HomeMy WebLinkAbout0217 WHEELER ROAD - Health 217 Wheeler Road
Ma
rstons Mills 082-022
i
CERTIFICATE OF ANALYSIS Page: 1 of 1
Barnstable County Health Laboratory (M-MA009)
�9s C13�yst Report Prepared For: Report Dated: 6/13/2012
Susan Gill
Sothebys International Realty Order No.: G1268148
851 Main Street
Osterville, MA 02655
Laboratory ID#: 1268148-01 Description: Water-Drinking Water
Sample#: Sample Location: 217 Wheeler Road Marstons Mills, MA Collected: 06/08/2012
Collected by: D. Brodeur Map 082 Parcel 022 Received: 06/08/2012
Routine
ITEM RESULT UNITS RL MCL METHOD# TESTED
Nitrate as Nitrogen 2.5 mg/L 0.10 10 EPA 300.0 6/8/2012
Copper 0.27 mg/L 0.10 1.3 SM 3111 B 6/8/2012
Iron ND mg/L 0.10 0.3 SM 3111E 6/8/2012
pH 6.0 PH AT 25C NA 6.5-8.5 SM 4500-H-B 6/8/2012
Sodium 14 mg/L 1.0 20 SM 3111 B 6/8/2012
Total Coliform 0 /100ml- 0 0 SM9222B 6/8/2012
Conductance 170 umohs/cm 2.0 EPA 120.1 6/8/2012
Water sample meets the recommended limits for drinking water of all the above tested parameters.
Attached please find the laboratory certified parameter list. Approved By:
(Lab Director)
ND=None Detected RL = Reporting Limit MCL=Maximum Contaminant Level
Superior Court House, PO. Box 427, Barnstable, MA 02630 Ph: 508-375-6605
Commonwealth of Massachusetts
Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form-Not for Voluntary Assessments
217 Wheeler Rd
Property Address
Carl Thut
Owner Owner's Name
information is required for every Marstons Mills MA 02648 6-4-12
page. Cityfrown State Zip Code Date of Inspection
Inspection results must be submitted on this form. Inspection forms may not be altered in an
p A Y Y
way. Please see completeness checklist at the end of the form.
Important:When A. General Information ,,�,��������►►,,,,,
filling out forms ```\���ASH OFU4S 7/,��i
on the computer, ��� � 0
use only the tab 1. Inspector: Ion : 'q�y
key to move your =�: JAMES •u''
cursor-do not James D. Sears =9' :`"i
use the return Name of inspector - S€ '`� ti=
key. ' '#
Capewide Enterprises,LLC
"1�I Company Name "'''' 5 INS?
'F/`�-.-r,�
153 Commercial Street
Company Address
Mashpee MA 02649
Cltyrrown State Zip Code
508-477-8877 S1623
Telephone Number License Number
B. Certification
I certify that I have personally inspected the sewage disposal system at this address and that the
information reported below is true, accurate and complete as of the time of the inspection. The inspection
was performed based on my training and experience in the proper function and maintenance of on site
sewage disposal systems. I am a DEP approved system inspector pursuant to Section 15.340 of
Title 5(310 CMR 15.000).The system:
® Passes ❑ Conditionally Passes ❑ Fails
❑ Needs Further Evaluation by the Local Approving Authority
6A-12
4fispector's Signature Date
The system inspector shall submit a copy of this inspection report to the Approving Authority(Board
of Health or DEP)within 30 days of completing this inspection. If the system is a shared system or
has a design flow of 10,000 gpd or greater, the inspector and the system owner shall submit the
report to the appropriate regional office of the DEP. The original should be sent to the system owner
and copies sent to the buyer, if applicable, and the approving authority.
****This report only describes conditions at the time of inspection and under the conditions of use
at that time.This inspection does not address how the system will perform in the future under
the same or different conditions of use.
V
t5ins•11/10 Title 5 official on omr Sub=face Sewage Disposal system.Page 1 of 17
i
Commonwealth of Massachusetts
Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form-Not for Voluntary Assessments
217 Wheeler Rd
Property Address
Carl Thut
Owner Owner's Name
information is required for every Marstons Mills MA 02648 6-4-12
page. C tyrrown State Zip Code Date of Inspection
B. Certification (cunt.)
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.
Check the box for"yes", "no"or"not determined" (Y, N, ND)for the following statements. If"not
determined,"please explain.
The septic tank is metal and over 20 years old*or the septic tank(whether metal or not)is structurally
unsound, exhibits substantial infiltration or exfiltration or tank failure is imminent. System will pass
inspection if the existing tank is replaced with a complying septic tank as approved by the Board of
Health.
*A metal septic tank will pass inspection if it is structurally sound, not leaking and if a Certificate of
Compliance indicating that the tank is less than 20 years old is available.
❑ Y ❑ N ❑ ND(Explain below):
t5ins•11(10 Title 5 Official inspection Forth:Subsurface Sewage Disposal System•Page 2 of 17
i
Commonwealth of Massachusetts
1140. Title 5 official Inspection Fora
Subsurface Sewage Disposal System Form-Not for Voluntary Assessments
a
217 Wheeler Rd
Property Address
Carl Thut
Owner Owner's Name
information is required for every Marstons Mills MA 02648 6-4-12
page. Cityrrown State Zip Code Date of Inspection
B. Certification (coat.)
B) System Conditionally Passes(cont.):
❑ Observation of sewage backup or break out or high static water level in the distribution box due
to broken or obstructed pipe(s)or due to a broken, settled or uneven distribution box. System will
pass inspection if(with approval of Board of Health):
❑ broken pipe(s)are replaced ❑ Y ❑ N ❑ ND(Explain below):
❑ obstruction is removed ❑ Y ❑ N ❑ ND(Explain below):
❑ distribution box is leveled or replaced ❑ Y ❑ N ❑ ND(Explain below):
❑ The system required pumping more than 4 times a year due to broken or obstructed pipe(s). The
system will pass inspection if(with approval of the Board of Health):
❑ broken pipe(s)are replaced ❑ Y ❑ N ❑ ND(Explain below):
❑ obstruction is removed ❑ Y ❑ N ❑ ND(Explain below):
C) Further Evaluation is Required by the Board of Health:
❑ Conditions exist which require further evaluation by the Board of Health in order to determine if
the system is failing to protect public health, safety or the environment.
1. System will pass unless.Board of Health determines in accordance with 310 CMR
15.303(1)(b)that the system Is not functioning In a manner which will protect public health,
safety and the environment:
❑ Cesspool or privy is within 50 feet of a surface water
❑ Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh
t5ins-1111.0 Title 5 Official Inspection Form.Subsurface Sewage Disposal System-Page 3 of 17
i
Commonwealth of Massachusetts
lugTitle 5 official Inspection Form
Subsurface Sewage Disposal System Form-Not for Voluntary Assessments
217 Wheeler Rd
Property Address
Carl Thut
Droner Owner's Name
information is required for every Marstons Mills MA 02648 6-4-12
page, Cityrrown State Zip Code Date of Inspection
B. Certification (cont.)
2. System will fall unless the Board of Health(and Public Water Supplier, if any)
determines that the system is functioning in a manner that protects the public health,
safety and environment:
❑ The system has a septic tank and soil absorption system (SAS)and the SAS is within
100 feet of a surface water supply or tributary to a surface water supply.
❑ The system has a septic tank and SAS and the SAS is within a Zone 1 of a public water
supply.
❑ The system has a septic tank and SAS and the SAS is within 50 feet of a private water
supply well.
❑ The system has a septic tank and SAS and the SAS is less than 100 feet but 50 feet or
more from a private water supply well".
Method used to determine distance:
'*This system passes if the well water analysis, performed at a DEP certified laboratory, for fecal
coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal
to or less than 5 ppm, provided that no other failure criteria are triggered. A copy of the analysis must
be attached to this form.
