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0052 POINT HILL ROAD - Health
52 Point Dill load West Barnstable _:� __ A = 136 - 029 Commonwealth of Massachusetts 13&- 00 Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 52 Point Hill Road, West Barnstable, MA Property Address G] Kathleen C Kilduff, Box 629, Owner Owner's Name G7 information is required for every West Barnstable. MA 02668 09/26/2016 ,sr page. Cityrrown State Zip Code Date of Inspection 5J1 co Inspection results must be submitted on this form. Inspection forms may not be altered in any way. Please see completeness checklist at the end of the form. Important:When A. General Information q� 2 filling out forms /l / J on the computer, use only the tab 1. Inspector: key to move your cursor-do not REIDC. ELLIS use the return Name of Inspector key. ELLIS BROTHERS CONSTRUCTION Company Name 23 ENTERPRISE ROAD Company Address YARMOUTH PORT MA 02675 Cityrrown State Zip Code 508-362-6237 S121891 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 it". sewage dis osal systems. I am a DEP approved system inspector pursuant to Section 15.340 of Title 5(3 CMR 15.000).The system: Passes ❑ Conditionally Passes ❑ Fails ❑ Needs Further Evaluation by the Local Approving Authority Inspector's Signature Date The system inspector shall submit a copy of this inspection report to the Approving Authority(Board of Health or DEP)within 30 days of completing this inspection. If the system 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. t5ins•3/13 Title 5 Official Inspection Form Subsurface Sewage Disposal System•Page 1 of 17 f Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments *« 52 Point Hill Road, West Barnstable, MA Property Address Kathleen C Kilduff, Box 629, Owner Owner's Name information is West Barnstable required for every MA 02668 09/26/2016 page. Clty/Town State Zip Code Date of Inspection B. Certification (cont.) Inspection Summary: Check A,B,C,D or E/always complete all of Section D A) System Passes: At I have not foun 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 des ribed 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 determi ed"(Y, N, ND)for the following statements. If"not determined," please explain. The septic tank is metal and over 20 years of *or the septic tank(whether metal or not) is structurally unsound, exhibits substantial infiltration ore Iltration 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 s structurally sound, not leaking and if a Certificate of Compliance indicating that the tank is less th n 20 years old is available. ❑ Y ❑ N ❑ ND (Explainbelow): t5ins•3/13 Title 5 Official Inspection Forth:Subsurface Sewage Disposal System•Page 2 of 17 Commonwealth of Massachusetts -- Title 5 Official Inspection Form 4 Subsurface Sewage Disposal System Form-Not for Voluntary Assessments *., 52 Point Hill Road,West Barnstable; MA Property Address Kathleen C Kilduff, Box 629, Owner Owner's Name information is required for every West Barnstable MA 02668 09/26/2016 page. Cityrrown State Zip Code Date of Inspection B. Certification (cont.) ElPump Chamber pumps/alarms not operati aafi I. ystem will pass with Board of Health approval if pumps/alarms are repaired. I B) System Conditionally Passes (cont.): r/� ❑ Observation of sewage backup or break out or lgh 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 Hei ilth)* ❑ 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 time a year due to broken or obstructed pipe(s). The system will pass inspection if(with approval of tt a 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 evalu tion 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 Hea th determines in accordance with 310 CMR 15.303(1)(b)that the system is not functi nin in a manner which g will protect public health, safety and the environment: ❑ Cesspool or privy is within 50 feet o a surface water ❑ Cesspool or privy is within 50 feet o a bordering vegetated wetland or a salt marsh t5ins•3/13 Tithe 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 3 or 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 52 Point Hill Road,West Barnstable, MA Property Address Kathleen C Kilduff, Box 629, Owner Owner's Name information is required for every West Barnstable MA 02668 09/26/2016 page. City/Town State Zip Code Date of Inspection B. Certification (cont.) dland 2. System will fail unless the Board Public Water Supplier, if any) determines that the system is functionin I in a manner that protects the public health, safety and environment: ❑ The system has a septic tank and soil sorption system (SAS)and the SAS is within 100 feet of a surface water supply or tributa to a surface water supply. ❑ The system has a septic tank and SAS nd the SAS is within a Zone 1 of a public water supply. ❑ The system has a septic tank and SAS ind 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 preSE ice of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other fail re 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❑ IjAl 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•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 4 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 52 Point Hill Road, West Barnstable, MA Property Address Kathleen C Kilduff, Box 629, Owner Owner's Name information is every West Barnstable required for eve MA 02668 09/26/2016 page. Cityrrown State Zip Code Date of Inspection B. Certification (cont.) Yes No El LV Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s). Number of times pumped: ElAny 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 Bo d of Health to determine what will be necessary to correct the failure. E) Large Systems: To be considered a large sy to the system must serve a facility with a design flow of 10,000 gpd to 15,000 gpd. For large systems, you must indicate either"yes"or" o"to each of the following, in addition to the questions in Section D. Yes No ❑ ❑ the system is within 400 feet of 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 nitro n sensitive area(Interim Wellhead Protection Area—IWPA)or a mapped Zor a II of a public water supply well If you have answered "yes"to any question in Sectior E the system is considered a significant threat, or answered"yes" in Section D above the large syste n 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•3(13 Title 5 Official Inspection Form:Subsurface Sewage Disposal system•Page 5 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments i.. 52 Point Hill Road, West Barnstable, MA Property Address Kathleen C Kilduff, Box 629, Owner Owner's Name information is required for every West Barnstable MA 02668 09/26/2016 page. Cityrrown State Zip Code Date of Inspection C. Checklist Check if the following have been done. You must indicate"yes" or"no"as to each of the following: Yes No ❑ Pumping information was provided by owner, occupant,ant or Board of Health ❑ Were an of the system components pumped o in ? y y p p p out 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? V ❑ Was the site inspected for signs of break out? ❑ Were all system componentseluding the SAS, located on site? ❑ Were the septic tank manholes uncovered, opened, and the interior of the tank inspected for the condition of the baffles or tees, material of construction, dimensions, depth of liquid, depth of sludge and depth of scum? ❑ Was the facility owner(and occupants if different from owner) provided with information on the proper maintenance of subsurface sewage disposal systems? The size and location of the Soil Absorption System(SAS)on the site has been determined based on: ❑ Existing information. For example, a plan at the Board of Health. ❑ Determined in the field (if any of the failure criteria related to Part C is at issue approximation of distance is unacceptable) [310 CMR 15.302(5)] D. System Information Residential Flow Conditions: Number of bedrooms(design): 3 Number of bedrooms(actual): DESIGN flow based on 310 CMR 15.203(for example: 110 gpd x#of bedrooms): t5ins•3113 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 52 Point Hill Road, West Barnstable, MA Property Address Kathleen C Kilduff, Box 629, Owner Owner's Name information is required for every West Barnstable MA 02668 09/26/2016 page. City/Town State Zip Code Date of Inspection D. System Information Description: �__ 245;L Number of current residents: Does residence have a garbage grinder? ❑ Yes M/No Is laundry on a separate sewage system? (Include laundry system inspection Yes �/No information in this report.) ❑ Laundry system inspected? ❑ Yes M/No Seasonaluse? ❑ Yes [M/No Water meter readings, if available (last 2 years usage(gpd)): Detail: wto46- Sump pump? n ❑ Yes N<No Last_date of occupancy: E��✓� 'v� 4x f✓2--& j� 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 syst m. El Yes ❑ No Water meter readings, if available: t5ins-W3 Title 5 Official Inspection Form: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 ti 52 Point Hill Road, West Barnstable, MA Property Address Kathleen C Kilduff, Box 629, Owner Owner's Name information is required for every West Barnstable MA 02668 09/26/2016 page. Citylrown State Zip Code Date of Inspection D. System Information (cont.) Last date of occupancy/use: It o Date Other(describe below): General Information Pumping Records: All-*Wepl<13� WA *Oy+A+pe-d ZON= 0-,pL.