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HomeMy WebLinkAbout0083 BUNKER HILL ROAD - Health 83 BUNKED I i`\ ._>`.1...... ...._. . C 1 t o C f Kt Cowie-s Q Doi__ 1 ?24 3 7 179 04-03-2014 2-- 1 BARNSTAFLE LAN COURT REGISTRY �e-5bz fk DEED RESTRICTION ON USES "a �3 OF 83 BUNKER HILL ROAD, OSTERVILLE, MA WHEREAS, Laura B. Bilodeau,as she is Trustee of the LBB Trustu/d/t dated January 31, 1992, and recorded as document 661,863 of 83 Bunker Hill Road, Osterville (Barnstable), Barnstable County, Massachusetts-02655 further described as: Lot 57, shown on Land Court Plan 5725-21,with a street address of 83 Bunke r Hill Road, Osterv'Ile, MA (hereinafter"property"); and WHEREAS,the Town of Barnstable Board of Health,as a pre-condition to granting a subsurface sanitary sewage disposal works construction permit for a septic system incompliance with 310 CMR 15.200,State Environmental Code,Title V,Minimum Requirements for the Subsurface Disposal of Sanitary Sewage,and authorizing the issuance of a building permit for the construction of a single family home on owner's property at 29 Hathaway Road, Osterville Mass.,is requiring that the grant of a restriction limiting the number of bedrooms on the property to eight (8) be put on record with the Barnstable County Registry of Deeds by recording this restriction; and WHEREAS the owner has agreed with the Town of Barnstable Board.of Health to grant this restriction limiting the number of bedrooms which can be included in any structures built on the property to eight (8) as a precondition.to obtaining a disposal works construction permit for 29 Hathaway Road, in compliance with 310 CMR 15.000 State Environmental Code,Title V, Minimum Requirements for the'Subsurface Disposal of Sanitary Sewage. NO W,THEREFORE owner hereby covenants and agrees tha t: 1) With respect to owner's property,no more than eight (8) bedrooms one the property are authorized, and that the definition of"bedroom is governed by 310 CMR 15.002. - 2) That portion of the property being shown as'8,300 SF Septic Restriction tig Area' on the`Exhibit Sketch For Land Use Restriction' attached hereto-and made a part hereof,said portion measuring approximately 333 feet by.23 5 feet and located along the Westerly boundary of said lot,shall be subject to the further restriction that said area shall not count towards the lot area computation of any future construction on 83 Bunker Hill Road for purposes of bedroom count. 3) Owner agrees that this restriction shall be a permanent deed restriction affecting the property and shall run with the land and be binding upon all successors in title; provided however,that if it is determined•that this restriction is not permanent and limited to a term of thirty (30)years,the Town may unilaterally re-record this restriction to extend the protections provided herein for an additional twenty (20)years; an provided further that such re-recording shall occur prior to the expiration of thirty(30) years from the date of the recording of this document. 4) The parties intend, and agree,that the foregoing restrictions be and are imposed for the benefit of the parties and the Board of Health and are enforceable by the parties and the Board of Health. For owner's title to the property,see Certificate of Title 158,152. Address of property: 83 BunkerHill Road, Osterville, MA 02655 . 5 Al �Executed as a sealed instrument this day of , 2014 L B rust 1 7 OauraB. Bilodeau,Trustee COMMONWEALTH OF MASSACHUSETTS Barnstable,ss , 2014 Before me,the undersigned Notary Pu lic,personally appeared the above- named Laura B. Bilodeau,Trustee and proved to me through satisfactory evidence of identification which was a Massachusetts Drivers License to be the person whose names were signed on the preceding document and acknowledged to me that she signed it voluntarily for its stated purpose N.P. . MY comm.Exp: ( � i:P-\r:` J. NOTARY f'US I . Commonwealth n(V, , My Commission E, t :- May 20, ?(:1.:I TRUSTEE'S CERTIFICATE I,Laura B. Bilodeau, being the sole Trustee of LBB Trust, under Declaration of Trust dated 1/3.1/1992, recorded with the Barnstable Registry District of the Land Court as Document No. 661,863, as amended by Document No. 661,864 dated April 1 l-, 1994, hereby certify: THAT the trust is still in existence; THAT it has not been altered,further amended or revoked; THAT all the beneficiaries of said trust who are natural persons,if any, are of full age; THAT all the beneficiaries of said trust:who are natural persons, if any, are competent; and THAT I have been authorized by all of the beneficiaries of said.Trust to: execute a"Deed Restriction on Uses of 83 Bunker Hill Road, Osterville, MA", covering real estate known as 83 Bunker Hill Road, Osterville, Barnstable County, Massachusetts,being Lot 57 on Land Court Plan 5725-21 described in Certificate of Title No. 158152 to which.reference.may be made for title. Signed under the pains and penalties of perjury this'---XWdaY oft, 014. a a B. Bilodeau, Trustee of LBBTrust, under Declaration of Trust dated 1/31/1992 COMMONWEALTH OF MASSACHUSETTS Barnstable, ss. J 2014 On , 2014,before me,the undersigned notary public,personally appeared. the above na ed Laura B.Bilodeau,Trustee of LBB Trust,u/d/t dated 1/31/1992 proved to me through satisfactory evidence of identification,which was Massachusetts Drivers License or[ ] other to be the person whose name is signed on P g the preceding or attached document who swore or affirmed to me that the contents of the document are truthful and accurate to the best of her knowledge and belief. My Commission Expires: ory Public NOTARY Pti L!! r BARNSTABLE COUNTY Commonwealth u(i:'::r s;:_hus�.: BARNSTABLE REGISTRY OF DE y +� My Commissc!i Ex; rc; REGISTRY OF DEEDS EDS � A TRUE COPY;ATTEST May 24, ?,1,: �r JOHNNFJ1.