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Home My WebLink About1774 SOUTH COUNTY ROAD - Health 1774 South County Road A = 098-010-001 _ Marstons Mills i 1 � r Bk 28677 Po 121 �5762 owe 02-12-2015 -& 08- 1 1 ax DEED RESTRICTION WHEREAS, Emile Wolsky of (owner's name) 1774 South County Rd. Marstons Mills, MA (address) is the owner of 1774 South County Rd. Marstons Mills, MA located (address) at , MA (hereinafter referred to as and being shown on a plan entitled "Subdivision of Land in MA, Property of , et al, duly recorded in Barnstable County Registry of Deeds in Plan Book 2&0.45' Page /47 ; Or on Land Court Plan Number WHEREAS, Emile Wolsky as the owner of said lot has (owner's name) agreed with the Town of Barnstable Board of Health to a restriction as to the number of bedrooms which can be included in any home built on said lot as a pre-condition to obtaining a disposal works construction permit in compliance with 310 CMR 15.000 State Environmental Code, Title V, Minimum Requirements for the Subsurface Disposal of Sanitary Sewage; WHEREAS, the Town of Barnstable Board of Health, as a pre-condition to granting a disposal works construction permit for a septic system in compliance with 310 CMR 15.200, State Environmental Code, Title V, Minimum Requirements for the Subsurface Disposal of Sanitary Sewage, and authorizing the issuance of a building permit for the construction of a single family home on this property, is requiring that the agreement for the restriction on the number of bedrooms in any house constructed on the lot be put on record with the Barnstable County Registry of Deeds by recording this document, deedr r r NOW THEREFORE, Emile Wolsky does hereby place the (owner's name) following restriction on his above-referenced land in accordance with his agreement with the Town of Barnstable Board of Health, which restriction shall run with the land and be binding upon all successors in title: 1. 1774 South County Rd. Marstons Mills, MA may have constructed s��rass; upon the lot a house containing no more than 3* ( ) bedrooms. Emile Wolsky agrees that this shall be permanent deed (owner's name) restriction affecting located on _MA, and being shown on the plan recorded in Plan Boo` _'aged Or on Land Court Plan For title of see the following deed: Book , Page . Or Land Court Certificate of Title Number In the event the Property is serviced by Sewer and the on site septic system is placed off line, then this Restriction shall Lapse Executed as a sealed instrument ;�,7 3" day of,, ALU44 y c:29/Sr O nefA signature Owner's signature Owner's signature COMMONWEALTH OF MASSACHUSETTS :14i►-i AV (Oy'WY Vif-411,itA- , sus 0monci . 20) Then personally a peared the above-named �AAiL �Di_GiC�t' known to me to be the person who executed the foregoing instrument and acknowledged the same to be ffee act and deed, before me, JV/�F —rim Notary Public My commissi n xpires: ERIC R MAMME dv ! NOTARY PUBLIC — OOMMONYMEALTH OF VIRGINIA (date) MY COMMISSION EXPIRES Nov.30,2M7 COMMISSION#7550M BARNSTADLE REGISTRY OF DEEDS John F. Meade, Register R aR��®�� 00 r Commonwealth of Massachusetts Title 5 official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments '< 7 South County Rd. ` �J Property Address U John Crawford Owners Name information is required for every Marstons Mills, J1a. 02648 3/12/2014 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 A. General Information I filling out forms ,I on the computer, use only the tab 1. Inspector: U vI key to move your cursor-do not Raymond Dumas use the return Name of Inspector key. Dumas Landscape Const. � Company Name 564 Old Stage Rd. Company Address Centerville Ma. 02632 City/Town State 508-778-0249 S1437 Telephone Number License Number Co —--- `�' B. Cc rtification I certify that I have personally inspected the sewage disposal system at this address and that the informs ion reported below is true, accurate and complete as of the time of the inspection. The inspection was pe timed based on my training and experience in the proper function and maintenance of on site sewagedisposal systems. I am a DEP approved system inspector pursuant to Section 15.340 of ..ter Title 5 111 CMR 15.000).The system: F®- = ® Passes ❑ Conditionally Passes ❑ Fails ❑ Needs Further Evaluation by the Local Approving Authority a,44�� eAl 3/12/2014 Inspe or's Si nature Date The system inspector shall submit a copy of this inspection report to the Approving Authority (Board of Health or DEP)within 30 days of completing this inspection. If the system is a shared system or has a design flow of 10,000 gpd or greater, the inspector and the system owner shall submit the report to the appropriate regional office of the DEP. The original should be sent to the system owner and copies sent to the buyer, if applicable, and the approving authority. ****This report only describes conditions at the time of inspection and under the conditions of use at that time.This inspection does not address how the system will perform in the future under the same or different conditions of use. t5ins•3113 Title 5 Official Inspecti F Subsurface Sewage Disposal System•Page 1 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form Not for Voluntary Assessments 1777 South County Rd. Property Address John Crawford Owner Owner's Name information is Mills, required for every Marstons Ma. 02648 3/12/2014 page. City/Town State Zip Code Date of Inspection B. Certification (cont.) Inspection Summary: Check A,B,C,D or E/always complete all of Section D A) System Passes: ® 1 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: 13) 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): t5ins•3113 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 2 of 17 Commonwealth of Massachusetts Title 5 official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 1777 South County Rd. Property Address John Crawford Owner Owner's Name information is required for every Marstons Mills, Ma. 02648 3/12/2014 page. City/Town State Zip Code Date of Inspection B. Certification (cont.) ❑ Pump Chamber pumps/alarms not operational. System will pass with Board of Health approval if pumps/alarms are repaired. B) System Conditionally Passes(cont.): ❑ 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): 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 L15,m•3113 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 3 of 17 f Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments M 1777 South County Rd. Property Address John Crawford Owner Owner's Name information is required for every Marstons Mills, Ma. 02648 3/12/2014 page. Cityrrown State Zip Code Date of Inspection B. Certification (cont.) 2. System will fail unless the Board of Health (and Public Water Supplier,if any) determines that the system is functioning in a manner that protects the public health, safety and environment: ❑ The system has a septic tank and soil absorption system (SAS) and the SAS is within 100 feet of a surface water supply or tributary to a surface water supply. ❑ The system has a septic tank and SAS and the SAS is within a Zone 1 of a public water supply. ❑ The system has a septic tank and SAS and the SAS is within 50 feet of a private water supply well. ❑ The system has a septic tank and SAS and the SAS is less than 100 feet but 50 feet or more from a private water supply well**. Method used to determine distance: **This system passes if the well water analysis, performed at a DEP certified laboratory, for 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. 3. Other: I -- D) System Failure Criteria Applicable to All Systems: You must indicate "Yes" or"No"to each of the following for all inspections: Yes No ❑ ® Backup of sewage into facility or system component due to overloaded or clogged SAS or cesspool ❑ ® Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or clogged SAS or cesspool ❑ ® Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool ❑ ® Liquid depth in cesspool is less than 6" below invert or available volume is less than %day flow t5ins•3113 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 4 of 17 f Commonwealth of Massachusetts Title 5 official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 1777 South County Rd. Property Address John Crawford Owner Owner's Name information is required for every Marstons Mills, Ma. 02648 3/12/2014 page. City/Town State Zip Code Date of Inspection B. Certification (cont.) Yes No ❑ ® Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s). Number of times pumped: ❑ ® Any portion of the SAS, cesspool or privy is below high ground water elevation. ❑ ® Any portion of cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply. ❑ ® Any portion of a cesspool or privy is within a Zone 1 of a public well. ❑ ® Any portion of a cesspool or privy is within 50 feet of a private water supply well. ❑ ® Any portion of a cesspool or privy is less than 100 feet but greater than 50 feet from a private water supply well with no acceptable water quality analysis. [This system passes if the well water analysis, performed at a DEP certified laboratory,for fecal coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered.A copy of the analysis and chain of custody must be attached to this form.] ❑ ® The system is a cesspool serving a facility with a design flow of 2000gpd- 10,000gpd. ❑ ® The system fails. I have determined that one or more of the above failure criteria exist as described in 310 CMR 15.303, therefore the system fails. The system owner should contact the Board of Health to determine what will be necessary to correct the failure. E) Large Systems: To be considered a large system the system must serve a facility with a design flow of 10,000 gpd to 15,000 gpd. For large systems,you must indicate either"yes"or"no"to each of the following, in addition to the questions in Section D. Yes No ❑ ❑ the system is within 400 feet of a surface drinking water supply ❑ ❑ the system is within 200 feet of a tributary to a surface drinking water supply ❑ ❑ the system is located in a nitrogen sensitive area(Interim Wellhead Protection Area—IWPA)or a mapped Zone II of a public water supply well If you have answered"yes"to any question in Section E the system is considered a significant threat, or answered"yes" in Section D above the large