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0236 SMOKE VALLEY ROAD - Health
236 .Smoke:,Ualley_ 'Road _ J Marstons 1Vlills � ' A=,097,-003.Beach House t ,I .I v ;I rT�,OW/N OF BA/RNSTABLE LOCATION 236-5/Yok Vol e7 �o/ SEWAGE # VILLAGE #6431465 AVAXSSESSOR'S MAP & LOT INSTALLER'S NAME&PHONE NO. 4����Y►p� 3— t-f��,'-���j� .SEPTIC TANK CAPACITY /,5_00 r r � C'LEACENG FACILITY: (type) Cu /T C"33 0�S (size) -l,S X 3 f NO.OF BEDROOMS S BUILDER OR OWNER /!M5= PERMPT DATE: Z (T dai 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 L C ArZAE, And A 71 a9 �nfe-C 33 ��sT r 38 C-/Te d y i. t i/Yl�iit l'1IOt1 SG TOWN OFBARNSTABLE J(:ATiON ��� S/� Pk V41le-I 12 C, SEW AGE # 57- 3Sl `VILLAGE /yalSGonS ASSESSOR'S MAP & LOT D r77- a03 _ 1NSTALLER'S NAME&PHONE NO. LOT' 37 _ SEPTIC TANK CAPACITY l S'UO 0 GAL '�` 9L LEACHING FACILITY: (type) G" G v l kt- 3 3 0.t (size) 15x a 3 NO.OF BEDROOMS -T- f BUILDER OR OWNER r' �ltgr� Q UtAS PERMITDATE: COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility (If any wells exist on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility),__� Feet Furnished by T-/►VC4:;e^ . , FGrrJ A c a, 0 a . 3 Li !3 c 3�i as a. 3q b 3 la 4J3 1119 Poo//mouse rTOWN /OF BBA_RNSTABLE LOCATION aid SmOKP 1/Alle, /W/ SEWAGE# a0/,9 YV/" VILLAGE // 171111 ASSESSOR'S MAP&PARCEL '?P- 003 INSTALLER'S NAME&PHONE NO. 9-/YaccJ/s7 yd�ssf/ SEPTIC TANK CAPACITY /Oo U Ch� _d ('oM�i9�'�cil� 79Nh �f, C�iA LEACHING FACILITY: (type) E.Crs(�Hr[f�Ir S7f7c- (size) N o?O NO. OF BEDROOMS OWNER PERMIT DATE: /-8-/,J7 COMPLIANCE DATE: 64 Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility(If any wells exist on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) Feet FURNISHED BY /'1�l(,AVS\Cam+ S11.V/u U `S Tu S.%-4,a/r �oo rt ,�OoQ U o C2 S�0 vy j�e y 30` TOWN OF BARNSTABLE %�°o/f/o.s e LOCATION aid SmAe rIl1 f SEWAGE# 0?p/y VILLAGE ASSESSOR'S MAP&PARCEL 9P- UO3 INSTALLER'S NAME& PHONE NO. ;Fff&cc- ,�s7 ya&sr SEPTIC TANK CAPACITY /Oo U ,?(`o •TiHct7- ?y,v/4 //',,v CRA LEACHING FACILITY:(type) Ft( ,x Sy�y (size) H o?O NO. OF BEDROOMS OWNER PERMIT DATE: /'8-/S COMPLIANCE DATE: k ( ' Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility(If any wells exist on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) Feet FURNISHED BY sju1�,1/ t. txtgC oo R S•Ts}.c//� ,�OOQ fl n -qH cA It sc FOR e1c.TO l yPAP U cc) - a r� co� o- - No. 0 �F,, ee THE COMMONWEALTH OF MASSACHUSETTS Entered in coin uter: PUBLIC HEALTH DIVISION — TOWN OF BARNSTP BLE, MASSACHUSETTS Yes 0[ppYication for Misposal *pstem Construction prrmcit Application for a Permit to Construct l l Repair( ) Upgrade Y ) Abandon( ) ❑Complete System Individual Components Locatio ®dre,�s��r Lp No.2 3e She l/a Owner's Name,Address,and Tel.No. l''LL -g4,�c-� G.�.�/�ade Sfa 44/' Assesso 's Map/Parcel Q ®p Po f3of 712 C®-1&fW Installer's_Djame,Adc r?ss,a} Tel.No. cv"C3 -1f Dgigner's Name,Address,and Tel.No.,r'r,/f;an fAj,neer.'A5 'W �ro�S os en�� (�J 7 o S��t�,'!( h}� O 2 6 S 5-v8-928-5-3 4ecl Type of Building: 1.12 Acres Dwelling No.of Bedrooms _Lot Size 43 21I i51- sq.ft. Garbage Grinder( ) Other Type of Building i%L No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) gpd Design flow provided gpd Plan Date /�f�/ Number of sheets Revision Date Title Pl o�oS�a� �'Nt,D(b Le &'n S Size of Septic Tank Type of S.A.S. FRX154,P q Description of Soil Nature of Repairs or Alterations(Ajtwer when applicable) `P[ or 1p(/n+R 4 ,,7 f Date last inspected: 0-0 ----------------------------- Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certifica e of Compliance has been issued b 's Boar Health. A,1A /,ry Date Application Approved by A, ate Application Disapproved by Date for the following reasons Permit No. Date Issued _ - _ —_-- ---- _- ----- -- -- ----- - ---- ---- ------ -J ' No. :.1 Y• e C r t YHE COMMONWEALTH OF MASSACHUSETTS Entered in com ee puter: - PUBLIC HEALTH DIVISION - TOWN OF BARi'SSA BLE,_M'ASSACHUSETTS Yes ltlrication for MisposAl �&pstrin onStrUction Permit Application for a Permit to Construct Repair( ) Upgrade Aba on( ) ❑Complete System Individual Components s Locatio ,ddr gr�Lp o. 3'� -5 h_e (/a x°j/ Own er's Name;Address,and Tel.No. o f rvt� .M.A G. wave Assessor's 2 Map/Parcel 97 00-1, PO f301( 712- Cc>NC'6L&A,d eso7 y�?- Installer's Name,Ad ss and.Tel,,No. tj� - Dpigner's#Name,Address,and Tel.No. f2/�un EH�,n ePr:n� CPO, 13o7r (o S 9 7 Parker ST' b 02 fog-Y28-33, 4V ,µ.Type of Building: 1,12 Acres Dwelling No.of Bedrooms Lot Size 4 3 2I 1 1 5,: sq.ft., Garbage Grinder( ) Other Type of Building //L No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) �'s. gpd Design flow provided I _ gpd x Plan Date //A/// t Number of sheets Revision Date Title P�oyp ,,ot 1!y P ro L,,e, &n 4 5 l Size of Septic Tank Type of S.A.S. F-&s' , ` Description of Soil Nature of epa' s or Alterations( er when applicable) PC for PUM 4 h 10 Yd i - Date last inspected: Agreement: ' The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate'of Compliance has been issued b s Boardo Health. !]�' / /�%s- /1 p Date Application Approved by Date ` - i JV Application Disapproved by Date for the following reasons Permit No. e Date Issued THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE,MASSACHUSETTS Certifitatt of Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal system Constructed(V< Repaired( ) Upgraded( ) Abandoned( )by S 41 at 2 Y, SmokE VQ lle ® has been cons "na ce with the rovisions of Title 5 and the for Dis osal S stem Construction Permit Nd Installer t acc It `GC G c Pl Designer S11//.yan J #bedrooms Approved design flow d PP g gP The issuance of this Te -s Qhall not be construed as a guarantee that the system ill function desi' ned. Date 1 —5 Inspector ��•N_ _�� ' t i / ZkNo. `� Fee THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION-BARNSTABLE, MASSACHUSETTS disposal 6pstem Construction J)Prmit Permission is hereby granted to Construct(� Repair(e ) Upgrade( (Abandon Systemlocatedat {o SMG�Ie !/q�lEr 2CX t and as described in the above Application for Disposal System Construction Permit. The applicant recognized his/her duty to comply with Title 5 and the following local provisions or special conditions. Provided:Construction mist be ompleted within three years of the date of this permit. (04 Al , Date �' Approved by Town of Barnstable Inspectional Services Public Health Division aatxsrast.e. Thomas McKean,Director 200 Main Street,Hyannis,MA 02601 Office: 508-8624644 Fax: 508-790-6304 Installer& Designer Certification Form Date: IZ 3 1 Sewage Permit# j .-q9 I Assessor's Map\Parcel CJW•-GO� Designer: Installer: 11, MaceAIN�c/- Address: `]I I r 6l ,,4j ?,off Address: 11 or1 L� On l 1 If 31,ti , ft �11�51 Cr was issued a permit to install a (date)- (installer) septic system at Z3 Q ')m Qj-c V,,\kLt� 4aA A based on a design drawn by (address) 5 y\,VN\"� evl!34P-ler`11n: dated \0 9 J I L-( ( esigner) t� I certify that the septic system referenced above was installed substantially according to the design, which may include minor approved changes such as lateral relocation of the distribution box and/or septic tank. Strip out (if required) was inspected and the soils were found satisfactory. ey'N's- 51t NV\ U rN4 I certify that the septic system referenced above was installed with major changes (i.e. greater than 10' lateral relocation of the.SAS or any vertical relocation of any component of the septic system) but in accordance with State & Local Regulations. Plan revision or certified as-built by designer to follow. Strip out (if required) was inspected and the soils were found satisfactory. I certify that the system referenced above was constructed in compliance�with the to rms of the I\A approval letters (if applicable) a`a�PLI"OF r;�gss9� .►oHN O'DE 1 cti;i- ; (Instal er's ignature) No.48163 f for 9F6/STERv� ..`� ' AL (Designer's Signature) (Affix Designer's Stamp Here) PLEASE RETURN TO BARNSTABLE PUBLIC HEALTH DIVISION. CERTIFICATE OF COMPLIANCE WILL NOT BE ISSUED UNTIL BOTH THIS FORM AND AS- BUILT CARD ARE RECEIVED BY THE BARNSTABLE PUBLIC HEALTH DIVISION. THANK YOU. WoAdeptAHEALTMSEWER connecASEPTIMesigner Certification Form Rev&14-13.DOC 1 6 77 - 463 No. F 7 3 51 Fee -C THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: _ Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS 2pplication for Mi5pogar *p5tem Construction Permit Application for a Permit to Construct( )Repair(Prupgrade( )Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. 3 M e �/'!�/ G� P , Owner's Name,Address aai�d�'el.No. �'� Y<6 Q, /�9(_lS: 9C'rChFf/'0 �/v2�le Assessor's Map/Parcel a 3 6 S m p e V"/'/y� s t� Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. Ius Type of Building: Dwelling No.of Bedrooms 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 / 1S. rI Nature of Repairs or Alterations(Answer when applicable) �d� �9D O w17 �c�� ��'r� 3 Yne Covert Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certifi- cate of Compliance has been issue b this Board f Healt p Signed ��� �' <� Date��l l( Q Application Approved by Date 7 -!/• 9 7 Application Disapproved for the ollowing reasons Permit No. 77 8 ,S_l Date Issued - No.= — _**. '• Fee i THE COMMONWEALTH OF MASSACH; red in computer: ,USETTS Entered Yes PUBLIC HEALTH DIVISION - TOWWOF BARNSTAB -ES MASSACHUSETTS R.pphratton.for Miopooar *pztemn Con.5tru ,ion Permit -' Application for a Permit to Construct( )Repair( pgrade( )Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. Owner's Name,Address and Tel.No. 65 6 a f 7 2 S. 'c �Assessor's Map/Parcel D S �N^rV f I/ : /Ca36 Smof �3 S O T: . Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. Q S �62rjc>n�C.n-���5 j l5 O T. '—L.�., /:)rn• t l0. r 03 Type of Building: Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder( ) Other Type of Building., No. of Persons Showers( ; ) Cafeteria( ) Other Fixtures Y , Design Flow gallons per day. Calculated daily flow gallons. m . 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) - t 3/ /��� �''I T Cho /:h7 S?i nr Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certifi- cate of Compliance has been issue by this Board of Health. Signed =1 � �%��1=Kd��' a/7 Date Application Approved by Date 7 -44• % 7 Application Disapproved for the ollowi g reasons Permit No. rf 7� �;l Date Issued THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS Certificate of Com 'pliafire THIS IS TO CERTIFY, that the On-site Sewage Disposal System Constructed'( )Repaired( ) Upgraded( ) Abandoned( )by at 6 .S o7 . has been const. cted in accordance with the provisions of Title 5 an the for Disposal.System Construction Permit No. dated' Installer Designer The issuance of this permit shall not be construed as a guarantee that the system will function as designed: Date 7 . G"- "J -7 Inspector No. 1 --—f-------------------- ----Fee THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLE., MASSACHUSETTS MigosW *p5temn Construction Permit Permission is hereby granted to Cons ct()f4l7r, Rair(Upgrade( )Aban on( ) System located at �_ _t(? 5Z" 1t fA/-- 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 permit. Date: -7 ��` f j Approved by Q ,:,7) r • i CERTIFICATION OF SKETCH AND APPLICATION FOR A DISPOSAL WORKS CONSTRUCTION PERMIT(WITHOUT DESIGNED PLANS) I, C©2po ����yJ��S , hereby certify that the application for disposal works construction permit signed by me dated C, concerning the property located at o�3 "0S meets all of the following criteria: • T s within 300 feet of the ro em • There are no private wells within 150 feet of the proposed septic system • The observed groundwater table is 14 feet or greater below the bottom of the leaching facility • There is no increase in now and/or change in use proposed • There are no variances requested or needed. SIGNED: DATE: 0/ /9 LICENSED EPTIC SYSTEM INSTALLER IN THE TOWN OF BARNSTABLE NUMBER [Attach a sketch plan of the proposed system. Also if the licensed installer posesses a certified plot plan, this plan should be submitted]. i 1 )S a SULLIVAN ENGINEERING, INC . March 8,2005 Thomas A.McKean,Health Director Barnstable Health Department 200 Main Street Hyannis,MA 02601 SUBJECT: 236 Smoke Valley Road,W@6w* le tA�s�0� Beach House Septic System Expansion Dear Tom: For your consideration, we are forwarding you information regarding a proposed expansion at 236 Smoke Valley Road, Osterville, MA- The property has been inspected by James M. Ford, a DEP approved system inspector pursuant to Section 15.340 of Title 5 (310 CMR 15.000). His findings indicate that the system passes and according to our analysis of the system design, there is present capacity in the 1,000 gallon septic tank and one (1) 6'x6'—1,000 gallon leach pit with one (1) foot of stone to allow an expansion in the number of bedrooms from three (3) to four (4) per Section 15301(5) System Inspection_ The analysis also identified that no garbage grinder was proposed in the past, nor for the future at this property. Our client wishes to make this expansion. Sincerely, sit, Peter Sullivan,P.E. CC.: Wade&Mary Stanier Enc.: Analysis Worksheet Official Title 5 Inspection Form 7 PARKER ROAD, P. O_ BOX 659, OSTEROILLE, MA 02655 TEL. (508) 428-3344 PSullPE@aol.com PAX: (508) 428-3115 V Sullivan Engineering, Inc. 0 7 Parker Road-P.O. Box 659 Osterville, MA 02655 Project: ade&Mary Stanier Mailing: Same 236 Smoke Valley Road E , MA 02655 jBaach- 1978 Title 5 Code Plans Dated: Original Septic Design Analysis: Residential Flow: Bedrooms 110 1 x 3 = 330 gal Septic Tank Requiements: 330 1 x 150% = 495 gal Used 1,000 gal Tank minimum 18-0ct-79 Reference#79-602 D-Box: Leach Pits Provided: Quantity Size Leach Pits 1 1,000 Stone: 1' LP-Sidewall Area 163 SF x 2.50 408 gpd LP-Bottom Area 59 SF x 1.00 59 gpd Total Provided: 467 gpd Daily Flow: 330 gal Garbage Grinder: This analysis identified no garbage grinder was proposed in the past, nor proposed for future use. Per Title 5, Section 15.301(5) upgrade of the system is not required if the system was designed to accept design flows resulting from the change in use or expansion of use. New Capacity 4 Bedrooms x 110 gal 440 gal OF � BULL "� '110.297 3/8/2005 : COMMONWEALTH OF MASSACHUSETTS EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS DEPARTMENT OF ENVIRONMENTAL PROTECTION TITLE 5 OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM FORM PART A CERTIFICATION Property Address: 236 Smoke Valley Road(Beach House) 4bummiiAP MA 02655 Owner's Name: Richard Burns Owner's Address: Date of Inspection: August 2, 2003 Name of Inspector: (Please Print) James M. Ford Company Name: James M. Ford Map: 097 Mailing Address: P.O. Box 49 Parcel: 003 Osterville,MA 02655-0049 Lot:37 Telephone Number: (508) 862-9400 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: ✓ Passes Conditionally Passes Needs urther Evaluation by the Local Approving Authority Fails Inspector's Signature: Date: Aueust 4, 2003 The system inspector shall sub a copy of this inspection report to the Approving Authority(Board of Health or DEP)within 30 days of completing this inspection. If the system is'a shared system or has a design flow of 10,000 gpd or greater,the inspector and the system owner shall submit the report to the appropriate regional office of the DEP. The original should be sent to the system owner and copies sent to the buyer, if applicable,and the approving authority. Notes and Comments ****This report only describes conditions at the time of inspection and under the conditions of use at that time. This inspection does not address how the system will perform in the future under the same or different conditions of use. Title 5 Inspection Form 6/15/2000 page 1 r Page 2 of 1 l OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address: 236 Smoke Valley Road(Beach House) Qom, MA Owner: Richard Burns Date of Inspection: August 2, 2003 Inspection Summary: Check A,B,C,D or E/ALWAYS complete all of Section D A. System Passes: ✓ I.have not found any information which indicates that any of the failure criteria described in 310 CMR 15.303 or in 310 CMR 15.304 exist. Any failure criteria not evaluated are indicated below. Comments: B. System Conditionally Passes: One or more system components as described in the"Conditional Pass" section need to be replaced or repaired. The system,upon completion of the replacement or repair,as approved by the Board of Health,will pass. Answer yes,no or not determined(Y,N,ND)in the for the following statements. If"not determined",please explain. The septic tank is metal and over 20 years old*or the septic tank(whether metal or not)is structurally unsound,exhibits substantial infiltration or exfiltration or tank failure is imminent. System will pass inspection if the existing tank is replaced with a complying septic tank as approved by the Board of Health. *A metal septic tank will pass inspection if it is structurally sound,not leaking and if a Certificate of Compliance indicating that the tank is less than 20 years old is available. ND explain: Observation of sewage backup or break out or high static water level in the distribution box due to broken or obstructed pipe(s)or due to a broken, settled or uneven distribution box. System will pass inspection if (with approval of Board of Health): broken pipe(s)are replaced obstruction is removed distribution box is leveled or replaced ND explain: The system required pumping more than 4 times a year due to broken or obstructed pipe(s). The system will pass inspection if(with approval of the Board of Health): broken pipe(s)are replaced obstruction is removed ND explain: 2 Page 3 of 11 OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address: 236 Smoke Valley Road(Beach House) Aftonfto MA Owner: Richard Burns Date of Inspection: August 2, 2003 C. Further Evaluation is Required by the Board of Health: Conditions exist which require further evaluation by the Board of Health in order to determine if the system is failing to protect public health,safety or the environment. 