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HomeMy WebLinkAbout0360 WHITE OAK TRAIL - Health 360 WHITE OAK TRAIL, CENTERVILLE A= 192 243 oqcOb lll eads z UPC 12534 No.2_R `.77co , HASTINGS,MN NO. Fee U� THE COMhIONWEO TH OF„MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION - TOWN OF BARNSTABL'E., MASSACHUSETTS Z(ppYication for Mtoozat *pg;tem Construction Permit Application for a Permit to Construct( , )Repair(/)Upgrade( )Abandon( ) O Complete System PllI ividual Components Location Address or Lot No. / Owner's Name,Address a d Tel.No. As s or`MY el C � C'1le Installer's Name,Address,and Tel.No. ,p �Q/�yGC�/ / Designer's Name,Address and Tel.No. /77/�Q l/ Type of Building: Dwelling No.of Bedrooms Lot Size 2Zf SS_Y sq.ft. Garbage Grinder( �Q Other Type of Building Le No. of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow ,313r 19 gallons per day. Calculated daily flow gallons. Plan Date Number of sheets Revision D to Title YK0 1^ Size of Septic Tan !®®O I& Type of S.A.S. �� sv,A'' Description of Soil Nature of Repairs or Alterations(Answer when applicable) Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certifi- cate of Compliance has been issued b his oar if HgAlth. _,• �T� Signed A w, Date Application Approved by ' Date Application Disapproved for e following reasons Permit No. Date Issued t a ——————————————————————————————————————— No. d Fee THE COMitI dNVVL L Z,.MASSACHI ETTS Entered in computer: PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLES MASSACHUSETTS Yes x 0(pprication for Oigozal"iipgtem Construction Permit Application for a Permit to Construct( )Repair/)Upgrade( )Abandon( ) EJ Complete System PJ� dividual Components Location Address or Lot No. Owner's Name,Address and Tel No. As e ortisMy/P 3el C'!.n�j �l�/l Installer's Name,Address,and Tel.No. !L Gs Designer's Name,Address and Tel.No. Ft *, Type of Building: Dwelling No.of Bedrooms t ., Lot Size q,ft. Garbage Grinder( _6�� Other Type of Building eQPS�fPGl��° No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow . -- gallons per day. Calculated daily flow 31a i gallons. Plan Date 517 41119 Number of sheets Revision D to Title ��°f'1 O ® Gf /!2p e- / 4 � Size of Septic Tank AfOO AP i ��9�`/�0� Type of S.A.S. Description of Soil, >® ✓��) t 'Nature of Repairs or Alterations(Answer when applicable) f 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 issued b�y?this oazd of H alth. Signed I'' `/ < "y' Date //�- ,7le%J Application Approved by r- R s Date 1 7 o Application Disapproved for f e following reasons Permit No.00 U �r 7 Date Issued • --------------------------------------- - THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS 3 409M Certificate of Compliance THIS IS TO CERTIFY,�t�e�x�_ Onte SS wage Disposal System Constructed( )Repaired(�' )Upgraded Abandoned` )by ®/- at 1� /r � !'Q'/ CPO len,-1 1 has been construct d in accordance with the provisions of Titl 5e� and the for Disposal System Construction Permit U — °1 dated Q! l/ SA Installer 'd tj':i Designer The issuance of this permit steal},not-e construed as a guarantee that d e system 1 f atio as designed. Date U ( Inspe for :�. No. � o(�`, ' ( /� ————————���—^� ��------------Fee THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLE, MASSACHUSETTS Mi.5pogat bpgtem Con$truction Permit Permission is hereby granted to Construct,.( )Repair(V,l Upgrade( ,)Abandon'( ) System located at �!1 W�� �a -- ���� ''► ' and as described in the above Application for Disposal,System Construction rnut;Lhe=,applicant recognizes his/her duty to comply with Title 5 and the following local provisions or special conditions. Provided:Construct, must be completed within three years of the date f this pe it. Date:_ / Approved by n LILIZ / —r TOWN OF BARNSTABLE LOCATION JdV W-4,, 4 6204 17,ec I SEWAGE # S- VILLAGE ����ir✓� t l 1 ASSESSOR'S MAP & LOTI INSTALLER'S NAME&PHONE NO. � / �S�r�G�.vJ/ �1 �1�'�► SEPTIC TANK CAPACITY LEACHING FACILITY: (type) 520 G4L aaa�ri( (size) Id X.Z NO. OF BEDROOMS BUILDER OR ` R eCosr c� PERMTTDATE: eI1R^or' COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility S� Feet Private Water Supply Well and Leaching Facility (If any wells exist on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) Feet Furnished by / �w� ,�_d r KJ1V-0*0h,wr �h �,., � a � Y� �>. `f FROM :down cape engineering inc FAX NO. :15083629880 Oct. 20 2005 12:23PM P1 Town of Barnstable dp111E Regulatory Services Tbornas F. Geiler, Director '""r„I Public Health Division i639. , ' e�► Thomas McKean, Director 200 Main Street,I-1yannis, MA 02601 Fax: 508-790-6304 office: 508-802.4644 Installer & Desig.Lner Certification Form Date: C�l� Co� Sewage Permit# CDs Assessor's MapTarcel Designer: 31 OW Installer: Q Address: Address: 44(, r / J r`o /"tlll✓ I�/1� 10 On �/Z 11 ,5— �c$, was issued a permit to install a (date) I ,f w(installer] septic system at 3G ( Jh1� _ Oak. /ra/ / based on a design drawn by �J (address) G1,C.Dt.: dated /' ( signer) •erti that the septic system referenced above was installed substantially according to I � fY p the design, which may include minor approved changes such as lateral relocation of the distribution box and/or septic tank. 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. —_ �0'. OF Mq SAC ARNR OJAI A(Insta.615 LSiCIVIL N No. 30792 (Designer's Signa (Affix De . t p Here) LEAS RET N T T BE ISSUED UNTIL B HETLTH S FOI DIVISION. A ER TFC AT OD CO M ILIAN E LL lY0 RECEIVED ILIC.HEALTH DIVISION. THANK YOU Q:Hcalth/septiciDesigncr Certification Form 3-26-04.doe -� Conunonwealth of Massachusetts Executive Office of Envirolunental A -airs Dept. of Environmental Protection One winter Street Boston Ma. 02108 .Jolty Septic Uq ' D.B.P. Title V Septic Inspector P.O. Box 2119 Teaticket, MA 02536 (508) 564-6813 WILLIAM F.WELD Governor ARGEO PAUL CELLUCCI Lt.Governor SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM �3 PART A CERTIFICATION Property Address: 360 WHITE OAK TRAIL CENTERVILLE MAP 192 PAR 243 LOT 65dress of Owner: ) yyo tT +' tf Date of Inspection: 9123/98 (If different) t t Fib Name of Inspector: JOHN GRACI JON COOK I am a DEP approved system inspector pursuant to Section 15.340 of Title%(310 CMR 15.000) Company Name, Address and Telephone Number: �r " CERTIFICATION STATEMENT I certify that I have personally inspected the sewage disposal system at this address and that the information reported below is true, accurate and complete as of the time of inspection. The inspection was performed based on my training and experience in the proper function and maintenance of on-site sewage disposal systems. The system: x Passes This Inspection Is based on criteria defined In Title V _ COndltl nal Passes code 310 CMR 76.303.My findings are of how the system is performing atthe time of the inspection.My Inspection does _ Needs ur er Evaluation By the Local Approving Authority not imply any warranty or guarantee ofthe longevity ofthe Fails septic system and any of Its components useful life. Inspector's Signature: Date: 9124198 The System Inspector shall submit a copy of this inspection report to the Approving Authority within thirty(30)days of completing this inspections. If the system is a shared system or has a design flow of 10,000 gpd or greater,the inspector and the system owner shall submit the report to the appropriate regional office of the Department of Environmental Protection. The original should be sent to the system owner and copies sent to the buyer,if applicable and the