�`ME}ADE REGISTER r Page: 1 9= CERTIFICATE OF ANALYSIS 9S Barnstable County Health Laboratory Report Dated: 4/21/2005 _Report Prepared For: Order No.: G0529787 Peter Bilodeau 83 Bunkerhill Road Osterville, MA 02655 Laboratory ID 4: 0529787-01 Description: Well Water Sample#: 29787 Sampling Location 261 Washington St.Osterville,MA Collected: 4/20/2005 Collected by: Peter Bilodea Received: 4/20/2005 Test Parameters ITEM _ RESULT UNITS RL MCL Method# Tested LAB: Microbiology Total Coliform Present CFU/l00mL 0 Absent 309 4/20/2005 Approved By:� \ ( Director) ;�u- RL = Reporting Limit MCL=Maximum Contaminant Level Superior Court House, PO.Box 427, Barnstable, MA 02630 Ph: 508-375-6605 LOCATION LOt SEWAGE PERMIT NO. Y 3 )yes yrcr4e 111cc 'APO VILLAGE 0 Afc'-Rd/L G Co' ,.VAS$ INSTA LLER'S NAME i ADDRESS _. yw C l�E°3�L .�i2 4/i�.y/✓o %�C �i�c'�•�y�GC� BUILDER OR OWNER _16111 u//r/C-2 Ae. lt/ie.41-lop H DATE PERMIT ISSUED DATE COMPLIANCE ISSUED �S �� 9 � . r . :{ �¢: . _, `�Q �.�� _ , n .� �,� � a D . - . '. _ . I. r ._,X THE COMMONWEALTH OF MASSACHusETTS BOARD OF HEALTH . ..............oF........., r.. c�.dz/e--------•--•----................ Appliratiun for Disposal Marks Tonstrurtiun rtrutit Application is hereby made for a Permit to Construct (✓f or Repair ( ) an Individual Sewage Disposal System at: Location.Address or Lot No. .......Qr..... 1_�1..� i.. l•...l r tea................ .. lirt ny- /I�s,� Owner --• t Ad ss A::%c_.4....6;0,9'!i3:1e= c-��si. .. ��3 1vi.9.vi�11.. .!!L.......&/��5 ....u��C4�...................... Installer Address Type of Building Size Lot.1 .5 ��:? ...Sq. feet U Dwelling—No. of Bedrooms................. ..:....................Expansion Attic ( ) Garbage Grinder ( `04 4 Other—T e of Building No. of persons............................ Showers — Cafeteria a Other fixtures ..................................••---------- W Design Flow..................11 -..................gallons per person per d y. Total daily flow................- ��...............gallons. WSeptic Tank—Liquid capacity ?.gallons Length.... �. Width................ Diameter................ llepth................ x Disposal Trench—No..................... Width.................... Total Length.... _........... Total leaching area...................sq. ft. 3 Seepage Pit No......... ........ Diameter...A..lr�.". Depth below inlet: :5 a.".. Total leaching area�'� :.?.7sq. ft. Z Other Distribution box ( ✓f Dosing tank ( ) r , Percolation Test Results Performed by._. ram! ..�'>'�/\� !YI.'W�A Date..... ���/���............ Test Pit No..l...... &..minutes per inch Depth of Test Pit.......L ....... Depth to ground water...AZnen--... ti, Test Pit No. 2...... _2—minutes per inch Depth of Test Pit....... Depth to ground water.... x ........�..... ...f --.cj . '!...�..?.....•----........ O a� e .:?... .Description : .. 4p --- .., ._.. ----------------------------------------------•---------------------------------------.....•..----------------........._...-----.....------..............--••-•---.....---............-•-•--............ 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 iITt M 5 of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been issued by a oar of health. Signed..r...........:..... .....................................•-----....----•-.•--•---- - •--•-----..........------- Date Application Approved B �� Date Application Disapproved for the following reasons:..........................................................................................................--- ..................................••••---•-••--•-•-----•---...................---••-••---...................-••...-••-----•--•----•••---.....•----•-••-----•-.......•-----------......---......•--._..._ Date PermitNo.. - r.........................................._ Issued.....................................................- Dau THE COMMONWEALTH OF MASSACHUSETTS -� BOARD OF HEALTH ............./..--Ul-f111............OF............10I.W. -11f A•-•--........................ Applirtttion for Disposal Works Tonstrwtion f rrmit.if .: Applidation is hereby made for a Permit to Construct ( r Repair ( ) an Individual SewagefiI)isposal System at• / Location Address or Lot No. l!1!l.�c. :.. r. ?u� ........._... ............../.1//fz �!.2��.. 11r�rr. � ..(ii�G��%s _lt/Q�s. Owner Address w Installer Address Type of Building Size Lot....f�, .,a•� .S feet �..� Dwelling—No. of Bedrooms................:.-� .........................Expansion Attic ( ) Garbage Grinder '4 Other—Type e of Building ....... No. of persons............................ Showers a YP g -•.................. P ( ) — Cafeteria ( ) a' Other fixtures W Design Flow....................-.......................gallons per person per day. Total daily flow...................."-5-Q............gallons. WSeptic Tank—Liquid capacity..A�allons Length......�?gWidth................ Diameter................ Depth................ x Disposal Trench—No..................... Width.................... Total Length.................... Total leaching area...................sq. ft. 3 Seepage Pit No........... ..... Diameter......lz.�-._ "Depth below inlet......--`��-r?:`Total leaching area... 21q. ft. Z Other Distribution box ( Dosing tank Percolation Test Results Performed by....!.!:...'cl:v Date.......`! � 8�.......... Test Pit No. 1....... ..Zminutes per inch Depth of Test Pit........./.. '_.. Depth to ground water......A,,' ?fl.,a. P P P g 'U L� Test Pit No. 2.._....:�.Z.nllnutes per inch Depth of Test Pit...____.lz:'... Depth to round water..............��... #. .. .. .. ............. . Description of Soil ....--••--- ¢5?...,..... �`' :� /!�+._...1 � ! ..... _ ... oJ .. ?•14 --- .•------------*-----�-..z.:.!© --,ju 3 (l• Z - l u! .. 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 TIT1Z 5 of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been issued by the board of health. Signed...................................................................................... ..........................-.... �Z Date Application Approved By........ ........_ ........................................ ....................... Date Application Disapproved for the f ollouring reasons:..............•--•-•-•--•-•-•-••----............----.........................------...........---------...--- ----•-••-•--•...................•-••--------........--••--•....---...---...........................•...........--•--...Date.................. PermitNo. L J........7`3.............. ...... ........ Issued......................................................... Date f... "THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH We,ram, ..........................................O F......... j � 3?' *�4" o ................................................................. F;:�.,; f�rrtif utttr of flu �Iittnrr a. THIS IS TO CERTIFY That the Individual Sewage Disposal System constructed ( ) or Repaired ( ) Acre 4 4,e c� . by....................Z �...-........_.... I....................-- . ---._.....-••-••-----------•---....._......_....................••--•..............-----....._ L.G'j- 4"�• - & Yea,A & Installer Y' � c at...................... --.... . ... .....................................'............................................................. `�,, has been installed in accordance with the provisions of TITLE 5 of The State Sanitary Code as described in the application for Disposal Works Construction Per mi �No .. ................... dated.--. ..... ._r : ...•.............. THE ISSUANCE F THIS CERTIFICATE SHALL NOT BE CONSTRUED,,AS A GUARANTEE THAT THE SYSTEM WIL F TION SATISFACTORY. DATE... ..l. ?.. s' -................ Inspector. ..•-•--................................................................. Y y.,.. N v A THE COMMONWEALTH OF MASSACHUSETTS r3 <p BOARD OF 'HEALTH r ► fat`c /i,Jrtal P4 OF...........:.....: .. , No......................... F>aa...:.Yp:-�--.�...... Disposal Works Tonstrurtion rrrmit ., Permission is hereby granted..... ..AO_..u� -..... . ..--..----...........------------------ ...:..........._.......................................__.. to Construct ( or Repair ( ) an Individual Sewage Disposal System at No......4.v. -- �/rz°�'� j�' Gc AS [r;urx4....... .........._f-- - ... ..--- t-.._._..... Street as shown on the application for;Disposal Works Construction Permit No....... '�.`.`. Dated....-..._� ? DATE............� '.. ` ........................ Bcq of Health............. .......... FORM C-I255 CITY & TOWN FORMS INC;369-9708 S' 6Q tN w '+ W J Walton Stevens f 4/7/00 83 Bunker Hill Road Osterville,Mass. @2555, System consists of; 1 -2000 gallon septic tank. 1 -Distribution box. 2-1000 gallon precast leaching pits. DATE:_ 4/7/00---- PROPERTY ADDRESS' 83,_Bunkerhill Road _Osterville�,Mass�_______ _-- 02655---------------- On the above date, I Inspected the septic system at the above address. : This .system consists of the followIn 5 1 . 1 - gallon septic tank G 0 l 2. 1 -Distribution box. 3. 2-1000 gallon precast leaching pits. Based on my Inspection, I certify the following conditions: 4. This is title five septic system. ( 78 Code ) 5. The septic system is in proper working corder at the present--time. _ 6. Both of the leaching pits were dry at time of inspection. SIGNATURE:,./Company: Jose,ph_P_ Macomber & Son, Inc . Address' Box_66______ __CentervilleL Ha ._02632-0066 Ph one:___S08 775_3338_______ do THIS CERTIFICATION GOES NOT CONSTITUTE A GUARANTY OR WARRANTY V - KOM- J6SEPH P. MACOMBER & SON, INC. Tsnks•Cesspools•Loachflolds Pumped 4 Installed Town sower Connections P.O. Box 6�75.3cent 338erv1114, A 02632-0066 �e` 4 _� r ' COMMONWEALTH OF MASSAC'HUSEr'TS EXECUTIVE OFFICE OF ENvIRONMENTAL AFFAIRS DEPARTMENT OF ENVIRONMENTAL PROTECTION ONE WINTER STREET, BOSTON MA 02108 (617) 292-5500 TRUDY COX Secrets: ARGEO PAUL CELLUCCI DAVID B. STRUF. Governor Commission. SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION Property Address:83 Bunker Hill Road NwneofOwner Walton Stevens Osterville,I ass. 02655 Address of Owner: Date of Inspection: 4/7/0 0 Name of Inspector:(Please Ptdnt) Joseph P.Macomber Jr. - I am a DEP oved system inspector pursuant to Section 15.340 of Trde 5(310 CMR 15.000) company Name: J.Pam.MacommbLer & SSogin Inc. MailingATelephone Number: o U d-5—3 3 3 8i l 'Mass- 02632 CERTIFICATION STATEMENT I certify that I have personally inspected the sewage disposal system at this address and that the