HomeMy WebLinkAbout0036 MENEMSHA LANE - Health 36 Menemsha Lane
Centerville P
A = 191 099
UPC 12543
Wo. 53LOR_
ya ertyAp. yry
SENT BY: BORT01-071 CONST; 5084289300; NOV-3-04 11 :58; PAGE 7/7
I Town of Barnstable
'IME p � Regulatory Services
c Thomas F.Ceiler,DirectorMAN
i
iF p Public Health Division
Thomas McKean,Director
200 Main Street,Hyannis,MA 02.601
Office: 508-862-4644 Fax: 508-790-6304
Installer chi Designer C'erlflicatiorn Form
Bate: �� G
Designer: _v W h, Cape Eewt�-6'-- nstaller: kTA10
Address. 9J l-1 a4 ►w Address; Y.rl"
oil f��yy was issued a pe it to ii,tall fl
(date) / /y� ins er
�4 � e-Ae-MJ'lA � i
septic system at_ based on desi 4 drawn by
(address)
dated
Msifiner '
I certify-that the septic system referenced above was installed s tbstan Tally according to
the design, which may include minor approved changes such later
a� relocation of t"nc
tribution box and/or septic tank.
i
,,certify that the septic system referenced above was installed itl-. u ajcr changes (i.e.
greater than 10' lateral relocation of the SAS or any vertical rela cation Hof any component
of the septic system)but in accordance with State &.Local RegulationggI. Plan revision or
certified as-built by designer to follow. ;
i
CN7
�N o�r SON
H-(Installer's Signature � 4 w192
signer:s i gnature) (Aff x n;Sl—
T iere)�
PLEASE IW,TIIRN-TO 1BARNSTA.DLE-PUBLIC--FEAR,TH DIV�� QN, CERTJO+`'TCATE
OF COMPLIANCE WILL NOT BE ISSU -DOT , . S RM AND AS-
B'CfMT CARD ARE RECEIVED BY TITFi,RARNSTABLE FETRI.II�IVTSIt3N.
'11IANK YOU.
Q:Heafth/SepticMcsigner Certification Form
i
j
TOWN OF BARNSTABLEL
LOCATION 7VP AV,-vwSAr 1d SEWAGE #
I. VILLAGE -',y4gl/ ASSESSOR'S MAP & LOT -0
INSTALLER'S NAME&PHONE NO. �orr��` e �i d�.w 9-
SEPTIC TANK CAPACITY
LEACHING FACILITY: (type) >-Z�) (size)/.?4J-
NO.OF BEDROOMS 3
BUILDER 0 WNE
PERMITDATE: 4-9-0V COMPLIANCE DATE: �t
Separation Distance Between the;_..
Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility 3 r 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 (�aw•� �/t l�i �r
°
f
Y68• bA
i
No. 7 L'� __ Fee
THE COMMONWEALTH OF MASSACHUSETTS Entered in computer:
' Yes
PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS
Zipprication for Miopool 6p5tem Congtruction Permit
Application for a Permit to Construct( )Repair(✓)Upgrade( )Abandon( ) O Complete System e Individual Components
Location Address or Lot No. Owner's Name,A dress and Tel.No.
Ass e o 's, /P cel / eA,/,q-,l
Installer's e,Address and Tel.No. L Designer's Name,Address and Tel.No.
&; .)�o �®who
0��/
Type of Building:
Dwelling No.of Bedrooms Lot Size .11,;/ sq.ft. Garbage Grinder(�0
Other Type of Buildingd - No. of Persons Showers( ) Cafeteria( )
Other Fixtures /
Design Flow gallons per day. Calculated daily flow 3 3( gallons.
Plan Date / Number of sheets Revision Date
Title 3; �y
Size of Septic Tank ®®®90,01 L�il"f��d�•,� Type of S.A.S.
Description of Soil
Natuee of Repairs or Alterations(Answer when applicable)
Date last inspected:
Agreement:
The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system
in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certifi-
cate of Compliance has been is ued this o of Health. f
Signqu Date
Application Approved by Date ?
