Loading...
HomeMy WebLinkAbout0084 LOOMIS LANE - Health 84 Loomis Lane 4 Centerville A= 230-109 No. 4210 1/3 ®RA s (b 10% a ® a Y TOWN OF BARNSTABLE Li'CATION ?4' Zoo jq/s- ��� SEWAGE# 9,o Jam- 3 yS VILLAGE�K�7"e:.v Lu TASSESSOR'S MAP&PARCEL o7�3o s `a INSTALLER'S NAME&PHONE NO. ISI4,A) C SEPTIC TANK CAPACITY /.» G.91- LEACHING FACILITY: (type) L.-)qc ,,�,� C�fA,a9�F (size) .1-3 Q g°"x a' NO:OF BEDROOMS OWNERjT PERMIT DATE: /f- as'- COMPLIANCE DATE: - - - Separation Distance Between the: s Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility r) Feet Private Water Supply Well and Leaching Facility(If any wells exist on site or within 200 feet of leaching facility) P �J $" Feet Edge of Wetland and Leaching Facility.(If any wetlands exist within 300 feet of leaching facility) /. ®dam Feet FURNISHED BY c l ��`►�� /3•JF n�9. r = 1_®® /At..7 L49oVE Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 84 Loomis Lane Property Address Philip Bateman Owner Owner's Name / information is Centerville ✓ MA 02632 06/13/20 N required for every page. City/Town State Zip Code Date of Inspection Inspection results must be submitted on this form. Inspection forms may not be altered in any way. Please see completeness checklist at the end of the form. Important:When filling out forms A. Inspector Information on the computer, Mathieu Rebello use only the tab key to move your Name of Inspector cursor-do not N/A use the return Company Name key. 30 Norse Rd Co � Company Address South Dennis MA 02660 Cityrrown State Zip Code 774-722-0271 SI-14140 Telephone Number License Number B. Certification I certify that: I am a DEP approved system inspector in full compliance with Section 15.340 of Title 5 (310 CMR 15.000); 1 have personally inspected the sewage disposal system at the property address listed above; the information reported below is true, accurate and complete as of the time of my inspection; and the inspection was performed based on my training and experience in the proper function and maintenance of on-site sewage disposal systems. After conducting this inspection I have determined that the system: 1. ® Passes 2. ❑ Conditionally Passes 3. ❑ Needs Further Evaluation by the Local Approving Authority 4. ❑ Fails X;41 06/13/20 Inspector's Signature Date The system inspector shall submit a copy of this inspection report to the Approving Authority (Board of Health or DEP)within 30 days of completing this inspection. If the system has a design flow of 10,000 gpd or greater, the inspector and the system owner shall submit the report to the appropriate regional office of the DEP. The original form should be sent to the system owner and copies sent to the buyer, if applicable, and the approving authority. Please note: This report only describes conditions at the time of inspection and under the conditions of use at that time.This inspection does not address Mow the system will perform in the future under the same or different conditions of use. t5insp.doc•rev.7/W018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 1 of 18 Commonwealth of Massachusetts Title 5 Official Inspection Form ( ei Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 84 Loomis Lane Property Address Philip Bateman Owner Owner's Name information is Centerville MA 02632 06/13/20 required for every page. City/Town State Zip Code Date of Inspection C. Inspection Summary Inspection Summary: Complete 1, 2, 3, or 5 and all of 4 and 6. 1) 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: 2) 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): t5insp.doc rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 2 of 18 c Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 84 Loomis Lane Property Address Philip Bateman Owner Owner's Name information is required for every Centerville MA 02632 06/13/20 page. City/Town State Zip Code Date of Inspection C. Inspection Summary (cont.) 2) System Conditionally Passes (cont.): ❑ Pump Chamber pumps/alarms not operational. System will pass with Board of Health approval if pumps/alarms are repaired. ❑ Observation of sewage backup or break out or high static water level in the distribution box due to broken or obstructed pipe(s)or due to a broken, settled or uneven distribution box. System will pass inspection if(with approval of Board of Health): ❑ broken pipe(s)are replaced ❑ Y ❑ N ❑ ND (Explain below): ❑ obstruction is removed ❑ Y ❑ N ❑ ND(Explain below): ❑ distribution box is leveled or replaced ❑ Y ❑ N ❑ ND(Explain below): ❑ The system required pumping more than 4 times a year due to broken or obstructed pipe(s). The system will pass inspection if(with approval of the Board of Health): ❑ broken pipe(s)are replaced ❑ Y ❑ N ❑ ND(Explain below): ❑ obstruction is removed ❑ Y ❑ N ❑ ND (Explain below): 3) 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. a. System will pass unless Board of Health determines in accordance with 310 CMR 15.303(1)(b)that the system is not functioning in a manner which will protect public health, safety and the environment: t5insp.doc•rev.7/262018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 3 of 18 c Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 84 Loomis Lane Property Address Philip Bateman Owner Owner's Name information is required for every Centerville MA 02632 06/13/20 page. Cityrrown State Zip Code Date of Inspection C. Inspection Summary (cont.) ❑ Cesspool or privy is within 50 feet of a surface water [] Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh b. System will fail unless the Board of 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 certifted laboratory, for fecal coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered. A copy of the analysis must be attached to this form. c. Other: 4) System Failure Criteria Applicable to All Systems: You must indicate"Yes"or"No"to each of the following for all inspections: Yes No ❑ ® Backup of sewage into facility or system component due to overloaded or clogged SAS or cesspool ❑ ® Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or clogged SAS or cesspool t5insp.doc•rev.7/2 612 01 8 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 4 of 18 L. _ l Commonwealth of Massachusetts Title 5 Official Inspection Form M1 Subsurface Sewage Disposal System Form-Not for Voluntary Assessments u 84 Loomis Lane Property Address Philip Bateman Owner Owner's Name information is required for every Centerville MA 02632 06/13/20 page. Cityrrown State Zip Code Date of Inspection C. Inspection Summary (cont.) 4) System Failure Criteria Applicable to All Systems: (cont.) Yes No ❑ ® Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool ❑ 0 Liquid depth in cesspool is less than 6" below invert or available volume is less than %day flow ❑ ® Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s). Number of times pumped: ❑ ® Any portion of the SAS, cesspool or privy is below high ground water elevation. ❑ ® Any portion of cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply. ❑ ® Any portion of a cesspool or privy is within a Zone 1 of a public water supply weft. ❑ ® 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 2000 gpd- 10,000 gpd. ❑ ® The system fails. I have determined that one or more of the above failure criteria exist as described in 310 CMR 15.303, therefore the system fails. The system owner should contact the Board of Health to determine what will be necessary to correct the failure. 5) Large Systems: To be considered a large system the system must serve a facility with a design flow of 101000 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 CA. 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 t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 5 of 18 Commonwealth of Massachusetts Title 5 Official Inspection Form F Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 84 Loomis Lane Property Address Philip Bateman Ow^neT Owner's Name information is required for every Centerville MA 02632 06/13/20 page. Cityrrown State Zip Code Date of Inspection C. Inspection Summary (cont.) If you have answered"yes"to any question in Section C.5 the system is considered a significant threat, or answered "yes"to any question in Section CA above the large system has failed. The owner or operator of any large system considered a significant threat under Section C_5 or failed under Section CA shall upgrade the system in accordance with 310 CMR 15.304. The system owner should contact the appropriate regional office of the Department. 