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HomeMy WebLinkAbout0079 CAPTAIN BELLAMY LANE - Health Centerville , A = 230 - 181 i Said au � UPC 12534 No.2_ 153LOR HASTINGS,MN I No. 1a `� Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABL-E, MASSACHUSETTS ZIpprication for Miopoal 6potem Conotruction Permit Application for a Permit to Construct A)Repair( )Upgrade(o)Abandon( ) El Complete System A Individual Components Location Address or Lot No. 79 04r r Q fs­e-91•Y CA, Owner's Name,Address and fTel.No. ,5'09 d 6 O 7 Z J-3— Assessor's Map/Parcel -7cf egsr 10 &44-4 Y LoT /o 4Pa ZS o — 7 61 Installer's ame,Address,and Tel.No. Sv8- 3 78 —glf7 4 Designer's Name,Address and Tel.No. sv& - PO 80,% G194 7i ,�...,.,•t�o•\,r 12 WC-1 .Gti1 is Type of Building: f_ , Dwelling No.of Bedrooms 3 Lot Size 2 0 047 sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow 3 3 a gallons per day. Calculated daily flow 33 0 gallons. Plan Date " ' ° Number of sheets _ Revision Date Title J>A-000461-5 t✓)0s11— (J�G'•+4o� c-� ..� 7 �AD'T S-c���.y ..� Size of Septic Tank / o Type of S.A.S. Description of Soil Nature of Repairs or Alterations(Answer when applicable) •-� TjvJ T�i l.L O�� '+� tS /TJ Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in'accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certifi- cate of Compliance has been issued b o f Health. Sign d Date 9A/0 Application Approved by Date 6 d Application Disapproved for the following reasons Permit No ., /> — Date Issued G . No. v — /0 I Fee N001- THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC F EALT!i;DIVISION -TOWN OF BARNSTABLE;-MASSACHUSETTS ftprication for Migozal bpztem Construction Permit Application for a Permit to Construct(/,*Repair( )Upgrade Abandon( ) ❑Complete System ,Individual Components Location Address or Lot No. 79' C,Ar r E " y Owner's Name,Address and Tel.No. j U�',260 7 L J-Y— Assessor's Map/Parcel ��j Lpi� r T • i? l_'} '^y LoT AJ-J 2— Installer's Name,Address,and Tel.No. S 0_0- Designer's Name,Address and Tel.No. n �/�O1r, r . J��.�,+ i • ,�r G /�/G , ni. t_2V,. t Jan1�J if+ a �2 &U,7 S 7 eA­ C4 ,r j­ F 0 1 l/ In Type of Building: U D 7 Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow 3 3 y gallons per day. Calculated daily flow 3 ,30 gallons. Plan Date (� Z " Number of sheets Z- Rev�}''sion Date Title p �u,�'uS� '� .+nT (/�n�j �44 •�<. , �/7 .� ('�J''% �c� L .� Size of Septic Tank Type of S.A.S. L S° rr�< Description of Soil ' 1, Nature of Repairs or Alterations(Answer when applicable) Z '""'�`+`` o/,7 Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certifi- cate of Compliance has been issued bythi/s oard- f Health. Signed-_\(� � �` ' Date 9/ " Application Approved by �__ Date Application Disapproved for the following reasons Permit No. .�-�/G 3-7 Date Issued I G N. o --------------------------------------- THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS Certificate of Compliance THIS IS TO CERTIFY, that the On-site Sewage Disposal System Constructed( )Repaired( )Upgraded( ) Abandoned( ) y � F Q at 21 L b 110 no t N has been constructed in accordance with the provisions ohitle 5 and the for Disposal System Construction Permit No. /D `3 21dated Installer Designer r9Q`ell T �— The issuanc o thi permit shall not be construed as-a- arantee that the syste = will functi//o��A�as esigned. Date_ �� Inspectorw` , • No. r. C� C/ � � t Fee: THE COMMONWEALTH OF MASSACHUSETTS /y PUBLIC HEALTH DIVISION BARNSTABLE., MASSACHUSETTS li!5po!5a[ *p5tem Con!6truction Permit Permission is hereby granted to Construct( �) epair Upgradf( )Abandon( ) System located at n1 Ce<f L �Q �ko"� 1�/ 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. 1 Provided:Construc 'on167st be completed within three years of the dat ef thisp� � /Tate: _Approved b 11/04/2010 08:37 5084775313 ENGINEERING WORKS PAGE 01 Town of Bamstable Regulatory Services Thomas F.Geller,Director Public Health Division Thomas MdCean,Director M Maim street, IYsmtis,MA 0201 office: 108-M-4W f1w 501090-6M M ,�-CA t," Otw-VKe co, 0 wt q r On _ � OA%u was issued a permit to install a (daft) based on a design drawn by 4'e,t.;S" dated Y 17-4 c 6 aC I certify that the septic system referenced above was installed substantiallyy according to the design, which may include minor approved changes such. as lateral relocation of the distribution box and/or septic tank. Stripout (if required) was inspected and the soils were found satisfactory. 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 oP arty companeat of the septic system)but in accordance with State& Local Regulations. Plan revision or certifiod as-built by designer to follow. Stripout(if required)was inspected W the soils were found satisfactory. OF MRS PETER T. C� 5 } Mc.ENTEE y CIVIL No.36109 (Designer'sSignature)- ignature (A +Y /� B T q:bffioe�Wms;�immaoe r' Town of Barnstable r# , Department of Regulatory services t , r Public Health DivisiMASS on 163¢ �� 206 Main-Street;Hyannis MA 02661 Date Scheduled a 3 0 /.