Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Home
My WebLink
About
0063 WARREN STREET - Health
63 VVar rerlwStreet } k osLerVlll� 4 r P { ye r P • 7''F �'.. iY ''tF� Nh'��k`P S -- 1 f I d TOWN OF BARNSTABLE r'^1 t�LOCATION 4 3 VA+wmr, J-f r SEWAGE# �10 13 —0 VILLAGE OS*T t ' ASSESSOR'S MAP&PARCEL ,� 76 INSTALLER'S NAME&PHONE NO. GAPNV-1de -- eS SEPTIC TANK CAPACITY ZNM LEACHING FACILITY:(type) 3 A#G A 11C) hYy (size) 17,3 X 3 ire. NO.OF BEDROOMS sM OWNER 4 K = t gilu n C PERMIT DATE: '�, L� 0101`3 COMPLIANCE DATE: Separation Distance Between the: ND W11- - a 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) A11A Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) �� Feet FURNISHED BY LQ,/ t A - A-3=f4,3 A A-6 -54' R ry p f� L-L6] V_of�/ YVs _3=o-Q,a- - _43.5 OQU No. I U `1 Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer:40 es PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETT 01ppfication for Nsposal *pstrm Construction Permit Application for a Permit to Construct(c Repair( ) Upgrade( ) Abandon( ) omplete System ❑Individual Components Location Address or Lot No.63 WAP_e,-_W ST OSTETVtu Owner's Name,Address,and Tel.No. AZFAy -t AIT✓-S 0JC—P Assessor's Map/Parcel /3°J b 7 65 &Wbi e®TT -r N EWTav NA Q;L'4(e( Installer's Name,Address,and Tel.No.$OE;-(M-$r5.'71 Designer's Name,Address,and Tel.No.50g-a,-7 3-03 77 CAPL A i>me ew-rea j Sey :1<_ em al0e a2J�Jc=Sn1c_ Type of Building: Dwelling No.of Bedrooms LP Lot Size l o l 61 s! sq.ft. Garbage Grinder( ) Other Type of Building RIESt bil!IM. No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) gpd Design flow provided gpd r Plan Date 1 31- oo O 1 3 Number of sheets i Revision Date Title 4*3 I'lJ o4RVUE'�l SZ&EDET ®S Tt-9W I C.C)S Size of Septic Tank 1 Too Type of S.A.S. ,3'1 IQRC 3U4C 5QD I FFU34Z - Description of Soil A4 Q!ujg4 s,4&)T5 yq 717 49 � S eE- ?4_4 r/ Nature of Repairs or Alterations(Answer when applicable) N 1=1-,) CSOO H-l0 SST lc.. Ts(A1lL Zp NEB n-InK 'M 3? &c 312� H-ate A Z77-1 eU-) d0)J_r-'Gr. 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 o Heal Sig ed Date oZ- Application Approved by Date - -�� Application Disapproved by Date for the following reasons Permit No. Date Issued Y No. C! ) 6/ 7 1 f Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: p/' es PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS ! Nof-e 9 (00 c AO(I 4plication for Disposal *pstrm Construction 3pErmit is-V Cce,� Application for a Permit to Construct(Repair( ) Upgrade( ) Abandon( ) omplete System ❑Individual Components x Location Address or Lot No. 423 WAkkeW ST OST,6:V V 1 E Owner's Name,Address,and Tel.No. A7A`y -t RI TV 51A/er Assessor's Map/Parcel 13 9 16 5 - 1 COT v EuJTW MA Q P_q(r,( Installer's Name,Address,and Te.No.509-Y 77-&Z-7'1 Designer's Name,Address,and Tel.No.50q-;L7-3-O3 7-7 0_AP_Zu1>DC- e�J_reaf2 a'c. _^�- Type of Building: Dwelling No.of Bedrooms LP Lot Size 101 t CI t sq.ft. Garbage Grinder( ) Other ' Type of Building RFS(1� , ( �_ No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) / gpd Design flow provided gpd Plan Date Number of sheets Revision Date Title (.?) I^1 AQ_VLENj ST72 Size of Septic Tank Type of S.A.S. 31 Ag +L 3(�C �i1 D�(FFUSt72S Description of Soil A4 tM '1 -7 :) Nature of Repairs or Alterations(Answer when applicable) J�(E: , ) (:Son C-t4__mj P-Iy SrcPT -rA&i - - �'d 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 . Signed Date oZ-4-gyp 1?� Application Approved by / Date Application Disapproved by \ Date for the following reasons Permit No. '�;7 Date Issued a. - //-/ ,7 ------------------------------------------------ ------------------------------------------------------------------------------------- 1 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 GA-PELVI>g g�uS L, C at (0-A plrQ4-�� "[. /�� �(/[ [ t- has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No. O 1 0 V dated 2 Installer('_A 9 Ew Ij)19 Lk-e_ Designer JC G1 JC,IQ E,;,PtXJr. -TII G #bedrooms (,., Approved design flow (o(p( gpd The issuance of this permit s all not/be/construed as a guarantee that the system will ncti-con deesi ned. f Date 1/ / Inspector No. 7 0 Fee f ` THE COMMONWEALTH OF MASSACHUSETTS T PUBLIC HEALTH DIVISION -BARNSTABLE,MASSACHUSETTS Disposal 6pst>em Construction j3Prlttit Permission is hereby granted to Construct()() Repair( ) Upgrade( ) Abandon( ) l; System located at (p3 W 4121Z§E�J 15;7 e� and as described in the above Application for Disposal System Construction Permit. The applicant recognized his/her duty to comply with t Title 5 and the following local provisions or special conditions. Provided:Construction must be completed within three years of the date of this/ permit. j I J� Date d, ? Approved by " lei %006/04/2013 20:38 5082730367 u #2176 P. 001/001 %■ .,.Town of Barnstable- ." Regulatory Services Thomas F. Geiler,Director BARNgrABLL Public Health Division . MASS. r r i°'9' .` :: Thomas McKean,Director E 200 Main Street, Hyannis,MA 02601 Office: 508-862-4644 * Fax: 508-790-6304 Date: 5-2 9'l 7J Sewage Permit#dO(3 —6 -,Assessor's Map/Pareel 13 9 74 Installer &Designer Certification Form Designer: SG Ell 9tneexivl!�, TinC N Installer: Ca ew;de_ C-nFeePcisz5 L�-G Address: Z8_5y, C(000ary Mi9h • Address: dS Cxcuer,�e �cr �as1 wcre�,ar+n H(} 02538• ��� VIAL Cpc1)is' ► was issued a permit to install a (date) (installer) -� septic system at 03 Wac�e�► S�re� based on a design drawn-by , ._ . (address) G Lngir�eeri�}� �v1G dated ti?a�ve�w 311 Zbl3 p (designer) _. s x 1 certify that the septic system referenced above was installed substantially according to the design, which may include minor approved changes such as lateral relocation of the distribution box' and/or septic tank.- Stripout (if required) was inspected and the soils were found satisfactory. '- I certify that the septic system referenced above was installed with major changes (i.e greater than 10' lateral relocation of the SAS or any vertical relocation of any component of the septic system) but in accordance with State& Local Regulations. Plan revision or. certified as-built by designer to follow. Stripout (if req ' nspected and the soils were found satisfactory.. ;: I"OF �L JCMN l• T ° CHLnC' JR. A ((n, -a er's Sign fur N° 41307 . ClS1��•`, r esigner's Signatur (Affix es.i er s Aimp Here) . PLIJASE RETURN O BARNSTABLE PUBLIC HEALTH DIVISION. CERTIFICATE OF COMPLIANCE WILL NOT BE ISSUED UNTIL BOTH THIS FORM AND AS- RUILT CARD ARE RECEIVED BY THE BARNSTABLE PUBLIC HEALTH DIVISION. THANK YOU. q.,.n;'11irfun+lg\,.I��i;4Ciciatilicaionfuigl.d0e' .. _ Town of Barnstable', : . a } - P# 3��l Departitnent of Regulatory Services" f Public Health Divisio n Date NAM r t639.Al 200 Main Street,Hyannis MA 02601 Date Scheduled ! • a" / �V Time l � . �D Fee Pd. Soil Suitability Assessment four Se e Disposal ; Performed,By:_ !'(. R M W W 11 e71 I Gs C � Witnessed By: LOCATION&'GENERAL INFORMATION Location Address Owner's Name A-1 4N E RITO St XI EH (v3 (,OA-P�� SY 0STMY(vt-� (05 CN1j1coTi 5i Address lV c�cJ TZ7l-/a Vt P� Assessor's Map/Parcel: 3,31D7�(J Engineer's Name <Upac xpE �• ' NEW CONSTRUCTION X REPAIR 'Telephone#r 50�S- q 7 7 =4S8`7-] SC Crt 5eoeer/t�� Land Use: St�lgle FGrnily A(j e,(l(!�5 Slopes(%) I0-1 Surface Stones �-273-0377 Distances from: Open Water Body ft Possible Wet Area ft Drinking Water Well — ft Drainage Way _ ft Property Line 7 10 ft Other a ft r ; p SKETCH:(Street name,dimensions of lot,exact locations of test holes&perc,tests locate wetlands fn proximity to holes) Parent material(geologic) . i� Depth to Bedrock Depth to Oroundwater. Standing Water in Hole: 7 t 103,5 Weeping from Pit Face Estimated Seasonal High Oroundwater l 20 33 DETERMINATION FOR SEASONAL HIGH WATER TABLE Method Used: txrecl r1b Set�0 4 i Gn 712-0• Depth Observed standing in obs.hole: t! __in, .Depth to soil mottlt'sb Depth to weeping from side of obs.hole: In, Groundwater Adjustinent f. Index Well# Reading Date: Index Well level.__ �., Adj,factor, ,.: Adj.Clt•nundweterLevel„-_ PERCOLATION TEST We.1'22-13 Thne 16 AN Observation •)2 �~ �— Hole# Time at 9" Depth of Peru Time at G' Start Pre-soak Time m Time(9"-G End Pre-soak 10.15 0H 16, 33V7 Rate Min:/Inch 2 Z.2 Site Suitability Assessment: Site Passed Site Failed: _ Additional Testing Needed(Y/N) N Original: Public Health Division Observation Hole Data To Be Completed on Back------- ***If percolation test is to be conducted within 100' of wetland,you must first notify the, Barnstable Conser".yation Division at least one(1)week prior to beginning. Q:\SEPTIC\PERCFORM.DOC DEEP-OBSERVATION HOLE LOG Hole# I + 3 Depth from Soil Horizon Soil Texture .Sdil Color Soil• Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones;Boulders. i to Y.96'Otavep '�3Y.-YY t3 LS yy-i2U G /-fS 2r5Y`°�6 — Looses DEEP OBSERVATION HOLE LOG Hole# 2 + ellDepth from Soil Horizon Soil Texture Soil Color Soil Other ' Surface(in.) (USDA)• t (Munsell) Mottling (Structure,Stones,Boulders. e i8 -y� LS J/6 y$'l20 G J�1S 2.Jr I bl Lbo.se— DEEP OBSERVATION HOLE LOG Hole# " Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. C i to DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon 'Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones;Boulders. Consistency. Flood Insurance.Rate Man: Above 500 year floodl boundary' No Yes Within 500 year boundary No Yes \' Within 100 year flood boundary No. Yes _ Depth of Naturally Occurring.Pervious Material Does at least four feet of naturally occurring pervious material exist in all areas observed throughout the area proposed for the soil absorption system? eS If not,what is the depth of naturally occurring pervious material? Certification I certify that on jo'2-7- (date)I have passed the soil evaluatonexamination approved by the Department of.Environmental Protection and that the above analysis was performed by me consistent'with . the required training,expertise and exp 'ence described in 110 CMR 15.017. ure Datb /-30-13 Signat Q:15BPTIMERCFORM.DOC • i Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments , M 63 Warren Street Property Address Digital Federal Credit Union Owner Owner's Name information is required for every Osterville Ma 02655 4/1/11 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 forms A. General.Information on the computer, use only the tab 1. Inspector: 1 key to move your cursor-do not Ricky L. Wright use the return Name of Inspector key. B & B Excavation, Inc. rab Company Name 14 Teaberry Lane Company Address Sandwich MA 02563 City/Town State `Zip Code 508-477-0653 S 14595 Telephone Number License Number