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HomeMy WebLinkAbout0291 GREAT MARSH ROAD - Health 2 1 IGREAT MARSH RD. CENLLE A = 38 F 0 i 0 �VECYCIfpCO NPC 10259 o. H1630R HASTINGS,UN r c2l0-138 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 291 Great Marsh Road Property Address Janet McHenry ` Owner Owners Name information is Centerville Ma 02632 July 24 2018 required for every page. City/Town State Zip Code Date of Inspection Inspection results must be submitted on this form. Inspection forms may not be altered in any way. Please see completeness checklist at the end of the form. Important:When A. General Information 4-51111fJ' (3c,20$ filling out forms on the computer, use only the tab 1. Inspector: key to move your cursor-do not Brett Hicky use the return Name of Inspector -- ----.key- _---__--- B 8 B Excavation ---------------- - - ---- --- _ _------- ------ - -- Company Name VQ 374 Route 130 Company Address Sandwich Ma 02563 City,I own State Zip Code 508-477-0653 S113747 Telephone Number License Number 1 B. Certification I certify that I have personally inspected the sewage disposal system at this address and that the information reported below is true, accurate and complete as of the time of the inspection.The inspection was performed based on my training and experience in the proper function and maintenance of on site sewage disposal systems. l am a DEP approved system inspector pursuant to Section 15.340 of Title 5(310 CMR 15.000).The system: F0 Passes ❑ Conditionally Passes ❑ Fails ❑ Needs Further Evaluation by the Local Approving Authority "�" �• ..- � 7-24-18 Brett Hicky "�m,�m�:,�«m Inspector's Signature Date 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 has a design flow of 10,000 gpd or greater,the inspector and the system owner shall submit the report to the appropriate regional office of the DEP.The original should be sent to the system owner and copies sent to the buyer, if applicable, and the approving authority. 'This report only describes conditions at the time of inspection and under the conditions of use at that time.This inspection does not address how the system will perform in the future under the same or different conditions of use. t5ins.doc•rev.6/16 Title 5 Official Inspection Form:Subsurface Sewage Disposal system•Page 1 of 17 4 ��pe Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments yy< 291 Great Marsh Road Property Address Janet McHenry Owner Owners Name information is Centerville Ma 02632 July 24 2018 required for every page. CitylTown State Zip Code Date of Inspection B. Certification (cont.) Inspection Summary: Check A,B,C,D or E/always complete all of Section D A) System Passes: ❑■ I have not found any information which indicates that any of the failure criteria described in 310 CMR 15.303 or in 310 CMR 15.304 exist.Any failure criteria not evaluated are indicated below. Comments: The system was in working order at the time of inspection. System did show signs of past back up. B) System Conditionally Passes: ❑ One or more system components as described in the"Conditional Pass"section need to be replaced or repaired.The system, upon completion of the replacement or repair,as approved by the Board of Health,will pass. Check the box for"yes", "no"or"not determined" (Y, N, ND)for the following statements. If"not determined,"please explain. The septic tank is metal and over 20 years old*or the septic tank(whether metal or not) is structurally unsound, exhibits substantial infiltration or exfiltration or tank failure is imminent. System will pass inspection if the existing tank is replaced with a complying septic tank as approved by the Board of Health. *A metal septic tank will pass inspection if it is structurally sound, not leaking and if a Certificate of Compliance indicating that the tank is less than 20 years old is available. ❑ Y ❑ N ❑ ND (Explain below): t5ins.doc•rev.6116. Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 2 of 17 Commonwealth of Massachusetts . Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary_Assessments. ___- 291 Great Marsh Road Property Address Janet McHenry Owner Owner's Name information is Centerville Ma 02632 July 24 2018 required for every page. Cityrrown State Zip Code Date of Inspection B. Certification (cont.) ❑ Pump Chamber pumps/alarms not operational. System will pass with Board of Health approval if pumps/alarms are repaired. B) System Conditionally Passes(cont.): ❑ Observation of sewage backup or break out or high static water level in the distribution box due to broken or obstructed pipe(s)or due to a broken, settled or uneven distribution box. System will pass inspection if(with approval of Board of Health): ❑ broken pipe(s)are replaced i ❑ Y ❑ N ❑ ND(Explain below): ❑ obstruction is removed ❑ Y ❑ N ❑ ND(Explain below): ❑ distribution box is leveled or replaced ❑ Y ❑ N ❑ ND (Explain below): ❑ The system required pumping more than 4 times a year due to broken or obstructed pipe(s).The system will pass inspection if(with approval of the Board of Health): ❑ broken pipe(s)are replaced ❑ Y ❑ N ❑ ND (Explain below): ❑ obstruction is removed ❑ Y ❑ N ❑ ND(Explain below): C) Further Evaluation is Required by the Board of Health: ❑ Conditions exist which require further evaluation by the Board of Health in order to determine if the system is failing to protect public health, safety or the environment. 