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0146 FOURTH AVENUE (HYANNIS) - Health
1'46 Fourth Ave �� . Hyannis' . A" 245-122 a i TOWN OF BARNSTABLE LOCATION��D �4EJV�# 70A —LAW �'JILLAGE ASSESSOR'S MAP&PARCEL INSTALLER'S NAME&PHONE NO. SEPTIC TANK CAPACITY LEACHING FACILITY: (type) (size) . NO.OF BEDROOMS OWNER S ' PERMIT DATE: q COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility L� 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 ri �G TOWN OF BARNSTABLE LOCATION 1 7A FO aX - 55,1gig I SEWAGE # VILLAGE '9J� 1'f cf AAlAilS ASSESSOR'S MAP& LOT o2 S INSTALLER'S NAME&PHONE NO. tAU6 &1-2JV �oT' SEPTIC TANK CAPACITY r— LEACHING FACILITY: (type) (size) �d O0 NO.OF BEDROOMS 41 BUILDER OR OWNER 6g uttl S#Iftw4ku i-N19 PERMIT DATE: ti!/¢ COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table and 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) iQ Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) K��1�4 Feet Furnished by Gs c 6 a 241� 0 � 0 1 t-I n o O•.O 6``` o NO. � - �j , _ l r, q` THE COMMONWEALTH OF MASSACHUSETTS FEE BOARD OF HEALTH APPLICATION FOR DISPOSAL SYSTEM CONSTRUCTION PERMIT Application for a Permit to Construct (vf Repair ( ) Upgrade ( ) Abandon ( ) - ❑Complete System ❑Individual Components 1 Flo fo(Af+i, Alit Satves bjafs I-, Location Owner's Name 2 Y s, B rtd g wc'r�er Map/Parcel q Address(/ al, \t�Lotz G,� F N Telephone/U.( l � Installer's Name —U Des er's Name Z Ca to W lG fN S�/,{l,cJ f6 0 7. �7 7/ ©4d Address }}�� Telephone# Telephone q Type of Building: kA, ite-4 ew-h* l Lot Size I,idd00 Sq.fe �Fp��HOF,ygs Dwelling—No.of Bedrooms Garbage Grinder ( ) ��� Other—Type of Building No.of persons Showers ( ), eria ZF Other fixtures W Design Flow(min.required) 'NO gpd Calculated design flow t1Y0 gpd Design flow pr d Plan: Date 11ItV/0 Number of sheets Revision Date Title S J 0,'A ,$ t^-` S N ' Description of Soil(s) 5&V d Soil Evaluator Form No. Name of Soil Evaluator R rlew Date of Evaluation f DESCRIPTION OF REPAIRS OR ALTERATIONS The undersigned agrees to install the above described Individual Sewage Disposal System in accordance with the provisions of TITLE 5 and rther agrees not to place the system in operation until a Certificate of Compliance has been issued by the Board of Health. Signed Date 12R 1 ZO 1l� �Inectons 7 [ U FORM I - APPLICATION FOR DSCP DEP APPROVED FORM 5/96 .a..a, 15 yrrf r�1 (-' ♦, y No. � THE COMMONWEALTH,OF MASSAC USETTS E« FEE BO�, ,O`F HEALTH AglltrF APPLICATION FOR DI 'POSAL SYSTE' NSTRUCTION PERMIT Application for a Permit to Construct ( Repair ( ) Upgrade ( - Abandon ( ) - ❑Complete System ❑Individual Components /Y& Foccr+-t' A-ue Tah,es Cv lc� i Location f Owner's Name � ?.4� /All'1r(3rlasrwa4r lw Map/Parcel# U Address( iZ Lot# Telephone a � r►ta►� 1 tin G,A,F r -t::,u.(. Installer's Name — Des k er's Name Addre s Address C05 7 4-5 o'A Telephone H jj Telephone H Type of Building: �0 S/'4 &U-6t•I Lot Size JAJ,40 Sq.feet Dwelling—No.of Bedrooms Garbage Grinder ( ) u Other—Type of Building No.of persons Showers ( ), C t ia'( ��IL y Other fixtures 14 Design Flow(min.required) qYO gpd Calculated design flow YYQ gpd Design flow provi ' Plan:,Date 101)//o Number of sheets Z- Revision Date sS/ MA Title 1 a r4/ S� 0-f t--, . s ..._ - Description of Soil(s) f5Lw d l .: Soil Evaluator Form No. Name of Soil Evaluator R rv" 6- Date of Evaluation 1/ 4 /n DESCRIPTION OF REPAIRS OR ALTERATIONS The undersigned agrees to install the above described Individual Sewage Disposal System in accordance with the provisions of TITLE 5 and rther agrees not to place the system in operation until a Certificate of Compliance has been issued by the Board of Health. Signe ? Date 129 2 O Ili In pec tons FORM t - APPLICATION FOR DSCP DEP APPROVED FORM 5/96 _ TNo.cJO D` ��—r—— _ '—a`—' — THE COMM;O WEALTH OF MASSACHUSETTS FEE ���~��W 1 ( BOARD OF HEALTH CERTIFICATE OF COMPLIANCE Description of Work: ❑ Individual Component(s) 021complete System r The undersigned hereby certify that the Sewage Disposal System;Constructed( ),Repaired( ),Upgraded( ),Abandoned( ) by: at /�FV has been installed in accordance with the brovisions of 310 CMR 15.00 (Title 5) and the approved design laps/as-built plans relating to application NO.Qolb-46 1 dated /I- 1 Y- to Approved Design Flow I(gpd) Installer - / 71—),F_A Designer: Inspector Date 5/ hv The issuance of this certificate shall not be construed as a guarantee that the system will function as designed. i FORM 3 - CERTIFICATE OF COMPLIANCE DEP APPROVED FORM 5/96 ` _ - adlb" r THE COMMONWEALTH OF MASSACHUSETTS No. l 1 FEE i I - i BOARD OF HEALTH DISPOSAL SYSTEM -ONSTRUCTION PERMIT Permission is hereb granted to Constr ct ( Repair ( ) Upgrade ( ) Abandon ( ) an individual sewage disposal system at (o 4� V'0A.ko as described in the application for Disposal System Construction Permit No. r dated Provided: Construction1 shall be completed within three years of the date of this Cppp n-local c- -ti s us be Date — (U Board of Health FORM 2 - DSCP DEP APPROVED FORM 5/96 FORM 1255 (REV 5/96) HOBBs&WARREN TM H&W PUBLISHERS- BOSTON Town Of Barnstable �0161 TQ, Regulatory Services ices Thomas 1•+'. Geiler,Director MAM Public Health Division Thomas McKean,Director � 200 Main Street; Hyannis,MA 02601 i Office. 5O 62-464Q Fax: 508-790-6304 ' Date: Selvage Permit# Assessor's Map/Parcel Installer&Desiffner Certification Form Designer- 42 A E 6AQ _ Installer:-6 ..L 3VA?114al4&-s Address: 2 « Address: 1:)^ On — �� (fib �Was issued a permit to instate a (fie) (instiller}. . septic System at �L' 4t based on a design drawn by (address): dated d® (designer) I certify that the septic system referenced above was installed substantially according to the design, which may include minor approved changes such as Iateral relocation.of the distribution bob and/or septic. tank. Stripout (if required) was inspected: and the soils were found satisfactory: ; . I certify that the septic system refermced above was installed with major changes (Le. greater than 10.' lateral relocation•of the SAS or any vertical relocation of any component Of the septic system) but in accordauce with State &Local.Regulations. Plan revision or certified as-built by designer to follow: Stripout(if requirecl) was inspected and the soils were found satisfactory. OF WILWM F (Installer's Signature) CML � a�rt � aaWM .. (Designer's ign ) (Affix esi ere) 4��_ 41 PLEASE RETURN TO BARNSTABLE ]P LIC HEAL'ITFI IDIVISI®N, CEI2TIh'ICAT]E OF COMPLIANCE WILL NOT -HE ISSUEID UNTIL BOTH THIS FORM AND UILT CARD ARE RECEIVED RY THE B AIR NSTABLE PUBLIC HEAL rH iDIVISION. THANK YOU. gApftice formAdesignercerflfiepdon form.doc I Town of Barnstable P# Department of Regulatory Services _ Public Health Division Date l0 2 200 Main Street,Hyannis MA 02601 Date Scheduled < < -l U Time e Pd. w — LPL Fe Foil Suitability Assessment for Sewage Pisposal Performed By: �, Witnessed By: Location Address LOCATION& GENERAL INFORMATION IY/ �b Li, ^ li e l t0 l't Owner's Name Hh✓�rJ Address 6�G 06, L�J G 21CF Assessor's Map/Parcel: Z Y /Z—L 1�� � OZ 3Z Engineer's Name �+ NEW CONSTRUCTION REPAIR Grady' G�4�E /ti���'ti� Telephone# —2ClS= 6 pU Land Use - Slopes(%) J 0 Surface Stones Distances from: Open Water Body .N A ft Possible Wet Area u U ft Drinking Water Well /A- ft Drainage Way A— ft Property Line 3 0':!;, ft Other ft SKETCH:(Street naive,dimensions of lot,exact locations of test holes&perc tests,locate wetlands in proximity to holes) 0 Parent material(geologic) 0G1T(A1A-&+ Depth to Bedrock �� Depth to Groundwater. StandingWater in Hole: /Vd A!