B. Certification I certify that I have personally inspected the sewage disposal system at this address and that the information reported below is true, accurate and complete as of the time of the inspection. The inspection was performed based on my training and experience in the proper function and maintenance of on—site sewage disposal systems. I am a DEP approved system inspector pursuant to Section 15.340;of Title 5(310 CMR 15.000). The system: =-= ® Passes. Y.. � ❑ Conditionally Passes ❑ Fails ❑ Needs Further Evaluation by the Local Approving Authority i = C 4;0 `7-) 40 M 4/1/11 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. l t..ins•09/08 Title 5 Official Inspection Form:Subsurface Sew a Disposal S/teil• age 1 of 17 II, Commonwealth of Massachusetts 4, W Title 5 Official 'Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments �^M 63 Warren Street Property Address Digital Federal Credit Union Owner Owner's Name information is required for every Osterville Ma 02655 4/1/11 page. Cityrrown 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: ® 1 have not found any information which indicates that any of the failure criteria described in 310 CMR 15.303 or in 310 CMR 15.304 exist. Any failure criteria not evaluated are indicated below. Comments: • B) System Conditionally Passes: ❑ One or more system components as described in the"Conditional Pass" section need to be replaced or repaired. The system, upon completion of the replacement or repair, as approved by the Board of Health, will pass. Check the box for"yes", "no" or"not determined" (Y,'N, ND)for the following statements. If"not determined," please explain. The septic tank is metal and over 20 years old*or the septic tank (whether metal or not) is structurally unsound, exhibits substantial infiltration or exfiltration or tank failure is imminent. System will pass inspection if the existing tank is replaced with a complying septic tank as approved by the Board of Health. *A metal septic tank will pass inspection if it is structurally sound, not leaking and if a Certificate of Compliance indicating that the tank is less than 20 years old is available. ❑ _Y ❑ N ❑ ND (Explain below): t5ins•09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal'System•Page 2 of 17 A Commonwealth of Massachusetts 11 W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 63 Warren Street Property Address Digital Federal Credit Union Owner Owner's Name information is required for every Osterville Ma 02655 4/1/11 page. Cityrrown State Zip Code Date of Inspection B. Certification (cont.) B) System Conditionally Passes (cont.): ❑ Observation of sewage backup or break out or high static water level in the distribution box due to broken or obstructed pipe(s) or due to a broken, settled or uneven distribution box. System will pass inspection if(with approval of Board of Health): ❑ broken pipe(s)are replaced ❑ Y ❑ N ❑ ND (Explain below): ❑ obstruction is removed ❑ Y ❑ N ❑ ND (Explain below): ❑ distribution box is leveled or replaced ❑ Y ❑, N ❑ ND (Explain below): ❑ The system required pumping more than 4 times a year due to broken or obstructed pipe(s)..The system will pass inspection if(with approval of the Board of Health): ❑ broken pipe(s)are replaced •❑ Y . ❑ N ❑ ND (Explain below): ❑ obstruction is removed ❑ Y ❑ N ❑ ND (Explain below): C) Further Evaluation is Required by the Board of Health: ❑ Conditions exist which require further evaluation by the Board of Health in order to determine if the system is failing to protect public health, safety or the environment. 1. System will pass unless Board of Health determines in accordance with 310 CMR 15.303(1)(b)that the system is not functioning in a manner which will protect public health, safety and the environment: ❑ Cesspool or privy is within 50 feet of a surface water ❑ Cesspool or privy is within'50 feet of a bordering vegetated wetland or a salt marsh t5ins-09/08 Title 5 Official inspection Form:Subsurface Sewage Disposal System-Page 3 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments ,M 63 Warren Street Property Address Digital Federal Credit Union Owner Owner's Name information is required for every Osterville Ma 02655 4/1/11 page. Cityrrown State Zip Code Date of Inspection B. Certification (cont.) 2. System will fail unless the Board of Health (and Public Water Supplier, if any) determines that the system is functioning in a manner that protects the public�health, safety and environment: ❑ . The system has a septic tank and soil absorption.system (SAS) and the SAS is within 100 feet of a surface water supply or tributary to a surface water supply. ❑ The system has a septic tank and SAS and the SAS is within a Zone 1 of a public water supply. ❑ The system has a septic tank and SAS and the SAS is within 50 feet of a private water supply well. ❑ The system has a septic tank and SAS and the SAS is less than 100 feet but 50 feet or more from a private water supply well". Method used to determine distance: This system passes if the well water analysis, performed at a DEP certified laboratory, for coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered. A copy of the analysis must be attached to this form. 3. Other: D) System Failure Criteria Applicable to All Systems: You must indicate"Yes" or"No"to each of the following for all inspections: Yes No ❑ ® Backup of sewage into facility or system component due to overloaded or clogged SAS or cesspool ❑ ® Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or clogged SAS or cesspool ❑ ® Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool ❑ ® Liquid depth in cesspool is less than 6" below invert or available volume is less than %2 day flow t5ins•09108 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 4 of 17 I 0 Commonwealth of Massachusetts . Title 5 Official Inspection. Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 63 Warren Street Property Address Digital Federal Credit Union Owner Owner's Name information is required for every Osterville Ma 02655 4/1/11 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 groundwater elevation. ❑ ® Any portion of cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply. ❑ -E 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 ❑ ❑ 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•09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 5 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments V1M 63 Warren Street Property Address Digital Federal Credit Union Owner Owner's Name information is Osterville Ma 02655 4/1/11 ` required for every I page. Cityrrown State Zip Code Date of Inspection C. Checklist Check if the following have been done. You must indicate"yes" or"no" as to each of the following: Yes No ❑ .2 Pumping information was provided by the owner, occupant, or Board of Health ❑ TR Were any of the system components pumped out in the previous two Weeks? ❑ ® Has the system received normal flows in the previous two week period? ❑ ® Have large volumes of water been introduced to the system recently or as part of this inspection? ® ❑ Were as built plans of the system obtained and examined? (If they were not available note,as N/A) ® ❑ Was the facility or dwelling inspected for signs of sewage back up? ® ❑! Was the site inspected for signs of break out? ® ❑ Were all system components, excluding the SAS, located on site? ® ❑ Were the septic tank manholes uncovered, opened, and the interior of the tank inspected for the condition of the baffles or tees, material of construction, .dimensions, depth of liquid, depth of sludge and depth.of,scum? ❑ ® Was the facility owner(and occupants if-different from owner) provided with information on the proper maintenance of subsurface sewage disposal systems? The size and location of the Soil Absorption System (SAS) on the site has been determined based on: ® '❑ Existing information. For example, a plan at the Board of Health. ® ❑ Determined in the field (if any of the failure criteria related to Part C is at issue approximation of distance is unacceptable) [310 CMR 15.302(5)] D. System Information Residential Flow Conditions: Number of bedrooms (design): 3 Number of.bedrooms (actual):. 3 DESIGN flow-based on 310 CMR�15.203 (for example: 110 gpd x#of bedrooms): 330 t5ins-09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 6 of 17 Commonwealth of Massachusetts . Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments ,M 63 Warren Street Property Address Digital Federal Credit Union Owner Owner's Name information is required for every Osterville Ma 02655 - 4/1/11 page. CitylTown State Zip Code Date of Inspection D. System Information Description: Number of current residents: 0 Does residence have a garbage grinder? ❑ Yes ® No Is laundry on a separate sewage system? [if yes separate inspection required] ❑ Yes ® No Laundry system inspected? ❑ Yes E No Seasonal use? ❑ Yes ® No Water meter readings, if available last 2 ears usage d n/a 9 ( Y 9 (9P ))� Detail Sump pump? ❑ Yes ® No Last date of occupancy: n/a Date Commercial/Industrial Flow Conditions: Type of Establishment: Design flow(based on 310 CMR 15.203): Gauons 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-09/08 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 63 Warren Street Property Address Digital Federal Credit Union Owner Owner's Name information is required for every Osterville Ma 02655 4/1/11 page. City/Town State -Zip Code Date of Inspection D. System Information (cont.)