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HomeMy WebLinkAbout0232 BOG ROAD - Health 1�r 232SOA ocad-w, -.Marstorns MNis I i �;I >j �;l Bk 27072 Fs320 IW5443 01-25-2013 a'1 09 = 27cx DEED RESTRICTION WHEREAS, of 3 (owners name) (address) MA is the owner of © located at (a t MA (hereinafter referred to as and bping sh/, n on a pl n entitled "Subdivision of Lad in �"1 , Property of�L�yi ' f i �{OS et al, duly recorded in Barnstable County Registry of Deeds in Plan Book , Page Or on Land Court Plan Number WHEREAS, . . as the owner of said lot has (owners name) agreed with the Town of Barnstable Board of Health to a restriction as to the number of bedrooms which can be included. in any home built on said lot as a pre-condition to obtaining a disposal works construction permit in compliance with 310 CMR 15.000 State Environmental Code, Title V, Minimum - Requirements for the Subsurface Disposal of Sanitary Sewage; WHEREAS; the Town of Barnstable Board of Health, as a pre-condition-to granting a disposal works construction permit for a septic system •in compliance with 310 CMR 15.200, State Environmental Code, Tit'le V, Minimum Requirements for the Subsurface Disposal of Sanitary Sewage, and authorizing the issuance of a building permit for the construction of a-singlefamily home on this roe •'' -: `;p p rty, is requiring that the agreernent for the,restriction on the number of bedrooms in any house constructed on the lot be put on record with the Barnstable County Registry of Deeds by recording this document, d=* ,f NOW, THEREFORE, �.�� ,C� �Gt � oes hereby place the (owner's name) following restriction on his above-referenced land in accordance with his a -reement wifih the TnX�n nt RmMstibla Rn d of Heal run with the land and be binding upon all.successors in title: may have constructed (address) ups the lot a hou e o fain' g no more than (✓� bedrooms. .. agrees that this shall be-permanent deed (owners name) r restriction affecting r located on 1� , and . being shown on the plan recorded in Plan Book' , Paged — Z2 Or on Land Court Plan For title of see the following deed: Book _.M,* , Page . Or Land Court Certificate of Title Number Executed as led i strument da of�/ Y _leu? C / Ow rs signat e Owners signature Owners signature COMMONWEALTH OF MASSACHUSETTS —, Ss 20 I Then personally appeared the above-named known to me to be the person who executed the foregoing instrument and acknowledged the same to be free act and deed, before me,, Notary Public I My commission,.expires: ! BARNSTABLE REGISTRY OF DEEDS d=dr � � � � a. �rl�2r.313� ,� ��/ I� �. t�� x!-�c ���cur��rE) 1���3 3�� ����i � �d� �I /TOWNOF BARNSTABLE LOCATIONyy�� Ua-L 13 o6- A -/ SEWAGE# VILLAGE NOOSlMS ASSESSOR'S MAP&/PARCEL INSTALLERS NAME&PHONE NO. �P lVG 1^/i fs 11��tL Ck .(,e G4 e4, SEPTIC TANK CAPACITY u LEACHING FACILITY:(type) �-Q n (,'� (size) Z u 3 0 NO.OF BEDROOM .3 �+ OWNER PERMIT DATE: 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 /3 on site or within 200 feet of leaching facility) Feet I, Edge of Wetland and Lea chin Facility(If an wed s exist within 300 feet of leac fa ' 3 d Feet FURNISHED BY Pe�2- � a M , 3 i33 20 No. Fee/mpute-r:4 THE COMMONWEALTH OF MASSACHUSETTS Entered in cPUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS 2ppliLatlon for ]Disposal *pstrm Construction i3Crmit Application for a Permit to Construct( ) Repair ) Upgrade( ) Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. 2 3 Owner's Name,ZrIt ss,an Tel.No. 2 3 Z �Qy Assessor's Map/Parcel ,? J /t/ _f � 0dA � O 2�' Installer's Name,Ad r ss,and Tel No. Designer's Name,Address,and Tel.No. A� c6► G PGA �— Type of Building: J Dwelling No.of Bedrooms 2 Lot Size yy doU sq.ft. Garbage Grinder( ) Other Type of Building Q Q A ki� No.of Persons / Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) 1 ,10 gpd Design flow provided O gpd Plan Date Number of sheets Revision Date Title Size of Septic Tank 1 D 00 0 Type of S.A.S. AY m Description of Soil Nature of Repairs or Alterations(Answer when applicable) v C_ O/ hlegl Z S o .vt Date last inspected: / 2&5-0 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 Cod and t to place the system in operation until a Certificate of ��0 Compliance has been issued by this Board of H q gne ® Date_ —�✓ Application Approved by ® Date Application Disapproved b Date for the following reasons 44 Permit No. / Date Issued 70 No. Fee C f Entered in computer: P THE COMMONW 1 EALTH OF MASSACHUSETTS Yes ` PUBLIC HEALTH ©IVISION_-TOWN OF BARNSTABLE, MASSACHUSETTS 2ppliCation for ]BIsposaf 6pstem Construction permit Application for a Permit to Construct( ) Repair ) Upgrade( ) Abandon( ) ❑Complete System 0 Individual Components Location Address or Lbt No. 2; Z �/ /G Owner's Name,Address,and Tel.No. 2 Z �Oy 02 Assessor's Map/Parcel 44P S R� J S_az Installer's Name,Address,and Tel.No. Designer's Name,Address,and Tel.No. fila V�4 I a� �V(4 lant,_ - I I Type of Building: jQ' - Dwelling No.of Bedrooms 2, Lot Size t�N ©v o sq.ft. Garbage Grinder( ) Other Type of Building K IC G W No.of Persons j Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) 2 b gpd Design flow provided q 2_ o gpd Plan Date Number of sheets Revision Date Title Size of Septic Tank 1 DU it —- Type of S.A.S. 1,/t- _o c h Description of Soil J Nature of Repairs or Alterations(Answer when applicable) d L^( d v D O P /.2 PSI o d "J5 Date last inspected: /T& — 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 t to place the system in operation until a Certificate of Compliance has been issued,by this Board of H/e�lfh. / Date Application Approved by Date 1 Application Disapproved b v Date for the following reasons Permit No. v Date Issued THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE,MASSACHUSETTSi Certificate of Compliance Ir !