6. You must indicate"yes"or"no"for each of the following for all inspections: Yes No ® ❑ Pumping information was.provided by the owner, occupant, or Board of Health ❑ ® Were any of the system components pumped out in the previous two weeks? ® ❑ Has the system received normal flows in the previous two week period? ❑ ® Have large volumes of water been introduced to the system recently or as part of this inspection? ® Were as built plans of the system obtained and examined? (If they were not available note as N/A) ® ❑ Was the facility or dwelling inspected for signs of sewage back up? ® ❑ Was the site inspected for signs of break out? ® ❑ Were all system components, excluding the SAS, located on site? ® ❑ Were the septic tank manholes uncovered, opened, and the interior of the tank inspected for the condition of the baffles or tees, material of construction, dimensions, depth of liquid, depth of sludge and depth of scum? ® ❑ Was the facility owner(and occupants if different from owner) provided with information on the proper maintenance of subsurface sewage disposal systems? The size and location of the Soil Absorption System(SAS)on the site has been determined based on: ® ❑ Existing information. For example, a plan at the Board of Health. ® ❑ Determined in the field (if any of the failure criteria related to Part C is at issue approximation of distance is unacceptable)[310 CMR 15.302(5)] t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 6 of 18 Commonwealth of Massachusetts Title 5 Official Inspection Form U Subsurface Sewage Disposal System Form-Not for Voluntary Assessments il 84 Loomis Lane Property Address Philip Bateman Owner Owner's Name information is required for every Centerville MA 02632 06/13/20 page. Cityrrown State Zip Code Date of Inspection D. System Information 1. Residential Flow Conditions: Number of bedrooms.(design): 3 Number of bedrooms.(actual): 3 DESIGN flow based on 310 CMR 15.203(for example: 110 gpd x#of bedrooms): 330 Description: Number of current residents: seasonal Does residence have a garbage grinder? ❑ Yes ® No Does residence have a water treatment unit? ❑ Yes ® No If yes, discharges to: Is laundry on a separate sewage system? (Include laundry system inspection information in this report_) El Yes ® No Laundry system inspected,? ❑ Yes ❑ No Seasonal use? ® Yes ❑ No Water meter readings, if available(last 2 years usage(gpd)): gpd-365 Detail: 19-130,000.18-137,000._Has irrigation Sump pump? ❑ Yes ® No Last date of occupancy: current Date t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 7 of 18 Commonwealth of Massachusetts Title 5 Official Inspection Form F Subsurface Sewage Disposal System Form-Not for Voluntary Assessments ,e 84 Loomis Lane Property Address Philip Bateman Owner Owner's Name information is required for every Centerville MA 02632 06/13/20 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 2. Commercial/Industrial Flow Conditions: Type of.Establishment: N/A Design flow(based on 310 CMR 15.203): N/A Gallons per day(gpd) Basis of design flow(seats/persons/sq.ft.., etc.): N/A Grease trap present? ❑ Yes ® No Water treatment unit present? ❑ Yes ® No If yes, discharges to: N/A Industrial waste holding tank present? ❑ Yes ❑ No Non-sanitary waste discharged to the Title 5 system? ❑ Yes ❑ No Water meter readings, if available: N/A Last date of occupancy/use: N/A Date Other(describe below): NIA 3. Pumping Records: Source of information: N/A Was system pumped as part of the inspection? ❑ Yes ❑ No If yes, volume pumped: gallons How was quantity pumped determined? Reason for pumping: t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 8 of 18 Commonwealth of Massachusetts Title 5 Official Inspection Form c Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 84 Loomis Lane Property Address Philip Bateman Owner Owner's Name information is required for every Centerville MA 02632 06/13/20 page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) 4. Type of System: ® Septic tank,distribution box,soil absorption system ❑ Single cesspool ❑ Overflow cesspool ❑ Privy ❑ Shared system (yes or no) (if yes, attach_previous inspection records, if any) ❑ Innovative/Alternative technology. Attach a copy of the current operation and maintenance contract(to be obtained from system owner)and a copy of latest inspection of the I/A system by system operator under contract ❑ Tight tank. Attach a copy of the DEP approval. ❑ Other(describe): Approximate age of allcomponents, date installed (if known )and source of Information. 2015 Were sewage odors detected when arriving at the site? ❑ Yes ® No 5. Building Sewer(locate on site plan): Depth below grade: 1.5' feet Material of construction: ❑cast iron ®40 PVC ❑ other(explain): Distance from private water supply well or suction line: N/A feet Comments(on condition of joints, venting, evidence of leakage, etc.): joints tight,proper venting, no evidence of leakage. t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 9 of 18 Commonwealth ofiilAassachusetts Title 5 Official Inspection Form F Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 84 Loomis Lane Property Address Philip Bateman -Owner Owner's Name information is required for every Centerville MA 02632 06/13/20 page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) 6. Septic Tank(locate on site plan): ' Depth below grade: 1 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: 1500 gallon tank Sludge depth: 3" Distance from top of sludge to bottom of outlet tee or baffle 31" Scum thickness 1" Distance from top of scum to top of outlet tee or baffle 6" Distance from bottom of scum to bottom of outlet tee or baffle 14" How were dimensions determined? sludge judge Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): the liquid level is equal with the outlet invert with no sign of backup or Ieakage.Tee's in place does not need pumping at this time. t5insp.doc•rev.7/26/20,18 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 10 of 18 i Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 84 Loomis Lane Property Address Philip Bateman Owner Owner's Name information is required for every Centerville MA 02632 06/13/20 page. Citylrown State Zip Code Date of Inspection D. System Information (cont.) 7. Grease Trap(locate on site plan): .Depth.below grade: N/A feet Material of construction: ❑ concrete ❑ metal ❑ fiberglass ❑_polyethylene _❑ other(explain): N/A Dimensions: N/A Scum thickness N/A Distance from top of scum to top of outlet tee or baffle N/A Distance from bottom of scum to bottom of outlet tee or baffle N/A Date of last pumping: N/A Date Comments(on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): N/A 8. Tight or Holding Tank(tank must be pumped at time of inspection) (locate on site plan): Depth below grade: N/A Material of construction: ❑concrete ❑ metal ❑fiberglass ❑ polyethylene ❑other(explain): N/A Dimensions: N/A Capacity: N/A p �' gallons Design Flow: N/A gallons per day t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 11 of 18 c Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 84 Loomis Lane Property Address Philip Bateman Owner Owner's Name information is required for every Centerville MA 02632 06/13/20 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 8. Tight or Holding Tank(cont.) Alarm present: ❑ Yes ❑ No Alarm level: N/A Alarm in working order: ❑ Yes ❑ No Date of last pumping: N/A Date Comments(condition of alarm and float switches, etc.): N/A Attach copy of current pumping contract(required). Is copy attached? ❑ Yes ❑ No 9. Distribution Box(if present must be opened)(locate on site plan): Depth of liquid level above outlet invert 0" Comments(note if box is level and distribution to outlets equal, any evidence of solids carryover, any evidence of leakage into or out of box, etc.): D-box is in good condition with no evidence of carryover or leakage in or out of box t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 12 of 18 c Commonwealth of Massachusetts U lv j Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 84 Loomis Lane Property Address Philip Bateman Owner Owner's Name information is required for every Centerville MA 02632 06/13/20 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 10. Pump Chamber(locate on site plan): Pumps in working order: ❑ Yes ❑ No* Alarms in working order: ❑ Yes ❑ No* Comments(note condition of pump chamber, condition of pumps and appurtenances, etc.): N/A * If pumps or alarms are not in working order, system is a conditional pass. 11. Soil Absorption System(SAS) (locate on site plan, excavation not required): If SAS not located, explain why: N/A Type: ❑ leaching pits number: ® leaching chambers number: 2-500 gallon ❑ leaching galleries number: ❑ leaching trenches number, length:. ❑ leaching fields number, dimensions: ❑ overflow cesspool number: ❑ innovative/alternative system Type/name of technology: t5insp.doc-rev.7/2612018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 13 of 18 c Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 84 Loomis Lane Property Address Philip Bateman Owner Owner's Name information is required for every Centerville MA 02632 06/13/20 page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) 11. Soil Absorption System (SAS) (cont.) Comments(note condition of soil, signs of hydraulic failure, level of ponding, damp soil, condition of vegetation, etc.): soil and stone appears to be clean and dry. No sign of hyrdaulic failure, no ponding found. 