3. Other.
D) System Failure Criteria Applicable to All Systems:
You must indicate"Yes"or"No"to each of the following for all inspections:
Yes No
® Backup of sewage into facility or system component due to overloaded or
clogged SAS or cesspool
❑ ® Discharge or ponding of effluent to the surface of the ground or surface waters
due to an overloaded or clogged SAS or cesspool
❑ ® Static liquid level in the distribution box above outlet invert due to an overloaded
or clogged SAS or cesspool
❑ ® Liquid depth in cesspool is less than 6°below invert or available volume is less
than %day flow
t5ins-11110 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 4 of 17
I
Commonwealth of Massachusetts
Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form-Not for Voluntary Assessments
217 Wheeler Rd
Property Address
Carl Thut
Owner Owner's Name
information is required for every Marston Mills MA 02648 6-4-12
page. Cityrrown State Zip Code Cate of Inspection
B. Certification (cont.)
Yes No
❑ ® Required pumping more than 4 times in the last year NOT due to clogged or
obstructed pipe(s). Number of times pumped:
❑ ® Any portion of the SAS, cesspool 'or privy is below high ground water elevation.
❑ ® Any portion of cesspool or privy is within 100 feet of a surface water supply or
tributary to a surface water supply.
❑ ® Any portion of a cesspool or privy is within a Zone 1 of a public well.
❑ ® Any portion of a cesspool or privy is within 50 feet of a private water supply well.
❑ ® Any portion of a cesspool or privy is less than 100 feet but greater than 50 feet
from a private water supply well with no acceptable water quality analysis. [This
system passes if the well water analysis,performed at a DEP certified
laboratory,for fecal coliform bacteria indicates absent and the presence
of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm,
provided that no other failure criteria are triggered.A copy of the analysis
and chain of custody must be attached to this form.]
❑ ® The system is a cesspool serving a facility with a design flow of 2000gpd-
10,000gpd.
❑ ® The system fails.I have determined that one or more of the above failure
criteria exist as described in 310 CMR 15.303,therefore the system fails.The
system owner should contact the Board of Health to determine what will be
necessary to correct the failure.
E) Large Systems: To be considered a large system the system must serve a facility with a
design flow of 10,000 gpd to 16,000 gpd.
For large systems, you must indicate either"yes"or"no"to each of the following, in addition to the
questions in Section D.
Yes No
El ❑ the system is within 400 feet of a surface drinking water supply
❑ the system is within 200 feet of a tributary to a surface drinking water supply
❑ the system is located in a nitrogen sensitive area(Interim Wellhead Protection
Area—IWPA)or a mapped Zone II of a public water supply well
If you have answered"yes"to any question in Section E the system is considered a significant threat,
or answered"yes" in Section D above the large system has failed. The owner or operator of any large
system considered a significant threat under Section E or failed under Section D shall upgrade the
system in accordance with 310 CMR 15.304. The system owner should contact the appropriate
regional office of the(Department.
t5ins-11110 Tide 5 Offidal Inspedw Foie Subudace Sewage Disposal System•Page 5 of 17
Commonwealth of Massachusetts
Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form-Not for Voluntary Assessments
217 Wheeler Rd
Property Address
Carl Thut
Owner Owner's Name
information is required for every Marstons Mills MA 02648 6-4-12
page. Citylrowrn State Zip Code Date of Inspection
C. Checklist
Check if the following have been done.You must indicate"yes"or"no"as to each of the following:
Yes No
❑ ® Pumping information was provided by the owner, occupant, or Board of Health
❑ ® Were any of the system components pumped out in the previous two weeks?
® ❑ Has the system received normal flows in the previous two week period?
❑ ® Have large volumes of water been introduced to the system recently or as part of
this inspection?
® ❑ Were as built plans of the system obtained and examined? (If they were not
available note as N/A)
® ❑ Was the facility or dwelling inspected for signs of sewage back up?
® ❑ Was the site inspected for signs of break out?
® ❑ Were all system components, excluding the SAS, located on site?
® ❑ Were the septic tank manholes uncovered, opened, and the interior of the tank
inspected for the condition of the baffles or tees, material of construction,
dimensions, depth of liquid, depth of sludge and depth of scum?
® ❑ Was the facility owner(and occupants if different from owner)provided with
information on the proper maintenance of subsurface sewage disposal systems?
The size and location of the Soil Absorption System(SAS)on the site has
been determined based on:
® ❑ Existing information. For example, a plan at the Board of Health.
❑ ® Determined in the field(if any of the failure criteria related to Part C is at issue
approximation of distance is unacceptable)[310 CMR 15.302(5)]
D. System information
Residential Flow Conditions:
Number of bedrooms(design): 5 Number of bedrooms(actual):
DESIGN flow based on 310 CMR 15.203(for example: 110 gpd x#of bedrooms): J0
t5ins•11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 6 of 17
Commonwealth of Massachusetts
Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form-Not for Voluntary Assessments
217 Wheeler Rd
Property Address
Carl Thut
Owner Owner's Name
information is Marstons Mills AAA 02648 6-4-12
required for every
page. Cityrrown State Zip Code Date of Inspection
D. System Information
Description:
The system is a 1500 Gal precast tank a 1000 gal precast tank D Box and five leaching chambers
Number of current residents: 4
Does residence have a garbage grinder? ❑ Yes ® No
Is laundry on a separate sewage system?[if yes separate inspection required] ❑ Yes ® No
Laundry system inspected? ❑ Yes ® No
Seasonal use? ❑ Yes ® No
Water meter readings, if available last 2 ears usage well water
g { Y 9 {gpd)Y
Detail:
Sump pump? ❑ Yes ® No
Last date of occupancy: Present
Date
Commercial/Industrial Flow Conditions:
Type of Establishment:
Design flow(based on 310 CMR 15.203): Gallons per day(gpd)
Basis of design flow(seats/persons/sq.ft., etc.):
Grease trap present? ❑ Yes ❑ No
Industrial waste holding tank present? ❑ Yes ❑ No
Non-sanitary waste discharged to the Title 5 system? ❑ Yes ❑ No
Water meter readings, if available:
t5ins•11110 Title 5 Offidal Inspection Forth:Subsurface Sewage Disposal System-Page 7 of 17
Commonwealth of Massachusetts
Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form-Not for Voluntary Assessments
217 Wheeler Rd
Property Address
Carl Thut
Owner Owner's Name
information is required for every Marstons Mills MA 02648 6-4-12
page. City/Town State Zip Code Date of Inspection
D. System Information (cost.)
Last date of occupancyluse: Date
Other(describe below):
General Information
Pumping Records:
Source of information: NA
Was system pumped as part of the inspection? ❑ Yes ® No
If yes,volume pumped: gallons
How was quantity pumped determined? Note: Tank's pumped after inspection, maint pump
Reason for pumping:
Type of System:
® -lL jo Septic tank, distribution box, soil absorption system
❑ Single cesspool
❑ Overflow cesspool
❑ Privy
❑ Shared system (yes or no) (if yes, attach previous inspection records, if any)
❑ Innovative/Alternative technology.Attach a copy of the current operation and
maintenance contract(to be obtained from system owner)and a copy of latest
inspection of the I/A system by system operator under contract
❑ Tight tank.Attach a copy of the DEP approval.
❑ Other(describe):
t5ins•11110 Title 6 official Inspection Form:Subsurface Sewage Disposal System-Page 8 of 17
7
Commonwealth of Massachusetts
Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form-Not for Voluntary Assessments
217 Wheeler Rd
Property Address
Carl Thut
Owner Owner's Name
information is required for every Marston Mills MA 02648 6-4-12
page. City/Town State Zip Code Date of inspection
D. System Information (cont.)
Approximate age of all components, date installed (if known)and source of information:
Tank # 1 instaled 1982 Permit #82-22
Were sewage odors detected when arriving at the site? ❑ Yes ❑ No
Building Sewer(locate on site plan):
Depth below grade: 12"feet
Material of construction:
❑cast iron ®40 PVC ❑other(explain):
Distance from private water supply well or suction line: feet
Comments(on condition of joints, venting, evidence of leakage, etc.):
Piping is 4"pvc sch 40
Septic Tank(locate on site plan):
Depth below grade: 10"feet
Material of construction:
®concrete ❑ metal ❑fiberglass ❑polyethylene ❑other(explain)
r
If tank is metal, list age: years
Is age confirmed by a Certificate of Compliance?(attach a copy of certificate) ❑ Yes ❑ No
Dimensions:
1000 Gal Precast
Sludge depth:
2"
Mns-11110 TWe 5 Official Inspeddon Form:Subsurface Sewage Disposed System-Page 26 of 25
I
Commonwealth of Massachusetts
Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form-Not for Voluntary Assessments
217 Wheeler Rd
Property Address
Carl Thut
Owner Owner's Name
information is required for every Marstons Mills MA 02648 6-4-12
page. City/Town State Zip Code Date of Inspection
D. System Information (cunt.)
Septic Tank(cunt.)
