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HomeMy WebLinkAbout0064 COTUIT BAY DRIVE - Health 64'Cot'dlt'Bbiy Drive Cotuit, P A =;056,026 tit , No, - -------- v Fee--- --------------- BOARD OF HEALTH TOWN OF BARNSTABLE Zipprication-for Vell Con5tructionPermit Applic lion is her by ade for t to Construct (Alter ( ), or Repair )an in iv' ual Well at: �— Location — Address _ Assessors Map and arcel -- / Owner Address - � Installer — D --riller Add,!K Type of Building Dwelling �----- - -- -- - - Other - Type of Building--;—___—___________ No. of Persons-_____.- ` Type of Well C '--�—�- ° ------- - Capacity--- -C-� _-- ---—- Purpose of Well__ rp Agreement: The undersigned agrees to install the aforedescribed individual well in accordance with the provisions of The Town of Barnstable Board of Health Private Well P otection Regulation - The undersigned further agrees not to place the well in operation un ' ific f o iance has been issued by the Board of Health. Sign - 5" C date Application Approved By ---------- date Application Disapproved for the following re ns:---------- ---------------____—_______—____ _—_________ date Permit No. Issue( �- date BOARD OF HEALTH TOWN OF BARNSTABLE (Certificate ®f Compliance THIS IS Tq_�CER I�,at the Individual Well Constructed (''Altered ( ), or Repaired ( ) by--_��� Installer at ca has been installed in accordance wit the provisions of the Town of Barnstable Board of H � alt ate Well Protection ( � Regulation as described in the application for Well Construction Permit No.tN--M -- ted-- —-- THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE.WELL SYSTEM WILL FUNCTION SATISFACTORY. DATE----- -- ___ - -- Inspector--------_--------------- *� l A. ` No.- ---------- Fee-- BOARD OF HEALTH TOWN OF BARNSTABLEf ApplicationiforVell CootructionPermit Application is her by made for a permit to Construct (Alter ( ), or Repair )an in ividual Well at: Location —/Address Assessors Map and arcel _ Ole --------------------- �/ O/wner Address /? Installer — Driller Addy Type of Building �. Dwelling------------------------------------------------- Other - Type of Building-----------------_------ No. of Persons-..------------------- Type —__�___________ � •t of Well L_.___-_ -_______ �--_— --- - Capacity----f- -----------------�— Purpose of Agreement: The undersigned agrees to install the aforedescribed individual well in accordance with the provisions of The Town of Barnstable Board of Health Private Well Protection Regulation - The undersigned further agrees not to place the well in operation unti-1 a tificat f Co liance has been issued by the Board of Health. Sind - - 3�-d -- g - --- C date �i ;Application Ap i proved By - �'/��`; — ---------- - r Application Disapproved for the following re ns:-----____—_—---_-------- — --- -- --- - ------- ---------- date Permit No. JA � __ ---___-- Issued--- - -- --_-- date — ----------------------------- BOARD OF HEALTH TOWN OF BARNSTABLE . z= Certificate & Compliance ! THIS IS TO CERTIFY, hat the Individual Well Constructed ( `<Altered ( ), or Repaired ( ) by Installer 2 �6 -at- -------- - - - - --- -- - --- - has been installed in accordance with the provisions of the Town of Barnstable Boa d of H alltthJTate Well Protection Regulation as described in the application for Well Construction Permit No.Qj V- ed-------------------- THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE WELL SYSTEM WILL FUNCTION SATISFACTORY. DATE------ -- — - —-- Inspector--- - - - ,' ------------- ----------------------------- ------------------------ ----------------- % a- BOARD OF HEALTH TOWN OF BARNSTABLE Mel[ Con!5truct ion Permit No. Fee b __�I� - � � Permission is hereby granted � r __________ to Construct (�lter ( ), or Repair ( ) an Individ al We No. -----��—�� '7C ' �� - Jam_i -- -- -- - ---—s----------------- - treet _ as shown o the application for 11 Construction Permit No.- - -- -------------------------------- -------------- Dated � 1 DATE Boar of Health -- __—_ _- Page 10 of I 1 OFFICIAL INSPECTION FORM—NOT.FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM I WORMATION(continued) Property Address: Owner: �d✓ Date of Inspedioa: 511 SKETCH OF SEWAGE DISPOSAL SYSTEM Provide a sketch of the sewage disposal system including ties to at least two permanent refereoce landmarks or benchmarks.Locate all wells within 100 feet.Locate where public water supply enters the building. 3Ca CS - 35 , c � - Y5 py - 35 ' 10 SG` � i �� - - TOWN OF„BARNSTABLE C , Q LOCATION SEWAGE # VILLAGE L ASSESSOR'S MAP & LOT-0 - INSTALLER'S NAME&PHONE NO. 6 �[I/ /� ��y�_6 SEPTIC TANK CAPACITY IX6 s LEACHING FACILITY: (type) si e).�.,2 b/�✓�C .Z NO.OF BEDROOMS BUILDER OR OWNER 1;q PERMITDATE COMPLIANCE DATE: Separation Distance Between the: Maximum.Adjusted Groundwater Table and Bottom of Leaching Facility 14W Feet Private Water Supply Well and Leaching Facility (If any wells exist on site or within 200 feet of leaching facility) ®L 4,,q Feet Edge of Wetland and aching Facility(If any wetlands st within 300 feet o e chin lit � i� Feet Furnished by P . l� .Z f G G >. 08 e- . � C THE COMMONWEALTH OF MASSACHUSETTS FEE j "70 BOARD OF HEALTH Town OF Barnstable APPLICATION FOR DISPOSAL SYSTEM CONSTRUCTION PERMIT Application for a Permit to Construct ) Repair (X) Upgrade ( ) Abandon ( ) - ❑Complete System ❑Individual Components 64 Cotuit Bay Dr. , Cotuit, MA Thomas & Patricia Marmen Location Owner's Name 056/026 8 Ytedcoat Rd. , Shrewsbury, MA 01545 Map/Parcel# Address 107 508-845-1705 Lot# Telephone# BSC Group, Inc. ` Installer's Name Designer's Name �.ya, 657 Main St. , W. Yarmouth, MA 02673 Address Address bit - !? /J��' 508-778-8919 `Tele n Telephone# Type of Building: Residential Lot Size 27 ,406± Sq.feet Dwelling—No.of Bedrooms 4 Garbage Grinder ( ) Other—Type of Building No.of persons Showers ( ), Cafeteria ( ) Other fixtures Design Flow(min.required) 440 gpd Calculated design flow 449 gpd Design flow provided 449 gpd Plan: Date 2/6/0 6 Number of sheets 1 Revision Date Title Desi cIn for gewagp '°ID D� i_-T sal System Tlpgz;;de- 64 Ceti i t Bay Dr. Description of Soil(s) See Plan Soil Evaluator Form No. Name of Soil Evaluator C. Field Date of Evaluation 2/3/0 6 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 further agrees not to place the system in operation until a Certificate of Compliance has been issued by the Board of Health. Signed Date Inspections - FORM t - APPLICATION FOR DSCP DEP APPROVED FORM 5/96 r { NO.(: THE ,COMMONWEALT:tI OF MASSACHUSETTS FEE 150 q BOARD OF HEALTH town -OF Barnstable APPLICATION FOR DISPOSAL SYSTEM CONSTRUCTION PERMIT Application for a Permit to Construct ) Repair (X) Upgrade ( ) Abandon ( ) - ❑Complete System ❑Individual Components 64 Cotuit Bav Dr. , -Cotuit, MA Thomas &Patricia Marmen Location Owner's Name 056/026 S Aedcoat Rd. , Shrewsbury, MA 01545 Map/Parcel# Address a 107 508-845-1705 Lot# Telephone# "a BSC Group, Inc. Installer's Name Designer's Name /,4 Al 1 ru d' 657 Main St. , W. Yarmouth, MA 02673. Address �'~ Address � . /.any 508-778-891'9`: Telegh n� Telephone# Type of Building: Residential Lot Size 27 .406± Sq.feet Dwelling—No.of Bedrooms 4 Garbage Grinder ( ) Other—Type of Building No.of persons Showers ( ), Cafeteria ( ) Other fixtures F l Design Flow(min.required) 440 gpd Calculated design flow 449 1 gpd Design flow provided 4 4 9 gpd -Plan: Date 2/6/0 6 Number of sheets 1 Revision Date Title Design for Sewage _-� Disposal Svctem t1raLrla= 64 Cot it Bay Dr. Description of Soil(s) See Plan Soil Evaluator Form No. Name of Soil Evaluator C. Field Date of Evaluation 2/3/0 6 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 further agrees not to place the system in operation until a Certificate of Compliance has been issued by the Board of.Health. Aa `'. Signed Date Inspections U FORM I - APPLICATION FOR DSCP DEP APPROVED FORM15/96 (� No. e PO THE COMMONWEALTH OF MASSACHUSETTS FEE A O Barnstable BOARD OF HEALTH CERTIFICATE OF COMPLIANCE Description of Work: ❑ Individual Component(s) ❑Complete System The undersigned hereby certify that the Sewage Disposal System;Constructed(` ),Repaired( ),Upgraded( ),Abandoned( ) at (o L,. 