12. Cesspools (cesspool must be pumped as part of inspection) (locate on site plan): Number and configuration Depth—top of liquid to inlet invert Depth of solids layer Depth of scum layer Dimensions of cesspool Materials of construction Indication of groundwater inflow ❑ Yes ❑ No Comments(note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): N/A t5insp.doc-rev.7/26/2018 Title 5 Official Inspection form:Subsurface Sewage Disposal System-Page 14 of 18 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments Y rY 84 Loomis Lane Property Address Philip Bateman Owner Owner's Name information is required for every Centerville MA 02632 06/13/20 page. CitylTown State Zip Code Date of Inspection D. System Information (cont.) 13. Privy(locate on site plan): Materials of construction: N/A Dimensions N/A Depth of solids N/A Comments(note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): N/A t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 15 of 18 c Commonwealth of Massachusetts Title 5 Official Inspection Form f- Y i; Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 84 Loomis Lane Property Address Philip Bateman Owner Owner's Name information is required for every Centerville MA 02632 06/13/20 page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) 14. Sketch Of Sewage Disposal System: Provide a view of the sewage disposal system, including ties to at least two permanent reference landmarks or benchmarks. Locate all wells within 100 feet. Locate where public water supply enters the building. Check one of the boxes below: ® hand-sketch in the area below ❑ drawing attached separately t �;ro^4 g 3 ' 1 i OO O `-I A +o f 0 1- 13 , 7 I , ys 6 �- y�. S 3_ iy. 9 3- 4� 5_ 3Sr5 S- 68. Y 6- yo. `I 6- 74, t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 16 of 18 i c Commonwealth of Massachusetts Title 5 Official Inspection Form a Subsurface Sewage Disposal System Form-Not for Voluntary Assessments u 84 Loomis Lane Property Address Philip Bateman Owner Owner's Name information is required for every Centerville MA 02632 06/13/20 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 15. Site Exam: ® Check Slope ® Surface water ® Check cellar ® Shallow wells Estimated depth to high ground water: 101+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: 9/18/15Date ` ❑ Observed site(abutting property/observation hole within 150 feet of SAS) ❑ Checked with local Board of Health-explain: ❑ Checked with local excavators, installers-(attach documentation) ❑ Accessed USGS database-explain: You must describe how you established the high ground water elevation: design plan shows test hole'EL-37.5. with no groundwater enountered. Bottom SAS EL-43.5 Lake Weguaguet water surface EL-34.8 Before filing this Inspection Report, please see Report Completeness Checklist on next page. t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 17 of 18 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 84 Loomis Lane Property Address Philip Bateman Owner Owner's Name information is required for every Centerville MA 02632 06/13/20 page. Cityrrown State Zip Code Date of Inspection E. Report Completeness Checklist Complete all applicable sections of this form inclusive of: ® A. Inspector Information: Complete all fields in this section. ® B. Certification: Signed & Dated and 1, 2, 3, or 4 checked C. Inspection Summary: 1, 2, 3, or 5 completed as appropriate 4 (Failure Criteria)and 6 (Checklist)completed ® D. System Information: For 8: Tight/Holding Tank—Pumping contract attached For 14: Sketch of Sewage Disposal System drawn on pg. 16 or attached For 15: Explanation of estimated depth to high groundwater included l5insp.doc-rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 18 of 18 INO. `-�� FEE y, 1 � y f r Board of Health, � O Z_, MA. APPLICATION FOR DISPOSAL SYSTEM[ CONSTRUCTION PERMIT Application for a Permit to Construct(A Repair( ) Upgrade( ) Abandon( ) - PComplete System ❑Individual Components Location ® YV-Q Owner's Name A u.AAK Map/Parcel# 23c) j© Address �aWl M='lc�ecc( a G Lot# Telephone# Installer's Name Designer's Name I&W A 05,-4,41^ee vd C Address Address, Z � s ��id W 1;'s! . &A Telephone# — OK` Telephone# F- -7 7-5 j)'> d'Z6 y14 Type of Building 1<<S ajxwj"�0t 1 - .5\M 10 r,M-I Lot Size 57-4 Z Z-(a sq.ft. Dwelling-No.of Bedrooms Garbage grinder ( ) Other-Type of Building "f A No.of persons Showers ( ),Cafeteria( ) Other Fixtures /j!N Design Flow (min.required) gpd Calculated design flow'-4 3© Design flow provided 3y P gpd Plan: Date rW& Number of sheets Z Revision Date Title pmewsecj o C C 4 S R M ! ��fi t' f 1 emA , 9 4 Lo oo-t i.S Ct7'1 C'en ve r rC W4 NA 0 Description of Soil(s)?'3�- i 3Z�L 1 Zc G 5i1 9 7-e"Z 36-1 Ze" Sr, NV p-&+ !J2-1 20 SAND 1 k-4 ZU SANv Soil Evaluator Form No. fx n&ic . y t�u�nn Name of Soil Evaluator K&wk-P-A Date of Evaluation t S4F-::�r DESCRIPTION OF REPAIRS OR ALTERATIONS (fzti S t r%j c j! c%,^ new , Ce�\C,A'Q i ft putt:N!, The undersigned agrees to install the above described Individual Sewage Disposal System in accordance with_ o s'o` I LE 5 and further a e to not to place the In in o gation until a Certificate of Compliance has been issued bye. d of He Signed Date CIVIL 0 ja No.3�'iR3� ons/ 0A vy. 4 ri�0 fir. - - �• , FEE ---' COMMONWEAdAd { Board of Health, x APPLICATION FOR DISPOSAL SYSLWCONSTRUCTION"PERMIT t Application for a Permit to ConstructX Repair( Upgrade( Abandon( AComplete System O Individual Components Location FLk zu-a t S Lgvvvz Owner's Name /ja�aK ��14-` �t Map/Parcel# Z © ..�0 V _ Address 19e1 'M"leWC-4 40 AG / 0 Lot# Telephone# Installer's Name Desi ner's Name ! , rr A A/1I g_< � , PV WOAU Inc s: . . Address Address) W Ass A iQ i2d 7q m (e MA Telephone# 3 '_9 7— Telephone# -7 7:S'3)3- d ZW1 Type of Building �C SiC t't A t c�Zr►c I:z M��\� Lot Size SZs ZZ(n sq.ft. -Dwelling-No.of Bedrooms Garbage grinder ( .) 00`tl jr'-Type of Building N/A No.of persons 'Showers ( ),Cafeteria( ) Other Fixtures. Ail I P% `. Design Flow (min.'required) 1� gpd Calculated design flow�3U J Design flow provided 3 gpd = Plan; Date_,' � Number of sheets 'Z Revision Date Title P2��PeSQC1 atop t_�c" M s f 1 Gl1n ,✓ 91 (/tit IS Cr 1 C21'1'�C'dr Description ofSoil(s)'T7�•t 3Z N f zb i5keuo . 36r1 Za " rY� . m-3: Z-120 SAND. Edo �< Soil Evaluator Form No. Name of,Soil Evaluator ��kr KLEa'1Ale.-Q Date of Evaluation DESCRIPTION OF REPAIRS OR ALTERATIONS ��s'1 ry c 1'-ic�.n a F ca r1CW w0"L e7 :.*ss V�'�.. ETER, "f. The undersigned agrees to,install the above described Individual Sewage Disposal System in accordance !% prs�4 T and further a e to not to place the system in o eFadon until a Certificate of Compliance has been issued b oardIeaith. s Signed T Date -ly "'ri l'e1 4. -ec ions / 7 �,.:uc.s �o.rcc:;.,,co. �� ,::,d.,o >,::u�,ccocccoorcococo„coococc.: .... ..�..��.c.•.c,..,c_,:. ,:cu.. � c.,c.,,.:,.,:<n � - No. /\ w /� FEE COMMONWEALTH Of MASSACHUSETTS Board of Health, 196944 41PTB`�e MA k CERTIFICATE OF COMPLIANCE Description of Work: ❑Individual Component(s) W.Complete System The.undersigned.hereby certify that the Sewage Disposal System; Constructed N,Repaired ( ),Upgraded (.),Abandoned( ) by: at has been installed in accordaric with the rot.sio) s of 310 CMR 15.00 (Title 5) and proved design plans/as-built plans relating to 1 Design r application No. dated t, �� Approved Flow (gpd) Installer i \ f { Designer: Inspector: 4� ` Date: S/a I � 6-t V � The issuance of this permit shall not be construed as a guarantee that the system will function as designed. ...aG;%?� .s_ .,, o-cis.c-oq tee.-ro•,`,.+r:r„� r 3'b� o .,_; o c:� � '.kt•£- �. a u U..aul ...C.o o.0 ,-a�.. .cn4 C-'*i Mc:��.,ia ., 4gfl� c. �o � '.,�*Y.xarcS...