system has failed. The owner or operator of any large system considered a significant threat under Section E or failed under Section D shall upgrade the system in accordance with 310 CMR 15.304. The system owner should contact the appropriate regional office of the Department. t5ins•3113 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 5 of 17 r Commonwealth of Massachusetts Title 5 official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 1777 South County Rd. Property Address John Crawford Owner Owner's Name information is required for every Marstons Mills, Ma. 02648 3/12/2014 page. City/Town State Zip Code Date of Inspection C. Checklist Check if the following have been done. You must indicate"yes"or"no"as to each of the following: Yes No ® ❑ Pumping information was provided by the owner, occupant, or Board of Health ❑ ® Were any of the system components pumped out in the previous two weeks? ® ❑ Has the system received normal flows in the previous two week period? ❑ ® Have large volumes of water been introduced to the system recently or as part of this inspection? ® ❑ Were as built plans of the system obtained and examined? (If they were not available note as N/A) ® ❑ Was the facility or dwelling inspected for signs of sewage back up? ® ❑ Was the site inspected for signs of break out? ® ❑ Were all system components, excluding the SAS, located on site? ® ❑ Were the septic tank manholes uncovered, opened, and the interior of the tank inspected for the condition of the baffles or tees, material of construction, dimensions, depth of liquid, depth of sludge and depth of scum? ® ❑ Was the facility owner(and occupants if different from owner) provided with information on the proper maintenance of subsurface sewage disposal systems? The size and location of the Soil Absorption System (SAS)on the site has been determined based on: ® ❑ Existing information. For example, a plan at the Board of Health. ❑ ® Determined in the field (if any of the failure criteria related to Part C is at issue approximation of distance is unacceptable) [310 CMR 15.302(5)] D. System Information Residential Flow Conditions: Number of bedrooms(design): 3 Number of bedrooms(actual): 3 DESIGN flow based on 310 CMR 15.203(for example: 110 gpd x#of bedrooms): 330 t5ins-3113 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 6 of 17 Commonwealth of Massachusetts Title 5 official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 1777 South County Rd. _ Property Address John Crawford Owner Owner's Name information is required for every Marstons Mills, Ma. 02648 3/12/2014 page. Cityrrown State Zip Code Date of Inspection D. System Information Description: 1000 gallon tank, Dbox and 2 500 gallon chambers with 4 ft. of stone as per plan at Board of Health. Number of current residents: 2 Does residence have a garbage grinder? ❑ Yes ® No Is laundry on a separate sewage system?(Include laundry system inspection ❑ Yes ® No information in this report.) Laundry system inspected? ❑ Yes ® No Seasonaluse? ❑ Yes ® No Water meter readings, if available(last 2 years usage(gpd)): Detail: 2013 15000 gallons 2012 95000 gallons Sump pump? ❑ Yes 0 No Last date of occupancy: occupied now. Date Commercial/Industrial Flow Conditions: Type of Establishment: Design flow(based on 310 CMR 15.203): Gallons per day(gpd) Basis of design flow(seats/persons/sq.ft., etc.): Grease trap present? ❑ Yes ❑ No Industrial waste holding tank present? ❑ Yes ❑ No Non-sanitary waste discharged to the Title 5 system? ❑ Yes ❑ No Water meter readings, if available: t5ins•3113 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 7 of 17 Commonwealth of Massachusetts rz Title 5 official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 1777 South County Rd. _ Property Address John Crawford Owner Owner's Name information is required for every Marstons Mills, Ma. 02648 3/12/2014 page. Citylfown State Zip Code Date of Inspection D. System Information (cont.) Last date of occupancy/use: Date Other(describe below): General Information Pumping Records: Source of information: 2011 at time of upgrade Was system pumped as part of the inspection? ❑ Yes ® No If yes, volume pumped: gallons How was quantity pumped determined? Reason for pumping: Type of System: Septic tank, distribution box, soil absorption system ❑ Single cesspool ❑ Overflow cesspool ❑ Privy ❑ Shared system (yes or no)(if yes, attach previous inspection records, if any) ❑ Innovative/Alternative technology.Attach a copy of the current operation and maintenance contract(to be obtained from system owner)and a copy of latest inspection of the I/A system by system operator under contract ❑ Tight tank. Attach a copy of the DEP approval. Other(describe): t5ins•3(13 Title 5 Official Inspection Forth:Subsurface Sewage Disposal System•Page 8 of 17 Commonwealth of Massachusetts Title 5 official Inspection Form s Subsurface Sewage Disposal System Form -Not for Voluntary Assessments M 1777 South County Rd. Property Address John Crawford Owner Owner's Name information is required for every Marstons Mills, Ma. 02648 3/12/2014 page. Cityrrown State Zip Code Date of Inspedion D. System Information (cont.) Approximate age of all components, date installed (if known)and source of information: Upgraded 8/2011 Were sewage odors detected when arriving at the site? ❑ Yes ® No ,Building Sewer(locate on site plan): Depth below grade: Approx 24 inches below top of foundation Material of construction: ❑ cast iron ®40 PVC ❑ other(explain): Distance from private water supply well or suction line: approx 20 ft away from where town water comes in at front of house Comments(on condition of joints, venting, evidence of leakage, etc.): all good Septic Tank(locate on site plan): Depth below grade: 12 inches below grade feet Material of construction: ® concrete ❑ metal ❑fiberglass ❑ polyethylene ❑ other(explain) If tank is metal, list age: years Is age confirmed by a Certificate of Compliance?(attach a copy of certificate) ❑ Yes ❑ No Dimensions: 1000 gallon Sludge depth: none t5ins•3113 Tale 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 9 of 17 I Commonwealth of Massachusetts UTitle 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 1777 South County Rd. Property Address John Crawford Owner Owners Name information is required for every Marstons Mills, Ma. 02648 3/12/2014 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Septic Tank(cont.) Distance from top of sludge to bottom of outlet tee or baffle none Scum thickness none Distance from top of scum to top of outlet tee or baffle none Distance from bottom of scum to bottom of outlet tee or baffle none How were dimensions determined? dip stick ruler Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): Pump not needed at this time Grease Trap(locate on site plan): Depth below grade: feet Material of construction: ❑ concrete ❑ metal ❑fiberglass ❑ polyethylene ❑ other(explain): Dimensions: Scum thickness Distance from top of scum to top of outlet tee or baffle Distance from bottom of scum to bottom of outlet tee or baffle Date of last pumping: Date t5ins•3113 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 10 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 1777 South County Rd. Property Address John Crawford Owner Owner's Name information is required for every Marstons Mills, Ma. 02648 3/12/2014 page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) Comments(on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): PVC Tees ok no evidence of leakage Tight or Holding Tank(tank must be pumped at time of inspection)(locate on site plan): Depth below grade: Material of construction: ❑ concrete ❑metal ❑fiberglass ❑ polyethylene ❑ other(explain): Dimensions: Capacity: gallons Design Flow: gallons per day Alarm present: ❑ Yes ❑ No Alarm level: , Alarm in working order: ❑ Yes ❑ No Date of last pumping: Date Comments (condition of alarm and float switches, etc.): *Attach copy of current pumping contract(required). Is copy attached? ❑ Yes ❑ No t5ins•3113 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 11 of 17 Commonwealth of Massachusetts lugTitle 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 1777 South County Rd. Property Address John Crawford Owner Owner's Name information is required for every Marstons Mills, Ma. 02648 3/12/2014 page. Citylrown State Zip Code Date of Inspection D. System Information (cunt.) Distribution Box(if present must be opened) (locate on site plan): Depth of liquid level above outlet invert at level 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.): no carryover liquid at level 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.): ' If pumps or alarms are not in working order, system is a conditional pass. Soil Absorption System (SAS) (locate on site plan, excavation not required): If SAS not located, explain why: 2-500 gallon chambers dry t5ins•W13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 12 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments w„ 1777 South County Rd. Property Address John Crawford Owner Owner's Name information is required for every Marstons Mills, Ma. 02648 3/12/2014 page. Citylrown State Zip Code Date of Inspection D. System Information (cont.) Type: ❑ leaching pits number: ® leaching chambers number. 