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0120 BOG ROAD - Health
120'Bog Rd Marstons Mills A-®45'017,;.,Ike). i No. 4210 1/3 YEL txA s .* 10% ` t Q. AA y C9�„AC i wlfso ,� ' YOU WISH TO OPEN A BUSINESS? For.Your InformatioQ. Business certificates (cost$30.00 for 4 years). A business certificate ONLY REGISTERS YOUR NAME in town (which you must do by M.G.L.-it does not give you permission to operate.) You must first obtain the necessary signatures on this form at 200 Main St., Hyannis. Take the completed form to the Town Clerk's Office, 1 st FI., 367 Main St., Hyannis; MA 02601 (Town Hall) and get the Business Certificate that is required by law. ` DATE. I " Z3 U q ' � �� Fill in please: M tt, = APPLICANT'S YOUR NAME/S: 1nr,HA IF( �Jv ,o�u ' q�� E � bT1j R BUSINESS YOUR HOME ADDRESS: 12 M J ; c© SO°j I C4 f cJ LT /�/� ch r r� H r c ju s r S ,�YIL LLS ?f� TELEPHONE # Home Telephone Number_ 3T, S C0 S O 17 f ,COT NAME OF CORPORATION: NAME OF NEW BUSINESS ' .z L g,ybs L.4 PAS TYPE OF BUSINESS_ L A:N 0 S Fs n> to IS THIS A HOME OCCUPATION? YES NO ADDRESS OF BUSINESS{ IZIS Lc, f✓', ,S 611LLS M MAP/PARCEL NUMBER O L- _,-" ©. (G - 00 1 (Assessing) When starting a new business there are several things you must do in order to be in compliance with the rules and regulations of the Town of Barnstable. This form is intended to assist you in obtaining the information you may need. You MUST GO TO.200 Main St. - (corner of Yarmouth Rd. &Main Street) to make sure you have the appropriate permits and licenses required to legally operate your business in this town. 1. BUILDING COMMISSIONER'S OFFICE This individual has been informed of any permit requirements that pertain to this type of business. Authorized Signature** COMMENTS: , 2. BOARD OF HEALTH This individual h s b rmed of tFje,-per����mnen�tsthat pertain to this type of business. MUST COMPLY WITHALL ljf HAZARDOUS MATERIALS REGULATIONS Authorized Signature** COMMENTS: 3. CONSUMER AFFAIRS (LICENSING AUTHORITY) ` This individual has bee infor ed of the censing requirements that pertain to this type of business. 1 � ha �_ Authorized Signature COMMENTS: 4-fpzar ous Materials Inventory Sheet Checklist ate Physical Street Address-Check database to ensure it exists Working Phone Number Actual Amounts -( ie. gas being used to fuel machines,thinner to clean brushes all count as hazardous materials-no blanks) torage Information -location of storage, how long is storage for? If none, note that. Disposal Information -where and who? If none, note that. pplicant Signature -understand what is listed and noted Staff Initial -any questions, know who to ask Vehicle Washing/Rinsing? -give a vehicle washing policy and explain it V Attach the Business Certificate with your sign off and-comm ents "The inventory form should explain what the business consists of and thwprocedures they are doing. Notes need to.be left to explain what you discussed with them. TOWN OF BARNSTABLE Date: I TOXIC AND HAZARDOUS MATERIALS ON-SITE INVENTORY NAME OF BUSINESS: CONNOXNE L ANASc f}PES BUSINESS LOCATION: R.3 for lb In. m /MR INVENTORY MAILING ADDRESS:_ 11 A09M44 Cr. Gorurr IV 4 ®Z TOTAL AMOUNT- TELEPHONE NUMBER: So$' � CO• TTV CONTACT PERSON: tlrctl EC. ,a);rAfsON EMERGENCY CONTACT TELEPHONE NUMBER: 509- WZS• 3Gi$` MSDS ON SITE? TYPE OF BUSINESS: L A vbSC_,4PsA/G INFORMATION/RECOMMENDATIONS: Fire District: Waste Transportation: Last shipment of hazardous,waste: Name of Hauler: Destination: Waste Product: Licensed? Yes No NOTE: Under the provisions of Ch. 111, Section 31, of the General Laws of MA, hazardous materials use, storage and disposal of 111 gallons or more a month requires a license from the Public Health Division. LIST OF TOXIC AND HAZARDOUS MATERIALS The Board of Health and the Public Health Division have determined that the following products exhibit toxic or hazardous characteristics and must be registered regardless of volume. Observed/Maximum Observed/Maximum Antifreeze (for gasoline or coolant systems) Misc. Corrosive NEW USED Cesspool cleaners Automatic transmission fluid Disinfectants Engine and radiator flushes Road Salts (Halite) Hydraulic fluid (including brake fluid) Refrigerants Mo to Oils Pesticides USED (b OkkT, (insecticides, herbicides, rodenticides) Gasoline, Jet fuel, Aviation gas 10 6p4 Photochemicals (Fixers) Diesel Fuel, kerosene, #2 heating oil NEW USED Misc. petroleum products: grease, Photochemicals (Developer) / lubricants, gear oil NEW USED ✓ Degreasers for engines and metal LZ oZ Printing ink Degreasers for driveways & garages Wood preservatives (creosote) Caulk/Grout Swimming pool chlorine Battery acid (electrolyte)/Batteries Lye or caustic soda Rustproofers Misc. Combustible Car wash detergents Leather dyes Car waxes and polishes Fertilizers Asphalt & roofing tar PCB's Paints, varnishes, stains, dyes Other chlorinated hydrocarbons, Lacquer thinners (inc. carbon tetrachloride) NEW USED _ Any other products with "poison" labels Paint &varnish removers, deglossers (including chloroform, formaldehyde, Misc. Flammables hydrochloric acid, other acids) Floor &furniture strippers Other products not listed which you feel Metal polishes may be toxic or hazardous (please list): Laundry soil & stain removers (including bleach) Spot removers & cleaning fluids (dry cleaners) Other cleaning solvents Bug and tar removers Windshield wash WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS .Jv4. w, • ..•>'M1H,3rv+-►`'uvA^ `"'�1"� �.+., !'+r4-'%yc a- 3i"i+,et 7A C%. ':..'.firth•. u ,; ,1.-.. .•-,.•,.+.•. _ !' Yt.F•1.• •.v �,,r.1'+ .t S Date: 1 / 2!3 TOWN OF BARNSTABLE TOXIC AND HAZARDOUS MATERIALS ON-SITE INVENTORY NAME OF BUSINESS: Gt.rt7D?Nr- L 0N-C,S c APtS BUSINESS LOCATION: f Z3 to& In. /n• /nli ± " INVENTORY 33 Aliiv6 Cr. -arUs� / A � Z 63f MAILING ADDRESS. n TOTAL AMOUNT: TELEPHONE NUMBER: CONTACT PERSON: 1cN6t _r v1 o/v EMERGENCY CONTACT TELEPHONE NUMBER: Sig WZg 3G�8` MSDS ON SITE? TYPE OF BUSINESS: L �N�S[AP-TNG INFORMATION/RECOMMENDATIONS: Fire District: I t Waste Transportation: Last shipment of hazardous waste: Name of Hauler: Destination: Waste Product: Licensed? Yes No NOTE: Under the provisions of Ch. 111, Section 31, of the General Laws of MA, hazardous materials use, storage and disposal of 111 gallons or more a month requires a license from the Public Health Division. LIST OF TOXIC AND HAZARDOUS MATERIALS ' The Board of Health and the Public Health Division have determined that the following products exhibit toxic or hazardous characteristics and must be registered regardless of volume. Observed/Maximum Observed/Maximum li Antifreeze (for gasoline or coolant systems) Misc. Corrosive NEW USED Cesspool cleaners Automatic transmission fluid Disinfectants Engine and radiator flushes Road Salts (Halite) Hydraulic fluid (including brake fluid) Refrigerants Moto Oils Pesticides NEW USED (insecticides, herbicides, rodenticides) V Gasoline, Jet fuel, Aviation gas 10 rAc Photochemicals (Fixers) j Diesel Fuel, kerosene, #2 heating oil NEW USED Misc. petroleum products: grease, Photochemicals (Developer) lubricants, gear oil NEW USED K Degreasers for engines and metal Printing ink Degreasers for driveways & garages Wood preservatives (creosote) �Caulk/Grout Swimming pool chlorine Battery acid (electrolyte)/Batteries Lye or caustic soda Rustproofers Misc. Combustible Car wash detergents Leather dyes Car waxes and polishes Fertilizers Asphalt & roofing tar PCB's Paints, varnishes, stains, dyes Other chlorinated hydrocarbons, Lacquer thinnerst y, (inc. carbon