- Last date of occupancy/use: Date Other(describe below): General Information Pumping Records: P 9 Source of information: Was system pumped as part of the inspection? ❑ Yes ® No If yes, volume pumped: gallons How was quantity pumped determined? Reason for pumping: Type of System: ® Septic tank, distribution box, soil absorption system ❑ Single cesspool ❑ Overflow cesspool ❑ Privy ❑ Shared system (yes or no) (if yes, attach previous inspection records, if any) ❑ Innovative/Alternative technology. Attach a copy of the current operation and maintenance contract(to be obtained from system owner) and a copy of latest inspection of the I/A system by system operator under contract ❑ Tight tank. Attach a copy of the DEP approval. ❑ Other(describe): t5ins-09/08 , Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 8 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments °M 63 Warren Street Property Address Digital Federal Credit.Union , Owner Owner's Name information is required for every Osterville Ma 02655 4/1/11 page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) Approximate age of all components, date installed (if known)and source of information: 1993 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 ® 40 PVC El other(explain): N. Distance from private water supply well or suction line: >20feet Comments (on condition of joints, venting, evidence of leakage, etc.): At time of inspection building sewer appeared to be in good shape no signs of leakage or blockage. Septic Tank(locate on site plan): Depth below grade: 2 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: 5.8x5.8x10.6 Sludge depth: 611 t5ins•09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 9 of 17 - Commonwealth of Massachusetts W Title 5 Official Inspection Form ' Subsurface.Sewage Disposal System Form - Not for Voluntary Assessments 63 Warren Street Property Address Digital Federal Credit Union Owner Owner's Name information is required for every Cisterville Ma 02655 4/1/11 page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) Septic Tank(cont.) 3111 Distance from top of sludge to bottom of outlet tee or baffle 2 , Scum thickness Distance from.top of scum to top of outlet tee or baffle 8" Distance from bottom of scum to bottom of outlet tee or baffle 16" . How were dimensions determined? scour stick Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): At time of inspection the septic tank appeared to be structuraly sound,no sign of backup, or leakage,tee's present.Recomend pumping Grease Trap (locate on site plan): . Depth below grade: feet Material of construction: ❑ concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑ other(explain): Dimensions: Scum,thickness Distance from top of scum to top of outlet tee or baffle Distance from bottom of scum to bottom of outlet tee or baffle Date of last pumping: . Date t5ins•09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 10 of 17 -7 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments ,M 63 Warren Street Property Address Digital Federal Credit Union Owner Owner's Name information is required for every Osterville Ma 02655 4/1/11 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: 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.): M *Attach copy of current pumping contract(required). Is copy attached? ❑ Yes ❑ No t5ins•09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 11 of 17 • Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 63 Warren Street Property Address Digital Federal Credit Union Owner Owner's Name information is required for every Osterville Ma 02655 4/1/11 page. Cityrrown 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.): At time of inspection d-box appeared to be in good shape no sign of carryover or leakage. Pump Chamber(locate on site plan): Pumps in working order: ❑ Yes ❑ No Alarms in working order: ❑ Yes ❑ No -Comments(note condition of pump chamber, condition of pumps and appurtenances, etc.): Soil Absorption System (SAS) (locate-on site plan, excavation not required): If SAS not located, explain why: t5ins•09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 12 of 17 • Commonwealth of Massachusetts - Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -INot for Voluntary Assessments °M •''P 63 Warren Street Property Address Digital Federal Credit Union Owner Owner's Name ' information is required for every Osterville Ma 02655 4/1/11 page, Cityrrown State Zip Code Date of Inspection D. System Information (cont.) Type: ❑ leaching pits number: ❑ leaching chambers number: ❑ leaching galleries number: ❑ leaching trenches number, length: ® leaching fields number, dimensions: (3 3050s) 12.5x29.5x2 ❑ 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.): At time of inspection leaching appeared to be in good shape no sign of staining or hydraulic failure.Leaching was dry. 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•09108 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 13 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form o Subsurface Sewage Disposal System Form - Not for Voluntary Assessments °M 63 Warren Street Property Address Digital Federal Credit Union Owner Owner's Name information is required for every Osterville Ma 02655 4/1/11 page. Citylrown 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.): P 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.): e t5ins•09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 14 of 17 Commonwealth of Massachusetts u Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments M 63 Warren Street Property Address Digital Federal Credit Union " Owner Owner's Name information is required for every Osterville Ma 02655 . 4/1/11 page. CitylTown 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 A B . Al 28 ' A2= 39'2 " 2 132: 351 [] -B3 ' 3 8'S" t5ins•09/08, Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 15 of 17 • Commonwealth of Massachusetts - W Title 5 Official Inspection .Form ! Subsurface Sewage Disposal System Form - Not for Voluntary Assessments M 63 Warren Street Property Address Digital Federal Credit Union Owner Owner's Name information is required for every Osterville Ma 02655 4/1/11 page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) , Site Exam: ® Check Slope ® Surface water ® Check cellar ® Shallow wells >10 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: 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: Hand auger hole. Before filing this Inspection Report, please see Report Completeness Checklist on next page. t5ins•09108 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 16 of 17 L __ t f Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 9 P Y rY ,M 63 Warren Street Property Address Digital Federal Credit Union Owner Owner's Name information is required for every Cisterville Ma . 02655 4/1/11 page, CityrFown State Zip Code Date of Inspection E. Report Completeness Checklist ® Inspection Summary: A, B, C, D, or E checked ® Inspection Summary D (System Failure Criteria Applicable to All Systems)completed ® System Information—,Estimated depth to high groundwater ® Sketch of Sewage Disposal System either drawn on page 15 or attached in separate file t5ins-09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 17 of 17 i Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments �M 63 Warren St. Property Address Bob Carey Owner Owner's Name information is required for Osterville Ma. 02655 4/9/2007 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. Important: A. General Information When filling out Q, 6�f forms on the computer,use 1. Inspector, only the tab key t �� to move your Robert Paolini I cursor-do not Name of Inspector E = use the return key. Capewide Enterprises,LLC. 1`a < Company Name <i —� r� P.O.Box 763 Company Address 1 Centerville Ma. j 02632 -; City/Town State I Zip Code (508)428-4028 °� Telephone Number License Number B. Certification I certify that I have personally inspected the sewage disposal system at this address and that the information reported below is true, accurate and complete'as of the time of the inspection. The inspection was performed based on my training and experience in the proper function and maintenance of on site sewage disposal systems. I am a DEP approved system inspector.pursuant to Section 15.340 of Title 5(310 CMR 15.000).The system: ® Passes ❑ Conditionally Passes ❑ Fails ❑ Needs Further Evaluatio the Local Approving Authority W—ZX6 �X � - 4/9/2007 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. 63 warren st.•08/06 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 1 of 15 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-- Not for Voluntary Assessments 63 Warren St, Property Address Bob Carey Owner Owner's Name information is required for Osterville Ma. 02655 4/9/2007 every page. City/Town 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: l The srptic system is in proper working order at the present time. B) System Conditionally Passes: El 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 63 warren st.-08/06 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 2 of 15 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal.System Form - Not for Voluntary Assessments .� 63 Warren St. Property Address Bob Carey Owner Owner's Name information is Osterville Ma. 02655 4/9/2007 required for , every page. City/Town State Zip Code Date of Inspection B. Certification (cont.) B) System Conditionally Passes (cont.): ❑ 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: C) Further Evaluation is Required by the Board of Health: ❑ Conditions exist which require further evaluation by the Board of Health in order to determine if the system is failing to protect public health, safety or the environment. 1. System will pass unless Board of Health determines in accordance with 310 CMR 15.303(1)(b)that the system is not functioning in a manner which will protect public health, safety and the environment: ❑ Cesspool or privy is within 50 feet of a surface water ❑ Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh 2. System will fail unless the Board of Health (and Public Water Supplier, if any) determines that the system is functioning in a manner that protects the public health, safety and environment: ❑ The system has a septic tank and soil absorption system (SAS)and the SAS is within 100 feet of a surface water supply or tributary to a surface water supply. ❑ The system has a septic tank and SAS and the SAS is within a Zone 1 of a public water supply. ❑ The system has a septic tank and SAS and the SAS is within 50 feet of a private water supply well. 63 warren st.•08/06 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 3 of 15 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 63 Warren St. Property Address Bob Carey Owner Owner's Name information is required for Osterville Ma. 02655 4/9/2007 every page. City/Town- State Zip Code Date of Inspection B. Certification (cont.) C) Further Evaluation is Required by the Board of Health (cont.): ❑ The system has a septic tank and SAS and the SAS is less than 100 feet but 50 feet or more from a private water supply well**. Method used to determine distance: **This system passes if the well water analysis, performed at a DEP certified laboratory,for coliform bacteria indicates absent and the,presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered.A copy of the analysis must be attached to this form. 3. Other: r D) System Failure Criteria Applicable to All Systems: You must indicate "Yes" or"No" to each of the following for all inspections: Yes No ❑ ® Backup of sewage into facility or system component due to overloaded or clogged SAS or cesspool ❑ ® Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or clogged SAS or cesspool ❑ ® Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool ,. El ® Liquid depth in cesspool is less than 6" below invert or available volume is less than Y2 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. 