information reported below is true, accurate and complete as of the time of inspection. The inspection was performed based on my training and experience in the proper function and maintenance of on-site sewage disposal systems. The system: r -WPasses - L- _ Conditionally Passes Needs Further Evaluation By the Local Approving Authority _ Fails Inspector's Signature: r Date: ` The System Inspecto all submit a copy of this inspection report to the Approving Authority(Board of Health or DEP)within thirty(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 Department ofrEnvlronmental Protection. The original should'be sent tovw system owner and copies sent to the buyer, if applicable, and the approving authority. . NOTES AND COMMENTS revised 9/2/98 Page Iof11 iJ Printed on Recycled Paper f SUBSURFACE SEWAGE DISPOSAL SYSTEh1 INSPECTION FORM PART A , CERTUWATION foondrn+ed) PtogertyAddrssa: 83 Bunkerhill Road. Osterville,Mass. Owner: Walton Stevens Owty of Inspection: 4/7/0 0 INSPECTION SUMM"Y: Check A. A C, o/ D: A. SYSTDA PASSES: 1 ii I hays not found any Information which Indicates that any of the failure conditions described In 310 CMR 1S.303 exist. Any fal2we criteria not evaluated ars Indicated below. COMMENTS: B. SYSTEm CONDMONALLY PASSES: All) One or more system components as described In the 'Conditional►us•*action need to be replaced or repalred. The system. upon completion of the replacement or repair,as approved by the Board of Health,will pass. Indicate yes, no,or not determined(Y.N, or NO). Describe basis of determination In aL Instances. If'not datermined%explain why not. yy The septic tank Is metal,unless the owner or operator has provided the system Inspector with a copy of a Cer0cate of Compliance (attached)Indicating that the tank was Installed within twenty 120)years prior to the date of the Inspection: or the septic tank, whether or not metal, Is cracked,structurally unsound, shows substantial Informtion or exfUvadon, or tank failure is Imminent. The system will pass Inspection If the existing septic tank Is replaced with a complying septic tank as approved by the Board of Health. AIT Sewage backup or breakout or Ngh static water level observed In the dlavibutlon box Is due to broken or obstructed pipelsl or due to a broken, settled or uneven distribution box. The system will pus Inspection If(with approval of the Board of Health). broken pipe(+)are replaced obstruction Is removed distribution box Is levelled or replaced The system requked pumph1gmwre than'fouNmse m-yeardue to broKenvr obMct*d pipe($). The-ystem WW-P =— inspection If(with approval of the Board of Hssith): broken pips(s)are replaced obstruction Is removed revised 9/2/98 Page 2ofIt SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION(continued) Property Address: 83 Bunker Hill Road Osterville,Mass. Owner: Walton Stevens Date of kupeco°n:4/7/0 0 C. FURTHER EVALUATION IS REQUIRED BY THE BOARD OF HEALTH: v Conditions exist which require further evaluation by the Board of Health in order to determine If the system is failing to protect the public health,safety and the environment. 1) SYSTEM WILL PASS UNLESS BOARD OF HEALTH DETERMINES IN ACCORDANCE WITH 310 CMR 16.303(1)(b)THAT THE SYSTEM IS NOT FUNCTIONING W A MANNER WHICH.lMLLPRQTECT THE PUBLIC HEALTHAND SAFETY AND.THE EN1 IRONMENT: ,UP Cesspool or privy is within 60 feet of surface water d0 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 AND SAFETY AND THE ENVIRONMENT: JZQ 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. wo The system has a septic tank and soil absorption system and the SAS is within a Zone I of a public water supply well. The system has a septic tank and soil absorption system and the SAS is within 50 feet of a private water supply well. AV The system has a septic tank and soil absorption system and the SAS is less than 100 feet but 50 feet or more from a private water supply well,unless a well water analysis for coliform bacteria and volatile organic compounds indicates that the well is free from pollution from that facility and the presence of ammonia nitrogen and nitrate,nitrogen is equal to or less than 5 ppm. Method used to determine distance (approximation not valid).• 3) OTHER revised 9/2/98 Page 3ofII SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORA PART A CERTIFICATION(eondmsed) Property Address: 83 Bunkerhill Road Osterville.,Mass. owner: Walton Stevens Data of k"POction:4/7/0 0 D. SYSTEM FAILS: You must Indicate either 'Yes' or'No' to each of the following: Alf) 1 have determined that one or more of the following failure conditions exist as described In 310 CMR 15.303. The basis for this `determination is Identified below. The Board of Health should be contacted to determine whet win be necessary to correct tho tenure Yes No Backup of•eewage Intofaci4Vrw+Yeto oornponertrdaolte en ovedoedod ordeggodB,A&or�cosspd. Discharge or ponding of affluent to the surface of the ground or surface waters due to in overloaded or clogged SAS or cesspool. Static liquid level I the di tribu bo,�above outlet invert due to an overloaded or clogged SAS or cesspool. �� rs ,� ry Liquid depth in aaaap�y o aehIs less than B' below Invert or available volume is leas than 1/2 day flow. Required pumping more the 4 times In the last year NOT due to clogged or obstructed plpe(s). Number of times pumped . Any portion of the Soil Absorption System, cesspool or