`.�; Source of information: 3f 4Pye�4 Was system pumped as part of the inspection? I ❑ Yes No If yes, volume pumped: "�N gallons H How was quantity pumped determined? N Reason for pumping: Type o ystem: 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. I ❑ Other(describe): t5ins-3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 8 of 17 4 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 52 Point Hill Road, West Barnstable, MA Property Address Kathleen C Kilduff, Box 629, Owner Owner's Name information is required for every West Barnstable MA 02668 09/26/2016 page. Cityfrown State Zip Code Date of Inspection D. System Information (cont.) Approximate age of all components, date installed (if known)and source of inf rmation: ir Were sewage odors detected when arriving at the site? ❑ Yes M"ONo Building Sewer(locate on site plan): t( Depth below grade: feet Material of constructiV4O El cast iron VC ❑ other(explain): Distance from private water supply well or suction line: feet Comments(on condition of joints, venting, evidence of leakage, etc.):Al A te- 44'& �- IAI 1, Septic Tank(locate on site plan): Depth below grade: feet ;;/I of construction: concrete ❑ metal ❑fiberglass ❑ polyethylene ❑ other(explain) cos / ew V C,ee-1.x, A%l sL � 0 If tank is tal, list age: ears /v Is age nfirmed by Certificate of Compliance? (attach a cop of certificate) ❑ Yes ❑ No �'c if Dimensions: Sludge depth: t5ins•3113 Title 5 Official Inspection form:Subsurface Sewage Disposal System•Page 9 of 17 Commonwealth of Ma ssachusetts m Title 5 Official Inspection Form _ Subsurface Sewage Disposal System Form-Not for Voluntary Assessments M 52 Point Hill Road,West Barnstable, MA Property Address Kathleen C Kilduff, Box 629, Owner Owner's Name information is required for every west Barnstable MA 02668 09/26/2016 page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) Septic Tank(cont.) Distance from top of sludge to bottom of outlet tee or baffle 33 D 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 v How were dimensions determined? Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid lev s as related t nvert, evidence f leakage, et� L �"oo;- -S 7We A., 1/edA OVA Grease Trap(locate on site plan): .o ft Depth below grade: feet Material of construction: ❑concrete ❑ metal ❑fib rglass ❑ polyethylene ❑ other(explain): Dimensions: Scum thickness Distance from top of scum to top of outlet tee or affle Distance from bottom of scum to bottom of outle tee or baffle Date of last pumping: Date t5ins-3113 Title 5 Official Inspection Form:Subsurface Sewage Disposal system-Page 10 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments a 52 Point Hill Road,West Barnstable, MA Property Address Kathleen C Kilduff, Box 629, Owner Owners Name information is required for every West Barnstable MA 02668 09/26/2016 page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) Comments(on pumping recommendations, inl and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidenc of leakage, etc.): 11114 Tight or Holding Tank(tank must be pumpe t 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 switch s, etc.): *Attach copy of current pumping contract(req ired). Is copy attached? ❑ Yes ❑ No t5ins•3113 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 11 of 17 Commonwealth of Massachusetts -- - W Title 5 Official Inspection Form — a Subsurface Sewage Disposal System Form-Not for Voluntary Assessments w„ 52 Point Hill Road,West Barnstable, MA Property Address Kathleen C Kilduff, Box 629, Owner Owner's Name information is required for every West Barnstable MA 02668 09/26/2016 page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) Distribution Box(if present must be opened) (locate on site planA/,9,v�0 - 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.): DP Il5 .10 � /VDA�1_44 Pump Chamber(locate on site plan): Pumps in working order: ❑ Yes ❑ No* Alarms in working order. ❑ Yes ❑ No* Comments(note condition of pump chamber, co idition of pumps and appurtenances, etc.): *If pumps or alarms are not in working order, system is a conditional pass. Soil Absorption System(SAS) (locate on site plan, excavation not required): If SAS not located, explain why: �t? .�-.v t5ins-W3 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 12 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments tl sv'• 62 Point Hill Road, West Barnstable, MA Property Address Kathleen C Kilduff, Box 629, Owner Owners Name information is West Barnstable required for every MA- 02668 09/26/2016 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Type: i ❑ leaching pits number: 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.): G Cesspools (cesspool must be pumped asp of f 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-3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 13 of 17 Commonwealth of Massachusetts y Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments GM 52 Point Hill Road, West Barnstable, MA Property Address Kathleen C Kilduff, Box 629, Owner Owner's Name formation is every West Barnstable required for eve MA 02668 09l26/2016 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Comments(note condition of soil, signs of hydrauli 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 hydra ilic failure, level of ponding, condition of vegetation, etc.): t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 14 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 52 Point Hill Road,West Barnstable, MA Property Address Kathleen C Kilduff, Box 629, Owner Owners Name information is required for every West Barnstable MA 02668 09/26/2016 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Sketch Of Sewage Disposal System: Provide a view of the sewage disposal system, including ties to at le st two permanent reference landmarks or benchmarks. Locate all wells within 100 feet. Locate wh a public water supply enters the building. Check one of the boxes below: i� hand-sketch in the area below 7 ❑ drawing hed separately As- I � .�. .34; A-Y- �o� 32, . 3 de r \ t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 15 of 17 r Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 52 Point Hill Road, West Barnstable, MA Property Address Kathleen C Kilduff, Box 629, Owner Owners Name information is West Barnstable required for every MA 02668 09/26/2016 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Site Exam: _ / ❑ Check Slope s1-weir• ❑ Surface water A149Ne- t: ❑ Check cellar /�J fII� • ❑ Shallow wells 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: 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 US' IGS database-explain: lam( eZ Q�`� You must describe how you established the high ground water elevation: ion: W M 71- Before filing this Inspection Report, please see Report Completeness Checklist on next page. t5ins•3f13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 16 of 17 i Commonwealth of Massachusetts a Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Volunt ary tary Assessments 52 Point Hill Road,West Bamstable, MA Property Address Kathleen C Kilduff, Box 629, Owner owner's Name information is required for every West Barnstable MA 02668 09/26/2016 page. Cityfrown State Zip Code Date of Inspection E. Re ort Completeness Checklist Inspection Summary: A, B, C, D, or E checked LJ Inspection Summary D (System Failure Criteria Applicable to All Systems)y )completed p eted ;O�(" ystem Information—Estimated depth to high groundwater ?Sketch of Sewage Disposal System either drawn on page 15 or attached in separate file t5ins-3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 17 of 17 Page 1 of 1 XFINITY Connect ELLISBROTHERS@comcast.net ±Font Size- Fwd:Point Hill Road From:KATHLEEN KILDUFF<cicitto@msn.com> Mon,Oct 03,2016 01:40 PM Subject:Fwd: Point Hill Road 2 attachments To:ellisbrothers@comcast.net Please see attached water report. Sent from my iPad Begin forwarded message: From: Bridget KouraMs<bridoetCa)carlriedell.com> Date:September 27,2016 at 2:39:31 PM EDT To: "RINORTON()KINLANGROVER COM"<RJNORTON(@KINLANGROVER COM> Cc:"CICITTO(a)MSN.COM" <CICITfOC-MSN.COM> Subject:Point Hill Road Please see the above attachment. Thank you Bridget Kourafas Carl F. Riedel[&Son, Inc. Advanced Water Systems 778 Main Street Osterville, MA 02655 Phone: 508-428-6365 Fax: 508-420-0180 i_rKATHY IQLDUFF.pdf 1 113 KB r .ATT00001.htm - 168 B https://web.mail.comcast.net/zimbra/h/printmessage?id=384836&tz=America/New York... Sep. 2/. 