�Aj 12,0E' Weeping from Pit Face AN'Il140 �-'� /?�c Estimated Seasonal High Groundwater > ?.0 tc DETERMINATION FOR SEASONAL HIGH WATER TABLE Method Used: Depth Observed standing in obs.hole: NO UJA-V2 Eltf L In, Depth to soil mottles: Depth to weeping from side of obs.hole: in, Groundwater Adjustment ft. Index Well# Reading Date: Index Well level r Adj.flactor_ Adj.(Iou- &---ter level Observation PERCOLATION TEST Date �� 6 Thne 3 y —"-- Hole'# Time at 9" Depth of Perc 3q-!P- 3Y�� Time At 6" Start Pre-soak Time @ 10 11 ji9 0:c.[ ,J Time(9"-6") l End Pre-soak !U.%3S b: S� Zy Gw1/O-v I ke 6S 4 k6W S--i'ti/iL LI fPJ Rate MinJlnch Z Z Site Suitability Assessment: Site Passed Site-Failed: Additional Testing Needed(Y/N) Original: Public Health Division Observation Hole Data To Be Completed on Back----------- ***If percolation test is to be conducted within 100' of wetland,you must first notify the. Barnstable Conservation Division at least one(1) week prior to beginning. QASEPTICIPERCFORM.DOC DEEP-OBSERVATION HOLE LOG Hole# I Depth from Soil Horizon Soil Texture .Sdil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones;Boulders. i ten._,y,.%Gravel) O i4 L /6 R_3h.- 7s�2 Ct S�wcl 2c . •6'y -22,-1 zU C2, S'c�.{d 'Z A- 6 r DEEP OBSERVATION HOLE LOG Hole# Z Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. onsi ten % ravel L S !b. 2 3 -& Q S i Ia 23" 6 3Y-;U Cf S GWL -S to -Zt0lp 56 U C DEEP OBSERVATION HOLE LOG Hole# 3 Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consistency.%Gravel) _G lb VQ3 z -3Y 3 Y-gyp OK v G- YWY DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Sol l_Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones.Boulders. Consistency %OrayeI /b 4-31-L (o`3Z (3 LS !6 e 7, 6y Z, %.GX �y/Z-0 G Flood Insurance Rate Map: Above 500 year flood boundary No— Yes Within 500 year boundary No= Yes.� Within 100 year flood boundary No yes Yes Depth of Naturally Occurring Pervious Material ` Does at least four feet of naturally occurring pervious material exist in all areas observed throughout the area proposed for the soil absorption system? k If not,what is the depth of naturally occurring pervious material? Certification I certify that on f! (date)I have passed the soil evaluator examination approved by the Department of Environmental Protection and that the above analysis was performed by me consistent with . the required training,expertise and experience described in 310 CMR 15.017. Signatures-- 1 C Date Q:WEPTIC%PERCFORM.DOC (SET) H.m. r-4-0, ltiL (FND) E MADE TECHNICAL 100.00� IVEYING IN 1 A.M. 2, . IV I o,_=vw:w 4�' =a' 1.6' -3.4' _ _=27.4' 18.3 CO U W _ -=HSE—=a) 43.3 U�6 .g 0'___- -— __w w A.M. c, __ _- -_ _== q o� 13.3 ___ _0 10.1' a.a` o S/T 3.0 10. SEPTIC SYSTEM- PER INSTALLERS CARD LEACHING PIT CD A.M. 245/122co . � o o AREA = o 18,000fSF O l t SIC SCALE PIPE . 40 80 REBAR (FND) , (FND) 100,00 A.M. 2 N FEET ) A.M. 245/123 n = 20 ft. -76 No......................./. _I� ". F$a..`�/................... TH BOAR® H . ACTH OFMEACHUSET TH Ts �J 1ff......... ... . ... .... ......OF. •} Ap.pliration -for Bi,ipoottl Workii Tonstrnrtion Permit Application is hereby'made for a Permit to Construct ( ) or Repair ( gin Individual Sewage Disposal System at: Avg ..................................---------------------------------- ......t/ z- r Lo Address No. .------•-•-----•-----••-•------ -------------•----•--------........._.........------•-•-••-----------.................---•---•---- Owner Address - d .�' --------------------------------------------------- 1�-t. tc� '�.: f..... ` �'/` Lt - - . Installer Address Q Type of Building Size Lot............................Sq. feet V DwellingNo. of Bedrooms..............................— ..............EYpansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ---------------------------- No. of persons............................ Showers ( ) — Cafeteria ( ) Q' Other fixtures ..................................................................................................................................................... W Design Flow............................................gallons per person per day. Total daily flow------......................................gallons. WSeptic Tank—Liquid capacity............gallons Length---------------- Width................ Diameter.__......--.---_ Depth................ x Disposal Trench—No..................... Width.................... Total Length-------------------- Total leaching area....................sq. ft. 3 Seepage Pit No..................... Diameter-------------------- Depth below inlet.................... Total leaching area..................sq. ft. z Other Distribution box ( ) Dosing tank ( ) Percolation Test Results Performed by.......................................................................... Date........................................ Test Pit No. 1................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.-.:-----__------------. P' -----------------------------------------•-•---•---------------•----------••----•---•-•---•---•-----........................................................ 0 Description of SoiL.............................•-••----•------•--•--------................---------•--..................--•-•---------------...........--------------------------•------- x W x -------------------- --------------------------------------------•---------------------------------------------------------------------------•...------•--------------•------------------------•------ V Nature of P.epa^or Alterations—Answer when applicable.-._/ .f11 .�.� C-x ._.+x -sue .1 , �' r. ... -..�.�i ----------- Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of Article XI of the State Sanitary Code—The Vboar further agrees not to place the system in operation until a Certificate of Compliance has been issued by.thhealth. / Date Application Approved BY ...:. £ ------------- - `7.-.7 Date Application Disapproved for the following reasons:--•..........................................................•---------.......-•----------------..........----- ....:............................•-----------------.....------.............--------••--•-•--------•--........•-----................_.....