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HomeMy WebLinkAbout0459 SEA VIEW AVENUE - Health -- 459.Seaview Ave(� v Osterville ' f_ A= 138 —027.- 001 � 1 i I Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments �M 459 Sea View Ave. Property Address Patricia Dubuque Owner Owner's Name information is required for Osterville MA 02655 05-15-2014 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:When filling out A. General Information forms the computer, r,use 1. Inspector: only the tab key to move your Linda Pinto cursor-do not Name of Inspector use the return key. Oceanside Septic, Inc. Company Name, P.O. Box 201 Company Address Brewster MA 02631 Cityrrown State Zip Code 508-896-1513 4432 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 stem:310 CMR 16.000 .The s ( ) Y ® Passes ❑ Conditionally Passes ❑ Fails ❑ Needs Further Evaluation by the Local Approving Authority Inspector's Signature Date The system inspector shall submit a copy of this inspection report to the Approving Authority(Board of Health or DEP)within 30 days of completing this inspection. If the system is a shared system or has a design flow of 10,000 gpd or greater, the inspector and the system owner shall submit the report to the appropriate regional office of the DEP. The original should be sent to the system owner and copies sent to the buyer, if applicable, 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. U0 I t5ins•3113 Title 5 Official Inspection&S.bsurfface Sewage Disposal System•I ge 1 of 17 i Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 459 Sea View Ave. Property Address Patricia Dubuque Owner Owner's Name information is Osterville MA 02655 05-15-2014 required for every page. Citylrown 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: j n i s,r B) System Conditionally Passes:' ❑ One or more system components as described in the"Conditional Pass"section need to be replaced or repaired. The system, upon completion of the replacement or repair,as approved by the Board of Health, will pass. Check the box for"yes", "no"or"not determined" (Y, N, ND)for the following statements. If"not determined," please explain. The septic tank is metal and over 20 years old*or the septic tank(whether metal or not) is structurally unsound, exhibits substantial infiltration or exfiltration or tank failure is imminent. System will pass inspection if the existing tank is replaced with a complying septic tank as approved.by the Board of Health. *A metal septic tank will pass inspection if it is structurally sound, not leaking and if a Certificate of Compliance indicating that the tank is less than 20 years old is available. ❑ Y ❑ N ❑ ND(Explain below): t5ins•3/13 Title 5 Official Inspection form:Subsurface Sewage Disposal System•Page 2 of 17 r' f Commonwealth of Massachusetts , Title 5 Official 'Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments M 459 Sea View Ave. Property Address Patricia Dubuque Owner Owner's Name information is required for Osterville MA' 02655 05-15-2014 every page. Citylrown State Zip Code Date of Inspection B. Certification (cont.) ❑ Pump Chamber pumps/alarms not operational. System will.pass with Board of Health approval if pumps/alarms are repaired. B) System Conditionally Passes(cont.): ❑ Observation of sewage backup or break out or high static water level in the distribution box due to broken or obstructed pipe(s)or due to a broken, settled or uneven distribution box. System will pass inspection if(with approval of Board,of Health): ❑ broken pipe(s)are replaced ❑ Y ❑ N ❑ ND(Explain below): ❑ obstruction is removed ❑ Y ❑ N ❑ ND (Explain below): ❑ distribution box is leveled or replaced ❑ Y ❑ N ❑ ND(Explain below): ❑ The system required pumping more than 4 times a year due to broken or obstructed pipe(s). The system will pass inspection if(with approval of the Board of Health): ❑ 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-3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 3 of 17 p I Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 459 Sea View Ave. Property Address Patricia Dubuque Owner Owner's Name information is required for Osterville MA 02655 05-15-2014 every page. City/Town State Zip Code Date of Inspection B. Certification (cont.) 2. System will fail unless the Board of Health (and Public Water Supplier, if any) determines that the system is functioning in a manner that protects the public health, safety and environment: ❑ The system has a septic tank and soil absorption system (SAS)and the SAS is within 100 feet of a surface water supply or tributary to a surface water supply. ❑ The system has a septic tank and SAS and the SAS is within a Zone 1 of a public water supply. ❑ The system has a septic tank and SAS and the SAS is within 50 feet of a private water supply well. ❑ The system has a septic tank and SAS and the SAS is less than 100 feet but 50 feet or more from a private water supply well**. Method used to determine distance: **This system passes if the well water analysis, performed at a DEP certified laboratory, for fecal coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered. A copy of the analysis must be attached to this form. 3. Other: D) System Failure Criteria Applicable to All Systems: You must indicate"Yes" or"No"to each of the following for all inspections: Yes No El ® Backup of sewage into facility or system component due to overloaded or clogged SAS or cesspool I ❑ ® 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•3/13 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 459 Sea View Ave. Property Address Patricia Dubuque Owner Owner's Name information is required for Osterville MA 02655. 05-15-2014 every page. Cityrrown State Zip Code Date of Inspection B. Certification (cont.) Yes No ❑ ® Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s). Number of times pumped: ❑ ® Any portion of the SAS, cesspool or privy is below high ground water elevation. ❑ ® Any portion of cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply. ❑ ® Any portion of a cesspool or privy is within a Zone 1 of a public well. ❑ ®+ Any portion of a cesspool or privy is within 50 feet of a private water supply well. ❑ ® Any portion of a cesspool or privy is less than 100 feet but greater than 50 feet from a private water supply well with no acceptable water quality analysis. [This system passes if the well water analysis, performed at a DEP certified laboratory,for fecal coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered.A copy of the analysis and chain of custody must be attached to this form.] ❑ ® The system is a cesspool serving a facility with a design flow of 2000gpd- 10,000gpd. ❑ ® The system fails. I have determined that one or more of the above failure criteria exist as described in 310 CMR 15.303, therefore the system fails. The system owner should contact the Board of Health to determine what will be necessary to correct the failure. E) Large Systems: To be considered a large system the system must serve a facility with a design flow of 10,000 gpd to 15,000 gpd. For large systems, you must indicate either"yes"or"no"to each of the following, in addition to the questions in Section D. Yes No ❑ ❑ the system is within 400 feet of a surface drinking water supply ❑ ❑ the system is within 200 feet of a tributary to a surface drinking water supply El Elthe system is located in a nitrogen sensitive area (Interim Wellhead Protection Area—IWPA)or a mapped Zone lI of a public water supply well If you have answered"yes"to any question in Section E the system is considered a significant threat, or answered "yes" in Section D above the large system has failed. The owner or operator of any large system considered a significant threat under Section E or failed under Section D shall upgrade the system in accordance with 310 CMR 15.304. The system owner should contact the appropriate regional office of the Department. t5ins-3113 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 5 of 17 I Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 459 Sea View Ave. Property Address Patricia Dubuque Owner Owner's Name information is required for Osterville MA 02655 05-15-2014 every page. City/Town 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): 10 Number of bedrooms(actual): 8 DESIGN flow based on 310 CMR 15.203(for example: 110 gpd x#of bedrooms): 1184 t5ins•3113 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 6 of 17 f Commonwealth of Massachusetts . Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments M � < 459 Sea View Ave. Property Address Patricia Dubuque Owner Owner's Name information is required for Osterville MA 02655 05-15-2014 every page. Cityrrown State Zip Code Date of Inspection D. System Information Description: 3,000 Gallon Septic Tank, Distribution Box and 12 concrete chambers on 6" bed of stone. Number of current residents: 0 Does residence have a garbage grinder? ❑ Yes ® No Is laundry on a separate sewage system?(Include laundry system inspection ❑ Yes ® No information in this report.) Laundry system inspected? ❑ Yes ® No Seasonal use? ® Yes ❑ No Water meter readings, if available last 2 ears usage 201.3- 152,000 G 9 ( Y 9 (gpd))� 2012-59,000 G Detail: Sump pump? ❑ Yes ® No Last date of occupancy: September 2013 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-3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 7 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 459 Sea View Ave. Property Address Patricia Dubuque Owner Owner's Name information is required for Osterville MA 02655 05-15-2014 every page. Cityrrown State Zip Code Date of Inspection D. System Information(cont.) Last date of occupancy/use:. Date Other(describe below): b 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 El { Privy ❑ Shared system (yes or no) (if yes, attach previous inspection records, if any) ❑ Innovative/Alternative technology. Attach a copy of the current operation and maintenance contract(to be obtained from system owner)and a copy of latest inspection of the I/A system by system operator under contract ❑ Tight tank. Attach a copy of the DEP approval. ❑ Other(describe): t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 8 of 17 i Commonwealth of Massachusetts . Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments M 459 Sea View Ave. Property Address Patricia Dubuque Owner Owner's Name information is required for Osterville MA 02655 05-15-2014' every page. CitylTown State Zip Code Date of Inspection D. System Information (cont.) Approximate age of all components, date installed (if known)and source of information:. - 7 Years Old Were sewage odors detected when arriving at the site? ❑ Yes ® No Building Sewer(locate on site plan): ; 3' Depth below grade: feet . Material of construction: ® cast iron ®40 PVC ❑other(explain): Distance from private water supply well or suction line: feet Comments(on condition of joints, venting, evidence of leakage, etc.): Tight Yes None Septic Tank(locate on site plan) Depth below grader 16"feet Material of construction: w ® concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑ other(explain) 3,000 Gal. H-20 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-3/13 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 N 459 Sea View Ave. Property Address Patricia Dubuque Owner Owner's Name information is required for Osterville MA 02655 05-15-2014 every page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) Septic Tank(cont.) Distance from top of sludge to bottom of outlet tee or baffle 29" Scum thickness 611 Distance from top of scum to top of outlet tee or baffle Distance from bottom of scum to bottom of outlet tee or baffle 17" How were dimensions determined? Tape measure Comments(on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): The structural integrity of the septic tank appears sound. The inlet has a cast iron cover to grade and the top of the tank is 16" b.g. There is a sch. 40 PVC pipe with PVC tee. The outlet has a cast iron cover to grade and the top of the tank is 18"b.g. There is a sch. 40 PVC pipe with PVC tee. The, liquid level is at the outlet invert with no sign of backup or leakage. Grease Trap(locate on site plan): Depth below grade: feet Material of construction: ❑ concrete ❑ metal ❑fiberglass ❑ polyethylene ❑ other(explain): Dimensions: Scum thickness Distance from top of scum to top of outlet tee or baffle Distance from bottom of scum to bottom of outlet tee or baffle Date of last pumping: Date t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 10 of 17 i Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 459 Sea View Ave. Property Address Patricia Dubuque Owner Owner's Name information is required for Osterville MA 02655 . 05-15-2014 every page. Cityrrown 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: r 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-3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 11 of 17 c Commonwealth of Massachusetts . Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments M 459 Sea View Ave. Property Address Patricia Dubuque Owner Owner's Name mom information is required for Osterville MA 02655 05-15-2014 every page. Citylrown 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 1" 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.): Utilizing a camera system, D-Box appears to be in good condition with no signs of carry over. According to design plan and certificate letter from Baxter Nye Engineering D-Box is H-20 with one inlet and four outlets. Pump Chamber(locate on site plan): Pumps in working order: ❑ Yes ❑ No" Alarms in working order: ❑ Yes ❑ No` Comments (note condition of pump chamber, condition of pumps and appurtenances, etc.): *If pumps or alarms are not in working order, system is a conditional pass. Soil Absorption System (SAS) (locate on site plan, excavation not required): If SAS not located, explain why: I t5ins-3/13 Title 5 Official Inspection Forth:Subsurface Sewage Disposal System-Page 12 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments M 459 Sea View Ave. Property Address Patricia Dubuque Owner Owner's Name information is required for Osterville MA 02655 05-15-2014 every page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) Type: ❑ leaching pits number: ❑ leaching chambers number:. ® leaching galleries number: 12 ❑ 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.): Using the camera system, the galley's appears to be in good condition. There is no sign of hydraulic failure in the area of the SAS. According to design plan and certificate letter from Baxter Nye Engineering D-Box all units are H-20. , Cesspools (cesspool must be pumped as part of inspection) (locate on site plan): Number and configuration Depth—top of liquid to inlet invert Depth of solids layer Depth of scum layer Dimensions of cesspool Materials of construction Indication of groundwater inflow ❑ Yes ❑ No t5ins•3113 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 13 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments M 459 Sea View Ave. Property Address Patricia Dubuque Owner Owner's Name information is Osterville MA 02655 05-15-2014 required for every page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) Comments(note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): Privy(locate on site plan): Materials of construction: Dimensions Depth of solids Comments(note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation,. etc.): t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 14 of 17 Commonwealth of Massachusetts. Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 459 Sea View Ave. Property Address Patricia Dubuque Owner Owner's Name information is ' required for Osterville MA 02655 05-15-2014 every page. Cityrrown State Zip Code Date of Inspection D. System Information (cunt.) Sketch Of Sewage Disposal System: Provide a view of the sewage disposal system, including ties to at least two permanent reference landmarks or benchmarks. Locate all wells within 100 feet Locate where public water supply enters the building. Check one of the boxes below: ® hand-sketch in the area below ❑ drawing attached separately FtZO Art Av v 3E: 64 00 . GQ 70,0 � 3 1 _ l FAJe--D j VVj t j S-t - t5ins•3/13 Title 5 official Inspection Form:Subsurface Sewage Disposal System•Page 15 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments M .•'' 459 Sea View Ave. Property Address Patricia Dubuque Owner Owner's Name information is required for Osterville MA 02655 05-15-2014 every page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) Site Exam: ® Check Slope ® Surface water ® Check cellar ® Shallow wells 51+ Estimated depth to high ground water: feet Please indicate all methods used to determine the high ground water elevation: ® Obtained from system design plans on record If checked, date of design plan reviewed: 07/14/09 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: Existing Plan of Record by Baxter Nye Engineering &Surveying with a revised date 07/14/09 shows estimated high groundwater at elev 6.4. Top of surface is approximate elevation17.6, to the bottom of leaching ares is 5.5'feet to elevation 11.5 for a 5'seperation to estimated high ground water per plan. Before filing this Inspection Report, please see Report Completeness Checklist on next page. t5ins-31113 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 16 of 17 X Commonwealth of Massachusetts e Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 459 Sea View Ave. Property Address Patricia Dubuque Owner Owner's Name information is Osterville MA . 02655 05-15-2014 required for every page. Cityrrown State Zip Code Date of Inspection E. Report Completeness Checklist ® Inspection Summary: A, B, C, D, or E checked ® Inspection Summary D(System Failure Criteria Applicable to All Systems) completed ® System Information—Estimated depth to high groundwater ® Sketch of Sewage Disposal System either drawn on page 15 or attached in separate file E r L15in.•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 17 of 17 s -- ---- - Transmittal Letter- To ' - _.Board-of-H_ ealth _ - 200Main Street_ _ __ - - Hyanriis,'MX02601 Attn: �a.�►,2 Yl1arz+,�� From: Stephen A. Wilson, P.E. Subject: srsq Sec Lit"a Ave. Date: 'I- ' - 2007 We are sending you- ®Attached ❑Under Separate Cover The following documents: ❑Prints❑Order of Conditions❑Variance Approvals❑Recording Slip ❑Septic•System Permit ❑Notice of Intent.®Other,--' DATE 'QUANTIWY JDESCRIPTION g Jz,7 1 Ory tne.l' h r These items are transmitted as checked below: ❑ For.Your Use ❑ As Requested ® For Your Files ❑ For Review and Comment ❑ For Recording ® As Required Other: Additional Distribution P 0.,b.,Ve f3art,lakfi CcrNafi �.�?. Mar fiowe T1� File No. 0r. Baxter Nye Engineering&Surveying Phone:508-711-7502,ext.13 78 North Street,3rd Floor Fax: 508-771-7622 Hyannis,Massachusetts 02601 E-Mail:swilson@baiter-nye.com TrmsmittalUtter5.doc L • Town of Barnstable _. Regulatory Services Thomas F.Geiler,Director . > zi►stE:: : Public Health Division, fn► Thomas McKean,Director 200 Main Street,Hyannis,MA 02601 Office: 508-862-4.644 Fax: 508-790-6304 Installer&Designer Certification Form Date: -SIZ7107 Sewage Permit# c;260/o-16'-)A ssessor s Map\Parce1 WI t38 - a Designer: Siraphcn lsan� PE Installer: f2-x�lefh Constrvcfhvrt Address: _'B244r-r tiur Address: Rro, I2oK ?OK �6 I5rki Si-, kjannts 026-01 W alm6ns Wll(IsT?GqS, On C"5trvc-h►ayn was issued a permit to install a (date) (installer) septic system at qn Sc. dt" Ave, os frrdr'((c based on a design drawn by (address) S+chbuY. A W, Ls.� L?E _ dated T,2o 0 7 (designer) I certify that the septic system referenced above was installed substantially according to the design, which may include minor approved changes such as lateral relocation of the distribution box and/or septic tank. 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 ce-.tiiied as-built by designer to follow. ZM OF • STEPHEN yG ALLYN (Installer's Signature) 0 Flo.O 302 SO�i1 S y (Designer's Signature) (Affix Designer's 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:Health/Septic/Designer Certification Form 3-26-04.doc Doc 1y035:474 06--05-2004 2•`25 BARNSTABLE LAND COURT REGISTRY DM PMTRICTION WHEREAS, PATRICIA A, DUBUQM, individually, of 200 Cliff Road, Wellesley Hills, Massachusetts 02481, is the owner of 459 Sea view Avenue, Sarastabla (Village of 08tervilIG) , Sarn stable Couatyp Ma®sachusetts 0265S, hereinafter referred to as Lot 23 on hand Curt Plan 1748- 1. WHEREAS, PATRICIA R. DUBUQUE, as the owner of said Lot has agreed with the Town of Barnstable Board of Health to a restriction as to the number of bedrooms which can be included in all building on, or to be built on said Lot as a pre-condition to ' obtaining a disposal works construction permit in compliance with 310 CMR 15.000 State Environmental Code, Title V, Minimum Requirements for the Subsurface Disposal of Sanitary Sewage; and WHEREAS, the Town of Barnstable board of Health, as a pre-condition to granting a disposal works construction permit for a septic system in compliance with 310 CMR. 15.200, State Environmental. Code, Title V, . Minimum Requirements fox the Subsurface Disposal of Sanitary Sewage, is re izing that the a reem �N g ent for the restriction on the number of bedrooms in the house constructed on the Lot, be Put •on record 'th P with a Barnstable County Registry District-of the Land "Court by filing this document'. NOW, THEREFORE, PATRICIA A. DMUQEM does hereby place the following YeStricti.on on her above-referenced land in accordance with her agreement with the Town of Barnstable Board of Health, which restriction shall, run with the land and be binding upon all successors in title: 459 Sea viers Avenue, Barnstable (Village of . Osterville) , Massachusetts 02655 shall have a house containing no more than ten (10) bedrooms, Patricia R. Dubuque agrees that this shall be a permanent deed restriction affecting Lot 23 located on 459 Sea. View Avenue, Barnstable (Village of osterville), Massachusetts and being shown as Lot 23 on band Court plan 1748-11 . EXCEPT that: if the. Town of Barnstable agrees after proper engineering' and Board. of Health approval ,,for, an Q�c ,J t enlarged septic system to accommodate more than 10 bedrooms, then this restriction would be amended by recording of such a permit. . This restriction sha21 no longer exist if Town sewer is connected to said property. For title, see Quitclaim Deed dated January 9, 2006 registared as Document No. 1,023, 630 noted on Certificate of Title No. 179013. EXECUTED as a sealed instrument this 1 day of JUNE, 2006. PATRICIA R. D�UB �� TU CPMMMEALTII OF KASSACK052TTS oywIV— .