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HomeMy WebLinkAbout4140 MAIN ST./RTE 6A(BARN.) - Health 4140 fain Street 6 A able 6 o { o .. c ■ ii iii ■ ■' ■i■ii�■iiiii� i■ii ■ ■ iiiiii■i■itiii i■ii iiii iiii SON on i■■ ii■ i iiiiii ■EM■ES ■i - ■i iii Mi ■iiiiii iiiiiiiii■ i mom i ■« ' i � '' iii ���l�■�� I�■iiiiiiiii® iii' ii iiiiii■i■ __' iliii■oii ■iii i �i ■ ■ n i ■ii■NOW ■i IMMENSE ► ii ME Ems iiii iii ■� ■OMENS ! ii son io ii t FSfii ► MEN E■" ■i■iii ■■i ■I i iii iii ■ "! 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Applira#iou for Bigpos al Works Tous rurtinn ramit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal S stem at ... ....... - ......... o ation- d s or Lot No. " Owner Address ..........------------------------- ---------- --•-----------------------------......._....._..............._.........: Installer� Address Type of Building Size Lot.......__...................Sq. fee �-, Dwelling—No. of Bedrooms...........3...........................Expansion Attic ( ) Garbage Grinder (� � aOther—Type of Building ____________________________ No. of persons...... `................. Showers Cafeteria ( ) Other_fixtures .•--•••-•----••-•-•------------•---------------•------.--•------------•-._.__.__..----------------• - W Design Flow_____ __________________________________gallons per person per day. Total daily flow.._-._.��.___�_�=........._............gallons. WSeptic Tank—Liquid capacity-/ ___gallons Length................ Width................ Diameter................ Depth................ x Disposal Trench—No_ ____________________ Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No..................... Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) Percolation Test Results Performed by.......................................................................... Date.........-----------------•-•-----•---- ,� Test Pit No. 1----------------minutes per inch Depth of Test Pit.................... Depth to ground water........................ 44 Test Pit No. 2................minutes per inch Depth of Test Pit..............._.... Depth to ground water........................ a •---•--------•---•-••--•-•••----------------------------•------.....---------•--•----____•-••-------........................................................ 0 Description of Soil........................................................................................................................................................................ U W ----------------------------------------------------- ---------•------------•------ - ----------- -----r _ , --------- ................... `- - -- U Nature of airs -,Alter —AnY when a livable __..___- �,._ _. 1�??�_' s'.:_.__. c�_ ,�. Agreement: Thelundersigned agrees to insta the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TI'L U 5 of the State San• ary Code—The undersigned further agr es not to place the system in operation until a Certificate of Compliance ha een issued th b rd of health. % Signed- . __-- - - ---••-•-•----------• / _... .. Date ApplicationApproved By................................................................................................... ....................-----•.............. • Date Application Disapproved for the following reasons--------------------------•--•------------------•--------------...-----------------------._.._...-----___._______ .....................................................................................................................................................................---------------- Date PermitNo......................................................... Issued-....................................................... \ Date \ NGiC�..............S/ ....................... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ,,JJ . .--.OF......14v.•�,. - -fir ... Appliration for Disposal Workii Tonotrurtion ramit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at Q L cation- d e �`] ,(� C�.IZ .