� f ' 4rp �1 THIS IS TO CERTIFY,that the On-site Sewage Disposal system Constructed( ii�) ' Repaired(X ) Upgraded( ) Abandoned( )by F f Cp i l //���� at d G V S 1 S has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No. dated Installer 1 Designer ' #bedrooms Approved.design flow gpd / mv The issuance o� is permit�s'hall not be construed as a guarantee that the syste fillyrnction as desi ed. � / c Date / I Inspector // �, // �' ---------- ---,-------------------------- - ----------- - - - ---'------------------- No. THE COMMONWEALTH OF MASSACHUSETTS --------Fee PUBLIC HEALTH DIVISION BARNSTABLE,MASSACHUSETTS disposal 6pstem Construction permit Permission is hereby granted to Construct( ) Repair O Upgrade( ) Abandon( ) System located at 60 (1- le D' /T G v S 4p�l S A I��S 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:Constru do must be c pleted within three years of the date of this permit. Date G `�/( D Approved by bbt-r Commonwealth of Massachusetts -- -- - Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 232 Bog Rd., Marstons Mills Property Address Jane Stoddard 232 Bog Rd. Owner Owner's Name ------------------------- - ---- ---- --- ---- ---------------- information is Marston Mills, MA 02648 12/6/2008 required for every page. City/Town State Zip Code Date of Inspection Inspection results must be submitted on this form. Inspection forms may not be altered in any way. Please see completeness checklist at the end of the form. �a ng out When fillin A. General Information When forms the I � computer,use 1. Inspector: 1 nnly the tah key to move your p0, 14 S /LI . 1kfdir cursor-do not — - K use the return Name of Inspector -- -- --- key. Company Name n 42L—ji V,a-f 14- Company Address D —� ,�„ ----- S —RA77— _ Cftylrown So�r / State � � � �� Zip Code Telephone Number License Number B. Certification I certify that I have personally inspected the sewage disposal system at this address and that the information reported below is true, accurate and complete as of the time of the inspection. The inspection was performed based on my training and experience in the proper function and maintenance of on site sewage disposal systems. I am a DEP approved system inspector pursuant to Section 15.340 of Title 5 (310 CMR 15.000). The system: ❑ Passes Conditionally Passes ❑ Fails ❑ Needs Further Evaluation b the Local Approving Authority �Z, 01fldK i ector's Signature Date The system inspector shall submit a copy of this inspection report to the Approving Authority(Board of Health or DEP) within 30 days of completing this inspection. If the system is a shared system or has a design flow of 10,000 gpd or greater, the inspector and the system owner shall submit the report to the appropriate regional office of the DEP. The original should be sent to the system owner and copies sent to the buyer, if applicable, and the approving authority. ****This report only describes conditions at the time of inspection and under the conditions of use at that time.This inspection does not address how the system will perform in the future under the same or different conditions of use. L/ I I DPI t5ins-09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 1 of 17 Commonwealth of Massachusetts -_- Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments v 232 Bog Rd., Marstons Mills Property Address Jane Stoddard 232 Bog Rd. Owner Owner's Name --------- --------------- — -- ------- -- information is Marstons Mills, MA 02648 12/6/2008 required for every page. City/Town State Zip Code Date of Inspection B. Certification (cont.) Inspection Summary: Check A,B,C,D or E/always complete all of Section D A) System Passes: ❑ I have not found any information which indicates that any of the failure criteria described in 310 CMR 15.303 or in 310 CMR 15.304 exist.Any failure criteria not evaluated are indicated below. Comments: B) System Conditionally Passes: [Done 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 exfiftration 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): r('0 YVl C,Al ed Lq A al PC., t5ins•09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 2 of 17 I� t c Commonwealth of Massachusetts - Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments .�` 232 Bog Rd., Marston Mills Property Address Jane Stoddard 232 Bog Rd. Owner Owner's Name —------- -- -------------— ---- — — information is Marstons Mills, MA 02648 12/6/2008 required for every page. CitylTown State Zip Code Date of Inspection B. Certification (cont.) B) System Conditionally Passes (cunt.): ❑ Observation of sewage backup or break out or high static water level in the distribution 9 box due to broken or obstructed pipe(s) or due to a broken, settled or uneven distribution box. System will pass inspection if(with approval of Board of Health): ❑ broken pipe(s) are replaced ❑ Y ❑ N ❑ ND (Explain below): ❑ obstruction is removed ❑ Y ❑ N ❑ ND (Explain below): ❑ distribution box is leveled or replaced ❑ Y ❑ N ❑ ND (Explain below): ❑ The system required pumping more than 4 times a year due to broken or obstructed pipe(s). The system will pass inspection if(with approval of the Board of Health): ❑ broken pipe(s) are replaced ❑ Y ❑ N ❑ ND (Explain below): ❑ obstruction is removed ❑ Y ❑ N ❑ ND (Explain below): C) Further EvZprotect ed by the Board of Health: ❑ Conditions further evaluation by the Board of Health in order to determine if the system ipublic health, safety or the environment. 