2-500 gallon ❑ leaching galleries number: ❑ leaching trenches number, length: ❑ leaching fields number, dimensions: ❑ overflow cesspool number: ❑ innovative/alternative system Type/name of technology: Precast Comments(note condition of soil, signs of hydraulic failure, level of ponding, damp soil, condition of vegetation, etc.): All good 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 t5ins•3113 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 13 of 17 • Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments M 1777 South County Rd. Property Address John Crawford Owner Owner's Name information is required for every Marstons Mills, Ma. 02648 3/12/2014 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Comments(note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): all looks good Privy (locate on site plan): Materials of construction: Dimensions Depth of solids Comments(note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): t5ins•3113 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 14 of 17 f Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 1777 South County Rd. Property Address John Crawford Owner Owner's Name information is required for every Marstons Mills, Ma. 02648 3/12/2014 page. Cityfrown State Zip Code Date of Inspection D. System Information (cunt.) Sketch Of Sewage Disposal System: Provide a view of the sewage disposal system, including ties to at least two permanent reference landmarks or benchmarks. Locate all wells within 100 feet. Locate where public water supply enters the building. Check one of the boxes below: ❑ hand-sketch in the area below ® drawing attached separately t5ins-3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 15 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 1777 South County Rd. Property Address John Crawford Owner Owner's Name information is required for every Marstons Mills, Ma. 02648 3/12/2014 page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) Site Exam: ® Check Slope ® Surface water ® Check cellar ® Shallow wells Estimated depth to high ground water: 12+ 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 011 Date ❑ Observed site(abutting property/observation hole within 150 feet of SAS) ❑ Checked with local Board of Health-explain: no water at 12'as per plan dated 7/18/2011 ❑ Checked with local excavators, installers-(attach documentation) ❑ Accessed USGS database-explain: You must describe how you established the high ground water elevation: Before filing this Inspection Report, please see Report Completeness Checklist on next page. t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 16 of 17 4 Commonwealth of Massachusetts Title 5 official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 1777 South County Rd. Property Address John Crawford Owner Owner's Name information is required for every Marstons Mills, Ma. 02648 3/12/2014 page. Cityrrown State Zip Code Date of Inspection E. Report Completeness Checklist ® Inspection Summary:A, B, C, D, or E checked ® Inspection Summary D (System Failure Criteria Applicable to All Systems)completed ® System Information—Estimated depth to high groundwater ® Sketch of Sewage Disposal System either drawn on page 15 or attached in separate file f t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 17 of 17 TOWN OF BARNSTABLE LOCATION f'1 q SEWAGE# aWi •�� VILLAGE Q%4cr%„t1 r- ASSESSOR'S MAP&PARCEL 92• INST LLMS NAME&PHONE NO. R4 S L EA9MQQAi9A3 SEPTIC TANK CAPACITY ^ gat i LEACHING FACILITY--(type) ! elanrwirS (sire) In j ZR T- 4 NO.OF BEDROOMS rI OWNER 0-,v4cT't PERMIT DATE: 7• Z S •t 1 COMPLIANCE DATE: S•1 •1 J j Separation Distance Between the Fed Maximum Adjusted amendweer Time to the Bottom of Leaehmg Fau7ity Private Water Supply Well and L=dmtg Facility(if Rny wells exist an site or widen 200 fad of kwbft bulk) Fed Edge of Wetland and Leach ng FaalKy(if my wetlands exist within 30D feet of leaching-f dHty) Fact FURNLSHM BY 1 4 i I i / s J 1 i i r Z - 3o - y 33 -72 - -� , No.2od I_, ?qJ THE COMMONWEALTH OF MASSACHUSETTS FEE BOARD OF HEALTH �l owe OF BQ(-r1Sf� r`-4 TR APPLICATION FORI truct SPOSAL SYSTEM CONS CTION PERMIT U Application for a Permit to Cons ( Repair ( ) Upgrade ( ) Abandon ( ) - ❑Complete System ❑Individual Components y 5 Co v n:nj.lam ()s+-e.I 11 Le I Ci r)o y ra�z� ]� 1 • _ (� `_]4oc J — d ` � T Sc Owner's lJS� Map/Parcel# _ _ dress 2 Lot# Telephone# fi �ya+inn �Qv i D a�y n Instal er's Name Designer's N me SU- )D uo ess � � ' ��2_ �� Address O Telephone# J Telephone# Type of Building: � l Lot Size Sq.feet Dwelling—No.of Bedrooms Garbage Grinder ( ) Other—Type of Building No.of persons Showers ( ), Cafeteria ( ) Other fixtures Design Flow(min.re uired) 33 U gpd Calculated design flow gpd Design flow provided gpd Plan: Date Number of sheets Revision Date Title Description of Soil(s) Soil Evaluator Form No. Name of Soil Evaluator Q5 Ufa Date of Evaluation 7 Q 111 DESCRIPTION OF REPAIRS OR ALTERATIONS The undersigned agrees to install the above described Individual Sewage Disposal System in accordance with the provisions of TITLE 5 and fur�ther�agrees not to place the system in operation until a Certificate of Compliance has been issued by the Board of Health. Signed V(�'fJ.XJt� Date 71ZO U Inspections FORM t - APPLICATION FOR DSCP DEP APPROVED FORM 5/96 "Yx^1""y�:i� ri✓'1.r --'"f-�-h.,,.+rn- r ^r,b mC.7�.'a Yr"I'2 `Y`y,;F'ravC �n..yam' •^'•S�V^' =.ra,.y.,.i^.o "ysi'..++.....w•.+f'+c°•tiy;�'�!+,etjr...h..d'..n. ,.'e_+-,»+�..r;,:enJ•""y*t!:" Y^� t.7"` .�'a'�-''^'+! ». � ."'_" THE_COMM.QNWEALTH OFY,MASSACHUSETTS 7 FEE "� � ,5 TT r � = BOARD OF HEALTH OF - •-APPLICATION FOR DISPOSAL SYSTEM CONSTRUCTION PERMIT Application for a Permit to Construct ( -I/Repair ( ) Upgrade ( ) Abandon ( ) - ❑Complete System ❑Individual Components t� -1 /� n •y i• 1ILI 5 ° <uVi,lIT`/ �� r)13,ie4 \I(I0e C( nD \J r6_J7TfrZ Cup G �Gl`✓(c�'. ! _ I u k) f 11 1 4 5 f ru a Owner's Ned./ 5 T" Map/Parcel# r I l Li - s Address 1 1 l ./l Lot# Telephone# xrr��n-I Ic)n ��•>' I lD .►✓^' Installer's Name - Desi 's me (n " 4r- ��s•IdD� (111 C' c— oL-y ss Address50S . L-i1 -1 - U65� 5(a8 - ,3 zt1 :l Telephone# Telephone# Type of Building: I J_c , Lot Size Sq.feet Dwelling—No.of Bedrooms Garbage Grinder ( ) Other—Type of Building No.of persons Showers ( ), Cafeteria ( ) t Other fixtures Design Flow(min.required) 33 b gpd Calculated design-flow gpd Design flow provided gpd Plan: Date -7 1 ( Number of sheets Revision Date Title d Description of Soil(s) Soil Evaluator Form No. f Name of Soil Evaluator L15 U(1 Date of Evaluation 7 113 j ••,�DESCRIPTION.OF REPAIRS OR ALTERATIONS The undersigned agrees to install the above described Individual Sewage Disposal System in accordance with the provisions of ' TITLE 5 and further agrees not to place the system in operation until a Certificate of Compliance has been issued by the Board of Health. Signed 62k-p)..e� -91 L t Date 7(2 U 1 I f l Inspections lip- It ` ( t. FORM 1 - APPLICATION FOR DSCP DEP APPROVED FORM 5/96 No �i - -� E COMMONWEALTH OF MASSACHUSETTS FEE tI S4Gk/I�1 BOARD OF HEALTH 1 r� CERTIFICATE OF COMPLIANCE Description of Work: ❑ Individual Component(s) ❑Complete System The undersigned hereby certify that the Sewage Disposal System;Constructed( ),Repaired( '<Upgraded( ),Abandoned( ) by: 73-+ C Xc/)uCt 4 i on at has been installed in accordance with the provisions of 310 C�VIR 15.00 (Title 5) and the approved design plans/as-built plans relating to application No,?() Z45 dated Z�, 7�t� Approved Design Flow (gpd) Installer U b 'AZ Ip �_ �% Designer: �n\l f .s E Inspect o ( \ Date 1 The issuance of this certificate shall not be construed as a guarantee that the system will function as designed. FORM 3 - CERTIFICATE OF COMPLIANCE DEP APPROVED FORM 5/96 No.Z01<' p4 THE COMMONWEALTH OF MASSACHUSETTS FEE 00..o yat (1��Et (1L�BOARD OF HEALTH DISPOSAL SYSTEM CONSTRUCTION PERMIT Permission is hereby granted to Construct ( ) Repair (✓) Upgrade ( ) Abandon ( ) an individual sewage disposal system at ,L"` C-) I j I ;T�/ re_o as described in the application for Disposal System Construction Permit No.20 11' 2"t� dated � 'Z S 17-0 11 Provided: Construction shall be completed within three years of the date of this permi All lllocal co ditions must be met. Date T 4,5 Board of Health ! �` FORM 2 - DSCP DEP APPROVED FOR•M-5/96 FORM 1255 (REV 5/96) H&W HOBBS&WARRENTM PUBLISHERS- BOSTON - t Town of Barnstable DIME?I Regulatory Services o„ Thomas F. Geiler, Director .,, MASS. . Public Health Division . a � Thomas McKean,Director FD Mp'� 200 Main Street, Hyannis,MA 02601 Office: 508-862-4644 Fax: 508-790-6304 i ao 11-2�S Date: l ( Sewage Permit# Assessor's Map/Parcel 92 CD/0 Installer &Designer Certification Form Designer>1/ITJ �• V� �� Installer: Address: 045 '6Y4 �1t)LO -4 Address: 1:6 L � On �� C�4V was issued a permit to install a (date) L,,,�(ii�nlstaller) pq� septic system at �� 6D C�J L11 r�� based on a design drawn by ('address) dated (designer) . crtify that the septic system referenced above was installed substantially according to the design, which may include minor approved changes such as lateral relocation of the distribution box and/or septic tank. Stripout (if required) was inspected and the soils were found satisfactory. I certify that the septic system referenced above was installed with major changes (i.e. greater than 10' lateral relocation of the SAS or any vertical relocation of any component of the septic system) but in accordance with State & Local u- -tions. Plan revision or certified as-built by designer to follow. Stripout (if rP- ".cted and the soils were found satisfactory. N OF Mq c� DAVID B. (Installer's Signature) 2 MASON 9 No.1066 0 �; IST (OesignWs Signature) A I PLEASE RETURN TO BARNSTABLE PUBL._ OF COMPLIANCE WILL NOT BE ISSUED UN i il, isti i n i tiiN r'ORM AND AS- BUILT CARD ARE RECEIVED BY THE BARNSTABLE PUBLIC HEALTH DIVISION. THANK YOU. q:\office forts\designercertification fori.doc CAL r= 2011 12:30 From:BRRNST HEALTH 15087906304 To:17744137476 P.1/1 I t t..lG L� C"L>•rtn l L� - '� FS�'D�Li N� '� y �'�-- __ _ < 1="n e TAr�1o�u> X 150 °y -74 Z:S5 6.P. a ITCJ VI L��'�A c- `l 6 ¢ To-1-AL T.DF CJCZ ✓�y. rp.„„�� 71 �1 ti ti 1 •.I 1 4 �PF b r� INN- -Box �oL. 1 INV. t i; �.c -rK i o I too4o T.5.2 t / L Ar- Per 'r+-I e �.. LhC,!T1Ot,l -Vc G-C-AL i 1-�,4 7_ T 14 c-- I=C,U I.1 Dft I :"AV 5 A40vi►.J S t...41..t IZ r)'_E V_ ►.i�:l r. t-l�.i�t-'.,-�►.1 <�i�.titl��; w I�� "1-1--1� �,ltir t-IwE- t �►.I � L-'rtrAC_1=: 'L•4J1": A�tE-�4T} OF Ti-i C.:`✓�:/t.j t:� j� F',.��? •�� t� •:� ['� ''�j'L.,.L: L. , lr�. t_ l t� ...� � �r •l�1-(1-= C,i--!`+F-_1 I�� b_I07 l'�,A.�7�'L7 tJ�,,{ hi.J OS'Y{;�'�'tl-LC v /IrCr��. Town of Barnstable P#_ ' Delpartinent of Regulatory Services s ftXNVrABL% Public Health Division Date 200 Main Street,Hyannis MA 02601 Date Scheduled /[� �� Time Fee Soil e Suitability� Assessm nt for Sewage Disposal Performed By:� I '',�y/��7 . Witnessed By: �" J %�:� Location Address LOCATION& GENERAL INFORMA(J 9N i� fi Owner's Name �/!