HomeMy WebLinkAbout0355 NOTTINGHAM DRIVE - Health r 355 Nottingham Drive
Centerville P
A = 171 079
I
J�
IN
UPC 17534
N2.215 C�O�R �,�
MASTINGS,UN
t-
TOWN OF BARNSTABLE
,- LOCATION 35a�' t(e;2;I t-(6 1 A�_ f� SEWAGE# '_)c to - L3�_
VILLAGE a1,r v1ZJL- aLIL ASSESSOR'S MAP&PARCEL I-t I - "Z&1
fL'
INSTALLER'S NAME&PHONE NO. - � >-O>`�L CcVJ( ( -T-((-1
SEPTIC TANK CAPACITY 1 c00.4 A<t_ A//O
LEACHING FACILITY:(type)�1 i "�tL�-�- (size) O�X
NO.OF BEDROOMS
OWNER i c 00
PERMIT DATE: .5r-V COMPLIANCE DATE:
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) LA- Feet
Edge of Wetland and Leaching Facility(If any wetlands exist within
300 feet of leaching facility) 0Z,- Feet
FURNISHED BY
�tNG� 3y,
�9 73 G
i
i
� r,
No. (4- - 1 J O Fee 46 G o0
00
THE COMMONWEAL'T K OF'MASSACHUSETTS Entered in computer:
Yes
PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS
application for Disposal 6pstrm Construction i3Prmit
Application for a Permit to Construct( ) Repair(,;Upgrade( ) Abandon( ) ❑Complete System Wndividual Components
Location Address or Lot No.35S /UcrilH k44n 5or O ner's e,Address,and Tel.No. `i
Assessor's Map/Parcel � l'� � 57
of
In taller's me,Add rep,and Tel.No. 51PS- y�8• �6, signer's ame,Address,and Tel.No. �®1F'
C:�,�l �r�o ao��k►��.vm Dr; n ' Z �9 y�Cz.l�.s�•
Type of Building:
Dwelling No.of Bedrooms J, Lot Size ��o/ sq.ft. Garbage Grinder( )
Other Type of Building No.of Persons Showers( ) Cafeteria( )
Other Fixtures ^^��
Design Flow(min.required) a;Q to gpd Design flow provided 13,36 gpd
Plan Date Amhd V), Number of sheets Revision Date
Title SS� 1.
Size of Septic TankAUA
Description of Soil
Nature of Repairs or Alterations(Answer when applicable)
' GC X AQ
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 Environmenta a and to place the system in operation until a Certificate of
Compliance has been issued by this Board of Health. /
Sigged - Date ��--
Application Approved by cam— Date Els zo 1 Z
Application Disapproved Date
for the following reasons
Permit No.70l-,7 — �'j R Date Issued 5 j 8
No. (2- �5 t M . M, Fee
THE COMMONWEAL'TK-01 ASSACHUSETTS Entered in computer:
PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS Yes
Zfpplicatiowfor VspoSal *pstem Const union 3permit
Application for a Permit to Construct( ) Repair(Upgrade( ) Abandon( ) ❑Complete System ®'Individual Components
Location Address or Lot No.3,5,j No4, , h) .m'4y Owner's,/Nram�e,Address,and Tel.No. t, v� -e,U�- 5-2.2
Assessor's Ma /Parcel ,-)�e-r o t tie- ` �� 'tT�Gca et X) S kbik�l �� iy+
p '7 oe ! f�i' ddlr aG"3�
In taller's Name,Address,and Tel.No. 3 o S - t/P u- 5%P 6, Designer's Name,Address,and Tel.No.
�e,�tlat-�t'np 3�s 1Lb ir�1-�cvw�(�s; z.�u�/� C7�t�9e C�pir,�erir� 9-*/Ulair^is,
0 OAA A U_,Co f r' n, v o
Type of Building: 1
Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder( )
Other Type of Building No.of Persons Showers( ) Cafeteria( )
Other Fixtures /
Design Flow(min.required) Q1 gpd Design flow provided 3 (o gpd
Plan Date Aiy air Number of sheets Revision Date
Title �' ``� t'n � tC. ✓S�J uaJ i t/i//
Size of Septic Tank C)kj5 ' p Type of .4A.S.,P%'Id,
Description of Soil
Nature of Repairs or Alterations(Answer when applicable)O„
U 'a +u I>< U
Date last inspected:
Agreement:
it
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 Environmentalk de and not to place the system in operation until a Certificate of
Compliance has been issued by this Board of Health. /P
} SigQed Date
Application Approved by cam""- Date 8 Z0 1 Z
Application Disapproved Date
for the following reasons
Permit No.Z'0(Z 1'j$ Date Issued 5 8 Zo t'Z_
-_----------------------------------------- -_---- _ - - _ _ -- :- • - - - -
- - ---------- --. _-
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,3% � Z N E-,Fl a4 �R- C LK)7 P_v►t-%�e has been constructed in accordance I
with the provisions of Title 5 and the for Disposal System Construction Permit NoZQ(7-- 13B dated 5 I g/ ZO 1 Z
Installer Designer
#bedrooms C2 Approved desi n flow 0 gpd
The issuance of this permit shall of be onstrued as a guarantee that the system w''l fiznctio "s fie`*,* d.
Date �D, �j- Inspector
No. r o (-2-- Fee 1" /00
THE COMMONWEALTH OF MASSACHUSETTS
PUBLIC HEALTH DIVISION-BARNSTABLE,MASSACHUSETTS
disposal 6pstem Construction permit
Permission is hereby granted to Construct( ) Repair(/) j�Upgrade( ) Abandon( )
System located at ?-,`�j c7'1 T i rU�-�i-I i4 ✓lit vM�- �YT F�ZV 1 L Cat=
4
1
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:Cons c729
n must be completed within three years of the date of this perm' .