63 warren st.•08106 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 4 of 15 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -INot for Voluntary Assessments 63 Warren St. Property Address Bob Carey Owner Owner's Name information is Osterville Ma. 02655 4/9/2007 required for , every page. City/Town State Zip Code Date of Inspection B. Certification (cont.) D) System Failure Criteria Applicable to All Systems (cont.): Yes No ❑ ® Any portion of a cesspool or privy is within a Zone 1 of a public well. ❑ ® Any portion of a cesspool or privy is within 50 feet of a private water supply well. ❑ ® Any portion of a cesspool or privy is less than 100 feet but greater than 50 feet from a private water supply well with no acceptable water quality analysis. [This system passes if the well water analysis, performed at a DEP certified laboratory, for fecal coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered.A copy of the analysis and chain of custody must be attached to this form.] ❑ ® The system is a cesspool serving a facility with a design flow of 2000gpd- 1 0,000g pd. ❑ Z The system fails. I have determined that one or more of the above failure criteria exist as described in 310 CMR 15.303, therefore the system fails. The system owner-should contact the Board of Health to determine what will be necessary to correct the failure. E), Large Systems: To be considered a large system the system must serve a facility with a ,design flow of 10,000 gpd to 15,000 gpd. For large systems, you must indicate either"yes" or"no"to each of the following, in addition to the questions in Section D. Yes No ❑ ❑ the system is within 400 feet of a surface drinking water supply ❑ ❑ the system is within 200 feet of a tributary to a surface drinking water supply ❑ ❑ the system is located in a nitrogen sensitive area (Interim Wellhead Protection Area—IWPA)or a mapped Zone II of a public water supply well. If you have answered "yes"to any question in Section E the system is considered a significant threat, or answered "yes" in Section D above the large system has failed. The owner or operator of any large system considered a significant threat under Section E or failed under Section D shall upgrade the system in accordance with 310 CMR 15.304. The system owner should contact the appropriate regional office of the Department. 63 warren st.-08/06 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 5 of 15 �. Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 63 Warren St. M Property Address Bob Carey Owner Owner's Name information is Osterville Ma. 02655 4/9/2007 required for - 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)] 63 warren st.•08/06 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 6 of 15 �., Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments °M 63 Warren St. Property Address Bob Carey Owner Owner's Name information is required for Osterville Ma. 02655 4/9/2007 every page. City/Town State Zip Code Date of Inspection D. System Information Residential Flow Conditions: Number of bedrooms (design): 3 Number of bedrooms (actual): 3 DESIGN flow based on 310 CMR 15.203 (for example: 110 gpd x#of bedrooms): 330 Number of current residents: unknown Does residence have a garbage grinder? ❑ Yes ® No Is laundry on a separate sewage system? [if yes separate inspection required] ❑. Yes ® No Laundry system inspected? ® Yes ❑ No Seasonal use? ❑ Yes ® No Water meter readings, if available last 2 ears usage d 2005:62,000 g ( y g (gpd)): 2006:41,000 Sump pump? ❑ Yes ® No Last date of occupancy: unknown Date Commercial/Industrial Flow Conditions: Type of Establishment: Design flow(based on 310 CMR 15.203): Gallons per day(gpd) Basis of design flow(seats/persons/sq.ft., etc.): Grease trap present? ❑ Yes ❑ No Industrial waste holding tank present? ❑ Yes ❑ No Non-sanitary waste discharged to the Title 5 system? ❑ Yes ❑ No Water meter readings,,if available: Last date of occupancy/use: Date Other(describe): 63 warren st.-08106 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 7 of 15 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments ,M 63 Warren St. Property Address Bob Carey Owner Owner's Name information is required for Osterville Ma. 02655 4/9/2007 every,page. City/Town State Zip Code Date of Inspection D. System Information (cont.) .y i General Information Pumping Records: Source of information: Was system pumped as part of the inspection? ❑ Yes ® No If yes, volume pumped: gallons How was quantity pumped determined? Reason for pumping: Type of System: ® Septic tank, distribution box, soil absorption system ❑ Single cesspool ❑ Overflow cesspool ❑ Privy ❑ Shared system (yes or no) (if yes, attach previous inspection records, if any) ❑ Innovative/Alternative technology. Attach a copy of the current operation and . maintenance contract(to be obtained from system owner) ❑ Tight tank. Attach a copy of the DEP approval. ❑ Other(describe): Approximate age of all components, date installed (if known)and source of information: 1992 upgrade t Were sewage odors detected when arriving at the site? ❑ Yes ® No 63 warren st.•08/06 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 8 of 15 �., Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments M 63 Warren St. Property Address Bob Carey Owner Owner's Name information is required for Osterville Ma: 02655 4/9/2007 every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Building Sewer(locate on site plan): 1' Depth below grade: feet Material of construction: ❑ cast iron ® 40 PVC ❑ other(explain): � Distance from private water supply well or suction line: 20'+feet Comments (on condition of joints, venting, evidence of leakage, etc.): ` Joints appear tight.No evidence of Ieakage.System vented through the house vents. Septic Tank (locate on site plan): 1' Depth below grade: feet Material of construction: ® concrete ❑ metal ❑fiberglass ❑ polyethylene ❑ other(explain) If tank is metal, list age: years Is age confirmed by a Certificate of Compliance? (attach a copy of certificate) ❑ Yes ❑ No -------------------------------------------------------------------------------------------------------------------------- Dimensions: 8'6"x4'10"x57" Sludge depth: 6" Distance from top of sludge to bottom of outlet tee or baffle 24 Scum thickness 3" ' Distance from top of scum to top of outlet tee or baffle 7" Distance from bottom of scum to bottom of outlet tee or baffle 13" How were dimensions determined? measured 63 warren st.•08/06 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 9 of 15 Commonwealth of Massachusetts w F Title 5 Official Inspection Form Subsurface Sewage Disposal System Form Not for Voluntary Assessments 63 Warren St. Property Address Bob Carey Owner Owner's Name information is required for Osterville Ma. 02655 4/9/2007 every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): Pump tank every 2-3 years.Inlet and outlet tees are in place.Tank appears structurally sound.No evidence of leakage. I 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 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): 63 warren st.•08/06 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 10 of 15 l Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 63 Warren St. Property Address Bob Carey Owner Owner's Name information is required for Osterville Ma. 02655 4/9/2007 every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) i Tight or Holding Tank (cont.) 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 Distribution Box (if present must be opened) (locate on site plan): Depth of liquid level above outlet invert no 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.): Box is Ievel.Box has one Iateral.No evidence of solids carryover.No evidence of leakage into or out of box. Pump Chamber(locate on site plan): Pumps in working order: ❑ Yes ❑ No Alarms in working order: ❑ Yes ❑ No . 63 warren st.•08/06 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 11 of 15 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments M 63 Warren St. Property Address Bob Carey Owner Owner's Name information is required for Osterville Ma. 02655 4/9/2007 every page. City/Town State Zip Code Date of Inspection D. System Information (dont.) J Comments (note condition of pump chamber, condition of pumps and appurtenances, etc.): Soil Absorption System (SAS)(locate on site plan, excavation not required): -- I If SAS not located, explain why: l Type: ❑ leaching pits number: ® leaching chambers number: 3 infiltrators ❑ 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.): Sandy soil.No signs of hydraulic failure.No signs of pond ing.Vegetation appears normal. 63 warren st.•08/06 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 12 of 15 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface,Sewage Disposal System Form - Not for Voluntary Assessments . 63 Warren St. Property Address Bob Carey Owner Owner's Name information is required for Osterville Ma. 02655 4/9/2007 every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 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 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.): 63 warren st.•08/06 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 13 of 15. r Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments a 63 Warren St. Property Address Bob Carey Owner Owner's Name information is required for Osterville Ma. -02655 . 4/9/2007 every page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) ' 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 well's within 100 feet. Locate where public water supply enters the building. \ �\ p 174 / / 63 warren st.-08106 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 14 of 15 a Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments °M 63 Warren St. Property Address Bob Carey Owner Owner's Name information is required for Osterville Ma. 02655 4/9/2007 every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Site Exam: ® k I Check Slope ® Surface water ® Check cellar ❑ Shallow wells Estimated depth to ground water: 20 feet Please indicate all methods used to determine the high groundwater elevation: ❑ Obtained from system design plans on record If checked, date of design plan reviewed: Date I ❑ 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) IAccessed USGS database-explain: You must describe how you established the high ground water elevation: Used:Gaherty& Miller Model 12/16/94 ground water elevations.Osed:USGS observation well data June 1992.Used:Technical bulletin 92-000-01 plate#2 annual ranges of ground water elevations. 