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HomeMy WebLinkAbout0120 SMOKE VALLEY ROAD - Health 1.20 SMOK=VA MARSTON "` dA = 097 0 i f YI I� Ir TOWN OF BARNSTABf'/ LOCATION ��� SEWAGE # NUILLAGE ASSESSOR'S MAP & LOT eOo6 00I t � INSTALLER'S NAME&PHONE NO. ' SEPTIC TANK CAPACITY ®d ZZ LEACHING FACILITY: type) (size) NO. OF BEDROOMS BUILDER OR OWNE PERMIT DATE: COMPLIANCE DATE: I . 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 on­site 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 1 j Neoi 4 o 'O SE PA4,'a �1 �o �X y D ® O D a POLHEMUS zI SAVERY <<�Z 4e �� Ta Aft DAS I LVA �%� ARCHITECTS- BUILDERS 11/12/2020 Mr. Thomas McKean c/o Sharon Crocker Inspectional Services Health Division 200 Main Street Barnstable, MA 02601 Hello Sharon, Thanks again for taking the time to speak with me last Friday evening. I truly appreciate your assistance. - Please find proposed plans for the Guest House lower level renovation. I have also included the main dwelling plans as requested. As we previously discussed, we are requesting review of the proposed lower level office spaces and wine room space and windows to understand if the spaces would be considered bedrooms. Once we receive feedback on the rooms we will decide how to move forward. Thanks again for your help. If you have any questions, please give me a call on my cell (774-722-2212). J Kavanagh r itting Et Real Estate Manager 157 Route 137 East Harwich, MA 02645 508.945.4500 Fax: 508.945.9803 psdab.com 0 Commonwealth of Massachusetts oo1 �O �n p)e Title 5 Official Inspection Form �a Subsurface Sewage Disposal System Form -Not for Voluntary Assessments < < ` 120 Smoke Valley Road Property Address ; J Frederick Teceno t , Owner Owner's Name .4 information is Osterville �� MA 02655 May 26 2020 required for every page. City/Town State Zip Code Date of Inspection Inspection results must be submitted on this form. Inspection forms may not be altered in any way. Please see completeness checklist at the end of the form. Important:when A. Inspector Information �'��` 14t $ filling out forms on the computer, use only the tab Patrick T. Sullivan — key to move your Name of Inspector cursor-do not Ready Rooter Excavating use the return Company Name key. PO Box 89 Company Address Forestdale MA 02644 City/Town State Zip Code 508-509-0802 S112843 _ --- ----- Telephone Number License Number B. Certification I certify that: I am a DEP approved system inspector in full compliance with Section 15.340 of Title 5 (310 CMR 15.000); 1 have personally inspected the sewage disposal system at the property address listed above; the information reported below is true, accurate and complete as of the time of my inspection; and the inspection was performed based on my training and experience in the proper function and maintenance of on-site sewage disposal systems.After conducting this inspection I have determined that the system: 1. Passes 2. 0 Conditionally Passes 3. 0 Needs Further Evaluation by the Local Approving Authority 4. Fails `-� 4 May 29 2020 Inspector's Signature Date The system inspector shall submit a copy of this inspection report to the Approving Authority (Board of Health or DEP)within 30 days of completing this inspection. If the system 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 form should be sent to the system owner and copies sent to the buyer, if applicable, and the approving authority. Please note: 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. t5insp.doc-rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 1 of 18 r Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 120 Smoke Valley Road Property Address Frederick Teceno Owner Owner's Name information is Osterville MA 02655 May 26 2020 required for every State Zip Code Date of Inspection page. City/Town C. Inspection Summary Inspection Summary: Complete 1, 2, 3, or 5 and all of 4 and 6. 1) System Passes: Z 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: 2) System Conditionally Passes: 0 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 d* or the septic tank(whether metal or not) is structurally unsound, exhibits substantial infiltration or xfiltration or tank failure is imminent. System will pass inspection if the existing tank is replaced ith a complying septic tank as approved by the Board of Health. *A metal septic tank will pass inspe ion if it is structurally sound, not leaking and if a Certificate of Compliance indicating that the tan is less than 20 years old is available. D Y O N 0 D (Explain below): t5insp.doc-rev.7262018 Tide 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 2 of 18 t Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 120 Smoke Valley Road Property Address Frederick Teceno Owner Owners Name information is Osterville MA 02655 May 26 2020 required for every page. Cityrrown State Zip Code Date of Inspection C. Inspection Summary (cont.) 2) System Conditionally Passes (cont.): 0 Pump Chamber pumps/alarms not operational. System will pass with Board of Health approval if pumps/alarms are repaired. Observation of sewage backup or bre out or high static water level in the distribution box due to broken or obstructed pipe(s) or du to a broken, settled or uneven distribution box. System will pass inspection if(with approval of oard of Health): 0 broken pipe(s) are repla d El Y O N 0 ND (Explain below): obstruction is remove 0 Y ❑ N Ej ND (Explain below): 0 distribution box is veled or replaced Y ❑ N 0 ND (Explain below): E_ The system required pumping more than 4 timps 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 8 ND (Explain below): 0 obstruction is removed Y N ❑ ND (Explain below): f 3 Further Evaluation is Requir dby the Board of Health: i 0_ 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. a. 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: t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 3 of 18 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments j� 120 Smoke Valley Road Property Address Frederick Teceno Owner Owner's Name information is Osterville MA 02655 May 26, 2020 required for every page. Cityrrown State Zip Code Date of Inspection C. Inspection Summary (cont.) 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 b. System will fail unless the Board of H Ith (and Public Water Supplier, ff any) determines that the system is function' g in a manner that protects the public health, safety and environment: The system has a septic tank an soil absorption system (SAS)and the SAS is within 1b0 feet of a surface water supply tributary to a surface water supply. The system has a septic tank nd SAS and the SAS is within a Zone 1 of a public water supply. The system has a septic t k and SAS and the SAS is within 50 feet of a private water supply well. ❑ The system has a septi tank and SAS and the SAS is less than 100 feet but 50 feet or more from a private water upply well". Method used to determi a distance: " This system passes i the well water analysis, performed at a DEP certified laboratory, for fecal coliform bacteria indi tes absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 pp , provided that no other failure criteria are triggered. A copy of the analysis must be attached to thi form. c. Other: 4) 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 0 0 Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or clogged SAS or cesspool t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 4 of 18 Commonwealth of Massachusetts �s Title 5 Official Inspection Form o Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 120 Smoke Valley Road Property Address Frederick Teceno Owner Owner's Name information is Osterville MA 02655 May 26 2020 required for every page. cityrrown State Zip Code Date of Inspection C. Inspection Summary (cont.) 4) System Failure Criteria Applicable to All Systems: (cont.) Yes No ❑ ® Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool Liquid depth in cesspool is less than 6" below invert or available volume is less than '/z day flow ❑ Required pumping more than 4 times in the last year NOT due to clogged or -- — obstructed pipe(s). Number of times pumped: z 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 water supply El well. ❑ z Any portion of a cesspool or privy is within 50 feet of a private water supply well. Ej 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 2000 gpd- -- 10,000 gpd. 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. 5) 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" s" or"no"to each of the following, in addition to the questions in Section CA. Yes No ❑ ❑ the system is wi in 400 feet of a surface drinking water supply the system is ithin 200 feet of a tributary to a surface drinking water supply ❑ ❑ the system s located in a nitrogen sensitive area(Interim Wellhead Protection - -- Area-IW A) or a mapped Zone II of a public water supply well t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal system•Page 5 of 18 Commonwealth of Massachusetts w� Title 5 Official Inspection Form I s Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 120 Smoke Valley Road Property Address Frederick Teceno Owner Owner's Name information is Osterville MA 02655 May 26 2020 required for every page. City/Town State Zip Code Date of Inspection C. Inspection Summary (cont.) If you have answered "yes" to any question in Section C.5 the system is considered a significant threat, or answered "yes"to any question in Section CA above the large system has failed. The owner or operator of any large system considered a significant threat under Section C.5 or failed under Section CA shall upgrade the system in accordance with 310 CMR 15.304. The system owner should contact the appropriate regional office of the Department. 6. You must indicate"yes" or"no"for each of the following for all inspections: 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? 0 Was the site inspected for signs of break out? Z ❑ 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)] t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 6 of 18 Commonwealth of Massachusetts Title 5 Official Inspection Form �a Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 120 Smoke Valley Road Property Address Frederick Teceno Owner Owner's Name information is Osterville MA 02655 May 26, 2020 required for every State Zip Code Date of Inspection page. Cityrrown D. System Information 1. Residential Flow Conditions: 4 Number of bedrooms (design): 6 Number of bedrooms(actual): DESIGN flow based on 310 CMR 15.203 (for example: 110 gpd x#of bedrooms): 716 GPD Description: 5 Number of current residents: Does residence have a garbage grinder? Yes ❑ No Does residence have a water treatment unit? ❑ Yes No If yes, discharges to: Is laundry on a separate sewage system? (Include laundry system inspection ❑ Yes No information in this report.) Laundry system inspected? El Yes ❑ No Seasonaluse? ❑ Yes No 2018=489 GPD Water meter readings, if available(last 2 years usage (gpd)): 2019= 598 GPD Detail: System designed to handle garbage disposal. El Yes 0 No Sump pump? Current Last date of occupancy: Date t5insp.doc-rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 7 of 18 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 120 Smoke Valley Road Property Address Frederick Teceno Owner Owner's Name information is Osterville MA 02655 May 26, 2020 required for every State Zip Code Date of Inspection page City/Town D. System Information (cont.) 2. 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. , etc.)-. Grease trap present? ❑ Yes ❑ No Water treatment unit present? El Yes ❑ No If yes, discharges to: Industrial waste holding tank p esent? ❑ Yes ❑ No Non-sanitary waste dischar ed to the Title 5 system? ❑ Yes ❑ No Water meter readings, if vailable: Last date of occupan /use: Date Other(describe b low): 3. Pumping Records: Owners records: Pumped March 2019 Source of information: Was system pumped as part of the inspection? ❑ Yes Z No If yes, volume pumped: gallons How was quantity pumped determined? Reason for pumping: t5insp.doc-rev.7126/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 8 of 18 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments j� 120 Smoke Valley Road Property Address Frederick Teceno Owner Owner's Name information is Osteryille MA 02655 May 26 2020 required for every page. City/rown State Zip Code Date of Inspection D. System Information (cont.) 4. Type of System: Septic tank, distribution box, soil absorption system Single cesspool ❑ Overflow cesspool ❑ Privy ❑ Shared system (yes or no) (if yes, attach previous inspection records, if any) ❑ Innovative/Alternative technology. Attach a copy of the current operation and maintenance contract(to be obtained from system owner) and a copy of latest inspection of the I/A system by system operator under contract ❑ Tight tank. Attach a copy of the DEP approval. Other(describe): Approximate age of all components, date installed (if known) and source of information: System installed 11/03/2000 Certificate of Compliance on file at Health Dept. Were sewage odors detected when arriving at the site? © Yes No 5. Building Sewer(locate on site plan): 2.8 Depth below grade: feet Material of construction: cast iron 40 PVC ❑ other(explain): n/a Distance from private water supply well or suction line. feet Comments (on condition of joints, venting, evidence of leakage, etc.): t5insp.doc•rev.7f26l2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 9 of 18 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments I, 120 Smoke Valley Road Property Address Frederick Teceno Owner Owner's Name information is Osterville MA 02655 May 26 2020 required for every page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) 6. Septic Tank(locate on site plan): 2 Depth below grade: feet Material of construction: concrete metal fiberglass El polyethylene other(explain) If tank is metal, list age: years Is age confirmed by a Certificate of Compliance? (attach a copy of certificate) ❑ Yes 0 No 10.5' x 5.5' x 5' 1500 gallons Dimensions: 5" Sludge depth: Distance from top of sludge to bottom of outlet tee or baffle 29" 10" Scum thickness 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 12" Dip tube and tape measure How were dimensions determined? Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): Inlet and outlet tees in place. Liquid level at outlet invert. Electric line for pool runs over inlet cover. Small riser added, still 18" below grade. Outlet has riser, partly under fence post. Able to access. Tank scheduled to be pumped soon per owners. Recommend maintenance pumping every two ears. t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 10 of 18 Commonwealth of Massachusetts jn Title 5 Official Inspection Form I4 Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 120 Smoke Valley Road Property Address Frederick Teceno Owner Owner's Name information is Osterville MA 02655 May 26, 2020 required for every page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) 7. Grease Trap (locate on site plan): Depth below grade: feet Material of construction: ❑ concrete ❑ metal ❑fi erglass ❑ polyethylene ❑ other(explain): Dimensions: Scum thickness Distance from top of scum to top outlet tee or baffle Distance from bottom of scum bottom of outlet tee or baffle Date of last pumping: Date Comments (on pumping re ommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to utlet invert, evidence of leakage, etc.): 8. Tight or Holding Tank(tank must be pumped at time of inspection) (locate on site plan): t Depth below grade: Material of construction: concrete ❑ metal fiberglass polyethylene ❑other(explain): Dimensions: Capacity: gallons Design Flow: gallons per day t5insp.doc-rev.7/2612018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 11 of 18 Commonwealth of Massachusetts Title 5 Official Inspection Form �o Subsurface Sewage Disposal System Form-Not for Voluntary Assessments — 120 Smoke Valley Road Property Address Frederick Teceno Owner Owner's Name information is Osteryille MA 02655 May 26 2020 required for every State Zip Code Date of Inspection page. Cityfrown D. System Information (cont.) 8. Tight or Holding Tank(cont.) Alarm present: ❑ Yes ❑ No Alarm level: Alarm in working order: ❑ Yes ❑ No Date of last pumping: Date I Comments (condition of alarm and flo t switches, etc.): *Attach copy of current pumping contract(required). Is copy attached? ❑ Yes ❑ No 9. Distribution Box(if present must be opened) (locate on site plan): 1.5" Depth of liquid level above outlet invert Comments(note if box is level and distribution to outlets equal, any evidence of solids carryover, any evidence of leakage into or out of box, etc.): One inlet, one outlet. Liquid level over outlet invert due to slight backpitch in outlet line. Light solids carryover. 2 2' below grade Riser and 18" cover installed to bring access within 6"of grade. t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 12 of 18 <f\ Commonwealth of Massachusetts Title 5 Official Inspection Form I; Subsurface Sewage Disposal System Form - Not for Voluntary Assessments ........... 120 Smoke Valley Road, Tank and d-box#2 Property Address Frederick Teceno Owner Owner's Name information is Osterville MA 02655 May 26, 2020 required for every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 4. Type of System: ® Septic tank, distribution box, soil absorption system ❑ Single cesspool ❑ Overflow cesspool ❑ Privy ❑ Shared system (yes-or no) (if yes, attach previous inspection records, if any) ❑ Innovative/Alternative technology. Attach a copy of the current operation and maintenance contract(to be obtained from system owner) and a copy of latest inspection of the I/A system by system operator under contract ❑ Tight tank. Attach a copy of the DEP approval. ❑ Other(describe): Approximate age of all components, date installed (if known) and source of information: System installed 11/03/2000 Certificate of Compliance on file at Health Dept. Were sewage odors detected when arriving at the site? ❑ Yes ® No 5. Building Sewer(locate on site plan): 1.2 Depth below grade: 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.): t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 9 of 18 <N, Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments ............ 120 Smoke Valley Road, Tank and d-box#2 Property Address Frederick Teceno Owner Owner's Name information is Osterville MA 02655 May 26, 2020 required for every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 6. Septic Tank (locate on site plan): 8„ Depth below grade: feet Material of construction: ® concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑ other(explain) If tank is metal, list age: years Is age confirmed by a Certificate of Compliance? (attach a copy of certificate) ❑ Yes ❑ No 10.5' x 5.5' x 5' 1500 gallons Dimensions: Sludge depth: 1 — Distance from top of sludge to bottom of outlet tee or baffle 33 2„ Scum thickness 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 14" How were dimensions determined? Dip tube and tape measure Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): Inlet and outlet tees in place. Liquid level at outlet invert. Irrigation line runs over inlet cover. Filter in outlet tee was cleaned during inspection. Recommend cleaning filter every year. Recommend maintenance pumping every two years. t5insp.doc-rev.712612018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 10 of 18 Commonwealth of Massachusetts ,p Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 120 Smoke Valley Road, Tank and d-box#2 Property Address Frederick Teceno Owner Owner's Name information is Osterville MA 02655 May 26, 2020 required for every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 8. Tight or Holding Tank(cont.) Alarm present: ❑ Yes ❑ No Alarm level: Alarm in working order: ❑ Yes ❑ No Date of last pumping: Date Comments (condition of alarm and/atitches, etc.): Attach copy of current pumping contract(required). Is copy attached? ❑ Yes ❑ No 9. 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.): One inlet, one outlet. Light solids carryover. 3.2' below grade. Under fence and large bush. Camera used to locate and inspect t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 12 of 18 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 120 Smoke Valley Road Property Address Frederick Teceno Owner Owner's Name information is Osterville MA 02655 May 26 2020 required for every State Zip Code Date of Inspection page. Cityrrown D. System Information (cont.) 10. Pump Chamber(locate on site plan): Pumps in working order: ❑ Yes ❑ No" Alarms in working order: ❑ Yes ❑ No* Comments (note condition of pump cham r, condition of pumps and appurtenances, etc.): * If pumps or alarms are not in working order, system is a conditional pass. 11. Soil Absorption System (SAS) (locate on site plan, excavation not required): If SAS not located, explain why: Type: ❑ leaching pits number: 6 drywells w/4' leaching chambers number: stone ❑ leaching galleries number: leaching trenches number, length: ❑ leaching fields number, dimensions: overflow cesspool number: ❑ innovative/alternative system Type/name of technology: t5insp.doc-rev.72612018 Title 5 offidal Inspection Form:Subsurface Sewage Disposal System-Page 13 ar 18 Commonwealth of Massachusetts Title 5 Official. Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 120 Smoke Valley Road Property Address Frederick Teceno Owner Owner's Name information is required for every Osterville MA 02655 May 26 2020 page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) 11. Soil Absorption System (SAS) (cont.) Comments (note condition of soil, signs of hydraulic failure, level of ponding, damp soil, condition of vegetation, etc.): Camera used to inspect and locate leach units. Damp base with no standing liquid at time of inspection No sign of past hydraulic failure Units 4' below grade and >50' in length. No vent found. 12. 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 Comments (note condition of soil, igns of hydraulic failure, level of ponding, condition of vegetation, etc.): t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 14 of 18 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments j� 120 Smoke Valley Road Property Address Frederick Teceno Owner Owner's Name information is Osterville MA 02655 May 26, 2020 required for every State Zip Code Date of Inspection page. Cityrrown D. System Information (cont.) 13. Privy(locate on site plan): Materials of construction: Dimensions Depth of solids Comments (note condition of soil, signs of ydraulic failure, level of ponding, condition of vegetation, etc.): t5insp.doc-rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 15 of 18 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments WRW 120 Smoke Valley Road Property Address Frederick Teceno Owner Owner's Name infonnation is Osterville MA 02655 May 26,2020 required for every page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) 14. 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 / / �. .01 1 • I - 1 1. ♦C._� • Ji, t i 0. t5nsp.dec-raw-726/20'18 Tdle 5 Offic,81 bV419chw Fart¢Sidsafem Sewage Duposed Sytftm•Page 16 of 18 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 120 Smoke Valley Road Property Address Frederick Teceno Owner Owner's Name information is Osterville MA 02655 May 26 2020 required for every Zip Code Date of Inspection page. City/Town State D. System Information (cont.) 15. Site Exam: Check Slope ❑ Surface water Check cellar Shallow wells >5 Estimated depth to high ground water. 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: 2000Date ❑ 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: maps massg is.state ma us/oliver.php You must describe how you established the high ground water elevation: Test hole in 2000 found no ground water at 120" (elv=42). Base of units at elv= 52 per engineered plans No high ground water in area of system. rt lease see Report Completeness Checklist on next page. Before filing this inspection Report, p P Befo g P t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 17 of 18 Commonwealth of Massachusetts Title 5 official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 120 Smoke Valley Road Property Address Frederick Teceno Owner Owner's Name information is required for every osterville MA 02655 May 26, 2020 page. Cityrrown State Zip Code Date of Inspection E. Report Completeness Checklist Complete all applicable sections of this form inclusive of: A. Inspector Information: Complete all fields in this section. Z B. Certification: Signed & Dated and 1, 2, 3, or 4 checked C. Inspection Summary: 1, 2, 3, or 5 completed as appropriate 4 (Failure Criteria)and 6 (Checklist)completed ® D. System Information: For 8: Tight/Holding Tank—Pumping contract attached For 14: Sketch of Sewage Disposal System drawn on pg. 16 or attached For 15: Explanation of estimated depth to high groundwater included t5insp.doc-rev.7/2 61201 8 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 18 of 18 AlovJ � T COMMONWEALTH OF MASSACHUSETTS Z W EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS d DEPARTMENT OF ENVIRONMENTAL PROTECTION 7,4 5�0 TITLE 5 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM FORM PART A CERTIFICATION Property Address: 120 Smoke Valley Road f 41 J Marstons Mills(Barnstable),MA Owner's Name: David Parrella Owner's Address: PO Box 483 Barnstable,MA 02630-0483 Date of Inspection: October 2,2008 Name of Inspector: Gary J and/or Jane E Rabesa Company Name: Rabesa Subsurface,Inc dba Warren Cesspool Service Mailing Address: PO Box 2302 Teaticket, MA 02536-2302 Telephone Number: 508-540-7143 CERTIFICATION STATEMENT I certify that I have personally inspected the sewage disposal system at this address and that the information reported below is true,accurate and complete as of the time of the inspection.The inspection was performed based on my training and experience in the proper function and maintenance of on site sewage disposal systems. I am a DEP approved system inspector pursuant to Section 15.340 of Title 5(310 CMR 15.000). The system: X Passes Conditionally Passes Needs Further Evaluation by the Local Approving Authority Fails Inspector's Signature Date:October 23,2008co The system inspector shall submit a copy of this inspection report to the Approving Aut ority (Aoardl�, of Health or DEP) within 30 days of completing this inspection. If the system is a share systen or has a design flow of 10,000 gpd or greater,the inspector and the system owner shall sub it 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: Title V system,in good condition,with no previous failure signs. ****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. io 120 Title 5 Inspection Form 6/15/2000 page I 5 � Page 2 of 11 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address: 120 Smoke Valley Road Marstons Mills(Barnstable),MA Owner: David Parrella Date of Inspection: October 2,2008 Inspection Summary: Check A,B,C,D or E/ALWAYS complete all of Section D A. System Passes: YES X 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: NO 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: Warren Cesspool Service 508-540-7143 t f Page 3 of 11 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION(continued) Property Address: 120 Smoke Valley Road Marstons Mills(Barnstable),MA Owner: David Parrella Date of Inspection: October 2,2008 C. Further Evaluation is Required by the Board of Health: NO Conditions exist which require further evaluation by the Board of Health in order to determine if the system is failing to protect public health,safety or the environment. 1. System will pass unless Board of Health determines in accordance with 310 CMR 15.303(1)(b)that the system is not functioning in a manner which will protect public health,safety and the environment: Cesspool or privy is within 50 feet of a surface water Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh 2. System will fail unless the Board of Health(and Public Water Supplier,if any)determines that the system is functioning in a manner that protects the public health,safety and environment: The system has a septic tank and soil absorption system(SAS)and the SAS is within 100 feet of a surface water supply or tributary to a surface water supply. _ The system has a septic tank and SAS and the SAS is within a Zone 1 of a public water supply. _ The system has a septic tank and SAS and the SAS is within 50 feet of a private water supply well. The system has a septic tank and SAS and the SAS is less than 100 feet but 50 feet or more from a private water supply well".Method used to determine distance "This system passes if the well water analysis,performed at a DEP certified laboratory,for coliform bacteria and volatile organic compounds indicates that the well is free from pollution from that facility and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm,provided that no other failure criteria are triggered. A copy of the analysis must be attached to this form. 3. Other: Warren Cesspool Service 508-540-7143 3 Page 4 of 11 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION(continued) Property Address: 120 Smoke Valley Road Marstons Mills(Barnstable),MA Owner: David Parrella Date of Inspection: October 2,2008 D. System Failure Criteria applicable to all systems: You must indicate"yes"or"no"to each of the following for all inspections: Yes No _X_ Backup of sewage into facility or system component due to overloaded or clogged SAS or cesspool —X_ Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or clogged SAS or cesspool _X_ Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool _X_ Liquid depth in cesspool is less than 6"below invert or available volume is less than '/2 day flow _X_ Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s).Number of times pumped _X_ Any portion of the SAS,cesspool or privy is below high ground water elevation. _X_ Any portion of cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply. _X_ Any portion of a cesspool or privy is within a Zone 1 of a public well. _X_ Any portion of a cesspool or privy is within 50 feet of a private water supply well. _X_ 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 Systems: N/A 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 11 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. Warren Cesspool Service 508-540-7143 4 Page 5 of 11 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B CHECKLIST Property Address: 120 Smoke Valley Road Marstons Mills(Barnstable),MA Owner: David Parrella Date of Inspection: October 2,2008 Check if the following have been done. You must indicate"yes"or"no"as to each of the following: Yes No x_ Pumping information was provided by the owner,occupant,or Board of Health x Were any of the system components pumped out in the previous two weeks? x Has the system received normal flows in the previous two week period? x Have large volumes of water been introduced to the system recently or as part of this inspection?. x Were as built plans of the system obtained and examined?