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0071 MERIDETH WAY - Health (2)
71 MERIDETH DR., CENTERVILLE 1111 a UPC 12534 No.2��„153!OR Iva; aAi♦INa:,UN LOCATION L-C71 {- _ NO. VILLAGE 76 -R- DATE 7tw�t� APPLICANT An I j FEE_�/g ADDRESS �` TELEPHONE NO. , (Non-refundable ENGINEER � TELEPHONE NO. DATE SCHEDULED— ';;;' (Applicant' s signature SOIL -LOG .. SUB-DIVISION NAME ri I. 4 DATE TIME EXPANSION AREA: YES, NO rgX7'�-'� Ny'��•.�n/�•ENGINEER TOWN WATER ✓ PRIVATE WELL 7-A-e f,e!::) 5 / BOARD OF HEALTH EXCAVATOR SKETCH: (Street name, etc. ,dimensions of lot, exact location of test holes and percolation tests, locate wetlands in proximity to test holes ) r' NOTES : t/ -T.14 �j Z 17 PERCOLATION RATE: TEST HOLE NO: / ELEVATION: TEST HOLE NO: -C— ELEVATION: o� 1 2Sm� 2 3 Z 3 4 4 5 5 6 �Afil� 6 7 7 8 8 10 10 11 11 12 12 13 13 14 14 15 15 16 16 SUITABLE FOR SUB-SURFACE SEWAGE: LEACHING FIELD ,-- LEACHING PITS LEACHING TRENCHES�� UNSUITABLE FOR SUBSURFACE SEWAGE. REASONS :- NOTE: ENGINEERING PLANS MUST SHOW NUMBER ASSIGNED ON PERC TEST APPLICATION ORIGINAL: COMPLETED *' ruTTAR'TV By P . E . AND RETURNED TO BOARD OF HEALTH COPY: RETAINED BY APPLICANT jj TOWN OF BARNSTABLE LOCATION 71 ,�F14,kh Arlil SEWAGE# 2C ;/ VILLAGE ASSESSOR'S jMAP&PARCEL INSTALLERS NAME&PHONE NO SEPTIC TANK CAPACITY ACM /S Sty aabO LEACHING FACILITY.(type) Fwel s (size) NO.OF BEDROOMS OWNER 111,011 PERMIT DATE: � I be) COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility(If any wells exist on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) rj Feet FURNISHED BY l/,dJ a 2zSQ6- 4'°r'l�! ;5 6 po .3-r'� - , �Ria' a�S ti-37 �-: 3 C• 301 "IF: o Commonwealth of Massachusetts �n Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 71 Merideth Way L� Property Address Matthew&Tracy Triveri Owner Owner's Name information is Centerville Ma 02632 7-20-2020 1� 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 .0 on the computer, Daniel Hawkins —1 to 1 v✓ use only the tab key to move your Name of Inspector cursor-do not B&B Excavation use the return key. Company Name 374 Route 130 us Company Address Sandwich Ma 02563 City/Town State Zip Code (508)477-0653 S114324 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 DanHawkins Digitally signed by Dan Hawkins �l k -Date:2020.07.21 14:31:33-04'00' 7-20-2020 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 how the system will perform in the future under the same or different conditions of use. t5insp.doc•rev.7/2 612 0 1 8 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 1 of 18 t r c Commonwealth of Massachusetts �m Title 5 Official Inspection Form ±= ?I Subsurface Sewage Disposal System Form -Not for Voluntary Assessments u— 71 Merideth Way Property Address Matthew&Tracy Triveri Owner Owner's Name information is Centerville Ma 02632 7-20-2020 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: The system was in working order at the time of inspection. 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 �n ,p Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments v 71 Merideth Way Property Address Matthew&Tracy Triveri Owner Owner's Name information is Centerville Ma 02632 7-20-2020 required for every 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.7/26/2018 Tile 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 3 of 18 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 71 Merideth Way Property Address Matthew&Tracy Triveri Owner Owner's Name information is Centerville Ma 02632 7-20-2020 required for every page. City/Town 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 certified laboratory, for fecal coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered.A copy of the analysis must be attached to this form. 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 ❑ a Backup of sewage into facility or system component due to overloaded or clogged SAS or cesspool ❑ a 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.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 4 of 18 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 71 Merideth Way Property Address Matthew&Tracy Triveri Owner Owner's Name information is Centerville Ma 02632 7-20-2020 required for every page. City/Town State Zip Code Date of Inspection C. Inspection Summary (cont.) 4) System Failure Criteria Applicable to All Systems: (cont.) Yes No ❑ O Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool ❑ a Liquid depth in cesspool is less than 6" below invert or available volume is less than '/2 day flow ❑ O Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s). Number of times pumped: ❑ El Any portion of the SAS, cesspool or privy is below high ground water elevation. ❑ El Any portion of cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply. ❑ E, Any portion of a cesspool or privy is within a Zone 1 of a public water supply well. ❑ 0 Any portion of a cesspool or privy is within 50 feet of a private water supply well. ❑ El 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.] ❑ El The system is a cesspool serving a facility with a design flow of 2000 gpd- 10,000 gpd. ❑ a 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 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 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 11 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 1°l Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 71 Merideth Way Property Address Matthew&Tracy Triveri Owner Owner's Name information is Centerville Ma 02632 7-20-2020 required for every page. City/Town 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 El ❑ Pumping information was provided by the owner, occupant, or Board of Health ❑ R 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? ❑ a Have large volumes of water been introduced to the system recently or as part of this inspection? El ❑ Were as built plans of the system obtained and examined?(If they were not available note as N/A) ❑ 0 Was the facility or dwelling inspected for signs of sewage back up? El ❑ Was the site inspected for signs of break out? El ❑ Were all system components, excluding the SAS, located on site? El ❑ Were the septic tank manholes uncovered opened, and the interior or 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? ❑ El 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: El ❑ 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 �n Title 5 Official Inspection Form 11 Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 71 Merideth Way Property Address Matthew&Tracy Triveri Owner Owner's Name information is Centerville Ma 02632 7-20-2020 required for every page. City/Town State Zip Code Date of Inspection D. System Information 1. Residential Flow Conditions: Number of bedrooms (design): 3 Number of bedrooms(actual): 3 357/G P D DESIGN flow based on 310 CMR 15.203(for example: 110 gpd x#of bedrooms): Description: Number of current residents: 6 Does residence have a garbage grinder? ❑ Yes a No Does residence have a water treatment unit? ❑ Yes R] No If yes, discharges to: Is laundry on a separate sewage system? (Include laundry system inspection ❑ Yes 0 No information in this report.) Laundry system inspected? ❑ Yes 0 No Seasonaluse? ❑ Yes [E No Water meter readings, if available(last 2 years usage(gpd)): See below Detail: 2018- 65,000gallons 2019- 155,000gallons Sump pump? Yes ❑ No Last date of occupancy: Current Date t5insp.doc-rev.7/26/2018 Title 5 Official Inspectlon Form:Subsurface Sewage Disposal System•Page 7 of 18 cam, Commonwealth of Massachusetts �m Title 5 Official Inspection Form 11 Subsurface Sewage Disposal System Form -Not for Voluntary Assessments. 