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0035 WILLIAMS PATH - Health
35 Williams Path West Barnstable A= 111-033 i a I I I i i i �i S I 1 t I Q A I: �� if i :n Town of Barnstable OF THE r, Regulatory Services Thomas F. Geiler,Director Public Health Division BARNSTABLE, Thomas McKean,Director 9vAT 1639; 200 Main Street, Hyannis,MA 02601 Fp Mp`1 Phone: 508-862-4644 Email: health@town.bamstable.ma.us �n � Fax: 508-790-6304 C V Office Hours: M-F 8:00—4:30 March 10,2011 David I.Finnegan RE: Underground Storage Tank Removal Order, 22 Batterymarch Street 35 Williams Path,West Barnstable,MA Boston,MA 02109 Map Parcel 111-033,Tank.43"; Dear Sir/Madame: The Barnstable Public Health Division(BPHD)is in receipt of a copy of the"Application and Permit' for storage tank removal and transportation issued by the West Barnstable Fire District demonstrating that the underground storage tank was removed from the above referenced address on or about January 17, 2010. The Public Health Division appreciates your attention to this matter and has updated its data base to reflect this fuel tank status change. Should you have any further questions please contact Cynthia Martin of this office at 508-826-4645. E Thomas A. McKean,RS,CHO Director of Public Health Make application to local Fire Department. Fire Department retains original application and issues duplicate as Permit. 0,W rr c �afier�e Ci21, t APPLICATION and PERMIT I Fee: � for storage tank removaltransportationand to approved tank disposal yard in accordance with the provisions of M.G.L. Chapter 148, Section 38A, 527 CMR 9.00, application is hereby made by: Tank Owner Name(please print)(/ X 1 Signature(ifappVng forpennit) Address (�✓ ( � 1 d3�.— PC, 477/1-1 Street city State Zip Company Name �� - �- Go.or Individua c ( Print Print Address Address n� f &�+ ")—s Print - Print Signature(if applying for permit) r Signature(if applying for permit) ❑ IFCI*Certifiedr Other ❑ IFCI*Certified ❑ LSP# 1 Other If Tank Location '.�-cJ . ✓ ! .'f'� Steet Address city.-, ._. Tank Capacity(gallons) -� (�`iC1(�` C�i[.�, , � Substance Last Stored Tank-Dimension's(diameter x length) ' { _ ' q Remarks: _. Firm transporting waste 13 S fL- CD-/Z— State Luc.# (9, r Hazardous waste manifest#_ M AV— 0 C 0 sOCA Y3 1 E.P.A.# fnCk 0 O Approved tank disposal yard Tank yard# Type of inert gas Tank yard address U"t �,-� a-- 'So o City or Town �,.��.o,s sl/i1 f�.7 FDID# � � � a J Permit# I Date ofissue Date of-expiration I — Dig safe approval number. L f jU I U C 1 I Dig Safe Toll Free Tel.-Number-800-322-4844 Signature title of Officer granting-permit After removal(s) ("Consumptive Use"fuel oil tanks exempted)send Form FP-290R signed by Local Fire Dept.:to UST Regulatory Compliance Unit, Department of Fire Services,P.O.Box 1025,State Road,Stow,MA 01775. *International Fire Code Institute j 101201/ FP-292(revised 4/97) i °FINE T°� Town of Barnstable ti Regulatory Services Barnstable Y Y :MBAR LE Thomas F. Geiler,Director A0-AmedcaC'ty MAM E1 39 •0 Public Health Division Thomas McKean,Director 2,--,07 200 Main Street Hyannis, MA 02601 Office: 508-862-4644 r Fax: 0!6304 • 4 n R O _ 0 - r November 23, 2010 David I. Finnegan 't 22 Batterymarch Street Boston, MA 02109 RE: Underground Storage Tank 35 WILLIAMS PATH, WEST BARNSTABLE Map/Parcel: ' 111-033 Tank Number: 1 Tag Number: 00606 Our records indicate that your underground fuel (or chemical) storage tank exceeds thirty (30)years in age, and has not been removed as required by the Town of Barnstable Code Chapter 326, Section 3, Fuel and Chemical Storage Tanks. You are directed to remove this tank within sixty(60) days from the date of this Notice. Upon completion of the tank removal and within ninety(90) days of receipt of this Notice, please submit to this office a copy of the permit for storage tank removal issued by your local Fire Department. This copy of the removal permit serves as documentation that the underground storage tank was properly removed and disposed of. You may request a hearing provided that a written petition requesting same is received by the Board of Health within ten (10) days after this order is served. Per Order of the Board of Health Thomas A. McKean, PS, CHO Health Agent Q:\Hazmat\Underground Tanks\let Undergmd tanks 30 yr Nov2010.doc Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 35 Williams Path Property Address David Finnegan Owner Owner's Name information is required for every West Barnstable MA 02668 08/16/10 page. City/Town `State Zip Code Date of Inspection Inspection results must be submitted on this form. Inspection forms may not be altered in any i way. Please see completeness checklist at the end of the form. i Important:When A. General Information filling out forms on the computer, use only the tab 1. Inspector: key to move your cursor-do not Michael Kellett use the return Name of Inspector key. Aardvark Environmental Inspections �y Company Name P.O. Box 896 Company Address East Dennis MA . 02641 Cityrrown State Zip Code 508-385-7608 SI 3742 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. 1 am a DEP approved system inspector pursuant to Section 15.340 of w title 5(310 CMR 15.000).The system: -j :T- M H cn ® Passes ❑ Conditionally Passes ❑ Fails ❑ Needs Further Evaluation by the Local Approving Authority Q m r— U- 7* o CM 01 -01 08/17/10 Z Inspector's Signature Date 3 0 c 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 I t Commonwealth of Massachusetts Title 5 official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments y 35 Williams Path Property Address David Finnegan Owner Owner's Name information is required for every West Barnstable MA 02668 08/16/10 page. Cityrrown 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: ® 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): Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments s.' 35 Williams Path Property Address David Finnegan Owner Owner's Name information is required for every West Barnstable MA 02668 08/16/10 page. City/Town State Zip Code Date of Inspection B. Certification (cont.) B) System Conditionally Passes (cunt.): ❑ 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): II ❑ 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 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 35 Williams Path Property Address David Finnegan Owner Owner's Name information is required for every West Barnstable MA 02668 08/16/10 page. City/Town State Zip Code Date of Inspection B. Certification (cont.) 2. System will fail unless the Board of Health(and Public Water Supplier, if any) determines that the system is functioning in a manner that protects the public health, safety and environment: ❑ The system has a septic tank and soil absorption system (SAS)and the SAS is within 100 feet of a surface water supply or tributary to a surface water supply. ❑ The system has a septic tank and SAS and the SAS is within a Zone 1 of a public water supply. ❑ The system has a septic tank and SAS and the SAS is within 50 feet of a private water supply well. ❑ The system has a septic tank and SAS and the SAS is less than 100 feet but 50 feet or more from a private water supply well". Method used to determine distance: "*This system passes if the well water analysis, performed at a DEP certified laboratory, for 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 Y2 day flow Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 35 Williams Path Property Address David Finnegan Owner Owner's Name information is required for every West Barnstable MA 02668 08/16/10 page. City1rown State Zip Code Date of Inspection B. Certification (cont.) Yes No ❑ ® Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s). Number of times pumped: ❑ ® Any portion of the SAS, cesspool or privy is below high ground water elevation. ❑ ® Any portion of cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply. ❑ ® Any portion of a cesspool or privy is within a Zone 1 of a public well. ❑ ® Any portion of a cesspool or privy is within 50 feet of a private water supply well. ❑ ® Any portion of a cesspool or privy is less than 100 feet but greater than 50 feet from a private water supply well with no acceptable water quality analysis. [This system passes if the well water analysis, performed at a DEP certified laboratory,for fecal coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered.A copy of the analysis and chain of custody must be attached to this form.] ❑ ® The system is a cesspool serving a facility