privy Is below the high groundwater elevation. Any portion of a cesspool or privy Is within 100 feet of a surface water supply or tributary to a surface water supply. Any portion of a cesspool or privy Is-within a Zone I of a public well. Any portion of a cesspool or privy Is within 60 feet of a private water supply wall. Any potion of a cesspool or privy is lose-than 100 feet but greater than 60 feet from a private water supply wen with no acceptable water quality analysis. If the well has been analyzed to be acceptable,attach copy of wog water analysis for .collform bacteria, volatile organic.compounds, ammonia nitrogen-and nitrate nitrogen. E. LARGE SYSTEM FAILS: 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: A1 The system serves a facility with a design flow of 10,000 gpd or greater(Large System)and the system Is a significant threat to pub health and safety and the environment because one or more of the following conditions exist: Yes No , the system Is within 400 feet of•surface drinking water supply the system•le-within.200 Veto#♦tutery►to a curfew drinfdr►g ++iw su►PIY• —" 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) The owner or operator of any such system shall upgrade the system In accordance with 310 CMR 15.30412). Please consult the local rogions office of the Department for further Information. revised 9/2/98 page 4orII r 1 t , !, SUBSURFACE SEWAGE DISPOSAL SYSTEM WSPECTIOM FORM PART B CHECKLIST PropertyAddress:83 Bunkerhill Road Osterville,Mass. Owe: Walton Stevens Date of Inspection: 4/7/0 0 Check if the following have been done:You must Indicate either "Yes" or"No" as to each of the following: Yes N Pumping information was provided by the owner,occupant,or Board of Health. Zo None of the systemton*owents harabaen puwped4QVAt•Jaast two-aweaka sad'thevystam hasbasoaacataiag4manal Aow rates during that period. Large volumes of water have not been Introduced Into the system recently or as part of this inspection. As built plans have been obtained and examined. Note if they are not available with N/A. 4Z _ The facility or dwelling was inspected for signs of sewage back-up. The system does not receive non-sanitary or Industrial waste flow. _ The site was inspected for signs of breakout. l _ excluding All system components,e� the Soil Absorption System,have been located on the site. _ The septic tank manholes were uncovered,opened, and the interior of the septic tank was inspected for condition of baffles or tees, material of construction, dimensions,depth of liquid, depth of sludge,depth of scum. The size and location of the Soil Absorption System on•the site has been determined based on:- Existing Information. For example, Plan at B.O.H. Determined In the field(if any of the failure criteria related to Part C Is at Issue,approximation of distance is unacceptable) / [15.302(3)(b)) The facility owaar.land.ocr1pantsAf diftarant froauzwner).wcarajuuyidad with Infa mWomon*h A proper m&intai&QC&af SubSurface Disposal Systems. t revised 9/2/98 Page 5of11 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION Property Address:83 Bunker Hill Road Osterville,Mass`. owner: Walton Stevens Date of Inspection: q/7/0 0 FLOW CONDITIONS RESIDENTIAL: Design flow: &Q g.p.d./bedro Number of bedrooms desi ): Number of bedrooms(actual): Total DESIGN flow Number of current residents: Garbage grinder(yes or no): WO Laundry(separate s system) ( e o no _;. If yes, separate Impaction•required Laundry system inspected or no) Seasonal use(yes or no): Water meter readings,if available(last two year's usage(gpd): '� Sump Pump(yes or no):" �S " 7 ,4 Last date of occupancy:IL � COMMERCIALMI DUSTRIAL: Type of establishment:_ _ Design flow: QP4 1 Based on 16.203) Basis of design flow Grease trap present: (yes or no) Industrial Waste Holding Tank present:(yes or no)-� Non-sanitary waste discharged to the Title 6 system: (yes or no A Water meter readings,if available: Last date of occupancy: OTHER:(Describe) /Q Last date of occupancy: J ' GENERAL INFORMATION PUMPING REC,g DS ar+d,%yrc ofk inf o /rb� �f JrSkl ���� System pumped as part of i�prec—tion:(yes or no)AP If yes, volume pumped:_-� gallons ` Reason for pumping: TYPE OF SYSTEM Septic tank/distribution box/soil absorption system Single cesspool Overflow cesspool Privy Shared system(yes or no) (if yes, attach previous inspection records,if any) I/A Technology etc.Attach copy of up to date operation and maintenance contract Tight Tank N� Copy of DEP Approval Other xo APPROXIMATE AGE of all components,date installediif known)-and source of4nfonnation: -�✓70 - - - Sewage odors detected when arriving at the site: (yes or no)�[ revised 9/2/98 Page 6of11 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(contirmnd) Property Address: 83, Bunker Hill Road Osterville,Mass. owner: Walton Stevens Dow of Inspection: 4/7/0 0 BUILDING SEINER: (Locate on sit@ plan) Depth below grade: Material of construction:_cast Iron/0 PVC446 other(explain) Distance frortlrivate water supply well or suction line Ad Diameter �P'*P Comments: (condition of joints, venting,evidence of 1@akss@-,♦tc.) No evidence of leakage. system i t Sven s ro ua the house vent_ SEPTIC TANK: 9 'AW (locate on site plan) Depth below grade: Material of construction:�ncret@Iemetal l(,aFiberglass.t.)pPolyethylene4:kother(expisin), If tank is fnetal,list age 1s.age.confwmed by Certificate of Compliance (Yes/No) Dimensions: / 4A1 V i Sludge depth: 0 Distance from top of sludge to bottom of outlet t@e ortaffie:4it Scum thickness: Distance from top of scum to top of outlet too or baffle: Distance from bottom of scum to bottWp of outlet too otbafflej- �� How dimensions were determined: Comments: (recommendation for pumping, condition of inlet and outlet tees or-baffles,depth of liquid I@v�l Ir�relgtion to outlft.nvtrt, structuroHntegrity, evidence of leakage, etc. Pum _ 1nleL & outlet tees are in place. Tne r-ank is structurally sound an shows no evidence o ea age. GREASE TRAP:AW— (locate on site plan) Depth below grade:, Material of construction4,1� concreta4ametalolaFiberglassVjPolyethyleneNtlother(explain) ,04 Dimensions: Scum thickness:,./A Distance from top of scum to top of outlet too or baffle:Qy— Distance from bottom of scum to bottom of outlet tea or baffle:A0 Date of last pumping: Comments: (recommendation for pumping, condition of Inlet and outlet tees or baffles,depth of liquid level In relation to outlet Invert, structural Integrity, evidence of leakage,etc.) C�TPr"jSP f'7"a= i G—Slit—c rocon�� a revised 9/2/98 Page 7of11 r SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C ' SYSTEM INFORMATION(condnued) PropertyAddrsss: 83 Bunker Hill Road Osterville,Mass. owrw: Walton Stevens Dow of Inspection: 4/7/0 0 TIGHT OR HOLDING TANK:!► It(Tank must be pumped prior to, or at time of,Inspection) (locate on site plan) Depth below grader Material of construction; concrete.✓�mot&IXOFiberglass tPolyethyisne l( ibther(explain) AM AA Dimensions: AP Capacity: gallons Design flow: 4M gallons/day Alarm present N Alarm level: Alarm In working order:Yes*,4 No�i9 Date of previous pumping: Comments: (condition of inlet tee, condition of alum and float switches,etc.) Tight Or holding tanks arP not =rPGPnt _ DISTRIBUTION BOX:, (locate on site plan) Depth of liquid level above outlet Invert: Comments: (note if level and distribution is equal, evidenoe of solids carryover, evidence of leakage Into or out of box, etc.) — — Di ctri h„f-inn hnx hac tS'n laterals.No evidence of solids carry over No evidence of leakage into nr nuf- of the hnx PUMP CHAMBER:A'10 (locate on sits plan► Pumps in working order:(Yes or No) 414 Alarms in working order(Yes or No)—IV2 Comments: (note condition of pump chamber,condition of pumps and appurtenances,etc.) Pump r-hamhPr i R not praceni- revised 9/2/98 PailtIof11 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) ProWtyAddress: 83 Bunker Hill Road Osterville,Mass.. owner: Walton Stevens Des of 4tspectkm:4/7/0 0 SOIL ABSORPTION SYSTEM(SAS): z (locate on site plan,if possible;excavation not required,location may be approximated by non intrusive methods) If not located,explain: Type: leaching pits, number: leaching chambers,number: d leaching galleries,number:, leaching trenches,number,length: leaching fields,number,dime ions: overflow cesspool,number: Alternative system: Name of Technology: Title Five ( 78 Code Comments: (note condition of soil, signs of hydraulic failure, level of ponding, damp soil, condition of vegetation, etc.) Loam sand to medium fine sand.No signs of hydraulic failure or Pon ina.Soi s are dry. Vegetation is nnrmal _ CESSPOOLS:awe, (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: AW inflow(cesspool must be pumped as part of inspection) o Cesspools are not =scant Comments: (note condition of soil, signs of hydraulic failure,level of pending,condition of,vegetation, etc.) Cesspools are not present- PRIVY:Ahve (locate on site plan) Materjals of construc on: NJ� Dimensions: Depth of solids: Comments: (note condition of soil, signs of hydraulic failure,level of ponding, condition of vegetation;etc.) rivy is not present. , revised 9/2/98 Page 9orn SUSSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFOP-%A'nON(con wed) Prop-rty Ad&—: 83 Bunker Hill Road Osterville,Mass. oWTW: Walton Stevens Dw of 4up—d—: 4/7/0 0 SKETCH OF SEWAGE DISPOSAL SYSTEM: Include des to at least two permanent reference landmarks or benchmarks locate all wells within 100' ILocsts when public water supply comes Into house) •a. k 7ce�, D, CIA NI) revised 9/2/98 Past 10of11 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM • • PART C a SYSTEM INFORMATION(corrtimsod) Property Address: 83 Bunker Hill Road Osterville,Mass. Owner: Walton Stevens Dau of tnsp.cdw: 4/7/0 0 NRCS Report name Soil Type_ Typical depth to groundwater USGS Date websits visited Observation Wells checked Groundwater depth: Shallow Moderate Deep _ SITE EXAM Slope Surface water Check Collar Shallow wells Estimated Depth to Groundwater/J�L- Feet Please Indicate all the methods used to determine High Groundwater Elevation: Obtained from Design Plans on record Observed Sit.(Abutting propert bssrvation hole, basement sump etc.) __ZDotormined from local conditions Chocked with local Board of health _Chocked FEMA Maps Chocked pumping records /Cecked local excavators, installers Used USGS Data Describe how you established the High Groundwater Elevation. (Must be completed) Used water contours map. Gahrety & Miller Model 12/16/94 revised 9/2/98 Page II of II f o ri •wR.'Ir./rn•t��.�t— �n'rmr•lrseR-�nrtsen2lTrfr.�rinn►fTR�IInnRR7/tis7n�nlnn TT•'TT�.v�T'�:...+r.r•� TOWN OF Barnstable BOARD OF HEALTH SUQSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM - PART D • CEItTIFICATIUN I ^ern�T••.••.• —T.flf.�.�T�t r"m'R.'TY.I"�lrllTfftr11T1'T'.