approving authority. INSPECTION SUMMARY: Check A, B, C,or D: A] SYSTEM PASSES: x I have not found any information which indicates that the system violates any of the failure criteria defined as in 310 CMR 15.303, Any failure criteria not evaluated are indicated below. COMMENTS: B] SYSTEM CONDITIONALLY PASSES: _One or more system components need to be replaced or repaired. The system, upon completion of the replacement or repair,passes inspection. Indicate yes,no, or not determined(Y, N, or ND). Describe basis of determination in all instances. If "not determined",explain why not. The septic tank is metal, unless the owner or operator has provided the system inspector with a copy of a Certificate of CoTnpliance(attached)indicating that the tank was installed within twenty(20)years prior to the date of the inspection; or the septic tank,whether or not inetal, is cracked, structurally unsound, shows substantial infiltration or exfiltration, or tank failure is imminent.The system will pass inspection if the existing septic tank is replaced with a conforming septic tank as approved by the Board of Health. (revised 04f27,197) One Winter Street • Boston,Massachusetts 02108 a FAX(617)556-1049 a Telephone(617)292-5500 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address: 360 WHITE OAK TRAIL CENTERVILLE MAP 192 PAR 243 LOT 65 Owner: JONCOOK Date of Inspection:9129198 _ Sewage backup or.breakout or high static water level observed.in.the distribution b.ox is due to a broken. or obstructed pipe(s)or due to broken, settled or uneven distribution box.The system will pass inspection if (with approval of the Board of Health). Describe observations: broken pipe(s)are replaced obstruction is removed distribution box is leveled or replaced —The system required pumping more than four times a year due to broken or obstructed pipe(s). The system will pass inspection if(with approval of the Board of Health): broken pipe(s)are replaced obstruction is removed C] FURTHER EVALUATION IS REQUIRED BY THE BOARD OF HEALTH: _ Conditions exist which require further evaluation by the Board of Health in order to determine if the system is failing to protect the public health, safety and the environment. 1) SYSTEM WILL PASS UNLESS BOARD OF HEALTH DETERMINES THAT THE SYSTEM IS NOT FUNCTIONING IN A MANNER WHICH WILL PROTECT THE PUBLIC HEALTH AND SAFETY AND THE ENVIRONMENT: Cesspool or privy is within 50 feet of a surface water Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh. 2) SYSTEM WILL FAIL UNLESS THE BOARD OF HEALTH (AND PUBLIC WATER SUPPLIER,IF APPROPRIATE) DETERMINES THAT THE SYSTEM IS FUNCTIONING IN A MANNER THAT PROTECT THE PUBLIC HEALTH AND SAFETY AND THE ENVIRONMENT: The system has a septic tank and soil absorption system and is within 100 feet to a surface of water supply or tributary to a surface water supply. The system has a septic tank and soil absorption system and is within a Zone 1 of a public watersupply well. The system has a septic tank and soil absorption system and is within 50 feet of a private water supply well. The system has a septic tank and soil absorption system and the SAS is less than 100 feet but 50 feet or more from a private water supply well, unless a well water analysis for coliform bacteria and volatile organic compounds indicates that the well is free from pollution from that facility and the presense of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm. Method usedto determine distance (approximation not valid) 3)Other D] SYSTEM FAILS: You must indicate either"Yes"or"No"as to each of the following: _ I have determined that the system violates one or more of the following failure criteria as defined in 310 CMR 15.303. The basis for this determination is identified below. The Board of Health should be contacted to determine what will be necessary to correct the failure. Yes No Backup of sewage in facility or system component due to an overloaded or clogged SAS or cesspool. Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or clogged cesspool. SAS is in hydraulic failure. (revised 0427)971 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address: 360 WHITE OAK TRAIL CENTERVILLE MAP 192 PAR 243 LOT 65 Owner: JONCOOK Date of Inspection:9123198 D] SYSTEM FAILS(continued) Yes No Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool. Liquid depth in cesspool is less than 6"below invert or available volume is less than 112 day flow. Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s). Numbers of times pumped Any portion of the Soil Absorption System,cesspool or privy is below the high groundwater elevation. Any portion of a cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply. Any portion of a cesspool or privy is within a Zone 1 of a public well. Any portion of a cesspool or privy is within 50 feet of a private water supply well. Any portion of a cesspool or privy is less than 100 feet but greater than 50 feet from a private water supply well with no acceptable water quality analysis. If the well has been analyzed to be acceptable, attach copy of well water analysis for coliform bacteria,volatile organic compounds, ammonia nitrogen and nitrate nitrogen. E] LARGE SYSTEM FAILS: You must indicate either"Yes"or"No"as to each of the following: The following criteria apply to large systems in addition to the criteria: The system serves a facility with a design flow of 10,000 gpd or greater(Large System)and the system is a significant threat to public health and safety and the environment because one or more of the following conditions exist: Yes No the system is within 400 feet of a surface drinking water supply the system is within 200 feet of a tributary to a surface drinking water supply _ _ the system is located in a nitrogen sensitive area (Interim Wellhead Protection Area(IWPA)or a mapped Zone II of a public water supply well) The owner or operator of any such system shall bring the system and facility into full compliance with the groundwater treatment program requirements of 314 CMR 5.00 and 6.00. Please consult the local regional office of the Department for further information. (revised 04127197) SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B CHECLIST Property Add res s: 360 WHITE OAK TRAIL CENTERVILLE MAP 192 PAR 243 LOT 65 Owner: JONCOOK Date of Inspection:9123199 Check if the following have been done:You must indicate either"Yes"or"No"as to each of the following: _c_ — Pumping information was requested of the owner, occupant,and Board of Health. x None of the system components have been pumped for at least two weeks and the and the system has been receiving normal — flow rates during that period. Large volumes of water have not been introduced into the system recently or as part of this inspection. x — As built plans have been obtained and examined. Note if they are not available with N/A. x The facility or dwelling was inspected for signs of sewage back-up. x — The system does not receive non-sanitary or industrial waste flow. _c_ — The site was inspected for signs of breakout. x All system components, excluding the Soil Absorption System, have been located on the site. x The septic tank manholes were uncovered, opened, and the interior of the septic tank was inspected for condition of baffles or tees, material of construction, dimensions, depth of liquid,depth of sludge, depth of scum. x The size and location of the Soil Absorption System on the site has been determined based on The facility owner(and occupants, if different