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HomeMy WebLinkAbout0185 MEADOW LANE - Health L� 185 Meadow. Lane {, W. Barnstable �. Y r' A = 134 018002 t ` �- TOWN OF BARNSTABLE OCA=TION � SEWAGE # VELL,�GE �✓, ern. ��� ASSESSOR'S MAP& LOT i o 0 F,9951 INSTALLER'S NAME&PHONE NO,. C6'r1Glc SEPTIC TANK CAPACITY 13-DO Si-, 100.0 &vp_CdgeJae/' Qf� LEACHING FACEL=: (type Srel,4S-Le,1u/q 1S (size) 30 U535 Zr`7 q NO.OF BEDROOMS = BUII.DER OR-OWNER PERMTr DATE: U /0 COMPLIANCE DATE: I/O Icy Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility S. Feet Private Water Supply Well and Leaching Facility (If any,wells exist on site or within 200 feet of leaching facility) Ito Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching fa ' 'ty l ) r):3a Feet Furnished by �N�Q G�+ ��. 43 G r . � �`! � � . + Y 1' � r ,. TOWN OF BARNSTABLE LOCATION ��J� �'I �� 0(.� A- SEWAGE# VILLAGE tf/y ASSESSOR'S MAP&PARCEL �— II�" L'�RS NAME&PHONE NO. ,7 SEPTIC TANK CAPACITY LEACHING FACILITY:(type) (size) NO. OF BEDROOMS OWNER C Ilb/[L / PERMIT DATE: C6= �E DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility(If any wells exist on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) Feet FURNISHED BY Q � 1 t 3 . / 9 f No. W� Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes ZippYicatiou for &.5po5al *p.5temc (Cou5tructiou Verm t Application for a Permit to Construct( ) Repair( ) Upgrade( ) Abandon ) ❑ Complete System ❑Individual Components Location Address or Lot No.�9S yIIl%QGf O e#ALC _ Own is Name,Addre�;/end I.Np( O Assessor'sMap/parcel /vr// ' !` 13 —ohBA—Do Installer's Name,AdAkal 10�ICC Designer's Name,Address and Tel.No. 350 Main Street �1 W. Yarmoutin, MA 02673 Type of Building: Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder ( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) gpd Design flow provided gpd Plan Date Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. Description of Soil N akure of Repairs or Alterations(Answer when applicabl D ` 06)e 'L _rL4 rL re•Ma�` A„ n.7 N DIs Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of Compliance has been issued by this Board of r\1 . Q Signed C Date 7 6 2 _ Application Approved by S. Date G Application Disapproved by: Date for the following reasons Permit No. 9 007 —3 cff Date Issued d 1 No... .1(}L� � Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC`HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes Rpprication for �Digogar �6p!tem Congtruction permit Application for a Permit to Construct( ) Repair( ) Upgrade(.) Abandon ❑ Complete System ❑Individual Components Location Address or Lot No.��s 1 JPGI!�GGJ A� Owner's Name,Address,and)zI.N . Assessor's Map/parcel 13 w 0/R_ 002 Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. a' Type of Building: Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder ( ) r. Other— Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) gpd Design flow provided gpd ,4 '� ,\, Plan Date Number of sheets Revision Date Title , \S.` Size of Septic Tank Type of S.A.S. Description of Soil Nature of Repairs or Allteratt��w(Answer when applicabl ] 1, Date last inspected: u - /, y Jl Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of Compliance has been issued by this Board of ]th. Signed / 1 L L L L Date 7 6 /? Application Approved by / A Q-) d2 S Date 1?4If. / Application Disapproved by: Date ' for the following reasons Permit No. 9 00-7 _ 3 Date Issued 0/ -r - -- _ --- - ----------- -------------- �� � THE COMMONWEALTH OF MASSACHUSETTS- BARNSTABLE,MASSACHUSETTS Certificate of (Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal System Constructed ( ) Repaired ( ) Upgraded ( ) Abandoried( )by U at 7 . has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No. .2Go 7- ?k Y" dated 49 /6/0'7 . Installer Designer / #bedrooms �'/)- Approved design flow i ,rF gpd The issuance f t s permit s all no be construed as a guarantee that the system 41 fu ction as design� p f' Date Inspector f�.m l � l� --- ---------------------------- No. rj--- —=------ aGd�' 3(ss'� Fee THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION—BARNSTABLE, MASSACHUSETTS 1=igoa1 ,p5tem Cougtruction Permit Permission is hereby granted to Construct ( ) epair ( ) Upgrade ( )/ A/band1—al System located at yl �� /�/o l/! 1/�,P l�tl and as described in the above Application for Disposal System Construction Permit.The applicant recognizes his/her duty to comply with Title 5 and the following local provisions or special conditions. Provided: ConstruLL-7 tion must be completed within three years of the date of this perm t Date q Approved by ' r1 ��va �c G ? 1 20 No. x ' i` Fee _ THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS Application for Miqual *p6tem Congtructfon Permit Application for a Permit to Construct( )Repair( 0-up-grade( )Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No./8S 2ce�� 14 O ner's Name,Address and Tel.No.ID I Assessor's Map/Parcel O 3Y _ p�.' t U p W Installer's Name,Address, Tel.N Designer's Name,Address and Tel.No. & g CAN CIO 350 Main Street 36 aIN. Yarmeuth, MA 02673 -a a Type of Building: _ t{3 t Dwelling No.of Bedrooms�— Lot Size sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow Sy= gallons per day. Calculated daily flow SS D gallons. Plan Date Number of sheets r Revision Date 4/=/ Title Size of Septic Tank O / Type of S.A.S. Description of Soil Mature of Repairs or Alterations(Answer when applicable) 1)14 I ti. Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certifi- cate of Compliance has been issued by this Board, f He Signed Date LU l t� Application Approved by Date Application Disapproved for the following reas n _ Permit No. Date Issued —'No. '.,�'"'el'"„ 4 •�r Fee r r ` THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: t PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS Yes _ Zipphrat n forlDiopaal *p5tem Con5tructton Permit M. Application for a Permit to Construct( . )Repair( L,) Jpgrade( )Abandon( ) ❑Complete System ❑Individual Components, Location Address or Lot No.1U5— j /0 ner's Name,Address and Tel.No. Assessor's Map/Parcel Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. /Y�eYer fn� 36a -a�aa Type of Building: _ Dwelling No.of Bedrooms �6 _ Lot Size sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures V `N Design Flow gallons per day. Calculated daily flow JCS d gallons:- Plan Date Number of sheets Revision Date Al o/ Title S% e - S c L.IA Size of Septic Tank )s 'e00 / Type of S.A.S. Description of Soil ��/' /'last/ t _1�lature of Repairs or Alterations(Answer when applicable) /"P P /)/4,/ Date lks-t inspected- Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certifi- cate of Compliance ha0een issued by this Board of Hea'lTR -. - Signed' l r P l Date /O /v Application Approved by A ) l Date r Application Disapproved for the following reas nos Permit No, o P1 Date Issued ,1 �? �,�� THE COMMONWEALTH OF MASSACHUSETTS U 4 1'f ( 71 BARNSTABLE, MASSACHUSETTS Certificate of (compliance THIS IS TO CERT� that the site Sewage Disposal System Constructed( )Repaired (�,..y�Y7pgraded( ) Abandoned( )b at , &_, J ` I'Le /<l1/1 S1.4k6e has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No.�ta01"LI (C dated D'! 0' Installer Designer r The issuance of this permit shall not be construed as a guarantee that the system�will(fun ctio as desi€�ned. Date l i. Inspector MV�1- • .�� VCJ -- -- --- •------------------------ ——— No. Fee V � �G THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLE, MASSACHUSETTS ;Dt5po5af *p5tem Con$tructton Permit Permission is hereby granted to Construct( )Repair.(�Opg' rade( )Abandon( ) System located at / �/(�c��ac r� 1'�f Ca �irr f rSa 6l and as described in the above Application for Disposal System Construction Permit. The applicant recognizes his/her duty to :t comply with Title 5 and the following local provisions or special conditions. Provided:Construction ink be completed within three years of the date of this a t. �1 Date: h 9 L/ Approved by !: j 1 COMMONWEALTH OF MASSACHUSETTS W Title 5 Official Inspection Form 0 Not for Voluntary Assessments Subsurface Sewage Disposal System Form Inspection results must be submitted on this form. Inspection forms may not be altered in any way. A. General Information 1. Property Information: MAP 134—PARC 018-002 185 MEADOW LANE Property Address CAPE WILDLIFE CENTER Owner's Name 185 MEADOW LANE Owner's Address WEST BARNSTABLE MA 02668 City/Town State Zip Code NOVEMBER 22, 2006 ' Date t 2. Inspector: .