2016 12:32PM No. 2001 P. 2 New England ChromaChem 6 Nichols Street Salem,MA 01970 978 7444600 Massachusetts DEP Lab.M-MA072 Sample Information EPA Method 524.2 Rev 4.1 Volatile Organic Compounds in Water Lab ID: 609113 Client: Envirolech Laboratory.Inc. Client ID: DW-163498 Stale: Liquid Date Sampled; 09/15/16 Date Received: 109116116 Date Analyzed: 09/16/16 Regulated VOC's Results(up/L) (uglL) Unregulated VOC's Results WAIL) Benzene NO 5 Acetone ND Carbon Tetrachloride NO 5 Bromobenzene NO 11-Dlchloroethene NO 7 Bromochlorontethane NO 1.2-Dichloroalhans NO 5 Bromodichloromethane NO 1,2-Diohlorobenzene NO 600 eromoform NO 14-Dlrhlorobenzene NO 5 Bromomethans NO Trichtoroethene NO 5 2-Bulanone NO 1,1,1-Trlchloroemane NO 200 N-Butylbenzene ND Vinyl Chloride NO 2 See-BU benzene ND Chlorobenzene NO 100 Tert-Bu benzene NO ols-1,2-dichloroelhene NO 70 Chloroothene NO trans-1 -dichloroelhene NO 100 Chloroform NO 1,2-Dichloro ro ane ND 5 Chloromethans ND Ethylbenzene NO 700 2-Chlorotoluene NO Styrene NO 100 4-Chlorotoluone NO Tetrachloroelhene ND 5 Dibromoctdoromethane NO Toluene NO 1000 1 -Dibromo-3-Chloro ro ane NO X ones otal NO 10000 1.2-Dibromooftne NO Methylene Chloride NO 5 Dibromomethans NO 1 4-7dchlorobehzene ND 70 13-OlchtOrobenzene NO 1.1.2 Trlchloroethans ND 5 Dichlorodltiuoromalhane. IND 1,1-Dichloroelhans13-Dichloro ro ane D 2,2-Dichto ro one D 1,1-Dichloro ro ene Hexachlorobutediene O iso ro benzene ND-- P-Isopmpyltoluene ND Methyl-tart-butyl ether ND Naphthalene NO N-PropAbenzene NO 1112-Tetrach►oroelhane NO 1,1 2 2-Tetrachioroelhane NO 1 3-Trichlorobenzene NO Trichlorofluoromethane NO 12,3-Trichloro ro s ND 1 2 4-TrimethYlbenzene NO 1.3.5-Trimethylbonzene ND Method Detection Umit=0.5 u IL Recoveries of Internal Standards % ` Benzene-d6 100 4-Bromotluorobenzene 99 MCL TTHWs=80 u8/L 12-Dichlombenzene-d4 100 Method Detection Limit=0.5 ug4 Analysis performed per 310CMR42 Electronically signed and approved by W.Bruce A.Bornstein,Lab Director Date: 9/19/2016 i - Sep- 27. 2016 12:32PM No. 2000 P. 2 New England ChromaChem 6 Nichols Street Salem,MA 01970 978 744-6600 Massachusotts DEP Lab.M-MA072 Semple Information EPA Method 524.2 Rev 4.1 Volaille OrnanIc Compounds In Water Lab ID: 609110 Client Envirotech Laboratory,Inc. Client ID: DW-163436 State: LI uid Date Sampled: 09112116 Date Received: 09116/16 Date Analyzed, 109M6116 M L Regulated VOC's Reaulle(ug1L) (uglL) Unregulated VOWS Results(ug/L) Benzene ND 5 Acetone ND Catbon Tetrachloride NO 5 Bromobenzene NO 1.1-Dichlorcethene NO 7 Bromochloromethane NO 1,2-Dichlomethene NO 5 Bromodichloromethane NO 12-Dichlorobenzene ND Soo Bromoform ND 1.4-Dichlorobenzene ND 5 Bromomelhane NO Trichloroethene ND 5 2-Butanono NO 1.1.1-Trichloroelhane ND 200 N-Butylbenzene NO Vinyl Chloride ND 2 Se"utylbPrizens NO Chlorobenzens ND 100 Tert-But benzene NO cis-1.2-dichloroelhene ND 70 Chloroethane NO trans-1.2-dichloroefhene ND 100 Chloroform 0.61 1.2-Mchloropropmo ND 5 Chloromothane NO Ethylbenzene ND 700 2-Chlorotoluene ND Stwene ND 100 4-Chlorotoluene ND Tetrachloroethens ND 5 Dlbromochloromethane NO Toluene ND loco 1.2-Dibromo-3•Chloro ro ane NO X enes Total ND 10000 1,2-Dibromoethane ND MethylanaChlorlda ND 5 Dlbromomethane NO 9.2 4-Trichlorobenzens NO 70 1.3-Dichlorobenzene ND 1,1,2-Trichloroethane ND 5 Dichlorodifluoromethene NO 11-Dichloroathans NO 1.3-Dichloropmpane ND 2 2-Dichloro ro ane ND 1.1-Did'daropropans NO Hexachlorobutadiene ND looDroovIbenzone NO P-1sopropyltoluene, NO Mothyl-tert-butyl ether NO Naphthalene ND N-Propylbenzene NO 110,2-Tetrach)oroethane NO 1 12 2-Tetrachtomethane ND 12,3-Trichlorobanzene ND Trichlorolluoromethane ND 1 2 3 Trichloro ro ane ND 1,2,4-Tdmeth benzene ND i 1.3,5-Trimelh enzene ND Method Detection Limit=0,5 uPIL Recoveries of Internal Standards % ' Benzene-d6 97 4-Bromotluorobeazone 97 MCL TTHM's=60 ug/L 12-1)lchiorobenzene-tl4 196 Method Detection limit=0.5 qIL Analysis performed per 310CMR42 Electronically signed and approved by Mr.(truce A.Bornstein.Lab Director Date: 9119/2016 ,\ T Town of Barnstable Barnstable P� Regulatory Services Department I edcaC-j ' • )ARN9FABLE, 9 MASS. Public Health Division m i639- �0 ArEb MA'1 s 200 Main Street,Hyannis MA 02601 2007 Office: 508-862-4644 Thomas F.Geiler,Director Thomas A.McKean,CHO FAX: 508-790-6304 May 20, 2008 Robert Family Trust c/o Joanna Roberts 52 Point Hill Road West Barnstable, MA 02668 ORDER TO COMPLY WITH STATE ENVIRONMENTAL CODE, TITLE 5 The septic system located at 52 Point Hill Road,West Barnstable, MA was last inspected on May 2, 2008,by Reid C. Ellis, a certified septic inspector for the State of Massachusetts. The inspection of the septic system showed that the system "Failed"under the guidelines of 1995 TITLE 5 (310 CMR 15.00) due to the following: Back up of sewage into facility or system component due to overloaded or clogged SAS or cesspool. You are ordered to repair or replace the septic system within sixty (60) days from the date you receive this notification. Failure to repair/replace the septic system within the deadline period will result in future. enforcement action. PER ORDER THE B ARD OF HEALTH omas McKean,R.S.,.CHO Agent of the Board of Health CERTIFIED MAIL# 7006 2150 0002 1041 9501 Q:\SEPTIC\Letters Septic Inspection Failures\TEMPLATEI.doc rt I COMMONWEALTH OF MASSACHUSETTS EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS DEPARTMENT OF ENVIRONMENTAL PROTECTION TITLE 5 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE 161SPOSAL SYSTEM FORM PART A CERTIFICATION Property Address: 52 Point Hill Road,West Barnstable,MA Owner's Name: Robert Family Trust,Joanna Roberts' Owner's Address: 52 Point Hill Road,West Barnstable,MA Date of Inspection: 05/02/2008.1;.; :. Name of Inspector:Reid C.Ellis Company Name:Ellis Brothers Const.Co. N ; Mailing Address:23 Enterprise Road y, Yarmouth Port,MA 02675 Telephone Number.508-362-6237 --< - x CERTIFICATION STATEMENT o I certify that I have personally inspected the sewage disposal system at this address and that the iris ation forted below is true,accurate and complete as of the time of the inspection.The inspection was performs ased on-my training and experience in the proper function and maintenance of on site sewage disposal systems. am a DEP > approved system inspector pursuant to Section 15.340 of Title 5(310 CAM 15.000). The syst a rn Passes nditionally Passes Beds Further Evaluation by the Local Approving Authority Fails Inspector's Signature: ZA/0 Date: 5- �--° 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. ;1 h Notes and Comments 01��` �, �,�� �� pan ����� � � ���.� •, 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. 1 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: 52 Point Hill Road, West Barnstable,MA Owner:Robert Family Trust Date of Inspection:05/02/2008 Inspection Summary: Check A,B,C,D or E/ALWAYS complete all of Section D A. System Passes: A.47 1I have not found any information which indicates that any of the failure criteria described in 310 CMR 13&03 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 th "Conditional Pass"section need to be replaced or repaired.The system,upon completion of the replacement r repair,as approved by the Board of Health,will pass. Answer yes,no or not determined(Y,N,ND)in the f r the following statements.If"not determined"please explain. The septic tank is metal and over 20 years old*or a p a septic tank(whether metal or not)is structurally unsound,exhibits substantial infiltration or exfiltration or failure is imminent.System will pass inspection if the existing tank is replaced with a complying septic tank as roved by the Board of Health. *A metal septic tank will pass inspection if it is structural] sound,not leaking and if a Certificate of Compliance indicating that the tank is less than 20 years old is availabl . ND explain: Observation of sewage backup or break out or hi static water level in the distribution box due to broken or obstructed pipe(s)or due to a broken,settled or uneven di tribution box.System will pass inspection if(with approval of Board of Health): broken pipe(s)are re laced obstruction is remov d distribution box is le eled or replaced ND explain: The system required pumping more than 4 times a ear due to broken or obstructed pipe(s).The system will pass inspection if(with approval of the Board of Health): broken pipe(s)are repl ced obstruction is removed ND explain: 2 Title 5 Inspection Form 6/15/2000 2 Page S of 11 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION(continued) Property Address: 52 Point Hill Road, West Barnstable,MA Owner: Roberts Family Trust Date of Inspection:05/02/2008 C. Further Evaluation is Required by the Board of H th Conditions exist which require further evaluation b3 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 determh es 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 border'ag 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 F ablic health,safety and environment: _ The system has a septic tank and soil absorpti system(SAS)and the SAS is within 100 feet of a surface water supply or tributary to a surface water upply. The system has a septic tank and SAS and the AS is within a Zone 1 of a public water supply. — The system has a septic tank and SAS and the 3AS is within 50 feet of a private water supply well. The system has a septic tank and SAS and the AS is less than 100 feet but 50 feet or more from a private water supply well".Method used to dete a distance "This system passes if the well water analysis,pe ormed at a DEP certified laboratory,for coliform bacteria and volatile organic compounds indicates t tat 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 Title 5 Inspection Form 611512000 3 I Page'4 of 11 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION(continued) Property