(If they were not available note as N/A) x Was the facility or dwelling inspected for signs of sewage back up? x Was the site inspected for signs of break out? x Were all system components,excluding the SAS,located on site? x 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? x 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 x_ Existing information. For example,a plan at the Board of Health. x _ 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)] Warren Cesspool Service 508-540-7143 Page 6 of 1 I OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION Property Address: 120 Smoke Valley Road Marstons Mills(Barnstable),MA Owner: David Parrella Date of Inspection: October 2,2008 FLOW CONDITIONS RESIDENTIAL-Interior information provided to inspector. Number of bedrooms(design): six Number of bedrooms(actual): four with disposal DESIGN flow based on 310 CMR 15.203 (for example: 110 gpd x#of bedrooms): 660 gpd(716 provided) Number of current residents: none(previously four) Does residence have a garbage grinder(yes or no): yes Is laundry on a separate sewage system(yes or no): no[if yes separate inspection required] Laundry system inspected(yes or no): n/a Seasonal use:(yes or no): yes Water meter readings, if available(last 2 years usage(gpd)): 2007: avg 1180 gpd 2006: avg 808 gpd Irrigation in use. Sump pump(yes or no): no Last date of occupancy: 9/17/08. COMMERCIAL/INDUSTRIAL: NO Type of establishment: Design flow(based on 310 CMR 15.203):gpd Basis of design flow(seats/persons/sgft,etc.): Grease trap present(yes or no): Industrial waste holding tank present(yes or no): Non-sanitary waste discharged to the Title 5 system(yes or no): Water meter readings, if available: Last date of occupancy/use: OTHER(describe): GENERAL INFORMATION Pumping Records Source of information: (owner)unknown. 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 x Septic tank,distribution box,soil absorption system —Single cesspool _Overflow cesspool Privy _no_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:2000 permit on file. Were sewage odors detected when arriving at the site(yes or no): no Warren Cesspool Service 508-540-7143 6 Page 7 of 11 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 120 Smoke Valley Road Marstons Mills(Barnstable),MA Owner: David Parrella Date of Inspection: October 2,2008 BUILDING SEWER(locate on site plan) TWO Depth below grade: 24"/14" Materials of construction: cast iron x 40 PVC other(explain): Distance from private water supply well or suction line: town water line. Comments(on condition of joints,venting,evidence of leakage,etc.): SEPTIC TANK: CESSPOOL(locate on site plan) #One #Two Depth below grade: 14"/5"(over 12" riser) 8"/7" Material of construction: x 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: standard 1500 eallon septic tanks Sludge depth: 5" 5" Distance from top of sludge to bottom of outlet tee or baffle: 29" 29" Scum thickness: none Distance from top of scum to top of outlet tee or baffle: --------- Distance from bottom of scum to bottom of outlet tee or baffle:---------- How were dimensions determined:onsite Comments(on pumping recommendations, inlet and outlet tee or baffle condition,structural integrity, liquid levels as related to outlet invert,evidence of leakage,etc.): The septic tanks appear to be in good condition with no previous failure signs. The DEP recommends annual pumping for systems with disposals in use and every three years, depending on use,for other septic tanks. GREASE TRAP: NO(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.): Warren Cesspool Service 508-540-7143 Page 8 of 1 1 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 120 Smoke Valley Road Marstons Mills(Barnstable),MA Owner: David Parrella Date of Inspection: October 2,2008 TIGHT or HOLDING TANK: NO(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: Alarm in working order(yes or no): Date of last pumping: Comments(condition of alarm and float switches,etc.): DISTRIBUTION BOX: TWO if resent must be o ened locate on site plan) ( P P )( P ) Depth of liquid level above outlet invert: none 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.): Viewed by remote camera,both the distribution boxes are in good condition with no previous failure signs. The cover on#one is 26" below grade. The cover on#two is 18" below grade. PUMP CHAMBER: NO(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.): Warren Cesspool Service 508-540-7143 741. c T„ .,.r:,.., r`,.,.,,,All cnnnn 8 Page 9 of 11 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 120 Smoke Valley Road Marstons Mills(Barnstable),MA Owner: David Parrella Date of Inspection: October 2,2008 SOIL ABSORPTION SYSTEM (SAS): YES (locate on site plan,excavation not required) If SAS not located explain why:_ Type leaching pits,number: x leaching chambers,number: 6 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.): From plan and permit on file,there are six drywells in a series providing up to 716 gpd of leaching. The septic tanks share the leaching. Viewed by remote camera,the leaching was dry with no previous failure signs. CESSPOOLS: NO(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): no Comments(note condition of soil,signs of hydraulic failure, level of ponding,condition of vegetation,etc.): PRIVY: NO(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.): Warren Cesspool Service 508-540-7143 1 Page 10 of 11 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 120 Smoke Valley Road Marston Mills(Barnstable).MA Owner: David Parrella Date of Inspection: October 2.2008 SKETCH OF SEWAGE DISPOSAL SYSTEM NOT TO SCALE 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. i R FAQ. i Fu .V- R� C f V� E�FPnc r tjr- # I 5�I°riL 1"l�ivk Z D1ST�et�3ui�on� 60'X 1�IST1r?1t�v �oT�1 E3 X (;fU (33 _ Warren Cesspool Service 508-540-7143 Title C 1ncr.nntinn l:nrm �ii�i�nnn 10 l Page 1 I of 11 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 120 Smoke Valley Road Marstons Mills(Barnstable),MA Owner: David Parrella Date of inspection: October 2,2009 SITE EXAM Slope Surface water Check cellar Shallow wells Estimated depth to ground water is greater than 10 feet Please indicate(check)all methods used to determine the high ground water elevation: x Obtained from system design plans on record-If checked,date of design plan reviewed: 9/14/2000 Observed site(abutting property/observation hole within 150 feet of SAS) Checked with local Board of Health-explain: records on file Checked with local excavators, installers-(attach documentation) Accessed USGS database-explain: USGS maps You must describe how you established the high ground water elevation: From engineered plans on file,no groundwater found 120"below grade in April of 2000. 601�$r -foe Baron Di%LPl y^weu.. a,� Warren Cesspool Service 508-540-7143 Tihln S Tn "n +inn T7nrm 411 vonnn 11 Nu. Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS Zipplication for Die;poeal *pgtem Congtruction Permit Application fo e o Construct( )Repair( )Upgrade( )Abandon( ) O Complete System El Individual Components Location WdrJsJAr of o: �/�� ,//�� Owner's Name,Address and Tel.No. A sessor's Map/Parcel J)4yc, Ins a 's Name,Address,an Tel.N Designer's Name,Address and Tel.No. Type of Building: Dwelling No.of Bedrooms jQ_ Lot Size sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow gallons per day. Calculated daily flow gallons. Plan Date Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. Description of Soil Nature of Repairs or Alterations(Answer when applicable) Date last inspected: F 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 Board oy alt . Signed/ Date l f Gb Application Approved by Date Application Disapproved for the following reasons Permit No. Date Issued 1 �� _ rN No. � Fee THE COMMONVI(EA TH OF MASSA,CHUSETTS Entered in computer: Yds PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE., MASSACHUSETTS 01pprication for Miopooar *pMem com5truction Vertnit Application fo e to Construct( )Repair( )Upgrade( )Abandon( ) El Complete System ❑Individual Components Location A dress r Lo No. 00,c /� f /// Owner's Name,Address and Tel_.No �y.. s sor's Map,lParceI 1 Inst is Name,Address,and Tel. o. Designer's Name,Address and Tel.No. Type of Building: Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fiytures Design Flow gallons per day. Calculated daily flow gallons. Plan Date Number of sheets Revision Date Title t Size of Septic Tank Type of S.A.S. ` Description of Soil x All G Nature of Repairs or Alterations(Answer when applicable) l+ Date lastsnspected: Agreement: �R 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 ' Board o eal Signe / Date Application Approved by 1` � % alllff Date Application Disapproved for the following reasons Permit No. Date Issued ——————————————————————————— ——————————— THE COMMONWEALTH OF MASSACHUSETTS Y BARNSTABLE, MASSACHUSETTS Certificate of Compliance THIS IS TO CE FY, a the - ite Se( D'�pos yst m Cons a )Repaired ( _ )Upgraded O Abando e ( by �--E at h constructed in accordance with the provisions of Title 5 and the for Disposal System C nstruction Permit No�"O M ed Installer Designer m Y/1 The issuance of s ermi sh to construed ads a guarantee that the s 11 fu ct' a esi ed Date (J (.� Inspector -----+- -------------------------- !! No. Fee THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLE: MASSACHUSETTS Migpo!6ar 6pgtem Com5tructton Vermcit a Permission is hereby me to Cons ct ) e air,( Up ra • ) (System located at �!jjn and as described in the above Application for Disposal System Construction Permit. The applicant recognizes his/her duty to comply with Title 5 and the following local provisions or special conditions. Provided:Construction must be completed within three years of the date of this ermit. Date: //��� `' Approved by TOWN OF BARNSTAB i LOCATION 4e = SEWAGE # � — 6 VILLAGE - ASSESSOR'S MAP & LOT -Oc6-01 INSTALLER'S NAME&PHONE NO. ' SEPTIC TANK CAPACITY Gd LEACHING FACII I I Y: (type) 117 (size) NO. OF BEDROOMS BUILDER OR OWNER '' PERMITDATE: COMPLIANCE DATE: !I QC i 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 withid200 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 NP9 3s 9d� I I 4a� • I I I I - - - - - - - - - - , I _ -coo- L( ATTIC I I � sc. u RY i WnT 9RY MY GHf BATH I ucnr uurt ._____... � =r' BATH �. o� �009 BED ROOM N3 e CLO. � 4 i-r��'t�t•� zaa.a. a Q CLO. __ __..- CLO. L. CLO. - - - - - - - - - - - - - - - - - - - - - - BED ROOM N2 I H zo.z irz• - ----- I ATTIC L - - - - - - - - - - - ATTIC 9 Q zio • 4— EXISTING SECOND FLOOR PLAN I I GO S.F. OLSON D 55 ELM AVEM AVENUE 550CIATES _ Hyannis,Messadiuse0s 02601 SCALE I/4" = I'—On 50a-775�3M an,an ds .AeWgn@—Iz-.net ds.AeWgn@—Iz .nel EXISTING CONDITIONS R 120 SMOKE VALLEY BARNSTABLE,OSTERVILLE DRAWN FOR: BARNSTABLE HARBOR VENTURES,INC. EXISTING SECOND FLOOR PLAN D.O. or<9/15/OH A-2 1 Pon Aje- If A,( -zP,-) l�Z�r 3Lv& �C, It �Z`� c L>X 13 T FZFC'-'7- N WATE G*bA-t 5 /ba"LL. �2'r 6.. -Fk1 S l�'7 M(, Z)ll 0 X � O 777 �//�J► jam-��-�� /Jo ScA-f-E Town of Barnstable P# 3 C�Ll Department of Health,Safety,and Environmental Services oats Public Health Division Date 367 Main Street,Hyannis MA 02601 aenxar,►er.e,MASI 26 B �tnlaxt" Date Scheduled ppo-& 2�i—20c5n Time L Fee Pd. Soil Suitability Assessment for Sewage Disposal Performed By: V 0 1� �, Uv 1�15/'�I Witnessed By:. 0D yl/ eawj { AdNclrENRAL;IN `ORIV�ATON Location Address /ytO C V� lf?7 Owner's Name �JYD `a Address Assessor's Map/Parcel: '� —S=' Engineer's Name J d vt c i � t.t.H.5 k% NEW CONSTRUCTION A—/—f REPAIR Telephone N Land Use �GS rc dG.v���i-1 Slopes(%) Surface Stones /UO Distances from: Open Water Body R Possible Wet Area R Drinking Water Well it Drainage Way ft Property Line R Other t1 SKETCH:(Street name,dimensions of lot,exact locations of test holes&perc tests,locate wetlands in proximity to holes) GAQaGI; TP Parent material(geologic) (J l).4L4L ' Depth to Bedrock / (26�t Depth to Groundwater: Standing Water in Hole: �7/Zo`` Weeping from Pit Face Estimated Seasonal High Groundwater b 'll✓I NATYOlr1 'C) SEASON AT.MGH'VVAT::',- t3L Method Used: Depth Observed standing in obs.hole: in. Depth to soil mottles: in. Depth to weeping from side of obs.hole: in. Groundwater Adjustment R. Index Well N_..._. .Reading Date:._ Index Well level Adj.factor Adj.Groundwater Level PEfte. L T'. ON TES'1 Observation Hole N Time at 9" Depth of Perc Time at 6" Start Pre-soak Time @ Time(9%6") End Pre-soak Rate Min./Inch Site Suitability Assessment: Site Passed Site Failed: Additional Testing Needed(YIN) Original: Public Health Division Observation Hole Data To Be Completed on Back j Copy: Applicant y , A, P. OE 'VA`I' +� 1 HE LOG Mole r Depth from " Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulderes. rrConsistencv.%Gravel) d� 4 3Z o yie S 2 -I20 DEEP OBSERVATION HOSE LOIG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulderes. ° Gravel) EEI�t� SERATItJN ROLE I.dC Dole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.), (USDA) (Munsell) Mottling (Structure,Stones,Boulderes. tConsistencv. Gravel) t c— 4 i 1. I I DEEP OBSERVATION ICI.E LC1G HoI� Depth from Soil Horizon Soil Texture Soil Color , Soil Other Surface(in.) (USDA) (Munsell) Mottling. (Structure,Stones,Boulderes. Consistenev.° Gravel) Flood Insurance Rate Man: Above 500 year flood boundary No— Yes Within 500 year boundary No— Yes Within 100 year flood boundary No— Yes W.. Depth of Naturally Occurring Pervious Material Does at least four feet of naturally occurring pervious material exist in all areas observed throughout the area proposed for the soil absorption system? If not,what is the depth of naturally occurring pervious material? Certification c I certify that on J (date)I have passed the soil evaluator examination approved by the Department of Envir mental Protec 'on nd that the above analysis was performed by me consistent with the required tra' ' g, xpertise a per' nce described in 310 CMR 15��24ZV 017 Signature Date Comnmormeofth of M=achusetts Executive Office of Envlronmentol Affolrs Department of ® � Environmental Prote o�j �0# VAWAM F.weld f`EC'Et/ t A W Paul Ceuuool m J U N 1 0 1997 B.3vuhs LL 6w+rnor TOWN OF BAANSTABIt HEALTH DEPT. s � SUBSURFACE SEWAGE DISPOSAL SYSTEM INS FORM y PART A CERTIFICATION p,op+rty Address: 120 Smoke Valley Road O s t e r v i l l e Addrew of Owner Dal•of Laspeotion.5/2 8/9 7 (If dLfferent) Nameoflnspector.Joseph P.Macomber Jr. Company Nacre,Addrees and Telephone Num r.be J.P.Macomber & Son Inc. Box 66 Centerville,Mass . 