•tr'1VTR77RIAr�'OTTgO►IRTOR�Tt�9R{ .nn •rnr —..A -TYPE OR PRINT CI.EARLY- PROPERTY INSPECTED STREET ADDRESS 83 Bunker Hill Road Osterville,Mass. ' ASSESSORS MAP, BLOCK AND PARCEL # OWNER' s NAME Walton Stevens PART D - CERTIFICATION NAME OF INSPECTOR Joseph P.Macomber Jr. , COMPANY NAME J.P.Macomber & 56ii Inc. COMPANY ADDRESS Box 66 Centerville,Mass. 0263.2 Street Town or City state LIP COMPANY TELEPHONE ( 508 775 - 3338 FAX ( 508 ), 790 _ 1578 CERTIFICATION STATEMENT I certify that I have personally inspected the sewage disposal system at this address and that the information reported is true , accurate, and omplete as of the time of.-inspection . The inspection was performed and any recommendations regarding upgrade , maintenance , and repair are consistent with my training and experience in the proper function and maintenance of on- site sewage disposal systems . i Ili{ I• Check one : ,�V,Systeui PASSED , The inspection Iihich I have conducted has not found any information which indicates that the system fails to adequately protect public health or the environment as defined in 310 CMR 15 . 303 . Any failure criteria not evaluated are as stated in the FAILURE CRITERIA section of this form. System FAILED* The inspection which I have con\87Uc has found that the system fails to protect the public health and the environment in accordance with Title 5 , 310 CMR 15 . 3031 and as specifically noted on PART C - FAILURE CRITERIA of this inspection form . Inspector Signature Date copy of this certification must be provided to the OWNER, the BUYER :)ne where applicable ) and the BOARD OF HEALTH. * If the inspection FAILED, the owner or.."operator shall u d within one year of the date of the inspection, unless allowed ort required he m otherwise as provided in' 3.10 CPJR 16 . 305 . partd.doc 'SSocu «you LEBEL CO\'STRL"CTIO\ F� BUILDERB • REALTORS 6 'Y C OSTERV IL[.E. MASSACHUSETTS 02655 ~hUMf los, tS TELEk tw.NE 42S 455I August 31, 1983 Mr. John Kelley Town of Barnstable Board of Health Re : Sewer Permit #538/83 Dear John: The Brown residence located on Lot 45, Bunker Hill Road, Osterville, will have its domestic water needs serviced by the Centerville- Osterville Water District . The two wells located on the property are for a water to air heat pump system. The westerly most well is the suction well and is located more than 150 ' from the septic system. The easterly most well is the discharge well and is located approximately 50 ' from the septic sys- tem. The depth of these wells is approximately 801 . The above distances and depths are such that the suction well cannot be contaminated by the septic system and the septic system cannot be z n T affected b the water from the discharge well . .� g I have been advised by South Shore Heating, White ' s Path, South Yar- mouth, the designer and installer of the heating system that the suction and discharge wells gill never be reversed. In keening with our conversation about these wells when the permit was issued and our subsequent conversation after the inspection of the disposal system, I assume that a certificate of compliance will be issued for the above reference permit . Thank you for your consideration. Yours truly, Paul T. Lebel ptl/cls cc . to Willia.'i Brovin Dieter Si­1 Dave Talbot (South Shore) Atlantic Well b MAN ___T_I171_MLL!W R W r01J10.'O-IIC rl/2�p�p_,IOP TV.1/OLT rlw.L WL MOTES 6'RA�W���[A�i2A�{[PP,, �ri1 �����j,�Q('�",O-Q1//IZ�R11T E RT - 1LTeLc PO nmAoous nL1st Nor au r a2 Ta�IWITRA1AWf ARCHITECTS,INC. on,aax Buono � Rt7a9E TA • I .ao•rcc+mu r.trn manic w� eAsc PLATE PO 8W 343 lw�wpi Soles calmr owla SLAB YARMOUTIVORT,MA 026" r1 nr Af4T _ s•oovAetr lEL/iAx(006)362-6a83 SAS P.c eu a ME �M r 221 METM MU,BEAUX FFF 6/0•DMY.tr CM.K ANCypt FILL A TAMP r On FOR � •. .:.� _ . Y .aOPEIs t° ARCM ALL OPMOS OAIFROODO •er' AWMONS 3 REMOVAYIMS FM O COLUMN FOOTING DETAIL TYPICAL SILL DETAIL O TYPICAL SLAB & FOOTING SCALE,-,/r-r-m 2 WALK,.-,/fr�r-s SCALE s-Vr-r-o MR. &MRS. PETER O BILODEAU 2r-ao, r-r m-e v!• -ar r-o /, 63 MWER)AL ROAD / ,t OSTERVE.f L MA RAC ELLS lta ` , SALMI MOIF9 f° m-Er i HAIM sofTw a�NDAAwnaw Wt!TD BEo^ T • ILs� rA1L 'r a a D PArOp% L b WAL RLo��,fal��U�t ALL mmm f•ARmfom �m uuTs m Fov kyoull, FILL 1107<7W. Atp�AY�L'WIW �� S.oD11Rrxm SW ALL ORUNIE nMY ALL POUNDATIOI WALLS tMNTAO DATE ISSUER 41-O Woman O 40L 2Y-A 7.PROVIDE pmvmoma tiDE 3 n b IEY WLL DAEEN W Ty LL SIX fiVWORMK OM MM FOR!IDOATIWS OF ALLLLNSTAIMM aWMR s b ►` T1011 / POW SET PROI ESS SET Ix PTO G E SRLT 2OI111 PPROGRESSS� . NEW FU BASEM TD NlmMEN TE� RfF4mAIM 2j or DosalD aAOEIS SWAMB loololm Zan Rl TTP. ' `r . m I PRST WALL o, 2 • o Y-s sH• logs 21117 + wu°�a►l vi SHE"R6 A.O PO{DYIIINp1 PEAT r-r t-Y r-r TOTAL NMHR OF SHEETS r-r Tr-v ,r-r w Sm st-r MATCH EMT=M Blum Rom COIIRAo mcm ORALL OI1016 TNS SHM WV" 371RICR24 L� All"Ff A OD1 Lm SET w tt�DRA'MIOS ERT ARCHITECTS,INC. uan..cmn. n...,.s<wa,nnoo. am tsfc ELM) PO BOX 343 'My" tmu3L~ YAtMOIiHPORT MA 0267E t/r Wx RYM M ROO►4 IE1/FAX(300)382-OW Ta o•w t\G I!