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0044 HIGHPOINT ROAD - Health
L44 HIGHPOINT ROAD, MARSTONS MILLS._,I 9 o Commonwealth of Massachusetts S- Title 5 Official Inspection Form C'0d 6-�) Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 44 HIGH POINT RD Property Address CARLOZZI Owner Owner's Name information is required for MARSTONS MILLS MA 02648 1/20/11 every page. Cityrrown 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. 'mpOda"t When filling out A. General Information forms on the computer,use 1. Inspector: only the tab key I to move your DOUGLAS A BROWN cursor-do not use the return Name of Inspector key. DOUGLAS A BROWN INC Company Name t� P.O. BOX 145 Company Address CENTERVILLE MA 02632 Cityrrown State Zip Code 508-420-4534 S 14297 Telephone Number License 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 15.000). The system: -� ® Passes ❑ Conditionally Passes ❑ Fails K � ❑ Needs Further Evaluation by the Local Approving Authority uLJc' (� icrt�-h_-•-- 1/20/11 � 3 Inspector'd�5ignature Date s sa 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.I 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. LA l5ins•09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal S g m•Page 1 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments yt 44 HIGH POINT RD Property Address CARLOZZI Owner Owner's Name information is required for MARSTONS MILLS MA 02648 1/20/11 every page. City(rown 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: SYSTEM MEETS MINIMUM PASSING REQUIREMENTS AT THIS TIME. 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 Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments ' 44 HIGH POINT RD Property Address CARLOZZI Owner Owner's Name information is MARSTONS MILLS required for MA 02648 1/20/11 every page. Crty/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: ❑ 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 W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments M 44 HIGH POINT RD Property Address CARLOZZI Owner Owner's Name required for is MARSTONS MILLS required for MA 02648 1/20/11 every page. City/Town 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 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-09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 4 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal al System m Form Not for Volu ntary Assessments '< 44 HIGH POINT RD Property Address CARLOZZI Owner Owner's Name information is MARSTONS MILLS required for MA 02648 1/20/11 every page. Cityfrown State Zip Code Date of inspection- B. Certification (cont.) Yes No Required pumping more than 4 times in the last year NOT ❑ ® y O 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•09108 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 5 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 44 HIGH POINT RD Property Address CARLOZZI Owner Owner's Name information is required for MARSTONS MILLS MA 02648 1/20/11 every 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): DESIGN flow based on 310 CMR 15.203 (for example: 110 gpd x#of bedrooms): 330 t5ins•09108 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 44 HIGH POINT RD Property Address CARLOZZI Owner Owner's Name information is MARSTONS MILLS required for MA 02648 1/20/11 every page. Clty/Town State Zip Code Date of Inspection D. System Information Description: ACCORDING TO AS-BUILT CARD SYSTEM CONSISTS OF A 1500 GALLON TANK D-BOX AND 4 INFILTRATORS WITH 4 FT OF STONE Number of current residents: 3 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 Seasonal use? ❑ Yes ® No Water meter readings, if available (last 2 years usage (gpd)): WELL 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 Title 5 Official Inspection Form Subsurface Sewage Disposal System Form- Not for Voluntary Assessments 44 HIGH POINT RD Property Address CARLOZZI Owner Owner's Name information is required for MARSTONS MILLS MA 02648 1/20/11 every page. City/Town 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 ❑ Tight tank. Attach a copy of the DEP approval. ❑ Other(describe): t5ins-09108 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 44 HIGH POINT RD Property Address CARLOZZI Owner Owner's Name information is MARSTONS MILLS required for MA 02648 1/20/11 every 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: 1998 ACCORDING TO AS-BUILT CARD Were sewage odors detected when arriving at the site? ❑ Yes ® No Building Sewer(locate on site plan): Depth below grade: feet Material of construction: ❑ cast iron ❑40 PVC ❑ other(explain): Distance from private water supply well or suction line: feet Comments (on condition of joints, venting, evidence of leakage, etc.): Septic Tank(locate on site plan): Depth 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: 1500 GALLON Sludge depth: 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 r� 44 HIGH POINT RD Property Address CARLOZZI Owner Owner's Name information is required for MARSTONS MILLS MA 02648 1/20/11 every page. Ci hrown 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 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 How were dimensions determined? Comments(on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): TANK LEVEL NO SIGNS OF LEAKAGE Grease Trap (locate on site plan): Depth below grade: feet Material of construction: ❑ concrete ❑ metal ❑fiberglass ❑ polyethylene y ❑ 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•09108 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 44 HIGH POINT RD Property Address CARLOZZI Owner Owner's Name information is MARSTONS MILLS required for MA 02648 1/20/11 every page. Crty/Town 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 El other(explain): Dimensions: Capacity: gallons j 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-09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 11 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form- Not for Voluntary Assessments 44 HIGH POINT RD Property Address CARLOZZI Owner Owner's Name information is MARSTONS MILLS required for MA 02648 1/20/11 every page. tt/Town 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 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.): BOX LEVEL NO SIGNS OF LEAKAGE 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.): r . Soil Absorption System(SAS) (locate on site plan, excavation not required): If SAS not located, explain why: NO OBSERVATION PORTS FOUND t5ins•09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 12 of 17 Commonwealth of Massachusetts upTitle 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 44 HIGH POINT RD Property Address CARLOZZI Owner Owner's Name information is required for MARSTONS MILLS MA 02648 1/20/11 every page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) Type: ❑ leaching pits number: ® leaching chambers number: 4 ❑ leaching galleries number: ❑ leaching trenches number, length: ❑ leaching fields number, dimensions: ❑ overflow cesspool number: ❑ innovative/alternative system Type/name of technology: INFILTRATOR Comments (note condition of soil, signs of hydraulic failure, level of ponding, damp soil, condition of vegetation, etc.): 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-09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 13 of 17 i __ Commonwealth of Massachusetts w W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 44 HIGH POINT RD Property Address CARLOZZI Owner Owners Name information is MARSTONS MILLS required for MA 02648 1/20/11 every page. Cdy/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 y` 44 HIGH POINT RD Property Address CARLOZZI Owner Owner's Name information is MARSTONS MILLS required for MA 02648 1/20/11 every page. Cltylrown 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 t5ins•OWN 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 44 HIGH POINT RD Property Address CARLOZZI Owner Owner's Name information is MARSTONS MILLS required for MA 02648 1/20/11 every page. City/Town 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: GREATER THAN 4 FT 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: 1995 CODE SYSTEM INSTAL LED IN 1998 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 Title 5 Official Inspection Form Subsurface Sewage Disposal System Form- Not for Voluntary Assessments 44 HIGH POINT RD Property Address CARLOZZI Owner Owner's Name information is MARSTONS MILLS required for MA 02648 1/20/11 every page. City/Town 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 t5ins-09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 17 of 17 New Page 1 Page 1 of 1 TOWN OF BARNSTABU LOCA ON WiAt&r SEWAGE # 99 9 '- VILLAGE- �yItLA ASSESSOR'S MAP&LOT_ -b A7 INSTALLER'S NAME&PHONE NO.-SPA9 SEPTIC TANK CAPACITY 11 D !!tr LEACHING FACILrrY: (type) TG�j (size) NO.OF BEDROOMS BUILDER OR OWNER—mew) PERMIT DATE: 7—j 0- t- COMPLIANCE DATE: f 7 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 ,7�-site or within 200 feet of leaching facility) Feet e of Wetland and Leaching Facility(If any wetlands exist thin 300 feet of leaching facility) Feet ;lied by a 6®' ` �hq://www.town.bamstable.ma.us/assessing/2011/HMdisplay.asp?mappar=028038&seq=1 1/21/2011 No.