tetrachloride) NEW USED Any other products with "poison" labels Paint &varnish removers, deglossers (including chloroform, formaldehyde, Misc. Flammables hydrochloric acid, other acids) Floor &furniture strippers Other products not listed which you feel Metal polishes may be toxic or hazardous (please list): Laundry soil & stain removers (including bleach) Spot removers & cleaning fluids (dry cleaners) Other cleaning solvents Bug and tar removers Windshield wash WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS C �-�e E R: MPLETE THIS SECTION; COMPLETE THIS SECTION ON DELIVERY ■ Complete items 1,2,and 3.Also complete A. Signature item 4 if Restricted Delivery is desired. ❑Agent ■ Print your name and address on the reverse ❑Addressee so that we can return the card to you. ived by(Prif,ted Name) C. D to of elivery ■ Attach is card to the back of the mailpiece, I�h�( CAI;�� the front if space permits. t D. Is delivery address different from item 11 ❑Yes 1. Article Addressed to: If YES,enter delivery address below: ❑No VSC'� 60 3. Service Type A02Certified Mail ❑Express Mail C4(7�onl J�� M �p 764 ❑Registered Return Receipt for Merchandise ❑Insured Mail 0C.O.D. 4.-Re skied Delivery?(Extra Fee) ❑Yes 2. Article Num':)er (transfer from service label) _:_ € 7 0 0 6 �81�' 0 0�� ,3 5 2 5 0 2 3 6 PS Form 3811,February 2004 Domestic Return Receipt 1 o25s5.02-M-1540 - UNITED STATE .IL' Ero'°'�s> �at i Sender: Please print your name, address, and ZIP+4 in this box • I r Certified Mail#7006 0810 0000 3525 0236 Town of Barnstable Qgt � Regulatory Services y Thomas F. Geiler, Director > .13 Public Health Division Thomas McKean,Director 200 Main Street, Hyannis, MA 02601 Office: 508-862-4644 Fax: 508-790-6304 October 13, 2006 Susan M. Andiel 120 Bog Road Marstons Mills, MA 02648 NOTICE TO ABATE VIOLATIONS OF SECTION 397, OF THE TOWN OF . BARNSTABLE CODE. The property owned by you located at 120 Bog Road, Marstons Mills, had a new septic system installed on October 12, 2006 by Brian Ayotte. According to a phone call to the COMM water department on 10/13/06, your property is now connected to a town water supply. According to the septic installer onsite, the well has been abandoned. According to Town of Barnstable Health Department records and the septic installer, the following violation of.Section 397-8 (D) of the Town of Barnstable Code is present: • Well abandoned and no well abandonment permit on file with the Health Department. • You ari,r`°, ode by: rU ,, C Pullin( dwell was abandoned properly. If the wi ti _ sl1 for another nonpotable use, i.e. irriga,�, the well to be used for nonpotable use, �'o P . ^ ►ply not for human consumption." You o °�8e $ tment of your intentions, by either etu pull�o certHledFee : 4 th the appropriate information for th/.o v �E^tl ON �fRe!ptFee L 0 receipt of this order letter. N Res}ryoted 9uired)' �a Yo (Endorsem6nt Fee P s ( tten petition requesting same is re!1. Tote1 Postage g Fee. ' ��+� 2 ved. p r�eat ..._Susu �41 result in a fine of$100.00. Each days f o.aoe "0 ...:1 080d eviola tion.° ° ao _ 02 `/� Tho as McKean, RS, CH Health Agent QA Order letters\wells\120 Bog Road.doc Novemberl 6,2006 Attn: David Stanton This letter is in response to a notice received by registered mail from the Board of Health on November 14,2006. The enclosed diagram of my property shows the location of our well which is used for irrigation only. The water is not used for human consumption. Please contact me with any questions. Susan Andiel 508-420-0201 Northwest Airlines nwa.com Travel Center- Trip Summary and Receipt Page 2 of 2 Back -,'� .�:���� ..�.�vx,a'�sa '��` ,•�.c�:�, `sS,��Sdk, �> :.;�Yek�rrs�;`'a�s:�4�v,"raFTa.��?..�'��� �;.-" ��u .uw"� s�,�•�x.�:.r '�y. �.��::� ®Northwest Airlines 2006 t, e f https://www.nwa.com/cgi-bin/view res.pro?Pnr=MCBQNE&eticket num=01259111871..: 11/10/2006 I NOTE, I STREET RIGHT OF WAY LINES AND BEARING SYSTEM TAKEN 051 FROM A PLAN ENTITLED'Plan o} Land 1n MARSTONSMILLS. BARNSTABLE MASS- Ld g 2 Lot I ACNUSETTS Prepared for DANZELC. NOSTET7ER Scale S'�100' Sep.10.1980SOMANNON LAND SURVEY CO. 99PLEASANT ST. WESTSRIOGEWATER. MASS.' RE-CORDED IN THEBARNSTABLE COUNTY REGISTRY OF DEEDS IN BOOK 346 PAGE 8. Edge of&Q 8 W.Vandt SCALE 1•• �o' . DISTRICT-R F ADE FACTEM AS PER 2-3.4 OF ZONING BY-LAW, OF BARNSTABLE ARE AS FOLLOWS, 19.3 1 . .20.4 IB 9 �,.A CRANBERRY BOG 21.0 O /,� 4o P N/F ALTON O. SNITN a tOSH JJ lP�,a LOT i 43,561 S.F.: S � a' '9 3�• �$ M N/F MYSTIC REALTY TRUE' 1 10a 1 2g•2 No. Radlus Delta Length Tangent Chord - / i LOT 2 v✓ �•' ---------------------------------—---------------------------------- QG ` 43,560 S.F. 2"_00 123 18 02 43.04 37.07 N 85 84 54 W 38..20 ® LOT 3 43.798 S.F.+/- a xa'3s M � zla.7a' N 92 28'31' E 6.42 �0 =' `1(150.12)• LOT 4+ _ m �.•,e•., Ao 00 30 55.294 S.F.+/ e J - . LOT 5 4/F JOHN F. REIS 1 CRANBERRY eaG 44.546 S.F.+/- 44. z a,• ggqlll 5,3' T•1 M ; i .W 7.07' 9'31' E 9 ia• N/F MYSTIC REALTY TRUST III TOWN OF BARdIS1ABLE a LOCATION 10-10 i� 0 SEWAGE # VILLAGE PV 1. � S ASSESSOR'S MAP & LOT��� INSTALLER'S NAME&PHONE NO. SEPTIC TANK CAPACITY LEACHING FACILITY: (type) lJx�' PT (size) IST4+'�2 h NO. OF BEDROOMS JJ BUILDER OR OWNER r +/-i✓� gg PERMITDATE: COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility (If any wells exist on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility (If any wetlands exist .within 300 feet of leaching facility) Feet Furnished by N A3- 30 133- .3-7 . 3 f" TOWN OF BARNSTABLE LOCATION &16 &, /Me f IZ f' SEWAGE# Off- 'Y Lf j VILLAGE rnM59W/k XIUS ASSESSOR'S MAP&PARCEL INSTALLERS NAME&PHONE NO. Wly i9W°j'7?—:L-� SEPTIC TANK CAPACITY r1� LEACHING FACILITY:(type) 04:6�C3 %`(size) ,leek NO.OF BEDROOMS 3 OWNER- „54a,4/ "lNore'L- PERMIT DATE: lo-ll-C)6 COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility(If any wells exist on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) Feet FURNISHED BY IHt � P :._n/� /Y •('� //✓._ 17 SJ ire�6f d�G l",ed` @ 77 �� I � , s cn r OJ/WJ c _ 7e- Vr 02aD IP7,4l+,-jCa S� w - 3fti iii � i !: iid ilff_ ? {{i j li F i= j i6 ij; ij i J r No. f Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: es PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS 01pprication for Mioozar ipg;tem Construction 3permit Application for a Permit to Construct( , )Repair((/)Upgrade( )Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. T e Owner's Name,Address and Tel.No. �o O&6' 4 1�11/}�Q rO,41vSl�t� Assessor's Map/Parcel� ® O / S ( Installer's Name,Address,and Tel.No. Designer's Designer's Name,Address and Tel.No. n � 36' 0 Type of Building: Dwelling No.of Bedrooms _ Lot Size sq.ft. Garbage Grinder( ) Other Type of Building No. of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow gallons per day. Calculated daily flow gallons. Plan Date Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. Description of Soil Nature of Repairs or Alterations(Answer when applicable) 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 it nmental ode and not to place the system in operation until a Certifi- cate of Compliance has been issue this Bo o ealth. Signe Date b-1400 Application Approved by Date Application Disapproved for the followin6reg6s Permit Nc Date Issued Fee AM ;�. THE C010MONWEALTH OF MASSACHUSETTS Entered in computer: t P JB'LIC HEALTH-DIVISION - TOWN OF BARNSTABLES MASSACHUSETTS ` 11pplication for Moon[ *r5tem Con!5truction Permit Application for a Permit to Construct( )Repair(/)Upgrade( )Abandon( ) O Complete System O Individual Components Location Address or Lot