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0101 CRAWFORD ROAD - Health
10.1 Crawford Road cot,,it A= 005 027 7 i :t o� N.. 7zl FeeW/00 THE COMMONWEALTH OF MASSACHUSETTS Entered in computer:7 Yes:zz PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS 01ppYitatlon for -Misposal 6�strm construction Permit Application for a Permit to Construct( ) Repair(& Upgrade( ) Abandon( ) Complete System ❑Individual Components Location Address or Lot No. 1 O 1 Ci U3SO-PD P D Owner's Name,Address,and Tel.No. Map/Parcel (-'Or,-)( T" Qo4vi D t C14;zf STWig HoL7- Assessor's Ma p � �7 a-7 nR ",4580A PH Installer's Name,Address,and Tel.No. 502'4'77-89-n Designer's Name,Address,and Tel.No.562--�73 037'7 C MG-w D �]2t'R15� LX-C- -Tc. Type of Building: DwellingNo.of Bedrooms Lot Size� sq.fl. Garbage Grinder( ) Other Type of Building tZ[a�rp�j 1Tt Q(� No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) .:t3x gpd Design flow provided 349.4 gpd Plan Date 1 -3 y -.1015 Number of sheets ' Revision Date Title 101 CRC RC AJ) (2O-rL)i r Size of Septic Tank 1. O®o Type of S.A.S. (A) Sbp GAL 4-.1_0 f4Aad�s Description of Soil LC)b4tr.��J /1rl.I� Ie� (g L Mti� (p✓� � ���� Nature of Repairs or Alterations(Answer when applicable) U 5E C-_U S T n.JC�, �(Uoo C_A.CLDaJ QtnA-) -40 X -QD C) ,So® C-wf-r_c Q 14 -A Z> &6-4C4(orsr I-- Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of Compliance has been issued by this Board of He /SiggnV Date Application Approved by (/ "`"- Date 1 2ti'Fi Application Disapprove j ry Date for the following reasons Permit No. OC7 3 Date Issued TOWN OF BARNSTABLE LOCATION L)k c f::Mt5 PO A-1 SEWAGE# aO (0 0 VILLAGE < pOT( t--r ASSESSOR'S MAP&PARCE aL INSTALLER'S NAME&PHONE NO.CrV yo6 eG S:5 L-.( t y-t�1 Z7 SEPTIC TANK CAPACITY ( ic)©o GALA-tit LEACHING FACILITY.(type) (a) Spa® G:qL CA*PA-JLS(size) ` LA' X A5 � A NO.OF BEDROOMS OWNER DAyi o F,C0PJST/1JC f+pL-- PERMIT DATE: ( " 5 —a©l l0 COMPLIANCE DATE: 1_l".1pl(,, Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility N Feet Private Water Supply Well and Leaching Facility(If any wells exist on / site or within 200 feet of leaching facility) "/A Feet Edge of Wetland and Leaching Facility(If any wetlands exist within ^ 300 feet of leaching facility) I Feet FURNISHED BY C��CGU(�� A�t c C^3 a 4%.I' C- S C ® 0 No. 3 Fee tJ0 THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes 01pplitation for Mispbeal 6ystrm-<onBtrULtion 3oerinit Application for a Permit to Construct( ) Repair( Upgrade( ) Abandon( ) Complete System ❑Individual Components Location Address or Lot No. lot C*LUF:t)1&_b 6�D Owner's Name,Address,and Tel.No. Assessor'sMap/Parcel 5 �7 CoTOtr �AV4 t �J-IuFFti RHO st4aA NN Installer's Name,Address,and Tel.No. 50$-4'`77—81R T-7 Designer's Name,Address,and Tel.No.562-- 73—037-7 �.4PG-w�DE Er+T�2t�Rl$t�' LJ-C. TG EIU�(�lEl�Clf•�CZ�NG Type of Building: A' Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) gpd Design flow provided 3 gpd } Plan Date 1 Z - 30 -D015 Number of sheets Revision Date Title 101 CRA�dFcpj�, RaAl) C. -rc fT Size of Septic Tank 00,0 Type of S.A.S. a.� s[2o GAL 44-10 04A4 ! Description of Soil Lcjg( ;gAA;N Q 12 " ZA4 ,r`tL t,- _s 4%tl ✓ r Nature of Repairs or Alterations(Answer when applicable) u- C�,t� S! Date last inspected: Agreement: The undersigned agrees to ens,,&e the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of Compliance has been issued by this Board of He ��--- Date I Application Approved by Date 1 (� Application Disapproved Date for the following reasons Permit No. ZID I( - 6075 Date Issued --------------------------------------------------------------------------------------------------------------------------------------- THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE,MASSACHUSETTS Certificate of Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal system Constructed( ) Repaired(X) Upgraded( ) Abandoned( )by Ca7Eu..?f DE EtV11QR2A_15!c Lt; c at 10( �Qytty� 0;��, �--_ y has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No. 016 -�dated I P P Y Zor6 Installer /6k.Xj)F �KJt SL�t Designer #bedrooms Approved design flow 33 0 gpd The issuance of this permit shall not be construed as a guarantee that the systemfiui 'o a esi ed. Date hb6 Inspector No. Alb — 003 Fee VI' dJ THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION-BARNSTABLE,MASSACHUSETTS MispoSal *pstem Construction 3permit Permission is hereby granted to Construct( ) Repair( X Upgrade( ) Abandon( ) System located at D �A(�»`a��j °�O �I)-t U I and as described in the above Application for Disposal System Construction Permit. The applicant recognized his/her duty to comply with Title 5 and the following local provisions or special conditions. Provided:Construction must be completed within three years of the date of this permit. Date ' y 7 //„ Approved by V_ I 4 L Town of Barnstable P# Department of Regtilatory Services sNwarnsrr�e j Public Health Division Date 1111,2 J 200 Main Street,Hyannis MA 02601 • �AIEo MA't� a • Date Scheduled Time-f- = Fee Pd. ,:•_. Soil Suitability Assessment for Sew e Disposal rv- 11� pp ,spa Performed By: O i Yl ae( jl,r'►'I en i d ,t ZTt(.J'C Witnessed By: (1l. LOCATION&.GENERAL INFORMATION es Location Address CZ �R04 C.C)roiT Owner's Name OA\/Ib Address Assessor's Map/Parcel: ' QG��0;.7 Engineer's Name .QA�-ec-Li c1 ois1 NEW CONSTRUCTION REPAIR Telephone# -477-9q-7_7 50�-2,73-OS77 Land Use 9iv14 Z�a,mily �{ k. �_ slopes M 1_3 Surface Stones �. Distances from: Open Water Body ft Possible Wet Area _ ft Drinking Water Well ft Drainage Way ft Property Line 10 ft Other ft SKETCH:(Street name,dimensions of lot,exact locations of test holes&perc tests,locate wetlands•fn proximity holes P h'to ) • Parent material(geologic) OU r�as� Depth to Bedrock 17 7 Depth to Groundwater. Standing Water in Hole:_ Weeping from Pit Face Estimated Seasonal High Groundwater 7 DETERMINATION FOR SEASONAL'HIGH WATER TABLE Method Used: VUC4 6%,Ctut►hW% _ Depth Observed standing in obs.hole: 7 f yY In, Depth to soil mottles: Itl, Depth to weeping from side of obs.hole: _ In, Groundwater Adjustment ft. Index Well-# Reading Date: Index Well level Adj,factor, , AcU.droundwater Level m PERCOLATION TEST bate ►1-3c-O.> Time Observation Hole# Time at 9" _ Depth of Perc �'�J 4 T Time at 6" _ .. Start Pre-soak Time® 3a� Time(9"•6") End Pre-soak /U ,Z 1244 Rate Mih./Inch 4 Site Suitability Assessment: Site Passed S Site Failed: Additional Testing Needed(Y/N) N Original: Public Health Division Observation Hole Data To Be Completed on Back--____-_ r ***If percolation test is to be conducted within 100' of wetland,you must first notify the. Barnstable Conservation Division at least one'(1)week prior to beginning. r Q:ISEPTICIPERCFORM.DOC DEEP-OBSERVATION HOLE LOG Hole# 1 t 2— Depth from Soil Horizon Soil Texture .Sdil Color Soil. Other J Surface(in.) (USDA) (Munsell) Mottling (Stnucture,Stones,,Boulders. onsistency.