'f n4-01 — Vv 1IC ci-y ' has been installed in accordance the rovisions of 310 CMR 15. 0 (Title 5) and the approved'design plans/as-built plans relatin to application No. d(0��l0dated 1. Approved Design Flow (gpd) Installer \ Q-_0 1 Designer: Inspector _ Date A. /' The issuance of this certificate shall not be construed as a guarantee that the system will function as designed. FORM 3 - CERTIFICATE OF COMPLIANCE DEP APPROVED FORM 5/96 No.C7'��.`J THE COMMONWEALTH OF MASSACHUSETTS FEE / .1)C-11" Barnstable BOARD OF HEALTH DISPOSAL SYSTEM CONSTRUCTION PERMIT Permission is hereby granted to Construct V,,) R\e'p�air ( --Upgrade ( ) Abandon ( ) an individual sewage disposal system at—_` /n L) I(_01(-u; +— (jc�M \VC` y��(C)4-V t �' as described in the application for Disposal System Construction Permit No. �c�=�9 v fig 60 dated Provided: Construction shall be completed within three years of the date f"fhts p M, 11,1 cal conditions must be met. Date�1 /tn Board of Health; lay FORM 2 - DSCP DEP APPROVED FORM 5/96 FORM 1255 (REV 5/96) H&W HOBBS&WARREN TM PUBLISHERS- BOSTON Towh of Barnstable ' Regulatory Services Thomas F. Geiler,Director s. Public Health Division w Thomas McKean,Director 200 Main Street,Hyannis,MA 02601 Office: 508-862-4644 Fax: 508-790-6304 Installer&Designer Certification Form Date: 2 p6 Sewage PermitJO06"'0 6 Assessor's Map\Parcel OS6 02 L Designer: ,6 S L s201)p .4c • Installer: �� -E;11me.11yo Address: 3q9 /P?,a S�", IJn!>- Address:' r%, a oOX �767-5� M* 07673 eawsn On ,V' 3v was issued a permit to install a (date) (installer) septic system at 6� �irr` 111 or% based on a design drawn by (addr ss) g5L G2v,,�p0.T1tC dated 2 / ®6 (designer) _L 1 certify that the septic system referenced above was installed substantially according to the design, which may include minor approved changes such as lateral relocation of the distribution box and/or septic tank. I certify that the septic system referenced above was installed with major changes (i.e. greater than 10' lateral relocation of the SAS or any vertical relocation of any component of the septic system) but in accordance with State &Local Regulations. Plan revision or C� certified as-built by designer to follow. A OF Mgss90 MARK DIB13 nstaller's Signature) 0 CIVIL Ida.45945937; Ago NAY 9Fo�syL FSseQwA � (Designer's igna ure) (Affix Designer',s Stamp Here) PLEASE RETURN TO BARNSTABLE PUBLIC HEALTH DIVISION. CERTIFICATE OF COMPLIANCE WILL NOT BE ISSUED UNTIL BOTH THIS FORM AND AS-BUILT CARD ARE RECEIVED BY THE BARNSTABLE PUBLIC HEALTH DIVISION. THANK YOU. Q:Health/Septic/Designer Certification Form 3-26-04.doc COMMONWEALTH OF MASSACHUSETTS EXECUTIVE OFFICE OF ENVIRONMENTAL AFFA�k,S aR N =S TA BL,E DEPARTMENT OF ENVIRON=NTAL PROTE N 1NAY 27 A If: 36 s cD .,,__�...�. TITLE 5 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM FORM PART A CERTIFICATION Property Address: 6 Ll Co 4.-k s� Ors o H, oac� Owner's Name: 111 �O✓Gr Owner's Address: C-O N� Q Date of Inspection: , p Name of Inspector: print) Company Name: 0 i Mailing Address: o tox 1 Ll-- "� /,p pactot1— Telephone Number: S CERTIFICATION STATEMENT I certify that I have personally inspected the sewage disposal system at this address and that the information reported below nis true,accurate and complete as of the time of the inspection The inspection was perform based on E g and experience in the proper function and maintenaace of on site sewage disposal systems.I am a DEP apPm'ed system inspector pursuant to Section iS W of Title S 310 CMR 11000 The Passes Conditionally Passes Needs Further Evaluation by the Local Approving Authority Fails Inspector's Signature: Date: 5 The system inspector she submit a Dopy of this inspection report to the DUFF)within.iu days of completing this inspection If the App o mg Autlronty(Board of%Wth or Wd or ,the. system is a sharod system or has a design now of lope mspector and the system owner shall submit the report to the apt r��office of the DU The original should be sent to the system owner and copies sent to the buyer if apphcabie,and the approving authority. Notes and Comments '*"*This report only describes conditions at the time of Inspection and under the time. This inspection does not address how the system will p rm in the fntare and r ditions or 3 the same or different conditions of use. • Page 2 of l l OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION(continued) Property Address: (04c4f-ja / Owner: (�lyv�e opt Date of inspection:===4700 r Inspection Summary: Check AAC,D or E/AL_WAy�complete all of Section D A.�tft-, sses: t found any information which indicates that any of the failure ad described 310 OAR 15.303 or in 310 CUR 13.304 exist Any failure criteria not evaluated are indicated below. Comments: B, 7One Conditionally Passes: or more system components as described in the"Conditional Pass"section need to be replaced or repairers.TIM system,upon completion of the replitcement or repair,as approved by the Board of Health,will pass. Answer yes,no ornotdetermined(Y,N,ND)in the for the following statements.If"not determined"please The septic tank is metal and over 20 years old*or the septic tank(whether metal Of not)is structunrlly unsound,exhibits substantial infiltrntion or exilltretion or tank fail ure is immmeaL sting tank is replaced with a complying septic tank as app vved by the Board of Health. will paw inspection if the A metal septic tank will pass inspection if it is structually sound,not leaking and-if a Certificate of Co indicating that the tank is less than 20 years old is available, Compliance ND explain: Observation of sewage backup or break out or high static water level in the distribution box due to broken or approval�bstrlwtOd of Board of Health): settled or uneven distribution box. System will pass inspection if(with broloen pipe(s)are replaced obstruction is removed distabution box is leveled or replaced ND explain: The system seined pumping more than 4 times a year due to broken or obstructed pipe(s). system will pass inspection if(with approval of the Board of Health): broken pipe(s)are replaced obstruction is removed ND explain: Page 3 of 11 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION(continued) Property Address: Owner: to Ve tom-"' Date of inspection: i r evaluation is Required by the Board of Health: 7Conditions 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 enviromnent. 