�c� w� No. �/ FEECOMMONWEALTH OF MASSACHUSETTS f F Board of Health, 8�,4 exv S S� ,MA. ➢ ISPOSAL SYSTEM CONSTRUCTION PERMIT Permission is hereby granted to; Construct(K) Repair( ) Upgrade( ) Abandon( ) an individual sewage disposal system at f. M C.0 L#% Cn. --✓. LLIP. / ass described in the application for Disposal System Construction Permit No. ted Provided: Construction shall be completed w1olhin three years of the.date of th Mpemit.- ocal con 'tions must be met. Pv Form 1255 Rev.5/96 A.M.Sulkin Co.Chadeslown,MA Date Z Board of Health i 77 r Town of Barnstable Richard.V.Sciril,Interho Director 6.1Rti5fA81_ jf �9�A b,6'4 Public I'f a€tI'.Divisr!atl Fumas Thomas McKean,Director 200 I.Mairy Stroe±,Hyannis,:VIA 02601 offiee: 50N-802-4644 tax: SW740-0,04 Installer&Desi<Lyner Certification.Form .D2t:e: �( 6 SewagePerrnit# _ Assess®r:s'M.aPT'reel —loci Designer: �t 1.�_3 '�� w f.��I Install"er: Ad dress IL _<-._�✓aS✓T ? Gy U�U Address: Oil ?C,cttn �5�t n --Was issue:a permit to install a .—_.� (datte) (installer) -septic system at _LCJM(.N CCLt\,P— based on a.design di nw(n b {acidtess - ( �/c51d darted_-._� �0 ;s > j desr.gner) - - -- I certify that the septic system'r ferenced above­was i.nst tllCd sttbswmialh according to the design, w hielr inav include iarnor approved chart 7eS UCII, as lateral eelocat:ion o, tho distribution box and/0'r septic tayd". Strip out (If required) was inspected and the sods were found satisfaCtoty. I certify that (lie septic sys err referenced. above was installed with ma or ehangs ,i.e. greater than l('' la:cral rc location of the S-1S or any vcriical r;e7ocatiotr of any Component of the s ptre system) but inaccordance with;State&Local Regulations. Plata.revi.sion or certified as-built by designei to bllow. Strip out(if raquircd)was,inspecied:and the sod",were lbolid satisfactory. --- 1 ccrtify thai:the system re'tcrenced abgae ryas cun<,rxuaed-.in C(ml pliame with:the terms of the P•A approval letters('if apniicable). f k"/ PETER T 1 r McENTEF CI41 (Destnncr s Signature) (Affix DestQ E:r te i ), PI,EAS,.E RETURN TO BARNSTAIILE PUIi1;I:4C: t-€l•AL'TH DIVISION. E:ERTIT`:IC,Vrl; OF C'C)MPI.,IANCF WILD.:, NO,r BE !SUED t N'FIL BOT}t FORfvf A E) As-- BUILT CARD ARE RECEIVED BY t TIE BARNSTABL.I+ FUHLIC HEALTH D[ViSmiv. THANK YOU. . Q:\Scpticll)csignerL�rtiiii:�tinn Form Rc�z_,•a. .cioc - 0. Town of Barnstable OFINE T Regulatory Services Ri chard V. Scali Director • lARNSTABLE. • Public Health Division 039. A Thomas McKean,Director D NIA 200 Main Street, Hyannis,MA 02601 Office: 508-862-4644 Fax: 508-790-6304 Date: S— 6 /6 Sewage Permit# d o/-i--3 ys Assessor's Map/Parcel 3 p— /o y Installer& Designer Certification Form Designer: w 1�r Installer: 8pua') C" Address: /a i,w e-sr c,-os� Address: 9 7 Tee J 8 rA ,it o X-C yh( ►,t 9 f, 14-(4TW OX.693 On was issued a permit to install a (date) (insta er) septic system at 2! Ce„)n k,, (H based on a design drawn by (address) F-r IF� T C EW t-a-,rn7 dated 9—I (designer) I certify that the septic system referenced above was installed substantially according to the design, which may include minor approved changes such as lateral relocation of the distribution box and/or septic tank. Stripout (if required) was inspected and the soils were found satisfactory. I certify that the septic system referenced above was installed with major changes (i.e. greater than 10' lateral relocation of the SAS or any vertical relocation of any component of the septic system) but in accordance with State & Local Regulations. Plan revision or certified as-built by designer to follow. Stripout (if required) was inspected and the soils were found satisfactory. I certify that the system referenced above was constructed in compliance with the terms of the I/A approval letters (if applicable). (Esftafler's atur (Designer's Signature) (Affix Designer's Stamp Here) PLEASE RETURN TO BARNSTABLE PUBLIC HEALTH DIVISION. CERTIFICATE OF COMPLIANCE WILL NOT BE ISSUED UNTIL BOTH THIS FORM AND AS- BUILT CARD ARE RECEIVED BY THE BARNSTABLE PUBLIC HEALTH DIVISION. THANK YOU. gAoffice formsWesignercertification form.doc oF Town of Barnstable P# Department of Regulatory Services BARNSTABEA : Public Health Division Date �A 1 19. �e� 200 Main Street,Hyannis MA 02601 ��. rfn ray" G FC7 Date Scheduled t 0 -A t �� Time ( �{ Fee Pd. J_.1. yaw Soil Suitability Assessment for Sewage Disposal Performed By: e � c - Wifiessed,By: (/v: J 4, ` ( l LOCATION & GENERAL INFORMATION Location Address �' ) 1 - M 1 Owner's Name lk_�G4-k t Ce✓lz/l, �c Addressf"�l I 44,RSo'Lci/ Yt-t6P Za l 7 Assessor's Map/Parcel: -Z c Engineer's Name`e2, NEW CONSTRUCTION REPAIR Telephone# __5_d`F-737 Cf7 G 6 I Land Use �S '^ I S� es Slo 3'0 P ( ) I.- �--- Surface Stones Distances from: Open Water Body 7 .0 ft Possible Wet Are Drinking Water Well t Ski ft Drainage Way J ft Property Line I s- '4-0 ft Other ft SKETCH:(Street name,dimensions of lot,exact locations of test holes&perc tests,locate wetlands in proximity to holes) 3 . - Parent material(geologic) Depth to Bedrock Depth to Groundwater: Standing Water in Hole: 1*190/"o- Weeping froln Pit Race Estimated Seasonal High Groundwater 2 (210 N6-VD DETERMINATION FOR SEASONAL HIGH WATER TABLE Method Used: Del-.th Observed sa nding in elrs.hole: in. Depth to scll mottles: Depth to weeping from side of obs.hole: In. Groundwater Adjustment Index Well# Reading Date:. Index Well level AdJ,factor- AdJ,Groundwater level "fl PERCOLATION TEST bate Time o� Observation Hole'# U-� )�- 7 'rime at V Depth of Perc l�L S13 Time at 6" Start Pre-soak Time Q Z� 5 1( , Time(9"•6") _ End Pre-soak Rate:Min./Inch. - Z_Z_ 2 Site Suitability Assessment: Site Passed�� Site Failed: Additional Testing Needed(Y/N) Original: Public Health Division Observation Hole Data To Be Completed on Back----------- **',If percolation test is to be conducted within 100' of wetland,you must first notify the. Barnstable Conservation Division at least one (1) week prior to beginning. Q:\HPTICIPERCFORM.DOC I DEEP.OBSERVATION HOLE LOG Hole# ► Depth from Soil Horizon Soil Texture .Soil Color Soil Other Surface(inJ (USDA) (Munselq Mottling (Structure,Stones;Boulders. Consistency, Gravel) Id. WL5�p DEEP OBSERVATION HOLE LOG Hole# z- Depth fi-om Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Cons' tent % ravel Lo�254 _ ce C, M-C_Sav� 215-`f (l _ ? 2su°Z� 6(&—j u C-z M'-C Sq.nc( ZL 5'�-f DEEP OBSERVATION HOLE LOG Bale# 3 Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Con i to c o Gravel) 10 "A, �, `fZ-`77 ct M_c S�„� Z1S' �II° ? Gz DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil - Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consi t n o _ A SL In yt'LY/Z Flood Insurance Rate Map: Above 500 year flood boundary No— Yes Within 500 year boundary No Yes Within 100 year flood boundary No Yes— Depth of Naturally Occurring Pervious Material Does at least four feet of naturally occurring pervious material exist in all areas observed throughout the area proposed for the soil absorption system? y CS If not,what is the depth of naturally occurring pervious material? Certification I certify that on L �T— (date)I have passed the soil evaluator examination approved by the Department of Environmental Protection and that the above analysis was performed by me consistent with . the required trai ing,expertise and experience described in 310 CMR 15.017. . Signature Date Q:\SEPTIC\PBRCFORM.DOC AsBuilt Page 1 of 2 C . TOWN OF BARNSTABLE LOCATION �J���(;1i, S 1_/,j. SEWAGE #, - .SI VILLAGE ASSESSOR'S MAP & LOT 16 INSTALLER'S NAME & PHONE NO. SEPTIC TANK CAPACITYijrjGG/ LEACHING FACILITY:(type) (size) NO. OF BEDROOMS PRIVATE WELL OR PUBLIC WATER BUILDER OR OWNER DATE PERMIT ISSUED: 4 — lip L3 . DATE COMPLIANCE ISSUED: VARIANCE GRANTED: Yes No ":"3° 0 i http://issgl2/intranet/propdata/prebuilt.aspx?mappar=230109&seq=1 12/22/2015 C . TOWN OF BARNSTABLE LCQCATION 6<'���,r; i�S` Z.h SEWAGE # VILLAGE �P��j`� ASSESSOR'S MAP & LOT INSTALLER'S NAME & PHONE NO. SEPTIC TANK CAPACITY 401lcG� LEACHING FACILITY:(type) /�,Lf (size) . ,✓ NO. OF BEDROOMS PRIVATE WELL OR PUBLIC WATER BUILDER OR OWNER DATE PERMIT ISSUED: j p DATE COMPLIANCE ISSUED: VARIANCE GRANTED: Yes No 2�`✓ V- f 30.00 THE COMMONWEALTH OF MASSACHUSETTS APPROVED BOARD OF HEALTH le Conservation DePOrtmSMTOWN OF BARNSTABLE c-�3 a-%09 1ir4- X' .= Di ipwial Wor1w Cnoufarurtinri f ermi# Application is hereby made for a Permit to Construct ( ) or Repair (X ) an Individual Sewage Disposal System at: 84 Loomis Lane Centerville .................................•----------•---------------------------------............-------- -----------------------------------------------------..........--•-------•-•---------••--------.-- Nathan Miller Load"'-'``d,ess or Lot No. ---•.................