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HomeMy WebLinkAbout0117 SPICE LANE - Health =17 SN�ce��Lane�=�� ��� �; _ ;.;: ;Osterville:���P� �� - � ���; A. ,n x 69'r � � � , ti- , , , '^ t4 - �-- � _ �_ , e ,: ., .',. 'I ,� - c �i, IY I� � _ - gz .. . fi .. ��- .. �t. _ - ,. 6 _ y a r. .. �' � .. i� � o .. �_. _ .. .. �. G ro. r 1 TOWN OF B ARNSTABLE r :, I ;Y ATION I J'2 e L SEWAGE # !� V Lor?GE j �:T�---,-�. ASSESSOR'S MAP &LOT INSTALLER'S NAME&PHONE NO. 0%� SEPTIC TANK CAPACITY LEACHING FACILITY: (ty ) !.�/�/��.�L iB!'Z S (size) NO:OF BEDROOMS 0 BU'R,DER OR OWNE PERTvITTDATE: COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table and Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility (If any wells exist on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) Feet Furnished by i Y •(IN�• �) TO OF BARNSTABLE ' - SEWAGE # VM,I;AGE d STery}Ili. ASSESSOR'S MAP & LOT !yZ (0 INSTALLER'S NAME&PHONE NO. SEPTIC TANK CAPACITY l (�,L� LEACHING FACILITY: (type) Tit Rill,14�ael (size) NO. OF BEDROOMS BUILDER OR OWNER .J6 CUA, PERMTTDATE: 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 leachin facility) Feet Furnished by `Z/1S t i Ito 0 A > >y as a /3.4 17, 3 y 1-3 y 3°I 8 i' TOWN OF BARNSTABLE T,OCATION 1,1-7 PI CE �' ��— SEWAGE# �`ILLAGE V�i► ( ` GLLF— ASSESSOR'S MAP&PARCEL 14-L 0409 INSTALLER'S NAME&PHONE NO. M0 77C e,V) 778 06* SEPTIC TANK CAPACITY 1500 LEACHING FACILITY:(type) (size) 7 NO.OF BEDROOMS OWNER LAVOkCA11A PERMIT DATE: a12 COMPLIANCE DATE: 1113 07fg Separation Distance Between the: Maximum Adjusted Groundwater•Table to the Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility(If any wells exist on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) Feet FURNISHED BY r 5 y ILI S ® C) ® ^ � 4 16.7 c . Commonwealth of Massachusetts rya- D(� Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments y 117 Spice Lane ttitit Property Address tt� Robert Lavor na r Owner Owners Name information is reQ wired for eve Osterville / ry page. City/Town MA 02655 2/26/2020 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 A. Inspector Information filling out forms p � on the computer, ! IYy'f,L 3 use only the tab James Ford key to move your Name of Inspector cursor-do not use the return Ford Septic Services, LLC key. Company Name P.O. Box 49 r� Company Address Osterville MA 02655 City/Town State Zip Code 508-862-9400 S 12482 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 Inspect 's Signature 2/26/2020Date The"s s em 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.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 1 of 18 Commonwealth of Massachusetts p Title 5 Official Inspection. Form 21 Subsurface Sewage Disposal System Form -Not for Voluntary Assessments J� 117 Spice Lane Property Address Robert Lavor na Owner Owners Name information is required for every Osterville MA 02655 2/26/2020 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 Commonwealth of Massachusetts cp Title 5 Official Inspection Form N Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 117 Spice Lane Property Address Robert Lavor na Owner Owners Name information is required for every Osterville MA 02655 2/26/2020 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: t5ir,sp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 3 of 16 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 117 Spice Lane Property Address Robert Lavorgna Owner Owners Name information is Osterville required for every MA 02655 2/26/2020 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 ❑ ® 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.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 4 of 18 Commonwealth of Massachusetts Title 5 Official Inspection Form Ia Subsurface Sewage Disposal System Form - Not for Voluntary Assessments( ►Y 117 Spice Lane u- Property Address Robert Lavor na Owner Owners Name information is required for every Osterville MA 02655 2/26/2020 page. City/Town 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 ❑ ® Liquid depth in cesspool is less than 6"below invert or available volume is less than '/z 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 well. ❑ ® Any portion of a cesspool or privy is within 50 feet of a private water supply well. ❑ ® Any portion of a cesspool or privy is less than 100 feet but greater than 50 feet from a private water supply well with no acceptable water quality analysis. [This system passes if the well water analysis, performed at a DEP certified laboratory,for fecal coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered.A copy of the analysis and chain of custody must be attached to this form.] ❑ ® The system is a cesspool serving a facility with a design flow of 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 CM 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 consi dered 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 II of a public water supply well t5insp.doc-rev.7/2 612 01 8 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 5 of 18 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 117 Spice Lane Property Address Robert Lavorgna Owner Owners Name information is required for every Osterville MA 02655 2/26/2020 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 ® ❑ 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.7/26/201 a Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 6 of 18 Commonwealth of Massachusetts r� Title 5 Official Inspection Form ! Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 117 Spice Lane Property Address Robert Lavor na Owner Owners Name information is required for every Osterville MA 02655 2/26/2020 page. Cityrrown State Zip Code Date of Inspection D. System Information 1. Residential Flow Conditions: Number of bedrooms (design): 4 Number of bedrooms (actual): 4 DESIGN flow based on 310 CMR 15.203 (for example: 110 gpd x#of bedrooms): 440 Description: - as-built shows for a 4 bedroom Number of current residents: 0 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.) ❑ Yes ® No Laundry system inspected? ❑ Yes ® No Seasonal use? ❑ Yes ® No Water meter readings, if available (last 2 years usage (gpd)): Detail: unknown Sump pump? ❑ Yes ® No Last date of occupancy: unknown Date t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 7 of 18 Alk Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 117 Spice Lane Property Address Robert Lavorgna Owner Owners Name information is required for every Osterville MA 02655 2/26/2020 page. CitylTown State Zip Code Date of Inspection D. System Information (cont.) 2. Commercial/Industrial Flow Conditions: Type of Establishment: Design flow(based on 310 CMR 15.203): Gallons per day(gpd) Basis of design flow(seats/persons/sq.ft., etc.): Grease trap present? El 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: unknown Was system pumped as part of the inspection? ® Yes ❑ No If yes, volume pumped: 1500 gallons How was quantity pumped determined? Reason for pumping: needed to be pumped 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 Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 117 Spice Lane Property Address Robert Lavorgna Owner Owners Name information is required for every Osterville MA 02655 2/26/2020 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. ❑ -Other(describe): Approximate age of all