1. SystemBoard of Health determines in accordance with 310 CMR 15.303(1)(b)that the system is not functioning in a manner which will protect public health, safety and the environment: ❑ Cesspool or privy is within 50 feet of a surface water ❑ Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh t5ins-09/08 Tdie 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 3 of 17 Commonwealth of Massachusetts ---c� Title 5 official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 232 Bog Rd., Marstons Mills Property Address Jane Stoddard 232 Bog Rd. Owner Owner's Name — information is Marstons Mills, MA 02648 12/6/2008 required for tat _ every page. CBy/Town Se Zip Code_ Date of Inspection B. Certification (cont.) 2. System will fail unless the Board of Health(and Public Water Supplier, if any) determines that the system is functioning in a manner that protects the public health, safety and environment: ❑ The system has a septic tank and soil absorption system (SAS) and the SAS is within 100 feet of a surface water supply or tributary to a surface water supply. ❑ The system has a septic tank and SAS and the SAS is within a Zone 1 of a public water supply. ❑ The system has a septic tank and SAS and the SAS ' hin 50 feet of a private water supply well. ❑ The system has a septic tank and SAS and the SA ' 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 er analysis, performed at a DEP certified laboratory, for coliform bacteria indicates absent an a presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provide at no other failure criteria are triggered. A copy of the analysis must be attached to this form. 3. Other: D) System Failure Criteria Applicable to All Systems: You must indicate "Yes"or"No"to each of the following for all inspections: Yes No ❑ Backup of sewage into facility or system component due to overloaded or clogged SAS or cesspool ❑ �/ Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or clogged SAS or cesspool ❑ �' Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool ❑ Liquid depth in cesspool is less than 6" below invert or available volume is less than '/Z day flow [Sins•09J08 Title 5 Official Inspection Form Subsurface Sewage Disposal System•Page 4 of 17 Commonwealth of Massachusetts --- - - Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 232 Bog Rd., Marston Mills Property Address Jane Stoddard 232 Bog Rd. Owner Owner's Name Information Is Marstons Mills, MA 02648 12/6/2008 required for every page. CRylTown State Zip Code Date of Inspection B. Certification (cont.) Yes No ❑ 0/ Required pumping more than 4 times in the last year NOT due to clogged or / obstructed pipe(s). Number of times pumped: . ❑ E? Any portion of the SAS, cesspool or privy is below high ground water elevation. ❑ d Any portion of cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply. ❑ 0""' Any portion of a cesspool or privy is within a Zone 1 of a public well. ❑ [9 Any portion of a cesspool or privy is within 50 feet of a private water supply well. ❑ E Any portion of a cesspool or privy is less than 100 feet but greater than 50 feet from a private water supply well with no acceptable water quality analysis. [This system passes if the well water analysis, performed at a DEP certified laboratory,for fecal coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered.A copy of the analysis and chain of custody must be attached to this form.] ❑ The system is a cesspool serving a facility with a design flow of 2000gpd- E] 2// 10,000gpd. The system fails. I have determined that one or more of the above failure criteria exist as described in 310 CMR 15.303,therefore the system fails. The system owner should contact the Board of Health to determine what will be necessary to correct the failure. E) Large Systems: To be considered a large system the system must serve a facility with a design flow of 10,000 gpd to 15,000 gpd. For large systems, you must indicate either"yes" or"no"to each of the followin ddition to the questions in Section D. Yes No ❑ ❑ the system is within 400 fe surface drinking water supply ❑ ❑ the system is wit ' 00 feet of a tributary to a surface drinking water supply ❑ ❑ the syste located in a nitrogen sensitive area (Interim Wellhead Protection Are A) or a mapped Zone II of a public water supply well If you have answer "yes"to any question in Section E the system is considered a significant threat, or answered " in Section D above the large system has failed. The owner or operator of any large system co ' ered a significant threat under Section E or failed under Section D shall upgrade the system ' accordance with 310 CMR 15.304. The system owner should contact the appropriate regional office of the Department. t5ins•09108 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 5 of 17 r Commonwealth of Massachusetts --- -- Title 5 Official Inspection Form s' Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 232 Bog Rd., Marstons Mills 4 Property Address Jane Stoddard 232 Bog Rd. Owner Owner's Name information is Marstons Mills, MA 02648 12/6/2008 required for every page. City/Town State Zip Code Date of Inspection C. Checklist Check if the following have been done. You must indicate "yes"or"no"as to each of the following: Yes No d ❑ 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? ❑ 2/ Have large volumes of water been introduced to the system recently or as part of this inspection? d ❑ 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? Lid' ❑ Was the site inspected for signs of break out? [RI ❑ 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? ER/ ❑ 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. 