1. System will pass unless Board of Health determines in accordance with 310 CMR 15.303(1)(b)that the system is not functioning in a manner which will protect public health, safety and the environment: ❑ Cesspool or privy is within 50 feet of a surface water ❑ Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh t5ins.doc-rev.6/16 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 3 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 291 Great Marsh Road Property Address Janet McHenry Owner Owner's Name information is Centerville Ma 02632 July 24 2018 required for every page. City/Town State Zip Code Date of Inspection B. Certification (cont.) 2. System will fail unless the Board of Health (and Public Water Supplier, if any) determines that the system is functioning in a manner that protects the public health, safety and environment: ❑ The system has a septic tank and soil absorption system(SAS)and the SAS is within 100 feet of a surface water supply or tributary to a surface water supply. ❑ The system has a septic tank and SAS and the SAS is within a Zone 1 of a public water supply - - - - -- - -- ❑ The system has a septic tank and SAS and the SAS is within 50 feet of a private water supply well. ❑ The system has a septic tank and SAS and the SAS is less than 100 feet but 50 feet or more from a private water supply well**. Method used to determine distance: **This system passes if the;well water analysis, performed at a DEP certified laboratory,for fecal coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered.A copy of the analysis must be attached to this form. i 3. Other: i i 1 I D) System Failure Criteria Applicable to All Systems: I You must indicate"Yes"for"No"to each of the following for all inspections: Yes No ❑ 0 Backup of sewage into facility or system component due to overloaded or clogged SAS or cesspool El a Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or clogged SAS or cesspool Static liquid level in the distribution box above outlet invert due to an overloaded ❑ 0 or clogged SAS or cesspool ❑ ❑ Liquid depth in cesspool is less than 6"below invert or available volume is less than 1/2 day flow t5ins.doc-rev.6116 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 4 of 17 I Commonwealth of Massachusetts Title 5 Official Inspection Form - Subsurface Sewage Disposal System Form-Not for Voluntary.Assessments s 291 Great Marsh Road Property Address Janet McHenry Owner Owner's Name information is Centerville Ma 02632 July 24 2018 required for every page. City/Town State Zip Code Date of Inspection B. Certification (cont.) Yes No ❑ O Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s). Number of times pumped: ❑ El Any portion of the SAS,cesspool or privy is below high ground water elevation. ❑ ❑ Any portion of cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply. ❑ [D Any portion of a cesspool or privy is within a Zone 1 of a public well. ❑ Q Any portion of a cesspool or privy is within 50 feet of a private water supply well. ❑ El Any portion of a cesspool or privy is less than 100 feet but greater than 50 feet from a private water supply well with no acceptable water quality analysis. [This system passes if the well water analysis, performed at a DEP certified laboratory,for fecal coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered.A copy of the analysis and chain of custody must be attached to this form.] ❑ . ❑ The system is a cesspool serving a facility with a design flow of 2000gpd- 10,000gpd. ❑ 0 The system fails. I have determined that one or more of the above failure criteria exist as described in 310 CMR 15.303,therefore the system fails.The system owner should contact the Board of Health to determine what will be necessary to correct the failure. E) Large Systems: To be considered a large system the system must serve a facility with a design flow of 10,000 gpd to 15,000 gpd. For large systems,you must indicate either"yes"or"no"to each of the following, in addition' to the questions in Section D. Yes No ❑ ❑ the system is within 400 feet of a surface drinking water supply ❑ ❑ the system is within 200 feet of a tributary to a surface drinking water supply ❑ ❑ the system is located in a nitrogen sensitive area(Interim Wellhead Protection Area—IWPA)or a mapped Zone II of a public water supply well If you have answered"yes"to any question in Section E the system is considered a significant threat, or answered"yes"in Section D above the large system has failed.The owner or operator of any large system considered a significant threat under Section E or failed under Section D shall upgrade the system in accordance with 310 CMR 15.304.The system owner should contact the appropriate regional office of the Department. t5ins.doc•rev.6116 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 5 of 17 i Commonwealth of Massachusetts - Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 291 Great Marsh Road Property Address Janet McHenry Owner Owner's Name information is Centerville Ma 02632 July 24 2018 required for every page. Cityrrown State Zip Code Date of Inspection C. Checklist Check if the following have been done.You must indicate"yes"or"no"as to each of the following: Yes No ❑ E] Pumping information was provided by the owner, occupant, or Board of Health ❑ 0 Were any of the system components pumped out in the previous two weeks? ❑ Has the system received normal flows in the previous two week period? Have large volumes of water been introduced to the system recently or as part of ❑ El this inspection? ❑ ❑ Were as built plans of the system obtained and examined?