-------------------- Fee-------------------- BOARD OF HEALTH TOWN OF BARNSTABLE Zlppiication-*rVell Congtruction Permit VAr Application is hereby made for a permit to Construct ( ), Alter (V), or Repair ( an in i id I Wg� at: � r ff Location — Address Assessors Map and Parcel Owner Address Installer — Driller /� Address V Type of Building n Dwelling----- ---------------------------------- Other - Type of Building —------------------- No. of Persons-------------------------- ---------- 7 Type of Well— —� —---- - ----—--- Capacity----- - - ----—- — - - --— Purpose of Well-----1 11�� ----------------- Agreement: The undersigned agrees to install the aforedescribed individual well in accordance with the provisions of The Town of Barnstable Board of Health Private Well Protection Regulation — The undersigned further agrees not to place the well in operation until a Certificate .of Compliance has been issued by the Board of Healt Signed °'��-�------------------ -----------��-- ---- ——date Application Approved B �1 -U_---- PP PP Y----- -—---- - Id�� — le Application Disapproved for the following reasons:------------------------------------------------------------------------------ ------------------------------- ---------------- -- -------------------------------------------- date Permit No. ----------- - --------- Issued-------------------------------------------------------------------- - ------------------ - date BOARD OF HEALTH TOWN OF BARNSTABLE (Certificate Of itompriance THIS IS TO CERTIFY, That the Individual Well Constructed ( ), Altered ( ), or Repaired ---------------------------------------------------------------- Installer at ---------------------------------------------------------------------------------- has been installed in accordance with the provisions of the Town of Barnstable Board of Health Private Well Protection Regulation as described in the application for Well Construction Permit No. -------------------------Dated------------------------- THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE WELL SYSTEM WILL FUNCTION SATISFACTORY. DATE-------------------—-------— Inspector------------------------------------------------------------------------- oe f j Oo © s 1 No.-------------------- Fee- --- E30ARD OF HEALTH TOWN OF BARNSTABLE App[icat ion-for Well Con5truct ion Permit Ap/yp�lication is hereby made for a permit to Construct ( ), Alter (Vf or Repair (Kan individual Well at: , Location — Address ------ — -AssessSrs Map and Parcel Owner Address qf Installer — Driller Address Type of Building Dwelling �vsl�G't_j '� --- --- Other - Type of Building-------------------________ No. of Persons--------------------------____—_—________ l Type of Well--'-/"..9ve --- --------------------- . Capacity------------------------------------------------------ --- Purpose of Well e------------- ---- ----- f t Agreement: The undersigned agrees to install.-the aforedescribed individual well in accordance with the provisions of The Town of Barnstable Board of Healfli Private Well Protection Regulation - The undersigned further agrees not to F place the well in operation until a Certificate .of Compliance has been issued by the Board of Health I � / 23 Signed- date Application Approved B -/ PP PP Y------ --- -- - I dale Application Disapproved for the following reasons:--------------------------__—_-__________________-__—___--________ r , ------------------------------------------------ date Permit No. ----- ------ ------ - Issued----------------------------------------------- - --= ----- -------------- - -- -- -------------------------...........................---------------a-t------------------------------ -T— BOARD OF HEALTH t TOWN OF BARNSTABLE Certificate (Of Compliance y THIS IS TO CERTIFY, That the Inld'.vidual Well Constructed ( ), Altered ( ), or Repaired ( r-' -f�z°`�--------- ------------ i Installer at- ��_��i _! --���'- ��!c- - ------------------------------------------------------------- ---------------- has been installed in accordance with the provisions of the Town of Barnstable Board of Health Private Well Protection Regulation as described in the application for Well Construction Permit No. --------------------------Dated------------------------- THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE WELL SYSTEM WILL FUNCTION SATISFACTORY. DATE------------------—- —--------------------------- -- Inspector--------------------------------------------------------------------------- --------------------------------------------------------------------- ---- BOARD OF HEALTH TOWN OF BARNSTABLE Well Con!9tructionVermit ;Zook- o.)-5 -- No. ------------- Fee----f- '.---- Permission is hereby grant d---------- - --------------------------------------------------------------- -- - to Construct ( ), Alter ( or Repair ( ) an Individual Well at: No. - — --- ------------------------------------------------------------------------------------------- iStreet i as shown on the application for a Well Construction Permit i N 40 6 8-! �"�-------- o.- - - - - - -- - Dated ------------- - - Board of Health DATE-- ! --/'-- - i -\ COMMONWEALTH OF MASSACHUSETTS EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS (DEPARTMENT OF ENVIRONMENTAL PROTECTION TITLE 5 OFFICIAL, INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM FORM PART A. CERTIFICATION 0,3 Property Address: Owner's Name: x Owner's Address: -, . Date of Inspection: Name of Inspecto • (please print `3 t %1` 7 Company Name Mailing Address: jf �rif Telephone Number: CERTIFICATION STATEMENT r Y 1 certify that I have personally inspected the sewage disposal system at this address and that th`e:information repaiied below is true, accurate and complete as of the time of the inspection.The inspection was performed based on m} training and experience in the proper function and maintenance.of on site sewage disposal systetns. I am a DEP,." approved system inspector pursuant to Section 15.340 of Title 5(310 CMR 15.000). The system: �f 3 /Passes Conditionally Passes Needs Further Evaluation by the Local Approving Authority Fails Inspector's Signature: Date: 5J 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. Y Notes'11 and Comments ****This report only describes conditions at the time of inspection.and under the conditions of use at that time..This,.inspection does not address how the system will perform in the future under the same or different conditions of use. Title,5 Inspection Form .6115/2000 page l Page 2 of I 1 i OFFICIAL INSPECTION FORM NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address: Owner . , Date of Inspection:.y Iz2d 7 Inspection Summary: Check A,B,C,D`or E./ALWAYS complete all of Section D i A. System Passes: I have not found any information which indicates that any of the failure criteria described in 310 CMR 15.303 or in 310 CMR 15.304 exist.Any failure criteria.not evaluated are indicated below. Comments: B. System Conditionally Passes: One or more system components as described in the"Conditional Pass"section need to be replaced or repaired.The system,upon completion of the replacement or repair,as approved by the Board of Health;will pass. Answer yes,no or not determined(Y,N;ND)in the. for the following statements. If"not determined."please explain. The septic tank is metal and over 20 years old'1* or the septic tank(whether metal or not)is structurally unsound,exhibits substantial.infiltration or exfiltratiori 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 stru.c'turally sound, not leaking and if a Certificate of Compliance indicating that the tank"is less than 20 years old is available. . ND explain: Observation of sewage backup or break out or high static water level in the distribution box due.to broken or obstructed pipe(s)or due to a broken,settled or uneven distribution box. System will pass inspection if(with approval of Board of Health):_ broken pipe(s)are replaced obstruction is removed distribution boxy 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 p.ipe(s).are replaced obstruction is removed ND explain: Page 3 of i 1 OFFICIAL INSPECTION FORM -:NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE SYSTEM INSPECTION°FORM PART A CERTIFICATION(continued) Property Address: Owner: r All 614l F Date ofIn 'e;tlon: ( 9 60 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 Z. Systerh 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 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 I 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 coliforra bacteria and.volatile organic compounds indicates that the well is.free from pollution from that facility and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm,provided that no other failure criteria are triggered. A copy of the analysis must.be attached to this form. 3. . Other: �_ Page 4 of. 1 I OFFICIAL..INSPECTION:FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A _ CERTIFICATION(continued) Property Address: Owner: Date of Inspection: ! D. System