HomeMy WebLinkAbout0070 GUILDFORD ROAD - Health 70 GUILDFORD RD, CENTERVILLE
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No. 42101/3 ORA
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May 1,2006
Mr, Charles S. McLaugKin, Jr.
Assistant Town Attorney
Barnstable Town Hall
367 Main Street
Hyannis,MA 02601
Re., Septic System Repair Permit
The May Institute, Inc,, 70 Guilford Road, Centerville
Dear Mr. McLaughlin,
This office represents The May Institute,Inc,,the record owner of property at 70 Guilford Road,
Centerville(the property). The purpose of this letter is to confirm the understanding of my client
and the Town of Barnstable, acting by and through its Board of Health, with respect to the
issuance of a repair permit for the existing septic system at the property.
The factual context of this agreement is that the property apparently has an existing septic system
that is large enough under current regulatory standards to service a three-bedroom home. The
current system,however, is in hydraulic f4ure and needs immediate repairs, The home is
currently occupied by four mentauy retarded adult clients of The May Institutc, Inc, which is
duly licensed by the Massachusetts Department of Mental Retardation}(DMR)to provide
residential services and care at the property, Since my client's ownership of the property, four
mentally retarded adults have occupied the property and the house has been modified inside to
create separate and private sleeping spaces for each adult pursuant to 4pplicable DMR
regulations.
My client believes that in 1996 it purchased a home with four legally permitted bedrooms and an
appropriately Sized and permitted septic system.Howeyer, a gi#estion has arisen as to whether
this property's septic system is in fact fully and legally permitted to support a four bedroom
home(hereinafter, "the issue"), A preliminary search of the Town's records Ws to disclose
either a building permit or septic installation permit for more than tjrree bedrooms. Therefore,
both the town and my client agree that a formal resolution of the issue by the Board of Health
may be necessary. But since emergency repairs are needed immediately, it is agreed that it is in
the best interest of all parties to put off to a future date the formal resolution of the issue.
KROKWA$&OLVESTIJIM LLP
05/0, /2006 16:01 FAX 508 862 4724 TOWN OF BARNSTABLE LEGAL Z005
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KAOKMA6&BLUBSTBxN LLP
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Mr. Charles S. McLaughlin, Jr.
May 1,2006
Page 2
The parties further agree that, in consideration of the immediate issuance of a septic system
repair permit for the existing System serving a four-bedroom residence, The May Institute, Inc.
will limit the occupancy of this home during its ownership thereof to a maximum four (4)adults,
one to each"bedroom", until further agreement of the parties or,failing such agreement, further
order of the Board of Health or superseding order of any authority or Court hiving jurisdiction
over this matter. By agreeing to this interim resolution, except as provided in the succeeding
sentence,the Board of Health does not concede that this home is a legally permitted four-
bedroom home and The May Institute,Inc, does not concede that this home is not more than a
three-bedroom home. Each parry expressly reserves its rights with respect to this issue. The
Town and the Board of Health specifically aelmowledge and agree,however,that for so long as
The May Institute, Inc. or any other entity operates a group residence for disabled individuals
from the property,whether as owner or tenant, and agrees to limit the occupancy to one person
per bedroom, and provided evidence reasonably satisfactory to the Board of Health of such use
and such limitation of occupancy is provided to the Board of Health,the Board of Health will
treat the property for all purposes as a four-bedroom residence.
Notwithstanding anything to the contrary herein, The May Institute, Inc. expressly acknowledges
that, based on all of the information which has been made available to it to date, The May
Institute, Inc. believes that the actions of the Town of Barnstable and its agents, servants, and
employees to the date hereof have been exercised in good faith with respect to the issue, and are
not arbitrary, capricious, or intentionally discriminatory by any definition thereof.
Finally, we agree that the Town may and indeed should place a copy of this letter into the
permanent Board of�Iealth file on this property as a public record available for the education and
use of any who may be interested in this matter. j
Please sign your name in the space provided indicating the agreement of the Town and the Board
of Health to the foregoing.
very truly yours,
V4,4,le-Je_�
Samuel Nagler
Attorney for The May Institute, Inc.
I�
05/01/2006 16:01 FAX 508 862 4724 TOWN OF BARNSTABLE LEGAL Z 006
` N0.381 P.G
KRIOICIDAS&SLu$STSIN LLP
,a Mr, Calles S. McLaughlin,,Jr,
May 1,2006'
Page 3
Town of Barnstable, Acftg By and
Throug is Board of Health
By:
Charles S. McLaug
Assistant Town Attorney
0362100001162880.1
05/01/2006 16:00 FAX 508 862 4724 TOWN OF BARNSTABLE LEGAL Z 001
Town of Ba astable 367 Main Street,Hyannis,MA 02601
_Legal Department (508-8624620); (508) 8624724 Fax
FAX SHEET Date: S J J '
Number of pages including cover sheet: S
To: From:
Robert D. Smith,Town Attorney
T. David Houghton,
Ist Asst. Town Atty.
Charles S. McLaughlin,Jr.,
Phone: Asst. Town Atty.
Fax Phone: '7 30 -- G 2 C. Claire Griffen,Paralegal/Legal Asst.
CC: Pam Gordon, Legal Clerk
File Ref#
Subj ect:
Phone: (508)-862-4620
Fax phone: (508).862-4724
REMARKS: ❑ Urgent POT your review ❑ Reply ASAP ❑ Please comment
Message:
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BARNSTABLE COUNTY
$5�Of B �s� DEPARTMENT OF HUMAN SERVICES
BARNSTABLE COUNTY HEALTH&HUMAN SERVICES ADVISORY COUNCIL
VO tray POST OFFICE BOX 427
BARNSTABLE,MASSASCHUSETTS 02630 LEN STEWART,DIRECTOR
9s`rACHVs� FAX Main Office E-mail
(508)362-0290 (508)375-6628 humanservices@bchumanservices.net
TDD Information Services Web
(508)362-5885 (508)375-6629 www,bchumanservices.net
April 26, 2006
Mr. Thomas McKean, Health Agent
Town of Barnstable
200 Main St.
Hyannis, MA 02601
Dear Mr. McKean,
We write to share the good news that Barnstable County Department of Human Services
is planning to offer an Open Summer Food Service Program, available to all children,
aged birth to 18, funded through the Massachusetts Department of Education, in Hyannis.
The Program will be in operation Monday through Friday, June 26 through August 25.
Meals'will be provided for all children on-site at the Living Hope Family Church, 46
Mitchell's Way in Hyannis, June 26-Aug. 25, Noon-1:30 PM; Cromwell Court, June 26-
Aug. 25,Noon-1:30 PM;Noon-1:30 PM; and at the Kennedy Rink, 1-2 PM, July 5
though August,l8.
Meals will be prepared and pre-packaged at the.YMCA, 117 Stowe Rd. Sandwich, and
delivered to the site each day. All food will be delivered to children in the prepackaged
containers, consumed on-site, and any remaining food, as.well as any trash, will be
removed from the site at the close of food service each day.
Staff from the YMCA and Barnstable County Human Services have attended the required
Department of Education training on the Summer Food Service Program, and affirm that
the quantity and quality of all meals will meet or exceed all USDA and DOE standards for
Summer Food Service programs and that the site will comply with all local regulations.
There will be a trained Site Supervisor on-site at.all times to assure food quality in
accordance with extensive rules provided by the USDA and the Department of Education.
Please provide us with any special regulations we may need, in addition to any which the
Church may already have on file. We invite your staff to visit the site at any time. For
more,details_,:please call me at 508-375-6630.
Very t ,lY Your
e rown s
Summer Food Service Program, Site Monitor ' c
<j P
C0
Task Force on Youth•Cape Cod and Islands Community Health Network•Community Health Needs Assess ent Project-- r=
Lighthouse Health Access Alliance•The Human Condition 2001-2005 Project
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No.
'��t� ` WOW Fee
A H SETTS Entered in computer: .�
THE COMMONWEALTH OF MASS C U Yes
PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS
01ppYication for �Digpogal *pgtem Con.5truction Permit
Application for a Permit to Construct( )Repair( )Upgrade( )Abandon( ) ❑Complete System ❑Individual Components
Location Address or Lot No. 70 G U,710 Fe-of Owner's Name,Address and Tel.No. 3&,)3
Assessor'sMap/Parcel C'P1'1j°rs4-M fW1 At ACV -aYIJ-J7 )—q
Installer's Name,Address,and Tel.No. r � ,S ��,ff �:�y.� Designer's Name,Address Tel.No.
