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HomeMy WebLinkAbout0060 BAYVIEW CIRCLE - Health 60 Bayview Circle ' 0!erville r A 142 096 r No. F i. ee � THE COMMONWEALTH OF MASSACHUSETTS Entered in compute.' Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS 01ppliLatlon for Misposal *pstrm Construction hermit Application for a Permit to Construct( ) Repair( ) Upgrade( ) Abandon( ) ❑Complete System ❑Individual Components Locatio Add s r of No. U Owner's Name.Address,and Tel No. /A Installer's Name,Address,and Tel.No. Designer's Name,Address,and Tel.No. L p6s ICE Type of Building: Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) gpd Design flow provided gpd Plan Date Number of sheets Revision Date Title Size of Septic TankWXA_�I_ Type of S.A.S. 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 nvir e a ode and not to place the system in operation until a Certificate of Compliance has been issued by this B of ea h gned Date w/� U Application Approved b Date Application Disapproved by Date for the following reasons Permit No. Date Issued No. O'� Fee THE C,OMM.ONWtALTH OF MASSACHUSETTS Entered in corriput . PUBLIC HEALTH DIVISION -TOWN OF)BARNSTABLE, MASSACHUSETTS Yes application for Disposal 6pstem Construction Permit r , Application for a Permit to Construct( ) Repair( ) Upgrade( ) Abandon( ) ❑Complete System ❑Individual Components Location Addr y r of No. �� Owner's Name Address,and Tel.No. Installer's Name,Add ess,and Tel.No. Designer's Name,Address,and Tel.No. Type of Building: Dwelling No.of Bedrooms t2 Lot Size sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) gpd Design flow provided gpd Plan Date Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. Description of Soil A� Nature of Repairs or Alterations(Answer when applicable) Date last inspected: 45"" 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 Envir a ode and not to place the system in operation until a Certificate of Compliance has been issued by this Boar f ea:h l / gned Date / �� l' �' Application Approvedb" Date 1-19 Ell Application Disapproved y Date for the following reasons Permit No. '' Date Issued THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE,MASSACHUSETTS Certificate of Compliance f•r THIS IS TO CE IFY,"that the On-site Sewage Disposal system Constructed( ) Repaired X Upgraded( ) Abandoned( )by at has been constructed in acc ce with the provisions of Title 5 and the for Disposal System Construction Permit No aa.ed Installer l''�` n/ Designer #bedrooms Approved design flow 41-3 gpd The issuance of this permit shall not be construed as a guarantee that the system will func design d. Date 1 ► a )') Inspector ✓l.✓ ----------------_----------------------------------.-_ ----- _ -------------.--- --------- ------ ------ -------- No. - � Fee�•---- THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION- BARNSTABLE,MASSACHUSETTS Misposal *pstem Construction Permit Permission is hereby gr ted to Construct( Repair Upgrade( ) Abandon( ) j System located at AIDPIC SV!K,V_aeC / and as described in the above Application for Disposal System Construction Permit. The applicant recognized his/her duty to comply with Title 5 and the following local provisions or special conditions. Provided:Construction mus be c9 pleted within three years of the date of this permit. r Date Approved by J i l i TOWN OF BARNSTABLE TION U[U ID View ir' SEWAGE #6b-4W lVAGE(&6WILk ASSESSOR'S MAP & LOT141 o q 6 ivSTALLER'S NAME & PHONE NO.24-Ot(OUt-kIC d� �71�`"0��`f' SEPTIC TANK CAPACITY LEACHING FACILITY:(type)--vl - (size) �X NO. OF BEDROOMS�� PRIVATE WELL OR PUBLIC WATER OR OWNER ('1 �ln y L DATE PERMIT ISSUED: DATE COMPLIANCE ISSUED: VARIANCE GRANTED: Yes No �� � � � � � - � -� �� -� �� c> � � a .x .� _ �� Town of.Barnstable Regulatory Services Thomas F. Geiler, Director • �wRNS'['ABLE. MA.% � Public Health Division ° Thomas McKean;Director 100 Main Street,Hyannis,MA 02601• Office: 508-862.4644 Fax: 508-790-6304 Installer & Designer Certification Form Date: Sewage Permit# J Assessor's MaplParcel `Z) — �(e Designer: IS71:1111E If. DO).1,t'.:lti[):ts5ociAi'Installer : 42 AN _ Y I-i- E ' Address: EAST FALMOUTH,MASSACHUSETTS 0263kddress: q yr y�1/F ' 10o-1 1_l�'�•� �y�r 4� i.