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JOHN LIBBY CONSTRUCTION, INC. NEW CONSTRUCTION SPECIFICATIONS ESTIMATE

Lot 3 Amber Woods Subdivision

North Yarmouth, ME 04097

1) Framing: 2x6 exterior framing walls 2’OC

2x4 interior wall framing 16” OC

Floor framing to code or engineered truss

Roof framing to code or engineered truss

2) Exterior sheathing: ½ zip system on walls

5/8 zip system on roof

¾” T&G Advantech floor decking

3) Roofing: 30 year architect shingles (black)

2 rows ice and water shield

Ridge & gable end venting – no soffit venting

4) Insulation: R-23 dense pack blown insulation in walls

R-49 in ceilings

R-30 in roof slopes

Basement ceiling insulated to code

Sound deadening in bathrooms

5) Exterior siding & finish: Vinyl siding (Board & batten vinyl siding on front

porch)

Aluminum covered exterior trim, vinyl soffits (no

venting)

Exterior steps and installation - pressure treated with

composite decking and railings to code

6) Plumbing & Heating: Futjitsu heat pumps and condensers for heat and A/C

50 gallon hot water heat pump for domestic water

Brushed nickel plumbing fixtures

The following is a list of specifications for a contemporary cape style home per plan provided:

24x26 garage, covered porch, and 14x12 deck. Price reflects home being constructed on Lot 3

Amber Woods Subdivision, North Yarmouth, ME 04079.

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Tiled shower in master bath

All supply lines PEX, drain lines PVC

Two frost free outside faucets

Single bowl farmers sink in kitchen

Under mount sinks in baths

7) Electrical: 200 amp underground electrical service

All wiring, smoke detectors, GFI outlets to code

Power for range hook up

Wire water pump as needed

Standard lighting fixtures in bedrooms and dining area

Maximum of 4 phone jacks

Maximum of 4 cable outlets

ERV house vent

2-bathroom exhaust vents

8) Excavation Well & pump system

8’ concrete foundation

Loam and seed disturbed areas

Crushed stone drip edge on eves

Gravity perimeter under basement floor

Crushed stone under basement slab

4 bedroom septic system

Passive radon system installed

9) Windows Alside windows per plan

10) Doors: Therma-Tru Smooth Star fiberglass exterior doors

Anderson 6’ slider onto deck

Garage doors – white with transom windows at top

11) Interior walls and

ceiling:

Interior walls framed

½ Sheetrock walls and ceiling, garage to meet fire code

(ceiling and common wall)

Primer and 1 finish coat paint on ceilings

Primer and 2 finish coats paint on walls

One finish coat on all pre-primed trim

12) Cabinets, vanities and

countertops:

Granite countertops

Custom kitchen design

Stainless steel appliances

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13) Flooring: Tile floor in bathrooms, mudroom & laundry room

Hardwood floor downstairs, upstairs hallway and master

bedroom

Carpet in other bedrooms

14) Interior trim: Primed solid core molded interior shaker style doors

Primed 1x6 baseboard

Primed 1x4 door and window casings

Finished oak stairway between 1st and 2nd floors

15) Miscellaneous: Closet shelving included

Gas fireplace

Built-ins around gas fireplace & mudroom

Propane hook-up

Price reflects Contractor financing

Total Price $475,000.00

John Libby Construction, Inc. Date

Owner Date

1 aine Dept. Health & Human Services

SUBSURFACE WASTEWATER DISPOSAL SYSTEM APPLICATION Div. Environmental Health, 11 SI-IS 207) 287-2070 f ax: (207) 287-4172

PROPERTY LOCATION »CAUTION: LPI APPROVAL REQUIRED« City, Town , ~~~ Town/City Permit#

or Plantation 1 Date Permit Issued · -'-'- Fee: $ Double Fee Charged [ l

Street or Road ~<r~ \ LP.I. #

Subdivision, Lot# ~3 Local Plumbing Inspector Signature

OWNER/APPLICANT INFORMATION Fee: $ state min fee $ Locally adopted fee

Name (last, .first, Ml)

6,~~ GwfrvJ.,f.v-~nt Copy: [ ] Owner [ ] Town [] State

:16~-v' The Subsurf3ce Wastewater Disposal System shall not be installed until a

Mailing Address z.z.. c'r,.1_sx;fu"- vr'WJ -~ Permit is issued by the Local Plumbing Inspector. The Permit shall

of ·

~n(~ authorize the owner or installer to install tHe disposcil system in accordance

Owner/Applicant" ()'#<)"'fl with this application and the Maine Subsurface Wastewater Disposal Rules .

