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Home My WebLink About1194 MAIN STREET (COTUIT) - Health 1,1µ1, 4, MainStreet.(Cotuif) Cotuit �Q A = 033 034 F� Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments ^M 1194 Main Street Property Address Mary Higgins Owner Owner's Name information is Cotuit MA 02635 December 15, 2010 required for State Zip Code Date of Inspection every page. Citylrown Inspection results must be submitted on this form. Inspection forms may not be altered in any way. Please see completeness checklist at the end of the form. Important: A. General Information When filling out 1 / forms on the computer,use 1. Inspector: only the tab key to move your Patrick M. O'Connell cursor-do not Name of Inspector use the return key. Septic Inspection Services Co. Company Name r� 189 Cammett Road Company Address Marstons Mills MA 02648 reran Cityrrown State Zip Code 508.428.1779 SI 12855 Telephone Number License Number B. Certification certify that I have personally inspected the sewage disposal system at this address and that the information reported below is true, accurate and complete as of the time of the inspection. The inspection was performed based on my training and experience in the proper function and maintenance of on site sewage disposal systems. I am a DEP approved system inspector pursuant to Section 15.340 of Title 5(310 CMR 15.000).The system: "=" ® Passes ❑ Conditionally Passes ❑ Fails, k.> ❑ Needs Further Evaluation by the Local Approving Authority - I 711 December 15, 2010 Job# 10-294,3 Inspector's Signature Date � ors The system inspector shall submit a copy of this inspection report to the Approving Authority (Board of Health or DEP) within 30 days of completing this inspection. If the system is a shared system or has a design flow of 10,000 gpd or greater, the inspector and the system owner shall submit the report to the appropriate regional office of the DEP. The original should be sent to the system owner and copies sent to the buyer, if applicable, and the approving authority. ""This report only describes conditions at the time of inspection and under the conditions of use at that time. This inspection does not address how the system will perform in the future under the same or different conditions of use. Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 1 of 17 t5ins•09108 I I Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 1194 Main Street Property Address Mary Higgins Owner Owner's Name information is COW MA 02635 December 15, 2010 required for State Zip Code Date of Inspection every page. City/Town B. Certification (cont.) 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. Comments: Tank is not in need of pumping at this time leaching chambers were empty with no sidewall stains. 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. Check the box for"yes", "no" or"not determined" (Y, N, ND)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 failure is imminent. System will pass inspection if the existing tank is replaced with a complying septic tank as approved by the Board of Health. *A metal septic tank will pass inspection if it is structurally sound, not leaking and if a Certificate of Compliance indicating that the tank is less than 20 years old is available. ❑ Y ❑ N ❑ ND (Explain below): Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 2 of 17 t5ins-09108 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments M 1194 Main Street Property Address Mary Higgins Owner Owner's Name information is Cotuit MA 02635 December 15, 2010 required for every page. Cityrrown State Zip Code Date of Inspection B. Certification (cont.) B) System Conditionally Passes (cont.): ❑ 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 ❑ Y ❑ N ❑ ND (Explain below): ❑ obstruction is removed ❑ Y ❑ N ❑ ND (Explain below): ❑ distribution box is leveled or replaced ❑ Y ❑ N ❑ ND (Explain below): ❑ The system required pumping more than 4 times a year due to broken or obstructed pipe(s). The system will pass inspection if(with approval of the Board of Health): ❑ broken pipe(s) are replaced ❑ Y ❑ N ❑ ND (Explain below): ❑ obstruction is removed ❑ Y ❑ N ❑ ND (Explain below): 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 public health, safety or the environment. 