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HomeMy WebLinkAbout0092 WILD GOOSE WAY - Health 92 �ti��r�'d r-o ay Centerville A= 167 —049 i 'IIII ,�f J��ECYCIFp pot IIII UPC 12543 Wo.53LOFi HASTINGS.MN No.C�6 /J � V Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS ZippYication for M gpogal *pgtem Congtruction Permit Application for a Permit to Construct( )Repair( Upgrade( )Abandon( ) Complete System A Individual Components Location Address or Lot No. GAPE'1/s,rY- Owner's Name,Address and Tell.No. Assessor'sMap/Parcel /t-;7 y f� d c�ooscrGy.t 0. Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. Type of Building: Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow gallons per day. Calculated daily flow gallons. Plan Date Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. Description of Soil Nature of Repairs or Alterations(Answer when applicable) �'c���X 6:� lo ( r e, ' 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 issu this Board of Health. Signed Date Application Approved by Date C, Application Disapproved for following reasons Permit No. Date Issued " No. Fee / THE COMMONWEALTH OF MASSACHUSETTS - Entered in computer: Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLES MASSACHUSETTS i ZIPpYication for Mionogal *pttem Construction Permit Application for a Permit to Construct ��pp ( , )Repair(Upgrade( )Abandon( ) O Complete System L�In/ dividual Components Location Address or Lot No. q*02 4 zo 64,0f a f&XY Owner's Name,Address and Tel.No. ``• Assessor's Map/Parcel C�%✓ • 9e� �i i6 4� �f� rJ err,0jWr iv fy Installer's Name,Address,and Tel.No? Designer's Name,Address and Tel.No. t Type of Building: Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder( ) Other Type of Building 4oe 44%r, No. of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow gallons per day. Calculated daily flow gallons. Plan Date Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. Description of Soil Nature of Repairs or Alterations(Answer`when applicable) F Date last inspected: Agreement: The undersigned agrees''fo 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 issue y this Board of Health. Signed Date Application Approved by -� �. C .,.Date C_.'- Application Disapproved fopt th following reasons 4 Permit No:`"ZQQ j I,5.J7 Date Issued N "5- - -------------------------- Q ------------- THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS Certificate of Compliance, -, THIS S TO CERTIFY, that the Or.-site.Sev:,z e Disposal.-System.., r�o�r�,.rPd r RenairPd (_.,1 iJ.pgrar�ed.( ) . Abandoned( )by 0T�ni �e�`'•�'�E``/ b - at �� !�i�G G s'E �iE1� G�'�'°� has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No240q-I Ss_ dated G e3- O` A Installer �/ .Ce '�y6�I� �', Designer -� The issuance of is irmit shall not be construed as a guarantee that the sy tem it function as desi ned. Date L i� �Inspec or �\ I)y�61�• 1 S> �� y - -------- - ------------------------------- No. 2,00 al, — Fee �� U THE COMMONWEALTH OF MASSACHUSETTS PUBLIC-HEALTH DIVISION - BARNSTABLES MASSACHUSETTS ligool *pztem Construction Permit Permission is hereby granted to Construct(. )Repair(d Upgrade( )Abandon( ) System located at eat 0 40r10 NP4_ Ap"Ay GE"/_T and as described in the above Application for Disposal System Construction Permit.The applicant recognizes his/her duty to comply with Title 5 and the following local provisions or special conditions. Provided:Construction must be completed within three years of the date of this permit Date: �., ' Q Approved by V No. . ,� b� ,_ Fee -r- / THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS Yes ZIPPlication for aie;pon.Y *pgtem ConotrUCtion Permit Application for a Permit to Construct( ) Repair( ) Upgrade( ) Abandon( ) ❑.Complete System LJIndividual Components Location Address or Lot No. �J ,,k Owner's Name,Address,and Tel.No. Assessor's Map/Parcel Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. Type of Building: Dwelling No.of Bedrooms I<--- Lot Size sq. ft. Garbage Grinder ( ) Other Type of Building z�r e-r No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) 5:1�49 gpd Design flow provided —'7g'7' T gpd Plan Date �� —04°-® ' Number of sheets Revision Date �� 3-��'`� Title Size of Septic Tank F Jea oQ, Type of S.A.S. - .3-X 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 