2� ❑ Determined in the field (if any of the failure criteria related to Part C is at issue approximation of distance is unacceptable) 1310 CMR 15.302(5)] D. System Information Residential Flow Conditions: Number of bedrooms(design): Number of bedrooms (actual): DESIGN flow based on 310 CMR 15.203 (for example: 110 gpd x#of bedrooms): 'Z Z aGyu4L llo� 0 t5ins•09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 6 of 17 f . Commonwealth of Massachusetts ---_ Title 5 Official Inspection Form 0 Subsurface Sewage Disposal System Form -Not for Voluntary Assessments -_ 232 Bog Rd., Marston Mills M Property Address Jane Stoddard 232 Bog Rd. Owner owner's Name ------- ----------- —-------- ----- ---- ------- —— Information is Marstons Mills, MA 02648 12/6/2008 required for every page. CitylTown State Zip Code Date of Inspection D. System Information Description: Number of current residents: Does residence have a garbage grinder? ❑ Yes Y"No Is laundry on a separate sewage system? [if yes separate inspection required] ❑ Yes [R No Laundry system inspected? /�//� Et Yes [- No Seasonal use? ❑ Yes [P�No Water meter readings, if available (last 2 years usage (gpd)): -- Detail: Sump pump? � � El Yes t,.,� No Last date of occupancy: AOkeSC04�/y Date � Commercial/Industrial Flow Conditions: Type of Establishment: Design flow(based on 310 CMR 15.203): Gallons per da Basis of design flow(seats/persons/sq.ft., etc.): -- Grease trap present? ❑ Yes ❑ No Industrial waste holding tank present? ❑ Yes ❑ No Non-sanitary waste dischar to the Title 5 system? ❑ Yes ❑ No Water meter re * s, if available: t5ins•09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 7 of 17 l Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 232 Bog Rd., Marstons Mills M Property Address Jane Stoddard 232 Bog Rd. Owner ----------- ---- --- ——- information is Owner's NameMarstons Mills MA 02648 12/6/2008 required for every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Last date of occupancy/use: Date Other(describe below): General Information Pumping Records: Source of information: m n Was system pumped as part of the inspection? ❑ Yes No If yes, volume pumped: _ gallons How was quantity pumped determined? -- -- - - ----__ _ Reason for pumping: Type of System: Septic tank, distribution box, soil absorption system ❑ Single cesspool ❑ Overflow cesspool ❑ Privy ❑ Shared system (yes or no) (if yes, attach previous inspection records, if any) ❑ Innovative/Alternative technology. Attach a copy of the current operation and maintenance contract (to be obtained from system owner) and a copy of latest inspection of the I/A system by system operator under contract ❑ Tight tank. Attach a copy of the DEP approval. ❑ Other(describe): t5ins•09/08 Title 5 Official Inspecton Form:Subsurface Sewage Disposal System-Page 8 of 17 Commonwealth of Massachusetts -- ----- Title e 54 Offi cial Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments +% 232 Bog Rd., Marstons Mills 4 Property Address Jane Stoddard 232 Bog Rd. Owner Owner's Name --- -------- --------------- -------------- ------- Information is Marstons Mills, MA `02648 12/6/2008 required for every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Approximate age of all components date/installed if known) and source of information: oZ1~ -eArT TA�/,P� 9? Jr Were sewage odors detected when arriving at the site? ❑ Yes No Building Sewer(locate on site plan): Depth below grade: Z 3 1 feet Material of construction: ❑ cast iron 40 PVC ❑ other(explain): -- --- — ------- Distance from private water supply well or suction line: feet Comments(on condition of joints, venting, evidence of leakage,9 etc.): Septic Tank locate on site( plan): Depth below grade feet Material of construction: concrete ❑ metal ❑ fiberglass ❑ polyethylene pol eth Y Y ❑ 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: y 1/D y f i J -7/ T 1 Sludge depth: t5ins•09i08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 9 of 17 Commonwealth of Massachusetts -- Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments -- 232 Bog Rd., Marstons Mills M Property Address Jane Stoddard 232 Bog Rd. Owner owner's Name -------- --- ----- -- -- --- -- information is Marstons Mills, MA 02648 12/6/2008 required for every page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) Septic Tank(cunt.) Distance from top of sludge to bottom of outlet tee or baffle — --- Scum thickness Distance from top of scum to top of outlet tee or baffle �l Distance from bottom of scum to bottom of outlet tee or baffle How were dimensions determined? Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): do �Mflg� Me 1 s Y�FI Grease Trap (locate on site plan): Depth below grade.: feet Material of construction: ❑ concrete ❑ metal ❑ fibergl ❑ polyethylene y ❑ other(explain): Dimensions: Scum thickness Distance fro op of scum to top of outlet tee or baffle Dist ce from bottom of scum to bottom of outlet tee or baffle ----- Date of last pumping: Date t5ins•09/08 Tide 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 10 of 17 Commonwealth of Massachusetts --_ Title 5 Official Inspection Form `- Subsurface Sewage Disposal System Form -Not for Voluntary Assessments -- 232 Bog Rd., Marstons Mills Property Address Jane Stoddard 232 Bog Rd. Owner Owner's Name --- — ---------- --- ------------ ------------- information is Marstons Mills, MA 02648 12/6/2008 required for every page. Cityfrown State Zip Code Date of Inspection