 02632 n FC 196 �® Phone 508-775-3338` ` --------------------- A THIS CERTIFICATION DOES NOT CONSTITUTE A GUARANTY OR WARRANTY JOSEPH P. MACOMBER & SON, INC. Tanks-Cesspools-l.eachfields Pumped & Installed Town Sewer Connections P.O. Box 66 Centerville, MA 02632-0066 .775.3338 775-6412 ` . Environmenmi rrvl<cvasa+aa William F.Weld Oa+rtwr � Trudy Coxe • ' S�u l�ry,EOEA David B.Struhs Oonwnluloner SUBSURFACE SEWAGE`DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION Property Address: 192 Seaview Ave Osterville Address of Owner: Date of Inspection: 12/4/95 (If different) Name of Inspector: Joseph P MEeonber Jr. Company Name, Address and Telep6ne umber: J.P.Macomber & Son Inc. Box 66 Centerville-,Mass . 02632 _ 508-7775-3338 CERTIFICATION STATEMENT • 1 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 inspection. The inspection was performed based on my training and experience in the proper function and maintenance of on-site sewage disposal systems.!The system: V/ Passes _ Conditionally Passes _ Needs Further Evaluation By the Local Approving Authority _ Fails 14,t Inspector's Signature: Date: The System Inspector shall submit a copy of this inspection report to the Approving Authority within thirty (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 Department of Environmental Protection. The original should be sent to the system owner and copies sent to the buyer, if applicable and the approving authority. INSPECTION SUMMARY: Check A. B, C, or D: A) SYSTEM PASSES: -jC I have not found any information which indicates that the system violates any of the failure criteria as defined in 310 CMR 15.303. Any failure criteria not evaluated are indicated below. B) SYSTEM CONDITIONALLY PASSES: One or more system components need to be replaced or repaired. The system, upon completion of the replacement or repair, passes inspection. Indicate yes, no, or not determined (Y, N, or ND). Describe basis of determination in all instances. If"not determined", explain why not) The septic tank is metal, cracked, structurally unsound, shows substantial infiltration or exfiltration, or tank failure is Imminent. The system will'pass Inspection if the existing septic tank is replaced with a conforming septic tank as 'U approved by the Board of Health. (revised 6/15/95) One Winter Street 0 Boston,Massachusetts 02108 • FAX(617)SWI049 9 Telephone (617)292-5500 U-1 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address: 192 Seaview Ave Osterville ,Mass . Owner: Attorney Donald Wright Date of Inspection: 12/4/9 5 B) SYSTEM CONDITIONALLY PASSES (continued) .9 Sewage backup or breakout or high stati;water level observed in the distribution box is due to broken or obstructed pipe(s) or due to a broken, settled or uneven distribution box. The system will pass inspection if(with approval of the Board of Health): broken pipe(s) are replaced obstruction is removed distribution box is levelled or replaced The system required pumping more than four times a year due to broken or obstructed pipe(s). The system will pass inspection if(with approval of the Board of Health): brokempipe(s) are replaced obstruction is removed C) FURTHER EVALUATION IS REQUIRED BY THE BOARD OF HEALTH: At Conditions exist which require further evaluation by the Board of Health in order to determine if the system is failing to protect the public health, safety and the environment. 1) SYSTEM WILL PASS UNLESS BOARD OF HEALTH DETERMINES THAT THE SYSTEM IS NOT FUNCTIONING IN A MANNER WHICH WILL PROTECT THE PUBLIC HEALTH AND 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 APPROPRIATE) DETERMINES THAT THE SYSTEM IS FUNCTIONING IN A MANNER THAT PROTECT THE PUBLIC HEALTH AND SAFETY AND THE ENVIRONMENT: 00 1 f ' The s\'SIPn\ nd! d %tiUllL WilkdllU �Uli dU�UrtlllUll Sy$lEnS andfi \\ithiil vv 2ci to a SUrfaCI.' water SUppi}"Cf tr uu:ar'j (C a surface water supply. The system has a septic tank and soil absorption system and is within a Zone I of a public water supply well. dm The system has a septic tank and soil absorption system and is within 50 feet of a private water supply well. AD The system has a septic tank and soil absorption system and is less than 100 feet but 50 feet or more from a private water supply well, unless a well water analysis 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• D) SYSTEM FAILS: Alf) I have determined that the system violates one or more of the following failure criteria as defined in 310 CMR 15.303. The basis for this determination is identified below. The Board of Health should be contacted to determine what will be necessary to correct the failure. &)Q Backup of sewage into facility or system component due to an 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. (revised 8/15/95) 2 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address: 192 Seaview Ave Osterville,Mass . Owner: Attorney Donald Wright Date of Inspection: 12/4/9 5 o . . D) SYSTEM FAILS (continued): A2P Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool. d4 Liquid depth in cesspool is less than 6" below invert or available volume is less than 1/2 day flow. 41L Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s). Number of times pumped BA I%ny portion of the Soil Absorption System, cesspool or privy is below the high groundwater elevation. 1�D Any portion of a 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 I of.a public well. Any portion of a cesspool or privy,is within 50 feet of a private water supply well. AM 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. If the well has been analyzed to be acceptable, attach copy of well water analysis for coliform bacteria, volatile organic compounds, ammonia nitrogen and nitrate nitrogen. E) LARGE SYSTEM FAILS: The following criteria apply to large systems in addition to the,criteria above: A-) The design flow of system is 10,000 gpd or greater (Large System) and the system is a significant threat to public health and safety and the environment because one or more of the following conditions exist: Q� 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 AA JLW 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; The owner or operator of any such system shall bring.the system and facility into full compliance with the groundwater treatment program requirements of 314 CMR 5.00 and 6.00. Please consult the local regional office of the Department for further information. (revised 8/15/95) 3 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B CHECKLIST Property Address: 192 Seaview Ave Ost.erville ,Mass . Owner: Attorney Donald Wright(,'" Date of Inspection: 1 2/4/9 5 0 Check if the following have been done: Pumping information was requested of the owner, occupant, and Board of Health. None or the system components have been pumped for at least two weeks and the system has been receiving normal flow rates during that period. Large volumes of water have not been introduced into the system recently or as part of this inspection. _/As built plans have been obtained and examined. Note if they are not available with N/A. YThe facility or dwelling was inspected for signs of sewage back-up. the system does not receive non-sanitary or industrial waste flow YThe site was inspected for signs of breakout. ~-r 2AII system components,Acluding the Soil Absorption System, have been located on the site. i/The septic tank manholes were uncovered, opened, and the interior of the septic tank was inspected for condition of baffles or tees, material of construction, dimensions, depth of liquid, depth of sludge, depth of scum. , The size and location of the Soil Absorption System on the site has been determined based on existing information or approximated by non-intrusive methods. ZThe facility ov.ne: Land occupants, if different from owner) were provided with information on the proper maintenance of Sub- Surface Disposal System. (revised 8/15/95) 4 • o- V SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION Property Address: 192 Seaview Ave Osterville,Mass . Owner: Attorney Donald Wright ( McCarthy ) Date of Inspection: 12/4/9 5 FLAW CONDITIONS RESIDENTIAL: ' Design flow: I N'� b tal ons pQrd*` Number of bedrooms: Number of current residents:Q Garbage grinder(yes or no):_h)Q Laundry connected to system (yes or no):&i Seasonal use (yes or no):4� Water meter readings, if available: 7 — ARZ 456 S,d .5 Last date of occupancy:ahL r, COMMERCIAUINDUSTRIAL: Type of establishment: AIR Design flow:AM gallons/day Grease trap present: (yes or no)a Industrial Waste Holding Tank present: (yes or no)A29 n-sanitary waste discharged to the Title 5 system: (yes or no)Alh eater meter readings, if available: L!i4 Last date of occupancy: OTHER: (Describe) Last date of occupancy: GENERAL INFORMATION PUMPING ECORDS and s urc f information: System pumped as pan of inspec�tion: (yes or no)Atp If yes, volume pumped. A� gallons Reason for pumping: TYPE O�-SYSTEM Septic tank/distribution box/soil absorption system 14 Single cesspool Overflow cesspool Privy , Shared system (yes or no) (if yes, attach previous inspection records, if any) Other(explain) APPROXIMATE AGE of all components, date installed (if known) and source of information: rage odors detected when arriving at the site: (yes or no)AD (revised 8/15/95) S SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C. SYSTEM INFORMATION (continued) Property Address:192 Seaview Ave Osterville ,Mass . Owner: Attorney Donald Wright ( McCarttiy ) Date of Inspection: 12/4/9 5 SEPTIC TANK: (locate on site plan) Depth below grader /� Material of construction: t/concrete _metal _FRP—other(explain) Dimensions: /� Sludge depth: Distance from tT1511sludge to bottom of outlet tee or baffleA&Iotl Scum thickness: Distance from top of scum to top of outlet tee or baffler Distance from bottom of scum to bottom of outlet tee.or baffle:y"l2_ Comments: (recommendation for pumping, condition of inlet and outlet tees or baffles, depth of liquid level in relation to outlet invert, structural integrity, evidence of leakage, etc.) _ tees are structura y oun , iqui in relation to outiet i•nver _----7T" ;Tank is structurally sound without any signs of eakae. o re- pairs needed at this time . GREASE TRAP-W (locate on site plan) Depth below grade: Material of constructiony( concrete _metal _FRP'_other(explain) Dimensions: Scum thickness: Distance from top of scum to top of outlet tee or baffle: Distance from bottom n( scum In bottom of outlet tee or baftle:-&-L Comments: (recommendation for pumping, condition of inlet and,outlet tees or baffles, depth.of liquid level in relation to outlet invert, structural integrity, evidence of leakage, etc.) ALAJ#Oj x (revised 8/1s/95) 6 SUBSURFACE SEWAGE DISPOSAL.SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: 192 Seaview Ave Osterville ,Mass . Owner: Attorney Donald Wright. ( McCarthy ) Date of Inspection:12/4/9 5 TIGHT OR HOLDING TANK:a e ' (locate on site,plan) Depth below grade: 00 Material of construction:A�#oncrete_metal _FRP—other(explain) AM Dimensions: A)tA Capacity: AM gallons Design flow: allons/day Alarm level: AM Comments: (condition of inlet tee, condition of alarm and float switches, etc.) DISTRIBUTION BOX-S (locate on site plan) Depth of liquid level above outlet invert: AJQ Comments: (note ii level and distribut,ui. i,equal, evidence of solids carryover, evidence of leakage into or out of box, etc.) Distribution box is levMno evidence of solids carry over no evidence oT leakage in or out of the ox. No repairs are needed at this time. PUMP CHAMBER: (locate on site plan) Pumps in working order,(yes or no).& Comments: (note condition of pump chamber, condition of pumps and appurtenances, etc.) (revised 6/15/95) 7 e SUBSURFACE SEWAGE DISPOSAL,SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: 192 Seaview Ave Osterville ,Mass . Owner: Attorney Donald Wright ( McCarthy ) Date of Inspection: 1 2 4 9 5 SOIL ABSORPTION SYSTEM(SAS)k9 • , ' (locate on site plan, if possible; excavation not required; but I may be approximated by non-intrusive methods) If not determined to be present, explain: Type: leaching pits, number:—Al leaching cham5ers, number._ leaching galleries, number: leaching trenches, number,length: leaching fields, number, dimensions: overflow cesspool, number: Comments: (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation,etc.) Loamy sand to medium sand•No signs aii vege a ion is normal No repairs reeried at this %!me CL,;OOLS: OP$ (locate on site plan) Number and configuration: 1017 Depth-top of liquid to inlet invert: 19191 Depth of solids layer: Ala Depth of scum layer. Dimensions of cesspool: Materials of construction: Indication of groundwater: {L,) inflow(cesspool must be pumped as part of inspection) Comments: (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.) 1LkaJ�e.. PRIVY:/&&/)— (locate on site plan) Materials of construction: Dimensions: Depth of solids:.Vl# Comments: (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.) /haw (revised 6/15/95) 8 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: 192 Seaview Ave Csterville ,Mass . Owner: Attorney Donald Wright ( McCarthy ) Date of Inspection: 12/4/9 5 SKETCH OF SEWAGE DISPOSAL SYSTEM: . include ties to at least two permanent references landmarks or benchmarks locate all wells within 100' Town Water 1 v. f Ai— ry _ �- h v DEPTH TO GROUNDWATER Depth to groundwater. 61 t + feet method of determination or approximation: Test hole when system installed. 12 ' no water encountered. Plan on�iTe' a the Barnstabie heaItH Departmen (revised 8/25/95) 9' ll rrnrr -rs rra�-rr tsxr.-.�r:•+sxsr--trr-.r.:-:r.irsrr:rrr- ..-:ca-srl r.�•rer..-- ._ ._. .- .-. .�._.. TOWN OF Barnstable BOARD OF HEALTH SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM - PART D •- CERTIFICATION M . � �•.•rr•;-•r••..-::t--::r.^.---:.r.-n•r,:-:-:•.-sir.-.-rs-^r•.^.--....... ----r+rxr_.—rx-ra—e--T—=srssnrsr-rarxsm zrcrrrsrrrs--rrr.:rrr..•.-rrr•r.•-: JI -TYPE OR PRINT CLEM)'- PROPERTY INSPECTED STREET ADDRESS 192 Seaview Ave nsterville Mass . ASSESSORS MAP, BLOCK AND, PARCEL # OWNER' s NAME Attnrney anald Wright, f MnCsrthv ) PART D '- CERTIFICATION •I NAME OF INSPECTOR Joseph P.Macomber Jr. . COMPANY NAME J.P.Macomber & Son Inc. COMPANY ADDRESS Box 66 Centerville ,Mass . 02632 Street Town or City State LIP COMPANY TELEPHONE 1508 � .: 775 - 3338 FAX (508 � 790 _ 1578 m CERTIFICATION STATEMENT I certify that I have personally inspected the sewage disposal system at this address and that the information reported is true, accurate, and _ complete as of the time of .iinspection . The inspection was performed and any recommendations regarding upgrade , maintenance , and repair are consistent with my training and expe*-rience in the proper function and maintenance of on- site sewage disposal systems . Check one: XXXU Systeui PASSED The inspection which I have conducted has not found any information which indicates that the system fails to adequately protect public health or the environment as defined in 310 CMR 15 . 303 . Any failure criteria not evaluated are as stated in the FAILURE CRITERIA section of this form . System FAILED* The inspection which . I have conducted has found that the system fails to protect the public health and the environment in accordance with Title 5 , 310 CMR 15 . 303 , and as specifically noted on PART C - FAILURE CRITERIA of this inspection form , Inspector Signature Date 12/•4/95 'aTr iL•�ram.�—__ ._.