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HomeMy WebLinkAbout0048 WATERMAN FARM ROAD - Health 48 Waterman Farm Road Centerville L A= 207-091-004 a - " Massachusetts Department of Conservation and.Recreation. ' Office of Water Resources 164178 TYPE OR PRINT ONLY Well Completion Report f ELL LOCATION` GPS (R�equired) Nolrth ��s� LL J_! _ Westress at Well Location: 44/4 (� c i��,�hu r 3. Property Owner/Client:. 17,4-rr,division.Name: / Mailing Address: C7 r!'�p' Ai'n1 SUM uS City/Town: L'E42/LV I L� 1 RONS V City/Town: Co-rot Co-rotT, MA b Assessors Map 2-07 Assessors Lot#: 031—OoZ NOTE: Assessors Map and Lot# mandatory if noai ge-add ss available IS Board of Health permit obtained: Yes IJ. Not Required El Permit Number s '�S� Dafe�lssued'`'f/17 t'Z 2.WORK PERFORMED 3.WELL TYPE 4. DRILLING METHOD 6. CASING _ Overburden. Bedrock From(ft) To(ft) ,,•�-Typef Thickness Diameter [A/] 0❑E 0 ® ® ❑ [1 `CA,*0 u 5.WELL LOG OVERBURDEN Extra Water Loss or Drop m Fast or / ❑❑F]LITHOLOGY Bearing Addition Drill Slow Zone of Fluid Stem 7. SCREEN From (ft) To (ft) Code Color Comment Drill Rate Y / N Y / N F / S From(ft 70 Type Slot SizeDiameter Y ! N Y / N F / S IS.S,' 15 F9-0 � LZ- !f" e!5 WIMS Y / N Y / N F / S ❑❑❑ - - - `L 2 M 5 W j Fj Y / N Y / N F / S g_ANNULAR SEAL/FILTER PACK/ABANDONMENT MTL. 12-77 Y / N Y / N F /,S, From(ftj To(ft) Material Description Purpose 3 L41VsS Y / N Y / N F / S j0 ©� ®© :. Y / N Y / N F,,/�,$- ❑❑ ❑❑ Y / N Y / N� �'F,% S - ❑❑ ❑❑ w`c i.`�' ❑❑ ❑❑ - Y / N Y WELL LOG BEDROCK Extra ?. Water Drop in Extra Visible..Loss or . #of,, 9.SITE SKETCH Fast or,,� LITHOLOGY Bearing Drill Large Slow Rust Addition Fractures0 _ Zone Stem Chips< Staining of Fluid per foot From (ft) To (it) Code Comment r Dnll Rate Y / NY'jaN,'F,/ S Y / N Y / N Y / NjY / lVF, / S Y / N Y / N � � _ Y / NYr=/-NF / S Y / N Y / N y N YJNrY / N F / S Y / N Y / N p Y/'N"Y / NF / SY / NY / N Y, %'NY / N F / S Y / N Y / N w ' - Y-iNY / N F / S Y / N Y / N N Y / N F / S Y / N Y-/-N - Y / NY / N F / S Y / N Y / N Y / N Y / N F / S Y / N Y / N tt7A" ' 1 �4r�vt 10.WELL TW DAW (ALL StftONS MANDATORY FOR PRODUCTION WELLS) . 11.STATIC WATER LEVEL(ALL WELLS) Yield Time P�inped Pumping Level Time to Recover Recovery Depth Below Date Method (GPM) y(hrs&min)` (Ft. BGS) (hrs&min) (Ft.BGS) Date Measured Ground Surface (ft) Ifinjit C2 _ :� a 11 L _o : © z Vou.. qI zs"1l z- l o 12. PERMANENT PUMP(IF AVAILABLE) 13.ADDITIONAL WELL INFORMATION Pump Description `-'�"° ® © Horsepower 4• Developed.Y�/ N Fracture Enhancement Y /� Pump Intake Depth ^``1"I (ft) Nominal Pump Capacity (gpm) Disinfected&/ N Surface Seal Type 14.COMMENTS \ p�-' �j 'j&i4,qA L Total Well Depth d!rLL Depth to Bedrock 15.WELL DRILLER'S STATEMENT This well was drilled, altered nd/a bandoned under my supervision, according to applicable yam. rules and regulations, and thissrr rt i complete and correct to the best of my knowledge. Driller: LJt� { Supervising Driller Signature: Registration #: a Firm: A _Ltt - Date Complete: IO1 �DZ Rig Permit#: t 9 ,� t r"�',Jy07 ,Well Completion.Reports.must be filed,by.•the.registered=well driller within 30 days of well completion am '{ , . ltt ft r t tT+d�ttd7t ld rlfrpft ft ftJttPl _# •r.r•.rt t t�.r - r. tr . .BC,IAf�Il`OF•�If=ALTFt•COPIf = . � . . ... .. j l Well Completion Report Codes ' Section 2 Section 3 Section 4 Work Well Drilling Work Performed Type Method Performed Code Well Type Code Drilling Method Code. Decommission DC Cathodic Protection CTPR Air Hammer AH Deepen DP Domestic DMST Air Rotary AR Hydrofracture HF Geoconstruction GCON Auger AG New Well NW Geothermal Closed Loop GTCL Cable Tool CT Repair RP Geothermal Open Loop GTOL Casing Advancement CA Replacement RE Industrial INDS Core CR Injection INJC Direct Push DP Irrigation IRRG Drive and Wash DW Monitoring MONT Dug DG Public Water Supply PBWS Mud Rotary MR' Recovery RCVR Reverse Rotary RR Test Wells TSTW Sonic SN Section 5 Section 6 Overburden Casing Lithology Overburden Overburden Overburden Bedrock Type Thickness Name (OB)Code Color Color Code Bedrock Name (BR Code) Casing,Type Code Thickness (NO CODE) Artificial Fill AF Black BL Amphibolite AM Certa•Lok CTL Schedule 5 Boulders' B Bluish Gray BG Basalt BS Fiberglass FBG Schedule 10' f Clay CL Brown BR Conglomerate/Breccia CG/BR Galvanized Pipe GLP Schedule 40 Coarse Sand CS Dark Gray DG Diorite Dl- HDPE HDP Schedule 80 f Cobbles C Greenish Gray GG Gabbro GB NSF Coated Steel NCS Schedule 160 Fine Sand FS Light Gray LG Gneiss GN PVC PVC SDR 13.5 Fine to Coarse Sand FC& Reddish Brown RB Granite GR Stainless Steel SST SDR 17 k Gravel G Yellowish Brown YB Limestone LS Steel STL SDR 21 Medium Sand MS Marble MA SDR 26 Organics 0 Quartzite QZ SDR 325 Sand&Gravel SG Rhyolite RH SDR 40 Silt SI Sandstone SS 17# Silty Clay SICL Schist SC 19# Silty