-•--•-----------:.......---------------.......---------......... Date PermitNo......................................................... Issued.......................................................... Date ........-......................-..r...r....0......................•........................................................... .-i THE COMMONWEALTH OF MASSACHUSETTS BOARD O HEALTH .4/C........OF......... ... L ;ld. . Wirrtifirate of f.1,omtplimnrr IS TO CERTIFY,That the Individual Sewage Disposal System constructed ( ) or Repaired S d by-- , ��ns -------------------------------- -- •----.•.... ---------- .9 has been installed in accordance with the provisions of of 'Pie Stare'�nitary Code as describe in the application for Disposal Works Construction Permit No e. .............. dated....- ,/-�_... 2. ............. THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE.............................................................-------••••-•----- Inspector.................................................................................... PFRic... . ...j................ THE COMMONWEALTH OF MASSACHUSETTS BOARD A TH ........... .. .........OF....... .....Appliration -for 43i_qVooa1 Works Tonfitrurtion Putnit . Application is hereby made for a Permit to Construct or Repair ( 1.)-`5n Individual Sewage Disposal System at: —7 41_ '�-P .......................................73............................................................................ ......Allo.-2-.141r-A/L Address oti.Zot No. ......................................... ..Z........................................... .................................................................................................. Owner Address ........................................................ ...... ---------- Installer Address U Type of Building Size Lot............................Sq. feet Dwelling=No. of Bedrooms............................................Expansion Attic Garbage Grinder Other—Type of Building ............................ No. of persons-..______-__________._______ Showers Cafeteria Otherfixtures ..................................................................................................................................................... Design Flow.................................:----------gallons per pet-son per day. Total daily flow............................................gallons. 1:4 Septic Tank—Liquid capacity.........-..gallons Length________________ Width............._.. Diameter_-___..._-_-__._ Depth................ Disposal' Trench—No. .................... Width_____.__________-_._ Total Length......._...._..__... Total leaching arca....................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---______----------------------------.... ,� Test Pit No. 1................minutes per inch Depth of Test Pit....._.._._.__.._... Depth to ground water---------------------- (Z4 Test Pit No. 2................ininutes per inch Depth of Test Pit.._______._____.____ Depth to ground water------------------------ 9 ..................................*-------------------------------------------------------------------------------------------------------------------------- 0 Description of Soil........................................................................................................................................................................ U ........................................................................................................................................................................ ................................ (4 -------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- Z --- U Nature of Repairs or Alterations—Answer when applicable_ I.A.4t-C..... ------ Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of Article XI of the State Sanitary Code—The undersign d further agrees not to place the system in operation until a Certificate of Compliance has been issued by the boar health. "Oar 6ws----------------------- )Signe��,,,- Date Application Approved By------_. __—----------- - --_--------------- ----- ------- 0 Date Application Disapproved for the following reasons:............................................................................................................... ......................................................................................................................................................................................................... Date ......................................................Permit No......................................................... Issued.. Date THE COMMONWEALTH OF MASSACHUSETTS BOARD 0 HEALTH OF .... ..... 4.................... Tntifirativ of (Q.T.Omphaurr 79JS IS TO CERTIFY, that the Individual Sewage Disposal System, constructed or Repaired by...- -,a fn r............. ....... ---- - --------------------------*.......... --------------- ------- T/Gl Inst -:./............ ----- - ----------- - ---- -------- at... ------ has been installed in accordance with the provisions of XI of The Staee Sanitary. Code as describe in the 3s application for Disposal Works Construction Permit N - - - 2-4�lt............. d-ated----- ......2.4/oo............ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE....._5`7 ----------------------------- lnspector._0<=>1...... . ..... . %nn ...... ............................. THE COMMONWEALTH OF MASSACHUSETTS BOARD /6)F HEALjp .........V/40'G��f ...... ...........r........................ S_!ng— N ... ..... FEE-- .................. Bi11polial ork-q Tomita ton rrrmit ............... ............................ Permission is hereby grante ::!.n..... ........................ to Cons AP :9.;3 or Repair an Ind*al Se bisposal,,S tern atNo. ...... .. .. ...... . .... I......................................... t ............J..TJ.......... - -------- Street as shown on the application for Disposal Works Construction mit )ro.......... . . ..... Dated.... "? ......................... 9 - �� ..... .... ..... ve�. ............................ 0, W f " DATE... B r o e at yt .................................................................... FORM 1255 H013BS & WARREN. INC.. PUBLISHERS 01 lad I� -- Commcnweotth of Massachusetts ,` A� 040 Executive Office of Envirc=eMd Affairs " Department of 1� Environmental Protection WOURM F.Weid Trudy Coss swwsry,EOFOA David 9. Struhs Gonnmman« SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION a73 �v2- sr���i Property Address: Address of Owner: Date of Inspection: � 5 DO ICI- ftk� << (If different) 5//f R �-4f W Name of Inspector. 