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HomeMy WebLinkAbout0801 MAIN STREET (COTUIT) - Health --•.- 801 MAIN STp,,bE'r A= 035- 103 Cotuit S M E A® mo.10339 smead.com Mado in USA w i N N v► 7. COMMONWEALTH OF MASSACHUSETTS c- EXECUTIVE OFFICE OF.:ENVIRONMENTAL AFFAIRS DEPARTMENT OF ENVIRONMENTAL PROTECTION' 3 A TITLE 5 OFFICIAL INSPECTION FORM-'NOT FOR VOLUNTARY'ASSESSMENTS' SUBSURFACE SEWAGE DISPOSAL SYSTEM FORM PART A CERTIFICATION s I Property Address 801 Main Street Cotuit MA 02635 I Owner's Namec J.Driscoll&A.Burns a Owner's Address: Date of Inspection: March 26. 2012 Name of Inspector (Please Print) James M.Ford ' Company Name:. James M.Ford Mailing Address: P.O.Box 49 ". Osterville,MA 02655-0049 Telephone Number: (508) 862-9400 t CERTIFICATION STATEMENT j I certify.that I have personally inspected the sewage disposal system at this address and that the information rep ortedE3 below is'true,accurate and complete as of the time of the inspection. The inspection was performed based on"1hy, training and experience in,the proper function and maintenance of on site sewage.disposal systems 4 Lam a DEP approved system inspector pursuant to Section 15.340 of Title,5(310 CMR.15 000):. The system:' ` Passes. ✓ Conditionally Passes . Ned Further Evaluation by cal Approving.AuYh the Loority - Fans j r'rt' Inspector Si Date Mai ch 27. 2012: The system inspector shall sub 't a copy of this inspection report to the Approving Authority(Board of Health or a DEP)within 30 days of completing this inspection. If the system is a shared system or has a design flow of 10,000 - gpd or greater,the inspector and the system owner:shall submit the report to the appropriate regional office of.the a DEP. The original should be sent to the system owner and copies sent to the buyer,"if applicable,and the approving authority. * he D-Box is broken down and needs replacing and is_in the driveway.-conditionally pass a -The septic tank is H.10 and in the driveway-`needs further evaluation Notes and Comments; ' ****This report only describes conditions at the time of inspection and under the conditions of use at,that . 1 time. -This inspection does not:address how the system will,perform in the future under,the same or different conditions of use.; Fl - J Title 5 Inspection Eorin 6/15/2000, page 1 . �! i. d I Page 2 of 11 t-? l ' OFFICIAL INSPECTION FORM NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A f C]ERTIFICATION (continued) + Property Address: 801 Main Street Cotuit,MA Owner: A.Driscoll&A.Burns Date of Inspection: March 26, 2012 Inspection Summary: Check A,B,C,D or E[ALWAYS complete all of Section D A. System Passes: I have not found any information which indicates that any of the failure criteria described in 310 CMR 15.303 or in 310 CMR'15.304 exist. Any failure criteria not evaluated are indicated below. y 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. Answer yes,no or not determined(Y,N,ND)in the for the,,following statements::If"not determined",please explain. The septic tank is metal and over 20 years old*or the septic tank(whether metal or not)is structurally ' unsound,exhibits substantial infiltration or exfiltration or tank failureis imminent. System will pass inspection if the existing tank is replaced with a complying septic tank as approved by.the Board of Health. *A metal septic tank will pass inspection if it is structurally sound,not leaking and if a Certificate of Compliance indicating that the tank is less than 20 years old is available. * The D-Box is broken down structurally and in the driveway and needs replacing. ND explain: Observation.of sewage backup.or break out or high static water level in the distribution box due to broken or obstructed pipe(s)or due to a broken,settled or uneven distribution box. System will pass inspection if (with . approval of Board of Health): broken pipe(s)are replaced obstruction is.removed distribution box is leveled or replaced ND explain: :The system required pumping more than 4 times a year due to broken or obstructed pipe(s). The system will { pass inspection.if(with approval of the.Board'of Health)`. broken plpe(s)are replaced : obstruction is removed ND explain.` j 2 1 y Page 3 of 11 OFFICIAL INSPECTION FORM' NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACKSEWAGE DISPOSAL SYSTEMINSPECTION FORM { PART A CERTIFICATION (continued) Property Address: 801 Main Street Cotuit, MA Owner: A.Driscoll-&A.Burns Date of Inspection: March 26, 2012 C. Further Evaluation is Required by the Board of Health: s ✓ Conditions exist which require further evaluation by the Board of Health in.order to determine if the system is failing to protect public health,safety or the environment. - 1. System will pass unless Board of Health determines in accordance with 310 CMR 15303 (1)(b)that the system is not functioning in a mariner which will protect public health,safety and the environment: Cesspool or privy is within 50 feet of a surface water _ Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh i The septic tank is H,10 and in the driveway, 2. System will fail unless the Board of Health(and Public Water Supplier,if;any)"determines that the system is functioning in a manner that protects the public health-,safety and environment: _ The system has a septic tank and soil absorption system(SAS)and the SAS is within 100 feet of a surface water supply or tributary to a surface water supply. i , The system has a septic tank and SAS and the,SAS is within a Zone i of a public water supply. " i The system has a septic:tank and SAS and the.SAS is within 50,feet of a private water supply well. The system has a septic tank and SAS and the SAS:is less than 100 feet but 50 feet or more from a private water supply well**. Method used to determine distance **This system passes if the well.water analysis,performed at a DEP certified"laboratory, for coliform bacteria and volatile organic compounds indicates that the well is free