�. �. One copy of this certification must be provided to the OWNER, the BUYER ( where applicable ) and the BOARD OF 11BAL1'lt. * If the inspection FAILED,. the owner or"'operator shall upgrade ' the ayetem within one Year of the date of the inspection, unless allowed or required otherwise as provided in -310 CMR 15 , 305 . r s � Ln S 1 THE COMMONWEALTH OF MASSACHUSETTS DEPARTMENT OF ENVIRONMENTAL PROTECTION BE IT KNOWN THAT Joseph P. Macomber, Jr. Has satisfied the Department's qualifications as required and is hereby ._authorized to use the title CERTIFIED TITLE 5 SYSTEM INSPECTOR as provided in 310 CMR 15.340 and Section 13 of Chapter 21A of the f General Laws. Issued by The Department of Environmental Protection. June 8, 1995 Acting Director of the • ion of Water Pollution Control be fL Commonwealth of Massachusetts.11111 RECEIV� Executive Office of Environmental Affairs e artment ®f OCT 1y9� a N 0M Environmental Protectio t William F.Weld Govemor , 6 Trudy Coxe David B. Struhs Commissioner SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION Property Address: Address of Owner. �1R.1Zo �� °22tS�r1 Date of Inspection: SEeT, 1a3 ci�i� (If different) 60c.,�'Zas �}!���Jn�ZTC Col Name of Inspector:'-&w ce (Zck�Cc-, ��c� Lt3Re l�o2e�T�i�. (30, 5 Company Name, Address and Telephone Number: Shoot c;<� Consl, SliTJ.-.'). S%. CERTIFICATION STATEMENT �5 1N.r�A\r,; t�ta• 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 inspection. The inspection was performed based on my training and,experience in the proper function and maintenance of on-site sewage disposal systems. The system: Passes Conditionally Passes Needs Further Evaluation By the Local Approving Authority Fails Inspector's Signature:/) J /p//7 Dater The System Inspector shall submit a copy of this inspection report to the Approving Authority within thirty (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 Department of Environmental Protection. The original should be sent to me system o\vner and copies sent to the buyer, if applicable and the approving authority. INSPECTION SUMMARY: Check A, B, C, or D: A) SYSTEM PASSES: _A_ l have not found any information which indicates that the system violates any of the failure criteria as defined in 310 CMR 15.303. Any failure criteria not evaluated are indicated below. BJ SYSTEM CONDITIONALLY PASSES: One or more system components need to be replaced or repaired. The system, upon completion of the replacement or repair, passes inspection. Indicate yes, no, or not determined (Y, N, or ND). Describe basis of determination in all instances. If"not determined", explain why not) _ The septic tank is metal, cracked, structurally unsound, shows substantial infiltration or exfiltration, or tank failure is imminent. The system will pass inspection if the existing septic tank is replaced with a conforming septic tank as approved by the Board of Health. (revised 8/15/95) 1 One Winter Street o Boston, Massachusetts 02108 a FAX(617)5545 1049 a Telephone(617)292-5500 V,J Printed on Recycled Paper a " SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A off, CERTIFICATION (continued) Property Address: ����'Slt��.�e.j (Sve-- Owner: Date of Inspection: SC BI SYSTEM CONDITIONALLY PASSES (continued) _ Sewage backup or breakout or high static water level observed in the distribution box is due to broken or obstructed pipe(s) or due to a broken, settled or uneven distribution box. The system will pass inspection if(with approval of the Board of Health): broken pipe(s) are replaced obstruction is removed distribution box is levelled or replaced _ The system required pumping more than four 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 CI 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 prot(!ct the public health, safety and the environment. 1) SYSTEM WILL PASS UNLESS BOARD OF HEALTH DETERMINES THAT THE SYSTEM IS NOT FUNCTIONING IN A MANNER WHICH WILL PROTECT THE PUBLIC HEALTH AND 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 APPROPRIATE) DETERMINES THAT THE SYSTEM IS FUNCTIONING IN A MANNER THAT PROTECT THE PUBLIC HEALTH AND SAFETY AND THE ENVIRONMENT: _ The system nas a septic tank and soli absorption system and is within 100 feet to a surface wales supply or tributary iG d surface water supply. _ The system has a septic tank and soil absorption system and is within a Zone I of a public water supply well. _ The systen, has a septic tank and soil absorption system and is within 50 feet of a private water supply well. _ The system has a septic tank and soil absorption system and is less than 100 feet but 50 feet or more from a private water supply well, unless a well water analysis 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• D] SYSTEM FAILS: I have determined that the system violates one or more of the following failure criteria as defined in 310 CMR 15.303. The basis for this determination is identified below. The Board of Health should be contacted to determine what will be necessary to correct the failure. Backup of sewage into facility or system component.due to an 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. • 2 (revised 8/15/95) SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address: \�'�a S eYaU c---j �\Ve— Owner: (`vbc�� \`�soc�Son Date of Inspection: SccT �a, \�S6 D] SYSTEM FAILS (continued): ' 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 1/2 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 Soil Absorption System, cesspool or privy is below the high groundwater elevation. Any portion of a cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply. Any ponion of a cesspool or privy is within a Zone I of a public well. Any portion of a cesspool or privy is within 50 feet of a private water supply well. water I well with no _ Any portion of a cesspool or privy is less than 100 feet but greater than SO feet from a private ate supply t acceptable water quality analysis. If the well has been analyzed to be acceptable, attach copy of well water analysis for coliform bacteria, volatile organic compounds, ammonia nitrogen and nitrate nitrogen. E] LARGE SYSTEM FAILS: The following criteria apply to'large systems in addition to the criteria above. The design flow of system is 10,000 gpd.or greater (Large System) and the system is a significant threat to public health and safety and the environment because one or more of the following conditions exist: 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 welll The owner or operator of any such system shall bring the system and facility into full compliance with the groundwater treatment program requirements of 314 CMR 5.00 and 6.00. Please consult the local regional office of the Department for further information. (revised 8/15/95) 3 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B CHECKLIST Property Address: \q_a S eca,,�e,j Owner: R`� T \lact�tso 1 Date of Inspection: -S�1�T. lay lei°i� Check if the following have been done: 4z4u-mping information was requested of the owner, occupant, and Board of Health. one of the system components have been pumped for at least two weeks and the system has been receiving normal flow rates during that period. Large volumes of water have not been introduced into the system recently or as part of this inspection. �_/As built plans have been obtained and examined. Note if they are not available with N/A. The facility or dwelling was inspected for signs of sewage back-up. J,L�he system does not receive non-sanitary or industrial waste flow ,'fhe site was inspected for signs of breakout. A,L"AII system components, excluding the Soil Absorption System, have been located on the site. Z—The septic tank manholes were uncovered, opened, and the interior of the septic tank was inspected for condition of baffles or tees, material of construction, dimensions, depth of liquid, depth of sludge, depth of scum. ZThe size and location of the Soil Absorption System on the site has been determined based on existing information or approximated by non-intrusive methods, he facili,) o,%nc: (and occupants, if different. from owner) were provided with information on the proper maintenance of Sub- Surface Disposal System. (revised 8/15/95) 4 I , t SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION Property Address: Okla C, Owner: �2��jc�l IOrc �jJ� Date of Inspection: k o�of b . FLOW CONDITIONS RESIDENTIAL: Design flow: :. 