with a design flow of 2000gpd- 10,000gpd. ❑ ® The system fails. I have determined that one or more of the above failure criteria exist as described in 310 CMR 15.303, therefore the system fails. The system owner should contact the Board of Health to determine what will be necessary to correct the failure. E) Large Systems: To be considered a large system the system must serve a facility with a design flow of 10,000 gpd to 15,000 gpd. For large systems, you must indicate either"yes"or"no"to each of the following, in addition to the questions in Section D. Yes No ❑ ❑ the system is within 400 feet of a surface drinking water supply ❑ ❑ the system is within 200 feet of a tributary to a surface drinking water supply ❑ ❑ the system is located in a nitrogen sensitive area (Interim Wellhead Protection Area—IWPA)or a mapped Zone II of a public water supply well If you have answered"yes"to any question in Section E the system is considered a significant threat, or answered"yes" in Section D above the large system has failed. The owner or operator of any large system considered a significant threat under Section E or failed under Section D shall upgrade the system in accordance with 310 CMR 15.304. The system owner should contact the appropriate regional office of the Department. Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 35 Williams Path Property Address David Finnegan Owner Owner's Name information is required for every West Barnstable MA 02668 08/16/10 page. Citylrown 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 ® El 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): 4 Number of bedrooms (actual): 4 DESIGN flow based on 310 CMR 15.203(for example: 110 gpd x#of bedrooms): 440 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 35 Williams Path Property Address David Finnegan Owner Owner's Name information is required for every West Barnstable MA 02668 08/16/10 page. Cityrrown State Zip Code Date of Inspection D. System Information Description: Number of current residents: 21 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 years usage(gpd)): Detail: Sump pump? ❑ Yes ® No Last date of occupancy: current 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: Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 35 Williams Path Property Address David Finnegan Owner Owner's Name information is required for every West Barnstable MA 02668 08/16/10 page. Citylrown State Zip Code Date of Inspection D. System Information (cont.) Last date of occupancy/use: Date Other(describe below): General Information Pumping Records: Source of information: Was system pumped as part of the inspection? ❑ Yes ® No If yes, volume pumped: gallons How was quantity pumped determined? Reason for pumping: Type of System: ® Septic tank, distribution box, soil absorption system ❑ Single cesspool ❑ Overflow cesspool ❑ Privy ❑ Shared system (yes or no)(if yes, attach previous inspection records, if any) ❑ Innovative/Alternative technology. Attach a copy of the current operation and maintenance contract(to be obtained from system owner)and a copy of latest inspection of the I/A system by system operator under contract ❑ Tight tank. Attach a copy of the DEP approval. ❑ Other(describe): Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments s �' 35 Williams Path Property Address David Finnegan Owner Owner's Name information is required for every West Barnstable MA 02668 08/16/10 page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) Approximate age of all components, date installed (if known)and source of information: 07/25/79 per BOH Were sewage odors detected when arriving at the site? ❑ Yes ® No Building Sewer(locate on site plan): Depth below grade: 5.0 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.): Septic Tank(locate on site plan): Depth below grade: 4.5 feet Material of construction: ® concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑ other(explain) If tank is metal, list age: years Is age confirmed by a Certificate of Compliance?(attach a copy of certificate) ❑ Yes ❑ No Dimensions: 1000 gal i Sludge depth: 4 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 35 Williams Path Property Address David Finnegan Owner Owner's Name information is required for every West Barnstable MA 02668 08/16/10 page. Citylrown 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 28" Scum thickness 5" Distance from top of scum to top of outlet tee or baffle 5" Distance from bottom of scum to bottom of outlet tee or baffle 15" How were dimensions determined? measured Comments(on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): The tank was sound and tight with tees in place and liquid at outlet invert. 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 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 35 Williams Path Property Address David Finnegan Owner Owner's Name information is required for every West Barnstable MA 02668 08/16/10 page. Cityrrown 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 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments M 35 Williams Path Property Address David Finnegan Owner Owner's Name information is required for every West Barnstable MA 02668 08/16/10 page. Cityfrown 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 even Comments(note if box is level and distribution to outlets equal, any evidence of solids carryover, any evidence of leakage into or out of box, etc.): The box was level and tight with no sign of carryover. 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: Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 35 Williams Path Property Address David Finnegan Owner Owner's Name information is required for every West Barnstable MA 02668 08/16/10 page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) Type: ® leaching pits number: 1 ❑ 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.): This system has a 6'x6'precast pit surrounded by two feet of stone. There was no sign of ponding or failure in the stones. 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 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 35 Williams Path ,p — Property Address David Finnegan Owner Owner's Name information is required for every West Barnstable MA 02668 08/16/10 page. Cityfrown State Zip Code Date of Inspection D. System Information (cont.) Comments(note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): Privy(locate on site plan): Materials of construction: Dimensions Depth of solids Comments(note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): Commonwealth of Massachusetts fumaim W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 35 Williams Path Property Address David Finnegan Owner Owner's Name information is required for every West Barnstable MA 02668 08/16/10 page. City/Town State Zip Code Date of Inspedion D. System Information (coat.) Sketch Of Sewage Disposal System: Provide a view of the sewage disposal system, including ties to at least two permanent reference landmarks or benchmarks. Locate all wells within 100 feet. Locate where public water supply enters the building. Check one of the boxes below: w ® hand-sketch in the area below - ❑ drawing attached separately q6 3 I 3° Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 't 35 Williams Path Property Address David Finnegan Owner Owner's Name information is required for every West Barnstable MA 02668 08/16/10 page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) Site Exam: ® Check Slope ❑ Surface water ® Check cellar ❑ Shallow wells Estimated depth to high ground water: 20.0feet 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: El Checked with local excavators installers- attach documentation ® Accessed USGS database-explain: You must describe how you established the high ground water elevation: USGS maps show an elevation of over 20.0 feet Before filing this Inspection Report, please see Report Completeness Checklist on next page. I Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments y 35 Williams Path Property Address David Finnegan Owner Owner's Name information is required for every West Barnstable MA 02668 08/16/10 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 Infcrmation—Estimated depth to high groundwater ® Sketch of Sewage Disposal System either drawn on page 15 or attached in separate file r 1 COMMONWEALTH OF MASSACHUSETTS nv�� RE 2 1CAI EXECUTIVE OFFICE OF ENVIRONMENTAL A S ���� �J Ct DEPARTMENT OF ENVIRONMENTAL PROT cC IONGpFeaROEPsg�E 1 ZO NFp�SN ONE WINTER STREET. BOSTON, MA 02105 617-292-5500 >6 � WILLIAM F.WELD TRUDY C0XE Govemor Secretary ARGEO PAUL CELLUCCI DAVID B.STRUHS Lt.Govemor SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM Commissioner PART A CERTIFICATION Property Address: 35 (���1�4r`1 S fgthi W,l34�n StGb MAddress'of Owner: t?o, Z3eK Y?