Failure Criteria pplicable 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 V Disc— har�e 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 --� Y iJ Required pumping more than 4 times in.the last year NOT due to clogged or obstructed )P iP e(s .Number ) of times pumped 2 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 PP Y su water supply. � f/.. Any portion of a cesspool..or.,privy is within a Zone 1 of a.public well. I/ Any portion of a cesspool or privy is within 50 feet of i.private water,supply well. An onion.o a cesspool g— y p f. sspool orprivyis:less than 100 feet but. eater.than.50 feet.from a private water — �' P supply well with no acceptable water quality analysis, This system asses if.the well water analysis,P q Y Y � Y P performed at..a DEP certified laboratory,for coliform bacteria and volatile organic compounds indicates that the well is free from pollution from that.facility and the.presence of ammonia . nitrogen and nitrate nitrogen is equal to or less than 5 ppm,.provided that no other failure criteria are triggered..A copy of the analysis.must be attached to this form.] a _- (Yes/No)The system fails. I have determined that one or more of The above failure criteria exist as described in 3.10 CMR 15:303,therefore the system fails.The.system owner should contact the Board of Health to determine.what,wilI 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• You must indicate either"yes or"no"to each of the.following: (The following criteria apply to large systems:in addition to the criteria above) yes no _ the system is within 400 feet.of a.surface.drinking water supply _ — the system is.within 200 feet.of a tributary-to a surface drinking water supply - _ the system is located in a nitrogen sensitive area(Interim Wellhead Protection Area—IWPA) or a mapped Zone II of a public water supply well.. If you have answered"yes"to any question in Section E the system is considered a significant threat, or answered "yes"in Section D above the large system has failed. The owner or operator of any large system considered a significant threat under Section.E or failed under Section D shall upgrade the system in accordance with 3.10 CMR 15.304.The system owner should contact the appropriate regional office of the Department. 4 Page 5 of l l OFFICIAL INSPECTION FORM NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL.:SYSTEM INSPECTION FORM PART B CHECKLIST Property Address: Owner: / 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? (1rHave 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 files or tees, material of construction, dimensions,depth of liquid, depth of sludge and depth of scum Was the facility owner(and occupants if different from owner)provided with information on the proper maintenance of subsurface sewage disposal systems The size and location of the Soil Absorption System(SAS)on the site has been determined based on: Yes :no Existing information. For example, a plan at the Board of Health. _L// Determined in the field(if any of the failure criteria related to Part C is at issue approximation of distance is unacceptable) [310 CMR 1'5302(3)(b)] p Page 6 of 11 OFFICIAL INSPECTION'FORM NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART.C SYSTEM INFORMATION . ! Property Address: �— J A Owner ' 1 Date,of Inspection: 17 LOW CONDITIONS RESIDENTIAL Number of bedrooms:(design):- Number of bedrooms(actual).: DESIGN flow based on 310 C R 15.203 (for example: 11.0 gpd x#of bedrooms): Number of current residents: Does residence have a garbage grinder(yes or no): Is laundry on a separate sewage system(y9sor no) [if yes separate inspection required] Laundry system inspected(Yes or no): (ye .or no): Seasonal use: _ V Water meter readings if ava' able last 2 years usage Q d • i Sum um 6 es or no : J Q ., � . Last date of occupancy: COMMERCIAL/INDUSTRIAL. Type of establishment: Design flow(based.on 310 CMR 15.203): gpd Basis of design flow(seats/persons/sgft,etc.): Grease trap present(yes or no): Industrial waste holding tank present(yes or no): Non-sanitary waste discharged to the Title 5 system(yes or no): Water meter readings, if available: Last date of occupancy/user OTHER(describe): GENERAL INFORMATION Pumping Records Source of information: Was system pumped as part ofthe i specti es or na): /\/r If yes, volume pumped: - gallons--How was quantity pumped determined?. Reason for pumping: TY OF SYSTEM Septic tank, distribution box,soil absorption system Single cesspool _Overflow cesspool _Privy _Shared system (yes or no),(if yes,attach previous inspection records, if any) _Innovative/Alternative technology.Attach a copy of the.current operation.and maintenance contract(to be obtained from system owner). _Tight tank _Attach.a copy of the DEP approval —Other(describe): Ap oximate age of all components,date installed if own) nd sourc• f informadon jo Were sewage odors detected when arriving at the site(yes or no 6 - Page 7 of I I OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM.-INFORMATION(continued) Property Address i Al Owner:-/X , Date of Inspection: BUILDING SEWER(locate on site plan) A16 Depth below grade: Materials of construction:_cast iron._40 PVC other(explain): Distance from private water supply well or suction line: Comments(on condition of.joints, venting, evidence of leakage, etc.): SEPTIC TANK:��(locate on site plan) P Depth below grade: v� v✓ Material of construction: concrete_metal_fiberglass polyethylene _other(expiain) If tank is metal list age:_ Is age.confirmed by a Certificate of Compliance(yes or no):_(attach a copy of certificate) ;. Dimensions Sludge depth: Distance from top of sludge to bottom of outlet tee or baffle: i Scum thickness: ii Distance from top of scum to top of outlet tee or baffle: Distance from bottom of scum to bottom-of outlet tee or baffle: How were dimensions determined: Comments(on.pumping recommeddations�inlet and outlet tee or baffle condition,structural integrity, liquid levels elated to outlet invert,evide c" of leakage, etc.): r 12 _ M o GREASE TRAP( (locate on site plan)" +. Depth below grade:_ Material of construction:_concrete_metal_fiberglass_polyethylene_other (explain): Dimensions: Scum thickness: Distance from top of scum to top of outlet tee or baffle: Distance from bottom of scum to bottom of outlet tee or baffle: Date oflast.pumping: Comments.(on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): Page 8 of 11 OFFICIAL INSPECTION FORM=NOT FOR VOLUNTARY ASSESSMENTS; SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: / � Owner: .p Date of Inspection: C49 TIGHT or HOLDING TANK:j/(tank must be pumped at time of inspection)(locate on.site plan) Depth below grade: Material of construction: concrete metal. fiberglass_polyethylene other(explain);. Dimensions: Capacity: gallons Design Flow: gallons/day Alarm present.(yes or no): Alarm level: Alarm in working order(yes or no): Date of last pumping: Comments (condition of alarm and float switches, etc.): DISTRIBUTION BOX: / present must be opened)(locate on site.plan) Depth of liquid level above outlet invert: Comments(note if box is level.and distribution to outlets 2q ial, any evidence of solids carryover,any evidence of nlea�ag�e into or out f.box,etc.): PUMP CHAMBER:ALL(locate on site plan). Pumps in working order(yes or no); Alarms in working order(yes or no): Comments(note condition of pump chamber, condition of pumps and appurtenances, etc.):. 3 Page 9 of 1 1 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION. FORM PART C SYSTEM INFORMATION(continued) Property Address: Owner: M Date of Inspection: ' A SOIL ABSORPTION SYSTE (SAS): ocate on site plan,excavation not required) If SAS.not located explain why: Type _... ching pits,number:_ 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, tc.): �971 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 laver: Depth of scum layer: Dimensions of cesspool: Materials of construction: Indication of groundwater inflow (yes or no): . ® < Comments (note condition-of soil, signs of hydraulic failure, level of ponding, condition of vegetation,etc.): PRIVY: Q?11(locate on site plan) Materials of construction: Dimensions: Depth'of solids:A _ 't' n f il` signs of hydraulic failure level of ponding, condition of vegetation etc. Comments note condition o so ) ( g Y P o .. 1, a 9 Pate 10'of 1.1 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM:INSPECT1W FORM PART-C S.YSTEIVL'::INFORIYIATION(continued) Property Address: 7 A � o��' 4�' � P r 9� J Owner: Ma/I A'4" ,4 �t Date of Ins ection: P L 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. 1 y 10 1 f Page 1 1 of 1 I OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: J Owner: �- Date of Inspection:__' SITE EXAM Slope Surface water Check cellar Shallow wells Estimated depth to ground water feet Please indicate(check)all methods used to determine the high ground water elevation: Obtained from system design plans on record-If checked, date of design plan reviewed: Observed site(abutting property/observation hole within 150 feet of SAS) Checked with local Board of Health-explain: Checked with.local excavators, installers-(attach documentation) Accessed USGS database-explain: You must describe how you established the high ground water elevation: 7 r .,, ,may ,�- ✓'�,�'� �° .