Loading...
HomeMy WebLinkAbout0390 ROUTE 149 - Health 390 Route 149 Marstons Mills 'A "_ "079 080 r rC 3 TOWN OF BARNSTABLE LOCATION RT 1141 SEWAGE #2D0 I — lOk� 'VILAGE fij,99 hilif NLtj ASSESSOR'S MAP & LOT// 7 9=-f,��1 INSTALLER'S NAME&PHONE NO. Akl-o Leff? SEPTIC TANK CAPACITY /OoGloe- a") LEACHING FACILITY: (type) 2 i— (3'J F(o �4s nr' (size) 31r•1t X to-kJ!,'d'tJ NO.OF BEDROO�MSS----�� 3 BUILDER OR�OWNEBI t1'ldZ�q.,✓ PERMITDATE: A COMPLIANCE DATE: Z -A-I),, 0'J 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) 1 eet Furnished by R- IIgl mar i M r 'S±2-60 3H5°6'' Is' 3 r" L TOWN OF BARNSiABLE L' ,ATION SEWAGE# �Od� S�/ VILLAGE ..s A4�® ASSESSOR'S MAP&PARCEL o,19 - ®Y® INSTALLERS NAME&PHONE NO. � _ �/-9,�5 5' SEPTIC TANK CAPACITY /Op z LEACHING FACILITY.(typ,;),,Zw7/C (size) SJ' NO.OF BEDROOMS 7 - OWNER y vt + PERMIT ATE: 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 0 ,p r �P a 9 U& � � � TOWN OF BARNSTABLE c )CATION -1� n I SEWAGE#c�M/' iLLAGE /FYI. MtI ASSESSOR'S MAP&PARCEL G9CJ- O�O INSTALLERS NAME&PHONE NO. SEPTIC TANK CAPACITY 1000 LEACHING FACILITY: (type) S' In Ps) �A od (size) 3�7�L x 623w x-) NO.OF BEDROOMS 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 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 L - �- } i A 4. y I Sa ao. 3 a- Cis ae 3 ys`' Y8 �� (031,1 No. THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Ye PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS 01pprication for ;Di5poof *p5tem Cow5tructiou Permit Application for a Permit to Construct( )Repair( )Upgrade(i/)Abandon( ) ❑Complete System I.4dividual Components Location Address or Lot No. 3/'� QO41�1W Owner's Name,Address and Tel.No. Assessor's Map/Parcel l h /77 �{jsy yl Installer's Name,Address,and Tel.No. Designer's Npne,Address and Tel.No. 7 7/ Type of Building: Dwelling No. of Bedrooms Lot Size 1rZ`7117 sq.ft. Garbage Grinder(� Other Type of Building C. No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow gallons per day. Calculated daily flow gallons. Plan Date /0&1 L B'/ Number of sheets / Revision Date Title Z le Y W&el' Size of Septic Tankpe of S.A.S. Description of Soil Nature of Repairs or Alterations(Answer when applicable) Date last inspected: Agreement: The undersigned agrees io 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 issued by 's Bo of Health. / Signed �'Date 10 Application Approved by W Date Application Disapproved for the following reasons Permit No. Date Issued 41 / �..►�fhO ��P''h ..�. ./'_. THE 66MMONWEALTH OF MASSACHUSETTS Entered in computer: Yes z r f PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS t o ZIppficatign for 30iopogal *p5tem Cott!6truction Permit Application.for a Permit to Construct( )Repair( )Upgrade(l/)Abandon( ) O Complete System T dividual Components Location Address or Lot No. 7n0 Q©� a///� Owner's Name,Address and Tel.No. Assessor's Map/Parcel �v1 z/�!� � �7 jjf����y� to s�'%1/5 u `l Installer's Name,Address,and Tel.No. Designer's N,krne,Address and Tel.No. Xaf lo/© �Is�` ,UfJlvil 'q �� 7 7/- 3 Type of Building: Dwelling No.of Bedrooms Lot SizJ2/7y7 sq.ft. Garbage Grinder(40 Other Type of Building l e No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow Ile , gallons per day. Calculated daily flow 334-1- gallons. Plan Date /A ?_3 B/ Number of sheets / Revision Date Title 1"% S 6;,le?✓ao 6 Size of Septic Tank /d/JD�IJI� P.i'fs�` i19 Type of S.A.S. �"/5'�9� Cot�x'/�Y peel, , .� � . Description of Soil Nature of Repairs or Alterations(Answer when applicable) Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certifi- cate of Compliance has been issued by is Bo A of Health. Signed .� Date Application Approved by % ) Date Application Disapproved for the following reasons y 0i , Permit No. Date Issued THE COMMONWEALTH OF MASSACHUSETTS o7Q S'D BARNSTABLE, MASSACHUSETTS (Certiftcate of (Compliance THIS IS TO CERTIFY, that the On-site Sewage Disposal System Constructed( )Repaired( )Upgraded(✓ ) Abandoned( )by 661Y'10%11% CeII571-1 at ,-y1IlSI`0/I %�S 4 has constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit N dated Installer Designer The issuance of this perpui t shall not be construed as a guarantee that the system w,Il function as designed. Date I f a� /d w� Inspectorin„�Y `— 4 J ' No. 1 ! l �/ v� Fee, J y 4--- THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLE., MASSACHUSETTS Mi.5pooal *pgtem Construction Permit Permission is hereby granted to Construct( )Repair( )Upgrade(P")Abandon( ) System located at 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:Constructio must bw completed within three years of the date o 'pe Date: Approved by 0 FROM :down cape engineering inc FAX Nd. :15083629880 Aug. 30 2007 07:08AN P1 "Town of Barnstable Regulatory Services Thomas F. Grauer,Director Public Health. Divvision Tkoomas McKean,Director 200 Maim Street,HYaMnis,MA U601 office: 508-&57-4644 Fan; 50b-79D-63( Installer,& Des'-n er'Certifi cati on Form Date: Se gage Permit �7/ Assessor's MapTar.cel* .I Installer: Desiper: - 1 Address: - "l3�!�-+a`�5� Address: On_— "�— �• •-.� was issued 2 permit to install a (�) iastalier} septic system aT based on a design dra%;m by (adaress) ce.1if' thr:.t tine septic syStem referenced above was irxstalled substantial]" according to :he esi� 'which play° include minox approved changes such as lateral relocation of the disribution nox andior septic tank. I certify' that the septic sy,st= referenced above was insmiltd With major changes (i.e. greater than 10' lateral relocation of the SAS or any vertical Te)ocation Of any component of the septic st,stem) but in accordance with S-tate k Local Regulations. Plan revision or ceztizteZ xs-built l%y designer To follow. ARNE Install .'s rgra=Te) 0JA `LA in ` o No.26348„ • BHA �� r.r--��.. (Designer s i_L*z�a re} Affix Desii`ef` nnp Here) FL EASE RETURN TO RAR. 'fiTABLE PUBLIC UN-Ti 07H THi H 1~OIRMW O D ASRURL"�ECATtp ARF COMPLIANCE WILL NOT >3E SSL E� R'ECEJM 8Y THEBARNSTABLE PUBLIC HEALTH )WlS1aN. T ANK YOU. Q:linalt}VSeptialAesigncr Cer ifir�ion Fnrrs 3 2�i Ot.doc NOTICE: This Form Is To Be Used For the Repair Of Failed Septic Systems Only. PERCOLATION TEST AND SOIL. EVALUATION EXEMPTION FORM I. DZs hereby certify that the engineered plan signed by me dated �o�2;'- 11 ( , concerning the property located at n}eets all of the rollowing criteria: • This failed system is connected to a residential dwelling only. There are no commercial or business uses associated with the dwelling. The soil is c*lassifed as CLASS I and the percolation rate is less than or equal to 5 minutes per inch. The applicant may use historical data to conclude this fact or may conduct preliminary tests at the site without a health agent present. • There is no increase in ifow and/or change in ttsc proposed There are no variances requested or needed. The bottom of the proposed leaching facility will not be located less than fourteen (14)feet above fie maximum adjusted groundwater table elevation. LAdjust the groundwater tab.e using the f�rimptor method when applicable] Please complete the following- A)A) Top of Ground Surface E-levution (using GIS information) B) G,W. Elevation `��- + adjustment for high G.W. DIFFERENCE BETWEEN A and 13 'Z 1 SIGNED : 7 DATE: /o O (-- NOTICE !B.rsed upon the above information, a repair permit will he issued for bedrooms tr:axirnum. No additional bedrooms are authorized in the t'utum without engineered ,�e tic system plans. y:health Folder:percezmp No. 7 y • Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes ZippYication for �Digoal *pgtem Con0tructton Pe rmit Application for a Permit to Construct( ) Repair( ) Upgrade(�bandon( ) ❑.Complete System Components Location Address or Lot No. �96 `> �y/ Owner's Name,Address,and Tel.No. Assessor's Map/Parcel —7 C- /,xS-0 ?q, Installer's Name,Address,and Tel.No.ri.