63 warren st.•08106 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 115 of 15 7 C,E N I ERVILL.E:.-OS Er;:'.(.I.._L(:::...-•I•IF-1RB I C.INS rl11...L FIRE DEPARTMENT OIL/HAZARDOUS OIL/HAZARDOUS I`'IATE::R:EAi.... ftELE:'ASE:: STREET REI:::'T ADDRESS OF RELEASE: 63 Warren Street --------------------------------- V I I.._L(.iC7E. Ostervi11e 1Ma. 0265 DATE:::, November 14,1989 l":i I�iE_ OE= FtE_L_L_A��L-.� Unknown DATE & TIME OF F.D. Ni::i-i I F!CAT!ON: November 14,1989 1146 PRODUCT EL-EASED n no Unkwn ESTIMATED OUANT I T Y c Unknown CORRECTIVE ACTION IF i=`N;'a Notified proffer aut orities ------------------------------- NOTIFICATION: NATIONAL RESPONSE CENTER E: 3 YES NOUN E: N DATE..... TIME,---.... DEME C 3 YES OM3 NO DATE-_ _-- TIME----- O I E_. SPILL CO-ORD:-,'.NATOP CXM WEE; C. I NO MATE 11/14/89T I ME 16__.___. BOARD OF HEALTH IXX:1 YES i= 7 NO DA-1-E•_11114/89T I ME-_1_146_ --14^ Hi=1F1E'UrR MASTER E: 3 YES E:XM NO DATE-- TIME_____._ _ OTHER AGENCIES: -------------------------------------------------- COi'MENTS: On location of tanks removed at above location. _ T ___ __ --_ _ -_ _ -_ ---_ _----__ --_ _ _ --_ --- -_--- - _ _ _---. ank� l-500ga -found to be _._. leaking_on bottom 6f-tank. __ __ Possibly_started leaking--when tank was being cleaned on outside_Leak_controlled ___ ___ with absorbant pad_Odor of_ product to be unknown at�this_ time.Does not have _ asohne odor,more like paint thinner. -...._...._.. -•--•-•- _.__._._..... LCR Tank Services took readings of soil in sigh.t,which had very_low readings _.___.....-_..._...--.-_..._.__..._.._..__.-_...-__.__.___. -___...._....._.__._...-•-- at this time.Town Board of Health will make any -other -agency notifications_ ._..._..._..__...._--_._.._..._.._._...___.-.._.__..___.__._...._...._.__.._-_---__.___.__ if deemed necessary:__ _- _ __ _- ___-_-_.._...__....."_..._..._.......-___.._....-.--_--.._.._..._..._.--___.. .._-_-_-.______-____._._.._.._.,_._.-_._-__..-_-_--_-_•----___.._.__-__.._-_...--_ _,Tank�l2- 500 g-allon gasoline tank (underground) __Site appears O.K_ at this time_-� --------------- E?EF'CJr "i C Li E:''Y' Lt. ....Gn S. Wilcox .. ---- 8 -- _-.._------ WH1 T E i._OPY --- FIRE:: DEPARTMENT YELLOW DE DE PINK: =rri J FrEiLT �. TOWN OF BARNSTABLE LOCATION SEWAGE # VIb.AGE �,5 �/��/�!< ASSESSOR'S MAP & L'OTI3 6 7 INSTALLER'S NAME & PHONE NO. SEPTIC TANK CAPACITY 00 Q LEACHING FACILITY:(type) ? j '(714e d�-size) NO. OF BEDROOMS 3 PRIVATE WELL OR PUBLIC WATER BUILDER OR OWNER G DATE PERMIT ISSUED: DATE COMPLIANCE ISSUED: VARIANCE GRANTED: Yes No cae-,4 �lb� Sr a I e � • e� �X d �J � No... V— Fas - ..._............... THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH APPTOWN OF BARNSTABLE Sarnst b1 Con OVED eR atonDepartment Appliration for Dbipmml Workt5 Clog o r i h ---a,/-� fined , Application is hereby made for a Permit to C 11n tij tt` ' ) or Repair ( ) an rl dual Sewage A tb�al System at, r/ �.:.. - �� ................... or Lot No. 'r t -._........ � � � ....... ..... .....................•............. .. ................. dres Q Installer Address UType of Building Size Lot............................Sq. feet t-. Dwelling—No. of Bedrooms--------------------------------------------Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ............................ No. of persons-------------------.-------- Showers ( ) — Cafeteria ( ) a' Other fixtures ............................... . . W Design Flow............................................gallons per person per day. Total daily flow............................................gallons. WSeptic Tank—Liquid capacity-...........gallons Length...........:. Width------..-------- Diameter................Depth................. x Disposal Trench-- No. .................... Width.................... Total Length.................... Total leaching area....................sq. ft. 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. I................minutes per inch Depth of Test Pit.---------.--------- Depth to ground water........................ tz, Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water...... ................. -----------------------------------•-------------------------------•---••-------•----------....................---•--...--••--.............--••----....•••-- ODescription of Soil....................................................................................................................................................................... V .............................................. ••--•--•-••------•-------------------•••-..........-•-------•-•--•---••........-•----••-•-------...-•--•--••-•-••--............._.......-•--•---••----•••- ------ ----------------------------------------------------------------- �� 1� U Nature of p Alte tions—Answer when applic ble... . '�' "^ ----------------•.... - C ��' = ---------.....{........... A 'rent: 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 undersigne further agrees not to place the system in operation until a Certificate of Compliance has b of healt''. Signed - Date Application Approved By -- -- ---- -------- ------------ - :. . ...a....... .. ......... -' ` —'----.....---.. .... .... .................... ........................................ Date Application Disapproved for the following reason • ........................................... .................................................................... .. ........ . ................................................. ....-............... PermitNo.� ............. Issued ......................... ..................................... to m_� D.ace 3(,7 THE COMMONWEALTH OF MASSACHUSETTS BOARD(OF HEALTH TOWN OF BARNSTABLE A ►�liration for Di ooul lVurlt C�ogt �rnr one - Application is hereby made for a Permit to Construct y( ) or Repair ( ) an Individual Sewage Disposal System at .r_ ..,�.. ................................ .................. --.•.---- ..........t...................................................... / L F�ation-:\: dtlrss or Lot No. ! ---------------- ••••-✓""" .--•-•-•-•- .............................. Installer � Address Type of Building Size Lot............................Sq. feet Dwelling—No. of Bedrooms---------------------------------------------Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ____________________________ No. of persons............................ Showers ( ) — Cafeteria ( ) dOther fixtures ------------------------------:------------------------•------------------------------- ---------•-------•-••----•-------•••••--_.•••-•••-•-•-•••-••- W Design Flow....................................._------gallons per person per day. Total daily flow............................................gallons. CY Septic Tank—Liquid capacity------------gallons Length---------------- Width---------------- Diameter................ Depth................ ' W Disposal Trench--:\To. .................... Width.................... Total Length.................... Total leaching area.........._.........sq. ft. x 3 Seepage Pit No..................... Diameter.................... Depth below inlet..................... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) ~I Percolation Test Results Performed by------------------------------- ......................................... Date......................................... .4 Test Pit No. I................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.................. :._..- 0+ ------•••-•.......................••----•••-----._..._._.....•-••--••-•--•••••••-••••--•---..................____--••........_--••...••-..._.._________-••••- 0 Description of Soil....................................................................................................................................................................... x W -••••-----•-----------------------•---•---•----------._..._----- - ------..-_...••-------•------------� - •--•----••-• L ............ U Nature of�Repa' or-Alter tions—Answer when applicable._- -- ��/��._- �� — 4U 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 's_ e by-tI''b d of healt ( " Signed n _ _ IApplication Approved By ...... ..._ 1 .:... ......�.......�.. .-..: ................. ........................................gate Application Disapproved for the following reason . ......... ............ .............................................................................. ........................ - ........................................... ..... _........ --------------------- -..--.......---...-........ .-. -...........-. ............-...... Permit No. ... „•e............... Issued ........ ........... .......-- - -............-........�fe--.... D // ate - —_----.- —— —————— --.--------- -- /01 THE COMMONWEALTH OF MASSACHUSE17S BOARD OF HEALTH TOWN OF BARNSTABLE U Qrtifi ate of (famplinure THIS E %Ty1F�Tha-t--�?he Individual Sewage Disposal System constructed ( ) or Repaired (G--)-- bY at ........ v .. � .............r�.. . . .......................... ....... " Installer > - ---...... _.. ................ ..... - ---. ...... . has been ins alled -n accordance with the provisions of TITLE 5 f k e St a a v' "mental Code as described in the application for Disposal Works Construction Permit No. _.......... '�. .. ...... dated ..---__.-....._-........_......__-.._.. THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED S A GUARANTEE THAT THE SYSTEM WILL FUNCTIONFUNCTION SATISFACTORY. DATE........_.._..l..0 .-....)... .:�-�..._.........._................. - Inspector ..._..__.......-.. ...-. (((777 ................................................. THE COMMONWEALTH OF MASSACHUSETTS i BOARD OF HEALTH TOWN OF BARNSTABLE N ••-----•--- FEE .................. 19WIn ialWar Tomitrudion "'trout Permission is hereby granted....... �----------------•-----=�'-_��9'r-7 ....................... to Construct ( ) or Repair an Individij 1 swage Di.5.p9sal System atNo � ��/� j - r �.. ................................................. ' � ✓ f reet as shown on the application for Disposal Works Construc io' Piirmit No _ ___. _U DateU!�?�._ ........................�. - >....