%'Gravel) 12- Ho ACE- LS 1017f3J1 - 1(0 y g L S 10`� slid - y -lyy C M-FS 2, `4 - - DEEP OBSERVATION HOLE LOG Hole# Depth from , Soil Horizon ` Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Willing (Structure,Stones,Boulders. onsisten % DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Muosell) Mottling (Structure,Stones,Boulders. Consistency, DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Sail Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders, Consistency, Flood Insurance Rate Map: Above 500 year flood boundary No— Yes ._ Within 500 year boundary No v' Yes Within 100 year flood boundary No.✓ Yes Depth of NaturaDy 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? C2 S If not,what is the depth of naturally occurring pervious material? Certification I certify that on /0'27r9.9 (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 perience described in�10 CMR 15.017. Signature Date Q-.WEVnC\PERCFORM.DOC NYYOiJ 1 vv i/ "" i I N001/07/.201.6 18:25 5082730367 �s Town of Barnstable Regulatory Services Thomas F. Geiler, Director I l ""STAB". � Public Health Division MAS& ! l Thomas McKean,DirectorAl RFD NIA 200 Main Street, Hyannis,MA 02601 3 Fax: 508-790-6304 Office: 508.862-4644 Date: 1'-7'1.(o Sewage Permit# rILO f=03 Assessor's Map/Parcel 5 /27 Installer & Designer Certification_For Ga �w;d� �nferecl'se-5 PLC' `} Designer: -SC E 54)ee;i,riS TD4_ Installer: 1 Address: ASH Gcav��ne;ry Ni �Wa Address: 1 E«si W&CAri ckly) N PI c 2'::3 A ' �° A0 j Ga e..a;cdL �nterQ«ses was issued a permit to install a on F (date) (installer) septic system at lel C(awford too based on a design drawn by (address) dated Decernbtr 30, wl5 (designer) ✓I 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.. Stripout (if required) was inspected and the soils were found satisfactory. is 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,revislon or certified as-built by designer to follow. Stripout(if re q 'nspected and the soils were found satisfactory. ,ro� o r .lorlN L• F I CHU: r<ILL 1, ' (I tal er's Sign tire) No aitl°7 . esigner's Signatur (Affix est er's mp Here) PLEASE RETURN O BARNSTABLE PUBLIC HEALTH DIVISION. CERTIFICATE OF COMPLIANCE WILL NOT BE ISSUER UNTIL BOTH THIS FORM AND AS- BUILT CARP ARE RECEIVED BY THE BARNSTABLE PUBLIC HEALTH DIVISION. THANK YOU q':ulYi:�IoihSllui;!n'iimlilitpiun Ibnt.tlue .n t _tom • �t p ►1 K .�st4E. _.s 3►�iL um I , -cl 1 a r if y DATE '112 510 6 PROPERTY ADDRESS -Tv Crawford Rd Cotuit MA 02635 17 On the above date, the septic system at the address above was Inspected. = This system consists of the following: L� 1., 1-1000 gaiion septic tank., 2.1 1- Diztn.igut.ion Box., 3.1 ` 1-1000 ga.iion eeach.ing pit. Based on Inspection, I certify the following conditions: 4., 7hiz i-6 a 7.it-te Five septic ..system (78Code) 5., SeptiC system .Ls in flaopez woak.ing oadea at the paesent time., SIGNATUR Name: Robert A. Paolini Company: Joseph P Macomber & Son IncIn- . Address: P. O. Box 66 Centerville, Mass 02632 yr s dim Phone: 508-775-3338 or 508-775-6412 o� rn JOSEPH P. MACOMBER & SON,. INC. Tanks-Cesspools-Leachfields Pumped & Installed Town Sewer Connections P.O. Box 66 Centerville, MA 026,32-00616 x 775-3338 775-6412 . COMMONWEALTH OF MASSACHUSETTS EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS DEPARTMENT OF ENVIRONMENTAL PROTECTION TITLE 5 OFFICIAL INSPECTION FORM—.NOT10IR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM FORM PART-A CERTIFICATION Property Address: .. 101 Crawford Rd Cotuit MA 02635 Owner's Name: Dan Sullivan Owner's Address: 1008. P asant; Ri clap Dr . Ch Date of Inspeetionc ZS Ob Name of Inspector:(please print) * Rab .rt A o.l' Company Name: P.Pacnakelt .S:o.n Inc. Mailing Address: �n e2v.�; e, a.�.�.,•02b 32 Telephone Number: 5 0 8-7 7-5 3 3 3.8 CERTIFICATION STATEMENT I certify that I have personally inspected the.sewage disposal system at this address and that the information reported below is true,accurate and complete as of the time of 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 w Section.15:340 of-Title 5(310 CMR 15:000). The system: XXXPasses -Conditionally Passes Deeds Further Evaluation by the Local Approving Authority Fails Inspector's Signature: Date: The system inspector shall submit a copy of this inspection report-to the.Approving Authority(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. Notes and Comments ****This'report only describes conditions at the time oft nspection and under the conditions of use at that �. time.This inspection does not address how the system will perform in the future under the same or differed' conditions of use. { u,ePlnnn nagP 1 Page 2ofII OFFICIAL INSPECTION:FORM—<NOT FOR VOLUNTAR3t ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORN,I PART A CERTIFICATION(continued) Property Address: 101 Crawford Rd____ Cotuit MA Q2635 Owner: Dan Sullivan Date of Inspection: A/;,5,/C)6 Inspection Summary: .Chock A,B,C,D or.B/AIM LiAY&eomplete,atl of Section.-I) A. System Passes:y E S NO I have not found any information which indicates'&if any of the failure criteria described yin U0 CMR 15.303.or in 310 CMR 15.304 exist.Any failure criteria not evaluated are indicated below. Comme ts: Septic byztem .ib .in p/topea woAk.ing o2de2 at the /22ezeat time.% B. System Conditionally Passes: NO One or more system components.as described in the:"Conditional?ass":section-need to bq replaced: or repaired.The system,upon completion of the replacement or repair,as approved by the Board of Health,will pass. Answer yes,no or not.determined'(Y,N,ND)in the for the following statements.If"not determined"please explain. NO The septic tank is metal and,aver 2Q years old*or the septic tank(whether metal or not)is:structurally unsound,exhibits substantial inf Itration 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. ND explain: NG- 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 obstruction is removed distribution box.is leveled'or replaced ND explain: NO 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 obstruction is removed ND explain: . 2_ f Page 3 of 11 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTI.ON FORM PART A CERTIFICATION(continued) Property Address: 1 01 Crawford Rd Cotuit MA 02635 Owner:. Dan Sullivan Date of Inspection: Ob C. Further Evaluation is Required by the Board of Health: NO , 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. 