Loading...
HomeMy WebLinkAbout0092 HEADWATERS ROAD - Health 92 Headwatds':Road s Centerville A=228— 185 , k r k /// I S M E A I No. H163OR UPC 10259 smead.com • Made in USA I • , Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments ,M 92 Headwaters Road _ .;�' Property Address Stephen Lynch Owner Owner's Name ✓ information is enterville required for every C Ma 02601 2-21-18 � 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 filling out forms on the computer, use only the tab 1. Inspector: key to move your cursor-do not Brett Hickey use the return Name of Inspector key. B&B Excavation r� Company Name 374 Route 130 _ Company Address Sandwich Ma 02563 CitylTown State Zip Code (508)477-0653 _ SI 13747 Telephone Number License Number 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. I am a DEP approved system inspector pursuant to Section 15.340 of Title 5(310 CMR 15.000).The system: ® Passes ❑ Conditionally Passes ❑ Fails ❑ Needs Further Evaluation by the Local Approving Authority 2-21-18 _ 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 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. ""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•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 1 of 17 G0jjtd VS Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments M 92 Headwaters Road Property Address Stephen Lynch Owner Owner's Name information is required for every Centerville Ma 02601 2-21-18 page. City/Town 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: ® 1 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: System was in working order at time of inspection. 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•3113 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 2 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 92 Headwaters Road Property Address Stephen Lynch Owner Owner's Name information is required for every Centerville Ma 02601 2-21-18 page. City/Town 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 ❑ 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-3113 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 3 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments M 92 Headwaters Road Property Address Stephen Lynch Owner Owner's Name information is required for every Centerville Ma 02601 2-21-18 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. 3. Other: D) System Failure Criteria Applicable to All Systems: You must indicate"Yes" or"No"to each of the following for all inspections: Yes No ❑ ® Backup of sewage into facility or system component due to overloaded or clogged SAS or cesspool ❑ ® 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 or clogged SAS or cesspool ❑ ® Liquid depth in cesspool is less than 6" below invert or available volume is less than '/2 day flow t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 4 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments ,M 92 Headwaters Road Property Address Stephen Lynch Owner Owner's Name information is Centerville Ma 02601 2-21-18 required for every page. City/Town State Zip Code Date of Inspection B. Certification (cont.) Yes No ❑ ® Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s). Number of times pumped: ❑ ® 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. ❑ ® Any portion of a cesspool or privy is within a Zone 1 of a public well. ❑ ® Any portion of a cesspool or privy is within 50 feet of a private water supply well. ❑ ® 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.] ❑ z The system is a cesspool serving a facility with a design flow of 2000gpd- 10,000gpd. ❑ ® 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•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 5 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 92 Headwaters Road Property Address Stephen Lynch Owner Owner's Name information is required for every Centerville Ma 02601 2-21-18 page. City/Town 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 ❑ ® Pumping information was provided by the owner, occupant, or Board of Health ❑ ® 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 this inspection? ® ❑ 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? ® ❑ Were all system components, excluding the SAS, located on site? ® ❑ 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 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: ® ❑ Existing information. For example, a plan at the Board of Health. El ® 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: Number of bedrooms (design): 4 Number of bedrooms (Actual) 4 DESIGN flow based on 310 CMR 15.203 (for example: 110 gpd x#of bedrooms): 454GPD t5ins-3/13 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 M 92 Headwaters Road _ Property Address Stephen Lynch Owner Owner's Name information is required for every Centerville Ma 02601 2-21-18 page. Cityrrown State Zip Code Date of Inspection D. System Information Description: Number of current residents: 4 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 Seasonaluse? ❑ Yes ® No Water meter readings, if available last 2 ears usage d See below 9 ( Y 9 (9P ))� Detail: 2017-38,000gallons 2016- 125,000gallons Sump pump? ❑ Yes ® No Last date of occupancy: Current Date Commercial/Industrial Flow Conditions: Type of Establishment: NA 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•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 7 of 17 c Commonwealth of Massachusetts W Title 5 Official Inspection Form _ o Subsurface Sewage Disposal System Form - Not for Voluntary Assessments ;M 92 Headwaters Road Property Address Stephen Lynch - Owner Owner's Name information is required for every Centerville Ma 02601 2-21-18 page. Cityrrown 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: ® 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•3/13 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 92 Headwaters Road Property Address Stephen Lynch Owner Owner's Name information is Centerville Ma 02601 2-21-18 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: New SAS was added in 2008 Were sewage odors detected when arriving at the site? ❑ Yes ® No Building Sewer(locate on site plan): 2' Depth below grade: feet Material of construction: ❑ cast iron ® 40 PVC ❑ other(explain): Distance from private water supply well or suction line: Town p pp y feet Comments (on condition of joints, venting, evidence of leakage, etc.): Septic Tank(locate on site plan): Depth below grade: feet Material of construction: ® 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 Dimensions: 1000gallons Sludge depth: 8 t5ins•3113 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 9 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 92 Headwaters Road Property Address Stephen Lynch Owner Owner's Name information is required for every Centerville Ma 02601 2-21-18 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Septic Tank (cont.) Distance from top of sludge to bottom of outlet tee or baffle 28 Scum thickness 5 Distance from top of scum to top of outlet tee or baffle 6 Distance from bottom of scum to bottom of outlet tee or baffle 11" _ How 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.): Tank was in working order at time of inspection with liquid level equal to outlet invert. Tank is in need of pumping at this time and should be pumped every two years for maintenance. Grease Trap (locate on site plan): Depth below grade: NA p g 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•3113 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 92 Headwaters Road Property Address Stephen Lynch Owner Owners Name information is Centerville Ma 02601 2-21-18 required for every — page. CitylTown 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): Depth below grade: NA 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-3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 11 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 92 Headwaters Road _ Property Address Stephen Lynch Owner Owner's Name information is required for every Centerville Ma 02601 2-21-18 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Distribution Box(if present must be opened) (locate on site plan): Depth of liquid level above outlet invert 0 11 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.): D-box is in working order at time of inspection with liquid level equal to outlet invert. D-box did not show signs of back up or carry over. 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•3113 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 ;M 92 Headwaters Road Property Address Stephen Lynch --- Owner Owner's Name information is Centerville Ma 02601 2-21-18 required for every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Type: ❑ leaching pits number: ❑ leaching chambers number: ❑ leaching galleries number: ❑ leaching trenches number, length: ® leaching fields number, dimensions: 30 quik 4infiltrators ❑ 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.): Leaching was in working order at time of inspection with no sign of hydraulic failure. Leaching was dry when viewed. Cesspools (cesspool must be pumped as part of inspection) (locate on site plan): Number and configuration NA 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-3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 13 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments ;M 92 Headwaters Road Property Address Stephen Lynch Owner Owner's Name information is required for every Centerville Ma 02601 2-21-18 page. Citylrown 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): Materials of construction: NA Dimensions Depth of solids Comments (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): t5ins-3/13 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 92 Headwaters Road _ Property Address Stephen Lynch Owner Owner's Name information is required for every Centerville Ma 02601 2-21-18 page. Cityrrown 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 GARAGE 4 FRONT A B A1-34'4" 81- 29' A2-3W6#W 132- 26' A3- 51' 133-351 A4-59'6" 134- 30' t5ins•3113 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 15 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 92 Headwaters Road Property Address Stephen Lynch Owner Owner's Name information is required for every Centerville Ma 02601 2-21-18 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Site Exam: ® Check Slope ® Surface water ® Check cellar ® Shallow wells Estimated depth to high ground water: No GW @ 132" feet Please indicate all methods used to determine the high ground water elevation: ® Obtained from system design plans on record If checked, date of design plan reviewed: Sept 11-2008 Date ❑ 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: Plan on file with BOH. Before filing this Inspection Report, please see Report Completeness Checklist on next page. t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 16 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments °M 92 Headwaters Road Property Address Stephen Lynch Owner Owner's Name information is required for every Centerville Ma 02601 2-21-18 page. CitylTown State Zip Code Date of Inspection E. Report Completeness Checklist ® Inspection Summary: A, B, C, D, or E checked ® Inspection Summary D (System Failure Criteria Applicable to All Systems)completed ® System Information— Estimated depth to high groundwater ® Sketch of Sewage Disposal System either drawn on page 15 or attached in separate file t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 17 of 17 Town of Barnstable ��ptME TpN�O Regulatory Services Thomas F. Geiler,Director • BARNSTABLE, 9 MASS. Public Health Division 1639• �0 Thomas McKean,Director 200 Main Street,Hyannis,MA 02601 Office: 508-862-4644 Fax: 508-790-6304 Installer & Designer Certification Form Date: 10 ice Designer: POO - SZNX-S Installer: �� �5►-. Address: I Address: % 1-3 On I C)B � ( � S� was issued a permit to install a (date) - r (insta r) 1, septic system at 90� r- du-zN C -,�A•) 02n.