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0007 EISENHOWER DRIVE - Health
7 EISENHOWER DRIVE, COTUIT A= 039 084 � 1 i I �I C �-7 TOWN OF BARNSTABLE LOCATION G bG�h N> SEWAGE# Rbl VILLAGE C-U 1 T ASSESSOR'S MAP&PARCEL J 9 INSTALLER'S NAME&PHONE NO. T�^� - GQ �Gw.2�C�.Q.�-•� SEPTIC TANK CAPACITY `6-00 LEACHING FACILITY:(type) -5-op (size)NO.OF BEDROOMS 3 . OWNER PERMIT DATE: - - COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility(If any wells exist on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) Feet FURNISHED BY C-cy-. Q r ,/4 � al AZ_ 3� 2 /4 f _ 21 Z No. 2 G ©�" Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION - TOWN OF,BARNSTABLE, MASSACHUSETTS Yes application or Misposal 6pstem Construrtion Permit Application for a Permit to Construct � ) Repair( ) Upgrade( ) Abandon( ) ❑Complete System ndividual Components Location Address or Lot No. 7 YSZe Z a' VkkLVL ;i✓ Qn�g`r same, ddress�an�d Tel.No. C�riq Assessor's Map/Parcel 3q 184 ci v.� n InWIler's Nam.e,Address,and Tel.No. C{k`Vf, ,r4 Designer's Name,Address,and Tel.No. Joycs.- `ra.�i�.w„r�,�= � .��� �,�-�,4si �k'- �\3 e-Z.�d 'r,��t yam.-.'�.��vi'►�. ti rrr r s 1 — l_n 0 Type of Building: Dwelling No.of Bedrooms —3 Lot Size sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.re uired) 3 3 P gpd Design flow provided gpd Plan Date J Number of sheets Revision Date Title Size of Septic Tankg50 -1 1,. , j Type of S.A.S. Description of Soil S E�Ga Nature of Repairs or Alterations(Answer when applicable) Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not-to'place the system in operation until a Certificate of Compliance has been issued by this Boa4of a1, k Signed Date Application Approved by Date Application Disapproved by Date for the following reasons ~ Permit No. Z f C�Q Date Issued/ No. ,G ! 00)—.1 �-�"-----,,.?l \ Fee ' THE COMMONWEALTH OF MASSACHUSETTS Entered in computer. PUBLIC HEALTH DIVISION - TOWN-U.-BARNSTABLE, MASSACHUSETTS Yes 2(pplication or Misposal Aps'frm Construction 3permit Application for a Permit to Construct ) Repair( ) Upgrade( ) Abandon( ) ❑Complete System ndividual Components Location Address or Lott No. `.S�n�o�plt f Owner's-Name,Address,`a�ndTeel.N�o.`Ccvto$• � Assessor's Map/Parcel 8 f('$ ar�� � r� Installer's Name,Address,and Tel.No. `ro ���:�bG r'yc�r Designer's Name,Address,and Tel.No. \l C'I�Q e y- �.yc� lcknr3 W,ti,. C- },_�,c S�cE�� �-�,C. �� Q 9u-i-28 y..�«�P,,,,�� (A 1, Type of Building: Dwelling No.of Bedrooms .? Lot Size sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.re�juired) ® gpd Design flow provided .3q gpd Plan Date ,� [2A` Numlier of-sheets _ 8, Revision Date Title Size of Septic Tank ��-:.•� �. ®00 Type of S.A.S. �-� �o @ Description of Soil 0 Nature of Repairs or Alterations(Answer when applicable) ►tom l'R C c. U4 4 . .:. g� s,�►., .5- 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 n place the system in operation until a Certificate of Compliance has been issued by this Boar of eal - 'k Signed Date Application Approved by 61 Date ' Application Disapproved by Date f for the following reasons Permit No. — 60 Date Issued THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE,MASSACHUSETTS Certificate of Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal system Constructed(Repaired( ) Upgraded( ) Abandoned( )by L; ; i at 7 �, t �. a �" C a— has been constructed in accordance with the prov' 'ons of Title 5 d the for Disposal System Construction Permit No.2 01 Z dated 11710& t Installer 7 Designer —it C st 9� (L 4LC- #bedrooms S Approved design flow 3 U gpd i; The issuance of this permit hall n t be construed as a guarantee that the system ill fimc as signed. i Date Inspector �� ---------------------------------------------------------------------------------------------------------------------------------------- No. d Cl —OU ;2- / Fee THE COMMONWEALTH OF MASSACHUSETTS ` PUBLIC HEALTH DIVISION- BARNSTABLE,MASSACHUSETTS Misposal bpstem,Construction Permit Permission is hereby granted to Construct( ) Repair(✓� Upgrade( ) Abandon( ) System located at and as described in the above Application for Disposal System Construction Permit. The applicant 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 permii. Date Approved by ` ler r Town of Barnstable Regulatory Services Richard V. Scali, Interim Director • snxxsr" e, M : Public Health Division A'Fo ' Thomas McKean, Director 200 Main Street,Hyannis,MA 02601 Office: 508-862-4644 Fax: 508-790-6304 Installer& Designer Certification Form Date: Sewage Permit# 2©E9- 00Z, Assessor's Map\Parcel Its, Designer: 5z,, ,Ir-- Installer: +A � � Address: �� Z8- Address: �''1,z�. �� On o` �Qrwq was issued a permit to install a date (installer) ` septic system at 0 -7 t�13 610+0 W tw*�- based on a design drawn by (address) ��tv t 'I l_ C�a �► dated 1-3- (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. Strip out (if required) was