�iZld tL v On_ I Z- 3 16 was issued a permit to install a (date) (instal er)._ _ septic system at based on a design drawn by (ad�ess) dated t\. ov.. h . zo L O design r) Icertify that the septic system referenced above was installed substantially according to e design, which may include minor approved changes such as lateral relocation of the distribution box and/or septic tank. Stripouut .(i.f.drequired) was;inspected and the soils were found satisfactory. I certify that the septic system referenced above was installed with major changes (i.e. greater than 10' lateral relocation of the SAS or any vertical relocation of any component of the septic system) but.in accordance with State'& Local Regulations. Plan revision or certified as-built by designer to follow. Stripout ( as inspected and the soils were founVsatisfactory. � �q�, ��►'"°' 4d� �tN ti OFMW'.40, qv DAgVID �yG � ��,15?EgFO ?Z MASON m o STEPHEN y (installer's Si attire) 9 No,1066 a -1 " DOYLE Q. g11lrrAa\ w :N0 SUP�tiy� • r (Designer's Signature) (Affix Designer's-Stamp Mere) PLEASE RETURN TO BARNSTABLE PUBLIC HEALTH DIVISION. CERTIFICATE OF COMPLIANCE WILL•NOT BL" ISSUED UNTIL BOTH THIS FORM AND AS- BUILT CARD ARE RECEIVED BY THE BARNSTABLE PUBLIC HEALTH DIVISION. THANK YOU. QASeptic\Designcr Certification Form Rev 03-09-06.doc t0/i0 3E)dd i 99000zti809 tz:50 DiOZ/ET/ZT Town of Barnstable P# Department of Regulatory Services - �wmvsrnsri: � r _ Public Health Division Date_i o 3 200 Main Street,Hyannis MA 02601 '' Date Scheduled /U Time l Fee p ri. Soil Suitability Assessment for Sewage isP osal C / Performed By: Witnessed By: LOCATION& GENERAL INFORMATION Location Address r � `.�8 0 �t Z��� (�(�LY� Owner's Name L. {`✓ Address Assessor's Map/Parcel: _ " �� Engineer's Name � p NEW CONSTRUCTION REPAIRZ. �J Telephone# Q Land Use Slopes(%) L Surface Stones `D � 5 Distances from: Open Water Body T t�g possible Wet Area i ft. Drinking Water Well 1 O ft Drainage Way 5 P ft Property Line t d ft Other ft SKETCH:(Street name,dimensions of lot,exact locations of test holes&perc tests,locate wetlands fn proximity to holes) ��./ham•�� �-'L I�- Lr l<" I< cm0. .\Xc�,��y-,.. _.-.P-.-.-.... •� ,._. r__ `Wit; `_._.- w K - -�- 'I p V S iZ4.10 Parent material(geologic) t t1 Depth to Bedrock Iy Depth to Groundwater. Standing Water in Hole:_K�. Weeping from Pit Face Estimated Seasonal High Groundwater DETERMINATION F R SEASONAL HIGIto A'TER TABLE Method Used: /LJ n r Ems: / t — i o 1�1`i�� C��Z 7Depth Observed standing in obs.hole: id De il mottles: in. Depth to weeping from side of obs.hole: in, Oroundwater Adjustment Index Well# Reading Dater Index Well level s Adj,factor Adj.Groundwater level Observation PERCOLATION TEST Date It-Pa 't'itne t1- r Hole# Z Time at 9" t� Depth of Pere Time at 6" Start Pre-soak Time @ ' D(/� Time(9"-6") End Pre-soak Rate MinJlnch L Z Site Suitability Assessment: Site Passed Site Failed: Additional Testing Needed(Y/N) Original: Public Health Division Observation Hole Data To Be Completed on Back----------- ***If percolation test is to be conducted within 100' of wetland,you must first notify the Barnstable Conservation Division at least one 1 ( ) week prior to beglimmng. Q:\.SEPTICVERCFORM.DOC ' DEEP.OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture .Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones;Boulders. ConsistenCy,%Gravel) 0—" Sor j'13 � • a.��3/z �oty� I N/►orvtQtl.A�� Mtn-9 (00—13-& C/ ` '� r SAH� Z- DEEP OBSERVATION HOLE LOG Hole# ' Depth from Soil Horizon Soil Texture Soil Color Soil ther Surface(in.) (USDA) (Munsell); Mottling (Structure,Stones,Boulders. onsi ten % ravel -3h �Aot.A 1t% i6 DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. C i to O ve DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Sol] Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones: Boulders. o sistency, Flood Insurance Rate Man. Above 500 year flood boundary No_ Yes Within 500 year boundary No✓ Yes Within 100 year flood boundary No.i Yes Depth of Naturally Occurring Pervious Material Does at least four feet of naturally occurring pervio s material exist in all areas observed throughout the area proposed for the soil absorption system? t-5 If not,what is the depth of naturally occurring per4ious material? Certification I certify that on `1.