Sand SIS, Shale SH Silty Sand&Gravel SISG — Slate/Phyllite SL/PH Till T Pegmatite PM Section 7 Section 8 Section 10 Annular Seal/Filter Screen Annular Seal/Filter Pack/Abandonment Purpose Method Screen Type Code Pack I Abandonment Material Code Purpose Code Method Code Carbon Steel CST Bentonite Chips/Pellets BC Fill FL Air Blow with Drill Stem AB Continuous Wire PVC CWP Bentonite Grout BG Filter FT Air Lift AL Galvanized Wire Wrapped GWW Cement/Bentonite Grout CB Seal AS Bailing BL Perforated Pipe PFP - _ Concrete CT Constant Rate Pump CR Pre-pack PVC PPP Sand SD Variable Rate Pump VR Pre-pack Stainless PPS Native Material NM Slug SG Slotted PVC SLP Stainless Steel Vee Wire SSV Stainless Steel Well Point SSP Section 12 Section 13 Pump Description Well Seal Pump Description Code Horsepower Surface Seal Type Type Code 3 Wire Variable Speed Submersible 3WVS 1/2 20 Cement . CM 2 Wire Variable Speed Submersible 2WVS 3/4 25 Cement/Bentonite CB 2 Wire Constant Speed Submersible 2WSS 1 30 Concrete CT 3 Wire Constant Speed Submersible 3WSS 1 1/2 40 None NO Constant Speed Submersible Turbine CSST 2 50 Variable Speed Submersible Turbine VSST 3 60 Jet JET 5 75 Line Shaft Turbine LST 7 1/2 100 Centrifical CENT 10 125 15 150 200`.. `4 ENVIROTECHLABORATORIES,INC. MA CERT.NO.:M-MA 063 8 Jan Sebastian Drive Unit 12 Sandwich,MA 02563 (508)888-6460 1-800-339-6460 FAX(508)888-6446 Client Name Atlantic Well Drilling Location 48 Waterman Farm Rd Address PO Box 339 Centerville,MA No.Eastham MA 02651 Sample Date 04/25/12 Collected By B Silva Sample Time 13:40 Sample Type New Well]Irrigation ; Date Received o4/26/12 Lab Order Number DW-120903 Well Specs 18.5'Deep 10'Static Location Source Date Collected` Time Collected Continents _A -_ . -04/25/12. .. - 13:40: Analysis Requested Units Recommended Limits Analysis Result Method Date Analyzed Analyzed By Total Coliforrn /100ml 0 0 SM9222B 4/26/2012 RS -------- ---- - -------- ----------- -- --- - -----------------------._.-........ _.__.._._. pH pH units 6.5-8.5 7.04 SM4500-H-B 4/26/2012 LL Specific Conductancen umhos/cm 500 100 EPA 120.1 4/26/2012 LL Nitrite-N mg/L 1.00 <0.004 EPA 300.0 4/26/2012 LL Nitrate-N mg/L 10.0 0.17 EPA 300.0 4/26/2012 LL Sodium mg/L 20.0 11.1 EPA 200.7 4/27/2012 MC - ----------------- —- .... - -- -------- 9-- ----- ---- ----------------—--... - ...._._.. - ------- ........-. -- Total Ironn m /L 0.3 0.46 EPA 200.7 4/27/2012 MC Manganesen mg/L 0.05 0.23 EPA 200.7 4/27/2012 MC Comments: Iron and manganese are not a health hazard,but can cause taste,staining and odor problems. Water meets EPA standards an 's sui ble for drinking for parameters tested. DateC//� --------- --- R tald .So r Laboratory i ctor BRL=Below Reportable Limits ;See Attached Page 1 of 1 aCertifrcation is not available for this analyte for non potable water samples.. No.- /_��__- �5 Fee------------------- BOARD OF HEALTH TOWN OF BARNSTABLE AppticationforVerr uCon0ructionPermit A pli atio is here m e r a e Mut to Construct , Alter ( ), or Repair ( )an individual Well at: Location.— Address Assessors Map and Parcel Own Addresset A42 lc�L?", Installer — Driller Address O� Type of Building Dwelling --__-- ---_- -------- Other - Type of Building-=--___-__-______ No. of Type of Well r , Capacity---------- �'� -- Purpose of Well _Agreement: The undersigned agrees to install the aforedescribed individual well in accordance with the provisions of The Town of Barnstable Board of ea t- 'vate Well Protection Regulation - The undersigned further agrees not to place the well in oper ion unti ertifi at .of Compliance has been issued by the Board of Healt . —� ry Sib d --- ---------- - r Ch-�-- Application Approved By date Application Disapproved for the following reasons: Permit No. -co date 5— - Issued _Z_� date BOARD OF HEALTH TOWN OF BARNSTABLE (Certificate Of Compliance THIS IS TO CERTIFY, Th t the Individual Well Constructed X, Altered ( ), or Repaired ( ) Installer It j at__- r6�--wE� Y�. tom' E4!-J-Y- � �- - ------ -- - ---- - has been installed in accordance with the provisions of the Town of Barnstable Board of Health Private Well PFotect}}'on Regulation as described in the application for Well Construction Permit No..Z-'101 4-9'W'Dated 1�-2 THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE WELL SYSTEM WILL FUNCTION SATISFACTORY. DATE __-- _ Inspector_----------_-__-_-- No.- - a/-r�--�-_-�5 Fee-------------------- BOARD OF HEALTH TOWN OF BARNSTABLE ZippIicat ion-for Well CongtructionPermit Appli atio is hereby m e r a peru. to Constr ctTN41Alter ( ), or Repair ( )an individual Well at: Location — Address Assesso�1,p.nd/Parcel - Own dress a w^- IT -�,�.t C.C.I a.�.�. � 'F,•-_,C�, Installer — Driller Address Type of Building / `��t Dwelling -- _--- - -- -Other -- Type-of Building-=--_-__--_____ No. of Persons---_.