—, ss JUNE I&W , 2006 BMre me, the undersigned Notary Pvblic, personalty appeared, Patricia R. Dubuque, proved to me through satisfactory evidence of identification, which was a MA DRIVM S LICENSE, to !De the person whose name is signed on the prviceding or attached document, and acknowledged to xie EnAt She signed it voluntarily fo its stilt gnrpose, ( �I IAAAA Notary Pub My commission expires: ZI 200 v (Baal) E WLdM6@A6MdhMdhP^- AW K.WRFMY NoWfy Cronrnft a+rreal�of f Ma 9eadnmet�a L+� AtuVn,= i Town of Barnstable P# ,,, pQ THE tp� y ti� Department of Regulatory Services RARNSTABLV, Public Health Division Date l y MASS. �! 039. w! 200 Main Street,Hyannis MA 02601 ArFO MAy a a. Date Scheduled l Time 6 Fee Pd. 'V Soil Suitability Assessment for Sewage is osal Performed By: !34re hen A, W (SOY( tom! E, Witnessed By: ` 1 LOCATION & GENERAL INFORMATION Location Address ysf see)L ew .9YeN Nr OS/ri✓i/ Owner's Name 'Pa+ri a is w L vg,va If ZOO Cr� J ddress AJc/%t/e, 0z,/j/ Assessor's,Map/Parcel: .010 .1-38 ,pal 27— / � � ngineer's Name Sh he., pf+v .tJ`�C NEW CONSTRUCTION X REPAIR Telephone# 77/-750 /3 Land Use 1?c S r cA &A h:i 1 Slopes(%) Surface Stones Disiances from: Open Water Body 200/^ ft Possible.Wet Area "25 Of ft Drinking Water Well it Drainage Way ft Property Line ft Other ft SKETCH: (Street name,dimensions of lot,exact locations of test holes&pere tests,locate wetlands in proximity to(toles) i10 i,ttt lib CPb! i• J'�- Y ��y •�._a�_ _. - I � p _ V+'�� gi�F �'. .n �4 ... Vr Vyr.. F m_ •1a •`. '�R r, YY I C IAI y T`�i I_ t..t S. T. VS _ `.CL\N 4b�9 Y - � G _ � \ �'In `•+ `h.�,,.K �y e � � � i�EC�� rlL•'�-•�1 q a 4: t - F :° _ ` q• i//' R��— --\�'•t',_ _F�, a S r_.__•.-_ ._w F.._, ,,,_ _ _ �3 Y J,f VF •.-P✓ ESE E Y �,. 9 a "E .; R. 2 `�.\ `�— :,, .N P .e l�C Y � i; '� �acvc.ir rodn EI k. .g •E C ��1 �_ .,�.tt F�� � l e; G... NOYO MO! Y 'R•�\' b OMDIx a��,, a �.� � � , e 'r a ,- % sln a• ":ar.�.�:' r• R x.\ ---•..,,�. �,'� ,4 9 a � ,.w°cant P-5 nw;•x Parent material(geologic) GI aC ra I �uht�,'{�.5(� Depth to Bedrock Depth to Groundwater, Standing Water in Hole: Weeping from Pit Face LLJ 'Estimated Seasonal High Groundwater cla cf: DETERMINATION FOR SEASONAL HIGH WATER TABLE Method Used: -,Depth Observed standing in obs.hole: in. Depth to soil mottles: xDepth to weeping from side of obs.hole:. in. Groundwater Adjustment ft. I.., - c� Index Well'# Reading Dater Tndex Well level Adj.factor Adj.Groundwater Level_ t.!_ T_ PERCOLATION TEST Date ?&16b Time Obsetvatfon Hole# _ _ n Time at 9„ /0 t4/2 7 C_ 1 Depth ofPerc �L� (off 4 Time at 6" O: 10;q 9, l �' Start Pre-soakTime u . /Of0 /0:4b Time(9%6") 3�sC!i 1 End Pre-soak !o�zq jo:W �V Rate Min./Inch > Site Suitability Assessment: Site Passed_J/ Site Failed: Additional Testing Needed(Y/N) Original: Public Health Division Observation Hole Data.To Be Completed on.Back----------- L� ***If percolation test is to be conducted within 100' of wetland,you must first notify the Barnstable Conservation Division at least one (1)weeli prior to beginning. . Q HEALTH/WP/PGItCt OKM 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 /4-l'��38' C ,61-tvvn Sum l0 �l2 S�6 A� G'��cs ObtJcrd�� 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# 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# Depth from Soil horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA). (Munsell) Mottling (Structure,.Stones,Boulders. Consistency,%Gravel) Flood Insurance Rate Man: Above 560 year flood boundary No_ Yes Within 500 year boundary .No Yes Within 1,00 year flood boundary No— Yes _ Depth of Naturally Occurring Pervious Material four feet of naturally occurring pervious material_exist in all areas observed throughout the Does at least s Y area proposed for the soil absorption system? Ves If not,what is the depth of naturally occurring pervious material? Certification I certify that on �t (date)I have passed the soil evaluator examination approved by the Department of Envi onmental Protection and that the above analysis.was performed by nee consistent with the required training,expertise and experience described in 310 CNIR 15.017. Signature Date Q;1•IEALTH/WP/PERCF0RM / TOWN OF BARNSTABLE LOCATION �'C StGAVIGW AVG. SEWAGE # VILLAGE V t 1(,c, ASSESSOR'S MAP & LOT /3 E- O;L INSTALLER'S NAME&PHONE ^NO. � /� ('�(� SEPTIC TANK CAPACITY G�.s'SP Gu 1 "'" LEACHING FACILITY: (type) (size) NO. OF BEDROOMS BUILDER OR OWNER i` 1G I�CiI PERMITDATE: COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility (If any wells exist on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) ,,D Feet Furnished by��4 I/AG' os v � 8 I�rpT r 0 r TOWN OF BARNSTABLE LOCATION 416-9 SAOVa .✓ All, ~` SEWAGE#-4906 o26 7 VILLAGE n4V—VV!/6 ASSESSOR'S MAP&PARCEL ,JFY'Q22-00 J INSTALLERS NAME&PHONE NO. ge-%7. SEPTIC TANK CAPACITY 3op0 LEACHING FACILITY.(type). I lys jZ & C4 (size) U jG go NO.OF BEDROOMS t O OWNER ,}7" D £. PERMIT DATE: G (® -O 4, OMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility(If any wells exist on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) _ Feet FURNISHED BY �vs� k' r S V / i5, �o 600 �L 1jr yy-� i K �l-� � 3y•o 0 0 /b I r. d� Fee f y , (°F Entered in computer: T�tE°COME'VIONWEALTH OF MASSA.PHUSETTS, PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes Z[pplication for �Di5po5al 14pgtem Cow9truction Permit Application for a Permit to Construct Repair( ) Upgrade( ) Abandon( ) Xcomplete System ❑Individual Components Location Address or Lot No. '` 8-7 $P..GV!euj kw k*e_ Owner's Name,Address,and Tel.No. osr�e.vic,c�. PN/� /dG�$uQu.E Assessor's Map/Parcel /?J$ Ga OQ/ �S9 SCit!!l eco Ave_ Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. !3o►'fid lv/fi. �isfrkc firm (.��)��l-Sagg BAic�2. ; tide 7g N0 Type of Building: 1 .e1' Dwelling No.of Bedrooms w N � Lot Size� sq. ft. Garbage Grinder (Al) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) gpd Design flow provided Hob b _ gpd Plan Date 519L 1&. Number of sheets I Revision Date d Q& Title Size of Septic Tank 3,UOb Igla, Type of S.A.S. Description of Soil 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 Environmental Code and not to place the system in operation until a Certificate of Compliance has been issued by this B of al Date ����� Signe / Application Approved by � Date 6 Ub Application Disapproved[by: Date. for the following reasons Permit No. C06 ��6 Date Issued (/ ����— - Fee 1Vo. jm6z- �- 7 o Entered in computer: / TLH. �IION_WEALTH OF�Pe N_9HUSETT�r � �H P .r � X Es ti ,i Yes T _ PUBLIC HEALTH D�/ISIC - TOWN OF BARNSTABLE, MASSACHUSETTS ZippYication for Permit Repair O Upgrade O Abandon O Complete System ❑Individual Components Application for a Permit to Construct) Location Address or Lot No. Is el CP t//ecc1 Azl`Pt ke— Owner's Name,Address,and Tel.No. �o1TWR v/LLe PN/c l 61eyC:uc Assessor's Map/Parcel / 0 a r/ OD/ l/S%ZeA U l t°t d A-4 F�/t .. / • (Still'��// •_ Installer's Name,Address,and`Tel,No � Designer's Name,Address and Tel.No. /• /S�J,_ fSZ� rlrll i3`! _� F�✓fib lD/f� PQyj .�'lt C ��� � / �6AVTCR '57 tiI IE , ' Type of Building: Dwelling ' No.of Bedrooms �w � Lot Size y.��`iC� sq. ft. Garbage Grinder (A/) Other Type of Building No.of Persons Showers( ) Cafeteria( ) # Other Fixtures �. i Design Flow(min.required) '�� (f U gpd Design flow provided r gpd ' `{ ;flan Date J��a N�U(� Number of sheets I Revision Date S(a`1 d c r 't Title nn IIyy r Size of Septic Tank 3,000 Se,/llli,] Type of S.A.S. �l/a p:� D r ice!-v S of C `T l b , 7 ) 4- �1! / ' Description of Soil , r 9 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 Environmental Code and not to place the system in operation until a Certificate of Compliance"has been issued by this Board 'of Healtil Signe Date // Application Approved by <a Gl n e Date b 6 U 6 Application Disapproved by.: #a ?.' Date for the following reasons fit. Permit No.2 Cl)6 Date Issued --------------------- THE COMMONWEALTH OF MASSACHUSETTS -- - BARNSTABLE, MASSACHUSETTS (Certificate of Compliance THIS IS TO CERTIFY,that the/On-site Sewage Disposal System Constructed (�) Repaired ( ) Upgraded ( ) Abandoned( by Gr k k 4,' (h - i at ( �!/ _.� as been constructed in accordance with the provisions�f Title 5 and the for Disposal'System Construction Permit No. ' e/�, dated J r � Installer „r 4!o. i // Designer ` #bedrooms / - ref �' 4 Approved design flow /UU /J( �, —_ gpd The issuance of this permit shall not be consstrr7ued as a guarantee that the system wi-11 unction as/}des ignedj� Date ll��" / Inspector ———No. oz 106 -c2 -7 Fee Jl/•- THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DI171SION—BARNSTABLE, MASSACHUSETTS �Bigo!gal �_ p!tem Construction Permit � Permission is hereby granted to Construct (� Repair ( ) Upgrade ( ) Abandon ( ) System located at � �,Uer=:hI 1",OV4 , /,)CL vr`��Q and as described in the above Application for Disposal System Construction Permit.The applicant recognizes his/her duty to comply with Title 5 and the following local provisions or special conditions. Provided: Const/action must be completed within three years of the date of thi Date / /j Approved by � q COMMONWEALTH OF MASSACHUSETTS EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS DEPARTMENT OF ENVIRONMENTAL PROTECTION FAILED INSPECTION iAAP PARCEL , OLI 0 a Z LOT .