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HomeMy WebLinkAbout0022 ANGUS WAY - Health 22 Angus Way 251-051 Centerville eJ��cFEGYCLEOCDya A/ y ',PC 12543 No.53LOR °ost.coNs°� NASTINcs,hid! C � i J { No.1Z.068 J Fee 110 tHE C6MMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE., MASSACHUSETTS 01pprication for Oigaai *potent Construction Permit Application for a Permit to Construct( )Repair(X)Upgrade( )Abandon( ) El Complete System ❑Individual Components Location Address or Lot No. 7 _ Owner's Name,Address and Tel.No. 4 Assessor's Map/Parcel Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. 3M �L 6 71 elk L6 5 WVLO y,n =�qif sag- 3(oL-�1� 9z n Type of Building: Dwelling No.of Bedrooms Lot Size 15 0D0 s .ft. Garbage Grinder( ) Other Type of Building \N v No. of Persons Showers(X ) Cafeteria( ) Other Fixtures Design Flow 1/19 0 gallons per day. Calculated daily flow D ylo/ gallons. Plan Date ZOAC, 7— Z#06 NumjZer of sheets Revision ate BTU v Title f A v\ j, 070(L V 0,4+e t Size of Septic Tank 15—W) e9a Type of S.A.S. Description of Soil Nature of Repairs or Alterations(Answer when applicable) u DC:2(L*Pei TV Tie Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisi s of Ti e 5 f the Environme al C e and not to place the system in operation until a Certifi- cate of Compliance has been is e s e Signed Date Application Approved by Date 6-13-0 $ Application Disapproved for If following reasons Permit No. 00 g— 3 SS Date Issued 0 - ^��� ft 73— No. ZoQ6 St33 "Fe 7HEt, MMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION - TOWN OF .BARNSTABLEi MASSACHUSETTS Zipprication for ig ogaY patent Construction Permit , Application for a Permit to Construct( )Repair(X)Upgrade( )Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. Z_Z Owner's Name, yAddress �and Tel.No. - �� Y /�t/i /� "i//1� /©l: !• 7�f.>.� ^f 7 nit Assessor's Map/Parcel (Jr` /G L Installer's Name,Address,and Tel.No. / Designer's Name,Address and Tel.No. Type of Building: Dwelling No.of Bedrooms Lot Size /5­000 s . ft. Garbage Grinder( ) Other Type of Building e- �4*1 t No. of Persons Showers Other Fixtures ( X Cafeteria ) ( ) Design Flow 4410 �-gallons per day. Calculated daily flow 0 G/G/ gallons. Plan Date wl Z ZOM Num,�er of sheets Revision ate ,Title 1-1v\ (L2.4 2 PJA bV-U�'�'e' �'� Size of Septic Tank /5_610 le". Type of S.A.S. Description of Soil Nature of Repairs or Alterations(Answer when applicable) \ C�2►1A P 71 V Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system t in accordance with the provisions of T' le 5 6f,the Environme tal C e and not to place the system in operation until a Certifi- Cate of Compliance has been issued_b s oar of- ea "� l� Signed-= � .,� Date Application Approved by - V Date Application Disapproved for e following reasons Permit No. Zoog'" 3 Date Issued 5 - 12--05 THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS Certificate of Compliance THIS IS TO CERTIFY, that the On-site Sewage Disposal System Constructed( )Repaired ( '�Upgraded( ) Abandoned( )by 'R,"L. i �ra.6t\e--, fZ VA Q S_ at Z Z A tit L A. C JTf K- ./1 t_t C has been constructed in accordance with the provisions of Title 5 and the for isposal System Construction Permit No.ZQ0F,—3 3S dated F- I Z- G6 Installer 0 N T Designer 2 ►.] STr N�� ,Jt�/�gc� The issuance of this permit a no b co strued as a guarantee that the s 'I n 'on sign G >r a Date Inspector Af ------------- - ----------------------- No Fee THE COMMONWEALTH OF MASSACHUSETTS` Y PUBLIC HEALTH DIVISION - BARNSTABLE., MASSACHUSETTS '=igPogar *pgtem Con.5truction Permit Permission is hereby ranted to Construct( )Repair()()Upgrade( )Abandon( ) System located at 42. U tAJA 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: Construction must be completed within three years of the date of this Date: _ Z 2 �v Approved by e- //r i Town of Barnstable Regulatory Services Thomas F.Geiler,Director Public Health Division b � Thomas McKean,Director 200.Main Street,Hyannis,MA 02601. Office: 508-862-4644 Fax: 508-790-6304 Installer&Designer Certification Form Date: to Sewage Permit# ZWq-3 3 Assessor's MaplParcel 2S�` 0 5 1 Designer: P49- Installer: Address: 9r3 K-ov?7__ 4,.4 Address: On Z Sk9 ' 7�41 CDd1,S�was issued a permit to install a (date) (installer) septic system at 22 AVO-40s t.