71 Merideth Way u Property Address Matthew&Tracy Triveri Owner Owner's Name information is Centerville Ma 02632 7-20-2020 required for every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 2. Commercial/Industrial Flow Conditions: NA 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 Water treatment unit present? ❑ Yes ❑ No If yes, discharges to: Industrial waste holding tank present? ❑ Yes ❑ No Non-sanitary waste discharged to the Title 5 system? ❑ Yes ❑ No Water meter readings, if available: Last date of occupancy/use: Date Other(describe below): 3. Pumping Records: Source of information: Owner- last pumped 4 years ago 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.7126/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 8 of 18 c Commonwealth of Massachusetts �n Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 71 Merideth Way Property Address Matthew&Tracy Triveri Owner Owner's Name information is Centerville Ma 02632 7-20-2020 required for every page. City/Town 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. El Other(describe): Tank, pump chamber, d-box and SAS Approximate age of all components, date installed (if known)and source of information: 2008 per plans Were sewage odors detected when arriving at the site? ❑ Yes ❑E No 5. Building Sewer(locate on site plan): 1,8.r Depth below grade: feet Material of construction: ❑ cast iron ❑■ 40 PVC ❑other(explain): Distance from private water supply well or suction line: Town waterfeet Comments(on condition of joints, venting, evidence of leakage, etc.): t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 9 of 18 Commonwealth of Massachusetts ,/.p Title 5 Official Inspection Form ±= . Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 71 Merideth Way U Property Address Matthew&Tracy Triveri Owner Owner's Name information is Centerville Ma 02632 7-20-2020 required for every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 6. Septic Tank(locate on site plan): 811 Depth below grade: feet Material of construction: H 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: 1500/500 tank/PC combo 4" Sludge depth: 3211 Distance from top of sludge to bottom of outlet tee or baffle 611 Scum thickness 511 Distance from top of scum to top of outlet tee or baffle ' 1211 Distance from bottom of scum to bottom of outlet tee or baffle measured How were dimensions determined? 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 in working order at the time of inspection. The tank is in need of pumping at this time and should be pumped every two years for maintenance. t5insp.doc-rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 10 of 18 Commonwealth of Massachusetts �v Title 5 Official Inspection Form col Subsurface Sewage Disposal System Form Not for Voluntary Assessments 71 Merideth Way u Property Address Matthew&Tracy Triveri Owner Owner's Name information is Centerville Ma 02632 7-20-2020 required for every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 7. Grease Trap(locate on site plan): Depth below grade: NAfeet 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 Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): 8. Tight or Holding Tank(tank must be pumped at time of inspection) (locate on site plan): Depth below grade: NA Material of construction: ❑ concrete ❑ metal ❑fiberglass ❑ polyethylene ❑other(explain): Dimensions: Capacity: gallons Design Flow: gallons per day t5insp.doc-rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 11 of 18 Commonwealth of Massachusetts �n Title 5 Official Inspection Form 1� Subsurface Sewage Disposal System Form -Not for Voluntary Assessments � 71 Merideth Way u— Property Address Matthew&Tracy Triveri Owner Owner's Name information is Centerville Ma 02632 7-20-2020 required for every 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: 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 9. Distribution Box(if present must be opened)(locate on site plan): 0" Depth of liquid level above outlet invert Comments (note if box is level and distribution to outlets equal, any evidence of solids carryover, any evidence of leakage into or out of box, etc.): The d-box was in working order at the time of inspection. t5insp.doc•rev.7/26/2018 Title 5 Offdal Inspection Form:Subsurface Sewage Disposal System•Page 12 of 18 Commonwealth of Massachusetts �v Title 5 official Inspection Form 11 Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 71 Merideth Way Property Address Matthew&Tracy Triveri Owner Owner's Name information is Centerville Ma 02632 7-20-2020 required for every 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.): Pump chamber, pump and alarm all in working at time of inspection. " 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: Type: ❑ leaching pits number: ❑ leaching chambers number: ❑ leaching galleries number: ❑ leaching trenches number, length: 9 Cultec 12'x24' leaching fields number, dimensions: ❑ overflow cesspool number: ❑ innovative/alternative system Type/name of technology: t5insp.doc-rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 13 of 18 r c Commonwealth of Massachusetts �m Title 5 Official Inspection Form _ " LLI Subsurface Sewage Disposal System Form -Not for Voluntary Assessments ........... 71 Merideth Way V Property Address Matthew&Tracy Triveri Owner Owner's Name information is Centerville Ma 02632 7-20-2020 required for every page. City/Town 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.): The SAS was in working order at the time of inspection. 2 rows of Cultec panels were full and one row was dry. 12. Cesspools (cesspool must be pumped as part of inspection) (locate on site plan): NA 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.): t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 14 of 18 Commonwealth of Massachusetts �n Title 5 Official Inspection Form +' ; Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 71 Merideth Way Property Address Matthew&Tracy Triveri Owner Owner's Name information is Centerville Ma 02632 7-20-2020 required for every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 13. Privy (locate on site plan): Materials of construction: NA Dimensions Depth of solids Comments (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 15 of 18 Commonwealth of Massachusetts Title 5 Official Inspection Form l; Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 71 Merideth Way Property Address Matthew&Tracy Triveri Owner Owner's Name information is Centerville Ma 02632 7-20-2020 required for every page. City/Town 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: M hand-sketch in the area below ❑ drawing attached separately TOWN OF'BARNSTABLE LOCATION: SEWA�GF. VI rLAGE C /st�'/y!IJP - ASSESSOR'S MAP&PARCEL. /y7.,IJC INSTALLERS NAME&PHONE NOr r/61C, .1y,1 t'CJfA-s/�.vl-HS"3+f i SEPTIC TANK CAPACITY LEACHING FACILITY:(type) NO.OF BEI)ROOM3 - OWINERI/JtJ PERMIT DATF: Separation.Distance Between.the- .Maxitnutn.Adjusted Groxtndwater Table to the Bottom of Leaching Facility Private Water Supply Welland Leaching Facility(If any wells exist' ' on site or within 200 That of teaching facility) Feet. _.......... Edge of Wetland and Leaching:Facility(If any wetlands exist.- within 300 feet of leaching1facili ) "�FURNISHED BY 'j Ld ._2.�rc. ... t�Yn.p )A`} t VQ4i'. i--4C4$ 3 Jc` y_2r 4?' I�x 1 7 3 a t 7G i t5insp.doc-rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 16 of 18 sti Commonwealth of Massachusetts �v Title 5 Official Inspection Form } Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 71 Merideth Way Property Address Matthew&Tracy Triveri Owner Owner's Name information is required for every Centerville Ma 02632 7-20-2020 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: No GW F below SASfeet Please indicate all methods used to determine the high ground water elevation: El Obtained from system design plans on record If checked, date of design plan reviewed: 2-5-2008 Date ❑ Observed site (abutting property/observation hole within 150 feet of SAS) ❑ Checked with local Board of Health -explain: ❑ Checked with local excavators, installers-(attach documentation) ❑ Accessed USGS database -explain: You must describe how you established the high ground water elevation: A plan on file at the local Board of Health was used to determine high groundwater. 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 c Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments f; v v- 71 Merideth Way Property Address Matthew&Tracy Triveri Owner Owner's Name information is Centerville Ma 02632 7-20-2020 required for every page. City/Town 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 t5insp.doc-rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 18 of 18 o. zoo k r Fee!� THE 60MMONWEALTH OF MASSACHLfSETTS Entered in computer: PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes 01pplication for Mi5p gal *pgtem Conotruction Vermtt Application for a Permit to Construct O Repair Grade O Abandon O omplete System ❑Individual Components Location Address or Lot No. 71 4e-f,de,; A Wf c Owner's Name,Address,and Tel.No. C�vit tutl�� `lide/f Assessor's Map/Parcel Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. 