HomeMy WebLinkAbout0250 WINDSWEPT WAY - Health 250 Windswept Way
Osterville
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TOWN OF'�B�A"RNSTABLE
LOCATION;;��Q c,�)l��/' '1 SEWAGE# J-� —
VILLAGE Q*{, `2.O ASSESSOR'S MAP&PARCEL
INSTALLER'S NAME&PHONE NO. —C- .
SEPTIC TANK CAPACITY
LEACHING FACILITY:(type) (size)
NO.OF BEDROOMS FL .'s 1 frFL-L9y0t'4
OWNER 1.1
PERMIT DATE: COMPLIANCE DATE: 2-
Separation Distance Between the:
Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet
Private Water Supply Well and Leaching Facility If an wells exit n
PP Y 8 tY( Y s o
site or within 200 feet of leaching facility) Feet
Edge of Wetland and Leaching Facility(If any wetlands exist within
300 feet of leaching facility) 'lam Feet
FURNISHED BY
cAif—
3
.43
No. Fee S�
THE COMMONWEALTH OF MASSACHUSETTS Entered in computer:
PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes
Rpplication for MispoBal 6pstem Construction 3pPrmit
Application for a Permit to Construct(-I— Repair( ) Upgrade( ) Abandon( ) El-Complete System ❑Individual Components
Location Address or Lot No. Zv �' ' Owner's Name,Address,and Tel.No. i^•,
Assessor's Map/Parcel C)S 1-c�I �`01lck`/\
I
Ins ller's Name,Address;.and Tel.No. � t�� 9 Designer's Name,Address,and Tel.No.
I � .-M CS�'4 fit' Sv\\i�'^� E^��eer n •�C.Y.i�\1�
(vis" Me,\n �1Z$ `3
Type of Building:
Dwelling No.of Bedrooms �j Lot Size Lr.� (ir,�," sq.ft. Garbage Grinder(i1.3
Other Type of Building No.of Persons Showers( ) Cafeteria( )
Other Fixtures
Design Flow(rniri.-required) 3'5 b gpd Design flow provided ��� gpd
Plan Dated ZZ� 2�Z t p Number of sheets
ii 7 Revision Date
Title
Size of Septic Tank Type of S.A.S. 3-(uA1. '�W y
Description of Soil
1 N" S"�
.ems•. -
Nature of Repairs or Alterations(Answer when applicable)
,
Date last inspected:
Agreement: f
The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in
r
accordance with the provisions of Title 5 of the Environmental C not to place the system in operation until a Certificate of
Compliance has been issued by this Board of Health.
Signed Date
r Application Approved by ' Date
Application Disapproved by Date
for the following reasons
Permit No. C) ( � Date Issued — �'
No. '. ` r ul Fee J
THE COMMONWEALTH OF MA Entered in computer:
I SSACHUSETTS €3
PUBLIC;HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes ,
f
Jplication for I ,pOsar pstPm Construction Permit tk =
Application for a Permit to Construct Repair U J ade Abandon Complete System `mod pp � (�` p ( ) pg� ( ) ( ) ❑' p y El Components -0
Location Address or Lot No. '7.5'u Owner's Name,Address,and Tel.No.
Assessor'sMap/Parcel p$}-p1- - 0n�tw1 `
. Installer's Name,Address,and Tel.No. ji T-1-7 1 9-39 Designer's Name,Address,and Tel.No.
tJl�W S d ✓� M t /-711 y�4 OAW 508-I_t18-�3SKII
e of Buildin cT)Ngv\\14„ �+Y o't tp S S
TYP g�
'Dwelling No.of Bedrooms �j Lot Size Lla(�+ QcK tY_ sq.ft. Garbage Grinder(AA,:),
Other Type of Building'Fw\ (ti�74-, tg-4�Jl. No.of Persons Showers( ) Cafeteria( )
Other Fixtures
Design Flow(min.required) 3 gpd Design flow provided `114 gpd
Plan Date �-,6;, Z.Z., ?02\ Number of sheets 7 - Revision Date lb-y.,zoZ
Title �� �11c"� `1(�{�t►5�� k�M�u.rCn�wys
Size of Septic Tank 1'S Type of S.A.S. 3~COMM- 1-1%W ATtf:P<5 L
Description of Soil
Nature of Repairs or Alterations�.('Answer when applicable)
y
Date last inspected:
Agreement: r--'
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 C de�not to place the systerWin"operation until a Certificate of
Compliance has been issued by>this Board tof Health. �'
Signed Date 11r-
.�--_
A lication Approved b C (/ L
s ppr Y i� .€' r. Date
Application Disapproved by C' {U { Date
forthe following;reasons,•
Permit No. ` 0 (0 \ Date Issued
THE COMMONWEALTH OF MASSACHUSETTS
A BARNSTABLE, MASSACHUSETTS
i . (Certificate of Zompriance
THIS IS TO CERTIFY,that the On-site Sewage Disposal system Constructed(�'")� Rejp'aiirre-d, ( ) Upgraded( )
Abandoned( )by
at 2�0 ( �W Ldk7 _. has been constructed in accordance
with the provisions of Title 5 and the for Disposal System Construction Pit No.'9 L l- ��b1 dated
Installer Designer'
#bedrooms Approved design flow 2� G gpd .
The issuance of this permit shall riot be construed as a guarantee that the system will cf 6h., d'esigned.._ /
Date. � ` ,/eC Inspector
+- - - ,��� - - - -- ---- - -- - - -- --- - p - --- - ---- - --- • ---- _
o Fee
THE COMMONWEALTH OF MASSACHUSETTS
PUBLIC HEALTH DIVISION-BARNSTABLE,MASSACHUSETTS
Disposal *pstem Construction Permit'
Permission is hereby granted to Construct(� Repair( ) Upgrade( ) Abandon( ) R
ti
System located at `� LJ•n�
and as described in the above Application for Disposal System Construction Permit. The applicant recognized his/her duty to comply with
Title 5 and the following local provisions or special conditions.
ft
{ Provided:-Construction must be completed within three years of the date of this permit. t
Date lS Approved by ,
}
FEB-17-2022 03:06 From: To:15087906304 Pa9e:1,'1
............._.....
_._—�...—
Town-of Barnstable
•Inspectional Services
's P Public Health Division
a .
Thomas McKean,Director
200 Maio Street,Hyannis,MA 02601
Office: 508-8624644 Fax:,508-790-6304
Installer&'Desi ner Certification Form rr��CC
Date: Sewage Permit# 21 V6.6 Assessor's Map\Parcel
:Designer: Laak 69 •7 Installer: _
� taw L. n
Address: _45 i r d t"4m, 1Sc�
: : ���k nl�e. M�R'UZ .SS Marsrs
pn. r was issued a permit to install a
(date)-' (installer)
septicsystem at o�5o WI n based on a design drawn by
(� ' -
(address)
U J ,lrh', dated
- . •.(de goer) C ��.�� ., .'
z eeetify► 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
r '" distribution box and/or septic tank. Strip out (if required)' was inspected,and the soils
were found satisfactory.
I 'certify that-the septic system referenced above was installed with major changes (i.e.
gioeater than TV'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. Strip out(if required)was inspected and the soils
were found satisfactory.
r
I ce that the m referenced above was construeta.in compliance with the to rms of
ihelllA v etters(if applicable) tN .
M
( n er's Signature) �48ise
( tsigner's Signature) (Affix esi 's Stamp Here
PLEA E.RET•URN TO BARNSTABLE PUBLIC HEALTH DIVISION. C TIFICATE
'OF. COMPLIANCE WILL NUT'BE ISSUED. UNTIL B TH •THIS FORM' AND AS-
BUILT CARD ARE 1tECEIV•ED BY THE BARNSTABLE PUBLIC HEALTH DIVISION.
.THANK_.OU.,....... -oenTinne.:a.::.rpnifieminnForm Rev&1443MM
No. Fee
THE COMMONWEALTH OF MASSACHUSETTS Entered in computer:
PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes
ftpIitation for Disposal *pstetn Construction Permit
Application for a Permit to Construct( ) Repair( ) Upgrade( ) Abandon( ) ❑Complete System ❑Individual Components
Location Address or Lot No. ZSX, UJ, SW) - ! Owner's Name,Address,and Tel.No.
Assessor'sMap[Parcel tl�
Installer's Name,Address,and Tel.No. Designer's Name,Address,and Tel.No.
Type of Building:
Dwelling No.of Bedrooms Lot Size y t �LQl'S sq.ft. Garbage Grinder(.AJq
Other Type of Building No.of Persons Showers( ) Cafeteria( )
Other Fixtures
Design Flow(min.required) ►y gpd Design flow provided gpd
Plan Date Number of sheets Revision Date it io j ZLZ
Title
Size of Septic Tank Type of S.A.S.
Description of Soil
Nature of Repairs or Alterations(Answer when applicable) (,4(*16
EX��TtAJ SE k)r
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 Health.
Signed Date
Application Approved by Date — r
Application Disapproved by Date
for the following reasons
Permit No. G '— Date Issued
U V /No. � e -• - Fee l.r�
THE COMMONWEALTH-OF. MASSACHUSETTS` Entered in computer: .
1 PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes
application for Vsposar 6pstrut (Construction 3perntit
Application for a Permit to Construct( ) Repair( ) Upgrade( ) Abandon( ) . ❑Complete System ❑Individual Components5.
Location Address or Lot No. Z WINA*M-k 1, +-� Owner's Name,Address,and.Tel.No.
Assessor's Map/Parcel oSk-ply
Installer's Name,Address,and Tel.No. _ Designer's Name,Address,and Tel.No.
Type of Building: firr' L' +/� ��►�,�i 1✓� u2 e�ST
Dwelling No.of Bedrooms LX �r U'7 Lot Size Lii- Aq< ' sq.ft. Garbage Grinder(Ajo
Other Type of Building No.of Persons Showers( ) Cafeteria( )
Other Fixtures
Design Flow(min.required) gpd Design flow provided gpd
Plan Date I-t 1j ZZ Z. Number of sheets Revision Date 161 Z 5'Z tS1 I
Title
Size of Septic Tank Type of S.A.S.
Description of Soil
Nature of Repairs or Alterations(Answer when applicable) �. (.1AFks ru M 1�o` �Se� (,A RVKfotF-
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 Health.
Signed Date
Application Approved by Date f �L
Application Disapproved by Date
for the following reasons
F'
Permit No. U 1` � � Date Issued
} THE COMMONWEALTH OF MASSACHUSETTS
BARNSTABLE,MASSACHUSETTS
Certificate of Compliance
THIS IS TO CERTIFY,that the On-site Sewage Disposal system Constructed( :) Repaired( ) Upgraded( )
Abandoned( )by
at has been constructed in accordance ( /
with the provisions of Title 5 and the for Disposal System Construction Permit No.Z 0)1"'V 6 b dated f 1
Installer Designer
#bedrooms Approved design flow V i gpd
The issuance of this permit,shallll/not Y e construed as a guarantee that the system wi-11-functi'o`-,as
designed.
Date / jt ! Inspector .11 � "^^
-----•--7------7--•----- ----•--------__ �__, _.. . ._f o a --- ---``=- ----
THE COMMONWEALTH OF MASSACHUSETTS
PUBLIC HEALTH DIVISION-BARNSTABLE,MASSACHUSETTS
Misposal 6pstent Construction Vermit
Permission is'hereby granted to Construct( ) Reair( Upgr de( ) Abandon( )
System located at - G t,t,.`- C
and as described in the above Application for Disposal System Construction Permit. The applicant recognized his/her duty to comply with
Title 5 and the following local provisions or special conditions.
Provided:Consfiuction must-be completed,within three ears of the date of this,permit.
Date r - 1 Approved by �%�c
.:` �- nl/ /
Town of Barnstable P# 1 2 7
E epartment of Regulatory Services
°* F � - o
ublic Health Division Hate.'
= BA1WHrABrh -
MA6&
;liya His MA 02G01200 Main Street
Date.scheduled
Time D r'` rce Pd. Ud
° .. ;° 1 _ oral
Soil Suatahiltty Assessmmt for MeD ;D WiGressed By: C
Aerf y: �. `. x
rt LOCATION rsi GENERAL INIn'ORMA,T�ION�w -
Owner's Name i eat. ,0 �'f7
Location Address .Z W- �✓e `�7 �'Sa�Tt11 1-�,,:•r c�. 134t
O5 "►�1��fY� _ Address
�h�9lr�r rv�A- c�t�73
Assessor's MaplParceL O.� O(Z ' x_` " i 'Gighieer's Na
ma v�esi' `
NGW CONSTRUCTION ✓ REPAIR '* Telephone N
B `p� ` Slo es % Surface Stones d Aj
Land Use_Re5 a1 p O -
Dislatices from: Open"Waler Dody �' _n' Possible Wet Area >< Drinkhig Water Weli SeC ff
• • _ � r
r.
