Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Home
My WebLink
About
0179 LEWIS POND ROAD - Health
�179 �,ew�s PondkRoad�=, w l _t !'. �' c ;R�, ,��.��ay � AE y�- '620 i*05.6` 0lk +u s c-� _ - FROM :down cape engineering inc FAX NO. :15083629880 Apr. 12,2010 10:05AM P1 ���41�i__Jr�` .+_�.5 n�'a�'.f:'��'.5��yT ��T:"�Y.iit�..°.k.°,ti:� • •� TTnaarlawi F. C;ciker ffirector �nn+rrsraa�r�. � Division 'Fhomas McKean;,�Dnn•crt:t OT ",T)Main Streat,ilyaalnisl M.A.02606 Fax: 509-790-530d TlvdsUffleir&:.T)esigraicr(:".+er,hh-cafio u l[+ai>= 1(D .thc�: 6 d ya�r�va � co ttilnitx t`°�GiU - (v �:ao�s,waU�yea 1�1(s�p�I 1vo �1� Tnsrxl . ��' ( (! Utz � Address- / 1�f.1 � _� . ��alult!re7s: : �y. �L.` (,.v 1 - - -- -... or, j�/Z!l� r Pli�b 040rwss rss'ac,d a p urrilit Lo 141�lt.7.l�. septic system.at f O j _: based on a design dla.wn b- (address) dated ..... T ce tify that Eh.e septic Sy,tem:.re:ferenced itbcave Wais insiallled substrntially according to the desim, -Wilicll play 41013.de minor approved changes such as lateral relooatiou of the d.i.rstributi.ou box aiA/or. septic tank. I certii:y that die se111:ic.System. refercticed above was installed with ii4jor changes (i.e. greater than 10' lateral relocation of the 5.AS or any vertical relotallora of any coinpopent of the sep& systerrl)but in accordance with Statc & Local Regula(Tons. &'I.ar> 11"visial> or certified as-built by designer to Uow: ri OF IDANIEL,ti. �P oJALA JmLt .r':; 5igrtaialre) " CIVIL N No.46502 (L}csiglacr's /Sigtlartt_rrc) (Affix Dc:sigra •r's "13(anip TTere) PLE"I4.Cr1L+'. RE7f'U10 TO B/4R`dlti'1'A11lE F'U_BT.J. _lF�._i_,M,'J'E1 J.Diy.I.uY.oiN, C.ERT.N,G:+;ICATE .Oil," a'CYT-i6'I,TANC WlUL 1VlfA..BL_L_r"s4T.a..i� QiivTT:ii., ab4S'i']lJl '.t'1JJ¢• A,'0.9,Aj ANI) AS i�6iiL .�ARD ARE. - _.. .. BA10I 8TAA'l Ee i°;U1E IAC'HP-AA.T�r1D)rVj:Slfcnl�i.._��i'tTeAldll4:.'Y.�D�.7. et2:1aea1ttJ5e}�ti.cJlhsiencrCc�.ificat�ci1'o,ui3-26..(t4.,lc _ .. - TOWN OF BARNSTABLE LOCATION J SEWAGE#,40/4''06-3 .VILLAGE s ASSESSOR'S MAP&PAR/CEL INSTALLER'S NAME&PHONE NO.. fdi�, Ly'� SEPTIC TANK CAPACITY/,� GcL ' �- ),06® Cf( Ano Z40,j>-- LEACHING FACILITY:(type) ✓` L C'lJir y G,) (size)/Y NO.OF BEDROOMS OWNER` PERMIT DATE: / COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility 51 Feet Private Water Supply Well and1eaching 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 BYti! �/�a �hs��•�.,dr�i S r 0 0 - o 6 l<17' 17, ��, - No. �r✓l�/ v�✓ Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes ftpfitation for Misposal *pstem Construction Permit Application for a Permit to Construct( ) Repair(Upgrade( ) Abandon( ) 9<�Omplete System ❑Individual Components Location Adddr�ress or Lot No. `� �eW.�'� �0� Owner's Name,Address,and Tel.No. Assessor'oe s Mi4arcel ) jif/� X e-11 Installer's/Name,Address,and Tel.NN�o. y7- 71- Designer's Name,Address,and Tel.No. Type of Building: Dwelling No.of Bedrooms t 3 Lot Size sq.ft. Garbage Grinder( ® Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) 23L gpd Design flow provided 3 gpd Plan Date c Number of sheets _ Revision Date Title c,7 Q Size of Septic Tank 1,_5_2!�IP ��Q��pe of S.A.S. 7, Description of Soil 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 Board of alth. Xz5 SignedDate ® Application Approved by _ Date 5 ld Application Disapproved by Date for the following reasons Permit No. Date Issued J Z N. z!/(�/ /',�✓ _ Fee ' v THE COMMONWEALTH OF MASSACHUSETTS Entered it computer: PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes 2pplication for -Misposal Opstem Construction Permit Application for a Permit to Construct( ) Repair(4pgrade( ) Abandon( ) 91�/Omplete System ❑Individual Components LoV Addd�es�or Lot No. 1�?Gem/� �Oy� Ow,(nneer's Name,Address,and Tel.No. Assessor's 14arcel C© (�f/�f /tee`/ Installer's Name,Address,and Tel.No. '7 7i, Designer's Name,Address,and Tel.No. Type of Building: Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder(1-0 Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) J� gpd Design flow provided 3 , gpd Plan Date (� Number of sheets Revision Date Title J 5/' D! `� Size of Septic Tank e4�rpe of S.A.S. Z /Q�CY�� G Q/s9 Description of Soil /0 X 3-1�Al-T Nature of Repairs or Alterations(Answer when applicable) 'F �r 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 alth. Signed j' Date Application Approved by Date .fir!211d Application Disapproved by Date for the following reasons Permit No. � " 3 Date Issued J z „ THE COMMONWEALTH OF MASSACHUSETTS , BARNSTABLE,MASSACHUSETTS w Certificate of Compliance THIS IS TO CE IFY,that the On-site Sewage Di osal system Constructed( ) Repaired Upgraded( ) Abandoned(// )bye Q -g r at r/ 7 LLQA !' a 7 has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No.ZoID df7_dated Installer Designer 4�J�i�/ #bedrooms Approved desig gpd The issuance of thi permit shall not be construed as a guarantee that the system wil fanct 6 designe Date Z 6l2 Inspector ---------- ---------------------- - ----- --------------------'------------------ N . l ) /r ✓ J o THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION -BARNSTABLE, MASSACHUSETTS - imisposal *pStr Construction Permit Permission is hereby granted to Construct( ) Repair(�) U grade( 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:Consttructi must be completed within three years of the date of this permit. Date /a 12 9/y Approved by No. V Fee (/ THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS Yes ftpliLatlon for M1sposal 6pstrm: Construction Vertu Application for a Permit to Construct( ) Repair/Upgrade( ) Abandon( ) IE/Complete System ❑Individual Components Location Addressor Lot No. 7/� Owner's Name,Address,and Tel.No. Assessor's l ap/Parcel !( w G efgo / Ao l/ Ins ller's Name,Address,and Tel.No. Designer's Name,Address,and Tel.No. Type of Building: Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder( d Other Type of Building _/�(�j, !°�G No.of Persons Showers( ) Cafeteria( ) Other Fixtures -a Design Flow(min.required) esign flow provided /. gpd Plan Date ;?j 7—1A9 Number f sheets Redsion Date Title Size of Septic Tank �29 Gt Type S.A.S. Description of Soil Q Q 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 Bo th. � Si Date l Application Approved Date �dZ Application Disapproved by Date for the following reasons Permit No. Date Issued ,.. _. ..,-;,,,....:..�, rr;...•.>-.... ,.,,:r,,,,:..r,*..,,.�:�r"`i.sum-Y `."y""'�a�.ny.'^^a°r"".�"q'»'°""""".-W""r....,.---'...,.-.—..--'- .-•vra�:yw.nfis�.�t �«-.-....w . - y No.n�(/ �'Q lV / J•. 4, r Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION - TOWN-OF BARNSTABLE, MASSACHUSETTS Yes 2ppYitation for Misposai 6pstem Construction permit Application for a Permit to Construct( ) Repair Upgrade( ) Abandon( ) ®Complete System ❑Individual Components Location Address or Lot No. Owner's Name,Address,and Tel.No. Assessor's Map/Parcel 411 Ins Iler's Name,Address,and Tel.No. Designer's Name,Address,and Tel.No. . 771 Type of Building: Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder(/�© Other Type of Building e_M,!i) ewc e No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) 7- 7-0 d esign flow provided 3,3 gpd Plan Date 7 �Q Number f/sheets Re ision Date ,Title ,may/ 1®if /p (�GlJ OfJ 1 l Size of Septic Tank 5DD /- 24�;' bVWV Type S.A.S. Description of Soil �Q _j0 f' .r 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 d, Compliance has been issued by this Bo d-of Ile t 1 � �Sig�n Date J�//�)/0 Application Approved�by Date Application Disapproved by Date for the following reasons - Permit No. �i} /�� �'F7 Date Issued / e THE COMMONWE H OF MASSACHUSETTS BARNSTABLE, SSACHUSET, Certifitote oftiance THIS IS TO C RTIFY,that the On-site Sewage Disposal system Cons ted( ) Repaired( ) Upgraded( ) Abandoned( )by � at / 7� lj/o �(//'� ( iJ�/ I'M111—has been constructed in accor ce with the provisions of Title 5 and the for Disposal System Co ttaetierrPermit ated � /o r Installe /—�d/D / Designer _ OGUrI C��� #bedrooms Approved design flow gpd The issuance of this ermit shall not be construed as a guarantee that the system w'1 fUnItii?n as desiAetd•. Date 2 f �U Inspector 1/{/l't ! 