inspected and the soils were found satisfactory. ti 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 certified as-built by designer to follow. Strip out (if required) was inspected and the soils were found satisfactory. �1th of I certify that the system referenced above w cons't ct with the terms of the I\A proval letters (if a $� � o scoff A. U McGann n (Ins al er s Signatui ) ` #1224 fir• ��` s�Pred S an,���ti (Desig er gnature) (Affix Designe tamp 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:\Septic\Designer Certification Form Rev 8-14-13.doc 1 Town of Barnstable . P# EVE � Department of Regulatory Services enrtarns� Public Health Division Date �q � i�� t �� 200 Main:Street,Hyannis MA 02601`-•s ArfU fAlg A Date Scheduled j '�t� r, — •�.• Time >. Fee Pd._-6, f 1,y A Soil Suitability Assessment for Se e Disposal Performed By: Witnessed By: LOCATION&.GENERAL INFORMATION Location Address Owner's Name K, tarp t,✓0orQiL1 J `1 (r 1 SE^JH0WEK_ Address 3&5 (,4 #MAEN co_/'V 17- A'/ Engineer's 147amnls IVA 0z/bI'Assessor's Map/Parcel: Name -!;Go Gsn/e NEW CONSTRUCTION REPAIR Telephone# ✓L° Land Use. fee A L 5,o ►9A� = �'l C u t y/� (� i/, CA-1 Slopes(9b) d Surface Stones IIA Distances from: Open Water Body > COO ft Possible Wet Area ft Drinking Water Well ft Drainage Way 360 ft Property Line -z ft Other ft SKETCH:(street name,dimensions of lot,exact locations of test holes&perc tests,locate wetlands{n proximity to holes) dr ti I - oPiS t1o� t "K.S Tr_ Np i4ole Parent material(geologic) 0tln,MPA�, Depth to Bedrock ,.11,A Depth to Groundwater. Standing Water in Hole: i✓rP. Weeping from Pit Face 111A Estimated Seasonal High Groundwater y Zy DETERMINATION FOR SEASONAL HIGH WATER TABLE Method Used: Depth Observed standing in obs.hole: In. Depth to soil mottles: Ill. Depth to weeping from side of obs.hole: In, Groundwater Adjustment ft. Index Well* Reading Date: Index Well level Adj.factor, Adj.Groundwater Level m PERCOLATION TEST bolero di Thng ��•�trA Observation Hole# Time at 9" Depth of Perc fQ Time at 6" Start Pre-soak Time @ �:a4 ome Time(911•6") End Pre-soak Ito:1a Rate Min./Inch L t ~ Site Suitability Assessment: Site Passed�� Site Failed: Additional Testing Needed(YIN) _ Original: Public Health Division Observation Hole Data To Be Completed on'Back-------=— ***If percolation test is to be conducted within 100' of wetland,you must first notify the Barnstable Conservation Division at least one (1) week prior to beginning. Q:\SEPTICU'ERCFORM.DOC DEEP.OBSERVATION HOLE LOG Hole#�_ Depth from Soil Horizon Soil Texture .Sdil Color Soil• Other Surface(in.) (USDA) (Munsell) Mottling (Stnucture,Stones;Boulders. oasistency.%'Gravel) 35 8 SrlN O R 5'f b �t DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consistency, A. a v 3 3.5-R c DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consistency. DEEP OBSERVATION HOLE LOG. Hole# Depth from Soil Horizon Soil Texture Soil Color Soil • Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consistency. .fi Flood Insurance Rate Map: / Above 500 year flood boundary No— Yes Within 500 year boundary No= Yes Within 100 year flood boundary No,, Yes Depth of Naturally 0 currinf_Pervious Material Does at least four feet of naturally occurring pervious ma'terlal exist in all areas observed throughout the area proposed for the soil absorption system? p ious ma ` If not,what is the depth of naturally occurring material? Certification ` I certify that on 9004P (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 therequiryATqlng, pertise an experience described in�10 CMR 15.017. Signature Date Q:WEPT1C1PERCFORM.DOC I f ilk mil,e 6-cl t) °FINE ra,. Town of Barnstable 2�rv�s vF` o Regulatory Services * BRARNS BLe. MASS. Thomas F. Geiler, Director A'EDjAP�A Public Health Division Thomas McKean,Director 200 Main Street, Hyannis, MA 02601 Office: 508-862-4644 Fax: 508-790-6304 January 15, 2003 Kathy Woodbury Little River Farm 7 Eisenhower Dr. Cotuit, MA 02635 Attention: Kathy Woodbury Your permit for stable located at above address has not been renewed on July 1, 2002 as required by the Board of Health Regulation Part X. You are now in violation for nonpayment for the year 2002. Failure to remit the required$25.00 fee on or before January 24, 2003 will result in an automatically scheduled show-cause hearing before the Board of Health on February 18, 2003 at 7:OOpm in the Barnstable Town Hall, 2nd floor Hearing Room at 367 Main St. Hyannis. Your prompt attention to this matter is appreciated. Thank you, mas A. McKean Director of Public Heatlh I VVv - John--Grad . Xecut�ve Office of Ernlronirentoi Afft�rs - D:E P Tithe V Septic Inspector -_ - -Departrient_of P.O.BoX21i9 • Teaticket,111025_3 6 tat p otlttlon 5b46508) 8 -� -- &UBSU.RFACE_SEWAGE:DISPOSAL_SYSTEM INSPECTION FORM PART.A CERTIFICi4T10Nl�ll'1 ( � Property Add ress-..7 Eisenhower Dr.Cotua Address of Owner ' Date