Drainage Way S : it, Property Line -
SKETC h(Street name,dimensions,of lot,exact locations of testiioles&pert tests,locaie wetlands in proximity to moles) I
_.
i
.: 6 ..
0710mo01 082016006
_ c
T 148 w /788 -
.,ae vul
. I
/ 081012 g • -
s
� 01008
• r v Y
w
v, d
I 11 Depar to Be rock SQ°
parent material(geologic)_.�% , ;
{ i
pepUi to(3roundwalcr $tan�`ing-Water inlHol Weeping fronn pit Face
II
Cstiinated Seasonal NnglOroundwat�r
DETE T SEASONAL RIGz�WATER TABLE
Method Used "; l A✓ .
DepUr Obseijed t�ndinglIin obi. ii e 1 in IDepUi to sell mottles
Depth to, om slde of obs ole i in Oroundti'aler Ailjostmcnt
index Well )�ecd ng all ht bx Well level Adj
factor Adj Oroundwatcr Level
I.
B9 {{ , POWOLATION TESx;
7 laI a '
Observation i 2 E Tune at
Hole_# F fi
Time atlr"
DepUi of peril-
I +
! !' Time(9"G")
Slarl Are sonl
I x
End Pre-sonk I IS
I l �AIID •�,� I ''+r I
;Late_MinJlnch soe
�E'Site 1 aileJ ' AJdiUonal Testing Nceded(YIN)
Site Suitability Assessment Site Passed
Original: Public Heallb�ivision
Observation Hole Data To Be Completed on Back=-
*** test is to bc'co{ due lc�l witlttn 100' of wetland,yotl must first notify tltc
If percolati,otl
BRtn5tauie Coals rvatiou IDV fist rat a st one(1)w,celc rrtor to begtnnutg
Q IIEALTIUWP/PE11G�OkM # ;' !
PEEP OBSERVATION HOLE LOG Dole ff
UcpUr fium Soil 11orizon Suil Texture Soil Culor Soil Othcr
9uttkca(Irt.) (USDA) (Munsoll) Moltling (Structiiro,Sluncs,lluuldcrs.
CnuslstonQv "/6 Gravel) __-_
Zo
Zb-rw
I
I
DEI'P OBSI';RVTION HOLE LOG Hole It_
Depth from Soil Horizon Sod Texture Soil Color Soil Other
Surface(in.) (USDA) (MunselQ Mottling (Structure,Stories,Boulders.
CorlsistellCV %GraVcq
l'Y '
Zy_I
DEEP OBSERVATION IIOLE.LOG. Mole#
Dcpth from Soil Horizon Soil Texturd Soil Color Soil Other
Surface(in.) (USDA) (Munscil) Mottling (Struclure,Stones,Boulders.
Consislcncv.%Ora cl
I
DE P�OBSI';ItVES►'I'ION HOLE';LOG Mule#
Depth llurn Soil}lotimn Soil.Tcxture Soil Color. Soil Other
Surface(in.) OSDA); (Munsell) Mollliilg (Structure,Stones,[luulricrs.
CA
Cvnslslcri %Grnvcll
f
jf
77777
i
r' I .
it
kf
Aubd Xnsurnnce R tc an'
I '
Above 500 year vd b`otir dart' 1V ` �'
es
1 I ' r ti c9 Q�C Q�lO�`? l y
WiUiin 500 ye unrieiy
Within 100 ye r 11 od boundar� ido'
of
�i
De�EhaiLNattirali'': ,.currin Pwrr� i us: a� ri>il,i 1 A
Does'at leasEfour feE bf`natura�lly bc�ctni`'p viqI.ous lnaterlal exist)ui all trtais oUservetl throughout the
area:proposctt for tli so 1 alsi ti n is stets
o u erviodt material?'
If not ghat I§the dt t�i fnat ra) g -
.`
Cci tificatiun ' .
da e I ltli'a assed the sail evaluator exnminatton approval by the ;
1 certif t1inE o11. . I �'. t
� Y
Dopartmcut of i;nvir i�i total I'ro(beti n do [llat the above anal. srs was erformed by rno cons1stent with
Y P
�Iescribcrl it 3;10 GMR 1.5017
the required-trainuig�ex eitiso�and'cxp�ericn o�
Signature
I
:11GALTiwwr/rcrtcr•�1zM r: � � ;:> ,, z, I
1
Commonwealth of Massachusetts 061-- X
Ia Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form - Not for Voluntary Assessments
250 Windswept Way
Property Address
Gerald Blakeley s
Owner Owner's Name /
information is
required for every Osteryille ✓ MA 02655 10/02/2020
page. City/Town State Zip Code Date of Inspection x
Inspection results must be submitted on this form. Inspection forms may not be altered in'any
way. Please see completeness checklist at the end of the form.
Important:When A. Inspector Information �'�� � q
filling out forms �
on the computer,
use only the tab Michael T Bisienere
key to move your Name of Inspector
cursor-do not Cape Septic Inspections
use the return Company Name
key.
52 Rivers End RDad
Company Address
Teaticket Ma. 02536
CitylTown State Zip Code
r 508-280-3356 S13938
Telephone Number License Number
Y
B. Certification
I certify that: I am a DEP approved system inspector in full compliance with Section 15.340 of Title 5
(310 CMR 15.000); 1 bave personally inspected the sewage disposal system at the property address
listed above;the information reported below is true, accurate and complete as of the time of my
inspection; and the irspection was performed based on my training and experience in the proper function
and maintenance of on-site sewage disposal systems. After conducting this inspection I have determined
that the system:
1. ® Passes
2. ❑ Conditionally Passes
3. ❑ Needs Further Evaluation by the Local Approving Authority
4. ❑ Fails
2fl-20_._
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 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 form should be sent to the system owner and copies sent to
the buyer, if applicable, and the approving authority.
Please note: 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.
t5insp,doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System Page 1 of 18
Commonwealth of Massachusetts
Title 5 Official Inspection Form
I s Subsurface Sewage Disposal System Form - Not for Voluntary Assessments
250 Windswept Way
Property Address
Gerald Blakeley
Owner Owner's Name
information is'required for every Osterville MA 02655 10/02/2020
page. City/Town State Zip Code Date of Inspection
C. Inspection Summary
Inspection Summary: Complete 1, 2, 3, or 5 and all of 4 and 6.
1) System Passes:
® I have not found any information which indicates that any of the failure criteria described
in 310 CMR `5.303 or in 310 CMR 15.304 exist. Any failure criteria not evaluated are
indicated below.
Comments:
This 6 bedroom home has an H-20 1500 gallon septic tank with a D-Box feeding 7 flow diffusers with
stone. At the time of the inspection no visible failure criteria was found. The inlet cover of the septic
tank is a steel cover just below grade.
2) 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): "
t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 2 of 18
Commonwealth of Massachusetts
�n Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form - Not for Voluntary Assessments
cM 250 Windswept Way
u
Property Address
Gerald Blakeley
Owner Owner's Name
information is required for every Osterville MA 02655 10/02/2020
page. CitylTown State Zip Code Date of Inspection
C. Inspection Summary (cont.)
2) System Conditionally Passes (cont:):
❑ Pump Chamber pumps/alarms not operational. System will pass with Board of Health approval if
pumps/alarms are repaired.
❑ 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):
3) Further Evaluation is Required by the Board of Health:
Condition xi El Conditions exist which require further evaluation by the Board of Health in order to determine if
the system Is falling to protect public health, safety or the environment.
a. 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:
t5insp.doc•rev.7/2 612 0 1 8 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 3 of 18
Commonwealth of Massachusetts
Title 5 Official Inspection Form
l;
I Subsurface Sewage Disposal System Form - Not for Voluntary Assessments
250 Windswept Way
u�
Property Address
Gerald Blakeley
Owner Owner's Name
information is required for every Osterville MA 02655 10/02/2020
page. City/Town State Zip Code Date of Inspection
C. Inspection Summary (cont.)
❑ 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
b. System will fail unless the Board of Health (and Public Water Supplier, if any)
determines that the system is functioning in a manner that protects the public health,
safety and environment:
❑ The system has a septic tank and soil absorption system (SAS) and the SAS is within
100 feet of a surface water supply or tributary to a surface water supply.
❑ The system has a septic tank and SAS and the SAS is within a Zone 1 of a public water
supply.
❑ The system has a septic tank and SAS and the SAS is within 50 feet of a private water
supply well.
❑ The system has a septic tank and SAS and the SAS is less than 100 feet but 50 feet or
more from a private water supply well**.
Method used to determine distance:
**This system passes if the well water analysis, performed at a DEP certified laboratory, for fecal
coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen.is equal
to or less than 5 ppm, provided that no other failure criteria are triggered. A copy of the analysis must
t be attached to this form.
c. Other:
4) 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
t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 4 of 18
4'
i
Commonwealth of Massachusetts
l0 Title 5 Official Inspection Form
<I Subsurface Sewage Disposal System Form -Not for Voluntary Assessments
250 Windswept Way
Property Address
Gerald Blakeley
Owner Owner's Name
information is required for every Osterville MA 02655 10/02/2020
page. Cityfrown State Zip Code Date of Inspection
C. Inspection Summary (cont.)
4) System Failure Criteria Applicable to All Systems: (cont.)
Yes No
❑ ® 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 '/z day flow
❑ ® Required pumping more than 4 times in the last year NOT due to clogged or
obstructed pipe(s). Number of times pumped:
❑ ® Any portion of the SAS, cesspool or privy is below high ground water elevation.
❑ ® Any portion of cesspool or privy is within 100 feet of a surface water supply or
tributary to a surface water supply.
❑ ® Any portion of a cesspool or privy is within a Zone 1 of a public water supply
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 2000 gpd-
10,000 gpd.
❑ ® 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.
5) 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 CA.
Yes No
❑ ❑ the system is within 400 feet of a surface drinking water supply
❑ ❑ the system is within 200 feet of a tributary to a surface drinking water supply
El El 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
t5insp.doc-rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 5 of 18
c� Commonwealths of Massachusetts
Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form -Not for Voluntary Assessments
250 Windswept Wav
Property Address
Gerald Blakeley
Owner Owner's Name
information is Osterville MA 02655 10/02/2020
required for every 'r
page. City/Town State Zip Code Date of Inspection
C. Inspection Summary (cont.)
If you have answered "yes" to any question in Section C.5 the system is considered a significant
threat, or answered "yes"to any question in Section CA above the large system has failed. The
owner or operator of any large system considered a significant threat under Section C.5 or failed
under Section CA shall upgrade the system in accordance with 310 CMR 15.304. The system owner
should contact the appropriate regional office of the Department,
6. You must indicate "yes" or"no" for each of the following for all inspections:
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? k
® ❑ 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)]
t5insp.doc•rev.7/2 612 0 1 8 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 6 of 18
c Commonwealth of Massachusetts
Title 5 Official Inspection Form
111 Subsurface Sewage Disposal System Form -Not for Voluntary Assessments
250 Windswept Way
Property Address
Gerald Blakeley
Owner Owner's Name
information is required for every Osterville MA 02655 10/02/2020
page. Cityrrown State Zip Code Date of Inspection
D. System Information
1. Residential Flow Conditions:
Number of bedrooms (design): 6 Number of bedrooms (actual): 6
DESIGN flow based on 310 CMR 15.203 (for example: 110 gpd x#of bedrooms): 660 plus
GPD
Description:
Number of current residents: 0
Does residence have a garbage grinder? ❑ Yes ® No
Does residence have a water treatment unit? ❑ Yes ® No
If yes, discharges to: .
Is laundry on a separate sewage system? (Include laundry system inspection ❑ Yes ® No
information in this report.)
Laundry system inspected? ❑ Yes Z No
Seasonal use? ® Yes ❑ No
Water meter readings, if available last 2 ears usage town water
9 ( Y 9 (gpd))� -
Detail:
In 2019 247,000 gallons were used and in 2018-361,000 gallons were used.