-� . based on a design drawn by (address) Pr)uy S dated 9ITS i (designer) s 1 certify that the septic system referenced above was installed substantially according to the design, which may include minor approved changes such as lateral relocation of the distribution box and/or septic tank. I certify that the septic system referenced above was installed with major changes (i.e. greater than 10' I teral relocation of the SAS or any vertical relocation of any component of the septic sm) but in accordance with State & Local Regulations. Plan revision or certified as- It by designer to follow. or is 8S'9CT tt (Instal is Signature) o` CARMEN � �n s E. � S1=AY N No. 1131 (Designer's Signature (Affix Des eAy re) 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:Health/Septic/Designer Certification Form TOWN OF BARNSTABLE LOCATION SEWAGE# 3(d VILLAGE ASSESSOR'S MAP&PARCEL INSTALLERS NAME&PHONE NO. SEPTIC TANK CAPACITY ]}000 q Q\�0IJ C�i5 i';r�lfo LEACHING FACILITY:(type) Xi-b)J8LG5 5 PeD (size) „o•I�- X�(® NO.OF BEDROOMS 3� ` ' OWNER `l g Jo mat at PERMIT DATE: Z1 COMPLIANCE DATE: I .1 I(o pE3 T-r Separation Distance Between the: �c Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility -W"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 � �{, 76 Tf� F� '3 39,(o ato Q s� a 5.Fq �t LN Q(e 36 c ZooB Fee /oo THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes pplitation for �Digonl q�pgtem Con0truction VErmit Application for a Permit to Construct( ) Repair Upgrade( ) Abandon( ) ❑ Complete SystemAndividual Components Location Address or Lot No. C(pZ Ca��,xA �.CC Owner's Name,Address,and Tel.No. wG vva- Z& x) Assessor's Mapf.Parcel Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. �:s —` 9(0(p aye a ©o � �, 5 - ��y - Type of Building: Dwelling No.of Bedrooms �-' Lot Size —,L�� sq. ft. Garbage Grinder Other Type of Building � _ No.of Persons a Showers( i_),'_Cafeteria Other Fixtures QA)CA'a<\, , l"1`►n Sli-,Ns I A&)rl fit, Design Flow(min.required) 4yo gpd Design flow provided gpd Plan Date 1 _ umber of sheets_� Revision Date —r— Title S 1 Size of.Septic Tank SST � 06 C\ Type of S.A.S. Description of Soil {— --s�p C, Nature of Repairs or Alterations(Answer when applicable) Q 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 o�the Environmental Cod and not to place the system in operation until a Certificate of Compliance has been issued by this Board It . Signed �% Date Application Approved by A Date / ' 2008 Application Disapproved by: Date for the following reasons Permit No. Z&06 ^' &6, 1 Date Issued 401—V1— 0 8 .ca V -+�Io. DU� Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes Application for Dioonl *pgtem Con0tructiott Permit Application for a Permit to Construct( ) Repair(X Upgrade( ) Abandon( ) ❑ Complete System Nndividual Components Location Address or Lot No. Cj p` eG „ Owner's Name,Address,and Tel.No. Assessor'sMap/Parcel �a )S Installer's Name,Address,and Teel No. Designer's Name,Address and Tel.No. Type of Building: Dwelling No.of Bedrooms Lot Size sq. ft. Garbage Grinder (� Other Type of Building No.of Persons _ _ Showers( _),.,-Cafeteria( �, Other Fixtures ( �x 1C` �, r, -, �C( � CI��C ( r{ Design Flow(min.required) 4 L1 O gpd Design flow provided 4 S4 gpd Plan Date ( l , Number of sheets Revision . Date Title PA � � 1- F a Size of.Septic Tank , G-t I , 0 ,•. Type of S.A.S. Description of Soil -S n rA(+,n r Nature of Repairs or Alterations(Answer when applicable) 0 [i,r-- t 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 Co0and not to place the system in operation until a Certificate of Compliance has been issued by this B_oardd of�Healt . Signed Date .Application Approved by / C® v F Date o/ _ Application Disapproved by: /� w Date for the following reasons Permit No. Z 006 216,� Date Issued ----------------- - THE COMMONWEALTH OF MASSACHUSETTS / BARNSTABLE, MASSACHUSETTS (�Il ✓ Certificate of Compliance THIS IS TO CERTIFYA,9 that the On-site_S.ewage Disposal System Constructed ( ) Repaired (f,�-)' Upgraded ( ) Abandoned( )by , 9 .o, at 9 W,11Ar,to k, 6,0,E S7 has been constructed in accordance with the provisions of Title 5 and the for /Disposal System Construction Permit No. w e 5 2,e-�, dated 4� ;, •a Installer �+�•a//1p� . / i�l��i Designer f� =�' ,/ #bedrooms W Approved design flow gpd r The issuances otfft this .��permit shall not be construed as a guarantee that the system will function as designed. Date "A�"1� ' f�����r G Inspector i o S — ————————————————————————————————————————— --------------`----------------------------------------------------------------------------------------- No.�.,t'P, (4 Fee r �\ THE COMMONWEALTH OF MASSACHUSETTS t PUBLIC HEALTH DIVISION—BARNSTABLE, MASSACHUSETTS �Digpogal q§pgtem Cottgtructiott Permit Permission is hereby granted to Construct ( ) Repair Upgrade ( ) Abandon ( ) System located at 'J_ V\ 0, .1'-) l.vA'f r-Z P._r� fF'fs°r.\`(Ir,y.��,L s�—;L 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 Teit. Date `" f.7� 1� Approved by f Town of Barnstable P# Department of Regulatory Services annrasrests, Public Health Division DateKAM tbs9 200 M 'n Street,Hyannis MA 02601fly p .�— Date Scheduled / Time / Fee Pd. Soil Suitability Assessment for Sewage is osa m Performed By: Witnessed By: 10 LOCATION& GENERAL INFORMATION Location Address 9 Cen ^1��a a Owner's Name �1 ^*v\�V_ N1� Address T Assessor's Map/Parcel: �� Engineer's Name Ca ASV NEW CONSTRUCTION REPAIR Telephone# �( ' T Land Use p\ Slopes(%) _ Surface Stones�v ne Distances from: Open Water Body ft Possible Wet Area ►�} ft Drinking Water Well ft Drainage Way ft Property Line E�Q'f ft Other 14 ft SKETCH:(Street name,dimensions of lot,exact locations of test holes&perc tests,locate wetlands in proximity to holes) W 00 ._J M �y ts. C �C cu Parent material(geologic) D,_6sa CS,(1 Depth to Bedrock Depth to Groundwater. Standing Water in Hole: UVO� Weeping from Pit Face y Q(ZF Ohs- /9' Estimated Seasonal High Groundwater (J�—��95 11 V DETERMINATION FOR SEASONAL HIGH WATER TABLE Method Used: Depth Observed standing in obs.hole: In. Depth to soil mottles: in. Depth to weeping from side of obs.hole: in. Groundwater Adjustment tt. Index Well# Reading Date: Index Well level AdI.factor.,,tee.-®- Adj.Groundwater Level PERCOLATION TEST Bate$. ',. Time luon Observation Hole# Time at 4" Depth of Perc ��-5$ �1 ` Time at 6" Lu `�3 Start Pre-soak Time @ Oa AM _ Time(9"-V) rLy t u End Pre-soak Qg F)M Rate MinJlnch L v�NlP Site Suitability Assessment: Site Passed Site Failed: Additional Testing Needed(Y/N) Original: Public Health Division Observation Hole Data To Be Completed on Back----------- ***If percolation test is to be conducted within 100' of wetland,you must first notify the. . Barnstable Conservation Division at least one(1)week prior to beginning. Q:\S EPTICU'ERCFORM.DOC DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture .Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consistencv.%Gravel) -3a SL Q s1G� DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consistency.%Gravel) 30 o -13a Kq .SY LICOSR DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consistency.%Gravel) DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones',Boulders. onsi en i Flood Insurance Rate Map: Above 500 year flood boundary No_ Yes •thin 500 year bounds No=' Yes Wt y boundary Within 100 year flood boundary No 1Z Yes. . Depth of Naturally Occurring Pervious Material Does at least four feet of naturally occurring pervious material exist in all areas observed throughout the area proposed for the soil absorption system? L;5 — . If not,what is the depth of naturally occurring pervious material?,_..C _ Certification I certify that on (date)I have passed the soil evaluator examination approved by the Department of Envi a tec' and that the above analysis was performed by me consistent with . the required train' g,a ertis p rience described in 310 CMR 15.017. Signature Date Q:\.SEPTICVERCFORM.DOC DEC, 21- 2006 3: 22PM NO. 031 P. 1 Town of Barnstable Health Inspector Office Hours pZNE tp� do Regulatory Services 8:30—9:30 40 Thomas F.Geiler,Director 1:00—2:00 fir; ' Public Health Division fo+ Thomas McKean,Director 200 Main Street,Hyannis,MA 02641 Office: 508-862-4644 Fax: 508-790-6304 AMNESTY PROGRAM APPLICANT- SEPTIC QUESTIONNAIRE 1. General Information: Size of Property: Address: �2 �/'�'� Map Parcell&—'s Name: L J e--' f-�k Phone#: 2a. How many bedrooms exist at your property now? 2b. Are you planning to add any bedrooms? ( vU If yes,how many? 2c. How many bedrooms total are proposed at this property (including the amnesty unit)? 3 2d. Please include a copy of the floor plans for the entire property-showing the existing rooms in the home plus the proposed amnesty apartment and/or addition. Please label each room clearly on the plans. 3. Is the dwelling connected to public sewer? YES or NO If the dwelling is connected tD PWLlic sewer,skip questions#4 through#9 below. 4. Location of dwelling is INSIDE OUTSIDE a Zone o to public supply wells? 5. Is the dwelling connected to an SITE WELL or to P LIC WATER? 6. Is a disposal works construction permit on file? YES or NO 6a_ If yes,how many bedrooms were approved according to this permit? Bedrooms. 7_ Were any building permits obtained for construction of additional bedrooms? YES or NO 8. Is there an engineered septic system plan on file at the Health Division? YES or NO 9. Has the septic system been inspected by a DEP certified inspector within the last two years? YES or NO FOR OFFICE USE ONLY The Public Health Division has no objection to bedrooms at this property. Special Conditions: _ Signed: Date: Z 07 Q,Ih a a1 rh/wpfil es/amnes tyapp DEC. 21. 2006 3: 22PM NO. 031 P. 2 Ay �� 1 -� COL i vo 41 d l oo� Message Page 1 of 1 McKean, Thomas From: McKean, Thomas Sent: Thursday, January 18, 2007 12:11 PM To: Taylor, Madeline Subject: RE: Septic approvals 100 Blueberry Hill Disapproved-The septic system was approved in 1990 for three bedrooms maximum, not four bedrooms as requested. This 0.37 acre property is located within a WP/GP district. Four bedrooms are not allowed there. 92 H ers Drive QUESTION: Please view the submitted sketch plan. What is the "finished upstairs" room on the second floor located over the garage. Why isn't it labeled as to it's use? It appears to have enough privacy to be classified as a bedroom per DEP definitions. Therefore there are four bedrooms? -----Original Message----- From: Taylor, Madeline Sent: Thursday, January 18, 2007 11:17 AM To: McKean, Thomas Subject: Septic approvals Hi Tom I just got back from vacation and was wondering if you had a chance to review the septic questionnaires for 100 Blueberry Hill Rd, Hyannis and 92 Headwaters Rd, Centerville. Thanks Madeline Madeline Taylor Accessory Affordable Apartment Program Coordinator Growth Management Department Town of Barnstable 367 Main Street Hyannis,MA 02601 Phone: 508-862-4743 Fax: 508-862-4782 1/18/2007 DEC, 26. 2006 10: 46AM ' NO. 039 P. 2 �M e" , va � �InQD� ca De t po� v a0 ckb d ��h DEC, 26. 2006 10:46AM N0. 039 P, 1 Town of Barnstable Health Inspector Office Hours Regulatory Services 8:30—9:30 # Thomas F.Geiler,Director 1:00—2:00 • R&WWrABEZ • 659. ,� Public Health Division pTFD L Thomas McKean,Director 200 Main Street,Hyannis,MA 02601 Office: 508-862-4644 Fax: 508-790-6304 AMNESTY PROGRAM APPLICANT —SEPTIC QUESTIONNAIRE 1. General Information: Size of Property:,3 Address: -12 R&fl dj'�U'o! &115 Map?—LZ ParcelJ.Z S Name: �,/ L J(�-�' Phone#: 2a. How many bedrooms exist at your property now? �. 2b. Are you planning to add any bedrooms? 1 "y If yes,how many?. 2c. How many bedrooms total are proposed at this property (including the amnesty unit)? 3 2d.Please include a copy of the floor plans for the entire property- showing the existing rooms in the home plus the proposed amnesty apartment and/or addition. Please label each room clearly on the plans. 3. Is the dwelling connected to pubIic sewer? YES orC, If the dwelling is connected t is sewer,skip questions#4 tbrough#9 below. 4. Location of dwelling is INSIDE 0 UTSIDE a Zone o to public supply wells? 5. Is the dwelling connected to an NSITE WELL or to IP IC WATER? 6. Is a disposal works construction permit on file? YES or NO 6a. If yes,how many bedrooms were approved according to this permit? Bedrooms. 