Date Approved b
I '
i i
MAY-11-2012 10:54 From:BORTOLOTTI CONST 5084289399 To:15087906304 P.1/1
FROM :down cape engir wring ime FAX NO. :150$36298P..0 May. 11 2012 08:40AM P2
�1 . • 1 ' barri,9_a J. (v'cilvr;Director
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?I191 tVinitu Filceud°Rjpwopio,MA 02601
C?'zr,n: 508-86146401 Fix. 5iJt3 190-610,
,pc7mij4 _2 i L�jyj1�6Q lo��DY''lR A��ulrl�'�rcdl i�l► � ��
�ba:.an��►p�: �+�..,�,^-}*c --�s•..�� ,l�narr�l���; ` eto�, t�h, �'c+•� �.e_1�.
A►c1dr0.sa: .g V-t.4
Uia_--;g {,�' 1p (.•�►t was iq-lnCd i1 Pevrjit TU'.lnh 1ia1 Ft
septic Rygtezu at_ uu a�lr+;i ,u drawn jy
dated '4
.f aaxtft t4at lb-aePdA VY-cdc x:r,trVWc;cd above w s i llyd �.hklurdi��Iiy�cwtdin.tr lQ
" tiza,ansip, which rivv iiAchuk:utiLor�,pl1rUV(.d OlUngs:e mob cis taterul rclocadou t tit.
diotnbuUut hux«sidbir igac runic.
f crrtly �ihat t P. wgtfr, Systr'll :di"St, Cd dbOt1P wa4 Wta led wish. m,a}ur �:i�r►n .a3 (I.f
gXgatm t}aAn.10' isiml rnlonatimi.ol'lbo, SO or ouv vertiol celclr:rtion of LILY cnn)A V-hAl
vfi rt rac'ptic grp-d(=) but iv kic"COrdanCle,wii11 titte. &,.I-Kcal .0'pn;iitiurts- I�l�n.� CC,v].s rtla ur
ce>r�iic° , 't by ,lasi,ptg to Zpjnw.
�kN or�s
RANI LAB
oJALA
C;11IIL
Na.4WO2
���T �c� emu'��.F. ; � _P�"E!�r4.,;;,FTfi;A .•iDJ,Y.�,I,CD'+i.- r..Ftt �^n'�'�a�
d_ty, Ar�r, wl�f.� .� T5° a,:.t YTN'>sD ► ,:T'!�Tt Ft�; .�+ a T- J: c.,� M..
A'FIN$ &A-LB kM- Y I'' r ."fr DI, ?N. 'XUA.tv
n-ri.airh/4e,rtlnll'b.,;m rrrn+Gw'.C�1a!1I?
]Department of Regulatory Services 1
1 Public JL���AI�1 h Division Date
u BA"a-rkB :, 4
'AiAm Ma
in ain Street,Hyannis MA 02601
Date Scllcdulcd
T Imc �l FLe Pd.
Soil Suitability Assessnientfor Vanua, ., IDisposal
.l'crYonncd.By:��.1./�_____ C"a_ 13y,:
LOCATION & GENE L IN7O�IATE N �
Location Address �� I [ 6 �� Owner's Namc e- a,,�j Ile
e eVl Address
Assessor's Map/Parcel: ��/ Engineer's Naiuo ✓�—
NEW CONSTRUCTIM4 REPAIR Telephone If C�U(I )' (� i d,
Land use Slopes(%) — Surface Sluncs
Distance's From: Open'Water Body I It Possible Wet Arep,y—� . it Drinking Water Well f[
Draihe.ge Way -� ft Property Line /;97 Ft Oilier ft
SIKE'TC H, (SITCBL name,dimensions of IDt,exact locations of lest Ito] pe lesls, locale wetlunds'in proninuty to Bales)
Z5/
& P9,
t! T
Parent material(6colog[c)OU-Tptc"4-- Dcp[h to Bodroel� 00
Depth to Groundwa[cr: Standing Weller ilk Hole: WON Weeplha 0Ulil hit I•aflye
Estimated Seasonal High Oioundwawr
]D]ET ER1MNA7CJ[ON FOR SEAS NAL HIGH GH WA.71'ITH TABLE
E
Nled,od used:
Depth Observed standing in obs. hale: T In, Ocptlz lu spll
Depth to tiveeping From side of obs.hale: /r I liL OYt1uI1 IWu[el'.Ad�u9lnlent a Ft.
Index Well p Reading Date: Index Well leval Add,A.wt4P-„� Lm.[
IDLE RCO uATTON TE Sir Date A- _ _ 't'I°al'lal
Observation
Ho!o 1p Tinto ttt
Depth of Pero ./0 0 Tlnip a1 6" A
S[att Pre-soak Time @ I ;'U� Time O"-d")
End Prc-soak fl U ll '
Rule Min./Inch
Si[c Suitability Assessment: Site Passed_ v Silq''Foileti: Additional Tes[Ing Necded(Y/N) _
Origival: Public Health DjYhJon Observation Hole Data To Be Completed on Back-- - --
4`11'If Peb•colatiorn test is to be conducted witi➢i➢➢ 100' off-vvellland, You must f➢rsit Uottlty We.
B3 irnstablc Conservrltion Division at least one (I) Wecic picior to begdfln0.1h.Rg.