�_._l i.. .............e ...'�.!...�!f l." '............ S2�... Lot-No..._......... .............------. ------ W Owner Address Installer Address UType of Building Size Lot............................Sq. fe Dwelling—No. of Bedrooms..........3............................Expansion Attic ( ) Garbage Grinder Other—Type of Building ............................ No. of persons._..:�C.................. Showers V ) — Cafeteria ( ) Otherfixtures .................................................................--...........--------- W Design Flow....::5..�................................gallons per person per day. Total daily flow...................0..........._....._...gallons. W Septic Tank—Liquid capacity/_'gallons Length................ Width................ Diameter................ Depth -------- _....__. x Disposal Trench—No..................... Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No..................... Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) aPercolation Test Results Performed by.......................................................................... Date........................................ Test Pit No. I................minutes per inch Depth of Test Pit.................... Depth to ground water........................ 4q Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ 04 ------------------------------•--.....--•-------.........------•...----....-----•••.......--•................................................................ 0 Description of Soil........................................................................................................................................................................ x W ---•-•-----•-------•--------•---•---- ----------------------------• -------•--•-------•...._..---- - ------ - - ----------------------- -- U Nature o£ �a>rs Alter —An r when applicable __.___ _.__-CAL........__: ?.......................:....... Agreement: 5 The undersigned agrees to insta the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITIE 5 of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been issued by the board of health. Signed...................................................................................... Date ApplicationApproved By..............................................................................:_....---•......... Date Application Disapproved for the following reasons----------------•----•------•-----------------------------.._..-----------------------------------••----....-•--- .........-•--------------------------•--...-------------------•-••--------•---•------------•---....------------------••---•--••------------•----••-----•------------------------------•-------••------•- Date PermitNo......................................................... Issued...................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ..........................................OF............................................................. dw wrtifiratr of Tontplittnrr THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired (,,I i... �' by ....... -- at. ......................`�%/� !i.. 0 , .............. ==G.c -- ---------------- -----------------------•-------•-----...-------.....------------------- has been installed in accordance with the provisions of TIT of ' "State Sanitary Coda ibed in the application for Disposal Works Construction Permit No--- �...42__!Y................ dated_--9/'_._-_ _____•-----_-__._--- THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY.r DATE..............................................� Inspector..... t..6................................................................... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH < ...OF......................................................•--•-.......................... r • FEE........................ Disposal Work.5 Tons#.rnrtion rrntit Permissionij ereby granted.................... :------......•-••--.---P---------- -••-•---•........-------•--••------.......----••---...............----•-•--- to Construct or=,Rep r an ividual'Sew Disposal System p , atNo... = =... ........................................... Street as shown on the application for Disposal Works Co truction Permit Noa �.. Dated.......................................... ----- -------- .......................................................... / G/i�j Z Board of Health ..............................................................DATE FORM 1255 A. M. SULKIN, INC.. BOSTON COMMONWEALTH OF MASSACHUSETTS 20 z w EXECUTIVE OFFICE OF ENVIRONMENTAL Afi �A S `• a DEPARTMENT OF ErIVIRUNMENTALOTECT O,Pi� TITLE 5 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS ' SUBSURFACE SEWAGE DISPOSAL SYSTEM FORM PART.A CERTIFICATION Property Address: 4140 Main Street 6A Cummaquid MA 02637 ASSESSORS MN Owner's Name: Carl Christianson Owner's Address: Same QpRCELNO: Date of Inspection: Jun a 25,2004 Name of Inspector: PATRICK M.O'CONNELL Company Name: SEPTIC INSPECTION SERVICES CO. Mailing Address: 189 CAMMETT ROAD MARSTONS MILLS MA 02648 Telephone Number: 508-428-1779 CERTIFICATION STATEMENT I certify that I have personally inspected the sewage disposal system at this address and that the information reported below is true,accurate and complete as of the time of the inspection..The inspection was performed based on my training and experience in the proper function and maintenance of on.site sewage disposal systems. I am a DEP approved system inspector pursuant to Section 15.340 of Title 5(310 CMR 15.000). The system: ��xOFM�� XX Passes Conditionally Passes P TRI Needs Further Evaluation by the Local Approving Authority •r� Fails • ELL c: Inspector' 1 y'* .• O �.�7�,. p s Signature •- c Date: 6/25/2004 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. e Notes and Comments: Flowdifussors empty at time of inspection, no sidewall stains. _ ****This report only describes conditions at the time of inspection and under the conditions of use at that I time. This inspection does not address how the system will perform in the future under the same or different conditions of use. • r Title 5 Inspection Form 6/15/2000 page I Page 2 of l l OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address: 4140 Main Street 6A,Cummaquid Owner: Carl Christianson Date of Inspection:June 25,2004 Inspection Summary: Check A,B,C,D or E/ALWAYS complete all of Section D A. System Passes: XX_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: • i , B. System Conditionally Passes: , One or more system components as described in the"Conditional Pass" section need to be replaced or repaired. The system, upon completion of the replacement or repair,as approved by the Board of Health, will pass. Answer yes, no or not determined(Y,N,ND) in the for the following statements. If"not determined"please explain. The septic tank is metal and over 20 years old* or the septic tank(whether metal or not)is structurally unsound,exhibits substantial infiltration or exfiltration or tank failure is imminent. System will pass inspection if the. existing tank is replaced with a complying septic tank as approved by the Board of Health. *A metal septic tank will pass inspection if it is structurally sound,not leaking and if a Certificate of Compliance indicating that the tank is less than 20 years old is available. ND explain: Observation of sewage backup or break out or high static water level in the distribution box due to broken or obstructed pipe(s)or due to a broken,settled or uneven distribution box. System will pass inspection if(with approval of Board of Health): broken pipe(s)are replaced _ obstruction is removed distribution box is leveled or replaced ND explain: The system required pumping more than 4 times a year due to broken or obstructed pipe(s).The system will pass inspection if(with approval of the Board of Health): broken pipe(s)are replaced obstruction is removed ND explain: Page 3 of I 1 OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION'(continued) Property Address: 4140 Main Street 6A,Cummaquid Owner: Carl Christianson Date of Inspection: June 25,2004 C. Further Evaluation is Required by the Board of Health: Conditions exist which-require further evaluation by the Board of Health in order to determine if the system is failing to protect public health,safety or the environment. 