Sump pump? ❑ Yes ® No
Last date of occupancy: seasonal use
Date
t5insp.doc•rev.712 612 01 8 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 7 of 18
I
Commonwealth of Massachusetts
�- Title 5 Official Inspection Form
'• I Subsurface Sewage Disposal System Form - Not for Voluntary Assessments
u—
250 Windswept Way
Property Address
Gerald Blakeley -
Owner Owner's Name
information is required for every Osterville MA 02655 10/02/2020
page. Cityrrown State Zip Code Date of Inspection
D. System Information (cont.)
2. 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
Water treatment unit present? ❑ Yes ❑ No
If yes, discharges to:
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 below):
3. 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:
t5insp.doc-rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 8 of 18
4
L
Commonwealth of Massachusetts
�w Title 5 Official Inspection Form
1 Subsurface Sewage Disposal System Form -Not for Voluntary Assessments
u—
250 Windswept Way
Property Address
Gerald Blakeley
Owner Owner's Name
information is required for every Osterville MA 02655 10/02/2020
page. Cityrrown State Zip Code Date of Inspection
D. System Information (cont.)
4. 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):
Approximate age of all components, date installed (if known) and source of information:
2009
Were sewage odors detected when arriving at the site? ❑ Yes ® No
5. Building Sewer(locate on site plan):
'.. Depth below grade: 35"feet
Material of construction:
❑ cast iron ®40 PVC ❑ other(explain):
Distance from private water supply well or suction line: town water
feet
Comments (on condition of joints, venting, evidence of leakage, etc.):
t5insp.doc-rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 9 of 18
Commonwealth of Massachusetts
Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form - Not for Voluntary Assessments
� 250 Windswept Way
Property Address
Gerald Blakeley
Owner Owner's Name
information is Osterville MA 02655 10/02/2020
required for every
page. Cityfrown State Zip Code Date of Inspection
D. System Information (cont.)
6. Septic Tank (locate on site plan):
27"
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: H-20 1500 gallon
Sludge depth: 5„
Distance from top of sludge to bottom of outlet tee or baffle
31"
' Scum thickness 6"
Distance from top of scum to top of outlet tee or baffle 21'
Distance from bottom of scum to bottom of outlet tee or baffle
12"
How were dimensions determined?
sludge judge
Comments(on pumping recommendations,inlet and outlet tee or baffle condition, structural integrity,
liquid levels as related to outlet invert, evidence of leakage, etc.):
I recommend the new owner have the septic tank pumped ASAP then put it on a maint. plan with a
local septic pumping co. based on the future use of the home. At the time of inspection the liquid
r level was at working level and the tee's were in place.
t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 10 of 18
Commonwealth of Massachusetts
6? Title 5 Official Inspection Form
b_ Subsurface Sewage Disposal System Form Not for Voluntary Assessments
250 Windswept Way
Property Address
Gerald Blakeley
Owner Owner's Name
information is required for every Osterville MA 02655 10/02/2020
page. City/Town State Zip Code Date of Inspection
D. System Information (cont.)
7. 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.):
8. 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
t5insp.cloc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 11 of 18
Commonwealth of Massachusetts -
Title 5 Official Inspection Form
5 � Subsurface Sewage Disposal System Form - Not for Voluntary Assessments
250 Windswept Way
v
Property Address
Gerald Blakeley
Owner Owner's Name
information is required for every Osterville MA 02655 10/02/2020
page. City/Town State Zip Code Date of Inspection
D. System Information (cont.)
8. Tight or Holding Tank(cont.)
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.):
r.
*Attach copy of current pumping contract(required). Is copy attached? ❑ Yes ❑ No
9. 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 the time of the inspection the liquid level was at working level and there were no visible signs of
leakage.
t5insp.doc-rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 12 of 18
i
L
Commonwealth of Massachusetts
�n ,tip Title 5 Official Inspection Form
`I Subsurface Sewage Disposal System Form - Not for Voluntary Assessments
250 Windswept Way
v—
Property Address
Gerald Blakeley
Owner Owner's Name
information is required for every Osterville MA 02655 10/02/2020
page. Citylrown State Zip Code Date of Inspection
D. System Information (cont.)
10. Pump Chamber(locate on site plan):
Pumps in working order: ❑ Yes ❑ No*
Alarms in working order: ❑ Yes ❑ No*
Comments (note condition of pump chamber, condition of pumps and appurtenances, etc.):
* If pumps or alarms are not in working order, system is a conditional pass.
11. Soil Absorption System (SAS) (locate on site plan, excavation not required):
If SAS not located, explain why:
Type:
❑ leaching pits number:
® leaching chambers number: 7 Flows
❑ leaching galleries number:
❑ leaching trenches number,.length:
❑ leaching fields number, dimensions:
❑ overflow cesspool number:
❑ innovative/alternative system
Type/name of technology:
t5inspAoc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 13 of 18
1
Commonwealth of Massachusetts
�- Title 5 Official Inspection Form
_ I Subsurface Sewage Disposal System Form - Not for Voluntary Assessments
250 Windswept Way
V�
Property Address
Gerald Blakeley
Owner Owner's Name
information is required for every Osterville MA 02655 10/02/2020
page. Cityrrown State Zip Code Date of Inspection
D. System Information (cont.)
11. Soil Absorption System (SAS) (cont.)
Comments (note condition of soil, signs of hydraulic failure, level of ponding, damp soil, condition of
vegetation, etc.):
At the time of the inspection no visible failure criteria was found.
12. 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.):
f5insp.doc-rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 14 of 18
L
Commonwealth of Massachusetts
a Title 5 Official Inspection Form
1 Subsurface Sewage Disposal System Form -Not for Voluntary Assessments
250 Windswept Way
u� Property Address
Gerald Blakeley
Owner Owner's Name
information is required for every Osterville MA 02655 10/02/2020
page. Cityrrown State Zip Code Date of Inspection
D. System Information (cont.)
13. 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.):
t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 15 of 18
1�_
Commonwealth of Massachusetts
Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form -Not for Voluntary Assessments
250 Windswept Way
Property Address
Gerald Blakeley
Owner Owner's Name
information is required for every Osterville MA - 02655 10/02/2020 -
page. Cityrrown State Zip Code Date of Inspection
D. System Information (cont.)
14. 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 -
i
B $5-W4
3 C 5 -59
t5insp.doc•rev.!M 2ote Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 16 of 18
1
c Commonwealth of Massachusetts
Title 5 Official Inspection Form
iI Subsurface Sewage Disposal System Form -Not for Voluntary Assessments
u—
250 Windswept Way
Property Address
Gerald Blakeley
Owner Owner's Name
information is required for every Osterville MA 02655 10/02/2020
page. City/Town State Zip Code Date of Inspection
D. System Information (cont.)
15. Site Exam:
® Check Slope
® Surface water
® Check cellar
® Shallow wells
Estimated depth to high ground water: 11 plus feet
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:
I augered a hole at a lower elevation and shot it with a transit.
Before filing this Inspection Report, please see Report Completeness Checklist on next page.
t5insp.doc•rev.7/2 612 0 1 8 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 17 of 18
Commonwealth of Massachusetts
�n Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form - Not for Voluntary Assessments
250 Windswept Way
u�
Property Address
Gerald Blakeley
Owner Owner's Name
information is required for every Osterville MA 02655 10/02/2020
page. City/Town State Zip Code Date of Inspection
E. Report Completeness Checklist
Complete all applicable sections of this form inclusive of:
® A. Inspector Information: Complete all fields in this section.
® B. Certification: Signed & Dated and 1, 2, 3, or 4 checked
® C. Inspection Summary:
1, 2, 3, or 5 completed as appropriate
4 (Failure Criteria) and 6 (Checklist)completed
® D. System Information:
For 8: Tight/Holding Tank—Pumping contract attached
For 14: Sketch of Sewage Disposal System drawn on pg. 16 or attached
For 15: Explanation of estimated depth to high groundwater included
I
t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 18 of 18
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Thomas F.'Geller, Director
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MASS. ' Public Health Division
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°lFn .r" Thomas McKean,Director
200 Main Street, Hyannis,MA 02601
Office: 508-862-4644 Fax: 508-790-6304
Date: Z Sewage Permit# ZOOJ--? C Assessor's Map/Parcel
Installer& Designer Certification Form
DesiDesigner: NVr
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Address: Address: 'lj
On 5 �_ �f was issued a permit to install a
(date) (installer)
septic system at based on a design drawn by
(address)
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(designer)
�I certify that the septic system referenced above was installed substantially according to
the design, which may include minor approved changes.such as lateral relocation of the
distribution box and/or septic tank. 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 requirected and the soils
were found satisfactory. �P qSO
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(Installer's Signature) A No.48168
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(Desi (Affix Designer's Stamp Here)
PLEASE RETURN TO BARNSTABLE PUBLIC HEALTH DIVISION. CERTIFICATE
OF COMPLIANCE WILL NOT BE ISSUED. UNTIL BOTH THIS FORM AND AS
BUILT CARD ARE RECEIVED BY THE BARNSTABLE PUBLIC HEALTH DIVISION.
THANK YOU.
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VILLAGE O5 6Bry�I e ASSESSOR'S MAP&PARCEL Q d toa,
INSTALLER'S NAME&PHONE NO.�R ` L I o 6 5'08-fq8-5 S-49'
SEPTIC TANK CAPACITY /500CP o10
LEACHING FACILITY: e ►t0c J Vil US Jo2S C�1 J(type) (size) ka! x64
NO.OF BEDROOMS 16rr
OWNER
PERMIT DATE: O q COMPLIANCE DATE: - V
Separation Distance Between the:
Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet
Private Water Supply Well and Leaching Facility(If any wells exist on
site or within 200 feet of leaching facility) Feet
Edge of Wetland and Leaching Facility(If any wetlands exist within
300 feet of leaching facility) Feet
FURNISHED BY
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THE COMMONW'EALTH OF MASSACHUSETTS Entered in computer:
\ PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes
Zppfication for Migonl *p5tem Con5tructiou Permit
Repair Upgrade Abandon �Com lete System ❑Individual Components
e Application for a Permit to Construct O epa O pg (� O p y p
Location Address or Lot No.ZS0 �� � `> �50 3� Owner's Name,Address,and Tel.No.
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Type of Building:
Dwelling No.of Bedrooms Lot Size t{ A cr-s sq-ft. Garbage Grinder 06)
Other Type of Building No.of Persons Showers( ) Cafeteria( )
Other Fixtures
Design Flow(min.required) (C 6O gpd Design flow provided 057 gpd
Plan Date NDuer+1bAr Z, 7,WCI Number of sheets Revision Date
Title S k YCe a, Jena
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Size of Septic Tank I� fi�� Type of S.A.S. t sirs ' `x� 1 r l' ✓�
Description of Soil (�-
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2$' C_ Coa ur Z.S`( lcl4
Nature of Repairs or Alterations(Answer when applicable)
Date last inspected:
Agreement:
The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in
accordance with the provisions of Title 5 of the Environmental Covpd not to place the system in operation until a Certificate of
Compliance has been issued by this Bo d of Health. L
Sigge ' Date 0/0
Application Approved by Date
Ir
Application Disapproved by: Date
for the following reasons
Permit No. / Date Issued
—————————————————— — ———————— — —— —————— — '
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\ PU`BLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS
' Application fpr;Zi5po,�al �kp trm Con0truction'PErmtt
Application for a Permit to Construct O Repair( )`' Upgrade a:_ bandon O Complete System ❑Individual Components
Location Adtrress or.Lot No.750Jsj P7 e5o`��l Owner'`s Name,Address,and Tel.No.
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Type of Building:
Dwelling No. of Bedrooms Lot Size y.(p�CQ�S sq-ft. Garbage Grinder.(A)
Other Type of Building No.of Persons Showers( ) Cafeteria( )
Other Fixtures
Design Flow(min.required) (�(p o gpd Design flow provided gpd
Plan Date AkVe btr Z 7,069 Number ofsheets Revision Date
Title 7 cb -sc 1 J e meN 5
Size of Septic Tank ISIa fo.� Type of S.A.S. qf,-,'DgJSIcS �.� a 7 x(o Ott '�Irl\l �H��
Description of Soil Rr, N -9�
Nature of Repairs or Alterations(Answer when applicable)
Date last inspected:
J V
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 EnvironmenWC-odle, d not to place the system in operation until a Certificate of
Compliance has been issued by this Board of Health.
YAW—
Date �i 6 0 0
Signed T, r►! A.
Application Approved by _ /.��� _ /y1 s /f�'/f �J/h#' Date --
A plication Disapproved by: 1 l V v Date
for the following reasons
Permit No. (/ Date Issued
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i THE COMMONWEALTH OF MASSACHUSETTS
BARNSTABLE, MASSACHUSETTS
Certificate of Compliance
THIS IS TO CERTIFY,that the On,--ssite Sewage Disposal System Constructed ( ) Repaired ( ) Upgraded
Abandoned( )by SI�k?r/i/) t 1UfJI�[
at u P � n5�,,�1� has b en constructed in ac ordance
with the provisions of Title 5 and the for Disposal System Construction Permit No. dated
Installer 91,urP Designer
#bedrooms ( Approved design flow I //� gpd
The issuance of this permit shall not be construed as a guarantee that the system wil f cbiom as designed.