__-_---________ Type of Well-';(�b k) AW44 Capacity Purpose of Well--- �___---- Agreement: The undersigned g agrees to install the aforedescribed individual well in accordance with the provisions of The Town of Barnstable Board of H artli P" to Well Protection Regulation - The undersigned further agrees not to ' place the well in opera on untilla Certifi-ate of Compliance has been issued by the Board of Health. Sig Application Approved t�1 date Application Disapproved for the following reasons: date --coo 5 �1�7 �_ - ' Permit No. -- — Issued--- ---__-.--_._._._-------- date BOARD OF HEALTH TOWN OF BARNSTABLE Certificate Of Compliance THIS IS TO CERTIFY, Th t the Individual Well Constructed ( Altered ( ), or Repaired ( ) Installer at ``� ' I --_ ------------------------------------- has been installed in accordance with the provisions of the Town of Barnstable Board of Health Private Well P/rotect'on Regulation as described in the application for Well Construction Permit No.k-� � -G--C--�L7ated ,l ""' THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE WELL SYSTEM WILL FUNCTION SATISFACTORY. DATE --- -- - Inspector-- -- --- --- -------- BOARD OF H riALTH TOWN OF BARNSTABLE Yell Congtruct ion Permit No. J d--co Fee--- - — — Permission is hereby granted to Constr c ( , Alter ( r Rep it (_-) an Individual Well at: �1 __ �• No. t street as shown on the application for a Well Construction Permit Dated J � - �---�------------------..------- Ll J,-� Board of Health DATE / --_ 4 Message Page 1 of 1 Stanton, David From: McKean, Thomas on behalf of Health Sent: Monday, October 29, 2012 8:58 AM To: Stanton, David; Desmarais, Donald; Malkus, Karen; McKenzie, Marybeth; Miorandi, Donna; O'Connell, Timothy; Parziale, Jim Subject: FW: UIC registration Barnstable_48 Waterman Farm Road -----Original Message----- From: Cheung, Eric (DEP) [ma ilto:eric.cheung@state.ma.us] Sent: Friday, October 26, 2012 1:43 PM To: ronatiantic@comcast.net; nrudman@aol.com Cc: Cerutti, Joseph (DEP); Health Subject: UIC registration Barnstable_48 Waterman Farm Road Hi Ronald, The purpose of this email is to issue you Underground Injection Control (UIC) registration MAS41A020226-5CL for the installation of 2 horizontal closed-loop ground source heat pump (GSHP)wells and system start-up at 48 Waterman Farm Road, Barnstable. This UIC approval is conditional upon meeting all of the requirements provided in the MassDEP Guidelines for Ground Source Heat Pump Wells. This approval is for the installation of a conventional closed-loop horizontal well using high density polyethylene (HDPE) tubing. Since MassDEP has not completed a detailed review of this proposed installation, you are advised to contact me if you have any questions regarding the requirements that are detailed in the guidelines. The guidelines can be obtained as the 3rd document on the following MassDEP UIC web page: http://www.mass.gov/dep/water/drinking/uic.htm You should be aware that as of August 19, 2010, revised GSHP guidelines were posted to the UIC web page. If you haven't already done so, a copy of the UIC application must be submitted to the local board of health. Please be aware that the issuance of the above UIC registration number only indicates that MassDEP's UIC Program has received the information that we have requested. There may be other local permits, ordinances, or regulations that apply, including but not limited to board of health permits for well installations and building department regulations regarding trenching work. The issuance of a UIC registration number by MassDEP does not supersede the requirements of any other state or local regulatory entity. A copy of this email has been sent to the local board of health. The board of health should be aware that as of Friday, February 19, 2010, MassDEP significantly reduced the level of effort that goes into the review of a closed-loop UIC registration application for a GSHP well. Specifically, MassDEP no longer requires that the applicant submit site plans and proposed well construction details. Therefore, it is up to the applicant to ensure that all applicable set-back distances are met per the MassDEP Guidelines for Ground Source Heat Pump Wells(January 2012). If you have any further questions you can contact Joe Cerutti at Joseph.Cerutti(a-)-state.ma.us, (617)292- 5859, or by fax(617)292-5696. Eric Cheung MassDEP 1 Winter Street, 5th Floor Boston, MA 02108 Eric.Cheunq@state.ma.us ph 617 292-5992 fax 617 292-5696 10/31/2012 -- i Massachusetts Department of Conservation and-Recreation Office of Water Resources 165227 TYPE OR PRINT ONLY Well.Completion.Report 1.WELL LOCATION GPS (Required) North L-f /o fn T•- West _2 4% .