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: no Cesspool or privy is within 50 feet of a surface water n oo 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 Mpnner that protects the public health,safety and environment: no 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. no Thesystem has a.septic tank and SAS and the.SAS is'within a Zone 1 of a,public water•supply. no The system has aseptic tank and.SA&and.the SAS is within 50 feet of a private.water supply well. n o 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 v i uai "This system passes if the well water analysis,performed at a DEP certified laboratory,for coliform bacteria and volatile organic compounds 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: 3 Page 4 of 11 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEMINSPECTIONFORM PART A CERTIFICATION(continued] Property Address: 101 Crawford Rd Cotuit MA 02635 Owner: Dan Sullivan Date of Inspection: V Z` o v D. System Failure Criteria applicable to all systems:. You must indicate"yes".or"no"to each of the.followingSbr all inspections: Yes No X Backup of sewage into facility or system component due:to overloaded.or clogged SAS.or cesspool _ X Discharge:or ponding of effluent to the surface of the.ground or surface waters due to an overloaded or clogged SAS or cesspool X Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool X Liquid.depth in cesspool is less than.6"below invert'Or.available volume is less than'%.day flow X Required pumping more than 4 times in the last year NOT due.to clogged or obstructed pipe(s).Number of times pumped X Any portion of the SAS,cesspool or privy is below high ground water elevation. _ X Any portion of cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply. X Any portion:of a cess�eol or privy is within.a Zone-1 of a.:public well.. X Any.portion of a cesspool or privy is within.50 feet of a private water supply well. X 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 coliform bacteria and volatile organic compounds indicates..that the well is free from pollution.from4bat 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 fora..] NO (Yes/No)The system fails.I have determined that one ormordipfthe above failure.;criteria exist as described in 310 CMR 15.303,therefore the system fails.The system owner uld 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 1.0,00.0 gpd to 15,000. gpd• You must,indicate either"yes"or"no"to.each of the following: (The following criteria apply to large systems in addition to the criteria above) yes no X the system is within 400 feet of a surface drinking water supply X the system is within 200 feet of a tributary to a surface drinking water supply _ X the system is located in a nitrogen sensitive area(Lnterim 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.',.`.a.'; "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 sheAl upgrade the system in accordance with 310,;CMR 15.304.The system owner should contact the appropriate regional.office of the Department. 4 Page 5 of 11 OFFICIAL INSPECTION FORM—NOT FOR'VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSALSYSTEM INSPECTION FORM PART B CHECKLIST Property Address: 1 01 Crawford Rd Cotuit MA 02635 Owner: Dan Su Ivan Date of Inspection: Jl 2s Check if the following have been done.You must indicate-"yes".or"no"as to each of the following: Yes No X Pumping information was provided by the owner,occupant,or Board of Health _ v Were any of the system components pumped out in the previous two weeks I. X _ Has the system received normal flows in the previous two week period? X Have large volumes of water been introduced to the system recently or as part of thisinspection? X _ Were as built plans of the system obtained and examined?(If they were not available note as N/A) X _ Was the facility or dwelling inspected.for signs of sewage back up?- X _ Was the site inspected for signs of break out? X _ Were all system components,excluding the SAS,located on site? X _ 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? X _ 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: Yes no X Existing information.For example,a plan at.4he Board of Health. X _ 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(3)(b)J 5 f Page 6 of I I OFFICIAL INSPECTION.FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE IIISP.OSALSYS.TEM,INSPECTION FORM PART C SYSTEM INFORMATION Property Address: 1 01 Crawford Rd o ui Owner: Dan Sullivan Date of Inspection:-j—Z Q.(,F FLOW CONDITIONS RESIDENTIAL Number of bedrooms(design): ..,3 Number of bedrooms(actual): .3 DESIGN.flow based on 310 CIvIR 15.203 (for example: 110 gpd x*of bedrooms): -3 3 0 Number of current residents: I Does residence have a garbage grinder(yes or no): n o Is laundry on a separate sewage system(yes or no): no [if yes separate inspection required]. Laundry system inspected(yes or no): n o Seasonal use:.(yes orno):rW 200:4.82, 000ga.eionz q1)D=224.,65 Water meter readings,if available(last 2 years usage(gpd)): 2 0 0 5 7 2, 0 0 0 ga 2.2 o n.6 g%[D=.19 7 2 6 Sump pump(yes or no): n o Last date of occupancy: unknown COMMERCIAJW- USTRIAL N14 Type of establint: Design flow(1i�s d on 310 CMR 15.203): 9Pd Basis of design-flow(seats/persons/sgft,etc.): Grease trap present(yes or no):-14. Industrial waste holding tank present(yes or no):_ Non-sanitary waste discharged to the Title 5 system.(yes or no):— Water.meter readings,if available: Last date of occupancy/use: OTHER(describe): GENERAL INFORMATION Pumping Records N14 Source of information: Was system pumped as part of the inspection(yes or no): no If yes,volume pumped:_gallons--How was quantity pumped determined? Reason for pumping: TYPE OF SYSTEM X Septic tank,distribution box,soil absorption system Single cesspool T 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) _Tight tank _Attach a copy of the DEP approval Other(describe): Approximate age of all components,date installed(if known)and source of information: unknown Were sewage odors detected when arriving at the site.(yes o;no): n o 6 f Page 7of11 _ OFFICIAL INSPECTION FORM—NOT FOR.VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 1 01 Crawford Rd Cotuit MA 02635 Owner: Dan Sullivan . Date of Inspection: a- 6 BUILDING SEWER(locate on site plan) Depth below grade: 2 4" Materials of construction:_cast iron X_40 PVC_other(explain). Distance from private water supply well or suction line: Comments(on condition of joints,venting,evidence of leakage,etc.): ,7o..nt,3 a7zRe2 tight., System vented thorough hou,ze vent. SEPTIC TANK:.r�e Aloaate on site plan) 1*0 0 0 ga Q Q o n,3 Depth below grade: 15" Material of construction: X concrete_metal_fiberglass_polyethylene , _other(explain) If tank is metal list age:_ Is age confirmed by a Certificate of Compliance(yes or no):_(attach a copy of certificate) Dimensions: 8.' 