from pollution from that facility and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm,provided that no other i failure.criteria are triggered. A copy of the analysis must be attached to this form: 3. Other:. • i 3 Page 4 of 11 " OFFICIAL INSPECTION FORM-'NOT FOR VOLUNTARY ASSESSMENTS f SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A. CERTIFICATION (continued) Property Address: 801 Main'Street; a Cotuit,MA Owner: A. Driscoll&A:Burns i Date of Inspection: March 26, 2012' D, System Failure.Criteria applicable to all systems: You must indicate either"yes"or"no"to each of the following for all inspections: Yes No ✓ Backup of sewage into:facility or system component due to overloaded or clogged SAS or cesspool ✓ Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or it clogged SAS.or.cesspool Static liquid level in the distribution.box above outlet invert due to an overloaded or clogged SAS or cesspool ✓ Liquid depth in cesspool is less than 6 below invert or available volume is less than%z 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 SAS,cesspool or privy is below high ground water elevation. ✓ Any portion of cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply. — ✓ Any portion of.a cesspool or privy is within a Zone 1 of a public well. Any portion of a cesspool or privy is within 50 feet of a private water supply well: _ ✓ Any portion of a.cesspool or privy is less than,100 feet but greater than.50 feet from a private water 4j supply well with no acceptable water quality analysis [This system passes if the well water analysis, f performed at a DEP certified laboratory,for coliform bacteria and volatile_organic compound_s indicates that the well is free from pollution from that facility and the presence of ammonia_ i nitrogen and nitrate nitrogen is equal.to or less than 5 ppm,provided that no other failure criteria are triggered. A copy of the analysis must be attached to this form.] . No (Yes/No)The system fails. I have determined that one'or more of the above failure criteria exist as described in 310 CMR.15. 303,therefore the system fails. The system owner should contact the Board of Health to determine what will be necessary to correct the failure. E. Large System To be considered a large system the system must serve a facility with a design flow of 10,000 gpd to 15,000 gpd You must indicate either"yes"or"no"to each of the following: (The following criteria apply,to large systems in addition to the criteria above) Yes No: 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.Area-IWPA)or,a mapped Zone II of a public,water supply-well If you have answered"yes'to any question in Section E the system mconsidered a significant threat,or answered "yes'in Section D above the large system has failed. The owner.or operator of any large system considered a significant threat under Section E or failed under Section D shall upgrade the system in accordance with 310 CMR 1. 15.304. The system ownershould contact tho,appropriate regional office-of the Department. a , I 4 Page 5 of 11 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE.DISPOSAL SYSTEM INSPECTION FORM PART B f . Y CHECKLIST Property Address: 801 Main Street Cotuit,MA I Owner: A.Driscoll&A. Burns Date of Inspection: March X 2012 Check if the following have been done: You must indicate"yes"or"no"as to each of the following: I Yes No ✓ Pumping information was provided by the owner,occupant,or Board of Health Were any of the system components pumped out in the previous two weeks?. ✓ Has the system received normal flows in the previous two week period? ✓ Have large-volumes of water been introduced to the system recently or as part of this inspection?. ✓ Were as built plans of the system obtained and examined?(If.they were not available note as N/A) ` ✓ Was.the facility or dwelling inspected for signs of sewage back up? ✓ Was the site inspected for signs of break out ✓ Were all system components,excluding the SAS,located on site? ✓ Were the septic tank manholes uncovered,opened;and the interior of the tank inspected for the condition of the baffles or tees,material of construction,dimensions,depth of liquid,depth of sludge and depth of scum? ✓ Was the facility owner(and occupants if different from owner)provided with information on the.proper, maintenance of subsurface sewage disposal systems T The size and location of the Soil SAS stem Absorption Sy stem y (SAS)on the site has been determined based on: j Yes' No ' Existing information. For example,a plan at the Board of Health, ✓ Determined iri the field(if any.of the failure criteria related to Part C is at issue approximation of distance is unacceptable)[310 CMR 15.302(3)(b)]. - ' 5 :.t Page 6 of I l OFFICIAL INSPECTION FORM:- NOT FOR VOLUNTARY ASSESSMENTS , SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION Property Address: 801 Main Street Cotuit,MA Owner: A.Driscoll&A. Burns Date of Inspection: March 26,2012 FLOW CONDITIONS RESIDENTIAL Number of bedrooms(design): n/a : Number of bedrooms(actual): 2 DESIGN flow based on 310 CMR 15.203 (for example: 110 gpd x#of bedrooms): 220 } Number of current residents:, 0 I Does residence have a garbage grinder(yes or no): n1a 'G Is laundry on a separate sewage system(yes or no): n/a [if yes separate inspection required] . Laundry system inspected(yes or no): No Seasonal use(yes.or no): No ! Water meter readings,if available.