�. --- —_ Time --f=� Fee Pd. i Clr7 G,p Soil Suitability Assessment for Sewage isposal Performed By: c1 c Witnessed By: LOCATION&GENERAL INFORMATION ; Location Address Owner's Name C.eat 4-e�v�i � - ' Adams � ... . Assessor's.Map/Pamel: ?-3 f S( Engineer's Name _ NEW CONSTRUCTION REPAIR' Telephone# � — j 7-- Land Usey�* �u2� 1 Slopes (%) a . 2 'Surface Stones Distances:from: Open Water Body fit Possible Wet Area 1 '. Z_ft Drinking Water Wel ( d ft Drainage Way f Cd' ft Property Une _3Uft Other TMft SI{ETC)rIr(Street name;dim ons of lot, ct locations ofmt holes pert tests,locate wetlands in.proximity to holes) r — ParentmatMal(geologic) �J "\ Depth to Bedrock Depth to Groundwater. Standing Water in Hole: ll Weeping from Pit Face lrvl Estimated Seasonalg water Hi h Ground 3'Z r� DETERIVIINATION FOR.SEASONAL HIGH WATER TABLE Method Used: Depth Observed standing in obs.hole: in, Depth to soil:mottles: In. Depth to weeping from side of obs.hole: In. ©roundwater Adjustment & Index Well# Reading Date: Index Well level Adj,factor A4j-..0roundwater Level PERCOLATION TEST Date , Time Observation Hole# Time at 4" _ Depth of Perc / Time at 6" Start Pre-soak Time @ L End Pre-soak (hL� Rate Min Jlnch; ' Site Suitability Assessment: Site Passed�_ Site Failed: Additional Testing Needed(Y/N) . Original: Public Health Division . Observation Hole Data To Be Completed on Back----------- ***If percolation test is to be conducted within 100' of wetland,you must first notify the. Barnstable Conservation Division at least one (1) week prior to beginning. Q:XSEPPICIPERCFORM.DOC 1 DEEP.OBSERVATION HOLE LOG Hole#: Depth from Soil Horizon Soil Texture Sdil Color Soil Other Surface(in.) (USDA) (Mansell), Mottling (Structure;Stones;Boulders:. d. t v 2 43 Z DEEP OBSERVATION HOLE LOG Hole# z— Depth firm Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Mansell) Mottling (Structure,Stones,Boulders. . Consistency.% tl ,13 . N►,c S ti��l 2, DEEP OBSERVATION HOLE LOG Hole# 3 - Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure;Stones,Boulders._ nnCon i to Gravel) --30 �- W. DEEP'OBSERVATION HOLE LOG Hole# Depth-from Soil Horizon Soil Texture Soil Color Soil Other Surface(in:)' (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Con Flood Insurance:'Rate Map: A Jib a 500 year;flood boundary No_ Yes Within 5Q11'year`boundary No Yes Within wo year now boundary No Yes Death of Natur-1 Occurring Pervious Material Does at least four feeiof naturally occurring pervious aterial.exist in all areas observed throughout.the area proposed for the soil absorption system? .� If not,what is the depth`of naturally occurring pervious matorial? Cecata°n I"certify that on �6 4 (date)I have passed the soil evaluator examination approved by-the D epartment of Environmental Protection and that the.above analysis was performed by me consistent with .{ the required-train* ,expertise and a perience described"in BTU ClvlIt 15.U1T. Date l (.0 signature Q`S.BP`t l0PBRCFORM:DOC TOWN OF BAMSTABLE LOCATION 79 &19 SEWAGE # Zo/o —37 j 25o — /t ` ELLAGE ��% ^' �`"`�� ASSESSOR'S MAP & LOT e—-1 o INS1 ALLER'S NAME&PHONE NO. No^'*+` SEPTIC TANK CAPACITY /o o v Gisc.c i LEACHING FACILITY: (type) Z —.rov Gs�c.a chi'"'°' (size) ZS 3 .L 1 NO.OF BEDROOMS 3 BUILDER OR OWNER R --/ �na ry PERMTTDATE: 9��b �' v COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table and Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility (If any wells exist on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) `` // Feet Furnished by M"-%'— --�- "'01 Ale,rna...& (j-ACra.vtirklJ - �F 3 t ' 46 S2• SS S Z. R 6 o j �\ v t-•' R COMMONWEALTH OF MASSACHUSETTS EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS DEPARTMENT OF ENVIRONMENTAL PR ONE WINTER STREET, BOSTON MA 02108 (617) 5 WILLIAM F.WELD 11ECEIVG� TRUDY CORE Governor Secretary ARGEO PAUL CELLUCCI to APR - 199T 'AVID B. STRUHS Lt. Governor TOWN OF BARNS AM Commissioner 2 NEAIT--rpT. SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTI 8 PART A CERTIFICATION Property Address: Z`1P (jR.til.J t k U . Address of Owner: QQWCL �SUJG� Date of Inspection: 313%\y1 (If different) —1 C► Tp��w � y Name of Inspector: Company Name, Address and Telephone Number: ♦��'`Aw3T1 L F.1J J Cc Mr�.v`h�.,�•C:�ox a��y i ri r<sr x�, P1 n o Z��a°� C S u�G� 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 inspection. The inspection was performed based on my training and experience in the proper function and maintenance of on-site