7. Were any building permits obtained for construction of additional bedrooms? YES or NO 8. Is there an engineered septic system plan on file at the Health Division? YES or NO 9. Has the septic system been inspected by a DEP certified inspector within the last two years? YES or NO FOR OFFICE USE ONLY The Public Health Division has no objection to bedrooms at this property. ' Special Conditions: Signed: Date: Q,/hea leh/wpfcles/arnnesryapp ;!!,4' ,,-_TOWN OF BARNSTABLE z Lf)CAnON SEWAGE # VILLAGE �a�!UQ_ ASSESSOR'S MAP & LOT�2 INSTALLER'S NAME & PHONE NO. �' 2t e,�7 fir, �'�� 13% SEPTIC TANK CAPACITY (/ LEACHING FACILITY-(type) T— C/ (size) NO. OF BEDROOMS PRIVATE WELL OR 1�LIC ATER BUILD OR OWNERcSS DATE PERMIT ISSUED: /61/�92 DATE COMPLIANCE ISSUED: VARIANCE GRANTED: Yes No 1 �r \ 2 �� ,�j� J ,. / ------ TOWN OF BARNSTABLE LOCATION G6---;' SEWAGE # VILLAGE C!2-+s�,5%L!e u,_4 ASSESSOR'S MAP & LOT � f INSTALLER'S NAME & PHONE NO. —7-7 SEPTIC TANK CAPACITY���(d LEACHING FACILITY:(type)�/7— �/ (size) h Y� NO. OF BEDROOMS PRIVATE WELL OR LIC'1ATE BUILD OR OWNER DATE PERMIT ISSUED: DATE COMPLIANCE ISSUED: j - -./ VARIANCE GRANTED: Yes No J I b I A I. i i I j j . Fxs......1 ....... P © 8 THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH TOWN OF BARNSTABLE Apphratiou for Di ipagul Wi orkii Tomilrnrtiun 11amit Application. is hereby mhde for a Permit to Construct (r/) or Repair ( ) an Individual Sewage Disposal System a ....... �. - _. .: . .............................�..e -----------1. .................................... `,Locapt�i�n-p�ddr�es e' + or Lot No. �y� ........... Q _.... .Ll.� it r ....... _.lQq/v.-----'-•'-{`�� tl/_�d0.7 -�i-j� v------_-•�'-y-�............................ O�cncr � lT�t ro-- o7- _ resll,f Installer �Yl r-es UType of Building Size Lot.�__� _.........Sq. feet 1-4 Dwelling—No. of Bedrooms.__... Expansion Attic *6) Garbage Grinder ) •- a`4 Other—Type of Building yp g __._.__.__. No. of persons____________________________ Showers ( ) — Cafeteria ( ) dOther fixtures .....� A-------------------- ----------------------------------------------•. ----------------'-'--'---"•'-•---•••--..................---- W Design Flow.............��........._..........._.gallons per person per day. Total daily rflow.......... .....................gallons. WSeptic Tank—Liquid capac'ty!.500—__gallons Length_10'_t5___ Width- -$.... Diameter....^P ___. Depth...4-nO". x Disposal Trench--No. _._IN S........ Width.................... Total Length................. Total leaching area....................sq. ft. /_ u 3 Seepage Pit No.........I.......... Diameter... Depth below inlet.._V-0°..... Total leaching area...24.7.....sq. ft. Z Other Distribution box ( ) Dosing tank ( ) aPercolation Test Results Performed by......�........6 9�Di �ca_.�__�ADLF_j............. Date...... .�.2l.-.q. ._...... 14 Test Pit No. I------I......minutes per inch Depth of Test Pit.---_4�0.... Depth to ground water....6An1E....... 44 Test Pit No. 2...._*Z_._....minutes per inch Depth of Test Pit.................... Depth to ground water.ZNC,OQIA. D P4 •-------------- ------ --------------------------------------------1._...------•-•i-o•..-------••-....... -:--•-•------- --.--------- ---'- O Description of Soil.....6,.0...'-"_G,E? TO. SQ1L-..- .......Z.rC?.._..__.._�.pr...��? }___.MEM ^- 5AOS� .................. x U --------- •----------------- •------------------------ •---------------------------------------------------------------------------------------------------- •-•------------•-•--..-----.......... .------... 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 TITLE 5 of the State Environmental Code—The undersigned further agrees not to place the system in operation until a Certificate of Complian e has been issued by the board of health. oy Signed .... . ...... - ---------------------- ---/...' i ... Dace Application Approved By ............�J ......e�.. ...........:... �..-J_e'...`l..'� Application Disapproved for the following reasons: ....................................................... .. . --- ................................................. ........... .......................... ................................... - ----------------------------.-------- Dare Permit No. L............... Issued ........................................................ Dare THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE Certificate of Compliance THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed or Repaired ( ) by................... ._...... .... ..................... ........ u m,;die at ...........1 �1.-5--.-------.L.'.-ee .. ..... ................. !i has been installed in accordance with the provisions of TITLE 5 of The St&te Environmental Code as described in the application for Disposal Works Construction Permit No. ---- ..J�..`.... .�. dated ..................................... ... THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. q DATE ..................�.. -r. 1..-......L. - ........_--- -- Inspector - _... ..............._ THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE FEE.....4ne::.:.-........ -%Vviia1 y� ork.5 Tanotnutian "prrmit Permissionis hereby granted.............. ............................. .............................................................. to Construct ( ) or Repair ( ) an. Individual Sewage Disposal System at . ........... c ,. ! !. --------------------------------------------------------------•--••---........ Street Q� as shown on the application for Disposal Works Construction Permit No.(.�-fJ�_a�-__ Dated....... \ > 1 ................................... Board of Health DATE.............�---•-----------------•---.:�__.? FORM 36508 HOBBS 6 WARREN.INC..PUBLISHERS No. ............... � Fxs......����. 9....... O THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE Ap.pliration for Diripimal Works C outitrnrtiun ramit Application is hereby made for a Permit to Construct (X or Repair ( ) an Individual Sewage Disposal System'at: ............................. ........... ...........................I......... n Location-:\ddrAss or Lot No. SS...... I ---•--•---•------------------ tY„IA Address Kst ller ��s �� koozfl? del9,o6�USA Address z.....................c a __.._.... D,__ sox.....e°9•-- -�1-� �� .4-- UType of Building Size Lot3��__fi._.._..Sq. feet 1-4 Dwelling— No. of Bedrooms.____. __ __4^____--------------------Expansion Attic (-;_S) Garbage Grinder CO) aOther—Type of Building .. ___ _�{ ___..._.___ No. of persons____________________________ Showers ( ) — Cafeteria ( ) dOther fixtures ------- N........................................................................................................................................ W Design Flow............. zr�._._..._..