(last 2 years usage(gpd))'`- Unknown Sump Pump(yes or no): No jLast date of occupancy: Unknown COMMERCIAL/INDUSTRIAL Type of establishment: Design flow(based on310 CMR 15.203): gpd Basis of design flow seats/ ersons/s ft etc.): g ( p q. , _ Grease trap present(yes or no): Industrial waste holding,tankpresent'(yes or no)'. Non-sanitary waste discharged to the Title 5 system(yes or no): Water meter readings,if available: Last date of occupancy/use: OTHER(describe): GENERAL INFORMATION Pumping Records Source of information: Unknown Was system pumped as part of the inspection(yes or no): No If yes,volume pumped: gallons--How was quantity pumped determined? Reason for pumping: i TYPE OF SYSTEM Septic tank, distribution box,soil absorption system Single cesspool Overflow cesspool Privy I Shared system(yes or no) (if yes,attach previous inspection records,if any) Innovative/Alternative technology. Attach a copy of the current operation and maintenance contract(to be obtained from system.owner) Tight'Tank Attach a copy of the DEP approval i Other(describe): Approximate age of all components,date installed(if known)and source of information: Installed on 5112178-per info on file Were sewage odors detected when arriving at the site(yes or no): No 6 ' Page 7 of 11 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS_ SUBSURFACE:SEWAGE DISPOSAL SYSTEM INSPECTION FORM` PART C' "SYSTEM INFORMATION (continued) Property Address: 801 Main Street Cotuit.'MA. } Owner; . . A. Driscoll&.A Burns Date of Inspection: March 26. 2012 I BUILDING SEWER(locate on site'plan) , Depth below grade: Materials of construction: cast iron 40:PVC other'(explain): Distance from private watersupply well or suction liner Comments(on condition of joints,venting,evidence of leakage;`etc.): r ;. SEPTIC TANK: ✓ (locate on site plan) F Depth below grade: 22" Material of construction: ✓ concrete _metal _fiberglass _polyethylene other(explain If tank is metal list age: Is'age confirmed by a:Certificate of Compliance(yes or no): (attach a'copy of certificate) Dimensions: 1000 gal: ` Sludge depth: 2„ { Distance from top of sludge:to bottom of outlet tee or baffle: 30" Scum thickness::. 4„ ; Distance from top of scum to top,of outlet,tee or baffle: 6" Distance from bottom of scum to.bottom of outlet tee or baffle:. 10" . How were dimensions determined: Measuring stick Comments(on pumping recomniendations;.inlet and outlet tee or baffle condition,structural integrity,liquid:levels as related to outlet invert;evidence of leakage,etc.). Cement Tees were present. The liquid level was even with the outlet invert. There did not appear to be anv signs of leaky e. The tank is H-10 and:in the driveway. GREASE TRAP: None (locate on site plan) Depth below grade. ' i Material of construction: concrete `_metal fiberglass _polyethylene _other" (explain); Dimensions: Scum thickness:. i Distance from top'.of•scum to top of outlet tee or baffle: ` Distance,from bottom of scum to,bottom of outlet tee or baffle: Date of last pumping: :. Comments(on pumping recommendations,inlet and outlet tee or baffle'condition,structural integrity,•liquid levels,. as related to outlet invert.evidence of leakage;`etc). b _ . Page 8 of 11 OFFICIAL INSPECTION FORM- NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART.0 SYSTEM.INFORMATION(continued] Property Address: 801 Main Street Cotuit,MA Owner: A. Driscoll&A. Burns °i Date of Inspection: March 26: 2012 TIGHT or HOLDING TANK: None (tank must be pumped at time of inspection)(locate,on site plan) Depth below grade: i Material of construction: _concrete _metal _fiberglass . polyethylene _other.(explain): Dimensions: Capacity: gallons Design Flow: gallons/day Alarm present(yes or no): Alarm level: Alarm in working order(yes or no): Date of last um in p p g Comments(condition of alarm and float switches,etc:): DISTRIBUTION BOX: ✓ (if-present must be opened)(locate on site plan) a, Depth of liquid level above outlet invert. Even Comments(note if box is level and distribution to outlets equal;any evidence of solids carryover,any evidence of leakage into or out of box,etc.): The D-box was broken down and needs rwlacin z and is in the driveway. 26"to the cover. :1 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.): a � . .g i j i 1 Page 9 of 11 - i OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: 801 Main Street r Cotuit•tYtA Owner: A. Driscoll&A. Burns I Date of Inspection: March 26, 2012 i SOIL ABSORPTION SYSTEM(SAS): '✓ (locate on site plan,excavation not required) If SAS not located explain why: j Type ✓ leaching pits,number: 1 6'x 6'.(1000 gal.) leaching chambers.,number: leaching galleries,number: leaching trenches,number,length: leaching fields,number,dimensions: overflow cesspool,number: Innovative/alternative system Type/name of technology: Comments(note condition of soil;signs,of hydraulic failure,level of ponding,damp soil,condition.of.vegetation,etc.): The leach pit was dry. There did not appear to-be any signs of failure.A camera was used for the inspection. CESSPOOLS: None (cesspool must be'pumped as part of inspection)(locate on-site plan) Number and configuration: Depth-top of liquid to inlet invert: - Depth of solids layer: Depth of scum layer: " Dimensions of cesspool: Materials of construction: . Indication of groundwater inflow(yes or no): Comments (note condition of soil,signs of hydraulic failure,level of ponding,condition of vegetation;etc.): 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.): is i 9 ,i Page 10 of 11 h OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM. PART C -SYSTEM.INFORMATION (continued) Property Address. 