6"X5' 8".X4' 1 D" Sludge depth: Distance from top of sludge to bottom of outlet tee.or baffle:7" Scum thickness: no z c u m Distance from top of scum to top of outlet tee or baffle 0 Distance from bottom of scum to bottom of outlet tee or baffle: 0 How were dimensions determined: m e a 3 u 2 e d Comments(on pumping recommendations,inlet and outlet tee or baffle condition,structural integrity,liquid.levels as related to outlet invert,evidence of.leakage,etc.): l um� tank eve2 2 .tl ea2h. Inlet 9 outlet tees ate .dace., Tank iz .s auc uaaiZ zound.- GREASE TRAP: n o(locate on site plan) Depth below grade:_ 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: Comments(on pumping recommendations,inlet and outlet tee or baffle condition,structural integrity,liquid levels as related to outlet invert,evidence of leakage,etc.): G2eaie taap ih not /22ezent g 7 Page 10 of 11 ; OFk1 CIAL INSPECTION VOW-NOT FOR VOLUNTARY..ASSESSMENTS j SUIBS1 FACE SEWAGE•:DISP.OSAL SYSTEM INSPECTION FORM PART C' SYSTEM INFORMATION(continued) Property Address: 10 1 Crawford' Rd Cotuit MA 02635 Owner: Dan Sullivan Date of Inspection: jZza SKETCH OF SEWAGE DISPOSAL SYSTEM -Prgvide a sketch 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. 77� 9 i. .i .10 Page 8of11 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL.SYSTEM INSPECTION FORM PART C SYSTEM.INFORMATION(continued) . Property Address: 101 Crawford Rd Coi-ui t Mn 026193. Owner: Date of Inspection: ZS" TIGHT or HOLDING TANK: n o (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/day Alarm present(yes or no): Alarm level: Alarm in working order(yes.or no): Date of last pumping: Comments(condition of alarm and float switches,etc.): rzk age not a h .in to � 7.igh.t o2 o.�d p �2ese t DISTRIBUTION BOXf/a `(ff 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.): BOX .ins i v ,No zo.2.id•...calt2 _oven on iekaaa in 02 out o� aox,- PUMP CHAMBER: NO (locate on site plan) Pumps in working order(yes or no): Alarms in working order(yes or no): Comments(note condition of pump chamber,condition of pumps and appurtenances,etc.): 1 ump chamgelt i3 not plie-zent 8 Page 9 of 11 OFFICIAL.INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE.DISPOSAL.SYSTEM INSPECTION•FORM PART C SYSTEM INFORMATION(continued) Property Address: 101 Crawford Rd Cotuit MA 02635 Owner:. Dar! Sul ivan Date of Inspection:_ 010 SOIL ABSORPTION SYSTEM(SAS):_-(locate on site plan,excavation not required) If SAS not located explain why: Located see 12 ge 10 , Type X leaching pits,number: 1 leaching chambers,number: 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, Loamy to medium 3gr'1'd No b.ignb o� la.iivae o2 pond-ing., So.i—Pz ate d2u , vegetation i.6 noamrd.e , CESSPOOLS: n o (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: a Indication of groundwater inflow(yes�or no): Comments(note condition of soil,signs of hydraulic failure,level of ponding,condition of vegetation,etc.): rPAA.i2Oo.Oh azza ant Paezoni - PRIVY: rz o (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.): l a.ivy i,3 not /2ae,6ent 9 Page 1.1 of 11 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ON FORM ASSESSMENTS . SUBSURFACE SEWAGE DISPOSAL SYSTEM INS .. PART C SYSTEM INFORMATION(continued) Property Address: 1 01 Crawford Rd Cotuit MA Owner: Dan Sullivan Date of Inspection: -2,25=P-1-C w SITE EXAM . Slope Surface water Check cellar Shallow wells i Estimated depth to groundwater feet Please indicate(check)all methods used to determine the high ground water elevation: -NO Obtained from system design plans on record-If checked,date of design plan reviewed: rle,6 Observed site(abutting ing property/observation hole within 150 feet of SAS) h "Checked with local-Board of Health-explain: n o Checked:with local excavators,installers-(attach documentation) �Accessed USGS database=explainLt tP- town.•2 as n�t a�$e.�m a. ups You must describe how you established the high ground water elevation: /li .i ed. : Cape Cod Comms-ion Yatea 7agie Coretouaz And lJatea Su�/s2y GIe�E? head ) otect.io•n azea6 map., Se t 1995 fate2 2ehou/tce/5 O ice Ca a CO C0111il2il� i0n Leaching I ' Pit , : 'ee't GroundwatFeet Below Bottom'of Pit I4i h Groundwater Adjustment 1.8 ft per Frimpter Method Therefore,the vertical•separation distance between the bottom of the leaching pit and the adjusted groundwater table is feet: / 1f' f •r,nn/'.r.�nt•e�r+�'.- nfrwwrn+nw+�'�rf ��� �' TOWN OF BARNSTABLE 130ARD QF HEALTH ..SUBSURFACE SEWAGH DISPOSAL BYSTSM INSPECTION FORM PART D CERTIFICATION y r•TtY R•:"ttt't N7111'LL1R11Afllq'RIII1.'R7�/11.'lll.'K*�ltA7q �� 17"'il. f -TYPE 01 PRINT CLEARLY- PROPERTY INSPBNCTHP STREET ADDRESS 1 01 : Crawford Rd Cotuit ASSESSORS MAP, BLWK AND 'PARCE•L 120, OWNER's NAME Dan Sullivan PART'.' D CHRTIFICAT:IpN ; NAME 'OF INSPECTOR Ro gii t;t P.ao"n.i ' COMPANY NAP1E aobeph 'P_NaCOMIe2' . Son Inc Box 6 6 " 'Cen��av i 2 Ee / azz* 026.32 ' COMPANY ADDRESS. Si�4, Town-or City. At LIP COMPANY TELgPHONE t 508. 1��'73 - 3338 I''A 1' 508 ,h'90 578 CERTITICATION. STATEMENT ' I. certify that I h0a persot ajjy .ins.peoted .-the sewage •digpopil. system at this address and that. ;tb':d' information reported ,is true,. a000ra•te•, and omplete as of the time a.f••inspection.,• The inspeotiQn was per-formed and any recommendations regard.ing upgrade•, •ma•intenlince I' abd irepa.1r .afie• eongis'tent with my training and expe-rience in the properl. functi,•on• and maintenance of on- site sewage disposal systems , • n � Ihit�I. Check one; •' . System PASD ' The inspection whic.h •I have .•eondugted has .,n•at• 'found any information . which indicates that the systgm- fails to ' adequately. protect .publi•v health or the envi.ropment as defined in- .310 CMR. 16 30.3•* -Any failure criteria o6b • v' aluat'ed are as stated in the FAILUIM CRITTgRIA ;see.tion o•f this form. System FAILED r t The inspectioh which I havecoin ted 'haa.'found that the Ryatem fails to protect the public 1'iealth Rnd the enyAronmen•t ' in acoo'rdance with Title 61 110 CMR 1513.031 and as - specifically noted -on .PART C FAILURE CRITERIA of this inspec' n . or ' Inspector Signature, 'Data 5^ a_ 7ne copy of this certt,ficat•f4.'n must -he , ovi'ded 'to : the .QWfJ9H.j tb+. „BUYER where ayspli.oabl.) and tht 13QARD OF HEA 111. ; * If the inspection FAiL'ED., 'thb .owne'r9r, gpisrator -041l3 . upg•r.ade'•the system. within o'ne year of the aa•t•e of the i,nspeotion, unless.. a];'lowed Qr• reg4a,red - l ., r1.s.,•:,40e nta nrnvi ded in 110 CMR 15 , 306 , APPLICATION FOR PER(:OLATION TEST AND OBSERVATION PITS )C,,TION GOr �� �,� ►/9/�d � � S.Tf��L� NO. '.GE DATE NPl_1CANT. ;( f}/Z�1/STf� LE. /VoL�//UCH- CU FEE (Non`,:r"efundabte ) .A.l_)Da ES TELEPHONE NO.. c; N I EER ✓f' TEL`EPHONE NO; 775 -2Z`TT. i`',.TE SCHEDULED CA plidant's Signature) _..... P ....................... .................... MAP 6z LOT NO: .... ............................................... SOIL LOG 13-DIVISION NAME Gam ;,-1C 0vE-' n ��3 DATE yyyla,4 2-4 Iqftp TIME :: 1';\NS10N AREA: YES NO S.1,cnh�.