D. System Information (cont.) Comments(on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage Tight or Hold' Tank (tank must be at time pumped e of inspection) (locate on site plan): Depth below grade: Material of construction: ❑ concrete ❑ metal ❑ fiberglass ❑ polyethylene y El other explain): Dimensions: _ Capacity: gallons Design Flow: gall s per day Alarm present: Yes ❑ No Alarm level: — Alarm in working order: ❑ Yes ❑ No Date of last pumping: Date Comments (condition of alarm float switches, etc.): *A ch copy of current pumping contract (required). Is copy attached? ❑ Yes El No tsins•osroa Title 5 Official Inspection Forth:Subsurface Sewage Disposal System•Page 11 of 17 f - Commonwealth of Massachusetts - - Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments — 232 Bog Rd., Marstons Mills Property Address Jane Stoddard 232 Bog Rd. Owner --------------- -- --------- ----- -------- — ----- — Owner's Name s Marstons Mill MA 02648 12/6/2008 information is required for ' __ every page. City/TownState Zip Code Date of Inspection D. System Information (cunt.) Distribution Box (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.): A( Pump Chamber(locate on site plan): Pumps in working order: ❑ Yes ❑ No Alarms in working order: ❑ Yes ❑ No Comments (note condition of pump chamber, c ition of pumps and appurtenances, etc.): Soil Abso ion System (SAS) (locate on site plan, excavation not required): If SAS not located, explain why: t5ins•09/08 Title 5 Official Inspection Forth:Subsurface Sewage Disposal System•Page 12 of 17 Commonwealth of Massachusetts - Title 5 Official Inspection Form - - p Subsurface Sewage Disposal System Form -Not for Voluntary Assessments --� 232 Bo Rd. Marstons �r/ g Mills Property Address Jane Stoddard 232 Bog Rd Owner Owner's Name - information is Marstons Mills, MA 02648 12/6/2008 required for every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Type: ❑ leaching pits number: ----- --------- ❑ leaching chambers number: --- ---------- ❑ leaching galleries number: leachingtrenches 1 number, length: — ❑ leaching fields number, dimensions: -- --- ❑ overflow cesspool number: ❑ innovative/altemative system Type/name of technology: Comments (note condition of soil, signs of hydraulic failure, level of ponding, damp soil, condition of vegetation, etc.): Cesspools (cesspool must be pumped as part of inspection) (locate on site plan): Number and configuration Depth—top of liquid to inlet invert Depth of solids layer Depth of scum layer Dimensions of cesspool Materials of construction Indication of groun ter inflow ❑ Yes ❑ No t5ins•09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 13 of 17 Commonwealth of Massachusetts --.- --- � Title 5 Official Inspection Form ,I Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 232 Bog Rd., Marstons Mills Property Address Jane Stoddard 232 Bog Rd. Owner Owner's Name information is Marstons Mills MA 02648 12/6/2008 required for _ __ _ every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Comments (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): Privy (locate on site plan): Materials of construction, -- - — Dimensions --- - -- Depth of solids Comments (note condition of soil, signs of hydraulic failure, level nding, condition of vegetation, etc.): t5ins-09/08 Title 5 Official Ins pection Form:Subsurface Sewage Disposal System•Page 14 of 17 I Commonwealth of Massachusetts kv�:W' Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for VoluntaryAssessments 232 Bog Rd., Marstons Mills Property Address Jane Stoddard 232 Bog Rd. Owner Owner's Name ----—------------------ -- ------------ — information is Marstons Mills, MA 02648 12/6/2008 required for every page. Cityrrown State Zip Code Date of Inspection D. System Information (cunt.) Sketch Of Sewage Disposal System: Provide a view of the sewage disposal system, including ties to at least two permanent reference landmarks or benchmarks. Locate all wells within 100 feet. Locate where ublic water supply enters the building. Check one of the boxes below: hand-sketch in the area below ❑ drawing attached separately 130 T � god ° 3 - - - - - - - - W(I t5ins•09/08 Tide 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 15 of 17 f Commonwealth of Massachusetts --- Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments ` 23.2 Bog Rd., Marstons Mills M Property Address Jane Stoddard 232 Bog Rd. Owner Owner's Name ---- --- ---- ------ --- ---- --- —---- information is Marstons Mills, MA 02648 12/6/2008 required for every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Site Exam: Check Slope [Surface water ❑l Check cellar PI/Shallow wells Estimated depth to high ground water: feet Please indicate all methods used to determine the high ground water elevation: LvJ Obtained from system design plans on record If checked, date of design plan reviewed: 457�/S/� L 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: r4 de- /z . a Na Itza Before filing this Inspection Report, please see Report Completeness Checklist on next page. t5ins•09/08 TMe 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 16 of 17 r . . Commonwealth of Massachusetts -- Title 5 Official Inspection Form -- Subsurface Sewage Disposal System Form -P Y Not for Voluntary Assessments 232 Bog Rd., Marstons Mills M Property Address Jane Stoddard 232 Bog Rd. Owner Owner's Name—--------- --— -----—-- — ------- --- --- —---------- information is Marstons Mills, MA 02648 12/6/2008 required for _ every page. City/Town State Zip Code Date of Inspection E. Report Completeness Checklist vinspection Summary: A, B, C, D, or E checked inspection Summary D (System Failure Criteria Applicable to All Systems) completed System Information—Estimated depth to high groundwater [.