801 Main Street i Cotuit,MA - s , Owner:. A.Driscoll&A. Burns . Date of Inspection March 26,2012 SKETCH OF SEWAGE DISPOSAL SYSTEM Provide a sketch of the sewage-disposal system including ties to at least two permanent reference landmarks or benchmarks. Locate all wells within 100'feet. Locate where public water supply enters the building.Al t l { O3 3� II - a y3 r io • Page 11 of 11 OFFICIAL INSPECTION FORM NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEMINSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: 801 Main Street Cotuit.MA Owner: A.Driscoll&A. Burris Date of Inspection: March 26, 2012 SITE EXAM Slope j Surface water { Check cellar Shallow wells T. Estimated depth to.ground water 40 +1-• feet Please indicate (check) all methods used to determine the high groundwater elevation: Obtained from system design.plans_on record-If checked,:date of design plan reviewed: Observed site(abutting property/observation hole within 150 feet of SAS). ✓ Checked with local Board of Health-explain: topographic and water contours.maps Checked with local excavators,installers-(attach documentation) Accessed USGS database-explain: You must.describe how'you established the high ground water elevation: Using Barnstable topographic and water contours maps, the maps were showing approzitnately.40'+/-to groundwater at this site. . This report has beenn prepared only for the septic system and components described herein. This septic system has been inspected and conditionally passed as of.the date of inspection. This report is not a wai'rar2ty.or.guarantee that-,the system will I ficnction properly in the f cture. There have been no warranties orguarantees, either expressed,written or implied, relating to the septic system, the inspection, this report andlor any components of the'sep'tic system which have not rbeen located and inspected. { 11 TOWN OF BARNSTABLE LOCATION Q M -� 1- SEWAGE# VILLAGE COMU t ASSESSOR'S MAP&PARCEL d3S— /03 INSTALLER'S NAME&PHONE NO. SEPTIC TANK CAPACITY 0 LEACHING FACILITY: (type) (size) NO.OF BEDROOMS a— OWNER�_ �fISGQ�I l� • IJ�(/� S 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 2CAVC rtDA � Fora 3 a�T 3- i A t�rlUct,�Ay I�� p a ► A o3 3gto b , a 43 1 hb I 1 3 yy aa. y Y ' No. �. ® Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computers Yes PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE,MASSACHUSETI'S 0[ppliLotion for Mi000r *r6tem Con5truttion Permit Application for a Permit to Construct( )Repair( )Upgrade( )Abandon( ) El Complete System ❑Individual Components Location Address or Lot No. ' b j MAt r\ � Owner's Name,Address and Tel.No. Assessor's Map/Parcel CC.3Ci '�°"t t r�' �_ 1®2J A Q�Qs be i S c-Q 1 Installer'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(" ) 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) 0 51 —(Sox 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 'tle 5 of the Environmental Code and not to place the system in operation until a Certifi- cate of Compliance has been issued b this Vo4rd of Healtli. Signed Date 3 Y Application Approved by Date L 3 Application Disapproved for the following reasons �e Permit No. 7 "G Date Issued �j-„ THE FOLLOWING IS/ARE THE BEST IMAGES FROM POOR QUALITY ORIGINALS) pATA r--- iypt va"Unuiug: Dwelling No. of Bedrooms Lot Size sq.ft. Garbage Grinder`( ) Other a of Building No. of Persons Showers Cafeteria TYP g. ( ). ( ) Other Fixtures ¢¢ Design Flow gallons per day. Calculated daily flow 1 gallons.. Plan Date "" '""' Number of sheets t, Title _ 41 d Size of Septic Tank Description of Soil.,. Nature of Repairs or Alterations(Answer when applicable) •... I 40� F �� inspected: Date last Agreement: 1'73 The undersigned agrees to ensure'the construction and maintenance t v in accordance with the provisions of T'tie 5 f:the Environmental Code an," cate of Compliance has.been issued by this d of Health. -- Signed# Application Approved by Application'Disapproved, the following reasons A` Permit No. n_0 7'` Date Issued . THEYCOIVIMON,VUEALTH OF MAS$ACHUSETT5 BARNSTABLE, MASSAC HUSETTS �etitcate of �orrYr%ance THIS IS TO CERTIFY,that the On.site Sewage Disposal System Constructed( )Repaired( )Upgraded( ) Abandoned( :.)by GQf9 SA >Mt7tt� at J lf' fVt t • �-t" .t i"� has`been constructed-in accordance with the provisions of Title 5 an&the for:Disposal System Construction Permit No'�7 dated Installer Designer The issuance of this permit shall not be construed as a'guarantee that the syste twill functio as designed. Date f E`l Inspector f l iv C No. . �T � - -- --- -- --- --- — --Fee THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLE., MASSACHUSETTS At(' aX �ig�o�ar �pgterr� c�or�� ruction �e�ntit '�` Permission is hereby granted to Construct( )Repair(c,/�Upgrade( )Abandon( •) ? . System located at> n 'a'r` v. 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 mustibe.co . pleted within three years of the date of.t rmt Date: Approved�iy —�•` l � r 2� Nam1- ell c c � No. lJI o THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: '`'r t., Yes PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE., MASSACHUSETTS ' Application"for Mioomt *vmem Construction Permit Application for a Permit to Construct( )Repair( )Upgrade( )Abandon( ) O Complete System O Individual Component a Location Address or Lot No. Owner's Name,Address and Tel.No. ;. Assessor's Map/Parcel L' 057 TO i M, Installer's Name,Address,and Tel.No. J Designer's Name,Address and Tel.No.' Q r c_l n Ro mou Type of Building: Dwelling No. of Bedrooms ' Lot Size sq.ft. Garbage Grinder`( ) Other Type of Building No. of Persons Showers( ) Cafeteria( ) Other Fixtures 1 Design Flow ', gallons per day. Calculated daily flow...._ � gallons. r Number of sheetsRevision,Date'. Title Size of Septic Tank Type'ofS.A.S`. _ { Description of Soil t �' °y Nature of Repairs or Alterations(Answer when applicable) I n�I A (IR.W am I J .6ox ~� ' '`J'Ar. t i /t�.s7 I ...i M 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 operat�ic'n until a Certifi- cate of Compliance has been issued b thiswowy-v-, of Health.. `�`�� f Signe A� Date �/_431 Application Approved by Date . Application Disapproved.for the following reasons Permit No. n_0 7'� '" Date Issued -- --------------------------------------- THEtCQMMONWEALTH OF MASSACHUSETTS c,. sox `e Ak, BARNSTABLE, MASSACHUSETTS Certificate of Comptiance '7 THIS IS TO CERTIFY, that the On-site Sewage Disposal System Constructed( )Repaired (/)Upgraded Abandoned( )by GOr�01\ av qsy< at 4b I/ /bn A.,1 St— C�r R"4, —h s been constructed in ccordance with the provisions of Title 5 and the for Disposal System Construction Permit No_,_LO '!r6R-O dated ' Installer Designer The issuanclIe'' f this permit shall not be construed as a guarantee that the syste m wil'lfunctip as dCe�igned. Date Inspector 11 No. ��� �CT � -------------------------Fee THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLE., MASSACHUSETTS ' re Ate D ar � p item t� o �tCon� Permit ermit �o'� �/ Permission is hereby granted to Construct( )Repair(c/) Upgrade( PP)Abandon( ) System located at �C'I M®;n S?' C'.O 1044 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 s be co pleted within three years of the date/of th si permit: Date:_._ 1 Approved by. Town of Barnstable Barnstable BOARD OF HEALTH R" � 200 Main Street, Hyannis MA 02601 039. a`0� 2007 f0 MA't , Office: 508-862-4644 Wayne Miller,M.D. FAX: 508-790-6304 Paul Canniff,D.M. Junichi Sawayanagi CERTIFIED MAIL# 70060810000035246925 July 25, 2012 Agnes Driscoll&Alexis Burns 801 Main Street Cotuit, MA 02635 ORDER TO COMPLY WITH STATE ENVIRONMENTAL CODE, TITLE 5 The septic system located at 801 Main Street,Cotuit,MA was last inspected on 3/26/2012, by James M.Ford, a certified septic inspector for the state of Massachusetts. The inspection of the septic system showed that the system"Conditionally Passes" under. the guidelines of the 1995 TITLE 5(310 CMR 15.00). You are ordered to replace the Distribution Box within two (2)years from the date you receive this notification. It is recommended that the septic tank be replaced with a heavy duty (H-20) load bearing tank due to its location beneath the driveway. Another alternative would be to relocate the driveway. PER ORDER OF THE BOARD OF HEALTH Thomas McKean,R.S. CHO Agent of the Board of Health Q:\SEPTIC\conditionally passed\801Main Street.doc SF1E Town of Barnstable Barnstable oF r� �: . Regulatory Services Department AFAmadeaCity 1 i BARNS-rABLE, • - MASS Public Health Division Qjp ►63q. �0 'Eaton+a 200 Main Street, Hyannis MA 02601 2007 Office: 508-862-4644 Thomas F.Geiler,Director FAX: 508-790-6304 Thomas A.McKean,CHO CERTIFIED MAIL # 7011 0470 0001 4525 5341 September 30, 2011 s , Mr. John M. O'Donnell 244 Bedford Street Lexington, MA 02420 YOU ARE SCHEDULED TO APPEAR BEFORE THE BORARD OF HEALTH on Tuesday, October 11, 2011 at 3pm in the Town Hall; Hearing Room, 2nd Floor, • 367 Main Street, Hyannis, MA due to your failure to repair or replace the failed septic system at 71.8 Craigville Beach Road, MA 02632 The State Environmental Code Title V requires all failed septic systems to be repaired or replaced within two years. The Town of Barnstable Board of Health has more stringent deadlines dependent upon the type of failure indentified. In this case, the septic system has been in failure beyond the established deadline. You will be given the opportunity to testify, present witnesses, documentary evidence, ' and other official information regarding this case. PER ORDER OF THE BOARD OF HEALTH �O Wayne Miller, M.D. Chairman Qi\SEPTIC\Letters Septic Inspection Failures or Future Eval\718 Craigville Beach Rd.,Cent..doc t USPS.com®-Track&Confirm https://tools.usps.com/go/TrackConfinnAction.action ,) English Customer Service USPS Mobile - Register I Sign in r`" Search USPS.com or Track Packages Vs .c m' 9 Quick Tools Ship a Package Send total. Manage Your Mail Shop Business Solutions , Track & Confirm GET EMAIL UPDATES. PRINT DETAILS - YOUR LABEL NUMBER SERVICE STATUS OF:YOUn ITEM DATE&'TIME LOCATION FEATURES - 70110470000145255341 Delivered October 06,2011,2:53 prn LEXINGTON,MA 02420 Certified Mail" Notice Left October 05,2011,2:19 pm LEXINGTON,MA 02420 - Arrival at Unit October 05,2011,8:45 am LEXINGTON{MA 02420 Processed through October 05,2011,3:15 am WALTHAM,MA 02451 ' USPS Sort Facility Check on Another Item What's your label(or receipt)number? .Find LEGAL ON USPS.COM - 'ON ABOUT.USPS.COM OTHER USPS SITES - • Privacy Pol;cy; Government Services., About USPS Home? - Business Customer Gateway? Terms of Use, Buy Stamps&Shop; Newsroom> Postal Inspectors FOIA, Print a Label with Postage) - Mail Service Updates+ Inspector General, No FEAR Act EEO Data I Customer Service r Forms S.Publications, Postal Explorer., -Site Index, CarCerS> CopyrightCD 2012 USPS.All Rights Reserved. . . ' r https://tools.usps.com/go/TrackConfirmAction:action 3/13/201.2 Health Master Detail http://issgl2/intranet/healthMaster/HealthMasterDetail,aspx?ID=226128002 ji Health Master Logged In As: TOWN\flynnj Health M.asterDetail Tuesday,February 14 2012 Application Center Parcel Lookuo Selection Items Renorts v Parcel Septic Perc I Well Fuel Tank Parcel: 226-128-002 Location: 718 CRAIGVILLE BEACH ROAD,CENTERVILLE Owner: ODONNELL,JOHN M Septic 1,9/21/2983`L New Septic...~ Permit number: 83-839 Permit type: New Construction,? Complete system: I—. Issue date: 9/21/2983 Complete date : 9/21/1983 rza i Septic tank size:F Type/Size of SAS: r Installer: Nickulas,Larry,L.D.Nickulas Co. Card on file: i I/A service type: Select service Innovative/Alternative Technology type: Select IA type { 4 Variance date:r El'21 Abandon complete date :F_21 Abandon permit number: Repair deadline date :F_M Repair notification date : 2/2/2009 Keyword: v I Comments: *created for septic inspection � 1� Delete.Septic Y !I Inspection 2/2/2009 New Inspection.., Number Inspection Date Inspector Result 4: 5332 2/2/2009 McElroy,Shawn,S.M.ENTERPRIZES F(Fail) - {. . ;The following conditions)are occurring: F discharge or ponding of effluent to the surface of the ground I pumping more than 4 times during the last year NOT due to clogged or obstructed,pipe l R_ backup of sewage into the house due to an overloaded.or clogged SAS or cesspool F static liquid level in the distribution box above outlet invert due town overloaded or clogged SAS or cesspool f ff any portion of the SAS,cesspool,or privy below high groundwater elevation fa I— any portion of the cesspool within a Zone 1 to a public well F any portion of a cesspool within 50 feet of a private water supply well with no acceptable water quality analysis1{ ' # !