•----..........-•-•----••---••----•--•-----------------•-------------------. ----------...----------------------------••--------------.....---------•--.....----...---......... W J.P.Macomber Jr.o,.-ncr Address a ...------•-------------------------------•--------------•-------------•-----•-----------------•-- Installer Address UType of Buildi 3 Size Lot............................Sq. feet �. Dwelling No. of Bedrooms._______________________ ____-__-___._._-Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ............................ No. of persons............---------------- Showers ( ) — Cafeteria ( ) dOther fixtures -------------------------------------------------------------------------------------- --------------------------- - --------•----•------------ W Design Flow............................................gallons per person per day. Total daily flow............................................gallons. WSeptic Tank—Liquid capacity............gallons Length................ Width---------------- Diameter-...------------ Depth................ x Disposal Trench—No. .................... Width.................... Total Length.................... Total leaching area....................sq. ft. 3 Seepage Pit No..................... Diameter--------------.----- Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) � Percolation Test Results Performed by..........................................................._.............. Date........................................ Test Pit No. 1................minutes per inch Depth of Test Pit-.------------------ Depth to ground water........................ 44 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ x Sa.r1-- d &...GY`ave.. O Description of Soil...... _._ ----------------------------------------------------------•------- --------- -----------------------•------------. V ---------------•-----------------------•---•------------------------------------•-•-----------•------------•----- ----------------------•------------------•----------------------.........------....--- W UNature of Repairs or Alterations—Answer when a plicable._.Omi t t ing __twO-_-C 2 S.S .OO lS,............................. Installing; 1-1000 gallon tank. 1-distribution box. 1 :1000 gallon leach pit. Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Environmental Code—The undersigned further agrees not to place the system in operation until a Certificate of Complia ce has been i Aby_the bo d of ealth. E/10/93Signed .. .... �' si - ..:.......... ............................:...... Dare ApplicationApproved By ................. . ........ "" ................................................................ ......1sz:. Date Application Disapproved for the following rea.ronr: ........................................................................... .......................-- ._............... ............................................................................................................. . . . . ......... .--------- ......... ....... . .................... Dace PermitNo. ..........X3... .... .. ...,...................... Issued ................................................................... Dace THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE ` ertifi ate of Tomplianre TT S 1 TO CERTIFY That the Individual Sewage Disposal System constructed ( ) or RepairedX(XXX) J. .Nisacomner Jr`. by ..............0........ .............. .. --------------------------------------------------................................................ F4 Loomis Lane Centerville. at ................................... . ...........................-------------------......--------------------..---.......----------------......--------------------*".....--------------...........-------------*..................... has been installed in accordance with the provisions of TITI,E 5 of The State IEnvironmental Code as described in the application for Disposal Works Construction Permit No. ------?a dated _.___................__..........._... THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTIONG�S'�ATISFACTORY. DATE..................4s.."....1.b..✓.L ✓........................_---............----...... Inspector .......... 3 ..... ...._.:.-.. ...._....................... ..... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE $ 30.CC No.C? FEE........................ Rquisal Workii Tonotrudiun "rrmit Permission is hereby granted......J.P._ ...J Jr.Maeomber .__.__.____............ to Constr t ( ) or Repair ((X) an Individual Sewage Disposal System + Loomis 'Lane- Centerville..............................at No..... -••--••••---•. -- street as shown on the application for Disposal Works Construction Permit No.7I\�\��_-_2'•91-. Dated........................................... ..................................�c�—... .^z.,-.1...................................................... DATE. . /! -. ...................•... V Board of Health ............. "----------�'- ---•----...---•-------- FORM 36508 HOBBS 6 WARREN.INC..PUBLISHERS J F�s...32 0......... THE COMMONWEALTH OF MASSACHUSETTS V/ BOARD OF HEALTH TOWN OF BARNSTABLE 23 c-/o ltrtttt>att fur Dt ipwial Work.5 ( ontitrnrttnn Vrrnnt Application is hereby made for a Permit to Construct ( ) or Repair (X ) an Individual Sewage Disposal System at: . 84 Loomis Lane Centerville . •-•-----•------•--•-------•...•...............•-•••---•••••-----•---•-•-•----------------- ----•------•---•-••-------•-------------------••---------------•--._..._....--------.............. Nathan . --•-•----------------------•---•---•--------------•----•......---...........------•--.......------ O,cncr Address W J.P.Macomber Jr. Installer Address UType of Building Size Lot............................Sq. feet �. Dwelling A No. of Bedrooms.............. ............3---.-.....-.-.-.---.--------Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ............................ No. of persons---------------------------- Showers ( ) — Cafeteria ( ) dOther fixtures -------------------------------------------------------------••------------------------ ---------•---•--•-•••--•-----•------•--------................ W Design Flow............................................gallons per person per day. Total daily flow............................................gallons. G: Septic Tank—Liquid capacity............gallons Length................ Width---------------- Diameter--.............. Depth................ Disposal Trench—No. .................... Width.................... .rotal Length.................... Total leaching area....................sq. ft. Seepage Pit No--------_---------- Diameter.................... Depth below inlet---................. Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) Percolation Test Results Performed by.......................................................................... Date........................................ Test Pit No. 1................lnmutes per Inch Depth of Test Pit..........---....... Depth to ground water........................ 1.4 44 Test Pit No. 2................minutes per inch Depth of Test Pit.._.....-----------. Depth to ground water........................ aSand..-_...Gravel--•---------------------------- ................._.....------------------------------ ......._...... Descriptionof Soil........................................................................................................................................................................ x U .......................................................••--•-•--•-•-•••••---------•••----------•-••---•--•..................•-----........----•...--•---....----•••••------.................------_..... w --------------------------------------------------------------------------------------•-------------------------------------------------------------------------------..................----........... U -Nature f Repairs r Alterations—Answer when applicable..OmittinF- two cesspool s_.- _-•- ..- nstaTli-nr-; °1-1000 gallon tank. 1-distribu.tion box. 1-1J0 .... ;allon leach pit. -••------•--•-•------•••-----•.---• -----•---•--•--------•------•-•--•-•---••-----------•-•-------•------------------•--••------------------•--•-•••-- ............................................ Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Environmental Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been issued by the board of/health. 6110193 Signed/./ tit/ ../'..., ' 7 , %6a ... ..t....... ........... .................................:...... Date ApplicationApproved By ................. ......... ...v.. ..............................