HomeMy WebLinkAbout0070 SOUTH PRECINCT ROAD - Health 70 SO. PRECINCT RD. CENTERVILLE
:A=11448-146-3
No. 42101/3 ORA
ESSELTE
10%
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'TOWN OF BARNSTABLE
S 01.1 a t� SEWAGE AQ �
VILLAGE`t� (, A`SSESSOR�'S MAP&LOT I V —31
INSTALLER'S NAME&PHONE NO. \ t U Cn�l 11 bY1�' )83: q
SEPTIC TANK CAPACITY
LEACHING FACILITY: (type) I Yl$I I�ir'(� (4) . (size) f�)C;
NO.OF BEDROOMS
BUILDER OR OWNER
PERMIT DATE:� ' Q COMPLIANCE DATE:
Separation Distance Between the:
Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet
Private Water Supply Well and Leaching Facility (If any wells exist
on site or within 200 feet of leaching facility) Feet
Edge of Wetland and Leaching Facility 11f any wetlands exist
within 300 feet of leaching facility) Feet
Furnished by
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No. '? w Fee 75
THE COMMONWEALTH OF MASSACHUSETTS Entered in computer:
PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes
ftptiLation for MispoBal 6pBtem Construction Permit
Application for a Permit to Construct( ) Repair( Upgrade( ) Abandon( ) ❑Complete System .Individual Components
Location Address or Lot No.`70 56VTFf &(C<WCi RA Owner's Name,Address,and Tel.No.
Assessor's Ma /Parcel �oujAkl> � cAVLOL- FD%t_
p lye f c�v C,�Le,c�' "?6 S®,. P0.(kctMc.T'RD CC-:tjT Jt
Installer's Name,A dress,and Tel.No. J®$—4-77—*RT7 Designer's Name,Address,and Tel.No.
cAP4FLc.9LDe'iP.&4wr ib aorLcc. { 1 A
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Type of Building:
Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder( )
Other Type of Building No.of Persons Showers( ) Cafeteria( )
Other Fixtures
Design Flow(min.required) gpd Design flow provided gpd
Plan Date Number of sheets Revision Date
Title
Size of Septic Tank Type of S.A.S.
Description of Soil
Nature of Repairs or Alterations(Answer when applicable) — O S
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 Healt 1
Si Date Y�� Id ^cl oO
Application Approved by Date
Application Disapproved by Date
for the following reasons
Permit No. ! & Date Issued (� —
s
Fee 75
THE COMMONWEALTH OF MASSACHUSETTS Entered in computer:
PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes
2ppliLation for Misposaf ,pstem Construction permit
Application for a Permit to Construct( ) Repair( Upgrade( ) Abandon( ) ❑Complete System Individual Components
Location Address or Lot No.10 $av-T f p0(Ecl1/C* Rb Owner's Name,address,and Tel.No.
Assessor's Map/Parcel C.�Ut 3
So ECJAIRLrT
Installer's Name,Address,and Tel.No. Mpg_4-tT Designer'sName,Address,and Tel.No.
CAPE t. M c.1 t=c>6 W_ - Q, dv IZ cz, 0 t/A
Type of.Building:
Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder( )
Other Type of Building No.of Persons Showers( ) Cafeteria( )
Other Fixtures
Design Flow(min.required) gpd Design flow provided gpd
Plan Date Number of sheets Revision Date
Title
Size of Septic Tank Type of S.A.S.
Description of Soil
r
Nature of Repairs or Alterations(Answer when applicable) T�� A F'14 _ -(y,_����i �, +
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
Si d_._., .�"., Date
Application Approved by Date
Application Disapproved by Date _.
4. for the following reasons
Permit No. /� - ���p ( Date Issued 17. - (b -
---------------------------------------------------------------------------------------------------------------------------------------
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 (ZqGt0 t n T 1�� � lb 1)c1� 1
at -74) 1:; R' -.i u _ has been constructed in accordance /
with the provisions of Title 5 and the for Disposal System Construction Permit N_. -4 dated
Installer C � lr-� �h,�72 Designer
IA-
#bedrooms Approved design flow gpd
The issuance of this permit shall not be co strued as a guarantee that the system will functio/n.as designed.
Date /��//ram if Inspector
- ---------------------------------------------------------------------------- ------------------------------------- ----------------------
No 1! hrp - Fee
THE COMMONWEALTH OF MASSACHUSETTS
PUBLIC HEALTH DIVISION-BARNSTABLE,MASSACHUSETTS
Misposal *pstem Construction VPrmit
Permission is hereby granted to Construct( ) Repair(A Upgrade( ) Abandon( )
System located at 14) Soc imW P4 _1 h K;" 1! 6 D C6�)_a jCX I I
d'
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)compl tedd,}within three years of the date of this pe it.
Date Approved by
Commonwealth of Massachusetts
Title 5 Official Inspection Form
t Subsurface Sewage Disposal System Form -Not for Voluntary Assessments
� r
70 South Precinct Road
Property Address ;
Howard Fogle
Owner Owner's Name / r
information is required for every Centerville / MA 02632 12-11-19 r"
page. City/Town State Zip Code Date of Inspection
r,
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.