QasEPTICMPERCroRM.DOC
D)RE P',cCDI[S-r-igTl��'ION HOLE,, z
Depth from Soil ltorizon ' S ��� vole # /
SurFnce(in.) oil Texture :5dil Color --1.�
(USDA).. Soil. Other
•.(Mansell) Moftlin
g (Structure,Stones'; Boulders,
—� Con istc c
�'� �U.��•� z o ravel
te
s0Yp��
---
R1E]Cp
D OBSERVATION HOLE'LOG
epth from Soil Horizon ]�][e'e
(USDA)Surraee On.) Soil Texture Soil Color
Soil
(Mansell) Mile
Mottling" (Struclure,Stanes, Boulders.
C nsis e c %Crave
Depth from Soil Rorizon Hole #
Siirrace(in.� Soil Tcxhire Soil Color
Soil(USDA) (Muns411) Other
Mottling U)tructurc,Stones,Boulders.
• Consistency 9ra t]nvefl
---�_{r����7'��'��'��A �•��,��pp �� Q7 ��r 7�7 x g m
�U E4 r',11 01?,SEI R V'.�.JL�I Ol'V �lIO Jl-,.1LI ..
Depth From Soil Horizon �'®� Hole.# M1
Surface(in ) Soil Tcxture Soil Color
(USDA) 5'All Other
(Mansel)) Mottling
(Structure,Slopes; Boulders•
ConsWcncy �h Orn�e11
�-
F�qod IIISII]Va-ace Rate M
Ahove 500 year.flood boundary No_ Yes
II/ithin 500 year boundary No
Yes '
With in 100 year flood boundary NC, T
' If�e �V>I ta�'I�Ttuta�>r�1By �a'�uflr�fl_m�]P�¢'v>t____ •o-ass 1V�ata;ria9 V
Does at least four feet of naturally occurTing pervious ma'terlal exist in all proposed for the areas observed tttrauShout the
az-etu .coil absorption Sysiem? �
N9 not, Farhat is the depth of naturally occurring pervious maral'ial?-,• „__..-___
�'eu'tuganl�itAo�u
A certi-,fjr that on t •
(date)I have passed the soil evaluator examination approtired by the
Department ofEnvironmental.Protection and that the above analysis was performed by me consistent with
111e regtAired training, expertise and experience described in CIO CI1II2 15.017.
Si nature
D a tie_� •
Q:ISBP'TIC\PBRCCORM.D0C
I �
ECOJECH
Environmental
www.eco-tech.us
THIS FORM IS A FACSIMILE OF THE STANDARD SEPTIC INSPECTION FORM ISSUED BY THE MASSACHUSETTS DEPARTMENT
OF.ENVIRONMENTAL PROTECTION(revised 6/15/2000)
TITLE 5
OFFICIAL INSPECTION FORM_NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM FORM
PART A
CERTIFICATION '� 1
Property Address: 355 Nottingham Drive 10AP _
Centerville PARCEL ;
Owner's Name: Richard Kazamian&Donna Scribner
Owner's Address: 355 Nottingham Drive �OT
Centerville,MA 02632
Date of Inspection: May 9, 2004
Name of Inspector: (Please Print) David D. Cou ianowr R. . u, RECEIVED
Company Name: Eco-Tech Environmental
Mailing Address: 43 Triangle CircleCM
Sandwich,MA 02563 MAY 2 5 2004
Telephone Number: (508)364-0894
TOWN OF BARNSTABLE
HEALTH DEPT.
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 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:
X Passes
Conditionally Passes
Needs Further Evaluation By the Local Approving Authority
Fails
Inspector's Signatureq�tA �4 P_J Date: WAY q, 2,00
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
NOTES AND COMMENTS
Inspector's Note—> A septic system is deemed to pass this Real Estate Transfer Inspection if it does not trigger
any of the failure criteria listed below. The septic system has been evaluated according to the conditions observed
on the day it was inspected. No estimate or guarantee of system longevity is made or implied by a passing determination.
****This report only describes conditions at the time of inspection and under the conditions of use at that
time.This inspection does not address how the system will perform in the future under the same or different
conditions of use.
Title 5 Inspection Form 6/15/2000 page 1
Page 2 of 11
OFFICIAL INSPECTION FORM_NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART A
CERTIFICATION(continued)
Property Address: 355 Nottingham Drive
Centerville
Owner: Richard Kazaniian&Donna Scribner
Date of Inspection: May 9, 2004
INSPECTION SUMMARY: Check A,B,C,D or E/ALWAYS complete all of section D:
A] System Passes:
Yes I have not found any information which indicates that any of the failure criteria described in 310 CMR
5.303 or in 310 CMR 15.304 exist. Any failure criteria not evaluated are indicated below.
COMMENTS:
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.
Answer yes,no,or not determined(Y,N,or ND). in the_for the following statements.If"not determined"please
explain.
The septic tank is metal and over 20 years old*or the septic tank(whether metal or not),is structurally
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.
ND explain:
Observation of sewage backup or breakout or high static water level in the distribution box is due to broken or
obstructed pipe(s)or due to a broken,settled or uneven distribution box. The system will pass inspection if(with
approval of Board of Health).
broken pipe(s)are replaced
obstruction is removed
distribution box is leveled or replaced.
ND explain
The system required pumping more than 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
ND explain
2
Page 3 of 11
OFFICIAL INSPECTION FORM_NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART A
CERTIFICATION(continued)
Property Address: 355 Nottingham Drive
Centerville
Owner: Richard Kazaniian&Donna Scribner
Date of Inspection: May 9,2004
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 and 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
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 by a DEP certified laboratory, for coliform
bacteria and volatile organic compounds indicates that the well is free from pollution from that facility and
the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm,provided that no other
failure criteria are triggered. A copy of the analysis must be attached to this form
3) OTHER
3
Page 4 of 11
OFFICIAL INSPECTION FORM_NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART A
CERTIFICATION(continued)
Property Address: 355 Nottingham Drive
Centerville
Owner: Richard Kazanjian&Donna Scribner
Date of Inspection: May 9,2004
D)System Failure Criteria applicable to all systems:
You must indicate either"yes"or"no"to each of the following for all inspections:
I have determined that one or more of the following failure conditions exist as described 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
X Backup of sewage into facility or system component due to overloaded or clogged SAS or cesspool.
X Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or
clogged SAS or cesspool.
X Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or
cesspool.
X Liquid depth in cesspool is less than 6"below invert or available volume is less than 1/2 day flow.
X Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s).Number
of times pumped
X Any portion of the SAS,cesspool or privy is below high groundwater elevation.
X Any portion of cesspool or privy is within 100 feet of a surface water supply or tributary to a surface
water supply.
X Any portion of a cesspool or privy is within a Zone 1 of a public well
X Any portion of a cesspool or privy is within 50 feet of a private water supply well
X Any portion of a cesspool or privy is less than 100 feet but greater than 50 feet from a private water
supply well with no acceptable water quality analysis.(This system passes if the well water analysis,
performed by a DEP certified laboratory, for coliform bacteria and volatile organic compounds
indicates that the well is free from pollution from that facility and the presence of ammonia
nitrogen and nitrate nitrogen is equal to or less than 5 ppm,provided that no other failure criteria
are triggered. A copy of the analysis must be attached to this form)
No (Yes/No)The system fails. I have determined that one or more of the above failure criteria exist as
described in 310 CMR 15.303,therefore, the system fails.The system owner should contact the Board of
Health to 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
You must indicate either"yes" or"no" to each of the following:
(The following criteria apply to large systems in addition to the criteria above)
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.
4
Page 5 of 11
OFFICIAL INSPECTION FORM_NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART B
CHECKLIST
Property Address: 355 Nottingham Drive
Centerville
Owner: Richard Kazaniian&Donna Scribner
Date of Inspection: May 9, 2004
Check if the following have been done: You must indicate either"Yes"or"No"as to each of the following:
Yes No
Y _ Pumping information was provided by the owner,occupant or Board of Health.
N Were any of the system components pumped out in the last two weeks?
N Has the system received normal flows in the previous two week period?
N Have large volumes of water been introduced to the system recently or as part of this inspection?
Y _ Were as built plans of the system obtained and examined?(If they were not available as N/A)
Y _ Was the facility or dwelling inspected for signs of sewage back-up?
Y _ Was the site inspected for signs of breakout?
including
Y Were all system components,exeludig the SAS. located on site?
Y Were the septic tank manholes uncovered, opened,and the interior of the septic tank inspected for
the condition of the baffles or tees,material of construction,dimensions,depth of liquid,depth of sludge and depth of
scum.?
Y _ Was the facility owner(and occupants,if different from owner)provided with information on the proper
maintenance of subsurface disposal systems?
For information on the proper maintenance of subsurface disposal systems please go to:
WWW.ECO-TECH.US
The size and location of the Soil Absorption System(SAS)on the site has been determined based on:
Y _ Existing information.For example,Plan at the Board of Health.
Y _ 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(3)(b)]
5
Page 6 of 11
OFFICIAL INSPECTION FORM_NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART C
SYSTEM INFORMATION
Property Address: 355 Nottingham Drive
Centerville
Owner: Richard Kazaniian&Donna Scribner
Date of Inspection: May 9,2004
FLOW CONDITIONS
RESIDENTIAL
Number of bedrooms(design): 3 Number of bedrooms(actual): 3
DESIGN flow based on 310 CMR 15.203 (for example: 110 gpd x#of bedrooms): 330 gpd.
Number of current residents 0
Does the residence have a garbage grinder(yes or no): no
Is laundry on a separate sewage system(yes or no): no :(If yes, separate inspection required)
Laundry system inspected (yes or no): n/a
Seasonal use(yes or no): no
Water meter readings,if available(last two year's usage(gpd): 78 gpd
Sump Pump(yes or no): no
Last date of occupancy: January, 2004
COMMERCIAL/INDUSTRIAL:
Type of establishment:
Design flow(based on 310 CMR 15.203):: gpd
Basis of design flow(seats/persons/sqft/etc.):
Grease trap present: (yes or no)_
Industrial waste holding tank present: (yes or no):
Non-sanitary waste discharged to the Title 5 system: (yes or no).
Water meter readings, if available:
Last date of occupancy/use:_
OTHER: (Describe):
GENERAL INFORMATION
PUMPING RECORDS
Source of information: System pumped in January 2004(Owner)
Was system pumped as part of the inspection: (yes or no) No
If yes,volume pumped: gallons--How was quantity pumped determined?
Reason for pumping:
TYPE OF SYSTEM:
X 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/Alternate technology. Attach a copy of the current operation and maintenance contract(to be
obtained from system owner)
Tight Tank Attach a copy of the DEP approval
Other(describe)
APPROXIMATE AGE of all components,date installed(if known)and source of information:
Age: 17+years Certificate of Compliance issued 3/18/87(BOH permit#87-94)
Were sewage odors detected when arriving at the site: (yes or no) no
6
Page 7 of 11
OFFICIAL INSPECTION FORM_NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART C
SYSTEM INFORMATION(continued)
Property Address: 355 Nottingham Drive
Centerville
Owner: Richard Kazaniian&Donna Scribner
Date of Inspection: May 9, 2004
BUILDING SEWER_(Locate on site plan)
Depth below grade: 2 ft
Material of construction:_cast iron X 40 PVC_other(explain)
Distance from private water supply well or suction line 20+
Comments: (on condition of joints,venting,evidence of leakage,etc.)