1. System will pass unless Board of Health determines in accordance with 310 CMR 15.303(1)(b)that the system is not functioning in a manner which will protect public health, safety and the environment: ❑ 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 t5ins•09108 Title 5 Official Inspection Form.Subsurface Sewage Disposal System•Page 3 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 1194 Main Street Property Address Mary Higgins Owner Owner's Name information is required for Cotuit MA 02635 December 15, 2010 every page. Cityrrown State Zip Code Date of Inspection B. Certification (cont.) 2. System will fail unless the Board of Health (and Public Water Supplier, if any) determines that the system is functioning in a manner that protects the public health, safety and environment: ❑ The system has a septic tank and soil absorption system (SAS) and the SAS is within 100 feet of a surface water supply or tributary to a surface water supply. ❑ The system has a septic tank and SAS and the SAS is within a Zone 1 of a public water supply. ❑ The system has a septic tank and SAS and the SAS is within 50 feet of a private 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 indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered. A copy of the analysis must be attached to this form. 3. Other: D) System Failure Criteria Applicable to All Systems: You must indicate "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 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_day flow t5ins•09/08 Title 5 Official Inspection Farm:Subsurface Sewage Disposal System-Page 4 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 1194 Main Street Property Address Mary Higgins Owner Owner's Name information is Cotuit MA 02635 December 15, 2010 required for every page. City/Town State Zip Code Date of Inspection B. Certification (cont.) Yes No ❑ ® 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 supply well with no acceptable water quality analysis. [This system passes if the well water analysis, performed at a DEP certified laboratory,for fecal coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered. A copy of the analysis and chain of custody must be attached to this form.] ❑ ® The system is a cesspool serving a facility with a design flow of 2000gpd- 10,000gpd. ❑ ® 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 Systems: To be considered a large system the system must serve a facility with a design flow of 10,000 gpd to 15,000 gpd. For large systems, you must indicate either"yes" or"no" to each of the following, in addition to the questions in Section D. 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 is considered 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 15.304. The system owner should contact the appropriate regional office of the Department. t5ins•09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 5 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments M 1194 Main Street Property Address Mary Higgins Owner Owner's Name information is required for Cotuit MA 02635 December 15, 2010 every page. Cityrrown State Zip Code Date of Inspection C. Checklist Check if the following have been done. You must indicate"yes" or"no" as to each of the following: 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 ® El information on the proper maintenance of subsurface sewage disposal systems? The size and location of the Soil Absorption System (SAS)on the site has been determined based on: ® ❑ Existing information. For example, a plan at the Board of Health. ® El approximation in the field (if any of the failure criteria related to Part C is at issue approximation of distance is unacceptable) [310 CMR 15.302(5)] D. System Information Residential Flow Conditions: Number of bedrooms (design): 5 Number of bedrooms (actual): 3 DESIGN flow based on 310 CMR 15.203 (for example: 110 gpd x#of bedrooms): 550 t5ins-09/08 Title 5 Official Inspection Form.Subsurface Sewage Disposal System-Page 6 of 17 Commonwealth of Massachusetts r Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments w 1194 Main Street Property Address Mary Higgins Owner Owner's Name information is Cotuit MA 02635 December 15, 2010 required for every page. Citylrown State Zip Code Date of Inspection D. System Information Description: 0 Number of current residents: Does residence have a garbage grinder? ❑ Yes ® No Is laundry on a separate sewage system? [if yes separate inspection required] ❑ Yes ® No Laundry system inspected? ❑ Yes ❑ No Seasonal use? ® Yes ❑ No Water meter readings, if available (last 2 years usage (gpd)): N/A IrrigationSystem. Detail: Sump pump? ❑ Yes ® No Last date of occupancy: �D Unknown Commercial/Industrial Flow Conditions: Type of Establishment: Design flow(based on 310 CMR 15.203): gallons per day(gpd) Basis of design flow (seats/persons/sq.ft., etc.): Grease trap present? ❑ Yes ❑ No Industrial waste holding tank present? ❑ Yes ❑ No Non-sanitary waste discharged to the Title 5 system? ❑ Yes ❑ No Water meter readings, if available: t5ins-09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 7 of 17 Commonwealth of Massachusetts • Title 5 Official Inspection Form a Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 1194 Main Street Property Address Mary Higgins Owner Owner's Name information is required for Cotuit MA 02635 December 15, 2010 every page. Cityfrown State Zip Code Date of Inspection D. System Information (cont.) Last date of occupancy/use: Date Other(describe below): General