5_05-90-715-`1 C1V-j A1e e,,i/j tA,4111e5 5t) `/77e S3>3 Type of Building: Dwelling No.of Bedrooms 3 Lot Size lG� y61 sq.ft. Garbage Grinder ( ) Other Type of Building 51; ,r' No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) 3Q gpd Design flow provided 3 rZ gpd Plan Date 2,;J-_C7f,' Number of sheets ] Revision Date Title Size of Septic Tank O L- Type of S.A.S. C U11—tC 2 Description of Soil / 7 Nature of Repairs or Alterations(Answer when applicable) 1Nsha �� ,tl�°c:✓ t Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of Compliance has been issued by this Board of Health. Signed Date 0 Application Approved by 1JO AN, Date Application Disapproved by: Date for the following reasons Permit No. 0k_7yll Date Issued --- ----- — --- ———---———————— - - Fee 100 a - Entered in computer: "THE COMMONWEALTH OF MASSACHUbSg TS PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE,'MASSACHUSETTS Yes ZIppYication for aiooal *p5tem Construction Permit Application for a Permit to Construct O Repair grade O Abandon( Complete System ❑Individual Components Location Address or Lot No. 7/ Aer tJPd Owner's Name,Address,and Tel.No. Assessor's Map/Parcbl- Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. 50E5-`I CD-71 5_5 "f/Ve elf,'Al Gt.�i!/c �'j17-S30 Type of Building: Dwelling No.of Bedrooms ,, Lot Size )G, gG2 sq. ft. Garbage Grinder ( ) Other Type of Building !f(w5 iC No.of Persons Showers( ) Cafeteria( ) Other Fixtures { Design Flow(min.required) gpd Design flow provided 3 S 7 gpd Plan Date 2' 1-U$ Number of sheets ] Revision Date Title Size of Septic Tank I )-DO pc Type of S.A.S. l U/f`!C `�� f ,�„) c/ Description of Soil ( 7 -- ,r Nature of Repairs or Alterations(Answer when applicable) /N N &.Sf G �/ �' ; SiI3 -e'M w Date last inspected: Agreement: The undersigned agree'szto ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5,of the Environmental Code and not to place the system in operation until a Certificate of Compliance has been issued by this Board of l�'-I'ealth. Signed _ ! n Date Application Approved by * r!N /2 Date } - �.;� . Ab Application Disapproved by: / 'j - °`= Date for the following reasons �y Permit No.,j000 — Date Issued V/� G .1 THE COMMONWEALTH OF MASSACHUSETTS o BARNSTABLE, MASSACHUSETTS Certificate of Compliance _ W r THIS IS TO CERTIFY,that the On site Sewage Disposal System Constructed ( ) Repaired ( ). Upgraded ( ) Abandoned( )by JDoo(k 5 A _cuwfj r at 7) MP/I d 11 tvG (eo V-el vI//r' has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No. ��U ' 1(�/ dated /� ro Installer , y/l4 3 i 7' f3l a,,�� Designer i�•C��YY��^'r /vim!/!f #bedrooms -3 Approved deli n flow 'EZ n f gpd The issuance of this pe ] shall not be construed as a guarantee that the system `ll �u`ictii/o/n as designed.,d G Date ( � Inspector No. ') - 16 / . . Fee w'sJ THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION.-BARNSTABLE, MASSACHUSETTS lwigoml �bp!tem Construction Permit Permission is hereby granted to Construct ( ) Repair Upgrade ( ) Abandon ( ) System located at 7/ It-fr We,., and as described in the above Application for Disposal System Construction Permit.The applicant recognizes his/her duty to comply with Title 5 and the following local provisions or special conditions.. Provided: Construction must be completed within three years of the date of is pe• it. Date �f�a ko- Approved b � Town of Barnstable Regulatory Services .' Thomas F. Geer, Director Public Health Division Thomas McKean, Director 200.Main Street,Hyannis,.MA.02601 Office:.:3:Q8�,8;6�=4644 Fax; 508-79.0-.63,04 Installer & Designer Cert fica on orm Date:. Sewage Permit# Assessor's Map1I'arcel l___Y7 v Installer: a J r. Address: Z-S-� KC, i� s�-- Ze On.. I�� 3/Z;-,VV j was issued a permit to install a (installer) sephc.:systnm;at .� /V2 f<d -fit IV (address) based on a design drawn by dated -(dcs�gner) I cefify that the septic system referenced above was installed subs :the design, which may include tantally aEcordip to Y or ap roved changes g P an drs es such # titan box and/or septic ta> g ch as lateral relocation of the I certify that.the septic system re reneed above was installed with major changes (i.e. $z"eni,than 10' lateral relocation f the SAS or any vertical relocation of any comp© ent ofeep�tic system] but in accordance ce >ts�bu It by designer to follow, with State.&Locai Regulations. P1an revision or N OF41,10 PETER T, cym 31�r;s Sr�ature) o McENTEE a CIVIL E_J 0 9 No.35109 O 44:- ors/ONAL G�G�O (Destgn+ r's Sigrratwre) ° (Affix Designer s Stamp Here) P D O WILL N T BE SS S.ED UNTIL B... .T. TH EQ RECEI:ylb B?Y THEBARNSTABLE PUBLrC HEAL T DMSION THANKAS-BUII I ARD ARE YnU Q:HealtWS'0000eaigner.Certificarion Form 3-26-04.doc - Town:o rn Ba� e P# epartmeitt of Regulatory Servicet; Public Health Division Hate ,� :�� 200 Main Street,rHyannis MA:D2601 Date�oltedWed - 'Time • Soil Suitability Assessment for.► ewaea4.sal Performed By �{2� ,,� v�. R - Witnessed i LOCATION& GENERAL INFORMATION 1.ocrition Address r Gil t� Owner's Nano q :sJ Tr;1/Q f , . VJA Address Assessor's Map/Parcel:; 147 I1• Engineer's Name se . � NEW.CONS GRUC1'ION ; REPAIR . Tel hone# .: 5—�� t _7 �.d_z✓t'it6 I Slopes(96) f Cl Surface:Stones 0, . n Distaneesrfrom: :Open'Wr ter Body ft Posslble Wet Area�ft Drinking Water`WT11 .,. MA Y ay 72 ft .Property,Une. — ft Other ft SKETCH,:•(Street name,Aimenslons of lot,exact locations of test holes&perc tests,locate wetlands�n proxtnutg=to holes) C'4(i � �i2-i � �1�•� tiJ �1 Parent material_.(geolggtc) �'��'r`O'i Depth to Bedrock Z Depth to Groundwater. Standing Water in Hole: r Weeping from pit Race %mil. ►�y (��,e l ca a�vrl- �'3�<•e�-• ,�: Estimated Seasonal High Groundwater ` c�a a e DETERMINATION FOR SEASONAL HIGH WATTxt' I3I Method..Used:, Depth Observed:studing in obs.hole: In, Qepth-ao soil moat s in Depth to weeping.fiom.side of obs.hole: in, Groundwater Adjustment ft Index Well# Reading Date: Index Well level_. ..,, Adj.t i,,,;. -- PER.COLATI1 Observation ' .7 , Hole.# Timo at 5 Depth of Pere �f° I 4 Time nt 6'• r _ Start Pre-soak Time® -7 m `" Time(9"-6") Zcl End:" rn 2 Rate Min./Inch C Z Site Suitability Assessment: Site Passcd Site•t a9ied:�— AddiNonal.Testing Needed original:.Public.Health:Division Observation Hole Data To Be Completed on',Back ***If perco)ntion test into be conducted within 100'' of wetland,you>must A t Barnstable Consetrvation Division at least one(1)week prior to beginning. ne�mrrtn6pbl�r7rlpM nnr DEEP OBSERVATION HOLE LOG Hole# 1 Eli th;from Soil Horizon Soil Tcxturc Soil Color Soil Other Surface pn) (USDA) (Mtihou). Mottling (Spuature,Stone;$ouldas. Q /k 4 S a UZ 1 M e4,5ow.ut Z�S•`1',4/y 3�:t�� v : fsF UB ORVATION HOLE LOG Hole l�c�th .: SoIIHorizon'. Soli TexWre. Soil Color Soil Other Surfacie:(in) (USDA) (Mtinscll) Mottling (Shucturo Stones106 ul M 1_=-\-/I 3 � 77 ��z C- yid, �' c Z�S`t / .304 DIP OBSERVATION HOLE LOG Hole# SbiitHistixon.. Soil Texture:: Soil Co Soil SufPaee:(in) (USDA) (Muasblq Mottling (Sfructure,Stone,Boulders x. i EP 0ESRVATION HOLE LOG Hole# Depth from': So►1 Fi�iiizon Soil Texture Soil Color 8ofl . Other Suface(iqi (USDA) (Munsell) Mottling (StrucWro,31oes,�Bbuldtus,' Flo^od�Igsura,�!cg"Rste Mon. AlsoeC S(!9 .. flood W4it y.. derv' 'No� Yes.� ..; ,. witlip 3Afi year bounafy No : Yes,... Ott' }pfflolitl boundary Yes; De " Dire at 1e•as ° our feet of naturally occurring pervious material exist in aU areas observed thrptrglout the area ro seti fo>�tlte sothafso, tiona stem? PPo rp y If not,what is the depth of 4. naturally o-curring.pervious matoriiil7 _• Csrt113catlon I certi that on l.1 L a� .(date)I"have passed the soil evaluator examination approved by the Depardnent of Environmental Protection and that the above analysis was performed by me consistent the r utred teat n ,ex ertise and ex e9 8 p perence described.in�10 C1VIR Signature i TOWN OF BARNSTABLE LOCATION 7/ AM(�,L�j �;� SEWAGE# VILLAGE ," rj/i I)P ASSESSOR'S MAP&PARCEL INSTALLERS NAME&PHONE NO SEPTIC TANK CAPACITY ;ACM LEACHING FACILITY..(type)_e, y (size) NO.OF BEDROOMS ,3 I i OWNER p 4 PERMIT DATE: COMPLIANCE DATE: � Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet Feet Private Water Supply Well and Leaching Facility.