-� �- [ryiG� based on a design drawn by (address) dated e- o$ (designer) 1/1 certify that the septic system referenced above was installed substantially according to + ' the design, which may include minor approved changes such as lateral relocation of the distribution box and/or septic tank. I certify that the septic system referenced above was installed with major changes (i.e. greater than 10' lateral relocation of the SAS or any vertical relocation of any component of the septic system)but in accordance with State& Lo al RAulations. Plan revision or certified as-built by designer to follow. Instal S Signature) 1u (Designer's Signature) (Af#ix Designer's Stamp Here) PLEASE RETURN TO BARNSTABLE PUBLIC HEALTH DIVISION. CERTIMCATE OF_COMPLIANCE WILL NOT BE ISSUED UNTIL BOTH THIS FORM AND AS- BUILT CARD ARE RECEIVED BY THE BARNSTABLE PL1I;LIC HEALTH DIVISION. THANK YOU. Q\SepticDcsigner Certification Form Reviscd.doc n 'SOWN O BAI TABLE LOCATION Al. oLAn,. ly SEWAGE# e VILLAGE U A ESSOR' MAP&PARCEL INSTALLER'S NAME&PHONE NO. h / SEPTIC TANK CAPACITY ea ) (/ LEACHING FACILITY:(type) e( e r (size) id Q NO.OF BED4,2007 OWNERG PERMIT DATE: COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility feet ; - Private Water Supply Well and Leaching Facility(if any wells exist on site or within 200 feet of leaching facility) feet i Edge of Wetland and L'aching Facility(if any wetlands exist within 300 feet of leaching:facility). feet FURNISHED BY I a - -16 o ol AV- / ;r r. TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map. Parcel Application# Health Division Date Issued Conservation Division Applic n Fee Tax Collector C(OPY Permit Fee Treasurer Planning Dept. C(! 12, G Date Definitive Plan Approved by Planning Board Historic-OKH Preservation/Hyannis Project'Street Address Village 1 Lo�_I7Z3e0 t l�rLU►4tIli") r / Owner 2i)/_ l Address �/ W Ill,)w Liz GfhV6__ Telephone Z-O& 72,$ &/V J 2(,[� �l,(T D 9M f Permit Request �v/1_ /I- u 'X�8 ��� &Q7A14 a uil 60 / yx y r��l��-r Square feet: 1 st floor:existing /,proposed 360 2nd floor:existing r7 proposed IX Total new `1G Zoning District Flood Plain Groundwater Overlay Project Valuation yaO, OX • VQ Construction Type �AAJW Lot Size L 3 Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. r, Dwelling Type: Single Family I Two Family ❑ Multi-Family(#units) Age of Existing Structure yy Historic House: 0 Yes _'No On Old King's Highway: ❑Yes 4 No Basement Type: Gull ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) /Z3 Q Number of Baths: Full:existing .3 new 0 Half:existing new Number of Bedrooms: existing_ new 6 Total Room Count(not including baths):existing new / First Floor Room Count Heat Type and Fuel: 1ALGas ❑Oil ❑ Electric ' ❑Other Central Air: IYes ❑No Fireplaces: Existing O New Existing wood/coal stove: ❑Yes VNo Detached garage:❑existing ❑new size Pool:❑existing ❑new size Barn:❑existing ❑new size Attached garage:4existing ❑new size Shed:❑existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes No If yes, site plan review# Current Use geSk 4t`Nce Proposed Use 1kr=R�e,14 mot` BUILDER INFORMATION Name ! cfe_ Gq/9bjn f Telephone Number 97 Address /3_ aw,% k l L rc/. License# 12(02 �v7 r'D./-7i a— afl— )-Z Home Improvement Contractor# n27 4 8 33 Worker's Compensation# 4J(` (�h 33 r{) ALL CONSTRU N DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO CC2�c A C) SIGNATURE DATE Mr. Tom McKean March 31, 2008 Director Board of Health 200 Main Street . Hyannis, Ma. 02601 Dear Tom, This letter is to request permission to have a septic system survey and design completed for a 4 bedroom home at 22 Angus Way Centerville Ma. Lot#49. 1 am planning an addition of a family room and need to upgrade my septic system to a title 5. Background: On March 14, 2008 I visited the board of health to inquire about the septic system upgrade and.the inspector informed me that my home is registered as a 4 bedroom but the current septic,system is a 3 bedroom system. I was told that I would have to prove that the house which I purchased in 2004 was an existing 4 bedroom house prior to 1986. He told me to seek out the previous owner and have him write a letter stating that he in fact had a 4 bedroom house. I was able to get in touch with the former owner Edwin Leventhal, who owned the house from 1983 to 2004. And he sent me the letter which is enclosed. Now with your permission I would like to contract with an engineer to design a 4 bedroom septic system so that I may apply for a building permit for my addition. If