1. System will pass unless Board of Health determines in accordance with 310 CMR 15.303(1)(b)that the system is not functioning in a manner which will protect public health,safety and the environment: Cesspool or privy is within 50 feet of a surface water Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh 2. System will fail unless the Board of Health(and Public Water Supplier,if any)determines that the system is functioning in a manner that protects the public health,safety and environment: _ The system has a septic tank and soil absorption system(SAS)and the SAS is within 100 feet of a surface water supply or tributary to a surface water supply. The system has a septic tank and SAS and the SAS is within a Zone 1 of a public water supply. The system has a septic tank and SAS and the SAS is within 50 feet of a private water supply well. _ The system has a septic tank and SAS and the SAS is less than 100 feet but 50 feet or more from a private water supply well". Method used to determine distance "This system passes if the well water analysis,performed at a DEP certified laboratory, for coliform bacteria and volatile.organic compounds indicates that the well is free from pollution from that facility and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm,provided that no other failure criteria are triggered. A copy of the analysis must be attached to this form. 3. Other: 3 Page 4 of 11 OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address: 236 Smoke Valley Road(Beach House) 4bV j ,e, MA Owner: Richard Burns Date of Inspection: August 2, 2003 D. System Failure Criteria applicable to all systems: You must indicate either`yes"or"no"to each of the following for all inspections: Yes No ✓ Backup of sewage into facility or system component due to overloaded or clogged SAS or cesspool ✓ Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or clogged SAS or cesspool ✓ Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool ✓ Liquid depth in cesspool is less than 6"below invert or available volume is less than day flow ✓ Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s). Number of times pumped_. ✓ Any portion of the SAS,cesspool or privy is below high ground water elevation. ✓ Any portion of cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply. ✓ Any portion of a cesspool or privy is within a Zone 1 of a public well. ✓ Any portion of a cesspool or privy is within 50 feet of a private water supply well. ✓ Any portion of a cesspool or privy is less than 100 feet but greater than 50 feet from a private water supply well with no acceptable water quality analysis. [This system passes if the well water analysis, performed at a DEP certified laboratory,for coliform bacteria and volatile organic compounds indicates that the well is free from pollution from that facility and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm,provided that no other failure criteria are triggered. A copy of the analysis must be attached to this form.] No (Yes/No)The system fails. I have determined that one or more of the above failure criteria exist as described in 310 CMR 15.303,therefore the system fails. The system owner should contact the Board of Health to determine what will be necessary to correct the failure. E. Large System: To be considered a large system the system must serve a facility with a design flow of 10,000 gpd to 15,000 gpd• You must indicate either"yes"or"no"to each of the following: (The following criteria apply to large systems in addition to the criteria above) Yes No _ the system.is within 400 feet of a surface drinking water supply the system is within 200 feet of a tributary to a surface drinking water supply the system is located in a nitrogen sensitive area(Interim Wellhead Protection Area-IWPA)or a mapped Zone II of a public water supply well If you have answered`yes"to any question in Section E the system is considered a significant threat,or answered "yes"in Section D above the large system has failed. The owner or operator of any large system considered a significant threat under Section E or failed under Section D shall upgrade the system in accordance with 310 CMR 15.304. The system owner should contact the appropriate regional office of the Department. 4 Page 5 of 1 l OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B CHECKLIST Property Address: 236 Smoke Valley Road(Beach House) 4#4llk MA Owner: Richard Burns Date of Inspection: August 2, 2003 Check if the following have been done: You must indicate"yes"or"no"as to each of the following: Yes No ✓ Pumping information was provided by the owner,occupant,or Board of Health ✓ Were any of the system components pumped out in the previous two weeks? ✓ Has the system received normal flows in the previous two week period? ✓ Have large volumes of water been introduced to the system recently or as part of this inspection? ✓ Were as built plans of the system obtained and examined?(If they were not available note as N/A) ✓ Was the facility or dwelling inspected for signs of sewage back up? ✓ Was the site inspected for signs of break out? ✓ Were all system components,excluding the SAS, located on site? ✓ Were the septic tank manholes uncovered,opened,and the interior of the tank inspected for the condition of the baffles or tees,material of construction,dimensions,depth of liquid,depth of sludge and depth of scum ? ✓ Was the facility owner(and occupants if different from owner)provided with information on the proper maintenance of subsurface sewage disposal systems? The size and location of the Soil Absorption System(SAS)on the site has been determined based on: Yes No ✓ Existing information. For example,a plan at the Board of Health. ✓ Determined in the field(if any of the failure criteria related to Part C is at issue approximation of distance is unacceptable) [310 CMR 15.302(3)(b)]. 5 Page 6 of 11 OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION Property Address: 236 Smoke Valley Road Beach House) AMR AM Owner: Richard Burns Date of Inspection: August 2, 2003 FLOW CONDITIONS RESIDENTIAL Number of bedrooms(design): 3 Number of bedrooms(actual): 3 DESIGN flow based on 310 CMR 15.203 (for example: 110 gpd x#of bedrooms): 330 Number of current residents: 0 Does residence have a garbage grinder(yes or no): No Is laundry on a separate sewage system(yes or no): No [if yes separate inspection required] Laundry system inspected(yes or no): No Seasonal use(yes or no): Yes Water meter readings, if available(last 2 years usage(gpd)): Unavailable Sump Pump(yes or no): No Last date of occupancy: Unknown COMMERCIAL/INDUSTRIAL Type of establishment: Design flow(based on 310 CMR 15.203): gpd Basis of design flow(seats/persons/sqft,etc.): Grease trap present(yes or no): Industrial waste holding tank present(yes or no) Non-sanitary waste discharged to the Title 5 system (yes or no): Water meter readings, if available: Last date of occupancy/use: OTHER(describe): GENERAL INFORMATION Pumping Records Source of information: Unavailable Was system pumped as part of the inspection(yes or no): No If yes,volume pumped: gallons--How was quantity pumped determined? Reason for pumping: TYPE OF SYSTEM ✓ Septic tank,distribution box,soil absorption system Single cesspool Overflow cesspool Privy Shared system (yes or no) (if yes,attach previous inspection records, if any) Innovative/Alternative technology. Attach a copy of the current operation and maintenance contract(to be obtained from system owner) Tight Tank Attach a copy of the DEP approval Other(describe): Approximate age of all components,date installed(if known)and source of information: Oct. 18179-per as built card(Sewage#79-602) Were sewage odors detected when arriving at the site(yes or no): No 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: 236 Smoke Valley Road(Beach House) flWME MA Owner: Richard Burns Date of Inspection: August 2, 2003 BUILDING SEWER(locate on site plan) Depth below grade: Materials of construction: _cast iron _40 PVC other(explain): fr Distance from private water supply well or suction line: Comments(on condition of joints, venting,evidence of leakage,etc.): SEPTIC TANK: ✓ (locate on site plan) Depth below grade: 3' Material of construction: ✓ concrete _metal _fiberglass _polyethylene _other(explain) If tank is metal list age: Is age confirmed by a Certificate of Compliance(yes or no): (attach a copy of certificate) Dimensions: 1000 gal. Sludge depth: 2" Distance from top of sludge to bottom of outlet tee or baffle: 30" Scum thickness: 10" Distance from top of scum to top of outlet tee or baffle: 8" Distance from bottom of scum to bottom of outlet tee or baffle: 6" How were dimensions determined: Measuring stick Comments(on pumping recommendations, inlet and outlet tee or baffle condition,structural integrity, liquid levels as related to outlet invert,evidence of leakage,etc.): Tees were present. The liquid level was even with the outlet invert. There were no signs ofleakage. The inlet cover was to grade. Recommend pumping. GREASE TRAP: None (locate on site plan) Depth below grade: Material of construction: concrete _metal _fiberglass _polyethylene _other (explain): Dimensions: Scum thickness: Distance from top of scum to top of outlet tee or baffle: Distance from bottom of scum to bottom of outlet tee or baffle: Date of last pumping: Comments(on pumping recommendations,inlet and outlet tee or baffle condition,structural integrity,liquid levels as related to outlet invert,evidence of leakage,etc.): 7 Page 8 of 11 OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: 236 Smoke Valley Road(Beach House) Vie, MA Owner: Richard Burns Date of Inspection: August 2, 2003 TIGHT or HOLDING TANK: None (tank must be pumped at time of inspection)(locate on site plan) Depth below grade: Material of construction: concrete _metal _fiberglass _polyethylene _other(explain): Dimensions: Capacity: gallons Design Flow: gallons/day Alarm present(yes or no): Alarm level: Alarm in working order(yes or no): Date of last pumping: Comments(condition of alarm and float switches,etc.): DISTRIBUTION BOX: ✓ (if present must be opened)(locate on site plan) Depth of liquid level above outlet invert: Comments(note if box is level and distribution to outlets equal,any evidence of solids carryover,any evidence of leakage into or out of box,etc.): The D-box was present according to the design plans I was unable to locate the D-box. PUMP CHAMBER: ✓ (locate on site plan) Pumps in working order(yes or no): Yes Alarms in working order(yes or no) Yes Comments(note condition of pump chamber,condition of pumps and appurtenances,etc.): The liquid level was normal. I cycled the pump and the alarm and they were in working order. 8 Page 9 of l 1 OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C j SYSTEM INFORMATION (continued) Property Address: 236 Smoke Valley Road Beach House) MA -- Owner: Richard Burns Date of Inspection: August 2, 2003 SOIL ABSORPTION SYSTEM(SAS): ✓ (locate on site plan,excavation not required) If SAS not located explain why: Type ✓ leaching pits,number: 1 - 6'x 6'- 1000 gal. w/]'stone (per design plans) leaching chambers,number: leaching galleries,number: leaching trenches,number, length: leaching fields,number, dimensions: overflow cesspool,number: Innovative/alternative system Type/name of technology: Comments(note condition of soil,signs of hydraulic failure, level of ponding,damp soil,condition of vegetation,etc.): The pit was dry. The bottom was sandy and clean. No scum line was present. There were no signs of failure. The bottom to grade was 10'. The cover was 16"below grade. CESSPOOLS: None (cesspool must be pumped as part of inspection)(locate on site plan) Number and configuration: Depth-top of liquid to inlet invert: Depth of solids layer: Depth of scum layer: Dimensions of cesspool: Materials of construction: Indication of groundwater inflow(yes or no): Comments (note condition of soil,signs of hydraulic failure,level of ponding,condition of vegetation,etc.): PRIVY: None (locate on site plan) Materials of construction: Dimensions: . Depth of solids: Comments(note condition of soil,signs of hydraulic failure, level of ponding,condition of vegetation,etc.): 9 Page 10 of 11 OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: 236 Smoke Valley Road(Beach House) dbtfALW**MA Owner: Richard Burns Date of Inspection: August 2, 2003 Map: 097 Parcel: 003 SKETCH OF SEWAGE DISPOSAL SYSTEM Lot: 37 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. Ci rz T l 3 v qd M cl6 Q Q� 10 Page 11 of 11 r OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: 236 Smoke Valley Road(Beach House) 4890004io, AM Owner: Richard Burns Date of Inspection: August 2, 2003 SITE EXAM Slope Surface water Check cellar Shallow wells Estimated depth to ground water 16 +/- feet Please indicate (check) all methods used to determine the high ground water elevation: ✓ Obtained from system design plans on record-If checked, date of design plan reviewed: 10179 Observed site(abutting property/observation hole within 150 feet of SAS) Checked with local Board of Health-explain: Checked with local excavators, installers-(attach documentation) Accessed USGS database-explain: You must describe how you established the high ground water elevation: According to the design plans, the site is approximately 22'above the surrounding tidal bay. This report has been prepared and the system inspected and passed as of the date of inspection. This report is not a warranty or guarantee that the system will junction properly in the future. There have been no warranties or guarantees, either expressed, written or implied, relating to the system, the inspection and/or this report. 11 Qt,40k H OVrt- TOWN OF BARNSTABLE LOCATION &3(0 5�0 V411t SEWAGE # '7 6402- V IIAGE er _M�+'S� s �"ISSESSOR'S MAP & LOT 09-7 " 003 INSTALLER'S NAME&PHONE NO. LOT- 37 ti SEPTIC TANK CAPACITY I ULO Ca/1I v,Ic I aw G,,l. PvAg LEACHING FACILITY: (type) w�C G' (size) / MOM., NO. OF BEDROOMS 3 BUILDER OR OWNER L�Arc� PERMITDATE: COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility (If any wells exist on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) Feet Furnished by'r4SO��-�an LvA7r4� &�QL� I"�OtstC. nn �` A a � � o , s 3 o A B l uo a3 13 � 1 �Y No......._...v`.(//-/-..... Fps.. ............. 4- THE COMMONWt<H r`F MASSACHUSETTS •' ' BOARD F H L SUBJECT TO APPft®�� iON - •----NSTABLE CONS€��'A_ .�.. ........... ...... ..... .'::.. ��_�.. CC�1IMISSION Appliration for Ui...OF. iposal orki' Tumtrnrtion ramit Application is hereby ade for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at: - � .......................... ....................................................o uo ress or Lot No. I ,,��AA ---------------- -•--- •- - .................. lq...-----•-----.......--••---•--- Owner f� Ad res a - ............................... Installer Address VType of Building Size Lot............................Sq. feet Dwelling—No. of Bedrooms.._..................................Expansion Attic 00.) . Garbage Grinder P4, Other—Type of Building •___________________________ No. of persons---------------------------- Showers ( ) — Cafeteria ( ) a Other fixtures ................ ................ W Design Flow.-.¢ d___________________gallons per person per day. Total daily flow_._...........................gallons. WSeptic Tank—Liquid capacity./O._gallons Length-------_------- Width---------------- Diameter---..-__-__-•__. Depth................ x Disposal Trench—No..................... Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No--------------------- Diameter-_______•___---__-_ Depth below i let......._________,.Total leach in area ...........sq. ft Z Other Distribution box ( ) Dosing nk ( ) �` Percolation Test Resu s�� Performed b ----•9. 4 l , �`_&: 7Y••-- '- - ° ------ Date--- -- - - --•---•�---•------- ,a Test Pit No. I________ ______minutes per inch Depth of Test Pi .._._.._______..__Depth to ground water_.?=. ... .. Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ .......... -------- ---•-•----••-•-------------------•• O Description of Soil--- - _ .....-----� �----...�.a..-.._ -�...-- V ------------ ............-- g - 4------------------------------------------------------------------------------- U Nature of Repairs or Iterations—Answer vGhen applicable._____............................................................................•..........__. ---------------------------•-----------------------------------------------------------------......------------------.-------------------------------------------------------------------------•--•--• Agreement: The undersigned agrees to install the ,aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been issued by the board of health. fined:.... �_... _ -----•......--•-••-- ••............................. Date Application Approved By......... ......... .. =� ..... Date " Application Disapproved for the following reasons:-•-----------------•--------------------•-••-•------••--•-•---•-------------•--•-••- -----•--•---------...._.. ----------------------------------------------•--- ....................-........... ---............................................. . ... -----...--•--- l1 I �/[ Date 4 .. 7 Permit No---------------- ------------•- ----------- ----• ( .� ssued_._.._...��-"/� -• - Date L ��v No. .. Fps.. ................ TM THE COMMONWEALTH OF MASSACHUSETTS • ' BOARD H LT :. .............. :... .....OF... ........ . . ...................... Appltration for Disposal Marks Tontrnrtion Vrrmit ;. Application is hereby ade for a Permit to Construct ( ) or RepAif" `(' ')"an Individual Sewage Disposal System at: --_....... 4 . '. - - ---------------------------- ------------- i ..................................................... � •, o ho ess �or Lot No. 4l ... --•-••--• �� r - -.......... '�Owners� ! tad es a ...................... •--.... . ....: :... W*.................................. Installer Address Type of Building --. Size Lot............................Sq. feet U Dwelling—No. of Bedrooms___.__.__ _____Expansion Attic Y�� Garbage Grinder 1-� ag Other—T e of ,,Building No. of ersons____________________________ Showers a YP g -•------•------------------• P ............................................Cafeteria ( ) Other fixtures ----------•-----•-•••--•-- ••-•-- •--•- W Design Flow.-OW._,�1*___ ___:::_gallons per person per day. Total daily flow----- .........................gallons. 91 Septic Tank—Liquid capacity_��...gallons Length................ Width................ Diameter--------------- Depth................ Disposal Trench—No........................ Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No_____________________ Diameter.................... Depth below i et__._.__-__....fir,"Total leach-n area__ ._...._ sq. ft. Z Other Distribution box ( ) Dosing nk ( ) / � /� wi "" # `" Percolation Test Resul Performed b ._ ! �_......... Date__ Test Pit No. 1__ minutes erinch Depth of Test Pi " `--+p p _____________ Depth to ground water._�-____. ._._ LT, Test Pit No. 2................minutes per inch. Depth of Test Pit..........:......... Depth to ground water........................ fyi D Description of Soil `` ' � ..".. .. '":.. "� �"" ' '" � -••--•-._...._•-------- U - --------------------------------------- ......... •------- -------------- --- ------ - W --- . UNature of Repairs or Iterati.....ons—Answer v6hen applicable............................................................................................... -•------------•-------------•--•---------------------------•------•-----------------....--------_...•---••------•-•=---------------------- -----------•--------------------........................... Agreement: , The undersigned agrees to install"the aforedescribed Individual Sewage Disposal System in accordance with 11 the provisions of TITL% 5 of the State Sanitary Code-The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been issued by the board of health. gned -----•••----•----• .....f Dat Application Approved B • Date JJ Application Disapproved for the following reasons:-----•-=------•=--------------------•----------•--------------...-------------••--------------------------•-•-- --•------------------•---------------------------•--•---------------•------------...-------•---------------•--•••I•-••••••••-------•••-----••-------------------•••-----•--•-•-•----••----•--•-•------ Date PermitNo......................................................... Issued........................................................ Date 4: THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH . ......r` f. 'f' ' ......OF.......... ... .. .0 ..�......................_...............---- Titrtifiratr of Toutpliaurr T I IS TO CE-k . , That th Individual Sewage Disposal System constructed ( r Repaired ( ) by-- Z_ ,..-...-•-•.......---•- •••••. •-------- :...-- Instal er,.._-•-- ..... i - A.�J_Z!'�t-- -------�!e�_'-- �r. ----•-- •�"� has been installed in accordance with the provisions of T Iy 5,�vof The State Sanitary C_de described in the application for Disposal Works Construction Permit No.. t�.....40_ +d__`'+_____.__ dated_ ..._ __`_-1 -- ._ _________ THE ISSUANCE OF THIS CERTIFICATE SHALL OT BE CONSTRUE® AS A GUARANTEE THAT.THE SYSTEM WILL FUNCTION SATISFACTORY. DATE................•-----•---.......-•-•-------•-------....•---------------..._._.. Inspector........-------------._.._._..-•-.................................................. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF - HEALTH f ...»• ...... '`Z Z...OF..... .... +" ............................................ No......................... FEE... .... ............. Diupos orks To urtion t rrntif Permission •s reby granted____.___ �_- to Constr ( or Rep •r ( ) an I victual /eiage D osal Syst at No.- , -,. .�. !rf � •--•------- w.. S eet as shown on the appicaton*for Disposal Works Construction P r it IV'o_ __ Da ed__._ "`ef`'�� _._....._.. r, , ' tj / y po •••---•••---•-•-•--•-- Board of Ae- Health t DATE................................................................................ FORM 1255 HOBBS & WARREN, INC.. PUBLISHERS �� // s No.............1�.�:� F�$...��............. t _ THE COMMONWEALTH OF MASSACHUSETTSy Slini.ldCT M AF''�'^��n, BOA FAD H EA T e RIISTA�IE CONSERVATION 1 �MMISSION ------..-_/.. .1/��. .. ..---...OF.......... .. . . Appliration for Uh4p out Vorkg Tomitrnrtiun 11unfit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at: .....� - ��..... .......( M�Jk7-.6-1.:Zj ress ................................ ..............................t—1 ' �Lot- ..........------------------..........--- Locat . r --------------------m.= - ........ oN ............................ �j� Owner A,�" d ess ►W-a ...."of !_6 MP..t......................................................... .....V== Q^ ........................................... Installer Address Q. Tyilding Size Lot............................Sq. feet U Dwelling—No. of Bedrooms.._. .....................Expansion Attic (1K) Garbage Grinder W<> Other—Type of Building __-_ No. of persons............................ Showers ( ) — Cafeteria ( ) Q Othe fixtures 1 -•-------------- W Design Flow_ ...................... .....gallons per person per day. Total daily .............gallons. WSeptic Tank 7L Liquid"capacityA..y[W..gallons l Length---------------- Width................ Diameter_______-.___--_- Depth................ x Disposal Trench No.................... Width4.' ._..._.._._._.. Total Length_,5A.1.....I.... Total leaching area.........._.........sq. ft. Seepage Pit No--------------------- Diameter------------------- Depth below inlet-.,q...Z.,....... Total leaching area..................sq. ft. z Other Distribution box ( ) Dosing nk ( ) `' Percolation Test Results Performed by... -. � __._.._.__ Dat)C4a `- Test Pit No. I------------ --minutes per inch Depth of Tes�.------.._.._ Depth to gror..---••---.............. Test Pit No. 2...............:minutes per inch Depth of Test Pit.__.._......_....... Depth to ground watef........................ �r� - Description of Soil----- �"s ............ ..-..... . l--------� --�.... .�3a2'�-�J.G ..r........:. x V ....----•---•-••-•••---•••--•-•-••-•--- j/' •-_. --•--- •--- ------ f"/ '�C -L W .......................... ---- .•• .. . VNature 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 TITI1 5 of the State Sanitary Code-`The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been issued by the board of health. �j Date Application Approved By........ _. .... . ...... •-•-- --- Date Application Disapproved for the following reasons:--••--....-•-----•-•-------•................•-•---••---••------•-•-------•-----------•-----•---••......••----... ----------------------------- -------------------- •----------------------------------------------------------•-•-------------------------------•-------•---------------------------------•--------------- Date Permit No..............I......................................... Issued-...: ! °? ----------- r No............. =` Fps... .. '' `.. THE COMMONWEALTH OF MASSACHUSETTS BOARDZO !-IEAT------.....f..... t�"�1r j.---....OF....... ....................... f Appliration for Displainl Works Tonstrurfion thrrAft Application is hereby made fbr a Permit to Construct (. ) or Repair ( ) an Individual Sewage Disposal System at: . ....f: ' . ..... .f M ................................ ................................. - ' .............. Locatio A dress or Lot N r __ _... Owner Ad ess Wi' ...................... .................. ......E? ----------------------- Installer Address c° Type of uilding Size Lot___%.......................Sq. feet a Dwelling—No. of Bedrooms____._. .._ ! ___Expansion Attic W6) Garbage Grinder J&c) Other—Type of Building ' _ ,_ No. of persons____________________________ Showers ( ) — Cafeteria ( ) dOther fixtures ---------------------------.......-••-•-......•••...••••--••••-----•---•••-•--••••......-••--•... W Design Flow.BB��____ _____ ;__:::gallons per person per day. Total daily flow_. gallons. Disposal Tank Trench C quid capac>ty 41Q gallons Length................ Width................ Diameter...... •________ Depth................ Septic Tank L No. '_______________ Width t__-_____ _- Total Length. _t.__}____ Total leaching area....................sq. ft. Seepage Pit No..................... Diameter____.__:_...._.__._.. Depth`,below inlet__a _ ........ Total leaching area..................sq. ft. z Other Distribution box ( ) Dosing nk ( ) - ✓ Percolation Test Results Performed by.... r� Date _ Test Pit No. I________________minutes per inch Depth of Teshit.................... Depth to grou d eater:___:;_._._.______..___. (i Test Pit No. 2...............minutes per inch Depth of Test Pit..................... Depth to ground water........................ GG ---•--_-- ,. ---•--- D Description of Soil..... _!n'1A •. " •� � 't5< x.... P W ' ° - x ............::::::::::::::::: ........ __ -: gyp' U Nature of Repairs or Alterations—Answer when applicable__ ------------------------_________________/_._________._____.___.__._______._.__.___. •-------------------------•-----.._.._..._...------••-••••••••.............•••:;•-••.........•--••--•-••---•....•••••••••••••-•-•---••-•-•--•••••--••-•••••••••••-••••-•--•-•••---•-•._...--•-• Agreen;lent: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in;..accordance with the provisions of TITLE 5 of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been issued by the board of health. igned � �, .' Date ...._..__ ---7t./ ---APPlication Approved BY ;,/ 7 ._.._.. ate Application Disapproved for the following reasons___________________________________________________________________ ..................................... ---------------------------•-•-•.._._.__..._..--••••••--•••••-----•••-••--..:-•••-----.....-•••-•--•-•••.••••-••••-•••••-••-•-•-•••-------•------•••-••--------•-••••---••----•-•---•••----•--•••---•--- Date PermitNo....................................................... Issued....................................................... Date • I THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ........... i(/t ' .7....OF.......... ........................................ Z. �rr#ifirttle u faunt�rlinrr THIS IS TO CERTIF . , That the Individual Sewage Disposal System constructed ( or Repaired ( ) by ......... .......... Installer' at ----r......................................................................................................... has been installed in accordance with the provisions of TIsT 5 of The State SanitaryCode as described in the r� application for Disposal Works Construction Permit No. < dated . !. lv`, ••-----•-------__ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUE® AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. � / � 1 DATE---.._.....l.�... "..... �� .'.. Inspector-• = THE.COMMONWEALTH OF MASSACHUSETTS , BOARD OF HEALTH O ......... .........OF.......... ... � /l_._�...._.__..........._...___. r�N (,P..IJ,I FEE.... d........-- fy Mops Works � s#rudi orn Prrmit Permission is hereby granted... r i ............................................................... to Construe Rep r ( ) n I '+ al Sewage Dis sal System at No... ,/ E. Street as shown on the application for Disposal Works Construction Permit o_______ ____ _____ ted_..____ 7�......... . ' ;1[•- f Board of Health 1!ff DATE......... ..:......................•--- .....,..��� . �l FORM 1255 HOBBS & WARREN• INC., PUBLISHERS 4 00 0 l nJ � � No. ---------------- 3 Fee---- -j---- BOARD OF HEALTH / TOWN OF BARNSTABLE Z(ppCitation'-*rVell Congtruct ion Permit Application is hereby made for a permit to Construct ( (Alter ( ) or Repair ( )an individual Well a - 5 � —® -"� 0 ---- --� ___ Location — Ad s �� Assessors Map and Parcel -------- ----,��Q ev SCOV a Owner t Address �� ten ��► � '-� ------ .--�° —� —�v 4S_x-----b Z.631 Installer — r Address Type of Building / Dwelling — Other - Type of Building--=---__________.__ No. of Persons-------------__—___ Type of Wellai� -- �� Capacity---- —� -- --- Purpose of Well- Agreement: The undersigned agrees to install the aforedescribed individual well in accordance with the provisions of The Town of Barnstable Board of Health Private Well Prot tion Regulation — The undersigned further agrees not to place the well in operation until a Cer ' ' of Compl ce has been issued by the Board of Health. Sign/ e Application Approved By date Application Disapproved for the following reasons: -- - -------------------------- ------------ date Permit No.w r 3 5— __-- Issued—___ -----------_---�_—___--___-- date BOARD OF HEALTH TOWN OF BARNSTABLE Certificate ®f Compliance THIS IS TO CERTIFY, That the Individual Well Constructed ((), Altered ( ), or Repaired ( ) Installer at---— _, has been installed in accordance with the provisions of the Town of Barnstable Board of Health Private Well Protection Regulation as described in the application for Well Construction Permit No. ------------------___Dated------------------ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE WELL SYSTEM WILL FUNCTION SATISFACTORY. DATE- —______— — - —-- Inspector--- - —----------------_----- 1 No.-w a- -006 - 03 �p -------- ------- Fee---- ------------ BOARD OF HEALTH TOWN OF BARNSTABLE , �_ Zippiicatton drVell ConotructiouPermit Application is hereby made for a permit to Construct ( (Alter ( ) or Repair ( )an individual Well a Location — Add s �� Assessors Map and Parcel 1 ---- _ Q�s�t i!e Trs Owner Address —------'—-- Installer — Djller Address +; Type of Building Dwelling --- --------------------=-- - Other - Type of Building-------------_________ No. of Persons---------------------__—__—__—______ f � Type of Well o i11'n------�--/---P\(C - Capacity--- —� i Purpose of Well- Agreement: The undersigned agrees to install the aforedescribed individual well in accordance with the provisions of The Town of Barnstable Board of Health Private ell Provion Regulation - The undersigned further agrees not to place the well in operation until a Cert'-c e of Compliance has been issued by the Board of Health. Signed --- —- =-__-- - -- Tte- ' -- Application Approved By ______� _________— — 7 __•_ Application Disapproved for the following date PermiN �L 00 '03 — --- �/ Issued---- — ----------- date ------------------------------------------------------------------------------------------ BOARD OF HEALTH TOWN OF BARNSTABLE Certificate Of,Compliance THIS IS TO'CERTIFY, That the Individual Well Constructed X), Altered ( ), or Repaired ( ) by-------------------- - --_ _-_--- - --- - --- - -- - --—- -- ---- Installer _at- -— -- ------ ----------------------------------------------- - has been installed in accordance with the provisions of the Town of Barnstable Board of Health Private Well Protection Regulation as described in the application for Well Construction Permit No. -----------____________Dated--------------------- THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE WELL SYSTEM WILL FUNCTION SATISFACTORY. DATE---- --- — - —-- Inspector--- - --------- ------------------------------------------------------------------------------------ BOARD OF HEALTH TOWN OF BAR-NSTABLE Ive[Y Construct ion Permit .„ No. - / "',,Fee------------ Permission is hereby granted--;�--- �� Asm, __ —__----__------ ___________ to Construct (K Alter ( '), or Repair ( ) an Individ al We at: f r"1 a 1 No. l C `—I � *-Street --. --------- -- ---- ---- -- - as shown,.on the�app�li�c'attiion for a Well Construction Permit No.--� 1=n y s_ —_— ------- Dated-- Uto . t l 04��s DATE— �� _—__—____ — -_ Board of Health AsBuilt Page 1 of 1 140Vtr TOWN OFBARNSTABLE LOCATION (�12� //?--1 2C' SEWAGE# '77' ��� IAGE 2(Slr�OAS ASSESSOR'S MAP&LOT O cl7- 003 STALLER'S NAME&PHONE NO. ^l l l s LOT— 37 SEPTIC TANK CAPACrrY __rrM tGAl. (''1` a0 LEACHING FACILITY; (type) G" Cv/f" 3301 (size) NO.OF BEDROOMS BUILDER OR OWNER Ut.4S PERMITDATE: COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility (If any wells exist on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility),� Feet Furnished by T A SQCc.4e,� J, F000 r 1 � 33 013" 38 c..l1c� d4 ,D%57 , q3 301 td http://issgl2/intranet/propdata/prebuilt.aspx?mappar=097003&seq=1 11/12/2014 i 5 � TOWN OF BARNSTABLE BOARD OF HEALTH `. ARTICLE II: MINIMUM STANDARDS FOR HUMAN HABITATION Date Time: In %J ' 0 b Out y Owner wt� �� S'1tom Tenant S6yt'► �in� t2c-�,iiL Address A G (0 Address aJ� GS5 Yn IM�iIs Compliance Remarks or Regulation# Yes O Recommendations 2. Kitchen Facilities InVCf - 3. Bathroom Facilities 4. Water Supply �l0 i.14-Ci a�S 6h 5. Hot Water Facilities 6. Heating Facilities 7. Lighting and Electrical Facilities 8. Ventilation 9. Installation and Maintenance of Facilities 10. Curtailment of Service 11. Space and Use 12. Exits 13. Installation and Maintenance of Structural r Elements 14. Insects and Rodents 15. Garbage and Rubbish Storage and Disposal 16. Sewage Disposal 17.Temporary Housing 18. Driveway Width @ ?ie119FO ON 19. Number of Tenants Observed PART II 37. Placarding of Condemned Dwelling; Removal of Occupants; Demolition Number of Bedrooms S Number of Vehicles Allowed (max) Number of Persons Allowed (max) Person(s) Interviewed Inspector If Public Building such as Store or Hotel/Motel specify here .JOHN R. AL.GER ATTORNEY AT LAW 886 MAIN STREET P. 0. BOX 449 OSTERVILLE, MASS. 02655 ASSOCIATE TELEPHONE 428-8594. THEODORE A. SCHILLING AREA CODE 617 September 26, 1979 Mr, John Kelly, Agent Board of Health Town of Barnstable . 367 Main Street Hyannis, Massachusetts 02601 Dear Mr. Kelly: I enclose herewith a second revised Sheet 2 of the Richard M. Burnes site and sewage plan for .h.is property on Smoke. Valley Road here in osterville. The only revision is the moving of the guest house ap- proximately 10 feet shoreward away from the water which re- quired a slight change in the location of the septic tank.... There is, however, absolutely no . change in the leach pit which I believe is of primary concern to your Board. If there is any additional- information- that you need or any procedure we should follow, I would appreciate it if you would get in touch with me immediately. Very truly yours, JRA/JJ Enc. � D �D � I ,I I I I: L --4 a/ L�Qhs WHO iF= -- - - - --- - ' �r'S 1 � - r -- W009 my'�^ I il— /���aveREp aKGH I I v �croIto", I j Staniar Guest Cottage 08.18.05 236 Smoke Valley Road OWWANhoWMassachusetts F 1 . 1 First Floor Furniture Layout Plan - a. - - LIST OF DRAWINGS 0&18.05 SPIA Site Plan SKI.1 Sketch—View from Drive .Pl.1-4 Photographs AB1.1 As-Built/Demolition Basement Plan. ABL2 As-BuilUDemolition First Floor Plan AB 1.3 As-BuilUDemolition Second Floor Plan A 1.1 Basement Floor Plan A 1.2 First Floor Plan A1.3 Second Floor Plan A2.1 Front Elevation - A2.2 Right Side Elevation A2.3 Water Side Elevation A2.4 Left Side Elevation A3.1 Building Section—Through Main House w/Eave Details A3.2 Building Section—Through wing _ - A4.1 Interior Elevations—Kitchen,Living Room - A4.2 Interior Elevations—Living Room,Dining Room A4.3 Interior Elevations—Dining Ron.,Kitchen A4.4 Interior Elevations—Kitchen Island r - A4.5 Interior Elevations—Pantry/laundry,lavatory A4.6 Interior Elevations—Bath A4.7 Interior Elevations—Medicine Cabinet,Bath S 1.t Second Floor Framing Plan S1.2 Roof Framing Plan EIA Basement Floor Electrical Layout Plan E1.2 First Floor Electrical Layout Plan E1.3 Second Floor Electrical Layout Plan - Staniar Residence ., Fl.l First Floor Furniture Layout Plan F1.2 Second Floor Furniture Layout Plan Guest Cottage 236 Smoke Valley Road GbtvadW,Massachusetts t;t SALLY WESTON A S S O C I A T E S f ❑❑ Archiiecture•'Planning•Inferior Design a222 North Street•Hingham,MA 02043 (781)749-8058 Fax(781)749-6486 r 50' Buffer \ / 1 \ 6x5 B�, ck Wall §o/Wiv1 I -20= 1 \ \ \ I I I / /I 11 1 III 11/ / - - _- - _�� \ ••- - \.-�...