= JAMES D. SEARS Name of Inspector A & B CANCO _ . - Company Name 3 350 MAIN STREET Company Address WEST YARMOUTH MA 02673 %_0 M City/Town State Zip Code 508-775-2800 Telephone Number B. Certification I certify that I have personally inspected the sewage disposal system at this address and that the information reported below is true, accurate and complete as of the time of the inspection. The inspection was performed based on my training and experience in the proper function and maintenance of on site sewage disposal systems. I am a DEP approved system inspector pursuant to Section 15.340 of Title 5(310 CMR 16.000). The System: ® Passes ® Conditionally Passes ® Fails Needs Further Evaluation by the Local Approving Authority l/ ',� 7-06 I ctor'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. Title 5 Official Inspection Form:Subsurface Sewage Disposal System Page Iof16 i r s COMMONWEALTH OF MASSACHUSETTS 4 Title 5 Official Inspection Fora d Not for Voluntary Assessments p, Vev Subsurface Sewage Disposal System Form D. Certification (cont.) 185 MEADOW LANE Owner's Address WEST BARNSTABLE MA 02668 City/Town State Zip Code CAPE WILDLIFE CENTER Owner's Name NOVEMBER 22, 2006 Date of inspection 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: N/A ® One or more system components as described in the"Conditional Pass" section need to be replaced or Repaired. The system, upon completion of the replacement or repair, as approved by the Board of Health, will pass. Answer yes, no or not determined (Y, N, ND)in the ® for the following statements. If"not determined," please explain. ® The septic tank is metal and over 20 years old*or the septic tank(whether metal or not)is structurally unsound, exhibits substantial infiltration or exfiltration or tank failure is imminent. System will pass inspection if the existing tank is replaced with a complying septic tank as approved by the Board of Health. *A metal septic tank will pass inspection if it is structurally sound, not leaking and if a Certificate of compliance indicating that the tank is less than 20 years old is available. ND Explain: Title 5 Official Inspection Form Subsurface Sewage Disposal System Page 2 of 16 COMMONWEALTH OF MASSACHUSETTS Title 5 Official Inspection Form 9 Not for Voluntary Assessments Subsurface Sewage Disposal System Form B. Certification (cant.) 185 MEADOW LANE Owner's Address WEST BARNSTABLE MA 02668 City/Town State Zip Code CAPE WILDLIFE CENTER Owner's Name NOVEMBER 22, 2006 Date of inspection B) System Conditionally Passes (cont.): N/A ® Observation of sewage backup or break out or high static water level in the distribution box due to broken or obstructed pipe(s)or due to a broken, settled or uneven distribution box. System will pass inspection if(with approval of Board of Health): ® broken pipe(s)are replaced ® obstruction is removed ® distribution box is leveled or replaced ND Explain: The system required pumping more than 4 times a year due to broken or obstructed pipe(s). The system will pass inspection if(with approval of the Board of Health): ® broken pipe(s)are replaced ® obstruction is removed ND Explain: C) Further Evaluation is Required by the Board of Health: N/A ® 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 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 Title 5 Official Inspection Form:Subsurface Sewage Disposal System Page 3 of 16 COMMONWEALTH OF MASSACHUSETTS Title 5 Official Inspection Form e Not for Voluntary Assessments s.> Subsurface Sewage Disposal System Form B. Certification (cont.) 185 MEADOW LANE Owner's Address WEST BARNSTABLE MA 02668 City/Town State Zip Code CAPE WILDLIFE CENTER Owner's Name NOVEMBER 22, 2006 Date of inspection C) Further evaluation is required by the Board of Health (cont.): N/A 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 that 5 ppm, provided that no other failure criteria are triggered. A copy of the analysis must be attached to this form. 3.Other: Title 5 Official Inspection Form:Subsurface Sewage Disposal System Page 4 of 16 COMMONWEALTH OF MASSACHUSETTS r Title 5 Official Inspection Form Not for Voluntary Assessments see Subsurface Sewage Disposal System Form B. Certification (cont.) 185 MEADOW LANE Owner's Address WEST,BARNSTABLE MA 02668 Cityrrown State Zip Code CAPE WILDLIFE CENTER Owner's Name NOVEMBER 22, 2006 Date of inspection D) System Failure Criteria Applicable to All Systems: N/A 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 leaching is less than 6" below invert or available volume is less than '/z day flow ® ® Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s). Number of times pumped: . ® ® Any portion of the SAS, cesspool or privy is below high ground surface water elevation. ® N/A Any portion of cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply. N/A Any portion of a cesspool or privy is within a Zone 1 of a public well. ® N/A Any portion of a cesspool or privy is within 50 feet of a private water supply well. ® N/A 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.] YES No ® The system is a cesspool serving a facility with a design flow of 2000 gpd— 10,000 gpd. Yes No ® ® The system fails. I have determined that one or more of the above failure criteria exist as described in 310 CMR 15.303, therefore the system fails. The system owner should contact the Board of Health to determine what will be necessary to correct the failure. COMMONWEALTH OF MASSACHUSETTS a Title 5 Official Inspection Form Not for Voluntary Assessments e� Subsurface Sewage Disposal System Form B. Certification (cent.) 185 MEADOW LANE Property Address WEST BARNSTABLE MA 02668 City/Town State Zip Code CAPE WILDLIFE CENTER Owner's Name NOVEMBER 22, 2006 Date of inspection 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. N/A 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 L nder 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. Title 5 Official Inspection Form:Subsurface Sewage Disposal System Page 6 of 16 COMMONWEALTH OF MASSACHUSETTS N Title 5 Official Inspection Form O„ yeviu Not for Voluntary Assessments Subsurface Sewage Disposal System Form C. Checklist 185 MEADOW LANE Property Address WEST BARNSTABLE MA 02668 City/Town State Zip Code CAPE WILDLIFE CENTER Owner's Name NOVEMBER 22, 2006 Date of inspection 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, including 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)]. Title 5 Official Inspection Form:Subsurface Sewage Disposal System Page 7 of 16 COMMONWEALTH OF MASSACHUSETTS d Title 5 Official Inspection Form O,' ye y`6ry Not for Voluntary Assessments Subsurface Sewage Disposal System Form D. System Information 185 MEADOW LANE Property Address WEST BARNSTABLE MA 02668 City/Town State Zip Code CAPE WILDLIFE CENTER Owner's Name NOVEMBER 22, 2006 Date of inspection Residential Flow Conditions: J Number of bedrooms(design): 5 Number of bedrooms(actual): 5 DESIGN flow based on 310 CMR 15.203(for example: 110 gpd x#of bedrooms): 550 Number of current residents: 10 Does residence have a garbage grinder? ® Yes No Is laundry on a separate sewage system?(if yes separate inspection is required] ® Yes ® No Laundry system inspected? Yes ® No Seasonal use? ® Yes No Water meter readings, if available(last 2 years usage(gpd)): WELL—Note:some residence are seasonal. Sump pump? ❑ Yes ® No Last date of occupancy: PRESENT Commercial/Industrial Flow Conditions: N/A 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: Last date of occupancy/use: Date Other(describe): COMMONWEALTH OF MASSACHUSETTS R Title 5 official Inspection Form o� Not for Voluntary Assessments Subsurface Sewage Disposal System Form D. System Information (cont.) 185 MEADOW LANE Property Address WEST BARNSTABLE MA 02664 City/Town State Zip Code CAPE WILDLIFE CENTER Owner's Name NOVEMBER 22, 2006 Date of inspection General Information ,Pumping Records: Source of Information: 2005 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) ® Tight tank.Attach a copy of the DEP approval. NOTE: TIGHT TANK ON SITE-TO BE REMOVED AS PART OF SALE. ® Other(describe): PUMP CHAMBER Approximate age of all components, date installed(if known)and source of information: 2002—PERMIT#2002-446 Were sewage odors detected when arriving at the site? ® Yes No COMMONWEALTH OF MASSACHUSETTS o Title 5 Official Inspection Form e` Not for Voluntary Assessments A,� y0v Subsurface Sewage Disposal System Form D. System Information (cont.) 185 MEADOW LANE Property Address WEST BARNSTABLE MA 02668 City/Town State Zip Code CAPE WILDLIFE CENTER Owner's Name NOVEMBER 22, 2006 Date of inspection Building Sewer(locate on site plan): Depth below grade: 14" feet Material of construction: ® cast iron ® 40 PVC ® other(explain) Distance from private water supply well or suction line: feet Comments(on condition of joints, venting, evidence of leakage, etc.): GOOD Septic Tank (locate on site plan): Depth below grade: 20" feet Material of construction.