011aw F . f-f l o 9/,0 . Company Name, Address and Telephone Number: 1" 77fsr his XVC- 3/ ����/w /}-v£ All Agav 4o - Ag&)- 4(3s' car /r!l oz rh e a S'7 �/ v �T ,Q:�'• ;FICATION STATEMENT I,��d •G o�G� I certifythat I have personally ins a the s€�va a dsposal system at this address and that the information reported below is true, accurate P P g 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: (i Peasses _ Conditionally Passes _ Needs Further Evaluation By the Local Approving Authority Fails Inspector's Signature: / Date: The System Inspector shall submit a copy of this inspection report to the Approving Authority within thirty (30) days of completing this inspection. If the system is a shared system or has a design flow of 10,000 gpd or greater, the inspector and the system owner shall submit the report to the appropriate regional office of the Department of Environmental Protection. The original should be sent to the system owner and copied tent to the buyer, if app:icable and the appra�ing authort. ,. i ?�`is s Ysif� INSPECTION SUMMARY: aeuk;l lowo/losv . 'Vd/5�9�vs of ep'ir�yda6e Check A, B, C, or D: A] SYSTEM,eA55E5: �/ IIhhave not found any information which indicates that the system violates any of the failure criteria as defined in 310 CMR 15.303. Any failure criteria not evaluated are indicated below. 81 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 NO). Describe basis of determination in all instances. If"not determined", explain why not) The septic tank is metal, 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 9/.5/95) One Winter Street 0 Boston,Massachusetts 02108 0 FAX(617) SS56-1049 • Telephone (617) 292-55M SU85URFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM �. PART A CERTIFICATION (contutued) property Address:- Owner. Date of Inspection: BJ SYSTEM CONDITIONALLY PASSES (continued) _ Sewage backup or breakout or high static water level observed in the distribution box is due to broken or obstructed pipe(s) 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 i distribution box is levelled 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 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 TN THE SYSTEM 15 FUNCTIONING IN A MANNER THAT PROTECT THE PUBLIC HEALTH AND SAFETY AND THE ENVIRONMENIT: " pp!-, _ the w5tem nas a septic tanK ano 5oi1 aosorpU a On bystem dnd within iVu (<ci iu v iu.1 Ca '�r'aici Sii Gi surface water supply. I well. _ The systeni ha! a septic tank and soil absorption system and is within a Zone I of a public water supply _ The system has a septic tank and soil absorption system and is within 50 feet of a private water supply _ The system has a septic tank and soil absorption system-and is less than 100 feet but 50 feet or more from a private w supply well, unless.a well.water analysis for coliform bacteria and volatile organic compounds indicates that the well free from pollution from that facility and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less tha ppm- D) SYSTEM FAILS: 1 have determined that the system violates one or more of the following failure criteria as defined in 310 CMR 15.303. The bw for this determination is identified below_ The Board of Health should be contacted to-determine what will be necessary to cc[ the failure. _ Backup of sewage into facility or system component due to an overloaded or dogged SAS or cesspool. _ Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or dogged SAS cesspool. (revised 8/15/95) 2 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address: Owner. Date of Inspection: 01 SYSTEM FAILS (continued): Static liquid level in the distribution box above outlet invert due to an overloaded or dogged SAS or cesspool. _ Liquid depth in cesspool is less than 6" below invert or available volume is less than 1/2 day flow. Required pumping more than 4 times in the last year NOT due to dogged or obstructed pipe(s). Number 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 I 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. E1 LARGE SYSTEM FAILS: The following criteria apply to large systems in addition to the criteria above: The design flame• of system is 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: 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. l (revised 8/15/95) 3 lit IN 'i 1 ` ' Su85uRFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B CHFCKUST Property Address: Owner. . Date of Inspection: Check if the Zpumping ollowing have been done: information was requested of the cwner, occupant, and Board of Health.l None of the system components have been pumped for at least two weeks and the system has been receiving normal ,low rates during that period. large volumes of water have not been introduced into the system recently or as part of this inspection. v built plans have been obtained and examined. Note if they are not available with N/A. I _The facility or dwelling was inspected for signs of sewage back-up. ZT-he system does not receive non-sanitary or industrial waste flow The site was inspected for signs of breakout. =All system components, excluding the Soil absorption System, have been located on the site. ZThe 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. /The size and location of the Soil Absorption System on the site has been determined based on existing information or ,,171proximated by non-intrusive methods. _The faci!:^; c:•:r.^- :z^a occupants. if di;*er'?^! Frorn ownP•' were provided with information on the proper maintenance of Sub- Surface Disposal System. (revised 8/IS/9Si 4 I SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION Property Address: Owner. Date of Inspection: FLOW CONDITIONS RESIDENTIAL: Design flow:�l ns Number of bedrooms:, Number of current residents: Garbage grinder (yes or no):," Laundry connected to system (yes or no):&4 Seasonal use (yes or no):C � Water meter readings, if ailable- T&dem Last date of occupancy: wlr•� COMMERCIAUINDUSTRIAL: 1" Type of establishment: Design flow: aallons/day Grease trap present: (yes or no)_ Industrial Waste Holding Tank present: (yes or no)_ -Non-sanitary waste discharged to the Title 5 system: (yes or no)_ Water meter readings, if available: Last date of occupancy: OTHER: (Describe) Last date of occupancy: GENERAL INFORMATION PUMPING RECORDS and urce of information: p ¢COA System pumped as part of inspection: (yes or no) If yes, volume pumped. _-.' __gallons Reason for pumping: TYPE Of'SYSTEM (/ Septic tan 1 absorption system Single cesspool Overflow cesspool Privy Shared system (yes or no) (if yes, attach previous inspection records, if any) Other (explain) APPROXIMATE AGE of all components, date installed (if known) and source of information: Sewage odors detected when arriving at the site: (yes or nol/f/"O� S (revised 9/15/95) t ' SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Y Property Address: Owner. Date of Inspection: SEPTIC TANK: (locate on site plan) Depth below grade: _ Material of construction: �r+crete_metal _FRP _other(exPlain) M Dimensions: ' Studge depth: � f�• . . ' r Distance from top of sludge to bottom of outlet tee or batfle:+, Scum thickness:_ Distance from top of.scum to top of outlet tee or baffle: ! Distance from bottom of scum to bottom of outlet tee or baffle:.