�r � � Designer's Name,Address and Tel.No.�"�� �� � r�•��f yj jHd�Jfr� /13 Type of Building: Dwelling No.of Bedrooms Lot Size ,7y7 ' sq.ft. Garbage Grinder Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) y�d gpd Design flow provided%1Y6/Z 41<,J gpd Plan Date o-s3j' 3. )Cd? Number of sheets t Revision Date Title r 8ik ��9n ®� y`f'o /t�r/�t Size of Septic Tank Sim L LS,c,J�►n Type of S.A.S. Description of Soil Nature of Repairs or Alterations(Answer when applicable) Ad& 2- r/-7 Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of Compliance has been issued by this r f It . Signed Date 57_2 '--,- Application Approved by Date 02�07 Application Disapproved by: Date for the following reasons Permit No. 60 ^3 Date Issued a .l"v 7 461( No. �Go7 71 Fee /7 u. -- f f - E dOMMONWEA_LTHaOF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION- TOWN OF BARNSTABLE, MASSACHUSETTS Yes 2ppr rication for ig ogaY *p5tem Coitgtruction �Individual tApplication for a Permit to Construct O Repair O Upgrade(Abandon ❑.Complete System `r Components Location Address or Lot No. 39� ®`� * icy y Owner's Name,Address,and Tel.No. Assessor's Map/Parcel C. I/V 1%,Q C?71 X X/1/f m Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. x l tv W A /A//s, rrl It S^o 5• 36,2 y3"`// t Type of Building: t Dwelling No.of Bedrooms Lot Size 3--2,7Y7 sq.ft. Garbage Grinder (I--)6 ­s Other Type of Building No.of Persons Showers( ) -Cafeteria( ) Other Fixtures ,/ Design Flow(min.required) V9(0 gpd Design flow provided/sir GPA dlew gpd Plan Date r7'u !!J/ 3 „7yd 7 Number of sheets � Revision Date Title 5- ,X- excrn D �O /t a.eft i y 9 41/4 // Size of Septic Tank /)2W C&/ C'x,J rrvl S Type of S.A.S. �i 't�g F► ,.ro . ( 7`� Description of Soil S- 1. e-417 Nature of Repairs or Alterations(Answer when applicable) c1CJ ..�/+ /7/ '� Erc, r`•• �J/r/o`JSa.> t. ��jb)7I H'S .�v/F.L ThD �i►� J s S�••� �1 1.�u/C`Y't'/Y G eG�?f��-y 7� 4 7' �diGVDN'1 IY��C.i'7'�lou ti Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the`afore.dbed on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code end not to place ffie`system in operation until a Certificate of Compliance has been issued by thisVordiof salt �s Signed ` Date ` 0� Application Approved by Date 0 7 Application Disapproved by: Date for the following reasons Permit No. GO —3 7 ( Date Issued �� 7 THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS (Certificate of Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal/System Constructed ( ) Repaired ( ) Upgraded Abandoned( )by at 3 rlQ �ad/f �7 i / f has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No. oZ Do 7-,3?� dated � �7 Installer /��v�ln f� �//,,,r Designer / av &_ ,,,,•,.•,n #bedrooms Z Approved design flow V V0 n gpd AC The issuance of this permit shal o be c tru d a rantee that the system willP/Vvo), signed. Date Inspector 0 No. --��-------------------------- — Fee �1*127__ /YZ7 THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION-BARNSTABLE, MASSACHUSETTS lwigo$at *potem Con5trUction ermit Permission is hereby granted to Construct ( ) Repair ( ) Upgrade (( Abandon ( ) System located at 7'70 y 1-e / 44 1/ /N//f and as described in the above Application for Disposal System Construction Permit.The applicant recognizes his/her duty to comply with Title S and the following local..provisions or special conditions. Provided: Construction must be..completed within three years of the date of t s pe t. s Date �_ U } Approved by f�J 0. 1 tQ i t;s r �� ♦' FORM 30 (�,w HOBBSE WARREN THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HE LTH CITY/TOWN F C DEPARTAENT 'p ADDRESS (SG y) GSM yv♦y`♦ TELEPHONE n L Address 3 I — Occupant_ Floor Apartment No. No. of Occupants_ No.of Habitable Rooms_ 3 No.Sleeping Rooms_-- _ No. dwelling or rooming units No.Stories_ Name and address of owner � 3 emarks 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: o Dampness: Stairs: Li htin 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: Su ply 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, EI Stacks, Flues,Vents,Safeties: Kitchen Facilities Sink Stove 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: ONE OR MORE OF THE VIOLATIONS 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 INSPECTOR.(See Over) "THIS INSPECTION REPO I SIGNED AND CERTIFIED UNDER THE PAINS AND PENALTIES OF PERJ R .' INSPECTOR TITLE I A.M. DATE 1 o TIME P.M. A.M. THE NEXT SCHEDULED REINSPECTION � P.M. t J� 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 11, 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 violation(s) pursuant to 105 CMR 410.830 through 410.833 nor shall failure to 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. J i (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). (1) Failure to comply with any provisions of 105 CMR 410.600, 410.601 or 410.602 which results in any accumulation of gar- 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. -'FORM 30 5H 1W HOBBs`WARREN TM THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH CITY/TOWN DEPARTMENT ADDRESS # soy) )Q,M 59"SOW . TELEPHONE L Address ! Occupant Floor Apartment No. No.of Occupants No. of Habitable Rooms No.Sleeping Rooms No.dwelling or rooming units No.Stories. Name and address of owner-- j� i'tstis; U. tt✓Remarks Reg. Vio. YARD Out Bld s.: Fences: " (f Garbage and Rubbish Containers: Drainage Infestation Rats or other: STRUCTURE EXT. Steps,Stairs, Porches: Dual Egress:and Obst'n.: ❑ B ❑ F EI M Doors,Windows: Roof Gutters, Drains: 0 A LGVU Walls: Foundation: Chimney: BASEMENT Gen.Sanitation: Dampness: _ Stairs: Q) ^ ll LI htin : v STRUCTURE INT. Hall,Stairway: Obst'n.: i Hall, Floor,Wall,Ceiling: Hall Lighting: Hall Windows: HEATING Chimneys: Central ❑ Y ❑ N Equip. Repair TYPE: Stacks, Flues,Vents: PLUMBING: Sup ly 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 ,11-living Room R Bedroom 1 fg�tlt�x" '} a Y - Bedroom 2 `1 fJ Bedroom 3 Bedroom 4 Hot Water Facil. Sup.Ten., Gas, Oil, Elect.: .� Stacks, Flues,Vents,Safeties: Kitchen Facilities Sink Stove Bathing,Toilet Facil. Vent., Plumb.,Sanit'n.: t Wash Basin,Shower or Tub: Infestation Rats, Mice, Roaches or Other: Egress Dual and Obst'n: General Building Posted 's Locks on Doors: ONE OR MORE OF THE VIOLATIONS 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 INSPECTOR. (See Over) "THIS INSPECTION REPOFYf SIGNED AND CERTIFIED UNDER THE PAINS AND PENALTIES OF g(.' INSPECTOR TITLE Z A.M. DATE to _ 0 l TIME P.M. (� A.M. THE NEXT SCHEDULED REINSPECTION —T 'j T) P.M. 1 410.750: 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 11, 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 violation(s) pursuant to 105 CMR 410.830 through 410.833 nor shall failure to 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). (1) Failure to comply with any provisions of 105 CMR 410.600, 410.601 or 410.602 which results in any accumulation of gar- 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. , Certified Mail#7006 0810 0000 3525 2803 Town of Barnstable a Regulatory Services 6%0 HARNSTABLE. 