- 0 concrete ® metal ❑ fiberglass ❑ polyethylene ® other(explain) If tank is metal, list age: years Is age confirmed by a Certificate of Compliance?(attach a copy of certificate) ® Yes ® No -------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- Dimensions: 1500 Sludge depth: 2° Distance from top of sludge to bottom of outlet tee or baffle 28" Scum Thickness 011 Distance from top of scum to tap of outlet tee or baffle 8" Distance from bottom of scum to bottom of outlet tee or baffle 181, How were dimensions determined? TAPE, ASBUILT&SLUDGE JUDGE Title 7 Official Inspection Form:Subsurface Sewage Disposal System Page 10 of 16 COMMONWEALTH OF MASSACHUSETTS Title 5 Official Inspection Form Not for Voluntary Assessments p^ Vev Subsurface Sewage Disposal System Form D. System Information (cont.) 185 MEADOW LANE Property Address WEST BARNSTABLE MA 02673 City/Town State Zip Code CAPE WILDLIFE CENTER Owner's Name NOVEMBER 22, 2006 Date of inspection Comments(on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): TANK AT WORKING LEVEL, INLET BAFFLE — OUTLET TEE. 32" CEMENT COVERS AT GRADE, 18" CEMENT COVERS ON TANK. NO SIGN OF LEAKAGE OR OVER LOADING. Grease Trap (locate on site plan): N/A 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 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): J Depth below grade: NOTE: TIGHT TANK ON SITE-TIGHT TANK TO BE REMOVED AS PART OF SALE. Material of construction: ® concrete ® metal ® fiberglass ❑ polyethylene ® other(explain) COMMONWEALTH OF MASSACHUSETTS m Title 5 Official Inspection Form c Not for Voluntary Assessments %1 yey Subsurface Sewage Disposal System Form D. System Information (cont.) 185 MEADOW LANE Property Address WEST YARMOUTH MA 02668 Cltyfrown State Zip Code CAPE WILDLIFE CENTER Owner's Name NOVEMBER 22, 2006 Date of inspection Tight or Holding Tank (cont.) 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 a copy of current pumping contract(required). Is copy attached? ® Yes ® No Distribution Box(if present must be opened) (locate on site plan): ✓ Depth of liquid level above out et invert 0 Comments(note if box is level and distribution to outlets equal, any evidence of solids carryover, any evidence of leakage into or out of box, etc.): D-BOX IS 30" X 30", ONE LINE IN WITH TEE — FIVE LINES OUT. BOX IS CLEAN AND SOLID. NO SIGN OF OVER LOADING OR SOLID CARRY OVER. Pump Chamber(locate on.site plan): of Pumps in working order: ® Yes ® No Alarms in working order: ® Yes ® No Title 5 Official Inspection Form:Subsurface Sewage Disposal System Page 12 of 16 COMMONWEALTH OF MASSACHUSETTS Title 5 Official Inspection Form o� Not for Voluntary Assessments Subsurface Sewage Disposal System Form D. System Information cont. y (cont.) i 185 MEADWO LANE Property Address WEST BARNSTABLE MA 02668 City/Town State Zip Code CAPE WILDLIFE CENTER Owner's Name NOVEMBER 22, 2006 Date of inspection Comments(note condition of pump chamber, condition of pumps and appurtenances, etc.): PUMP CHAMBER IS ONE (1) 1000-GALLON PRE CAST TANK. ONE PUMP CLEAN, NO SIGN OF SOLID CARRY OVER. PUMP AND ALARM WORKING. Soil Absorption System (SAS) (locate on site plan, excavation not required): ,/ If SAS not located, explain why: Type: ® leaching pits number: ® leaching chambers number: leaching galleries number: ® leaching trenches number, length: ® leaching fields number, dimensions: 30'X 25' ® 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.): LEACHING IS A FIVE PIPE FIELD 30' X 25', TEST HOLE ABOVE AND BESIDE FIELD. NO SIGN OF OVER LOADING. Title 5 Official Inspection Form:Subsurface Sewage Disposal System Page 13 of 16 COMMONWEALTH OF MASSACHUSETTS u Title 5 Official Inspection Form d Not for Voluntary Assessments spa oW Subsurface Sewage Disposal System Form D. System Information (cont.) 185 MEADOW LANE Property Address WEST BARNSTABLE MA 02668 City/Town State Zip Code CAPE WILDLIFE CENTER Owner's Name NOVEMBER 22, 2006 Date of inspection Cesspools (cesspool must be pumped as part of inspection) (locate on site plan): N/A Number and configuration Depth—top of liquid to inlet invert Depth of solids layer Depth of scum layer Dimensions of cesspool Materials of construction Indication of groundwater inflow ® Yes ® No Comments(note condition of soil, signs of hydraulic failure, level of ponding, damp soil, condition of vegetation, etc.): Privy (locate on site plan): N/A Materials of construction: Dimensions Depth of solids Comments(note condition of soil, signs of hydraulic failure, level of ponding, damp soil, condition of vegetation, etc.)-. Title 5 Official Inspection Form:Subsurface Sewage Disposal System Page 14 of 16 COMMONWEALTH OF MASSACHUSETTS Y N v Title 5 Official Inspection Form Not for Voluntary Assessments Subsurface Sewage Disposal System Form D. System Information(cost.) 185 MEADOW LANE Property Address WEST BARNSTABLE MA 02668 City/Town CAPE WILDLIFE CENTER State zip Code Owner's Name NOVEMBER 22, 2006 Date of inspection Sketch of Sewage Disposal System: Provide a sketch of the sewage disposal system including ties to at least two permanent reference landmarks or benchmarks. Locate all wells within 100 feet. Locate where public water supply enters the building. A gI - Al 8 Pa co Ail r U � n , st � r U" r P`J d l b C/i/IA8sfc _ 80 1< I o? /3 �,, 9 a / 3 v Title Official Inspection Form:Subsurface Sewage Disposal S�,stem Paee I:of 16 COMMONWEALTH OF MASSACHUSETTS d Title 5 official Inspection Form Not for Voluntary Assessments Subsurface Sewage Disposal System Form D. System Information (cont.) 185 MEADOW LANE Property Address WEST BARNSTABLE MA 02668 Cityrrown State Zip Code CAPE WILDLIFE CENTER Owner's Name NOVEMBER 22, 2006 Date of inspection Site Exam: Slope Surface water Check cellar Shallow wells Estimated depth to ground water: T—6" 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: TEST HOLE ON PLAN T —6" GROUND WATER. BOTTOM OF FIELD AT 18" — 6' ABOVE GOUND WATER. Title 5 Official Inspection Form:Subsurface Sewage Disposal System Page 16 of 16 a ZONE • � b lava"- �7•S p ` .pgk 9 x 100.18 p \ 9997 GNU 13 96.96 1 '�SET •� 9 x 9 99 & \ 98 .79 \ \ ON 96.7e *39.79 x d � \ ` �\5 0 �10007 x mg • 9 9 100. 1 99 09 x 90. GNn C0%DH 100A8 I`0'� 9 e 9%n a100.20• q 10032 104�1' S 0.11 MOVAL T( 99.69 • Q Y fps/K 11.0 i f, k-+ ?' { d e 98. PvK�'i oats 99.31 QF Lq EL F6 94 i t 0 9%0 �i 100A4 .32 fo��Vl. 100cUp t0014 t00.72 Vv1 Q�CkRJ Cons, v' 100.21 • 9S(.S SHai, 100 com cov. 98.96 100 9 '� ` a '• d a. LOTS 3 b 4 \� 4.43=AC. J 7 A - 99.03 99.01 V' Cov. �c pp��jj,, GtiD98 56 t00.13 99.71 100.01 r T0fr1QG�66 ��10FMAg� \ TERANN RY WARNER No.36721 SCALEI P=30' 0' 30' 60' 90' Is 2 DATE °FTHEI°� Town of Barnstable Regulatory Services 1 . � Thomas F. Geiler,Director a Public Health Division Thomas McKean, Director 200 Main Street, Hyannis, MA 02601 M-im-al `�v DATE: V NUMBER OF PAGES TO FOLLOW: TO: FROM: I Aj PHONE: PHONE: (508)862-4644 FAX PHONE: FAX PHONE: (508)790-6304 cc: NOTES/COMMENTS: QAFax Form.doc P. 1 COMMUNICATION RESULT REPORT ( NOV.15.2006 3:07PM ) TTI BARNSTABLE BOARD OF HEALTH FILE MODE OPTION- ADDRESS.-(GROUP) RESULT PAGE ---------------------------------------------------------------------------------------------------- 620 MEMORY TX 915082401003 OK P. 2/2 ---------------------------------------------------------------------------------------------------- REASON FOR ERROR E-1) HANG UP OR LINE FAIL E-2) BUSY E-3) NO ANSWER E-4) NO FACSIMILE CONNECTION iJ Town of Barnstable ? Regulatory Services , Aomas F. Geiler,Director Public Health Division Thomas McKean,Director 200 Main Street, HyazWs;MA 02601 DATE: r NUAMER OF PAGES TO FOLLOW: TO: FROM: PHONE-. PHONE: (509)8624644 FAQ PHONE: FAX PHONE: (508)79"304 RO;O INI'E'N SC-L4EGOL_E -- H. - .ROON,h.P 1.5E FLOOR '6A E \VALL-- f'E_I1.JJ1G REMARKS A -' CERAN 7C -0 VINYL-: RY\VAII. DR1'Wd LL'TILE FlDO TO BE TVE G.N.F aS O.TNE'EXIST' BUILDING.COlAR -ENTRY TILE LCV _ BE SELECTED LATER,LIGNTPIXTUr_R4FTE-T\V/L£NSC'oVER:M. RELOCATE :LANDING $pftY\/AI Ly��r DfMVALL-LIGHT FIXTURSR 4 F'f E-TUBE LENS bVER FLUSH MpUNT — _ j 1V.1N DO\V9. ._�_, [�'S,_- _��-z�_-_�_—_.L _-. ___.—_ _ ASOKALT SWNC.E£ �. — _._. - !y MATCH EXISr:G 12 u1 y= 12 _ ., . FJCISTING.'LUIIpH.IG _\\ "R D i .s.S f__ ` .. ._. _._._y „.. 