of Inspection:'�107f9B (If different) "Name of inspector:John Grad. McCaffrey ) t } Cr Company Name,,Address and Telephone Number CERTIFICATION STATEMENT ' t 1 certify that I have personally inspected the-sewage disposal'system at this address and that the information reported belowis true, accurate rand complete as of the time of inspection. The inspection was performed based on my training and experience in the�proper function and . maintenance of on-site sewage disposal systems. The system: x_ Passes Conditionally Passes.' _ Needs Furth r Ev uation By the Local Approving Authority'. Fails Inspector's Signature: /W Date: 1am9s The System Inspector shall submit a copy of this inspection report to the Approving Authority within thirty(30)days of completing this inspections. If the system is a shared'system or has a design flow of 10,000 gpd or greater,the inspector and the system,owner shall submit the report to the appropriate regional office of the Department of Environmental Protection. The original should be sent to the system owner and copies sent to the buyer,if applicable and the approving authority. INSPECTION SUMMARY: Check A, B,C,or`D:. A] SYSTEM PASSES: X I have not found any information which indicates that the system violates any of the failure criteria .. defined as in 310 CMR 15.303. Any failure criteria not evaluated are indicated below, B] SYSTEM CONDITIONALLY PASSES: One or more system components need to be'i eplaced or repaired. The system,upon completion of the replacement or repair, passes inspection: Indicate yes,no,or not determined(Y,N,or ND).,Describe basis of determination in all instances.: If "not determined";explain why not.) The septic tank is metal,cracked,structurally unsound,shows substantial infiltration or exfiltration,or tank failure is imminent,The system will pass.inspection if the existing septic tank is replaced with a conforming septic tank as approved ` by the Board of Health. (revised 11115195) . .. :.a One Winter Street • Boston,-Massachusetts.02108 • FAX(617)556-1049 • Telephone(617)292-5500 x a+t _ SUBSURFACE_SEWAG+E DISPOSAL SYSTEM INSPECTION FORM r ' CERTIFICATION (canxf tlrwed}~ _ Prope Address: 7 Elsenhoweror.'Cotutt rty j Owner. INCaf rey.�- •,,— - - - —1 �� �Data �s�ction 10107196 bution box Sewage backup or breakout or high stabc willwater valss nspection observed in ttif(withn pp oval oflthe Board-of,He Ith) : settled or uneven distribution box. The systemP N broken pipe(s)are replaced - -� r"obstruction is removed', k. $ distribution box is leveled or replaced more than four times a year due.to broken or obstructed p!pe(s) .The {; The system required pumping" royal of the Board.of Health) system will pass inspection rf(with app j broken Pipe(s).are replaced s . obstruction is removed ' ' s, C] FURTHER EVALUATION IS REQUIRED BY THE BOARD OF HEALTH _ Conditions exist which require further evaluation by the•Board of Health!n order to determine!f the system is failing to protect the public health, safety and the environment. 1) SYSTEM WILL PASS UNLESS NER WHICH WBOARD OF ILL NOT PROTECTALTH �THE PUBLIC HEALTH ANNES THAT THE SYSTEM 15 NOT. FUNCTIONING IN A MAN SAFETY .AND THE ENVIRONMENT: . ,. Cesspool or privy is.within 50 feet of a surface water Cesspool or privy is within:50 feet of a bordering vegetated wetland or a salt marsh PROPRIATE WILL FAIL UNLESS THE BOARD OF HEALTH(AND PUBLIC WATER E PUBLIC HEALTH AP SYSTEM WIND SAFETY AND THE 2)' SUPPLIER, IF MINES THAT THE SYSTEM IS FUNCTIONING IN A MANNER THAT P ENVIRONMENT: The system has a septic tank and soil absorption system and is.within 100 feet to a surface of water supply or tributary,to.a surface water supply: The system has a septic tank and soil:absorption system and is within a Zone 1 of a public water supply well. _ The system has a septic tank and soil absorption system and is within'50 feet of'a private water supply well: 100 The system has a septic tank and soil-absorptionor cofforrn bacterea volat le o gan►c compounds indicates that the well is water supply well,unless a well water,analysis f m•. free from pollution for that facility and the presence of ammonia nitrogen and nitrate nitrogen is equal or less than 5 pp 3). OTHER -------------- D] SYSTEM FAILS: llowing failure criteria as_ efined in I have determined that the system violates one or.this determination ise of the fo identified below. The.Board of Heath should be 310 CMR 15.303. The basis f be necessary contacted to determine what will to correct the failure. Backup of sewage in facility or system component due to an overloaded or clogged SAS or cesspool. surface of the ground or surface Discharge or ponding'of effluent to the waters due to an overloaded or clogged cesspool. SAS is in hydraulic failure. !` (revisedi11115195) " • g. 'Y R:^t'.:-_ya:�,i -^ .�� a. - ri.:ste--,• -. _"E4i�'"'' +a. -"' :.,'< ti g - SUBStJREACE SEWAGE DISPQSAL SYSTEI4R INSPECTION FORM LL - - - Property Address. 