Distance from top of sludge to bottom of outlet tee or baffle
28°
Scum thickness
1"
QN
Distance from top of scum to top of outlet tee or baffle
Distance from bottom of scum to bottom of outlet tee or baffle 1 T'
How were dimensions determined? Tape as Built Sludge Judge
Comments(on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity,
liquid levels as related to outlet invert, evidence of leakage, etc.):
Tank at working level, tank and covers at 10" Below grade, in and outlet tees Tank to be pumped
after inspection "maint pump"
Grease Trap(locate on site plan):
Depth below grade: feet
Material of construction:
❑concrete ❑ metal ❑fiberglass ❑ polyethylene ❑other(explain):
Dimensions:
Scum thickness
Distance from top of scum to top of outlet tee or baffle
Distance from bottom of scum to bottom of outlet tee or baffle
` . Date of last pumping: Date
t5ins•f 1l10 We 5 Official hapeWm Forth:Subsurteoe Sewage Disposal System•Page 26 of 26
i
Commonwealth of Massachusetts
N�Iff
Title 5 official Inspection Form
Subsurface Sewage Disposal System Form-Not for Voluntary Assessments
217 Wheeler Rd
Property Address
Carl Thut
Owner Owner's Name
information Marstons Mills MA 02648 6-4-12
required for every
page, City/Town State Zip Code Date of inspection
D. System Information (cont.)
Approximate age of all components, date installed (if known)and source of information:
Tank # 1 instated 1982 Tank#2 and Leaching 1996 Permit 96-642 2005 one 500 Gal chamber
added to leaching
Were sewage odors detected when arriving at the site? ❑ Yes ❑ No
Building Sewer(locate on site plan):
Depth below grade: 30"feet
Material of construction:
❑cast iron ®40 PVC ❑other(explain):
Distance from private water supply well or suction line, feet
Comments(on condition of joints, venting, evidence of leakage, etc.):
Piping is 4"pvc sch 40
Septic Tank(locate on site plan):
Depth below grade: 22"feet
Material of construction:
® concrete ❑ metal ❑fiberglass ❑ polyethylene ❑other(explain)
t
If tank is metal, list age: years
Is age confirmed by a Certificate of Compliance?(attach a copy of certificate) ❑ Yes ❑ No
Dimensions:
1500 Gal Precast
Sludge depth: 4�*
t5ins•11110 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 9 of 17
Commonwealth of Massachusetts
Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form-Not for Voluntary Assessments
' 217 Wheeler Rd
Property Address
Carl Thut
Owner owner's Name
information is
required for every Marstons Mills MA 02648 64-12
page. Cityrrown State Zip Code Date of Inspection
D. System Information (cunt.)
Septic Tank(cont.)
Distance from top of sludge to bottom of outlet tee or baffle NA
Scum thickness
10"
Distance from top of scum to top of outlet tee or baffle NA
Distance from bottom of scum to bottom of outlet tee or baffle NA
How were dimensions determined?
Plan-Tape
Comments(on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity,
liquid levels as related to outlet invert, evidence of leakage,etc.):
Tank at working level, tank and covers at 22" Below grade, In and out let tees Tank to be pumped
afther inspection maint pump"
Grease Trap(locate on site plan):
Depth below grade: feet
Material of construction:
❑concrete ❑ metal ❑fiberglass ❑polyethylene ❑other(explain):
Dimensions:
Scum thickness
Distance from top of scum to top of outlet tee or battle
Distance from bottom of scum to bottom of outlet tee or baffle
Date of last pumping: Date
t5ins•11110 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 10 of 17
Commonwealth of Massachusetts
19 Title 5 official Inspection Form
Subsurface Sewage Disposal System Form-Not for Voluntary Assessments
217 Wheeler Rd
Property Address
Carl Thut
Owner Owners Name
information is required for every Marstons Mills MA 02648 6-4-12
page. City/Town State Zip Code Date of Inspection
D. System Information (cont.)
Comments(on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity,
liquid levels as related to outlet invert, evidence of leakage, etc.):
Tight or Holding Tank(tank must be pumped at time of inspection)(locate on site plan):
Depth below grade:
Material of construction:
❑ concrete ❑ metal ❑fiberglass ❑ polyethylene ❑ other(explain):
Dimensions:
Capacity:
gallons
Design Flow:
gallons per day
Alarm present: ❑ Yes ❑ No
Alarm level: Alarm in working order: ❑ Yes ❑ No
Date of last pumping: Date
Comments(condition of alarm and float switches, etc.):
"Attach copy of current pumping contract(required). Is copy attached? ❑ Yes ❑ No
t5ins•11110 Title 5 Ofidal inspection Forth:Subsurface Sewage Disposal System•Page 11 of 17
Commonwealth of Massachusetts
Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form-Not for Voluntary Assessments
217 Wheeler Rd
Property Address
Carl Thut
Owner Owner's Name
information is required for every Marstons Mills MA 02648 6A-12
page. Cityrrown State Zip Code Date of Inspection
D. System Information (cont.)
Distribution Box(if present must be opened) (locate on site plan):
Depth of liquid level above outlet invert 0
Comments(note if box is level and distribution to outlets equal, any evidence of solids carryover, any
evidence of leakage into or out of box, etc.):
D Box is 16"x 16"-44" Below grade w/cover at 12", Box is solid w/three lines out
Pump Chamber(locate on site plan):
Pumps in working order: ❑ Yes ❑ No
Alarms in working order: ❑ Yes ❑ No
Comments(note condition of pump chamber, condition of pumps and appurtenances, etc.):
Soil Absorption System(SAS)(locate on site plan, excavation not required):
If SAS not located, explain why:
t5ins•11110 Title 5 Official Irtspection Form:Subsurface Sewage Disposal System•Page 12 of 17
I
Commonwealth of Massachusetts
Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form-Not for Voluntary Assessments
217 Wheeler Rd
Property Address
Carl Thut
Owner owner's Name
information is required for every Marstons Mills MA 02648 6-4-12
page. City/Town State Zip Code Date of Inspection
D. System Information (cont.)
Type:
❑ leaching pits number:
® leaching chambers number: 5
❑ leaching galleries number:
❑ leaching trenches number, length:
❑ leaching fields number, dimensions:
❑ overflow cesspool number:
❑ innovative/alternative system
Type/name of technology:
Comments(note condition of soil, signs of hydraulic failure, level of ponding, damp soil,condition of
vegetation, etc.):
Leaching is 5 500 Gal Chambers Leaching at 5' below grade Camera(line to leaching, did
T.H. above and beside leaching, No sign of over loading in leaching
Cesspools(cesspool must be pumped as part of inspection) (locate on site plan):
Number and configuration
Depth—top of liquid to inlet invert
Depth of solids layer
Depth of scum layer
Dimensions of cesspool
Materials of construction
Indication of groundwater inflow ❑ Yes ❑ No
t5ins-11110 Title 5 Official Inspection Forth:Subsurface Sewage Disposal System Page 13 of 17
i
Commonwealth of Massachusetts
Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form-Not for Voluntary Assessments
217 Wheeler Rd
Property Address
Carl Thut
Owner Owner's Name
information is required for every Marstons Mills MA 02648 6-4-12
page. City,?own State Zip Code Date of Inspection
D. System Information (cunt.)
Comments(note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation,
etc.):
Privy(locate on site plan):
Materials of construction:
Dimensions
Depth of solids
Comments(note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation,
etc.):
t5ins-11/10 Title 5 Official inspection Form:Subsurface Sewage Disposal System-Page 14 of 17
i
i
Commonwealth of Massachusetts
Title 5 Official Inspection Form
Subsurface Sewage Disposal System Fonts-Not for Voluntary Assessments
217 Wheeler Rd
Property Address -
Carl Thut
Owner Owners Name
informrequired Marstons Mills MA 02 648 6-4-12
required far emery —
pa", city1rown State, Zip Cade Date of inspection
D. System Information (cunt.)
Sketch Of Sewage Disposal System: Provide a view of the sewage disposal systern, including ties to
at least two permanent reference landmarks or benchmarks; Locate all wells within 100 feet. Locate
where public water supply enters the building.Check one of the boxes b
❑ hand-sketch in the area below
drawing attached separately
8
8L e ka P E
C
0A1?1 5. QQ
0
- Aj 0
i
t5ins•1 t/t0 TWa 5 Offlaai Inspection F—, Subwtiaw Se age Disposal Seem•Page 15 of 17
Commonwealth of Massachusetts
Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form-Not for Voluntary Assessments
' 217 Wheeler Rd
Property Address
Carl Thut
Owner Owner's Name
information is required for every Marstons Mills MA 02648 6A-12
page. Cityrrown State Zip Code Date of Inspection
D. System Information (cunt.)
Site Exam:
® Check Slope
❑ Surface water
® Check cellar
❑ Shallow wells
10'+
Estimated depth to high ground water. feet
Please indicate all methods used to determine the high ground water elevation:
® Obtained from system design plans on record
If checked, date of design plan reviewed. 11-7-96
Date
❑ Observed site(abutting property/observation hole within 150 feet of SAS)
❑ Checked with local Board of Health-explain:
❑ Checked with local excavators, installers-(attach documentation)
❑ Accessed USGS database-explain:
You must describe how you established the high ground water elevation:
T.H. on design plan 11-7-96 No water at 10'
Before filing this Inspection Report,please see Report Completeness Checklist on next page.
