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HomeMy WebLinkAbout0004 EAST OSTERVILLE ROAD - Health R, 4 East Osterville Road Osterville Y A= 146 - 080 a i i a n p° - , o w Town of Barnstable. P# 000 Department of Regulatory Services l Public Health Division DateMWgrABLK 200 Main Street,Hyannis MA 02601 Date Scheduled Time Fee Pd, Soil Suitability Assessment fog Sewage Disposal Performed By: is^^J Ce 6' 11A" S Witnessed By: tbAw 61..<..t41-0 LOCATION& GENERAL INFORMATION Location Address � LCtgg 0 5 j,Gr�, l,l't'e- P,tl Owner's Name JV1 Ic O—C �v�L Q a� C u✓h e 62. /' ^ j Address y cG4 S T J S I P_ Assessor's Map/Parcel: f�/ /� t v1 Engineer's Name /7 C`y /� J` / l/ Tele hone# �V 02 CY Y -A l L 5 NEW CONSTRUCTION REPAIR p A, Land Use Slopes Surface Stones Distances from: Open Water Body N ft Possible Wet Area ft Drinking Water Well ft Drainage Way / ft Property Line ® ft Other ft SKETCH:(Street name,dimensions of lot,exact locations of test holes&pert tests,locate wetlands�n proximity to holes) f L 4 U Ai'3na® C [�- +� Depth to Bedrock Parent material(geologic) _ Weeping from Pit FACe Depth to Groundwater. Standing Water in Hole: P 8 Estimated Seasonal High Groundwater DETERMINATION FOR SEASONAL HIGH WATER TABLE ? o Method Used: in. Depth to soil mottles: in Depth Observed standing in obs.hole: Depth to weeping from side of obs.hole: __ t in. Groundwater Adjustment ft• Index Well# Reading Date: Index Well level Adj,faetor Adj.Groundwater Level PERCOLATION TEST Observation J— + Time at 9 Hole# Depth of Perc �.� Time at 6" Time(9"-61 Start Pre-soak Time @ �.g� f•t� c,,(I S co End Pre-soak. Rate Min./Inch z t Site Failed: Additional Testing Needed(Y/IV) Site Suitability Assessment: Site Passed 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 beginning. Q:\SEPTIC\PERCFORM-DOC DEEP.OBSERVATION HOLE LOG Hole# �— Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones;Boulders. 41 Con istenc % ravel if DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consi ten % ray DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. McQ, I DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil-Texture— - Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones;Boulders. Consistency. 4 �I Flood Insurance Rate Man: o Above 500 year flood boundary No_ Yes . Within 500 year boundary No c/ Yes t Within 100 year flood boundary No Yes , J Death of Naturally Occurring Pervious Material Does at least four feet of naturally occurring pervious material exist in all areas observed throughout the area proposed for the soil absorption system? --W—I' If not,what is the depth of naturally occurring p rvio6 us material? �_ Certification , I certify that on VO V 9 4 (date)I have passed the soil evaluator examination approved by the Department of Environmental Protection and that the above analysis was performed b me consistent . Y with P Y the required tr ' ing,experti d ex nce describ n 310 CMR 15.017. Signature Date 3©�� Q:ISEPTIOPERCFORM.DOC 1 COMMONWEALTH OF MASSACHUSETTS 2 EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS DEPARTMENT OF ENVIRONMENTAL PROTECTION r r, FEg l 5 2��1 1HbL� TITLE 5 �oWN of Tvi o�Ps, OFFICIAL INSPECTION FORM-NOT FOR VOLUNTAR ASS S SUBSURFACE SEWAGE DISPOSAL SYSTE ORM x PART A CERTIFICATION Property Address: Ad A Owner's Name: 0 . Owner's Address: C o ',�7 �t f.6 (DZ*t/cg Date of Inspection: 2 /0 / Name of Inspector: lease print wrwl Company Name: Mailing Address: ,0 - �7U Telephone Number:. CERTIFICATION STATEMENT t= 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 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 K ds F her Evaluation by the Local Approving Authority ils g Inspector's Signature: �'� Date: l 77 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. 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. y Title 5 Inspection Form 6/15/2000 page 1 .. I e • Page 2 of 11 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property AddressJ� - Owner:.,. Date of Inspecto ti,V /O 7 inspection Summary: Check A,B,C,D or E%ALWAYS complete,all of Section D A.�stem Passes: J.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 bythe Board`of Health,will pass. Answer yes,no or not determined(Y,N,ND)in the for the following statements. If"not determined'.' 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 imminenC 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 z CERTIFICATION(continued) Property Address: . 