Date 1 1 -7 ho Inspector
/�� -�� � �:�,.�a�r�.��..f�.w++►��..i.+i}ltii+i4�ili�rLt e�.t..�.►.•T'I�TS�1���l+R�tT!f!�a'i.Irrt`\1.+w�ST��;►�tlT�
No. (/ �-/� Fee V
THE COMMONWEALTH OF MASSACHUSETTS
PUBLIC HEALTH DIVISION-BARNSTABLE, MASSACHUSETTS
Th6pont 4pftem Construction Permit
Permission is hereby granted to Construct ( ) Repair ( ) Upgrade (/} Abandon ( )
System located at 7 S6 W,n&Q P ut
and as described in the above Application for Disposal System Construction Permit.The applicant recognizes his/her duty
to comply with Title S arid'the following local provisions or special conditions.
Provided: Construction must be completed within three ye''ars f the date of t 's pe
Date I I Approved by f 0A A
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Residence for: Gerald & Lucy Blakeley 250 Windswept Way, Oyster Harbors, Ma.
ENGINEERING BY: DESIGN BY: SITE ENGINEERING BY:
iv ORTHSIDE
TALO Y R DESIGN ASSOCIATES Ca eSury A- >
P .
DESIGN �� �.
28 BARNSTABLE ROAD NYANNIS, MA. 7 Parker Road G� "w�
508 790-4686 ,+I( ) �j
ASSOCIATES Osterville MA 02655 u,
(508) 420-3994 / 420-3995fox 1O
DISTINCTIVE RESIDENTIAL & COMMERCIAL DESIGN www.copesurv.com
141 MAIN STREET • YA • "C7 per'RMOUTHPORT MA 02675
(508) 362-2210 (508) 362-9802
i
LIST OF DRAWINGS
I SHEET A.I FIRST FLOOR PLAN
SHEET A.2 SECOND FLOOR PLAN
' SHEET A.3 FOUNDATION PLAN
SHEET A.4 ELEVATIONS
SHEET A.5 ELEVATIONS
I SHEET A.6 BUILDING SECTIONS
SHEET E.I FIRST FLOOR ELECTRICAL PLAN
SHEET E.2 SECOND FLOOR ELECTRICAL PLAN
SHEET 1.1 INTERIOR ELEVATIONS
SHEET 1 .2 INTERIOR ELEVATIONS
SHEET I.B . INTERIOR ELEVATIONS
1
1�
1
EQUAL EQUAL _
ADD 9UPPORT�IN EXISTI G WALL9 OR NEW COLUm"S
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-----—----------------------—--------------------------------------------------------—-----------------------—--I
•
---------------------------------- CONTRACTOR TO REMOVE
;14 RELOCAT 9 EXISTING WINDOW 1� EX SHE ROOF
BALCONY CONTRACTOR TO REMOVE A.6
EXISTING M
FWG6ftb BATHROOM EATER F
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T ENEW XIST.
TO REPLACE Is W FILL-IN EXIST.
EAVE EXIST. N N LOCAT17 I
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-- ----------------I.------- -- -------------------- ------------------------------------------------- --------
VERIFY
CHUM, II t 1i NEW RENOVATED
,j I WALK-IN BATH
RIENOVATED HALF WALL
CLOS
MASTER BEDROOM I Kol
EXISTING r EXISTING
-----------------11J. (0 EOP BEDROOM L BEDROOM
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CONTRACTOR TO REUSE
I I - L EXISTING INTERIOR DOORS
WHERE POSSIBLE —-------------------------------------------------------------------
u - -----I
CONTRACTOR TO REUSE
WFIER -DOORS---------I+ALLWAY----------------------------------------
----- ----------
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F
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ONTRACTOR TO
ELOCAT.EXISTING z RENOVATED
DOOR L---
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L-------------- T r I ., I< I 1�-Az��4j ---- F w AREA FOR j
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'I-CEILING FOR FUTURE
DUCT WORK.
DW EXIST,C
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I NOTE,
ALL EXISTING WINDOWS TO BE REPLACED
J -j. W:TM ANDERSEN 400 SERIES WOODWRIGMT EXISTING W
------I - WINDOWS OR EQUAL.ANDERSEN REP.TO
r7------- -------- 1:OF
VERIFY WINDOW SIZES FOR ORDERING IT BEDROOM I " I r d PRICING, TYP. G
RENOVATE
OPEN To BELOW BATH
COt TRACTOR NOTESI
-
1.RE'LACE EXISTING WINDOWS WITH DOUBLE-GLAZED ANDERSEN P400DWRIG14T ---------
---------- ----------
WI IDOWS I USE ANDERSEN STROMFLATC14 ON THE NEW BAY WINDOW ONLY,
IN,TALL CENTRAL AIR CONDITIONING SYSTEM TO REMOVE MOISTURE, F
AT:FILTERS;SEVERAL ZONES
F:
F_>TFRIOR: 5 JAY 2. 22'-9l 3 -10),'
I. RACTOR TO INSULATE ALL EXTERIOR WALLS WIT14 BLOWN IN
C LULOSE INSULATION.
2.R ACE ALL DEFECTIVE TRIM MATERIALS AROUND EXTERNAL DOORS CONTRACTOR TO RE a
A FROM
SMOHm. EXISTING NEATER MOV
B..R LACE GUTTERS FOR LARGER CAPACITY ALUMINUM GUTTERS, WITH BATHROOM
NSPOUTS TO GRAIN INTO ORYWELLS.
G. IN TALL MASONARY SLAB CLAP ON CHIMNEY AT SOUTH END OF MOUSE
a DESIGN AS EXISTING MAIN CHIMNEY TO BE DEMOLISHED, WALL KEY
S.P. NY FR
ONT OF MOUSE LIGHT YELLOW WITH WHITE TRIM, REPLACE
W rw 3 EXPOSURE CLAPBOARD. B EXISTING WALLS
6.It -LACE EXISTING,SIDING ON SOUTH,WEST AND NORTH WITH PRE-DIPPED AA
H ITE CEDAR.COLOR TO SELECTED BY OWNER, WITH WHITE TRIM, ADD HALLS TO BE REMOVED
T VEK OR EQUAL]BEHIND SIDING. 0 DOOR SCHEDULE 0
7.A 0 RAILINGS FOR BOTH FRONT AND KITCHEN ENTRANCE WALKWAYS NO MANUFACTURER TYPE SIZE REMARKS0 PROPOSED WALLS
& SHOWN.
5. D1 :K ON NORTH SIDE OF BUILDING TO BE DEMOLISHED AND RECONSTRUCTED f T.B.D. 6 PANEL FINE WOOD
P1 R PLANS, INCORPORATING NEW STEP TO GRADE AND PATIO TERRACE ON
W,TER SIDE OF HOUSE.
2 T.B.D. 5 PANEL PINE WOOD W-0.0-b*
R.Ct NTRACTOR TO INSTALL NEW PATIO TERRACE APPROXIMATELY W-O'WIDE a T.B.O. PANEL PINE WOOD
IN FRONT OF THE MOUSE ON THE WATER SIDE BETWEEN BEGINNING AT THE
EC SE OF THE SUN ROOM AND CARRYING AROUND TO THE END OF THE NEW DECK. 4 CUSTOM PANEL PINE WOOD 2)1'-9'.6'-8'
EL :CTRICAL:
1.IN TALL SECURITY SYSTEM FOR FIRE, COLD TEMP, 13ReAK-IN, ELECTRICAL
K TER SHUT-OFF BOTTOM
2. IN TALL GFCI OUTLETS IN ALL BATHROOMS(FIRST AND SECOND FLOORS) STATE AND BUtUING COOTS VMT
3. IN TALL EXHAUST FANS VENTED TO OUTSIDE IN ALL SECOND FLOOR BATHROOMS.
4. RE-1aVE BATHROOM WALL HEATERS.INTERIOR WALLS OF'BATHS TO 14AVE THIS PLAN INVALID DATE REVISIONS �Tv=X co� x WE 10 9CALE: 1/4"-j'-o"
MS"D TICIII vmmus S" COPYRIGHT
AS -
W,INSCOTING COVERING Up TO CHAIR RAIL HEIGHT WITH BEAD BOARD. UNLESS ACCOMPANIED *[Arm[*AM EI
No WATUSALS,4%==W
.5.�Rf'LACE BATHROOM MEDICINE CABINETS AND HALL LIGHTS. BY A COMPLETE SET OF DESIGN W�n'..m C"4S"`,xm NORTHSIDE NORTHSIDE HEREBY EXPRESLY SECOND FLOOR PLAN
6. IN!TALL DIMMERS,ON LIGHT SWITCHES(KITCHEN, DINING ROON). CONSTRUCTION DOCUMENTS, SAIPER.Sl'''15.='"' RESERVES ITS COMMON LAW 0 1 2 4 a
AI.A.M 14. E 11.UASUI)F COPYRIGHT. THESES PLANS ARE
NUMBER OF DRAWINGS IN SET. FOR ANY TOSSES M DAWAGES.KIIRRCD DESIGN HOT TO BE REPRODUCED
7. RE IOVE NON-USED WIRING IN BASEMENT. DRAYM m To[ItIKII,S m owssm"s-1 Tw PROPOSED ADDITIONS TO:
KA"M STT�TTA,& CHANGED OR COPIED IN ANY DATE: SHEET NO.
1EFI1TETC[ES 14 ASSOCIATES
THE asp DES�ADVISES FORM OR MANNER WHATSOEVER
—T—OK cowvEHON.mBSM.-Z' DISTINCTIVE RESIDENTIAL&COMMERCLAt HOUT FIRST OBTAINING THE BLAKELEY RESIDENCE
St BE A W DESIGN EXPRESS WRITTEN PERMISSION
III AI41I T`MVAJ� mPORT- LIA 02675 OYSTER HARBORS CHECKED_ FrVEOWEM"r XA"T`NAj/gK'"WF'EFC(TMAN, 141 MAIN STREET YARVOUT , AND CONSENT OF NORTHSIDE 10/13/09 A.2
IN (SOB)382-2210 5m) 2-9=2 DESIGN. 05TERVILLE, NA.
B
A.6
A
A.6
1 CONTRACTOR SHALL 46'-�.
cL CENTER ON EX19T. RIDGE MAINTAIN 45'MINIMUM 7'-10•
F B' THK x 4'-O' 3'-O' 10'I B FOOTING COVERAGE
' 9'-O'
CONIC.WALL ON
CON'T t6'xB' CONC. 5'-4-
FOOTING _
b
1
m ` GRAWL�SPACE \ \�
—_—f�)•—_—______ __ I EXISTING
NEW
t NEW CONCRETE II`-RED FOUNDATION CRAWL SPACE `IN EXISTING WOOD rzc
J NOTE,NOTE, E) ION)
- WALL UNDER N PAY WINDOW
CONTRACTOR TO LEVEL AND EXISTING
i PROVIDE e7 REBARs• INSTALL 7'DUST CAP AT ALL CRAWL
12'O.C.VERT IN -
SPACE AREAS. CRAWL SPACE
-EXISTING FOUND. WALL NOTE,
� CONTRACTOR TO LEVEL AND
I r___------ -- INSTALL T'DUST CAP AT.ALL CRAWL ZI
0
SPACE AREAS. V
`-n -----_ i ADO NEW SUPPORT IN -- —_— A.6
E%191TNG STONE WALL p
I FOR NEW COLLINS. EXISTING
CRAWL SPACE EXISTING ¢xISTING
---f• -- CHIMNEY FOUNDATION TO REAMAIN
/ t— —'—"—"— !�L FULL BASEMENT Y _ W`__T FULL BASEMENT
'1- CONTRACTOR TO LEVEL AND ' EXIST.
INSTALL 1'DUST CAP AT ALL CRAWL rF=
i SPACE AREAS. 0'XW PIER, TYP. _
1
4___—___—_�.__- -�___ _�- EXIBT. POST '4'-4'TALL CT.FNDTN.WALL —i _— i� 11000 FRAME WALL _
___f�••`} CENTER
�T•/ ON EXISTING
-
4'-1 1/2'TALL CONC.FNDTN.WALL
10'-R' I I
UP DQ
WOOD F E MALL
DQ
I I
___ UP
EXISTING
- EXISTINGCRAWL SPACE i 'I
CRAWL SPACE a¢rF. 1 EXISTING
CONTRACTOR TO LEVEL AND jj
INSTALL 0'DUST.-CAP AT ALL CRAWL I t -
SPACE AREAS_ I I
.NEW LANDING AND
. .. STEPS ASCIVE .
