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Home My WebLink About0229 PRINCE AVENUE - Health Prince Avenue, Marstons Mills 229 A= 076 044 Col � 1 (goo/ a - ` Cam ) D No. '� Fee A H THE COMMONWEALTH OF MASS C USETTS Entered in computer: Yes PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS 01ppYication for Miquar *pztem Congtruction Permit Application for a Permit to Construct lV 1 Repair( )Upgrade( )Abandon( ) El Complete System El Individual Components Location Address o ((qG-Q f i V e. Owner's Name,Address and Tel.No. 2� �/� ��►-c eA7H4cr_Au LA Patti,: Assessor'sMap/Pazcel �� vT 4s8 i ✓ 7 �ef1 e �£5�i; r� O 48 Installer's Name,Address,and Tel.No. Designer's Name,Address an Tel.No. BOX �L65 AA-Slop S M) 62 46 Type of Building:Dwelling No.of Bedrooms 4- Lot Size 4////////� '��AA �Sq.ft. Garbage Grinder(WSJ Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow gallons per day. Calculated daily flow 46 gallons. Plan Date Number of sheets 2 Revision Date Title s T 'Pu'i ZZr_*s::m •io�v 1 /11S Size of Septic Tank 16-6 D Type of S.A.S. T.'ZgN42d Tvea✓i+voi J Description of Soil: 454& F44AJ Nature of Repairs or Alterations(Answer when applicable) Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certifi- cate of Compliance has been is ued this Board o eal Signed Date Application Approved by Date Application Disapproved for the following reasons 6.� Permit No. �900/r-6?3R Date Issued — i--`— — No. DV I� ./U l' Fee .� THE COM MONWEALTH OF MASSACHUSETTS Entered in computer',�7: Yes PgBLIC HEALTH DIVISION -TOWN OF BARNSTABLES MASSACHUSETTS 2pplication for IDi!5pooar 6pgtem Construction Permit Application for a Permit to Construct(/epair( )Upgrade( )Abandon( ) ❑Complete System ❑Individual Components n Location Address or I oe No. PP I N-{0 n V e Owner's Name,Address and Tel.No. Assessor'sMap/Parcel j!" 1�2E` T 67'a2_v�r Ka -5J 87 1\44to 7� �leef-4 44- � s�� 1I4• D 2 48/ T- Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. 1\4AXsn/-,S M,as, k4 1 pe of Building: v '-� Dwelling No.of Bedrooms Lot Size _sq.ft. Garbage Grinder(wlq Other Type of Building No.of Persons-1- Showers( ) Cafeteria( ) Other Fixtures ' Design Flow 5- 4 gallons per day. Calculated daily flow gallons. Plan Date 3 Number of sheets Z Revision Date Title S r 89104 rG9hJ G4.479D Size of Septic Tank 115-0 a Type of S.A.S. Trz.9NCl, F)gollhriai J Description of Soil 7'44A) Nature of Repairs or Alterations(Answer when applicable) Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certifi- cate of Compliance has been i Aed - his Board of Heal Signed Date Application Approved by �.O�Z.-c �l.P..�.�x.0, p Date J O) Application Disapproved for the following reasons Permit No. .3� Date Issued --------------------------------------- THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS Certificate of (Compliance "'- THIS IS TO CERTIFY,that the On-site Sewage Disposal System Constructed(Repaired( )Upgraded'( ) Abandoned( )by - af7) has been constructed in accordance { ' with the provisions of Title 5 and the for Disposal System Construction Permit No. QQO dated Lam/ A 01 Installer Designer The issuance of this permit shall not be construed as a guarantee that the system will function as designed. } Date 9 In 11 )\ � Inspector s-" o, --------------------------------------- No.�qw I 0?33 Fee THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLES MASSACHUSETTS lwifspooai Stem Construction Permit &,vs-<-- P519Zi Permission is hereby granted to Construct( )Repair( )Upgrade( )Abandon( ) System located at 2/N V'S 5S Ssv4 5 M,4P -7 4-- -2)� 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 thi t. Date: r` � �� Approved TOWN OF BARNSTABLE LOCATION oZ a l rO�e/N C E SEWAGE# VILLAGE m - A,,L t S ASSESSOR'S MAP&nPA�/RCEL /N�NAME&PHONE NO. 17 6 l 1%y CO SEPTIC TANK CAPACITY LEACHING FACILITY:(type) (size) NO.OF BEDROOMS OWNER A U/iv7 - --PERMIT DATE: C6�E 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 XL o Ofu- laJ1O �TOWN OF BARNSTABLE LIWAV7v rIAce Y�� V� SEWAGE # 60 VILLAGE ASSESSOR'S MAP & LOT 7 1I MTALLER'S NAME&PHONE NO. d�XK SEPTIC TANK CAPACITY /S 06 (-,A L IV LEACHING FACILITY: (type) �<<00 (size) 13()( :?).5 X :) NO.OF BEDROOMS " �-UiLDE/R OR OWNER G� �. �,�� n e r PER DATE: Y—o T 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 F y'{ 061A -3y Sj32%a I G P-7sa s / TOWN OF BARNSTA�LE �. LOCATION s r,C P Y T V SEWAGE # .�00 i �.3 1 VILLAGE ASSESSOR" MAP & LOT INSTALLER'S NAME&PHONE NO. SEPTIC TANK CAPACITY /S LEACHING FACILITY:(type) 3� uy C.�. .�. (size) 131 X �>• Y NO. OF BEDROOMS- UILDER OR OWNER PERMIT DATE::. !z( `' r;.., COMPLIANCE DATE �` Separation Distance Between the �. Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet Private Water Supply Welt and Leaching Facility (If any wells exist on site or w.ithin.200.feet of leactiin;g facility) Feet. Edge of Wetland and Leaching Facility-(If any wetlands exist within 300 feet of leaching facility) Feet . Furnished by ' t .. - t . f a { � FORM30 Caw HOBBs&WARREN TM THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALT CITY/TOWN o DEPARTMENT I"- , ADDRESS wM SyOyoW i l TELEPHONE Address — Occupant_. Floor Apartment No. of Occupants _ No. of Habitable Rooms No.Sleeping Rooms No. dwelling or rooming units o Stori s Name and address wn rs�of o LI �0 Remarks Reg. Vio. YARD Out Bld s.: Fences: Garbage and Rubbish Containers.- Drainage Infestation Rats or other: STRUCTURE EXT. Steps,Stairs, Porches: Dual Egress:and Obst'n.: ❑ B ❑ F ❑ M Doors,Windows: Roof Gutters, Drains: Walls: Foundation: Chimney: BASEMENT Gen.Sanitation: Dampness: Stairs: Lighting: STRUCTURE INT. Hall,Stairway:Obst'n.: Hall, Floor,Wall,Ceiling: Hall Lighting: Hall Windows: HEATING Chimneys: Central ❑Y ❑ N Equip. Repair TYPE: Stacks, Flues,Vents: PLUMBING: Supply Line: ❑ MS ❑ ST ❑ P Waste Line: H.W.Tanks Safety and Vent(s) ELECTRICAL Panels, Meters,Cir.: ❑ 110 ❑ 220 Fusing,Grnd.: AMP: Gen.Cond. Distrib. Box.- Gen. Basement Wiring: DWELLING UNIT Ventil. L to . Outlets Walls Ceils. Wind. Doors Floors Locks Kitchen Bathroom Pantry Den Living Room Bedroom 1 Bedroom 2 { Bedroom 3 Bedroom 4 Hot Water Facil. Sup.Ten.,Gas, Oil, Elect.: S ks, Flues,Ven s,Safeties: Kitchen Facilities ink Bathing,Toilet Facil. Vent., Plumb.,Sanit'n.: Wash Basin,Shower or Tub: Infestation Rats, Mice, Roaches or Other.- Egress Dual and Obst'n: General Building Posted Locks on Doors: F ONE OR MORE OF THE VIOLATIOPV CHECKED ABOVE IS A CONDITION WHICH MAY MATERIALLY IMPAIR THE HEALTH OR SAFETY AND WELL-BEING OF THE OCCUPANT AS DETERMINED BY 105CMR 410.750 OF THE CODE OR THE AUTHORIZED INSPECTO . See Over) "THIS INSPECTION R 01 IS SIGNED AND,CERTIFIED UNDER HE PAINS AND PENALTIES OFF J Y.' INSPECTOR TITLE— DATE— TIME PA .M. THE NEXT SCHEDULED REINSPECTION P.M. Y ! 410.750: Conditions Deemed to Endanger or Impair Health or Safety The following conditions, when found to exist in residential premises, shall be'deemed conditions which may endanger or impair the health, or safety and well-being of a person or persons occupying the premises. This listing is composed.of those items which are deemed to always have the potential to endanger or materially impair the health or safety, and well-being of the occupants or the public. Because Chapter II, 105 CMR 410.100 through 410.620 state minimum requirements of fitness for human habitation, any other violation has the potential to fall within this category in any given specific situation but may not do so in every case and therefore'is not included in this listing. Failure to include shall in no way be construed as a determination that other violations or conditions may not be found to fall within this category. Nor shall failure to include affect the duty of the local health official to order repair or correction of such violations pursuant to 105 CMR 410.830 h 410.833 nor shall failure to throw hea p g include affect the legal obligation of the person to whom the order is issued to comply with such order. (A) Failure to provide a supply of water sufficient in quantity, pressure and temperature, both hot and cold, to meet the ordinary needs of the occupant in accordance with 105 CMR 410.180 and 410.190 for a period of 24 hours or longer. (B) Failure to provide heat as required by 105 CMR 410.201 or improper venting or use of a space heater or water heater as prohibited by 105 CMR 410.200(B) and 410.202. (C) Shutoff and/or failure to restore electricity or gas. (D) Failure to provide the electrical facilities required by 105 CMR 410.250(B), 410.251(A), 410.253 and the lighting in com- mon area required by 105 CMR 410.254. (E) Failure to provide a safe supply of water. (F) Failure to provide a toilet and maintain a sewage disposal system in operable condition as required by 105 CMR 410.150(A)(1)and 