(If any wells exist on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facili ) Feet FURNISHED BY 2 S , r n/ �,(� y 4RA� �,els � g 11611 3-.23'�." �] 7-3;i' -cp•G�� -gib►' 7-36 a 1 w �y ,76 - 5-Cq.1 it ��Ck � Page 1 of 1 Miorandi, Donna From: PETER MCENTEE [peter.mcentee@gmail.com] Sent: Friday, February 01, 2008 4:14 PM To: Miorandi, Donna Subject: 71 Merideth Y Donna, I talked with Scott Michaud, Hydrologist, at the Cape Cod Commission. He is looking at the property and thinks that the water table in that area may be "dampened" by surrounding ponds and stream system. He is going to call back on Monday after looking more closely at it. If I use the SAW-252, Zone C Dec & Jan readings, which is only a half mile to the east,my adjustment is 3.4 feet as apposed to 4.9 feet. This still puts the Max. high GW 1.2 ft. above the cellar floor elevation but is 1.5' less than SDW-253. I'll get back to you after Scott Michaud gives me his comments. Pete L2/21/2008 'INs` ` WORK s'� � (t oLr.'0�•rly Sv .� '-- L'-'^s+.•�\{� h.�r 7� l �+�;,� !�`..e �1�' l"v/ ,. \ q, 1 • y �..�''Te'�}-'_�'_l� � -�:�.��" �� �> � �t � '!, ., �ar1., :., �.,, t ��.����►� ,�,,, ;•� -t.. a }�>� 1— _ for . r,!jQI\� ` ' J�, 5yrt°f 1 ! �- �y�. ( :",' To Taft '••+ i J' •� ,'\\Qfii"'=^'"`Ott i�, rJ `jP Jl •�'�"l� � .,}'lrr`' m ;_ '0�"dt�Qe��.;;e•w \. 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J'o., /��m . 4,..., a��Fro� O a '� i '.,� ®10��1/I � � t _���� ? ��Irt ).•• �C �'- �9 � •g$r,': ,I '-�7..1 =°tea f L.� � _ �.� i� I- i � �� G�R C '� • l_. S!;rPig 1INI _�n�j` r `BrE 1AW �), 5i /i�Jr`!�! -off ®�. '�rt.l��,t. ,.7�6,F .�I;`.. [' 1' l' •v.��� '\!�:/. � .iS��/ /`t .•:'+.,,�f�: 1 P'i !>P �T*1.1F4 r - -c �e "��(�����1 24� �� T ��( ®.;4®� �d @,�`.'D'��hi 1,y.. ,.� • C1n.�,���?l*� +•�y��s,�����:1 t �0 r —,I v9 )))' k W.�7 � '�/�1;reb��q'+tsli+ ;'k�� �+�9aFYJlo�'�+ 'l iq'f1 -� f\�« �r�•- `��• J�C +� ® ' 1�� �Y��� �. <�J'1•��'riir���:e�F.r:""'..... - �,�� .`� ��'�.-'.,j'�.�'Y '" `-YPI'.',�'-^1`-�'� (,;��'6i((g �'. _ o �, � Nclt N � Go � ct 31 ATi } m o, CC Da fi 1 on OJ llA-2 :3 ff fLu Cam` 0 l5 .CL �, ec, 3.Q.43 0 N c_ Coin i i b/�Y 1�� cC � L,LC ..�:. s COMMONWEALTH OF MASSACHUSETTS EXECUTIVE OFFICE OF ENVIRONMENTAI AFFAIRS John Grad DEPARTMENT OF ENVIRONMENTAL PROTECTION DEP Title V Septic Inspector ONE WINTER STREET BOSTON MA 02108(617)292-3500 P.O.Box 2119 TeaTicket,Ma. (508)564-6813 . TRUDY CORE Secretary ARGEO PAUL CELLUCCI DAVID B.STRUHS Govemor Commissioner SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION Property Address: 71 MERIDETH DR. CENTERVILLE MAP 147 PAR 114 LOT 18 �; Rf(;'VEO Name of Owner VARIEUR Address of Owner: 106 OLYMPUS CIRCLE JUPITER FLORIDA 33477 A U G i o 1999 Date of Inspection: 8/6/99 10WN0FBggN ,9 Name of Inspector:(Please Print)JOHN GRACI S jftl1 UEp ARE I am a DEP approved system inspector pursuant to Section 15.340 of Tide 5(310 CMR 15.000) Company Name: n/a Mailing Address: n/a Telephone Number: n/a 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 in the proper function and maintenance of on-site sewage disposal systems.The system: X Passes The inpection is based on criteria defined in Title V Conditionally Passes code 310 CMR 15.303.My findings are of how the system Is Needs Further Evalu ti By the Local Approving Authority performing at the time of the Inspection.My inspection does Fails not imply any warranty or guarantee of the longgevity of the septic system and any of Its components useful life. Inspector's Signature: Date:8/6/99 The System Inspector,shall ubmit a copy of this inspection report to the Approving Authority(Board of Health or DEP)within thirty(30)days of completing this inspection. f 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. NOTES AND COMMENTS THE SYSTEM PASSES TITLE V INSPECTION.RECOMMEND PUMPING NOW AND THEN MAINTAINED EVERY TWO YEARS. revised 912/98 Page 1 of 11 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION(continued) Property Address: 71 MERIDETH DR.CENTERVILLE MAP 147 PAR 114 LOT 18 Owner: VARIEUR Date of Inspection:8/5/99 INSPECTION SUMMARY: Check A, B, C, or D; A. SYSTEM PASSES: I have not found any information which indicates that any of the failure conditions described in 310 CMR 15.303 exist.Any failure criteria not evaluated are indicated below. COMMENTS: System passes Title V inspection B. SYSTEM CONDITIONALLY PASSES: nLa 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. Indicate yes,no,or not determined(Y,N,or ND).Describe basis of determination in all instances.If"not determined",explain why not. nLa 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 failure is imminent.The system will pass inspection if the existing septic tank is replaced with a complying septic tank as approved by the Board of Health. Wa 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). _ broken pipe(s)are replaced _ obstruction is removed distribution box is levelled or replaced Wa 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 revised 9/2/98 Page 2 of 11 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION(continued) Property Address: 71 MERIDETH DR.CENTERVILLE MAP 147 PAR 114 LOT 18 Owner: VARIEUR Date of Inspection:8/5/99 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 the public health,safety and 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 ThE PUBLIC HEALTH AND SAFETY AND THE ENVIRONMENT: Cesspool or privy is within 50 feet of surface water Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh. 2) SYSTEM WILL FAIL UNLESS THE BOARD OF HEALTH(AND PUBLIC WATER SUPPLIER.IF ANY)DETERMINES THAT THE SYSTEM IS FUNCTIONING IN A MANNER THAT PROTECTS THE PUBLIC HEALTH AND SAFETY AND THE 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 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 nLa..(approximation not valid). 3) OTHER Wa l revised 9/2/98 Page 3 of 11 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION(continued) Property Address: 71 MERIDETH DR.CENTERVILLE MAP 147 PAR 114 LOT 18 Owner: VARIEUR Date of Inspection:815199 D. SYSTEM FAILS: You must indicate either"Yes"or"No"to each of the following: I have determined that one or more of the following failure conditions exist as described 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 X Backup of sewage into facility or system component due to an overloaded or clogged SAS or cesspool. X Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or clogged SAS or cesspool. X Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool. X Liquid depth in cesspool is less than 6"below invert or available volume is less than 1/2 day flow, X Required pumping more than 4 times'in the last year NOT due to clogged or obstructed pipe(s). Number of times pumped nLa. X Any portion of the Soil Absorption System,cesspool or privy is below the high groundwater elevation. X Any portion of a cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply. X Any portion of a cesspool or privy is within a Zone I of a public well. X Any portion of a cesspool or privy is within 50 feet of a private water supply well, X 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 ompounds, ammonia nitrogen and nitrate nitrogen. X The liquid level in the SAS is over the invert pipe,is in Hydraulic Failure. E. LARGE SYSTEM FAILS: You must indicate either"Yes"or"No"to each of the following: The following criteria apply to large systems in addition to the criteria above: 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 X the system is within 400 feet of a surface drinking water supply X the system is within 200 feet of a tributary to a surface drinking water supply X 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) The owner or operator of any such system shall upgrade the system in accordance with 310 CMR 15.30412).Please consult the local regional office of the Department for further information. revised 9/2/98 Page 4 of 11 1 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B CHECKLIST Property Address: 71 MERIDETH DR.CENTERVILLE MAP 147 PAR 114 LOT 18 Owner: VARIEUR Date of Inspection:8/5/99 Check if the following have been done:You must indicate either"Yes"or"No"as to each of the following: Yes No X 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. X As built plans have been obtained and examined.Note if they are not available with N/A, X The facility or dwelling was inspected for signs of sewage back-up. X The system does not receive non-sanitary or industrial waste flow. X The site was inspected for signs of breakout, X All system components,excluding the Soil Absorption System,have been located on the site. X 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: X Existing information,For example,Plan at B4O,H, X Determined in the field(if any of the failure criteria