33 1'z n by��n /1% �-*� s'C 61c(-�
�a -(y+d 3 (OS Nag,h o� 4�-� (Ae�
Type of Building:
Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder( )
Other Type of Building No.of Persons Showers( ) Cafeteria( )
Other Fixtures
Design Flow gallons per day. Calculated daily flow gallons.
Plan Date P`r/3 ,�,&e 1i Number of sheets Revision Date
Title
Size of Septic Tank JSOO Type of S.A.S. f--e14/j
Description of Soil S4'P i-) L c-A
Nature of Repairs or Alterations(Answer when applicable) S
ai r�
me.1% 121.1 r6l
Dateilast inspected:*ee J 4! ��, ' ""` i '^ S�""vl( A)"5�
!c„Wn 6 40/' cLa„�I„ �,,l,,c� 1S
� Agreement: 1`�,1(Ai'�0!'Gdc-� C^� �`3 f�l�iH t�— ��I
The undersigned agrees to ensure the construction and maintenan e of the afore describe on-site sewage dispo l system aj
in accordance with the provisions of Title 5 of the Environmental Code and not top ce the system in operation until a Certifi--,A-tt--,,s
cate of Compliance has been issued by this Board of Health.. ` i 1z� P!MCA r
Signed -� Date
Application Approved by Date a
Application Disapproved for the following reasons
Permit No. �� .�(� Date Issued
----------,___ _ _ _------------t------------------------
yl - • y - _ _µ __
;�*"`''•' No. } -" - ,,,, rs�l�V� �...,-• `4 Fee �l
"^ Y-
THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: ,/
'` Yes
PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE., MASSACHUSETTS
2pplication for ]Digp6ga1 *pgtem Construction Permit:
Application for a Permit to Construct( )Repair( )Upgrade( Abandon( ) O Complete System ❑Individual
Components
-A fL
Location Address or Lot No. 70 10 rc ro1(f ' ^�C yOw,n�er's Name,Address and Tel.No. SCp'3(p� 6y
Assessor's Map/Parcel, C•pn k ✓+ 11 h Y �i a� h.s�I /�bl
-.Installer's Name,Address,and Tel.No. 1�!1 S 6u�]. ���-oy, Designer's Name,Address dad el.No. 7 7&—¢`� 9
Type of Building: 4.
Dwelling No.of Bedrooms _ Lot Size sq.ft. Garbage Grinder( )
Other Type of Building r, No. of Persons Showers( ) Cafeteria( )
' Other Fixtures
Design Flow Igallbns per day. Calculated daily flow (� gallons. -
Plan Date . 1=:•(3 / , G� Number.of sheets Revision Date
Title `
Size of Septic Tank I S OO Type of S.A.S. 1.-err
Description of Soil L. ,4
r
Nature of Repairs or Alterations(Answer when applicable) .Se�!. Se J, L
A � �L• I S S� ?• J l S 2n _ t no
Mc-� 11 9 X) r C St( a r
Date last pected 1 O t� agzoz: - ,., f�Tb'^ SZ/n�2.1 0Ud5t41' }1) ,,
,
/pn,,n A11-4oi P'1 C�a vtA reement: j _ Ii1 C or1n (�1s ( rPgThe undersigned agrees to ensure the construction an&inaintenan&of the afore described on-s tie sewage disp0 system
in accordance with the provisions of Title 5 of the'Environmental Code and not to place the system in operation until a Certifi-NA
,. cafe f Compliance has been issue b�yy this Board�hHealth. t H o rc Nam`
Signed P t Date
Application Approved,byr Date -�
Application Disapprq;v'ved for the following reasons
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y�;e
Permit No. ,�/�� 2-Ifn ;* Date Issued.
THE COMMONWEALTH,QF MASSACHUSETTS '
BARNSTABLE, MASSACHUSETTS
Certificate of Compliance
THIS IS TO CERTIFY, that the On-site Sewage'Disposal System Constructed ( )Repaired ( )Upgraded( )
Abandoned( ),by /l l k S t cc-P,1(_J r c n 5 4 Ca k.-,
at, 70 ti V' I tJ A rd b' Cv /i ✓n! has been constructed in accordance
with the provisions of Title 5 and the for Disposal;System Construction Permit No. dated ZS
Installer -! 1 Designer The issuance of this permit sh I not be construed as a guarantee that the syste °' 1 function as designed. -
Date Inspector
——— ————————————— — ----- --` ---j— ,\
NO. ,.Z Z1 O ——A` — — ! Fee" l CJ
THE COMMONWEALTH-OF MASSACHUSETTS
PUBLIC HEALTH DIVISION BARNSTABLE, MASSACHUSETTS
Mi5po5ar *pgtem Construction Permit
Permission is hereby granted to Construct( )Repair( )Upgrade( )Abandon( )
System located at 70 u 0 4
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.
Date: Approved by f
Town of Barnstable
Regulatory Services
Thomas F. Geller Director
t.e.aARNSTAs + '
9 MASS. Public Health Division
16g9. �0
Thomas McKean;Director
2.00 Main Street,Hyannis,MA 02601
Office:.508-862-4644 Fax: 508-790-6304
Installer & Designer Certification Form
Date: 0 6 Sewage Permit# a 0 0(D `a 4 assessor's Map\Parcel 7 d-0,5-t
Designer: S c 6 t,o Installer: Eh 'S �3 r(5 /tea So-
Address: /?I- oV Address: 3L
On sl,�S I o(o lz /I /S 13 r F)-e s-s CCnAvas issued a permit to install a
(date) (installer)
septic system at 2 U G c,1 I Cy 1,Zc, based on a design drawn by
(address)
/ L �r� ,d�f✓L dated�/ o
(designer)
I 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. 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 of any component
of the septic system) but in accordance with State & Local Regulations. Plan revision or
certified as-built by designer to follow. Stripout (if required) was inspected and the soils
were found satisfactory. �y.1H OF JW
DIBB
Gates' MARK D.
c
(InstallersSignature) iz v CIVIL
No.45937
SSroNAL u
(Designer's Signature) (Affix Designer's Stamp Here)
PLEASE RETURN TO BARNSTABLE PUBLIC HEALTH DIVISION. CERTIFICATE
OF COMPLIANCE WILL NOT BE ISSUED UNTIL BOTH THIS FORM AND AS-
BUILT CARD ARE RECEIVED BY THE BARNSTABLE PUBLIC HEALTH DIVISION.
THANK YOU.
Q:\Septic\Designer Certification Form Rev 03-09-06.doc
L-ash
This septic system is designed for four bedrooms and the subject property
may lawfully be utilized by The May Institute, Inc. as a four bedroom
residence. See letter of May 1, 2006 from Attorney Samuel Nagler to
Assistant Town Attorney Charles McLaughlin which is incorporated into
this permit by reference and which is made a permanent part of this file.
I
KROKIDAS M BLUESTEIN
ATTORNEYS
RICHARD M.BLUESTEIN COP HUGH DUN RAPPAPORT
MARIA J.KROKIDAS 6OO ATLANTIC AVENUE JULIE HERBST PEABODY
SAMUEL NAGLER BOSTON,MASSACHUSETTS 02210 EMILY R.DAUGHTERS
JANET STECKEL LUNDBERG PHONE 617-482-72II • FAX 617-482-72I2 AARON J.MANGO
ROBERT J.GRIFFIN
VINCENT J.PISEGNA ELIZABETH C.ROSS
PAUL V.HOLTZMAN LINDA R.BOSSE
ANTHONY J.CICHELLO BARBARA S.PARKER
JENNIFER GALLOP OF COUNSEL
ELKA T.SACHS
May 1, 2006
Mr. Charles S. McLaughlin,Jr.
Assistant Town Attorney
Barnstable Town Hall
367 Main Street
Hyannis, MA 02601
Re: Septic System Repair Permit
The May Institute, Inc., 70 Guilford Road, Centerville
Dear Mr. McLaughlin,
This office represents The May Institute, Inc.,the record owner of property at 70 Guilford Road,
Centerville (the property). The purpose of this letter is to confirm the understanding of my client
and the Town of Barnstable, acting by and through its Board of Health, with respect to the
issuance of a repair permit for the existing septic system at the property.
The factual context of this agreement is that the property apparently has an existing septic system
that is large enough under current regulatory standards to service a three-bedroom home. The
current system, however, is in hydraulic failure and needs immediate repairs. The home is
currently occupied by four mentally retarded adult clients of The May Institute, Inc. which is
duly licensed by the Massachusetts Department of Mental Retardation(DMR)to provide
residential services and care at the property. Since my client's ownership of the property, four
mentally retarded adults have occupied the property and the house has been modified inside to
create separate and private sleeping spaces for each adult pursuant to applicable DMR
regulations.