30 allons Number of bedrooms: .3 Number of current residents: L1 Garbage grinder (yes or no):_ Laundry connected to system (yes or no):-(f-J Seasonal use (yes or no):-�kS Water meter readings, if available: Last date of occupancy: O%1 ci... Z h ��y� S rv\(v\SL w c�1�,�� nr <<- S e( COMMERCIAUINDUSTRIAL: Y Type of establishment Design flow: gallons/day Grease trap present: (yes or no)_ Industrial Waste Holding Tani: 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: OTHER: (Describe) Last date of occupancy: GENERAL INFORMATION PUMPING RECORDS and source of information: System pumped as pan of inspection: (yes or no)�O If yes, volume pumped gallons Reason for pumping. TYPE OF SYSTEM Septic tank/distribution box/soil absorption system Single cesspool Overflow cessnool Privy Shared system (yes or no) (if yes, attach previous inspection records, if any) Other (explain) APPROXIMATE AGE of all components, date installed (i(known) and source of information: cl�cl� J)a(e/1- 6,Ar�o Sewage odors detected when arriving at the site: (yes or no) �V (revised Bi15/95) 5 .A SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: \C\ C)ZVI,", Owner: Date of Inspection: SEPTIC TANK:_ (locate on site plan) a Depth below grader Material of construction: ncrete metal _FRP —other(explain) Dimensions Sludge depth: 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: N//} Distance from bottom of scum to bottom of outlet tee or baffle: N"lA Comments: (recommendation for purnping, condition of inlet and outlet t/ baffles, depth of liquid level in relation to outlet invert, structural integrity, evidence of leakage, e(c.) �i�i7h r cyin � ,ra7i fir 3 9 00 co,-to, ;,i GREASE TRAP:_ (locate on site plan) Depth below grade.____. Material of construction. ,concrete metal _FRP other(explain) Dimensions: _ Scull-, thicknea. Distance from top of scum to top of outlet tee or baffle: Distance from bottom r11 crwn iri b(rttorn of owlet tee or battle Comments: (recommendation for pumping, condition of inlet and outlet tees or baffles, depth of liquid level in relation to outlet invert, structural integrity, evidence of leakage, etc.r (revised 8/!5/95) 6 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION.FORM PART C I ` SYSTEM INFORMATION (continued) Property Address: , 1� S QAv%e,'j ( v,e"•- d�\e� , \\�. Owner: Date of Inspection: lOn TIGHT OR HOLDING 'TANK:_ (locate on site plan) Depth below grade: Material of construction: _concrete _metal _FRP other(explain) Dimensions: _ Capacity: gallons Design flow: gallons/dad Alarm level: Comments: (condition of inlet tee, condition of alarm and float switches, etc.) DISTRIBUTION BOX:�,- (locate on site plan) Depth of liquid level above outlet inven:. E lj N Comments: (note if le e' and dav:b.:rr c; : e� ;dto r —lid, ca,vnver, evidence of leakage into or out of box etc t . / O�/6,a.� o�Aay Ord-)k1j', PUMP CHAMBER: (locate on site plan) Pumps in working order.(yes or no) Comments: (note condition of pump chamber, condition of pumps and appurtenances, etc.) (revised 8/15/95) 7 7 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: CL �tw`e..S a" Os�e,; Owner: Date of Inspection: S SOIL ABSORPTION SYSTEM (SAS):_ (locate on site plan, if possible; excavation not required, but may be approximated by non-intrusive methods) If not determined to be present, explain: Type. 6 h6 leaching pits, number: a " leaching chambers, number:_ leaching galleries, number: leaching trenches, number,length: leaching fields, number, dimensions: overflow cesspool, number: Comments: (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation,etc.) CESSPOOLS: _ (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 groundv,ate+. inflow (cesspool must be pumped as part of inspection) Comments: (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.) PRIVY: _ (locate on site plan) Materials of construction: Dimensions: Depth of solids: Comments: (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.) • (revised 8/15/95) 8 l-1 ` SUBSURFACE SEWAGE DISPOSAL SYSTEM.INSPECTION FORM PART C SYSTEM INFORMATION (continued)., Property Address: \ .5 t---)kL, c�1 Owner: Date of Inspection: — St�—Pt, SKETCH OF SEWAGE DISPOSAL SYSTEM: include ties to at least two permanent references landmarks or benchmarks locate all wells within 100' `l <... SL.rjv� �c - A Y � Co?Pry�� DEPTH TO GROUNDWATER {P, I Depth to groundwater: 4x feet method of determination or approximation: b 5. (revised 8/15/95Y 9 N TOWN OF BARNSTABLE L0 74TION -/ 4 !'! P�'CJ SE`NAGE #_ SIIL lAGE ASSESSOR'S MAP & LOT 7-2 _ o '(: INSTALLER'S NAME & PHONE u SEPTIC TANK CAPACITY LEACHING FACILITY:(type) j-0 U g II, NO. OF BEDROOMS __PRIVATE WELL OR PUBLIC WATER Z BUILDER OR OWNER YGl DATE PERMIT ISSUED: DATE COMPLIANCE ISSUED- VARIANCE GRANTED: Yes No t n� � 0`�P � o� /�o�vgr �� �� .� � � E� t � .� _ � - -� - ASSESSORS MAP NO: No---7n4= -7 PA ;EI.i��t:;:.._ '..�. .. G Fss: THE COMMONWEALTH OF MASSACHUSETTS. BOAR® OF HEALTH TOWN OF BARNSTABLE, Appliration for Disposal Works Tonstrurtinn Errant Application is hereby made for a Permit to Construct ( ) or Repair ( Individual Sewage Disposal System at �a d`� .... _.................. .... 1 ��-............................ � ....'S_ -- � ......... Location- 4dress or Lot No. ------- .—Co ... � ��t � ................. ....................... ------------.......................... /�� / Owner t AJdress .� M ,Wa G;'�` ''/�`"" '.1�t1/5 .......... ...... �--------------`�- ----....._-`�.. j...L2t f. Installer Address Type of Building Size Lot............................Sq. feet V Dwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( ) `4 Other—T e of Building No. of persons............................ Showers — Cafeteria a Other fixtures -----------------------------------------•••-- W Design Flow............................................gallons per person per day. Total daily flow............................................gallons. W Septic Tank—Liquid'capacity--_--__•___-gallons Length................ Width................ Diameter---------------- Depth................ x Disposal Trench—No..................... Width............._...... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No-------------------_ Diameter-.__-___-___--_-.... Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) Percolation Test Results Performed by.......................................................................... Date........................................ Test Pit No. 1----------------minutes per inch Depth of Test Pit.................... Depth to ground water........................ 44 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ P4 .................................................. ......................................................... 0 Description of Soil........................................................................................................................................................................ x ---- --- - - - - - - - - -- V Nature of Re airs or Al eratio s—Answer vyhen a plicable G� � �`__._. >Vep__C-__....__.G__, :.5 A Agreement: Z The undersigned agrees to,install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Environmental Code—The undersigned further agrees not to place the system in operation until a Certificate of Complia�ncXasiss�edb e board o health;. ,Signed `y ! �� F � — �O ......................... Date Application Approved BY 0-" _"_1i1_+�- J---------------------------------------- Date Application Disapproved for the following reasons- ..................................-------------------------------------------------------------------------- -- -- --- --- ---- ---- ----------------------------------------------------------------------------------------- Date PermitNo. ------ - o--------5.7-3-- ---------------- Issued ------------------------------------------------------------------- Date J -7 Q © 0No..qr.!