P�0 ,6 OF Np;;1
Important:When A. Inspector Information # rya �`o�� qcy
filling out forms
on the computer, James D.Sears JAMES
use only the tab
key to move your Name of Inspector ;r„
cursor-do not Capewide Enterprises �'•_o o . ��
use the return Company Name
key. 153 Commercial Street �i rt S INS?
q lNhtuJlttltVR��
� company Address
Mashpee MA 02649
Clty/Town State Tip Code
508-477-8877 S1623
Telephone Number License Number
B. Certification
I certify that; I am a DEP approved system inspector in full compliance with Section 15.340 of Title 5
(310 CMR 15.000); 1 have personally inspected the sewage disposal system at the property address
listed above;the information reported below is true, accurate and complete as of the time of my
inspection; and the inspection was performed based on my training and experience in the proper function
and maintenance of on-site sewage disposal systems.After conducting this inspection I have determined
that the system:
1. ® Passes
2. ❑ Conditionally Passes
3. ❑ Needs Further Evaluation by the Local Approving Authority
4. ❑ Fails
12-11-19
spectfx'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 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 form should be sent to the system owner and copies sent to
the buyer, If applicable,and the approving authority.
Please note: 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.
15insp.doc-rev.7/26/2018 Title 5 official Inspection Form:Subsurface Sewage Disposal System•Page 1 of 18
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Commonwealth of Massachusetts
Title 5 Official Inspection Form
w� Subsurface Sewage Disposal System Form-Not for Voluntary Assessments
�5p,
70 South Precinct Road
Property Address
Howard Fogle
Owner Owner's Name
information is Centerville MA 02632 12-11-19
required for every
page. CityfTown State Zip Code Date of Inspectlon
C. Inspection Summary
Inspection Summary: Complete 1, 2, 3, or 5 and all of 4 and 6.
1) System Passes:
® I have not found any information which indicates that any of the failure criteria described
in 310 CMR 15.303 or in 310 CMR 15.304 exist. Any failure criteria not evaluated are
indicated below.
Comments:
12-2019 New D Box. The System is a 1500 Gal.Tank D Box and four infiltrators.
2) 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):
tbinsp.doc•rev.7/2612018 Title 5 Official Inspection form:subsurface Sewage Disposal System-Page 2 of 18
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c Commonwealth of Massachusetts
Title 5 official Inspection Form
Subsurface Sewage Disposal System Form -Not for Voluntary Assessments
70 South Precinct Road
Property Address
Howard Fogle
Owner Owner's Name
information is required for every Centerville MA 02632 12-11-19
page, CityfTcwn State Zip Code Date of Inspection
C. Inspection Summary (cont.)
2) System Conditionally Passes (cont.):
❑ Pump Chamber pumps/alarms not operational. System will pass with Board of Health approval if
pumps/alarms are repaired.
❑ 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 ❑ NO (Explain below):
❑ obstruction is removed ❑ Y ❑ N ❑ NO (Explain below):
❑ distribution box is leveled or replaced ❑ Y ❑ N ❑ NO (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 ❑ NO (Explain below):
❑ obstruction is removed ❑ Y ❑ N ❑ NO (Explain below):
3) 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.
a. 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:
t5insp.doc•rev.V2612018 Tine 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 3 of 18
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Commonwealth of Massachusetts
Title 5 official Inspection Form
Subsurface Sewage Disposal System Form -Not for Voluntary Assessments
70 South Precinct Road
Property Address
Howard Fogle
C+wner Owners Name
information is required for every Centerville MA 02632 12-11-19
page. Clty/Town State Zip Code Date of Inspection
C. Inspection Summary (cont.)
❑ 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
b. 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.
c. Other:
4) 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
t5insp.doc•rev.7126f2M Title 5 Official Inspecllon Form:Subsurface Sewage Disposal System•Page 4 of 10
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c Commonwealth of Massachusetts
vVTitle 5 Official Inspection Form
Subsurface Sewage Disposal System Form -Not for Voluntary Assessments
70 South Precinct Road
Property Address
Howard Fogle
Owner Owner's Name
information is required for every Centerville MA 02632 12-11-19
page. City/Town State Zip Code Date of Inspection
C. Inspection Summary (cont.)
4) System Failure Criteria Applicable to All Systems: (cont.)
Yes No
❑ ® Static liquid level in the distribution box above outlet invert due to an overloaded
or clogged SAS or cesspool
❑ ® Liquid depth in is less than 6" below invert or available volume is less
than '/2 day flow C1411iwc
❑ ® 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 water supply
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.]
❑ ® The system is a cesspool serving a facility with a design flow of 2000 gpd-
10,000 gpd.
❑ ® 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.
5) 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 C.4.