Information Pumping Records: Source of information: Unknown Was system pumped as part of the inspection? ❑ Yes ® No If yes, volume pumped: gallons How was quantity pumped determined? Reason for pumping: Type of System: ® Septic tank, distribution box, soil absorption system ❑ Single cesspool ❑ Overflow cesspool ❑ Privy ❑ Shared system (yes or no) (if yes, attach previous inspection records, if any) ❑ Innovative/Alternative technology. Attach a copy of the current operation and maintenance contract(to be obtained from system owner) and a copy of latest inspection of the I/A system by system operator under contract ❑ Tight tank. Attach a copy of the DEP approval. ❑ Other(describe): t5ins-09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 8 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form o Subsurface Sewage Disposal System Form -Not for Voluntary Assessments M 1194 Main Street Property Address Mary Higgins Owner Owner's Name information is required for Cotuit MA 02635 December 15 2010 every page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) Approximate age of all components, date installed (if known) and source of information: Compliance date: 11/8/04 Were sewage odors detected when arriving at the site? ❑ Yes ® No Building Sewer(locate on site plan): 2' Depth below grade: feet Material of construction: ❑ cast iron ® 40 PVC ❑ other(explain): Distance from private water supply well or suction line: feet Comments (on condition of joints, venting, evidence of leakage, etc.): Septic Tank (locate on site plan): 16" Depth below grade: feet Material of construction: ® concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑ other(explain) t If tank is metal, list age: years Is age confirmed by a Certificate of Compliance? (attach a copy of certificate) ❑ Yes ❑ No I� Dimensions: 10.5' long x 5.8'wide- 1500 gal Sludge depth: 2 15ins-09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 9 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 1194 Main Street Property Address Mary Higgins Owner Owner's Name information is required for Cotuit MA 02635 December 15, 2010 every page. Citylrown State Zip Code Date of Inspection D. System Information (cont.) Septic Tank(cont.) Distance from top of sludge to bottom of outlet tee or baffle 30" Scum thickness Trace 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 14" How were dimensions determined? Measured Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): Tank is not in need of pumping at this time. Liquid level was found at bottom of outlet invert and tees were intact and clear. Grease Trap (locate on site plan): Depth below grade: feet 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: Date 15ins•09108 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 10 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 1194 Main Street Property Address Mary Higgins Owner Owner's Name information is required for Cotuit MA 02635 December 15, 2010 every page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): Tight or Holding Tank (tank must be pumped at time of inspection) (locate on site plan): Depth below grade: Material of construction: ❑ concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑ other(explain): Dimensions: Capacity:. gallons Design Flow: gallons per day Alarm present: ❑ Yes ❑ No Alarm level: Alarm in working order: ❑ Yes ❑ No Date of last pumping: Date Comments (condition of alarm and float switches, etc.): Attach copy of current pumping contract (required). Is copy attached? ❑ Yes ❑ No l5ins•09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 11 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form o Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 1194 Main Street Property Address Mary Higgins Owner Owner's Name information is required for Cotuit MA 02635 December 15, 2010 every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Distribution Box (if present must be opened) (locate on site plan): Depth of liquid level above outlet invert 0 Comments(note if box is level and distribution to outlets equal, any evidence of solids carryover, any evidence of leakage into or out of box, etc.): No solids or high stains present, liquid level was found at bottom of outlet pipes. Pump Chamber(locate on site plan): Pumps in working order: ❑ Yes ❑ No Alarms in working order: El Yes ❑ No Comments (note condition of pump chamber, condition of pumps and appurtenances,.etc.): Soil Absorption System (SAS) (locate on site plan, excavation not required): If SAS not located, explain why: t5ins-09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 12 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 1194 Main Street Property Address Mary Higgins Owner Owner's Name information is required for Cotuit MA 02635 December 15, 2010 every page. Citylrown State Zip Code Date of Inspection D. System Information (cont.) Type: . ❑ leaching pits number: ® leaching chambers number: Five 500 gal drywells. ❑ 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.): Leaching chambers were found empty with no sidewall stains. Cesspools (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 ❑ No 15ins-09/08 Title 5 Official Inspection Form Subsurface Sewage Disposal System-Page 13 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments M 1194 Main Street Property Address Mary Higgins Owner Owner's Name information is required for Cotuit MA 02635 December 15, 2010 every page. Citylrown State Zip Code Date of Inspection D. System Information (cont.) Comments (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): Privy (locate on site plan): Materials of construction: r Dimensions Depth of solids Comments (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): t5ins•09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 14 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 1194 Main Street Property Address --_---------------------- -------- — Mary Higgins Owner Owner's Name --------._..-------------.—...---- information is required for Cotuit MA_ 02635 December 15, 2010 _ _ every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Sketch Of Sewage Disposal System: Provide a view 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. Check one of the boxes below: ❑ hand-sketch in the area below ❑ drawing attached separately L ` 3 33 5 r�• +� t� �.F'1 r� �,•; r ry 4 $ 4•�is x4�M!f y n yw81�,1100 4v� _. Main Street . Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 1194 Main Street Property Address Mary Higgins Owner Owner's Name information is required for Cotuit MA 02635 December 15, 2010 every page. Cityfrown State Zip Code Date of inspection D. System Information (cont.) Site Exam: ® Check Slope ® Surface water ® Check cellar ® Shallow wells .. Estimated depth to high ground water: 20+feet Please indicate all methods used to determine the high ground water elevation: ❑ Obtained from system design plans on record If checked, date of design plan reviewed: Date ® Observed site (abutting property/observation hole within 150 feet of SAS) ❑ Checked with local Board of Health -explain: ❑ Checked with local excavators, installers - (attach documentation) ❑ Accessed USGS database-explain: You must describe how you established the high ground water elevation: Surface water at end of road is considerably lower than SAS. Before filing this Inspection Report, please see Report Completeness Checklist on next page. t5ins•09108 Title 5 Official Inspection form Subsurface Sewage Disposal System•Page 16 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 1194 Main Street Property Address Mary Higgins Owner Owner's Name information is required for Cotuit MA 02635 December 15, 2010 every page. Cityfrown State Zip Code Date of Inspection E. Report Completeness Checklist ® Inspection Summary: A, B, C, D, or E checked ® Inspection Summary D (System Failure Criteria Applicable to All Systems) completed ® System Information— Estimated depth to high groundwater ® Sketch of Sewage Disposal System either drawn on page 15 or attached in separate file 15ins•09108 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 17 of 17 TOWN OF BARNSTABLE . LOCATION it 9q M W'(( S7r. SEWACW#Tn 510 VILLAGE Ca'Tlj�"r- ASSESSOR'S MAP&PARCEL 1}g5Vit-;-�NAME&PHONE NO nn� �CG►�►�.1 �f L�a� Ir1-15 SEPTIC TANK CAPACITY 1,5'0o c LEACHING FACILITY:(type) Jg V� � (size) 5 NO.OF BEDROOMS OWNER PERMIT DATE: ('-0� DATE,' -'p5P la I 1 110 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 L h \ \ 4 4 \ 4 h 4 4 4 \ \ h 4 \ hJ J f\!4f\{\? /h! J4f4J fhlhf4f4f + • \ \ 4 4 \ \ \ h h h \ \ 4 \ 4 \ i 2 h 4 4 4 h 4 h \ \ 4 h l4Jk{\{4J\J\{\J\{\ f ! f J ! J l { _.. 3 33 5 L . Main Street TOWN OF BARNSTABLE LOCATION f l9`7 /�'�GL�r1 oS�f•' SEWAGE # I.LAGE G� � e ASSESSOR'S MAP.& LOT 3. b311 INSTALLER'S NAME&PHONE NO.,TaSQn '`eZCru Z�- off-�71-1 f[1 SEPTIC TANK CAPACITY 1550 0 fGJ�a�/QAJ 14 Zia LEACHING FACILITY: (type) Fe�lX QJC44 tht (size) 6'40•5 -<13 NO.OF BEDROOMS LS BUII.DER OR ONER °v yr* �°� . V*�-,e ' �S- W PERMTTDATE: 114/0 q 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 �Z r,`r A/ a3 33 3 463 A 3,:) Al A g 5ta-n /3F gW-0 i14 L1 1-7 ,III °fir 3 TOWN OF BARNSTABLE LOCATION � �� 1 _ SEWAGE # 0 VILLAGE C �_�,; � ASSESSOR'S MAP Cz LOTS—X�'ll �',f INSTALLER'S NAME 6z PHONE NO. SEPTIC TANK CAPACITY LEACHING FACILITY:(type) �?. , : r,. size) 000 � C NO. OF BEDROOMS PRIVATE WELL OR PUBLIC WATE BUILDER OR OWNER V"o h w DATE PERMIT ISSUED: DATE; COMPLIANCE ISSUED: VARIANCE GRANTED: Yes No i r 4� II i 4 e/ g i 17 i f No. Fee cl SCE' THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS Zipplitation for Diopoof bpotem Con,5truction Permit Application for a Permit to Construct( )Repair( )Upgrade( )Abandon( ) CPS omplete System O Individual Components Location Address or Lot No. Owner's