Application Disapproved for the following reasons
Permit No. ^c,,=--4 "140 Date Issued d LP
/ "C/o
`► Dower C���•
y r
4-7
No. p � Fee /v
aJ THE COMMONWEALTH OF MASSACHUSETTS Entered in computer:
Yes
PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS
ZIpprfcation for Mizpdok *p5tern Construction Permit
Application for a Permit to Construct( )Repair(✓)Upgrade( )Abandon( ) ❑Complete System LJ Individual Components
Location Address or Lot No. `�ipo s h Owner's Name,Aress aannd Tel.No.
As e o 's Ma G e kr y 1 v r, Mae el
f—
Installer's e,Address and Tel No. Designer's Name,Address and Tel.No.
7 7i
Type of Building: ��f�Dwelling No.of Bedrooms Lot Size sq. . Garbage Grinder(��
Z ft.
Other Type of Building s tiec-4?No.of Persons Showers( ) Cafeteria( )
Other Fixtures
7 / F
Design Flow d � gallons per day. Calculated daily flow 334� gallons.
Plan Date g' Number of sheets l g Revision Date
Title S 11e&?I l,S Q sr - /
Size of Septic Tank Type of S.A.S. 2—
Description of Soil
Nature of Repairs or Alterations(Answer when applicable)
Date last inspected:
Agreement:
The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system
in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certifi-
cate of Compliance has been is t ' ar of all
Sign d Date
Application Approved by Date �� 0
Application Disapproved for the following reasons
Permit No. �'a O {" Date Issued Iz—
THE COMMONWEALTH OF MASSACHUSETTS
BARNSTABLE, MASSACHUSETTS
Certificate of Compliance
THIS IS TO CERP FY, th t the On- i Sewa isposal S stem Constructed( ) Repaired(Upgraded( )
Abandoned )by
at 3� ✓�i°h > GI' C�`I 1,ze/ 11 e has Peen construe ed ' accordance
with the provisions of Title 5 and the for Disposal System Construction Permit No. r�Uu�l" J dated Cl (n A)
f r
Installer Designer
W
The issuance of this e 't shall not be construed as a guarantee that the cyst will fun&nase 'gned.
Date ` Inspector +�LA/l � .
lti ro,I
No. 9 �i0�l -��4� -------------------------Fee OD
THE COMMONWEALTH OF MASSACHUSETTS
PUBLIC HEALTH DIVISION - BARNSTABLE., MASSACHUSETTS
lwi!�pog;af *p5tem Construction Permit
Permission is hereby grant d to o struct( )Rep it( )UVrade( ) andon
System located at ✓� L��� �f l�1 • _ '� �11
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 condittiio-nss..�
Provided:Construction must be completed within three years of the date o� f this. it.
Date:_ (Q ` Approved by '
I
TOWN OF BARNSTABLE
LOCATION .Y2 /4r/an-Ske ZIJ SEWAGE # a y'ya6
VILLAGE e� ��/ ASSESSOR'S MAP & LOT M 'b9
INSTALLER'S NAME&PHONE NO. 92 g'�`�•��+
SEPTIC TANK CAPACITY 4 av
LEACHING FACILITY: (type) s7Q c�W6� O (size)121"
NO.OF BEDROOMS 3
BUILDER 0 WNE
PERMIT DATE: 1-9 61/ COMPLIANCE DATE:
Separation Distance Between the: _
Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility s 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 D0411a Sri/t
rp'f,
'i
H�
Gr
�,y6
' v
Commonwealth of Massachu.eats
Executive Office of Env1r 'Mental Affairs
N
Dept. of Environmental Pot ��
One winter Street Boston Ma. 02108 ��� En Jo1u>< Grad
� E.P. Title V Septic InspectorS EF 2 1997
N P.O. Box 2119
TOWNOFBAR1ggtE Teaticket,MA 02536
s HEAlTHOt WILLIAM F.WELD 4V 508 564-6813
Governor
ARGEO PAUL CELLUCCI
Lt.Governor
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART A
CERTIFICATION
Property Address: 36 Menemsha Lane.Centerville Address of Owner:
Date of Inspection:8120197 (if different)
Name of Inspector:John Grad Beatrice Howland
I am a DEP approved system inspector pursuant to Section 15.340 of Title%(310 CMR 15.000)
Company Name,Address and Telephone Number:
CERTIFICATION STATEMENT
I certify that I have personally inspected the sewage disposal system at this address and that the information reported below is true, accurate
and complete as of the time of inspection. The inspection was performed based on my training and experience in the proper function and
maintenance of on-site sewage disposal systems. The system:
X Passes This inspection is based on criteria defined in Title V
— Conditi nally Passes code 310 CMR 15.303.My findings are of how the system is
— Needs urt r Evaluation By the Local Approving Authority performing at the time of the inspection.My inspection does
not imply any warranty or quarantee of the longevity of the
Fails septic system and any of its components useful life.