02632 508-775-3338 C_ER')'rFICA71ON STATEMENT I cartify that I have personally inspected the sewage disposal system at this address and that this Information reported below is true, ac urste Lad complete u of the time of inspection. The inspection was performed based on, my training sad exparieace in the proper 6,-chore Lad msintenaace of on-aite wwaiye disposal systams. The system: _ Passes Conditionally Passes sects Further Evaluation By the Local Approving Authority , _ Fail Laspector'e eyraatur.e r I, '1 Date: 6' �9-7 n 7 The system Inspector&hall submit a copy of this Insp•ctida report to the Approving Authority within thirty(30)days of completing this inspection. If the gstam is a ebared systsm or has a dingle Cow of 10,000 gpd or greater,the Inspector and the systam ownar shall submit the report to the appropriate repioaal oMos of the Department of Environmeatal Protection. Tha origiad should be seat to the system owner:%ad copies sent to the buyer, it applicable and the approving authority. LNSPECTION SUMMARY: Check A. B, C,or D: A).SYSTEM PASSES: I have act found azy information,which Indicates that the syrtem violates sDy of the failure criteria as d dnW is 310 CDR 15.303. Any failure criteria not evaluated are indicated below. B) SYSTEM CONDITIONALLY PASSES: �b One or more system compoaants need to be replaced or repaired. The system,upon completion of the replace- at or repair,puss. iaspsctioa. Lodicate) ,or not datarmlaed(Y.N,or ND). D«cr10 bast of determination(n all instances. If*not datarmined' ex The septic teal:is mrtal,c-zked,struturally uasouad,ahowa substantial inAltration or malts • p�whylion,.or teak failure is Imminaat. The syrtam will pass inspection if the existing septic tank is replaced with a ponformiag wptic tank as approved by the Board of Health. (revised 11/03/95) 1 One wMter Street a Boston,Massachusetts 02108 a FAX(617)5WID49 • Telephone(617)292-S500 t� ►riled an Regc40 raps i SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PAST A CERTIFICATION(oontiaued) pr,ps,ty��� Richard Henderson Ownon 120 Smoke Valley Road Osterville,Mass . Data of Lwpeotiomr 5/2 8/9 7 B)SYSTEM CONDITIONALLY PASSES(coatiawd) Sewap backup or breakout or her static water level observed in the disU6AR3oa bos_is due to brakaa or obstructed pip.(,) or dins to a brokan,settled or uasysa distribution bos. The system wM pica biij�If(with approval of the Board of Haa.lth): broken pips(s)are replaced obstruction is removed distribution box is kvsW or replaced Ths err m required pumping more than four Um"a pear dw to broken or obstructed pipe(s). TW system will pa.s iarpealoa it(with approval of the Board of Health): broken pipes)are replaced obrtr uetlon is removed C) FURTHER EVALUATION IS REQUIRED BY THE BOARD OF HEALTH, Comditioar azist which require Aa-dwr evaluation by the Board of Health in ordar to datarmina if the system is idling to prwAa th. public I,"h), safety and the eavironment. 1) SYSTEM WILL PASS UNLESS BOARD OF HEALTH DETERMINES THAT THE SYSTEM IS NOT FUNCTIONING IN A MANNER WHICH WILL PROTECT THE PUBLIC HEALTH AND SAFETY AND THE ENVIR.ONMENM &.0 C«upool or privy is within 60 f«t of a surface water A26 Ceupool or privy is within 60 feetV a bordering vegetated wetland or a&Lh marsh. 3) SYSTEM WILL FAIL UNLESS THE BOARD OF HEALTS (AND PUBLIC WATER SUPPLIER IF APPROPRIATE) DETEIUMaFg THAT THE SYSTEM IS FUNCTIONING IN A HAMM THAT PROTECT THE PUBLIC WEALTH AND SAFETY AND THE ENVIRONMENT: The system has a septic task and soil absorption syst&m and is within 100 fiat to a surface water supply or oiouu" to a avti'aca water supply. The systam has a wptie tank and soil abeorption system mad is within a Zone I of a public water supply welL Tba ,stem has a wptic tank and soil fbsorptioa system Lad is within 60 feet of a private water supply well. 7na gstam hu a wptk tank and sob absorption system and is leer than 100 feet but 60 feet or more trom a private wets -ppb w4 umlw a wall water analysis for coliform baetaris and volatile orSaaie compounds t "motm that th, .nil u bw from polbaloa tram that facility and the preeeacs of ammoaia aitroQea and nitr is nitrogen Is equal to or 11a.th..a 6 ppm 3) OTHER 9Cll' . (revised 11/03/95) 3 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORD PART A CERTIFICATION(continued) Property Add,," 120 Smoke Valley Road Osterville,Mass. Owner. Richard Henderson Data of Laspeotion: 5/2 8/9 7 -Dj SYSTEM FALLS: • --I have detarmined that the system violatas one or mom of the following failure criteria as dadned In 310 CUR 15.303. The basis for this determination is idaatiEed below. Ths Board of Health should be contacted to determine what will be necessary to oorred the tenure. Backup of"wage into facility or system component due to as overloaded or clogged SAS or cesspool. D4charp or ponding of*Murat to the surface of the ground or surface waters den to an overloaded or clogged SAS or owpool. (?� Static liquid lev.l-ice the-distaibution to above outlet invert den to as overloaded or clogged SAS or cesspool Liquid&pth isvass*l is lass than 6'below invert or available volums is is"than 1/2 day flow. x&qui,ed pumping more than 4 times in the last year NOT den to clogged or obstructed pipe(,). Number of times pumped o� Any portion of the Soll Absorption System,cesspool or privy is below the high groundwater elevation. Any portion of a cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply. Qdb Aqy portion of a cesspool or privy is within a Zane I of a public wall. d& Any portion of a cesspool or privy is within 60 feet of a private water supply well. J6p Aqy portion of a cesspool or privy is Is"than 100 feet but greater than 60 feet hom a private water supply well with no acc.ptable water quality analysis. If the well has been analysed to be adaptable,attach copy of well water analysis for ooliform bactarL4 volatile organic compounds',ammonia nitrogen and nitrate attrogan. El LARGE SYSTEM FAILS: The following=itaria apply to large ems in addition to the criteria above: The system&&ryes a facility with a design flow of 10,000 gpd or greater(Large System)and the system is a aizalf sat threat to pubi health and safety and the environment because one or more of the following conditions e:dst: th& cystam is within 400 foot of a surfaos drinking water supply 7 the system is within 200 foot of a tributary to a surface drialdng water supply t.hs rystam is kxated is a nitrogen sensitive ama(Iatarim Wellhead Protection Area(IWPA)or a mapped Zons II of a pubb water supply WSW The owner or operator of&ay such system shall bring the system and facility into full compliance with the groundwater treatment program requirements.of 314 CMR 6.00 and 6.00. Please consult the local regional oIDa of the Department for Auther information.. (revised 11/03/95) 3 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B CHECKLIST Prop.rtyAddrw,e 120 Smoke Valley Road Osterville,Mass . Ownan Richard Henderson Date of Iaspaotioa:5/2 8/9 7 ' Check if the following haw been done: ' ,Pumping information was requested of the owner,occupant,and Board of Health. K40as of the system componagts have been pumped for at least two weeks and the systam has been receiving normal floe.rat.. &tying that period. LrV volumes of water have not been introduced into the system reoaatbr or as part of this inspection As built pleas have been obtained and examined. Now if they are not available with N/A. ZTL. fac>Mq or dw*lling was Inspected for signs of"wage back-up. �-n, system dote not nod"non-sanitary or industrial waste flowTLe arts was inspected for signs of breakout. ZA11 system component+,,Qec/ludiag the Soil Absorption System,have been located on the site. 7-U septic teak manholes were uarPverd,opened,and the interior of the septic tank was inspected for condition of baIDes or tees, material of construction,dime,isiOas,depth of liquid,depth of sludge,depth of scum. 27-1e site sad locatloa of the Soil Absorption System on the site has been determined based on edsting information or ap ted by noa•tatrusivo methods. The owner(and occupants.if differwA from owner)were provided with information on the proper maiataaaaoe of Sub- Surlaa Disposal Syrtam. (revised 11/03/95) SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION Property Address: 120 Smoke Valley Road Osterville,Mass. Owner: Richard Henderson Date of Inspection: 5/2 8/9 7 FLOW CONDITIONS RESIDENTIAL: Design flow: R.pj./bedroom for S.A.S. Number of bedrooms: Z:P Number of current residents:_ Garbage grinder (yes or no): 2 Laundry connected to syste kL (yes or no): Seasonal use (yes or no): Water meter readings, if available (last two (2) year usage (gpd): Sump Pump (yes or no): AY6` 7 fit? S- Last date of occupancy: COMMERCIAUINDUSTRIAL: Type of establishment: Z14 Design flowW,4 allons/day Grease trap present: (yes or no)-de Industrial Waste Holding Tank present: (yes or no) Non-sanitary waste discharged to the Title 5 system: (yes or no).,VY Water meter readings, if available: W19 )4 Last date of occupancy: ,f _ J OTHER: (Describe) 1 Last date of occupancy: GENERAL INFORMATION PUMPING R OR S aqj source onf_qrmation: System pumped as part of inspection: (yes or no) If yes, volume pumped: /0 0, gabns Reason for pumping: TYPE OfSYSTEM _P" Septic tank/d7stribo6orrbox/soil absorption system 0 Single cesspool Overflow cesspool Privy Shared system (yes or no) (if yes, attach previous inspection records, if any) V Technology etc. Copy of up to date contract? Other APPROXIMATE AGE of all components, date installed (if known) and source of information: 241_ Q jam . Sewage odors detected when arriving at the site: (yes or no) (revised 04/25/97) Page 5 of 10 Name: Richard Henderson 428-3649 Customer Code: Address: 120 Smoke Valley-Road rhen Town: Osterville State: Zip: Mailing address: Box 975 Osterville MA 02655 CC 2/18/92 pump T&P 240.00 2/21/92 "" 2/19/92 bldup 280.68 2/28/92 2/18/92 pump T&P 240.00 2/21/92 2/22/93 pump T&P 240.00 2/23/93 11/22/93 pump T&P 260.00 rec 12/3/93 3/30/95 pull permit 50.00 417/'95 3/30/95 pump T&P 240.00 w/coup 3/31/95 2/16/96 pump T&P 225.00 3/1/96 2/3/97 pump T&P 280.00 2/5/97 Jo3EPH P.MWO)AM&am II+iQ " P.Q.BQX 86 CDIMWRJAMA OEM a SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: 120 Smoke Valley Road Osterville,Mass . Owner: Richard ;Henderson Date of Inspection: 5/2 8/9 7 BUILDING SEWER: (Locate on site plan) Depth below grade: Z40 Material of construction: cast iron PVC_other (explain) Distance from private water supply well or suction line J'Al r/.tI T 07t Diameter_(_ Comments: (condition of joints, venting, evidence of leakage, etc.) .ve SicyS 6F ,��st�i44'� SEPTIC TANK:�9() (locate on site plan) O,r Depth below grade: 4 Material of construction:-cncrete _metal _Fiberglass _Polyethylene _other(explain) If tank is metal, list age AX) Is age confirmed)by Certificate of Compliance k&(Yes/No) Dimensions: Sludge depth:7�!'N Distance from top of sludge to bottom of outlet tee or baffle: Scum thickness: Distance from top of scum to top of outlet tee or baffle:-176LQi Distance from bottom of scum to bottom of outlet tee of baffle:; How dimensions were determined: P?eA%V/'Ag f)e TI4�pIG Comments: (recommendation for pumping, condition of inlet and outlet tees or baffles, depth of liquid level in relation to outlet invert, structural integrity, evidence of leakage, etc.) Pump septic tank every 2-3 years : Inlet & outlet tees are in place • Liquid level at outlet invert is 51It .Tha cant; n tank i q gt.rt)r.t.itraI 1 Gnttnr9 • Semi �{ink ghniag nn qJ gnS of '* --r— a 1•®•$•k•ase-• GREASE TRAP:de&A6. (locate:on site plan) Depth below grade:V.4 Material of construction: /concrete _metal _Fiberglass _Polyethylene —other(explain) AM 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: W�_ Comments: (recommendation for pumping, condition of inlet and outlet tees or baffles, depth of liquid level in relation to outlet invert, structural integrity, evidence of leakage, etc.) �r�•a s�r�$ i� �e���e sow+ (revised 04/25/97) Page 6 of 10 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(oontinued) PropervAdAn,,: 120 Smoke Valley Road Osterville,Mass. Owner. Richard Henderson Data of Inspeou= 5/2 8/9 7 TIGHT OR HOLDING TANKzule, (locou an site plan) • Depth below gale: 41A 3[ata:ia1 of oonsts,�tioa d/,�ooac:.te�.tal ARP_other(exp W Di—dons VA GpLdt�: I _,�Lllons Design flow daty Alarm kv - Comments (condition of inlet toe,condition of-]arm Lad float switches,etc.) Tight or hoiding tanks are not presen DISTRIBUTION BOX:�O,� UOcau oa site plaw Depth of liquid Iowl above outlet i v t: 42A Commsnte: (not•if levul and distr1ution is equal,evidence of solids carryover,evidence of leakap into or out of box,etc.) Distribution box is not presenk- PUMP CHAMBER:-� (locate on site plan) Pumps in working ordan(yw or ao)�' Comments. (note condition of pump chamber,condition of pumps and appurtenances,etc.) ump c am er is not present (revised 11/03/95) SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(cootlnued) proP�+t7Addr..s 120 Smoke Valley Road Osterville,Mass . o, "A Richard Henderson Date of Inrp"Ua4:5/2 8/9 7 SOIL ABSORPTION 6YSTEM p3A x-g 0=%t+Oa site p44 if post;acaration not r.qub,4 but my be appro:im"by wu4nausivr methods) • It not det.:min.d to be prw u4 e:pl.in: Typ« L+chinr P4 number L+eain j eb&mbe:e,number l�+ehla j tr.acb.s, aumbar,l.a�t.b: orarBow oeespooL aumb.r i Commears: (nou condition of Boil, signs of l ,ulia Wlure,level of pondin�,condition of ve�etatlO�etc,) Loam Sub oil for1r : Clean Medium sand for 121 . Si ns ol nydraulic failnra ; c av-iriart. WngtP tiatPr is nhnVP the Juy rt pipe• All V9g94&t4p—s2�n=�'"+.�l T oQ nhp i t i e in fa i l iirc• QXGtPin ml]4t hP rPsf • red. CESSPOOL34 AbO Go="oa site PI&W N— sad Depth of Liquid to inlet invert: Depth of solids Leer Nfi -- Depth a(scum 47er Wil Dimsasi=s of oewpool: 3datsrisL of oQastrudipb Indiatioa Of esouadwuw laflaw(ossrpool must be pumped u of iwpedioa) A�iQ COmmd"' (note amdhioa Of eoi], signs of bY&aulk Whirr,level of poadin&condition of vegetation,eta) f acennnl S arP not, ;)resent. PRIVY) QOcste oa sste pica) b lfaterials of ooasb,xxiaa N A Dimsati0as:N A Depth of so$ds:_ N A C401111 is(note ooadld-a od.oil, signs of bydraa k Whur,level Of pondin&0Oad1t10a Of v.g.tatiot�ite.) Privv , is not-present. Vv (revlsed 11/03/95) + SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: 120 Smoke Valley Road Osterville,Mass . Owner: Richard Henderson Date of Inspection: 5/28/97 SKETCH OF SEWAGE DISPOSAL SYSTEM: include ties to at least two permanent references landmarks or benchmarks locate all wells within 100' (Locate where public water supply comes into house) upl ��} d - - -- ��(5---- ------- - - (revised 04/25/97)--. Page 9 of 10 SUBSURFACE SEWAGE DISI,_- .L SYSTEM INSPECTION FORM C SYSTEM INFO:. J10N (continued) Property Address:120 Smoke Valley Road Osterville,Mass . Owner: Richard Henderson Date of I nspection5/2 8/9 7 Depth to Groundwater _ Feet Please i ndicateall the methods used to determine High Groundwa. ovation: from Design Plans on record ' Observation of Site (Abutting property, observation hole, ba: it sump etc.) _IL-*'Determine it from local conditions Check with local Board of health Check FEMA Maps Check pumping records Check local excavators, installers Use USGS Data Describe in your own words how you established the High Groum:, ..:r Elevation. Must be completed) (revised 04/25/97) Pe:: of 10 f•.n..1T�n.Tfr�`T...fr/n1'I.1TITnITt�.11.fR1r,1.'