sewage disposal systems. The system: Passes Conditionally Passes _ Needs Further Evaluation By the Local Approving Authority Fails Inspector's Signature: Date: The System Inspector shall submit a copy of this inspection report to the Approving Authority within thirty (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 Department of Environmental Protection. The original should be sent to the system owner and copies sent to the buyer, if applicable, and the approving authority. INSPECTION SUMMARY: Check A, B, C, or D: A] SYSTEM PASSES: _ I have not found any information which indicates that the system violates any of the failure criteria as defined in 310 CMR 15.303. Any failure criteria not evaluated are indicated below. B] SYSTEM CONDITIONALLY PASSES: One or more system components need to be replaced or repaired. The system, upon completion of the replacement or repair, passes inspection. Indicate yes, no, or not determined (Y, N, or ND). Describe basis of determination in all instances. If"not determined", explain why not. The septic tank is metal, cracked, structurally unsound, shows substantial infiltration or exfiltration, or tank failure is imminent. The system will pass inspection if the existing septic tank is replaced with a conforming septic tank as approved by the Board of Health. (revised 11/03/95) A i� Printed on Recycled Paper SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A g i CERTIFICATION (continued) PropertyppAddress: Owner: f Date of Inspection: s B] SYSTEAA(COIDITIONALLY PASSES (to 'nt nued) Sewage backup or breakout or high static water level observed in the distribution b is due to broken or obstructed pipe(s) or due to a broken, settled or uneven distribution box. The system will p inspection if(with approval of the Board of Health); —400!N roken pipe(s) are replaced '�* obstruction is removed distribution box is levelled or replaced _ The system required pumping more than four times a year due.to.broke 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 C] FURTHER EVALUATION IS REQUIRED BY THE BOARD OF HEALTH: Conditions exist which require further evaluation by the Board of ealth in order to determine if the system is failing to protect the public health, safety and the environment. 1) SYSTEM WILL PASS UNLESS BOARD OF HEALTH DETER ES THAT THE SYSTEM IS NOT FUNCTIONING IN A MANNER WHICH WILL PROTECT THE PUBLIC HEALTH AND SAF AND THE ENVIRONMENT: Cesspool or privy is within 50 feet of a surfac water _ Cesspool or privy is within'50 feet of a bor ring vegetated wetland or a salt marsh. 2) SYSTEM WILL FAIL UNLESS THE BOARD OF H LTH (AND PUBLIC WATER SUPPLIER, IF APPROPRIATE) DETERMINES THAT THE SYSTEM IS FUNCTIONING IN A MANNE THAT PROTECTS THE PUBLIC HEALTH AND SAFETY AND THE ENVIRONMENT: The system has a septic tank and oil absorption system and is within 100 feet to a surface water supply or tributary to a surface water supply. _ The system has a septic tank d soil absorption system and is within a Zone I of a public water supply well. _ The system has a septic tan and soil absorption system and is within 50 feet of a private water supply well. _ The system has a septic toi and soil absorption system and is less than 100 feet but 50 feet or more from a private wate supply well, unless a w water analysis for coliform bacteria and volatile organic compounds indicates that the well is free from pollution fro that facility and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than ppm• 3) OTHER (revised 11/03"/95) 2 t �T SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address: Owner: Date of Inspection: D] SYSTEM FAILS: I have determined that the system violates one or more of the following failure criteria as defin in 310 CMR 15.303. The basis for this determination is identified below. The Board of Health should be contacted to determ' a what will be necessary to correct the failure. Backup of sewage into facility or system component due to an overloaded or clo ed SAS or cesspool. Discharge or ponding of effluent to the surface of the ground or surface water due to an overloaded or clogged SAS or cesspool. Static liquid level in the distribution box above outlet invert due to an ov loaded or clogged SAS or cesspool. Liquid depth in cesspool is less than 6" below invert or available volu a is less than 1/2 day flow. Required pumping more than 4 times in the last year NOT due to c gged or obstructed pipe(s). Number of times pumped _. Any portion of the Soil Absorption System, cesspool or privy is elow the high groundwater elevation. Any portion of a cesspool or privy is within 100 feet of a su ace water supply or tributary to a surface water supply. Any portion of a cesspool or privy is within a Zone I of