1. System will pass unless Board of Health determines in accordance with 310 CMR 15.303(1)(b)that the system is not functioning in a manner which will protect public health,safety and the environment: _ Cesspool or privy is within 50 feet of a surface water _ Cesspool or privy is within'50 feet of a bordering vegetated wetland or a salt marsh ' { 2. System will fail unless the Board of Health and Public Water Supplier, if an determines that the Y ( PP Y) system is functioning in a manner that protects the public health,safety and environment: " _ The system has a septic tank and soil absorption system(SAS)and the SAS is within 100 feet of a surface water supply or tributary to a surface water supply: _ The system has a septic tank and SAS and the SAS is within a Zone 1 of a public water supply. The system has a septic tank and SAS and the SAS is within 50 feet of a private water supply well. _ The system has a septic tank and SAS and the SAS is less than 100 feet but 50 feet or more from a private water supply well*-*. Method used to determine distance "This system passes if the well water analysis,performed at a DEP certified laboratory, for coliform bacteria and volatile organic compounds indicates that the well is fi-ee 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 1 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A. CERTIFICATION(continued) Property Address: 4140 Main Street,Cummaquid Owner: Carl Christianson Date of Inspection: June 25,2004 D. System Failure Criteria applicable to all systems: You must indicate"yes"or"no"to each of the following for all inspections: Yes No _X_ Backup of sewage into facility or system component due to overloaded or clogged SAS or cesspool —X_ Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or clogged SAS or cesspool _X_ Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool _X_ Liquid depth in cesspool is less than 6"below invert or available volume is less than 1/2day flow _X Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s). Number of times pumped _X_ Any portion of the SAS,cesspool or'privy is below high ground water elevation. _X_ Any portion of cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply. X Any portion of a cesspool or privy is within a Zone 1 of a public well. —X— Any portion of a cesspool or privy is within 50 feet of a private water supply well. —X_ Any portion of a cesspool or privy is less than 100 feet but greater than 50 feet from a private water supply well with no acceptable water quality analysis. IThis system passes if the well water analysis, performed at a DEP certified laboratory,for coliform bacteria and volatile organic compounds indicates that the well is free from pollution from that facility and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm,provided that no other failure criteria are triggered. A copy of the analysis must be attached to this forma _No_(Yes/No)The system fails. I have determined that one or more of the above failure criteria exist as described in 310 CMR 15.303,therefore the system flails. 