--- ........ ................................. . ...... ,�t� Application Disapproved for the following reasons: . ... . .................................................................. ............ ............................ .... ........................................ ....... ... ........................................................................... -- ......- -.... ........ ........................................ .............. Dace PermitNo. .. ...9S. ) .............. Issued ................................................................._.. Dace . f 'd r >a o 40 CID PATIO l T-11' 11'a• 6'-T 11'-P ]'S 2•a• A AS B W Is OERSENNSWING AS _- W F E ISPp N-GS CA I DOOR D m� D b GAS F.P. § (VERIFY SIZE.MFR.& MANTEL WI OWNERS) [BATH/MASTE Q W LIVING D BEDRO M © O INSTALL PAN UNDER WID&FLOW CO—OL VALVE.VERIFY Wl OWNERS 99 x 11.D 2'B'x S'S'2'-]' ]'2' 13'T OONE HOUR FIRE t S. 7p RATED DOOR 77 © N ON. M LTI IVL FLUSH BE-"(vE GARAGE tq (4"CONC.SLAB t�LED PIT CH 2'TO O.H.DOOR WI B eSW WFEMBEDDED 2'0'x B'B' DINING REFD C. PKT.DOOR 4PKTeDOORZo _-- O - O8'0'v TO'OH.OOOR 8'0'x TO'O.H.DOOR ANGEMASTER op colic. CAB. I I APRON BATH {ITCHEN �.j OPEN TO O VERIFY KITCHEN b, V LO�s; -,�• ABOVE LAYOUT WI OWNER) b V6 q © l i J 0 SINK 0 A C B COVER B 77 PORCH § AS A AS � NOTES: B.D. 1.) CONTRACTOR IS TO VERIFY ALL EXISTING CONDITIONS a•-0• 1z•a• ]'-m" e'-n• _ ra• &DIMENSIONS IN THE FIELD 2.) CONTRACTOR TO VERIFY ALL INTERIOR&EXTERIOR MATERIALS, °"'0• _ z]'a' DETAILS,&FINISHES IN THE FIELD WITH OWNER FIRST FLOOR PLAN 3.) ROUGH OPENING HEAD HEIGHT OF WINDOWS AT FIRST FLOOR TO BE 6'10"ABOVE SUBFLOOR ON F.F. FIRST FLOOR =1160 S,F. 4.) ALL CONSTRUCTION TO CONFORM TO 780 CMR MASSACHUSETTS _ SECOND FLOOR =1259 SMOKE DETECTOR - PREVIOUS HOUSE CONTAINED 1704 S.F. STATE BUILDING CODE,8TH EDITION AMENDEMENT&IRC2012 TOTAL FINISHED SPACE =243C-F. ©CARBON MONOXIDE DETECTOR OF TOTAL FIRST FLOOR FOOTPRINT. 5.) 110 MPH EXPOSURE B WIND ZONE,2.00 ASPECT RATIO GARAGE = 523 S.F. THIS NEW HOUSE CONTAINS 1703 S.F. 6.) ALL SHEETS OF PLYWOOD WALL SHEATHING TO BE INSTALLED VERTICALLY, FULL BASEMENT = 32 S.F. (3 HEAT DETECTOR OR HORIZONTALLY W/BLOCKING AT EDGES,WEDGE/12"FIELD NAILING 7.) ALL LVL LUMBER/BEAMS TO BE 1.9e U480 LOAD WINDOW SCHEDULE I PREVIOUS HOUSE CONTAINED 2720 S.F. 8.) SEE CERTIFIED PLOT PLAN DEVELOPED BY ENGINEERING WORKS,INC.WITH OF TOTAL LIVING AREA(GROSS FLOOR AREA) SURVEYING BY WARNER SURVEYING FOR ALL PROPOSED&EXISTING DETAILS. TYPE MANUFACTURER'S UNIT ROUGH OPENING R:nARKS WHICH INCLUDES FIRST AND SECOND FLOORS 9.) FOLLOW ALL MANUFACTURER'S SPECIFICATIONS FOR INSTALLATION OFALL A ANDERSEN TVV26310 2'-8 1/8"x 4'-0 7/8" DCUBLEHUNG &A SMALL BASEMENT.THIS NEW HOUSE CONTAINS 2471 S.F. SIMPSON COMPONENTS „ B AW21 2'-0 5/8"x 2'-4 7/8" HV'lNING 10.)ALL CONCRETE USED FOR FOUNDATION WALLS,FOOTINGS&SLABS C CN33 5'-1 1/2"x 3'-5 3/8" CASEMENT TO BE 3000 PSI D TW 2442 2'-6 1/8"x 4'-4 7/8" DOIBLEHUNG 11.)VERIFY ALL PLUMBING&ELECTRICAL DETAILS W/OWNERS ON THE SITE E TVV24310 7-61/8"x4'-07/8" DCIJBLEHUNG IECC2012 RESIDENTIAL ENERGY EFFICIENCY DETAILS DURING FRAMING CONSTRUCTION F TW 2442-2 5'-0 1/2"x 4'-4 7/8" C:::IBLEHUNG MULLED CLIMATE ZONE SA(USE EITHER PRESCRIPTIVE VALUES OR RESCHECK CALCULATION 12.)TIMBER FRAMING TO BE SPRUCE/PINE/FIR NO.2 GRADE G TWT2810 2'-10 1/8"x T-0 1/2" TR,".NSOM TABLE 402.1.1(MINIMUM PRESCRIPTIVE INSULATION&FENESTRATION REQUIREMENTS) 13.)PROVIDE UTILITY INSTALLATIONS FROM STREET TO NEW HOUSE H AR221 4'-0 1/2"x T-5 12" AW-JIZING VIA UNDERGROUND CONNECTIONS TO COMPLY W/ALL LOCAL CODES - FENESTRATION SKYLIGHT CEILING WOOD FRAMED WALL FLOOR BASEMENT WALL BASEMENT SLAB CRAWL SPACE WALL 14.)FOLLOW ALL REQUIREMENTS OF THE IECC2012 RESIDENTIAL ENERGY A321 6'-0 3/8"x 2'-0 5/8" AViNING U-FACTOR U-FACTOR R-VALUE R-VALUE R-VALUE R-VALUE R-VALUE R-VALUE EFFICIENCY REQUIREMENTS&VERIFY ALL DETAILS WITH THE INSULATION K G63 6'-0"x T-0" GL?DING o.32 O.Bo 49 2D 30 15119 10(2 FT.DEEP) 10113 INSTALLER/CONTRACTOR. 1.CONTRACTOR TO VERIFY ALL WINDOWS WITH OWNER AI`':�ROUGH OPENINGS NOTES: 15.)VERIFY ALL LANDSCAPING DETAILS W/CONTRACTOR&LANDSCAPE WITH WINDOW MANUFACTURER PRIOR TO ORDERING OF WINDOWS 1.R-VALUES ARE MINIMUMS&U-FACTORS ARE MAXIMUMS. DESIGNER/CONTRACTOR IN THE FIELD 2.ANDERSEN 400 SERIES WINDOWS WHITE EXTERIOR W/HIGH PROFILE EXTERIOR 2.15/19 MEANS R=15 CONTINUOUS INSULATED SHEATHING ON THE INTERIOR OR EXTERIOR OF THE HOME OR R=15 CAVITY INSULATION AT THE INTERIOR OF THE BASEMENT WALL 16.)SEE INCLUDED 110 MPH CHECKLIST FOR ADDITIONAL FRAMING DETAILS GRILLES.LOW-E HP 4 GLAZING W/SCREENS&STANDARD HARDWARE 3.REFER TO IECC 2012 CHAPTER 4 FOR ALL INSULATION&ENERGY REQUIREMENTS THE DESIGNER SHALL BE NOTIFIED IF ANY ERRORSB Q� COTUIT BAY DESIGN, LLC NEW HOUSE FOR• THESE AWING HEBUIIONS DINGRE COD ON SCALE : DRAWING NO.: THESE DRAWING THE PRIOR TO START OF 43 BREWSTER ROAD WILL BCONSE RESPONSIBLE FOR THECONTENT OR MAMASHPpEE,MA. 02649 gATEMAN RESIDENCE vaD= 11_olt (508 ,MA. 66 C VENCEAWINGSIFCDNBTRUCTHE COMMENCER WITHOUT NOTIFYING THE DESIGNER OF ANY ERRORS OR OMISSIONS. THESE DRAWINGS ARE SOLELY FOR THE USE FAX(50 )539-9402 OF HE OWNER NOTED.ANY OTHER USE OF DATE : 84 LOOMIS LANE CENTERVILLE, MA HERE DRAWINGS REQUIRES REWRITTEN CONSENT OF THE DESIGNER UNDER THE ARCHITECTURAL COPYRIGHT PR OTECTIDN 3/4/2016 Al ACT OF IBSO. 1 T I CONT.RIDGE VENT 4 TYPICAL ASPHALT ROOF SHINGLES CERTMNTEED VERIFY AZ 1 x 8 FLYING RAKE BOARDS COLOR W/OWNERS /Wl 1 13 DRIP BOARD I x 4 SUE-RAKE 12 TOP OF PLATE 10 -ft ® ® M 2E 1x4TRIM W/'SILL F RI RIEZ 118 FASCIA& 12 FE BOARDS SECOND FLOOR Q5 SU_BFLOOR TOP OF PLATE W.C.SHINGLE SIDING O WIWOVENCORNERS D . . . FIRST FLOOR O SUBFLOOR 'AZEK.4x4POSTS FRONT ELEVATION WIE x 3 ANGLED CAP NEW P.T. .T CASING e B'HIGH BABE CARRIAGE STYLE O.H.00ORS FROM OVERHEAD R COMPANY CAPE COD SERIES,,(VERIFY COLOR) 63'd I TS 12'-0' (SHED DORMER) (SHED DORMER) SU B'-11' 9'-11' 51' A 6 IV A K AS 1 FWD/ E AS J O ACCESS ACCESS /\ BATH N PANEL -PANEL 4 2®1'6'x SB" L— CLOS. CLOS LIN. ———————— —— L——————————— �° O BEDROOM#2 1 b GAMEROOM O© 3'-1' 3•-8' T-1- ° § HALL § 1Ta' 2'fi x 6•B' 3•-0• a•-0• 1a•-3• ©© b O.E r---� b BEDROOM#3 PULL DOWN STAIR QS � � b CLOS. � PANEL ACCESS to ACCEIN SS jA PANE---ACCESS ACLESPENPEN CCESS PANEL PANEL PANEL B AS b § E tj E A A5 i'-0' — S- S- S" S-0' 1D4' (GABLE DORMER) (GABLE DORMER) (GABLE DORMER) (SHED DORMER) 4V4 23'S r SECOND FLOOR PLAN THE DESIGNER SHALL BE NOTIFIED IF ANY COTUITCBAY DESIGN, LLC NEW HOUSE FOR. SCALE : DRAWING NO. C TUIT A ROAD ERRORS AWING SIONSAREFOUND ON THERE DRAWINGS PRIOR TO START OF CONSTRUCTION.THE BUILDING CONTRACTOR WILL BE RESPONSIBLE FOR THE CONTENT 1/4" = 1 I.011 MASHPEE,MA. 02649 C THESE MMENC S DRAWINGS IF CONSTRUCTION PH.(508)274-1166 BAT E MA N RESIDENCE COMMENCES WITHERR NOTIFYING THE FAX(508)539-9402 DESIGNER ERNOTED.ASO OTHER US OF DATE : �� THESE DRAWINGS ARE SOLELY FOR THE USE 84 LOOMIS LANE CENTERVILLE, MA OFTHETOFTHEOESIGNE OTHER USE OF THESE DRAWINGS REQUIRES THE WRITTEN CCT OF1 OF THE DESIGNER FINDER THE 3/4/2016 ARCHITECTURAL COPYRIGHT PROTECTION ACT OF 1990. COM.RIDGE VEM a TY%GAL ASPHALT ROOF SHINGLES _ CERTAINTEED VERIFY COLOR W C-ER6 TOP OF PLATE AZEK 11 S FASCIA.SOFFIT B FRIEZE BOARDS SECONOFLOOR SUBFLOOR TOP OF PLATE ❑ ❑ W.C.TO WEATHER G ` S IAOV WEATHER WI WOVEN CORNERS RST FLOOR S R REAR ELEVATION AZ 1 x S FLYING RAKE BOARDS 12 WI 1.3 DRIP BOARD A.1.4 SUB4iAKE 10 12 10 TOP OF PLATE TOP OF PLATE FIHEI W ` BEGONDFLOOR SECOND FLOOR SUBFLOOR SUBFLOOR_ TOP OF PLATE TOP OF PUTE r ® d ® AZ EK t d TRIM ` W12'SILL L FIRST FLOOR FIRST FLOOR SUBFLOOR SUBFLOOR LEFT SIDE ELEVATION RIGHT SIDE ELEVATION THE DESIGNER SHALL BE NOTIFIED IF AM ERRORS B COTUIT BAY DESIGN, LLC NEW HOUSE FOR• THESEDOROMISSPRIORTIONS START ON SCALE : DRAWING NO.: THESE DRACONSTRUCWINGS PRIOR TO START OF 43 BREWSTER ROAD HALL BE RESPONSIBLE FOR ITHE CO E MNG TOR �/411 = 11 011 MASHPEE,MA. 02649 C THESE DRAWINGS IFCONSTRUC ON AA A PH.