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0713 SEA VIEW AVENUE - Health
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'L"' .Ir t"..,;;; vY -.! .t - h,,.. s iae..d.,C,�,.;:.,.. +, I r 1 �C)uo y` 1l6,1 Z �,l t TOWN OF BARNSTABLE `L OCATION (3 SGA y«aj A y� SEWAGE# 04 -1 -049 .'VILLAGE ASSESSOR'S MAP&PARCEL ( I INSTALLER'S NAME&PHONE NO,(2A?CL-J c a0—rS SEPTIC TANK CAPACITY LEACHING FACILITY:(type) (size) NO.OF BEDROOMS OAJey " OWNER I 4<-�' 7AVLo , PERMIT DATE: t7 v(!9-'X6U7 COMPLIANCE DATE: ' Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility(If any wells exist on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) Feet FURNISHED BY 3 .: Z 3 ' bf-ex A- L( = 13 �-2 21 9-3 t9 i y No. / 7- Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes ftpliLation for bisposal *pstrm Construction Permit Application for a Permit to Construct( ) Repair(k Upgrade( ) Abandon( ) ❑Complete System Individual Components Location Address or Lot No. ,f 3 5G4 V16co AVi5 Owner's Name,Address,and Tel.No. oc? l Assessor's Map/Parcel I �3 00 7 -' 10:F5 Cui4�-oL) A10 t41440ovXou,*i1 Installer's Name,Address,and Tel.No. SOO—�77-$�7-1 Designer's Name,Address,and Tel.No. NSA Type of Building: Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) gpd Design flow provided gpd Plan Date Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. Description of Soil Nature of Repairs or Alterations(Answer when applicable) flJ j:(—A0 b—'AQ , 41AA0 R.150. 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 Healt Signe Date Application Approved by Date J Application Disapproved by Date for the following reasons Permit No. Date Issued � .. y��✓' .�. } .. .. �M, ".^,.ram '`,7.i'^ ,,�,—N..-.,,.t ;:i'a...e^- ..Y ` e�;.w.�t j.-�..,,p m•• No. / P Fee THE COMMONWEALTH OF MASSAdHUSETTS•' . Entered in computer: "� Yes PUBLIC HEALTH DIVISION ' TOWN OF BARNSTABLE, MASSACHUSETTS ftolication for Misposal 6pstem COlI4trUction'Vrrmit Application for a Permit to Constrict.(' ) Repair(k Upgrade( ) Abandon( ) ❑Complete System Individual Components s Location Address or Lot No. '"�(� 5 �lW.�,V Owner's Name,Address,and TeL No. Assessor'sMap/Parcel 113 C)0-7 ,l OST Installer's Name,Address,and Tel.No. JrOle-Sf 77—987'i Designer's Name,Address,and Tel.No. C r�>r 2uic5 �-c.t. 10/A Type of Building: Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures -Design Flow(minequired) - ": - "'� -gpd `-Design flow provided" gpd Plan Date Number of sheets Revision Date Title Size of Septic'Tank Type of S.A.S. - { Description of Soil Nature of Repairs or Alterations(Answer when applicable) hG)C: j Date-last inspected: j Agreement: '., eThe undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in N `^ accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a•Certificate of Compliance has been issued by this Board of Health. Signed'""' . Date �c Application Approved by Date i •'` r Application Disapproved,by. Date Y „- ..for.the following reasons t �. • ""�' i Permit No. Date Issued - ------------------- -- _ THE COMMONWEALTH OF MASSACHUSETTS l`° BARNSTABLE,MASSACHUSETTS _ Certificate of (Compliance •, r, - THIS IS TO CERnTIFY,that the OnLsite Sewage Disposal system Constructed( ) Repaired( '\) Upgraded( ) Abandoned( )by (2A*, ax06j GIU74gi�®!� ` at- 77 13 SEA hI/6Cy AV 6 40)57 has been constructed in accordance - h with the provisions of Title 5 and the for Disposal System Construction Permit No: / '� dated J; 91/r� Installer CAPEW(06 Designer NIA #bedrooms Approved design flow end The issuance of this permit shall not�e construed as a guarantee that the system will fun�cPtian as d sr e e d� Date �.+1 1 Inspector . --------- ------- - - ---------- --------------- ----------------- --------------------------------- --------- ---------------  -------- No. 2 Fee THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION.-'BARNSTABLE,MASSACHUSETTS ]Disposal *pstetn Construction Permit Permission is hereby granted to Construct( ) Repair(' . Upgrade( ) Abandon( ) System located at -71. SEA V 16k) A dE DSTt XV 14-4-6 and as described in the above Application for Disposal System Construction Permit. The applicant recognized his/her duty to comply with Title 5 and the following local provisions or special conditions. Provided:Construction must be complete within three years of the date of this permit. Date f Approved by ' tt, I� May j 22 2017 21:42 HP Fax page 18 I � Commonwealth of Massachusetts Title 5 official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments K3 713 Seaview Ave Property Address 713 Seaview Ave Nominee Trust Owner Owner's Name information is Osterville U1 required for every MA 02855 5-22-17 page. Cityrrown State Zip Code Date of Inspection k 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 A. General Information tilling out forms 2 use onon the ly the tab �/ 4- I�3& `` .t key to move your 1 Inspector: .�y�49;..• -ss9 . z. •. ..•, ••cam r cursor- do not James D.Sears '��:' JAMES '•N' use the return Name of Inspector key. ��- SEARS CapewideCompany Na Enterprises me 153 Commercial Street SR Company Address nrtmU►► r�r Mashpee MA 02649 Cltyrrown State Zip Code 506-477-8877 S 1623 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 amla DEP approved system inspector pursuant to Section 16.340 of Title 5(310 CMR 15.000).The system: ® Passes ❑ Conditionally Passes ❑ Fails ❑ Needs Further Evaluation by the Local Approving Authority �-�— 5-22-17 yfspectors 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 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. l5ins.doc-rev.6116 Title 50tficial Inspection Form:Subsurface Sewage Disposal System•Page 1 or 17 j„ �v F rMay_ 22 2017 21:43 HP Fax page 19 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 713 Seaview Ave Property Address 713 Seaview Ave Nominee Trust Owner Owner's Name information is required for every Osterville MA. 02655 5-22-17 page. Cityrrown State Zip Code Date of Inspection B. Certification (cost.) Inspection Summary: Check A,B,C,D or E I 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: The system is a 2000 Gal.Tank D Box and eight chambers 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): ISlns.doc•rev.a116 Title 5 Official Ins pectlon Form'Subsurtete Sewage Disposal Sy6fem•Page 2 of 17 I May_22 2017 21:43 HP Fax page 20 Commonwealth of Massachusetts Title 5 Official Inspection Form m Subsurface Sewage Disposai System Form-Not for Voluntary Assessments 713 Seaview Ave Property Address 713 Seaview Ave Nominee Trust Owner Owner's Name required for is every Osterville required for eve MA 02655 5-22-1 7 page. City(rown 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.doc-rev.6116 Title 5 Official Inspection form:Subsurface Sewage Disposal System-Page 3 of 17 I May ,22 2017 21:44 HP Fax page 21 Commonwealth of Massachusetts Title -5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 713 Seaview Ave Property Address 713 Seaview Ave Nominee Trust Owner Owner's Name information is OSteNille required for every MA 02655 5-22-17 page. City/Town State Zip Code Date of Inspection B. Certification (cant.) 