Certificate of Compliance has been issued by this Boa f Health. Signed Date e��✓ Application Approved by �� ' Date —3 s t —Cy Application Disapproved by: Date for the following reasons Permit No. (�(5 R Date Issued 3 TOWN OF BARNSTABLE LOCATION �9a SOLO GooS'C ���_ SEWAGE# VILLAGE ASSESSOR'S MAP&PARCEL INSTALLERS NAME&PHONE NO. -I-- SEPTIC TANK CAPACITY Jj`� G��G�•� �^'�'T'�L�` E—S'— a 9 LEACHING FACILITY:(type) 7�t`�"`� ln`n/A'.r�oa (size) 3 X 33 X a NO.OF BEDROOMS OWNER PERMIT DATE: �-09 COMPLIANCE DATE: 6 r o 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 �c�a,✓T B s / _ O O / a- 7 ; o �X/,x �;- o 3 S 0 o G.j14oZe w No. a` b ( :, ' as i Fee ! THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes 2ptlYiCation for ;BiqO$aY *pztetn Con6truction Permit Application for a Permit to Clonstruct O Repair O Upgrade O Abandon O ❑Complete System LJ Individual Components Location Address or Lot No. ,/j X. ?)dv"Jle 1-4 Owner's Name,Address,and Tel.No. }� Assessor's Map/Parcel Installer's Name,Address,and Tel.No. Designer,'s Name,Address and Tel.No. Type of Building: ' �j Dwelling No.of Bedrooms . Lot Size sq. ft. Garbage Grinder ( ) t Other Type of Building 4OF e-r No.of Persons Showers( ) Cafeteria( ) Other Fixtures 4-1�1 ; �p � 4 O Design Flow(min.required) 51 gpd Design flow provided T '7"' d gP / 1 Plan Date Number of sheets Revision Date Tv 3-ice c d Title N. Size of Septic Tank Type of S.A.S. / s' � 3.X ,SC Description of Soil r T I ' 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 Certificate of Compliance has been issued'by this Bo f Health. X. Signed Date �i Application Approved by Date 3— t 6 a Application Disapproved by: Date for the following reasons r Permit No. oZ O� 1 Date Issued 3 THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS Certificate of Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal System Constructed ( ) Repaired (4'�Upgraded ( ) Abandoned( )by e �.�0��//'� F at 9-al `fi �L 6 6�Of'GQ" &/�( y c ee`I� T has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No. gook d" dated 3 ' Ilk,U Installer��/yj G ��QO�`l/� Designer �� �'`s-� .�y, oW,� '¢'ld r,. #bedrooms 70 Approved design flow gpd The issuance of this permit shall not be constr ed as"a guarantee that the system wji lfunction as-d signed. Date t ~� Inspector � .� - -———————O— —————————————— ——— No. .70 4 - Fee THE COMMONWEALTH OF MASSACHUSETTS - PUBLIC HEALTH DIVISION-BARNSTABLE, MASSACHUSETTS wigpool *pgtem Con trUCtion Permit Permission is hereby granted to Construct ( ) Repair ( ) Upgrade ( ) Abandon ( ) System located at 9�r li''li/,��j <5-00 sPe- 1'..f/ ',Y and as described in the above Application for Disposal System Construction Permit:The applicant recognizes his/her duty to comply with Title 5 and the following local provisions or special conditions. Provided: Construction ust be completed within three years of the date of this permit. Date �a Approved by No. Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes 2pplication for Mis;posal 6-. went Construction Permit Application for a Permit to Construct( ) Repair( ) Upgrade( ) Abandon( ) ❑ Complete System ❑Individual Components Location Address or Lot No. Owner's Name,Address,and Tel.No. Assessor's Map/Parcel Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. Type of Building: Dwelling No.of Bedrooms Lot Size sq. ft. Garbage Grinder ( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) gpd Design flow provided gpd Plan Date Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. Description of Soil Nature of Repairs or Alterations(Answer when applicable) Date las t inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of Compliance has been issued by this Board of Health. Signed Date Application Approved by Date Application Disapproved by: Date for the following reasons Permit No. Date Issued THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS Certificate of Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal System Constructed ( ) Repaired ( ) Upgraded ( ) Abandoned( )by at has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No. dated . Installer Designer #bedrooms Approved design flow gpd The issuance of this permit shall not be construed as a guarantee that the system will function as designed. Date Inspector No. Fee THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION-BARNSTABLE, MASSACHUSETTS Migont *p!tem Construction Permit Permission is hereby granted to Construct ( ) Repair ( ) Upgrade ( ) Abandon ( ) System located at and as described in the above Application for Disposal System Construction Permit.The applicant recognizes his/her duty to comply with Title S and the following local provisions or special conditions. Provided: Construction must be completed within three years of the date of this permit. Date Approved by er• " '"s.Rr<.: ...