[Sketch of Sewage Disposal System either drawn on page 15 or attached in separate file i t5ins•09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 17 of 17 Town of Barnstable Assessors DivisionPage 2 of 3 -Total does not include special assessments-- I utner rates Land Bank 3% of Town Tax Due to.rounding differences these values are approximate. Sales History ^Top Owner: Sale Date: Book/Page: Sale Price: STODDARD JANE M 6/15/1994 9226/041. $ 1 LYNDE,DOUGLAS& STODDARD,J. 3134/176 $.0 Land and Building Description ^Top Land Building Lot Size(Acres): 1 Year Built: 1985. Appraised Value:$80,000 Living Area: 2094 Assessed Value: $80,000 Replacement Cost: $ 137,485 Depreciation: 10. Building Value: $ 123,700 Construction Details ^Top Style: Cape Cod Interior Walls: Drywall Model: Residential Interior Floors: CarpetVinyl/Asphalt Grade: Average Grade. Heat Fuel: Electric Stories: 1 1/2 Stories Heat Type:.Typical Exterior Walls Vinyl Siding AC Type:.None. Roof Structure: Gable/Hip Bedrooms: 3 Bedrooms. Roof Cover: Asph/F GIs/Cmp. Bathrooms: 1 1/2 Bathrms Total Rooms: 5.Rooms Outbuildings &Extra Features ^Top Code Description Units/SQ FT Appraised.Value Assessed Value FPL2 Fireplace 1 $2,700 $2,700 BGAR Bsmt Garage 2 $7,200 $7,200. Building Sketch ^Top Hv[1232] r 4 http://www.town.bamstable.ma.us/comeonin/Departments/.../resultsk02.asp?MAPPAR=04613 5/22/02 � J OF aAp�• CERTIFICATE OF ANALYSIS Page: 1 �3 Barnstable County Health Laboratory `9�S�CFNS� Report Dated: 2/28/2006 Report Prepared For: Order No.: G0634592 Jane Stoddard P O Box 369 Marstons Mills, MA 02648-0369 Laboratory ID#: 0634592-01 Description: Water-Drinking Water Sample#: 34592 Sampling Location 232 Bog Rd.Marstons Mills,MA Collected: 2/22/2006 Collected by: I Stoddard Received: 2/22/2006 Test Parameters ITEM RESULT UNITS RL MCL Method# Analyst Tested Note LAB: IC Lab Perchlorate BRL ug/L 1.0 0 EPA 314.0 DCB 2/23/2006 LAB: Physical Chemistry Conductance 140 umohs/cm 2.0 EPA 120.1 DCB 2/22/2006 Water sample meets the recommended limits for drinking water of all the above tested parameters. Approved (L Di ctor) RL = Reporting Limit MCL=Maximum Contaminant Level Superior Court House, PO.Box 427, Barnstable, MA 02630 Ph: 508-375-6605 2 3e2 L0 � S' ' # SEWACE PERMIT NO. V'O L L is.G E (�1 19S ' A LLER'S NAME I ADDRESS 4 2 UIL0E R OR OWNER DAZE P E R M IT ISSUED DATE C0M, 10LIANCE 15S3ED 6 �� 0 • r� No.... ........... `�- .a-/ � , �,,�,�, 0`1 Fes$............................_ THE CCIMMONNr{EALTH OF LSSACHUSETTS .............0 F............. / . �:.. _ ----------- ----- ­....... �.............. .401r�ation for Dhipvii al Marks Tonstxnrtion Urrutit Application is hereby made for a Permit to Construct (' or Repair ( ) an Individual Sewage Disposal System at .....�- .......IU ------------------------------------------------ �.. Location-ALd,,ss or Lot No. Owner ...+�.s O l�2 e....... /�?11 F ......... Installer Address Type of Building Size Lot.... Lf,-Q��-Sq. feet U Dwelling—No. of Bedrooms__....=_�....�............. .....Expansion Attic ( Garbage Grinder ( ) aOther—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) Q' Other fixtures ......................................................................................... ........................................................... Design Flow............../-jO....................gal lons per person per6,day. Total daily flow-------------Zi--0-...............gallpnsor W Septic Tank—Liquid*capa i y/tdO.gallons Length._.0....6... Width 29.... Diameter................ Depth.... .. areaS..y.. x Disposal Trench—No. ....... .......... Width......_._...... Total Length____--- _Q_.___ Total leaching area_._2-6__�sq. ft. Seepage Pit No..................eiameter................... Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( Dosing tank ( ) aPercolation Test Results Performed by................ -.......Q./f64,P% Date...... Test Pit No. I.__«_minutes per inch Depth of Test Pit..../. _._:__ Depth to ground water------- ............. 44 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ �.��' - .-F�u Sal _-___----___--_ & ' O Description of Soil....... ...._ .a0l.&... V5 ------ c� ./o..........)..........AM....... 7-�j .__ !(/e -•--•------------•--------------------•------------.............. W --------------------------------------------------------------------------------------------------------------------------------•-------------------------•------------------•--.....--------.....---- U Nature of Repairs or Alterations—Answer when applicable--------------------------------------------------------------_................................ --------•---------------------------------------•--•-----•-•------------............----•----...................------------------------------------------------------------------------..........--- Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TIT�.Ii"--, 5 of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance has 4beenisWed by the b rd of ealth. Signed--- . - - ....... -------------------------- vt✓ Date f ApplicationApproved By---------- .... (-------------------------------•------.._..---------............---.----- Date Application Disapproved for the following reasons-----------------------•-----•--•---------------------------------------------------------------------••-•----- -•-----•-•----------------------------------•------•-----.....------------...---•--------...