components, date installed (if known) and source of information: Date installed - 11/30/99 , per as-built Were sewage odors detected when arriving at the site? El Yes ® No 5. Building Sewer(locate on site plan): Depth below grade: feet Material of construction: ❑ cast iron ®40 PVC ❑ other(explain): Distance from private water supply well or suction line: feet Comments (on condition of joints, venting, evidence of leakage, etc.): t5insp.doc•rev.7/26/2018 Title 5 Official Inspection form:Subsurface Sewage Disposal System•Page 9 of 18 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 117 Spice Lane Property Address Robert Lavorgna Owner Owners Name information is required for every Osteryille MA 02655 2/26/2020 page. Cltyrrown State Zip Code Date of Inspection D. System Information (cont.) 6. Septic Tank(locate on site plan): Depth below.grade: 36" feet Material of construction: ®concrete ❑ metal ❑ fiberglass ❑ polyethylene El 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 H-10 Sludge depth: 2 Distance from top of sludge to bottom of outlet tee or baffle 21 Scum thickness 3 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 15 How were dimensions determined? measure 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 pvc tee's were present. There was no sign of leakage.The tank is under the blue stone patio. Both covers have risers and are right under the stone The tank was pumped after the inspection t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 10 of 18 iL Commonwealth of Massachusetts l Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments hT � 117 Spice Lane u Property Address Robert Lavorgna Owner Owner's Name information is Osterville required for every MA 02655 2/26/2020 page. Cltyrrown State Zip Code Date of Inspection D. System Information (cont.) 7. Grease Trap (locate on site plan): Depth below grade: feet Material of construction: ❑ concrete ❑ metal ❑ fiberglass ❑ polyethylene El other(explain): N/a 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: Material of construction: ❑ concrete ❑ metal ❑fiberglass ❑ pot eth lene y y El-other(explain): Nla 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 y Title 5 Official Inspection Form V` ) Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 117 Spice Lane Property Address Robert Lavorgna Owner Owner's Name information is required for every Osterville MA 02655 2/26/2020 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.): 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 Even Comments (note if box is level and distribution to outlets equal, any evidence of solids carryover, any evidence of leakage into or out of box, etc.): The D-box was normal and is under the blue stone patio. Used a camera 15insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 12 of 18 r 41.4 Commonwealth of Massachusetts Title 5 Official Inspection Form ?, Subsurface Sewage Disposal System Form -Not for Voluntary Assessments w 117 Spice Lane Property Address Robert Lavor na Owner Owners Name information is required for every Osterville MA 02655 2/26/2020 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: Type: ❑ leaching pits number: ® leaching chambers number: 5 infiltrators with stone ❑ leaching galleries number: ❑ leaching trenches number, length: ❑ leaching fields number, dimensions: ❑ overflow cesspool number: ❑ innovative/alternative system Type/name of technology: t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 13 of 18 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 117 Spice Lane Property Address Robert_Lavorgna Owner Owners Name information is Osterville required for every MA 02655 2/26/2020 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.): The infiltrators were dry and clean. There was no sign of failure A camera was used to inspect 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 ,p Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 117 Spice Lane Property Address Robert Lavorgna Owner Owners Name information is reG uired for every OsterVille MA 02655 2/26/2020 page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) 13. Privy (locate on site plan): Materials of construction: N/a 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 I? Title 5 Official Inspection Form .Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 117 Spice Lane Property Address Robert Lavorgna Owner Owners Name information is required for every Osterville MA 02655 2/26/2020 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 wherepublic water supply enters the building. Check one of the boxes below: ® hand-sketch in the area below ❑ drawing attached separately l3 A . t3Ait-k y SToNe- RATi 0 I ° f3 I 1 13 as a 13 M, 3 �y i3 t5insp.doc-rev.7/26/2016 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 16 of 18 ` Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 117 Spice Lane V� Property Address Robert Lavorgna Owner Owners Name information is OSterville required for every MA 026.55 2/26/2020 page. CltylTown 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: 40 +/- feet Please indicate all methods used to determine the high ground water elevation: ❑ Obtained from system design plans on record If checked,date of design plan reviewed: Date. ❑ Observed site (abutting property/observation hole within 150 feet of SAS) ® Checked with local Board of Health- explain: Topo and water contours maps ❑ Checked with local excavators, installers- (attach documentation) ❑ Accessed USGS database-explain: You must describe how you established the high ground water elevation: see above 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 I� Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 17 Spice Lane, Property Address Robert Lavorgna Owner Owners Name information is required for every Osterville MA 02655 2/26/2020 page. Cltyfrown 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 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.7/26/201 B Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 18 of 18 • �s 4 I °db y s N g li Ilu 4[ mF II JJ Ij aW2 �i ¢ =2U II II i.li I i� I-IL Qo Ir. i" II 11 e03 (•I'�° i. .it RATH j N;S h II .e ,.. -,i II Moro a ; � • I I I N Rb. Wiz— 5EM59® 3 G Geier W, I 5118.AMA/ _ O� =aOwu 'x a o-N ON j N prr/V/N O 6l a<= OJa U 'Ey �j wIN� 'CL BARNSTABLE HARBOR BUILDERS SECOND ado FLOOR PLAN - PROPOSED N P 0 Box 483 BARNSTABLE, MA 02630 1 f 7 5001LE %AJ 057— `�� COMMONWEALTH OF MASSACHUSETTS EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS DEPARTMENT OF ENVIRONMENTAL PROTECTION 9'E® FEB 13 2003 TOWN OF BARNSTABLE HEALTH DEPT. TITLE 5 OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM FORM PART A CERTIFICATION �T Property Address: 117 Spice Lane Osterville, MA 02655 Owner's Name: John Curtin Owner's Address: 23 Salem Road Wellesley, MA 02482 Date of Inspection: February 3, 2003_ Name of Inspector: (Please Print) James M. Ford Company Name: James M. Ford Map: 142 Mailing Address: P.O. Box 49 Parcel: 069 Osterville,MA 02655-0049 Telephone Number: (508) 862-9400 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 the inspection. The inspection was performed based on my training and experience in the proper function and maintenance of on site sewage disposal systems. I am a DEP approved system inspector pursuant to Section 15.340 of Title 5(310 CMR 15.000). The system: ✓ Passes Conditionally Passes Neods, Further Evaluation by the Local.Approving Authority Faits) Inspector's4 Signature: Date: February 6, 2003 The system inspector shall sub 't a copy of this inspection report to the Approving Authority(Board of Health or DEP)within 30 days of completing this inspection. If the system is a shared system or has a design flow of 10,000 gpd or greater,the inspector and the system owner shall submit the report to the appropriate regional office of the DEP. The original should be sent to the system owner and copies sent to the buyer, if applicable,and the approving authority. Notes and Comments ****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. Title 5 Inspection Form 6/15/2000 page 1 Page 2 of 11 OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address: 117 Spice Lane Osterville, M4 Owner: John Curtin Date of Inspection: February 3, 2003 Inspection Summary: Check A,B,C,D or E/ALWAYS complete all of Section D A. System Passes: ✓ I have not found any information which indicates that any of the failure criteria described in 310 CMR 15.303 or in 310 CMR 15.304 exist. Any failure criteria not evaluated are indicated below. Comments: B. System Conditionally Passes: One or more system components as described in the"Conditional Pass"section need to be replaced or repaired. The system,upon completion of the replacement or repair,as approved by the Board of Health,will pass. Answer yes,no or not determined(Y,N,ND)in the 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. ND explain: 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 obstruction is removed distribution box is leveled or replaced ND explain: 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 obstruction is removed ND explain: . 2 Page 3 of 1 I OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address: 117 Spice Lane Osterville, M4 Owner: John Curtin Date of Inspection: February 3. 2003 C. Further Evaluation is Required by the Board of Health: Conditions exist which require further evaluation by the Board of Health in order to determine if the system is failing to protect public health,safety or the environment. 1. System will pass unless Board of Health determines in accordance with 310 CMR 15.303(1)(b)that the system is not functioning in a manner which will protect public health,safety and the environment: _ Cesspool or privy is within 50 feet of a surface water Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh 2. System will fail unless the Board of Health(and Public Water Supplier,if any)determines that the system is functioning in a manner that protects the public health,safety and environment: The system has a septic tank and soil absorption system(SAS)and the SAS is within 100 feet of a surface water supply or tributary to a surface water supply. The system has a septic tank and SAS and the SAS is within a Zone 1 of a public water supply. The system has a septic tank and SAS and the SAS is within 50 feet of a private water supply well. The system has a septic tank and SAS and the SAS is less than 100 feet but 50 feet or more from a private water supply well". Method used to determine distance "This system passes if the well water analysis,performed at a DEP certified laboratory, for coliform bacteria and volatile organic compounds indicates that the well is free from pollution from that facility and the.presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm,provided that no other failure criteria are triggered. A copy of the analysis must be attached to this form. 3. Other: 3 f Page 4 of i l OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address: 117'Spice Lane Osterville, AM Owner: John Curtin Date of Inspection:° February 3, 2003 D. System Failure Criteria applicable to all systems: You must indicate either`yes"or"no"to each of the following for all inspections: Yes No ✓ Backup of sewage into facility or system component due to overloaded or clogged SAS or cesspool ✓ Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or clogged SAS or cesspool ✓ Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool ✓ Liquid depth in cesspool is less than 6"below invert or available volume is less than '/2 day flow ✓ Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s). Number of times pumped_.. ✓ Any portion of the SAS,cesspool or privy is below high ground water elevation. ✓ Any portion of cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply. ✓ Any portion of a cesspool or privy is within a Zone 1 of a public well. ✓ Any portion of a cesspool or privy is within 50 feet of a private water supply well. ✓ Any portion of a cesspool or privy is less than 100 feet but greater than 50 feet from a private water supply well with no acceptable water quality analysis. [This system passes if the well water analysis, performed at a DEP certified laboratory,for coliform bacteria and volatile organic compounds indicates that the well is free from pollution from that facility and the presence of ammonia ,nitrogen and nitrate nitrogen is equal to or less than 5 ppm,provided that no other failure criteria are triggered. A copy of the analysis must be attached to this form.] No (Yes/No)The system fails. I have determined that one or more of the above failure criteria exist as described in 310 CMR 15.303,therefore the system fails. The system owner should contact the Board of Health to determine what will be necessary to correct the failure. E. Large System: To be considered a large system the system must serve a facility with a design flow of 10,000 gpd to 15,000 gpd• You must indicate either"yes"or"no"to each of the following: (The following criteria apply to large systems in addition to the criteria above) Yes No the system is within 400 feet of a surface drinking water supply the system is within 200 feet of a tributary to a surface drinking water supply the system is located in a nitrogen sensitive area(Interim Wellhead Protection Area-IWPA)or a mapped Zone II of a public water supply well If you have answered"yes"to any question in Section E the system is considered a significant threat,or answered "yes"in Section D above the large system has failed. The owner or operatorr of any large system considered a significant threat under Section E or failed under Section D shall upgrade the system in accordance with 310 CMR 15.304. The system owner should contact the appropriate regional office of the Department. 4 Page 5 of 11 OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B CHECKLIST Property Address: 117 Spice Lane Osterville, M4 Owner: John Curtin Date of Inspection: February 3, 2003 Check if the following have been done: You must indicate"yes"or"no"as to each of the following: Yes No ✓ Pumping information was provided by the owner,occupant,or Board of Health ✓ Were any of the system components pumped out in the previous two weeks? ✓ Has the system received normal flows in the previous two week period? ✓ Have large volumes of water been introduced to the system recently or as part of this inspection ? ✓ _ Were as built plans of the system obtained and examined?