-5- Date of Inspection: —Za—Q i (if different) e, SGn4/w i c A MA , O 2 (o S Name of Inspector: e � I am a DEP approved system inspector pursuant to Section 15.340 of Title 5 (310 CMR 15.000) Company Name: woi 1:s Mailing Address: 23L,Dee✓ //ti//uw R% ;o ,estd e MA Telephone Number: (Sog) y77—Sy�S CERTIFICATION STATEMENT I certify that I have personally inspected the sewage disposal system at this address and that the information reported below is true, accurate and complete as of the time of inspection. The inspection was performed based on my training and experience i per function and maintenance of on-site sewage disposal systems. The system: yA OF Afq��c ✓ Passes PETER T. y� _ Conditionally Passes McENTEE Needs Further Evaluation By the Local Approving Authority CIVIL Fails, No.35109 .mac.. Inspector's Signature: -7 Date: � —47 A��,rf•SEO►STER�G����`Q ZONAL E The System Inspector shall submit a copy of this inspection report to the Approving Authority within thirty (30) d mpleting 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 Department of Environmental Protection. The original should be sent to the system owner and copies sent to the buyer, if applicable, and the approving authority. INSPECTION SUMMARY: Check A, B, C, or D: A] SYSTEM PASSES: `1/ I have not found any information which indicates that the system violates any of the failure criteria as defined in 310 CMR 15.303. 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 j completion of the replacement or repair, as approved by the Board of Health, will pass. Indicate yes, no, or not determined (Y, N, or ND). Describe basis of determination in all instances. If"not determined", explain why not. The septic tank is metal, unless the owner or operator has provided the system inspector with a copy of a Certificate of Compliance (attached) indicating that the tank was installed within twenty (20) years prior to the date of the inspection; or the septic tank, whether or not metal, is cracked, structurally unsound, shows substantial infiltration or exfiltration, or tank s failure is imminent. The system will pass inspection if the existing septic tank is.replaced with a conforming septic tank as approved by the Board of Health. (revised 04/25/97) Page 1 of 10 DEP on the Worid Wide Web: http:ltwww.magnet.state.ma.us/dep j Printed on Recycled Paper e: i SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address: '3- atJ, M'tfM S R,�-A 54* I�Ie, M fi' Owner: (.irrcl9 EZe%',7 5 Date of Inspection: . 8�- Zo-9-7 Bj SYSTEM CONDITIONALLY PASSES (continued) Sewage backup or breakout or high static water level observed in the distribution box is due to broken or obstructed pipe(s) or due to a broken, settled or uneven distribution box. The system will pass inspection if(with approval of the Board of Health). Describe observations: broken pipe(s) are replaced obstruction is removed distribution box is levelled or replaced The system required pumping more than four times a year due to broken or obstructed pipe(s). The system will pass inspection if(with approval of the Board of Health): broken pipe(s) are replaced obstruction is removed r Cj 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 the public health, safety and the environment. 1) . SYSTEM WILL PASS UNLESS BOARD OF HEALTH DETERMINES THAT THE SYSTEM IS NOT FUNCTIONING IN A MANNER WHICH WILL PROTECT THE PUBLIC HEALTH AND SAFETY AND THE ENVIRONMENT: Cesspool or privy is within 50 feet of a surface water Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh. 2) SYSTEM WILL FAIL UNLESS THE BOARD OF HEALTH (AND PUBLIC WATER SUPPLIER, IF APPROPRIATE) DETERMINES THAT THE SYSTEM IS FUNCTIONING IN A MANNER THAT PROTECTS THE PUBLIC HEALTH AND SAFETY AND THE ENVIRONMENT: The system has a septic tank and soil absorption system (SAS) and the SAS is within 100 feet to a surface water supply or tributary to a surface water supply. The system has a septic tank and soil absorption system and the SAS is within a Zone I of a public water supply well. The system has a septic tank and soil absorption.system and the SAS is within 50 feet of a private water supply well. The system has a septic tank and soil absorption system and the SAS is less than 100 feet but 50 feet or more from a private water supply well, unless a well water analysis 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. Method used to determine distance (approximation not valid). Y f 3) OTHER III r (revised 04/25/97) Page 2 of 10 i SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address: '3 S LV. /J,'q✓a s l'2q)L-4r �. 3Ai0 5-k10 del Owner: L,7A L�Zt/�n 5 Date of Inspection: �- 2v —47 D] SYSTEM FAILS: You must indicate ei;-,er "Yes" or "No" as to each of the following: I have determined that the system violates one or more of the following failure criteria as defined in 310 CMR 15.303. The basis for this determination is identified below. The Board of Health should be contacted to determine what will be necessary to correct . the failure. Yes No Backup of sewage into facility or system component due to an 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 1/2 day flow. Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s). Number of times pumped_. Any portion of the Soil Absorption System, cesspool or privy is below the high groundwater elevation. Any portion of a cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply. i Any portion of a cesspool or privy is within a Zone I of a public well. 1 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. If the well has been analyzed to be acceptable; attach copy of well water analysis for coliform bacteria, volatile organic compounds, ammonia nitrogen and nitrate nitrogen. E] LARGE SYSTEM FAILS: You must indicate either "Yes" or "No" as to each of the following: The following criteria apply to large systems in addition to the criteria above: The system serves a facility with a design flow of 10,000 gpd or greater (Large System) and the system is a significant threat to public health and safety and the environment because one or more of the following conditions exist: Yes No 11 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) tIl The owner or operator of any such system shall bring the system and facility into full compliance with the groundwater treatment program requirements of 314 CMR 5.06 and 6.00. Please consult the local regional office of the Department for further information. i (revised 04/25/97) Page 3 of 10 a Y 4.: 1- 1 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B CHECKLIST Property Address: 3.5 i ! ✓� Owner: 6;.,dG ei,,1 5 Date of Inspection: Check if the following have been done: You must indicate either "Yes" or "No" as to each of the following: Yes No _ Pumping information was provided by the owner, occupant, or Board of Health. X _ None of the system components have been pumped for at least two weeks and the system has been receiving normal flow rates during that period. Large volumes of water have not been introduced into the system recently or as part of this inspection. _ As built plans have been obtained and examined. Note if they are not available with N/A. _ The facility or dwelling was inspected for signs of sewage back-up. _ The system does not receive non-sanitary or.industrial waste flow. Z( _ The site was inspected for signs of breakout. _ All system components, excluding the Soil Absorption System, have been located on the site. _ The septic tank manholes were uncovered, opened, and the interior of the septic tank was inspected for condition of baffles or tees, material of construction, dimensions, depth of liquid, depth of sludge, depth of scum. The size and location of the Soil Absorption System on the site has been determined based on: The facility owner (and occupants, if different from owner) were provided with information on the proper maintenance of Sub-Surface Disposal System. _ Existing information. Ex. Plan at B.O.H. X _ Determined in the field (if any of the failure criteria related to Part C-is at issue, approximation of distance is unacceptable) (15.302(3)(b)) f i s 1 s i i 4 x V, 1 (revised 04/25/97) Page 4 of 10 ! i t SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION Property Address: 3 S (,(J;!)