Address: 52 Point Hill Road, West Barnstable Owner:Robert Family Trust Date of Inspection:05/02/2008 D. System Failure Criteria applicable to all systems: You all indicate"yes"or"no"to each of the following for all inspections: - �. e$ No Backup of sewage into facility or system component due to overloaded or clogged SAS or cesspool _ ischarge 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 ces ool quid depth in cesspool is less than 6"below invert or available volume is less than V2day flow Re iced pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s).Number times pumped VVV portion of the SAS,cesspool or privy is below or hi Any portion of cesspool privy �ground water elevation. P p vy 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. ✓_,,My 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.] (Yes/No)The system fails.I have determined that one or more of the above failure criteria exist as described in 310 CMR 15.303,therefore the system fails.The system owner should contact the Board of Health to determine what will be necessary to correct the failure. E. Large Systems: To be considered a large system the system mus 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 a following: (The following criteria apply to large systems in a "tion 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 tribe to a surface drinking water supply the system is located in a nitrogen sensiti a 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 Title 5 Inspection Form 6/15/2000 4 Page'5 of 11 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B CHECKLIST Property Address: 52 Point Hill Road, West Barnstable,MA Owner: Roberts Family Trust Date of Inspection:woi/2oos Check if the following have been done.You must indicate-yes-or"no"as to each of the followin 9. Y� No Ping information was provided by the owner,occupant,or Board of Health Were any of the system components pumped out in the previous two weeks? as the system receive d normal flows in the previous two week period? �t Have large volumes of water been introduced to the system recently or as part of this inspection? — Were as built pions of the sy stem 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 alI �d 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 ? m 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: Ye�no 7��✓ 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 Title 5 Inspection Form 6/15/2000 5 Page'6 of 11 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION Property Address: 52 Point Bill Road, West Barnstable,MA Owner: Roberts Family'Trust Date of Inspection: 05/02/2008 RESIDENTIAL FLOW CONDITIONS Number of bedrooms(design): ) Number of bedrooms(actual): va DESIGN flow based on 310 CMR 15.203(for example: 110 gpd x#ofedrooms):b 3� Number of current residents: /, Does residence have a garbage grinder(yes or no): Is laundry on a separate sewage system(ye§or no Laundry system inspected(yes or o):,Lv ), cif Yes separate inspection required] Seasonal use:(yes or no):�p Water meter readings,if available(last 2 years usage(gpd)):Sump pump(yes or no): Last date of occupancy: COMMERCIAIA NDUSTRIAL �. Type of establishment: Design flow(based on 310 CMR 15.203): d Basis of design flow(seats/persons/sgketc.): Grease trap present(yes or no): Industrial waste holding tank present(yes or no): Non-sanitary waste discharged to the Title 5 system es or no): Water meter readings,if available: Last date of occupancy/use: OTHER(describe): fe �r- Pumping Records GENERAL INFORMATION Source of information: L �J.��Jst.�,ir Was system pumped as part the inspection(yes or no):�L,) If yes,volume pumped;,gallons_How was uanfi Reason for pumping: � tY Pumped determined? Try.) F SYSTEM —Sepric 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 curre obtained from system owner) nt operation and maintenance contract(to be _Tight tank _Attach a copy of the DEP approval _Other(describe): _,-,,Approximate age of all components,date installed(if known) d source ofyPformation: 1�10 il9 -J Were sewage odors detected when arriving at the site(yes or no):A-j Title 5 Inspection Form 6/15/2000 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: 52 Point Hill Road, West Barnstable,MA Owner:Roberts Family Trust Date of Inspection: 05/02/2008 BUILDING SEWER(locate on site plan) Depth below h grade: Materials of construction:_cast iron _40 PVC_other(explain): Distance from private water supply well or suction line: Comme (on co o`1 f ints a>m Cov n,evidence of leakage,ptc.):< * PQ 7I4-00n3--- L-S I.A) 64M SEPTIC TANK:yl � ocate on site.plan) Depth below grade: /A14i7� Material construction: k _other(axplain) con _ — crete metal fiberglass__polyethylene !VAlf tank is metal list age:— Is age confirmed by a Certificate of Com Nance certificate) p (yes or no): (attach a copy of Dimensions: 5711 Sludge depth. G ai Distance from top of slu ge to bottom Of tee or baffle: Scum thickness: Distance from top of scum to top of outlet tee or baffle: c.;p Distance from bottom of scum to bottom of outlet tee or baffle--?�' How were dimensions determined: Comments(on pumping recommendati ns,inlet and outlet t or baffle as r�atyd too et invert,evidence of leakage,etc.): q on,��l integrity,liquid levels AG. - fin/ 'fir , CIO GREASE TRAP• _(Iocate on site plan) Depth below grade:_ Material of construction: concrete metal (explain): — — rglass_polyethylene_other Dimensions: Scum thickness: Distance from top of scum to top of outlet tee or ba e: Distance from bottom of scum to bottom of outlet to or baffle Date of last pumping: Comments(on Pumping recommendations,inlet and outlet tee or baffle condition,structural integrity,li uid as related to outlet invert,evidence of leakage,etc.): Q levels 7 Title 5 Inspection Form 6/15/2000 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: 52 Point Hill Road,West Barnstable,MA Owner:Roberts Family Trust Date of Inspection: 05/02/2008 TIGHT or HOLDING TANK: (tank must b pumped at time of inspection)(locate on site plan) Depth below grade: Material of construction: concrete metal fiberglass____polyethylene other(explain): Dimensions: Capacity:— Fallon Design Flow: alIons/day Alarm present(yes or no): Alarm level: Alarm in working order(ye or no): Date of last pumping: Comments(condition of alarm and float switches, tc.): DISTRIBUTION BOX:�R__ (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 -1;�ge�or out of box,etc). PUMP CHAMBER: (Iocate on site lan G " P ) Pumps in working order(yes or no): Alarms in working order(yes or no): Comments(note condition of pump chamber,con di on of pumps and appurtenances,etc.): 8 Title 5 Inspection Form 6/15/2000 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: 52 Point Hill Road,West Yarmouth,MA Owner:Roberts Family Trust Date of Inspection:oS/o2/2oo8 SOIL ABSORPTION SYSTEM(SAS):7/0- ocate on site plan,excavation not required) If SAS not located explain why: ZI , ching pits,number: 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 etc. : ,level of ponding,damp soil,condition of vegetation, CAP "1= WA5 'TW-soh. CESSPOOLS: (cesspool must be A tLu as * pumped 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 citrne„jrh..a ..r._ r-, -'b--��-.Yutaul fauure,level of'ponding,condition ofveaetati in •-r-u va.JvIIUJ. � ,� lw k1lu c cvnaizion of soil.signs nfh.,,i,•a TJ � %,vilu'LIOn of vegetation_ Ptr i• r u `:»- .....:Uvn or:T tv i�Vi::tal i Page 10 of 11 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 52 Point Hill Road,West Barnstable,MA Owner: Roberts Family Trust Date of Inspection:05/02/2008 SKETCH OF SEWAGE DISPOSAL SYSTEM Provide a sketch of the sewage disposal system including ties to at least two permanent reference landmarks or benchmarks.Locate all wells within 100 feet.Locate where public water supply enters the building. _ l�r Aj Oyu �5 i '+�` up W41 n I COO, I 10 to Title 5 Inspection Form 6/15/2000 10 Page 11 of 11 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INI+ORMATION(continued) Property Address: 52 Point Hill Road,West Barnstable,MA Owner:Roberts Family Trust Date of Inspection: 05/02/2008 SITE EXAM Slope Surface water Check cellar Shallow wells 'V Estimated depth to ground water 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 S ecked with local Board of Health-explain; AS) Checked with local excavators,installers-(attach documentation) Accessed USGS database-explain: �a� G� You must describe how you established the high ground water elevation: of �i f✓Y 1 E1.�J� ��Vf/fl� 11 Title 5 Inspection Form 6/15/2000 11 CERTIFICATE OF ANALYSIS Page. 1 table County Health Laboratory Barns ty rY gssA 'J Report Prepared For: Report Dated: 5%//2008 Reid C.Ellis Order No.: G0846049 Ellis Brothers Construction 23 Enterprise Rd. Yarmouth Port, MA 02675 1 haboratory ID#: 0846049-01 Description: Water-Drinking Water } Sampler: Sampling Location 52 Point Hill Rd.W.Barnstable,MA Collected: 5/5/2008 !