9 Thomas F. Geiler, Director — $�FD AAAr ` Public Health Division Thomas McKean, Director 200 Main Street,Hyannis, MA 02601 Office: 508-862-4644 Fax: 508-790-6304 May 11, 2007 Giorgio Lo Bue 33 Papyrus Way Marstons Mills,MA C-2648 NOTICE TO ABATE VIOLATIONS OF 105 CMR 410.000, STATE SANITARY CODE II—MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION The property owned by you located at 390 Route 149 Marstons Mills, was inspected on May 10, 2007 by Timothy O'Connell, Health Inspector for the Town of Barnstable. This inspection was conducted on the basis of a complaint received by the Town of Barnstable. The following violations of the State Sanitary Code were observed: 105 CMR 410.300 & 310 CMR 15.00—,Sanitary Drainage System Required. Observed four(4)bedrooms within this home although septic permit#2001-685 is only for(3) three. You are directed to correct the violations listed above within fourteen (14) days of your receipt of this notice by either upgrading septic system to accommodate for extra bedrooms or by removing one bedroom (this must be done by removing mattresses and bedroom door and making opening into room 5' wide You may request a hearing before the Board of Health if written petition requesting same is received within ten,(10) days after the date the order is served. Non-compliance will result in a fine of $100.00 per violation. Each days failure to comply with an order shall constitute a separate violation. Should you have any questions regarding the above violations, please contact the Town Health Division and ask to speak with the inspector who performed the inspection. QAOrder letters\Housing violaticns\390 rt 149.doc PER ORDER OF THE BOARD OF HEALTH Donald Desmarais R.S. Town of Barnstable Cc: Timothy O'Connell, Health Inspector QAOrder IetterMousing violationsl390 rt 149.doc i FORM30 HAW HOBBSBWARREN'm THE COMMONWEALTH OF MASSACHUSETTS BOAR OF HE LTH CITY/TOWN W DEPARTMENT O^ 6O I --- ADDRE C SO O B 6�_ I v 1 'I GSM SVBy\ow ATE-LQEP�HONE Address_ ` a r �_ ______—__Occupant �j""� + Floor _Apartment No. ___No. of Occupants No. of Habitable Rooms 5- No.Sleeping Rooms 01,_— No. dwelling or rooming units ___, No.Stories Name and address��vner A _ _ _ .7 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: Li htin : STRUCTURE INT. Hall,Stairway: Obst'n.: Hall, Floor,Wall,Ceiling: Hall Lighting: Hall Windows: HEATING Chimneys: Central ❑ Y ❑ N E ui . 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 a- Bedroom 2 Bedroom 3 Bedroom 4 Hot Water Facil. Sup.Ten., Gas,Oil, Elect.: Staqks, Flues,Vents,Safeties: Kitchen Facilities Vbve 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: ONE OR MORE OF THE VIOLATIONS 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 INSPECTOR. (See Over) "THIS INSPECTION REPORT IS SIGNED AND CERTIFIED UNDER THE PAINS AND PENALTIES OF PERJURY INSPECTOR14 TITLE DATE - TIME P.M. 1� A.M. THE NEXT SCHEDULED REINSPECTION y✓ P.M. 410.750: Conditions Deemed to Endanger or Impair Health or Safety The following conditions, when found to exist in residential premises, shali be deemed conditions which may endanger or impair the heaith, 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 11, 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 violation(s) pursuant to 105 CMR 410.830 through 410.833 nor shall failure to 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). (1) Failure to comply with any provisions of 105 CMR 410.600, 410.601 or 410.602 which results in any accumulation of gar- 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. COMMONWEALTH OF MASSACHUSETTS EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS DEPARTMENT OF ENVIRONMENTAL PROTECTION TITLE 5 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM FORM PART A CERTIFICATION Property Address: 390 Route 149 ' 0'7q J Marston Mills. MA 02648 Owner's Name: Patricia Lambert Owner's Address: Date of Inspection: March 29, 2006 Name of Inspector: (Please Print) James M. Ford Company Name: James M.Ford Mailing Address: P.O.Box 49 Osterville.MA 02655-0049 Telephone Number: (SOS)862-9400 -' PQ '^' f:'}i , v CERTIFICATION STATEMENT I certify that I have personally inspected the sewage'disposal system at this address and that the info~ ation reported ' below is true,accurate and complete as of the time of the inspection. The inspection was performed b sed on my r` Fi 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 CAM 15.000). The system:- ✓ Passes Conditionally Passes Ne Further Evaluation by the Local Approving Authority Fa s Inspector's Signature: &- Date: April3. 2006 The system inspector shall sub t a copy of this inspection report to the Approving Authority(Board of Health or DEP)within 30 days of completing this inspection. If the system is a shared system or has a design flow of 10,000 gpd or greater,the inspector and the system owner shall submit the report to the appropriate regional.office of the DEP. The original should be sent to the system owner and copies sent to the buyer, if applicable,and the approving authority. Notes and Comments ****This report only describes conditions'at the time of inspection and under the conditions of use at that time. This inspection does not address how the system will perform in the future under the same or different conditions of use. Title 5 Inspection Form 6i 15/2000 page I Page 2 of 11 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address: 390 Route 149 Marston Mills. MA Owner: Patricia Lambert Date of Inspection: March 29, 2006 Inspection Summary: Check A,B,C,D or E/ALWAYS complete all of Section D A. System Passes: ✓ I have not found any information which indicates that any of the failure criteria described in 310 CMR 15.303 or in 310 CMR 15.304 exist. Any failure criteria not evaluated are indicated below. Comments: B. System Conditionally Passes: One or more system components as described in the"Conditional Pass"section need to be replaced or repaired. The system,upon completion of the replacement or repair,as approved by the Board of Health,will pass. Answer yes,no or not determined(Y,N,ND)in the for the following statements. If"not determined",please explain. The septic tank is metal and over 20 years old* or the septic tank(whether metal or not)is structurally unsound,exhibits substantial infiltration or exfiltration or tank failure is imminent. System will pass inspection if the existing tank is replaced with a complying septic tank as approved by the Board of Health. *A metal septic tank will pass inspection if it is structurally sound,not leaking and if a Certificate of Compliance indicating that the tank is less than 20 years old is available. ND explain: Observation of sewage backup or break out or high static water level in the distribution box due to broken or obstructed pipe(s)or due to a broken,settled or uneven distribution box. System will pass inspection if (with approval of Board of Health): broken pipe(s)are replaced obstruction is removed distribution box is,leveled or replaced ND explain: The system required pumping more than 4 times a year due to broken or obstructed pipe(s). The system will pass inspection if(with approval of the Board of Health): broken pipe(s)are replaced obstruction is removed ND explain: 2 Page 3 of 11 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address: 390 Route 149 Marston Mills. MA Owner: Patricia Lambert Date of Inspection: March 20, 2006 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 CAM 15.303(1)(b)that the system is not functioning in a manner which will protect public health,safety and the environment: Cesspool or privy is within 50 feet of a surface water Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh 2. System will fail unless the Board of Health(and Public Water Supplier,if any)determines that the system is functioning in a manner that protects the public health,safety and environment: The system has a septic,tank and soil absorption system(SAS)and the SAS is within 100 feet of a surface water supply or tributary to a surface water supply. The system has a septic tank and SAS and the SAS is within a Zone 1 of a public water supply. The system has a septic tank and SAS and the SAS is within 50 feet of a private water supply well. The system has a septic tank and SAS,and the SAS is less than 100 feet but 50 feet or more from a private water supply well". Method used to determine distance "This system passes if the well water analysis,performed at a DEP certified laboratory, for coliform bacteria and volatile organic compounds indicates that the well is free from pollution from that facility and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm,provided that no other failure criteria are triggered: A copy of the analysis must be attached to this form. 3. Other: 3 Page 4 of 11 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address: 390 Route 149 Marston Mills. MA Owner: Patricia Lambert Date of Inspection: March 29; 2006 D. System Failure Criteria applicable to all systems: You must indicate either"yes"or"no"to each of the following for all inspections: Yes No ✓ Backup of sewage into facility or system component due to overloaded or clogged SAS or cesspool ✓ Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or clogged SAS or cesspool ✓ Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool ✓ Liquid depth in cesspool is less than 6"below invert or available volume is less than%day flow ✓ Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s). Number of times pumped_. ✓ Any portion of the SAS,cesspool or privy.is below high ground water elevation. ✓ Any portion of cesspool or privy is within 100 feet of a surface water supply or tributary to.a surface water supply. ✓ Any portion of a cesspool or privy is within a Zone 1 of a public well. ✓ Any portion of a cesspool or privy is within 50 feet of a private water supply well. ✓ Any portion of a cesspool or privy is less than 100 feet but greater than 50 feet from a private water supply well with no acceptable water quality analysis. [This system passes if the well water analysis, performed at a DEP certified laboratory,for coliform bacteria and volatile organic compounds indicates that the well is free from pollution from that facility and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm,provided that no other failure criteria are triggered. A copy of the analysis must be attached to this form.] No (Yes/No)The system fails. I have determined that one or more of the above failure criteria exist as described in 310 CMR 15,303,therefore the system fails. The system owner should contact the Board of Health to determine what will be necessary to correct the failure. E. Large System: To be considered a large system the system must serve a facility with a design flow of 10,000 gpd to 15,000 gpd. You must indicate either"yes"or"no"to each of the following: (The following criteria apply to large systems in addition to the criteria above) Yes No _ the system is within 400 feet of a surface drinking water supply the system is within 200 feet of a tributary to a surface drinking water supply _ the system is located in a nitrogen sensitive area(Interim Wellhead Protection Area-IWPA)or a mapped Zone II of a public water supply well If you have answered"yes"to any question in Section E the system is considered a significant threat,or answered "yes"in Section D above the large system has failed. The owner or operator of any large system considered a significant threat under Section E or failed under Section D shall upgrade the system in accordance with 310 CMR 15.304. The system owner should contact the appropriate regional office of the Department. 4 i Page 5 of 11 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAG E DI SPOSAL SPOSAL SYSTEM INSPECTION FORM PART B CHECKLIST Property Address: 390 Route 149 .'Marston Mills.'MA Owner: Patricia Lambert Date of Inspection: .'March 29. 2006 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 o=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,materia-of construction,dimensions,depth of liquid,depth of sludge and depth of scum? ✓ _ Was the facility owner(and occupants if different from owner)provided with information on the proper maintenance of subsurface sewage disposal systems? The size and location of the Soil Absorption System(SAS)on the site has been determined based on: Yes No ✓ _ Existing information. For example,a plan at the Board of Health. ✓ Determined in the field(if any of the failure criteria related to Part C is at issue approximation of distance is unacceptable) [310 CMR 15.302(3)(b)]. 5 Page 6 of 11 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION Property Address: 390 Route 149 Marston Mills. MA Owner: Patricia Lambert Date of Inspection: March 29, 2006 FLOW CONDITIONS RESIDENTIAL Number of bedrooms(design): 3 Number of bedrooms(actual): 3 DESIGN flow based on 310 CMR 15.203 (for example: 110 gpd x#of bedrooms): 330 Number of current residents: 3 Does residence have a garbage grinder(yes or no N/a Is laundry on a separate sewage system(yes or no): n/a [if yes separate inspection required] Laundry system inspected(yes or no): No Seasonal use(yes or no): No Water meter readings,if available(last 2 years usage(gpd)): Unavailable Sump Pump(yes or no): No Last date of occupancy: Currently occupied COMMERCIAL/INDUSTRIAL Type of establishment: Design flow(based on 310 CMR 15.203): gpd Basis of design flow(seats/persons/sqft,etc.): Grease trap present(yes or no): Industrial waste holding tank present(yes or no) Non-sanitary waste discharged to the Title 5 system(yes or no): Water meter readings, if available: Last date of occupancy/use: OTHER(describe): GENERAL INFORMATION Pumping Records Source of information: Unavailable . Was system pumped as part of the inspection(yes or no): 