public well. Any portion of a cesspool or privy is within 50 feet of private water supply well. Any portion of a cesspool or privy is less than 100 eet but greater than 50 feet from a private water supply well with no acceptable water quality analysis. If the well has en analyzed to be acceptable, attach copy of well water analysis for coliform bacteria, volatile organic compounds, monia nitrogen and nitrate nitrogen. EJ LARGE SYSTEM FAILS: The following criteria apply to large systems in a ition to the criteria above: The system serves a facility with a design flow/ f 10,000 gpd or greater (Large System) and the system is a significant threat to public health and safety and the environmen because one or more of the following conditions exist: the system is within 400 feet of 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 +trogen sensitive area (Interim Wellhead Protection Area (IWPA) or a mapped Zone II of a public water supply well) The owner or operator of any such syste shall bring the system and facility into full compliance with the groundwater treatment program requirements of 314 CMR 5.00 and 6.0 Please consult the local regional office of the Department for further information. (revised 11/03/95) 3 � f SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B CHECKLIST Property Address: I Ct*Tl^' ��\finny Owner: Pus&.04 Date of Inspection: ek0-t, Check if the following have been done: `b Pumping information was requested of the owner, occupant, and Board of Health. None of the system components have been pumped for at least two weeks and the system has been receiving normal flow rates during that period. Large volumes of water have not been introduced into the system recently or as part of this inspection. NOAs built plans have been obtained and examined. Note if they are not available with N/A. The facility or dwelling was inspected for signs of sewage back-up. The system does not receive non-sanitary or industrial waste flow. The site was inspected for signs of breakout. All system components, excluding the Soil Absorption System, have been located on the site. The septic tank manholes were uncovered, opened, and the interior of the septic tank was inspected for condition of baffles or tees, material of construction, dimensions, depth of liquid, depth of sludge, depth of scum. The size and location of the Soil Absorption System on the site has been determined based on existing information or approximated by non-intrusive methods. The facility owner (and occupants, if different from owner) were provided with information on the proper maintenance of Sub- Surface Disposal System. (revised 11/03/95) 4 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION Property Address: 'j cl &e-rr13 AB.Q.I1pCV1A Owner: V'uus.Wood. Date of Inspection: FLOW CONDITIONS RESIDENTIAL: Design flow: allons Number of bedrooms:_ Number of current residents: ON Garbage grinder (yes or no): ►moo Laundry connected to system (yes or no):%!jtS Seasonal use (yes or no):_1Q Water meter readings, if available: Iun Last date of occupancy: UZI COMMERCIAUINDUSTRIAL: Type of establishment: Design flow:_gallons/day 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: OTHER: (Describe) Last date of occupancy: GENERAL INFORMATION PUMPING RECORDS and source of information: Tt coned \ICQ AA 5- /�TZNcPet_n h►r"�-V4tU c 2 „T1l��IG2 QYL.►oJ1 Fa IN��Qralory System pumped as part of inspection: (yes or no)_yl;r_S If yes, volume pumped: allons Reason for pumping: %%A*\NNTV�IC--e 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) Other (explain) APPROXIMATE AGE of all components, date installed (if known) and source of information: Sewage odors detected when arriving at the site: (yes or no) NO (revised 11/03/95) 5 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: - �Address: � "T* C Owner: u-&&'-apd Date of Inspection: 3V3AC+1 SEPTIC TANK: v CS (locate on site plan) Depth below grade: 12 Material of construction: l_concrete _metal _FRP —other(explain) Dimensions: 40L��M► Sludge depth: t.t U Distance from top of sludge to bottom of outlet tee or baffle:_ Scum thickness: " It Distance from top of scum to top of outlet tee or baffle: 10 �t Distance from bottom of scum to bottom of outlet tee or baffle: 16 Comments: (recommendation for pumping, condition of inl t and outlet tees or baffles, depth of liquid level in relation to outlet invert, stru ral integrity, evidence of leakage, etc.) ftT—INOPCnovI r U cJ T T GREASE TRAP:'44}� (locate on site plan) Depth below grade: Material of construction: _concrete _metal _FRP —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: Comments: (recommendation for pumping, condition of inlet and outlet tees or baffles, depth of liquid level