My client believes that in 1996 it purchased a home with four legally permitted bedrooms and an
appropriately sized and permitted septic system. However, a question has arisen as to whether
this property's septic system is in fact fully and legally permitted to support a four bedroom
home (hereinafter, "the issue"). A preliminary search of the Town's records fails to disclose
either a building permit or septic installation permit for more than three bedrooms. Therefore,
both the town and my client agree that a formal resolution of the issue by the Board of Health
may be necessary. But since emergency repairs are needed immediately, it is agreed that it is in
the best interest of all parties to put off to a future date the formal resolution of the issue,
KROKIDAS& BLUESTEIN LLP
KROKIDAS& BLUESTEIN LLP
Mr. Charles S. McLaughlin, Jr.
May 1, 2006
Page 2
The parties further agree that, in consideration of the immediate issuance of a septic system
repair permit for the existing system serving a four-bedroom residence, The May Institute, Inc.
will limit the occupancy of this home during its ownership thereof to a maximum four(4) adults,
one to each"bedroom", until further agreement of the parties or, failing such agreement, further
order of the Board of Health or superseding order of any authority or Court having jurisdiction
over this matter. By agreeing to this interim resolution, except as provided in the succeeding
sentence, the Board of Health does not concede that this home is a legally permitted four-
bedroom home and The May Institute, Inc. does not concede that this home is not more than a
three-bedroom home. Each party expressly reserves its rights with respect to this issue. The
Town and the Board of Health specifically acknowledge and agree, however, that for so long as
The May Institute, Inc. or any other entity operates a group residence for disabled individuals
from the property, whether as owner or tenant, and agrees to limit the occupancy to one person
per bedroom, and provided evidence reasonably satisfactory to the Board of Health of such use
and such limitation of occupancy is provided to the Board of Health, the Board of Health will
treat the property for all purposes as a four-bedroom residence.
Notwithstanding anything to the contrary herein, The May Institute,"Inc. expressly acknowledges
that,based on all of the information which has been made available to it to date, The May
Institute, Inc. believes that the actions of the Town of Barnstable and its agents, servants, and
employees to the date hereof have been exercised.in good faith with respect to the issue, and are
not arbitrary, capricious, or intentionally discriminatory by any definition thereof.
Finally, we agree that the Town may and indeed should place a copy of this letter into the
permanent Board of Health file on this property as a public,record available for the education and
use of any who may be interested in this matter.
Please sign your name in the space provided indicating the agreement of the Town and the Board
of Health to the foregoing.
Very truly yours,
Samuel Nagler
Attorney for The May Institute, Inc.
i
KROKIDAS& BLUESTEIN LLP
Mr. Charles S. McLaughlin, Jr.
May 1, 2006
Page 3
Town of Barnstable, Acting By and
Throng t :Board of Health
By:
Charles S. McLaughlih, Jr.
Assistant Town Attorney
0362\0000\162880.1 '
TOWN OF BARNSTABLE
LOCATION -7 0 V L1 l /2-c qc/ SEWAGE# 9006 `a 4 0
VILLAGE Ce,4" h ASSESSOR'S MAP&PARCEL I, o� - S -
INSTALLERS NAME&PHONE NO. r h S 13VOTj} ry Co4- (`O
SEPTIC TANK CAPACITY /3a J
LEACHING FACILITY:(type) 9 -0 o Ct.
NO.OF BEDROOMS l y
OWNER
PERMIT DATE: COMPLIANCE DATE: f
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
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Town o''Barnstable1,00
P
Department,of Re gulatory Services
Public Health D><vision
rEo a�� 200 Main Sorret.Hyannis MA Date "
02ti01
Date Scheduled ? t
Time f
Fee Pd. `
Soil Suitability Assessment f) S
Performed By: .. J Qge _isp
D1.
Witnessed By:
Location Address
10CATION&GENERAL INFO Fy
Guildford Rd wner'sN�a'IA
TION
Certter.uile ° lire. "The May Institute
MA'
I Address 7:2 A 'Main Street
Assessor's MapiParcel: 1`7 2/Q 5$
1 Yarmouth .Port
Engincer s Name , MA 0.2 6 5
NEW CONSTRUCTION
Mc Drbb r .P E
n REPAQf' X Telephone'#5.0 8 7 7 8—8 919.
Land Use 2�S���i✓T�.q-� C
slopes ill/
Distances from: Open Water Body �✓�. Surface Stones
=-----�_R Possible Wet Area��R Drinking Water Well
Drainage Way N�' ���� ....._ft
tt Property Line ZD
ft Other.
ft;
SKETCIi;(Street name,dimensions of lot,"actlocations of test holes&Pere tests local e wetlands in proximity to holes) '
b.
d.
4.
•
Parent material(geologic)
Depth to Bedrock
Depth to Oroundwater. Standing Water in Hole: /✓/� �.
We ei n f P
rot Pi
t t P F e g al.
Estimated Seasonal High Groundwater
DETERMINATION FOR.SEA OVAL HIGH WATER TABLE
Method Used:
Depth Observed standing in obs hole:
Depth to weeping from side of obs.hole. in Depth to soli mottles: in.-
Index Well B Reading Date:_ Index Well level in Cr ndw er
nu nt AdJust—ant .
-�..�..o, Ad.factor. fr.
1 A4 Oroundwmer Level,,,,,,
Observation PERCOLATION TEST »ate x`lnte > o
: Hole N �
Depth of Pere(^ 1 r t
Timti at 9"
Time at 6'
Start Pre-soak Time® ® O
/ �
lime(9•'6,)
End Pre-soak- l � .
Rate MinJlnch
Site Suitability Assessment: Site Passed�, _ Site Failed
i 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 wetlands you must first notify the
Barnstable Conset'vation Division at least one(l)week prior to beginning
. Q:SEPT10PERCFORM.DOC ! ,
� y
DEEP.OBSERVATION HOa.E LOG Hole# ,1-
Depth from Soil Horizon Soil Texture e,Soil Color Soil• Other
Surface(m.) (USDA) (Munsell) Mottling (Structure.Stones;Boulders:
t
AC asistcacy, ray 1
5v.�. ,
DEEP OBSERVATION HO E LOG Hole#
Depth from Soil Horizon '`Soil Texture �j Soil Color.: Soil Other
Surface(in.) (USDA) (Munsell), Mottling (Structure,Stones,Boulders.
C nsi en %Gravel)
y is
DEEP OBSERVATION HOLE LOG Hole#
Depth from _ Soil Horizon Soil Texture. Soil Color Soil Other
Surface(in.) (USDA) (MunSell) Mottling (Structure,Stones,Boulders.
nitec
DEEP.OBSERVATION HOLE LOG Hole#
Depth from Soii.Horizon Soit Texture Soil Color Soil Other
Surface(in.) (USDA) (Munsell Mottling
g (Structure,Stones,Boulders.
on i to
Flood Insurance Rate Man.
Above 500 year flood boundary No Yes
within 500 year boundary No Yes
Within 100 year flood boundary No Yes
Death of Naturally Occurrinta Pervious Material'
Does at least four feet of naturallyoccurrin g pervious material exist in all areas observed throughout the
area proposed for the soil absorption system? e fi
If not,what is the depth of naturally occurring pervious material?
I t
Certification
I certify that on �� 6 L . (date)I have passed the soil evaluator examination approved by the
tLOIX 7
Department of Environmental Protection and that the above analysis was performed by me consistent with ,
the required trainin exp rtist " dV
rience described in10 CIv1R 15.017. '
Signature Datb
1
Q:�SfrPr7C�PBRCPORM DOC'
P ,
APR-05-2006 WED 03:44 PM BSC GROUP YARMOUTH FAX NO. 5087788966 P. 02
FACILITY.
SY"STEM IS ❑VERSIZED DUE TO
'EASE WATER USE BY DISABELED 9 THE CONTREXITING ACTORTS APRIOR RE TO BE CONSTR CTION.
JPANTS
0. THE ENGINEER IS TO BE NOTIFIED OF
ANY FIELD CHANGES THAT MAY BE
LOCUS INFORMATION RE UIRED.