��1 a�..�°��� is 11 Permit Number: y Date: Completed by: HIGH GROUND-WATER LEVEL COMPUTATION Site Location: Z j � �f / j �'�( Lot No. Owner: Ca 2,7, J Address: ,r-..._..:_., _......- .. Contractor: yrd / f��'t' '✓° Address: �f1: � Notes: STEP 1 Measure depth to water table to nearest 1/10 ft. ........................................................................... .Date ,,.-- month/day/year STEP 2 Using Water-Level Rarige Zone, and Index Well Map locate site.and determine OA Appropriate index:well OWater level:range zone STEP 3 Using monthl,y report`Current Water`:Resources Conditions" determine current depth to � � �u� watecaevel for.:index.vvell month/year i STEP 4 Using Table-of Waterlevel Adjustments for index well-,(STEP2A),.current depth to water level#or index--well-{STEP 3), and water level zone (STEP 2B) determine water level.;adiustment .......................................................................................... STEP 5 Estimate depth to high water by subtracting the water level adjustment (STEP 4) from-measured depth to water level at site (STEP 1) ..........:......................................................................... '�� Figure 13.-Reproducible computation form. 15 77- 31 l , v i I I 1 J TOWN OF BARNSTABLE SEWAGE # LOCATIONIhLq . �a�1 1-.+1 8 ih ASSESSOR'S MAP &LOT AA �j& Ii VILLAGE �� INSTALLER'S NAME&PHONE NO.� L SEPTIC TANK CAPACITY l �f r�•!ate (size) LEACHING FACILITY: (type) 1 NO.OF BEDROOMS r BUILDER OR OWNER r �' f—, PERMITDATE: COMPLIANCE DATE: Separation Distance Between,the: Feet Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility 1 Well and Leaching Facility (If any wells exist private Water Supply Feet site or within 200 feet of leaching facility) lands exist Feet e of Wetland and Leaching Facility (If any wet thin 300 feet of leaching facility) >hed by -- ... TOWN OF BARNSTABLE LOCA ON [C gl 20 Kifib1 r 80, SEWAGE # VILLAGE , >y(�,� ASSESSOR'S MAP& LOT INSTALLER'S NAME&PHONE NO. SEPTIC TANK CAPACITY _LEACHING FACILITY: (type) q1.4AP1MQM (size) ` "S7Z:P1Z NO. OF BEDROOMS ` BUILDER.OR OWNER r � PERMIT DATE: "�/ COMPLIANCE DATE: Separation-Distance..Betweensthe: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility, '`Feet Private Water Supply Well_and'Leaching Facility (1f any wells exist site or within 200 feet of leaching facility) Feet e of Wetland and Leaching Facility(If any wetlands exist thin 300 feet of leaching facility) Feet shed by _. I a I ,o No. G �; Fee • tJ THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: _ . .s Yes PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE., MASSACHUSETTS 01pplication for ;Digo!5a16pgtem Construction Permit Application for a Permit to Construct( ✓<Repair( )Upgrade( )Abandon( ) Le omplete System ❑Individual Components Location Address or Lot No �t 1 ( Ow er' N` ,Aldd Tel'H-U j_r_-,� �� %4 Assessor's Map/Par a M �r'Sb PAIa I h �E '"I'C 1� . oz s 'PG o37 o3S ss 02(6y" .3SSq' Installer's Name,Address,and Tel.No. Designer's ame,Addres nd Tel.No. 557 Type of Building: Dwelling No.of Bedrooms �• Lot Size 5 Z 2 sq.ft. Garbage Grinder Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow gallons per day. Calculated daily flow 07.�*JC7 gallons. Plan Date Number of heets evision Date N•ATitle i`:� t Size of Septic Tank NJ At 54=>0 ©-0 Type of S.A.S. C�/ Descriptio of Soil 'Y. O (4•� — 46Caw)' (n. 'f;J "Ie5am Nature of Repairs or Alterations(Answer when applicable) . Date last inspected: �..�. Agreement: The undersigned agrees to ensure the construction and mai enance of the afore described on-site sewage disposal system in accordance with the provisions of Title W the En nm Code and not to place the system in operation until a Certifi- cate of Compliance has been issued by t oard alt Signed Date Application Approved by Date !2 Application Disapproved fort following reasons Permit No. / V�� Date Issued C�+ _ K. --,.,..1+`+ ^•�: \ - .� �R r, . .mom'-. .. ., .. .•i*:..., ,. r .,, ".^'E1 No. q YA Fee� 'P'v - A ^A� THE COMMONWEALTH OF MASSACHUSETTS t Entered in computer. ,. Yes �?PUbLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS' r Zipprication for Mi!gpozal *pgtem Construction Permit t ��` Application for a Permit to Cors truct(!Repair( )Upgrade( )Abandon( ) L5"Complete System O Individual Components Location Address or Lot No. t�I � 01 Ow er'y NI,,grep g Tel N Assessor's Map/Paz e d1 l�Z i ` Installer's Name,`Address,and Tel.No. Designer's ame,Addres d Tel.No. - Type of Building: ' Dwelling No.of Bedrooms Lot Size J 7 2 sq.ft. Garbage Grinder( ), NA, i t Other Type of Building No. of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow _� Q gallons per day. Calculated daily flow O gallons. Plan Date isi a Number of heets evision Date N•�t Title ���C9��a(c Size of Septic Tank t C7 t�lfl6j Type of S.A.S. Description of Soil 97. 0— C?(12 �J� 1 � � CrG. I - q- . � Nature of Repairs or Alterations(Answer when applicable) • +-� Date last inspected: Agreement: The undersigned agrees to ensure the construction and mai enance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 the E nm Code and not to place the system in operation until a Certifi-, cate of Compliance has been issued by t 's oard �f.- ealt a Signed Date A lication Approved b PP PP Y 'Date-° .- } . •Application Disapproved fort following reasons Permit No. Date Issued THE COMMONWEALTH OF MASSACHUSETTS BARNSTABL�, MASSACHUSETTS Certificate of Compliance ' THIS IS TO CERTIFY,that the On-site Sewage Disposal System Constructed( /).Repaired( ) Upgraded(. ) Abandoned( )by at has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No. ! dated -7/a ~5 Installer Designer The issuance of this permit shall not a construed as a guarantee that the syste will function as designed. Date — 1 - 7i? Inspector_ - --------------------------------------- - . No. Fee ✓Jd. �.�. THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLE., MASSACHUSETTS �Dtopozaf *pgtem Construction Permit Permission is hereby granted to Construct(k)Repair( )Upgrade( )Abandon( ) System located at 41 !fi 14"C.k _ 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:Cons ction must be completed within three years of the date of this p d. �r Date: � � � Approved by 07-09-1998 02:55Pm CAPE COD TOBACCO CONTROL 15083622603 P.01 .sl OAFJNSTA®LE C6tJN y a DEPARTMENT;OF HEALTH AND TH ENVIRONMENT p ! SUPERIOR COURT HOUSE V POST OFFICE BOX 427 SI RNSTABLE. MASSACHUSETTS ASS ' I Phone:(sm)3%.2511 Ent.330 i I Pubk"98M AdminWrwiat 339 Environmental Health m Water Quality Analysis 337 j TM 392-SMS FAX COVER SHEE* I I f TO: ; Gerry Dunning ' FROM*. Judith .Johnison NUMB R OF PAGES(INCLUDINGjCOVER SHEET): f 337 i IF THE IS A PROBLEM,PLEASE CALL(508)362-2511 EXTENSION three. COMI1�NTs: i ; I iI ' i 1 : i � 1 . i I I i i II 0?-09-1998 02:55PM CAPE COD TOBACCO CONTROL 15083622603 P.03 2 page , i sample ID: i 844102 Laboraitory ID: 844102 I Compound A*ount M L Reporting I Detected (ug/L) (u4/L) Limit (ug/L) Isopropy zene BRL 0.5 4-Isopropyl oluene ! BRL 0.5 Methylene c loride BRL 510 0.5 Naphthalene BRL ! 0.5 Propylbenzel e i BRL I 0.5 Styrene I BRL 190 0.5 1,1,1,2-Tee achloroethane BRL 0.5 1,1,2,2-Te achloroethane $RL 0.5 Tetrachlor the'e BRL 5�0 0.5 Toluene BRL i 00 i 0.5 1,2,3-Tr i ]'Ior nzene BRL I 0.5 1,2,4-Trio I'or zene BRL 70 0.5 1,1,1-Trichl or thane BRL 260 , 0.5 I f 1,1',2-Trichilor thane BRL 5 0 0:5 Trichloroe yen BRL 5 1 0 0.5 Trichlorofl oropethane BRL 0.5 1,2,3-Trichi oropropane : BRL 0.5 1,2,4-Trim yl?�enxs*ne BRL I 0.5 1,3,5-Trim hylbenzene ; BRL i 0.5 Vinyl chlor�'de � BRL 2�0 0.5 Total xylerke s - BRL 10000 0.5 Methy-tent' ry-butyl ether BRL ; 0.5 i I I � � I I � i I i 1 BRL: B ovj Reporting Limit MCL: Maxi Contaminant-Lev0 � i ii Thomas F. Bourne, Laboratory D rector I TOTAL P.03 07-09-1998 02:55PM CAPE COD TOBACCO CONTROL 15083622603 P.02 I Barnstable County!Health' and Environmental Laboratory Superior Court House, Roµte 6A P.O. Box 427 I Barnstable, MA 0263b i (568) 362-2511 ext. 337 ' Analytical Method: 1 . volatile Or' anic Analysis Anal� 15242 Collection] at 07/07/98. Date Received: 07/07198i Analysis Date: 0!�/07/98 Client: ITAT FOR HUMANITY I Mailing ItrAT FOR HUMANITY Sample Iodation: 44 Address: 58 MAIN STREET IiIGIiPOiNT ROAD inEST' YARMOUTH MA 02673 MARSTONS MILLS { Sample ID: 844102 Laboratory ID: 844102 Sample De ription: PRIVATE WELL: i i Compoun . � Detected (ug/L) (u9/L) Reportingount ( , /L) Benzene 5.0 0.5 ' Bromobenzege BRL 0.5 Bromochlozdmefihane BRL l 0.5 HAB Bromodichll rouiethane BRL 0.5 Bromoform : BRL 0.5 . Bromometha a BRL 0.5 n-Butylbern. ene BRL 0.5 sec-Butyl ' nzene BRL 0.5 tert-Butyl nzene BRL j 0.5 . ' Carbon to achloride BRL 5.0 0.5 Chlorobenti ne BRL 100 0.5 Chloroeth ; a BRL i 0.5 I Chloroform 1.2 0.5 Chlorometla ne BRL 0.5 2-Chloroto uene BRL 0.5 4-Chloroto uene BRL 0.5 Dibromochl romethane BRL ; 0.5 1,2-Dibroi -3-chloropropane BRL j 0.5 1,2-Dibrom ethane BRL 0.5 j Dibromome ' ane BRL 0.5 1,2-Dichlcl obenzene BRL 600 0.5 1,3-Dichl© obenzeni BRL i 0.5 1,4-Dichlo obenzene BRL 6.0 0.51 ` Dichlorodiflu4romethane BRL 0,5!, I 1,1-Dichl6$oethane BRL j ' 0.511 1,2-Dichlo:koethane BRL 5.0 0.5 : 1,1-Dichlo oethene BRL 7.o 0.5 , cis-1,2-Di hioroethene BRL 70 0.51 trans-1,2-�ic2iloroethene BRL 100 0.5 1,2-Dichloropk an* BRL 5.0 0.5 1,3-Dichlo opropane BRL 0.5 ; 2,2-Dichlo opropane BRL 0.5 i,l-Dichlo opropane BRL i 0.5 cis-1,3-Di hloropropene ; BRL 0.5 trans-1,3+ ictiloropropene BRL 0.5 ; Ethylbenze e j BRL joa 0.5 . Hexachlorolputadiene BRL 0.5` B e OW Repo ing Limit MCL: Maximum Cont"inan vel I . I I i� Bott1JUL, 10_'98. 