No. LOT� Owner's Name,Address and Tel.No. 1 a0&6'fi , Vh,4XrGNS /1�5 SS E/ �N,CYEL Assessor's Map/ParcelD O O0L Installer's Name,Address,and Tel.No. W11 fJV0 1T6 Designer's Name,Address and Tel.No. TREEro/� Ci/Z Ec� TES/ Type of Building: Dwelling No.of Bedrooms Lot Size, sq.ft. Garbage Grinder( ) Other Type of Building No. of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow gallons per day. Calculated daily flow gallons. Plan Date Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. Description of Soil; rf 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 Env�onmental Code and not to place the system in operation until a Certifi- cate of Compliance has been issue this BoaFd of 'ealth. S i g n e �' _ /1� Date Application Approved by 1 I i Date Application Disapproved for the followin re sons iy Permit No J Date Issued 0602 1 THE COMMONWEALTH OF MASSACHUSETTS ` BARNSTABLE, MASSACHUSETTS Certificate of Compliance THIS IS TO CERTT FY, that the On-site Sewage Disposal System Constructed( )Repaired (v)Upgraded( ) ` Abandoned( )byR at e o. RS'TO�'i�S 11 s h be constructed in accordance .with the provis' ns of Title 5 and the for Disposal System Construction Permit N ated /O Installer etAii/ f�YG?`r� Designer + The issuance of thi pet-shall not be construed as a guarantee that the sy to will function s desigri�ld► Date �i) 12 IJ+! Inspector �� i R THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLES MASSACHUSETTS mizponl *pgtem Construction permit Permission is hereby granted to Construct( )Repair(t/ )Upgrade( )Abandon( ) System located at G QOG ea, "SroAiS &I/LL e- and as described in the above Application for Disposal System Construction Permit.The applicant recognizes his/her duty to comply with Title 5 and the following local provisions or special conditions. Provided: Construction must be completed within three years of the date of th�tA Date: �/�0 G A roved b�� PP Y L/ is — — Town of Barnstable Regulatory Services Thomas F. Geiler, Director • • e STAIDLa. • MASS. � ' Public Health Division ��ED1A1��9. Thomas McKean, Director 200 Main Street,Hyannis,MA 02601 Office: 508-8624644 Fax: 508-790-6304 Installer & Designer Certification Form E Date: l ®(o v Designer: D6,VI D C®UG 4 630W P FRS Installer: Address: +3 T W Ayaz2 C 4P, Address: 0,C T' 66VIC On Ia id-d6 �911 1-�FCM6 was issued a permit to install a (date) (installer) septic system at 12-0 ROG RO( 'D based on a design drawn by A (address) �I-� Q R�1 • C 4U�N ilt dated ®C'�' L�{ Z O 0� (designer) I certify that the septic system referenced above was installed substantially according to the design, which may include minor approved changes such as lateral relocation of the distribution box and/or septic tank. I certify that the septic system referenced above was installed with major changes (i.e. greater than 10' lateral relocation of the SAS or any vertical relocation of any component of the septic system) but in accordance with State & Local Regulations. Plan revision or certified as-built by designer to follow. tA of Mqs y� sqo SH oF4fys DAVID lzrl D. T � DAVID yam (Installer' a ) 0 COUG ANOWR ' 0 D. No. 1093 COUGHANOWR Co �4'CENSfc� 0 �S SgNlTAR1PN FVALUP� (Designer's Signature) ( ix 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. T J 7 fy w s el _ r. r,..,,��. ,✓.sip _,.,.,,.,,. �':,, _ _,. � �.,_. ,,,, .,-.a„�.. Logged In As: Thursday, October 12 2006 Parcel Lookup Parcel Info Parcel ID 1045-017-005 Developer;LOT 4 Lot' ...m. ....., _._..._ ....,.,.. ... ... Location j 120 BOG ROAD Pri Frontage Sec Sec Road i Frontage Village'MARSTCNS MILLS Fire District C-O-MM _ ....................... ._.�_ ...... _.. .......... Sewer Acct Road Index;0151 Interactive r .. Map a.- t� « ..... ... .... Owner Info owner=ANDIEL, SUSAN M Co-Owner Streetl =120 BOG RD Street2 City;MARSTONS MILLS State MA Zip 0264$ Country . - Land Info - Acres i1.27 use;Single Fam MDL-01 Zoning jRF Nghbd 0105 Topography Level Road jPaved ........... Utilities Well,Septic Location!Rear Location - Construction Info 111 ......_ ..... ....... ..... ... ...... ......__ ....... ........................... ....._ ._ . .... ........ . . . ....... . .. Building f of __._ _ _....__m._...._ Year; Roof' � ��� �� � Ext Built 1964 Struct Gable/Hip Wall Wood Shingle Effect-------------- Roof t �����-� _ AC I 1300 ,Asph/F GIs/Cmp None 111, Area = Cover - Type Int Bed _,. Style Ranch Wall Rooms 1 Drywall 2 Bedrooms __ -- _. Model Residential Int,Car et Bath € Floor p Rooms 2 FUII 33 .. _ __.._ _.... .. Heat i._ 99 Total Grade;Average Type Hot Air 1 R ooms i4 Rooms ,-,r. �_� � __. �. Heat€ _.__._ _ ,,.�� .�.� Found- Stories. _.. _,. Stoes Fuel ation Poured Conc. Permit History...._µ.. Issue Date Purpose Permit# Amount Insp Date Comments 3/23/2005 Addition 82899 1$65,000 Hi i Vist History ........................ ........... --------------- Date Who Purpose 8/1/2005 12:00:00 AM Paul Talbot Measur/Remodling in Progress 12/9/2002 12:00:00 AM Paul Matheson Meas/Listed 10 1 2002 12:00:00 AM Paul Talbot Meas/Listed 7/1/2002 12:00:00 AM Paul Talbot Meas/Listed 1/15/1988 12:00:00 AM ME Sales History Line Sale Date Owner Book/Page Sale Price 1 3/28/2002 ANDIEL, SUSAN M 14984/132 $120,000 2 6/15/1986 CUDDY, BRIAN C TRS 5164/271 13 16/15/1986 1 CUDDY, BRIAN C TRS 5164/271 $900,000 - Assessment History ----------------- ............ ............. .......--- ------------ ...... Save# Year Building Value XF Value OB Value Land Value Total Parcel Value 1 2006 $111,100 $2,500 $30,000 $208,700 $352,300 2 2005 $104,300 $2,500 $31,100 $189,600 $327,500 3 2004 $84,600 $2,500 $31,600 $161,100 $279,800 4 2003 $75,800 $0 $84,800 $58,700 $219,300 5 2002 i $75,800 $0 $18,600 $58,700 $153,100 6 2001 I $75,800 $0 $151,100 $58,700 $285,600 7 2000 $65,100 $0 $40,300 $39,500 $144,900 8 1999 $65,100 $0 $40,300 $39,500 $144,900 9 1998 $65,100 $0 $40,300 $39,500 $144,900 10 1997 $50,000 $0 $0 $33,800 $147,800 11 1996 $50,000 $0 $0 $33,800 $147,800 12 1995 $50,000 $0 $0 $33,800 $147,800 13 1994 $48,300 $0 $0 $45,700 $147,800 14 1993 $48,300 $0 $0 $46,300 $148,400 15 1992 $55,100 $0 $0 $50,800 $167,100 16 1991 $63,200 $0 $0 $62,000 $189,000 17 1990 $63,200, $0. $01 $62,000 $189,000 Photos .......... ........................ ................ ........... .... .......... . . ............................................................. Oki YA10 §» ^° s � Town of Barnstable P# l LI li-3 Department of Regulatory Services Public Health Division Date Czrb &esp. 200 Main Street,Hyannis MA 02601 Date Scheduled o Time ` `Fee Pd. � j Soil Suitability Assessment for Sewage Disposal 3 Performed By: `A Witnessed By. �S LOCATION& GENERAL INFORMATION ) f Location Address Q-0 p�y/ Owner's Name vlgD� h Ol l C' f A- Address Assessor's Map/Parcel: Engineer's Name a rS?`B� 17:� �gvid l� Covg�iahowr NEW CONSTRUCTION REPAIR _V Telephone# 504 0 . Land Use�•e5@N�14I JQ tV h Slopes(%) Surface Stones Distances from: Open Water Body t�a ft Possible Wet Area 00 i ft Drinking Water Well 004 ft Drainage Way LQo ft Property Line 'f' ft Other ft / SKETCH:(Street name,dimensions of lot,exact locations of test holes&pert tests,locate wetlands in proximity to holes) r I \\ GROUNDWATER ADJUSTMENT I 1 EXISTING GROUNDWATER LEVEL OBSERVED IN ADJACENT BOG AND DETERMINED DURING INSTRUMENT j j ` I SURVEY ON SEPTEMBER 26. 2006 ' IOBSERVED GW 43.39 IC INDEX WELL SDW-253 ZONE B ®- I READING DATE AUGUST 2004 READING 47.5 ADJUSTMENT 1.7 ADJUSTED GW 45.09 Parent material(geologic) rB aEt ©ot+^�5'7 Depth to Bedrock 7 Depth to Groundwater. Standing Water in Hole: ©� Weeping from Pit Face DpetL Estimated Seasonal High Groundwater e-p- 9 6,9 p e DETERMINATION FOR SEASONAL HIGH WATER TABLE Method Used: 4ee a-boyC a Depth Observed standing in obs.hole: ._In.