in relation to outlet invert, structural integrity, evidence of leakage, etc.) (revised 11/03/95) 6 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C G `` SYSTEM INFORMATION (continued) Property Address: J 1 CkPTIN Q�-d lv*YV1 j Owner: Date of Inspection: 31s1�,1 TIGHT OR HOLDING TANK: (locate on site plan) Depth below grade: Material of construction: _concrete _metal _FRP—other(explain) Dimensions: Capacity: eallons Design flow: gallons/day Alarm level: Comments: (condition of inlet tee, condition of alarm and float switches, etc.) DISTRIBUTION BOX:j kS (locate on site plan) I- Depth of liquid level above outlet invert: l1 Comments: (note if level and istributio is equal, evidence of solids carrygver, evidence of leakage into or out of box, etc.) �q� ` PUMP CHAMBER: 60 (locate on site plan) Pumps in working order:(yes or no) Comments: (note condition of pump chamber, condition of pumps and appurtenances, etc.) (revised 11/03/95) 7 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: 7y T�N 1aLQ4w A Owner--'7QtS.g � Date of Inspection: 31�tI9—� SOIL ABSORPTION SYSTEM (SAS): (locate on site plan, if possible; excavation not required, but may be approximated by non-intrusive methods) If not determined to be present, explain: Type: leaching pits, number: 6o leaching chambers, number:_ leaching galleries, number: leaching trenches, number,length: leaching fields, number, dimensions: overflow cesspool, number: Comments: (note condition of soil, signs of hydraulic failu e, leve of nding, condit' n of vegetation,etc.) N I ✓�► - a✓ CESSPOOLS: (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 (cesspool must be pumped as part of inspection) 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.) (revised 11/03/95) 8 r SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) 1 PropertyAddress: -T (xi pTN �e�\gv►1vt Owner: Ve&svxcx� Date of Inspection: 3'31Ft� SKETCH OF SEWAGE DISPOSAL SYSTEM: include ties to at least two permanent references landmarks or benchmarks locate all wells within 100' q � O C� 3 2 t 1 N\- \S �L- D L 8z" 33 DEPTH TO GROUNDWATER Depth to groundwater: t U feet method of determination or approximation: GD�U uq v (revised 11/03/95) 9 No.. .`_7� Fss.41...a. .... ... THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH L- 000Y----------------OF...... ANsT L ................................... Appliration for Disposal Workii Tnnitrnrtion Famit Application is hereby made for a Permit to Construct ) or Repair ( ) an Individual Sewage Disposal System at: ., L„ Z�. ....;/0...... ..........................................I4l G. C...... ............................ Location Address or Lot N z ,limit � - ..---- o 14. Flo !YT �t'tL�, - �•-• ..... Owner Address a - F .......tSGo�, .......................... --- ......................... .•- Installer Address Type of Building Size Lot_Zro-229`1......Sq. feet Dwelling—No. of Bedrooms........5.................................Expansion Attic (A/a) Garbage Grinder (No) aOther—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) C4 Other fixtures -------------------------------- . W Design Flow.......1.�.S.............................gallons per person per day. Total daily flow_____;5.3.0......................... 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.......................... ........1.................................................................................................................................................... O Description of Soil D_.'z--.._..L�� ..!4.VL ...SG�} tl�,.,------------------- .................................................. ------------------ W ...............-........................................................................................................................................................................................ UNature 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 TITIZ- 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. Sig ed -•----......�1 ..-- D�a�t 8e Application Approved BY •-- --•---.. c e�-•--- u- •--------- ..... Date9- APPlication � _.. Disapproved for the following reasons---------------------------------------------•----------------------------------••-•-•---------•-----......... ---------------------•-•....--------••--......_..-•-•----•-.....-•---------------••------------------------•••----•--•-•------••••-•---------•--•-----••••------•-------•---•---••------------•......_.. q" Date PermitNo--------�5 - / _ _ Issued....................................................... Date p Fus ..... ........0...... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH AV.oe&.................OF.......f '" . r..::::........ ......