�}L� �,►�� Address` Assessor's Map/Parcel:Z)2 Engineer's Name� ?) NEW CONSTRUCTION REPAIR Telephone# L Z'C nand Use ,—c /D4%_1 77 11-1, 'S-lopes Surface Stones Distances from: Open Water Body ft Possible Wet Area ft Drinking Water Well ft Drainage Way ft Property Line ft Other ft SKETCH:(Street name,dimensions of lot,exact locations of test holes&pert tests,locate wetlands in proximity to holes) Parent material(geologic) Depth to Bedrock Depth to Groundwater. Standing Water in Hole: Weeping from Pit Face Estimated Seasonal High Groundwater DETERMINATION FOR SEASONAL HIGH WATER TABLE Method Used: Depth Observed standing in obs.hole: In, Depth to soil mottles: in. Depth to weeping from side of obs.hole: In, Groundwater Adjustment gr, ' Index Well# Reading Date: Index Well level.,w_ Adj,factor, , Adj.Groundwater Level,, v Observation PERCOLATION TEST' Batt: Time I ' Hole# ' --� 4 Time at 9" . Depth of Penc Time at 6" Start Pre-soak Time4.' Time(9"•6") !fi l End Pre-soak Rate MinJiach L N1 t Site Suitability Assessmeut: Site Passed Site Failed: Additional Testing Needed(Y/N) Original: Public Health Division Observation Hole Data To Be Completed on Back----------- ***If percolation test is to be conducted within 100' of wetland,you must first notify the, Barnstable Conservation Division at least one(1)week prior to beginning. Q:ISEPTIWERCFORM.DOC FDEEP-OBSERVATION HOLE LOG Hole# fromSoil Horizon Soil Texture Sdil Color Soil Other , (USDA) (Munsell) Mottling (Structure,Stones;Boulders. O��O-"'k o rsistencv gb OravPn r/ �� DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Surface(in.) (USDA) Other (Munsell) Mottling (Structure,Stones,Boulders. • on i en 96 ra e ------------- DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Surface(in.) Other (USDA) (Munsell) Mottling (Structure,Stones,Boulders. 71te DEEP OBSERVATION HOLE LOG Hole# Depth from .Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones;Boulders. Consistency, Flood Insurance Rate Map:. Above 500 year flood boundary 1 No• ' Yes Within 500 year boundary No es Within 100 year flood boundary No ✓�/ Yes Depth of Naturally Occurring Pervious Material' Does at least four feet of naturally occurring pervious exist in all areas observed throughout the area proposed for the soil absorption system? �6 If not,what is the depth of' atur ly occurring pervi us matorial? 'r Certification I certify that on (date)I have passed the soil evaluator examination approved by the Department of Enviro mental Protection and that the above analysis was perfo ed b me consistent with . the r Ding,expertis erience described in 10 CMR 15.017. Signa a Date 7 Z dJ Q:\S.EP'1'IC\PERCPORM.DOC it No........ ....(.. .. ► FILE......1.. .................. THE COMMONWEALTH OF MASSACHUSETTS ZI �y BOARD PF HEALo.TH /I .................... t7 -- --- .OF........ %.b1DkV rfirtttiuu -fur Uhipvuttl Workii Cnomorurfian Vrrui t OlApplication is hereby made for a Permit to Construct ( 114r Repair ( ) an, Individual Sewage Disposal System at _moo.:. ......_ _ - __._ ...... _ . c n Ad or L t Z.- - �ccQ Owner Address Installer Address ��l.J��/, d Type of Building Size Lot............................Sq. feet U Dwelling—No. of Bedrooms------------- - -Expansion Attic ( ) Garbage Grinder (4-�r aOther—Type of Building ----------------------_--- No. of persons............................ Showers ( ) Cafeteria ( ) Q' Other fixture ..... --------------------- ----- - W Design Flow................ -__.____-__.._._...gallons per person per day. Total daily flow-_-_-_"".... _......_........_......gallons. R; Septic •funk 4 Liquid capacitv_00�_gallons Length________________ Width--------------.. Diameter---------------- Depth.__---__-.----- Disposal Trench—No. ........ .._._ Width.. ............... Total Length.................... Total leaching area-------.------------sq. ft. Seepage Pit No..........t........ Diameter_�t_XI__---_ Depth below m t__-___ Total eachin area------------------sq. ft. z Other Distribution box (� Dosing c Jo. „r a. ,tQ ` 7- • a Percolation Test Results Performed by..__._. ._._ ',.__e:_.��.. .e�l.AS... Date....��...__I.�.--__..7.7... 1 Test Pit No. 1----------------minutes per inch Dept of Test Pit-------------------- Depth to ground water-------..__._-_-..__ G4 Test Pit No. 2................minutes per inch Depth of Test Pit-------------------- Depth to ground water--.--.-..--_.--.-_-_-._. 9 ----- -----. ------ ° -- - ---------- ---------- Description of Soil e'_. ._..�...... _ p 0 : - : ' :: : . ::: j •---------- •------------ - --- W --------•--------•----------------------------- --- - ------------ --•-- --- ------------------ -•-- --- V Nature of Repairs or Alterations—Answer when applicable.-.--........................................................................................... ----.-.---•--------------------------------------------------------•-•------•---•------••-•------•--.-..-------•------------------------------------•------•------------------------------------------- Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with i the provisions of Article \I 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. igned. ---------------------------- 000 /...W... Application Approved By------�_ eA - J7 _7 Date Application Disapproved for the following reasons-----------------------------------------------V-----•--......................................................... ..................•--•-----•••---•-............---------•-•-•------------•••-••-•--••-------••-......-•-•........_.............---••--•-----•----•--•----.........------......------------------•-------- Date Permit No......................................................... Issued----- -Z----77 ------ Date I It Fiziz . .............. THE COMMONWEALTH OF MASSACHUSETTS BOARD F H EA T .--------OF...... .a:,: ................ "� � A.VVI rtttinn -for M,ipl vial lVarka Cnomitrur#ion Vrruti# Application is hereby made for a Permit to Construct (,or Repair ( ) an Individual Sewage Disposal n System at•� - I _ t 1 C/ Locate Address/ �t %� 'r or Lot No — R ,i� i r.ic c i/< S -! u ! C /i 5/� t/�� •................................ _ ....-- --------------------•---------------------- w Owner Address ►� Installer Address UType of Building Size Lot___________-----------------Sq. feet Dwelling—No. of Bedrooms........... .........................Expansion,Attic ( ) Garbage Grinder (i- 1 a4 Other—Type of Building ---------------------------- No. of persons Showers ( ) — Cafeteria ( ) a' Other fixtures ------------------------------ - - --- ----- ------ -------- w Design Flow................. ' __. gallons per person per day. Total daily flow.._.._- -. � gallons. -- ----------- � •--:....._........ - ------------ WSeptic T:.nk-f Liquid capacity,S---gallons Length---------------- Width_.............. Diameter__.---_-..----_ Depth................ x Disposal Trench—No.---_--_---_-__-_-_ Width-------------------- Total Length----___-__--_..__..- Total leaching area..--.---_.--.-----_-sq. ft. Seepage Pit No----------- Diameter?_x�------- Depth below in et-_.._. Total leaching area_ ----------sq. ft. Other Distribution box ( "f` Dosing tank ( ) `.` a Percolation Test Results Performed bych .. t�t _'..._._ Date ----- --------------------- -. f3 � Test Pit No. I................minutes per in •D c!'t Pit-------------------- Depth to ground water------------------------ Test Pit No. 2----------------minutes per inch Depth of Teat Pit-------------------- Depth to ground water --- --••---------- --- .... ' �O h , xt� '�Descri Description of Soil....._ .-_ ` . .............. -- ------- --------- �- - --- . w r.. -------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- 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 Article XI of the State Sanitary Code— The undersigned furtlier agrees not to place the system in operation until a Certificate of Compliance has been issued by the board of health. Signed---------- ..................--- -- -- �,r Application Approved By...... �g�+ �s^p �q_-_-.----.� .,eP" � .t .� te'f' .. ... dF '�` ^ Date Application Disapproved for tlVf ollowing reasons^ *.,,,� / --------- ------ -----------------------.---------- r. ..• � -------------- Date PermitNo...................................... -=............. Issued........................................................ Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF ,HEALTH ................ ... ::.. .OF.......... �f' �r ...................---- r#tf trtt#r ' f�gm�iittnrr THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed or Repaired ( ) pF j In�s1' er� t t has been" s: . nl d4Rnc witil�( the provislo s of Arti�le��X f The State Sanitary Coc s dsreiTjthe application or Disposal Works Construction Permit No.-- _ .. -------- dated--.ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE.................... ---•-•-••-••-•-•-••-------------------------------------- inspector.................................................................................... THE COMMONWEALTH OF MASSACHUSETTS . BOARD OF HEALTH .............. OF .......e...a '�,.. ..#------ No. � r FEE .............49 ... nrk Mttn #rr# $t anti . Permission is hereby granted................... ._ ........ .. to Construct ( ) o Repair ( ) an Indvi IS Dtsosal Stem 1 as shown on 4� %p&i n`�fo`" lisp 1 N s�Construction Permit o-1-------------- ted - . -. - '�; r _ . ----- -------- - -- -------- ----- lorr ioar o Health DATE•--- +.� a t ' FORM f255 HOBBS &.WARREN. INC.. PUBLISHERS 4 viriH-- GAIZBAG� C-��tl I.JDt�tZ; � S 2aat�� >`Low = t tb ,c 495 G.P 4 h t P0S4,L PIT - tJst= t o0o G[,L , UGu/ALL I tg8 S>= 9 2.s . 4-1 o P.t:>. Bc'r-rDx i AIZEA_ -1 s sr. TOTAL -C7G-SIGtJ -ro r-A L 'U�A.t Lam-( ow : 4 9 s iv,p ems'} o �f1GDlQT10U t7AT� ( Itt �Lk(kkJ 0IZ LX-_ -,. 'TAVAtG I piT rAL ` �..L N S'T R,E E T ra» T1=sT 9y.o T r F �oa.o 97 78 �. y7. a .. .. �: L OA M (50o INV ;N luv.• ��.o0 Sue Sol 4r//P� v Iw. Gay. 4�•4D IWV. f -Box 14.1� SEPT"IC I o ,. 1000 gszB ( Tc�K q>�N 95.9,r L MEDI um PIT "� 5 A.ND. W 1 T4.1 �'. WASWED SroNE, p ZI,' CEtZTtGtEtD pl_C,T' P� Ptzoi^i L-F-- — `- ' Z 85� � w o Sc 1 CG.tZTIF=--f Tk4AT' T14G FoUND/�TtoN 5uow►.� PtA t.tcC- N�.t?t�r�E,l Gcu�.tnt_�(S W ITl Z Tt-! SIDE t_t►-aE= p - Auz� °�E'rtx�GlC '[Q;.it�EMrl..t�-� OF T14c T (. -zclw a OV- B3 A R N S TA° 8 t--Z , L . G • S ,,ar" Q r�ATc _Fv_n.-p Gi t2CGt5['CZlla LAWC) _UZvayotzS T141S I7i_A�-t 1-:-; QOT OSTEV-vtLt G i1JSi� 1.iilC_tJ� �,,clt.