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HomeMy WebLinkAbout0100 CAP'N SAMADRUS ROAD - Health 100 CAP'N SAMADRUS RD. , COTUIT - MMMMM i nil Commonwealth of Massachusetts U } f Title 5 Official Inspection Form �A Subsurface Sewage Disposal System Form -Not for Voluntary Assessments ,��_;s!✓ 100 Captain Samadrus Rd M C7 Property Address �PO Sheila Mullen y Owner Owner's Name information is required for every Cotuit ,/ MA 02635 11-30-16 page. City/Town State Zip Code Date of Inspection W o Inspection results must be submitted on this form. Inspection forms may not be altered in any way. Please see completeness checklist at the end of the form. A. General Information 1. Inspector: �� T Shawn Mcelroy Name of Inspector Upper Cape Septic Services Company Name P.O. Box 73 Company Address E. Falmouth MA 02536 City/Town State Zip Code 1-508-495-0905 S13971 Telephone Number License Number B. Certification I certify that I have personally inspected the sewage disposal system at this address and that the information reported below is true, accurate and complete as of the time of the inspection. The inspection was performed based on my training and experience in the proper function and maintenance of on site sewage disposal systems. I am a DEP approved system inspector pursuant to Section 15.340 of Title 5 (310 CMR 15.000).The system: ® Passes ,•, , ❑ Conditionally Passes , ❑ Fails ❑ Needs Further Evaluation by-the Local Approving Authority 11-30-16 Irigpector's Signature Date The system inspector shall submit a copy of this inspection report to the Approving Authority (Board of Health or DEP)within 30 days of completing this inspection. If the system is a shared system or has a design flow of 10,000 gpd or greater,the inspector and the system owner shall submit the report to the appropriate regional office of the DEP. The original should be sent to the system owner and copies sent to the buyer, if applicable, and the approving authority. ****This report only describes conditions at the time of inspection and under the conditions of use at that time.This inspection does not address how the system will perform in the future under I the same or different conditions of use. t5ins-3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 1 of 17 r Commonwealth of Massachusetts f t;n t Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 100 Captain Samadrus Rd Property Address Sheila Mullen Owner Owner's Name Information is Cotuit MA 02635 11-30-16 required for every ,page. City/Town State Zip Code Date of Inspection B. Certification (cont.) Inspection Summary: Check A,B,C,D or E/always complete all of Section D A) System Passes: ® 1 have not found any information which indicates that any of the failure criteria described in 310 CMR 15.303 or in 310 CMR 15.304 exist.Any failure criteria not evaluated are indicated below. Comments: System is in good working order with no sign of failure. B) System Conditionally Passes: ❑ One or more system components as described in the "Conditional Pass" section need to be replaced or repaired. The system, upon completion of the replacement or repair, as approved by the Board of Health,will pass. Check the box for"yes", "no"or"not determined" (Y, N, ND)for the following statements. If"not determined," please explain. The septic tank is metal and over 20 years old* or the septic tank (whether metal or not) is structurally unsound, exhibits substantial infiltration or exfiltration or tank failure is imminent. System will pass inspection if the existing tank is replaced with a complying septic tank as approved by the Board of Health. *A metal septic tank will pass inspection if it is structurally sound, not leaking and if a Certificate of Compliance indicating that the tank is less than 20 years old is available. ❑ Y ❑ N ❑ ND (Explain below): t5ins•3113 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 2 of 17 i � i Commonwealth of Massachusetts �,+ f Title 5 Official Inspection form Fora I-I Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 100 Captain Samadrus Rd 4 Property Address p Y Sheila Mullen Owner Owner's Name information is required for every Cotuit MA 02635 11-30-16 page. City/Town State Zip Code Date of Inspection B. Certification (cont.) - ❑ Pump Chamber pumps/alarms not operational. System will pass with Board of Health approval if pumps/alarms are repaired. B) System Conditionally Passes (cont.): r ❑ 'Observation of sewage backup or break out or high static water level in the distribution box due to broken or obstructed pipe(s) or due to a broken, settled or uneven,distribution box. System will pass inspection if(with approval of Board of Health): ❑ broken pipe(s) are replaced ❑ Y ' ❑ N '❑ ND (Explain below): ❑ obstruction is removed ❑ -Y . ❑ N ❑ ND (Explain below): ❑ distribution box is leveled or replaced ❑ Y ❑ N ❑ ND (Explain below): ❑ The system required pumping more than 4 times a year due to broken or obstructed pipe(s). The system will pass inspection if(with approval of the Board of