t5ins•11110 Title 5 Official inspection Fonn:Subsurface Sewage Disposal System•Page 16 of 17
Commonwealth of Massachusetts
Title 5 Official Inspection Form
p -
Subsurface Sewage Disposal System Form-Not for Voluntary Assessments
7
' 217 Wheeler Rd
Property Address
Carl Thut
Owner Owner's Name
information is required for every Marstons Mills MA 02648 6-4-12
page. Cityrrown State Zip Code Date of Inspection
E. Report Completeness Checklist
® Inspection Summary:A, B, C, D, or E checked
® Inspection Summary D(System Failure Criteria Applicable to All Systems)completed
® System Information—Estimated depth to high groundwater
® Sketch of Sewage Disposal System either drawn on page 15 or attached in separate file
t5ins•11/10 Tilde 5 Officiel Inspection Form:Subsurtece Sewage Disposed System•Page 17 of 17
m
I
N
I
N
0
0
Ul
N
A
A
C)
It-V- "e4w. 5 fo r ; . h o
- 1--- -- -
ProperN Address Map section parcel lot CO
33
Type of building Permit number D
sRcz�dct ial('nnmxrciali l'Cie-A,1 iw`� ---- -------- -- C
Number of ttcdrootns Date of Installation
C� M
/ (rcsideitlial)on cyunC � ------- --- M
f ��o1a�r:comn:+:ial}
Special circumstances:
Capacity required and �1:n.G.P.D: —__ � — Al:cmacivc Tta hnotug,'+
provided(G-P.D.) Variances)cle.?Please
G.P.D= 7� Specif. --- --— — ---
LTAR[appkauur.Iale5 Installer Name
Leaching Facility component
Description and dimensions '^
Designers Name
Water service •
(Town or%welll ,! Installer Signature's —
Depth to Groundwater [9✓1.� zS/?�,�ml6e, . , -Installer's signature above inc Icates the system was in:trllcd subslac-tially as m
proposed in permit plan and is the install%;r's cerlif lcation as required in Titie V C(vl OD
State Zoncl I"(yrs-nol 13.02 m
--- - - W
0
l ut septic syslcin location must be placed on the reverse side. Use two pcnnancr,l landlnatks(such as house comeisl to locate system components. N
OD
Th,-A-!andtnatks Ovwld be identified with lwcrs and the system coinpan.nl should be identifiod using numbeis. At a minimum•cs'n sceptic tank
(•nvvr5,the t1-hn.c all four corners of the leaching facility and it's inspection ports must be concisely measun-d from(he chosen iard_narks
0
- N
THE FOLLOWING
IS/ARE THE BEST
IMAGES FROM POOR
QUALITY ORIGINALS)
A , I
/ L
DATA
�
SEP-27-2006 12:44 CAUOSSA EXAUATING 5085635028 P.03
O
�\ I
/ ✓(1/
u
TOTAL P.03
y
V
No.' rr�� t
o�o615-6/p t y Fee �0
-THE COMMONWEALTH OF MASSACHUSETTS Entered in computer:
PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes
Zipp ration for Bid oal 6p5tem Congtruction ermit
Application for a Permit to Construct( ) Repair(/Upgrade( ) Abandon( ) ❑ Complete System ❑Individual Components
Location Address or Lot No. a I W hodcr (`J- Owner's Name,Address,and Tel.No. / 0 f—HaO—0 7S-6
Ma,r.i-r o to s *A 415 L Gates t -r-h v T
Assessor's Map/Parcel G , V
Installer's Name,Address,and Tel.No. GAWOS &CS',weetboDesign is Name,Address and Tel.No. 5-0 8-77,5
509540 3`133 fo kwto o� u A�-�-
A v4 k,>`��e� �. *ssoes a 7:;57
1 MA
Type of Building:
Dwelling No.of Bedrooms , Lot Size sq.ft. Garbage Grinder ( )
Other Type of Building No.of Persons Showers( ) Cafeteria( )
Other Fixtures ,n,``
Design Flow(min.required) Tv gpd Design flow provided 576, 9 gpd
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) Q-�
Date last inspected:
Agreement:
The undersigned agrees to ensure the constructi0 d maintenance the afore described on-site sewage disposal system in
accordance with the provisions of Title the Envir m n o e and to place the system in operation until .Certificate of
Compliance has been issued by thi 'oard ff�Health
Signed- f-c..� ` �—�_� Date
Application Approved b V Date
Application Disapproved by: Date
for the following reasons
Permit No. QO0 5 --'(o ` 3 Date Issued /� �
Y No.a��:��/C-T�.7 � .I •__ter-�T �-s-"-'°_ r�t� ,�--'"'"_� /�^O
4 --%"�" Fee 1�7
,_�_. ; THE COMMONWEALTH OF MASSACHUSETTS w Entered in computer:
Yes
PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS
Zfpplication for Migool *V..5tem Con.5truction permit
Application for a Permit to Construct O Repair(Apgrade O Abandon O ❑ Complete System ❑Individual Components
Location Address or Lot No. a 1' I Owner's Name,Address,and Tel.No. — `GLO—O 7S-6
r" eLr5t-olvs Mitts �L� �+J B .Carl
Assessor's MapTarcel G
I
Installer's`Name,Address,and Tel.No. 6,-kvos Sa F—)(Co va Designer's Name,Address and Tel.No. 5�_0
508511D39�j3 �a\rvlov+►1 we\leg, �3. 44ssOe_i4+fS 073
rv( ►t1A
Type of Building:
Dwelling No.of Bedrooms, Lot Size I sq. ft. Garbage Grinder ( )
Other., Type of Building No.of Persons Showers( ) Cafeteria
Other Fixtures p
Design'Flow(min.required) } 7 v gpd Design flow provided 26, / gpd
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)
i f
t
Date last inspected:
Agreement: c �• n
The undersigned agrees to ensure the constructiowatid�maintenance o the afore described on-site sewage disposal system in
5 accordance with the provisions of Title of the Environnfenta�l1,Code.and'nof to place the system in operation until Certificate of
Compliance has.been issued by thi oars f Healthf s.�. ~
Si__ ( . : `'� Date
Application Approved b t J...E::.. Date
Application Disapproved b - ' 4 a f C( Date
for the following reasons
Permit Nol70 --(o / ~~~D >�
ate Issued /
THE COMMONWEALTH OF MASSACHUSETTS
BARNSTABLE,MASSACHUSETTS '° 4
(Certificate of Compliance
THIS IS TO CERTIFY,that the On-site Sewage Disposal System Constructed ( ) Repaired ( ) Upgraded ( )
Abandoned( )by at (77 7 _�.00 r RCO r 1')'�t� S, has been constructed in accordance J
with the provisions of Title 5 and the for Disposal System Construction Permit No. LM G dated
Installer��/ �/A r" 14 a Designer P
#bedrooms Approved design flow 4L4 O gpd
The issuance of this permit`shall of be construed as a guarantee that the syste' will fund'on si ned.
