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HomeMy WebLinkAbout0027 TUCKERNUCK ROAD - Health 27 Iuckernuck Road Centerville F/R A = 190 147 S" 'r UPC 12543 P, ,L No._53LOR �aco�fi> 4pgTIN(;S MN 1 SEWAGE INSPECTIONS s LOCATION 27 Tucknernuck Road DATE 1 1 /1 8/0 2 yJII.LAGE Centerville,Mass. 02632 ASSESSOR'S MAP & LOT 190-1 47 -INS,?FCTOR Joseph P.Macomber Jr. SEPTIC TANK CAPACITY None 2-V000 gallon precast leaching pits. LEACHING FACILITY: (type) not stone packed. (size) 2000 gallons NO. OF BEDROOMS 5 BUILDER OR OWNER Alan Bacchiochi OWNER MAILING ADDRESS 25 Burrill Lane Needham,Mass. 02494 i I. T"L" TOWN OF BARNSTABLE LOCATION Al U C SEWAGE # e`� O 4 3 — 3 A VILLAGE C 2.wTeX Ville ASSESSOR'S MAP & LOT s `I INSTALLER'S NAME&PHONE NO. cl Nf.Q C 0 A( r 1 0 Al SEPTIC TANK CAPACITY LEACHING FACILITY: (type) l`` d (size) NO. OF BEDROOMS BUILDER OR OWNER PERMITDATE: q`I&-bJ COMPLIANCE DATE: rI Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility (If any wells exist on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) Feet Furnished by � 77-uchQR ✓vuc N j Fee$50. THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: 00iYes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS ZippYication for 33igpool *pgtem Construction Permit Application for a Permit to Construct( )Repair( )Upgrade( )Abandon( ) AUComplete System O Individual Components Location Address or Lot No. 27 7 u c k e 2 n u c k Road Owner's Name,Address and Tel.No.,4.Q a n B a c c h.i o c hi Centeltv.ii e, Na.6.3 02632 Same Assessor's Map arc I 190-tir/ ii Installer's Name,Address,and Tel.No.5 0 8-7 7 5-3 3 3 8 Designer's Name,Address and Tel.No.5 0 8—2 7 3—0 3 7 7 a. P. NacomFe2 & Son Inc. aC. Cng.ineezing 5 Roandh.iii BLVD Box 66 Centezv.iiee, Na,3,s: 02632 Ca.6t Ua�zeham Na.6z. 02538 Type of Building: Dwelling XX No.of Bedrooms 5 Lot Size sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow gallons per day. Calculated daily flow gallons. 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) 0 m.i t t.i.n g c e.6.612 o o P,3. I n,3 t a d.e.i n g 7- 1500 cgaeion .ep?t.ic .tank, 1-Dizt2.i9at.ion Pox, and 4-500 gateon .Peach ing chamP,e2, in 3e/tie.6. 4 2'Xi 3'X2' 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 iss ed by Bo ealth. Signed Date 7/9/ 3 Application Approved by q Date Application Disapproved or the following reasons Permit No. Date Issued_fqff!�2 r' gg o \ i t' Fee$5 0. OQ,. THE COMMONWEALTH OF MASSACHUSETTS Entered in computer': Yes .� PUBLIC HEALTH DIVISION -`TOWN OF BARNSTABLES MASSACHUSETTS Application for ,Mi$pogal *pgtem Congtruction Permit Application for a Permit to Construct( )Repair{ )Upgrade( )Abandon( ) ,'Complete System ❑Individual Components Location Address or Lot No. 27 7ueke2nuek Road Owner's Name,Address and Tel.No.Aian Baeehioch.l CenteAv.i2.2e, ('lass. 02632 Sam& Assessor's Map arc 1 90- ar Installer's Name,Address,and Tel.No.5 0 8—7 7 5-3 3 3 8 Designer's Name,Address and Tel.No.5 0 8-2 7 3-0 3 7 7 a. �. l7acomaea 9 Son Inc. ;C. Eng.ineeit.ing 5 Roandh.iii BLVD Pox 66 Centeltv.i-Pie-, 17a3.6. 02632 East Yd/teham Maah. 02538 Type of Building: Dwelling X1Y No.of Bedrooms 5 Lot Size sq.ft. Garbage Grinder(� ) Other Type of Building No.of Persons Showers( ) Cafeteria( ). Other Fixtures Design Flow gallons per day. Calculated daily flow gallons. 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) Omitting c e a s/a o o-e s. In s t a i i.i n g 1- 1500 oaiion .6e2t.ic tank, 1-Di.6taigut.ion lox, and 4-500 ga.Pion teach.inci chamfea.s .in zen.ies. 42'X13'X2' Date last inspected: Agreement: i� 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 iss ed by Bo d ealth. ' Signed y r1% Date 7191013. Application Approved b eV > Date Application Disapprove or the following reasons Permit No. Date Issued THE COMMONWEALTH OF MASSACHUSETTS , ,BARNSTABLE, MASSACHUSETTS t, (Certificate of (Compliance THIS IS TO CERTIFY, that the On-site Sewage Disposal System Constructed( ) Repaired( )Upgraded(M Abandoned( )by J• 1). NacomQea & Son Inc. at 27 7uckeanuck Road Cent eAv.iite, Na s.s. lias • n constructed in accordance with the�j rovisions of Ti 5 ande for Disposal System Construction Permit N . dated Installer ' P. Nacom�ez. 6 Son lnc. Designer �2C. Engenee2 ng The issuance of his 1permit shall not be construed as a guarantee that the syste 1,1-Date `� 4 3 Inspector `� �-'% (�✓jt_2gn � - -------- --- — ———————— — Fee $50. 