I
Inspector's Signature: Date: 8/25/97
The System Inspector sha submit a copy of this inspection report to the Approving Authority within thirty(30)days of completing this
inspections. If the system is a shared system or has a design flow of 10,000 gpd or greater, the inspector and the system owner shall submit
the report to the appropriate regional office of the Department of Environmental Protection.
The original should be sent to the system owner and copies sent to the buyer, if applicable and the approving authority.
INSPECTION SUMMARY:
Check A, B.C, or D:
A] SYSTEM PASSES:
X I have not found any information which indicates that the system violates any of the failure criteria
defined as in 310 CMR 15.303. Any failure criteria not evaluated are indicated below.
COMMENTS:
B] SYSTEM CONDITIONALLY PASSES:
_One or more system components need to be replaced or repaired. The system, upon completion
of the replacement or repair,passes inspection.
Indicate yes,no,or not determined(Y, N,or ND). Describe basis of determination in all instances. If "not determined", explain why not.
The septic tank is metal, unless the owner or operator has provided the system inspector with a copy of a Certificate of
Compliance(attached)indicating that the tank was installed within twenty(20)years prior to the date of the inspection;or
the septic tank,whether or not metal, is cracked,structurally unsound,shows substantial infiltration or exfiitration,or tank
failure is imminent.The system will pass inspection if the existing septic tank is replaced with a conforming septic tank
as approved by the Board of Health.
(revised 04/27/97)
One Winter Street • Boston,Massachusetts 02108 a FAX(617)556-1049 9 Telephone(617)292-5500
i
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART A
CERTIFICATION (continued)
Property Address: 36 Menemsha Lane Centerville
Owner: Beatrice Howland
Date of Inspection:W20197
— Sewaae backuD or.breakout.or. hiah.static water level observed.in.the distrihution b.ox is due to a broken.
or obstructed pipe(s)or due to broken, settled or uneven distribution box.The system will pass inspection if
(with approval of the Board of Health). Describe observations.
broken pipe(s)are replaced
obstruction is removed
distribution box is leveled or replaced
—The system required pumping more than four 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
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 the public health, safety and the environment.
1) SYSTEM WILL PASS UNLESS BOARD OF HEALTH DETERMINES THAT THE SYSTEM IS
NOT FUNCTIONING IN A MANNER WHICH WILL PROTECT THE PUBLIC HEALTH AND
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.
2) SYSTEM WILL FAIL UNLESS THE BOARD OF HEALTH(AND PUBLIC WATER SUPPLIER, IF APPROPRIATE)DETERMINES
THAT THE SYSTEM IS FUNCTIONING IN A MANNER THAT PROTECT THE PUBLIC HEALTH AND SAFETY AND THE
ENVIRONMENT:
— The system has a septic tank and soil absorption system and is within 100 feet to a
surface of water supply or tributary to a surface water supply.
— The system has a septic tank and soil absorption system and is within a Zone 1 of a public watersupply well.
— The system has a septic tank and soil absorption system and is within 50 feet of a private water supply well.
— The system has a septic tank and soil absorption system and the SAS is less than 100 feet but 50 feet or more from a
private water supply well, unless a well water analysis for coliform bacteria and volatile organic compounds indicates that
the well is free from pollution from that facility and the presense of ammonia nitrogen and nitrate nitrogen is equal to or
less than 5 ppm. Method used to determine distance (approximation not valid)
3)Other
D) SYSTEM FAILS:
You must Indicate either"Yes"or"No"as to each of the following:
I have determined that the system violates one or more of the following failure criteria as defined in
310 CMR 15.303. The basis for this determination is identified below. The Board of Health should be
contacted to determine what will be necessary to correct the failure.