7 Eisenhower.Dr Golub cCafrre _ 1 —'10t07[9� D]SYSTEM FAILS(continued) T Static liquid.level in the distribution boXabove outlet Invert due to an overloaded or.clogged' SAS or cesspool - Liquid depth in cesspool is less than 6'below invert or available volume is less than 1/2 day flow "Required pumping more than 4 times in the last year NOT due to clogged'or obstructed pipes) 1 °: Numbers-of.times pumped -t_ Any portion of the Soil AbsorptionSystem cesspool or privy is below the high groundwater' elevation _ s , Any portion of a cesspool"or privy is within 100 feet of a:surface water supply or tributary.to a surface water supply: _. : . Any portion of a,cesspool or privy is within a Zone 1 of a public well. ~ Any portion of a cesspool or*privy is within 50 feet of a private water supply well., k 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 alyzed to be acceptable attach cop acceptable water quality analysis. if the well has been an y of well water analysis for coliform bacteria,volatile organic_compounds, ammonia nitrogen.and nitrate nitrogen. E] LARGE SYSTEM FAILS: . The following criteria apply to large systems in addition to the criteria: The system serves a facility with a design flow of 10,000 god or.greater(Large System)and the system is a significant threat to public health and safety and the environment because one or more of the following conditions exist: the system is within 400 feet of a surface drinking water supply _ the s - ystem is within 200 feet of a tributary to a surface drinking water supply the system is located in a nitrogen Sensitive area'(Jnterim•Wellhead Protection Area(IWPA)or a mapped Zone li of a public water supply well)- The owner or operator of any such system shall bring the system and facility into full compliance with the groundwater treatment program requirements irem ents of 314 CM R 5.0 0 and 6.00. Please consult the local regional office of the Department for further information. _ „ (revised.11115J95) k{ € 44 •' "z„ r.,�, a=- -.3 -.�,tar� r+_`'' ,.^.�--va, �-"` _ '�- i•.;�' s - 1 r SUBSURFACE SEWAGE DISPOSAL SYSTEM'INSPECTION FORM PART 8 Tm— � �CkiEGLISTo Property Address 7 EisenhowerD► Cotutt Owner—' Mccaffrey - a`tS af'1Tr5Pgciiorr 7p1OIf96 .. _ ter: Check if the-following have been done -Pumping information was requested of the owner occupant,-and Board of Health 3 ' X:, None of the system components have been pumped for at least two weeks and the and the system has been receiving normal flow rates during that period.-:.'Large volumes of water have not been introduced into the systiam recently or as part.of this, g inspection. = X As built plans-have been obtained.and examined Note if they are not.avail able with NIA } r X The facility or dwelling was inspected for signs'of sewage back-up. X The system does not receive non sanitary or industrial waste flow X The site was inspected for signs of:breakout. r r X All system components excluding the Soil Absorption System,have been.located on the site X The septic tank manholes were uncovered;opened,'and the interior of the septic tank f scum was inspected for condition of baffles or tees,material of construction,dimensions,depth of liquid,depth of sludge, depth o X The size and location of the S6H.Absorption System on the site has been determined based on existing information or approximated by non=intrusive methods x The facility owner(and occupants, if different from owner)were provided with information on the proper maintenance of Sub Surface.Disposal System.,.. (revised I1115195) SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART SYg .:� ' s... $. -u.. _-'-�'+�.-�— ,v •a.�,,.— _ a�ATroN _ - .a-. •-- ,.r•-= ,t--�. * Property Address 7 Eisenhower Dr Cotutt > ; -Od3.1 in �1 U7196 y ?r r' ' r z n t�s -µ�"'." =f`tOtN-E-ONDF'FIONS �,�., -._. -�.- _ •"-- ;��"@ 339 ilons low: a ni _ Desi __g. - g - Number of bedrooms 3 `rt Numberoftcurrent residents Garbage-grinder(yes or no): No Laundry connected to system(yes or no): Yes Seasonal.use:(yes or No Water meter readings;if'available: Na - t s .. 4 Cast date of„occupancy: ^/a - F COMMERCIAL/INDUSTRIAL:: `' z Type of establishment: Na ' .Design flow:9 gallons/day. Grease trap present:(yes or no) No Industrial Waste Holding Tank present:(yes or no) No Non-sanitay waste discharged to he Title 5 system (yes or,no) No Water meter readings,if available: nra Last date of.occupancy: n1a OTHER:(Describe) nla { Last date of occupancy: GENERAL INFORMATION PUMPING RECORDS and source of.information: System has not been pumped System pumped as part of inspection:(yes or no)Yes if yes,volume pumped: 1500 gallons Reason for pumping: Maintenance. TYPE OF SYSTEM X Septic tank/distribution box/soil absorptions system cesspool Sin le 9 e. Overflow cesspo ol..of Privy ` Shared system(yes or no) ( if yes,attach previous inspection records,if any) Other(explain) APPROXIMATE AGE of all components,date installed(if known)and source information:. 