— _..in. Depth to soil mottles: Depth to weeping from side of obs.hole: in. Groundwater Adjustment " Index Well# Reading Date: Index Well level Ad),factor Adj.Ornun Q er level -# t PERCOLATION TEST Hate toIlcio� `la Rom. Observation Hole# 1 Time at 91, d t Time at 6" to lei tin Depth cf Pere _ t' Q� f`tt Start Pre-soak Time @ t f 'oq - Time(9"-6") End Pre-soak f ^f Rate Min./Inch Site Suitability Assessment: Site Passed v Site Failed: Additional Testing Needed(Y/N) Original: Public Health Division ~ Observation Hole Data To'Be Completed on Back---------- ***If percolation test is to be conducted within 100'of wetland,you must first notify the. Barnstable Conservation Division at least one(1)week prior to beginning. Q:\SEPTICVERCFORM.DOC '1 S01E-T-ESTgL40G DATE- OF TEST:- OCTOBER 10, 2006 SOIL EVALUATOR: DAVID D. COUGHANOWR. R.S. WITNESSED BY: DONALD DESMARAIS. HEALTH DEPT. NO TEST PIT I PAARENOTUM�TERII L:EPROGLACIRALD OUTWASH ELEVATION = 56.25 PERC AT �d` in 2 MIN/INCH IN C SOILS +- , i DEPTH SOIL USDA SOIL SOIL COLOR SOIL OTHER (INCHES) HORIZON TEXTURE (MUNSELL) MOTTLING 56.25 0-5 Ap SANDY LOAM 10 YR 3/3 NONE FRIABLE i 5-32 B LOAMY SAND 10 YR 5/8 NONE LOOSE 53.58 32-12B C MEDIUM SAND 10 YR 6/4 NONE LOOSE. 35% GRAVEL 45.5E 'NO GROUNDWATER ENCOUNTERED TEST PIT 2 PARENT MATERIAL: PROGLACIAL OUTWASH i ELEVATION = 56.00 +- 2-MIN/,INCH IN C SOILS E i DEPTH SOIL USDA 'SOIL' SOIL COLOR SOIL OTHER (INCHES) HORIZON TEXTURE (MUNSELL) MOTTLING 56,00 i 0-6 - Ap SANDY LOAM '-10 YR 3/3 NONE FRIABLE 6-34 B LOAMY SAND 10 YR 5/B NONE LOOSE 53.17 i 34-126 C --MEDIUM, SAND-, 10-YR 6/4 NONE LOOSE, 35% GRAVEL 45.33 } DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture I Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones;Boulders. Con , i Flood Insurance Rate May: Above 500 year flood boundary No_ Yes V____ - 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 curring pervious material exist in all areas observed throughout the area proposed for the in If not,what is the d n ng pervious material?--- Certification o D. p � Cn I certify that on J �q*gAN(ume I ve passed the soil evaluator examination approved by the . Department of Env t Prat d that the above analysis was performed by me consistent withNS . i the required traininng, t« ience described in 310 CMR 15.017. Signature. '�'°��' S Dated Cl 1 l 1 200E Q:\S.EPn0PERCFORM.DOC W od ,,4 oK rj4 l.� O� _p d g' ��4� Fee------ — No._---__---____-- 4�r BOARD OF HEALTH TOWN OF BARNSTABLE Zipplicat ion-for lVell Congtruct ion hermit Applic tion is , reby made f r a pe t to Construct (v), Alter ( ) or Repair ( )an individual Well at: / Location 7 Address Assessors Map and Parcel � r C _N -- -- -- --- -- --- — Address Z -- ---- ----�o----o k -- So —17 off- Installer — Driller Address Type of Building hh Dwelling - — - — Other - Type of Building--- ------ No. of Persons_---f�---------------—------ Type of Well CftS� — Capacity------f�--�� -- --- Purpose of Well----1';r�!y�c— ---------- Agreement: The undersigned agrees to install the aforedescribed individual well in accordance with the provisions of The Town of Barnstable Board of Health Private Well Protection Regulation — The undersigned further agrees not to place the well in operation un '1 fica e A lia has been issued by the Board of Health. �i ,- S ------- ---- — 41 date Application Approved By ------------ �—/ date Application Disapproved for the following reasons:-----------——- -- --------- ------- -- ---------------=--------- - date , pp Permit No. W rOCL4 OO -- Issued----- Q- --- --- - date BOARD OF HEALTH TOWN OF : BARNSTABLE Certifirate Of Compliance THIS IS TER IFY at the In ividual Well Constructed (4- ), Altered ( ), or Repaired ( ) by____ - Installer has been installed in accordance with the provisions of the Town of Barnstable Board of Health Private Well Protection Regulation as described in the application for Well Construction Permit No. -------------Dated----- -------- THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE WELL SYSTEM WILL FUNCTION SATISFACTORY. DATE ---- __ _ — Inspector------- — ------ —----- 14 SCdti� tr ' 3 W Nc �pb A7 LOO f {dr Fee------=------------- BOARD OF HEALTH TOWN OF BARNSTABLE Application,forVell Congtructionhermit Appli by m r a ation is hereade f pe t to Construct (A' Alter ( ), or Repair ( )an individual Well at: �� �6 � ' •Location — Address Assessors Map and Parcel Address 4 w Installer — Driller Address 1 Type of Building Dwelling �!�— —---— Other - Type of Building------------- No. of Persons— Type 3----------------------- C' _ /� - -- Type of Well -- Capacity----- Purpose of Well ° �1�------- — 1 Agreement: The undersigned agrees to install the aforedescribed individual well in accordance with the provisions of The Town of Barnstable Board of Health Private Well Protection Regulation — The undersigned further agrees not to place the well in operation until a ificate o Coian a has been issued by the Board of Health. ------- — S date Application Approved By date --- - r Application Disapproved for the following reasons:— ------— --- —----- ---— ----- ------ ----- date - Q 'a-D�� 1 J� JJ Permit No. —— O D g — Issued ----- /—�a'�C2 - ------ - date r BOARD OF HEALTH TOWN OF BARNSTABLE C ertif irate®f Compiiante t THIS IS TO CERTIFY, That the Individual Well Constructed (4-<Altered ( ), or Repaired ( ) 4 -- i by Installer d C — /` /� `�r�ri----—--- -- — ------ ------ has been installed in/accordance with the provisions of the Town of Barnstable Board of Health Private Well Protection Regulation as described in the application for Well Construction Permit No. -------------------Dated---------------- 1 THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE WELL SYSTEM WILL FUNCTION SATISFACTORY. DATE----- —- -- Inspector------ - - --- ----------- BOARD OF HEALTH TOWN OF BARNSTABLE 4 Yell Congtructionpermit No. kL 'G—_` / =-- c�c� Fee— � — c �� �. -------- -- — Permission is hereby granted ---- -- i to Construct ( Alter ( ), or Repair ( ) an Individual Well at: street as shown on the application for a Well Construction Permit No. ------- Dated -. ,=--------- --------------------- Board of Health )Cj DATE NOTE: STP49T RIGHT OF MAY LINES ' AND BeARING SYSTEM TAKEN I FROM A PLAN ENTITLED ' 'Pldn Of Land 1n MARSTONS 1�1MILLS, BARNSTABLE MASS- Ld 5 4 3 1y Q Lel I ACNUSETTS Prepared for Lot CAMEL C. MOSTETTER Stole V-300• Eep.lO.1980 BOHANNON SURVE IAZOGEWA LAND ASS.- CO. 99 PLEASANT ST. WEST ORIDOEMATER. MASS.' RE- CORDED IN INS BARN$TABLE COUNTY REGISTRY OF O8HD9 J / �_•� IN 800K 948 PAGE B. _ - . Edge df Ba0 9 Wano.0 , NOTES, SCALE f• ICO' 11 ZONING DISTRICT,R F 21�N94OF E ARSE A3 Sf INO BY-LAW.OLLOWS O 3.204 �pr4-IS.9 CAA14SEARY 003 lDT S•91.0 4e%P� p/F ALTON D. SMITH trey ��'g LOT S 48,561 S.F.; curve No. Radius Delta Lan9tn Tan9onC Cnard ,� LOT Q = ----------------------------------------.....,,-_--------.— »- ---------------- � F.t 1 20.00 1e3 10 00 43',04 39.07 N S9 94 54 M '35.2G r� 43 560$, . a, LOT 3 4 43.798 S.F.+/— zIs.TS M • M 58 E5'31' E 0.4e •ifi50.i2b• OT 4 • $ ",p°� C•„e. A0.00 e•.P„, 55,294 S.F. e A N/F JONN F. REIS LOT 5 44,546 S.F,+/— 44` CRANBERRY aDG ^ A I �� .