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
t5insp.doc-rev.712 612 01 8 TItle 5 Oifidal Inspection Fort:Subsurface Sewage Disposal System-Page 5 or 18
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Commonwealth of Massachusetts
Title 5 official Inspection Form
Subsurface Sewage Disposal System Form -Not for Voluntary Assessments
70 South Precinct Road
Property Address
Howard Fogle
Owner Owner's Name
information is required for every Centerville MA 02632 12-11-19
page. Cityrrown State Zip Code Date of Inspection
C. Inspection Summary (cunt.)
If you have answered"yes"to any question in Section C.5 the system is considered a significant
threat,or answered "yes"to any question in Section CA above the large system has failed. The
owner or operator of any large system considered a significant threat under Section C.5 or failed
under Section CA shall upgrade the system in accordance with 310 CMR 15.304.The system owner
should contact the appropriate regional office of the Department.
6. You must indicate "yes"or"no"for each of the following for all inspections:
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.
❑ ® 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)]
t5insp.doc•rev.7/2e/2098 Title 6 Official Inspection Form:Subsurface Sewage Disposal System-page 6 of 1s
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Commonwealth of Massachusetts
Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form -Not for Voluntary Assessments
70 South Precinct Road
v
Property Address
Howard Fogle
Owner Owner's Name
information is required for every Centerville MA 02632 12-11-19
page. Cityfrown State Zip Code Date of Inspection
D. System Information
1. Residential Flow Conditions:
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
Description:
1500 Gal.Tank D Box and four infiltrators.
Number of current residents: 2
Does residence have a garbage grinder? ❑ Yes ® No
Does residence have a water treatment unit? ❑ Yes ® No
If yes, discharges to:
Is laundry on a separate sewage system?(Include laundry system inspection ❑ Yes ® No
information in this report.)
Laundry system inspected? ❑ Yes ® No
Seasonal use? ❑ Yes ® No
Water meter readings, if available last 2 ears usage d 2017-70,000Gals
g y g (gp )�' 201 B-81,000 Gal's
Detail:
Sump pump? ❑ Yes ® No
Last date of occupancy: Present
Date
15insp.doc•rev.712612018 Tale 5 Official Inspection Form:Subsurface Sewage Disposal System.Page 7 of 18
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Commonwealth of Massachusetts
r Title 5 Official Inspection Form
li Subsurface Sewage Disposal System Form-Not for Voluntary Assessments
70 South Precinct Road
Property Address
Howard Fogle
Owner Owner's Name
information is required for every Centerville MA 02632 12-11-19
page. Clty/Town State Zip Code Date of Inspection
D. System Information (cont.)
2. Commerciallindustrial Flow Conditions:
Type of Establishment:
Design flow(based on 310 CMR 15.203): Gallons per day(gpd)
Basis of design flow(seats/personslsq.ft.,etc.):
Grease trap present? ❑ Yes ❑ No
Water treatment unit present? ❑ Yes ❑ No
If yes, discharges to:
Industrial waste holding tank present? ❑ Yes ❑ No
Non-sanitary waste discharged to the Title 5 system? ❑ Yes ❑ No
Water meter readings, if available:
Last date of occupancy/use: Date
Other(describe below):
3. Pumping Records:
Source of information: NA
Was system pumped as part of the inspection? ❑ Yes No
If yes, volume pumped: gallons
How was quantity pumped determined?
Reason for pumping:
t5insp.doc•rev.7/2 812 01 8 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 8 of 18
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Commonwealth of Massachusetts
Title 5 Official Inspection Form
4 Subsurface Sewage Disposal System Form -Not for Voluntary Assessments
70 South Precinct Road
Property Address
Howard Fogle
Owner Owner's Name
required o r e Centerville MA 02632 12-11-19
required For every
page. Cityrrown State Zip Code Date of Inspection
D. System Information (conQ
4. 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):
Approximate age of all components, date installed (if known)and source of information:
1999 permit # 99- 52 12-2019 New D Box.
Were sewage odors detected when arriving at the site? ❑ Yes ® No
5. Building Sewer(locate on site plan):
Depth below grade: 33"feet
Material of construction:
❑cast iron ®40 PVC ❑ other(explain):
Distance from private water supply well or suction line: feet
Comments (on condition of joints, venting, evidence of leakage, etc.):
Pipeing is 4" PVC SCH -40.
t6insp.doo-rev.712 612 01 8 TIUe 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 9 of 18
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c Commonwealth of Massachusetts
Title 5 Official Inspection Form
v�-' `
Subsurface Sewage Disposal System Form •Not for Voluntary Assessments
70 South Precinct Road
Property Address
Howard Fogle
Owner Owners Name
information is required for every Centerville MA 02632 12-11-19
per. Cityrrown State Zip Code Date of Inspection
D. System Information (cont.)
6. Septic Tank(locate on site plan):
Depth below grade: 23"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:
1500 Gal. Precast H-20
Sludge depth:
1"
Distance from top of sludge to bottom of outlet tee or baffle
29"
Scum thickness 0
11
Distance from top of scum to top of outlet tee or baffle g"
Distance from bottom of scum to bottom of outlet tee or baffle 18
How were dimensions determined? Asbuilt-TapeSludge Judge
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 at working level.Tank at 23" below grade w/inlet cover at 4"and outlet at 17". In and outlet
Tee's. No sign of leakage or over loading.