—� Comments: (recommendation for pumping, condition of inlet and outlet tees or baffles, depth of liquid level in relation to outf t i vent, structural inter , evidence of leakage, etc.) ys C GREASE TRAP:— (locate on site plan) Depth below grade: Material of construction: _concrete _metal _FRP other(explain) Dimensions: Scum thicknes_. Distance from top of scum to top of outlet tee or baffle: Distance from borto' t� horvr%— of otl!!P! tee or oartfe: Comments: 1 (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.* , t i 6 (revised 8::5/951 J 1 ` SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: Owner. Date of Inspection: TIGHT OR HOLDING TANK:_ (locate on site plan) Depth below grade: Material of construction: _concrete_meta! _FRP other(explain) Dimensions: Capacity: gallons Design now: ealions/day Alarm level: Comments: (condition of inlet tee, condition of alarm and float switches, etc) DISTRIBUTION BOX:_ (locate on site plan) Depth of liquid level above outlet invert: Comments: (note ii level and distribuuun is eyuai, evidence of solid, cair)w%er, evidence of leakage into or ou: of box, etc.; HUMP CHAMBER:_ ocate on site plan) Pumps in working order.(yes or no) Comments: (note condition of pump chamber, condition of pumps and appurtenances, etc) (revaed 8/15/9s) 7 \ SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (condnuedl Property Address: Owner: Date of Inspection: SOIL ABSORPTION SYSTEM (SAS): (locate on site plan, if possible, excavation not requited, but may be approximated by non-intrusive methods) If not 4eTmined to be orgsetrit, explain: 7— Type: leaching pits,.number. leaching chambers, number._ leaching galleries, number leaching trenches, number,length:�_ leading fields, number, dimensions: overflow cesspool, number. Comments: inate condition of soil, signs of hydraulic failure, lev I of ponding, condition of vegetation etc) CESSPOOLS: _ (locate on site plan) Number and configuration: Depth-top of liquid to inlet invert: Depth of solids layer: Depth of scum layer. Dimensions of cesspool: Materials of construction: Indication of ground•:atc— inflow (cesspool must be pumped as part of inspection) Comments: (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.) W PRIVY: (locate on site plan) Materials of construction: Dimensions: Depth of solids: Comments: (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.) (revised 9'/:5/95) $ fi r SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (con iinued) Property Addrew Owner. Date of Inspection: SKETCH OF SEWAGE DISPOSAL SYSTEM: include ties to at least two permanent references landmarks or benchmarks p locate all wells within 100' a 36'1 a • (2.3J 'j' ,p lot � v w or Fkw DEPTH TO GROUNDWATER Depth to groundwater U/g method of determination or approximation: fS (revised 3/15/95) 9 LI { 2e•-r 34'-r 6'-r pp O W-A31 HOT O V-A21 HOT So ' d e q b Si z • 0 0 one, p,III I I I I '• 3)2x8 1 S2 g3t � II II RI$ mD }l I Ii II 0 _p _ II f1A� I- S�7N►fi/.I1A- - O � 1 lip ck WAM IN o/p ON 9tE I¢JIUER eW alp @!SIE --------,1-----_-- [ A138 . t o9' - [SI111/ 1�1/3 1BCRO-2.d FI'-- �7 ff /� 1 s'IovtalAr_3w ctn. za'-o• 1r-4' 2s'-r 4 0 W-4' ON Z N m lip N RPA x Of z -4 R py, o -z 011111 nC = UP �• f Dfn I r D g � x N • C � .. 70 g ". G O 0 g '� • to N N V O Z N O O 0 1� ( C G7 O o W OD Oo ;D Zv N 1M F- to r•T — r-1— v1cNFnr r w , v 8 M G) 1 D to N r o f N �-__________� b O n Z r �I � Z Bar r { o -' _ m 1*1 O -C D w -t t N rn o �o My ® � aZ n Em w O nil � � I m y U) '� -i — o > r-10 'ter a } � 0M En I ON C 0 `------------' '" \ O1/> m Z Z C4 •• . O r — ' ------------- [ s.lo HFAOWR _ v O `� 1 WALL ABOVE rn O U2-3466 x 2- 111 A _ 0. � -,o„r Apr'' . z 99 It Is gor — A ;; r D F F F IRta Z 2 -1 >0 r vr—m z R Mir �0-4 60 g� R O ��' "� N v E .1 m � N SEE STANDARD NOTES.& DETAILS DWG #8 1 GRpI1P: sUILpER, HOMEOWNER* SERIAL N2 ` PE RA THIRD PARTY INSPECTION AGENCY R 3 RDA INC. MR. &MRS.DAMES WALSH / ® 1 65 CONST TYPE6 1 BLUFF ROAD SDEL PRopucnaN Na WOOD PO BOX 601 146 4tn Am FRAME��)SAGAMORE MA 02561 W. HYANNIS PORT MA 02634 8 'COLONIAL cT M® R REVISION DATE C 3 s -0• FIRST FLOOR PLAN PAW- Westchester Modular. Homes Inc TE lob, 3A . 30 Reagans Mill Road, Wingdole, Now York, 12594 CHEcCHECKDA t ® Tel (845)832-9400 Fax (845)832-6698 28.-0. 2W_a. 9._4. - x I f iTTl---- 71 21 11--- -- 11 .I. K _ -- -- O VLl V6D � 61 `o Z 0 ------------------- _'� ---------- - - rl O G p'�I� °4 A q u � _ 22LI1 1 D 14'NItAOLAm.�v(D a R f11-- S ------------------- v�Qq — --------------- -------=------ „ADI m 0 s1 m0 $ ------ _ I 'SZ g I 11� g I IMP 026 � Al o Rr c I tY_4• '' x ZJJ �' �U 10 • gF :N O1 mmm i o epQ 1 . ►1rr�1 ------------ W N 0 � � 16 v W < _g co bI� m X ;zo D24 J pp . 0 m :D P A #K m � of I N N O) Oa) cn N O a'. tp T O -D Cf) mC C m(� mF�> 24'-D' M. C m > c) Z —, x _ -4 rnM N N r IV v O S 1 g ITI 0 r'rl NOD Z! Z � + � � r Vl V!r+'1 m '� r —� 00 r1mNC0 1 v � M rn OCAO V) 00 M m to s III = o � r, � � 0 1, 6 it T. lot V34 99 D F F F as z $ 3 o ITl z R A 8 v z $ s D 0. SEE STANDARD NOTES & DETAILS DWG #8 @U16DE6L HOMEOWNER, SERIAL No /� PE RA THIRD PARTY INSPECTION AGENCY R3 RDA INC. MR. &MRS. JAMES WALSH /a® 1l��p CONST. TYPE: 1 BLUFF ROAD ZI PRODUCTION No. WOOD PO BOX 601' 140 4th Ave.' )SAGAMORE MA 02561 W. HYANNIS PORT MA 02634 o 1GB l.e ®L o rAL CTM® R RENSION oa1E 1 SECOND FLOOR PLAN Westchester Modular Homes 'Inc CHECK DAZE 39 ® 30 Reagans Mill Road, Wingdole, New York, 12594 Tel (845)832-9400 Fax (845)832-6698 i OVERHANG DIMENSION * W" s a Per ROOF PITCH HOUSE WIDTH `r wN 24'-0" 26'-0" 30'-0"2T-8" 31'-6" s s•c �� 5 12 16" 11" 16" 7 12 16" 11" 16" --'" 9 12 1 12" 11" 12" Ij Id FIR BEAU Dw.UNDS 12 12 8 3 4" 8 3 4" 1 8 3 4" To ON 2.6 CEIUNO w/s/e•cwB I I RWF nEB Sa amm BY B/p (TrPJ i �\ � � I ON Sm ® b CHASE ON . I I b 4 I I I ALL EXT. AI S, STEPS, RAI BY WMN ay B I m I I DESIGNED, PPUED AND INSTALLED BY I I I I 1 I I FRONT ELEVATION i i i i RIGHT ELEVATION I I I 1 I I I -- PWMBINc M(T _ STACK ® Li ® g ® p®,L 9 PORCH Br B/P ON SBE 12 ® ® e 00 e e oDoo EMMMM[ nal ® j OOOO mmmo BY ' an I I I I I I I I I I WH Br B I I I I I I I I I LEFT ELEVATION i i i i i REAR ELEVATION I I I II I I I THIRD PARTY INSPECTION AGENCY PE RA SERIAL No. fl�l A INC. USE GROUP: 10165 RDA IN MR 6c MRS. JAMES WALSH R 3 Pao°ucnoN No. 1 BLUFF ROAD Zg; CONST, TYPE, PO BOX 601 146 atti AVE WOOD � SAGAMORE, MA 02561 W. HYANNIS PORT, MA 02634 ( ) REVISION DATE �' COLONIAL CTM— R • y_ — Westchester Modular Homes Inc BECK DATE30 Rea g°ns MIII Road, WingdDle, New York, 12594 ®® Tel (845)832-9400 Fox (845)832-6698 29'-O• W- JAF 21'-0• 'r-o' 8'-0• ----- 1 I c I I I C I 1 D M o• I I 1 I m L--C L --J IALLY COLUMN CROPPED IU HUT OF SLM \COLUMN FCO1N0 00 g > �75'-i• W--I/IF 6'-r V-4• 1 I 1 I I �_ --- ---- ----- -1 r- 1 1 1 I I �----- I I I 1 1 I -o• a-Y -6 8-3• t-to /Y "1/r m `4 m 4T \ I I I 1 1 Y I I 1 I I 1 I 1 r 1 t -il• 4'-3• 8'-10• W-----J LF n rn r y rT p Q o �. ZZ.'a 4'-0• 4'- 6'- r O M Z -� —�- -- Z A I L_ -J L__ J L-__J O I 1I r1 - I 1 \O n r- # 'a Z �O mi; a0 Z OA K 4. 