(If they were not available note as N/A) ✓ Was the facility or dwelling inspected for signs of sewage back up? ✓ Was the site inspected for signs of break out? ✓ Were all system components,excluding the SAS,located on site? ✓ _ Were the septic tank manholes uncovered,opened,and the interior of the tank inspected for the condition of the baffles or tees,material of construction,dimensions,depth of liquid,depth of sludge and depth of scum? ✓ _ Was the facility owner(and occupants if different from owner)provided with information on the proper maintenance of subsurface sewage disposal systems? The size and location of the Soil Absorption System(SAS)on.the site has been determined based on: Yes No ✓ Existing information. For example,a plan at the Board of Health. ✓ _ Determined in the field(if any of the failure criteria related to Part C is at issue approximation of distance is unacceptable)[310 CMR 15.302(3)(b)]. 5 I Page 6 of 11 OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION Property Address: 117 Spice Lane Osterville, AM Owner: John Curtin Date of Inspection: February 3, 2003, FLOW CONDITIONS RESIDENTIAL Number of bedrooms(design): 4 Number of bedrooms(actual): . 4 DESIGN flow based on 310 CMR 15.203 (for example: 110 gpd x#of bedrooms): 440 Number of current residents: 0 Does residence have a garbage grinder(yes or no): n/a Is laundry on a separate sewage system(yes or no): No [if yes separate inspection required] Laundry system inspected(yes or no): No Seasonal use(yes or no): No Water meter readings,if available(last 2 years usage(gpd)): Unavailable Sump Pump(yes or no): No Last date of occupancy: Unknown COMMERCIAL/INDUSTRIAL Type of establishment: Design flow(based on 310 CMR 15.203): and Basis of design flow(seats/persons/sgft,etc.): Grease trap present(yes or no): Industrial waste holding tank present(yes or no) Non-sanitary waste discharged to the Title 5 system(yes or no): Water meter readings, if available: Last date of occupancy/use: OTHER(describe): GENERAL.INFORMATION Pumping Records Source of information: Never pumped-per treatment plant Was system pumped as part of the inspection(yes or no): No If yes,volume pumped: gallons--How was quantity pumped determined? Reason for pumping: TYPE OF SYSTEM ✓ Septic tank,distribution box,`soil absorption system Single cesspool Overflow cesspool Privy Shared system(yes or no) (if yes,attach previous inspection records,if any) Innovative/Alternative technology. Attach a copy of the current operation and maintenance contract(to be obtained from system owner) Tight Tank Attach a copy of the DEP approval Other(describe): Approximate age of all components,date installed(if known)and source of information: Nov. 30199-per as built card Were sewage odors detected when arriving at the site(yes or no): No 6 Page 7 of I 1 OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: 117 Spice Lane' Osterville. MA _ Owner: John Curtin Date of Inspection: February 3, 2003 BUILDING SEWER(locate on site plan) Depth below grade: Approx. 42" Materials of construction: _cast iron ✓ 40 PVC other(explain): Distance from private water supply well or suction line: Comments(on condition of joints,venting,evidence of leakage,etc.): SEPTIC TANK: ✓ (locate on site plan) Depth below grade: 30" Material of construction: ✓ concrete _metal _fiberglass _polyethylene _other(explain) If tank is metal list age: Is age confirmed by a Certificate of Compliance(yes or no): (attach a copy of certificate) Dimensions: 1500 gal. Sludge depth: I" Distance from top of sludge to bottom of outlet tee or baffle: 31" Scum thickness: I" Distance from top of scum to top of outlet tee or baffle: 10" Distance from bottom of scum to bottom of outlet tee or baffle: 13" How were dimensions determined: Measuring stick Comments(on pumping recommendations, inlet and outlet tee or baflle.condition, structural integrity, liquid levels as related to outlet invert,evidence of leakage,etc.): Tees were present. The liquid level was even with the outlet invert. There were no signs of leakage. GREASE TRAP: None (locate on site plan) Depth below grade: 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: Comments(on pumping recommendations,inlet and outlet tee or baffle condition,structural integrity, liquid levels as related to outlet invert,evidence of leakage,etc.): ' 7 • Page 8 of 11 OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: 117 Spice Lane Osterville, AM Owner: John Curtin Date of Inspection: February 3, 2003 TIGHT or HOLDING TANK: None (tank must be pumped at time of inspection)(locate on site plan) Depth below grade: Material of construction: concrete metal fiberglass polyethylene _other(explain): Dimensions: Capacity: gallons Design Flow: gallons/day Alarm present(yes or no): Alarm level: Alarm in working order(yes or no): Date of last pumping: Comments(condition of alarm and float switches,etc.): DISTRIBUTION BOX: ✓ (if present must be opened)(locate on site plan). Depth of liquid level above outlet invert: Even Comments(note if box is level and distribution to outlets equal,any evidence of solids carryover,any evidence of leakage into or out of box,etc.): The D-box was level. No solids were present. There were no signs of backup or failure from the leach field. PUMP CHAMBER: None (locate on site plan) Pumps in working order(yes or no): Alarms in working order(yes or no) Comments(note condition of pump chamber,condition of pumps and appurtenances,etc.): z 8 Page 9 of 11 OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: 117 Spice Lane Osterville, MA Owner: John Curtin Date of Inspection: February 3, 2003 SOIL ABSORPTION SYSTEM(SAS): ✓ (locate on site plan,excavation not required) If SAS not located explain why: Type leaching pits,number: ✓ leaching chambers,number: S infiltrators with stone-per as built card leaching galleries,number: leaching trenches,number, length: leaching fields,number,dimensions:' overflow cesspool,number: Innovative/alternative system Type/name of technology: Comments(note condition of soil,signs of hydraulic failure,level of ponding,damp soil,condition of vegetation,etc.): The leach field was located, but not dug up. There were no signs offailure in the D-box. The bottom to grade was approximately 5'. CESSPOOLS: None (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 or no): Comments (note condition of soil,signs of hydraulic failure,level of ponding,condition of vegetation,etc.): PRIVY: None (locate on site plan) J Materials of construction: Dimensions: Depth of solids: Comments(note condition of soil,signs of hydraulic failure, level of ponding,condition of vegetation,etc.): 9 Page 10 of 11 OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: 117 Spice Lane Osterville, MA Owner: John Curtin Date of Inspection: February 3, 2003 SKETCH OF SEWAGE DISPOSAL SYSTEM Provide a sketch of the sewage disposal system including ties to at least two permanent reference landmarks or benchmarks. Locate all wells within 100 feet. Locate where public water supply enters the building. 3a� y 0 � 1 3 a yo O >q B i 141 as a 3.