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Home My WebLink About0890 SANTUIT-NEWTOWN ROAD - Health 89f1 SANTUIT N1�WTON ��qb MARSTONS MILLS A = 027 014 001 -- --- -- -- - i ' Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 890 Santuit Newtown Rd Property Address Bill Brower Owner Owner's Name information is required for every Marston Mills MA 02648 6-25-12 page, Citylrown . State Zip Code Date of Inspection Inspection results must be submitted on this form. Inspection forms may not be altered in any way. Please see completeness checklist at the end of the form. I fling out When A. General Information `\�� jHOFr►►,,,, fillip out forms � ii on the computer, N� •S9 O S p ```� •,......••• ,�� use only the tab 1. Inspector: o?: c •;yam key to move your DAMES m cursor-do not James D. Sears 'o): �E=AR� use the return key. Name of Inspector *.• Capewide Enterprises, LLC ��'•.�'F ��°. �� Company Name %� /St INS? ` 153 Commercial Street Company Address Mashpee MA 02649 City/Town State Zip Code 508-477-8877 S 1623 Telephone Number License Number B. Certification I certify that I have personally inspected the sewage disposal system at this address and that the information reported below is true, accurate and complete as of the time of the inspection. The inspection was performed based on my training and experience in the proper function and maintenance of on site sewage disposal systems. I am a DEP approved system inspector pursuant to Section 15.340 of Title 5(310 CMR 16.000).The system: ® Passes ❑ Conditionally Passes ❑ Fails ❑ Needs Further Evaluation by the Local Approving Authority oz = 6-25-12 nspectors 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,jh9 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, t/he system will perform in the future under the same or different conditions'of use.3 N U V 0 :11 0 N!Mi O.L bX ii�i Cil1� V t5ins-11/10 Title 5 Official Inspection oV.bsrftf...1Sewage Disposal System•Page 1 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 890 Santuit Newtown Rd Property Address Bill Brower Owner owner's Name information is required for every Marston Mills MA 02648 6-25-12 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: ® 1 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. Check the box for"yes", "no"or"not determined" (Y, N, ND)for the following statements. If"not determined," please explain. The septic tank is metal and over 20 years old*or the septic tank(whether metal or not) is structurally unsound, exhibits substantial infiltration or exfiltration or tank failure is imminent. System will pass inspection if the existing tank is replaced with a complying septic tank as approved by the Board of Health. *A metal septic tank will pass inspection if it is structurally sound, not leaking and if a Certificate of Compliance indicating that the tank is less than 20 years old is available. ❑ Y ❑ N ❑ ND(Explain below): t5ins•11110 Title 5 Official Inspection Forth:Subsurface Sewage Disposal System•Pape 2 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 890 Santuit Newtown Rd Property Address Bill Brower Owner Owner's Name information is required for every Marston Mills MA 02648 6-25-12 page. Cityrrown State Zip Code Date of Inspection B. Certification (cont.) B) System Conditionally Passes(cont.): ❑ Observation of sewage backup or break out or high static water level in the distribution box due to broken or obstructed pipe(s)or due to a broken, settled or uneven distribution box. System will pass inspection if(with approval of Board of Health): ❑ broken pipe(s)are replaced ❑ Y ❑ N ❑ ND(Explain below): ❑ obstruction is removed ❑ Y ❑ N ❑ ND (Explain below): ❑ distribution box is leveled or replaced ❑ Y ❑ N ❑ ND(Explain below): ❑ The system required pumping more than 4 times a year due to broken