(508 274-1166 BAT E MA N RESIDENCE COMMENCES WITHOUT NOTIFYING THE DESIGNER OF ANY ERRORS OR OMISSIONS. THESE DRAWINGS ARE SOLELY FOR THE USE FAX(50 )539-9402 A THESE THE OWNER NOTED.ANY OTHERUSE N DATE 84 LOOMIS LANE CENTERVILLE, M/ • THE6ITECTUNGSREORIGHTRES PROTECTION CONSENT OF THE DESIGNER UNDER THE 3/1/2016 ARCHITECTURAL COPYRIGHT PROTECTION ACT OF 1890. f � 11 � l 40'JY 2YJr � NAILING SCHEDULE 110 MPH EXPOSURE B WIND ZONE JOINT DESCRIPTION NO.OF COMMON NAILS NO.OF BOX NAILS NAIL SPACING A B ROOF FRAMING: A5 A5 BLOCKING TO RAFTER(TOE NAILED) 2-8d 2-10d EACH END BASEMEN —EMEW RIM BOARD TO RAFTER(END NAILED) 2-16d 3-16d EACH END WINDOW____ ____________ —— WINDOW WALL FRAMING' TOP PLATES AT INTERSECTIONS(FACE NAILED) 416d 5-16d AT JOINTS ____ ________ I STUD TO STUD(FACE NAILED) 2-16 d 2-16d G I r L —, I HEADER TO HEADER(FACE NAILED) 16,1 16d 16a.c.ALONG EDGES DROP TOP OF FOUND. FLOOR FRAMING: AT DOOR I I JOIST TO SILL,TOP PLATE OR GIRDER(TOE NAILED) 4Ad 410d PER JOIST ———___J I I I BLOCKING TO JOISTS(TOE NAILED) 24Ltl 2-1Od EACH END NOTE:ENGINEERED JOIST I BLOCKING TO SILL OR TOP PLATE(TOE NAILED) 316d b16d EACH BLOCK CRAWL C OBE FIRE PROTECTED wI I LEDGER STRIP TO BEAM OR GIRDER(FACE NAILED) 316d b16d EACH JOIST J5 GWB Oft MINERAL WOOL J015T ON LEDGER TO BEAM(TOE NAILED) 343d }10d PER JOIST BILCO,C, (4'CONC.SLAB INSUUTION. BAND JOIST TO JOIST(END NAILED) 316d b16d PER JOIST BULKHEAD BAND JOIST TO SILL OR TOP PLATE(TOE NAILED O 2.16 C 3-16d PER FOOT I I ROOF SHEATHING: I I I I WOOD STRUCTURAL PANELS(PLYWOOD) 9 IJOISTS 16'o.c. RAFTERS OR TRUSSES SPACED UP TO 16"o.c. Bd 10d 6"EDGE/6"FIELD 12' ® s<' RAFTERS OR TRUSSES SPACED OVER 16"o.c. Bd tOd 4"EDGE/4"FIELD Ip GABLE END WALL RAKE OR RAKE TRUSS W/O OVERHANG BD 10d 6"EDGE/6"FIELD I 2,' 9 GARAGE GABLE END WALL RAKE OR RAKE TRUSS Bd Dd 6"EDGE/6"FIELD WI STRUCTURAL OUTLOOKERS I IS CONC.SLAB GABLE END WALL RAKE OR RAKE TRUSS WI LOOKOUT BLOCKS Btl 0tl 4"EDGE/4-FIELD PITCH 2"TO O.H.DOOR W16 x 6 WWF EMBEDDED I CEILING SHEATHING: R I I GYPSUMWALLBOARD 5d COOLERS — 7"EDGE/10"FIELD 355TEEL BEAM - - W1813SSTEELBEAM - - I I WALL SHEATHING: I I I WOOD STRUCTURAL PANELS(PLYWOOD) STUDS SPACED UP TO 24'a.c. Bd 10d 6"EDGE/12"FIELD BEnM —— BEAM I 12"8 25/32"FIBERBOARD PANELS Bd _ — 3"EDGE16"FIELD PKT. I TYPICAL d'DA. I PKT. I I 12-GYPSUM WALLBOARD 5d COOLERS — 7"EDGE/1O'FIELD STEEL CALL COL MN I 5{ I FLOOR SHEATHING: DR OP TOP OF FOUND. I WOOD STRUCTURAL PANELS(PLYWOOD) J TYPICALSF 36"x1S I AT O.H.DOORS I 1"OR LESS THICKNESS Btl 10tl 6"EOGE/1T FIELD C CONCRETE OP GWI L—___ _ — ____—— J GREATER THAN 1"THICKNESS 1Dd 16d 6"EDGE/6"FIELD b m Ad SARI BO WA I BASEMENT I:, WINDOW _ — LONL. APRON SIMPSON STHDI4 STRAPS I UP PER O.H.DOOR DETAIL m SIMPSONSTHD105TRAP5 SIMPSONSTHD145TRAPS b I § I N PEROH.DOORDETAIL PER O.H.DOOR DETAIL BASEMENT I STUD AT EACH 610E OF ALL ROUGH OPENINGS Id"CONC.SLAB) -- -_ -- _ - - - I WINDOW END TWLOCKING AT THE A P.T.ix B's tfi o.c 77 TYF.WALLS S LONVERTEAL BARS AS 2 x 6 WALL END TWO JDIST BAYI WALLSWI C6 VERTICAL BARS 1 ®�•a c AS AT 48"a.c.,S-7"FROM OUTSIDE 1 FACED WALL.GRADE 68 BARS DTOUGH OPENING) JACK STUD }P.T.2x 1Vs,11 TYP.18'x 20'CONCRETE FOOTINGS WI2x4KEY STUD DETAIL (LOAD BEARING WALL) 60''- IT DIA.CONCRETE SONOTUBES W124"DIA.BIGFOOT FOOTINGS UNDERNEATH TO 4'0'BELOW GRADE.USESIMPSONABUGS POST BASE INSTALL TWO FULL HEIGHT STUDS 8 TWO JACK d0'A' 23'C STUDAT EACH SIDE OF ALL ROUGH OPENINGS FOUNDATION PLAN WNDOW 2.6 WALL ACKSTUD (ROUGH OPENING) STUD DETAIL (NON-LOAD BEARING WALL) ( 1S INSTALL 5I8'ANCHOR BOLTS AT 28'o.c.-X. W/SIMPSON BPS Ste BEARING PLATES 9' PLACE BOLTSWITHIN6-15'OFEACH CORNER AND TO A 8-MINIMUM DEPTH APPLY CAULK OR TAPE AT ALL SHEATHING m SEAMSANDTHETYVEK NOTE: O VAPOR BARRIER ALSO APPLY ADHESIVE UNDER WALL INSTALL SIB'ANCHOR BOLTS AT 28"°.c.MAX. I P THIS IWOODFLOORING SECOND -- W/SIMPSON BPS 61BJ BEARING PLATES INNOOR DETAIL FOR THE SECOND FLOOR FRAMING 38°' PLACE BOLTI WITHIN 6'-1S OF EALM APPLY DHESIV UNDER DEPTHRANDTO-----I--- APPLY CAULK OR ADHESIVE UNDER ADHESIVE WHERE PIATE INDICATED P.T.3 16 SILL WI SEALER El m ANCHOR BOLT DETAIL ANCHOR BOLT DETAIL SCALE:1/2"=1'-0" SCALE:1/2"=T-0" DETAIL AT FIRST FLOOR THE DESIGNER SHALL BE NOTIFIED IF AN ERRORSCOTUIT BAY DESIGN, LLC NEW HOUSE FOR• THESE DRAWINGS IONS SOUND ON SCALE : DRAWING NO.THESE DRAWINGS PRIOR TO START OF 43 BREWSTER ROAD CONSTRU WILL BE RESPONSIBLE FOR THE COTION.THEBUILUNGOON ENTER MASHPEE,MA. 02649 gATEMAN RESIDENCE DESIGNIN ER OFAN ERR RSOR MISSI 1/411= 1 0ll PH.(5081274-1166 COMME RAWIN SAKE SOLELY FOR THEE �� 8 DESIGNER OF ANY ERRORS OR OMISSIONS. THESE DRAWINGS ARE SOLELY FOR THE USE FAX(SO 539-9402 OFTHE OWNER NOTED.ANY OTHER USE OF DATE : 84 LOOMIS LANE CENTERVILLE, MA HESE DRAWINGS REQUIRESTHE WRITTEN CONSENT OF THE DESIGNER UNDER THE 3/1/2015 ARCHITECTURAL COPYRIGHT PROTECTION ye '1 SOLID 2.8 BLOCKING IN THE OUTSIDE 1 TVA RAFTER b CEILING JOIST BAYS 1TS• 12'-0' ®d8"o.c..ALLOW SPACE FOR AIR 10-1" 21£ 241' FLOW ON THE UNDERSIDE OF ROOF (SHED DORMER) (SHED DORMER) SHEATHING A A5 8 AS cx i I 2x12RIDGEB ARD b/ _ _ N b 2 x 12 RIDGE BOARD _ b AV— ` I I B A NI •I 4 A P.T.4x4PObTb mm — I m 22 AS ATTACH TOBEAMS ^' W/SIMPSON LLE4 POST CAPS BEAM 6'-3" 6'-3" 5'-0" S-0" 6'E' 12'4)• d'E" (GABLE DORMER) (GABLE DORMER) (GABLE DORMER) (SHED OORMER) d0-0 2— d0-0 23'-P ,45 A5 ROOF FRAMING PLAN NOTES: 1.) ALL ROOF RAFTERS TO BE 2 x 12's UNLESS OTHERWISE NOTED 2.) USE(2)SIMPSON H2.5 HURRICANE CLIPS AT ALL RAFTERS ENDS 3.)VERIFY GUTTER TYPE/LAYOUT W/OWNERS 91/2"(JOISTS®16'..c. 11]/B'IJOISTS®16"a.c. HIGH WIND ASPHALT ROOF SHINGLES 5/B"CDK PLYWOOD SHEATHING b 2.12 RAFTERS 15V FELT PAPER SIMPSON H 2.5 HURRICANE CLIPS VAND WA$H TW MADE ICEAVATER SHIELD BARRIER ALUMINUM DRIP EDGE BEARING WAIL 2 2 x 1 MDR. ULTI IL F USH EAM BD — ) 1 x B FASCIA BOARD 1 x 3 STRAPPINGWI i tl2"GYPSUM BOARD I—' —— — — 1,d SOFFIT BOARD I 3$OFFIT(NYL BO BOARD VENT TYP.2 x 6 WALLS 1 31d'CROWN t x 6 FRIEZE BOARD I DETAIL AT WALL L Q ]K,1 31K 1J 3K,1 3 1J SCALE:1/2"=V-0" Q 131"x 11]/8"LVLCONT.HEADE 1 C SIMPBON LSTg2d STRAP MPSON LSTA24 STRAP SIMPSON lSTA20 STRAP PER O.H.DOOR DETAIL ER O.H.DOOR DETAIL PER O.H.DOOR DETAIL I I b r A5 }1 3la' 9 1R'LVL SOLID BLOCKING AT END A NA JOIST BAYS AT dO"o.c AS SECOND FLOOR FRAMING PLAN d0'-0' 23'1Y THE DESIGNER SHALL BE NOTIFIED IF ANY B ` COTUIT BAY DESIGN, ILL NEW HOUSE FOR: THESEDOROMISSIRIORTOFOUNDON SCALE : DRAWING NO.: u THESES DR OMISSIONS S PRIOR TO START OF CONSTRUCTION.THE BUILDING CONTRACTOR 43 BREWSTER ROAD Y LLBERESPONSIBLE FOR THE CONTENT 1/411 _ 11_011 IN THESE DRAWINGS IF CONSTRUCTION M .((508 ,MA. 02649 gAT E MA N RESIDENCE COMMENCES ANY ERRORS OYING THE PH. 508)274-1166 �� FAX(508)539-94OZ THESE THE RAWNGMER OTEDOA SOLELY FOR E OF USE THESE DRAWINGS ARE SOLELY FOR THE USE DATE 84 LOOMIS LANE CENTERVILLE, MATEN ESE ORTU NG COPYRREQUIGHTRES UNDER THE PROTECTHE TION ARCHITECOF THE DESIGNS COPYRIGHT PROTECTION 3/4/2016 L L , I - 2x6'n®16'ac. 1 v ' 12 2 • RE.T1m16 Fv1Lv 'T IN:.—I TOP OF PLATE r BOARD f m-1 siM.u Txe•Lvl //// ONP1 x 3 STRAPPING\\\\ MASTER \\\\ �M9ERipa,� ro�ESA 1 ; X BEDROOM \\\ \\ 0�6 W T1✓ti xMLEv ip 6UBFLOOPLYWEOB NAILED \ ¢1 vmrs m t4e sva¢v N4as MT>Oc. SECOND FLOOR \ WOOD SUBFLOOR TOPOFPLATE 14-ENGINEERED JOISTS®IS os. µv snAs1� p Au�`�mom.¢�� I YB'FlRECODE GYP.BD. TYP ON IN GARAGE PING®16' ° 'TYPE X GWB ON ALL WALL WALLS OF THE GARAGE Zt R zoo. CONST. GARAGE Rk•n„M Mq,a—ATHIN6 .6 M.aLB„ITN 411�nNKEv ( PITC N sue H 2'TO O.H.DOOR W16 x fiVJVJF EMBEDDED TOP OF FOUND. co ' MIN.v.2'.s4'RATE v851vR 1LLmv 0 U v T'U §L17- (� B)SECTION A'� 0 �vOvx y 8 6-COMPFILL OMPACTED TO yy MIN.12"FILL COMPACTED TO 95% tY•MIX o t�v¢Nni)T @ GARAGE O.H. DOOR DETAIL SIDE ELEVATION As ', APA NARROW WALL PORTAL DETAIL(SHEAR WALL I HOLD DOWN) CONT.RIDGE VENT 13 2x S5�16'o.c. 1p TYP.ROOF CONST. -2.12 ROOF RAFTERS®16' , 12 -51B'COX PLYWOOD RDOF SHEATHING St -ASPHALT ROOF SHINGLES -151- FELT PAPER 2x tp's®16"o.c. ` TOP OF PUTS -1P HIA BAIT INSULATION ®SLOPED CEILINGS(R=]B) -1+'BATTINSUlAT10N ®FLAT CEILINGS(R=49) .2 x 12 RIDGE BOARD -SIMPSON H 2.5 HURRICANE CLIPS AT ALL RAFTER END4 § N -ICEI WATER SHIELD AT BOTTOM 3'0"OF ROOF LOFT -WIND W VENT BETWEEN RAFTERS -WINO WASH BARRIERS SECOND FLOOR SUBFLOOR , 9 112.1.JOISTS®16"v.c. TOP OF PLATE TYP.WALL CONST. MULTI LVL BEAM FOR SLIDER 2.12'PLYWOOD SHEATHING }1 Y LVL HEADER 3.6'(R=20)BvB INSULATION 1 4.11Y GYPSUM BOARD 5.W.C.SHINGLE SIDING - 1 INSTALL FLASHING UNDER I KITCHEN LIVING 6.TYVEK VAPOR BARRIER j HOUSEWRAP B DECKING L CRA SLATE I DECKING GRAY DECKING FIRST FLOOR 1 SUBFLOOR FLOOR JOISTS ( 9 112"I-JOISTS®16'o.[. 01) W18 }P.T.2 x 12's W/AZEK FASCW � 9'GATT INSULATION(R=30) w/ x355TEELBEAM 2X WOOD NAILER BOLTED P.T.2 x B.®I , 1 TO STEEL BEAM�24-°.c.STAGGERED P.T.2 x 10 LEDGER BOARD IAG BOLTED TO 1 SOLID BLOCKING WI R)LEDGERLOK BOLTS TYP.IT CONCRETE FOUNDATION g CRAWLSPACE 16'a.c.V/JOISTS HANGERS AT BOTH ENDS INSTALL PEELS STICK WALLS WI(2)W HORIZONTAL.BARS b AT TOP B BOTTOM OF WALL, NOTE:ENGINEERED JOIST RUBBER MEMBRANE GRADE 60 BARS TO BE FIRE PROTECTED w/ 4 CONC.SLABWI..IL BETWEENIEDGERB SHEATHING DAMP PROOF WALLS KGWB OR MINERAL WOOL POLY UNDERNEATH) BELOW GRADE INSULATION. P.T.2.10 LEDGER BOARD uG BOLTED TO SOLID BLOCKING WI(2)LEDGERLOK BOLTS 16'°.