•�--may- .-..'�.,-';�y +,�..:�.i,w.•r,•t.`�:-as' 'I.i'a.�'i'°a yr,.-r..- .-.:.:,may-, c.w._ .�ir..-av-T..r:..gRy.4��.�'lyy.,.•n;,.�,�, .-.,,tia.i.�r=-=v.-w.r .-.. _�_-.,r.�,.._� ...r-;w... No. . Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS 2pprication for Tigpogal *pgtem Conotruction Permit Application for a Permit to Construct O Repair O Upgrade O Abandon O ❑ Complete System `r Individual Components Location Address or Lot No.;P 1.41 xee or"0,r<"" {�V Ow a 's Name,Address,and Tel.No. Assessor's Map/Parcel x Installer's Name,Address,and Tel.No. �D�,esigner's Name,Address and Tel.No. ;s�'S� ,;r e e7 7 :.�.r�F at lE`s ',r/ `./19�`��d�s ' Type of Building: Dwelling No.of Bedrooms Lot Size' sq.ft. Garbage Grinder ( ) Other Type of Building { No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) gpd Design flow provided gpd Plan Date '�"° """ "`® 1� Number of sheets Revision Date `� r Title Size of Septic Tank + �` �"' hoc • Type of S.A.S. Description of Soil ti 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 Certificate of Compliance has been issued by this Boartllof.Health. .- Signed Date _ Application Approved by f~ � " Date Application Disapproved by: i� Date for the following reasons Permit No. Date Issued -------------------------------------------- THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS Certificate of Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal System Constructed ( ) Repaired (A) Upgraded ( ) Abandoned( )by at r has been constructed in accordance , with the provisions of Title 5 and the for Disposal System Construction Permit No. ' dated I Installer �+'�il • 'GG ., Designer �At C`• #bedrooms Approved design flow ''r i gpd The issuance of this permit shall not be construed as a guarantee that the system will-function as designed. Date µ 1 Inspector ---------------------------------------------- - No. Fee THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION—BARNSTABLE, MASSACHUSETTS /1=i!5po!6a1 *pgtem Con!6truction Permit Permission is hereby granted to Construct ( ) Repair 'Upgrade ( ) Abandon ( ) System located at f�Z .04--1.4� and as described in the above Application for Disposal System Construction Permit.The applicant recognizes his/her duty to comply with Title S and the following local provisions or special conditions. Provided: Construction must be completed within three years of the date of this permit. Date _ Approved by TOWN OF BARNSTABLE LC,CAVON �� ���� C��cj'�` l�i�� SEWAGE VILLAGE G lf'wT ASSESSOR'S MAP&PARCEL INSTALLERS NAME&PHONE NO. SEPTIC TANK CAPACITY Ioc aX%J'TJ�''G LEACHING FACILITY.(type) (size) NO.OF BEDROOMS OWNER PERMIT DATE: ��'���''� COMPLIANCE DATE: I O 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) si Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) Feet FURNISHED BY J � 4150 TOWN OF BARNSTABLE LOCAON I LN SEWAGE # p ,/ / y .v VILLAGE a?1%Ctf Vi'!lC ASSESSOR'S MAP & LOT INSTALLER'S NAME & PHONE NO. � I1�-tS4rf( �O SEPTIC TANK CAPAC?�Y 0 iy LEACHING FACILITY:(type) LA,cA I T-' (size) �< NO. OF BEDROOMS PRIVATE WELL ORCUBLIC WATE BUILDER OR OWNER DATE PERMIT ISSUED: DATE COMPLIANCE ISSUED: VARIANCE GRANTED: Yes No �/ Cl s a ^ we �i Town of Barnstable � E Regulatory Services Thomas F. Geiler, Director nA&MABLL 1639. Public Health Division 9� 19► Thomas NIcKean, Director 200 Main Street,Hyannis,NIA 02601 Office: 503-362-364-4 Fax: 503-790-6304 Installer & Designer Certification Form Date: V ( 'Q& Sewage Permit# <'�"P�� ( � Assessor's Map\Parcel Designer: I ►"1 V"6P �� Installer: Address: P t3X otS/ Address: 4, On � was issued a permit to install a (date) (installer) septic system at 9 2- W t L19 600s� WAY Y based on a design drawn by (address) dated l t ea (designer) _K I certify that the septic system referenced above was installed substantially according to the design, which may include minor approved chances 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 anv 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. OF MqS DA E M. r„ MEYE (Installer's Signature) " No. 1140 1 'SEC/STENO SO I TAO .y�. �� .03 (Designer's Signature) (Affix Designer's Stamp Here) PLEASE RETURN TO BARNSTABLE PUBLIC HEALTH DIVISION. CERTIFICATE OF COiNIPL1ANCE WILL NOT BE ISSUED UNTIL BOTH THIS FORM AND AS-BUILT CARD ARE RECEIVED BY THE BARNSTABLE PUBLIC HEALTH DIVISION. THANK YOU. 