CURRENT OWNER: THE MAY INSTITUTE1-7 Q C~ GR. .1'T
TITLE REFERENCE: BOOK 10011, PAGE 23 657 Main Street, (RT. 28) Unit 6
PLAN REFERENCE: BOOK 287, PAGE 84 W.Yarmouth Massachusetts
02673
ASSESSORS MAP: 172 508 778 8919
PARCEL: 58
ZONING DISTRICT: RC PROJECT TITLE:
SETBACKS: FRONT 20'
SIDE 10'
REAR 10' DESIGN FOR
MINIMUM LOT SIZE: 87,120 S.F. SEWAGE DISPOSAL
XISTING LOT AREA: 15,2541:S.F. SYSTEM REP
OVERLAY DISTRICT: ZONE II REPAIR
ROGEN SENSITIVE
ZONE: GP #70
FEMA FLOOD
ZONE DISTRICT: ZONE "Co GUILDFORD ROAD
PANEL #250001 0015 C
CUS PLAN: NO SCALE CENTERVILLE
MASSACHUSETTS
z N
�e LOCUS
PREPARED FOR:
MARCY VINGNEAU
�P THE MAY INSTITUTE
yc 722-A MAIN STREET
YARMOUTH PORT, MA 02675
DATE: FEBRUARY 1, 2006
COMP. DESIGN: K. HEALY
CHECK: M. DIBB
a� DRAWN: P. HAGIST
FIELD: D. GAZZOLO / J. MCCARTIN
i FILE NO. 8823SEP.DWG
DWG NO. 5695-01
JOB NO. 4--8823.00 SHEET 1 OF 1
APR-05-2006 WED 03:44 PM BSC GROUP YARMOUTH FAX NO. 5087788966 P. 03
\ (40' WIDE PRIVA7t) KUAU
SEDGE OF p�y��
HYD � 1 ---
—�7Q0•Q0 9 9 00'W —89—
BENCH MARK: p
HYDRANT TAG BOLT 70, - 1
ELEV. 90.32
BITUMINOUS I
—�PROPOSED 16.5'x50.0' DRIVEWAY I
2' OK am OAK� � � J
SOIL ABSORPTION SYSTEM o I I
PROPOSED 'D' BOX
LO A TION ° 10 LAMP
PROPOSED 1500 GALLON OF EXISTING MIN
��sE:Pnc / J
SEPTIC TANK
1 S -! iP-2 WAWOV3 d
ALL EXISTING 12" OAK X 90.7 RAMP
SEPTIC X 90.4 /P
COMPONENTS RAMP `
TO 9E REMOVED FROM
SITE IN ACCORDANCE' S L_ J 17.6-
r ONE STORY
!" WOOD FRAME
BUILDING #70
TOF-91.91 I cr
13.7' INVc88.57 G N
ME R
RAMP z
75 Z DECK RAMP ` / A
IST CHURCH SIT $
MAP 172 o W K
57 c SCREENED �0\
PORCH
X 89.1
TREE UNE
LOT 176 SHED
N
MAY INSTITUTE
ASSESSORS MAP 172 {,
PARCEL 58 -
15,254tS.F. X 89.2
X 89.7
X 89.2
1
IR STO ADE
FND 100.00' S39'19'00"W
OFF
JO LOT 150
172 N
MATHEW & N MEAGHER
ASSESSORS MAP 172
PARCEL 72
APR-05-2006 WED 03:45 PM BSC GROUP YARMOUTH FAX NO. 5087788966 P. 04
INVERT ELEVATIONS:
TOP OF FOUNDATION 91.91 A
4" INVERT AT BUILDING 88.57 B
4" INVERT AT SEPTIC TANK (IN) 87.60 C
4" INVERT AT SEPTIC TANK (OUT) 87.35 D
4" INVERT -AT DIST. BOX (IN) 87.30 E
4" INVERT AT DIST. BOX (OUT) 87.13 F
INVERTS AT LEACHING FACILITY:
4" INVERT AT BEGINNING
OF LEACHING CHAMBER 87.0 G
ELEVATION AT BOTTOM
OF LEACHING CHAMBER 85.0 H
NO OBSERVED GROUNDWATER
BOTTOM OF HOLE 78.9 1
INTERIOR SKETCH:
NOT TO SCALE
BATH BATH
BEDROOM LIVING ROOM BEDROOM
BEDROOM BEDROOM DEN
KITCHEN
COMMONWEALTH OF MASSACHUSETTS
ff z EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS
d DEPARTMENT OF ENVIRONMENTAL PROTECTION
e
TITLE 5
OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM FORM
PART A
CERTIFICATION
Property Address: 70 Guildford Road L5333 C
Centerville,MA. 02632
Owner's Name: May Institute
Owner's Address: Same „fit c3�
Date of Inspection: 11/2/2005 a
ALT
c
Name of Inspector: (please print) Brad J White
Company Name:Windriver Enviromental
Mailing Address: 107 N.Main Street
Carver,MA 02330
"Telephone Number:(508)-866-2576
CERTIFICATION STATEMENT
I certi Ty 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
gaining 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:
Passes
Conditionally Passes
- -- - - -- - - — Needs Further Evaluation by the Local Approving Authority- - --- - - -
X Fails
Inspector's Signature: ' al
te: 11/2/2005
The system inspector shall submit a copy o his 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
System is in hydraulic failure
""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 i 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: 70 Guildford Road
Centerville,MA. 02632
Owner: May Institute
Dare of'Inspection: 11/2/2005
1 nspection 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:
13. 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.
Ans\ver yes,no or not determined(Y,N,ND)in the for the following statements.If"not determined"please
explain.
The septic tank is metal and over 20 years old* or the septic tank(whether metal or not)is structurally
un,ound, exhibits substantial infiltration or exfiltration or tank failure is inuninent. 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
inclicating that the tank is less than 20 years old is available.
ND explain:
Observation of sewage backup or break out or high static water level in the distribution box due to broken or
obstructed pipe(s) or due to a broken,settled or uneven distribution box. System will pass inspection if(with
approval of Board of Health):
broken pipe(s)are replaced
obstruction is removed
distribution box is leveled or replaced
ND explain:
_ The system required pumping more than 4 times a year due to broken or obstructed pipe(s).The system will
pass inspection if(with approval of the Board of Health):
broken pipe(s)are replaced
obstruction is removed
ND explain:
17,,,-,,, All siMnn 2
P'a,e 3 of I I
OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM,INSPECTION FORM
PART A
CERTIFICATION(continued)
Property Address: 70 Guildford Road
Centerville,MA. 02632
Owner: May Institute
Date of Inspection: 11/2/2005
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. S1'Stem will pass unless Board of Health determines in accordance with 310 CMR 15.303(1)(b)that the
sY stem 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
:. 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 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:
Pilue 4 of I 1
OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART A
CERTIFICATION(continued)
Property Address: 70 Guildford Road
Centerville,MA. 02632
Owner: May Institute
Mile of Inspection: 11/2/2005
1). S}•stem Failure Criteria applicable to all systems:
Y'ou must indicate "yes"or"no"to each of the following for all inspections:
1'cs No
X , Backup of sewage into facility of 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 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 ground water elevation.
_X_ Any portion of cesspool or privy is within 100 feet of a surface water supply or tributary to a surface
water supply.
_X_ Any portion of a cesspool or privy is within a Zone 1 of a public well.
_ _X_ Any portion of a cesspool or privy is within 50 feet of a private water supply well.
_ _X_ Any portion of a cesspool or privy is less than 100 feet but greater than 50 feet from a private water
supply well with no acceptable water quality analysis. [This system passes if the well water analysis,
performed at a DEP certified laboratory,for coliform bacteria and volatile organic compounds
indicates that the well is 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.]
Yes_(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 deternune what will be necessary to correct the failure.
E. Large Systems:
To 1?e considered a large system the system must serve a facility with a design flow of 10,000 gpd to 15,000
1�pd.
1'uu Must indicate either"yes"or"no"to each of the following:
(l lie following criteria apply to large systems in addition to the criteria above)
Ves 110
_ 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
lone I I of a public water supply well
I I'V iui hay e 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
si_nificant threat under Section E or failed under Section D shall upgrade the system in accordance with 310 CMR
1 304. The system wvner should contact the appropriate regional office of the Department.
,rc,IF, c T„c ant; ,; iz,,,_(,ii vonnn 4
ni e5ofII
OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART B
CHECKLIST
Property Address: 70 Guildford Road
Centerville, MA. 02632
0)1 ner: May Institute
Datc oi'Inspection: 11/2/2005
Check if the following have been done.You must indicate"yes"or"no"as to each of the following:
Yes No
X _ Pumping information was provided by the owner, occupant,or Board of Health
_X_ Were any of the system components pumped out in the previous two weeks?
Has the system received normal flows in the previous two week period?
X_ Have large volumes of water been introduced to the system recently or as part of this inspection?