(If they were not available note as N/A) ❑ 0 Was the facility or dwelling inspected for signs of sewage back up? 0 ❑ Was the site inspected for signs of break out? E] ❑ Were all system components, excluding the SAS, located on site? El ❑ Were the septic tank manholes uncovered, opened,and the interior of the tank inspected for the condition of the baffles or tees, material of construction, dimensions,depth of liquid,depth of sludge and depth of scum? Was the facility owner(and occupants if different from owner)provided with El 0 information on the proper maintenance of subsurface sewage disposal systems? The size and location of the Soil Absorption System (SAS)on the site has been determined based on: 0 ❑ Existing information. For example, a plan at the Board of Health. ❑ O Determined in the field (if any of the failure criteria related to Part C is at issue approximation of distance is unacceptable)[310 CMR 15.302(5)] D. System Information Residential Flow Conditions: 3 3 Number of bedrooms(design): Number of bedrooms(actual): 349/GPD DESIGN flow based on 310 CMR 15.203 (for example: 110 gpd x#of bedrooms): t5ins.doc•rev.6116 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 6 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 291 Great Marsh Road Property Address Janet McHenry Owner Owners Name information is Centerville Ma 02632 July 24 2018 required for every page. City/Town State Zip Code Date of Inspection D. System Information Description: Number of current residents: Does residence have a garbage grinder? ❑ Yes ® No Is laundry on a separate sewage system? (Include laundry system inspection ❑ Yes © No information in this report.) Laundry system inspected? ❑ Yes ® No Seasonal use? ❑ Yes © No See below Water meter readings, if available(last 2 years usage(gpd)): Detail: 2016-92,000gallons 2017-76,000gallons Sump pump? ❑ Yes ■❑ No 3 months ago Last date of occupancy: Date Commercial/Industrial Flow Conditions: NA Type of Establishment: Design flow(based on 310 CMR 15.203): Gallons per day(gpd) Basis of design flow(seats/persons/sq.ft., etc.): Grease trap present? ❑ Yes ❑ No Industrial waste holding tank present? ❑. Yes ❑ No Non-sanitary waste discharged to the Title 5 system? ❑ Yes ❑ No Water meter readings, if available: t5ins.doc•rev.6/16 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 7 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 291 Great Marsh Road Property Address Janet McHenry Owner Owner's Name information is Centerville Ma 02632 July 24 2018 required for every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Last date of occupancy/use: Date Other(describe below): General Information Pumping Records: Source of information: Owner- date of last pump is unknown Was system pumped as part of the inspection? ❑ Yes ❑■ No If yes,volume pumped: gallons How was quantity pumped determined? Reason for pumping: Type of System: El Septic tank, distribution box, soil absorption system ❑ Single cesspool ❑ Overflow cesspool ❑ Privy ❑ Shared system (yes or no)(if yes, attach previous inspection records, if any) ❑ Innovative/Alternative technology.Attach a copy of the current operation and maintenance contract(to be obtained from system owner)and a copy of latest inspection of the I/A system by system operator under contract ❑ Tight tank.Attach a copy of the DEP approval. ❑ Other(describe): t5ins.doc•rev.6116 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 8 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 291 Great Marsh Road Property Address Janet McHenry Owner Owners Name information is Centerville Ma 02632 July 24 2018 required for every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Approximate age of all components,date installed (if known)and source of information: Oct-17-01 Were sewage odors detected when arriving at the site? ❑ Yes FE-1 No Building Sewer(locate on site plan): Depth below grade: feet Material of construction: ❑ cast iron 9 40 PVC ❑other(explain): Distance from private water supply well or suction line: Townfeet Comments(on condition of joints, venting, evidence of leakage, etc.): Septic Tank(locate on site plan): 1' Depth below grade: feet Material of construction: ❑Q concrete ❑ metal ❑fiberglass ❑ polyethylene ❑other(explain) If tank is metal, list age: years Is age confirmed by a Certificate of Compliance? (attach a copy of certificate) ❑ Yes ❑ No 1 Dimensions: 000gallons 9" Sludge depth: t5ins.doc•rev.6/16 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 9 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form s Subsurface Sewage Disposal System Form -Not for Voluntary Assessments-- 291 Great Marsh Road Property Address Janet McHenry Owner Owner's Name information is Centerville Ma 02632 July 24 2018 required for every page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) Septic Tank(cont.) 27" Distance from top of sludge to bottom of outlet tee or baffle 4" Scum thickness 6„ Distance from top of scum to top of outlet tee or baffle - - ---- ---- --- -- ----- ---- 121 -- --- Distance from bottom of scum to bottom of outlet tee or baffle Measured How were dimensions determined? Comments(on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage,etc.): The tank was in working order at the time of inspection with the liquid level equal with the outlet invert. The tank is in need of at this time and should be pumped every two years for maintenance. Grease Trap(locate on site plan): NA Depth below grade: feet 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: Date t5ins.doc•rev.6/16 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 10 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form -. Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 291 Great Marsh Road Property Address Janet McHenry Owner Owners Name information is Centerville Ma 02632 July 24 2018 required for every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Comments(on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): Tight or Holding Tank(tank must be pumped at time of inspection) (locate on site plan): NA Depth below grade: Material of construction: ❑ concrete ❑ metal ❑fiberglass ❑ polyethylene ❑other(explain): Dimensions: Capacity: gallons Design Flow: gallons per day Alarm present: ❑ Yes ❑ No Alarm level: Alarm in working order: ❑ Yes ❑ No Date of last pumping: Date Comments(condition of alarm and float switches, etc.): *Attach copy of current pumping contract(required). Is copy attached? ❑ Yes ❑ No t5ins.doc•rev.6/16 Tflle 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 11 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments - - 291 Great Marsh Road Property Address Janet McHenry Owner Owner's Name information is Centerville Ma 02632 July 24 2018 required for every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Distribution Box(if present must be opened)(locate on site plan): 0" Depth of liquid level above outlet invert Comments(note if box is level and distribution to outlets equal, any evidence of solids carryover, any evidence of leakage into or out of box, etc.): The d-box was in working order at the time of inspection with the liquid level equal to the outlet invert. a Pump Chamber(locate on site plan): Pumps in working order: ❑ Yes ❑ No* Alarms in working order: ❑ Yes ❑ No* Comments(note condition of pump chamber, condition of pumps and appurtenances, etc.): NA * If pumps or alarms are not in working order, system is a conditional pass. Soil Absorption System (SAS)(locate on site plan, excavation not required): If SAS not located,explain why: t5ins.doc•rev.6/16 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 12 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form - Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 291 Great Marsh Road Property Address Janet McHenry Owner Owner's Name information is Centerville Ma 02632 July 24 2018 required for every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Type: ❑ leaching pits number: (2)500 gallon chambers leaching chambers number: ❑ leaching galleries number: ❑ leaching trenches T number, length: ❑ leaching fields number, dimensions: ❑ overflow cesspool number: ❑ innovative/alternative system Type/name of technology: Comments(note condition of soil,signs of hydraulic failure, level of ponding, damp soil,condition of vegetation, etc.): The leaching chambers were dry when inspected but were stained to the top as the system appears to have been in hydraulic failure. Cesspools(cesspool must be pumped as part of inspection)(locate on site plan): NA Number and configuration Depth—top of liquid to inlet invert Depth of solids layer Depth of scum layer Dimensions of cesspool Materials of construction Indication of groundwater inflow ❑ Yes ❑ No t5ins.doc•rev.6116 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 13 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments w 291 Great Marsh Road Property Address Janet McHenry Owner Owner's Name information is Centerville Ma 02632 July 24 2018 required for every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Comments(note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): Privy(locate on site plan): NA Materials of construction: Dimensions Depth of solids Comments(note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): t5ins.doc-rev.6/16 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 14 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments - 291 Great Marsh Road Property Address Janet McHenry Owner Owner's Name information is Centerville Ma 02632 Jul 24 2018 required for every y page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Sketch Of Sewage Disposal System: Provide a view of the sewage disposal system, including ties to at least two permanent reference landmarks or benchmarks. Locate all wells within 100 feet. Locate where public water supply enters the building. Check one of the boxes below: ❑ hand-sketch in the area below ❑ drawing attached separately Al-23'6" I A2.29' A3.33' I 81.3T I A g 132.3T g3.36' I I © 0 LE I I I t5ins.doc•rev.6116 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 15 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 291 Great Marsh Road Property Address Janet McHenry Owner Owner's Name information is Centerville Ma 02632 July 24 2018 required for every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Site Exam: ❑■ Check Slope ❑■ Surface water X Check cellar ❑■ Shallow wells Oct-17-2001 Estimated depth to high ground water: feet Please indicate all methods used to determine the high ground water elevation: 0 Obtained from system design plans on record No GW 128" If checked, date of design plan reviewed: Date E Observed site (abutting property/observation hole within 150 feet of SAS) ❑ Checked with local Board of Health-explain: ❑ Checked with local excavators, installers-(attach documentation) ❑ Accessed USGS database-explain: You must describe how you established the high ground water elevation: A plan with perk test was used to determine groundwater to be greater than 128". Before filing this Inspection Report, please see Report Completeness Checklist on next page. t5ins.doc•rev.6/16 Tifle 5 official Inspection Form:Subsurface Sewage Disposal System•Page 16 of 17 Commonwealth of Massachusetts . Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 291 Great Marsh Road Property Address Janet McHenry Owner Owners Name information is Centerville Ma 02632 July 24 2018 required for every page. City/Town State Zip Code Date of Inspection E. Report Completeness Checklist H Inspection Summary:A, B, C, D,or E checked ❑■ Inspection Summary D(System Failure Criteria Applicable to All Systems)completed p■ System Information—Estimated depth to high groundwater ❑■ Sketch of Sewage Disposal System either drawn on page 15 or attached in separate file t5ins.doc-rev.6/16 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 17 of 17 THE COMMONWEALTH OF MASSACHUSETTS.� Entered in computer: Ye]�L/� PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS ZIppYicatfon for Mtopooal *p4tem Construction 3permit Application for a Permit to Construct( . )Repair KX)Upgrade( )Abandon( ) O Complete System ❑Individual Components Location Address or Lot No.291 Great Marsh Road Owner's Name,Address and Tel.No. Machin P.Mehenry Centerville,Mass. 291 Great Marsh Road Assessor'sMapTarcel A /® `—? F Centerville,Mass.02632 Installer's Name,Address,and Tel.No. 5 0 8—7 7 5—3 3 3 8 Designer's Name,Address and Tel.No.Ronald J C a d i l l a J.P.Macomber & Son Inc. P.O.Box258 pp 55 ggZZoo Box 66 Centerville,Mass.02632 West YarmouthIA8702b730 Type of Building: DwellingXX No.of Bedrooms 3 Lot Size sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures 320.7SF+151 .3SF Design Flow 3 4 9 gallons per day. Calculated daily flow gallons. Plan Date 1 0/1 7/01 Number of sheets Revision Date Title Size of Septic Tank DoU OC4 —TYpeofS.A.S.2-500 packedin 4 ' leaching sto Description of Soil: 2 SIX 1� x l Loamy sand to medium fine sand to coarse sand Nature of Repairs or Alterations(Answer when applicable) Adding two 500 gallon l e a c h i n g chambers to an existing tank R pit- 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 issue by this B d . Signed r Datel 112401 Application Approved by L Date 61 c Application Disapproved for the following reasons Permit No. Date Issued 1 l �r �� I Fee$ 50.00 �.... ,No.� �;J � �� ^�., .}�,�__ _ �,,...'�. � . . .,.' ;,,.,•y�,;,� .__ . _ r �• THE COMMONWEALTH OF MASSACHUSETTS " Entered in computer: ]Gives Yes <'PUBLIC HEALTH-DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS' Z[pplicatton..for�,Mf6pooaf *p�tetn Cbn!aruction Permit Application for a.Permit to Construct( , )Repair KX)Upgrade( )Abandon( . )! [IComplete System ❑Individual Components Location Address or Lot No.291 Great Marsh Road Ownec's'Name,Address and Tel.No. Machin P.Mehedry Centerville,Mass. = 291 •nGreat Marsh Road Assessor'sMap/Parcel Centerville,Mass.02632 Installer's Name,Address,and Tel.No. 5 0 8—7 7 5-3 3 3 8 Designer's Name,Address and Tel.No.Ronald J Cadillac J.P.Macolnber & Son Inc. P.O.Box258 00 55 pp Box 66 Centerville,Mass.02632 Best Yarmouth, ass�02�33� ' Type of Building- Dwelling X X'*o.of Bedrooms 3 Lot Size sq.ft. Garbage Grinder( ) Other tiType of Building No.of Persons Showers( ) Cafeteria( ) /�f Other Fixt es }_ -3'20.7SF+151 .3SF ' Design Flow 3 4 9 i gallons per day. Calculated daily flow ,.,,� /n r gallons. Plan,Date 1 0/1 7/0.1 Number of sheets-' Revision Date Title z Size of Septic Tank` Roo ITf, FX/' /Type of S.A.S.2-5°00 gallon leaching ' chambers packed in 4 ' of 1"" sto 4, oaiay cription of Soil: 7 5x1?' 1 "'y3 ' sand to medium fine sand to coaraP Band Nature of Repairs or Alterations(Answer when applicable) Adding two 500 crallon 1-'eaching chambers to an existing tank & nif' w Date last inspected: Agreement: " The undersigned agrees to ensure the construction` and maintenance of the afore described on-site sewage disposal system s 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 by this Biofirdpf =h. Signed 11 Datel 1 /2/01 Application Approved by - ill L _ �J�h-- Date a Application Disapproved for the following reasons 1 i _ Permit No.: _-X)-)t - i Date Issued '3A _-r l )V 17, 14o 114THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE;MASSACHUSETTS (Certifftate of Compliance THIS IS TO CERTIFY, that the On-site Sewage Disposal System Constructed( )Repaired(XX)Upgraded( ) Abandoned( )by J.P.Macomber &/Son Inc. J at 291 Great Marsh Road Ce,n'terville,Mass. has been constructed ihi acc rdance with the provisions of Title 5 and the for Disposal System Construction Permit No. `7( S dated i c C� Installer J.P.Macomber & Son Inc. . Designer Ronald J. Cadillac The issuance o this permit shall not be construed as a guarantee that the syst will iu ction as designed. Date Date 2 7,2°0) w Inspector tv.. /yf./t6✓ 1 ` e No. ��� r�I � -------------------------Fee 50.00 THE COMMONWEALTH OF MASSACHUSETTS ` PUBLIC HEALTH DIVISION — BARNSTABLE., MASSACHUSETTS ligozai *potent Cong;tructfon Permit Permission is hereby granted to Construct( ).Repair(XX)Upgrade( )Abandon( ) System located at 291 Great March Rna(i CEnterville,Mass. -.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 permit. r Date: H ' �0 /C) l Approved b PP Y , J TOWN OF BARNSTABLE C- U)CATION -. 716 R PAJ AA 4R511 &p- . SEWAGE # VILLAGE Ce V feR V lIle ASSESSOR'S MAP & LOTr?