� 1 TITLE 5 . OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM FORM PART A CERTIFICATION �6 4 ►�ACQ��'" d�b� Property Address: `Sea View Avenue Osterville, MA 02655 Owner's Name: Caroline McNeil I Owner's Address: a } Date of Inspection: Aurtust 18, 2004 � Name of Inspector: (Please Print) James M Ford Company Name: James M. Ford Mailing Address: P.O. Box 49 1; Osterville,MA 02655-0049 Telephone Number: (508)862-9400 CERTIFICATION STATEMENT I certify that I have personally inspected the sewage disposal system at this address and that the info ation reported below is true,accurate and complete as of the tune of the inspection. The inspection was performed based on my training and experience in the proper function and maintenance of on site sewage disposal systems. I am a DEP approved system inspector pursuant to Section 15.340 of Title 5(310 CMR 15.000). The system: Passes Conditionally Passes Needs F er Evaluation by the Local Approving Authority ✓ Fails Inspector's Signature: Date: August 28, 2004 The system inspector shall sub it copy of this inspection report to the Approving Authority(Board of Health or DEP)within 30 days of completi g this inspection. If the system is a shared system or has a design flow of 10,000 gpd or greater,the inspector and the system owner shall submit the report to the appropriate regional office of the DEP. The original should be sent to the system owner and copies sent to the buyer, if applicable,and the approving authority. Notes and Comments ****This report only describes conditions at the time of inspection and under the conditions of use at that time. This inspection does not address how the system will perform in the future under the same or different conditions of use. Title 5 Inspection Form 6/15/2000 page I Page 2 of 11 OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address: 469 Sea View Avenue Osterville, MA. Owner: Caroline McNeil Date of Inspection: August 18, 2004 Inspection Summary: Check A,B,C,D or E/ALWAYS complete all of Section D A. System Passes: I have not found any information which indicates that any of the failure criteria described in 310 CMR 15.303 or in 310 CMR 15.304 exist. Any failure criteria not evaluated are indicated below. Comments: B. System Conditionally Passes: One or more system components as described in the"Conditional Pass" section need to be replaced or repaired. The system,upon completion of the replacement or repair,as approved by the Board of Health,will pass. Answer yes,no or not determined(Y,N,ND) in the for the following statements. If"not determined",please explain. The septic tank is metal and over 20 years old* or the septic tank(whether metal or not)is structurally unsound,exhibits substantial infiltration or exfiltration or tank failure is imminent. System will pass inspection if the existing tank is replaced with a complying septic tank as approved by the Board of Health. *A metal septic tank will pass inspection if it is structurally sound,not leaking and if a Certificate of Compliance indicating that the tank is less than 20 years old is available. ND explain: Observation of sewage backup or break out or high static water level in the distribution box due to broken or obstructed pipe(s)or due to a broken,settled or uneven distribution box. System will pass inspection if (with approval of Board of Health): broken pipe(s)are replaced obstruction is removed distribution box is leveled or replaced ND explain: The system required pumping more than 4 times a year due to broken or obstructed pipe(s). The system will pass inspection if(with approval of the Board of Health): broken pipe(s)are replaced obstruction is removed ND explain: 2 Page 3 of 11 OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address: 469 Sea View Avenue Osterville, MA Owner: Caroline McNeil Date of Inspection: Augmt 18, 2004 C. Further Evaluation is Required by the Board of Health: Conditions exist which require further evaluation by the Board of Health in order to determine if the system is failing to protect public health,safety or the environment. 1. System will pass unless Board of Health determines in accordance with 310 CMR 15.303(1)(b)that the system is not functioning in a manner which will protect public health,safety and the environment: Cesspool or privy is within 50 feet of a surface water Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh 2. System will fail unless the Board of Health(and Public Water Supplier,if any)determines that the system is functioning in a manner that protects the public health,safety and environment: The system has a septic tank and soil absorption system(SAS)and the SAS is within 100 feet of a surface water supply or tributary to a surface water supply. The system has a septic tank and SAS and the SAS is within a Zone I of a public water supply. The system has a septic tank and SAS and the SAS is within 50 feet of a private water supply well. The system has a septic tank and SAS and the SAS is less than 100 feet but 50 feet or more from a private water supply well". Method used to determine distance "This system passes if the well water analysis,performed at a DEP certified laboratory, for coliform bacteria and volatile organic compounds indicates that the well is free from pollution from that facility and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm,provided that no other failure criteria are triggered. A copy of the analysis must be attached to this form. 3. Other: 3 Page 4 of 11 OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address: 469 Sea View Avenue Osterville, MA Owner: Caroline McNeil Date of Inspection: August 18, 2004 D. System Failure Criteria applicable to all systems: You must indicate either"yes"or"no"to each of the following for all inspections: Yes No _ ✓ Backup of sewage into facility or system component due to overloaded or clogged SAS or cesspool ✓ ,Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or clogged SAS or cesspool ✓ Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool _ ✓ Liquid depth in cesspool is less than 6"below invert onavailable volume is less than ''/z day flow ✓ Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s). Number of times pumped_. ✓ Any portion of the SAS,cesspool or privy is below high ground water elevation. ✓ Any portion of cesspool or privy.is within 100 feet of a surface water supply or tributary to a surface water supply. ✓ Any portion of a cesspool or privy is within a Zone 1 of a public well. _ ✓ Any portion of a cesspool or privy is within 50 feet of a private water supply well. ✓ Any portion of a cesspool or privy is less than 100 feet but greater than 50 feet from a private water supply well with no acceptable water quality analysis. [This.system passes if the well water analysis, performed at a DEP certified laboratory,for coliform bacteria and volatile organic compounds indicates that the well is free from pollution from that facility and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm,provided that no other failure criteria are triggered. A copy of the analysis must be attached to this form.] NOTE: SINGLE CESSPOOLS AUTOMATICALLY FAIL IN THE TOWN OF BARNSTABLE. Yes (Yes/No)The system fails. I have determined that one or more of the above failure criteria exist as described in 310 CMR 15.303,therefore the system fails. The system owner should contact the Board of Health to determine what will be necessary to correct the failure. E. Large System: To be considered a large system the system must serve a facility with a design flow of 10,000 gpd to 15,000 gpd• You must indicate either"yes"or"no"to each of the following: (The following criteria apply to large systems in addition to the criteria above) Yes No the system is within 400 feet of a surface drinking water supply the system is within 200 feet of a tributary to a surface drinking water supply the system is located in a nitrogen sensitive area(Interim Wellhead Protection Area-IWPA)or a mapped Zone II of a public water supply well If you have answered"yes"to any question in Section E the system is considered a significant threat,or answered "yes"in Section D above the large system has failed. The owner or operator of any large system considered a significant threat under Section E or failed under Section D shall upgrade the system in accordance with 310 CMR 15.304. The system owner should contact the appropriate regional office of the Department. I 4 Page 5 of 11 OFFICIAL INSPECTION FORM- NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B CHECKLIST Property Address: 469 Sea View Avenue Osterville, MA Owner: Caroline McNeil Date of Inspection: August 18, 2004 Check if the following have been done: You must indicate"yes"or"no"as to each of the following: Yes No ✓ Pumping information was provided by the owner,occupant,or Board of Health ✓ Were any of the system components pumped out in the previous two weeks? ✓ _ Has the system received normal flows in the previous two week period? ✓ Have large volumes of water been introduced to the system recently or as part of this inspection ? ✓ Were as built plans of the system obtained and examined?(If they were not available note as N/A) ✓ _ Was the facility or dwelling inspected for signs of sewage back up? ✓ Was the site inspected for signs of break out? ✓ _ Were all system components,excluding the SAS, located on site? ✓ _ Were the septic tank manholes uncovered,opened,and the interior of the tank inspected for the condition of the baffles or tees,material of construction,dimensions,depth of liquid,depth of sludge and depth of scum? ✓ _ Was the facility owner(and occupants if different from owner)provided with information on the proper maintenance of subsurface sewage disposal systems? The size and location of the Soil Absorption System(SAS)on the site has been determined based on: Yes No ✓ _ Existing information. For example,a plan at the Board of Health. ✓ _ Determined in the field(if any of the failure criteria related to Part C is at issue approximation`of distance is unacceptable)(310 CMR 15.302(3)(b)]. 