or obstructed pipe(s). The system will pass inspection if(with approval of the Board of Health): ❑ broken pipe(s)are replaced ❑ Y ❑ N ❑ ND(Explain below): ❑ obstruction is removed ❑ Y ❑ N ❑ ND (Explain below): 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 t5ins-11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 3 of 17 Commonwealth of Massachusetts lugTitle 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 890 Santuit Newtown Rd Property Address Bill Brower Owner Owners Name information is required for every Marston Mills MA 02648 6-25-12 page. Cityfrown State Zip Code Date of Inspection B. Certification (cont.) 2. System will fail unless the Board of Health (and Public Water Supplier, if any) determines that the system is functioning in a manner that protects the public health, safety and environment: ❑ The system has a septic tank and soil absorption system (SAS)and the SAS is within 100 feet of a surface water supply or tributary to a surface water supply. ❑ The system has a septic tank and SAS and the SAS is within a Zone 1 of a public water supply. ❑ The system has a septic tank and SAS and the SAS is within 50 feet of a private water supply well. ❑ The system has a septic tank and SAS and the SAS is less than 100 feet but 50 feet or more from a private water supply well". Method used to determine distance: **This system passes if the well water analysis, performed at a DEP certified laboratory, for fecal coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered. A copy of the analysis must be attached to this form. 3. Other: D) System Failure Criteria Applicable to All Systems: You must indicate"Yes"or"No"to each of the following for all inspections: Yes No ❑ ® Backup of sewage into facility or system component due to overloaded or clogged SAS or cesspool ❑ ® Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or clogged SAS or cesspool ❑ ® Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool ❑ ® Liquid depth in cesspool is less than 6° below invert or available volume is less than '/z day flow t5ins-11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 4 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 890 Santuit Newtown Rd Property Address Bill Brower Owner Owner's Name information is required for every Marston Mills MA 02648 6-25-12 page. Citylrown State Zip Code Date of Inspection B. Certification (cont.) Yes No ❑ ® 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 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. t5ins•11110 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 5 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 890 Santuit Newtown Rd Property Address Bill Brower Owner Owner's Name information is required for every Marston Mills MA 02648 6-25-12 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)] D. System Information Residential Flow Conditions: 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 t5ins•11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 6 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 890 Santuit Newtown Rd Property Address Bill Brower Owner Owner's Name information is required for every Marston Mills MA 02648 6-25-12 page. Cityrrown State Zip Code Date of Inspection D. System Information Description: The system is a 1500 Gal precast tank D Box and two 500 Gal pre cast chambers 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 d 2010-85,000 Gal g ( y g (gp ))' 2011-50,000 Gal Detail: Sump pump? ❑ Yes ® No Last date of occupancy: present Date Commercial/Industrial Flow Conditions: Type of Establishment: Design flow(based on 310 CMR 15.203): Gallons per day(gpd) Basis of design flow(seats/persons/sq.ft., etc.): Grease trap present? ❑ Yes ❑ No Industrial waste holding tank present? ❑ Yes ❑ No Non-sanitary waste discharged to the Title 