1982 e site: Sewage odors detected when arriving at th (yes or no) (revised 111.15195) - ' SUBSURFACE SEWAGE DISPOSAL SYSTEMINSPECTION FORM PART-C` r SYSTEM INFORMATION(continued) _ _ Property'Address: 7ElsenhowerDr Cotutt'1. - Owner McCaffrey a — Dale=of-lnspe.ctlon 10/o7f96 - u SEPTIC TANK -x ,.= `(locate on,site plan) LL - Depth below grade 2' - Material of construction.X concreate_metal_FR-P_other(expiain) Dimensions:-L8'6-H 5-7'Nf 4'10•:- Sludge depth:,e' -:Distance from top of sludge to bottom of.outlet tee or baffle: 'Scum thickness:4' r x { Distancefrom top of scum to top of outlet tee or baffle 6 r Distance form bottom of scum to bottom-of outlet tee or baffle 14 vL Comments: (recommendation for pumping condition of,inlet and outlet tees or baffles,depth of liquid level in relation to.outlet inverti structural mtegnty evidence of leakage,etc.) Septic tank and all components are structurally sound Recommend pumping system every year for maintenance. ' nq GREASE TRAP: (locate on site plan)_. Depth below grade: rda •Material of construction: _concrete metal FRP other(explain) Dimensions: n!a Scum,thickness:nfa Distance from top of scum to top of outlet fee or baffle:rda Distance from bottom of.scum to bottom of outlet tee or baffle: n/a Comments: (recommendation for pumping, condition of inlet and outlet tees or baffles,depth of liquid level in relation outlet invert,structural integrity, evidence of leakage,etc.) Na ,.(revised 11f15f95) .. arx ✓ s tf-i i. T ,;'+'�. '- ..'Py,.r-:`.? 5 >z: i �•� �'= t is - ... y r H A,r i 3d - s � GE.DISPOSAt SYSTEM INSPECTION FORM SUBSURFACE SEWA _ ----= PART.0 — — — SySTEM INFORMATION(continued) F Property Address:. TEisenhoweror CoWtt.- MCCatfre _ Date of Inspection MOWN " r p TIGHT OR"HOLDING:TANK ` r • (locate on site plan) - -- `— — -� z F Depth below"grade: n1a - Material of-construction:" concrete metal FRP `other(explain) Dimensions. nla ti f Capacity: n/a gallons Design flow: n/a gallons/day ' Alarm level: n!a Comments: c•ondition of-inlet toe,con dition of alatm a nd loaCf witch ee atc. ....ci DISTRIBUTION BOX: X. _ (locate on site plan): Depth of liquid level above outlet invert liquid level with bottom of pipe. Comments: (note if level and.distribution is equal, evidence of solids carryover,"evidence of leakage into or out of box etc.). " The D-box is structurally sound. PUMP CHAMBER: (locate on site plan) Pumps in working order,(yes or no) ' Comments: (note condition of pump chamber,condition.of pumps and appurtenances, etc.) Na (revised�11/15195), G • -14 yr { . .. .. ... t »- V .. •-S t�.. _R.n s. i... .�.rii'v.z::a�'.L—....,... �L}.F...:r—. u",'Pux.:.n."L._n.Asa e L • -7 . 4 �m �cxsra,•'. _ _ .—. -__. — a"'."r ^•t .* — -�,..,� - -,fi^ - ' .," s' c - T ;� �4t1851JRFJ#CE SEWAGE DI$POSAL'SYSTEM HJSPECTION FORM `-P�6perfy'AdZlress zEtsemrower Dr Cotutt�-� � _ .� �� -may`_.-:ram --- - flate ofltsspectFan-t - f .--. K=SOILABSORPTION'SYSTEM,(SAS) X ,-(locate on site plan (—possible excavation not required-,but may approximated;by non-intrusive methods,) k + If not determined to be present;explain: n/a - TYPe leaching pits, number 1,000 gallon leach pit.,, r r _ leaching chambers,number:nla leaching galleries, number: Iva ? z° eaching trenches;number, length: n1a a s, Teaching fields;number,dimensions:n1a overflow cesspool,number:nla F" >: Gommej. nt5:(note condition bf soil signs of hydra'u id failure, level of ponding,'condition of'vegetatlon etc).; The leach pit is structurally sountl and functioning properly.:Recommend pumping system every year for maintenance..' fls r: CESSPOOLS: :. (locate on site plan) . Number and configuration: h1a Depth-top of liquid to inlet invert: n1a Depth of solids layer: nfa Depth of scum layer: n1a . Dimensions of cesspool: n1a Materials of construction: n1a Indication of groundwater nfa inflow.(cesspool must be pumped as part of inspection) n1a Comments:(note condition of,soil, signs of hydraulic failure, level of ponding,:condition of.vegetation, etc.) n/a PRIVY: (locate on site plan) Materials of construction: 'n/a Dimensions: n1a Depth of solids: n1a Comments:(note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.) PrivyComments (revised 11115/0) Y llqi n:..:. In t — �>�.r'^�a^�.�._. '"-�`��-„�,.-�''u-^+�'..+-..�.-iv-Y,v^`s-'�''`g�'- � �-`'"-�'t �'F?�^s��"�,"_"'P' .. -i;;+^'•'ta.�,.. ° SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM s J j ^� PART C SYSTEM INFORMATION(continued s PrQpe_--y gddiess ,7Efsenhower Dr.Cotuit Owner:_T McCatirey _ s -Dale of Inspection 1=7196 8 s SKETCH OF.SEWAGE.DISPOSAL SYSTEM: .' dude. es.