� \ se•ae'39•y 7jJ i 1 �9 7e .09• 0• M `� N 52 88131' a N/F MYSTIC REALTY TRUST I Page. CERTIFICATE OF ANALYSIS Barnstable County Health Laboratory Report Prepared For: Report Dated: 09/06/2001 Andiel,Susan Order Number: G0111464 Susan Andiel P O Box 1869 Cotuit, MA 02635 Laboratory 1D#: 0111464-01. Description: Water-Drinking Water Sample#: 111464. Sampling Location: 120 Bog Road Marstons Mills MA Collected: 08/24/2001 ollected by: S Andiel Received: 08/24/2001 Routine ITEM RESULT UNITS MDL MCL Method# Tested LAB:IC Lab Nitrates <0.1 mg/L 0.i 10 EPA 300.0 08/24/2001 LAB: Metals Copper <0.1 mg/L 0.1 1.3 SM 3111B 09/06/2001 Iron 0.2 mg/L 0.1 0.3 SM 311113 09/06/2001 Sodium '22 mg/L 1.0 20 SM 3111B 09/06/2001 LAB:Microbiology Total Coliform Absent P/A 0 Absent P/A 08/23/2001 LAB: Physical Chemistry Conductance 134 umohs/cm 1 EPA 120.1 08/24/2001 pH 6.4 pH-units EPA 150.1 08/24/2001 Note: Water sample has higher than average level of Sodium. .Persons on a low sodium diet may wish to contact their.physician. Approved By: (Lab Director) 5/7/ZOO/ Superior Court House, PO.Box 427, Barnstable, MA 02630 Ph: 508-375-6605 r Home: Departments:Assessors Division: Property Assessment Search Results 120 A y Owner: ANDIEL, SUSAN M Property Sketch Legend Map/Parcel/Parcel Extension 045 /017/005 Mailing Address i3!3 U1 t,3 ,4,333 33 333,� ! f3 ANDIEL, SUSAN M ✓•3�L-. y �� 120 BOG RD 3 MARSTONS MILLS, MA. 02648 2006 Assessed Values: Appraised Value Assessed Value Building Value: $ 104,300 $104,300 Extra Features: $2,500 $2,500 Outbuildings: $31,100 $31,100 Land Value: $ 189,600 $ 189,600 Interactive Property Map: ap requires Flu in: Totals:$327,500 $327,500 1 have visited the maps before First time users Show Me The Man Click Here April 2001 photos available Sales History: Owner: Sale Date Book/Page: Sale Price: ANDIEL, SUSAN M 3/28/2002 14984/132 $ 120,000- CUDDY, BRIAN C TRS 6/15/1986 5164/271 $0 CUDDY, BRIAN C TRS 6/15/1986 5164/271 $900,000 2005 REAL ESTATE Tax Information: TaxRates: (per$1,000 of valuation) Land Bank Tax $59.44 Town Fire District Rates Other Rates $6.05 Barnstable-Residential $2.12 Land Bank 3%of Town Barnstable-Commercial $2.80 C.O.M.M. FD Tax(Residential) $330.78 C.O.M.M. -All Classes $1.01 Cotuit FD-All Classes $1.28 Town Tax(Residential) $1,981.38 Hyannis-Residential $1.52 Hyannis-Commercial $2.39 W Barnstable-Residential $1.44 W Barnstable-Commercial $2.10 Total: $2,371.60 Due to rounding differences these values may vary Land and Building Information Land Building Lot Size(Acres) 1.27 Year Built 1964 Appraised Value $ 189,600 Living Area 1300 Assessed Value $ 189,600 Replacement Cost$ 127,218 Depreciation 18 Building Value 104,300 Construction Details Style Ranch Interior Floors HardwoodCarpet Model Residential Interior Walls Drywall Grade Average Heat Fuel Gas Stories 1 Story Heat Type Hot Air Exterior Walls Wood ShingleClapboard AC Type None Roof Structure Gable/Hip Bedrooms 2 Bedrooms Roof Cover Asph/F GIs/Cmp Bathrooms 1 Bathroom Total Rooms 4 Rooms Extra Building Features Code Description Units/SQ ft Appraised Value Assessed Value FPL Fireplace 1 $2,500 $2,500 UTIL UTIL BLDG 4242 $31,100 $31,100 Property Sketch Legend BAS First Floor, Living Area FST Utility Area(Finished Interior) UAT Attic Area(Unfinished) BMT Basement Area(Unfinished) FTS Third Story Living Area(Finished) UHS Half Story(Unfinished) CAN Canopy FUS Second Story Living Area(Finished) UST Utility Area (Unfinished) FAT Attic Area(Finished) GAR Garage UTQ Three Quarters Story(Unfinished) FCP Carport GRIM Greenhouse UUA Unfinished Utility Attic FEP Enclosed Porch PTO Patio UUS Full Upper 2nd Story(Unfinished) FHS Half Story(Finished) SFB Semi Finished Living Area WDK Wood Deck FOP Open or Screened in Porch TQS Three Quarters Story(Finished) COMMONWEALTH OF MASSACHUSETTS EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS DEPARTMENT OF ENVIRONMENTAL PROTECTION TITLE 5 OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM FORM PART A CERTIFICATION Property Address: 120 Bog Road Marstons Mills, MA 02648 R Owner's Name: Brian Cuddy Owner's Address: 190 Winding River Road SEP 1, g 2001 Wellesley, MA 02482 Date of Inspection: August 28, 2001 ToNIN 011" oFp- . HEALTH DEPT. Name of Inspector: (Please Print)Gordon E. Bump us Company Name: Gordon E. Bumpus Mailing Address: 215 Ost.-W. Barnstable Road Map: 045 Osterville,MA 02655 Parcel.017 Telephone Number: (508)428-5640 CERTIFICATION STATEMENT 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 Needs Further Evaluation by the Local Approving Authority Fails Inspector's Signature: Date: September 2, 2001 The system inspector shalt 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. Notes and Comments ****This report only describes conditions at the time of inspection and under the conditions of use at that time. This inspection does not address how the system will perform in the future under the same or different conditions-of use. Title 5 Inspection Form 6/15/2000 page 1 7 Page 2 of I I OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address: 120 Bog Road Marstons Mills. MA Owner: Brian Cuddy Date of Inspection: August 28, 2001 Inspection Summary: Check A,B,C,D or E/ALWAYS complete all of Section D A. System Passes: ✓ I have not found any information which indicates that any of the failure criteria described in 310 CMR 15.303 or in 310 CMR 15.304 exist. Any failure criteria not evaluated are indicated below. Comments: '~ B. ' System Conditionally Passes:., One or more system components as described in the"Conditional Pass"section need to be replaced or repaired. The system,upon completion of the replacement or repair,as approved by the Board of Health,will pass. Answer yes,no or not determined(Y,N,ND)in the for the following statements. If"not determined",please explain. The septic tank is metal and over 20 years old*or the septic tank(whether metal or not)is structurally unsound,exhibits substantial infiltration or exfiltration or tank failure is imminent. System will pass inspection if the existing tank is replaced with a complying septic tank as approved by the Board of Health. *A metal septic tank will pass inspection if it is structurally sound,not leaking and if a Certificate of Compliance indicating that the tank is less than 20 years old is available. ND explain: Observation of sewage backup or break out or high static water level in the distribution box due to broken or obstructed pipe(s)or due to a broken,settled or uneven distribution box. ,System will pass inspection if (with approval of Board of Health): broken pipe(s)are replaced obstruction is removed distribution box is leveled or replaced ND explain: The system required pumping more than 4 times a year due to broken or obstructed pipe(s). The system will pass inspection if(with approval of the Board of Health): broken pipe(s)are replaced obstruction is removed ND explain: 2 f Page 3 of 11 OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address: 120 Bog Road Marstons Mills, AM Owner: Brian Cuddy Date of Inspection: August 28, 2001 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. _ The system has a septic tank and SAS and the SAS is less than 100 feet but 50 feet or more from a private water supply well". Method used to determine distance "This system passes if the well water analysis,performed at a DEP certified laboratory, for coliform bacteria and volatile organic compounds indicates that the well is free from pollution from that facility and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm,provided that no other failure criteria are triggered. A copy of the analysis must be attached to this form. 3. Other: 3 Page 4 of 11 OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address: 