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 aseptic tank and SAS and the SAS is within a Zone 1 of a public water supply. ❑ The system has a septic tank and SAS and the SAS is within 50 feet of a private water supply well. ❑ 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 Musl indicate "Yes" or"No"to each of the following for all inspections: Yes No ❑ ® Backup of sewage into Facility or system component due to overloaded or clogged SAS or cesspool ❑ ® Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or clogged SAS or cesspool ❑ ® Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool ❑ ® Liquid depth in SONOWs less than 6" below invert or available volume is less than %day flow 4 F/4 eN,A,G Mns.doc-rev.U16 Tttle 5 Official krspection Form:Substeace Sewage Disposel System•Page 4 of 17 f May,22 2017 21:44 HP Fax page 22 Commonwealth of Massachusetts Title 5 official Inspection Form ' Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 713 Seaview Ave Property Address 713 Seaview Ave Nominee Trust Owner Owner's Name information Is required for every Osterville MA 02655 5-22-17 page. City/Town State Zip Code Date of Inspection S. 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 fa's.I have determined that one or more of the above failure criteria exist as described in 310 CMR 15.303, therefore the system fails. The system owner should contact the Board of Health to determine what will be necessary to correct the failure. E) Large systems. To be considered a large system the system must serve a facility with a design flow of 10,000 gpd to 15,000 gpd. For large systems, you must indicate either"yes"or"no"to each of the following, in addition to the questions in Section D. Yes No ❑ ❑ the system is within 400 feet of a surface drinking water supply ❑ ❑ the system is within 200 feet of a tributary to a surface drinking water supply ❑ the system is located in a nitrogen sensitive area (Interim Wellhead Protection Area—IWPA)or a mapped Zone II of a public water supply well If you have answered "yes to any question in Section E the system is considered.a significant threat, or answered "yes" in Section D above the large system has failed. The owner or operator of any large system considered a significant threat under Section E or failed under Section D shall upgrade the system in accordance with 310 CMR 15.304, The system owner should contact the appropriate regional office of the Department. t5ins.doc•rev.fills Title 5 Official Inspwlan Forth:Subsurface Sewage Disposal System•Page 5 of 17 I May 22 2017 21:45 HP Fax page 23 <L'\ Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments a y 713 Seaview Ave Property Address 713 Seaview Ave Nominee Trust Owner Owner's Name information is required for every OSterville MA 02655 5-22-17 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 NIA) ® ❑ 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): NA Number of bedrooms (actual): 8 DESIGN flow based on 310 CMR 15.203(for example: 110 gpd x#of bedrooms): 880 I6ins.0oc• ev.3/t6 Title 5 Official Inspection Form:Subsuoface Sewage Disposal System-Page 6 of 17 i May 22 2017 21:45 HP Fax page 24 Commonwealth of Massachusetts 190 Title 5 Official Inspection Form a Subsurface Sewage Disposal System Form- Not for Voluntary Assessments 713 Seaview Ave Property Address 713 Seaview Ave Nominee Trust Owner Owner's Name information is required for every Osteryille MA 02655 5-22-17 page. City/Town State Zip Code Date of Inspedion D. System Information Description: The system is a 2000 Gal. Tank D Box and eight chamber's Number of current residents: 0 Does residence have a garbage grinder? ❑ Yes ® No Is laundry on a separate sewage system? (Include laundry system inspection information in this report.) ❑ Yes ® No Laundry system inspected? ❑ Yes ® No Seasonal use? ❑ Yes ® No Water meter readings, if available(last 2 years usage(gpd)): 2015-125,000Gal Detail: 2016-163,000Gal Sump pump? ❑ Yes ® No Last date of occupancy: NA Date CommerciaUlndustrial 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.doc•rev.&16 Title 5 otrioal Inspection Form:Subsurface sewage Disposal System-Page 7 of 17 i May 22 2017 21:46 HP Fax page 25 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments y 713 Seaview,Ave Property Address 713 Seaview Ave Nominee Trust Owner Owner's Name information Is every Osterville required for eve MA 02655 5-22-17 page, citylrown State Zip Code Date of Insp ection D. System Information (cont.) Last date of occupancy/use: Date Other(describe below): General Information Pumping Records: Source of information: NA Was system pumped as part of the inspection? ❑ Yes ® No If yes, volume pumped: gallons How was quantity pumpedldetermined? 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) ❑ lnncvative/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): 15ins.doc-rev.6116 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 8 of 17 May 22 2017 21:46 HP Fax page 26 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 713 Seaview Ave Property Address 713 Seaview Ave Nominee Trust Owner Owner's Name information is required for every Osterville MA 02655 5-22-17 page. City/Town State Zip Code Date of Inspection D. System Information (cunt.) Approximate age of all components, date installed (if known)and source of information: 1997 Permit # 95 - 294. 