TYPICAL NOT
ES:
STRV-TURAL ENGINEER/DESIGNER TO PERFORM FRAMING INSPSECTION
WHEN FRAMING IS COMPLETE AND PRIOR TO ENCLOSURE BY INTERIOR '
WALL PLASTER BOARD/FINISH,
CONTRACTOR SHALL SCHEDULE AND PROTECT FORM WEATHER ALL
EXISTING HOUSE COMPONENTS AND INTERIORS DURING CONSTRUCTION -
AND CONSTRUCT TEMPORARY STRUCTURES/ENCLOSURES AS MAY BE '
NECE55ARY TO INSURE SUCH PROTECTION. '
CONTRACTOR SHALL SITE INSPECT ALL EXISTING VS. PROPOSED
CONDITIONS PRIOR TO AND DURING CONSTRUCTION AND NOTIFY DESIGNER
OF ANY DESCREPANCIES AND/OR CHANGES THAT MAY BE ENCOUNTERED.
CONTRACTOR SHALL CONSTRUCT AND MAINTAIN TEMPORARY WALLS/
SNORING ETC.TO MAINTAIN/PROTECT EXISTING HOUSE AND STRUCTURAL
INTEGRITY OF EXISTING HOUSE.
CONT ACTOR SMALL INSPECTERIFY ALLED
CONDITIONS PRIOR TO SITE AND DUR NGNCONSTRUCTION ATND ING MAKE ADJUSTMENTS A.6
AS NECESSARY TO INSURE COMPLIANCE WITH DESIGN PARAMETERS AS B WORK PROGRESSES. -
STAR AND LOCAL 6UMNG[ODES VART
N
DATE REVISIONS a %Y AEAOS4 ENE canmc MEW
THIS PLAN INVALID TNs AND PANT OTNm vAmA6E[s sua COPYRIGHT
As N[.rN[a ANp 5oO cpNgnON6.euu- NORTHSIDE FOUNDATION PLAN'
UNLESS ACCOMPANIED Du4i YAt[A14S IM 4(Rosvenln a NORTH9DE HEREBY E%PRESLY �
BY A COMPLETE SET OF DESIGN aN-Sr[wsoctnaN ON taNsrRucnoN
SUMMSOIA ETC- NORMSIDE MOM RESERVES ITS COMMON LAW 0 1 2 4 6
CONSTRUCTION DOCUMENTS ASSAAS NO R[SRONS&UTY OR uMUTY COPYRIGHT. THESES PLANS ARE
DESIGN
NUMBER OF DRAWINGS IN SET: ME TO ERRMS ON OIAS N6 IN^ ASSOCIATES NOT TO BE REPRODUCED PROPOSED ADDITIONS TO: DATE: SHEET NO.
DRAWN FA S m smucIDRAI OEEmcxacs'. CHANGED OR COPIED IN ANY
THE DESIGN.NMD OEvw ADMscs FORM OR MANNER WHATSOEVER BLAKELEY RESIDENCE
CHECKED tit4l MAN nuT EEFORE COWOKAIG t ,SO,CT-L WITHOUT FIRST OBTAINING THE
„ mESE PUNS eE uxrH rD rwa Lout DINE RESIDENTIAL AI COMMERCIAL DESIGN EXPRESS WRITTEN PERMISSION OYSTER HARBORS 10/13/09
F w'�Ap Tom"u ��%aN� N STREET YARMOUTHPoRT•MA 02675 AND CONSENT OF NORTHSIDE
vossmu DIYREP[NCaS N S1RGClURN (DGB)JD2—Y2IO (SOS)3W—DBO] DESIGN. OSTERVILLET MA.
i
PATAICIK- ASBARNi
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BUIWn.MA 0211. E4--..MA
P.AI7.2 .1710•' P:508.V.19.0 I2
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21'-0' 10'-0"
Holian
6'-31" Y-87' 1 .
® Residence
1Ul ,00 - Ose rvilleSMassachusetts
J General Notes:
♦♦\ GENERAL CO ACTOR SHALL MAKE ALL
I BAR I i OF THE REQUIREMENTS
ME RS AWARE
I I .w
- —r— ♦ I 3'-6j' 3' OF
THE RE12VDIEMETSOi THESE NOTES.
4 OUTDOOR
j IU SHOWER s ALL NCEWI WITH
APPLICABLE LOCAL,
I-
♦�`� / i PLIANCE WITH ALL APPLICABLE LOCAL,
E,
IO2 dd STATE AND NATIONAL BUB.DNG LIFE
♦ ; i ---- SAFETY.ELECTRICAL AND PLUMBING CODES
__.1 ________________```-�x__________________________ _ ____j 4
— — ♦ — — 3. GENERAL CONTRACTOR SHALL BE RESPONfr
cV� CyKBAI�jA .I MUD,♦♦ IDLE FOR G I SS
AR1'FOR CnMPLETON PE OF W 0RK THRO EUGH.
ROOM ♦ OR THECOT-47F 'UMETSt. GENERAL CONTRACTOR SHALL LAI UT�If
1O*I Y — MEFELOTHE ENTIRE WORK TO BE P S ER.IN
D FORMED TO VERIFY SHIPS BEFOREC STRE,UCCTNIG ANY PART.ONAL R I7N
ANDSHALLVERIFYALLEXISTINGCONDIT-
n r
IONS AND LOCATION'S BEFORE PROCEEDING
GENERALCONTRAR IN aTION BE IME NS-
2.-T1. 4.0' - .4.-0.. Y-T1,
' IRLE FOR THE CYI ORDINATION OF DIMENS
HAL
IREMENTS
REQUREUD TRADES SI1B--C EN ME WORK
NTAAfTORS.
ANYDISCREPANCIES FOUND IN THE PLANS.
a / ♦
i
DO4ENSIONRR.R IN
N HE CLASSIFYING
GANY
APPARENTI N OF NTHE CLASSIFYING OR
OR METHOD OF OF A PRODUCT,MATERLLL
ASSEMBLY IS TO BE
Y-81' b'-31' 10'-b' .. 10'-6' 6'-31' 3'-8}^ - - BR OUGHI'TOTHEATTENT10NtFTHE CE.
NERAL CONTRACTOR IMMEDIATELY,
REGARDLESS OF WHETHER OR NOT AN REM
I _ IS SHOWN OR SPECIFIED,THE UENERAL'CON-
-4.0 TRACTOR SHALL PROVIDE SAID ITEM IF IT IS
_ NECESSARY FOR THE PROPER INSTALLATION
IIR FUNCTION OF AN ITEM SHOWN OR SPEC.-
i MD.SUPPLIERS AND SUBCONTRACTORS
SHALLINFORMTHEGENERALCONTRACTOR
OFTHEIA REQUIREMENTS FOR THE WORK OF
�7 OTHER TRADES,WHIM MAY NOT BE INDI-
.. FLOOR PLAN CATER.PRIORTOSUBM1TTALOFFNALBID
FOR WDRK,
IL_l I/4n_,'_D„ DR
AWINGS SHALL NOT BE SCALED FOR'
l HAVE
E BE]ZH AND/OR SIZES. A SWINGS MAY
' HAVE BEEN R6PRODUfED AT A STALE Off-
' ERET THAN nRIGINAI.LY DRAWN.
Drawing Copyright:
ANDPAKUM AH ARN.ALLE PR.
ANDRVE THKCOMM N.ALA.E%PRESSLI'
' RESERVE ONE COMMON S IN THPY RIGHTS MU
OTHER PROPERTY RIGHTS N THPER DRA WINGS.
• THESE DRAWINGS ARE TILE PROPERTY DF
PAT RICK'AHEARN ARCHITECT.AND
LLLAND
PATRICK RED.A ALA.AHD SHALL NOT BE
RE ASSIGN ED O ANY MANNER NOR SNARL THEI'
BE ASSIGNED FOR SE TU ANY THIRD P.ARTI'
LEGEND WIWRITIE7JP ESSBIIGTON OFPAT"EE IRAHEIE
ARfHITECT Ll.f.AND PATRICK AID'.ARN.AIR.
s� SMOKE DETECTOR O A-HALO H-99 UNE VOLTAGE RECESSED LIGHT W/ .
MITESTEPPEDBAFFLE.PROVIDE SHALLOW
-0 CARBON MONOXIDE DETECTOR INSULATED CAN UNITS AT SLOPED CEILINGS.TYPICAL
HEAT WO RECESSED LIGHT WITH WATERPROOF ENCLOSURE. CABANA'
DETECTOR FLOOR PLAN&
ELECTRICAL co UNDER CABINET LOW VOLTAGE
OUTLET LIGHT
4 CASLE/NETWORK) WALL MWNTED REFLECTED
—S— SWTCHPHONE PO LIGHT REFLECTED
FIXTURE CEILING PLAN
—S— THREE-WAY SWITCH WALL SCONCE.TO BE SPECIFIED
-0' DIMMER SWITCH
A> CEILING PENDANT-TO BE SPECIFIED (�
TOILET EXHAUST FAN SURFACE MOUNT FIXTURE-TO BE SPECIFIED August t 9P 2021
eA CLOCKSOCKET,SEE WTR ELEYS CLOSET LIGHT ON JAMB SWITCH
r FOR WALL LOCATION ISSUE DATES
❑BIDDING:
❑PERMIT:
REFLECTED CEILING PLAN GENERAL NOTES ❑CONSTRUCTION.
FINISH CEILING HEIGHTS ARE NOTED IN THE FORM X-X'.
ALL CASED BEAMS AND SOFFITS TO BE VERIFIED IN FIELD WITH ARCHITECT'ACCORDING TO CEILING HEIGHTS. REVISIONS:
O Date:
MILLWORK PROFILES. ❑Dale: -
A I"X 6'ON-TIE-FLAT CEILING PANEL WITH AAM a 16671318-BASE CAP. ❑Dele:
B. I'x a'ON-THE-FIAT CEIUNG PANEL WITH A4M#16 6 7 1 3/8-BASE CAP. ❑Date:
C. CROWN MOULDINGASMW5060 QDat e:
D. CEILING BATTEN W/MON-THE-FLAT WITH A&M N 16671318-BASE CAP.
ARCHITECTURAL STAMP
rr�REFLECTED CEILING PLAN ELECTRICAL PLAN GENERAL NOTES
I )/4"_1'_0" 1. POWER OUTLETS ARE TO BE LOCATED PER THE ELECTRICAL CODE,ONLY SPECIFICALLY REQUESTED LOCATIONS OF
OUTLETS WILL BE SHOWN ON THE PLAN.
2. GFI OUTLETS AT BATHROOMS 6 WET LOCATIONS TO BE LOCATED PER ELECTRICAL CODC.TYPICAL
3, SWITCH LOCATIONS TO BE COORDNATED W FIELD WITH ARCHITECT AND OWNER.
4. ALL CLOSETS.INCLUDING LINEN,TO HAVE ONE LIGHT WITH JAMB SWITCH UNLESS OTHERWISE NOTED.
S. EXTERIOR UP-LIGHTING AT WINDOW WELL TO BE COORDINATED WITH LANDSCAPE ARCHITECT
I
t
A- 1 .0
f
YATRIQK' AHBARN
- _;ARoxnmF
+I60 fommmrdN Arrnue I.Wwl°�.MA
Bwum.MA 02116^. P:"""'n.MA
P:n1I.3nti.N1Un .P:50B.v19.viD
F:bUSne.33%nF..V�B.9)v.v0,16
r
The
Holian
° Residence
250 Windswept Way
Osterville,Massachusetts
General Notes:
' - GENERAL COMPACTOR SHALL MAKE ALL
SUBCONTRACTORS AND SUPPI EERR AWARE
OF THE REQUBTENffNTS OF THESE NOTES,
ALL WORK SHALL BE PERFORMED IN COM-
- • PLIANCE WITH ALL APPLICABLE LOCAL.
3
- — - - • STATE AND NATIONAL BUILDWO.LIFE
SAFETY.ELECTRICAL AND PLUMBING CODES.
3. GENERAL CONTRACTOR SHALL BE RESPONS
3T4"
®LE FOR SECURING ALL PERMTTS NECESS.
AR YFORCOMPLET1ONGFWORKT EDUGH-
OUT THE CGNTRACT DOCUMENTS.
Ai. 24'-7j" 12*.j" AJ .