120 Bog Road Marstons Mills, MA Owner: Brian Cuddy Date of Inspection: August 28, 2001 D. System Failure Criteria applicable to all systems: You must indicate either"yes"or"no"to each of the following for all inspections: Yes No ✓ Backup of sewage into facility or system component due to overloaded or clogged SAS or cesspool ✓ Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or clogged SAS or cesspool ✓ Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool ✓ Liquid depth in cesspool is less than 6"below invert 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 well. ✓ Any portion of a cesspool or privy is within 50 feet of a private water supply well. ✓ Any portion of a cesspool or privy is less than 100 feet but greater than 50 feet from a private water supply well with no acceptable water quality analysis. [This system passes if the well water analysis, performed at a DEP certified laboratory,for coliform bacteria and volatile organic compounds indicates that the well is free from pollution from that facility and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm,provided that no other failure criteria are triggered. A copy of the analysis must be attached to this form.] No (Yes/No)The system fails. I have determined that one or more of the above failure criteria exist as described in 310 CMR 15.303,therefore the system fails. The system owner should contact the Board of Health to determine what will be necessary to correct the failure. E. Large System: To be considered a large system the system must serve a facility with a design flow of 10,000 gpd to 15,000 gpd• , You must indicate either`yes"or"no"to each of the following: (The following criteria apply to large systems in addition to the criteria above) Yes No the system is within 400 feet of a surface drinking water supply _ the system is within 200 feet of a tributary to a surface drinking water supply the system is located in a nitrogen,sensitive area(Interim Wellhead Protection Area-IWPA)or a mapped Zone II of a public water supply well If you have answered"yes"to any question in Section E the system is considered a significant threat,or answered "yes"in Section D above the large system has failed. The owner or operator of any large system considered a significant threat under Section E or failed under Section D shall upgrade the system in accordance with 310 CMR 15.304. The system owner should contact the appropriate regional office of the Department. 4 w 4 Page 5 of 11 OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B CHECKLIST Property Address: 120 Bog Road Marstons Mills. AM Owner: Brian Cuddy Date of Inspection: August 28, 2001 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? n/a Were as built plans of the system obtained and examined?(If they were not available note as N/A) ✓ Was the facility or dwelling inspected for signs of sewage back up? ✓ Was the site inspected for signs of break out? ✓ Were all system components,excluding the SAS,located on site? ✓ Were the septic tank manholes uncovered,opened,and the interior of the tank inspected for the condition of the baffles or tees,material of construction,dimensions,depth of liquid,depth of sludge and depth of scum? ✓ Was the facility owner(and occupants if different from owner)provided with information on the proper maintenance of subsurface sewage disposal systems? The size and location of the Soil Absorption System(SAS)on the site has been determined based on: Yes No ✓ Existing information. For example,a plan at the Board of Health. ✓ Determined in the field(if any of the failure criteria related to Part C is at issue approximation of distance is unacceptable) [310 CMR 15.302(3)(b)]. 5 Page 6 of 11 OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION Property Address: 120 Bog Road Marston Mills. MA Owner: Brian Cuddy Date of Inspection: August 28, 2001 FLOW CONDITIONS RESIDENTIAL 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: 2 Does residence have a garbage grinder(yes or no): No Is laundry on a separate sewage system(yes or no): No [if yes separate inspection required] Laundry system inspected(yes or no): No Seasonal use(yes or no): No Water meter readings,if available(last 2 years usage(gpd)): Private well Sump Pump(yes or no): No Last date of occupancy: Currently occupied COMMERCIAL/INDUSTRIAL Type of establishment: Design flow(based on 310 CMR 15.203): _ pd Basis of design flow(seats/persons/sgft,etc.): Grease trap present(yes or no): Industrial waste holding tank present(yes or no) Non-sanitary waste discharged to the Title 5 system(yes or no): Water meter readings,if available: Last date of occupancy/use: OTHER(describe): GENERAL INFORMATION 'Pumping Records Source of information: Never pumped-per owner Was system pumped as part of the inspection(yes or no): • No If yes,volume pumped: - allons How was quantitypumped 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: Unknown Were sewage odors detected when arriving at the site(yes or no): No 6 I Page 7 of 11 OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: 120 Bog Road Marstons Mills, AM Owner: Brian Cuddy Date of Inspection: August 28, 2001 BUILDING SEWER(locate on site plan) Depth below grade: Materials of construction: _cast iron 40 PVC _other(explain): Distance from private water supply well or suction line: Comments(on condition of joints,venting,evidence of leakage,etc.): SEPTIC TANK: ✓ (locate on site plan) Depth below grade: 12" Material of construction: ✓ concrete _metal _fiberglass _polyethylene _other(explain) If tank is metal list age: Is age confirmed by a Certificate of Compliance(yes or no): (attach a copy of certificate) Dimensions: 1000 gal. t Sludge depth: 3" Distance from top of sludge to bottom of outlet tee or baffle: 28" Scum thickness: 4" Distance from top of scum to top of outlet tee or baffle: 9" Distance from bottom of scum to bottom of outlet tee or baffle: 11" How were dimensions determined: Measuring 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.): Baffles were present. There were no signs of leakage.. Recommend pumping. GREASE TRAP: None (locate on site plan) Depth below grade: Material of construction: _concrete metal _fiberglass _polyethylene _other (explain): Dimensions: Scum thickness: Distance from top of scum to top of outlet tee or baffle: Distance from bottom of scum to bottom of outlet tee or baffle:• Date of last pumping: Comments(on pumping recommendations, inlet and outlet tee or baffle condition,structural integrity,liquid levels as related to outlet invert,evidence of leakage,etc.): 7 Page 8 of 11 OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: 120 Bog Road Marstons Mills, AM Owner: Brian Cuddy Date of Inspection: August 28, 2001 TIGHT or HOLDING TANK: None (tank must be pumped at time of inspection)(locate on site plan) Depth below grade: Material of construction: _concrete _metal _fiberglass _polyethylene _other(explain): Dimensions: Capacity: gallons Design Flow: >;allons/day Alarm present(yes or no): Alarm level: Alarm in working order(yes or no): Date of last pumping:, Comments(condition of alarm and float switches,etc.): DISTRIBUTION BOX: None (if present must be opened)(locate on site plan) Depth of liquid level above outlet invert: Comments(note if box is level and distribution to outlets equal,any evidence of solids carryover,any evidence of leakage into or out of box,etc.): PUMP CHAMBER: None (locate on site plan) Pumps in working order(yes or no): Alarms in working order(yes or no) Comments(note