( r7 10 Page 11 of 11 OFFICIAL INSPECTION FORM = NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: 117 Spice Lane Osterville, AM Owner: John Curtin Date of Inspection: February 3, 2003 SITE EXAM Slope Surface water Check cellar Shallow wells Estimated depth to ground water 40 +1- feet Please indicate (check) all methods used to determine the high ground water elevation: Obtained from system design plans on record-If checked, date of design plan reviewed: Observed site(abutting property/observation hole within 150 feet of SAS) ✓ Checked with local Board of Health-explain: topographic and water contours maps Checked with local excavators,installers-(attach documentation) Accessed USGS database-explain: You must describe how you established the high ground water elevation: Using the Barnstable topographic map and water contours map, the maps are showing approximately 40'+/-to ground water at this site. i This report has been prepared and the system inspected and passed as of the date of inspection. This report is not a warranty or guarantee that the system will function properly in the future. There have been no warranties or guarantees, either expressed, written or implied, relating to the system, the inspection and/or this report. I1 �( 1 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM Address of p.roperrty 11-1 SP,c t L(A(Ae - US% Owner ' s name AZR-", H 0eck' IECEIV® Date of. Inspection 3-�( igct5" t Y ' J U L . 8 1995 PART A CHECKLIST 70"�BARNT�LE Check if the fol. lowi.nc3 have been done : Pumping information was requested of the owner, occupant , and Board of: Flea 1 th . _ None of the system components have been pumped for at. least two weeks vnocc,fPr_Pand the system has been receiving normal flow rates during that pericd . Large volumes of water have not been introduced into the system recently or as part of this 'inspection . As built plans have been obtained and examined . Note if they are not available with N/A . 1�.. The l .+c. i 1 ity c>r dwel l ifW3 w,.lr:; Ii7r ic3ns o1 sew;rye back-uh . y 111he site way_; inspected for _:; igris, A1. 1 system c:0111punent5 cxc_ 1 ud i ncl t h,c Sn� , htivc bean l.oc:; sited on the site . The septic tank manholes were uncovered , opened , and the interior of the septic tank was inspected for condition of baffles or tees, materi ,,jl of construction, dimens.ioils , dept.li of liquid , depth of sludge , depth of scum. The size and location of the. SAS on the site hzis been determined based on existing information or approximated by non- intrusive methods . _ The facility owner (and occupants , if different from -owner) were. , provided with information on the proper maintenance of SSDS . r." v 8 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B SYSTEM INFORMATION FLOW CONDITIONS If residential _ir•v 3 number,. of bedrooms O number of current—residents garbage grinder, yes or no ales laundry connected to system, yes or no �jo_ seasonal use, yes or no If nonresidential, calculated flow: Water meter readings, if available: is8y AU Last date of occupancy GENERAL INFORMATION Pumping records and source of informatt '' on: . A,�, /jC/ //0 System pumped as part of inspection, yes or no if yes, volume pumped Reason for pumping: r 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) _ Other (explain) 5���'2A1e pi/�c �rom l*Q3r-- PAcHZ'o A Approximate age of all components. Date installed, if known. Source of information: >5 / J AIQ Sewage odors detected when arriving at the site, 'yes or. no 3 9 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B /� SYSTEM INFORMATION continued SEPTIC TANK: ./Vr7 (locate on site plan) depth below grade: material of construction: concrete metal FRP other(explain) dimensions: sludge depth distance from top of sludge to bottom of outlet tee or baffle 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 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, recommendations for repairs, etc. ) DISTRIBUTION BOX:�� ( locate on site plan) depth of liquid level above outlet invert Comments: (note if level and distribution is equal , evidence of solids carryover, evidence of leakage into or out of box, recommendation for repairs, etc. ) PUMP CHAMBER: (locate on site plan) - pumps in working order, yes or no Comments: (note condition of pump chamber, condition of pumps and appurtenances, recommendations for maintenance or repairs, etc. ) . ..—. .... Jay L� 10 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B SYSTEM INFORMATION continued SOIL ABSORPTION SYSTEM (SAS) : ,AIR ( locate on site plan, if possible; excavation not required, but may be approximated by non-intrusive methods) If not determined to be present, explain: Type leaching pits and number leaching cha mbers and number leaching galleries and number leaching trenches, number, length leaching fields , number, dimensions overflow cesspool , number Comments: (note condition of soil , signs of hydraulic failure, level of ponding, condition of vegetation, recommendations for maintenance or repairs, etc. ) CESSPOOLS ( locate on site plan) : �g21z 0c� -��Z2e t�1 number and configuration depth-top of liquid to inlet invert depth of solids layer NO'` depth of scum layer , '7';�6 dimensions of cesspool 7` materials of construction indication `' ` — SAme indication of groundwater inflow (cesspool must be pumped as roblerll . o IO�r�J�✓, part of inspection) Comments: (note condition of soil , signs of hydraulic failure, level of ponding, condition of egetation, r�Pmmendations for aintenance or repairs, etc. ) p '/6A/1 r7 O COvC�'S PRIVY : ( locate on site plan) materials of construction dimensions depth of solids Comments: level of ponding, (note condition of soil , signs of hydraulic failure, endations for maintenance or repairs, etc. ) condition of vegetation, recomm 11 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B SYSTEM INFORMATION continued SKETCH OF SEWAGE DISPOSAL SYSTEM: - include ties to at least two permanent references landmarks or benchmarks locate all wells within 100 ' Spice Lane Bukhead B A cesspool #1 O cesspool #2 A B 18'6" cesspool #1 40' 36' cesspool #2 27' 11 O DEPTH TO GROUNDWATER- c� depth to groundwater "7111;NN �Jo ��or•� o va method of determination or approximation: Lf/f_/� /">I�✓ 30 LCMfz J� / iA4) AIJTvJ/c7 l' I�1 Sr 12 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C FAILURE CRITERIA Indicate yes, no, or not ,determined (Y, N, or ND) . Describe basis of determination in all instances. If "not determined" , explain why not) Backup of sewage into facility? Discharge or ponding of effluent to the surface of the ground or surface waters? T Static liquid level in the distribution box above outlet invert? Liquid depth in cesspool <6" below invert or available volume< 1/2 day flow? _ Required pumping 4 times or more in the last year? number of times pumped %✓�i Septic tank is metal? cracked? structurally unsound? substantial infiltration? substantial exfiitration? tank failure imminent? Is any portion of the SAS, cesspool or privy: below the high groundwater elevation? within 50 feet of a surface water? /Y within 100 feet of a surface water supply or tributary to a surface water supply? within a Zone I of a public well? within 50 feet of a bordering vegetated wetland or salt marsh (cesspools and privies only, not the SAS) ? I within 50 feet of a private water supply well? 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 analysi for coliform bacteria, volatile organic compounds, ammonia nitrogen and nitrate nitrogen. 