---•-------..._..........-------------------------------------------•--•---------------------------..._------ Date Permit No......ZY---------IIAZ-------•................ Issued.-•----------------------•--•----•---•---•-...._••••-- Date a . No.. ..:= -- /_.� 1 Fss............................ THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH_ ..l-��.w.t% _................OF..... ► ,Nvvliraftvn for Diovoottl Works Tonstrnrtion Vamit ' Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage_ Disposal System at• , •••. • .. Locatio -Address or Lot No. g , 0�....eJ ��b9 ... LlJ I __ k��......_.... �? '' .--Z air....lfdd c � i ow Wo'.A.fU � 1?�. .. ads �✓d6y •`� . Installer Address Type of Building Size Lot...Yf o 2/j�Sq. feet `T' U Dwelling—No. of Bedrooms............................................Expansion Attic (;* ) Garbage Grinder aOther—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria 0.1 Other fixtures -----------•--•-••............... . W Design Flow_._..._.1. .®..........................gallons per person per day. Total daily flow..._.... ......�.`............_......._gallons. WSeptic Tank—Liquid capacity.,C.A!�..gallons Lengthg.'..(p...... Width.. f...0._... Diameter................ Depth-. �.... _.. ,, x Disposal Trench—No. ...../............ Width...C/...._._.... Total Length.....3. ........ Total leaching,area_.,�2A_.A_..sq. ft. Seepage Pit No--------------------- Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft, Z Other Distribution box (�,� Dosing�'nk ) ,p _ _ _ �" Percolation Test Results Performed by... +...kv), .___CCU I.Z Via...................... Date...5..-.:'. �?.... �:........ ,4 Test Pit No. 1.4.2._..minutes per inch Depth of Test Pit-_4.9fY,4... Depth to ground water.._ ____-- (i Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ 0 Description of Soil...0-f---i- ¢i f1 ` c9�' �r At, r� ��// �1 A .6 •--•--- -----•-----:9.4-------------•--•- -�°'G x1 -------------------------------------------•----------------------------------------•--.....-----•------•--------------------------- ---------------------------------------------------•----------- U Nature of Repairs or Alterations—Answer when applicable................................................................................................ --••---•----•-----•-•--•-••----••--•••------•-•-----•-•-•-•-----•--•••-..........••---------••-------•-•----------•--•---•-•------•-•-•-•••-•-••....................................................... Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been issu d by the boa. of hp h, 064/ ,C Signed.._--.yam .s...._1 .._ J6•----.....--•--•----- d //.' � Application Approved B f........... .... , �. e!sa.r_'''_... PP PP y--••---•-•-••-•--•_. = Date Application Disapproved for the following reasons---------------••-----•------•--•------------------------------------------------•••••--•---••----••---•--....--- ...........................•------............--•------------.....---•--•--•-----•----..........------...._...............--------------------------------------•----•------•-----••-••--•---•••....----- Date h PermitNo.......... ................................_.... IssueiL....................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH .........................................OF..................................................................................... s 9rdifirair of Tontpliana THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired------------------------------------------------------------------------------------------------------------------------------------ ( ) Installerat , ---•--•-----•-•--•-•-•............................�'rd---------------------- -----------------••--------•----------------------•......---------------- has been installed in accordance with the provisions of TITLE 5 of The State Sanitary Code as described in the application for Disposal Works Construction Permit"No7.`/:-:�/?!..........,... dated---.-- _ _.�-.=9%' - ................. THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONS UED AS A GUARANTEE THAT THE SYSTEM! WILL N TON T SFACTORY. —,G �' DATE................ .. ..... ............................................ Inspector........------ -- -•--- ......... ---- .............................. THE COMMONWEALTH OFF MASSAICHU TTS BOARD` bF` HEALTH .................O F..................................................................................... No......................... .;. FEE........................ io osttl k on r 6 ,ion umit Permission,is hereby granted.........-..................................................................................r = 11 --.....-- --------•--- to Construct ( )I or impair ( ) an�I dpvidyal Sewage Do osal�System`� atNo...................................................................................................................... �;............ Street _ i;j / _ as shown on the application for Disposal Works Construction Permit No..................... Dated...... ............ /- �� ' Board of Health DATE.......................................... -.- .- / !c1 YS"r FORM 1255 A. M.. SULKIN, INC., BOS�� N.: { SOIL TEST INVERT ELEVATIONS NOTES, - DATE OF SOIL TEST S� is e'er INVERT AT BUILDING 23, / FT. ALL WORKMANSHIP AND MATERIALS n. I:�r� U �_ INLET SEPTIC TANK 9Z 7 FT. SHALL CONFORM TO D.E.Q.E. TITLE 5 WITNESSED @Y g AND THE TOWN OF BAt3N5TA8l _F PERCOLATION RATE e- Z MIN./INCH OUTLET SEPTIC TANK S FT RULES - INLET DISTRIBUTION BOX g�. 