from owner)were provided with information on the proper maintenance of Sub-Surface Disposal Systens. x Existing information. Ex. Plan at B.O.H. x Determined in the field(if any failure criteria related to Part C is at issue, approximation of distance is unacceptable)[15.302(3)(b)] (revised 04127197) SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION Property Address: 360 WHITE OAK TRAIL CENTERVILLE MAP 192 PAR 243 LOT 65 Owner: JONCOOK Date of Inspection:9123198 FLOW CONDITIONS RESIDENTIAL: Design flow: Sao 9 P•d./bedroom for S.A.S. Number of bedrooms: 3 Number of current residents: 3 Garbage grinder(yes or no): No Laundry connected to system(yes or no): Ye: Seasonal use(yes or no): No Water meter readings,if available:(last two(2)year usage(gpd): n1a Sump Pump(yes or no): No Last date of occupancy: n1a COMMERCIAL/INDUSTRIAL: Type of establishment: n1a Design flow:0 gallons/day Grease trap present: (yes or no) No Industrial Waste Holding Tank present:(yes or no) No Non-sanitary waste discharged to the Title 5 system: (yes or no) No Water meter readings, if available: nra Last date of occupancy: n1a OTHER:(Describe) n1a Last date of occupancy: GENERAL INFORMATION PUMPING RECORDS and source of information: NONE System pumped as part of inspection: (yes or.no)No If yes,volume pumped:0 gallons Reason for pumping: rda TYPE OF SYSTEM x Septic tank/distribution box/soil absorptions system Single cesspool Overflow cesspool Privy Shared system(yes or no) ( if yes, attach previous inspection records, if any) 11A Technology etc.Copy of up to date contract? Other: APPROXIMATE AGE of all components, date installed(if known)and source information: 1997,FROM BOARD OF HEALTH RECORDS Sewage odors detected when arriving at the site: (yes or no) No (revlaed 04127197) SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: 360 WHITE OAK TRAIL CENTERVILLE MAP 192 PAR 243 LOT 65 Owner: JON COOK Date of Inspection:9123198 SEPTIC TANK:x (locate on site plan) Depth below grade: S" Material of construction:x concreate_metal_FRP_Polyethylene_other(explain) If tank is metal, list age nia . Is age confirmed by Certificate of Compliance No ('Yes/No) Dimensions: Lee•-H5•7--w4•I0•' Sludge depth:4" Distance from top of sludge to bottom of outlet tee or baffle: 30" Scum thickness: Distance from top of scum to top of outlet tee or baffle:6" Distance form bottom of scum to bottom of outlet tee or baffle:-IT" How dimensions were determined: MEASURED Comments: (recommendation for pumping, condition of inlet and outlet tees or baffles, depth of liquid level in relation to Outlet invert, structural integrity, evidence of leakage, etc.) SEPTIC TANK AND ALL COMPONENTS ARE STRUCTURALLY SOUND.RECOMMEND PUMPING SYSTEM NOW AND THEM MAINTAINED EVERY Two YEARS. GREASE TRAP: (locate on site plan) Depth below grade: Na Polyethylene_other(explain) Material of construction: _concrete_metal_FRP_ Dimensions: rda Scum thickness:Na Distance from top of scum to top of outlet tee or baffle:rda Distance from bottom of scum to bottom of outlet tee or baffle: Na Date of last pumping;I_ Comments: (recommendation for pumping, condition of inlet and outlet tees or baffles, depth of liquid level in relation to outlet invert, structural integrity, evidence of leakage, etc.) Na BUILDING SEWER: (Locate on site plan) Depth below grade: is Material of construction:_cast iron x 40 PVC_other(explain) Distance from private water supply well or suction line TOWN Diameter: Na_ QAmments: (conditions of joints,venting,evidence of leakage, etc.) (revised 0427197) SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: 360 WHITE OAK TRAIL CENTERVILLE MAP 192 PAR 243 LOT 65 Owner: JON COOK Date of Inspection:9123199 TIGHT OR HOLDING TANK: (locate on site plan) Depth below grade: nfa Material of construction:_concrete_metal_FRP_Polyethylene_other(explain) Dimensions: nra Capacity: Wa gallons Design flow: nfa gallons/day Alarm level:_nfa Alarm In working order?_Yes_No Date of previous pumping: Comments: (condition of inlet tee,condition of alarm and float switches,etc.) nfa DISTRIBUTION BOX: x (locate on site plan) Depth of liquid level above outlet invert: nfa Comments: (note if level and distribution is equal, evidence of solids carryover,evidence of leakage into or out of box etc.) rda PUMP CHAMBER: (locate on site plan) Pumps in working order:(yes or no)No Alarms in working order(yes or no)_ve. Comments: (note condition of pump chamber, condition of pumps and appurtenances, etc.) nfa trevlaed 04127)97) SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: 360 WHITE OAK TRAIL CENTERVILLE MAP 192 PAR 243 LOT 65 Owner: JON COOK Date of Inspection:9123198 SOIL ABSORPTION SYSTEM (SAS):x (locate on site plan, if possible;excavation not required, but may be approximated by non-intrusive methods) If not determined to be present, explain: Na Type: leaching pits,number: 1000 GALLON LEACH PIT leaching chambers,number:Na leaching galleries,number: nla leaching trenches, number,length: nla leaching fields,number, dimensions:Wa overflow cesspool, number:n1a Alternate system: n1a Name of Technology:_nra Comments: (note condition of soil, signs of hydraulic failure,level of ponding, condition of vegetation, etc.) THE LEACH Pn'IS STRUCTURALLY SOUND AND FUNCTIONING PROPERLY,THE PIT HAD 2.5'OF WATER IN IT.PIT HAS NOT HAD MORE THAN 2.5'OF WATER IN IT. CESSPOOLS: (locate on site plan) Number and configuration: We Depth-top of liquid to inlet invert: nla Depth of solids layer: Na Depth of scum layer: Na Dimensions of cesspool: Na Materials of construction: nla Indication of groundwater: nla inflow(cesspool must be pumped as part of inspection) n1a Comments: (note condition of soil, signs of hydraulic failure,level of ponding,condition of vegetation, etc.) Na PRIVY:_ (locate on site plan) Materials of construction: Na Dimensions: Na Depth of solids: Na Comments: (note condition of soil, signs of hydraulic failure,level of ponding, condition of vegetation, etc.) Na (revised 04127197) SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) 360 WHITE OAK TRAIL CENTERVILLE MAP 192 PAR 243 LOT 65 JON COOK 9123198 SKETCH OF SEWAGE DISPOSAL SYSTEM: include ties to at least two permanent references, landmarks or benchmarks locate all wells within 100'(Locate where public water supply comes into house) �, tick A 4A 13 0C A aj 4C- M g� e� a� Pay f of 10 (revised 04127197) SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) 360 WHITE OAK TRAIL CENTERVILLE MAP 192 PAR 243 LOT 65 JON COOK 9123198 Depth of groundwater 12 Please indicate all the methods used to determine High Groundwater Elevation: Obtained from design plans on record. Observation of Site(Abutting property, observation hole, basement sump etc.) Determine it from local conditions Check with local Board of Health Check FEMA Maps Check pumping records Check local excavators, installers X Use USGS Data Describe in your own words how you established the High Groundwater Elevation.(MUST be completed) USGS MAPS AND CHARTS r page to of to (revised 04127197) ( , TOWN OF BARNSTABLE :UCAT N O O 0.K, (r�Z GE # .IILLAGE ���-¢--- ASSESSOR''MAP LOT � INSTALLER'S NAME&PHONE NO. SEPTIC TANK CAPACITY Ob� LEACHING FACILITY: (type) eCOV' t+— (size) 1600 NO.OF BEDROOMS BUILDER OR OWNER �-- PERMTTDATE: 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-.gist 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 l� A4 �3 AA Oc a7 9c 57 yt: At Commonwealth of Mdssoehusotts y r — Execufivc Office; of Environmental Affairs Loi 4.s 4 aa2sixrsF �� ; 4.s �'�i��'b;0 - i �'•.