� (date)I have passed the soil evaluator examination approved by the Department of Environmental Protection and that the above analysis was performed by me consistent with . the required training,expe se and experience described in 310 CMR 15.017. Signature Date �� Oct 0 Q:\SEPTICIPERCFORM.DOC TOWN•OF BARNSTABLE LOCATION ?7T SEWAGE# - — Q VILLAGE /�J//�� ASSESSOR'S MAP&PARCEL f a -0 INSTALLER'S NAME&PHONE NO. SEPTIC TANK CAPACITY LEACHING FACILITY:(typ �,*Z)aw �� (size) NO.OF BEDROOMS OWNER Sou qg PERMIT DATE: ,7--l b- 6 COMPLIANCE DATE: j 2,j 3 -/0 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 Pjorm& vA�'i5t-1 V16 Z�rj- 1 v� Q 1. .i Ej�j 5 TOWN OF BARNSTABLE J LOCATION [5V '-&"Pl ety C,4C 1, SEWAGE# 0�66�' S/� VILLAAGE ®`S%�r-v i��C "{ ASSESSOR'S MAP&LOT Z'U INSTALLER'S NAME&PHONE NO-S: Ilg0.0 JI ML SEPTIC TANK CAPACITY TEACHING FACILITY: (type) e—s o o\ '(size) size NO.OF BEDROOMS BUILDER OR OWNER PERMTTDATE: /®P 3-C�3 COMPLIANCE DATE: Z o3 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 �I �o. 4W-3 ,—���' 6 Fee �© THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS 01ppYtcation for Dizpozar *potem Con5truction Vermit Application for a Permit to Construct( )Repair(k,fUpgrade( )Abandon(1-1 E)Complete System El Individual Components Location Address or Lot No. 6 �' {///p` C'�j�+C�� Owner's N A�es(s d Tel.No. p OZ C'2(Ir//li Assessor's Ma /Pazcel Installer's Name,Address,and Tel.No./_ Designer's NamrAss 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 o Alterations(Answer when a plicable) /!� S/n (,C �6� 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 issu b Bo of Heal _ Sig d - Date00/_,9j,3'ao03 Application Approved by Date `d a_3A3 Application Disapproved for the following reasons Permit No. 60 3 —5 /�' Date Issued �✓� ------ ---------------------------------------- Fee S© t THE COMMONWEALTH OF MASSACHUSETTS Entered in computer. — Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS 11ppricatiou for Mioozal 6potem Con" tru tion Permit Application for a Permit to Construct( . )Repair(i-*pgrade( )Abandon(J* )' O Complete System El Individual Components Location Address or Lot No. 6 O 019 7 rt ,J C fd G -Owner's Nam ,Address apd Tel.No. O.sTr2 v;/fie let Assessor's Map/Parcel ` 60 )IA I 2` Installer's Name,Address,and Tel.No. Designer's Name,A dress and Tel.No. mS Os% r• y�?8 ssa� Type of Building: Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures i 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) , S i r! 6;3 f 6 6 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 issu b s Bo of Health/_ Sigiled Date QC - 3',;ZcIO3 Application Approved by \ Date d a3 Application Disapproved for the following reasons Permit No. DCX 3 --5 /g' Date Issued 9--3 O THE COMMONWEALTH OF MASSACHUSETTS / BARNSTABLE, MASSACHUSETTS Certificate of C ou pfia-1tce THIS IS TO CERTIFY,that the On-site Sewage Disposal System Constructed( )Repaired ( Upgraded( ) Abandoned(/elby �....S�)a-r X h O n i 7- at I rt P C,_c 11 U S 7_ has been construct d in 4.,ccordance with the provisions of Title.5 and the for Disposal System Construction Permit No. Z CO3-5 (9 dated /D 2 3 03 Installer � rt ,/ c e.�� �:, ? Designer The issuance of this permi shall not be construed as a guarantee that the system witl'Mt�f Date t 2 3 Inspectork, — ' No.. 3 'Fee THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLE, MASSACHUSETTS Zi2;po!6a1 bpgtem Conztruction Permit Permission is hereby granted to Construct( )Repair( Upgrade(, Abandon System located at and as described in the above Application for Disposal System Construction Permit.The applicant recognizes his/her duty to comply with Title 5 and the following local provisions or special conditions. Provided:Construction must be completed within three years of the date o this pe t. Date: l0/2) 3/U 3 Approved by i TOWN OF/BARNSTABLE LOCATION 6Q ,S9VXM&J Ci ` SEWAGE# 0766� VILLAGE �S/e<-v���� ASSESSOR'S MAP&LOT Z INSTALLER'S NAME&PHONE NO. 1� �-� ��� y1 SEPTIC TANK CAPACITY AII LEACHING