02_06PM_COUNTY COMMR Date: 07/10/98 P•2 BARNSTABLE COUNTY HEALTH AND ENVIRONMENTAL DEPARTMENT SUPERIOR COURT HOUSE {� BARNSTABLE,MASSACHUSETTS 02630 • A S 5 • PHONE:362.2511 Client: DICKINSON, DONALD Collector: AQUA JET LAS337 Mailing HABITAT FOR HUMANITY Affiliation: WELL DRILLERS Address: 658 MAIN STREET WEST YARMOUTH, MA 02673 Type of Supply: W Telephone: 775-3559 Well Depth: 78 FT Sample Location: 44 HIGH POINT RD Date of Collection: 07/07/98 Town: MARSTONS MILLS Date of Analysis: 07/07/98 Map/Parcel: 028-037/038 PARAMETER SAMPLE RESULT RECOMMENDED LIMITS ==aoma=n=-n==o;=coo=0000--�s�---===o=00000000=-cz==sx===n=oo=cccc-c-cc=asaa-=^= Total Coliform Bacteria/100mL PRESENT 0 pH 5.6 Conductivity (micromhos/cm) 85 500 Iron (ppm) < 0.1 0.3 Nitrate-Nitrogen (ppm) 1 , 4 10.0 Sodium (ppm) 10 20.0 Copper (ppm) 0.6 1.3 BASED ON THE ANALYSES PERFORMED, THE FOLLOWING ADVISORIES ARE GIVEN: * Water Sample meets the recommended limits for drinking water of all above tested parameters. �4 7hohr Thomas F. Bourne, Laboratory Director Town of Barnstable Board of Health NAM 039. � P.O. Box 534, Hyannis MA 02601 Office: 508-8624644 Susan G.Rask,R.S. FAX: 508-790-6304 Ralph A Murphy,M.D. Sumner Kaufman M.S.P.H. June 26, 1998 Donald Dickinson Box 295 Sandwich, MA RE: 44 Highpoint Road, Marstons Mills Dear Mr. Dickinson: It was determined that Part XII, Section 2.00, of the Board of Health Regulations regarding the minimum well setback distance to a soil absorption system, would not apply to the parcel located at 44 Highpoint Road, Marstons Mills, Massachusetts, due to the date of the approval of this subdivision by the Planning Board which was previous to the date of this regulation. You are therefore granted permission to construct an onsite well and septic system at 44 Highpoint Road Marstons Mills, Massachusetts, as prosposed on the engineered plan dated June 9, 1998. Sincerely yours, Susan G. Ra , Chairman Board of Health Town of Barnstable dickin/wp/q DATgt-(,/,, CO F88s` RAWMAB a9. �� Town of Barnstable RBc. BY ��- plEp(ytpl A Board of Health 367 Main Street, Hyannis MA 02601 � Office: 508-790-6265 i Susan 0.Rask,R.S. FAX: 508-790-6304 Sumner Kauflnen,M.S.P.H. Ralph A.Murphy,M.D. RISMIREQUEST FORM LOCATION �I � '^ Property Address: S ( FA, Assessor's Map and Parcel NumberC��CSliO38 Size of Lot: g4,S42- f C.A-'S 14 k.ao Wetlands Within 300 Ft. Yes Subdivision Name: 1 No Business Name: Name: a v vez 1 Name: Address: 1 Address: NA SS'Mo� Phone: Phone: S 33 g3Z FAX: FAX: VARIANCE FROM REGULATION(List Reg.) REASON FOR VARIANCE(May attach if more space needed) z,P di1 D P4-nce- 0 n I,n I Dd 1- C,,o p ose l e l' t(to be completed by office staff-person receiving variance request application) Four(4)copies of plan submitted(including septic system plans and/or restaurant floor plans) Applicant understands that the abutters must be notified by certified mail at least ten days prior to meeting date at applicant's expense(for Title V and/or local sewage regulation variances only) Full menu submitted(for grease trap variances only) Variance request application fee collected(no fee for lifeguard modification renewals,grease trap variance renewals(same owner/leasee onlyl,outride dining variance renewals[same ownedleasee only],and variances to repair failed sewage disposal systems(only If no expansion to the building proposed]) Variance request submitted at least 15 days prior to meeting date VARIANCE APPROVED Susan G.Rask,R.S.,Chairman NOT APPROVED Sumner Kaufman,M.S.P.H. REASON FOR DISAPPROVAL Ralph A.Murphy,M.D. Q:/WP/VARIREQ ' I 4 I i i May 16, 1967 Mr. Howard Sears Town Clerk Town of Barnstable Hyannis , Massachusetts Subject: Subdivision #85 "Newtown" I Dear Mr. Sears: At the last regular meeting of the Barnstable Planning Board held May 15, 196?, it was voted unanimously to approve Subdivision #85. "Newtown" subject to Subdivision Rules and Regulations. The Above mentioned property is owned by Charles B. Dow and William C. Nye Yours very truly, Janes A. Burbank, Chairman ' Barnstable Planning Board oc: William C. Nye. Agt. I i JAB/bl j THE FOLLOWING IS/ARE THE BEST IMAGES FROM POOR QUALITY ORIGINALS) I M ^C&L DATA 1 u�� 11 ul 14j1r115tilDIC i. Department of Health,Safety,and Environmental Services Date Public Health DiviSiO" 361 Main Street,Ilyannis MA 02601 I Fee pd. Date Scheduled' Soil SuttGc ity Assesstttentf®r Sewage Disposal v N ti i N� SS D e . Witnessed By: 1�R Performed By: L Y y LOCATION &GENERAL�oF'same��i-T Ar � a�� �O7 19�z � HIGHP�INT RD- HUMAN/T)�Sn><C,A�C57 Location Address Address i, M�,1 N SS M1'���TOIJS 1`n Yi��N16{J�' gy A SS t� 03? � O 3 a t?rtgineer'sNarrte L.1'W� Assessor's Map/Parcel: Ogg � Telephone 5 0 S_'Ra'B-4O g REPAtR �_ N y NEW CONSTRUC ON G/a Surface Stones i �t,r� l)ut� Slopes(%) Land Use�'s S• DrinkingWater Well Distances from: Open Water Body�=_--R Possible Wet Aroa N,___�:_-ft fl )1� .� R Property Line —R otheir Drainage WeY.—---�' SKETCH[:(Street name,dimension s of lot,exact locations of test holes perc tests,local®wetlertds In proximity to holes) I I i 1 A g (�,� [Depth to Pedro* Parent material(gcolo is)V N o/� Weeping from Pit pace �Depth to Groundwater. Standing Water in Hole: �V Estimated Seasonal lligh Groundwater rt1r\i volt St ASONAL*'I-H(;II'WATV,'ItTAttLV,: method Used: in, Depth to soil morales: 0 hole: In. Groundwater Adjustment Depth Observed standing in obs. Depth to weeping from side of obs.hole: 3 Ad.factor _ AdJ.Orouadwater Level Rrading Dale:___-_ Index Neil level Index 1Vcll N_ 431tt 'tl"h1: tlOnl. — pERCOLATION. TEST Observation -f-` lit"dip Hole M � 3 0 — lime�6p. Depth or Pera Start Pre-soak Time® _-- End Pre-soak L�- Rate Min.linch SUa.Y $ : i. .A i LOG urrr o1151;KVATION 11 Soil Uther Soil'l exlute Soil Color Mottling (Structure,Slones,noulderet. I)cptlt frnm Soil Ilorltun (USDA) (Munsell) • surface(In.) S LiAyY 10 y+Z3 3 (_oAMN -7.5`1Z4�6 10 - 3o Mao -�+ UrcP OBSER ATION IIOLC LdG Son Usher Soil Texture Soil Color Mottling (Structure,Stones,noulderel. Irepth from Sell I[oflion (USDA) (Munsell) Surface(in.) SA1�6�`1 1 QyiZ 313 a—io• O � o t°�r�y �.SYRe4 a sf-s A4D lo,� 30� �t-0-CrAZ51't Z.yY 6A) 3o-i4`+ .: lilt#_._--_ .. . .. ,JIF .10 d11sr VATION lJoLC LOO ` San Other Soil Texhire Soil Color Mottling (Structure,Stones. Doulderes. I)epllr from Soil Ilorizon (USDA) (Munsell) Surfnce(in.) J)r 013SGItVA'I'1ON 1IOLE LOa sou other Soll'fexlure Soil Color Slnrdure,Stones,noulderes. Ucpth from Soil liorizon (Munsell) Mottling (USDA) Surfnce(in.) r F(!J9! year flood boundary No Yes Above So0 y Within Soo year boundary No— Yes Yes — Within 100 year rood boundary No_, — AqL& u "v O urrin r rvlous Msletl>tl et of naturally occu ing ery material exist in all areas observed throughout the Does at least four fe area proposed for tite soil absorption system? _----- tf not,what is the depth of naturally occurring pervious material? ,(�trrtineation - r .. I certify that on 1'fl11 )0)g l (date)i have passed the soil evaluator examination formed by proved by consistent With Went of Gnvironntenlal Protection and tilat the above analysts p be iarU , I •,.�.I training.exi-ttise and experience described in 3I0 CMR 15.017. 9' _ter f' '_' Fee---d-- -'- - BOARD OF HEALTH TOWN OF BARNSTABLE AppricationAr'Ve[C Cootruct ion Permit pplicatio is here y made for a ermit o truct W Alter ( ), or/Repair ( ) n individual Well at: --------- �� '------ - - -�2 � -------------------------- --Loc n — Ad s Assess o ap and P rcel ----------------- -- --- -- - - --------------- Ow Addres - - - -! #'------------t-r - f1 , Installer — Driller Address Type of Building Dwelling-------------- - - --------------------------- Other'- Type of Building------------------------------------ No. of Persons-------,�------------------------------------------- Type of Well--— -- -- - - -- - ------ Capacity---------------------- - - - - - - ------ Purpose of Well - - - ------ Agreement: G'1� �1 ✓r' �'�{. The undersigned agrees to install the aforedescribed individual well in accordance with the provisions of The Town of Barnstable Board of Health Private Well Protection Regulation - The undersigned further agrees not to place the well in operation until a Certificate .of Compliance has been issued by the Board of Health. Signed---- - - ---- -- - -- ------ --- -- - -- /� dat Application Approved Byy n'-& - ------- — - ' � date Application Disapproved for the following reasons:----------------------------------------------------------------------------------------------- -------------------------------------------------------------------------------------------------------- date �"' f� Issued ---- = 1 ----------------------------------- Issued date No. ----- --- ------ --- date BOARD OF HEALTH TOWN OF BARNSTABLE Certificate Of Compliance THIS IS TC1 CERTIFY, That the Individual Well Constructed ( ), Altered ( ), or Repaired ( ) y Installer has been installed in accordance with the provisions of the Town of Barnstable Board of Health Private Well Protection p Regulation as described in the application for Well Construction Permit No.J-^✓--� 9f!7~ Dated- l----4 THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE WELL SYSTEM WILL FUNCTION SATISFACTORY. DATE--------- -------- — - - — - -- Inspector----------------------------------------------------------------------- t M• `r .