Name,Address and Tel.No. Assessor's Map/Parcel 0 Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. Type of Building: 11U612�1 Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder(ko ding Other Type of Buil No.of Persons Showers P—) Cafeteria( ) Other Fixtures Design Flow _ gallons per day. Calculated daily flow �//®� gallons. Plan Date 1101104t, Number of sheets Revision Date �— Title Size of Septic Tank O6,e, Type of S.A.S. 70 v — 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 Certifi- cate of Compliance has been d by this Bo Ad of Health. Signed Date Application Approved by Date_`'[ f Application Disapproved for the following reasons Permit No. o - Date Issued ———————————— Fee No. THE'COMMONWEALTH OF MASSACHUSETTS Entered in computer , Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE MASSACHUSETTS Yicat ou for g o�aY pgferu Cougtruction Permit Application for a Permit to Construct( . )Repair( )Upgrade( )Abandon( ) CL7 omplete System O Individual Components ,,,Location Address or Lot No. /�%/r/ —°^ Owner's Name,Ad dress and Tel. o. Assessor's Map/Parcel O 53 Installer's Name,Address and Tel.No:'" (.•C.� Design 's ame,iAd rr ss n el.No. Type of Building: I _ Dwelling No.of Bedrooms Lot Size /IA363, sq.ft. Garbage Grinder( � Other Type of Building �O�f i4/ No. of Person Showers(,2—) Cafeteria( ) Other Fixtures Design Flow ^ gallons per day. Calculated daily flowl� _ gallons. Plan Date -Number of sheets Revision Date Title Size of Septic Tank _ g Type of S.A.S. Description of Soil Nature of Repairs or Alterations(Answer when applicable) I!: Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisi�ons. of Title 5 of the Environmental Code and not to place the system in operation until a Certifi- cate of Compliance has been i _Z p by thi o& ealth. " Signed Date Application Approved by Date �78 Lf s Application Disapproved for the following reasons Permit No. J Date Issued THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS (Certificate of Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal System Constructed( )Repaired ( )Upgraded ( ) Abandoned )by atass-�breeti. 'onstructd� al rdance with the provisions of Title 5 and the for Disposal System Construction Permit No. !�dated 1'/ Installer Designer. I The issuance(of thi pe t shall not be construed as a guarantee that the sys�tem/��tf�unction a desig ed. Date ` ) � " Inspector 1l °"—+% - ( No. CJ"Gu .Ir -------------.------ ---- --Fee THE COMMONWEALTH OF MASSACHUSETTS It PUBLIC HEALTH DIVISION - BARNSTABLE, MASSACHUSETTS M.5pogar *pgtem Congtructiou Permit Permission is hereby grant e nstru t�( p trj � )Upgr,�de(� i 'andon( ) System located at YLQ (� 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:Con t}cton must be completed within three years of the dCbyv s e ll Date: Approved Mar 29 05 04: 45p p. 2 Town of Barnstable Regulatory Services Y • Thomas F.Geiler,Director • nA WANX MASSPublic Health Division ! Thomas McKean,Director 200 Main Street,Hyannis,MA 02601 Office_ 508-M2-4644 Fax 508-790-6304 Installer&.Designer Certification Form Date: Cj / a Sewage Permit# c,)00 Ll- /-/P`/Assessor's Map eel 33 34 Designer: Falmouth Engineering Inc. Installer: T�S6-11 '360 Z0—. 101 Town Hall Square 1 (L Address: Address: d 1 U C� (.� _ Falmouth, MA 02540 rA On � American. Excavating Contractors Inc. Zci � was issued.a permt.to install a (date) (installer) septic system at 1194 Main S t. based on a design drawn by (address) Falmouth Engineering Inc. dated 11/5/04 (designer) certify that the septic system referenced above was installed substantially according to the design, which may include nvnor approved changes such as laterdl relocation of the distribution box and/or septic tank. I certify that the septic system referenced above was installed with major changes (i.e. greater than 10' lateraI relocation of the SAS or any vertical relocation of any component of the septic system)but in accordance v6th State &Local Regulation _ Plan revision or certified as-built by designer to follow. � Lt"OFyq 9 MICHAEL J. c! (Installer's ature) sotlsELu v L s (Desi a 's ature (Affix Desig p Here) PLIASE RETURN TO BARNST BLE PUBLIC HEALTH IVI ION. ER IFICATE OF COMPLIANCE WELL NOT BE ISSUED UNTIL BOTH THIS FORM AND AS- UILT CARD ARE RECEIVED BY THE BARNSTABLE PUBLIC HEALTH DIVISION_ THANK YOU. Q:Hcalt]VSeptic/Designer Certification Form 3-26-04.doc TOWN OF BARNSTABLE a � TION LOCA I'�9 �lr7 �, SEWAGE # VII,LAGE C �° ASSESSOR'S MAP & LOT 93-• � i �AtS`®A � �U Z_A_- INSTALLER'S NAME&PHONE NO. SEPTI AJ ZC TANK GAPACTY fir° /3 LEACHING FACILITY: (typg) (size) NO.OF BEDROOMS , 'BUILDER OR OWNER PERMITDATE: :G I�� ®� 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) Eiige of Wetland and Leaching Facility(If any wetlands exist Feet within 3 feet of leaching fac' 'ty) Furnished by .o �r^J t`oi M 3► 3` t�� s` t1�� r %3 Q y No.. .' FEx ........ THE COMMONWEALTH OF MASSACHUSETTS -�1..v-�r•� BOARD OF �H E A LT H -w Imo... OF...... W_ �! . ... F , pphratiuu for Uiupuual Work.5 TomitrurtivA rrmit Application is hereby made for a Permit to-Construct ( ) or Repair ()() an Individual Sewage Disposal System at,".J /�*�.1. .......rS-1.... .: �r L ati ddress orLot No. C.40 Owner i Address �1.4 Installer Address Type of Building Size Lot/0,0 00A. .Sq. feet Dwelling—No. of Bedrooms............3---------------------------Expansion Attic ( ) Garbage Grinder .( � aOther—Type of Building ____________________________ No. of persons----•_-__-_________..._-.--- Showers ( ). — Cafeteria ( ) d Other fixtures ---- ---------------------------------------------------- •------....._..__.....------. ---------- -- W Design Flow.............. ...............gallons per pegrson�p;r Total daily flAw---------3 ' . .............. llo .� i�L W Septic Tank—Liquid capacity____ allons Len th.-_--."_-___. Width � _. Diameter________________ Deptl _.. x Disposal Trench—No. .................... Width.................... Total Length............. Total leaching area---_____. .... sq. ft. Seepage Pit No........_�..._...... Diameter..... .�------ Depth below inlet_..../_..... Total leaching area.�r. �pt.sq. ft. z Other Distribution box ( ) Dosin tank (, Q aPercolation Test Result Performed by.. �+��+....SVK.vt�� .�NJkte.._� ..._.. Test Pit No. 1................minutes per inch Depth of Test Pit_1-�Z�--.____....._ Depth to ground water....� t Gz, Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ -----•------------------------ . - - - - ---- QV • . j Description of Soil....0"Z..�.j.... mp Q..6 ,r... .Q. f ........................................... ------- ------- ---- -------- -=-• x04 ....................... •--•--•---- W U Nature of Repairs or Alterations—Answer when applicable.-.__.................:.___._______-_......-___..__...._.__.__._-____............_.............. -••- -••--------•-----•---•----•-••••-•••-•--•-•-•--------•---••--•-----•-•---•---•-••--•--....--•- Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Environmental Code—The undersigned further agrees not to place the system in operation until a Certificate of C4 khance ha sued by the bo d of health. Signed _:..:. -�--C~� Dale Application Approved BY ....-� - . y /' `----------------------------_----------- ------- ]�;t e� g Application Disapproved for the following reasons- ------------------------------------------------------------------------------------------------------------------------------------ ............... ._.... .. ..........._..... .-- ...... .......:...:.------------------------------ ........................................ Dare Permit No. _— ........ ------------- Issued ................ CSare e'6 No.. _ -. Funs... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH rr yf 1.. }_.k.1*j.. . .....OF...... AVO iratiou for %ipoiial Works Tuuitrurtinrt Prrutit Application is hereby made for a Permit to Constt uct ( ) or Repair ( ) an Individual Sewage Disposal System at* �, 34 , . .. . .. ...� SLo ationt`'Pddress or Lot No. ....................:'1. ..I..1 - ............................ -------•--•-•-•-•---••••--....................•-----.......------••--•-........................... (I Owner Address W ......................... Y-t p � �!......------........... --•------- Installer Address ✓' Type of Building Size Lot; ��LOJ! --Sq. feet V Dwelling No. of Bedrooms............. __.-_Ex.--Expansion Attic r g— p ( ) Garbage Grinder aOther—Type of Building ............................ No. of persons...-_--_____-_-_-__--------. Showers ( ) — Cafeteria ( ) dOther fixtures , ------------------------------------- ----------------- ---- -- W Design Flow.............. _ ?7 ...gallons per person per day. Total daily flow -__ 7�' to s, . Width' `" Diameter �' '° Septic Tank—Liquid capacity �' allons Length_,ti .... -_____--- Depth,2_.__... --- W x Disposal Trench—No. .................... Width--------------------- Total Length.................... Total leaching area---------,...._.....sq. ft. Seepage Pit No-______............. Diameter......�31_s...... Depth below inlet_...': ........... Total leaching area_.:xt_. __sq. ft. Z Other Distribution box ( ) Dosingp tank ( ? oe `-' Percolation Test Results Performed by._,g :' ' P r" :. � �._.Y''_ A)t-.j� '�l`ate.. 3 ..Z�' .__£ ___.... W ,,� ----w .,, a Test Pit No. 1........ .^. ._minutes per inch Depth of Test ....... Depth to ground water------'-: .:: ` w Test Pit No. 2..............:.minutes per inch Depth of Test Pit.................... Depth to ground water........................ W ----- -- -------------------------•-----••-----------------•--••-------•--•---.----- . 0 Description of Soil---- ..........-.Ve _f"., , . .sa._ _ ��t� _�. ---------------------------------------- ----------- --- - W U Nature of Repairs or Alterations—Answer when applicable................................................................................................ -•-------------------------------------------------•-----•-•---•--•-----------------....