�/t��' �. TI-iCi Cat=c-5�r�� <iNGWLD /1P1?t_I GA,.1�..1'T•' Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments °M 1774 South County Rd. Property Address Cindy Carter Owner Owner's Name information is �./I/I�Ar/1( I �I� required for every i fe rV II/� Y L1 MA 02630 5/31/11 page. City/Town State Zip Code Date of Inspection 0011) -Dar 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. General Information on the computer, use only the tab 1. Inspector: key to move your cursor-do not Ricky L. Wright use the return Name of Inspector key. B & B Excavation, Inca r� Company Name 14 Teaberry Lane Company Address Sandwich MA 02563 City/Town State Zip Code ` 508-477-0653 S14595 Telephone Number License Number B. Certification 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 ® Fails ❑ Needs Further Evaluation by the Local Approving Authority 5/31/11 Inspector's Signature Date The system inspector shall submit a copy of this inspection report to the Approving Authority (Board of Health or DEP)within 30 days of completing this inspection. If the system is a shared system or has a design flow of 10,000 gpd or greater, the inspector and the system owner shall submit the report to the appropriate regional office of the DEP. The original should be sent to the system owner and copies sent to the buyer, if applicable, and the approving authority. ****This report only describes conditions at the time of inspection and under the conditions of use at that time. This inspection does not address how the system will perform in the future under the same or different conditions of use. I t5ins-09/08 Title 5 Official Inspection form:Subsurface Sewage Disp al System•P ge 1 of 1 '/ Commonwealth of Massachusetts v Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments �M 1774 South County Rd. Property Address Cindy Carter Owner Owner's Name information is required for every Osterville MA 02630 5/31/11 page. Cityfrown State Zip Code Date of Inspection B. Certification (cont) Inspection Summary: Check A,B,C,D or E/always complete all of Section D A) System Passes: ❑ I have not found any information which indicates that any of the failure criteria described in 310 CMR 15.303 or in 310 CMR 15.304 exist. Any failure criteria not evaluated are indicated below. Comments: B) System Conditionally Passes: ❑ One or more system components as described in the "Conditional Pass" section need to be replaced or repaired. The system, upon completion of the replacement or repair, as approved by the Board of Health, will pass. Check the box for"yes", "no" or"not determined" (Y, N, ND)for the following statements. If"not determined," please explain. The septic tank is metal and over 20 years old* or the septic tank (whether metal or not) is structurally unsound, exhibits substantial infiltration or exfiltration or tank failure is imminent. System will pass inspection if the existing tank is replaced with a complying septic tank as approved by the Board of Health. *A metal septic tank will pass inspection if it is structurally sound, not leaking and if a Certificate of Compliance indicating that the tank is less than 20 years old is available. ❑ Y ❑ N ❑ ND (Explain below): t5ins•09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 2 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 1774 South County Rd. Property Address Cindy Carter Owner Owner's Name information is required for every Osterville MA 02630 5/31/11 page. City/Town State Zip Code Date of Inspection B. Certification (cont.) B) System Conditionally Passes (cont.): ❑ 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): C) Further Evaluation is Required by the Board of Health: El 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 t5ins•09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 3 of 17 Commonwealth, of Massachusetts v W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments ;M 1774 South County Rd. Property Address Cindy Carter Owner Owner's Name information is required for every Osteryille MA 02630 5/31/11 page. Citylrown State Zip Code Date of Inspection B. Certification (cont.) 2. System will fail unless the Board of Health (and Public Water Supplier, if any) determines that the system is functioning in a manner that protects the public health, safety and environment: ❑ The system has a septic tank and soil absorption system (SAS) and the SAS is within 100 feet of a surface water supply or tributary to a surface water supply. ❑ The system has a septic tank and SAS and the SAS is within a Zone 1 of a public water supply. ❑ The system has a septic tank and SAS and the SAS is within 50 feet of a private water supply well. ❑ The system has a septic tank and SAS and the SAS is less than 100 feet but 50 feet or more from a private water supply well". Method used to determine distance: **This system passes if the well water analysis, performed at a DEP certified laboratory, for coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered. A copy of the analysis must be attached to this form. 3. Other: D System Failure Criteria Applicable y to All Systems: You must indicate "Yes" or"No"to each of the following for all inspections: Yes No ❑ Backup of sewage into facility or system component due to overloaded or clogged SAS or cesspool ❑ ® Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or clogged SAS or cesspool ❑ ® Static Liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool ❑ ® Liquid depth in cesspool is less than 6" below invert or available volume is less than '/2 day flow t5ins•09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 4 of 17 i Commonwealth of Massachusetts W Title 5 Official Inspection Form _ Subsurface Sewage Disposal System Form - Not for Voluntary Assessments °M 1774 South County Rd. Property Address Cindy Carter Owner Owner's Name information is required for every Osterville MA 02630 5/31/11 page. City/Town State Zip Code Date of Inspection B. Certification (cont.) Yes No ❑ ® Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s). Number of times pumped: ❑ ® Any portion of the SAS, cesspool or privy is below high ground water elevation. ❑ ® Any portion of cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply. ❑ ® Any portion of a cesspool or privy is within a Zone 1 of a public well. ❑ ® Any portion of a cesspool or privy is within 50 feet of a private water supply well. ❑ ® Any portion of a cesspool or privy is less than 100 feet but greater than 50 feet from a private water supply well with n p o acceptable water quality analysis. his PP Y P q Y Y IT system passes if the well water analysis, performed at a DEP certified laboratory,for fecal coliform bacteria indicates absent and the presence � of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered. A copy of the analysis and chain of custody must be attached to this form.] ❑ ® The system is a cesspool serving a facility with a design flow of 2000gpd- 10,000gpd. ® The system fails. I have determined that one or more of the above failure criteria exist as described in 310 CMR 15.303, therefore the system fails. The system owner should contact the Board of Health to determine what will be necessary to correct the failure. E) Large Systems: To be considered a large system the system must serve a facility with a design flow of 10,000 gpd to 15,000 gpd. For large systems,,you must indicate either"yes" or"no"to each of the following, in addition to the questions in Section D. Yes No ❑ ❑ the system is within 400 feet of a surface drinking water supply ❑ ❑ the system is within 200 feet of a tributary to a surface drinking water supply ❑ ❑ the system is located in a nitrogen sensitive area (Interim Wellhead Protection Area— IWPA) or a mapped Zone II of a public water supply well If you have answered "yes" to any question in Section E the system is considered a significant threat, or answered "yes" in Section D above the large system has failed. The owner or operator of any large system considered a significant threat under Section E or failed under Section D shall upgrade the system in accordance with 310 CMR 15.304. The system owner should contact the appropriate regional office of the Department. t5ins•09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 5 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 1774 South County Rd. Property Address Cindy Carter Owner Owner's Name information is required for every Osterville MA 02630 5/31/11 page. Cityrrown State Zip Code Date of Inspection C. Checklist Check if the following have been done. You must indicate"yes" or"no" as to each of the following: Yes No ❑ ® Pumping information was provided by 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? El Was the facility owner(and occupants if different from owner) provided with • El information on the proper maintenance of subsurface sewage disposal systems? The size and location of the Soil Absorption System (SAS) on the site has been determined based on: y® ❑ Existing information. For example, a plan at the Board of Health. ® ❑ Determined in the field (if any of the failure criteria related to Part C is at issue approximation of distance is unacceptable) [310 CMR 15.302(5)] D. System Information Residential Flow Conditions: Number of bedrooms (design): 3 Number of bedrooms (actual): 3 DESIGN flow based on 310 CMR 15.203 (for example: 110 gpd x#of bedrooms): 330 l5ins-09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 6 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 1774 South County Rd. Property Address Cindy Carter Owner Owner's Name information is required for every Osterville MA 02630 5/31/11 page. Cityrrown State Zip Code Date of Inspection D. System Information Description: Number of current residents: 1 Does residence have a garbage grinder? ❑ Yes ® No Is laundry on a separate sewage system? [if yes separate inspection required] ❑ Yes ® No Laundry system inspected? ❑ Yes ® No Seasonaluse? ❑ Yes ® No Water meter readings, if available last 2 ears usage d n/a 9 ( Y 9 (gP ))� Detail: Sump pump? ❑ Yes ® No Last date of occupancy: current Date Commercial/Industrial Flow Conditions: Type of,Establishment: Design flow(based on 310 CMR 15:203): Gallons per day(gpd) Basis of design flow (seats/persons/sq.ft., etc.): Grease trap present? . ❑ Yes ❑. No Industrial waste holding tank present? ❑ Yes ❑ No Non-sanitary waste discharged to the Title 5 system? ❑ Yes ❑ No - Water meter readings, if available: t5ins-09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 