Yes No
Backup of sewage in facility or system component due to an 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
cesspool.
SAS is in hydraulic failure.
(revised 04/27/97)
i
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART A
CERTIFICATION (continued)
Property Address: 36 Menemsha Lane Centerville
Owner: Beatrice Howland
Date of Inspection:8/20197
D) SYSTEM FAILS(continued)
Yes No
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 1/2 day flow.
Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s).
Numbers of times pumped
Any portion of the Soil Absorption System,cesspool or privy is below the high groundwater elevation.
Any portion of a 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 of privy is less than 100 feet but greater than 50 feet from a private water supply well with no
acceptable water quality analysis. If the well has been analyzed to be acceptable, attach copy of well water analysis for
coliform bacteria,volatile organic compounds, ammonia nitrogen and nitrate nitrogen.
E) LARGE SYSTEM FAILS:
You must indicate either"Yes"or"No"as to each of the following:
The following criteria apply to large systems in addition to the criteria:
The system serves a facility with a design flow of 10,000 gpd or greater(Large System)and the system is a significant threat to
public health and safety and the environment because one or more of the following conditions exist:
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)
The owner or operator of any such system shall bring the system and facility into full compliance with the groundwater treatment program
requirements of 314 CMR 5.00 and 6.00. Please consult the local regional office of the Department for further information.
(revised 04127197)
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART B
CHECLIST
Property Address: 36 Menemshe Lane Centerville
Owner: Beatrice Howland
Date of Inspection:81 OW
Check if the following have been done:You must indicate either"Yes"or"No"as to each of the following:
_y_ — Pumping information was requested of the owner,occupant, and Board of Health.
x — None of the system components have been pumped for at least two weeks and the and the system has been receiving normal
flow rates during that period. Large volumes of water have not been introduced into the system recently or as part of this
inspection.
x As built plans have been obtained and examined. Note if they are not available with N/A.
x — The facility or dwelling was inspected for signs of sewage back-up.
x — The system does not receive non-sanitary or industrial waste flow.
-x- — The site was inspected for signs of breakout.
x — All system components,excluding the Soil Absorption System,have been located on the site.
x The septic tank manholes were uncovered,opened, and the Interior of the septic tank was inspected
— for condition of baffles or tees,material of construction,dimensions, depth of liquid, depth of sludge, depth of scum.
x — The size and location of the Soil Absorption System on the site has been determined based on
The facility owner(and occupants, if different from owner)were provided with information on the proper maintenance of
Sub-Surface Disposal Systens.
x Existing information. Ex. Plan at B.O.H.
x Determined in the field(if any failure criteria related to Part C is at issue, approximation of distance is
unacceptable)[15.302(3)(b)]
(revised 0427/97)
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART C
SYSTEM INFORMATION
Property Address: 38 Menemsha Lane Centerville
Owner: Beatrice Howland
Date of Inspection:8/20/97
FLOW CONDITIONS
RESIDENTIAL:
Design flow: 220 g_p.d./bedroom for S.A.S.
Number of bedrooms. 2
Number of current residents: t
Garbage grinder(yes or no): No
Laundry connected to system(yes or no): Yes
Seasonal use(yes or no): No
Water meter readings,if available:(last two(2)year usage(gpd):
n!a
Sump Pump(yes or no): No
Last date of occupancy: n/a
COMMERCIAL/INDUSTRIAL:
Type of establishment: n/a
Design flow:0 gallons/day
Grease trap present:(yes or no) No
Industrial Waste Holding Tank present: (yes or no) No
Non-sanitary waste discharged to the Title 5 system:(yes or no) No
Water meter readings,if available: n/a
Last date of occupancy: nfa
OTHER: (Describe) n/a
Last date of occupancy:
GENERAL INFORMATION
PUMPING RECORDS and source of information:
System has not been pumped in the last year.
System pumped as part of inspection:(yes or no)Yes
If yes,volume pumped: 1500 gallons
Reason for pumping: Maintenance
TYPE OF SYSTEM
x Septic tank/distribution box/soil absorptions system
Single cesspool
Overflow cesspool
Privy
Shared system(yes or no) ( if yes, attach previous inspection records,if any)
I/A Technology etc. Copy of up to date contract?