Health): ❑ broken pipe(s) are replaced ❑ Y ❑ N ❑ ND (Explain below): ❑ obstruction is removed ❑ Y ❑ N ❑ ND (Explain below): C Further Evaluation is Required b the Board of Health: q Y ' ❑ Conditions exist which require further evaluation by the Board of Health in order to determine if the system is failing to protect public health, safety or the environment. I 1. System will pass unless Board of Health determines in accordance with 310 CMR 15.303(1)(b)that the system is not functioning in,a manner which will protect public health, safety and the environment: ❑ Cesspool'or privy is within 50 feet of a surface water ❑ Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh t5ins-3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 3 of 17 Commonwealth of Massachusetts '{ f� Title 5 Official Inspection Fora i Subsurface Sewage Disposal System Form -Not forVoluntary Assessments r 100 Captain Samadrus Rd Property Address Sheila Mullen Owner Owner's Name information is required for every Cotuit MA 02635 11-30-16 page. City/Town State Zip Code Date of Inspection B. Certification (cont.) 2. System will fail unless the Board of Health (and Public Water Supplier, if any) determines that the system is functioning in a manner that protects the public health, safety and environment: ❑ The system has a septic tank and soil absorption system (SAS) and the SAS is within 100 feet of a surface water supply or tributary to a surface water.supply. ❑ The system has a septic tank and SAS and the SAS is within a Zone 1 of a public water supply. ❑ The system has a septic tank and SAS and the SAS is within 50 feet of a private water supply well. ❑ The system has a septic tank and SAS and the SAS is less than 100 feet but 50 feet or more from a private water supply well**. Method used to determine distance: ** This system passes if the well water analysis, performed at a DEP certified laboratory, for fecal coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered. A copy of the analysis must be attached to this form. 3. Other: D) System Failure Criteria Applicable to All Systems: You must indicate "Yes"or"No"to each of the following for all inspections: Yes No ❑ ® Backup of sewage into facility or system component due to overloaded or clogged SAS or cesspool ❑ ® Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or clogged SAS or cesspool ❑ ® Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool ❑ ® Liquid depth in cesspool is less than 6" below invert or available volume is less than 'h day flow t5ins-3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 4 of 17 Commonwealth of Massachusetts la Title 5 Official Inspection Form :- Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 100 Captain Samadrus Rd � Property Address Sheila Mullen Owner Owner's Name information is Cotuit - . MA 02635 11-30-16 required for every -• page. City/Town State Zip Code Date of Inspection B. Certification (cont.) r Yes No a ❑ ® Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s). Number of times pumped: ❑ ® " Any portion of the SAS, cesspool or privy is below high.ground water elevation. Any portion of cesspool or privy is within 100 feet of a surface water supply or ` ` ' ❑ ' ® 'tributary to'a surface water supply. ❑ ® Any portion of a cesspool or privy is within a Zone 1 of a public well. ❑ '® Any portion of a cesspool or privy is within 50 feet of a private water supply well. ❑ ® Any portion of a cesspool or privy is less than 100 feet but greater than 50 feet from a private water supply well with no acceptable water quality analysis. [This • system passes if the well water analysis, performed at a DEP certified laboratory, for fecal coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered.A copy of the analysis and chain of custody must be attached to this form.] ❑ ® The system is a cesspool serving a facility with a design flow of 2000gpd- 10,Q00gpd. ❑ ,Eg The system fails. I have determined that one or more of the above failure criteria exist as described in 310 CMR 15.303,therefore the system fails. The system owner should contact the Board of Health to determine what will be necessary to correct the failure. E) Large Systems: To be considered a large system the system must serve a facility with a design flow of 10,000 gpd to 15,000 gpd. P For large systems, you must indicate either"yes" or"no"to each of the following, in addition to the questions in Section D. r• Yes No ❑ ❑ the system is within 400 feet of a surface drinking-water supply ❑ ❑ the system is within 200 feet of a tributary to a�surface drinking water supply ❑ r ❑ 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 If you have answered "yes"to any question in Section E the system is considered a significant threat, or answered "yes" in Section D above the large system has failed. The owner or operator of any large system considered a significant threat under Section E or failed under Section D shall upgrade the system in accordance with 310 CMR 15.304. The system owner should contact the appropriate