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: Installed on 12127/01 -ver as built card Were sewage odors detected when arriving at the site(yes or no): No 6 i Page 7 of 11 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 390 Route 149 Marston Mills. MA Owner: Patricia Lambert Date of Inspection: March_29, 2006 BUILDING SEWER(locate on site plan) Depth below grade: Materials of construction: _cast iron _40 PVC _other(explain): Distance from private water supply well or suction line: Comments(on condition of points,venting,evidence of leakage,etc.): SEPTIC TANK: ✓ (locate on site plan) Depth below grade: 12" Material of construction: ✓ concrete _metal _fiberglass _polyethylene _other(explain) If tank is metal list age: Is age confirmed by a Certificate of Compliance(yes or no): (attach a copy of certificate) Dimensions: 1000 gal. Sludge depth: 2" Distance from top of sludge to bottom of outlet tee or baffle: 30" Scum thickness: 2" 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: 10" How were dimensions determined: Measuring stick Comments(on pumping recommendations,inlet and outlet tee or baffle condition,structural integrity,liquid levels as related to outlet invert,evidence of leakage,etc.): Tees were present. The liquid level was even with the outlet invert There did not appear to be any signs of leakage GREASE TRAP: None (locate on site plan) Depth below grade: Material of construction: _concrete _metal _fiberglass _polyethylene _other (explain): Dimensions: Scum thickness: Distance from top of scum to top of outlet tee or baffle: Distance from bottom of scum to bottom of outlet tee or baffle: Date of last pumping: Comments(on pumping recommendations,inlet and outlet tee or baffle condition,structural integrity,liquid levels as related to outlet invert,evidence of leakage,etc.): 7 Page 8 of 11 OFFICIAL INSPECTION FORM NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 390 Route 149 Marston Mills.MA Owner: Patricia Lambert Date of Inspection: March 29, 2006 TIGHT or HOLDING TANK: None (tank must be pumped at time of inspection)(locate on site plan) Depth below grade: Material of construction: _concrete _metal _fiberglass _polyethylene _other(explain): Dimensions: Capacity: gallons Design Flow: gallons/day Alarm present(yes or no): Alarm level: Ala_-m in working order(yes or no): Date of last pumping: Comments(condition of alarm and float switches,etc.): DISTRIBUTION BOX: ✓ (if present must be opened)(locate on site plan) Depth of liquid level above outlet invert: Even 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.): The D-Box was level. There were no signs ofsolids. • c PUMP CHAMBER. None� (locate on site plan) Pumps in working order(yes or no): Alarms in working order(yes or no) Comments(note condition of pump chamber,condition of pumps and appurtenances,etc.): 8 Page 9 of 11 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 390 Route 149 Marston Mills. MA Owner: Patricia Lambert Date of Inspection: March 29: 2006 SOIL ABSORPTION SYSTEM(SAS): ✓ (locate on site plan,excavation not required) If SAS not located explain why: Type leaching pits,number: ✓ leaching chambers,number: 5 high capacitEinfiltrators-38.75'x 6.83'x 2'(per as built card) leaching galleries,number: leaching trenches,number, length: leaching fields,number,dimensions: overflow cesspool,number: Innovative/alternative system Type/name of technology: Comments(note condition of soil,signs of hydraulic failure,level of ponding,damp soil,condition of vegetation, etc.): The Infiltrators were dry. There did not appear to be any signs offailure. Used camera to inspect infiltrators CESSPOOLS: None (cesspool must be pumped as part of inspection)(locate on site plan) Number and configuration: Depth-top of liquid to inlet invert: Depth of solids layer: Depth of scum layer: Dimensions of cesspool: Materials of construction: Indication of groundwater inflow(yes or no): Comments (note condition of soil,signs of hydraulic failure,level of ponding,condition of vegetation,etc.): PRIVY: None (locate on site plan) Materials of construction: Dimensions: Depth of solids: Comments(note condition of soil,signs of hydraulic failure,level of ponding,condition of vegetation,etc.): 9 Page 10 of 11' J OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 390 Route 149. Marston Mills. MA Owner: Patricia Lambert Date of Inspection: March 29, 2006 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. A iSAt k i A a y ISaao 3 2-W8� �b 10 i Page 11 of 11 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 390 Route 149 Marston Mills. MA Owner: Patricia Lambert 'Date of Inspection: March 29, 2006 SITE EXAM Slope Surface water Check cellar Shallow wells Estimated depth to ground water 30+/- feet Please indicate(check)all methods used to determine the high ground water elevation: Obtained from system design plans on record-If checked,date of design plan reviewed: Observed site(abutting property/observation hole within 150 feet of SAS) ✓ Checked with local Board of Health-explain: topographic and water contours maps Checked with local excavators,installers-(attach documentation) Accessed USGS database-explain: You must describe how you established the high ground water elevation: Using Barnstable topographic and water contours maps, the snaps were showing approximately 30'+1-to ground water at this site. This report has been prepared and the system inspected and passed as of the date of inspection. This report is not a warranty or guarantee that the system will function properly in the future. There have been no warranties or guarantees, either expressed,written or implied,relating to the system, the inspection and/or this report. 11 � THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH ` ,��9��:-� M OF....... _.� ............................ 1.. .W. 1 Appliratinn for Digpniia1 Work.5 Tomtrnrtion Vamit Application is hereby made for a Permit to Construej�" (,( ) r�?epair ) an Individual Sewage Disposal Syst �� . ...........:.... .1" �ls � -..-�-••------•---••--•----.--.............. ........ ...-•--•----•---_.. Location-Address or t 9L T _ /1 �� I�lU.......tjftJ; fnlR12/. ..t.i.. _.;�a�j5f� - O ner q Address �+ / Installer Address r 4 Type of Building Size Lot.�Of.A��_a'�-___..Sq. feet Dwelling X No. of Bedrooms--------------------------------------------Expansion Attic ( ) Garbage Grinder Other—Type of Building ............................ No. of persons............................ Showers — Cafeteria a' Other fixtures -------------------------------- - W Design Flow.........�`— .........................gallons per person per day. Total daily flow------------ Q....................gallons. WSeptic Tank—Liquid'capacity/0.012_.gallons Length....._....... Width----5 ....... Diameter---------------- Depth.......... x Disposal Trench—No..................... Width-------------------- Total Length.................... Total leaching area--____--___-.-______sq. ft. Seepage Pit No------t............ Diameter.......49.1 ...... Depth below inlet....... �y_._. Total eaching area.. 0....sq. ft. Z Other Distribution box (x') Dosing tank ( ) � �c� " /I— /— T`r ~" Percolation Test Results Performed by__49A_0&•-G:�_-_40'W"-,t--ca__,............... i..