X _ Were as built plans of the system obtained and examined? (If they were not available note as N/A)
Was the facility or dwelling inspected for signs of sewage back up ?
Was the site inspected for signs of break out'?
X. _ Were all system components, excluding the SAS,located on site?
_X _ Were the septic tank manholes uncovered,opened,and the interior of the tank inspected for the
condition of the baffles or tees,material of construction, dimensions,depth of liquid, depth of sludge and depth of
SCUM ?
X _ _ Was the facility owner(and occupants if different from owner)provided with information on the proper
.- -- mauucnance of subsurface sewage disposal systems? *------
The size and location of the Soil Absorption System(SAS) on the site has been determined based on:
Yes no
—X_ _ Existing information.For example, a plan at the Board of Health.
X Determined in the field(if any of the failure criteria related to Part C is at issue approximation of
di,,tancr is unacceptable) [310 CMR 15.302(3)(b)]
r i� : Inc am nn Fnr,,�ii v�nnn 5
P''tge 6 of 11
OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART C
SYSTEM INFORMATION
Property Address: 70 Guildford Road
Centerville, MA. 02632
Owner: May Institute
Date of Inspection: 11/2/2005
FLOW CONDITIONS
It I,;S I D ENTIAL
\nniher of bedrooms(design): Number of bedrooms(actual): 3
1)I:S1(.;N [low based on 310 CMR 15.203 (for example: 110 gpd x#ofbedrooms): 330
!\�unrber ofcurrent residents: 3
Does residence have a garbage grinder(yes or no): NO
Is laundry on a separate sewage system(yes or no):NO [if yes separate inspection required]
Laundry system inspected(yes or no): NO
Seasonal use: (yes or no): NO
Water meter readings, if available(last 2 years usage(gpd)): N/A
fiurnp pump(yes or no): NO
Last date of occupancy: Current
CONI iM ERCIALANDUSTRIAL
Type of establishment:
Drsi`-it 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:
clatr ofoccupancy/use:
OTHER (describe):
GENERAL INFORMATION
Plumping Records
Swirc�:. of information: pumped after inspection
\Vas system pumped as part of the inspection(yes or no): Yes
If yes, volume pumped: 1,500 gallons--How was quantity pumped determined?Sight tube on truck
Reason for pumping: Tank was overfull and running back.To prevent backup
V' OF SYSTEM
Septic tank,distribution box, soil absorption system
_ Single cesspool
Overflow cesspool
Privy
No Shared system(yes or no) (if yes,attach previous inspection records, if any)
I nnovative/Alternative tecluiology. 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 was installed in 1995 per as built plan of system.
NVere sewage odors detected when arriving at the site(yes or no): NO
I-',r,e7of11
OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART C
SYSTEM INFORMATION(continued)
f'ropert) Address: 70 Guildford Road
Centerville,MA. 02632
Owner: May Institute
Date of Inspection: 11/2/2005
BUILDING SEWER(locate on site plan)
Depth below grade: 30"
\1a1crials of construction:_cast iron X 40 PVC_other(explain):
I)istance from private water supply well or suction line: N/A
C':unments(on condition ofjoints, venting,evidence of leakage, etc.): Building sewer is in good conditon.
SEPTIC TANIC: X (locate on site plan)
Depth below grade: 18"
Material of constriction: X concrete_metal_fiberglass__polyethylene
-___other explain)
i 1-t;,nl: is nietal list age: _ Is age confirmed by a Certificate of Compliance(yes or no):_(attach a copy of
certificate)
I)Mkmsluns: 8' x 5'-8" x 5'-2"
Sludue depth: 2"
Distance from top of sludge to bottom of outlet the or baffle: 30"
Scum thickness: 2"
Distance from top of scum to top of outlet tee or baffle: 4"
Distance from bottom of scum to bottom of outlet tee or baffle: 24"
1-low.were dimensions determined: measured
Comments(on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity,liquid levels
as related to outlet invert,evidence of leakage, etc.): inlet and outlet tees seem to be in good condition.Liquid
keel is high and when the system was pumped there was run back frorh the leaching components.
G REASE TRAP:_(locate on site plan)
Depth below grade:
Material of construction:_concrete_metal_fiberglass_polyethylene_other
(explain):
Dimensions:
:cunt thickness:
Distance 6-om top of scum to top of outlet tee or baffle:
DPP Lance from bottom of scum to bottom of outlet tee or baffle:
I)ate of last pumping:
Comments (on pumping recommendations, inlet and outlet tee or baffle condition,structural integrity,liquid levels
ors related to outlet invert,evidence of leakage, etc.):
f •
Pa: e SofII
OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART C
SYSTEM INFORMATION(continued)
Property Address: 70 Guildford Road
Centerville,MA. 02632
Owner: May Institute
Date oi'Inspection: 11/2/2005
"i l G FIT or HOLDING TANK: (tank must be pumped at time of inspection)(locate on site plan)
Depth below grade:
Vlaterial'bfconstruction: concrete metal' fiberglass_ polyethylene otlier(explaiii):
Dimensions:
Capacity: gallons
Dc•si-n Flow: gallons/day
Alarm present(yes or no):
\loan level: _ _ Alarm in working order(yes or no):
Date of,last pumping:
Cmiiinents(condition of alarm and float switches,etc.):
D 1 STRIBUTION BOX: X (if present must be opened)(locate on site plan)(30"below grade)
Depth of liquid level above outlet invert: Overfull
Comments(note if box is level and distribution to outlets equal, any evidence of solids carryover,any evidence of
into or out of box, etc.): Distribution box is overfull.Both pipes exiting are underwater.
PUMP CHAMBER: (locate on site plan)
Pumps in working order(yes or no):
Alarms in working order(yes or no):
(-nnunents (note condition of pump chamber,condition of pumps and appurtenances, etc.):
T,fi,� c T„ t; ., 17,,,-,,, Air 1;i1n01) 8
OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART C
SYSTEM INFORMATION(continued)
Property Address: 70 Guildford Road
Centerville,MA. 02632
Owner: May Institute
D,ite of Inspection: 11/2/2005
SO1 L, A13SORPTION SYSTEM (SAS): X (locate on site plan,excavation not required)
If SAS not located explain why:
T.)-pc
_X leaching pits, number: 1
X _ leaching chambers, number:_4_
leaching galleries, number:
_ leaching trenches, number,length:
__ leaching fields, number, dimensions:
_overflow cesspool,number:
__ innovative/alternative system Type/name of technology:
C0111111ents(note condition of soil, signs of hydraulic failure,level of ponding,damp soil, condition of vegetation,
c•1r.1: soil is wet for both. Leaching pit is overfull. Vegetation is grass. Chambers are also overfull.
CESSPOOLS: _(cesspool must be pumped as part of inspection)(locate on site plan)
Number and configuration:
Depth— top of liquid to inlet invert:
Depth of solids layer__
Depth of scum layer:
D1111cnsions of cesspool:
\ialcrials of construction:
111diC,160n 0f groundwater inflow(yes or no):
C'onlnlents(note condition of soil, signs of hydraulic failure, level of ponding,condition of vegetation,etc.):
PRIVY: (locate on site plan)
idlS ul C011StR1Cti011:
D 1111c ns 10 ns:
Depih of solids:
Comments(note condition of soil, signs of hydraulic failure, level of ponding,condition of vegetation, etc.):
Page 10 of I 1
OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART C
SYSTEM INFORMATION(continued), 1'
Property Address: 70 Guildford Road
Centerville,MA. 02632
Owner: May Institute
D;itc or inspection: 11/2/2005
SIUi TCH OF SEWAGE DISPOSAL SYSTEM
Provide a sketch of the sewage disposal system including ties to at least two permanent reference landmarks or
henclunarks.Locate all wells within 100 feet. Locate where public water supply enters. a building. .
14 28'
30�
a N7
144
✓�5: y77'
12
v
33
y y
S
U I CD 1FoR� 112oAU
:
N' 1
T;tip : Tnc„a t;nn T'nr_4/1 VIOAO ;`10
Paee 1 1 of i l
OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART C
SYSTEM INFORMATION(continued)
Property Address: 70 Guildford Road
Centerville,MA. 02632
Owner: May Institute
Dole of Inspection: 11/2/2005
SITE EXAM
Slope
Siirl ice water
Check cellar
Shallow wells
17srimated depth to ground water 5'+ feet
11Icase indicate (check) all methods used to determine the high ground water elevation:
Obtained from system design plans on record-If checked,date of design plan reviewed:
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:
l"011 nulst describe how you established the high ground water elevation: No indication of groundwater @ 5'=
pri CXC8V8CIOn.