Sewer is vented through roof and appears structurally sound with no evidence of leakage or backup into dwelling
SEPTIC TANK:Yes (locate on site plan)
Depth below grade: 12 inches
Material of construction: X concrete_metal_fiberglass_polyethylene
_other(explain)
If tank is metal,list age_ Is age confirmed by Certificate of Compliance_(yes or no):_(attach a copy of
certificate)
Dimensions: 8.5 ft x 5 ft x 5 ft(1000 gallon)
Sludge depth: none
Distance from top of sludge to bottom of outlet tee or baffle: n/a
Scum thickness: none
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
How dimensions were determined: Probe to top of tank
Comments: (on pumping recommendations,inlet and outlet tee or baffle condition, structural integrity, liquid levels
as related to outlet invert,evidence of leakage,etc.):
Pumping not required at this time but maintenance pumping is recommended eveiy 2 years. Liquid level at outlet
invert.Tank and inlet tee appear structurally sound and functioning as intended.Outlet tee has broken off and
should be replaced.
GREASE TRAP: none (locate on site plan)
Depth below grade:
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:
Comments: (on pumping recommendations,inlet and outlet tee or baffle condition, structural integrity, liquid levels
as related to outlet invert,evidence of leakage,etc.):
7
Page 8 of 11
OFFICIAL INSPECTION FORM_NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART C
SYSTEM INFORMATION(continued)
Property Address: 355 Nottingham Drive
Centerville
Owner: Richard Kazanjian&Donna Scribner
Date of Inspection: May 9, 2004
TIGHT OR HOLDING TANK: none (Tank must be pumped at time of inspection)(locate on site plan)
Depth below grade:
Material of construction:_concrete_metal _fiberglass_polyethylene_other(explain)
Dimensions:
Capacity: gallons
Design flow: _gallons/day
Alarm present(yes or no):_
Alarm level:_ Alarm in working order(yes or no):_
pumping:Date of last
Comments:(condition of inlet tee,condition of alarm and float switches,etc.)
DISTRIBUTION BOX: Yes (if present must be opened)(locate on site plan)
Depth of liquid level above outlet invert: at outlet invert
Comment (n
ote ote if box is level and distribution to outlets is equal,an evidence of solids carryover,an i q y arty y evidence of
leakage into or out of box,etc.)
D-box appears structurally sound with no evidence of leakage in or out Effluent level at outlet invert
Few solids in tank.
PUMP CHAMBER: none (locate on site plan)
Pumps in working order: (yes or no)
Alarms in working order: (yes or no)
Comments(note condition of pump chamber,condition of pumps and appurtenances,etc.):
8
Page 9 of 11
OFFICIAL INSPECTION FORM_NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART C
SYSTEM INFORMATION(continued)
Property Address: 355 Nottingham Drive
Centerville
Owner: Richard Kazanjian&Donna Scribner
Date of Inspection: May 9,2004
SOIL ABSORPTION SYSTEM(SAS): Yes (locate on site plan;excavation not required)
If SAS not located, explain why:
Type:
X leaching pits,number 1
_leaching chambers,number
_leaching galleries,number
_leaching trenches,number, length
_leaching fields,number,dimensions
_overflow cesspool,number
—innovative/alternate system Type/name of Technology
Comments: (note condition of soil, signs of hydraulic failure,level of ponding,damp soil,condition of vegetation, etc.)
Soils above leaching pit appeared unsaturated.No evidence of surface ponding breakout,lush vegetation or
other evidence of hydraulic failure was observed Leach pit was dry
CESSPOOLS: none (cesspool must be pumped at time of inspection)(locate on site plan)
Number and configuration:
Depth-top of liquid to inlet invert:
Depth of solids layer:
Depth of scum layer:
Dimensions of cesspool:
Materials of construction:
Indication of groundwater inflow(yes or no):
Comments: (note condition of soil, signs of hydraulic failure,level of ponding,condition of vegetation,
etc.):
PRIVY: none (locate on site plan)
Materials of construction:
Dimensions:_
Depth of solids:
Comments(note condition of soil, signs of hydraulic failure,level of ponding,condition of vegetation,etc.):
9
Page 10 of 11
OFFICIAL INSPECTION FORM_NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART C
SYSTEM INFORMATION(continued)
Property Address: 355 Nottingham Drive
Centerville
Owner: Richard Kazanjian&Donna Scribner
Date of Inspection: May 9, 2004
SKETCH OF SEWAGE DISPOSAL SYSTEM:
Provide a sketch of the sewage disposal system including ties to at least two permanent reference landmarks or
benchmarks.Locate all wells within 100'(Locate where public water supply enters the building)
LEACH LOCATIONS
p
O A B
1 24 ft 34.5 f t
�0 D-BOX 2 26.5 ft 35.5 ft
3 31 ft 39 ft
z 4 36.5 ft 46 ft
SEPTIC
TANK o
B A
EXISTING
DWELLING
# 355
W
Z
J
W
GI
3
I
NOTTINGHAM DRIVE NOT TO SCALE
10
' 1
Page 11 of 11
OFFICIAL INSPECTION FORM_NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART C
SYSTEM INFORMATION(continued)
Property Address: 355 Nottingham Drive
Centerville
Owner: Richard Kazaniian&Donna Scribner
Date of Inspection: May 9, 2004
SITE EXAM
Slope
Surface water
Check Cellar
Shallow wells
Estimated Depth to ground water: 20+ feet
Please indicate(check)all methods used to determine high ground water elevation:
Obtained from system design plans on record-If checked. date of design plan reviewed
Observed Site(abutting property/observation hole within 150 feet of SAS)
Checked with local Board of health-explain:
_ Checked local excavators,installers-attach documentation)
X Accessed USGS database
You must describe how you established the high ground water elevation.
