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HomeMy WebLinkAbout0092 LAKESIDE DRIVE EAST - Health G ` 92 LAKESIDE DRIVE EAST Centerville A = 252 - 105 n .No. 01 0o2'� �.r��.ram' FEE COMMONWEAL111 OF ACHUSETTS A ►.�S"fA,5 C- Board of fleulth, , MA. APPLICATION F� DISPOSAL. SYST [ ��l�TSI �JCTION PER IT Application fora Permit to Construct( Repair(%/Upgrade( Abandon - ❑Complete System ❑Individual Components Location C�Z G R Owner's Name Map/Parcel# ZSZ Address 2 r. EAST Lot#. QS Telephone# Iirstaller'SName Desi ner'sName JIOJ\ gVC FIa�\cC-A Address r-c = Address 'Po Box 1gi < r' Telephone# rr) O/' Telephone# Type of Building, RC-1dlCt1A 1 o'A Lot Size sq.ft. r inder Dwelling-No,of Bedrooms Garbage,g Other-Tvpe of Building No.of persons Showers ( ),Cafeteria.( Other Fixtures Design Flow (min.required) 330 gpd Calculated design flow Design flow provided 30 . gpd Plan: Date. $^a- 1,71 Number of sheets Z Revision Date Title .Description of Soil,(s). Soil Evaluator Form No. Name of.Soil Evaluator Date of Evaluation DESCRIPTION OF REPAIRS OR ALTERATIONS N ZO_0 8O X " 2.- JA 10 .SOO_ -I C ` The undersigned agrees to install the above described Individual Sewage Disposal System in accordance with the provisions of TITLE 5-and further agrees to not to place the system in operation until a Certificate of Compliance has been issued by the Board of Health. Signed Date / $ Inspections No. , {I'l(1 O 6` t # r FEE' / '✓ w 'COMMONWEALTH OF MASSACHUSETTS k - ( Board of llealth, MA. APPLICATION FOR DISPOSAL SYSTEM CONSTRUCTION PERMIT Application fora Permit to Construct( ) Repiir(v)✓UpgradeO Abandon(') ❑Complete System ❑Individual Components Location ITZ nn Owner's Name Map/Parcel# �,J�. Address ` ` _ ����. _ Dr• EA S T Lot# 05 Telephone# 'R Installer's Name Designer's Name o _ Address Address W �-_> �, -t" 1 vQ rKo nn ,14,1 c I PO max 81 C�a r r; aOLA,..Gx H Telephone# �_, _���- Telephone# .. Type of Building Pt_4 t A,--c,A 7- Lot Size sq.ft. Dwelling-No..of Bedrooms Garbage grinder ( ) Other-Type of Building No.of persons Showers ( ),Cafeteria Other Fixtures Design Flow (min.required) gpd Calculated design flow Design flow provided 3qF gpd Plain Date `t9• I Z- In Number of sheets •! Revision Date Title - Description of Soils) Soil Evaluator Form No. Name of Soil Evaluator Date of Evaluation t� DESCRIPTION OF REPAIRS OR ALTERATIONS i.�l -lr�> A za_0 An-4 - -Z 10 560 L I The undersigned agrees to install the above described Individual Sewage Disposal System in accordance with the provisions of TITLE 5 and further agrees to not to place the system in operation until a Certificate of Compliance has been issued by the Board of Health., Signed Date r Inspections. •t ;No. Ouq`©t�9 FEE OD'o co COMMONWEALTH OF MASSACHUSETTS v'� � o-0 i �! Board of Hnnith, 5t� i S)z' MA CERTIFICATE Of COMPLIANCE Description of Work: ❑Individual Component(s) @10clomplete System The undersigned hereby certify that the Sewage Disposal System; Constructed ( ),Repaired (w)'o,"Upgraded ( ),.Abandoned ( ) at ' ?