-----------•------------------ Allp iration for Diopooal Works Tons#rurtion ramit Application is hereby made for a Permit to Construct (`, ) or Repair ( ) an Individual Sewage Disposal System at Location Address or Lot No Owner Address a •---..... ..•........... .............. ......•- -_.....------------. ••-•-----•-•........................-•--••.. Installer Address Type of Building Size Lot.2SJ.C!7__._..Sq. feet va ( 4Dwelling—No. of Bedrooms....... .................................Ex anion Attic (vr�) Garba e Grinder ) p l Other—Type of Building ............................ No. of persons......................_----- Showers ( ) — Cafeteria ( ) Q' Other fixtures --- :- _._ W Design Flow____.. -�. .............................gallons per person per day. Total daily flow-_ I--- .........................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 �Y ) Dosing tank ( ). Percolation Test Results Performed by.......................................................................... Date........................................ aTest Pit No. L. .....�--....minutes per inch Depth of Test Pit Depth Depth to ground water-___° a , . , Gz, Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water......................... P; . -•--•--•----•---•--•----•---•-•--•.............................................•--•••---•-•-•---••-•......--------...._..---- D Description of Soil... '...... ...... � '? N:�:>«�_..-5 !,_. ------•••--- •-------•--•••-------•-------•-•................... •--------•--••-•-------•--•...... W ----••••----------•------------•••-•--•••--•--•-•••••-------------------•-•-•••••-•••-•--•••----••-----•--•••-----------•••-------•--------•----•---•------••------••••-----------••-----••--•-•----•••. UNature 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 TITL%. 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. j fr i S.g - 0z)_; ;i ed --- � ----- 4.1� � Bate= APPlication Approved BY ------•.._. � �.�__ -•--• . Date r Application Disapproved for the following reasons----------------•----•---------------•-------------------------••-------------------------------•------•-•..... .....................•-----....--•-•--------•----------------------------------------................-------------------.......-•----------------------------------------------•-----------•---........_ Date Permit No............ - ---._•..... Issued.. Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ...... r .....................OF ................................. (Inrtifirtttr of Tontpliana THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed (AL) or Repaired ( ) by t � t...�,�. sic ..t..... -- ----- - »,. Installer at.... "•-----• . ~Rit.�------ :, �'"...... . , j � .r --- -------------------------- has.been,installed in accordance with the provisions of TITIF Hof The 5 ate Sanitary Co described in the application for Dis osal Works Construction Permit No.._. .�' .._..!t"� _ dated--------- *HE ,.Ir___ _L-1.�_a'S'�.. PP P ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CON RISE® AS A BARA TEE THAT THE SYSTEM WILL U TI N SATISFACTORY. DATE.......... • ........-•---•..........................•-----....... Inspector... 69 THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH w�1*....................OF..... ^.r`Ai�!p ................................ 0 0 No. l, FEE........................ w Disposal Works VO notrnrtuan- ami# Permission is hereby granted----------`'" a?6t",r.= ........ «_ ,. --•----••------•--------------------------------------------•------ to Construct ( ) or;Repair ( ) an Individual Sewage Disposal System �! «6.e 7"' /() S~.,,,- 12"1 i/Y iw.:_.._ 'y' A� 1 1 �4NfS«.::.r a. •-----••-•---•---•-•--•------- at No. -•..............................• € -<-• !°l.. a ._ Street r as shown on the application for Disposal Works Construction Permit No.U-i. _?�_ Dated------ ._t.`�d .......... .................................... � � ........................................... Board of Health - DATE------------�.. ..�A� .?J.--•............. FORM 1255 A.,M.. LKIN, INC., BOSTON r e � A - Is- -377 4— r 2D�0197 / x # a o A J v ' &�'i � 0 � a B. ,ri � n1 cy�tl>I o N F>A/PAGE .S► G� S'C�'}II CK-S . ' rLDR 'DGE �' 10 0 v. NUTC iASSlJMP. 7 i 11. . � PRDTJcT�oN P. a' ' �fCiSTERk� 3?" 1 SC—GT jr G.E,T WAIKlik ,,. t S9 T I t. iVIpRSE. ran ! NIN'\ (7/A 14 `PW1 -p y 1 ' � Af LEGEND ,I=;TING. SPOT - ELEVATION CAA CERTIFIED PLOT PLAN to-IT 014 CONTOUR --- 0 -- ISMEOt: SPO'T;. ELEVATION (� LoT /o GAIT-/��LL/i�"1y7477 1l�fi,�MED{.'CONTOUR - 0 — ��I/TC1ZC//L LE y :PThe''location of any "existing under and sewerage £ I N xWe1jrP.4 or,_other. :utilities shown on this plan is approx- F itgto'-onl ';as 'determined from records and/or verbal SA k,S VAD LA,LAill ASS* t> oriation; ,The 'contractor is responsible for the ,; ► ion'-of the, existing locations in the field. SCALE, / 40 DATE i 6 2-.4��s" I�DREDM-ENO/NEER/NG CO.