410.300. (G) Failure to provide adequate exits, or the obstruction of any exit, passageway or common area caused by any object, including garbage or trash,which prevents egress in case of an emergency 105 CMR 410.450, 410.451 and 410.452. (H) Failure to comply with the security requirements of 105 CMR 410.480(D). I Failure to comply with an provisions of 105 CMR 410.600, 410.601 or 410.602 which results in any accumulation of gar- bage, PY any 9 bage, rubbish,filth or other causes of sickness which may provide a food source or harborage for rodents, insects or other pests or otherwise contribute to accidents'or to the creation or spread of disease. (J) The presence of leadbased paint on a dwelling or dwelling unit in violation of the Massachusetts Department of Public Health Regulations for Lead Poisoning Prevention and Control, 105 CMR 460.000. (See M.G.L. c. 111 @@ 190 through 199.) (K) Roof,foundation, or other structural defects that may expose the occupant or anyone else to fire, burns, shock, accident or other dangers or impairment to health or safety. (L) Failure to install electrical, plumbing, heating and gas-burning facilities in accordance with accepted plumbing, heating, gas-fitting and electrical wiring standards or failure to maintain such facilties as are required by 105 CMR 410.351 and 410.352, so as to expose the occupant or anyone else to fire, burns, shock, accident or other danger or impairment to health or safety. (M) Any defect in asbestos material used as insulation or covering on a pipe, boiler or furnace which may result in the release of asbestos dust or which may result in the release of powdered, crumbled or pulverized asbestos material in violation of 105 CMR 410.353. (N) Failure to provide a smoke detector required by 105 CMR 410.482. (0) Any of the following conditions which remain uncorrected for a period of five or more days following the notice to or knowledge of the owner of said condition or conditions: (1) Lack of a kitchen sink of sufficient size and capacity for washing dishes and kitchen utensils or lack of a stove and oven or any defect that renders either inoperable. (2) Failure to provide a washbasin and shower or bathtub as required in 105 CMR 410.150(A)(2)and 410.150(A)(3)or any defect which renders them inoperable. (3) Any defect in the electrical, plumbing or heating system which makes such system or any part thereof in violation of generally accepted plumbing, heating,gasfitting, or electrical wiring standards that do not create an immediate hazard. (4) Failure to maintain a safe handrail or protective railing for every stairway, porch balcony, roof or similar place as required by 105 CMR 410.503(A)and 410.503(B). (5) Failure to eliminate rodents, cockroaches, insect infestations and other pests as required by 105 CMR 410.550. (P) Any other violation of 105 CMR 410.000 not enumerated in 105 CMR 410.750(A)through (0)shall be deemed to be a con- dition which may endanger or materially impair the health or safety and well-being of an occupant upon the failure of the owner to remedy said condition within the time so ordered by the Board of Health. I i `� I i� � �va .� �� a r � ' \ a ' TOWN OF BARNSTABLE BOARD OF HEALTH ARTICLE II: MINIMUM STANDARDS.FOR HUMAN HABITATION J Date q ,�L 7 10 Time: In t � Out (� Owner [` (� Tenant f� 1 Address �l ��O Address Compli nce Remarks or Regulation# Yes NO Recommendations 2. Kitchen Facilities 3. Bathroom Facilities 4. Water Supply 5. Hot Water Facilitiesp�ur��+ G 6. Heating Facilities 7. Lighting and Electrical Facilities 8. Ventilation 9. Installation and Maintenance of Facilities 10. Curtailment of Service 11. Space and Use 12. Exits 13. Installation and Maintenance of Structural Elements 14. Insects and Rodents 15. Garbage and Rubbish Storage and Disposal 16. Sewage Disposal �� L 17. Temporary Housing 18. Driveway Width 19. Number of Tenants Observed �1! 00) 3oO, 5 v IS y N PART II 37. Placarding of Condemned Dwelling; A I Removal of Occupants; Demolition '` 14 Number of Bedrooms "� Number of Vehicles Allowed (max) Number of Persons Allowed (max) Person(s) Interviewed Inspector If Public Building such as Store or Hotel/Motel specify here 4 Commonwealth of Massachusetts w w Title 5 Official Inspection Form _ Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 229 Prince Ave. Property Address Young, Gerald A&Virginia L Owner Owner's Name information is required for every Marstons Mills MA 02648 12/3/2010 page. Cityrrown State Zip Code Date of Inspection Inspection results must be submitted on this form. Inspection forms may not be altered in any way. Important:When A. General Information filling out forms on the computer, use only the tab 1. Inspector: key to move your cursor-do not Brian K. Tilton use the return Name of Inspector key. The Building Inspector of Cape Cod Company Name PO Box 307 Alf Company Address Eastham MA 02642 Cityrrown State Zip Code 508-255-9343 S14392 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 15I340-o Title 5(310 CMR 15.000). The system: _. r4 f C-3 ® Passes ❑ Conditionally Passes ❑ Fails $' ❑ Needs Further Evaluation by the Local Approving Authority (Zi�,— /,--- 12/3/2010 I spector'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. v 6V 229 Prince Ave t5insp-03/08 Title 5 Official Inspection Form:Subsurface Sewage D posal System•Page 1 of 15 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments M 229 Prince Ave. Property Address Young, Gerald A&Virginia L Owner Owner's Name information is required for every Marstons Mills MA 02648 12/3/2010 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: All components are in place and functioning as designed. 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 229 Prince Ave t5insp•03108 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 2 of 15 r Commonwealth of Massachusetts L u Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 229 Prince Ave. Property Address Young, Gerald A&Virginia L Owner Owner's Name information is required for every Marstons Mills MA 02648 12/3/2010 page. City/Town State Zip Code Date of Inspection B. Certification (cont.) B) System Conditionally Passes (cont.): ❑ distribution box is leveled or replaced ND Explain: ❑ The system required pumping more than 4 times a year due to broken or obstructed pipe(s). The system will pass inspection if(with approval of the Board of Health): ❑ broken pipe(s) are replaced ❑ obstruction is removed ND Explain: C) Further Evaluation is Required by the Board of Health: ❑ Conditions exist which require further evaluation by the Board of Health in order to determine if the system is failing to protect public health, safety or the environment. 1. System will pass unless Board of Health determines in accordance with 310 CMR 15.303(1)(b)that the system is not functioning in a manner which will protect public health, safety and the environment: ❑ Cesspool or privy is within 50 feet of a surface water ❑ Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh 2. System will fail unless the Board of Health (and Public Water Supplier, if any) determines that the system is functioning in a manner that protects the public health, safety and environment: ❑ The system has a septic tank and soil absorption system (SAS) and the SAS is within 100 feet of a surface water supply or tributary to a surface water supply. ❑ The system has a septic tank and SAS and the SAS is within a Zone 1 of a public water supply. ❑ The system has a septic tank and SAS and the SAS is within 50 feet of a private water supply well. 229 Prince Ave t5insp•03/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 3 of 15 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments ° 229 Prince Ave. M Property Address Young, Gerald A&Virginia L Owner Owner's Name information is required for every Marstons Mills MA 02648 12/3/2010 page. City/Town State Zip Code Date of Inspection B. Certification (cont.) C) Further Evaluation is Required by the Board of Health (cont.): ❑ The system has a septic tank and SAS and the SAS is less than 100 feet but 50 feet or more from a private water supply well". Method used to determine distance: **This system passes if the well water analysis, performed at a DEP certified laboratory, for coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered. A copy of the analysis must be attached to this form. 3. Other: 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 Y2 day flow ❑ ® Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s). Number of times pumped: ❑ ® Any portion of the SAS, cesspool or privy is below high ground water elevation. ❑ ® Any portion of cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply. 229 Prince Ave t5insp-03/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 4 of 15 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments GSM .