#aaf JeasLh+cogpecmaneat_FetereAees4andmarks or benchmarks - locate'all wellsvithin 100 - e Ad DEPTH TO GROUNDWATER Depth to groundwater:12 feet method of determination or approximation: USGS Maps and Charts. (revised 11115195) s � y x ; 7 Al MNAXW UF 9 'rt i LO ATION � � `� 315� AGE P R - T ISO ,VILLw- INSTALLER'S. ' � E i ADDRESS BUILDER OR OWNER , LO!c:tG DATE PERMIT ISSUED 1_ � �,/�. DAT E COMPLIANCE ISSUED.• '„ qrc �"""l �' ���' C�/ � ��eo ���' i S� ���T � `� �� .� � <- p�sr� �- �� . t �a No........ . ..•---•• �Q�� ............ 03 THE COMMONWEALTH OF MASSACHUSETTS i13�Ij BOAR® PF HEALTH -/d.w_h..-..............OF......... Y':-n-�`ja:C�. ./ _--_-----_----- Appliration for Ui4puiial Works Tomitrnrtiun ramit ` Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at: /.W.Z.. � ...---4. .4/.v .----------•--------------------------��.....------------.............---......-- Location-Address or No. .14 Owner --------------------------------Address Installer Address U Type of Building Size Lot..e ,AOP...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____::-----,3__ D...................gallons. WSeptic Tank L Liquid capacity,/MD--gallons Length................ Width................ Diameter---------------- Depth................ x Disposal Trench—No..................... Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No -_--_-- -__-_ Diameter-___-_,.ALL..... Depth below inlet....... ........... Total leaching area.....c?oe;_6sq. ft. Z Other Distribution box Dosing tan a Percolation Test Results Per-formed b _._____ 3 /`" _ .... Date......1-.� _....... Test Pit No. L.�......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-------_................ a ............. .... -Z-- --------- O Description of Soil . . 1-2 �- � x - .- r w V 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 TTT .. y g g p . y 5 of the State Sanitary Code—The undersigned further agrees not to lace the system in operation until a Certificate of Compliance has been issued by the board of health. lgne ............... •. --•-...••---•-•-------------•-•..._-------•••-•-••-•-•---------• ................................ Date Application Approved By...... ....... .. .. .... - ----.- -- 1 ...................... Date Application Disapproved for the following reasons---------------------------------------------------------------•------------------------------------------------- ...........-••••••--••--•-•-----------••--•----•-----•-----•••-•---•-•--•...........................•----•-----•------•-------•----•------------••-------------•-----•------- ------------.............. Date Permit No......................................................... Issued.......5"-- .w Date No......................... FEs.... .. ............ THE COMMONWEALTH OF MASSACHUSETTS BOARD 9F HEALTH r �.IJGV/J ..OF...... ................ .....�. ... . � '/. ` . pplirFation for Diipnual Worse Towitrurtinn 11trutit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal Sy0em at: a, ------------------------------------------------------------ -------------! .......-••---•. e..........•••••-•-•---.....•-•---.---....••.--•------•-•--o-.•-•-....------..................-------•-- Location-Ar Ne vr YfI. Owner Address w �t10 Y�n� 4 a I. Installer Address .02 Q Type of Building Size Lot........ ....Sq. feet Dwelling—No. of Bedrooms............................................Expansion ttic ( ) Garbage Grinder ( ) aOther—Type of Building ............................ No. of persons........ 1}............... Showers ( ) — Cafeteria ( ) QOther ures -------------------------------------------------------------••-•-••... ---------------------------------- •-•-••-•---•.................._•.. W Design Flow/...__ ........................gallons per person per day. Total daily flow.................. 0................... WSeptic Tank—Liquid capacity ._gallons Length................ Width................ Diameter---------------- Depth................ x Disposal Trench t No..................... Width.................... Total Length__._...__ __....... Total leaching area-------- e.csq. ft. Seepage Pit No..................... Diameter......../U------ Depth below inlet..._. ............ Total leaching area.... .........sq. ft. z Other Distribution box ( ` ) Dosing V�an ( ) p ` aPercolation Test Result, Performed by.____. _ �'.__; Date........................................ Test Pit No. 1. ----- per inch Depth of Test Pit____________________ Depth to ground water....................... 44 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water................... r+. Descripti of Soil.......0 -_....� t�I:H. ¢� �A � - �l -------------•---. rJ -•••-•-••••-•• ----�------1---------------oi . ......./..------ ...`J .....f�r�-..- ......-------- ,-_-.- .: 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 T i:'p 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. -�Signe - ^� .._..... a„ ,. ..--/-Date Application Approved BY � . ---`--------- =.. /!7.. ...--------------- Date Application Disapproved for the following reasons----------------•--- ---------------------------_-------•----------------------------.....