�� If DATE_ / J Bar, of Health�— ... r v r --------•-----------•--•------------- FORM 36508 HOBBS&WARREN.INC..PUBLISHERS � d e--= Innt-- - - - - - - ^Itltltlntlr- ' �ele■e■nuul - - -- - --tell■ �■ �■ II■IMII - - - - - - -IMIMIMItCflr lueuslsl■Itl- - - - - - - IInIMII ■. ■■ = Isnul ■■■ ■■■ 11s1M1■ ■■■ �111 ■■■ ■■■ wtl■ _ �neses�. ®nesee. ---- ■, ■� IlNnll ■■■ ■■■ Itnl■fl �� �t ■■■� .. Utltltnitl ■■■ ■■■ InlMll ,f•.uu•�1. a!•`•`•`•�1. _Sz . 11 ■. 1111■1■I 1e■IMeM ,/ \iol■1■IMII I■ellt — IIOMII ■■■ ■■■ 1■1s1■11� z � ■■■ t1■lnsul ■■ ■e■ Inos11 -= l■unI ■■■ ■■■ a anu+' ■■■, a :' mnnm ■■■I■■■ nln■ _� i�,NJ i4 ii:INi �■ uiemii �■ i1Ms�i"a ■■■ I�. �,_ : 11 �� Ise, ■■■ m ITMIIM" irt u— IIMIMII I 1 uv s y Ituultl usull = u■ ut Is1■ ■■ sulsl ■� Isw u■ �■■ u■ __ IIt1111tnet111= Itltnl■1n■1nu■1■Idlnnl► `.r.. a Yuuw■1u■1dMl■1■ B IIMII ulna Inn --- I■esllslslnlll= Inlntnitltltltl■ItItIn11 'ate ;. ' - nitl 1 1■IMI 1 1 = Itl'IIMI •-. IMIII_■_No ,' -� ■ ■ mmnnsl - - - - INININIone■nitltnitnll ; _ •'` , = INN 11M Ill 11■ uswennnu=-- -_-.- — --_ �..��...�:� _v.,,-,.�:�� tl non■ultetnn _ I■It�ItetIt1111 - _ _ ��snnumm�nnnsn� ciao:.. __ ..e R. ••,' tl■ItItItltltltltltltltl■Ie1Ml Iltl■Itltl■IIItItItlMltlsltltltll I�tt1Y1M1► �__ IINI■;----------- ................. IMI■IMININI■IMIMltltl■ISIMI■Itlt IMIMI■It■IMltltl■1■1■ItIMIMItI II■1■IMI■IMI! IIMI■1MIM ■IM11 ----------'MBM11 IItIt1■1�1■1■1■IMIMIC'-•-•-•-fit =,�I:�:ii:t � �,-_- ItItItIt1I inlMl IMI■11 lees IMltl Ilntl it Itl■1■It=`!`!`•-`•lltnnl- ;le' Itlr�' �It11 _ / J 11■IMIMIMI ■■■ ■■■ Ie1M11 II■nl ■■■■■■ ■■■; IIIMII 111111 ■■ ■■ Ise S In 11■nlMllliesnu,!�° 1� 1,11t w •r_- Itltltltll ■■■ ■■■ null Itnll Inet I■1■I ■■ IINL"JI 11' I■Itltl■I �� 0� � In tel loll]—ii ii:i:imilli ■®■ ®■® ®■®'IININ :i:i ■ ■■ 1 1ri■10101 „ �, Immyyd° Is1 loll ■■■■ IA Is1II/I■I ■■■■■■ ■■■ Ien1I II■11 I11N11 I■ Iltnnn �� ��I'lloinini IIi101011 0�. °0 InMllll InIM IMIMIMINMnInMI■en 11' ttnlMlMl■uu•.dlMnnl IM0111 nn, ■■■ ■■■ ■■■�nnllIS IMI■1M setnnnitll In Innlolnnl■IMn1MneM1e I:1' IIm II■ I■■■■ 11 Ise • Itltltltl■1■InnMIMIMIneISItI ItINIL_____________________IIMeNnitl:ItlsIMnIMIN1 11 Itl■ItltnitltltltlslMW loll —IMII■1■1■1■1■1■1■1■1■I■Ioll, I■1■.■1■1■1■1■.■1■1■1■1■1■I■1 I1�■i�li11t111NISIMls1■IIIIM111� �=� i A!=�_�+ails. • in dltl►'�'T-�Itltl� i 1■1■1_! .,./ls' ,1■D-- =_,Ill\ \le._ milli MIN /� El 11 ■■ .. ■■ 'n III \ 71■Ij�\I110 MPH.DVOSURE'Er NIND ZONE: IL,/tI IM1011 11 .. ■I. .. II I1011► M{ III ■1. 11�/' dl\„II 11 ■■ iel ■■ III t.,,/tl► ►1�j1 IIMI►. IOP dl■1►..IMI- -Ill.-is1.1► 7nI ■nlel. �1■Itlt Ins d1o1MININII� ■InIM1o1M1► 711 ltlnl■1. 1■1■II IMF .tl■ItIMIMIMIIM111M1■Ill'Ill■1■1■1■IIIMIMItII■IIIINItI■Inl■1► EMI ■1■Io1M1► .t1M • �� ,tItIM/tIMIs1111■11■Islslltltltltlnllsl■1IIIMIMIMIMIsI■1■1► .1 IItISIMI■1�. '�11 ■INIMenininIMllsell■In1t11M/MINININIIINItet11t1111M1olo1MIMIMI► ■es1s1t1t1s.. . tes1t1t1e1e1t1111111■1 mini IMI■1■1■lslltetlelltlllsllesesetlel. Ilsltl■IMIMIMI. ■ItltltnitnnllM111MIMn11MIMININlo11IMIMIt11M1111■IMlntnetl■1� mini loll o It1■1■1■1seM1` " " '•-'tltl■l......- -•-•-.-•- el■1■il �IIn1N1nlMleenni n Itlt��nnlNltnl■1=1ns�-■IMnnIMIMI-11iiil-innnitltnlii��1a Innnnlnsnnnl. 1i1ss�1=!■i-Il-i-1t--1t--1s ..... MINI, ■[■nnnen ------ tltll i:i:i:i:i:ui:i:ui:ii IMIM,�' ■■■ ■■■ II Itltr MINI ■■■■■■ I111nM utilm■Onnllnm — II■IIII 11 _ - 1 IIMII !I uM1 i It ltnl° 1 1 -utl u� II nM1 IMnunuu1s1N1snn - I■n- I' ■■■■■■ 11 IIMII 11 ■■■■■■ I- loin In1■Is/■IMItnINnitl - �:�: ■■■ ■■■ ; LLI ,1 III III 1 ;; ■■■■■■ 1:�: IINI ' ■■■■■■ jj'' SIMI I III II II I%:1 11 ■■■ ■■■ II Inl Itnl■IMI■I■nnnlell 11 • � , Isis el I loin IIo1MItISIMlelnl■nitl 11 ling �..............�� leNllj IIMII a..............�1 In1 Intlnl■IMItISIMInI■11 ln■ , INn hate C:-.■isiol rl - -■II�P�11■Itltltlnnn■ loin II■ISIMI■nnl■nlNl■I line • 1101 MI■INItWMIMI■1�-•_ Ie1N1■nl■INInnI C lin/ INIMINIMI■1slntnlMll Isis ■ . Iu■■Iltltlsltl■INlt/Ell tttt\��%�Igltltltltlntu■loll nn��nnn��n■eset� • A NEW �1 ;� Im1elmisleel\ ..e.uu um.muuu um...uuu .............. �ImMlminl■ �mnl� Isl! �ml - fnlele�. �Ist► =— IIeIIall IL1■ Ilnl III � i • .Mimemunl► rllelel®. Is1► 11 \ ■1■ ■■■ Il loll ■■■ ■■■ loll ■■■■■■ Ie1minminemi\. � uulmim►. u► un ■■■ linlm nml IIIleulmuuul,— S ■■■■■■-inlslolllmislee■►_ ... I� enllip \ Ilel■ ■■■ Islsll Ioil IMIle'-'-'-'---'-'�lml. IIP ■lml /mlmllInn► \null InIS ■■■ ■■S Inl ■■■ ■■■ Ilell Imlll►, ■■■l — ■■■ Islell ■■■ ■■■ loll ■■N ■■■ IMII llelsla. ■■■ loll mlmi�_______ Ills lnsuun■esl► olseslslelolslolY/u/■/■uul■1■loliu/■/■/n■u/■�sl =lnlnnelileel elelmlmll ■■■ ■■■ IslmulMl, lilt■■■Illsn, �mlmnlslmnnnlslmlmlYlmlml®ls mielllmulmlelnlolmlelslelmimlmnlmlmlmisnnnnll =IIImislmlllsnl aimeu l ■■■ ■■■ nminlnul` ii ■■■;l = �euuleleleulnemelmuleleu ,■nnlnelnmulmwmemimlmimlmimwmemimlMlmmsl =lllnuunlen .: — .ieunuul lnlmimlml\. = II\/■l■l■lmiev ;mioumeeenleunnlsnmeulm::, �Islslelmlml■ ■■■ ■■■ IlmlMlmislslm�. = �Iminl.elllelelslelelslsleeeleeer Illnlnimlllslel _ .mininlmlmisloll ImislslmlMlllel►= IMimlelslMlell Islslnlelmlelmlelelmlilnlelnlmll = .Imlmlmlmlmnlmlmlmlmlmimulelslelminelelieml►.' linin I Elul ill misimi 11 Mimi mini Mimi I IlslelmislslelelelslmlMlnlmlmlmlMlmlelelslelelsl■ ���I�ISIIII�Is� IlnlnlmlmlmlMlelmlllelMlllelelslelelelelm IlmlmlmislelslMlmislilslmislmlmislmlmlMlnlelmislmislel IYulMlelmulelmiminleleleleleleleleleuleuleul .............. loll doll loll lei■If_---_-_-_-_-_-lelsulmuleu(----- "----hill lemlmimlewmimnlmmmimimenauuuwmnnln■ IImImInMImIsiol !iii polo iiil ilieei ®®® ®®® iiiieil°siiiii 0®® ®®® liiiii III Ill Id Ilnlm ■■■ loll IN son lei ■Iel so Islnl IMII �I OEM mill ■■ NOON ■■ ■■ ■■®® ■■ Ilel1 ■■■ lul Ile IIMuI lulell�'lnlsll lmiol ul ■■ NOON ■■ limn ■■ NOON ■■ us ■■■ oleo uelei Imo Mini Ill ■nl Ie11 1eu ®®® ®.® ■Imli ®®® ®®® loll Imllli ®®® ®®® Imlolninlnlslol ®®®®®® cell lei ■■ NO■■ ■■ Merl ■■ ONES ■■ of Hil l ■■■ loll Eli „® ®®® luli ®®® HE In Inlol ®®® ®®® Iooleunnnll ®®® ®®® lnol II/ llmll II® Ilna.......,1eI lmll Null loll Islell Imnlnmlmlmlml Inle • lei ■® ®®®■ ■■ eul ®® ■■■■ I■ er Iminunueminll iiu ,0® oil �iiii son all NNE iisiolsioll III III Iiuliiuolliii III men isi Ili■.■.....■.■.■...■.■Jlmia■.■.■.■.■-■-■-■-■-■J1e IislslsulmWmlmllAmlile1m1s1■u1■1■Ina Ilelnb■l■u/■mo■//leulmlmimiml\/■l■1■ln■l■uenlel Imlmlelml■IelslelelmlelmlelmlllMlslmlmlMlmlmlml0l Ielelslslsleeelsl oil lseslelslelelslelslel.11 Islelelelslelelelelelseolelelelolelelelslslslelslelsll ■ ■ uiwelsleloleesenilsuumnslslsulslsnu _ IBe1m1e1mu1mulmimlmimi 1mie1e1mlmuuu IlmimimlmulmislMlmislmtllsulelsulmlmlmislslmisulml ■alai■uuuuuloln■uuunlsunueeulel-- --- ImlllminenlnnnnulMu muulseolnmemil Imnlslnmuunnlsnnlmimunnlnnnunnulminl IISISISISIMIelelmlelml■lelmlelmlelmislmlelnlmlel■ Isis'-'-'-" loll II91f-------------lAmlelg......--•---lei■ Ilelslml■I01■1■Is1■ISlslslslm/simislsim/s/sls/sls/s11 lelmiel-•••••-lilelel-•-•-•-'elelYl�•-•-• •mielel' Ilell olml lolsl Inel1 Ilell lea — II mmlmu wwwi luemu uunl ■�= enmlo loon ■■■ limo Ilan ■■■ ■■■ minim loin feel O II Inlmllll■■■I1e0111 111 I olninii ■■■Islolmi' 11ol1 ■■■ Mimi ImiII ■■■ ■■® mull I1e11 Iel1 ■.■• ■.■® II ■■■ ®j■■ lnloll ■■■ llsloll lsulel ■■■ Isloli Ills lien 11e11 BIMINI loin IIMI ■■■ ■■■ 11 ■■■ WE■ maul ■■■ ulsul III misn ■■■ muloA imli ■■■ ml ■w ■■■ ■■■ ulmil umm Imn — — — — — — n — — — — — — no1oll_ _ _ slogeu 111 ',enoeoi-------loloio. Imlr ■■■ lull lieu ■■■ ■■■ mulIN uI usl u loell mini Imlel mull llmil loll 11 ® ll loin.......�n11 Ilsl\uuu.......slelel loin IIeI 11 • li linlMlmimuulnl Imueeleuwmuuuuu limp lea 11 lmimimi® umuweuwmmulew loin 1101 w milli e � a • e _.. . _ . .. fr I. _. , . „' ....: .. .. .,i,:. .,,.., ..:.., , r.. .•., .. 4.. 1 ,..., ., ., ,, ...,.:, , ::..,.. .i: a: .:�.r. ,.. :. ., .. .u... ♦ I,.. , v .�, .r .. .. t. ,, .. ,. a A' ' .. , .. .. .. -:i, 1. .. } .. .:' ",.. .. „ .. .. ,.. .:. 1, _ .. , ra. ,. .,. , .. v t• • ,. .:: .. , ,::. .. :,.. ...a. .. ..- .... .. - . �.. .. :, .. .,:. .- -. - , , ..:n :e , �-. .: , .. .. - :: ,,..: His 1,: x, , .. .-:,.. �. ::. .- .: , �. J ..'1,, .. -. ,.':.. .: '�� .. , , .. :.: ,'. .. .. , r .. .. . .'. WA x .. ,. .. , e .. .: ..... , .. . :. , - \ t sn"1111"y',.:. —.1 .I.. T x , .: .. .. .. .. .. 'e. T - ". , .. .. .. a .. : �. :.. ..-. ... .' _ .... : , ,. a .. „ .. _ 11 N. . . . .. _ .. ,..: : > ., I. I. . _<_. : w _. . . .... .. ... .. .... ... ., .. ..l .... o .. k :.. A : .. ... . - ... N, W F :. ...e.. _ -. ... <. .,. .. Q. _ _. , :. .. .,- .. :. :. i. 1Bd':' . .,. . .-. 72-0172" .. ..; .... e _ '. :". .. .... .. ,'.:.. .: .. .. .. .. ..:T. : .. fr -...'.. , , ,.. a , .. t ',. i ,.... .. ... s :. .... .. : .. 1w194Y@ , .. -., :. ,. ..:, .. ,, ..,. M ,. . , ,. nmeeuunalrovouFr , M , b ., t... �: ht :. E)OSTPg6NEW OB.ff11310Nfl- .• - , .. . _ __ _, ,...„. ,,:.._,,, F708fIdOflMEwMA1F11410N8 =:.. -';. s ilolE raw y ` ,: :. ALL Exlvlan „ .. _ z7ue wwsTo 3E?J . rEwwaus� , ., _: ti . 9 - o a ��w�: i s 111111111111 !71 11 �.,. a.,-,...¢s .,, -:._,.„ .. GAB FP: :. , - - - a. .... .. .. a Bd .. s n .. .. .. .. 4. - ..,. .: .Bd : .. ?:, ..: sit Y .. ,. "F �js 5': a ,. ,: il. Y ;, :. m DINING tv�l .<. Y�o .. § i , ., x CMNG ROOM _ _. :.e ..... y -, _,. .. - .. .,.. -'< ,. . - _. a-..., BQ OW ;: WING ROOM- , P .,g ,,. gn :c :,.. .. r-..:... ,. .. :. y. .. , .:. :,.:..i , ,f,.1..'., :, �' % :. , I to ,. ,. c. ,.i , .:..:..,., s:: Y:. Am!Mys till ^�.! 4 ,: - .. .,. .. ,»,... ., ... ,......, ...,.. B-1 „. , ... , .. .. ... ....,....- ..c- .,..',- �jn .. .. ... : ..... .-... ..- .. - 3 III -,. : :. .. r .. : .. .. .. - -... - :.-. ... -- _.. .,-.. § !1 .. BEAHNO WALL .. ....,. .. .. ..... .. .. r .. .. .... __... b m •...: � .,.,.... � din - Y - _.,. ... . _ BdTRY: _,' L. ... .. ,.�, r,. , ,. :, .. ,. ....,. 'm .. ...... -,..,,.. : .. a 1 .. .: e , S a w � _. �.. , _ . Avowv? , r r _ — — _ - � y.o _ ARE A` , snnl . sllowel, .. _. -" : . . . q ., .. .. , � ,, ,z f "� ,- ,. .; .. .-- .. ;�, aI .. _ ... .. ._, ... _ : ,.v Tvg J ,� _.'. .. I. .... , _24 -® r. za 2 � a ... __ " I - — ,- , � -', a._ �y-. .: `- ,_�:, � 1. I o sn1H`. :, : IQTCHEN cc noAove _. _. ;:' .§ f p R Y .. Bc1�Hr..,., Doer waLL LIVING.ROOM ..-: x::....� .. r .:... "... - r.., AL2... _,.a...,...r., ,, _.a. .: .: 2'or ..�. <. .:, Y x..,. •y e' :.. .. .,::? ... .. .. ... .: i., ?a. ,. .,. ., ,. -.: ,. MASTER SUITE': _ ,: 1. Z , §. I I u�t r. .. .-. :.., .. ,. - .:j e ' ;, : s ... ... -.-... .:,. , ..: .. O. i O .. .... .. ., .e ..,.. - , ''II s :.. Y ,� 1. ,: .::.:,. ,: -: ..:,... tov :a . .., ." ...- .. ar ... t. _. , .. .:. A. f °� .. L. , Es__ 2-0 asses. .. .. a. .. 11 -:I 1:': n.. .. , ....... _. EXISTWOflP�Wq .. .. ......:.17i8. -.-. > :- '�Lr �:s: ... ... _. ... .-. .. b .. n r iG .. .. _ _ .. .,. LB'ISIONS 'N - .. ,: - .: x - O .. -. -.. _ .. .:. .... ..