5-2017 New D Box. Were sewage odors detected when arriving at the site? ❑ Yes ® No Building Sewer(locate on site plan): Depth below grade: 3' feet Material of construction: ❑ cast iron Z 40 PVC ❑other(explain): Distance from private water supply well or suction line: feet Comments (on condition of joints, venting, evidence of leakage, etc.): Pipeing is 4" PVC SCH 40. Septic Tank(locate on site plan): Depth below grade: 26" feet Material of construction: ®concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑other(explain) If tank is metal, list age: years Is age confirmed by a Certificate of Compliance? (attach a copy of certificate) ❑ Yes ❑ No Dimensions: 2000 Gal. Precast Sludge depth: 21- Mns.doc-rev.W15 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 9 of 17 I May 22 2017 21:46 HP Fax page 27 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Pa Y Assessments 713 Seaview Ave Property Address 713 Seaview Ave Nominee Trust Owner Owner's Name information is required for every Osteryille MA 02655 5-22-17 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Septic Tank (cont.) Distance from top of sludge to bottom of outlet tee or baffle 28 Scum thickness V Distance from top of scumito top of outlet tee or baffle 8 t. Distance from-bottom of scum to bottom of outlet tee or baffle 17" How were dimensions determined? Asbuilt Tape Sludge Judge Comments(on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): Tank at working level. Tank and outlet cover at 26"wlinlet cover at 15". Two inlet tee's,outlet tee. No sign of leakage or overloading 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 16ins.doc-rev.6/16 TRIe 5 official Inspection Form:Subsurface Sewage Dispose(System•Page 10 of 17 May 22 2017 21:47 HP Fax page 28 �L\ Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments t r 713 Seaview Ave Property Address 713 Seaview Ave Nominee Trust Owner Owners Name information is Osterville required for eve MA 02655 5-22-17 page. Cityll own State Zip Code Date of Inspection D. System Information (cont.) Comments(on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): Tight or Holding Tank(tank must be pumped at time of inspection) (locate on site plan): Depth below grade: Material of construction: ❑ concrete ❑ metal ❑fiberglass ❑polyethylene ❑other(explain): Dimensions: Capacity: gallons Design Flow: gallons per day Alarm present: ❑ Yes ❑ No Alarm level: Alarm in working order: ❑ Yes ❑ No Date of last pumping: Date Comments(condition of alarm and float switches, eta): Attach copy of current pumping contract(required). Is copy attached? ❑ Yes ❑ No t51ns dac•.ev.ans Title 5 Official Inspection Form:Subsurface Sewage Disposal System Pape 11 of 17 May 22 2017 21:47 HP Fax page 29 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 713 Seaview Ave Property Address 713 Seaview Ave Nominee Trust owner Owner's Name information is required for every osterville MA 02655 5-22-17 page. City/Town 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 0 Comments (note if box is level and distribution to outlets equal, any evidence of solids carryover, any evidence of leakage into or out of box, etc.): D Box is 3' below grade w/one line out. Box is new 5-2017 w/cover at 6" below grade 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: t5ins.doc•rev.5116 Title 5 Official inspection Form:Subsurface Sewage Disposal System-Page 12 of 17 r May 22 2017 21:47 HP Fax page 30 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 713 Seaview Ave Property Address 713 Seaview Ave Nominee Trust Owner Owner's Name information is required for every Osterville MA 02655 5-22-17 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Type. ❑ leaching pits number: ® leaching chambers number: S ❑ leaching galleries number: ❑ leaching trenches number, length: ❑ leaching fields number, dimensions: ❑ overflow cesspool number: ❑ inn ovative/alternative.system Type/name of technology: Comments (note condition of soil, signs of hydraulic failure, level of ponding,damp soil, condition of vegetation, etc.): Leaching is eight H-20 cultex chambers per asbuilt. Ck D Box and camera out line. No sign of over loading or holding water 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 t5lns.doc-rev.6116 Title 5 Official Inspection Form:Subsurface Sewage Oisposal System-Page 13 of 17 I May 22 2017 21:47 HP Fax page 31 Commonwealth of Massachusetts Title 5 official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 713 Seaview Ave Property Address 713 Seaview Ave Nominee Trust Owner Owner's Name information Is required for every Osteryille MA 02655 5-22-17 page. Cityfrown State Zip Code Date of Inspection D. System Information (cont.) Comments(note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): 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.): I5ins.doc-rev.Bf16 Title 5 OOiclal Inspection Fow Subsurface Sewage Disposal System•Page 14 of 17 i May 22 2017 21:48 HP Fax page 32 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 713 Seaview Ave Property Address 713 Seaview Ave Nominee Trust Owner Owner's Name information is required for every Osterville MA 02655 5-22-17 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 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 l—r/QON� �£ck � e A_)L: r7 o 0 A-�= �9' 16 role 15ins.doc•rev.6116 Title 50tficial Inspection Forth:SubsWace Sswege Disposal System•Cage 15 of 17 May, 22 2017 21:48 HP Fax page 33 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 713 Seaview Ave Property Address 713 Seaview Ave Nominee Trust Ownfoner Owners Name requir required is every Osteryille re wired foreve MA 02655 5-22-17 page, citylrown State Zip Code Date of inspection D. System Information (cont.) Site Exam; ❑ Check Slope ❑ Surface water ❑ Check cellar ❑ Shallow wells �v Estimated depth tofhigh ground water: 2 feet Please indicate all methods used to determine the high ground water elevation: ❑ Obtained from.system design plans on record If checked, date of design plan reviewed: Date ® Observed site(abutting property/observation hole within 150 feet of SAS) ❑ Checked with local Board of Health-explain`. ❑ Checked