5 system? ❑ Yes ❑ No Water meter readings, if available: t5ins•11/10 Tide 5 Official Inspection Forth:Subsurface Sewage Disposal System•Page 7 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 890 Santuit Newtown Rd Property Address Bill Brower Owner Owner's Name information is required for every Marston Mills MA 02648 6-25-12 page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) Last date of occupancy/use: Date Other(describe below): General Information Pumping Records: Source of information: 11-09 Was system pumped as part of the inspection? ❑ Yes ® No If yes, volume pumped: gallons How was quantity pumped determined? Reason for pumping: Type of System: ® Septic tank, distribution box, soil absorption system ❑ Single cesspool ❑ Overflow cesspool ❑ Privy ❑ Shared system (yes or no) (if yes, attach previous inspection records, if any) ❑ Innovative/Alternative technology. Attach a copy of the current operation and maintenance contract(to be obtained from system owner)and a copy of latest inspection of the I/A system by system operator under contract ❑ Tight tank. Attach a copy of the DEP approval. ❑ Other(describe): t5ins•11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 8 of 17 Commonwealth of Massachusetts . . Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 890 Santuit Newtown Rd Property Address Bill Brower Owner Owner's Name information is required for every Marston Mills MA 02648 6-25-12 page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) Approximate age of all components, date installed (if known)and source of information: 2000 Permit 2000-350 Were sewage odors detected when arriving at the site? ❑ Yes ® No Building Sewer(locate on site plan): Depth below grade: 20"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.): Pipeing 4",pvc sch 40 Septic Tank(locate on site plan): Depth below grade: 10"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: 1500 Gal Precast 3" Sludge depth: 15ins•11/10 'title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 9 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments M 890 Santuit Newtown Rd Property Address Bill Brower Owner Owner's Name information is required for every Marston Mills MA 02648 6-25-12 page. Citylrown State Zip Code Date of Inspection D. System Information (cont.) Septic Tank(cont.) Distance from top ofsludge to bottom of outlettee or baffle 27" Scum thickness 1" Distance from top of scum to top of outlet tee or baffle 8" Distance from bottom of scum to:bottom of outlet tee or baffle 17" How were dimensions determined? Tape-Asbuilt Sludge Judge Comments(on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): Tank at working level, Tank and covers at 10", inlet tee, outlet tee, No sign of leakage or over loading Grease Trap(locate on site plan): Depth below grade: feet Material of construction: ❑concrete ❑ metal ❑fiberglass ❑ polyethylene ❑ other(explain): Dimensions: Scum thickness Distance from top of scum to top of outlet tee or baffle Distance from bottom of scum to bottom of outlet tee or baffle Date of last pumping: Date t5ins-11110 Titles Official Inspection form:Subsurface Sewage Disposal System-Page 10 of 17 Commonwealth of Massachusetts lugTitle 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 890 Santuit Newtown Rd Property Address Bill Brower Owner Owner's Name information is required for every Marston Mills MA 02648 6-25-12 page. Citylrown 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.): Tight or Holding Tank(tank must be pumped at time of inspection) (locate on site plan): Depth below grade: Material of construction: ❑concrete ❑ metal ❑fiberglass ❑ polyethylene ❑ other(explain): Dimensions: Capacity: gallons Design Flow: gallons per day 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 t5ins•11/10 Tide 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 11 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 890 Santuit Newtown Rd Property Address Bill Brower Owner Owner's Name information is required for every Marston Mills MA 02648 6-25-12 page. CitylTown State Zip Code Date of Inspection D. System Information (cont.) 