regional office of the Department. t5ins-3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 5 of 17 Commonwealth of Massachusetts a Title 5 Official Inspection Form it Subsurface Sewage Disposal System Form -Not for Voluntary Assessments f;!a% 100 Captain Samadrus Rd Property Address Sheila Mullen Owner Owner's Name information is required for every Cotuit MA 02635 11-30-16 page. City/Town State Zip Code Date of Inspection C. Checklist Check if the following have been done. You must indicate "yes" or"no" as to each of the following: Yes No ® ❑ Pumping information was provided by the owner, occupant, or Board of Health ❑ ® Were any of the system components pumped out in the previous two weeks? ® ❑ Has the system received normal flows in the previous two week period? ❑ ® Have large volumes of water been introduced to the system recently or as part of this inspection? ® ❑ Were as built plans of the system obtained and examined? (If they were not available note as N/A) ® ❑. Was the facility or dwelling inspected for signs of sewage back up? ® ❑ Was the site inspected for signs of break out? ® ❑ Were all system components, excluding the SAS, located on site? ® ❑ Were the septic tank manholes uncovered, opened, and the interior of the tank inspected for the condition of the baffles or tees, material of construction, dimensions, depth of liquid, depth of sludge and depth of scum? ® ❑ Was the facility owner(and occupants if different from owner) provided with information on the proper maintenance of subsurface sewage disposal systems? The size and location of the Soil Absorption System (SAS) on the site has been determined based on: ® ❑ Existing information. For example, a plan at the Board of Health. ® ❑ Determined in the field (if any of the failure criteria related to Part C is at issue approximation of distance is unacceptable) [310 CMR 15.302(5)] D. System Information Residential Flow Conditions: Number of bedrooms (design): 3 Number of bedrooms (actual): 3 DESIGN flow based on 310 CMR 15.203 (for example: 110 gpd x#of bedrooms): 330 t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 6 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form ' �I Subsurface Sewage Disposal System Form Not for Voluntary Assessments aF' 100 Captain Samadrus Rd Property Address Sheila Mullen Owner Owner's Name information is Cotuit _ MA 02635 11-30-16. required for every ` page. City/Town State Zip Code Date of Inspection D. System Information Description: \ 9 Number of current residents: 2 Does residence have a garbage grinder? ❑ Yes ® No Is laundry on a separate sewage system? (Include laundry system inspection ❑ Yes ® No information in this report.) Laundry system inspected? - ❑ Yes ® No Seasonal use? ❑ Yes ® No Water meter readings, if available (last 2 years usage (gpd)): Detail: Sump pump? ❑ Yes ® No Last date of occupancy: 11-2016Date Commercial/Industrial Flow Conditions: Type of Establishment: Design flow (based on 310 CMR 15.203): Gallons per day(gpd) ., Basis of design flow(seats/persons/sq.ft., etc.): Grease trap present? ❑ Yes ❑ No Industrial waste holding tank present? - ❑ Yes ❑ No Non-sanitary waste discharged to the Title 5 system? ❑ Yes ❑ No Water meter readings, if available: t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 7 of 17 Commonwealth of Massachusetts a Title 5 Official Inspection Form R' N Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 1 of ,.�_J4!✓ 100 Captain Samadrus Rd Property Address Sheila Mullen Owner Owner's Name information is required for every Cotuit MA 02635 11-30-16 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Last date of occupancy/use: Date Other(describe below): General Information Pumping Records: " Source of information: Owner--pumped 2014 Was system pumped as part of the inspection? ❑ Yes ® No If yes, volume pumped: gallons How was quantity pumped determined? Reason for pumping: Maintenance Type of System: ® Septic tank, distribution box, soil absorption system ❑ Single cesspool ❑ Overflow cesspool ❑ Privy ❑ Shared system (yes or no) (if yes, attach previous inspection records, if any) ❑ Innovative/Alternative technology.Attach a copy of the current operation and maintenance contract (to be obtained from system owner) and a copy of latest inspection of the I/A system by system operator under contract ❑ Tight tank. Attach a copy of the DEP approval. r ❑ Other(describe): t5ins-3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 8 of 17 Commonwealth of Massachusetts :a=1 Title 5 Official Inspection Form ' ,r. 1 Subsurface Sewage Disposal System Form Not for Voluntary Assessments r. 100 Captain Samadrus Rd Property Address Sheila Mullen Owner Owner's Name information is required for every Cotuit MA 02635 11-30-16 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Approximate age of all components, date installed (if known) and source of information: 1996 Were sewage odors detected when arriving at the site? ❑ Yes ® No Building Sewer(locate on site plan): T 42" Depth below grade: feet Material of construction: ❑ cast iron ® 40 PVC * '❑ other(explain): • r J E Distance from private water supply well or suction line: feet Comments (on condition of joints, venting, evidence of leakage, etc.): Good condition. Septic Tank(locate on site plan): Depth below grade: 36"feet Material of construction: ® concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑ other(explain) If tank is metal, list age: years Is age confirmed by a Certificate of Compliance? (attach a copy of certificate) ❑ Yes ❑ No Dimensions: 1500 gal Sludge depth: 12" t5ins-3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 9 of 17 Commonwealth of Massachusetts a Title 5 Official Inspection Form f . I Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 100 Captain Samadrus Rd Property Address Sheila Mullen Owner Owner's Name information is required for every Cotuit MA 02635 11-30-16 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Septic Tank (cont.) Distance from top of sludge to bottom of outlet tee or baffle 20" Scum thickness 1" Distance from top of scum to top of outlet tee or baffle 6" Distance from bottom of scum to bottom of outlet tee or baffle 15" How were dimensions determined? Tape Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): Tank is in good condition with baffles installed and no sign of leakage. Grease Trap (locate on site plan): Depth below grade: feet Material of.construction: ❑ concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑ other(explain): Dimensions: 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 Date of last pumping: Date t5ins-3113 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 10 of 17 r Commonwealth of Massachusetts r Title 5 Official Inspection Form - Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 100 Captain Samadrus Rd Property Address Sheila Mullen Owner Owner's Name information is required for every Cotuit MA 02635 11-30-16 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.):' Tight or Holding Tank (tank must be pumped at time of inspection) (locate on site plan): Depth below grade: Material of construction: ❑ concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑ other(explain): Dimensions: Capacity: gallons Design Flow: gallons per day Alarm present: ❑ Yes ❑ No Alarm level: Alarm in working order: ❑ Yes ❑ No Date of last pumping: Date Comments (condition of alarm and float switches, etc.): *Attach copy of current pumping contract (required). Is copy attached? ❑ Yes ❑ No t5ins-3113 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 11 of 17 Commonwealth of Massachusetts ,w Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments y,•�_`,!a 100 Captain Samadrus Rd Property Address Sheila Mullen Owner Owner's Name information is required for every Cotuit MA 02635 11-30-16 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Distribution Box(if present must be opened) (locate on site plan): Depth of liquid level above outlet invert 0 Comments (note if box is level and distribution to outlets equal, any evidence of solids carryover, any evidence of leakage into or out of box, etc.): Good condition with water at working level and no sign of back-up from chambers. Pump Chamber(locate on site plan): Pumps in working order: ❑ Yes ❑ No* Alarms in working order: ❑ Yes ❑ No* Comments (note condition of pump chamber, condition of pumps and appurtenances, etc.): * If pumps or alarms are not in working order, system is a conditional pass. Soil Absorption System (SAS) (locate on site plan, excavation not required): If SAS not located, explain why: t5ins-3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 12 of 17 Commonwealth of Massachusetts 1a=1 Title 5 Official Inspection Form' 1, Subsurface Sewage Disposal System Form Not for Voluntary Assessments 100 Captain Samadrus Rd �9 Property Address Sheila Mullen Owner Owner's Name information is required for every Cotuit MA 02635 11-30-16 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) - Type: ❑ leaching pits number: ® leaching chambers number: 2-500's ❑ leaching galleries number: ❑ leaching trenches number, length: ❑ leaching fields number, dimensions: ❑ overflow cesspool number: ❑ innovative/alternative system Type/name of technology: Comments (note condition of soil, signs of hydraulic failure, level of ponding, damp soil, condition of vegetation, etc.): Leach chambers in good condition and empty at inspection with stain line at 12" below inlet invert. Cesspools (cesspool must be pumped as part of inspection) (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 groundwater inflow ❑ Yes ❑ No t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 13 of 17 Commonwealth of Massachusetts :a=1 Title 5 Official Inspection Fora 01 Subsurface Sewage Disposal System Form -Not for Voluntary Assessments a� ,.�.;�!