related to Part C is at issue,approximation of distance is unacceptable) (1 5.302(3)(b)] X The facility owner(and occupants,if different from owner)were provided with information on the proper maintenance of Subsurface Disposal Systems. revised 9/2/98 Page 5 of 11 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION Property Address: 71 MERIDETH DR.CENTERVILLE MAP 147 PAR 114 LOT 18 Owner: VARIEUR Date of Inspection:8/5/99 FLOW CONDITIONS RESIDENTIAL: Design flow:-=g.p.d./bedroom Number of bedrooms(design): 3 Number of bedrooms(actual):I Total DESIGN flow: IU Number of current residents:2 Garbage grinder(yes or no):YES Laundry(separate system)(yes or no): NO If yes,separate inspection required Laundry system inspected(yes or no):M Seasonal use(yes or no): YES Water meter readings,if available(last two year's usage(gpd): nta. Sump Pump(yes or no): NO Last date of occupancy: nLa COMMERCIAL/INDUSTRIAL Type of establishment: nta Design flow: Wa gpd(Based on 15.203) Basis of design flow: nLa Grease trap present:(yes or no):DLO Industrial Waste Holding Tank present:(yes or no): NQ Non-sanitary waste discharged to the Title 5 system:(yes or no):NO Water meter readings.if available:nLa Last date of occupancy: Wa OTHER: (Describe) nta Last date of occupancy: nta. GENERAL INFORMATION PUMPING RECORDS and source of information: n/a System pumped as part of inspection:(yes or no):NO If yes,volume pumped nLa_ gallons Reason for pumping: Wa TYPE OF SYSTEM X Septic tank/distribution boxisoil absorption system Single cesspool Overflow cesspool Privy Shared system(yes or no)(if yes.attach previous inspection records,if any) I/A Technology etc.Attach copy of up to date operation and maintenance contract Tight Tank Copy of DEP Approval Other: Wa APPROXIMATE AGE of all components,date installed(if known)and source of information: 1983 PERMIT 83-662 Sewage odors detected when arriving at the site:(yes or no) NQ revised 9/2/98 Page 6 of 11 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 71 MERIDETH DR.CENTERVILLE MAP 147 PAR 114 LOT 18 Owner: VARIEUR Date of Inspection:8/6/99 BUILDING SEWER: (Locate on site plan) Depth below grade: $_ Material of construction:_ cast iron _40 PVC X other(explain) Distance from private water supply well or suction line: Wa Diameter: Wa Comments: (condition of joints,venting,evidence of leakage,etc.) nLa SEPTIC TANK: X (locate on site plan) Depth below grade: Material of construction:X concrete_ metal_ Fiberglass _ Polyethylene _ other(explain) nLa If tank is metal,list age Is age confirmed by Certificate of Compliance(Yes/No): NO D& Dimensions: L 8'6"H6'7"W 4'10" Sludge depth: C Distance from top of sludge to bottom of outlet tee or baffle: 3E 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: 1&'_'. How dimensions were determined: MEASURED 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, etc.) SEPTIC TANK AND ALL COMPONENTS ARE STRUCTURALLY SOUND.RECOMMEND PUMPING EVERY TWO YEARS GREASE TRAP: (locate on site plan) Depth below grade: Material of construction:_concrete_ metal_ Fiberglass _ Polyethylene_other(explain) nta Dimensions: Wa Scum thickness: n& Distance from top of scum to top of outlet tee or baffle:j3& Distance from bottom of scum to bottom of outlet tee or baffle ji& Date of last pumping: n& 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, etc.) nta revised 9/2/98 Page 7 of 11 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 71 MERIDETH DR.CENTERVILLE MAP 147 PAR 114 LOT 18 Owner: VARIEUR Date of Inspection:815199 TIGHT OR HOLDING TANK: NO (Tank must be pumped prior to,or at time of,inspection) (locate on site plan) Depth below grade: n& Material of construction:_ concrete_ metal_ Fiberglass _Polyethylene_ other(explain) n1a Dimensions: Wa Capacity: n(a gallons Design flow: n1a gallons/day Alarm present: MQ Alarm level:jiLa- Alarm in working order:Yes_No_: NQ Date of previous pumping: n& Comments: (condition of inlet tee,condition of alarm and float switches,etc.) nLa DISTRIBUTION BOX: X (locate on site plan) Depth of liquid level above outlet invert:LIQUID LEVEL WITH BOTTOM OF PIPE Comments: (note if level and distribution is equal,evidence of solids carryover,evidence of leakage into or out of box,etc.) SYSTEM IS FUNCTIONING PROPERLY, PUMP CHAMBER: NQ (locate on site plan) Pumps in working order:(Yes or No): NQ Alarms in working order(Yes or No): NQ Comments: (note condition of pump chamber,condition of pumps and appurtenances.etc.) n1a revised 9l2/98 Page 8 of 11 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 71 MERIDETH DR.CENTERVILLE MAP 147 PAR 114 LOT 18 Owner: VARIEUR Date of Inspection:8/5/99 SOIL ABSORPTION SYSTEM(SAS): X (locate on site plan,if possible;excavation not required,location may be approximated by non-intrusive methods) If not located,explain: Wa Type: leaching pits,number: Wit leaching chambers,number: 2-FLOW DIFFUSERS leaching galleries,number: jaLa leaching trenches,number,length: n& leaching fields,number,dimensions: Wa overflow cesspool,number: Wa Alternative system: Wa Name of Technology: jaLa Comments: (note condition of soil,signs of hydraulic failure,level of ponding,damp soil,condition of vegetation,etc.) THE FLOW DIFFUSERS APPEAR TO FUNCTIONING PROPERLY SOIL PROBED DRY IN LEACHING AREA CESSPOOLS: _ (locate on site plan) Number and configuration: Wit Depth-top of liquid to inlet invert: nLa Depth of solids layer: n& Depth of scum layer. n& Dimensions of cesspool: n& Materials of construction: n& Indication of groundwater: nLa inflow(cesspool must be pumped as part of inspection)n& Comments: (note condition of soil,signs of hydraulic failure,level of ponding,condition of vegetation,etc.) nla ' PRIVY: (locate on site plan) Materials of construction:nLa Dimensions:n& Depth of solids: Wa Comments: (note condition of soil,signs of hydraulic failure,level of ponding,condition of vegetation,etc.) Wa revised 9/2/98 Page 9 of 11 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 71 MERIDETH DR.CENTERVILLE MAP 147 PAR 114 LOT 18 Owner: VARIEUR Date of Inspection:8/5/99 SKETCH OF SEWAGE DISPOSAL SYSTEM: include ties to at least two permanent reference landmarks or benchmarks locate all wells within 100'(Locate where public water supply comes into house) n/a 141913 A6 Q 6CA revised 9/2/98 Page 10 of 11 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 71 MERIDETH DR.CENTERVILLE MAP 147 PAR 114 LOT 18 Owner: VARIEUR Date of Inspection:8/5/99 NRCS Report name: Wa Soil Type: Wit Typical depth to groundwater: nla USGS Date website visited: n& Observation Wells checked: N Q Groundwater depth:Shallow _ Moderate _ Deep _ SITE EXAM _ Slope _ Surface water _ Check Cellar _ Shallow wells Estimated Depth to Groundwater 10 Feet Please indicate all the methods used to determine High Groundwater Elevation: _ Obtained from Design Plans on record Observed Site(Abutting property,observation hole,basement sump etc.) Determined from local conditions Checked with local Board of health Checked FEMA Maps _ Checked pumping records _ Checked local excavators,installers X Used USGS Data Describe how you established the High Groundwater Elevation.(Must be completed) USGS MAPS AND CHARTS revised 9/2/98 Page 11 of 11 LOCATION SEWAGE PERMIT Na. VJ.LLAGE ell a I.NSTA LLER'S NAME & ADDRESS TIP tu s ems.r4- R e U I L D-ERR OR OWNER DATE PERMIT ISSUED w DAT E COMPLIANCE ISSUED r �,/ u! c.i i F �1 G� lie 2 t d�f'J U34?,q ��f �!... �....... FEB ............. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ............................ OF...........................................................,ss ApPratiun fur Btupuuttl Workii Tunutrnrtiun Prrutit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal Syst : ,,��//,�I�� ... .....` 'lug .. ........ ............... ( !t.� = .. ��} •-• . �ion� Addtres. `.'r:.5:61 �'rIt:71::�!•/4:....... . ...�•4.............. �P./-5�1!__ ��:�fL_.1..5fd�t4c!�. :�:�&3.../.....--••---••-• ' Owner 7 Address Installer Address d Type of Building Size Lot...l�f_a00________Sq. feet U Dwelling—No. of Bedrooms.................3_-______________________Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ____________________________ No. of persons............................ Showers ( ) — Cafeteria ( ) d Other fixtures ......_... ------------------------------------------ W Design Flow............................................gallons per person per day. Total daily flow............................................gallons. WSeptic Tank—Liquid capacity......