® C C/ Address at Well Location: 41A l d n 64" _`ARAM 6%.Property Owner/Client: of ''- d bA4 Ad Subdivision Name: Mailing Address: __ Cityrrown: OcArrC�2t1I Lt_6C- - City/Town: Assessors Map Assessors Lot#: -NOTE: Assessors Map and Lot#mandatory if no#rest^add ss available Board of Health permit obtained: Yes Not Required ❑ Permit Number 2 'mS Date Issued' )17/12- 2. WORK PERFORMED 3.WELL TYPE 4. DRILLING METHOD 6.CASING Overburden Bedrock From(ft) To (ft) r--Type' l Thickness Diameter 0 ❑ 1�1a®a ® ® ❑ ❑ D 15,5 , tO�OC4 ,Zm,49 �r 5.WELL LOG OVERBURDEN Extra Water Loss or Drop m Fast or ���°❑❑❑ LITHOLOGY Bearing Addition Drill Slow Zone of Fluid Stem F mCft).:; `fit--r—TY-Pe sint�Size—Diareter_ From(ft) To (ft) Code Color Comment Drill Rate jf ©II Y / N Y / N F / S �O ZY 5 I `W AO , Y / N Y / N F / S ISrS 7® ��� a `2-4 27 M W r_S Y / N Y / N F / S � �....,.E ❑❑❑ - - - GllG1 Y / N Y / N F / S ❑❑❑ 8.ANNULAR SEAL/FILTER PACK/ABANDONMENT MTL. 3* ES ujl VA5 Y / N Y / N F /,S, From'(ft) To(ft) Material Description Purpose Y / .N Y / N F- /�S� l'fl ®® ❑F ® Y / N Y / N ❑❑ 'El El Y / N Y / Ne'`1F,,%1SC ❑❑ ❑❑ Y / N Y //N- _o%,s ❑❑ ❑❑ WELL G EDROCK Water. Drop in Extra Usible Loss or #of 9• SITE SKETCH + L,; HOLOGY � Bearing Drill Large Fastor:,,Rust Addition Fractur Zone Stem Chips.� Slow Staining of Fluid per foot 1 From (ft) t (ft) .Code Comment A, a Drill Rate r Y / N`Y'/�N-"F,/ S Y / N Y / N r Y / NYOIIiF / S Y / N Y / N N Y-/-N F / S Y / N Y / N ,Yji'-N,Y / N F / S Y / N Y / N � Y�JIVY / N F / S Y / N Y / N r. = C -Y, /% NY / N F / S Y / N Y / NJ Y-% NY / N F / S Y / N Y / N r1 NY / N F / S Y / N YLN i ,., Y / NY / NF / SY / NY / N Y / NY / NF / SY / NY / N - - - -- - 10. WELL TEST DATA(ALL SECTIONS MANDATORY FOR PRODUCTION.,WELLS) 11.STATIC WATER LEVEL(ALL WELLS) Yield ,Time Pumped Pumping Level Time to Recover - Recovery Depth Below Date Method (GPM) ;(hrs�&min)` (Ft BGS) (hrs&min) (R.BGS) Date Measured Ground Surface (ft) 12. PERMANENT PUMP(IF AVAILABLE) 13.ADDITIONAL WELL INFORMATION Pump Description -\`91 9'® ® Horsepower 4 r Developed&Y / N Fracture Enhancement Y AD Pump Intake Depth -:(/! " � ,(ft) Nominal Pump Capacity �0 (gpm) Disinfected/ N Surface Seal Type 14. COMMENTS ` ;A 4-oo Total Well Depth _1=C Depth to Bedrock 15. WELL DRILLER'S STATEMENT IThis well was drilled, altered, and/or abandoned under my supervision, according to applicable rules and regulations, and-this re o is complete and correct to the best of my knowledge. Driller:. Supervising Driller Signature: Registration #:1 17 A I& Firm: �� _D LW(Ab JltfC- Date Complete: `7 f ZS. L Rig Permit#: j 6 = f -rNOTEr,Tell,Completiop,Reports'm.mtbefled b the.registered.,well driller•within 3,0,days of•wel_l completion., t. . .... ..... . ,'„-, : r ,:. : , t„ , , '$OARD`01=aHE/►L'TFh COPY •E ,•p _ .. .. , -.. .. . ... _.. .....,. . •!t'. ',tT . .. .�. .!. J *. r Well Completion Report Codes �nC *trs. Section 2 Section 3' Section 4 Work Well Drilling Work Performed Type Method Performed Code Well Type Code Drilling Method Code Decommission DC Cathodic Protection CTPR Air Hammer AH Deepen DP Domestic DMST Air Rotary AR Hydrofracture HF Geoconstruction GCON Auger AG New Well NW Geothermal Closed Loop GTCL Cable Tool CT Repair RP - Geothermal Open Loop GTOL Casing Advancement CA Replacement RE Industrial INDS Core CR Injection INJC Direct Push DP Irrigation IRRG Drive and Wash DW Monitoring MONT Dug . DG z Public Water Supply PBWS Mud Rotary MR Recovery RCVR Reverse Rotary RR Test Wells TSTW Sonic SN Section 6 Overburden Casing Lithology Overburden Overburden Overburden Bedrock s Type Thickness Name (OB)Code Color Color Code Bedrock Name (BR Code) Casing Type Code Thickness (NO CODE) Artificial Fill AF Black BL Amphibolite AM Certa-Lok CTL Schedule 5 Boulders B Bluish Gray BG Basalt BS Fiberglass FBG Schedule 10- Clay CL Brown BR Conglomerate/Breccia CG/BR Galvanized Pipe GLP Schedule 40 Coarse Sand CS Dark Gray DG Diorite DI HDPE HDP Schedule 80 Cobbles C Greenish Gray GG Gabbro GB NSF Coated Steel NCS Schedule 160 Fine Sand FS Light Gray LG Gneiss GN PVC PVC SDR 13.5 Fine to Coarse Sand FCS Reddish Brown RB Granite GR Stainless Steel SST SDR 17 Gravel G Yellowish Brown YB Limestone LS Steel STL SDR 21 Medium Sand MS Marble MA SDR 26 Organics g 0 Quartzite QZ SDR 32.5 Sand&Gravel_ SG Rhyolite RH SDR 40 Silt SI Sandstone SS 17# Silty Clay SICL Schist SC 19# Silty Sand SIS Shale SH Silty Sand&Gravel SISG Slate/Phyllite SUPH Till T Pegmatite PM Section 7 Section 8 Section 10 Annular Seal/Filter 4 Screen. Annular Seal/Filter Pack/Abandonment Purpose Method Screen Type Code Pack/Abandonment Material Code Purpose Code Method Code Carbbn Steel CST Bentonite Chips/Pellets BC Fill FL Air Blow with Drill Stem AB Continuous Wire PVC CWP Bentonite Grout BG Filter FT Air Lift -AL Galvanized Wire Wrapped GWW Cement/Bentonite Grout CB Seal AS Bailing BL Perforated Pipe PFP