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No— Fics....../..� .............. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH Q � 1 _---_7D 141.-----.....OF..........64je 5711- j1-415----------------------------•---- App ira#ion for Uiipnstal Works Tnnitrnrtiun Prrmit `Application is hereby made for a Permit to Construct or Repair ( ) an Individual Sewage Disposal System at: ............. ...... Location-Address or Lot No. ... ..-• -•-•- Owner Address a Installer Address U Type of Building Size Lot__�� t.a3 __..Sq. feet Dwelling—No. of Bedrooms........................ .....Expansion Attic ( ) Garbage Grinder (Nb) FRf�?r=._ No. of persons............................ Showers — a Other—Type of Building�a��..___ .. . p ( ) Cafeteria ( ) Otherfixtures --------------------------•-----------.............................................................. ................................................ w Design Flow..................5.,_.................. per person per day. Total daily flow............ .....................gallons. WSeptic Tank—Liquid capacitylOP.V..gallons Length...l,6....... Width................ Diameter..._..49..... Depth..._(?_...__.. x Disposal Trench—No. .................... Width.................... Total Length.................... Total leaching area_______----•-_.__•_-sq. ft. Seepage Pit No----------_--------- Diameter.................... Depth below inlet.................... Total leaching area_.4Y&Z.sq. ft. Z Other Distribution box ( ) Dosing tank ( ) Percolation Test Results Performed by.......................................................................... Date........................................ ,aa Test Pit No. 1_n';t.e-.......minutes per inch Depth of Test Pit._/_` Y 4.__._ Depth to ground water.."! (a Test Pit No. 2..9e......minutes per inch Depth of Test Pit___1 IV.,----- Depth to ground water.___,V2?!� -___. O Description of Soil•- ` ••• ��' �/ p �/"- f4��Y..--...... tol ........ 1�'� .... t� �!L' -.�-L� 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 T 1TL 1 5 of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has beeen?n,,issued by t board of health. / / Signed_.d-.°�:''�C- '�_1__ -----------------•--••-••--••-••---• •--- 1&41.7— `� .. Date Application Approved By..............� .._.J_.t..6.c.n�.n // QQ Date Application Disapproved for the following reasons-------------•-----------------------•------------------•--------------------•-----------------------------•-•--- ...----•--•------------------•---.....•....----•-•------••-...•-••------•••-•••--•--•-.........--•-----•-•---••-•••-•••••--••-•-•-•-----•-•-•---.....-•••••--••----•----•••--••---------•-••------••.•-- Date Permit No........ 7 j .................. Issued----------------------------------------• ------------ Date THE COMMONWEALTH OF MASSACHUSETTS BARD OF HEALTH - T �......_.....OF........./ MAC 57� ..................................•. Appliration fur Disposal Works Tonstrurtion rnmit Application is hereby made for a Permit to Construct (V) or Repair (, ) an Individual Sewage Disposal System at: Location-Address or Lot No. ......................—.......................................................................... -------------•-----------•---...-----...___...._.__....._.--------......._.....-------------•--..- Owner Address .......................... -------------• -0 1 InstaLer Address Type of Building Size Lot. _ ! _-�__� .....Sq. feet Dwelling—No. of Bedrooms___________________________________________Expansion Attic ( ) Garbage Grinder 10 ) aOther—Type of BuildingWP?!8__I�Xf ___ No. of persons____________________________ Showers ( ) — Cafeteria ( ) QI Other fixtures --------------------------------- - ---- --------- W Design Flow................. ..................gallons per person per day. Total daily flow...........