--------------------•---...-----------------•----------...-----•--------------------------------........---.•--- Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of 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. Signed .__-------------------------------------------------------------------------------------------------- ........................................ Dace Application Approved By ............... ...�..."`11'__1`.1__� ......... --/- Date Application Disapproved for the following reason.r: ----------------------------------------------------------.............................................................................. ................................ .................p..-- . --- .. ..... ....... . .....................--- ..... . .-- . ................ ......... . ......... --. --- PermitNo. ........... .----- Issued./.. ....-.. -. .............. .......................................................Da e Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ---------- OF --------------------- ------------------------------------- Ter#ifi ate of Q-11omylianre THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ,--)'or Repaired ( ) by ... ..................... .G •a-- ------------ ----------- - _.. I caner at ..............�.�.....cf. ..........�.--CA-u---.------�.�5.�-................. ... . . ....--- ....--..... ....... . . ......................_...... . has been installed in accordance with the provisions of TITLE 5 o T_he State Environmental Code as described in the application for Disposal Works Construction Permit No. ........ 5....:_ __'L 5 .... dated ............ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. p �� DATE. �"'"'r: � Ins ecto .-------...., .. -------- ----r..------- THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH .......... ...........OF......... Vsl' c�k - � / D ........................................................... � No.....5... ...... FEE....../C`•.. ............. Disposal r nrku Tunutrurtion "rrutit Permission is hereby granted..............V. .--7 --... ... •-- to Construct ( ) or Repair.( an Individual Sew.ge Dis osal System at No............ --- _L�..••--..._-/....Ce{.... .�! , t .....----•.-•--- -----•--•••-•-••-------••------•-- -------- •••••••••-•--•----•-••••......•-•........ Street ( as shown on the application for Disposal Works Construction Permit No.' _L;L& Dated.......... c..__. ._5...... c� bohrd of Health DATE..................... -•--� ............................................... Form 1255 HatW HOBBS&WARREN TM Publishers Y PROJECT LOCATION ROSS -/ EET/ n CB/DH I C07U/T `- FOUND j BAY �— 34.6 BENCH�ct96K: UEH)(ISTIN CONCRETE BOUND " � I WITH DRILL HOLEEL 34.56 x 34,2ZmLOCUS 33.7 33.8 . g TR 33.9 NOT TO SCALE 00 TEST HOLE 33.1 33.1 N MAPLES > D w MAPI ES GARAGE 0 GRP�� 33.1 33.1 M 33.4 DOGWOOD io 04 COVER O LOT 9e - PP MAPLES O COVER CIO Inc TA� S1os.53,3 FeNCf LOT 8 000 1 32.9 2 �.. � ?O'f1/r{i 'vim s• .�9a O DEOK Gi'y�C,q TP 33.0 qp� .�`.� TEST LE Q A 12, 01) x 33. 33.� F ou E 1 G o L. 3S.319, g co 33.1 MAPLES :GALLON GARAGE = :CHAA/BERS L_ GENERAL NOTES: STONE ALLLLJ A?Eq AROUND L as - 32.7 1. HOUSE NUMBER: 1194 10 LOCUST � IN. GRAVEL 2. ASSESSORS NUMBER: MAP 033, PARCEL 034 ------ LOT 9A 32.a DRIVEWAY CB/LP ------ FOUND • z 11.305t S.F. a 3. ZONING DISTRICT: — " 4. FLOOD HAZARD ZONE: C 34.9 -S ST W OF E GES 4• Oo 5. TOPOGRAPHIC INFORMATION COMPILED FROM AN ON THE GROUND SURVEY. i 6. ELEVATIONS SHOWN ARE BASED ON NATIONAL GEODETIC VERTICAL DATUM. EDGE VV 7. THE CONTRACTOR SHALL LOCATE THE EXISTING WATER SERVICE AND OF PAVEMENT 32.9 RELOCATE OR SLEEVE AS NECESSARY TO CONFORM TO TITLE 5 CROSS 33., (PUBLIC — 33' WIDE) STREET PLOT PLAN PREPARED FOR M AR Y H I GGI N S & JOH N LECH N ER IV IN cB/oH COTU I T MA FOUND PLAN DATE: SEPTEMBER 1, 2004 PLAN SCALE: 1"=20' C CIVIL ENGINEERING j M O WETLANDS PERMITTING WASTEWATER DESIGN ` V COASTAL ENGINEERING OF A/Ass TITLE 5 PLOT PLANS _ ` PIERS AND DOCKS 20 0 10 20 40 MICHAEL J G I BOR L LAND USE PLANNING COMMERCIAL/RESIDENTIAL 3 SerW17g Cape Cod and Soritheost�n Massochusetts SCALE: 1 INCH = 20 FEET 1 9 ,. NAo�`' 101 TOWN HALL SQUARE — FALMOUTH, MA — 02540 — 508.495.1225 — 508.495.3229 fax PROJECT NUMBER: 04111 1 CAD FILE NAME: 04111PP DRAWN BY: L.M. SHEET 1 OF 2 F/N/SH 6R1G7E SHALL BE 2Z'M/N/MUM OkER ALL SEPAO SYSTEM COMPONENTS USE 4 D/A. SCHEDULE 40 PW LW CAST/RGW P/PE 20'dIN/MUM SETBACK"W EDLL"6r STGWE 77 CELLAR WALL 10'M/N/MUM SE78A0r -i REMOVABLE COVERS SET TO WITHIN r 12" OF FINISH GRADE (TOTAL OF 4) TEST HOLE #1 • - � i-T i,�, _. � .r. — � �,I nc ;., - ,�, � .. , I i.. ,I La i,-,i I r.l _ r I i ;I i I im I i...l I 1.-: I I . —o" 3.