�.amS r�a�y►� /.U, nvc'ln 5)-�q6le ���A- Owner: t;/!O/q Eael%r� S Date of Inspection: FLOW CONDITIONS RESIDENTIAL: Design flow:-3 3D g.p.d./bedroom for S.A.S. Number of bedrooms: 3 Number of current residents: Garbage grinder (yes or no): Na Laundry connected to system (yes or no): `�eS Seasonal use (yes or no): No Water meter readings, if available (last two (2) year usage (gpd): Sump Pump (yes or no): No Last date of occupancy:�.SPns-/y oLC ed COMMERCIAUINDUSTRIAL: IVIq (AU,,1 AjoPA, , ,ble� Type of establishment: Design flow: gallons/day Grease trap present: (yes or no)_ Industrial Waste Holding Tank present: (yes or no)_ Non-sanitary waste discharged to the Title 5 system: (yes or no)_ Water meter readings, if available: Last date of occupancy: OTHER: (Describe) Last date of occupancy: S GENERAL INFORMATION ' PUMPING RECORDS and source of information: Ownr- doe3 nod recc// ere,- &5j&, System pumped as part of inspection: (yes or no)_ If yes, volume pumped: _ gallons Reason for pumping: } TYPE OF SYSTEM . Septic tank/distribution box/soil absorption system Single cesspool Overflow cesspool Privy .I Shared system (yes or no) (if yes, attach previous inspection records, if any) I/A Technology etc. Copy of up to date contract? Other APPROXIMATE AGE of all components, date installed (if known) and source of information: s E Sewage odors detected when arriving at the site: (yes or no)�G i' (revised 04/25/97) Page 5 of 10 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C p SYSTEM INFORMATION (continued) Property Address: 3 S 1/0 Owner: &'A4 5 Date of Inspection: G-Zo—q� l� TIGHT OR HOLDING TANK: N" (Tank must be pumped prior to, or at time, of inspection) (locate on site plan) Depth below grade: Material of construction: _concrete _metal _Fiberglass _Polyethylene —other(explain) Dimensions: Capacity: gallons Design flow: gallons/day Alarm level: Alarm in working order _ Yes; _ No Date of previous pumping: Comments: (condition of inlet tee, condition of alarm and float switches, etc.) DISTRIBUTION BOX- �ePr� below �r4�1 '5 gret t-kl?n 6- SAS wC?.s (locate on site plan) o/iSfvr�cd flie�C{r,it° D- box is coorGt;ny i-'e/l, 2-2 t3o.,e tAA1 ria't- Depth of liquid level above outlet invert: u Y7 Co Ve 1-e1 . Comments: (note if level and distribution is equal, evidence of solids carryover,_evidence of leakage into or out of box, etc.) PUMP CHAMBER: 2-J) � (locate on site plan) } I Pumps in working order: (Yes or No) Alarms in working order (Yes or No) { Comments: (note condition of pump chamber, condition of pumps and appurtenances, etc.) i l F (revised 04/25/97) Page 7 of 10 I . - 7 L-. SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) ' Property Address: i-gwts f—k I W, MA Owner: (�rrrdF !✓Zr li✓t5 Date of Inspection: SOIL ABSORPTION SYSTEM (SAS):_ (locate on site plan, if possible; excavation not required, but may be approximated by non-intrusive methods) If not determined to be present, explain: Type. leaching pits, number: / /— (o p'`r�, Cn �DeXe OO !o ! 3 /go7lcwr �,� ln��/- Mve- leaching chambers, number:_ c'_a ii12 ,yo�y leaching galleries, number: leaching trenches, numberjength: /S �iet�O4�d leaching fields, number, dimensions: overflow cesspool, number: Alternative system: Name of Technology: Comments: (note condition of soil, signs of hydraulic failu , level of ponding, condition of vegetation, etc.) AJo $,'A n al- h raV ,'c Su'o- h r- `h Ae ✓e f' v s q;Ot- be 1$ l cs w i'n e/- i.4 v P✓h i CESSPOOLS: = lyf- (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 (cesspool must be pumped as part of inspection) III jt } t Comments: (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.) li 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.) . s (revised 04/25/97) Page a of 10 a� SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: 3 S W,t I,ci,^i s Owner: . L 1,2 Ez er;n s Date of Inspection: 20 —4-7 SKETCH OF SEWAGE DISPOSAL SYSTEM: include ties to at least two permanent references landmarks or benchmarks locate all wells within 100' (Locate where public water supply comes into house) <s O We I I �VT cA+4r 1 'kav% 160 -f7,-u, , S.A.S qre naweils ui,+I,in IW, 0t fhQ 5, 5. CFO:-- S C.! 97,S A3 y1, 6' 93 21 ' 8 Ay y7 ' 1(inle+) lu 3 t$oX Z�ou}1et, �ry�• Q r 4 9 P.+(.SASti .�• p�tvtehs�o.�s P-e� as-6�,1+ b� i;nsl-c.11ef, 1�-6ox not vnccvt�ccl SinC�. SASS u�45 gc.ces5°r51Q w� (revised 01/21/91) Page 9 of 10 a SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) ' I Property Address: Owner: (in a/4 6-zc S Date of Inspection: B 20—q;� Depth to Groundwater 166 Feet"- Please indicate all the methods used to determine High Groundwater Elevation: Obtained from Design Plans on record Observation of Site (Abutting property, observation hole, basement sump etc.-)";` Determine it from local conditions Check with local Board of health Check FEMA Maps Check pumping records Check local excavators, installers X_ Use USGS Data Describe in your own words how you established the High Groundwater Elevation. Must be completed) tl- 1/4 Z :5Ao c,vs G:w, e � E/e�� 5. -&,, � r� A o�s-C ;s qlV rO X )lG l=f, PIS f_ ( vS G S Sa'c�u�tc � cl„gd,� f1�ck (raviaad 04/25/97) Page 10 of 10 I 41 ;i 's SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: 3S [��1l�a s /q/�, 111� 19ar✓)54r b Le /t'l�' _ � I Owner: Lin A Date of Inspection: �—.Zv -9} BUILDING SEWER: N lA (Locate on site plan) Depth below grade: Material of construction: _cast iron_40 PVC_other (explain) Distance from private water supply well or suction line Diameter Comments: (condition of joints, venting, evidence of leakage, etc.) SEPTIC TANK: c/ (locate on site plan) y !Z " 9�' let /y Depth below grade: Material of construction: concrete _metal _Fiberglass _Polyethylene_other(explain) If tank is metal, list age _ Is age confirmed by Certificate of Compliance _(Yes/No) Dimensions: /A�!"Q x s fr, w-cLt /o ' tonh y, 5 Sludge depth: Distance from top of sludge to bottom pf outlet tee or baffle: Scum thickness: O" A),v sy>>'TArAn+ .5eo,-7 /aver Distance from top of scum to top of outlet tee or baffle: ,i Distance from bottom of scum to bottom of outlet tee or baffle: 2z How dimensions were determined: 141WSO'etnent by rcc/ Comments: (recommendation for pumping, condition of inlet and outlet tees or baffles, depth of liquid level in relation to outlet invert structural integrity, evidence of leakage, et .) SP�f'c fzln�( q ,�9/S 57<r�cfv��//y Sovnd av/ nc ev"JhCe o� i.4f�J�rQ7L*0;1 -eXY-II--g+'ICJ-r di SU,-ctigf-4i4G 1 II� s GREASE TRAP: N�1 j' (locate on site plan) )' t t Depth below grade: Material of construction: _concrete _metal _Fiberglass _Polyethylene —other(explain) t Dimensions: Scum thickness: Distance from top of scum to top of outlet tee or baffle: Distance from bottom of scum to bottom of outlet tee or baffle: Date of last pumping: Comments: (recommendation for pumping, condition of inlet and outlet tees or baffles, depth of liquid level in relation to outlet invert, structural integrity, evidence of leakage, et:.) (revised 04/25/97) Page 6 of 10 ;LO AT10 . SEWAGE P�RMIT NO. VILLAGE ; III 033 INSTA LLER'S NAME i ADDRESS S U I l D E R OR OWN ER U!L"i_ h-B E Z&P 5 DAl E PERMIT ISSUED DAT E COMPLIANCE ISSUED �►' 1� 3A" 30 � o No.. ..._...._.. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ....---....TnW!o�.............oF........361' M.STAG ------------------------- ---- Appliration for Ui poiial Workii Tnnitrurtinn ramit Application is hereby made for Permit to Construct ()G) or Repair ( ) an Individual Sewage Disposal System at: RAIV ........__ ....._.... �.: ............. - r •---•--• ddr.e- ...Location-Address or Lot No. 5._.. !Lvls._A:. ZL h/5-•-------•---• /// Col _.. e .:....1!+/ ... Owner .............................................Address Installer Address d Type of Building Size Lot. �`�!.,....._.Sq. feet Dwelling—No. of Bedrooms............. •...........................Expansion Attic ( ) Garbage Grinder ( ) Other—T e of Building No. of persons............................ Showers — Cafeteria G' Other fixtures -------------------------------- - W Design Flow.........14 o..........................gallons per person per day. Total dail flow----- 30......._....................gallons. WSeptic Tank—Liquid capacitv!Sa_.gallons Length....Ln...... Width._4........ Diameter................ Depth................ x Disposal Trench—No..................... Width.................... Total Length......._._......... Total leaching area.................... ft. Seepage Pit No --------------- Diameter------`_..._ Depth below,inlet.