_. -•f_.') Fxs ._............._ THE COMMONWEALTH OF MASSACHUSETTS BOARD1 OF HEALTH TOWN--OF=BARN STABLE } Appliration for Disposal Works Cnnns /trnrtion Frrutit Application is hereby made for a Permit to Construct ( ) or Repair ( an Individual Sewage Disposal System at: ... - -- - - -� Locatron-Address or Lot No. ........... ....Z�: �------------------- ---------------------------------------------------------------- ------ a ./ O-w ne .. j .....................••......--- .. _�, .... : .....................Z ����A�dress l....(..... ' 'In—staler Address d Type of Building Size Lot............................Sq. feet U Dwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( ) a Other=-T e of Building No. of persons__•--__________-__•_--_-__ Showers — Cafeteria Other fixtures --------------------------•---- - W Design Flow............................................gallons per person per day. Total daily flow............................................gallons. WSeptic Tank—Liquid capacity............gallons Length................ Width--------------. Diameter________________ Depth................ x Disposal Trench—No..................... Width.................... Total Length.................... Total leaching area....................sq. ft. 3 Seepage Pit No..................... Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) aPercolation Test Results Performed by.......................................................................... Date---------------------------- •---••-- Test Pit No. 1................minutes per inch Depth of Test Pit.................... Depth to ground water________•____-----_--_. pl� Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ Pd -- ODescription of Soil...............................................................................--------------------------------------------------------------------------------------•- .x V ........---•---------•---------------•--•••--•-•-----------•--------••--------------••-•........----•----...-------•------------------------••--•--------•----••--•--------------•---•••••......---•----- VW ---- -- ----------------------------------------------------------------------- -•------•---•-•-•----•---- = �' = ........... . Nature of Repairs or Alterations—Answer when applicable._ r, _.` �"_____, �f .. /_.__�/ __ .... � — ---•---'===<- 7'nstaJ �..��.. r;,:. J �----------••------- gr emeThe undersigned agrees tol the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Environmental Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been issued by -he board of;health. Signed -� ................ ... .........._. /...�--./te Application Approved BY 0.---�--- Application Disapproved for the ollowre ing reasons: ---------------------------------------------------------------------------------------------------------- - --- ---------- --- ------------------------------- --- ------------------------------------------------- ---------------------------------- --- -- ------------------------------------------------------------ --------------------------------------- �y Dace { Permit No. --........9 .n---------- --- - Issued Daze THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE (11elrtifira e of C�II Ii x�ce THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired b . ..� .-- -- -- - ------------------------------------------------------------------------------------------------------- (.f�w� � Installer at ...................�d 2.......-.- e- ... .. /' ..�.....5�` // ---------- , has be n installed in accordance with the provisions of TITLE 5 of The State Environmental Code as described in the application for Disposal Works Construction Permit No. ----.--_.q -..��.. �:�'��. dated -._ ...................................... THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. } DATE..... .... - -- D ........... Inspector ----------- --------- -- ----------- - THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE No.....�c`c:...X���3 FEE. ................ Disposal Works Tonfrurtton rrntit Permission is hereby granted--- ....................................,-........................................ to Construct ( ) or Repair ( GJ,an Individual Sewage Disposal ystem d'— j �•---'(�- f -•- j -L��']�"�-------•-•-----Street-J�---C�- •-- •-•• as shown on the application/for Disposal Works Construction Permit No.__,%_!_... �i Dated.......................................... •................................... 1 ................................................... DATE................. oard of Health ,..._.r../�°-.. ------------------------------- \/ FORM 36508 HOBBS&WARREN.INC..PUBLISHERS THE COMMONWEALTH OF MASSACHUSETTS BOARD O H�TH .............OF......................................................................................... Applirathin for Dhipv ial Workii Towitrurtion ramit Application is hereby made for a Permit to Construct ( ) or Repair ( an Individual Sewage Disposal System at: S .._.:.�.... ........ .....-- - .......... ........ .......................................... Location-Address or Lot No. ....... - -.. . ............ .............................................. ner ress W Installer Address Type of Building Size Lot............................Sq. feet U Dwelling—No. of Bedrooms......... ..........................Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ............................ No. of persons...._....................... Showers ( ) — Cafeteria ( ) f-4 Other fixtures ................................ W Design Flow.....................................................................................gallons per person per day. Total daily flow............................................gallons. WSeptic Tank—Liquid capacity............gallons Length................ Width................ Diameter................ Depth................ x Disposal Trench—No. .................... Width.............. Total Length.................... Total leaching area....................sq. ft. Seepage Pit No--------------------- Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box. ( ) Dosing tank ( ) Percolation Test Results Performed by.......................................................................... Date........................................ Test Pit No. 1................minutes per inch Depth of Test Pit.................... Depth to ground water........................ Gz, Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ n4 ---•--------•-•----•-----•---------•.................................•-••----•-•....-•---•-------•••--•-•-•••---•-••-•--...............------ -•••-•--•-- 0 Description of Soil........................................................................................................................................................................ U ------------------------------------------------•-----------------------•-------•-------•-•-------------•-•i r� ---------- -----••----•--- •--•-••--•-••-- U Nature of Repairs or Alterations—Answer when applicabl ._, .s ..._��Od...._.._ ....�c` r`�14t,f Agreement: o� The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of iITIS 5 of the State Sanitary Code— The.undersigned further agrees not to place the system in operation until a Certificate of Compliance has been ' seethe bo of health. /?— 5 Signed. --.............. Date Application Approved Brwing � 1_7—..-1�..- PF PP Y . . .....-- Date ApplicationDisapproved for the fasons:.....::.....................................................................................Da..---..._._...............................•-•---•••••-•--••••----••••.... --••---•-•--...--•._.....---•-•---•--•-•---•--r-----••...•-----............................. ............................ Date PermitNo......................................................... Issued.................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEA H Appliratiun for Bhipo,ittl urki C�owitrurtion Prrutit Application is hereby made for a Permit to Construct ( ) or Repair ( A,--an Individual Sewage Disposal System at: Locationyddress ..or Lot No. - �t�L,- _......