Concrete CT Constant Rate Pump CR Pre-pack PVC PPP Sand SD Variable Rate Pump VR Pre-pack Stainless PPS Native Material NM Slug .SG Slotted PVC SLP Stainless Steel Vee Wire SSV Stainless Steel Well Point SSP I Section 12 Section 13 Pump Description Well Seal Pump Description Code Horsepower Surface Seal Type Type Code 3 Wire Variable Speed Submersible 3WVS 1/2 20 Cement CM 2 Wire Variable Speed Submersible 2WVS 3/4 25 Cement/Bentonite CB 2 Wire Constant Speed Submersible 2WSS 1 30 Concrete CT 3 Wire Constant Speed Submersible 3WSS 1 1/2 40 None NO Constant Speed Submersible Turbine CSST 2 50 Variable Speed Submersible Turbine VSST 3 60 Jet JET 5 75 Line Shaft Turbine LST 7 1/2 100 Centrifical CENT 10 125 15 150 200'. f 05/02/2012 14:17 FAX 508 888 6446 ENVIROTECH LABORATORIES Z 0001/0001 ENUROTECH LABORATORIES,INC. MA CERT.NO.:M-MA 063 8 Jan Sebastian Drive Unit 12 Sandwich,MA 02563 (508)888-6460 1-800-339-6460 FAX(508)888-6446 Client Name Atlantic Well Drilling Location 48 Waterman Farm Rd Address PO Box 339 Centerville,MA No.Eastham MA 02651 Sample Date 04/26/12 Collected By B Silva Sample Time 13:40 Sample Type New well/Irrigation Date Received 04/28/12 Lab Order Number DW-120903 Well Specs 18.5'Deep 10'Static vkrt. S','.YR:��rr ,j ✓Yfif�;i• _ - ,44 uh.�•�.'ti:, f•�: -;:i4'.;�5:. ni'N..?i •`-. .'= '11 -`-44 „'Ir`:;1ibkl•' .�:` ``"F.-.g.,- •A,,:". ''.�'�:.s.�yc:.�:� .,,�r..!. '"''-"` _,.s�>y`:i::ii�-:' =•!u`v:'h+:�r?.�•x;. ,:;:���u4 .. °...- �.= ,�;,�.. �'&d+L� -c�e�:•". � e, •zE t.A�dY... s:= -,..t„a�!�..-�:,;.�:r< 'L- ,�'�-" _�,�? azz z '_KT ,1 g:::a ?'t� ,.:a..., - :,e�. ,:�;--3?�a;>:"'iY_=rhx,�; .� O/tt�� 5"8•�: ;; .,cam.xx<�� � -.•wY :r;4"z.- r?rl �:'p-$..' ` '.'�?s. �4^�`�r' � dt`�a5�R.�-�-. f.F 6s'• . Analysis Requested N Units Recommended Limits Analysts Result Method Date Analyzed Analyzed By Total Coliform I100m1 0 0 SM9222B 4/26/2012 RS PH PH units 6.5-6.5 7.04 SM4500 H-B 4/28/2012 _ LL - Specific Conductancea- - - -umhos/cm- - - '--500 100 EPA 120.1 4/26/2012 LL Nilrite•N mg/L 1.00 <0.004 EPA 300.0 4/26/2012 LL Nitrate-N mg/L 10.0 0.17 EPA 300.0 4/26/2012 LL -................._ _-------------_---------._...__—_. . --- --- --- .......-- -- ... -0.1 - --_..-._..._.•-___.—......_------odium mg/L 20.0 11.1 EPA 200.7 4R7/2012 MC Total Irona mg/L 0.3 0.46 EPA 200.7 4/27/2012 MC Ma n9 aneson mg/L 0.05 0.23 EPA 200.7 4/27/2012 MC Comments: Iron and manganese are not a health hazard,but can cause taste,staining and odor problems. Water meets EPA standards en 's sui b/e for dtfnking for parameters tested. -- - - Date R nuld .S r T Laboratory 1 clot i BRL s Below Reportable Limits •See Attached Page 1 of 1 rCert(lication Is not available for this analyze for non potable water samples.. No. i ( f 'P! Fee THE COMMONWEALTH OF MASSAC SETTS' Entered in computer: Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSA TTS �4phra 'on for Misposal 6pstern ConstCurtion Verinit Application for a Permit to Construct Repair( ) Upgrade( ) Abandon( ) O omplete System ❑Individual Components Loc tion Address or Lot No. Lcfi �1 -�`t' V-e%m tLk Owner's Name,Address,and Tel.No. As ssor's ap//�parcel M, Zo y OD 1Cu 1-w 5eimet�������A Installer's Name,Address,and Tel.No. JErl c_g-ft!�5 Designer's Name,Address,and Tel.No. 2- L w�tc�r(r�1,- C �4 eOlo 1l M��rS�awS M1�s Mpg-77�lo%j xis �z. Type of Building: Dwelling No.of Bedrooms b�f�n 'ot Size S,I Z ac,ts --sq--ft: Garbage Grinder(NO) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) 0 gpd Design flow provided gP d Plan Date -Sa;,\ 21 .?ox\ Number of sheets Revision Date Z Z Title �� v, ,N Size of Septic Tank I il f�� ` Type of S.A.S. Description of Soil SCE .:k-­c k,S S97 --- 11Z 24 0, 6-11 tiff L% 61f, 313 i1-IS�� - ,� '� L..v�_• (��n-, S•;n� Itl'�f y�lu, Nature of Repairs or Alterations(Answer when applicable) 113 IZL -C'Ne_r ►Yle c( Srnt�� Sy (c 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 Si ned Date 1 G 1 /I Application Approved by Date Application Disapproved b Date for the following reasons Permit No. 9,0 I1—©p Date Issued / / ems; . 4 )w k * ,u- tl �_yt j 7 � a+: '✓"; A 'V � Fee '�C ` r - ' 'V " TT erediTHE COMMONWEALTHOF MASSAGFIU cmputer: Yes �PUBL HEALTH DIVISION —TOWN OF BARNSTABLE, MASS A ETTS• ' 2ppV on for Bisposal ,*pstem construction 3perrttit Application for a Permit to Construct Repair U rade?. Abandon om 1"e'f System PP ,., p ( ) pg ) ( ) [�C p f ,y 0 Individual Components Location Address or Lot No. Lair3 I -W Owners Name,Address and Tel.No. t L As essor'sMap/Parcel A.Zo 0D1,' Installer's Name,Address,and Tel.No. Epp c S�fV£�S Desi er s Name,�Address,and Tel.No. `I I ri�ZrSlonS 'M,1�� SC��-�71a'9G5t� b.