° 229 Prince Ave. Property Address Young, Gerald A&Virginia L Owner Owner's Name information is required for every Marstons Mills MA 02648 12/3/2010 page. Cityrrown State Zip Code Date of Inspection B. Certification (cont.) D) System Failure Criteria Applicable to All Systems (cont.): Yes No ❑ ® Any portion of a cesspool or privy is within a Zone 1 of a public well. ❑ ® Any portion of a cesspool or privy is within 50 feet of a private water supply well. ❑ ® Any portion of a cesspool or privy is less than 100 feet but greater than 50 feet from a private water supply well with no acceptable water quality analysis. [This system passes if the well water analysis, performed at a DEP certified laboratory,for fecal coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered. A copy of the analysis and chain of custody must be attached to this form.] ❑ ® The system is a cesspool serving a facility with a design flow of 2000gpd- 10,000gpd. ❑ ® The system fails. I have determined that one or more of the above failure criteria exist as described in 310 CMR 15.303, therefore the system fails. The system owner should contact the Board of Health to determine what will be necessary to correct the failure. E) Large Systems: To be considered a large system the system must serve a facility with a design flow of 10,000 gpd to 15,000 gpd. For large systems, you must indicate either"yes"or"no" to each of the following, in addition to the questions in Section D. Yes No ❑ ® the system is within 400 feet of a surface drinking water supply ❑ ® the system is within 200 feet of a tributary to a surface drinking water supply ❑ ® the system is located in a nitrogen sensitive area (Interim Wellhead Protection Area— IWPA) or a mapped Zone II of a public water supply well If you have answered "yes" to any question in Section E the system is considered a significant threat, or answered "yes" in Section D above the large system has failed. The owner or operator of any large system considered a significant threat under Section E or failed under Section D shall upgrade the system in accordance with 310 CMR 15.304. The system owner should contact the appropriate regional office of the Department. 229 Prince Ave t5insp•03/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 5 of 15 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments wM 229 Prince Ave. Property Address Young, Gerald A&Virginia L Owner Owner's Name information is required for every Marstons Mills MA 02648 12/3/2010 page. Cityrrown State Zip Code Date of Inspection C. Checklist Check if the following have been done. You must indicate"yes" or"no" as to each of the following: Yes No ® ❑ Pumping information was provided by the owner, occupant, or Board of Health ❑ ® Were any of the system components pumped out in the previous two weeks? ® ❑ Has the system received normal flows in the previous two week period? ❑ ® Have large volumes of water been introduced to the system recently or as part of this inspection? ® ❑ Were as built plans of the system obtained and examined? (If they were not available note as N/A) ® ❑ Was the facility or dwelling inspected for signs of sewage back up? ® ❑ Was the site inspected for signs of break out? ® ❑ Were all system components, excluding the SAS, located on site? ® ❑ Were the septic tank manholes uncovered, opened, and the interior of the tank inspected for the condition of the baffles or tees, material of construction, dimensions, depth of liquid, depth of sludge and depth of scum? ® ❑ Was the facility owner(and occupants if different from owner) provided with information on the proper maintenance of subsurface sewage disposal systems? The size and location of the Soil Absorption System (SAS) on the site has been determined based on: ® ❑ Existing information. For example, a plan at the Board of Health. ® ❑ Determined in the field (if any of the failure criteria related to Part C is at issue approximation of distance is unacceptable) [310 CMR 15.302(5)] 229 Prince Ave t5insp•03/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 6 of 15 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 229 Prince Ave. M Property Address Young, Gerald A&Virginia L Owner Owner's Name information is required for every Marstons Mills MA 02648 12/3/2010 page. City/Town State Zip Code Date of Inspection D. System Information Residential Flow Conditions: Number of bedrooms (design): 4 Number of bedrooms (actual): 4 DESIGN flow based on 310 CMR 15.203 (for example: 110 gpd x#of bedrooms): 440 Number of current residents: 2 Does residence have a garbage grinder? ❑ Yes ® No Is laundry on a separate sewage system? [if yes separate inspection required] ❑ Yes ® No Laundry system inspected? ® Yes ❑ No Seasonal use? ® Yes ❑ No Water meter readings, if available last 2 ears usage '10= 458 gpd, 9 ( Y 9 (gpd)) '09= 189 gpd Sump pump? ❑ Yes ® No Last date of occupancy: Current Date Commercial/Industrial Flow Conditions: Type of Establishment: N/A Design flow(based on 310 CMR 15.203): Gallons per day(gpd) Basis of design flow(seats/persons/sq.ft., etc.): Grease trap present? ❑ Yes ❑ No Industrial waste holding tank present? ❑ Yes ❑ No Non-sanitary waste discharged to the Title 5 system? ❑ Yes ❑ No Water meter readings, if available: Last date of occupancy/use: Date Other(describe): 229 Prince Ave t5insp•03108 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 7 of 15 i Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 229 Prince Ave. Property Address Young, Gerald A&Virginia L Owner Owner's Name information is required for every Marstons Mills MA 02648 12/3/2010 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) General Information Pumping Records: Source of information: Owner 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): Approximate age of all components, date installed (if known) and source of information: 4/17/2001 Were sewage odors detected when arriving at the site? ❑ Yes ® No 229 Prince Ave t5insp•03/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 8 of 15 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments ,M s 229 Prince Ave. Property Address Young, Gerald A&Virginia L Owner Owner's Name information is required for every Marstons Mills MA 02648 12/3/2010 page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) Building Sewer(locate on site plan): I' Depth below grade: 2'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., etc.): No evidence of leaks or clogs. Septic Tank(locate on site plan): 1' Depth below grade: feet Material of construction: ❑ concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑ other(explain) If tank is metal, list age: years Is age confirmed by a Certificate of Compliance? (attach a copy of certificate) ❑ Yes ❑ No -------------------------------------------------------------------------------------------------------------------------- Dimensions: 5'8"x 10'6"x 68" Sludge depth: 4" Distance from top of sludge to bottom of outlet tee or baffle 26" Scum thickness 1" Distance from top of scum to top of outlet tee or baffle 6" Distance from bottom of scum to bottom of outlet tee or baffle 18" How were dimensions determined? Accu-Sludge, Baffle Stick and Tape measure 229 Prince Ave t5insp•03/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 9 of 15 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments ;M 229 Prince Ave. Property Address Young, Gerald A&Virginia L Owner Owner's Name information is required for every Marstons Mills MA 02648 12/3/2010 page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): All levels OK with no evidence of leaks, back up or clogs. Tees in place and system is functioning as designed, no need to pump at this time. Grease Trap (locate on site plan): Depth below grade: N/A feet Material of construction: ❑ concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑ other(explain): Dimensions: Scum thickness Distance from top of scum to top of outlet tee or baffle Distance from bottom of scum to bottom of outlet tee or baffle Date of last pumping: Date Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): Tight or Holding Tank(tank must be pumped at time of inspection) (locate on site plan): Depth below grade: N/A Material of construction: ❑ concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑ other(explain): 229 Prince Ave t5insp-03/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 10 of 15 XL Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments ;M 229 Prince Ave. Property Address Young, Gerald A&Virginia L Owner Owner's Name information is required for every Marstons Mills MA 02648 12/3/2010 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Tight or Holding Tank(cont.) Dimensions: N/A Capacity: gallons