00 THE COMMONWEALTH OF MASSACHUSETTS l PUBLIC HEALTH DIVISION - BARNSTABLES MASSACHUSETTS 30igpogal *pgtem Congtruction Permit Permission is hereby granted to Construct( )Repair( )Uppgrade f X )Abandon( ) Systemlocatedat 27 7ucknanuck Road Centeay.cX e, Nas.s,w 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:Clones ctio must be completed within three years of the date of ; i�h -p-��t. PP � Date:_ / A roved b � '' / : TOWN OF B�ARNSTABLE LOCATION � I �U G G' R N U C/'t ` R e� SEWAGE # O 0 3 — 3 A / . VILLAGE C' eAtr refit Vil/p ASSESSOR'S MAP &LOT !I q INSTALLER'S NAME&.PHONE NO. •T AI A C .D t- S o A SEPTIC TANK CAPACITY O LEACHING FACILITY: (type) ' a k W fZe s (size) ;Z `« 9 NO.OF BEDROOMS BUILDER OR OWNER PERmrrDATE: �`IIO bJ� COMPLIANCE DATE: rI g O 3 Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility (If any wells exist on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) Feet i Furnished by s � � �48 , � 7TUChQR �vuc F1HE iip�, Town of Barnstable Regulatory Services * BARNSI'ABLE, y MASS. Thomas F. Geiler,Director �prFO 9. �� ♦0 Public Health Division Thomas McKean,Director 200 Main Street, Hyannis, MA 02601 Office: 508-862-4644 Fax: 508-790-6304 01/27/2003 Mr. Alan Bacchiochi 25 Burrill Lane Needham, MA 02492 RE: 27 Tuckernuck Rd. Centerville, MA 02632 On December 10, 2002, Joseph Macomber filed a septic system inspection report with the Town of Barnstable Health Department for 27 Tuckernuck Road, Centerville. The report indicated that it needed further evaluation by the Board of Health. After a review by the Town of Barnstable Health Inspectors, it was determined that this septic system inspection would be changed to a "fail" status. This decision was based upon the fact that the existing septic system is not - adequate for the dwelling. The septic system consists of a 1000 Gallon cesspool,with a 1000 Gallon overflow pit, of which both of them are not stone packed. This septic system cannot support the daily flow requirements of a five-bedroom home with a garbage grinder as required by 310 CMR 15.203 System Sewage Flow Design Criteria and 310 CMR 15.240 Soil Absorption Systems. This septic system must be upgraded within two years of the failure date (01/27/2003) according to Title V. Should the system create a public health or environmental hazard,the system may be required to be upgraded in a shorter time frame. Should you be aggrieved by this decision, you have the right to request a hearing before the Board of Health. A request must be received in writing in the office of the Town of Barnstable Board of Health within ten(10) days of receipt of this letter. At said hearing,you will be given an opportunity to be heard and to present witnesses and documentary evidence as to why this decision should changed. Thomas A. McKean, CHO, Agent for the BOARD OF HEALTH U.S. Postal Service CERTIFIED MAIL RECEIPT f (Domestic Mail Only; No Insurance Coverage Provided) i Ir co 0 F F I C I A L U S E U Ir Postage $ . 3-7 P 02601 .ma r",- AIRS Certified Fee Z30 0 M Return Receipt -75 poat—\ O (Endorsement Requ:% Restricted Delivery Fee C3 (Endorsement Required) Total Postage&Fees 0 E-rr 13—on—t rq AA -----—-—--—-------------------------—---------- Stree4 Apt No.; r-9 orPOBoxNo6 C3 - ---------------------—---------------C3 City,State,ZIP+4 A/L,e rl-- WAam, M4 0,?q97 PS Form 380,0�January 2001 See Re�ers!k for.Instructions 1 ,Certified Mail Provides: e A mailing receipt ■A unique identifier for your mailpiece s A signature upon delivery ,Y A record of delivery kept by the Postal Service for two years Important Reminders: ■Certified Mail may ONLY be combined with First-Class Mail or Priority Mail. ■Certified Mail is not.available for any class of international mail. m NO INSURANCE COVERAGE IS PROVIDED with Certified Mail. For valuables,please consider Insured or Registered Mail. s For an additional fee,a Return Receipt may be requested to provide proof of delivery.To obtain Return Receipt service,please complete and attach a Return Receipt(PS Form 3811)to the article and add applicable postage to cover the fee.Endorse mailpiece"Return Receipt Requested".To receive a fee waiver for a duplicate return receipt,a USPS postmark on your Certified Mail receipt is required. ■ For an additional fee, delivery may be restricted to the addressee or addressee's authorized agent.Advise the clerk or mark the mailpiece with the endorsement"Restricted Delivery'. ■ If a postmark on the Certified Mail receipt is desired,please present the arti- cle at the post office for postmarking. If a postmark on the Certified Mail receipt is not needed,detach and affix label with postage and mail. IMPORTANT:Save this receipt and present it when making an inquiry. PS Form 3800,January 2001 (Reverse) 102595-M-01-2425 11 1 DATE .