--•---..............--- ...........................................................••-•-•-•••-•-•-••---•••-•---- Date PermitNo......................................................... Issued....................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF EALTH ............ r..........OF.................... ..... .................................... .... Tnrtifir tr laf T.omphFaurr �- TH'S�S TO CERTIFY, the ual Sewage Disposal System constructed ( ) or Repaired ( ) �.. /Yw G I tar ay '�' �: �I{t�i�e' J '} at . •` ® ,f e State Sanitar C de s scr e in the has been installed in accordance with the provisions of - t -- datedy-C d ).j`�application for Disposal Works Construction Permit No ______ ........___ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED—AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE.....:��N.`....7 --•-----------------•••-•--•-------•--------.... Inspector.... . THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH v� r....,lr. ........OF........... G6i' ............................................. � . No......................... FEE........ -••••---• ii i r�r a orb 'T omitr io- rr ` Permission ',1 e eby granted.. l� 'f -=....................... to Cons t ( or e r ( ). ndividual $e �agZsposal Sy ' at No.-•-•-•-•--- � ' •-•-- ` Street D r as shown on the application for Disposal Works Construction Pe �'�i'No.-_....:_ d_____/__..-.............--....._ . -------- . - ,• ! - ' > Board of Health DATE................................................................................ FORM 1255 HOBBS & WARREN. INC.. PUBLISHERS �.�-._0.4 __r--te0 £ 00 to io Lc � eft. EFF�c_Titl � Dot O \ 0° Qv m a J 54-•7°4- �o r t Ot •I tQST" ;!)Lf l� I SPC)sA L- .oz t E. � S.M17H }R• � b ,off x15�� .,{• OS eQezrz SSG �K)C R A ��ti i .r /40 � t o'PVc Sd DisT.B&C 4I.` 1 r ✓/ �^J �1n I d©OC'{ill,. 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I I,:2.1 .r�_. xt.....✓_... .e±. a' .. �' ... 4 5.._ _ :`_ f ti4r_• 6 t«, I— __ � i•,r -:L _$r_�.i:� - Lp rev +�a tK Ar do v 2 Zi 7-ov'r f\c dam . $T;N, . �sv>c L Z Gf ,N4 -� E. �o"y �3 -� 'ram U SMITH, JR 1 l5 7 F CONSTRUCTION NOTES MINIMUM 20" DIAMETER CONCRETE COTUIT, MA TOP OF SLAB MINIMUM 20" DIAMETER COVERS COVERS RAISED TO WITHIN 6" OF " FINISH GRADE OR AS NOTED 1. ALL WORK SHALL CONFORM TO THE STATE ENVIRONMENTAL CODE, TITLE 5 310 CMR 15.000 : EL=52.0± RAISED TO WITHIN 6 OF FINISH ( ) Sampson s e ) ( ) GRADE (OR AS NOTED) Mill Rood �o STANDARD REQUIREMENTS FOR THE SITING, CONSTRUCTION, INSPECTION, UPGRADE, AND EXPANSION OF ON-SITE SEWAGE TREATMENT AND DISPOSAL SYSTEMS AND FOR THE TRANSPORT EL=51.5± EL=51.1± LOCUS AND DISPOSAL OF SEPTAGE, AND THE LOCAL BOARD OF HEALTH REGULATIONS. e j �/\\�//�\�/ /, ,� � 2.) ANY SEPTIC SYSTEM COMPONENT INSTALLED IN A LOCATION WHERE THERE IS POTENTIAL FOR /i. /i. ,//�,� x o, /s, VEHICLES OR HEAVY EQUIPMENT TO PASS OVER IT SHALL BE DESIGNED TO WITHSTAND AN H-20 0 Hopewell LOADING. IF UNDER AN IMPERVIOUS SURFACE, SYSTEM SHALL BE VENTED TO THE ATMOSPHERE. GEOTEXTILE Lane 3.) TO MINIMIZE UNEVEN SETTLING, SEPTIC TANKS AND D-BOX SHALL BE INSTALLED ON A STABLE 50.8± 48.2± FABRIC Eisenhower MECHANICALLY-COMPACTED BASE ON SIX INCHES OF CRUSHED STONE. t Drive n El Nixon 4.) COVERS OVER THE INLET AND OUTLET TEES OF THE SEPTIC TANK, THE DISTRIBUTION BOX, AND J Avenue THE SOIL ABSORPTION SYSTEM SHALL BE RAISED TO WITHIN 6" OF FINAL GRADE. LEACHING 50.2± Q 49.6 48.17 F 48.0 FIELDS, TRENCHES, AND OTHER SOIL ABSORPTION SYSTEMS WITHOUT ACCESS MANHOLES SHALL \49.4 3/4" to SITE LOCUS 1 N 47.7 N 1-oubl STONE HAVE AT LEAST ONE (1) INSPECTION PORT CONSISTING OF PERFORATED 4" PVC PIPE PLACED NOT TO SCALE 00 I DB-3 ` (Double wash) VERTICALLY TO THE BOTTOM OF THE SOIL ABSORPTION SYSTEM WITH A CAP, TIED WITH MAGNETIC GAS BAFFLE____J H-20 Rated MARKING TAPE, ACCESSIBLE TO WITHIN 3" OF FINAL GRADE. TWO (2) 500 GALLON PRECAST 5.) PIPING SHALL CONSIST OF 4' SCHEDULE 40 PVC OR EQUIVALENT. PIPE SHALL BE LAID ON A D- BOX 45.7 CONCRETE LEACH CHAMBERS WITH 4' OF MINIMUM CONTINUOUS GRADE OF NOT LESS THAN 2% FROM THE BUILDING TO THE SEPTIC TANK, 11'± -} --15'± STONE ON ENDS AND 4' ON SIDES AND NOT LESS THAN 1% OTHERWISE. 1,000 GALLON �`-5' 5 1' 6.) DISTRIBUTION LINES FOR THE SOIL ABSORPTION SYSTEM SHALL BE 4" DIAMETER SCHEDULE 40 SEPTIC TANK PVC (OR EQUIVALENT) LAID AT 0.005 FT/FT. UNLESS OTHERWISE NOTED. LINES SHALL BE CAPPED (EXISTING) LEACH CHAMBERS AT END OR AS NOTED. FLOW PROFILE (END VIEW) 7.) LINES FROM THE DISTRIBUTION BOX TO BE LEVEL FOR THEE FIRST TWO (2) FEET BEFORE NOT TO SCALE EL=40,6 Bottom Test Hole PITCHING TO THE SOIL ABSORPTION SYSTEM. DISTRIBUTION BOX SHALL BE WATER TESTED TO ASSURE EVEN DISTRIBUTION. 