FACILIIT: (type) C°e-S5go V Q A (size) NO.OF BEDROOMS BUILDER OR OWNER PERMITDATE: !O _COMPLIANCE DATE: 101Zq lo,3 Separation Distance Betwee, 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 Feet within 300 feet of leaching facility) Furnished by A-1 �� . �44 COMMONWEALTH OF MASSACHUSETTS EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS DEPARTMENT OF ENVIRONMENTAL PROTECTION RECEIVED OCT 2 8 2003 TOWN OF BARNSTABLE TITLE 5 HEALTH DEPT. OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM FORM PART A CERTIFICATION Re Property Address: 60 Bay View Circle Y Osterville, MA 02655 Owner's Name: Rita Shea Owner's Address: Date of Inspection: September 27, 2003 MAP .. � E}.2 . Name of Inspector: (Please Print) James M. Ford PAR('al O * Company Name: James M. Ford LOB' , Mailing Address: P.O. Box 49 Osterville,MA 02655-0049 Telephone Number: (508) 862-9400 N: do CERTIFICATION STATEMENT '�3) 2 O I certify that I have personally inspected the sewage disposal system at this address and that the in ormation 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: SYSTEM#1 ✓ Passes Conditionally Passes Needs Further Evaluation by the Local Approving Authority SYSTW#2 ✓ Fail Inspector's Signature: Date: September 30, 2003 The system inspector shall of this inspection report to the Approving Authority(Board of Health or DEP)within 30 days of completing this inspection. If the system is a shared system or has a design flow of 10,000 gpd or greater,the inspector and the system owner shall submit the report to the appropriate regional office of the DEP. The original should be sent to the system owner and copies sent to the buyer, if applicable,and the approving authority. Notes and Comments ****This report only describes conditions at the time 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 Inspection Form 6/15/2000 page I Page 2 of I 1 OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address: 60 Bay View Circle Osterville, MA Owner: Rita Shea Date of Inspection: September 27, 2003 Inspection Summary: Check A,B,C,D or E/ALWAYS complete all of Section D A. System Passes: SYSTEM#1 ✓ 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: 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 failure is imminent. System will pass inspection if the existing tank is replaced with a complying septic tank as approved by the Board of Health. *A metal septic tank will pass inspection if it is structurally sound,not leaking and if a Certificate of Compliance indicating that the tank is less than 20 years old is available. ND explain: 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 pipe(s)are replaced obstruction is removed ND explain: 2 Page 3 of 11 OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address: 60 Bay View Circle Osterville, MA Owner: Rita Shea Date of Inspection: September 27. 2003 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 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 I 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 and volatile organic compounds indicates that the well is free from pollution from that facility and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm,provided that no other failure criteria are triggered. A copy of the analysis must be attached to this form. 3. Other: 3 Page 4 of 11 OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address: 60 Bay View Circle Osterville, MA Owner: Rita Shea Date of Inspection: September 27, 2003 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 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 '/2 day flow ✓ Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s). Number of times pumped_. ✓ Any portion of the 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 coliform bacteria and volatile organic compounds indicates that the well is free from pollution from that facility and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm,provided that no other failure criteria are triggered. A copy of the analysis must be attached to this form.] NOTE: Single cesspools automatically fail in the Town of Barnstable-System#2 jails. Yes(System #2) (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 11 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. 