4 > _ F_ -Owner: o Date of Inspect( n: 7/ ✓O/ - ' 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 s'ass unless Board of Health determines in:aceordance-witli 310 MR I5 O( 303 1 b)`that'the Y P ' . system is not functioning in a mariner which will protect public health,safety and the environment: Cesspool or privy is within 50 feet.of a surface water Cesspool or privy is within SO feet of a bordering vegetated wetland or a salt marsh 2. ASystem 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`s,eptic 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 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: i Owner: a z' Date of Inspecti c x)/,p-%I D. System Failure Criteria applicable to all systems: You must indicate"yes"or"no"to each of the following for all inspections: Yes Nq� Backup of sewage into facility or system component due to overloaded or clogged SAS or cesspool _v 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 Iess.than 6"below invert or available volume is.less than ''/z day,flow Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s).Number of times pumped Any portion of the SAS,cesspool or privy is below high ground water elevation. Any portion of cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply. _ Any portion of a cesspool or privy is within a Zone 1 of a public well. Any portion of a:cesspool or privy is within 50 feet of a private water supply well. Any portion of a cesspool or privy is.less than'100 feet but greater than 50 feet from a private water 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.] e Q (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 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. You must indicate either"yes"or"no"to each of the following: (The following criteria apply to large systems in addition to the criteria above) yes no the system is within 400 feet of a surface drinking water supply _ the system is within 200 feet of a tributary to a.surface drinking water supply the.system is located in a nitrogen sensitive area(Interim Wellhead Protection Area—IWPA)or a mapped Zone II of a public water supply well If you have answered"yes"to any question in Section E the system is considered asignificant 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: Owner: O ej®' , Date of Inspecti 1:17,/e16 l Check if the followin v done. You "yes" "' g e have been o e o must indicate es or no as to each of the following: .Yes No „ t,/_ 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 2 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 NIA) Was the facility or dwelling inspected for signs of sewage back up Was the site inspected for signs of break out i! Were all system components,excluding the SAS, located on sitet? Y Were the septic tank manholes uncovered,opened,.and the interior of the tank inspected for the condition. .of the baffles of 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 VOLUNTARYASSESSMENTS SUBSURFACE SEWAGK DISPOSAL SYSTEM,INSPECTION FORM PART C SYSTEM INFORMATION Property Address: Owner Date of Inspec on:. / /U / FLOW CONDITIONS RESIDENTIAL Number of bedrooms(design): Number of bedrooms(actual): _ DESIGN flow based on 310 CMR 15.203(for example: 110 gpd x#of bedrooms): Number of current residents:. 'CfJZ. UK� Does residence have a garbage.grinder(yes or no): Is laundry,on a separate sewage system(yes or.no) 9-[if yes separate inspection required] Laundry system inspected(yes or no):! L2&� Seasonal use: (yes or no): 1�2tr Water meter readings, if available(last 2 years usage(a d)): Sump pump(yes or no �� Last date of occupancy: COMMERCIAL/INDUSTRIAL ' Type of establishment: Design flow(based on 310 CMR 15.203): gpd 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: , ,1 D.d uf elhilyg(m, 199 Ay- Was system pumped as part of the Inspection(yes or no):If -- 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) Tight tank Attach a copy of the DEP approval t,/Other(describe)' Ap roximate age of all components,date installed(if known)and source of information: 212-�,1,o Were sewage odors detected when arriving at the site(yes or no): 6 Page 7 of 11 ' OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued),. . m Property Address: y ( �� Owner: ,.:. 0/0 Z e/y�k Date of Inspect n. )Lg:10 / BUILDING SEWER(locate on site plan), q' 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: ti(locate on site plan) L Depth below grade: 01 11 Material of construction: t6ncrete_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 io bottom of outlet tee or baffle: Scum thickness:! J Distance from top of scum to top of outlet tee or baffle: P 6 Distance from bottom of scum to bottom of outlet tee or baffle: How were dimensions determined�-V),/2,! ,/ L!°,�.Q Comments(on pumping recommendations inlet and outlet tee or baffle condition,structural integrity, liquid levels related to outlet invert,evidence of leakage,etc. : eo?Geo/c GREASE TRAP�locate on site.plan) , Depth below grade:. Material of construction: concrete metal-fiberglass___iolyethylene_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: �C p Y Owner: .z:r9�Pit/�,� %ram ��` �''v7" Date of Insp / 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/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. (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/ (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 I I OFFICIAL INSPECTION FORM NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: lJ/cC' : . r Owner: ✓ '�."/` ` Date of Inspectio 0 SOIL ABSORPTION SYSTEM(SAS): _✓locate on site plari,excavation not required) If SAS not located explain why: T, Type aching pits,number:_ 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.):. GZ_ CESSPOOL�-�cesspool must be pumped as part of inspection)(locate on site plan) Number and configuration: . r Depth—top of liquid to.inlet invert: Depth of solids layer: Depth of scum.layer: Dimensions of cesspool: Materials of construction: Indication of groundwater inflow(yes or no): rP.r Comments(note condition of soil,signs of hydraulic failure,level of ponding,condition�of vegetation,etc.): PRIVY/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 .r Page 10 of'l l OFFICIAL INSPECTION FORM---NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL'SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: �4 Owner: . Lo e, r� Date of Inspection. 