___._._____..gallons per person per day. Total daily flow.---.-____ -' __._____._.__.____._._gallons. WSeptic Tank—Liquid capacity.15Q0__.gallons Length_j0!:.6b-_. Width_ _-¢._.. Diameter--- A..... Depth__-.)-Q__.. x Disposal Trench--No. _ 14/A...._.___ Width%........ .......... Total Length.................... Total leaching area....................sq. ft. -_ Seepage Pit No.........I.......... Diameter. A--`._J..... Depth below inlet....h_'4_..... Total leaching area...24.7.....sq. ft. Z Other Distribution box ( ) Dosing tank ( ) aPercolation Test Results Performed by.._ I..=..LA.mim:F-,-;__.:'... AI).LF-t4f_____________ Date...... Test Pit No. I_"..7.._.._.minutes per inch Depth of Test Pit------ Depth to ground water....`,&i:1.S.___-_-. LL, Test Pit No. 2_____7.......minutes per inch Depth of Test Pit____________________ Depth to ground water_1���'��t�:�5� �i .........................................................._............ -------••-•__- - -------••------------------------------•---------------------__-- O Description of Soil....b�� r?,4?._.�_T[�Qscl�l�. 3-----•-Z,,_0.--- mt t!� �lV!k ...._.SA0 ... ....................•---....---•---•---•----••----•--•---••-•--•----•..........--•-----•--••---------------------------------•-----•---•------•--------•----------•-----------------._...----_-_.... 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 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 the board of health. Signed ....0,04 -------------------- ���11.... — Dace Application Approved By ............ .... .... ..................... ..... --��..- ems... ...� Application Disapproved for the following reasons: GG............... . .........................................:......... ...................................... . ...... ........................................ Da PermitNo. ............7.. .".J �. .................. Issued .-..................................................... .. .... Dare t r. ._. ___ _ ._---.---. -- !rf ti.O 2 �o X3 __ - y _ Y 4 i F � I .. _ yynn l Ail EAT V 1 , ' X—1 .. !. �0 Cc�s,.iC. �Q�7N .---r ; f - -- 1 - P4X 2.9 RU. 8 : , - 1 ,< .. .. ------- -.... __-,_-__ _-_._--_...-- ---— _� _ ---_ _ -- ----- - — .-..-- -._ -- - ----- - ._. .. -_ } I . . j. i f f I i I II . t r i ! i . . . . . 1 s1. I r +.I..:�%.�.,.._�.�'.—4..�!�:.—�.."�7...�.­..;.�.":.,.��-.:�...,:I,.,A�2�.�-*I'.I,,.-�:?�.�,!.:...+,,..I.-� . pl I I:�:-­:­...1,:I1�f—.�,.I..,.,.,.���-...,�,..,-..,�m%��I.�I��1.�I.,m,'�.-,;...�,.:.�:I:,.I....�I.,�...��-.�:.�.,.�.���,....M.1-...�.,_..,,.�,�m,.I.-....�.'��1.....1..J..�.m..�.-.—.I+-�I.��...f)...�,I."�-.��I1,:-�.I-%�:i..��.....­��...,-..,,.I.-....-�I�....�",-I.1�.I­,*.I..,...,�1 m..z�,.,-I 2...n..I�.,1,I�'­;�,:,.,.i.'—--I...l I,.--...-�.,"'..�,-..;.m I..I.-�I,.--��.,I1',_-,,.-.I�.�-:I %-.0_.o-.��.;II-� L . , I. - _ _ I _ r .. ��i.;;1F:. -"l.�l l"!.II-I;I,.l�111"f�I..-I.��`1i;z'.�. ,.1 l II . / . ©0 s - 0`' I . �� ,., _ _ :��:�-,(1 I...,.-...�.-..,,,1�,�.-,.�o1-I.1,.-,,-,.\'.,:.�I.._I 1.­.�"'.I.1 i..�-_,�.I)..I,­—�.,—I���..��.".._.:_-��...�-1­.!I...�I,.�.1.,"-,._-I .—­m.,.,I.%;I-I:I�%.....�I_.��_,,,,�..:.:_TI�(.-.....I%1I f..::--..�,�.:I,.lI.:.:.I..,:���...I.�-1�..�::.1�,._:-,......:.�).,I:..-."..'.t...I7...: .I;I;I.k,...,I.�.-�...,I.1..m.;�,..'.I.,1m�"�II I,..�.'....�..M­.,-1.�.1._....I.I.1.�III.�_�.1,�.I.:.I,-.,I.II.��,:.�_.m:.�o.'-,.,.1.__.%.1,f..1+I.I t�1—:.—I_.,I I 1—..I.�.-.,I I.TI..r I.).:I I7 L 1..,"..�..,II.-,"...-:.II.I—�.1.,.,Io....1.1II.m��.­. { ..p d � . ; J� _ . . . �. -- _ � . _ _ _,., _ _ .__:. . .. n r :; .. . - _. ,,,,..w.,..u,e,r, y,,, y lam/ . ,�}_,. - - .. ..l . : - :. f,_ - 1 � I � . I ,� - . I . I I . I � —, i :. 1 . o. Sv r�' �."�I1.'.��:p:....11.�m..�..1�I,_m1.I-+..,.���.,i..:-.1I 1..-��,-,..,+.��.:�,.�,�..�i-.,.I�.�.�1�'I..1..`,...I:..�1r..:..::1:'.-,.-.,�1_,,:.I�:--.�.,:�.­.�._.Mm.-.-�,.I��.,I-.�..L­1—,,,-I....,.-1.`�.Im�-.:........m...,......m,....,�..,j�1��11.--.I�I.I1,.1II:-...-1..I,.m.-!-.s 1,':1I.�II1.,I�I.I,-�'��1..-�,-.�.:.,I�.�I%,':.-'-�..,:1,�.m__��II�-I�.�.:1'I�.:.I�-�.1:—.I.—-,-�I I,,..-�.�.:...I:i.��.I.m..II..I I."III�.1�.Im"1,��...-,-x.I..���I.I..I..!�.:...�.I..�2-.I..��-..I......%I.I m.�....1.I�..I.-I.-:...I-�..1 I 1..I.1.%.I.I.�,........I.....�II I..-,...I.��.�1 I��.-�1 I..-.-.I.._,I,.��..I�..,.�.1.�.���.I-�..I..I.I�,�.�I..-i,.I.�.,_�.�..�.1.�..I I I.I.i..I�.�.�1�I,.%...��m.�I.�.�.I�.�.­�",1.:�.�I�:-�.111I�I.I�;.....I�.,.,�1.�..�.�l....I�I..-.I,.l.,I---1��-�1.�I,.,.:I I�.1.,..,:..I1..­..�.�..'.:.�1A�:1.I�..I.I I�—.�.��.....,...:...,:Il.....,1...".1.­.,......i..a..I,,1,..".....%I��,:,I....,"..�l_".�..�_..,,...�..,�..�,,.....;.:I�.-�.I..b;.I.I.��..I.-..'_I%...:�.�.�..I..I.%...:,..:,..�.I.1.--..;1:..".:�K�.�.:r..%,�S1.I...I'.:I.I.1-._�l.,-�...,`pI�.II��I_.'.,.�.—.I,..I.�*I.,!—*..._."....r�bI....I 1..�;I..­,,.I1�..,..I I,I.1t—I�1I..I I;---,r..�i7;.1 I,�;l-"�I=7��.-.W_:�l2,"�,",.l,1.%1,-�,.��1;,,S"..;�,-"-,,.-sI,II,�Ine_`,"I1-"t,IIlI�-;1 r"� I. . e f �r . F - _ -4 la: V e`w 14 t . .1- .. Y-. 1...(C .. :. .... f "t71 e, 1 . _, . ,:... . . .. .. <ci is rq . . . . , . ,., - ,._ . 1, '� . .. . .. . :: ,.. :... :. .. .. -........ .. ., > ... -. .. .- .. .. .. .. ::.._. .' .. .. pp a,f - �'` F C -. .: y, _ { ✓. i - -::. t }. {+ - .. .. {� . �. 3 - i - K`_ MQ :a SM �. 0 ' .K V E a �w.._ _. t , C2 : . .. i . . r _ '' __. F ., .: . . 1 .,. ­I a . .- _. . e -. .. . .. ..-,,. I ,,r. g v A f-- .., f 1 ._ .. - ... :. .. .:.5_ } .. .. :, :_ n. _.. .. :. ... .. .. .,,....:. .:.. :. 3, lam- .. .::'� . -_a. ,., F - ,... .. .. , .: ;. jj ... .. .. :. ... ........::... >>. : .. r. .. :� .. .. .:a...- ... .. .. ..::...:.... y_. .: ... .. .h k ^� 11 - E !: J' _ ,_ 'T t i..' .. ... ..r :.. I _. __ ._ --. ... .. --. 1 .. ..,., r �- - ; 1yy :{`(( . i ... 1 tf L. ,. j y } CGg tt s0 (�r 5}4 . ,v ,,,. . _. .. _ fia 6k ; ;U _.. _. s1 Wt: 4 (T r 1 . , . — ,: .. ,,, I ... - ;it 1'' . C� it ►v. i ;.' F . .,,, ___ ...r.. .. .. _ _ r. .,. , . ,: — ,.,._ „ . .. .. +. ... ......:........ g. .. .. ,.: u i �a .... ._ .. -. .. ... ... : aF:: .. -_.. ..: -_: : :a N t . . ; .. . - .; a'. . :. . - > , .. .. ' t-.,. r t X n. .. : .. . .,. - _ - .. -.: :t.i - .. .. ... . ' Q'� - I . l_ 4. . _� _. ._... _ . .-, - . . . _ . ... .. .. , . .. �^ jai _ - { .. _ _ ... - / .. ..'