t5insp.doc rev.7/2612018 Tige 5 Official Inspectlon Form:Subsurface Sewage Disposal System-Page to of la
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Commonwealth of Massachusetts
Title 5 Official Inspection Form
} Subsurface Sewage Disposal System Form -Not for Voluntary Assessments
70 South Precinct Road
Property Address
Howard Fogle
Owner Owner's Name
information is required for every Centerville MA 02632 12-11-19
page. City/Tom State Zip Code Date of Inspection
D. System Information (cont.)
7. Grease Trap (locate on site plan):
Depth below grade: 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
Comments(on pumping recommendations, inlet and outlet tee or baffle condition,structural integrity,
liquid levels as related to outlet invert, evidence of leakage,etc.):
8. Tight or Holding Tank (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 per day
t5insp.doc-rev.7126/2016 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 11 of 18
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Commonwealth of Massachusetts
Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form-Not for Voluntary Assessments
L 70 South Precinct Road
Property Address
Howard Fogle
Owner Owner's Name
information is required for every Centerville MA 02632 12-11-19
page, City/Tcwn State Zip Code Date of Inspection
D. System Information (cont.)
8. Tight or Holding Tank(cunt,)
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
9. Distribution Box(if present must be opened)(locate on site plan):
Depth of liquid level above outlet invert 0
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.):
H-20 D Box is 20"x 24%32" Below grade wlfour line's out. Box is New 12-2019 w/cover at 6".
t5insp.doc-rev.H2612019 Title 5 Offic al Inspectlon Form:Subsurface Sewage 01spossi System•Page 12 of 18
Z l, abed xed dH 6Z:9 1 6 602 Z I• Oaa
Commonwealth of Massachusetts
Title 5 Official Inspection Form
} Subsurface Sewage Disposal System Form -Not for Voluntary Assessments
:1 p 70 South Precinct Road
Property Address
Howard Fogle
Owner Owner's Name
information is required for every Centerville MA 02632 12-11-19
page. City/Town State Zip Code Date of I nspectlon
D. System Information (cont.)
10. 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.):
" If pumps or alarms are not in working order,system is a conditional pass.
11. Soil Absorption System (SAS)(locate on site plan,excavation not required):
If SAS not located, explain why:
Type:
❑ leaching pits number:
® leaching chambers number: 4
❑ leaching galleries number:
❑ leaching trenches number, length:
❑ leaching fields number,dimensions:
❑ overflow cesspool number:
❑ innovative/altemative system
Type/name of technology:
t5lnsp,doc-rev.7/2612018 Tltle 5 Official Inspection Form;Subsurface Sewage Disposal System Page 13 of 18
£ abed xed dH 6Z:9 6 6 60Z Z I, Da0
Commonwealth of Massachusetts
Title 5 Official Inspection Form
a Subsurface Sewage Disposal System Form -Not for Voluntary Assessments
u 70 South Precinct Road
Property Address
Howard Fogie
Owner Owner's Name
information is required for every Centerville MA 02632 12-11-19
page. CitylTcwn State Zip Code Date of Inspection
D. System Information (cont.)
11. Soil Absorption System (SAS) (cont.)
Comments(note condition of soil, signs of hydraulic failure, level of ponding, damp soil, condition of
vegetation, etc.):
Leaching is four infiltrators. Chamber's at 42"below grade. Check D Box Prob area and camera out
line's. No sign of over loading-solid carry over or holding water.
12. Cesspools (cesspool must be pumped as part of inspection)(locate on site plan):
Number and configuration
Depth —top of liquid to inlet invert
Depth of solids layer
Depth of scum layer
Dimensions of cesspool
Materials of construction
Indication of groundwater inflow ❑ Yes ❑ No
Comments(note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation,
etc.):
t5insp.dcc•rev.7l26=16 Title 5 016clal Inspection Form:Subsurface Sewage Disposal System•Page 14 of 18
�� a5ed xed dH U:9 6 6 60Z 2 L Dao
Commonwealth of Massachusetts
Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form -Not for Voluntary Assessments
70 South Precinct Road
L
Property Address
Howard Fo le
Owner Owner's Name
requinform
r on is Centerville MA 02632 12-11-19
requiredd for every
page. Cityffown State Zip Code Date of Inspection
D. System Information (cant.)
13. Privy(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.):
t5insp.doc•rev.W20018 Tille 5 Official Inspection Forth:Subsurface Sewage Disposal System•Page 15 0118
5 abed xed dH 62:9 6 6 60Z Z 1• DGIO
Dec 1.2 2019 17:00 HP Fax page 1
•, Commonwealth of Massachusetts
Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form -Not for Voluntary Assessments
.1—
70 South Precinct Road
Property Address
Howard Fogle
Owner Owner's Name
information is required for every Centerville MA 02632 12-11-19
page. CitylTown State Zip Code Date of Inspection
D. System Information (cont.)
14. 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:
Mhand-sketch in the area below
® drawing attached separately
t5insp.doc•rev.7/26/2018 TIVe 5 Metal Inspection Forth Subsurlace Sewage Disposal System•Page 16 of 18
Dec 12 2019 17:00 HP Fax page 2
Dec02 19,11:22a Capewide Enterprises 508-477-4977 p,4
+.i.nbr,at,v r ft%.N.a• a. lq lam) i :.I I k L 1 L A - ' tslzc) ...