� •�li i ael ENGINEER ill N WATER y ,: PRIVATE WELL Pnul l o „e�rr�c BOARD OF HEALTH L eW- 01AG ( J,14 Lcw , EXCAVATOR ETCH:. (Street name, etc., dimensions of lot, .exact location of test holes anal percolation tests, locate wetlands in proximity to test holes) NOTES: G°;�D6 (�� soy &7 N Lot TP"� 7PN2. G M 6 a.r .3S i_.%'I'I ON RATE: rr�in.�ifcLi :?()LE NO:. / ELEVATION: TEST HOLE NO: ELEVATION: 1 Woad loawit 1 WOCA& loam - 2 �cs poi I� " 2 3 3 4 4 5 C�rcy 5 6 W1 acQ i o,h 6 Yyi'i ccl urr 8 5� 8 9 9 10 10 11 11 12 (il/o 144" 12 �No LJo k'_j 144 13 13 , 14 14 f 15 15 1.6 16 FOR SUB—SURFACE SEWAGE: LEACHING FIELD k LEACHING PITS X ' LEACHING TRENCHES ) TABLE' FOR SUB—SURFACE SEWAGE. REASONS: ENGINEERING PLANS MUST SHOW 'NUMBER ASSIGNED ON PERC TEST APPLICATION COMPLBTED IN ENTIRETY 13Y P . E. AND RETURNED TO BOARD OF HEALTH RETAINED BY APPLICANT �� ` v ,67 OF BARNSTABLE LOCATION Lc+ 67 Crot-Ac:-J Road SEWAGE # 94 VILLAGE COf JA . .ASSESSOR'S MAP & LOTJ45--0 2� INSTALLER'S NAME & PHONE NO. �� Ocsc��l 77(.- (py. .SEPTIC TANK CAPACITY (,'000 LEACHING FACILITY:(type) (size) [;000 ,;" i-j NO. OF BEDROOMS 3 PRIVATE WELL O PUBLIC WATER BUILDER OR OWNER �jo: _ ,� �:OL\�`;� Co, 77 (.� g y DATE PERMIT ISSUED: 9 Z•Z 7�I DATE COMPLIANCE ISSUED: VARIANCE GRANTED: Yes No �.�� (�.� .Z�t /s�� L3� �� 31' . u 2� '._ 77,,Pap 6- THE COMMONWEALTH OF MASSACHUSETTS 1 BOARD OF HEALTH TOWN OF BARNSTABLE lirtt�tutt� f�r �t� u�ui �i urk,� C�ugt��rur#tun Prmit Applica ereby made for a Permit to Construct (V/ or Repair ( ) an Individual Sewage Disposal System at �.. ??C/ ... .-•--... _;;on-: ddress rM't_ ...._ ----- ---- -----------•-• ----------- ...................... ----- ......................................... 9r `�AA - -.••-Address �� -- --.•------------------- - Installer Address r� 9' Q Type of Building Size Lot...p_C__o_�__.__tl_C...7........Sq. feet Dwelling No. of Bejooms.______.3........_. ____-_____Expansion Attic eO) Garbage Grinder (Ald) ersons---------------------------- Showers Cafeteria a Other—Type•-of—Buuildiug No. of P-- - -- ------'------ ( ) — ( ) II QOther fixtures -----------------------------------•-- ------..---------------...--------- ----- ---------- Desi n Flow................... gallons per �/� per day. Total daily flow_-______________ .____.._.__.__._._._ Ions. ------------- •-•------- W g ��-�-----•- ---•--g� P n P Y• Y •33-- >� 9 Septic Tank—Liquid capacityZ0417galIons Length---------------- Width---------------- Diameter---------------- Depth................ xDisposal 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 ( ) Dosin�ank ( )'~ Percolation Test Results Performed I . _�-- --- ------------ Date...... a P a Test Pit No. I..� ._.:minutes per inch Depth of Test Pit_-_1 .__....___ Depth to ground water...._!® Li. v Test Pit No. 2_�`._.___minutes per inch Depth of Test Pit._ .Z_�_.____. Depth to ground water........................' r°. OG -- - ---- 0 Description of Soil....... U -------------•._._...-----•-•----------.....--•.... --------------------•---._...-•------------------••------------------_.._.. -------•-----------------.......•--...---- .-._....-•-- 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 TITLE 5 of the State Environmental Code—The undersigned further agrees not to place the system in operation until a Certificate of Co II nce has be n sue the board alth. Signed ..... .:................_.. . ....... ... ..- ............ .... -9Gf Dam Application Approved By -.-....... ............ ......... -. J f - .... ....-............-. ate Application Disapproved for the following reasonreasons: .................................................................................................................................. ......................................... ........................................ Dare Permit No. - ...... .. . ................. Issued .. ..��..... ..1�F ...-......... Dare -�� r .-:.. y 1i .:.yw"` .�v r s..,.- v . v . .: y • ...-n. _ ... v ar r a. -s ��� .._ I THE COMMONWEALTH OF MASSACHUSETTS 11 �I BOARD OF HEALTH TOWN OF BARNSTABLE App,iratinn for Diripwi al World, Towitrurtion ramit XV , Applicass reby made for a Permit to Coristruct ((/) or Repair ( ) an Individual Sewage Disposal System at: i✓. .� ... �.. � . ....... -- ........................................... --------•---.......•...•----•....-••------•------•-.....--•------•--........------•..-----.--_-. %� o anon-Address or,-Bof No xv tie r Address 14 PQ Installer Address ^�J �� d Type of Building Size Lot............................Sq. feet a Dwelling—No. of Bedrooms______________________________ _ _ __E pansion Attic (A10) Garbage Grinder (,vd) ----- aOther—Type of Buildiug1/ � t tu2.-No. of persons____________________________ Showers ( ) — Cafeteria ( ) Otherfixtures ........................................ Fe----------------------------------------- ------------------------------------ ------ W Design Flow................... �.��_...___.._.__.gallons per .p� per day. Total daily flow............ 1:4 Septic Tank—Liquid capacity/A_galIons Length________________ Width-__-_-.-__--..__ Diameter---------------- Depth................ Disposal Trench—No. .................... Width.................... Total Length.................... Total leaching area....................Sq. ft. Seepage Pit No..................... Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) '-' Percolation Test Results Performed by. v ��� ' Date...... /a _ /._g/� a Test Pit No. -__-minutes per inch Depth of Test Pit---J .......... Depth to ground water._..A106"d`'._.. 44 Test Pit No. 2_a ......minutes per inch Depth of Test Pit---!-Z_1__._... Depth to ground water----- 0 a pl' ..............................:............................................................................................................................ Descriptionof Soil �A � �1 �. -•-•---••-------------------•----------------------------•-------------------------------•-•-•---------.---•--------- V -•.....•-••••••---•••--••-•-••••••••••---....._.