(Received Date Comments 1 Td Failed on 2/2/09 - No ltr appears to have been sent - h' Delete Inspection repair not indicated as of 8/9/10 �.. - I { Save Septic Changes I Return to Lookup http://issgl2/intranet/healthMaster/HealthMasterDetail.aspx?ID=226128002 2/14/2012 USPS.coing-Track&Confirm https:Htools.usps.com/go/TrackConfirmAction.action English Customer Service USPS Mobil. Register/Sign In - USPSo Search USPS.com or.Track Packages Quick Tools Ship a Package Send Mail Manage Your-Mail Shop Business Solutions Track & Confirm You entered:7011047000014525534E - - - - - - Status:Delivered - Your item was delivered at 2:53 pm on October 06,2011 in LEXINGTON,MA 02420. - Additional information for this item is stored in files offline. - - - - You may request that the additional information be retrieved from the archives;.and -that we send you an e-mail when this retrieval is complete..Requests to retrieve - - additional information are generally processed within four hours.This information will - remain online for 30 days. - - would like to receive notification on this request - Restore Find Another Item What's your label(or receipt)number? Find - - - LEGAL ON USPS.COM- ON ABOUT.USPS.COM OTHER USPS SITES - - Privacy Policy i Government Services About USPS Home, - Business Customer Gateway Terms of Use Buy Stamps&Shop.r. Newsroom .Postal Inspectors FOIA, - Print a Label with Postage c Mail Service Updates i_ Inspector General _ No FEAR Act EEO Data CUEtenler Service Forms&Publications: Postal Explorer,Site Index: Careers Copyrigh(Fj 2012 USPS,All Rights Reserved. - - https:Htools.usps.com/go/TrackConfirmAction.action 2/28/2012 6k 15034 p994 AL32 , 04-10-2oa2 a 385 11 :i07at GRANT OF EASEMENT a This Grant of Easement is made this >.:A-day of December, 2001, by and . among Agnes D. Driscoll and Alexis C. Burns of 801 Main Street, Cotuit, Massachusetts 02635 ("the Grantor") and Michael Z. Lazor and Jeanne F. Lazor, both of 60 Nickerson Lane, Cotuit,pMassachusetts 02635, Lawrence Z. Lazor of (; 29 Ledyard Rd., W. Hartfor anaTattje ine J. Bunting-Of 41 Boulder Rd., Wellesley, MA 02481 (collectively "the Grantee"). WITNESSETH: WHEREAS, the Grantor is the owner of property located in Cotuit, Barnstable County, Massachusetts, known as and numbered 801 Main Street, shown as Lot 2 on a plan recorded with the Barnstable County Registry of Deeds in Plan Book 308, Page 56, containing approximately 1.02 acres, more particularly described in the deed to the Grantor dated August 19, 1977, recorded with said Deeds in Book 2567, Page 115 (the "Grantor Land"); and, WHEREAS, the Grantee is the owner of property located in Cotuit, Barnstable County, Massachusetts, known as and numbered 60 Nickerson Lane, containing approximately 0.28 acres, more particularly described in the deeds to the.Grantee dated September 28, 1989 and December 30, 1991, recorded with said Deeds in'Book 6898, Page 228 and Book 7828, Pages 231 and 236 (the "Grantee Property"); and, WHEREAS, the Grantee desires and the Grantor has agreed to grant an exclusive easement to the Grantee consisting of a portion of the Grantor Land along the westerly boundary of the Grantor property, containing approximately 16,287 square feet of land, immediately adjacent to the Grantee Property, and delineated as "EASEMENT AREA" on the plan attached hereto as Exhibit A (the `Basement Area"). NOW, THEREFORE, for Thirty Thousand and 00/100 Dollars ($30,000.00) paid by the Grantee to the Grantor on this date, and for other good and valuable consideration paid, the receipt.and adequacy of which is hereby acknowledged, the Grantee and the Grantor agree as follows: 1. The Grantor hereby grants to the Grantee, their successors and-assigns and any tenant now or hereafter in possession.of the Grantee Property, for the benefit of and appurtenant to the Grantee Property, the perpetual, exclusive right and easement, to use the Easement Area for the sole and exclusive use, possession and control of the Grantee and their successors and assigns and tenants as aforesaid for any lawful purpose allowed under applicable local, state or federal laws, rules or regulations (collectively, the Bk 15034 P995 JWL32385 "Applicable Laws"), including, but not limited to, clearing, grading, landscaping and the construction and installation of any accessory recreational and/or residential structures, including, but not limited to, swing set, deck, patio, gardening and/or storage sheds, fencing, garden, septic system and leaching field, subject to provisions of the Applicable Laws and licenses, permits and approvals thereunder, if any, 2. Prior to any removal of vegetation within the Easement Area, the Grantee shall prepare a proposed vegetative removal plan, which will depict any trees greater than four (4) inches in caliber at waist height, which plan shall be submitted to the Grantor for approval, said approval not to be unreasonably withheld. 3. The Grantee, and their successors and assigns, shall be solely responsible for all maintenance of the Easement Area and all improvements thereon and shall maintain liability and casualty insurance covering the Easement Area. 4. The Grantee, and their successors and assigns, hereby indemnify and hold harmless the Grantor, and their successors and assigns, against all liability relating to their use of the Easement Area and all improvements thereon. Executed as a sealed instrument this day of t aft cr 2001. Michael Z. Lazor Agne . Driscoll e . Lazor Alexi C. Burns rence Z. azor Cat erine J. Bunting STATE OF CONNECTICUT County __! �� , 2001 Then personally appeared the above named Michael Z. Lazor and4e and acknowledged the foregoing instrument to be their free act and deed as owner as aforesaid, before me. Notary Public My commission expires; ` ••' a► MARIA M. NUGEN�`; ••� NOTARYPUBLIC ` •�'R"''••• �4 MY COMMISSION EXPIRES NOY 30,2005 f Sk 1Sa�4 P9Qd l32��S COMMONWEALTH OF MASSACHUSETTS Barnstable, ss. Then personally appeared the above named Agnes D. Driscoll and acknowlece y':=`u'.