NO.OF;BmROOMS
ODUMER oR OWNER
FEFtMITDATE• Z '8 'U C� COMPLLkNCE DATE:
Sopasation Distance Between the:
Maximum Adjusted Croundwreter Fable to the Bottom of leaching Facility Feet
Pdvate Rater Supply Well and Leaching Fecitity (if any wens evict
an site or witNa 200 fat of leaching facility) Fed
Edge of Wetland attd Leaching Facility(lf any walands exist
within 300 feat of leaching facility) Feet
Purnishsd by
f(:n+
uN L15
3 R
d! o c
b
a A t ' 5`, 162
3-1'15 3� la►' i°y
31' 1�5= 6T b'
A5 .A1" fib- 114,
7 A,v k-
S �v
Commonwealth of Massachusetts
W:r
Title 5 Official Inspection Form
` Subsurface Sewage Disposal System Form - Not for Voluntary Assessments
70 South Precinct Road
Property Address
Howard Fogle
Owner Owner's Name
information is Centerville MA 02632 12-11-19
required for every
page. City/Town State Zip Code Date of Inspection
D. System Information (cont.)
15. Site Exam:
❑ Check Slope
❑ Surface water
❑ Check cellar
❑ Shallow wells
Estimated depth to high ground water: 9-4'
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: 5-6-97
Date
❑ Observed site(abutting propertylobservation 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:
T.H.on Design plan 5-6-97 9'-4" G.W.. Bottom of chambers at 4'-4"below grade.Bottom of
chamber's at 5' above G.W..
Before filing this Inspection Report, please see Report Completeness Checklist on next page.
ISinsp.doc rev.712612018 Title 5 Offical Inspecdon Farm:Subsurface Sewage Disposal System-Page 17 of 18
9l• a5ed xej dH 0&SI• 61.0Z ZI, D-'G
c Commonwealth of Massachusetts
Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form -Not for Voluntary Assessments
70 South Precinct Road
Property Address
Howard Fogle
Owner Owner's Name
information is required for every Centerville MA 02632 12-11-19
page, City/Town State Zip Code Date of Inspection
E. Report Completeness Checklist
Complete all applicable sections of this form inclusive of:
® A. Inspector Information: Complete all fields in this section.
® B. Certification: Signed &Dated and 1,2, 3, or 4 checked
® C. Inspection Summary:
1, 2, 3, or 5 completed as appropriate
4 (Failure Criteria)and 6 (Checklist)completed
® D. System Information:
For 8: Tight/Holding Tank—Pumping contract attached
For 14: Sketch of Sewage Disposal System drawn on pg. 16 or attached
For 15: Explanation of estimated depth to high groundwater included
,p may-
t5insp.doc-rev.7/262018 Tllle S OMdal Inapedon Form:Subsurfaos Sewage Disposal System-Page 18 of 18
61, abed xed dH 0£:9 1, 61.02 Z I• Daa .
No. `ia- \ Fee fCLtO
1 THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes
PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS
01ppYtcation for Migogar *pgtem Construction pernnt
Application for a Permit to Construct( Repair( )Upgrade( )Abandon( ) ❑Complete System ❑Individual Components
Location Address or Lot N 70 SCUT# l�'JLT 1gj9)9XWe,Adc ess_Wo. 7 —U
Assessor's Map/Parcel CJ C�
Installer's�T�nr s, d Tel.No. .]f gn�s am Address and Tel.No. S
�J
Type of Building: S Dwelling No.of Bedrooms Lot Size VVoC sq.ft. Garbage Grinder(lt�7j
Other Type of Building No.of Persons Showers( ) Cafeteria( )
Other Fixtures
Design Flow 3.70 gallons per day. Calculated daily flow 3—Z> gallons.
Plan Date «���-`s 7 Number q she s ! Revision Date_7Jb f 7 v ;
Title SITtKnO �nijO 1h CC.17
.� Size of Septic Tank / w Type of S.A.S. Jr�y > s
Description of Soil GCS 0(.4n
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 jLtBoard
the Environmental Code and not to place the system in operation until a Certifi-
cate of Compliance has been issue of Health.