� r :�5' >{h u,•�F+ '_�:'..{Y# .r, tY� 2'F 7�� t � a. 1 EOZA SUBSURFACE SEWAGE GIST'OSAI SYSTEM INSPECTION FORM PART A CEI:TIirlCATION Property Address d;( 7t) t.��'b�'�T Yu 0 i It `v. ', C jC Address of Owner: Date of Inspection ls- f�� (If different) Narne of lnspector �I��vr Company Name, Aduress and 1'c•tlr:pFione hurti�r 'Y Q>tiif�e:,_ trts� i4� CERTIFICATION cTAT[MFWT I certify,that I haver personally inspected the sewage disposal system at this address and that the information reported below is true, accurate and cornplct€ as of the time of inspection.` The inspection was performed based on my training and experience in the proper function and rnainWriance of on->iic, s v,.?;c disposal systems, The systern; �._ Conditionally Passes r N�,ed,, Further Evaluation By the Local Approving Authority ' Fails Inspector SigrYs ; �-,r r� ---�-�j Dale, The System Inspector sl;all s- mit a copy of th s inspection report to the Approving Authority within thirty (30) days of completing this 'inspection.` If the system is a shared systom or has a design flow of 10,000 gpd or greater, the inspector and.the system owner-shall submit the report to the appropriate regional office of the Department of Environmental Protection, . The original should be sera tv mc, system owner and copies sent to the buyer, if applicable and the ipproving au!hority. Ii�Si'CCr1vN SU {'i;liiti': Check A, 4, C, or D: A) SYSTEM PASSES: V I have not fe;u:r.1 any information which indicates that the system violates any of the failure criteria as clefiried in 310 ChIR '15.303 Any failure crii,:ria riot evaluated are indicated below. t)) S 11 ,Cji`)Di il)i.f'•ILL`/ t-' U LS: i (✓r,•_ cr iri' ;2 S '„_,71 C:;Wpvnonts need to be replaced or repaiteJ. The system, upon conipiLtion of 111.' 1• )I•_ ciiw1 Cr r_, r Indicate yes, no; or not determined (Y, N, or ND). Describe basis of determination In all instances. If"not determined", explain why rl.A) The septic tank is metal, cracked, structurally unsound, shows substantial infiltration or exfiltration, or tank failure is = , s c'.'' - imminent, The system will pass inspection if the existing septic tank is replaced with a-conforming septic tank as s approved-by the Board of Health. ` x (revised 8/15/95) 'w One Winter Street a Boston,Massachusetts 02108 a FAX(617)556.1049 a Telephone (617)292-5500 fit; 40 Printed on Recycled Paper { SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FOPM PART A { CERTIFICATION (continued) Property Address: �,Q (u►1`� . G 4� V'�v� Owner. Date of Insp ecdon: BJ SYSTEM CONDITIONALLY PASSES (continued) } 4 Sartage backup or breakout or high static water level observed in the distribution box is due to broken or obstructed pipes) or due to a broken, settled or uneven distribution box. The system will pass inspection if(with approval of the Board of Health): broken pipe(s) are replaced obstruction is removed _ distribution box is levelled or replaced Ilie system required pumping more than four times a year due to broken or obstructed pipe(s). :The system will pass inspection if(with approval of the board of Iiealth): p, >. broken pipe(s) are replaced t . obstruction is removed C] FUPTI ii" EV/.LU111I.TION 15 REQUiR ED IIY THE LIOAPD Of HEALTH: „+ rnt ;• Cuiu9it nu exist which require further evaluation by the Board of Health in order to determine if the system is failing to protect the public l"Jill, sat ry and the environment. ``ALL 'ASS UNLESS BOAkb OF HIALTI I DET1,2MINES THAT TI-I[ SYSTEM IS NOT FUNCTIONING IN A MANNER t9;1t iLl i;OTECT THEPUBLIC HEALTH AND SAFETY AND THE ENVIRONMENT: ,r : Cesspool.or privy is within 50 feet of a surface water Cesspool or �riv is within 50 feet of a bordering) g vegetated wetland or a salt marsh. r 7 e 2)'I ' SYSTEM WILL FAIL Ut;LESS Ts BOARD OF HEALTH (.AND PUBLIC WATER SUPPLIER, IF i:PPROf RIATL� DETERMINES TFIAT Ti iE 5` r r;i IS 1=UNCTIONING IN A &1ANNER TiiAT PROTECT THE PUBLIC HEALTH ",ND SAFCIY Atli 1 he wslem has a septic tank anu soil ab5orptlVn system anu a wltlurt 100 foci lu a Sulla\.E 'Haler Sllpji,y Or trlJJtarj l0 a surface watel ;u'))I TI-& system I'la! a septic tank and soil absorption system and is within a Zone I of a public water supply well. 'I he s,•stc•m his a septic tank and soil absorption system and is within 50 feet of a private water supply well. r The syslen. Has a septic tang, and soil absorption system and is less than too feet but 50 feet or more from a private water supply well, unless a well water analysis for coliform bacteria and volatile organic compounds indicztes that the,well is+ I flurn pollution from that facility and the presence of ammonia nitrogen and nit ate nitrogen is equal to or less,than 5 ,ri�'i S't_r' I have 01--le.111ilivi that the sysiern viulates one or more of the following failure chi .ria as defined in 310 CN12 15.3033 Ti—, i:,r ,i , :•_n;.„_ii ri is identified balow. ..The Board of Health should be contacted to detcrmlr.p whit ti;ill L n s n ta,c _ Backup of sewage into facility or system component due to an overloaded or clogged SAS or,cesspool ti x x {C lid.?i Discharge or ponding of effluent to the surface of the ground or surface,waters due to an overloaded or clogged SAS or- 4 a u.�N s cesspool. � 4o (revise,d 6/15/95) Z gR,,' . • ;1 �' • !' 4 i 4.'51 _ SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART,4 CERTIFIG4TION (continued) Property tLctc;ress: j, �.re�'`t�"C?C�d� �•iS sr,.Cl r Owner r_b�J Gate of h-'spec0on: DJ SYSTEM FAILS (coniinued): Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool Liquid depth in cesspool is less than 6" below invert or available volume is less than 1/2 day flow. r JRoquired Trumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s). number of times purnped Any pot6un of the Soil Absorption System, cesspool or privy is below the high groundwater elevation, ( Ar,y' portion of a cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply. -� Any 1) of a ees'pool or privy is within a Zone I of a public well. ro A. of a cesspool or privy is within 50 feet of a private water supply well. A o) c;i,on of a cesspuol or privy is less than 100 feet but greater than 50'feet from.a private w:.tei supply well with no ,lo ,aior quality analysis. If the well has been analyzed to be acceptable, attach copy of well water analysis for . . CUlrfot'rtl bacteria, volatile or-'anic compounds, ammonia nitrogen and nitrate nitrogen, The fullo\,'ing criteria apply to large systems in addition to tare criteria above: N . .The design flow of systein is 10,000 gpd or greater (Large System) and the system is a significant threat to public health.and safety and the em'ironrnent because one or rnore of the fulluwing conditions exist: x the system is witl-,in 400 feet of a surface drinking water supply A the sr'<.tvni is within 200 feet of zj tributary to a surface drinking water str;rply ni r5 Icc tad in niiic,6en sensitive area (Interim Wellhead Protection Aica (IWfA) (:,I a marl d :"one li of r` J•..bhc `,C;ise r supply well, , the wivn r cr ail`,' such s),stem Sh--II bring the systurn and f:icilily Into full COMI)lianCe with Ili;- ireatn ..,,i pro ram requireYnerri -ti 31 :r:+.. `. ;} 'aIld 6.00. Ple-;se consult we local rtEional office of the Department for fu:ih,er Ltforr .,;tian. ? (revised 8/15/95) 3 f { f SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION 1'0111M PART C ` t� SYSTEM INFORMATION Property Address: kZo 3' c)r-\ f--:-v-irc, Ownt:r.'