+,tom,„iEtt+ul � :r y Fee---�-�----�-- BOARD OF HEALTH TOWN OF BARNSTABLE Applicat ion-*rVeil Con5truct ion Permit ,1 pplicatio is/hereby made for a ermit to Con, truct (tl, Alter ( ), or epair ( ) n individual Well at _ - - -- - Asses cel t t Locatt n — Ad rasa -- '\A — , , ! s� ap�P r,d--- 1 �•`` � Ow r t, -` ---- ---------� Address 7 e. Insta'�ler — Driller Address -- i Type of Building Dwelling-------------- ---------------------------- ! { ' Other - Type of Building------------ ----------- No. of Persons-------�----------------------------------------- Type of Well- -- -- - - - - -;-- - - - Capacity-------------------- - - - - - -=---- Purpose of Well �- -�--}�----�--------,__. F-� - Agreement. ��. The undersigned agrees to install the aforedescribed individual well in accordance with'the provisions of The Town of Barnstable Board-of Health Private Well Protection Regulation - The undersigned further agrees not to place the well in operation until a Certificate .of Compliance has been issued by the Board of,:,Health. Signed - ' y -- e date- Application Approved B �-se'"date Application Disapproved for he following reasons:----------------------------------------------------------------------- ----- -- =- - r ! ' 47 r ate `v C � / -------------- Issued ---- -P'-=------------------------------------ Permlt NO. -------- —t�— date. BOARD OF HEALTH TOWN OF BARNSTABLE Certificate Of CompUnte THIS IS T CERTIFY, That the Individual Well Constructed ( ), Altered ( ), or Repaired ( ) b � -- w------- i lZ''� ---/ ' --------------- — Installer at---- !' G _'-= f' � '-` -'f - ------------------------------------------------------------------------ has been installed in accordance with the provisions of the Town of Barnstable Board of Health Private Well Protection Regulation as described in the application for Well Construction Permit No. ------- -- --°"---- -Dated- /T �- fW THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE WELL. SYSTEM WILL FUNCTION SATISFACTORY. 1 1 1 DATE-------------------—---- — - - —- Inspector---------------------------------------------------------------=------------ tr 1 BOARD OP HEALTH TOWN OF BARNSTABLE Ivell Con5truct ion Permit No. -------------- Fee------------------ j Permission is hereby granted- � � 6 /�-'' f�'' =- ' to Construct (�), )ter ), or Repair ( ) an Individual ellNo. &4� �!z --- -------------------------- —— Street as shown on the application for a Well Construction Permit / •ry�f C� r<l L j"" r ��--� ------------------------------ Dated--- ----------------------�------------------------------------------ ----- � Board of Health DATE---------%------—4--------------- ' • 1 . s 1 1 118 Tv WALL FAN-GR tl Do.o E I a 4 I �' :: FX�s;�NG GR.-t►-. 98.o ti 2 xx�c ]l' o r(� : PEE M o VE ALL f Mpt i2V i E.�Js /c� 1_ O T 13 r NJ 94.2 �riJ.93.o �r�0(i SyS rL NS f I INN C!'95.o I / i� L ,' = °•g� s.r MAP t7ZB PC . 037 E O3S E H, C � � r ' '�. VVELL�La Oj.4.5G .. hJ w�� SCALE SC M�M. �- 0 'r r a sz �� N �. -6_ -BLoWp L- L c75•o /b6 V)F-),L �R 1 1-20Rz= t 10 z ;vim- t''.-.�-' DR�1=1LE YS TAM o ES -DO'POSAL SYsT'�EM.. -ICo. CoMST,-RVCTED IN STRICT 17$461 A CcorzDAN cE of C oM M. of -MA,s s. 1=N v 1pGh. CooE—TIT l_t=�5. �;� in WEB L 2. SURVEY plATl\ rRorh L _ C_ / 3A-RN5TABL: PLAN 34 8 h'S13 SNT, `� 'I . ���✓ �oJ �1 OF Af P (A5S"J C EN T ER or DR/�IIJAGE GR1TI r� FRON T- T � ALuANC. I AWE-K\ 6'k3' ) NF) LT-t�/�T OR S t 4' o>= 3/4"'rc 1 /�" o►- TEST P� Ts q` PE RC TEST Qf7 KINGSBURY N, /.sq, .0 026101 WASHED STONE o,� ) `.o� SAIS� ST otJE w i—I" Z"o�T Pt�STON � a�1T09, p o M -0�U ��' . 037 03� —E�CI�TJN� �,3�q6 I�Q�STE�y�� �RAbEF 2 suRlE —9T.0 i 9 A)vR3f3�M —96. DL S /G LonMy sA�o S! � L ,!l' I SC A L E: 1" =40 / I HARRY SI NGLE FAViI L.Y DWELL M G W/S REDR oo M S o EARL , 1 LANTERY• v, No G'hRa A G E IJ1 SpOSkL A 57 ' IDAIL`j F� a W / I 0 X = 330 �: P, 1�. .� SE W�6F f]1 S_POSAL SYS 1 EM DES1G ; S� �� 1 C TN I N 0 RE �, �aABITA �o��HuMAM1TIti5 a�CAPIE Cc l-1 330 iT_ P. Sj_ x 2 .D = 660 GAL.5. 1�5 0D GAL. At�1K — O. Y- sr'�'� W E 5 7 Y WRMOV i 1. j'� k . 0?6�3 /� p OZ3 PC . 017 t 018 LEACHING- C�l *1MgER -S i CZ.5 Y tJ N1C7 Vrc- 5 f 4' STONE o N 1' S T 01�!'1 LOT 19 £ zc� N 1 GFI i=Clt�ff- KCAL E Fr E CTIVE ol=PT}1 = z .O ' ` MA►ZST�l15 M1"� CJ`P/TY o z L 3Z" �Z' + 1\' xZ'� O 74 - - -_ 3Z' x I I ' v 0.-74 A SS 0C ECH. S O U TIONS TOTP\ CAi,::,AC T'V'K, = 3 9 GAL S . 69S- I S! 4s201V1��AX - 118-48, . C>Z, T"oPo�WgLL; FiN_G1z CL i oo.o ;c- EL io);p. EX1s;INS.GR.tL. 98.0 l IM as , . 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O 1- LOT 1 KINGSBURY y. p #26101 i`i, LEAE��IN AP.tK� is 4.-: 6-x3' 10 IN�FIL-FP\l\TORS 1 !%z" of TEST Pi rs .PLRc7-Fsr'� � WASHED 5 TO)�lE oJJ ) '.0�:5A)0:STOrUG wl�)A 2"of FIEASTONE aJJTO�. - 7o.s4" _- . 1'a SS E.SS DR'S M ��::-0�8 i�C. 037 � 03 8 �L x I n T 1 NCs RADL 0G S I rj L o>�MY s q 0 S 1 E PL fig„ OF �° HARRY yc 94.5— _ Z S C A L E 1 ! =4 0 F GLE t /a't`ril 1�/ f�WELLIrt G WI3 Rti DR001�1 S EARL P � ' G M gZ�iOpJ v LANTERY. JR. y 110 GI�R-8 A G!✓ D1 sPOS/<L 7efami _ SE W�6E (��S POSAL SYS 1 E M OE S1G t crz l�A1L`j ►�L a W / I a X 3 "� 330 G: P, D. ' _ - N L N P'7 lC 7F1NK. Ntx.. REQD� ! ��t). - 1�A3i►ATfai 1-lUMAM T 5 dix CAPE CCD 33 O G_ P, i]s x 2._D = 660 GAI-S. �eA�s� I ��3 M I\1 N STZCG T o� 1�50D GAL. AFl1� - O. K. s�' ! WE57 NKRMOVi N MN 0A 67S GR��trti i M�� �Z� PC . 03T � 038 Qn1�i6l�I Pro EAc1liING J S E `f - 6' x3" 1N 1-\t_��lATaIZS 4- 4' STONE o ti V 5 T O J ! L07 19 £ 2c� 1-1I GF1 PUNT RQAL j I I M A�STpA1 S M t L' r: EF5ECTIVE �>=PT-�IMA ��2C T`t' o Z L 3Z" x2' + 11'xZ'� 3Z x 1 1 v 3.74 A SS 0CA `6 ECN- S OLU T10NS -rOTP\L CAPAC 7-f- 3S9 GAS. i C��71c� 9-98 D'�s 698- i s 0 S 352011, � �,�AA FrN_ FLooR I �02 118.48' , t=lr:�ol:o FXtis;1NG GR.t�_ 9a.o ` 8 I IM � a a 2 I tt7.S , 8o LOT 1 9 t 2 C� 94.z 4 C�,52Z} ' j !NJ ihtJ,93.o /�r�ovt�D 5y.5 rLNS 1 CL'95.o I / �'rl'ELL 0.g. 945 s.r B MAP OZS PC . 037fL 03� C1_>LR F1.o o� L_,41 a 1,1 N• 1'.C.Ca[�C \t� t 1 v✓E L L_ SEKIG . i 5� $q a0�11 20 Min. SCALD 1-10pz— 1n= 10I LL .�S.O /6" WELL 'ZoNE O P SAL S D l S ! 0 YS T>=N1 96 yt A CCoRD AN c.E OF C oM M_ o>= -N�AS S. E.N v !P, Iy. C o0E-T ti .46' � � PRo�oSLp 2. SURVEY pATI� rRoly� L._ C_ / BNKNSTAB3 .Z PLAN J 3+ ?)e+G8 SHT.�I . /Jh` P�/ ."IA OF t i 3_ T3 ,M. - inO. G (ASSJ�IE-D) C ENTEF�. or DR/�I.kJAOE GR1T7 �� FRONT- OJT �Rd�"� j o�= LOT ALL N y� ; 9. LEACNN v AP�EI� rs 4 C. 6'X3' J NFILTRl�T OR S t 4' a� 3/4"ro 1 /�" ot- TtST P� rs IRc T6sf'���` KINGSBU1nr .l WASNLD STOKIE o)J ) '.off SAlD ST ONE w 11a 2"of PtASTONE a�1T0�_ �� as4' � #��o� o M Ate_-pZB P C. O3 l t O3 E C- )X I Mr iNCB 3'Q6E \ 0 RAbL� sualL 9 7 - - .. 9 A),I0I L o M y R DL- SIGH L S -E OF — 9 4_'� S c A L E: 0 � I HARRY tiN � � _<Z M'u�q.l . 1 SINGLE FAMIL-Y DWELLING WJ3 R�DROOMS EARL j 1`Io GARBAGE DNSpOSkL A1>LANTER 57 � Fs I lEM DES)�6� � SPOSA SYQA)L`j FL ate 0 X Z 330 G; R D_ la ABITATso7\HUMAM IT lti5 ai'Ct1PIE- CC-D 33 O G. P, S�s. 660 GAI-S. G153 M N1 N ST1ZC- E i I W 1=57 Y I&,RM OV T I: ;\A A . 0?673 1�50D GAL. AhiK - o . Y- L E ACH1 N (, C?1 �MSER S C�GR L ! I��� OZ3 CPC . 037 ¢ 038 6 (" 3' I W iz- 0 I VI-C- 5 — f 4' S10�JE a ti i S I QI� LOT 19 £ 20 H I GFl PCItJi i?OAL E �r E CTIVE. �>✓?T-0 MArZSTC�US i"�['r'_� fSA R,`J_S Tn ? y /—1 A J 2 C - CAP/T 0 74 - - 3Z' ---- I A SS OCA T ECH- S O L J TIONS GAL - S . 7>=STL(�: 4- 9-98 C�,� sV_ , ^t�Gu, �. yft�� � .h` �• - -- ------ - -- - -- --- --- -- D/i 1 E- �- 9-g g 6 9 9- 1 1 NOTES: I 1.) CONTRACTOR IS TO VERIFY ALL EXISTING CONDITIONS &DIMENSIONS IN THE FIELD i 2e•-O' T-1I 31ir 2.) CONTRACTOR TO VERIFY ALL INTERIOR&EXTERIOR MATERIALS, I EXPAND. DETAILS,&FINISHES IN THE FIELD WITH OWNER 3.) ROUGH OPENING HEAD HEIGHT OF WINDOWS AT DECK FIRST FLOOR TO BE 6'-8"ABOVE SUBFLOOR 4.) ALL CONSTRUCTION TO CONFORM TO 780 CMR MASSACHUSETTS STATE BUILDING CODE,8TH EDITION AMENDEMENT&IRC2009 a� 5.) 110 MPH EXPOSURE B WIND ZONE I 6.) ALL SHEETS OF PLYWOOD WALL SHEATHING TO BE INSTALLED VERTICALLY; OR HORIZONTALLY W/BLOCKING AT EDGES,3"EDGE/12"FIELD NAILING 9, 7.) ALL LVL LUMBER/BEAMS TO BE 1.9e U360 LOAD D O O - O D +,� 8.) SEE CERTIFIED PLOT PLAN DEVELOPED BY YANKEE SURVEY FOR ALL 6 PROPOSED&EXISTING DETAILS EXIST. NEW 9.) FOLLOW ALL MANUFACTURER'S SPECIFICATIONS FOR BATH/ MUDROOM INSTALLATION OF ALL SIMPSON COMPONENTS DRY. EXIST. 