��. ________._.___........gallons. 1�4 Septic Tank—Liquid'capacity/L�C�___gallons Length................ Width................ Diameter................ Depth___._.._.___.... W Disposal Trench—NTo_ ____________________ Width-------------------- Total Length.................... Total leaching area....................sq. ft. x Seepage Pit No--_---------------- Diameter.................... Depth below inlet.................... Total leaching area: %_?.__sq. ft. Z Other Distribution box ( ) Dosing tank ( ) aPercolation Test Results Performed f!bY-----•--------•---••••--•--•------•--•-•-•----.... _..----••--•-•••••••• Date........................................ a Test Pit No. 1 ........minutes per inch Depth of Test Pit_!`4`'�____.__.__ Depth to ground water_:°V--- "- ._____ Test Pit No. 2_;X!________minutes per inch Depth of Test Pit._/V_11____._ Depth to ground water_.'vgeh�?�_._... Q'' ✓ i ---------•---------------- --------------------•- Description of Soil..® �f : ..�% ........ya y./------��y�%��."���-p�.... �---- td d .:5 A� 3 C__ `.'e'lY •d am^ ' V � `' - a- ''. {r ' - --------------------------------------------- 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 T I TI E j of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been issued by. bo�arrddoof health. f Signed.t•_ ? ---- f� 'T f ®/.'���, �.._ ---------------------------••••••-•-- --- Date --••••••--••- Application Approved By ^ ,� 4-�•-�.a--�.n. :_�-s........................... Date Application Disapproved for the following reasons----------------------•-•---------------------------------------------------------------------------------..._ ................•--•--•-•----•-•-....--------••••---••••-._...---•--•--•••--•-----•---......_..--•-•----•------------•-----••••••-•--•••••-•••••-••-••--••-------•-•---- ............................... Date PermitNo........ =-----7-..c-)--------------------- Issued....................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH .......................................•••••- Corrtifiratr of Toutpliattrr T,W S TO CERTIFY, That the Individual Sewage Disposal System constructed V) or Repaired ( } Installer at....�=#7------/� 7�7----- ------------ -,g--,'-� -i(�FX VILL(�--------------------------------------------------- has been installed in accordance with the provisions of TIi'�X-., '• of The State Sanitary Code as described in the application for Disposal Works Construction Permit No........ ____�_.._�___.__ dated________________________________________________ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT Y"E SYSTEM WILL FUNCTION SATISFACTORY. - DATE...................... .. ..-..". ............................. Inspector.................... `:In. ............................................ , y THE COMMONWEALTH OF MASSACHUSETTS �J BOARD /OF HEALTH (�(4" .....OF.. 1.. `� `` teeter `� -7 ..................................... 4 No.-C�- ° -._.l_l/) FEE.... J......... Disposal,, or4p Tonstrudion rrntit Permission is hereby granted..._. V = fi s(fol-4- - ••_•----••••. --T.......-•.--......--•....--•-•••-••••....----------------•••_...._.....•••---•-........_......_••---_--- i to Construct (V) or a R� air an Individual Sewage Disposal System t No... /<._._.__.+ ......fi C.L � ���� � i!.......C=..... -t) �, Street �y as"''shown on the application for Disposal Works Construction Permit No.'%_______________ Dated.........;..........................._.. Board of Health < < DATE_______ .................................... FORM 1255 H BBS & WARREN. INC., PUBLISHERS • r Qd0 fl � W ca 0 BENCH MARK LEGEND OUT ! 7 Vent TOP OF DRAIN GRATE v -�__ PROPOSED CONTOUR \ % TH TH-4 ELEVATION = 47, 74 9® PROPOSED SPOT GRADE U o O y 9 BARNSTABLE GIS DATUM Q N % `y " ——98 —— EXISTING CONTOUR -moo Existing Leach Pit % 1 / ,.,, 9--GO ms T + 96.52 EXISTING SPOT GRADE Note 10) SM�y"46 COV W— EXISTING WATER SERVICE S o j i o // / 2 TEST PIT My 40 LA lol 77 LOCUS MAP N.T.S. O a /i � i /// c� / / �� , ! GENERAL_ NOTES: 1• ALL CHANGES TO THIS PLAN MUST BE APPROVED BY THE LOCAL �Q�x i // % BOARD OF HEALTH AND THE DESIGN ENGINEER. p C/ C' � 1 , % 2. ALL WORK AND MATERIALS SHALL CONFORM TO THE REQUIREMENTS O / j OF THE STATE ENVIRONMENTAL CODE, TITLE V, AND ANY APPLICABLE 2p {f O Gj�Q� LOCAL RULES AND REGULATIONS. r. /rn 3. THE SEWAGE DISPOSAL SYSTEM SHALL NOT BE BACKFILLED PRIOR TO INSPECTION AND APPROVAL BY THE BOARD OF HEALTH AND THE � - DESIGN ENGINEER. // 01 // 4. ANY CONDITIONS ENCOUNTERED DURING CONSTRUCTION DIFFERING / j' FROM THOSE SHOWN HEREON SHALL BE REPORTED TO THE DESIGN ENGINEER BEFORE CONSTRUCTION CONTINUES. 