Signed Date J�
Application Approved by Date 2 — R-
Application Disapproved for thl following reasons
Permit No. �/g' ,_'2 Date Issued
_��. j y,, .. r p.. .:. .`. r w _ - •Aa' .+.- '..Y,., �7I'i•Yi�FIlS.. �..-__....... \ -:.�,,.MM1`tv._ - - +�.'.�:.. T p.
{ + No. �j�• ( f �.. - Fee �lrJ�
{ryry
~ THE COMMON AL"TH OF`MASSACHUSETTS Entered in computer:
Yes
PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLES MASSACHUSETTS
Zippficationlfor ig oar *pgtem, Conotruction Permit
Application for a Permit to Construct( V'Repair Upgrade(E )Abandon( ) ❑Complete System ❑Individual Components
{
Location Address or Lot No'O SCUT 4 p�4lfC 0C 7- Owner's
{RKW,Ad�yess aQd;F l 10. 77�U7
C // ( yJ
' ssessor's Map/Parcel
Installer's c 4d s, $Tel.No. "Designer's Name,Address and Tel.No. .S
(� 1l L7
J(ndG�t W. a.
Type of Building: - 11
Dwelling No.of Bedrooms Lot Size 6Z)oC sq.ft. Garbage Grinder(/00)
Other Type of Building No.of Persons Showers( ) Cafeteria( )
Other Fixtures
Design Flow M gallons per day. Calculated daily flow 3 gallons.
Plan Date ����o-�i 7 Number o she s Revision Date �-b4F 7-r5-F
Title S I T1 TM V F- G 4 W b l h t%�O It_ y It
Size of Septic Tank Type of S.A.S. Y Zn i ; 4!/13.
Description of Soil GC, (eY1
• r it
Nature of Repairs or Alterations(Answer when applicable)
•� r
Date last inspected:
Agreement: a r-
The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system
in accordance'with the provisions of Tie of the Environmental Code and not to place the system in operation until a Certifi-
cate of Compliance has been issued b t Board of Health.
'• Signed Date 7 V
i
Application Approved by Date 1.1
Application Disapproved for thY following reasons
Permit No. ICY , 'x 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 •Z f�'-
at has been constructed in accordance
with the proons of Title 5 and the for Disposal System Construction Permit No. -�a- dated
Installer _5' 174-1, e4 dl4;4,1 4Q Designer
The issuance of this permit shall not be construed as a guarantee that the sy*etii will function as designed.
Date -- Inspector4 .z�� � .4-,-'--4✓I
---------------------------------------
No. Fee 1,9 cJ
THE COMMONWEALTH OF MASSACHUSETTS
PUBLIC HEALTH DIVISION - BARNSTABLES MASSACHUSETTS
Mi5poe al *psstem Construction Permit
Permission is hereby granted to Construct( )Repair( )Upgrade( )Abandon( )
System located at
r
and as described in the above Application for Disposal System Construction Permit.The applicant recognizes his/her duty to
comply with Title 5 and the following local provisions or special conditions.
Provided:Construction must be completed within three years of the date of this permit.
Date: Approved by
1
PROFILE OF SEWAGE DISPOSAL SYSTEM
---��---:—�-
1) 0
Po. :o
r _.
r WI a�. .0, rr
NOT TO SCALE
NOTES: ' �', ,t ;Q. \�• i . 1�
ZONING DISTRICT RF 'o� �'✓� • I i7
TOP FOUND. EL AI.O ' ZONING SETBACKS: �L '`
FRONT 30' o f u1 y
SIDE 15' Clanbc!
3 REAR 15'
v »S
REFERENCE 7 o ��
r
_ � �• � 3t.b � PLAN: �
BOOK 333 PAGE 41
oxrh!
Coif )
.�p
,y LOCUS ADDRESS: �
3�" MAY.. Cs►v�R � � Q • soo � t'
3�." Nwx cssv�Iz, } 70 SOUTH PRECINCT ROAD
-' iNV. EL- '3T MbNtJt lipNT OOVOt `r MARSTONS MILLS MA USGS LOCUS SCALE: 1: 25,000
FLOW LINE I
FEMA DATA:
le UIN. lM INV. EL 't.ZZ
r UVM LOCUS DOES NOT LIE. IN A .FLOOD HAZARD ZONE
�'�2�4v�t-rp "PVd--'r'N2ouQu(- LHang�R ; 4 LOCUS LIES IN ZONE "C"
MIN. *' L*J&D a" ( a��lilP
4) ItVI=1�1�UC�1R Wf Mty-0 PLACZS 2- MIN. - 1/8" TO 1/2- WASHED STONE I
WETLAND DELINEATION BY.