__-�._.1Y.78.... a ___ Date_Q___ _ / Test Pit No. 1<__ .._._minutes per inch Depth of Test Pit-_!Z_i_._..... Depth to ground waterA/O-7— ._._..._.. Test Pit No. 2�_g--___minutes per inch Depth of Test Pit-__/7_ _____. Depth to ground water_ 1G'IsYJ�7 �1� a •------------------------------------..._....•---...._...._......----------------------•--._......_........................................................... ODescription of Soil.---Q`- --�4p4AI-----4.�•..... -so -L 3-' /;Z U ._____________________________________________________________________________________ _____...__._ _ _� ._._____ _______ _____________. W ---------------------------- - : - �- r�-- = = U Nature of Repairs or Alterations—Answer w en applicable------------------------------------------------------------------------------- ................ •----------------------------------••-----------------------------------------------•---•---........-----------------------------------------------------------------------------------•---------------- Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of'i L p 5 of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance has bee -ssued by th hQard of health. D........._.. at Application Approved By..... • ........ �! % 3 -•--••--•---•------- Date f. Application Disapproved for the following reasons------------------------------------------------------------ -----------------------------------------------•--- -----•----------------------------------------•-----•---•---•------------••--•---•--•------------..........--------------------------...------•-------------•--------•----------•---------------•--•-••-- Date Permit No. ` 3 .......... Issued ..................................... Date 7y No..........A`�. .. r�$.... ..0 .--::... THE COMMONWEALTH OF MASSACHUSETTS -- BOAR® OF HEALTH J��-lra&_i..................OF........ t:<, �.h� T .�yL ........................... Applirat#ion for whip ,sal Workii Tnnsirurtinn amit r Application is hereby made for a Permit to Construct; (x ) or Repair (, ) an Individual Sewage Disposal System. at• Y � llGl��s9 /air (I'i is[.t1 f'tr 1 .................................. Location Address or Lot No. ................................ ... s � fit Owner A dress f -------------------- �,v_..,� nstaller Address Type of Building Size Lot__0-•6... _?...Sq. feet Dwelling-A�No. of Bedrooms.............. ...........I:............Expansion Attic ( ) Garbage Grinder (-%�V `4 OtherT,-Type of Building ___ No. of persons____________________________ Showers — Cafeteria a � Other fixtures _----•---------------------------------------------------------------------------------------------------------•------•---•-------------•------------ W Design Flow........... .________________________gallons per person per day. Total daily flow............S.3.0....................gallons. WSeptic Tank—Liquid capacity/ao_o__gallons Length...�9....... Width._.__�5.'...... Diameter________________ Depth......... x Disposal Trench—No_____________________ Width...................... Total Length....................,Total leaching area....................sq. ft. Seepage Pit No......./............ Diameter_______ _____ Depth below inlet_____.__,•___/__ _____ Total leaching area.. ...sq. ft. Z Other Distribution box-().() Dosing tank ( ) 4- /,-"c Percolation Test Results Performed by.. �� .... �+_ .�___ 0. Date_.__ .n_____._____ Test Pit No. 1_4__Z.._..minutes per„inch Depth of Test Pit.__y� !_____.__ Depth to ground water.- __-_ _ (s, Test Pit No. 2_ __ __".`inintites per inch Depth of Test Pit____ ______ Depth to ground water_a111_)e6b)A/7aZ.6 b -----•--••••--------• •-------•••--•----•-••------••---••--••--•••--•-_______-•••-•----••--------•-•--•----•-•---•__:____-•--_._••--•________________________ D Description of Soil••_-!1•'—3 '... _ *Jt�¢•---•�!--•-5�� • x j V ....................... ••_______________•--•---•____--••._._._._•--___----------__-_.____._...-•---.__._•-•------------••-•---•---•-•-•-•--•---••--•--•••----____._.______________...-•-•••-•••--•-•--- W -•------------------------------------------------••--••-•----------------------------------------------------------------------------------------------------------------------------------------------- UNature 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,p 5 of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been •ssued by the board of health. Signed;•-••---'• t;.�-• _ =-•••-•--•••-•--•- ev--__7-- ar •� te Application Approved By..... �� °'� j ---.---.r- � / .._._.._•__---^-- -__' Date r-•-- Application Disapproved for the following reasons:.............---------------- ............................................................................... _ ...._.....•-••••--•----••--•-•---•--••:-___••--•••--•-•-••-•••••__________________________••-----•--_____--••-•---•---•••--••-•____••--•-•••----•-••--------•-••-•••-----••--•••••----•-•--••-____------ Date PermitNo......................................................... Issued_....................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH .. � '...oF....., ....................... %-5rdifiratr of ToutpH na THIS IS TO CERTIFY, ThaS, the Individual Sewage Disposal System constructed ( ) or Repaired ( ) by = ,l._ a Installer has been installed in accordance with the provisions of ,j of he State Sanitary Code as described in the application for Disposal Works Construction Pervnit No. _71___- , _ _______________ dated_-_._ _ _ _,__- r/ THE ISSUANCE OF THIS CERTIFICATE SHAD. OT BE CONSTRUED AS GUARANTEE P91AT THE SYSTEM WILL FUNCTION "SATISFACTORY. 4), DATE. G __ s............... Inspector...._ ._ -••---•-.._....._._._.._.........._....-- THE COMMONWEALTH OF MASSACHUSETTS - BOARD�F HEALTH /s 2f 07... t:..�..z.�..... FEE. 14 J Permission is herebyran rk� �l�n,�$rtnn Prntt� granted... to Construct ) or Repair ( ) an Ind•v' ual Sewage Disposal System r r at No........ Street as shown on the application for Disposal Works`Construction Permit No----_--------------- Dated___ __�. - 1 f ,- ,.fi ----------------------------------------------------- DATE..............................................................____•••--•--_..... FORM 1255 HOBBS & WARREN. INC., PUBLISHERS i pot 131 ' c .3 r .5 9A4/ 12,1 16.6, 9 > `9 /1/4, 0V.47-E,2 - 0 TEST HOLE /2E .5ULT5 RECORDS � DATE : SCALE : TO b\/7V WA TER /s A VA / L A 8 L E I AJSP M/ A///`I U/"/ 8U/LD/l`!G SETS/9CK RE0UI RE/"IEAJ7-S 14=,Q.0A/ 7- '30 DR,IvICEIV1119Y Al0T 7'4:) SE D P2OPOSED BED /200MS � OI/ER SE kllE ,2.�G3IF— DES/GA/ FLOW. .334 G/-�L �D�y H-20 ZDES /•G/V LOIgDING /S USED . p,�o,opSED LEF�CN F�,?Er9 2 ©C� SEPT /c Sys TE M co.•/sT,� ucT / oN sH�L,� ecoL �T/oN T"EST" CO�/Fo ,CM TO /"TABS. ENV/20A/MENT191_ - CO 4) E 9-rZE7 D .TUL y 9 77 6ND T01,,/A/ OF 2ES ULTS < 2 "I/ /A-/./` /iVC'H faR/lJ �i" SL E' H E'�9 L Tf-� /2E6 UL AT/ O/�/S. SILL ELEV. TO 3E ET /930VE )2D. TyP � cA �. PR. OF / L E 2 % M/ti ,�/,1!/5HED TOP OF P,@Op4.56p GRI'9DF- �QoVE I_E�cH EO U/ND FAT/O n/ �• 9G, 4 A/ O S C r MAI,/H0LE 00VER To EXTEND 7'0 /M�E,eVIDUS Cov TO 7�,�'EV�NT /C//_/ES • � /� ��sLl//I/ WITH/N l' OF F/N/SNED G�'FdD� F,2pM /NF'/LT,2f�T/n!