�W Date of Inspection: (. t r FLOW CONDITIONS 9 Desig,n flow:��`.,D_ ::iloos 1 Number of Number of currcftt r"i;:'ents; t l Garbage grinder (yes or no):_ ~ Laundry coin-dc,J l4 SystCnl (yes of no)i 1 Seasonal us- (yes of nu):_ Water nieter readii s, if a�;iluble: -t t 7 Last dale of occw,,,ncy:_`; •fyi Gi.st i !,Sl tii f�J 11(i lic).v:..___._ :.: ri; _ ! present: (yc:s or no)____ to the Tii!e 5 system: (yes or no)� . °i r fI:c'.t i i :L:�Ifiy>, II <ali ble:_ Lust Cali: Of o,:Cup ncy. Last date of GENEI'AL INFOltMATION i'J 'li\c zi,,il SUUfCB Of ififOfmallgn: y/) x y .�s + Sy;itrit i>lllii;i d a5 IJ'm Of it15pECliU11: (yes Of no)__jl ` x I: on for purIipin�. . t-ii' istrlbution box/soil abso(piion system 4 . Dv— io ;,— Wit records, If. Caly) APPROXIMATE AGE of all components, date installed (if known) and source of information: Sewage odors detected when arriving at the site:, (yes or no) s (revised 8/15/95) IL � y ! y SUGSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION rOiuvi PART S CHECKLIST Pr'� s:'• -.....,.. c�:,'n,`Y r_;,��'•`t'Y:_.Cs.i'v'����r�ct�l._ (....�rti..�("" Y'e `tf�7 Check if the follow ink have been done: iZf`un;;ainz infc; n:,Iicm was•requested of the owner, occupant, and Board of Health. ",stare components have beer! pumped for at least two weeks and the systern has been receiving normal flow rates r$' tduiin� that ;. riod. Large volumes of water have not been introduced into the system recently or as part of this inspection.` '! s ouiii ;;,:;r I v i:cen obt:;iiwd and examined. Note if they are not available with N/A. iat Jlirr� has inspocied for signs of sewage back-up, .•, :• ._ s nc;t ;_ccive non-sanitary or industrial waste flow I i C cG for sins of breakout. ;r, , r enrs, exclu-lin� the Soil Absorption System, have been located on the site. r I n4 .u C i;,nl, ni�rrirores wore u,7covered, opened, and the Intc,for of tho septic tank was inspected for condition of baffles or , =I of c.mstruction, dimensions, depth of liquid, depth of sludge, depth.of scum. ICCd11Gl'1 of the Soil Absorption System on the site has been determined L<_ed on existiity inforritation or t ;:yo.:irnated by non-irilrusive muthads• {, r I Inc f,.i, ;i o••,., ta•':;'' occupy.ts, if d,ff: ant iru n o:vner;` were provided %N,ith information on the proper maintenance of Sub , Surface Disposal System. yk �v- 4 Y ? E 5 (revised 8/15/95) 4 T SUGSU,FACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) t Properly address:' Q L;) trvY-.t�"C c'_ v r,l (Uate of (nsp::ction: SEPTIC TANK; (locate on site plan) T. Depth below grade:_. , , Material of construction: ^concrete metal .,,•_FRP other(explain) Dirnzrisiori _ti Sludge depth:?i+ Disianca, from top of sludge to Lofton+ of outlet tee or'baffle: Scum thick 00Ss _ Distance rfUni tt of sctjcn to top of outlet tee or baffle: / y/ � k' iF ��� r;• DIltaflC: ftcliii t ou o rt cif scuni to bottom of outlet lee or baffle: Colnrlienls: (rt.ewnmentl:rtiar. condition of inlet and outs t tees or baf(I s, depth of liquid level in relation to outlet invert, structural _ 011i,,'oidt)� 4, .:1,_,. .... •.. „ i=lC.) _7 �-g (locate on site'plan). Depth below -rade: Maaerial of cohstrucliun: concrete metal �FRP _other(explain) 13` Dimensions: Scurn thickness: Distance from top ' Scurn to top Of outlet tee or L•aLie: n:FldnC frair Lotto.,. of cro. l In honom Ut owlet top o tJ3tlle' Corm-_•nts rii till , ;.iU'i con htlon of inlet and uullet ides or baffles, depth of liquid level in relation to outi t in4 rt, stiitt.it .1,. lcail.aw, etc.) (revised 8/15/95) 6 � ! , t SUBSURFACE SELVAGE DISPOSAL SYSTEM INSPECTION.FORM PART C SYSTEM INFORMATION (continued) Properly Address:'�366 l.> V-A-e 6y%­V:TV4,cy Date of Inspection: TIGHT OR. I IOLDING TANKIV t;s T. (locate on site plan) Depth below gr de:___ Material of construction: concrete -metal _FRP—Other(explain) Dimensions:- Capacity:--gallons Design flow: gallons/day Alarm level; Comments: (condit,ion of inlo tee, condition of alarm and float switches, etc,) y F ,d x (locate on site plan) Depth of liquid level :Love outlet invert: Y&717jrT� , I Comments; ' (note !i levei and distribut uF, F> eyua:, e%ldenct of;ulid: carr)o,er, ev ence of leakage into or out of box, etc.) Pump CI. F, r..: (locate on site I'urr:;�s in E1t�r%ing orJec(yes or no) r Cornniwas: (note condition c•i;:.�F ,,� Cni:WL'er, condition of pumps and ppur-tenances, etcJ 4 1A (revised 8/15/95) 7 SUBSURFACE SEWAGE DISPOSAL SYSTEhI INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: 'J O �✓'11 try VC ."t �Cr`y -leo� 'l Ownc(- Zf r ✓Y�L. til ) ; Date of lnspectior,; SOIL AUSOEa'TION SYSTEM (SAS):_ (locate on site plan, if possible; excavation not required, but may be approximated by non-intrusive methods) If not determined to to present, explain: Type: Ir:aching pits, number: leaching chamb(-rs, number— leaching leaching galleries, number: " 'J leachin!, trenches, nurnber,length: leachin3 fields, number, dimensions:_ overflow cesspool, number: _ Comn—wnts: (note condition of soil, signs of hydraulic failure, level of Bonding, condition of vegetation,etc.) ' ,. CESSPOOLS: (Iccate on site Ilan) w.ye- Number and confiouration: Depth-tUp of liquid to inlet invert: "'r ' Yi �'<;F Depth of solids layer: _ Depth of scum Dimensions of cesspool: Materials of fW15tnrC4ic:11: Indication of groundwater: inflow (cesspool must be pumped as part of inspection) _ s Comments: (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.) Pii:►V'i:, (locate on situ In) Matcriil.. of Comments: (note condition of soil, signs of hydraulic failure, level of Ix ndirtg, condition cf vef eteaion, etc.) y .(revised 8/15/95) 8 r, SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FOIVA PAU C SYSTChi INIFORMATION (contlnued) G'roperfy Address: Date of In3dt.io{ JA include ties to at k, st Cwo perrnanent references landmarks or benchmarks y locate all wells t•:thio 100' t � • ,w ' Depth to groundwater:l f et { method of determination or approximation: � y]O A— ]t `- ��, G), Z"X�'t •.P P, 9(revised 8/15/95) r s> '_K No.....�.5_:__7 q ,. Fps..... THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH .......Town..................O F............Barnstable_......----------...............----•--------•-•-••--- AppilrFa#iun for BispuiFal Works Tunitrurtiun ramit Application is hereby made for a Permit to Construct ( X) or Repair ( ) an Individual Sewage Disposal System at: 4,3b0 White Oak Trail..t:...�_'_ le Lot 65. ...._..... --._ .................. .....-• -------------•••--•--••• -••-•-•••---••••---.._........_.. . Location-Address or Lot No. • North-Port Realty Trust 3821 Route 28 , Marstons Mills,.MA: 02648- .- __.. .. ...............•----- owner Barnstable Address W J. P. Morin Installer Address d Type of Building Size Lot------21,544..........Sq. feet Dwelling—No. of Bedrooms................2 ....... ......................... Attic (Yet Garbage Grinder (No aOther—Type of Building ____________________________ No. of persons............................ Showers ( ) — Cafeteria ( ) a' Other fixtures ___________________________________ W Design Flow_______________55.........................gallons per person per day. Total daily flow-----------------495.....................gallons. WSeptic Tank—Liquid*capacity_M.Lgallons Length...... ___..._. Width...... -------- Diameter________________ Depth______6....... x Disposal Trench—No_ ____________________ Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No------------ Diameter____________________ Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) Percolation Test Results Performed by_------------ ....................................... Date........................................ aTest Pit No. 1_._.2._....