✓ 100 Captain Samadrus Rd Property Address Sheila Mullen Owner Owner's Name information is required for every Cotuit MA 02635 11-30-16 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Comments (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): 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.): t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 14 of 17 Commonwealth of Massachusetts ,. a; Title 5 Official Inspection Form !, 'A Subsurface Sewage Disposal System Form --Not for Voluntary Assessments 100 Captain Samadrus Rd l J Property Address Sheila Mullen Owner Owner's Name information is required for every Cotuit MA 02635 11-30-16, page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Sketch Of Sewage Disposal System: Provide a view of the sewage disposal system, including ties to at least two permanent reference landmarks or benchmarks. Locate all wells within 100 feet. Locate where public water supply enters the building. Check one of the boxes below: ® hand-sketch in the area below ❑ drawing attached separately ` k i 4. D _3 yry Ar _ I t5ins•3113 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 15 of 17 Commonwealth of Massachusetts :a=1 Title 5 Official Inspection Form A Subsurface Sewage Disposal System Form -Not for Voluntary Assessments ' 100 Captain Samadrus Rd Property Address Sheila Mullen Owner Owner's Name information is required for every Cotuit MA 02635 11-30-16 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Site Exam: ❑ Check Slope ❑ Surface water ❑ Check cellar ❑ Shallow wells Estimated depth to high ground water: 12 feet Please indicate all methods used to determine the high ground water elevation: ® Obtained from system design plans on record If checked, date of design plan reviewed: Date ® Observed site (abutting property/observation hole within 150 feet of SAS) ® Checked with local Board of Health -,explain: ® Checked with local excavators, installers- (attach documentation) ❑ Accessed USGS database- explain: You must describe how you established the high ground water elevation: Original design plans show no groundwater at 12'. Before filing this Inspection Report, please see Report Completeness Checklist on next page. t5ins-3113 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 16 of 17 Commonwealth of Massachusetts fez Title 5 official Inspection Fora �W-I Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 100 Captain Samadrus Rd Property Address Sheila Mullen Owner Owner's Name information is required for every Cotuit MA 02635 11-30-16 page. Cityrrown State Zip Code Date of Inspection E. Report Completeness Checklist E Inspection Summary: A, B, C, D, or E checked ® Inspection Summary D (System Failure Criteria Applicable to All Systems) completed ® System Information—Estimated depth to high groundwater ® Sketch of Sewage Disposal System either drawn on page 15 or attached in separate file f II t5ins-3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 17 of 17 TOE 4 SA RNSTA:BLE LOCATION : DO / f'► !a ru S. SEWAGE# ViLYAGF CO cv �:_� ✓ A�SESSt}f�'S i�iAP AL 7NTAi.LER's NAli►FE&POA]E 1s4 SBPTTC TANK C.�ACI1'Y �S� LEACfIIl�TG x NO OFBEI3 Win- `3 I3CTS,FA OR OWt�IER PERR+IF£DA71E . GC3MFT.fiAiN{ T3ATE Separsuon Drstance Between:Ebe Maxunum Adjusted Crinandwater Table to the Bottom of Leadcng Facility ,Fee4 PnYate V�atar:Supply'i�Tell attdLg 1* ry {I€aoy�rt;11s east ou;sita or untiust 2t30 feet,bf 1encluag facity) t Edge of Watand anclag£aalcy(If auy wetlands exist ' within 3(i4}feet fIeaclurig!'acdze3►) P Feet ��- � i 1 � . e i TOWN OF BARNSTABLE LOCATION ��a0 C 2r� `3/I�f ,���y_S /r�SEWAGE # VILLAG ASSESSOR'S,MAP LOT INSTALLER'S NAME&PHONE NO. LI zc? 30E SEPTIC TANK CAPACITY LEACHING FACILITY: (type)' (size) NO.OF BEDROOMS ,. BUILDER OR OWNER w PERMIT DATE:_ 1 ��COMPLIANCE DATE: Separation Distance Between the: -Maximum Adjusted Groundwater Table and Bottom of Leaching Facility Feet Private Water Supply Well 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 vrithin 300 feet of leaching facility) Feet Furnished^by Cr� ���/9y✓�7i4�l�i�+Jfi�/�uG- .r G � N �. i car' � � � � � � � � t -� � w � � N � ��� - �� �, �. . -- -�� .. � ,, © � �, _ �r. �„__ � � � � . �.- � �. - '`Pt / ��� � (i� Y �. THE COMMONWEALTH OF MASSACHUSETTS ' FEE BOARD OF HEALTH d2am n o F b"Az�� U x_ . VVUration for :43iiiVasttl 05-y,stem Ton,strnrtion Permit A plication is hereby made for a Permit tD Install (�/) or Repair/Replace ( ) an Individual Sewage Disposal System at: r Locatum-Address � /.� V or Liil No. Owner Address Designer or Installer Address �� Type of Building Size Lot 01 JJ Qef'6Sg4eeet- Dwelling—No.of Bedrooms -3 Expansion Attic ( ) Garbage Grinder ( ) Other—Type of Building No.of persons (l Showers ( )—Cafeteria ( ) Other fixt res Design Flow 3 gallons per person per day. Calculated daily flow 5L_) gallons. Septic Tank—Liquid capacity 7 L'G gallons Length/6'V' Width `J ',? Diameter Depth ,S ' " Disposal Trench—No. Width /VZ4I Total Length cil Total leaching area 44051 sq.ft. Seepage Pit No. Diameter Depth below inlet Total leaching area sq.ft. Other Distribution box ( Dosing tank ( ) Percolation Test Results Performed by0n De-3o.kn a Ito Date I-1Z"W lc Test Pit No. I minutes per inch Depth of Test Pit Z�'�r' Depth to groundwater Test Pit No.2 minutes per inch Depth of Test Pit �'Z�C`)'t Depth to ground water `�- Description of Soi Z [�tt-�`t (? Gt�Lt �Irr`'- f'�ti Wd.