condition of pump chamber,condition of pumps and appurtenances,etc.): 8 Page 9 of 11 OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM ' � PART C SYSTEM INFORMATION (continued) Property Address: 120 Bog Road Marstons Mills, MA Owner: Brian Cuddy Date of Inspection: August 28, 2001 SOIL ABSORPTION SYSTEM(SAS): ✓ (locate on site plan,excavation not required) If SAS not located explain why: Type ✓ leaching pits,number: 6'x 6'with I'stone leaching chambers,number: leaching galleries,number: leaching trenches,number,length: leaching fields,number,dimensions: overflow cesspool,number: Innovative/alternative system Type/name of technology: Comments(note condition of soil,signs of hydraulic failure, level of ponding,damp soil,condition of vegetation, etc.): The pit had 2'of water on the bottom. The scum line was at the same level. There were no signs of failure. The bottom to grade was approximately 7.5. CESSPOOLS: None (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 or no): Comments (note condition of soil,signs of hydraulic failure,level of ponding,condition of vegetation,etc.): PRIVY: None (locate on site plan) Materials of construction: Dimensions: Depth of solids: Comments(note condition of soil,signs of hydraulic failure, level of ponding,condition of vegetation,etc.): 9 Page 10 of l l OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C ' SYSTEM INFORMATION (continued) Property Address: 120 Bog Road Marstons Mills. MA Owner: Brian Cuddy Date of Inspection: August 28, 2001 Map: 045 Parcel: 017 SKETCH OF SEWAGE DISPOSAL SYSTEM Provide a sketch of the sewage disposal system including ties to at least two permanent reference landmarks or benchmarks. Locate all wells within 100 feet. Locate where public water supply enters the building. k l O . a Aa- I C1, ✓ S- 30 g3� 37 3 4 10 f Page 11 of l l OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: 120 Bog Road Marston Mills, AM Owner: Brian Cuddy Date of Inspection: August 28, 2001 SITE EXAM Slope Surface water Check cellar Shallow wells Estimated depth to ground water feet Please indicate (check) all methods used to determine the high ground water elevation: Obtained from system design plans on record- If checked, date of design plan reviewed: ✓ Observed site(abutting property/observation hole within 150 feet of SAS) Checked with local Board of Health-explain: Checked with local excavators,installers-(attach documentation) Accessed USGS database-explain: You must describe how you established the high ground water elevation: The bottom of the leach pit to grade was approximately 7.5. Dug down to ground water, which was 11'below grade at a lower elevation. Using a transit, the bottom of the leach pit was approximately 5.4'above ground water. Using the Cape Cod Commission Technical Bulletin, the high ground water adjustment for this site(SDW 25,2, Zone B, 7101)was 4.11," A test hole was dug with a registered engineer present. The ground water has never been up to the bottom of the leach pit, per registered engineer. a i3 2oo1 �N1JG Tb�37 / r,z✓ A) This report has been prepared and the system inspected and passed as of the date of inspection. This report is not a warranty or guarantee that the system will function properly in the future. There have been no warranties or guarantees, either expressed, written or implied, relating to the system, the inspection and/or this report. 11 I_ U 1 � i I l,U q 7 J�S�McnT Sow �S 3 n O G rov.. w4lfl- ►�ci Refj. ��+5��ce� - � � Mo �"��� i �p0 MARSTONS 0 _ CONTOURS MILLS. MA Z �� EXISTING - - - - - - - 50 0�,0 _ MINIMAL GRADING PROPOSED N 00 \ I o \ o; o m w -2a Locus oor BENCH MARK 0o� m °7om m \ 3e TOP OF FOUNDATION �Ro�R 'o \ LDT 4 =mot ELEVATION = 57.46 o f AREA - 55294 _— +- �,, BARNSTABLE GIS DATUM <<o� yw � \\ r �- FOCUS MAP m (nOz DISTANCES NOT TO SCALE Lo �QO \ TO LEACHING GALLERY _ BN ❑w oL \ ALL DISTANCES ARE IN DECIMAL `�` 56 O ff Q(n 0 ' FEET NOT IN FEET AND INCHES. >w U)Jz � 3LffLl \ LLJw I LIJ W o \ 3 > \ B ❑ 1 w~ w} U � \ ❑ �o +, lyry < _j � JN rn \ 1 W Z m X (L❑ Z � vJ \ A B 2 3 I m F W W W O 1 28.3 29.5 / Z� W � � U` `J O m rn 2 5I.4 29.5 I \ � �/ 3 57.6 39.4CD 1 � NQ\ J \> 1 Wzl Z \ m / Ft Im LL X m � -0 \Z z EXISTING m Lu Ld o o O � � Q \ � a DWELLING m (n_j W W I o \ 0 ,3 FNDN 1 Z ti U w} O \ -7 ELP=OS.46+- Lo w z ZW \ O �' >Q x �� �ocn \ �� ° TP' 1 J~ Z U� CD(n0� I W (L Z_ \ J �1—56 r^ 3 Z= \ �P TP-2 I o wW N ,, 28FEx12.5FEx2Ft I ao \ \ LEACHING GALLERY J X w B J + Z [w f --- e W W --- > --- W m OU u7 w \ GAS LINE- ` ---�-- - - J v - _ WATER LINE ` --- �� 30�00 f t z J o z0 Z - ®o Te SEWAGE DISPOSAL SYSTEM PLAN J Z J -TO SERVE EXISTING DWELLING 0 3 Q< ~ o ° °m ~ U LEGEND EST. SUSAN M. ANDIEL ,—, OWNER OF RECORD o o LLI, m X EXISTING ! d 120 BOG ROAD PLAN SEPTIC GALLON SEPTIC TANK ��HOFMq Mqs MARSTONS MILLS. MA W � �kA ssq� jH of � 1995 o-eox � o o�' DAVID ti� �� ��0 + (f SCALE. 1 Ir, = 30 f E f �� PROPERTY ADDRESS TEST PIT ® g`A D. �0 DAVID ��, �ON� 0 30 0 30 60 t o D. �', ASSESSORS - p MAP 4 5 PARCEL 1 5 EXISTING COUGHANOWR U 43 TRIANGLE CIRCLE O Lo c� 0 10 20 30 LEACH PIT • No. 1093 COUGHANOWR SANDWICH MA 02563 PLAN BOOK 525 PAGE 15 O J z UTILITY POLEj" $ ���''lSTE��O �O Z/CENSEO 506 364-0894 DATE: OCTOBER 11. 2006 0- x [ S OO W w w W TREE REFERS TO NI TA E VA LU P JOB B E T E-2 4 5 9 PAGE 1 OF 2 VERSION: DIAMETER rN rNCHE5 THIS PLAN IS BASED ON AN INSTRUMENT SURVEY AND IS.INTENDED LETTER DENOTES TYPE. 18-P O-OAK M-MAPLE P-PINE SOLELY FOR INSTALLATION OF THE PROPOSED SEPTIC SYSTEM OG769bCHANGES TO PRERTY INCLUDING or 2D� PLACE EDNT OFHER ON. FOR ANYADDITIONS. SHOEDS. FENCES OR SWIMMING POOLS, OWNER SHOULD CONSULT WITH A MASSACHUSETTS REGISTERED LAND SURVEYOR. SOIL TEST LOG DESIGN CALCULATIONS DESIGN FLOW: 3 BEDROOMS X 110 GPD = 330 GPD DATE OF TEST: OCTOBER 10. 2006 SEPTIC TANK: 330 GPD X' 2 DAYS = 660 GALLONS SOIL EVALUATOR: DAVID D. COUGHANOWR. L.S.E. USE EXISTING 1000 GALLON SEPTIC TANK IF IN SOUND STRUCTURAL WITNESSED BY: DONALD DESMARAIS, HEALTH DEPT. CONDITION. IF NOT. INSTALL 1500 GALLON SEPTIC TANK (MINIMUM ALLOWED) NO GROUNDWATER ENCOUNTERED DISTRIBUTION BOX: USE 3 OUTLET D-BOX. TEST PIT I PARENT MATERIAL: PROGLACIAL OUTWASH SOIL ABSORBTION SYSTEM: A 28 FL x 12.5 FL x 2 FL LEACHING GALLERY CAN LEACH PERC AT 60 in : 2 MIN/INCH IN C SOILS ELEVATION = 56.25 +- Abot = ( 28 x 12.5 ) = 350 sF Asdw = ( 28 + 28 + 12.5 + 12.5 ) x 2 = 162 sF ALcL = 512 sF DEPTH SOIL USDA SOIL SOIL COLOR SOIL OTHER VL 0.74 x 512 = 378.88 GPD (INCHES) HORIZON TEXTURE (MUNSELL) MOTTLING USE A 26 FL x 12.5 FL x 2 ft GALLERY. Vt = 378.88 GPD > 330 GPD REQUIRED 56.25 0-5 Ap SANDY LOAM 10 YR 3/3 NONE FRIABLE 5-32 B LOAMY SAND 10 YR 5/B NONE LOOSE NOT TO 53.56 32-12B C MEDIUM SAND 10 YR 6/4 NONE LOOSE. 35% GRAVEL LEACHING GALLERY SCALE USE SHOREY PRECAST 500 GALLON LEACHING DRYWELL (H-10 LOADING) 45.58 NO GROUNDWATER ENCOUNTERED CONSTRUCTION DETAIL 500 GALLON DRYWELL TEST PIT 2 PARENT MATERIAL: PROGLACIAL OUTWASH DIMENSIONS AND DETAIL ELEVATION = 56.00 2 MIN/INCH IN C SOILS DRYWELL UNIT STON USE H-10 UNIT INSTALL ONE INSPECTION 0 RISER WITHIN 28.0 FL 7 INCHESTOF FINAL GIRADE m AND INDICATE LOCATION DEPTH SOIL USDA SOIL SOIL COLOR SOIL OTHER m� ON AS-BUILT PLAN (INCHES) HORIZON TEXTURE (MUNSELL) MOTTLING m 4 56.00 Lq m 4 0-6 Ap SANDY LOAM 10 YR 3/3 NONE FRIABLE m N o �0 33 m �op� O0p in 53.1� 6-34 B LOAMY SAND 10 YR 5/8 NONE LOOSE s.5 �t 8.5 t a Ft e.s �t s Ft m ����0000000 0 34 126 C MEDIUM SAND 10 YR 6/4 NONE LOOSE. 