� A L10 YR 2 S = .02 3' SOIL TEST 12" Dote of soil test: 8/19/04 i — WASIEO STOVE r LOAMY SANG SLOPE YAR/ES /NWRT EZEY = 2967 2"LA, OF 1/B" TO 1/2' 1500 GALLON SErF7RSr Test taken by.M. BORSELLI 24 - 4, '�- S = .01 MIN. Results witnessed by. BARNSTABLE B.O.H. t �� SEPTIC TANK 2 Percolation rate: a:<2 MIN./INCH (H-20 LOADING) Ground water NONE ENCOUNTERED •. V ESTIMATED DEPTH: > 20' p ®�®®®®®®®C3®®0 c 4 h '11 p OTST. BOX r� f EZEY = 27.67 COARSE SAND N Q p �H--20 LOAD/NO) 2.5Y7/4 VJ�� v v Z Ik14 p 'j SET SEP77C ANK AND D/S7R/BUTTON BOX II INSTALL J14 TO 1 1/2" ON 6 LA TER OF CRUSHED STONE w WA-W£o, 0R119IE0 STONE ALL 5 ►,. O Z W 4, AROUND CHAMBERS ANO OOWV 120" 3, 2 �"Z p '� �. 70 THE BOTT6W OF THE CHAMBER P R O FI L = 'k SYSTEM. REFER TO LAYOUr Lam \ SYSTEM FOR MORE DETAILS ('6071GIf/ G ' 7F5T HOLE NOT TO SCALE 3 - REMOVABLE 24"O/A. 00kERS REMOVVA&E-24"O/A. COW"R • OPEN Ar TOP SET - INLET KNOCKOUT j MIN. FRW rANA' COIr"R OU)LfT_ KN"0Z1 - /N T TEE SET TOM/N. BELOW FILET 1FE.SET LIOUID LEVEL LAX110 LOEWZ � O CAS BA ,C z. io co 21"DIA. R-f-&011ABLE COk R 3 - OUTLETS 10' - 0" 5' 2" GW CA671 SDE 4" BASIS FOR DESIGN: 11 - 6 - 2 1500 GALLON SEPTIC TANK �H-20 LOADING) y '772TAL DA/L Y fZOW/S BASE"O GYV 5 BE77ROIGH/S NO GARBAGE D/,S%0OSAL 0 \ /N�r - .Y= ��/NLET� TOTAL 0,4&Y.AZOW= 110 GPD/bEDROW X 5 BEDROOMS = 550 GPO NOT TO SCAU_ \ ,, OU7Z r 8 '. _ SOrIM AREA PROPOSEO = 624 S.F. / " SDE AREA PR000SED = IJ8 SF. ,j0" 70,rAL LEAGVINC AREA PRLPO,SZD = 752 SF. 8' - 3 1/2 APPLIOW76W RArE= 0.74 CPv/�F. " �\,ZNOFN./ss'cy PLAN VIEW CROSS-SECTION OZY0V LE40VING CAPAGYTY= 569 GJ'D > 550 Cr02O 6 ® ® ® � O ® ® ® ® �� BOHAEL ® ® ® ® ® ® ® �® ® ® ® ® DB-9 DISTRIBUTION BOX (H-20 LOADING r 24r ® ® ® ® ® ® ® � ® ® ® ® ® 34 FS GISTE G\��`O SCALE: 1' = 2' S/ONAL 8' - 6 CROSS—SM nQu 9/13/04 ADD GROUNDWATER ELEVATION NOTE CONSTRUCTION NOTES: DATE REVISION 1. INSTALL.417OW LF 7HE PROPOSED SEP77C SYSTEM.SHALL BE IN A=WOANGE lNTH 171ZE 5 SEPTIC SYSTEM DETAILS AND THE BOARD LT'HEAL 7N RFa&,4 AGWS - a =' • 2. A CGY W GDP' 7t/E PLANS.SHALL BE AYA/LABLE GW .A'TF FAR RDrERENar AT ALL 77MES a KNOCKOUT PREPARED FOR DURING 7HE/NSTALLAAGW Or THE SEPTIC SYSTEM. 21" DIAMETER COVER M AR Y H I GGI N S & JOH N LECH N ER IV 3 NO CHANGES 712 THE,01540V SYVAU BE PEWa?,MED Of/7/OUT THE APPROVAL OF BOTH I N FALMOUT//ENGYNEFAYNO, INC AND 7HE BOARD OF HEAL TH o COTUIT MA 4 THE SEPAL SYSTEM IS S Sk-Or 70 INSpEC770V BY FALWal7H DV67NEEMNQ INC I 5" KNOCKOUT — 5" KNOCKOUT ANv A/EBOARo aRHEAL7h! PLAN DATE: SEPTEMBER 1, 2004 PLAN SCALE: AS SHOWN 5. INC aW7RACr6W -WALL NOAFY FALVW7H D146YNaTING, /NC. AND 7NE BOARD OF HEAL 7H G 77 INSPECT THE,SE'PAC SYSTEM PR/Gib R7 BACKFILL. INSGN/E INSTANCES, MGw THAN GWE /NSP£C770V MAY B£NEEDED. THE COW7RAOrW SHALL 6WL Y SACOV-W THE PORAGWS OF 1-HE CIVILENGINEERING WETLANDS PERMITTING SYSTEM 7HAT HAY£BEET✓INSPECTED AND APPROVED BYFALMOUAI fWNZFRING, INC. ANO 5" KNOCKOUT THE BOARD OF HEAL)71 WASTEWATER DESIGN COASTAL ENGINEERING 6. IF THE CON7RA076W ENCOUNTERS AND VAR/AAANS/N .5YTE 6W,01T7GW.5; SUCH AS DIFFERING • 11TLE 5 PLOT PLANS _ j PIERS AND DOCKS SO'L.5i I6POIGWAP11Y, OF&ANOS OR OTHER CGWD/T/QNS TNAT MAY RETXJ/RE RE-EI1ALUAT7GW OF �g T71E DES/W THE COWTJPACT6W S)VALL IMMEDIAIEl Y CGWTACT FALMOIUTiV fN6,yNEcTR/NG, INC PLAN MEW EW LAND USE PLANNING COMMERCIAL/RESIDENTIAL 500 GALLON LEACHING CHAMBER (H-20 LOADING) Serving CO,oe COO'Ond SOutheOSt&n Mossocliusetts SCALE: 1' = 2' 101 TOWN HALL SQUARE — FALMOUTH, MA — 02540 — 508.495.1225 — 508.495.3229 fax PROJECT NUMBER: 04111 CAD FILE NAME: 04111DT DRAWN BY: L.M. SHEET 2 OF 2 n 0 0 �o 0 Sam � , I Al ,- - - - - ---- - - _ f I (� C5ARA6E 0 j I1 ' U I E ENA'Ir DN �- I Cl it II II I � I ' It I II - - - - �. .._.-_ - - �_ _;___.—. a LL i t It ! itIt it it , o ff ' — — f1 __ It � I It II ZPN it it _ i j S { 1 ---- ------- — If I if It if I; it it It ic, c� .. X .vALLER IF it `� o it .Ji 0 6 C cs if If C3 a I \ ---- -- --- - --- -- - -- -.- 1 F�t �t� = -14 —4- ft i Il u +1 LU LU f 1 SCREEN I LU LA LA ck LU I 'l ^W F I R S T FLOOR FLAN A *-* 2 � � d iruW NNW W W- V uj A N N U � � ------------------------- i L, . U Uj .... �- 0 --------------- ----- -------- ----- -77) q � X., T a 1 -• -�ROON� #1 1 �I j j I - - - s I � �_ i � S al t y � C � � �• S TR. 5.ATH c a, o 1 I 1 - ------- - ------- -------- ---------- -------- i , { 1_1__.J I _ o , I I LU Z �- --- ---------- - -- --_- W OL LA `� o ._ . z -A z - L T ' o LIA lle` I � w W case AJ& 6 200.4 a"a wr ,cJ •.O/ a) O a S � GOND FLOOR PLAN •-� 0t5 _ +.e,is-Y�_ n � -. ,rr.. _" n, .. -� e _.o�..:- �.-_ _..-_—`__.-_r -.-_.ate.•-. ..- '..... ......_. �__ -v..^-_-_ '-:.--axi-��.i:' ''..+�aa �+':♦ --Y -:➢bt�a'�i'+wa'.. B �n I� 0 iq i i - d 0 At S-r-or D FLOOR __ - --- - ----- N J FIR5T FLOOR � ef O ' �- ,I BA5EMEN T } EAST EL_ 7 \/ ATI ON 5 G A E — J 6 < =_ LA Q LL] 5ErONV FLOOR - - - LJ � - t-- _--. .--- UA t1J-1 LA 07 \ I f I LA I FIRST FLOORLA -T - L!6 ------------- ' , Q i y � i- t BASEMEN` _ - - - _ o/ NORTH+ EL ` VAT 1 ON A 5 h