[.STAGGERED WI JOISTS HANGERS SEE IRC2 SECT.502.2.2. P.T.6 x fi POSTS ON BE CONIC. 009 SS S U BEIUBESTO LOW GRADE USE IMPSON 66 POST BASE A W/2 x 4 KEY AC 6 8 ACE fi POST CAPS II A SECTION @ DINING/LIVING ' r A5 ! I x THE DESIGNER SHALL BE NDIIFIEDIF ANY B Q� COTUIT BAY DESIGN, LLC NEW HOUSE FOR• ERRORS OROMISSIONSgREFOUNDON ESE ROMICONSTRUCTION.SIONSAREFOUND PRIOR TO START F SCALE DRAWING NO. 43 BREWSTER ROAD WILLERESPONSIBLE FORITHECONTENT R MASHPEE,MA. 02649 IN THESE DRAWINGS IFCONSTRUC ON 1/4" 1 COI PH.(508)274-1166 BAT E MA N RESIDENCE COMMENCES WITHOUT NOTIFYING THE A 6 8 DESIGNER OF ANY ERRORS OR OMISSIONS. FAX(50 )539-9402 OFETHE OMER NOTEDSE RAWINGS ARE SANY OTHER USOLELY FOR E OS E U E DATE : 84 LOOMIS LANE CENTERVILLE, MA CONSENT THESE DRAWINGS REQUIRESOPYRIGHT UNDER THE THE PROTECTTEN ION ARCHITECTURAL DESIIR ER PROTECTION 3/4/2016 el ----------------- i LEGEND N EXISTING CONTOUR Wequaquet Lake OT BENCHMARK SET / x 36.82 RM PRIOPOSED STING P CONTOUR MAGNETIC NAIL SET L %f°r -� / EL.=46.33(NG VD) �a 47.3 �Ns 45.z j 48.1 PROPOSED SPOT GRADE Q �° ( � -NI- PROPOSED WATER SERVICE Y$-47:e- _3pp.Op 22g 14 ` J o Ow MAIN \R� � A �6 � � +� e:�-/-{-OVERHEAD WIRES v °� or 1,0 47.5 47.9 , TPA• -' o '� V104 = < TP-4 N % 32.100WETLAND FLAG oP e(,t HYD GND -SERVE oo j Ci ✓V s°o LOCUS ('�ole \47.3 0 6 0 A j WETLAND� p 0 of •3 `7 TES PIT a Great Marsh Rd gee >^ Route 2 4 age \ x 47.0 , o to j BENCHMARK Qr`°c 46.7 e a6.e y TP-3 x 46.3 Y Route 28 ::. ,a o \\ V' x 47.3 O / m west Moir) S `" f 46. i' 46. MAG,SE ,•�`�.j•SHUi&'P. �o d\ a•, N Sx O O j LOCUS MAP Ij O NOT TO SCALE PROPOSED SEPTIC TAN ' IFF PROPOSED. �46.8 s. 100.6�� 0 1�. �''�• p .DRIVEWAY:',' 6 PROPOSED \ Tp B• •a'•HOU E(#84)� 7 45, s �13.9 3`03S" GENERAL NOTES: a7, % •<., �$ `... T.O.F.=49. - J E r:.,.'• /'• GARAGE 46,6 � / � � •� \ • 2�T.O.S.= 6� u� `s • a j• f 4.80 1. ALL CHANGES TO THIS PLAN MUST BE APPROVED BY THE LOCAL p2 c� 48..33 to as.o �� j •� BOARD OF HEALTH AND THE DESIGN ENGINEER. 4 0a5. C /•,� �'� j 2• ALL WORK AND MATERIALS SHALL CONFORM TO THE REQUIREMENTS .�9.o z a9z 4 a °� ° \>O�/ / U°F�ER OF THE STATE ENVIRONMENTAL CODE, TITLE V, AND ANY APPLICABLE x x �; z.z 0� 3n 50� Vi1,^5c '��`•�• LOCAL RULES AND REGULATIONS. _ �` �' v � T B / 3. THE SEWAGE DISPOSAL SYSTEM SHALL NOT BE BACKFILLED PRIOR TO INSPECTION AND APPROVAL BY THE BOARD OF HEALTH AND THE a\W � / 45.9 x' 9 �� 3v _�, �. DESIGN ENGINEER. i i F'X /- i 4. ANY CONDITIONS ENCOUNTERED DURING CONSTRUCTION DIFFERING • 4 f N x ^`��/ j x 35-6/ 1 X 34.9 ,� ,. FROM THOSE SHOWN HEREON SHALL BE REPORTED TO THE DESIGN \ I LO � 36_ / \ + O ENGINEER BEFORE CONSTRUCTION CONTINUES. S ^ 5. ALL ELEVATIONS BASED ON NGVD. V ` 6. THE DESIGN ENGINEER IS NOT RESPONSIBLE FOR THE FAILURE OF 1 x ` 119.9 \ `�6 OF•� v102 THE CONTRACTOR OR OWNER TO NOTIFY THE LOCAL BOARD OF 33 V z.6 •35'5 . W �� �QE. 7 '� I O0 HEALTH FOR PROPER INSPECTIONS DURING CONSTRUCTION. �4 E OF M S x 41.7 '\ \ :Viol x ISOLATED 32.9 14 m 7. WATER SUPPLY PROVIDED BY TOWN WATER SERVICE. 4SSq� 34.2 VEGETATED 8. THERE ARE NO WELLS WITHIN 150' OF THE PROPOSED S.A.S. a TERRY ys � TL WEAND � ANN � z � 9. ALL AREAS CLEARED FOR CONSTRUCTION SHALL BE RESTORED AS WARNER N ` AGREED UPON BY OWNER AND CONTRACTOR OR AS OTHERWISE e No. 38721 ` DIRECTED BY THE APPROVING AUTHORITIES. ��� N_ ce�,, Area ± 10. IT SHALL BE THE RESPONSIBILITY OF THE CONTRACTOR TO VERIFY 52,226f S.F. THE LOCATION OF.ALL UNDERGROUND UTILITIES, PRIOR TO BEGINNING ' = 1.2f Ac.�y CONSTRUCTION. PARCEL ID:. 230-109 11. WHERE REQUIRED, CONTRACTOR SHALL REMOVE ALL UNSUITABLE SOILS IN THE AREA BENEATH AND FOR 5' ON ALL SIDES OF THE S.A.S. AND WETLAND DELINEATION REPLACE WITH CLEAN SAND AS SPECIFIED IN 310 CMR 255(3). JACK VACCARO 18 12. AREAS REQUIRING STRIPOUT OF UNSUITABLE MATERIALS SHALL BE P.O. Box 955 112' " W Of INSPECTED BY DESIGN ENGINEER PRIOR TO BACKFILL. Sandwich, MA 02563 .g6'S2 P��� MgSSgc (508) 888-5855 5 1 PETER T. 9� FLOOD ZONE DESIGNATION x McENTEE PROPOSED SEPTIC SYSTEM SITE PLAN MAP NO. REVISED: JULY 116,52014 o CIVIL , MA CENTERVILLE No. 35109 84 LOOMIS LANE, NON-HAZARD Ap�� f61ST � �� Prepared for: COTUIT BAY DESIGN, 43 Brewster Road, Mashpee, MA 02649 ZONING CLASSIFICATION: ZONE RD-1 SETBACKS: FRONT YARD=30' OWNER OF RECORD q, Engineering by: Surveying by: SCALE DRAWN JOB. N0. SIDE/REAR YARD=10' + lZ �( �• Engineering Works,Inc. WARNER SURVEYING 1 -40' P.T.M. 215-15 MILLER, NATHAN MAXIMUM BUILDING HEIGHT = 30' PLAN REVISIONS 12 West Crossfield Road 22 Long Road 6901 MILWOOD ROAD 1/4/16 - BUILDING &-SEPTIC TANK LOCATIONS Forestdole, MA 02644 Harwich, MA 02645 DATE CHECKED SHEET N0. WIND EXPOSURE CATEGORY: Exposure B BETHESDA, MD 20817 3/7/16 - BUILDING FOOTPRINT (508) 477-5313 (508) 432-8309 9/18/15 P.T.M. 1 Of 2 1� NOTE: PREVENT A THE PROPOSED F, I S SOIL LOG - INSTALL GRADE SHALLLL NOT BE < EL:44.0 SEPTIC TANK FAR A DISTANCE OF n5' AROUND THE INSTALL RISERS & COVERS OVER INLET PERIMETER OF THE S.A.S. AND SET TO 6" OF FINISH GRADE. PROPOSED S.A.S. I DATE: SEPTEMBER 9, 2015 REF. P 14,808 PROVIDE ACCESS TO GRADE OVER OUTLET COVER PROPOSED D-BOX PROVIDE TWO ACCESS MANHOLES TO WITHIN 3" ( # ) INSTALL WATERTIGHT RISER & OF FINISH GRADE FOR INSPECTION PURPOSES SOIL EVALUATOR: PETER McENTEE PE, (SE#1542) TLF.G. EL.=48.2± .0 COVER SET TO 6" OF GRADE WITNESS: DAVID STANTON RS (HEALTH AGENT) F.G. EL.=47.3t F.G. EL.=48.00t F.G. EL.=47.5t �INTAIN 2% GRADE (MIN.) OVER S.A.S. Elev. TP- 1 Depth Elev. TP-2 Depth L = 10, 47.3 A 0" 47.4 A 0" S=1% (MIN.) S=1% (MIN.) L 13' SANDY LOAM SANDY LOAM® 4"SCH40 PVC 4"SCH40PVC) �4" ISCH 0(PVC 0YR 4 ) 1OYR 4/2 6„ 46.9 /2 6„ s` 46.8 B e 10 I 6 aae13aaa SANDY LOAM 14" aaaaaaa SANDY LOAM ' aaaaaaa 10YR 5/6 1OYR 5/6 INV.=45.75 a8" uoulD � , LEVEL ADD 4' 4.8' 4' 44.6 C1 32' 44.4 l 36 ' GAS BAFFLE) ' INV.=44.67 PROPOSED INV.=44.50 I PERC INV.=46.00 INV.=45.50 D-BOX EFFECTIVE iWIDTH = 12.8' AIM INV.=43.50 M-C SAND M-C SAND 42 50 PROPOSED•SEPTIC TANK 2-500 GALLON LEACHING CHAMBERS 2.5Y 6/6 2.5Y 6/6 dj SURROUNDED WITH STONE AS SHOWN >20%GRAVEL >20%GRAVEL H-10 RATED 41.8 C2 66" 41.9 C2 66" TOP CONC. ELEV.=44.3t BREAKOUT ELEV.=44.00 EFFEC M-C SAND M-C SAND NOTES: INV. ELEV.=43.50 ease 2.5Y 6/6 2.5Y 6/6 1) CONTRACTOR SHALL VERIFY ALL EXISTING PIPE eases aaaBa 5%GRAVEL 5%GRAVEL ee INVERTS, PRIOR TO INSTALLATION. BOTTOM ELEV.=41.50 as aaaaa 2) SEPTIC TANK & D-BOX SHALL BE SET LEVEL AND TRUE 4' MIN. OF NATURALLY OCCURRING 4' 2 x 8.5'=17.0' 4' 37.3 120" 37,4 120" TO GRADE ON A MECHANICALLY COMPACTED 6" CRUSHED PERVIOUS MATERIAL TIVE LENGTH = 25.0' STONE BASE, AS SPECIFIED IN 310 CMR 15.221(2).. _ 5' MIN. ABOVE GROUNDWATER LEACHING ISYSTEM SECTION 3) INSTALL INLET & OUTLET TEES AS REQUIRED. BOTT. OF TP-1 -L, EL.=37.3 Elev. TP-3 Depth Elev. TP-4 Depth 4) CONTRACTOR SHALL INSTALL AN APPROVED GAS BAFFLE LAKE WEQUAQUET WATER 3/4" TO 1-1/2" DOUBLE 47.5 0" 47.6 A 0" ON THE OUTLET TEE. SURFACE EL.=34.8 WASHED STONE SANDY LOAM SANDY LOAM 3" LAYER OF 1/8" TO 1/2" 47.0 10YR 4/2 6„ 47.1 B 1OYR 4/2 6„ SEPTIC SYSTEM PROFILE DOUBLE WASHED STONE B SANDY LOAM (OR APPROVED FILTER FABRIC) SANDY LOAM 10YR 5/6 10YR 5/6 44.0 C1 � 42" 43.6 48„ PERC PERC M-C SAND 42"/60" M-C SAND 30"/48" 2.5Y 6/6 2.5Y 6/6 ®®®® 0 ® E®® >20%GRAVEL >20%GRAVEL DESIGN CRITERIA _ ®Ea®®®® ® Ea ®® 33" 41.5 C2 72" 41.6 C2 72" '4- w ®®®®®® ® ® I` ® ® NUMBER OF BEDROOMS: 3 BEDROOMS N ? ®LTM®®® ® Ea®®® M-C SAND M-C SAND if SOIL TEXTURAL CLASS: CLASS I (LOADING RATE=0.74 GPD/SF) 5%GRAVEL 5%GRY 6/6 2.5YA EL DESIGN PERCOLATION RATE: <2 MIN/IN 102" DAILY FLOW: 330 GPD 37.5 120" 37.6 120" DESIGN FLOW: 330 GPD ANO GROUNDWATER OBSERVED GARBAGE GRINDER: NO-not allowed with design 4" KNOCKOUT PERC RATE 2 MIN/IN. ("C" HORIZONS) LEACHING AREA REQUIRED: (330 GPD) = 445.9 SF 20" DIA. COVER .74 GPD/SF / 4" KNOCKOUT 4" KNOCKOUT 58" PROPOSED SEPTIC TANK: 1500 GALLON CAPACITY PROPOSED D-BOX: 1 INLET, 3 OUTLET (MINIMUM), H-20 RATED 0 PROPOSED SEPTIC SYSTEM SITE PLAN USE 2-500 GALLON LEACHING CHAMBERS IN SERIES CENTERVILLE, MA SURROUNDED BY DOUBLE WASHED STONE ON ALL SIDES 4 84 L KNOCKOUT ► OOMIS LANE, 2(12.8' + 25.0') X 2 = 151.2 S.F. Prepared for: COTUIT BAY DESIGN, 43 Brewster Road, Mashpee, MA 02649 BOTTOM AREA: 12.8' x 25.0' = 320.0 S.F. 500 GALLON CAPACITY, H-10. LOADING Engineering by: Surveying by: SCALE DRAWN JOB. NO. Engineering Works,Inc. WARNER SURVEYING N.T.S. P.T.M. 215-15 TOTAL AREA:.............................................................. 471.2 S.F. CHAMBERS 12 West Crossfield Road 22 Long Road h Forestdale, MA 02644 Harwich, MA 02645 DATE CHECKED SHEET N0. DESIGN FLOW PROVIDED: 0.74 GPD/SF(471.2 SF) = 348.7 GPD N.T.S. (508) 477-5313 (508) 432-8309 9/18/15 P.T.M. 2 Of 2