13 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART D CERTIFICATION Name of Inspector GRUCE MACALLISTER Company Name SHORELINE CONSTRUCTION Company Address E17 POND STREET OSTERVILLE, MA 02655 Certification Statement I certify that I have personally inspected the sewage disposal system at this address and that the information reported is true, accurate and complete as of the time of inspection. The inspection was performed and any recommendations regarding upgrade, maintenance and repair are consistent with my training and experience in the proper function and manitenance of on-site sewage disposal systems. Chec one: I have not found any information which indicates that the system fails to adequately protect public health or the environment as defined in 310 CMR 15 . 303 . Any failure criteria not evaluated are as stated in the FAILURE CRITERIA section of this form. I have determined that the system fails to protect public health and the environment as defined in 310 CMR 15 . 303 . The basis for this determination is provided in the FAILURE CRITERIA section of this form. Inspector' s S Signature Date �`'A original to system owner Copies to: Buyer ( if applicable) Approving authority LOT 74 NSF CB DOUGLAS,C. & TARA P. MORAN " FOUND_ 5 r+�a N77 21 20"E 115.00' CB BENCHMARK: vl � FOUND., PP NAIL SET EVERGREENS ELEV. 39.89' '�+„`I (ASSUMED) Z1. o co 0 LOT 16 0 0 12,900t S.F. 40 APPROXIMATE p'Z' 1 n LOCATION OF LEACHING FIELD 0 a z N nAi 43.9' COBBLE EDGE COBBLE BORDERED m f > GRAVEL DRIVEWAY m LEGEND GARAGE SLAB APPROXIMATE❑ EL. 40.08' z / LOT 75 LOCATION -------39------- EXISTING 2' CONTOUR NSF EXISTING COBBLE EDGE ---qO_-- EXISTING 10' CONTOUR SEPTIC *NANCY K. sHwR. +38.5 EXISTING SPOT ELEVATION DOTY & p 0 STEP 0° r42.0 PROPOSED SPOT ELEVATION JANE K. 0 12" CHERRY . p o PAGE, r\ 0 a q o PP EXISTING UTILITY POLE TR S o r o O B.H. CHIMNE c mo O TREE EXISTING TREE 371 38 8 m FOCB UND o CONCRETE BOUND 4 \\ o W --—-- m /1 DECK Y 0 I 3 N m \ EXISTING HOUSE #117 o I F.F. EL. 41.51' Z 34.1' � O 0 16" TREE r i LANDING D & STEP Z \I - 20" MAPLE A.C./ ❑ — — — _39 rn O � PS / A.C. METER iG '_ —38-- / ausHEs /i ,y 4 S q 90 o _ /16" PINE 7" HOLLY I - 0 7" HOLLY / OF � i S79'16'20"W EDGE / . 9 0 / STOCKADE FENCE _ 125,54' s®/� CB FOUNb QP ��~— LOT__'PLANj LOT 11 FOR #117, IC _OR � ANN. BROWN, TR. GENERAL NOTES: PREPARED BARNSTABLE HARBOR—BUILDERS 1. ASSESSOR'S INFORMATION: MAP 142, PARCEL 69, LOT 16 IN 2. FLOOD ZONE: X (FEMA MAP 25001CO563J) OSTERVILLE MA 3. ZONING DISTRICT: RC PLAN DATE: MARCH 28, 2018 PLAN SCALE: 1"=10' EXISTING 4. OVERLAY DISTRICTS: AQUIFIER .PROTECTION OVERLAY DISTRICT & CIVIL ENGINEERING WETLANDS PERMITTING HOUSE RESOURCE PROTECTION OVERLAY DISTRICT Pj jVI O UT�Ty' S. LOT COVERAGE BY: WASTEWATER DESIGN > COASTAL ENGINEERING A. EXISTING STRUCTURES: 1,770 S.F./12,900 S.F. = 13.7% TITLE 5 PLOT PLANS PIERS AND DOCKS 6. STREET ADDRESS: SPICE LANE �GINEERA-� LAND USE PLANNING COMMERCIAL/RESIDENTIAL 10 0 s 10 20 7. HOUSE NUMBER: 117 Serving Cape Cod and Southeostem Mossochusetts 8. TOPOGRAPHIC INFORMATION COMPILED FROM AN ON THE GROUND SURVEY SCALE: 1 INCH = 10 FEET 9. ELEVATIONS SHOWN ARE BASED ON ASSUMED DATUM. 17 ACADEMY LANE, SUITE 200 - FALMOUTH, MA - 02540 - 508,495.1225 PROJECT NUMBER: 18016 1 CAD FILE NAME: 18016SP I DRAWN BY: L.M. SHEET 1 OF 1 i LOT 74 N ce DOUGLAS C. & TARA P. MORAN FOUNL N77'21'20'E 115.00' CB BENCHMARK: FOUNO^, PP NAIL SET 1 EVERGREENS y 1 �' ((A 9•(ASSUMED) REVOIED AND LOT 16 REINSTALLED AT o 1 12,900t S.F. ArAlRFO/AS aw,wYAND m ACaKSSAR fTAP AVMME SnWP NEW CARAGE ,9YALL&I M AND LWIWIYAY DIALARGL'D AT '^ ?1 AnWWAY _ 40— I — ..o�� V . -- -_. - CARAGl� 1 APPROXIMATE ——— J rn LOCATION OF `b pgp0 LEACHING FIELD54/bg'MAY _ EXl"A'C OP ANEAO io 16'B/Ral lU .9'At9G F-WALL BE N 43.9' AF AFN,9kw 11NZdER09x/ND/N o D �. SAME Z=4,70V 0 CO BLE m COBBLE BORDERED ,� LEGEND APPROXIMATE❑ GARA SLAB GRAVEL DRIVEWAY L. LOCATION 40.08' -------38------- EXISTING 2' CONTOUR LOT/75 OF EDG N/� ESEPnc 4V' ---aO--- EXISTING 10' CONTOUR S. +38.5 EXISTING SPOT ELEVATION NANCY K. SHWR .5 DOTY & o f,ea'aR�O Q, xA?0 JANE K. 0 12' CHERRY 5 o P D\o 1rA AWIMZV 7NC $ PROPOSED SPOT ELEVATION PAGE, \ Q A�lnOv � $ o PP EXISTING UTILITY POLE RA%VTRS• o O B,H IMN almvEY In TREE O EXISTING TREE RN/NDAMOV 0 37.1' m 38.9 FOUND a CONCRETE BOUND �XIS DE W N IX ST1NG j s / \\ HOUSE #117 s O� F.F. EL. 41.51 Z 0p 0 EA7S77NO DEDY. a 5' 6i 5` 34.1' 4 ArPLofal MF N O 5VA-tW)W 0 16' TREE r A0&l%W I i LANDING - D &STEP Z I A.C. m 20'MAPLE �38 I � 0 _ _ /O _ cv /- PS / A.C. METER iG �yTH OF q,S$ BUSHES GARY S.LABRIE m a 7' HOLLY 16 ? o G (D 7' HOLLY IST 0/ � �� EDE 'PINE � S79'I8'20'W s / D � i W STOCKADE FENCE ,/.,./b6 125.54' 4'/ J _ ce PLOT PLAN —LP_ROPOSED- RENOVATIONS LOT 11 FOUND FOR #117 SPICE LANE PREPARED FOR ANN. a OWN, TR. GENERAL NOTES: BARNSTABLE HARBOR BUILDERS 1. ASSESSOR'S INFORMATION: MAP 142, PARCEL 69, LOT 16 IN 2. FLOOD ZONE: X (FEMA MAP 25001CO563J) OSTERVILLE MA 3. ZONING DISTRICT: RC PLAN DATE: JULY 17, 2018 PLAN SCALE: 1"=10' EwsrNG 4. OVERLAY DISTRICTS: AQUIFIER PROTECTION OVERLAY DISTRICT & CIVIL ENGINEERING WETLANDS PERMITTING HOUSE RESOURCE PROTECTION OVERLAY DISTRICT M O UT�Jy` 5. LOT COVERAGE BY: WASTEWATER DESIGN COASTAL ENGINEERING A. EXISTING STRUCTURES: 1,770 S.F./12,900 S.F. = 13.7% TITLE 5 PLOT PLANS PIERS AND DOCKS B. PROPOSED STRUCTURES: 2,326 S.F./12,900 S.F. = 18.07 NGINEERl� 10 0 5 10 20 6. STREET ADDRESS: SPICE LANE LAND USE PLANNING CILiMERCIAL/RE9DENTIAI 7. HOUSE NUMBER: 117 ssrrvny cope Cad and Savth"S&M AlarsnaAusstts 8. TOPOGRAPHIC INFORMATION COMPILED FROM AN ON THE GROUND SURVEY 17 ACADEMY LANE, SUITE 200 - FALMOUTH, MA - 02540 - 508.495.1225 SCALE: t INCH = 10 FEET 9• ELEVATIONS SHOWN ARE BASED ON ASSUMED DATUM. PROJECT NUMBER: 18016 CAD FILE NAME: 18016SP DRAWN BY: L.M./D.M.M. SHEET 1 OF 1 i l 1 0 i 2 0 S z ' w � I � o U m tL \ Ld 10"DIA CONC.FILLED ^W r SON TUBE WITH 28'DIA. Q 3 Z BASE 51GFOOT BF-28 fTYP.) J J �5 Lo N L, ILI \ OC o 5A�l O�O W S F W < ¢ IL (2)2XIO P.T. Q W O I WOOD BEAM(TYP.) o =Z U n X QQ Z ROOM ABOVE Ul J N .1 (n V w (A LU w o _ BEAM ANCHOR Q(� O 0 SIMPSON EPB OR P8 ci o / _ — 44 OR EQUAL rrYP.) (LU () / / N (21 ITS'X11.25• Zr U m m P T L.V.L.BEAM i - m - DEMOLISH EXISTING _ F ci SLAB AS NECESSARY N LINE OF D_i:K FOR NEW 50NOTUBES F op ABOVE ITYP.1�� ^' W { i 4 o O nOm 2X10 P.T.LEDGER �� ,. - / � �� ' O u < BOLTED WITH 12)5/8' n I n DIA BOLTS"IG OC.� ....... -.:.�. `.. I �f I CAR IS-WIDE N X 12 DEEP Y EON 1 I .- •„ TING WI "CONCRETE u 9 4xE FOOTING WITH'2 X q X KEYWAYITY P.) „ 'a IS 2 c5 DOWELS T 1 B f -- — -- — — - �.� 5 y ^b BASEMENT FLOOR .._.._ +— -- ---- -- _ cROR I a+ SAW CONTReACTION ENTRYLY I 8'CONG.FOUNDATION I •T I 4-� G i I'I I ,t t•.. JOINT(TYP.) I WALL f3000 peU WITH _ FDN.DAMP PROOFING - C TO C E GRADE ON CONT Ir s �) AC-- KEYED 18'W.X 12 D. o ) � "I l i 1 1 NIF./2k. I I CONC.FTG.1300 p I C o II I � ..„_. �. ,:. .�...,..�...... ._„;.m.__. �.., _. .... .�.. .,.,,.�........_. ... �:- - 2 1 I � �. =s DOWELS r B I 1 rr ( I I mx� WALL ASi4ECE5ARY DEMOLI I• I -- --' -'"^�-�91 -- FOUNDAON DEMOLISH EXISTING I•J I, ;i ( 1 / r0 SUIT NEW FLOOR I I 3 10 OSTS WOOD BMS A9 I I o ( I •' •'='� ) •I ABV.Ic.p.0. 1 _ NECESSARY I Q .)1 ,,....,...� ., o dl I ear CRAWI. SPACE 2"MIN.CONCRETE J 1 DUS-COJCR % ON GRAD (3000 ) I 1 DEEP EARLY ENTRY I I TA 1 ' E / to MIL VAPOR I 2 CAR GARAGE SAW CONTRACTION ( ' q"MIN.CONCR: SLAB ON INFILL WALL AS _ -T\2DER ,.DINT(T,P.) 1 _ GRADE(3000 >WITH 10 MIL I NECESSARY-� ET 1• 'E `' - m 1 ///�DEI'OLISH I VAPOR RETARDER I, FOUIDATION WAL.AS I; NECESSARY DROP FOUNDATION 2 X t P.T.