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 is 16"x16"30" Below Grade two lines out, Box is clean and solid No sign of over loading or solid carry over Pump Chamber(locate on site plan): Pumps in working order: ❑ Yes ❑ No Alarms in working order: ❑ Yes ❑ No Comments (note condition of pump chamber, condition of pumps and appurtenances, etc.): Soil Absorption System (SAS) (locate on site plan, excavation not required): If SAS not located, explain why: 15ins-11/10 Title 5 Official Inspection Forth:Subsurface Sewage Disposal System•Page 12 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Forth-Not for Voluntary Assessments 890 Santuit Newtown Rd Property Address Bill Brower Owner Owner's Name information is required for every Marston Mills MA 02648 6-25-12 page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) Type: ❑ leaching pits number: ® leaching chambers number: 2 ❑ 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 two 500 Gal dry well chambers, per plan 4'stone chambers at 3' below grade 6"water No high stain line, No sign of over loading or solid carry over Cesspools (cesspool must be pumped as part of inspection) (locate on site plan): Number and configuration Depth—top of liquid to inlet invert Depth of solids layer Depth of scum layer Dimensions of cesspool Materials of construction Indication of groundwater inflow ❑ Yes ❑ No t5ins-11110 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 13 of 17 i � Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 890 Santuit Newtown Rd Property Address Bill Brower Owner Owner's Name information is required for every Marston Mills MA 02648 6-25-12 page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) Comments(note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): Privy (locate on site plan): Materials of construction: Dimensions Depth of solids Comments(note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): l5ins•11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 14 of 17 I Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 890 Santuit Newtown Rd Property Address Bill Brower Owner Owner's Name information is required for every Marston Mills MA 02648 6-25-12 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Sketch Of Sewage Disposal System: Provide a view of the sewage disposal system, including ties to at least two permanent reference landmarks or benchmarks. Locate all wells within 100 feet. Locate where public water supply enters the building. Check one of the boxes below: ® hand-sketch in the area below ❑ drawing attached separately V Qr _ .3° j6a: 0 2 0 ❑.3 0 t5ins•11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 15 of 17 � Commonwealth of Massachusetts sm- Title 5 Official Inspection Form UIVSubsurface Sewage Disposal System Form-Not for Voluntary Assessments 890 Santuit Newtown Rd Property Address Bill Brower Owner Owner's Name information is required for every Marston Mills MA 02648 6-25-12 page. City/Town 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: 10'+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: 5-18-2000 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: Per plan T.H. no water at 10' Bottom of leaching 4' above T.H. Before filing this Inspection Report, please see Report Completeness Checklist on next page. t5ins•11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 16 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form WW Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 890 Santuit Newtown