• / 8/02 PROPERTY ADDRESS: 27_ llTuckernuck Road (� Centervie,Mass. �1 02632 F) � �j �o �IE� ------------------------ ------------------------ DEC 1 0 2002 TOWN OF BARNSTABLE HEALTH DEPT. On the above date, I inspected the septic system at the above address. Cj This system consists of the following: 1 . 2-10000gallon pits in series. Based on my inspection, I certify the following conditions: 2 . This is not a title five septic system. 3. This is a sewage system. 4 . System installed 1969 5. Both of the leaching pits are presently dry. 6. The pit! are not stoned packed. 7. Bdard. Of Health will have to decide if the present sy tem is acceptable for a five bedroom house. SIGNATUR . Name : _ J-._ P . _Macomber_Jr . -- ------- --- COrripany : Josp_ph PMacomtter 8 Son , Inc . Address :__aQx _��_—___—_---_ Phone : 508- 775- 3338 THIS CERTIFICATION DOES NOT CONSTITUTE A GUARANTY OR WARRANTY IOSEPH P. MACOMBER & SON, INC. Tanks-Cesspools-Leachflelds Pumped & Installed Town Sewer Connectlons P.O. Box 66 Centerville, MA 02632 0066 775.3338 775.6412 I r r r. •.w ,per -\ COMMONWEALTH OF 1VIASSACHUSETTS EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS v DEPARTMENT OF ENVIRONMENTAL PROTECTION J• TITLE 5 OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM FORM PART A CERTIFICATION Property Address: 27 Tuckernuck Road Centerville,Mass. Owner's Name:Alan Bacchiochi Owner's Address: 25 Rttrri 11 T,ane Needham,Mass - 02492 Date of Inspection:1 1-/18T82 Name of Inspector: (please print) Joseph P.Macomber Jr. Company Name: __J.P.Macomber & Son inc. 'Flailing Address: Rnx FF �CQnta-r37i 'lle Mass. 02632 Telephone Number: 508-775-33 8 CERTIFICATION STATEMENT 1 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 ,raining 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: _ asses YNonditionaliv Passes eeds Funher Evaluation by the Local Approving Authority Fails Inspector's Signatuebm , Date: The system inspector sha 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 au(horit). Notes and Comments The sewage system consists of 2-1000 gallon precast 'leaching pits. The pits are not packed in stone. ( 69 ) Both pits are presently dry.This is ej,,5 bedroom home.B rnstable Board Of i Health must decide if this dcceptableCsystem. •••'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 I � Y Fi?ge2ofII OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address: 27 Tuckernuck Road Centerville,Mass. Owner: Alan Bacchiochi Date of Inspection: 1 1 /1 8/0 2 Inspection Summary: Check A,B,C,D or E/ALWAYS complete all of Section D a A. ystemPassef Conditionally. Needs further evaluation by the Town Of Barnstable Board Of Health NO 1 have not found any information which indicates that any of the failure criteria described in 310 CMR 15.303 or in 310 CMR 15.304 exist. Any failure criteria not evaluated are indicated below. Comments: �'ThL- two 1Pachi'na nits are not packed in one Both are dry at- this imP_T is is a five hedroom home—System will pass if the Board of Health feels this sytsem is ok _ B. System Conditionally Passes: AA 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,ND)in the for the following statements. If"not determined"please explain. .4! /f Th11i5tssupstantial s metal and over —� r 20 years old or the septic tank(whether metal or not is struct urally Y unsound infiltration or exfiltration or tank failure is imminent. System w'y em will pass inspection if the exist' tank is replaced �g p d 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:, r A✓MObservation of sewage backup or break out or high static water level in the_6istributio b xdue 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 obstruction is removed distribution box is leveled or replaced ND explain: '0 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 obstruction is removed ND explain: 2 f Page 3 of 11 OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address: 27 Tuckernuek Road C n 31e,Mass_ Owoer:Alan Bacc ioc i Date of Inspection: 11 1 8 02 C. Further Evaluation is Required by the Board of Health: L 0 Conditions exist which require further evaluation by the Board of Health in order to determine if the system is failing to protect public health,.safety or the environment. 