-29 CLIENT__:___r__ I CERTIFY THAT THE PROPOSED ECISTRII� - ' REGISTERRD JOB NO. BUILDING BUILDING SHOWN ON THIS PLAN �2r"CIV11. LAND CONFORMS TO THE ZONING LAW 5mires DR.BY, i4......:..=..; pF B RNSTABL , MASS x s� '6.0 =',T12, MAI N STREET*,:. ,, CN. BYE '� �t'8s t. , `i #'�, :"t` M YA N N.I S, .MASS. 7i SHEET_L OF �" D TE REG. LAND SURVEYOR f rr: ,,.; c A „{ Sr I1/OTE THE SEPT/C TANK OR t P/T ARE MORE 7WA.41 /2"SP40J$V 240O/AME7-.EK CO3VC'R ETE C-OPZ,4r lN. i SWALL DE BAaUGNT TO GRADE.(� lV .EXTR/4 r J '. Q PVC PIPE illie.4Vy CAS7' /RO/V C0V4FR SNALI_ BE USFO CONCRETE M/N- P/7' ✓E A C S � s O O VFR p FT. CO YE/= CL EA.ti SAND 40. Ole s r y f/N.PlTC. G. L. D/ST. • •i . . • • . .a . •. wA5, -57 %a"P�►ie !•'T SEPT/ ' TA/VK BOX • ' • $ • • • • • •• `••' _ (: • � • � • t� c, • •EFFECT/✓E ' * . , 3114 • • • • • DEPTJI • • • • • • • WA5,q STONE . . � � PRECAS T113 -3 SE�fi4GE r � • • • • • � • + • o P/70R EVU/V. lmvZKr G`L R VA 7/O/v5 7 �f;� c � �y 4 ��� �-;� l f- y � . s `� �6.7 NYEitT AT QU/LD/NG 5'Z . FT S/.7 J Z FT. PIAM. CCSEE TpBlJL.4TJON> INLET .SEPTA' TANK fT, :�- 04174Z7- SEP7/C TANK 1 .-s I-S FT. IJVLE7•D/STR/ONT/ON BOX 51.3 FY GROUND. It(�tTER TitaLE 3 I .SECTION O F' ��lTLETDlSTR1�3[lT'/ON SOX FT, INLF•T «ACN/NG O/7' 5o7 FT SEWAGE O/SP05AL SYSTEM TA81JL•AT/GN LEACH/NG P/T -3ow f-7• D.EStG/v CRITERIA jcALE D/NH+rSION a— -Fr• NU.NdER OF dEL>ROOMS �_ D/ME1V5/ON G `� FT.M"'' ' SARdXSE0/SPOS.SL UNIT !/DIVE SOIL LOG SOIL TEST. TOTAL EST/!✓FATED FLOvx✓ 33 o G•4L.IDAY SOIL TEST #/ SO/1- 7ES7**2 YUkr� axr L,-ACXIHO Pins / FCE✓. �¢7 --LEY. PATE OF 50/L TEST S/ i/DE LEACHING PER.PIT SV: fT. _ RESULTS JW/TNESSFD dY //3 Q ^--ACOLAT/ON P-ATAr tl LESS ^11AVINCN JOTTOM L,�4:N/NG PL°R P/T $Q. PT. L i 1� DOTAL LEACH,'nG AREA Z6¢ ,�� rT -�� /L PPhCOLAT/ON RATE2 ?/�i4� M/N.�INCH Zv 4 2,0 BESERYELE.4CNIN5AREA Z6% SG. fT. 2 OF LOT o G4 ,�T 13 C-GL4 r't Y Ls4.iVE cm t. �'JJ( �.�nJ.�D /�Mi�'I-_ I U�. _ •`,; .� ;� (�O i:: ED� `f ELORED6E Ear WZ MA/N -9 HYi1 N V.,- E3 No GROVNO k"r&R .ElVCOI/NTEREO EL/ENT• Ol,�T6=G. "z 8s QM[J/VO W,4TER;^T -EL C7/. JOd NQ7 6 7y d ... -. _ ..._... -._... -...... .. .. ... .. _ _... ...... ..— .-..r S-.-r, r".-.tee.fwn v. ........r.x . .. -- ...:.-.. .. r. ..�c ^yew.•a G" � ' TOWN OF BARNSTABLE SEWAGE #— �& ; ,VELLAGE ASSESSOR'S MAP & LOT.2 G / INSTALLER'S NAME&PHONE NO. SEPTIC TANK CAPACITY LEACHING FACILITY: (type) x (size) NO.OF BEDROOMS BUILDER OR OWNER DATE: 3 COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table and Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility (If any wells exist on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 f et of leaching facility) Feet Furnished by ��?�� � f eve O 32 CATION SEWAGE�` SEWAGE PERMIT NO. L of r 10 LkprLe bt Lftm-t S_ SS l0-'1 q -yILIAGE I N S T A LLER'S NAME A . ADDRESS e U I L D E R OR OWNER DATE PERMIT ISSUED OAT E COMPLIANCE ISSUED q` q-535 P 41 , yy``pp b f '. ..4; J uet —— 98 —— EXISTING CONTOUR equkc x 100.e8 EXISTING SPOT GRADE Lake 102 PROPOSED CONTOUR —HI EXISTING WATER SERVICE y °` c �° LOCUS S —G EXISTING GAS SERVICE =o Qo a mP or hif'�6 —O:H:VI—OVERHEAD WIRES z, yp � 0 � A f c o O 3, U UNDERGROUND WIRES a�e�o 3 Great Marsh Rd \' 28 TEST PIT oei Ro BENCHMARK r�o ute Route 28 Q LEGEND West Main Si LOCUS MAP NOT TO SCALE I Lot 10 APN 230-181 20,097±S.F. � I to o � , I �+ 98.07 , Lu 7.27 x 97.03 i ,2 ' \ S- ,`l, /zo N 97.74 BENCHMARK SET `` x 7,84 + 99.16 TP TOP OF CONCRETE/OUTSIDE -3 � ' �TP=, CORNER OF BULKHEAD _ — -�$" EXISTING LEACH PIT EL.=101.67 (ASSUMED DATUM) + �.5 TO BE PUMPED, FILLED W/ SAND AND ABANDONED 7 .f• 99.13 d x + ,4,49�/ town / � + 98. 97.17 a '� to / EXISTING SEP77C TANK -' TOP OF TANK, EL.=98.83 02 IN V.(OUT)=97.50+ +'57 87 I 99,37� O 0 2 o DECK sonotube --� fndn.l / N x 100,30 �\ N N I x 100.49 \o: to o i \; N �ExisnNc ��---� HOUSE(#79) GARAGE °+ 10 0.0 8 I m (slab) i o T.O.F-=10234t I (full cellar)' aa, x I 102.08 100.70 101.05 C 100.93x 100.07 100.81+ PAVED 3 0,51 DRIVE G� � x 100.75 • 100.23 G �\ 100.32 + 100.07 L=101.8 ' \\ R=52.50 + 100.33 41 6 1 99,75 99_96 99.93 ----- edAe 7po--------100 100.10 <�3 H D1 99.61 CAPTAIN BELLAM Y LANES ' 91 C N99.39 ?$ 00, CB 101.51 MgS'f o PETER T. PROPOSED SEPTIC SYSTEM UPGRADE PLAN MIEN L VIL CI 79 CAPTAIN BELLAMY LANE, CENTERVILLE, MA o. 35109 Prepared for: Daniel Prato, 79 Captain Bellamy Lane, Centerville, MA 02632 Engineering by: SCALE DRAWN JOB- NO. �OFS Engineering Works, Inc. 1"=20' P.T.M. 188-10 12 West Crossfield Road, Forestdale„ MA 02644 DATE CHECKED SHEET NO. � � �� (508) 477-5313 8/26/10 P.T.M. 1 Of 2 �s NOTE: TO PREVENT BREAKOUT, THE PROPOSED FINISH GRADE SHALL NOT BE < EL:95.0 FOR A DISTANCE OF 15' AROUND THE PERIMETER OF THE S,.A.S. PROPOSED S.A.S. SEPTIC TANK PROPOSED D-BOX PROVIDE TWO ACCESS MANHOLES TO WITHIN 3" INSTALL RISERS & COVERS OVER INLET INSTALL WATERTIGHT RISER & OF FINISH GRADE FOR INSPECTION PURPOSES T.O.F. AND SET TO 6" OF FINISH GRADE. COVER SET TO 6" OF GRADE PROVIDE ACCESS TO GRADE OVER OUTLET COVER F.G. EL: 98.3(MAX.) EXISTING F.G. EL.