----•----------------•-..._ ....... �� ner ddress W -•ley...= ......-•...............•----•--- - ...... a Installer Address d Type of Building Size Lot............................Sq. feet U Dwelling—No. of Bedrooms........... _._..Expansion Attic ( } Garbage Grinder ( ) `4 Other—Type e of Building No. of persons............................ Showers (� YP g -----•---------•------------ P ( ) Cafeteria ( ) a' Other fixtures .................................. W Design Flow............................................gallons per person per day. Total daily flow............................................gallons. WSeptic Tank—Liquid capacity............gallons Length................ Width................ Diameter................ Depth................ x Disposal Trench—No..................... Width.................... Total Length_............._..... Total leaching area....................sq. ft. 3 Seepage Pit No--------------------- Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) aPercolation Test Results Performed by.......................................................................... Date........................................ Test Pit No. I................minutes per inch Depth of Test Pit..................:. Depth to ground water......................... (T, Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ a •-•••-••-•••-------------•--•-----•-••-•-••----•...•--•...••••-•-•-•-------•••-•.......------------.......................................................... 0 Description of Soil........................................................................................................................................................................ x U .....-•••••••-•••--••--.....-•-.........--•---••-•-••...••---••-•-•-•-••--•--....-•-•-•---....----•••---•.............••... ......-•---------• ......................................................... w ---- x �, U Nature of Re airs or Alterations Ans)ver when plicable_,,4_,2t � .____..15r_. .__...5 ._. Agre ent: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System.in accordance with the provisions of TI'IE 5 of the State Sanitary Code—.The undersigned further agrees not to place the system in operation until a Certificate of Compliance has bO n issued y the boar f health. Signed- -••• .............•---......... ..... . Date Application Approved By.............. :@� ..^- Date wing reasons:.............................................•..............____...._._.__._.._..._....................._..... _ Application Disapproved for the fo�l ............................................................. .......••-•-------------.__._........_._.._.............................. ............................................Date.................... PermitNo........................................................ IssuecL....................................................... Date THE COMMONWEALTH OF MASSACHUSETTS _ BOARD OF HEALTH ..... C3 'f .........OF..... 12 ....................................... (Irdifiratr of f�um Mtrr THIS I ,CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired b ... ( ) y -- ......... . Y .......1� --------------------------------------:......------------------------------------...•..----------------........ ' / -� - AI�nst�lez � ,�� i has been installAd in accordance with the provisions of TITLE 5 of The State Sanitary Code as described in the application for Disposal Works Construction Permit No____________ __ _ "' . (__. a dated.......e�.477. THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL, FU CTIO SATISFACTORY. L-) DATE................- -•---•-•F .... : ............................ Inspector...... - ----•------------------------•---------- THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH l �WYV 1j`1)C J��( =! ............ .......................0 F.... ........................... No......................... FEE........................ Disposal Works Tunutrurtiun f rrmit Permission is hereby granted...................... ..... if W.I. ...----.....-•----.........................----...--•-•-............... to Construct ( ) or Repair ( ) an Individual Sewage Disposal System atNo............................................................................----••--••-••...._..-•••--•---•-----••••--•-•---•••---••....•----•-••-•.....................••-•-•_.-••....._---•-- Street 1 as shown on the application for Disposal Works Construction Permit No �--0-TIPbated....._....[1.11.2.�(.Q��........ ......••• t1r� ., ;� Board of Health /DATE................h 1.1 � d FORM 1255 A. M. SULK]N^ZINC BOSTON u U z 0 W<(o Bea " (/�/ pQ COc, ( m f�(") M (n N NEW ADDITION ,ra 14•a era Y 261 I I ~�W=;R ® o ca Uv2au- 0 NEW WINDOW TO Fsg € aso �� MATCH E%D TING WINDOW-1 IND GABLE END WINDOW g jQo ez Fa;���a. _____________________________________ - EXIST. �s�oBg$R' ae ------- - '8-S 1 u r II Ha�P T NEWo�o � yse€o� g I � CLOSET =c�s sa s 85.3 0 _ REMODELED III TALL MASTER BULKHEAD f ENCLOSURE i�\ _ MOD BEDROOM A MI.BATW 1 - '4'-1•�"`, 11 3'-1lY n 3 a II � Z 8 O I IIII . _______ ____� r_ ____ ___ w2 _________________________ L_________ ____________-___ IIII II O EWTILE 11 II SH WER II Q ..5 Y4 IFI a 5 4.� - IQao Iwl O �Itl�' I I� i ffi. 7 r� - i-, - t'II _ �UI N I IUP I AIR 1.4-13 --- - 11'3 3'-2•S tEW SLOPED PILASTER 1 �•1 NEW ILINGINSTNEW 6a T BACK 5,$• 1� PELLA SLIDER LRELO STING WALL. TEEL BEA NSTALL NEWEL& NEWADDITION APPED 2xB ,tA5 t TO BE , LOCATION OFOPEN RAILING 1' TED,SEE ' f E%IST.STL.BEAM REMOVE WALL 2 I STUB FLUSH TO r AS NEW 3'0•x68• t7 I I� EXTERIOR WALL T-1 2'-10' W-2• 3'-1• 5'1' T-10' 11'-B• + 16 LITE-000R 33• REMOD. REMODELED DINING LIVINGui H E mw M I � 1 fr-111 Ili J II NEW1I �EEW ASTER �•I PILASTERS _____________ _ ---------------- w E E __ _aam-ae Ll ___� I(rii:l iNEW FALSE NEWT EWFRAMING - , - ( REMOD. --- REMODELED eEAMABOVE e.L y n/ NEWPELLADOUBIE AROUND FP TO BE LL HUNG WINDOWS x 'I © MUD RM. KITCHEN 11"r-1' 1 I "' METAL STUD TO w z ' I, B.I.BOOKCASE REDUCE CLEARANCE l © (VAULTED CEILING) I` - IF VLF.REO'S. W II II NEW LAYOUT T.B.D.BY I rL 1p EXPANDED I --- BUILOER&OWNER II 1 Lu _ � I REMODELED I x m BEDROOM 2f m 1 m 'I FAMILY ROOM w _ V s NEW TALL N TAIL I I'• UILTI �`' (CEILING TO BE RAISEDtT•� `'\' i SUN RM. N O \NEW LLADOUBLE III '^, CLD pWDR. LAB. CAB. RIG 1 V� I (VAULTED CEILING) % - § �REMOD --y' Ir HUNG INDOW III _ 5'-103/4• D 5'.9,/4• LAUND --- -- -, ( r __ _ ___ - 11 I Q T- III b -- LINEN [ 11'-0�C.O. I _ _ _____ ___ ____1------- TUBi - nzq III / BROOD. _� -1 _ w V l g V I Lj twJ _ N F O W - ytQ sHWR. ---r-=--r_-_ � F T-- - -_--s- - .. . -- -- 1 T EXI T. EXIST, EXIST. EXIST. m15'-1• 3'-]• 2'-11• " - A 1' LL REM D. J 1 %IST ELEC METER 1zo I' m BATH rc 1 - / FROM U.G.SERVICE NEW 3'0'xe'&'I t z ` ). i I I TO BE RELOCATED PATIO DOOR Is 1 1 NEW PELLA GOUBLEI VANITY 1 �\I I 24612" EW STEPS) § 3 J HUNGWINDOWS - ~ Ip 1.D W I 15-1012' TOGRADE, O \ NEW WINDOWS ' AS REO'0 W /� jT O MATCH EXIST - Q F F E E A ON EAST(PATIO) C C C C NEW TALL PELLA I SIDE OF KITCHEN DOUBLE HUNG ',1A B WINDOWS O •�• AS 6-2• 4'-10• 6-0 12' 2'-11 12• 2'-tt 12• 6-0 12' 4'-t 1/4• 2'-1V Y-10• Y-1P 4'-1 1/4• 0 Cl) T-1LY 2'-10' 1d'-0• I 16.612- 11'J 1TY VIF. W /\1 1 NEWADDITION rAr' SO 04 12'D 24'a ' 18' 28'-0' LL L NEW ADDITION NEW DDITION SCALE: w� 1; p DATE: wD -----------------------------�-- _ ff" 4/18/2016 DWG.NO.: FIRST FLOOR PLAN ROOF INSULATION S VENTIlAT10N STRATEGY SHALL BE AN - INTEGRATED SYSTEM AND SHALL BEDETERMINED BE DETERMINED BY THE G.C. J WINDOW SCHEDULE IECC2012 RESIDENTIAL ENERGY EFFICIENCY DETAILS CLIMATE ZONE 5A(USE EITHER PRESCRIPTIVE VALUES OR RESCHECK CALCULATION /� Z A MANUFACTURER'S UNIT ROUGH OPENING REMARKS TABLE 402.1.1 MINIMUM PRESCRIPTIVE INSULATION&FENESTRATION REQUIREMENTS) 0 A PELLA ARCHITECT SERIES 2'-6"x 3'-11" DOUBLEHUNG ( �Q� FENESTRATION SKYLIGHT CEILING WOOD FRAMED WALL FLOOR BASEMENT WALL BASEMENT SLAB CRAWL SPACE WALL B PELLA ARCHITECT SERIES 