/U -I c�- INSTALLER'S NAME&PHONE NO. J,- /- MAC014 /9egt ,r .SON SEPTIC TANK CAPACITY /6 D 0 e ®Z D LEACHING FACILITY: (type)2__ OR V J eZZ-T (size) NO. OF BEDROOMS BUILDER OR OWNER M 4 ' �. Me kf PERMITDATE: llbjzvol COMPLIANCE DATE: I I •2©� 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 Edge of Wetland and Leaching Facility (If any wetlands exist within 300 feet of leaching facility) Feet Furnished by � � I "''-i��, , h„ -W -^a`•�. OW .�'`ar'Y: .."x.+�- 4• -` '1 ''- " •�i,., r ,r+ _ _ �•/�► �P ��[l� f#lC���'�i�� £WA E #� s i :C�' U TIQ V</fie E A SSESSO RS MAP E LOT. (G- INSTALLER'S NAME&PHONE NO. MACO.AI,3f �.�1`' SEPTIC.TANK;CAPACITY /- D D 0 - dL O r ! LEACHING FACILITY .(type) D"V &O eL S' (size) (rt _ r NO.=OF BEDROOMS BUILDER OR;OWNER ' PERMITDATE.' •I :2cw COIvIPLiANCE DATE: iS " i�i t#i{'rl x, rwr�:$r r fr4..n;' S Q it#'„as i e)k+-.s ,. w• - t Separation"iSistance Between the.` Maximum Adjusted,Groundwater Table,to the Bottom.of Leachtn Eacthty Feet Pr vate'Water Supply We11 and:Le`aching Facility (If any'. . 11'ezust t ,{ on site.;ot within 200 feet of leaching faciLty),, , Feet Edge of. letlarid:and Leaching.Facility(If any:wetlands;exist of leaching faeihty Feet,:: ti. wttlun 300 feet ` s Furntshed'by 2. tr 0 >i r� • �` r t yif�•�rE 8t { t S 3 S r 3 l f x-,•z n , ' 9 \ l tev` C ,� THE COMMONWEALTH OF. MASSACHUSETTS OAR® OF HEALTH . �.......... .........OF•.....,����+! .........._.........-----------------.........--------.......... Applira#ion for Diupuual Works Tontitrurtium ramit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal . = gSys a •-•--. .. �C..--4a_ ..... Location-Address or Lot No. An-�Y... am WZ4..f.......................................... ...._...---------------------•---•----- Own Ad a -- _-- �� Installer Address Type of Building Size Lot............................Sq. feet aDwelling—No. of Bedrooms___...__......................Expansion Attic Garbage Grinder ( ) p, Other—Type of Building ............................ No. of persons___--__-`i7, .............. Showers (--j— Cafeteria ( ) Q' Other fixtures ............................ . W Design Flow............................................gallons per person cr day. Total diy flow_._., _?..........................gallons. WSeptic Tank—Liquid'capacity.�C.Q ftallons 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 area2.46]....sq. ft. Z Other Distribution box ( ) Dosing tack ) ,/ ,�+ '-' Percolation Test Res}�lts Performed b .. !''' !► __ Date____L _/�"s. _f._Q` Z r.7 LisJ Y �'° -. / / a Test Pit No. 1________________minutes per inch Depth of Test Pit.. �'....... Depth to ground water...__/��9_�_t rZ4 Test Pit No. 2................minutes per inch Depth,of Test Pit.................... Depth to ground water........................ W ............................................. ODescription of Soil....j --------alex.ta..../........................................................................................................... W V ----------------------------------------- ••--------------------------------------------- --------------- •------------------------------------------------------------------------------- •-------------- W 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 AITLE 5 of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been is d by the board of health ' Signed,,..::- --------- ------- E� = •-------•---....----...--- z- D Application Approved BY -r` .............................. --- � -- Ave Application Disapproved for the following reasons----------------•------------•-------•------------------------------------------•----------------------•--------- ----------------•--•-------------------•--•------•-••---•••-----------••.....-•-----------...•--•-------•-------------•-•--•--•-•------------------------------•---------------------------------------- Date PermitNo....................................................... Issued....................................................... Date L 0 A T IONS �?� ® � �" � PERMIT NO. VILLAGE .41 INSTA LLER'S NAME i ADDRESS M BUILDER OR OWNER q ,,, P( & r, DATE PERMIT ISSUED DATE COMPLIANCE ISSUED _ ___ _ .�.�,,,' '1. �� �� �� P I � - � ., -� I � \�� v l3`- �`� e ( w '� No.__U.Ct'` c� - •- FEa.............................. THE COMMONWEALTH OF MASSACHUSETTS JOARDW HEALTH ......... Q....../................OF..... ..----•............................................................ Appliration for Uhip ial Workii Towi rurtinn Prrutit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System -at: /�r J.. --... �. .. ................ dd �---.!� Addreress .........Y._!��..... d _-_--___--•-----• ----••---•-------------------------------- Location- or Lot No. �!�J�/../.✓1..G ..�t�Gr. ..... •-------- --------------- •-------------------- ------------------------------------- Own Address a _. .i►�St.. 9c, rs/' r�. i�---------------- Installer Address dType of Building Size Lot............................Sq. feet V Dwelling—No. of Bedrooms................ ...-...................Expansion Attic ( G,1r Garbage Grinder ( ) p1 Other—Type of Building ............................ No. of persons.......... .............. Showers ( ""'— Cafeteria ( ) PL Other fixtures -----------------------------------•-••------- W Design Flow............................................gallons per person er day. Total d flow....*3-,?.. ....._.........__..._..gallons. WSeptic Tank—Liquid capacity./004gallons Length.-.......... Width..... -------- Diameter................ Depth................ x Disposal Trench—No--------------------- Width_.._.___.:.......... Total Length.................... Total leaching area....................sq. ft. .