!►J��..tR�7. '/lwt�l AY. T1.'RT7�fI--...� .. TOWN OF Barnstable BOARD OF HEALTH SUBSURFACE SEWAGE': DISPOSAL SYSTEM INSPECTION FORM - PART D •- CERTIFICATION -TYPE OR PRINT CLEARLY- PROPERTY I NSPFC7'FD STREET ADDRESS 120 Smoke Valley Road Osterville ,Mass . ASSESSORS MAP, BLOCK AND PARCEL OWNER' s NAME Richard I+enderson v� PART D - CERTIFICATION NAME OF INSPECTOR Joseph P.Macomber Jr. COMPANY NAME J. P.Macomber & S65 'Inc. COMPANY ADDRESS Box 66 Centerville,Mass . 02632. Street Town or C tY Stat♦ ClP COMPANY TELEPHONE (508 ) 775 - 3338 FAX ( 508 ) 790 - 1578 CERTIFICATION STATEMENT III I certify that I have personally inspected the sewage disposal system a 11 this address and that the information reported is true , accurate , and complete as of the time of .inspection . The inspection was performed and any recommendations regarding upgrade , maintenance , and repair are consistent with my training and experience in the proper function and maintenance of on. site sewage disposal systems . Check one : Sys teui PASSED The inspection which I have conducted has not found any information which indicates that the system fails to adequately protect public health or the environment as defined in 310 CMR 15 . 303 . Any failure criteria not evaluated are as stated in the FAILURE CRITERIA section of this form . :XXXXXXXXXXXXSystem FAILED* The inspection which I have con cted has found that the system fails to protect the j-)ublic health and the environment in accordance with Title 5 , 310 CMR 15 , 303 , and as specifically noted on PART C - FAILURE CRITERIA of this inspection form . Inspector Signature Date 5/28/97 One copy of this ,tification must be provided to the OWNER, the BUYER ( where applicable ) and the I30ARD OF HEALTH, + If the inspection FAILED, the owner or"'operator shall u d within one year of the date of the inspection, unless allowed ortrequiredm otherwise as provided in 3,10 CFjn 16 . 305 . partd .doc ���. ..•c��. SAC _ sbyy �71 THE COMMONWEALTH OF MASSACHUSETTS DEPARTMENT OF ENVIRONMENTAL PROTECTION BE IT KNOWN THAT Joseph P. Macomber, Jr. Has satisfied the Department's qualifications as required and is hereby authorized to use the title CERTIFIED TITLE 5 SYSTEM INSPECTOR as provided in 310 CMR 15.340 and Section 13 of Chapter 21A of the General Laws. Issued by The Department of Environmental Protection. June s, 1995 Acung Director of the - ion of Water Pollution Control a: III I TOWN OF BARNSTABLE LOCATION jZ Q SMOiS e V A//,O y 4,0 SEWAGE # Vli:I AGE ASSESSOR'S MAP &LOT , 06$AU INSTALLER'S NAME&PHONE NO. .,'� NI,4 CO3A1 f/ t .50A1 SEPTIC TANK CAPACITY ZoO/9 Y' l Goo / LEACHING FACIL=: (type) Al 67 101 r (size) NO.OF BEDROOMS BUILDER OR OWNER PERMITDATE: :30 -17 COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table and 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 \ `Q o y7 00S- (0 R No....-•-...•-•-•-...... . 0 Fssl...KI.0.0.... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE Aplifirativit for Ut_v-,Vp!ia1 lVorbi Tomitrortioo ramit Application is hereby made for a' Permit to Construct ( ) or Repair KXX an Individual Sewage Disposal System at: 1 2_Q___ moke___yalle-y-___Road_____Os tervi l l e Location-Address or Lot No. ....................Richard_.Hender.son............................. ---------------....--------•••-----------•-•••--•----•---••-••-----.....--•-•---•-.............--- Owner Address a .....................J_P.._Macomhnr_..Jr---------------------------------- •••••------------------•-•----•------••--...--•---••-------••----••----•--....................... Installer Address Type of Building Size Lot............................Sq. feet Dwelli4X-X No. of Bedrooms---------- ..._-•--------------------------Expansion Attic ( ) Garbage Grinder ( ) 04 Other—Type of Building __________________ _ ______ No. of persons------- ------------------ Showers ( ) — Cafeteria ( ) a' Other fixtures ------------------------------- - - W Design Flow--------------------------------------------gallons per person per day. Total daily flow----------------------------------.---------gallons. WSeptic Tank—Liquid capacity............gallons Length---------------- Width---------------- 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 ( ) Percolation Test Results Performed by----_ ----------------•----------.-------------------------------------- Date........................................ aa Test Pit No. 1----------------minutes per inch Depth of Test Pit-------------------- Depth to ground water-..__.---._.--_-_.- fi Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ W --••------------------------•••--........---------••------•-•--•-...--------•-----••--------•--•----......................................................... 0 Description of Soil-------------------------------------------------------•-••--•--...--------------------.------------•-••------•------•••---------------------•-•---•......•------------ x Sand & Gravel V •--•••••...............••••---••-•-••••--•-------------•-•••--••••-•-•-•-----••----•------•-•-•----••-•----••--•--------•---•-•-•-------•--•-• ......................................................... W •------------------------ --------------------------------------------------- ---------------------------------------------------------------------------------------------------------•---.-••.-----•- U Nature of Repairs or Alterations—Answer when applicable.Insta-ll---1.-1----00-..gal•lon-•-leach. ng__-•__••. •-------------------pi-t to an existing tank..&...Pit. -------- -------- -------- -------- - Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Environmental Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has be n ' sue by the oar of health. 1 Signed . .. -- -- - --------------;--- --- -----:!----------------------- 3 f 3-4-f g,5.........:...... Application.Approved By ... .... _-- --- -- --- -- - - -- Date Application Disapproved for the following reason . _..................................._------------ .. .................. ... .---....----- --. . .. .... ........ ----.-._� .................. Permit No. ....: ........._-- .. .... Issued ......... �.-- `j-----�-------- ---- 10 . No.. •------ Fps. ....H.,.. .Q ...... . .r 3 THE COMMONWEALTH OF MASSACHUSETTS 1, BOARD OF HEALTH TOWN-OF.-BARNSTABLE - Apphratiun for Diti-pit ial Workii Tunitrurtinn Frrmit Application is hereby made for a Permit to Construct ( ) or Repair (t{X;, an Individual Sewage Disposal System at: .....................120 Smoke___Valley._Road------0sterville Location-Address or Lot No. ....................R tch-I xsl--a enc?er G_on --------------------------------------••-•--------•--•------•----•------------•--....•---...-•---- Owner Address Installer Address Type of Building Size Lot............................Sq. feet U - Dwellings No. of Bedrooms---------1--------------------------------Expansion Attic ( ) Garbage Grinder ( ) Other—Type of Building ____________________________ No. of persons------2.................. Showers ( ) — Cafeteria ( ) a d Other fixtures --------------------------------------------------------------------------------------------------------•---------------•-•---•--•------•------------ W Design Flow----- ...............................gallons per person per day. Total daily flow............................................gallons. WSeptic Tank—Liquid capacity------------gallons Length---------------- Width-----.---------- Diameter---------------- Depth................ x Disposal Trench—No. .................... Width-------------------- Total Length.................... Total leaching area....................sq. ft. Seepage Pit No.......mi..... .... Diameter----------.--------- Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( �) Dosing tank ( ) ~" Percolation Test Results Performed by------------------------ ------`4...................................... Date..................... .................. 1 Test Pit No. I................minutes per inch Depth of Test Pit.------t--___-_-__- Depth to ground water--._-.-.-.--___------.-. f=, Test Pit No. 2................minutes per inch Depth.of Test Pit-------------------- Depth to ground water........................ a --•-•-•............................•••-----•--•--•------....---•....----...........--------•--------......................................................... 0 Description of Soil................................................................................................................................................... x Sand & Gravel U --------------------------•--------•--------------------------------------------------------------------------------------------------------•----------•-------------------------......-•••------•-.... ------------------------------------------------------------------------------------------------------------- ------------------------------------------------------------------•-•-••-•-•-----------... U Nature of Repairs or Alterations—Answer when applicable Install 1--1 000--.ciallon leachinct pit to an existing tanks fit. --------------------- -- ----- ------------------------------- ............................ Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Environmental Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has be n i sue by the oard of health. Signed .. - ---- /--- ..,..------------ ------- --- ------ --------------------f 3/3-f,'-,�5---------:----- • / ce Application.Approved By ------- - --/�'J/'---- --�7�-a------t-- -- --- --_�. / Dace Application Disapproved for the following reafon r: /.------------..._---------._----------------------------------------------------------- .................... .................................................... ----- Z-------- ---------------------- ------------------------------------------ .......... � ._............_..... Dace r Permit No. - - Issued p �.. 3i f THE COMMONWEALTH OF MASSACHUSE17S BOARD OF HEALTH TOWN OF BARNSTABLE �Prtifi ate of (110 plianrQ THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired (XXX) by ..................J-.P...Kac.Amber. ,Tr..-------------------------------------- --- --- ------... ....................................................----------.-------------------- 1—al l- Osterville at 120 Smoke Valley Road ---- ------- ........ ... ...... ------ ....................................................... has been installed in accordance with the provisions of TITLE 5�10f The S rOAS onmental Code as described in the application for Disposal Works Construction Permit No. - _ dated ......_.............._......THE ISSUANCE OF THIS CERTIFICATE SHALL NOT B -ONSI R A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE..........................- �`�� ......... ... - -------- ------ - Inspector .... �.:........... I-, � --� , , THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE No----------------••------• FEE�...3.0...0.0 Ehapnoat Workii Tnnntrurtinn Wrmit Permission is hereby granted......J.P.Macomber Jr. `• to Construct ( ) or Repair 4X) an Individual Sewage Disposal System 120 Smoke Valley toad_nstervlllP - V----------•--•-------------------d...-- ... at No................---•-••-•--•-••-----•----•-•-...._. Street ��� l as shown on the ap licatio for Disposal Works Construction �N-Str ___________________ x ated____ __-. .__��/_�...... .. Board of Heal .DATE..........- ;=J•--------•-------•-- FORM 36508 HOBBS 6 WARREN.INC..PUBLISHERS i No...c 3, Fms......y ...� ... THE COMMONWEALTH OF MASSACHUSETTS �--, BOARDfDF HEALTH ..owl.. ................OF........ .e Appliration for Bhip sal Works Tomitrur#iun Prrutit Application is hereby made for a Permit to Construct ( or Repair ( ) an Individual Sewage Disposal System at - y �`"- .. ..... ocation-Address ---- r Lo No. Ns - ._... iC��l� � �' � � ` - --.....� � /1z � �'�yc -�� U2/�/G,2� S Owner Add ss Installer Address UType of Building Size Lot............................Sq. feet �-, Dwelling—No. of Bedrooms..............Z......................... Attic ( ) Garbage Grinder ( ) pa-, Other—Type of Building ............................ No. of persons------------_............... Showers ( ) — Cafeteria ( ) a Other fixtures ---------------------------•••-- . d ---------- - Desi Flow----•-----•-•••5 --•----•--- -- � _..... --- W ----------- Design __..gallons per person per day. Total daily flow.___.._..___ .._. gallons. WSeptic Tank—Liquid capacity-/ gallons Length---------------- Width---------------- Diameter---------------- Depth................ x Disposal Trench—No.`.................... Width..... ._J....... Total Length........... ;-.�... Total leaching area___..__. ._..-._-__sq. ft. Seepage Pit No_____________1-.----. Diameter------------ Depth below inlet.._.._..6...... Total leaching area'.... .0.�...sq. ft. Z Other Distribution box ( � Dosin tank ) `-' Percolation Test Results Performed b - M- -,...---t46T.... -�� a Y F -f� _ Date ------•---------------- ,� Test Pit No. I....... minutes per inch Depth of Test Pit.......%_Z__--Depth to ground water_-___.s_.— fT4 Test Pit No. 2................minutes per inch Depth of Test Pit........-........... Depth to ground water........................ P+ ---- •-------•----------------------------------•-----•-----------------.... -------------------•--------------•------------------------•-------••-••---•- 0 Description of Soil-------------------- ............................................................ x --------- - :7 .=r 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 5 of the State Sanitary Code— The and s ned fu 1 er agr es not glace the system in operation until a Certificate of Compliance has en issued by the oa d f eLV Signed - ----------- ----• ...--•-•••:-- ` ` 1 � to Application Approved By............. ...... --------------•--------------•--------•-•------ = f�8 P3 Date Application Disapproved for th following reasons:----------•---•-••-•-----•---------------------•-•-•------•------•--------------------......Dat.e-----•--••--•- ...................••-•••-•......-_---------•------------•----------•---------••-----........•-•---------'----•---••----•-••----------------•••-------••---•-----------•--------•--•. -----•--....._ Date PermitNo......................................................... Issue(L....................................................... Date No... Finc...... ...... THE COMMONWEALTH OF MASSACHUSETTS BOARD,10F HEALTH .......... ............................................................. V.............................I.....OF....... ... I Appliration for Dhipasal Works Tonstrurtion Prrutit ppliddo­n is hereby made for a Permit to Construct (4 or Repair an Individual Sewage sposal System at: -.