Barnstable GIS department records indicate that property is over 20 feet above groundwater table
11
l 0 CYaA
SEWAGE PERMIT NO.
8 -20 2-
VILLAGE
INSTA LLER'S NAME &-,-,AD_DRES.S
2a
v
BUILDER OR OWNER
DATE PERMIT ISSUED
DAT E COMPLIANCE ISSUED
t
• e�
�31
FRs.... .................
THE COMMONWEALTH OF MASSACHUSETTS
BOAR® OF HEALTH
6167
..........O F.......................................
ltr� Hatt for Dhipwial Work,6 Tontitrurtion lirrutit
Application is hereby made for a Permit to Construct/ ,(V)) or Repair ( ) an Individual Sewage Disposal
System at:
No?lr(,i n l� v£M D11 i Vlx� 7 7
................_................................................••t---------- ---- -----••--•---------... ----------------• ---------------•--------..........
/• ocal' d ess ✓
a. SS
-----------------------...............
Installer Address / ry
d Type of Building Z Size Lot___ ________Sq. feet
V Dwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder (NO)
aOther—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( )
aOther fixtures ..................................
.. ........................gallons per person per day. Total daily flow......... ...20
w Design Flow............ gallons.
W Septic Tank—Liquid capacityl00.gallons Length j-'6 Width 4� 0� "__ Diameter.�t__�6_'__. Depth.$i8
x Disposal Trench—No. .................... Width.................. Total Length.................... Total leaching area__........_._.......sq. ft.
Seepage Pit No........0.......... Diameter.................... Depth below inlet_.{.6... otal leachin area.........® ft.
6 p ®Di g �® ....sq.
Z Other Distribution box Dosing tank ( )
Percolation Test Results Performed �� ..........................-• Date---- —SIC)
.j : -�j Test Pit No. ----_minutes per inch Depth of Test Pit___:__ ...... Depth to ground water--_�a'`��_
Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water.........��C�!� S-D
a •---••-----------•-•----•---•--•-----••----•--•--•-•---•••••-•.......................•--•••........_.........................................................
0 Description of Soil.......9-...-�.._`.�_.���:.�__S'!�'3�v/L
W ----------------- -------- -------L.....................................................................................................................................................................
UNature 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 ii l..
p 5 of the State Sanitary Code—The and gne urtl:er agrees not to place t e cyst in
operation until a Certificate of Compliance has be iss d by t a d ealth.
� � Sig d. � --z-�e--•--.........
Application Approved By....... .... -•-•- . . • ----•--•-••----•-- ......
Date
Application Disapproved for the following reasons-----------------------•-----------------------------------------------------------------------------------.-----
--------•-•---------------------------------------•---------••-------•---••------•------------------•--...--••••------------. -•-•------------•--•---•---------•---•---•-•-•• ......................
/°� (% Date
PermitNo......................................................... Issued_.-�L ..... f� -- •------•------------
Date
No................ .................
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
.............. ............
---- --------------------------------------------....._.
liratiou for %gpviial larks Tatuitrurtiou Prrutit
Application is hereby made for a Permit to Construct (VI) or Repair ( ) an Individual Sewage Disposal
System at:
A/O"V//vGi-0� Pn VC
................_................................................................................ ............................................... --- ---------•--. ---••----------
Lac n A re s �M'. Jjr moo•_/
d
Install Address � — f
Type of Building Size Lot.............______________Sq. feet
Dwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder (elv)
Other—Type T e of Building _______________ No. of ersons__.___.__._.._______.______. Showers — Cafeteria
t� YP g ------------- P ( ) ( )
a Other fixtures ____________________________ _
W Design Flow...........-•�-.5_........................gallons per person per day. Total daily flow......... 20------------------------gallons.
/ JV / I1
Septic Tank—Liquid capacity&O.gallons Length d•�_..__._ Width''�__1Q_'_. Diameter.-- _:..__
Disposal.Trench`;—No. ____________________ Width___.................... Total Length.................... Total leaching area....................sq. ft.
Seepage'Pit No-'___•. -__-______ Diameter......_tp__---------- Depth below inlet �__. _/J�jotal leaching area_-2.0a_....sq. ft.
Other Distribution box (�) Dosing tank ( ) eA "
'� Percolation Test Results Performed by..__4r'.:! _ �'�' _____________________ Date__.__'_¢_` p
Test Pit No. 1.4..a.__..minutes per inch Depth of Test Pit------!��_�.__._. Depth to ground water.._Na^r�-
ri, Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water_�^!e'�? %fZ>
P4 •---••••-•-•--•-------------•-••-----•-•___-_.------••---•---•--•-._.•--••-•-••......._-••-•---•••-•........................................................
O Description of Soil.......Ca-3'- LC>.�rn-q•SU S��JL
i - ,---------•-•-- ----------------•-----------
3 S�s=-------��n---��'--'-"'--`----------•-`--------�'�-----------------•----•-------•-----------------------------------------••----
V
W •------------------------------------------------------------------•-•--------------•--•--------••-----------------------------------------------------•-•------•--------------•------------------------
UNature 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 T7=17 5 of the State Sanitary Code— The un rsig d further agrees not to plac/thhe ystem operation until a Certificate of Compliance has be ued b t oar of health.Sig _ .e
Application Approved By•---. ,•......•-------•--•_.