1. System will pass unless Board of Health determines in accordance with 310 CMR 15.303(1)(b) that the system is not functioning in a manner which will protect public health, safety and the environment: " Cesspool or privy is within 50 feet of a surface water i? Cesspool or privy is witbin 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: AM The system has a septic tank and soil absorption system (SAS) and the SAS is within 100 feet of a surface water supply or rributary to a surface water supply. IV The system has a septic tank and SAS and the SAS is within a Zone 1 of a public water supply. All) The system has a septic tank and SAS and the SAS is within 50 feet of a private water supply well. • , /06 The system has a septic tank and SAS and the SAS is less than 199 feet but 50 feet or more from a private water supply well— Method used to determine distance ..i, _ "This system passes if the well water analysis, performed at 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 nirrogen 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 anached to this form. 3 `This a sewage system. System installed in 1969 . The system consists of two 1000 gallon leaching pits.T e two leaching pits are not packed in stone.The leaching pits are in series .The Board of Health Of the Town of Barnstable will have to decide if this system is acceptable for a five bedroom home. 3 Age 4 of 11 OFFICIAL INSPECTION FORM —NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION(continued) Property Address: 27 Tuckernuck Road Centerville,Mass. Owner: Alan Ba(-rhiqrhj Date of Inspection: 11 18 02 D. System Failure Criteria applicable to all systems: You must indicate"yes"or"no"to each of the following for all inspections: Yes No/ _ ,/backup of sewage into facility or system component due to overloaded or clogged SAS or cesspool :' Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or clogged SAS or cesspool A)ed L !Static liquid level in the istribution o above outlet invert due to an overloaded or clogged SAS or cesspool opt V iquid depth in-c*& pQaI is less than 6"below invert or available volume is less than 'h day flow equired pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s).Number — �of times pumped d . �y portion of the SAS, cesspool or privy is below high ground water elevation. y 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 I of a public well. y 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 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.) ' (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. The Board Of Health must decide if the system is acceptable. 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 ri the system is within 400 feet of a surface drinking water supply i/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 11 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 Pav : of OFFICIAL INSPECTION FORM — NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B CHECKLIST Properrry Address: 27 Tuckernuck Read Centervi11e, MAQ= Owner: Alan Baechi achi Date of lospectioo: 1 1 /1 R /n� Check if the following have been done You must indicate "yes" or"no" as to each of the following! Yes No Pumpung information was provided by the owner, occupant. or Board of Health A ere an% 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 inrroduced to the system recently or as pan of this inspection ' ZWerc as built plans of the system obtained and examined? (I(they were not available note as NIA) was the facility or dwelling inspected for signs of sewage back up z ._ was the site inspected for signs of break out ? r were all system components,�41udi)g the SAS, located on site ? ,(f� /Wrre the septic tank manholes uncovered,opened, and the interior of the tank inspected for the conei.:o- tn.e baffles or secs, material of consuvction, dimensions, depth of liquid, depth of sludge and depth of scum ' was the facilirY owner (and occupants if different from owner)provided with information on the prose. ..naintenance of subsurface sewage disposal systems ' The size and location of the Soil Absorption System (SAS) on the site has been determined based or, Yes nP/ Existing information. For example, a plan at the Board of Health. Determined in the field (if any of the failure criteria related to Pan C is at issue approximation of s nacccpiablc) 1310 CMA 15.302(3)(b)j _ 5 ,Qage 6 of I I .; OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION Property Address: 27 Tuckernuek Road Centervi e,Mass. OwnerAlan Bacchiochi Date of Inspection: 1 1 /1 8/0 2 FLOW CONDITIONS RESIDENTIAL ( 1969 ) Number of bedrooms(design): _ 6— Number of bedrooms(actual): DESIGN flow based on 310 CMR 15.203 (for example: 1 10 gpd x # of bedrooms): yXi = ':P Number of current residents: 0 1 through M rch 2002 and Summer rental Does residence have a garbage grinder(yes or no): Is laundry on a separate sewage system (yes or no):• (if yes separate inspection required) Laundry system inspected(yes or no): S Seasonal use: (yes or no): 4t Si Water meter readings, if available(last 2 years usage(gpd)): 2000 000 gal lons=60. 