.. - :, - .. .. .. - . .. ... - .. .. _ - .. ! �_ j ��. -w-a- . _ .: - . : .. . .- _- ._ ,,: '` , .. ,-_ t -.,.e.,.: .. .. ... .. - .. .. v .. .... .. .. .. . . . .. .. ..,. .. .. .. .._. r . _ - _.. ` > .. .. ,.: , . - t .' ' e .. .: .. .. . - :: ... ... f �. ;J r , . . , .. . . . . . . . . i . ., .,. . 2-16" DIAM. ACCESS MANHOLESAll c NOTE: ALL PIPES ARE TO BE 4" SCHEDULE 40 P.V.C. •Ar � � r �+e• 10' min. from 'r c r•+ew # Existing Foundation house to septic tank y b Septic tank town must be D-BOX cover must be rt �:; i TOP OF FOUNDATION = ELEV. 100.00 P within 6 in. of finished grade within 6 in. of finished grade Grads over Septic Tank - 99.00 �Crods do VEGETATIVE COVER over D-Box - 96.50 or SAS- 9E.S0 '+INLET 1) / rr � o �_o Z __ OUTT F-.._ XI stwbf� _ �• i S 0.02 6 HOLE H-10 ���/// �" I•I THE ACCESS COVERS FOR THE SEPTIC TANK, $- ST. BOX 3' Maximum Cover ri Y;,�;.0•.•1�'•"h;, ;: a.i'a" '. +' '. :: ,4n.. •. `; ' ;;ti'•t" �t; ,• yr ,,i 1t�; " �, DISTRIBUTION BOX AND LEACHING COMPONENT f a ov+ +•.. LSEP11C IST. 0'� 4'PVC(CAPPED)INSPECTION PORT TO BE ..,• 't,p :�•r•=}' .•,'•1`' :1 r'�'1,:;. B�CTiFlLl YY17H CLEAN' AND "Tv'� -'�^'F-'r.�^:^? T'.-'`� SET DEEPER THAN B INCHES BELOW FINISHED c4. C 20' '•� r' .ti.v + 1 +,. :.�,Y..o , .l t' r �'wY r r .i• !-6-2: .! , ., .r rY P Pr h GAL. �0•0 INSTALLED AND TO BE"IN 6'OF GRADE k' .,, ':i; •i •4 ;+.'. n;.�''. ♦• '•� •y• '�' ,(NATIVE OR PER(S D) GRADE SHALL BE RAISED TO WITHIN 6" OF -i_T. I _ n 1 S< 0.01"Per :+ �. .T,.,., 1' n; :tir ;'r .1`:i a. 'I',' :,.. FINISHED GRADE !+ F UNDATI[NTANK ui 0' P footTOP OF UNIT ELEVATON - 96.75 ') •t .;: "K ; r..• :x ;, : +. " :+FROM EXIST O a (Two Toru) :+, �. �,; F :a ry+•. ,' �;•.,. 'a �.y� T�. :�• STEEL REINFORCED PRECAST CONCRETE_/ 00 • .r.••�•.'•:',"':,•' S� "' t•�' ,':1; •+•�'t +: ., 'iL•:'�' r )' •+�' PLAN VIEW INSTALL TUF-T1TE GAS BAFFLES OR EQUALSCONCRETE WALK-Ol1T 0 10 II 11 INV. ELEVATION - 96.50 �•'• •�,, II p, �'ti.• �' 1„'.,,: ,w••� ~s. 3-24" REMOVABLE COVERS J RJ/ u 6 in.of 3/4'-1 1/2" v II -26 ,•, }: .: w c compacted stone o rn _ ; - _ u BOTTOM ELEVATION 95.75 u II 4 ROWS OF 6 UNITS AT 4'/UNIT+ 2 END CAPS- 26.00' : : , .• f. ;,•' ;7:. 4' ' SYSTEM PROFILE - _ INLET 6' mT GENERAL NOTES : 3 min. clearance 13' NLET'i' 2" min. Inlet to outlet 6'min. Not to Scale 6 in.of 3/4"-1 1/2' Bottom of Tat Hole 1 Elsv.- e7.50 s MIN ABOVE BOTTOM of " gLt:.,er- WET } 1. Contractor is responsible for Digsafe notification, VERIFICATION 4 tS 4 Elarnr+c suirAeLE MATERIAL 10'm� ,.• and protection of all underground utilities and pipes. compacted .tons TEST PIT OR GROUND WATER EFF lI1DT8 - 16.17' S' -7' '• :1 5' -7' 2. The septic tank on j distri ution box shall be set NOTE: ALL COMPONENTS MUST HAVE RISERS TO WITHIN 6" BELOW GRADE level on 6" of 3/4 -1 1p2" stone. T' EI ' 4'-0" min. b a- Liquid depth 3. Backfill should be clean sand or gravel with no stones over 3" in size. BOTTOM OF TP-1.: - 87.50 SOIL ABSORPTION SYSTEM (SECTION) 4. This system is subject to inspection during installation INFILTATROR QUICK 4 (H-10 LOADING)/ GEORGE O'BRIEN >;•.;. +•.*.,..,; r ) by Carmen E. Shay - Environmental Services, Inc. (OR EQUIVALENT) • 6'-0" 4' -10' 5. The contractor shall install this system in accordance CROSS SECTION END-SECTION with Title V of the Massachusetts state code, the approved plan NOTE: OVERALL HEIGHT OF INFILTRATOR IS 12" and Local Regulations. 6. If, during installation the contractor encounters any TYPICAL 1000 GALLON SEPTIC TANK soil conditions or site conditions that are different NOT TO SCALE from those shown on the soil log or in our design installation must halt & immediate notification be made to Carmen E. Shay - Environmental Services, Inc. 7. No vehicle or heavy machinery shall drive over the PERCOLATION TEST septic system unless noted as H-20 septic components. 8. Install Tuf-rite gas baffles or equals on all outlet tee ends. Date of Percolation Test: AUGUST 29, 2008 9. All Distribution Lines shall be 4" diameter Sch. 40 NSF PVC pipes. Test Performed By. CARMEN E.-SHAY, R.S., C.S.E. 10. All solid piping, tees & fittings shall be 4" diameter Results Witnessed By. DONNA MIO ANDI, Barnstable BOH CAVATOR. ShayEnv--Svcs/ Schedule 40 NSF PVC pipes with water tight joints. ercolation Rate: <2 MPI(\ 3 11. MUNICIPAL WATER IS AVAILABLE TO THE SITE and Surrounding es o e i Test Hole Properties. NO PRIVATE WELLS WITHIN 150 FEET of PROPOSED SAS No. 1 No. 2 DEPTH SOILS ELEV. DEPTH SOILS ELEV. 145.54' 0 98.50 0 98.50 Sandy Loom Sandy Loam THE PROPERTY LINES ARE APPROXIMATE AND COMPILED FROM THE PLAN BY YANKEE SURVEY 10 YR 3/2 10 YR 3/2 MA, ENTITLED "PLOT PLAN OF LOT 185 (#92) HEADWATERS ROAD 0'-6" A 98.00 0"-6' A. 98.00 CENTERVILLE, MA - DATED SEPTEMBER 17, 1993 Sandy loam Sandy Loam AND IS NOT INTENDED TO BE A SURVEY PLOT PLAN IT SHOULD BE USED FOR NO PURPOSE OTHER THAN 10 YR 5/6 10 YR 5/6 THE SEPTIC SYSTEM INSTALLATION. LOT #185 30 6"- ' 8• 96.00 6"- 30" B• 96.00 Medium Medium 35,000 Square Feet sand Sand NOTE: ANY STRIPPED OUT SOIL CONTAINING LEACHATE 2.5 Y 7/4 2.5 Y 7/4 FROM THE''EXISTING LEACH PIT TO BE DISPOSED O , OF AS PER :BOARD OF HEALTH SPECIFICATIONS. � 30"- 132 G 87.50 30'- 132 C, 87.50 „ K EXISTING LEACH PIT TO BE PUMPED DRY & FILLED IN PLACE 90 04 ��--------------- - ASSESSORS MAP 228 PARCEL 185 ZONING - RESIDENTIAL 92 y. Per #cr 1 ( Y Depth to Perc: 40" to 58" _ ''_i -Rate- Less than 2 MPI 94 " Ground Qbseaved Observe - NE NO WETLANDS ARE LOCATED WITHIN A 200' RADIUS SHWT ADJUSTED H2O Elev. = None OF THE PROPERTY -----M --------------94 .- ALL OUTLET PIPES FROM THE LOT, #186 SETT LIEVEL FORBUTION OATSLEASTHALL B2 FT. 12" CONCRETE COVER - 6 - 5"KNOCKOUTS ET ';,r...,,.i.• ,.i„+. 2" LEGEND 15.5" OUTLET 1Y INLET 8X0 DENOTES PROPOSED +' SPOT GRADE 96 - 6" c• 4, 2" x 10446 DENOTES EXISTING 15.5" 4" - sCH. 40 Te . SPOT GRADE 24•i2' PLAN-SECTION CROSS SECTION PL PROPERTY LINE 6 HOLE DISTRIBUTION BOX - PROPOSED CONTOUR _ PROJECT BENCH MARK i �, -------- NOT TO SCALE TOP OF FOUNDATION 97- - -- - -97 EXISTING CONTOUR ELEV. = 100.00 (Assumed) Design Calculations DEEP TEST HOLE & 1 PERCOLATION TEST LOCATION I ` Number of Bedrooms: 4 Equivalent to 440 Gal./Day DECK Garbage Grinder: No [DECK Leaching Capacity Proposed: 440 Gal./Day Minimum FENCE j --- Septic Tank : - 2 x 440 Gal./Day = 880 USE EXIST. 