••-••--•---•----••-••-•••••-------••-•------•-•-----•-•-•--•••--•---•-••-•--•-••--------•---••-•......--••............................................. UW ••••-•••••-•--------------------•--------------••••----------------•----.....------------••-•••......---••-•----------- ----------•---•----•--•-•--•••-••=.............................................. Nature of Repairs or Alterations—Answer when applicable................................................................................................ ••-•-•-•....••-•-•-•-•------•--••--••--••-••-•----••--•-••-•-•-•-•••---•-----•••......-•••--......•.•----•--...-•-••••---•--••-••-------••......•••----•---•••......•••••••-•••---•---•.............••.. Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with g g g P Y 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 Corry�liance has been issue b the board o ealth. Signed ...........:............. ............ .:.. .....- :............ ..........`.. �.lZ`�`r Dale Application Approved By - ----- M --. _........ _ �l''.� Dace Application Disapproved for the following reasons: ................................... . . ...._..........................................................---..---............. ............. ................................................................... . . ........ . . .............................................. . ........... ........._ .................................... Dare Permit No. ..... .. ...... `......... Issued ..---- �,��.r �C ............. j Dare :_.—.gym --- _---._, ®—....--- -.._--- ®— —_.®vo®--- -- --- -- -----.._--.. ---mom= THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE %'E-ertifiratr of CZomplialare THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( t/ ) or Repaired ( ) by .........1�7 J�._/ . Is C-04.L........... ..............-- ............ I, at ..... U7....... 2. ....... r _0 I26... .. b _In. r'Ile �UT� � _ _ .... . . -- .. ........... .......... ------------......---------------------- has been installed in accordance with the provisions of TITLE� of The State Environmental Code as described in the application for Disposal Works Construction Permit No. _. dated � . THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE.......4, ......�.�.�'......��, ll Inspec t^...��-��,r�GX... -.. __..���-..� .. _ THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE Disposal Workii Tonitrur#inn plerntit Permission is hereby granted.----._..._..../�!� .5-- -� ---15------ ......•--.....---•------ to Construct (✓) t or Repair ( ) an Individual Sewage Disposal System at No..:�O T...... ... &I....... k f--� �-.F( A-------A-9:-----------CO.-TO--- r................ Street as shown on the application for Disposal Works Construction Permit N '.\__-_�1Sated.....��-:__._��`�.�._��� •-•-------------------------- -- ---------------------------------------------------••-•-- . oard of Health DATE..................... ............................. FORM 36508 HOBBS&WARREN.INC..PUBLISHERS 51N6L.F- FA11L-( 3 $ET. WWW !oS \64 �o GAZ5ALZ 6MVEK I PA I L-( R-oW 3 x I I o= 330 4pD SEPTIC TAWL 3go�clso �o-�iSG� �52 qI tX G 1000 GAL. �� .�, PP7 �----r� wr \ DISPc�AL PIT 1-r000 Z41- /z' STWC- RZ0 5lDEV\/ALL AREA = 166 SF 18 a SF X 2.S = 41 G�PD, deck 1a �- 1 BOTTOM A(�f1>, = -7 S sF e, I o - -7 SGPD. 22,ZdD SF 14. TOTX\L -G�16N = 548/ Q9• /os -IN. N 28 N,4 TCTAL 'DAILY �pf z 330CPD! C) T%i✓:.�vc.�-nol�t WA7E mi"114 ZMlW By �.Evy,ELD01:o6 f WA6-O 2 oj2 00 G':1°0 f,� RMW -A Of OF �e,4 ui F�QD 9 20,E r� I A PM > ,N W SULLIVAN No.29733 ss/�NAt E c P-76OI 6 755 T', TF =/02 L ,im P.VIC. k svaSO/L �, �o I Dad ��r✓ ; GAL IAviBQK 9Fp SE�T7C 9?Z { Iodo /u 9�G 99•o ti GAL 9a TaNL j L P" il 3 OaTE: AI-L 1mv-TuFc-) SST A sTo� MWE TPAN 4' vEW SAUb S14AL Me 4-2.a CGZrlr-I® PlCr PLAID IE1o� 'Poor-I Lam-- Loc�rTlotl . i G0 I U IT NO WArEZ- �izo 5E� PLAN 2erg rzE?Jc.- t CG7-0"Py 17 IAT T* z+urzLLI,J t- %CV,u N6-1zecN . CoMlpuy5 WITA TuS $IpELjiJF Lor 67 a ►� l-oc,AT wrrgid E tau XTEa 4.- Nye I PL'O IB-%l0Q4L LAUD sup-lEyoz5 K ti IS �';r r>A�Er CW MN 1�15'TP.t7�GtE�'T, Z:"d I L_ 14 Ewe.1 N EELs A14D 7W=1 OW E "S 4 4tiuL:D Livr ae 05R--Z-vILLE MAC , i QPPLICA KIT ' k� ,lou REFER TO 2009 IRC O 8TH EDITION MASSACHUSETTS �? O O L GENERAL NOTES: A. 1. Before final Drawings and Specifications are issued for (C�) construction,they shall be submitted to all governing building agendas to insure their compliance with all applicable local and national codes.ti code discrepancies in Drawings and/or 'N Specifications appear,the Designer shall be notified of such � E[E]�� � � discrepancies in writing by Builder or building olfidal,and 3 allowed to after Drawings and Specifications so as to comply 'C with governing codes before construction begins.- x 2. Upon written receipt of approval from the governing official, F approved final Drawings and Specifications shall be submitted to the Builder by the Designer. 3. If code discrepancies are discovered during the construction process,Designer shall be notified and allowed ample time to remedy said discrepancies. a.All work performed shall comply with all applicable local,shale and national building codes,ordinances and regulations,and . all other authorities having jurisdiction. B.All contractors,subcontractors,suppliers,and fabricators,shall be . responsible for the content of Drawings and Specifications and for ® ® - the supply and design of appropriate materials and work C.All manufactured articles,materials and equipment shall be applied, r. _ Installed,erected,used,cleaned and conditioned In strict of _ accordance with manufacturers recommendations. - x 0 D.All aftemates are at the option of the Builder and shall be at the. - Z a Q M Builders request,constructed inaddition to or in lieu of the - H V M � typical construction,as indicated on Drawings. - __ _— CD D Go 'E.SPB Designs Is not responsible for any plan discrepancies. - LU W 0 M Builder&Homeowner to review plans before start of construction., 0 Z m N - QQ '_ Q U W v FRONT ELEVATION -1) w 0 all cr CD z 0 Q 0 z LLI ir- z' 0 t f= W c � U 0 W Z cc E O Q 4 a = � v t . SCALE 1/4,1--w DECK NOT SHOWN - DATE 12/21/15 FOR CLARITY DRAWN BY PAB LEFT ELEVATION REVISIONS: DRAWING NUMBER f - - COPYRIGHT SPB DESIGNS 2D15 1� 70 E O U O O MASTER BEDROOMCL ' - N Z FLUSH BEAM ABO1-/l, C� ATTIC EXISTING co ZCL N U (n N BEDROOM N U ---------------- LZ tz WIC Q M. BATH wCD oO _______ _________ 0 Z m H N s� Q � cn 01 F- co a AX3251 W A - fn ,7-0• W PROPOSED SECOND FLOOR PROPOSED FIRST. FLOOR PLAN Z o Q o z W Z 0 0 U Q W cc 0 oQ Hill Fn w c o -j � p a = LLJ SCALE 114•=1'-0• - DATE 12/21/15 DRAWN BY PAB NEMISIONS:Fm i REAR ELEVATION - DRAWING NUMBER - S DOPYRJGKr SPB DESIGNS 2016 A2 . r RIDGE VENT .. - - �—2X12 RIDGE •___-__-"--_ -'-- ------------- "---- - - A 12'-0' O Q 16.D.C. �1/2'COX ROOF SHEATHING - Oa , °w L------------------------ __p_ _ C3 MATCH NEW FOUND. : ,6 c a > b ELEVATION W/EXISTIN z O 12 SEAM PER LUMBER ' ^Z' ' i O cl) a 3 a z' FOUND.ELEVATION 12�. 