28 GPD Sump pump(yes or no): 0 2001 -47, 000 gallons=1 28. 77 GPD Last date of occupancy:aandLl COMM ERCIAUMUSTR.IAL Type of establishment: ,I Design flow(based on 310 CMR 15.203): _� gpd Basis of design flow(seats/persons/sgft,etc.): Grease trap present(yes or no):,,I&¢ Industrial waste holding tank present (Yes or no): . O _ Non-sanitary waste discharged to the Title 5 system (yes or no);,tj Water meter readings, if available: Last date of occupancy/use: 1014 OTHER(describe):_ Alt'4 GENERAL INFORMATION Pumping Records / Source of information: A4t Was system pumped as part of the inspection (yes or no): 40 If yes, volume pumped: _gallons -- How was quantity pumped determined? Reason for pumping: _ AX TYPE OF SYSTEM 1!Zd Septic tank, distribution box, soil absorption system / Single sesspeoI 1 000 . ga lon pit.Not stoned packed. 7Overflow-eessp"1000 g�llon pit.Not stoned packed. Z Privy ZO Shared system(yes or no)(if yes, attach previous inspection records, if any) 41b Innovative/Alternative technology. Attach a copy of the current operation and maintenance contract (to be obtained from system owner) /D Tight tank �L Attach a copy of the DEP approval Other(describe): Ap o� �x��t��a�'�te ate of all components, date installed (if known)and source of information: � UJI'' 19K'7 Owner Were sewage odors detected when arriving at the site(yes or no):'O('N 6 I Page 7 of 1 I OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 27 Tuckernuck Road Centerville,Mass. Owner:Alan Bacchiochi Date of Inspection: 1 1 /1 A/0 2 BUILDING SEWER(locate on site plan) Depth below grade: 0 / 4" Orangeberg pipe through Materials of construction:_cast iron . 't 40 PVC�other(explain):out the system. Distance from private water supply well or suction line:rd't Comments(on condition of joints,venting, evidence of leakage,etc.): Joints appear t-i qht tan eyi denne of 1 akagp The system is vented through the house vents. SEPTIC TANa�Lee locate on site plan) Depth below grade: ,tl,4 Material of construction:A//Iconcrete4,Y,4 metal�fiberglass tlApolyethylene �other(explain) A1.4 -If tank is metal list age: .✓R is age confirmed by a Certificate of Compliance(yes or no):444 (attach a copy of certificate). Dimensions: Sludge depth: A>A Distance from top of sludge to bottom of outlet tee or baffle: A/,4 Scum thickness: Distance from top of scum to top of outlet tee or baffle: 1)4 Distance from bottom of scum to bottom of outlet tee or baffle: How were dimensions determined: ,,1J Comments(on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert,evidence of leakage, etc.): i the_e—ma in lea eh i r}g�i t Annually- Garhagp disposal is aresent.The pits ares _r > > ally snund Both nits arp dry at this time. The pits are not stone packed. #1 pit stain line to the outlet ? invert. #2jDit. Stain line is 35" below the invert pipe. GREASE TRAR�d t(locate on site plan) Depth below grade: V0 Material of construction:. /0concretex)0metalA/r4 fiberglass,�olyethylene other (explain): 14414 — Dimensions: AA 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:_ t Date of last pumping: X)/ Comments(on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): Grpase trap i s nnt—rPgPnt 7 r "* Page 8 of 1 1 �` 0 6 OFFICIAL INSPECTION FORM —NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 23 Tuckernuck Road Centerville.Mass. Owner: Alan Ba . hi o hi Date of Inspection: 1 1 11 g 10 2 TIGHT or HOLDING TANKS(tank must be pumped at time of inspection)(locate on site plan) Depth below grade: Material of construction: concrete metal-4.4 fiberglass&polyethylene other(explain): Dimensions: hm Capacity: gallons Design Flow:_ �—gallons/day Alarm present(yes or no): Alarm level: Alarm in working order(yes or no): Date of last pumping: Comments(condition of alarm and float switches,etc.): Tight or holding tanks are not present DISTRIBUTION BO lL(if present must be opened)(locate on site plan) Depth of liquid level above outlet invert: 42+ 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.): T)istribLtion