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• 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—I WPA)or a mapped Zone II of 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. Page 5 of l l r OFFICIAL. INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B CHECKLLIST Property Address: 4140 Main Street 6A,Cummaquid Owner: Carl Christianson Date of Inspection: June 25,2004 Check if the following have been done.You must indicate"as"or"no"as to each of the following: Yes No _X_ _ Pumping information was provided by the owner, occupant,or Board of Health _X_ Were any of the system components pumped out in the previous two weeks'? _X_ _ Has the system received normal flows in the previous two week period? _X_ Have large volumes of water been introduced to the system recently or as part of this inspection `? _X_ _ Were as built plans of the system obtained and examined? (If they were not available note as N/A)' _X_ _ Was the facility or dwelling inspected for signs of sewage back up? _X_ __ Was the site inspected for signs of break out? Were all system components,excluding the SAS, located on site _X_ _ 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 '? _X_ _ 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 _X_ _ Existing information. For example,a plan at the Board of Health. X_ _ Determined in the field(if any of the failure criteria related to Part C is at issue approximation of distance is unacceptable)[310 CMR 15.302(3)(b)] Page 6 of 1 1 OFFICIAL INSPECTION FORM NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION Property Address: 4140 Main Street 6A,Cummaquid Owner: Carl Christianson Date of Inspection: June 25,2004 FLOW CONDITIONS RESIDENTIAL Number of bedrooms(design): 4 Number of bedrooms(actual): 4 DESIGN flow based on 310 CMR 15.203(for example: 110 gpd x#of bedrooms): 440 Number of current residents: 2 Does residence have a garbage grinder(yes or no): No Is laundry on a separate sewage system(yes or no): No [if yes separate inspection required] Laundry system inspected(yes or no): No Seasonal use: (yes or no): No Water meter readings, if available(last 2 years usage(gpd)): 2002—153,000 gal.2003—82,000 gal.=322 gpd Sump pump(yes or no): No Last date of occupancy: Currently Occupied 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/use: OTHER(describe): GENERAL INFORMATION Pumping Records: Tank Pumped Three Years Ago. Source of information: Owner Was system pumped as part of the inspection(yes or no): No If yes, volume pumped: gallons-- How was quantity pumped determined? Reason for pumping: TYPE OF SYSTEM XX_Septic tank,distribution box,soil absorption system _Single cesspool _Overflow cesspool _Privy Shared system(yes or no)(if yes,attach previous inspection records, if any) _Innovative/Alternative technology. Attach a copy of the current operation and maintenance contract(to be obtained from system owner) Tight tank _Attach a copy of the DEP approval _Other(describe): Approximate age of all components,date installed(if known)and source of information: Compliance date: 9/18/84 Were sewage odors detected when arriving at the site(yes or no): No Page 7 of 1 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 4140 Main Street 6A,Cummaquid 4. Owner: Carl Christianson Date of Inspection: .tune 25,2004 BUILDING SEWER: X (locate on site plan) Depth below grade: - - Materials of construction:_X_cast iron _40 PVC_other(explain): Distance fi•oin private water supply well or suction line: 25'+ Comments(on condition of joints, venting,evidence of leakage, etc.): SEPTIC TANK: XX (locate on site plan) Depth below grade: - Material of construction:XX concrete_metal_fiberglass___polyethylene _other(explain) If tank is metal list age:_ Is age confirmed by a Certificate of Compliance(yes or no):_(attach a copy of certificate) Dimensions: - 1500 gal. Sludge depth: 10" Distance from top of sludge to bottom of outlet tee or baffle: 22" Scum thickness: 4" Distance from top of scum to top of outlet tee_or baffle: 6" Distance from bottom of scum to bottom of outlet tee or baffle: 10" How were dimensions determined: STICK WITH HINGE FLAP. Comments(on pumping recommendations,inlet