ERALCONTRACTOR TRAIREWOSHALL KTOBLAYOUTIN
13�2j" 5'413" T-Y 5'-5j" FOMELDTHEENTDIMEHKT08EEER-
374' SHIPS DTOVERIFYTRUCTIIG AN PART.
BEFORE VERIFY
ALL EMST ANY PART.
HOOD WI SLIDINGTRACK ABOVE PAND ONSANLLVE0.1FYSBEFOSTINGCONDIT-
WITH NT3 LOCAlIGNS BEFORE PROCEEDDG
' �---- --- wlrx wGRK.
IO4, I.5UDING DOORS 19 I lO9 GNER.LLCONTRACTOR SHALL BE REPONS.
11 BETWEEN
E N ME WO'
-- _ OF AL REQ EOUIREMDES SUB. NTACTOm"
IL I OF 0.EQUBIED TRADES SUB-MMRAfTOR.S.
:�..UP ANY DISCREPANCIES FOUND IN THE PLANS.
I I - DD NSIHNS.EKISITNG CONDDIIIN$OR ANY
I / APPARENT ERROR IN THE CLASSIFY W G OR
SPECIFICATION OF A PRODUCT,MATERIAL
OR 102 ^ \ / BROUDHTOD OF ASS LY IS TO BE
TOTHEATTENTION FTHEGE.
1'-6
12 NERAL CONTRACTOR IMMEDIATELY.
' 3' 10'-6" f 8'•I I' a
• REGARDLESSOF IFIED.T ORNOT A ITEM
iSSHGW�I ID I I +• \ / TRAMNSHALL PROVIDE
ROOM TRACTOR SHALL THE PI UI[NSTEMIFITIS
NECESSART 1D4 I FIZASLTPG3 FOR BERSANDSUBfO�NTRACTORS ON
IO I I GALLERY
� �/ I 2STGRY CALLER\ / 25UURY$TUDIU GR FUNCTIGN GF AN ITEM SHOWN OR SPECI-
GAL LE R 1 I I SHALL INFORM THE GENERAL CONTRACTOR
STORAGF/I I CASED BEAM I I STUDIO OPEN TO BELOW OPEN TO BELOW OF THEIR REQUIREMENTS FOR THE WORK OF
I 108 2
' OPT.BAR w n ^ . _ 12 4 q
4 ———————
q --- — 2$TORYSPACE I w ----------------- ----- — TGSUBMRTALGFFTNALBID
I F— ------1 I ��
CATHEDRAL CEILING 3. -3. 'I` • -3' GATED.PRRIROTHER .WHICHMAYNOTBEINDI-
- ---- WIDE PLANK � // I \\ FOR WORK.
II _ 25TURY SPACE 00� LOB
I S PINE ANTIQV'
I I I r WIDE PLANK I \\ D FOR
DIMENSIONS ANDNR SIZES DRAD WINGS SHALL NOT BE EWINGS MAY
AN'TI%JE PINE FLOOR i \\ HAVE BUN REPRODUCEDATASCALEDff-
ERENT THAN ORIGDJALLY DRAWN.
O I \
DrawingCopyrighe
D / I \ RESERVE TID:COMMON LAWCOPY RIGHTS AND
OTHER PROPERTY RIGHTS M THESE DRAWINGS.
/ \ THESEDRA EARN ARE THE PROPERTY'OF
MEr HI Tn� / I \ PATRICK AHEARNA tA.AN SHALL
I R / \ RATRICKAHBARN.AIA,ANDSHALRSHTEE
ALL
STORAGE IO2 I / I \ BE PRODUCDFORUSMANNERNORSNA.THEY
WIDE PIA N I I / I \ BE
FORUAINING YTHIRDPARTY
TIQSIE PIN _. 101 / \ WITHOUT FIRST USSIONNINOTHE IUCKPRESSED
a'r--- ---- - ARITITECT LU I AND
1O$ ISLIOING DOORS OD I 1OO 4'-5j" 2O1 Y-111" ARCHTIECT TIC AND PATRICK AffE1RN.AU.
L————— ————— ------ -- J _ (�T DI /IB
. 5•-5j. 2'- 4'-5j" 5'-1Ij" T_3" 5'-5j" 14 2j" 10.5^ IY-aj" �71 VlllO/DARN
T-91- 6'-5" 1015" HOOD WITH SLI INGTRACKABOVE 1•,K," - FLOOR PLANS
1
August 9,2021
n FIRST FLOOR PLAN �1'LOFT LEVEL PLAN ISSUE DATES
II ''
IJ ❑BIDDING:
❑PERMIT:
0 CONSTRUCTION:
REVISIONS:
O Dbr<:
0 D.I,:
❑Dam.
_ . ❑Dau:
❑Date:
ARCHITECTURAL STAMP
A- 1 .0
I
k
g�
Finish Grade
(0 rn
Filter
N Fabric
Compacted Fill AND/OR
118„ _ 112»
�j 8 8 0 8 B 8 Pea Stone
B
314 - 1 1/2
Double
"
DESIGN DATA >42' Ste washed
Single Family
3 Bedroom @ 110 GPD
No Garbage Grinder CROSS SECTION OF FLOW DIFFUSOR
Total Daily Flow=330 GPD
Use a 1500 Gal H-20 Septic Tank NOT TO SCALE
LEACHING AREA
330 GPD/0.74(LTAR)=446 SF Required
Sidewall=2(12'+32')XO.96=84 SF
Bottom Area=(12'x 32)=384 SF
468 SF Total Provided(346 GPD_
Vent
LEACHING CHAMBER DESIGN GARAGE SLAB
All Pipes to be Schedule 40. Use EL. 13.60 Access Cover (typ.)
3 Concrete H-20 Flow Diffusors in a (See Note 6)
12'x 32'Double Washed Stone Field as Shown. F.G. EL. 13.0 F.G. EL. 12.0
rn Flow Equilizers
EL. 10.75 As Required
Installer To
F1
Confirm Prior EL' H-20
To Any Work 1500 Gallon El.. 9.75 EL H-20
Septic Tank D-Box EL. 9.25 Tog EL. 9.5
a a ® ® ® ot. EL. 8.00
EL. 8.96 Flow Diffusor
To Be Installed On H-20
SEPTIC NOTES ale Compacted Base ;f)
1.Location of Utilities Shown on This Plan Are APP rox.At Least 72 Hours Bedding,"T"s, & Baffels
as Per Title 5 lf: ��eounterei}. Reri�oue &'.Repla.ee.`:. El. 3.00 - TH-3
Prior to Any Excavation For This Project the Contractor Shall Make ;
the Required Notification to Di Safe 1-888-344-7233 . all .t nsu%table:Soi15.`kVr'tliin.. ...mf. .
�i g ( ) the QutEr:' Th.....S-4sm:
2.The Contractor is Required to Secure Appropriate Permits From Town
...................... ....... ...
Agencies For Construction Defined by This Plan.
3.Wherever Sewer Lines Must Cross Water Supply Lines Both Lines Shall
Be Constructed of Class 150 Pressure Pipe and Shall be Water Tested to Assure Watertightness. In General,Water Lines Shall be Constricted in DEVELOPED PROFILE OF S YS T EM
Coordination With Cotuit Water,and Shall be in Accordance
With 248 CMR 1.00-7.00&310 CMR 15.00: NOT TO SCALE
4.A Minimum of 9"of Cover is Required for All Components.
5.All Structures Buried Three Feet or More or Subject
to Vehicular Traffic to be H-20 Loading.It is the Engineer's
Recommendation that H-20 Always be Used
6.Install Access Risers and Covers to Within 6"of Finished Grade Over
Septic Tank Inlet and Outlet,D-Box,and Two Leaching Chambers. PERC TEST: 12 717
The Riser and Cover Over the D-Box Shall be Watertight.
7.Septic System to be Installed in Accordance With 310 CMR 15.00& PERFORMED BY:JOHN O'DEA,PE- SULLIVAN ENGINEERING
248 CMR 1.00-7.00 Latest Revision and the Town of Barnstable SOIL EVALUATOR NO.2911
Board of Health Regulations. WITNESSED BY:DAVID STANTON,R.S.-TOWN OF BARNSTABLE
8.All Piping to be Sch.40 PVC. SEPTEMBER 22,2009
9.D-Box Shall Have a Minimum Inside Dimension of 12",and a Minimum TEST HOLE - 3
Sump of 6". TEST HOLE - I TEST HOLE - 2
10.The Separation Distance Between the Septic Tank,and Tank Inlets and EL. 12.5 EL. 12.5 UNWITNESSED EL. 13.0
:::::::::.:.::::::: :::: ::.:.....:........... ....
Outlets Shall be No Less than the Liquid Depth.De th.Inlet Tees Shall
Extend
Extendl4
a Minimum of 10 Below the Flow Line.Outlet Tees Shall
I tOA :: :::: : U ::::::::::::
:.:.:::....:::::.:......:..................................................... -..::::...*'*':--..:Y;fIAM:.`::.i.`
E With a Gas Baffle. '::::: ::..:........::.
Flow Line and Shallbe ui ed :::,:::::::;::::::::::
Below the o
f 11 ........................................... .... .. .... ��.:::::::................::..:.........::.:::.:::::::::::::::::::::.:::::.::::::. ::: .:::::::......:::._:::.::::::::::: •..: ::.:: .. .......
q P
9 ::.: 11.8 11 ::: 11.6 8 :::
..................................................... 12.3
............. :::.::::::::. B:LAYER:10YR518:::...
.............
; LLd. �R WIC :."": YELLOWIS SROWIq:: ..
...:::.: .:::::f}::.:: .::::.: ::.. :::::::::::.:::......::::..... .. .................... ....... »::":; ::::Y:ELLf3WISff.BROWN'
::::::::::::.::.:::::..........::::::::.:::::::::::::::::::::::::::::::::::::::. OF
..... :; :; LOAM3t SANil:::.:.;;::: :: ��............................LOAMY.SANI3:: P N iti9q S_...................................._............... Lf?AMY.SI ND:: .
28 . ................... 10.2 22 11.2c
C LAYER 2.5Y 6/4 0� ,9t7NpNEC. y
LIGHT YELLOWISH BROWN LIGHT YELLOWISH BROWN LIGHT YELLOWISH BROWN cc)
126" MED.SAND 2.0 MED.SAND 120" MED.SAND 3.0 "
NO GROUNDWATER ENCOUNTERED 46" $,7 NO GROUNDWATER ENCOUNTERED o.48168
25 GALLONS IN 15 MIN.
120" PERC RATE<2MIN/IN(LTAR=0.74) 2.5 ssI0P1 r}�E��
NO GROU1qD"WA1TR-E1TC0U1qTEM
_ Add Pool Area Septic 1012612021
Add Garage Invert Elevations 10 25 2021
Update Garage 10 20 2021
REV.: Update Pool & Cabana Footprints 08 23 2021
PREPARED FOR: PREPARED BY. TI TLE SI to Plan
N
ee CapeSurvProposed ImprovementsHolian Family Realty TrustSuffivancowft'im� f
23 West Bay Rd, Suite G At
�� �� Osterville MA 02655
(508) 420-3994 / 420-3995fax
250 Windswept
'Way LQ~
Bamstable (Oyster Harbors)Draft: JOD Field: MLL/DWB (n
30 0 15 30 60 120
MA
Review: JOD Comp/Draft/Review: MML/RRL DATE: 2021 SCALE:
Project: 41005 Drawing # C423_6x1 Feb. 22,
T
ZONE:
F-R 1 (RPOD)
rtt t Area (min.) 87,120 SF
EaterFronta?,e (min) 20'
Width (min) 125'
A, q� Setbacks:
Front 30'
Side 15'
y' 4z
0 Re
ar 15'
X
'R
u
'a
OVERLAY DISTRICTS:
AP Aquifer Protection District
Estuarine Watershed District
A P.,
FEMA FLOOD ZONES
Zones V17 (EL13), All (EL11), 8, & C
Panel # 250001 0018 D (rev. July 2, 1992)
LOCATION MAP
1"--2000'±
ASSESSORS REF: I ___ _ \
Map 051, Parcel 012
DIRECTIONS:
From Hyannis - Take Route 28 into Osterville;
At the lights by White Hen Pantry take a left
onto Osterville West Barnstable Rood and follow iN ...............
to the end; Take a left onto Main Street; Take
• right onto Parker Road; At the stop sign take
• right onto West Boy Road; Bear left onto Bridge
Street, and follow to the Gate House; Bear right
onto Grand Island Drive, and follow to the leff post
the Clubhouse; Take a right onto second Windswept
Way (South); At fork stay right on Windswept, and
driveway will be on the left, #250.