with local excavators, installers-(attach documentation) ❑ Accessed USGS database-explain- You must describe how you established the high ground water elevation: Rear of lot drops off 20'+to water. Bottom of chamber's at around 4' below grade Before filing this Inspection Report, please see Report Completeness Checklist on next page. t5lns.doc•rev.6/16 Title 5 Official inspection Form:Subsurface Sewage Disposal System•Page 16 of 17 May 22 2017 21:48 HP Fax page 34 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 713 Seaview Ave Property Address 713 Seaview Ave Nominee Trust Owner Owner's Name required fo is every Osterville required ioreve MA 02655 5-22-17 page. CityfTown 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 i i I l5ins.doc-raw.6118 Title 5 orryclal hapection Form:Subsurface Sewage Disposal System•Page 17 of 17 TO OF BARNS ABLE _ SEWAGE # S C�H VILLAGE ASSESSOR'S MAP & LOT, � INSTALLER'S NAME&PHONE NO. lZ:7/l v\l SEPTIC TANK CAPACITY _ r®D C l LEACHING FACILITY: (type) (size) NO.OF BEDROOMS BUILDER OR OWNER ®r q PERMITDATE: a— ^ COMPL CE DATE:_ % 7 " Separation Distance Between the: Maximum Adjusted Groundwater Table and Bottom of Leaching Facility Feet Private Water Supply Welland 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 C� e -s 1 i3 ©6,71FRO 0 U I THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH TOWN OF BARNSTABLE ApplirFation fur Diti-poii al Wor1w Tomitrnrtinn ramit Application is hereby made for a Permit to Construct ( ) or Repair ( an Individual Sewage Disposal System at: 0 / (///�\�� /� / _ ;^A L . on \ddr•'s"/`^��� � or Lot No. Owner -Address 5________________ ... Installer Address Q Type of Building Size Lot............................Sq. feet U Dwelling—No. of Bedrooms..------------------------------- ....Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ---------------------------- No. of persons---------------------------- Showers ( ) — Cafeteria ( ) a' Other fixtures ______________________ d -------------------- ------------------------------•-••---------------•-•--------- W Design Flow--------------------------------------------gallons per person per day. Total daily flow--------------------------------------------gallons. WSeptic Tank—Liquid capacity------------gallons Length--.-............ Width................ Diameter................ Depth................ x Disposal Trench—No. .................... Width....................Total Length-------------------- Total leaching area....................sq. ft. Seepage Pit No........ ............ Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) Percolation Test Results Performed by........ - --------------------------------------------------- ----- Date........................................ Test Pit No. l________________minutes per inch Depth of Test Pit-................... Depth to ground water........................ fi Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ P+ -•---••--•••----------------------------------------------------------•--•-••--•----•------•-----•------------------------•---------.---.------•------------ ODescription of Soil........................................................................................................:............................................................... x W ---•---•-•--------------------------------------•---------------•--..........._..-•-•••......--------- ------- U Nature of Repairs or Alterations—Answer when applicable----__:. ___ U P --- - --------------- ---- �/ -, -----------------------------------•----------------..........----------------------•---•--•------. --------------- --- - ------------�-------------•-•-----•---- Agreement. The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Environmental Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance ho beerii b the a d of health. Signed .. - --- -........... ..,1.. _.. - ..... 5- to Application.Approved By ..... 9 �..u�-n ........... ..........._......: 3 Date Application Disapproved for the following reasons: ....:_.............._..._..................-----------------------....._ ........ ........... .. .... ..._...... .. ............_.......` ........................'............------------- - .......................... . - ------------- .....---- ------ ----- Date Permit No. - - '......._....... Issued ................. -.?5.---------------..---- Dare - - - No...���— FEB...0....... ..� THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABL.E .pliration for , i-lipw3al Work.5 Towitrnrtiun rrrntit Application is hereby made for a Permit to Construct ( ) or Repair ( �anndividual Sewage Disposal System at• -� ------ Location-6 r Lot No. 0 - � F�- u - _ G -------------------------- 11( a /t11 / Owner Adress Installer --•.................................•. Address... � Type of Building � Size Lot__________________________S q. feet Dwelling—No. of Bedrooms..,3------------------------------------Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ---------------------------- No. of persons---------------------------- Showers ( ) — Cafeteria ( ) Other fixtures ----------------------------------------------- ------ - ------------------------------------------------- W Design Flow............................................gallons per person per day. Total daily flow............................................gallons. WSeptic Tank—Liquid capacity------------gallons Length________________ Width---------------- Diameter---.-------------Depth---____--___---. x Disposal Trench— No. .................... Width_-__-.-_.._--._-___ Total Length.................... Total leaching area-------.............sq. ft. 3 Seepage Pit No..................... Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) aPercolation Test Results Performed bY------------------- ..................................................... Date..............--•--•-•-••---•••-••---- a Test Pit No. 1----------------minutes per inch Depth of Test Pit-------------------- Depth to ground water..................... Test Pit No. 2................minutes per inch Depth of Test Pit-------------------- Depth to ground water........................ t� .....