5 Page 6 of 11 OFFICIAL INSPECTION FORM- NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION Property Address: 469 Sea View Avenue Osterville, MA Owner: Caroline McNeil Date of Inspection: August 18, 2004 FLOW CONDITIONS RESIDENTIAL Number of bedrooms(design): n/a Number of bedrooms(actual): 6 DESIGN flow based on 310 CMR 15.203 (for example: 110 gpd x#of bedrooms): 660 Number of current residents: / Does residence have a garbage grinder(yes or no): No Is laundry on a separate sewage system(yes or no): n/a [if yes separate inspection required] Laundry system inspected(yes or no): No Seasonal use(yes or no): Yes Water meter readings, if available(last 2 years usage(gpd)): Unavailable Sump Pump(yes or no): No Last date of occupancy: Currently occupied COMMERCIAL/INDUSTRIAL Type of establishment: Design flow(based on 310 CMR 15.203): gpd Basis of design flow(seats/persons/sgft,etc.): Grease trap present(yes or no): Industrial waste holding tank present(yes or no) Non-sanitary waste discharged to the Title 5 system(yes or no): Water meter readings,if available: Last date of occupancy/use: OTHER(describe): GENERAL INFORMATION Pumping Records Source bf information: Pumped 25 years ago-per owner Was system pumped as part of the inspection(yes or no): No If yes,volume pumped: _gallons--How was quantity pumped determined? Reason for pumping: TYPE OF SYSTEM Septic tank,distribution box,soil absorption system ✓ Single cesspool Overflow cesspool Privy Shared system(yes or no) (if yes,attach previous inspection records, if any) Innovative/Alternative technology. Attach a copy of the current operation and maintenance contract(to be obtained from system owner) Tight Tank Attach a copy of the DEP approval Other(describe): Approximate age of all components,date installed(if known)and source of information: Installed in approximately 1907-per owner Were sewage odors detected when arriving at the site(yes or no): No 6 Page 7 of 11 OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: 469 Sea View Avenue Osterville, MA Owner: Caroline McNeil Date of Inspection: August 18, 2004 BUILDING SEWER(locate on site plan) Depth below grade: None Materials of construction: _cast iron _40 PVC other(explain): Distance from private water supply well or suction line: Comments(on condition of joints,venting,evidence of leakage,etc.): . SEPTIC TANK: None (locate on site plan) Depth below grade: Material of construction: _concrete _metal _fiberglass _polyethylene _other(explain) If tank is metal list age: Is age confirmed by a Certificate of Compliance(yes or no): (attach a copy of certificate) Dimensions: 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: 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: None (locate on site plan) Depth below grade: Material of construction: _concrete _metal _fiberglass _polyethylene _other (explain): Dimensions: Scum thickness: Distance from top of scum to top of outlet tee or baffle: Distance from bottom of scum to bottom of outlet tee or baffle: Date of last pumping: Comments(on pumping recommendations, inlet and outlet tee or baffle condition;structural integrity, liquid levels as related to outlet invert,evidence of leakage,etc.): 7 e Page 8 of 11 OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: 469 Sea View Avenue Osterville, MA Owner: Caroline McNeil Date of Inspection: August 18, 2004 TIGHT or HOLDING TANK: None (tank must be pumped at time of inspection)(locate on site plan) Depth below grade: Material of construction: _concrete_metal =fiberglass _polyethylene _other(explain): Dimensions: Capacity: gallons Design Flow: gallons/day Alarm present(yes or no): Alarm level: Alarm in working order(yes or no): Date of last pumping: Comments(condition of alarm and float switches,etc.): DISTRIBUTION BOX: None (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: None (locate on site plan) Pumps in working order(yes or no): Alarms in working order(yes or no) Comments(note condition of pump chamber,condition of pumps and appurtenances,etc.): 8 Page 9 of 11 OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: 469 Sea View Avenue Osterville, MA Owner: Caroline McNeil Date of Inspection: August 18, 2004 SOIL ABSORPTION SYSTEM(SAS): None (locate on site plan,excavation not required) If SAS not located explain why: 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: I -single Depth-top of liquid to inlet invert: 2' Depth of solids layer: 12" Depth of scum layer: I" Dimensions of cesspool: 7'W x 9'T x 10'bottom to grade Materials of construction: Cesspool block Indication of groundwater inflow(yes or no): None Comments (note condition of soil,signs of hydraulic failure,level of ponding,condition of vegetation,etc.): The cesspool had T of liquid on the bottom. Solids were above the pipe. The cover was to Grade. The cesspool showed signs of past hydraulic failure. Also, single cesspools automatically fail in the Town of Barnstable. PRIVY: None (locate on site plan) Materials of construction: Dimensions: Depth of solids: Comments(note condition of soil,signs of hydraulic failure, level of ponding,condition of vegetation,etc.): 9 L Page 10 of 11. OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: 469 Sea View Avenue Osterville, MA Owner: Caroline McNeil Date of Inspection: August 18, 2004 SKETCH OF SEWAGE DISPOSAL SYSTEM Provide a sketch of the sewage disposal system including ties to at least two permanent reference landmarks or benchmarks. Locate all wells within 100 feet. Locate where public water supply enters the building. 13 0 10 Page 1 1 of 1 I OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: 469 Sea View Avenue Osterville, MA Owner: Caroline McNeil Date of Inspection: August 18, 2004 SITE EXAM Slope , Surface water Check cellar Shallow wells -Estimated depth to ground water 14 +/- feet Please indicate(check)all methods used to determine the high ground water elevation: Obtained from system design plans on record-If checked,date of design plan reviewed: Observed site(abutting property/observation hole within 150 feet of SAS) ✓ Checked with local Board of Health-explain: topographic and water contour maps Checked with local excavators, installers-(attach documentation) Accessed USGS database-explain: You must describe how you established the high ground water elevation: _Using Barnstable topographic maps and water contours maps, the maps were showing approximately 14'+1-to ground water at this site. This report has been prepared and the system inspected and failed as of the date of inspection. This report is not a warranty or guarantee that the system will function properly in the future. There have been no warranties or guarantees, either expressed, written or implied, relating to the system, the inspection and/or this report. Il Town of Barnstable Board of Health 200 Main Street, Hyannis MA 02601 Office: 508-862-4644 Wayne Miller,M.D. FAX: 508-790-6304 Sumner Kaufman,MSPH Paul Canniff,D.M.D. May 30, 2006 Mr. Stephen Wilson, P.E. Baxter and Nye Engineering and Surveying 812 Main Street Osterville, MA 02655 Fay:,:, .,..fww�._n.�rz.a„.,,. _ u.,...,.,_ ,: ,,< .e„ _ _ �.v•&.+...vacu+.,.: e,aa..._ ._..ces..._ _ '�- .wa,'� -„ a'A.�.,.. Dear Mr.Wilson, You are granted a variance on behalf of your clients, Philip and Patricia Dubuque, to construct a replacement onsite sewage disposal system at 459 Sea View Avenue, Osterville. The variance granted is as follows: Section 360-1, Town of Barnstable Code: The septic tank will be located 80 feet away from a coastal bank, in lieu of the 100 feet minimum separation distance required. This variance is granted with the following conditions: (1) No more than ten (10)bedrooms are authorized at this property. (2) The septic system shall be installed in substantial compliance with the submitted plans dated April 25, 2006. , (3) The designing engineer shall supervise the construction of the onsite sewage disposal system and shall certify in writing to the Board of Health that the system was installed in substantial compliance with the submitted plans dated April 25, 2006. These variances are granted because the physical constraints at the site severely restrict the locatio f the soil a orption system. Sinc el ours, ayne Miler, M.D. Chairma� Q:WilsonStephenDubuque2006 DATE: \� (0 0 i � FA ,bsq �e� I REC. BY `�i NtGt i Town of Barnstable . DATE, vocl Board of Health 200 Main Street,Hyannis MA 02601 Office: 508-8624644 Susan G.Rask,R.S. FAX: 508-790-6304 Sumner Kaufman,M.S.P.H. Wayne A.Miller,M.D. VARIANCE REOUEST FORM LOCATION Property Address: 4/59 5ret Lll ca 4Vr,?UC . &yCZ-rrtri/1�e Assessor's Map and Parcel Number: n4 l 3B; R-j Z7.uo l Size of Lot: Y3,S62 -T. Wetlands Within_300 Ft. Yes � Business Name: No Subdivision Name: APPLICANT'S NAME: Phone Did the owner of the property.authorize you to re resent him or her? Yes ✓ 'No PROPERTY OWNER'S NAME CONTACT PERSON Name: +{ti 0' k .&teta R. nuIntiolAgs Name: skr—okr, A UY,(-%ev% P-6. 96,;4sv N ja Address: Z.06 CIA gel , LJ-11es6ti o2°18/ Address: ?8 KS6.,A!,, }"!je.,rtrS , ►nA ts2`o/ Phone: Phone:(508) 7 7 I-7 TO 2 eat- 13 VARIANCE FROM REGULATION(ListRe&) REASON FOR VARIANCE(May attach if more space needed) A,+%c-._ orrmcy[s tb 2.116us a Selphr- +;2Kk 4= " 13401 th Itw tae', NATURE OF WORK: House Addition ❑ House Renovation X Repairof Failed Septic System ❑ Checklist(to be completed by office staff-person receiving variance request application) _ Four(4)copies of the completed variance request form Four(4)copies of engineered plan submitted(e.g.septic system plans) , _ Four(4)copies of labeled dimensional floor plans submitted(e.g.house plans or restaurant kitchen plans) Signed letter stating that the property owner authorized you to represent him/her for this request _ r i7g Applicant understands that the abutters must be notified by certified mail at least ten days prior to meeting date at applicant's cxpensie. (for Title V and/or local sewage regulation variances only) Cr _ Full menu submitted(for grease trap variance requests only) fla j' '�Y i Variance request application fee collected (no fee for lifeguard modification renewals, grease trap variance-retewals [same:` owner/leasee only],outside dining variance renewals[same owner/leasee only],and variances to repair failed sewage" Eisposal systems [only if no expansion to the building proposed]) t Variance request submitted at least 15 days prior to meeting date '1 — 4 3 f`i VARIANCE APPROVED Susan G.Rask,R.S.,Chan NOT APPROVED Sumner Kaufman,M.S.P.H. \ REASON FOR DISAPPROVAL Wayne A.Miller,M.D. C:\Documents and Settings\decollik\Local Settings\Temporary Internet Files\OLKFB\VARIRBQ.DOC April 26f, 2006 Board of Health Town Offices 200 Main Street Hyannis, Massachusetts 02601 Re: 459 Sea View Avenue, Osterville Members of the Board, This letter is to inform the Board that I have authorized Stephen A. Wilson,P.E. to represent me for the variance being requested at the above noted location. Sincerely, Paz bc-'4� Patricia Dubuque 1.58 VVW�►6 1.57 AcAL •eau. 3 r E�A's..00 \ `1 2.004 \� . i Ll5 buw�. 2.001 y o r_ ' ate= ® 0 L' S - 20 • S40.s - s N ABUTTORS MAP BARTER NYE ENGINEERING & SURVEYING z Abutters List Map Parcel Owner&Address 138 28 R.H. McCarthy 15 Edwards Road Framingham,MA 01701 138 27-2 S.D. Woodring, Trs. 31 Stoneymeade Way Acton,MA 01720 138 33 P. G. Wheeler, Trs. c/o Louise Chauncey Boston Private Bank&Trust Wellesley,MA 02481 2006-0047/Dubuque 4 r �tNE tp� DATE: bP �„ i �CI'ARiF_ REC.Town of Barnstable 9q' MASS � Board of Health SCHED. DATE: RFD MPy 200 Main Street, Hyannis MA 02601 Office: 508-862-4644 Susan G.Rask,RS. FAX: 508-790-6304 Sumner Kau&nau,M.S.P.H- Wayne A.Miller,M.D. Application to Construct or Expand to Sig (6) or More Bedrooms LOCATION .Property Address: 'V59 Sr4 (Jru.j Aden&-r- lr Assessor's Map and Parcel Number: yyi i g ; Acl 2-7-ow Size of Lot: v3 Wetlands Within 300 Ft. Yes ✓ Business Name: No Subdivision Name: APPLICANT'S NAME: Pa,l'riciz DV 6UQvM Phone Did the owner of the property authorize you to represent him or her? Yes ✓ No PROPERTY OWNER'S NAME CONTACT PERSON Name: Qh;lip Z s Pa6icm R. '000,ily— Name: Sm_phcr A U5 laws,., R.15 (ioxlrr MLIA rams- 3 Sv"%V J Address: 200 C)Iff 900 W,_ estcy a2y8/ Address: 7% I9or +-ftia„nts 0240) Ca F; Phone: Phone:C S O$) Checklist Please submit copies in 4 separate completed sets. 