-.. _ Y -. �_ . . .._ - ._ .. ., - ., .. _, ., - NOTE ALL I�l4 rx>e+lon NOTE E70STINO IQfCHEld:TO BE ., :�:.,. .... _ ._;.;� --_ ., .. ,. TN18SS3 WN1Sro BEx%c- .REAWVED. .. r - , .:. r„: -: -_.�.. �:... ,. Bl30RE C.O.ISSUED Z 4, .. . x .. .. .: .. _ ,_. . K }s W ., > , .. , :.t. �. r v. -: ,. .. :-,. .. k ,- ..:,..... ...,..,� .. .,.. .,. t n.. v .s. -¢, .: , 4 .+::... .: :. ':::. .. .�:::`e:.. l:.:, m ... ... .: .... ... :. ::. .. ': .. e : ., C § ,.:--,.... ., WA, DINING ROOM c.,:.. : r:. ` .r. .k,.�k IQTCHEN . . , .. 3t 'Td .-...' RO: .. 4d:. BB:: .. .. '' - . . .. -:. , 9-11 &712' IDI . xa e* * Z _. _ , O W . . ��.. - . ... ., .. . . .. .. - - r —� - ... : . - .. : -:. r :: : ., .... _ :: .:: .. 1� �,r ;_ 1 . , ,_. - Y - ...: .. ..., _ - ,j .,.. .. .,. :FIRST FLOOR PROPOSED - Q � cn , 0 0. Z 'J . : v. . ,. ,- , ,..2,Tas so:Fr,:: W IJ.l::..J _. . . . , _ ., .. . F .: ..- .. .- ... .. .' __. .. i. .. .. . - .. .. _ .. - .. LL a O �'.r ' .' '. :. _.: .. - . �. .. :. Z _ _ - .. :. . I.E - 1 .a ,�/ O . _ .. .' , _ .i ,.:: ,. .. <' .-. r - .. _ _ .. '' "' ... -. . .. . , ... .. :, . �- .. .. ,. . I . .. - , , - ,, _ • .. .. - - .. 1. .r.. .. .. 74 .. _ .. , : - .-: .. .. y. .. , : .. .. . .. ,. ..e .. .. .. 1 .. :,. i. ... .. . .: .. ... .. .r a ., . 1 A , y „ $ ., _ __ , , z , �' ... .. .,, a. .s .. ,. ,_. ... ., , .. ., ..... -. , . Y , to - .. .. a i .. w , Co _ < s d w N 5 8d @d 12d. Td �qml t @ : ry G .7YV20C2Q' ::- 7W28C22". 7W2&910'. .. N. ... ., -,... .. .., .< .:.. W_ ..._ AusroeE2xe .. .. ..:�..,. .: ..-. ...,. .. .., .. �.. .. .".TT WALL M.. . . : r-.:......:.. . ..... ,.: ..a-. 4 uan<:eu¢neYro of=rYu'r S m _ E703Il/q aREwowa3tslats ✓ aooM BED .. ..: .. ___... MASTER SUITE. @CIA.M... ._: .. .. .....,. , .: _. ... '.,.. I. .. :. .. .�.. +' @CIA: .. ,. � • : .... , I , QQ ,....� ... a .. -•v. ,. _.. .. .. :. .. ..... .. .'-:� - .. .... � .!`_ 2d, y f .O Z. , ,. .. - HALLWAY w. . m x r trr a+8 2t @8 {d '. . BEDROOM 1•,�p Q $I1T1NG, W n_ .. -. .._ . .. - AREA 0 4 0 V) ^L s- aani Dcl , VJ :. .. I , �,• al. el.. -R I - ,..., FfBATH._ ... � • @CIA:M. ,BEDROOM. _ • im ON w. O - . - .... .� .. - _ ... ... .. ...... - .-:. .. - 7 _...:-,:.: ..-�.. @Gilt M. .::. -'_ �- :.: � , is < y� v ___ :. _.. w 4 :... _ ..-. .. : I -:..'.- • I REMOVE :. '.. r ... r.:. r.... WALL TT .M .... .. .: ........ . .. ... .. : .; ::. T-T WALLEAsnNG r. .- BEDROOM Z. W 3�3 .. ::-....... .. .. r a:.' W d sd Att t? ,,,�0• .. .. .. .. . t2' LU NOTE.elnlnER TovEiaFr ' .-: ....:, .:. ., ,. ... �- :•:,'- .. .. ••EXI6RNG KNEW tM :Q - y, Z A21� A27 Q W r: .. , , . .. :. .:. .:. .....:.,SECOND FLOOR PROPOSED. ... .... � z , , Q , . < 0 w Ul I� o , , S .FT.. W UJ ; O Q' - `O .F- : , f �I .: a . v 4 , , _ , ' • , '.r' .. <a N. c . N C9 p d' ., ... ._ P t _., No,Eauane+rovmo-v 40.8 Ire io'-8 Ire ...... .::..E7@SiINO 8 NEW DIMENSIONS ,:. ,. .., @/@' QYPSUM .' .,... ..,. ,....� ,. ¢.. COMMON TO wwo AREA oasmrG a NEW a►1ENswNs 00 71 4 _ BUSD9i TO VJF.NM FOUNDATION -Is RUMwnN oasrwo Fanm♦noN WALL. i, 'BASEMENT ! W _ 10 :. .,.. ..'. ..... - :.. r .. ..... -. -"� '. :: .•. � ., ..-" -:NEW D0011 y i i , 8fEP ON :.:.� ;EXISTING BASEM1/0 ENIi :. iiiiisi�isaaiiiiiiieiilesiiiiiiiei @iiiiiiiiiBiiiB i i aieeesiiiii aidie isii�iieiaaesiiisiip� � r , ._ r . '. ._,. 2-0AR GARAGE :. r ---• ' . �" , - . y •a. / i cl 1 r : EL DOOR I •.): .:.. :.,. ,:.:/ ASEMS 1 '+w' V! r .. .. , .... .... .. ... '.'. -. 1 ... - , .. a :- ... :-.+.. , 4, UPI STEP DN 1 ,. .: .. ... ... ..' i ..:. .. .. , .. _. .., 1. - .. ... :., ... ...SIALDEAroVEPffY ' r " Z 1s'a re. - LU EXISTI ,. Mo @Imnal ro vmrFr .. . - .. ,. ..• .;',. ,, NG BASEMENT ---- .. E%ISIMG SNEW DIMENSIONS, '�'..:.. O LU , _ U w. W F 0 PROPOSED BASEMENTw W J a _ , - w , , - , , 4 F , _ A5 , , , : i. r. 1 S{ , f 5 .. - ., , t. T ,. ,. ., .,.. i.: ,. .. v, ., : :. - - -,:. .. .. ... •.. a :.. „dd :r . In 4087 "•.'. 5; 190 p ,. ... NOTE:DROP NEW TOP OF FOUNDATION 4 5/6•' A __�.___,,: .� tas vr .".. ea• sa y .....TO'ACCOMMODATE NEW 11718'F.J.TO .:: . .,.. .. .. 1 8' ..I MATCHWRH.EXI5T.2XBF F.J. o• .•a7ls __---- -- --'- VERIFY. FlELD 'aCONCREfE IN - BELOW GRADE ---- ' �.. . ., ::..::..,'_ •.. - ... _.;.'...._..;..... �,. .. - . :' ..�. 4x �_—_—_ �Mco_N—tc_a_—nc�.PO�OTR_q__W__w'_—, _—_—.,. _• i-�'�_- ___ _______ �. I I' NDrero MATCH NEW fIDOR,gIST ELEVATION W/E1�IIN0 ' REIE WALL 09U'8'CONC -- .: .: -.. •. ': , .____ —_——.———— ——____.————___. '.I 1 :`•. A NEW OaAE1J510P45'�' 1 S-T RO.: 9-TR - t ."- ,¢y ':" ..'. BHDWGRADEWItD9(ta' EImm -.. -..�. ... .,.,:'., '._ �. ...... -. t 1 t ... ¢ H-•'.,: RDOR.IDBf .CO .CONC.FOOTa16- - 1 NE EIEVATgN M1 ...,: `..,. .. ... ... ...;, FOUNDA DROP ATd1MGE DO ..' PDUNDATION T m'. '., -, t 1 .. - ..Y. .. T OR DROP GMAOE DOOR.. -. ; . - ... .. :.:.. ..-. .: , :...- .,.„ -'.NOTE MILDER Ex V,LF.NEW FDUlIDA710N WALL roeE vERogosrelrmER, ,:TGBEIaEinvEw ersunnEn .'. s. _ .,, -�'`i': isausewrrN �I .. q�, ,� EwsnxoFourmmwNwALL i --------------- �1 - > BASEMENT.' CCONCREIE SLAB .� .. .� 4 CONCi1E1E SLAB ... .. '. qq PSI 4B DA UW PSI 0 29 DAYS .. '•..: ''� .,3/4'AGGREGATE '. ..' -..,.. ,' -. ... .:'. .. ... .. .. I ._ .3/4 AGGREGATE .- � •, - - 1 e• wm"wo WALL: yWI �- ... .. .... e...: .... sa 2P1(BELOW t " FOOTING :1 :REPLACE EXI6T.WWDDW ... :: .....,.. .... .. ... .: .... ., I rF� - .. .. :.. ., '.... ..:...... ,. ... - s.. ..-,... .,. .. -. .. :' --... _.;.,. .. .: ..TALLY COLUW'1 WATASE {EXISTING BASEMENT . ... � ... .. ., :.'.:.. .. _.�.- ..:. .. - .. .,1'-.,. ... -. _ .. : .. ..... .-.WI211R7(t'CONC.PAO.'.. ... .. .. , ':.. 1 .....,.�. .... 3X91tl4 .PAD :--- ,. -' / ... :_' I '.1� 1 v• .. .. ., v,.. ,.. .. ... 1 .I .. ., i I. l N : .. :' '-.: .. -.::.. .:. .:. ..,.. • 9EA•16'XCXt/4 SQUARE ...... 1 �.' '.. ... �--, - _--_- i:'..�.. 1 1 t1AW :.I -- � ,....-.. L'IFII COUJMN 1. t --�-•'----• „ .1. :: •___ ___•. P067 UP. :.,NEW POSE LIP I .. , .. 3 cAP:acaxtre a.Bti4• astir RYPI 1•�W BEAM ':roNEWBEAM (L I I .g �y .:. : ..:� .- _. .. .. .. ... .. -,. • .'. .: ..:... .. ._ .. .. .. .:- .. ':'t'I CUi NEWACCE56,' 9 Q DODR .. .... ,.� :. .. .. :_....- ... .. .. .,..-� _:. 4 CONWEIE SLAB. I 1 1 „ w STEP'. ._ :.. .... .... .... ..: ,. ._ ..- ... .. .. :. , �.: .�. ., .:. -' 3/V AGGREGATE z CONT.coNc.RoomrG I , _.. ---- i ... '.. ,.. .. .. ... ... :.. ......: ..:.... .. .. :.� .. 1 _: • 87IT-10'CONCliEIE O - • •I 1 �I • •1 1 � .I. 207C lM _.�. -..., ._.: ', ., ,... ._ ...:.._... .•. ,. .. ..... «ram-�--I 89O5J¢1.00Y•^'''�--_ � ' ,:. -'�CONT. �I ...... ....-.t. ... .....:. _ t CONC.IOOIING 1 - - '.. ... :. - ... : .,.-. ... ......, .. ... ,. .. .. : :. � :.. .WAU:W�llPXta'. .. -- --• • :1:' ..I. - I r.i. I ).� •) -.. - ... ..�... � : :... .. .. :.. LNTg1 NEW FiDOR.IOIST. ELEVATION WI NO FXISIIIq :':: Z .. ,„ .:_ ..,o �.'..I' 1. -u1 ,' "l TE VERIFY �: .. .-:` , .'.- u .,..'.:. ':•: :1 aIAInEn ro VERIFY EXISTING -, .... .- ., .. ..t..... ., .. ... .- .. .. :...... -_.. BNEW DIMENSIONS__ - O _.. .NOTE DROP NEW TOP OF FOUNDATION 8'- EXISTING BASEMENTLu ACCOMMO DATE TEN . ... .. :.. ,. ,..... .... .., :. ,. .,, ODA EW.1.1 7l8•FJ:TO ..... . '.<`., .::-... . .:: ..::... 3.;t MATCH WITH EXIST.2X8.F.J.ELEVATION:... ....::. .. ........ .: ..... 0. VERIFY IN FIELD... �; ..' �,- , ,.. .:.:..,. •t-.. : Ib O W -- — - - - - w FOUNDATEON PLAN ,',;. . � ,;;, Q w c~nLu '' � 0 LLJ - Lu LW ;w Z , iLcnc�oO , a , L - A 6 f� , e-. w r , s k 'z - -, 1 17 8'TJI FLOOR JOISTS 16'O.C:''. r. - - , r . . ;... ...., . . ,. _. , lalnse STRAP e+rrxsa MIAnA1 NEW FlOORJOISf ELEVATION W/E%181WO .. -:..,: ,.. .. .. : .. : .. ELEVATION - RD011JOISF : t S ,m S x 1 A' , t/ , - 11 t w Q. 1 H. F- .. r , �a F i• axs doer ua 'x `.aim roar --- -- U . 'roNEWBFAM':: , m 1 �—TroNEweEr� O , . ..:.. ... ..:;. .- ,.. 1 MwTCII NEw FL0011JOER - '.-. ELEVAnoNwiEwslvxl O . .. ,.. FLOON JOIST EItYAiION' j: TUT in ,n 1 1 L .. , .,v .. .. .. , .. .. .. .-: ......... - � .:.. ..- .-.. .-- ... .. ,. _. .... -.. � , _. .: .MAroN NEW FLOOR JOWf-.:.:- :.- >.. 1 ►IAlIG1 NEW FL0011 JOIST'' ElEVAnONw/E�OsnNO - .. c.. O - .. .. .. ..,. .. ,:: ... - , .. :,:.... -... ,:.�.. .... ,.:..r„.. .. .. ... ....._. ., .. ..,� .. FLOOR JOIST ELEVA710N•,a.. ..a 1 .... .. .. .. .., ..,, ..,. _ ,..... .... ... .. ... ... � ,. ,. ,,.. .. ., :. .. .. Z.FLOOR JOIST ELEVAnON • .. .. .. 1 .. F::.:, m 11 7/S Till BOOR JOISTS 16'O.C. - ,. ,:... .. .: ..:.. .. . . ,•. Q Q, • - -AL.. - - - -- z = c> cr a N r ,- T G PLAN S FLOOR FRAMING r , FIR a. P G r:. v-. v is , Q �D - •,., :. .-.ram- ,,. ,..•: � J _. '-. .. .. .... .- .. �.. ,. ..:. ,. >. ..— ... . .. .. a. - - at z O cc 1 , r' I a 1 1 Ip 11Cl O 1 m W S � 1. 1 W �.:111 J - '^ W> _ - .. Z '^ 1 fA co O - z 1 . , .. .. . • SECOND FLOOR FRAMING PLAN , . .:- �, - =� .-: -:. ,.• : : _ - A7- : , d 0. od 2X8 RAFTERS (0)1(rnc /,CE1UNGJ01ST&@'j(r 0. 2XI 0 RAFTERS A —ILL :7 o z;3N r co 0, i < 3 4: ZQ.m j 31 1 A V L L r 1 0. w z 0 f:1 1 14 2XI2 70GL�, Ld o (L L F[Daii /I CDX ROOF SHEATHM .4c 2 hEW SHED DORAM VJAI w 0- 7' 7 UMTIES 2X10 RAFMIS O.r_ Ole. FIM HUMUGAM, rnES W_5A :2](10 CGUNG JOIST RAFTERS C&16-O.C. HLNIRr S-MAPPING NOM PROI ER VENT MR -------- MFIREFIS 0OFFRAMING: PLAN MASTER BEDRqqM L t w TOT FLJOORJOIST5 FLM14 W 1421 EWMY:,' P.R.. LMNG ROOM LU Uj Tj, ui 3 FWOR SHEATHNG UJ Uj 11 7/W TJ FWOR JOISTS U) 24)S P.T. p1m jSL LU (L SILL KATIES E BASEMENT 2-CAR GARAG cD CONCFEM SLAB 7_, _7, S ECTIO N'A' i x b�d � Existing Utility Pole ® Existing Storm Drain , CB< Existing Hydrant EAfD; �����/✓ 36 __ Existing Contour a '�N }fir{F / 77 R :I 11 Existing Water Sere: + r,. W u 11 1 .. .. .. 11 CB ,f f 4 �1 1 _ u y `°' ASSESSORS DATA: MAP 139 PARCEL 76 18 y LOCUS ADDRESS: bp #63 WARREN STREET, OSTER 117LLE . �l Z0NING DISTRICT RF-1' cs. i �l OVERLAY DISTRICT Alm '& Rl'OD � FNo ��. �ii 1, I - BUILDING SETDACKS." - '` FRONT - 30' SIDE do REAR - 15' If It 1301 13- ' 19 ii F.�MA DATA: Z0NE C & 8 10; exisnwc ii PANEL 250001 0016 D � if xisnNc aui�o�n�c 11.0 '� MAP RE€l.• JULY 2, 1992 04JcLLING If ° ,I Asa II 11 11 .f i 11 1 . �l 56 . I Ir J J. i u a n � - � u I 0, T PEA •;� O' 'l L EA, (V. !' 11 j Prepared Fba:~ ,0 11 18 pi � JP: P W: u 11 o ;� J 0st:ea' v lle , Ma-ssacb use t is If rn \ w - 1 a:} e Scale:, 1? 30 Date: July' 30;, 2007 1 / ,,, I FrepareQ'' By-, �6�. �� HB; s;56*w; ;Ca; ;; �� Stepbea. J. Doyle and Assn aa�tes� 14 io I 1 moo, I 42' Qwterbury Lane;, X Falrnout1& MAI. 02536' 10 12 If If 16 T.e1ephone:• 508/5406 2534.' M } I I lw,`/4M.o%o�s ! N`O:. D'A',TE* i DESCR[P'T6©N.1 � ��� BrY" I, + FINISH GRADE OVER D-BOX= 1 1 .5'± 4"SCHEDULE 40 PVC MIN. SLOPE 1 % FINISHED GRADE OVER BIODIFFUSERS = 1 1 .0' - 11 .5' GENERAL NOTES PROVIDE EXTENSION RISER SLOPE @ 2% MIN. REMOVABLE WATER-TIGHT COVER OVER WITH COVER OVER INLET& INSPECTION PORT WITH BFE= OUTLET TO WITHIN 6"OF F.G. FINISH GRADE OVER TANK EL.