---•--•----------------------------•---•-•----•-----------••-•-----------•-•----••.....--------......................................................... ODescription of Soil...................................................................................--------------------------------------------------------•• .................. x v --•-•-~-� ............... W -•-•----------- ---------------------------------------------------------------------------------------------- ----- - -----=------ --- V Nature of Repairs or Alterations—Answer when applicable.-.----_--.-.-7`4_ g------- _ ____._... - .... ............... Agreement.The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Environmental Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been Issued by the board of health. E • � Signed ----------- a�.- ��t` ' .............. ,----` .... Application.Approved By .... - ................. .-..-�r--.. .5.�..... .... - - Date Application Disapproved for the following reafon.r: ---------------------------------------------------------------------------------............................ ...... ............................. . ..:`.--------- ---- Date Permit No. .........9..1 ............ .. .r` c .. Issued ...............�....�../.,-.-.>r.� Dace THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE Teztiftrate of Compliance THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired ( ! at .......... _ has been nstalle—S in accordance with the provisions of TITLE 5 of The State Environmental Code as described in the application for Disposal Works Construction Permit No. _----� .: .� �1- .-.- dated THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE-----------------------1-------{ ----------- --------------------- Inspector ------d--- ---------------- ------ ------------------- -------------------------- , ———_— —,_-_----'------------- ------ ------------- THE COMMONWEALTH OF MASSACHUSETTS ©� BOARD OF HEALTH L) q TOWN OF BARNSTABLE No...... ..� :.�CI./ FEE. ............•----- 11illposal orkp Aunjotr tiun "amit Permission is hereby granted---=........... 'r ..... ----------------------------------------------------------- to Construct ( ) or Repair (XI ) an Individual Sewage Disposal System at No... ".A t_' -.-•• `'' .,^ = / ._+, E---------- ° .......................................................' --- --- -------- � -------- i L � / / Street' p r as shown on th�pp lcal tion for D sposal Works Construuction Permit No._7../' Dated.._..` +----_%---�......_........... -----------------------------;y �/ A� Q ,✓............................... Board of Health � DATE-----•--------------�--------•--•�---/----�--• i FORM 36508 H088S Q WARREN.INC..PUBLISHERS . T OF BARNS ABLE — Q ::`<::LOCATION l�B J6- SEWAGE: •S ^a VILLAGE � L / �I a ASSESSOR'S MAP dt LOT. O .D '.::`'`INSTALLER'S NAME dt PHONE NO.•rt' l rem i �--=�� S Y. �Y� Sl~PTIC TANK CAPACITY d ;,;LEACHING FACILITY: (type) (size) NO.OF BEDROOMS - s BUILDER OR OWNER r PERMITDATE: .— COMPL CE DATE:_ L7 .Separation Distance Between the: ' `Maximum Adjusted Groundwater Table and Bottom of Leaching Facility Fdet 1 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 by9-1 T f ` AsBuilt Page 1 of 1 TO OF BARNS LE QL(LOC A::iJNSEWAGE k �! l�/3 9�a ,eo Pvi� VIL.L.AGE�S J� t, ASSESSOR'S)MAP&LOT. OO` INSTALLER'S NAME&PHONE NO. L l2 SEPTIC TANK CAPACTIY LEACHING FACILITY: (type) (size) NO.OF BEDROOMS' BUILDER OR OWNER PERMITDATE: COMPL CE DATE: / y'�7 Separation Distance Between the: Maximum Adjusted Groundwater Table and 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 r oCIV®Gl _ t � L G lf�r� • (�v 1�� http://issgl2/intranet/propdata/prebuilt.aspx?mappar=113007&seq=1 5/14/2018 .lam �`'✓ 2�/�-�r � f t a t i ti Health Master Detail Page 1 of 1 fi.[Ndlii�CG _z...g.4 Logged In As: Health Master Detail Monday, May 14 2018 TOWN\stantond Application Center Parcel Lookup Selection Items Reports Parcel Septic I Perc I Well Fuel Tank Parcel: 113-007 Location: 713 SEA VIEW AVENUE, Osterville Owner: TAYLOR, BELLE S K TR Business name: Business phone: ----� I Rental property: ❑ Deed restricted: ❑ Number of bedrooms :0 Contaminant released: ❑ Fuel storage tank permit: ❑ Save Parcel Changes Return to Lookup Parcel Info Parcel ID: 113-007 Developer lot:LOT D13 & 9A Location: 713 SEA VIEW Primary frontage:408 AVENUE Secondary road: Secondary frontage: Village:Osterville Fire district: C-O-MM Town sewer exists at this address: No Road index: 1450 1130071 Asbuilt Septic Scan: _ Interactive map rRE 113007_2 AP (Aquifer Town zone of contribution: Protection'Overlay State zone of contribution:OUT District) TAYLOR, BELLE S K 713 SEA VIEW Owner Info Owner: TR Co-Owner:AVENUE NOMINEE TRUST Streets: 1855 WILLOW ROAD Street2: CA Zip: 94010 City: HILLSBOROUGH State: Country: Deed date: 5/15/1992 Deed reference:C126631 Land Info Acres: 2.80 Use: Single Zoning: RF-1 Neighborhood: Fam MDL-01 WF13 Topography: Level Road: Paved Utilities: Public Location:Waterfront,Excel Water,Gas,Septic View Construction Info Building No ear Buil Gross Area Living Area Bedrooms Bathrooms 1 1910 15500 132248-Bedrooms3 Full-1 Hal Buildings value: $193,700.00 Extra features: $50,200.00 Land value: $4,556,800.00 http://issgl2/intranet/healthMaster/HealthMasterDetail.aspx?ID=l13007 5/14/2018 DIRECTIONS: ASSESSORS REF,: Fraro N A,take Route 28 toward Map 113, Parcel 007B0 Sq k Own to Rea left onto tii the la Weat T.k.'.le Rood and tSt to the an ,%1 ' ioke o left onto Yaks Sfraet Takeo 11911 onto Parker Read and contk+ud rtrdgAt fhraugh atop a to the end. I %b ake Hght onto sea Ke"A wree.Witt OVERLAY DISTRICT. r —: on the left./713. -AP—Aquifer Protection District 1 FLOOD ZONE: J e Zones VE Elev. 14', AE Elev. 12' ocus &X(C.2T(Annual Chance) urm- Communityy Panel No. {r #250001 0757 J July 16, 2014 LOCATION MAP: Scole: i".« 2000'.t ZONE: RF-1 Area(min.)87,120 SF(RPOD) Frontage(min)20' '\ Width (min) 125' \ Setbacks: Front 30' Side 15' did Rear 15' / ah i' REFERENCES: - Deed., C212928 \ / C126631 Plan: LCP 2664-46 / \ LCP 2664-48 LCP 2664-57 LCP 2664-107 j \\ ,\\,`\ / BoxxttereN Engineering& Certified Plot Plan Dated 912912017 100 . er. `y =spa \ gong on. ' ®�® '\ ! ,Ave. tt, PLAN 1 ti 1 l As REOUNNEg \ , L / 1,000 3t 1 I Road Layout �� n•J'/ 111 I \- ® umd nag, aUEBERRY-25! I Per LCP.2664-107 , \ WKSE 2f RRT- 1 I See Notes \ ' .