-se,,uk4 /D iVi — l�Arti .l`l /rA�vul SvirLul I®�/t'' GJ Nature of Repairs or Alterations—Answer when applicable Date Last Inspected Agreement:—The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Environmental Code.The un rsig d further agrees not to place the system in operation until a Certificate of Compliance has been issued he B rd a Si e 6 Date Application Approved By AL V _ D to Application Disapproved for the following reasons: Date Permit No. - 3 �/ Issued Date TOWN OF BARNSSTABLE LOCATION.��U� /Ur)s ,��K(�5,�L�SEWAGE # !� VILLAGE UV 7— ASSESSOR'S MAP LOT INSTALLER'S NAME&PHONE NO. —30E- SEPTIC TANK CAPACITY LEACHING.FACILITY: (type) Z " C ���r�1.�7'f/�S (size) X/ NO.OF BEDROOMS Zf BUILDER OR OWNER ✓ �bN 7G/� PERMITDATE: � -;�/ COMPLIANCE DATE: I f • Z. Separation Distance Between the: Maximum Adjusted Groundwater Table and 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 2v 36 o a 3 33 33 y Z �o. 6 3 ;L NO. v rMi-9 THE COMMONWEALTH OF MASSACHUSETTS FEE- BOARD OF HEALTH Avp iration for BigV'asal ig.�H,strm Tonstrurtion Pumit 100 A placation is hereby ade for a ermit t Install (/or Repair/Replace ( ) an Individual Sewage Disposal System at: yti�� Local ion-Address ra �� or--I UOwnct Address 5esigner or Installer Address Type of Building ) Size Lot 01 SSQCf eSS,.4eer-- Dwelling—No.of Bedrooms 3 Expansion Attic ( ) Garbage Grinder ( ) Other—Type of Building No.of persons (o Showers ( )—Cafeteria ( ) Other fixt res Design Flow J`� gallons per person per day.Calculated daily flow 3CeD gallons. Septic Tank—Liquid capacity !SUO gallons Length 1lJJ��+ Width J' T Diameter Depth S' " Disposal Trench—No. _ Width (al, Total Length. o2 _ 1 Total leaching area A(P sq.ft. Seepage Pit No. Diameter Depth below inlet Total leaching area Sq.ft. Other Distribution box ( 1 Dosing tank ( ) Percolation Test Results ; ' Performed byes Do-, Wr,a Date Test Pit No. 1 Z minutes per inch beptll,of Test Pit ZC' Depth to ground water Test Pit No.2 minutes per inch Depth of Test Pit I'Zb" Depth to ground water Description of Soi I-L0 Or 6kotii-AG gy't- Z-(�'( J 5" U /� tt +► 1 a..nn �L 3 Nature of Repairs or Alterations—Answer when applicable Date Last Inspected Agreement:—The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE'5 of the State Environmental Code.The undersigned furtherr,agrees not to place the system in operation until a Certificate of Compliance has been issued by-the Board of,Health. - r Sigfied!Sit Sri.'% , if � Date Application Approved By. D to Application Disapproved for the following reasons: i 1 ' Date I Permit No. (� - L// Issued Date •y——.... — ._,.—---x-..3..:.ro.c: ',o: .--.---..:-------m--,.o-----------------.—�- i THE COMMONWEALTH OF MASSACHUSETTS (, v }� BOARD OF HEALTH Tatifiratr of Tomplittnrr THIS IS TO CERTIFY, That the On-Site Sewage Disposal System installed ( 'e,) or Repaired/Replaced ( ) on 14DC2 C0. by for . at has been constructed in accordance with the provisions of TITLE 5 of The State Environmental Code as described in the application for Disposal System Construction Permit No. dated Use of this system is conditioned on compliance with the provisions set forth below: THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION AS DESIGNED. This Certificate expires on Date r (( �(7 CJ�/ DATE ! I / 1,2 Inspector � o F 1 ————————— — -w!—--r a——.�.s a.uo s► a�s.s r r auk+ -.onw ia.aw r-+c ar afi tG>Ae�i�9D-�¢C.q 4�8-LL_o.�S.63vf+u Oa 63 ci�E iffit - J \ No. C,"/," �[/ THE fC�OMMONWnEALTH OF MASSACHUSETTS FEE h�rpp,,cc1r_ IJ,�2 BOARD OF HEALTH ' Disposal ftstrm Tonstrurtion ramit ;9 Permission is hereby granted to �O.0 ?2 to Construct ( or Re�paiirr/R��/e��place ( ) an On-(Site Sewage Disposal Systep-located at"`' a 0-4 Sheet as described on the 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. All construction must be completed within three years of the date below. j Board of Health DATE j FORM 1255 (REV.4/95) H&W HOBBSB WARRENrM PUBLISHERS - BOSTON THIS FORM APPROVED BY THE MASSACHUSETTS DEPARTMENT OF ENVIRONMENTAL PROTECTION ` 3 r SOIL EVALUATOR&PERCOLATION TEST FORMS �fFtE Page 1 of 4 Town of Barnstable o �M M ' Department of Health, Safety, and Environmental Services 10.19. Public Health Division 367 Main Street,Hyannis MA 02601 Office: 508-790-6265 FAX: 508-775-33" Soil Suitability Assessment for Semage Disposal NO.?- ?'] Date: Performed By: � lLl 6 - l i t 427-7Z 7Z Date: Z 10'4 Witnessed By: Location Address Owner's Name � b ,�G.