_ has been install in.. cco rd a ce with the provisions f 31.0 CMR 15.00 (Title.5) an- th 'approved design plans/as-built plans relating to application No. 1 � dated Approved Design Flow (gpd) Installer Ps. R r•� r t�l� Designer: t"�., ��r 1.,�.r c-�tR Inspector: The issuance of.this:permit hall not be construed as a guarantee that the�ystem will functioon as d igned. j No. 1 ^'(JoZ`j� _ FEE l l'?/a r^) COMMONWEALTH OF MASSACIIUSETTS. Board of Health, ( rt1S-�r� �- _ MA DISPOSAL SYSTEM CONSTRUCTION PERMIT Permission is hereby granted to; Construct( ) Repair(.`} Upgrade( ) Abandon( ) an individual sewage disposal system at �7 Z. 1��a s cyi�. i'• a�-� as described in the application.for Disposal System.Construction Permit No.������rdated ;;--�� Provided: Construction shall be completed within three years of.the date of this er.mit. A�ocahco�nd tionsoniust bf!met • I Form 1255 Rev.5196 AN.Sulkin Co.Charlestown,MA Date to�I'• Ia �r Board of Health �\ l`- ll No. ®� bA Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes 01pplicatlon for ]Disposal *, pstem Construction Permit Application for a Permit to Construct( ) Repair( ) Upgrade(k� Abandon( ) X Complete System ❑Individual Components Location Address or L t No. 2. Cll SI�Z. d.- C Owner's Name,Address,and Tel.No. Assessor's Map/Parcel C,CA '✓'(�t i��-✓�`� f1.9 Z.;Z j05 92 1ce1>de U✓ L Installer's Name,Address,and Tel.No. Designer's Name,Address,and Tel.No. 1 /c+f-C=rtis /06AIt f 8_77 KC Pi4,kA_r4-v( ENV 136x &LIj SAvjawiom, HA- Z lr kii-,F 29cso +3cyc .1 ��vmc,4-c- 0✓7 •77y- Type of Building: Dwelling No.of Bedrooms Lot Size r3 74c sq.ft. Garbage Grinder( ) Other Type of Building 514el le— i/u No.of Persons Showers( ) Cafeteria( ) Other Fixtures QQ Design Flow(min.required) 3 3 U gpd Design flow provided iU gpd Plan Date F I Z—l-7 Number of sheets Z Revision Date b'l U ei-!L Title Size of Septic Tank , T&p Type of S.A.S. Cl AA i.I Description of Soil Nature of Repairs or Alterations(Answer when applicable) k jo lA C C-e_S'S P ad I S u.-S i (5�c) d- Z A ffoj b-e-Y Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of Compliance has been issued by this Board of Health. �' Date — 7— f � Application Approved by Date Application Disapproved by Date for the following reasons Permit No. 901g— d Date Issued THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE,MASSACHUSETTS Certificate of Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal system Constructed( ) Repaired( ) Upgraded(�) Abandoned( )by �,��� at q 2 LA K 2 S 1�_e. On uy— 0 Ge Jl has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No.0U1 dated Installer (3,(k6l w -S Designer FAA #bedrooms 3 Approved design flow (� gpd The issuance of this permit shall not be construed as a guarantee that the system will function as designed. Date Inspector �/ t ..No. �01 O Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE;-MASSACHUSETTS 'A ftplicatlon for Misposal 6pstrnt Construction permit Application for a Permit to Construct( ) Repair( ) Upgrade(e Abandon( ) ]C Complete System ❑Individual Components Location Address or Lot No. TZ )i Owner's Name,Address,and Tel.No. ,g P- Uc, Assessor's Map/Parcel,- 12 3 7 L S2- 1 ' S 2.2 �Q/ce Si,1.e ��.,- L Installer's Name,Address,and Tel.No. Designer's Name,Address,and Tel.No. 4f L/1,5 10(",.e Q ti� t C . �l4"Gu.1-� l=Nu r Y�.c P ✓1 T3ex 6�C1 G�+)w Ictn lM A i� &�_d` 2ricx� r3ok � � yCi.