4z 4 to m • N - r l Fo01wc `--�FIDAOIMiWN WALL ------ Xt At ------ 26•-0. SEE STANDARD NOTES & DETAILS DWG #8 USE GROUP: H!l1LQE8: HOMEOWNER: SERIAL No. PE RA THIRD PARTY INSPECTION AGENCY R 3 RDA INC. MR. R MRS. JAMES WALSH 10165 CONST, TYPE 1 BLUFF ROAD a,F• PO BOX 601 PRooucnoN Na WOOD Gas asn Ave. FRAMF( ) SAGAMORE MA 02561 W. HYANNIS PORT. MA 02634 0 H 11 COL O NIA L CTM— R Sf°" °A'E FOUNDATION PLAN PAGE` 1T!eI estchester Modular Homes Inc CHECK DATE ReaganMill Road, 1ingdole, New York, 12594 2 ®® (845)832-9400 Fax (845)832-6698 AL FRONT A B C D I to- �Gl 65'-5 1/2' } 24'-1 1/2' 2r-a, 1S-11' 11'-11 1/2• I I 11'-11 1 Y 1 1 13-9 1/Y 13.-9 1/y 1 13'-9 1/2• (J 1=11 3/1' 5'-9 1/B• 8'-6 1/a• 5'-9 I1W 3-11/r 6'-10 3/4• W-10 3/4' W-11 3/4' W-10 3/4• r-0 1/4' W-10 3/4• a 2- 3056 z U w9 p�u�s �0�qi�s o B 1 HOT w/P551158 w/PSS115B a B'-B'1 Hoi - 3- 055 a Z DINING ROOM r--r-------�--i ^ ��I IS-1 1/2• x 20'-0• STUDY IS-2 1/2• x 12'-4• FAMIL ROOM W�NP LOAD I I �SUNR — I Iff CL iV o 1D1E ff �AgOyE 23'-0•f;20'- U i 12'MOOULE ADM 11 1/2• x 15'rY a BYW ------- 4 ♦ I I b `♦I Ii A A; 2 1 1 x 14 WQt- 8; 1 1�119 , 140 ro (4)2x3 g c � b -------------- FALSE BY B/P--_--_------__- o _ (2'mot LB ON(-- W 1 'w 14'YxROLAY-RQOFa I lL� EE 02 U2 i b a Z a I I O I 9E1171 POR IOAD c O � y� I h H BEAM1111 y ------------- _Am PEEP - I 8 I - -- - - ---- --- 91"B]P b DIN >� , -------------- A l PORCH T O 0 & ® I BY B/P a I 1 a a m ® 14•SOFFITS I 0 1 A o KITCHEN I D24 O 14'-2•x 12'-0' , 3'-0• 219-5' 4'_B• 3'-3' 7-3 1/Y 3•_3• t\ �g I ,I 1. 27-11' 13'-91/2' C� yy44��� 1 {♦ B�-0Of W WW 821 I PANFRY I -ENERGY STAR COMPLIANCE- CtA MOT ClA NUT V-CAULK UNDER ALL EXTERIOR P WALLS g°—0" CEILING �, SEAL ALL HARES PIPES AND VENT PENETRATIONS IN FLOORS. CEIUNGS AND EXTERIOR WALLS* Li. o FOAM cA�cDTs TWA INSTALLED To ALL ExTERioR co COLONIAL ONLY NOT SUNROOM "'10`c T -WALL INSULATION TO BE INSTALLED SPLIT AROUND ' N I *' WRING AND ELECTRICAL BOXES-do GAPS* ALL WINDOWS FLOOR AN NOTES, Q E Do ASTRAY FOAM IN- aUL AL MANOOWS&DOORS o M ]rN R------------- 400 SERIES W/ FINELITE GRILLES � SMALL BE PROTEVIED FR%I W"�BASE DEBRIS =Z `♦ i R INSTAL BASE TRIM NAILFLI & CAULKED sco `♦ i �, IN CARPET AREAS ONLY GRILLES IN TOP SASH ONLY a AOWROANCE Wm1 THE INTERNATIONAL RESIDENTIAL� 00 13 `♦ i $ /1 BASE TRIM FOR AL OTHER AREAS FRrn�iNE BUILDER/ IL o s TRUSCENE SCREENSDM3affl♦♦ b IN FUL LNGTHS(PAIN D) u GARAGE m ,; UNLESS OTHERWISE NOTED 2>w9�DW A� +�«+DESIGN P05 Oc <Z o o wmrlo 511AIL OOr&DRM TD OTO SEMON R301s1 BY B/P �I , ♦ � a A SmARA QI BETWk3N DOE m; ♦♦\ PIANI7E Bf SQfF�DIRE THE 3 O 0�11 b BY ALL I N T DOORS 99�1pp�p�p//PIIROUS R is RESPONSIBLE m Pwam AND V) ♦♦ I OTSTAl11N0 ALL HOUDDOWNS AS REOIARED BY THE SHEAR (aJ 1, ♦ „ 2-PANEL ARCH SOLID SMOOTH —SYSTE&I 1/2'x II)SIECTS — 0 H ------------- a B����//�•pp•, IS RESPOSIBLE FOR ep 4)SEE THE FASSTOM SC MMU ON s¢ET 4c U sfAP1E -w1ND WALL CONSTRUCTION "-----_----- •I - EOUNAUf)N'6 9R:WDED FOR THE SIIEATIINO FASIEIIINo) w 1 U IIN GARAGE R,♦` UPGRADE TRIM S)SEE WE�T STRAPPING RECIUMEHIS ON�T C Li- H o I ♦ / - - 6)CORNER POSTS WWOE(3)sum MINONM OC v ENTIRE 1 s# FLR. U) o m 110 MPH WIND ZONE Li SHEARWALL LEGEND o a ®® ♦♦ ALL FIELD FOR NAILIN E M N Z O' ®® 1 , ♦ SEE BELOW FOR EDGE NAIUNO O ♦ LIGHT & VENTILATION SCHEDULE (SF) SHEAR WALL (436y/LF) o 'i OLi I, '�------------- b ROOM F11 REA LIGHT SUPPLIED VENT SUPPLIED ® '/ �MMON NALLB°°'oc Q <J m< j ® SHEAR WALL (590#/LF) 0 0 CO 0 0 v KITCHEN 70 0.0 0.00 W/Od COMWN NAILS a 4•OC Z Ir a N A A 1 FAMILY ROOM 475 78.0 34.60 . ® SHEAR WALL (730#/LF) QI I Y_.W - V DINING ROOM 263 25.8 11.46 ./Ba caBIDN rues o 3'OC (n oLL 24_D- STUDY 163 25.8 1 11.46 ® W p0 HOLDDOWN LOCATION SUNROOM 215 92.3 48.54 LOAo AND I °ED 1°"D (n 3 FRONT E F G H } 24'-1 1/2' 27'-S' 11'-11 1/2' 1. I1'-111/2' 1 IX-91/2' ?-11 3/r 5'-9 1/g' g'-g 1/r 5'-9 1/g• S-1 I/r 6'-10 3/4' 6'-10 3/4' W-11 3/C W-10 3/4' Q Z 2AM O I 2- U H I a.. I to BEDROOM 2 I z D K 10'-r x 15'-s 1/2' i BEDROOM 3 �j 2x10 FLOOR BY WMH 13'-0 1/2'x 14'-6 1/2' - m WATERPROOGFIINNG&SLOPE BY. B/P ON SITE g� I Q O V 1 MOT w/P5511gB ( w/PS51 O g A l H G• I 2'wj 1 'b II (1)20 I lle Zx3 * MSTR BEDROOM m ++',PI•N 23'-0' k 16'-9• I v I o ao D26 D26 PD24 N �a I ° tin O 'I Dtg �{ W N -- O EL E3)20.H. 2152/ 1-11 (2)214 3 T wa&R2" 3 b ED24. D24 D26 S 10'-11 1/2' 9'-5 1/2' 4'_g• -ENEF(GY STAR COMPu""cE- ALL WINDOWS*CAULK UNDER ALL EXTERIOR WAILS*SEAL ALL WIRES PIPES AND VENT PENETRATIONS IN FLOORS,CEILINGS AND DaETBOR WALLS• O 400 SERIES W/ FINELITE GRILLES I I --- Sn -FOAM GMETS TO BE INSTALLED TO ALL EXTERIOR -- WALL OUTIETS• GRILLES IN TOP SASH ONLY MAU INSULATION TO BE INSTALLED SPLIT AROUND WIRING ANo EIECTRICAL Bo>�s t�cAPs� TRUSCENE SCREENS 'AND INCI1 + WTHITOWs g 000as• UNLESS OTHERWISE NOTED c Cnn' INSTAL BASE TRIM NAILED & CAULKED ALL TNT DOORS x Q I�CARPET AREAS ONLY Ny N S/L BASE TRIM FOR ALL OTHER AREAS 2—PANEL ARCH SOLID SMOOTHFLOORPLAN o �— J o>`^ IN FULL LENGTHS(PAINTED) 1�1 SMALL BE PROTECTED FROM 1NND BORNE DEBRIS Q / \ ^^ _ ;In 3 S U 1..� _co UPGRADE TRIM SECR" "Z EXCEP ON THE PIONAL co yr m" I I SHALL BE RESPONSIBLE FOR PRRWmINO THE REODUED p 2-a M F1LIFRIOR PROTECTION.INCLUDING THE FASIENINQ 0. S0 ENTIRE 2nd FLR. �_, BON�SBOOMCC R,oSECTION R301 i a== Oho RI AND s Oe� v>- g - O�� w I, PURCHASER PURCHASER IS RESPONSIBLE FOR PROVIDING AND N w �" I b B/P IS RESPOSIBLE FOR - If9ULlliq ALL HamOWNS AS REQUIRED BY THE SHEAR -i 3 =N WIND WALL CONSTRUCTION WALL SSSION DESIGN(B t/r■I17 SHEETS IN BONUS ROOM - Q LL 000 4)SEE THE FASIEIONO SCHEDULE ON Sl9E7 4C(A STAPLE I— q^ I I EOLAVALFNT 5 INCLUDED FOR THE S1ffATHIRG FASTENING) EyJ V C I I D)SEE THE L1PLFi STRAPPING REQUIREMENTS ON SHEET 4C Q H $v I I 6)CORNER POSTS INCLUDE(3)STUDS MINIMUM -S 1p (v N>: 110 MPH WIND ZONE u) o w Q ' S EARWALL LEGEND ~ o a I I H ALL FIELD LAMING IS Ir OC O o U ®® ' LIGHT & VENTILATION SCHEDULE (SF) �"�'F�`�N""'NG o ��� : LW SHEAR WALL (436#/LF) x O O ®® Et ROOM AREA LIGHT SUPPLIED VENT SUPPLIED ® '/Ba COMMON WAS 0 g•oc Q ?J 133 a T � 1 I ® SHEAR WALL (590 /LF) 0 p m p¢ v MSTR BEDROOM 385 69.4 32.00 Ia COMMON NALS C 4'OC Z I a In 3T BEDROOM 2 166 20.6 11.46 ® SHEAR WALL (730$/LF) c 12'-0' tz'-o' BEDROOM 3 190 24.9 12.86 •/m COMMON HATS a 3'ac (/) - 24'-O• ® HOLDDOWN LOCATION 0 II ry��ygq AND REQUIRED LOAD � 0 U y LOAD FRONT A B C D I 65-6 1/2- } 24--1 1/2' 27'-6' IS-11' U ' Q F ' U n o aW ' N DINING ROOM ------ z STUDY FAIVIIJ ROOM SUNROOM� �d 1 I I I I a ------------------- - - N I I b r - I Q X I r><• I a I ------------- I - 1 19VFlR TO ---- --- ----- ---- -------- I '� 1T ow , ------ k PORCH b � i m I KITCHEN O I I J-d 2Y-11' 1s"-B 1/z' � W CU•Q c0 p I Z N t0 uv �� N o M � C> R------------; 3 ; (� _ r V' m... co GARAGE �'c 'w s,o„ DWV DIAGRAM 3: $ moo \\♦ ,�/ VIEW 'A' - NTS b b 'i h D = DRAIN V) I , ♦♦ I wcY� V = VENT J 3 o CV I. ♦ N rr S° FV = FUTURE VENT Q+ H '�------------' C ICE Sp - STAND PIPE F•- IWmi Iff DW - DISH WASHER Ld -_ R\----------- wtivmt we uv vAEa, suns 6w WC = WATER CLOSET 0 CD I \♦ i - FC = FIELD CONNECTION BY B/P O N o� o� I ¢ � N ac♦♦♦ ,/ uv ¢ ¢ 1 B/P BUILDER/PURCHASER °� N _I I I by O o m ♦ / � N M H ••••••• DRAIN BY BP W o L� I I DRAIN 8Y WMH f••' I .I VENT BY BP a ~ i / ♦♦\\♦ VENT BY WMH p U C Cn ®® X O • '�------------- lr A 4wc Z m Q• SUPPLY DIAGRAM Z &ma tiVIEW 'A' - NTSPY FL = FLOOR LINE U j¢ = 1/2' SHUT OFF VALVEpIdl COLD W O - . n Ln ------ HOT N 3 a ' •1- 28•—O' 28•-0' 9'-4' W Ln 0 ----------------------------- ---------- ---- N IO a o --------�- n i • -----------------------------O--------------- ' -------------- N 0 O --------------- E E:: � g m 12'-4. 