1. System will pans unless Board of Health determines in accordance with 310 CMR 11303(i)(b)that the system is not functioning in a manner which will protect public health,safety and the envir+onmen t. _ 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 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 wad apply 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 coliform bacteria and volatile organic comlmmds indicates that the well is free from pollution from that facility 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: Page 4 of 11 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION(continued) Property Address: / � �� Owner. (J�Ov2✓ Date of Inspection: p D. System Failure Criteria applicable to all systems: You must indicate"yes"or"no"to each of the following for all inspec Lions: Yes No — —�>3ackup of sewage into facility or system component due to overloaded or clogpd SAS or cesspool — Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or ,c logpd SAS or cesspool Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or �cesspool ,biquid depth in cesspool is less than 6"below invert or available volume is I=than%day flow — Required pumping more than 4 times in the last year NQT due to clogged or obstructed Of times p pipe(s).Number 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 portion of a cesspool or privy is within a Zone 1 of a public well. AM portion of a cesspool or privy is within 50 feet of a private Any portion of a cesspool or privy is less than 100 feet but water supply well. supply well with no acceptable water !k fluor�feet from a private water Y analysis. (This system passes if the well water analysis, performed at a DEP cerdiled laboratory,for coliform bacteria and volatile organic compounds indicates that the well is free from pollution from that faculty and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than S Ppm,provided that no other failure criteria are triggered.A copy of the analysis must be attached to this form.] (Yes/No)Tlu system Lob I have determined that one or more of the above failure criteria exist as described in 310 CMR 15.303,therefore the tails.The m owner should contact the Board of Health to determine what will be necessary to correct the failure. L Large Systems: To be considered a large system the system most serve a facility with a design lbw of 10,000 gpd to 15,000 You must indicate either`des"or"no"to each of the following; (The following criteria apply to large systems in addition to the criteria above) yes the system is within 400 feet of a surface drinbng water supply — the system is within 200 feet of a tributary to a surface drinking water supply — the syststema located n a mtmgen sensitive area(Interim Wellhead Protection Area—IWPA)or a mapped of public supply well If you have answered"yes"to any question in Section E the system is considered a si "yes"in Section D above the large system has failed The owner or large datecant threat, d answered significant threat under Section E or failedunder Section,D shall. operator of any large system considered a 15.304.The system owner should contact the a trade the eYe m�with 31a Ci►� ppropriate regional aflice of the Department. Page S of 11 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B (� I CHECIQ,IST Property Address: j 4c.,, Qa, h� 0 6 Owner: Date of Inspection: -5 Check if the following have been done.You most indicate`fires"or"no"as to each of the following: AnimpIng information was provided by the owner,occupant,or Board of Health — Were any of the system components pumped out in the previous two weeks the system received normal flows in the two week— previous period Have volumes of water been' — � introduced to the or system recently as pert of this inspection .T Were as built plans of the system obtained and examined?(If they were not available nose as N/A Was the facility or dwelling inspecxed for signs of sewage back up ✓ Was the site inspected for signs of break out TWere all system components,a ch ding the SAS,locked on site _f_ Were the septic tank manholes uncovered,opened,and the interior of the tank' of the b�ar tees,material of s for sc condition depth of�d depth of ludge and depth of scum Was the facility owner(aad oocr>pOWs if different liosa ovvner)Provided with Wormation on the proper mainDemaoe ofsrbsur6ce sewage disposrdvysk . The sue and location of the Soil Absorption System(SAS)on the site has been determined based on: Y o infoimabi F v � mor example,a plan at the Board of Hea 'lth. Determined in the field(if any of the.failure criteria retried to Part Cis at issue approximation of distance is unacceptable)[310 CUR 15.302(3A)j r Page 6 of 11 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION'FORM PART C SYSTEM INFORMATION Property Address: Owner: Date of Inspadons BLO'V CONDfWNS /���✓h� BESIDENTIAi, /'. Number of bedrooms(design): ✓ Number of bed�(actu*,-3 DESM flow based.on:310 15103(for example: 110 gpd x d of bedmoms):2-?'0 x/gyp Number of tit residents: Does residence have a garbage grinder(Yes or no): /V10 Is laundry on a separate sewage system(YSs or no):.T7 [if ya separate inspection requires Lannly system inspected(yg x na): A� Seasonal use:(yes or no): /— Water meter r if available(last 2 years usage(gpd)): Sump lip(Yes or no):— Last daft of occqutqr. �/ILN� COMMERCIALANDUSTRIAL Type of establishment: Design flow(based on 310 CUR 15.203): and Basis of design flow(seatsfpersons/sgft,etc.): Grease trap present(yes or no):_. Industrial waste holding tank present(yes or no):— Non-sanitmy waste discharged to the 71t1e S system(yes or no): Water meter readings,if available: — Last date of ocaTancy/use: OTHER(describe): Pumping Rerorde GENERAL INFORMATION 1 Source of intormatiom /" / A ,7 Je(:51 .7 e-,/-' — 0 t,-,k-C--- Was system pumped as part of the inspection(yes or no):-& If yes,volume Pumped---S1kms-How was quamity pumped determined? Reason for pumping TYPE XTIM _ istribrrtion box,soil absorption system Single cesspool Overflow cesspool Privy —Shared system(yes or no)(if Yek attach previous inspection records,if any) _hmovativdAlternative technology.Attach a copy of the current operation and mamteoanot contract(to be obtained from system owner) _Tight tank _Attach a copy of the DEP approval —Other(describe): AppiroA=ft ap of all components,date (if known)and source of ifbrmadow 04 s n a mac✓ (o x y f 12 'doff Were sewage odors detected when arriving at the site(yes or no): Page 7 of 11 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART.0 SYSTEM INFORMATION(confined) C Property Address: �o /", Owner. 6�10 � � �v2 63� Date of InspeCdor. BUILDING SEWER e%on site plan) Depth below grade: / Materials of constnecfon: iron �(0 FVC odor(explain) Distance fi+om private water soppiy weft c� gq�: Comments(on condition of joins;vim,evidence of leabge,etc.): SEPTIC TANK: Qocale.on site plan) Depth below grade: /oZ Material ofconstrixtiom _ fiberglass other(explaia) concift If s metal list age:_ Is ague confirmed by.a C firwate of Compiianoe'(Ves or no):_(attwha copy of Dinmaens: Ile / 0 Sudpdcptk el Dislaaoe f 3op of s>gdr to bottom of ootlit fte or baffle:- d,6 Scum thicimess:_�e Distance from top of scum to top of outlet tee of baffle: (o Distance from bottom of scam to boats pf outlet tee" r baffle: How wean moons determined, l-o le as Comments c!ka5 et ( rocoommmmoutld:inven, ode eenda ons,mld and outlet tee or bale condition,structural integrity;liquid levels 'L011 %<e ): iOIL., awl GREASE TRAP.lowft on site plea) Depth below grade: . Material of Win:_ metal_ ___P*ethykne_other (explain): Dimensions: Scum thiclmess: Distance from top of scam to top of outlet we or bait: ' Distance from bottom of scum to bottom of outlet We or baffle: Date of last pumping: Comments(on PMMPng Zommend Rams,inlet.and outlet.tee or baffle condition,strucqual.integrity,liquid levels as related to outlet invert,evidence of leakage,etc.): f' Page 8 of 11 OFFICIAL INSPECTION FORM=NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE,DISPOSAL,SYSTEM INSPECTION FORM PART C SYSTEM � INFORMATION(contim Property Address; & /(� clo-)�[ 14- 6�117 � Date of hugmx don: !' /' TIGHT or HOLDING TANK: (tank must be pumped at time of inspection)(koc ate on site plan) Depth below grade: Material of construction concrete metal fiberglass__polyethylene other(w4ain): ors: Capadty: sallow Design Flow: fflflom/day Alarm present(yes or no): Alarm level; Alarm in working order(yes or no): Date of last pummng: Comments(condition of alarm and float switches,etc.): DISTRIBUTION BOX: (if present must be opened)(locate on site plan) Depth of liquid level above outlet invert: h�l✓"!