�.x "� Type of Building: �. Dwelling No.of Bedrooms '(6d P Lot Size S.I Z vcrtS --sq-*. Garbage Grinder(IV4) / f Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures v, SD_ ign Flow(min.required) (Q gpd Design flow provided &75 gpd Plan Date 5G�ZTZ�1 Number of sheets Revision Date ZZ Title ,Size of Septic Tank I Ss�O �, , Type of S.A.S. z pescription of Soil' SCr, �er`c S 9��437 + 13.,7 a N „ zw Nature of Repairs or Alterations(Answer when applicable) IS-I2 0" [Yte d. `Sc*•tcA zs-y (n�_ Y ~ r , Date last inspected: Agreement:,. ' ?t 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 o Health. f t,`, S igned A Date l / I f Application Approved by j Q Date c Application Disapproved b ' Date 1 i Tithe following reasons k Permit No. ;�O//—OX/ Date Issued ------------ = --------- ------------ ------------------------------------ THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE,MASSACHUSETTS Certificate of Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal system Constructed(.i) Repaired( ) Upgraded( ) Abandoned( )by at C4 `fit - �G`yrwn ���M ����of 41 has been constructed in accordance _ with the provisions of Title'5 and the for Disposal System Construction Permit No. -p/j-U dated Installer ( Designer #bedrooms 1 d r��t-r t(/ Approved des' flo�dl 4 �o gpd The issuance of th' permit shall not be construed as a guarantee that the system wi I fun tion as desig d. Date (p I Inspector No. al]>`��;�0 ( Fee THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION—BARNSTABLE,MASSACHUSETTS Misposal 6pstem Construction 3dermit Permission is hereby granted to Construct Repair( ) Upgrade( ) Abandon( ) System located at (_.A 1 - Wa1-Li Y,,c.. �a_M - (5)"� J 0;—y Ol r 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:Coni struct n must be completed within three years of the date of this permit. Date �J J Approved by CY TOWN OF BARNSTABLE v P 31%�I LOCATION W Aye SEWAGE#,�0f f- 6$ f VILLAGE ASSESSOR'S MAP&PARCELao 7-09 j INSTALLER'S NAME&PHONE NO. EQIL 'S-TEye-,dg SbIJ -776-90�- SEPTIC TANK CAPACITY /:-bn LEACHING FACILITY: (type)(10 �56 _ (size) NO.OF BEDROOMS—�a — p irP r f,It l; +z� OWNER 4Wav, Rv �►�n PERMIT DATE: 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(If any wetlands exist within 300 feet of leaching facility) Feet FURNISHED BY Fren7— . � �� 2lP ti aZ:28li� A�-: ye �2'3o�i � d�;3S► A3 62yZ Town of Barnstable �pTHE To Regulatory Services Thomas F. Geiler, Director snxivsrnBLE, Public Health Division 1639. �En N,pr a Thomas McKean,Director 200 Main Street, Hyannis,MA 02601 Office: 508-8624644 Fax: 508-790-6304 Date: (� Sewage Permit# Z,0 A-0q) Assessor's Map/Parcel ZO —Oq -00? Ol Installer&Designer Certification Form Designer: �I1�l,,Qp�� L Installer: F�1c Address: Address: f.4 J�6ac 71 VJ% l m oZ6S!; MRSTOJUS MILLS P On rot �I�� was issued a permit to install a (date) � (installer • _ 7" septic system at f,,,_, ,)4 Loi-'s1 based on a design drawn by (address) Sd��V_ b1SY_V C\-A dated Zl,La (designer) /I certify that.the septic system referenced above was installed substantially according to the design, which ma y include y minor approved changes such as.lateral relocation of the distribution box and/or septic tank. Stripout (if required) was inspected and the soils were found satisfactory. I certify that the septic system referenced above was installed with major changes (i.e. _ greater than 10'.lateral relocation of the SAS or any vertical relocation of any component of the septic system) but in accordance with State& Local Regulations. Plan revision or certified as-built by designer to follow. Stripout (if require ected.and the soils were found satisfactory. �P�tH oFMgssgo ,• JOHN C. 0 EA CIVILm CIVIL (Inst er's Signature) No.48168 9 90.E STER�� �cQ Fss/ANALIt e i ' ignature) (Affix Designer's Stamp Here) PLEASE RETURN TO BARNSTABLE PUBLIC HEALTH DIVISION. CERTIFICATE OF COMPLIANCE WILL, NOT BE ISSUED UNTIL BOTH THIS FORM AND AS- BUILT CARD ARE RECEIVED BY THE BARNSTABLE PUBLIC HEALTH DIVISION. THANK YOU. gAoffice formsWesignercertification form.doc 'Doc:,1 y 163 v 357 04-01-2011 3:33 BARNSTABLE LAND :COURT REGISTRY DEED RESTRICTION Nathan T. Rudman and Kathryn M. Rudman of 178 Cap'n Samadrus Road, Cotuit, Massachusetts, as owners of 40 Waterman Farm Road, Barnstable (Centerville), by deed (Certificate 156588) recorded in the Barnstable Registry of Deeds Land Court as document number 792,248 agree that until such time as technology changes and/or the Barnstable Board of Health changes its regulations or otherwise_grants-permission, any house built on the premises of a portion of 40 Waterman Farm Road, Barnstable (Centerville), shown as Lot 31 on Land Court plan 32290-F , shall have no more than six (6) bedrooms. -Nathan T.