7 rb- r No. C� OOr w w� Fee r�G THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION-BARNSTABLE,MASSACHUSETTS bisposal Opstem Construction permit Permission is hereby granted to Construct( ) Repair( � U grade( ) Abandon( ) System located at /7 Geram: CD�`u/'�- 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%mpleted within three years of the date of�this permit. Date �� ��1t� Appro\ved by Town of Barnstabk rb OF 0-31 TKE P i 1Depaa't met of Regulatory ServicesDARNETASM / /0 Date Public Health Division 46 ,�JA 200 Main Street,Hyannis MA 02601 9 Date Scheduled Time r Fee Pd. ` S J Foil Suitability Assessrizentfor Sewage isposal Performed By:' Dcq, Witnessed By: UOCATION IIli GEIN'+'JRAL 1 +ORt�rl[ i Tdl�.�� Location Address / e�IV �r7 Owner's Name I Address Assessor's Map/Parcel: `-�Q �® Cugiueer's'Namc W 6— NEW CONSTRUCTIONTelephone IfW REPAIR p Land Use• ��Ie �, Slopes(%) Z — ) ' Surface SLones ®VoN�O Distances from: Open Water Body.; s/ U fL Possible Wet Ares ff Drinking-Water Well IVA ft Drainage Way ft Property L•Ine ft Otlter It SKETCH' (&Teet name,dimensions of lot,exact locations of test holes&pert tests,locate wetlands 4n pronfildly to boles) 0,p Vo Parent material(geologic) �UTwRji�— - O(9 0 Depth�L,Bacb'ock, 3 Oo �;_.» _� ---Deptl:,do Greued.waie.r._S1:andingu atPr iu Finle:: N� _ Weenih¢,I'rotll Pit Roe Estimated Seasonal High Groundwater Pat)Lert-,;,, Method Used: Depth Observed standing in obs.hole: r�I�' In, Deptll t0 sgll U10l M: N/�) l0, Depth to weeping from side of obs.hole 1!L Or midwater Adf uslrrtent•,a fr. Index Well p Reading Date: Index Well level _ AdJ,hwtor _ A4).Groundwater Level 78 Observation }� ]PERCOLATIP 7CJ� r�' �3alt Alitllt �_._'! Holc#f '� I Time.tlt 9" Depth of Pere f� Tlme at 6" _ Start Pre-soak Time @ 0 _ Time(9"-6") End Pre-soak w RateMinJlnch G 2,W1IN ' SLe Suitability Assessment: Site Passed___ 5i1.�Failed: Additional Testing Needed(YIN) . �V Original; Public Health Division Observation Hole Data To Be Completed on Back--- ***If percolation test is to be conducted witllill 100' of Wedaand, you Ilnust filt'St UOtily UIC. Barnstable Conservatioll I)iVISi011 at least®Ile (I) weelc prior to beglHluing. QASEPTIC\PERCFORM.DOC -DI)E]E]P.oBsr',RVrkTY®N HOL +' ,.LOG Surfs from Sail Soil Ilorizon T,exlu Hole #' Surface(in,) , re ":5di1 Color f � ' it(USDA),. Soil: Other r •(Munsell) Mottling (Structure,Stones;Boulders, Con istenc %o ravel I D1E1CP ®BEERVA'�'ION H®Lr Surg,®G Depth from I-Tole # Surface Soil Horizon ce(in,) Soil Texture Soil Color (USDA) Soil (Mansell) Mottling (Structu e,her Stones, Boulders. d—ID �/� _Corsi tency %Ora% Al c I Depth from D1ElEP OBSRI[B VA TION JIO LlC L®G Surface Soil Soil Horizon #!_ (in.) Texture Soil Colo[ (USDA) Soil I (MunsGll) MottNn Other A g (Structure,Stones,Boulders. !�, �a' r •¢- L5 c �vI/o6� Co si to c O ve ] RRP OBS-ERVAITION MOLE L OG Depth from Soil Horizon Hole* Surface(in.) Soil Texture Soil Color --' (USDA) Soil Other (Mansell Mottpng (Structure,StpneS; Boulders, Consi ten a I i A+leo�1r�s�liasece)(late Ma Above 500 year flood boundary No Yes Within 500 year boundary No Yes Within 100 year flood boundary No ye's Depth o� I'�tutea¢u6&y Oer, Mr�!-n U*ViousMater!al Does at least four feet of naturally occurring pervious material exist in all areas observed thro area proposed for the soil absorption system? ughout the ff not, what is the depth of naturally occurring pervious material? p I<certify that on (date)%have passed the soil evaluator examination approved by the the regoir nt ofEnvironmenta].PI.OtectiOf 'and that the above analycjs,was performed by me consistent with 91te flegnired training, expertise and experience described in CIO CMR 15.017, Signature_ Q!\S.EPTIC\PEE CFORM.DOC 4 TOWN OF BARNSTABLE 02 g LXATON f'ot � SEWAGE #VILLAGE ��yT1°iT ASSESSOR'S MAP & LO b INSTALLER'S NAME& PHONE NO. I� /ANC© Svc SEPTIC TANK CAPACITY Al£ LEACHING FACILITY: (type) (size) NO. OF BEDROOMS BUILDER OR OWNER PERMITDATE: 7 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/6 n yy v D M THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE Appliration for Uiripooal Wor1w Tomitrurtion merit Application is hereby made for a Permit to Construct ( ) or Repair ( an Individual Sewage Disposal System at: ----------------------------- opt'�n 1dn•ss - or Lot No. .................................................................................................. ......................... -------•----........................... ,t O ncr Address Installer Address U. Type of Building Size Lot............................Sq. feet ,.t Dwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ---------------------------- No. of persons............................ Showers ( ) — Cafeteria ( ) Q, Other fixtures ............................... . . W Design Flow--------------------------------------------gallons per person per day. Total daily flow............................................gallons. Gd Septic Tank—Liquid capacity............gallons Length---------------- Width................ Diameter................ Depth................ Disposal Trench--No. .................... Width.................... .Total Length.................... Total leaching area....................sq. ft. 3 Seepage Pit No..................... Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) � Percolation Test Results Performed by.......................................................................... Date..........:............................. Test Pit No. I................minutes per inch Depth of Test Pit....--_-.--------- Depth to ground water........................ L% Test Pit No. 2................minutes per inch Depth of Test Pit.-----..---------.-. Depth to ground water........................ a ..................-.......................................................................................................................................... ODescription of Soil........................................................................................................................................................................ W V ........---•----------------•---............----------------------•••---•-----.......--•--•--------------•-----•------••-------•--•---------...-------•---------------...---..........----•-----.------ W ------•------------------- ........................................................................................ UNature of Repairs or Alterations—Answer when applicable....-.-:.. ��� --- .'�. ...... ... .s. ..... ........... 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 Complia e has been issued by, e board of health. Signed ..... .... ............. ..................:.....:.......................................... ................................� P/� Dale Application Approved B ....... �1 1. Z7F z%��-� ...... f.:...--Da,e ............ .... ............................... Dace Application Disapproved for the following reasons: ..................................... . ................................I ..... . .. .............................. ............................................� —............... ....... ............. .. ... . Dace Permit No. � G� ��� .. Issued ....�......./r....� ............ .. . � .- THE FOLLOWING IS/ARE THE BEST IMAGES FROM POOR QUALITY ORIGINAL (S) i M A- C(, � L DATA w,.��,.c..t.:�...s-•...ow..�i«-..W..r....'._.r,11..._..,�,--.......>a7....-..-�...-._..�...---.-.^-...a�.:N.�...-.�..�,.4�..�-�....:�........ti,..... �-�.. •_-_•..�.._d..�...•}.....-..i-.-�:...-1--...._._.v.'.- """"'.'`r.•`.-.da..,K:hra4( � 'dT No................___.._..' '� J Fxs...... .................... THE COMMONWEALTH OF MASSACHUSETTS ' / BOARD OF HEALTH v TOWN OF BARNSTABLEq Apphration for Bi►ipwml Wurk,3 Towitrurtiun ramit Application is hereby made for a Permit to Construct ( ) or Repair (. �-) an Individual Sewage Disposal System at: t ? ( .. ....!w. -- ---•------------••-•••�S � JetlO�r!!� (�•y �� �� J ..._..... 6: 'f rat...................••...... ----•••-•••---•- �-� Location-:\ddress or Lot No. ......................_......_.._..---......------...-•-------•-•--------•-•--••------•---------- -•----•-•---•. -----•-------- ------•••-••----...•-•-•-•......-...---........_ f� �J Owner Address Installer Address Type of Building Size Lot............................Sq. feet ..� Dwelling— No. of Bedrooms--------------------------------------------Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ............................ No. of persons---------------------------- Showers ( ) — Cafeteria ( ) QI Other fixtures ................................. . W Design Flow............................................gallons per person per day. Total daily flow............................................gallons. WSeptic Tank—Liquid capacity............gallons Length---------------- Width---------------- Diameter................ Depth................ x Disposal Trench--No. .................... Width.................... Total Length.................... Total leaching area....................sq. ft. 3 Seepage Pit No..................... Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) 1.4 Percolation Test Results Performed by__________________________________________________________________________ Date........................................ .,a Test Pit No. I................minutes per inch Depth of Test Pit.................... Depth to ground water........................ f% Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ �+ ------------------------------------------------------------------------------------•------------•••-.......... ............ 0 Description of Soil........................................................................................................................................................................ x w ••-•-•-----•.......................•-------•----•-•----------•••---•...._...........•-------------------------•---•...----------------•------------•--------------------------------..._...__.......---- ?� r h� / £ tf } F U Nature of Repairs or Alterations—Answer when applicable---------- ................................................................................ /r'e 5 ' Ll"t'll ....................••••---_..._._......._._......--_...__.....---_-....._•-•--••••-._..........._........_.__........------.....•.•-•----••----...._--•--•-_...........-•-----••-•-•---•-•-••-_-_...._. Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Environmental Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been issued by the board of health. t f- Signed ............................. ..... /.-- .Dace Application Approved By-....i�/.' q. ..- �'/_.,-'{.rr-"?�--- ----------------- �" ------------. ....: . ...Dare=�........... - �. - e' ... Application Disapproved for the following reasons: ........... ......................................:.................................................................................. / ` /� M..•�J �^ Date Permit No. ........�' 1:7........- ., r --- Issued ... Dare --------------------------------------------------------------------------- THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BAR�(�.r�1NSTABLE �Ertifi ate of (11ja plizinve THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired by /� t; , a C/��c c , ®�j,�✓f� t�— --! .. ..........t,._.._...... ............... ............. . . ........... " ..... '1 ................_ `.. .... _.... - l" nsrdlcr at ......... .. ...q.......... ...?. . ..5_.... -�.......� .�._._.....�......j_.._...... u�li.. T has been installed in accordance with the provisions of TITLE 5 of The State Environmental Code as described in the application for Disposal Works Construction Permit Nci ':'r. <.' 1.:_u''_ dated _ ` ":- �:�. - '. THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. �� J �DATE........................._...__-----/` _-..........-_.__...... Inspector ...; e THE.COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE No......... ................ FEs.__......_.............. Diupuual Workii Tonotrutilan rrutit Permissionis hereby granted....:......................................................................................................................................... to Construct ( ) or Repair ( ) an Individual Sewage Disposal System atNo...................................................................... ........................................ ------------------------------------------•-------------------•---_-•••--••--- street as shown on the application for Disposal Works Construction Permit No--------_---------- Dated........................................... ..............................................-•-----------•---•------•--•-••-•-•-------•••........... Board of Health DATE............. ---....-••-•-•--•-•-••-•--------.•---------------•----•-•••------- FORM 36508 HOBBS&WARREN,INC..PUBLISHERS s TOWN OF BARNSTABLE LOCATION 9 q S /10,4/3 SEWAGE # VILLAGE C oT,,,= ASSESSOR'S MAP & LO INSTALLER'S NAME&PHONE NO. SEPTIC TANK CAPACITY ' A-' I N COO LEACHING FACILITY: (type) (size) NO. OF BEDROOMS BUILDER OR OWNER PERMIT DATE: COMPLIANCE DATE: Separation Distance Between the: Feet Maximum Adjusted Groundwater Table to the Bottom of Leaching.Facility Private Water Supply Well and Leaching Facility (If any wells exist Feet on site or within 200 feet of leaching facility) Edge of Wetland and Leaching Facility,(If any wetlands exist Feet within 300 feet of leaching facility) Furnished by ys-L y4 0 0 TOWN OF BARNSTABLE � LOCATION—L"r) 1 )— 2 wl 3 00a k/�Z PT SEWAGE # ZOd VILLAGE C6t 7— ASSESSOR'S MAP LOT INSTALLER'S NAME & PHONE NO. A & B CANCO 775-6264 SEPTIC TANK CAPACITY o/�'�OLG1C 'Ll'of- Ind 1A G UZ4 /rCvii LEACHING FACILITY:(type) (size) NO.OF BEDROOMS PRIVATE WELL OR PUBLIC WATER BUILDER OR OWNER L tv �i rti DATE PERMIT ISSUED: DATE COMPLIANCE ISSUED- VARIANCE GRANTED: Yes No A i PfCk' TOWN OF BARNSTABLE MLq;ATION POAd SEWAGE # VILLAGE C-dr t — ASSESSOR'S MAP& LOT INSTALLER'S NAME&PHONE NO. SEPTIC TANK CAPAC=. 5 C. S ' LEACHING FACILITY: (type) SS I P► 1S (size) (�X NO.OF BEDROOMS 3 BUILDER OR OWNER'V�J PW4 . —Th-OAnn SAC(aW GeAA �0Dt T PERMTTDATE: 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 �ron'► h� log rf r 1 Q TOWN OF BARNSTABLE LOCATION 1"i I eWll POVl cJ SEWAGE# VILLAGE`` C 400 ASSESSOR'S MAP & LOT INSTALLER'S NAME&PHONE NO. SEPTIC TANK CAPACITY Sto�,,- S%4tv., LEACHING FACILITY: (type) ' C2 SwOb) (size) NO.OF BEDROOMS-3 BUILDER OR OWNER-Cvy Pcery —5e/�' &001 J, GIAA opeS PERMITDATE: 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 A�o1 a y i�g ro Pan C, a No. 7 Fee L./ 4 THE COMMONWEALTH OF MASSACHUSETTS Entered in computer.- PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS ZIpplication for Oigpozaf *p$tem Conttruction Permit Application for a Permit to Construct( )Repair( kjTJpgrade( )Abandon( ) ❑Complete System Zi ividual Components Location Address or Lot No. Owner's Name,Address and Tel.No. _rer. y;L o- S l7f .4 f AVIS pow,, TM 'if"£.1tfy Assessor's Map/Parcel CUT/T Zd-pS-() 17 5 .4 £rvzs Po-VI) e2� co'Tr Inst ler's NNm'Address,and Tel.No. Designer's Name,Address and Tel.No. f ('A/fieo gso 'l/41v rT— �'�'- Y14/e 5a8.9 ro 0 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 gallons per day. Calculated daily flow gallons. Plan Date Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. Description of Soil Nature of Repairs or Alterations(Answer when applicable) /'f f �L� C£ O U f%e �L o �✓ .4/ti Z 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 Certifi- cate of Compliance has been isr—ef by this Board of HeaWh. Signed d' Date O `,2- 47/ Application Approved _ Date _—�—er c Application Disapproved for the following-reasons Permit No. Date Issued_� = Fee t C� t THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS 3pplicat on for Digo.'ai *p.5tern Con!5truction Permit Application fof,a Permit to Construct( )Repair( /il'Upgrade(N Abandon( ) '�E]Complete System 0451vidual Components Location Address or Lot No. Owner's Name,Address and Tel.No. _ Gd' �� O • -G �� l7y �w,s r oti� j� Assessor's Map/Parcel Installer's Name.Add ress,and Tel No. Designer's Name,Address and Tel.No. t'14 /rc' Sog 7S -a PGc Type of Building: Dwelling No.of Bedrooms Lot Size sq. ft. Garbage Grinder( ) Other Type of Building s o.of P�rso! Showers( ) Cafeteria( ) Other Fixtures � „.: ,,_ Design Flow ^" gallons peVay. Calculat dd da"ily f py gallons. Plan Date NuAber�f shy is "'Revisiet• r Title Size of Septic Tank Type of S:A.S. Description of Soil Nature of Repairs or Alterations(Answer when applicable) C' 0 U 1 p lL G 6v .,4 Date last inspected: Agreement: a r The under-signed 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 Certifi- cate of Compliance has been iss' by this Board of HeaM. ` Signed Date Application Approved 1 —Date . - Application Disapproved for the following reasons Permit No. - ' Date Issued THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS (Certificate of (Compliance THIS IS TO CERTIFY, that the On-site Sewage Disposal System Constructed( )Repaired( L-Mpgraded( ) Abandoned( ' )by A �,e ( 411,,r© Isr, rW e at A, C g7_o/ T has been constructed in accordance with the provisions of Title 5 and the fpr,Disposal System Construction Permit A6!!n ��dated,�P—;R!.- L-5 4 Installer Designer The issua ce of this pe �'t all not be construed as a guarantee that the syst 11 f Z=designe r� Date Z f _ � Inspector No.�a�'�� —— --,—---—Fee A51 THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLE, MASSACHUSETTS xui5Poga1 *Pgtem Construction Permit Permission is hereby granted to Construct( )Repair( c_-),Upgrade( )Abandon( ) System located at 4,/ S rr=a w /� �� l'li7�_i% and as described in the above Application for Disposal System Construction Permit. The applicant recognizes his/her duty to comply with Title 5 and the following local provisions or special conditions. Provided: Construction must be completed within three years of the date of thi it. Date: Approved ' 1� F ">"����_ �`�" -✓se��,^.�', f � �r .""�t" ����`rc'�z�' ���'�`" '"��:1a!_�1 +t,w.. `a+.'`^ �:ice.�'-`. s. a�,�, _ r TOWN,OF BAR NSTABLE LOCATION &4) P-0 .. SEWAGE,# ZOd VILLAGE Cco7i-% . . ASSESSOR S'`MAP.& LOT Q Z —d'S INSTALLER'S NAME :PHONE NO..:... A &: B--CANCQ'.:. 775-6264 SEPTIC TANK CAPACITY ' OLd¢C .l,/ � /�!� "� G tJ£ LEACHING FACILITY.(type) (size) NO:OF BEDROOMS. PRIVATE WELL:,OR PUBLIC WATER BUILDER OR.OWNERt- g Y. .F DATE PERMIT,`ISSUEDzO� DATE COMPLIANCE ISSUED Z/Q( VARIANCE GRANTED Yes I�Tow. r - _ ,a 1 _ rd All' I . _ COMMONWEALTH OF MASSACHUSETTS EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAI,.R5 DEPARTMENT OF ENVIRONMENTAL PRO' 1 �N ONE WINTER STREET, BOSTON MA 02108 (617)292-550 CE�V�-O r0yv0a�N 1999 �/OjAB(F TRUDY COXE Secretary ARGEO PAUL CELLUCC[ ';DAVID B STRUHS Governor Commissioner SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION SEPTIC SYSTEM#1 Property Address: 179 Lewis Pond Road, Cotuit, MA Name of Owner: Ivy Perry, Thorlon Barrow& Gena Lopes Address of Owner: Date of Inspection: July 16, 1999 Name of Inspector: (Please Print) James M. Ford I am a DEP approved system inspector pursuant to Section 15.340 of Title 5(310 CMR 15.000) Company Name: James M. Ford F Mailing Address: P.O. Box 49, Osterville, MA 02655-0049 Map: Telephone Number: (508)862-9400 Parcel: 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 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: ✓ Passes Conditionally Passes Needs Further Evaluation the Local Approving Authority Fails Inspector's Signature: Date: July 27. 1999 The System Inspector shall sub t copy of this inspection report to the Approving Authority(Board of Health or DEP) within thirty(30)days of completing this inspection. If t e 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. NOTES AND COMMENTS revised 9/2/98 Page IofII Pruned on Recycled Paper SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address: 179 Lewis Pond Road, Cotuit, MA' Owner: Ivy Perry, Thorton Barrow& Gena Lopes ; Date of Inspection: July 16, 1999 INSPECTION SUMMARY: Check A, B, C, or D A. SYSTEM PASSES: ✓ I have not found any information which indicates that any of the failure conditions described in 310 CMR 15.303 exist. Any failure criteria not evaluated are indicated below. COMMENTS: B. SYSTEM CONDITIONALLY PASSES: One or more system components as described in the "Conditional Pass" section need to be replaced or repaired. The system, upon completion of the replacement or repair, as approved by the Board of Health, will pass. 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, unless the owner or operator has provided the system inspector with a copy of a Certificate of Compliance(attached)indicating that the tank was installed within twenty(20)years prior to the date of the inspection;or the septic tank, whether or not metal, is 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 complying septic tank as approved by the Board of Health. Sewage backup or breakout or high static water level observed in the distribution box is due to broken or obstructed pipe(s) or due to a broken, settled or uneven distribution box. The system will pass inspection if(with approval of the Board of Health) broken pipe(s)are replaced obstruction is removed distribution box is levelled or replaced The system required pumping more than four times a year due to broken or obstructed pipe(s). The system will pass inspection if(with approval of the Board of Health): broken pipe(s)are replaced obstruction is removed revised 9/2/98 Page 2ofII SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address: 179 Lewis Pond Road, Cotuit, MA Owner: Ivy Perry, Thorton Barrow& Gena Lopes Date of Inspection: July 16, 1999 C. FURTHER EVALUATION IS REQUIRED BY THE BOARD OF HEALTH: Conditions exist which require further evaluation by the Board of Health in order to determine if the system is failing to protect the public health, safety and 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 THE PUBLIC HEALTH AND SAFETY AND THE ENVIRONMENT: Cesspool or privy is within 50 feet of a surface water Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh. a 2) SYSTEM WILL FAIL UNLESS THE BOARD OF HEALTH (AND PUBLIC WATER SUPPLIER, IF ANY)DETERMINES THAT THE SYSTEM IS FUNCTIONING IN A MANNER THAT PROTECTS THE PUBLIC HEALTH AND SAFETY AND THE ENVIRONMENT: The system has a septic tank and soil absorption system(SAS)and the SAS is within 100 feet to a surface water supply or tributary to a surface water supply. The system has a septic tank and soil absorption system and the SAS is within a Zone 1 of a public water supply well. The system has a septic tank and soil absorption system and the SAS is within 50 feet of a private water supply well. The system has a septic tank and soil absorption system and the SAS is less than 100 feet but 50 feet or more from a private water supply well,unless a well water analysis 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 Method used to determine distance (approximation not valid). 