Date
Application Disapproved for the following reasons:-•-•-------•--•••••-----•----------•--------------- Y
-------....•--•-•---------••---------•--•--•-•--•-•-------------•••--••-------••------------------------......--------------••-----------------•-_._•-••--•--•---------•-----------__••-----.------•---
Date
PermitNo......................................................... Issued_.............................. .......................
Dates
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
TD?.✓N
..........................................OF....... -�.......'r,.:n/S.%A13 1.....—
Carrtifiratr of Toutpliautrr
THIS IS T9 CERTIFY, That t the Inav-d Sewage i osallSS stem constructed ( Repaired
-...... ( )
by------------------- E --- ---_---•---•-- -••�A-.........•4`Lr�l --/ ��rt.1.l. _ ...
Install
at.----•••--•-------•..1.4-1---� ----- jJ�? �1���I Il�'�kN ' ! = . ------- --•--•---------------•---•---------
has been installed in accordance with the provislons of Tt 5 of The State Sanitary Code as;described in the
application for,Dsposal Works Construction Permit iVTo. __.__._ _i/__2•,___________ da.ted___.___ }:,, _A .........
THE ISSUANCE OF THIS CERTIFICATE SMALL NOT BE'CONSTRIIE® AS A GUARANTEE THAT TIME
SYSTEM WILL FUNCTION SATISFACTORY. .
DATE................................................................................ Inspector....................................................................................
THE COMMONWEALTH OF MASSACHUSETTS
/�� BOARD OF HEALTH
I r+"f1/ .7`•b`1,�"./.............OF..-.- n r/S fi 3 3en,..................................... V j,
No...V.._'m24 ..._ FEE_ ___________________•-
P/2-
urk�. � #r uau rraui#
Permission is eby granted----••-• ✓/l!"-_.__. �
to Construct"( or Repair ( ) n Tudividual S .wage Digaosal Xystemaj.,{it7. ' /_.Ni --• ►y!...__. ------------- -••-- •--- .---•--•----•-------••••----••--•-•---------._....--
at No.
j Street
as shown on the application for Disposal Works Construction Pe t No � _ Dated.....� ...........
•••----------•-•-•-----•--•--
�„,' �•• Boar of Health '
DATE.......Z�/''�..... 946A..................... ---_----••----
_r FORM •1255 HOBBS & WARREN, INC., PUBLISHERS' p ,
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Ki '� �"1J .��!;v l�.�atl ' �' j%T ��-.Lti.^i,.�. �4�i"r-' �,.' •l�FIY�.-1- „ 4� .L.�V'r"':.��.�. .�.i . - -. _.. - -
a
,
ALL
S SHALL
SYSTEM PROFILE SYSTEM MARK D WIT CHMAGNETICT BE
TAPE OR ponds
PROVIDE MIN. 20" DIAM WATERTIGHT (N
OT TO SCALE) COMPARABLE MEANS FOR FUTURE LOCATION. NOTES Three
a e
ACCESS COVERS TO WITHIN 6" OF FIN. GRADE 2" PEASTONE OR GEOTEXTILE CONCRETE COVERS TO WITHIN 3" GRADE 1. DATUM IS APPROX. NGVD R Lane
TOP\ FOUND. EL. 57.6' FILTER FABRIC OVER STONE 2. MUNICIPAL WATER IS EXISTING 9sh�e
MINIMUM .75' OF COVER OVER PRECAST 2% SLOPE REQUIRED OVER SYSTEM 55.0' a i
3. MINIMUM PIPE PITCH TO BE 1/8 PER FOOT.
BLOCKS OR 4. DESIGN LOADING FOR t1_ PROPOSED PRECAST ea r a
54.2' 4"SdSCH40 PVC MORTAR ALL PRECAST RISERS UNITS TO BE AASHO H-to
PIPES LEVEL 1S 2' COMPONENTS H-10 0
t' (TYP,) INV'S EL. 51.75' 52 58' 5. PIPE JOINTS TO BE MADE WATERTIGHT. r` o 0
10" EXISTING P°° a a•a•a o 0 o cu r JC a
*# 14" °°°°° o o' o 0 0 ° °0 6. CONSTRUCTION DETAILS TO BE IN ACCORDANCE
TEE SEPTIC TANK TEE 52.8'f* ��0� 000® °°o° ° a �0�0 -!]��0 o
> o 0 0
WITH 310 CMR 15.000 (TITLE 5.)
O O O O O O ObObO000d0 O°O°000° CO
0 0 0 0 0 o O > o 0 0 0 0 0 0 --o o o 0 0 o C>
GAS BAFFLE::! °°°O°°°°°O°O °°°°°°°° ���D�OO D�D�L� °°°°° °°o D���D���OO�� °o°o°°°o D J
'^On�o9"°�° N o
o • o r d S
+ ° ° ° ° ° ° ° ° ° 7. THIS PLAN IS FOR PROPOSED WORK ONLY AND d
52.07' 51 .90' °°°°°°°° ° ° ° °°°° °°°°°°°° 49.75' NOT TO BE USED FOR LOT LINE STAKING OR ANY e�
OTHER PURPOSE. �e
6" MIN SUMP H-10 500 GAL. LEACHING CHAMBER BY ACME PRECAST OR EQUAL. Qo�
12" MIN INT. DIM. 3/4"-1-1/2" DOUBLE WASHED STONE 8. PIPE FOR SEPTIC SYSTEM TO SCH. 40-4 PVC. z r
(2) UNITS REQUIRED
6" CRUSHED .STONE OR MECHANICAL 9. COMPONENTS NOT TO BE BACKFILLED OR � op 9<ii
OVERALL DIMENSIONS TO OUTSIDE OF STONE: 30.0' X 10' 5.25' CONCEALED WITHOUT INSPECTION BY BOARD OF' �� orn
COMPACTION. (15.221 [2]) HEALTH AND PERMISSION OBTAINED FROM BOARD a ow e
OF HEALTH.