-\\ A45 / J '1 11 / _2J \ \ \\ " \ \ 6x5 �\ \ \ \ \ \ \ Founto,n 23x7 A46 / / I I: I I 23x6 62 AL 20 A47 ;<<\ / / 0 III I I � \ , \ _� ����j / �/ / - S•,/ /�/ � / / � Ae • A59 A48I \ _ Jr f N / / / / / / A58 A49 kjo �. // T. I I ( \ / i A57 . Resource Line II IIIi4- by ENSR APR A50 1 \ - _ / / / 56 ��' y--r� �•11.05 4�1 A54ence1.10.05 C T11�1 1 \� A52 A53 3 Staniar ok Valley Road ; Cott ►J 1 1 J 9.24.03 A51`� Site Plan 1"=20' a -7777= R tloteY.-nAawtrpd ._...... DEMOLITION NOTES: A.The Contractor shall be responsible for demolition procedures: ' A.Cleaning adjacent areas and returning them to their existing condition,prim in start of . wok B.Removal and legal disposal of all loose contents and debris resulting from demolition operations. . C..Repair,if required,exterior landscape to match existing(Coordinate with Owner). D.Repair,if required,bouse,finishes to match. - Remove,without damage,any millwork,windows,doors,hardware and vim, fixtures and fittings to be reused or saved per the Owners request Refer in As-Built/Demolitim Plans for additional information. C.All existing surfaces and openings to remain shall be patched finished and trimmedto match. � ',� P6t1F.�.5 D.Ali new wall surfaces and openings shall be trimmed to match existing,see specific i - M• I./jFy1//� - f'xhes in specifications E.Protect existing boom interior not within scope of work from dust and debris as required. i 0 I Pitt _]-5_T0 W,or.61,f5 I I %Wt W09-K NVWIQ-Y fo rave mvw""fo kwilIKOVATc _ O , NPNI�GEIL (T.o./A.t6 -7�61i�8Etevl6.o.�gOQJ�V�(h) —— — LUl. I I ELIMG;VXK I i � G,Aw our otat I weNEl,w�vow z�.s_v�,x...e�rNl+lif_ I i I I � I I Staniar Residence-Guest Cottage 3.15.O5 e R m 1 • 1 236 Smoke Valley Road 4~Massachusetts 1 B L 1 1 As-Built/Demobtion Basement Plan 1/4^=l'-0" u -LAdt O UJEd � SIIEI.UES � / C W6U.Bf. JP g'.qy° i �xIMG..r _Bpid 6L4.OT 1.¢' (A rA VpW TALE .. cPr. LiyIr1y t�nMa•9kI: Rev. i1 aPr i Ios.9° °Pf• _KIrLt�Er� I to�n�JovS .. - BE" f/ Staniar Residence-Guest Cottage 3.09.05 �1 236 Smoke Valley Road ��Massachusetts B/ 1 As-Built/Demolition First Floor Plan 1/4"=l'-0" S.J. % 1 !J 7-7 J Lt B 1 g, Fwo TO OEUY S.J.3-Yo �.dt.]'•o' 'u4.Jt.1.o ;: ,.' BJNc;pt.t �, I, I i i I 1 :W414..1Ff• - i 1 to Aaaf New "Or 4O'4-11 WOW•New ¢IO�E}F,61G IIt'rO tgAfo "I91c. - Staniar Residence-Guest Cottage ' 3.09.05 AB/DI -3 1 .3 236 Smoke Valley Road �Massachusetts As-Built/Demolition Second Floor Plan 1/4--F-Y' r.. f RAI6. QAtµ1W 1DIGID ItNyVtktioN �eNna�Ptn+Ml31e1�uNn _ �8'rlEw vow_ _-- Na;v!RA'tll• (pU6 61k9 y.o � 3:3 I New� - �ilAp Y INyVl�11ON D�1M (� (�NGMe,� MK4 uW NEW MEQ16AIL Aw Nor WATU TANIf- ( Fig 80TIgh AANv AII160 vInUu1N[I uXi�r uN PoVuvenOA 0 v- huowDf�- �'" �XIhtIN(a bA�6M6Nj -�I K%W 4`60969ff5/�tMOOA ON SRAM, M4 our tnRi rtoo2ghU9c e(• —O Pour NEW 4"C0NGREr96fAB N O Jovir"AN&Al,hrf ON 49,VI90 n/ E 2°1HIW ZWIP Iptt0Ar°uN C rflnu 6EIM — — PEVlN•EfEI 619E OE(Alb I j I 9utiwnvwn /�691W Whk6ldF/(14"UJ` .FUNKS MTN WINOowH f I o I Off Flan tiaw cur�wirAr9 I � I FDUWt7FrIDA fw P. 2�o6- 110— I — -- 4_0" I A— i � I ���LLL_ —I— — UNEOF E%IhrlldG(7E/X-�hEAi VEfVE I 2D 8" I'D° —�._.. _...... -- ---------_ %...-------------- ..---_..-..�_ i I Staniar Guest Cottage 08.18.05 236 Smoke Valley Road Massachusetts A 1 . 1 Basement Floor Plan �•�__ 2'6'�B _ biWE_2i}F"4o: I�ID�g � NEW GIIMNE f d !'ID�` �wd 9,yh. !, •Puc; 19'99i' � 4�99z"1` D05f NfA7d4 ly kNa i4EC.� 9/9 I FA. 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G I�'&'x.a, �6a, 3X.'• � �i� � 6EDKDOM � WA�KIFI (�:IoYa"Rd•Nr. wood /, U.iNB9tFL i(I60 _ - —�- i c I I � /'• i11Ewg� I1//�MCiPrh o /,1 AEyaPoe�F1FHOpAaf NauoPFIL WDea T¢IN,M6D wl/i Is p¢nwsarae 3'b.� grArq wl �hP n ini� 4172 lain � I�rz �/s Ida ' I 9'Is" BW. 2 6Y6" F•G%B �,_ ¢:6lD• 2=6'�B� 84, v�ck i ww 2D 8„F uo v�wH q,D•, LC( Staniar Guest Cottage 08.18.05 Al2 236 Smoke Valley Road � l Massachusetts .3 Second Floor Plan S .. _..__ _..-..-.... .-._._................ i i?i --- — 3 I � i -- - ul I l �I IIIn�1 0 : Eli Ll P-1 Al ,% 2°iNlgf wDDv 51u� ! 1 �' � � ��ya � i � v-•a I I ! f 1 1 Staniar Guest Cottage 08.18.05 A2. 1 236 Smoke Valley Road 490SIfWassachusetts Front Elevation -- -� - 4 - 4 �. for -- l _ I I I �— —------------ __- Staniar GuestLottage 08.18.05 �]�. 236 Smoke Valley Road ,/Massachusetts Right Side Elevation 1/4^=P_p^ - 1 I f 1 40° 1 4o° I n Ir r IQTrT r f- J�I __.. Aj- ( of i Irb 6/4>>j —--7 — Ir 1 i i r hi 1 711 12' I' I !���� u�r r 4 v Y I 1 I I i 1 Staniar Guest Cottage os 18.os Al J 236 Smoke Valley Road meftwAassachusetts Waterside Elevation va^=r_n^ .i . y ` Gt�Mu�'�aoneve� ' QEv 6CrG :Li Li !j iL PTO yq 1 FAM I ilr--�, �i.1I i r ! i 1' 1D.gtlhTllllt �. I 5EM` <NBiw02� ' t � ' i i r i y EA�nah } �aiAipar� . . Staniar Guest Cottage 08.t8.05. A2.4C 23`6Smoke Valley Road Massachusetts Left Side Elevation. . y .. jam- 3' 4g. ' IU °1 4a° pal n I !I S I III I VIP. I��BIOµy;III' , I—JL—.Ii 1�oIMi� Il�p� I ni�1(�dtir♦Ird I�Nb� �} rF11 �� i ;�--l�Idlclal� Ch'Dullrl'�� Nil MIN PtMNf I -= f Idpldpylf 6 v ��mq� ' I�laq�lq 'd IIL � n ��• A i1�tk I�NM half�dIE Pt?� I�GI �4�I�o Fm wlm o�ae ° SudarGuestCottage o.Isos A311 J �llwhl Itim Nam 216 d SmokcVallcyRoa�Massachuscgs Bmldi. OgSa000-1hrofaing°nlFaveuaareils. I x to�VAR2 "a.C, IxSsy � rC-;, NJ MOO 0-c.(MM� PoRcR1 kxkP.7•Parf h�unn A¢b .I I I f = i I q n.-I,.Bn �IJ Lam. V h ralMMsc� � (I I Pr99� o; !i 1�5�3R') '. �'1�3 wiTanRnW WI IAI?RIM m! 'I -da i 7�0.4N0 F1kb118F1A�F• I nl• :' ---{— J D c 16 � --_ 91i bil 4505� Idl,c:o. _�- i0.Y!WE PWrY f " 3•galOE:dY1 ( �� � � TkIMMEp r �I,L - I I- s Y.1nlq IePEl4 P"a6 NuwO NPE oMV GMA Ax".W/14 PWnP Ip�yE M l�5t, jaW Apo P'7aaGbt I I I I HNfafu 50L ya I qj'w°wM�G xww+,eau/,wul $535a naw - h Ll.EXViTIIYI - )wE 5na Aav f FWOX9UBEIOOR 6LEV.0%Da pniwEv to cAaPa{ ;%" jI I ProAvs case o �-— .— ' - Py&wq_Meuo._.., w nNv slu.vardd- 3'I'�4a1YilMt- II> �.FgIN0AiI0A Iaocv.tieati lunsJ i -aiw.)I weea.rtawa(ina.) C � c� Yn• I Staniar Guest Cottage 08.18.0 236 Smoke Valley Road C,Massachusen t �. NEW 4"Isg MIM0 Building Section—Through Wing A3 09 6 MIL FW UPORPAR9I9 09 6UfEL Ise FTKaL 6xT%w� la 7aW __ —_ GI(fl1)rtu»we w �rw eeuv) aTe"nwsr OL our PIRr i l.' Ally i'ouRUEr14"l�wk�fE�aIAB — w evill 1{VIEAL jAMo I'Mit, , I&''I�0' �iUI6DING hEGTIDIJ iNF;.V �rlka�WING �61vIN616fiPN10M).- i 96F, .•. WOFP,POOR c Wd 1�BOo`I E c eats- 15 ODE P t' —�=--- (od S.A.eUYtdG 9avN aILY 72 _ — - -- - — S BEaM• 1•RiN_BJtreJ;Yj r.. EEPe-p , I _ Fj n Trn�11� i III JII ; I! I 14 YAdt LA'upp�7 7h6Tp4,i lae01 I F- I I ID d9yrl 44, f ��--- i � b L_ 6J5?oA Loop iAAd-TCL -LooRP WI XF4 ITELT �irGt�Er� I LI�IIJG �ovM - r z Sfaniar Guest,Cottage os ts.05 /1 w 236 Smoke Valley Road ,Massachusetts 4}. Interior Elevations' - - i oa ED W,OooW 5E41 wjpf4WEp %4W 2 L�Viatx I Di�iN[r Staniar Guest Cottage 08.18.05 A4. 236 Smoke Valley Road ,Massachusetts Interior Elevations I cpaW11 $80[�7 � 3e'llov0 31��+_ � IN - {:la .i_ Ix r ',� .; '; .._ 7QIx, IF 'IK i IN jj �• I, _ I 1� II 8 i C� I : I : ff l I Y t_7 't ILL _IS'� 30"��yE IS'� 3c''} �°IALYS�ISaK1 � -3b�L,S• 3o�'S�t1K BcSE 74"DIS�NaSaEg 11"REF.... . 2 p1�lltJ(� _ z KITL,F_I LeE75 51-!oyirl rFnno,r-oJnL FpOED, BEdDEIJ I,, E1 it, 1 ICES Staniar Guest Cottage 08.18.05 236 Smoke Valley Road Massachusetts A4.3 Interior Elevations i u ! 1�?r3K p1 Pm1pD �a N1Ja4n�Y wl P�Eav • 3o"(i8''vff-e) 3 '. e4ddTe� 4 ists�ID 5 !s�o+1� G �sLe�lo l Is�e�� Staniar Guest Cottage 08.18.05 236 Smoke Valley Road Massachusetts A4.4 Interior Elevations • �_� a UeusWG. y� - - - -._-P.. t t i; t i Taos I tyuT siu .; i LryR} � -� i C$EbCBoIKD�o�15�D� MalkGadr '" _ LL i 710l - !r _ l8' �4�5�dK$ASc iB" Wb5t1e �E¢ Ko!�I,E gEViVeL' DSi�Ik `~ {�ot)LE "o1nt " ( OD2gKcalai6K-cxpq-e4ATe W-pn!� Pe!1rx /�eJ�Jv�Y 2 PnJTE;Y/LaJ>JDRY � � L�1VATo��( O LAVAtoRY Staniar Guest Cottage. 08.18.05 /� /� .5 236 Smoke Valley Road Massachusetts 17` Interior Elevations NED.[a6 W1 IB Po v � I 1 —! 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I E6EKRI�REdtl12ED PBIZ HW Au0 IAEGtAµlrpL � . ..—.._._—— _ hHoWEN rXibrIN4NOEM F E�rnucxs�ols =Q I ,j � I ® - ° I 4 rtrt yR <. a 3-1 `asw.�, ..s.,�, al<e u�<,�.P m.e,�s•a I � � I oar s•�c xo-ms wx xnua w=I m,w.� is----L---..- '� 'I _ I . 0 0 a«vKeC.Fu� L O° �u<cn.wc<u�s mo�,<a Ful�rt tP F�Po.<aJws-u<n.e I FO - Fu — —i — — — ,I — — — -- — — - -- - a Ele<m<J Pm<I pv,ihT�JG,WBBC/71E0 t{---_ NmEs.cJ. <ao < .�P mo ., alvwm<. r Staniar Guest Cottage os.ta:os 1 aam 236 Smoke Valley Road Massachusetts Basement Floor Electrical Layout Plan F,•, _ N.r. To 004 M III II 3 II -- rim r AD JE 7ANit >_ L e — _. — v ".All rid wmv } - E,.Ecracnf.srr+®o�s M18YfJ0 Flo f..220V 1 I Ak ® cmum F.uR Pnimml � I — 1 O* smaa De¢emr..Ec.<rtyu'v.E er ena. I T7 WDAQ—_' yg7p —�1- I � ,Emmnaam --- rt,' �crPwFDRWNae I GDV�K�D PDRGN I S_�ms i A D.flf/D I I I f' s..,nn.yR"—fe�mmm I ''U.i 34°D "G ID"G &.DFLK. 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Staniar Guest Cottage 08.18.05 1 2 36 Smoke Valley Road ,Massachusetts F 1 . 1 1 First Floor Fumiture Layout Plan h i t uueu I NTT —K�--- ; cn WOO `,hi' � � htAIR HAC-6 n�bve>F� Ab I i FA woop 4ow �; � L9ttt8h - f � H/ylElYlh � i 4 Y _ i prGk r PU7W Staniar Guest Cottage os.ls.os 236 Smoke Valley Road Massachusetts. 1 1 1 .2 Second Floor Furniture Layout Plan ------------- CENTERVILLE-OSTERVILLE-MARSTONS MILLS FIRE DISTRICT 1875 ROUTE 28 CENTERVILLE, MA 02632 (508)790,.2380/FAX#(508)790-2385 OILIHAZARDOUS MATERIAL RELEASE FORM JUN TOWSA F.A. ........... LOCATION: ADDRESS OF RELEASE: DATE OF RELEASE: z PRODUCT RELEASED: ESTIMATED QUANTITY:' CORRECTIVE ACTION TAKEN BY RESPONS(4L"EePATY: NOTIFICATIONS: FIRE DEPARTMENT: YES( DATE: TIME: NATIONAL RESPONSE CENTER YES( ) NO( DATE.'_TIME" DEPT.OF ENVIRONMENTAL PROTECTION YES( j NO( JDATE: TIME: OIL SPILL COORDINATOR: YES( NO( j DATE:_____TIKIE._ TOWN BOARD OF HEALTH: YES(.,),NO( j DATE, TIME:--, .;� c � TOWN HARBORMASTER: YES( NO(.,, DATE:________jIME: OTHER AGENCIES: COMMENTS: mA L REPORTED BY: DATE: WHITE COPY-FIRE DEPARTMENT YELLOW COPY-D.E.P. PINK COPY-BOARD OF HEALTH C-0-MM FORM#58 C'.'ENTER`vi .LE-OSTERVILLE-ivIARSTONS MILLS FIRE DISTRICT 1876 ROUTE 26 CENTERVILLE, MA 02632 (506) 790-238O1FAX#(508) 790-2385 DiLiHAZARDOUS MATERIAL kELEASE FORM F.A.# 0 7 f 6 /�Za� Luc,AiiOl'a: �i�� � Z2� ADDRESS1aF RELEASE.o'��� �'/�.^�c o DATE OF RELEASE. PRODUCT RELEASED:, ESTiNIATED QUANTITY.' X�; CORRECTIVE ACTION TAKEN BY RESPONSIBLE PARTY.- ,NOTIFICATIONS: �r- FIRE DEPARTMENT: YES( I-N( ) DATE. TIME: ZJ7 `1 NATIONAL RESPONSE CENTER YES( ) NO( t�r—DATE: TIME: DEPT. OF ENVIRONMENTAL PROTECTION YES( ) NO( SATE:TIME: OIL SPILL COORDINATOR: YES( ) NO( ) DATE: TIME: TOWN BOARD OF HEALTH: �YES(i' O( ) DATE: / — ' TIME: TOWN HARBORMASTER: YES( ) NOS) DATE: TIME: OTHER AGENCIES: n N o WE e n . COMMENTS. Uh A -, gAf cf',n_j� Z � - A C.....:_.,J0el —U-,0`. ire L REPORTED BY. �l o� 1 `� DATE. d c� iifli T E CUPS-FiRE DEPARTMENT YELLUW COPY-D.E.P. PINK COPY-BOARWOFH LTH C-O-1 rvi FORM#50- r V- 1 I5 ®,� COMMONWEALTH OF MASSACHUSETTS kip EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS DEPARTMENT OF ENVIRONMENTAL PROTECTION RECEIVED SEP 0 4 2003 TOWN OF BAR.NSTABLE TITLE 5 HEALTH DEPT. OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM FORM PART A CERTIFICATION Property Address: 236 Smoke Valley Road(Beach House) Ma,rtOKt Al it$ � MA 02655 Owner's ame: Richard Burns Owner's Address: Date of Inspection: August 2, 2003 Name of Inspector: (Please Print) James M. Ford Company Name: James M. Ford Map: 097 Mailing Address: P.O. Box 49 Parcel: 003 Osterville,MA 02655-0049 Lot: 37 Telephone Number: (508) 862-9400 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: ✓ Passes Conditionally Passes Needs urther Evaluation by the Local Approving Authority Fails Inspector's Signature: Date: August 4, 2003 The system inspector shall sub a copy of this inspection report to the Approving Authority(Board of Health or DEP)within 30 days of completing this inspection. If the system is a shared system or has a design flow of 10,000 gpd or greater,the inspector and the system owner shall submit the report to the appropriate regional office of the DEP. The original should be sent to the system owner and copies sent to the buyer, if applicable,and the approving authority. Notes and Comments ****This report only describes conditions at the time of inspection and under the conditions of use at that time. This inspection does not address how the system will perform in the future under the same or different conditions of use. Title 5 Inspection Form 6/15/2000 page 1 Page 2 of 11 " OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address: 236 Smoke Valley Road(Beach House) .MM-4 Owner: Richard Burns Date of Inspection: August 2, 2003 Inspection Summary: Check A,B,C,D or E/ALWAYS complete all of Section D A. System Passes: ✓ I have not found any information which indicates that any of the failure criteria described in 310 CMR 15.303 or in 310 CMR 15.304 exist. Any failure criteria not evaluated are indicated below. Comments: B. System Conditionally Passes: One or more system components as described in the"Conditional Pass"section need to be replaced or repaired. The system,upon completion of the replacement or repair,as approved by the Board of Health,will pass. Answer yes,no or not determined(Y,N,ND)in the for the following statements. If"not determined", please explain. The septic tank is metal and over 20 years old* or the septic tank(whether metal or not) is structurally unsound,exhibits substantial infiltration or exfiltration or tank failure is imminent. System will pass inspection if the existing tank is replaced with a complying septic tank as approved by the Board of Health. *A metal septic tank will pass inspection if it is structurally sound,not leaking and if a Certificate of Compliance indicating that the tank is less than 20 years old is available. ND explain: Observation of sewage backup or break out or high static water level in the distribution box due to broken or obstructed pipe(s)or due to a broken, settled or uneven distribution box. System will pass inspection if (with approval of Board of Health): broken pipe(s)are replaced obstruction is removed distribution box is leveled or replaced . ND explain: The system required pumping more than 4 times a year due to broken or obstructed pipe(s). The system will pass inspection if(with approval of the Board of Health): broken pipe(s)are replaced obstruction is removed ND explain: 2 Page 3 of 11 « OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address: 236 Smoke Valley Road(Beach House) ©100& MA Owner: Richard Burns Date of Inspection: August 2. 2003 C. Further Evaluation is Required by the Board of Health: Conditions exist which require further evaluation by the Board of Health in order to determine if the system is failing to protect public health,safety or the environment. 1. System will pass unless Board of Health determines in accordance with 310 CMR 15.303(1)(b)that the system is not functioning in a manner which will protect public health,safety and the environment: _ Cesspool or privy is within 50 feet of a surface water Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh 2. System will fail unless the Board of Health(and Public Water Supplier,if any)determines that the system is functioning in a manner that protects the public health,safety and environment: _ The system has a septic tank and soil absorption system(SAS)and the SAS is within 100 feet of a surface water supply or tributary to a surface water supply. The system has a septic tank and SAS and the SAS is within a Zone 1 of a public water supply. The system has a septic tank and SAS and the SAS is within 50 feet of a private water supply well. The system has a septic tank and SAS and the SAS is less than 100 feet but 50 feet or more from a' private water supply well". Method used to determine distance "This system passes if the well water analysis,performed at a DEP certified laboratory, for coliform bacteria and volatile organic compounds indicates that the well is free from pollution from that facility and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm,provided that no other failure criteria are triggered. A copy of the analysis must be attached to this form. 3. Other: 3 Page 4 of 11 OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address: 236 Smoke Valley Road(Beach House) amm MA Owner: Richard Burns Date of Inspection: August 2, 2003 D. System Failure Criteria applicable to all systems: You must indicate either"yes"or"no"to each of the following for all inspections: Yes No _ ✓ Backup of sewage into facility or system component due to overloaded or clogged SAS or cesspool ✓ Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or clogged SAS or cesspool ✓ Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool _ ✓ Liquid depth in cesspool is less than 6"below invert or available volume is less than '/z day flow ✓ Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s). Number of times pumped_ ✓ Any portion of the SAS,cesspool or privy is below high ground water elevation. ✓ Any portion of cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply. ✓ Any portion of a cesspool or privy is within a Zone 1 of a public well. ✓ Any portion of a cesspool or privy is within 50 feet of a private water supply well. ✓ Any portion of a cesspool or privy is less than 100 feet but greater than 50 feet from a private water supply well with no acceptable water quality analysis. [This system passes if the well water analysis, performed at a DEP certified laboratory,for coliform bacteria and volatile organic compounds indicates that the well is free from pollution from that facility and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm,provided that no other failure criteria are triggered. A copy of the analysis must be attached to this form.] No (Yes/No)The system fails. I have determined that one or more of the above failure criteria exist as described in 310 CMR 15.303,therefore the system fails. The system owner should contact the Board of Health to determine what will be necessary to correct the failure. E. Large System: To be considered a large system the system must serve a facility with a design flow of 10,000 gpd to 15,000 gpd• You must indicate either"yes"or"no"to each of the following: (The following criteria apply to large systems in addition to the criteria above) Yes No the system is within 400 feet of a surface drinking water supply the system is within 200 feet of a tributary to a surface drinking water supply _ the system is located in a nitrogen sensitive area(Interim Wellhead Protection Area-IWPA)or a mapped Zone II of a public water supply well If you have answered"yes"to any question in Section E the system is considered a significant threat,or answered "yes"in Section D above the large system has failed. The owner or operator of any large system considered a significant threat under Section E or failed under Section D shall upgrade the system in accordance with 310 CMR 15.304. The system owner should contact the appropriate regional office of the Department. 