Date d ! �� Inspectors
————————————————————————————————————————————
No. 2.C o;s 1,I Fee
THE COMMONWEALTH OF liiAS�ACHUSE T T S
PUBLIC HEALTH DIVISION-BARNSTABLE, MASSACHUSETTS
0i pont,6p5tem Con5tructiou Permit
Permission is hereby granted to Construct ( ) Repair ( ) Upgrade ( ) Abandon ( )
System located at ,0 e- UC
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 a completed within three years of the date o L4'h_i11_s Uil'k—
Date IG Approved by
Town of Oarnstabte
114 1p
yP Regulatory Services
s ivsr�srE ; Thomas F. Geller,Director
Public Health Division
o +a. Thomas McKean,Director
200 Main Street,Hyannis,Na 02601
Office: 508;862-4644 '
Fax:.508-790-6304
Installer& Designer Certification Forth
Date:
Designer: �u
a� � �Installer: C/�-rG �. C- vssq -�✓ x�a`I'v�--�i%/y -��
Address:
Address: 2lU ��hazr� �'l�s ZZ ,`,.
On
(date) (installer) was issued a permit to install.a
septic system at based on a design drawn by
(address)
(its '1 r . ��SG'�'(GL�QS dated
(designer)
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.
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 co
of the septic system)but in accordance with State & Local Regul n msion or
certified as-built by designer to follow. Plan revi
�ZH OF hq
BRAMA
VI N
(Instal er's Signature) s
SS�ONAL�aG
(Designer's Signature) 2
(Affix Designer's Stamp Mere) -
PLEASE RETURN TO BARNSTABLE PUBLIC HEALTH DvVISION. CERTIFICATE
QF COMPLIANCE FILL NOT BE ISSUED UNTIL BOT THIS FQRM AND AS-
BUILT CARD ARE RECEIVED BY THE BARNSTABI,E P IC HEALTH DIVISION.
THANK_
Q:Health/Septic/Designer Certification Form
i
Town of Barnstable
Department of Health,Safety,and Environmental Services
Public Health Division Date
367 Main Strcet,Ilyannis MA 02601
HARM►SM
Hasa
EDMAr�`� Date Scheduled /a—h /!:5✓ Time Fee Pd.
w `
Soil Suitability Assessment for Sewage is osal
Performed By: Witnessed By: -(Y�t d
LOCATION & GENERAL INFORMATION
Location Address �,z> Owner's Name
�iz�i�laic,s .Cl/C+—S v
Address /6c"'
v/G c-s
Assessor's Map/Parcel: 8Z Z Z Engineer's Name.Z�C)4-,GL(0e s
NEW CONSTRUCTION REPAIR Z4v'0/o J,-.- Telephone# 2
-�—� l ��
Land Use ��� Slopes(%) Surface Stones
h .t _ .p
Distances from: Open Water Body ^I� 7d ft Possible Wet Area I0ft Drinking Water Welltt
Drainage Way IY fD R Property Line 10 _R Other n
SKETCH:(Street name,dimensions of lot,exact locations of test holes&perc tests,locate wetlands in proximity to holes)
Parent material(geologic) -VIZA 0Jj_71aAY0,DL Depth to Bedrock
Depth to Groundwater: Standing Water in Ilole: InCri12 Weeping from Pit Face
Estimated Seasonal High Groundwater
BE'TERMINATION FOR SEASONAL HIGH'WATER TABLE
Method Used:
Depth Observed standing in obs,hole: in. Depth to soil mottles: in.
Depth to weeping from side of obs.hole: in. Groundwater Adjustment R.
Index Well# Reading Date:_ Index Well level. Adj.factor Adj.Groundwater Level_
PERCOLATION TEST Date _/2L Time
Observation
Hole# Time at 9"
Depth of Perc i Time at 6"
Start Pre-soak Time @ 10 +5 7 Time(9"-6")
End Pre-soak
Rate Min./inch
Site Suitability Assessment: Site Passed V Site Failed: Additional Testing Needed(Y/N)
Original: Public Health Division Observation Hole Data To Be Completed on Back--�
Copy: Applicant
DEEP OBSERVATION HOLE LOG Hole#
Depth from Soil Horizon Soil Texture Soil Color Soil Other
Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulderes.
%
6 -
-lam Rc.
S,
Wacrd
DEEP OBSERVATION HOLE LOG Hole'#
Depth from Soil Horizon Soil Texture I Soil Color Soil Other
Surface(in.) I I (USDA) } lMunse!!) M:ttling (Structure,Stones,Boulderes.
Consistency.o
DEEP:OBSERVATION HOLE LOG Hole#"'
Dcpth from Soil Florizon soil'rexture Soil Color Soil Other
Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulderes.
Gravel)Consistency,%
i
DEEP OBSERVATION HOLE LOG Hole#
Depth from Soil I lorizon Soil Texture Soil Color Soil Other
Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulderes.
%
Flood Insurance Rate Maw
Above 500 year flood boundary No— Yes
Within 500 year boundary No— Yes
Within 100 year flood boundary No_ Yes
Depth of Naturally Occurring Pervious Material
Does at least four feet of naturally occurring pervious material exist in all areas observed throughout the
area proposed for the soil absorption system?
If not,what is the depth of naturally occurring pervious material?
I cry l fy that on (date)I have passed the soil evaluator examination approved by the
I3iapartment of Environmental Protection and that the above analysis was performed by me consistent with
the required training,expertise and experience described in 310 CMR 15.017.
Signature .Y is d—"— 0 A Date S
LA
2 t2
iff
11! ! I
1 i•
i
O0
A 44
`.�
►' 1 TOWN OF BARNSTABLE
LOCATION f1 i/lO86Q-6,2, koa SEWAGE #
VILLAGE . h1TLLj ASSESSOR'S MAP & LOT
INSTALLER'S NAME & PHONE NO. 6,A r -
SEPTIC TANK CAPACITY Z, (��
LEACHING FACILITY:(type)4"z{ L6-" e z—O MP&P-6(size) ,
NO. OF BEDROOMS "t PRIVATE WELL OR PUBLIC WATER �Qd
BUILDER OR OWNER PAULPITA
DATE PERMIT ISSUED:
DATE COMPLIANCE ISSUED:
VARIANCE GRANTED: Yes No
® -76
cry
TOWN OF BARNSTABLE
LOCATION 9 Wheeler Road SEWAGE #
VILLA IE Mars tons Mills . ASSESSOR'S MAP & LOT jg,I Z
nspector
INSTALLER'S NAME & PHONE NO. J•P•Macomber &..Son Inc .
SEPTIC TANK CAPACITY 2-1000 gallon tanks
LEACHING FACILITY(type) 2-1000 pits . (size)
NO. OF BEDROOMS PRIVATE WELL OR PUBLIC WATER PW
BUILDER OR OV�NER Paul Pita
nspecte
DATE I�SSLRED: ' l0.19.89
DATE. ISSUED: 10/19/89
VARIANCE GRANTED: Yes XXXX No XXXXXX
g A ��-'-
..
r�y+
-r4 � <
�'tiT
/ ��i'�\
f � �
=�,! i tee.. l h a ..
_ rJ
Q�1 _
J
Ad O "// �.
1. �4tr",5 �O 1�J
s Property Address Map section parcel lot
Type of building Permit number
m(ResidentialiComercial) 0 ti
Number of bedrooms hate of Installation
--
(residential)or square t�
footage(commercial) G
z.[ '.special circumstances:
Capacity required and Min.G.P.D: 7 � AdtemativeTechnology/
provided(G.P.D,) C Variance(s)etc.?Please
G.P.D: iJ -20 Specify
LTAR(application rite) Installer Name CL
Leaching Facility component
Description and dimensions
'')esi,,ners Name
Water service l/
(Town or well) _—w Installer Signature*
Depth to Groundwater w ; `,Installer's signature above in/the was installed substantially as
iaoposed in permit plan and is the installer's certification as required in Title V CNf
State Zonell?(yes/no) °5.02
The septic system location must be placed on the reverse side. Use two permanent landmarks(such as house comers)to locate system components.
These landmarks should be identified with letters and the system component sh^ild be identified using numbers. At a minimum,two septic tank
Covers,the d-box,all four comers of the leaching facility and it's inspection noels must be concisely measured from the chosen iandmarks.
l
R
60
_ �-�--
No. Fee f V 7ts
THE COMMONWEALTH OF MASSACHUSETTS Entered in computer:
PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE., MASSACHUSETTS
2pprtcation for Digpogal *pztem Congtruction Perron
Application for a Permit to Construct(,k<Repair( )Upgrade( )Abandon( ) ❑Complete System ❑Individual Components
Location Address or Lot No. Z I I R]:,. Owner's Name,Address and Tel.No. 6-0g 4(27Z-$02 j
IM IM 7D00L "4 i +®-
Assessor's Map/Parcel n to, p Z, g�, z fi 3357w���tti� (Y11iRS EorJS M L
As4ler's Name Address,and Tel.No. Designer's Name,Address and Tel.No.