_.....gallons Length................ Width_............... Diameter................ Dept h................ x Disposal Trench—No_ ____________________ Width.................... Total 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................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........................ W •-----•---••--------•---•---•••---•--••---•-••••----•••...............•...........--••--•---••--_-_.................................................:---...._. 0 Description of Soil........................................................................................................................................................................ x U •---•---•---••-•-•••••••-•--•••••--•••-._...----•---•--•-••-•-•-------•----------•••----•---...-•••••---.....•----•---.......-••--•--••------•-•-••-••-•.._...--•----------•-•-•---••••-•-•-._........•- W U Nature of Repairs or Alterations—Answer when applicable_______________________________________________________________________________________________ .......-----••---------------------------------------------------•------...------------......._.........--•- Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLL 5 of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been issued by the board of Health. ed • � t Application Approved By....... --•-•• •_...-- -•-.......--- --•- •-•-�3 Vic' .... ate Application Disapproved r t f ollowing reasons----------------------------------------•---------------------•--•-------------------------:..--•------•••------ •-------------••••--••--•----••••----•-•-••--•-•-----•••-•--•----••--•-----•--___._....----_•-_.._.....••I-•--•••---••---•------------••-•---•-•-...---•--•------•-------=•--•---••••--•----•-----••••-•- Date PermitNo......................................................... Issued-....................................... ................ Date .J /. NFsa.............................. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ...................O F...........-.....-...........--.........._....... Y Appliratiun for Dhip uttl Workii Tonitrnrtiun rrutit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal Sy t t,f !.....1................ �'' tr +t-=-�!�'�r`r? F Lo do -Add r ss W Addr ,� _..•• ' owner:.-•- ............................................ Installer ................................ Address U Type of Building Size Lot... . --'f-_Sq. feet -, Dwelling—No..of Bedrooms............... ........................Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ____________________________ No. of persons............................ Showers ( ) — Cafeteria ( ) d Other fixtures ........ ..................... W Design Flow............................................gallons per person per day. Total daily flow...................................._.......gallons. WSeptic Tank—Liquid capacity............gallons Length................ Width................ Diameter................ Depth................ Disposal Trench—No..................... Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No-------------_------ Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) ~' Percolation Test Results Performed by.......................................................................... Date........................................ Test Pit No. I................minutes per inch Depth of Test Pit.................... Depth to ground water..................... 4q Test;Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ 94 ----------------------------------------------------------------••-•----• ......... •----- ------------------------------------ •-•.................. Descriptionof Soil -••••-•••------------------------------------•-••-------•---.._..•--•----------------•-•--•-------•-•---•-•...•••---•--...----------•---......_....._---_._.. x W x .............. U Nature of Repairs or Alterations—Answer when applicable_______________________________________________________________________________________________ .....................................................------------------••••------•--___---_____---•-•------__.----------••------•-----._._____.-•--••-•••--•-•-•-••••-•-•••----•._.........___•--•---- Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance has bee issued by,,,the ar of health i i ned__ i' .r................ ..... = . t ApplicationApproved By •-�- .......�................................................................... ...... _ _.............. Date Application Disapproved I r t f ollowing reasons:--•-•-------•••--------••------•----•--...------•--•-•...._---•-••-•--••------••=--••........•................ ___-•-•-------••---•---•-----••--....----•---•-••---•---••-•---•-••••-•--•••--•..........................._....•---------•----•------•-•-•-•-•--•---•--•-••-------------•-----•---------•-•--•----_____-- Date PermitNo......................................................... Issued....................................................... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ..........................................OF Trrtifiratr of fauutplittnrr THI O CERTIFY, That the Individual ge Disposal System constructed ( "') or Repaired ( ) by _ --•--------•................. -------------------•-- - •-- -•_. �" InstalPe at-- �' -"•--•-------•-• •• -------------- •-----• -•----------------------••- -•- has been Installed in accordance with the provisions of TIT Th�ftSanitary Cede_..... sc in the application for Disposal Works Construction Permit No_________________________ ___:________ dated_---___e_ ---- ...J.._..___._..__.._._.__._ THE ISSUA CE F THIS CERTIFICATE SHALT. NOT BE CONSTRU S A GUARANTEE THAT THE SYSTEM WIL FU CTION SATISFACTORY. DATE.__..t......... ..��•------••-------------------------------•---•__--_. Inspector._.. � .....••------...-••------------._..........._..._.......___._..._--••-- THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH SOF.......................... No. ....___--••-------•••-- FEE...r................. �iu�ruu rku Tunutrudiun amit Permission isjwereby granted........ ._. ...___ -------- ---...--•...................•--------_-.._---- ` .._......._....... to Construct epair ( ,,- ui�lual e -is System reet as shown on the application for Disposal Works Constructi ermit No._; K___ Dated__________________________________________ Board of Health DATE................................................................................ FORM 1255 A- M. SULKIN, INC., BOSTON I �I �`�f� \� .. i' �, ..� ... ,.,�' ;.... ., � r . ��,, �� � 1 ID L6W -DATA __ , l�t�, !^AMI��-{ 3 8�¢ootit5 _ .�.�ii.�sQGG ° • llo AV Ea t7A.I 4.�f F l-ow * 3 z 110 + 33a GPC? Ia-F-r(c '-mi.41C a' 330 z IZo Aq5 &Fc) V JOOQ �s�.l.• : T•N• ;a.. L.�.G�d Fly • USE-:2- �t-W! VI FFuS►OQS ` 917 -16 sF _.. .. _ .+a8�t•o8)�Z�S) = 194 G.Po• " lGt 'BOTTOM J 17 r A e '288 W. C(2't24:)( 288 I.F.P. . 95 . ToT4t_' .Test 6N ASI GP•D. ZMIu• 'PMTAtt_ of 'btSFb5A.t_ `BGD 95 ipA/C 9GZ 7" -- . . . - . � •mot . � .�_�_'�.._ _ 3_y .__ . .o,�� .._ _ d 97 •� s 9s� a 9s. 7 ; ' . . A: 8 S 2.4x8.: °.� Glow, /.�/ - - /oo .oa � f� .... . .ZA .._-•. .. . vI�-ctrSSo��.. .. _._. I CZ ZTI F=V T4 AT VAT L�d " SI�Eu►JE eNv y�-r�e, �c.�c- .¢�ule�t�urs.ac= :. ;., ,.. � �,yt/;�'L.�1Qv,4'..? , ; ', D o� j 3b-CTmZ 4i tJYr-, lwc.. LAWr> 5ufttvpm k7-1 53 /00 0 .TEST ` Z Z�a 7 1=717 .7 3 + EL• -5 F �• O. 9•s•� (000 IWV luv� T IlJ✓ t 4LL. q5.6Sts. SO z 'y to TSB IIN. 6`'939 ' )44 FLOW DIFW55oc, V i N Y E W 1 TW X of 3/4 To (�s� WASH 6D i 4TOue ALL A2ouWt>. 20 of We4WLM Pr.ASToMrw cN TOP ��/i• ;` i�. i.. WOTB2 6L- <6Z9.3 ..k j LA N \ s 1 LEGEND , 560°464ro W N t e Rd <d Ra 104.64 . , -``- I0.00' ( - 96 ....-,.... EXISTING CONTOUR re INSTALL.4V MIL POLY LINER AS SHOWN t x 100.98 EXISTING SPOT GRADE N Fre'net Rd S Fteooct Rd �� �d ANp SET BETWEEN EL.=105.5 - 103.0 PROPOSED CONTOUR STRIPOUT TO r�T°T � � 101.12 99 PROPOSED SPOT GRADE o re EL.=99.7f Ii - l -� t Rd 1� (SEE NOTE 11) p �' r7 f` �~ '� W PROPOSED WATER SERVICE I O t(N�• 0 0 0 0. o q TEST PIT i P x (A �/ N J 1i BENCHMARK% I Merldeh W C( of V �- 14r oCD BENCHMARK o °fy `6 e<o°rd ti\�°r EL.A I�OOA 00 (A55UMED) o Rosem i a TP 2 �s � pU°e°" �( 50 1 - TP 1 99.44 LOCUS r I C,'W _ E EXISTING FLOW DIFFUSORS -- l LOCUS MAP TO BE ABANDONED ^� l r NOT TO SCALE \ i EXISTING SEPTIC TANK. Q t" TO BE PUMPED, RUPTURED, FILLED 25' 1 WITH SAND & ABANDONED GENERAL NOTES: PROPOSED p _ 1 d' SEPTIC TANK/`. 