Design Flow: gallons per day Alarm present: ❑ Yes ❑ No Alarm level: Alarm in working order: ❑ Yes ❑ No Date of last pumping: Date Comments (condition of alarm and float switches, etc.): *Attach copy of current pumping contract(required). Is copy attached? ❑ Yes ❑ No Distribution Box(if present must be opened) (locate on site plan): Depth of liquid level above outlet invert 0" Comments(note if box is level and distribution to outlets equal, any evidence of solids carryover, any evidence of leakage into or out of box, etc.): D-Box level, equal flow to each outlet, no evidence of leaks or solids carryover. Pump Chamber(locate on site plan): Pumps in working order: ❑ Yes ❑ No Alarms in working order: ❑ Yes ❑ No 229 Prince Ave t5insp•03/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 11 of 15 r Commonwealth of Massachusetts w W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 229 Prince Ave. Property Address Young, Gerald A&Virginia L Owner Owner's Name information is required for every Marstons Mills MA 02648 12/3/2010 page. Cityfrown State Zip Code Date of Inspection D. System Information (cont.) Comments (note condition of pump chamber, condition of pumps and appurtenances, etc.): Soil Absorption System (SAS) (locate on site plan, excavation not required): If SAS not located, explain why: Type: ❑ leaching pits number: ® leaching chambers number: 3 ❑ 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.): 3 500 gal. chambers in series with stone forming trench 33.5' x 12.8' Lawn over top, no evidence of ponding, break out or hydraulic failure, Note: irrigations stem instaled high water usage in 2010. 229 Prince Ave t5insp•03108 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 12 of 15 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 229 Prince Ave. Property Address Young, Gerald A&Virginia L Owner Owner's Name information is required for every Marstons Mills MA 02648 12/3/2010 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Cesspools (cesspool must be pumped as part of inspection) (locate on site plan): Number and configuration N/A Depth —top of liquid to inlet invert Depth of solids layer Depth of scum layer Dimensions of cesspool Materials of construction Indication of groundwater inflow ❑ Yes ❑ No Comments (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): Privy(locate on site plan): Materials of construction: N/A Dimensions Depth of solids Comments (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): 229 Prince Ave t5insp•03/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 13 of 15 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments ;M 229 Prince Ave. Property Address Young, Gerald A&Virginia L Owner Owner's Name information is required for every Marstons Mills MA 02648 12/3/2010 page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) Sketch Of Sewage Disposal System: Provide a sketch of the sewage disposal system including ties to at least two permanent reference landmarks or benchmarks. Locate all wells within 100 feet. Locate where public water supply enters the building. GARAGE WELLING B ,c F t L nes SLOPE a 3 a 4 a A1=22,5 111=31' A2=16J' B2=AS A3=41' B3=51.9 A4=44 B4=47,5 229 Prince Ave t5insp•03/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 14 of 15 y Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments ;M 229 Prince Ave. Property Address Young, Gerald A&Virginia L Owner Owner's Name information is required for every Marstons Mills MA 02648 12/3/2010 page. Citylrown State Zip Code Date of Inspection D. System Information (cont.) Site Exam: ® Check Slope ® Surface water ® Check cellar ® Shallow wells Estimated depth to high ground water: 13' + No water encountered feet Please indicate all methods used to determine the high ground water elevation: ® Obtained from system design plans on record If checked, date of design plan reviewed: 4/17/2001 Date ® Observed site(abutting property/observation hole within 150 feet of SAS) ❑ Checked with local Board of Health -explain: ❑ Checked with local excavators, installers-(attach documentation) ❑ Accessed USGS database-explain: You must describe how you established the high ground water elevation: Hand auger and drain system within 50' of SAS corrected to estimated high water table using frimpter method to 9.7+'from surface, Bottom of SAS at 4' leaving a 5.7' + separation. 229 Prince Ave t5insp•03/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 15 of 15 HIGH GROUND-WATER LEVEL COMPUTATION Date: Site Location: ZZq l�Ym� ✓� Permit: I'`laysjtws Mf/ls' . / A Owner: j Phone: Contractor: Phone: So 1 2 SS- 93 f13 Notes: STEP i Measure depth to water table to nearest 1/10 ft. ) / N ' ' �- (depth is in feet below land surface) Date: 121 ` 0 mm/dd/yy feet below Is STEP 2 Using Water-Level Range Zone and Index Well Map locate site and determine: A) Appropriate index well MI(A) 29 B) Water-level range zone C STEP 3 Using monthly "Current Water Resources Conditions" determine current depth to water level for index well. i m m/yy STEP 4 Using Table of Potential Water Level Rise for index well (STEP 2A), current depth to water level for index well (STEP 3), and water-level zone (STEP 213) determine water-level , adjustment. 3 0 STEP 5 Estimate depth to high water by subtracting the water-level adjustment (STEP 4) from 0 measured depth to water level at site (STEP 1). NOTE* Tables 1-9 "Potential Water-Level Rise" are attached as worksheets to this file. monthly index well data: www.capecodcommission.org/welIs.html TOP OF FOUNDATION ,— 20' MIN. 10' M/N. CONCRETE COVERS a'SCHEDULE ao P.VC MIN. P17CH 1/8 PER FT 27LAYER OF EL=20.5' EL=20' I/8.-112. CONCRETE COVER WASHED SMNE 8'MAX EL=21.9 4"SCN 40 PVC PIPE (OR 1 UALI MINIMUM P/7CH 1/4 PER FT CLEAN SAND 36" MAX. 10 FLOW LINE 22' B' EL=16.9 INVERT 110" la" _ ooco O c000 MIN AS INVERT LEVEL °o°oo 0 0 0 0 O BAFFLE _18 75' INVERT/6 SUM INVERT INVERT EL.—___EL.= 19.0' 1B5' E._M-45- a . _ 4' (8)600 CAL LEACH/NC CHAMBERS (TO BE PLACED ON FIRM BASE) DISTRIBUTION MECHANICALLY COMPACTED OR B'OF STONE BOX EL. CALLONS TO BE WATER TESTED 12.8'X=6'TRENCH MRMATION SEPTIC TANK IF MORE THAN ONE OUTLET PLACE ON B"57t7NE �9/4" 7-0 1- SOIL ABSORPTION WATER 7ABLE //2" I MIIN29 DEC LEVEL 8.6vADJTMENT DOUBLE WASHED Sit7NE SYSTEM (SAS) i PROFILE OF ZONE C"ADJUSTMENT 5.2' ADJ. W.T. = 5.2 + 5.B5= IL 05' USGS ADJUSTED ELEV.= SEWAGE DISPOSAL SYSTEM WATER ELEV.= —AA_— NOT TO SCALE OBSERVATION HOLE I ELEV.__!4.4_ BOTTOM OF TEST HOLE ELEV.=_9li_ PERCOLATION RATE SZ MIN./INCH AT _4,?'t_(� OBSERVATION HOLE 2 ELEV.=_15.6_ DEPTH HORIZ TEXTURE COLOR M077 OTHER DEPTH HORIZ TEXTURE COLOR MOTT. OTHER 0-6" A S L IOYR 2/1 0-4" O L S 7.5YR 5/1 6"-30" B L S 10YR 5/6 4-12" A S L 7.5YR 4/6 GENERAL NOTES 0"-120' C SAND 10YR 6/4 12"-40" BM s 10YR 6/6 ip TOED. 40"-80" C1 C S 10YR 6/3 0"-132' C2 1) ALL WORKMANSHIP AND MATERIALS SHALL CONFORM TO D.E.P. WATER 117"—GROUND WATER STANDIN TITLE 5 AND THE TOWN OF —SARNSTABLE___— RULES AND 0 112" 1 1U� REGULATIONS FOR THE SUBSURFACE DISPOSAL OF SEWAGE. 2) ONE COVER ON SEPTIC TANK SHALL BE BROUGHT TO SOIL TEST WITHIN 6" OF FINISHED GRADE, OTHERS WITHIN 12" DATE OF SOIL TEST 12128/00 SOIL TEST DONE BY WILLIAM L/EDERMAN, 3) ALL COMPONENTS OF THE SANITARY SYSTEM SHALL BE CAPABLE OF �tr WITHSTANDING H-10 LOADING UNLESS THEY ARE UNDER OR WITHIN WITNESSED BY: PAUL HANN/NG 10 FT. OF DRIVES OR PARKING AREAS. H-20 LOADING SHALL BE DESIGN CAL CULA TIONS o WILLIAM USED UNDER OR WITHIN 10 FT. OF DRIVES OR PARKING AREAS. LIEBERMAN ,;. No.71911 4) ANY MASONARY UNITS USED TO BR/NC COVERS TO GRADE SHALL GARBAGE DISPOSAL NUMBER OF BEDROOMS . NO �p��/srea,`o'�`� BE MORTERED IN PLACE. INSTALL sslonat EN��a 5) NO DETERMINATION HAS BEEN MADE AS TO COMPLIANCE WITH TOTAL ESTIMATED FLOW DEEDED OR ZONING REGULATIONS. OWNER/APPLICANT IS TO (3) 500 CAL LEACHINC CHAMBERS ( 110--GAL/BR./DAY x 4___ 8N. 440 Y WITH 4' STONE ALL AROUND OBTAIN SUCH DETERMINATION FROM APPROPRIATE AUTHORITY. 12 B" X 33.5' REQUIRED SEPTIC TANK CAPACITY 1500 GAL 6) UTILITIES SHOWN ARE APPROX/MATE ONLY, EXCAVATION CONTRACTOR SOIL CLASSIFICATION . . . . . . . . 1 IS TO CALL "DIC— SAFE" AT 1-800-320-4844 AT LEAST 72 HOURS DESIGN PERCOLATION RATE . . . . . < 5 MIN//N. PRIOR TO COMMENCING WORK ON SITE 7) CONTRACTOR /S TO VERIFY GRADES,AND ELEVATIONS AS WELL AS EFFLUENT LOADING RATE . 74 CAL/DAY/S.F. SITE CONDITIONS PRIOR TO COMMENCING WORK ON SITE. LEACHING CAPACITY (AREA X RATE) 454 GAL/DAY B) PARCEL IS IN FLOOD ZONE____C____ RESERVE LEACHING CAPACITY . . . 454 GAL/DAY 9) LOT IS SHOWN ON ASSESSORS MAP _7B— AS PARCEL _44___, (33 5XI2.BX 74)+(33.5+33.5+12.B+12 B)X2X.74) JOB NUMBF,R_— 525,9.9 MARSTONS POOL / 9�ee MILLS SHED ljotus �l NOTE` ALL CONSTRUCTION PROPOSED /S GREATER THAN 100' i �21Jr FROM ANY WETLANDS GRAPHIC SCALE i• 30 o is30 60 uo LOCUS POOL s s sr }� AREA 1` ( 1N FEET ) 2 I inch = 30 R , LOT 1 S89' 10 i 3 - LOCUS MAP 6E ` 1. i ' \ — \ \ i � w O ASSESSORS MAP 76 36 2 PARCEL 44, LOT A.M. 76/50 1 f/ / / i /� l i i l i ZONING: 'RF,• N/F 0 ♦♦ \ �� N \ \� \�_ 'r i A�'CESS SETBACKS.