- I-, ................................................................................................ ............................................... --------------------------*"--------------- .I,�ocation-Addressl f I or E;'K70. ; it t_3T:r1T1�r1_Q ........................... ....................... ................................................................................................. Owner Address Installer Address Type of Building Size Lot............................Sq. feet U 1_4 Dwelling—No. of Bedrooms............................................Expansion Attic Garbage Grinder 04 Other—Type of Building ............................ No. of persons............................ Showers Cafeteria -(----)- Other fixtures Design Flow_______________ _ ______________________gallons per person per day. Total daily flow-_._____.____:} -------------gallons. I -------------------------- 1:4 Septic Tank—Liquid"capacity_!:_ Length________________ Width_____._._.._.__. Diameter..._...__..._.._ Depth._____.___.__... Disposal Trench—No_ ___________________ Width_.___..._.4....... Total Length------------ i... Total leaching area....................sq. ft. Seepage Pit No____________ Diameter.........__ .... Depth below inlet__..._._,._____. Total leaching area___-; ...sq. ft. Z Other Distribution box Dosing-tank ( 1 1 ./ )/. r / , t- -..........:.......... Percolation Test Results Performed J'/ ... Date........ ............................... ----------------------------- �4 Test Pit No. 1......::�.minutes per inch Depth of Test Pit....... to ground water...................... f14 Test Pit No. 2................minutes per inch - Depth of Test Pit._.__._._..._______. Depth to ground water.._-___.__.______._.__.. P4 ­1......................................................................................................................................................... 0 Description of Soil......................................... .1 ................................................................... ­----­ -----------_- .j�_ � 7 W 1,," / /I�:j......�i LTZq/ U ........................................................­��.................................................... ..........in�........ .......................... WI rd-� I......................................................................................................................................... .......................................... U Nature of Repairs or Alterations—Answer when applicable______________________________________________________________________________________________ .......................... ............................................................................................................................................................................. Agreement: The undersigned agrees to install the aforedescribed Individual SewageNisposal Sys e in accordance with led The u4ndrs ned.f -&_ era�r es not lace the system in the provisions of TITIL 5 of the State Sanitary Code _fu r ag f operation until a Certificate of Compliance has been issued by the oa d f e Signed................................. .. ................. ......................... ................................ Date-, Application Approved By-------------f .................................................. ................................ ------- D Application Disapproved for thAfollowing reasons:.......................................................................................... at-e.............. ......................................................................................................................................................................................................... Date PermitNo......................................................... Issued-....................................................... Date A- 'THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ')(,J I -);- P ' '!"J - "LE .............i - t.'­..............................7e�............................... .............................OF............. Tntifiratr of Tautpliatta THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed or Repaired by............... ------------------------------------------------------------------------------------------------------------------------------------------------------- Instal1q, at_------------ ................................................................................................... ....................................................................... has been installed in accordance with the provisions of TITjrRi . ...5 of ke State Sanitary Code as described in the application for Disposal Works Construction Permit No....%........ ...fT............... dated-.: I----------__.. .. ............/ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUE® A A GUARANTEE THAT THE SYSTEM WILAK FUACTION SATISFACTORY. .......................... ... ....... ..... DATE....... ?...... ..................................... Inspector....... ...... .......t.................................... ................... THE COMMONWEALTH_PF MASSACHUSETTS BOARD',OF HEALTH ......... ..........OF...... ..................................................................... No... .__ FEE...�KL- Disposal Works T.I.Mnstrurtwu ";Irrufit Permissionis hereby granted................. ........................................................................................................................... to Construct or Repair an Individual Sewage Disposal System ai-No.............. ..........F.7.............. C.................................................................... ................................................ Street ;� 3 as shown,On,the application for Disposal Works Construction Permit No.....7........-........ ated..t.:------ . . . ................ ............ ........................................................ ............... ... . Board of Health DATE...................................... 11401Z�-' .4 FORM 1255 HOBBS & WARREN. INC.. PUBLISHERS VC 71C-�NlVHIH S H 5 FAMILY •• 3 BEDROOM cS/al l_yi�P L O W _ 110 X 3 - 33 0 6.P R x I' SEPTIC, TA►JK z. 330x15c>% =-19l;&.P. q USE l000 GAL. 015Po5AL PIT USE 1000 GAL. r S'I D�v/AlL A2L-A Q t�o s,F, S E S M E E Z Z. 150 S.I= X •5 a 375 Ego BOTTOM AREA r .. ,1-0 4F• 5o :5- G.Po_. . 'ToTAt- pE51GN=�t}2,S G.PD "TOTAL• DA I I_%( F%-C>W = 33O G,Po, , PE2COLATION RATE + 1''IN 2MIN ol`t_t355 i i �A SN Of M 4, ALAN fliCHAND le A. fi�a W. 1 u NES 1 `s BAXTER k, �1STEr' ���• f,' `� ' S U RN�+ - ITE-,T FG. G Top FNu=IG1. 'T o pfi.�- i��fi - INv. • L 67,N 1000 INV. Sue p15T. mv. C, 96,0 SOIL- BOX q-77 SCPTIG 9e.o INS TANK i t_EAGu 970 EA►r pIT INV. INI/. i tJITu 97.3 97-C 1 MEDIUM I'/3��' /L 5�►�D N/ASNGD �( 6TuN6 9 f CEwrII=IGD PLOT PI..AtJ PRZOFILr,= ho�4-�IoN 0STEI-Y I_._e 8 a ►.10* SCALE 5C.ALE AS NOTt.D�AT1= I/{0I83 NO WATER- IZ./10/aZ. P�.At•l REF6�ENGE 1 CERTIFY TNAT TNEMPFa0►iDA IIa1: SNGwN NEREo►.l GOMPI.�(5 1n11TN'THE S 1 DIrL1W r— AWD SE'c1aAGK R6Qv1tLEMENY� oF 'C µt^- ToW►� C>F RA'RNSTAbLt AWD 1S VAOT 1-. . G. 5-7 7 5 l_OCp.TED WITN N6 G dD PLAIN BAXTEcze myc- INC. I 'Tull PL6,tJ t 1i KlOrT BkojED 40d AW G�STtvc2Vlt:t.E- + LA'S$. I I1v5TRUMEN�' Sv2vGY �-rµE• ot=F'SETS Suout� . . 3, • . �-� t407 DC- Vg('.C�Tb pCT�-S� INC t_��' 4111G�� APPI_IGA►J"r 1ELH _ 06 G� C. 1 o4 0 ScOd ' i 8.3 '8 7 U) S L9 93•� �a� m . 4 � 47 • r � � �Q o _—�,a� B qz. ' CJ , � PRoP b�o�"�o ax 1'NO �� � d� 94. 4) f I i "o"o M �9,. ZH OF y h i. O ALAN .f•.�.. HARD. `r D t'< W. BAX7ER "a.. v Jr 4GS LC A 10 PERMIT 0. p7 ".UeSEWAGE - YILLAC0 S INS A L NAME IR ADDRESS R U D E \ DA T E PERMIT ISSU E D /7 DATE COMPLIANCE ISSUED 112-1,14(1-51 ��` � , : v„ ��� TOWN OF BARNSTABLE p LOCATION I.2 Q JA10A(f V A 4,O SEWAGE # -71 VILLAGE D Vl&e ASSESSOR'S MAP & LOT nCS-0 INSTALLER'S NAME&PHONE NO. J� NI 4 C 0 A&eVC t SOS . SEPTIC.TANK CAPACITY O o(2 T G 0o eft / LEACHING FACILITY: (type) Al C7 w (size) f NO.OF BEDROOMS 3 BUELDER OR OWNER PERMITDATE: :�3( -3 7 COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table and 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 j i i � I • y as J. L. i ._ LA A 10 SEWAGE PERMIT NO. �� - s1 VILLAGE ji 0 INS A Ll NAME i ADDRESS s U D E1t \ ZZ= DATE PERMIT ISSUED 11171 DATE . COMPLIANCE ISSUED o , i LEGEND } A� //• `\ - Edge of Pavement Pipe 2a '', \\ Fla I C water9 und, - 1ROUE CpU�IFJ .. _ -_T Telephone Une N1 WARREN'S �0,� ° ---"-' �. ,'`i- , ® Catch Basins COVE w LOCUS / Water Gate K i' 'h,. 1 EI light Pose Centaurs Spot Grade ', �' �' \ b 0 Test PR MR ee LOCUS MAP •v -- 3 Mete �z _ _ or MOTs I.Aow _ ' e-t f . O---O--- Post A Rd Fence P GENERAL NOTES: %� - _ _ 1.)THE INTENT OF THIS PLAN IS TO CONCEPTUALLY DETAIL THE LOCA110N OF / j /' ' PROPOSED POOL CONSTRUCTION AT LOCUS TWS PLAN IS NOT TO BE USED FOR CONSTUCTION. %: i �: }g,•'I 23 LOCUS AREA IS COMPRISED of ASSESSORS MAP 97 PARCEL 1 LAND COURT PLAN 5725-JI 87 C.B. END. CERTIFICATE OF TITLE P45.560 ORNERS DAWD W.WE 3 MARGARET M.WROE 26 BEACH PLUM HILL RD. OSTE MLLE.MA.02655 - �P \ AM 97 PCL 23 1)PROJECT BENCHMARK:70P OF HYDRANT SPINDLE P69 BEACH PLUM HILL ROAD O EL m 30,18 .S ' /, i' ,,/ / �°'• i/ 4.)ZONING WORMATION % s ZXw O15IWCTS RF ' eb' OVERLAY DISTPoCT:GP GROUNDWATER PR07ECTION RPDD RESOURCE PROTECTION!OVERLAY DISTRICT p 1 MINIMUM CURRENT ZONING REQUIREMENTS MINIMUM AREA:FRONTAGEMINIMUM ) \ �O 2 ACRES RPONT . • +1'•-� ,,,, f' _ FRONT YARD-W 1 SIDE k REAR YARD�13' 8a �," ^t'•' ! S)A RILE SEARCH WAS NOT DONE FUR THIS SITE:SHOULD ONE. . BE REQUIRED IT SHALL BE PERFORMED BY OTHERS ' /%' i; / i / I'•. ray `' `6 C.B. FND. 6.) THE P ROPE RTY T LINE INFRMATIOLE RECORD IN O YM IS MA ONASED CONSISTING OF PLANS AND DEEDS. THE EXISTING FEATURES SHOWN HEREON)WERE • . � i OBTAINED FROM AN ON THE GROUND FIELD SURVEY ,0!Fla. do S2�J'09'45'E ! i i % �� PERFORMED BY BARTER,NYE HOLMGREN,INC. I ' , `\ APRIL 200M j I ` I _ '� PLAN REFERENCES., PROXIMATE LOCATION OF SALC.PLAN 5725-57 PERIINSTALLER'S CARD-PERMIT#2000-548 F ' i 0� .. 7.) THE FLOOD INSURANCE RATE MAP DEFINES THIS AREA AS ZONE C. ,O1 bp7, AN AREA OF MINIMAL FLOODING 19 N. _ „ 2 k6 8•) ARE fTY INFORAIAiId!S'!OWNL CATION OF NDERGROUND HEREON: MUST l• '`� i I �\ \ `\X lU BE VERIFIED BF FIELD BY THE UCONTRACTOR AN�DD APPROPWPROMATE�U11 TY COMPANIES PAW TO ANY CONSTRUCTION. SEPTIC SYSTEM LOCATION IS APPROXIMATE PER SEWAGE PONT f 2000-5,16 \ —'J' •t ' ' 1 QP Q .�P SOL ABSORPTION SYSTEM LOCATION MUST BE VERIFIED BY UC�ED c - �1 1 i i `' 1' Ya �j? /!, fV� ' 7 \ INSPECTOR PRIOR TD CONSTRUCTION. ', \` �` �'' ENAZ ��� $7 At 120 Smoke Hill Road \ Aa e i \ ," 97520 M. PT. F o \ \ �^e� 2.24 ACREs Ostervtite,Massachusetts ;'\ r A o. •�, ; , l PREPARED FOR . \<1 3 David W.A Margaret Me Wroe TITLE Proposed Pool BAXTER,NYE 8c HOLMGREN INC. Registered Frofessional Eagioem and Land Sgry afs db 812 Main Shell,0SWvlIIe,Ma,W5 r 428 9131 Fax-508 428-3750 / A Y \ FhGan-(508) ( ) 1 i II a G� , 20 0 20 40 / 'e� z /; ) ! t ' M \�"" •I^, _ SCALE IN FEET SCALE 1'=20' DATE:5/06/2004 ;'' ♦'fib "'T OAT T /// sffio�6 REV. DATE: REMARKS �20.0 jt/`'jfT i, / ,y ��� Y • 1 �� csPYA_�� IIRLWONG NINbfR 0:\2004\2004-018\2000-018-POOLDWG q 2000-18 t �t ;I J ' -------------------------- EXIST. EXIST. ® M/BATH a ----------------------------------------- i ,l ® EXISTING J ____ _____________' LAUNDR Y :. NEW WALLS ® 12 I I P. IX8/IX — a AKE BRDS. YP. IX5 SOFFIT EXISTING WALLS IX5 FREIZE/BED MLOG, EXISTING MASTER C^ INGLES ® __-- BEDROOM PROPOSED RIGHT ELEVATION 3 �� EXISTING FIRST FLOOR PLAN I6'-O 6'S" T-10" 5'-2" TW5042 TEI'iP.V TW3O42 TIItP. - v ROOFING �� a l'-IOIS" 12'-l" n - � NOTE ERIFY AN21-3 _ = THAT BEAM EXISTS a rtt B IL.� LAUNDRY 4 pMASTER M cEL 4N'E -"-- --"r _ -.���� 9-I. BATH- 14'-4" Q _ L-o 2.�,. _. 0 FiINGLES Y LAV. 'B 21 U . — F MASTER 6 O ' TYP.IX5/IX6 '- -- - --'- --;�-- --- --'- ------dP M m,p NR:5RD5. 2 b_c-g. m m M ry TEDi x o x x -- ,�. 4 PROPOSED REAR ELEVATION //�� p NOTE:VERIFY Ml THAT BEAM EXISTS - ' FILING LINE 2•� OO,� ^ _-_ BENCH TN BENCH RED W.LG. I msI msl CEDAR 3'-4" ROOFING " OD PROPOSED FIRST FLOOR PLAN SHINGLES - ' SUBFLOOR �TYP. IX5/IX NR, BRDS. El PROPOSED FRONT ELEVATION BUILDER JOB ADDRESS DESIGN o TECENO RESIDENCE RENOVATION AND p�� Op Qj J DATE REVISION DRAWN BY PAGE SCALE� 0 000 JB Designs 120 SMOKE VALLEY RD EXTEND EXISTING Uf (U PURCHASE OF DRAWINGS LEAVES PURCHASER RESpDN51B E FOR COMPLIANCE W TH dLL R EXACT SIZE AND REINFORCEtt-T OF ALL CONGREfE FOOTINGS (w ALL FOOTINGS SHALL IX END BELOW FR05 LINE VERIFY DEPTH. OSTER V ILLE, MA. MASTER BEDROOM. ZI FORS E CONDITIONS ORAFOR EIUSE OF THESE DRAWINGS DURNG CONSTRUCTION.SIB E PRSAC IC 9 O�CAN�S RUCTIONeYERFY DESIGN W LOCAL ENGINEER tA)WI�HILpC4 EC GNEER ANDNBUILDNODo Ic�ALe g raeXRwsaaecen oz (�Bl 494-9$34 •"_'"� TYP.2X6 PT SILL TYP. RIM - RIDGE PENT 2XI2.RIDGE w '------------------------------ O 2XIO RAFTERS .G: 1/2"ROOF SHEATHING a ISEM r_________________-____----_----_'-----_ gu _ _ I5•ASPHALT PAPER �1 U Y BA NT ^I O ;-p F 2X10'e B 16"O,C.--> �'° ASPHALT SHINGLES NEW a z Q 12 j CRAWL O RED CEDAR ROOFIN e O o! •m — — 2X8s C., m 6 O. SPACEPAPER �II./- m GIRDER BELOW ASPHALT O Q Iq _ 1/2"SHEATHIN 4 R49 INSUL, ,I TYP H2 5A IX3 STRAPPING r TIES - -- - -- - 1/2"WALLBOARD _ _ - - _; ,_ D EDGE ___: :--_-___: _ 1/2"WALLBOARD RIP MASTER m 5"GUTTER BEDROOM �j 3-2x12's it 0 2X6's o 16"O,G. 2XIO's®16"O.G, O !VAULTED) O - R21 INSULATION . rc w �I I/2"WALL SHEATHING s O e o Li > Tl-'4^T— Q _ HOUSE WRAP OR EQUAL m° o(0 WO6MILL POLY m 30 INSUL. 3/4"T/G PLY, SIDING IX8 FACIA B W d•_m Q AND FIBERnESN _ MATCH EXISTING _ NAILED t GLU - -- to • OR ; ; ATGH IXESTI Eou9L i ii x 13 J _------H----- I 1 y ;; ;; 11 G ___ 2XI0'e a I6"O.C. 2XI0's m 16"O.G. _ __ _. M N . eD a EZE a p /� p / 3-2XI2's GIRDER—4 U U - FLOOD FRAMING PLAN TO RECENOTCH IVE SIDING. 4 �/�;}I/2"GONG.FILLED sPAc U 16-0" ;; v % .: 4"CONC,SLAB _ a — / LOLLY COLUMN. d CROSS SECTION (5) PROPOSED E FOUNDATION PLAN �Y EAVE DETAILS °d °d.A '8"CONCRETE WALL` DAMP.PROOFING CSA A .APPROva% °d. 4"POURED CONC.SLAB 2X6 KEY �d. °dn °dcAdn °dc °dn °d• " '"j 10"X22"GONG.FTG.-• COMPACTED GRANULAR EXISTING D BEDROOM LATERAL UPLI FOOTING DETAILS � FT FOOTING ANCHOR BOLT AND 3"X3"XI/4"PLATE WASHER Q b LL NOTE:VERIFY THAT 2X6 PT PLATE SHEA 811_ CONCRETE WALL F 2XI0's a I6"O.C,-� d BEAns EXISTS. MAIN HOU5E SPACING m m ® 2XI2 RIDGE MASTER .°Oa .°q.A •.°d.°• ,• _ BATH MIN. A dA da dA .°L'` dA A4, FOUNDATION WALL F 2XlO's r<`16"O.G. EXISTING 2Xi0's o I6"O.C. EXISTING 2XIOs s 16"O.G, °d.A `de°.°d• �.o->• °o"o °dn dA aA aA °d i/A . •n a 6 0 o a o "- -17"FROM END / °dA . OF PLATES °. �/ a a ° °d c•.Ad A°.AOA°.°d•• !!do dA e e °d° "°d.°° EXISTING ° e e . °. ° °• A °• A °• °,.