►�lG�,-�,5 Lot#: �L� Z Z Address,and II Ocuub 6�� 4l ID-041/1 Assessor's Map/Parcel: 31 � Telephone# (? NEW CONSTRUCTION ✓ REPAIR Office Review t/ Published Soil Survey Available: No Yes Year Published —? Publication Scale /%2s-�� Soil map unit 2- Drainage Class << B Soil Limitations Surficial Geological Report Available: No ✓ Yes vear Pnhliche Publication Scale Geologic Material(Map Unit) e� Landform Flood Insurance Rate Map: Above 500 year flood boundary No Yes Within 500`year boundary No Yes Within 100 year flood boundary No Yes Wetland Area: National Wetland Inventory Map(map unit) Wetlands Conservancy Program Map(map unit) Current Water Resource Conditions(USGS): Month Range: Above Normal Normal Below Normal Other References Reviewed: _ DEP APPROVED FORM-12/07/95 FORM > > - s0», f-NAMATOR FORS ' , Page 2 of 4 Location Address or Lot No. Lot 2 2 C/.- ..s On-site Review Deep Hole Number Date: 7—Z-_ S Time: 7 5­0 Weather s`' tiw7 Location (identify on site plan) ...... Land Use Lv a C. C f Slope M Surface Stones Vegetation Landform a.,,iL ---r< Position on landscape (sketch on the back) Distances from: Open Water Body feet Drainage way feet Possible Wet Area feet .Property Line feet Drinking Water Well feet Other DEEP OBSERVATION HOLE LOG' Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(Inches) (USDA) (Munsell) Mottling (Structure,Stones, Boulders, Consistency, % Grav4 �z `e 1-004-ftr IdYQ r� 31. if. /ZC) 44 Ia r2 � �U y r a-oltr 7�v' Parent Material(geologic) 0 v:fw 4, s 4 DepthtoBedrock: Depth to Groundwater: Standing Water in the Hole: Weeping from Pit Face: Estimated Seasonal High Ground Waster: V.a. � (17 -C i)F.P APPROVED FORM-II/07/9S I�OIZNI 11 - SOIl. I;VALUATOIt F0101 Page 3 of 4 Location Address or Lot No. 4,-�- Z z— o-ft C% el k'-U S Determination for Seasonal High Water Table Method Used: ❑ Depth observed standing in observation hole . .. inches ❑ Depth weeping from side of observation hole . . inches ❑ Depth to soil mottles inches ❑ Ground water adjustment feet Index Well Number ... Reading Date ......... Index well level Adjustment factor Adjusted ground water level 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? .c If not, what is the depth of naturally occurring pervious material? Certification I certify that on 7- Z ` 7 (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. Signature -Date —2 _� L DEP APPROVED FORM-12/0719S FORM 12 - PERCOLATION TEST Page 4 of 4 Location Address or Lot No. ZV�4 , COMMONWEALTH OF MASSACHUSETTS Massachusetts Percolation Test! Date: 7 - L — Time:. Observation Hole f - � Depth of Perc �Z - Start Pre-soak Z 3— 0 End Pre-soak Time at 12" Time at 9" Time at 6" Time (9"-6") Rate Min./Inch L /. _j = Minimum of 1 percolation test must be performed in both the primary area AND reserve area. Site Passed Site Failed ❑ ' ��i v i` c� S� •z : �K • Performed By: Witnessed By. Comments: ...:.-.:,..,:....... .....:,:.:.:::._.....:..:....... _:..........:..:::.:... VEp ApMoVED FORM-12/V195 S YS T PROF IL.. NOT TO ."CALE FINISHrrRADE TOP FNDN. F.T/V�S�-/ GRADE OVER OVER TRENCHES EL . '7?, FINISH GRADE �' �. G' FINI SH GRADE OVER DST. BOA• .-� �, ,;:o SEPTIC TANS o i�� ?0.19DR 7r�t�'77, �1737CClt�T.C�"CPTy1l1��'�7T" %Th'q�7niri�ltC177,, 0; :ooA 12 MAX. !�r 77 - - Jig''"•"'��l d ' G• o.A....Q••e'{�•. :P•!J••4b:.;'•.'4::Q.of b'�. ,•O' ,� •btdKP,Gf.p ®•. .A �•9.•.a an b - ��".7'.�" �_ TOTAL L EN°'TH OF TRENCH A be OUTLET PIPE LEVEL a 3„ . ., '-- FOR 2 F T. MIN. c: oab A•,DOp° p ��0.• .•p.•p , �.� 0$m. '�—` .. .,.,y..,�q. ._p�; . ,.m, .•v� .�},, .p •.e •o• bFjr OO" a. ,00 p 73♦ �"D 73 � > C. I PVC TEES _ #:r. ; 'b."�Y n. .r.•. _ � ( �08 . OR >p c '� E--- �:..'♦ ✓r.0 o y' 0 . '0 •5 p•• ON . `GALL L ON a �' TP , °'.7 BSMT FL ° ° ' -- -- __ -- -- - - - -- - - - - EL . 7e, n %��' °' 4 �� .`: vTALL ON LEVEL BASE �� o: o /� �'w og �+ /� /� /—y 9 50 0 GALLON DR YWEL L S b1: •ti.e�0 a•o:a o l � db h .- O PE NETE FCJI'� D �" Q• L�' i d,:y' '•.Q•d,"11'^c• ':b.:0.�:.:fit•,b';0':i'•'w.� ya •'�;j'®'" A.4 7a°' O•. A.•p.q e o•a .•p.•? •a..o. .'Q,•P r;P d :4'/L\ \/iil •._' /•1" T\tivam r..-...\-.,...A.•y^.ws...:.K,.. •"s•'r:h. :: ^'�... TNCQ SECTIONI✓N INSTALL ON LEVEL BASE NOTE: R'XCA VA TE TO ELEV. '''/, OR _ o __. LOWER TO REMOVE ALL IMPERVIOUS �12" MIN.. //, ode ` avinelle QNde , c^ MATERIAL BENEATH THE LEACHING AREA 4" DIAM. <<. �,• o REPLACE EXCA VA TED MA TERIAL WI TH 3" OF 1/8"-1/2" C`EA Q::�.:�•,-, : �:4�•p MASHED PEASTONE ' o�, �?. � CLA Y FREE SAND '4.•O• '1' � ''a t10 0 Ea le 314" — 1-112" YASHED ,� y Pond so CRUSHED STONE gan 11e1A • Lows �- . n A. E VE4 u4.. ° � TRENCH'WIDTH $ 1. ALL ELEVA TIONS 9HONN ARE BASED ON ASSUMED ,st °' r ,ij �i_ p o NUMBER _OF_-TRENCHES-1 - - --— __. ,-, �' •k Ir y`,+ C3 '...,.:v..�¢ �{.a t 1)IU.,�1•! .Q N ✓ ? SYS TEI�J' /"`f LJc./T BE CA IRON ff ��^^'' ¢Yt;y ,. .,.,�- -- 2. ALL P..C""P 'S NUMBER OF DRYWELLS 2 OR :ii..ef:a.. af�.... �� ." Vi.r. ON PIT . 3. THE EOARD OF ,�EAsL TH MUST BE NOTIFIED T,. ti &'THEN C:ONS TRUC T.i ON IS COMPLETE PRIOR P-8729 o PERCOL A TION RA TE• �` 2 T� BA � �� , . . 4. ANY CHANGES IN T L/IS PLAN MUST BE APPROVED <2 MIN.11N. o ?o�ca E t2 BY THE BOA F�a O® =+=ALTH AND CA PE 6 1'SLANDS AIITNE.S'SED B3!' �t/p...... C�.rrr.