- 30-15-15 ANDREW& ✓UDITH �, N ' ♦ — 34 EASEMENT/ >� / / / i / l l' W GROUNDWATER PR T CTION P/CARIELLO 0\ ♦ 1 i (/OR LOT l� i / ♦�' / / / / / /i OVERLAY DIS R! AI' 32 - AREA=2,I94t S.F./ �q� 1\` \ ♦ \ �\ � '1 ; , / PLAN REF.' �s�. ♦ ♦ ��` \� ��- 3O—; `�_ �� ol ///' ~' S61 50 ♦ r\ `\ > `, / AM REA=44,226—+ S.F. �� l 4 Q a wauMA �/ ut ou+unrt H� ♦� ✓' . 0 �: ♦Q D k♦� \\ \ o ?g_�` // /� l / j n I l I uq p Nu.239710 Q S T 1t" ( ' a �, ,e. ?� d��'��o zNa, ,, ., & SEWAGE PLAN o _ ; l SITE' 2 b O 2 , ♦ \ 60 0 ♦r0 �1 0 0 / l l ' \ \ 6, 1 6' c� G o / / / / / / ti /Q� LOCATED IN ♦\ as \ t .off m 1 �\♦ — ��+5' oa ,0 0 ,` ,/ , ' /O� ti >� • I , MARSTONS MILLS w �\\ �`. ` \ L __'' l I I (�'� (BARNSTABLE/, MA. . \ `�\ \�� N�b¢3 a ,i A' Aq ♦C w PREPARED FOR. & KATHLE'EN LaPOIN 00 Hy_... �'. �, 7, 2001 c ♦' s�• r MARCH \ _ 1' f CB ' REV. APR/L 5. 2001 ELEV= lo. ;0 ♦ueNl .a c � '` _ _J ;, / BENCHMARK. REV APR/L 17 2001 1 a ♦ti i \ - A s ��C Q CB CE TER r�`�' ELE�6(NG.V.D.f l i / ---------- 6S5 r°r2B�• W: r r- `� ACCESS �.: A.M. 76156 �t51,i�7 ylq.. _- .._ —� . 47�E EASEMENT N/F W � sky "jV,93.0 (FOR LOT 2) YANKEE SURVEY CONSULTANTS PAUL �� PATIO , � \ AREA=193t SF UNIT 1, 40 INDUSTRY ROAD MICHAEL & CONNOLLY a A. V t 1 P�� P.0. BOX 265 NOLF rAerairriFv )11 A.M. 76126 CARAC,4 rp• S `p�0 MARSTONS MILLS MASS. 02548 Flo, t I'n PREVIOUS 1� �L 4� ��'♦ TEL• 426-0055 FAX, 420-5553 LOT LINE tiN.4>nt • HOUSE C�vG lQ Pi.Ail 5'/, / or Jj/ 52599 A22B \ ��Q' - f + f � ' jjj g•� T • . 't. � ' ,epy ,� is �EO ir ow rig k k. Ayy,, .•'fib' ' 3 � �_ � � �� ,� t"a'..� �^-� ��'�sti. d��' �t �. �� ,�1.�,, F4 4-f pr R4, IIA it ��, ,� •? � 3 4 di'a � fi � �'C�� iI' ti• ��.a7�?�3 � � �; .4 <..7 �l t `1 � "'4a°w.IF� IRT T, i� A ' ors 7.�" ', "`� ��SSs r `, a � �' a ` � ' ti' � #'�'K • f L� � S 0 Mile MDR, SD 4 r 9 r V NAG 1 I , I' Barnstable ' / , Great Neck / iAw l iiiM Grmrl li.-„ii,,, �I L I r 1 COMMONWEALTH OF MASSACHUSETTS d Title 5 Official Inspection Form Not for Voluntary Assessments Subsurface Sewage Disposal System Form Inspection results must be submitted on this form. Inspection forms may not be altered in any way. A. General Information 1. Property Information: MAP 76-PARC 44 229 PRINCE AVENUE - MARSTONS MILLS, MA 02648 Property Address LAPOINT, WILLIAM Owner's Name 155 FORREST STREET Owner's Address WELLESLEY MA 02481 City/Town State Zip Code MAY 18, 2007 Date 2. Inspector: JAMES D. SEARS Name of Inspector A & B CANCO Company Name 350 MAIN STREET Company Address WEST YARMOUTH MA 02673 Cityrrown State Zip Code { 508-775-2800 ram: Telephone Number - B. Certification GR I --� 1 I certify that I have personally inspected the sewage disposal system at this address and that the informatio deported below is true,accurate and complete as of the time of the inspection. The inspection was performed based my traininc and experience in the proper function and maintenance of on site sewage disposal systems. I am a DEP ap.r�ved system inspector pursuant to Section 15.340 of Title 5(310 CMR 15.000). The System: t La Passes Conditionally Passes Fails c.3 �- rn N ds Further Evaluation by the ocal Approving Authority -s 'V— 017 IQWectoes 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. Title 5 Official Inspection Form:Subsurface Sewage Disposal System Page 1 of 16 Y y COMMONWEALTH OF MASSACHUSETTS d Title 5 Official Inspection Form Not for Voluntary Assessments Subsurface Sewage Disposal System Form D. Certification (cont.) 229 PRINCE AVENUE Owner's Address MARSTONS MILLS MA 02648 City/Town State Zip Code LAPOINT, WILLIAM Owner's Name MAY 18, 2007 Date of inspection 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: N/A 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: Title 5 Official Inspection Form:Subsurface Sewage Disposal System Page 2 of 16 COMMONWEALTH OF MASSACHUSETTS d Title 5 Official Inspection Form Not for Voluntary Assessments Subsurface Sewage Disposal System Form B. Certification (cont.) 229 PRINCE AVENUE Owner's Address MARSTONS MILLS MA 02648 Cityfrown State Zip Code LAPOINT, WILLIAM Owner's Name MAY 18, 2007 Date of inspection B) System Conditionally Passes (cont.): N/A ❑ 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: C) Further Evaluation is Required by the Board of Health: N/A 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 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 Title 5 Official Inspection Form:Subsurface Sewage Disposal System Page 3 of 16 S COMMONWEALTH OF MASSACHUSETTS d Title 5 Official Inspection Form Not for Voluntary Assessments Subsurface Sewage Disposal System Form B. Certification (cont.) 229 PRINCE AVENUE Owner's Address MARSTONS MILLS MA 02648 Cityrrown State Zip Code LAPOINT, WILLIAM Owner's Name MAY 18, 2007 Date of inspection C) Further evaluation is required by the Board of Health (cont.): N/A 2.System will fail unless the Board of Health(and Public Water Supplier, if any) determines that the system is functioning in a manner that protects the public health,safety and environment: The system has a septic tank and soil absorption system (SAS)and the SAS is within 100 feet of a surface water supply or tributary to a surface water supply. The system has a septic tank and SAS and the SAS is within a Zone 1 of a public water supply. The system has a septic tank and SAS and the SAS is within 50 feet of a private water supply well. The system has a septic tank and SAS and the SAS is less than 100 feet but 50 feet or more from a private water supply well*" Method used to determine distance: "*This system passes if the well water_analysis, performed at a DEP certified laboratory,for coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less that 5 ppm, provided that no other failure criteria are triggered. A copy of the analysis must be attached to this form. 3.Other: Title 5 Official Inspection Form:Subsurface Sewage Disposal System Page 4 of 16 4 COMMONWEALTH OF MASSACHUSETTS d Title 5 Official Inspection Form a` Not for Voluntary Assessments Subsurface Sewage Disposal System Form B. Certification (cont.) 229 PRINCE AVENUE Owner's Address MARSTONS MILLS MA 02648 Cityrrown State Zip Code LAPOINT, WILLIAM Owner's Name MAY 18, 2007 Date of inspection D) System Failure Criteria Applicable to All Systems: N/A You must indicate"Yes"or"No"to each of the following for all inspections: Yes No 0 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 0 Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool 0 Liquid depth in leaching 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 surface water elevation. N/A Any portion of cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply. FN—/—A—1 Any portion of a cesspool or privy is within a Zone 1 of a public well. N/A-1 Any portion of a cesspool or privy is within 50 feet of a private water supply well. N/A 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.] YES NO i I / I The system is a cesspool serving a facility with a design flow of 2000 gpd—10,000 gpd. Yes No Q ✓� 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. Title 5 Official Inspection Form:Subsurface Sewage Disposal System Page 5 of 16 COMMONWEALTH OF MASSACHUSETTS d Title 5 Official Inspection Form Not for Voluntary Assessments Subsurface Sewage Disposal System Form B. Certification (cont.) 229 PRINCE AVENUE Property Address MARSTONS MILLS MA 02648 Cityrrown State Zip Code LAPOINT, WILLIAM Owner's Name MAY 18, 2007 Date of inspection E) NIA-Large Systems: To be considered a large system the system must serve a facility with a design flow of 10,000 gpd to 15,000 gpd. For large systems, you must indicate either"yes" or"no"to each of the following, in addition to the questions in Section D. Yes No the system is within 400 feet of a surface drinking water supply the system is within 200 feet of a tributary to a surface drinking water supply ® the system is located in a nitrogen sensitive area(Interim Wellhead Protection Area- IWPA)or a mapped Zone II of a public water supply well If you have answered"yes"to any question in Section E the system is considered a significant threat,or answered"yes"in Section D above the large system has failed. The owner or operator of any large system considered a significant threat under Section E or failed under Section D shall upgrade the system in accordance with 310 CMR 15.304. The system owner should contact the appropriate regional office of the Department. Title 5 Official Inspection Form:Subsurface Sewage Disposal System Page 6 of 16 COMMONWEALTH OF MASSACHUSETTS d Title 5 Official Inspection Form Not for Voluntary Assessments Subsurface Sewage Disposal System Form C. Checklist 229 PRINCE AVENUE Property Address MARSTONS MILLS MA 02648 Cityrrown State Zip Code LAPOINT, WILLIAM Owner's Name MAY 18, 2007 Date of inspection Check if the following have been done. You must indicate"yes" or"no" as to each of the following: Yes No 0 Pumping information was provided by the owner,occupant,or Board of Health Q ✓� 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? QWere as built plans of the system obtained and examined?