Other:
APPROXIMATE AGE of all components,date installed(if known)and source information:
27 years
Sewage odors detected when arriving at the site:(yes or no) No
(revised 04/27/97)
i
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART C
SYSTEM INFORMATION(continued)
Property Address: 36 Menemsha Lane Centerville
Owner: Beatrice Howland
Date of Inspection:B/20/97
SEPTIC TANK: X
(locate on site plan)
Depth below grade: 6"
Material of construction:X concreate metal FRP Polyethylene_other(explain)
If tank is metal, list age o . Is age confirmed by Certificate of Compliance No (Yes/No)
Dimensions: LB'6'H5'7'VV4'10'
Sludge depth:3"
Distance from top of sludge to bottom of outlet tee or baffle: 24"
Scum thickness:0
Distance from top of scum to top of outlet tee or baffle:6"
Distance form bottom of scum to bottom of outlet tee or baffle: 0
How dimensions were determined: Measured
Comments:
(recommendation for pumping,condition of inlet and outlet tees or baffles,depth of liquid level in relation to outlet invert,structural integrity,
evidence of leakage,etc.)
Septic tank and all components are structurally sound.Recommend pumping system every two years for maintenance
GREASE TRAP:
(locate on site plan)
Depth below grade: We
Material of construction: _concrete_metai_FRP_Polyethylene_other(explain)
Dimensions: n/a
Scum thickness:n/a
Distance from top of scum to top of outlet tee or baffle:n/a
Distance from bottom of scum to bottom of outlet tee or baffle:n/a
Date of last pumpingnia
Comments:
(recommendation for pumping,condition of inlet and outlet tees or baffles,depth of liquid level in relation to outlet invert,structural integrity,
evidence of leakage,etc.)
n/a
BUILDING SEWER:
(Locate on site plan)
Depth below grade: v
Material of construction:—cast iron_40 PVC other(explain)
Distance from private water supply well or suction lin0oWn
Diameter: 4•_
In/amments:(conditions of joints,venting,evidence of leakage,etc.)
(revised 04/27/97)
r
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART C
SYSTEM INFORMATION(continued)
Property Address: 36 Menemsha Lane Centerville
Owner: Beatrice Howland
Date of Inspection:8/20/97
TIGHT OR HOLDING TANK:
(locate on site plan)
Depth below grade: n/a
Material of construction:_concrete_metal_FRP_Polyethylene_other(explain)
Dimensions: n/a
Capacity: n/a gallons
Design flow: n/a gallons/day
Alarm level:—n/a Alarm in working order?_Yes No
Date of previous pumping: —
Comments:
(condition of inlet tee,condition of alarm and float switches,etc.)
Na
DISTRIBUTION BOX:
(locate on site plan)
Depth of liquid level above outlet invert: rda
Comments:
(note if level and distribution is equal, evidence of solids carryover, evidence of leakage into or out of box etc.)
n/a
PUMP CHAMBER:
(locate on site plan)
Pumps in working order:(yes or no)No
Alarms in working order(yes or no)Yes
Comments:
(note condition of pump chamber,condition of pumps and appurtenances, etc.)
n/a
(revised 04/27/97)
I
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART C
SYSTEM INFORMATION(continued)
Property Address: 38 Menemsha Lane Centerville
Owner: Beatrice Howland
Date of Inspection:8/20M7
SOIL ABSORPTION SYSTEM(SAS):X
(locate on site plan,if possible;excavation not required,but may be approximated by non-intrusive methods)
If not determined to be present,explain:
n/a
Type:
leaching pits,number: wx6'leach pit
leaching chambers,number:n/a
leaching galleries,number: n/a
leaching trenches,number, length: We
leaching fields, number,dimensions:n/a
overflow cesspool,number:rda
Alternate system: n/a Name of Technology:_n/a
Comments:(note condition of soil,signs of hydraulic failure,level of ponding, condition of vegetation,etc.)