= RISER TO WITHIN 6"OF FINISHED GRADE ACCESS BOX TO WITHIN 3"OF 1• UNLESS OTHERWISE NOTED,ALL SYSTEM COMPONENTS AND CONSTRUCTION 11 .7'± FINISHED GRADE 11 .6± METHODS SHALL BE IN ACCORDANCE WITH TITLE 5 OF THE STATE ENVIRONMENTAL @ FOUNDATION = 1 1 .6 ± 5" DIA. OUTLET(S) F.G. (ONE PER OUTER ROW) CODE AND ANY APPLICABLE LOCAL RULES. 20"MIN.ACCESS 9" MIN. } 2. ANY CHANGES TO THIS PLAN MUST BE APPROVED BY THE BOARD OF HEALTH AND THE COVER(3 TYP.) 36"MAX. I 1 DESIGN ENGINEER. PROP.4" PVC I PROP. 4"PVC 36"MAX. 36"MAX. N. SEWER PIPE TOP OF SAS/B.O. = 8.50' 3. 4"SCHEDULE 40 PVC PIPE WITH WATER TIGHT JOINTS SHALL BE USED IN DISPOSAL 3" 9" SEWER PIPE - ,+ SYSTEM UNLESS OTHERWISE NOTED. IN.SLOPE 1% b- 3" 2" DROP MIN. PROVIDE WATERTIGHT 4. TO PREVENT BREAKOUT, THE PROPOSED FINISHED GRADE SHALL NOT BE LESS THAN 3" DROP MAX. MIN.SLOPE a�1"/" I- 1 - JOINTS (TYP.) ELEVATION =8.50' FOR A DISTANCE OF 15'AROUND THE PERIMETER OF THE SAS. UNLESS A 10" 4" PVC IN FROM7 1.33' 40 MIL GEOMEMBRANE LINER IS PLACE AT LEAST FIVE FEET FROM S.A.S.AND THE TOP OF 8.70'* 14" 8•35' SEPTIC TANK 4"PVC OUT TO 0 0, (TYP.) 10.75"(TYP) 1 THE LINER IS NOT LESS THAN THE BREAKOUT ELEVATION. O LEACHING FACILITY CLEAN SAND 5. SLOPE ALL SOLID PIPE AT 1.0% MINIMUM. 8.60' + 12" 6" 6. THIS SYSTEM IS NOT DESIGNED FOR A GARBAGE DISPOSAL. 4g�� OUTLET TEE 8.34' MIN. 8.17' 8.07' 7.17' (laid flat) 2.875'(1A -Z 5.01 (TYP.) 7. LOCAL BOARD OF HEALTH AND DESIGN ENGINEER TO BE NOTIFIED PRIOR TO BACK GAS BAFFLE 6" CRUSHED STONE (TYP.) 5'MIN. FILLING WHEN SYSTEM IS NEARLY COMPLETE AND READY FOR INSPECTION. SYSTEM IS • OVER MECHANICALLY 17.25'10.1'TO FND COMPACTED BASE RE 'D NOT TO BE BACK FILLED WITHOUT FIRST OBTAINING APPROVAL FROM BOARD OF HEALTH VARIES (SEE PLAN) AND DESIGN ENGINEER. 6" CRUSHED STONE 6 OUTLET DISTRIBUTION BOX 8. ELEVATIONS BASED ON N.G.V.D. 1929 DATUM. BENCHMARK ELEVATION OF 9.64, OVER MECHANICALLY TO BE INSTALLED ON A LEVEL STABLE GROUND WATER ELEV.= < 2.00' BIODIFFUSERS END VIEW ESTABLISHED ON TOP OF A CONCRETE BOUND AS SHOWN ON PLAN. COMPACTED BASE C C BASE. FIRST TWO FEET OF OUTLET ( ) 9. CONTRACTOR SHALL VERIFY ALL UTILITY LOCATIONS PRIOR TO CONSTRUCTION PROFILE PIPES TO BE LAID LEVEL. BIODIFFUSERS ( PROPOSED 1,500 GALLON CONCRETE SEPTIC TANK ) THROUGH DIG-SAFE AT LEAST 72 HOURS PRIOR TO COMMENCING WORK ON SITE AT LENGTH 10'-8" WIDTH 5'-10" DEPTH 5'-8" (Dimensions per Wiggin Means CROSS SECTION VIEW (BY INFILTRATOR SYSTEMS, INC.) 1-888-DIG-SAFE AND ANY OTHER APPLICABLE AGENCIES. REPORT ANY DISCREPANCIES SEPTIC TANK PROFILE Precast Corp.,Pocasset, MA) DISTRIBUTION BOX DETAIL ARC 36HC #3616BD) BIODIFFUSERS H-20 TO THE DESIGN ENGINEER. 'CONTRACTOR TO VERIFY THIS ELEVATION 10. ALL JOINTS WHERE PIPE ENTERS AND EXITS CONC. STRUCTURES SHALL BE MADE WATERTIGHT. &REPORT TO ENGINEER IF DIFFERENT NOT TO SCALE NOT TO SCALE NOT TO SCALE _ - 11. NO DETERMINATION HAS BEEN MADE AS TO COMPLIANCE WITH DEEDED OR ZONING TEST PIT DATA TEST PIT DATA REGULATIONS. OWNER/APPLICANT IS TO OBTAIN SUCH DETERMINATION FROM •�+ ' + • '� . • PERC NO. 13847 APPROPRIATE AUTHORITY. PERC NO. 13847 ` ` • • ! ; . r •"' 3 INSPECTOR: Donald Desmarais, R.S. INSPECTOR: Donald Desmarais, R.S. 12. ALL SEPTIC SYSTEM COMPONENTS SHALL WITHSTAND H-10 LOADING UNLESS ` • ` + 3 DRIVES OR TRAVELED WAYS IN WHICH CASE ` ` •.Y' '''• EVALUATOR: Michael Pimentel, EIT EVALUATOR: Michael Pimentel, EIT LOCATED UNDER PAVEMENT, • ; • ' ` • •* r THEY SHALL WITHSTAND H-20 LOADING. ' . • '��`• • C.S.E. APPROVAL DATE: Oct. 1999 C.S.E. APPROVAL DATE: Oct. 1999 �: •: 13. DOUBLE WASHED CRUSHED STONE SHALL BE FREE OF ALL DIRT, DUST AND FINES. o�Nl� O�ti� • '� '�` • ~.::11 �� r ��� DATE- January 22, 2013 DATE: January 22, 2013 i�� •. '� '; + , ' �t+• + •4b r TEST PIT#: 1 TEST PIT#: 2 14. WHERE REQUIRED, CONTRACTOR SHALL REMOVE ALL LOAM, SUBSOIL AND UNSUITABLE o�y • ; ; '+ ! _ _ MATERIAL IN AREA BENEATH AND FOR 5 FT. ON ALL SIDES OF LEACHING FACILITY. WV • ELEV TOP 12.00 ELEV TOP 13.50 w wv , • • . • * • ♦ + + • REPLACE ALL UNSUITABLE MATERIAL WITH CLEAN COARSE SAND FREE FROM CLAY, pINI ° `; • ' • <2.00' ELEV WATER= FINES OR OTHER UNSUITABLE MATERIAL IN ACCORDANCE WITH 310 CMR 15.255(3). MENT -�� �� U.P.#259131T :rw.,•'ri e • • • • • • • q o r� ELEV WATER= < 3.50 EpGE�F P� - \ ~' -x * +• ` • (' Q �A a PERC RATE _ < 2 min./inch PERC RATE - <2 min./inch 15. CONTRACTOR SHALL NOTIFY DESIGN ENGINEER OF ANY DISCREPANCIES FOUND IN Nei j • % SITE CONDITIONS FROM THOSE SHOWN PRIOR TO CONTINUATION OF WORK. -U.P. / �� GUYWIRE a �$ N80"14'06"E tt • ( DEPTH OF PERC= 44'-62" DEPTH OF PERC = 48"-66" STREET a 16. PROPOSED PROJECT IS LOCATED WITHIN: WARREN g5.48' TEXTURAL CLASS: 1 TEXTURAL CLASS: 1 ASSESSOR'S MAP 139 PARCEL 76 w - c� 40,WIDE LAYOUTS o o\ ,... �� *. < ( �� MAP 139 O�o 5@ y ;�fia `. . - OWNER OF RECORD: AJAY K. & RITU SINGH LOT 76 `� / WV r,� � M 'r� 0" � 0" � ADDRESS: 65 ENDICOTT STREET O I/ ` 10,467 S.F.± - / ,f` . L L NEWTON, MA 02461 Da (� 12.00 13.50 vE�AREA- I \ ' . ( Fill Fill m MAP 139 � // _BRA - _ � � // /i�� `� LOCUS •• � A 12 Loamy Sand 12.50 FEMA FLOOD ZONE B &C Q 0 #63 / / •p "I 30" 9.50' 10Yr 3/1 COMMUNITY PANEL# #250001 0016 D a LOT 74 � EXISTING o ~` I Loam Sand 18" 12.00' EXISTING 1,000 GAL. / / -- �,. '" .. -._ ,� A Y 3-BEDROOM _ ' ' 10Yr 3/1 17. DEED REFERENCE: BOOK 25368 PAGE 9 EXISTING UNDERGROUND ELECTRIC; DIRECTION SEPTIC TANK TO BE - / / ! �,� r 34" 9.1T UNKNOWN; CONTRACTOR TO VERIFY LOCATION jn DWELLING �, PUMPED & REmOvPI� � / / 11 � � i Loam Sand Y 18. PLAN REFERENCES: 1. PLAN BOOK 45, PAGE 109 ON PROPERTY& REROUTE IF NECESSARY, BFE=11.7'± �Pz ,18 / C-tt ; - ` .', Loamy Sand B ) � � N / - , + ►► �_�� r ' �,,_ B 10Yr 5/6 10Yr 5/6 2.)PLAN BOOK 27, PAGE 113 n a � EXISTING GARAGE �/ �1 � 3.)LAND COURT PLAN 10290-B PROPOSED 1,500 o FLOOR EL=19.0'± / ;11 11 �t 4 1 44" 8.33' GALLON SEPTIC TANK / TO BE RAZED / • 0" I.. i 48 9.50 T v ( ) - / • .., Perc Perc APPROXIMAI E FLOOD ZONE LINE DIGITIZED PER Pay ➢ 78 •- - -•-._._, ZONE C / �� +,- ' ` !,.-'� +fs 62" 6.83' 66" 8.00 l FEMA MAP#250001 0010 D (DATED JULY 2, 1992) EXISTING D-BOX ZONE B IF NECESSARY, REMOVE ALL ?� ""ATIO TO BE REMOVED / $UNSUITABLE MATERIAL DOWN TO �� �- - /� / Medium Sand Medium Sand "C" SOIL& REPLACE WITH CLEAN / O o O r J� /� / J �� -- - - _ - - - - C 2.5Y 6/6 C 2.5Y 6/6 SAND PER 310 CMR 15.255(3) sjo EXISTING INFILTRATOR` / / �= (Loose) � v� TO BE REMOVED o (Loose)J � a PROPOSED DISTRIBUTION BOX w LOCUS PLAN PROP. TOTAL 37 ARC 36HC Z 1 ( �ql A // � � � SCALE: 1"= 1000' - - (#3616BD) H-20 BIODIFFUSERS ?1 l C =ry / 40 120" 2.00' 120" 3.50' LEGEND IN A FIELD CONFIGURATION / No Standing or Weeping Observed No Standing or Weeping Observed N TEST PIT DATA TEST PIT DATA 50X0' EXISTING SPOT GRADE PROPOSED INSPECTION PORT WITH P 4 / DESIGN DATA ACCESS BOX TO GRADE (TYP OF 2) 13x5' / a PERC NO. 13847 PERC NO. 13847 50 EXISTING CONTOUR PROPOSED ARC 36HC (#3616BD) r / NUMBER OF BEDROOMS (DESIGN) 6 INSPECTOR: Donald Desmarais, R.S. INSPECTOR: Donald Desmarais, R.S. H-20 BIODIFFUSER COUPLING / / 50 PROPOSED CONTOUR TP1 / / T DESIGN FLOW 110 GAUDAY/BEDROOM EVALUATOR: Michael Pimentel, EIT EVALUATOR: Michael Pimentel, EIT S S"4152"F `12x0' TP 2,/ /�� // - Oct. 1999 • Oct. 1999 ❑/H/W EXISTING OVERHEAD UTILITIES Benchmark 546, 13x5 I / /� / TOTAL DESIGN FLOW 660 GAUDAY C.S.E. APPROVAL DATE. C.S.E. APPROVAL DATE. Concrete Bound i /�� / DESIGN FLOW X 200 % = 1,320 GAUDAY DATE: January 22, 2013 DATE: January 22, 2013 E/T/C - EXISTING UNDERGROUND UTILITIES Elev. =9.64' TEST PIT#: 3 TEST PIT#: 4 N.G.V.D. 1929 �/ / /�� / USE PROPOSED 1,500 GALLON SEPTIC TANK =X-X-X-X-X- EXISTING FENCE LINE � Ak / ELEV TOP= 12.00' ELEV TOP = 13.50' MAP 139 / � � / ELEV WATER= <2.00' ELEV WATER= < 3.50' W �✓- EXISTING WATER LINE / a I LOT 75 / /� / PERC RATE = PERC RATE _ - GAS --�-- EXISTING GAS LINE I INSTALL 37 - ARC 36HC (#3616BD) BIODIFFUSERS (H-20) DEPTH OF PERC = DEPTH OF PERC = % TEST PIT LOCATION SYSTEM CAPACITY TEXTURAL CLASS: 1 TEXTURAL CLASS: 1 O O O PROPOSED 1,500 GALLON SEPTIC TANK (TOTAL L.F. OF BIO'S&COUPLINGS)(4.8 SF/LF)(0.74 GPD/SQ.FT.)=GPD - - (1862)(4.5 SF/LF)(0.74 GAUSQ.FT.)= 661.4 GAL. LEACHING/DAY PROPOSED 4"SOLID SCHEDULE 40 PVC PIPE 0" 12.00' 011 13.50' #63 / _ = Fill O PROPOSED DISTRIBUTION BOX EXISTING - TOTALS; FIII 12" 12.50' Loamy Sand 3-BEDROOM - TOTAL NUMBER OF BIODIFFUSERS: 37 30 9.50 A 10Yr 3l1 PROPOSED ARC 36HC(#3616BD) BIODIFFUSER(H-20) DWELLING TOTAL NUMBER OF COUPLINGS: 1 A Loamy Sand 18" 12.00' BFE=11.7'± TOTAL LEACHING AREA: 893.8 " 10Yr 3/1 9 17, 0 PROPOSED ARC 36HC(#3616BD)COUPLING (H-20) / EXISTING GARAGE TOTAL LEACHING CAPACITY: 661.4 Loamy Sand LK_OUT Loamy Sand B WA FLOOR EL=19.0'± B 10Yr516 HCA HC-2 (TO BE RAZED) 1 Yr 5/6 REV. DATE BY APP'D. DESCRIPTION 44" 8.33' 48" 9.50' PROPOSED SITE PLAN NOTE: 0 (2 - SWING-TIES SCALE: 1"=20' EFFECTIVE LEACHING AREA OF 4.80 SF/LF OBTAINED FROM THE PREPARED FOR: N 10.0 O 4) _ DESCRIPTION HCA HC-2 SPECIAL NOTES: DEPARTMENT OF ENVIRONMENTAL PROTECTION APPROVAL LETTER CAPEWIDE ENTERPRISES 3 "MODIFIED APPROVAL FOR GENERAL USE" ISSUED TO INFILTRATOR Medium Sand ( 17 3 - SYSTEMS, ATE OF ISSUANCE OCTOBER 3 2003 LAST MODIFIED Medium Sand SEPTIC COVER IN (1) 14.5' 19.6' 1.) MAGNETIC MARKING TAPE SHALL BE PLACED ALONG THE TOP EDGE INC.,� ( C 2.5Y 6/6 C 2.5Y 616 10. SEPTIC COVER OUT(2) 19.3' 14.7' OF EACH SEPTIC SYSTEM COMPONENT. MARCH 14, 2012). TRANSMITTAL NUMBER=X235253. (Loose) (Loose) LOCATED AT 2.) CONTRACTOR SHALL VERIFY SOIL CONDITIONS IN THE LOCATION OF 63 WARREN STREET N BIODIFFUSER CORNER(3) 20.8' 25.8' THE PROPOSED LEACHING SYSTEM TO ENSURE CONSISTENCY WITH TEST OSTERVILLE, MA BIODIFFUSER CORNER(4) 29.4' 19.3' PIT DATA SHOWN ON THIS PLAN. REPORT TO ENGINEER AND LOCAL -- ---- . --.-- ----- --..- _ BOARD OF HEALTH IF SOILS ARE NOT CONSISTENT WITH TEST PIT DATA. 120" 2.00' 120" 3.50' SCALE: 1 INCH = 20 FT. DATE: JANUARY 31, 2013 RESERVE BIODIFFUSER CORNER(5) 59.3' 54.3' �,` o 10 20 40 so FEET 3.) PROPERTY IS NOT LOCATED WITHIN ANY GROUNDWATER OR No Standing or Weeping Observed No Standing or Weeping Observed �WW BIODIFFUSER CORNER 6 46.8' 48.6' (6 O WELLHEAD PROTECTION OVERLAY DISTRICT OR ESTUARINE ZONE PREPARED BY: WATERSHEDS. RESERVED FOR BOARD OF HEALTH USE JOHN L. JC ENGINEERING INC. 5) CHURCHILL JR. - ' o : CIVIL �� 2854 CRANBERRY HIGHWAY goo EAST WAREHAM, MA 02538 SITE PLAN `.; rT 508.273.0377 SCALE: 1"=20' Drawn By: BSM Designed By: MCP 1 Checked By:JLC T JOB No. 2372