___minutes per inch Depth of Test Pit____________________ Depth to ground water_..___-.______-______-.. 44 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ a ••-••------•-----------------••---•-••-•---•--•------••-----•-----•---•-.._-•-•-•--•----------•-•---......................................................... 0 Description of Soil_____________________Medium to fine sand ..................•.-•- x - U •--•---•••••-•-----••--------------------------•.....•-••••---•..._.._..•---------...--•••......••-••---...-••--•-••--•------•••------•-•-•--•------•-•-•-------•-----••••---------------•--------•----- W x -------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------••--- U Nature of Repairs or Alterations—Answer when applicable_______________________________________________________________________________________________ ...----••-----•. Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of L I'L U 5 of the State Sanitary Code—The undersigned further agrees not'to place the system in ope i a Certificate of Compliance has been issue yWe�boa.rof health. Sign9/0/85 .. Ap 'cation Approved By---•--• _._...-• -•-• •-- --•-•-••---- ate Application Disapproved for following reasons----------------•---....----•--•-----••-----------------•--------------- --------------- .................. ..............................................---•------------------•----....-----------.....--------------•-••-----••--•-------------•--------•----•••--•--•--•--•-----•-••----------•-•-•----••._.... Date PermitNo......................................................... Issued--.._....----------Date-------------•-----------•-----... No......................... FEs......................_....._ THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOW ...................OF........... '€1:rns:t�,3 c.... Applirafto t for Disposal Works Tonstrurvatt Frrutit Application is hereby made''for a Permit to Construct (X ) or Repair ( ) an Individual Sewage Disposal System at: IUhite Oa': 'rnil I,ot 65 ........ _..... ........_ _-.--•----•-------•------------------•... ---••------------ -.----.----••------------------------------ -...... Location-Address .••or Lot No. Nay h Port t' oalty Mist 38?1r-,1 ute 2.` . i,arstons i-'ills. rite. 02648 .,a 1 m .................•.____.._......._.................-----•----------------------------------•--•-• ...............................__.__.. ..._._.__.._..._............._......._.....__......... " Owner Address a ...... J. .. 11..prin Ps...rnsta'.1_e P Installer Address Type of Building Size Lot----"Z�<`L`.?d__......._..Sq. feet I—. Dwelling—No. of Bedrooms.................2... .....__._..Expansion Attic ( -) Garbage Grinder (.1o) aOther—Type of Building ---------------------------- No. of persons............................ Showers ( ) — Cafeteria ( ) �. Other fixtures ......................................................... Design Flow................ ...........................gallons per person per day. Total daily flow... 49 ___..._.._..._____._gallons. WSeptic Tank—Liquid capacity!Q ...gallons Length._..r--------- Width....4--------- Diameter________________ Depth..... Disposal Trench—No..................... Width.....__......_.__... Total Length_................... Total.leaching area•___•------- ._.__._.. x _..__.__sq. ft. Seepage Pit No-------------------- Diameter__-.....____.__..... Depth below inlet.._................. Total leaching area..................sq. ft. z Other Distribution box ( ) Dosing tank ( ) '~ Percolation Test Results Performed by............. '._`=qrr!..............................-----_---- Date........................................ a Test Pit No. 1.._?----------minutes per inch Depth of Test Pit-------------------- Depth to ground water........................ fs, Test Pit No. 2................minutes per inch Depth of Test Pit..................-. Depth to ground water........................ D Description of Soil.....................P-ledlunto fine sand x U ----•-••-•••---------------------------•---------••------------•-•----••--•-•-----•------•••••••..........---------•-.....-•••--------------•----••-•-------•----•---•-----•-•---•----...----•-----•-. W x --------------------------------------------------------------------------------------------•----------•---•--•-------------•-•--•-------•--------••----....--••-••••••--•--••-•-------._.............. U Nature of Repairs or Alterations—Answer when applicable..............................................................•................................ ----••-----------------------------------------------------------------------•---------------------------------------------------------•----------•••...---..........--• Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Sanitary Code— The undersigned further agrees not to place the system in op a n it a Certificate of Compliance has been issued y the board of health. l --- ri ------------ _.-.Sign •.-•--.. ' : . .............................................. / ale AAplication Approved By------- --- . ----..--•--•....................•-------- D'�e, Date Application Disapproved for h following reasons----------------•-----------...--------------•---------••----•---------------••-•-----_----. ---------.......... ... ..•---------••....•----•--------•----••................................Date PermitNo......................................................... Issued_....................................................... Date THE COMMONWEALTH` OF MASSACHUSETTS _ BOARD OF HEALTH ..........................................OF........... j' e�'dJ S7 =...... TrrfifirFatr of TontpliFattrr THIS 15 TO CERTIFY, That the Individual Sewage Disposal System constructed ( or Repaired ( ) by---••.�•P-__--�11 orUA).. --------------------------------------------------- ----------------------..--------------------•.................. .,/�-at. U_!'.. �' 7 r �'?.!J. ..._0,Ak... �?.!:'P� ► _✓✓ 1 t U��% l;:i 1'.t� ' ' ���' ` ------- has been installed in accordance with the provisions of TITLE 5 of The State Sanitary Code as described in tliez ; application for Disposal Works Construction Permit No......................................... dated----------------------------------.ems THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM! WILL FUNCTION SATISFACTORY.......................•-------••-•• Inspector............................ ... . DATE.............. � . P THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH �. .......OF..................................................................................... No. 3�a.. ........ FEE........ ........... �i���a>�ttl �rk� ��tt�#rttr�i�at .rratti� Permission is hereby granted.......... Md R1N __ __________ __ to Construct ( ) orRepair ( ) an Individual Sewage Disposal system at No.................L^T........(a. .......W.ftk f C) AK "RAI k' ..._..----•-.- •- ------------••--•-----------•••--------•--------------•-•-----•-----•---.......-••..... -� Street as shown on the application for Disposal Works Construction Permit No.__-__ .......... Dated.......................................... p.�f ................................ )C.:?