5. ALL ELEVATIONS BASED ON ASSUMED DATUM. 6. THE DESIGN ENGINEER IS NOT RESPONSIBLE FOR THE FAILURE OF THE CONTRACTOR OR OWNER TO NOTIFY THE LOCAL BOARD OF HEALTH FOR PROPER INSPECTIONS DURING CONSTRUCTION. 7. WATER SUPPLY PROVIDED BY TOWN WATER SERVICE. 8. ALL AREAS DISTURBED DURING CONSTRUCTION SHALL BE RESTORED TO A CONDITION AGREED UPON BETWEEN OWNER AND CONTRACTOR. 9. IT SHALL BE THE RESPONSIBILITY OF THE CONTRACTOR TO VERIFY THE / THE LOCATION OF ALL UNDERGROUND UTILITIES, PRIOR TO BEGINNING CONSTRUCTION. 50 TK—T` ` TH-2 / t6. EXISTING LEACHING PIT TO BE PUMPED, CRUSHED AND FILLED 11.\4,$, HOUR NOTICE FOR ENGINEER CERTIFICATION \ 12. THI�•,PLAN IS TO BE USED FOR SEPTIC SYSTEM PURPOSES ONLY 49 , , - // L IS'''\•NOT TO BE CONSIDERED A PROPERTY LINE SURVEY 13. NO PRIVATt',WELLS WITHIN 150 FT. OF PROPOSED LEACHING 48 1 i AREA 34232 s f +— 14. ALL PIPING TGI\BE 4" SCH 40 ® 1/8"/FT, UNLESS NOTED OTHERWISE OF ,�jq3, 46 44 / + 15. THE DESIGN OF`THIS SYSTEM DOES NOT ALLOW 42 i FOR THE USE OF' A,\GARBAGE GRINDER DAR y 40 , \ 16. NO WETLANDS WITHIN '�00 FT. OF PROPOSED LEACHING 1 M. R 17. PROPERTY IS NOT LOCATED IN A ZONE OF CONTRIBUTION. No. 1140 "' 796 ft t \s y S4NITAR�P� ,I PROPOSED SEPTIC SYSTEM UPGRADE PLAN �Z •I 92 WILD GOOSE WAY, CENTERVILLE, MA ` Prepared for: Jahn Duffiey MAP. 167 �92-.� Engineering by: Surveying by: SCALE DRAWN JOB. NO. SURVEY REFERENCE: LOT.'049 rl DARRENM.MEYER,R.S. Eco—Tech Environmental 1"=20' DMM PLAN OF LAND BY BAXTER & NYE, INC. DEED BOOK•6000 � PO BOX 9el (508) 364-0894 DATE CHECKED SHEET NO. DATED: FEBRUARY 27, 1984 DEED PAGE:302 EASTSANDWICH,MA 02537 12/10/07 DMM 1 Of 2 508 362-2922 i r ELEV. TOP FOUNDATION vent required (Existing) 49.22 F.G.EL: 48.0 4 FINISH GRADE=49.0-4$.0 �l F.G.EL: 48.5 F.G. EL: 49.0 -�] MAINTAIN 2% MIN SLOPE OVER LEACHING AREA COVER OVER LEACHING = 3.0 FT. X COVERS TO WITHIN 6 OF GRADE .r 2" OF 3/8" DOUBLE 3/4" - 1-1/2" DOUBLE a .,L = 25 WASHED STONE WA5 E STONE 6" 4 SCH 40 PVC d L = 5' 4" SCH 40 PVC - 10"1 C� S= 1� MIN. s ®I�®®. O E3®®E3 (MIN.)" TEE'S ARE TO BE 14 ( ) ® S= 1% (MIN.) ���®U��®®la® ;• ;;` 4" SCH 40 PVC L ®®®���®aa®® .:...A... INV.45.0 INV.44.85 2 EFF. DEPTH ijiflEEE31®E3®®®I�E3®®® INV.44.65 3.25' 3 X 8.5' 3.25' EXISTING OUTLET GAS PROPOSED DB-3 BAFFLE H-20 DISTRIBUTION BOX EFFECTIVE LENGTH = 32' $ .. I INV. 45.25 AM Aw AM t EXISTING 1,000 GALLON SEPTIC TANK INV. ELEV.= 44.50 ) GAS BAFFLE TO BE INSTALLED ON NOTES: 1 CONTRACTOR SHALL VERIFY ALL EXISTING BREAKOUT OUTLET TEE AS MANUFACTURED BY PIPE INVERTS PRIOR TO CONSTRUCTION ELEV.= 45.16 TUF-TITE, ZABEL, OR EQUAL 2) D-BOX SHALL BE SET LEVEL AND TRUE TO TOP CONC. ELEV.= 45.50 GRADE ON A MECHANICALL COMPACTED SIX INV, ELEV.= 44.50 =rE3UE30UU0 ®Do~ Q .®® INCH CRUSHED STONE BASE, AS SPECIFIED IN ®®�®®®® N"\� OF dlgs�, 310 CMR 15.221(2) ®®®®®®E31 3) REPLACE EXISTING 1,000 GALLON SEPTIC ®®E3®ERE@ Ea a� y� �� oo DANtF;EIy�M /� BOTTOM EL.= 42.50 TANK WITH 1500 GALLON SEPTIC TANK 4' 5 FT. 4' IF FAILED, DAMAGED, OR UNDERSIZED. 0.-1140 " SEPTIC SYSTEM PROFILE 4) INSTALL INLET & OUTLET TEES AS REQUIRED SEPARATION 5.25 FT. EFFECTIVE WIDTH = 13' AfCI t�Y" N.T.S. NITAR�a� BOTTOM OF TESTHOLE EL:37.25 SOIL ABSORPTION SYSTEM (SECTION) SOIL LOGS (500 GALLON LEACH CHAMBER (H-20) LOADING) DESIGN CRITERIA DATE: NOVEMBER 5, 2007 NUMBER OF BEDROOMS: 4 BEDROOM SOIL EVALUATOR: DARREN MEYER, R.S., CSE SOIL TEXTURAL CLASS: CLASS 1 (0.74 GPD/SF) WITNESS: DONNA MIORANDI DESIGN PERCOLATION RATE: <2 MIN/IN HEALTH AGENT DAILY FLOW: 110 G.P.D. DESIGN FLOW: 440 G.P.D. Elev. TH-1 Depth Elev. TH-2 Depth Elev. TH-3 Depth Elev. TH-4 Depth GARBAGE GRINDER: NO 0" I 49.75 SEPTIC TANK: 330 gpd x 2 = 660 d USE EXIST. 