4. la N < T y � 1 - ° --------------- I 1 -- Y 7 m p 0 0 _ o 1 I 1 ry SEE STANDARD NOTES & DETAILS DWG #8 USE GROUP: HOMEOWNER, SERIAL Na R 3 RDA INC. MR. &MRS. JAMES WALSH 10165CONS1 TYPE: PE RA THIRD PARTY INSPECTION A(;ENCY 1 BLUFF ROAD arc• PO BOX 601 PRODUC110N Na WOOD th Ave. (VB) SAGAMORE MA 02561 W. HYANNIS PORT' MA 02634 R�IEPNCOLONIAL CT M— R REVISION DATE SECOND FLOOR PLUMBING PLAN ®® B14 Westchester Modular Homes IncaiEGx DATE ®® 0 ReaganMill Road, Wingdale, New York, 12594 .5 Tel (845)832-9400 Fax (845)832-6698 f . t 28'-0' 34'-0' . [2x]WIRE ONLY RUN INSIDE 3642 0 4 11 1 II „� II ® II -m I 11 f' V II 16I I 3'-8' 11 er-r I �, n n D m >8 A 1 I Ii M r=n II II II m °1 4� 1= i I II II , •o I I I 11 Z7 N II II O O -------- I II II 40 I i `� I 1 i `♦ 1 II II 11 m =I � � I 1 � ♦ I _ ___ _ I o 28'-W 12'-4' - 25'-0' 40'-4' _ st — o o 0 O a 4 _ N - Koil— —--- I • . -- n - 8 24'-0' n N t � (—p�Jryri Ro N N N N * C • r 4 � m m a-o ® o NEATER , 0 I C 1 tG VNW�m V N4�m O Y N N N N N N t t t t t t N Te NN `—_—________J1� . RIO m Q 50Cs, Z a 8 C oAk --Im pip pain II z ¢a2 ITT 8'-101/2 z '0!3 44 o 422 ;0 t N N N N N N t t t t t t N t I NNNN N N N N N N N N N N N p{�wyy o4(o.,�,o OOp Op W O+N 01 to N N00 00O O1�N O t9iTA NOOo W♦NOmO)AN tEESTANDARD NOTES & DETAILS DWG #8 UP: » HOMEOWNER: SERIAL No / O165PE RA THIRD PARTY INSPECTION AGENCY RDA INC. MR. R MRS. ,LAMES WALSH 71 BLUFF ROAD air.PO BOX 601 PRODUCTION No. (VB)SAGAMORE MA 02561 W. HYANNI PORT, MA 02634 RTRGHCOLONIAL CTM— R 'SI°N DATE /10 1 st.FL ELECTRICAL PLAN ®®® Westchester Modular Homes Inc CHECK DATE 30 Reagan Mill Road, Wingdole, New York, 12594 6 A ®® Tel (845)832-9400 Fax (845)832-6698 2W-0' 28'-0• g'_a•. gl-rTl----- III I 1 I � r 'a III 1 I I II I 1 1 III Oco 0 N o o Z u ro ----------------------------- ---------- ------ En ----------------------------- ---------------- \ ---- m o O I ro 0 I ---------- O !m 'm -------------- m� LDH O I K V J w m v o 0131 ♦V J AFF. 1 V ® O O 0 m O O N W J m m m 24•-0• i i SEE STANDARD NOTES & DETAILS DWG #8 USE GROUP. BUILDER: HOMEOWNER: SERIAL No. / 0 165 PE RA THIRD PARTY INSPECTION AGENCY R3 RDA INC. MR. &MRS. JAMES WALSH 1 CONST, TYPE. 1 BLUFF ROAD RIEL PO BOX 601 PRODUGiION No. FRAMF WOOD( )SAGAMORE MA 02561 W. HYANNI PORT, MA 02&M Cg REVISION DATE COLONIAL CTM— R 2nd.FL ELECTRICAL PLAN %hh Westchester Modular Homes Inc CHECK DAZE b B30 Reagans Mill Road, Wingdale, New York, 12594 Tel (845)832-9400 Fax (845)832-6698 FRONT A B C D I Bs'-81r2- 24'-1 1/2• 2r-B• 13'-11• - Uj C9 Q p F y� B•-5w BTUM b W e•-srm Btiw ' a (n DINING ROOM z 1 , Y�1 STUDY r FAMIL ROOM !SUNROOMI a 1 I 0 a I I RISE a ��STST�jj o _ _ N b � I 8 i d Y-12W Y-12t0 BAi�I h 1 � TDE SVACE I PORCH 2a0 BN� - Y�1Bi0 BNW j I RM k I O KITCHEN I Y_1240 ,II I 27'-11• 13'-B 1/z• rL- C-11 co C 7 to � Z °oM C) R------------- Q (, Q =Z v co `\\ ' OD LA-1 $ = v x GARAGE #mLL— ' ' ♦ � Q o CA I ---------------- w w ®® Z N ®ewo0Lj ck�' % '♦ - Q U K r---------- ` LEGEND Q z?om m /}O L� . ® 7lff7NOSTAT m ' Z tr d N . fHW BASEBOARD UiRT Q AtxE9'9 vANEL TXRU FtoDR � il ' 24'-0• _ M ACCESS PANEL 1MRU Ct7LM0 L LL 0 II F IONT E F G H 24'-1 1/2' 27'-B' QQ F j I w�sbeo BIuW - i - 1 W 1 BEDROOM 2 ; z DECK BEDROOM 3 - I � I IL I I C µ'-2480 BNW AQ455 BELOW 4•-2rB0 BN j 1 1 I � I � 1 MSTR B DROOM um&UNO I 1 1 I o I I I I - S ACCESS BELOW ---- W -------------- d I I I O 1 1 LS88-10 BlUW imp', J ----- I 1 I I I C=- 1 ? O I I 1 S Z O 1 BN/M-- I I I U CO I I I (n N L- C O 3In U L,- _co CL co BONUS IROOM 4y <Z o 0 00� I I Q! �--N I I LLJ O V o� O � 73 � �.. W Z p Q a ®® Z w 0 m V ®® x z xO Ol l Z acn 24•-0• W cr O u TOP OF FOUNDATION PROVIDE PRECAST CONCRETE EXTENSION 5" DIA. OUTLET(S) GENERAL NOTES RISER WITH WATERTIGHT COVER TO WITHIN FINISH GRADE OVER D-BOX= 21.8 ELEV.= 2g.0 6" OF FINISH GRADE WHEN NECESSARY. PROVIDE RISER, OR SHIM, AND COVER FINISH GRADE OVER CHAMBERS = 22.0 INSPECTION PORT WITH SCREW CAP TO WITHIN 1. UNLESS OTHERWISE NOTED, ALL SYSTEM COMPONENTS AND CONSTRUCTION TO WITHIN 6" OF FINISH GRADE. 3" OF FINISHED GRADE. TYPICAL FOR 2 METHODS SHALL BE IN ACCORDANCE WITH TITLE 5 OF THE STATE FINISH GRADE © FND. EL.= 27.0 FINISH GRADE OVER TANK EL.= 23.5 DIAMETER OF RISER TO SUIT. ENVIRONMENTAL CODE AND ANY APPLICABLE LOCAL RULES. 20" MIN. ACCESS COVE 2" LAYER OF 1/8" TO 1/2" 2. ANY CHANGES TO THIS PLAN MUST BE APPROVED BY THE BOARD DOUBLE WASHED STONE OF HEALTH AND THE DESIGN ENGINEER. (TYPICAL FOR 3) 36"MAX. RISER TO SIT ON -- COMPACTED BASE 36"MAX.AND NOT TO REST 17.91 3. 4" SCHEDULE 40 PVC PIPE WITH WATER TIGHT JOINTS SHALL 4" C.I. OR S=2% ON PIPING. BE USED IN DISPOSAL SYSTEM UNLESS OTHERWISE NOTED. S=1.3% PROVIDE WATERTIGHT INV. = 18.75 SCHEDULE 40 PVC 6 3 3" DROP MIN. 3 9 S=1.3% JOINTS (TYP.) S=2% 4. SLOPE ALL SOLID PIPE AT 1.0% MINIMUM. 10 4 PVC IN FROM --- CLEAN GRANULAR SAND IN , 20.30* 14 19.25 SEPTIC TANK O 4 PVC OUT TO ACCORDANCE WITH 5 45' S 5. THIS SYSTEM IS NOT DESIGNED FOR A GARBAGE DISPOSAL. 19.25 L 19.05 LEACHING FACILITY 310 CMR 15.255(3) FOR TYP. TYP. 19.50 O » = PROFILE OF CHAMBERS* 12 cfl 5 EACH DIRECTION 6. LOCAL BOARD OF HEALTH AND DESIGN ENGINEER TO BE NOTIFIED *PIPE TO BE LOCATED 18.12 19.00 MIN. 18.83 17.95 FROM CHAMBERS *UNIT TO BE ARC 36HC BY ADS, INC. PRIOR TO BACKFILLING WHEN SYSTEM IS NEARLY COMPLETE AND BELOW BASEMENT FLOOR 48 NOT TO SCALE READY FOR INSPECTION. SYSTEM IS NOT TO BE BACKFILLED GAS BAFFLE 6" CRUSHED STONE INSPECTION PORT WITH SCREW CAP TO WITHIN J� 12" MIN. CHAMBER ROWS WITHOUT FIRST OBTAINING APPROVAL FROM BOARD OF HEALTH OVER MECHANICALLY 17,91 3" OF FINISHED GRADE. TYPICAL FOR 2 136" MAX. 3 AND DESIGN ENGINEER. 10' MIN. COMPACTED BASE . .:..;:. 19.2 INV. = 18.75 9 CHAMBERS LONG 7. ELEVATIONS BASED ON APPROX. NGVD 5 OUTLET DISTRIBUTION BOX „ 16 TO BE INSTALLED ON A LEVEL STABLE 27 TOTAL CHAMBERS 8. CONTRACTOR SHALL VERIFY ALL UTILITY LOCATIONS PRIOR TO F U 10.75 _ BASE. FIRST TWO FEET 0 OUTLET CONSTRUCTION THROUGH DIG SAFE AND ANY OTHER APPLICABLE T PIPES TO BE LAID LEVEL. 'OK ai :: 17.85 AGENCIES. REPORT ANY DISCREPANCIES TO THE DESIGN ENGINEER. 