Rd Property Address Bill Brower Owner Owner's Name information is required for every Marston Mills MA 02648 6-25-12 page. Cityrrown State Zip Code Date of Inspection E. Report Completeness Checklist ® Inspection Summary: A, B, C, D, or E checked ® Inspection Summary D (System Failure Criteria Applicable to All Systems)completed ® System Information—Estimated depth to high groundwater ® Sketch of Sewage Disposal System either drawn on page 15 or attached in separate file t5ins-11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 17 of 17 S � ( SUPF Dff Ul 9E TO tEMAI ) sjO 5n� iv i v4 DN TYP. t 2 15'-8"MAX (4 1Y4 x 9%"L 2A 3 3 POST C NNE OR 1 CON ECTO 2 TYP. N 16" Cl R *%50 'Q 0 KEY NOTES: bNEW 3%"x 3% VERSAAAM POST,CONNECT BOTTOM ENDS VIA.(4)-b'LONG TIMBERLOK SCREWS(ONE AT CENTER OF EACH COLUMN FACE)W/3"END DISTANCE AT 30 DEG.ANGLE INTO BEAM BELOW,TYP. bSIMPSON'WS2r FACE MOUNT HANGER,NAIL W/(5)-Uld AT FACE,AND M-10d ATJ06T,TYP ALL COMMON WIRE NAILS(0.148"DUL),TYP. SIMPSON"ECCQ7.1-4SDS2 5'COLUMN CAP CONNECTORS,CONNECT VIA.(16Wex 2W SDS SCREWS TO NEW LVL BEAM,AND(14W4"x 2W SDS SCREWS TO VERSA-LAM POST,TYP. PARTIAL 2ND FLOOR FRAMING PLAN State: l/4'=1'-0' ® zone inghoum,c Tm DurrE us/D/2Wa ' Wo.• NEW HEADER FOR KITCHEN REMODEL PROJECT ING18045 SK-1 amen nepm.e uk 2ND FLOOR FRAMING PLAN O' u arse DRAM BY: u PAGE t OF 2 w i LSnN 3S" D CO MNS DN TO TYP. B "t TV LAIJ Y L SF VING (3 0 io UA 3 z ZI IEW P1 IST AW(I)-2x tO PLY T AN W 3 LO ECT Z z W x S Od x3 LON NAI @ g" .C. 1 0 A ovE m O AGGE ED &U usm Q Z W J aC v Z usJ cc .�J m ' W 1� LU W m LU x ,¢ I= t9 v a W � LU > O 0 0 cc a a CL PARTIAL 15T FLOOR FRAMING PLAN Scale: u4s=r-o� 's N + COCHOUSE2019 IAghDD9 ,c PBOJEiT7Rl� DAIS QSA7fm78 -a "''m NEW HEADER FOR KITCHEN REMODEL PRDJECT+R SK-2 �e� UWgb�r l ST FLOOR FRAMING PLAN W. u DRAWN BY: U PAGE 2 OF 2 TOWN OF BARNSTABLE ZCW-3519 LOCATION = c� /k)P iJnt SEWAGE # VILLAGE �6. , { ``'� ASSESSOR'S MAP & LOT i INSTALLER'S NAME&PHONE NO. SEPTIC TANK CAPACITY A S 0 0 LEACHING FACILITY: (type) 6 Gf�'ett,�\ r'. ,!&Mize) �C2 c el— NO. OF BEDROOMS S l . BUILDER OR OWNER s` J; i PERMITDATE: �i ' 3 e Cab 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 r _ AOA � )qC- �5 ��s 1 a CIA J o. e NOOMiCl�" 9'CrO THE COMMONWEALTH OF MASSACHUSETTS FEE _ BOARD OF HEALTH Y/APPLICATION FOR ISPOSAL SYSTEM CON TRUCTION PERMIT Application for a Permit to Construct Rc)air U,gradc Abandon Cum Ict�S stem Individual Com onents \( ( ) I ( ) ( ) PLA . Y� PI AA*,k - � VA A - TO LL, ap , 4� 1 (0 Locano❑ Owncr's Nam -�aP Dad n rA ()I 4-061 NA N\ Map arcel# dres. i,l# � I rcicp unc# A�6,t 4, GL 1` Inslallcr's Name Designer's Name 111Z At Address V27-a971 7:1731- Telephone# Tcicphonc# Type of Building: Lot Size `7 4 0 Sq.feet Dwelling—No.of Bedrooms Garbage Grinder ( ) Other—Type of Building No.of persons LO Showers ( ), Cafeteria ( ) Other fixtures Design Flow(min. required) gpd Calculated design flow gpd Design flow provided pd Plan: ate od Number of sheets \ Revision Date Title Description of Soil(s) Soil Evaluator Form No. _ Name of Soil Evaluator 01^Date of Evaluation � -60 DESCRIPTION OF REPAIRS OR ALTERATIONS The undersigned agrees to install the above described Individual Sewage Disposal System in accordance with the provisions of TITLE 5 and fur of to place the system in operation until a Certificate of Compliance has been issued by the Board of Health. Signe Date / o e IlL6 S FORM I - APPLICATION FOR DSCP DEP APPROVED FORM 5/96 I� -. s� �s � � ..c. �ti^^•. .fit t i No. fiT�,.7Y THE COMMONWEALTH OF MASSACHUSETTS ^ BOARD n ,,O'F HEALTH 1 r C Ajako &U,�kf_ APPLICATION FOR . ISPOSAL SYSTEM CON TRUCTION PERMIT Application for a Permit to Construct ( Repair.