� ` \\ •\'! a; _.- \.-®" Q ,. ®,� •. III' I .__ \ \\ .`..,, -�-� -__-_.__� __. _ _.._ __ _ __ - _ - Field Located I Property Line T,LL\\PLYl1s/OS \ I See Notes ' AMWWWILO(3A�QEBffRA(J) \ �' DOONOW(1A MOWTNN LAUREL(5) �. `©� j ,I weumd Flag Lot Area RODert/Rltuttl I ! ' _ .l\\ I i,. I \ .\\ Malmo Southward Realty T dt - / _I c P\ snterh,� I .�a�l J'I)'�•, - -'`�- - - IN17'26"WE j Per 'L C AWAr /r I•t'��.� 1 W AUTUMN OUW. 1 i 120.55 I \ Parma 5-274 j l !•( •11• I IL NQII1IQ'AND NNE50i TRASH PROPOSED 14 I 11 / 1/j!j•t'!I•,i I COASTAL AS uw�TOLERANT `A, I I �.\ "O \ \ I//,-F�•i. DRABS AUX Q OWWCOVEB 400.0' AOW SF3 N'%LANDSCAPE MALL ei PARONO '\ \ t ,'i{1 aA�11�O18YEN'Ar, \I ' Property Line (� \ \ i r` l t \ IDm I ! I Per Record Plan 10%•ftu P 1 ��1.!•�. \ ,. (_1y, \ , I I I I LCP 2664-48 1 t''' ,�• \ PARXWO \ wstland I I See Notes \ \ Fla pail by 8.Nall , PROPOSED ,\ \ ,� / 'I• \ (., '\ �tcber,2017 1 I I LANDSCAPE s.• x.'t, '\' \' \ 1 I I I , - ? 1 - •I'•.I•�' oon a,_P RrJO sIPROM ORAWAOE STAT1O FOR RNSE STA 100.0' EMOMWE TARD ORAOL I I I { w/•.Li / .•1• i. I I �"t' I I I AND OOANSPOUR A4 s1QCAlEO PORPRMCH EX I I / •1'• 'Ij• I gE'REPkACED\ �� I I I I o (130 SF) f'3 ./ I ji r .�••''.•j••,••I \'\ \\ Metland Flog.-,_I Herbert 5"&PomMo R.Phc,may REPLACE #71 7 CEDARS L. \ roa.tlLa10AnoN _ �� Mass s rPaR1R D of I I Z- vasmO PORCH \\ \•• \ AND\OFF SEASON USE REPAIRS E1EV•' (EMP 7I16/1i ffecicve t6 I i ..... Lam m, ® �� •�'2 \\ Field Locate j \ a4Lb2 Property line LAo. "1y e Notes -®-�.®��-�• ®®."-..\®�i.0®®®® `� REMOVE BITE ROSA �T SVPP'UWMTAL,PIANW=_ -Rxq®Ra® .r®` ASRLMNMIED w ' " c',qv MITIGATION: ...__.. cif ~ 0-50 _..6...-,._w......„ wAON1A ROSE-2ft' '.. ,,.WA*I=PWY-III* � Proposed Porch +150 sf ...�o�n�'""- ,-^--^' BAT OEM-Bt ''•� �"� Driveway To Be Removed= -155 st IsUm CLOVER_Ot"^^^^.,, Proposed Parking= +70 sf Proposed Grill- +16 sf Beach anise^~�,�4-i Proposed Rinse Stations- +32 sf I LEGEND: Beach Total= +173 sf Q COT Cedar Troe f �" °� 50-100' 0 HT Holly Tree Proposed Parking= +220 st �e DT Decktuoue Tree B0.h Proposed Curb= +50 of CT Canlferoue Tree Total=270 sf 101 um,ty Pas Nantucket Sound Required Mitigation -E_ Electric +113 if 4= 452 sf - -G- Coe +270 x 3=810 s( m Welland Flag Total: 1,262 sf Mitigation Required C Lot Poet 7,200 sf Mitigation Provided a CB/OH —Omw— overhead wined ••--25-- flawti n Contour REV.:1 Proposed Garage 1081061181 - nTLE: Site Plan PREPARED BY. PREPARED FOR: NOTES Pro posed Imp rovements EIl neerin & 1.) The property line information shown was compiled from N P p Susan Moore Morgenthou Trustee available record information, including LCP 2664-46, LCP At SU11i van r Consulting Inc. 710-713 Sea View Avenue Realty Trust 2654-48. LCP 2664-57, &LCP 2664-107. m 2.) The topographic information was obtained from an on 713 Sea View Avenue the ground survey performed on Novermber 3, 2017. 4283344•PA.Sac fi59•7 Parker Imwd,Oaterville,MA 02Ed5 gMncon.Wm•wwwsullirelar�n.com 3.) The datum used is NAM '88. V Bamstable (ostemlle) Mass. 4)Discrepancies found between the record plans for the Draft: CTR Field: WHK/CTR/JOD property, control for the property lines on the ground, Y0 D 10 20 40 80 and the road layout have been found. Review with the MA DATE` December 19, 2017 SCALE., 1„ - 20, Review: CTR Comp./Review: CTR/JOD Land Court System is recommended to resolve any errors. Project: 30029 Project, C284.5 r G 1`7 s T'z �-r����pol fip C M to *-I- r*t 711P 3898-2 70 cFrsr r,ry. zo C=R'04g 8 e" Cof G�lt�SP °t�p € fl o 3� . o v c,� oa"0.c.. Ct CAe." -WAY, cl fQ F+Tif _ C Ti QR,94r. _ _}- T �ewaw as Qe�,.��:,�.✓ .�i0 � � ��'f S� ,_ APPROVED 8Y: DRAWN 8, DATE: > REVISED 8 ' ate. ;t � .5�l►-�. /�Dua�4�r/a e �'> t 1 e4,o c� t1,04.co 4 Ai4 f.S DRAWING NUMBER SHARON DAVIS des gn 31 Perry Street New York,NY 10014 P:212-255-8025 F:212-255-3065 _:,} STRUCTURAL ENGINEERS: NAME ADDRESS CITY,STATE ZIP CODE Porch Work Not - ;WI ENGINEERS:LLOUGHBYS MEPE G S ,» BEDROOM , Applicable at this NAME ADDRESS time CITY,STATE ZIP CODE PROPOSED WINDOWS. PROPOSED STAIR.FINISHES TO MATCH ORIGINAL SEE ELEVATIONS LIGHTING CONSULTANT NAME PROPOSED PORCH EXTENSION ADDRESS CITY,STATE ZIP CODE AV CONSULTANT NAME ADDRESS • O --- DIN T_T CITY,STATE ZIP CODE GENERAL NOTES BATH �I }•I i 102 tc ii ;isi,?iI$I! %3I i P 103- MMON IPOWDERRM i NURSERY O 107 104 I REPLACE I • %! I EXISTING DOOR \ WITH DINING Y HALL 1 1('' j PROPOSED PORCH EXTENSION ROOM DOOR IJTR [1 Q 106 � OFFICE 4, i ; KITCHEN I 108 ADD SHELVING $ i BEYOND EXISTING 105 i DOORWAY II 71 h 1 T FLIP SWII F ; STAIR U li • -- sP; PANTRY .42 --- ' P - �i : - DINING ROOM 109 - - . 110 I [ . I - j NEW I REVISIONS: WjrTIOR i IDOW ----------�__—_ 0 HISTORIC SUBMISSION 15.1.25 I I REVERSE SWING i' ' 1 REV 1 18.2.15 PROPOSED PORCH DOOR / Q �• E i 1 - r LIVING ROOM ! il ;i 1 �\ PROPOSED TC WINDOWS H EXISTING PORCH'�TO MA PROJECT NAME: 713 SEA iiif VIEWAVE 713 Sea View Ave �IfCTIVE DOUBLE DOOR TO OSteNllle,MA 02655 DEMO EXISTIN i [ 3 ' $ l ;i;1 i; ' ING 110 DEGREES 1 PORCH ENCLOSUR : i i i it:j i !:i 1 !i DRAWING TITLE: INACTIVE DOOR FIRST FLOOR i PLAN SEAL: DATE: Issue Date PROJECT NUMBER:1"". SCALE: 114'=1'-0' LPROPOSED WINDOWS TO DRAWING NUMBER: MATCH EXISTING PORCH A-101 SHARONd DAVIS esign 31 Perry Street New York,NY 10014 P:212-255-8025 F:212-255-3065 i Porch Work Not Applicable at this STRUCTURAL ENGINEERS: NAME time ADDRESS CITY,STATE ZIP CODE 1 MEP ENGINEERS: GREEN BEDROOM NAME DO-17 ADDRESS CITY,STATE ZIP CODE i LIGHTING CONSULTANT NAME ADDRESS • - CITY,STATE ZIP CODE AV CONSULTANT NAME 203 - - °. `'-i• : " - ADDRESS CITY,STATE ZIP CODE 20 7+'t-4_ _-,_` ':•3 .,,,' ;,ayl" :'�*f.^`-`: - GENERAL NOTES 1 _ u O BACK HALL F.F.L.=B'-11/2' i F.F.L.=8'-81/2" �-^--REMOVE DOOR - j- &ENCLOSE e YELLOW f 'n/ _D BEDROOM m f,,1vt MASTER TH �JJJ,,,... I �r C, - ._ EXISTING I 206 \ — COUNTERTOP I - __._ EXISTING - CLOSET \ HALLWAY - .. \ /F.F.L.=&�'-81/2' \\ F.F.L.