° ,• 'a --- -- -- --- --- --- --- --- --- -- BASEMENT do da d�A �dn 1 '' �/ e 1'/ �dn °dn°°d• ROOF FRAMING PLAN: 000 00 moo TYF. ANCHOR BOLT SPACING CROSS SECTION (A) BUILDER JOB ADDRESS DESIGN /�U{p TECENO RESIDENCE RENOVATION AND o(�/�j/—/� joO�Jo o DATE REVISION DRAWN BY PAGE SCALE 0 0 0 o JB ;t�esigrns 3-25-19 x JB •�OF� I/4°.r-0° 120 SMOKE VALLEY RD EXTEND EXISTING w (I)PURCHASE OF DRAWINGS LEAVES PURCHASER RESPONSIBLE FOR COMPLIANCE WITH ALL !3)EXACT SIZE AND REINFORCEMENT OF ALL DONCRETE FOOTINGS (3)ALL FOOTINGS SHALL EXTEND BE OW FROSTLINE VERIFY DEPTH. LOCAL BUILDING CODES AND ORDINANCES.J DESIGNS MAY NOT BE HELD RESPONSIBLE MUST BE DETERMINED BY LOCAL SOIL CONDITIONS AND ACCEPTABLE !s)VERIFY STRUCTURAL ELEMENTS FOR DESIGN•SIZE P.O.BOX 1H9 45 B�"49¢9S -514 OSTERYILLE, MA. MASTER BEDROOM, zl FOR SITE CONDITIONS OR FOR THE USE OF THESE ORAWNGS DURING CONS R CTION. PRACTICES OF CONSTRUCTION.VERIFY DESIGN WITH LOCAL ENGINEER. WITH LOCAL ENGINEER AND B ILDMG OFFIDIALS. uE9T B4RNSTABLE MA OAz69 r ------------ WALL LENGTH-18'-0" ❑ - I FULL HEIGHT SHEATHING= ll'-A" ACTUAL SHEATHING--kS_% (Min.RequiredJ2�%) RATIO- 1.25 I EDGE NAILING=sO.C. " 'FIELD NAILING-JZO.C, L-------------J 12 SHEAF -SHEAR SHEA WALL WALL WALL SHEAR WALL RIGHT ELEVATION ------------ rWALL LENGTH-I6'-0" FULL HEIGHT SHEATHING=�-f� ACTUAL SHEATHING=-A{L% (Min.Requtred_SZ%) rWALL LENGTH-166'-Q'—-—- RATIO- 1.25 FULL HEIGHT SHEATHING-I,, EDGE NAILING=-3L0.C. ACTUAL SHEATHING=�3._% 'FIELD NAILING= 3„O.G. ' -j (Min.RegWred__E296) L------------- RATIO- I"25 EDGE NAILING=--4!-O.C. FIELD NAILING=JZO C. �n OU�I�LJ��U V0 (� - - ONT.N0005 4EADER C/1^�~- s P SHEAR.`.. sr AP �.':.'.WALL . .� SHEAR . 'SHEAR WALL WALL 77 SHEAR WALL FRONT ELEVATION SHEAR WALL REAR ELEVATION BUILDER JOB ADDRESS DESIGN l� � � �O DATE REVISION DRAWN BY PAGE SGALE TECENO RESIDENCE RENOVATION AND o �/r—UlO 0 O L��/ 0//\�l//LC�%o O J8. Designs 3-25-19 0 JB �oF� 120 SMOKE VALLEY RD EXTEND EXISTING W (N P HA URCSE OF DRAWINGS LEAVES PURCHASER RESPONSIBLE FOR COMPLIANCE WITH ALL (1)EXACT SIZE AND REINFORCEMENT OF ALL CONCRETEFOOTINGS (S)ALL FOOTINGS SHALL EM END BELOW FROSTLINE VERIFY DEPTH. F LOCAL BUILDING CODES AND ORDINANCES,J DESIGNS MAY NOT BE HELD RESPONSIBLE MUST BE DETERMINED BY LOCAL SOIL CONDITIONS AND ACCEPTABLE (4)VERIFY STRUCTURAL ELEMENTS FOR DESIGN,SIZE P.O.BOX lH5 (50BJY494-9534 OSTER V ILLE, MA. MASTER BEDROOM• �I FOR SITE CONDITIONS OR FOR THE USE 01 THESE DRAWINGS DURING CONSTRUCTION. PRACTICES OF CONSTRUCTION.VERIFY DESIGN WITH LOCAL ENGINEER. WITH LOCAL ENGINEER AND BUILDING OFFICIALS. NEST BARN9rABLE MA.OI66B AWC GUIDE TO WOOD CONSTRUCTION IN NIGH WIND AREAS IIO MPH WIND ZONE MPH ' Exp(OSURE O // // 1� D ZONE MASSACHUSETTS CHECKLIST FOR COMPLIANCE(180 CMR 5301,2,I,U' CHECK Ull\\\UVl//COMPLIANCE I.I SCOPE WIND SPEED(3-SEC.GUST).__________________________________________ __-__________-110 MPH WIND EXPOSURE CATEGORY-------------------------------------------------------------------------------.B 1.2 APPLICABILITY NUMBER OF STORIES(A ROOF WHICH EXCEEDS B IN 12 SLOPE SHALL BE CONSIDERED A STORY) NUMBER OF NUMBER OF 2 STORIES<2 STORIES N' - ,JOINT DESCRIPTION COMMON NAIL SPACING ______________________(FIG 21 ._______ __-________�)Z<12:12_�L NAILS ROOF PITCH----------------------------------------- BOX NAILS MEAN ROOF HEIGHT__________________________________(FIG 2) -------------------------------------14 FT<33' V _ ROOF FRAMING BUILDING WIDTH,W___________________________________(FIG 3)--------------------------------------k_FT<80'_ V BUILDING LENGTH,L.________________________________(FIG 3).______ _.____________-_J8_FT<80'_1/ - BLOCKING TO RAFTERS(TOE-NAILED) 2-Sd, 2-IOd EACH END BUILDING ASPECT RATIO(L/W)________________________(FIG 4)------------------------------------- 1.25 <3:1�� RIM BOARD TO RAFTER(END-N41LED) 2-Ibd 316d EACH END NOMINAL HEIGHT OF TALLEST OPENING2----------------(FIG 4)--------------------------------------A=e!<6'8" I/ WALL FRAMING 1,3 FRAMING CONNECTIONS \ \ TOP PLATE AT INTERSECTIONS(FACE-NAILED) 4-Ibd 5-Ibd AT DINTS GENERAL COMPLIANCE WITH FRAMING CONNECTIONS.__. (TABLE 21_____________________________________________ V STUD TO STUD(FACE-NAILED) 2-16d, 2-Sd 24'D.C. . TYP.FIELD NAIL SPACING HEADER TO HEADER(FACE-NAILED) Ibd Ibd I6"O.G,ALONG EDGES 2,1 FOUNDATION FLOOR FRAMING ad COMMON a 6"O.0 FOUNDATION WALLS MEETING REQUIREMENTS OF 180 CMR 5404.1 - JOIST TO SILL,TOP PLATE OR GIRDER(TOE-NAILED) 4-Bd 410d PER J015i CONCRETE______________________________________ _______________________-_________________- V - BLOCKING TO JOIST(TOE-NAILED) 2-Bd 2-IOd EACH END CONCRETE MASONRY------------------------------------------------------------------------------------ TYP.1/16"WOOD :�.' B------------------------------------------------------------------- �L .." LOCKING TO BILL OR TOP PLATE ROE-NAILED) }Ibd 4-I6d EACH BLOCK STRUCTURAL PANEL LEDGER STRIP TO BEAM OR GIRDER(FACE-NAILED) }16d - 4-16d EACH JOIST 2.2 ANCHORAGE TO FOUNDATION)} JOIST ON LEDGER TO BEAM ROE-NAILED) 3Bd }Tod PER JOIST 5/8"ANCHOR BOLTS IMBEDDED OR 5/8"PROPRIETARY MECHANICAL ANCHORS AS AN ALTERNATIVE IN CONCRETE ONLY BAND JOIST TO JOIST(END-NAILED) 316d 4-Ibd PER JOIST - BOLTSPACING-GENERAL._________ �L(TABLE 4)______________________________________ 45 IN. ( •• \ �^ •^-• BAND JOIST TO BILL OR TOP PLATE)TOE-NAILED) 2-Ibd }Ibd PER J015i BOLT SPACING FROM END/JOINT OF PLATE---------(FIG 5)----------------------------------6"-12_�IN,<6"42°�_ \ ROOF SHEATHING BOLT EMBEDMENTCONCRETE_____________________(FIG 5)------------------------------------ -I" IN.>l" V_ .., BOLT EMBEDMENT-MASONRY----------------------(FIG 5)------------------------------------ 0 IN.)15" 1/ `` TYP.EDGE NAIL SPANN ••i'•i'•»_',> -',' - -- ----- WOOD STRUCTURAL PANELS PLATE WASHER.__________________________________(FIG 5)-------------------------------------->3°X3°XI/4" V 1 (Sd COMMON a 6°O.C.) •" "- •" RAFTERS OR TRUSSES SPACED UP TO 16"O.G. ad Iod 6°EDGE/6"FIELD 111i \\ \ \\ \ •, •. •�.•• RAFTERS OR TRUSSES SPACED OVER 16"O.G. ad IOd 4"EDGE/4•FIELD 3.1 FLOORS GABLE ENDWALL RAKE OR RAKE TRUSS ad IOd 6'EDGE/6"FIELD FLOOR FRAMING MEMBER SPANS CHECKED------------(PER 180 CMR 55.00)---------------------------------- I/ f I RAFTER CONNECTIONS I WITH NO GABLE OVERHANG MAXIMUM FLOOR OPENING DIMENSION----------------MIG 6)-------------------------------------- 0 FT<12'�L NON- '�� TYP.H2.511E5 TYP.HORIZONTAL DOUBLE GABLE ENDWALL RAKE OR RAKE TRUSS etl IOd &'EDGE/6"FIF1D FULL HEIGHT WALL STUDS AT FLOOR OPENINGS LESS 2'FROM EXTERIOR WALL)FIG 61____________________________ �L LOADBEARING I W/BTRUOTURAL OUT LOOKERS - NAIL EDGE(STAGGERED NAIL MAXIMUM FLOOR JOIST SETBACKS STUD HEIGHT ,. GABLE ENDWALL RAKE OR RAKE TRUSS ad 10d 4'EDGE/4'FIELD SUPPORTING LOADBEARING WALLS OR SHEARWALL.(FIG l)_____________________________________-0 FT<d I/ UPLIFT PATTERN ad COMMON!33"O,G. W/LOOKOUT BLOCKS B NEGNi 20' •'-' >'V • P�l/16° LOADBEARING MAXIMUM CANTILEVERED FLOOR JOIST _ 1 CEILING SHEATHING SUP ORTING MAX.WALL I �Ju I WOD STRUCTURAL STUD HEIGHT GYPSUM WALLBOARD lad COOLERS - l"EDGE/10'FIELD FLOOR BRACINGLAT ENDWALLS WALLS O--SHEARWALL-(FIG 9�J.__ Q <d�- VERTICAL PANEL SHEATHING FLOOR SHEATHINr TYPE _____ ___ .1 _ .(PER 150 CMR 55.0) _ ._ _ ._?L -.', MAX.WALL .WALL SHEATHING . FLOOR SHEATHING THICKNESS. ____ _ ____.(PER ISO CMR 55.0) ___. _____ ___ 3/4 IN._�� •'�.- P yERTICAL EDGE N IL HEIGHT K, WOOD STRUCTURAL PANELS FLOOR SHEATHING FASTENING. .(TABLE 2J�d NAILS AT SIN EDGE/ 12 IN FIELD V I _ A SPACING(ed COMMON STUDS SPACED up TO 24'O.C. 6d IOd 6•EDGE/12'FIELD II II� I _O.CJ I'll AND 25/32'FIBERBOARD PANELS ad - 3°EDGE/6"FIELD 4.1 WALLS I R"GYPSUM WALLBOARD 5d GAOLERS T EDGE/10"FIELD WALL HEIGHT LOADBEARING WALLS-----------------------------(FIG 10 AND TABLE 5)-------.______________--10"FT(10' S FLOOR SHEATHING NON-LOADBEARING WALLS------------------------(FIG IO AND TABLE 5)----------------------- 18 FT<20' L ' '> •',' MON .C. WOOD STRUCTURAL PANELS WALL STUD SPACING.________________________________(FIG 10 AND TABLE 5)-------------------Jr IN(24"O.C.�L I I"OR LESS ad IOd 6"EDGE/12'FIELD TYP,FIELD NAIL PACING -• 8d COM • O WALL STORY OFFSETS_______________________________(FIG 1<B)----------------------------------- 0 FT(d L ' '•: '•>- I GREATER THAN I" IOd 106 6"EDGE/6"FIELD 4.2 EXTERIOR WALLS' p r WALL STUDS I GENERAL NAILING SCHEDULE LOADBEARING WALLS-----------------------------(TABLE 5)------_---------------------2X-6---'L-FTJQ IN�� ,°LATERAL 1 ( I NON-LOADBEARING WALLS.------------------------(TABLE 5)----------------------------2X-r.- FT-10-IN�� GABLE END WALL BRACING 1 ' FULL HEIGHT ENDWALL STUDS---------------------.(FIG 10).--___._________-__________________-_ _ ____ �V WSPATTIC FLOOR LENGTH-------------------------(FIG IU.______________ ______-QFT>W/3_\/ '° d'°•.°Cn '1 Oe•.°d e•.° GYPSUM CEILING LENGTH(IF WSP NOT USED)--------(FIG IU._________________________________. 0 FT)0.9W L > e r o AND 2X4 CONTINUOUS LATERAL BRACE 6 6 FT,O.C,(FIG II)______________________________________________ �L ,°bn .°bn SHEAR I e °°'°•- OR T CEILING FURRING STRIPS e e e° STUD SPACING;° °°° '°°°• STUD SPACING° p•e•°• DOUBLE TOP PLAT I6°SPACING MIN.WITH 2X4 BLOCKING•4 FT.SPACING IN END__________. �L p'° JOIST OR TRU55 BAYS--------------------------------------------------------------------------------- �_ °•P E\ DOUBLE TOP PLATE A° 24"O.C.MAX, a 24"O.G.MAX. SPLICE LENGTH_____________ ______.(FIG 13 AND TABLE 6)-------.-------------------_B-FT_�L ,. SPLICE CONNECTION(NO.OF 16d COMMON NAILS). (iA5LE.61______________________________________� �L °•. ° ° •. ° •. a•, e,•° a• e, o a LOADBEARING WALL CONNECTIONS ° ° ° v ° b.e•.°p'e•.°ba•"°b•• _- -� - - '•° .°ba be b•e p•n ?A LATERAL(NO.OF 160 COMMON NAIL51__________-(TABLE l).--------------------------------------- 2 �L '' '.' A NON-LOADBEARING WALL CONNECTIONS ° II DOUBLE NEADER-_/I LATERAL(NO.OF Ibd COMMON NAILS)__________.(TABLE 8)_______________________________________� �L LOAD BEARING WALL OPENINGS(RECORD LARGEST OPENING BUT CHECK ALL OPENINGS FOR COMPLIANCE TO TABLE S) .ill HEADER SPANS.--------------------------------(TABLE S).___________________________.AFT 0 IN.<11' N`�j�BILL PLATE 5PANS-------------------------------(TABLE 9)._____-_____________________- T Q IN.<W I/ FULL HEIGHT STUDS(NO.OF STUDS)______________(TABLE S)---------------------------------------_3- _ V MAXIMUM WALL STUD HEIGHT , STUD SPACING , FULL NON-LOAD BEARING WALL OPENINGS(RECORD LARGEST OPENING BUT CHECK ALL OPENINGS FOR COMPLIANCE TO TABLE 9) HEIGHT HEADER SPANS______________________-----------(TABLE S). ------- 0IIN.(12' 1/ RAFTER CONNECTION AND WALL SHEATHING •I+ STUD SILL PLATE SPANS ___.(TABLE 5).____________ AFT 0IIN.(12'�L OUBLE JACK STU FULL HEIGHT STUDS(NO.OF STUDS)._____________.(TABLE 9)--------------------------------------- 2 �L REQUIREMENTS AT EACH END OF HEADER II' I EXTERIOR WALL SHEATHING TO RESIST UPLIFT AND SHEAR SIMULTANEDUSL�' MINIMUM NUMBER OF 'I MINIMUM BUILDING DIMENSION,(W J HEADER SPAN HEADER ALL-HEIGHT UPLIFT LATERAL SILL PLATE (I ' " (FT.) SIZE (LB.) (LB.) NOMINAL HEIGHT OF TALLEST OPENING._______________________________________________________.2-Q(6'8°_)L STUDS - _ _ THING TYPE________________________________(NOTE 4)._____________________________________. 112 IN.�L EDGE NAIL SPACING----------------------------.(TABLE IO OR NOTE 4 IF LESS)------------------- IN. V 2' 2-2X4 I 21l 132 ._ ___ ____ _____ .___ ____ FIELD NAIL SPACING----------------------------.(TABLE 10) .___________________________________ IN.�L SEE PAGE 3 OF 4 3' 2-2X4 2 416 198 I . SHEAR CONNECTION(NO.OF 16d COMMON NAILS) (TABLE 10)_______________________________________ _V 4' 2-2X4 2 554 264 PERCENT FULL-HEIGHT SHEATHING________________(TABLE 10)------------------------------------ % �L 5%ADDITIONAL SHEATHING FOR WALL WITH OPENING>6'8"(DESIGN CONCEPTS) (_ 5' 2-2X4 3 693 330 MAXIMUM BUILDING DIMENSION,(L) 6' 2-2><6 3 831 396 " No HEIGHT OF TALLEST OPENING 4-3'<6'8'_�L ..'!' ---- --.•A' - ._R. .:ko � SHEATHING TYPE-------------------------------(NOTE 4)________________________________________1/7 IN. V l' 2-2X8 3 9l0 462 EDGE NAIL.-SPACING-----------------------------(TABLE II OR NOTE 4 IF LESS)---------------------IN.�L b•e p•e .°b'n b'e .°b• .°bn 8' 2-2XI2 3 1,108 528 ° FIELD NAIL SPACING---------------------------- (TABLE IU--------------------------------------- IN.�[_ SEE PAGE 3 OF 4 .° `o•�.a ,o , a owY ° n SHEAR CONNECTION(NO.OF Ibd COMMON NAILS) (TABLE III_________ __�L 9' 3-2X 10 3 1�41 594 °,•.° cal a ,.. a•° PERCENT FULL-HEIGHT SHEATHING (TABLE IU.______________________________________-% _]L 10 3-2XI2 4 1,385 660 '° - p'e .°d•e p•e b n p•• n': °'• "•. .°b•e .°OA 5%ADDITIONAL SHEATHING FOR WALL WITH OPENING)6'8"(DESIGN CONCEPTS)-----_------------------- �� ,- `� ° 'p ° `� 'p TYP,ANCHOR BOLTS AND ° e ° II' 4-2X10 4 1,524 l26 °, a••_ ° o• e• 3°X3"XI/4°PLATE WASHER ° WALL CLADDING RATED FOR WIND SPEEDi______________________________________________________________________________. �L '^ .°b'A °bA °b'e °b'e °be da 0•e b'n d'A .°b'e 5,1 ROOFS WALL OPENINGS - HEADERS >. ROOF FRAMING MEMBER SPANS CHECKED?(FOR RAFTERS USE AWC SPAN TOOL,SEE BBRS WEBSITE) IN LOADBEARING WALLS °°A-`°.° ''-°.° '°b'e °p'e °b'e °p•e °b.e G °p•A °b'e ROOF OVERHANG._________________________________.(FIGURE I97._____________�.�FT<SMALLER OF 2'OR L/3�� TRUSS OR RAFTER CONNECTIONS AT LOADBEARING WALLS PROPRIETARI'.CONNECTORS °°•° °°.° °°�° °°° °°° °°° °°° °°° °°° °° UPLIFT______________-------------------------(TABLE 12) ,. +. LATERAL-- .________________________-__________-L•j2kPLF V SHEAR ___________________(TABLE 12).___________.____--_________________-S=_lLpLF V RIDGE STRAP CONNECTIONS,IF COLLAR TIES NOT USED PER(TABLE 13)-----------__-------------------T•J62PLF V GABLE RAKE OUTLOOKER---------------------------_(FIGURE 20).------------- 0 FT(SMALLER OF 2'OR L/2 V TRUSS OR RAFTER CONNECTIONS AT NON-LOADBEARING WALLS PROPRIETARY CONNECTORS UPLIFT-----------------------------_----------(TABLE 14)-------------------------------------u•-4L3yB.-V 1 LATERAL MO.OF Ibd COMMON NAILSI---------(TABLE 14)-------------------------------------L•JA&LB._]L STUDS AND HEADERS ROOF SHEATHING TYPE------------------------------(PER 180 CMR 58.00 AND 51.00)._.-------.----------- �L ROOF SHEATHING THICKNESS______________________________________________________________ 1/2_IN.