you need to talk to me I can be reached at 908-310-7289. I will call you later in they week. • cereli1 y 4aul Ruane � t 4 Willow Brook Lane CP Annandale, NJ.08801 908-310-7289 Edwin H. Leventhal 6923 Langley Place University Park, FL. 34201 941-355-7252 March 17, 2008 Town of Barnstable To Whom It May Concern: This letter is to certify that I, Edwin Leventhal, owned the property at 22 Angus Way Centerville,Ma. from 1983 to 2004. When I purchased the property in 1983 the house had 4 bedrooms and it remained a 4 bedroom home the entire time I owned the home. Edwin Leventh 04/09/2008 151:03 FAX 908 473 1707 SCHERING HEALTHCARE 2 001/002 It i 6 i 6 4 E l f � i fr ro.- 04/09/2008 15:03 FAX 908 473 1707 SCHERING HEALTHCARE R 002/002 � � C 4 g k t t. Ci i` I Y,Pa r y.F^ � Z-1S ECOJECH 1AAP ,� S Environmental PARCEL ;�S--1---.-- www.eco-tech.us LOT ��a-=- THIS FORM IS A FACSIMILE OF THE STANDARD SEPTIC INSPECTION FORM ISSUED BY THE MASSACHUSETTS DEPARTMENT OF ENVIRONMENTAL PROTECTION(revised 6/15/2000) TITLE 5 OFFICIAL INSPECTION FORM_NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM FORM PART A CERTIFICATION Property Address: 22 Angus Way Centerville Owner's Name: Judith&Edwin Leventhal Owner's Address: 22 Angus Way Centerville,MA 02632 RECEIVED Date of Inspection: June 16,2004 Name of Inspector: (Please Print) David D. Coughanowr,R.S. JUN 2 12004 Company Name: Eco-Tech Environmental TOW O Mailing Address: 43 Triangle Circle HEALTH DEPT. Sandwich,MA 02563 Telephone Number: (508)364-0894 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: X Passes Conditionally Passes Needs Further Evaluation By the Local Approving Authority Fails g Inspector's Signature �� C� ^---� 2S Date: ��the 1'74 Z604- 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 NOTES AND COMMENTS Inspector's Note—> A septic system is deemed to pass this Real Estate Transfer Inspection if it does not trigger any of the failure criteria listed below. The septic system has been evaluated according to the conditions observed on the day it was inspected. No estimate or guarantee of system longevity is made or implied by a passing determination. ****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 6/15/2000 page 1 Page 2 of 11 OFFICIAL INSPECTION FORM_NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION(continued) Property Address: 22 Angus Way Centerville Owner: Judith&Edwin Leventhal Date of Inspection: June 16,2004 INSPECTION SUMMARY: Check A,B,C,D or E/ALWAYS complete all of section D: A] System Passes: Yes I have not found any information which indicates that any of the failure criteria described in 310 CMR 5.303 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,or 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 breakout or high static water level in the distribution box is due to broken or obstructed pipe(s)or due to a broken,settled or uneven distribution box. The 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 four 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 2 Page 3 of 11 OFFICIAL INSPECTION FORM_NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION(continued) Property hAddress: 22 Anggs Way Centerville Owner: Judith&Edwin Leventhal Date of Inspection: June 16,2004 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 and 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 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 by 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 3)OTHER 3 Page 4 of 11 OFFICIAL INSPECTION FORM_NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION(continued) Property Address: 22 Angus Way Centerville Owner: Judith&Edwin Leventhal Date of Inspection: June 16,2004 D)System Failure Criteria applicable to all systems: You must indicate either"yes" or"no"to each of the following for all inspections: I have determined that one or more of the following failure conditions exist as described in 310 CMR 15.303. The basis for this determination is identified below. The Board of Health should be contacted to determine what will be necessary to correct the failure. 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 1/2 day 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 groundwater 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.