`ta TMTEApASS NI I ML.PRY VAPOR BNJMW ama KITCHEN FMBR"KFAST ADDRIONS 3 REKOVA71M O Hoots 4 TYPICAL EXTERIOR STUD WALL Foy anus t-t/r.f-w MR. do MRS. PETER BILODEAU TI I'm Mom , r-v rf-a t/t 83 E #aQR►U ROAD P�oR o�°sr r� OS70 AI.E.MA UVIN Aw°R °a�As� saes ROOM G m NSRwE aROR ti, w A� i° re��ao ARoarter i �� L DINING ROOM AMY ryAwocs MtAY M[OICOIMWt e }, nawow UOROM®LORD aacmE COUPON 00411RRDas T tsn DECK NEW FAMILY ROOM Y CO AS USED N TIETE DWJMIMO,TaMIIOYa7fr MEMM�ONSY1�50aM AND DWOW * as ao o�rc SY1DSUCI IAi AR IEO;SSAM1�W WMFIZIE DA$loam ice', PAD OUT coaate r-r Bps WALL ENTRY swam. Mu t.1ODo W R r-O a r_,� E mam"LL (n �jD AMPAs NOR. -/ CONY Ip00 LINE OF OUf eoee LAVRA"m POW SET T SM TTo WE * I PWDR s[r PEtD 0[tF101am PIRNO yR - PROD M SET t ENTRY. w g _ FOYER „ ^ PETER 8 b 1K w W."AN= ` R-T C4 T * MAC 10G�� Vv DROOM musumim Aof a s a SMIEET MR A.1 VIFIRST PM°aR v►nM s-r r-T r-r RT-a I °LA"r-0' s*-e t M-P r-T TOTAL MMM OF 91EEi5 IN SET r-r w-a,ir tY� tr-Rr 2w-0 t/r TM 91ELT aMVMD ` UNLESS ACCOMPANIED 9Y _ w - A COFIYTE SET OF WO RIM DRAtOROS . ERT ARCHITECTS,INC. - ; i +nrnmc.mr. nw.snc caamxcno. F! PO 9M 343 YARMOUIHPORT.MA 02675 TEL/FAX ON)362-OW . � I t t t t ! { i l t � i € FRANCESCA'S ROOM ADDITIONS R RENOVATIWIS t � t FOR: ! MR. do MRS. PETER BiLODEAU . ! - 83 BUNKER ML ROAD ' i i OSIERVRJ-E.11A Ax UAW IN oa�m Mu i . r HAM►mar rAnot At i' r ROOF DECK uETI Pnw Ile PkR Boor LOFT ® - W. WTF� � ` �To� BaNI� TavMso�s r-T r-s wr i i jBATH TgOB t Umm 'tlJ°'• m P SET ! y_y Yam' PRROCR CRGS SET - t PRICING SET PROGRESS SET ! t WEST ROOM 4 CLOSET t L w t ' am WAn 1 r NICK'S ROOM - t i t r ! + ABOVE�7R4L 70P 1MP01 RE641RA71Dt i - w 1 y. SHEET MMO. HTi, sa a e A.2 7_y Y_t gaup R.001 PLAN _ W-W ar-01/Y 1r-W - TOTAL.NUMBER 6 SHEETS IN SER rY-0 t THIS SHEET INVALID . tWJW ACCOMPANIED BY A COMPUE TESET F raBarB DRAISICS ERT ARCHITECTS,INC. Twr�sr.a MAl Mew erowwC Po Boot m rs tn,ar.netlew m�ee�aM YARMWTHPORT.MA 02675 .a+te••.s 7EL/FAX(5W)362-WO Lvg tnmaAw�. LN.nwlr a.• . TYPICAL OCTAL•EICWM WALLS ADDIMM RENOVATIONS °°•"•. r••wt to t°° ,AWN mw. .�in�iot-cos ee••ev..mwanw v:� MR. &MRS. PETER BILODEAU 83 BUNKER NU ROAD OSIEJrVWZ.WA ` ! �•td.. •� P•..� u..,twisP t.•• 2I10•lY QC 200•,Y O.Q umN ••'MO Ta Pie as**)� / - •WM tq G r bl O•dt•� TYPCCAL OF DOU E mEmom ao, / M R t7OSHC BOMc i�01M kno. — CAR • TineH/Jb•n0 1.EL 200• QC. 2R0 tY O.Q TE'1T51� . ►ew.Wont .2 W 0 Ir QG 21/0�t2'QC. _ P SET PRROGREOGRI SS SET / wW•tlMnws a.e•0•Y•� PIOCING SET _ M �tla�oI U�• Ie P AT "ywyt{bfeyr rppvt the M TJ Tti• Maatl•Ien ISW-b,- BA 1 3/410 Iff LK lYP1CA1. ALAT jrfR�pl UJSH F prwt e.� •p b•w�) REGISMATHN O O O O SHEET IIa S.1 FIRST FLOOR FRAMM TYPICAL MAL LOAD BEARNC WAU S TOTAL MAGER OF SLEETS N SET. THIS SHEET NYALD IRRfb9 ACCOMPANIED BY A COMKEE SET OF - YIROCMC DRAYSICS T YPICAL PROFILE NOT TO SCALE � IB"STD. L T. WGT C.I. MH COVER 4"C.I. PIPE 4"B/T FrBER PIPE TIGHT JOINTS yT� FLOW-LIVE- _,, OUTEE- LEVEL `... ' - --�— �" © U r0 F/RST JOIN -.. - DWELL,,NG 36 40lo" /q" — 1 TEE 374, r38-fo STANDARD PRECAST 1r37.Ba _ _ i A .Oo coCRETEGALLUN 37,0 3� I SEPTIC TANK DISTRI9UTION BOX 8 rO BE INS TA L ED ON LEVEL , STABLE BASE. SEPTIC TANK '>. TO BE I.NS TA L L EC ON LEVEL , STABLE BASE 2 — 118 TO 1112 WASHED f EASTONE BL 32 a ALL AROUND FREE OF IRONS, FINES LEACHING P/T BASE TO BE LEVEL AND DUS T IN PLACE BRICK 8 MORTAR COURES r AS REOU/RED TO BRING _ 1 3/4„ TO I-112 WASHED CRUSHED : COVER TO GRADE. 24"C.I. A ME � COVER 'a STONE ALL AROUND FREE OF F7A AND F IRONS, FINES AND DUST /N PLACE. - 4 - LEACHING PIT E�C TIO -- 11/NLET• -_�______� __ B� FLOW L lNE - -- � -_._�. _`__� S N 1, CONCRETE TO BE 4000 PSI 28 DAYS 2. REINFORCED WITH 6" x 6" N0. 6 GA. W.W.M 3. 2' AND 4' SECTIONS ARE AVAILABLE FOR GREATER I DEPTH REQUIREMENTS. 4, NUMBER OF PITS REQUIRED OPENING W/TH 4 -118 OUTER DIAMETER 8 i NOTE EXCAVATE TO ELEVATION °OR LOWER AS r 1-314' INSIDE DIAMETER REQUIRED TO REMOVE ALL LOAM AND CLAY BENEATH 1 I PIT. REPLACE EXCAVATED MATERIAL WITH CLEAN 1 GRAVEL TO DESIGNED GRADE . a f - 4` O" 4— MIN j EFFECTIVE DIAMETER I (NO T rO EXCEED 3 TIMES EFFEC Tl VE DEATH J ---1t WATER TABL E SOIL ANt1 GENERAL NOTES PERC. RATE : < 2 MIN /IN . NO HEAVY EQUIPMENT TO RUN OVER SYSTEM. SEPTIC TANK, C-157RIBU T ION BOX , LEACHING PITS TO BE STANDARD TEST 8Y c �"L�_ ��'✓Mvy .�?� . /.v�� PRECAST REINFORCED CONCRETE UNITS. 1 J.Oi Co _ ALL SYSTEM COMPONENTS SHALL BE INSTALLED IN ACCORDANCE WITNESSED BY �-431 43 6 ---- TO REVISED TITLE 5 OF THE STATE ENVIRONMENTAL CODE , I+ TEST PIT GR. EL '� ' /2 #2 396 DATE __41z- _ _ i s " � MINIMUM REQUIREMENTS FOR THE SUBSUFACE DISPOSAL OF TEST PIT NO. 1 TEST PIT NO 2 SANITARY SEWAGE EFFECTIVE I JULY 1977. 0 ---- 0 ---, ANY CHANGES TO THIS PLAN MUST BE APPROVED BY THE BOARD OF HEALTH. AT COMPLETION OF CONSTRUCTION , PRIOR TO BACKFILLING. THE BOARD OF HEALTH SHALL BE NOTIFIED FOR INSPECTION. ------~ PITCH ALL SEWER LINES 1/4" / FT. UNLESS INDICATED - �E s�Na OTHERWISE. 12' Et. Z9.Z �t. Z7.8- DESIGN DATA BEDROOMS _ — DISPOSAL— EST. TOTAL DAILY EFF. Aw"O GALS. No. /O_ /661/ SEPTIC TANK Z--le)12 GAL S!DEWALL AREA - _:'?,�._GAL./SQ- FT BOTTOM AREA _...__ �_._GAL./SQ. FT SEWAGE DISPOSAL. SYSTEM LEACHING REQUIRED Z/2 c'-9 SQ.FT. ACTUAL LEACHING AREA _2Awl7 ?__SQ.FT. FOR .0e. W/L .-`_/!i' " c_./ �.c?OY✓�C/ 4 � � SCALE: AS INDICATED ED DATE WM. M WARWICK & ASSOCIATES BOX 801 - Nc7RTN FAL/VOUTH !!,/ASSACHUSETrs 02556 f n., ry l - 5 3 f tb y aQ� N3� 38KB t j9x f�._-_ c'° 1T4 U.l"C s.'.D:sr C•_aN �—" �S .. 1 �' I ��•7' 1„_..._---i .. - -- Rif 16T17.P,fACg3T" ! I I �� }f P,r46 r , - T E FL A Al _ 0 Of q w ,oZ AE / "" =3o• L7.0 WILLIA aARIWIC t ✓ X `�1✓, 1 .r[ - i�' I Y JL d /.Qll/' 4-1 1iiC'0W,?J c!Sri E ti, t ltrl. I�� j/1/G k't�.'`r �' / „ ,�D� fA t ; 4Fy i� Y 1-140X 801 /ud e -� F.�i L�1/'GY1 Tit✓. /Y9. �h'. 'rrr►rM�*'®yt°