=99.4t F.G. EL: 97.5t f � MAINTAIN 2% GRADE (MIN.) OVER S.A.S. L = 46' L = 5'(MAX.) ® S=1% (MIN.) ® S=1% (MIN.) 4"SCH40 PVC 4"SCH40 PVC 10"1 6 aasa $ as 14" aaaa EXISTING 48" LIQUID 063,31310 I LEVEL ADD INV.=95.67 PROPOSED INV.=95.50 4' 5.2 4' GAS BAFFLE INV.=97.50t D-BOX EFFECTIVE WIDTH = 13.2- INV.=95.00 EXISTING SEPTIC TANK 2-500 GALLON LEACHING CHAMBERS SURROUNDED WITH STONE AS SHOWN H-10 RATED TOP CONC. ELEV.=95.3t NOTES: BREAKOUT ELEV.=95.0 easeOff F911.01. INV. ELEV.=94.50 aaaa 1) CONTRACTOR SHALL VERIFY ALL EXISTING PIPE aaaaa aaaaa aaaa aaaaa INVERTS, PRIOR TO INSTALLATION. BOTTOM ELEV.=92.50 2) D-BOX SHALL BE SET LEVEL AND TRUE TO GRADE ON 4' 12 X 8.5'=17.0' 1 4' A MECHANICALLY COMPACTED SIX INCH CRUSHED STONE 5' MIN. ABOVE BOTTOM OF EFFECTIVE LENGTH = 25.0' BASE, AS SPECIFIED IN 310 CMR 15.221(2). T.P. EXCAVATION OR G.W. 3) INSTALL INLET & OUTLET TEES AS REQUIRED. LEACHING SYSTEM SECTION 4) CONTRACTOR SHALL INSPECT EFFLUENT FILTER ON NO GROUNDWATER, EL.=86.6 - OUTLET TEE AND REPLACE IF NECESSARY. 3/4" TO t-t/Y DOUBLE WASHED STONE SEPTIC SYSTEM PROFILE 3" LAYER of 1/8" To 1/2" N.T.S DOUBLE WASHED STONE (OR APPROVED FILTER FABRIC)' ®®®® 0 ®®®® ®®®®®® ®®®®® 33" GENERAL NOTES: N ® Z ®��®®® ® ®®®® 1. ALL CHANGES TO THIS PLAN MUST BE APPROVED BY THE LOCAL BOARD OF HEALTH AND THE DESIGN ENGINEER. 2. ALL WORK AND MATERIALS SHALL CONFORM TO THE REQUIREMENTS OF THE STATE ENVIRONMENTAL CODE, TITLE V, AND ANY APPLICABLE 102" LOCAL RULES AND REGULATIONS. 3. THE SEWAGE DISPOSAL SYSTEM SHALL NOT BE BACKFILLED PRIOR TO-_INSP.ECTION AND APPROVAL BY THEBOARD OF HEALTH AND THE _ _ 4" KNOCKOUT- - - DESIGN ENGINEER. 4. ANY CONDITIONS ENCOUNTERED DURING CONSTRUCTION DIFFERING 20" DIA. COVER FROM THOSE SHOWN HEREON SHALL BE REPORTED TO THE DESIGN ENGINEER BEFORE CONSTRUCTION CONTINUES. 4" KNOCKOUT / 4" KNOCKOUT 62" 5. ALL ELEVATIONS BASED ON ASSUMED. 6. THE DESIGN ENGINEER IS NOT RESPONSIBLE FOR THE FAILURE OF 0 THE CONTRACTOR OR OWNER TO NOTIFY THE LOCAL BOARD OF HEALTH FOR PROPER INSPECTIONS DURING CONSTRUCTION. 4" KNOCKOUT 7. WATER SUPPLY PROVIDED BY TOWN WATER SERVICE. 8. THERE ARE NO WELLS WITHIN 150' OF THE PROPOSED S.A.S. 9. ALL AREAS CLEARED FOR CONSTRUCTION SHALL BE RESTORED AS 500 GALLON CAPACITY, H-10 LOADING AGREEDIRECTDEDUBYN BY OWNER THE APPROVING DAUTHORITIES.R OR AS OTHERWISE CHAMBERS 10. IT SHALL BE THE RESPONSIBILITY OF THE CONTRACTOR TO VERIFY THE LOCATION OF ALL UNDERGROUND UTILITIES, PRIOR TO BEGINNING CONSTRUCTION. SOIL LOG 11. WHERE REQUIRED, CONTRACTOR SHALL REMOVE ALL UNSUITABLE SOILS IN THE AREA BENEATH AND FOR 5' ON ALL SIDES OF THE S.A.S. AND DATE: AUGUST 23, 2010 (REF#13,032) REPLACE WITH CLEAN SAND AS SPECIFIED IN 310 CMR 255(3). SOIL EVALUATOR: PETER McENTEE PE 12. AREAS REQUIRING STRIPOUT OF UNSUITABLE MATERIALS SHALL BE WITNESS: DAVID STANTON R.S. HEALTH AGENT INSPECTED BY HEALTH DEPARTMENT PRIOR TO BACKFILL. 13. THIS PLAN IS TO BE USED FOR SEPTIC SYSTEM PURPOSES ONLY AND ELEv. TP-1 DEPTH ELEv. TP-2 DEPTH ELEV. TP-3 DEPTH IS NOT TO BE CONSIDERED A PROPERTY LINE SURVEY. 97.8 q 0 97.8 q 0 97.6 q 0., SANDY LOAM SANDY LOAM SANDY LOAM 10YR 4/2 10YR 4/2 10YR 4/2 97.3 B 6" 97.3 B 6" 97.1 B 6" SANDY LOAM SANDY LOAM SANDY LOAM 10YR 5/4 10YR 5/4 10YR 5/4 " DESIGN CRITERIA 95.3 C1 30" 95.3 C1 30" 95.1 C1 30" SILT LOAM 5Y 5/3 NUMBER OF BEDROOMS: 3 BEDROOMS 91.8 72" SOIL TEXTURAL CLASS: CLASS I C2 M-C SAND M-C SAND 2.5Y 6/4 2.5Y 6/4 DESIGN PERCOLATION RATE: <2 MIN/IN DAILY FLOW: 330 G.P.D. M-C SAND 2.5Y 6/4 DESIGN FLOW: 330 G.P.D. GARBAGE GRINDER: NO 86.8 132" 86.8 132" 86.6 132"`3 EXISTING SEPTIC TANK: 1000 GALLON CAPACITY PERC RATE <2 MIN/IN. (IN SAND) LEACHING AREA REQUIRED: (330) = 445.9 S.F. (TOWN RECORD) NO GROUNDWATER ENCOUNTERED .74 USE 2-500 GALLON LEACHING CHAMBERS IN SERIES PROPOSED SEPTIC SYSTEM UPGRADE PLAN SURROUNDED BY DOUBLE WASHED STONE ON ALL SIDES 79 CAPTAIN BELLAMY LANE, CENTERVILLE, MA SIDEWALL AREA: 2(13.2' + 25.0') X 2 = 152.8 S.F. ,1 BOTTOM AREA: 13.2' x 25.0' = 330.0 S.F. Prepared for: Daniel Prato, 79 Captain Bellamy Lane, Centerville, MA 02632 TOTAL AREA:..................... ........................................482.8 S.F. Engineering by: SCALE DRAWN JOB. NO. Engineering Works, Inc. NTS P.T.M. 188-10 DESIGN ,FLOW PROVIDED: 0.74(482.8) = 357.3 G.P.D. 12 West Crossfield Road, Forestdole, MA 02644 DATE CHECKED SHEET NO. (508) 477-5313 8/26/10 P.T.M. 2 Of 2