� Received: 5/5/2008 Collected by: R.C.Ellis `Routine ITEM RESULT UNITS R_L MCL Method# Tested j _. ---ND _mg/L - 0.10 _--10-. EPA 300.0 — 5/5/2008 ._..._ Nitrate as Nitrogen - ND mg/L 0.10 1.3 SM 3111E 5n/2008 Copper Iron 0.21 mg/L 0.10 0.3 SM 3111 B - 5/7/2008 Sodium 8.2 mg/L 1.0 20 SM 3111E 5r//2008 � Conductance 100 umohs/cm 2.0 EPA 120.1 5/5/2008 7.7 pH-units 0 pH SM 4500 H-B 5/5/2008 Water sample meets the recommended limits for drinking water of all the above tested parameters. LC Approved By: — (Lab D'u r) ND=None Detected RL = Reporting Limit MCL=Maximum Contaminant Level Superior Court House, PO.Box 427, Barnstable, MA 02630 Ph: 508-375-6605 oF1H r� Town of Barnstable o Regulatory Services SAMSTABLE. " Thomas F. Geiler,Director 9� 16 ,fig ArFp �A Public Health Division Thomas McKean, Director 200 Main Street, Hyannis, MA 02601 Office: 508-862-4644 Fax: 508-790-6304 REGARDING SEPTIC INSPECTIONS BY PRIVATE CONTRACTORS DISCLAIMER This septic system inspection report was completed by a private inspector who is certified by the State of Massachusetts, Department of Environmental Protection. Although the Town of-Barnstable Health Division received the- original or copy of the report; this Division does not warranty the functionality of the septic system in the future nor does this Division agree with any technical observations and interpretations contained within this report. In addition, by receiving this report the Town of Barnstable Health Division does not automatically approve the number of bedrooms listed within this report. The actual number of bedrooms approved at a particular property would be listed on the "Disposal Works Construction Permit". If you should have any questions regarding this report, please contact the certified Septic System Inspector who conducted the inspection. QASEPTIC\Disclaimer Private Septic Inspections.DOC CERTIFICATE OF ANALYSIS Page: 1 iv' Barnstable County Health Laboratory ys'. ctt Report Prepared For: Report Dated: 5/8/2008 Reid C. Ellis Ellis Brothers Construction Order NO.: G0846073 23 Enterprise Rd. Yarmouth Port, MA 02675 Laboratory ID#: 0846073-01 Description: &ater. Drinking Water:l "•,� Sample#: Sampling Location:-52•Point Hill'Rd"W:Barnstable,MA Collected: 5/7/2008 Collected by: R.C.Ellis Received: 5/7/2008 Test Parameters ITEM RESULT UNITS RL MCL Method# Analyst Tested Note Total Coliform Absent P/A 0 0 MF-SM 9222B RG 5/7/2008 Approved 13 � (Lab r ctor) 4j,F r-.a ` lA/ •�. JJ�j Y C:>t ay -sue V .- i ND=None Detected RL = Reporting Limit MCL=Maximum Contaminant Level Superior Court House, PO. Box 427, Barnstable, MA 02630 Ph: 508-375-6605 C.RTIFICA i E Off' ANALYSIS Page: I �x '>.m' Barnstable County Health Laboratory Report Prepared For. Report Dated: 5/7/2008 Reid C. Ellis Ellis Brothers Construction Order No.: G0846050 23 Enterprise Rd. Yarmouth Port, MA 02675 Laboratory ID#: 0846050-01 Description: ZW-ater Drinking Water_ Sample#: Sampling Location:r52 P�t tiii� 1'Ru W-Barnstable-,M-A—�J Collected: 5/5/2008 Collected by: R.C.Ellis Received: 5/5/2008 Test Parameters I ITEM RESULT UNITS RL MCL Method# Tested Total Coliform Present P/A 0 0 MF-SM 9223 5/5/2008 Absent for E.Coli ( / 1 Approved By• Al (Lab irector) II t . w ND=None Detected RL = Reporting Limit MCL=Maximum Contaminant Level Superior Court House, PO. Box 427, Barnstable, MA 02630 Ph: 508-375-6605 f CERTIFICATE OF ANALYSIS Page: 1 .p. Barnstable County Health Laboratory \ssc�u5`� Report Prepared For: Report Dated: 5/7/2008 Reid C. Ellis Ellis Brothers Construction Order No.: G0846049 23 Enterprise Rd. Yarmouth Port, MA 02675 Laboratory ID#: 0846049-01 Description: Water Drinking Water' Sample#: Sampling Location 52 Pant Hill I2� yV:Barnstable,M Collected: 5/5/2008 Collected by: R.C.Ellis Received: 5/5/2008 Routine ITEM RESULT UNITS RL MCL Method# Tested Nitrate as Nitrogen ND mg/L 0.10 10 EPA 300.0 5/5/2008 Copper ND mg/L 0.10 1.3 SM 3111 B 5/7/2008 , Iron 0.21 mg/L 0.10 0.3 SM 3111 B 5/7/2008 Sodium 8.2 mg/L 1.0 20 SM 3l l 1 B 5/7/2008 Conductance 100 umohs/cm 2.0 EPA 120.1 5/5/2008 pH 7.7 pH-units 0 SM 4500 H-B 5/5/2008 Water sample meets the recommended'limits for drinking water of all the above tested parameters. Approved By: (Lab Dir r) / r-a `. 1 rX i ND=None Detected RL = Reporting Limit MCL=Maximum Contaminant Level Superior Court House, PO.Box 427, Barnstable, MA 02630 Ph: 508-375-6605 . I JBAlr�nstable P# Town of •� Department of Regulatory Services • ' Public Realth Division Hate — AffiR s KAM e$ 200 Main Street,Hyannis MA 02601 i Date Scheduled 0 Time Fee Pd- • I ,foil Suitability Assessment for^Sewage Disposal ..o Witnessed By: Performed By: „ i LOCATION& GENERAL INFORMATION Location Address jJ PO iT Owner's Name jT6fhAlAlf� R� S 1+l LL Rt>. 52 Po�nrr */LL JR0, t' "i II Address W. � �T �, 4 Assessor's Map/P4rcel: 13� /Q� I Engineer's Name v,+�RjtW A4, /l�/6-(_ NEW CONSTRUt,ON REPAIR Telephone# <66 3 6 L- 21 ZZ I / , 1� � ! L Surface Stones_ WIA- Land Use Slopes(%) on g fr y ft Possible Wet Area? ft Drinking Water Well >�� ft-V 44tj"W- Distances from: Open Water Body �-- > I U ft Drainage Way J /60 ft. Property Line —ft Other SKETCH:(Street name,dimensimis'of 104 exact locations of test holes&pero tests,locate wetlands in proximity to holes) SEE P62Uru� b'� J11--E- LLJ ctit _r � i A � • i i I Parent material(gedlogic) ( I Depth to Bedrock Face Depth to Groundwa(;er. Standing Water in Hole:' I Weeping i P B from Pit Estimated Seasonal high Groundwater_ DtTERMNATION FOR SEASONAL HIGH WATER TA-D" Method Used: in. Depth to 5011 m9ttles: ttt• Depth Clb�served standing s obs.hole: , Depth toiweeping from side of obs.hole: I in. Groundwater Adjustment Index Well# Reading Date: index Well level ! A .factor,,,.��. AdJ,OraundwaterLevel.,,,,e. i PERCOLATIdN TEST Date-. Time Observation I I Time at 9" Hole# Time at 6" Depth of Pere 41. t) ....-- / 1 lime(911.0) Start Pre-soak Time.@ End Pre-soak � G 2•M• ' hate MinAnch Site Suitability Ass0smenG Site Passed X Site Failed; Additional Testing Needed(YIN) — Original:.Public Heath Division Observation Hole Data To Be Completed on Back--- ***If ercolafiibn testis to be conducted within 1.00' of wetland,,-You must first notify the P W.T-nefahtP c'dnservation Division at least one(1) week prior to beginning. DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other .Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consistency.%Gravel) 6 WA I • 36�13 C .M S � .DEEP OBSERVATION HOLE LOG Hole# Depth.from Soil Horizon Soil Texture Soil Color Soil , Other Surface(in.). , (USDA) (Munsell) Mottling (Structure,Stores,Boulders. Consistency.%Gravel) t 7'>-3z, a DEEP OBSER ATION HOLE LOG Hole# Depth from' Soil Horizon it Texture Soil Color Soil Other Surface(in.) ( SDA) (Munsell) Mottling (Structure,Stones,Boulders. Consistency.%Gravel) DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soll Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consistency, Flood Insurance Rate Man: Above 500 year flood boundary No_— Yes Within 500 year boundary No vX Yes Within 100 year flood boundary No 1 Yes Depth of Naturally Occurring Pervious Material Does at least four feet of naturally occurring peri i u 3 aterial exist.in all areas observed throughout the s for the soil absorption system? area proposed rp Y If not,what is the depth of naturally occurring pelvious material? �. Certification I certify that on 2 (date)I have passed the soil evaluator examination approved by the Department of Enviro mental Protection and that the above analysis was performed by me consistent with the required traini g,expertise and experience described in 3.10 CMR 15.017. - Signature Date Q:1SEPrlCWERCFORM.DOC August 5, 2008 Thomas McKean Agent of the Board of Health Town of Barnstable Regulatory Services Dept. 200 Main Street Hyannis, MA 02601 Dear Mr. McKean, On May 20th I received a letter from you advising that corrective action on my septic system was to be completed within 60 days. I immediately sought bids from engineers to begin this process. There have been several delays in several areas: The perk test was completed a couple of weeks ago. I am assured by the engineer, Darren Myers, that they will be able t complete this work by the end of August. 61 CI �e 7 Sincerely, Co Co Joanna Roberts Joanna Roberts �5,P-6int"Hill-,Road---:I West Barnstable, MA.02668 ...., �J'' .� ,Jt•, ,. tn° �. ".i Fri_ r:, l v •. TOWN OF BARNSTABLE LOCATION Poi-h SEWAGE# n VILLAGE MX45( " -,n► "�&SSESSOR'S MAP.&PARCEL 4�S NAME&PHONE NO. IZ`I J A� SEPTIC TANK CAPACITY ISou LEACHING FACILITY.(type) (size) MS OWNER �vH+.9ATE: nnravr I A NCE n ATE: 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 orf` 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 e M\ Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Forrn-Not for Voluntary Assessments 52 Point Hill Road West Barnstable,Mq omrer Kathleen C Kilduff Box 629, i o—finn Is owners narlre —.._ ---' "98. ro. West Barnstable __ 02668 pass. ulyrrown MA 0926/lot6 slate Cotle p y . D.System Information(coot.) Sketch Of Sewage Disposal System:Provide a View of the sewa a d' ZIr 9 rsl well system,0 feet L ties to permanent reference lantlmarks or benchmarks.Locate elf webs within,in feet Locate c watersupply enters the building.Check one of the boxes below:mw,n ke in the area below 1 �� x' of ❑drawing etl separately A'.