=B'-11/2" I 208 PORC''I,BEDROOM BELOW 47 r 2 R WC 210 C\ FIREPLACE 213 +�E^�y f 3-t } a DEMO REVISIONS: TE 0 - REV 0 118.2.15 REMOVE DOOR I MASTER_ / &ENCLOSE i BEDROOM - - 211_ PINK BEDROOM I 3 BUILT-IN I STORAGE 212 BELOW { F —' I I BUILT-IN 6 BENCH SEATING PROJECT NAME: 713 SEA nu, VIEW AVE 713 Sea View Ave Osterville,MA 02655 DRAWING TITLE: i . .. .,_ 1 •1�.;,'' ' `�' `;� SECOND FLOOR PLAN SEAL: DATE: Issue Dale i"'fy`"} I �. _ .a? • L c I?`�T'Ii_ .1 Y1�i PROJECT NUMBER:17-1774 L._._._.-.--------------------- ----- ---------------------.—._. SCALE: 1/4'= DRAWING NUMBER: ® A-102 SHARON DAVIS 14'-51n• design LINE OF SINK ABOVE V 2'-6' 2'-6' S-!_ 2'-6• L 31 Perry.Street H I �' ' New York,NY 10014 P:212-255-8025 T F:212-255-3065 AP4 � STRUCTURAL ENGINEERS: DISHWASHE DRAWER NAME ------ ---- -- -1- -- ------ ADDRESS CITY,STATE ZIP CODE a 6 MEP ENGINEERS: � V CENTER POCKET DOOR 1 353/4 I l 24' l Su" 24" 1 35314" EO EO ON EXISTING OPENING NAME ---- --- - 14'-s1n• ------ --—-—-—-—-—-—-—-—- —-—-—-—-— —1 ADDRESS 25 CITY,STATE ZIP CODE FARMHOUSE 2• 24' DRAINSOARD SINK LIGHTING CONSULTANT NAME r-- ALIGN cAewETS a ADDRESS 0 1 SHELVING To CITY,STATE ZIP CODE KITCHEN l W KITCHEN DOORCASINc AV CONSULTANT AP- \) 1OS l AP- 1OS OPEN SHELVING NAME ADDRESS N - CITY,STATE ZIP CODE FRIDGE/ �) 4�14 � FRIDGE REEZE / FREEZE LINE OF LAZY SUSAN COUNTERTOP FUROUTALONGFULL GENERALNOTES OBELOW LENGTH OF WALL r 21' 36' 1'-9' 3--0• 5' 7' l / ALIGN CABINETS S SHELVING TO CASING DRAWERS ACCESSED - G AP-1 RANGE FLIP DOOR SWING FROM KITCHEN �i LIP DOOR SWING - AP-1 - 2B) I " 251/4' -1 RANG \ 33114• HOOD VIF 52 BLANK CORNER ---- BASE �e w AP / BARS PANTRY 27 vz• / ',: �) l FRIDGE ` � ��- NEW INTERIOR I I PANTRY WINDOW OPENING I 11 O ,- z41n 24• I I I CUT BACK EXISTING 15"DIA.RONDONDO CHICO _ I I SHELVING TO REAR VENT THROUGH COPPER BAR SINK I I WINDOWCASING PANTRY P-4 28" ISHWASHER BLANK CORNER BASE w bRAWER -------------------- 36 3/4' REVISIONS:.-. I I REVERSE DOOR SWING I 1 EVERSE DOOR SWING I i I 1 0 .REV 0 I I I 1 I 1 1 I I 1 I 1 O KIT-H N -ABIN TRY PLAN O KITCHEN ENLARGED PLAN PROJECT NAME: 713 SEA VIEW AVE 713 Sea View Ave Osterville,MA 02655 DRAWING TITLE: FIRST FLOOR - ENLARGED PLANS SEAL: DATE: Issue Dale PROJECT NUMBER:17-1774 SCALE: 1/2"=V-0' DRAWING NUMBER: A-401 . SHAR°d DAVIS g i n PLUMBING FIXTURE SCHEDULE.713 Sea View Ave 31 Perry Street Tag Mature, Location Guantky Product Finish Model No. Associated Fixtures Notes New York,NY 10014 Faucet Drain Flange P:212-255-8025 F:212-255-3065 BT-1 TUB/SHOWER 102-Downstairs Bath 1 Reuse existing Refinish porcelain Wats—ka,Etoile(ETXT60)vdh Waterworks-TBD Universal Floor Union(UNUN32) STRUCTURAL ENGINEERS: BT-2 TUBISHOWER 202-Upstairs Bath 1 Reuse existing Refinish porcelain Watermarks Etoile(ETXT60)with Waterworks-TBD NAME Universal Floor Union(UNUN32) ADDRESS BT-3 BATHTUB 206-Master Bath 1 Reuse existing Refinish porcelain TBD TBD Wig not operate as a shower,due to code req. CITY,STATE ZIP CODE MEP ENGINEERS: NAME LAV-1 SINK(HAND) 102-Downstairs Bath 1 Reuse existing(see photos) Plumber to propose Plumber to propose Comer sink ADDRESS WC-+ Waterworks Orleans(ORKM01)and - Faucet.spray,and soap dispenser accommodated CITY,STATE ZIP CODE I.AV-2 SINK(KITCHEN) 105-Kitchen 1 NBI Dreinboard Sink White SBDW5425 Waterworks Universal Soap Dispenser with the three penetrations in the drainboard sink LIGHTING CONSULTANT LAVJ SINK(HAND) 107-Powder Room 1 Reuse existing(see photos; Plumber to propose Plumber to propose NAME BATH (BAR) try ( ) copper CPS260- Easm°tgassicSpray, ADDRESS - LAV-0 SINK BAR 110-Pan 1 Redondo Chico undermount Co Antique Metal fewer larw� Confirm MA Approved CITY,STATE ZIP CODE 102 LAV-5 SINK(HAND) 202-Upstairs Bath 1 Reuse existing(see photos) Plumber to propose Plumber to propose gels or the two squarish sinks.Confirm door swuq AV CONSULTANT we-7 LAVE SINK(HAND) 203-WC off Green Bed 1 Craig to look through mntainel Plumber to propose Plumber to propose NAME LAV-7 SINK(HAND) 206-Master Bath 1 Reuse existing(see photos' Plumber to propose Plumber to propose ADDRESS era LAVA SINK HAND 210-WC off Master Bed Per Crai's design White Per Crai's design Sm fler of the two squarish sinks CITY,STATE ZIP CODE (HAND) 1 g g g g Per Creig's design POWDER RM LAV-B SINK(HAND) 213-WC off Pink Bed 1 Reuse existing(see photos) Plumber to propose Plumber to propose GENERAL NOTES 107 o LAvs SH-1 SHOWER 206-Master Bath 1 Danby Marble&Tile as Waterworks Eloi a Thermostatic Linear drain with file overlay Per approved System(i:TXS54) per Craig - SI+2 SHOWER Exterior(outdoor showers) 2 Waterworks Easton ClassicThermostatic System(FAXS52) WC-1 [TOILET 102,107,202,203,210 5 Waterworks Otla White OTWO02 C-2 ILET 206-Master Bath 1 Waterworks Alden White ALWO01 WG3 ILET 213-WC off Pink Bed 1 Kohler Barrington White K-35TU RM 102 BATH-ENLARGED PLAN - RM 107 POWDER RM-ENLARGED PLAN PLUMBING FIXTURE SCHEDULE 793/4' REVISIONS: a<\ oss—IT— vA. uv-s 1 LAv a O FOR CONSTRUCTION 18.4.13 WC-2 WC-3 - ` WG1 t i 3 BATH WC A-011 202 A-017 __ 203 A<i 4 MASTER BATH V(IC O uv� 206 2 0 LAV-9 O WC ° c BT-2 O WC-1 213 PROJECT NAME: BT.3 713 SEA r VIEW AVE 713 Sea View Ave Osterville,MA 02655 DRAWING TITLE: BATHROOMS - ENLARGED PLANS SEAL: DATE: Issue Date PROJECT NUMBER:1 TI7 44 SCALE: 112•=1'.0• DRAWING NUMBER: O R 2 94 i " - N AR D P AN ®R 2 20 i AC-ENLARGED PLAN 5 RM 206 MASTER BATH- N AR.FD P AN 6 RM 710 WC-ENLARGED PLAN 7 RM 913 W _ N AR D PLAN A-40` O 1/2"=V-0" O 1/2"=1'-0" O 1/2"=1'-0" SHARON DAVIS 51/4' 5114" design 14 3/4' 14 3/4" 29' 16 1/2' to 1/2' 12' 24 1/2' 31 Perry Street 14' 14- 5 Y 141/2' 141/2" 10' NewYork,NY 10014 P:212-255-8025 L-8 L 8 ELe L-B F:212-255-3065 ->-'C%•- _ STRUCTURAL ENGINEERS: NAME REUSE EXISTING ETCHED POTTERY BARN VINTAGE ADDRESS MEDICINE CABINET RECESSED MEDICINE (f— I REUSE EXISTING 16.S'z POTTERY BARN 20.5'MEDICINE CABINET I VINTAGE RECESSED CABINET CITY,STATE ZIP CODE LAV-5 LAV-6 MEDICINE CABINET O O MEP ENGINEERS: LAv-9 NAME wca WC-1 ADDRESS LAV-8 WC-3 CITY,STATE ZIP CODE o I LIGHTING CONSULTANT A NAME ADDRESS CITY,STATE ZIP CODE SECOND FLOOR1 _ _ _ _ _ SECOND 8 F 8 OR n SECON 8 FL8/2" _ SECOND F18 1 2 AV CONSULTANT — — 8'--8 1/2' 1 V F.F.L.=B'-11/2' F.F.L.