7 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form _ Subsurface Sewage Disposal System Form -Not for Voluntary Assessments ^M 1774 South County Rd. Property Address Cindy Carter Owner Owner's Name information is required for every Osterville MA 02630 5/31/11 page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) Last date of occupancy/use: Date Other(describe below): General Information Pumping Records: Source of information: Was system pumped as part of the inspection? ❑ Yes ® No If yes, volume pumped: gallons How was quantity pumped determined? Reason for pumping: Type of System: ® Septic tank, distribution box, soil absorption system ❑ Single cesspool ❑ Overflow cesspool ❑ Privy ❑ Shared system (yes or no) (if yes, attach previous inspection records, if any) ❑ Innovative/Alternative technology. Attach a copy of the current operation and maintenance contract(to be obtained from system owner) and a copy of latest inspection of the I/A system by system operator under contract El Tight tank. Attach a copy of the DEP approval. Other(describe): t5ins•09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 8 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments °M 1774 South County Rd. Property Address Cindy Carter Owner Owner's Name information is required for every Osterville MA 02630 5/31/11 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Approximate age of all components, date installed (if known)and source of information: 20 + years est. Were sewage odors detected when arriving at the site? ❑ Yes ® No Building Sewer(locate on site plan): Depth below grade: 2.5 feet Material of construction: ❑ cast iron ® 40 PVC ❑ other(explain): Distance from private water supply well or suction line: >20feet Comments (on condition of joints, venting, evidence of leakage, etc.): At time of inspection building sewer appeared to be in good shape no signs of leakage or blockage. Septic Tank(locate on site plan): Depth below grade: 2 feet Material of construction: ® concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑ other(explain) „ If tank is metal, list age: years Is age confirmed by a Certificate of Compliance? (attach a copy of certificate) ❑ Yes ❑ No Dimensions: 5.8x5.8x10.6 Sludge depth: 6" t5ins•09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 9 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments °M 1774 South County Rd. Property Address Cindy Carter Owner Owner's Name information is required for every Osterville MA 02630 5/31/11 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Septic Tank (cont.) Distance from top of sludge to bottom of outlet tee or baffle 31" Scum thickness 2" Distance from top of scum to top of outlet tee or baffle Distance from bottom of scum to bottom of outlet tee or baffle 15" How were dimensions determined? scour stick Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): At time of inspection tank appeared to be in good shape concrete baffels present no sign of back up. Grease Trap (locate on site plan): Depth below grade: feet Material of construction: ❑ concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑ other(explain): Dimensions: Scum thickness Distance from top of scum to top of outlet tee or baffle Distance from bottom of scum to bottom of outlet tee or baffle Date of last pumping: Date t5ins•09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 10 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 1774 South County Rd. Property Address Cindy Carter Owner Owner's Name information is ill t Oserve MA 02630 5/31/11 required for every � page. Citylrown State Zip Code Date of Inspection D. System Information (cont.) Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): Tight or Holding Tank (tank must be pumped at time of inspection) (locate on site plan): Depth below grade: Material of construction: ❑ concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑ other(explain): Dimensions: Capacity: gallons Design Flow: gallons per day Alarm present: ❑ Yes ❑ No Alarm level: Alarm in working order: ❑ Yes ❑ No Date of last pumping: Date Comments (condition of alarm and float switches, etc.): *Attach copy of current pumping contract(required). Is copy attached? ❑ Yes ❑ No l5ins•09l08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 11 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments °M 1774 South County Rd. Property Address Cindy Carter Owner Owner's Name information is required for every Osteryille MA 02630 5/31/11 page. CitylTown State Zip Code Date of Inspection D. System Information (cont.) Distribution Box(if present must be opened) (locate on site plan): Depth of liquid level above outlet invert 1" 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.): At time of inspection d-box appeared to be in good shape.However there was sign of backup over outlet invert due to SAS being in hydraulic failure. ` Pump Chamber(locate on site plan): Pumps in working order: ❑ Yes ❑ No Alarms in working order: ❑ Yes ❑ No Comments (note condition of pump chamber, condition of pumps and appurtenances, etc.): Soil Absorption System (SAS) (locate on site plan, excavation not required): If SAS not located, explain why: t5ins•09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 12 of 17 I Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments ° M 1774 South County Rd. Property Address Cindy Carter - Owner Owner's Name information is required for every Osterville MA 02630 5/31/11 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Type: ® leaching pits number: 1 ❑ leaching chambers number: ❑ leaching galleries number: ❑ leaching trenches number, length: ❑ leaching fields number, dimensions: ❑ overflow cesspool number: ❑ innovative/alternative system Type/name of technology: Comments (note condition of soil, signs of hydraulic failure, level of ponding, damp soil, condition of vegetation, etc.): At time of inspection leaching appeared to be in hydraulic failure water level was over invert. Cesspools (cesspool must be pumped as part of inspection) (locate on site plan): Number and configuration Depth —top of liquid to inlet invert y Depth of solids layer Depth of scum layer Dimensions of cesspool Materials of construction Indication of groundwater inflow ❑ Yes ❑ No t5ins•09108 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 13 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments ,M 1774 South County Rd. Property Address Cindy Carter Owner Owner's Name information is required for every Osterville MA 02630 5/31/11 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Comments(note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): Privy (locate on site plan): Materials of construction: Dimensions Depth of solids Comments(note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.)-. t5ins•09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 14 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 1774 South County Rd. Property Address Cindy Carter Owner Owners Name information is required for every Osterville MA 02630 5/31/11 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Sketch Of Sewage Disposal System: Provide a view of the sewage disposal system, including'.ties to at least two.permanent reference landmarks or benchmarks. Locate all wells within 100 feet. Locate where public water supply enters the building. Check one of the boxes below: ® hand-sketch in the area below ❑ drawing attached separately A1- Ili MAIN H00516 B I - 3 A2= z�f� l, -R2= 3S A - 65 COT�q�� ti j t5ins-09108 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 15 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments E ^M 1774 South County Rd. Property Address Cindy Carter Owner Owner's Name information is required for every Osterville MA 02630 5/31/11 page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) Site Exam: ® Check Slope ® Surface water ® Check cellar ® Shallow wells Estimated depth to high ground water: >12 feet Please indicate all methods used to determine the high ground water elevation: ❑ Obtained from system design plans on record If checked, date of design plan reviewed: Date ® Observed site(abutting property/observation hole within 150 feet of SAS) ❑ Checked with local Board of Health -explain: ❑ Checked with local excavators, installers-(attach documentation) ❑ Accessed USGS database-explain: You must describe how you established the high ground water elevation: Before filing this Inspection Report, please see Report Completeness Checklist on next page. , t5ins-09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 16 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 1774 South County Rd. Property Address Cindy Carter Owner Owner's Name information is required for every Osterville MA 02630 5/31/11 page. Cityrrown State Zip Code Date of Inspection E. Report Completeness Checklist E Inspection Summary: A, B, C, D, or E checked E Inspection Summary D (System Failure Criteria Applicable to All Systems) completed E System Information— Estimated depth to high groundwater E Sketch of Sewage Disposal System either drawn on page 15 or attached in separate file t5ins•09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 17 of 17 TOWN OF BARNSTABLE LOCATION .%I% SEWAGE# a011 • 9�w VILLAGE ASSESSOR'S MAP&PARCEL 91? ��0 Wit INSTALLER'S NAME&PHONE NO. Q4 JA EXCcQyQA;O,PJ SEPTIC TANK CAPACITY /DOO qq I i LEACHINGTACILITY:(type) ".!rkoo (size) )31 ZS/Z NO.OF BEDROOMS OWNER ear 4er PERMIT DATE: • Z S •!I COMPLIANCE DATE: $•J •/ Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet Private Water Supply Well 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 withins, 300 feet of leaching facility) Feet FURNISHED BY At- �� t �+r�3 c� OO A3.6s` , $3• No 67 A4 ad . E - 1 • E . AImeN� AIOErNaoN CONIC. h V AENNNN Svxor k � • ANDERSEN r NEW Tvam — -.t` rfrhm GARAGE oN q T' I 2r.W FIRE PAT® DOOR 4 UP b N , nNr ,vd � TCsSC rfmoo E V� . NEW E PATIO NEW SITTING 78d g AREA rr'0g ❑ P---------, iANDERSEN - A--I i i 'i' i ffid D RE D -- -------- -------------------- Nr B C ANDERSEN C I Ind I ,1$ ff-,P NCH,p)DOOR nQ I B I I 6 I C ,PQ r 7\P 3d T --- - I E1OHT I I I I I ANDS Q 7MQ,SIi 7N M J c F L anA,IoII sff NMA� /jE i er NEW j - REMOD. -, X m KITCHENTi p RELOCATED BAHLn1 IFr �_= I =FYKWCHEN ) S BEDROOM yg�p� fI 11 O I�i -, LAV�IIr W/OWN op1./ II 4 A V&9o/ li J ffd Sd I II NEW EAI� ASKM STUDY '. ANnHi�l 1❑ �� --� ' L--- I I A21 DOM "' I I ` MEN RI 'I A h M '�_ __ ==z EXIST. JATH RELOCATE D ,RwAILM HALLI In BEDROOM I L---------J COLA COLUMNS um�o' O mE Ow �sM II L J D I F NEW 7v.w NEW ©MASTER ,1„ CLOS D ATH LOFT ; ANDERSENEOO .III GAS REMOD. g NEW CLos. CLOS. DINING/ ;; FFICE o O O ' " I LIVING ;1 66, ,' FORMERR E BF6VFS � . ANSBIBEII =____ NNOEna'oN . A TVM048 7MQ,S,e EXIST. EXIST. I SIM. A I AJ B C B C I , x u x ,FP /Iv fd FP ------' - vsuv ,vd ffavr ,zr vd Vd affd ,ra S'p aw FIRST FLOOR PLAN SECOND FLOOR PLAN LEGEND: O EXISTING WALLS ©SMOKE DETECTOR a CONSTRUCTION TO BE REMOVED ©CARBON MONOMDE DETECTOR NEW CONSTRUCTION Q HEAT DETECTOR THE OEBgt�R BNNL EMOIfID FAN'/ COTUITBAYDESIGN. LLC NEW ADDITION/REMODELING FOR: � SCALE; DRAWING NO.: 43 BREWSTER ROAD wEa„ENEeEONeelEwanE,NaN,en 1/4 1-0 MASHPEE MA. 02649 G., _ PH.