1500 GALLON CONCRETE SEPTIC TANK CROSS SECTION VIEW 5' -' 2•9' - I 9• NON-SHRINK GROUT TO BE USED AT ALL POINTS WHERE PIPES ENTER OR , „ , „ , „ 6„ CRUSHED STONE LENGTH 10 -6 WIDTH 5 -4 DEPTH 5 -8 TYP. TYP. THIS SYSTEM HAS 3 ROWS-TOTAL WIDTH= 8.7' 5' LEAVE ALL CONCRETE STRUCTURES IN ORDER TO PROVIDE WATER TIGHT SEALS. OVER MECHANICALLY TANK SHALL BE INSTALLED ON A LEVEL STABLE BASE COMPACTED BASE DISTRIBUTION BOX DETAIL CROSS SECTION OF CHAMBERS* GROUND WATER MIN. 10• ALL TANKS SHALL BE WATERTIGHT THROUGH MANUFACTURERS SPECIFICATIONS SEPTIC TANK PROFILE NOT TO SCALE *UNIT TO BE ARC 36HC BY ADS, INC. ELEVATION = 12.2 OR APPLICATION OF ASPHALT OR SYNTHETIC POLYMER SEALER. NOT TO SCALE NOT TO SCALE (NO WATER ENC. TP 4) 11 . ALL SEPTIC SYSTEM COMPONENTS SHALL WITHSTAND H-10 LOADING UNLESS " �-�''••• •''•• • •• • TEST PIT DATA LOCATED UNDER PAVEMENT, DRIVES OR TRAVELED WAYS IN WHICH n • *` . 'M ••�: CASE THEY SHALL WITHSTAND H-20 LOADING. • • • n a INSPECTOR: DAVID STANTON DATE: 11/9/10 ..•.. '•••• •• ' 12. WHERE REQUIRED, CONTRACTOR SHALL REMOVE ALL LOAM, SUBSOIL AND • $ „ ;" ray• •�• Rosa " • SOIL EVALUATOR: BRIAN R. GRADY CERT. #: SE 923 UNSUITABLE MATERIAL IN AREA BENEATH AND FOR 5 FT. ON ALL SIDES • 4 OF LEACHING FACILITY. REPLACE ALL UNSUITABLE MATERIAL WITH CLEAN :: ;;•. :�uce�;;� TEST PIT #: 1 TEST PIT #: 2 TEST PIT #: 3 TEST PIT #: 4 COARSE SAND FREE FROM CLAY, FINES OR OTHER UNSUITABLE MATERIAL IN • •: `qj _ _ _ _ ACCORDANCE WITH 310 CMR 15.255(3). { ELEV TOP 24.8 ELEV TOP 24.8 ELEV TOP 23.5 ELEV TOP - 22.2 • • ' " = NONE ENC. NONE ENC. NONE ENC. NONE ENC. •• • 13. CONTRACTOR SHALL NOTIFY DESIGN ENGINEER OF ANY DISCREPANCIES • = • ' - ELEV WATER = 14,g ELEV WATER = 14,$ ELEV WATER = 13,5 ELEV WATER = 12.2 FOUND IN SITE CONDITIONS FROM THOSE SHOWN PRIOR TO LOT 121 ALL SYSTEM COMPONENTS SHALL BE MARKED WITH MAGNETIC�• ;�::� �� • � 7� •�'��' '• CONTINUATION OF WORK. r�- PERC RATE = MIN/IN PERC RATE = MIN/IN PERC RATE = _MIN/IN PERC RATE = 2 MIN/IN �• "" . LOT 127 .:.. �• ,;�, � ..,; -. � �• �.��• DEPTH OF PERC= DEPTH OF PERC= DEPTH OF PERC=34-52" DEPTH OF PERC=34--52" 14MARKING TAPE OR A COMPARABLE MEANS IN ORDER TO LOCATE a w .► TEXTURAL CLASS I TEXTURAL CLASS I TEXTURAL CLASS I TEXTURAL CLASS I THEM ONCE BURIED. I 100.00 r'� �f 15. ALL SOIL ABSORPTION SYSTEMS SHALL HAVE A MINIMUM OF ONE(1) INSPECTION PORT CONSISTING OF A PERFORATED FOUR(4) INCH PIPE 0 0 0 0 PLACED VERTICALLY DOWN INTO THE STONE TO THE NATURALLY OCCURRING SOIL ;u. �. �.... I d 141a d I�.. LOAMY SAND, LOAMY SAND, LOAMY SAND, LOAMY SAND, OR SAND FILL BELOW THE STONE. THE PIPE SHALL BE CAPPED WITH A SCREW ROOTS ROOTS ROOTS v ROOTS v TYPE CAP AND ACCESSIBLE TO WITHIN THREE(3) INCHES OF FINISH GRADE. 10YR 3/2 10YR 3/2 10YR 3/2 a 1OYR 3/2 a Ii , 4" 6" 6 o a 6" 0 w 16. PROPOSED PROJECT IS LOCATED WITHIN: I � Hya ills ° r� r�t� �� � LOAMY SAND, LOAMY SAND, LOAMY SAND, . w LOAMY SAND, \ GRAVEL GRAVEL GRAVEL � IY GRAVEL W W ASSESSORS MAP # 245 LOT # 122 I LOCUS 1"=1500' 10YR 5 6 10YR 5 6 10YR 5 6 10YR 5 6 ZONING DISTRICT RESID. B AP ZONE I I 28 COARSE SAND, 34 MEDIUM TO 34 MEDIUM TO 32 MEDIUM TO BUILDING I G SETBACKS F: 2C0 ft. S: 10 ft.N A 10 ft. 27 GRAVEL COARSE SAND, COARSE SAND, COARSE SAND, FLOOD ZONE ELEVATION / I i / 2.5Y 6/4 GRAVEL GRAVEL GRAVEL AS SHOWN ON COMMUNITY PANEL # 250001 0008 D _LOT 143 72 2.5Y 6/4 2.5Y 6/4 2.5Y 6/4 I - 90" 9+0" 94" -- �.2 17. OWNER OF RECORD: JAMES & MARGUERITE WALSH I I COARSE SAND, MEDIUM TO MEDIUM TO MEDIUM TO ADDRESS: 86 OAK RIDGE LANE 2 II I l 2.5Y 6/4 COARSE SAND, COARSE SAND, COARSE SAND, BRIDGEWATER, MA I II TOPE FO_UObWD 1_0N 11 � 2.5Y 6/4 2.5Y 6/4 2.5Y 6/4 J 11 251 co 0 120" 120" 1 120" 120" \ o NO WATER ENC. NO WATER ENC. NO WATER ENC. NO WATER ENC. I U 1 2 ----'_25 AS-BUILT TIE DISTANCES �\ PIPE WAS BACKFILLED AS-BUILT 1500 1-A=43.0 2-A=32.3 I I AT FOUNDATION. ,_ GALLON SEPTIC TANK 1-13=48.1-CC=76.16 2-CC=59.0 1 I NOT OBSER>TF . --24_ 1-D=56.5 2-D=56.1 DESIGN DATA LEGEND 1 A /0 0 NUMBER OF BEDROOMS 4 100 EXISTING CONTOURS 11O PROPOSED CONTOURS I� NUMBER OF PERSONS 8 G GAS LINE . f ,, C _ AS-BUILT DISTRIBUTION BOX DESIGN FLOW 110 GAL/DAY BEDROOM _ / E&T ELECTRIC/TELEPHONE LINE I I / B N 23 TOTAL DESIGN FLOW 440 GAL/DAY W WATER LINE I 23k D 4 SOLID SCHEDULE-40 PVC PIPE I '1 I 31, SEPTIC TANK:\ - - LIMITS PERFORATED RATED G SCHEDULE 40 PVC PIPE 440 GAL. X 200% = 880 GALS. DESIGN CAPACITY _ LOT 151 USE RRO GALLON SEPTIC TANK. (MIN. SIZE PER REGS) - LIMITS OF WETLANDS '-22 WELL LOCATION 1 I LEACHING FIELD: TEST PIT LOCATION I � AS-BUILT INSP. POR�f AS-BUILT 3 ROWS OF o o SEPTIC TANK I I / 9 ARC 36HC CHAMBERS BOTTOM CAPACITY-EFFECTIVE LEACHING AREA (ELA) I CI 2AS�ESSORS MAC 245 27 CHAMBERS IN TRENCH CONFIGURATION O DISTRIBUTION BOX �I � -21.� �-- - 3 ROWS OF 9 CHAMBERS PER ROW SILTATION FENCE LOT-12-2 . 1 =i AREA-� - S.F.SF LENGTH=( 9 CHAMBERS/ROW x 5'L)= 45 FT/ROW 50 AS 'BUILT ELEVATION I I - . . i 20 45 FT/ROW x 3 ROWS= 135 LIN. FT. I DI 21.-- �g 135 LIN. FT x 4.8 ELA*= 648 SF I C' 20 i 648 SF x 0.74 GPD/SF= 479.5GAL.LEACHING/DAY I m * EFFECTIVE LEACHING AREA-SEE DEP APPROVAL LETTER 1 z 10o.od * THIS SYSTEM IS NOT DESIGNED FOR A GARBAGE GRINDER C 2 5/16/11 BRG WFM AS-BUILT SANITARY SYSTEM rn 1 1/12/11 BRG GDA AS-BUILT FOUNDATION LOT 124 REV. DATE BY APP'D. DESCRIPTION BENCHMARK: SPIKE SET IN TWIN APPROVED BY: ,+� SEWAGE DISPOSAL SYSTEM DESIGN OAK. ELEV.=21.84 (NGVD±) `���� PREPARED FOR LOT )23 wluaA�F JAMES WALSH RESERVED FOR BOARD OF HEALTH USE {�pIVLLN m 146 FOURTH STREET No. B83 BARNSTABLE, MA 9FGISTG�� NOTES: 1) THERE ARE NO WETLANDS OR SURFACE WATERS WITHIN 100 FEET OF THE G. A. F. ENGINEERING, INC. PROPOSED SEWAGE DISPOSAL SYSTEM. APPROVED BY: PROFESSIONAL ENGINEERS & LAND SURVEYORS 2) THERE ARE NO PRIVATE WELLS LOCATED WITHIN 150 FEET OF THE PROPOSED 266 MAIN STREET, WAREHAM, MA 02571 SEWAGE DISPOSAL SYSTEM. TEL: (508) 295-6600 FAX: (508) 295-6634 3) THIS SYSTEM IS DESIGNED PURSUANT TO THE DEPATMENT OF ENVIRONMENTAL E-MAIL: gaf.eng@verizon.net PROTECTION "MODIFIED APPROVAL FOR GENERAL USE" DATED JUNE 3, 2010. THE COPYRIGHT©2010G.A.F.ENGINEERING,INC.NO PART OF THIS DOCUMENT MAYBE REPRODUCED,STORED,OR TRANSMITTED BY ANY MEANS,ELECTRONIC AND/OR MECHANICAL PHOTOCOPYING,WHATSOEVER,WITHOUT SYSTEM OWNER SHALL BE PROVIDED WITH THIS APPROVAL AND BE FAMILIAR THE EXPRESS WRITTEN CONSENT OF G.A.F.ENGINEERING,INC.WITH THE EXCEPTION OF ANY REGULATORY WITH THE REQUIREMENTS, INCLUDING PROPOER OPERATION AND MAINTENANCE. SITE PLAN AUTHORITY WHICH MAY REPRODUCE IT IN CONJUNCTION WITH THE PERFORMANCE OF OFFICIAL BUSINESS UNDER ITS JURISDICTION.ANY MODIFICATIONS MADE TO THIS DOCUMENT WITHOUT THE EXPRESS WRITTEN CONSENT OF G.A.F.ENGINEERING,INC.SHALL RENDER IT UNUSEABLE, PLAN SCALE: 1" = 20' DWG NO.: 1 OF 2 SCALE: 1"=20' DATE: 11 17 10 DRN BY: BRG CHK BY: WFM 170B No. 10-7627 H:\GAF DRAWNGS\2010 DRAWINGS\10-7627-(RDA-Walsh)\7627\dwg\EXIST-SEP11C.dwg R