•i, . ::.: Q ; - foregoing instrument to be her free act and deed.as owner as aforesaid, befo}*eFnjd; Q -� C) CIO _ — r C Notary Public f t41.lai/IYi.Nt•ggqq My commission expires: �tsAx-J3A00g COMMONWEALTH OF MASSACHUSETTS Barnstable, ss. _; q F' Then personally appeared the above named'Alexis C. Bums and acknowledged th c foregoing instrument to be her free act and deed as owner as aforesaid, before 0.a,,: Q4 �'•� =-.. AI' 1 J C Notary Public ` i` My commission expires: 9V STABLE COUNTY OF DEEDS EEDS COUNT �fA �► ---------------- Q Zo 0 04n0i02 11112AM 01 000000 #2W DATE 04.10.102 WED FEE $102.60 TAX $68.40 CASH s102_6Q TOTAL $68A0 CASH $68.40 CLERK 1 NO.028855 TIME 10:59 1111 Bk 15034 P997 +32385 STATE OF County r 2001 Then personally appeared the above named Lawrence Z . Lazor and acknowledged the foregoing instrument to be his free act and deed as owner as aforesaid, before me. aiji 11114',S- Notary Public e My commission ex ite�; p MAF� �.. NOTARY . LIC STATE OF �,„��f, ,;� MYCOMMISSIONEA SNOV, ?1 5 r 1 �rdCounty _G , 2001 Then personally appeared the above named Catherine J. Bunting and acknowle d the foregoing instrument to be her free act and deed as owner as aforesaid, b rem . ,11691 loll,, Notary b My o sion EW NOTARY' 0, MY COMMISSION EXPIR 4 . 1O1O464.1 Sk 15034 P998 032385 COMMONWEALTH.OF MASSACHUSETTS Barnstable, ss, Then personally appeared the above-named Jeanne F. Lazor and acknowledged the foregoing instrument to be her free act and deed, as owner as aforesaid. Notary Publi¢�,,,,r.e. rr My commission expires: o --L( —6Y Q `.3 h 1068306.1 dd' GpµP9 ` s r S0330 30 AHISID38 318YISN8V9 'ij : i c $' •' _ s I w q 1 a P P if ,�y1 y SS£Z£-- 666d t£OSI MS i CO LOCATION SEWAGE PERMIT NO. VILLAGE �= 6 I D3 w la/r7T INSTALLER'S NAME & ADDRESS BUILDER OR OWNER w%11T DATE PERMIT ISSUED DATE COMPLIANCE ISSUED f -12- -78 t '� �T c 9a -��, �� �. 3 c ....,� t_--__ Ol'i �� ,�-• `� THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ry ....... O F.............v6 ...-----------------------.........----•--- Applirattun -fur Diiiv titt1 Works Tonmrurtiun Vrrniit ® Application is hereby made for a Permit to Construct ( ✓jor Repair ( ) an Individual Sewage Disposal System at: Location- Add�`is or Lot No. .............�Q1m -- .l-----4.t . � r Addressp � s .................... 1 . ...._..._...._........................................_._.....---._._............_._. Installer Address Type of Building Size Lot............................Sq. feet U Dwelling—No. of Bedrooms..... __.� .....Expansion Attic ( ) Garbage Grinder ( j p, Other—Type of Building 11, No. of persons....._%.................... Showers (rr) — Cafeteria ( ) a' Other fixt r s. .. =---------•---•.... ............................ W Design Flow,_,-_ __:_._4 S--gallons per person per day. Total daily flow-_-____P�1Q - --- -- --------gallons. WSeptic "Tank-Liquid capacity-1066_gailons Length................ Width................ Diameter................ Depth-.-.-__-_-.__.: x Disposal Trench—No ................ Width.................... Total Length------------?....... Total leaching area.............. sq. ft. Seepage Pit No---------I---------- Diameter-------6.......... Depth below inlet.,�_.�et .../. otal leachingr area- -----sq. ft. z Other Distribution box ( ) Dosing tank ( Percolation Test Results Performed b 1FA3 a Y - 0----------------------- Date.... - «� a Test Pit No..l----tu6--____minutes per inch Depth of Test Pit.....0Z........ Depth to ground water.-_L'__ f1 Test Pit No. 2................minutes per inch Depth of Test Pit-------------------- Depth to ground water_-___-.------_.----. - ----- iL ax e------ - - - ----- - -- O Description of Soil------- ,uhea . ..............W-----��- -- --f ----------------'...�`d� l x -------------- �--.-:-w----------- ------..-------------------------- -------------------- 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 Article XI of the State Sanitary Code—Th ndersigned further agrees not to place the system in operation until a Certificate of Compliance has n i s e y board of health. igne -- -----•-------------------------•-•---- ..V --------- ate Application Approved By----------- _ _. . .. .... . Date Application Disapproved for the following reasons----------- ------------------------•--------------------------------------...------------.....••--.........•---- ..---•-----------------=-----------------------------------•---------------------------------------------------------------.......................... ------------------------------------------------- Date C% �- PermitNo......................................................... Issued-------- l �` Date 4 ................... .. THE COMMONWEALTH OF MASSACHUSETTS y BOARD OF HEALTH ,J _ OF....... . .. ............................................ [ . Applirtttion tar Bigingttl Works TottMrurtiott Vrruift Application:,is hereby made for:a Permit to Construct ( or Repair ( ) an Individual Sewage Disposal System at ' , • * IMA Location Ad s or Lot No. r er Address Installer Address d Ty 11"w f Building ^`_ Size Lot............_---------------Sq. feet aelling—No. of Bedrooms____ _ ______Expariston Attic ( ) Garbage Grinder �ry -r 's p, Other—Type of Building e4+tas� - No. of persons •-V.................... Showers (&o) — Cafeteria ( ) da' Other, fiK s •----------- -------- ----------- ------••-.._..•----•-- W Design Flow_... V..�:.gallons per person per day. Total daily flow_______: gallons. WSeptic Tank '—Liqui,- capacity1,04.r1,,_gallons Length..:.....:...... Width................ Diameter---------------- Depth-_--__-__-_---- x Disposal Trench— `NI*�______ ________ Wtdth-------------------- Total Length _____ _: - Total leaching area_-_ _--_____sq. ft. Seepage Pit No _____ .,_.._.__........... Diameter.,---- ----- Depth below inlet- =__+ pt r _ Total leaching area._' tA?____.sq. ft. z Other Distribution box ( , ) Dosing tank ( �h` `'� " Percolation Test Results Performed by _ _- illAij ►:_._..� _______________ �� ______ Date__ `� -_____.___ Test Pit No. I._.