✓cf. Type of Building: Dwelling No.of Bedrooms Lot Size 3 74c sq.ft. Garbage Grinder( ) j 1 Other Type of Building _I yl`i/( Wu No.of Persons Showers( Cafeteria( ) Other Fixtures Design Flow(min.required) U gpd Design flow provided gpd Plan Date (2- f-? Number of sheets Z Revision Date 0 o/LtL Title Size of Septic Tank Type of S.A.S. (_1 A4,,U 6-e,- l-e(h s7) Description of Soil Nature of Repairs or Alterations(Answer when applicable) R-e io 1A c e C C f5- e)I; w t i, (�2)c� Z ��v c,n 1(v.t Date last inspected: Agreement: r The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in !�p accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of Compliance has been issued by this Board of Health. Date 2- - 7- ( Steed d� i Application Approved by Date Application Disapproved by Date for the following reasons Permit No. a ag " -b6 Date Issued ------------------------------------------------------- #----------------------------------------------------------------------------- y THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE,MASSACHUSETTS Certificate of Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal system Constructed( ) Repaired( ) Upgraded �� Abandoned( )by 1:I-e H C 1 1, at q 2_ L11 ("e 5 4 if L- C e✓1 has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No. 10,4 dated Installer 6E? t/ S Designer F (p Gt2 i-{-riN�I i #bedrooms 3 Approved design flow 3 �� gp'd' - The issuance of this permif shall not be construed as a guarantee that the system will fimcfion as designed. Date r Inspector --------------------------- ----------------t--------------4------------------------- ------N--------- --------11-------- /-------------- Fee THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION -BARNSTABLE,MASSACHUSETTS Misposal 6pstem Construction VPrmit Permission is hereby granted to Construct( ) Repair( ) Upgrade(X) Abandon( ) System located at_ Z L A lCe 5 1 of X )r e`i/f l; _ C QA L/ and as described in the above Application for Disposal System Construction Permit. The applicant recognized his/her duty to comply with Title 5 and the following local provisions or special conditions. Provided:Construction must b ompleted within three years of the date of this permit. `------T j 2� Date Approved by i �r j TOWN OF BARNSTABLE LOCATION C12 Lc�Kc. S ids .fir Ea:SJ SEWAGE# ZoJJ -028 VILLAGE Ccn4cro; I I>- ASSESSOR'S MAP&PARCEL'ZS Z • /O.5 INSTALLER'S NAME&PHONE NO. g,{B EXcaL13L-4 1 o^ LI`11- DGS3 SEPTIC TANK CAPACITY /000 9cLI C,(i 54 i A!J LEACHING FACILITY. (type) Soo qc),.) Wc— (size) 13 x ZS %2- NO.OF BEDROOMS�3 OWNER_ a 1 A jac Or=r? g PERMIT DATE: COMPLIANCE DATE: ► 0- 0 L' l 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 At- 13 AV Is - t_ A3. 2S�9 Fron-A 133- y° ` A Q jay. O Ecc)s4�ST a - o Town of Barnstable j �o4THETy Regulatory Services Thomas F. Geiler, Director MASS& Public Health Division' r$Ar 1 A��� Thomas McKean,Director FD MA'S 200 Main Street, Hyannis, MA 02601 Office: 508-862-4644 Fax: 508-790-6304 Date: .11- 15- 19 Sewage Permit# Zola. ozS Assessor's Map/Parcel Z52 - IoS Installer &Designer Certification Form Designer: F'►ojncrAK Installer: ,( E:XC %25aA�of\ Address: �9 O. &w $1 Address: 14 1-c,,x5c_-rc4 Los) You..OLA1-%.Dar rro re-M dml c. On l l.S- 18 A A,A EXCaLictA i o^, was issued a permit to install a (date) (installer) septic system at 9Z Lai c S idc Dr. Eo�si based on a design drawn by (address) 1�a.uc F1a1•crJlc.