___.. ____ .__. Total leaching area_.ZG7_._..sq. ft. Z Other Distribution box ( ) Dosing tank ( ) �16` J Gl�hi ' 4- / �- ?y '-' Percolation Test Results Performed b Ti p+ S.... '_/CE2C �. __........ Date..T�!_ ../*19719' a Y = --- ,.a Test Pit No. 1 4 S _minutes per inch Depth of Test Pit---- Z.......__ Depth to ground water wows 4:?'! ` (T4 Test Pit No. 2................minutes per inch Depth of Test Pit.....I-Z........ Depth to ground wate ../?v a ------------------•-•---•-•----•------•---•------•---••-•---.......•-••.........••------•••-••--••••--•---••--•-----••--......._....._....-- O Description of Soil-•®„ -•- _ .�.�"'I ...S�3.Sn..--1 ?-4- 144' MG' !'i'7 7-0 FiNG=- S4�u� U --•------•-•---••------••-• i••-`-�tJ-rxey r A)...... ................................................' ............................. W ---------------------------------------------------------------------------•-....• ----•••...-•--•-------------•---• -----------------------------•----------•-.....-•••---••-•-••-•-•-------- UNature of Repairs or Alterations—Answer when applicable............................................................................................... ----------------------------•-.......----------------------•------------------------•--•----------------•---------...----------------------------------•---------------------------------.........•--_.. Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of:TTi.. p 5 of the State Sanitary Co —The undersign urther agrees not to place the system in operation until a Certificate of Compliance has be !:red2byt th. Signed: • ...................... Date Application Approved BY----.. - Date Application Disapproved for the following reasons-----------------------------------------------------------•••-:---------••-•••-•-----••----•---•-••---••--_..._. / Date Permit No. Issued f -- ---�-�------ -----------------•---- Date ey No Arl ................ , THE COMMONWEALTH OF MASSACHUSETTS a" BOARD OF HEALTH ` Applir�a#iou for Disposal arks Tonstrurtinn rrntit Application is.hereby made for a Permit to Construct,( ) or Repair ( ` } an Individual Sewage Disposal System at: ............_............................................................................... •-•-----•-••--•••--•---.._.._-•-•-•---••••. •...•••-•--•--•-----••--•-----•--=----•-•- Location_Address or Lot No. ............ - `. .......... fi i} Ownez Address WEi -••------.•--••-•............................................. a .---.....••--•.............. Installer Address QType of Building Size Lot............................Sq. feet ,y. Dwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( ) aOther--Type of Building ____________________________ No. of persons............................ Showers ( ) — Cafeteria ( ) QOther fixtures .----------•-•---------------------•------------•-------------------------------------...-.----------•-•-----------------....._...--•-••....-------•- WDesign Flow............................................gallons per person per day. Total daily flow...............:............................gallons. WSeptic Tank—Liquid capacity__._.._.__.gallons Length................ Width................ Diameter_...........__ Depth................ x Disposal Trench—No_ ____________________ Width.................... Total Length....................Total leaching area....................sq. ft. Seepage Pit No---------_---------- Diameter____________________ Depth.below inlet....... ____._.._. Totaljeaching area..................sq. ft. z Other Distribution box ( ) Dosing tank '-, Percolation Test Results Performed by.............................................................. Date'...................................... aTest Pit No. 1________________minutes per inch Depth of Test Pit.................... Depth to ground water______________________.. (i Test Pit No. 2................minutes per inch Depth of Test Pit.................___ Depth to ground water__-�t�? a Descriptionof Soil ................:-'==-----==-•-•--------------•-----••.-----•-='-•••--••-••-•-•---••-•-----••••---- ....................................... ./7 . ----------------------------------------------------------------•- • •-----•-•-.. V 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 41` p 5 of the State Sanitary Cod The undersigned further agrees not to place the system in operation until a Certificate of Compliance has bee • Led by tlw th. Signed' ----------------••-•- ••------•-•-•••-•-•............ � • Da Applicahori'Approved B y......... 1. d Y____________________ ______.7rtAs~-.�t?-- -------- Date Application Disapproved for the following reasons_______ __________________ Date• •-r sir ,: PermitNo......................................................... Issued._---_-•-••-•--•-----•-•----- Date a,`"°"N THE COMMONWEALTH OF MASSACHUSETTS -hh BOARD OF HEALTH ` ,�. ...............OF.. ............................................................. Trr#ifiratr of Ca mpt.ianr THIS,IS TO CERTI , That the Individual Sewage Disposal System constructed ( �r Repaired ( ) r. I Installed r at....�-!l.X.f.s---�.._._.�.Z-�R1N.�=:-- -•------�-al.--`9�-=--=-�f�f'-C-���-5----- -- � ....-......�-.---��f'=�=1---------------- has been installed in accordance with the provisions of T j of The %ate Sanitary Code as described in the application.for,Disposal Works Construction Permit No - ,��___________________ dated__.__x�.;?_„�`._� i..._._._______ THE ISSUANCE, OF THIS CERTIFICATE SMALL NOT BE CONSTRUED AS A,GUARANTEE 4AT THE SYSTEM WILL FUNCTION SATISFACTORY. ..... Inspector--- C = - ---••- r................................................ THE COMMONWEALTH OF MASSACHUSETTS 0 BOARD OF HEALTH ` L ............. .........0F........ .. - --....------...---•--._..__........ _.. / FEE a_._ -_.1 -...o...._. Disposal Works Tnnrnruan rrTni � , Permission is hereby granted........................................................................ .......................•---................ to Construct (jr) or Repair ( ) an Individual Sewage Di p/p�al System �f at No.-- f • Street as shown on the application for Disposal Works Construction Kit No _ 450, ____ Dated___..___- -•- _..._::---d o DATE.._.. ---- n ,.•, FORM 1255-HOBBS*& WARREN. INC., PUBLISHERS - - 0 M Q.91.7 �zv � P� �I _ EZ./o.s/ 99 i 2.z- ;o �►,r P \ 11 ,;• �z,99. ° p � q8•I 4,/03,8 1 �Q 1 •Mrr3 / n1 � �b �P •� 1p, a,96.4 �48: R- x 1� ► TM"S EG.97,7 C'o.vr— I t4A.4 c .r R.=33.0o NoTC-'- �ZEI/A77oNs B/tS�"I> 0•✓ q=5784 _ �pE Assur�ED DArv.y ZZ �° CERTIFIED PLOT PLAN LOCATION .W437- . .B 7".q � SCALE . /-s.'. . . . DATE TP !w 44, 07? PLAN REFERENCE . 4.T.. s'Mp w n/ �/.q . . . OF v I CERTIFY THAT THE . .. ..... . . .... .. ....... .. ...... " �.: •, `" SHOWN ON THIS PLAN IS LOCE GROUND AS SHOWN HEREON TO THE SETBA I� �NTEJWMS Of . . . .Q . . WHEN CONSTRUCTED. PETITIONER: V/4/V/S E-Z /NS REGISTERED {LAND SURVEYOR N59345 TOP OF FOUNDATION CONCRETE COVER CONCRETE COVERS e; PI �CAST IRON 12"MAX. 12�MAX. EQUIV. • • PIPE (OR 4"ORANGEBURG(OR EQUIVA v PITCH )- MIN. PIPE- MIN. LEACH ' PITCH I/4"PER. PITCH 1/4"PER.FT. PIT PRECAST ° -i LEACHING o' INV��EE((��T ` o EL..7.`/,9¢. INVERT INV RT ° . oft' PIT OR SEPTIC TANK ,,G DIST. 8.7 >_ EQUIV. ,,o INVERT EL..`.�'9. . . . . . BOX EL.......7 . � �� a ��. �?. .. GAL. INVE,,��22 ,. a 4 o; EL..`�I•.73. EL. INVERT 3 ww 0' :i• 3/WASHE02 � EL9B..c ,'� u� ' W STONE /3' 6'DIA. —� DIA.---�-I a°`fit PROFI LE OF GROUND WATER TABLE SEWAGE DISPOSAL SYSTEM NO SCALE ,--�� �� SOI L LOG WITNESSED BY : DATEf N�.� �579 TIME. ��3a. !`'�• Pere- 1104elty, • • • . . . . BOARD OF HEALTH TEST HOLE It TEST HOLE ?Ht15 .�- j � .. . ENGINEER ELEV. ./03,ad . . ELEV. Tl ' .K ° Las►rl DESIGN DATA ' � S��B-Soul NUMBER OF BEDROOMS '3. . . . . . . . TOTAL ESTIMATED FLOW 330. . GALLONS/DAY BOTTOM LEACHING AREA 78� . SO.FT. /PIT 72P �9�DIvH 7V SIDE LEACHING AREA . . . SQ.FT./ PIT AI-Ale- Fi tie- S^OD S/hvj� GARBAGE DISPOSAL Np!✓E .(50% AREA INCREASE) TOTAL LEACHING AREA . SQ.FT �i AM PERCOLATION RATE .•S.SS '.• . . . MIN/INCH I LEACHING AREA PER PERCOLATION RATE SrP. . SQ.FT. Na.WATER ENCOUNTERED NUMBER OF LEACHING PITS �.P/T �nlll?1 71Vo APPROVED . . . . . . . . . . . . . BOARD OF HEALTH v/=STt+NF,oNAGG. S/DE3._ Xr,4 TbwS!