(If they were not available note as N/A) 0 Was the facility or dwelling inspected for signs of sewage back up? 0 Was the site inspected for signs of break out? Were all system components, including the SAS, located on site? Were the septic tank manholes uncovered, opened, and the interior of the tank inspected for the condition of the baffles or tees, material of construction dimensions,depth of liquid, depth of sludge and depth of scum? ✓� Was the facility owner(and occupants if different from owner)provided with information on the proper maintenance of subsurface sewage disposal systems? The size and location of the Soil Absorption System (SAS)on the site has been determined based on: ✓� Existing information. For example, a plan at the Board of Health. ✓� Q Determined in the field(if any of the failure criteria related to Part C is at issue approximation of distance is unacceptable)[310 CMR 15.302(5)]. Title 5 Official Inspection Form:Subsurface Sewage Disposal System Page 7 of 16 COMMONWEALTH OF MASSACHUSETTS d Title 5 Official Inspection Form Not for Voluntary Assessments Subsurface Sewage Disposal System Form D. System Information 229 PRINCE AVENUE Property Address MARSTONS MILLS MA 02648 Cityrrown State Zip Code LAPOINT, WILLIAM Owner's Name MAY 18, 2007 Date of inspection Residential Flow Conditions: ✓ Number of bedrooms(design): 4 Number of bedrooms(actual): 4 DESIGN flow based on 310 CMR 15.203(for example: 110 gpd x#of bedrooms): 440 Number of current residents: 0 Does residence have a garbage grinder? ❑ Yes No Is laundry on a separate sewage system?[if yes separate inspection is required] Yes No Laundry system inspected? Yes ❑ No Seasonal use? Yes ❑ No Water meter readings, if available(last 2 years usage(gpd)): 2005-112,000 GAL. 2006-67,000 GAL. Sump pump? ❑ Yes �✓ No Last date of occupancy: UNKNOWN Commercial/Industrial Flow Conditions: N/A Type of Establishment: Design flow(based on 310 CMR 15.203): Gallons per day(gpd) Basis of design flow(seats/persons/sq.ft.,etc.) Grease trap present? ❑ Yes ❑ No Industrial waste holding tank present? Yes ❑ No Non-sanitary waste discharged to the Title 5 system? ❑ Yes No Water meter readings if available: Last date of occupancy/use: Date Other(describe): Title 5 Official Inspection Form:Subsurface Sewage Disposal System Page 8 of 16 COMMONWEALTH OF MASSACHUSETTS a Title 5 Official Inspection Form Not for Voluntary Assessments Subsurface Sewage.Disposal System Form D. System Information (cont.) 229 PRINCE AVENUE Property Address MARSTONS MILLS MA 02648 Cityrrown State Zip Code LAPOINT, WILLIAM Owner's Name MAY 18, 2007 Date of inspection General Information Pumping Records: ✓ Source of Information: N/A Was system pumped as part of the inspection? Yes No If yes,volume pumped: gallons How was quantity pumped determined? Reason for pumping: Type of System: Septic tank,distribution box,soil absorption system Single cesspool Overflow cesspool Privy Shared system (yes or no)(if yes, attach previous inspection records, if any) Innovative/Alternative technology.Attach a copy of the current operation and maintenance contract (to be obtained from system owner) Tight tank.Attach a copy of the DEP approval. Other(describe): Approximate age of all components,date installed(if known)and source of information: 2001 PERMIT 2001-233 Were sewage odors detected when arriving at the site? ❑ Yes No Title 5 Official Inspection Form:Subsurface Sewage Disposal System Page 9 of 16 COMMONWEALTH OF MASSACHUSETTS a Title 5 Official Inspection Form Not for Voluntary Assessments Subsurface Sewage Disposal System Form D. System Information (cont.) 229 PRINCE AVENUE Property Address MARSTONS MILLS MA 02648 Cityrrown State Zip Code LAPOINT, WILLIAM Owner's Name MAY 18, 2007 Date of inspection Building Sewer(locate on site plan): ✓ Depth below grade: 101, feet Material of construction: ❑ cast iron [3 40 PVC other(explain) Distance from private water supply well or suction line: feet Comments(on condition of joints,venting, evidence of leakage,etc.): Septic Tank(locate on site plan): ✓ Depth below grade: 14" feet Material of construction: 0 concrete ❑ metal ❑ fiberglass polyethylene other(explain) If tank is metal, list age: years Is age confirmed by a Certificate of Compliance?(attach a copy of certificate) Yes No Dimensions: 1500-GALLON PRE CAST Sludge depth: 4" Distance from top of sludge to bottom of outlet tee or baffle 26" Scum Thickness 0" Distance from top of scum to top of outlet tee or baffle 12" Distance from bottom of scum to bottom of outlet tee or baffle 18" How were dimensions determined? ASBUILT—TAPE—SLUDGE JUDGE Title 5 Official Inspection Form:Subsurface Sewage Disposal System Page 10 of 16 COMMONWEALTH OF MASSACHUSETTS a Title 5 Official Inspection Form Not for Voluntary Assessments Subsurface Sewage Disposal System Form D. System Information (cont.) 229 PRINCE AVENUE Property Address MARSTONS MILLS MA 02648 City/Town State Zip Code LAPOINT, WILLIAM Owner's Name MAY 18, 2007 Date of inspection Comments(on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage,etc.): TANK & COVERS AT 14" INLET TEE — OUTLET TEE. NO SIGN OF LEAKAGE OR OVER LOADING. Grease Trap (locate on site plan): N/A Depth below grade: feet Material of construction: ❑ concrete ❑ metal fiberglass polyethylene other(explain) Dimensions: Scum Thickness Distance from top of scum to top of outlet tee or baffle Distance from bottom of scum to bottom of outlet tee or baffle Date of last pumping Date Comments(on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert,evidence of leakage, etc.): Tight or Holding Tank(tank must be pumped at time of inspection) (locate on site plan): N/A Depth below grade: Material of construction: concrete ❑ metal fiberglass polyethylene other(explain) Title 5 Official Inspection Form:Subsurface Sewage Disposal System Page 11 of 16 COMMONWEALTH OF MASSACHUSETTS a Title 5 Official Inspection Form Not for Voluntary Assessments Subsurface Sewage Disposal System Form D. System Information (cont.) 229 PRINCE AVENUE Property Address MARSTONS MILLS MA 02648 City/Town State Zip Code LAPOINT, WILLIAM Owner's Name MAY 18, 2007 Date of inspection Tight or Holding Tank(cont.) N/A Dimensions: Capacity: gallons Design Flow: gallons per day Alarm present: ❑ Yes No Alarm Level: Alarm in working order: ❑ Yes No Date of last pumping: Date Comments(condition of alarm and float switches, etc.): *Attach a copy of current pumping contract(required). Is copy attached? Yes No Distribution Box(if present must be opened) (locate on site plan): Depth of liquid level above outlet invert 0 Comments(note if box is level and distribution to outlets equal,any evidence of solids carryover,any evidence of leakage into or out of box,etc.): D-BOX AT 16" BELOW GRADE, ONE LINE IN —THREE LINES OUT. BOX IS CLEAN AND SOLID. Pump Chamber(locate on site plan): N/A Pumps in working order: Yes ❑ No Alarms in working order: ❑ Yes ❑ No Title 5 Official Inspection Form:Subsurface Sewage Disposal System Page 12 of 16 COMMONWEALTH OF MASSACHUSETTS a Title 5 Official Inspection Form Not for Voluntary Assessments Subsurface Sewage Disposal System Form D. System Information (cont.) 229 PRINCE AVENUE Property Address MARSTONS MILLS MA 02648 Cityrrown State Zip Code LAPOINT, WILLIAM Owner's Name MAY 18, 2007 Date of inspection Comments(note condition of pump chamber, condition of pumps and appurtenances,etc.): Soil Absorption System (SAS) (locate on site plan, excavation not required): ✓ If SAS not located, explain why: Type: leaching pits number: © leaching chambers number: 3 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.): LEACHING IS THREE (3) 500-GAL. DRY WELLS, COVER AT 2' DRY & CLEAN. NO SIGN OF OVER LOADING OR SOLID CARRY OVER, NO STAIN LINE. Title 5 Official Inspection Form:Subsurface Sewage Disposal System Page 13 of 16 COMMONWEALTH OF MASSACHUSETTS d Title 5 Official Inspection Form w ye,eo Not for Voluntary Assessments Subsurface Sewage Disposal System Form D. System Information (cont.) 229 PRINCE AVENUE Property Address MARSTONS MILLS MA 02648 City/Town State Zip Code LAPOINT, WILLIAM Owner's Name MAY 18, 2007 Date of inspection Cesspools (cesspool must be pumped as part of inspection) (locate on site plan): N/A Number and configuration Depth—top of liquid to inlet invert Depth of solids layer Depth of scum layer Dimensions of cesspool Materials of construction Indication of groundwater inflow Yes ❑ No Comments(note condition of soil, signs of hydraulic failure, level of ponding,damp soil,condition of vegetation, etc.): Privy (locate on site plan): N/A Materials of construction: Dimensions Depth of solids Comments(note condition of soil,signs of hydraulic failure, level of ponding,damp soil,condition of vegetation, etc.): Title 5 Official Inspection Form:Subsurface Sewage Disposal System Page 14 of 16 i -\ COMMONWEALTH OF MASSACHUSETTS d Title 5 Official Inspection Form a` Not for Voluntary Assessments Subsurface Sewage Disposal System Form D. System Information (cont.) 229 PRINCE AVENUE Property Address MARSTONS MILLS MA 02648 Cityrrown State Zip Code LAPOINT, WILLIAM Owner's Name MAY 18, 2007 Date of inspection 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 w ere public water supply enters the building. 