� dated (designer) I certify that the septic system referenced above was installed substantially according to v5coL. the design, which may include minor approved changes such as lateral relocation of the rA;54;r%9 distrilyution 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. , DAVID D. /lnstaller's Signature) CAHERTY,JR. No. 1211 (Designer' Signat. ) (Affix Desig p 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:\office forms\designercertification form.doc e ,�, Town of Barnstable P a ` Department of Regulatory Services Public Health Division Date � ■6 ��� 200 Main Street,Hyannis MA 02601 r� 16p Date Scheduled 9 Time Fee Pd. 0 7 Soil Suitabi ity Assessment for Sewage Disposal _j Performed By: d/fV v (!0 Witnessed By: 9 /� LLOC(ATIO�N/J&��pENFRRrAI,INFORMATION �''N) Location Address q?,I-'v t^'�� 0 r',.1 a E#U Owner's Name 1J,, `l� ( �i✓� 7 I 1/�� t ` /"1 A Address Assessor's Map/Parcel:2 6 z/iK Engineer's Name NEW CONSTRUCTION REPAIR Telephone# Land Use b Slopes(%) r Surface Stones /" 'YT Distances from: Open Water Body t ll U ft Possible Wet A�_ ft Drinking Water Well /L Vl1 ft 7-- Drainage Way 21< Property Line� _ft Other ft SKETCH:(Street name,dimensions of lo4 exact localions of test holes&perc tests,locate wetlands in proximity to holes) Parent material(geologic) Depth to Bedrock •1 Depth to Groundwater: Standing Water in Hole: I/ Weeping from Pit Face Estimated Seasonal High Groundwater— DETERMINATION FO 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 ft. Index Well# Reading Date: Index Well level Adj.factor Adj.Groundwater Level_ PERCOLATION TEST Date ime 104141 Observation - � 1q� Hole# Time at 9" v /� Depth of Perc Time at 6" Start Pre-soak Time Q I •y Time(9"-C) End Pre-soak 13aa RateMln./Inch Site Suitability Assessment: Site Passed V 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:\SEPTIC\PERCFORM.DOC / y K DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consisten %Gravel D-ll L1 OorZ' .7 A, L zWr G v 6 DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil er Surface(in.) (USDA) (Mansell) Mottling (Structure,Stones,Boulders. t Consistenev.%Gravel ®-fC ( 0 4r. , A) 4 LS K /Z I' S a DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Mansell) Mottling (Structure,Stones,Boulders. Consistency.%Gravel)_ DEEP OBSERVATION HOLE LOG _ Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Mansell) Mottling (Structure,Stones,Boulders. Consistency.%Graven Flood Insurance Rate Mau: Above 500 year flood boundary No—V-- Yes_ Within 500 year boundary No_ Yes Within 100 year flood boundary No Yes_ Depth of Naturally Occurring Pervious Material Does at least four feet of naturally occurring pervio terial exist in all areas observed throughout the area proposed for the soil absorption system? If not,what is the depth of naturally occurring perv' us material? Certification 4n—n�jent&IProtection I certify that on (date)I have passed the soil evaluator examination approved by the Department