35/ GRAVEL 26.0 Ft 5g 45.33 1 1 1 1 1 CROSS SECTION VIEW 2 in PEASTONE 2 in PEASTONE NOTES 28 24 in 3/4 in TO EFFECTIVE 3/4 in TO 26 1-1/2 in GRAVEL 1) GARBAGE GRINDER NOT ALLOWED WITH THIS DESIGN in VEL DEPTH 1-1/2 in GRA In 2) ALL LINES TO BE SCH 40 PVC AND PITCH AT 1/8 INCH PER FOOT MINIMUM. 3) ALL COMPONENTS INSTALLED SHALL MEET THE MINIMUM REQUIREMENTS 46 in 56 in 46 in OF MASSACHUSETTS TITLE 5 SEPTIC CODE (310 CMR 15) 4) INSTALLER TO VERIFY LOCATIONS OF ALL UNDERGROUND UTILITIES 150 in BEFORE EXCAVATING FOR SYSTEM. 5) EXISTING LEACH PIT TO BE PUMPED, COLLAPSED. AND REMOVED 6) ALL STONE TO BE DOUBLE WASHED AND FREE OF IRON. FINES AND DUST IN PLACE Zl LINES EXITING D-BOX TO RUN LEVEL FOR 2'-0" BEFORE PITCHING DOWN 8) EAN TECH ENVIRONMENTAL RECOMMENDS THE INSTALLATION OF LOW FLOW FIXTURES GROUNDWATER ADJUSTMENT SEWAGE DISPOSAL SYSTEM PLAN AND APPLIANCES. AND BIANNUAL PUMPING OF THE SEPT_ I%',T.ANK is�,S, ti . , ' EXISTING GROUNDWATER LEVEL 9) SYSTEM IS NOT DESIGNED TO WITHSTAND VEHICULAR:,,LOADING. DO NOT PARK OR DRIVE VEHICLES OVER SEPTIC SYSTEM. OBSERVED IN ADJACENT BOG AND -TO SERVE EXISTING DWELLING '"I'°`"`'� f DETERMINED DURING INSTRUMENT 10) INSTALLER TO OBTAIN DISPOSAL WORKS PERMIT, BEFORE STARTING WORK: SURVEY ON SEPTEMBER 26. 2006 SIJSAN M. ANDIEL OBSERVED GW 43.39 120 BOG ROAD MARSTONS MILLS. MA 11) SEPTIC TANKS SHALL BE INSTALLED LEVEL AND- TRUE TO 'GRADE•"ONiA• LEVEL INDEX WELL SDW-253 :STABLE _BASE THAT HAS BEEN MECHANICALLY COMPACTED AND- ON TO WHICH ZONE B ECO-TECH ENVIRONMENTAL SIX INCHES OF CRUSHED STONE HAS BEEN PLACED TO MINIMIZE UNEVEN:-SETTLING . _ READING DATE AUGUST 2004 12) SEPTIC TANK TO BE PUMPED DRY AT TIME OF SYSTEM REPAIR AND CHECKED READING 47.5 43 TRIANGLE CIRCLE SANDWICH MA 02563 FOR STRUCTURAL INTEGRITY. INSTALL PVC OUTLZT TEE FITTED WITH GAS BAFFLE. ADJUSTMENT L7 , - - _ ADJUSTED GW 45.09 ETE-2459 OCTOBER 11, 2006 2/2 50.4.t (EXISTING) ' m z EXIST. z DECK w o A QxQ QW�co A5 NEW CHIMNEY(VERIFY '� �2 ' MATERIAL IN THE FIELD) (],]' U)W.--. EXIST EXIST EXIST. EXIST. !�'- o LF,W ti m o�i Q 0��� ruv'Cie ) EXIST. (FORMER BEDROOM) L 11 I (FORMER BEDROOM) XX`` 1L0'1. I I--iy LINE OF S F. `�� I II jABOVE O y I 1ST. RE-USE EXIST. I DOOR �� BATH NEW PARALLAM BEAM—S'0'C-O- __ NEW PARALLAM BEAM_— —-_ - _ _ NEW PARALLAM BEAM Z --AM -- ------ NEW PARALLAM -`P.i (SIZED BY OTHER ---- X -------------- _--S) �____ (SIZED BY OTHERS) (SIZED BY OTHER NEW LIVING (FORMER BEDROOM) II NEW II DINING II EXIST. i w II KITCHEN I EXIST. II UTIL. I I REUSE EXIST. / 11 NOTE: �_ DOOR / �T M-��I Vl INSTALLNEW2-1 3/4`x7 IWLVL HEADERS AT NEW WINDOWI)OOR I I LOCATIONS,RE-USE EXIST. It w I I WINDOWS WHERE POSSIBLE 1 I 06 RE-USE ` I DOORICHANGESWING �FAk] [EA I - 7-17 6'-11' 7-10' S'-A 8'-T 7-10" S'-11' 7-1Q' 3'-10' - ["�1 W a I NEW I §F 1---• ,—, PORCH I m Q Q O -- ----- ---------- -- ------ ---------- -------- - Q A B 1-� C:3 NEW 10•DIA A5 A5 I�—�I COLUMNS <I 1U-0' la-(T 10'-0" IV-cr 10'll c 11 Z � N (EXISTING) SCALE: FIRST FLOOR PLAN 1/4"= r-W EXIST.FIRST FLOOR = 1300 S.F. GENERAL NOTES: DATE NEW SECOND FLOOR = 1328 S.F. 3/7/2005 1.) CONTRACTOR IS TO VERIFY EXISTING CONDITIONS AND DIMENSIONS NLW SMOKE DETEGFOR IN THE FIELD PRIOR TO THE START OF WORK JOB NO.: 2-) CONTRACTOR TO REMOVE EXISTING DOORS,WINDOWS, AND. LEGEND: WALLS,-&ROOFING AS REQUIRED FOR NEW CONSTRUCTION. 3,) ALL NEW CONSTRUCTION TO MATCH IXISTING IN MATERIAL, DRAWING NO.: C� EXISTING WALLS DETAIL,AND FINISH. THEDESIOROMISGNER ALL SAREFBE OUNDOIED IF ANY ERRORS OR OMISSIONS ARE FOUND ON OF CONSTRUCTION TO BE Rita t�' THESE NSTRUDRAWINGS CTI NN T(�IeLOLD�INOR TO�CONTTRRACTOR RM WILL BE RESPONSIBLE FOR THE CONTENT _ e NEW CONSTRUCTION WILL THESE DRAWINGS IF CONSTRUCTION COMMENCES WITHOUT NOTIFYING THE DESIGNER OF ANY ERRORS OR OMISSIONS. �o 50'-O't (SHED DORMER _ z 3'-O' r-+D• +a.s 7-1v T-r V-(r r-v 7-4- aa P ZQ A B N A5 E E E E E E E 014 Ll ze x 66' I CAB. CAB CLOS.l I I' F a to I SHELVES SHELVES I I1p Es �' I O= a I NEWe-� NEW /+ I F•oo`o ao o rfi•x6'B" I "..PEN TO sTUB! B/'1111 kg NEW ( W-I.I�-I i w C� O L Vv � —J BELOW SHO MASTER BATH I L L 1 / \ r-r NEW E BEDROOM DN k ® IN ti « +zm a Ir sa &4 s s- a F, � %66• ® k66 17 NEW b MI 27x66' MASTER ° H E ® BEDROOM _ r6'x 66' 6 - 2O x66 I NEW rp-uaVN� NEW C� LOFT IsraR I0-4 E IS H BEDROOM N I t 27x66' -- ----� -TOR --- PANE--I----- NDERACCESS __ -------- — -^ -------_-- —____—_ _ACCESS _ - PANEL 04 AL OF WALL f l W fl( BELOW O 06 : A B "1 � z-r r-+v r-r �-+r s-s•A5 r-r 6-v +6-+cr sa r-r O (GABLE DORMER) (SHED DORMER (GABLE DORMER) W fit SECOND FLOOR PLAN z cn SCALE: 1/4"= 1'-0" WINDOW SCHEDULE DATE: 3/10/2005 TYPE MANUFACTURER'S UNIT ROUGH OPENING REMARKS A ANDERSEN TW 2446 T-6 1/fS"x 4'-9 1W DOUDLEI IUNG JOB NO.: B " TW 24310 7-6 1/8"x 4'-1 114" DOUBLEHUNG AND. C " TW 2436 2'-6 1/6"x 3'-9 114" DOUBLEHUNG D " " A 251 Z-4 7/8"x 2'-0 5/9' AWNING DRAWING NO.: E " TW 2442 2'-6 1/8"x 4'-5 1/4" DOUBLEHUNG NOTE_CONTRACTOR TO VERIFY ALL WINDOWS W1TH OWNER AND ROUGH OPENINGS WITH WINDOW MANUFACTURER PRIOR TO ORDERING OF WINDOWS A2 - i NEW ROOF CONST. EXIST SUBFLOOR 12 EXIST.2 x 8 JOISTS THRU BOLT W/2 12'DI0. z Q'� 12 HARDWARE @ 24-o cfNEIW3 FLITCH(1)1 3/4"x 7 1/4'19 E LVL's — 2 MIN EDGE DISTPJJCETO EACH FACE OF THE EXISTING (/]O p 4 11 2 x 8 GIRT(ENLARGE BEARING [L] NEW 2 x 10 CEIUNG JOISTS @ 16'o c TOP OF PLATE LA E) cr. Q O ELCOLUMNAT L.O EACH END w (n Lo.--. uj 1 NEW NEW WA L w°"(` BEDROOM BEDROOM m OPTIONAL GIRT DETAIL �, x�N CONST. m SCALE: 1/z'= 1'-U' Q U t co o 2x4 STUDS @16'oc. W/IQ*GYP BD SECOND FLOOR SUBFLOOR NEWS 12'ENGINEERED JOISTS @ 16-o c TOP OF PLATE 3-1 314'x 11 Wr LVL NEW PARALLAM BEAM (VERIFY W/MFR) NEW 2-1 314'x 7 114'LVL (SIZED BY OTHERS) HEADERS AT NEW WINDOWS O NEW Ur DIA OOL1M"S NEW LIVING FAMILY PORCH ROOM ROOM FIRST FLOOR SUBFLOOR 3-PT 2x12s PT 2x10's@1GocU 13 EXIST 2 x 8 FLOOR JOISTS@ 16'o c EXIST.2 x 8 FLOOR JOISTS@16'oc "'1ST.3-2 x 8 GIRT EXIST. (SEE OPTIONAL DETAIL) CRAWLSPACE EXIST FOUND WAILS& b Z FOOTINGS TO REMAIN s CONT RIDGEVENT '^ x O SIMPSON LSTA STRAP NEW 28`DIA'BIGFOOT'FOOTINGS A BUILDING SECTION @LIVING/FAMILY ROOM AT EACH RAFTER NEW ROOF CONSTRUCTION UNDER 12'DIA SONOTUBES AT 1-2 x/0 RAFTERS @ 16'o c PORCH 4'0'DEEP A5 212 CDX PLYWOOD SHEATHING 2 Gs 32'o c 3 ASPHALT ROOF SHINGLES 2-1314'x 117/e'LVLk 415#FFLTPAPER- 5 4'(R=30)BATT INSULATION @ FLAT CEILINGS �y 12 6 8'(R=30)HIGH DENS INSULATION @ SLOPED CEILINGS Q 12 - / 2 x 6 HANGERS 1S'o c sk 7 2 x 12 RIDGE BOARD w ®4.1 8 SIMPSON H 2 5 HURRICANE CUPS @ ALL RAFTERS O W / / NEW 2 x 10 CEIUNG JOISTS @ 16'o a TOP OF PLATE W /'1 \ ONT ALUMINUM / EW 12'GYP BOARD SOFFIT VENTS @16,0c. '"G NEW WALL CONST. / NEW 1.2x4STUDS@16'oc o 2 1/7 PLYWOODSHEATHING 12 / LOFT 3 3- 12'(R=13)BATT.INSULATION 'Y- Q r►t / 4-121 GYPSUM BOARD 11 [NEW 314'T9G 5 W.0 SHINGLE SIDING O PLYWOOD SUBFLOOR 6 TYVEK VAPOR BARRIER Q GLUED&NAILED SECOND FLOOR SUBFLOOR NEWS`12'ENGINEERED JOISTS@ le,oc NEW 2-1 3/4'xt6"LVL's TOP OF PLATE w ^' 3-1 314'x 11 7/8'WL NEW PARALLAM BEAM 7 ,.^ `V NEW 1R.'GYP.BOARD (SIZED BY OTHERS) IL—) SIMPSON BC 6 POST CAP ON 1 x 3 STRAPPING @16'oc � SCALE NEW 10'DIA COLUMNS W/ Z 6 x 6 P T.POST INSIDE NEW LIVING N 1/4" — F-0" PORCH ROOM HALL DATE: SIMPSON BC 60 HALF BASE FIRST FLOOR 3/10/2005 SUBFLOOR 3.P.T 2x 176- --- — PT,?x117s@16'oc EXIST 2 x 8 FLOOR JOISTS 16'o c EXIST.2 x B FLOOR JOISTS @ 167ua JOB NO.: SIMPSON ABU 66 POST BASE EXIST 3-2 x 8 GIRT EXIST. (SEE OPTIONAL DETAIL) AND. ------STEEL 12'DIA EXIST FOUND WALLS& CRAWLSPACE Z STEEL LALLY COLUMN FOOTINGS TO REMAIN DRAWING NO.: L— NEW 30'x30'x 12' CONCRETE FOOTING NEW UNDER 0 r 'BtGFOOrFOOTIIINGS BUILDING SECTION @ LIVING ROOM/HALL PORCH 4V'DEEP A5