2'-6"x4'-9" DOUBLEHUNG U-FACTOR U-FACTOR R-VAWE R-VALUE•' R-VALUE R-VALUE R-VALUE R-VALUE (,' PELLA ARCHITECT SERIES 2'-6"x5'-0" DOUBLEHUNG 0.32 0.60 49 20 30 ,5/1B 10(2 FT.DEEP) ,0/,3 S Q���V D PELLA ARCHITECT SERIES 1'11"+3'-9"+1'11"x 3'-5" MULLED CASEMENT/PICTURE/CASEMENT E PELLAARCHITECT SERIES 2'-6"x T-5" DOUBLEHUNG NOTES: (f Q d'Q�� F PELLA ARCHITECT SERIES 2'-5"x 1'-9" AWNING 1.R-VALUES ARE MINIMUMS&U-FACTORS ARE MAXIMUMS. m~mNc H PELLA ARCHITECT SERIES 6'-0"x 4'X PICTURE,TEMPERED 2.15/19 3.REFER TONME R 2S R=15 ONTINUOUS CHAPVIT 4 FOR ALL SHEATHING IO THE INTERIOR ME EXTERIOR �W Do H 7jLLfCHITECTSERIES 2'-0 3/4"x 2'-0 3/4" CIRCLE OF THE HOME OR R-15 CAVITY INSULATION AT THE INTERIOR OF THE BASEMENT WALL — W Do— PELLAARCHITECiSERIES 2114 �=loC' J 1'-10"x 1'-2 3/4" FIXED TRANSOM INSULATION&ENERGY REQUIREMENTS K PELLA ARCHITECT SERIES 6'-0"x 1.5 3/4" MULLED AWNING(2'-11 5/8"+2•-11 5/8"+3/4") 4.ROOF INSULATION&VENTILATION STRATEGY SHALL BE AN INTEGRATED SYSTEM AND SHALL BE DETERMINED - ® o m Q X BY THE G.C. U m<±Q WINDOW DETAILS&NOTES: 1) WINDOWS SHALL BE:PELLA ARCHITECT SERIES(UNLESS NOTED OTHERWISE)WINDOWS, EXISTING FIRST FLOOR =1874 S.F. �� �� 2 o6we WHITE EXTERIOR W/%"GRILLES,FULL DIVIDED LIGHTS w/SPACER BARS,LOW-E GLAZING pD EXISTING SECOND FLOOR = 679 S.F. =asg64o3 6 W12 w/WHITE HARDWARE NEW FIRST FLOOR ADDITIONS = 425 S.F. 2) ALL WINDOWS TO HAVE PLYWOOD PANEL GLAZING PROTECTION FOR 110 MPH WIND SPEED NEW SECOND FLOOR ADDITION = 64 S.F. g'LW$`N PER 20091RC&MASS.AMENDMENTS. TOTAL FLOOR AREA =3042 S.F. Fgw MpgLLgINHR' 2e'-m p3.��w"S FLL 3) CONTRACTOR TO VERIFY ALL WINDOW DETAILS WITH OWNER&ROUGH OPENINGS WITH LEGEND: wow:� �6 „ fo WINDOW MANUFACTURER PRIOR TO ORDERING. - Med: 0 EXISTING WALLSws 4) ALL WINDOWS TO HAVE SILL PAN FLASHING w/BACK DAM. ; CONSTRUCTION TO BE REMOVED EXIST. 5) ALL WINDOWS TO BE INSTALLED PER THE MANUFACTURERS INSTALLATION REQUIREMENTS, NEW CONSTRUCTION ry SMOKE DETECTOR INCLUDING REQUIRED FLASHING&SEALANTS. I 4 © CARBON MONOXIDE DETECTOR --- HEAT DETECTOR L'--- EXIST. I EXIST, I EXIST. EX,BT, BEDROOM 3 1 I I I I qB/SHOWER I UCT SPACE (CLOSET BEHIND SHALLOW I SHELVES m j EXIST. EXIST. DN 6 y ;BATH HALL Q Y 1 CLOSET tYO' S'-10' 5d' EXIST NEW ADDITION NEW ADDITION 2T$' B A5 EXIST. i EXIST. - EXIST. BEDROOM 4 I I WI W SHEDDORMER EXIST. O I ox -T- ----- ---- \ ❑❑ z III W IF o W I \ I I I I I BUILDCRICKET I AS REO'D ' \I O ^ • Y IP LL v, 1ppp I 7 i f W O ------------"__-_- ------- -° -'-- -' --- --- FT SHEDOORMER EXPANDED A6 W VANITY AREA Q N b I 1 b I..L--NEW PELLA 1 I LL TRANSOM- O r\� �V N 5 NEW LV L PELLA B A CIRCLE C WINDOW A5 AS A5 Sa I.. SCALE: SHED DORMER f0-T 1/4"=V-0" NE W AD 12'-D 24'-0' 18'd' 16-8 12' DITION DATE: SECOND FLOOR PLAN 4/04/2016 DWG.NO.: A2 WINDOW SCHEDULE IECC2012 RESIDENTIAL ENERGY EFFICIENCY DETAILS N F CLIMATE ZONE 5A(USE EITHER PRESCRIPTIVE VALUES OR RESCHECK CALCULATION ' Z TAP MANUFACTURER'S UNIT ROUGH OPENING REMARKS,4 PELLA ARCHITECT SERIES 2'-6"x3'-11" DOUBLEHUNG TABLE 402.1.1(MINIMUM PRESCRIPTIVE INSULATION&FENESTRATION REQUIREMENTS) C� O1 FENESTRATION SKYLIGHT CEILING WOOD FRAMED WALL FLOOR BASEMENT WALL BASEMENT SLAB CRAWL SPACE WALL B PELLA ARCHITECT SERIES 2'-6"x4'-9" DOUBLEHUNG U-FACTOR U-FACTOR R-VALUE R-VALUE R-VALUE R-VALUE R-VALUE R-VALUE WQ C PELLA ARCHITECT SERIES 2'-6"x 5'-0" DOUBLEHUNG 0.32 0.60 49 20 30 15/19 10(2 FT.DEEP) 10/13 �j1� = S Q O NO(o CD D PELLA ARCHITECT SERIES 1'11"+3'-9"+1'11"x T-5" MULLED CASEMENT/PICTURE/CASEMENT _ E PELLA ARCHITECT SERIES 2'-6"x T-5" DOUBLEHUNG NOTES: - ® Q ¢ma�c F PELLA ARCHITECT SERIES 2'-5"X V-9" AWNING 1.R-VALUES ARE MINIMUMS&U-FACTORS ARE MAXIMUMS. - m F- �N� G PELLA ARCHITECT SERIES 6'-0"x 4%5" PICTURE,TEMPERED 2::15/19 MEANS R=15 CONTINUOUS INSULATED SHEATHING ON THE INTERIOR OR EXTERIOR _ I " ' F- w u �j W QO— H PELLAARCHRECTSERIES 2'-0 3/4"x 2'-0 3/4" CIRCIE OF THE HOME OR R=15 CAVITY INSULATION AT THE INTERIOR OF THE BASEMENT WALL - �W O_o� J PEILA ARCHITECT SERIES 211E 1'-10"X 1'-2 3/4" FIXED TRANSOM 3.REFER TO IECC 2012 CHAPTER 4 FOR ALL INSULATION&ENERGY REQUIREMENTS - 4.ROOF INSULATION.&VENTILATION STRATEGY SHALL BE AN INTEGRATED SYSTEM AND SHALL BE DETERMINED - m Q m< K PELLA ARCHITECT SERIES 6'-0"x 1'S 3/4" MULLED AWNING(2'-11 5/B"+2'-11 5/8"+3/q") _ - . M Q=xQ BY THE G.C. U�'�R: WINDOW DETAILS&NOTES: 6 1) WINDOWS SHALL BE:PELLA ARCHITECT SERIES(UNLESS NOTED OTHERWISE)WINDOWS, EXISTING FIRST FLOOR - =1874 S.F. 6 WHITE EXTERIOR w/�/"GRILLES,FULL DIVIDED LIGHTS w/SPACER BARS,LOW-E GLAZING EXISTING SECOND FLOOR - = 679 S.F. - - ' • _ g� y g w/WHITE HARDWARE - NEW FIRST FLOOR ADDITIONS '= 425 S.F. qq NEW SECOND FLOOR ADDITION - = 64 S.F. _ ' �gg�$84 ff 2) ALL WINDOWS TO HAVE PLYWOOD PANEL GLAZING PROTECTION FOR 110 MPH WIND SPEED - - 5 �� SM TOTAL FLOOR AREA =3042 S.F. Y € gw6 PER 2009 IRC&MASS AMENDMENTS. " - - - - - _ -- �g yy 3) CONTRACTOR TO VERIFY ALL WINDOW DETAILS WITH OWNER&ROUGH OPENINGS WITH - - - „ LEGEND: - - ` WINDOW MANUFACTURER PRIOR TO ORDERING. M-W EXISTING WALLS 4) ALL WINDOWS TO HAVE SILL PAN FLASHING w/BACK DAM. � _� EXIST 'r - •" r ' CONSTRUCTION TO BE REMOVED - -.. - -. . 5) ALL WINDOWS TO BE INSTALLED PER THE MANUFACTURERS INSTALLATION REQUIREMENTS, NEW CONSTRUCTION' ' INCLUDING REQUIRED FLASHING&SEALANTS: ®" SMOKE DETECTOR - © - CARBON MONOXIDE DETECTOR , -J - - - , ® .L--- HEAT DETECTOR -Exlsr. EXIST. I ."t EXIST. EXIST I BEDROOM 3 _ - . d B/SHOWER UCTSPACE �CLOSET J BEHIND I SHALLOW i E ELVES J 'EXIST. EXIST. oN 7 M' , I BATH � - HALL I 1- • - K. , • r (- ' - CLOSET . G 1 I , SE'V § ui EXIST 12d• - ,.6-10- Sd• 2T I. © • ." : - NEW ADDITION x .- NEW ADDITION © J EXIST. EXI ,.. A5 _ A5 ' sr EXIST'. BEDROOM 4 .. _ t , t, U r ui SHED DORMER - - -T- EXIST. I f $, _ zO - • I � ULLD CRICKET - ' • � '; ,,,; _ \\I ..I . - `J I O �, • AS REO9 ,.: II�> I _. . - - LL `^ ROOF z i- L ________ _________ I I •, — Y 'SHED DORMEREXPANDED A6 VANITY AREA O V J b - - M TRANSOM I , ` W O N H HEw li L r PELLA CIRCLE { WINDOW AS AS AS sa vz• sa 12• - SCALE: 5'-]1l2' SHFD DDRMF,R 1/4"=V-O" NEW ADDITION - ,..,� - DATE SECOND FLOOR, PLAN 4/04/2016 DWG.NO. : r U F J J Z _0 U) is 0 ow ezo (3) mH-mow L(nLu(V 12'-0' 14'E' 2rd' 28'-0• ~ W CC) NEW ADDITION 5 L!aOO J.• o m u)v�.... UUv<a� �LL 9-awa,-�VR �pw NEW WINDOW TO w=pas qi o°�i MATCH EXISTING GABLE END WINDOW B W�9p 8z o =i� _______________________________ EXIST. mmo��w p 6 0- _____________ kkda w 6-6• /¢` I — _ Fuzz$zFN=No$ -�Tti1�1� 1-L _ 14'-11 QT _ i oR ow o �. _ _ u u i t aofl.,N wo9W: T NEW--- �ur�, 6 x6'B ��am ��„ o CLOSET � =� a =s811o.a<� II' TALL REMODELED NEW CEDAR 0 , `/11 CAB m MASTER BULKHEAD BEDROOM w ENCLOSURE j�` ff MOD.- x LI1 BATFf II--,14-1:y'/ 1 1 3'-10• 3'-B' II 00 8 ___ _________________________� li/ 1. 11________________ F O EW TILE SHQ�ER II „ ~' f'� I I V-5. 211.. x Qd - w r s xa� 8ia, r irc m 70) II PAIR 1'4•x6.8 --- 11 9' 3 2'x _ NEW SLOPED j j I,I EW CEILING IN STAIR PILASTER II UT BACK NEW 9'-0' Ix� I EXISTING WALL, 6'-B' j8 PELLA SLIDER UNDER LAPPEDD 2rB I III © INS OPTALL NEWELS FNrW ADDITION 18 JOISTS TO BE I 1 OPEN RAILING C IB � EW LOCATION OF AS 1 RELOCATED,SEE I EXIST.STL.BEAM REMOVE WALL - c 1 SNEETS2 1 I STUB FLUSH TO B i I I'I EXTERIOR WALL 4 NEW 3'0'z6'8' `•q , I,I T-, 2'-10' /0'-2' '-,• 6' 2'-10' „•-B• 2' 0' IS LITE BOOR 3'.3 1 REMOD. ICI REMODELED LIVING 1 CA �jb E E E E DINING W p ry rii, EW I I Ifl EW, 11 II ------- PILASTER � � PILASTERS ` 11 ----- _ ----------- NEW I,1.jI �_i1 I - - _______ __ I -- -»aaa-_ NEWT I EW FRAMING _a-- ____ REMOD. i-- -- REMODELED a E ILL I AROUND FP TO BE NEW PELL4 DOUBLE 2'6'x 6'6' 2'6 xfi' I r ' ©= MUD RM. KITCHEN META STUD TO W HUNG WINDOWS II 11,1,�(11 f O : B.I.BOOKCASE REDUCE CLEARANCE 1 - (VAULTED CLING) Y-� I U 1 1 REO'S. NEW LAVOU T.B.O.BY i I N I i , 11'-6'VIF. i Lij BUILDER&0 NER 1 I EXPANDED --- = I REMODELED =1__ 2'6 x6'B rr FAMILY ROOM 11 -- V BEDROOM 2 I NEW m I (CEILING TO BE RAISEDI7-x) SUN RM. z O M'II I TALL TALL RIG* 1 I -1! (VAULTED CEILING) I,LL. / CLO CAB. I 1 RIG. �x11 V ' !1 LT JjH LLADOUBLE l� III I PWDR. CAB. BREMO ' W INDOW III --- -- - -- -- --- m T-,03/4• F-B1/4• LAUND F - ui T /__ 1 E 1 ? d?111 LINEN 9•d•CO ROOM - _ __ �. ___ ____ ____ _i $� JOmTUB/ I 1 _ _ __ -____�L _- _-___�E•_______ A6 T SHWR. ` iL-_-_ ______� I T��_____ -____�__ T w -• XI . . EXIST. EXIST. /� ---------------------� 1 A6 �-'0 X-7• 2'-11' 9-1 6 XIST.ELEC METER REM D. FROM U.G.SERVICE Z w 1 1 t1112-11 F NEW 3'0'x8'8'I 4 pBATH ! TO BE RELOCATED PATIO DOOR I ro z WS ui NEW PELLA0 1 1 EW STEP(S) OUBLE VANITY ` / _/ / 1 ^ ap f 16'- 2F61/2' TO GRADE. O >HUNGWINDO XX v =r EWWINDOWS101/2AS REDD Z�, f TO MATCH EXIST. U Q ON F F E E S DE S K T TI ) C C C .1W LE TALHUNG'A WINDOWS Od�u/i�fi'-z' 4'-,0' 6'-0 wl 2'- 6'-0112' 4'-,114' 2'-,0• 2--,0• 2'-10' 4'.11/4- V) r-10" T-10• 14'4• I 16•b 112• ,,'J 1/2'VIF. O N NEW ADDITION ui /t1 NEW ADDITION NEW DDITION SCALE: 1/4" DATE: �w 4/18/2016 -—-- --- DWG. NO.: FIRST FLOOR PLAN ROOF INSULATION 8 VENTILATION STRATEGY SHALL BE AN INTEGRATED SYSTEM AND SHALL BE DETERMINED BY THE G.C. Al SEPTIC NOTES PERC TEST: 15,088 �r T DATA °• A A PERFORMED BY:JOHN O'DEA,P.E.