Daytime Tel.# 1~1- ]7'1'b Municipal Tax Map# Lot#

OWNER QR APPLICANT §!TATEMENT CA!,!TlON: IN§PECTIQN REQ!,!lRED I state and acknowledge that the information submitted is correct to the best of I have inspected the installation authoirzed above and found it to be in compliance my knowledge and understand that any falsification is reason for the Department with the Subsurface Wastewater Disposal Rules Application . and/or Local Plumbing Inspector to deny a Permit. (1st) date approved

Signature of Owner or Applicant Date I ......... Ch·-~ : .... 1-----•- C": .................. 1"' · ··"' ..a .... ~ .,...,,..r,...,.,.n

PERMIT INFORMATION TYPE OF APPLICATION THIS APPLICATION REQUIRES rc

1

POSAL SYSTEM COMPONENTS

1<!'.rstTffi'ie §9m ~ offililete Non-engineerect'Svstem

2. t-'rimit1ve :system (graywater & alt. toilet) 2. Replacement System 2. FlrsmieS)ISiefT Variance

3. Alternative Toilet , specify: Type replaced: a. Socal Pl~mbir~ lnsg~ctor Ap~roval 4. Non-engineered Treatment Tank (only)

Year installed: b. tate & oca lum ing Ins ctor Approval

5. Holding Tank, ___ gallons 3. Replacement System Variance 6. Non-engineered Disposal Field (only)

3. E~a~e~ S~stem g. s?cal nmbir~ lnsg~ctor Ap~rovai 7. Separated Laundry System a. 25 ~ x~ ns1on b. ~25 o Ex ansion . ate oca lum 1ng Ins ctor pproval

8·. Complete Engineered System (2000 gpd or more) 4. Experimental System 4. Minimum Lot Size Variance 9. Engineered Treatment Tank (only)

5. Seasonal Conversion 5. Seasonal Conversion Permit 10. Engineered Disposal Field (only) 11 . Pre-treatment, specify:

SIZE OF PROPERTY DISPOSAL SYSTEM TO SERVE 12. Miscellaneous Components

~ 3~t_ SQ. FT. C,; Single Family Dwelling Unit, No. of Bedrooms: ~

TYPE OF WATER SUPPLY I f.l("C~E~ 2. Multiple Family Dwelling, No. of Units: __

(_Drilled V\1911 3. Other: ·2. Dug Well 3. Private SHORELAND ZONING (specify)

Yes ~ Current Use Seasonal Year Round Wnd~ 4. Public 5. Other

DESIGN DETAILS (SYSTEM LAYOUT SHOWN ON PAGE 3)

TREATMENT TANK DISPOSAL FIELD TYPE & SIZE GARBAGE DISPOSAL UNIT DESIGN FLOW 1 .~ 1. Stone Bed 2. Stone Trench CB9:> 2. Yes 3. Maybe

~ a. 3. Proprietary Dev~ If Yes or Maybe, specify one below: gallons per day b. Low Profile CBASED ON:

2. Plastic a. cluster array c~ a. multi-compartment tank 1. Table 4A (dwelling unit(s)) 3. Other: b.,_ regul~ d. -20 load b. - tanks in series 2. Table 4C(other facilities) CAPACITY /Cj'j 0 GAL. 4. Other: c. increase in tank qipacity SHOW CALCULATIONS for other facilite

SIZE: 1'2-% €9)1> lin. ft. d. Filter on Tank Outlet

SOIL DATA & DESIGN CLASS • r

DISPOSAL FIELD SIZING EFFLUENT/EJECTOR PUMP 3. Section 4G (meter readings) PROFILE CONDITION ~d ATTACH WATER METER DATA

i_; L 1. Medium---2.6 sq . ft. I gpd 2_. May Be Required LATITUDE AND LONG.ITUDE at.Observation Hole #:i?l_ <[Medium---Large ~ . 3 sgJJL!Jpd 3. Required at center of dispos&: Depth 1J./- " 3. Large---4.1 sq. ft. I gpd Specify only for engineered syslems: Lat. ..!:/1__d ~m s

of Most Limiting Soil Factor 4. Extra Large---5.0 sq . ft. I gpd DOSE: gallons Lon. _]..Q_d ...11e.__m ~ s if g.p.s, state margin of error: l''

SITE EVALUATOR STATEMENT

I certify that on I z..I ii IJ (date) I completed a site evaluation on this property and state that the data reported are accurate and

that the proposed system is in comP.liance with the. State of Maine Subsurface Wastewater Disposal Rules (10-144A CMR 241 ).