8 : A ® o 0 A 31 --7/� COMMONWEALTH OF MASSACHUSETTS d Title 5 Official Inspection Form Not for Voluntary Assessments Subsurface Sewage Disposal System Form D. System Information (cont.) 229 PRINCE AVENUE Property Address MARSTONS MILLS MA 02648 Citylrown State Zip Code LAPOINT, WILLIAM Owner's Name MAY 18, 2007 Date of inspection Site Exam: Slope Surface water Check cellar Shallow wells Estimated depth to ground water: 20+ Please indicate all methods used to determine the high ground water elevation: Obtained from system design plans on record If checked,date of design plan reviewed: Date © Observed site(abutting property/observation hole within 150 feet of SAS) ❑ Checked with local Board of Health—explain: Checked with local excavators, installers—(attach documentation) ® Accessed USGS database—explain: You must describe how you established the high ground water elevation: NOTE: LOT HIGH — OVER 20' TO WATER. Title 5 Official Inspection Form:Subsurface Sewage Disposal System Page 16 of 16 ^� TOWN OF BARNSTABLE — "UNDERGROUND FUEL AND CHEMICAL STORAGE REGISTRATION 14 0��►�- , "�1 A 1 OWNER AND INSTALLER INFORMATION ADDRESS: t" i t1t 5 J ` tt Q MAP NO. 0-� PARCEL NO&(7 OWNER NAME: , yc,"K 0 ,� ,Z� VILLAGE: M_(Lyyc t 9 INSTALLATION DATE: ,— BY: ADDRESS: CERT. NO. , co r TANK INFORMATION Q LOCATION OF TANK: ; (N4 lk's- Sz _� f f `u CAPACITY�t'_Cn s TYPE aS�,c�� _AGE_T ,_F EL/CHEMICAL TESTING CERTIFICATION C I PASS C - FAIL DATE LEAK DETECTION IC ; CHECK IF N/A TyplEAiPRANU / qq7 ZONE OF CONTRIBUTION [ ] YES_ C NO DATE TO BE REMOVED FIRE DEPT. PERMIT ISSUED C ] ,YES C ] NO DATE CONSERVATION CHECK IF N/A DATE BOARD OF HEALTH TAB// NO. � 7 C ]C ]C ] DATE . : PLEASE PROVIDE A.,SKETCH .SHOWING THE. .TANK LOCATION ON THE BACK OF THIS. CARD 41 ',ti:. • ... .. + u ..ti. N . t e. .t_...a .,y _ lY` IR �� RED `d ( r CEDAR ROOT Slu- ca+T RIDGE tct veNr(Tyr) --(ASPWALr ROOF eWIWILEe a rTIONAL) l,. ),ed . _..... ...... 12 112 } t t� 061 { lii, ti a gt991 6F U I.e FRI[Zr eD _._ TOP OF PLAT! _ rj* ....__..........._.._ _. _..— FlR6T FLOOR G`Ci• QQ t AWM.GUTTER(M) ®® 1.6 CORNER EID.(T P) _ '_ - ITp _ c TIReT FLOOR FRONT ELEVATIONQQ� ' SCALE 1/4"-I'-0" • � �� eii i c QK,RED RIDGE CORE VENT (TYP)-� BRICK CWIn. --- 7 a Y - .'-- - _ - -- illy R.G.ROOF MIImr es �- (ASP114LT ROOF SWINGLES OPTIONAL) �T-} - 1.6 FRIEZE DD. DOITIL nLOG. . TOP OF PLATE ALIM,GUTTER DENTIL nLDG, f ALVH.GUTfOt6(TYP) Ifl{FRIEZE e0. •SECOND FLOOR C - �. lii'i _ Z ALVn.GUTTERS W&FRIEZE y � W t ) - -- TOP OF ATE Z Q t SECOND FLOOR 7— R O tw It Top FLOOR 7T.lA'1=-ROUTS -OF PLATE1'S fRIQ[eD. 1 I 'L RN _- I--- Q I.a COER DOS.(TYP) _ e 1til n OLI •r�nt•cse: _. E 7 FlRDT FLOOR - - - " ._ drop OF/aM. -' •GARAee DECKS 2.4 wwo TOPS AND eOTTOM RAILS, OUTDOOR . 4.4 POSTE OIO eALLUSTERS •1'O.C.{oee DETAIL) - REAR ELEVATION SCALE 1/4•-r-o• Q o � o � 3 CONC.WAS" ,b RAKE SD. A IZ ...IKS RAKE IS12 RED SR - 12 F 12 is A - _... �S I>4 SWINGLE STOP - -------CONT. RIDGE come VEM(T1T) .. .... .__...._ _ _ tOSHINGLE ST ___.._._..__.__._.-.__..... ._................... ...... -------- --_ __. .__ -------_ . moor eH1NGLee --- -. T SHINGLES OPTION ..__ _.tl —__. ---\ LEAD PAR ILASHI •• _ —. .._.-__ _...._ .. ____ _ _ L SKTLIG"TS _- — T OrTI A TOP Or rote --t3att�_- r_-_'--= -I�— — - 1- -t t — —_ -- _ - - t --- - '--'- _ x z 1+10 SKIRT DD. 1.10 SKIRT SD. ---- OP OF ARAGEN 01 It —u OVa Z f (� OUTDOOR- RIGHT SIDE ELEVATION S"OWER SCALE 114'-1'-0' _ - a CONC.WAS" It<S RAKED r 12 - -- 3 i SF RED BRICK 12 _-- Z�•�S $r 11 DD. I }, IKS SHINGLE STOP-- ` - - _ 6 CONT. RIDGE CORE VENT( _.__ ...._— ..__...._..__.... .... IRS INGLE STOP _._ _ I r p ] V ,, LEAD PAN rLAB"ING R t -f ! t t _ - Z A. 1� C. Raor e"I t{k r t. T _ Ia W I j k F— t t �� Ih (ADP"ALT Raar z + d nl _ AL ' fj ? j. 1 t 1 _ o_ W t TO Q PLATE - - .' ..- �{ 1 - - - - T-} - ____ _ _�a` L �1 _- -__.._ TO-Or PLATE �- �/ A J -•r lL S CARA" � - -- - ... _ __ - $ — Q '- r - -7—= eL.._ IV =Q t - - - - '- rIRDt rlmle TOP OF rouN - ---- -- - -- - --- ----- ----- ------- - ---- - S GARAGE — LEFT -SIDE ELEVATION o SCALE 114'-1'-0" r171L: PHIi:" IO CC.:.)I�L'CIIQN,Ci,`:1':'a•;1(;i. ' � eo stone a aswrrt ntl mstgn^.tea, r��,�anr fMSCfeGln�ig5 or irK�n561�roi1,•e rot h•dr'Jr'I�a iR1 . NI4•rlAnn pl rne.fa4Qngr W F W d p hi ' O r _ — W WWI anletLva IL f uj nF- _ Si + Qwin, ---- --- ----- _ - C4 � � �° z _ o _ •! _3 _ .0-.0 A-,6OFAI-6I „t-COI i C!] Cx7 W W C%]Na e 0 I jl .0-.71 A-OI A-,f ,!-,G b-,C•� r � � P '- I 1 Y ! ena��wwwltU I1- .o.,A-.► 1 e ii I, c4p FF14 w J z g Z - RI et= r l t�a = filoo ll dle . 1- pf 11 ta. 0 8 II 0'11 W000 WO.L•.b I I i1000 wo,L 4b — Z nn tl J!p'J loll U OG ,01-,i .►-.0 AI-,0 .0-A o 8 a rA_-2--- --�`�--- � r ►- - a L tL J tl'O .0-.bL FIRST FLOOR PLAN SCALE 1/4"-I'-0" . o MUST VEAIfv ALL 014FNStM S a lV s+YtO O !J CVOf " a Uft" IN -*sabfq fo. JnI' e1N0 mmpawm of km"Ao"E'" r*f Cro.xzm 10 11e �I F 4 0 DOOR SCHEDULE WINDOW SCHEDULE NO. OR SIZE OTY. R.O. REMARKS NO. OR SIZE f]'T7. R.O. REMARKS t10RGAN a-14[NTIIIANCE UNI 1 !'-A I/2Y e'-f' STEEL ENTRANCE A AND. O-11 NARROWLINE W/OPT. W/DI[_70 DOOR UNIT{DOOR O ]eD{ { r-ro I/6•r!'-a-I/4' aRILLM{PLAT CAS G WOOD GLIDING AND. D-N NARROWLME YJ/OI'T, C1 2 6'-1 SM%{'-R D/N' DOOR ® 2442 11 r-{I/S•.W-D I/4' GRILLCS{FLAT CAGOK. _ © MORGAN IMING[T AMD.0-14 NARROFILe/C WiWr. •-{OfS FA 2 !'-11 3/4'.6e f/S' PATIO DOOR UNIT C 24e2 1 ]'-{1/G4 D'-!1/4• GAILLCG a FLAT C.ASM0 1-l1Tc AND.O-N NAW014LMC WOPT. 0 2 7-10 I/e'.6'-10 S/v eTQL DOIOR 0442-MULL I W-11 ID/N',W-!1/4' am"—{FLAT CASOK RS. .DOORS ARE INDICATED AS MORGAN-DOO OF FAVAL QUALITY MAY DIE AND.C-{e[. K OP'T.GRILLES . SUeeTITVTED IF DCSIRCO. Cm 1 •-O 1/2tix D'-!f/S' {FLAT CASING .ALL INTCRKM DOORS ARE INDICATED ON FLOOR PLANS F crt 1 "4'�"T } 1--7 Trl• G�LGRILLEe, MM—.AT-N ' 4 LW.KT M. n {d 1 I'-G f/{',I'-II W4' WINDOW . II_~4 I 4'-O 1/2',r-0 I/r' O NALF-ROUND W/OPT. MT CASING -WYLW.W$OPTIONAL-TYPE,SIZE{LOCATION TO BE DETERMINED BY SUILDER V cl in i; F =F ff f[LZ o r uO �IY - ---- 1 R 111 U1 v] d E,,, -"- ----- CL OWE In i 0 i yj I e i t l � at oil ibf f, 1 J C -r 10 LL SECOND FLOOR PLAN .SCALE 114'-1'-0' .. . ... nI 0 e`1Da66:Mp IV day Ino tY:'CrCOdr4P5 Or,itKOh5:51C^CM15 r' ryhwuil M I- p Y d1IeMTa a IGP ee��. e Q C 0 3 -- —--- ------ ---- -- ---- --—---- -- -...- - _ _ ---- -- -----------------...... -- —'-----'— -1 A 1 I � ' •1 I 1 I 1 1 1 I V _____ rI f__ __ _- _ Fy b u I I F 3• w O i9 V i i W ;777��{i{i{i tl V �u .O-�G c •O _ __ ____ _ _J 1 © � \5 1 L_ x�U e i---------`-------- - -------- -- - ------ i ,. o __- I r--- -- - ---- - C\i O\ f---� I = CY..C/:) of x - ----- ---- - ------ ----Ix wm� ARM—, PPIX � � L ME In l �q93� �C�1 I� �■■�■ � �� R��` i �yJJN{V- z�z �.\� \• 'I = �O I � C i� i y �4 L n J 1 I I I ,�Uyp E C o IY 1 ~OpZ40.Q �ZZNOww .j x _-_--_____ . A-el _— OL - ----- Z L •g� t J ISO Air TO.O-,bL t�oTE• Lu�fhaNrr'-MA�'"J&r veer. N�adetry FOUNDATION PLAN G1Jr Fut.. M10. vdrXN •Q-o" O;e. t,/ OCAS!1/4'-1'-0' . ' GlAPE S NOfE: PRIDR t0 CONSTRUCNON.CONTRAI;fCA s1115T VERIFY ALL DUANSIONS Now !dint! bf p cc"" 0, alLU" If;e resp�,6w4y fa ary dWl0mKN' 0' 14~0n[Rs r101 t'"N -0 a m*).of Ine rksbvr. ~ \> f ' 0 3 I � r 1 n m 1 ,I1 ° E I 11 - z32 13 CCtllll I 1 1 , (- r ---rtl-I-rT7�,----1(>`---'I r"---- I-1-f-1i-'-'-rI 1 I 1 1------i - Ic'��_a� Q •X 1 I I y -IR1-r" r T'i-I f Ic/D Iwi I 1 I I �� --1----� 1 1 1 -I- -rrrrT��-r'__L , 1----------- - - cn . -- U1 ju 1 I , r'a1 ' � 1 1 1 II 1 ■■ 1 I I I $X ' 1 1 Tr _ I L J I I I I � I I I - • Jill 1I■■6 e�fYa�si� yiQ MW e i C in HAINI 114 1 Z ' Q ------'--- - g J Z Gw u t" O SECOND FLOOR FRAMING PLAN o o of z SCALE 3/I6" 1'-0" U- 6 Q J W N I s � F � o � Q • al]CONY,RIDGE CONY.RIDGE CORE VPfT hA•N•O.0 . - i RED CEDAR MI ROOF SING h10•16,O.C. {{(ASALT SHINGLm OFT.) / CONY. RIDGE CORE VOtT-_____ y . hl]CONY.RIDGE SD. S•ROOF O.N.WITH I.