10.) ALL CONCRETE USED FOR FOUNDATION WALLS, KITCHEN/ ili HBENCHOOKSW/ FOOTINGS,ETC.TO BE 3000 PSI 9- T O DINING e, z�: 11.)VERIFY ALL PLUMBING&ELECTRICAL DETAILS W/OWNERS ze xsa�� F DURING FRAMING CONSTRUCTION f` p NEW 12.)TIMBER FRAMING TO BE SPRUCE/PINE/FIR NO.2 GRADE CLOS. ON. __________- �a rfk DECK 13.)FOLLOW ALL REQUIREMENTS OF THE 6� Q 110 MPH CHECKLIST SUPPLIED 14.)FOLLOW ALL REQUIREMENTS OF THE IECC2012 RESIDENTIAL ENERGY EFFICIENCY CODE UP VERIFY ALL REQUIREMENTS W/THE ANDERSEN I NSTALLER/CONTRACTOR. ' FWG120664 15.)ALL HEADERS TO BE 3-2 x 8's UNLESS EXIST. EXIST. 4 SRRENC DOOR , OTHERWISE NOTED BEDROOM LIVING STEP j DOWN © UP © Q NEW FAMILY n ROOM GAS POpS� a5 F.P. c� 2e•-0• FIRST FLOOR PLAN o LEGEND: 0 EXISTING WALLSCONSTRUCTI ^�ti W CONSTRUCTION N TO WINDOW REMOVED MM N 0� P �A WINDOW SCHEDULE J O�O Q SMOKE DETECTOR e�p Pr7 TYPE MANUFACTURER'S UNIT ROUGH OPENING REMARKS © A ANDERSEN TW2446 2'-6 1/8"x 4'-8 7/8" DOUBLEHUNG CARBON MONOXIDE DETECTOR n, oy B " TWT2415 2'-6 1/8"x l'-7 7/8" TRANSOM IECC2012 RESIDENTIAL ENERGY EFFICIENCY DETAILS C FWT6011-2 12'-0"x l'-1 1/2" MULLED TRANSOM CLIMATE ZONE 5A(USE EITHER PRESCRIPTIVE VALUES OR RESCHECK CALCULATION D A251 2'-4 7/8"x 2'-0 5/8" AWNING TABLE 402.1.1(MINIMUM PRESCRIPTIVE INSULATION&FENESTRATION REQUIREMENTS) E _ TW2442 2'-6 1/8"x 4'-4 7/8" DOUBLEHUNG FENESTRATION SKYLIGHT CEILING WOOD FRAMED WALL FLOOR BASEMENT WALL SASEMENTffi-U CRAWL SPACE W U-FACTOR U-FACTOR R-vALUE R-VALUE R-VALUE R-VALUE R-VALJE R-VALUE F " " C245 1 4'-0 1/2"x 4'-0 1/2" CASEMENT 0.32 0.50 48 1 20 30 13/18 10(2 FT.DEEP) IiG113 NOTES: 1.CONTRACTOR TO VERIFY ALL WINDOWS WITH OWNER AND ROUGH OPENINGS 1.R-VALUES ARE MINIMUMS&U-FACTORS ARE MAXIMUMS. WITH WINDOW MANUFACTURER PRIOR TO ORDERING OF WINDOWS 2.15/19 MEANS R=15 CONTINUOUS INSULATED SHEATHING ON THE INTERIOR OR EXTERIOR 2.ANDERSEN 400 SERIES WINDOWS WHITE EXTERIOR W/ OF THE HOME OR R=15 CAVITY INSULATION AT THE INTERIOR OF THE BASEMENT WALL GRILLES.LOW-E HP 4 GLAZING W/SCREENS&STD.HARDWARE 3.REFER TO IECC 2012 CHAPTER 4 FOR ALL INSULATION&ENERGY REQUIREMENTS ERRORSIORO SSIONS NOTIFIED IF ANY SCALE : DRAWING NO.: Li Ea 00 COTUIT BAY DESIGN, LLC NEW ADDITION/ REMODELING FOR: CONERRORS OROTR N.THENSADING CONTR 43 BREWSTER ROAD W L BE DRAWINGS PRIOR FO THE T WILLSBE RESPONSIBLE FORRITHE CONTENT 1/4" IN IF MASHPEE ,MA. 02649 CARLOZZI RESIDENCE DESIGNER OF NGSRORSOR WIISI ON COMMENCES WITHOUT NOTIFYING THE PH. (508)274-1166 THEME WI`YERRORS OR OMISSIONS. DATE TFIESE DRA EI NOTED SOLELYTHER THE USE OF FAX(50A)539-9402 44 FiIGHPOINT ROAD IVIARST p CONSETOFTHEDESIGNERUNERTHEOF 6/9/2015 Al ONS MILLS, MA ACTO U,CO DRAWINGS EQUIRESTRENRRTFN CONSENT OF THE DESIGNER UNDER THE ACT OF 19TURAL COPYRIGHT PROTECTION TYPICAL ASPHALT ROOF SHINGLES `\� 5/8"COX PLYWOOD SHEATHING j 2 x 10 RAFTERS �� 15#FELT PAPER WIND WASH SIMPSON H 2.5 HURRICANE CLIPS BARRIER ./�37 WIDE ICEIWATER SHIELD ' C ALUMINUM DRIP EDGE 1 x 3 STRAPPING W/ NEW AZEK FASCIA,SOFFIT& 1l2"GYPSUM BOARD FRIEZE BOARDS TO MATCH EXISTING HIP •1 I TYP.2 x 6 WALLS CORNICE DETAIL yFocy',', L 4 _______—--- _ EXIST.RIDGE ___---- _ \ VALLEY / — — f SOLID 2 x 8 BLOCKING IN THE OUTSIDE \ TWO RAFTER&CEILING JOIST BAYS \ ♦ W SPACE FOR AIR FLOW ON THE OUNDERSIDE O ROOF \ SHEATHING l 28'-0' ROOF FRAMING PLAN NOTES: 1.) ALL ROOF RAFTERS TO BE 2 x 10's �p ryp UNLESS OTHERWISE NOTED 2.) USE SIMPSON H2.5 HURRICANE CLIPS P AT ALL RAFTERS ENDS 3.)VERIFY GUTTER TYPE/LAYOUT W/OWNERS 9 ME I I . 1 ERRORSIGNERSNALLS ARE IFIED IF FOUND ON SCALE : DRAWING NO.: O COTUIT BAY DESIGN, LLC NEW ADDITION/ REMODELING FOR: ERR°RSORON.MENSAREFWNDON THESE DRAWINGS PRIOR TO START OF 43 BREWSTER ROAD wLLE RDRAWIN SIFCOITME`G T°R 1/4" = 1'-0" MASHPEE MA. 02649 CARL®ZZI RESIDENCE NG ME DESIGNER EORF My ERRORS 01IRSSI I UC ION COMMENCES WfiHAREOUT NOUEIYIFOR- IOF S ORAWI"KBEs YO ERU E'9E [DATE : PH. (508))274-1166 OF THE OWNER NOTED.ANYO HER USE OF FAX(508)539-9402 44 HIGHPOINT ROAD MARSTOIvIS MILLS, IVIA CTaFD�iNG9 REQUIRES THEWRRTEN s/9/2o15 A6 CONSENT OF THE DESIGNER UNDER THE ACT OF 19TURAL COPYRIGHT PROTEO,ION I I I 7'-1 3/8' TYP. 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P.T.2.6 SILL W/SEALER P.T.2 x 10's 16"o.c. 3-2 x 12 GIRT 3-P.T.2 x 12's 9-(R3D)BATT INSULATION DAMP PROOF WALLS FULLBASEMEN T BELOW GRADE R TYPICAL 3 112'DIA STEEL LALLY COLUMN (4-CONC.SLAB W/ 6 MIL POLY UNDER) P.T.6 x 6 POSTS ON 12"DIA 10"CONCRETE FOUNDATION CONCRETE SONOTUBES WI WALLS W/10"x 20'CONCRETE 28"DIA.BIGFOOT FOOTINGS FOOTINGS W/2 x 4 KEY.USE(1) UNDERNEATH TO 4'0'BELOW 9 #4 HORIZONTAL BAR AT TOP 8 'I, BOTTOM OF WALL POST BASE&AC6 POSTE.USE SIMPSON CAPS b, (�_ -TYPICAL 30'x 30"x 12" CONCRETE FOOTING e h A SECTION @ MUDROOM/LIVING P.T.2x10 LEDGER BOARD LAG BOLTED TO SOLID BLOCKING W/(2)LEDGERLOK BOLTS A5 16"o.c.W/SIMPSON JOISTS HANGERS k SECOND FLOOR FRAMING FLAN THE DESIGNER SHRLL BE NOTIFIED IF ANY SCALE : DRAWING NO.: COTUIT BAY DESIGN, LLC NEW ADDITION/ REMODELING FOR: CONSTRUCTION,SIONSABUILO`G"CDON 1¢� THESE DRAWINGS SPPE PRIOR TO START ORACTOR 11 — 1 II 43 BREWSTER ROAD 77 [� C C WILL BE RESPONSIBLE FOR THE CONTENT 1/4 — 1 -0 MAA5MASHPEE ,MA. 02649 CARLOZZI RESIDENCE DESIGNINTHESEORAWINGSI RRORS OR UCTION OMISSIONS. V ILA COMMENCES WITHOUT NOTIFYING THE HP 274-1166 THESE DRAWINGS ERE SOLELY OR OMISSIONS. DATE : THESE DRAWINGS ARE SOLELY FOR THE USE �] OF THE OWNER NOTED,ANY OTHER USE OF THE DRAWIN FAX(50 )539-9402 COSENTOFT7EDESIREQ IRESTHEWRHE 6/9/2015 44 HIGHPOINT ROAD MARSTONS MILLS, MA ACTHITECTU THE DESIGNER UIIDERTTI ARCHITECNRAL COPYRIGHT PROTECTION NAILING SCHEDULE P.T.6 x 6 POSTS ON 12'01A. 7,_5• - 110 MPH EXPOSURE B WIND ZONE CONCRETE SONOTUBES Wl JOINT DESCRIPTION NO.OF COMMON NAILS NO.OF BOX NAILS NAIL SPACING 28'DIA.BIGFOOT FOOTINGS UNDERNEATH TO 4'0"BELOW T-6' 3'-11" ROOF FRAMING: GRADE.USE SIMPSON CAP ACC POST BASE&ACB BLOCKING TO RAFTER(TOE NAILED) 2-8d 2-1Dd EACH END POST CAPS RIM BOARD TO RAFTER(END NAILED) 2-16d 3-16d EACH END _ WALL FRAMING: TOP PLATES AT INTERSECTIONS(FACE NAILED) 4-16d 5-16d AT JOINTS STUD TO STUD(FACE NAILED) 2-16d 2-16d 24"o.c. HEADER TO HEADER(FACE NAILED) 16d ' 16d 16'o.c.ALONG EDGES FLOOR FRAMING: JOIST TO SILL,TOP PLATE OR GIRDER(TOE NAILED) 4-8d 4-1 Od PER JOIST BLOCKING TO JOISTS(TOE NAILED) 2-8d 2-10d EACH END BLOCKING TO SILL OR TOP PLATE(TOE NAILED) 3-16d 4-16d EACH BLOCK LEDGER STRIP TO BEAM OR GIRDER(FACE NAILED) 3-16d 4-16d EACH JOIST JOIST ON LEDGER TO BEAM(TOE NAILED) 3-8d 3-10d PER JOIST I BAND JOIST TO JOIST(END NAILED) 3-16d 4-16d PER JOIST '4 BAND JOIST TO SILL OR TOP PLATE(FOE NAILEDO 2-16 d 3-16d PER FOOT i. ROOF SHEATHING: _ 9' WOOD STRUCTURAL PANELS(PLYWOOD) RAFTERS OR TRUSSES SPACED UP TO 16'o.c. 8d 1 Dd WEDGE/6"FIELD s RAFTERS OR TRUSSES SPACED OVER 16'D.c. 8d 10d 4'EDGE/4'FIELD GABLE END WALL RAKE OR RAKE TRUSS W/O OVERHANG 8d 10d 6'EDGE/6"FIELD GABLE END WALL RAKE OR RAKE TRUSS 8d 10d 6'EDGE/6'FIELD W/STRUCTURAL OUTLOOKERS GABLE END WALL RAKE OR RAKE TRUSS W/LOOKOUT BLOCKS 8d 10d 4'EDGE/4'FIELD CEILING SHEATHING: — — — \ GYPSUM WALLBOARD 5d COOLERS -- 7"EDGEIIO'FIELD \ WALL SHEATHING: `4 WOOD STRUCTURAL PANELS(PLYWOOD) \ \ STUDS SPACED UP TO 24'o.. 8d 10d 3"EDGE/12'FIELD 1/2"&25/32'FIBERBOARD PANELS 8d = 3°EDGE/6'FIELD 1/2"GYPSUM WALLBOARD 5d COOLERS 7'EDGE/10'FIELD \ FLOOR SHEATHING: \ WOOD STRUCTURAL PANELS(PLYWOOD) 1'OR LESS THICKNESS Sd 10d 6'EDGE/12'FIELD GREATER THAN I'THICKNESS 10d I6d 6"EDGE/6'FIELD EXIST. (, BASEMENT t \ P FASTEN JOISTS TO BEAM W/ o \ SIMPSON H2.5 SAWCUT 3'O"OPENING NEW FULL c \ \ / \ TIES IN EXIST.FOUNDATION FOR BASEMENT ACCESS INTO NEW d`• BASEMENT (4-CONC.SLAB W/6 MIL \' , 15° INSTALL 5/8"SIMPSON TITEN HD ANCHOR BOLTS AT POLY VAPOR BARRIER) \ \ 32"o.c.MAX.W/SIMPSON BPS 5/8-3 BEARING PLATES STEP DOWN I \/ / \ 6„ B" PLACE BOLTS WITHIN 6"-15"OF EACH CORNER AND VERIFY INFIELD \ TO A 8'MINIMUM DEPTH.BOLT LENGTH IS 10". DRILL&PIN NEW FOUNDATION TYPICAL 3 - \ TO EXIST.FOUNDATION WALL / \ STEEL LALLYDIA. COLUMN TOP&BOTTOM TYPICAL 30'x 30'x 12" \ 0 CONCRETE FOOTING yj P •' 32"o.a 61 C/ NEW 1D"CONCRETE FOUNDATION &(i)N4 HORIZONTAL BAR AT TOP, El &BOTTOM OF WALL \ ,: / 0�w I INSTALL FLASHING UNDER 1� I NEW 10'z 20"CONCRETE \ / ./ I HOUSEWRAP B DECKING FOOTINGS W/2 x 4 KEY ` / - / DECKING BEAM PKT. FLOOR JOISTS P.T.2 x 8's @ 16"o.c, P.T.2 x 8 SILL W/SEALER \ / 1NSTA.PEEL&STICK g RUBBER MEMBRANE BETWEEN LEDGER SHEATHING \ / P.T.2 x 10 LEDGER BOARD LAG BOLTED TO \ / SOLID BLOCKING W/WlJOISTS AN BOLTS ANCHOR BOLT DETAIL 16'o.c.STAGGERED WI JOISTS HANGERS FOUNDATION PLAN DECK DETAIL 1 ��// A T ERRORSIGNER S�L BE OROMISSIONSAREFIOUNDOAN"Y SCALE : DRAWING NO.: I ( 00 COTUIT BAY DESIGN. LLC NEW i 1 DI ■ ION/ REMODELING FOR: TONSTIR AWING9 PRIORDINGC TOF Ili\ 43 BREWSTER ROAD 7 C C wl"ERESPONS LEFORITHECOMN`TOR 1/4" = 1'-0" MASHPEE MA. 02649 CARLOZ�I RESIDENCE INTHESEDRAWINGRRS IF ORSORO WI O/ TION COMMENCES WITNOUTNOTIFYINGTHE PH. 