4 Page 5 of 11 OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B CHECKLIST Property Address: 60 Bay View Circle Osterville, MA Owner: Rita Shea Date of Inspection: September 27. 2003 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 information on the proper maintenance of subsurface sewage disposal systems? The size and location of the Soil Absorption System(SAS)on the site has been determined based on: Yes No ✓ Existing information. For example,a plan at the Board of Health. ✓ _ Determined in the field(if any of the failure criteria related to Part C is at issue approximation of distance is unacceptable) [310 CMR 15.302(3)(b)]. 5 Page 6 of 11 OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION Property Address: 60 Bay View Circle Osterville, MA Owner: Rita Shea Date of Inspection: September 27, 2003 FLOW CONDITIONS RESIDENTIAL Number of bedrooms(design): 3 Number of bedrooms(actual): 3 DESIGN flow based on 310 CMR 15.203 (for example: 110 gpd x#of bedrooms): 330 Number of current residents: I Does residence have a garbage grinder(yes or no): Yes Is laundry on a separate sewage system(yes or no): No [if yes separate inspection required) Laundry system inspected(yes or no): Yes Seasonal use(yes or no): No Water meter readings, if available(last 2 years usage(gpd)): Unavailable Sump Pump(yes or no): No Last date of occupancy: Currently occupied COMMERCIAL/INDUSTRIAL Type of establishment: Design flow(based on 310 CMR 15.203): end Basis of design flow(seats/persons/sgft,etc.): Grease trap present(yes or no): Industrial waste holding tank present(yes or no) Non-sanitary waste discharged to the Title 5 system(yes or no): Water meter readings, if available: Last date of occupancy/use: OTHER(describe): GENERAL INFORMATION Pumping Records Source of information: Unavailable Was system pumped as part of the inspection(yes or no): No If yes,volume pumped: eallons--How was quantity pumped determined? Reason for pumping: TYPE OF SYSTEM Septic tank,distribution box, soil absorption system ✓ Single cesspool (System#2) ✓ Overflow cesspool (System#1) Privy Shared system (yes or no) (if yes,attach previous inspection records, if any) Innovative/Alternative technology. Attach a copy of the current operation and maintenance contract(to be obtained from system owner) Tight Tank Attach a copy of the DEP approval Other(describe): Approximate age of all components, date installed(if known)and source of information: A 1000 Qal. leach pit was added on Oct. 29190 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: 60 Bay View Circle Osterville, MA Owner: Rita Shea Date of Inspection: September 27, 2003 BUILDING SEWER(locate on site plan) Depth below grade: Materials of construction: _cast iron 40 PVC _other(explain): Distance from private water supply well or suction line: Comments(on condition of joints, venting,evidence of leakage, etc,): SEPTIC TANK: None (locate on site plan) Depth below grade: Material of construction: concrete _metal _fiberglass _polyethylene other(explain) If tank is metal list age: Is age confirmed by a Certificate of Compliance(yes or no): (attach a copy of certificate) Dimensions: Sludge depth: Distance from top of sludge to bottom of outlet tee or baffle: Scum thickness: Distance from top of scum to top of outlet tee or baffle: Distance from bottom of scum to bottom of outlet tee or baffle: How were dimensions determined: Comments(on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert,evidence of leakage,etc.): GREASE TRAP: None (locate on site plan) Depth below grade: Material of construction: _concrete _metal _fiberglass _polyethylene _other (explain): Dimensions: Scum thickness: Distance from top of scum to top of outlet tee or baffle: Distance from bottom of scum to bottom of outlet tee or baffle: Date of last pumping: Comments(on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert,evidence of leakage,etc,): 7 Page 8 of 11 OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: 60 Bay View Circle Osterville, AM Owner: Rita Shea Date of Inspection; September 27, 2003 TIGHT or HOLDING TANK: None (tank must be pumped