T�rl� G T.,c„o.t;n„T:rn•n,('/1'�i'nnn 11
1
r
No.._7,j &!2 Y FI;&...... .. ........
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
TOWN OF BARNSTABLE
Appliratiun for Diinpuuttl War1w Tunutrnrttun rrrnttt
Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal
System at:
..... o .. . . ••• ........... ...........
•-•-- � �--'` " ------------------------•--------.-__..-----------------•----•------•----------•----•----
cation-Add ss or Lot No.
........... .. .. ... .... .. . -... ........................ -•.......--------------•----------•-...__---------•-•---•----•.._......_.._....................__.
W Ow r Address
,a ..................... .....
Installer Address
YP g Size Lot Sq. feet
U Type o Building ....................______
Dwelling— No. of Bedrooms--------------------------------------------Expansion Attic ( ) Garbage Grinder ( )
aOther—Type of Building ............................ No. of persons---------------------------- Showers ( ) — Cafeteria ( )
d Other fixtures .
W Design Flow............................................gallons per person per day. Total daily flow-------------------------------------,------gallons.
W Septic Tank—Liquid capacity............gallons Length................ Width---------------- Diameter.....__-_---.- Depth----------------
x Disposal Trench—No. .................... Width-------------------- Total Length-------------------- Total leaching area....................sq. ft.
3 Seepage Pit No--------------------- Diameter-------------------- Depth below inlet.................... Total leaching area..................sq. ft.
Z Other Distribution box ( ) Dosing tank ( )
Percolation Test Results Performed by.......................................................................... Date-------------------------------------
1.4 Test Pit No. I----------------minutes per inch Depth of Test Pit.-.----------------- Depth to ground water........................
rZ4 Test Pit No. 2................minutes per inch Depth of Test Pit_----------------- Depth to ground water------------------------
9 -----------------------------------------------•-•---•---------•-----...----•-•----•....••-----••--...................................•••--•---------------
0 Description of Soil..................................................................................................................................................-......................
x
U
w
x ------ ---------------------•-----•----••--------------------------••--•-•-•----------------------•---.....-- -----
U Nature of Repairs or Alterations—Answer when applicable.-... �----Y--- . .........
-- A f.. .-----------•-------------•-------------------------------......_..........
Agreeme t:
The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with
the provisions of TITLE 5 of the State Environmental Code —The undersigned further agrees not to place the
system in operation until a Certificate of Compliance een issued by the rd of health.
Signed ----------------- ........ ..�7-. .�'.1�5......
.. ......................................... ........ Dace
Application.Approved By ---- - �--------------------------- ------------------------------------------------ -'7... L- --?- -----
Dace
Application Disapproved for the ollowing reasons- --------------------------------...---------.........---.........------.........---------------------------------------------------
------------------ ---------------------------------------------------------------------------------------------------------------------------- ------------------------------------------- ----------------------------------------
Permit No. ....... ----------.-/6-Q--.------------------- Issued .........._.7----"---6---- --<---
Dace
�1 � 1 + •rah I ����� J D s�r�,�`. �',�. Q R �-iyc,_t.
1
1 No:. � d / F�$.... . ........
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
TOWN OF BARNSTABLE
Apphrtt#inn for Di_rVn!3tt1 Work,i Tomstrnr#inn Vantit
Application is hereby made for a Permit to COnStr UCt ( ) or Repair ( ) an Individual Sewage Disposal
System at, F
...... .�_...... srX ...�-._.-• ---••---•- --...---c---- ---------------•----------------•------------------------•-------•----------•---•--------
cation-:\ddr ss or Lot No.
t
. �... .. -<y------------------------
Ow r s Address
Installer Address
UType of Building Size Lot............................Sq. feet
1-. Dwelling—No. of Bedrooms--------------------------------------------Expansion Attic ( ) Garbage Grinder ( )
aOther—Type of Building ____________________________ No. of persons---------------------------- Showers ( ) — Cafeteria ( )
al Other fixtures-------------------------
----------------------------------------------------------------- -------------------------------------------------•-•---------.
W Design Flow............................................gallons per person per day. Total daily flow-------------------------------------,------gallons.
WSeptic Tank—Liquid capacity............gallbns , Length---------------- Width--_____-_--__. Diameter---_----------- ..... Depth..............
x Disposal Trench—No. ................;... Width..........---------- Total Length.................... Total leaching area....................sq. ft.
3 Seepage Pit No---------------------- Diameter................ Depth below inlet.................... Total leaching area..................sq. ft.
Z Other Distribution box ( ) Dosing tank
Percolation Test Results ,^'Performed by---- ---------------------------------------------------------- ------ Date.........................
>1P
Test Pit No. I................minutes per inch Depth of Test Pit-------------------- Depth to ground water.___."--------------L.
rs. Test Pit No. 2................minutes per inch Depth of Test Pit-------------------- Depth to ground water,.......................
a
ODescription of Soil----------------------••--------------------------------------•--....------•---------------------------------------------........------------------------.
U ` ----------------------------------------------------------------------------------------------------
W
x --------------------------------
U 'Nature of Repairs or Alterations—Answer when applicable.--- .�.-
-..,:
Agreemet: ¢ i Y.
The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with
the provisions of TITLE 5 of the State Environmental Code—The undersigned further agrees not to place the
system in operation until a Certificate of Compliance has-been issued by thLoard ofhealth.
Signed .. 7 .. . -5(/j",,�............y...r ..!k9e}y ...:.1.. ...............j//y/(AjA'/'........ Dace
Application.Approved By ----------- .
Date
Application Disapproved for the ollowing reasons- ---------------------------------------------------------------------------------------------------- -----------------------------
.....................................................------------------------------------------------------------------------------ --------.----------------------------------------..-...------------ ------------.... ------------------
Date
Permit No. ....... ��...-.....��.�� Issued -------------------....' �..�- �5 ........
Date
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
TOWN OF BARNSTABLE
011Prtifi ate of 01-1-amplianrE
THIt' TO CERTIFY, T at the Individual Sewage Disposal System constructed ( ) or Repaired
by .............E ,
Installer ------------------------------------------
at .................. n....._.... .. .... .. -------------_ .------. ....... - .........__._....
has been installed in accordafice with the provisions of TITLE 5 of The State Environmental Code as described in
the application for Disposal Works Construction Permit No. ...... .��..-_.� �_(/--.- dated ...... ....-... ..-.%r,7.._...
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE
SYSTEM WILL FUNCTION SATISFACTORY.
DATE - ...^ ----- --------------------------------------- Inspector ---------��----....:._ -- ---------------------------------.
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
TOWN OF BARNSTABLE
No...� ! � C FEE.---
. �, ........�t ,� .........
Dinvnsttl / nrko Tnn�#rtnn Vrrntt#
Permission is hereby granted.............. .. .. _rev+ _ ._. 7rf- J_..... .
----------------------------------------------------------
to Construct ( ) or `Repair )an Indiv•dualSewage Disposal System
of No........ _�v`"'` lf�..............'?'��-���t�-i-��a..............�!!Z'r� e
Street
as shown on the application for Disposal Works Construction Permit No�5_._�66..1/ Dated-------7_-1-4.......
._.
-------•------------------....... -----------------------------.........------------------------
Board of Health -
DATE - 2.` ' - ---......
FORM 36508 HOBBS&WARREN,INC.,PUBLISHERS
-.
CERTIFICATION OF SKETCH AND APPLI
CATION FOR A DISPOSAL
WORKS CONSTRUCTION PERMIT(WITHOUT DESIGNED PLANS)
I, hereby certify that the application for disposal works
construction permit signed by me dated ��— �' S� , concerning the
property located at r7 U ,�,l�Op . (� �,�� meets all of the
following criteria:
• There are no wetlands within 300 feet of the proposed septic system
• There are no private wells within 150 feet of the proposed septic system
• The observed groundwater table is 14 feet or greater below the bottom of the leaching facility
• There is no increase in flow and/or change in use proposed
• There are no variances requested or needed.
SIGNED: DATE'I
LICENSED SEPTIC SYSTEM INSTALLER IN THE TOWN OF BARNSTABLE NUMBER
[Attach a sketch plan of the proposed system. Also if the licensed installer posesses a certified plot plan,
this plan should be submitted].