box is not present. PUMP CHAMBERtiMJ�(locate on site plan) Pumps in working order(yes or no): IVIJ Alarms in working order(yes or no):� Comments(note condition of pump chamber, condition of pumps and appurtenances,etc.): Putnn_ chamb -r is not present 8 Pssge9ofII OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL, SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 27 Tmckernuk Road Cpntervi l l e,Mass. Owner:Alan Bacchiochi Date of Inspection: 11 18 02 SOIL ABSORPTION SYSTEM (SAS): (locate on site plan, excavation not required) 2-1000 n precast leaching pits. ( 6 X7 ) The pits are not stone packed. If SAS not located explain why: Located:_ See page 10 TLDV leaching pits, number: dLt leaching chambers, number: 0 A)O leaching galleries,number: D leaching trenches,number, length: ttAJ leaching fields, number, dimensions: O v overflow cesspool, number: Q innovative/altemative system Type/name of technology:r7,�� y� ���&ale. Comments (note condition of soil, signs of hydraulic failure, level of ponding, damp soil,condition of vegetation, etc.): nd to medium fine sand.No signs of hydraulic failure or oils are dr .Ve e a ion is nor r the present time.The pits are not s one pac e . is at ppip outlet invert. Stain line in the overflow is 35" below the CESSPOOLS cesspool must be pumped as part of inspection)(locate on site plan) invert- Number and configuration: Depth-top of liquid to inlet invert: Depth of solids layer: Depth of scum laver: 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.): dame as above PRIVY. L(locate on site plan) Materials of construction: Dimensions: Depth of solids: /fJ Comments(note condition of soil, signs of hydraulic failure, level of ponding,condition of vegetation, etc.): Privy is not present. 9 Pit( to oft I 4 OFP)CL,—, INSPECTION FORT' - NOT FOR VOLfJNTtiRY ASSESSmE7N -c SU85VRZF"CE SEWACE DISPOS,`,L• SYSTEM INSPECTION FOR PART C SYSTEM INPORMLATION (ton,Invc0) I"/ Aoo-<„ 27 Tuckernuck Road ery S. C)^:(IAlan 'Bacc 1 1 18 02 SAU'TCH OP SCwnCC DISPO AL SYSTCM A0"0' , Iynrm IIcI to II Ic�11 fWp ptrtntntnl Ic(trcncc II It( InclVO(A �/^vt, to<, ,u . ,,n,n 100 f,rl lot„r wAcrc pv0lit will, IV I PP y mcrl Int CViloin( 0 I-f ,• I l y Page 11 of I I OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 27 Tuckernuck Road Centerville,Mass. Owner:, Alan Bacchiochi Date of Inspection: 1 1 /1 8/0 2 SITE EXAM Slope Surface water Check cellar Shallow wells ! l Estimated depth to ground water �0 feet Please indicate (check)all methods used to determine the high ground water elevation: NO Obtained from system design plans on record-If checked,date of design plan reviewed: NA YES Observed site(abutting property/observation hole within 150 feet of SAS) UQ_Checked with local Board of Health-explain: NA YFS Checked with local excavators, installers-(attach documentation) yFS Accessed USGS database-explain: http: //town.barns table.us.ma. You must describe how you established the high ground water elevation: Used: Gahrety & MillerrModel 12/16/94 Ground water above sea level_ Used: USES; Observation well data_ June 1992 Used: USGS: Technical hullPtin 92-000-1 Plate #2 Annual ranges of ground water elevations. L Up Of n Leaching n Pit `� . ;eet I Groundwater` Feet Below Bottom of Pit High Groundwater Adjustment 1.8 ft per Frimpter Method Therefore, the vertical separation distance between the bottow ' of the leaching pit and the adjusted groundwater table is feet. 11 ,; - r y •rr.*tT�rl l'17�Tr1rir.—fR"ni:Tl'TTn *s*i.rC..r:•.Tr+'ITT': *TTT.•1 RC�Z RS4.7Cr RZt .rn���,T...-. 1'UNN OF Barnstable BOARD OF HEALTH r 0 S1 HHUFACF SFNAGE DISR)SAL SYSTEM IN8I'ECTION FORM - PART D •- CER'I'1FICATION •••T•1_T••••.'.T—T,11 ��.T.T..�tl•J1:TT1 T TC.�T1T T'TI.1'.�—•.'1^1 i.—.+1�5.T.tR1T�•1"+tt'�Y RT'N1�iTTIR7 tAl I1T.TrTTTPf -TYPL OR PRINT CI.EARL)'- PROPERTY INSPECTED STREET ADDRESS 27 Tmckernuck Road ASSESSORS MAP , DLOCK AND PARCEL # OWNER' s NAME Allan Bacchiochi PA1?7' D - CERTIFICATION NAME OF INSPECTOR _Joseph P. Macomber Jr COMPANY NAME Joseph P. Macomber &'"ion Inc COMPANY ADDRESS Box 66 Centerville Mass 02632 Street Town or City Stat• ZIP COMPANY TELEPHONC ( 508 ) 775-3338 FAX ( 508 ) 790-1578 CERTIFICATION STATEMENT I certify that I have personally inspected the sewage disposal system at this address and that the information reported is true , accurate , and omplete as of the time of . inspection . The inspection was performed and any recommendations regardi))g upgrade , maintenance , and repair are consistent with my training and experience in the proper function and maintenance of on- site sewage disposal systems . Chh/eck - ne : Y ystem PASSED Conditionally The inspection which I have conducted has not found any information which indicates that the system fails to adequately protect public healLh or Lhe environment as defined in 310 CMR 16 - 303 . Any failure criteria not evaluated are as stated in the FAILURE CRITERIA section of this form , System FAILED* The inspection which 111F. e conducted has found that the system fails to Protect the public health and the environment in accordance with Title 5 , 3.10 CMR 15 , 303 , and as specifically noted on PART C - FAILURE CRITERIA of this inspection form . " Inspector Signatur i Date copy of this certification must be provided to the OWNER, the BUYER One Where applicable ) and the DOnItD OF 11EAL111. * If the inspection FAILED , the owner or"" "Perator shall u d within one Year of the date of the inspection , unless allowed ortrequiredm otherwise as provided in 3.10 CPIR 15 . 3051 partd . doc TOF ELEV. = 1 00.95' PROVIDE PRECAST CONCRETE 5" DIA. OUTLET(S) FINISH GRADE OVER CHAMBERS = 99.25'-1 00.00' GENERAL NOTES EXTENSION RISER WITH CONCRETE 1. UNLESS OTHERWISE NOTED, ALL SYSTEM COMPONENTS AND CONSTRUCTION COVER TO GRADE OVER OUTLET / FINISH GRADE OVER REMOVABLE COVER o SLOPE @ 2% MIN. OVER SYSTEM METHODS SHALL BE IN ACCORDANCE WITH TITLE 5 OF THE STATE FINISH GRADE @ FOUND. EL.= 1 00.5' TANK EL.- 99 9'-100.1' FINISH GRADE OVER D-BOX= 1 00.0' 4" SCHEDULE 40 PVC MIN SLOPE 1 /0 3/4" TO 1-1/2" DOUBLE WASHED STONE TO CROWN OF PIPE ENVIRONMENTAL CODE AND ANY APPLICABLE LOCAL RULES. 20"MIN. ACCESS COVER WASHED STONE 2. ANY CHANGES TO THIS PLAN MUST BE APPROVED BY THE BOARD 9" MIN. - -- _._.._._...-��� OF HEALTH AND THE DESIGN ENGINEER. (TYPICAL FOR 3) 36" MAX. f PLACE RISERS ON ALL CHAMBERS TOP OF SAS = 97.08, 3. 4" SCHEDULE 40 PVC PIPE WITH WATER TIGHT JOINTS SHALL �- 36"MAX. 9" MIN. TO 6" OF FINISHED GRADE BE USED IN DISPOSAL SYSTEM UNLESS OTHERWISE NOTED. EXISTING 4" 96.25' 36" MAX. CAST IRON PIPE BREAKOUT EL = 96.75' 4. TO PREVENT BREAKOUT, THE PROPOSED FINISHED GRADE SHALL NOT BE LES,' 6" 3" 2" DROP MIN. 3„ 9„ � t-�--"- ELEVATION = 96.75' FOR A DISTANCE OF 15'AROUND THE PERIMETER OF THE , PROVIDE WATERTIGHT A 40 MIL GEOMEMBRANE LINER IS PLACE AT LEAST FIVE FEET FROM S.A.S. ANC =,0" 3" DROP MAX. 1 i JOINTS (TYP.) o 0 0 o THE LINER IS NOT LESS THAN THE BREAKOUT ELEVATION. 00 99.15' 14" 97•65' 4" PVC IN FROM O oo O o 0 5. SLOPE ALL SOLID PIPE AT 1.0 % MINIMUM. SEPTIC TANK 4" PVC OUT TO o 0 0 LEACHING FACILITY o00 o0 00 �0 6. THIS SYSTEM IS NOT DESIGNED FOR A GARBAGE DISPOSAL. 97.90 0 7. LOCAL BOARD OF HEALTH TO BE NOTIFIED PRIOR TO BACK FILLING WHEN 48" OUTLET TEE g7 37' MIN. 2' o u 0 0 0 0 0 o0 0 C] oo SYSTEM IS NEARLY COMPLETE AND READY FOR INSPECTION. SYSTEM IS NOT ! 97.20 ob oo � BE BACK FILLED WITHOUT FIRST OBTAINING APPROVAL FROM BOARD OF HEAL- 11.9' - T-22"ZABEL FILTER G `- -- -- - }mod 6" CRUSHED STONE CD 0 0 0 0 0 0 00 0 0 o0 8. ELEVATIONS BASED ON ASSUMED N.G.V.D. DATUM OF 100.00' MSL MODEL#A1801 HIP (GAS ( o o - OBTAINED FROM A NAIL IN A PINE TREE AS SHOWN ON PLAN. BAFFLE ON BOTTOM) asi OVER MECHANICALLY COMPACTED BASE 4.0' 8 5, _ 4.0' 9. CONTRACTOR SHALL VERIFY ALL UTILITY LOCATIONS PRIOR TO CONSTRUCTIOI 4.0' 4.0' THROUGH DIG-SAFE AT LEAST 72 HOURS PRIOR TO COMMENCING WORK ON SI- 6" CRUSHED STONE 4.9' _ �� OVER MECHANICALLY 5 OUTLET DISTRIBUTION BOX 42.0 (TYP.) AT 1-888-DIG-SAFE AND ANY OTHER APPLICABLE AGENCIES. REPORT ANY G G o o TO BE INSTALLED ON A LEVEL STABLE < 88•75' 12.9' DISCREPANCIES TO THE DESIGN ENGINEER. � � COMPACTED BASE BASE. FIRST TWO FEET OF OUTLET 94.25' GROUND WATER ELEV= PROPOSED 1500 GALLON CONCRETE SEPTIC TANK PIPES TO BE LAID LEVEL. � 10. ALL JOINTS WHERE PIPE ENTERS AND EXITS CONCRETE LENGTH 10.5' WIDTH 5.66' DEPTH 5.58' ! '¢ " 500 GAL. CHAMBERS 5 MIN• STRUCTURES SHALL BE MADE WATERTIGHT. CROSS SECTION VIEW i CHAMBER ENd VIEW 11. NO DETERMINATION HAS BEEN MADE AS TO COMPLIANCE WITH DEEDED OR DISTRIBUTION BOX DETAIL ; TYPICAL CHAMBER PROFILE CHAMBER DETAILS ZONING REGULATIONS. OWNER/APPLICANT IS TO OBTAIN SUCH `- ' s ,A DETERMINATION FROM APPROPRIATE AUTHORITY. �C A L E NOT TO SCALE NOT TO SCALE NOT TO SCALE - ------------f------ 12. ALL SEPTIC SYSTEM COMPONENTS SHALL WITHSTAND H-10 LOADING UNLESS , � ,, I LOCATED UNDER PAVEMENT, DRIVES OR TRAVELED WAYS IN WHICH CASE Nw' + �!s TEST PIT DATA, THEY SHALL WITHSTAND H-20 