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W. I p=' I I 7ff� EXISTING WALLS TO REMAIN y L— J a\\//�- — — — BREAKFAST MECHANICAL Q — — EXISTING WALLS,FIXTURES,EQUIPMENT,ETC. �1 REMOVE EXISTING I TO BE REMOVED CHIMNEY AND FLUE. _ REMOVE ELECTRICAL U L PANEL.NEW LOCATION I AREA OF FLOORING/CEILING AND OR STRUCTURETO BE to \\I IN FIELD COORDINATED I TO BE REMOVED H2 •V U O 120A �\ IiAI N t p Cm I — I rot I DEMOLITION GENERAL NOTES to S 2 a C _ N 10 �t J I'I I 1. CONTRACTOR SHALL VISIT THE SITE TO DETERMINE '0 I _ I I Ohl I THE FULL EXTENT OF DEMOLITION TS WORK:ALL C Ilrl�ll EXISTING CONDITIONS ARE NOT SHOWN: THESE ctj DOCUMENTS.CONTRACTORSHALLTHOROUGHLY j I� I EXAMINE ALL INEFULEXTENT FITEMSTOBER C TO DEMOLITION TO REUSED.DETERMINE FULL EXTENT OF ITEMS TO BE RELOCATED y_ ID OR REUSED. Cl Q 2. CONTRACTOR SHALL COMPLETELY REMOVE AND O in I A-21 PROPERLY DISPOSE OF ALL CONSTRUCTION DEBRIS L 7 REF.7I. I II NOTTOBEREUSED ACCORDING TO THE REGULATIONS U iD U t A• t 1 I_ 1 OF ALL AUTHORITIES HAVING JURISDICTION. 3. THE SCOPE OF DEMOLITION FOR THIS CONTRACT t p SHALL INCLUDE BUT NOT BE LIMITED TO THE REMOVAL II I OF ALL EXISTING FINISHES,FURNISHINGS,AND EQUIPMENT i E NOTTOBEREUSED.CONTRACTOR SHALL REMOVE OLD to O REF C 1t HVAC EQUIPMENT.BASEBOARD UNITS,ELECTRICALFIXTURES V I.L �P. I AND WIRING,ETC.WITHIN THE JOB LIMITS.ALL SYSTEMS ,� O N HALL I I SHALL BE PROPERLY TERMINATED IF NOTTO BE REUSED. ¢ m.O. GUT POWDER ROOM I L J L A I ♦ WHERE SPECIFICALLY NOTED CAREFULLY REMOVE EXISTING PLUMBING LOCATIONS CLOS. I LIGHTQPWMBING FIXTURES,APPLIANCES AND OTHER ITEMS, TO REMAIN AND BE ' .REUSED - Ir � AND RETURN TO OWNER. L� -1— I S. REMOVAL OF ALL MASONRY AND STRUCTURAL ELEMENTS . ' UP I r I' SHOWN ON,"DOWI ION DRAWIDUL,THE AR COORDINATEDWITH THEI FLOOR PLAN _ I TEMPORARY ANDSHORING STRUCTURAL REQUIRED EQUI E DRAWING PROVIDE r TEMPORARY ST UCTU G AS flC NR AC O SUPPORTHALL NOTIFY If UP I I PAN 3 I e 1 -2D AR HITECT MMED R ET E AN'IRINCONSITORSTENCIES OR THE 17 BATH / STAIR HALL / \ FIELD CONDITIONS WHICH SHOULD ARISE O w CLOSET Q �. A-17 7p FOYER ..Q CLOS I I I I CLOS JJ I I_ I 6 ALL EXISTING FLOORS ARE TO REMAIN UNLESS NOTEDOTHERW 1 q i qJ EXISTING/WALLS HAVE BEEN REMOVEDSF-CONTRACTO TO PATCH ATOO AREAS — n A STABLE SUBSTRATE FOR NEW FINISHES.TYPICAL O REMOVE WALLS I • - h .VERIFY STRUCTURE IN FIELD AND PROVIDE �TEMPORARY SUPPORT REMOVE SECTION AS REQUIRED OF WALL TO RECEIVE I I I I I m e A NEW POCKET I I CASED OPENING TO BE REMOVED. REMAIN ABOVE TO w r REMOVE EXISTING ONE GREAT ROOM - VENEER 0 CHIMNEY OPEN TO ABOVE I �p O a ti ' I I I ( I FAMILY ROOM I A I ` 3 LIVING ROOM I A-18 A-19 1 I = f I I o w REMOVE WALL REMOVE EXISTING DOOR I I I I I s IVERN FlELDSTRUCN I I AND SIDELIGHTS r� ill III _I )II � I I I � '° II 6 u— — a -7rr AS REQUIRED FOR AS REQUIRED FOR III AS REQUIRED FOR AS REQUIRED FOLE R AS REQUIRED FOR NEW OPENING NEW OPENING III NEW OPENING NEW OPENING III NEW OPENING I o U In a I1I�I 1 A-17 1 (Y I 3 SCREEN PORCH REAR PORCH III I SCREEN PORCH \ II REMOVE EXISTING SCREENING y REMOVE E%I REM G STINGWOOD AND RSREENINO II AND GLASSDOORS DECKING.VERIFY CONDITION CL PIERS TO REMAIN. I( OF EXISTING STRUCTURE PIERS AIN. BELOW.(TYPICAL) CC Z III II O O � DN.— i O L-- — — — — — _ - - - �- cn : L — — — — — — — — — — — — — — — — — — — — — — — — J rt w FIRST FLOOR DEMOLITION PLAN 1 D-1 t \ DEMOLITION KEYED NOTES \ I REMOVE ANDRAFTERS OF ROOF FOR BEDROOM EXTENSION. �( EXISTING WALLS TO REMAIN 'e \I SEE PROPOSED FLOOR PLANS I/ -�V EXISTING WALLS,FIXTURES,EQUIPMENT,ETC. N::s at a R a V 7/-T rn rn 77 77 Ti tl T7/T T 7/ �/ //—�// TO BE REMOVED � AREA OF FLOORING/CEILING A OR STRUCTURE G TO BE REMOVED I DEMOLITION GENERAL NOTES 5 m I o mfo PF: —�_—...OVE EXISTING I 1. CONTRACTOR SHALL VISIT THE SITE O DETERMINE O .- O C THE FULL EXTENT OF DEMOLITION WORK ALL 1n L y CHIMNEY AND FLUE I O) ` I EXISTING CONDITIONS ARE NOT SHOWN ON THESE 2 /STING FLOOR O - EX I DOCUMENTS.CONTRACTOR SHALL THOROUGHLY Q ¢.5 � I I I BE PATCHED. I EXAMINE ALL DRAWINGS PRIOR O D(S TO B TO DETERMINE FULL EXTENT OF ITEMS O BEE RELOCATED ELOCATED � REMOVE EXISTING BEDROOM Me I I BEDROOM#5 i OR REUSED. WINDOW TO BE REPLACED I I 2 CONTRACTOR SHALL COMPLETELY REMOVE AND ? . I PROPERLY DISPOSE OF ALL CONSTRUCTION DEBRIS - C WITH NEW UNIT NOT TO BE REUSED ACCORDING O THE REGULATIONS .� m I > I OF ALL AUTHORITIES HAVING JURISDICTION. Q, 9. THE SCOPE OF DEMOLITION FOR THIS CONTRACT O L w I I SHALL INCLUDE BUT NOT BE LIMITED O7HE REMOVALOF ALL L rl� I ENT NOT OBE REUSED. HALL REMOVE OLD STING SHES.FURNISHINGS, • I— — — — — — — — — — —, COS, I /1� I— I HVAC EQUIPMENT,BASEBOARD UNITS.ELECTRICAL FIXTURES 1 CO y // MS F_r AND WIRING,PROPERLY ERMINAIN THE ED IF NOTT BE REUSED. wo rflI REMOVE SECTION OF SHALL BE PROPERLY TERMINATED IF NOT BE REUSED. i E EXISTING ROOF OVERHANG A (O O G WHERE SPECIFICALLY NOTED CAREFULLY REMOVE Ela NG ca 0 r0(T LIGHT a PLUMBING F TUBES.APPLIANCES AND OTHER ITEMS, . I ON I AND RETURN O OWNER. •� p HALL N , -21 BATH I I 5. REM OVAL OF ALL MASONRY AND STRUCTURAL ELEMENTS Q Do 3 I SHOWN ON DEMOLITION DRAWINGS SHALL BE COORDINATED (}�^ WITH THE WINDOW/DOOR SCHEDULE THE ARCHITECTURAL FLOOR PLAN AND THE STRUCTURAL DRAWINGS.PROVIDE — "� I I TEMPORARY STRUCTURE REQUIRED SUPPORT THE THE (OPEN TO BELOLN( CLOS I I TEMPORARY SHORING AS O R CONTRACTOR O SUPPORT THE ARCHITECT EDIATELY OF ANY I , TENCIES OR FIELD CONDITIONS WHICH SHOULD ARISE 1••1 ® DN L®° I J \ I I 6. ALL EXISTING FLOORS ARE TO REMAIN UNLESS NOTEDOTHERW L — J V I I EXISRNGIWALLSCONTRACTOR H VE BEEN REMOOVED TO AREAS BALCONY 1•G� ASTABLE SUBSTRATE FOR NEW FINISHES.TYPICAL BATH TM I h A obi ,D �+ I ° I CLOS. I f —1 —1 DUOS Iz__ I y o I I I I I I I I BALCONY I I A BALCONY REMOVE SECTION i y OF WALL TO RECEIVE _ '¢ I 11 II II II II Ionw y NEW POCKET DOOR w 1 3O a I REMOVE ENG II I IIIII IIIII IIIII IIIII (OPEN TO BELOW) IIIII IIIII IIIII �%S u0 FIREBOX AND R CH MNIZY NDH TO RE N S O. D F II(d�II II O QI BEDROOMY, BEDROOMMI ' REMOVE SEDTIDNQ To WIDOFOR HATCH WS o A 0y WALK ¢ ¢ V.I.F.W/ARCHITECT q/ II II II II I _� o V CLOS ECTI E REMOVE IO EXISTINGROOFOVERHANG JI LjLI I�Qi—lC10 5. J 9_ JJJJ L roo <sycti Q � LEL / BEDROOM#2 BEDROOM43 BATH od° a III 6 n Z4 CI CLOS. OS. � I � J REMOVESECTIONOF O CL I I I I I I EXISTING ROOF OVERHANG O Z LL Q O Z J C) O w c o �� FIRST FLOOR DEMOLITION PLAN D-2 GENERAL NOTES: FRAMING NOTES: SQUARE FOOTAGE CALCULATIONS CARRIAGE HOUSE: CONSTRUCTION LEGEND: 1.ALL WORK SHALL COMPLY WITH FEDERAL,STATE AND LOCAL BUILDING CODES I.ALL WOOD IN CONTACT WITH CONCRETE SHALL BE PRESSURE x ANDORDINANCES.NOTES GENERATED REFER TO MASSACHUSETTS STATE BUILDING TREATED. Q EXISTING SQUARE FOOTAGE .1 CODE 760 CMR SIXTH EDITION. CARRIAGE HOUSE:UPPER LEVEL 9655F/ NEW WALL TO BE CONSTRUCTED 2 PROVIDE 0.025'ALUMINUM TERMITE SHIELDS OVER FIBOROUS ®i SQUARE FOOTAGE TO BE ADDED / 2.ANY'EXTRAS'FOR ALL LEGITIMATE UNFORESEEN CONDITIONS SHALL BE INSULATION AT ALL PERIMETER SILLS. ' NOTE LINTS INTERIOR PARSTOBE OBE2xSTRUCTON. -=N z n.s^s DOCUMENTED WITH THE COST OF WORK APPROVED BY THE OWNER OR HIS AGENT MAIN HOUSE: TYPICAL INTEflIOR PARTITIONS TO BE 2xA a a a ' PRIOR TO STARTING ANY ADDITIONAL WORK 3.ANCHOR BOLTS ?TO BE I O1AM.MINIMUM AND EMBEDDED INTO j//• //� CONCRETE AT LEAST I. f780 CMR 36N.10).BOLTS SHALL HAVE A SS SF CARRIAGE HOUSE:GARAGE LEVEL / 1160 SF' / WI 1R'BB AND PLASTER UNLESS OTHERWISE NOTED. 3.ALL DIMENSIONS FROM EXISTING CONSTRUCTION SHALL BE VERIFIED IN MAXIMUM SPACING OF a-O.O.C. /�% / T INDICATED TEMPERED WINDOW ON PLAN THE FIELD.ANY DISCREPANCY BETWEEN THE DRAWINGS AND THE FIELD CONDITIONS SHALL BE BROUGHT TO THE ATTENTION OF THE DESIGNER. 4.PROVIDE DOUBLE JOISTS UNDER ALL WALL PARTMO14S RUNNING Q WINDOW TAG(BEE WINDOW SCHEDULE) PARALLELTO FRAMING.PROVIDE DOUBLE HEADER JOISTS AT ALL WALL / 250 SF m FOUNDATION NOTES: AND FLOOR OPENINGS.REFER TO FRAMING PLANS FOR LOCATIONS SECOND FLOOR:MAIN HOUSE . TOTAL SQUAPEFOOTAGE: 2145 SF AND SIZES. 000 DOOR TAG(SEE DOOR SCHEDULE) m 1.TYPICAL FOUNDATION SHALL BE IO'THICK POURED CONCRETE WITH 245 REBAR' N ae TOP AND BOTTOM,WITH A CONTINUOS FOOTING Z-W X 2'-O'BY 1'-0'DEEP WITH 2-05 S.ALL FRAMING LUMBER TO BE P2 PINE/SPRUCE CONSTRUCTION 2220 SF REBARS AND"DOWELS 0 Z-W O.C..UNLESS OTHERWISE NOTED. GRADE OR BETTER el A�Ji un' (JOB NORTH) 2.ALL FOOTINGS SHALL BE CARRIED DOWN TO A MINIMUM OF 4! BELOW FINISHED S.PROVIDE BLOCKING IN FLOORS AS REQUIRED. ' GRADE OR DEEPER IF NECESSARY FOR SOIL BEARING CAPACITY. TOTALS: 7.WHERE EXISTING OPENINGS ARE PATCHED,ALL FACES OF FINISHES 3.SOIL BEARING CAPACITY SHALL BE 2 TONS PER SQUARE FOOT UNLESS SHOULD ALIGN WITH ADJACENT EXISTING FINISH. t��l MAIN HOUSE:7200 SF OTHERWISE NOTED. PLUMBING NOTES: FIRST FLOOR:MAIN ROUSE CARRIAGE HOUSE 2145 SF 4.ALL CONCRETE SHALL HAVE A MINIMUM COMPRESSIVE STRENGTH OF 3,000 PSIAND HAVE A MAXIMUM SLUMP NOT EXCEEDING 3. ALL PLUMBING WORK TO BE DONE IN ACCORDANCE WITH THE RULES _AND REGULATIONS OFTHE MASSACHUSETTS PLUMBING CODE 2"CMR. N S.PROVIDE MINIMUM 6 MIL THICK POLY MOISTURE.BARRIER ON FOUNDATION WALL _ GROSS TOTAL: —S SF C m BELOW GRADE MAIN HOUSE SUBTOTALS: (J U N O * • RENOVATED SQUARE FOOTAGE e770 SF O .m• O C ADDED SQUARE FOOTAGE 2430 SF U L _ 2 2z-r _ Q ¢ 7 TOTAL SQUARE FOOTAGE 7200 SF " all I ------- ------------- ------ m -------------- $ g r-------- -� I U I I I I W.Ir 10'SON BE (J) 3�0 Y I I I I 1 1 o ff 1 i '•: C13 U o m VENTILATION •. AS REQUIRED I � r-�-1 I I •• I cn I I I I • I I STRUCTURAL GIROER I I I m SEE STRUCTURAL ' I ED. r— —� EO. I I I 1 • I A • I — —J 'MECHANICAL I ~ • I (UNFINISHED) - - CRAWLSPACE cn '• AREA WAY TO Imo: I - - • I I I - 2'CONCRETE SLAB OVER I i'• I �] GRAVEL FILL,Z OF SAND AND BASEMENT I i I CUT EXISTING FOUNDATION I I fi MIL POLY VAPOR BARRIER I : I o ~c FOR MECHANICAL AS REQUIRED [� _ COORDINATE LOCATION IN FIELD I •' i ti W I REMOVE PORTION OF EXISTING _ FOUNDATION WALL FOR VENTILATION I I I I - I IN NEW CRWL SPACE EXISTIG • I 1 - I I I I i L—t-J TO BENVERF LED IN FIELD D CRAWL SPACE 4'CONCRETE SLAB OVER a y I 6 GRAVEL FILL Z OF SAND AND O 6 MIL POLY VAPOR BARRIER 'c PROVIDE WATER STOP AND I I O U n n a DOWELS AT CONNECTION L-------.------------------ BETWEEN NEW AND EXISTING FOUNDATION WALLS(TYPICAL) --------------- I I —— ——————— L-----•..