York
lysr �t w E`Lc►. ss sc..
: T U -7)4 r\rrN s-t so8 'S�,2 Fku 13
Type of Building: +
Dwelling No.of Bedrooms Lot Size�5Z 414,-% sq. ft. Garbage Grinder( )
Other Type of Building No.of Persons Showers( ) Cafeteria( )
Other Fixtures Design Flow & gallons per day. Calculated daily flow tf�� �' P� gallons.
Plan Date 11 14 1 4 b Number of sheets 7 Revision Date
Title
Size of Septic Tank I So Li Type of S.A.S. %f X Q.cS �X Z' QA LkdY S
Description of Soil 1j4ia.= Aw L.--
Nature of Repairs or Alterations(Answer when applicable) qQQftL, nn�
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 Envi nmental Code and not to place the system in operation until a Certifi-
cate of Compliance has been issued by t ' Board eaith Signed Date��_3—
_
Application Approved by64�4-46 -- Date /7,41
Application Disapproved for the following reasons
Permit No. �' Date Issued 4�1-
_ `' � ,, is �%°``"' � 7•.• - •� 'a--�--- � -�� �.
} No. Fee
THE COMMONWEALTH OF MASSACHUSETTS Entered in.computer:
es,
PUBLIC HEALTH DIVISION TOWN OF BARNSTABLE., MASSACHUSETTS
2ppfication for Migopl *pgtem Congtruction Permit
k Application for a Permit to Construct j/Re air )Upgrade( )Abandon( ) ❑Complete System ❑Individual Components
PP• (X) P • ( ) Pg ( ) P Y P
Location Address or Lot No. (� l t)1�¢e to fZa: "` Owner's Name,Address and Tel.No. s v� 41 7D-J L
Wt `YY1 L F A-
; Assessor's Map/Parcel
' ►a Pc. z�3 , �4 0�4Ms(pps ,�L
staller's Name,Address,and Tel.No. [ ` Designer's Name,Address and Tel.No.
->>y rv06- -a• 609 562 Ts) 3 }
I'. TFi� �PCPIQ,M/�701KPi i4S, t w s ,n,w
Type of Building: _
Dwelling No.of Bedrooms L4 Lot SizesZ 41q,N sq.ft. Garbage Grinder( )
Other Type of Building No. of Persons Showers( ) Cafeteria( )
Other Fixtures
Design Flow gallons per day. Calculated daily flow �' P7 gallons.
Plan Date!1 j q S b Number of sheets Revision Date
Title
Size of Septic Tank i.-nc':) Type of S.A.S. APX "s �Y Z'
Description of Soil A s.►
Nature of Repairs or Alterations(Answer when applicable) uon ft �l nn sf�sna �v
Date last inspected:
Agreement: LL
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 Envi onmental Code and not to place the system in operation until a Certifi-
cate of Compliance has been issued by b=Broard ealth ?? �{
Signed -^' Date,_Z2, 7
ri Application Approved by t� Date
Application Disapproved for the following reasons a
t
Permit No. "" s Date Issued "
THE COMMONWEALTH OF MASSACHUSETTS' "
BARNSTABLE, MASSACHUSETTS
Certif icaf e of Compliance
THIS IS TO CERTIFY, that the On-site Sewage Disposal System Constructed(t,) Repaired( )Upgraded( )
Abandoned( )by _,_ _
at 0 , -. has been constructed in accordance
�
z with the prov' ions af Title 5 and the for Disposal System Construction Permit No. A,dated X __
Installer 64 k /0�1^�6ku%i Designer
The issuance of this permit s( all not be construed as a g uarantee that the s to will unction as ddlesi n`d.
Date 1— '" 7 7 InspectorJ'�L// l / '
No. � � -------------------------Fee ga""E
ra
THE COMMONWEALTH OF MASSACHUSETTS
I
PUBLIC HEALTH DIVISION - BARNSTABLE., MASSACHUSETTS
lwigpogat *pgtem Congtruction Permit
Permission is hereby granted to Construct( )Rep ( _U grade( ) Bandon )
System located at i' f
r;.
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. 7 A�
Provided:Construction must be completed within three years of the date of this,p ermit.
Date: Approved by
. TOWN OF BARNSTABLE
ti
LOCATIONf1 WhAtj ItZ kh. SEWAGE # —�
VILLAGE ASSESSOR'S MAP & LOT
INSTALLER'S NAME & PHONE NO. ,/7YOTIE Cow 4�0- -
SEPTIC TANK CAPACITY �SD�
LEACHING FACILITY:(Me)
NO. OF BEDROOMS 4 PRIVATE WELL OR PUBLIC WATER
BUILDER OR OWNER PAUL F I TI4
t DATE PERMIT ISSUED:
DATE COMPLIANCE ISSUED:
VARIANCE GRANTED: Yes No
/►O 76
G(�
3' �
�f - (6a9nNG) (BfLSTING) Mtw ADOfT10N) . 1 z
2C'1P
I '-
- ` (5„ED DORMER) M
.. .. l W
C-I 1' 3'-0• -I I• 5'-T U
z
„ 0-1 lll� CID
wQD n
1 t A cca
rF.5T
PPO
O
EX15T. DN NEW 02. 13K
FAMILY COST. t ®7.G'� - BATH C-2
z A
6EAMt5-9EE -
a ROOM DWG.A-I sTuw
R
� BELOW NEW � W
AREA G UN. PANEL V2 /y�M� E-4
6'x6 O' r�
AIR43• ———N E —————— P N 4 1�1
T IST. s'CASED OFMING ———BEDROOM-——— a Q1
TCHE
ELO
i
vv
tax
P..
OLVOEFTCL—-- Ar.MW I CLOSiv
J5. - PANELDOBT V IaI5T. W
BEDROOM #3 </ ATTIC
�'
EX15T. M r�+
N _
C
NOTE:
AT REMODEL®BAT„.CONTRACTOR O r
Is r0 REMOVE N T` RE5 EXIST. T , E
AND REPIAG wIM rm NEWEW FI=xiUREs FOYER
ECI
A59PflEO b uN.
BELOW o '`
NEW
RAIUNGS
+I , F,nNG) REMOD. x 0, G e° w
6' +
o w a " BATH oasT. �
07.
EXIST. p
HALL a�IL I W G
rn
N I F-4
�S iiS I I WWADOMONO (NfW ADDrtroN) H
a I
N EXI5T. NEW HOME 5ECON D FLOOR PLAN Q �'
BEDROOM#2 OFFICE Q
(VAULTED CEIUNG) `4
N WINDOW SCHEDULE
TYPE I MANUFACTURER5 UNIT ROUGH OPENING REMARKS
n A ANDER5EN TW 3442 3'-G 1/8'x 4'-4 7/8' DOUBLEHUNG SCALE
b CL C C 24532 4'-0 1/28x 43543/6 CASE ENTNG
D TW 244G 2'-G 1/8'x 4'-8 7/8' DOUBLEHUNG
Exlsr. E}(Isr. E CIR 24 2'-4 7/8'x 2'-4 7/8' CIRCLE DATE :
t F TW 2452 2'-G 118"x 5'-4 718' DOUBLEHUNG 7/21/2005
G TW 21052 3'-0 118'x 5'-4 7/8' DOUBLEHUNG
H ' A 31 (FIXED) 3'-0 1/2'x 2'-0 5/8' AWNING(FIXED)
J TW 2105G-2 5'-1 1 7/8"x 51-8 7/8' DOU15LEHUNG UUED PROJECT 1`
K " TW 2105G 3'-0 1/8'x 5'-8 7/5' DOUBLEHUNG 25-021
L TW 2431 O 2'-G 1/8'x 4'-0 7/8' DOUBLEHUNG
M TW 2032 2'-2 1/8'x V-4 7/8' DOUBII!HUNG
N TW 2431 O-3 7-5 1/2'x 4'-0 7/8' 1 DOUBLEHUNG(MULLED) DWG. NO. :
ronsnNG)
p -Iy,,2442 2'-6 1/8'x 4'-4 7/8• DOUBLEHUNG
NOTE:GONTRACfOR TO VERIFY ALL QUANTITIE5 AND 51ZE5 OF WINDOW5 WITH OWNER AND ROUGH OPENING5
WITH WINDOW MANUFACTURER PRIOR TO ORDERING AND IN5TALLATION OF WINDOW5
' (RE V ISED:11/28/2005) t A2
(E><1SnNG)
` � M
. aAm I
D DECK U 0
30'-Qs 'GO. , co
ID(TSnNG) (t709nNG) U (NEW ADDTiION) ✓� /1
p'q � co
2'-I I• T.G. 1
'6' 0'-2• 3'-6' 9'6 2'-I 1• '-10' •B-2' 3'-4• Tom' C-6•
A W Y+
On ABOVE OH ABOVE ABOVE EQABOVE I �a; � v
G G G H n G G G W
T.V.CABINET. O
NOTE:REMOVE OfIST. EXIST. i 0 C41
J mES ARFn,Arro WnNDows § .