I
4
D U
reoN7-- 0 j�✓5
Tc La
0
0
c"
1` o 7.— 1!j( TOWN OF BARNSTABLE
LOCATION -7 o y � SEWAGE # /cam—/!�OK
-,VULAGE : 9 ,' ASSESSOR'S MAP & LOT
INSTALLER'S NAME&PHONE NO. d�
SEPTIC TANK CAPACITY t try g,-a
LEACHING FACILITY: (type) / 1,4
NO.OF BEDROOMS 3
BUILDER OR OWNER �z
PERMIT DATE: -2`- S� 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
i
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----------------
SEPTIC TANK DETAIL: 1 ,500 GALLON DISTRIBUTION BOX DETAIL: NOT TOSCALE LEACHING DETAIL: NOT TO SCALE REVISIONS
SOIL TEST PIT DATA: P#11205 1 /20/06 NO. DATE DESCRIPTION
NOT TO SCALE REMOVABLE NO. OF OUTLETS
4 PVC 25.5'
11
TEST PIT - TEST PIT #2 NOTES: 1. SEPTIC TANK SHALL BE STEEL 5. INLET AND OUTLET TEES TO BE CAST IRON, COVER -1 FINISHED GRADE 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
PIPE o On 0 00 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
GIRD. EL. 90.4 GIRD. EL. 90.8 REINFORCED CONCRETE. SCHED. 40 PVC OR CAST-IN-PLACE CONCRETE. 00 0
TEES TO BE CENTERED UNDER MANHOLE COVER. 2" WALLS 0 9 UNITS 0
EST. HIGH GW. EST. HIGH GW. N/A 2. SEPTIC TANK TO WITHSTAND H-10 LOADING NOTES: 0 0 C) 00
r-------------------I UNLESS UNDER PAVEMENT, DRIVES OR 0 0 I 1. DIST. BOX TO WITHSTAND H-10 LOADING 00 8P-600 160-699
FILL TRAVELED WAYS, WHEREIN H-20 LOADING
A 18" 2" M BAMM 0 0 0 0 0 GENERAL NOTES:
A UNLESS UNDER PAVEMENT, DRIVES OR 00 SHALL APPLY.
LOAMY SAND T TRAVELED WAYS WHEREIN H-20 LOADING 00 500 (ALLON LEACHIqG DR�WELLS - 1. THIS PLAN IS FOR DESIGN AND
LOAMY SAND 3. ALL PIPE CONNEC11ONS AND CONCRETE
10YR3/2 8,, 2-24" DIA CONCRETE MANHOLES T 0-0 0 0 0 0 0 0 0 0 0 0 0 0
10YR3/2 24" CONSTRUCTION SHALL BE WATERTIGHT. W/ METAL HANDLES BROUGHT SHALL APPLY. 0?an 0*00000000000000po"o 0 000 0 00 0 00 0 0 0 000 0 0 0 00 CONSTRUCTION OF THE SEWAGE
15" DISPOSAL FACILITY ONLY.
B B 4. FILL ALL UNUSED KNOCKOUTS WITH TO 6" OF FINISH GRADE
8w
- 1 2. ALL CONSTRUCTION METHODS AND
LOAMY SAND LOAMY SAND MORTAR. TEE TO BE UNDER 2. PROVIDE INLET TEE OR BAFFLE WHERE 50.0'
10YR4/6 OPENING 12" MIN. 6m 9,5- OUTLE SLOPE OF PIPE EXCEEDS 0.08 FT./FT OR PLAN MEW - LEACHING CHAMBERS MATERIALS SHALL CONFORM TO MASS.
M.H. OP QVER 70.. �
36" 40 4 IN PUMPED SYSTEM. D.E.P TITLE 5 AND LOCAL BOARD
e lip
EL 87.4 EL 87.5 V 30
.W%N4Z OF HEALTH REGULATIONS.
4m iti RRIMMAM-1*1 1 2- 3. FIRST TWO FEET OF PIPE OUT OF DIST. LOAM & SEED DISTURBED AREAS 3. ALL PIPES LOCATED UNDER PAVEMENT
RAISE M.H W BOTTOM ON LEVELIP-1`14 6- MIN. To BOX TO BE LAID LEVEL. OR TRAVELED WAY SHALL BE SCHEDULE
10'-6* SEWER BRICK 7 STABLE BASE 3/4 ----1//
1 1/2- CRUSHED 40 OR EQUAL.
Cl Cl 10'-0* & MORTAR CROSS-SECTION 4. ALL PIPE CONNECTIONS AND CONCRETE 3' MAX. IMUM,12"MINIMUM
LOAMY SAND LOAMY SAND NORMAL WATER LEVEL 12*1 STONE BASE 4. THERE ARE NO KNOWN PRIVATE WELLS
CONSTRUCTION SHALL BE WATERTIGHT.
10YR6/4 1 OYR5/6 ;k- ;00000 0000 3" LAYER LOCATED WITHIN 150 FT. OF THE
L 3- 5. FILL ALL UNUSED KNOCKOUTS WITH MORTAR. 0 PEASTONE PROPOSED LEACHING FACILITY NOR
48 48 \-L-/ \-I-/ \-I-/ =-
ion 14" ..0 ANY KNOWN WELLS PROPOSED WITHIN
PRECAST SEPTIC TANK T b8 150' OF ANY KNOWN LEACHING FACILITY.
INLET TEE '1 6-1- 3410 249p 0
120" 124" C 0 0 5. WITHIN LIMIT OF EXCAVATION REMOVE
0
0 1/2"-
T 3 (DO 0
EFFEC.
5*-2" 4'-6- 4'-Ow MIN. 9 I�Er d,: 5*-8* DEPTH 0 ALL TOPSOIL, SUBSOIL AND OTHER
C2 C2 or .UTM 7a 30" 0
MEDIUM SAND MEDIUM SAND XD Z; LIQUID DEPTH (GAS 00NTMX) IMPERVIOUS MATERIAL.
59-8- ST. 6. REPLACE ALL EXCAVATED MATERIAL WITH
10YR7/3 1 OYR7/3 PRECAST DI
CLEAN GRANULAR SAND, FREE FROM ORGANIC
BOX 3/4" 1 1/2"
MATERIAL AND DELETERIOUS SUBSTANCES.
NO. G.WATER NO. G.WATER 89-690 WASHED STONE
T-1 I MIXTURES AND LAYERS OF DIFFERENT CLASSES
EL = 78.9 138" EL = 78.8 144" e. BOTTOM ON LEVEL STABLE BASE 16P-6" OF SOIL SHALL NOT BE USED. THE FILL SHALL
Oev 3" - NOT CONTAIN ANY MATERIAL LARGER THAN
DATE: DATE: PLAN VIEW 6" MIN. 3/4!' TO �77 1 2� TWO INCHES. A SIEVE ANALYSIS, USING A #4
CROSS-SECTION VIEW PLAN MEW CROSS-SECTION OF CHAMBER SIEVE, SHALL BE PERFORMED ON A
1/20/06 1/20/06 1 1/2- STONE REPRESENTATIVE SAMPLE OF FILL. UP TO 457.
BY WEIGHT OF THE FILL SAMPLE MAY BE
TEST BY: TEST BY:
RETAINED ON THE #4 SIEVE. SIEVE ANALYSES
THE BSC GROUP, INC. THE BSC GROUP, INC. ALSO SHALL BE PERFORMED ON THE FRACTION
WITNESSED BY: WITNESSED BY: OF FILL SAMPLE PASSING THE #4 SIEVE, SUCH
INDICATES ANALYSES MUST DEMONSTRATE THAT THE
DONALD DESMARAIS DONALD DESMARAIS PERC. VARIANCES REQUESTED: DESIGN . CRITERIA: MATERIAL MEETS EACH OF THE FOLLOWING
SPECIFICATIONS:
OF
PERC. RATE: PERC. RATE: TEST IDESIGN �W: 100Y. MUST PASS #4 SIEVE
_2--MIN./INCH 2 MIN./INCH NONE 11%OF Mq._g, (4.75 mm EFFECTIVE PARTICLE SIZE)
ROOMS AT110G.P.B./D 10%-100% MUST PASS #50 SIEVE
A. /pED
SOIL EVALUATOR SOIL EVALUATOR INDICATESfELD (0.30 mm EFFECTIVE PARTICLE SIZE)
UNSUITABLE MARK 0. �7 OX-20% MUST PASS #100 SIEVE
CRAIG FIELD CRAIG FIELD DIRG
MATERIAL 0: CIVIL TOWN OF BARNSTABLE NEW REGULATIONS (0.15 mm EFFECTIVE PARTICLE SIZE)
SOIL CLASS: SOIL CLASS: No.46937 REQUIRE SOIL EVALUATOR TO INSPECT REQUIRED SEPTIC TAN 0%-5% MUST PASS #200 SIEVE
us 1- (0.075 mm EFFECTIVE PARTICLE SIZE)
BOTTOM OF EXCAVATION PRIOR TO ANY 440 X 200% 880 GAL. 7. EXISTING U71UTIES WHERE SHOWN
L.T.A.R. L.T.A.R. ONAL INSTALLATION AND ALSO PRIOR TO FINAL SEPTIC TANK PROVIDED: 1500 AL. IN THE DRAWINGS ARE APPROXIMATE.