(508 2'T4W' CRAWFORD—RESI'©GIV ��/ �(� * ^E� FAX 50� 539-9402 YU�U ry��` OFTKEO oEAN,I alaRUSEO ( ) THESE P"NN ARIES UELYFOi118EUS DATE 4 SOUTH COUNTY RO D N 6/25/2012 Al i DINT RmOEYENP TYPrALAWHALT ROOF SHNIGLLES CERTAM® TOPOF PLATE BRLOLVEIEELL"ERWOOD FRAMED FALSE OW EiY TOP OF PLATE - ATg1EEMGL ' AZEJ[t s B FAWN,SOFFIT B BC lD FLOOR F FRIEM BOARDS Ts 81BROOR TOPmouTE .tsp W.O.BHNOLEBmHO ® ® ® ® ®- lP TOWFATEA AZBL t aB RALEBOARDB is 77 RBOARDS rWt■anRFBaLLo sa e 6 AZEXIxO moral x4 AZE1LaA WBmOWTRM 17 TYP.Zb:1tdBLLUdULLffi up . F.R.T FLOOR tRePiooR uJil FRONT ELEVATION W,0 00 oa Fm . oo LEFT ELEVATION tZ 12p B 2 t7 TOPOFPLATE 12p y� ® ' TOP OF PLATE ATKNEENALL F �,�iEcaro FLOOR ,I�. BL9RWR _ TOP OF PLATE ® ONE ® � � f � PLRBf FIDDR Rj uuuu FRONT ELEVATION RIGHT ELEVATION °°°°" VEAFY ALL DLRALLS YOOMDR THE DEBgIER SNAIL BE"OIFED F ANY EEQW COTUITBAYDESIGN,LLC NEW ADDITION/REMODELING FOR: ,� LTO�OF SCALE: DRAWING NO.: 43 BREWSTER ROAD �NBH��,p,LTLELR"D.LB�NtRA�H� 1/4" W LL BE REBPONBBIE FOR TIE COMFiR MASHPEE MA 02649 New DRWIMSS nNmF `T� PH.(508�2t4-„ss CRAWFORD RESIDENCE ,DESKINER OF MY MOM°� FAX(50 )539- 02 OF THE OWNER NOTED.ANY OTHER DE OF DATE 1774 SOUTH COUNTY ROAD OSTERVILLE, MA TCONSENT OF '�DR""� LOOPY " E 6/25/2012 t. ( 22d E BEEDETALFOROJL - (. STIMPB"'°°° NAILING SCHEDULE ---------------------- ____________ y 110 MPH EXPOSURE 8 WIND ZONE I ———————— a K m,o a JOINT DESCRIPTION NO.OF COMMON NAILS NO.OF BOX NAILS NAIL SPACING I I ROOF FRAMING BLOCKING TO RAFTER(TOE NAILED) 2.80 2-10d EACH END 'I ��OF�� I _ m-,v..u,.r.,�v RIM BOARD TO RAFTER(END NAILED) 2.10E a,8d EACH END 1 l•l—AT SIDE DOOR b WALL FHAIANM I1 6 TOP RATES AT INTERSECTIONS; NAILED) 4.1ed bled AT JOONTB 1 STUD TO STUD(FACE NAILED) 2-18d 2.1ed 24•O NEW I HEADER TO HEADER(FACE NAILED) 1Bd led 1S 8A ALONG MGM FLOOR FRAWNG: 1 GARAGE oaDpraPaPFaBm: I- m�"""r""°'•�f°G JowTo SILL.Top PLATE OR GIRDDEi(TOE NiHED) 4Bd 410d PER JOIST . 1 (6•COHC.MABW/8A8WWF ATOJLDOOHB 1 BLOCION TOJOISTS(TOENARID) 2-8d 2.102 EACH END MESH EMBEDDED.SLOPES 4 i I ,,, ®,m..�. BLOG0107O SILL OR Top RATE(TOE NAILED) sled 4-1ed EACH JBLOCK OIST TOWARDSOOCROMb>°�TM. LEDGER STRIP TO BEM,OR GIRDER(FACE HALED)JOIST a181 NBd EACH JOIST I I I I RAM Jo�rerroJOL LEDGER rom� NAILED) 1a�ed Ved PER BAND JOW TO SILL OR TOP PLATE(TOE NALL®0 2-10d sled PER FOOT Tw.saNaRErE I I ROOF SHEATHNG FOIRCg10N wAIIB WOOD STRUCTURAL PANES(PLYWOOD) I I I I RAFTERS OR TRUSSES SPACED UP TO 1Von Ed 10d IF EDGEW FIELD RAFTERS OR TRUSSES SPACED OVER IV Bd I. 4•EDGES•FIELD GABLEEN WALL RAKE OR RAKE TRUMS I Tw.F■,IrcaNLRETETaDIWos I I I GABLE END WALL RAKEOIRRAKETRUSSwNOITEO41N0 m Rood CEr�EA en I W2A4ILEY I I m M Y„„ ,� wi srRuctuRAL ounoa�RB GABLE END WALL RAM OR RAM TRU88 W LOOKOUT]ROCK S ed Tod 4•KDGFJ4'KSHD I CIEHU NG SHEETHIN& . •.. .•,.a ��.. i N..�:.:....'i GYPSUM WALLSOMD Ed COOLERS T EDGE10•FOLD L---------------------J "-.'} WALL SHEATHM WOOD STRUCTURAL PANELS(PLYWOOD) - - 1 I�W7t,-01 ,Fob ;r STUDB SPACED UP To 2P Res Bd ,od WE�12•FIED O.H. DOOR DETAIL 1R•&2B1UMWALiBOAIRDPANEB ed _ rEDowwFuD SIDE ELEVATION 1?GYPSUM WALLlRpAfO' - Etl 00018ffi TLOLiEfO'FIED G FLOM SHEATHING WOOD STRUCTURAL PANELS(PLYWOOD) E NO SCALE 1.ORLEGSTHKp/NEW Bd LOS B•EDGEmr FIELD MEN,P,RA c0W. , I 1 A5 _ GRATER THAN I'THIGQ®S 10d Red VEDGFJB•FE D BONORIBEBro44 I 1 1 SIMP ONGRAM ABU44 BEow.BUIL14HEM'D S ES A CRAWLSPACE 1 �____-`__-- BBLOCIC OPEING I I u 1 I:cGNcmAe) I I i t---- ---� i 2, " A ° I I I D I : , A5 --'1 I ,F 018TALL81F ANCIIORiIOLTBAT2Fm MAK P.L2 A7F oa. I B I I I C I - WRACE WTfMF BEARM PLATES ,Da I I I I i i i i EACH NOTES: F F CORKERANDTOA8•MN„NL8I DEPTH 1.)CONTRACTOR IS TO VERIFY ALL EXISTING CONDITIONS LL— ———— — &DIMENSIONS IN THE FIELD 6 i E l 2.)CONTRACTOR TO VERIFY ALL INTERIOR&EXTERIOR MATERIALS, m I DETAILS,&FINISHES IN THE FIELD WITH OWNER #��ttC -- 2C Ll4 • LIP 3.)ROUGH OPENING HEAD HEIGHT OF WINDOWS AT $ - FIRST FLOOR TO BE V-S'ABOVE SUBFLOOR BAAmo�RT I I 4.)ALL CONSTRUCTION TO CONFORM TO 780 CMR MASSACHUSETTS STATE BUILDING CODE,8TH EDITION AMENDEMENT&0ZC2009 O I I 5.) 110 MPH EXPOSURE B WIND ZONE 6.) ALL SHEETS OF PLYWOOD WALL SHEATHING TO BE INSTALLED VERTICALLY, OR HORIZONTALLY W/BLOCIONG AT EDGES,6`EDGE/12•FIELD NAILING OF�C� Yea 7.) ALL LVL LUMBER/BEAMS TO BE 1.99 L/480 LOAD EXIST. NEWazAI01 0 NEW3-2xlRaer I --- �OLLKEWO 8.) FOLLOW ALL MANUFACTURERS SPECIFICATIONS FOR INSTALLATION OF ALL CRAWLSPA E CRAWLSPACE --- --- 4g SIMPSON COMPONENTS I RCOIIC IRAB) ROONOSLAB) I R 9.) ALL CONCRETE USED FOR FOUNDATION WALLS,FOOTINGS&SLABS b I TO BE 3000 PSI I I EXIST. 10.)VERIFY ALL PLUMBING&ELECTRICAL DETAILS W/OWNERS ON THE SITE t p.T.z:BaLxv8FAU R I O DURING FRAMING CONSTRUCTION ! - jI I CRAB PACE 11.)TIMBER FRAMING TO BE SPRUCE/PINE/FIR NO.2 GRADE b REMOD. 12.)ALL AZEK TRIM TO BE PAINTED WHITE&ALL JOINiSINAIL HOLES SEALED. EXIST. 13.)ALL WINDOWS&DOORS TO HAVE SILL PANS&ICEIWATER SHIELD FLASHING I 14.)VERIFY ALL NEW ADDmONFOOTPRINT LOCATION WITH SITE ENGINEER ANCHOR BOLT DETAIL BASEMENT N NEW PLOT PLAN TO DETERMINE ZONING SETBACKS,&SEPTIC SYSTEM DETA I I NOTE:DROP TOP OF NEW FOUNDATION A TO MATCH NEW SUBFLOOR W)THE DUSTING 8UBFLOORNEPoFY IN FIELD B IECC2009 RESIDENTIAL ENERGY EFFICIENCY DETAILS IF RC-0UIR®L ' INBTALLTwOIOKD IRLCBMrwoJAC1( CLIMATE ZONE 5A(USE EITHER PRESCRIPTIVE VALUES OR RESCHECK CALCULATION MUD AT EACH SCE OF ALL ROUGH OPEUgB TABLE 402.1.1(MINIMUM PRESCRIPTIVE INSULATION 8L FENESTRATION REQUIREMENTS) pp pp V4F WIDOW FENESTRATION I SKYLIGHT CEILING WOOD FRAM®WALL FLOOR BASEMMIENT WALL 9ASFMFINf SLAB CRAWL SPACE W . U-FACTOR U•FACTOR R-VALUE' R•VALUE R-VALUE R-VALUE R•VALUE - R•VALUE FOUNDATION/FRAMING PLAN 2`°"u" "'"�" ALL Om 10.60 1 36 1 13D 1 10113 10(2 FT.DEEP) 1GM3 JACI(SIID NOTES: 11tOU0X0PERd10) 1.R-VALUES ARE MINIMUMS&U-FACTORS ARE MAXIMUMS. _ OR ROUGH OPENING DETAIL 2rOF1THE HOME ORR-13CAVVITYINSULATIONATTHEIINTERIOROFTHEON THE INTEwBASREMENTWAEXTE L SCALE.10-1'-0' 3.REFER TO IECC 2009 CHAPTER 4 FOR ALL INSULATION&ENERGY REQUIREMENTS - THE DE MER LOU"BE 18011R0FANY GOTUITBAYDESIGN.LLC NEW ADDITION/REMODELING FOR: ,D,R SALE; R DRAWING NO.: 43 BREWSTER ROAD WILBELTELFONBmEwRTEcarnENr 1/4 — 1-01 MASHPEE MA. 02649 NTIFBEmvav N8ffwnFYIMOTHE PH.(5086a2Ya-1166 CRAWFORD RESIDENCE '�'HR` �� FAX(50 )539-9402 OFnMOW AWrM&BandElleMO 1774 SOUTH COUNTY ROAD OSTERVILLE, MA COT� NOTE,~ANYLT,�� DATE: A3 TT�`RA� T-1— 6/25/2012 caNBENr a n,E OEBIOIGR IACER r,e ARGfiECI1FAL NbP/RCRR I%7ICLf10N 221W IN)D2:SSLODIOIMNTIEOUMM 221W SOLD SLWI MINTHEOUf®E TwORAFrER&cELMJOw BAY" . E 7MIOJOISfBBAYSOWm - as �NEC;; mAfflt ROOF E SHEALTH M SEEDETALFCROJL . DOORSTOSEdILL STRAPS A HOIDOWNS 11 rAr IJOISIS ollr— T �T ROOF"S•C OX PLY W OOD SHEATING 2x 10 RAFTERS 190FELT PAPFrA WIND WASH SS@SW H 2A HURRICANE CUPS 4g 4 1 2H•xu WLRD0EBM18) q SPw B O)EKOMTERBID N p - ALU UM DRv EDGE A2ElI FAECIA.60FFR& FFEg BOAIMSTO WTCN E)OBiNO A --_ A a 1x2STnAPPe1DRv 1?OYP8181 —— TYP.2x6 WN)8 CORNICE DETAIL RDOFroeEwmucrA � ONiIGER00FSTR11C11AE SCALE:1/l 41W 1Sd A24-1 E f, ]]] asd 4 4 4 SR7• - 12V• A ,Bd A D D A5 A5B C I A5 B C A5 1Sd - II 194r � I I ` O I I -' L — I I p� O I I I I I I I � — I NEwwLnL SEAM I _ _ FIE NEW NIILn WLSEMI _ _ AIULTIWLMOESEAY ED i w)Mm4pm SLCU"10 A A A5 � g C B C eattz 1oa - eevr 12V' PO• Vd aw NO Vd 2Jd SECOND FLOOR FRAMING PLAN ROOF FRAMING PLAN NOTES: 1.)ALL ROOF RAFTERS TO BE 2 x 10'" UNLESS OTHERWISE NOTED 2.)USE SIMPSON H2.5 HURRICANE CLIPS _ AT ALL RAFTERS ENDS 3.)VERIFY GUTTER TYPEMYOUT W/OWNERS TIEORSORO 811NL BEROIFEDPN)Y �00� COTUITBAYDESIGN, LLC NEW ADDITION/REMODELING FOR: °°`�°TX*LTMM"�`°"'D°" SCALE: DRAWING NO.: THESE ORAYMMB MORTOSTART OF 43 BREWSTER ROAD IMLLBECONgrR Jcrx(LTELEFMTHEC NTNT 1/4"= 1'-0" MASHPEE,MA 02649 IN wLLESEDRAWINGSFC r1,HECLTICH c CRAWFORD RESIDENCE THE DES09R F PH. 508 274-_I �®� ME� A4 FAX(50 )53&9402 OPTHEOWNIMIYTMAN a1vRUSEO CONSENTOFTHED THESE pNW OMS NiE SOIBY FCR 71E TEE aTHEOWNERNOTED.ANrarHERUEaP DATE: 1774 SOUTH COUNTY ROAD OSTERVILLE, MA .____._. 6/25/2012 , NEW ROOF CONST. -2 x 10 ROOF RAFTERS o 1 r I- -Wr CCX PLYWOOD ROOFS EATOD ASPHAL ININGLES A 12 .10a FETPAPER c+ 12 -SPRAY ROAM INSLLATION CONT.RLDOEVEIT CONT.RDGEVE1T - - D { O8LOPE10ELMOSObOS1��• -11•611ITTNSLIIATION NEW WALL CONST. 2xraOtron 2a811 o+Pon 0 FLAT CElNOS Ot- \ 12 2x,2RDOESOMD 1.sxA8ND8o,ron \ \ F H22Ia1RaOVECIFB 2.1?0.YWOODBNFATEDit /2 / I \ � • ppBppRFFB/BDA ATALLRAFTERENCBTSOfTOY l7?OW&Y BOViDFOAY!®LLATEN12 14 / E4 BETWEEN RAFTERS aW.C.SLDNalE SEM 12SHBARIETE B.TYVECVAPOR6V8a8R T.BILLPOLYVAPORBARRER . 2:,V. Iron - TOPOFRATE / 2x,eti Iron 2alCA iron twNT.BOFIV. .. ON I as STRAPPW air— O 1:a'�. TDPDFPtATE LOFT I BEDROOM \\ BEDROOM 'olron - ATIC�WALL \ - b TI9.AWANTEp18a'TSOPLYWOOD FLOOR TOP OF RATE Cr BECOID FIAOIt BEWND BLEROpR•QL®aNAIED AID FLOOR BII�DOR BUBR.00ft SUBFLOOIR TOPOFRATE EW2a10\ lrm NEWtxlft Iron boo TOP OF RATE NEW2a18\ lrm boo TOPOE NOTALLANEW4xS NEW IaLT LVLBEAV ON THE MR TOP RATE TORCIEASEFF.HUM CONf.eOFRfVElOB NEW NEW S SPRAYFORM MASTER MASTER E�rW322a WAll8 NEW EXIST. NEW 4 BEDROOM BATH LIVING , KITCHEN OWLISH. OFFICE BATH STUDY Z W T O0.YWOOD HALED - POW FFBTRAOR FVWRJDOBFIODR BLSLROOR 811BFi.00R SIIBFT.00R El NEW 2a 181t01ronulumm, EXIST. x . 