� ' MMUM I /O'M/n/IMUM 2�''COVEk'S I ZG�t D/ST Z �, COV6,2 �•//9S///ED STONE I /� � SOX �2/"i✓lDE f/L •C.. �9�20UND MUNJ G'MiN. 4" Di.9. waTHR pnn P/reH — LOti/ L1NE /"1/A/ P/T-CD//9• '�FaoT lo" ,V• 14., FOOT Z M/A/P cN ,_ _ z_ NIn! �,/�' 1Q4"I FOOT _(s',q L L O/�/ e h/H SH E D _y INVERT G�la.y0 �, L/?0 e STONE GALLON /n/vE,eT �+ P/ 7 ce u fIL� INVERT cA pHC /Ty �t r e0 Un/D SEp7`/C TANK 84rS- WfgT�2T/G KT� /NVER7- A R C �2 ZOG (015 8 Z F L E/9 C' H .o C' H le E'f-? x /rvvEeT /10 GAR25F9GE GRINDER ZO' /"T/N/M QJo , Al D/ST To ^/F7 x � . _4 ' G,2 0 Un/D k.'ATE,2 E'LE V. lc!�e PLOT PL19AJ L D G A T/ O N. /7.4R5 ToN�s /`�/ L y f `ln;y� 4� t u E E FE,eE NG' E: SE/AJG /_ O_r AS SHOWN 8F�,2n/- ��, fi _. ON A PL AN R E C O.e D F D /N THE �� T� �y��. _ r� 7'�9 I3 L E C O C/ N T Y �'E G / S T�y O F D E E D S } l'/ � jb OR_ 6 ; :;r7� SEPT/ C Tr4 NK 3"o H E A r-y®� , ^ , / ^ ����� �• }� �� /MUM O F /O' FROM FO UN D,oq- T/ O N AND L E R C' H ' I T S . e o r- e C O c4-) C o. L E,.,g c N G P/ 7-s ro 23 E /-1/N- Y M U M o f / O' r-=2-o M / P/2 O PE,2T>' I C E Q 7- ,/ F Y 7-/-/,4:? T 7-/-/ E ,Q G//Z- L / A./E ,S A n-/ D S E P7-/C 7'F? /-/ S H o W/V O/\/ 7-/4 /S P,L F-� nl 1 S �%� 1� 4 °' � }� fin✓"D e o" D U N.D �9 T/O/`/. OA/ 7-HE GROUND G£ORGf i:•� — yNZD 7-14/97- / 7- ��E=S CpNF0le/-I �a�r,lz. DATE T/ TL. E To Tf/E 23U / 4 D / NG SETBf9C' k REQU/,2E- MEti/ TS OF THE 7W PV AJ — _ SU€Z D r9TE 8 O H ,E'D O r f l E FJ L TH r E N T p�T ��� G. L . N Z7 5 !J ,C E y O,e �z�PROVED F1 G SYSTEM PROFILE TOP FNDN. AT EL. 74.2' <NOT T❑ SCALE) ACCESS COVER TO WITHIN 6' OF FIN, GRADE ACCESS COVER (WATERTIGHT) TO MINIMUM .75' OF COVER OVER PRECAST WITHIN 6' OF FIN. GRADE 2% SLOPE REQUIRED OVER SYSTEM 66 ILI 2' DOUBLE WASHED PEASTON ' RUN PIPE LEVEL -� PO- FOR FIRST 2' 63 pip FALMOUTH .0' EXISTING 1000 rr A� GALLON SEPTIC 64.4't %T,� EM . Nt4' @SIDES ��TANK (H- 10 ) BAFFLE 62.10 @ ENDS LOCUS 62.27 2' - A 6' CRUSHED STONE OR MECHANICAL c� j COMPACTION. (15.221 12)) N 14p o�o o S 60.5' 9pr DEPTH OF FLOW = 4MIN g'«. SLOPE> (..j___% SLOPE) TEE SIZES y�r 3/4" TO 1 1/2" DOUBLE WASHED STONE INLET DEPTH = 10" OUTLET DEPTH = 14 LOCATION MAP NTS FOUNDATION-- EXIST SEPTIC TANK LEA�HING 18.5 11' D' BOX 5 FACILITY ASSESSORS MAP 79 PARCEL 80 73.1 GROUNDWATER EXPECTED AT EL. 42 I i CONTRACTOR TO CONFIRM SUITABLE SOILS IN AREA OF LEACH FACILITY, FOR 5' BENEATH AND AROUND FACILITY A' TIME OF INSTALLATION, IF ANY UNSUITABLE SOILS ENCOUNTERED, REMOVE FOR 5' AROUND, DOWN TO v+P I SUITABLE SOIL LAYER. REPLACE WITH CLEAN MED. SAND. ENGINEER TO INSPECT AND CERTIFY REMOVAL, IF qpE Et(COUNTERED. 4 PN A N L=37.06' 70.0 5s R-25.00' \ \ +75.4 \ 75.5 N NQTESI \ A BENCHMARK: USE - \ 73.1 N a CENTERLINE \\ h ^ CONCRETE WALK AT SEPTIC DESIGN; (GARBAGE DISPOSF'R IS NOT At LOWED i � 1. DATUM IS APPROXIMATED FROM CIS MAP LOTS 2 & 2A -15 THIS POINT, ELEV. - 52,747± SQ. T. 7i. 66 6 DESIGN FLOW: 3_ BEDROOMS ( 110 GPO) ''30 GPD 2. MUNICIPAL WATER IS EXISTING *THIS IS AN ASSUMED WATERLINE\ �� j�.1 + s TN �f- I-1, 1 " •.__�gin 74.i v > �, : .�_ . 3, ,MCNI,Ml1M PIPE PITCH TO BE 1/�3 PER FOOT. LOCATION. CONFIRM PRIOR TO ��-----'6 n - ` EXCAVATION \� + ,.3 EXISTING '-''`- SEPTIC TANK: 330 GPD 2 ) = 560 4. DESIGN LOADING FOR ALL PRECAST UNITS TO BE RASH❑ H- '0 DWELLING 7 S. PIPE JOINTS TO BE MADE WATERTIGHT. 7 \\ W "' + 6 a IISE A 1000 GALLON SEPTIC TANK (EXIST) 6. CONSTRUCTION DETAILS TO BE IN ACCORDANCE WITH MASS, TOP FNDN 66 TRI. 10" M L LEACHING: ENVIRONMENTAL CODE TITLE V, ' \ SIDES: 2(38.75 + 6.83) 2 (.74) - _;34.9 7. THIS PLAN IS FOR PROPOSED SEPTIC SYSTEM ONLY AND IS NOT s 6. 73A � � ^ 38.75 x 0.83 (.74) _ 195.9 TO BE USED FOR ANY OTHER PURPOSE. �.9 BOTTOM: 8, PIPE FOR SEPTIC SYSTEM TO SCH. 40-4" PVC, Cl\9U r `�` �gPV + 7 TOT 447 S.F. 330.8 GPD 9. COMPONENTS NOT TO BE BACKFILLED OR CONCEALED WITHOUT +Y1z772 USE 5 HIGH CAPACITY INFILTRATORS WIITH 2' INSPECTION BY BOARD OF HEALTH AND PERMISSION OBTAINED + .7 1 ( ) FROM BOARD OF HEALTH. 3, \ '> STONE AT SIDES, 4' AT ENDS AND 14" UNDER 10, PUMP & REMOVE (OR FILL W/CLEAN SAND) EXISTING LEACH PIT. `` 8" MAPLE A-5 Z� + .4 53.8 745 T. } N m p p ''i rn Cr ' MA E LEGEND _ �" �''�, ' ZTE 1'L.AN 1' I �7 +6 .9 s 100.0 PROPOSED SPOT ELEVATION OF ` +69.9 70.0 390 ROUTE 149 � 170A 100x0 EXISTING SPOT ELEVATION 20" OA IN THE TOWN OF: 24" OAK 100 PROPOSED CONTOUR (MARSTONS MILLS) BARNSTABLE 56.9 +69.1 65. 100 EXISTING CONTOUR PREPARED FOR: BORTOLOTTI CONSTRUCTION/MARSAN 0 699 ' 30 0 30 60 90 0 22 � SHED 9.1 cp -, BOARD OF HEALTH 62.29 MA 1" = 30' OCTOBER 23, 2001 APPROVED DATE SCALE: DATE: � o �. BENCH MARK - TOP OF CONC. BOUND o EL. = 62.3 (ASSMD G.LS.) 0 off 508-362-4541 t.*' fox 508 362-9IIE0 4" Ny MASJ� H. clown cope engineering, inc, ARNE 11. GJ 3 GJALA OJALA , N� 1614b !p 13 o CIVIL CIVIL ENGINEERS No. 3 192 ..,..Y..: OS LAND SURVEYORS �S'srr_ 939 rain st, yarmouth, ma 02675 O '--z3 1 ARNE H. OJALA, P.F.., P.L.S. DATL' i SYSTEM PROFILE ALL SYSTEM COMPONENTS SHALL BE NOTES LEGEND TOP FNDN. AT EL. 74.2' MARKED WITH MAGNETIC TAPE:oR ACCESS COVER TO WITHIN 6 OF FlN. GRADE NOT TO SCALE) COMPARABLE MEANS FOR FUTURE LOCATION. " 1. DATUM IS APPROXIMATE NGVD ACCESS COVER (WATERTIGHT) TO PROVIDE INSPECTION PORT TO WITHIN 3" OF FINAL GRADE 10 Hambbtx 100.0 PROPOSED SPOT ELEVATION - Pond /F67__.0fl MINIMUM .75 OF COVER OVER PRECAST WITHIN 6 OF FIN. GRADE 2. MUNICIPAL WATER IS EXISTING 2% SLOPE REQUIRED OVER SYSTEM 6E 100x0 EXISTING SPOT ELEVATION 7. 65 9, 3. MINIMUM PIPE PITCH TO BE 1/8" PER FOOT. 'A \100 PROPOSED CONTOUR *EXISTING 4. DESIGN LOADING FOR ALL PRECAST UNITS TO BE AASHO OCUS _� PROPO 2" DOUBLE WASIIEQ PEASTONE- 3 MAX, "EXISTING 1000 OR GEOTEX'TIILE FABRIC H- 10 . 100 EXISTING CONTOUR y` EXISTING/ GALLON SEPTIC TANK 64.4t rEE11 GAS 63.0' _;:. .. BAIL S. PIPE JOINTS TO BE MADE WATERTIGHT. ,o DEPTH OF FLOW = 4' EXISTING D-BOX. 62.5' 2' ® SIDES 6. CONSTRUCTION DETAILS TO BE IN ACCORDANCE NTH TEE SIZES: MATCH & 4' ® END MASS. ENVIRONMENTAL CODE TITLE V. s INLET DEPTH = 10" EXISTING2 14" o �, 7. THIS PLAN IS FOR PROPOSED WORK ONLY AND NOT TO OUTLET DEPTH � ,g $ 14 o �$8 60.5' BE USED FOR LOT LINE STAKING OR ANY OTHER PURPOSE. _ ( ( L x SLOPE)15 x SLOPE) 3/4" TO 1 1/2" DOUBLE WASHED STONE 8. PIPE FOR SEPTIC SYSTEM TO SCH. 40-4" PVC. ZB SEPT 11' LEACHING 9. COMPONENTS NOT TO BE BACKFILLED OR CONCEALED Route w0, FOUNDATION EXISTING- IC TANK D BOX 5 FACILITY WITHOUT INSPECTION BY BOARD OF HEALTH AND PERMISSION y 1.85' OBTAINED FROM BOARD OF HEALTH. �+ �+ (SEE NOTE 10. CONTRACTOR SHALL BE RESPONSIBLE FOR CALLING LOCUS MAP ON PLAN) DI'GSAFE (1-888-344-7233) AND VERIFYING THE LOCATION SCALE: 1" = 2,000't OF ALL UNDERGROUND & OVERHEAD UTILITIES PRIOR TO COMMENCEMENT OF WORK. ASSESSORS MAP 79 PARCEL 80 BOTTOM EL. 58.2' GROUNDWATER EXPECTED 11. EXISTING LEACHING FACILITY' SHALL BE PUMPED AND LOCUS IS WITHIN AP OVERLAY DISTRICT o AT EL. 42.0't REMOVED OR PUMPED AND FILLED NTH CLEAN SAND. 12. ANY UNSUITABLE (MATERIAL ENCOUNTERED SHALL BE TEST HOLE_ LOGS REMOVED 5' BENEATH AND AROUND THE PROPOSED 9 LEACHING FACILITY. 1 ENGINEER: DAVID FLAHERTY, R.S., SE2755 l�i R.S. .