(This system passes if the well water analysis, performed by 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) 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 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 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 310 CMR 15.304.The system owner should contact the appropriate regional office of the Department. 4 Page 5 of 11 OFFICIAL INSPECTION FORM_NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B CHECKLIST Property Address: 22 Angus Way Centerville Owner: Judith&Edwin Leventhal Date of Inspection: June 16,2004 Check if the following have been done: You must indicate either"Yes"or"No"as to each of the following: Yes No Y _ Pumping information was provided by the owner,occupant or Board of Health. N Were any of the system components pumped out in the last two weeks? Y _ Has the system received normal flows in the previous two week period? N Have large volumes of water been introduced to the system recently or as part of this inspection? Y _ Were as built plans of the system obtained and examined?(If they were not available as N/A) Y _ Was the facility or dwelling inspected for signs of sewage back-up? Y _ Was the site inspected for signs of breakout? including Y _ Were all system components,exeluding the SAS. located on site? _ N Were the septic tank manholes uncovered,opened,and the interior of the septic tank inspected for the condition of the baffles or tees,material of construction,dimensions,depth of liquid,depth of sludge and depth of scum.? Y _ Was the facility owner(and occupants,if different from owner)provided with information on the proper maintenance of subsurface disposal systems? For information on the proper maintenance of subsurface disposal systems please go to: WWWXCO-TECH.US The size and location of the Soil Absorption System(SAS)on the site has been determined based on: Y _ Existing information.For example,Plan at the Board of Health. Y _ 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)] 5 f Page 6 of 11 OFFICIAL INSPECTION FORM_NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION Property Address: 22 Angus Way Centerville Owner: Judith&Edwin Leventhal Date of Inspection: June 16 2004 FLOW CONDITIONS RESIDENTIAL Number of bedrooms(design): n/a Number of bedrooms(actual): 4 DESIGN flow based on 310 CMR 15.203 (for example: 110 gpd x#of bedrooms): n/a—No plan on file at Health Dept. Number of current residents 2 Does the residence have a garbage grinder(yes or no): Yes—removal of garbage grinder is strongly recommended. Is laundry on a separate sewage system(yes or no): no :(If yes, separate inspection required? Laundry system inspected (yes or no): n/a Seasonal use(yes or no): yes Water meter readings,if available(last two year's usage(gpd): 193 gpd Sump Pump(yes or no): no Last date of occupancy: current 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 Source of information: System last pumped in 2001 (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: Septic tank,distribution box, soil absorption system X Single cesspool X Overflow cesspool Privy Shared system(yes or no)(if yes, attach previous inspection records,if any) Innovative/Alternate 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: System is assumed to have been installed in 1964 at time of dwelling's construction. Were sewage odors detected when arriving at the site: (yes or no) no 6 Page 7 of 11 OFFICIAL INSPECTION FORM_NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 22 Angus Way Centerville Owner: Judith&Edwin Leventhal Date of Inspection: June 16,2004 BUILDING SEWER_(Locate on site plan) Depth below grade: 2 ft Material of construction: X cast iron _40 PVC_other(explain) Distance from private water supply well or suction line 20+ Comments: (on condition of joints,venting,evidence of leakage, etc.) Sewer is vented through roof and appears structurally sound with no evidence of leakage or backup into dwelling SEPTIC TANK:none (locate on site plan) Depth below grade: Material of construction:_concrete_metal_fiberglass_polyethylene _other(explain) If tank is metal,list age_ Is age confirmed by 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: 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 dimensions were determined: Probe to top of tank Comments: (on pumping recommendations,inlet and outlet tee or baffle condition, structural integrity,liquid levels as related to outlet invert,evidence of leakage,etc.): GREASE TRAP: none (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 