3) OTHER revised 9/2/98 - . Page 3ofII w SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address: 179 Lewis Pond Road, Cotuit, MA Owner: Ivy Perry, Thorton Barrow& Gena Lopes Date of Inspection: July 16, 1999 D. SYSTEM FAILS: You must indicate either "Yes" or"No" as to each of the following: I have determined that one or more of the following failure conditions exist as described in 310 CMR 15.303. The basis for this determination is identified below. The Board of Health should be contacted to determine what will be necessary to correct the failure. Yes No Backup of sewage into facility or system component due to an overloaded or clogged SAS or cesspool. Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or clogged SAS or cesspool t. Static liquid level in the distribution box above outlet invert due town 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 pipe(s). Number of times pumped_. Any portion of the Soil Absorption System, cesspool or privy is below the high groundwater elevation. Any portion of a cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply. Any portion of a cesspool or privy is within a Zone 1 of a public well. Any portion of a cesspool or privy is within 50 feet of a private water supply well. Any portion of a cesspool or privy is less than 100 feet but greater than 50 feet from a private water supply well with no acceptable water quality analysis. If the well has been analyzed to be acceptable,attach copy of well water analysis for coliform bacteria, volatile organic compounds, ammonia nitrogen and nitrate nitrogen. E. LARGE SYSTEM FAILS: You must indicate either"Yes" or "No" as to each of the following: The following criteria apply to large systems in addition to the criteria above: The system serves a facility with a design flow of 10,000 gpd or greater(Large System)and the system is a significant threat to public health and safety and the environment because one or more of the following conditions exist: Yes No the system is within 400 feet of a surface drinking water supply the system is within 200 feet of a tributary to a surface drinking water supply the system is located in a nitrogen sensitive area(Interim Wellhead Protection Areav-IWPA)or a mapped Zone II of a public water supply well The owner or operator of any such system shall upgrade the system in accordance with 310 CMR 15.304(2). Please consult the local regional office of the Department for further information. revised 9/2/98 Page 4ofII • 3 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B CHECKLIST Property Address: 179 Lewis Pond Road, Cotuit, MA Owner: Ivy Perry, Thorson Barrow& Gena Lopes Date of Inspection: July 16, 1999 Check if the following have been done: You must indicate either "Yes" or "No" as to each of-the following: Yes No ✓ Pumping information was provided by the owner,occupant,or Board of Health. ✓ None of the system components have been pumped for at least two weeks and the system has been receiving normal flow rates during that period. Large volumes of water have not been introduced into the system recently or as part of this inspection. (House has been vacant) n/a As built plans have been obtained and examined. Note if they are not available with N/A. ✓ _ The facility or dwelling was inspected for signs of sewage back-up. ✓ _ The system does not receive non-sanitary or industrial waste flow. ✓ v The site was inspected for signs of breakout. ✓ — All system components,excluding the Soil Absorption System,have been located on the site. ✓ _ The septic tank manholes were uncovered, opened, and the interior of the septic tank was inspected for conditions of baffles or tees,material of construction, dimensions,depth of liquid, depth of sludge,depth of scum. The size and location of the Soil Absorption System on the site has been determined based on: ✓ Existing information. For example, Plan at B.O.H. ✓ _ Determined in the field(if any of the failure criteria related to Part C is at issue,approximation of distance is unacceptable) [15.302(3)(b)]. ✓ _ The facility owner(and occupants,if different from owner)were provided with information on the proper maintenance of SubSurface Disposal Systems. vi 9 re sed /2/98 Page 5ofl[ r SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION Property Address: 179 Lewis Pond Road, Cotuit, MA Owner: Ivy Perry, Thorson Barrow& Gena Lopes Date of Inspection: July 16, 1999 FLOW CONDITIONS ' RESIDENTIAL: Design flow: n/a g.p.d./bedroom. Number of bedrooms(design): n/a Number of bedrooms(actual): 3 House has 2 septic systems Total DESIGN flow n/a Number of current residents: 0 Garbage grinder(yes or no): No Laundry(separate system) (yes or no): _; If yes, separate inspection required_ Laundry system inspected(yes or no): -Laundry is on the single cesspool Seasonal use(yes or no): No Water meter readings, if available(last two yeargs usage(gpd): Not available-per Water Department Sump Pump(yes or no): No Last date of occupancy: Unknown COMMERCIAL/INDUSTRIAL: Type of establishment: Design flow: mA(Based on 15.203) Basis of design flow Grease trap present: (yes or no) _ Industrial Waste Holding Tank present: (yes or no) Non-sanitary waste discharged to the Title 5 system: (yes or no) _ Water meter readings,if available: Last date of occupancy: OTHER: (Describe) Last date of occupancy: GENERAL INFORMATION PUMPING RECORDS and source of information: None on file-per treatment plant. System pumped as part of inspection(yes or no): No If yes, volume pumped: gallons Reason for pumping: TYPE OF SYSTEM Septic tank distribution box/soil absorption system Single cesspool ✓ Overflow cesspool Privy Shared system(yes or no) (if eyes,attach previous inspection records,if any) I/A Technology etc. Attach copy of up to date operation and maintenance contract <• Tight Tank Copy of DEP Approval Other APPROXIMATE AGE of all components,date installed(if known)and source of information: Unknown Sewage odors detected when arriving at the site: (yes or no) No revised 9/2/98 Page6ofII SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: 179 Lewis Pond Road, Cotuit, MA Owner: Ivy Perry, Thorton Barrow& Gena Lopes Date of Inspection: July 16, 1999 BUILDING SEWER: _ (Locate on site plan) Depth below grade: Material of construction: _cast iron _40 PVC _other(explain) Distance from private water supply well or suction line Diameter Comments: (condition of joints, venting, evidence of leakage, etc.) SEPTIC TANK: None (locate on site plan) Depth below grade: Material of construction: _concrete _metal _Fiberglass _Polyethylene _other(explain) If tank