-Rudman_ i' �",Kathryn M. Rudman COMMONWEALTH OF MASSACHUSETTS Barnstable County On this 25th day of March, 2011, before me, the undersigned notary public, personally.appeared Nathan T. Rudman, proved to me through satisfactory evidence of identification, which was and Kathryn M. Rudman, proved to me through satisfactory evidence of identification, which was to be the persons whose names are signed on this document and acknowledged to me that they signed it voluntarily for its stated purpose. Not Public: Paula Sullivan hewn s 'bed 4i be dwA, 60 My commission expires: a as PAUL,A M. SULLIVAN N tca.-p Public H /j 0 2- i i Com r+ 1.1 h of Massachuselt5 My C..<im,ission .Expires August 22, 2014 ZZ`iG F 3 3 � F V DESCRIPTIOt d Utia t ey h/ �6er��sc yam_ SCHEMAML ASSOCIATES, INC. • �I � I1 ar W A R C H I - TECH ASS 0 C I A T E S A m architectural design t �� oVG� � L•�'rI O� t t� tl a a1 d- ��� de4 CCU, I- k X.I SCHEMATIC DESIGN .6 ARCHI-TEcH AssocIATs, w. r 6- V ARCHI - TECH ASS 0 C I A T E S. Z GiCPI ��� architectural design X �o QD Caeca• �} IZ�x170 tf ---------------- SCHEMATIC DESIGN AMMI-TECH ASSOCIATES, INC. , LL V .: ARCHI — TECH NIA A S S.0 C I A TESA e� \ � /�..,•�� �` n arch i t-e ctu ral d es i g n �..� 4 t�C v�. �"... "rem, � .Ly � d -. ��'�.}-�-'� � SY/�� � • PERC TEST: 9,387 PERC TEST: 13,204 ZONE. PERFORMED BY:BAXTER&NYE,INC. PERFORMED BY:SULLIVAN ENGINEERING,INC. „ u SOIL EVALUATOR NO.-N/A(1999) JOHN O'DEA,P.E. " a RC WITNESSED BY:DONNA MIORANDI,R.S.-TOWN OF BARNSTABLE SOIL EVALUATOR NO.-2911 i Area (min.) 87,120 SF (RPOD) MAY 6,1999 WITNESSED BY:DAVID STANTON,R.S.-TOWN OF BARNSTABLE Fron to e (min) 20' PERC RATE_<2 MIN/IN(LTAR=0.74) MARCH 11,2011 Width (min) 100'U TEST HOLE- 1 TEST HOLE-2 Setbacks: EL.ta.a TEST HOLE-3 TEST HOLE-4 .; Ij i� f EL.10.3 EL.I5.50 EL.9.85 Front 20' O LAYER 10YR 3/2 O LAYER 10YR 3/2 « Side 10' ORGANICS ORGANICS VERY DARK GRAYISH BROWN VERY DARK GRAYISH BROWN t , Rear i D 6" 9.8 3" 14.2 5" ORGANICS W/SANDY LOAM 15.08 5" ORGANICS W/SANDY LOAM 9.43 , x E LAYER 10 YR 4/3 BW LAYER 10 YR 3/3 E LAYER 10 YR 4/3 BW LAYER 10 YR 3/3 �f BROWN BROWN DARK BROWN DARK BROWN 18" Cos 8.8 6" COS 13.9 I V SANDY LOAM 14.58 OVERLAY DISTRICT: 13" SANDY LOAM 8.77 � a B LAYER 1 OYR 5/6 B LAYER 1 OYR 5/6 B LAYER 1 OYR 4/6 B LAYER 1 OYR 4/6 y AP - Aquifer Protection District YELLOWISH BROWN F YELLOWISH BROWN DARK YELLOWISH BROWN DARK YELLOWISH BROWN 3000 o0 30" COS 11.9 15" LOAMY SAND 14.25 28" LOAMY SAND 7.52 o RPOD - Resource Protection Overlay District 32" cos 7.6 3�o o C LAYER IOYR 615 C LAYER 1 OYR 6/5 C LAYER 2.SY 6/6 C LAYER 2.SY 6/6 s Estuarine Watershed M BROWNISH YELLOW. v tta BROWNISH YELLOW a OLIVE YELLOW OLIVE YELLOW ( i14 3 i w COS 0.l COS d MED SAND MED SAND O F 36" PERC TEST 12.5 U FLOOD ZONE. U F 1 25 GALLONS IN 5 MIN 70.2"-HIGH GROUNDWATER-4.0 LOCATION MAP 73" 4.2 120" 4.4 1201 PERC RATE<2 MIN/IN(LTAR=0.74) 5•5 PER FULL MOON TIDE READINGS Zones All (El. 10), B, & C GROUNDWATER ENCOUNTERED NO GROUNDWATER.ENCOUNTERED NO GROUNDWATER ENCOUNTERED MARCH 18-22,2011 1"=2,000±' Community Panel No. PER 3 4 #250001 0008 D l- ( >�> 0.84 ASSESSORS REF.: July 2, 1992 SITE PASSED Map 207, Parcel 091-002 DIRECTIONS: From Hyannis - Follow Main Street to the West End Rotary Take Scudder Avenue to the stop sign, and then WF-#143 take a right onto Smith Street, which turns into Croigville Beach Road; After the bridge take a right onto Horseshoe Lane, and then bear right onto Waterman Farm Road; Site is on the left, #40. - N/F Rudman ©� WF-_#42 I Cert.156588 WF-#43 WF-#411 Cj\WF-#144 210.00' WF-#40 ' N69 25'43"W WF-#39 \ \ 1, / r Il / 'l .\WF-#145 WF-#38 ! \ \ \ WF-#37 It Ll 1 WF-#146 e 11 \ 1 �WF-#147\ � 1 WF-#36� \ \ \ \ 1 / o WF-#148 AL N IN7 WF-#35 #149 \ �m \ Bordering \ Vegetated Wetlands ,� o �'. .� \so.00' \ �W 150 \ \, WF-#34 I 1 1 �sy \ \ '`\ WF-#1 1 �\ VARIANCE REQUEST I y f -� \ \ � $ �� t � Town of Barnstable-Chapter 360-1(Setbacks to Waterbodies) AIL /op 1U _ \ �,� \�\ F� \ \ \�- t I 100'Required p t W \ �\ ': \ �9 "o \ WF-#112 75'Provided WF-#33 I 4 rn \ �� \ \ \ 25 Waiver Requested I l h \ \ \ WF-#153 \ WF #32 I I oy} \ \ BM WF-#31 f l� \ �• WF-#154 ` J I P FND EL. 8.43 I 15.1 \ } \ x 1 .8T n I f a � I / DESIGN DATA f m WF-#155 i1 Single Family { 1 14 O i7 t Q ? t I 6 Bedroom @ 110 GPD e I j S t i / No Garbage Grinder ! ( rf Total Daily Flow=660 GPD SEPTIC NOTES (71 / jj E I f Use a 1500 Gal H-20 Septic Tank Q WF-#30 1.Location of Utilities Shown on This Plan Are Approx.At Least 72 Hours Q LEACHING AREA Prior to Any Excavation For This Project the Contractor Shall Make 50. 