- l�+ SKI ` '�Board of Health DATE....... FORM 1255 A. M. SULKIN, INC., BOSTON ,� LOCATION 44t360 SEWAGE PERMIT NO. o l PILLAGE � jl LLB UNSTA. LlER'S NAME i ADDRESS /yl Q V-*,' y Zr S ce 7"' ga/=t K,0 B U I L D E R ._ . ,Olt 'OWN.Ek lVo r 106'r-t rcr y v T k DATE PERMIT ISSUED VAT,-E - . COMPLIANCE ISSUED ,� f � �� �� � i �7 ��{ ��� � / � �� o�S/G�v QArA- ToP nF sue. RNtT. ... . _;=r_ { • . Plzop FLOW.. ..a. TICS, .Y. .3 . 33'0' G P. D. v1 . �2oj�_ ��Y.aur, 1507, - 49.5 G.P.d . __ ...._ �.::1�5"i=:_ 1�000 .��+4...Tfa.►J{C,. / � �•- � �?o' � P�r I 6-.P. O• : / T4 �_�.�rT- D.l� A°SLR to. .a. SO S•F•... : . 1T' I D!�<v0 ._ _-So.:�s•F:�_�!::i;o ' So� . GPO. . U � �� - -� \ \� ("G tJ• �z 3 Ci t`9 - _Y7.fjill Y-.; F{ GP.D... -� I kTN• - -I--!-:-{--r ._�._�..;.j..;.;.. .• _�...:. r � APE�`' iuv � FES MT 'PETzC.ot:%�T;a.N.. .S�T�E� : la tiJ Z• M�rJ:o2� SS . � D - :�•c. g� g$ �a qv .c�- - ' - `fit -- �s' -;_�_,..,.-�:: .;���, :;.. ?o �:,•: . � .. J it ?9733 3.. L1- �::;TF-.S�'if,� �E" :T-`•.:�-_• "t"s - vu�Jtlia... : : . o . p •�`1ZAIL. . Lotit� Pr/L.� s 43, O 605�01l, ��'• o�sr, l `Ea s�� /O 00 :•..• 3, .. /coo BOX //V * G,i!_. AA C-D QZ L SEorrG S�wo P.T. rAn/%C STONL� �• 3/�"�,��/�t '� �I2 'L qZ�d- G�2T/F/EO PLOT pG;4N j1ZAG(f •:: /L OF W4sHCD ��. ..-. SLLPE 9ISot 1-1 L.ocQTray Comic-C.G „ M�t►5:= 22 .5eec� _ '�v yarE 9-�-85 Sn�iD pRO F•I L L �_... _ . . too scAL _..... < ._.._ ............... plz srr o -ram / GE2T/Fy T.y,4T'THE la o S,yaW.v I._, C •G. �2�� . yE,�Ea v cc wa4Y.S wiry/T,y�' €M m /tic. Y 61-4 T.'/� .e�G�srE2�O.�.vo.Sv,2vEya.�S TOWiV OF 1�-AC t317TA`a3 LA ,Q.vlJ /S L DC•4r�-.27 W177VIA 1TASE0 an/.4N llf-15 ,421— -�/�IEiYT.SveVCY�l�vO T.�/�aG�S.E� Shy t f/�h�E.eEdN S.VvUG-47 le, T 191:5 USEp Ta ES?�l�L/Sf� 1ar-L�iV.�-S, BAXTER & NYE, INC. Registered Land Surveyors and Civil Engineers 7 Parker Road/Osterville, Massachusetts 02655/Tel. (617)428-9131 WILLIAM C.NYE,R.L.S:-President RICHARD A.BAXTER,R.L.S.-Vice President PETER SULLIVAN,P.E.-Vice President-Engineering March 9, 1987 Town of Barnstable Board of Health P.O. Box 534 Hyannis, MA 02601 RE: Lot 65 White Oak Trail, Centerville Permit: 85-797 Installer: J.P. Morin Dear Board: With respect to the above referenced septic system, I was not aware that inspection of this system was required by the permit. Therefore, I did not inspect installation. Please advise on how you wish to proceed. Very truly yours, Peter Sullivan, P.E. Baxter & Nye, Inc. PS%bc MEMBERS OF CAPE COD SOCIETY OF PROFESSIONAL ENGINEERS AND LAND SURVEYORS/AMERICAN CONGRESS ON SURVEYING AND MAPPING MASSACHUSETTS ASSOCIATION OF LAND SURVEYORS AND CIVIL ENGINEERS -ii ■■i■ --- ■■,� es ■■■ it -- ■ - -_ - - - r-r r rr■-r- - -r-r r--r rrrrrrrrrrrr■+rrrrrrr• -- err■rr■rr + rrrrr +rrrrrrrrrrrr r r r r -- `rr` —_� `-r`-rrr F.r..rrrrrrr.rrrrry�r�r �r r r - ` i `� r `r r r - - -_- _-- r n r rrr "r`� r r ai `: 'err r rrr r `r i w "r`r i r r`: r� r r ram. r "r`r'r � r r r rrr r r r; `� r`�: r r'�� rrr=:�� rrr . r r r r � r `� r r �: r`i" � ■ r r r r r r r r r rr. ■■■ '-r`: r r"r`i r r r ■ r r r ■/■ ■ / r r r I `�7C'r`i ■■■`r� r r r`�i r r r r r I--� • r r `r r"r`� rrr. i r`:�-`�i � ' r r r r r ■■ r r r r r ❑ - r��— 'r"r`i`��r r r�� rrrr "r`'r`r�i r�r r-r r-i r. ... 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II II V7 II I - - - - - - - - - � I I z V - - --- — _ — z - - - - - - - - - - - - - � ►- - - - - - - - = - - - - - FIRST FLOOR FRAMING PLAN ° o o u- z �. 2XIO RAFTERS O 4 PITCH Y I o W DOVBLE VNDERALL O J `1 PARnnoNs (3)1—X 16 LVLs Q UNDER WALL O 3.5"X 16"BCI)015T5 016"OC CONTINUOULILL 1� g � SECOND FLOOR FRAMING PLAN 6 C . � - _ _ - - - - - 3 T 0 O ZX12 RIDGE 2X1Of V 16.OC w 2X1Oi 0IW OC tea{ 2X12 RIDGE ,} 2Xi0f®iti'OC 2X10e®16'OC 2X70,9P16'CC J Q� W � o 2X10�®ib"OC _ I ` v < J I In 2X10,0 16'OC 91 I ROOF FRAMING PLAN z Q � z 2X12 RIDGE (L O L 12- N 2X6 COLLAR nES 2X10 ROOF RAFTERS O O J `L R-301NNLATION M Q<'- Q O V II t7 O `n R-16 INSVLATION 2Xb,®16-OC ul �7 2X10e 0 16'OC f� 3-2X12 G10.T R-301NSVLA710N 8'POVRED CONCRETE WALLS L/-- ON CONnNVOVS FOOnNG 6'P.C.FLOOR SECTION A CC i L FOOTING PLACEMENT OF SONOTUSES NAY CONY.RIDGE VENT VARY O ]r 10 RIME BOARD V E'S 0 1B"D.C. - \ Lz x e's o 1B'o.a �_caN_R I V J VL lYP%'A ROOF Rt LCnON O• SHALT ROOF SHINGLES OVER 2%e'S O 16'O.C. Z�COKyT�PLYWOOD(FIR)OVER R ROOF RARCRS(IYPICAI) 9RALV NSRR O)91 IR' �� B.OFBDL®tll R' IT I`'1�6 //'//// \ \�\\ I• B"A GONG FILLED SONOTUSE 'F' D1PCAl�� DO I.OG ON"BIGFDOT"BASE -0" R. iY l WALL CONST 71- %f/ // /' \ ' ,• DECK LINE ABOVE MIN.BELOW GRADE(TYPICAL) \ �Ky�ppKptlfR ER 12X Y-,'SSTTUDS NEW BEDROOM SIT H 2 TOP AND 1 BOTTOM '- / -- o / 1\e �\ / B <• N. NG'6' \\ W'-8 8• ;;-B• 7 u CH SECOND BOOR HEIGHT 0 / / J\ ry O •� 2 P.0 ITT O q/ \ _ .e TYPICAL WALL CONSTRUCTION .p' \ \ \ / 5-5• IS-5-CLEAR SPANAF POD JOISTS(SLEEPING ME A) WHITE CEDAR SH S 0 5 1/2'T.W.Y sT \ \\ / / J• HIEEONe 09 t eP9lu OVER ThEtx'OVER 1(2•EOEROR ` C PLYWOOD OVER 2'X A x Y-a'S1 DRO TOP f f D.2 FPO E. ING `tli OY[R 1 x 9 51RAFR1t 0 IF QC 0 16.O.C.WRH 2 TOP.0 1"BOTT� / B s .waaD LUM DWrw ETWxc rxe9l[s) ENTRY FAMILY AREA PUTE.Y-B 1/Y SNo wNL L (- (MATCH 17 FLOOR HEIGHT - 95 RE-BAR O ^OC . t j" .. `O• , _O I t2-t0 0.s - e o .._ ..-..- CC I L _ G ��'D. I CASEDIF�'^ 3% %•t l^/L x - o O 2 J 2 ° to's wood BUN END., APS o s"o.e. BEDDED n cone.A um.of tY - u T'PT z x to LEDcca BOARDS U IL-� \ 2 PIS f• � `q.. t/2"d CONC.FILLED STEEL COLUMN T1 ^O/, ' •J\\\\\ \\ CJ \\ /'e - e'P.C.FOUNDATION wAll `\\" \ P ,` J• 2` \.•+ 2A'Y/X 1]:p CONY..P.G.FOOTING ,us OTING �j. D• Q. %IS"P.C.fOpTING J. AS \. E G EDGE OF BUILDING L•`�� `< B"P.C.FOUNDATION WALL WRH \\\ TYPICAL BUILDING SEC d ,�•,Fa' - A BRUMINOU$ASPHALT FINISH ON \ µ A B"X fi P.C.FOOTING a'-p" MIN.BELOW GRADE(TYPICAL) \ \ / �� i•5� \\ _ Ao•+ 1 / FASTENER SCHEDULE FOR STRUCTURAL S_ _ _ ],B- 1#5 RE-BAR a tz•D.C. \ JOIST TO SILL _R GIRDER, TOE NAI'_ 3- BD j SOLE PLATE TO JOIST OR BLOCKING 16D 0 16 O.C. S STUD TO SOLE PLATE 2- 16D STUD TO TOP.PLATE 2- 16D q - DOUBLE STUDS FACE NAIL 10D.0 24 O.C. MIN. \/ 3UIL7-UP HEADER TWO PIECES W/ 1/2' SPACER 16D ® 16 O.C. ®.EDG ":Cl I,Q CEILING JOISTS TO PLATE, TOE PLATE 3- BD CEILING JOISTS TO PARALLEL RAFTERS _V 3- 10D RAFTER TO PL:QE, 70E NAIL 2-16D BUILT-UP CORNER STUDS. 10D ® 24 O.0 I .RAFTERS Tn R_JGE VALLEY OR HIP RAFFEF:5 4-1 SO - / Cc) RAFT66 ER TIES---S RAF iEkS - - -S_ SUB n0R TO JOISTS (EDGES) SD 0 6' O.C. SU3FL0 iR TO JOISTS (INTERMEDIATE) 8D 0 12 O.C. I v�• /s AN IL�•%�P 1 SHEATHING TO STUDS EDGES 8D 0 6 O.C. SHEATHING TO STUDS INTERMEDIATE 8D 0 12 O.C. - - 112 SHEATHING TO STUDS GAFLE WALL5L 8D 0 6" O.C. FOUNDATION PLAN & 1ST FLOOR FRAMING SECOND FLOOR FRAMING HEAOE R SC �Eou�E i O SUPPORTING ROOF ONLY SUPPORTING 1 STORY ABOVE SUPPORTING 2 STORY ABOVE c1 _ SIZE OF MAE E4 MAX LENGTH MAX:L NGTH ( MAX.LENGTH 2-.x.105 TV--0 -0 6 0 • X SHIN Lf STTO OP OVER TYPICAL LUMBER NOTES GRADING MODULUS _/ 1 B %J GLE STOP DYER GRADE RULES OF 12 Sall 1 DESIGNATION AGENCY ELASTICITY. • 12 x 6 RARE BawD(iYPJ _(SEE NOTESE" • ROOF HMGLEs. - TD NATHI 1.2.3.4) i0'MATCH EXISTING 12 �•,_ -12002E "--1- RATED 1 2CA 000-_ 23.9- 1350� 2 a_ LUMBER, 161 4): J_]_a - 2%d 1100000 > g� —1.2.14_ AN 00 6bo ® ! ® 5101 A IN FRI NCTE].SaY1Aem L�be�God a BWeeuy 4wnF„e n.-L 1,1..2•X k dear �IL2 W+CRRat lumbn N Peclbn Bur eu'uw ne RRIed Lumbar,2•W y calern a R..I.'. b•B'e Wider �' Np]E�.W 4Weod Preducl+ Ibn,Macnbe RRled lumbee,2•a e N9 EASTERN WOODS(-HRRed ft w+urlRcetl 9,een) AL 1R OWS SPECIES OR GRADE SIZE M TR CA.OF ElA5TIC11Y E 5ELEU SUCTU_ NO_I A AFVEAR_ 2%9 DING TO NAT XI AHO - O ] DER Q.929 DOOp- ® ® SLATERS IS1UD .. 900000 SIDN 0 H xSTING IIy11i� LLll GENERAL N07E0• IRE'-T��T.iRIrrm 1.