-----•---- ---------•-- ALIGN d I I •" I FULL BASEMENT @ ADDITION FOR MECHANICALui CONC.SLAB ABOVE I I ON GRAVEL FILL I I U Q 0 0 m L_ t i I CL Z '3•.g I I0 0 -----------------J d 0 ---- ------------J AucN �1 PROPOSED FOUNDATION PLAN �_ cc n I ac a TO (JOB(JOB NO s m I12o) I $e RT /l I 4'-2j _ 121 O I U 22d CURBLESS SHOWER GUEST SUITE ♦Z N SS 11'S S-S B 0 O I 0 BATH It A 21 I 0 r o OC I 1 I 'd,S� y i m n HOSE BIB S E A T Q Q C 119 • T-9' 10'.T n HOSE BIB ~ F IN41 1 © I 42'BLUESTONE STOOP C I I P.R.42 ID O TO I I I LAUNO D—II J 9 A-21 3 I. 4- '6'f• COL L y VERIFY IN FIELD 7, 6'-1 S a I I I I CRAWLSPACE CONNEC ON I — M.BATHROOM I I UNDER STAIRWAY 1 A-20 1 0'•9' I I S-3' 118 4'-9' © 3 U 1 ^" M.CLOSET I I I I I = 1 CO N 4 A•172 W I I I A O 0 117 J 123 BROOM I `'�i `C.. E f ® D I II FRONT STOOP DOG COAT HOOKS CLOS W O C m GRANITE .yam � U O KENNEL 116 9, 1. MUD ROOM '4 9'-11.11' '_ O 6•.r "y1 T-4• m I Q m In o 14' T32' 36'REF PANTRY I �,' LINEN 'yj 101 102 111 UP II = O 0 O FAUCET I YI II PANTTRYS I I U 100 $17 P.R.81 110 I I I I UP 1: 6 A-20 3 I I W 1 A-20 122 TO CEIIV LING FLDOR 0 - wr J K DRESSING 7I103 104 I CLOS. A-17 7 ® ENTRY I I I I CLOSET 115 D\�l UN ER I m I ~O'1 W 14'D UPPERS '.^ LINEN I I LINEN —� 116 BLIND CUT .L I o m t06 toe I I I I I 113 I PANEL DOOR 10'SQUARE COLUMN IM I -3 (SEE INT.ELEVATIONS) SULKHEADTO I I I I I -"CUTBARN CRAWLSPACE BELOW 1 BOOKS 5-10�' 3'S BOXED BEAMS � I - I � _b TIMBERS ABOVE � � p} ABOVE 11�� El 11-1`• ED. DEN I III GREAT ROOM - I I BREAKFAST ROOM I KITCHEN I. I I t o-1B (OPEN ABOYE) A-19 1 STONE VENEER t o-17 8 I I I SNEW EE INT.ELEVATIONS I I CASINETT-V I I 5 I I n MASTER BEDROOM 0 — IT- 106 r isi• w I I I I 48'REF. I ¢ CASED OPENING 14'D UPPERS n o- III - m a W E s a S - - - F F p TO - (l HOSEFp BIB TF I I I I 'a' m Ea EO. O I I I I 36'RUMFORDF.P. SO. 36-RUMFORD F.P. Ea KIT BY SUPERIOR KIT BY SUPERIOR I t o 11 I I CLAY CORP.WITH w CIAY CORP.WRH U 1n a 1 A 17 rL OF EXISTING OPENING I I I I CL OF EXISTING OPENING FLUSH HEARTH I RAISED HEARTH OB /3 Z MORNING ROOM F.P.R PORCHF.P.I i PORCH BRICK PAVERS OFFICE ET I I W' BRCK PAVERS I I TO I 'PITCH O DRAIN) (PITCH TO DRAIN) I I 7 A-ZO 9 O I 4 REMOVABLE SCREENING 9 REMOVABLE SCREENING ru I SYSTEM(TYPICAL@PROVIDE E PORCH) I I I I I 3-d O ( EPS AT BASECM I I PROVIDE WEEPS AT SASE I (NOT SHOWN ON EJ.EVSJ � SNOT SHOWN ON EIEVARON) I Q O — — — — -- -- - - -_ — _- - -_ J cWn 8 CL L OD — — CENTEROFRIDGEASOVE — — — o CENTER OF RIDGE ABOVE \\�,t _ _ 'L/�C/ _ — `AWNING ABOVE AWNING ABOVE J — — — a E �� PROPOSED FIRST FLOOR PLAN A_2 { N ¢¢a�saa�a (JOB NORTH) F----------------------------� s I I 5 3' S'-1• I » 2 2 � � 3 I I I I a: 6•n• B•-z• C-7r i O c Z � 5 D, U U t2 O O I o N I I Q a C 5 11 � I I ^{F.ose. I I BEDRooMus C co BOOKCASES IN KNEE m I I I �. WALLS-V.I.F.(TYPICAL) I - 0 ( vim-• 10 $y BEDROOMtt .. __ w- --I. _h _—..� _ I i 3 y I I I — — 223 O v, CLOSET — i E� 0 A � I coU g c, i 2D2 I I DN 224 Q m O i 1•' Z-6' I 221 S 3'S BATH N J 13 I I" I I I OA QA BUILT-IN STO.CAB. z (ON I DECK _ O cn DN UN. 3•-6 N. I b In 203 - SEAT LAUNDRY I O ^W y BATH l2 .{ 10• 0 UPPER HALL 1 1 I UNEN VAL S-Z `CCC�YYY ^I 22 UK TYPICAL �( I I I I IC, D To O V 1 A 21 2 ' 206 -2D7 r — _ I F —1 r 1 21 I t3 I. W. I(' 'O. I h BAT ys --�r--� r--7 r--� I � FJ o CLOBEf . CLOSET I I I I I I I I � L— -1 L J-- 4 III - HO Q204 IR��Ii' Qx. II II I I ICI 21H9 1BSH NG I-EA/UVP LINEN O J L_ d •2Yi 1I�J N I II II II II II II II II - 217 -b Z 21fiIN CAJ 2D dDLD3Ef 7ZA BATH#3 (OPEN TO - -T �Mq(BELOW BUILT-IN C I 2ofi A•21 4 � O T.V.CABINET C� BOOKCASES IN KNEE I I - I I' I - —FL OF EXISTING OPENING WALLS-V.I.F.(TYPICAL) _ VERIFY IN FIELD UPPER DEN A-� 'V I.ly STORAGE IN KNEE C WALLS 0 < •BEDROOM M2 o CLOSET 31.11, a t' TSH PS LADDERO WIDOWS WALK r SEE INT.ELEVS. 2,D II II II II I I � II Q Tg -- J g a < T c O ' O 211 BATH 64 .�,' 0 C u o RADIANT HEAT)N p 7 EQ. ED. 0 U V7 O a 6-71• 6••Z ( 16-i g. I I 10' 22•-Z BEDROOM p3 a - _ -'f�� Y DECK z O I ( I I n \ LINEN Z- L TWIN] L TVAN, ?Zfi SEDROOMOS I f C BEDROOM B4 fi 215 0 F 213 B A-217 214 O b 212 y s ® STORAGE IN KNEE 0 J WALLS SEE INT.ELEVS. J u p O O 0 0 0 O O 0 C) al: w CENTER OF RIDGE ABOVE a u) PROPOSED SECOND FLOOR PLAN A 3 ° 1 - i U d Tn _ c rn � m •U � �o O m o c to m a v c ca m m Qm O $ 0 y L � U m cLi N EXISTING FIELDSTONE OE t^ CHIMNEY W/NEW L- E WIDOWS WALK BLUESTONE CAP ro O IO N U Ul L O N T.O.RIDGE — Q m O - - - - - - - - - - - - - - -- - - - - - - - -J U 18•RED CEDAR ROOF O FINISH CERING @512•T.W.-TYPICAL y FM I mm FM NEW KNEWIAND ® ® �� � ��� � � I 36'HIGH RAILS•PTD. N wlm�m�lmm: MDO PANEL•PAINTED 5'a V STOCK BOSTON 12 STYLE FUR GUTTERS WITH 01 SECONO FLOOR l 112 V.I.F. 2•DIA.METAL D.S.(TYPICAL *" � � q O 1•ae•coNnNuwus ti w Fld� BOARD AND NUTTERS ON i TIT WOOD FLOWER BOXES HOLDB HE t D•ROUND TAPERED t ® ® , WHITE CEDAR SD WHITE CEDAR SHINGLES COLUMN-PAINTED S T.W.(TYPICAL) of eo i i t CONTINUIOUS II a i � j SHINGLE FIAHE A FIRST FLOOR � a I•a 8'VER7ICLE IXISTNG BRICK VENEEA GRANITE STOOP BOARDS PAINTED I FOUNDATION AT ENTRY _ y •' i o 1a IWI. D ABLE PAINTED O U In O a — — — — - - — — — — — — — — — Z O W W —J cn W CL F= cc O EL Z PROPOSED NORTH ELEVATION -4 ¢.C a a x a m i ` U d "N O m `o c N ` `m a Q c j C CO N c y O Q 0 � L 7 3 00 m -_ _ _ .• - 1 O to W EXISTING FIELDSTONE i E 2 CHIMNEY W/NEW BLUESTONE CAP WIDOWS WALK _ NEW FIELDSTONE - � (j.CO..m CHIMNEY = m r f BLUESTONECAP ¢ 0 O - - - - - - - - - - - - - - - - - - - � ° W �' U1 16 RED CEDAR ROOF O y @ 5 I W T.W.•TYPICAL W y NEWLAND 1 36'HIGHR ILS-PfD. ^I® (W�N .� r x a•coNnluuwus A h�r FRIEZE BOARD ^ ��'�I 10'ROUND TAPERED e _ - COLUMN PAINTED G I o: n o. ro a � a g a PATIO GRADE(SEE SITE PLAN) _ - PATIOGRADE(SEESITEPLAN) I m AWNING TO BE SELECTED NEW DOORS BEYOND AWNING TO BE SELECTED BY OWNER I I I c BY OWNER REMOVABLE SCREENS (TYPICAL) U in d — — — — — — — — — — — — — I O 0 w Lu J U) W O 2 d O PROPOSED SOUTH ELEVATION A-5 n m e 5 a U p.. O m o c U E m n Q c) c CIS CD oa'm L � � fn i m C N p N FIELDSTONE i E HIMNEY E LUESTONECAP • C0j O Q TL O 12 12 18•RED CEDAR ROOF U A301,2V.I.F. @ 5 VC T.W.-TYPICALsOS Q a � � y 0 ,2 Q 44 V.I.F. 5•x a'STOCK BOSTON STYLE FUR GUTTERS WITH F�lru T DIA.METAL D.S.(TYPICAL) 0 ' ' ' � i 1•x e'CONTINUK)US rE ! FRIEZE BOARD� ® ®® i TWBEII¢wne - ' 10•ROUND TAPERED —�1 I j ( j WHITE CEDAR SHINGLES COLUMN-PAINTED ^ i j i t I - i 5•T•W-(TYPICAL) 0 1° i i i I I —CONTINUOUS I I I SHINGLE FLARE �I < WOOD FLOWER BOKES BRICK VENEER t•x B•VERTCLE 10•PILASTER-PTD, c RAISED HEAR TH FOUNDATION BOARDS PAINTED O DETAIL T _ W/STORAGE BELOW I AND SHUTTERS ON o m HOIABACKS-PTD 1x WATERTABLE O U U p d PAINTED Z O Q W W O w PROPOSED EAST ELEVATION w A-6 F y «it Y N o ri d ¢((¢yy rc a¢a n a p n m 8 e V a U � m N � (D 0 «� O UC N `•m� Q Q C� ca _Q C Q 7 fl ID NEW FIELDSTONE - CHIMNEY E E$ —� BLUESTONECAP U O w CD Q �mo 10•RED CEDRA ROOF _ O V @512•T.W.-TYPICAL I. . FM 5'x v STOCK BOSTON STYLE FUR GUTTERS WITH � N - - 2•DI&METAL D.S.(TYPICAL) .4 ti W ® _ 1'z 6 CONTINUIOUS A ITI ®® FRIQE BOARD WOOD FLOWER BOXES •n• - ® ®. ® ® ® WHITE ON HOLOBAEDAR SH SHINGLES .0 0 CONTINUIOUS SHINGLE FLARE •� ¢ f- ¢ - s a BRICK VENEER n FOUNDATION o U 1n nj a _ _ _ _ _ _ _ _ _ _ _ _ _ _ _�_ — — — — — — — — — — — — — — — — — — — — — — — — — Q W U) J 0 W CL 1 PROPOSED WEST ELEVATION IL A-7 v. - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - I....... e d C U � D O m O c U) LCiI m Q C� LC ` 0) - N c H— m O a m L >o V L (A 3 m I c m ` E� cd O c • N U o m Q r°m°o SECTION DORMER SECTION@GAMBREL CONT.RIDGE VENT CONT.RIDGE VENT 2 7 V.I.F.W/EXISTING V.I.F.W/EXISTING 61212 INSULATION NOTES ROOF:RWALLS:FI-19 ao FLOOR:R-W MAHOGANY DECKING ON P.T. SLEEPERS WITH MEMBRANE ROOF ON 11'EXTERIOR ® ® 12 h PLWD OVER WOOD JOISTS 5 PITCHED TO DRAIN - WODRAILAND JO V.I.F.W/EXISTING KNEWLPOST ja o CONTINUOUS WOOD GUTTER TO ALIGN WITH EXISTING - ^' ti FLUSH FRAMED GIRDER SEE STRUCTURAL � M SECOND FLOOR WOOD GUTTER "1 SECOND FLOOR — — .MMYYE O 7-r A II�II�II���Xop��7�IIIII�I ®� ENT EB BEADBOARD CEILING I Eii111 INSULATION NOTES MASONRY FIREPLACE I ROOF:R-30 * i WITH HEAVY TIMBER MANTLE WALLS•R-10 FLOOR:R-30 - m b r X S•STUD WALL Tnn6ER YANM1E O F i' COLUMN IN-FROM I a W/R-10 BATE INSULATION o O = n TYPCIAL AT EXTERIOR e j FLUSH FRAMED GIRDER _I FIRST FLOOR I SEE STRUCTURAL SHINGLE FLARE II a FIRST FLOOR O TO MATCH EXISTING f Q m 4 m a PATIO GRADE BRICK VENEER • ELEV.VARIES C S/B'TYPE X i GRADE LOG STORAGE GWB SEPARATION o u o u c ELEV:VARIES U N a ,_ BRICK VENEER - BASEMENT SLAB in U) Z z O L J PROPOS ED S EC TION @ KITCHEN WING 2 PROPOSED SECTION BEDROOM WING m LLJ A-8 i • :�_ •gym r N e ___ 3_ aia3 U. rn C pr O) U U L O O m O C N `m n ' Q Q c j C CL a La O N U m u fJ) 3 m C.y O C E� MAHOGANY DECKING ON P.T. - � U O SLEEPERS WITH MEMBRANE T.O.RIDGE ROOF ON ya'EXTERK)R _ Q f0 co . --- PLWD OVER WOOD JOISTS -- POPITCHED TO DRAIN(TO DETAIL) � INSULATION NOTES - O W HOOF:RAO QV.I.F. FLOOR:R-M �] FINISH CEILING -------------- " PROVIDE SPRAY FOAM • INSULATION(R-W) AT CEILING OF EXISTING II�� ti PORCH FOR BATHROOM F�.1 ABOVE Sp SECOND FLOOR'. [� 5 A � E� o I O n a ' FIRST FLOOR � a a v o GRADE 0 0 ELEV:VARIES r U N h EXISTING FOUNDATION AND CRAWL SPACE TO BE VERIFIED IN FIELD. ( I 0 Z Z O ! 0 U W (1 BIULDING SECTION 1 �m BI_,• A-9 6-0' ' 4'-0' lo'G' 12'-0' 10'-0' 0'-0' • • ' SECTION @ DORMER SECTION @ GAMBREL CONT.RIDGE VENT • o 12 Q7 V.I.F.W/EXISTING ------------ —__— -----0------- -----0------- ----1 INSULATION NOTES E� — I ROOF:R-30 c WALLS:R-19 � I FLOOR:RJO s e o N n © OAYBED 12 2 CLOSET i 30 V.I.F.W/EXISTING SITTING AREA 4 i U 309 310 ON m = � = a U Q a) I? ` Xk _ � W WOOD GUTTER SECOND FLOOR U o :O O m o c O U) ` m OK I 2-r COR-A-VENT Q Q C 306 D _ EVE VENT -� PLAYROOM 309 C to m 2'X fi•STUD WALL .� m CLOSET W/R-19 BATT INSULATION Q ¢Z TYPCIAL AT EXTERIOR � L. 7 N h A SHINGLE FLARE U ra V TO MATCH EXISTING C H _ 307 LINEN GARAGE LEVEL GARAGE SLAB PITCHED TO DRAIN . 1 O 1 " L_-- — .. .... -.. ... .. i E M © --- lC O C BRICK VENEER U y T L GO o TYPICAL DORMER � L——— — 0——_—— ——— —O— — . i ♦ 3'-6 S-a' S-0' S-a' S4 6J' T8 O W PROPOSED UPPER LEVEL U 1 3 BUILDING SECTION 0 W y 1/8'-I-w _ CAI g -. - ———— ———— TRELLIS ON 'V _ OWE BRACKETS ABOVE 2 _ --I • - � 1� =" , - .STORAGE RZI � ,6 BUILT-IN SHELVING OSE BIB O �I p n II II � O E II II I O � � I I GARAGE BRICK PAVERS I I IC - �_ n v 0 I I I I I I m 30fi C m -6 p 0 R C'3 /�� -rao4• d Q ❑ Z 300 I I © z W LU g 7oa — Z UP to O W EQ. EO. I I ` I I 705 ❑ 30f 102 30.T o a cc O d = M s-a Ir-a• »•e• a-r r-r . 12'-X 4W-0' fiz- A 10 PROPOSED GARAGE LEVEL I UP 8-45 r TBM: TAG BOLT HYDRANT 109 14'S 15,G 15.0� - SUP 8-44 15 EL - 16.82' (NGVD) 15.6 15,6 15.5 15,3 N 5 a; '� • �' • A SEA VIEW AVENUE 40' PiJBIdC WAY x, � ''' - ". � ' .s •; ; � '•,, ,` - � 14.7 14.9 /15,5 15.2 15.6-z15.4 • e r. MAIL BOX g 15 _ --- T�i 8 1_5_9 1� » i� `'� 15, --- I6.0 --lb.a-x�lpA1C-BOX 15,3 EP . •� ' :" '� 8945'48" E 425.38, TD I5.0 j,7 16,8 ---R 0.0 15,4 o { 225.06' 81.06r 15,�' 9Ll .00 16.0 �H tD 16 3 17.89.32 --16,7 A=25a69' CB DH FND z � x 16 . 1 .7 /_-`',._ �.�' 18.0 0b DH \ 6+ 16, ' t LINE I BEARING DISTANCE 1 _ • L1 I N 01'08 46 W 11.62 1 . � '„ � ." v ' � .,�. �•� ,�,� � L2 I S 88'51 14 W 20.00 to -� x 19,7 x 18.8 � Z .