8Y NEwssa+ocvn va HEWPBATr NEW SPRAY 2x RLW �1K7gN EwrOONCiETE INSULATION x�EnacaATIONTIM CRAWLSPACE E .Co ash CRAWLSPACE FO AOATON WALLS FDONDO ATN WALLS 4 zcaNc.MAe _ .FOUR®COIIQEre aFOOTBDSTORBIAeI FONdOIGN WALLS L_J NEW rx Ir CONCRETE FULL VEM"LOCATION aCONDIIIGN raoTaDaT04V BELM BASEMENT OFEOST.OW ILLALLYCOUROM GRACE RSTALLNEw CdLLMBaam I FFOLNOTOBE UIS7Et0® A SECTION @ MASTER SUITE ( SECTION @ OFFICE/STUDY M - B SECTION @ LIVING/KITCHEN as { I I - CONT.RDNEVEIT 2xati Olron n LVL REfR®EALI BOTTOM OF . 2xl8YOlron CElNO JOEIB 2xTO it 12 12 AA,, 12 q 1Y zuo�pbollcl-jwm NFINISHED z TORAGE 2x8Y BETWEEN EACH RAFTER . TO PREVENTWBD WABIOq - SECOND FTnaR ' 70POF RATE I BUBRACR alma TOPOPRATE CONT.SOFRTVEMS - PBATT OISWOION Ribs) OrFPECODE0YP.80. . - =x t BTRAPRDO 1P FAMILY mR� ROOM $ GARAGE b (P caID.SLAB RTCH2,--- =R,MR Wl8.S W WF E6E00® asFLooR rtaeeu NEW 2x10Y O1rona WI SEALER TOP OF TA%M0. _ - NEW P.T.2a88LLW/E/ILHt NEW rCONC RETE FOLRMTION CRAWLSPACE zwNc MAB I 4WALLS E SECTION a@ GARAGE _ A5 FOO TDNSBTO 44 BELOW SPACE D SECTION @ FAMILY ROOM I A A J . TIE DESIGNER SHAM BE HOTFM F ANY FOR ONISSIONS AMFOLRDON $GALE DRAWING NO. EEQ� 3BTREEIWSTTERR gpIGN. LLC NEW ADDITION/REMODELING FOR: = �N1�* 1/4 = 1-0 CHESE DRAWINGS PRIOR T START RICfOR H I N MASHPEE,MA. 02649 C THESE L2UWNSB F CONSTRNUTFYO CTION ITHE PH.(506 274-1�1�6/16�I CRAWFORD RESIDENCE B�r �� FAX(50�)539'TFV2 OF THE COMM NOTED,ANY OTHER USE OF DATE: 1774 SOUTH COUNTY ROAD OSTERVILLE, MA mownsmum COPYRIGHT�R�'�'""�" B��„ 6/25/2012 1'S tea t8 - I zra as s-r z-Iv- r-I• 'a _. .. NEW ROOF CONST. SOLIDS x6BLacKING IN THE OUTSIDE _ - Al P .. T. • ♦ 1 " -2,10 ROPRAFTERS®IT1.1, A �R cFT R&C SUNGSPAC JOIST SAYS ' ANDERSE MDEflSEN NDERSEN• ANDEftSEN - .. - - .. f - • &B'CD%PLriWODROfSHEATNING FLOWON THE UNDERSIDE OF ROOF ADDERS AND R S GERS ADDERS - LIT ASPHALT ROOF SHINGLES Al SHEATHING .—— •,- • - ISLE.FELT PAPER BATT INSULATK)D SLOPED CEILINGS(R-M) F4i L '• L _ ' .EATTINSULATgN 2xSn-®18'R.c. ®FLATCEILINGS(Rw9) h - i •SIMPSONDE.6 HURRK:ANE CLIPS ALL- • k - { F - Lf CA ER ENDS E WATER SHIELDATBOTTOM 37 OF ROOF ' i Y . i • �. '\\\\ :PROPWA E BBErVMEN RAFTERS VVND 2. n "TOP OF PLATE I J NEW _ L ' • IR'GYRSOARD\ \ CONT.SOFFIT VENTS NEW j? - - I 12 ON tx 36TRAPP'.G�\ \ OS R EG ROOM / L : 12 p \ \ \ § tr • EW N - ` ` • \\ \ F F' EAST.2.12 RIDGE BOARD ON. BATH \ \ - \ SECOND FLOOR SUBFLOOR _— ... .' x - IC'I:JOISTS®16'o.c. HALF NEW WALL CONST. —— —MILL - ' - 9•GATT INSULATION(R•30) - 1.2.6 STULY%NO D SHEATHING o.c. 2a8WALL IL JI .• - � '.S R•2GY15 qA SPRAY INSULATION I _______ _ ACCESS - <.1,TGYPSUM BOARD PANEL - - 3.WC,SHINGLE SIDING 6'9 M K VAPOR BARRIER .. EXIST. _ 1.6 MIL POLY VAPOR BARRIER. GARAGE - e•a , za - b o 1-ill, �sECTioN @ GARAGE ROOF FRAMING PLAN ❑ zss- Al - . - NOTES: - zrn' 12-T• - 1.)ALL ROOF RAFTERS TO BE 2 x 10's - - UNLESS OTHERWISE NOTED ,Os - 2.) USE SIMPSON H2.5 HURRICANE CUPS TI - AT ALL RAFTERS ENDS 3.)VERIFY GUTTER TYPE/LAYOUT ASPHALT ROOFSHINGLES W/OWNER`S TO MATCH EXISTING 2v t0 RAFTERS &WCDX IU FELT PAPY DSHEATHING NOTES: _ ER VVNO WAsH SIMPSONH zsA HURRICANE CLIPS 1.)CONTRACTOR IS TO VERIFY ALL EXISTING CONDITIONS BARRIER YPWRDEICEMATERSHIELD &DIMENSIONS IN THE FIELD ALUMINUM DRIP EWE 2.)CONTRACTOR TO VERIFY ALL INTERIOR&EXTERIOR MATERIALS, '$C�' ALL TRIM TO MATCH MST. - DETAILS,&FINISHES IN THE FIELD WITH OWNER i IaKVBovED'� - 1.3 STRAPPING VW - 3.) ROUGH OPENING HEAD HEIGHT OF WINDOWS AT . _ L__J - 12'GYPSUM BOARD FIRST FLOOR TO BE 6'-8"ABOVE SUBFLOOR - i TYP.z.6 WALLS - 4.) ALL CONSTRUCTION TO CONFORM TO 780 CMR MASSACHUSETTS - I - - STATE BUILDING CODE,BTH EDITION AMENDEMENT&IRC2009 lei,I 5.) 110 MPH EXPOSURE B WIND ZONE, DR. - 4 ROOF' DETAIL 6.) ALL SHEETS OF PLYWOOD WALL SHEATHING TO BE INSTALLED VERTICALLY, .. - LIN, ✓t OR HORIZONTALLY W/BLOCKING AT EDGES,3"EDGE/12"FIELD NAILING 7.) ALL LVL LUMBERIBEAMS TO BE 1.9e U360 LOAD 8.j FOLLOW ALL REQUIREMENTS OF THE IECC2012 RESIDENTIAL ENERGY _ - EFFICIENCY REQUIREMENTS&VERIFY ALL DETAILS WITH THE INSULATION ATL.I - LOFT - - - INSTALLERICONTRACTOR FOR THE HERS RATING - - F� 9.) FOLLOW ALL MANUFACTURER'S SPECIFICATIONS FOR INSTALLATION OF ALL _ - CLOS._-GLOB._-__ SIMPSON COMPONENTS O O 10. AL L CONCRETE USED FOR FOUNDATION WALLS FOOTINGS 8 SLABS O BE 3000 PSI 11,)VERIFY ALL PLUMBING&ELECTRICAL DETAILS W/OWNERS ON THE SITE - DURINGFRAMING RAM NG CONSTRUCTION CO S RUCTION - _ 12.)TIMBER FRAMING TO BE SPRUCE/PINE/FIR NO.2 GRADE _ - 13)THIS SITE IS IN THE 110 MPH WIND BORNE DEBRIS AREA,EXPOSURE"B" &WITHIN ONE MILE OF NORTH BAYIPRINCE COVE PER STATE OF • - - MASSACHUSETTS WIND SPEED MAPS - - - - 14.)GLAZING PROTECTION PER 780 CMR 5301.2.1.2 TO BE IMPACT GLAZING ALL WIND BORNE DEBRIS PROTECTION- ---' '-- --' -- _ _ � ��REQUIREMENTSW/OWNERSPRIORTOSTARTOFCONSTRUCTION 15.) STALL NEW BATH FAN&VENT TO OUTSIDE 561,E G-o S61,E 2- - IECC2012 RESIDENTIAL ENERGY EFFICIENCY DETAILS CLIMATE ZONE 5A(USE EITHER PRESCRIPTIVE VALUES OR RESCHECK CALCULATION SECONDFLOOR PLAN TABLE 402.1.1(MINIMUM PRESCRIPTIVE INSULATION&FENESTRATION REQUIREMENTS) FENESTRATION SKYLIGHT CEILING WOOD FRAMED WALL FLV= BASEMENT WALL SASEMENT SLAB CRAWL SPACE WALL - - U-FACTOR U-FACTOR R-VALUE R-VALUE R-VALUE fl-VALVE fl-VALUE ft-VALUE LEGEND: D.n D.60 49 2G 30 1— IOR FT.DEEP 10,13 O EXISTING WALLS ©SMOKE DETECTOR NOTES: 1.R-VALUES ARE MINIMUMS&U-FACTORS ARE MAXIMUMS. 3 CONSTRUCTION TO BE REMOVED ©CARBON MONOXIDE DETECTOR _ _ ' - 2.10113 MEANS R=15 CONTINUOUS INSULATED SHEATHING ON THE INTERIOR OR EXTERIOR NEW CONSTRUCTION - OF THE HOME OR R=13 CAVITY INSULATION AT THE INTERIOR OF THE BASEMENT WALL - 3.REFER TO IECC 2012 CHAPTER 4 FOR ALL INSULATION&ENERGY REQUIREMENTS COTUIT.BAY DESIGN. LLC NEW ADDITION/REMODELING FOR. _ THEDESIGIAINGSRIORNER SHALL BE TO START OF NOTIFIEDIFANY ERRORS OR OMISSIONS ME FOUNDON SCALE.: DRAWING NO. 43 BREWSTER ROAD CON$TRUCTIONG THEISU ILDING CONTRACTOR MASrHPEE,MA. 02649 MALL BE RESPONSIBLE FOR THE CONTENT 1/4"_ 11_011 - • PH ` WO LS KY,'RESIDENCE - C MMENCTHESE S WIHG UT CONSTRUCTION . 508 274-1166 : , - COMMENCES MY ERRORSO NOTIFYING FAXJ V DESIGNER OF WNGS ERRORS OR OMISSIONS. (50 539-9402. _ - OFTSE HEDO',MIERGNOTED A ARE OLELY FOR THE NYOTHER USEOFE DATE - TMESE DRAWINGS REQUIRES THE WRITTEN -' 1774' SOUTH COUNTY ROAD OSTERVILLE MA CONSENTOF THE DESIGNER UNDER THE 7/2/2014 1 ARCHITECTURAL COPYRIGHT PROTECTION Al v . 12 12 12 6.5 , (< y A TOP OF PLATE12 u p • , 5 _. 12 rF SECOND FLOOR„ SUBFLOOR • - 1 ❑ ❑ FRONT ELEVATION 0 - - � - as LEFT ELEVATION 12 12 13 12 a C' NEW AZEKRAKEBOARDS 'd 6.5 TO MATCH EXISTING - - 12 TOP OF PLATE 12 SECOND FLOOR SUSFLOOR NEWAZEK FASCIA ROFFM A - 1 . • WSJ E..T,BDAR0.4 TO MATCH �-TO MATCH EXISTING ROOF SHINDIES EXISTING TO MATCH EXISTING + - - NEW I<B CORNER BOARDS TO MATCH EXISTING NEW 1 f ATCH RIGHT ELEVATION EXI TO MATCH a a STING R ', -. .. ,� ..,.. .>•' _ W. E SIDING r •. .s -. y r. . +. . - TO MATCH _ • ., �'1 3 EXISTING ' REAR ELEVATION COTlJ1T BAY DESIGN, LLC NEW ADDITION/REMODELING FOR" ETHE RRORSIOROMISIONSAREFOUNDONY ERRORSOfl OMISSIONS TO ON SCALE : DRAWING NO.: 43 BREWSTER ROAD THESE DRAW NGS PRIOR TO START OF CONSTRUCTION.THE BUILDING CONT EN T00. ^C IN T BE RESPONSIBLE FOR THE CONTENT 1/A II +PHMAS(PppE\\/E^'•fIVIAL:cO�LV4� WOLSKY RESIDENCE C THESEESWNGSIFCONBYING THE I 'T I :-�500/274-1166 �+ � � � COMMENCES NATMOUT NOTIFYING THE FAX�5O 539-9402 DESIGNEROFANY ERRORS OR OMISSIONS. THESE L OFTHEDOWNERNOTEDANYOTHERUSEOFLELYFORTHE E DATE : �� 1774 SOUTH COUNTY ROAD OSTERVILLE, MA R THESE DRAWINGS REQUIRES THENAI EN CONSENT OF THE DESIGNER UNDER THE 7/Z/ZO 14 • AflCHITECTURALCOPYRIGHTPROTECTION ASSESSORS - • TEST WILE LOGS NOTES: PARCEL: % d o� Z� FLOOD ZONE: _ILIC7_ f}r��L/Gt'✓� ._ SOIL EVALUAT(.iR: FIAY1 WITNESS 1 i � 1) The installation shall comply with Title V and Town of Barnstable Board of REFERENCE: 7' Gt4= DATE Health Regulations. i PERCOLAT I Oi`J (ATE: (h. 1 2 The installer shall verify the location of utilities sewer inverts and septic r� components prior to installation and setting base elevations. TH- ) TH-2 3) All gravity septic piping to be 4 inch Sch 40 PVC at 1/8"per foot. The first ps QitJ two feet out of the d-box to the leaching shall be level. l ij 10 0944( 1 L, Q ola4AIA4lL 4) This plan is not to be utilized for property line determination nor any other purpose other than the proposed system installation: { 5) All septic components must meet Title V specifications. t' 6) Parking shall not be constructed over H10 septic components. LOCATION MAP '6 Lo 1,� 7) The property is bounded by property corners and property lines. �•� �D IQ I� 8) The property owner shall review design considerations to approve of total designflow and number of bedrooms to be 'considered for design. Receipt l of payment for the plan and installation based on the plan shall be deemed \ i •tip .5 C approval of the design flaw by the owner. 9) The existing leaching or cesspools shall be pumped and filled with material ' � J 3g Z'7 �'--3 53°�8 27,E---� �` _ �j ` per Title V abandonment procedures. Those within the proposed SAS shall �- _ l�3 -_,+ ` be removed along with contaminated soil and replaced with clean sand per ,1 �� ` -- Title V specs. 10)System components to be 10 feet from water line. Sewer lines crossing the water line shall be sleeved with 4 inch SCH 40 PVC with ends grouted if SEPT f C SYSTEM DESIGN pp proposed g• j applicable. The ro osed SAS is being installed below the water service line. The line is to be sleeved as aforementioned and maintained in place. I �j 11) If a garbage grinder exists it is to be removed and is the responsibility of the � I � ° � FLOW ESTIMATE b owner to ensure such. 1 1 1 3 2 12)The installer is to take.caution in excavation around the gas line if such Z 1 I f B�_DROOMS AT I l0 I GAL/DAY/BEDROOM - 7 GAL/DAY � exists..,;, i l _ �_..__-- _ ._ -- - - :- -_-- 13 The installer shall verify the location, quantity and elevation of the sewer PT I TANK ) Y q �' _ lines exiting the dwelling prior to the installation. 1 p�I s3AL/DAY x 2 DA S GAL USE I-COGALLON SEPTIC TANK �X V4� �r- / 01L ABSORPTION SYSTEM LY)15 (Au. • � n ._ _� err �- �i ' — _ i r Z �+ I2v' X ��CHOFMgss ( SIDE -AREA: 2 BOTTOM AREA: c. _ � 02 DAVID y S 01 066 T I C SYSTEM i SECT ION a� 1J 0 a �a '` t u�p .•� 1 GAL s �g r . SEPT I C TANK - - - - - p�j , f 3 ' Gov o 5mw6 ov 7,33 10 f y � -ce 4 - SITE AND EWAGE PLAN i LOCATION * 1 7 I 1 � �le�� l PREPARED FOR : `6 � ��G+gV ll �1 o J SCALE: 1 0 i GAV I D B . MASON DATE: /8 / W DBC ENVIRONMENTAL DESIGNS z EAST SANDWICH . MA DATE HEALTH AGENT ' f 508 ) 833,-, 2 177 ' � I .