•c Comments(note if box is level and distribution to outlets equal,any evidence of solids c ny over,any evidence of lealmge'Wto or out of box,etc.): - � Ler•� C �o fal�.�., �yo .1.��s;-.r PUMP CHAMBER:�(Ioo to on site plan) Pumps in working order(yes or no): Alarms in working order(yes or no): Comments(note condhian of pump chamber,condition of pumps and appurtenances,etc.): Page 9 of 11 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSN[ENTS SUBSURFACE SEWAGE-DISPOSAL SYSTEW INSPECTION FORM SYSTEM U FORMATION(aw in Owner. 101--c D.W of Inspecdrr p� .SOII.ABSORt rJW SFSTZK{SAS]: . ai.Nke plan,ewavad m not If SAS not locaW"Pl*why. Ca x� —'elk leaching chemftM nunber: leaching galietiea,member: leaching trenchos,sumber.length; ,dons; overflow cesspool,nwobw. • ` system .J)Tdbame attwjuxd y; etas Comme t(at condition of soil,signs of hydraulic hdme,level of ponding,damp soil,condition of vegetation, mew /,�7--,— e "' f- yC► o� S ea�,o C'B� `y(oesspod no be pamped as Part of inspactio )Oocate on site plan) Numl w=dao m: Depth—top►atli+c W-b inlet invest: Depth of soles kgw of==bqw Dimes of cesspool; Matewa otcomanctioa: Indication of powWwvw inSow(yes or nod Con muff(low Of SA signs of hydrak level at af e1c.): Mataods of construction: Dime Depth of solids: COmumts(notec m al so *m of hydraulic Wwe,level ofpmKft condition of vegetadan,ejr_). I .• Page 10 of I 1 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM 114SPECTION FORM PART C SYSTEM INFORMATION 0ontinuo Property Addrem* Date of Inspe ctioa: 511 SKETCH OF SEWAGE DISPOSAL SYSTEM Provide a sketch of the sewage disposal system including ties to at least two per =09 reference landmarks or benchmaft Locate all wells within 100 feet.Locate where pa he water supply entexs the bwldigg, 3,v G3 - /S !- -J, D. c c S - 35 ' { Y � SG� • Page 11 of I1 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(con immM Property Address: Gcf ,o„ Owner. G�O v�f C9 oa 633 Date of Inspedim. ✓r i 0 SITE EXAM Slope Surface water Check cellar Shallow wells r Estimated depth to ground water g•/ feet f�r Please indicate(check)all methods used to determine the hq*smund water elevation:atained from qV=demp Phu On record 9 hole �°f��plan� /�l —Chedmd with local Board of Checked with-local excavators,installers-(attach on) Acomed USGS database-explain: You must how you established the high ground water elevation: �rrokn ,/-��e✓ a4- fh,f Y. 6 ' j ,s ox ��/ C O N•' b-�q r vm000 0 000e? 67 fo 0 Q O 3•G G � �� / • TOWN OF BARNSTABLE L.O4 ATION <5-0ck;u6 44 ®y-f✓-e- SEWAGE # 4 VILLAGE Cale—y 7 ASSESSOR'S MAP & LOTe5�- � INSTALLER'S NAME & PHONE NO. r./,� �L�4. �-47f'C SEPTIC TANK CAPACITY LEACHING FACILITY:(type) � �-C�-s�- ��f (size) Y 3 NO. OF BEDROOMS ` PRIVATE WELL OR PUajC WA E�� BUILDER OR OWNER d am` a-0ou E'�f DATE PERMIT ISSUED: DATE COMPLIANCE ISSUED: VARIANCE GRANTED: Yes No r �,�WST�►cTt��A� a.'" 0 �: F �� i O �,c� P�Q � ✓� N�� 3� ��(�. M 05LO Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE Appliratiou for Diij-poiial Worlw Tomitriir#inn rrrmit Application is hereby made for a Permit to Construct ( ) or Repair ( G?!n Individual Sewage Disposal System at: / ^� Location-Address or Lot No. ... ......... ----------------------------------- _---_-__________-----_____--------------------.___------------------------------------------------ Owner Address wo �� �� a .. -------- -- = = .. Installer Address d Type of Building Size Lot............................Sq. feet V Dwelling—No. of Bedrooms---�--------------------------_------__Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) Q' Other fixtures _______________________________ __ d -- ---- ................................ W Design Flow.......... ..................gallons per person per day. Total daily flow......�.� ..................__gallons. W Septic Tank—Liquid capacity------------gallons Length________________ Width................ Diameter--..------------ Depth................ x Disposal Trench'—No. .................... Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No_____________________ Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) 0-4 Percolation Test Results Performed by.......................................................................... Date........................................ aTest Pit No. 1----------------minutes per inch Depth of Test Pit.................... Depth to ground water........................ Test. Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ ----------------------------------------------- ------------------------------------------------- ..-----------•-----•----•................ ................. .... 0 Description of Soil------------------••---•-------------•-----------------••-•---•--•-----------....------..---------------....--------------------------------------------......._..•----- x U ---•-------------------------------------------------------------------------------------•----....------------------------------------------------------------------------•--------•••......-----....--- x --------------- ------------------------------------------------------------------------------------- --------------------------------- -----------------------------"-L-------------------------------- U Nature of Repairs or Alterations—Answer when a plicable.__�'�c/�-�TU9-l- __.____ �1. .�.._.a1. ...... 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 furt r agrees not to place the system in,operation until a Certificate of Compliance has been is d b :d of Valth. Signed .........�.. .. — 7 ...:....... ..........�.��:.. 1 .... ....:........ Application Approved B `"=c 'C; ----------- ---------------------------------------- ------ -------------- ._ e PP PP Y ce Application Disapproved for the following reasons: ........................................... .......................................................................................... ................................................... ............................................... .......... .------- ---- .-*.......... ......... .------- ------------............-----.................--- ---. *----------------------------- Da PermitNo. Issued ..................................................................... Dace No...1...... ^ FEa.... ........ THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE Appliratiun for Divi-puuttl Works Tomitriirtiun ramit Application is hereby made for a Permit to Construct ( ) or Repair ( an Individual Sewage Disposal System at: ......---'• / ior` �-' � ..... I ----------••- `_ Location_Address or Lot No. rl.Y?.v_lj � U_V`-'C.-I. / ...:............. ... --•-••.__.______._....--------•'_---- •••••••••---......._.--•-------------•.....____............_.......__..........................._. Owner 47 Address Installer Address UType of Building 3 Size Lot............................Sq. feet Dwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ____________________________ No. of persons............................ Showers ( ) — Cafeteria ( ) a' 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. Seepage Pit No_____________________ Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) aPercolation Test Results Performed by.................................................................... •---- Date....................................... Test Pit No. I----------------minutes per inch Depth of Test Pit-_____----__-_____ Depth to ground water........................ rX4 Test Pit No. 2................minutes per inch Depth of Test Pit__._____---______- Depth to ground water........................ P+ •--•-------------------------------------------------••---------.........-------•---........._-----•......................................................... 0 Description of Soil........................................................................................................................................................................ x V -•-•----------------•-•----••-•••---------•- --......•---------•---------•--•-••---•-•--••-•-------------•••--•-•------------•••--------•------•--•--......----........................................ W U Nature of Repairs or Alterations—Answer when applicable__.`T��l--- _I __.....4,1_.6 _t 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 further agrees not to place the system in operation until a Certificate of Compliance has been issued by--the-board of hdalth. �.--- S�/ _ --7 Signed ---------k . s'...._ :....................... .... '- 1/...,....... .� Dare Application Approved By ............................................. -- ��------- ... - - ................................................... ---------- ---------------- r Date Application Disapproved for the following rearon.r: . ............... ... ................. ........................ ...................................... ............ ------------------------------------- Date Permit No. ���....cam............................ Issued Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE C�er#ifi ate of Q-Tilantpliance THIS IS TO CERTIFY, That the Individual Sewage Disposal Syste constructed j ) or Repaired (Ll- ) y ...... .... .......... .............. IQ Insrdl r � at ..... �/1` �......................r. ---------[..... _.C`7:v iT-- --------........ t-- ---------------------------------------------------: .............. has been installed in accordance with the provisions of TITLE 5 of The State Environmental Code as described in the application for Disposal Works Construction Permit No. ----- -----_r.�U.� dated ------.�.f. .`C................. THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE............t / �.� .-r----- Inspector . ......�. ....-------- el THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH �L - TOWN OF BARNSTABLE No.--' .................... FEE.......0........... Uiupuott1 Workv Tunutrurtiun �ermit, Permission is hereby granted.........................:X:a-,P �... =t' =�" :--G-....`..... - u` � to Construct ( ) or Repair ( L-) an Ilndividual Sewage Disposal System atNo........ --------•--••-_---------•---------------- ------ �LJ!1_G `E . Street t as shown on the application for Disposal Works Construction Permit Noy. __ DatedL____� ._.7!.:2�� .--_ s � e. Board of Health DATE......./1�--�/I....1-1 FORM 36508 HO SS RREN,INC..PUBLISHERS TOWN OF BARNSTABLE LOCATION SEWAGE VILLAGE C.o r V b ASSESSOR'S' MAP LOT$ INSTALLER'S NAME & PHONE NO. SEPTIC TANK CAPACITY l d7/ r LEACHING FACILITY:(type) 6vwc-645-r- (size) y CL 3 j NO. OF BEDROOMS PRIVATE .WELL OR P C WA BUILDER OR OWNER � .� DATE PERMIT ISSUED: DATE COMPLIANCE ISSUED: VARIANCE GRANTED: Yes No a � l gv r, SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C _ SYSTEM INFORMATION (continued) Property Address: _ Owner. Date of Inspection: SKETCH OF SEWAGE DISPOSAL SYSTEM: (' �U r T include ties to at least two permanent references landmarks or benchrks locate all wells within 100' ,t1Alo /Ar3 17� at3 33'° � o A C) 0e,AAle tg< � � a2 j T 0�.. � l "" C -3s 41 DEPTH TO GROUN ATER P Depth to groundwater: 3L) feet � method of determination or approximation: G t �. /'� e S J S (revised S/2S/951 9 Fimic NoR....jE i_ .4 THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH ' r .O..Nn/ ..0F........ i 2.N...S.T .�. ..................... Application is hereby made for a Permit to Construct (X) or Repair ( ) an Individual Sewage Disposal System at: on-Address /(/�I� ..��- ( W (!`.V_."--1.......... - .7IO/.�Installer .i-.. Y2 Address ddress .............. �l a d Type of Building Size Lot..,F7-4 2 ....Sq. feet Dwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder (x) 'k Other—T e of Building No. of persons............................ Showers — Cafeteria Other fixtures ..................................�p rJrrr W Design Flow................/.�0................gallons per-.p@=a per day. Total daily flow................ ............gallon, WSeptic Tank—Liquid capacity/ gallons Length/_-1:-.Q-..... Width_6_-4-.._ Diameter................ Depth... x Disposal Trench—No..................... Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No.......1------------ Diameter_/0..�F-.T.__ Depth below inlet..6..Fr... Total leaching area...Z6.2.sq. ft. Z Other Distribution box (X) Dosing tank ( ) `" Percolation Test Results. Performed by...._R.-O_�.�._.... ...�M......................... Date... /�___. ---®.._____.. � Test Pit No. 1_.. _Z__minutes per inch Depth of Test Pit... . Depth to ground water------- Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ P4 -------------------- ...............•.-• ---------•.....-•-•....._...-------•------•--..............--•---..----•-•-•-------..........-------•-- O Description of Soil-• �� - ���� ----- SCi/C._.__. .._Svf3S�r>L-----------------3---�J-........1 44---- vM ..........7_0......---001 9/Z_st .......-;Fei2``.o................................................................................................ W ---------------------................................................................................................................................................................................... UNature of Repairs or Alterations—Answer when applicable...._........................................................................................... ----------------------------•------•-----------------------------••-----------•---•-......-----•-•••-•-•........----------•••-••----••---•--.....----------------------•---------.--.................... Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of:i: y g - g p y 5 of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been issued by the board of health. Sign .--- ........ .._.... .............................................. ............................•-- �Date� Application Approved By......•. .. •. • •-• -•--•- . .............. Dam r the following reasons:Application Disapproved for f 9 --•-----------------------------------------------•-----------------------•--•----- ..---•---•.......--•••----•...--•-------...•••-•-•-----------------•-•----••••---•••••-•-•••••-•••••--••.•-----•-•-••-----•-----•-••--------•---•-••-•---------•--•-----------•----------------•-------- Date PermitNo......................................................... Issued....................................................... Date Ficim THE COMMONWEALTH OF MASSACHUSETTS BOARD OF ,,HEALTH .............OF......... ............... Aopfiraftou for Bhipoiial Workii Towitrurtion Frrentit Application is hereby made for a Permit to Construct' ,(,\O or Repair an Individual Sewage Disposal System at: ....00.nLZ.-r Vo=................ C................. .....C,07.-!�ZEI_q ............. t f77...1 *7— . ..... ........................... ...sxee?.9..... 