=B'-11/2' 261/2 IL NAME ADDRESS CITY,STATE ZIP CODE GENERALNOTES O E(Y1201 60ATH-NORTH ELFV O R 2"01 0 -c0 ITH V n R z 210 WOC-NORTH ELEV ®R 2,21;WOC-SOUTH ELEV • - REVISIONS: O FOR CONSTRUCTION 118.4.13 PROJECT NAME: • 713 SEA VIEW AVE 713 Sea View Ave Osterville,MA 02655 DRAWING TITLE: INTERIOR ELEVS - BATHS & WCs SEAL: DATE: Issue Date PROJECT NUMBER:17-1774 SCALE: 1/2'=1'-0' DRAWING NUMBER: A-411 DIRECTIONS: ASSESSORS REF.: �) s:1;, ~•:r=` ::<" Map 113, Parcel 007Ba-g-..�� Fro,n Hyon is take Rout.23 toward y lOMk Ostervele.Take a left to osba llle West Barnstable Road and Follow to the and. °\ • J`.°' "• Takeo left-to Mal.Street.Take a � f °C B right onto Porker Road and continue Takeg gright an the antohSea 14-Aven a°stop sign o �la OVERLAY DISTRICT: �' r�; '', 711 AP - Aquifer Protection District FLOOD ZONE: � �- Zones VE Elev. 14'. AE Elev. 12' + � Locus X( Annual Chance) I� "C ti 1 Communitunit y Panel No. r #250001 0757 J I July 16, 2014 - J LOCATION MAP: Scale: 1"= 2000'1 ZONE: RF-1 Area(min.)87,120 SF(RPOD) Frontage(min)20' •` _ Width(min) 125' \ Setbacks: Front 30' Side 15' C g+d Rear 15' REFERENCES: + Deed: C212928 '\ C126631 Plan: LCP 2664-46 LCP 2664-48 LCP 2664-57 Lip 2664-107 Baxter Nye Engineering &Surveying / Certified Plot Plan Dated 9/29/2017 EjJ.,Looe / / \ � Y\ .._ 7 � v SrAIEL&25 \ \. 1.•,F c.+ F I A I A A Te '"t? \ A100.0' Grave Ter drive 4 \\ ,Ave. it ark r , ,\ ® a i F DK armsIXL PLANII1 \ AS REOLVED 11 I •- r r i tow SFt-1 I Rood Layout h,d \ �. .�\®?Vend nag, IW.KOMY -954 IPer LCP 2664-107 \\ \.\\\ .� \ WItOERRY-20s\ \ I See Notes // ,y• Field Located 1 -\ DO ®,ri,\ -i•i; I 1 1 \ i I Property Line IX1.AM1WG5 \ I See Notes - a ARROWWOOD(31'CEEIHERA(3) \ �' / I• I I 044ME RY(3 CRANBERRY I1Bm"(31 \ I I\.r i1±..�.. I / _ 1\i•,•�;11 I 1 DOGWOOD Ix fIOUTITAW LAUREL(5) © T• l'T I�:I Welland Flag Lot Area n/r if © '/\ 1-,tf•1' II \ upland \ Robert Total Realty Rltueal Southward R Duet i 11 = I•l I `1 I I A,$pepp Syatern;� �, ~1. �•I:'��., Ia a \ \ I N17.26'1WE P `LCP I +o, ;l•1•l•��' REYOIE AUTUMN OLIW, \ I I 120.55 u �\ :. I I SKET,AND OTHER Pemn 5-2 l l' ( I \. a- ,• I 1 ;f -' ` I ES NRANGW E W DOG AND \ I ( I I MASH 8W '� 1 / ,•, •.�':, COASTAL SALT,TMVMT I I I Q \ 1 , ,,•, : ORAss ABY GRWWOC 1211 PROPOSED PAM2Q_ 'too.or' . /.'r ' I JOW SFt \ I I I W/ IAAMSGAPE WALL m \ 4, �I;!t, ' aond Flog Property Line (�SF) \ PR \\ I.1"1:I'i `, A roBE Y REYOVID \ I Per Record Plan ,ao BOW - \ PARgN 1 /I�),/•f' ,\ \ \ (-153 SF) \\ I I - I I LCP 2664-48 1,>;,•;�� , \pA�ppp�PARKWO Wetland I' See Notes \ \ \ , Flop,.d DY B.Noll ' PRavosEn :.1• \\(7O sr1 October,20 7 1 I I \. ,, I I (50 PRONOE GRAINA / ..- = 'j• I i 1 suiPROPObIwFOR aWSE sTA roO.D , , j f .••I',•t•' I ands ag�J2 SF) AND DOWNSPOIITSWANCE r AS�CA1ED /t` \iFi / I. 1 -. �K�LED I I I I I o PORC71� © / J I •.I I ,\ 'Wal�ag _I I 1 i a / \ \ I I J i `.I••�•.i .� '�,.,� I i I I = Herbert S.&Pamclu'R.Pnamay REPLACE 713 •• 7 / 2 I n D Ilflg*If 1_ ILV.. t �`t.rei OOWNSp Tas MR-AINATION f• / \t \ ne,Flog AWAVEE 0YF%'LO OWNS S FM W` WO 9XIS1POW �' � � \\ ••� •'�\ ANDIOFF SEASON USE -•. .,,.-..,.,._.,,g...i i 2 j••\••• / / :........... )i Parch idRDAT10N REPAIRS V 12 1 i //. og. RACK PW - .............,tp-• \_ iIFCRROPR OSFD r Ied,Wa V.1fi I ( A•� .....,..'........... � .tYNT`'�r_.. Et vE i - Lin®sit Field Located ! Property Lin� e2 pop y e See Notes 1 y SLREMO%ETIIAL_PlAN1WGs� ® Ru90 Ro% ._.- 42CO'SFt MITIGATION: - --- -`--_.- _... __ �A R�- � _- Proposed Porch = +150 sf __ _.B151CII,PtDM-8t _ eaO'a'WO88 u BAY BERRY-Bt Drivewoy To Be Removed= -155 sf BUS1 0.0kER_Bt--- Proposed Parking= +70 sf Proposed Grill= +16 sf _ V Beach crass Proposed Rinse Stations= +32 sf LEGEND: / \ gsoch Total= +I13 sf Q CDT Ceder r \ / 50-100' 0 HT Hour free Proposed Parking= +220 sf Beam Proposed Curb= +50 sf 10 DT Deciduous Tray CT Canlferaue r Total=270 sf �Q_uhilfy Pate - Nantucket Sound ' Required Mitigation -E- Oecalc +113 x 4= 452 sf +270 x 3=810 sf �- GOD - Total.' 1,262 sf Mitigation Required Cb- Wetland Flaq 4 Light Post 7,200 s(Mitigation Provided o CB/DH —p{W— Overhead Wires -•-25—Omit-Cmtour REV.:1 Proposed Garage 1081061181 TITLE, Site Plan PREPARED BY., Q PREPARED FOR: NOTES: Engineering& 1. The property line information shown was compiled from Proposed Improvements $ g Susan Moore Mor enthou Trustee ) p°p y P = p p J available record information, including LCP 2664-46,LCP At Suffivancomulting,Ina 710-713 Sea View Avenue Realty Trust 2664-48.LC 664-57, &LCP 2664-IOZ y 2. The topographic information was obtained from an on 713 Sea View Avenue (soe)42a3344•P.D.Bet W9.7 Parer Road,Ostenilla,MA 02655 the ground survey performed on Novermber 3, 2017. 3.) The datum used is NAM '88. } sad�ilUMnw,Bin.wm•www.aulliva,engin.w,n V BaI I IEmn SI�UIe �OSteNIIIe) MASS. 4)Discrepancies found between the record plans for the p Property, control for the property lines on the ground, Draft: CTR Field: WHK/CTR/JOO 20 0 10 20 40 80 and the road layout hove been found. Revfew with the MA V DATE` December 19, 2017 SCALE., 1' = 20' Review: CTR Comp./Review: CTR/JOO Land Court System is recommended to resolve any errors. Project: 30029 Project: C284.5 .. WUOFI1b j�r' FLODD VEKT• - ... (LDOD uE�T -- ! - ....P12.O�I�.C-....8 .PdVL ,...F{:�-.:OH SIN RO A'61< 3'S1 { 6Et-ow wu.00w• 8,0.00Mr. L" ciao,FLL. T-IP 0 Pt-WcS, a WAL-LS REDO ,4TE 6EQ tE. -P`Tg c Jc — — r• i t1� ! SLortce- swtrcw TO'ttDusg !"C ,Qt CD 1 ; -- I RTCN F L(Z ff M LL _ � to R•a h+j 2x i /R i SBAH f pA+e• I /4$ pt . 2x6 ti02 aoD Pr Y — I - q- LUL poon5 -ceaoT,. --YC4 Fr 51a05 �2'FaoD rtFdJ �: i G'ID Rif `•�' f Ad /.Y"/N TKSH �o.c. so s 12 APoP to w F/QfR r/1).N/t AL7 Se�R 12_ o�?oP ^ Toc. �"SA93 - — — — — - - ---- — 8 ! ffT C4Cot O&AiL 3,2 o (5) Smart Vent Model: 1540 vents to be installed per plan locations t 2 #s TaP r do�rw Each vent is adequate for. 200 SF of enclosed space Vents to be installed 12". above interior :.or exterior horizontal F 1 .2'f"yef1"'A74 I I I pill, .ro piror y'o.c. ma`s surface, whichever is greater ' See engineering data provided P•T W.C. SN/r/G� S Ati�F G .o tomP�y tviTy • -•_-- _ _ _�. -... � Z ----- - 'P.'!- �.0.Sl�irtltt t s .AcT. .vas-rN,e-rsT, wEs>s�o� .• - ._.._...-_ - Oiy CZOMJ Sit-JL.Q 7drot.Crcof Hogs wouGii co1L r-IP Dili 111 I . i 30 xr.'S Pll?�n.Tlz(M1. 7/3 S9,4%er.c.w .Wf. I>— t . • SCALE: I/�'•t/. AMROVED BY: DRAWN BY GNA DATE: REVISED ' DRAWINfi NUMBER 1