0.74 G.P.D./SQ.FT. 0.74 G.P.D./SQ.FT. /zoo& THE CONTRACTOR SHALL BE RESPON-
x A BACKFILLING, SIBLE FOR PROPERLY LOCATING AND
0 COORDINATING THE PROPOSED CON-
NZE :F: LEACHING FACILITY REQUIR::ED:] STRUCTION ACTIVITY WITH DIG-SAFE
DATUM: AND THE APPLICABLE UTILITY
DESIGN PERC. RATE: <2 MIN./ INCH COMPANY AND MAINTAINING THE
VERTICAL DATUM: ASSUMED EXISTING UTIUTY SYSTEM IN SERVICE.
LONG TERM APPL. RATE 0.74 G.P.D/S.F. DIG-SAFE SHALL BE NOTIFIED PER
THE STATE OF MASSACHUSETTS
STATUTE CHAPTER 82, SECTION 409
BENCH MARK SET: HYDRANT TAG BOLT ELEV.=90.32 440 GPD + 0.74 GPD/SF 596 S.F. AT TEL. 1-888-344-7233. THE
ENGINEER DOES NOT GUARANTEE
THEIR ACCURACY OR THAT ALL
UTILITIES AND SUBSURFACE STRUCTURES
PROFILE'. NOT TO SCALE FS7Z7E 'OF LEACHING FACILITY PROVIDED:1
ARE SHOWN. LOCATIONS AND
EL.=A ELEVATIONS OF UNDERGROUND UTILITIES
FIRST PIPE LENGTH TAKEN FROM RECORD PLANS. THE
/TOP FOUNDATION CONCRETE COVERS TO WITHIN TO BE SET LEVEL USE CONCRETE LEACHING CHAMBERS CONTRACTOR SHALL VERIFY SIZE,
EL.=90.8 6" OF FINISHED GRADE. FOR MIN. 2' LEACHING CHAMBERS(9 UNITS) 16,5'X2'X50' LOCATION AND INVERTS OF UTIUTIES
FINISH GRADE PLAN VIEW AND STRUCTURES AS REQUIRED PRIOR
EL.=89.5-90.5 TO THE START OF CONSTRUCTION.
4 PVC SCH 40 G U IL DF ORD ROAD SIDEWALL 2(16.51+50.01) X 21 266
SCALE: 1' 20 FEET
i
(40- WIDE PRIVATE) ❑SCH 40 CONCRETE LEACHING CHAMBER ...... 47. �74!S.SYSTEL44S D--FOR--
4" PVC SCH MIN THE USE OF A GARBAGE GRINDER.
0000000000 1,091'S.F.
A GARBAGE GRINDER IS NOT
EDGE OF PAVEMENT 0 10 20 40 FT.
I=G RECOMMENDED DUE TO RECOGNIZED
I=D
0000000000; __ -88- 1091 S,F x 0.74 GPD/SF 807GPD ADVERSE IMPACTS TO THE LEACHING
H -UP-
I=E HYD FACILITY.
�l Cj W 89
5 OUTLET I-F 0. 0' _.&5glf9__'OO"
DIST. BOX 6.1' SEPARATION THE SYSTEM IS OVERSIZED DUE TO 9. EXITING INVERTS ARE TO BE CHECKED BY
SEPTIC TANK
INCREASE WATER USE BY DISABELED THE CONTRACTOR PRIOR TO CONSTRUCTION.
BENCH MARK: us
lo, BITUMINOUS
EST. HIGH GROUNDWATER HYDRANT TAG BOLT DRIVEWAY OCCUPANTS 0. THE ENGINEER IS TO BE NOTIFIED OF
ELEV. 90.32 ANY FIELD CHANGES THAT MAY BE
OAK REQUIRED.
2" 0 K • ® LOCUS INFORMATION
0
PROPOSED 16.5'x5O.O' • 1,00,
SOIL ABSORPTION SYSTEM
LAMP
INVERT ELEVATIONS: TE 0 lo CURRENT OWNER: THE MAY INSTITUTE
PROPOSED -D- BOX LO ATION MIN
TOP OF FOUNDATION 91.91 A OF EXISTING TITLE REFERENCE: BOOK 10011, PAGE 23 657 Main Street, (RT. 28) Unit 6
:9 W. Yarmouth Massachusetts
(D BIIT�W
PROPOSED 1500 GALLON :.j TP-2
4" INVERT AT BUILDING 88.57 B SEPTIC TANK WA PLAN REFERENCE: BOOK 287, PAGE 84 02673
RAMP
4" INVERT AT SEPTIC TANK (IN) 87.60 C X 90.7 5087788919
12" OAK ASSESSORS MAP. 172X 90.4 RAMP
4" INVERT AT SEPTIC TANK (OUT) 87.135 D ALL EXISTING 17.6' PARCEL: 58
PR0jTfC__-T---TlTLE-
4" INVERT AT DIST. BOX IN 87.30 E SEPTIC COMPONENTS L J
ZONING DISTRICT. RC
TO 13E REMOVED FROM ONE STORY •
4" INVERT AT DIST. BOX OUT 87.13 F SITE IN ACCORDANCE WOOD FRAME SETBACKS: FRONT 20'
NTH TITLE 5 BUILDING #70 RE
E10TOF=91.91 AR 10'GA cpl DESIGN FOR
INVERTS AT LEACHING FACILITY: INV=88.57 ME. R
_\1 3.7' z MINIMUM LOT SIZE: 87,120 S.F. SEWAGE DISPOSAL
RAMP
4" INVERT AT BEGINNING EXISTING LOT AREA: 15,254±S.F.
OF LEACHING CHAMBER 87.0 G DECK RAMP SYSTEM REPAIR
0 LAY DISTRICT: N 11
BIT
ELEVATION AT BOTTOM z K LOT 177 NITROGEN SENSITIVE
LOT 175
OF LEACHING CHAMBER 85.0 H 0 N/F ZONE: GP
N/F _9
4 TENNIS E. & BARBARA E. LILLY #�0
UNITED METHODIST CHURCH SCREENED o,,\ 7
0 ASSESSORS MAP 172 FEMA FLOOD
ASSESSORS MAP 172 Ci PORCH PARCEL 59 ZONE DISTRICT- ZONE nCn
PARCEL 57
PANEL #250001 0015 C GUILDFORD ROAD
NO OBSERVED GROUNDWATER X 89.1 CENTERVILLE
TREE LINE
BOTTOM OF HOLE 78.9 J
LOCUS PLAN: NO SCALE
SHEDMASSACHUSETTS
LOT 176
N/F N
4%.
MAY INSTITUTE
INTERIOR SKETCH: ASSESSORS MAP 172 :j,
'100
PARCEL 58
15,254±S.F. X 89.2
NOT TO SCALE X 89.7
LOCUS
X 89.2 PREPARED FOR:
SToQKADEtENg MARCY VINGNEAU
.7
BATH BATH 100.00' S39*1 9,00"W THE MAY INSTITUTE
IR
LIVING ROOM 1:,3
BEDROOM BEDROOM � N FND 722-A MAIN STREET
w C2 YARMOUTH PORT, MA 02675
OFF
DATE: FEBRUARY 1, 2006
LOT 149
LOT 151 LOT 150 N/F COMP. DESIGN: K. HEALY
N/F
N/F VIRGINIA B. THOMPSON
J. MATHEW & ERIN MEAGHER CHECK: M. DIB13
F WILLIAM PAVLINO ASSESSORS MAP 172
BEDROOM BEDROOM DEN Z ASSESSORS MAP 172 ASSESSORS MAP 172 PARCEL 73 DRAWN: P. HAGIST
KITCHEN PARCEL 71 PARCEL 72
FIELD: D. GAZZOLO J. McCARTIN
FILE NO. 8823SEP.DWG
DWG NO. 5695L
-01
SHEET 1 OF 1
TS
12�
S ,
.1, BOLT
OAK L,
0 10ek
L7-DECK
RAMP
RAMP
SCREENED
PORCH
TREE LINE
JOB NO. 4-8823.0�O