7----Ck7DO Owner C 0.dK06Address �a& P 0,0171 ......... ...................I........................ .................64 ---- . Installer VAddress Type of Building Size Lot.221L_44.C14..Sq. feet U Dwelling—No. of Bedrooms............................................Expansion Attic Garbage Grinder (,tl) P4 Other—Type of Building ............................ No. of'persons............................ Showers Cafeteria P4 Other fixtures ------------_------------- ............................. < ----------------------------------------------------------------- Design Flow.............J_/0.....................gallons per jwx�um per day. Total daily flow...........*........ .........gallons. -e'Dept �Y4 Septic Tank—Liquid capacityAS-490gallons Leng' th././.-_a.. Width_a.-O--- Diameter-------------- Disposal Trench—No. .................... Width....-_......._-_.... Total Length.................... Total leaching area------- ft. Seepage Pit No.....J------------- Diameter.J&._jn-r__. Depth below inlet.a..En... Total leachin,­g area... ft. Z Other Distribution box (X) Dosing tank 2/ - Percolation Test Results Performed by..._- ............... ......................... Date..(,/; .......... Test Pit No. 1.f5:-.7 Z----minutes per inch Depth of Test ... Depth to ground wa Test Pit No. 2................minutes per inch Depth of Tes'Pit--------------- Depth to ground water-----------_---------- P4 ............................................................./.................................................... .................t............. 0 Description of Soil...0-:7...3.0. •..........7.2�;F' 4M-�n........ ........ ................................ ...........5......... 4.e?F—D.........7=)........C-.0.e4,­.Z_.F?K--------- ............................... ............................................ U ell 1: .............................................................................................................................................................. ............................ ;P1........... U Nature of Repairs or Alterations—Answer when applicable-------------------------------------------------------------------------------- ..........---- . ............. Agreement The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of T_7T--' 7 5 of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been issued by the board of health. Sign -------------------------------------------------- ................................ /1e ....... q ..............7^---------------- 3 Date Application Approved By----- . ...... .. Ax -&-W6 U,/--—------------ --co—/ 1)2e� e i I ino Application Disapproved for t e following reasons:............................(/.............. ............................................................... ......................................................................................................................................................................................................... Date PermitNo......................................................... Issued-....................................................... Date THE CO,MO6NWEALTH OF MASSACHUSETTS BOARD 0 LTH ALT ..7` �rdif.......... ..........OF................. .... . . ..... ........................ ireatr of To utpliaurr THI IS,,,TO ARTIFY, That the Individual Sewage Disposal System constructed (Z<or Repaired by......... - ------------ ...... ...... ------------- ---------------- ----------------------­ ----- Installer �' at..... ....... ............. 0 has�een installed in accordancew'Ojth' reprovision of T 5 of The State Sanitary Code as described in the provisions 0' ated........00�n__/ application for Disposal Works,Construction Permit INI 0. ........ d, VL� . jk._$; -------------- THE ISSUANCE OF THIS CERTIFICATE SHALL OT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL-FUNCTION SATISFACTORY, DATE spe n _ctpr ............ w_, THE COMMONWEALTH OF MASSACHUSETTS BOARD OF EALTH ................... 0 F.............W. . ,4, .. .....................- No........2.f,-5 .. ........... FEE.--- . ......... io�tup Vanti Perm`is4,ion is hereby granted...ZtZft..................................................................................................................... to Construct or Repair an Individuar$ewage Disp al S stems ................................................. at No.---- 714 4e Dstr e as'shown on the applicationjor Disposal corks Construction Permit ----- ated......4�0-:-v'o �0. LN We ................ B and f ea th DA7��... ...................................................... FORS 1255 HOBBS & WARREN. INC.. PUBLISHERS J SOIL TEST INVERT ELEVATIONS (VOTES% DATE OF SOIL TEST 6 G G INVERT AT BUILDING 26.,5 FT. ALL WORKMANSHIP AND MATERIALS. WITNESSED BY �' / INLET SEPTIC TANK 26,0 FT. SHALL CONFORM TO D.E.Q.E. TITLE S Z S'.d FT. AND THE TOWN OF l3/2�zn/- RUL�S PERCOLATION RATE � z- MIN./INCH OUTLET SEPTIC TANK .. INLET DISTRIBUTION BOX Z6_.5 F7 AND REGULATIONS FOR SUBSURFACE OBSERVATION HOLE I OBSERVATION HOLE. 2 DISPOSAL OF SANITARY SEWAGE i ELEVATION - 27 ELEVATION= OUTLET DISTRIBUTION BOX ZS� T.F . 0 - INLET LEACHING PIT 2-0 FT. TOPsolc. BOTTOM LEACHING PIT Z 9-o FT. G - 3a" DESIGN CALCULATIONS NUMBER OF BEDROOMS .. . . -� GARBAGE. DISPOSAL UNIT... . * ' Y FS 0 ro C0.9A?— TOTAL ESTIMATED FLOW (_L d GAL./BR./DAY x 3 gR.),,, 330 GAL./DAY REQUIRED SEPTIC TANK CAPACITY. . .. . . . . . . . . 45ig�a GAL. ACTUAL SIZE OF SEPTIC TANK TO BE INSTALLED... . /500 GAL. LEACHING AREA REQUIREMENTS SIDE WALL AREA GAL./S.F. BOTTOM AREALO GAL./S.F. VV47E9 C06-1A 7 eEn ____ ._._ _ LEACHING _ CAPACITY ( BOTTOM +SIDEWALL ).. . .. . . . . . . . -�649. 7 GAL. 3./�x 5'ir 5'X I.D -f- 3.i�x GXIOv( Z•� RESERVE LEACHING CAPACITY. . . . . . . . . . . . . . . . . . . . . . . . 6-45% 7 GAL. TOP OF FOUND. ELEV.= .33.0 /O CONCRETE 4" SCH. 40 - CLEAN SAND COVERS PVC PIPE CONCRETE MIN, PITCH COVER 1/8. PER. FT. �,IA OF.. - 2% MIN. PITCH ���P . ;. 12 MAX. � - z �� �� �� �� RiAnnEs yG� :. N — 2 LAYER OF 1/8- 1/2 � O'HEARN FLOW LINE WASHED STONE �F!!No. 694�,� y 4" CAST IRON -10� J9 � � D � p 3/4"- 11/2�� sardr �'�' WASHED STONE PIPE- MIN. PITCH v o j= o� n I/4 PER FT. DIST. o �F- �, PRECAST LEACHING BOX �p� �g c�W a o BASIN OR EQUIV. �l1 4 o . T �07 w -coTU/ �/9yJ/�02iE.S /so0 GAL /./ST. gE MASS v SEPTIC- --=-F='1 TANK /D ,ter ���_ �,.,��T R. J. 0° HEARN, INC., RLS, PS 1348 ROUTE 134 EAST DENNI 3 , MASS. PROFILE OF GROUND WATER TABLE SEWAGE DISPOSAL SYSTEM JOB No. 720jCLIENT,��,-//-q,/,v,-,,/-/ 4, NOT TO SCALE DATE( /�/�� SHEET Z OF = LG 7- /06 \ .. o \ . A' Ifi LO—T /O 8 .FX_-L S 7T/A/G° Slb9e SAMF_ -- Of Mgss 9c �P`tF!Of 0`1 GRETE M. R`, RICHARD G JAMES rJ'^ BOHANNON % p HEARN p No. 26106 40 ,� M-694 to �01LEGEND EXISTING SPOT ELEVATIONS O,A t EXISTING CONTOUR- -- 0- - - - FINISHED SPOT ELEVATIONS 0.0 �U FINISHED CONTOUR 0 PROPOSED PLOT PLAN APPROVED: BOARD OF HEALTH i92NS7-A/9L MASS. LATE AGENT LOT O 7- C177e/ 7- Y SHO/ZES I CERTIFY THAT THE` PROPOSED R ✓. O�HEARN, INC., RLS, RS BUILDING SHOWN ON THIS PLAN 1348 ROUTE 134 CONFORMS TO THE ZONING LAWS EAST DENNIS, MASS. OF BA-1zA1.rr,913c,r," MASS. DATE 6 /� 80 SCALE: /G 80 JOB NO. 60- 7Z0 CLIENT:/- REGISTERED LAN© SURVEYOR DR. By SHEET / OF Z '7 L;O C Al ION SEWAGE PERMIT NO. lz Fra VILLtGE �o U T INSTA LLER'S NAME i ADDRESS r c A pd - J e U I L D E R OR OWNER t DATE PERMIT ISSUED DATE C 0 M P L I A N C E ISSUED 1 Y � ale ra TO OF AT E =:ATI WD Vi ) /`,9 SEWAGE # 7- t VILLAGE ASSESSOR'S MAP & LOT INSTALLER'S NAME & PHONE NO. SEPTIC TANK CAPACITY LEACHING FACILITY:(type) /� (size) add NO. OF BEDROOMS PRIVATE WELL OR PUBLIC WATER& / BUILDER OR OWNER 2�jte: � G DATE PERMIT ISSUED: Y'141—j,� DATE COMPLIANCE ISSUED VARIANCE GRANTED: Yes No a i i 17WiC. !. IV141/V. "i'"tCA P �e C0 O. r O N U Ii { 1 I- 1 ■ • - ' ® - LLJLH C0 1 Li Li O N > QOMO m L2O h . �i c co ..r c ' > a) CD G� z U rn O FRONT ELEVATIONCO o m � o O O CD�V Property of George Davis Builders, Inc.. Do Not Reproduce r� CO N O N N r N L 11 U LL V L , O C O N > QOMO m ono a� .N� (L) o aDpo LO Z can ®® ®® rH LT o as EE Effl C E ; LEFT ELEVATION C ' 00 Od 0 E o `. Property of George Davis Builders, Inc. Do Not Reproduce Co 0 M O Ci N N LO II L � - LL V L +. O O N > Q CO ®® m � � � =3 c c� Apo (D O RIGHT ELEVATION ; ca o Q • a m � CL o5 0 `° Property of George Davis Builders, Inc: Do Not Reproduce co O O N e- N L II U) N LL ■ V C L ~ E ® ® O N .