J 1------_J ��
R 0 TIP
O E
REMODELED
o= FAMILY —WRAP Exlsr.BEAMS (VAMTm couNG)
N iS ROOM ABOVE W. (I NE
(VAULTED CEIUNG) _ -REMODELED NEW --
) I KIT HEN O I _ P E" a'
C I I I �RI CABINET �I Sn 9' I 24'-1• 12'-2•
I`-LP W-OWNER)
I IC�II ___ _________________1
1 N E iE if
�z GROOVERemove caNc I I I I T — b D I I Q
1AU N R W 14 x 26 STCPl edvN _ L_ _ W 14.26 STEEL BEAM b r(onsr. ON wAus ABOVE I — tPtusn PRAMED> I I (FLLSE FRAMED) _ N d W
NEW 1 O ARCH®OPENING NEW I O ARCHED OPENING I I I � W NEW 1 I STEEL NEW •'OD-5 UGT•
f 1 i w N 1 ®i ct GARAGE
o EW b I (4'CONC.SLAB) I I
ANT I m. v I 11 p
NOTE:ALL NEW WINOOS 1 O, 24W x /III L- 2'8•TO Frr INTO E)(15T. x G8'
WINDOW ROUGH OPENING I5MHR1rrLa=
I O \ / II �6S •�. e I I I - ~� Z
vADm,vEwry Exlsr. N —C o F — N { \ NEW 1 I 1.4
O
ROUGH OPENINGS PRIOR = 2 ____ __ _-.f R if I'll
ro ORDERING WINDOWS
> '-1 O' 'j4 4'-4' 2'-4• 6'-2.2 -1 O' I I 9�•x I O.H.DOOR
EXIST. REMODELED 1 / EXPANDED I
z LIVING "o FOYER / t1ALL
�, b 9'O'x TO'O.H. 90•x 7'O'O. DOO AP
tmu - —f _MtJ APR
N
Of +S P P p p I E CONC. II r ' -V
5'-0' I- 2'-I a r-i s 2'-1 O' 4'-
nil
2• I 3'-1• W A
a�PENTo \� II EXPANDED
ABoVe up PORCH ZD 1I II
IINOTE:REMOVE AND 13R
(OGSTING) RE-BUILD STAIRS ®7.6•t I—
I X
�2• E IO'DIA. �IX NE OAP e w W COLUMNS NEW BUILT-INS TO BE REMOVED
13 s. H�
N
pa
A
K �I I INE�s n1
''� IQ
III EX15T. 12POCKCT DR I „ 1 I MA5TE III 25-0' I z'
o",F of I I MASTER I�I I I I I IBATki O { 37-0' SCALE
I I BEDROOM I I I I I /� (NEW ADDITION) 1/8x= 1-0�
,I,I NEC I I 1, „mom BIDIT FI RST FLOOR PLAN
0.1I I� I-I II w.LC. I J 1 I I NI 15 D DATE:
�" I
N =K LEGEND GENERAL NOTE5:
III ® EXISTING WALL CONSTRUCTION TO REMAIN 1.)CONTRACTOR IS TO VERIFY EXISTING CONDITIONS AND 7/21/ZOOS
/ NEW WALL CONSTRUCTION
DIMENSIONS IN THE FIELD PRIOR TO THE START OF WORK PROJECT N0.
C EXISTING WALL CONSTRUCTION TO BE REMOVED p) CONTRACTOR TO REMOVE EXISTING DOORS,WINDOWS,
WALLS,#ROOFING AS REQUIRED FOR NEW CONSTRUCTION. 25-021
A A B C 3.) ALL NEW CONSTRUCTION TO MATCH EXISTING IN MATERIAL,
DETAIL,AND FINISH. DWG. NO. :
4.) ALL WORK 5HALL CONFORM TO THE MA55ACHU5ETf5
e-s• y'-la 4 STATE BUILDING CODE AND ALL OTHER APPLICABLE
LOCAL CODES A
qp'-2« 22'6't 5.) EXISTING BEAMS AT KITCHEN TO BE REMOVED(REVISED:11/28/2005) 1
1
c-�
_ TEST HOLE LOG
Mys77c �/ DATE: pv 1pre'..
fi4C� `G$ TEST BY: .WELLLEER�&ASSOCIATES�
WITNESS:, ?. .8.4r��y i
PERC RATEi: •�Z,1l�r�/�,r</c�
Oy yop
=oy lose
w� F"moc
iv � S 3
/V�OQA
3 "
va
0
41 Fw✓ ce4w
eZ MEoiuy
�o,,►,�,s� y
sy' iore $/ 3(,
�3 Ce�lrtSaE
son+o
/Zee Z.sy r
DESIGN_DATA
DAILY FLOW. (dA BDRMS.x 110 GPD=4/f6GPD
SEPTIC TANK: Wo%1"JPD x 200%- 88ca
-alE USE: /Scmm- GALLO'N PRECAST SEPTIC TANK
LEACHING FACILITY:
USE: S',c z ',az4F .+sT
CAPACITY:
I .
SIDEWALL:AdZ K Z x I BOTTOM: �/ax yo'X O.p y- 3ZS.G
TOTAL:...
-". �.�rOra?7J/ /S i5I07 /rJ .P�� �StCaw4
NOTES:
1. ALL PIPE TO BE 4"DIA.SCH 40 PVC.
2. PIPE TO BE LAID LEVEL FOR V OUT OF DISTRIBUTION
BOX.
3. RAISE ALL APPLICABLE MANHOLE COVERS TO WITHIN
6"OF FINISH GRADE.
4. SEPTIC SYSTEM IS NOT DESIGNED FOR THE USE OF A
GARBAGE DISPOSAL. 2"LAYER OF 3/8"PEASTONE OVER
5. SEPTIC TANK AND DISTRIBUTION BOX TO BE INSTALLED 3/4"-11/2"WASHED STONE ALL
ON A 6"LAYER OF STONE. AROUND
TOP OF FOUND.
`w EL. / SO / 10" E4" /L-� . a , I [ -- 2
x:I . .37ov1 ,�`•oo �ASB,AGIccF \ .�/�99 � .�/�So
y oT U.75
--I Sow � s� �'S'P•)
SEPTIC SYSTEM PROFILE
S • E SEWAGE PLAN GENERAL NOTES
1. CONTRACTOR TO BE RESPONSIBLE FOR THE LOCATION
FOR OF ALL UTILITIES,ABOVE AND UNDERGROUND,PRIOR
TO ANY EXCAVATION OR CONSTRUCTION.
Z17 wWc--EGE-,c /Z'4:pjA0 ,cy,A0C5;'O.vS 2, SEPTIC SYSTEM TO BE INSTALLED IN COMPLIANCE WITH
Za3j�r 3S 310 CMR 15.00: TITLE V.
PREPARED FOR 3. THIS PLAN IS NOT TO BE USED FOR PROPERTY LINE
DETERMINATION.
of MA' 9
4 • /6�� DANIEL 1. CyG
DATE: 9 /9 s SCALE./=S/o 1aAMAw A,
J No.326B6C W
Off,0 G'Z`
SURVEIL
WELLER & ASSOCIATES
71 MMAIN ST. -P.O. BOX 119 YARMOUTHPORT,MA. 02675
TEL: (508) 362-8131
APPROVED BY:
-- - Z .S
�Z
p `
f
/d I•
J4 MY5T/ C
6
N�
.3y. °� r�igH wA
1r
pl .