at time of inspection)(locate on site plan) Depth below grade: Material of construction: _concrete _metal fiberglass _polyethylene _other(explain): Dimensions: Capacity: gallons Design Flow: gallons/day Alarm present(yes or no): Alarm level: Alarm in working order(yes or no): Date of last pumping: Comments(condition of alarm and float switches, etc.): DISTRIBUTION BOX: None (if present must be opened)(locate on site plan) Depth of liquid level above outlet invert: 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.): 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.): 8 Page 9 of 11 OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: 60 Bay View Circle Osterville, MA Owner: Rita Shea Date of Inspection: September 27,�2003 SOIL ABSORPTION SYSTEM(SAS): I ✓ (locate on site plan,excavation not required) If SAS not located explain why: Type ✓ leaching pits,number: 1 -6'x 6'71000 gal. w/2'stone(per as built card) SYSTEM#1 leaching chambers,number: leaching galleries,number: leaching trenches,number, length leaching fields,number, dimensions: overflow cesspool,number: Innovative/alternative system Type/name of technology: Comments(note condition of soil, signs of hydraulic failure, level of ponding,damp soil,condition of vegetation, etc.): The leach pit was dry. The scum line was approximately 6"up from the bottom. There did not appear to be any signs offailure. The cover was T below grade. CESSPOOLS: ✓ (cesspool must be pumped as part of inspection)(locate on site plan) SYSTEM#1 Number and configuration: ,1 -with overflow Depth -top of liquid to inlet invert: --� Depth of solids layer: 3" Depth of scum layer: I" Dimensions of cesspool: S'Wx S'Tx 8'6('bottom to grade Materials of construction: Cesspool block Indication of groundwater inflow(yes or no): No Comments (note condition of soil, signs of hydraulic failure, level of ponding,condition of vegetation, etc.): The cesspool had Y of liquid on the bottom The outlet tee was present. The cover was'2"below grade. A washing machine kitchen and bathroom flow to this cesspool.) 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.): 9 I OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: 60 Bay View Circle Osterville, MA Owner: Rita Shea Date of Inspection: September 27, 2003 SOIL ABSORPTION SYSTEM(SAS): None (locate on site plan,excavation not required) If SAS not located explain why: Type leaching pits,number: leaching chambers,number: leaching galleries, number: leaching trenches,number, length; leaching fields,number,dimensions: overflow cesspool,number: Innovativelalternative system Type/name of technology: Comments(note condition of soil,signs of hydraulic failure, level of ponding, damp soil, condition of vegetation, etc.): CESSPOOLS: ✓ (cesspool must be pumped as part of inspection)(locate on site plan) SYSTEM#2 Number and configuration: I single Depth -top of liquid to inlet invert: 1' Depth of solids layer: I" Depth of scum layer: 0" Dimensions of cesspool: S'Wx 6'Tx 8'bottom to grade Materials of construction: Cesspool block Indication of groundwater inflow(yes or no): No Comments (note condition of soil,signs of hydraulic failure, level of ponding,condition of vegetation,etc.): The cesspool had 4'of liquid on the bottom. The cover was to grade. A bathroom flows to this cesspool A single cesspool automatically fails in the Town of Barnstable. 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.): 9a Page 10 of 11 OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 60 Bay View Circle Osterville, MA Owner: Rita Shea Date of Inspection: September 27, 2003 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. J ' ALk a W a i 36 as P,T a 6 y3 10 Page 11 of 11 OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: 60 Bay View Circle Osterville, kM Owner: Rita Shea E Date of Inspection: _September 27, 2003 SITE EXAM Slope Surface water Check cellar Shallow wells Estimated depth to ground water 30 +/- feet Please indicate (check) all methods used to determine the high ground water elevation: Obtained from system design plans on record -If checked, date of design plan reviewed: Observed site(abutting property4Iservation 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 the Barnstable topographic map andCape Cod Commission water contours map the maps were showing approximately 30'+/-to ground water at this site. This report has been prepared and the system inspected as of the date of inspection. This report is not a warranty or guarantee that the system will function properly in the future. There have been no warranties or guarantees, either expressed, written or implied, relating to the system, the inspection and/or this report. 