� SON T111 > QOMO 9 M .r c !Q � pp CO [BE[Iffl0 z o ®® ®® ®® m CD as L-L I I C as ea �� C � REAR ELEVATION m o o Property of George Davis Builders, Inca Do Not Reproduce .a , 20'-011 F7 13'-6" LO o0 0 / I N r -n ,/ os I Existing edge of deck / I J I Expanded Deck Area 0 / p / 00 bo I y ti existing Deck - altered to accommodate new addition / \ I Z) N / N I o N N I MM� > Q OM0 o cl � � ■� � C M > C N 00 > � Lo 4.1 .. O Z U) L, CD O I � Dashed line denotes existing rear wall CD of entry hall - to be removed $1-6 KITCHEN . _ _ _ - _ _ _ _ _ _ _ DINING ROOM o IL o Existing Garage - To Remain o c�, Existing Laundry Closet- �" o �j C" I B \ To-Remain o� O PI'OJpOS@d 1 St Floor Property of George Davis Builders, Inc. Do Not Reproduce 26-10 1/2" co -T1- - - - - - - - - - - - - - - - - 77 1 Co p O � N l I L0 II OEL LL ch 8 1-0" I I � v DN I . Ij iv I L � o Z WINDOW SCHEDULE I co I I Q co NUMBER QTY SIZE DESCRIPTION c� Proposed Office I m Q o 01 2 2635DH DOUBLE HUNG �'— - - - - - - - - - - - - �`. -,; -14, 02 3 2641 DH DOUBLE HUNG •� q co 03 1 40210AW AWNING - - - 04 6 4064 MULLED UNIT 0 > 3 0 05 1 6068 EX EXT. SLIDER-GLASS Z 06 1 44 x 46 Veluxe Skylights O ji ATTIC 17'-9"x 1'-8" 18'-4 1/2" Q a. UU ad 0 co Proposed 2nd Floor o H Property of George Davis Builders, Inc. Do Not Reproduce ROOF- NOTES: Structural Ridge — Per Report P _ 2 x 10 Rafters @ 16" o.c. 12 1/" CDX Plywood 15 lb. Felt 7 1/2 = Asphalt Shingles — to match Ridge & Soffit Venting _ 1 x 3 strapping Beam B CD o CD N 1/2" Gypsum Board ~ +. LO II T.O.W - 8' 611 - Field Verify a� U_ FLOOR NOTES: WALL NOTES: 2 x 6 P.T. Sills on Seal 2 x 4 Shoe Plate Plates • 2nd 2 x 6 K.D. Mud Sill 2 — 2 x 4 Top C� 2 x 10 K.D. Floor Joists — 16" o.c. 2 x 4 Studs @ 16 o.c. _ Bridging Mid-span Built-up Headers — per code — 5/8" Fir Plywood, nailed e � _ /2 CDX Sheathing >` r` R-19 F.G. Ins. w/vapor barrier W.C. Shingles — To Match C R-13 F.G. Ins. w/vapor barrier to Y2 Gypsum Board = ai o M 5/8 Fire Rock in Garage > Q co m � 29 (D •� � .(A c ch aci uD co ID > � L Section A a) Z FOUNDATION NOTES: 0- 16" x 8" Continuous keyed footings - 3,000 psi (' 8 Concrete Wall — 3,000 psi — Match height '/2" x 8" anchor bolts — 6' o.c. & Win 12" of corners 3" concrete slab — 2,500 psi Damproof Below Grade Access & Vents Per Code Beam A� _ a) Q Existing garage foundation, floor and Composition of O/H "Door CU walls to remain to the extent possible header to be confirmed and ♦'' CO up-graded as necessary a,; � — _ UU �r O Section B Property of George Davis Builders, Inc. Do Not Reproduce 20'-0" — — — — — — — CO o - o �- — — — — -- — — — — — — — — --— — — — 5'-7 3/8" _ 5�_g�� �!� 5�_g�� � 5'_8�� — I CO "' ci n q , o �- - J C o. o I oCN o � C1 CO LI - I i I COm 0go a CO cc �� 6-9 1/2 � — — — - - z 0 L — � — �— - - - - - - • I I I I I I I I I I -- — — — I — - - — — - ca oQ .�.+ m Foundation a o 0 `° - Property of George Davis Builders, Inc. Do Not Reproduce it i DECK1 �{ 3tt3x21'J" O .... N -- -- r ! � KITCHEN ' _...... .............I �q ,. LL vJ —d - _ - -Bath d 112 BATH MASTER BATH I CLOSET - G �. DINING , r : ROOM GARAGE ENTR11 W'LA RV D ,!I ,+ `. -__.._..... .y _. ... ............ .........._... _ V Bedroom _.._... � ,'I . Bedroom ,I = --- ` - :f :i MASTER BEDROOMLM - i i _ I I I ..... .; LIVING ROOM ___ ____ ______ .._ IL_ I M 00 FOYER •" Existinq 2nd FLOOR > C: 0 co Existing 1 st FLOOR p > U Z U) ---------- a� I II it - O - 'I r— ---- --- -- ---- ---- --------=-1 jl I II -----------J '----`----- ------------ II 'I I�-------J I I it I :I 'I Home Theater Room (i 'GARAGE UnfinishedFa I ------ II -I II - I :.! !�---- ---- -------J I I I FamilyRoom ICI ---------------------I Q N C II - {--------- :3 ;I I ------------------� � -I-, - 4- O ----- --- ------- --- iI - O ------------------- --- ---� CU U 0 Existing Basement Property of George Davis Builders, Inc. Do Not Reproduce S. SOIL TEST PIT DATA: P-11216 SEPTIC TANK DETAIL: 1 ,500 GALLON DISTRIBUTION BOX DETAIL: NOT TO SCALE LEACHING DETAIL: NOT TO SCALE RNOVISIO DATE DESCRIPTION NOT TO SCALE NO. OF OUTLETS rj 4" PVC PIPE D-BOX 1. 2/17/06 REDUCE ADDITION TEST PIT - ]- TEST PIT 2_ 5. INLET AND OUTLET TEES TO BE CAST IRON, FINISHED GRADE o0 0 ° o0 0000 Oo 000 00 0 0 00 0 0 0 0 0 0 0 NOTES: 1. SEPTIC TANK SHALL BE STEEL 0 ° 0 0 Q0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 71.0 71.5 REINFORCED CONCRETE. SCHED. 40 PVC OR CAST-IN-PLACE CONCRETE. 00 0 0 0 0 c MOVE SEP. TANK GRD. EL. GRD. EL. TEES TO BE CENTERED UNDER MANHOLE COVER. 0 OBS. PORT o 0 0 REMOVABLE 2 WALLS o T t EST. HIGH GW. N A EST. HIGH GW. N A 2. SEPTIC TANK TO WITHSTAND H-10 LOADING COVER � NOTES: O o 0 0 °o „ , UNLESS UNDER PAVEMENT, DRIVES OR 0 0 0 0 0 50 12 TRAVELED WAYS, WHEREIN H-20 LOADING a;;Q„�a;,9 ,q;,y �;,y ;, 2» 1. DIST. BOX TO WITHSTAND H-10 LOADING 00° 4 UNITEHIGH DENSITY ° o FILL SHALL APPLY. UNLESS UNDER PAVEMENT, DRIVES OR 000 POLYETH LENE INFI TRATOR 3050 ° o GENERAL NOTES: FILL HIGH GROUNDWATER COMPUTATION 3. ALL PIPE CONNECTIONS AND CONCRETE » F T TRAVELED WAYS WHEREIN H-20 LOADING 0°00 0 000 0 0 0 ° o 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0° 1. THIS PLAN IS FOR DESIGN AND 21" 84" 2-24 DIA CONCRETE MANHOLES o 0 ° o 0 0 0 0 0 0 0 0 0 0 0 0 0 0 (BASED ON TP#2) CONSTRUCTION SHALL BE WATERTIGHT. W/ METAL HANDLES BROUGHT 1 15» SHALL APPLY. CONSTRUCTION OF THE SEWAGE A •..r, 4. FILL ALL UNUSED KNOCKOUTS WITH TO 6" OF FINISH GRADE T DISPOSAL FACILITY ONLY. LOAMY S ND LOAMY S�ND MORTAR. TEE TO BE UNDER 6" A' 8" 2• PROVIDE INLET TEE OR BAFFLE WHERE 1.5' 15' 2' 15' 1.5' 2. ALL CONSTRUCTION METHODS AND 10M 3,2 10YR 3 2 ELEVATION AT BOTTOM OF HOLE 57.5 12" MIN. . 5,5" OUTLETS M.H. OPENING SLOPE OF PIPE EXCEEDS 0.08 FT./FT OR 35' MATERIALS SHALL CONFORM TO MASS. 27" 90" E " e+ ' ee ee a eee oe� T IN PUMPED SYSTEM. D.E.P TITLE 5 AND LOCAL BOARD B B 3 A�ab� a� a� a��a 4° L " PLAN VIEW - LEACHING CHAMBERS OF HEALTH REGULATIONS. LOAMY S ND LOAMY S ND 4" BOTTOM ON LEVEL 2 3. FIRST TWO FEET OF PIPE OUT OF DIST. 3. ALL PIPES LOCATED UNDER PAVEMENT lOYR 5?6 10YR 5,6 RAISE M.H Wf-► BOX TO BE LAID LEVEL. OR TRAVELED WAY SHALL BE SCHEDULE „ „ 10'-6" SEWER BRICK - .�, .;_ STABLE BASE 6" MIN, 3/4" TO LOAM & SEED DISTURBED AREAS 43 108 & MORTAR » BOSS-SECTION 1 1/2 CRUSHED 4. ALL PIPE CONNECTIONS AND CONCRETE 40 OR EQUAL EL = 67.3 EL = 62.5 10'-O" NORMAL WATER LEVEL 12 STONE BASE CONSTRUCTION SHALL BE WATERTIGHT » " 4. THERE ARE NO KNOWN PRIVATE WELLS 3 MAX. COMPACTED FILL 36 MAXIMUM 12 MINIMUM LOCATED WITHIN 150 FT. OF THE e� 3- low 5. FILL ALL UNUSED KNOCKOUTS WITH MORTAR. 0 0 0 0 0 0 000 0 0 0 0 0 PROPOSED LEACHING FACILITY NOR 14 0 0 0 0 000 0 0 000 0 0 3 LAYER ANY KNOWN WELLS PROPOSED WITHIN » PRECAST SEP11C TANK e j PEASTONE 64 INLET TEE 5'-1" 30 1/2" T. O Q -HIGH 000 O 150 OF ANY KNOWN LEACHING FACILITY. - 30 O V O DENSITY O Q 0 REMOVE 5. WITHIN LIMIT OF EXCAVATION REMOVE 5'-2" 4.'