CXrS Ti.�-1� �Pf►r�e � � V p�
EX/srKooy YS'�.. LE�PC /,Wv7�
er '/STiN�
poseo /Q= /'��• 31Y
biTio�.d � •
yo-
C.�.s�*s7
A Z.3./)'
Cary/'/ o•�'
/0 Zo 411
41
�(M1. 1
TOP OF FOUND.
SA pre c 2/.47 ' cm _ Z7.5 o �f
35.75 3/60 13, l 1
i
SEPTIC SYSTEM PROFILE �
L_06ATION MAP < co
TA
PD510N PA
PA I LY FLO��: (y)p-DROOMS x I 10 OPP�7o OPP I
S`PTIG A'K:'r'Yc) OPP xZOOI=e-,goOPD
®' (` �.;, USE1So f I ON' RECAST SEPTIC TANK i
.s-e C) xs. 5 �c2, � p c--'.k-ir;,- y LEACH INNE;>=AGILITY-
/ \ ' 4 '"v c Jx/✓"�"//art ---_______ _ USE: S%Y ` zed C� lJ2YGv c L S If�
a `a 77- >4,,),,tJ car E y .2 , �
GAPAGITY:
,. , DEWALL` 11 'X Z
Q t ` ATOM: /✓` �' 7c-'•�.�D,'yr �� •�' ,I
TOT AL:
it
d � 9
:
T
6 f
t' ^j
r 2
' Y ONSI f5L� OR T I f`LOCATION -A`L UTILITIES, r (I
r
6ON ' : TO iA��SP " F O_
' A'�OVi=Aim IJ't1DER0ROUND,Pik IOR TO ANY LXGAVA T I ON OR CONS i RUGTI ON. (�
Ii TES I ���-� oo Z. Si PTIG S`(6T1=M TO pE INSTALLED IN COMPLIANCE WIT11310 GMR 1500:T[rLE V
TATE._._ TI1
W 17`N E S 16 PLAN(S NOT TO pE USED F=OR PROPERTY LINE DETERMINATION I
I �'�4 >onl� er o'G a v��1.�" ' 3.
PF_RG RATE: • r /, // vc,/ ` f�C �3
/ A. ALL DI S T URDED AREAS TO pE LOAMED AND SEEDED
i
g gL= .,/ , 5. CONTRACTOR TO PROVIDE 48 t10UR NOTICE FOR ANY REqUIRED INSPECTIONS.
I G, S
/o yr:,;o co s
C3 Cnq,�sc
sY
I
T PLAN Of:: LANP
LOCATION: _0/
�N of iA ss�c PREPARED FOR: 7 771 J i
DANIEL E. ��s� SCALE. DRAWN pY:
t%AMAIBRAPAAN ; „ ,
an y tZ ace CIVIL C �k I = LO cvw
r--ry JG� NW�ER• PAT[
��f1E1=T•
sION'AL REV.: /Z
Aj
REV.:
WELLER & A�5�506, I A
w ~-2, 3 -v'�'> 1645 f=ALMOJTH RP N 51ATE 46 GENTERV I LLE, MA 0`I_(32 �I�
TEL.: (508) 775--Q735 w FAX: (508) T15-075q
PROF=ES610NAL ENOINEER�5 & LANP SURVEYORS
--------- ------
ASSESSORS REF.:
Map 082, Parcel 022 �' � �►
OVERLAY DISTRICT . y
RP0D — Resource Protection Overlay District a k
GP — Ground Water Protection District
Estuarine Watershed Overlay District srrr`
FLOOD ZONE: w
Zones C
Community Panel No.
#250001 0015 C
July 2, 1992 LOCATION MAP.
Scale: 1" = 2000'f
M
a
DIRECTIONS: ZONE:
RP— Resource Protection
From Hyannis — Take Route 28 into Centerville; GP— Groundwater Protection
At the lights Take a Right onto Old Stage Road; Saltwater Estuary Protection
a' Continue on Race Lane into Marstins Mils District RPOD— Resource Protectio Overlay.
At Round About Continue Straight on Race Lane.
Take a Left onto Wheeler Rd; RF
The House is on The Right. # 217 Area (min.) 87,120 ,(RPOD)
Fronta e (min) 150
Width min) 0
Setbacks:
Flagged by Front 30'
�V 6 Brad Hall Side 15'� Rear 15'
\ 9-6-12 �s .
�jC
IOW 5\" �Q� ooaJ
\ Approx. Location of Pier
�� \ Permit —SE3 2688
.W 4
01
\ \
Existing Railroad Tie
Stairs & Path
to be Removed and
Native Planting s re laced with Raised
o P
Stairs — See Section
Work Limit
------ ��� Mitigation Planting
!y
Courts to be
removed W
70
+ Railroad Tie Retaining
Proposed Eld Pool Fence awn � �.� `l Walls With Steps To Be
� � � 3 � Removed
Proposed �ayy � 6 � � Pro sed Granite Steps
_�
20x40' Pool o
and 4' Wide Path
Mitigation Calculations:Evergreen 10.0' Fieldstone Retaining Wall —�q
Screening ii and Steps o ° 1 Top of Wall Elev. 69.60' 0—
50' Buffer
72
; Re—pipe Septic Line to Existing Walls to be Removed 90. 47 s. f.
4 Bedroom Septic DBox with 4" 0 PVC Proposed Wall and Patio 45.02 s. f.
System Permit " Prcv�osed Patio � Min. Slope of 1/1. Net of —45. 45 s. f. Disturbed Area
# 96-642 and °
#2005-613 O 69.80' Elev. ( Proposed 400-600 Gallon
Q0 °00 Pool Drawdown Pit &
50-100 Buffer
Proposed °Impervious Barrier Patio Drainage Existing Walls to be Removed 94. 7 s. f.
Work Limit Proposed Walls and Stairs 304.5 s. f.
--- O mot ° Posed Patio 73.80'•E Proposed Patio &' Pool 2481.2 s. f.
w
Fieldstone Retaining Wall --76' lev. Net of 2618. 19 s. f.
and. Steps ° of Equipment Pad
Top of Wall Elev. 73.60' 3x2691.0=8073. Os. f.
AC Pad
N/F 1 112 STY W/F Provided
PAMELA L. PETERS Dwelling ,
DEED 15090/308 # 217 � 0-50 Buffer
\ Replace Timber Steps
1199.25 s. g
f. of Mitigation Provided.
Lawn i h Granite Steps Completes Restoration of 50' Buffer
Patio 0
s
N/F
_-- GRABSC-IEID, PAUL & BLOOM, SHEILA
TRS
DEED 238881278
Bituminus
Driveway
so
Lawn
O
Electric
Meter
�67
36,10'
Well Shed 11,0' Top of
9 Treads -
10 Risers 5.7
10,4'
................................ HEELS 11 Treads Existing
12 Risers Grade
(40' Wide) Private Way
Landings
Sand Area - Proposed 4' Wide Stairs
PLAN VIEW
jH OFMAss9c SCALE 1 ��-20' STAIRS CROSS SECTION
cJ 'A3168 co m
CUL
SCALE 1 "=5'
F'cIOWL ENG
REVISION: MOVE POOL & ADD TO PATIO, ADD BARRIER TO 3-5-2013
SEPTIC AND CHANGE MITIGATION
JInE; PREPARED BY: PREPARED FOR: NOTES:
Site Plan 1.) The property line information shown was
Thalheimer Ronald M &� Jul ie F compiled from available plan of the Land to
Proposed Improvements Sullivan Engineering, Inc. book 283 page 35 by Edward E Kelley P.L.S
PO Box 659 28 Elizabeth Road dated May 6, 1974. y
At Osterville, MA 02655
Hopkinton, IV1A 01748 2.) The topographic information was obtained
217 Wheeler Road (508)428-3344 (508)428-9617 fax from an on the ground survey performed on
14/SEP T/12
ri
Barnstable Marstons Mills
) Mass.( ) Mass. Draft: CTR 20 0 10 20 40 go 3) The datum used is on approximate NGVD 29 V
based on Town of Barnstable GIS lake
DATE: Novemb 29, 2012 SCALE. 1 " = 20' Review: JOD 0-1 elevation Information.
Project #:320028_Tha/heimer