is metal, list age_ Is age confirmed by Certificate of Compliance_(Yes/No) Dimensions: Sludge depth: Distance from top of sludge to bottom of outlet tee or baffle: Scum thickness: Distance from top of scum to top of outlet tee or baffle: Distance from bottom of sctun to bottom of outlet tee or baffle: How dimensions were determined: Comments: (recommendation for pumping, condition of inlet and outlet tees or baffles,depth of liquid level in relation to outlet invert, structural integrity, evidence of leakage,etc.) GREASE TRAP: None (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: (recommendation for pumping, condition of inlet and outlet tees or baffles, depth of liquid level in relation to outlet invert, structural integrity, evidence of leakage,etc.) 4 revised 9/2/98 " Page 7ofII r SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: 179 Lewis Pond Road, Cotuit, MA Owner: Ivy Perry, Thorton Barrow& Gena Lopes Date of Inspection: July 16, 1999 TIGHT OR HOLDING TANK: None (Tank must be pumped prior to,or 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: Alarm level: Alarm in working order: Yes No Date of previous pumping: Comments: (condition of inlet tee, condition of alarm and float switches, etc.) DISTRIBUTION BOX: None (locate on site plan) Depth of liquid level above outlet invert: Comments: (note if level and distribution is equal,evidence of solids carryover, evidence of leakage into or out of box;etc.) PUMP CHAMBER: None (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.) revised 9/2/98 Page 8ofII SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: 179 Lewis Pond Road, Cotuii, MA Owner: Ivy Perry, Thorton Barrow& Gena Lopes Date of Inspection: July 16, 1999 SOIL ABSORPTION SYSTEM(SAS): ✓ (locate on site plan, if possible;excavation not required, location may be approximated by non-intrusive methods) If not located,explain: Type: leaching pits, number: 1 -6'x 6' leaching chambers, number: leaching galleries,number: leaching trenches,number, length: leaching fields,number, dimensions: overflow cesspool, number: Alternative system: Name of Technology: Comments: (note condition of soil, signs of hydraulic failure, level of ponding, damp soil, condition of vegetation, etc.) The pit was dry and there were no signs of failure. The bottom to grade was 8'. CESSPOOLS: ✓ (locate on site plan) Number and configuration: 1 with overflow Depth-top of liquid to inlet invert: -- Depth of solids layer: 4" Depth of scum layer: 1" Dimensions of cesspool: 6'x 6' Materials of construction: Precast Indication of groundwater: None inflow(cesspool must be pumped as part of inspection). Comments: (note condition of soil, signs of hydraulic failure, level of ponding,condition of vegetation,etc.) The cesspool had 3'of water on the bottom. The bottom to grade was 8'. PRIVY: None - (locate on site plan) Materials of construction: Dimensions: Depth of solids: Comments: (note condition of soil, signs of hydraulic failure, level of ponding,condition of vegetation,etc.) revised 9/2/98 Page 9ofII SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: 17P Lewis Pond Road, Cotuil, AM Owner: Ivy Perry, Thorson Barrow& Gena Lopes Date of Inspection: July 16, 1999 Map: Parcel: SKETCH OF SEWAGE DISPOSAL SYSTEM: include ties to at least two permanent reference landmarks or benchmarks locate all wells within 100' (Locate where public water supply comes into house) qy yq H revised 9/2/98 Page 10of 11 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: 179 Lewis Pond Road, Cotuit, MA Owner: Ivy Perry, Thorton Barrow& Gena Lopes Date of Inspection: July 16, 1999 NRCS Report name Soil Type Typical depth to groundwater USGS Date website visited - Observation Wells checked Groundwater depth: Shallow Moderate Deep SITE EXAM Slope Surface water Check Cellar P Shallow wells Estimated Depth to Groundwater 25 +/- Feet Please indicate all the methods used to determine High Groundwater Elevation: Obtained from Design Plans on record Observed Site(Abutting property,observation hole,basement sump etc.)' ✓ Determined from local conditions Checked with local Board of Health Checked FEMA Maps Checked pumping records Check local excavators, installers ✓ Used USGS Data Describe how you established the High Groundwater Elevation. (Must be completed) R Using the Barnstable topographic and water contours maps, the maps were showing approximately 25' +/- to groundwater at this site. ti This report has been prepared and the system inspected and passed as of the date of inspection. This report is not a warranty or guarantee that the system will function properly in the future. There have been no warranties or guarantees, either expressed, written or implied, relating to the system, the inspection and/or this report. revised 9/2/98 Page II of II { t t. TRAITS. NO.: CITY/TOWN- �T� �- APPLICANT: 011� ADDRESS: % le! DESIGN FLOW: Z�z� / 3��>n w. � bpd REVIEWED BY: DATE: ,,{{��11 yy,, N/A OK 1 dO V�.V�1�JhL'� , ..y�r rl ti"r"F• 4[c, 4 t : 7i i ka o,I�.�'� er1 �g,,,ty.r:o t l 7 Legal boundaries denoted [310 CMR 15.220(4)(a)] Street, Lot, tax parcel number and lot number noted on plan [310 CMR 15.220(4)(u)] Locus Provided [310 CMR 15.2204(t)] Plan proper scale? (1"=40' for plot plans, 1"=20' or fewer for components) [310 CMR 15.220(4)] Easements shown [310 CMR 15.220(4)(b)] System located totally on lot served [310 CMR 15.405(1)(a) for upgrades]- if not, a variance is required [310 CMR 15.412(4)] Location of impervious surfaces (driveways,parking areas etc.) [310 CMR 15.220(4)(d)] Location all buildings existing and proposed 310 CMR 15.220(4)(c)] Location and dimensions of system components and reserve areas. [310 CMR 15.220(4)(e)] System Calculations [310 CMR 15.220(4)(f)] daily flow septic tank capacity(required and provided) soil absorption system (required and provided) whether system designed for garbage grinder North arrow [310 CMR 15.220(4)(g)] Existing and proposed contours [310 CMR 15.220(4)(g)] Location and log of deep observation holes (existing grade el. on each test) [310 CMR 15.220(4)(h)] Names of soil evaluator and BOH representative [310 CMR 15.220(4)(h) and (i)] 1// Location and date of percolation tests (performed at proper elevation?) [310 CMR 15.220(4)(i)] Percolation test results match loading rate? [310 CMR 15.2421 Certification statement by Soil Evaluator [310 CMR 15.220(4)0)] Observed and Adjusted groundwater (method for adjustment / given or indicated) [310 CMR 15.103(3) and 310 CMR 15.220(4)(n)] l Address Sheet 1 of 7 N/A. OK NO Location of every water supply,public and private, [310 CMR 15.220(4)(k)I within 400 feet of the proposed system location in the case of surface water supplies and gravel packed public water supply within 250 feet of the proposed system location in the case within 150 feet of the proposed system location in the case of private water supply wells Location of all surface waters and wetlands located up to 100 ft. beyond setbacks listed in 310 CMR 15.211 and any catch basins located within 50 ft. [310 CMR 15.220(4)(1)] Water lines and other subsurface utilities located[310 CMR 15.220(4)(m)] (if water line cross see 310 CMR 15.21l(1)[11) Profile of system showing invert elevations of all system components and the bottom of the SAS [310 CMR15.220(4)(o)] Stamp of designer [310 CMR 15.220(1) and 310 CMR 15.220(2)] rapproved egistered Land Surveyor (required if construction / within 5 ft. of lot line) [310 CMR 15.220(3)] ✓ s adequate (two in each of the primary and reserve / nches as permitted in 