* OF.37'pM�•41 &Z1rKEL•LEY.CO. . . . . . DATE . . . . . . . . . . ' ' ' ' ' � ENGINEERS—SURVEYORS AGENT OR INSPECTOR 346 LONG.POND DRIVE SOUTH YARMOUTH,MAS . �NT3F 02664 �H OFIyA LOT e' /' T . p2� T O G . . . . . . . . . a � 1 ' t No. 90 E GO 1. WST „ /STEP PETITIONER Y r r t SNGET / oG Z Sf,�EE�7`5 0 4.9�.7 /�.o ^� Q.1o5,/ Ec 99. Z.Z ;o h< \ IN Z gall U 1 o spy C, g ' Ez.gL.z M'T EL.977 1 1+ _ E1' �oZ.s Arl �oc.00 .ol ol i2=33.oO NaT=- �ZEYA77oNs B/tSE D OA-1 \ '9=s�*4 1 +a� ,g3SuMED Ds►rer•y CERTIFIED PLOT PLAN LOCATION .►OT. -a 7-.,9B.�. i`1s>s5, -� SCALE . ��=s.� . . . DATE Twv� LLB !J7j PLAN REFERENCE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . I CERTIFY THAT THE . .. ..... . . ... '. ...... . .. .. .... SHOWN ON THIS PLAN IS LOCAT WDIE GROUND AS SHOWN HEREON A iSTO THE SETBAC OF WHEN CONSTRUCTED. DATE{.�. . . . . . . . . . .. . PETITIONER: V/CN15 EZ 67 /N 5 REGISTERED LAND SURVEYOR N59345 Sf% Z. sNE�Ts L. /os.7o. ... . TOP OF FOUNDATION , CONCRETE COVER CONCRETE COVERS •''0 4"CAST IRON " � � ` �°r'rni7 • PIPE (OR 12 MAX. 12"MAX. 4"ORANGEBURG(OR EQUIV.) 1'*E UIV.)- MIN. PIPE- MIN. LEACH CH I/4'PER. PITCH t/4" ER.FT. PITPRECAST�FLEACH INGL.v`7`f,I4. AN INVER DIST. INV T pa w oYe' PIE uR SEPTIC T K EL 77' Q V. BOX .. _ , - a .•�. eo EL..99 73. l`ro GAL. INVE� INVERT V w w :v; 3/4'�TO 1 I/2 EL. .. 98,.c �� WASHED o � EL......... U- w STONE 6'DIA. —►� H-- E'/o' DIA.-•--�•I PROFI LE OF GROUND WATER TABLE SEWAGE DISPOSAL SYSTEM NO SCALE PG3f��pG��G`.�QL3� SOI L LOG WITNESSED BY : DATESN.W_.1*,/.f 79 TIME. ���.�4. !l. P 4 uZRA.y • . BOARD OF HEALTH TEST HOLE ¢ TEST HOLE 7rfA5 .�� j Pam'. ENGINEER ELEV. ./0•3,as . . ELEV. FYI spa so. DESIGN DATAME : NUMBER OF BEDROOMS 3. . . . y TOTAL ESTIMATED FLOW 33. . . . . GALLONS/DAY BOTTOM LEACHING AREA SO.FT. /PIT 7V MAD/vy ,41-AIC 7V SIDE LEACHING AREA . .iBB<Sv. . . SO.FT./ PIT $p%.AD FtiE GARBAGE DISPOSAL NgAele.(50% AREA INCREASE) SA�+D TOTAL LEACHING AREA . ZL?,co SQ.FT f' A# ii PERCOLATION RATE .S.`�rS�'.. . . . MIN/INCH LEACHING AREA PER PERCOLATION RATEJ�r�?.. SQ.FT. WATER ENCOUNTERED NUMBER OF LEACHING PITS 1.P/T INiTf/ ,71Va • APPROVED . .. . . . . BOARD OF HEALTH a/=S /F oNAGL• S/Dc ,_ /SG T3nIS Piz' DATE . . . . . THOMAS E.'KELLEY CO: ENGINEERS—SURVEYOR AGENT OR INSPECTOR 346 LONG POND DRIVE SOUTH YARMOUTH,MAt S. OFM4S OF 02664 TH MA LOT «t r E iA( 0 ' C ^4 ;y � NO.21260 y .i o Q GISTEP� w155'T &42;4R.cSTA&ZZ . . . 7 �` �� ,e � �Fss/ONAl. PETITIONER . S/jLN/S E�E /i1/•Se v}� No. ---—-- ------ BOARD OF HEALTH TOWN OF BARNSTABLE Zipprication-*rWell Cootruct ion Permit Application, t is,hereby made for oa permit to Construct ( ), Alter ( ), or Repair ( )an individual Well at: — -w-.. 1 cs_xv.scUr ,_ Location - Address Assessors Map and Parcel -- laic _ `�7,_e_x i rs ------- ;5 5_lA�s 11Lrr_ _'C'x�ac n�--------------- Ownc Adddress - er At 1-111-—A-j ---_------ e Installer - Driller Address Type of Building Dwelling �fY� LC1 -- —--- — Other - Type of Building---------------------------------- No. of Persons------- Type of Well----------—, -- —— -- - — Capacity----------------------------------------_ --- Purpose of Well- lD �`�---�1�11►!�t --ILL` _lA2f i?1 Agreement: The undersigned agrees to install the aforedescribed individual well in accordance with the provisions of The Town of Barnstable Board of Health Private Well Protection Regulation — The undersigned further agrees not to place the well in operation until a Certificate of Compliance has been issued by the Board of Health. ps `� Signed ------------------ date Application Approved By date Application Disapproved for the following reasons:------------- ------------------------------- - date Permit No. -- /— -�� �`�.'-���-1_R- _------------ Issued---------------�--�"'-------�---�-��---_-----__— date BOARD.OF HEALTH TOWN OF BARNSTABLE Certificate ®f (Compliance THIS IS TO CERTIFY, That the Individual Well Constructed (k<Altered ( ), or Repaired ( ) by--- - - ! ? - ------------------------------------------------- Installer at------—=----- V -- —— — — if— _ ---- ———— — ——-- has been installed in accordance with the provisions of the Town of Barnstable Board of Health Private Well Protection Regulation as described in the application for Well Construction Permit No.f�---�0"d,�.PDated--. - - '� THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE,THAT THE WELL SYSTEM WILL FUNCTION SATISFACTORY. DATE- - -- -—----------------------- — — —--— Inspector—- -- —------------------------------------------------------ --------- —- ----------- - Fee BOARD OF HEALTH t4. TOWN OF BARNSTABLE ZippYicat ion-*r Well Cootruct ion Hermit Application is hereby made for a permit to Construct ( ), Alter ( ), or Repair ( )an individual Well at: 35 tt� i�1zC'% x^S' �� Location — Address Assessors Map and Parcel Owner / Address Installer — Driller o }f. Address Type of Building Dwelling—�Other -- Type of Building ----- No. of Persons------------- --- --- Type of Well --- — -- Capacity--- --- -- --- Purpose of Well's--�- 1 n� -h!Ulhu—Q)!4-k—taUCtier _ Agreement: z rt The undersigned agrees to install the aforedescribed individual well in accordance'wi h he;provisions of The Town of Barnstable Board of Health Private Well Protection Regulation — The undersigned further Agrees not to place the well in operation until a Certificate of Compliance has been issued by the Board of Health. Signed � ,,,. ✓c: L,r date Application Approved By l-�' '� date Application Disapproved for the following reasons:-- — date Permit No. — !— --- Issued-- — date . ti BOARD OF HEALTH TOWN OF BARNSTABLE Certificate Of Compliance THIS IS TO CERTIFY, That the Individual Well Constructed 44 Altered ( ), or Repaired ( ) i Installer at----------------------------------�=a'?------------------�---��Ti'___�---------------------�_------- '�-------�___------------------- has been installed in accordance with the provisions of the Town of Barnstable Board of Health Private Well Protection Regulation as described in the application for Well Construction Permit No.,. --"-* Dated THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE WELL SYSTEM WILL FUNCTION SATISFACTORY. DATE---- -- --- ---- —------— Inspector—-- _—__----— -------- - - BOARD OF HEALTH TOWN OF BARNSTABLE Well Con5tructionpermit No. --------- ------------ fy� Fee------------------ Permission is hereby granted------ 7 -------�':` 'f- �`— —- _ to Construct (1/1 Alte (� ), orsRepair ( ) an'_Individual Well at: l,� Street as shown on the application for a Well Construction Permit No.--- °+f- e^'- ---— — Dated-- Board of Health DATE -- -- - -- ---- --- ------ --- - TOWN OF BARNSTABLE - UNDERGROUND FUEL AND CHEMICAL STORAGE REGISTRATION OWNER AND INSTALLER INFORMATION ADDRESS: ` n,.?7 q MAP NO. Il / PARCEL NO. �3 OWNER NAME: tl I L k( i S r--_ PR t ,v(.S VILLAGE: Vj. P q A, ,) F,l�1 f7,4 F-: INSTALLATION DATE: BY: 0 Lrt� ADDRESS: -� CERT. NO. A l � 0O I( TANK INFORMATION LOCATION OF TANK: CAPACITY ftm n C--TYPE AGE FUEL/CHEMICAL TESTING CERTIFICATION C ] PASS E ] FAIL DATE LEAK DETECTION Cx] CHECK IF N/A TYPE/BRAND oho ZONE OF CONTRIBUTION E. ] YES I NO DATE TO BE REMOVED FIRE DEPT. PERMIT ISSUED [ ] YES C ] NO DATE UUNSERVATION E`�] CHECK IF N/A DATE BOARD OF HEALTH TAG ///// NO. ! ]C ]C ]C ] DATE (, PLEASE PROVIDE A SKETCH SHOWING THE TANK LOCATION- ON THE BACK OF THIS CARD Roo iz 8' r III'' ' �i^y �'Y �'�'f,. M � 'S£•�"I�'�� F f }��� �*A��['J¢£`N I i` y i! lo 4fi.'4V� 1 v�. ;,,,.r... LICENSED MI;_iclrtC` IPISt.lf3E�l) ., 17'S1:\Y�'Ie1414;��iV A C,26.15' 508-430-2800. Fax:60 13tf•1'1'16 s\ tit ., c� t'. - " ... J n,',: r'� � # p_ i 3';4 1'1 "��Vi�.I(. ;'�{^;(++'D('/l,'lliow` tull Im HY�IiINI-41 S.AAA 1,1'?601 ',tlH?i'�.,nw ,:)f,;f�,r t 71100-, F,..r t 1 - I r,�') I `ca....,(.& d i ..f.� 1. � �" � _�i9 a 3. 7 �q ya���7R��� �pi�,, 1�. ��5 Y('�� Q(�'5➢�gU'��. p ��4.�' £ ��' MAU _ p T_e9a t het,.}i`a E a ir"!J ..A_-1 p�t,I ®t a �., Ii 3 s F £�r. ��Y�r *It.,a 1 ;I �� �:Y fja,; I r�� �+� U I f� �,�➢ } f;E' .�1v ��t�tr33t� ��: FI.._[ D� FIE� 1�...? a.� . OIL r � ppp @ F ; i a �I ��� MV'' i �, �}? �4,�' 'a�g@G Hp � � $t'� �' i I!`•J §� ��I c a I :,�>zi•t+: Iiwr��� �a� �':tr����, ¢a:i tl, I�,.!{Pt,�s.�3 i';'I�1 19 .��PI H)1 i�s<g;!1,�� 4�E�,.�':�<',i'al�F.�iI�.'`}�� cl� ;[(��$ .(t 3�k(if'�a.�:,��Iyyyt,.�x,��"�x�"i P�.r t��llf�,¢�Fs�.'P Nlg'krt�i l"✓�..�f.�� !I;�!� d t y N(DW « � I" 30 71.€l l Scale, cale 4:a , notEid er,s•tl,.n 'citivas '� t�9�!,}., i s.' ',k. �.. �'P �'e '� � 4�i�''I. •yl��i I: slgf� �..:�p�+ �1 il� � 1 k. iE }.-��2;i+ I q:� � 1• ) As I,"'" T Yin Cfil 19) Jga';�6ii EL 1ymc'A. t;tlltKtuf:v silinglE "'�'Ifit3 RPAPa[l";x 1r.a and Water erl rc;rorl•` 1 112 T&G►lexirinq — -- 5'B"Advantet;sheathin 1 Jl1"7 tJ it Flaoririg _ n 9 x 11 r•Fit'Floor 1/2"'x 11- 1.3"Floor Jtalaats; 1-3/4'z 18'LVI Ridge 2x1?Ptafters«D 11i"oc _ 1 c:::: :: --.:t - .L 112"7/_.