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.): 7 Page 8 of 11 OFFICIAL INSPECTION FORM_NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 22 Angus Way Centerville Owner: Judith&Edwin Leventhal Date of Inspection: June 16,2004 TIGHT OR HOLDING TANK: none (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):_ pumping:Date of last Comments:(condition of inlet tee, condition of alarm and float switches,etc.) DISTRIBUTION BOX: none (if 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 is equal,any evidence of solids carryover,any evidence of leakage into or out of box,etc.) PUMP CHAMBER: none (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.): 8 Page 9 of 11 OFFICIAL INSPECTION FORM_NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 22 Angus Way Centerville Owner: Judith&Edwin Leventhal Date of Inspection: June 16,2004 SOIL ABSORPTION SYSTEM(SAS): Yes (locate on site plan;excavation not required) If SAS not located,explain why: Type: _leaching pits,number _leaching chambers,number _leaching galleries,number _leaching trenches,number,length _leaching fields,number,dimensions X overflow cesspool, number 1 —innovative/alternate system Type/name of Technology Comments: (note condition of soil, signs of hydraulic failure,level of ponding,damp soil,condition of vegetation,etc.) Soils above overflow cesspool appeared unsaturated.No evidence of surface ponding,breakout,lush vegetation,or other evidence of hydraulic failure was observed. This component was dry. CESSPOOLS: 1 Primary (cesspool must be pumped at time of inspection)(locate on site plan) Number and configuration: 2 total— 1 primary and one overflow described above Depth-top of liquid to inlet invert: 3 ft Depth of solids layer: 2 in Depth of scum layer: none Dimensions of cesspool: approximately 6 ft x 6 ft Materials of construction: concrete block Indication of groundwater inflow(yes or no): no Comments: (note condition of soil, signs of hydraulic failure,level of ponding,condition of vegetation, etc.): Soils above primary cesspool appeared unsaturated. No evidence of surface ponding,breakout,lush vegetation, or other evidence of hydraulic failure was observed. PRIVY: none (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.): 9 Page 10 of 11 OFFICIAL INSPECTION FORM_NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 22 Angus Way Centerville Owner: Judith&Edwin Leventhal Date of Inspection: June 16,2004 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 100'(Locate where public water supply enters the building) S OVERFLOW LOCATIONS CESSPOOL A B PRIMARY 1 24.5 Ft 47 f t CESSPOOL 2 28.5 f t 38 Ft A g EXISTING DWELLING # 22 W z J W H Q � I A N G U S WAY NOT TO SCALE 10 Page 11 of 11 OFFICIAL INSPECTION FORM_NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 22 Angus Way Centerville Owner: Judith&Edwin Leventhal Date of Inspection: June 16,2004 SITE EXAM Slope Surface water Check Cellar Shallow wells Estimated Depth to ground water: 40+ feet Please indicate(check)all methods used to determine 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 local excavators,installers-attach documentation) X Accessed USGS database You must describe how you established the high ground water elevation. Barnstable GIS department records indicate that property is over 40 feet above groundwater table. 11 A No......................... Fus..... ,��-� THE COMMONWEALTH OF MASSACHUSETTS BOARD OF H ALTH ........ .-- -J.�ri --------------------------------------- Appliration -for '%ipooal Workii Cnnnitrnrtimn Vrruift Application is hereby made for a Permit to Construct ( ) or Repair ( } an Individual Sewage Disposal System at: � _ .. - - ---------------------- - ocation-Address or Lot No. Owner Address I a&r Address Q Type of Building Size Lot----------------------------Sq. feet U Dwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ---------------------------- No. of persons---------------------------- Showers ( ) — Cafeteria ( ) a' Other fixtures Q =---------------------------------------------- DesignW Flow---------------------------------------:----gallons per person per day. Total dailyflow.__.._..._..__......__...._......_................................ Mons. 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.----------------.-____. Test Pit No. 2----------------minutes per inch Depth of Test Pit.................... Depth to ground water__.