�'"' (C' •�- � AS v. CR ENVIRONMENTAL
INV. EL 3�•4'1 aurIr H �, ' `1
ASSESSORS DATA.-
MAP 148 PARCEL 146-3
V
INV. EL .3 L INV. El. INFILTRATOR
'
3/4" - 1 1/2" WASH f.O STONE T OVERLAY DISTRICT: GP
1500 GALLON PRECAST REINFORCED CONCRETE SEPTIC TANK
Mk c2�.f y5
PRECAST REINFORCED CONCRETE
MINIMUM CONSTRUCTION MATERIALS PER 310CIAR 15.226(2) DISTRIBUTION BOX
TEES SHALL BE CONSTRUCTED OF SCHEDULE 40 PVC AND T_rz-\r- V=-�
SHALL EXTEND A MINIMUM -OF 6' ABOVE THE FLOW LINE INSTALL ON A LEVEL BASE Nt'V4 c`r2Z"KI VvA
OF THE SEPTIC TANK AND BE ON THE CENTERLINE OF THE N
SEPTIC TANK LOCATED DIRECTLY UNDER THE CLEAN-OUT MINIMUM WAIT. THICKNESS • 2'
MANHOLE.
MINIMUM INSIDE DIMENSION 12' r
ELEVATION SHALL BE NO LESS THAN 2' NOR \ N
THE INLET PIPE
MORE THAN 3" ABOVE THE INVERT ELEVATION OF THE OUTLET OTHER AND ATS2SHALL�I E EQUALBELO O ETNVERT.
OUTLET PIPE.
T GRADE THE DISTRIBUTION LINES FROM THE DISTRIBUTION BOX
r SEPTIC TANK SHALL BE INSTALLED LEVEL AND 'TRUE 0 SHALL ALL HAVE EQUAL INVERTS AS DETERMINED BY FLOODINO BVW
1p ON A LEVEL STABLE BASE THAT HAS BEEN MECHANICALLY THE DISTRIBUTION BOX 10 THE HEIGHT OF THE DISTRIBUTION
WHICH SIX INCHES OF CRUSHED STONE INVERT AFTER ALL LINES HAVE BEEN SEALED IN PLACE. �
COMPACTED AND ON TO LINE M ,
HAS BEEN PLACED TO 'ENSURE STABILITY AND TO PREVENT INVERT ADJUSTMENTS SHAD. BE MADE 8Y F1WNG.1MTH DURABLE 2 'W` 5 ��
SETTLING. AND NON-DEFORMABLE MATERIAL PERMANENTLY FAS7END TO THE BVW
LINE OR RECONSTRUCTING THE LINES UNTIL ALL INVERTS ARE Of
SEPTIC TANK SHALL HAVE A MINIMUM COVER OF 90.
EQUAL ELEVATION. 3 � � �
Note: 8VW '�` ••' All
• ,IVY. • ' i ' ,.''�#'' / i � •
Approximately 400 square feet o+'area encroaching into the 50' � � ' 46 /
THREE 20' MANHOLES WITH READIL'.Y.REMOVABLE IMPERMEABLE / A
COvERS OF DURABLE MATERIAL SHALL BE PROVIDED WITH ACCESS - buffer zone will be disturbed during dwr.�•in ' excavation. Upon completion of Bvw - /
PORTS BEING PLACED AT THE CENTER .AND'OVER THE INLET AND b4 ,
BV)Y
� a
excavation the disturbed area shall be ref,anted with a woody indigenous
OUTLET 'LEES
• �►
�I
'ME OUTLET TEE SHALL` BE_gQUIPPED WITH GAS BAFFLE. vegetation before removal or straw bale4 �,•• _ /
i s
Bvy
6 _
QVW - VW
BVW
BVW ILL 50
�IJ4 '� / / / BVW
B VW L / �/ % / / �� O i
GENERAL CONSTRUCTION -NOTES , 51'
DESIGN DATA: .� BVW .^a
D.E.P. in 5 ,9 , i •,� / /
MATERIALS SHALL CONFORM TO 10 '
I. ALL WORKMANSHIP AND M REGULATIONS FOR STRUCTURE `R�s. 3 �Q - / / / .
�. RULES AND evw �1►,� I , - ; . 1.�5�8 Gti
AND THE TOWN) OF "�' �►4'r '@I`�.. NO. BEDROOMS GARBAGE DISPOSAL � %
THE SUBSURFACE DISPOSAL OF SEWAGE. 'E , -
DESIGN FLOW 3►__►►n a -��n s_V,_ �, .r 610
S SHALL BE ACCESSIBL ....... /
. AT LEAST ONE ACCESS PORT OVER TANK TEE �°� - `�, n ,7A ` A'7•�'�`: sliz j"'�_�'`A BVW .� '�` • ' S6-• _ _ �55 `�� - �B�
2 WITH ANY REMAINING ACCESS. -' ----�-�'�
WHITHIN SIX INCHES OF FINISH GRADEn� �► �s� ,.r 3�7 ab �cY'�- > '�` • ' BVW�- - " �Bvw
BROUGHT TO WITHIN 11NELVE INCHES OF FINISH GRADE. �`- .. .c4-c a,-rs 'I2l,'a l �T� 1211 / 0,
PORTS Q .��� .,.n,� �,�a t s. �.►,o,.rw, - __-
SHALL BE CAPABLE OF BVW -'-1 ' / •/�� BVW -_
3. ALL COMPONENTS OF THE SANITARY SYSTEM UNDER OR WITHIN 10 SEPTIC TANK �-�o x zQov �GQ y ►' ► ► ..N 1a-zn t.naz-� �it�
WITHSTANDING H-10 LOADING UNLESS THEY ARE U
WITHIN f?