�j *THE INSTALLER SHALL VERIFY THE WITNESS: DON DESMARAIS, RU LCCATIONS OF ALL UTILITIES AND ALL DATE: JULY 23, 2007 0p BUILDING SEWER OUTLETS AND ELEVATIONS PRIOR TO INSTALLING ANY PORTION OF PERC. RATE _ < 2 MIN/INCH SEPTIC SYSTEM I CLASS I SOILS P# 11843 pE VIP **THE INSTALLER SHALL CONFIRM MIN. 4 ELEV. Q PSQN. 5\ N SEPTIC TANK SIZE AT 1000 GALLONS AND Q" 70.2 ELEV. 0" 69.2' ITS SUITABILITY FOR RE USE SYSTEM DESIGN. A A L=37.06' LS LS \ R=25.00' GARBAGE DISPOSER IS NOT ALLOWED 1OYR 3/2 1OYR 3/2 12" 69.2 127 68.2 \ DESIGN IFLOW: 4 BEDROOMS 0 110 GPD = 440 GPD B \ V USE A 440 GPD DESIGN FLOW LS LS SEPTIC 7TANK: 440 GPD (2) = 880 10YR 5/6 10YR 5/6 \ i 35 67.3 38 66.0' \ **RE-USE EXISTING 1000 GAL. SEPTIC TANK \ LOTS 2 & 2A EXPANSIION OF LEACHING \ 52,747f $Q. FT. SIDES: :2 (16.5 +' 7.25) 2 (.74) = 70 GPD C C \ 1.21 f ACRES PERC 71 \ r�ti �o BOTTOM 16.5 x 7.25 (.74) = 88 GPD , v I i 69 _ 69 - , T IN . 1D MS MS 2... S.F.S , 1:58 _ \ EXISTING 4 BR \ DWEWNG 67 USE (2) 'HIGH CAPACITY STANDARD INFILTRATORS 2.5Y 7/4 2.5Y 7/4 7 w \ TOP OF FNDN 4\ AIR U.,� , WITH ,4' 'STONE AT END, 2' AT SIDES AND 14" UNDER \ ApP. W__w��_-- EL' 74'2 0 � � TO MATH TO EXISTING.. 3 BR SEPTIC SYSTEM w TRI. 1 " M L 0 126 59.7' 132" 58.2' 7 MA NO GROUNDWATER ENCOUNTERED r J CO APPROVED DATE BOARD OF HEALTH CONC. i r. WALK i J it 72 >2 TITLE 18" MAPLE 5 SI ■TE PLAN 5' REM OVAL OF UNSUITABLE SOIL �� REQUIRED AROUND PERIMETER OF y t LEACHING FACILITY, DOWN TO OF G1 SUITABLE SOIL LAYER. REPLACE VATH o �O :};j:. Q TO INSPEAN MED. SAND.CTENGINEER CT AND CERTIFY 390 ROUTE 149 /f' N rn oLO REMOVAL 10" MAPLE (M. MILLS) BARNSTABLE, MA s i PREPARED FOR 1 0> > W N 20" OA BORTOLOTTI CONSTRJ 24" OAK GIORGIO LO BUE 0 DATE: AUGUST 3, 2007 REV. DATE: AUGUST 27, 2007 (RESERVE, ELEVATIONS) o 6 sg Scale:1"= 20' Q SHED C,, 0 10 20 30 40 50 FEET 9 00 6'2.29' off 508-362-4541 fax 508 362-9880 I BENCH MARK - TOP OF CONC. BOUND �o��ARNE H �� " cs� ARNE �� �O WIC cC engineering, inc. EL. 62.3 (ASSMD G.I.S•.) OJALP, �� H N� CIVIL OJALA N o. 3079 o t q 2akE Cl VIL ENGINEERS °F LAND SUR i/E YORS © DNA i DATE ARNE H. OJALA, P. ., P.L.S. 9.39 Main Stree t - YARMOU THPOR T, MASS. DCE #07- 159 07-159 BORTOLOTTI-LOBUE.DWG (ODF) - ------ , EXISTING WINDOW, ALL NEW ;Fb �, BEDROOMS WILL NEED A T ' ' WINDOW FOR EGRESS, Z COMPLIANT WITH 780 CMR o r�aa 4. r`.r� I <. , 2 1029 EMERGENCY ESCAPE AND RESCUE OF THE IBC AS N THERE ARE NO MA > EXCEPTIONS, PROVIDE 5.7SF w ; s.,m OF CLEAR OPENING; 20" D �� Sa " WIDE MIN AND 24" IN HEIGHT MIN, - SAW CUT FND o AS NEEDED Z 0o Q Q REMOVE FINISH ° ALL NEW BEDROOMS WILL MATERIALS BUT LEAVE A NEED A WINDOW FOR WALL FRAMING INTACT; Z d• STAFF FRAMING PLANS AND rn T— n EGRESS, COMPLIANT WITH tJJ 780 CMR 1029 EMERGENCY OFFICE SUPPORT FOR ANY ESCAPE AND RESCUE OF THE EXPOSED BEARING POINTS W J IBC AS THERE ARE NO MA ALIGN WALL !HILL BE PROVIDED UPON EXCEPTIONS, PROVIDE 5.7SF TO CENTER EXPOSURE OF LATENT O OF CLEAR OPENING; 20" MULLION STRUCTURAL CONDITION D WIDE MIN AND 24" IN NOTIFY ARCHITECT FO HEIGHT MIN - SAW CUT FND FIELD INSPECTION BEDROOM 3 O AS NEEDED - 148af Z Z 11 - - LL O 1- O — — — — NEW WALLS 2x4 - @16110C. W/ Y GWB ' NEW WALLS 2x4 r _ I r _ �A SIDIE )TYP), 2x4 @16"OC. W/ Y GWB C� — - _I PT. SOLE PLATE O 2-oil EA SIDE )TYP), 2x4 ! ATOP CONCRETE 4 O BEDROOM4 PT, SOLE PLATEI I SLAB _ CAATOP CONCRETE o I o u) 14- r- I I 3," SLAB j m MECHANICAL I cz �' _ 00 lo m O 3'-41/2" �- O 4 �- O LIVING ROOM wH ! �' L — _ E ro00 _ NEW WALLS 2x4 Q T s _ o ff , � RELOCATE LOAD I m o 0 co crm v @16°OG W/ Y GWB Crl;n , .r- _ CENTER• SAW CUT �_ z o RE- LAC! M► )SING � EA SIDE )TYP) C6LUMN ALIGN FOUNDATION WALL CD c� • r O - Fes- 0 �. ' Q � w __ ____ L N Z co LAUNDRYDEMO WALLS N u REPAIR NOTCHED 6 JOIST a kISTING WALL o m STORAGE C E &, i° NEW WALLS Q ,�\ u) o I— LL rn U v Z cV PROPOSED BASEMENT PLAN CL F r z w 0 w a Q d) L F � DRwN SY RMG CHKO DY DAG \�C /T� DATE: � c� � z i sr-ALE: AS NOTED H L 0 PROJECT NO: gLTN A1 , 2 i WINDOW SCHEDULE z Z ID LETTE MANUFACT MODEL TYPE ROUGH OPENING COMMENTS ° A IT.B.D. SEE PLAN FOR NOTES REGARDING WINDOWS IN NEW BEDROOMS N b_6 LOCATE WALL ,'u I � AS TO NOT DOOR SCHEDULE OBSTRUCT MECHANICAL EXISTING ID NUMBER MANUFACT MODEL TYPE SIZE COMMENTS VENTILATION WINDOW Z 1 L 1 T.B.D. T,M.E, INGED 21-61Ix6'-611 7 2 T.B,D, T,M,E, HINGED 3611 (2) 1'-61Ix6'-611 �( 3 EXISTING EXISTING EXISTING DOOR I ONLY 28" WIDE-CHANGE TO 011 IF OPENING IS MODIFIED 4 T.B,D, T,M,E, HINGED 4811 (21 2'-O"x61-611 o� I _ `J NOTE A: G.C. TO REVIEW HARDWARE OPTIONS WITH OWNER FOR ALL NEW DOORS AND 1/2 BATH WINDOWS u� VJ T NOTE 5: G.C. TO REVIEW MODEL AND FINISH OPTIONS WITH OWNER O W �_ o . NEW WALLS 2x4 ' r @16110C, W/ Y GWB O -- ---- `/ o EA SIDE )TYP) Z ZU-i Lu 0- w 0 IF[c , O I 7 cn-u i ,"�-zzc 0 J z 2 LL O Q J W U _-'j O p Z-' oz�Q� �x Jw � � u, IL I \ CO BED29 OM 1 � IE a r� DI ING ROOM LIVING ROOM O J�w ��z, r.Cnl v KITCHEN O '' °�-� uz, u I Os �"TQ C-4 � oo N ' ° T`YPE ABC FIRE O Z VINFEN TO CONFIRM EXTINGUISHER O DEMOLITION OF FIRE • Os RELOCATE PLACE OR PROVIDE AND ENLARGE OTHER MEANS TO W v x O DOOR IF FULL RENDER FIREPLACE a 24" DEEP PHYSICALLYA AND ALIGN CLOSET IS INOPERABLE I \, � DESIRED REMOVE -_ - 0 • 3 BUILT-IN TO .....« 0 - DEMO WALLS d" o Q CL14- FRAME - ill o CLOSET ISTING WALL Lu c O ;02'I " z NEW WALLS O m N z co UJ U-3 BEDROOM 2 STAFF OFFICE N z `° 131sf i 124 SF � �� N oELO � LL I Go- DE REVIEW : tu > _== 1 U5E AND OCCUFANGY 750 GMR 510 RESIDENTIAL USE GROUP R-3: R-5 OCCUPANCIES z PROPOSED FLOOR PLAN INCLUDE FACILITIES REGULATED BY THE DEPARTMENT OF MENTAL HEALTH Q N 0 Dll/4A" THAT ARE IN CONFORMANCE WITH THE OCCUPANT SAFETY REQUIREMENT5 OF J_ l'-0" 115 GMR 1.00: 5TANDARD5 FOR ALL SERVICES AND SUPPORTS. 5 SMOKE DETECTOR: GENERAL REGUIREMENT5 MEANS OF EGRESS O � a I) IN ALL BEDROOMS • 700 GMR 1006.0 MEANS OF EGRESS ILLUMINATION O v° 2) IN VICINITY OF ALL BEDROOMS 1006.1 ILLUMINATION REQUIRED EXCEPTION 5 03 1- 3) ONE PER 1,200 S.F OF EACH STORY INGLIJDING BASEMENT U �.C. To COORDINATE WITH SLEEPING UNITS OR DWELLING UNITS IN GROUP R-I, R-2 OR � NEW FLOOR PLAN AND FIELD PHOTO ELECTRIC, DETECTOR WITH-IN 20FT OF KITCHENS AN R-� �- \/ERIFY ALL PARTITIONS AND BAD PORTION5 THERE OF TO BE 75O GMR 1011.0 EXIT 51 GNS Drzwr,BY RMC DEMOLISHED PRIOR TO START OF • DEMOLITION PROCESS. 1011.1 WHERE REQUIRED EXCEPTION 5 CFKD BY DAC 2) G.G. TO MAKE 51TE VISITS IN ORDER TO BECOME EX I T 51 GN5 ARE NOT REOU I RED I N OCCUPANC I ES I N GROUP FAMILIAR WITH ALL REGUIREMENT5 OF THE PROJECT C0 CARBON MONOXIDE DETECTOR: AND I ND I\(1 DUAL SLEEPING UNITS OR DWELLING UNITS IN DATE: S��RED ApCyi INCLUDING BUT NOT LIMITED TO RELOCATION AND OR GROUP R-I R-2 OR R-3 Q' A. r GAPPING OF UTILITIES SUCH A5 EXTERIOR SILL GENERAL REGUIREMENTS ' QW ��Q O'S� �, scALe. A5 NOTED GOOKS,6A5 METERS,OIL FILLS, TELEPHONE 1 0 NETWORK INTERFACES AND ELECTRICAL SERVICE 1) IN VICINITY OF ALL BEDROOMS(WITH-IN IOFT OF BEDROOM FIRE: PROTECTION SYSTEMS � 0 No, 95 Z � PROJECT NO: s ENTRANCES DOORS) Haw 2) ONE PER 1,200 5.F OF EACH STORY INCLUDING HABITAL 750 GMR TAE3LE g05.2 OGCUPANGY AUTOMATIC PSSPo. 5) UPON EXP05E OF LATENT CONDITIONS 6.0 TO BASEMENT 5PRI NKLER RE:QU 1 REMENT5 NOTIFY ARCHITECT AND VINFEN. I REaU I RE:D FOR 5U I LD I NG5 W 1 TH AN ?AGGREGATE AREA. OFAl 12,000 Sa FT OR MORE (3g0 RT 14g DESIGN 3,646 SQ FT) • 1T