2X10 CEILING JOISTS 2X70 RAFTERS �' .YARD SPECS �+ OF i .0 V . BLOCVJN ATTIC 0 i U, nnn O 'U ° ;�mmU: I OVA a) HURRICANE - 3/4'T8G �_rJ� HURRICANE .� - a i V w w L TIES H2.5A Z f TES H2.5A z m L7 N .. - FLOOR SHEATHING- �. ... 2X10 FLOOR JOISTS .. < 3 O_ - - 1X3STRAPPING DRAWL SPACE 2! ' . @ is-O.C. - 3/4-AGGREGATE W/ O �+ - rS W/1/2.GYPSUM 6 MIL VAPOR BARRIER WIC MASTER BEDROOM p - I R-21 r �Ur'' ` ILL - I - I , I I FLOOR SHEATHING - X i •� I Z § ' - ; �L -'T - ' - "s 52S 2S SCS2SUZS2SUZ S25Z 252St5ZS 2X1 o FLooR Jaws 2�2S2SZS�Sz2)2SZ52SZSZS 5252 s cv Z z ¢ M » 2-2X6 P.T. - R30 T I J r 00 SILL PLATES CRAWL SPACE X ' D 8'X4'-0'CONCRETE WALL i �_ (n 5 X Z. DD - - >• - - ELEVATION WMATCH NEW/LEXISTING _______ - c LOW GRADE W 1 O N.. i _ BE /20'X 0'- W y _ e 3/4•AGGREGATE W/ - FLOOR JOIST ELEVATION •'OOR JOIST W ___ ____CONT. ----_FOOTING______ _ 0 CO 6 MIL VAPOR BARRIER < Q W O i I - SECOND FLOOR FRAMING PLAN I. Z � p • s w • SECTION A N ' - W 2X10 RAFTERS @ 16"O.C. 1r-0 _ I W 2X10 CEILING JOISTS'@ 16"O.C. FOUNDATION PLAN oI I II ,I cor ` I I , I , O 0 r _ LL cr 1 I r I W Q LZ cr Q Z N! p LL < c� c/) W - _ ~ LL d _5 - H cc T Z I ` 1 I N I U) I � � SCALE va•=ra DATE 12/21/15 II MATCH NEW FLOOR JOIST - i W - - ' - --- - r ; - ---- ' ELEVATION W!EXISTING ._______ � -- --- --- -- --- DRAWN BY PAB � - FLOOR JOIST ELEVATION REVISIONS: . FIRST FLOOR FRAMING PLAN DRIIN7NG NUMBER ROOF FRAMING PLAN A3 ' - COPYRIGHT SPB DESIGNS�16 1 7 1 1 ".� ,I: .. I.1 �t-4 � �.i ��,,.:", I',1�''�_,�,r � I,�7 -i .; _,........ .,1..� I,.. 4W - ..-.+....�� � �\ - ..� _- , 1 tc., , ..., .,�....._ . ."i -. 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I' L z _M r . - , < x •M. _ :. : .. t x .: :. __ �. r z y o- a M hr y . 5 1f r` } _ - i 1 i f s ��-��{{.:� '" ''- -:. t •1 r: ?d r-�'.v d, �4o�li : :(, M.% r`aii 1 1...(, ,{" tt p i M. ! f n-J .r }0 5 G.- z5jr�'. SCALE I/� �.'.:Or Jl6PRdvEO BY I ,,. .. < "lli �. t. E' t J f _� .. Di.FIt;./r/�l�L ,; .1 - bRFI NCl BY Ei. it✓ .� t L J t�£ s Y sZ 1. K`(ISEOr " _ mllw i fr .:x :.i , z �*' Y a, -r.'c.#i,,�`,l.i L..t3 t 1",�.- ' V<.rrk(s-�, 3 ,,y 0 I .J i : f xly 4s, #• i Rh W 110 NUA,6ER �• - ..i. mm , .' r, -.. 91. �.. { r� .. T --3.: >. -.1 , y -- L. r , J 1+ X v�',�"1'' :,rJ L. k'Y ,4: f va 'S J?3'I �F - . ,x a "4. s 'a'e„' s x ,� �x L s x .�< r r' $s . , .. .. .- ?`'Aw 3' 3QCvtLC tbr. it< .F . . . , _ s rti � rY -'- �. GENERAL NOTES FINISH GRADE OVER D-BOX= 31 .0't FINISH GRADE OVER CHAMBERS= 30.7' _ 30.8' PROP. VENT WITH CHARCOAL FILTER TO ABOVE GRADE T.O.F. EL.= 32.9 t SLOPE @ 2/o MIN. OVER SYSTEM 3/4"TO 1-1/2" DOUBLE WASHED PROVIDE EXTENSION RISER REMOVABLE WATER-TIGHT COVER OVER - STONE TO CROWN OF PIPE 1. UNLESS OTHERWISE NOTED, ALL SYSTEM COMPONENTS AND CONSTRUCTION WITH COVER OVER INLET& RISER TO WITHIN 6"OF FINISHED GRADE 4"SCHEDULE 40 PVC INSPECTION PORT WITH ACCESS OUTLET TO WITHIN B"OF FG. 0 2"OF 1/8"TO 1/2" DOUBLE WASHED METHODS SHALL BE IN ACCORDANCE WITH TITLE 5 OF THE STATE ENVIRONMENTAL . FINISH GRADE , MIN SLOPE 1/o BOX TO F.G. (SEE NOTE 20) CODE AND ANY APPLICABLE LOCAL RULES. @ FND. EL.= 32.0'# F.G. OVER TANK EL. = 31 .6 t 5 DIA. OUTLET(S) STONE OR GEOTEXTILE FILTER FABRIC 2. ANY CHANGES TO THIS PLAN MUST BE APPROVED BY THE BOARD OF HEALTH AND THE PLACE RISERS ON ALL DESIGN ENGINEER. „ TOP OF SAS= 29.00' ,� 9 MIN. �� CHAMBERS WITH „ PROPOSED 4" 9 MIN. 3. 4 SCHEDULE 40 PVC PIPE WITH WATER TIGHT JOINTS SHALL BE USED IN DISPOSAL EXISTING 4 36"MAX. � INLET PIPES TO 6"OF SYSTEM UNLESS OTHERWISE NOTED. SEWER PIPE SCH. 40 PVC 28.00 36 MAX. ' FINISHED GRADE SEWER PIPE BREAKOUT EL= 28.50 �-� , 4. TO PREVENT BREAKOUT,THE PROPOSED FINISHED GRADE SHALL NOT BE LESS THAN 6" 3" 3 DROP MAX 3„ 9„ L=CjQ t ELEVATION =28.50' FOR A DISTANCE OF 15'AROUND THE PERIMETER OF THE SAS. UNLESS A 2" DROP MIN MIN.SLOPE- - PROVIDE WATERTIGHT o ( ) ��� 40 MIL GEOMEMBRANE LINER IS PLACE AT LEAST FIVE FEET FROM S.A.S. AND THE TOP OF 1 , 4 PVC IN FROM JOINTS TYP. --••�� o - 14" 20.3 ± SEPTIC TANK 4 PVC OUT TO C�J O 0 0 0 0 0° 0 0 O THE LINER IS NOT LESS THAN THE BREAKOUT ELEVATION. CONTRACTOR TO PROVIDE LEACHING FACILITY o0 00 0 5. SLOPE ALL SOLID PIPE AT 1.0%MINIMUM. SPECIFIED DROP BETWEEN �, oo 0 0 0 0 0 o o 0 INLET AND OUTLET CONTRACTOR CONTRACTOR SHALL � 12 6 , 2' 0 6. THIS SYSTEM IS NOT DESIGNED FOR A GARBAGE DISPOSAL. OUTLET TEE 28.37 MIN. 28.20 0 0 0 0 0 0 0 °° 0 0 o� 7. LOCAL BOARD OF HEALTH AND DESIGN ENGINEER TO BE NOTIFIED PRIOR TO BACK SHALL VERIFY SIZE 48 VERIFY CONDITION OF o 0 000 00 AND CONDITION OF EXISTING TEES GAS BAFFLE 6" CRUSHED STONE o o FILLING WHEN SYSTEM IS NEARLY COMPLETE AND READY FOR INSPECTION. SYSTEM IS EXISTING SEPTIC AND REPLACE ASVW0 OVER MECHANICALLY oo °° NOT TO BE BACK FILLED WITHOUT FIRST OBTAINING APPROVAL FROM BOARD OF HEALTH TANK NECESSARY COMPACTED BASE 4.0' 8.5' TYP _ I 4.0' 4.0' I 4.0' AND DESIGN ENGINEER. 3 OUTLET DISTRIBUTION BOX ( ) 4.83 8. ELEVATIONS BASED ON APPROXIMATE M.S.L. DATUM. BENCHMARK ELEVATION OF 30.00, TO BE INSTALLED ON A LEVEL STABLE 25.0' (TMP') ESTABLISHED ON THE CONCRETE BOUND,AS SHOWN ON PLAN. BASE. FIRST TWO FEET OF OUTLET , GROUND WATER ELEV.= < 18.60' PIPES TO BE LAID LEVEL. 26.00 12.83' 5' MIN. 9. CONTRACTOR SHALL VERIFY ALL UTILITY LOCATIONS PRIOR TO CONSTRUCTION EXISTING 1,000 GALLON CONCRETE SEPTIC TANK VIEW 2 - 500 GALLON H-20 CHAMBERS CHAMBER END VIEW THROUGH DIG-SAFE AT LEAST 72 HOURS PRIOR TO COMMENCING WORK ON SITE AT CROSS SECTION V TYPICAL CHAMBER PROFILE 1-888-DIG-SAFE AND ANY OTHER APPLICABLE AGENCIES. REPORT ANY DISCREPANCIES *CONTRACTOR TO VERIFY EXISTING TI - L _ DISTRIBUTION T DETAILS TO THE DESIGN ENGINEER. ELEVATION PRIOR TO ANY WORK& NOT TO SCALE NOT TO SCALE NOT TO SCALE NOTIFY ENGINEER IF DIFFERENT. 10. ALL JOINTS WHERE PIPE ENTERS AND EXITS CONC. STRUCTURES SHALL BE MADE WATERTIGHT. TEST T T 11. NO DETERMINATION HAS BEEN MADE AS TO COMPLIANCE WITH DEEDED OR ZONING NOTES. - ;,, "t W , ` . ,;a REGULATIONS. OWNER/APPLICANT IS TO OBTAIN SUCH DETERMINATION FROM PERC NO. 14900 APPROPRIATE AUTHORITY. TAPE SHALL BE PLACED ALONG THE TOP EDGE OF ZONING DISTRICT: RF 1. MAGNETIC MARKING a. =r « - ^' •°. = ' INSPECTOR: David W Stanton, R.S. WITHIN THE RESOURCE PROTECTION OVERLAY DISTRICT "" � .,+€� x*„„a% >�,; � R` EACH SEPTIC SYSTEM COMPONENT. PROPERTY IS LOCATED ,�e, , ; _ � 12. ALL SEPTIC SYSTEM COMPONENTS SHALL WITHSTAND H-10 LOADING UNLESS LOCATED .z, l. .v . '" ,� " EVALUATOR. Michael Pimentel, EIT CSE ' `x •I 'A! _ UNDER MORE THAN 3 FEET OF COVER OR LOCATED UNDER PAVEMENT, DRIVES, OR r¢ ,. REQUIRED PROPOSED « ,^ , , :: , , a ,, ,. C.S.E. APPROVAL DATE: Oct. 1999 2. CONTRACTOR SHALL VERIFY SOIL CONDITIONS IN THE LOCATION OFq r,. . . , TRAVELED WAYS IN WHICH CASE THEY SHALL WITHSTAND H-20 LOADING. _ ' MIN. 40.9` ..