5 4r..._ FJGING —1Vll ANDE.PS Ef-7 CA'EMENT 2 Arz \� ,1.EXJ5T'GTLAKE'TRIµ i I 'E%I ST'G.ALUMIt1UJh'- -... L,,'f•. `I r 4 • I' -- T EXIST - �H -. � '1- � GUTTER �__ --- � _.. J _ ,.•.•.••�� � �I�REEZt1VAY NDfASF-. :RELOCATED I :ram r 7 I DOOR J t -Y. F N YENT UNrT•S !lf M I F� 5.6:OFV. EXISTG Cl tJAT'URALIiNGLESWIT D ? f I POST I "..7A231 `_L. 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F , i ,. -..IN TNE'TO\VI.1.OF BARnlBTABLE. / ..'h REI.L1".-ATEG.IJ(T2E .-, 07fG� I).. I , .REG0.RDING YARD.,E.CAKS - 1 DATED."27.JAN.FOOD: L� g .•wain^_ m - _ i� ,.. ... .. _' ... � f .!._ JX l i J 1 k' Up ..,_;.-. ....,... :-. .. � :' - 1: ... �-.. .. ...--r .�._:�.._.....,_. _v :. ��..' � 12 DET�•l�i'. :GEMEN'F.- .. ;S L:PV: p:'♦ .rvvl �.:I ./, iL :a[e't 1Jr:Y� :, -.'... �..:,.. :. I. :..,I, ... :r,r: .:-.�'i' '.'✓r,�':l +�_` �T..�i-'�..S7RIG;AT':FL - - h .. AO'E10l1 DETECT.P3P.7_.� -TO.LGNT.DE?EGTtW1 - rf' , .� D... , T spa .LE.G�N .... .... .,. _._ .•�>?��. .:;, i' ..... :,.RE'JNCALt?R IVORK•4115 D , -•----'----�_;_.'' � '.EUNC 1N¢E;[T'.ION- f�. "J✓ ' 77 L64 -777 777777t.:- R-MIT_M-0. �/-I-l.-l_/�`G '•��=LEI-���-c���F ��Ai��_�� - 5-U 1-LD E ��►`CE_P_E-R_M1T IDS-S.U_ED-=�= ��-�`�-��- - D_ATE-C--O t�/`.P t`_I_pl`►CE�I SS U E�: -���"� _- C.if t: GAS 306 5 f 1 y ��T r1 e a✓e, , �I�� �A� , �v/✓��-z, r TOWN OF BARNSTABLE + OC TION �J� /%S.ADc�.t) LjqA/g SEWAGE # VILLAGE ASSESSOR'S MAP & LOT INSTALLER'S NAME & PHONE NO. SEPTIC TANK CAPACITY %,,)o p LEACHING FACILITY:(type) (size) NO. OF BEDROOMS PRIVATE WELL- 4. R k. ( L .Birilli WNER ��/�/�� DATE PERMIT ISSUED: DATE COMPLIANCE ISSUED: VARIANCE GRANTED: Yes No F r 6� Qa V o M Jr' -- 1 Q D v Yl ....l....... THE COMMONWEALTH OF MASSAGHUSETTS SOAR® F H _.........O F.... Apphratinn for Dispnoal Morho T.anuarartian rmnit Application is hereby made for a Permit to Construct ) or Repair ( ) an Individual Sewage Disposal S1 & �Ma, i L c ion•Addr fro o t Owner Z A ........... ..-.. ................................................ ...........t.... ............................ddress....._...................................... Installer Address UType of Bulldirlef Size Lot............................Sq. feet Dwelling No. of Bedrooms..................................Expansion Attic ( ) Garbage Grinder ( ) aOther--Type of Building ......................:..... No. of persons,.............................. Showers ( ) Cafeteria ( ) Other fixtures ... W Design Flow.............................. ........ allons per person per day. Total daily flow......_.........._t?' ......gallons. WSeptic Tank—Liquid capacity •allons Length................ Width---------------- Diameter................ Depth................ x Disposal Trench—No..................... Width_..... Total Length....... Total leaching area....................sq. ft. Seepage Pit No______ _____________ Diameter j . .....?S�Depth below inlet..... Total leaching area�_(Q....�-sq. ft. (� Z Other Distribution box ( ) Dosing tank ( ) aPercolation Test Results Performed by..........................................-•--•-•••.....•--•--..........-• Date........................................ Test Pit No. 1................minutes per inch Depth of Test Pit.................... Depth to ground water___.___:_-_--__-____.__. 1:14 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground. water......_----------------- a' ............................................................ ---•-----•--•------......... 0 Description of Soil...................................................---------------------- ••------------------------------------------•--•----....._......--••----•••------- V .••-•-•--•••••-•.......•-•--•...................••••-••••....._..•••-••---•-•-•••..._...•--••••...__._...----........---•••••.....•••-•••---•----••••......--•••--•--••--••••..........••••...._....••.... W x -•---------------------------------------------------------------------------- ---------•-•••---••-•--------•-•------- -•-----------••-•-------•....--------•-•----••---•-•-•. •-••••--............ U Nature of Repairs or Alterations—Answer when applicable.............................................................. .....-...........__...•_...._._. ----------------------------------------------•-••••-•---•••-•---------•-----•••----•-••--........•-•-•-•--------- ----------------------- -----------••--•---------•----------------•••---..........--- Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of Article XI 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. Sign . .. ........ .... . - :..------ --- -------- D Application Approved BY_.__ .. . - - '��- ------ ---- == -- qq f' Date Application Disapproved for the following reasons: ..... -----•... = = -----•---•---•---•----••••••••-••••-•••-••••--------------•-••---•------•---••-••-.......-••-...•••--....-•----•--•-••----••----•••--••-••--•---.....-•-•---••---•--•••................................ Date Permit No......................................................... Issued....... '�� _........ --- ---- ------ Date No...2-. Fs$... ...... ......._. THE COMMONWEALTH OF MASSACHUSETTS BOARD H�1 -1 Apphration flax Di-4pniial Works Tonstrurtivit Vamit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal Sys . at:�........L cyi�on.....A..ddre t No. .. . . .......... . o i .............. ---- Owner Address W . ... ................---....................._.. � .............................................Installer....................,.................... ................................... Address Type of Buildi d � Size Lot............................Sq. feet U Dwelling No. of Bedrooms...........:...... ..................Expansion Attic ( ) Garbage Grinder ( ) Other—T e of Building No. of persons............................ Showers — Cafeteria dOther fixtures ------...---•-------------------•-------•-•-•--•••-•--......•• .............................................. Design Flow......................... f"d allons per person per day. Total daily flow................. ..+ '"°" ..._gallons. WSeptic Tank—Liquid capacity/ •lllons Length................ Width................ Diameter................ Depth................ x Disposal Trench—No..................... Wi th....... .. Total Length ..... Total leaching area.... .-__.........sq. ft. Seepage Pit No.._._ .....___... Diameter;- '_. Depth below inlet....._ ... Total leaching area _..� 'Sq. ft. ••... t Z Other Distribution box ( ) Dosing tank ( ) a Percolation Test Results Performed by.: ........................ Date........................................ Test Pit No. 1................minutes per inch Depth of Test .............- Test Depth to ground water--_----_-___--_--_-.-.-. r14 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ W ..-•••••••••---•.......••-----•...................•-•...•••••••....••-•----•••---•..............••••......................................................... . O Description of Soil......................................................................................................................................................................... W U Nature of Repairs or Alterations—Answer when applicable...................__..............................__..... ..................................... -••• •-••-•--------•.....................................••••-•---..........•--•-•...........---•--••-••••-••••-•----•----....-----•------........-•••••-•----•-••------•--•••••--••-•••-•-••.......... Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of Article XI 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 Si*ti_. irk i �d ) •a � d�i Application Approved BY = Date Application Disapproved for the following reasons:... 7...•--- ................••-••••-•--••••-•---•...••••••-•••••••••••........-----•...........•-•••••----•••••••••••.........--•••••••••-•--.....---•-••---......-•••••-•-•••...................................... Date PermitNo......................................................... . Issued........................................................ Date THE COMMONWEALTH OF MASSACHUSETTS BOARD O HEALTH ..............OF... . ....... ...... .... ......... Tntifiratr of %Tulttpliattre THIS IS TO CERTIFY,.That the Individual Sewage Disposal System constructed ( ) or Repaired ( ) by ............... ,�� t.�ne� has been installed in accordance with the provisions of Article XI o The to Sanitary'_Code as ,escrib ilf the application for Disposal Works Construction Permit No..................... :. ........ dated....... .. _.;:.___._--. THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE................................................................................ Inspector..................................................................................... THE COMMONWEALTH OF MASSACHUSETTS BOARD F HEAL V .jam.t ................ OF.. No......................... '.., FEE ... ..... Permission i�ereby granted............. . _ ... . `�:..... .. at to Constr �' r e air an 1 Aividual Sem Disposal Syst Street ,n ww� as shown on the application for Disposal Works Construction P�rir}lt No.. ...:'a..:f:.� ated.__..�� ....................... Boar Ao� ealth DATE------....-•----------------------••--•---._.......................... .......... FORM 1255 HOBBS & WARREN, INC.. PUBLISHERS THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH ....---- .. . ........................OF....................--••----•--............ Appliration for Disposal Workti Tonstrnrtiun Famit $� Application is,liereby made for a Permit to Construct ( ) or Repair an Individual Sewage Disposal Syst at N - ... ---------------------- -•-•-•----- IN. ------n:...� L 2--...--------.................-- cation-Address or Lot No. W Owner Address a ell-------------------------------------------------------------- Installer Address UType of Building Size Lot------------------•_ -_---Sq. fee aDwelling—No. of Bedrooms............ ..............................Expansion Attic ( ) Garbage Grinder C� p-, Other—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) tc Ot , ,l ores --------------- ------------- - `7'�/ W Design Flow....:................."_.._..._....•.....gallons per person per day. Total daily flow......'`---Y!?---------_............gallons. WSeptic Tank—Liquid ca.pacitye gallons Length................ Width................ Diameter__._--_---_--._- Depth................ x Disposal Trench—No..............L.__ Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No--_---------------- Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) Percolation Test Results Performed by.......................................................................... Date........................................ Test Pit No. I................minutes per inch Depth of Test Pit.................... Depth to ground water........................ rZ. Test Pit No. 2............... a incADeof Test Pit_ th to ground water.........__._._....._._.--...-•-----•--OD escrptono Soil .x - --- • --•--- -- ....................................... c, ...------... W ---------------- ......... ' --------------------aU Nature of R Alterations—Answer wenplible_. � �Zj; -----.-.-.-.-.-./--- 792________________________ ------ --- -- ------ --- ._...------- .... ..... . .............................................. Agreement:The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of iiTLL 5 of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been issued by the board of health. Signed....................................................................................... ................................ Date ApplicationApproved By•---------•----••••---•-•-----•-•------•-•-----•--•--------------••......-----•......•--•----•- Date Application Disapproved for the following reasons:................................................................................................................ ........................•--•-•------....--------...------------•----------...-•-----•--•---•-••-•---.•••. r Date PermitNo......................................................... Issued...........--•---•---•--•••----•-•.................... Date n t THE COMMONWEALTH OF MASSACHUSETTS J. BOARD OF HEALTH ..........................................OF Appliration for Uhipolial Workii Toastrurtion ramit Application is hereby made for a Permit to Construct or Repair an Individual Sewage Disposal System at; .................... '"� y Location-Address or Lot No. ....................................................... ............................................ .............................................. Owner Address -----------*....... -------*--------- ­..........*------------------".........................."........."---------------—-­ ­ InstallerAddress Type of Building Size Lot.............................Sq.Ifeet Dwelling—No. of Bedrooms............................................Expansion Attic Garbage Grinder aOther—Type of Building ............................ No. of persons._...__.._..............___. Showers Cafeteria Otherfixtures ...................................................................................................................................................... Design Flow............................................gallons per person per day. Total daily flow............................................gallons. 1:4 Septic Tank—Liquid*capacity............gallons Length................ Width.........._..... Diameter...._.__.._..... Depth................ Disposal Trench—No. .................... Width.....__............. Total Length_......_............ Total leaching area....................sq. f t. Seepage Pit No..................... Diameter..........._.__..... Depth below inlet....._.............. Total leaching area..................sq. f t. Other Distribution box ( ) Dosing tank ( ) Percolation Test Results Performed by.......................................................................... Date........................................ Test Pit No. I................minutes per inch Depth of Test Pit._____._............ Depth to ground water..___.__...._........... 44 Test Pit No. 2................minutes per inch Depth of Test Pit...___.............. Depth td ground water..._____............_... 9 ......................................................................i....................................................................................... 0 Description of Soil........................................................................................................................................................................ x U ....................................................................................................................................................................................................... ........................................................................................................................................................................................................ 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 TLITA12 5 of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been issued by the board of health. Signed..................................................................................... .......................... Date ApplicationApproved By.................................................................................................. ....................................... Date Application Disapproved for the following reasons:....I.......................................................................................................... ......................................................................................................................................................................................................... Date PermitNo........................................................ Issued...................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ....................................OF.................................................................................... (9rdifirate of Toutpliatta THJIS IS,.T -A f ;0 CERTIFY, That the Individual Sewage Disposal System constructed or Repaire�� by...... .... ...... . <............................... ...................................................................................................... Installer at.----- .................................................................... - "Z70.. ---has been installed in accordance witlhe provisions of TITLE 5 of The State Sanitary C X- C as scribed in the application for Disposal Works Construction Permit \;e.. N J A......... date Z:c---------------------- THE ISSUANCE OF THIS CERTIFICATE SHALL NOTE C TRY D AS AO GU EE THAT THE SYSTEM OL F"CTION SATISFACTORY. E DATE... .................................................................. . Inspectoct".... ........................................................................... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH No.C14— 0,F..................................................................................... F74�.................... Disposal Vorkii Tonotrudion Op"nutit Permissionis herej-xy--ranted...... .. ... ... ............................................................................................................ air i Sewage V to Construct n Inctj y 1; Disposal System .o at No. ..... ...Z .............. --------------- Street as shown on the apploiion r Disposal Works Construction Permit No.................... e d.. ... ... . .... ............ ---------------------------------------------------------- ................................... . ;6�ar�d of Health DATE_t.... ... .. ................................................... I FORM 1255 HOBBS & WARREN, INC., PUBLISHERS No........ ............... Flcs.... ... ............... h THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH _._._ ..... ... . .. - ......OF..................................... -........ Appliration -for Digpuiial Wjarkg Tomitrurtion Prrutit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at: 1 ..........A 0. .....a........................................... ...... �--�� = Locatio ddressj or'Lot No. Owne Address^ / .i 7 Installer Address ` 62p, Q Type of Building Size Lot......... a_---_______Sq. feet U Dwelling—No. of Bedrooms---------::;2t..---..�L _ -.._.Expansion Attic ( ) Garbage Grinder ( ) Other—Type of Building -----------_---------------- No. of persons---------------------------- Showers ( ) — Cafeteria ( ) Q Other fixtures --------•-------------------------------- W Design Flow..... -----------------------------gallons per person per day. Total daily flow............. a---_____----.--__...gallons. WSeptic Tank—Liquid capacity�g"`19_gallons Length________________ Width..___.. .._.. Diameter_--.-_...__-_-_- Depth.----........... x Disposal Trench—NO. .......::........... Width.. -------- Total Length_-_P�__.. :_ Total leaching area--------------------sq. ft. Seepage Pit No---------------­--- Diameter-------------------- Depth below inlet_- -------- To al leaching area--_____.__._____fsq. It z Other Distribution box ( ) Dosing tank �C /�- `4 Percolation Test Results Performed by........................... a -----------------------------------------•. Da e ,_l Test Fit No. 1---.------------minutes per inch 'Depth of Test Pit.................... Depth to ground water._..'__­l-!_------ !_ Test Pit No. Z........___- u u I ch De t of T st it.................... Depth to ground water......_..__.__._.___... O Description of Soil------------_---------- 1 �A 2 a, r -- �� x `[U - ----------------- ------------- - ' - r _ .r . U Nature of repairs or Iterations—Answer en appH ble-------------------------------------------------------------------- -- ----...___.___-___._..... ---- ---------------------- `t'�r Agreement: The undersigned agrees to install -the aforedescribed Individual Sewage Disposal System in a ordance with the provisions of Article XI of the State.Sanitary Code— The undersigned further agrees not to place the system in L�: operation.until a Certificate of Compliance has been issued by the board; of health. - Sig )`----`- Da Application Approved B te Ilate Application Disapproved for the following reasons----------- ----•- ------- -------------------------------------- ......................................... ----------------------------------------------------------------------------------------------------------------------- - t" Date . ... Permit No Issued..._` _. ._.. �-" .. �f Date rr�' ��..W� --------------------'--- ---- No......................... FEim ................. THE COMMONWEALTH OF MASSACHUSETTS BOARDTOF HEALTH _0100, ... .... -......._.OF. . .............................. ...................... ........ ........ Appliration -for Dhipoiial Works Towitrurtion Vrruift Application is hereby made for a Permit to Construct or Repair an Individual Sewage Disposal System at: ............ ........................... ...... ................... ..................... Locatrioddress .............0 ..a ------------------------Owner ------------------------• ov Address -----------"------- --------------------------------------- i ................... ............................................ --- �r......... ------------- Installer Address � 0 7 Type of Building Size Lot. .... .............Sq. feet U Dwelling—No. of Bedrooms---------- ------------------------ -----Expansion Attic Garbage Grinder a_, Other—Type'of Building ----------------------------- No. of persons---------------------------- Showers Cafeteria P4 • Other fixtures ............... ---------------................... -------------------------------------------------------------�­.............................. Design Flow......r .............................gallons ------- ns per person per day. Total daily flow_._.._.._... - ----.-_gallons. P4 Septic Tank—Liquid capacitv/0�9.gyallons eygth................ Width-.-_--..._-. ­ Diameter_............... Depth--..-----_.__--. x Disposal Trench—No..................... Width------- . ...... Total Length------ Total leaching area--------------------sq. f t. Seepage Pit No..................... Diameter_______.____________ Depth below inlet__.______-_ ....... Total leaching area------------------sq. It. Other Distribution box Dosing tank Percolation Test Results Performed by------------------ ........................................................ Date------------------------------------- -- Test Pit No. I------------_-minutes per inch - Depth of Test Pit-------------------- Depth to ground water._....'---------._..___-. "' �14 Test Pit No..2................minutes per inch Depth of Test Pit................___. Depth to ground water------------------------ -------- --------------- ...... ------------------- ------------------------------------------------*------------------------------------------------------ _ 0 Description of SQil--------- .....01,r... -------------------------------------------------------------------------------- ........................ U ------------------------------------------------ ------- ............................................ .......................................................................... ------------ W -- --- ----- -- - -- -- ------------------ ...... ................ U. Nature of .Repairs or Alterations—Answer when ap,p lica e.. —­ - ----------------— ­ --------------------------- - .............. ------------------------------- - ------------------------------------------------------------------------------------------------------------------------------------------- ------------ Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of Article XI of the State Sanitary Edde—The undersigned further agr es not to place the sysiem in operation until a Certificate of Compliance has been issued by Ihe board of health. I ._ Sig .. . ...... ...........�cr Da -------------- ........... ................. ........... Date e Application Approved By... . .... . ..... . '0/ Dat Application Disapproved for the following reasons:.... -- --- -------- -----------... -----------------------.............................................. ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- Date Permit No.......................................................... Issued..:�_7 Date THE COMMONWEALTH OF MASSACHUSETTS BOARD HEALTH OF......... #...................... ....... (i - U r. -if i r a tri v tfS wilaurr THI S CERTIFY, the Individua I)S ewage Disposal System constructed <r Repaired by.......... ............. . ..................................-------A........................................................... Installer ........................... Ito at.=..... ........ ....... ---- ---411 f 29 has bein installed accordance with the provis ns of Article XI of The State Sanitary Coe .0esced in the 47-4.1......... application for Disposal Works Construction Permit No.________.- ,_ ------------- dated.... THE ISSUANCE OF THIS CERTIFICATE°:SHALL NOT BE CONSTRUED-A AS GUARANT EE T d AT THE SYSTEM-VILL".FUNCTIOWSATISFACTQRY. K ............................... Inspector. ........... DATE. THE COMMONWEALTH OF MASSACHUSETTS BOARD Q0 HEALTH .........P4, ....... .....OF:_...... I......................... No._---- ............... FEE.4............. LIT 0 n 19i tion Prrmit Permissi i ereby granted...... - ---- ............................. . ­0 ...W-,**------------------- ......................................... to Con s,t or, it an IndividA Sewage Di Sal stem e 0 11-at N ..... ...... - -----------­----------- Street as shown on the a ' N .. .. ....... Dated.......................................... application for Disposal Works Construction Petwnt) o. .......... " "" 1"W imi i i ereb granted-, VeTZ-4 d t . r r ir is Sal -- ------- Da 0'-1............. . ------- -B.ard---- H-ea'lth----------------................... DATE-.IV// ---/__ --------- ................................ FORM 1255 HOBBS WAYREN. INC.. PUBLISHERS 3r� e q' • _� - � � .. ' � � k . / # � y .. _ _ .�. t . .. .. " — • , ,. / \ . • � M . • • � -; _ • � • + } . S ` Rat ,'�`,� 14 s�S� �y 4 4 �', .. "+', � i Y / �' i i ;. 1 �. _ � t \. ti..�' i.� ' ��-. N II �\ O O L———————— I - W E HEED RE-BUILT ANOERSEN - DECK DHP31042 1 PICTURE ryw ((( WINDOW OR DAMAGEDFRAMIN REMOVE 6 REPLACE AN INSTALL ROTTED // � C y� 5'TUB NEW DEOWN086 RAILINGS Eft V NEW OWNEIFYRS REQUIREMENTS EXIST.LEDGE CONDITION P.T.4 x 6 POSTS HALL B,2' EXT PLATE OR REPLACE AS REQUIRED 4'413/B• BS' 4'd 31S IF-21/B' 24'-0' 26'-0• 17' AND6068 FWO9066 D E FRENCHWOOR DHDERSEN P5642 SLIDING DOOR PERS EN ICTURE BEAM TLO CM A5 A5 PICTURE AT WALL 7B'LONG WINDOW /- 1 § .. A5 A5 h 1 _ \'� NEW 2-1&4'X 18'LVL FLUSH BBOTTOM BEAM 2B1 - N NEW 3x3x IWSTEEL ANOERSEN NEW COLUMN UNDER EACH END P.T.4 x 8 POSTS D BATH NEW 3jA 3 x il4•STEEL OF LVL BEAMS ANJ E3104 PICTURE REMODELED PjjCTU 42 y 2-1 3l4•%9 12 LVL BEAM VE RB1 4'd• PICTURE H STOR. OF LUMN UNDER EACH ENO - PICTURE WINDOW OF EVIL BEAMS wlNDow m 4-2. " t REMODELED T-V TS '``�`� IL_ F----= I �I � KITCHEN I ------ (VAULTED CEILING) - 2'6'x 65' (VE OUT KITCHEN 1113, $ LAYOUT W/OWNER) 1 I II NEW 3 x 3 x Ile STEEL Z COLUMN UNDER EACH END L+I UP OF STEEL BEAMS 2 REF © REMODELED a _ NEW STEEL BEAM p22B2 ABOVE -_ _-_ REMODELED `� }___—c-� _ I ENTRY LIVING % I - i ISLAND / - ---- REMODELED I I i ''ft--_=_-31 II FAMILY I I ______ r yEwazwlgE II - QO I ! I VERIFY ALL DETAILS IN THE ALLDETAILS ROOM - I I,>I RANGE IN THE FIELD . III 00 FILL IN FLOOR ABOVE TO MATCH 2-1 3/4'X9 lrYLVLSEAM 1 _ - - _ _ III--- EXISTING _ _ j DW j SINK I 1 I _ I it HOME ' � � AND. GYM r µ2 N REMODELED ; '� I/ © U AND. 1 MD. \\ `\ 111 Tw2442 n12442 E Ju UTIL. CASED P.T. A5 _VERIFY IF EXIST.ANCHOR aljy f-1-'- I BOLTS ARE IN PLACE,IF 6 x6 POSTS -------LJ ® c e -NOT INSTALL NEW 5'B'DIA // p,+e, COVERED }, ANCHOR BOLTS AT 2d' ENTRY PLATE WASHER 1a•o• II i. REMOD. A 26A lz6 y II § 4 HALL ® I k II a 1 m A © t¢ REMODELED k I AND. ' 1 GARAGE Q n I ENLARIIED TM'"z � \X ---- 'i5LL L' II _zn_-- 1 BEDRO M __________ J L - 2 x TO FLOOR J STS VERIFY CLXl6TN�SECOND y5 - ST,2 x BS FLOOR FIWLIWMINGI ADD BEAMS B i6'O.C. ; j B - AS NECE6ARN FR PROPER q I ®16•c.c. A5 1 B SUPPORT -�' TW2462 LL FIRST FLOOR PLAN -- F -----------------ji I 1 F I �. 24'SQ.x12 I - - ; K _ 'J O m AS 1 .-°�. I�EPCONC.FTG. I A5 - LEGEND: BEARING wALL To O EXISTING WALLS -72'tEEWk24'P.T.E WID xe ZB6 Z87 BEAM DETAIL--- --- — , -- CONSTRUCTION TO BE REMOVED WALIfE I ^ w/ z NEW CONSTRUCTION II I II / I UDW - 1 TW2"2 (4)1 314x71/4'LVLW/1/2•xT STEEL I >` FLITCH PLATE BETWEEN.USE 1/P DIA. \ e w¢o BOLTS.NUTS,S WASHERS Z' © E)CPAI NEW @ - --- -- — «� SMOKE DETECTOR / O O —__ ——_ — scREws ©CARBON MONOXIDE DETECTOR - Q sEEMAPORrM.wALL II `, q EXIST.3-2xio (1)4 3/4'x9 1/4'LVL ®HEAT DETECTOR 2$ DETNL SK3 FOR O.M. FLUS„BEAM! REMODELED _ DOORWALLSEGMENTS —E- ---- -- -_--_ — O 1 W/CONT.2-1 3f4•x 11 1/4• 15 YAv GARAGE � � ' L kE ° HEED „"o � A 1 11 A m "m = GARAGE ZB1 BEAM DETAIL VERIFY ALL EXISTING CONDITIONS AND FRAMING I i EMT.2xff. IN THE FIELD DURING CONSTRUCTION FOR ALL NEW NEW FRAMING FOR HEIGHTS,SIZES,&DETAILS. HALL 6 TDB ADJUST ALL NEW CONSTRUCTION AS NECESSARY IN THE FIELD. N I - 4'4• 4•-6 31B' L 19 a" AI Q ANY COTUIT BAY DESIGN, LLC NEW.ADDITION/REMODELING FOR: TM5ST°UCWIN� T° -1 'H.F ERRORS OR OMISSIONS ARE FOUND ON SCALE : DRAWING NO. 43 BREWSTER ROAD �t mg.,E M WILLCON BE RESPONSIBLE FORTH CONTRACTOR MASHPEE,MA. 02649 aD"u°RAL m MALL BERESPONSIB EFORTMECONTENT 1/4° — 11-011 PH.(508)274-„ss PAC H E C O RESIDENCE s 3 yp°GT31n o IN THESE OF AN E IF ERRORS OR MISSN FAX(5O )'S39-9402 9FO1 6P DESIGNER S ARE SOLELY FOR yT p DESIGNER OF ANY ERRORS OR OMISSIONS. �y450NA1 ' THESE DRAWINGS ARE SOLELY FOR THE USEOF DATE 185 MEADOW LANE WEST BARNSTABLE MA CONSETOFTHEER DESIGNS OTHER USE OF THESE DRAWINGS REQUIRES THE WRITTEN ' �NE71t-� „/�3/ C CONSENTTUTHEDESIGNERUNDERTHE 11/18/2015 '1.[i�".�il ` ARCHITECTURAL COPYRIOMT PROTECnON S(�,',•O,�'J�I'L B ACT OF 1980. " ElN ASPHALT ROOF SHINGLES 12 NEW 1 x S FASCUS SOFrr,8 6 1 x B FRIEZE BOARDS �F El I 74 LL uu uuuu uuuu uu uuuu NEW O.H.DOORS,VERIFY ALL DETAILS IN THE FIEDL W/OWNER SIDE ELEVATION ausr.� 11 El 13 12 T NEW 1 x B RAKE BOARDS W/1.3 DRIP BOARDS 12 2 3 12 EXIST. FRI IFMI NEW W.C.SHINGLE SIDING - C.THEN NEW 1x9 TRIM W/7 SILL NEW 1 x6 CORNERBOAOS 12 EXIST. 00 00Ll ao 0� NEWCASED P.T.6x6POSTS FRONT ELEVATION W/B•HIGH BASE 12 12 T EAST. 12 12 12 v EAST. 12 -- FM C. I R F N j SIDE ELEVATION THE DESIGNER SHALL BE NOTIFIED IF ANY Ea ERRORS OR OMISSIONS ARE FOUND ON Q 43BREW BAY RROAD GN, LLC NEW ADDITION/REMODELING FOR: HST L11 THESE DRAWINGS PRIOR TO START OF SCALE ; DRAWING NO. CONSTRUCTION.THE BUOINO CONTRACTOR 11 _ N +� WILL BE RESPONSIBLE FOR CONSTRUCTION T CONTENT 43 BREWSTER ROAD ��MIDNEIE M .((508 ,M-1 02649 5 CT°�L N IN THESE DRAWINGS IF COMMENCESWfTHOUTNOT NG°E 1/4 1 -0 PH.(508)274-, 66 PAC H E C O RESIDENCE N�.3a DESIGNER OF ANY ERRORS OR OMISSIONS. FAX(508)539-9402 qE ISrEP x4g OFE THE OWNER NO-MD ANY OTHER USE OF DATE : 185 MEADOW LANE WEST ^TABLE MIA �, CONSENT OF EREQUIRES UNDER TTTEN B R CONSENT OF THE HE 11/18/2015 �1 \NJ 7 Z7�/f •S '�`�' L [ ACIC OF 1990.AL COPYRIGHT PROTECTON r ry EXIST. i� r.s � 00 � 1 1 12 I I I EXIST. ' I I 1 1 1 1 - 1 I I I I I AND.TW2.2REMODELED $ ALL m UP ° II II II h F 4 ® Lill ® O W N [A� AND. � AND b b �--'Twzaalo F m F b RELOCATED TW2 ----- — " El. TTW=10 BEDROOM © �. paz N v Q - - ------------------ --- ------- YlYlll -I ------- 3'4' SAW 3'-10' sp REAR ELEVATION s Tue LOST sHWR. AND. _ .. § .NEW Twzaaz 1� HALL b TW24310 NEW y f BATH — AND. !i TW24 2 O O LOSS m m s RELOCATED N f BEDROOM B ,--, ©. AND. ° TW&310 ° - 1 ° © AND. w NEW ASPHALT ROOF ' ,o IppI TW2"2 - I SHINGLES 1+ AND. NEWtxs FASCIA SOFFR,a TW24310 N b 1. 1x8 FRIEZE BOARDS AND. TM41 I � II N ! O O O O O O II WT W.C.SH SIDING S'TO WEATHERER 1 1:1 El NEW 1 x S CORNERBOARDS ;=a---I I j O NEW 1.4TRIM I. W/7 SILL Li 1'-10' 11 I S'-2• - I _y -I AND. N A21 O a AAs NEW A W.I.C. AND AS now 1'a � I REAR ELEVATION SECOND FLOOR PLAN �b la Q COTUIT BAY DESIGN. LLC NEW ADDITION/REMODELING FOR. THE DESIGNER DRAWINGSSHALL PRIOR NOTIFIED IF ANY Y pc M4 ERRORS OR OMISSIONS ARE FOUND ON SCALE DRAWING NO. C TUIT A ROAD p �L THESTRUCTI N.THE BUI RTO STARTOF' MASH PEE MA. 02649 MG OILO La W LL BE RESPONS B E FOR THE CM 11 — I 11 T '" IN THESE DRAWINGS IF CONSTRUCTION 1/4 - 1 -0 p STRUD < 1b 3A-/i4 COMMENCES WITHOUT NOTIFYING THE PH.(508)274-1166 PAC H E C O RESIDENCE q a�p DESIGNER OF ANY ERRORS OR OMISSIONS. FAX(508)539-9402 f°�` a / (/1��pNP� 'q THESE DRAWINGS AREE OF OF THE OWNER ANY OTHER HER THE USE ✓^qb. THESE DRAWINGSREOUIRE6OMEWRISTTEN DATE 185 MEADOW LANE WEST BARNSTABLE, MA u�L3/,� CONSENTOFTFIEDESIGNE0.UNOERTHE 11/18/2015 ARCHITECTURAL COPYRIGHT PROTECTION ACT OF 1990. 1 II 24'-0• 2r-T 12-0• NOTES: II 2(r 4'-0' 3'-1' (SHED DORMER) h , (SHED 3 1 1.) CONTRACTOR IS TO VERIFY ALL EXISTING CONDITIONS p I DORMER) &DIMENSIONS IN THE FIELD W C TV 3— 3'4' A 3L' 3'd• Ipl 2'-0' 2d• 7-0 2.) CONTRACTOR TO VERIFY ALL INTERIOR&EXTERIOR MATERIALS, C DETAILS,&FINISHES IN THE FIELD WITH OWNER 3.) ROUGH OPENING HEAD HEIGHT OF WINDOWS AT E FIRST FLOOR TO BE 6'-8"ABOVE SUBFLOOR AND. AND. AND. AND. Ii H AS 1N2431 0 TW243m TWMA3T0 TM4310 4.) ALL CONSTRUCTION TO CONFORM TO 780 CMR MASSACHUSETTS STATE BUILDING CODE,8TH EDITION AMENDEMENT&IRC2009 S L § 5.) 