LOADING. { a 13. DOUBLE WASHED CRUSHED STONE SHALL BE FREE OF ALL DIRT, DUST AND ' FINES. AGENT: 14. WHERE REQUIRED, CONTRACTOR SHALL REMOVE ALL LOAM, SUBSOIL AND ` � I; EVALUATOR: Samuel Philos Jensen UNSUITABLE MATERIAL IN AREA BENEATH AND FOR 5 FT. ON ALL SIDES OF t m r A n116, 2003 LEACHING FACILITY. REPLACE ALL UNSUITABLE MATERIAL WITH CLEAN ,� DATE: h s�Y :� COARSE SAND FREE FROM CLAY, FINES OR OTHER UNSUITABLE MATERIAL IN ra, r ,w � ! TEST PIT#: 1 ACCORDANCE WITH 310 CMR 15.255(3). * � ��� � �' 15. CONTRACTOR SHALL NOTIFY DESIGN ENGINEER OF ANY DISCREPANCIES FOUf M, , ' j ELEV TOP = 99.75' tl, Y SITE CONDITIONS FROM THOSE SHOWN PRIOR TO CONTINUATION OF WORK. ELEV WATER - > 11' B.G.S. ({ 16. PROPOSED PROJECT IS LOCATED WITHIN: PERC RATE _ <2 MIN/IN ASSESSORS MAP 190 PARCEL 147 17. OWNER OF RECORD: ALAN BACCHIOCHI & JULIA PAULAT „ DEPTH OF PERC = 50" -68" ADDRESS: 27 TUCKERNUCK ROAD 158.00 TEXTURAL CLASS: 1 1 U S a pk �� � y* � ��� , CENTERVILLE, MA 02632 �� �d ," " � � ��, __. _ ` '�� 14. n 0 99.75' 18. FEMA FLOOD ZONE C CO V!7 a h wt p ) ,j AS SHOWN ON COMMUNITY PANEL# 250001 0015 C jr Sandy Loam x 95.84 i k A 10YR 3/2 19. PLAN REFERENCE: N I 1. PLAN ENTITLED " SUBDIVISION PLAN OF LAND IN CENTERVILLE BARNSTAI PO ti40 1` N._ '.a 8" 99.09' ALAN E. SMALL ET UX. " DATED JULY 22, 1968, SCALED AT SIXTY FEET TO o D � , - � � PLAN BOOK 224 PAGE 87. m 'a Sandy Loam G� M ._, m Y w � 4 .� B-1 10YR 5/6 20. v CO �, r ! DEED 1. BOOKR 2N79 PAGES 102 N .P�v�P a,M b R ry 100, � .N �g ��` 11'��'� `� ��� � � � � �� :��� � �� � � ��� f 20" 98.09, lD� 1 0 31 „ r 21. ALL DISTURBED AREAS SHALL BE RESTORED TO ORIGINAL CONDITION. y EXISTING GAS LINE '" 1 J>d LOCATION IS APPROXIMATE Loamy Course Sand 22. PROPERTY LINE INFORMATION IS ONLY APPROXIMATE. THIS PLAN IS TO BE U. " B- 10YR 4/6 FOR SEPTIC SYSTEM UPGRADE. JC ENGINEERING WILL NOT ASSUME ANY LIAI �C�43 .. m 2 08•03 Vptk $ '* AND SHALL BE FIELD VERIFIED " � x � - 10 Gravel Gravel FOR USES OF THIS PLAN OTHER THAN ITS INTENDED PURPOSE. x 99�.21 .- L% Vg .9 �� PRIOR TO SEPTIC INSTALL 42 96.25 MAP 190 �" e �' xt�.� / i�� �... .t'�,dr 9� 4", r/ OF�pvlWy E LOT 147 �d �4 N" ' I 501, 95.59' GE AREA = 16,120± SQ.FT. PROPOSED 1500 GALLON" v �D ° SEPTIC TANK �.. , r`�� l; 4u ,_�� _�� � Perc C M-C Sand �rr 68" l 2.5Y 6/4 94.09' C DH .` 1440 B.M. D/HELD) hr 10027 Nail in Pine Tree 100,40 V4. E lev. = 100.00' LOCUS P LA N Assumed No Groundwater 100,68 #27 2 SCALE: 1" = 1000' Observed � 132� - _ 88.75' EXISTING so 5-BEDROOM 5"TREE LEGEND DWELLING s DESIGN DATA � TOF = 100.95' 50 EXISTING CONTOUR �r MAP 190 I 50 PROPOSED SPOT GRADES 0. 0,55 ' x 09-7, LOT 146 0 CjPS 12 TREE N/F NUMBER OF BEDROOMS (ASSESSORS) 5 O NUMBER OF BEDROOMS (DESIGN) 5 PROPOSED CONTOUR CONC. ; 100.61 � GOODMAN 15".TREE DESIGN FLOW 110 GAUDAY/BEDROOM PATIO � �10"TREE •-•-•----'- E/T/C' •------•- EXISTING OVERHEAD UTILITIES i` 9 79 � " �,. TOTAL DESIGN FLOW 550 GAL/DAY 100.64 cp u ;w / �' ' .1 o = 1100 . ....... W .................... EXISTING WATERLINE MAP 190 � "' r 3�y DESIGN FLOW X 200 /o GAL/DAY '_""""°" "'"' w 100-- � 9 LOT 148 `k `j= 11.76 ( USE PROPOSED 1500-GALLON SEPTIC TANK GAS • REE EXISTING GAS LINE N/F P ... _ ' 12"TREE: N?- 9 46 HAM BLETON „ry TEST PIT LOCATION - � .�� _ E>r �.3 P, 8.TREE � SEPTIC INSTALL 4 - 500 GAL. CHAMBERS PROPOSED 1500 GALLONS C EXISTING CESSPOOLS98,92 SIDEWALL CAPACITY 4" SOLID SCHEDULE 40 PVC PIPE TO BE PUMPED AND 12"TREE • :�.........• ....... 12"TREE FILLED CLEAN SAND �� E ❑ DISTRIBUTION BOX f`^ 10"TREE (LENGTH + WIDTH) (2) (2' HIGH) (.74 GPD/S.F.) = GAUDAY (42.0' + 12.9') (2) (2') (.74 GPD/S.F.) = 162.4 GAL/DAY �--�--� t t-' � 500 GAL. LEACHING CHAMBER ;ts 12"TREE 6"TREE ._ , f. �, , MAP 190 1`L LOT 23 BOTTOM CAPACITY N/F COURTEAU ( LENGTH x WIDTH ) (.74 GPD/S.F.) = GAL/DAY (42.0' x 12.9') (.74 GPD/S.F.) = 400.9 GAUDAY REV. DATE BY APP D DESCRIPTION MAP190 __ ___-_____.__.._ .. __ ..._ ....._._ ........._. .__ . ._ _._...__..._. PROPOSED LOT22 PROPOSED SEPTIC SYSTEM N/F TOTALS. PREPARED FOR: DISTRIBUTION BOX PERKINS ALAN BACCHIOCHI PROPOSED 500 GALLON LEACHING CHAMBERS TOTAL NUMBER OF CHAMBERS: 4 - - -- TOTAL LEACHING AREA: 761.2 SQ.FT. LOCATED AT TOTAL LEACHING CAPACITY: 563.3 GAL./DAY 27 TUCKERNUCK ROA[ CENTERVILLE, MA 0262 RESERVED FOR BOARD OF HEALTH USE SCALE: 1 INCH = 20 FT. DATE: M 0 10 20 40 JOHN L. v CHURCHILL PREPARED BY: �.L JC ENGINEERING, INC NO 41�°' 5 ROUNDHILL BLVD EAST WAREHAM, MA 02 SITE PLAN 508.273.0377 _- SCALE: 1"-20' S/y�� Drawn By: DFS Designed By: DFS Checked By: JLC