1.000 GALLON SEPTIC TANK 49.75 A LOAMY SAND 0" 49 25 A LOAMY SAND 0' 50.0 A LOAMY SANG A LOAMY SAND 0" gp 10YR 3/2 10YR 3/2 10YR 3/2 " 10YR 3/2 LEACHING �-REQUIRED: (440) = 594.6 S.F. 48.92 B 10" 48.42 B 10" 49.17 B 10 1 48.92 B 10" � .74 LOAMY SAND LOAMY SAND LOAMY SAND LOAMY SAND USE q'" (3) 500 GALLON PRECAST LEACH CHAMBERS (H-20 LOADING) 10YR 6/8 IOYR 6/8 10YR 6/8 10YR 6/8 WITH 4 FT. ON SIDES & 3.25 FT. ON ENDS: 32'L x 13'W x 2'D 46.75 C1 36" 46.25 36" 46.84 38" 46.59 38" C1 C1 Cl BOTTOM AREA: 32 X 13 = 416 SF c SIDE AREA: (16.5 + 13) X 2 X 2 = 180 SF 1 PERC ®45.0 PERC ®44.70 TOTAL SQUARE FEET PROVIDED = 596 vs 594.6 REQ'D t MED. SAND MED. SAND MED. SAND PROPOSED SEPTIC SYSTEM UPGRADE PLAN 2.5Y 7/4 2.5Y 7/4. 2.5Y 7/4 MED. SAND 2.5Y 7/4 92 WILD GOOSE WAY, CENTERVILLE, MA Prepared for: John Duffley 37.75 - 144" 37.25 144" 38.0 144" 37•75 144" Engineering by: Surveying by: SCALE DRAWN JOB. NO. DARRENM.MEYER,R.S. E00-Tech Tsnvironmentel N.T.S. DMM PERC RATE <2 MIN/IN. ("C" HORIZON) PERC RATE <2 MIN/IN. ("C" HORIZON) PERC RATE <2 MIN/IN. ("C" HORIZON) PERC RATE <2 MIN/IN. ("C" HORIZON) Po Box 981 (508) 364-0894 NO GROUNDWATER OBSERVED NO GROUNDWATER OBSERVED NO GROUNDWATER OBSERVED NO GROUNDWATER OBSERVED EASTSANDWICH,MA02537 DATE CHECKED SHEET NO. 508-362-2922 12/10/07 DMM 2 of 2 i t OWNER OF RECORD JOHN & DIANNA DUFFLEY i 1✓F 1`ti i.i t 't`;� a�: �. J 92 WILD GOOSE WAY ood CENTERVILLE " , itt� ny% Bump s E, 0=s _ #, : 3 S REFERENCES i DEED BOOK 6000 PAGE 302 dd., PLAN BOOK 383 PAGE 90 f SEPTIC SYSTEM AS—BUILT DATED 3/18/08 td St. j t r LOCUS MAP SCALE 1"=2000't 1 � ASSESSORS MAP 167 PARCEL 49 , 194.87' I W r h/ LOCUS IS WITHIN FEMA FLOOD ZONE C AND 4 A10 EL 11 AS SHOWN ON COMMUNITY +a7 N �r o PANEL #250001 0016D DATED JULY 2. ; +49. 1992 (HOUSE IS IN C) t 49.4 50 'p 48+44.se o DATUM: NGVD I +g6.62 +46.58 u? .y b 49.28Y +49. 7.4a BENCHMARK: USE TOP FNDN. 4 I 9. AT ELEV. 4&V ZONING SUMMARY r. PAVED U ST. AREA r� W ZONING DISTRICT: RD-1 1•4 i MIN. LOT SIZE 43,560 S.F. 3 4 G�RpA L AREA 00' I `' MIN. LOT FRONTAGE 20' II -�'ti 06 I 6.8 so 0 �G.67 MIN. LOT WIDTH 125' +s{i St 1705T• MIN. FRONT SETBACK 30' a 10, 4SzRn ST CIOC MIN. REAR SETBACK 10' a 47.49 '5X I + t I E]OST.DWElL ` SITE IS LOCATED WITHIN RESOURCE 47.33 , I PROTECTION OVERLAY DISTRICT DETAIL IN REAR YARD(POOL RET. , ESTUARINE + 8.51 +'o.a c� TOP FNDN._ WALLS.erc)NOT s4owN I I 215 0p. PROTECTION DISTRICT & AP DISTRICT o I 47.46 Q N (REF.PREY. FILING UNDER W �Y 6 .56 / W I 48.18.30 O 46.577q`9 o� 8?t� DECK �' V ti 1 1 \ 4.Lp I 49 5 48 LOT 11 - 34,2321 SF (TTL) 1 / 69 9.41 1 I / ye 192.00' m I I Jazza F SITE PLAN j \ SHOWING PROPOSED ADDITION I 1 AT / 92 WILD GOOSE WAY I ~ / CENTERVILLE off 5011-362-4541 I f ax 508-362-9880 PREPARED FOR downcape.cam down cape engineering, 1 C. - JOHN & DIANA DUFFLEY TH OF'�9 Civil engineers ��SHOFbysc oa4DAN1aLAcy� / OCTOBER 22, 2008 N �� DANIEL "f2N U CiALA N land surveyors A m NIL 939 Main Street ( Rte 6A) NuJALA Scale:1 20'�' NO. s �F �o "= YARMOUTNPORT MA 02675 �'° rP �sT �+. ' Na 0 10 20 30 40 50 FEET 0e-070 DATE D IEL A. OJALA, PE, PLS i Fx�sT i I� I I I 13vetIV ovr Ll I L _—LrL • � II I�II II I L,EF T I 1 iJ WA IK OUT rr i 1p L`7CIS'j• — - - — Ex�s7- E�cs-r, txlsT• � — i NFtnJ./axlC7' ..xiUMP— NfcJ �f+•e-A A 0 0 F _ EwST• _ r —lr y /-L77DiTi D�I R'EMOD-0L - SGIfy b I^ APPNOVEO BY: OEA"BY MEW NEm EXIST 7J OATE pEVISEO s-aa-(Js NEw _ NtW 6xS Z,tGKiuE1,2—K a &i`f SH•,A-g-oA, m O.u4e- -Jt)IiLW5on1 778=6675, i t i � t 1 E415t. EXIST• — rt — 6X1Ji• — ExlbT- 4 _ Exl sr is Eyc1 5T• i• is T r�ciST• -- 4 u ITL ... luv _ jU EILU .. D i R Vv EFT Er eykll1001) T FxL5 r� R Est 6L �v a-n o J A" SECTION - SEIVAGE SEPTIC TANK - IZ - "D"BOX - S -LEACH PIT TOP 0 FDN (MSLI• -..2..OF.17TO `'USE -_—_I-I A•O FVG WASHED STONE 1rt..CEg,9 - • N Cq4 Z (5)II>Pts�es coI�Q,� iN• OUT• IN• O IN• ` 1 UT• N�F 000G G ..«,p EPTIC D,So �AO.Zz TANK �7 S� t @ ® ® �D 5II�AP.,ET�I P, M�251�-dLL ELEV. ELEV. ELEV. ELEV. ((New 39• 13 39.5 r tn,� o (� DEPf1-4e FubW� 4FT b IN O ELEV. ELEV. t I1.1 L e:r Tee', I�" Lq IJ P, I G`Do w L1 33 SD a �I DUTLETTEE' 20°�L9 UPI 14!C)oL.Jms 4`t-IeGT Z` OF PtPe \zl ���� LAIC 14 Cj WASHED STONE - 130TT100 -rq z TEST HOLE LOG Pil TEST BY 15�A.WlL-sold yuQ0t Jy WITNESS n � "1 BEDROOM TESTOATE 17S 1 : t 41, a •� J / S ' zj ` >t DESIGN �e �.�� ��,✓, ! �'I s± ,1. T.H. 1 T.H. 2 x.•� �� �� •,. • _ ELEV. 4b,� ELEV.3o.S �� To?f Lp PERC RATE Z MIN/IN. DISPOSER DISP SER � '" I N• !., FLOW RATE 110 (GALJOAY)/� Psrec 4-Co SEPTIC TANK REO'D SEPTIC TANK SIZE MEDIUM SAD. F4ap JM 6.LIp LEACH FACILITY I I, - .SIDE WALL .