-vtw7►- SURVEYING CO., .PVC. EDWA FID BA RR Y o o , 5. MATERIALS AND INSTALLATION SHALL DE IN COMPLIANCE _ 9ITH THE,S7A TE SANITARY EA P/V5 BRO. OF HEAL TH DESIGN DA TA CODE — TITLE V -- AND LOCAL APPLICABLE DA TE: JUL Y ---o._. _,•¢�. "' RULES AND RESULA 7ION _ .o z, NUMBEP OF BEDROOMS 3 S. NORTH ARRO W° .f'S FROM RECORD PLANS AND � __ _ �.;, �, IS NOT TO BE USED FOR SOLAR PURPOSES ' T_ e, GARBAGE GE DISPOSAL NO Lc,ar tcy 1MC a Z — -- 7. FLOOD HAZARD ZOVEC (NON HAZARD) fey � DA.IL Y FLOV 330 GAL . f B. k1A TER SUPPL Y TOWN WA TER .���,�� SEPTIC TANK REO 'D. .1500 GAL . �c sl c SEPTIC TANK PRO AIDED .?50 0 GAL . LEA CMING REGUIRED 330 GPD. N .S'IDERAL L AR��"r� - 1,5',2 .55. F. 152 S.F.,k, . 74 G/S.F. -- 112 GPD. / BOTTOM AREA —32D S.F. �+ �2 � �` �/'� ,M�•— �'C yy ,��y �.•, ,/ 32..9 9h/ly. 74 /"'� y�+ =243 y" �'/"o/+a•- .!,° Y Wow mv.a"' /Ir CJ dip r aw.(fT'0.. S.F.I� �,(7I .F. UPD �. N 417ar � ��r•/rtr �<s� � � �, '• �'''" LEACH.I'Nv PR®VIDEO .35.5' GPD P R&POSED EL F VA TION E-;,'73 TINS CONTOUR SINGLE ,>�,� ..T L. Y ,�E,5'..�'DEN�'E & 0&5 E,�?VA TION P.e d� DISTRIBUTION TRIBUTION BOX ,n� ^' r:�.• +... `� D .�EW GE At DISPOSA L S YS TEM PREPARED FOP 4,�. f 070 SEPTIC TANS f.A., DESIGN TECH ,' a_ L O T 2 (HOUSE .10 O) CA P N SA MA DRUS RD. E R 'uERVE AREAj OF CO TUI T- DA RNS TA EL E -- MA SS. PIPS" INVL'RT ALE VA TION x� C H�>di`�_s f Sm9C:•�{ DA TE:' v'v / 1u dE�;�',� '?,�{�`� .�` CAPE cS' ISLANDS ENGINEERING PLOT PLAN sitP�`; h , 'ALE AS NOTED 23,E FALA90UTii�// ROAD — SUITE 2E SCALE• 1 "� -5 O ' PLAN Na.so �� MA SNPEE. MASS. �'2 - _ PCB- L 0T HST ------------- -- -- - oo`S TEIol PROFIL NOT T CALE TOP FNDN. FINISH GRADE OVER FINISH GRAdEOVER TRENCHES EL . 7">, - FINISH GRADE �' �, o FINISH GRADE OVER DI S T. BOX �' c .v'Pe SEPTIC TANS !o is o..a.D 0 �`� '11;� `ya�">.�•��"�`�"i°� '�'t����l%/'�"@7//'�1��7li���r1T/`'��77ACCC' >"lJi/C�'r o;..00... 12" MAX. / A oo• • Q •o •"o b C o::i �J: :0 d'aty:0'::Q•a?tip q:a,aJP.pR�c7at•d,•. d bG .osd� F TRENCH o.•�.. p r+ �p .A .e TO TA'L L�Na.p T�� ./ 'c. C a,': OUTLET PIPE LEVEL ° 3 : ' FOR 2 FT. H ', p . p'• 'AO A .., � �', ti�. , ^,".:'*• •:•—.::4---.,^,r ."'.,,• -^';.-^' .---°-may--�-'r^r-*-:ro'- :„ ,•:d. ,'�,. •p - •e ,o• 'ef 6:.°o°�' - t� I. OR PVC TEES ?" CJ. i & ,✓r,'"Ar •` / d !r/:. if 0.»J'^6.r ✓«*arr a:s*"a r9.'~Y ` r^ y — q g+-- •—t p p Q i .—� ,...;,+""'"%C:+d^' •k"Y'.". ....,..,. ~'?'a!- `c.i Q L. .1 i..,. d Y. O.pp 1500 ' GALL ON ON r s� • BSMT FL EL . 7+�, v o' o: ,.INSTALL ON LEVEL BASE "50 GA I L CAN D�'Y;VELL S " o a PRECAST CONCRE TE a'j�a adb:q�0 V••o:o d � ;Fr adht ._ 0 REINFORCED DTPENCH SEC TION �•dYj'q,k,�uii C"•'J�"'Q"ta •;b. G' :"t',�';•A':4'4� •tF :&a'd?"�v'Q [a•+' `,4 Jw ' SEPTIC TANK ••d.rs••cs•'v;mo•a �, � '� -t'r a o,� 'q•, , e'cb, R'� �,4: INSTALL ON LEVEL BASE NOTE" CXCA Val TE TO ELEV. OP __. L 0 `R TO REMOVE ALL IMPEPa VIOUS T/Ti ", 1h TI c 12 MIN. _�� cYrry e T ERl/,L SLNEA TH THE L EA G`,F�'ING ARE. Saweelie o� '� � �A �' �'" DI�SY�. `Q Q` REPLACE: 'EXCA VA TED RA TEFIAL .d'TH q , •�, ¢•� • - 3" OF 1/6"_1/2 N ; CL-AN, CLA Y FREE SAND o�, �a: t:% •:; W..4 )VA SHED PEA STONE p•�^•0•®• — /2 r✓A SHED ✓,�9 '0 f a. y Q Pod skiCRUSHED STONE ; S C y ti a � . • r. Sae Cteid a Locus a. ///j� / F , ! w o - "" TRENCH I�IDTH Akx. 3 . i ccye a ( St C f. ALL ELEVATIONS" SH IN ,ARE BASED ON ASSUMED P s ° °• i � � �° � - r..���• .. -NUMBER—fIF TRENCHES_1 `�•. 4a ' � � - � r ALL P.,,.PE«� IN �k,� SYSTEM MUST BE CAST IRON - NUMBER OF DPYWELLS 2 - - m � SGr aaoa. PVi• 08,gfq VA TION PIT /a f 3. 7HE BOARD OF A L TH MUST BE NOTIFIED • P-8729 *HEN CONS TRUl' ,4ON .�'•..► COMPLETE PRIOR TO BA Cd�FIL L.�r ' PERGOLA TION RATE.•, , ✓ �►-,y '2 , _ 4. ANY CHANGES IN' THIS PLAN 'UST BE APPROVED <2 MIN./IN. 7'p �'1•TNE'SSED BY• BY THE BOARD F HEALTH AND CAPE 9 ISLANDS _ yo.._... '�.-. ,�,,��'.• .�-� •��,a C� /�/ Y VT• aSQJ r`W/•d.•.•'Cm� 9 ..St,±�p URVEYING CO.. INC. EDWARD BARRY a p , 5. MATERIALS AND 1"NSTALLA TION SHALL DE .IN BARNS BRD. OF HEALTH DESIGN DA TA COMPL IANCE AfI TI-V THE S TA TE SA NI TARP L_.a..-r'...__.._ DA TE: JUL Y 12L? .95 CODE — TITLE V — AND LOCAL APPLICABLE RULES AND 17EGU.A TION.S' T 41'�i��, �' .�P��� 3 G. NORTH AR.RO J IS FROM, RECORD PLANS AND __.^-µ--�--; NUMBER OF BEDROOMS NO IS NOT TO BE ZI ED FOR SOLAR PURPOSES /Z Iv t �, Grp R�'A GE D.�aPOS/$L 7. FLOOD HA.�'AFa'D , °,��NE C (NC1N—f�A.7AR.�i'� � t.�r:,��� � DAILY FL Oi�J 330 S. WATER SUPPL Y TOWN b1A TER ,s�w �� �� SEPTIC TANK REOJ 'D. 1500 GAL . J .s r _.. ..,.. ti SEPTIC TANK PROVIDED 1500 GAL . © L EA C,HING REOUIRED 330 GPD. ,g , IDERALL AREA — -152 S.F. 152 S.F.A,' - 74 G S.F. ,. 1?2 GPD. BOTTOM AREA —329 S.F. p ,,ti,, P �, i 32.9 S. F.,kO. 74 G/S.F. =243 GPD L EA CHINS PROVIDED GPD e'i"'" ..'h OSBD �L EVA TION ! \ya --- TING CONTOUR SI 1.E FA MIL Y PESIDENCE cg 60 5ERVA TION PI7" Z °r-RRI UTION BOX . E DISPOSA L S YS TEM PROPOSED SER PREPARED FOR Fo a � TIC TANK ,�. `. DE51GN TECH adµ L V J' 2 Z�...�` (HC 0 0) CA P N SA MA DRUS PD. yy u tEE AREA f� CIF CC T -- BA RNS TA BL E — MA SS. u.s f- INVERT ELEVATION � DAvl Plt \�. t� � p INV - CA PE C ISLANDS ENGINEERING 2 zi PLOT PLAN ------� ,' '``ors �� k 'CAL a A, ' NOTED 1. 3 EALMflUTe�1 ROAD — SUITE 2E } ,. �Ns �../ ' -.a "fi am c 7 I.Ar SCALE. ? �,,�,� ' MA SHPEE, MA SS. f P LOT A�F PLAN O