4 Page 5 of 11 OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B CHECKLIST Property Address: 236 Smoke Valley Road(Beach House) MA Owner: Richard Burns Date of Inspection: August 2, 2003 Check if the following have been done: You must indicate"yes"or"no"as to each of the following: Yes No ✓ Pumping information was provided by the owner,occupant,or Board of Health ✓ Were any of the system components pumped out in the previous two weeks? _ ✓ Has the system received normal flows in the previous two week period? ✓ Have large volumes of water been introduced to the system recently or as part of this inspection ? ✓ Were as built plans of the system obtained and examined?(If they were not available note as N/A) ✓ Was the facility or dwelling inspected for signs of sewage track up? ✓ Was the site inspected for signs of break out? ✓ Were all system components,excluding the SAS, located on site? ✓ _ Were the septic tank manholes uncovered,opened,and the interior of the tank inspected for the condition of the baffles or tees,material of construction,dimensions,depth of liquid,depth of sludge and depth of scum ? ✓ Was the facility owner(and occupants if different from owner)provided with information on the proper maintenance of subsurface sewage disposal systems? The size and location of the Soil Absorption System(SAS)on the site has been determined based on: Yes No ✓ Existing information. For example,a plan at the Board of Health. ✓ Determined in the field(if any of the failure criteria related to Part C is at issue approximation of distance is unacceptable) [310 CMR 15.302(3)(b)]. 5 i Page 6 of 1 I OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION Property Address: 236 Smoke Valley Road Beach House) ftonhft, AM Owner: Richard Burns Date of Inspection: August 2, 2003 FLOW CONDITIONS RESIDENTIAL Number of bedrooms(design): 3 Number of bedrooms(actual): 3 DESIGN flow based on 310 CMR 15.203 (for example: 110 gpd x#of bedrooms): 330 Number of current residents: 0 Does residence have a garbage grinder(yes or no): No Is laundry on a separate sewage system(yes or no): No [if yes separate inspection required] Laundry system inspected(yes or no): No Seasonal use(yes or no): Yes Water meter readings, if available(last 2 years usage(gpd)): Unavailable Sump Pump(yes or no): No Last date of occupancy: Unknown COMMERCIALMgDUSTRIAL Type of establishment: Design flow(based on 310 CMR 15.203): gpd Basis of design flow(seats/persons/sqft,etc.): Grease trap present(yes or no): Industrial waste holding tank present(yes or no) Non-sanitary waste discharged to the Title 5 system (yes or no): Water meter readings, if available: Last date of occupancy/use: OTHER(describe): GENERAL INFORMATION Pumping Records Source of information: Unavailable Was system pumped as part of the inspection(yes or no): No If yes,volume pumped: gallons--How was quantity pumped determined? Reason for pumping: TYPE OF SYSTEM ✓ Septic tank di stribution box, soil absorption system Single cesspool Overflow cesspool Privy Shared system (yes or no) (if yes,attach previous inspection records, if any) Innovative/Alternative technology. Attach a copy of the current operation and maintenance contract(to be obtained from system owner) Tight Tank Attach a copy of the DEP approval Other(describe): Approximate age of all components,date installed(if known)and source of information: Oct. 18179-per as built card(Sewage #79-602) Were sewage odors detected when arriving at the site(yes or no): No 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: 236 Smoke Valley Road Beach House) ftAft, MA Owner: Richard Burns Date of Inspection: August 2, 2003 BUILDING SEWER(locate on site plan) Depth below grade: Materials of construction: _cast iron _40 PVC other(explain): Distance from private water supply well or suction line: Comments(on condition of joints,venting,evidence of leakage,etc.): SEPTIC TANK: ✓ (locate on site plan) Depth below grade: 3' Material of construction: ✓ concrete _metal _fiberglass _polyethylene _other(explain) If tank is metal list age: Is age confirmed by a Certificate of Compliance(yes or no): (attach a copy of certificate) Dimensions: 1000 gal. Sludge depth: 2" Distance from top of sludge to bottom of outlet tee or baffle: 30" Scum thickness: 10" Distance from top of scum to top of outlet tee or baffle: 8" Distance from bottom of scum to bottom of outlet tee or baffle: 6" How were dimensions determined: Measuring stick Comments(on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert,evidence of leakage,etc.): Tees were present. The liquid level was even with the outlet invert. There were no signs ofleakage. The inlet cover was to grade. Recommend pumping. GREASE TRAP: None (locate on site plan) Depth below grade: Material of construction: _concrete _metal _fiberglass _polyethylene _other (explain): Dimensions: Scum thickness: Distance from top of scum to top of outlet tee or baffle: Distance from bottom of scum to bottom of outlet tee or baffle: Date of last pumping: Comments(on pumping recommendations, inlet and outlet tee or baffle condition,structural integrity, liquid levels as related to outlet invert,evidence of leakage,etc.): 7 Page 8 of I 1 OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: 236 Smoke Valley Road(Beach House) d2120, MA Owner: Richard Burns Date of Inspection: August 2. 2003 TIGHT or HOLDING TANK: None (tank must be pumped at time of inspection)(locate on site plan) Depth below grade: Material of construction: _concrete _metal _fiberglass _polyethylene _other(explain): Dimensions: Capacity: gallons Design Flow: gallons/day Alarm present(yes or no): Alarm level: Alarm in working order(yes or no): Date of last pumping: Comments(condition of alarm and float switches,etc.): DISTRIBUTION BOX: ✓ (if present must be opened)(locate on site plan) Depth of liquid level above outlet invert: -- Comments(note if box is level and distribution to outlets equal,any evidence of solids carryover,any evidence of leakage into or out of box,etc.): The D-box was present according to the design plans. I was unable to locate the D-box. PUMP CHAMBER: ✓ (locate on site plan) Pumps in working order(yes or no): Yes Alarms in working order(yes or no) Yes Comments(note condition of pump chamber,condition of pumps and appurtenances,etc.): The liquid level was normal. 1 cycled the pump and the alarm and they were in working order. 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: 236 Smoke Valley Road Beach House) gave MA Owner: Richard Burns Date of Inspection: August 2, 2003 SOIL ABSORPTION SYSTEM(SAS): ✓ (locate on site plan,excavation not required) If SAS not located explain why: Type ✓ leaching pits,number: 1 -6'x 6'- 1000 Qal. w/]'stone(per design plans) leaching chambers,number: leaching galleries,number: leaching trenches,number, length: leaching fields,number, dimensions: overflow cesspool,number: Innovative/alternative system Type/name of technology: Comments(note condition of soil,signs of hydraulic failure, level of ponding,damp soil,condition of vegetation,etc.): The pit was dry. The bottom was sandy and clean No scum line was present. There were no signs of failure. The bottom to grade was 10'. The cover was 16"below grade. CESSPOOLS: None (cesspool must be pumped as part of inspection)(locate on site plan) Number and configuration: Depth-top of liquid to inlet invert: Depth of solids layer: Depth of scum layer: Dimensions of cesspool: Materials of construction: Indication of groundwater inflow(yes or no): Comments (note condition of soil,signs of hydraulic failure, level of ponding,condition of vegetation,etc.): PRIVY: None (locate on site plan) Materials of construction: Dimensions: Depth of solids: Comments(note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): 9 Page 10 of 11 OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: 236 Smoke Valley Road(Beach House) MA Owner: Richard Burns Date of Inspection: August 2, 2003 Map: 097 Parcel: 003 SKETCH OF SEWAGE DISPOSAL SYSTEM Lot: 37 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. J O T I [�-A[ O J a a M Ica 10 s• Page 11 of 11 w OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: 236 Smoke Valley Road(Beach House) —[J��MA Owner: Richard Burns Date of Inspection: August 2, 2003 SITE EXAM Slope Surface water Check cellar Shallow wells Estimated g depth to round water 16 +/- feet P Please indicate (check) all methods used to determine the high ground water elevation: ✓ Obtained from system design plans on record-If checked, date of design plan reviewed: 10/79 Observed site(abutting property/observation hole within 150 feet of SAS) Checked with local Board of Health-explain: Checked with local excavators, installers-(attach documentation) Accessed USGS database-explain: You must describe how you established the high ground water elevation: According to the design plans, the site is approximately 22'above the surrounding tidal bay. This report has been prepared and the system inspected and passed as of the date of inspection. This report is not a warranty or guarantee that the system will function properly in the future. There have been no warranties or guarantees, either expressed, written or implied, relating to the system, the inspection and/or this report. 11 i 's0g COMMONWEALTH OF MASSACHUSETTS EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS DEPARTMENT OF ENVIRONMENTAL PROTECTION RECEIVE® SEP 0 4 803 TOWN OF BARNSTABLE TITLE 5 HEALTH DEPT. OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM FORM PART A CERTIFICATION Property Address: 236 Smoke Valley Road 1�w►($t I Md M I(<J n Aam" MA 02655 Owner's Name: Richard Burns Owner's Address: Date of Inspection: August 2, 2003 Name of Inspector: (Please Print) James M. Ford Company Name: James M. Ford Map: 097 Mailing Address: P.O.Box 49 Parcel: 003 Osterville,MA 02655-0049 Lot. 37 Telephone Number: (508) 862-9400 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: ✓ Passes Conditionally Passes Needs Further Evaluation by the Local Approving Authority Fails Inspector's Signatur\sub Date: August 4, 2003 The system inspector st a copy of this inspection report to the Approving Authority(Board of Health or DEP)within 30 days of completing this inspection. If the system is a shared system or has a design flow of 10,000 gpd or greater,the inspector and the system owner shall submit the report to the appropriate regional office of the DEP. The original should be sent to the system owner and copies sent to the buyer, if applicable,and the approving authority. Notes and Comments ****This report only describes conditions at the time of inspection and under the conditions of use at that time. This inspection does not address how the system will perform in the future under the same or different conditions of use. Title 5 Inspection Form 6/15/2000 page 1 Page 2 of I 1 OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address;A 236 Smoke Valley Road Owner: Richard Burns Date of Inspection: August 2, 2003 Inspection Summary: Check A,B,C,D or E/ALWAYS complete all of Section D A. System Passes: ✓ I have not found any information which indicates that any of the failure criteria described in 310 CMR 15.303 or in 310 CMR 15.304 exist. Any failure criteria not evaluated are indicated below. Comments: B. System Conditionally Passes: One or more system components as described in the"Conditional Pass" section need to be replaced or repaired. The system,upon completion of the replacement or repair,as approved by the Board of Health,will pass. Answer yes,no or not determined(Y,N,ND)in the for the following statements. If"not determined",please explain. The septic tank is metal and over 20 years old* or the septic tank(whether metal or not)is structurally unsound,exhibits substantial infiltration or exfiltration or tank failure is imminent. System will pass inspection if the existing tank is replaced with a complying septic tank as approved by the Board of Health. *A metal septic tank will pass inspection if it is structurally sound,not leaking and if a Certificate of Compliance indicating that the tank is less than 20 years old is available. ND explain: Observation of sewage backup or break out or high static water level in the distribution box due to broken or obstructed pipe(s)or due to a broken, settled or uneven distribution box. System will pass inspection if (with approval of Board of Health): broken pipe(s)are replaced obstruction is removed distribution box is leveled or replaced ND explain: The system required pumping more than 4 times a year due to broken or obstructed pipe(s). The system will pass inspection if(with approval of the Board of Health): broken pipe(s)are replaced obstruction is removed ND explain. 2 Page 3 of 11 OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address: 236 Smoke Valley Road Owner: Richard Burns Date of Inspection: August 2, 2003 C. Further Evaluation is Required by the Board of Health: Conditions exist which require further evaluation by the Board of Health in order to determine if the system is failing to protect public health,safety or the environment. 1. System will pass unless Board of Health determines in accordance with 310 CMR 15.303(1)(b)that the system is not functioning in a manner which will protect public health,safety and the environment: _ Cesspool or privy is within 50 feet of a surface water Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh 2. System will fail unless the Board of Health(and Public Water Supplier,if any)determines that the system is functioning in a manner that protects the public health,safety and environment: _ The system has a septic tank and soil absorption system(SAS)and the SAS is within 100 feet of a surface water supply or tributary to a surface water supply. The system has a septic tank and SAS and the SAS is within a Zone 1 of a public water supply. The system has a septic tank and SAS and the SAS is within 50 feet of a private water supply well., _ The system has a septic tank and.SAS and the SAS is less than 100 feet but 50 feet or more from a private water supply well". Method used to determine distance "This system passes if the well water analysis,performed at a DEP certified laboratory, for coliform bacteria and volatile organic compounds indicates that the well is free from pollution from that facility and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm,provided that no other failure criteria are triggered. A copy of the analysis must be attached to this form. 3. Other: 3 Page 4 of 11 OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address: 236 Smoke Valley Road M Qysemdie, MA Owner: Richard Burns Date of Inspection: August 2, 2003 D. System Failure Criteria applicable to all systems: You must indicate either`yes"or"no"to each of the following for all inspections: Yes No _ ✓ Backup of sewage into facility or system component due to overloaded or clogged SAS or cesspool _ ✓ Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or clogged SAS or cesspool ✓ Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool ✓ Liquid depth in cesspool is less than 6"below invert or available volume is less than '/2 day flow ✓ Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s). Number of times pumped_. ✓ Any portion of the SAS,cesspool or privy is below high ground water elevation. ✓ Any portion of cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply. ✓ Any portion of a cesspool or privy is within a Zone 1 of a public well. ✓ Any portion of a cesspool or privy is within 50 feet of a private water supply well. _ ✓ Any portion of a cesspool or privy is less than 100 feet but greater than 50 feet from a private water supply well with no acceptable water quality analysis. [This system passes if the well water analysis, performed at a DEP certified laboratory,for coliform bacteria and volatile organic compounds indicates that the well is free from pollution from that facility and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm,provided that no other failure criteria are triggered. A copy of the analysis must be attached to this form.] No (Yes/No)The system fails. I have determined that one or more of the above failure criteria exist as described in 310 CMR 15.303,therefore the system fails. The system owner should contact the Board of Health to determine what will be necessary to correct the failure. E. Large System: To be considered a large system the system must serve a facility with a design flow of 10,000 gpd to 15,000 gpd• You must indicate either"yes"or"no"to each of the following: (The following criteria apply to large systems in addition to the criteria above) Yes No the system is within 400 feet of a surface drinking water supply _ the system is within 200 feet of a tributary to a surface drinking water supply _ the system is located in a nitrogen sensitive area(Interim Wellhead Protection Area-IWPA)or a mapped Zone II of a public water supply well If you have answered`yes"to any question in Section E the system is considered a significant threat,or answered "yes" in Section D above the large system has failed. The owner or operator of any large system considered a significant threat under Section E or failed under Section D shall upgrade the system in accordance with 310 CMR 15.304. The system owner should contact the appropriate regional office of the Department. 4 Page 5 of 11 i OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B CHECKLIST Property Address: 236 Smoke Valley Road M,M - ► Owner: Richard Burns Date of Inspection: August 2, 2003 Check if the following have been done: You must indicate"yes"or"no"as to each of the following: Yes No ✓ _ Pumping information was provided by the owner,occupant,or Board of Health ✓ Were any of the system components pumped out in the previous two weeks? ✓ Has the system received normal flows in the previous two week period? ✓ Have large volumes of water been introduced to the system recently or as part of this inspection ? ✓ Were as built plans of the system obtained and examined?