(2.4 % SLOPE) ( 1 % SLOPE) �LEACHING LOCUS MAP
10. CONTRACTOR SHALL BE RESPONSIBLE FOR
FOUNDATION- EXIST. SEPTIC TANK 30' D BOX 17 FACILITY NO CALLING DIGSAFE VERIFYING THE LOCATION OF ALL UNDERGROUND
888-344-7233 BOTTOM TH-1 CD ANDERGROUND &
NO GROUNDWATER FOUND NOT. TO SCALE
*THE INSTALLER SHALL VERIFY THE LOCATIONS OF ALL **INSTALLER SHALL CONFIRM MINIMUM SEPTIC TANK SIZE AT OVERHEAD UTILITIES PRIOR TO COMMENCEMENT OF
WORK.
UTILITIES AND ALL BUILDING SEWER OUTLETS AND ELEVATIONS 1000 GALLONS AND ITS SUITABILITY FOR RE-USE. REPLACE ASSESSORS MAP 171 PARCEL 79
PRIOR TO INSTALLING ANY PORTION OF SEPTIC SYSTEM WITH 1500 GALLON SEPTIC TANK APPROPRIATE TO SITE 11. ANY UNSUITABLE MATERIAL ENCOUNTERED
SHALL BE REMOVED 5' BENEATH AND AROUND THE
CONDITIONS IF NOT SUITABLE PROPOSED LEACHING FACILITY.
12. EXISTING LEACHING FACILITY SHALL BE PUMPED
5.35 AND REMOVED OR PUMPED AND FILLED WITH CLEAN
SAND.
ss
54.64 55.13 .38
BENCHMARK: USE CENTERLINE OF SYSTEM DESIGN:
'h
WALKWAY AT ANGLE
POINT, ELEV. 55.7'
`b F� FISH 55 GARBAGE DISPOSER IS NOT ALLOWED
P NO .02
X 4.52 7 EXISTING 2 BEDROOM DWELLING (220 GPD
4.37 4.38 �O DESIGN FLOW MINIMUM REQUIRED)
5 TH 2 TH 1 0
54.43 EXIST. LP
/ 54.43 ,�, SEPTIC TANK: 220 GPD (2) = 440
/ G X jr4PPri _4 5.21 1
4.0
RE-USE EXISTING1000 GAL. SEPTIC TANK
4 4e� �J �\ �P� .65 55.60 **
5 . 1 <\ 6 LEACHING:
4• 4.67 24„ EXIST. �'k � �8 5 SIDES: 2 (30 + 9.83) 2 (.74) = 118 GPD
TEST HOLE LOGS WHITE
X o .51 55 ExIST. + BOTTOM 30 X! 9.83 (.74) = 218 GPD
w INV OUT
DECK EL. = 54.26' 56.50
ARNE H. OJALA PE, SE ,� 0>- 55 GUY 56 .57 TOTAL: 454 S.F. 336 GPD
ENGINEER: F Z O
�CF � DXWELLING 56 WIRE POLE �`55.29
WITNEGUY-
SS: DON DESMARAIS, RS \��ti�c. SEESAW P�� 5 55.62 67 UG TELTOP FND. / USE (2) 500 GAL. LEACHING CHAMBERS (ACME OR EQUAL)
DATE: 4/27/12 55.16 55.5 @HSE EL. = 57.64 / WITH 2.5' STONE AT SIDES, 4' AT ENDS AND 5'
54.91 55 55.49 55.60 \ 7 SF 1 ' BETWEEN UNITS
PERC. RATE _ < 2 MIN/INCH X o 55.3 /
5 .6767 16
CLASS I SOILS P# 13620 \ 18 AK + GARAGE\
SLAB 57 /
,,,\57.22 /
� ELEV. ELEV. \ + i 4-11 /
0„ `V' S5.0' 0» 4 55.0' ,�O ELEC 5 \X,56.5\
55.70
'SlJ, MET � \ DO / Q� , MA
APPROVED DATE BOARD OF HEALTH
S S \03 DPRA V D \ \ \ '�� /'
6» 10YR 3/2 x56.14 �\ 56.00 \\ �/' ���
10YR 3/2 TITLE 5 SITE PLAN
4 \ \ / L OF
B B 6 \ 04 �.82 / "\�
LS LS Gc \ � 0 355 NOTTINGHAM DRIVE
�
30 10YR 5/6 52 5, 10YR 5/6 \ /
32" 52.3 1P�� �y -55.47 \ , CENTERVILLE
�c 54.6V
hh° �54.22 PREPARED FOR
PERC C C /' BORTOLOTTI CONSTRUCTION/
SER ' DEMARTINO
MCS MCS /
53.99 APRIL 27, 2012
1OYR 6 6 - .89 r�
/ 1OYR 6/6 OF +�SNOFMgSs q °, off 508-362-4541
°y` fax 508-362-9880
UANIF1 y� r DANIU, I
/S A N IA m�b downcape.com
C)JAL
fit ` CIVIL � r.
down cape ehgiaeeridg inc
,� ' No.40980 NO.Q 502 1 •
126 44.5 120 45.0'
� o
�� rs .`� G` ��' 4� civil engineers
land surveyors
Scale: 1"= 20' -�_IL
NO GROUNDWATER ENCOUNTERED '-1,1
939 Main Street ( Rte 6A)
2_® n1 0 10 20 30 40 50 FEET DATE DANIEL A. OJALA, P.E., P.L.S. YARMOUTHPORT MA 02675