____:__-___- Depth below inlet......Z........ Total leaching area.2li&....sq. ft. Seepage Pit No________ ________ Diameter. v Z Other Distribution box ( ) Dosing t Percolation Test Res lts `Performed bK - l��a Date__.. _Q` • Test Pit No. I its _minutes per inch Depth of Test Pit.__--.-•---__._..... Dept to ground ss Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ .............................. - • -- •-----------•---_----•-------•-----------•---------------------------------------------------------------- O Description of Soil...... o x .................................... W •--•••................ .. . .. ............•--•-------------•-----••-•--•----•-•---•---••-----•-•----•---------------•-------••......----•.......................................................... UNature of Repairs or Alterations—Answer when applicable ............................................................................................. Agreement: The undersigned agrees to install the aforedescribed Indvidual Sewage Disposal System in accordance with the provisions of TITLE%, 5 of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance lies been is d by the board of health Signed- Y -- ....�Z- ' '-------------- t ' Da Application Approved By---- ' ' - / ----------------------------- � ". Date Application Disapproved for the following reasons:------•------------------------------------------------------•-----------------•--------------------------_----- ---------- -----------------------------------------------------------•-Date-------------- PermitNo......................................................... Issued....................................................... Date TH�POMMONWEALTH OF MASSACHUSETTS e 'BOARD OF HEALTH �,. ............................:............° F..................................................................................... C�rr�ifgictt#.e of �uut�liunrr THI IS 0 CERT Y, That the dividual Sewage Disposal System constructed ( ) or Repaired ( ) Installer at__—zja�...6....... -~#- 1------- •--• -----------•--•••----•--•-•-•••-•-----•••----•-------•-•-----•-••---••-•-•-•-•-----------••------ has been installed in accordance with the pro sions of TITLE, 5 of The State Sanitary Code as described in the application for Disposal Works Construction Permit No----e---2._-1.11V-L>....... dated------------------------------------------------ THE ISSUANCE OF THIS CERTIFICATE SHALT. PLOT CBE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. S DATE.............................................. L:!, ......... Inspector............. AL.✓.................................................... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH .....................................OF..................................................................................... •�. , FEE...... X---_..... 11hipsal Workii Trnnutrttrtion an it Permission is hereby granted....I-OW-- AIr—I&!f_ - -•-------------------------------- -------------------------------------------------------------- to Construct ( ) Repair ( ) an Individual SS age Disposal System Street as shown on the application for Disposal Works Construction Permit No..................... Dated.......................................... ----- --------------•-•---------••-------•--- oard of Health DATE. 1�/�-------- FORM 1255 HOBBS & WARREN. INC., PUBLISHERS - t w� � �' ,�Via• � ' FouNn`IT(o+✓ 9$ z f32 00 b ° � V /000 4;x4 ma's r 0 V W'y ION / 7 -a / .� o p o OR.�E'" ,y 7 No 1095i 0 Q �N4D 2L Steei ` o CIS �S'dn0 SGt FT L o T 1 opt Plffi� 26 LEGEND TIN®. SPOT ELEVATION 0sv �s�`f ��ss! CERTIFIED PLOT PLAN Eat1STItA CONTOUR ..._...,0 ,.oY...r ��' l�AstritT ����' 0/�7 S .�`I �.� 7- Fl141SHEQ .SPOT ELEVATION'..' � � p �7=��-✓/Z_ L L I'1d�t 'CONTOUR -�----p iHEn ,..r.` ' h � 1N 'ROVED* SOAR® OF hi ON : STE� E` AGENTBCALEt f DATE EDP E,N&TOVEEMN S Ca CEilt�11` ;.... , I CERTIFY THAT THE 'PROPOSED ;r EQ18YE . rr REAI!!1 'E#ED 09 110, �2„ „!7 KNLOINA SHOWN ON THIS PLAN. CIVIL 6;ANfl CONFORMS TO THE ZONING LAWS Off eY= AID . °� A OF BARNSTABLE, MAS k 7f2 M N 3TRET MYA.NNiS,..MAS s- V gHIEET.4OF".:..r t�. tE R '0. LAND SURVEYOR _ p /VOTE /F E/TNER THE SEPTIC TA V I< OR �D FT. M/N• EAC/•//,,vG P/T /D fY• M/N 7RA OEM Al ?4+,01 A M E TER C'O/yCR E TE CO i/ER K ---- _ S."ALL BE BROUGHT TO 4MA0E.�,�;N EXTRA CONCRETE 9 PYC P/Pr t e,4 V Y CA S T 1,V OIV C O V4=,r .Sf-1,4 L L L3E U S EO �/ I/- /0? COYE/GS M/N. P/TCN /F/N OR/VAFIOVA Y �•. /B w�ER Fr CO/VC,e 7 G AOE Cc)VER CL EA/V SANG 45AC,+C,�/L L LIQUID LEVEL 2 LAYER P/PE 0 U v a o P 0,- �/'81-3 d M//V.R/T!/!l ` U GAL. • e • • • • • • • • • e •4 WA5HEO S70NZ- Pt/t>p7 SEPTIC TANK D/ST. • • • • a a e BOX • a, • • • s;' ' /•s• • •EFFECT/VL a • • ,• 34 • • • a • • DEPTH • • • • o WASHED STONE oo g x / fl O ►. • • • • • • • aa •►•• a � a • • v 7- ?5 o PPR/ET COARS TE SQEL/E/pV /NiPRT &LEYAT/ONs A_ G/r l,.G /NYERT AT AVILD/NG 9 y.o FT, TiT p`+cr7y S¢8 6A L`0A y FT D/AM. INLET SEPTIC- TANK $ a FT, / FT. G/A1/''1• C SEE TABULATJON> Ot/TLET SEPTIC TANK 9S,G FT, INLET 4W57R-0V710N BOX 9 8•Z FT. SECT/ON O F GROuNO ri�4TER TABL E OuTLETD/STRIB[JT/ON BOX 98.0 FT. ///LET LCACNING P17- FT. SFwAGE D/SPOUSAL SYSTEM TA8Z//—AT/DN LEACHIMS P/7' ' SCALE : %s~ _ /=O� DII►IENS/ON A3 FT. FOES/GN CR/TER/.