� `fo. Q' 8.s q1; l� TOWN OF BARNSTABLE LOCATION Sa N;11 Rd• SEWAGE# PI)0$•3SN VILt AGE_w. ASSESSOR'S MAP&PARCEL INSTALLERS NAME&PHONE NO. Q 4.9 EXCAvATsorJ N77 - OGS3 SEPTIC TANK CAPACITY /o O O LEACHING FACILITY:(type) Sop qaJ c,am,S (size) 13 x 2S x Z NO.OF BEDROOMS 3 OWNER ''ownnoL Re6cris PERMIT DATE: $•a 9-O S COMPLIANCE DATE: 07, 08 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 A) /So AZ, Ps, 3z-3;1 , yt A3-2y ' rroni Aacl1;Ag 133.37' Ay- ,y®` a a 'ray- yr ' O Q y a No. J �� Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes application for 3i!5poal *_ raem Conotruction Permit Application for a Permit to Construct( ) Repair( ) Upgrade( ) Abandon( ) ❑.Complete System ❑Individual Components Location Address or Lot No. 5Z_P0 1 n+H►L.L Owner's Name,Address,and Tel.No. ,3/0 2 3 ar s :"Dct n na berr 5 Assessor's Map/Parcel vw 5 ZED I n r fH L.L Z.Q rS+a,6(Q-, nstaller's Name,Address,and Tel.No. t* 41-7-o 653 Designer's Name,Address and Tel.No. be& 61►-1-by - B-r B Exca\Ln+t a rt) -Da(rer�,4ee e r 5 Og 3�2 -29 2 2 T r � r t o—� 9—•SQnDL01 ► 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 Design Flow(min.required) 3,30 gpd Design flow provided gpd Plan Date q 1 l e>w Number of sheets Z Revision Date Title •Yr 0Q0,-,P-0 SP S\iS-Le M l)OQfctpf-e_TiQ n Size of Septic Tank 1000 C>q!5- l r1A Type of S.A.S. Description of Soil Nature of Repairs or Alterations(Answer when applicable) Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of Compliance has been issued by this Board of Health. Signed (ZAP-X�19:0—ual:1Date t2q to`6 Application Approved by Date Application Disapproved by: Date for the following reasons Permit No. fit)©%— 351 Date Issued - .. L.. ,. .. .�- r:-«'.',�+' �,t. •-.- �. '�. ..�-.. . f .C`• '.r..•..Est r,},��� V_ �7- No. Fee 1 THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes 2pplication for �Dtgo!gal �&pgtem Construction Permit Application for a Permit to Construct Re air.'( ) Upgrade Abandon p y ❑Individual Components pp O p pg O O ❑.Com Complete System Location Address or Lot No. S.Z,�p 1 } H L (t? Owner's Name,Address;and Tel.No. 3,� z - 5�9 1, L \�-I 3ar S b.i 1-UCt nnQ__�&bcjT S Assessor's Map/Parcel _Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. � ><Ub�i 67iL vy �, FkclruG�ip(L,� �Uck((enAeyP� SUS .31� 2 -2q 'Z2 1 'T r�, rLQ � v(P t t Sns��ct�1Clt MA Type of Building: Dwelling No.of Bedrooms, d Lot Size sq.ft. Garbage Grinder ( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures ? Design Flow(min.required) J 3 gpd Design flow provided gpd Plan Date I 19 �( � Number of sheets 2. Revision Date Title �i �USP(� SW041( C) C,t PCn 1 )(7�CA( CLW —Pir Size of Sep ' U(a {'X IS i(�a Type of S.A.S. Description of Soil 1 Nature of Repairs or Alterations(Answer when applicable) ' r f: Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of Compliance has been issued by this Board of Health. Signed Date ��+ '29 IU 15 Application Approved by �- 1 %� Date Application Disapproved by: Date for the following reasons Permit No. go 0%— 3 5 Date Issued -------------------------------------------- THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS n Certificate of Compliance THIS IS TO CERTIFY,that the On-site Sewage.Disposal System Constructed ( ) Repaired ( ) Upgraded ( ) Abandoned( )by { x c nyn J at 5;1, R)I j � 26)C16 W ( ()!,�Gtl)� has been constructed in accordance with the provisions of Title 5/and the for Disposal System Construction Permit No. aolvg 3 s� dated Installer T� (1 U I 1 L.l�)\I Designer —Dc\(( ,C> C-\ #bedrooms `_� Approved design flow 3/1 1 gpd ~� The issuance of this permit sh n t betristru as a guarantee that the system II fei ti n a designe . G p , Date Inspector A No. 20ng� 35� —,---.--------�;- ------.—_�----. , Fee D� . THE COMMONWEALTH OF MASSACHUSETTS -- PUBLIC HEALTH DIVISION—BARNSTABLE, MASSACHUSETTS &5potar *p!gtem Construction Permit Permission is hereby granted to Construct ( ) Repair ( ) Upgrade ( ) Abandon ( ) System located at 5 2 01 Cr-_4- 1 P jl�\ `�j . � t 1( r�S-1 C t)1 Q 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 ompleted within three years of the date of this permit. t Date t✓© Approved by 1 " 1 Town of Barnstable �WE lam, Regulatory Services I( Thomas F. Geller, Director li iIARNBTABLE. Public Health Division Thomas McKean, Director - 200 Main Street,Hyannis, NIA 02601 Office: 503-362-46, Fax: 503-790-6304 Installer & Designer Certification Form Date: qg Sewaae Permit# Assessor's Nlap\Parcel �� Installer: Designer: �- R B �XCAIf�IT?.��9 Address: O 13OX R& I Address: ILJ TcgSr-rry LA 6,S44 h W-I c,W FOrCs Bolo_I 1`. On $' 99 -08 0 B EXCAll was issued a permit to install a (date) (Installer) septic system at 52 P(7 I N 141 L L6 based on a design drawn by (address) Dn-00 RA ►Vl • Al& Pfdated (designer) I certify that the septic system referenced above was installed substantially according to the design, which may include minor approved changes such as lateral relocation of the distribution box ands or septic tank. I certify that the septic system referenced above was installed with major changes (i.e. greater than 10* lateral relocation of the SAS or an,,, vertical relocation of any component of the septic system) but in accordance with State & Local Regulations. Plan revision or certified as-built by designer to follow. OF Mgss9� DAR EN M 'E (Installer's Si� e) 1 REGISTE�`0 SANI TAR�I`� •O Z• U� (Designer's Signature) (Affix Designer's Stamp 'ere) PLEASE RETURN TO BaRNSTABLE PUBLIC HEALTH DIVISION. CERTIFICATE OF COiNIPL1ANCE WILL NOT BE ISSUED UNTIL BOTH THIS FORM AND AS-BUILT CARD ARE RECEIVED BY THE BARNSTABLE PUBLIC HEALTH DIVISION. THANK YOU. Q: Heaith/Septic/Designer Certification Form 3-26-a.doc TOWN OF BARNSTABLE LOCATION 14:11 Rd• SEWAGE# /oo$• SN VILLAGE �). Qo,r,-�s� it- ASSESSOR'S MAP&PARCEL �(�''�� INSTALLERS NAME&PHONE NO. (3 s R 6XCAUATSo.J q7 7 - DGS3 SEPTIC TANK CAPACITY /tboo LEACHING FACILITY:(type) _Soo ga) char r1S (size) 13 x 25 Y.7- NO.OF BEDROOMS 3 OWNER Ma►nocx RoScris -- PERMIT DATE: $•a 9-o S COMPLIANCE DATE: 09 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 i Al - 19 Az - aS' 3Z-3;1 A3'. �1 ' Front Dwc I I n9 3.3-,-n a A y- yo' 3y- 41/ ' As--3q ' O Q y a j f L TOWN OF BARNSTABLE ' -L1OCATION P�'�1� �/� 2� SEWAGE# VILAGE Vy pLt- X rn y"al-( ASSESSOR'S MAP&PARCEL INSTALLERS NAME&PHONE NO. j �1 A1-1C 7Oki SEPTIC TANK CAPACITY g h i S imoos Ca"to LEACHING FACILITY:(type) (size) NO.OF BEDROOMS �J OWNER S(� 0'� / G�vt Oi n A`� PERMIT DATE: COMPLIANCE DATE: ' Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility(If any wells exist on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) Feet FURNISHED BY ahi $ ` f 10 67 ,t t A T ION S E W. A ,G E PS R #HT MO. VALLAGE � IXSTA1. IER'S aNA ME - A ADDRESS . _ 8 U 1 l 0 E R 0-2 OWNER I o t;a �J t5-L- w V . k_2_L)6t5 9--r S DATE PERMIT ISSUED IDAT E Gt1MPLIA € CE ISSUED N ``g a T . . No. 4....4%....5 Fim$................ THE COMMONWEALTH OF MASSACHUSETTS �3 BOAR® OF HEALTH `-�� ...................W/V.----......0 F....8..9.znrST�-0e- J+.'/ 2' Appliratiun for DiipuuFal Works Tonstrnrtiun thrmit Application is hereby made for a Permit to Construct (L.-) or Repair ( ) an Individual Sewage Disposal System at: PC I u r N!1-L 1`D 1tilG�T_ 3 ST.... ......_ /y...455.._ ....•---------- -------------------------•-----10�.. .¢-----------....---•----•--...------......-- . .. �� Location-Address or Lot No. .. lZ:. J/(//G_G/!..w.......... .tl ........................ ............................... Owner ................................Address W Installer Address UType of Building Size Lot__3�,�.�Z�_......Sq. feet �-, Dwelling—No. of Bedrooms.......................................Expansion Attic ( ) Garbage Grinder ( ) Other—T e of Building No. of persons............................ Showers a YP g -------------•-•----•------- P (---->--- Cafeteria ( ) Otherfixtures ---••-----------•----------------•----------------•----•--•--•-------------•-••-•••....-•---•--••---••••-••-• ---------- W Design Flow............ ______________________gallons per person per day. Total daily flow...........--- �3�?_-.----___........gallons. WSeptic Tank—Liquid capacity!S�o..gallons Length._8�6 Width.4�4_:�_. Diameter................ Depth.s ."- x Disposal Trench—No..................... Width.................... Total Length.................._. Total leaching area............_.._____sq. ft. Seepage Pit No--------/.......... Diameter.......Z� Depth below inlet...... ........... Total leaching area..g!7.B.sq. ft. Z Other Distribution box ( ) Dosing tank ( ) aPercolation Test Results Performed by....5'r �T.._2:;V.c........................ Date../'I :_..3._ a Test Pit No. .1__f<.-r-__minutes per inch Depth of Test Pit.... Depth to ground water----- ............... (i Test Pit No. 2.L.:C...minutes per inch Depth of Test Pit...f68 p..... Depth to ground water-_-_—............. a -•-•---•----•--•••--••-•--••.._.......--•-••-•---•---•------•...•--•-•.............•--••-••-•--•----......................................................... 0 Description of Soil...... - 1.2...---. ---•-l z fB 'GG� �a '!:B4".-��,_7_7�/�r 5���.._.. U8�.�/�¢/i /ij� ....'4�o S'G� S�}-i./I) ........................................................... W -•---••----•----------------•---•-------------•---•-------••-----------•--•--•-------•----...