__.:____.___.__-___ --------- ------------•-------- --------- --- - --- •-•---••-•-----•------ f -------••---•-----•-----•---•-----•----•---._------.-.- U f.-A..r . �O Description of Soil.../------v � - - :.. - -,::--&-- A, /- ------------------------------------------- x ---- _ ------------ •----------------------------------- ------------------ ------------------------ --- - ---- - U Nature of Repairs or Alterations—Answer when applicable------------------_____________________•-.-_--_-.._-_____-._-.-___.__._.-_._-_..____.__.__.._.. -----•-•---------------•....-----------------------------------------------------------------------------------------•------------...-----------------------------------------------------------------.. Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of Article NI of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been issued joby the b r f health. Sign �'r .....-- %boa r�O! Date Application Approved BY ��- D o 7 7--------------------------- ----- - t- Application Disapproved for the following reasons----------- ---------------------•--------------••------•----------------.-....--------------.:.---------•------- � Date Per No......................................................... Issued---.,A f 6�7 •-- -•----......•---•------------- Date �.. J THE COMMONWEALTH OF MASSACHUSETTS BOARD OF H ALTH Apphrtttion -for Mavoiittl Workfi TrInBIrltrtion 1jrrotit Application;is hereby`made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at ocation-Address or Lot No. Owner Address Ir tall mow `i Address UType of Building . „ Size Lot............................Sq. feet Dwelling—No. of Bedrooms___________________________________________Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ............................ No. of persons............................ Showers„( ) — Cafeteria ( ) Other fixtures t 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 arean%---'___-_.____-_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. 1----------------minutes per inch!``: Depth of "Pest Pit.................... Depth to'ground water...--_-_--__:__---.---_. f� Test Pit No. Z................minutes per- inch Depth of Test*Pit: .................. Depth to ground water.-_----_---.-___-__. ------------•---------•------------------ -- O Description of Soil .�+,� 't{�G �+" jt /�. Z/� . }� ------------- ----------------- --------- -- V ------------------ ---- -----• ...............................:1_ ._------ ------ ----- W = -------- ----------- - - ------------------------------------------------ .......................... Nature of Repairs or Alterations—Answer when applicable.....:..:..............__..._............._.__::::.:._:._..____.__._.._._.._.__.__.___..... Agreement The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of Article .XI of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been issue ,y�'t"he r f health. Sig ---- ._-_--•-------------------------- Date A lication A roved B I/----_----A �7-- ^,'PP PP Y Date 7 Application Disapproved for the following reasons:---•-•-------------------------•_--------------_-_---__-------------------------__--____---_-----___-_--------- ...................•--.._.---....----••--•--••----------------._.:.------------------=- -----------.__...-•---•---••--••--•----._._.._..---•---•-•-•-•-----------------------•---.._........------------ Permit No.......................................................... Issued--- Date . 1,r -THE COMMONWEALTH OF MASSACHUSETTS BOARD-;. OF HEALTH .... ..........OF.... ....i .. .......................... �rrtifirttte of (�om�littnre THIS IS TO�9CY, That Individual Sewage Disposal System constructed or Repaired (JO-00),. by------- .-XJ----- --------------------------- --------------------------------- Ins/tape/r ............................................................. at- ' • a ------�- `"--fir f+� r------------------ ---"----------------------------------- .................... has been instalee in accordance with the provisions of -`�r 1 XI;of The State Sanitary Code as described in the application for Disposal Works Construction Permit No.v.-_.T 4.................... . _ .................. THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE .CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTIONSATISFACTORY. DATE 's . ----- ;Inspector t _ ri.H�l'�i..af�3i-':'�bf`d+33^'o.rM�%b✓y"F!, �.t THE COMMONWEALTH OF MASSACHUSETTS BOARD �EAL�4 - w , .OF.. /y f r. O. . FEE. ..... - �i��o�tti ork �o trortio, " rrutit Permission •s hereby granted_ ... -`........ to Constr ) o Rep r (OP) an Individual Sewage Qisjosal Sys f' atNo..^t_ ------------- ----- -------•------- treet as shown on the application for Disposal Works Construction er 't No _._ ...__ Dated___ ":. « .-_. ` _______ --------------------- DATE'" - .. . --------- FORM 1255 HOBBS & WARREN. INC.. PUBLISHERS - LOCNPT,, I5EW&C4E PERMIT MO. 1 211"14L, IMSTQLLER'S W&NlE ADDRESS --.L !4A -L - - - - - - - - bUILDER5 VJ &, .AE ADDRESS _. DlJ►TE PERNAVT D ATE COKAPLI &KICE ISSUED : --a N ^i! i J 1 i � � _ 1 r"y WHALEN CONTRACTING 108 MOSS LANE BREWSTER.&1A 02631 07. i 0 C Co�oiZ , i t r Lot'74A N Lot 73A +.ems N N 37-30'-25" E 100.00, 100.00, 100.00' C.B. ' C.B. c (found) (found) + � v7 ,-- in, I o M ' —Sanitary anitary Overflow Pit_ Lot 50 N •-i. In Y z I) N z I .Metal Bulkhead. - Deck PLAN OF LAND IN #22 CENTERVILLE, a BARNSTABLE, MA` 5 BR Residence 22 ANGUS WAY Gas metes _ _ (#49 WEQUAQUET HTS. 35.5' +/- See Plan Bk. 134, Pg. 113, Barnstable Reg. of Deeds) 121.5' +/- - k Scale 1" = 20' Date: September 28, 2000 Covered Porch: > Drawn By: 7;; A Norman Levin, P.E. M 25 Lexington Drive,Hyannis, MA 02601 - (508)778-5110 100.00'An 100.00' � r off' C.B. N 37-30'-25" E 100.00' C.B. ;� v. (found) t (found) ANGUS WAY (20' Private Way). - % gI e8 3 ast^t-v�;An ��� RS 4,n1_f.SHIN4lE 5� PaIP En SE ; -��l pi i SVKr oly I z.,cuPs L4-- 'E SC...- cove - ..�_,_I.._,I'..LI'. Il.,.i. «i�4.r-es,zc mown WA ILL 6 F-C I{ � I .► I I _-_ill_; II I �L-L_ '- i r!-PCJIr tLEwi r10N�..��'�"ci.o=}.. ��UCE �E1/1_"!N aESfCNS n��r�,.-riol�s �wo�oT�r,�tior�s COMM, HA. . � �Ew wotcn i 1 t 1 � I I ._._—.—_ —.- --_____ ... — __�., E"(Nk.\ ALL$.O .a}•.�b.•fNt: KL•(L l) C'(4�'i 41 •- ` i —1 —"-• ~ 2` TEP OR r(H.Or\1 N\vRll nETER 1WE0 u4 4Ica:suI ,- Mg.VLNI' I � Sib"4,(N.e.NOe w'-ri AvIL O.c- ^I rlltEf! 3(JyO 1W./<.CAI L"'•2"T I?-fl11{•F'i:;. — m 1 I - {{I{ ° O!1 j,^ 10 fU{•LONG pf": 6 PAC.F_ y� -0,o• do i b 6^ 9-W, us ncpveu oam wKNS ivs r-r I — wf IN utv aa�x3o•,-----'-tx�sf III I I _'-_ I oPCNINc tW Z Locrc4t ... M 0 F` I I I I Z Gr.W 0414 M1rKf 0t2 ccL:xl f' cl f L If- ----- - -- 1 It Fj 1 tnr / N K 1 REPLACE F_>rl5fluc POf:CN 1 I l�7 b Gart or'e,mac, oUR rrn Ol ..-SOLID AtoCxnNS. i {ocolc;vst VutN' . _ 'll I I I svun SLpCipry tl �—V— ,I ,;I • I II I 1 _ _ I yIROER ' I� I I I II d C21 re" II I h II II I c � 'I ..2.xe �X»S 4 16"0G I I P f. 1 I RR� i rL0oR rR,sti"iNcl . I. �=lKs'( � r I • 1 j - -I RIVICEDEVL(NDESICNS ni)r,r-rli i.,;.. nl_r l'. ii•_',I_. CHATHAM, MA. wao Eo -- Nam=C 111:Alrll1P,fn l.SRIGY ALL UIn<r1JSI045 oNs.ff lit .r I i I i i i i i i I i i i i i II i • ...—..... 77 __ - I Ij- o- I;+ I --— '- I i� Lx ral,.,q 2•c:Rccn< i ILL - � l.il• `:1.. _ I �11 _ � l'l•+1+:41 .._J kt�lllc t5l l -1 iC+l.._• i r ll.•IL'.1�i r:+la..: .,1 (:�4+ii(,f+l:/1+.1,'Inll.Il�v 11!411\+�+4,+.:I'l1.c.,.5(111L.......... ! 11,1 EI\a:L 1 1 I+a � cl nl : � •f �•;i'1 .._....... ............... ....... `r .I ICI !�,11. 1.,,% $P�llCE DEVLlN aE igN5 C€IATHAM MA. ' 7�rf°2��'��Sd � 2—�/�IiI-1 Vim• t.nl f� C II`.11�11.!,,1.1.... �,<;:- _ ` i 34'-10 5/8" 1'-2 1/2" 2'-9 1/2" 3'-0 5/8 11'-7 3/4" 2'-9" - =13'-2 1/8" w - C-, rn 2645DH I � r (. x 0 = wmO rn � j — 0 N 0 . . U1 2688 r'f r...wre't:.E65u.S:0' s N N 0 A {� rn xCOI o oo (Jl rn 2 N PAS P� C # (37-Z F'' �-•ae - wr = 12'-101/4" o p^ti ru a w v N N � J ® v 51168 - C) 00 .-a = I 2568 3'-0 3/49 8" 0W ® x ;U -� o N a I o I rn E E 2645DH 2645DH 18'-8 1/2" DESIGN BY: Lagadinos Building and Design .Inc. Nick Lagadinos Ruane Existing Layout lagadinosbuilding.com N 8/6/2008 r 50'-6 3/4" 11'-8 1/2" 12'-1 1/4" 10'-9 3/4" 15'-11 1/4" • w 6 2645DH 2645DH - x , V k / CO CO pAo �r 2 NG) I —8'-4" -0 1/ w T_. w-4 x = om 2�os6 ---- IZ 2645DH _0 v rn 8 0, _o Z 12'-4 1/4" N J )266. ,-, 0'� T N _ 5568 - - O x o N ,- a j m668 v 5 _ rp N �'� t.:..,,, o A �i x W A40 - N 0 P'h (a 2645DH _ 2768 --------- I I L9 Pi - I I ' I _ I I I I I. N p c Ali I x N. O t G) _ I J,m n> I I - I I 1 L I I I I ----------J 26450H 22'-2 1/2" DESIGN BY: Lagadinos Building and Design Inc. Nick Lagaainos Ruane Existing Layout lagadinosbuilding.com 8/6/2oo8 - u , ACCESS COVERS MUST BE WITHIN 6` of FINISH GRACE 9 MINIMUM, INVERT EL EVA T I ONS : DES I GN CR I TER 1 ,4 . GENERAL NO TES 3' MAXIMUM COVER INVERT AT BUILDING: 29, 1 DESIGN FLOW: l02.6/ FIRST 2' TO - ` BE LEVEL M INVERT IN SEPTIC TANK: 98.75 4 BEDROOMS AT //0 G. P.D. PER 1, THIS PLAN IS FOR THE DESIGN AND CONSTRUCTION N 2- 0F PEAS TONE INVERT OUT SSAT/C TANK:.' 