_6" a \2 5'-8" 24„ p O POLYETHYLENE O Q UNSUITABLE ALL TOPSOIL, SUBSOIL AND OTHER C C _ 4-0 MIN. W am a+ : 15 1/2" EFFEC. Q7 INFILTRATOR 3050 0 O MATERIAL FOR MED. SAND MED. SAND - - Z = LIQUID DEPTH OWLET ;;• DEPTH 0 0 O O O 5' ALL AROUND IMPERVIOUS MATERIAL. 1 OYR 6/8 10YR 6/8 5_8 PRECAST DIST. 0 LEACHING O IF APPLICABLE 6. REPLACE ALL EXCAVATED MATERIAL WITH �. BOX CHAMBER \\O CLEAN MATERIAL AND DELETERIOUSND, FREE FROM N ORGANIC NO G.WATER NO G.WATER `" - INDICATES » „ „ �.:._.��`•:__e.; ;ag.; : e e';-,�;: :_„ „ „ 3/4" /4 1 1/2" /2 MIXTURES AND LAYERS OF DIFFERENT CLASSES 126 168 y ESTIMATED e� » 47 50 47 WASHED STONE OF SOIL SHALL NOT BE USED. THE FILL SHALL EL = 60.5 EL = 57.5 - SEASONAL HIGH �a BOTTOM ON LEVEL STABLE BASE g 12� NOT CONTAIN ANY MATERIAL LARGER THAN DATE: DATE: GROUND WATER PLAN VIEW " " ,,,� 7 1/2 TWO INCHES. A SIEVE ANALYSIS USING A 4 6 MIN. 3/4 TO `� � ��U�RC�D'rRC� 22 # 2/3/06 2/3 06 INDICATES 1 1/2" STONE CROSS-SECTION VIEW PLAN VIEW CROSS-SECTION OF CHAMBER SIEVE, SHALL BE PERFORMED ON A / _ REPRESENTATIVE SAMPLE OF FILL. UP TO 45y, FILL SAMPI E MAY BE TEST BY: TEST BY: __� OBSERVED RETAINEDBY WEIGHT ON F THE #4 SIEVE. SIEVE ANALYSES THE BSC GROUP, INC. THE BSC GROUP, INC. GROUND WATER I ALSO SHALL BE PERFORMED ON THE FRACTION WITNESSED BY: WITNESSED BY: DESIGN CRITERIA" OF FILL SAMPLE PASSING THE #4 SIEVE, SUCH INDICATES ANALYSES MUST DEMONSTRATE THAT THE DON DESMARAIS DON DESMARAIS PERC. MATERIAL MEETS EACH OF THE FOLLOWING PERC. RATE: PERC. RATE: TEST TOWN OF BARNSTABLE NEW REGULATIONS DESIGN FLOW: S%or IMus�PASS #4 SIEVE 2-MIN./INCH -Z-MIN./INCH REQUIRE SOIL EVALUATOR TO INSPECT 4 BEDROOMS AT 110 G.P.B./D 440 G.P.D. 10%0OX MUS75 mm T ECTIVE PASS #50RTICLE SIEVE SIZE) SOIL EVALUATOR SOIL EVALUATOR INDICATES 0 30 mm EFFECTIVE PARTICLE SIZE) CRAIG FIELD CRAIG FIELD ® UNSUITABLE BOTTOM OF EXCAVATION PRIOR TO ANY /j IRON PIPE OX 20X MUST PASS #100 SIEVE MATERIAL INSTALLATION AND ALSO PRIOR TO FINAL / / (0.15 mm EFFECTIVE PARTICLE SIZE) SOIL CLASS: SOIL CLASS: / FOUND AND HELD 0X-5% MUST PASS #200 SIEVE BACKFILLING. REQUIRED SEPTIC TANK: (0.075 mm EFFECTIVE PARTICLE SIZE) 1 1 LOT 106 i 440 X 200% = 880 GAL. 7. EXISTING U71UIlES WHERE SHOWN IN THE DRAWINGS ARE APPROXIMATE. L.T.A.R. L.T.A.R. \ � j SEPTIC TANK PROVIDED: = 1500 GAL. 1}IE CONTRACTOR SHALL BE RESPON- 0.74 G.P.D./SQ.FT. 0.74 G.P.D./SQ.FT. ! , $ ` ' ' ''\ { SIBLE FOR PROPERLY LOCATING AND EXISTING DECK TO BE 2�12 ` ; - \ O� COORDINATING THE PROPOSED CON- REMOVED. A FAMILY ROOM j 1 \ ; �" SIZE OF LEACHING FACILITY REQUIRED: STRUCTION ACTIVITY WITH DIG-SAFE DATUM: CABLE UTILITY BED NEW INSTAL INSTALLED. ARE TO /� 1 ` 1 li CONCRETE BOUND DESIGN PERC. RATE: <2 MIN. INCH COMPANY AND AND THE UMAIINTAINI G THE VERTICAL DATUM: ASSUMED _ -- �-- ~; I I / EXISTING UTILITY SYSTEM IN SERVICE. 16. \ / ( 1 1 ! FOUND & HELD LONG TERM APPL. RATE 0.74 G.P.D/S.F. DIG-SAFE SHALL BE NOTIFIED PER BENCH MARK SET: TAG BOLT ON WATER HYDRANT P I \ "FAMILY ROOM / N °� �` THE STATE OF MASSACHUSETTS ELEV 80.00 O � 17'0' \ 18'x20' \ \ { = STATUTE CHAPTER 82, SECTION 409 K - 440 GPD 0,74 GPD/SF 596 S.F. AT TEL. 1-888-344-7233. THE NEW DECK REMOVE �E��CCTiN� a ENGINEER DOES NOT GUARANTEE •C_ THEIR ACCURACY OR THAT ALL cjoo BENCHMARK N6 / 16 x24 1000 GALLON\SENTIC \ \, UTILITIES AND SUBSURFACE STRUCTURES PROFILE. NOT TO SCALE SET. HYDRANT \ TANK AND �E LAGE \ SIZE OF LEACHING FACILITY PROVIDED: ARE SHOWN. LOCATIONS AND FIRST PIPE LENGTH { TAG BOLT "'` WITH NEW 1500\TAIL `' ELEVATIONS OF UNDERGROUND UTILITIES EL.=A TO BE SET LEVEL / \ USE HIGH DENSITY POLYETHYLENE FOR MIN. 2' ELEV. 80.00 f ; \ TAKEN FROM RECORD PLANS. THE TOP FOUNDATION / EXISTING O / \ LEACHING CHAMBERS(4 UNITS) 12'X2'X35' CONTRACTOR SHALL VERIFY SIZE, CONCRETE COVERS TO WITHIN / EL.=78.0 6" OF FINISHED GRADE. , , f GARAGE \ LOCATION AND INVERTS OF UTILITIES FINISH GRADE N_ 1� �,'- \ \ ,� ;` 'e �. EL.=7o.0-70.9 '� , \ ray �: SIDEWALL = 2(12'+35') X '2' _' 1r`387 AND-STRUIURES AS REQUIRED PRIOR SWEEP TO GRADE =\ I /.! / ,� TO THE START OF CONSTRUCTION. 4" PVC SCH 40 \ -' �/ , �, \ 1 �!: �. �, a BOTTOM = Y2' X 35' = 420 a SCM 4 4" PV SCH 4 ` LEACHING CHAMBER /f '_\ -' 1 �' j #64 I 's _ - 08S.F. 8. THIS SYSTEM IS NOT DESIGNED FOR \\ --79-- -- 95.2 \ EXISTING 3 s ,/ r- -- � -- -- THE USE OF A GARBAGE GRINDER. 608 S.F X 0.74 GPD/SF = 449GPD A GARBAGE GRINDER IS NOT BEDROOM DWELLING / /' n � RECOMMENr-ED DUE TO RECOGNIZED I=G H �' \ . \ f, _ -- - 78`" .- LOT 107 PROPOSED 4 "' / ?1 \ ADVERSE IMPACTS TO THE LEACHING e• f=C 1=E 5 OUTLLET \- 27,406f S.F. / BE ROOM DESIGN �` C.O. LOT 108 FACILITY. DIST. BOX I=F .,,r, \: _\ ' 8.5' SEPARATION \: \ -� �� °` '� %/ 7� I / ,'�► 9. EXITING INVERTS ARE TO BE CHECKED BY SEPTIC TANK Y. - _ cO�P / THE CONTRACTOR PRIOR TO CONSTRUCTION. EST. HIGH GROUNDWATER \ /'r - - _ / .3 �N 0. THE ENGINEER IS TO BE NOTIFIED OF ,A y� �� " LOCUS INFORMATION ANY FIELD CHANGES THAT MAY BE REQUIRED. INVERT ELEVATIONS: CONCRETE BOUND \ O . RD,.' i 23� ,.'' Q �` � � CURRENT OWNER: THOMAS & PATRICIA MARMEN MOF pw, G UP FOUND & HELD �: _\ / jG- / '" -- p�\ i = .�►�' : TITLE REFERENCE: BOOK 19910, PAGE 34 TOP OF FOUNDATION 79.10 A i / �( / �, If CRAIG A. ► 657 Main Street, (RT. 28) Unit 6 " BUILDING 76.60 B o . �� �``' FIELD 00, ► PLAN REFERENCE: 292/26 & 437/41 W. Yarmouth Massachusetts 4 INVERT AT ✓\ j� ,� �� I , No.36o39 02673 -- ASSESSORS MAP: 056 4" INVERT AT SEPTIC TANK (IN) 76.10 C \ �\ ��, 1 -- - -- , w N% ` PARCEL: 026 508 778 8919 7 D = °° �� PROPOSED 12 x35 � 4 INVERT AT SEPTIC TANK (OUT) 5.85 // \ 4" INVERT AT DIST. BOX IN 68.27 E \� . =\ �, --X -- *, �� .;' _ %� SOIL ABSORPTION SYSTEM �� ZONING DISTRICT: RF PROJECT TITLE: ( ) �/ / . �. SETBACKS: FRONT 30 4 INVERT AT DIST. BOX OUT 68.10 F \ -- .-'' PROPOSED a _ „ „ OG SIDE 15 (OUT) \= r•� -'� 12'x35' �' � - � PROPOSED D BOX 2•��?� REAR 15 / DESIGN FOR • '\ �'�� .-- RESERVE, f o MINIMUM LOT SIZE: 87,120t S.F. INVERTS AT LEACHING FACILITY: \= = sp s o ,, / PROPOSED LIMITS OF SEWAGE DISPOSAL \'. f •p / -' I \ = .% EXISTING LOT AREA: 27,406f S.F. r' o . 72 ,, EXCAVATION. DUE TO 4" INVERT AT BEGINNING /r-� :� ,, := 43 DIFFERENT FILL LEVELS OVERLAY DISTRICT: AP SYSTEM UPGRADE OF LEACHING CHAMBER 68.0 G `�� _ i = c,�, / TP#2��✓ % , 15 IN TP #1 & TP#2 _ / NITROGEN SENSITIVE \- _ ` � ( �`/ SO EXPECTED TOASLO EN ZONE: NOT A ZONE II ELEVATION AT BOTTOM '\ / 66.0 H \= �' 63' /' cryh TOWARDS TP #2. SEE FEMA FLOOD #64 OF LEACHING CHAMBER '" NOTES 5 AND 6. ZONE DISTRICT. "C" DATED 7/2/92 "_ ti : ,�''• � c\ � PANEL #250001 0018 D \o / COTUIT BAY DR. : p , \ PROPOSED OBSERVATION COTU I T NO OBSERVED GROUNDWATER 57.5 J "<. "'� 0� ! PORT (TYPICAL) LOCUS PLAN: NO SCALE c BOTTOM OF HOLE O =�� \ \ Nx M ASSACH U SETTS \ / � ` C 149 U . U NOTES: 28 VARIANCES REQUESTED: \�^� Y �•• ( :•\ I 1. EXISTING SEPTIC SYSTEM L❑GLIB PREPARED FOR: Q \\ \ \\ CHH CONCRFQUNDE& HELD LOCATION IS ALL COMPONENTSR�OI BE �i \ I GEORGE DAVIS BUILDERS REMOVED FROM SITE. • yHOFA(4L,, Q Mr. GEORGE DAVIS \: 9 NEW VENTURE DRIVE, UNIT 7 00 NONE �\ ��CATCH�` 2. EXISTING IRRIGATION SYSTEM o� MARKD. yG C❑TUIT o N � � SOUTH DENNIS BASIN =� TO BE RELOCATED AS alas w a[ BAY I- I 0 CIVIL w Z MA 02660 REQUIRED. 9 o Q �- No.45937 c !- DR. Q N (508) 394-0832 CATCH Fss�oN�� G A DATE: FEBRUARY 6, 2006 co *BASIN � COMP. DESIGN: K. HEALY FLOOR PLANS: PLAN VIEW CHECK: M. DIBB W z�71 x DRAWN: K. HEALY SCALE: 1" = 20 FEET FIELD: D. GAZZOLO / J. McCARTIN 3 FILE NO. 8927-SEP.DWG o l N SEE ATTACHED DWG NO. 5697-01 co'a JOB NO. 4-8927.00 SHEET 1 OF 1 a , I f i i i