� _____.minutes per inch Depth of Test'Plt_-:_-1_ _________ Depth to ground water... ._.. f� Test Pit No. 2----------------minutes per inch . Depth of Test Pit......................Depth to ground water_..___--___-__-____.-. P; € �� ., f O Description of Soil_____ - f _ (J"' ?v_ !? ' ' _...._.... ._ . x 9 - � �' U ------------------------------------- ------------..................................... ';•c +e—. •----------------------- ---------------------- W tJ 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 Article XI of the State Sanitary Code— T undersigned further agrees riot to place the system in operation until a Certificate of Compliance has en -led:b t e-board of,:health. - Signe s -- •--------------------•--------- -- ---------- ate Application Approved By----- i -•• ••-•-••-- ------------- -------- --------------- Date Application Disapproved for the following reasons-------------------------------------------- ........................................:........................... ----------------------------------------------------•----•---------------••---••---•-•-••----•••••-•••••--•••----•--•---------------•-•--------••---•--••--=-----=--------------------......-----••-•••- Date PermitNo................................................. Issued......... .............................................. Date THE COMMONWEALTH OF MASSACHUSETTS, •, ,,:, BOARD OF HEALTH .......... iI.......OF.... ... 4-110-11............................................. Trrtifirttte of fluntplitttur Y THIS IS CER" Y, t the divi 1 S e Dispos 1 ystem constructed or Repaired ( ) by .. t �� ''. ........ Inst111e " at . ' N has been inst 'led in accordance with the provisions of A� XI of The State Sanitary Code as described in the application for Disposal Works Construction Permit Nos ________ __ ___________ dated-...07 ..w---_7....___.___.__.. THE.-ISSUANCE OF THIS CERTIFICATE .SHALL NOT BE CONSTRUE® AS A GUARANTEE THAT THE .SYSTEM WILL FUNCTIONS SFACTORY. DATL"!" -------------------- -------------------- --------- ----------= ' Inspector:--- - --------- --- -------- ------ ----- - - --------------- - -1 THE C04 ONWEALTH OF MASSACHUSETTS BOARD OF HEALTH' k}rr c P . r ,/ ..... ....GIs '4... . . ..OF........ .L ,r , ..........::..... No...................J _. ti.. FEE....1: _. ittl k ( tr I it r Permission is,be granted...... '' ... 1.01 to ConstrJ ( r Re air `( .) an id l wage spgsal,s e 1 at Nos...t:_ � * ► ,---------+�-r�� ..................................... Street as shown on the application for Disposal Works Construction, Per • o ....... Dated � --• •••---•----,It oar Health d of DATE. ` ' ' ............................... #T FORM 1255 HOBBS & WARREN. INC.. PUBLISHERS, - ' f , r`�—* 2O FT. MIN: h !O �?. MIN _ - •- , �' � , - `: ' .' _ - - CONCRGTB x 9~PI�CrPlPt CLEAN SAND ".x t <_ ` /o© :t�L c✓, t M//V. R/TCN •: COYE/MS - �6-,P., CONCRETE COt/ER CAST 2 LAYER • Y IRON P/PE o a o o Q QF /�B -318 ¢1 MJN.O/TGN CAL. p/ST. o• • • " . • . . • • o �4' WASHPO STt7NE .. PER Pr. SEPTIC TANK" o • . . . . • . • • , a.a - - . o D r • •`cFFECT/Ve' ' r . - o • • • pEPTN • • ' ° o IVg3XED STORE '- e • s "v • • • • • • • • • � loco o a. a • • • • • • • • • D"o p PRECA57- SEEPAGE- !NlieRT ELEVATIONS - v y v • • . . • • • ' a `o P/7 OR EQL/1V /NYERT AT BUILD/NG FT 6�r 01�1M. - /N&ET SEPT/G' Tom} K 96 FT O/.4M. .N FT. C SEE TABULA TION> 0M71-E7-SEPTIC TANK 96, FT. _ r - /N,LFT D/STi4/BUT/ON BOX 96 4 FT, ss GROUNo 'WRITER TABLE y Ot/TL:ETDlSTR/B(/770N BOX .3 FT SECT/O/V OF /NLETS ,t=PAGE l�/T FT SE1N.4GE O/S'PDSA L SYSTEM Ti�1 BLATlON LEACAVIIV& P/T CR/TER/R _ - scALE %s" / -o OlMENs/0Al . A FT, _ /M,ENS/GN NIJMB�ER OF BEDROOMS O/MENS/ON C FT. M v"• GAROAGE DISPOSAL L/N/T S`Q/L TEST „ TOTAL ESl/MATED FLObV J U GAL.IDAY Nv1BER OFSEEFl46E PITS__/ PATE OF SOIL TEST / ��1� �� - S/DELLACH/NG PER P/T 183 SQ. -7.. SOIL, LOG RESULTS IV/TNESSED BY 90TTOM 4zs cw/NG PER P/T 7`f $p, p�- - TEST P/T TEST P/T#P y N EGE!'i1T/ON PERCDL�4T/O/V RATE „ ��_ M/N�INCH TOTAL LEACH/NG AREA S FT. - RESER{iELEACNlN64,gEA T SQ. FT. sqo /A/ S T, o ROBERT ti - COTl1/�'. p 13UNIKIs n ME.p,'_ e' b p No.22162 O K N p c'sTEP��`��`� �j4 '' ELDREDGE E/Vtr/NEVER/I1IG COS/NC. h �FSS ONA1. 712 MAI%y ST 3 NO.MA/N MASS w SO. YA RMO�TN•MA.f'.S F O ci a*,/ - - - JOB NO. �70 4�- SHEET ?_: OP _� M�, 1� , t•, p :r [ P ,1 't 7 { r+ � � j t.; 6 P 1" '4�s:, "{ •,c b - ' 7. + � .,;ay-" r r }i r� ar'k �. 3y ry � e � ,";. � >s A d..t � ',•� a� `r' u s J �'� a± ,;'3k i f I:��ls s+ti{*..1 _ f1 b >• f 1. �' r�r fi 1 _ a -�y ! x; d1 %xN rr , ��+��` u , � ,i c d, i'• '� f 04t r r of s r<� a l 4 i •T r ' r V � � �" �y el GXtG'f'a` 4-V 7 ` '.it { `�`' ' 2 r �r #•� +'_r l �_ � !fir k. a � .a ��# Cam..-`'`.:CC J ,z v # ,.. • a: $ -,;. ' x � ! y i� s y k I P� 4 q.. t 7EC r .J'#1 �- u.' .I 1;1 e .��Y i .� /��t,3 �+•�.� / "'*: 1 { 9. — 4 $ -•ti 0 P^. 4 #',... furl�u t,my:i,id )//V�/w 'TEG J d ..• 7S5T /SIT >'4t Qr m#+r �, /,N. J 2 { R I�S -•i:.•'d 4 .F /�'j[.-.1 NC ' -� .. �''�O O U_G�a L �;�` " &Iy v sue,. kt�j rJ� +r- i'.' +.k"�i tc�a Ys .7.A/' iC ° �''t 1� O, °z`w a�r.I a ov y t ...y•"C-. I_ ?r.. y., # , P F .`' ,r' a .. r~ ",� k¢y i q "{I s•,"I.E,�`� {9 s {k •c-r? � � '� S '1 ° � 5 r � rr f J"t. tr 4 y` }� `r � 7< }5 '¢LiyF" ' r9v ° 6 _ •.r f n. - r d r :"I;r t I r �}.r 1 y 4�)`{i,} C f.A �d TNOfAtgs ,� 4, ,t., t y V { lt.t. , t IR1 b , ROBE G , . t t Y' P. A 6 i z t S r fi t' GUNIKIS f ? No.8420 '4T�y��,,('/v�t' ° + 3 w ,y, �J.S�R�" 17 K T `}„. `� i �V,• 1 �v . vlt CERTIFIED PLO rl. `' . PLAN 1 ACE I.;`CONSTRUCT'ION S..ON1LY Q hOUNDATION.` IS _. •FEET ` ` IN s . ` lBgOYE •tqW POINT OF'. ADJACENT i t ,1 "_ DATE ' Z �s/77 H SCALE; p t., .' E NEIER/N� Co.l P use a CERTLFY TMA.T THE:.W/�� ' CLIENT .- �..,. N >ON THIS PL16N IS 1�® ATED' r JAG REGISTEUD „ <.. $0!� NA.' �r„ „ THE' GROUND. AS' INDICA'C #MO L:ANQ # , ONFORAAS TO THE .ZCNIN4 'LAWS. ' R SURVEY R DR.BY, a. O,F, BARN,STABLE , AIAS A` CH Sf r' CH:8Y' -°7 /b �, r. • _ k ✓� "�;I� �, ff Rl,. Y i .L*^! r^!wr'�M1ri: .�.���is"} J f. �• ,�A� •'Ifr y