of E and that the above analysis was performed by me consistent with the required traini ,expertise an xpe en des cr' d in 310 CMR 15.017. Signature Date Q:ASEPTIC\PERCFORM.DOC TOP OF FOUNDATION COVERS TO BE WATERTIGHT AND SEPTIC SYSTEM PROFILE BROUGHT TO WITHIN 6" OF FINAL GRADE - Flaherty Environmental Services EL. 56.0' EL. 54.0' (not to scale) t. INSP. PORT W L 3" OF GRADE CLEAN SAND P.O, BOX 81 2" of8" to 4" DOUBLE WASHED Yarmouth Port, MA 02675 P" off" t 4" DOUBLE EL. 54.0 4" CAST IRON or EQUIVALENT —�� MIN. PITCH 1/4" PER FOOT ER FABRIC 774.994. 166 4" SCHEDULE 40 PVC FILT PIPE I 4"SCHEDULE 40 PVC PIPE t ' VENT IF REQUIRED FLOW LINE (first 2'to be/eve a I 7.3% — 5 1% T" ••• ......••7 EL 51.6'f •';' ` L.53.5' 1 14" —` ®•a o��_ o 'p 901 �� °000°/ 00 0 0 0 0 0 00 00 0 0 0 0 0 0 0 0 00EL 52.25' EL. 52.0' 0 0 0 ° 0 0 0 0 - p p p p 0 0 0 0 cEL.51.03' °o°o0 o 0°00*00° �aa �O�Q' ® 0°0°o°o°c EL. 51.2' ° o°o°o°o° ° ° o°o°O°o°c 2.0' 0 0 0 0 0 .0000.o p 0 p p ��p�Op 0°0°o°o°e i �0'MIN. (2.5%1 GAS BAFFLE EL. 51.0' 0000000000 000o a ���iii. o°o°o°o°c 00°000°O° 000000 ' e. ..,d .y 0000000oc o 0 0 o EL.49.0' ;,•y.. 6°CRUSHED STONE OR (D-BOX) g' SOIL ABSORPTION SYSTEM MECHANICALLY COMPACTED (2) 500 GALLON H-10 CHAMBERS 5.5' (DATUM: ASSUMED) _.--- I 3 b WITH 4'STONE AROUND IN A 1500 GALLON SEPTIC TANK „ to 1�„ DOUBLE WASHED STONE 12.83'X 25'X 2' CONFIGURATION (PROPOSED) EL. 43.5' 106,00' BOTTOM OF TEST HOLE EL. 43.5' LOCATION MAP LOT 123 USGS ADJUSTMENT: N/A TH MAP 252 LOT 105 GROUNDWATER ELEV: N/A NO ��?g 0,37 ACRES± cP LAKE i WEQUAQUET LOCUS 'Py ALL INTERIOR PLUMBING ekeside�f ' TO BE RE-DIRECTED TO L EXIT AT LOCATION d U�7 ELEVATION SHOWN. BENCHMARK: TOP OF FNDN NI S EL. 56.0' EXISTING %0 3 BR OD tH OF k4 54 WELLING GARAGE o� DAV (SLAB) ;, J, 10, F ' 0 21 6.5' o .3 GIS ' �F o CP T -1 ' I pr S eJY '9N(TA k�P`� O''f•• ' DRIVEWAY TH-2 s- 22.5' ' p DATE:•8/12/W REVISED: GARDEN AREA ' � I L=10 .51 ' SATE AND SEWAGE PLAN R=780•ss FOR WATER LINE TO BE SLEEVED OR 54 RERoLrmDW/TH/N1o_OFSAS DONE RIGHT SEPTIC, INC./ LAKESIDE ROAD EAST - Da vID HERZOG 92 LAKESIDE DRIVE EAST SCALE : 1 �� = 30' CENTERVILLE, MA REF.'LCP20239-C PAGE I OF2 ... . ... ..... . ....... .. ......... ... ... ....... . ...... ... . ...... .......... ........ .................................................................................................................................................................................................................................................................................................................................... .......... . ............ .... . ............ ....... GENERAL NOTES DESIGN CAL CULA TIONS SYSTEM DETAIL Flaherty Environmental Services P. 0 . Box 81 1. ALL PRECAST COMPONENTS TO BE H-1 0' Yarmouth Port, MA 02675 RATED UNLESS OTHERWISE SPECIFIED. NUMBER OFACTUAL BEDROOMS 3 774.994. 1166. DISTRIBUTION BOX(ES)AND ANY COMPONENTS WITH ANY ANTICIPATED GARBAGE DISPOSAL UNIT NO VEHICULAR TRAFFIC TO BE H-20 RATED. 2. THE DESIGN OF THIS SYSTEM DOES NOT TOTAL ES TIMA TED FLOW ALLOW FOR THE USE OFA GARBAGE (110 GALIBRIDAYX 3 BR) 330 GALADAY 5' REMOVAL GRINDER. REQUIRED SEPTIC TANK CAPACITY 660 GAL. 3. MUNICIPAL WATER IS AVAILABLE. 