5I - sr I 1. ALL CHANGES TO THIS PLAN MUST BE APPROVED BY THE LOCAL PUMP CHAMBER\ ' \ �,„ — + BOARD OF HEALTH AND THE DESIGN ENGINEER. \ �.. 0i b 1 2- ALL WORK AND MATERIALS SHALL CONFORM TO THE REQUIREMENTS ', o OF THE STATE ENVIRONMENTAL CODE, TITLE V, AND ANY APPLICABLE 04 -, 7 j INSTALL N CU LOCAL RULES AND REGULATIONS. 1p3,,78 J. CLEAN N Sn ,, •� "�'�� w Z # '3. THE SEWAGE DISPOSAL SYSTEM SHALL NOT BE BACKFILLED PRIOR 104.72 r / i !ji:y % TO INSPECTION AND APPROVAL BY THE BOARD OF HEALTH AND THE DESIGN ENGINEER. CRAWL SPA, E/"/ PROPOSED SEkR OUTLET, INV,=101.20 101.97 4. ANY CONDITIONS ENCOUNTERED DURING CONSTRUCTION DIFFERING FROM THOSE SHOWN HEREON SHALL BE REPORTED TO THE DESIGN ENGINEER BEFORE CONSTRUCTION CONTINUES. /,No. 71/ / 5. ALL ELEVATIONS BASED ON ASSUMED DATUM. / i ") rj�. 6. THE DESIGN ENGINEER IS NOT RESPONSIBLE FOR THE FAILURE OF / THE CONTRACTOR-OR OWNER TO NOTIFY THE LOCAL BOARD OF ,SLAB !/ WD. FR ! HEALTH FOR PROPER INSPECTIONS DURING CONSTRUCTION. ;TOF = I05 02 ,/i' 7. WATER SUPPLY PROVIDED BY TOWN WATER SERVICE. `CELLAR FLOOR, EL =97.7/ % i 8. THERE ARE NO PRIVATE WELLS WITHIN 150' OF THE PROPOSED S.A.S. x 104.43 9. ALL AREAS CLEARED FOR CONSTRUCTION SHALL BE RESTORED AS 104.2 "� TQ3,05 x 102.70 AGREED UPON BY OWNER AND CONTRACTOR OR AS OTHERWISE ` . DIRECTED BY THE APPROVING AUTHORITIES. A 10. IT SHALL BE THE RESPONSIBILITY OF THE CONTRACTOR TO VERIFY THE j THE LOCATION OF ALL UNDERGROUND UTILITIES, PRIOR TO BEGINNING � � APN 147— L ,v ,� s�'�I C�� � CONSTRUCTION. GY �J 11. WHERE REQUIRED, CONTRACTOR SHALL REMOVE ALL UNSUITABLE SOILS -- 16,962±$F �( ` ' I i IN THE AREA BENEATH AND ON ALL SIDES OF THE S.A.S. AND REPLACE p M WITH CLEAN SAND AS SPECIFIED IN 310 CMR 255(3). } 12. AREAS REQUIRING STRIPOUT OF UNSUITABLE MATERIALS SHALL BE INSPECTED BY HEALTH DEPARTMENT PRIOR TO BACKFILL. J PETER T. _ PROPOSED SEPTIC SYSTEM UPGRADE cl G� IOO.oa ,f !., ', a M CIVIL N 71 MEREDITH WAY, CENTERVILLE, MA ---N60°5a 10"E p No. 35109 Prepared for: Matthew Triveri, 71 Meredith Way, Centerville, MA 02632 C� (SA ER�G Engineering by: Surveying by: SCALE DRAWN JOB. NO.ESS EngineeringWork4 HOOD 5URVEY GROUP 1"=20' P.T.M. 104-08 f / / 12 West Crossfield Rood 18 Route 6A ,OA ,Ost O�6 OHO + Z 2glO� DATE CHECKED SHEET NO. 6' O M E i�ED ITt-1 WAY Forestdole, MA 02644 Sandwich, MA 02563 z, P (508) 471-5313 (508) 888-1090 2/5/OS P.T.M. 1 of 3 y I. j NOTE: TO PREVENT BREAKOUT, A 40 MIL POLY LINER SHALL BE PLACED 5' OUTSIDE THE S.A.S. AS PROPOSED SEPTIC TANK/PUMP CHAMBER SHOWN ON THE PLAN AND SET LINER BETWEEN PROVIDE RISERS WITH METAL FRAMES & COVERS PROPOSED D-BOX EL.=105.5 AND EL.=103.0 OVER EACH ACCESS MANHOLE AND SET TO FINISH PROPOSED S.A.S. GRADE, MANHOLES BROUGHT TO GRADE SHALL BE INSTALL RISER & COVER INSTALL INSPECTION PORT OVER END UNIT T.O.F.=105.02 SECURED TO PREVENT UNAUTHORIZED ACCESS, SET TO 6" OF GRADE EXISTING F.G. EL.=102.8t F.G. EL: 106.5t F.G. EL: 106.4 / 36" MAX. COVER f AINTAIN 27. GRADE (MIN.) OVER S.A.S. L = 34' L = 6'(MAX) INSPECTION PORT S=1% (MIN.) TOP EL.=101.75. 4" SCH 40 PVC 4"SCHao PVC 2^ SCH 40 PVC F6-_ s 0 S= 1% (MIN.) 74oF' S ARE TO BE 3" TO INVERT of 3—CULTEC C-4 UNITSx8'/UNIT=24'4 SCH 40 PVC INV.=104.98INV.=100.50 EFFLUENT INV.=104.81 (USE C-4 HD UNITS — H-20 RATED) FILTERegOPOSED D—BOX(ZABEL OR EQUAL) 6 OUTLETS (MIN.) INV.=104.75 SOIL ABSORPTION SYSTEM (PROFILE) AgM BOTT. EL.=95.75 INV.=100.50 INV.=100.25 'INSTALL ONE LENGTH OF 4" SCH 40 PERFORATED PVC ESTABLISH VEGETATIVE COVER PIPE AT EACH INLET TO EXTEND THROUGH STARTER UNIT CULTEC N0. 410 FILTER FABRIC BACKFILL WITH CLEAN SAND EFFLUENT FILTER SHALL BE INSTSALLED ON OUTLET If WITH CAPPED END. HOLES SHALL BE FACED DOWNWARD. (NATIVE OR PERC SAND) INV.=101.20 TEE AS MANUFACTURED BY ZABEL OR EQUAL. FILTER NEW SEWER E 12" OUTLET SHALL BE INSPECTED AND CLEANED ANNUALLY. N p �'°�`�- BREAKOUT=TOP OF UNIT (min:) :..... .:. ..... ..•....,; ,.....,..:. :.. (See Pump Detail, Sheet 3 of 3) t,�. TOP OF CHAMBER ELEV.=105.2 INV.ELEV.=104.75 � 150OZ500 GALLON SEPTIC TANKZPUMP CHAMBER BOTTOM ELEV.=104.50 jl � lu®nll'I�Iliu�l EXISTINGNOTES: TOM O 48" (TYPICAL) SUITABLE ABOVE 1) SEPTIC TANK/PUMP CHAMBER & D-BOX SHALL BE SET LEVEL T.P.I N.EXCAVVATIONOOR G.WF EFFECTIVE WIDTH=12.0' SOILS AND TRUE TO GRADE ON A MECHANICALLY COMPACTED SIX INCH CRUSHED STONE BASE, AS SPECIFIED IN 310 CMR 15.221(2). k MSHGW EL: 99.48 USE 3 ROWS OF 3-CULTEC C-4 FIELD DRAIN UNITS 2) INSTALL INLET & OUTLET TEES AS REQUIRED. WITH NO SEPARATION BETWEEN EACH ROW & NO STONE 3) MAX. COVER OVER SEPTIC TANK, D-BOY, & S.A.S. SHALL BE 36". SOIL ABSORPTION SYSTEM (SECTION 4) CONTRACTOR SHALL VERIFY ALL EXISTING PIPE INVERTS PRIOR SEPTIC SYSTEM PROFILE N.T.S TO CONSTRUCTION. N.T.S. SOIL LOG DESIGN CRITERIA NUMBER OF BEDROOMS: 3 BEDROOM SOIL TEXTURAL CLASS: CLASS I DATE: JANUARY 24, 2008 (REF.# 12,083) DESIGN PERCOLATION RATE: <5 MIN/IN SOIL EVALUATOR: PETER MCENTEE PE, CSE : \\� DAILY FLOW 330 G.P.D.` WITNESS: DONNA MIORANDI RS, CSE DESIGN FLOW: 330 G.P.D. �'.\ \ •.,;N '�`•., Elev. TP- 1 Depth EIeV, TP-2 Depth GARBAGE GRINDER: NO PROPOSED SEPTIC TANK/PUMP CHAMBER: 1500/500 GALLON CAPACITIES' � 102.5 A 0" 102.5 A 0„ In~w LEACHING AREA REQUIRED: (330) = 445.9 S:F. SANDY LOAM SANDY LOAM — 10YR 4/2 1OYR 4/2 .74 \ p N \ I� �o� 101.8 B 8" 107.8 B 8» USE 3 ROWS OF 3 CULTEC C-4 UNITS WITH NO STONE \ LL..\`� ., SANDY LOAM SANDY LOAM FOR AN S.A.S. HAVING THE DIMENSIONS: 120 x 24.0'. \ 10YR 5 8 1OYR 5/8 �Q. \ 99 7 34" g9 8 32" BOTTOM AREA:(GENERAL USE APPROVAL FOR 6.7 SF/LF) tK' \� N� J\\ C C 3 UNITS x 8.0'/UNIT = 24.0 FT \w\ .. .� = 48" 3 ROWS x 24.0' x 6.7 SF/LF = 482.4 SF MED. SAND PERC MED. SAND DESIGN FLOW PROVIDED: 0.74(482.4 S.F.) = 357.0 G.P.D. 2.5Y 6/4" 60" 2.5Y 6/4 PROPOSED SEPTIC SYSTEM UPGRADE \\� 99.48 MOTTLING _ 99.48 MOTTLING — \ ¢ - �• `x \�.\,J., - 71 MEREDITH WAY, CENTERVILLE, MA — — — 2 7, 21 3 \ N 94•8 STG. GW1 — 92' 94.8 STG. GW — 92" Prepared for: Matthew Triveri, 71 Meredith Way, Centerville, MA 02632 — $•7 93.0 102" 93.0 102" Engineering by: Surveying by: SCALE DRAWN JOB. NO. N t PROP PERC RATE <2 MIN/IN. ("C" HORIZON) S.A.S. 9.2 5.4 -SOIL MOTTLING OBSERVED AT EL.=99.48 9 9 En ineer9n Work4 HOOD :3URVEY GROUP NTs P.T.M. 104-08 , - - - - — SEPTIC LAYOUT 12 West Crossfie Road 18 Route 6A 0 Forestdoie, MA 2644 Sandwich, MA 02563 DATE CHECKED SHEET N0. I---24 � (508) 477-5313 (508) 888-1090 2/5/08 P.T.M. 2 of 3 I A NEMA 4 JUNCTION BOX CORROSION RESISTANT L--- 12'-0"� ' & LIQUID—TIGHT CABLE CONNECTORS SUPPORTED PROVIDE WATERTIGHT CONCRETE RISER BY 1-1/4" PVC CONDUIT. JOINTS TO BE MADE WITH SECURED COVER TO GRADE WATERTIGHT. USE SJE RHOMBUS—JB PLUGGER OR EQUAL. 8 e SPECIFICATIONS: CONCRETE STRENGTH: 5000 PSI AT 28 DAYS INSTALL 1' PVC CONDUIT TO HOUSE FOR WIRING I _ HOISTING CABLE 709 STAINLESS STEEL WITH WATERTIGHT JOINTS. WIRE HIGH WATER ALARM Z STEEL REINFORCEMENT: A-615-68, GRADE 60 1/8" DIAMETER. / 1,760 LB. STRENGTH. FLOAT TO SJE RHOMBUS TANK ALERT XT ALARM PANAL DESIGN LOADING: AASHO—H10 ON CIRCUIT SEPARATE FROM CIRCUIT TO THE PUMP. NOTES: INV.(IN)=100.25 2" GATE VALVE (FIELD ADJUST FOR 20 GPM RATE) 1. PROVIDE POLYMER WATERPROOF COATING. 2"SCH. 40 DISCHARGE TO D-BOX II 2. SEPTIC TANK SHOWN IS AS MANUFACTURED BY ACME PRECAST CO., INC., 520 THOMAS B LANDERS RD, HATCHVILLE, MA 02536 ALARM ON EL: 98.25 2" 90' ELBOW W/ 1/4" WEEP HOLE 1 t'-a^ PUMP ON EL: 97.58 FOR SELF—DRAINING FORCE MAIN AEI 4' PUMP OFF EL: 96.92 24„ 16„ 2" SWING CHECK VALVE BOTTOM OF 8•• PLAN .1 PUM 2" SCH. 40 PVC DISCHARGE PIPE X, ELEVP C95.75ER 3/16" VENT HOLE (MIN.) ABOVE PUMP FLANGE M 3 Oo 0 PROVIDE 2 FLOATS: I I CpUPIN4. FLOAT NOA: PUMP ON/OFF-ABS FLOAT PROVIDED WITH PUMP ABS PL-EF 04W PUMP .4 H.P. 115 V — _ ` — _ — — — — — — — — FLOAT NO.2: ALARM ACTIVATION FLOAT-PROVIDED WITH ALARM PANAL 0, 'I WITH 2" DISCHARGE ' 48" Liquid Level to 10 PUMP CHAMBER, PUMP & ACCESSORIES AVAILABLE AS A UNIT ACME PRECAST CO. INC., FALMOUTH, MA. (508) 548-9607 "' to PUMP DETAIL ------8'-2"----{ (--3--� f.----6'--..� SECTION ,B-B SECTION A- N.T.S. 2 COMPARTMENT 2000 GALLON—SPLIT 1500/500 (WT.=21,425 LBS.) H- 10 SEPTIC TANK/PUMP CHAMBER -1 50OZ500 CULTEC CONTACTOR FIELD DMIN C,4(HD) MODEL FD_C-4 R STARTER 4" DIA. INSPECTION PORT SMALL RIB LARGE RIB " " U " °" e BUOYANCY CALCULATION° ° H-10 SEPTIC TANKZPUMP CHAMBER 21" s-a" POLYSEAL OUTLETS BOTTOM OF UNIT EL,= 95.75 2" —" 28 1-4" POLYSEAL INLETS MODEL FD C-4 E MIDDLE/END HIGH GROUNDWATER. EL.