� � x 19,91 S.4 x 18.3 P A 'b` SITE ' � L3 N 80'50 16 W 15t L4 N 01'08 46 W 15 f I '7 . L5 I N 88'51 14 E 5.00 L� 21LOT 1 I °' L . PLI 1748-Z x 19,8 LC.'PL 17484-1 !+ 174 18.5x 18,4x LOCUS MAP 19,2 i I i319.7 /� /J /i�/ 1" = 2000' x 19,4 LOCUS NOTES X 193 19 8 :� / ZONING DISTRICT: RF-1 �x 19.0 �'17,3x x 1713 ; OVERLAY DISTRICTS: � L8,3 r i , AP (AQUIFER PROTECTION) 19.2 3 19.� x z 19,0 �/ / RPOD (RESOURCE PROTECTION) 0 LOT 82 L.C. PL 1748-E 1 I/ ' ; �� g MINIMUM CURRENT ZONING REQUIREMENTS: LOT BeC. PL 1748-G I L.C. PL 1748-Z I I I / i / °D LOT 7 6 119 / � MINIMUM LOT AREA = 2 ACRES (RPOD) N/F R. HARRISON McCARTHY N/F R. HARRISON MCCARTHY \31 � it // r' x15. / LC. PL 1748-R MINIMUM FRONTAGE = 20' & MICHAEL S. McCARTHY & MICHAEL S. McCARTHY f + �f8.9 ! /1 x 16.4 614� m N/F PETER G. do KATHRYN WHEELER, TRS. I MINIMUM WIDTH = 125 x 18,6 c FRONT SETBACK = 30' SIDE & REAR SETBACK = 15' 181 Z 8.71 I 16.4 / 7 fF I i LOCUS PROPERTY IS SHOWN AS: 18.5 UP 14�162-t / ; ASSESSORS MAP 138 - PARCEL 027-001 18.9 , W i ( t S ' 3I o x is1 I l�'y !x 14,9 �/ CERTIFICATE OF TITLE: 177,957 ' 8. 18.4 153 jX x FOR THE BENEFIT OF LOTS 21 dt 22 PLAN REFERENCE: LOTS 23 - L.C. PLANS 1748-Z & 1 18,51 COMMUNITY PANEL NUMBER 250001 0016 D 173 1 i r Nd 0 a THE FLOOD INSURANCE RATE MAP DEFINES THIS I I ls, x ' 15�S ,' % AREA WITHIN ZONES Al (EL. 13), V11 (EL. 16). B, & C j+ x x 15/ I 3:[8,2 10 6 C PROPERTY OWNER: Oil 2.6 � !' t PHILIP J. DUBUQUE & PATRICA R. DUBUQUE x r ' ' 3 'L �� ' Ja 200 CUIFF ROAD /p x 18,3 I '17,2 �! ,r 11,�3 1 re � G •� l�3 �o� WELLESLEY HILLS, MA 02481 94 ' 3�18,2 � � 8.4 � 1 15,0r15.0 3 � M DED / 1�p¢ i 1 ,� x *1 ' ' / r ` /' / 4,0 1 ' ( x/17.2 �' f d - x 9.8 x 8y8 �/ WF A-9 20 DRIVEWAY EASEMENT �$ I 18.4 11.0 / J GENERAL NOTES I •,'�I �� '' CB DH FND 3 xl7 �/ %' 1�5x 114.4 i +1 1�•0' � ;� � PRIMARY BENCHMARK DATUM: NGVD 29.04 �0100' 10. CB DH FN� ,� ( x j + 10.7 / , , 3.7 AL �, /17.8 N 89.45'4aX w 59. '1 xi6 ; x o ` WF A-g RM 33 COMMUNITY PANEL No. 250001 0016 D x °° 17'7183 ` �r '�4,s , x i ; / 8,7 7,3I. ,' FRONT NONEAST SIDDE OFGE BOLT EEL RIVER RD.HYDRANT, EL2' 20.70'NORTH OF POLE 111/25 o; W 1 17.6 17,9 17 s m 50• I T FROM TOPIOF 14-A ( 12.3 ,� /10,5 i l , TBM = TAG BOLT HYDRANT #109 ® ELEV. 16.82' 144 9 STATEINED COASTIL BANK `, 0' c /�' I ' 1n I GARAGE ISnNC ; < J x ' 14.9 ' D 3,4 ALL SYSTEM COMPONENTS SHALL BE INSTALLED IN ACCORDANCE WITH p ^ 12.5a 16"� x 14,8 , f I *6• < WF A-7 TITLE V OF THE STATE SANITARY CODE DATED MARCH 31 1995 LEGEND N I 17,6 7 /1t4; u off 11,9( off 7,8 R I ANY LOCAL RULES APPLICABLE. EXISTING WATER M 1 PIT LIMIT �IvPROPOSED E l�.5 , \ � I i � ' I ' do VALVE ASS 1 7 I 15• x i 1 2 ANY CHANGE TO THIS PLAN MUST BE APPROVED IN WRITING Stake & Tac Set Found I 3 10.0, n' #2 _ 4 ' ' • • 0:0 �'o� BY DESIGNING ENGINEER. / I MIN 1 x 1 ,7SATLA B DEFINED r i• AL - cMag Nail Set/Found 1 ITO I 17,b \ x 14.4 �- fLl�1 r Concrete Bound 1; ` 1 14,1 14A r 9E2 . , ® Gas Gate � c 'g �` '' 4.6 4,9 / WHEN CONSTRUCTION IS COMPLETED PRIOR TO BACKFlLUNG ib,9 x �� I _ x �� / / x 6. W NOTIFY THE ENGINEER & BOARD OF HEALTH AGENT. ® Electric Meter 17�1 N X 7.6 i \ I „ 1 x 7 1 ` - 13 7.0 p ' ❑ Catch Basin D-Box 1 a! /• , 3.6 Water Gate �/ �- 1 s� - r WF A-6 ® Gas Meter I 17/2�--�•� 1 --r-- , � -'�;;��: � x tl I SE ELEVATIONS MUST NOT BE CHANGED WITHOUT WRITTEN ® Telephone Riser 1 r '' r: 3i zo ,,�•, . 1 •��: �t� ' a 37 WF A-5 APPROVAL BY DESIGNING ENGINEER. -O- Utility Pole I 1 ` x I' ' j�6�g'>,3' ALL SANITARY DISPOSAL SYSTEM PIPING TO BE 4" PVC., SCH 40. 17 � PROPOSED-- - 1 ,�s ,i x 1 }• \ 5,6 cs Contours ``,'' WN `�PARigNG COURTS / :; � 10 : .,5 >1�4 x too Spot Grade 16,2 16.8 Vi 1 17, \ �� ,� '+ cr v 32 EXISTING UTILITIES SERVICING LOT 23 ARE TO BE RELOCATED - - Test Pit lC''S 17,4 I \� 17 17.2 �/ xX 2 `` \ A-4 INTO THE DRIVEWAY/UTILITY EASEMENT. ,� ` Conc. Concrete `� p-o-j q V {� 1 i3 1 `_' \ EXCAVATE AND REPLACE ALL UNSUITABLE MATERIAL SURROUNDING / / + STICGT I ' \ SURROUNDING THE LEACHING FIELD FOR A DISTANCE OF 5', PER EP Edge of Pavement i / 1 5 17,5 17. 0 1t4.4 x ,; ,, �� 3.6 - w w - Water Line - w w - ( / ��f 16.1 �,� r o u, ;r • �: 7,4 \ 17.7 17,6 IAA i i _t , + , Lt 8 6,� \ W A-3 310 CMR 15.255. -c c - Gas Line a 17,8 -x ro- �DE LOCATION OF UNDERGROUND UTIUTIES ARE APPROXIMATE AND J. -o►+w--oi+w-- Overhead Wires 15•s , 17'7 17.6 0 ' �_t_ kl ' t s• � BENCH ACCESS EASEMENT SHOULD BE VERIFIED IN THE FIELD Y -uc ucr- Underground Electric s !,- L B THE APPROPRIATE o 19 7,9 ` ` z. BENEFIT OF LOTS 2t dt 22 UTILITY COMPANY PRIOR TO ANY CONSTRUCTION. +' hart 17,7 17.8 al • A i + 0 1. 1 _ \x 8 + .I � x 6.7 1 18 1173 -� �� THIS PLAN IS BASED ON AVAILABLE RECORD INFORMATION AND �'` PLANS AND AN ON THE GROUND FIELD SURVEY BY THIS FIRM AME DwEWNG } ,_; F ;Y ,EXIS NG � i 1 *< •'` ' ` EXISTING V WIDE :� PATHWAY ON 10/15/04. & 02/09/06 x i,: F.F.E. s 17.79 k k 3 0 / Q .2 1 i1tJ o •. 21`I ' �\ t x: 11%0 SOII, LOGS DATE:2/15%1006 1 _ o t_ t PA110 + i u 8.7 SE 3 ■ P#=P11222 PoPOSED i _1,,, , 17 0 ,. P� 16,8` , I •,;I \\` 11,9t 8.2 1 .i PRbPOSE� PIIIRGOLA ENGINEER: BOARD OF.HEALTH AGENT: -- , 17,1 \ \� R TAININ' �� e,9 CONSERVATION NOTES : Stephen A. Wilson,P.E. Don Desmarais 15.2 �b 7 17, 17.0 r . `��,�,3 7 x 13. x ��' \ \ 1.LIMIT OF WORK S TEST PIT 1 TEST PIT 1 16.4 x �AgTp,1� B 2 HALL CONSIST OF STAKED HAY BALES AND SILT FENCE YOB,, x,15.1 1 .5 , x >, 1 L TO BE MAINTAINED FOR THE DURATION OF THE PROJECT. G.S.E. = 17.91 G.S.E. = 17.5f ( � = N Mlj• K �` -�-1 .9 x 15'7 ��, u 0,9 ° L.c. PL. 174s-1 • " \ - 0 100 �FgET 1 x 14 x 13. LA : 7 LAWN x 10.3 TOTAL PARCEL AREA 1 �S 1 ,b x �\ 43.562t SQ. FT. 0 Sandy Loam 0 Sandy Loam : 1.00f ACRES 8• 10 YR 2/2 6» i0 YR 3/1 °i 15.1 �' x 4 x v1 WOODED ]2. m m x 15,8 14.4 x 15.9 �� FLOOD LINE SHOWN IS APPROXIMATE x 4,9 x 3 x x 1 .6 x 13.2 I & WAS SCALED FROM FEMA FLOOD B Sandy Loam B Sandy Loam x 14,6 N $ / 1 , i Ix 11.7 INSURANCE RATE MAP NUMBER 25WI 14" 10 YR 4/4 22" 10 YR 4/4 1 µ ��' 3.7,x 13.4 0016 D REVISED JULY Z. 1992. �: \ ,Fri -104 C �x �4,7\%j /. APPROXIMATE SCALE: 1' - 500' ,b C Medium Sand C Medium Sand 14.3 14�o \13' ,-�, 18 ' 13.b x x d 10 YR 5/6 10 YR 6/4 x 14,1 ; ZogE x 13,9 'I 138" 132" -� x 13.4 • . . / / 11 t4.1 x 13.1 ' 1'sI 13.0 x 14or .9 x 13,1 LAWN x 13,5 x 13. /-` �� NO WATER ENCOUNTERED NO WATER ENCOUNTERED 1 13.3 _ 13.0K x�x 13.6 , . . ; 13,(EL- 6.4) (EL= 6.3) 13.2 9 poD x 12 P -- v. � 13,1 0 .10 019.9% 4.0 '3 j ' Nc R _ 13.7 O� T '8` x 113 x i@,9 � 0.1 - x 8,3-- - R' -- 9,;•0 BRUSH BCD OP T . X--11YQ--�ZO ~�- - 9` x 10,6 �10, x 8.4 �4-IS-oCo • _ - 10,6 -9.1 "`�,2 ^�____ __ � `�'` 9•�9.b �� ,NG Wau' 7.4 Leaching Area Requirements _-11- ;RET N, wA ----- -- 6 9 Ix 14,6 r 10 BEDROOMS AT 110 GPD/BEDROOM = 1100 GPD 1 5.9 s'9 r _- _ -3�, f _�6 f BEACH - NO GARBAGE GRINDER .-- , 4,0 3.8 -_ ------------ -''''` 3.9 TO ME BEST OF MY KNOE PERC RATE = 2 /1 MIN. / INCH (CLASS 1 ) µ _ -- 4 - Wp(ER 10-22-p4 SOUND SHOWN HEREONTIS IN COMPLIANCE WITH TTHE�APPLLICABELE BARRNNSTTAABNLE VED MEAN HIGK 3.4 x 2.5 ZONING DISTRICT SIDELINE AND SETBACK REQUIREMENTS, IS LTAR = 0.74 GPD/S.F. I 4 IE sn LOCATED IN RELATION TO THE MONUMENTS SHOWN, AND IS NOT "[�D MIN. LEACHING AREA OF SAS.: VINE WITHIN A SPECIAL FLOOD HAZARD AREA � �[\, r" THIS PLAN IS NOT TO BE RECORDED NOR IS R TO BE USED TO ESTABLISH PROPERTY LINES. N � 4 1100 GPD/ 0.74 GPD/S.F = 1,486 S.F. MIN. 9 i PROPOSED SYSTEM: ' SIDEWALL (72'+16')(2')(2) = 352 S.F. Z ����ZIROF c RE ED P ZONAL LAND SURVEYOR DATE BOTTOM 72' X 16' = 1,152 S.F. 72.0' TOTAL = 1,504 S.F. 4.0' 64.0' 4.0' >No. to 9� DESIGN SCHEDULE ELEVATION osS�oNA�E 459 Sea View Avenue t FINISH FLOOR ELEVATION 17.79 Osterville Massachusetts SEWER INVERT AT FOUNDATION 14.8 06 SEWER INVERT INTO SEPTIC TANK 14.6 m 0 0 0 0 PREPARED FOR SEWER INVERT OUT OF SEPTIC TANK 14.3 SEWER INVERT INTO DISTRIBUTION BOX 13•9 SEWER INVERT OUT OF DISTRIBUTION BOX 13.7 � MANHOLE FRAME AND COVER TO GRADE IF Patrica R. Dubuque SEWER INVERT INTO LEACHING SYSTEM 13.4 UNDER PAVEMENT). OTHERWISE CONCRETE PLAN OF PRECAST FLOW DIFFUSORS COVER AJUSTED TO 6" BELOW FINISHED TITLE BOTTOM OF LEACHING SYSTEM 11.4 GRADE. WATER TABLE: NONE OBSERVED AT EL. 6.4 - (H 20 LOADING)NO SCALE Wetlands Permit Plan NOTE: IF AREA OVER SEPTIC SYSTEM IS UNPAVED, MANHOLE COVER & 2" PEASTONE FRAMES ARE NOT NEEDED. ADJUST CONCRETE COVERS TO 6" 24' 4 o 0 0 0 0 0 c - 0 3/4" BELOW FINISHED GRADE. EFFECTIVE WASHED STONE DEPTH BAXTER NYE ENGINEERING & SURVESURVEYINGN _ FINISH FLOOR ELEVATION TYPICAL SYSTEM PROFILEAN EL - 17.79 4 169 Registered Professional Engineers and Land Surveyors NOT TO SCALE FINISHED GRADE - 17.0f MANHOLE COVER AND FRAME CONCRETE FLOW DIFFUSOR DETAIL 78 North Street- 3rd Floor,Hyannis, Massachusetts 02601 (H 20 LOADING) Phone - (508) 771-7502 Fax - (508) 771-7622 NO SCALE {ice +►�: FINISHED GRADE OVER TANK 7.0t MANHOLE COVER & FRAME FINISHED GRADE OVER A Box = 17.Of FINISHED GRADE OVER LEACHING TRENCH = 17.Of 30 0 30 60 3 min. ''•`'' 4" SCH. 40 PVC FIRST 2 0 BE LEVEL •;3, I .� •''� • is 4" SCH. 40 PVC 1 SCALE IN FEET 9" (min) Cover s•� 10 INSTALL T611 SUMP „ 4" SCH. 4o PVC 36' (max) Cover SCALE: 1" = 30' DATE: 04/2%6 ' GAS BAFFLE ' s• CRUSHED 4' DIA. PVC REV. DATE: REMARKS REINFORCED CONCR STONE T '••:•. I ''2'' 0N01 .16 121 DRAWING NUMBER 1 • • EL.11.4 ' 5' MIN - tyl 0: 2006 2006-004 surve worksht 2006-004NOI.DWG 3,000 GALLON SEPTIC TANK DISTRIBUTION BOX FLOW DIFFUSER STONE H-20 H-20 H-20 No Groundwater Observed O Elev. 6.4 2006-004 , V) c O REAR PORCH - -- -- -- ---- -- - ----- ---- ------ -- - --, I . . . . DN. D. W. f— I I HVAC I I I I I BREAKFAST I_ I MECHANICAL , . I k I u ILITY , I i I Q H2O I U I 1/2 BATH I f d. O m o c I :E = ca .n o i Q I o I 70 REF. cz KITCHEN f I I 4- r- -- - -- -- - - - - -- - - - - - -- - -- — I a s I I REF. cz I i — HALL I '� I CLOS. i j i f L E cu M I i cz O c - —— ———— ————— —— —— — ——— ——— ---- i i i i i i i I Q) U � I— — ---DN a i i a i I O iUP I Q m 0 , o UP PANTRY I BATH STAIR HALL I CLOSET FOYER CLOS. CLOS. lo I V I A I I O I L I ii i r f I GREAT ROOM I I I I I I EN TO AB O I I I co I (a LIVING ROOM ( ( I FAMILY ROOM z I Z I � m I I I 1 1 > I 0 L � , DN. 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I I ( I BOOKS 1 i- _ I EQ. I I --------- - ---) r-- ----- -- -- - --_ - -- - I a. - 11'-]02» EQ. ----- ---- -- --- - -- ------ --- -- �_ I I -1 (- ] -- --r u x 1 M I-- - - - - ----- -- ----— I ( GREAT ROOM BREAKFAST ROOM I \ i KITCHEN 1 i I I (OPEN ABOVE) I I I tf / I n con DEN I i BUILT-IN T.V. I I I l i MASTER BEDROOM CABINET I - _ - --- - -- I I — --------I ----- -- i/J- --L�--� � © I I ---- -- ---- - - -I f--- --- - - - - - .y ." - ---- -- ---- . I I I I I -- - � --- i I I i i I 13'-0" I I 16'-4" i t- w R&. I I ( r-----� I = o u� I ( I 8 I o UN�ER I ( I 112 �? 48"REF: 1 — ——-� I Z - 125 � 109 Ito - --- - -- - I •- r- CD — —— —— — — — omqu 0 I Q o m o EQ. EQ. EQ. EQ. 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