110 MPH EXPOSURE B WIND ZONE A21 A21 6.) ALL SHEETS OF PLYWOOD WALL SHEATHING TO BE INSTALLED VERTICALLY, OR HORIZONTALLY W/BLOCKING AT EDGES,3"EDGE/12"FIELD NAILING BATH - I� 7.) ALL LVL LUMBER/BEAMS TO BE 1.9e L/360 LOAD 4 8.) SEE CERTIFIED PLOT PLAN DEVELOPED BY DOWN CAPE ENGINEERING FOR ALL PROPOSED&EXISTING DETAILS d y' II 9.) FOLLOW ALL MANUFACTURER'S SPECIFICATIONS FOR INSTALLATION OF f ALL SIMPSON COMPONENTS 10.)ALL CONCRETE USED FOR FOUNDATION WALLS,FOOTINGS&SLABS 2T ood� Iyy� i 4 TO BE 3000 PSI LV NGDELED NEW 42'WIDE © © REMODELED fl KITCHEN 11)VER DURII FY G FLRAM L PLUMBING NG CONSTRUCTION AL DETAILS W/OWNERS ON THE SITE BELOW FLOATIVERIFY ALL © © BEDROOM BELOW VERIFY ALL DETaLs,,;�j-- --{ 12.)TIMBER FRAMING TO BE SPRUCE/PINE/FIR NO.2 GRADE IN THE FIELD_�' _ 13.)FOLLOW ALL REQUIREMENTS OF THE 110 MPH CHECKLIST SUPPLIED r -1 VERIFY ALL WALL&r,_--- -- ---------------------� ,x`v 14.) -- cEIUNGHTS.mnt __ THIS SITE IS IN THE 110 MPH WIND BORNE DEBRIS AREA,EXPOSURE"B" FIELD FORINSTALTION I' &WITHIN ONE MILE OF CAPE COD BAY PER STATE OF M oF NEW STAIRS :i L MASSACHUSETTS WIND SPEED MAPS ?lEW FLOG FRAt)IE' FILL IN FLOOR TO 8 RAILING W/A.,' r__ __Ju 15.)GLAZING PROTECTION PER 780 CMR 5301.2.1.2 TO BE IMPACT GLAZING ' RADI LING W/I I MATCH EXISTING Z. REQUIREMENTS AND. AND. VERIFY ALL WIND BORNE DEBRIS PROTECTION ,, Az1 Az W/OWNERS PRIOR TO START OF CONSTRUCTION EXPANDED - ---- II �`,`, I ----------------�----------- 16.)FOLLOW ALL REQUIREMENTS OF THE IECC2012 RESIDENTIAL ENERGY 4 SOFT EFFICIENCY REQUIREMENTS&VERIFY ALL DETAILS WITH THE INSULATION I '' I H INSTALLER/CONTRACTOR. L r _ AND. AND. E 17.)ALL HEADERS TO BE 3-2 x 8's UNLESS OTHERWISE NOTED 17 / L FILL IN FLOOR TO TW2A42 TW2442 MATCH EXISTING i M,wIZ bpA IECC2012 RESIDENTIAL ENERGY EFFICIENCY DETAILS REMODELED CLIMATE ZONE 5A(USE EITHER PRESCRIPTIVE VALUES OR RESCHECK CALCULATION 9 BATH l e'-11• 2-10' e'-t t' TABLE 402.1.1(MINIMUM PRESCRIPTNE INSULATION&FENESTRATION REQUIREMENTS © Ex�A _ XCEA �, R> a4ENEHINA� FLEE Ew FAC,OP OB R-VAWE ��F.v4LUE F- VALUE 6VUUE K © �I TW24/1 4 4f Z-V 2'd• 2'-0' 20'd' mvAwE w +aa.E..oEsn B 1¢ y sne NOTESl R VALUES ARE MINIMUMS 8 U-FACTORS ME MAXIMUMS. 2.1W19 MEANS ft=15 CONDNUOUS INSULATED SHEATHING ON THE INTERIOR OR EXTERIOR 2B'S !� 1243' OF THE HOME OR R=15 CAVITY INSULATION AT THE INTERIM OF THE BASEMENT WALL j AND. - 3.REFER TO IECC M12 CHAPTER 4 FOR ALL INSULATION 8 ENERGY REQUIREMENTS TW2442 n p ROOF SHINGLES LT 1 �_______ © IL____ II - ROOF SHINGLES 1 SW COX PLYWOOD SHEATHING 1 �' L-----1 j A5 I \` I INSTALL FLASHING UNDER I HQUSEWHAPB DECKING w I I 2 x 10 RAFTERS 15p FELT PAPER 1 ----_-� r______i I m SIMPSON H ZM HURRICANE CLIPS DECI(ING h I WIND WASH - 37 WIDE tCE/WATER SHIELD I I I I II I� BARRIER _ FLOOR JOISTS ALUMINUM DRIP EDGE 'N it L---__-, L-_----J AND. INSTALL SIB'DIA ANCHOR BOLTS p ix 3 STRAPPING W/ 1x8 FASCIA BOARD h AND. AT 48'—OR REINFORCE W/ 1?GYPSUM BOARD 1 4 SOFFIT BOARD P.T.2 x 8'x a 1W o.c TW2442 11 IWt442 SIMPSE FJA AT 77'a.C. N-0, AS ` 124i 1xCET.VINYL SOFFIT VENT I I I I 1 x I 4 f 1 x 3 SOFFIT BOARD INSTALL PEEL&STICK TYP .2x8 W ALLS 13/4'CROWN WEBER MEMBRANE l N N T-0' T-0' T-0' ]'-0' 1 x 6 FRIEZE BOARD SHEATHING II ENLARGED II BETWEEN LEDGER& TW2"2 F it BEDROOM j E SOLIDO CKIING LEDGER OK SOOLISS A5 IW o STAGGERED W/JOISTS HANGERS A5 ii ii F a DETAIL AT WALL DECK DETAIL h A5 AND, i i i 1 SCALE:1/2"=1'-0" TN2442 'ii �' m P. T 8'OEEPWP.T4 0POSTSORP.T. SS 2x WALL NAILING SCHEDULE a U EN�TRYY 11O MPH EXPOSURE B WIND ZONE d - JOINT DESCRIPTION - NO.OF COMMON NAILS NO.OF BOX NAILS_ NAIL SPACING ROOF 9999 i® BLOCKING RAFTER(TOE NAILED) -- 2-BU 2-IN EACH END RIM BOARD TO RAFTER(END NAILED) 2-18 E 3-16E EACH END WALL FRAMING: TOP PLATES AT INTERSECTIONS(FACE NAILED) 4-164 5-16E AT JOINTS LLi ! STUD TO STUD(FACE NAILED) 2-168 2AW 24'o. j J I i EXIST.FLOOR FRAMING TO REMAIN HEADER TO HEADER(FACE NAILED) 16C AW 16'o ALONG EDGES VERIFY CONDITION IN IRE FIELD& � FLOOR FRAMING: N REINFORCE IF NECESSARY FOR JOIST TO SILL.TO PLATE OR GIRDER TOE NAILED aSd 4ADd PER JOIST BLOCKING TO JOISTS NAILED)KITCHEN LAYOUT ABOVE ) (TOE LEOj 2-0E 2-1 EACH END BLOCKING TO STRIP TO E OP PLATE(TOE NAILED) 3 16d M1 EACH BLOCK LEDGER STPoP TO BEAMORGIRDER(FACE NAILED) }180 4-1 EIICFI JOIST NEW I INSTALL NEW VAPOR BARRIER s BANU J01ST TO JOIST(END WALED) 3AW 4-1M PER JOIST HALL IL- BMID JOIST TO SILL OR TM PLATE(i0E NAILEDO 2-16 d }18E PER FOOT � EXIST.CONC.BLOCK B INSULATION 4 " ROOF SHEATHING FOUND.WALLS f m WOOD STRUCTURAL PANELS(PLYWOOD) f z® RAFTERS OR TRUSSES SPACED UP T016'o.m 8C 10d 6'EDGE/8'FIELD 4'4' 4'6318• 6'-6' RAFTERSORTRUSSES SPACEDOVERIO'o.a w 10d 4'EDGE/4'FIELD '.GABLE END WALL RAKE ORRAKE TRUSS W/O OVERHANG SE 10E 8'EDGER'FIELD NEW 18'WIDE CONCRETE FOOTING GABLE END WALL RAKE OR RAKE TRUSS 0a 10E 6'EOGEIB'FIELD 8'DEEP W/P.T. x 6 POSTS OR P.T. I WJ STRUCTURAL OUTLOOKERS 2.4 WALL GABLE END WALL RAKE OR RAKE TRUSS W/LOOKOUT BLOCKS w 10d 4'EDGE/4'FIELD CEILING SHEATHING: ../ § GYPSUM WALLBOARD 5E COOLERS — T EDGEIIO'FIELD SECOND FLOOR PLAN N E w5ouS --- -------- D I. A$ STUDS SPACEDUPTO24•— 8d Iw 3'EDGFJ12'FIELD 9 12'8 25W FIBERBOARD PANELS BE — r EOGEB'FIELD GYPSUM WALLBOARD 5O COOLERS — T EDGE/1P FIELD 124r FLOOR SHEATHING • p WOOD STRUCTURAL PANELS(PLYWOOD) FOUNDATION PLAN AT FAMILY ROOM/KITCHEN OR LTERMAAIN1'rHICKNESS Id W 84 6WE'EOGEJ6 FIELD I THE DESIGNER SHALL BE NOTIFIED IF ANY [� 43BREW BAY RROAD GN, LLC NEW ADDITION/REMODELING FOR• TERRORS OR HESEDAWINSPRIORREFQUNDE 43 BREWSTER ROAD CONSTRUCTION. N.THEB B TO UILDING START(ON SCALE : DRAWING NO. �'��cy CONSTRUCTION.THE BUILDING CONTRALTO MASHPEE,MA. 02649 ___ j wD10 �a INIHESEDRAWINGSIFCONSTRU RESPONSIBLE FOR THE UCCTION� 1/411 = 11-OIL PH.c50a 274-„ss PACHECO RESIDENCE T JY UCTURA COMMENCES WITHOUT NOTIFYING THE FAX(508)539-9402 No3TTo DESIGNE OF ANYR ARE ORS ORSOLELY FORTIES. 'MESON DRAWINGS 8 ARE SOLELY FOR THE USOF E 185 MEADOW LANE WEST BARNSTABLE MA a CONSETOFTHEOESIGNE UNOTHERTEOF DATE : A4 / THESE DRAWINGSREOUIRES THEWRITTEN CONSENT OF THE DESIGNER UNDER THE 11/18/2015 � I, � ARMITECIURPL COPYRIGHT PROTECRON _ ( N �l 5/K ,$TK''✓-�Al" ACT OF 1990. ( VERIFY ALL EXISTING CONDITIONS AND FRAMING IN THE FIELD DURING CONSTRUCTION FOR ALL NEW FRAMING FOR HEIGHTS,SIZES,&DETAILS. 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PH.(508)274-1166 PACHECO RESIDENCE EI=tE FAX(508)539-9402GS 185 MEADOW LANE WEST BARNSTABLE MAC M CONSENT OFTEARE SOLELY UNDER THE USE .K? L-.I. OF THE OWNER NOTED.ANY OTHER USE OF .DATE '71/ THESE DRAWINGS REQUIRES THE WRITTEN - — �M,prB'D.� CONSENTOFTHEDESIGNERUROTECTE 11/18/2015 - ' y ACT OF l9w. COPYRIGHT PROTECTIIX4 SECTION - SEWAGE fl 1i it 14, IL 1 � 't1 p T2SEPTIC TANK - "D"BOX LEACH P/� J TOP OF FDN %I i =�S.t�T11J�MSL)� —.,2,•OF 118T0 Uz" ,f/ s WASHED STONE 4.y r r / � , z l_a-r Top 4 \ iN%ST'(NGN T&W t4L \ A S __�_� �II 17�F3 _ �� L_ ��+ �3•�S A.c.� £t--13.p Pi'ija IN• OUT- IN• rN3,IJ lJ✓GR lODQG OUT- IN• j �� �"' �.+. '\ /�S \. '\ � �+ ^� tt jjj SEPTIC / �. ELEV. y TANK 1�'8d II. 4'� .•� "yam r''" b �R...� � ` - ELEV. ELEV. ELEV. Ju 14 c ELEV. ELEV. �. 40�O 9? t 'Yd txt gg • ''. 1 4 � � f ` ` L WASHED STONE Tjw� . '� t ,f ` S TEST HOLE LOG -- :t - °: r^ �����? .. x, I c�t,w., eh tMeeV- �eNE t�. O'��+t.o , oc.6•. ..�, II ) \ ;.. 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DATE REF. �tJ�?. �'+• Q jlil.a � down Cape engine@/Y/!g' PREPARED FOR: *1� N•2c� Lock,,o1NI& t..*4M ut�l1[t:,t„e? l.�Ad S 41JT1GIP�►�k''� C ENGINEERS LAANN D SURVEYORS -"�^--'----'- ' BOARD OF HEALTH RE .LAND SURVEYOR SCALE !„ 5 CONTOURS (EXISTING) ------------ d (PROPOSED)—O--O-•O--O— APPROVED DATEA� T� t MA YarMouih&Orleans,MA DATE �Q - Q T ASSESSORS MAP112ajTEST HOLE LOGS PARCELloy, -0®c NOTES: 7 FLOOD ZONE,C- SOIL EVALUATORS � � � ��! , K.S. bR WITNESSi 1. VERTICAL DATUM► 15 A5,7UMtp REFERENCEi 16 DATE-- � 2• MUNICIPAL WATER IS "0 AVAILABLE. � fell (✓©I Tio "�'�"�©� 3. SCHEDULE 40 PVC PIPE TO BE USED THROUGHOUT SYSTEM UN �� �,,,�� PERCOLATION kATE �- ",IN L OTHERWISE NOTED. LESS + 4. ALL PRECAST UNITS TO CONFORM WITH AASHTO, l-� 20 H-/p T.H7f - +�` ! ,qg.?-q TH-2 5. PIPE PITiCH - 1/4' PER FOOT UNLESS OTHERWISE NOTED. vl6u ' 5pw_,-SZ BOA t 101P /3 6, ALL CONSTRUCTION DETAILS TO BE IN CONFORMANCE WITH MA. ENVIRONMENTAL LOCATION MAP(N JT5 \ 2 pNe- 14 b 7,14 CODE (TITLE V) AND LOCAL REGULATIONS, d �10" 1 (01(Z 7. CONTRACTOR TO VERIFY LOCATIONS,OF ALL UTILITIES PRIOR TO CONSTRUCTION. o� tv� ' �7.5_ + 8. lc�--��a�v __w (.S /So n2oPoSCb L r / R xxD9713 {.yl P49DIUM C 9 l`[U (`t<6T1AN/�S t^`J/A) ��► 01= ��3!d�,5�/� G.6J���!''�1N(� . 3.�� � lo•` >�wwv�.,_.__►�t�vc►�U�r,��r,,,.�=_.`�.L����kr�vv�.` .__►�Ar.�1.��----�---�4._,�_9.5•..�_t.....o-�_� Ax 9 5y%44 lrj P!12Wl&vTl0A-A Box. 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CfT N S ' piv@4 a 9.94 BOTTOM AREA, 30t x 2 5 7V = S5 V � e 4.43tAC. J Z•,� .07 994 At - SEPTIC SYSTEM SECTION2s�'.s' -/ 99.Bt $ @9 � Cov. x_9a56 �'I��-Pt✓J�,��.,• � 25 / EDGEOF SH i0at3 99.71 at _ T�0466 _ XtSr7N7T t,kI G 'v��n't! ro�P t t$TJ►. fO'� �5 /tf� Ovr o� tau �-b� .� ��1 ,� �__ 97 3,1 �7.9� 97 ELEv 6'Ste ELE V 1 °57� dare �° , D-BOX l� �`lnl577Au-er-1 to 14-S-00. GAL 9'.Z� (Y�ca�r ELEV / R►��/ IN Ft�t,r� (40) SEPTIC TANK ELEV ""► c" W/ s SITE AND SEWAGE PLAN T�aR�r �F ANN a ` _�_ FVG -- WARNER No.38721 �---- ' 7, LOCATIONi jV16 Ala (? �f,7 �, \\ CO to SfC9r�PQ$� �r a DD WDTsrL i u1�S� 'lkw'.-.roti CAS. 45LLG- L SCALES - p y ► A) a FrK.-ti� wR aOr�D3 PVN6P lS 1U 9E y 01 30 60 90, �s IVf� 0/ v/s� ►�ittt A. SCALES ,S�p�YieslT Cl YGulr_,r-iA , PVAP — s c.�crn►orL-p rIr REQvjaezo DARREN MEYER, R.S. DATEi - 43 VINE ST. DATE HEALTH AGENT DUXBURY, MA. 02332 (508)362-2922