=99.48 (MOTTLING) SMALL RIB LARGE RIB 48 BUOYANCv FORCE PER F007 OF DEPTH: 3 ° 12.0' x 6.6' x 1' x 62.4 Ibs./cu,ft. = 4867.2 Ibs. 004 O O MAX. DISPLACEMENT = 99.48 - 95,75 = 3,73' N MAX. UPLIFT PRESSURE = 3.73' X 4867,2 Ibs/ft = 18,154.7 Ibs. LO WEIGHT OF UNIT EMPTY = 21,425 Ibs. ad 12 17 V., / i_' 21,425 Ibs >18,1i55 Ibs O.K. . Toe View v Section 8.5 r N D—BOX 4" DIA. 8.0' 3 -DOSING & STORAGE REQUIREMENTS 8.5, 8t5 ° ° ° ° ° ° ° ° ° ° ° ° ° ° ° DESIGN FLOW: 330 GPD f °SMALL RIB LARGE RI ° DOSING REQUIRED; 330Y-+-4 DA825SGALLLLONS/CYCLE PROPOSED SEPTIC SYSTEM UPGRADE DISTANCE REQUIRED BETWEEN PUMP 71 MEREDITH WAY CENTERVILLE, MA ON AND PUMP OFF FLOATS: CULTEC CONTACTOR FIELD DRAIN C-4 CHAMBER STORAGE = 1.692 CF/FT 82.5 GAL/CYCLE = 125 GAL/FT = 0.68 FT/CYCLE Prepared for: Matthew Triveri, 71 Meredith Way, Centerville, MA 02632 ALL CONTACTOR FIELD DRAIN C-4H0 HEAVY DUTY UN175 ARE MARKED WITH A COLOR STRIPE FORMED INTO THE PART ALONG THE LENGTH OF THE CHAMBER, STORAGE REQUIRED ABOVE WORKING LEVEL: 330 GALLONS Engineering by: Surveying by: SCALE DRAWN JOB. NO. PH: (203) 775-4416 STORAGE PROVIDED: EngineeringWorb HOOD SURVEY GROUP NTS P.T.M. 104-08 PH: (800) 4—CULTEC CULTEC ContactcxG and Recharges® INV.(IN) EL:100.25 — PUMP ON EL:97.58 = 2.67' 12 West Crossfield Road 18 Route 6A FX: (203) 775-1462 �c Plastic ca. and Stormwater Chambm STORAGE PROVIDED 2.67' X 125 GAL/FT = 333.8 GALLONS Forestdole, MA 02644 Sandwich, MA 02563 DATE CHECKED SHEET NO. www.cultec.com pAiEC "�F'Y 085� (508) 477-5313 (508) 888-1090 2� P.T.M. 3 Of 3 J i I t Town of Barnstable Geographic Information System FebruB.ry 5,2008 7 148125 +� 148132 148133 148137, t, // #14 4860610 14 8193X 57:76 148126 #12 ; X 53.6 go 148134 #93, � ' 011 } 33.88 i 124042003 it 48139 s #37 53.28 14EF 9 ,� ' #26 s #0, 148127Aw 55.84 #108 � *4 ,Y 48 135 114 8141 52 88 Woaffierswne Band #10 081 ®4; \ 1481d2 3s.oa X ;48`48 f i 3 .86 3,4 X J 143 149148 l -^�^^ ——• 148004 #12, 1 " f i 48149 148 � �,� •#69 � #22 111 148146001 X 148160 0120 n ��#67 46 032. Ir t 4Q 47043 X 58 41. - 148082 1 #55 # 148146003 148151D, 87 3`a'" "� 42.38 �/ 070 042,`. . X 33,88f e� � `��,148165• X148146002 r 149162, #31 1 #,117 X 34.23 #62 G 147042 l�1'(0,46 5s ti ; g, X y e147.117' ��•�,#48 � T� � 03 of #41�� t _ $3.85 147044 1 #62 r o #So �. 40.3 X 40,6 ,6� 36:1�3 ,14 011011 A �� 147104 147116 35.49 558 !75 147106 �� 1470070� #82` 's� 147,116 # $47046 � 56 X 32,6 147003 \ 1 X 41. '#60 X 41 } �►/ #0 147108 147114 14704 6 1 #8! 147007021 a026 / "sue 11 28.27 �� - 147107� O 11 147 Parcel:114 DISCLAIMERS;This map Is for planning purposes only. It is not adequate for legal Map; Selected Parcel boundary determinatlon or regulatory Interpretation. Enlargements beyond a scale of Owner:TRIVERI,MATTHEW& Total Assessed Value:$325500 r 1"=100'may not most established map accuracy standards. The parcel lines on this map E are only graphic representations of Assessor's tax parcels. They are not true property Co-Owner:JOHNSON,TRACY Acreage:0.39 acres Abutters bouttdarles and do not represent accurate relationships to physical features on the map Location:71 MERIDETH WAY } ( such as building locations. Buffer + ` 2f4r (ADDITION) 3-4 A 34' Y-c V-4" 5 4 3.4' ANDERSEN CIR 30 ►..� CENTERED ABOVE z ANDERSEN ANDERSEN ANDERSEN ANDERSEN ANDERSEN TW 21052 TW 21052 TW 21052 TW 21052 TW 21052 VERIFY DECKING S RAILING CCU b B REMOVE B MATERIALS W/OWNERS Q O C�V O •- I + EXIST. % A5 11� • cep IT A j DECK .� A DER EN I _. , r ---- - tV 00 N ANDERSEN VELUX j N E M\� VELUX ANDERSEN Z ~ W )00 O ►►•�� t? F A 251 I SKY°am VS I I ( SKYLIGHT I FWG 6068 L - F w+ w x �p►r� o I ABOVE I SUN ROOM I 1 (VAULTED CEILING) ABOVE ( I M x H ANDERSEN — — A251 I NEW 42'xSN' A i PLATFORM i ----- --- EXIST. ::_za_ __ti= NEW 37xgo" NEW EXIST. INTERIOR FRENCH PLATFORM DOORS d+ DN. I i I I NEW `,.' RAISE DOOR FOR I I I I SOLATUBE NEW FLOOR HEIGHT10(b L-- --� L-----� EXIST,PULL-DOWN REMOVE EXIST. STAIR TO REMAIN I i a SKYLIGHTS EXIST. KITCHEN I imuz\` EXIST. i I ll�o �`, DINING I y NEW ANDERSEN F WOODWRIGHT -E- — — — — cv WINDOW VERIFY S14E N THE FIELD NEW I `.� FAMILY CAS. I W ROOM l A EXIST. 0 LIVING I I W DIRECT VENT z GAS F.P. awl HELVE V ---------------- s NOTES. C) I ANDERSEN ANDERSE ��S'� � I I ANDERSEN ANDERTW 24M , 1.) CONTRACTOR IS TO VERIFY ALL EXISTING CONDITIONS TW 2" I x I I & DIMENSIONS IN THE FIELD �--� ------ ----- -----j 2.) CONTRACTOR TO VERIFY ALL INTERIOR & EXTERIOR MATERIALS, A EXIST. DETAILS, & FINISHES IN THE FIELD WITH OWNER Q �, A 3.) ROUGH OPENING HEAD HEIGHT OF WINDOWS AT FIRST FLOOR TO BE V-10" ABOVE SUBFLOOR Q 4.) ALL CONSTRUCTION TO CONFORM TO 780 CMR MASSACHUSETTS 0,4 STATE BUILDING CODE SIXTH EDITION w (EXISTING) r--i FIRST FLOOR PLAN SCALE �-� 1/4 it = 1'-0" LEGEND: -_ _— DATE 0 EXISTING WALLS -- 11 r , CONSTRUCTION TO BE REMOVED D�� ' VG11A %„f THE DESIGNER SHALL BE NOTIFIED IF ANY 9�3�200 f �G )�,,z ERRORS OR ING S RIOR TE FOUND ONTHESE DRAWINGS PRIOR TO START OF NEW CONSTRUCTION ICONSTRUCTION.THE BUILDING CONTRACTOR WILL BE RESPONSIBLE FOR THE CONTENT DRAWING NO. : IN THESE DRAWINGS IF CONSTRUCTION COMMENCES WITHOUT NOTIFYING THE DESIGNER OF ANY ERRORS OR OMISSIONS. THESE DRAWINGS ARE SOLELY FOR THE USE ON THE PROPERTY NOTED.ANY OTHER USE OF THESE DRAWINGS REQUIRES THE WRITTEN CONSENT OF THE DESIGNER.THESE DRAWINGS ARE PROTECTED UNDER THE ARCHITECTURAL COPYRIGHT PROTECTION ACT OF 1990. 2f4r (ADDITION) NEW P.T.6 x 6 POSTS ON 12"DIA , a,-cr a,-cr W-cr CONC.SONOTUBE W/2r DIA CONC.BIGFOOT FOOTING TO 4'0'BELOW GRADE.USE SIMPSON y ABU 66 POST BASE&BC 6 POST CAP i NEW 3-P.T.2x 12's NEW P.T.4 x 6 POSTS ON 12' d" B CONC.SOMNOTUSE TO 4'0'' �? N B BELOW GRADE. .C) . AS NEW P.T.2 x 10's 16'O.C. cxv °�° CENTER THIS PLATFORM -, t11 N H 04 ON THE NEW SLIDING DOOR O pp p � 0 NL7� SOLID BLOCKING z MID-SPAN q a z N -�--P.T.2 x 10 LEDGER BOARD LAG BOLTED TO SOLID BLOCKING W/(2)LEDGERLOK BOLTS 16"o.c.W/JOISTS HANGERS AT BOTH ENDS x N U F P IL N NEW P.T.2 x Vs 1 EXIST FULL 1 BASEMENT r I x N a 1 — _ EXIST.GIRT — _ — — N r--souD BLocK:KIG z 1 MID-SPAN W f I • • Mom+ I O w W EXIST. ROOF CONST. EXISTING FOUND.WALLS& 12 Q FOOTINGS TO REMAIN -- -- -- -- EXISTING L ------ -- --------J NEW 8"CONC. - q BLOCK TOP OF PLATE EXIST.CEILING JOISTS TO REMAIN TOP OF PLATE E"4 A � � 06 Q NEW 1/2',GYP.BOARD NEW WALL CONST, 14,4„ ON 1 x 3 STRAPPING ql a 16"o.c.W/NEW I;r 1.2 x 4 STUDS 0 16"o.c. F (EXISTING) BATT.INSUL.(R-30) NEW 2.1/7'PLYWOOD SHEATHING l 3.3- 1/2"(R-13)BATT.INSULATION FAMILY 4.1/7'GYPSUM BOARD5.W.C.SHINGLE ROOM 6.TYVEK VAP RSIDING BAR ER ~ NEW 3/4"T&G PLYWOOD SUBFLOOR, FIRST FLOOR GLUED&NAILED SUBFLOOR NEW P.T.2 x 10's 15'oc. . SCALE TOP OF FOUND. NEWS"CONC.BLOCK 1/`t" - ' 1 -0 NEW 2 LAYERS OF 2'RIGID nl� INSULATION(R-14),TOTAL(R-28) \--EXIST.CONC.SLAB DATE 9/3/2007 DRAWING NO. : a BUILDING SECTION NEW FAMILY ROOM - A4A4 24'-0" (ADDITION) NEW 4 x 4 POSTS BETWEEN WINDOWS W/MULTI LVL HEADER ABOVE&POST y UP TO RIDGEBEAM �r-�+ w•� B Bcq A5 A5 d, o ( - � F O A VC") a _. 4_6 POST UP of� TO RIDGEBEAM D I Q NEW �� ♦ SOLATUBE O o+ b op NEW 2 x 8 RAFTERS 16"o.c. TO BE BUILT OVER EXIST. ♦ ♦ ROOF STRUCTURE — — — N NEW ROOF CONST. 2 x 12 ROOF RAFTERS a 16"o.c. -1/2"CDX PLYWOOD ROOF SHEATHING ASPHALT ROOF SHINGLES W 15L9.FELT PIPER -10"HI-R BATT INSULATION Q SLOPED CEILINGS(R�0) 9'BATT INSULATION M--•r SIMPSON LSTA STRAP @ FLAT CEILINGS(R=30) ►....� > CONT.RIDGE VENT MULTI LVL -MULTI LVL RIDGEgE/�1 RIDGBEAM -SIMPSON H 2.5 HURRICANE CLIPS AT ALL RAFTER ENDS r T1 w .ICE/WATER SHIELD AT BOTTOM 3'0"OF ROOF F�+� -RAFTER VENTS BOTTOM OF 2 x 8's 15'o.c. CROSSTIES Zi 12 MATCH O EXIST. ►�.� M+rl NEW 2 x 8 BLOCKING IT0 A NEW 1/2"GYP.BD.ON TO PREVENT WIND WASHING OEMy NE� 1 x 3 STRAPPING Q 16'o.c. TOP OF PLATEU. CONT.ALUMINUM Z (EXISTING) SOFFIT VENTS E j -NEW WALL CONST 4t� CN6 Q 2 x 4 STUDS Q 16'o.c. -1/7 PLYWOOD SHEATHING ROOF FRAMING PLAN .3 1/2 BATT INSULATION(R-,9) � w -1/T GYP.BD. r� NEW 3/4"T&G PLYWOOD NEW -W.C.SHINGLE SIDING SUBFLOOR-GLUED&NAILED TYVEK HOUSE WRAP �•�•1 �j NOTES: . . . U N R sug eooR R 1.) ALL ROOF RAFTERS TO BE 2 x 10's UNLESS OTHERWISE OTHERWISE NOTED NEW P.T.2 x 10's!16"'o.c. -- x s SIMPSON BC 6 FOR GIRT TO POST 2.) USE SIMPSON H-2.5 HURRICANE CLIPS - NEW s"BATT. AT ALL RAFTERS ENDS INSULATION NEW 314"P.T.PLYWOOD SCALE : 3. VERIFY GUTTER TYPE/LAYOUT tR= 1/4 I 1'0 to W/ OWNERS P.T.6 x 6 POSTS FASTENED W/SIMPSON ABU 66 TO SONOTUBE DATE :NEW 28"DIA."BIGFOOT"FOOTINGS 9/3/2007 UNDER 12"DIA.SONOTUBES TO 4'a'BELOW GRADE DRAWING NO. Tr } BUILDING SE CTION NEW SUNROOM_