11 �n 2ol0 05� r 2oo3 - ADDITION " - � I ADDITION � I a• „2- I � I { 0000 --�nJ --- — ADDITION e I I O OO i I I 1 i I ...- .. I. Lil 10 O — L l I ADDITION— O OO ❑ O 0 O .. 1 ' ......... .. .... t .. t i p o g ADDITION ELEVATION SCALE: 1/4" = V-0" FLOORPLAN SCALE: 1/8" = 1'-0" ' --I o F-, -n cryao c ccn r�o o rn 0 " EXISTING LOT COVER BY STRUCTURES = —112.0% { PROPOSED LOT COVER BY STRUCTURES 12.6% LOCUSrri � <1 BAYVIEW - 5 r > / CIRCLE ' S0' 1 -s�� f .i • a - BM: TOP CB FND ,� ELEV. 51.45' _� DATUM: ASSIGNED 52.0 R = 23.83 \ i ,'' .� c ''i• 0 PROPOS ^ L,O C' U,�' MAP a L = 42.88 .':,;: s Y :�''`• ;; R E EMOOEL PROPOSED o ADDITION ASSESSORS DATA: 142-96 - ,: .:; '> ---� I REFERENCE DEED: 17902-247 PROPOSED ADDITION I 7J o LOCUS ADDRESS: CB FND o N LOT 15 oo #60 BAYVIEW CIRCLE OSTERVILLE, MA� I - 15,908f S.F. \ / o., CID FEMA ZONE: „C.. EXISTING \ / FIRM PANEL: 250001 0016 D - �WEL�ING \ /'" ' . MAP REVISED: JULY 2, 1992 \ EXISTING 1 SEPTIC PER REFERENCE PLAN: 129-73- AS—BUILT.CARD ZONING DISTRICT: RC ' / \ / OVERLAY DISTRICTS: LP / AP, RPOD & MA ESTUARY N. cNi PLOT .PLAN OF LAND • sue, _ - I Prepared For #60• BAYVIEW CIRCLE fA OF 41Aq, �C\sTegF cyGn • Osterville Massachusetts 11 STEPHEN — J. �' Scale: -1"=20' Date: October 6, 2010 DOYLE #375159 i Prepared By. LO v o �,o��Q i Stephen J. Doyle and Associates . �s�a yo` `���° 42 Canterbury Lane, East Falmouth MA 02536 / ,c�5 ►► U Telephone 508 540-2534 sjdsurveyOaol.com 1 I D Revisions: 'C;. 0 { 20'' 40' r f- NO. DATE DESCRIPTION � v - . SEW 64 , LOCUS � EXISTING WATER SERVICE LINE —W— - Q°ve' 510 ov < BAYVIEW N PROPOSED GAS SERVICE LINE —PG — 5 � CIRCLE 5 S, SPOT ELEVATION 50.64 .46 yr— ice' ,. W�` `'• � p / .1 tit 52.0 3.5 \ 1: L = 42.88 '•`= � < r ,.:.._:,. ' PROPOSED PVC CLEANOUT LOCUS MAP CAPPED AT GRADE W ASSESSORS DATA: 142-96 51•0 REFERENCE DEED: 17902-247 CB FND LOT 15 �` >>O o LOCUS ADDRESS: 15,9 O8f S.F. \ 00 / 60. B YVII W CIRCLE E CID FEMA ZONE: "C' .o VyIs, \ / FIRM PANEL: 250001 0016 D 'A0 BM: TOP FOUNDATION ELLI G \ EXISTING h� MAP REVISED: JULY 2, 1992 O ELEV. 52.1' \ SEPTIC PER REFERENCE PLAN: 129-73 `SFp DATUM: ASSIGNED + �\ AS-BUILT CARD / ZONING DISTRICT: RC �Np qjq y \ o TO BE / OVERLAY DISTRICTS: LP _ABANDONED_`_ AP_ R.P. D &_MA_ES_TUARY`s�--- — - - ------- - --- - -o- - --ABANDONED-- .--/ + O o 5, O ,n SHEET- 1OF-2-- - DAVI s � .� g MAsO V;,5 �� �� / / '�`�� SEPTIC UPGRADE PLAN No.1066 0 v �'�.c��f` S / / I v 9F r O O \� PG / o___ I I `r PROPOSED Prepared For N 1500 GAL. I SEPTIC TANK #60 BAYVLEW CIRCLE // ,P -w Osterville, vlassachusetts Scale: 1"=20' Date: November 10, 2010 �O?NIASsg0 GJ: ��\` �G �/ `�`\ 1101 �. i i D/.e' �' ' Prepared By: �S,ERFo s `\ '� o o �n Stephen J. Doye and Associates a gSEpNEN �' ` '�� � O 11xl � 42 Canterbury Lane, East Falmouth MA 02536 Telephone 508 540-2534 sjdsurveyOaol.com y31 4 Revisions: CS v `, `,Q� NO. DATE DESCRIPTION- � �e �e r� 7�► 7A. � 7� 7� �- T -��T � T r�r �r L. 'I �iJ 1 , '�11V� �P b 0�1�_/�• 1V T E7 U'�' A �Y . 1 . iJ . 12.83' ----�I • TOP DWELLING FOUNDATION E 52.1 FINISHED GRADE EL. 51.5'f 1/8" TO 1/2" DOUBLE WASHED STONE ® 3" THICK OR GEOTEXTILE FABRIC 34 d� o a :• b•' 24" DWELLING S„ S» 4" PERFORATED PVC O.P. W/SCREW TYPE CAP TO WITHIN 3" OF GRADE 39 58" 39 INV. OUT RISER 49.6' FINISHED GRADE EL. 50.5'f FINISHED GRADE EL. 50.5't NUMBER OF TRENCHES = ONE r MIN DIA. �„ / //// //////// /////////////////////////// ///////////////// ////////// NUMBER OF UNITS = THREE FOR CENTER COVER RISER 1-- 8.5' -, RAWER I 000 EL. 47.78 �� PROPOSED LEACH TRENCH-END VIEW INV EL 10 Min. 1 INV EL INV EL d d d EL. 44.95' INSTALL THREE 500 GALLON UNITS 49.20' 48.95' o o e e e m m e- m WITH 48" OF DOUBLE