•l '01NcN5/a N 8 6 'FT. MUM SEROFBEDROOMS 3 D/HENS/ON C— GA&6AGED/SPO.SAI- UNIT %o SO/L LOG TOTAL EJTIMG�tTEO FLOW 3 O GAL.1DAY SO/L TEST A/ SOIL YFST Z SOIL TEST ,VUMBER OF 1--ACRING P/73__1_ f"`ELG'ry 9 g EY. 9 g b DATE OF .SOIL TEST S/OF L EACH/NG-PER P/T 18 .SY�t /<T. D_ r U  RESULTS /t//TNESSED 'ay BOTTOM,t4�ICN/NG PER P/T 7 so. FT. ;. c q/�? & �. t- PERCOLAT/ON RATE At/ L- s S M/Aj1/NCI{ TOTAL LEACH/NG AREA Z SQ. fT. S U,3 s o i AWVCOLA77ON RATE 1*2 7 l{`�"//►�/N. /NCH aESERVELEAG'NINGAREA �'� SQ. FT. _t t 5 v3 s o 2 0 �� Of qi P�(H BF h9q�s M ROBEfR y�\� o� ALBERI%;,l 41- N '- z J -- OSTT1/ILL_ �,r BRUCE �� EL�t '; o r RSE y • No.10951��O��Q ELD RED GEENGINEER/NGCD,/NG. �9 �STERy`ct G/ flp�FSGIST�a��� CL. ��.0 �L, F7. 7/c MA/N ST. , HY.4NNIS, MASS. sii�� MAL NO GROUNo kv,4TER ENCOUNTFIeEo CL/E/VT,-NrcKU�A S Dq-TE 7/ 2- GM 0 U/VO yVA TER AT EL EV _ JOB NO; B 7 SHEET?-OF Z JOB NO. 801-16, NOT TO NOTES McHenry'dwg SCALE CAUTION: THIS IS A SITE FLAN SURVEY ---. AND NOT A PROPERTY LINE SURVEY I. LC>Cl.!S IS A.M. 210, F ARGEL `!. . BY THIS C)FFI ;E. LOT LINES SHOWN 2. ELEVATIONS SHOWN ARE BASED !,•!F%ON TOWN G I S +_Ct.S.'. 're-t Marsh Road ARE APPROXIMATE, AND SHOULD NOT BE Lr;C!..!`> I`> IN F r' AUG. i; t "� �•• [� LOO'D ZONE C' ON FIRM DATED I.. 1 , 1 'R,5. T 4. ALL PIPES, TO BE 4" `NCH 4,`), AND PITr'HEC. AT 1/4" PER FOOT. (UNLESS.; NOTED)USED FOR [CONSTRUCTION CIF F'ENC',E LINES. f>. Mt.,1NICiF'AL WATER' IS AVAILABLE. LCT` WITHIN 10C)' ARE ON TOWN WATER.6 C(}MPONENTS 70 BE AASHTO H-1(), L.INLESS NCTES:.7. .INLET TEE TC} PROJECTDOWN 13'>, OUTLET 7EE D sWN 14".8. IF TWO OR' MORE LINE`, WATER TEST D-BOX FOR EQ!JAL FLOWD-BOX EXIT PIPESTO BE LEVEL FOR FIRST TWO FEET. '9. DEPTH OF COMP"INEWS NOT TO EXCEED 3', OR VENTING; MUST BE PROVIDE[. NO ASBUILT INFORMATION FOUND--TANK OVERFLOWINGBr_IILCt r IF> COVERS TO WITHIN 1' OF C;RADE. MORTAR' i H►MNEYS IN PLACE. AT TIME F FIELDWORK--VERIFY TANK IS 1£:�+)u GALLON ONE COVER OF TANK TO BE WITHIN i," OF GR'A[.E. LGCATIGN MAPMINIMUM AT TIME OF CONSTRUCTION. 10. '-JONE TO BE 1)'0'1IBLE WASHED 3/4 TO 1 1/2 WITH 2 MIN. 1/8 TO 1/2 PEA STONE ON TOP. '11. IF UNSIJITABLE SOILS, C R SOILS DIFFERING; FROM THE SOIL LOCI ARE FCI!..!NC%, C:C}NTAtC.T THE BOARD• OF HEALTH, OR R.J. CADILLAC. LAC. IF AN CVERDIG IS CALLED FOR BELOW, FILL MATERIAL FOR C;.' AROIJN[} AND !.iNGER LEACHING TEST HOLE 1 IS TO BE CLEAN (SRANI..JLAR SANG; MEETING SPECIFICATIONS OF 310 CMR 15.255/3j• 13. P1)MP AND FILL ANY EXISTING CESSPOOLS. REMOVE ANY CLOGGED SOIL, BLOCK, AND STONE IN _ LEACH AREA, AND DISPOSE OF AS DIRECTED BY HEALTH AGENT. DEPTH (inches:' ELEV.?feet NER CF '14. ALL CONSTRUCTION TO MEET TITLE 5 AND LOCAL REGUILATICNS. BENCH MARK--N.W, COR I; 4.00 ' Fill .51,00 WCC[ BCTTCM STEP=58 T HOLE [ ATE: Septemk,Iler i 2d't_1 81 layer 1C �.ayr ,,/8 PERFORMED BY: Ron Cadillac,tc, `oil Evaluator many sand WITH c,'r� x. 1 n 125% grovel, E ="...EU BY: F r Ex rral trot Fr,rrr B t PERC RATE: <2 -0 inch f1 ?. "2) n c c layer 2.> 6 loamy $and. 7 SOIL SI•,!RVEYe,1:=19.'...=.i: ..o arse scmi<I " {1�>% larove,!, 50,92 F8.32 ':}EC LOGI,1- MAP(1 C 86): Barnost.ble I•:,I jrn 1:�1;•osits F•1. L °� Top Found. invert `r4.41± a C:1 layer 2.`,y 6/4 3HDRY WELLS med. to fine ,.and L°:+� ?,Cs,t E#offlE{ (r % nrovela 50,49RUAD MARc--N Invert 54.1`r 84" Proposed 47. 5 "�---- F 8- Top COnc. C2 layer x 51.3 op s {one med. to coprsz sand 2.0 x 53.1 53, 3,9 x 53 k--- on 1C.?{,; a.;r::tl. 2 no water x 51.3 52L7 L_ _ _ e 1�F3" 43.3 275't <deed) 55J t l - 4' x 54,6 51.2 T 50,68 7 52.5 x 55,4 56,2 6, x 6 Invert Fi4.17 50 )ts :, Invert .>3.t.,� G , ,� x 54.2 x 56.3 55.7 `;?c1ra or t;t:,m'pC C! : pcseci 7 I 1 ' � Bottorn Cr f 1, F rr. F Proposed x g v G: na x 56,9 7 $ 57.8 W 3 x 5 ( ( El. 35. I _ I = ��6,82 t., <ll.a, traZ rr, Slx x 5 5 56.0(-, / \ �_ x 57,3 j DESIGN DATA _ 41iC�;W I`2- t„ [ ��°� 56, 5 n t.1t x C"3 Grt,•;tnd W:.r er=E1. 32 (T.:;wrt Map) �� '� :7 55. BEDROOMS: 3 53.1 x 55 0 7 ;.; ... 4.2 GARBAG R'I R: N E A _ �° :` EC!JIR Y 33 1 2 Tr ) GF , .. R CAPACITY: EX TI a G. CAL. s �J h I E[ •AP r I®EA�.+H ARE J A 51,4 1 Nry .:';1 x 51,8 EF TI TANK 1 Ot; I..•I >E DRY WELL` AWITH 4' N F ...YC;'NE 52.2 1 ® H' i� LEACHING 'E '2' .7 F T ENE T�$ .�, N(, . ;� E BOTTOM LE AR A: r, ' ASS �, <...] b C{ ALL ARC`t!..!ND FOR) 2 : r? t:7 ls'S' RESERVE fin' 8 k,� rri ®4, [t25.' X 12.83' ] ��� 12'-1r.,,: WI .E Y ' `EE LEACH AREA. x 5 .7 PARKING .06 fit -0 ['t E3 2 [:; F' 3 3.7 `m `>IDE LEACHING AREA: 151. kF 57,2 [2 2�.8,...3'+ 2G.'f X `'' [:IEEE';, 50.8 L 1 DESIGN CAPACITY: 349 CAP[:? 52.3 54,5 --..,.�^ [i.34t .7 SF + 1E'1.3 C.FF, X .74 C,P[:I/SF] 7 8 x 299,41 sa e Her.,,... �'d) x 58,5 41 ERRECT BARRICADE, OR N/F INSTALL H-2 , [:aRY WELLS x 5 .7 0- PIERCE WITH VENT. �7`, r x 58.3 x 59.2 BENCH MARK--TOF' ? CENTER OF x 57.3 SPIKE- 5 6.06 .`GIS±`' f39' OFF HcI,aSE 'CORNER, N/F CURLEY q SITE PLAINI OFF THI' PLAN I.: A VALID COPY ONLY IF IT PEARS AN ORIGINAL RE[::' -:TAMP AND =I :fNAT!...,!RE. MACHIN F"" . J A N E T MCME N L"_J F\ ®D N i\ OF Mgs 291 GREATS ROAD, TES ILL , MA s9 ,o. TH 1 TEST HOLE LOr:ATIC:N, NUMBER R N° L.J `,'` oa cy I R NCI T 1 C� 1 SCALE: 1 "�� ' WATER LINE MARKING: N r1 E OVERHEAD ELECTRIC; WIRES (IF SHOWN) 0 `` CADILJ-AC � � x 9.5 x 8.7 EXISTING � PROPO: ED' ELEVATIC'N,"3 ('X' MARW POINT �F# 1060 0 � #35779 � rsTER ,o . ,- EXIz TING GOONT�:UR S�n+rrnRam qti Fss'�0 �.�-- PROP(:.!EO CONTC/L.IR l �sURV ! RONALD J. CADILLAC, PLS, R l.,!TILITY F'{"LE {IF `:HC}WN �1 PROFESSIONAL LAND! SURVEY0,R & REGISTERED SANITARIAN �s EXISTING `S'EFITIC:, COVER P.O. BOX ��� x - FEN±:;E (IF . HC}WN, NOT ALL `::�Hr�IWN, WEST' YARM�?!�TH, MA C�2673 G GAS LINE MAR'KIN;;t::, HEALTH AGENT APPROVAL DATE 11508% 775®9700 t� zOC`.•1 BY R.J. CAI`ILLA:., PA(3E 1 DF 1