(If they were not available note as N/A) ✓ Was the facility or dwelling inspected for signs of sewage back up? ✓ _ Was the site inspected for signs of break out? ✓ Were all system components,excluding the SAS,located on site? ✓ Were the septic tank manholes uncovered,opened,and the interior of the tank inspected for the condition of the baffles or tees,material of construction,dimensions,depth of liquid,depth of sludge and depth of scum ? ✓ Was the facility owner(and occupants if different from owner)provided with information on the proper maintenance of subsurface sewage disposal systems? The size and location of the Soil Absorption System(SAS)on the site has been determined based on: Yes No ✓ Existing information. For example,a plan at the Board of Health. ✓ _ Determined in the field(if any of the failure criteria related to Part C is at issue approximation of distance is unacceptable) [310 CMR 15.302(3)(b)]. 5 Page 6 of 11 It OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION Property Address: 236 Smoke Valley Road M. M. Qtewi*, MA Owner: Richard Burns Date of Inspection: August 2, 2003 FLOW CONDITIONS RESIDENTIAL Number of bedrooms(design): 5 Number of bedrooms(actual): 5 DESIGN flow based on 310 CMR 15.203 (for example: 110 gpd x#of bedrooms): 550 Number of current residents: 0 Does residence have a garbage grinder(yes or no): n/a Is laundry on a separate sewage system (yes or no): No [if yes separate inspection required] Laundry system inspected(yes or no): No Seasonal use(yes or no): Yes Water meter readings,if available(last 2 years usage(gpd)): Unavailable Sump Pump(yes or no): No Last date of occupancy: Unknown COMMERCIAL/INDUSTRIAL 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: Unavailable Was system pumped as part of the inspection(yes or no): No If yes, volume pumped: _gallons--How was quantity pumped determined? Reason for pumping: TYPE OF SYSTEM ✓ Septic tank,distribution box,soil absorption system Single cesspool Overflow cesspool Privy Shared system(yes or no) (if yes,attach previous inspection records, if any) Innovative/Alternative technology. Attach a copy of the current operation and maintenance contract(to be obtained from system owner) Tight Tank Attach a copy of the DEP approval Other(describe): Approximate age of all components,date installed(if known)and source of information: Jul. 97-per as built card Were sewage odors detected when arriving at the site(yes or no): No 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: 236 Smoke Valley Road M.A. Gsteaaao, MA Owner: Richard Burns Date of Inspection: August 2, 2003 BUILDING SEWER(locate on site plan) Depth below grade: Materials of construction: _cast iron _40 PVC other(explain): Distance from private water supply well or suction line: Comments(on condition of joints,venting,evidence of leakage,etc.): SEPTIC TANK: ✓ (locate on site plan) Depth below grade: 15" Material of construction: ✓ concrete _metal _fiberglass _polyethylene _other(explain) If tank is metal list age: Is age confirmed by a Certificate of Compliance(yes or no): (attach a copy of certificate) Dimensions: 1 S00 gal. (H-20) Sludge depth: 2" Distance from top of sludge to bottom of outlet tee or baffle: 30" Scum thickness: ' 0" Distance from top of scum to top of outlet tee or baffle: 10" Distance from bottom of scum to bottom of outlet tee or baffle: 14" How were dimensions determined: Measuring stick Comments(on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert,evidence of leakage,etc.): Tees were present The liquid level was even with the outlet invert. There were no signs of leakage. GREASE TRAP: None (locate on site plan) Depth below grade: Material of construction: _concrete _metal _fiberglass _polyethylene _other (explain): Dimensions: Scum thickness: Distance from top of scum to top of outlet tee or baffle: Distance from bottom of scum to bottom of outlet tee or baffle: Date of last pumping: Comments(on pumping recommendations, inlet and outlet tee or baffle condition,structural integrity, liquid levels as related to outlet invert,evidence of leakage,etc.): 7 Page 8 of 11 OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: 236 Smoke Valley Road M.M• -MA Owner: Richard Burns Date of Inspection: August 2, 2003 TIGHT or HOLDING TANK: None (tank must be pumped at time of inspection)(locate on site plan) Depth below grade: Material of construction: _concrete _metal _fiberglass _polyethylene _other(explain): Dimensions: Capacity: gallons Design Flow: gallons/day Alarm present(yes or no): Alarm level: Alarm in working order(yes or no): Date of last pumping: Comments(condition of alarm and float switches,etc.): DISTRIBUTION BOX: ✓ (if present must be opened)(locate on site plan) Depth of liquid level above outlet invert: Even Comments(note if box is level and distribution to outlets equal,any evidence of solids carryover,any evidence of leakage into or out of box,etc.): The D-box was level. No solids were present. PUMP CHAMBER: None (locate on site plan) Pumps in working order(yes or no): Alarms in working order(yes or no) Comments(note condition of pump chamber,condition of pumps and appurtenances,etc.): 8 Page 9 of 11 OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: 236 Smoke Valley Road M.AA is rA Owner: Richard Burns Date of Inspection: August 2, 2003 SOIL ABSORPTION SYSTEM(SAS): ✓ (locate on site plan,excavation not required) If SAS not located explain why: Type leaching pits,number: ✓ leaching chambers,number: 6-cultecs-330s- 1 S'x 23' -per as built card leaching galleries,number: leaching trenches,number, length: leaching fields,number,dimensions: overflow cesspool,number: Innovative/alternative system Type/name of technology: Comments(note condition of soil,signs of hydraulic failure,level of ponding,damp soil,condition of vegetation,etc.): The field was dry. There were no signs offailure. The bottom to grade was approximately 5'6". CESSPOOLS: None (cesspool must be pumped as part of inspection)(locate on site plan) Number and configuration: Depth-top of liquid to inlet invert: Depth of solids layer: Depth of scum layer: Dimensions of cesspool: Materials of construction: Indication of groundwater inflow(yes or no): Comments (note condition of soil,signs of hydraulic failure,level of ponding,condition of vegetation,etc.): PRIVY: None (locate on site plan) Materials of construction: Dimensions: Depth of solids: Comments(note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): 9 • Page 10 of 11 OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: 236 Smoke Valley Road MAQWWMik, MA Owner: Richard Burns Date of Inspection: August 2, 2003 Map: 097 Parcel. 003 SKETCH OF SEWAGE DISPOSAL SYSTEM Lot:37 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. 00 d M M O n { v 10 Page 11 of 11 OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: 236 Smoke Valley Road M.,, U, MA Owner: Richard Burns Date of Inspection: August 2, 2003 SITE EXAM Slope Surface water Check cellar Shallow wells Estimated depth to ground water 16 +/- feet Please indicate(check) all methods used to determine the high ground water elevation: Obtained from system design plans on record-If checked, date of design plan reviewed: Observed site(abutting property/observation hole within 150 feet of SAS) ✓ Checked with local Board of Health-explain:topographic and water contours maps Checked with local excavators, installers-(attach documentation) Accessed USGS database-explain: You most describe how you established the high ground water elevation: Using the Barnstable topographic map and the Cape Cod Commission water contours map the maps were showing approximately 16'+/-to ground water at this site. This report has been`prepared and the system inspected and passed as of the date of inspection. This report is not a warranty or guarantee that the system will function properly in the future. There have been no warranties or guarantees, either expressed,written or implied, relating to the system, the inspection andlor this report. f t � 11 «.� G,. lw�, .t� h'�" 4< �, rp �t xFl• y+ { �� � � b V Ii i w :.. '1r ter:,�• } .h ! -'` ,' k .Yt ' '. � - #: to Aprzh'w20, 1979 «'�' to .r �''F i. $ ":^.n' 4r, s ,. ~ `e:" a #. ., t,�• . , . . Mr1Arne O.jala ; ~. Down Cape'•Engtneering4. _ 926 Mainw Street' Yarmouth., .Mki_ 3 �' i'd''. •iu :Gd -+i+. r,� { ' F , Re c< B5tz az Property, off,"Smoke, Valley 7Road,,, %Osterville � _ G ,*! '.' i` i i F y., r r,.. -. •. {. ...! ate ,ti n: Dear. Mr Oj,a2a a Your,`request on•behalf of Mr Richard Burnes.',tcs install' an ,.- on--site _sewage# system: on �hks Y': property pff Smoke Valley Road, pster ';' which #will 'be- .90: feet,from .w6ilafdS., in" lieu -of ' the,required -106 feet, is_ granted. with.' the following s conditionsr 4 yy a, TheLdesigning' engineer• must. supeivise construction ' - and ding Gan iiori, :n writ - , ? gra d su2�m t certifies _ k tf.nq, that 4the system was• installed in' strict accordance , ` i D' F i ' f t�rith "hips''plan i'pribr to issuance• of a c® t3.f leafs of '. co- -1 ance .anduaccupancy permit. ; t •AY. #.,y e�d � .e. a• .( G " I x. ;•'a'+. .other.' 'own_Of Barnstab1 Health' and Conservation' } t Commisson 'regulations in addition' to Tt3.e 5 of ,s the, State Environmental'. Code. must be�`met.' .You. mu st f le with the C rservationG C 4 Commis. ,anc ,.�reoe�we �an, . 11 x G order ok. conditions prior' to .obtaihincj a "buiidi ng p+ermit.. 1: ..4' This variance .expires May '1, �, �. yi ,.t• x' � G •� ., (F �•� # §, � 7 Y' t !`t ; • '.' , �# .i t• � • R VeryW truly yours; , i .• '" k s •rt•� .. _ ;.a .. .. ..`- .. _ -. ... f ; - �'lie .r G » • - , :r Ann:,Jan h a aug)v, Chairman ' . is .. T� ,(I�-a^� `( Y Chi i3 Robert:., ., r „ !a r" x � l'i Y' , °'ad a"t-• .� w A� W,�°A2ande scam` M. D. BOARD *' *" TOWN OF:"BARNSTABLE i G w v.: ( CC i `` Conservation Commission, M R,.W r 3 a K• k 'vu �. , q ,;.°. Mr„ John"Alger � 16. a 362-4541 1 F 926 main street yarmouth mass. 02675 down cape engifteering civil engineers& land surveyors structural design James H.Bowman P.E.,R.L.S. Arne H.Ojala R.L.S. land court John W.Jalicki surveys site planning April 17P 1979 sewage system designs Town of Barnstable Board of Health 397 Main Street inspections Hyannis, Mass. 02601 Re: Request for varianceoof permits the Burns property off Smoke Valley Road in Osterville - Plan reference: Land Court Plan #5725-16 Sht. A Lot 37 - 9.9 acres (including wetland) Dear Board Members: Shown on the accompanying sewage design plan are the 90 foot dimensions for setback of sewage leaching facility from surface wetlands and we have shown the measurements from the proposed facility to the edge of the marsh. We request that the Board grant this variance, as the attached design meets the requirements of Title 5 of the Mass. Environmental Code, and as the soils and conditions on site pose no limitations for a sub-surface sewage disposal system. Thank you, r Arne H. 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Burnes; to install a,-leaching 'p 90 feet•.from I.a marsh' 4n..one,., , 'i side and' 90 ,feet, rd*Iwat on .tie other`"s dey;on' Jll4 ,'� Smoke nValley:Road, Oater{v .l�I'e ,1n ° ,idu of tie' regtx3 red 1:00 fee ' y f �. T ith th`e following conditions.'• prior ato" construction, an f observation pit mush'be _ { M .observed and. approved,`by .a `Board •o€, Health represents.- " f tine> n =:the '.area df the> r sed s w = " �,,, � i p opo ys e . it r A f r:.+1'40t: i.;i ?V� (:2) u,:Pr3,4r, to 3:ssuanceY=of a certif . ate.!df::com fiance and . p. „occupancy permits�-the designing �"engineex ,must supervise i 3r k e a ` ,e v a . .,construction. and, grading and``submit°cert_;f icati.on f `h writing;. that thek'�,'s em,'was +instalie'd.;� 1 '-strict , Y Y I .r .. ,:Q } �,a k t:accordance with his.plan• Ail,' rather'Town of Barnstable xeaSth.Iregul ations,"�in add t oii ,to t1°E' rJ d ,K i , of the sStatE` Envronneritali Code, nus�t n. r 4 a� J oi.,. ,r .M��S c d .A} :+'• .d rn,�. +� a; J ... ._"'4'E ( 3 . ' Thin Varz�.ance expizes Odt'ber. 1, 1980. x� �r � �• s,.I.,, •.'.�, y. �/iir 't yu.i: I d * ! `' ` .i. , p`• - J r K n{ .e. Ro ortn � ! !f �s«6�!y{ ��Y - r T � � tr•fi 'i ,�� 4 man a stam�.. M� i✓. •�. 1 %F ,�.# fi! �R • �r), i..R 1 ' k.. `'d* J,sy 4 Y.+SFa A• R # c ! C_� • .,/r�i•J.1 r.•�Qiie. �R7 aug.h I B©ARC OC f. + s... ,�, .i v f .. r •i� , HEALTH TOWN OF BARNSTABLE #. ,.Y. 4 + t I °; DOWN CAPE ENGINEERION 926 Main Street BE Route 6A o=(D a/-.-.ZURMOUTH, MA 02675 LETTER Phone 362.4541 Date .......... To ........... Subject ..........M- . o. /.__ . . .. ._ .......................... --" Bt f3ohP hdvsc- ._ ........ M& /� ec .-T ......... ...._... / .........../�l�r/w..iHr✓c �; , of✓s .......... A41 ....... . t L—_._ 7 _._ /.c't.. .ill/ . . 5i .T ark........... ......... , ........ Gu`. _ tf 3oL ....�2osy► .. .>00 ...._... 4�.. _ T_ _ __ �}//.g/r e '� _ _ .. ...._......_vvAL 1, rTf2_...... ................. ..................... ............... SIGNED El Please reply ❑ No reply necessary FORM 186-2 Available from A e Inc.,Townsend,Mass.01470 DOWN CAPE ENGINEERING 926 Main Street DER am 0) • Route 6A YARMOUTH, MA 02675 LETTER Phone 362-4541 Date .......... - Subject 7'�.... ......... A ................ ........... ...........................- S' .............................'4 ........... Ile 9we4 ........../ �x 741-1 .. ................- za. ......... .................................................... .............................. ..........- a 7 L t...... .............. ..... ... ..... ......... ...... .................... .......... ..................................... ...................... ... ....... ..................................................... ... .. . .. 70 OLA— A� ....... ........76 El Please reply El No reply necessary FORM186-2 Available from JA�inc-Townsend,Mass.01470 THE COMMONWEALTH OF MASSACHUS'ETTS ORDER WETLAND PROTECTION ACT G.L. CH. 131, S. 40 SE 3-516 / TOWN ,OF BARNSTABLE FILE NUMBER .................................................... To: Name ...chard .M.....Burnes Address ....299.-Main St. , Osterville........Mass. RecordedOwner ..............................................................._...._ ....._...._.............................................................-._................................._............. --- PROJECT LOCATION: CERTIFIED MAIL NO. _................__................................._ Smoke Valley Road Marstons Mills, Mass. Address ....................................................................._....... _ ........................................................_......................................................._ . Title Reference, Registry of Deeds; Book ................................................................................. Page .................................................. Certificate if registered) ............._78128........................._........................ and as sho( g ) .....••. wp on Town of BarnstableAssessors Map #............................................................. Lot #.............._................................. REGARDING: Notice of Intent dated Aug 7, 1979 August , 1979 ..............ust................................_ Date of Hearing .....................__................21 ..........._.............................. Plans entitled A) 'Sheet l of 3, Site-Sewae Plan for Richard M. Burnes in Barnstable, ....... .........................................................................................................................._.... Mass." B)""""'"SFie"e't""Z"'"of""3'� SY't "-5ew e PT�YT �i�Y iz1CC2sa�rt M.. Rurnes. in B•arnstcble, Mass." ........................ . . ....................... ............................... C) "Sheet 3 of 3 Site P1an for Tennis Court for' in -....July Plans dated A) & B) - July �23, 1979; C) - August 7, 1979, Barnstable, Mass." "' Revised Aug. 21,1979 Stamped and signed by A) & B) .........James. . ........H...........Bow. .m.......an, P.E...... _. ............ ......... ................ ...................................................................................._.. C) - James H. Bowman, P.E. ......................................................................................................................................................_._......................................._.- THIS ORDER IS ISSUED ON ..................Sept.-.....10.....1979......................................... Pursuant to the authority of G.L. Ch. 131, S. 40, the BARNSTABLE CONSERVATION COMMIS- SION has considered your Notice of Intent and plans submitted therewith, and has determined that the area on which the proposed work is to be done is significant to one or more of the interests described in the said Act. The BARNSTABLE CONSERVATION COMMISSION hereby orders that the following conditions are necessary to protect said interests and all work shall be performed in strict accordance with them and with the Notice of Intent and plans identified above except where such plans are modified by said conditions. CONDITIONS: .. 1. Failure to comply «ith all conditions stated herein, and with all related statutes and other regula- tory measures, shall be deemed cause to revoke or modify this Order. 2. This Order does not-grant any property rights or any exclusive privileges; it does not authorize any injury to private property or invasionjof private rights. 3. This Order does not relieve the permittee or any other person of the necessity of complying with all other applicable federal, state, or local statutes, ordinances, by-laws and/or regulations. 4. The work authorized hereunder shall be completed within one (1) year from the date of this Order unless it is for a maintenance dredging project subject to Section 5 (9). The Order may be extended by the issuing authority for one or more additional one-year periods upon application to the said issuing authority at least thirty (30) days prior to the expiration date of the Order or its extension. SE 3-516 CONDITIONS CONTINUED FILE NUMBER ............................ _.._.._�.. 5. Any fill used in connection with this project shall be clean fill, containing no trash, refuse, rubbish or debris, including, without limiting the generality of the foregoing: lumber, bricks, plaster, wire, lath, paper, tires, ashes, refrigerators, motor vehicles or parts of any of the fore- going. 