•1.1"Plato - •-- 2,6 I6'oc i (tight l0 ndgo) (2)2x6 f.ohai hest RtJ"or` 101!2" 5-112"r r -1/a"Plat, l ['x4 1'rirn (notched lit)Po ti I . ! 6� � � l.STA21 I i '{onilntt.)us cffit VE nt t a;l cyr> t l t71a ct�l i} �tion5 'iP:3?;FatlatlttaOrji:je �cuisj P ) �J,�4l�tam r rtacas lollcorriary l :cc: �r- a-r_xia � rsr...wf .j Struc 5„6 6x8 0a Plate 6A or 6x> post , i T i rtA H2 6A Flfl it i olirps lu L3 .3 Gk.Tru �... 2x42x4 itiFl �.. i I/? x 7"I or the Ps ^Q'il!7q x 5 31 'Sill IYIIaIIiTlll I E7?D R t 1 �?- 2" fl s 1 ` ?' t t, n ien (2,IPe in x 1. Pullin I 2" tn� �iicsd rJts,F't7at�i x!t /kt'Mai i h Joist 9 {{ _ ��i15 x 1 f 7!£ l=io0r Jelsis ! 2vA I � 1 1. I SaH!DN{t(Fit all L'i i - - 112 I - - _w_`..._. rIfn.,,1?-2, ryvd i 3'5 3/4" i 2x.''T ttt:a i:Sili Ii ever F7 !41.1d.;lK i )J6'x it. a•,�,hn1 ho Its Ca'3f"oc , .r&1'1 /Attcsal t GR�tE'' J it t. 4G- oll 0C PV } r �r I �(.7.) �f^ , I"�uit,:{[ '(e.tyr.-�• ��t J_' f#.SS��'t S'.� =.I'-: T .:?-J ( -1'i� 1.�.- Y.�x�-S Y;..F f..�. '"�S .t V' Fi. ��.Y'4Y L .e«4S j-Y �..�_ 1ri�rlCil E'ri �J.�I� -:J. � .lJi _ t ✓� d �E-� t .,1 .� k i t ;i.i iL (2;i r+�I�BJx31'x.`. of Cow,,; I { �E��si�s . �}�}� •`dt�:�s f'�I �E!'wr£'. a�,.��z (� ,� T` €'!,;�`�w`"r`_: [..�.�4�IS"'"H51 U a3 i�tE'-,.f�,�'tila"$j�+tl+�f-sr'§i l�*�`'?€.t�Fs`�1 t �e`��'1.�5 ��� I �:3 �3t � R ,, y ; I�i ..^rse. Nf �; ? ► s .a!;. e?._f _¢ 3iz&+.2! �l�fl t Vlfhil wi'r St lr JI;:, z ♦ tat 1). J i � t Timber Panel '"' Detail SIIH`)1n SCALE: 1/2" = 1'-0" I I i C i61 L`i . . 18 I ' I $.HCAR try qyL. g' g NS PLAN N NOTES: 1/2' ? 2x8I'? 1411;rsdi ° a ;2) 1/,Z" [:�} pl avo? d t��.y�:t rule t. 110 MPH l xpor uro 8 WC FM guidE.Jin(is'to foliovred r Stran)s, nqlilirttl, raft r clips, tie I t'J<Aiiig c1Mmis, ,;pilft,;, tAC, .Edges: 4 t)n. .R j E" c);in Field E? {-o,-r Joists -i-.1/;.� x 1' '7/8" Flonr.joists,a'4r o; a' ra r't r�+r1 a,1 I)ri uI e Simpson HU '.`,�'10 Q, (:'n r f ul'Idratican bo tom, Irate t3 f:,..n e.'::h.s�. c r;. t,:,,; 3 � 3. .t) C ..,t, l� 1 �? {� ' S2)4arblrf t'r:.lsfl) i)I :ail i/€!Ctlr;il �i�at :alil#� wh "x 1�1�i4t3';liilr holt:�FO'L7C F 0s !hall r01.m[Jadion d 5. Sin1ty-,on L,fra 4 1 iC1t; 4tl ,-,,p al.i;voi'Y t�'Eter Fif c'4" 3.C. !3 06 100t?g rc, '13'n . S i Ht ,„r 1,ntl:.0 a clips, 31 i.4 h 1';1a r connection r� c Foundation Detail SCALE: 1/2" = 1'-0" �Tj�i 42' D,���i<Ii4 /1 11„ - WOOD PRODUCTS__ t4 r �_ Y' ,. 2� f , .,r Its all about the wood ►4:~:++M'�.!'r f �, k�� +C? �:N� 3h1�. 1"N.�tk'A+t:�r' '�t�f���gislli "�`fi,�rtu;tl�Y,:.+I,'S* a".,�i�� �� ��t.�"4 tea"�i�ie Ali, �w. �'��i �"p�r:Ra., +tR m;F„e;� ,a,..a ., �- " t }3, I ( 1 F RMAING(OTAPONENTS Ridge:1-3/4"x 18"LA I ;?r 2xl2 i':eMe,i 6 R aflef Ties,@ 16"oc a:7 Gable C311Ci Pest,; ° ( )248 GoIiar i k..: 48''oc I _ _ 1 4'9 1/11 P i (� I J, e':00 Sill _:._.,. 6X6 Plate R»Ilui I ; ' 7 VA" _.. . ')l(c ;c i � F i�CIt i:�l<it .�.. _ �.. -• it ,i-1;Z 7-1/4 Plate I p II NO 17 4..10;V4' — Pacai;,l 611'-1 r 2 ;/2,x 6"Sill 12 i J• T. Section 4 SCALL: 1/4" = 1'+04 Section 3 SCALE: 1/4" -- �g J� �� a 42' H RN - &M A •- 3 WOOD PRODUCTS_ t 'kt-wiOd t�res :�"@ne i4arbor "ned """+O!tttvCts �•"" Cle'. �+g^;r�� E�'�$ e•��;"tCr9�:�s �yi�� ,�w 1��w •� ?�- � ��; ���� °�'� s�i� �s� Mallaboutthewoods�' a w 4� f," ani7c ' 1 I r Il Height I j xE post 4-1 172 FT_ t Rio".;: -Pan115-6°-3 3! ' —f1d- -Qs➢i7_" —€atie4 7?-i`i'i"—! t1 3 F 1l:` T!eaaei b 3 7`;-:i" ! — 1� j3'-Elie" — arie4 -li`s 3I�"'— i 6t Section 2 SCALE: 114" = 1'-0" -- -� -- f-NlD --- ` DT"f Axw-vs H nriot)�h � � X. *U MIR � 8115113 X. WOOD P_ROD_UCTS Fitz'*i;: rr ; 044 F0 ty Pirte i►q4 nr 0i pp1wx"F a is ' ( eC-P ? k1* Hvitia.+vi,tv4. P&A 02 u f+ h"i .; it rK.# ± „" 104 co 'A 'l4 16 all about the wood' xr N I� ....... .... r�dP f Dili}#8i h i 6Xf#FGa# fMx13 ij)s[ 14,#cos j I Ii 1 I I� 3 3t4° Pin l 4-7' P7.1F.i 2 7'•i'— P�7e11 .10t�:'t— /Z1,11 o�®� ®��s Section 1 SCALE: 114" — 1'-0" PINE OR Ka.All f w a s ' a 42' A •M 11 /1 WOOD PRODUCTS t4 c � e « w a lt' all about the wood' 6 uutN( S- Id�.. J"ran ---- _. .._. ..._. . ...-- - ; 4X4 N"•rop!i(hp) QVI Second Floor SCALE: 114" = V-0" _ PIS ®R 2XV ,f.�r�' UAO. im �/�Z511 WOOD PRODUCTS_.. r..� .. It)- ' v a 3, " vie i 3 { �." 47l Its all about the wood ? nrilr+at � s* afn � � 8:roa a ? ?fir" �, ,. .t� t< !! „ Ti t� --4,';7'-6 1121' 2 'o'il'/." .� _ 2� i S!')_': _ _f:'1'Ei 11:. E i{.. 9j1,._ - 1.1 f ,1 `11 f i i nT C:D j { d' for,, i Zi iJy _ C Zf cy � 1 i 1 i i I Floor Framing SCALE: 1/4" = 1'-011 IPTANE O WOOD PROD_ UCTS #x'rfi „:is ` Y M! fl, >15i $ ._.._..__.._ _........_.. _ ._,._- ...._« Es; a- dt aa€ ,wp y tara�rtrs �tp� N irnr� � +e ws,�►w w r� °r•. 1`9; �a � , ,i,xm a,u 4 x r-#y, rr. ae �n i i d" d�fi ref 5.. aa�a. #�ks �r 9.s+ �o. ffi all about the wood' i 5101, i 1 1/4" 2 Its;" 7 114" _ _ 7 I 3 11.' i�ay»!15-G'•3 314"- ,914 G 1f?' __,1_.____-_.._R.aridl 13.'-T'--,._.__.,__,� ,� -AC'12 1 b 11, -� -panol 11 7 ?"_.___ _'- � � #'its � 6 i12 r banal 3.0-3114"-_w._�. I ! -5 �, , It I i M ALf N ALJGN X.P N ALIGN', �•, f I Up- i I I I a + ,�._�.._...M__.__.I:,at,etl-'IQ 3i14.:.__,....__._._. .�,_..�,M.,...,._._..._.._.,FYatte;#�.F,3"._.__._.:_-�.-�-�F',•mnarl3=:�'-6'�1J-"''>k---�-�--,�.....__._Krar„eir:_ � �,,.w _ �i--�-_-,..._,..____...__.._.M�anel',s 'i(!'>3:It4"._�_._.._,.�_._. 5 121, l 1/1 i^it" L;„ 1 j14" 5a12 First Floor SCALE: 1/4" = 1'-0" M . ' ]PI %f___)xR � 4" :� 4 ` �a��. .14 r151 3 FOOD PRODUCTS t! ." Ibk;1 '.�!< " qt'1,.tl iyyt•e ...• t xv re t ar. a'. -A ,;'�� ^^ $IT" of Ate+ Its all about the wood' tip� ,. 1 ..".................:..�....._,........_.._..___.,-,._,._.___._._._.._.._....:............-_,.v_...._.__.............._.................._.._.._,.,......_.:_..... .._.._._.- v._......_.._.,.._...._ t -- • ------�-------- I -- —1 -------_—_---i_' —————————— -- o F---._._.------_..--------_..__----.----_...---__— -----_._.—.._.— —_.------------`-- :, I I I I I I I I �I.,- I I I I I I I I I I I I i j i I I I I I I I I I I 1 I I I I I I i I I I I I I I I I I I � I I l.- • I I I I I I I I I I I I I I I I I I I I Ii I i I i I I I I I ' I I I I _.----------_.._-----------------------------._._._.__—.----------- --- _.. --- ----- --------- - ------------------ Foundation SCALE: 1/4" = 1'-0" PINE IMR-BOR WOOD PRODUCTS It's all about Me wood" ;nc:.�m:zco:..�-zsr,•u� i.� .. ...-rz.:,...z-.. _ �._.- � > •a:.� sw,:nnw:�ma.:� r�.-• -- i t S i South Elevation SCALE: 1/4" = V-0" Qi 11 Wi . WOOD PRODUCTS It's all about the wood"" Id I: v ! �T Y ! If B! ti. I ! 3 9 1 g 1 _ ! f 193 � � c � � � � 5 � - � � I ;• iS �i j Tel ( „ j I � f � II [� } a.. Back Elevation Front Elevation SCALE:.1/4" = V-0" SCALE: 1/4" = V-0" PINE IIA"OR WOOD PRODUCTS .lts all about the wood"m 4 p i 6 f fir r s North Elevation �§CAL-E: 14' t 1'-0" ti ''f d+ + 97:" .R C. �tMiF.#�„RI!1' i1�UIr: R '4t.•�`Ii fU �' �"v��T p �, Y"Y.iCwr• IF t1� � '_ J' R-.'.f `M3 ...» W O V PRODUCTS m i 8 y ! .s ,. r+ , �•;P. �n r i' n. 1 ? }` S.t r f 9� *ti "9 ,.� It's all about the wood su +i,q,k?e•�,�A('Ir 41'4 i�fPriJ!E k'.7FRP i�sr1llt�-� �"ti�erSR�.�k.+IH� u�+�R_��`:fdz� ��"(9'�".H i1.Ul�.�'rn'�.�! "° .�v.iJ'�� c�i�'au@aa�«f:�?<d A�ii:i:�ii i.if;,. t4:i�c� n,,t�..:i l�'srw�a rar,:�s;y s:�a�:=x. s;�V.�2s��.�.��� t ,._sr.=.,.{,� �a1�5.�". . L� TOWN OF BARNSTASLE 2013 SEP . !i,Aj 9: 7.--- oaos�@s Woo I/ oo i" 2oo J o� Aff I � !/J\J❑1I✓ o` New 2 x l 0 Floor Yois+ I ro n 1 1� ten+ered under ewah+uns x I_ _'1 N�� far himpsanm GMhT l 2 0 i]�,`1_f\ ' coil strap :f 9 + a. 9 roimpaonm LU�i 2 B b I!o"o.c. h''mpaon® `Luh 2 B L' I G"o.G. I i ly \\ atf blockinyo 12"a �'�•^ J I I I w12x%O yteel bewm I 1 y `, C fCC � Y L L I I I I I �p��hEGON17 FLOOD F�AhiE � f � � � .T�2 xB Ledy..a}+.abed hcwle: 1/4"- 1'-O" �� �ifmpso sNOU2-�iOh2.�i y rew S �J L � � } n G �___ ___ _I Note: All rlesuremen+s/ ----)Olmenaians are to 0 I be si}e v.rtfled by 4--AGan+r.w}ar / %'-1O 1/Z" p'T'� %'Io I/2• w+Mime of canstrucYion P n xG Oiw9on.l deck suppor+s ajim Lt1.x®LUG 2!0 o I!o•o.e. v Q halted+o wall beams below prone w NorC:All exposed bwrw.re to be r.t.d V for exterior expoaure and Pr contact m o� a,2*6s o P v 0 ,r-) � J Of Mggs �� s- "I Q Z .t J v 0 a N o?(� DANIEL P. ROTEAU —� O N _ �< � CIVIL I !i - +- C No. 46253 ; J V V m � ///,, 0. ox. FG/STEM �� x/S)`/ ij I w 0 I I I I I I I I I I � O J- SSIONAL UF I I I I I I I I I I A FI�h-r FLOOD PLAID � w a I I 1 1 ASeO hcale: O !% a l ' S II II II II II a c I I I I I I I I I I ` Newt gw.11s moved I I I I I I I I I I g Window pro+oc+ion+I conform with tio� / \ .Tre.