8.) GROUT TO BE USED AT ALL POINTS WHERE PIPES ENTER OR LEAVE ALL CONCRETE STRUCTURES 1.) Assessor's Mop 39 Parcel 84 IN ORDER TO PROVIDE A WATERTIGHT SEAL. ---�� 2.) D1327767 9. HEAVY EQUIPMENT SHALL NOT BE ALLOWED TO OPERATE OVER THE LIMITS OF THE SEWAGE r L = 39.27' �t 3.) L.C. Plan 36319-C DISPOSAL FIELD DURING THE COURSE OF CONSTRUCTION OF THE SYSTEM. �,e R = 25.0' ��\ 4.) This property is in a Saltwater 10.) IN ACCORDANCE WITH 310 CMR 15.221, ALL SYSTEM COMPONENTS SHALL BE MARKED WITH ,' `, Estuary Protection District c� Z 5.) This property is in Flood Zone X MAGNETIC MARKING TAPE. 11•) THERE ARE NO KNOWN WELLS WITHIN 150' OF THE PROPOSED SOIL ABSORPTION SYSTEM. �� �� e eo` Qca� 12.) FROM THE DATE OF THE INSTALLATION OF THE SOIL ABSORPTION SYSTEM UNTIL RECEIPT OF �� e� �� ,e SAS. ` C' SYSTEM DESIGN CALCULATIONS THE CERTIFICATE OF COMPLIANCE, THE PERIMETER SHALL BE STAKED AND FLAGGED TO PREVENT °� - e e As• `�� A O� USE OF THE AREA 'THAT 'MAY CAUSE DAMAGE TO THE SYSTEM: �t`\�c,� /�� °p ��` `' __-_-_ �s� Ao• `� `6'� SEWAGE DESIGN FLOW REQUIRED: 3 BEDROOM DWELLING � 110 GPD / BEDROOM = 330 GPD REQUIRED Grove13.) THE DESIGNER WILL NOT BE RESPONSIBLE FOR THE SYSTEM AS DESIGNED UNLESS �Q�Q°� .-- °- J 56� ��\ oy ~�L� SEWAGE DESIGN FLOW PROVIDED: TWO (2) 500 GALLON LEACH CHAMBERS CONSTRUCTED AS SHOWN ON PLAN. ANY CHANGES SHALL BE APPROVED IN WRITING BY THE p WITH 4' STONE ON THE ENDS AND 4' STONE'-ON THE SIDES DESIGNER. �� `� `� % _ o Vt = [(25.0 x 12.83) + 2(25.0 + 12.83) (2) x ,74 :.349 GPD PROVIDED 14.) THE BOARD` OF HEALTH REQUIRES INSPECTION OF ALL CONSTRUCTION BY AN AGENT OF THE ,' ,d E ---== e Lot 15 0" BOARD OF HEALTH AND THE DESIGNER. THE DESIGNER SHALL CERTIFY IN WRITING THAT THE ' ' i _ -- '� 0.47+ SF `� 349 GPD PROVIDED > 330 GPD REQUIRED SEWAGE DISPOSAL SYSTEM WAS INSTALLED IN ACCORDANCE WITH THE TERMS OF THE PERMIT ee `►° '� \tee i t� House #7f , ^' S6 � f craves 3 Bedroom � SEPTIC TANK CAPACITY REQUIRED: 330 GPD X 200 AND THE `APPROVED PLANS. 48 HOURS ADVANCE NOTICE IS REQUESTED. ,e x`L )1 I Parking TOF = 47.5 ~-- `'-Y- 54 SEPTIC TANK CAPACITY PROVIDED: 1,000 GALLON SEPTIC TANK (EXISTING) 15.) LOCATION OF,, UTILITIES IS APPROXIMATE AND CONTRACTOR SHALL BE RESPONSIBLE FOR ,° �' t� I Slob Elev = A GARBAGE DISPOSAL IS NOT PERMITTED WITH THIS DESIGN FLOW DETERMINING THE LOCATION OF ALL UNDERGROUND AND OVERHEAD UTILITIES PRIOR TOr----- COMMENCEMENT OF ANY WORK. THIS INCLUDES, BUT IS NOT LIMITED TO, REQUESTS TO DIGSAFE, / ;�-i- � ---�``� peck ANY PRIVATE UTILITY COMPANIES, AND THE LOCAL WATER DEPARTMENT. Wooded TBtI ELT= soo J(5,.6) ST r`�1 \�-_____ 52 Argo Slab Elevation I - I (51,5) N 16.) CONTRACTOR SHALL VERIFY THAT ALL WASTELINES ARE CONNECTED BY WATER TESTING , i_�j (51.5� WITHIN THE DWELLING PRIOR TO INSTALLATION OF ANY SEPTIC COMPONENTS. 54 (51s) � DB �O) 25.0' 17.) CONTRACTOR SHALL VERIFY EXISTING INVERT ELEVATIONS PRIOR TO INSTALLATION OF ANY i ir�N ;� SAS SEPTIC SYSTEM COMPONENTS. ti. �� O i 0D ! l O O 4' 8.5' 8.5' 4' N Wooded 18.) TEST HOLES COMPLETED PER STATE ENVIRONMENTAL CODE, TITLE 5. SOILS CAN BE gas + / d 250 Tq� j t Area ��°• o -lJC 7 u Pi �6` O VARIABLE AND TEST HOLE DATA IS NO GUARANTEE OF SOIL CONDITIONS IN OTHER AREAS. IF o1 , See date - ab� 0.SOILS DIFFER FROM THOSE SHOWN IN THE SOILS LOGS, DESIGN ENGINEER IS TO INSPECT THE 52 g [ l SOILS PRIOR TO PROCEEDING WITH INSTALLATION OF ANY SEPTIC COMPONENTS. Wooded Area i i•> i•� 19.) EXISTING SEPTIC COMPONENTS TO BE LOCATED, PUMPED DRY, FILLED WITH CLEAN SAND AND Wooded ��' N ABANDONED IN PLACE OR REMOVED AS REQUIRED. AREA TO BE COMPACTED TO MINIMIZE SETTLING. �000 Area D-Box Test Hole #1 (EL=51.1±)ITEST HOLE LOGS Depth Elev. Layer Soil Class Soil Color Comments I CERTIFY THAT I AM CURRENTLY APPROVED BY THE 3 2 DEPARTMENT OF ENVIRONMENTAL PROTECTION 0"-8" 50.7 A Sandy Loamy 10YR PURSUANT TO 310 CMR 15.017 TO CONDUCT SOIL fi�eaXth of f. 8"-35„ /48.2 B Loamy Sand 10YR 5/6 EVALUATIONS AND THAT THE SOIL ANALYSIS HAS BEEN o �o PERFORMED BY ME CONSISTENT WITH HE REQUIRED '� 35"-126' 40.6 C Medium San TT T T Note: 2.5Y 6/3Scott A. �., TRAINING, EXPERTISE, AND EXPERIENCE DESCRIBED IN This plan is only valid for current regulations and may o McGann 310 CMR 15.017. 1 FURTHER CERTIFY THAT THE t� 1224 t not be suitable for future regulation changes that may occur- RESULTS OF MY SOIL EVALUATION AS INDICATED ON THE ATTACHED SOIL EVALUATION FOR , ARE ACCURATE da DATE OF TESTING: 12/20/18 Q i5 AND IN ACCORDANCE WITH 310 M 15.10 THRO H fs� SOIL EVALUATOR: SCOTT MCGANN e t BOARD OF HEALTH AGENT: DONALD DESMARAIS 15.107 r d 8a�', (o�"a��l� PERCOLATION RATE: LESS THAN 2 MIN/INCH (C Layer) Proposed Sewage Disposal System NO GROUNDWATER ENCOUNTERED Scott McGann, Certified Soil Evaluator 7 Eisenhower Road COtuit, MA Prepared for: Prepared by: Q GRAPHIC SCALE Carlos Deandrade All Cape Septic LLC 481 Buck Island Road #17E 618 Route 28 sa a t5 so 1. t50 West Yarmouth, MA West Yarmouth, MA 02673 777771 (508) 771-4200 IN FEET ) ollcopeseptic@gmail•com ( 1 inch = 30 ft. Date: 12/21/18 Sheet 1 of 1 By. MA Check: SM Project No. AC-160