1,0013 GAL. Septic Tank. SOIL ABSORPTION AREA: Usingpercolation rate of <2 min. /nch °r° I EXISTING p / - PRIVATE DRINKING WATER WELL EXISTING j �� Bottom Area: 0.74 gal/sq. ft. x 613.6 sq. ft. = 454 gallons 4 BEDROOM Sidewall Area: NOT USED REVISIONS I GARAGE I HOUSE I ) - Providing: _ 454 gallons 199) I I Use: 5 ROWS OF 6-OUICK4 STANDARD CHAMBER UNITS WITH E2 DEFINITION #92 - NO. DATE: LOT #42 t STONE FOR AN SAS HAVING THE DIMENSIONS: 16,17' x 26.0' - 1 I a I I TEST HOLE Bottom Area: (General Use Approval for 4.72 SF/LF of INFITRATOR ELEV.= '98.50 i 6 UNITS + 2 END CAPS per ROW = 26.0 FT 5 ROWS x 26.0 x 4.72 SF/LF = 613.6 S.F. 11t: -i99i c1� 6 DESIGN FLOW PROVIDED: 0.74(613.6 S.F.) = 454 GPD 16. 7' EXIST. l_ `�\ I DRIVEWAY j O 7' EXIST. TEST HOLE #1 1 _ PROPOSED 1000 gal. ELEV.= 98.50 ,__________ Septic Tank PREPARED FOR - Kitchen Dining O Failed SUBSURFACE SEWAGE GE DISPOSAL SYSTEM Li m° Room I I LEACH PIT 45.94 0 i I L OF a L 36.34 ; 84.50' ; Spy Family Roo m Living _ •82I ; ; i�i�l,�,at .�, ____ R - 58--J� _ WALTER 8c D ELP H I N E DARN OT #92 HEADWATERS ROAD R t 9a I CENTERVILLE, MA Room - 26 � -' I HEADWAT R R1st Floor ---------------- - - -- #92 HEADWATERS ROAD CENTERVILLE, MA PREPARED BY: m m .HEM .D WA TER AS' R O�Z7 RHEN E. SHAY - -cl Bedroom &fi '-OF " rc�t`•,y�rp�" Sd,Sr ••r Bedroom 0 20 40 50 ,° GR, ENVIRONMENT,4L SERVICES, INC. Bedroom (40 FOOT RIGHT OF WAY) H . .0 Bedroom � No. 1� yti 185 ASHUMET ROAD MASHPEE, MA 02649 2nd Floor SCALE: 1 "=20' 4 BR HOUSE FLOOR SCHEMATIC . TEL/FAX : 508-539-7966 I (Description Provided By Owner) SCALE: 1 "=20' DRAWN BY: CES DATE: SEPT. 11 , 2008 I I PROJECT#SD-1099 ILENAME: SD1099PP.DWG SHEET 1 OF 1 i i i I f . � � w �, . t EL. 53 0 PROPOSED ._- TOP OF FOUNDATION . , . ',, . 20" +MIN. 10 min f�� . . , „ ` , . r coNCRETE ea t ,;; 2" A ,I R OF n.� 1f3=1,�2" CONCRETE`GOVERS WAS ED STVNE / / / , , , 4 CAST.IRON , ! i i r /,! r / ! r i i y r OR SCHEEULE.40 4 SCHEDULE 40 P V.C. „ ,. , P. V.C :PIPS' , 5=d 02, a=19 .12 DIST. M N.. 5=0.02 .D-XO Box . 2 :PRECAST INVERT ! ,�. ,. S O. 'LEACHING MIN. .. �. c EL.-�50:20 _ : INVERT -w � 2 p -- EQU�ALENT INVERT " EL.=_4_9_5 c , LEVEL EL.--_49.82t ac INVERT o / 6 Z , t 3 4" ?Y');1=�X%2" . INVER INVER V. , ASKED`5'TONE 50 EL.- 49.20 ' .48,86 o . 1 - ��� : 'GALLONS 49.37 EL. a 1 . EL = __ ___ 1 AIYK W C SEPT C 7` ; d 42.9 x . t . f. �LE'ACH PIT �-- s �2 ,° PROFILE OF 10 DIAat-=-- :., SEWAGE- ; - DISPOSAL'„ SYSTEM. ^ _ - , . .. ". O B E WA R ABL EL= 38 9 + NOT Tb SCALE `.. r BOTTOM CJF TEST FIDLE OR• 45GS PR BA L TE T E ___�_ .. ALL ELEVATIONS- ARE A,SSIGAT0 . ^ S TL LOG . ,. _.WITNESSED BY: , J LANDERS=CAMEY RE J. DUNNING G.EN h'A� 1 OTES ' . ^ . FE'RCO.�.ArIDIV °RAT. ..,�.__..� MtN./.INCH` . L'•THIS PLAN 1S FOR CONSr9UCrl0N OF A NEW SEWERAGE DISPO.S"AL SYSTE� � p 8108 r 185 ARN EG.� DEE S 2. PLAN REFERENCE BOOK 405 PAGE 17 LO .B R ,, DA�� :08-09-9,1 1�A TE' DB-09-93 . ON IR OF S PTIC YSTEM - : . . 3. THIS PLAN IS FOR INSTALLATI �' REPA E S TEST> SOLE' I TEST K©LE,2 AND NOT TO BE USED FOR SURVEYING OR ZONING -PURPOSES. . �r �-w - , D �71`(TN` DATA. _ EL.= 51.9 EL _ 50.9 y 4. ALL WORKMANSHIP ^AND','MATERIALS SRALL CONFORM -TO II.E P - - -�--�--- . ^ . MITLE 5 AND� THE TOWN OF,BARNSTABLE„RULES AND REGULATIONS FDUL' , FORS THE SUBSURFACE DISPOSAL ?F SEiAGL` I NUMBER OF BEDROOMS TOP & SUB I ` 5. ALL CO TIER 'TD SANITARY UNITS c-SHALL BE BRO LIGHT -TO: "HIN SOIL ' . 4�.9 12" ;oF E'INISHED GRADE' ; 9� ,, . 2 9 9 2 GARBAGE DISPOSAL NONL' INA GRADES SH LL`REMAIN ESSENTIALLY •TTi�E' . ' - ; 6. EXISTING AND F L A SAME, UNLESS NOTED BY FINAL CONTOURS TOTAL ESTIMATED FLOW 440 GPD 7. ALL COMPONENTS OF.THE SANITARY SYSTEM SHALL BE CAPABLE (: L__GAL/BR.IDAY x _`_�__ BR} � ; OF WITHSTANDING H-10 - LOADING UNLESS`-THEY ARE' UNDER , ,. , OR WIITHIN 10 OF DRIC�ES OR PARKING AREAS,H 20 LOADING - MED. SAND SEPTIC TANK CAPACITY �1500__ SHALL;BE USED UNDER OR ;WITHIN 10' ''OF DRIVES FOR PARKING. ,, UNLESS 1VYITED. LEACHING AREA RE UIREMENTS 8. ANY MASONRY UNITS ;USED TO..BRING_COVERS TO ;;GRADE'�SHALL , l2 39.9 12 58.9 SIDEWALL AREA _188_.5 'GAL "S.F. - BE MORTAIQE'D IN PLACE. , ,, BOTTOM AREA _.7f� GAL 'S F ;* . 9 NO DETERMINATION.HAS BEEN MADE AS TO COMPLIANCE WITH. /� .� P IGA 5 O . DEEDED OR 9ONING RE' ULA7`ION.S OWNER/A PL NT I T LE'ACHING. CAPACl7'Y BdTTOtII & SIDEWALL :t 0�3 GAL - �' >�___ OBTAIN'SUCH.DETERAI[ArATION' FROM 'APPROPRIAT "AUTh��RI?'Y. . ' . :: 3.14 X5 ',X1,2X25 * 314 X5 X�1.0 ,. , 10. THE EXCA VATOR `CONTRACTOR ,-SHALL `VrERIFY THE'LOCATION,OF ALL UNOERGROUND � ' ' UTILITIES `PRIOR`TO ANY .E'XCAVAIION• RESERVE LEACHING CAPACITY 1096T' GAL' :, 0383 CAPACITY;;OF, TWO PITS° ,OB 1V`UMBE''1i_ 5 .� ; a ,, . _.:_,..r. r,;.:, , :, , .p - , w., i LOT 4,\\\ .. ,. �,._ CO O ; ' �X j r i' t - . r,• , t/. c a ,; �i <; ,- N CATCH r Q (. BAST s 6 , ,ti ---_- ,-� ,,r- cry \ 1 46. 3 � ff . v / `' t � / / 49, ,�' i i Q, _ __ / ,-' 3 T`---,. 4 9,gyp I 50. 7 1�3 a �� "`' 1' . / 14 , � ,. 1 ' � U i f ,� ' . i . / 1 r- i I I 1 ;� .. ; I 0., . � � S f�V1rC 0 . . ' 51.9 - ,, 1�+ Q, �, Y' �, 1 I. 1 sip rc� o 4 - < .. ,� / TALK ` ,� I n . �, ' r , . / / 41.9 4 < f 9 : , a , yC ,r :, ! ! JOHN sQ 1 J �� k / / c�as p^', c/ . ! , u LANDERS-CAD ,,., A. � t '� , / / o LEY e o _, �' . CIVIL �; f I j� ! ! �r / t No. u., No 32t35$ _�! L'A j N��' : ( /� " / 35101 , �� / , V PIT 51:9 I , ! 1 ,0 4'0� AFC ��o' �� °� stE �� a� _ ,'� , ! ,i s FS �sr �� s,� see tvp CJt 1 ! , NAi LAND . t '. �! .1, CJl - �J /, o .\ RESERVE � � r AREA . '' I r �. �- r 5 PROJECT LOCA T101V �.. .� , 35 ©00fs f �- , ,'LOT 185 ,HEAD WA 60 ' l , �G o. ,- , f - ?ARNSTABLE; MA , 55 . 2r , N ,, � , . 0" , 9 30 �'"`` � . t -!- ., APPLICAN.T.- .. ,. BOSS: LU D , �, , . IL ER �11rC: . z. , . �: --�. 4278 'ALt�I0UT1D. . PCI BOX 309°C NTE'R E' Y N . . LOT '186 KEG SU};I/EY � 'ONSIIL TANTS' P.D 8C7X 265 ,- `` :M : UNI ,5,, ��405 vAousTR,Y ROAD MAR5TON 1V0TE'S. S rU1/LLS,- MA, 02648 . - ' . ASSESSORS MO.: ` 228---185 PH.(5©8)428--0055 � - FAX 5O5 42O_A 553 405, PAGE 17 �I'LAV BK ' . a, : ,; DE'E'D RE'F.: 4 SCALE:' 1 , 21, 51 DA .7 09 -17 93 . O W , WATER -1S A VAILABLE REV R V . E . x. .. ., , LaB n�o. a38 SNEE . � . r