• LOADING SHALL 8E USED UNDER OR • �� _ � .�. ,�,. _
OF DRIVES OR PARKING. H-20 LOAD _ BVW 6d
10, OF DRIVES OR PARKING UNLESS NOTED. LEACHING FACWTY ►, r � ,- �: :L �4 ��� r�-�-=� BVW _Q
THE LOCATION OF ALL _,--,aI�I��k' o,� -�d'_:.123 .�1e�25 1-=A Z o►, � &0
4. THE, EXCAVATOR/CONTRACTOR SHALL VERIFY -- --'--
<,►�nrEs �y �,-�.•�� �bN�10•v,ec '�• 14 � � •� � storm drain b m
SITE UTILITIES PRIOR TO ANY EXCAVATION. %'. BVW 10
40 PVC LAID'AT 0.02 SLOPE. / s'ed dr oil (?typ.) %
5. SEWER PIPES SHALL BE 4" SCHEDULE "� �' ek' , _ ,% '
, .�Z _ GRAPHIC SCALE
' `I storm drain
TO GRADE SHALL BE ev5w f ��rl AVM �lll r. ,_ _ .�o � w a 20 40 so t�
6 ANY MASONRY UNITS USED TO BRING COVERS ADE ' Q��, __-- f
MORTARED IN i PLACE. '< / / evw / .,�"'`"u // t 3� =+�; f
0. 2 FEET PER 6 / ,,ropoeed
HAVE A MIN OF 0 FOOT. '� 16 Q c.,y r 'A`- / IN FEET )
7. FINISH GRADE SHALL MINIMUM SLOPE r bocjroor�t -
J 1 iach 40 1t
BVW • � i ��; � � � � •a, � dw�nlling .� / � -8M: top hyd. spindle e1.4294�
#� / X '" �L• Datum: NGV'D l
•'5� / '�`% 63 / nab ,r"r - / - ='.:�' / ��� limit of work line
/ / •,,� BVW
of \
Ala • / limit f staked o /
.* ••/ / .y:..._.,. . o A) gravel or gravel d- ay ��,:
.17 / / /64 str vl bales 39 �e' /0, �h
SOIL 08SERYATION DATA: BVW BVW , �, S( �.�
o �ILk>Fr'.trl•
'/ i ►/� CO A i c�
,,III. / .�� p � :� � ►».. �
•# ; BVW �O proposed 1500'gallon tank ' 't'}:. . Po��\ST�
.' proposed dlst/box a ,l`<'I•S,h �G..
TEST OATS '1 BVW ' / 'TOTAL LOT AREA - +.3,502 sq.1t. - 1.8Ft scree -- o � - v/
� proposed S.A.S. expansion area Z; �
WETLAND AREA i= 35,302 sq.it.±
SOIL EVALUATOR �•pfaa _.; -
- *• � � /.�• � ,UPLAND AREA • 45,200 9q.rt.t SITE PLAN O F LAND
B.O.H. AGENT �ta2"-5_1 o.tz►9_ 66 / `?
--- BVW /;% BVW e i IN
EXCAVATOR �,; / / i �o _
36p, «� proposed S.A.S. Infiltrator system
p 410 PERC/RATE 2. ?�N\� 'Pt1rEL 11.W�_ A � '� �� / ;�•qa0 E �' i� � ---C=� --�-�/11. ..� , �1 A S.S ,
20 3' B / N g0 67
dWe111r•9
BVW 1L / •► 0X DEPICTING THE PROPOSED DWELLING AT LOT 31 SOUTH PRECINCT ROAD
AL 1� i � PREPARED FOR
'kitA^ SL L.3$.Q� 68 -bit,
ho»
8VW dWe111n4
dW el\1n9 eXlet I
«z!, .$ ,�� ,�►.•- »►4 PRESTIGE PROPERTIES INC .
k►c�N '�q..+.�1►'Dv»)r►'G">ER MoKVILS 01�i1LiNlLli 1�'C'1�1�� "
M�'P' prvr w.r$ A►ssnck�'o �►T `cM►�►•►Nw 1w SCALE: AS SHOWN
DATE: DECEMBER 16, 1997
C-. L,
sxlt'•jd �r �v . 31�0�98 (Rs�ccATt? 'aVW FlA:�S� PREPARED BY:
7-zo-9a� f�E Mo W�CZ R Duch� ur�u� t► STEPHEN J. DOYLE AND ASSOCIATES
►'-� N 61'Ze: S `RGv• �(o�� 1.7M►T l;�y� 42 CANTERBURY LA14E, EAST FALMOUTH, MASSACHUSETTS 02536
TELEPHONE: 508 540-2534