--------•-•-•--•-•-----------•......-----------•-•---------•--•--•----.....-----------------....---•-•--•-- U Nature of Repairs or Alterations—Answer when applicable............................................................................................... ..---••-••--------•------------•......-•-•-•-•---•--•-••--•••-•---------•---••••--•---•.............•-•--•-••-••---------••...•••••-----....--•-•••----------•-•-••-•-•••-......-•----.............--•-- Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has n ieu byWboard _Signe _, : ..................... Date Application Approved By..... �.. _---------•---------------- n____-4f`q............ Date Application Disapproved for the following reasons:•. -•--••••--•-----•----------•-•-•-•------------••......---••--------•---.................................. ......••------•------•--•-------•------•-•--•-------••-•-•----••••--•-•------•••--•--•-•---•---•. Date PermitNo......................................................... Issued.................. ................................ Dattee - z � � r .............. .°... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH . 67 2_ 1 ......_...7 k�N-------------0F_4.6 zn",STi)L3C Allpfira#iou for Disposal Works (futtstrurtiou Plermit Application is hereby made for a Permit to Construct N/) or Repair ( ) an Individual Sewage Disposal System at: Pp I pt r M t" R D ' = ►�,J�_� rig 6; .�rKs! . ------------ Location-Address . or Lot No. •--.... .. -------------------•----...... ..........-...................................................................................... Owner Address a .......... Installer Address eµ Type of Building Size Lot.j!5 4 b--------Sq. feet ` �-, Dwelling—No. of Bedrooms.........S..............................Expansion Attic ( ) Garbage Grinder ( ) a e of Building a Other—T yp g ____________________________ No. of persons............................ Showers ( ) — Cafeteria ( ) d Other fixtures ----------_---------------------•------------ W Design Flow............5: ........................gallons per person per day. Total daily flow................. 3 .................--gallons. W Septic Tank—Liquid capacitvl�oa...gallons Length.5'�6::..-. Width4��. Diameter................ Depths-:' Z. Disposal Trench—No..................... Width.................... Total Length.................... Total leaching area.....................sq. ft. Seepage Pit No-------- .--- Diameter..--../. Depth below inlet-...A............. Total leaching area."4'!IA$..sq. ft. Z Other Distribution box ( ) Dosing tank ( ) aPercolation Test Results Performed by.-.�.... 7...7Nc......................... Date_? :�....-3-_11`._gl. a Test Pit No. 1.Z=_.,9"....minutes per inch Depth of Test Pit... ' ... Depth to ground water.-_"""............... f=1 Test Pit No. 2<_. --.-minutes per inch Depth of Test Pit-_f4!9:........ Depth to ground water---:":"'.............. C --------•--------------------•-------••---•--•-_... -•----......------...------•-•-----------••-----------....--•--------•----..........••....---•••--....-- D Description of Soil.....Q...n 4--....Lois-' 1 a- �`'- cGo�....._6� -� 4 !e v,.�C/!r-'Ss?�` V .......................` .. '? fY 7?...:ft295 ..... �.�i z............ x ------•-••••-------------------------------------------••--•--------........................----•----•••-•------•-••-•---•------------•-•••-------•-•---••------•-----•--•........................--•-- U Nature of Repairs or Alterations—Answer when applicable------------------------------------------•.................................................... -----•-------------•--------•-------•---•------------------•----------------------------......--------------•--------------------------------------------------------------•-••-••-----••••---•--------- Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been is by t4 e board o iealt�Signed ; = ' Date Application Approved By........ ...... ---..... /` ; y --------•--------------------- ... ............. Date Application Disapproved for the following reasons:-• --••--••----•--•------•-•---------•-------•----•---••------••-------•-•-----•-----••-•••----------------••- ---....-•-•---------------------------••--••--....-------•--•----......---•-----••-------•--------........-----------------------...----------------------------------------------------------------..--- Date PermitNo......................................................... Issued....................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ....I.........O F............. . ............... .............................................. %'brriifiratr of TnutpliFaurr THIS IS TO CERTIF , That the, Individual Sewage Disposal System constructed (__� or Repaired ( ) by........................ !....... -•--•-•---•-r............................. ---•-----••--•-•-••• ---.......•--•- / er at .....................1.. �. ' 1.....----I'll---•----- -------•----------------•-----------.---.----------•- has been installed in accordance with the provisions of TIT F 5 of The State Sanitary Code as described in theCf. c application for Disposal Works Construction Permit No.......................t�8�_._..... dated................................................ THE ISSUANCE F THIS CERTIFICATE SHALL NOT BE CONSTRUE® AS A GUARANTEE THAT THE SYSTEM Vlll¢ FU � TION SATISFACTORY. DATE._......:.- .. ---------------------------•---•----......._...••.......... Inspector•. -• ----•---•-------------•---•-----------•.........------...._....-•-•--..•--- THE COMMONWEALTH OF MASSACHUSETTS BOARD OF, HEALTH ............L..p.rn�~/..........OF.........j�•9'rNS,e,�� �e`�.............................. No......................... FEE........ ....... ....... Disposal Works (gottotnutiou rrutit Permission is hereby.,granted............... :t..... .1, �y? ./---.......................................................................................... �- to Construct G4 or Repair ( ) an jAdividual Sewage Disposal System at No.................. 7 0;--IV------•--•.---• .t / /.�a. iStreet as shown on.the a plication for Disposal Works Construction Pe it No..................... Dated.......................................... DATE. . . . ' Board of Health .. ....---•- } FORM 12 5 A. M- SULKIN. INC., BOSTON ' ih TELEPH06NE: 62.4860 " 362-6106 LEEMAN WELL DRILLING SERVICE OWNED & OPERATED BY , CLOUGH & CAHOON WELL DRILLERS INC. WEST BARNSTABLE, MASS. 02668 OAAAAv1 a , 6 ,j� ...�.�' 4 tLi `� ZL r SH�ZrT` / of L SNG-�r5 i 7 A -'- �- /¢/• lrS� Piro os� . _ _ -� ;: r w�u a 3 Lo T w � 3,�, no sqP. 3 / ' - �' 34 J � ihsr o o � I-ol , z v / / 'l f /s6: '79 / - Ap Jgpp20x. sc-.:srcE" Lo T ""1/5- A P/. By BAys�oE IACATION W6:577 Bg7 ,v 7T9f3L47 SCALE . ./.._ �.. . . bATE PLAN R&ERENCE CFAfgs Al . . . . . . . . . . EDWAR E. KE Bloc v, OIST 4*0 S0B�ILA I CERTIFY THAT THE , .. ,.... . .. ... SHOWN ON THIS PLAN IS LOCATED ON THE AROUND AS SHOWN HEREON AND THAT IT CONFORMS TO THE SETBACK REQUIREMENTS OF THE TOWN OF . . . . . . . . . . . . . . . . . . . . . . . . WHE?4 CONSTRUCTED. DATE : . . . . . . . . . . . . D,e. h//GL/Ail �oBLsTtT.S - PeT1770A/t":Z REGISTERED LAND SURVEYOR •`���L"rye/, o o -•:.,/ =r �. TOP OF FOUNDATION frs„ CONCRETE COVER CONCRETE COVERS 3,49' .'s o 4"CAST IRON (2°MAX. 12"MAX. JD�+ P-V.C. PIPE DUL SCHEE 40 PIPE - MIN4"SCHEDULE 40 P.V.C.(ONLY) P. . PITCH I/4"PER.FT LEACH PITCH 1/4"PER.FT. PIT e.° PRECAST INVERT • a LEACHING c EL•.37-,s/... INVERT INVERT e . PIT OR D , SEPTIC TANK 3 c DIST. W q'' EQUIV. EL.. . 7. .5 EL36.7o >_ ;�; ° INVERT BOX ' o' EL.3.7.•.30 /�QQ. .. .. GAL. INVERT :: GoF'a. p: �. '�� 3/4°TO 11/2 INVERT ;.' ww p: r�. EL .ZQ. a' U. 0: WAS o w STONE ,D' �b • �.3P.Zo •.r ,i z*l DIA � I ^-�-s °' � ' • �`_"' /¢• DIA. ��vN-,znne� PROFI LE OF GROUND WATER TABLE SEWAGE DISPOSAL SYSTEM NO SCALE SOIL LOG WITNESSED BY : DATE TIME. . . . . . . . . . . ��yL C. 1u�2.2/a-�� BOARD OF HEALTH TEST HOLE I TEST HOLE 2 C, 2. S,�/z7- T�/C, ENGINEER ELEV. -40, Bo. . . ELEV. 40,Zo. . . •, ��''7 �ogrj DESIGN . . .DATA CLAY GSZ 38,20 NUMBER OF BEDROOMS 3 . TOTAL ESTIMATED FLOW _ .3'3o GALLONS/DAY M fJD. 84,. ncHr �c�,��- BOTTOM LEACHING AREA 153.9 . . SQ.FT. /PIT/i37,7 C,P.D. sa+jo SIDE LEACHING AREA . . zG3 .� . . . SQ.FT./ PIT`•5'7,8cl�,p, S,9N o M� GARBAGE DISPOSAL . , (50 % AREA INCREASE) LoaSG-' -s o TOTAL LEACHING AREA �'/.7.8 0 . . SQ.FT , /4d LrZ,LL,zo PERCOLATION RATE s `!.��!�'. MIN/INCH NZ. �80 /68 LEACHING AREA PER PERCOLATION RATE . . .WATER ENCOUNTERED NUMBER OF LEACHING PITS Wig. APPROVED . . . . . . BOARD OF HEALTH w2 • �ET oT STvNcr p/✓ .92G S/a�5. DATE . . . . . . . . AGENT OR INSPECTOR '(H�T ��SH OF s LoT y ,o EDWA N C3o 0 L coo52 PO/.V'T f//GL � o IPo4 .610 O c O V✓�SJ� !�Lrl2/t/.Sl��G� �'//�i-SS. �bp,s pEP�� SgHffAR�� PETITIONER 7j� Wj� /z9 7zT5 �l LEGEND ..,.