¥Yl~-~~ . Z/;3 1z.J1(1t. SltEvauatorgnature SE# Date

tfl~S. ~~ 7f'le -Z,CJMJ Site Evaluator Namermted Telephone Number E-mail Address

Note : Changes to or deviations from the design should be con.firmed with the Site Evaluator. Page 1 of 3 HHE-200 Rev.11/2013

SUBSURFACE WASTEWATER DISPOSAL SYSTEM APPLICATION

Town, City, Plantation Street, Road , Subdivision

Department of Health & Human Services Division of Environmental Health

(207) 287-5672 Fax: (207) 287-3165

Owner's Name

SITE LOCATION PLAW

(map from Maine A7las recommended)

r----t~-;;:::t.====l===!====F===1===~~=.~=1r===i====r---r-----j~* ~ ~ C,i~

1\\~

SOIL DESCRJPTION AND CLASSIFICATION (Location of Observation Holes Shown Above)

Observation Hole :Pl D- Test Pit O Boring Observation Hole O Test Pit O Boring ____

11 Depth of Organic Horizon Above Mineral Soil 11 Depth of Organic Horizon Above Miner~l Soil

0

,..... ] 10 u 1-------1------1------f------1

5 ~ "' ~201------+------+-------1---------<

r/J

"(3 r/J

""§ ino ~ ~ -.; ill 40

·t c:i 50~----~---~---~-------'

Soil Classification Slope Limiting Factor

C Ground Water [titRestrictive Layer [ ] Bedrock [ ] Pit Depth

SE#

0

,..... "' <!)

-510 5

<!) (.)

<t a2o 1-------+-------+------+--------l

·5 r/J

""§ .1bo ~ ~ 0

-.;

~40 0. <> Cl

50 ~----~----~----~---~

Soil Classification Slope

% - ---- - -Profile Condition

1i.l 1111 Date

Li miting Factor

" --

[ ] Ground Water [ ] Restrictive Layer [ ] Bedrock [ ] Pit Depth

Page 2 of3 HHE-200 Rev. 02/11

Department of Health & Human Services SUBSURFACE WASTEWATER DISPOSAL SYSTEM APPLICATION Division of Environmental Health

(207) 287-5672 Fax: (207) 287-3165

Town, City, Plantation Street, Road , Subdivis ion Owner's Name

~~~~ A.a,~ W tJ.1J f,p.f-3 40k Ll~~'f ~d1rM. SUBSURFACE WASTEWATER DISPOSAL PLAN

I.

01 I ~. -r- --~· --

~c -p{J SCALE: l" = ~ FT.

-~ 130~\ K/ I I ,f'~ - - ..... I -.....,_

q}~H' p'{L t ,M r_ ""' -~

( !/.~ ~ ~ v ~b £1/CcllJ ~ ""VIV-

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~ 1~ ~ 11 · ~·II r--....."~ \--~

N ~ ~':/'-I

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~}I - - If 1'i. Co!. .. J. .. J..1 ; '- ~/ I . - '-

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I I I ' rr;, I I 2. .. 11 -

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FILL REQUIREMENTS CONSTRUCTION ELEVATIONS -3~--

ELEVATION REFERE CE POINT 1,

Finished Grade Elevation Location &~n : ,.)()) ( '56 \~ Depth of Fill (Upslope) IL

-~ 1b"<6' ;(./'

Top of Distribution Pipe or Proprietary Device Reference Elevation: o''

Depth of Fill (Downslope) Bottom of Disposal Area -tf;{p --

Note: IV aterials an installatio 11 sh II DISPOSAL AREA CROSS SECTION I ' be in acc• rdance wit '1 Maine S1 bsu face Scale Wastewa er Disposa Rules dat' d 001 L) _i_ ••amend et1 Horizontal I" = ft.

-_, Vertical !" = 4 ft .

~/ ,

1( ~\~· td.r,c.. ~----1 -- 1,.,tt--1 --'5 ~ olf/ r-l - ~_-1 ?it..

'~ ·~ ·--

I I -~ - /€. 'J~ '"t- .J -;,-. ,J ~~I (~ - - I

I I / I I

~ I 'f ~ 11::~ j..11

~"' /~{I ---....::::::

~ -- - I~ .__. \, I~ (l//r - -o'r ~ \f/// r I 11//t rn \ 1r/ r, rrt ~

'Z,4-$11"'-.l ~ . ~I~,~ L

~-t\ w-...~ ) ... s .,

1---+ ~

I ~~ {,I I(_ kb( ~A~ I 1?1 ire' ~ ~ 1\C' t'lJrA. tbesl'. ~t~ ~ 1--. - - v

\Y)µJ),~~ -z.,u 3 '~'· (17 Page 3 of3

HHE-200 Rev. 02/ 11 Site Evaluator Si11nature SE # Date