98.5 BEDROOM EOUALS 440 G.P.D. OF THE SEWAGE DISPOSAL SYSTEM ONLY. a' D/AM PIPE INVERT IN D15T. BOX: 2A 2 314- - l /12' D IA' J NO GARBAGE GRINDER 2. VERTICAL DATUM IS ASSUMED. FOR BENCH MARKS � - �8 ° DOUBLE WASHED STONE I NVERT OUT D I ST. BOX: 98 03 99 i - 9 l 2 ]IF �° SET. SEE SITE PLAN. ;� QA S a v 0 /NVERT IN LEACH CHAMBER: 98.0 98.7 BAFFLE 98.. 98.0 SEPTIC TANK REOU I RED 3 OUTLET 4-3050 INFILTRATOR CHAMBERS ' BOTTOM OF LEACH CHAMBER: 96.0 440 G.P.D. X 200% - 880 GAL. 3, ALL CONSTRUCTION METHODS AND MATERIALS AND MwTxwwnw'�' W14' STONE AROUND, I2'r x 36'! x 2'd �ADJUS TED GROUND WATER: N/A MAINTENANCE OF THE SEPTIC SYSTEM SHALL D-BOX SEPTIC TANK PROVIDED: 1500 GAL. MIN. 1500 GAL t OBSERVED GROUND WATER: NIA CONFORM TO MASS. D.E.P, TITLE 5 AND LOCAL SEPTIC TANK 6" CRUSHED STONE OR BOTTOM OF TEST HOLE *2: 90.5 SOIL ABSORPTION SYSTEM REQUIRED: BOARD OF HEALTH REGULATIONS. COMPACTED BASE DESIGN PERC RATE t 5 MIN/INCH SOIL TEXTURAL CLASS - 1 4. ALL SEPTIC SYSTEM COMPONENTS LOCATED UNDER PROF I L E • NOT TO SCALE EFFLUENT LOADING RATE 0.74 GPDISF AREAS SUBJECT TO VEHICULAR TRAFFIC OR GREATER 440 GPD / 0.74 GPDISF - 595 S.F. REQUIRED THAN_3 IN DEPTH SHALL 'BE,CAPABLE OF 'WITH- STANDING H-20 WHEEL LOADS. + PROVIDED: 4-3050 INFILTRATOR CHAMBERS W14' STONE AROUND. A-625 S.F. 5. ALL, SEWER PIPE SHALL BE SCHEDULE 40 OR 625 S.F. x 0. 74 - 461 G.P.D. APPROVED EQUAL. -7- 6. SEPTIC TANK AND D-BOX SHALL BE REINFORCED SOIL TES T P I T DA TA & PRECAST CONCRETE AND WATERTIGHT. D-BOX SHALL INDICATES INDICATES BE WATER TESTED TO`CHECK FOR LEVEL WHEN THERE n PERCOLATION = OBSERVED IS MORE THAN ONE OUTLET. TEST GROUNDWATER 1. P+*12223 7, BEFORE CONSTRUCTION CALL 'DIG-SAFE'`, TP �r/ TP2 1-888-DIG-SAFE AND THE LOCAL -WATER DEPT, HORIZON TEXTURE COLOR HORIZON TEXTURE COLOR FOR L OCAT I'ON OF UNDERGROUND UT I L I T I ES. ' yea 0' 10I.0 0' 100.5 LOAMY LOYR LOAMY IOYR'- ��:� A A 8. SEPTIC SYSTEM INSTALLER SHALL NOTIFY THE (t� SAND 312 SAND 312 'i1 V ; w DESIGN ENGINEER`-TWO DAYS PRIOR TO CONSTRUCTION rr 5 100.6 7' ............................... 99.9 OF THE SYSTEM TO ALLOW FOR S HEDUL I NG OF THE Q LOAMY IOYR LOAMY IOYR B CONSTRUCTION INSPECTIONS. SAND 518 SAND 516 a4 S, 30- .......... 98.5 30` ......•.. .....I......I_—......>.... 96.0 LOT 49 .;^• S?, 9, EXISTING CESSPOOLS TO BE PUMPED DRY REMOVED c� MED-COARSE ' IOYR -COARSE IOYR II5000 S. F. e°9, C l C / AND BACKFILLED WITH CLEAN SAND, SAND AND 516 SAND AND 516 s. GRA VEL GRA VEL l0. THE SEWER LINE FROM THE DWELLING TO BE MOVED Aso TO THE LOCATION AND ELEVATION SHOWN. 8M. CORNER OF O� 's 50. BULKHEAD. EL-102.53 \•� F* lI. NO DETERMINATION HAS BEEN MADE AS TO ' COMPLIANCE WITH DEED RESTRICTIONS OR ZONING REGULATIONS. IT SHALL` REMAIN 'THE'CLIENTS RESPONSIBILITY TO OBTAIN ALL PERMITS. SPECIAL ?s rp 1 / NO WATER / 1 NO WATER PERMITS, VARIANCES ETC. FOR THIS PROJECT, Qo`' o 20" 9 .0 20" 90.5 UP 6 0 5 s/DH FND ,� 4� pp t DATE: MAY 27, 2008 12, lT SHALL REMAIN THE CL IENT'S RESPONSIBIL ITY - , E TEST BY: STEPNEN NAGS TO HAVE THE PROPOSED BUILDING FOUNDATION °o TP•2 `� } Wl TNESSED BY; QONAL D DESMARA/S DES l GNED TO ACCOUNT FOR THE EXISTING GRADE _. :.. cEsspoocs Ce/DH FND' PERC RATE: l 2 'M/N/INCH AND SOIL CONDITIONS AT THE LOCATION OF THE Q P x�ru( Zvi ri•s PROPOSED BUILDING. F +. l ofPUM 1500 GALLON a r&W a a A. v+ SEPTIC TANK Sot �C�o } r D-BOX l7. � 4-3050�lNFlLTRATOR �,CHAMBERS W/4' STONE ° t 5 � 7-E PLAN OF LAIVO 22 ,4 /VGU.S W/-1 Y . M.4 P 2.5 / PA R CEL -5 / MULL�t t 8 4 R /V S 7�.�# < CE/v TER V / L L E > " "yky �_.. }. - � . ✓ �' /(,; � \ PREF',4 RELY FDR . �^ ^ C8/DH FND LEGEND IP q UL � BARBARA RCAA /VE ,t i LOCUS" ® CB CONCRETE BOUND -W WATER L I NE SCAL E / - 2O .JUNE 2 . 2008 fWEOUAOUET , f O HYDRANT LAKE ti>c'•..,1'{ /f?� .� -G GAS LINE oz EAGL E SURVEY I fN G I NC OHW- OVER ,HEAD WIRES A r.. .. ✓l/r, ti �4 �`' I, ! LIGHT POST _ _ 923 Route 6 2 `E- UNDERGROUND ELECTRIC LINE e == P --- Yea rrnou t h o r t MA . 02675 {� { l -T UNDERGROUND, TELEPHONE 'LINE �.�i i „�i.`�� 1 �•� 5 0 8 3 6 2-8 1 3 2 `Y -CTV-- UNDERGROUND CABLEVISION.LINE // �M/`� 508 � 432-5333 -F 4O<4 SPOT. ELEVATION /r ROuTl 8_ 40-- EXISTING CONTOUR ' PROPOSED CONTOUR L O CUS MAP 0 to 20 40 JOB NO: 08-O3 I FIELD:CFW/EEKLCALC: SAH/CFW CHECK: CFW DRN SAH