( . ) Upgrade ( ) Abandon ( ) - Complete System I dividual Components = 4 2-CL 00 1 Lucalion Owner's Name Map 0,�)'1 nr� nj�4-()0 �rJ M 11�arcel N Address vk 00t �t / s Ails; lam. 0upV/f. t i Installer's Nano Designer's Name { ��h _ 1 Addres./ Address 'Tclephonc N Telcphoic N Type of Building: Lot Size J4- 7 "U Sq.feet Dwelling—No.of Bedrooms Oarbage Grinder Other—Type of Building No.of persons t.0 Showers ( ), Cafeteria' Other fixtures _ `. .ter` I Design,flow(min. required) gpd Calculated design flow gpd Desigr-flow provided =gpd ` Pen:` ate 2 yd Number of sheets l Revision Date i. I' Title A- J m i{ t v I` Description of Soil(s) " " 0 { I Soil Evaluator Form No. Name of Soil Evaluator Date of Evaluation rj-\7(-60 DESCRIPTION OF REPAIRS OR ALTERATIONS The undersigned agrees to install the above described Individual Sewage Disposal System in accordance with the provisions of, TITLE S and furthe ag5e not to place the system in operation until a Certificate of Compliance has been issued by the Board of Health: :! f' 4 Signe Date 4610 _ nSpect10�'Is r v.- ' — _,.FORM 1 - APPLICATION FOR DSCP DEP APPROVED FORM 5/96 t ' No. OMOO4000 THE AOMMONW ALTH OF MASSACHUSETTS -FEE 40ARD OF HEALTH r CERTIFICATE OF COMPLIANCE L (bescription of Work: ❑ Individual Component(s) ❑Complete System The undersign eby certify that the Sewage Disposal$ystem;Constructed( ),Repaired( ),Upgraded( ),Abandoned( ) by lV G--1 (((JJJ 111. has been installed in accordance with the provisions of 310 CMR,r115.00 (Title 5) and the approved design plans/as-built t —�s� /� '�. pp ve6Design Flo ® (gpd) �. • plans relating to application B � dated !.� I Installer G l Designer: Inspector ate The issuance of this certificate a shall not be construed as a guarantee that the s stem will function as designed. f FORM 3 - CERTIFICATE OF COMPLIANCE DEP APPROVE FORM 5/96 --- -- =- -- ---__---------------- -- --- ----- - - --- _---- I No. THE COMMONWEALTH OF MASSACHUSETTS FEE aI� BOARD OF HEALTH If DISPOSAL SYSTEM CONSTRUCTION PERMIT ` Permission is he ebg _ nt�d to Construct ( ) e air ( ) Upgrade ( Abandon ( an individual sewage disposal system at 7 12i _ e as described in the application for Disposal System Construction Permit No. z4ou-3 dated OVIC, Provided: Construe ion shall be completed within three years of the date of this pe i .All local co diti�ons • ust be met. Date - �� ' Board of Health ,u FORM 2 - DSCP DEP APPROVED FORM 5/96 / p i FORM 1255 (REV 5/96) H&W HOBBS&WARREN"' PUBLISHERS—BOSTON i _, I '�q�-•T, f G�-I�lit� Y S 3� fi 36Lt � Eul OEGK 4- 0 0 EXISTING FOUNDATION 50.00 3S, Ste A-(rAc41 S 5-8" Vr co c � M0 LOT 1 I 49. 740 SF. 1 N 12 � �jg A=150.00 R-155B.10 9(� SANTUIT-NEW TOWN RD. - � -?YW "TO THE BEST OF MY KNOWLEDGE, THE PLOT PLAN OF LAND FOUNDA TION SHOWN ON THIS PLAN IS AS L OCA TED IN IT ACTUALLY Ea-'SSTs AND CONFORMS ,TO THE ZONING REGULA TIO MARS TONS .MIL L S - MASS. 'r�•TOW N OF BARNSTABLE, REGARD PREPARED FOR DATE.•A US.3. 2000 5-D CONS TRUC TION �j $ R. DATE AUG.3. 2000 SCALE.' 1"=40 FT. FLOOD ZONE C CAPE ig ISLANDS ENGINEERING D-69. 1C � MASHPEE - MASS. L i • T _ _ EXIST. € A DECK -- - _ ' --- i EXI7 ST NEW I° . BATH ` a STUDY (FORMER MASTER EXIST. BEDROOM) BATH 1 l�d - EEC n p ° - X EXIST. :J _ _ e I _ .. .. tt� m m ---- --------- All J i i \ t EXIST. _ . . .. p 1 , GARAGE i,W 106 Te-obt-%. TOWN QE BARNSTAEL.E Zvi 2QI3 . f l 12 AM 9- Q 1 � �, i� i,(iiiliiir✓✓rjrFNr/ri �x- CN , u -- �y CJ COO Lip 5 z CID = 4'-811...Z 4'-8117 A ANDERSEN A4 C35 EXIST � . BATH NEW M1_ SITTING _ _ AREA 017/ EXIST. ----------- -- 1----------� -- BEDROOM 0 \ (J� z ��. EXIST. STUDY CLOS. BELOW t 7"nF_�r c 2'4"x 6'8.. , DN. 2'4"X 68, - EXIST. LOFT =�=ti +� "Al, ul RELOCATED NEW MASTER = W.I.C. BEDROOM _ to l 6'-6 - - - - - - ;1 t EXIST. I _______________ ACCESS ACCESS BEDROOM I PANEL PANS I r: Deck '-5 3/4" 6'-5 3/4" 5'-11 3/4" 14'-1 1/2" 4034 _� 8'-5 3/4" 2648 salvage 2648 solvaae — — — - - - - - - - - - - - - - - - - — 