and outlet tee or baffle condition, structural integrity, liquid. levels as related to outlet invert,evidence of leakage, etc.): Tees intact and clear,recommend pumping tank. GREASE TRAP: No (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 fi•om bottom of scum to bottom of outlet tee or baffle: Date of last pumping: Comments(on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert,evidence of leakage,etc.): Page 8 of 1 1 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 4140 Main Street 6A,Cummaquid Owner: Carl Christianson Date of Inspection: June 25,2004 - TIGHT or HOLDING TANK: No (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: XX (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.): No hiEh stains, liquid level at bottom of outlei pipe. A PUMP CHAMBER: No (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.): Page 9 of 1 1 OFFICIAL INSPECTION FORM—NOT FOR ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 4140 Main Street 6A,Cummaquid Owner: Carl Christianson (Date of Inspection: June 25,2004 SOIL ABSORPTION SYSTEM (SAS): XX (locate on site plan,excavation not required) 1K If SAS not located explain why: Type leaching pits,number- _X_leaching chambers,number: Four Flowdifussors side by side with 4'stone around and I' under. leaching galleries,number: leaching trenches,number,length; k leaching fields,number, dimensions: overflow cesspool,number: innovative/alternative system Type/name of technology: Comments(note condition of soil, signs of hydraulic failure, level of ponding,damp soil, condition of vegetation,. etc.): No standing water and no sidewall stains.Stone is clean with no evidence°ofprevious standina water. CESSPOOLS: No (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: , F 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: No (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.): t n Page 10 of 11 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 4140 Main Street 6A,Curnmaquid Owner: Carl Christianson Date of Inspection: June 25,2004 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 I00.feet. Locate where public water supply enters the building. r _ Main Street 6A N - Page l 1 of 11 OFFICIAL. INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS s SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 4140 Main Street 6A,Cummaquid' Owner: Carl Christianson Date of Inspection: June 25,2004 ' SITE EXAM Slope None Surface water None Check cellar Dry Shallow wells None j Estimated depth to ground water : .More than 10 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: ._X_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: Shot elevation of bottom of SAS and low point of property with no standing water,found bottom of SAS 2.5-3' higher than low point of property. • � I 1 .L 12'-9„ 20'-4" 6,10„ aD xvv -00Z O.O m DNS o 0m� ,A o m m o m m y 4'-9" z rl6 g^ 3 6 - ®© © rn Cn O m I I m > rn `J 1) 07 Z O x I I I m znm m —Dim l I J I o. 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(508)274-1166 ARTS CT AL COPYRIGHT PROTECTION TYP. ROOF CONST. o N ` - -2 x 10 ROOF RAFTERS @ 16"o.c. -5/8"PLYWOOD ROOF SHEATHINGASPHALT ROOF wz'-�V3� ow Wp -15LB.FELT PAPER SHINGLES OR RUBBER MEMBRANE ao zw�3oLLo��� 2-1 3/4"x 14"LVL OR 3-1 3A"x 11 7/8"LVL -(R49)SPRAY FOAM INSULATION RIDGEBEAM -SIMPSON H 2.5A HURRICANE CLIPS AT ALL RAFTER ENDS JO�wW 'cww i N2.L, w�o�ou - ICE/WATER SHIELD AT BOTTOM y�iio 3�zzz�� 12 x6's@16"o.c. TO"OF ROOF wo�oN�q�w P.T.BXB POST ON I2"DIA. EXIST. EXIST. -PROPW WASH ENT RAFTERS uzoo��ocwiwo;oo28 -WIND WASH BARRIERS oo�w�y�u,wn o CONCRETE SONOTUBE TO BARN FTER LEDGER TO ��-w��" E 4'0"BELOW GRADE.USE I WALL W/LEOGERLOK SCREWS mow:u ?coi�'�0�3aa SIMPSON ZAMX ABU66 POST &USE SIMPSON LRUZ SLOPED BASE Wl 5/8"DIA.J-BOLT I HANGEROP.LSSJ.(2)SCREWS U NEW CMU WALL UNDER NEW BARN TOP OF PLATE WALL W/#4 VERTICAL BARS AT 48"o.c. 