`IDit�*• I06,S (2,$) . 4-71.M G/D. -.l . I - o to z "ff+ , q •� ,t � - �� BOTTOM /z� TC �$.S ( I.p I . 76.5 G/D. 4ge TOTAL ZIiT,C7 549,"1 USE: oLl•E 'PCEGes-t LEACHING 'p1 T IV'EFF -D(Am )L coy EPF. -PF_PTo I / �� _WATER ENCOUNTERED � (— NOTES: (UNLESS OTHERWISE NOTED) at+ �c3TE' -r GeAP►�Y �Y A.DATUM (MSL)—TA• KE-N FROM I•'I\IAI.I)JI"i___—_QUADRANGLE MAP - _-MIUNICIPAL WATER___L-2 AVAILABLE S.s#PC DITCH:�"PER FOOT Qf �?kp �.OESIGN LOADING FOR ALL PRECAST UNITS:AASHO- 14- 1O !.MIN.GROUND COVER OVER ALL SEWAGE FACILITIES:(1)FT. ARNE H. G i-PIPE JOINTS SHALL BE MADE WATER TIGHT OJALA �c'�LIED. eD-1 7.CONSTRUCTION DETAILS TO BE ACCORDANCE WITH COMM_OF MASS. STATE ENVIRONMENTAL CODE TITLE S Cl (L SITE PLAN N 7S2 k: _ g.'f+�l►S GtAt.) :OI:Z F 1.1DAC O!�•`f AQ7�'�J',� �D �c �F_s MaP f l0"1 LOCUS: LET I I W I l.D C-�ax rJpT , t 1 �� .=OEZ PROPsr,I�r�f L-IQ5: 'PAeGEL .49asJ� 1.1"C{r2 >i✓VIU_ RED NAL ENGINEER �O>�� �7 ARNE •, REF: PI-4 I 42,p01G- _'5� -2AC3E- WOW cope eniReeiin� � s'• q PREPARED FOR: CIVIL ENGINEERS LAND SURVEYORS ' q BOARD OF HEALTH ������ pE D. CVEVO CONTOURS (EXISTING)---•-••_--• p�� /��� 1 C 0.:{i •- APPROVED _ DATE A--"�T^'C3� MA - �.�a`-.-"•.��s SCALE—I �� �L DATEI� Q� Q� (PROPOSED) -0— -�� 1 1 t . t _ _ _3v = ----F><t 8r• W rnl DouJ' STAIV i 6 - DO W nI 3 {. POLKET �—' E-icIST• 'u � �V .... NEW ELA foE oM i� n x Ex+ST• „� k L 4 i 1 I Y i i I+ O Ew ,ui'- �xt r. w„uoo J P- oM DfL1:e NEW O O y R I yet Dooz EXIST1w1G 75 $ � � - A- DOOR, - V£RIPy W4YEN. "6 STfP w A1cW pGPtNcD M rn). - d G" ope D 1£Tt wAL c 5.. ywGGOG&..p nG 6� ExraT. NFw SUP Po0.T aN yt.00A ,y- CKOT Fa R5H7 EHPE2eD DE- C4 Gr ayy o SUE W 'U �t/EW FzM� P-'raEc1G Z G Y00"cc,,j- f4.f tplV��l [4.• SGy�' / u No.J4774 STRUCTURAL m a-12, L9w i aw=o ExrSY 01 f-/2 S i Loot QLA-;,J - �AG6 3oFur i \ T h wow DE - - U_aapL_ o EXLS7_ 4 tor. w-f-D --..._TthR. ��'Scy�3v � a.-a.xB�T._l3Qx�yja-P f � H ti�.o-P uu G o .po,STy__.A�DP .y. . Q o � �y W VQU)A) F20wi goo,5fz NEw 8" GO C.' 5PrLi- m r_2o� Ute..a�_L.00ft 26;A G—L_PS NEW �f , Po c m e OEW ID'X la' Off Bifnap iz a__ax8.__A..77_6.o -.fYzoP.._(4­4PT. Mid-) lo2SOa�11S—Y_M-.<nl.-- Eeoa1 a n1 E uO —_.---._....- --- 4- P_AAr-IV � r� Pk-no - 2 �oo-_ram ,s ue 7 DIA, •pc++•T�­s 2'p!° F LSTc H I r- 114, 16"mliv. elf. �N9 •on VfRI Z.r o� MICH fa- n F a�-0' r. o CUOfLO u No.34774 STRUCTUrAL/ UNDA-T/OAJY FR�1-.1.1/A7/ �[Ja�J G�4-L����' /� � �rl i p a� NtS�D //b�R Ttlnf./1a... (sue N"�T9 BNt,y �}}6 s- Y or C IAI5r) A-moA) /v1Dia!> 200F 4 F2 -pu V!� L_S.iDIN� 3"T"Tr�J.�- Y �2GOd LJ6�K .._TJr -1T ) O-Q?E`K .... �LL1Y—L!)�LLS uZySb y W/G.SHlA7(o.L£5 SIDl y._..S'T,T„NJ.Y- — -_%�1RME25.. P_ORGfI _. _ _O-3.= A30 Ur D 2 L'E02oaM T�VEK. .OV ft.. �G� _trztNr�2 SrJLr-�.}FLt__Po2c1J FLOofZ -- --t-� L�y_st-3.r-�� ��/.._�.s�sl. s,,v�l�. .._....t.x y�1C"�-"')—Cw-�-,Si.�.�5.�--'-...-- ---G,S#._F_.,EL•_T___ o_.v_.�lZ.-� — - ... . -/(I�iN.�; 2f--..:.-._....--- �.. G�s_ Js_f 5_pau7"�. R�4P__ to+- _. _ y kx bT�. �.,..�F2oauT.ONL i �� IEx1Sr o� �!5' ��1 RIGK - - —'--_._..Ol�T_. -.P.-O.RcN. I �/ R.�D1ss+CONT.._. T-T- STUD 5 is +sue, DORMER �;a a,K >;x Sr A10H - " x - b i alLlDbf FXis7. ; ca _ mehT�'0 ax/O AID" r" u WAND cu i d 00D F-[LaoR A S 1 S TWO r l4a6E59+- � � z 4'. o w z � v oo - l11RkGµ.Tk,v) 6u.o1, EYi$4+t - 1002Gh1 ? 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L 1S /LL U.C�__."......-.........._ z Gaaab� o ��-1,D-Et VIEW GROSS5•FC-77oA)- C5 A-LF- /Vr=/-D 8 4aw__�J D_E_�.S'ExFbSED' _.ANGHDQ_.B.O.LT Pam' GOe7E - .._✓JUM_Kh_EL�--- -'---- -��----=--------------------._...6.t-.9��r. ._.__ ._..... . tr/rL� ....!fry. 4xz—&-M'2 z2_ OFI ?3 MICHELE ham, a CUE LO o No.34774 U STRUCTURAL m gPG:S�d`C,�2 PA boFSJ / SECT101A - SEWAGE Z —SEP71C TANK — — .,I)",BOX — rj —LEACH PIT ' TOP FON OF 7TO *uSE SF� 40 WG WASHEOSTONE '}�jE►JG+�M��k (✓�j , Esc t �-Q C 3) l� S , 11141- OUT IN- OUT• IN• ..,.: .. t £ S� -!¢U'Z� EPTIC TANK D�Od 3`{. ,e O ® 5LIZAF✓ETt 'P MAP_S,4 .l.L_ ELEV. £LEV. ELEV. a co E��� �Ev DuTt.ET1EE 20° (ot 90 L�P�14"DOWm I,r-ICGT Z! of PIPE �% V. t71:1TOF D'P�UX W�NEOFSTONE 644AU-56 L.W0 Lr_ve& . ,Co TEST HOLE LOG Co7Co �- ► _ rr q 1 TEST 8Y Win.W)LeotJ dEee`I' yua�t�y 1 e1 r WITNESS TEST DATE _Lo'L DESIGN 3 BEOROOM'HOUSE Pam, f.. 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