4. ALL CONSTRUCTION TO CONFORM WITH SIZE OF SEPTIC TANK 1500 GAL. (PROPOSED) 310 CMR 15.000 AND ALL OTHER APPLICABLE LOCAL, STATE AND FEDERAL SOIL CLASSIFICATION I CODES AND REGULATIONS. 5. INSTALLERICONTRACTOR TO REVIEW& DESIGN PERCOLATION RATE <2 MINAINCH 12.83' VERIFY ALL ELEVATIONS AND DETAILS AND REPORT ANY DISCREPANCIES TO EFFLUENT LOADING RATE 0.74 GAL.IDAYIFT2 % DESIGNER PRIOR TO CONSTRUCTION OR LEACHING AREA ASSUME ALL RESPONSIBILITY, (2)x '+ = 151SF 6. INSTALLER/CONTRACTOR IS 25.O'(25.0x 12.8312.83%2)' =320 SF RESPONSIBLE FOR MAINTAINING SAFE 471 SFx 0.74 =348 GPD WORK ARE,4 VERIFYING ALL UTILITIES AND NOTIFYING "DIG SAFE" USE 500 GALLONH-10 CHAMBERS WITH 4'STONE 25' (1-888-344-7233) 72 HOURS PRIOR TO INA 12.83'X 25'CONFIGURATION AS DIAGRAMMED CONSTRUCTION. 7. ANY CHANGES TO OR DEVIATIONS FROM RESERVE LEACHING CAPACITY NIA THIS PLAN MUST BE APPROVED IN WRITING BY FLAHERTY ENVIRONMENTAL SERVICES AND LOCAL BOARD OF HEALTH. 8. FINISH COVER OVER COMPONENTS IS (NTS) NOT TO EXCEED 3'PER 310 CMR 15.000 UNLESS SHOWN PER PLAN 9. ALL ABANDONED SEPTIC SYSTEM COMPONENTS TO BE PUMPED DRY AND SOIL EVAL UA TION FILLED WITH CLEAN SAND OR REMOVED TEST HOLE#1 P#15427 TEST HOLE#2 P#15427 AND REPLACED WITH CLEAN SAND. Evaluator., David D.Flaherty Jr.,RS,REHS Evaluator- David D.Flaherty Jr.,RS,REHS I tA OF 4fq 10.ALL COMPONENTS TO BE PROVIDED SE#2755 SE#2755 BOH Witness: Don Desmarais,RS BOH Witness., Don Desmarais,RS WITH WA TER TIGHT ACCESS PORTS Data: August2,2017 Date: August2,2017 D WITHIN 6"OF FINISH GRADE. r: C 11.ALL SEPTIC TANKS, DISTRIBUTION 0 TH-I ELEV.54.0' TH-I ELEV.54.0' BOXES AND PIPING TO BE INSTALLED WATERTIGHT. 0"-11" FILUA 0"-111 FILUA G1 TV 12.NO KNOWN WETLANDS OR WELLS 4INVIT R\ PN WITHIN 100 FEET OF PROPOSED 11"-34" B LS I0YR516 11"-34- B LS I0YR516 LEACHING. 13.THIS IS NOT A CERTIFIED PLOT PLAN AND UNDER NO CIRCUMSTANCES IS THIS PLAN TO BE USED FOR ZONING OR F/OERC SITE AND SEWAGE`PLAN BUILDING PURPOSES. FOR 14,LOT IS SHOWN AS ASSESSOR'S MAP 252 34"-96" CI MCS 2.5Y614 341-96- CI MCS 2.5Y 614 certify that on November 12,2002, have passed DONE RIGHT SEPTIC, INC.1 LOT 105. 5%gravel 5%cobbles 5%gravel 5%cobbles the examination approved by the Department of 15.LOCUS PROPERTY IS LOCATED WITHIN Environmental Protection and that the above analysis DA VZD HERZOG 126- has been performed by me consistent with the 96"-126" C2 CS IOYR 1/1 96 - C2 CS IOYR 1/1 AN AQUIFER PROTECTION DISTRICT G.W.ELEV.NIA G.W.ELEV.k1A required training,expertise,and experience described 92 LAKESIDE DRIVE EAST (ZONE 11). BOTTOM TH-1 ELEV. 43.5' BOTTOM rH.2 ELEV. 43.5' in 310 CMR 15,018(2). CENTERVILLE, MA PAGE 20F2 ......................................... ................................................................................................... ............................................................ ................. ........................... ....... ------ ................................................ ............................ ............... .............. .......................... ........................... ......................................................................................................-................