` PAPER OR 'TYVECK"TO BE USED ON ROOF AND 9DEWALL rm 2. IS UTILITY WINDOWS AS.PER.STATE BUILDING CODE, 2% OF FLOOR SPACE O 3. PROVIDE GUTTERS A10 DOWNSPOUTS kS REQUIRED ! ` 4. PROVIDE FLASHING '30VE ALL WINDOWS AND DOORS `l cOT REp I IN MAT H E TIN 5. PROVIDE CROSSBRIDGING 0 MIDSPAN OF ALL JOISTS AS REQUIRED \�.•��'¢•......!'M• gNOTq 6. DOUBLE JOISTS UNDER ALL PARTITIONS AS REQUIRED '^ C.•cac4+;£' •- \.••'•• 7.) ATTIC SPACE TO BE VENTED AS PER STATE BUILDING CODE v 1 l',� �SQ•••,c s,s.,�• 8.)THE DESIGNER ASSUMES NO RESPONSIBILITY FOR THE CONSTRUCTION, •,d F' ^•O •�P•a. ^.�'° THE OWNER AND CONTRACTOR SHALL COMPLY WITH ALL RULES AND Q 9 / p f y REGULATIONS IN THE MA. STATE BUILDING CODE AND LOCAL REGULATIONS \o K yoCT,ilon Jv.d- �I'•, J A,y9d` O ELEV;1TIOf _:_.0 "5A^"` ELEVATION B "' ELEVATION A J y`d 5 SCA_E. DATE: PROJ. #: LA L D ADDITIONS '-0,.... NO 21 MAY-201 4 1554 N 'L'L32 ES 1� 1� FND. PLAN, ELEVATIONS, BUILDING SECTICIN SHEET _ _ ADJ!DITIONS AND RENOVATIONS Z lc LIVING DESIGNS JEFFREY A. BARNABY, CNBD ROSEI UND RESIDENCE (1 —508-771 -3647) LANC SC S HEW AI F%PRE LY RESERVES ITS L L �' CC JMG'LAW COP)RIGHT. .'ESE PLAINS ARE NOT CERTIFIED PROFESSIONAL BUILDING DESIGNER 360 WHITE OAK TRAIL E SE REPRODUCED.CHMC o oa COPIED. ANY ERRORS OR OSCREPMC 5 FOUND ON THESE 131 DUAKER MEETINGHOUSE ROAD, EAST SANDWICH, MA. I I Z? PLAN$ARE TO BE BROUGHT TO THE ATTENTION OF OF_>�( - TEL. 508=888-2747 CENTERVILLF, MA. 026`_ _�_�__, ULITO DESIGNS TO THE START OF IVORK. : Go. ®� f O % LEGEND U % = NEW CONSTRUCTION j = ExISTING CONSTRUCTION cn- ' LLJ OG_ J / `PROPERry UNF �r Ool�l !!! S C) i �/ ``• ` 1111 �, OPnON/J.Win00w5 � O Z SMALL ENCROACHMENT NEW NEW (n FAMILY AREA r BEDROOM NEW W I �.. •°a..E-z ��- - W DE � a � C K �\ \ P T °J SEC '•OG wKL i0 REUNN NUN JJ e z s w000 cau `kr,�, ���.� `\_ \q �4e \ ;«J • I �` II / I NEW,, , :< -CASED KITCHEN � x \\'��+•�\\ a�� I E T EOLE _ ._ _.- ._ _. - m ' �:\\�\ \ �\ �9. - you c°a I O ❑ -- 1 -e ° f.F�EA1fF A.'T Kr 1 — \s\a _ x' •e'e ' 333rrr •91 BEDROOM . U E%5TiNC WINDOW /n > i l 'sue .u"• proposed FIRST FLOOR PLAN ((option o) proposed SECOND FLOOR PLAN (option a� i O (mil W Q J SCALE: DATE: PROJ. : I E I(� �� I PROPOSED FLOOR 'PLANS '�` -_' -° 21-MAY-2o 4 1554 � III � © 5 L III � N In ADDITIONS AND RENOVATIONS SHEET �:�U Lu'- �I Nc m q — JEFFREY A. BARNABY, CPBD ROSELUND RESIDENCE (1 -508-771 -3647) LV:06 4 E '.PRE$SL 415S '$ A `� 0 Cf. AV OF THESE LPI AVEP WTT CERTIFIED PROFESSIONAL BUILDING DESIGNER 360 WHITE OAK TRAIL O t P PP]OR E' C!D OR COPED NY ERRJR OR Z' N ES FOU 'ON THESE 131 QUAKER MEETINGHOUSE ROAD, EAST SANDWICH, MA. CEN ERVILLE, MA. 02632 _ -Ll T' S AT L e 9R ac o E irEv oN Cr sir �.C ET'Lic�1I.P •0�✓r r O- wOR�. °4-- TEL. 508-883-2747 -- � .I} O U W Q i' >_ O r Ell ESTIMATED PROPERTY LINE n-G=R.,G­TER - w - EXISTING REAR EXISTING LEFT & FRONT O i5 SE,9+Cn LmiE1\ / cn W n -01 I I I I I I a - � � 9 a j I O II { 1 F v JU > L _- ______ ____ 1 ,n r — ——— —————— 1`.�� -,� Iv ijlii i� s�� tiILI LEGP�' — EXISTING SECOND FLOOR PLAN EXISTING FIRST FLOOR PLAN I O U cJj w i a I > J SCALE: DATE: .PROJ. : WNG r� /4"=1'-0"' 21—MAY-20 4 1554 D Ei� �S L� O EXISTING FLOGR PLANS - SHEET J Al6'� ADDITIONS AND RENOVATIONS � GEs,GNS z o, A JEFEREY A. BARNABY, CPBD ROSELUND RESIDENCE (1 —508-771 —364?) NG rs,cns uERE6v ExRaEssLv aEseR s rts +.. CERTIFIED PROFESSIONAL BUILDING DESIGNER - TO 3-R Law c -D.cHr- THESE?LANs ARE Nor I 360: WHITE OAK TRAIL °'_RORRCG°CEG,GHHNGE°'a-0O' 131 QUAKER MEETINGHOUSE ROAD, EAST SANDWICH, MA, RsoasoRnc—G11c�TO Lour-or++HESE ' TEL. 508-888-2747 CENTERV1LLE, MA. 02632 PL""s ARE T° R 9R°TOIL I° AR °1 W0 °` OF �L�L�vNG°_SIGNS aRiCR iG THE START OE 15VRk. ?'TOP> FNDN. AT EL. 62.4' SYSTEM PROFILE TEST HOLE LOGS ACCESS COVER TO WITHIN 6" OF FIN, GRADE (NOT TO SCALE) PROVIDE INSPECTION PORT WITHIN LOCUS { ) s" of FINISH GRADE ENGINEER: LISA LYONS, RS �s ACCESS COVER (WATERTIGHT) TO MINIMUM .75' OF COVER OVER PRECAST /� WITHIN 6" OF FIN. GRADE 2% SLOPE REQUIRED OVER SYSTEM ! 61.0 WITNESS: D. DESMARAIS, RS 2" DOUBLE WASHED PEAS ONE, DATE: ELEV. 59.9' RUN PIPE LEVEL $/22/05 FOR FIRST z' 3 MAX. PERC. RATE = < 2 MIN/INCH I EXISTING 1000 { j GALLON SEPTIC ' * 58.G' I 11056 TANK (H- 10 ) 5�S t GLASS SOILS P# RE-USE SEE NOTE BAFFLE 57.42' "`' 57.25 77 0 ® 0 r7 0 0 0 57.17aoa �l 0_,,,, Q �o 6" CRUSHED STONE OR MECHANICAL a 80Q 2' C� 1=I C� C� C� 9° p COMPACTION. (15.221 [2]) . 0�0?5`� 0 55.17' Q ELEV. Q ila DEPTH OF FLOW = 4 2:5 1 oil 0�� 61.3' A^ ( � SLOPE) ( SLOPE) 3/4 TO 1 1/2 DOU-dLE WASH'=D STONE 0.0 t TEE SIZES: 10" INLET DEPTH = Cl , OUTLET DEPTH FILL 14» CS LOCATION MAP NTS 22" FOUNDATION EXIST. ---- SEPTIC TANK 43' D' BOX 10' LEACHING FACILITY 2.5Y 6/6 q ASSESSORS MAP 192 PARCEL 243 *THE INSTALLER SHALL VERIFY THE 6.17 LOCATIONS OF ALL UTILITIES AND ALL " - 48 56.0 LS BUILDING SEWER OUTLETS AND ELEVATIONS PRIOR TO INSTALLING ANY PORTION OF 10YR 3/2 . FI SEPTIC SYSTEM 30 THE INSTALLER SHALL CONFIRM MINIMUM SEPTIC -I'65,89 B t` TANK SIZE OF 1000 GALLONS, AND DETERMINE 63, \ PERC G2 { SUITABILITY FOR RE-USE. REPLACE WITH 1500 GAL 6S� 49.G' TANK IF NOT SUITABLE FOR RE-USE & ADD LS REQUIRED TEES AND GAS BAFFLE 318.51' M/CS 10YR 5 6 � 4611 57.5' ---------- ---f-G2 -------- -k63.18 ` C W LN)jf,N z � .,+ 2.5Y 6/6 of 63,58 ''�� PERC M/CS 4 =163.42' 59.78 --I- �,8�- 7i-61,40_ Q �-59 59,5 G 62.0 PAVED , ( 2.5Y 5/3 i UG TES 6L G TO WHITE OAK TRAIL �� "� 2.16 DRIVE , `, `�'� S 132 49.0' 138" 49.8' feu , B NGWE NGWE NOTES: 7 7 BENCHMARK: f a. S /5� 9,3 TOP FLAT 113�1 i`r �S STONE WALL 2.04 APPROX. NGVD fir. . 56` AT EL. 60.0' '�,. SEPTIC _nESlrnl_ NOT ALLOWED 1. DATUM IS _ 59,06 (r-gRRA�;E_-_DISPOSER .I, T1 _ - --- --- - - +� 62.0 2. MUNICIPAL WATER IS EXISTING 86, o� DESIGN FLOW: _3- BEDROOMS ( 110 GPD) _ 0 GPD PIPE PITCH TO BE 1 8" PER FOOT. 94 pxyyE c 64.0 USE A 330 GPD DESIGN FLOW 3: MIPJIMG�,� / 6 4. DESIGN LOADING FOR ALL PRECAST UNITS TO BE AASHO H- 10 57,95 TF = 62.4' SEPTIC TANK: t � 330 GPD (2_) = 660 5. PIPE JOINTS TO BE MADE WATERTIGHT. � S 10G0 .+. 55,19 33 USE A � GALLON SEPTIC TANK (RE-USE Exlsr. SEE NOTE) 6. CONSTRUCTION DETAILS TO BE IN ACCORDANCE WITH MASS. 65 LEACHING: ENVIRONMENTAL CODE TITLE V. _ 87 61.50 = 7. THIS PLAN IS FOR PROPOSED SEPTIC SYSTEM ONLY AND IS NOT .o DECK 64.23 2(30 + 9.83) 2 (.74) 9 117 1�0 -{�61, SIDES: TO BE USED FOR ANY OTHER PURPOSE. 0 9 �°j 75 , 1E �5 BOTTOM: 30 x 9.83 (.74) = 218.2 8. PIPE FOR SEPTIC SYSTEM TO SCH. 40-4" PVC. I 78 TH2 EXIST. ST + TOTAL: 454 S S.F. 336.1 GPD 9• COMPONENTS NOT TO BE BACKFILLED OR CONCEALED WITHOUT 55 (SEE NOTE) 66.42 INSPECTION BY BOARD OF HEALTH AND PERMISSION OBTAINED 5924 USE (3) 500 GAL. LEACHING CHAMBERS (ACME OR FROM BOARD OF HEALTH. ` F DR N �56 LP o EQUAL) WITH 2.25' STONE AT ENDS AND 2:5' AT SIDES 10. PUMP & REMOVE (OR FILL W/CLEAN SAND) EXISTING LEACH PIT whir * EASE NT 7.47 OCO SHED 61.30 59 TH, LEGEND 8,18 9 - TITLE 5 SITE PLAN t-5`1 ..F C 0,3 67,63 100.0 PROPOSED SPOT ELEVATION ,--6° of 360 WHITE OAK TRAIL LOT 65 61 -I-6L61 10Qx0 EXISTING SPOT ELEVATION IN THE TOWN OF: � 2 21,554 SFt!� 62 �3 119 r 10o 1 PROPOSED CONTOUR ( CENTERVILLE) B A R N S TA B L E q 65 66 f ; 6� x 100 Exlsrwc CONTOUR PREPARED FOR: SCOTT ROSELU N D $ 113.00' 8.89 I 20 0 20 40 60 " BOARD OF HEALTH MA SCALE: 1" = 20' DATE: AUGUST 24, 2005 APPROVED DATE x �{ 4 off 508-362-4541 r` fox 508 362-9880 �J(A OF A,fgs �(N OF Mgss down- cape engineering, inc. AR NE H ��N �° N ARNE C?JALA o H. CIVIL ENGINEERS CIVIL ®J LAND SURVEYORS 0. 307 No 348 ' 2 Avv 05-- �85 939 main st. yarmouth, ma 02675 A .TAr.A, . .S. DATE a f� 3