-�ec,Rd_ 5'd`l✓ 230.00 .t PROPOSED CONTOUR i ® PROPOSED SPOT GRADE -" EXISTING CONTOUR mar! I o� I I I I I + 96.52 EXISTING SPOT GRADE no -_ j W— EXISTING WATER SERVICE A, iTE TEST PIT 17 i \ j w i° CV / LOCUS MAP N.T.S. I0 Je< <,N ` ��j Ekes (^ GENERAL NOTES: Lj \ 3 E -_ I I S,� JCP �VEC 1• ALL CHANGES TO THIS PLAN MUST BE APPROVED BY THE LOCAL I 2 T -, �� E� ` OFF l\/ BOARD OF HEALTH AND THE DESIGN ENGINEER. °'-I 0 I I 44 'VON I 2. ALL WORK AND MATERIALS SHALL CONFORM TO THE;REQUIREMENTS a OF THE STATE ENVIRONMENTAL CODE, TITLE V, AND,ANY APPLICABLE I LOCAL RULES AND REGULATIONS, EXCEPT AS REQUESTED BELOW: - TOWN OF BARNSTABLE BOARD OF`HEALTH AMMENDMENTS TO TITLE V: I I / / Existing Leach Pit I 1) UP TO AN 8.0 FT. VARIANCE FROM LOCAL REGULATIONS TO ALLOW PROPOSED LEACHING TO BE 142 FT. FROM ON SITE PRIVATE WELL (See <7 to 0� j I I � VS. REQUIRED 150 Fr.1 / 1 ° 3. THE SEWAGE DISPOSAL SYSTEM SHALL NOT BE BACKFILLED PRIOR TO INSPECTION AND APPROVAL BY THE BOARD OF HEALTH AND THE `yf0 G I 750' well se1.5OCk DESIGN ENGINEER. to qq T;n°ge L°°e 4. ANY CONDITIONS ENCOUNTERED DURING CONSTRUCTION DIFFERING ENGINEER BEFORE BE 0 EWCONSTRUCTIO HEREON N CONTINUES L BE REPORTED TO THE DESIGN 5. ALL ELEVATIONS BASED ON ASSUMED DATUM. 6. THE DESIGN ENGINEER IS NOT RESPONSIBLE FOR THE FAILURE OF ✓s�• I Tr♦-p __ _-"__------ ----__ ! THE CONTRACTOR OR OWNER TO NOTIFY THE LOCAL BOARD OF �\ ® S��e si I HEALTH FOR PROPER INSPECTIONS DURING CONSTRUCTION. 7. WATER SUPPLY PROVIDED BY PRIVATE WATER SERVICE. 8. ALL AREAS DISTURBED DURING CONSTRUCTION SHALL BE RESTORED TO A CONDITION AGREED UPON BETWEEN OWNER AND CONTRACTOR. VEMENj EDGE OF SO. PA 9. IT SHALL BE THE RESPONSIBILITY OF THE CONTRACTOR TO VERIFY I \\ R O A D e% THE LOCATION OF ALL UNDERGROUND UTILITIES, PRIOR TO BEGINNING \' \ 1 H SPr6 CONSTRUCTION. P1 °c4 10. EXISTING LEACH PIT TO BE PUMPED, CRUSHED AND FILLED 9 11. 48 HOUR NOTICE FOR ENGINEER CERTIFICATION 2 A 12. THIS PLAN IS TO BE USED FOR SEPTIC SYSTEM PURPOSES ONLY 01f AND IS NOT TO BE CONSIDERED A PROPERTY LINE SURVEY y 13. NO ADDITIONAL PRIVATE WELLS WITHIN 150 FT. OF PROPOSED LEACHING °a 14. NO WETLANDS WITHIN 100 FT. OF PROPOSED LEACHING , t110F/(��D �Z-oo== \ �� 15. ALL PIPING TO BE 4" SCH 40 ® 1/8-/FT (UNLESS SPECIFIED y, o OTHERWISE) E G G\o,Q L?� �\ 15. SOILS IN THIS AREA MAY VARY FROM WHAT WAS FOUND IN TESTHOLE. EYER` � o�, a \ t No. 1140 ►... �Go$T FEE SgNITkR\ PRO OSED SEPTIC SYSTEM UPGRADE PLAN 52 POINT-, WILL ROAD, WEST BARNSTABLE, MA \ ! Prepared for: Joanna Roberts -• 570'33 60"ol-5g( SURVEY REFERENCE: 14 MAP. 136 Engineering by: Surveying by: SCALE DRAWN DARRENM.MEYER,R.S. Boo—Tech Eavkonmente/ 1"-30- DMM PLAN OF LAND BY WILFRED F. TAYLOR, R.L.S. LOT.•29 POBOX981 (508) 364-0894 DATE CHECKED SHEET NO. PLAN BOOK 11500 EASrSANOWICH,MA o2537 19 DATED: JULY 1971 PLAN PAGE.-233 SOB�BZ?922 08/ /08 DMM 1 Of 2 1. ELEV. TOP FOUNDATION NOTE:MAGNETIC TAPE TO BE PLACED OVER ALL COVERS (Existing) = 44.62 F.G.EL: 44.0 F.G.EL: 43.8 F.G. EL: 43.5 FINISH GRADE=43.5 .a MAINTAIN 2% MIN SLOPE OVER LEACHING AREA i 2" OF 3/8" DOUBLE 3/4" - 1-1/2* DOUBLE WASHED STONE WASHED STONE 6" • ` 4" SCH 40 PVC 1o"I s• (MI9F. ®®®®®®E3 ' TEE'S ARE TO BE 14" INV.40.60 S 1% ®®®®®®®®®®4" SCH 40 PVC 2 DEPTH ®®®®®®®®®® INV. 40.89 INV.40.40 of; 2 X 8.5' 4' GAS PROPOSED DB-3 EXISTING INVERT BAFFLE EFFECTIVE LENGTH = 25' ;,*. - A H-10 DISTRIBUTION BOX INV. 41 .14 EXISTING 1000 GALLON SEPTIC TANK INV. ELEV.= 40.0 GAS BAFFLE TO BE INSTALLED ON BREAKOUT OUTLET TEE AS MANUFACTURED BY ELEV.= 40.25 TUF-TITS, ZABEL, OR EQUAL TOP CONC. ELEV.= 40.5 . INV. ELEV.= 40.0MrE ®®®la®®- 3) INSTALL INLET & OUTLET TEES AS REQUIRED. ®®®®®®NOTES: 1) CONTRACTOR SHALL VERIFY ALL EXISTING ®®®BPIPE INVERTS PRIOR TO CONSTRUCTION. 4) MA UFACTURED BYFLE TO BE STALLED TUF-TITE,N OUTLET TEE ZABEL OR EQUAL. BOTTOM EL.= 38.0 ®®®®®® 2) REPLACE EXISTING 1,000 GALLON SEPTIC AS TANK WITH 1500 GALLON SEPTIC TANK 4' S FT. 4' ' IF FAILED, DAMAGED, OR UNDERSIZED. SEPTIC SYSTEM PROFILE SEPARATION 5.58 FT. EFFECTIVE WIDTH = 13 BOTTOM OF TESTHOLE EL: 32.42 = SOIL ABSORPTION SYSTEM (SECTION � OF (500 GALLON LEACH CHAMBER (H-10) LOADING)ass DA SOIL LOGS DESIGN CRITERIA IR NUMBER OF BEDROOMS: Existing 3 BEDROOOM w/ no proposed increase in flow. No. 1140 SOIL TEXTURAL CLASS: CLASS 1 (0.74 GPD/SF) DATE: JULY 11, 2008 SOIL EVALUATOR: DARKEN MEYER, R.S., CSE DESIGN PERCOLATION RATE: <2 MIN/IN `4NITAR\pa WITNESS: DONNA MIORANDI, ASSIST. HEALTH AGENT DAILY FLOW: 110 G.P.D. X 3 BR = DESIGN FLOW: 330 G.P.D. la GARBAGE GRINDER: NO (not designed for garbage grinder) SEPTIC TANK: 330 gpd x 2.0 = 660 gpd USE EXIST. 1.000 GALLON SEPTIC TANK Elev. TH 1 Depth Elev. TH-2 Depth 44.34 A SANDY LOAM 0. 43.92 A LOAMY SAND 0" LEACHING AREA REQUIRED: (334) = 445.94 S.F. 10YR 3/2 10YR 4/1 I 43.84 B 6- 43.34 B 7" USE TWO (2) 500 GALLON PRECAST LEACH CHAMBERS W/ SANDY LOAM LOAMY SAND 4 FT. OF STONE ON ALL SIDES: 25' L x 13' W x 2'D i 7.5 YR 6/1 10YR 5/8 BOTTOM AREA: 25 x 13= 325 SF •� 41.84 30" 41.25 C1 32" SIDE AREA: (25 + 13) X 2 X 2 = 152 SF C1 TOTAL SQUARE FEET PROVIDED = 477 vs. 445.94 REQ'D FINE DESIGN FLOW PROVIDED: 0.74(477 S.F.) = 352.98 G.P.D. vs. 330 G.P.D. req'd MEDIUM PERC ®40.25 SAND SAND 2.5Y7/3 PROPOSED SEPTIC SYSTEM UPGRADE PLAN 2.5Y 7/4 52 POINT HILL ROAD, WEST BARNSTABLE, MA Prepared for: Joanna Roberts Engineering by: Surveying by: SCALE DRAWN 32.84 138" 32.42 138" DARRENM.MEYER R.S. Eco-Tech E admomentel N.T.S. DMM PO Box901 (508) 364-0894 PERC RATE <2 MIN/IN. ("C" HORIZON) PERC RATE <2 MIN/IN. ("C" HORIZON) EAsrSANDWICH,MAaM7 DATE CHECKED SHEET NO. NO GROUNDWATER OBSERVE6 NO GROUNDWATER OBSERVED 50&30_2= 08/19/08 DMM 2 Of 2 � II �: l * \^\ 0 � 00 A.3 A.3 ----------- ----------- �: a<alAg O II II II 1 WN��63 �j • 11 11 II I I I � � ���>'��`�� a �zs�a u E ITTRY II gel II O czC-5 ° I I o w ran II oasn KITZMeN ° - ------- -- gig —ter-- 4 x4 POST I I I I I I I I 11 � II II II Df18 i►Y. I I DUSTING I I I I BEDROOM I I EXISTING BEDROOM ( I FAMILY ROOIPI I I I I LOFT: i i BEDROOM \ Z II II 11 II ` II II IP II II Lu II II II PRDPosEbl II I I I I I I I f""ra w Q w II it II li II it O Q _j II II II-�= II it IIj W izu~i LL--------- --- -------J ------- {L HOC MP ro PROPoaeD P ED iLl io in ANrwfDisas s fLaoR 41P IP ~ IP IP NOTE- ALL WINDOWS ARE E . E 2 ANDERSEN 400 SER WDH W/ APPLIED INSIDE AND OUTSIDE WALL KEYg A A O EXISTING WALLSg li R� : A3 A3 �zKr WALLB TO BE RCI'70VED � � � g8 FIRST FLOOR PLAN MWMSm WALLS go SECOND FLOOR PLAN =� � e ` ERWBIID. cc iAL Np OC��W a~�D a.A1.L INT[It10R WALLB swu 9!}7C1 m .la oe,uNLess orweRWls!Nor y, THIS BUILDINGS DESIGNED IN ACCORDANCE WITH THE �oR s►IAu VERIPY ALL WINDOW o MASSAGHUSETTS STATE BUILDING CODE 7ih EDITION. oP INGs PRIOR TO 0"MING WINDOWS, o THIS INCLUDES THE WIND LOAD FOR EXPOSURE C AND 110 m h, z P ryt10RM COP�T ON.�ICA fTTORMQ�SIONs dj lV AN8�9gU�M�l�D7REBPON8191 NOf eROUO iTOING oR •D0• w MUM�TN!DESIGNER. TO �LfyQ 2011 ~ A.3 a ' 4! ►RCNCU DOOR C�A81vN0��R MATCH EXISTING 11 WHITE CCDAR SWIW.UM— Allill It II— It MATCH EXISTING III IIII III Jill I. WOOD RAILING SYSTEM WOOD RAILING SYSTEM MINTED WNTT! PAINTED WNITe ON►.T.DLCK/RAMC All III I III III III IIII Ili 1111 11 _._._._._._._._.-._._._._._._._._._._._._._._._._._._._.___._._........................................ pis - -_- ON►--DECK---- 8 Ci pis hS WOOD BRACKET ZT{ hS HOODS ExISTING DECK ice$ TO REMAIN PROPOSED FRENCH CC=Kr-GRINamum ��ppoo MATCH EXSTING Q w - .-._._._._._._._._. ._._._._._._._._._._._._._._._._ -._. -- .--.----.-.-- ........ �- IS ow Z A 2 RIGHT ELEVATION ' REAR ELEVATION NDTE, 'H OTHER ELEVATIONS $ TYPICAL A o A.3 U z Q jw o°c a ii.l Q w � _� ...................................... . ... ._ . _. ._. _ . _. _. .. .__. _. ... ._ . _. ... ._ . _._._._._._._._._.-._._._._._............. Ll �a w IL �► A t�X OF Q WOOD RAILING SYSTEM EXISTING TO TAY cu'P�erc PRAMS REMAIN .._._..-.-.-....-.... - - - - - - - - - -- - - - - - - - - - -- --................... . hS WODD BRACKET 98: EXISTING D TO REMAIN 6 999 g GGG air ------------ ---------- almoNly, m 0 \ LEFT ELEVATION m Noce. OTHER ELEVATIONS i TYPICAL SEP 06201Y- • A A.3 A.3 I� 4 X 6 BRACING TYPICAL s TOTAL) I I '4. 1 1 6Xe woDD BRACKET I I U) II II � II II P.r.4xe BOLTED 1 9/4•DIA TNRU BOL TO 4X6 BRACING IN WALL II 6x8 NOOD BRACKET II C 1 II 11 LL 11 1 1 Nri!X PLAN VInJ I I A;� D! o I I ISTING HALL SN I I e}4 X 6 BRACING TYPICAL,OR. � I 1 11 I I I I c� HOW ' I I EXISTING(4)MM BEAM 1 I 11 BOXED IN AT CEILING II _ 11 I_I II �EII �BM LY ROOM t A/4•DIA TNw awL I I c FOBt nQda I= II ii �c-3 C—> i t I I 1 I E'-'•--�O EXISTING 1 1 I I I I •��A d 41 ii II II ' " ii II II o POST►Ron ABOVE it g 4 X 4 POST DN. 1 S/4•X 9 7/4•LVLS I I ;.:. •, 91.T PIING DETAIL ' sN X 6 BRACING TYPICAL A P.T.4.6 BOLTED I ill] TO 4X6 BRACING I A.3 IN WALL 1 wo pm16•O.C. TAPERED TO e• 4.6 BRACKET 2-2Xe FTW BMW BASEMENT PLAN Z u n14 O J to u tL a Q N ------------------ ---.-------.--.--.---'--- --.----.-.-.-...- -------------------------------- 0 Z w i� Z 2XIOz°�a TAP REDPTW TO O.C. tL W � a A.3 TAPERED TO e• SECOND FLOOR FRAMING PLAN WOOD RAILING BYSTEM A•3 N W- � PAINTED WHITEON MY PECK FRAME Q FRAME LINE Ix4 MAMOGANY PECK (2)1 3/4•X 9 1/4•LVLS : 3 DOOR STING CARRY nareRANa O % �[ BOTTOM DI OooR, le•UP, s/4•►LYWD.SYBFLAOR - •-•-. •-.-•-. .--.- WA OWAING FINISH FLOOR 6xe WOOD BRACKET TA SLEEPERS P.T.4X6 BOLTED TO 4X6 BRACING EPDM ADHERED IN WALL ROOFING mo-ORANE SBp1 D/4'PLYWOOD TO RQ IN D�1 X 6 BRACING TYPICAL s RCi _____ EXISTING.IRAMING -._._.-._.-.-._._._._ 8 =a PTW I6•G.C. TAPERED Too* S m ---......._..-.-_..................._... o c METAL FRAMING HANGER 9. A SECTION - I/2'G.N HEADER tv z m ROOF DECK SILL SCALE 1-1/2' . P-O' to c Q