¥: ,�* TEST MAP 5 FRONT SETBACK- 30 R THE PROPOSED LEACHING FACILITY TO ENSURE CONSISTENCY WITH ES , 5w .,•. `" ' ., �� .. ` . DATE: November 30, 2015 - 1.0 .." ' �- �. 13. DOUBLE WASHED CRUSHED STONE SHALL BE FREE OF ALL DIRT, DUST AND FINES. PIT DATA SHOWN ON THIS PLAN. REPORT TO ENGINEER AND LOCAL L07 24 SIDE SETBACK- 15 MIN. 5 - ,Mix.. 4 WITH TEST PIT DATA. REAR SETBACK- 15 MIN. 43.6 �r 4 . BOARD OF HEALTH IF SOILS ARE NOT CONSISTENT WI TEST PIT#. '�� 14. WHERE REQUIRED, CONTRACTOR SHALL REMOVE ALL LOAM,.SUBSOIL AND UNSUITABLE BUILDING HEIGHT= 30'MAX." < 30' '" ^;� � / wv , `` " ` " .." _ .t # ELEV TOP- 30.60 MATERIAL IN AREA BENEATH AND FOR 5 FT. ON ALL SIDES OF LEACHING FACILITY. 3. ENTIRE PROPERTY IS NOT LOCATED WITHIN A DEP APPROVED ZONE 2, REPLACE ALL UNSUITABLE MATERIAL WITH CLEAN COARSE SAND FREE FROM CLAY, „3� , /r ;F .. ELEV WATER= < 18.60 T IS LOCATED WITHIN THE GROUNDWATER PROTECTION OVERLAY r 1/2 stories, whichever is lesser. z I :� 1.t= BUT O 2 t � y t r - r a FINES OR OTHER UNSUITABLE MATERIAL IN ACCORDANCE WITH 310 CMR 15.255(3). DISTRICT AND WITHIN THE ESTUARINE WATERSHEDS. PERC RATE_ <2 min./inch 15. CONTRACTOR SHALL NOTIFY DESIGN ENGINEER OF ANY DISCREPANCIES FOUND IN a r?,, _ BEDROOMS PER SEPTIC AS-BUILT M . , 4) EXISTING HOUSE HAS 3 EXISTING BE k , � ,; .A � '�;�� SITE CONDITIONS FROM THOSE.SHOWN PRIOR TO CONTINUATION OF WORK. MAPS C► N FILE WITH THE TOWN OF BARNSTABLE BOARD OF HEALTH AND IS ,.. DEPTH OF PERC 16"-34" CARD O 16. P PROJECT IS LOCATED WITHIN: _ PROPOSED P O PROPOSED TO REMAIN AS A 3 BEDROOM HOUSE. NO INCREASE OF LOT 28 z,;, i ,` ; TEXTURAL CLASS: 1 , N -.. - ASSESSOR'S MAP 5 LOT 27 BEDROOMS ARE PROPOSED FOR THIS PROJECT. } y - - P� OWNER OF RECORD: DAVID B. &CHRISTINE L. HOLT, TRUSTEES a t . 1 ;_9 :Y < k" }.'� I CONDO REALITY TRUST .., .}1 Oil 30.60 COMMONWEALTH AVE CO - @ �� fie,.,Ai s � '.,. •y� � �1¥ *e.��� ,..- M w,„e, I� „� - - �y Fill ADDRESS: 27 ROSECLIFF DRIVE NS2o .i ''x + �.' w ', 12" 29.60' NASHUA, NH 03062-2434 3�, ) Ix $ N A/E Loamy Sand ?3 �o ", ,, '' � �t�: �pq . I 16" 10Yr 3/1 29.2T FEMA FLOOD ZONE X MAP 5 ti" � �/ a Perc COMMUNITY PANEL# 25001CO752J LOT::-27 4 F `.( _ Loamy Sand 17. DEED REFERENCE: BOOK: 21875 PAGE: 330 h 22,240 S a . . � B . ' MAP 5 1t)Yr5/8 ,, ` 18. PLAN REFERENCE: PLAN BOOK:223 PAGE: 39 z' SOT 25 * >: r•. i 'r" ,. �_ ; ;, >�`� � a � ��•�a ��'�r '" �� � ��" * .n w= d` '"� �' a ,.r.n=�`�'� 48 26.60 19. ALL DISTURBED AREAS SHALL BE RESTORED TO ORIGINAL CONDITION. c h/ V 4 •;, .3 '` 20. A 4 PERFORATED SCH. 40 PVC PIPE SHALL BE PLACED IN A VERTICAL POSITION TO A tit GARAGE - DEPTH OF THE BOTTOM OF THE SAS AND EXTEND TO WITHIN 3"OF FINISH GRADE. A .e,✓` .-,F�'.¢3 �`; ,«'.ww ?., i.�d�x4 , "e� . ,:: ...rjP:".:� ...�: "`94.t �,".�,r.- :.. - ' PLACED THREADED AP MALL BE PLA ED ON THE TOP TO ALLOW FOR INSPECTIONS. ti M .. REMOVABLE EA C S C EXISTING TANK TO BE UTILIZED IN THIS DESIGN C Med.-Fine Sand #101 2.5Y 6/6 t9, EXISTING LOCUS PLAN 3-BEDROOM WALK DWELLING QG ��' -,b / EXISTING DISTRIBUTION BOX TO BE ABANDONED DECK TOF=32.9'± QD / oti / / SCALE; 1"= 1000' 144" 18.60' lb EXISTING LEACHING PIT TO BE PUMPED, FILLED WITH / I No Mottling, Standing or Weeping Observed CLEAN COARSE SAND&ABANDONED ! 79s 32 LSA 3� / TEST T T SWING-TIES DESIGNT LEGEND 3s, AC UNIT ELEC_METER TO PERC NO. 14900 FENCE x BE RELOCATES 1 50x0 EXISTING SPOT GRADE TYP} STOOP / �Q �J�� DESCRIPTION HCA HC-2 INSPECTOR: David W.Stanton,R.S. L P ��- Q O NUMBER OF BEDROOMS(DESIGN) 3 EVALUATOR: Michael Pimentel, FIT, CSE 50 EXISTING CONTOUR i l gA�O,c� / � * �,/tt,� �S CORNER OF STONE(1) 61.3 68.3 DESIGN FLOW 110 GAUDAY/BEDROOM Oct. 1999 \ s"OAK 1.0 OO LSA J4• `�O CORNER OF STONE 2 51.3' 55.8' TOTAL DESIGN FLOW 330 GAUDAY C.S.E.APPROVAL DATE: r550 PROPOSED CONTOUR' \ EX. LP 5r' O �` r �eQ J O O _ DATE: November30, 2015 SHED °� IN / k �` DESIGN FLOW x 200 % _ 660 GAUDAY 50 PROPOSED SPOT GRADE � / O Q��. CORNER OF STONE(3) 70.7 66.8 TEST PIT#: 2 / O - GAS GAS - EXISTING GAS LINE 1s"oak �00 CORNER OF STONE(4) 78.3' 77.5' USE EXISTING 1,000 GALLON SEPTIC TANK ELEV TOP= 30.60' Z � 1s"OAK •9. � - ELEV WATER= <18.60' D/Hiw EXISTING UNDERGROUND UTILITIES w m PROP. H-20 D-BOX - 'OAK ROSE rnP> PERC RATE wl 3� REFER TO ARCHITECTURAL DRAWINGS FOR - w w EXISTING WATER LINE INSTALL 2 - 500 GALLON H- 20 CHAMBERS SCRUB MP ELEVATIONS OF PROPOSED ADDITION DEPTH OF PERC- PROPOSED 2-500 GALLON H-20 LEACHING z era W/AGGREGATE } TEST PIT LOCATION CHAMBERS WITH AGGREGATE O R.HODOQENDR OW) TEXTURAL CLASS: 1 j C.B. SIDEWALL CAPACITY oo SEPTIC DIMENSIONS & SWING-TIES PLAN SCALE: 1"=20' PROPOSED 4" SOLID SCHEDULE 40 PVC PIPE PROPOSED INSPECTION PORT *I� , - 10"OAK (LENGTH + WIDTH). (2 SIDES)`(2' HIGH) (0.74 GPD/S.F.) _ GAUDAY ; BUSH P>_: O LSA �voRAraOEa�TVPI ��I�� (25.0'+ 12.83') (2 ) (2' ) (0.74 GPD/S.F.) = 112.0 GAUDAY „ 30.60' PROPOSED DISTRIBUTION BOX o Fill 1 ,.PINE O PROPOSED 500 GALLON H-20 LEACHING CHAMBER � - � _ / BOTTOM,CAPACITY 12° 2a6o k,, \ _ Loamy Sand MAP 5 ; TWIN 10"OAK - --/ © #101 (LENGTH x WIDTH) (0.74 GPD/S.F.) GAUDAY A/E 10Yr 3/1 LOT26 ti EXISTING (25.0'x 12.83') (0.74 GPD/S.F.) = 237.4 GAUDAY 16" 29.2T Q EXISTING 1,000 GALLON SEPTIC TANK 2"Pi E TP 2 TP 1 s'oA HC-1 DWELLING 30x6' TOTALS: PROPOSED 4" PVC VENT; " 30x6' U.P. Loamy Sand EXACT LOCATION PER OWNER 5"OAK B 10Yr 5!8 REV. DATE BY APP'D. DESCRIPTION 1O°PINE TOTAL NUMBER OF CHAMBERS 2 / TOTAL LEACHING AREA 472.2 SQ.FT. PROPOSED SITE PLAN / HC-2 48" 26.60' bd`-� i:��s, a / TOTAL LEACHING CAPACITY 349.4 GAL./DAY Any PREPARED FOR: 10"PINE 30- 14"OAK � <;� 16"STUMP k9 J N L. N CAPEWIDE ENTERPRISES 5"PINE I (2) CH 0..4806 r 1111"/�TUMP ,� Med.-Fine Sand i o r. LOCATED AT J �r ,�y�^ (1) 12$ C 2.5Y6/6 `fir ``GIsT Benchmark / ,� °,'`' 101 CRAWFORD ROAD Concrete Bound �;�29 Elev. =30.00' / o COTUIT, MA 02635' Approx. M.S.L. ( N 144" 1 0' SCALE: 1 INCH = 20 FT. DATE: DECEMBER 30,2015 8 6 • �'/ O O 0 10 20 40 80 FEET No Mottling, Standing or Weeping Observed j�OF MAss��ti �s PREPARED BY: 100, (3) RESERVED FOR BOARD OF HEALTH USE OH CHURCH LL JC ENGINEERING, INC. (4> No IaI 2854 CRANBERRY HIGHWAY A�o�RFG E EAST WAREHAM, MA 02538 SITE PLAN ASS, N A� 508.273.0377 SCALE: 1"=20' Drawn By: SJI Designed By:JC Checked By:JLI JOB No.3331