The overflow is structurally sound and functioning properly.It was 3/4 full
CESSPOOLS:_
(locate on site plan)
Number and configuration: n/a
Depth-top of liquid to inlet invert: n/a
Depth of solids layer: n/a
Depth of scum layer: n/a
Dimensions of cesspool: n/a
Materials of construction: We
Indication of groundwater: We
inflow(cesspool must be pumped as part of inspection)
n/a
Comments:(note condition of soil,signs of hydraulic failure,level of ponding,condition of vegetation,etc.)
n/a
PRIVY:_
(locate on site plan)
Materials of construction: n1a Dimensions: n/a
Depth of solids: We
Comments:(note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.)
(revised 04127/97)
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART C
SYSTEM INFORMATION(continued)
36 Menemsha Lone Centerville
Beatrice Howland
9120197
SKETCH OF SEWAGE DISPOSAL SYSTEM:
include ties to at least two permanent references, landmarks or benchmarks
locate all wells within 100'(Locate where public water supply comes into house)
(revised 04/27/97) Pape 9 of 10
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART C
SYSTEM INFORMATION(continued)
36 Menemsha Lane Centerville
Beatrice Howland
8120/97
Depth of groundwater 12+
Please indicate all the methods used to determine High Groundwater Elevation:
Obtained from design plans on record.
Observation of Site(Abutting property, observation hole, basement sump etc.)
Determine it from local conditions
Check with local Board of Health
Check FEMA Maps
Check pumping records
Check local excavators, installers
x Use USGS Data
Describe in your own words how you established the High Groundwater Elevation.(MUST be completed)
USGS Maps and Charts
(revised 04/27/97) page 10 of 10
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ZONING SUMMARY
ZONING DISTRICT: RC DISTRICT
MIN. LOT SIZE 43,560 S.F.
MIN. LOT FRONTAGE 20'
MIN. LOT WIDTH 100'
MIN. FRONT SETBACK 20'
MIN. SIDE SETBACK 10'
MIN. REAR SETBACK 10,
�x_X 102.35,
�X
X�X
�X
X, 70,2
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X
/ 4.0, 1 S'
/ PROP. DRIVEWAY- - / x
o
/ PROP. BARN x
(NO BASEMENT)
x
O
/ / ..•-13.9'
I / / 69J x
rn10 x
o EXISTING SEPTIC SYSTEM
(NOTE: NOT DESIGNED FOR
C / / VEHICLE LOADING) X
00
I / 0
o
/ c
BENCH MARK m x
k / G p CORNER OF m I
BULK HEAD
/ I 1. O EL. = 70.7' x
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GARAGE x
WIRE FENCE
/ / r • x X�-X�I
EXIST. DWELL. x
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civil engineers ERIAN MacrNEIL
land surveyors ��-L-� _ r
939 Main Street ( Rte 6A) J JUNE 27, 2014
YARMOUTHPORT MA 02675 DATE DANIEL A. OJALA, P.E., P.L.S.
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68. +68.6 60 10" CHERRY
O t
; t2" +6 x 1
MAP +69.5
+ SPRUCES on x
x
I \ D
c + � b
6 .8 BENCH MARK x
s.o / oo9'9 CORNER OF Z
\\ A0 / [ BULK HEAD m
0.7 —°
GARAGE EL = 70.7
+69.9 WIRE FENCE
/ .z 69.1 69:8 a5 EXIST. DWELL. x
/ 0.1 T.FNDN. = 70.7 69.2 SEPTIC AS-BOIL T PLAN
i OF
a 36 MENEMSHA LANE
a�p W LOT 30 IN THE TOWN OF:
21,319t SQ. FT. (CENTERVILLE) BARNSTABLE
-+rP _ roo 0p
PREPARED FOR: BORTOLOTTI
__' CONSTRUCTION/MacNEIL
35.03'
AfR 'EIilSHA +67.9-t 67.9 30 0 30 60 90
�l 68.8
44 7e 67.9
SCALE: 1" = 30f DATE: SEPTEMBER, 2004
off 508-362-4541
fax 508 362-9880
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clown cope engineering, Inc, �o� ARNEH oyG� ��° ARNE yGm
OJALA H.
CIVIL ENGINEERS o civ IL,
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No. 30 2 .,
LAND SURVEYORS of P y
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04 181 939 vain st, yarmouth, rya 02575 s, .T �N SURVEY°�
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