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FIRST FLOOR SUBFLOOR FAMILY ROOM SUBFLOOR_ SECOND FLOOR PLAN i 1 RIGHT ELEVATION TH( ERRORS RO OMISSSHALIONS BE EFOUNOTIFIED IFANY SCALE DRAWING NO.: r COTUIT BAY DESIGN, LLC NEW ADDITION/ REMODELING FOR: ERRORS ORION.THE B ARE FO THESE DRAWINGS PRIOR TO START OF 43 BREWSTER ROAD 77 A `�1- WILL BERERE PoNSIBLEFOR'"EGGNEA CONTRACTOR 1/4" MASHPEE MA. 02649 CARLOZZI RESIDENCE DESIGNIN EORAWIN ERRORS CONSTRUCTION V il� COMMENCES WITHOUT NOTIMNG THE MA (508)274-1166 THESE RAWIR OF GS ERRORS OR OMISSIONS THESEOWNER NOTEDSO OTHER THE USE DATE : 44 H I G H PO I NT RDA® MARST CONSOF ENT OFTHEDES'ARE =RU`N'ERUSE OF FAX(508)539-9402 THESE DRAWINGSREOUIREOTHEWROZEN 6/9/2015 O N S MILLS 9 M A ACTHITECT F THE OEOIGN H UNOER THE ARCHITECTURAL COPYRIGHT PROTECTION I NOTES: 1.) CONTRACTOR IS TO VERIFY ALL EXISTING CONDITIONS R �� i &DIMENSIONS IN THE FIELD 'J 2&-0^ T-1 319" 2.) CONTRACTOR TO VERIFY ALL INTERIOR&EXTERIOR MATERIALS, EXPAND. DETAILS,&FINISHES IN THE FIELD WITH OWNER 06 6 / 3.) ROUGH OPENING HEAD HEIGHT OF WINDOWS AT DECK FIRST FLOOR TO BE 6'-8"ABOVE SUBFLOOR 4.) ALL CONSTRUCTION TO CONFORM TO 780 CMR MASSACHUSETTS STATE BUILDING CODE,8TH EDITION AMENDEMENT&IRC2009 2. 5.) 110 MPH EXPOSURE B WIND ZONE i z ''a• 6.) ALL SHEETS OF PLYWOOD WALL SHEATHING TO BE INSTALLED VERTICALLY, �y�f ""OR HORIZONTALLY W/BLOCKING AT EDGES,3EDGE/12 FIELD NAILING I v � 3s9 7.) ALL LVL LUMBER/BEAMS TO BE 1.9e U360 LOAD 170 7 ————— O — —— W D 8.) SEE CERTIFIED PLOT PLAN DEVELOPED BY YANKEE SURVEY FOR ALL O O ti+6 PROPOSED&EXISTING DETAILS EXIST. NEW 9.) FOLLOW ALL MANUFACTURER'S SPECIFICATIONS FOR 7 �)cf'vv�1, BATH/ INSTALLATION OF ALL SIMPSON COMPONENTS J DRY. EXIST. MUDROOM 10.) ALL CONCRETE USED FOR FOUNDATION WALLS, KITCHEN/ HOOKSW7 • / FOOTINGS,ETC.TO BE 3000 PSI 9 O DINING iii •JX6'8" 11.)VERIFY ALL PLUMBING&ELECTRICAL DETAILS W/OWNERS L/ z '9 / DURING FRAMING CONSTRUCTION NEW 12.)TIMBER FRAMING TO BE SPRUCE/PINE/FIR NO.2 GRADE < CLOS. 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I.Ol.DEEP) 10I13 1 NOTES: 1.CONTRACTOR TO VERIFY ALL WINDOWS WITH OWNER AND ROUGH OPENINGS i.R-VALUES ARE MINIMUMS&U-FACTORS ARE MAXIMUMS. WITH WINDOW MANUFACTURER PRIOR TO ORDERING OF WINDOWS 2.15119 MEANS R=I5 CONTINUOUS INSULATED SHEATHING ON THE INTERIOR OR EXTERIOR 2.ANDERSEN 400 SERIES WINDOWS WHITE EXTERIOR W/ i OF.THE HOME OR R=15 CAVITY INSULATION AT THE INTERIOR OF THE BASEMENT WALL GRILLES.LOW-E HP 4 GLAZING W/SCREENS&STD.HARDWARE 3.REFER TO IECC 2012 CHAPTER 4 FOR ALL INSULATION&ENERGY REQUIREMENTS IIIII (`//\\J ERRORS IOR OMISSIONS ARE FOUND ONGNER SHALL BE NOTIFIED SCALE :SCALE : DRAWING NO.:. ®L_l® COTUIT BAY DESIGN, LLC NEW ADDITION/ REMODELING FOR CONSTRUCTION. T PRIOR HE BUILDING TO STCONTR 43 BREWSTER ROAD BERE5PON51BLE FOR THE CONTTENTTOR 1/4" = 1'-0.1 IN MASHPEE MA. 02649 CARLOZZI RESIDENCE DTHESEORAWIN S IF ERRORS OR CONSTRUCTION M1 COMMENCES WTHOUT NOTIFYING THE MA (508 274-1166 THESE RAWNGR OF YERRORSOROMISSIDNS. DATE : THESE O WIEN N ARE SOLELY FOR THE USE OF THE OWNER NDTEO.ANY OTHER USE OF THESE DRAWN.-TE REQUIRES THElTEWRITTEN 6/9/2015 FAX (50 ) 539-9402 44 HIGHPOINT .ROAD MARSTONS MILLS, MA REVISED: 9/4/2015 ACCHITECTU THE DESIGNER UNOTECTI Al ARCHITECTURAL COPYRIGHT PROTECTION T-1 318" •Ji 9, S% O. EXIST STO M BATH 5'TUB TEMPERED •J0, 0 NEW NEW O W.I.C. 0 MASTER BATH O J © EXIST.© _ :0 © HALL © V ,,. E DN. 3-0" NEW II b R F 4 EXIST. © q 6�DN. EC BEDROOM © HALL ti (FORMER BEDROOM) J� a 61, m NEW In II In ICI N III �. CLOS. f W.I.C. NDE P J. ——__ ——————— ———— —� WG1206820684 O �`• ENCHWOOD ---, r — —1 --- \ S ING DOOR -------- -------- \ NEW ACCESS\ ANEL \ MASTER NEW RAKE BOARDS \ BEDROOMS TO MATCH EXISTING \ 12 12 O 4.5� �4.5 (GABLE DORMER) 28'-0" (GABLE DORMER) `// TOP OF PLATE P ti A NEW W.C.SHINGLE SIDING TO MATCH EXISTING NEW DECKING 8 RAILINGS 12 � 12 \ SECOND FLOOR 'O. SUBFLOOR- Q.� aP ryryA o. TOP OF P {A NEW 1 x 4 TRIM ® SILLO MATCH EXISTING Q NEWCO 9 S. NEW CORNERBOARDS TO MATCH EXISTING FIRSTFLOOR n SUBFLOOR FAMILY ROOM SUBFLOOR_ SECOND FLOOR PLAN RIGHT ELEVATION ERRORS RO OMISSSHALIONS SE NOTIFIED IF AREFOU.DOANY SCALE : DRAWING NO.: ®Q® COTUIT BAY DESIGN, LLC NEW ADDITION/ REMODELING FOR: CONSTRUERRORSCON.THE SIDING CONTRACTOR THESE DRAWINGS PRIOR TO START OF 43 BREWSTER ROAD IN THESE SI FONSTRUCTION CONTENT 1/411 _ 11-OII MASHPEE MA. 02649 CARLOZZI RESIDENCE DESIGNER OFAN ERROR OR MISSI COMMENCES WITHOUT NOTIFYING THE DHESE DROFANV ERRORS OR FORTHES. DATE : THESE DRAWINGS ARE SOLELY FOR THE USE PH. (508 274-1166 OF THE OWMER NDTEO.ANY OTHER USE OF THESE DRAWINGS REQUIRES THE WRITTEN FAX (50 ) 539-9402 44 HIGHPOINT ROAD MARSTONS MILLS, MA REVISED: 9/4/2015 ARCHITECTURAL CTRALCOPYRGHTPR ER THE OTECTGN 6/9/2015 NAILING SCHEDULE P.T.6 x 6 POSTS ON 12"DIA. T-5" 110 MPH EXPOSURE B WIND ZONE CONCRETE SONOTOOTING 28"DIA.BIGFOOT FOOTINGS JOINT DESCRIPTION NO.OF COMMON NAILS NO.OF BOX NAILS NAIL SPACING .i UNDERNEATH TO 4'0"BELOW T-6" T-11" ROOF FRAMING: GRADE.USE SIMPSON ABU66 BLOCKING TO RAFTER(TOE NAILED) 2-Bd 2-10d EACH END POST BASE&AC6 POST CAPS RIM BOARD TO RAFTER(END NAILED) 2-16 d 3-16d EACH END WALL FRAMING: TOP PLATES AT INTERSECTIONS(FACE NAILED) 4-1 6d 5-16d AT JOINTS STUD TO STUD(FACE NAILED) 2-16 d 2-16d 24"o.c. 1———— 1 V� HEADER TO HEADER(FACE NAILED) 16d 16d 16"o.c.ALONG EDGES 1. 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Bd 10d 3"EDGE/12"FIELD 12"8 25/32"FIBERBOARD PANELS 8d — 3"EDGE/6"FIELD 12"GYPSUM WALLBOARD 5d COOLERS — 7"EDGE/10"FIELD \ FLOOR SHEATHING: \ WOOD STRUCTURAL PANELS(PLYWOOD) 1"OR LESS THICKNESS 8d 10d 6"EDGE/12"FIELD GREATER THAN 1"THICKNESS 10d 16d 6"EDGE/6"FIELD \ 2 �9• EXIST. BASEMENT 1 FASTEN JOISTS 'ss�'s• \\ \ \ \ STO BEAM W/ IMPSON H2.5 SAWCUTTO"OPENING NEW FULL oc \ \ TIES IN EXIST.FOUNDATION FOR BASEMENT \ \ ACCESS INTO NEW G: \ J BASEMENT (4"CONC.SLAB W/6 MIL 15" INSTALL 5/8"SIMPSON TITEN HD ANCHOR BOLTS AT 3• � \ STEP DOWN POLY VAPOR BARRIER) \ \ PLACE MA S WITH NSON SPS 5 EACH ARIRNG ER AND 6" S I \ 8" CO VERIFY IN FIELD \ TO A 8"MINIMUM DEPTH.BOLT LENGTH IS 10". 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DATE : THESE ORAMANGS ARE SOLELY FOR THE USE OF THE OWNER NOTED.ANY OTHER USE OF (508) 274-1166 THESE DRAW NGS REQUIRES THE WRITTEN FAX (508) 539-9402 44 HIGHPOINT ROAD MARSTONS MILLS, MA CONSENT OF THE DESIGNER 6/9/2015 ARCHRELTURAL COPYRIGHT PROTECTION ACT OF 1M10. 28'-0" T-1 3/8" TYPICALASPHALT ROOF SHINGLES 5/8"CDX PLYWOOD SHEATHING 2 x 10 RAFTERS 15#FELT PAPER WIND WASH SIMPSON H 2.5 HURRICANE CUPS BARRIER �� �3'0"WIDE ICEIWATER SHIELD ALUMINUM DRIP EDGE 1 x 3 STRAPPING W/ NEW AZEK FASCIA,SOFFIT 8 1/2"GYPSUM BOARD FRIEZE BOARDS TO MATCH EXISTING HIP OTYP.2 x 6 WALLS Ll::�' CORNICE DETAIL op , o F'fli EXIST.RIDGE _-_- P VALLEY —— / �Ke SOLID 2.8 BLOCKING IN THE OUTSIDE TWO RAFTER&CEILING JOIST BAYS ♦'Pp @ 48"D.C.,ALLOW SPACE FOR AIR FLOW ON THE UNDERSIDE OF ROOF / SHEATHING 3'1" 5'-0" (GABLE DORMER) (GABLE DORMER) 28'-W \ '6. ROOF FRAMING PLAN NOTES: /syOpa'o. 1.) ALL ROOF RAFTERS TO BE 2 x 10's GR UNLESS OTHERWISE NOTED .a RJ P 2.) USE SIMPSON H2.5 HURRICANE CLIPS AT ALL RAFTERS ENDS 3.)VERIFY GUTTER TYPE/LAYOUT W/OWNERS ��/J ERRORS IGNER OR OMIS LL IDNS ARE IFIED FOUND ON ANY SCALE DRAWING NO.: ®I ( COTUIT BAY DESIGN, LLC NEW ADDITION/ REMODELING FOR: ERRORS TION.THE BUILDING CONTRACTOR III\ THESE DRAWINGS PRIOR TO START OF CONSTRUCTION.IBLEFORTGCONTRACTOR 1/4" WILL BE RESPONSIBLE FOR THE CONTENT 43 REWSTER ROAD THEE DRAWINGSCONSTRUCTION C M COMENCESNCESWITHOUT NOTIFYING THE MASHPEE MA. 02649 CARLOZZI RESIDENCE DESIGNER OFANY ERRORS OR OMISSIONS. DATE : THESE ORANANGB ARE SOLELY FOR THE USE PH. (508 274-1166 OFTHE.ERNOTED.ANYOTHERUSEOF REVISED: 9/4/2015 COTHESENTOFTEDESIGNERUNDERTHEDR NOS REQUIRES THE N 6/9/2015 A6 FAX (50 ) 539-9402 44 HIGH POINT ROAD MARSTO NS MILLS, MA CONSENT TURAL DESIGNERU PROTECTION ARCHITECTURAL COPYRIGHT PROTECTION ACT OF 1890. J r EXIST. BASEMENT ( � NEW FULL BASEM / (MOVIE TER) STEP DOWN VERIFY INFIELD NEW P.T.2 X 4 WALLS M W/R151NSULATON BBEAEA P •o. y�ecoya e�\2o BASEMENT PLAN T E DESIGNER SHALL BE NOTIFIED ERRORS OR OMISSIONS E FOUND ONY AR SCALE : DRAWING NO.: ®1 IIII��III /\//\\JJ�® COTUIT BAY DESIGN, LLC NEW ADDITION/ REMODELING FOR• THESE ORAIAANGSPRIOR TO STASTRUCTIDN.THE BUILDING CRTOF WILIL BE RESPONSIBLE FOR THE CONTENTOR 1/411_ 11_oIl 43 BREWSTER ROAD NTH ESEDRANANGS IFCONSTRUCT ON COESE D CES WITHOUT NOTIFYING THE MASHPEE ,MA. 02649 CARLOZZI RESIDENCE DE SIGNER OF ANY ERRORS OR OMISSIONS. THESE DRAWINGS ARE SOLELY FOR THE US DATE OF THE OWNER NOTED.ANY OTHER USE OF (508) 274-1166 THESE DRAWINGS REQUIRES THE WRITTEN FAX (508) 539-9402 44 HIGHPOINT ROAD MARSTONS MILLS' MA CON SENTOFTHEDESIGNERUROTECTI g/g/2o15 ARCHITECTURAL COPYRIGHT PROTECTION ACT OF ISSD. fi PLAN SHOWING HELL ' OCA TIONS NOTE PREPARED FOR HABITA T FOR HUMANITIES LOMS IS LfJ s 19 ( 20 HIGHPOINT ROAD, BARNSTABLE MA SCALE 1 ' = 40 , FEBRUARY 25, 1998 CANAL LAND SURVEYING 306 OZ.J PL MOUTH ROAD, 6uzzAgDg BAY, MA �. PROJECT NUMBER 98--01 f � 25 T. o WELL (per omwr) OF P q PAUL R V L205 05 slj w;'c, ROFES ONAL LAN UPPEYOR Jol v 4 1 O / ()7Cl .5� \ •�.� - MHL ��9 `�. WALL (per owner) Wit. r- I I i