6. No work may he commenced until all appeal periods have elapsed from the Order of the Con. servation Commission or from a final Order by the Department of Environmental Quality En- gineering.'J 7. No work shall be undertaken until the Final Order, with respect to the proposed project, has been recort,cd in the Registry of Deeds for the District in which the land is located within the . chain of title of the affected property. The Document number indicating such recording shall be submitted on the form at the end of this order to the issuer of this Order prior to commence- ment -of work. 8. A sign shall be displayed at the sit , not less than two square feet or more than three square feet bear' thheP ords: "Massachusetts Department of Environmental Quality Engineering. \'umber 3=51 ", and a........_.................__._. copy of this Order shall he available at the site. 9. Where the Department of Environmental Quality Engineering is requested to make a determin- ation and to issue a superseding Order, the Conservation Commission shall be a party to all agency proceedings and hearin-s before the Department. 10. Prior to any work being done at the site, all legal advertisin- bills incurred by the petitioner in relation to the Wetlands Hearing held on this project shall be paid. 11. Notice shall be given to the Barnstable Conservation Commission or Conservation Officer no more than two weeks nor less than two days prior to the commeucement of the work. 12. As required by sec. 30(3) of the Wetlands Regulations promulgated under Mass. G.L. Ch 131 sec 40, no coastal enQineerinol structure, including but not limited to, bulkheads, revetments, or seawalls, shall be permitted on the bank at any time in the future to protect the project allowed by this Order. 15. Temporary retaining walls are to be used to prevent erosion during construction. 16. All disturbed areas are to be revegetated following construction. Areas stripped of vegetation during construction may NOT he left unvegetated or unmulched for more titan 60 days, unless other erosion control measures have been provided for herein. 17. There shall be maintained a buffer strip -of natural vegetation __ _ _ feet in width around all wetlands and water bodies shown on the plan. Selective limbing may be allowed within the buffer strip to allow for a view. N/A 114. Oil adsorbent materials will be placed in all catch basins or manholes with outlets to wetlands -or waterbodies, and shall he cleaned regularly by .._.................................._ _ _ ____ w __ to ensure proper functioning. 19. The project shall not reduce the flood storage capacity of any wetland, water course, or water body. 20. Septic system is to conform with Town of Barnstable Board of Health Regulations and Title V, unless specifically ordered otherwise herein. 21. Immediately following completion, the project shall be certified to be as per these-ogditio and plans, in writing, to the Barnstable Conservation Commission by the projectn who shall be registered in the state of Mass. Upon certification by the project _ —Engines the applicant shall forthwith request, in writing, that a Certificate of Compliance be issued stating that the work has been satisfactorily completed. 22. Copies of all other permits obtained in connection with this project,.and a copy of the certified foundation plan, as prepared for the Barnstable Building Inspector, shall be delivered to the Barnstable .Conservation Commission as they become available. 23. Work shall also conform to Order issued under Article XXVIII of the Town of Barnstable By-Laws. SE 3-516 CONDITIONS CONTINUED FIDE NUMMER ....._.._....._.... _.._...__..._- The applicant, any person aggreived by this Order, any owner of land abutting the land upon which the proposed «work is to be done, or any ten residents of the city of town in which the land is located, are hereby notified of their right to appeal this Order to the Department of Environmental Quality Engineering, provided the request is made in writing and by certified mail to the Depart- ment of Environmental Quality Engineering witihin ten (10) days from the issuance of this Order. ISSUED BY: ..� 17.. .`. ..............._.........._...._........................._.__. .............................................................................._........_........_ _........__._._...._ ._ ...... . .-_........_. ... .......................... .................._ ....................................... ........................................................ .:.................... 94 On this ................ �.............................. day off., 19...7y9..., before me personally appeared _... ...................... ...................................... to me known to be the person described in and who executed the foregoing instrument and acknowledged that he executed the same as his free act and deed. ` —.....// ...... ............ ............................................... X. .. ...��........................................ ot - Na- Public M Commission Expires Y P --------------------------------------------------------------------------------------------------------------------------------------=-------- Detach on Dotted Line and Submit to the Issuer of this Order Prior to Commencement of Work. X — To Barnstable Conservation Commission (Issuing Authority) PLEASE BE ADVISED THAT THE ORDER OF CONDITIONS FOR THE PROJECT AT ................. ........._...._............_................................._..... FILE NUMBER .............................................. HAS BEEN RECORDED AT THE REGISTRYOF .................................................................................._....._, ON (DATE) ................................................................_....................._.......__. If recorded land, the instrument number which identifies this transaction is ....................._........_............................... If registered land, the document number which identifies this transaction is .......................................................... Signed .............................................................................................................._ Applicant N N NOTES: 1.) CONTRACTOR IS TO VERIFY ALL EXISTING CONDITIONS E 3s-0 &DIMENSIONS IN THE FIELD s W 3-0^ 2-0 s-s 2.) CONTRACTOR TO VERIFY ALL INTERIOR&EXTERIOR MATERIALS, 15'-3• DETAILS,&FINISHES IN THE FIELD WITH OWNER ( J V V I A 3.) ROUGH OPENING HEAD HEIGHT OF WINDOWS AT A6 ; FIRST FLOOR TO BE 6'-8"ABOVE SUBFLOOR C 12-0• 12'-0" 12'-0• 4.) ALL CONSTRUCTION TO CONFORM TO 780 CMR MASSACHUSETTS L LINE OF DEC ABOVE _ STATE BUILDING CODE,8TH EDITION AMENDEMENT&IRC2009 H_— —_ 11 11 I I I I 5.) 110 MPH EXPOSURE C WIND ZONE a I I I I I I ua 6.) ALL SHEETS OF PLYWOOD WALL SHEATHING TO BE INSTALLED VERTICALLY, e e I a I I I l i l OR HORIZONTALLY W/BLOCKING AT EDGES,3"EDGE/12"FIELD NAILING11, d( 7G�/ 7.) ALL LVL LUMBER/BEAMS TO BE 1.9e U360 LOAD „ OUTDOOR 8.) SEE CERTIFIED PLOT PLAN DEVELOPED BY SULLIVAN ENGINEERING FOR ALL v BATH SHOWER § PROPOSED&EXISTING DETAILS 9.) FOLLOW ALL MANUFACTURER'S SPECIFICATIONS FOR INSTALLATION OF �'�l✓V of- ® 9 ALL SIMPSON COMPONENTS r VENT F - - OUTSIDE a; 4,(r 10.) ALL CONCRETE USED FOR FOUNDATION WALLS,FOOTINGS&SLABS 2.8•x6.8• TO BE 3000 PSI A 11.)VERIFY ALL PLUMBING&ELECTRICAL DETAILS W/OWNERS ON THE,SITE b DURING FRAMING CONSTRUCTION 6'-6• GARAGE . 2'-5• 12.)TIMBER FRAMING TO BE SPRUCE/PINE/FIR NO.2 GRADE (5ITCH2' O.H.DOOR 13.)FOLLOW ALL REQUIREMENTS OF THE 110 MPH CHECKLIST SUPPLIED �. PITCH WW EMBEDDED ' W/6 x 6 W W F EMBEDDED _ 14.)THIS SITE IS IN THE 110 MPH WIND BORNE DEBRIS AREA,EXPOSURE"C" F F F_ 1 &WITHIN ONE MILE OF NANTUCKET SOUND PER STATE OF ° 4x4x1/4•STEEL POST I 4-0• MASSACHUSETTS WIND SPEED MAPS UNDER EACH END OF Y STEEL BEAM 15.)GLAZING PROTECTION PER 780 CMR 5301.2.1.2 TO BE IMPACT GLAZING ____ W12x53STEELBEAMABOVE IJ __ - VERIFY ALL WIND BORNE DEBRIS PROTECTION REQUIREMENTS - -� _ W/OWNERS PRIOR TO START OF CONSTRUCTION — 16.)FOLLOW ALL REQUIREMENTS OF THE IECC2012 RESIDENTIAL ENERGY HALL EFFICIENCY REQUIREMENTS&VERIFY ALL DETAILS WITH THE INSULATION INSTALLER/CONTRACTOR. r 17.)ALL HEADERS TO BE 3-2 x 8's UNLESS OTHERWISE NOTED A 4'-0' 18.)SEE ALL STRUCTURAL DETAILS PROVIDED BY MICHELLE CUDILO,P.E. ® FOR ALL STEEL BEAM&FRAMING INFORMATION UP J A FOYER '8'x 6'8" m , FIRE RAT D ® b WINDOW SCHEDULE — � - TYPE MANUFACTURER'S UNIT ROUGH OPENING REMARKS 5'o xe� o suDING A 7\5'0'z8'0'SLIOINc A PELLA ARCHITECT SERIES 3759 3'-1 3/4"x4'-11 3/4" DOUBLEHUNG BARN DOOR A6 BARN DOOR B PELLA ARCHITECT SERIES 2323 V-11 3/4"x 1'-11 3/4" AWNING C PELLA ARCHITECT SERIES 3517 2'-11 3/4"x 1'-5 3/4" TRANSOM 13'-0• 10'-0" 9'-B' 3'-4' D PELLA ARCHITECT SERIES 2947 2'-5 3/4"x 3'-11 3/4" DOUBLEHUNG E PELLA ARCHITECT SERIES 3757 3'-1 3/4"x 4'-9 3/4" DOUBLEHUNG 36'-0• F PELLA ARCHITECT SERIES 2953 2'-5 3/4"x 4'-5 3/4" DOUBLEHUNG FIRST FLOOR PLAN (DSMOKEDETECTOR IECC2012 RESIDENTIAL ENERGY EFFICIENCY DETAILS CLIMATE ZONE 5A(USE EITHER PRESCRIPTIVE VALUES OR RESCHECK CALCULATION Q CARBON MONOXIDE DETECTOR TABLE 402.1.1(MINIMUM PRESCRIPTIVE INSULATION&FENESTRATION REQUIREMENTS) ®HEAT DETECTOR FENESTRATION SKYLIGHT CEILING- WOOD FRAMED WALL FLOOR BASEMENT WALL BASEMENT SLAB CRAWL SPACE WALL U-FACTOR U-FACTOR R-VALUE R-VALUE R-VALUE I R-VALUE R-VALUE R-VALUE 0.35 0.60 49 20 30 10/13 10(2 FT.DEEP) 10113 NOTES: s 1.R-VALUES ARE MINIMUMS&U-FACTORS ARE MAXIMUMS. 2.10/13 MEANS R=15 CONTINUOUS INSULATED SHEATHING ON THE INTERIOR OR EXTERIOR OF THE HOME OR R=13 CAVITY INSULATION AT THE INTERIOR OF THE BASEMENT WALL 3.REFER TO IECC 2012 CHAPTER 4 FOR ALL INSULATION&ENERGY REQUIREMENTS THE ERRORSIORO S OMISSIONS RE 1FIEDFOUND GF. 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DATE : FAX 506 539-9402 THESEDRAWINGSARE 90LELYFO RfTTENE 236 SMOKE VALLEY ROAD OST OF THEOWUI—COED.ANYOTHERUTON • ERVILLE, MA CONSN WI THEDEIUNERUNERTEEN 12/15/2014 CONSENT OF THE DESIGNER UNDER THE ARCHITECTURAL COPYRIGHT PRO/ECTION VERIFY ALL CUPOLA DETAILS W/MFR.&OWNERS BRICK FIREPLACE _ VERIFY ALL DETAILS TYP.RIDGEVENT W/MASON&OWNERS LL . Sr TOP OF PLATE ASPHALT ROOF SHINGLES TO MATCH EXISTING HOUSE AZEK OR KOMA 1 x 4 TRIM W/2' -L _ _ SILL AZEK OR 110.FASCIA,FRIEZE, - __ &SOFFIT BOARDS TO MATCH EXISTING HOUSE SECOND FLOOR - SUBFLOOR - TOP OF PLATE -:ELIJ --- r_-- TOP OF FOUN NEW AZEK OR KOMA RAKE _ BOARDS TO MATCH EXIST. SLIDING CVG CEDAR BARN DOOR HOUSE W/S.S.HARDWARE 4.512 11 �4.5 SOUTH ELEVATION TOP OF PLATE 12 12 D - - SECOND FLOOR _ - SUBFLOOR_ TOP OF PLATE W.C.SHINGLE SIDING ---- W/WOVEN CORNERS TOP OF FOUND. 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S j DWELLINGS(WFCM),AND THE'MINUMUM DESIGN LOADS FOR BUILDINGS AND 07'HIiR 57'RUCI'URES(ASCE7-02).THE 13ASIC WIND SPEED FOR THE 2.EXTERIOR WALL STUDS ON SECOND FLOOR TO BE ATTACHED'ID DESIGN OF THIS STRUCTURE IS 110 MILES PER HOUR WITH EXPOSURE STUDS ON FIRST FLOOR ACROSS SECOND FLOOR RIM BOARD W(1)CS 16 CATEGORY'C'. COIL STRAP W/(14)IOd NAILS(7 NAILS AT EACH END OF STRAP)WIT H A. 3K,2J 3-2 x 8 HDR. 3K,2J STRAP CUT LENGTH OF I8"+THE CLEAR SPAN ACROSS RIM BOARD. 3.THE CONTRACTOR IS RESPONSIBLE FOR CONTACTING THE LOCAL STRAPS 7'O dE SPACED Al'32"O.C.(EVERY O'fHER STUD).STRAP IS NOT BUILDING OFFICIAL FOR THE,STRUCTURAL FRAMING INSPECT'ION(S).IF REQUIRED AT SHEARWALL HOLDDOWN LOCA7TON5.CS 16 COIL STRAPS- � THE BUILDING OFFICIAL.REQUIRES THATTHE INSPECTION(S)BE TOBEAPPLIEDOVER PLYWOOD SHEATHING.COMYLLI'EDBY'['HE ENGINEER OF RECORD,THE CONTRACTOR SHALL CONTACT"ITIE ENGINEER OF RECORD 24 HOURS PRIOR TO THE TIME WHEN 3.ATTACH FIRST FLOOR STUD TO RIM BOARD WITI I(1)CS 16 STRAP AT - THE INSPECTION(S)IS-I'D BE PERFORMED.THE CONTRACTOR SHALL 32"O.C.AND PROVIDE(6)1Od NAILS TO STUD AND(6)I Od NAILS TO RIM INSURE THAT ALL S'IRUMURAL MEMBERS AND CONNECTIONS ARE BOARD.ATTACH RIM BOARD TO FOUNDATION SILL PLATE WITH(1)DSP VISIBLE FOR INSPECTION.IF DURING THE INSPECTION,ANY PORTION OF CONNECTOR PER 32"O.C. I 77 S.STRUCTURE IS DEEMED NOT VISIBLE OR IS INACCESSIBLE FOR ALTERNATE STRAP �-- INSPECTION,FINAL APPROVAL OF 7'HE ENTIRE STRUCTURE WE.L NOT BE 5 2 x 6'S FROM GIVEN UNTIL THIS CONDITION IS CORRECTED AT THE CONTRACTOR'S A)ATTACH FIRST FLOOR S77JD TO RNA BOARD WITH(11 CS I6 STRAP AT () CXPENSE. 32"O C AND PROVIDE(6)10d NAILS TO STUD ANU(6)1 Od NAILS TO RIM - RIDGEDOWNTO I BOARD.WRAPSTRAP UNDER FOUNDATION SILL PLATE AND OVER TOP 3-1 3/4'x 9 1/2' 4.ALL WOOD CONSTRUCTION CONNECTORS AS SPECIFIED ON THESE OF SILL PLATE.FILL ALL HOLES IN STRAP ON TOP OF SILL PLATE. LVL HEADER W/ - CONSTRUCTION DOCUMENTS TO BE SIMPSON STRONG-TIF IN (SK,2J)UNDER LlI ACCORDANCEW ITH CATALOG G2009.IT 15714,RESPONSIBILITY OF THE: 3.CONNECTORS AND STRAPS AS SPECIFIED ABOVE FOR UPLIFT SHALL EACH END DOWN (5)2 x 6'S FROM CONTRACTOR TO INSTALL ALL CONNECTORS IN ACCORDANCE WITH PROVIDE A CONTINUOUS LOAD PATH FROM THE ROOF TO THETO _ TO FOUND. RIDGE DOWN 2' MANUFACTURER'S SPECIFICATIONS. FOUNDATION. _ LVL HEADER W/ 5.ALL ENGIMERED LUMBER PRODUCTS TO BE TRUS JOIST OR EQUAL. 4.CONNECTIONS FOR WALL OPENING ELEMENTS-(REFER TO DETAIL 2-WF) EACHH EUNDER INS'1'ALLIiU IN ACCORDANCE WITH MANUFACNRCR'S SPECIFICATIONS. EACHEND DOWN HEADERSIZE HEADER T 31ACKSTUD JACK 11UD TO SOLE PLATE TO FOUND. _ 4- 3/4*:24"LVL RIDGE BOARD RQUF FRAMING CONNECTIONSI L=P-B"To4'-o° (1)LSTA9 gsra" (2)LSTA9 (2)SP4* -- - -- ___ -- 1.ATTACH OPPOSING RAFTERS AT THE RIDGE OVER TTHETOP OF THE L=6'-VTO8'-W (2)LSTA 12 (2)SP4* RIDGE WITH(1)LSTA 18 TENSION STRAP AT 16"O.0 S'IRAP TO BE R INSTALLED OVER ROOF SHEATHING INTO RAFTERS W/IOd COMMON L=8'-1"TO 10'-0" (2)LS7'A IS (2)SPH6 NAILS To RAI'MRS.(REFER TO DETAIL 1-RF) L=10'-111TO I6-0" (2)ST2122 (2)SPH6* 2.A'I'I ACH THE END OF EACH RAFTER TO THE DOUBLE TOP PLATE OF 'ALTERNATE:"THE CONNECTOR SHOWN FOR THE JACK STUD TO SOLE ------ "I'Hli EXTERIOR WAT.1,WITH(1)H2.5A CONNECTOR. CONNECTOR 7D BE PLATE CAN BE SUBSTITUTED WITH THE.SAME CONNECTOR SHOWN FOR APPI.If;D DIRE'C'1'LY 1'O ZX TOP PLATES ON O11TSmE FACE OF WALL. THE LACK STUD TO HEADER ATTACH CONNECTOR WITH HALF OF THIi ALTERNATE:USE(1 H2A FROM EVERY RAFTER TO WALL,STUD BELOW. RLQUIRED NAILS TO THE JACK STUD AND HALF OF THE REQUIRED NAILS -—— -—— -—— — -- TSP CONNECTOR PER NOIE'1'"WALL FRAMING UPLIFT CONNECITONS'y CONNECTOR TORTOECOND B ATTACHEOR D ARDOR FOUNDATION TO 2X FRAMING AND . l I LS NOT REQUIRED WHEN USING(1)H2A AT EVERY RAFTER CONNECTOR TO BE ATTACHED DIRECTLY 7D 2X FRAMING AND RI.MBOARD.ALTERNATE CAN NOT BE USED WHY SOLE PLATE IS ATTACHED DIRECTLY TO FOUNDATION STEM WALL OR CONCRETE SLAB. J.BLOCKING TO BE PROVIDED ABOVI:7HG DOUBLE TOP PLATE OF THE EXTERIOR WALL AT"THE ROOF WITH ROOF SHPATHINGNAILEDTOTHE NOTE: --- — —- ---J -� BLOCKING AT 6"O.C.ION AS REQUIRED, NOTCH 1N BLOCKING TO PROVIDE. ADEQUATE VENTILATION AS RF.QUIRF.D.BLACKING 7'O BE ATTACHED A.HEADERS FOR DOORS AND WINDOWS TO HAVE(I)HB CONNECTOR AT DIRI.CFLY TO DOUBLE TOP PLATE OF THE EXTERIOR WALL W/(1)RBC THE TOP AND BOTTOM OF All CRIPPLE STUDS. _/I,._ _---J — _ _--� CONNECTOR. v B.HEADERS 4'-I"AND LARGER REQUIRE(2)JACK STUDS AT EACH END 4.PRO VIDE 2X BLOCKING AT THE RIDGE BETWEEN ALL RAFTERS AT THE OF THE HEADER. EDGE OF THE ROOF SHEATHING.ATTACH SHEATHING TO BLOCKING W/ b 8d NAILS Al'6"O.C.RIDGE BLOCKING IS NOT REQUIRED WHEN C.PROVIDE(1)A23 CLIP ON THE TOP OF ALL HEADERS AT EACH END OF SHEATH ING IS ATTACHED DIRECTLY'TO A RIDGE BOARD OR HEADER TO THE KING STUD ADJACENT TO THE OPENING. -- ----—— — -- - --- --- ----- - STRl1Cl'URAI.RIDGE BEAM. D.PROVIDE(1)SSP FROM EACH KING S'IUD-I'D DOUBLE TOP PLATE OF THE WALL,WITH(3)10d NAILS TO DOUBLE TOP PLATE AND(4)AGd NAES TO KING STUD.FOR CS 16 STRAP SIZE REFER TO NOTE"2"ABOVE.FOR A FIRST FLOOR HEADERS PROVIDE(1)CS 16 FROM EACH KING S7UD'1'0 A6 E FIRST FLOOR RIM BOARD,FOR CS 16 STRAP SIZE REFER TO NOTE"4" 4'1' 13'-0' 4'-8" _ 8'-8" E.KING STUD TO RIMBOARD CONNECTION SPECIFIED IN NOTE D'ABOVE (SHED DORMER) (SHED DORMER) IS NOT REQUIRED WHERE A SHFARWALL HOEDOWN IS ADJACENT TO THE OPENING. F.SILLS FOR OPENINGS LESS THAN 4'.0"WIDE REQUIRE(1)A23 CLIP AT THE BOTTOM OF THE SILL,PLATE TO THE KING STUD AT EACH END OF 38'-0' THE SILL PLATE.FOR OPENINGS 4'-0-AND LARGER,PROVIDE(2)A23 CLIPS AT FACE END OF THE SILL PLATE ON THE TOP AND BOTTOM OF ASPHALT SHINGLES ROOF FRAMING PLAN THE SILL PLATE. ASPHALT ROOF SHINGLES HIGH WIND NAILING 5/8'CDX PLYWOOD SHEATHING 2 x 12 RAFTERS 15#FELT PAPER NOTES: SIMPSON H 2.5 HURRICANE CLIPS 1.) ALL ROOF RAFTERS TO BE 2 x 12's WIND WASH �� �—310'WIDE ICE/WATER SHIELD UNLESS OTHERWISE NOTED BARRIER ALUMINUM DRIP EDGE 2.) USE SIMPSON H2.5 HURRICANE CLIPS 1 x 8 FASCIA BOARD AT ALL RAFTERS ENDS 1 x3STRAPPING W/ 3.)VERIFY GUTTER TYPE/LAYOUT - 1/2'GYPSUM BOARD 1 x 4 SOFFIT BOARD W/OWNERS 1 x CONT.VINYL SOFFIT VENT 1 x 3 SOFFIT BOARD TYP.2 x 6 WALLS 1 314 CROWN I 1 x 6 FRIEZE BOARD DETAIL AT CORNICE I < COTUIT BAY DESIGN, LLC NEW GARAGE FOR: THE DESIGNERSW1_BEESLI ING0OIFANY SCALE : DRAWING NO.: 11�\ ERROR90R OMISSIONSARE FOUND ON SCAL THESE DRAWINGS PRIORTO START OF 43 BREWSTER ROAD GONBTRRESPONTHE BFORNGaoNTRACTGR B_ WILL BE RESPONSIBLE FOR THE CONIEM 1/4 THES MASHPEE MA. 02649 STANIAR RESIDENCE DESIGNER OF NGB IF RSOR MISGI COMMENCES WITHOUT NOTIFYINGTHE DESIGNER OF ANY ERRORS OR OMISSIONS. DATE : PH. (508))274-1166 OFE ORA El No RE SOLE YFOR HE USE FAX(508)539-9402 236 SMOKE VALLEY ROAD OSTERVI LIE, MA OF NNE CTUERNOTEYNIG OTHER USE OF A7 THERE DRAWINGS REOUIREBTHEWRDTEN 12/15/2014 ARCHI'IECTCONSENT OURAL COPYF THE DESIG GHT PROTECTION ACT OF 1Wp. ANN, 1. h i 43 s v _ 3 3 k= T 1 , Rd t- _o { F . 4 :�"� ram``� r r E ONE�}�EkD ��•�®vv�5- e ' SF.E, EI.�V9 1,oJS Staniar Residence (Barn) r. �9 236 Smoke Valley Road Osterville,Massachusetts .2 A1 t i, t i First Floor Plan :. �l '� r j i j E1 E k F S f�� .., f .; } �` r { __ _ C _: __ _ � � __ :���-- � pf T1'oP-� /� ' r� I � � !� I M" OIL I �— 7 Pa�lElsv M• I i avr I I i i - I � vip1 1.5 to nor.ox Joist4 � i �D W4 N0 Gilat� TD ,�cGr1w>Ov�f� EX��tu;l7ooK 2*$_-QeIX--Fpw&It 4. 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'•��1►,qi,,�\, ,� h�".,a'y. { � �M1 / '/ 1 , .�'�8`��rr�ii` „r',� °.1� T,,. T R "y, � �n�' I Irk''' 1 1� ( I I � j ° ,x `gr ! 1~� _� fir' . ��� � y �' �s�'• �, i,�, -_., - _—__ _ _- '1 �..""�.-'�•�w""'V'�!n ..1 ..�f'''"ir: ,.'f .IC^"� 8r ''.x`.'�,' ..� "� :... �� ��. � 1 � �,�,�_ __ — 1��,,,.,., i i - - - - - ----__..,_.__. i s ASSESSORS REF.. / ' Flood Zone From FIRM Ma li A34 c ©o / ��i, Community—Panel No. 250001 0018D ' Map 97, Parcel 003 G \ ` • •® 1 oJ�4 .4 0. a �� FLOOD ZONE. tr IA� Map Revised July 2, 1992 5 ali, j U � - ZONE. Zone A 11 e1.11 & B A42 Qt ) A40er Communit Panel No. z °� __RF #250001 0018 D 'd°' /OArea (min.) 87,120 SF (RPOD) July 2, 1992A39 A3s� (87,120 RPOD)Frontage (min) 150" / A43 / � -- � \� A38Width • �� " n) / �L \ \ \ 5 •--- A37 Setbacks: Fron t 30' Side 15' Rear 15' rf• Ilan - - / 0� ' 10 � o 1 / \ YJ OVERLAY DISTRICT: 'S_ LOCATION MAP. AP — Aquifer Protection District II l _ �� 6x5 GP — Groundwater Ptti Ditit Protection District Scale: 1' = 2000'± As Shown on Plan Entitled "Revised Groundwater Protection \ \ \ \ J Brick Walk ........ Overlay Districts" — April, 1993 , 11 I I / j _ — 20 j \ \ \ \ \ 6,5 ���\ \ ! A45 / I 23 \ \ \ \ - / 23x6 / / j/ / A62 A46 \ A61 A63 �o. A60 co / / A59 all, co / L �esource Line Flagged A58 z //� by ENSR APR/03 T / ` 0(ove 1O A49 � LEGEND. — w — Water Line (as flagged) A56 1aI aii, — c — Gas Line (as flagged) T — Telephone Line (as flagged) _ A50 /A5 aii, Hydrant �� m \ — / _ = / d 0 Light Post SUWVAI� \ / Salt Marsh �i Wetland Flag No.99733 CIVIL � �� —� i,, �ii, O Vent Pipe 511r_ A52 A53 Deciduous Tree i,, phi, � ,li, Title: PREPARED BY. PREPARED FOR: Notes/Revision: 7 Existing Conditions Sullivan Engineering, Inc. CapeSury 1.) The property line information shown was compiled from available record information. Plan of Land in PO Box 659 7 Parker Rooc G. Wade Staniar Osterville, MA 02655 Osterville MA 0265 : �S•C,�A°f /�'t��t _ P. �. BOX 712 2.) The topographic information was obtained (508)428-3344 (508)428-3115 fax (508)420-3994 (508)420-3995 fu from on on the ground survey performed on Bamstable, Concord, Mo. O1742 or between 28/JAN/03 and 2/MAY/03. Draft: Field: MDH/WHK p 20 3.) The datum used is NGVD '29, a fixed mean 0 10 20 40 80 sea level datum_ D�`� Scale: „ _ , Review: Comp/Draft: MDH i MorG , ?005 1 2O , Pro J # Drawing # C280_2G1 GL TIC. it1 � ,, � � �f;-. , .�. 4� _ _._ — ---- • /2 :._._ ` � >rc./ f�,�/c./5��1.3�.�; /YID'S•.�. /979 /979 00, AOL— till ny► � i A r�errn R7L: 6A -- y urN, /WIASS. 774(l�T TNC / / ,,�/ / ' j I , / /`/C/«:/_ Y' Cr , r vi, / (' ,.7� r ��(,, �VVU C.i,t/ TN/5 .vU 1 ! 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J.. .k'�hC%��:14I•�N[1�l•J'C!Tr�7'V6E K!4'�'�Zt'lA4F-i�Z-.q�lrJ7/nA/l� . 4 ,p t fazOwro Q�/T7�G[6ACN reficNs S�/ i .4a b k'+F �W/'�►/CC.If�iv Ge+rO CS6 4Atndr .4g F?C4N,,:c' O -- � Nit �77IN •�..,�/CJ/,_/' .a..�1'f� , `�'S �. 11 r�� � /�,CXJ / —'--f�4tlr�+ tFj !G` c"•`' �' ` � '_.�+-�-,u� � / \ � LQ ce T, .='l1lYtt.?J. ``-.. (��� /�() �/✓-'.i/j ';' y �C;.x ,�c: C'"c.7 L, L.{'�,: r) '"?li.� M Al;'s, �-r�f�✓.. ,, /Q 1 , �, ..GY. \ !c'.G /' • �r� 4' �•„ �, G.. C t {� c ''n i 7 � k, nJ '-_ �{ ,,• x ag/�ns aic.�-n,^i-,Ys ro .•..rNr.v N/6 N T�� 7A�3[.0 � d.O 6'/ C _ AWOTC C>C1/ ofL .F ,. t r r'��7C f? t ! y-//r 'tz�/" Mfj''�C f>C7C!•jdLl7G7 r. _. — c C)i S .. :t !G t - � -t.. [/� .. .. C/ r y -f e .�G 12 re-5 rve \1 T�.f •aF %h�, �''l�, 4 S. 7/vr rA 'Y Ccav 7/ • A A28 27 - A29 ' A 26 I k ZONE: O�Sr A31 A30 - / =- b rt RF p� - - A25 \ o E „ _ - -. K Area (min.) 43,560 SF e �j'_.-• •�- - ...- -.�. - _..... \ �. � o .: • • ; ao, A33 '� -7 - _ !, -- \ \\ ` \ XISTING SEPTIC dge ' (87,120 RPOD) ''/ -� -- _ - 1 \ \ No Engineered Plans E ,,. //j / �� _ - - t\ \ A24 5 Bedroom Capacity I \ Fron to e (min) 150 ,- - -9- ti Width (min) -- !, - 0 - /j/// //"" •emu / � , •--"-�.���� \\ \\� Permit # 97 351 1 t:' r Setbacks: \ Information from A 1aQ• ---. 23 Built Card / As Front 30' 3a� /// j r �._,• p,� O'ood - ►s -N\\ \ A.A /� \ \ \\ : $ Side 15 A41 // / / :• \ \ A42 Rear 15 .-- - A40 I � A39 A35J r A43 '✓ -. A38 X/•' �\ \, \�...A22 I AIL / / / :' 1 A21 II E FLOOD. ZONE: � -t3 -- � ..� / � I I 4 , � I � _ ( 1 = A44 / \ 1 \., Zone AE elev.12 & Zone x •, \ Phra mitee y o -, \ � CommunityPanel No, / / �/ �` �,.,, `. �r��k � � � � \ \ \ 4 i ... I .f ! �' .. 4 J A.r 250001 054 1 f ! t� i • \ '� 6 2014 I ( 2 Styr \Jul 1 ----•�o \ LO 6x 1 t \ 5 Wood'Fr Thad!- F 1 aunt P 1 I t I I _ \ \ \ \ \ \ o. C 1 0� L Dwelling ! 1 2---. \ O Salt Marsh y 9 LOCATION MAP. a45/ ! '! 4!� ;.J / - _ \ \ �� - _ \ \ \ �,�\ , , , A19 i 111 / \ �� .tv_ Scale: 1 2000 f P) l ( \ \ \ . } f �' - - - _ a� \ \\•.. \ \\ \\ 22x8 22x7 / / / /�!/ ! J /J / X/ / ` ` � \\.• 0/\ \`\ \\\ \ \ \ A18 EF A4s / / A62 ASSESSORS REF: l Ma 97, Parcel 003 f \ / f / p ( \ ,�/ // / % As1 Asa . \ \ \\� '� . 14-- _ e ' ,� \\\\�\\ \\ ` I OVERLAY DISTRICT: 11 � � \ �� \ \ 1 .r - �° , 0' f ; , \` - i. \ \ \\ \ At7 AP - Aquifer Protection District 111(� � - ,�r `' / / '� // jC \\ \\ \ \ ��.�• j)�/ '` / �•' / oc / l I , Aso \as4 \ \ \ -., \� \ \GP - Groundwater Protection District A47• \ /'' /• ! `� `� \ �"� �\ `\\ I N As Shown on Plan Entitled II t( �, \ \ -- ar �� `� /i/ � / 1 I �� _ �' \�' �C \�' ,� '`ie ?� tiQ2Q o t �A J t\ \\\ \ „Revised Groundwater Protection 11\\ `�a a \ - _ __ -' ',,�"�,-// j��/ // ,r \ .�. -.` \ \�� `� oEje\ry�\ ne �i\\ \\\ \ials �- { \ 5 \ is Overlay Districts" - Aril, 1993 .� \ \\ `� \�\ \•. I Proposed 2 Nz YP Pressure Line �. J r' PROPOSED*•• \_ t \ � l � \ r Blocks / Thrust ., - / \ \ \ A48 / A66 1 �.• WALK WAY .. �/ \ \ D 4 I \ - ASB X4' STONE '.A67 •1 \ ` \\ \ \ A15 Where Needed �� o n ve / o Resource e Line d o° t;r / ,�...• .,.�• , ou c L Flogged \\ \• a �F 3 ✓ / A N R P \b ES AR03 LEGEND: �A5� y � � . . I G �� Ass \\\ \\ ` � 1/. 1 ❑ '' I � t� t\1 ���� ° ° •Co - w- Water Line as flogged) �( \� r r • ( 99 ) \ • '� \ / 4 /. �-' /i /�� % Ass \ \ , 4 / ., \ , 13xs Proposed o 0 0 - G - Gas Line (as flagged) Q A501. \ \\/ _ - r- ` ,- r• \ ,\ l ; b \ i I t Access Stairs ? I " _ _ - A55 As9 f 4 I T ale hone Line as flogged) .- rt T H dran t \ \ =--s "-- -- \ / 1 I I ! I Al .o Q), _ -� I O . 3 _ ✓ I 1 1 . t ff 13' I ' Light Post A52 A53 A54 I I 1 ! I I `'i ! I ! 1 ! \ rt p (�N y / ti Irt A51 ! -� � Wetland Fla � A7o ! L ._.. .-� I Proposed - cr . 9 I r /�e \ 3 . I � o w � 1 P 0 � � Ejector Pump �► I \r l P / N J I P O Vent Pipe 1 ( •• I ` . G° I'I �{ Deciduous Tree \ _ f �. A71 - \� t / 1 0' u f r 1 r' 1 II ••,.. _ \ / / 1 � PROPOSED Salt Marsh \ \ r /�i72 / ! f ' ! POOL Locate Junction Box i • \`` - - - / 1 TERRACE Bq t ! All I Outside of rank . ,\ ,�• \ J / '/ / \ i! •�• 1 f 8ED oM 9 26 Pp Pump Power do Float Control t X37 1 Cables Installed In Accordance A73 with Federal, State & Local Bldg. & Elec. Codes I Alarm To Be on separate g _� Service From Pumps \, \ ! / / 'rLW� Vr GRA k f l J 1 2"0 Galy Pip A74.e / D l / J / 0 � For Float Support O ��`• / WY \ R/l/E . / Lot 37Ag N \ / \ \ Total Area I f t � / ( � 9.92E Acres Record 4 0 sin. 40 PVc " a _ ,11k - Zo \, \ - (Record) z4 m Opening Above �, /je l l �i: ,\ \ Upland Area From Septic Tank 1$ 0 / 1 For Manhole 0. F 4 oo I / c \ ! I As Compartment / 1s Frame do cover /� ( 3.95E Acres Calculated �1 �� Q `�V n l 1 1 Set' .• { ` { (Calculated) I 4 F O To of CB dh �nd� 000, e .• $ EL-10.86 NAVD 88 o< 2 Z \ e o - ) \\ \l PUMP COMPARTMENT PLAN VIEW DETAIL o o �� ! / \ I j NOT TO SCALE '�uff 1 otr .• , .; ,• \ \"� \ \ I Phmgmites / / �e •• • , ••. ��• . b \ \ AL Conduit 7hru Chamber For `\ 24"0 Manhole Power de Float Cables' Frame & Cover " Finished Grade Min. / l / •• ,.•' \\ \, \ Cover \ �'' / I -+ .• / I \ y \ / J. -" . . •.• �� \ SEPTIC NOTES / a \ ., I' 4"0 Sch. 40 PVC .: . . . \ � t 1 ' \ r � t , From Septic Tank L Location of Uttlrties Shown on This Plan Are Approx.At Least 72 Hours p 1 Compartment " Far Drain :', Prior to Any Excavation For This Project the Contractor Shall Make o Inv. 9.25 To D-Box Emergency Storage �� the Required Notification to Dig Safe(1-888-344-7233). Volume 209 Gal. _• N / l �, /� -;~ \ l�l Min. 2 Cover 43\m oq / \\ \\\\ i A • ,� � Salt Marsh Alarm On El. 7.50 e ', c 2.The Contractor is Required to Secure Appropriate Permits From Town a °' Agencies For Construction Defined by This Plan. �►�`-°o ! \ ,' t rave/ i o o a I / 1e Stone Wall J Pump On El. 7.33 �, w Pump ;� 3.Wherever Sewer Lines Must Cross Water Supply Lines Both Lines Shall o o / '`\ \ \\ \ A3 / " �a Be Constructed of Class 150 Pressure Pipe and Shall be Water Tested to w P Back Flow From Pipe El. 6.50 a 2 0 Sch. 40 PVC S CD r Pumps off E►. 6.00 a Threaded Pipe Assure Watertightness. In General,Water Lines Shall be Constructed in Check Volvo g / `. / ~' \ \ Coordination With COMM Water,and Shall be in Accordance Post and Rail -� l o .� ,� \ .\ \ A2 _ r Bottom of Chamber EL 5.00 r Fence T N / o \ e Bottom of rank El. 4.so With 248 CMR 1.00-7.00&310 CMR 15.O10. �- Secure Pipe at rap 4 A Minimum of 9 of Cover is Required for ALL11 Components. II • 4 eottam of Chamber 5.All Structures Buried Three Feet or More or Subject I � ( \ �,\ �; Al --- .,,.-/r-- -- �- ..- --'`-- -- g 5 Stable coin acted J J \ \ J , ' ar 14 t 1/2 H.P. Myers Pum Base � I { { ! ! �•. .• \\ ,�.... � ..-- ..- � or Approved Equar to Vehicular Traffic to be H-20 Loading.It is'.the Engineers , # , \ \ o\ . / tt _.- -' o "Prior to Ordering Pumps the Contractor \ 1 ! ;� 1O0 BUffer\ \ . - _ i /r -' -' e Must Confirm the Compatibility of the p Y Recommendation that H-20 Always be Used. � -. ! ---- Existing Electrical Service Y 22 Wide W y ' \ \ � \ \ \ �-6- - 6.Install Watertight Risers and Covers to Within 6"of Finished Grade p n 1 1 '•� ' ) `' \ ` -� \ _ Over Ejector Inlet,U,and to Grade over Pump. o I t .' rs y -s - - -� J P \ \ ` PUMPCOMPARTMENT SECTION DETAIL 7. Septic System Components to be Installed in Accordance \ ` " R�8o p f COM S , , _.•� ,- � - - With 310 CMR 15.00&248 CMR 1.00 7.010 Latest Revision v , 1 \ \ �.- �6 _ o Road NOT TO SCALE and the Town of Barnstable Board of Health]Regulations. ' \ 1 ' - •' 4o'fd% �- `/a�I ey 8.All Piping to be Sch.40 PVC. i \ \ i o S Q1 I (4 9.Ejector PumpShall be a 2 Compartment 10010 Gallon Tank with an Approved Effluent Tee Filter on the Outlet. 2% r. �^ Proposed. Born PP r w- 0_ __.. -�- 17 f ." . F.F. E 12.50NA VD 88 � r\ � � ,, e •� _.. ''••. � .�'� . . Not to be used r F.G. EL. 11.5-13.0 t as a Bench. Mark ....... tone Curb 00 I A •;v em en t • I PROPOSED DATUM EL. 10.25 See Existing 1500 Installer To Note 10 L. 14.2. 9 NotivSca/e Confirm Prior EL. 9.2 Gallon � EL. 14.2 500 Gallon 500 Gallon Septic Tank Revision: Add access stairs to proposed barn 11-26-14 To Any Work Settling Pump Revision:tes Chamber Chamber No l PREPARED FOR: PREPARED BY- Title: EL. 4.5 Ci. Wade Stonlar CapeSUrV n 1.) The property line information ,shown was SUIl1Va11 En lileeTlll jI1C. Pro ose Im r V m n compiled from available record information. g g1 r d p e e is 1000 Gallon P P.0. BOX 712 Po Box 659 23 Went Bay Rood 2 Compartment Osterville MA 02655 Osterville MA 02655 236 Smokes Valle Road Ejector Pump 2.) The topographic information was obtained Concord, Mo. 01742 Y o H-20 (508)428-3344 (508)428-3115 fax, (508) 420-3994 (508) 420-3995 fax (Osterville �- from on on 'the ground survey performed on Barnstable, ) Mass. or between 281JAN/03 and 26/SEPT/14. PSuIIPE�iol.com copesurv�+capecod.net DEVELOPED PROFILE OF SEPTIC SYSTEM 3.) The datum used is NAVD '88, a fixed mean Draft: C17� Field MDH WHK NOT TO SCALE 9 40 0 20 4o so 1 so / sea level datum. Datum was shifted using the � Comp.: Comp.: Date: P MDH CTR MD H Scale. conversion ion above. P November - o ember 4 2014 1 40 Review: r PS Drawin C280_2G1 I I \ A27 ' ZONE: zl�o A`9" " \ Fi�L A32 '" A2 Ok5 Area (min.) 43,560 SF e , A33 _ _ f, -- EXISTING SEPTIC e " �d� i - �..---- ` No Engineered Plans Ede s o 2 T. (87 120 RPOD) a Frontage (min) 150" � - // %/ ' �- A24 5 Bedroom Capacity I Width min Permit # 97 351 1 (min) / // / _. -. 11 - yN��.•�.• d -:..` ` , i Information from Setbacks: A34 / / ��P�" k;�Z g ^• .,1 ` A23 / ` \ As Built Card r ' f Fron t 30' f/ j J f __. ._.. -��i'oe~� PF�ooa '-"' \ l \ '` ° Side 15' A42 - A41 "Z• �� �`. . Rear 15' A40 / , / ,� - �. A39 A35 g a s A43 // J- 8 A38 A22 I i0 - 4 -_ _.._. _ A36 ! / � / /�i \� fat �� i t �7 �� ;i�_ ......_.. ..._ _.._.iZ.. FLOOD ZONE: ��, r '1 _- ___ -13 i A21 - r,. A4 i !r Jr %�� '�'_ \ `�, I f i" 1 t `� - r A� �, t t• t 4 � FF-18.1$/r' r' IS �� _- A '� b Zone AE el e v.12 & Zone x \ r •f ''�--„_ � ^-, ._ �V ,\� �u�fer � � � i fA o Phr gmi tes '^ a„ a ;t f :'lfr- .,_ -�._ .,yam � \`C "Bx5 brick'Walk k Community Panel No. / ,- 17- Y `c , i 7',r t 7 ".18 -- _.• � I l 1 m a 1 Y i ' }, .. a 250001 0544 J i / / / ( 1 xa •, 1 t A20 y ti 2014 w:.�, \` \ 2 Story \ LO .. July 16, j _`; I ~--moo sxs l \ \ ' l -21__. _.-• `' \ ter `� Fountaip \„ \�.. `�'. Wood'Framed \; \ ° lo�i 1 I i 1 f _22-- _ �\ r�i r 4 \ V Dwelling \ t N A45 ;' ! Y r Yy ? \ t, 9 \ \ i ° �' Salt Marsh LOCATION MAP. J - r0 . 19 Scale: 1" = 2000'f /f` l% ;f;' ( ! \ \� ;i .i ) J' /r - - - t\ �.,. & R \ \.� J { ' �- �� t /r/,/f J j jJ i j / ` , I !r f / ....-- \ \ \_ \ ._ \ •( "� 4 ',` \ l, t• //'t;t t,�t Ao I22x8 22x7 2, j !i f/tf /rr i k j- ✓ A62 \\ .\\ \ \". �Q/a \ \ A18 ASSESSORS REF.. A46 1/` + i�% l 2 // j \ ` 1 O 1 Ma 97, Parcel 003 / // A63 \� \A61 \� «. {aP' \; `; OVERLAY DISTRICT: p // ° � / / i / \ 0 '$'UfPyr /�/ \ \\ \ \ \` O/� y. L __73-_ k__ \ 1 7 `` 1 ', A17 J ��% A \ AP - Aquifer Protection District I, Ir \ t` '\ -'" - r �� ...//a \ `` ' j \, f Y A60 \A64 .. �u,.� `�jQ \ \` Q �iffl� \ GP - Groundwater Protection District A47 i 'J �' - -. r �^ / '�� o L/ 5 '� ` I As Shown on Plan Entitled - 16 /7 20/V-" - \ , "Revised Groundwater Protection _ _._ , \\ � J '..� \ cr Overlay Districts" - Aril, 1993 '� `� ___ -- A59 Ass `` ..� \��� P tier - ; / Proposed 2" I N, y f ° _ s ` ~ � , / ``� PROPOSED Pressure Line z Thrust Blocks A66 \ D A48 \ \ . \ WALK WAY -. A15Where Needed ^ ' $ X/j A67 \ �. \ \A58 X4' STONE o�. c o� Gfa�e , Resource Line FlaggedCl \`\ l \ Ia LEGEND. �° A49 %'r' /A57 by ENSR APR�03 \ \\ \ \ � , p. t A14 a o - w - Water Line (as fla99ed) t�I( �`�\\ /./ �...' - ,- �\ ;, Y ; ;' ti A56 >1Le 13x8 - c - Gas Line (as flagged) ,\ / _ o A503 T _.. ...._.. A Telephone Line (as flagged) - :i, .m % ass Hydrant P ... � t A13 A54 �' 1 , ! ,t QD Light Post _ A53 A52 } � I ` t Q, � ` I �� ' ; l rt'ti- 1 ��co Z Wetland Flog d�l, A51 A70 Proposed P /PO Ejector Pump �' a O Vent Pipe l �'- ji Deciduous Tree µ •� A7j' ( ; b t \ 1 ' / i0' �u fer PROPOSED Salt Marsh % A72 I ;' i f POOL / I A(' TERRACE Bq/�� All Locate Junction Box "Yv r E 3n Outside of Tank Pump Power & Float Control ` \ 235 { i Cables Installed In Accordance 4Jr' A73 l ( With Federal, State & Local . rf, [�� • I Bldg. & Elec. Codes w / r'' j / .' ❑ RODo / f/ / i 1 ,-A10 Alarm To Be On Separate Service From Pumps �� \�` W�ayy �'R�V1_4 1/2"0 Golv. Pipe (1 A74 t �J 0 0 �R/VEFor Float Support \^`J . // \(( \ �r / I Lot 37 l ` / (� N \ �, 11� As Total Area 5• O To D- x X� A76 ,rr �� � A7s. l 1 \ \ /�� y 4'0 san. 4o PVC �a° all, 9 Zone Zee ` rf \ / J ' / ` > > , , 111, 9.92f Acres (Record) 24"0 Opening Above From Septic Tank For Manhole 1 p p 9 p� .y- t� F ' ; 1 r Ott i� Upland Area compartment 1 �j� '✓/j :t' \5 . Frame & Cover � �!' ` • � 7 / Go \ A8 � <5 �jr�a�� Z�°t' ,�• Benchmark: ' :.� V �. wte~1" .• � � ii ' 3.95_+_ Acres (Calculated) Fjo � Top of CB/dh O I - IF�e�Se 0o h Ei.=10.86' (NAVD'88 ^ / 1 i •'' • �• '`\ \\ I ?4Z GO f i PUMP COMPARTMENT PLAN VIEW DETAIL C/, 96 y tteO G1 �� .., � � '•�, t� . �R •� �O " q f d f r 100''Buff NOT TO SCALE lih _ 9511� i pair I y PhrogmitesRi Ge �.'• 0 1,II. Conduit Thru Chamber For i Power & Float Cob/es 24"0 Manhole 4%V Frame & Cover Finished 9" Min. Grade Cover N' N --r SEPTIC NOTES , S C 1� o i / l eta 4"0 Sch. 40 PVC 1. Location of Utilities Shown on This Plan Are A�pprox.At Least 72 Hours IC co �\, / ,,� �,'`,, �`� `. � ; it ' '',� As From Se tic Tank 7G %' I Comportment caiv. cha; Drill 1 8 0 Hole y Prior to Any Excavation For This Project the Ctontractor Shall Make o ,, t For Drain a J }LL 9In To °-Box the Required Notification to Dig Safe(1-888-344-7233). EmergencyStora e o Volume 209 Gal. Min. 2' Cover 2. The Contractor is Required to Secure Appropriate Permits From Town Q 1 t. ,� ` '' 1 A Solt Marsh F S\ t� Alarm On El. 7.50 �. q - I f / e z Agencies For Construction Defined by Thus Plain. � Pump On El. 7.33 w Pump3.Wherever Sewer Lines Must Cross Water Supply Lines Both Lines Shall o o fl 1 e \ Stone Wall Be Constructed of Class 150 Pressure Pipe and Shall be Water Tested to Q Back Flow From Pipe El. 6.50 - a 2"0 Sch. 40 PVC CC Threaded Pipe Assure Watertightness. In General,Water Lines Shall be Constructed in i Pumps Off El. 6.00 g n I J• ft, r' -- Check Valve 1 fI \ 1 p Coordination With COMM Water,and Shall be in Accordance Post and Roil ° ;. / //o" ' J ti ` A2 f Bottom of Chamber El. 5.00 I Fence Typ. N �: r � \ -�� - -- N•f Bottom of rank El. 4.so With 248 CMR 1.00- 7.00&310 CMR 15.00. I / /' �, i...�; e Secure Pipe at Top 8c 4. A Minimum of 9" of Cover is Required for All Components. Bottom of Chamber I �I 1/2 H.P. Myers Pump Stable cam acted 5. All Structures Buried Three Feet or More or Sulbject Al i � � or Approved Equal* ease to Vehicular Traffic to be H-20 Loading. It is flue Engineer's 1 \' -'' *Prior to Ordering Pumps the Contractor \ ,, i 700 Buffer\ 'c. t' '',`\ •\'. \ ~� .__. _....-. ""' _"_..--- y�.- -- --' f �"';,,r t P°hem / f IMust Confirm the Compatibility of the Recommendation that H-20 Always be Used. ' y y i `. \ 5 - _ ..--- j'" d9e o Existing Electrical Service 22' Wide w y 1 i k `' ~� ---- -' -" E 6.Install Watertight Risers and Covers to Within i6" of Finished Grade d *�, ; , -- s. Over Ejector Inlet U and to Grade over Pump. I L T �t / \ _ - - p 0 PUMP COMPARTMENT SECTION DETAIL 7. Septic System Components to be Installed in Aiccordance ' ' 17 :.� RgO•o / With 310 CMR 15.00&248 CMR 1.00-7.00]Latest Revision 3 1K � - Road NOT TO SCALE and the Town of Barnstable Board of Health Regulations. I I I r - E 't, 1 Valle# 8.All Piping to be Sch.40 PVC. J \ \ �- :. �.. _.n- make I 40' Wiw 9. Ejector Pump Shall be a 2 Compartment 1,000 Gallon Tank with an 1 " Y` a Paz . Approved Effluent Tee Filter on the Outlet. I ! X oil Proposed Barn - F.F. EL. 12.50 I ~s , 2 0 Not to be used NAVD '88 I/ - ,Z' e as a Bench Mark F.G. EL. 11.5-13.0' ' I .....Stone Curb °p I EXem en t ` 1 o I NGVD '29 I / PROPOSED DATUM EL. 10.25 See Installer To Note 10 APPROX. Existing 1500 Confirm Prior EL, 9.25 EL. 14.2' Gallon Not to Scale To Any Work 500 Gallon 500 Gallon Septic Tank Settling Pump Chamber Chamber Notes/Revision: PREPARED FOR: PREPARED BY. Title: EL. 4.50 1.) The property line information shown was G. Wade Staniar Sullivan Engineering, Inc. CapeSury Proposed Improvements 1000 Gallon compiled from available record information. P. 0. Box 712 PO Box 659b 23 West Bay Poad �+~ ~ 2 Compartment Osterville, MA 02655 Osterville MA 02655 23V Smoke VaIIe�/ Road "- Ejector Pump 2.) The topographic information was obtained Concord, Ma. 01742 H-20 from an on the ground survey performed on (508)428-3344 (508)4 @ool.c 5 fax (508) 420-3994 (sob) 420-3oJ. fox Barnstable (Osterville) MaSS DEVELOPED PROFILE OF SEPTIC SYSTEM or between 281JANIOJ and 26/SEPT/14. PSullPE@ool.com capesurv�capecod.net 3.) The datum used is NAVD '88, a fixed mean Draft: CTR Field: NOT TO SCALE Sea level datum. 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