$ILL WITH SILL SEAL AND I I W < Y TO IUIT NEU ' I WALL AS NECESSARY 5/8"DIA.ANCHOR BOLTS WITH 3 X ' I Z N {..y .. 2 a5 DOWELS T t B FRAING ( �AT GARAGE DOOR I I Q I - ---1 — -- ,( 3'X "PLATE WASHERS.BOLTS O J — ——— - - - L— SHALLBE INSTALLED 32 O C Z W----� n I Lu VICE TO BE z IL REOCA T ED B In U (L Q AIT5AME EK�ROUND r Q w \CATION Q �A-T , = Z(n 3-, q,_t, 3,_q, c 0 F-A O O QQE: 1—(L W F-- Q K + Ow- Z� FOUNDATION PLAN �;w O (y0 (O r SHEET.' AO _ SCALE 114"A'-0'AT ORIGINALISIZE of 7 mztj Q I o Z O .. S w Lu Cr g O U Z 4 N I 3'-0" 3'-O" 3'-0" In \ ry !V 13)2 X 8 HOR.�(TY I GL AZEK 3 STEPS TO GRADE AS Q J Z REQUIRED .nvaue 1 nns.a rase j Q OC N w n 4�1 A T� W u7 W "'2 x 10 f f 2 X 10 (D O In RAFTERS RAFTE m N ❑ J v Nn I I S 2 X 10 CLG-JOISTS ABV. UJ 61 O.C. ABV.IL"O.G. ' ' 12 LP. I LEVEL 10'-O"A.F.F. I 812 P. .-_ .-.-._a-..._- =Z U Q Q = (3)1Is X 9.25 LVL NDR. Q Lu 1(� ; W 1 FAMILY ROOM; ❑ fy o O U W w I XETRAY CEILING 1 - Q_ ❑ O Z _ HARDWOOD i �-a W 3 �'I— In U ZERO 12"MIN SEPARATION W CLEARANCE GAS FROM EXISTING BULKHEAD t r () m m I FIREPLACE FOUNDATION WALL _ m ❑ ❑ 5 e W W n I t Qa � L9V DEMOLISH AND REMODELO ❑ U O j BATHROOM 1 AGE STORAGE E E W D 4"MIN.CONCRETE SLAB ,� C _ _ 1 5 4 _ I (3000 pvl WITH 6X6 10/10 j ! - Gk __- —_ mod.__ U.W.M.ON COMPACTED p GRAVEL i U� Ii 1 I t O rt CASED OPENING O O j 3 I SIZED AS AVAILABLE v LALLY pIA, 1f�m..a.. (t +�``ry' 1 c)I �. �y/� I...V'i ITS• F - D.W. SINK COLUMN r r- 40. siiowER. KITCHEN NFILL STUD D =Tw HARDWOO + ! ..�_ I I�,p •�7T j 4ARDWOOD REMOVE AND �+II�iNY `•'+. - -I4 I I - _ REPLACE EXISTING {4. y •�' _ 5HEETROC<CEILING - W12 X 30 STEEL G o •I JI'�d I BM.ABV. p 2 X 10 FLR.JOISTS y • \ y r L I SOLID POST IN WALL(TYP.) p- I ABV.12.O.G. m 0 ._... _:.'... -M1 — — MIN NCRE E SLAB 13000 m 9' CO f TN ps/WITH WWF 6XL W2.9 X W2.9 Q ON COMPACTED GRAVEL QMICROLAM POST ryPAN1R =8�^ / FILL WITH STUD WALL SS/£Lv£5 (I O OG. o� V e-e '.5/8"TYPE X �.� p 0 11111 I Tf I SHEETROCK ON I J iy p (3)I.1 5 X 14"L.V.L.SM.ABV. `i n o WALLS A5 NECESSARY - 5 E � 3 1 a; HEAT I HEAT 77 14 i 11 -- 3•_ 9'-0'X l O'O.H. 9'-C"X l'O'O.H. TA k.I f Ir MUDROOM O GARAGE DOOR GARAGE DOOR PATCH WALL WHERE TILE�(I •L,r,. i# t FIREPLACE WAS .l-o x e-e RHOUR FIRE ATE D DOOR I 2 X 10 FLR.JOISTS DEMOLISHED Qq ' '• 1 "•"-'.':.' I ABV.12'O.C. �I e THIC<EN SLAB TO c -F 1�AT DOOR nvv I 11--� __ — BUILT-IN CURB" n© + - I :. OPENINGS ITYP.) LAILLI" IA-D •+ z J -- -1---- ---- -- 1 - _._. — �. x © STORAGE WITH BENCHES 4' - LUMN 4 Q J co ` UJ )1r ;o, - Q W N Z A-T O I In Q 4_Q I ^, Lu ' 2-O' 9-O" 4-O9 ' QQ_►-<(n OO QQ OO LU LL W In z JCL pw> T OC i aolj FIRST FLOOR PLAN PROPOSED e SHEET. _r o z-o 4.o s-o e-o 1 . I 1 _. SCALE 114'=1'4•AT ORIGINAL SIZE OF 7 c�u.�..�pu.m�Cac�,.in\�.•Vs•�+xoeo��.vn wx vau asm.uc� - a-(x-Iuxa-(u�.e.a Q I 0 - 2 O , z S Z . o t .-o. • II�_�. <'-li' 10'-6�. IL._O. 5'-3}' 1-a}' 11'-O' T ` ,-` _m N r =_______,I w w I I I QJ J o O II I 7J N > mIY� Nnw oe ��H WTI JI II ONw aU � J I Q1 Q N vU < § ii itzU wJcA w -I I LU Z mW� w O LU I j j i i i Q U II j L i! I NN pU0 I I I j I z r U m m moo w { i �WI.C• l-� 1.� _ j o -�E HARDWOOD 4 g } BATH TILE _ u:. 1 2-e x a-a s d I I- ! d W.I_C: RO w. .,.,. t: HARDWOODD, t� MASTER SUITE mm - Q 't-.: S HARDWOOD f a: cUNFIN1 O AND BONUS ROOM x` b o CEILING•PLYWOOD HED gFLOOR. I RELOCATE NO INSULATION 40 I .[ CRAWL SPACE ...,...�,.I .. ACCESS DOORADD — 9HEETROCK TO MAKE EXISTING AND NOTE NEW PROPOSED WALLS 12'-O' I I 1 1 FLUSH a HVAC/FFIAIGASUNIT TO © i } SERVICE SECOND FLOOR ' INSULATED AND b i IL _ SS I _" - _--1 WEHERSTRIPPEDr-- ----— ——————— DOOR - Nl f 11 �; I 0 0 �,I Q -2 Q 1WtOJP Q Q I O «z TN1H2 b - - LL --- — -- -- -- -- -- ------ -- -- — UJ cn __... -------—------ Z t J H Z t Q w LU 1 I Z 0..I'-9- 2'3- 2 S/ 2'-3' 2'-6]' 2'-3' I'-9• 2-51' - 2•_5}. '-3• O_r R lL IlW1 o—U) O/V�' O• a._O. <QLL < O Q 30-0• w F-w K J O ar> a SECOND FLOOR PLAN - PROPOSED (L H w (O SHEET. 2'-0* 4'-0' 6'-0' 8'-U' A2 SCALE 114'=1'-0'AT ORIGINAL SIZLJ.OF 7 i - 0 HIMNEY DEMOLISH EXISTING CHI REMOVE AND RELOCATE ZO ELECTRICAL SERVICE S 2 .. Lu I" U DEMOLISH EXISTING U ROOF SYSTEM A9 NECESSARY 2ND FLR.TOP PLATE 411 DEMOLISH EXISTING m ":a. �- 'a ,..:-: _ _ •___ GARAGE NECESSARY m ® r 3ND FLR.SUB FLOOR 1 1ST FLR.TOP PLATE �y3lrnl I' �5d 'i� illl } + III I'� _ �WH �L a F W W lii `M DEMOLISH EXISTING SOAOBD BINS AND Z IST FLR.SUB FLOOR - - L - - - - - - W TOP OF FOUNDATION 7 G W Q Ul w U) j U dz - �N N w U O _ 1 _ .. ....... I Zr Ulm L _ 4 ' o0 r NEW UNDERGROUND - ,-„_ in Z U y T::ING .. ..... ... ......... ... _ .._.._.. .... 3 Z U ELECTRICAL SERVICE ' WINDOWS AND.WALL Q w i I K In TOP OF FOOTING j - - - - - O O U a DEMOLISH FOUNDATION L ^o;5 AS SHOWN N 7 YK O .L+ FOUNDATION P POLAN AND FRONT ELEVATION - EXISTING A9NECESSARY 5 SCALE:I/4'=1'-O" - ACCOMMODATE NE NEW WORK t.. .m S t W f .oRM.' A 4 A ' DEMOLISH EXISTING CHIMNEY � - F DEMOLISH EXISTING ROOF SYSTEM A9 - NECESSARY DEMOLISH EXISTING GARAGE 2ND FLR.TOP PLATE ;, -- - - EXISTING GABLE TO REMAIN - :I_i ° � r�r I )• 37.-' - renal DEMOLISH EXISTING N{ - ROOF AS NECESSARY TO ACCOMMODATE DORMER EXTENSION DEMOL15H EXISTING WIND 2ND FLR.SUB FLOOR _ - W Q(n z �WW 4 kli DEMOLISH EXISTING WOOD BINS AND i_j( I I, I, 7 # '�..- f5�. �"^ `lj _�!'. z(- SLAB A9 NECE99ARY O_to U Q Hr< OLW o 15T FLR.SUB FLOOR Q O O TOP OF FOUNDATION J I — - -' '- - - - - - Q r L _ _ q O „ W Q i r. W J z I- a r 7 4 ELr:1 O r OC �- DEMOLISH FOUNDATION AS {' O W U SHOWN ON FOUNDATION PLAN .. ......_:.___.. __ _ _ _ DEMOLISH FRENCH DEMOLISH (y>w }}� ACCOMMODATE NEWAND A RWORK : DOOR EXISTING DECK EXISTING SHOWER TO REMAIN O TOP OF FOOTING- - - - - - - - - - SHEEP. REAR ELEVATION - EX15TINC3, /� 5CALE: A3 I0' I 1 I -..- SCALE 114'=1'-W AT ORIGINAL SIZE OF Q I m DEMOLISH EXISTING CHIMNEY Z O S w DEMOLISH EXISTING ROOF SYSTEM AS NECESSARY TO U ACCOMMODATE NEW WORK 1 2ND FLR.TOP PLATE — — — __ _ _ — - — — — - I 1 m I ul WW Z z 2NDI LR.SUB FLOOR _ _ _ —0. — — i,L� iv�t N N 15T FLR.TOP PLATE — — — — — — — — — W ly N N N W � (n W W LLI W DEMOLISH EXISTING DECK — I ! ' -I i O 7 U Q < 2z4 Z -. uj J IST FLR.SUB FLOOR _ — — \ — — ' — — {�--- Q U TOP OF FOUNDATION — — — \_ _ iJZT� O a W to O U N Z W 4 QCr ° ro In q= mod w w O U a w 2 0 Q U i 1 }STOP OF FOOTING LEFT SIDE ELEVATION SCALE:I/4"=1-O' .- nv x�E CA a u k - L y C 1. EXISTING WINDOW TO BE DEMOLISHED G DEMOLISH EXISTING CHIMNEY EXISTING GABLE TO ® REMAIN(SEE PLANS FOR MATING TO NEW GARAGE) 0 j�]ND FLR.TOP PLATE ---J ZND FLR.SUB FLOOR — _ - - _ Z Q, H 1ST FLR.TOP PLATE 1, Q W LLJ d) Z 1 C w z(LU O DEMOLISH EXISTING WINDOWS AND WALL O Q F ` Ord QZ 4' 1 -�, cn 0 <<� W(n ISTI.R.5U5 FLOOR _ _ _ _ _ _ �(n wX r TOP FLOF FOUNDATION — — — — — — W F-Lu w Lu DEMOLISH I O STING I W 1 O GAIRAGE AS , .. NECESSARY ,) Q" (n .. ...... . .........._...-..... .. ..... ......... . DEMOLISH EXISTING I ,� WOOD BINS AND — SLAB AS NECESSARY TOP OF FOOTING SHEET, DEMOLISH FOUNDATION AS SHOWN ON FOUNDATION PLAN RIGHT SIDE ELEVATION - EXISTING- AND NECESSARY TO i ACCOMMODATE NEW WORK SCALE:1/4'=1'-O' 0 2'.0" 4'.0" 6'-0' &-X A4 LSC I I I I ALE 1/4 -0'AT DRIGINAL SI'=1' ZE OF 7 ov�•��i�me.+�dw�om..m.weo mua..��n ma we mnmue� ` . _ ia-a-ruvw ) a r 1 a NEW ASPHALT ROOF O . ..._.__.._..._.-_.. .I I16 X 1.25 LVL 1.16 X 4.25 LVL - 1 I I I I.lSX 9.35 LVL II I W Z I I W (2)1.15 X 4.25 LVL ITYP.) U II II II II i II II II II Z H i :•f N AWNING DORMERS ,,.1....