6068 Demo I 266 IIIII IIIIII emo 6068 DemoBath bat 1 -0„ _ 34 I _ — 2648 lemo Kitchen Dem all cab; Den 10 -310'-8 1/4" -8 1/4" 1'-8 1/4"6 PO 16 -6 1/ I 1 6iDe 2648 Dmo b�mo 1 1 6 1 1 03,_4„ 1 1 CL I I I I 1 1 1 1 Der of — — — �--_ - - - 14'-7 1/4" 1 68 868 — --------- 3 - " 3068k6A 1i emo 2648 Down C L 3'-113/4" _ 4'-4" r 1P-7 3/4' 2648 DI nl n� 1 o` 10'-1 3/4" G CL Garage " rr Family Room, — — — = Walls to be removed or rn,i!?ified �J� I x F ooF PicnDe mo La ou Scale 1/4„_1,�„ �;3 ,3, V,-i� I — — Client: Rich 8 Lynn Archombaulf Pro iec}= Kifchen-F afh r model Revisions: Rate: 10-15_18 P I — O — Keith C. Gilmore Enterprises LLC Y F.o.Box 17 Centerville. MA 02632 890 5antuit-Newtown Road t Drawn 13 — O _ F. 508-420-9934 F. 508-420-9935 , E: gilrwreenterprisesecomcasf.net Marstons Mills, MA 02648 { _ www.giFnoreer�terprises.ir�fo 5cole: 1/4"=1'0" These deeinns are npt to be mrdified without the permission of With C.Gikwre Enfermises LLC i s I Deck 2'-10 3/4' 2'-11 3/4' Replace white cedar siding along rear deck wall 13'-6 3/4' 91-0• _ l 3'-2' I ; j 9068 j 262 \ j 2648 2648 New triple panel Leff operating patio door 4,_6" New awni indovb I 4'-0' jNew 2 ply 9-1/2' Ivl header I — — �- New 2-2x ader Relocated salvaged windows TI Frame in below existing patio door headerI I12'-6 1/2' 7 1/2• . — . f O � 17 Kitchen I Dining ► • _ _ �368 j Install new cabinetry. counters 8 appliances Remodeled M I I De n 0 0 • WD- . I . , 4 1 1/4 `` —I 3 4 1/4 L Existi Engineered 2 ply 7-1/4' Ivl to pick up point bad 1 Bath i ! 5'-10 1/2' n I of versa post. Lvl to bear on basement girder and 3'-6 1/2"--� Remodeled rear foundation sill plate per engineer specs. — — F 6'-l3/4' — Engineered 4_0N 9-1/2' 2'-1/4• Bench I 266 P — — FISsh—CL-ff L�tL — • — — • — • — — — • — • - -- - - • — • Noce door 12_-3'_- —_- _ _ ,__ _ _ _ 12'-6 3/4° _ _ _. 2'-9 3/4' New 2 7-1/4' I ader - T-7 New flush Ivl beam in ceiling to post down at each end with 3-1/2 versa post Versa posts will bear directly- on new floor 2 ply K existing girder and basement columns Uown Existing ceiring/ 2nd floor floor joists to be hung off of the new NI beam using Simpson joist hangers Existing r�Existi I Dining 41 Existing CL Af Existi I I ' I Family.. Room Existi Garage Existirxi UP Existing = Walls to be framed and finished i c PrODO ,qed Scale 1/4 Pan - FFcmeLO-you - ,- -1 I i Keith C. Gilmore Enterprises LLC Client: Rich 8 Lynn Archambaul+ Pry Kitchen-both Remodel Revisions: Dade: 10_15_18 P — O P. 0 1 Centerville, 0 632 0.13 x 7 nE . Ma z 890 Sanluit-Newtown Road 2 — O — P. 508-420-9934 F. 508-420-9935 E: gihnoreenterprisespcomcast.net Drawn Bv: �� _ www.gilmoreenterprises.info Mars�ons Mills, MA 02648 Scale• 1/4"=1'0" These I _ f I I I I i f i i EM I .... . . .. . . . .. .. Remove patio door for new windo fra Cedar sidirxa replace men t tie i nto existing LJ L U JL] []L' 111 ILI" TIE - E TIE Salvaged windows ❑ New white cedar grade 'A' shingles —� Remove patio door for new door from I I i � I . . . . . . . . . . . . � xis in oar ova ion . .................... ............. Scale 1/4"= - - - - - - - - . . . . . . 1'O" . . . . . . . :- :.:. == = — — Client: Rich 8 Lynn Archambaulf Pro'ecl Ki+chen-Ba+h Remodel Revisions: Date: 10-15-18 P — O _ Keith C. Gilmore Enterprises LLC P.O.Box R Centerville. MA 02632 890 Santuil-Newtown Road P: 508-420-9934 F. 508-420-9935 Drawn Bv: — 0 — E: gilmoreenterprisesecomcast.net Mars�ons A 02648 — www.giYnoreenterprises.info Mills,. i r copied i without the oerdeeion of Keith C.Gihore Erhervrises LLC Scale: 1/4"=1'0" 7 i i I i I i I I I l 0 i t ® I � i — — - New triple panel patio door TF I New awning window j Relocated windows New grade 'A' white cedar shingle siding lower section only i I i i FOD050 oar ova ion . . . . . _ - - - .................... --------- 