PERC TEST: 12,717
PERFORMED BY:JOHN O'DEA,PE- SULLIVAN ENGINEERING
SOIL EVALUATOR NO.2911
WITNESSED BY:DAVID STANTON,R.S.-TOWN OF BARNSTABLE
SEPTEMBER 22,2009
TEST HOLE- I TEST HOLE-2
EL.12.5 EL.12.5
............... .....
.............................
...........
........... ...................................................................
......................... . ...........
.........
... ........... ..... ..................
....................................
•
...............................==...... ...... ....................................
............................... ..... .................................. ..
9 ...................................................................... ................................................................................ .... Lot A 4.62 ACRES
... . ..•.........
..............
..............
............
.............I-.--,-.-*....................... *..*.*.*. ...................................................
..........
........... .......... I........................................
... .......... ..........
I....... ......
............................................................. .....................................................................................
................. ..................= '
.................. = .. . ..........................
28 ..... ..........=..-.
KA = 10.2 28.......=............
.......... 10.2
C LAYER 2.5Y 6/4 C LAYER 2.5Y 614
LIGHT YELLOWISH BROWN LIGHT YELLOWISH BROWN SEPTIC NOTES
126" MED.SAND 2.0 MED.SAND
NO GROUNDWATER ENCOUNTERED 46" PERC TEST 8.7 1.Location of Utilities Shown on This Plan Are Approx.At Least 72 Hours
25 GALLONS IN 15 MIN. Prior to Any Excavation For This Project the Contractor Shall Make
120-1 PERC RATE<2MINAN(LTAR=0.74) 2.5 the Required Notification to Dig Safe(1-888-344-7233).
NO GROUNDWATER ENCOUNTERED -A M 2.The Contractor is Required to Secure Appropriate Permits From Town
ii 0 7- Agencies For Construction Defined by This Plan.
SITE D PASSE 7K T3 3.Wherever Sewer Linev-Must Cross Water Supply Lines Both Lines Shall
U) Be Constructed of Class 150 Pressure Pipe and Shall be Water Tested to
-Z
Assure Watertightness. In General,Water Lines Shall be Constructed in
\ r Coordination With Cal Wat�,,and Shall be in Accordance
With 248 CMR 1.06-7.00&310 CMk 8.00.
4.A Minimum of 9",of Cover is Required for All Components.
5.All Structures Buried Three Fel or More or Subject
to Vehicular Traffic to be H-20 Loading.It is the Engineer's
Recommendation t at H-,20 Always be Used.
Vy 6.Install Access Risers and Covers to Within 6"of Finished Grade Over
It 7 W Septic Tank Inlet and Outlet,D-Box,and Two Leaching Chambers.
W, The Riser and Cover Over fhe D-Box Shall be Watertight
VE 7.Septic System to Installed in Accordance With 310 CMR 15.00&
248 CMR 1.00-7.00 Latest Revision and the Town of Barnstable
Board of Health Regulations.
4 8.All Piping to be Sch.40 PVC.
GR A I 9.D-Box Shall Have a Minimum Inside Dimension of 12",and a Minimurn
Sump of 6".
O 10.The Separation Distance Between the Septic Tank and Tank Inlets and
0 +TH-2 ccc 1��� Outlets Shall be No Less than the Liquid Depth.Wet Tees Shall Extend
a Minimum of 10"Below the Flow Line.Outlet Tees Shall Extend 14"
6' TH-1 Below the Flow Line,and Shall be Equiped With a Gas Baffle for the Septic
0
`0 1 Tank,and a Department Approved Effluent Filter for the Tank
'36 P'0
0
0- 0
04��--
% 7mo
0 \ v 16
IN
X % 0-
6
% L
%
0
.0.
A %
%
F.G. EL. 19.8
Vent 4"0 Perforated PVC
Inspection Part W1 Screw
Cap Placed Vertically Down
Into Stone To Soil Below
I Access Cover (typ.) �i 4
F.C. EL. 12.5 3 Accessible To Within 3* of
ES DATA L.L. FL. 13.00 (See Note 6) . % Fin
Grade Finshed Grade
Single Family F.G. EL. I J.0 top
Filter
b�lc
6 Bedroom @ 110 GPD now Equilizers R a 0
No Garbage Grinder As Required Compacted Fill AND/OR
Total Daily Flow=660 GPD to 1/8" - 112'
Use a 1500 Gal H-20 Septic Tank Inspection Ga Ea &@L=J[0 Ea Ga Pea Stone
•
1500 Gallon EL. 9.00 Port C2 C2 C2 C2
�A • Septic Tank D-Box 314' - 1 112'
LEACHING AREA H-20 Too EL. 925 8.3 81' Stone Double Washed
r== ==8 -
�\
660 GPD 0.74(LTAR)=892 SF Required 2 8=8 B.QL EL r00 16
Sidewall=2(121+64')X0.96=145 SF To Be Installed On EL 7.96 Flow Diffusor
Bottom Area=(I 2'x 64)=768 SF Stable C-om-p-a-MeT-gase H-20
913 SF Total Provided V OF AM44
va Beddl & Baffels CROSS SECTION OF H-20 FLOW DIFFUSOR
as Per 77t/e 5 El, 2.00 TH-1
JOHN
LEACHING CHAMBER DESIGN .....................................................................
Jft tiN NOT TO SCALE
All Pipes to be Schedule 40.Use v C
7 Concrete H-20 Flow Diffuser;in a N1 Cn
12'x 64'Washed Stone Field as Shown.
DEVELOPED PROFILE OF SYSTEM /ST�
NOT TO SCALE
NOTES. PREPARED FOR: PREPARED BY.- T/TL E.- Site Plan
1.) The intent of this plan is for the permitting of
a septic upgrade, and other incidental work Proposed Improvements
including a boy window, trellis, deck replacement, Gerald W, & Lucy U. Blakeley Sullivan Engineering, Inc.
T--
and potential patio. 179 Sandy Pond Road PO Box o265s
AtLincoh2.) The property line and topographic information OstelMA
, MA 01773 i
shown was obtained from G.I.S., and adjusted (508)428-3344 (508)428-3115 fax 250 Wndswept Way
using record information.
3.) The datum used is NGVD '29, a fixed mean Barnstable (Osterville) Mass.
Draft:
sea level datum. 30 0 15 30 60 120 JOD
SCALE:= M
imber 2. 2009 1 30'
(Book 24025 Page 67). Project: 28018
4.) For actual property lines meets and bounds see deed Review. PS DA TE.- November
---- --------
- _ -------
ZONE:
RF-1
Area (min.) 87,120 SF (RPOD)
Fron to e (min) 20'
j 3 Width tmin) 125' 4'
Setbacks:
F =mo Front 30,
Side 15'
E f Rear 15' i
x OVERLAY DISTRICT:
k
c � AP - Aquifer Protection District rn
4
� FLOOD ZONE: .Z3
N F 321E w VE(EL14), AE(EL12), 0.2% Chance, & X _ _ Peninsula Realty Trust '0
� .
p Based on Map # t rn 1 40 0 �v 30.99 _ _ _ _ — _ _ _ _ �68.01 29
LOCATION MAP: 25001 C0562J N�F Ity Trust _ 5'0105321 E I I'- — — _ 585 04 039 21E_ _ 12a
Jul 16, 2014 Re° _ Pavement Edge
Scale: 1" = 2000'f y dsWept Way I I -T - — — — _ _ 297.00' _ I _ , J (40, W'd
Vote
pt
ASSESSORS REF.: - _ _ _ _ _
O I I I I a )
Ma 51, Parcel 12 i I V
1 I ► I -- j , y
DIRECTIONS:
/
From Hyannis take Route 28 toward Osterville. Take a left c.\ i I \ I 326t y — ' 0{ Way)
onto Osterville West Barnstable Road and follow to the �"\� I _ _-- Right
-- /
end. Take a left onto Main Street. Take a right onto rn I �� I f _ _-_- (20'Wide
Parker Road. Take a right onto West Bay Road and
continue as it bears to the left and becomes Bridge
Street. Follow over the drawer bridge to Oyster Harbors
Gatehouse. Go left on Oyster Wayand then take right
tlw
onto Grand Island Drive. Take a right onto SECOND
Windswept Way, Continue past turn to Sunset Point, and 3xs_
then driveway is on the left, #250. � -r '("
LEGEND:
r l
n
N D
Cedar Tree
Q0
Z_
! 1 '
r 1 I
4 Holly Tree
a /
Deciduous Tree
I C8/0H ��
Fnd CT� \ / '- _ _.... _ _ 1 I + Coniferous Tree
Water Gate (round)
OHW— Overhead Wires
Elevation Contour
I [� CB/DH — Concrete Bound
4j Guy
` Utility Pole
NSF _ � � ..-
D Norcross _ ` `. _ _ - �� M an
n ler, Nancy }{ugh .- ' .� •� i `` Q - isc Manhole
Dangler,
F. '
David W. ,angler,
A Dan9 It ' Trust
children o
House Rea Y rn Q 7 / — — — _ f ✓ , —.. ' /
sandy ret D.
ro
Dangler, Tr., & Marga ' \ r
Moir ` i ti 'o Vb / 6
Tia D. Fernandez \ ,\ E Hydrant
L"_ `.., `` �`' , � I Q�` Hose Bib
El CBIDH
if
a \
r /� V
'Y f (O - ` ce/!) \ / I
rorrr
Pa,led
✓ --_ _ c / I LL L
N82� .-•'�
13'2 E � � . ' o � � `; I 1 / \ � a � i , _
Exist ` , \ 1 / O !
I \ c• \ A� -bui �/ \ O 1 I 1
` _'Card Jud
QL
01 all
` I ' ' } BUFFER ZONE CALCULATIONS 02-22-2021
50-100 :
stow"\ REMOVE PATIO = - 269 SF
PROPOSED ADDDI TION = + 483 SF
\� 1 Top f o\ \ r 1 ,
REMOVE DRIVE _ - 314 SF
\ \ \ Coast\d{ Ba \\ \ , \ _ 's� \ 1 li i ,1?� \, _1? \,, �'� I o� ! I /b \ I ! PROPOSED GARAGE = + 177 SF
\ \\ \ ` \\�\ ` I ao \ \ \ \\�\ \\ -7� I �,n o PROPOSED DRIVE _ + 45 SF
t \ ` °% - — \ ' \ I \ o \ I TOTAL = + 122 SF
2 \\ _ .� ar�� 2 \ -� ;a _, ! \ ti •C�, I MITIGATION REQUIRED:
59 I O �, I 3 X 122 SF = 366 SF
CL
i) I
4 x,g.4 i .0
~T Door n4 C; I S76 \ I((I ►J 3oiII MITIGATION P ROVIDED:
V 368 SFie19.8
hon
y pn 29 - PASTUR
E ROSE
25 - SWEET FERN wn
Vk 3 GALLON POT SIZE
19.6' 15i ` �w 3' O.C.
\ w` ' 0 NIFe Trust\ ' ~' Sunset a y
70� ~~ ca/DH
I
p- `� \\` \� \\\ \\ \ _7 15. \ / k Ge Fnd
main TBM EI=14.96' NAVD'88 \
° Top of C8/DH \ !
Add Garage Invert Elevations 11012512021
\\
Update Garage 10 20 2021�O'Ar 0 �` I I REV.: Update Pool & Cabana Footprints 10812312021
CBRS Area NOTES: PREPARED FOR: PREPARED BY: TITLE:
� o Site Plan
Coastal Barrier ! , ,� %o���`�o� 1. The property line information shown was '
Stem �� \ )com compiled available record information. Hoban Family Realty Trust --
Resource Sy �\ CapeSury Proposed Improvements
Established 11/16/1990 ,� �� o p •
,�� Engineering& �� 2.) The topographic information was obtained ulli an Conslll�n ,I11C. West Boy Rd, suite G p
� At
from on on the ground survey performed on N. rawnftes 0"d1 MAOHM Osterville MA 02655 •
\ or between 051JAN121 and 11/JAN/21. w�noom (508) 420-3994 / 420-3995fax 250 Windswept Way
3.) The datum used is NAVD '88, a fixed mean (Oyster Harbors)
I-
sea level datum. Draft: JO Field: MLL DWB
30 0 15 30 60 120 W_Bamstable MA
/
1 or—
Review: JOD Comp/Draft/Review: MML/RRL DATE: February 22, 2021 SCALE 1 rr_30r v,
Project: 41005 Dro wing #: C423-6x 1
ZONE:
,.Y RF-1
;: Area (min.) 87,120 SF (RPOD)
+ Fronta e (min) 20
+ ; = Width min) 125 0
• " Setbacks:
+� Fron t 30'
_ Side 15'
f
Rear 15'
r � OVERLAY DISTRICT:
55 <
AP - Aquifer Protection District rn
v s FLOOD ZONE:t h �'
C0
- _ I " NRVE(EL14), AE(EL12), 0.2% Chance, & X 30.99' Peninsula eIalty Trust — _ - - - - - , 2 "+
�•
Based on Map # 40.0 � -r N68,01
LOCATION MAP: 25001CO562J NlF Trust 5.01'53E S8s04'39E 12 . g Pavement Edge
July 16, 2014 'way (40'Scale: 1 2000 t -T 297.00' \
Windsw , �sP i,
�
ASSESSORS REF.