- SULLIVAN ENGINEERING DESIGN D j 1.Location of Utilities Shown on This Plan Are Approx.At Least 72 Hours SOIL EVALUATOR NO.2911 Prior to Any Excavation For This Project the Contractor Shall Make r, Single Family WITNESSED BY:DAVID STANTON,R.S.-TOWN OF BARNSTABLE Sin g y the Required Notifications to Dig Safe(1-888-344-7233)and contact � �'� _. ,�„ � �<;• �� � - 6 Bedroom @Q 110 GPD Sullivan Engineering&ConsultingInc.nc.(508-428-3344). SEPTEMBER 14,2016 2.The Contractor is Required to Secure Appropriate Permits From Town SITE PASSED M ' No Garbage Grinder Agencies For construction refined b This Plana g y ®' os Total Daily Flow = 660 GPD 3.Wherever Sewer Lines Must Cross Water Supply Lines Both Lines Shall Be Constructed of Class 150 Pressure Pipe and Shall be Water Tested to TEST HOLE - 1 TEST HOLE - 2 Use a 1500 Gal Septic Tank FL .21.5 EL.21.5 � Assure Watertightness. In General,Water Lines Shall be Constructed in - Coordination With COMM Water,and Shall be in Accordance ............. ............ .............. ..... �s a L .. With 248 CMR 1.00-7.00&310 CMR 15.00. FILL F... LEACHING AREA 9n ....... GRAVE'L'DRIVE'&BASE........ GRAVEL'-DRIVE'&'B'ASE'.'.'.'.'.'.'. 20.8 10" 20.7 . " 4.A Minimum of 9"of Cover is Required for All Components. B LAYER 10YR 5/6 B LAYER 10YR 5/6 660 GPD /0.74 (LTAR) = 891 SF Required 5.All Structures Buried Three Feet or More or Subject YELLOWISH BROWN YELLOWISH BROWN Location Map. `+ WaY) Avee Sidewall = 2rr12'-10" + 50'-6" 21 =253 SF to Vehicular Traffic to be H-20 Loading.It is the Engineer's 36nLOAMY SAND 1B.5 35" LOAMY SAND 18.6 1"=2,000t' _ PUbIic - l ) - Recommendation that H-20 Always be Used. C LAYER 1 OY 6/6 C LAYER l0Y 6/6 Edge /40' Wide Bottom Area= OT-10" x 50'-6") = 648 SF 6.Install Watertight Risers and Covers to Within 6"of Finished Grade BROWNISH YELLOW BROWNISH YELLOW ASSESSORS REF: Pavement ` Over Septic Tank Inlet,Outlet,D-Box,and Two Leaching Chambers. MED.SAND MED.SAND Ma 139, Parcel 088 " �; Total Provided= 901 SF Map ent Edge All covers are to be maximum 18"for concrete or 24"Cast Iron. 41" PERC TEST 18.4 ry� ington POvem " 7.Septic System to be Installed in Accordance With 310 CMR 15.00& h 248 CMR 1.00-7.00 Latest Revision and the Town of Barnstable PERC RATE<2 MINAN(LIAR=0.74) ZONE. VV aS ,il LEACHING CHAMBER DESIGN Board of Health Regulations. RF-1 CB/DH 8.All Piping to be Sch.40 PVC. Area (min.) 87,120 SF (RPOD) Fnd All Pipes to be Schedule 40. Use ._A UWB \ 55'21" E it9.D-Box Shall Have a Minimum Inside Dimension of 12",and a Minimum 132" 10.5 132" 10.5 Fron to e (min) 20' M ° N 77. w p .5-500 Gal. Leaching Chambers in a Sum of 6" NO GROUNDWATER ENCOUNTERED NO GROUNDWATER ENCOUNTERED Width (min) 125' � TBM E + '� - ° yy�Y 12'-10" x 50'-6" Double Washed Stone Field as Shown. 10.The Separation Distance Between the Septic Tank Inlets and Setbacks: Fron t 30' I=22.0 NA 8 14.3' 11 Outlets Shall be No Less than the Liquid Depth.Inlet Tees Shall Extend Side 15' Rh.. SEA ce/oH , '} a 1` o a Minimum of 10"Below the Flow Line.Outlet Tees Shall Extend 14" Fed Below the Flow Line,and Shall be Equipped With a Gas Baffle. FLOOD ZONE: TEST HOLE - 3 TEST HOLE - 4 J1 1 EL. EL.21.5 Zone X (not a flood zone) w � . 11Z 0% °1� D ................................ ... ......................................... t1, RVE "%0 0 FILL . ........ ..,•$ILI Map Number: t6RAVEL,DRIVE'&BASE........ " ....... ...: " 15 20.3 13 C31tAVEI.'T>1t.V &BA9E.....'.'.`. 20.4 25009C0776J rJSZ=� y t B LAYER 10YR 5/6 B LAYER 10YR 5/6 Jul 16, 2014 1 1 Sty W/ t �d115 YELLOWISH BROWN YELLOWISH BROWN Shed Fra31°� a ....... ,�...... S•A. - 0 LOAMY SAND LOAMY SAND PRO. $• wn 2411 PERC TEST 19.5 OVERLAY DISTRICT O_1 AP - Aquifer Protection District 11 -1 70 a;A z ud _ pX1 PRO; ► .. ?� a 34" PERC RATE<2 MIN/IN LTAR=0.74 _ " n�`• ".► N PR0 ( ) 1 B.6 34 18.6 o. Lo wn 11 ;:O C LAYER l0Y 6/6 C LAYER l0Y 6/6 o x N �; BROWNISH YELLOW BROWNISH YELLOW o 81 1 0 O, o ry+ 1 l;'::::•::... �0 �,�� a p MED.SAND MED.SAND � . 132111 10.5 132" 10.5 i 1 ,4 _ � x '•; ': j � � NO GROUNDWATER ENCOUNTERED NO GROUNDWATER ENCOUNTERED t e D Y s m i 1 1 1 Crawl 1 1 Foundation rJ. 1 R �DU?. f w r A,N4 2rX� Z o 4\: 1 O o m F.F. El. 12.40 1 0 See Note 6 (typ.) t #192 ; O D F.G. EL. 21.50* *Final Foundation Grading To Be F.G. EL. 21.50 oz o 1 1 Y Sty WIF 01 `� Coordinated With Landscape Plan } 1 Dwelling k !1 a Full \ 1 D FI rs ti Foundation21x0: . OW EOIIIIiZE- i EL. 19:70 As Required ct, i ....1.. .:..... .......ot� ' Installer To t ti:t 0 Gallon 0 0 2oxa .. i' Con firm Prior 15 0 o .... i \• ° To Any Work HSeptic EL. 18.25 Top EL. 18.50 EL. 18.50 t h> -20 Required 18.70 H-20 O 1 �' �, ° (See Note 5) D-Box EL. 17.93 is t1 Q i Q • H-20 O 1 !1� rQ ' 17.50 Leaching i ►o To Be Installed On Chamber O 1i �, :. �� i (O O Stable Compacted Bose _ Bot. EL. 15.50 Lawn m10 Lawn %, i;o Bedding,.>T„s, Q 1 t .0 �. Inspection Port, eRemo .. & .. ...& Baffels A(1 Unsuitable Sorls :Vttrthln..;: i O as Per Title 5 The :Outer: Perrm:eter of The Sysfein: Q 1 1i O EL. 10.5 i - o�{yard';$etback �Q�, No Groundwater (Do o Per Test Hole 1 o DEVELOPED PROFILE OF SYSTEM ti a .' / EL, ndwater + Gro j = Peru T.O.B. Groundwater `.....c :FPO NOT TO SCALE \� 0 ! B/DH 1 m '...2Q 75�0' ............ Lawn Fnd Pas & Ro o�"-o " -... S 77�55�21„aWment Edge + Legend: n .............. o� o Lawn " : "A` , Finish Grade m V Way 3' Max. ,i,. li p MB Mail Box PubIIC o 9' Min �' Ode " 0H - <.°�„•,,...�.. � "` Compacted Fill Filter 0 FP Flag Pole r / (4 Fabric Q Misc Manhole N m Vie H And/Or ac Air Conditioner/Heat Pump ent Ed e " 0H 2 _ _ 1/8 -Stone poverr Pea Stone O CB/DH Concrete Bound OH 3, H-20 3/4" - 1 1/2 LEACHING Double Washea 25 Elevation Contour CHAMBER `. Stone S. Underground Utility Line Light Post i e 4' - 10' -�-� Fh-h-1 Utility Hand Hole Hose Bib I 12'-10" *6 Spot Light •- J Hi OF Arborvitae CROSS SECTION OF CHAMBER ` (D Hydrangea JOHN Rose NOT TO SCALE Rose of Sharon a .48168 "' Rhododendrun osf0 /STE NAL c ° Cedar Tree NOTES: PREPARED FOR: PREPARED BY: TITLE: 0 Deciduous Tree Site Plan 1.) The structures shown were located on the ground s CapeS u r�w Proposed Se tl C + Coniferous Tree by conventional survey methods on 15/MAY/98 andRobert & Susan MorrisonSUIEn0ineering& p _ 25/FEB/16. liv� COnsultinII,Inc. b 23 West Bay Rd, Sure G At � tsos)'t2ess4a'Paa«6s�'7�"knRud,0steroo ,Mu0�s3 Osterville MA 0�655 co The property line information shown hereon was aid@wukranw�l".com•wwvRwulvan.n�i°•�m 192 Sea View Avenue compiled from available record information. (508) 420-3994 / 420-3995fax www.copesurv.com 3. The datum used is NAVD 1988, a fixed mean sea level datum. Draft: JOD Field: Barnstable (osterville) Mass. LJLJ ~ 20 D 10 20 40 80 WHK/KAR Li.l Review: JOD Comp.: RRL DATE: SCALE: (_ Project 98061 Project # C304 October 19, 2016 1 1=201