310 CMR 15.102(2) or as for an upgrade under LUA at 310 CMR 15.405(1)(k)] adequate to demonstrate four feet of suitable material?R 15.103(4)] Test Holes adequate to confirm adequate groundwater separation? [310 CMR 15.103(3)] Benchmark within 50-75' of system [310 CMR 15.220(4)(q)] Materials specifications noted? [various sections of 310 CMR 15.000] System components not> 36" deep (unless Local Upgrade Approval or LUA requested) [310 CMR 15.405(1(b)] Address Sheet 2-of 7 N/A OK N0 r.i1v li Lv. . NNW Size OK? [310 CMR 15,223(1)] Inlet tee located ten inches below flow line [310 CMR 15.227(6)] Outlet tee 14" or 14" + 5" per foot for increase fL depth [310 CMR 15.227(6)] Outlet tee with gas baffle or approved filter [310 CMR 15.227(4)] Note regarding installation on stable compacted base [310 CMR 15.228(1)] Separation between inlet and outlet tees (no less than liquid depth) [310 CMR 15.227(2)] Inlet/Outlet elevations at least 12" above high groundwater / (except as described 310 CMR 15.227(5)) or permitted for upgrades under LUA [310 CMR 15.405(1)(k)] Minimum cover 9" (Tanks buried more than 9" must have risers / on all openings and on the d-box) [310 CMR 15.2228(1) and 310 •/ CMR 15.232(3)(f)] Three access covers (inlet and outlet must be 20" or greater) - middle access at least 8" (by 7/07) [310 CMR 15.228(2)] Access to within 6 " of grade - one port for systems<1000gpd, two for systems>1000 gpd [310 CMR 15.228(2)] All at-grade covers secured to unauthorized access? [310 CMR 15.228(2)] > 10 ft from building foundation [310 CMR 15.211(1)] Buoyancy calculation Required/Done [310 CMR 15.221(8)] H-20 Where appropriate? [310 CMR 15.226(3)] Setbacks from resources [310 CMR 15.211] y"f JiW aF1"3FPf7f cf'MRF,•"..\4WC 'l .� (/ r. F t t r,:. YF I �al� oaarpayenks Pr. �" 1;'}� dx;�r� Required when other than single-family dwelling or flow>1000 gpd [310 CMR 15.223(1)(b)] First compartment 200% daily flow; Second compartment 100% daily flow [310 CMR 15.224(2) and (3)] "U" pipe through or over baffle, outlet of each compartment with gas baffle or approved filter [310 CMR 15.224(4)] Address Sheet 3 of 7 j� I A OK N O Located at least ten feet from any water line? [310 CT AR ✓ -Jr- 15.222(2)] i Disposal piping at least 18" below water line (when water and sewer cross, see 310 ChM 15.211(1)[11) Cleanouts required/provided? [310 CMM 15.222(8)] Vol Thrust blocks specified in force mains? 310 CMR 15.221(6)(c)] Slope of sewer line not less than 0.01 (1/8"/fi) 0.02 preferable [310 CMR 15.222(6)] Proper pitch on all runs? (.005 within gravity-distributed trenches and beds) [310 CMR 15.251(9) and 310 CMR 15.252(2)(c)] Siphon problem/ (leachfield below pump chamber) Endcaps or vent manifold specified? Size and orientation of discharge holes specified? (not smaller / than 3/8" not larger than 5/8") [310 Ma 15.251(8) and 310 / CMR 15.252(2)(h)] Materials specified (310 CMM 15.251(5) specifies various pipe- types allowed) Stable comp acted base [310 CMM 15.221(2) and 310 CMR 15.232(2)(a)] Splash plate or baffle tee required on inlet/provided? (when pressure sewer to d-box or steep pitch of gravity sewer) [310 CMM 15.323(3)(a)] Riser if deeper than 9" [310 CMM 15.232(3)(f)] Inside minimum dimension 12" [310 CMR 15.232(2)(U)] Minimum sump 6" [310 CMR15.232(3)(e)] Watertight cover if<2000gpd); waterproof manhole if>2000gpd [310 CMR 15.232(3)(d)] M"""ge above working--design flow)? [310 CMR 231(2)] Proper setbacks [310 CMM.15.211 (same as septic tanks)] Watertight 20-in minium access manhole at least 20"MUST BE TO GRADE [310 CMR 15.231(5)] Ldiscom-lects components accessible(not too deep with piping, accessible) oats - alarm on circuit separate from pumps specified? Exceeds two units inust have two pumps operating in lead-lag mode. [310 CMM 15.231(6) and(8)] Stable Compacted Base [310 CMR 15.221(2)] Jill Buoyancy calculations needed?Provided? [310 CMR 15.221(8)] Address Sheet 4 of 7 OK NO 1Lr�_BSOPIQll�fS;'S�EI% ( ) +�1A� ,�1� Calculations correct? 4 feet of naturally occurring material demonstrated? [310 CMR �r l� 15.240(l)] So Required separation to groundwater? [310 CMR 15.212)] Aggregate specified as double washed [310 CMR 15.247(2)] System Venting required/provided? (system under driveway or >36" deep) [310 CMR 15.241] . Inspection ports specified and within 3"final grade? [310 CMR 15.240(13)] Breakout requirements met? (No violation of breakout elevation within 15 ft of SAS unless barrier) [310 CMR 15.211(1)[41 and Guidance Document] A]LL]Ek SITUTO Chambers and Gal. in trench configuration supplied with inlet every 20 ft. [310 CMR 15.253(6)] Each structure with one inspection manhole(if>2000 gpd must be to grade) [310 CMR 15.253(2)] Aggregate I'minimum- 4'maximum. [310 CMR 15.253(1)(b)] 2' sidewall credit maximum [310 CMR 15.253(1)(a)] In bed configuration, inlet every 40 sq. ft. [310 CNIR 15.253(6)] Width 2'minimum 3'maximum [310 CMR 15.251(1)(b)] 100 feet-maximum length [310 CMR 15.251(1)(a)] Minimum separation 2x effective depth or width whichever greater (3x if reserve between trenches) [310 CMR 251(1)(d)]. Situated along contours [310 CMR 15.251(2)] Breakout OK? [310 CMR 15.211(1)[4] and Guidance Document] �E� S � iffi zkco o� fel" 5000Room minimum 2 distribution lines [310 CMR 15.252(2)(a)] Maximum separation between lines 6' [310 CM R15.252(2)(d)] Maximum separation between lines and outside ofbed 4' [310 CMR 15.252(2)(e)] Aggregate depth below discharge pipes 6" minimum, 12" maximum. [310 CMR 15.252(2)(g)] Separation between beds 10'minimum. [310 CMR 15.252(2)(f)] Bottom area used in calculations only [310 CMR 15.252(2)(1)] Address Sheet 5 of 7 ry� ''fi�nn p��T7 77a�••TTcC�� �7 # N/A. OK NO .t'tlx`1�;:T1V,?;„ Pressure Dosed System ? Provided pump and piping calculations as required [310 CMR 15.220(4)(r)] Pressure dosing required on all systems>2000gpd or alternative , systems under remedial approval [310 CMR 15.25412) and I/A Remedial Use Approvals] If used in gravelless system-make sure jet is directed as not to / scour soil interface [Guidance Document] Inspections once per year(systems<2000 gpd) or quarterly (>2000gpd) good to note on plan [310 CMR 15.254(2)(d)] Construction in fill -Did the plan specify that the fill shall meet the specification of 310 CMR 15.255(3)? Impervious barrier and/or retaining wall ? [Guidance Document] Impervious barrier installation must be supervised by designer [310 CMR 15.255(2)(b)] Retaining wall must be designed by Registered Professional Engineer [310 CMR 15.255(2)(a)] Side slope not exceed 3:1 ? [310 CMR 15.255(2)1' Breakout requirements met? [310 CMR 15.252(2) and. Guidance Document] At least 5 ft. from impervious barrier to edge of SAS (10 ft. recommended) [310 CMR 15.255 (2)(e)] ' ��,�„elXess;�ys er9a (, ..� �,�.