5cale 1/4 _ _ - - .......................... -- -------- . . . . . :.: = — — Client: Rich 8 Lynn Archbault Pro iect: Kitchen-Bath Remodel Revisions: Date: 10-15-18 PP _ O — Keith C. Gilmore Enterprises LLC am j -W P.O.Box 17 Centerville. MA 02632 P: 508-420-9934 F. 508-420-9935 890 Santuit-Newtown Road— E: gilmoreenkerprises*comcast.net Marstons Mills www,gihareenterprises.info , MA 02648 , „ Scale: 1/4„_-1 0 or copi without the permission of Keith C.Gihnre Enterprises LLC i 1 S YS TEM PROFILE NOT T, SCALD TOP FNDN. FINISH GRADE 7� o FINISH GRADE OVER EL . FINISH GRADE �'r'- o FINISH GRADE OVER DIS T. BOX ,*s. 7 OVER TRENCHES • 7-3•T SEPTIC TANK .O is .. 0 :ooQAC 12 MAX.., d a:4Q a:...o::; �j' ;Da•:ap.ayQ'::Q.e�Dp�.vo%�.b'y00�ra •! .A'yti. r :� �./'/s .0 ..G.4✓Cr e ' .p TO TA L ENGTH OF TRENCH OUTLET PIPE LEVEL ° d FOR 2 Q' D:O.e 1. •• 00 •'. e. 00 O.• • O' O ' .1a •e•.O Q 1:0!'D• a' le ;� 6 M � �_ o! '•�. ".� y D:" :�• b• deb. e�o D Y .A O O QO 70.7.1 A •pAv, /O j7. f°r:o•:a'e:. :b~:l:e.•: .� ., �4 C. I. OR PVC TEES Te . t aca�b a'• eta$ '�°d.•:gyp•. ,p. �' .a.•G' C ;O.p•.Ae d-• P;• o ;: GAL L ON DJ S TRIBU TION BOX B�'MT FL . o:o — .. EL . e 7:s" o a.a s °a rNSTAL L ON LEVEL BASE "500 GALLON DR YWEL L S " eQpa.e PRECA S T CONCRETE _ oD H- /O REINFORCED •o. •Oi7:ab.d,:eQ'.O'p'e:e 4.•'0 .: 4g5 :,p. . :D.Fc'e'm aC:A v�' V. e. a. rr.ob• e e .4 b.4.� TRENCH SEC TION _ SEPTIC TA NK m NS TA L L ON LEVEL BASE NO TE.' EXCA VA TE TO EL EV V. N/.¢ OR LOWER TO REMOVE ALL IMPERVIOUS 12` MIN. MATERIAL BENEATH THE LEACHING AREA • REPL A CE EXCA VA TED MA TERIA L WI TH 3" OF 118"-1/2" CL EAN, CLA Y FREE SAND .4: . b .A WASHED PEA STONE 314 " — 1-1/2" WASHED , CRUSHED S TONE ya, 9 c r = �P i ?— r— TRENCH! WIDTH GENE PI L l�O TES Z, G�l�/ s W,�. 1 . AL L EL EVA TION-5 SHOWN ARE BASED ON ASSUMED NUMBER OF TRENCHES 1 3 2 ALL P TP` S IN - .S TRH A4 i.�T pr C��T .TPON - - _ AI/IMPPP ! OR SCHEDULE 4f� PVC.o . OB,S'ER VA TION PIT 3. THE BOARD nF f'_ L TH MUST BE NOTIFIED P-9742 WHEN CONS TRUC:?T Ot IS COMPLETE PRIOR PERCOL A TION RA TE.' TO BA CKFIL L Itv&' € 4. ANY CHANGES IN THIS PLAN MUST BE APPROVED <2 MIN./IN. ea w x TN G 3, �? BY THE BOARD 0,7 HEALTH AND CAPE 6 ISLANDS WI TNESSED B Y.• �" ^M '"•° '' SURVEYING CO., .. JC. DONNA MIORANDA S. MATERIALS AND �`NSTALLATION SHALL BE IN 9,4 W COMPLLANCE WIT, THE STATE SANITARY i.-�'ARNS BAD. OF HEAL TH DESIGN DA TA rW o sQ. MAY_1B, 2000 �,a,,�, Ga ? CODE — TITLE V — AND LOCAL APPLICABLE AJATE.• _ — _ ` RULES AND REG�h,9 TIONS NUMBER OF BEDROOMS 3 6. NORTH ARROW IS ��ROM RECORD PLANS AND IS NOT TO BE U3LD FOR SOLAR PURPOSES 4 oa 2i� GARBAGE DISPOSAL NO tV V, _ 1ClYR _ �� F... "" • w 7. .FLOOD HAZARD Z:9,"VE NON—HAZARD H 1�a N d y o a DA IL Y FL ON 3• 0 GAL . z B. WA TER SUPPLY TOWN w,a TER �� SEP TI C -TANK REO D. .2500 GAL . SEPTIC TANK PROVIDED 3500 GAL . 0 LEACHING REGUIRED 33c� GPD. +� - h SIDEWAL L AREA = 152 S. F. �y 152 S. F. X 0. 74 G/S. F.`= 112 GPD. BOTTOM AREA =329 S. F. 329 S. F. X 0. L ( LEGEND 74 G/S. F. = 243 GPD 12o" '�� - -� r,��•.-�� L EACHING PROVIDED = 355 GPO — -.. . PROPOSED ELEVA TION • _— ?�' -- EX,TSTING CONTOUR SINGLE FA MIL Y RESIDENCE 1 OBSERVA TION PIT q ' + ❑ OS a TRIBUTION BOXY 15 PROPOSED SEXA GE DISPOSAL S YS TEM T Lon' — -- CH PREPARED FOR -REN ; A SEPTIC TANK ,f ¢^ " Mu �` C� *' 5-D CONSTRUCTION -- akeb PARCEL .14—? SANTUI T—NEWTOWN RD. _tis_t_8G G Al-150.00 . ;`', >Q x !.— _! RE'7ERVE AREA a `� — Ry1558. 1 v/mil ri s °•, . ¢ 'c od R MARS TONS MIL L S BA RNS.TA BL E l' �, TOW __- �s.s T—NEw ' . � W 7c�,s' Pi PE INVERT ELEVATION %, ? af,�n TUI c i� �- l cb dh $�N - -' i DA TE,-_ 4.., x z ,� �, SAta1. - CAPE ISLANDS ENGINEERING 3�� ?cr PLOT PLAN ' B,�` �;,F�D� � ` SCALE AS NOTED 800 FALMOUTH ROAD - SUITE 301 SCALE.• i - o MASHPEE, MASS. �9 r PLAN NO.se4o z �8 M°4 P SEC PCL L O T HSE I ,