>1/16'WSP 'I ROOF SHEATHING FASTENING. _____________ (TABLE 2)--------------------------------------------- _V AROUND. WALL OPENINGS BUILDER JOB ADDRESS DESIGN DATE REVISION DRAWN BY PAGE SCALE - TECENO RESIDENCE RENOVATION AND /l luf - » JB F� I/4"�r-o27- 120 SMOKE VALLEY RD EXTEND EXISTING 111 (I)PURCHASE OF DRAWINGS LEAVES PURCHASER RESPONSIBLE FOR COMPLIANCE WITH ALL (2)EXACT SIZE AND REINFORCEMENT OF ALL CONCRETE FOOTINGS (3)ALL FOOTINGS&HALL EX END BELOW FROS LINE VERIFY DEPTH. - - F LOCAL BUILDING CODES AND ORDINANCES,JB DESIGNS MAY NOT BE HELD RESPONSIBLE MUST BE DETERMINED BY LOCAL SOIL CONDITIONS AND ACCEPTABLE (4)VERIFY&iRUCTURAL ELEMENTS FOR DESIGN(SIZE P.O.BOX 2B9• ,�Jr'OBl y4 -9J� OSTER V ILLE, MA, MASTER BEDROOM. DI FOR SITE CONDITIONS OR FOR THE USE OF THESE DRAWINGS DURING CONSTRUCTION. PRACTICES OF CONSTRUCTION.VERIFY DESIGN WITH LOCAL ENGINEER. WITH LOCAL ENGINEER AND BW DING OFFICIAL&. ()EST BARNSIABLE MA 01688 i i. 4 k z ' sib N �(� 1.V�/VAD�•ti S�H"�i�cl►-E 21� _ AN Nwsr-Ai Oct iPietFsa j2© 2 �i1AJ Z1CiRh1 Eft g /}2•1 — — — — — — — — — — — — — — — — — — — — I i I i i I j pa,'gIE� - - - - _ 4 A A A A I�- e fl CY.11—SE-fil Fri 3 5 BED ROOM N3 rrep £Ysf iN J u -------- ` II - - - - - - - - - - - - - - - , 4 BED ROOM 82 ------ CLO. �"�"��( CLO. N 201 -----� ATTIC — — — — — — — — — — — ATTIC B � 4 9 - - ply.2reCilq I-z o ff 2 i'4 SIGN ((��pc� j) SECOND FLOOR PLAN I I GO S.F. OLS05ELMAVEN EOCATES 1 `V Hyannis,Massachusetts 02601 SM77543W emall.asonAesign@melmn.nec SCALE 1/4" = 1'-0" EXISTING CONDITIONS 1 120 SMOKE VALLEY { BARNSTABLE,OSTERVILLE f' DRAWN FOR: BARNSTABLE HARBOR VENTURES,INC. EXISTING SECOND FLOOR PLAN tea. D.O. 9/1 5/05 A 2 i f t. W '5 " &S4 ),ovg65-L[o 914 29'4 27— d`4 26'4 ' � 2'6'v 4'.6' T-6'.4'6• 5'4 21'4 § DINING § `P CLO. CLO. d'.6• 1-6•.4'-6• . - ®® MASTER BATH UV GARAGE ENTRY ° KITCHEN ®� O s4 - a T 13'-a a MASTER BED ROOM DEN/DIN m ` Y LIVING zc,4'.6• za•,d•-6• FOYER z.6•,d•s 2'.6,4•.6. § § § r6, BRICK PORCH n ea4 z4 ze•4 2— al`4 OLSON DESIGN ASSOCIATES EXISTING FIRST FLOOR PLAN 1860 S.F. OD "_'email-""��sa",�" °Z@' ..'rA300 olsondesign®verizan.neI SCALE I/4" = I'-0" ELX TiNG=CONDITIONS �120,Smo----AL-L-EY =B— STABLE,OSTERVILLE .� DRAWN FOR: BARNSTABLE HARBOR VENTURES,INC. EXISTING FIRST FLOOR PLAN D.O. AT 1 �,/,sro8 I I I f e. LF 2i 61'O I I I I I I I I I I I I I I I I I I I I I I I I I ATTIC - I I BATH u6nr Y_ 5� u- AV, BATH BED ROOM N3 a CLO. I 11 I'-0 I/Y ^j ___n�___ tab Irz• C I I 4 -- I'I�lll § CLO. ________ CLO. CLO. CLO. _ _ _ BED ROOM N2 . I _ za-z Irz• ___—_- I ATTIC ATTIC 9 § 9Y4 GLSON DESIGN ASSOC IATES XISTING SECOND FLOOR PLAN I IGO S.F. O�J HyannSa,EMMaMuNseUttEs 02601 508-7754300 email-olsonoesign@verizon.net SCALE 1/4" = 1'-O" EXISTING CONDITIONS 120 SMOKE VALLEY BARNSTABLE,OSTERVILLE _ DRAWN FOR: BARNSTABLE HARBOR VENTURES,INC. EXISTING SECOND FLOOR PLAN D.O. or aroma er �9,15,a8 A-2 NEW OPEN GU LA � - -- TYP.NEW IxS/Ix3 FIXED- uNlr I � G E 141 RAKE BRDS. EM�%T WIG vU(r �n.l- f - ill TYP.NEW IX5 SOFFIT r r r r _ - I J< O\% G IX5 FREIZE/BED MLDG- _ ��I I .� = f - ■ -- HIP - EIJ II II E pr � HIP NEW TIN ROOF NEW TIN ROOF NW s � ��NEW TIN ROOF= a NEW TIN ROOF I I _ i NEW R.C. HINGLES I =- r r ---- - - - 6AB �, HEADER_BEHOND r r - --- f II�II -I ExlsnNG uExISTI�G I I I I `a •a I - - OOLUFINS R 6OLUMN9 ! � ' ���- I", r:,. - • TYP.N 12' HLLd �� — ° '. -I ;� }_ Ji• m�,® CUSTOM COLUMNS rI LNEW-STEP—°—I PROPOSED FRONT ELEVATION ND„D�AE a NEW OPEN Q P LA TYP.NEW IX8/IX3 FIXED UNIT - RAKE BRDS. GLA B I4X14-2 = I - TYP.NEW IX5 SOFFIT �- - I IX5 FREIZE/BED MLDG. I: I I - II..,I rl EXIST. I �I —_-- NEW TIN ROOF - E n /�T O 5� (I G — I ABLE (/,\l ICJ U OQVII NOTE LO I H wER i� EADER'I �• I I-I' TYP.NEW 14 2 I I Ili r I I. I Ill I I -J NEW N' CUSTOM COLUMNS LSIDI LSIDI i 1= III^ EXISTING II W o 0 o mLi PROPOSED REAR ELEVATION ND„D.DAE BUILDER JOB ADDRESS DESIGN DATE REVISION DRAWN BY PAGE SCALE - j TECENO RESIDENCE RENOVATION (✓c�%(✓oc�/��/�// U � OV�o 12_1_l� • JB •�"-ta I/4°.ro" JB Designs V 120 SMOKE VALLEY RD W lU PURCNdSE of pRdWING9 EAVES PURCHASER RESPONSE E FOR COMPLIANCE WITH A I IXdCT SIZE dND REINFORCEMENT OF dLL CONCRE E FOOTINGS 3J dLL FOOTINGS&dLL FX END BE W FROS LINE vERF DEPM. - - 1- LOCK BUILDING CODES AND ORDINANCES.M DESIGNS MAY NOT BE HELD RESPONSIBLE MUST BE DETERMINED BY LOCd1 SOIL WNDRIONS AND ACCEPTABLE(4)VERIFY STRUCTIRAL ELEMENTS FOR DESIGN l 812E PA.60X b9 eWa.)494-W34 oSTERv ILLE, MA. ZI FOR SITE CONDITIONS OR FOR THE USE OF THESE DRAWINGS DURING CONSTRUCTION. PRACTICES OF CONSTRUCTION.V IFY DESIGN WITH LOCAL ENGINEER. WITN LOCK ENGINEER AND BUILDING OFFICIALS. lIEST 041PNBIABLE/ld.OMEB 3 EXISTING a — GARAGE e. ------- -- EXISTING DECK EXISTING EXISTING DECK LIVING AREA .9 • 66 OR IT 66 R IT 66 R T --------------------------- ® - - -----'-----------'----------'- EXIST. (—CEILING LINE 23'-II15": EXIT. M/5ATII __ _______ _________ _________ _ __ ______-__ _ TIP.SIZED STEEL GOLUNb NEW bIZED!Al WIO BEAM _.. D' _ _ - ------- . --- o d __ __ - ________ ,- ___ NEW CEILING LINE _____ W.I.G. --------------- V O COVERED r m 1 / NEW EXISTING m 0 �X�; EXISTING FEI] o n PORCH a O, EXISTING EXISTING / SITTING ® Q; KITCHEN SITTING LAUNDRY AREA ;� AREA i — I =(I EXISTING m -------------'..-'- --- i NEW OPEN It; GREAT RM. ® NEW CUPOLA „. Neu cATHerRAL F.P. ;z ABOVE a; :z• m 2X6 C.J.'--3 ••� B I6"O.G. -- ;' EXIST. --- ■ 8 ID BATH M m ❑ e O; MASTER DO z BEDROOM GLA55 GLA65'-, 'GLASS GLA98'�, DOOR m NEW 32X26 31k26 32Sdb 3AQ6 UNIT -- COVERED �����'----------- PORCH - g'_4' ', _ - .a ..„_. n5"THK II N0 nl EXISTING 4 O= CONG.aLAB COV �p ------ -RED a DINING X wi9ia'Roos IIII PORCH __________ g a OR EO AL. FOYER EXISTING IIII 1'TP.12"CUSTOM COLUMNS OFFICE IIII eeeee=====_"___________ _ _e eeeeeeeeseeeeaeeeeeeaeeeea 10'-2Vi"t 9'-gas" Id-o IIII NEW �.U F—2X6 C.J. (III COVERED V O g M. m e I6"O.C. PORCH n`—� IIII a EXISTING AND NEW Q EW SIZED(B)9112"LVL'e COVERED PORCH `+�} Q -eeeeee_ ee ee eeeaeeeeee==e=e=eeeee ae ee� 20'-O": I0'-0' 8'-0," II'-115": 28-915! Neu eTEP IB'-41t" PROPOSED FIRST FLOOR PLAN (NEW GABLE) (NEW GABLE) BUILDER -JOB ADDRESS DESIGN _ ��00�D�0� 0o f'�Ifcf�f� 0 f�I DATE_ REVISION DRAWN BY PAGE SCALE TEGENO RESIDENCE RENOVATION c ✓c,✓w, JMHO OlSDEslaivs,co 0 ✓� Des>gns 12-1-11 M JIB •�oF1QH1/4%IV-O"120 SMOKE V}A�ILLEY'RDW, "I P RCHABE OF D RAWINGS LEAVES PURCHASER RESPONSfBi c FOR COMPLIANCE.-A Z IXACT 0 ZE AND REINFORCEMEN OF ALL CgNCRE E FOOTINGS 3)ALL FOOTINGS&ALL IX END BELOW FROSTLINEOSIERvILLE, 1 1A. CODES AND ORDINANCEO,B pESIGNS MqY NO BE HELD RESPONSIBLE MSTBEDE ERMINEDBY LOCALBOILCA 0R10N9ANDgGOEP ABLE !4)VER FT S RUC URA E E ENTB FOR DESIGN T 912 P.O.6pX�S (l�g)4 � 44 ' _ ZI FOR SITE—NOITION.OR FOR THE IIBE OF hiEBE OR—."I—I-CONSTRUCTION. PRACTICES OF CONSTRUCTION.VERIFY DESIGN WITH LOCAL ENGINEER. W.LOCAL ENGINEER AND BUILDING OFFIVALO. PEST BARMTABLE MA 02M.B' EXISTING L GARAGE EXISTING DECK �L r EXISTING DECK EXISTING LIVING AREA I ________-___ O O EXIST. ❑ o EXIST. O MBATH W.I.C. EXISTING _____ EXIST. 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WRN LOCAL ENGINEER AND BUILDING OFFICIALS. flE9T BARHBTi1BLE M6 02Ldr9 2X6 RAFTERS m I6"O.C. a I/2"ROOF SHEATHING V 1�D 15•ASPHALT PAPER COPPER ROOF yj T i11 i� ZX�IMT GLASS m _ _ 24X24-2 S� • 2X8 RAFTERS m 16 2X4'e IS""O.C. �g sril, x4'e m I6" ?6 2-2XI0'B 1/2"ROOF SHEATHING 12 c 5'-8" 2X8 RAFTERS m W' 15•ASPHALT PAPER ° 1/2"ROOF SHEATHING 12 r�qc ----- -------- ----- -- -' I5•ASPHALT PAPER 4 ASPHALT SHINGLES _ __ _________ r?'P:6------PA _ ._ ____._____.. . R4 INSUL. tig,fie. ASPHALT SHINGLES m tYP=6X8 B Nri ® `Ix0 T/G BIRDS, IX3 STRAPPING R49 INSUL �2-t 9.2XIO'e IX&T/G BROS.NEVI SIZED S I/2"WALLBOARD ® IX3 STRAPPING WIO BEAM �� 3-2xlo'e NEW _ m 1/2"WALLBOARD WIO BEAM COVERED " Q NEW « PORCH O EXISTING COVERED EXISTING ,r GREAT ROOM 4 PORCH GREAT ROOM 4, CUSTOM COLUMN LL} CUSTOM COLUMN 5"CONC.9LA F� ...IC .. .. ... .. .. ... ... ... < 5"GONG.SLAB I I 4 , 4 O F CROSS SECTION (B) CROSS SECTION (C) 2XIO RAFTERS m I6"O.C. 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B_:;.BC=--7L=-o6 UC-" .a C.—W B=--fl-p =wc_:19.—.._E-� �5--�e�: -,� ` LOWER LEVEL REFLECTED CEILING PLAN LOWER LEVEL ELECTRICAL PLAN 1 n SCALE:114'=1-0' Z SCALE 1/4°=,'-0 p' �OLu M uEU"LI� �S SAVE R U LEGEND LIGHTING SCHEDULE PROJECT:ADDRESS DATE: JULY,2019 SWITCHING&OUTLETS - TOWN,Mn - - - ARCH ITECTS•BU ILDERS . $ SINGLE POLE SWITCH DIMMER SWITCH - -& MDUPLJiYaJnEr BY ELECTRICAL CONTRACTOR - - 157.Brewster-Chatham Road KEY QTV MANUFACTURER TYPE TRIM MODEL LAMPS REMARKS - (Route 137) 3WAV SWITCH TaOV WPLEXOVTLET - YWAVDIMMERSWITCH A 22JUN0 4"RECESSED(TYP) 4RLDG209LM IC1tE0T24 2700LED TYPICALoowrvuGHr East Harwich,MA 02645USA 4WAYSWITCH $ T20V0UADOUTLEr B 8JUN0. 2"RECESSED 2LED G21OLM 120 270OLED WINEROOM : .. 508.945.4SOO D 4WAY DIMMER SWITCH C 3JUNO 4"RECESSED(WET) 4RLDG209LM ICILEDT24 270TLED BATHROOM/SHOWER —T"'T$ psdab.COm SWAY SWITCH FILOORIDS DOOR POSITION SWITCH ® (LOCATION O EE VERIFIED N FIELD) G 1 SURFACE MOUNTED 270OX LED PORCELAIN BULB HOLDER ENTRY 3®'y- ------'� -- ITIfo@psdab.COm H URFACE MOUNTED CLOSET UGHTw HINGE SWITCH �1 �' n AI 3 s / ST RS H _ - LIGHTING&VENTILATION � F1 1Fantech EXHAUST FAN P8270w/IPHSS CONTROL REVISIONS K 2 UNDERCABINET .KITCHENETTE ` �� 2 RECESSED LIGHT FD(RJRE a WALL SCONCE ®EXHAUST FAN _ i. -.�_...� �. +RECEWWWALLWASHER (2) SURFACE MOUNTED FDITURE - SELECTED BY OWNER rJ 2. o CONRNUOUS LED STRIP KEY QTY MANUFACTURER TYPE TRIM MODEL® LAMPS REMARKS 3. --PENDANT 0 1 WALLSCONCE(INT.) PORCEWNBULBMOLDER BATHROOMVANITY ►b FLOODLIGHT - CERNG FAN E 1 PENDANT WINE ROOM I 1 WALL SCONCE(INT.) .FIRSTFLOORENTRY - - - 0 A•U• SESWITCHED T FIXTURE LED UTILITY LIGHT 1 2 CEIUNG MOUNT STAIR LANDING - - - — - EKD(ED BY -g:c TRACK LIGHT NOTICE OF COPYRIGHT . THISDRAWING LS THE PROPEAtt Of THE ARC101ECr. . .LIFE SAFETY TEL-DATA&A/V _ IT HAS Ma PREPARED sPEOFIcxLY MR THE OWNER,MR THIS PROJECT AT THE LOCATION NDIF $O SMOKE DETECTOR �TELEPHONE = IN-WALLSPEAKER .. .. TH¢oRAwINC IS Morro aE usEO MR Arrc OTHER FUNM9E LO(AITON OROWNE WRHIXITTHE❑ R ©GARBONMONOXIDE DETECTOR r­-.1CAT6 DATA OUTLET O IN-CEILING SPEAKER Q_ .. wLJIT CONSENT KU TTJEARL2RTEGT. `` 2019 Polhemus Savery DPSHw ..O HEAT DETECTOR ®ALARM SYSTEM KEYPAD TITLE: .. .. .. ' .MISCELLANEOUS � TypI - pIEJONn9)QRt wm wRlNer TF VO CENTRAL OD PORT DOORBELL LOCATION ®GARAGE DOOR OPENER J Juro - RCP & LOWER THERMOSTAT LOCATION C DOORBELLCHIME 'CLUEOTA 'aLEDT26 PARTIAL FIRST FLOOR ELECTRICAL PLAN PPPC. O � _ 414D(,Z WIM TTL 900U 32DFimC WWN;6RIAQ O6UA 271L 9D00320 ) . 3 SCALE:114=,,-0. LEVEL T L ELECTRICAL PLAN . 2LEDDRNOKQ101M=FRPC 2LEDOMMG21OLMLZDFPPC - 2LEDTL9MG20EJMSNCNww, zMOTRNEGZADJM90CRlFLEMH File No. ELEC.dw9 Date 10-05-2020 Sheet No E- 1 . O CONSTRUCTION DOCUMENTS 10-19-2020 I LEGEND LeachingArea Require qments EXISTING PROPOSED i <r., , If r: C.B. FND. a `� 2$ 6 BEDROOMS AT 110 GPD/BEDROOM = 660 GPD /`' f '! 1 ° f _ Edge of Pavement R00 ' f p r W Water Pie ��,- CO N (� ADDITIONAL 50% FOR GARBAGE DISPOSAL N.A. r f i f G Gas Line Y,A Electric Line N WARREN„'S p9 PERC RATE = 2 MIN. / INCH (CLASS 1 ) COVE Line one N F �;'' l ' T Telephone C p b - wROE `f- f` f` f ;(/ LIAR - 0.74 GPD/S.F. ' '�. i' ,' if ✓ r' ' y LOCUS L ® Catch Basins LEACHING MIN. S.A.S.wv .G AREA OF S >w 6 P / 0. .F. = MIN. f f �Q Water Gate �v; 60 G D 74 GPD/S.F. 892 S.F. �, �' ;' / 1 Light Pole Q �,0 f! ''r,. .r J,. ,' ,' Utility Pole ,• �, ,' , ,,,. :. ,,. � ,. r ; .— � PROPOSED SYSTEM i rx� , f,�' �f �IENT �' �^ .�t)-.' Contours 50 f,, Spot Grade LOCUS MAP 968 SQ. Ff. WITH A CAPACITY OF 716 GPD 1 '' r 6 / s •_ t Pit 50.0 , r' - Test = �. • scA1>; 1 z,000 j Meters ASSESSORS , r e r` MAP 97 Gv PARCEL 5-1 r �. I� Gas Valve 04 °o r` Post ail Fence Pa & Rail ZONES GENERAL NOTES °°, a MULC / j' +< E9 / c� R F & GP ALL SYSTEM COMPONENTS SHALL BE INSTALLED IN ACCORDANCE WITH 8• i' `y TITLE V OF THE STATE SANITARY CODE DATED • l ;. ,. ,f ryo - � MINIMUMS / _ ' " AREA 43,560 S.F. MARCH 31, 1995"& ANY LOCAL RULES APPLICABLE. PROF�SiD f _ i'' / AM 97 PCL 23 t �r FRONTAGE 15 r r }� FRONT SETBACK = 30' ANY CHANGE TO THIS PLAN MUST: BE APPROVED IN WRITING FND. !J 1 f DDITIOPI r PERF( � ED PVC DISTRIBUTION s ti — i ✓ r;_ -,.r, i PIPE ALONG LENGTH of CULTECs SIDE SETBACKS 15 BY THE DESIGNING ENGINEER. S2i7 09 45 E r _ r f REAR SETBACK 15' t14.5 r ! ; ;} , . , ; ,✓ I ; _ WHEN .CONSTRUCTION IS COMPLETED, PRIOR TO BACKFILLING, \ BUILDING HEIGHT 30 • NOTIFY THE ENGINEER & BOARD OF HEALTH AGENT I FOR INSPECTION. ;II � :B. FND. ._.. S t / N WITHOUT WRITTEN THESE ELEVATIONS MUST NOT BE CHANGED 0 r , i APPROVAL BY THE DESIGNING ENGINEER. PUMP AND BACKFILI_ I I 1 i EXISTING SEPTIC SYSTEM t �, L ! I PIPING TO BE 4 SCHED. 40 PVC: , ALL..SANITARY DISPOSAL SYSTEM 0 1 I ;: ., • , ; • ! , , , , �• LOCATION OF UNDERGROUND UTILITIES ARE APPROXIMATE AND , ;, 0 !i , 1 - � � , , .� 1 :• - ! , III ,,.... " SHOULD BE VERIFIED IN THE FIELD BY THE APPROPRIATE ± + c oc UTILITY COMPANY PRIOR TO ANY CONSTRUCTION. I , i P ; I • I� t LAWN i LOT y A 1 ! . . j 97520 SQ. t3 i ,: 2.24 ACRES 1 f 1 - Ut o , {{ EXISTING FINISHED GRADE , \ \ f r SEPTIC SYSTEM / „ \ \ \ \ \ \ \ \ \ \ \ \ \ COMPACTED FILL j' G, cA GARDE #,' r �. \/\/\/\/\/\/\/\/\/\/\/\/\ ��/� CO C ED LL _ b o, % i I _ t 36MAX.- 12MIN.. / l , ,r PERMIT # 95 9 28 \\/\\/\\/\\/\ \\/ .; .. PEASTON LAWN i 3/4 TO 1 112 G ° ! o Z � • ' DOUBLE. GARDEN F , �(,) .,��Q^ \. •.':' ,-. a • %d ''WASt .11 Siviv'E I' SEC'i'lUN 5,. NO SCALE c�� J, ..� LAWN i O • F it � , , �� N � � �, 01• I CULTEC RECHARGER -�30 ALL PIPES TO BE SCHEDULE 40 PVC a ,. � KUCHwsKr NOS r \ • t f.? l a CIVIL LLJ 00 :` S N /• ` d• 1" '; G /� � LAB 1 i ,, , , , J f1, < 7�' ,I � Septic System Design , P Y 9 sr 3 2 r . , f 4 , , / I At 120 Smoke Hill Road r f � / I BENCHMARK , , t � ' I I st rv�lieMassachusetts 9 0 e TOP OF SPINIDLE #26 - r 1 BEA CH PLUM HILL. ROAD r t EL. - 30:18 7 PREPARED FOR c� , , ' DAVIR W. & MARGARET M. WROE ri , TITLE � BAXTER, NYE & HOLMGREN INC. ' '. Design Schedule E��aTiory Proposed Addition � Septic System , : L 9. _ p p Y .iZ FI,E TYPICAL. SYSTEM � O OIL LOGS DATE . 04-20-00 P 9732 FIRST FLOOR EXISTING 54.93 ; ENGINTEER BOARD `)F HEALTH AGENT First Floor FINISHED BASEMENT FLOOR NA ,r NOT TO SCALE John D. Kuchmski, PE Donna uorandi, Barns.Health Dept., . CONSTRUCT ACCESS FINISHED GARAGE'FLOOR NA P MANHOLE OVER INLET TO TANK wTO AT LEAST SEWER INVERT AT FOUNDATION EXISTING TEST PIT 1 81�1�1�-.� 1 t► l�i QG HOLMGltLN PVC. WITHIN 6 FINISH GRADE I SEWER INVERT INTO SEPTIC TANK 49.00 G..S.E. = 50.8 Registered Professional FINISHED GRADE OVER TANK = EXISTING FINISHED GRADE OVER D. •..,.::: . BOX _ EXISTING , , FINISHED SEWER INVERT OUT OF SEPTIC TANK 48.75 II I I D GRADE OVER LEACHING TRENCH EXISTING 0 „ EIl eery and Land Silrve Ors m- gm y �, „ 0 ., SEWER INVERT INTO DISTRIBUTION BOX 48.50 1 . ... SEWER INVERT OUT OF.DISTRIBUTION BOX 48.33 812 Main Stree Osterville Ma. 02655 : 4 scH. 40 PVC . . .. FIRST 2 To BE LEVEL „ A LOAMY SAND - ,„,�. -- 1 2 (min) Coe 48.00 Phone 508 428 9131 Fax 508 428 3750 (TYPICAL) ,. 4 SCH: 40 PVC ! :- -. ' ' .• .: � SEWER INTO LEACHING SYSTEM 1OIYR 5 1 � � � � ' —s (mii I_ 36" max Cover 7 / r >>` 0L2 (mtn) (max) � „ j BOITOM OF LEACHING SYSIEM 46.0 4 SCH .40 PVC „ y :. �o- C► tees s , C B LOAMY SAND GAS BAFFLE a „ „ WATER TABLE <40.8 2 La er 1 8 tot 2 I 20 0 20 40 Basement Y: : Floor :,. .. Peastone LEACHING CHAMBERS „ . .... Reinforced Concrete Sloe 0:005 min ? » „ .. SCALE IN FEET FOOTING 6 CRUSHED P C MEDIUM SAND STONE BASE i' » 2..5Y 614 _ :. . >...:.,.. » • • • O • O O O • O �J I 120 / SCALE. 1 -20 DATE, 9/14/2000 ,. . .. ,: . 4 PVC .. NO WATER ENCOUNTERED AT EL '_ 40.8 ` O � O O O O O O O REV. DATE: REMARKS RA K 2 MIN/IN BOTTOM ELEV. = 46.0' 0 2000 GALLON SEPTIC TANK DISTRIBUTION BOX 5' MIN DRAWING NUMBER TO BE INSTALLED ON A LEVEL STABLE BASE TO BE INSTALLED ON A LEVEL STABLE BASE SEPTIC TANK TO BE INSPECTED & CLEANED ANNUALLY No Groundwater Observed ' -- • CULTECO RECHARGER 330 H:\2000\2000-18\200018ATB.DWG • 2000-18 _ I I , f -