• E' RED CEDAR ROOF SMINGLm 'ALUM.GUTTERS(M) •I�^'y' ,] hl° N'O.C. (A/A1ALT N/INGLES OF'r.) 1] OPTIONAL SKYLI �� p Q �].e•N•o.c. e ' ' 9'FDGL. INSUL. T.S•W O. FDGL. !NSUL ].••It•O.G. A tn'SHEETROCK(TYP) e'ROOF O.N.W/ IUK I'STU ' BEYOND GUTTERS(TYP) VAULTED C[ILI r 2n.6 Wnn'PLY BTWN. ]n.e wen •T STWN h4 CKT, •Tvo HAILS• e•ROOF O.N,wALUH. / t••o-C W/s In' I.Ls (AS NEEDED PLY NGDEIt s/S•FLY SvB-FLR, GUTTERS(M) CONY. SOFFIT VNT INMJL.' ;9 CD%PLY AS N![OED ].1 EIIT.STUD WALL•• / ___, In'SNEETROCK SHEATHING WM.C. SHIN- V ]/7.e MEADER Wnn GL m 16' L1o•o•uRE F W O.c w s IPJ'/BGL. ---_, FLY DTMl. (ILC,f1.APSOARD6 Y•llel t INSI/L. In•CD7f PLY h10 0 IT•O.C. -- - 1 CONT.SOFFIT VENT �v ! INDICATED ON ELEVATIONS) O SHEATHING W.C.SHIN- --- _ (In'NIW R SHEATWNG ?,Los L.s IC.CLAPBO osultsRDS FN[RC - ___ L `_]/T.10 W/In'PLY STWN. O INSUL.OPTIONAL) •JY yS zy I�(�RNDICATCD Qi ELEVATIONS) In'SII[CTROG L A/POST (in'NIGH R BNGTHING �- INSUL.oPTIONAL) L Lill S/e'FLY SUB-PLR. A'-0' F 61 O.C.SILL SeU.LQ i• y i 1 L 1/i o:GALV.A.B. ha HOLM.BILL IN/1/]' - l -- - - - - - - - - - - BRICK CAP FBGL.SILL SEALER• Sro•PLY Sue-FL 1 -r,--- ----„- ------T r- - - - 112W GALV.A.B. '---- - ----- ----- -I i•'O.C. - - ].t7• •O.C, I I I I I \ O. hl]•16'O.C. ___� l \ I I 1 I I I1 ` h0•DEEP r e'THK. ' a17 1Y O.C, S•TNK..�'O'N I I 1 ,1 Sn.17 MAIN BH. ___y �CaK,W MOPWLITNIPCLIRC SLAB L TO W TNK.f is' 1 I I 1 1 \ y t l I. F COTE.FTG.S In•DIA.LALLY COL. I 1 I 1 aA KEYWAY W/.4 RE-BARS HIW 11 �'TH,Cp1fC.SLAB FLR. 11 HALL _ •40 DEG.N'CdNT 4'TN.CONE. SLAB PLR. F• O � 1S'-O' • �' tl .]Y•u3'A'.1]'THK. .-_ _- 77'0. 17-0' CONE.FTC. IL'-O' -- ----____-- Te'_°_ ----_-- SECTION TNRU KITCHEN SCALE 1/4"-I'-0' SECTION TNRU MAIN HOUSE SCALE 1/4'-1'-0' e7 7s{ ss rrj, +i _ a17 WONT. Rt CANT. RIDGE CORE VENT he•16•D.C. ! _ e = f.OT1T.RIDGE CORE VENT\ 2.10• •O.C. \ 1•hIT CONT. RIDGE 60- RED CEDAR ROOF•KING , ♦ p�� 6 2.10•W O.C; (ASP/IALT SHINGLm OPT � - � ♦ 7• ` as RED CEDAR ROOF SHINGLm ♦♦FSGL. I t �� __ __ (ASPHALT ROOF SHINGLES OPT.) - ___ iRe OPTIONAL BKYLIGrQ _ IT \ ___JA 12 1.6 0 IA•O.C. ROOF O.H.w ae It It'O.C. FBGL. INSU ai 0 N ]F'O.C. � t ♦♦ ' e' GUTTERS(TYF) NAIL STU 1 T.e LL'O.C. . VAULTED CEIL1 t h SCY°N[Y ` 1.fell rytllll ll ltt CANT, SOFFIT VL4ff 'hA E%T.STUD WALLS• �,.I,n n l O l l A„l n l n A n..„ ♦ ///B' ROOT O.M. WALUM. I•'ac w s In' FBGL. METAL B I n l A n n A l II'a n n A.n sA'PLY•ub- / GVrTCRb(M) INSUL.1 tn•CDC FLY ^��ry - x / W ]n.e HEADER wn SNCATNING WM.C.SHIH- h1 EXT. STUD WALLS• -�'C D an� � V PLY BTWN. tn'SIICCTROCK LEA •s•OfTOSUR[ I6'O.0 w!In'FDGL. TA Z A.C.CLAPBOARDS Ya1ER! INam s In'COX FLY r f� w INDICATED ON CLNATIONS) SHGTNIN6 H/W.C. SHIN- I I h10•1]'O.G. !f METAL BRIOGI CONE SOFFIT VENT (M) O ,,U HIW R SHEATHING GLm 0 6' IXMSI/RC ,I BEYOND MRAL NA.Nf ERb �_ Q a INSVL.OPTIONAL) R.C.CLAPBOARDS WHERE 1 f• N .♦ L IN ON ELEVATIONS) aA WOUy,BILL WV' (In'HIGIf'R SHEATHING 'I BEYOND J ]?b W/1/T'PLY O O w A u FBGL.SILL SEALER s s/e'FLY SUS-FLR. I COURSE 1'SOLID BLOCK IN•Jyl„Or{ZONAL) In'.tT'GALV.A.B. TO 30'DEEP.S•Tw. •A'O.C. PIONMITHIC SLAB c I I , f x+ E1F'IieR o� ~ 8 F n l'.•'WOLM.BILL 11 f ' u C In'FSGL.BILL SEALER 26 W0.M.SILL KA " w Z ` s/T.1]MN.DM. /� � //`,(/ //,�./ FBGL. SILL SCALER• _ _ _�I BEYOND .�♦ Q all•I✓O.C. :1/�� ,�_ Q// ;\�'Q 1 61 O.C.GALv. A.B. .� _ ...--- --�- - L �/ 1•TH.COK. SLAB FLR. a ------------ J S'TMC. R'O'NI y.4 KEYWAY W 04 RE-BARS 1 j POURED CONC.W S In'VIA.LALLY COL. \ // / •RO OCG. "X"",, / r�\ I t j TO S'TNK15 ..N' r /`ij 4'TM.CONC.SLAB FLR. ---- --------- • TMC..1'O'HIW WALL •TO S'THK, N'CONY. COTE.FTC.(M)` - �\\Y\ I I yj COPE. FTC. MUTE: PRIOR TO L CO.VSTPUCTION.I:ONllint:l ln. p SECTION TNRU FAMILY ROOM WST vERIFr ALL OMENSId+s MObI a1av0 �1 SCALE I/4'�I'-0" SECTION TNRU GARAGE °*,OA♦Qhs G/ K*1 I* , ylW"X-W- p In,:0lrWNntl•s roe boa10111 SCALE of ll,e peVoW F Cdl Jfab � MARSTONS POOL �� VRours MILLS SHED HO USUS� NOTE. ALL CONSTRUCTION PROPOSED IS GREATER THAN 100' <� 215 FROM ANY WETLANDS GRAPHIC SCALE --- \, ``, 30 0 15 30 60 120 � LOCUS %% t POOL ``�� ``�` \` t N ' N AREA � ( IN FEET ) /\ 1 inch = 30 ft. \ LOT I o AVRM BAY S89' 6 E ; 10 J.73 LOCUS MAP / ` wN \ }• /' / / �/ ASSESSORS MAP 76 36 /'' / j / f 1 p I i l 0 PARCEL 44, LOT 2 A.M. 76/50 .. .. rn / /l / / / l /; ZONING. RF N/F .Q �� N it A(l�CESS / / / / �/ - l ANDREW & JUDITH �, N �� -— 34 --ram_ r / / / , i l; Q SETBACKS. 30-15-15 PICARIELLO •� 0 \ o \ xASEMENT/' / o / / w CRO UND WA TER PR T CTION Co � � �.�y �\ 2 - �, (�'•`OR LOT 1J � /�o� � / � �� %�/' (' � OVERLAY DIS RI � "AP•• �t f0 �� --�--APEA=2,1944J S.Fi 3 IN O T ' �� PLAN REF. , Esc . y a 4REA=44,226E S.F. i l� WILLIAM col lr P#2 `Q 0 No. 23971 p Q `, b` / / / / l / l ; i ASS/ONAt o o ° ?�• ', i ; ;'�` ;� SITE & SEWAGE PLAN �o _L fNCLO CA TED IN TP \ \ ��ili'�i1,p ��', ti •, 9� , I ; ';'�� MARS TONS MILLS (BARNSTABLE), MA. PREPARED FOR.• :` WILLIA M & KA THLEEN La POIN o , . Op' o, � -p� y i ' MARCH 7 2001 CB-- - �.\ y/C - `S REV. APRIL 5, 2001 b ELEV. = 10. - , �E -_C' ''��. �` I �. BENCHMARK: REV APRIL 17, 2001 wo CENTER 13.28(N.C V.D. - ACCESS ". A.M. 76/56gA __----- -4� �•-"--'�5 04 '' - '' EASEMENT MICHAEL &/CONNOLLY PATIO `,Ng,3•� 7 (FOR LOT 2J YANKEE SURVEY CONSULTANTS Q\ \ AREA=193f S.F. UNIT 1, 40 INDUSTRY ROAD NOLF U iTI� A. M. 76�28 CARAC� ' 6� �oPO'�� P. 0. BOX 265 Ism. p� �� e MARSTONS MILLS, MASS. 02648 tGi �b j LOTEVI U �,P'S0��0�� TEL- 428-0055 FAX420-5553. HOUSE J# 52 f228 6 21.5' TOP OF FOUNDATION 20' MIN. 10' MIN. CONCRETE COVERS 4" SCHEDULE 40 P. VC MIN. PITCH 1/8 PER FT. 2"LA YER OF EL=20.5' EL=20' 1/8"-112" / CONCRETE COVER WASHED STONE 6" MAX / / i i i i i i / / i / i i EL=21.9 4" SCH 40 PVC PIPE ' MUM PITCH /4 PER OR EVVA�j tFT CLEAN SAND 36" MAX. IQ FLOW LINE ��' 8. EL=18.9 INVERT 11O" 14" o00o O o000 EL.= 1_9.25' MIN. —2 0'— o 00 0 0 0 0 0 0 0 0 0 0 0 800 0 CAS INVERT LEVEL 0 00 0 0 0 0 0 0 0 0 0 0 0 0 00 INVERT BAFFLE EL =18. 75' INVERT 6 SUM °0 00 0 0 0 0 0 0 0 0 0 0 0 0000 INVERT 000 00000000000 0S =16.1 EL.= 19.0' EL.= 18.5-_ EL.= 1_8.25__ 41 4 (70 BE PLACED ON FlRV BASE) DISTRIBUTION (3J 500 CAL LEACH/NC CHAMBERS MErHAN/CALLY COMPACTED OR 6" OF S719NE BOX EL.=L&L 1'2 0-0 GALLONS TO BE WATER TESTED SEPTIC TANK IF MORE THAN ONE OUTLET le. x 5' TRENCH FtiRVATlON PLACE ON 6" STONE SOIL ABSORPTION 3/4" TO 1-1/2" MIIW29 DEB LEVEL WATER TALE ADJUSTMENT DOUBLE WASHED STONE S YSTEM (SAS) PROFILE 0 F ZONE C" ADJUSTMENT 5.2' AD✓. W.T. = 5.2 + 5.85= if 05' USCS ADJUSTED ELEV. = SEWAGE DISPOSAL SYSTEM WATER ELEV. = _ 5.9'_ NOT TO SCALE BOTTOM OF TEST HOLE ELEV. =_-4�'_ OBSERVATION HOLE 1 ELEV.__ 14.4' PERCOLATION RATE -:5?-- MINI INCH AT _4 '±_Z8_"_ OBSERVATION HOLE 2 ELEV.=_ 15.6' DEPTH HORIZ TEXTURE COLOR MOTT. OTHER DEPTH HORIZ TEXTURE COLOR MOTT. OTHER 0-6" A S L 10YR 211 0-4" O L S 7.5YR 5/1 6"-30" B L S 10YR 516 �� 4-10" A S L 7 5YR 4/6 GENERAL NOTES 0"-120" C SAND 0 YR 6/4 �� 12 40'" B� S 10 YR 6/6 MED. 40"—80" C/ C S 10 YR 6/3 80'"-132' Cz 1) ALL WORKMANSHIP AND MATERIALS SHALL CONFORM TO D.E.P. WA TER 117"—CRO UND WA TER STANDING TITLE 5 AND THE TOWN OF -BARYSTARLE____ RULES AND ® 112" 01 REGULATIONS FOR THE SUBSURFACE DISPOSAL OF SEWAGE. " 2) ONE CO VER ON SEPTIC TANK SHALL BE BRO UGHT TO SOIL TEST w WITHIN 6" OF FINISHED GRADE, OTHERS WITHIN 12" DATE OF SOIL TEST 12128100 SOIL TEST DONE BY WILLIAM LIEBERA P N OF {•,�, 3) ALL COMPONENTS OF THE SANITARY SYSTEM SHALL BE CAPABLE OF WITNESSED BY: PAUL HAMMING WITHSTANDING H-10 LOADING UNLESS THEY ARE UNDER OR WITHIN a 10 FT. OF DRIVES OR PARKING AREAS. H-20 LOADING SHALL BE DESIGN CAL CULA TIO WILLIAM USED UNDER OR WITHIN 10 FT. OF DRIVES OR PARKING AREAS. LtEBERMAN y NUMBER OF BEDROOMS . . No. zaeit 4) ANY MASONARY UNITS USED TO BRING COVERS TO GRADE SHALL - 4 A �F ° BE MORTERED IN PLACE. GARBAGE DISPOSAL . . . . . . . . . NO ° CISTE�` \�w -5) NO DETERMINATION HAS BEEN MADE AS TD COMPLIANCE WITH INSTALL TOTAL ESTIMATED FLOW SS�ONAL EN6 DEEDED OR ZONING REGULATIONS. OWNER/APPLICANT IS TO (3) 5 CAL LEACHING CHAMBERS ( 110-_CAL/BR./DAY x 4--- BR.) 440 Y OBTAIN SUCH DETERMINATION FROM APPROPRIATE.AUTHORITY. WITH 4' STONE ALL AROUND ' 12.8' X 33.5' REQUIRED SEPTIC TANK CAPACITY 1500 CAL 16) UTILITIES SHOWN ARE APPROXIMATE ONLY, EXCA VA TION CONTRACTOR IS TO CALL "DIG— SAFE" AT 1—800—322—4844 AT LEAST 72 HOURS SOIL CLASSIFICATION ION . 1 RATE 5 MIN./IN. PRIOR TO COMMENCING WORK ON SITE. DESIGN PERGOLA 7) CONTRACTOR IS TO VERIFY GRADES AND ELEVATIONS AS WELL AS EFFLUENT LOADING RATE . . . . . . . 74 GAL/DAY/S.F. SITE CONDITIONS PRIOR TO COMMENCING WORK ON SITE. LEACHING CAPACITY (AREA X RATE) 454 GAL/DA Y 8) PARCEL IS IN FLOOD ZONE___C" . RESERVE LEACHING CAPACITY . 454 CAL/DA Y 9) LOT IS SHOWN ON ASSESSORS MAP _7B _ AS PARCEL _44 (33.5X12.8X 74)+(33.5+33.5+12.8+12 8)X2X. 74) sH£ET 0 OF 2 JOB NUMBER__ 52599