• l e %O 1.2.1.2 Pra+acYion of openings. `v o v c P P Tb,a pawn 1,.ccardwnee with // •r ` l rea..r mor. a es,den+.I Gade 2 0 o,-y-zx ;//j .�.. sl a+ol• r.. de 'j:lI III_�, II1 II1 I1I I1I III III III III I�� +C5hde 1 dIOno nO r nBa++h oCndwl„+�a n. w a HBO-tlp— To Qu a w o+o Qy y c Q' • ��na z dbe4 /j W F z / I I I I I I All Iyesurements!Dimensions wre+o ®y�c H ' x9 11 I I I I I I I I I I be si}e veriFled by 4enerwl Gon+rwe+or �s_—am s PPo�t9 !/ v �sf "•�, C -"-- I I I I I 1 1 .+time of tanstruc+ian u,a tco'o E J) m n o IF— sF an, sa<'gsm� O Q9 6 juPPo+ �IOU LU - 2._�. •- B'•F DRAWING TYPE: First'Floor Plan �ieaond Floor Frame Plan i SHEET NUMBER: Tj X � 2 �0 �. a` 4 �4 m�m.o� � o ff New 2 ztA e—ll.,ties a Ito"o.c: for pen.l connections /� \\\/ Q Z`o 5 ma o o o C� o C -- ----ir a �A _ I II Gxis Yinq 2 zB R-Afters to rem in Lin.of roof nbo�e I I \\ II II GzisY'inq 2zB R-afters+o;emAn/ \\\ \\\ �\ I I I . S roimpson®H�Tie. brn r� O Pi pson®Hvties oboth I / I truss rafters(typ.l. 4- YrUssrefters I /?-9• New 2 zB rAFY.rs for I \ New 2 zB rAF}ers for '�''� /\� -S +ruses where required +ruses where required C I I I I ✓-'� � � G � r GxisYinq 2 xB R-Af}ers to remAin I I I I Llne of roof Above v M1 Gxisrinq'2 zB R-AF+ers Yo remain L W 0 0 I II L NP{ ��oof brAcinq o 9'-O"o.c. v -7 3 \ Far panel connectons j �n ® z _ v s �G�GOOF FAME PLAN � Q i o 0n `u � ojc I/a"_ Y AIL: 1'-0" s R-AF+ers+o be removed V Gzis#mq('-afters Yo remAin � O New New 1=Af4.ers 7-1 ------------ PI f�/7sT/z S6Y sh:P�^nbo / ti CO �� o4bnrc�+rr�w/`*� Pz/��/�., [ P 'Y� existing be.,mt+ar Ain p, �iEGONfJ FLOO�PLAN nl Q ° w� � dl�q Pnf'PPed / � .:: GJGAI L. 1/4 I -O �.r 1.v. '--• •� � W A.a 3 m E \ y L nn Ql\/ Ge ling L:n. New wens Ally UANI CyGJ, qUj 4 w u G i, \ w:ndowpr+ +on+000nformw:rh CROTEA 0" m a m Y R-%O I.2.I.2 Prot.e}on of openings. U N 0 Golmq Lin. �,r�V�l Ill v- ' .\ /y�c ,' ----- j---- --- ----- ----- rh s plAn was des fined n Aecordenc.with No. 46253 O U a o Y / �Y _ the In#erneY:onwl�es:dent AI Gode 2 00 9 � � IL N.;(subfloor#o bl ck nq 6!A"o.e. /~ - Gd}:on And the TIAssAchus.+rs BO Gt-IR- '� �� l tt O / /'�: _ �� , �A f V GzisYinq beams+o remAin FS �1G' S/0NAL E All I-lesuremen+. Olmens ons Aro+o L—Lbe site�erif:ed by gcn.rAl Gon}rec+or nlhn9 srz / ° f A ----- ---- ------------------- A+rim.,f6 ons+ruc+ion - - e� 10 6` B. 0l 3. wta a a ` > s a ~ln W d4JcL 6 DRAWING TYPE: loevnJ Floor Plan - �'R� woof Frame PIAn ZS G" SHEET NUMBER: 9� OO 7 pl s o�'`o Y��amfi :f W `aa=E� maa m °ao`oo°'�fiES � s R m nbm`g "oi 0 � a a u 3 en a` Gan+inuous ridge vent c S � O 1/2"z 9 1/2 Peal+s w/nut and washers Fir exv s N 1/2••x 9 I/2 feral+s w/nUt and washers �tf Z py t I/2"z fo 1/ /nut and washe Flf-lair 1:a Y Happed Joints a"H.O.Insulation R.%O(typ.) Existlnq 2 xa wafters e 1!o"a.c..� Q � �, Gut rafters to aceep+wall plate _ New PAI-I LY 1=00h'( u• S � Proper vents e 1 Co"o.c. 0 \\� 1ilmpsanm H"l Ties e bath 2 x 4 e each 2 xa+runs rafter. '., rafter trusses(typ.). Z h'�mpsonm H%Ties a both �� 2 x 4 knee-wall e l lo"o.c. psonm p w O �iim GMhT I Z cog s+ra ' yim GMhT 1 2 coil s+ra rafter trusses(typ.). Psonm P � _from plate to plate.Wrapped from plate+o plate.Wrapped round each plate and centered e round each plate and centered e " each+runs. O �" each+runs and nailed full length to � Q joints below Q J Ezis+'inq 2 x 1 O's Existing 2 x 1 O's 2.1 O'iol'id blocking e 1 2'•o.L. a"H.O.Insulation 9 O(typ.) under each knee wall. W 1 2 x%5 y}eel be m ry Wrap beam w/9/a a z E m "Type"x^f'reeode drywall 0 , . 'nl w p .. do 0 z ..��m 6) U p 1.. z 3m eXI-JTIN4 GA(=AGe Q?� DAM EL J, u P. Q CROTEAU z W W CIVIL NO. 46253 dais-T �SSIONAL ECG �`008 Q v Oop3 Q P\\ Lt' lu 30=DOE I--tnIEV. DRAWING TYPE: PJuildinq GJe6}ion"A" SHEET NUMBER: lj A400 7 °u E 2m .a5 3 o6 f Gan}'muous ridge vent Q a a m u v r W o o on ya�?qnm 2 x4'Geilinq joists/aallar ties e I eo" 1 2"F.G.Insulation P- 41 p.l 01 W 'a a"H.O.Insolation"�90(typJ / .. > ExisYinq 2 x 1 O rafters to remain L. S / el"N.O-Insula+lon R-90(typ.) 1i}andl eAm co roofln Proper vents e 1 Co"a.c. ^A s PPar A Proper ven}s e I m"o.e. 1.. 5/6"GOX plywood sheathing(typ.) 0 \ I 2�`,` 2 xe,Fafk—e 1 'limp—H 2.5 hurricane Yes e 1&" 2`R-gid foam insula+Ion e I + lo'• H.O.Insulation R-9 a .rfi �' p-emove axis nq d floor/cemq o c _ .... .--- (j ..I Ii S;-...... r_ ly ._._. I) .....j. .. _ , ..�_.. :!_..._ ...l; 4.TimberLOK-m screws e 1 Co"1.6. 1 z_PVG trim boards C S K; �I Continuous soffit vast 4yp.) S Continuous soffit vent<typ.l i(j a - �- A derse a ]L I^ 2-4"Timi-1-011m screws a ea.beam 6. r.o.4'-9 9/B'•x 9•-O 1/2" V" E%istinq framing erL to remain lo"TimbOcm l screws e I el"o.G. • :... \ E CC 1/2"APA rated"full-he�gh+"sheer}hinq E (typ) IGYNENm closed-cell L " insider}on-P-7/in. � l TyvekTM housewrap(typ) 2 z 4 Wall s} o.uds e 1 eo'• G. �+ < r I r Vertical 1 xlo T.<G siding(+yp.) 2 x!o Floor joists e 1 I�ITGHEN �aof-2-Wall Yentm r'Jimpsonm PP connectors e 1 -1. w I � Existing insula+ion}o remain +' �.... � ��� r 5= ,� I r'�imps > U 4 B 4 xb Fir beams at+ached to Existing framinq}o remain Hangers a both ends 4 xB crass beam . Gut rafters to accept wall plate 4 xB Flr cross beams e"H.O.Insulation O(}yp.) attached to rafters. Proper vents e 1!o"o.c. n exisYmq 2 xe Faf`l—e 1 6,"o.c.. _ n Z m v W F �m Z. Nrc �m 'I NEW FA"lLY'�-001-1 `Ig ••-' p w " 3°m 2 x 4 knee-wall e l!o"o.c. ' J o. 4- ((1 I m o I V N p. < OF a�m� Ezis+inq Z x l O's e I 4"a c!.S(� Existing 2 x I O's e I 2"a.c. tL O o a vv \� U 2 x l 0 r'iolid blacking e I 2"o.G. � p ' under each knee-wall. a � \v OF Miss 9 �G� �UILI71t.�l.1 AEG rIOF.�„G" �' DANIEL P. -E 03 P_ CROTEAU m -XI-T-ING CIVIL =vm NO. 46253 Yv¢e��o s0^� � �- \\ G/STER Q SS/O LNG 4"Ti.1—L-O sc lcm rews e I e,"o.c. AL 0 H=u o N Q s C aE \\ at¢¢ O QE .1� LU :r DRAWING TYPE: I�uildiny heakion"P�" .T p�uildinq heG�'ion"U' it I� f�U1�17iNG�EGTIoN„�„ rJ� SHEET NUMBER: 2-4"TimberLOlcm straws a ea.beam A 4 0 I lo"TimberLOFm screws e 1 fo"o.c. °l €,m o Umoo m OEOOOa�En��p p �qn°O" on 4 Q C 0 A- Z 7 X N < r mill MEN H � � � � � L 0 I 0� L p 00 00 . < s C LU FRONT ELEYAT��N L Q.` O V O C J ry Z m V W F �m W mK m ^ •'--� � W N D 3 m W J w OL N f m� m U) 'Dtu \ , IL U o- ILLLLI O f _ °W P \S j U I WOnt= S 0 Fill III III III I 4-H ®®®®®� ®®®ElD ® Z �E}i J 00 ODD ®®®00 ® � DRAWING TYPE: Fro°+elava+.on r � ear slave+ion r� G EA ELEVATIDtiI o hula. 1/a"_ 1'-0'• SHEET NUMBER: W p O= E v O�OOOR�E00< Q Z O �ic mfl=Ju�Oo� x u f Q t 4 Z o x < d < cL ell I-L_�j [I-Di LL]D TEMB ® o v I ElDEEDD o kne s by P�U11der v Z m ®13®®®® ®(J®®®B CO Wa ®©®®®D ®®El®®© �- z I I I LL ^ .r-r [� W # I J K m U 3 0 4__ Qj m Q E y o 2 U i I Q c a U) W___ _ _____ _ ________ _______________ N am________ __ __ --------- _____ --------------- _________�__ O _____________________________________________ ______. _ pO U ®Jp— ��WEhT ELEVATION �G�EAhT ELEVATION / d J O. m 1 "'o' haQle: I/a'- I'-o�• ��2oUTN ELEVATION `u ov c'—• P_v 03 \ ,. JO�O •. P P_ s a I`I e m S\\ C a000t30 V.� J a' a - 5ocn � a9oV a l V DRAWING TYPE: Ga�aye Eleva�ians .,I .j SHEET NUMBER: A ry j f EL: TOP OF FOUNDATION CONCRETE COVER, CONCRETE COVERS M X� R7O N 12 A 12"MAX. OR SCHEDULE 40 4"SCHEDULE 40 PVCJONLY) E PVC. PIP PIPE- MIN. CH PITCH 1/4"PER.FT PITCH 1/4-PER FT. P T PRECA�T LEACHING PIT OR VERT \-INVERT I N VE T EQUIV. EL.I. SEPTIC TAN K DI T. L Box INVERTJ OL w 3 GAL. INVERT w /4"TO I Vi' INVERT I.- 1 11, EL.."- WASHED v E L.V�77 U. UJ STONE' 17- WDIA. v Ja- DIA f p" W-TER PROR LE OF GR6uN& A fABLE �407V- t-76L SEWAGE DISPOSAL SYSTEM NO SCALE 7Z) t?r eAg"OV6"P 41-0 D W17W CZ- P- 77�4 SOIL LOG WITNESSED BY : 7 lrpk-nelo 00,7, BOARD OF HEALTH DATE'��-':-W. .,A9'91 TIME.�. . . . . . . . 4-:'! TEST HOLE I Z TEST HOLE 3 -ENGINEER ELEV. g-'ELEV. 4�, Stoe-X4,4. Z4 swe-sba- DESIGN DATA : ;7/�l ;fp,/- > fivc NUMBER OF BEDROOMS 57,91,f c le, AT' 91,40 TOTAL ESTIM ED FLOW GALLONS/,DAY Z7 BOTTOM LEACHING AREA A .,SO.FT. /PIT/ v-pl,0,0,4 R.S,r SIDE LEACHIN AREA .. '§O.FT,/ PIT/ GARBAGE DISPOSAL AREA INCREASE) TOTAL LEACHING AREA . SQ.FT PERCOLATION RATE . ?!4E; , MIN/INCH LEACHING AREA PER PERCOLATION RATE' !'0�4-SO.FT./C,�.Z).' NO-WATER ENCOUNTERED NUMBER OF LEACHING PITS APPROVED BOARD OF HEALTH r DATE . . . AGENT OR' INSPECTOR v \N qo, 1-55 gg rl> A 117 4 7 5:7 PZI- /V/ ol vl S&-P77 C .4c., �.x I'*-,- .-/ LJ 77 '2 77� 4-11 ly 4e 4 I. ,. ............. 'ev cfe I'v ZL- ie OF 10 N, j/.,j-77 Zl 7 1Z PL 's 41:> 7- 6 OF 1,n, -cls AELELEY NO. 2610; �61ST E C rLEA PI PI j EA H :�2kl ]LEOST. L IT C 0 P E EQU 3/4.To WAS H STON -----------