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BIGFOOT FOOTINGS S INSTALL(2)#4 HORIZONTAL BARS INSTALL(2)#4 HORIZONTAL BARS - 4'0"BELOW GRADE.USE ' AT TOP OF WALL,2"CLEAR SIMPSON ZMAX ABU66 AT TOP OF WALL,2"CLEAR POSTBASE NEW 10"DIA.CONCRETE - I r -I NEW CMU WALL UNDER NEW BARN BUILDING SECTION a0 M U D ROO M SONOTUBES ON 24"DIA. 7 0 v I EXIST- I 0 - INTO O WALL /RIIZONTAL TRUSS TYPE FOOTING#4 VERTICAL BARS AT 48"G.c. -- 4'0"BELOW GRADEIGFOOT S USE I I CRAWLS PACE FOUND.DETAIL#2 EVERY OTHER COARSE A4 - SIMPSON ZMAX ATINBU66 - ' POST BASE INSTALL 10 MIL POLY 8 INSULATE EXISTING FLOOR i. EXIST.STONE FOUNDATION W NOTES: FOUNDATION/FRAMING FLAN MUDROOM BARN Q w dY 1.) CONTRACTOR IS TO VERIFY ALL EXISTING CONDITIONS NAILING SCHEDULE 0 &DIMENSIONS IN THE FIELD .'.d VERIFY NEIGH' N W U N IN THE FIELD JOINT DESCRIPTION NO.OF COMMON NAILS NO.OF BOX NAILS NAIL SPACING ' A� ' 2.) CONTRACTOR TO VERIFY ALL INTERIOR&EXTERIOR MATERIALS, ROOFFRAM G: W Z DETAILS,&FINISHES IN THE FIELD WITH OWNER 1. BLOCKING TO RAFTER(TOE NAILED) 2-ad 2-10d EACH END ® �y NEW CMU WALL UNDER NEW BARN RIM BOARD TO RAFTER(END NAILED) 2-16 d 3-16d EACH END L.L 3) ALL WINDOW AND DOOR HEADERS 4'0:'OR LESS TOiBE 3-2 x 8 W/2K,2J WALL W/#4 VERTICALBARSAT48"O.c. WALLFRAMING: 4.) ALL CONSTRUCTION TO CONFORM TO 780 CMR MASSACHUSETTS INTO HORIZONTAL TRUSS TYPE FTG. TOP PIATESAT INTERSECTIONS(FACE NAILED) 4-16d S i6d AT JOINTS W STATE BUILDING CODE,9TH EDITION AMENDEMENT•&IRC2015 EVERY OTHER COARSE I STUD TO STUD(FACE NAILED) 2-16d 2-16C 24"o.c LP. HEADER TO HEADER(FACE NAILED) 164 18d 16"o.c.ALONG EDGES 5.) 110 MPH EXPOSURE B WIND ZONE �j M U V1/A L L ETA I L #1 FLOOR FRAMING: W JOIST TO SILL,TOP PLATE OR GIRDER(TOE NAILED) 4-ad 4-10d 'PER JOIST 6.) ALL SHEETS OF PLYWOOD WALL SHEATHING TO BE INSTALLED VERTICALLY, BLOCKING TO JOISTS(TOE NAILED) 2-8 2-,Od EACH END Csy r- BLOCKING TO SILL OR TOP PLATE(TOE NAILED) 3-iad 4-16d EACH BLOCK OR HORIZONTALLY W/BLOCKING AT EDGES,3"EDGE/12".FIELD NAILING LEDGER STRIP TO BEAM OR GIRDER(FACE NAILED) 3-iad 4-,sd EACH JOIST J 7) ALL LVL LUMBER/BEAMS TO BE 1.9e L/360 LOAD , JOIST ON LEDGER TO BEAM(TOE NAILED) 3-8d 3-10d PER JOIST BAND JOIST TO JOIST(END NAILED) 3-16d 4-16d PER JOIST 8.) SEE CERTIFIED PLOT PLAN DEVELOPED BY DOWN GAPE ENGINEERING FOR ALL v BAND JOIST TO SILL OR TOP PLATE(TOE NAILEDO 2-16d 3-lad PER FOOT PROPOSED&EXISTING DETAILS KITCHEN ROOF SHEATHING: SCALE : —1/411 9.) FOLLOW ALL MANUFACTURER'S SPECIFICATIONS FOR INSTALLATION OF ALL MUDROOM WOOD STRUCTURAL PANELS(PLYWOOD) 11_011 RAFTERS OR TRUSSES SPACED UP TO 16"...- ad 10d 6"EDGE/6"FIELD - RAFTERS OR TRUSSES SPACED OVER 16"o.c. ad 10d 4"EDGE/4"FIELD SIMPSON COMPONENTS I GABLE END WALL RAKE OR RAKE TRUSS W/O OVERHANG ad 10d 6"EDGEa'FIELD EXIST.JOISTS GABLE END WALL RAKE OR RAKE TRUSS ad 10d B"EDGE/6"FIELD DATE 10.) ALL CONCRETE USED FOR FOUNDATION WALLS,FOOTINGS&SLABS W/STRUCTURAL OUTLOOKERs TO BE 3000 PSI AT 28 DAYS I GABLE END WALL RAKE OR RAKE TRUSS W/LOOKOUT BLOCKS ad 10d 4"EDGE/4"FIELD 4/1 7/2019 CEILING SHEATHING: 11.)VERIFY ALL PLUMBING&ELECTRICAL DETAILS W/OWNERS ON THE SITE GYPSUM WALLBOARD / 50 COOLERS — 7"EDGE/10"FIELD DURING FRAMING CONSTRUCTION 2'coNCRErESLAewi WALL SHEATHING: DRAWING NO. 12.)TIMBER FRAMING TO BE SPRUCE/PINE/FIR NO.2 GRADE,900 PSI MIN. 10 MIL POLY UNDER WOOD STRUCTURAL PANELS(PLYWOOD) STUDS SPACED UP TO 24"o.c. ad 10d 6"EDGE/12"FIELD 14.)FOLLOW ALL REQUIREMENTS OF THE IECC2015;RESIDENTIAL ENERGY 3«, 1/2-&25/32•FIBERBOARD PANELS ad -- 3"EDGE/6"FIELD EFFICIENCY REQUIREMENTS&VERIFY ALL DETAILS''WITH THE INSULATION CLEFT u! 12"GYPSUM WALLBOARD 5d COOLERS — 7"EDGE/10"FIELD CMU WALL DETAIL: #1 FLOOR SHEATHING INSTALLER/CONTRACTOR FOR THE STRETCH ENERGY CODE wooO STRucnRALPANELs(PLYWOOD) 15. THIS STRUCTURE IS DESIGNED TO THE AF&PA WOOD FRAME CONSTRUCTION V OR LESS THICKNESS ad 10d 6"EDGE/12"FIELD A4 GREATER THAN 1"THICKNESS 10d lad 6"EDGE/6"FIELD MANUAL FOR 110 MPH EXPOSURE"B"LOCATION PER SECTION R301.2.1.1 '