0' x 14.2 ( the Required Notification to Dig Safe(1-888-344-7233). f - 1 f 660 GPD/0.74(LTAR)=892 SF Required f 4 ° Q t I ) f 2.The Contractor is Required to Secure Appropriate Permits From Town { I W WF- 15 Sidewall=2(12'+53')X2'=260 SF ! .J, 2 CK # Agencies For Construction Defined by This Plan. a j r t 1 Bottom Area=(12'x 53)=636 SF WF-#29 I W h f ( y I 3.Wherever Sewer Lines Must Cross Water Supply Lines Both Lines Shall f 896 SF Total Provided • i p�� •� � I f � � � Be Constructed of Class 150 Pressure Pipe and Shall be Water Tested to 1 Assure Watertightness. In General,Water Lines Shall be Constructed in m RESERVE AREA Coordination With COMM Water,and Shall be in Accordance Bordering j Oj S t I J t ( With 248 CMR 1.00-7.00&310 CMR 15.00. {{ �„ \ 660 GPD/0.74(LTAR)=892 SF Required Vegetated I 75�*t -3 t f ! f { WF-#15 A Sidewall=150'XO.96'=144 SF 4.A Minimum of 9"of Cover is Required for All Components. Wetlands WF- 28 /6.74 ) f I Bottom Area=756 SF 5.All Structures Buried Three Feet or More or Subject # 2 $E k 1 I to Vehicular Traffic to be H-20 Loading.It is the Engineer's / '�;�� •4 f f � � 900 SF Total Provided g• B .6 ) ^ 04 / \ Recommendation that H-20 Always be Used. ( / j j 1 1 LEACHING CHAMBER DESIGN 6.Install Watertight Risers and Covers to Within 6"of Finished Grade MI / J Over Septic Tank Inlet and Outlet,D-Box,and One Leaching Chamber. 200.00t l All Pipes to be Schedule rs Use 7.Septic System to be Installed in Accordance With 310 CMR 15.00& \ \ 6-500 Gal H-20 Chambers in a 248 CMR 1.00-7.00 Latest Revision and the Town of Bamstable \WF-#158 12'x 53'Washed Stone Field as Shown. Board of Health Regulations. 4 �i1, 8.All Piping to be Sch.40 PVC. 9.D-Box Shall Have a Minimum Inside Dimension of 12",and a Minimum t L' _ Sump of 6". WF-#27 � f f { \ \ \WF-#159 \ 10.The Separation Distance Between the Septic Tank Inlets and 1 o a - Outlets Shall be No Less than the Liquid Depth.Inlet Tees Shall Extend 1 N W W / / \ a Minimum of 10"Below the Flow Line.outlet Tees Shall Extend 14" f t 1 1 -„ ��� 13,.., x � � i � '� \ � � Below the Flow Line,and Shall be Equiped With a Gas Baffle. \ Q Z WF-#160 WF-#26 I iA 0 ' ppcn( Il, R�`l 2 p o�� �g �,O�QQ` { \\ \ \ Bordering �roc� \ Vegetated Wetlands Az r-#161 _ \ 10- $' o ,q 23 _ /moo \ o\_� \� ''�` N O J \R Q Q �� R�VE 000,o oo-o WF-#24 ) m 1 9„ °j \\ \\S \ 1 !� = 34 ,X `c, �_ oz- \ 50.bo' \ WF-#23 / m o -") \ �' o ^< PVC 1 Q N 50.0 ' l Lot 31 f iWF #162 �� 5.12 Acresf161 ( I WF-#22 d, � WF-#21 u �, o a o i� r�. N/ WF-#164 all, WF-#20 I I 1 I\ .�ryh cert S88 S - . 200�01 ✓ , WF-#16 0 1 Sto e Defibed #166 `f t - / / ` � . Coos al B nk / ✓WF- _ / y j •h� -#167.-^ Finish Grade • � � "� � � ,, 'h _ s ,,.-' 05 ,.�'' .- 3' Max. L, WF- 19 / t / o / � 9" Min Compacted Fill � /� Filter f r l\ , / � f Fabric And/Or ca 1 � / •�o •f`d ''" ~, � fORSEp j� ��\ ~' •�-;� � f / .•-• �" 2.,., 1/8,. _ 1/2„ f tI / � /t ° �d/,dh \ PH INO i \\\ \ \\ // 3VCR Pea Stone I. 1 1 fR°. \ \ t DW3,4886 f / \\ H-20 3/4" - 1 1/2" 1 2g SEE f ( r f LEACHING Double Washed °O� \ f f 1 / f\\ ` / CHAMBER Stone 4' - 10" 5ECTION OF CHAIV'RER u..___ f � 0).o� ° NOT TO SCALE 1 �� ,� 0 J BM CBIDH FND EL. 3.01 Vent In d t //� j / / / ' / I ! � See Note 6 (typ.) / // / / / /r 'r ✓ / / / f F.G. EL. 15.25 51.77 W �� _- ! / __ � F.a EL. 14.5 / / 7 251 - / t / \ � N -• .,,_ .,_.._ r•,, -'' / � t� i Flow Equalizers � ��'�� / \ ^ Ins 1 er As Required •, %! / / % / / - j / � / ~` d. Installer To r Confirm Prior E / _ v 1500 Gallon 1196.6T l0 0p, \ \ \ To Any Work Septic c2Tank O6 EL. H-20 Top EL. 12.28 8 \ D-Box L. 11. 8 ✓�-'` C1 y. H OF dge Of Bak Oriv 30,_ __ _ N57•®3+Jr1 u \ a « H-20 eserve EL. 11.50 '` flue 0' sde L� Mgss e { Wide � `-1 W �� EL. Leaching Fill Required At Time Of Reserve o gt p 2 JOHN C. q"G Way 7 r \` �o \o _ O To Be Installed On // Chamber Ex. Grade ®Reserve 9.50t e f o a o e ompoc a dose ,_ ? ) e` O'DEA cr -" a e�� d9e of S�� �^" i Bedding,"T"s, o tan ^) e Ins ection Port, lf;:: rrrttiririfereFf h�eitiii......d6:>f. P .. P............- 0 �rtve ib v & Baffels :..ik(F:.3lrisr..... z:;_Sa....:i 13 i1n S�:;:zff:'>:: D. 168 �� / as Per Title 5 ?:T(s:piFi ::Pririie :fri::T+o;::�yaiem R�� �� \ No Groundwater F rrUst s G� N/F i /�I I\ Per Test Hole 1 S/ONAL EN Sk•746g 19/ia ,, DEVELOPED PROFILE OF SYSTEM N Realty 1 {lorsBkhg9g9 Pg•20 r5lwatermon Farm Rd. pg. 79 N�F Modify Septic & Update Elevations DATE: 061141121 ��v Bk 906 P9 34 ` NOT TO SCALE Update B/d Add Invasive Removal DATE: 01131112 REVISION: Added Updated Test Hole Information DATE: 031221111 TI TLE: Site Plan PREPARED BY. PREPARED FOR: NOTES: Proposed Improvlements Sullivan Engineering, Inc. The ro pert line information shown was corn iled from I Nathan T. & Kathryn M. Rudman ) property y p � PO Box 659 available record information. At Osterville, MA 02655 178 Captain Samadrus Road 2.) The topographic information was compiled from ~ Cotuit MA 02532 available information. Lot 31 Waterman Farm (508)428-3344 (508)428-9617 fax 3.) The datum used is NGVD '29, a fixed mean sea level datum. Bamstable (Centerville) MaSS Draft: Bench Marks used: RM36 & RM33 as designated by FEMA. Q JOD 30 0 15 30 60 120 4.) Wetland Resources Per SE3-4420. DATE. January 21, 2011 SCALE: 1 „=30' Review: PS Project: 29024