Map 51 Parcel 12
it
DIRECTIONS:
From Hyannis take Route 28 toward Osterville. Take a left I \\ I I 326t - ' igh{ Of W°y)
onto Osterville West Barnstable Road and follow to the e - R
end. Take a left onto Main Street. Take a right onto a? I \ i I - _-__ (20 Wid
Parker Road. Take a right onto West Bay Road and
continue as it bears to the left and becomes Bridge
Street. Follow over the drawer bridge to Oyster Harbors \ _ >lw�
Gatehouse. Go left on Oyster Way and then take right
onto Grand Island Drive. Take a right onto SECOND
Windswept Way, Continue past turn to Sunset Point, and �. _ x9
then driveway is on the left, #250. -4- ._.� � - � � `- ''-
LEGEND:
Cedar Tree
00
/ I _ J i I 2X� / _____ �. , --. / I Holly Tree
/
Deciduous Tree
CBIDH
I
Fnd (-P \ ; �,. _ - _. I + Coniferous Tree
\ Z N \ `' - /' f , I OO Water Gate (round)
pHW— Overhead Wires
rn �
-` m I I' — 25— — Elevation Contour
El CB/DH - Concrete Bound
.-O Guy
\ \ -6_ _
� 1 � _ �- - - - � J ,,, f' � =0- Utility Pole
D Norcross. \ \ \ '! j
W. Dangler, Nancy t `c
Hugh F.
- Misc Manhole
David He
A Dangler, .Trust \ ` (b Drain
{ children of an"r House Realty D \ — \ Q 7_ — r _ __ — — — — rf - - / w b HSdrant'
Dangler, Moir Tr., & Margaret ! \ �, o \ \ N — / I y
Tic D Fernandez i ' 1 , \ \ ,� \ co `\ '
, � � 1 / � I � Hose Bib
CB 6
�\ El CB/DH
?' N `.\ \ ji I�¢Sf+t rotes AIL i '' e Ofi� / ) U
to 3 \ ` \ o - - P°V d \ \ \ L rn
CS
,2 'E \ 9 \ i �� o o ��j piL. NG \ I
\ , 4 \ \ VS. � A�t =bull► fu all
P - - , BUFFER ZONE CALCULATIONS 02 22 021
50-100':
REMOVE PATIO = - 269 SF
PROPOSED ADDDI TION = + 483 SF
\ ` \ ,� �\ Top Of \ \\ \\ / \ G\ �, \ r i REMOVE DRIVE _ - 314 SF
_ -f -11- b
\ 1 \ Cyastt� Bd \\ \ \ y\\ 's\ \ 1 `� \ -12 I \e, 4,�6 I o o I ( / ( PROPOSED GARAGE = + 177 SF
o \ \ \ \ \� \ —�-- n 0 1 \ <I
aa \ �� \ o �. - \ �� o o I \ ` Ir PROPOSED DRIVE _ + 45 SF
TOTAL = + 122 SF
CD
2 ~ 1. ~r7 c's ,�% ``\ Y " / \ ■,�„ I MITIGATION REQUIRED:
w 59 I O a I 3 X 122 SF = 366 SF
Door ' j 516.04 O 'I MITIGATION PROVIDED:
19.8
40� CL 368 SF
� I f OfF/oodhonce \ ` I
-�L � 29 - PASTURE ROSE
\ ` \ �r \ \\ \ \ \\• r- Lawny \fit �o �° X f I "�'d I 25 - SWEET FERN
O \ \ \ \ \ \ \ \� . 19.6' I V� I 3' O.C. ON POT SIZE
fIr000.
\ \ ` \ \ w •� } \ s NIF ealty Trust
1 \�\` �\ \ � \1 v } ` _ -` �__ _.., -c, \ _ onset point R
70 cB/aH S
l\ \\\ \\\\ \\ \ J4 15. ~ k�e Find \ \
° hoin TBM E1=14.96' NAVD'88 \
Top of CB/DH
Add Garage Invert Elevations 10 25 2021
Update Garage 10 20 2021
`L \ \ �� �`�\ \ ��, r �p•��0o k '� I I REV.: Update Pool & Cabana Footprints OS 23 2021
NOTES: PREPARED FOR: PREPARED BY. TITLE.
CBRS Area
Site Plan
Coastal Barrier 1. The property line information shown was
�s ) P p y Holian Family Realty Trust Proposed Improvements
R2SOU1"Ce SySterl"1 � \\ �\ � �-y•N$ o� compiled from available record information. � � � �� 1�
Established 11/16/1990 `\ `,'� ��o�,
��� 2.) The topographic information was obtained u11iVanki0eeft,Cons111ting,InQ 23 West Bay Rd, Fsuite G At
O
from on on the ground survey performed on teas»ss�a•MowW9•niMdnft..�,o.twAl%MA OM Osterville W 02655 ■
\ Or between 05/JAN/21 and 11/JAN/21. �• � (508) 420-3994 / 42 3995fax 250 Windswept Way
3.) The datum used is NAVD '88, a fixed mean I—
Draft: J DW9 Bamstable
(Oyster Harbors)
sea level datum. OD Field: MLL/
30 0 15 30 60 120 _
Review: JOD Comp/Draft/Review: MML/RRL DATE: February 22, 2021 SCALE: ill_3Or (r�
Project: 41005 Drawing #• C423-6x1
ZONE:
,t RF-1
Area (min.) 87,120 SF (RPOD)
t Frontage (min) 20'
µ Width (min) 125'
g a a Setbacks: o
I , Front 30' �
} Side 15'
Rear 15'
P ¢ OVERLAY DISTRICT
<
AP - Aquifer Protection District
` Vl� FLOOD ZONE:
NIF
N 4 VE(EL14), AE(EL12), 0.2% Chance, & X k\ 1 30 99 _ _ Peninsula Realty Trust 01'03 •
Based on Map # 40.0 - — 8•
4 LOCATION MAP: 25001 CO562J F t Trust _ 5.01'53"E _ r- — — — _ — : 8L04'39E N6 �2a• 9' /h
N� Realy _ I - -. - - - 2 � • IN
July 16, 2014 Way _T — — — , �s
Scale: 1 2000 f SWePt I I I -T — — — — — 29700 Pavement Edge V (4p'
wind i wde
ASSESSORS REF.: o I I I , - — — — — _ �:. - - — — r�V4
to_ _ _ a w
_ _ Q
Map 51, Parcel 12 i I -4tn
vj
DIRECTIONS.
From Hyannis take Route 28 toward Osterville. Take a left 326t - -- �{ Of WaY�
onto Osterville West Barnstable Road and follow to the ;\ �� I -_. _ Righ
end. Take a left onto Main Street. Take a right onto rn I I I ' I ,- (20'W�d�
Parker Road. Take a right onto West Bay Road and I /
continue as it bears to the left and becomes Bridge
Street. Follow over the drawer bridge to Oyster Harbors _ W,'
Gatehouse. Go left on Oyster Way and then take right
onto Grand Island Drive. Take a right onto SECOND \ _-- - ,-.
f
Windswept Way; Continue past turn to Sunset Point, and
then driveway is on the left, #250.
_ l , LEGEND.
16
j �.' j N G Cedar Tree
00
r _ __ _ — '' — �'
/CV) I J 1 I 2x� -. "- . / I Holly Tree
I I / LOT AREA
/ Deciduous Tree
\ / 4.6 ACRESf
I CB/DH
' Find C3� \ / ,.- i — ' — I + Coniferous Tree
( OO Water Gate (round)
i � °� •� --.__ , I ( OHW Overhead Wires
e Elevation Contour
\ •r r• �+ , — Concrete B/ H Bound El C d
� ��.. \ .•- ---7-- ';: 1 I C D
-
�� __ \�` ,, � �. 6-_ — --- _.._ __ _.� •,-.- •-' � ' •;,.-• \ I � Guy
`
NIF Utility Pole
Nancy D Norcross, \ \ ` / I Misc Manhole
Hugh F. o
David W. Dangler, A Dangler,
nr rust
r- r `8` / Drain
of He Y alt T \ .._
— : :
children Re Y Sandy House et D• \ \ ,
a
Hydrant
Dangler, & Margaret 1 \ J
Moir Tr., ' \ ti o N _
Tia D. Fernandez
\ � Hose Bib
/ w
Ferns ` \
CB
4
! e :_
- -
1 J .21
\ I10
-6rorn- o
N82`1312 E t \ \ �\ W . t OILOING
j
\ \ I \ o�� A� —bull �/ \ ,� \ "1 '-rri
,\ —'card roe /O . ,_ : l
I �
CL IN
/ 4_ O
r, o - PRO , I I ;:. r I I BUFFER ZONE CALCULATIONS 02-22-2021
�arVn\ oS REMOVE PATIO
I I i
E I \ ' = - 269 SF
TiG l I \ I PROPOSED ADDDI TION = + 483 SF
p \ ` f O \ \ `t i r `. / I , \ / I I REMOVE DRIVE _ - 314 SF
Coos\f l Bank
\ \\ \ \ \ \ 1 � �\ \. ✓ ,,' I o PROPOSED GARAGE _ + 177 SF
cn PROPOSED DRIVE _ + 45 SF
�,� � \
\ \ I IOTA = 22 SF
to
\50, o s� __ /\•:\�\. \ \\\\�\\� \� \\ � \ \\\\\\\\\\\\ \ ` �`\ \ . �\ �j '<` _ {'<....'..:� ` I \\ / l ^„ Ja\yP,G� I a/— — _ �! ., o II
MITIGATION REQUIRED:
66 SF
Door 76°0®g 4 MITIGATION PROVIDED:S` ............ 19.8' CL
368 SF
ance
00,
\ \\ ..� \ \\ 'po 05 T on � - \ I 129 - PASTURE ROSE
\ \ , `> \ \ i \\• r Lawn * o/ , ��o X �°'—'\ �� : I s 25 - SWEET FERN
sue\ \ \�` '......_�. , �� s / I i i
~`, �Ta� 19.6' ` I 3, GALLON 0. POT SIZE
JOHN
\ V.. us I 3 i
N�F eaity Tr t I `a No.44g3 68
\ _ R
..1 41
Set Paint
CB/DH Sun
\ \\ Find I a Isr�rt
® % . ...... TBM E1=14.96' NAVD'88 \
`� o
. \\\ \' U Top of CB/DH \
\ \� V. /
/ \ \ � ` �� + I Add Pool Area Septic 10 26 2021 t
\ �•: / \\ \` \ lj 2�.1$ o 0 \ I I Add Garage Invert Elevations 10 25 2021
\} \\ \ce �" \ I I Update Garage 10 2012021
\ \\ \ \�\ �p 4�� o '` I I REV.: Update Pool & Cabana Footprints 10812JI2021
CBRS Area o NOTES: PREPARED FOR: PREPARED BY. TITLE: t
Coastal Barrier 'Fti��oVie Plan
`�..� L o ootisF` 1.) The property line information shown was H�I�an Family Realty TrustImprov .
m n}�+ReSOUrCe System �'� .a - �o�o compiled from available record information. ry Proposed 1 1 I e1 I(a7
Established 1111611990 o° �-� Engineering&
2.) The topographic information was obtained sullivanConsulting,Ine 23 West Bay Rd, Suite G At o
from an on the ground survey performed on Mdn ftest OdwvW^MA OWN Osterville MA 02655\ or between 051JAN121 and 11/JAN/21. o'er"'•�rL00M (508) 420-3994 / 420-3995fax 250 Windswept WaY
3.) The datum used is NAVD '88, a fixed mean MA
sea level datum. m ' (Oyster Harbors)Draft: JOD Feld: MLL/DWB Ba sto ew
30 0 15 30 60 120 _
Review: JOD Comp/Draft/Review: MML/RRL DATE: SCALE: rr r coFebruary 22, 2021 1 =30
Project: 41005 Drawing #• C423_6x1
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