WASHED STONE Below Flow Line GAS INV EL 6" 46.95' --39" -39" INV EL 3/4' - 1 1/2' AT SIDES AND 39" AT ENDS Liquid Level 48" BAFFLE 47.65' Sum 47.45' DOUBLE WASHED STONE 6" Stone 320 REMOVE ALL UNSUITABLE MATERIAL FIVE FEET R PROPOSED CHAMBER TRENCH Sri AROUND THE S.A.S. DOWN TO THE C HORIZON REQUIRED TANK CAPACITY: PROPOSED 1500 GALLON TANK DISTRIBUTION BOX AND REPLACE WITH CLEAN COURSE SAND PER 435 GPD DESIGNED © 200% = 1500 GAL/MINIMUM 310 cMR 15.255 - As REQUIRED. BOTTOM OF TEST PIT EL. 39.5' SEPTIC TANK NOTES: PRECAST DISTRIBUTION BOX NOTES: NO GROUND WATER OR INSTALL ON A STABLE COMPACTED BASE INSTALL ON A STABLE COMPACTED BASE BASE REDOXIMORPHIC FEATURES OBSERVED TEES SHALL BE CONSTRUCTED OF SCHEDULE 40 PVC AND SHALL EXTEND A MINIMUM WALL THICKNESS = 2" MINIMUM OF 6 ABOVE THE FLOW LINE OF THE SEPTIC TANK AND BE ON SYSTEM DESIGN DATA: THE CENTERLINE OF THE SEPTIC TANK LOCATED DIRECTLY UNDER THE MINIMUM INSIDE DIM.i' = 12" (EXISTING THREE BEDROOM DWELLING) THREE BEDROOMS = 3 x 110 GPD = 330 GPD REQ FLOW CLEAN-OUT MANHOLE. OUTLET INVERTS SHALL BE EQUAL TO EACH OTHER AND AT / THE INLET PIPE ELEVATION SHALL BE NO LESS THAN 2" NOR MORE THAN 3" 2" MINIMUM BELOW INLET INVERT. USE CHAMBER TRENCH 12.83'W x 32'L x 2' EFF. DEPTH 1 ABOVE THE INVERT ELEVATION OF THE OUTLET PIPE. THE DISTRIBUTION LINES FROM THE DISTRIBUTION BOX SHALL SIDE WALL: [32+32+12.83+12.83] x 2.0 = 179 SF BOTTOM: 12.83 x 32 = 410 SF THE SEPTIC TANK SHALL HAVE A MINIMUM COVER OF 12", WITH TWO ALL HAVE EQUAL INVERTS 'AS DETERMINED BY FLOODING THE 20" MANHOLES HAVING READILY REMOVABLE IMPERMEABLE COVERS DISTRIBUTION BOX TO THE HEIGHT OF THE DISTRIBUTION LINE 589 x 0.74 = 435 GPD TOTAL DESIGN FLOW PROVIDED OF DURABLE MATERIAL SHALL BE PROVIDED WITH ACCESS PORTS. INVERT AFTER ALL LINES HAVE BEEN SEALED IN PLACE. 105 GPD RESERVE FLOW NO GARBAGE DISPOSAL ALLOWED THE TANK OUTLET TEE SHALL BE EQUIPPED WITH A GAS BAFFLE. INVERT ADJUSTMENTS SHALL BE MADE BY FILLING WITH GENERAL NOTES: DURABLE AND NONDEFORMABLE MATERIAL PERMANENTLY 1. ALL WORKMANSHIP AND MATERIALS SHALL CONFORM TO DEP AND FASTENED TO THE LINE OR RECONSTRUCTING THE LINES THE TOWN OF BARNSTABLE RULES AND REGULATIONS FOR THE SUBSURFACE UNTIL ALL INVERTS ARE OF EQUAL ELEVATION. DISPOSAL OF SEWAGE. 4 2. ACCESS PORTS OVER TANK TEES SHALL BE ACCESSIBLE WITHIN 6" SHEET 2 OF 2 OF FINISHED GRADE. 3. ALL COMPONENTS OF THE SANITARY SYSTEM SHALL BE CAPABLE OF SEPTIC UPGRADE PLAN WITHSTANDING H-10 LOADING UNLESS THEY ARE UNDER DRIVES OR PARKING. solL DATA: H-20 TEST DATE:� 11-09-10 LOADING SHALL BE USED UNDER DRIVES OR PARKING, UNLESS NOTED. Prepared For 4. THE EXCAVATOR/CONTRACTOR SHALL CALL "DIG SAFE" AND VERIFY THE LOCATION SOIL EVALUATOR: S. DOYLE APPROOF SITE UTILITIES PRIOR TO ANY EXCAVATION, AND SHALL BE RESPONSIBLE FOR B3/95 WITNESSED #6 0 B A YVI E W CIRCLE ALL MATTERS RELATING TO ELECTRIC AND/OR GAS EASEMENTS. WITNESSEEDD BY: DAVE STANTON 5. SEWER PIPES SHALL BE SCHEDULE 40 PVC. (4" DIA. UNLESS OTHERWISE NOTED) EL. 0.5 TEL. 0.5' In 6. ANY MASONRY UNITS USED TO BRING COVERS TO GRADE SHALL BE EL. 50.5' ti; EL. 50.5' MORTARED IN PLACE. 4 A SL OYR 3/2 A SL 10YR011 3/2 Osterville, Massachusetts 7. FINISH GRADE SHALL HAVE A MINIMUM SLOPE OF 0.02 FT. PER FOOT. 1 8" 8" Date: November 10, 2010 r. 8. EXISTING SYSTEM COMPONENTS - IF ANY - SHALL BE ABANDONED PER B W LS 10YR 5/6 B W LS 10YR 5/6 Prepared By: TITLE 5 REQUIREMENTS. Stephen J. Doyle and Associates 9. THE EXCAVATOR/CONTRACTOR SHALL BE RESPONSIBLE TO CONTACT DOYLE so" (EL. 45.5') so" (EL. 45.5') 42 Canterbury Lane, East Falmouth MA 02536 PERC 0 64" Telephone 508 540-2534 sjdsurvey®aol.com AND ASSOCIATES 24 HOURS PRIOR TO ANY REQUIRED INSPECTIONS. C FINE C FINE 10. ALL COMPONENTS SHALL BE MARKED WITH MAGNETIC TAPE OR SAND 2.5Y 6/6 SAND 2.5Y 6/6 Revisions: COMPARABLE MEANS IN ORDER TO LOCATE THEM ONCE BURIED. 11. WHERE WATER SERVICE IS LOCATED CLOSER THAN 10 FEET FROM I EL. 39.5' 132" EL. 39.5' 132" SEWAGE COMPONENTS, SERVICE LINE SHALL BE SLEEVED IN PVC. NO GROUND WATER OR NO GROUND WATER OR 12. ANY AT-GRADE COVERS SHALL BE SECURED TO UNAUTHORIZED ACCESS. REDOXIMORPHIC FEATURES OBSERVED REDOXIMORPHIC FEATURES OBSERVED NO. DATE DESCRIPTION