3 FT. AND REGULATIONS • FOR SUBSURFACE OBSERVATION HOLE I OBSERVATION MOLE Z DISPOSAL OF SANITARY SEWAGE ELEVATION = g 7. J ELE VAT ION= OUTLET DISTRIBUTION BOX 2. / FT INLET LEACHING -ri S wCN �� :� FT_ LOAIy € BOTTOM LEACHING T'RFY,JC)If E9, / FT DESIGN CALCULATIONS 1 NUMBER OF BEDROOMS _ _ _ . . . . . . . . . . . . . . . . . !'�E D►vM c ov n,5 GARBAGE DISPOSAL UNIT... . . . . . . . _ . . . . . . . TOTAL .ESTIMATED FLOW ( L/d GAL./BR./DAY x z BR.)._ . a 20 GAL./DAY + REQUIRED SEPTIC TANK CAPACITY__ _ _, . . . . . . . . . . . 3 3 O GAL. _ ACTUAL SIZE OF SEPTIC TANK TO BE INSTALLED. . . _1.6>0 O GAL. LEACHING AREA REQUIREMENTS SIDE WALL AREA 2,-�(3AL./S_F. 144 � = es• J BOTTOM AREA J•o GAL_/S.F_ NO LEACHING CAPACITY ( BOTTOM SIDEWALL ).. . ._ . . . _ . _ . 4 2 O GAL C 3 C) 4- x ),O ) t 1( Z x Z x Z.$�� RESERVE LEACHING CAPACITY. . . . . . . . . . . . . . . . . . . . . . . . ¢ 2 +� GAL i CvFr ' `' J1J TOP OF I ----------- - "= F o 11 N D. 3� ' a J FA C H J 1N G F;U: C_" 1 ' £LEV_=3S,S 4- /SFr �iUrTl{11 CONCnETE—� 4 SCH_ 40 COVERS PVC PIPE 3 j MIN, PITCH � �- I/8 PER. FT. 5 t "Ll 2, ,`'SFr - 7�rM/,#4 2 " - 1/8" - //2" -WA5NFD STONE 2,4- 4., CAST IRONF1��o�1NASi4E- � STONI✓Z;ea �PIPE - ► IN. PITCH �1/4" PER FT. DIST. Et = 89, / i BOX 3D FT -� I00o GAL ¢ - N/JN BAP IV S F, ��.�_=MASS .. SEPTIC R. J. O' HEARN, INC., RLS, 'RS a TANK - - 1348 ROt;TE 134 1. EAST DENNIS , MASS. )I PROFILE OF - GRouNoTA6LF. - JOB Nn£ -j(,IS CLIENT. SEWAGE DISPOSAL - SYSTEM . NOT TO SCALD DATE 7 )� 8ZISHEET 2- L0EAT10'14 SEWAGE PERMIT NO. VI;LLA& E .1XST A LLER'S NAIVE A ADDRESS erne lr !+sass 19Li'1:LDER DR OWNER , DATE PERMIT ISSUED - \ DATE i3OMPLIAMCE ISSUED g IN S d� �Oearn ` ,x R.J: �. x> TProfessonal Land Surveyor''= Registered;Sa Al flan Y 4 Swan River Plaza Unit 2 , 4 P.LS,RS v l Phone:(508)394-1265 P.O:Box 237,35 Route 134 _ Fax(508)394-1266, , south Dennis MA 02660.' a M L Richard J O'Hedrn PLS, RS. CERTIFIED PLOT PLANS. FLOOD INSIfRANCE ELEVATION CERTIFICATE; LAND"COURT SURVEYS LOT STAKING AND LAND-SURVEYS 'TITLE 5 SANITARY SYSTEM DESIGN TITLE$Sot EVALUATOR (508) 394 1265 z FAKE CNIM/NEY REAL CHIMNEY SOHALT SNINGI£S _ ASPHALT S7IINGLES_ EXISTING DECK ,oW"MOX 40'—O" 'p .p E)IIST EXIST CONCRETE' CONCRETE ,S'OUTH L'LL'TIATION PROPOSED DORMER & ADDITION PROPOSED CRICKET PROPOSED DORMER 3.5 12 ASPHALT MINGLES 12 —PERGOLA CIRCULAR 10 '----, ih -='��i IWNDOW TO REPLACE EMS77NG RAIL EXISTING HOUSE 00 � S PROPOSET ABDITION !N MARS'TONS MILLS BAh'NSTABLE; MA. ' XEST ELEVATION O BOO ROADI' R J"A' STOWWA" S UE.- >/8" 0 4 8 >6 SfI.FZT > OF 5 REAL CN/A/NEY FAIR ailA NNEY S�I/NH PROPOSED 00"PR ADDITION --------------------------------------------------- EXISTING HOUSE NORTH �'LT�I4TION PROPOSED PROPOSED DORMER & CRICKET PROPOSED ADO/170N DORMER r PERGOLA— ELss i �i Is RAIL EXISTING HOUSE POST RAILS 28'--0" CONCRETE W-0" EXIST, COMP, FOUNDATION SLAB — 4" ADDITION EAST ELEVATION PROPOSED ADDITION IN AMSTONS RILLS BARNST�i z3,2 BOG ROAD BLL; JZ4. FOR JANE STODDARD SC'9LE- flog" = f'—O" O 4 8 96 SHAYET 2 OF 5 ti 44=0' 8-6'' 9=6" 9=10' 11=2' a 6 8=10' 710.-4& 9-8' BR- BA KI T DINE a 0 PAOpOSTP- W 4 s 8 POST �° e �'XISTING o R HOUSE N W a 6 17='2' 6L0- 17=4' N BR LR a w 6 a O WISE REMM Aw AEPLACM Or A MM ap pam DN o ONE OF , BBELOW WALL c AI>.l>ITION o 210' 211-1 314' 18=10 114' 2.0" 6=5' 7=10' 15=6' 7-10' 6-5' 44=0' FIRST FLOOR PLAN 44=0' Ir- ------- --- -- - — —— —— ——— - --i I I l o y 6`M46T B�IS6.�1�NT I I I I ^W r II 7=4' 7=4' 7=4 7=4' 7=4' I II II I I EXIST. 4'LAUY, 4Ra O .t'SST OiY O COL W H 2 r 2 2'8" g B' a 12 1 I I I I i X 1' cawc.. PAD �ooT�c Asa I I ^(n L �x FLOOR LI--- -- ---- -- =— U ; • I ; ; 8 CONCRETE FOUND. N w/16'x 8' CON77NUOUS 'oo f 12=0' 2=0' CONCRELE FOOLING tq 12" CO — TYP PROPOSr'D ADDITION �m� -L2=s IN r-10 10 7. o W.RSTONY Wctl 2=6B4"SW T4BL a� �LJfL1S4. ,IC ' 44-0' 232 BOO ROAD POR 12' 1=11 ELE FOUND J"A' STODDARD m o wCON vC7RETF FoonNG UaUS -=Mr• 118" L'OUNID-1 TION PLAW ° ¢ e >s SHA'�'T 3 OF 5 C 44'-0' 8-6" 9-6' 9-10' 5'--0' I oa E ; BA ' 0 0 4' �nST ' 3 V�. '.�. '�' PI'! FRO O RIDGL' YV hriF"R OWR FhVDOF m 2'2" Tm > 9t4"s09' V f tl s Br ' j� ON U i NL'A o7XDOA PVST o o i N 4 x 4' POSTS FROM N 2*2• IIRlDBR IV FLOOR i DORff RS 3=s i 0V R EAYST. "-4 i lk HOUSE � 20 EXISTING V CHIMNEY o ,0 4, 5tl 7. Otl 15-6' 7' 10' 74'! 210 0 w y DECK sc"T V Pb DUCK 26' 7-10" 7-10' 7'-8 7-10" 7-10` 216' 44-O' ,S 'CON9 FLOOR PLAN EX1ST 2'x 6' 4' STUD 2 X STUD WALL WALL 016" c.c. 2 x 6' STUD WALL EXIST. 5/8" EXIST. 0 16" C.C. PLYWt" 2"x 10" 2"x 10" JOIST JOIST 2 x 6' B1M PLATE ------------- RIM JOIST r'. OBL 2'x 6" EXIST. 8' CONC. �' >0'-O' TOP PLATE WALL W/ 16` x 8" ADDITION 2"x 6" BTM CONT. CONC F0071NG o ,s PLATE . O EXISTING ^ ': '` COLUMN PET? BASEMENT SCHEDULE FLOOIR EXIST. J" GAR. 4' CONC SLAB b CONC. SLAB FABRIC 6� YO, �,. DRAIN AROUND ADDITION TO r0ZW1UY70A� DRYKLL PROPOSED ADDITION PROPOSED 12" AMSTONS .ILLS CONC WALL WITH A ••;� r 2o•X 12' cDNr. coNC B.4RNSTX BLS; A,4. D.imJFIL A A FOOTING - AS NOTED 23,2 BOC ROAD . sr�tt�/�Lv��'-o' FOR JAN.' STOPAM0 0 ¢ 8 >6 I SIIf'A'T 4 OF 5 I 3-1 3/4 x 16" L VL 1-1 3/4 x 11 7/8" 2 x 10" RAFTERS 2"x 10" RAFTERS L� ® 16" c.c. .— T?P ® 16" C.C. 12 " „ TOP PLATE ;; 2 — 2"x 4" TOP PLA TE "' " �, ,,' EXIST. ! ; EXIST. p 2 x 6 STUD 12 coLL6AR �� ?� 2"x s" `';,�, c� 2-1 3/4 x 9 1/4" WALL ® 16 ;; co ; ;; RAFTERS L ILL C.C. 10 :nES ; ;, t� ,� ; LOAD ,, ' EXIST KNEE A i *,, BEARING WALL BE co 2 x 6 To BTU COLUMN REMOVED � f; ; ; ,, `�°\,. 4—9 id EXIST. 5/8 os PLYWl�00 JOIST IL RlM JOIST BL 2 oox 6" TOP PLATE DBL 2x 6" 2x 10" TOP PLATE EXIST swo wALLs" 10!-0" JOIST 0 16" c.c. "DITION 2 x 6" lsr 5/e" 2 x 10" STUD WALL EXIST. 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