- s -.1-._:- _ PINISH ENTIRE FRONT GABLE DORMERS NEW ASPHALT ROOF { i l !r � I �� �p AL I "t k I FFRONT IN SHED WIDT CHEEKS H WHITE WITH AZEK PVC TRIM. 1 I L I i__JJ__JJ 1 ALL SIDES TO BE I _ Li q CEDAR SHINGLES(TYP.) •O�i FINISHED IUITH WHITE .• ' CEDAR SHINGLES(TYP.) 1 Lx 1 r REMOVE AND Iu I I - REPLACE FRONT DOOR (3)1.15 X 11.816 LVL I W12 X 30 (3)LIS X ILSIS LVL ^ Z yr 2.,D F-R 5 - ! _ �y _ ._. _ )'")J a I;iT'L�2 7Y i.4 S•& - - r 4 %�,._. L1 y .( f ._ _ 'a- _ •._ ^;+ 'gyp.,l'NY _. 1n !- 1 . t" u N '� ? ° 1 it HARDIE PLANK F'~ �;_ u 1 4 {{ ! '"'t'"'` ; I .�.} LAP SIDING O(�W J W W y� bfl m O a - F I (WHITE)ITYP.) N ❑ J LLJ xZQ _. _ W W 0- - IT- . to N V n aI III � e-0 aw Z urn f: m m I 3-1/2'DIA.LALLY > ' COLUMN AT EACH END I-j Q m W W NEW MASONRY FRONT STEP (MATCH EXISTING) a< T)n ILI _ K W 2 O O U rum _ __,,,,.y.��•a FRONT ELEVATION a a •.�^"'_ SCALE:1/4'-1'-0' e. f 7 S —Illlllw� w.. .. . f x n/£w As PH A--"r-- NEW ASPHALT ROOF I ROOF T" -'-""" I ~ NEW A T ROOF III 1 -fY 3� i r- t F y"='n'"5 ,.D F R u3 0 �-- - z a q, — - - - - -.. aF- 1.4T . TO-1 P.h'_ �: I, 1� ocn UJ 0 i r {{ 1 _ HARDIE PLANK 9'_.I 1 4.,1. ", II II'. II ni }..�.. 3�y,- �..,.., $ i p� t I p�p HARDIE PLANK O�U r I LAP SIDING L_`J F }� _A II4: £ 1 g .1 �•Y 1 g LAP SIDING ;'— Q Z (WHITE)(TTP.> 1 L--- - I t L r L (WHITE)(TYP.) Q=(nJ. r O O<� I ._. r _--_ I - LLtoJ W 1LLl.III r W .:': {' -.':4 }3 lUrvy 1'I -il. __ z ' (.r':i..t I s I :!�" a T E-`L� 1 l.tl �( ,' 1 `j Itl�� „,I�• T' O W— W I - -. ^f. _ s.T. j o 1 W W O m&l r.1+ O W SHEET, 1 REAR ELEVATION �� p #I SCALE:I/4°-I'-O' 1..1�f LL , 4--0' 6 • 8 SCALE 1/4'=1'-U'ATORIGINALSIZE oF 7 i Q I O NEW ASPHALT ROOF WHITE CEDAR SHINGLES(TYP.) NEW ASPHALT ROOF / +�+�:�-�-��-•'� _.--� � � ` W :•5 N I I f l LU t r- 6 UJ ryhh - 3 I 'L 1 I N n 19�- s t 4..L...m., y -- I i 1 a � ..-_ _ ?U J f17 0 w y k m w Q w w :a. QUA o woz e N N O U q , X w U m 10 w w .. ....... .. .. ..... ............... ................ ...........:. ........ _.:- __. IY w x LEFT ELEVATION SCALE:1/4'=1-O' _ _ d_—. _ o. '^•�. - .. y r NEW ASPHALT ROOF A r. 17 WHITE CEDAR SHINGLES(TTP.) 41.St Lui G / A FC' p f l NEW ASPHALT ROOF w <F- T 1 " -jF- ,a (( •- UJ N j ( _1' ..4p•,„ «.tW•.:. EXISTING 91DING I I ¢ U 77 i h TO RE%AIN Z. 4~ - — —. M. - .3 N LLI LU Uj F- 0 J N_ OWW Our + RIGHT ELEVATION SHEET. SCALE:1/1'=1•-0' 0 2'-0' 4'4' 6'-0' 8'-0' A�1./ \/�\//�/\\/ 4 SCALE 114'-1'-0'AT ORIGINAL SIZE I OF 7 . °i+ie�-vk°-r�.a.v�ne\�•�am.ww aWe..Vn mix we mawu� . Lai 1aeeE1C INSULATION LEGEND t'L EDP F xA:uxG - IX[COLLAR TR9�It•O.C. 4'lSGE ON END WALL �[..5t1f,-- OPEN CELL URETHANE SPRAYED SEe SHEET FOR —`-�'- INSULATION FA5--REOWRETNT9 Z Ven PLYWOOD J019i9 u�oC FIBERGLASS BATT ,,:vi W ON MAILLAHLELY D '`5)-.-- - INSULATION ALL ROOF NAILING, g DGE ]ND FLN.Tot PLATe RIDGE BEAM UM 6'FIELD ��.� a " _ �'�'� NECESSARY 2 X 10 MINIMUM _ - - - - - � 4'EDGE ON�E,ND WALL i� I%a 9TRAPPI �yx� •o.c. - ..,:. FIBERGLASS ASPHALT I L COLLAR TIES IS - - �LI ROOF SHINGLES(30 YR.) 1L°O.C.WITHIN TOP 9EE.SHEET AL FOR EDOARD Wi I/3 OF ATTIC INSULATION LEGEND slain WAIT FLASTER R-38 OPEN CELL '` FAeNING REQUIREMENTS O_ N -r t CEILING 0 URETHANE SPRAYED _ J PICAL URETH RENSP`TIED ti`- `S rs r RA"EFER TO..'OR F _ - 1EF1 TO TI'OR A ON ,r MASTER COnSTRUCTN1oNFNORE DETAILS N w 5R ROOFING FELT _ I ;.T_) '�^• NA,�;;A RUN PLYWOOD VERTICALLY m f URNHOAne PCEARA GARwce uNmxisHea I/2°COX.PLYWOOD 55 �'I, # ON WALLS EEERG PWRLAnox ® £T INEULAnON YED SHEATHING _ f;L• wit.T:G 2 X 10 RAFTERS>IL' _AITSNC ATTIC y1 f NEIAWIileo INUG O.C. ��' " n Y, 12 O W 3 O it ED (2)2 X L CONTINUOUS - 2X8 CEILING / •' — _B=L29 y__ TOP PLATE _ rt m N FLN, JOISTS°IL'O.C. 7 CONTINUOUS DRIP EDGE TOP PLATE )ice' 1-y�T Q Lu OPExHCEu a ETLLPoc A].ND FLR.TOP PLATE - _ ��� 0~w J W IO SFRAYeD Y ALUMINUM GUTTER. .ya URETHANE ELATION AT BO% 'TYPE X'PIRe ROCK `1 ¢ ~ ~ T.NOUGNOUT va SKIM OAT i CEILING I X 8 FASCIA I X 3 �-(2)2 X 4 TOP IS N p STRAPPING IL' PLATE �I`-t_), o.c. 2 Z U VINYL SOFFIT Q'Q GARAGE 1/2'BLUEBOARD�W/ J _- (2)2 X L CONTINUOUS w V Lo SKIM COAT PLASTER TOP PLATE WALL L CEILING �Wlu Q w p p[ QUA C) z _ 2ND FLOOR t-(L W E) DOUBLE HUNG .(J)(J) w U ANDERSEN WITH_ 4 MIL.POLY VAPOR `�2 X 4 WIG'O.C. W TILT-OUT 5A5HES BARRIER(TYP.) Z U > �' o'CNETE <r c) m � p 0 MIL VAPOR NE�TARDN — _ FLR.SUBFLOOR I M IF! W 1ST BASEBOARD AS m = 2 y [x[-1 ®. 154 FELT OVER 1/2'CDX SPECIFIED 3 LD (J oWry x - - - - - rOP OF FOUNOATION� PLYWOOD SHEATHING a 'n W (Y W S p p U ———— — — - - 2 X NT NU U AD FLOOR RING E BOTTOM ¢a ---_ — GCO O S 2X4B BOT.PLATE SUB G I PLAT it'F • )2ND FLR.5UBFLOOR — NAILED/GLUED J. 2 X 10 RIM J015T71 I,_,, 1• JOIST FLR.TOP PLATE - _ '"-f, C .;M;p;a9NLF' (3)2 X L CONTINUOUS �:_IS)2 X 4 TOP •q F Foo�Nc A, TOP PLATE-----_ PLATE 1_ rY ];�yRT-vy1L•° - - - - 2 X 10 SOLID •� OPEN CELL ^^ URETHANE SPRAYED BLOCKING BETWEEN - E /� 12)2XIO HEADER INSULATION AT BOX FLOOR JOISTS [. ECTION _ WITH 3/4'PLYWOOD THROUGHOUT L'-8'A.F.F. IST FLOOR FLOOR 2 X 10 FLOOR _ DOUBLE HUNG JOISTS eIL'O.F. ANDERSEN WITH rr ' r]X n RIDGE aewn TILT-OUT SASHES - BASEBOARD AS .L I/// 2 X L STUDS^IL' SPECIFIED O.C.WITH 2 X 8 CONTINUOUS 2 X 4•IL'O.C. ]x w RAFTERS R-20 FIBERGLASS P.T.SILL W/SILL SEAL o.c b .FTYP1 BATT INSULATION 2 X 10 FLOOR JOISTS R IL'O.C. 2 X L CONTINUOUS 3/4'T/G IS T.PLATE FADVANTECH SUBFLOOR ``IT'S INSULATION LEGEND NOTE:FRONT PORCH RING NAILED 1 GLUED `LEDGE P NA L:Hc i -} OP 2 X 10 SOLID r EDGE ON END WALL - `�-')U NOT SHOWNZZ/ 2 X 4 BOTTOM -A=`U EN CELL FLOOR BLOCKI JOISTS NG BETWEEN PLATE D I. URETHANE SPRAY p^E 9HEeT At POR �,r` ,T- XSULATION J�IST FLR.51115FLOOR - o 9TEWNG REOUIREMeNT9 _�_' - -_ -- toOLL COLLAR TIES -1: 2 X 10 RIM J0157 _ '!=jt BERGLA89 BATT RUN PLYWOOD .= TOP 11.OP AT_ E INSULATION ® TOP OF FOUNDATION _ - - - - - - - TA VERTICALLY S ,t l� O T URETHANE PEN CELL 7 TUNEULAiox9Pv reD '•<t'S OPEN CELL SPRAY _ - - - - - ]ND FLR EUBrLoo=i FINISH GRADE TO BE % FOAM G BOX R-30 FIBERGLASS DETERMINED AT TIME OF JJJ// THROUGHOUT BATT INSULATION Lu (J� - 'tT - - - - - I'L - IST FL =FLAP CONSTRUCTION Z N ,Z R is Y 5/8'DIA.ANCHOR BOLTS WITH 4 F- Q 1 7 TOP PLATCONTINUOUS T'MIN.EMBEDMENT AND 3'X IIOO 0 BUILT-UPJ L 3'X J'PLATE WASHERS WOOD GIRT I Z w W r •• DU us%1.25 LVL SPACED AND INSTALLED IN HEADER WITH ACCORDANCE WITH THE BASEMENT FLOOR Q V N U P YuwOD c-9•Ar.P. CALCULATIONS AND NOTES. 3 1/2'DLCONC.FILLED Z a= W FAMILY ROOM STEEL LALLY COLUMN e'THICK CONCRETE DOUBLE HUNG FOUNDATION WALL f3000 ANDERSEN WITH FOUNDATION DAMP Q_ zz raT-OUT SASHES PROOFING TO GRADE Q In R-ao 2 X 4 CONTINUOUS KEYWAY 4'THICK CONCRETE SLAB Q S RGLA35 L wEFE sTO TYPl:oR CONTINUOUS POURED (3000 pa)ON 10 MIL Q.Q L7 BATT a9uLAnoN air^L c VAPOR RETARDER J MALL DETAILS oN CONCRETE FOOTING q., IS LiF oo`ale. D ROOF (3000paU Q(`n DIED O CONSTRUCTION U1 1 uJ ]X FLOOR • 1 Jg9TS' J *oP OF FOOTING :3 _ — IST FLR.SUBFLOO.¢A. — — — Z � I 14 F1 F- I I I' 'I' O U.I a J - - — — �d- �F>W U TOP OF FOUNDGOe.,� VARIES SEE PLANS 1 I'.• t I r w - �e%9 D•FIJL LLED CONCRETE Wry;an�TWBE C SECTION C TYP.WALL SECTION ~ PLTWAC GRADE RenAN AS DUST CAP 9E ITT P.) I,. '7AS XE E E .1 T UND A7 SCALE:112'=1'-0' A9 NECESSARY TO I AccOlmoonie MEW UN)R[ SHEET.' T.Or F021L ... 1 0 1 2 3 4 5 AA IS'-O' A 7 B� SECTION 2'_ D ) 0 1 2 a a 5 7 A7' I SCALE:318'=1'1' OF 7 Or�i'c�-�[ce"I'.a Wes•:•\9I.n .Lm.x�au.+Vn mla LN E oswmUr,