�rao � e.teas :, •�. Cara: Check DEP Approval letters for credits and design conditions If used with pressure dosing do not allow pressure discharge to scour soil interface f earesay e l<c�YsPr` oval Was DEP Approval Letter provided and/or have you reviewed the letter for conditions? Is the technology being properly applied and does it meet all DEP Approval Conditions? Is there a note on the planregarding the requirement for perpetual maintenance agreement? Any alarms involved on separate circuits Did the applicant submit an operation and maintenance manual? Has applicant submitted a copy of a maintenance EMIR Are the variances listed on the plan? [310 CMR 15.220 (4)(q)] RLS Stamp necessary on plan if a component is within five feet of property line [310 CNIR 15.412(4)] New construction or increased flow proposed- [Refer to 310 CMR 15.4141 Sheet 6 of 7 Address N/A ®K NO 14lzf�ogera,Se�t�atzve t(F ea,s� ,,., n a Is the system in a Designated Nit rogen Sensitive Area(Zone II for . a public supply well)? [310 CMR 15.214, 310 CMR 15.215 and 310 CMR 15.216 - also refer to Policy regarding upgrades of,such existing systems] Is the system proposed on the same lot as served by private well [310 CMR 15.214(2)] Are the nitrogen loads proposed in compliance? [310 CMR 15 216(1)] K Pumping to septic tank ? [ 310 CMR 15.229] Shared System [310 CMR 15.290] b Address Sheet 7 of 7, I SYSTEM PROFILE PROVIDE MIN. 20" DIAM. WATERTIGHT (NOT TO SCALE) O ACCESS COVERS TO WITHIN 6" OF FIN. GRADE CONCRETE COVERS TO WITHIN 3" GRADE \ TOP FOUND, EL. 42.6' o� 36.0' MINIMUM .75 0' OF COVER OVER PRECAST 2" PEASTONE OR GEOTEXTILE 2% SLOPE REQUIRED OVER SYSTEM 39.0' - 40. FILTER FABRIC OVER STONE r� MIN. 8" DIAM. �O PRECAST H-10 COVER PROP. TEE p o RISERS (TYP.) Lewis Pond °a 2'o 4"OSCH40 PVC SO 0 Cb PIPES LEVEL 1ST 2' BLOCKS OR f 41 �a / * 10" ta" MORTAR ALL PRECAST RISERS Locus School 39't H-10 TEE 1500 GAL H-10 TEE i Q 4' COMPONENTS Locus St. O (FRONT) 33.0' 32.75 (TYP.) V' 36.17' SEPTIC TANK c� ENDS SIDES EL. 37.0' 4' LIQ. LEVEL o"000000000°o°o°o° °o�UOc i GAS BAFFLE 2 0 00 o c °0'o 0 0 °• rr2 . o O O O p oy°�°_°p°o�p°GAS BAFFLE & ° ° ° ° ° ° o ° o ° ° o0 0 ° 0 ° ACME OR EQUAL o 0 0 0 0 0 o cTUF-TITE EF-4 "°"°"°"°"° En 0 �� ]E�R 08°on -0 -��E2(] 'o°o°o°o- �0000000o O O O O 0 0 OO O °p°O°o 000°o°oEFFLUENT FILTER 36.48 36.31 0°0°°°°° D�J�OCI���� °°°o°0 ������� >o°o°o°o°°o°°°° oaaoaooa- °°000000moml�a '°°°°°°o°>0000000° 0000°o ,°o°000°o11 (OR EQUAL) 0 6" MIN. SUMP N o 0 0 0 °°°°0000°° °°°°O°o° EL. 34.17' She//�� B/� 0 0 0 0 0 0 0 0 0 0 o c ° ° ° ° O O O O O O O O O O O O �o°o°o°o° oo°o°o 00000000 00000000000000000000000c 12" MIN. INT. DIM. ° ° o ° ' ° ° o o ° err ff o n n n n n n n n n n r 6" CRUSHED STONE OR MECHANICAL H-10 500 GAL. LEACHING CHAMBER BY ACME PRECAST OR EQUAL. �- 34'f* COMPACTION. (15.221 [2]) (2) UNITS REQUIRED Pipe i ge 3/4"-1-1/2" DOUBLE WASHED STONE (R ) OVERALL DIMENSIONS TO OUTSIDE OF STONE: 30' X 9.83' 3 NOTE 25.6' LOCUS MAP (SEE NOTE) ( 2.5� SLOPE) ( 1 sLOPE) ( 1 % SLOPE) NOT TO SCALE (REAR) 40' SEPTIC TANK 4 PUMP 19, D LEACHING BOX 16' FACILITY 31.0' BOTTOM TH-1 & 2 ASSESSORS MAP 20 PARCEL 56 FOUNDATION CHAMBER (FRONT) 82' G-W EST. AT 8.6' (POND ELEV. SHOT) ( 7.3 SLOPE) *THE INSTALLER SHALL VERIFY THE LOCATIONS OF ALL UTILITIES AND ALL ***INSTALLER SHALL CONFIRM SUITABLE BUILDING SEWER OUTLETS AND ALARM AND CONTROL PANEL PROVIDE MIN. 20" DIAM. WATERTIGHT SOILS AND NO WATER FOR 5' BENEATH SAS ELEVATIONS PRIOR TO INSTALLING ANY To BE INSTALLED INSIDE PRIOR TO INSTALLATION OF ANY PORTION OF PORTION OF SEPTIC SYSTEM BUILDING. ALARM TO BE ON 36 0� f ACCESS COVER TO FIN. GRADE SEPTIC SYSTEM. SEPARATE CIRCUIT FROM PUMP INV. 1N 32.70' SYSTEM STEM DESIGN" 1000 GAL. H-10 S 2" PRESSURE LINE 700 GAL.+ SLOPE TO DRAIN BACK TO PC ALARM ON RESERVE 0.25" WEEP HOLE GARBAGE DISPOSER IS NOT ALLOWED FLOAT SWITCH SETTINGS: PUMP ON CHECK VALVE DESIGN FLOW:--2-BEDROOMS ® 110 GPD = 220'GPD 4" WORKING RANGE 8' MYERS SRM 4 4 SUBMERSIBLE 4/10 HP PUMP USE A 220--GPO'••"DESIGN FLOW PUMP OFF 8" SYSTEM (OR EQUAL) SEPTIC TANK: 220 GPD O 2 = 440 - CRUSHED (i0ECHANICAL NOTES USE (1) 1500 GAL. SEPTIC TANK & PUMP CHAMBER COMPACTION. (15.221 [2]) USE (1) 1000 GAL. PUMP CHAMBER (NOT To SCALE) 1. DATUM IS APPROX. NFVD (GIS) �.' 2. MUNICIPAL WATER IS EXISTING LEACHING: ' SIDES: 2 (30 + 9.83) 2 (.74) = 118 GPD 3. MINIMUM PIPE PITCH TO BE 1/8" PER FOOT. BOTTOM 30 X 9.83 (.74) = 218 GPD 4. DESIGN LOADING FOR ALL PROPOSED PRECAST UNITS To BE AASHO H-M TOTAL: 454 S.F. 336 GPD 5. PIPE JOINTS TO BE MADE WATERTIGHT. USE (2) 500 GAL. LEACHING CHAMBERS (ACME OR EQUAL) 6. CONSTRUCTION DETAILS TO BE IN ACCORDANCE WITH WITH 2.5' STONE AT SIDES, 4' AT ENDS AND 5' 310 CMR 15.000 (TITLE V.) BETWEEN UNITS 7. THIS PLAN IS FOR PROPOSED WORK ONLY AND NOT TO BE USED FOR LOT LINE STAKING OR ANY OTHER i PURPOSE. MA 8. PIPE FOR SEPTIC SYSTEM TO SCH. 40-4" PVC. APPROVED DATE BOARD OF HEALTH 9. COMPONENTS NOT TO BE BACKFILLED OR CONCEALED WITHOUT INSPECTION BY BOARD OF HEALTH AND PERMISSION OBTAINED FROM BOARD OF HEALTH. LEWIS POND ROAD 10. CONTRACTOR SHALL BE RESPONSIBLE FOR CALLING DIGSAFE (1-888-344-7233) AND VERIFYING THE _ _ -- ---« 38 7 LOCATION OF ALL UNDERGROUND & OVERHEAD UTILITIES -- -"-" - - 738.69� 38.7 PRIOR TO COMMENCEMENT OF WORK. 38133�38-�'8"-"- - 38.7 38.68 W x 4').43 11. ANY UNSUITABLE MATERIAL ENCOUNTERED SHALL BE zi 125.00' REMOVED 5' BENEATH AND AROUND THE PROPOSED 138.81 I LEACHING FACILITY. I 12. EXISTING LEACHING FACILITY SHALL BE PUMPED AND 12 o I x40. 7 REMOVED OR PUMPED AND FILLED WITH CLEAN SAND. ' x 38.41 38 I 13. INSTALLER TO CONFIRM SUITABILITY of ELECTRICAL x 8.40 SP I o I SYSTEM FOR PUMP INSTALLATION I � I x 38. P 139.39 x .97 39.32 0 1 " O t I I I I a G x 9.68 I -g9-- 15x 40.09 TWIN 10" x 4 . OAK CID I +1 59 SHED TEST HOLE LOGS xl 0.13 .35 SLEEVE SEWER LINE FOR 10' EITHER SIDE OF TH 2 -� CROSSING WITH WATER LINE .93 TH 1 040.5 I ARNE H. OJALA, PE, SE .03 FLAG I OVERHEAD ELECTRIC LINES ENGINEER: POLE H WITNESS: 40.52 4 DAVID W. STANTON, RS PO I DATE: FEBRUARY 26, 2010 o ' SAVE TREE (PER OWNER) < 2 MIN/INCH _ 1 DECK .0. / PERC. RATE _ x 4 .81 x 40.66 40.98 I x 1.0, CLASS I SOILS P# 12840 GUY WIRE 4 83, 14 PROP. VENT WITH CHARCOAL FILTER AND ELEV. ELEV. o EXIST. DWELL. BUGSCREEN (FINAL PLACEMENT BY � 41.0' � ' CONTRACTOR WITH HOMEOWNER 0 0 41.0 SLAB _ CONSULTATION) ***ENGINEER SHALL CONFIRM SUITABLE „ FILL SOILS AND No WATER FOR 5' BENEATH SAS 1 FILL & PRIOR To INSTALLATION of ANY PORTION OF _')9, SEPTIC SYSTEM AND CERTIFY SAME TO A A DECK i I HEALTH DEPT. LS LS 5' REMOVAL OF UNSUITABLE SOIL REQUIRED 10YR 4/2 10YR 4/2 - - - - J5.29 AROUND PORTION OF PERIMETER OF LEACHING FACILITY, DOWN TO SUITABLE SOIL LAYER. 18" 18" 35�ap PATIO 37 35.20 REPLACE WITH CLEAN MED. SAND, TO MEET B B 3 .39 SPECIFICATIONS OF 310 CMR 15.255(3) . 35.6 0 � � 1�' LS LS EXIST. POOL SHED PROP. 1 G� 36 PROVIDE APPROX. 53' OF 40 MIL LINER AT 5' 10YR 5/6 38.0, 10YR 5/6 38.0' 1500 GAL OFF SAS IN AREA SHOWN. TOP AT ELEV. 37.0', 36 36 3 .35 SEPTIC UMP BOTTOM AT ELEV. 34.0't TANK HAMB C C PERC CS CS BENCHMARK: USE CORNER PATIO AT ELEVATION 35.1' pci 10YR 6/6 10YR 6/6 S.. 120" 31.0' 120" 31.0' o . NO GROUNDWATER ENCOUNTERED o o i 864 LEWIS POND TITLEI T E L A N OF 179 LEWIS POND ROAD COTUIT PREPARED FOR j .A BORTOLOTTI CONSTRUCTION/ \\A OF # off 508-362-4541 iEL Pfj� KELLEY fax 508-362-9880 o OJALA ' `19s �NgJFAA i' . downcape.com © CIV1E No,46 : `, JIELA9cyGN dOW/! c4 a en iaeerin inc. G/�T \�wJALA v MARCH 2, 2010 p 8, Fsst CIVIL �' Ned ' " REV. MARCH 11 , 2010 (SLEEVE, NOTE) QNA No.46502 „ civil engineers® w r�� ,� _ Scale: 1 = 20 land surveyors _ 939 Main Street ( Rte 6A) ` �� �"�- �tONAL � 00 �j-\'t-1Q � 0 10 20 30 40 50 FEET I YARMOUTHPORT MA 02675 DATE DANIEL A. OJALA, P.E., P.L.S. I 1 i, i a j t 4 ,� ,11d4y( •��i�164�11`2..,y,r v.M�,'.''4.'�':.-__�...�,. -.w_..'..:_.. __ �.u..... .........�. �-.__._...—__._..�..__ �.��` ..._,..�—.._ __..��..r_..��_�_-._._.__�._._-_ _ �...._..�"._._�.�_�.__..�._..—�...._._._ — � _�. �71 r Oil ttt fr 0 ......�.. _.......�..,.......,�......._:..__._................_.:--. ..,.+...•.,.,..+.•,,...,...... _ APPROVED BY: IT SCALE__._._,.._,..,.�...,,...W,.....,.,»:.._ff.. ,,,�:.,�,.__^_�...._._,.. .. _ _....,.._...._,..._,..»........._- ..-.�....m-....... _ _. .. v" SCAE � ,/ DRAWN BY .__.. `1 DATE REVISED NUMBER