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. av (-fiow I� O 10 Page I 1 of I I OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: � � A Owner Date of Inspecti m / SITE EXAM Slope ti „ Surface water Check cellar Shallow wells Estimated depth to ground water 1G .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 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: 9 ' - 11 TOWN OF BA RNSTABLE LOC'�1iON t e/�u fT OS�to^✓� /l R / SEWAGE#02W-7 ' 83 `JI i AGE Of?tsvr ASSESSOR'S MAP&PARCEL /Yly�®80 INSTALLERS NAME&PHONE NO. `40 Cvh S7`pvc fi'yh SEPTIC TANK CAPACITY y LEACHING FACILITY:(type) 02-67PPy c4s,,6. 3 (size) a�"�ri3�X2 NO.OF BEDROOMS 3 OWNER mm i PERMIT DATE: COMPLIANCE DATE: V 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 7"clz New O a teAX�- 1 R p 8 i .2V �.�- ` _t n - ''s- -• ;-,,,.�',�-.i..,'^+ ,w-,t...we.�+�K;.'."".. .. �'"\^•r"-a.r'.•R,e+"."r•n•+^+,._�+.r♦. �,. „�:-',v - -r-.r.F.. Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Rpprication for Oiooar bpmem Cowaruction permit Application for a Permit to Construct Repair(K) Upgrade( ) Abandon( ) ❑ Complete System 5qlndividual Components Location Address or Lot No. . Owner's Name,Address,and Tel.No. t 4 4r4*-r ds�2�/u� �'s �/���/LC€ Assessor's Map/Parcel 1*6 Avo '% 02655, y�.� 8 /�ry Installer's Name,Address,and Tel.N �� (� Designer's Name,Address and Tel.No, C7D"1 19 �/d 6 aox 2 9 A& Type of Building: Dwelling No.of Bedrooms 3 Lot Size f 374- sq. ft. Garbage Grinder ( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) "j0 gpd Design flow provided �¢�, 3 gpd Plan Date .�jonlL SD7 '2DD7 Number of sheets Revision Date Title S'r 6�z1 Tg—M W-Aeef3l A- /V4 AA1 Size of Septic Tank L Type of S.A.S. Description of Soil �' 6l.� t_j 0 c Nature of Repairs or Alterations(Answer when applicable). Date last inspected: Agreement: The undersigned agrees to ensure the construction and intenance oft afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environ t 1 ode and not10 11ac a system in operation until a Certificatg of Compliance has been issued by this Board of Hea �. �`%� O"7 Signed ate 'Z _ c Application Approved by Date S .t 0 ' Application Disapproved by: Date for the following reasons Permit No. 9LO 07— , 3 Date Issued -07 No. . aC707 ( �J in ,�` ". Fee i� THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes Application for Migpont *pgtem Congtruction permit Application for a Permit to Construcv Repairy) Upgrade O Abandon O ❑ Complete System]K Individual Components_ Location Address or Lot No. - = .t /I,\ ai���! ! Owner's Name,Address,and Tel.No. �. Assessor's Map/Parcel Installer's Name Address,and Tel.No. ..C, � Designer's Name,Address and Tel.No. Q`� , J Ty, pe of Building: Dwelling No.of Bedrooms Lot Size ,37* sq. ft. Garbage Grinder ( ) r Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) '330 gpd Design flow provided J�q.3 gpd Plan; Date 4(ORI/L -3D, '2,907 Number of sheets 2 Revision Date 4. ~Title 52� S NS Tr"L) /�A19 a- 11 Re/ZAD,---- PU9A l r_. Size of Septic Tank /QDp eplG Type of S.A.S. 7�'jr/uCN F014A4-;t pt.7 ' Description of Soil Nature of Repairs or Alterations(Answer when applicable) r Date last inspected: ,, f Agreement: , The undersigned agrees to ensure the construction and aintenance of the,afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environ 1 Code and not to 'lac -the system in operation until a Certifiq _y of Y Compliance has been issued by this Board of He t . /' •�-"��`- /`/� r Signed `2Date S Application Approved by Date Application Disapproved by: Date R t for the following reasons. Permit No. 9-007 I V 3 Date Issued S - 07 tom' I.�� —`t---------------------------------THE COMMONWEALTH OF MASSACHUSETTS _, � BARNSTABLEkMASSACHUSETTS Certificate of Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal System Constructed (X. ) Repaired ( ) Upgraded ( ) Abandoned( )by AAM . at 4 aAS 7- s7-. ✓/ e.t Ao,6 JS?f-a JYA has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No. c &7 1 �3r dated Installer Designer YA4�1 ()20.6-44— Ji/q�/F�� ASSmC� #bedrooms Approved design flow f /� _ gpd The issuance of this permit shall not be construed as a guarantee that the system wi-hfunction ass de�igne�� {� Date ( P7 /�} / Inspector I //(7 QQ�I,/r�A� �/ � it /1�:' I ----------- iur� i v ---No. j---- � � � Fee THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION—BARNSTABLE, MASSACHUSETTS Xigpogar *pgtem Congtruction Permit 4 Permission is hereby granted to Construct (�.) Repair (,i( Upgrade ( ) Abandon ( ) ` System located at 4 &9-5 77 V/GL� and as described in the above Application for Disposal System Construction Permit.The applicant recogni es his/her duty to comply with Title 5 and the following local provisions or special conditions. 1 r, Provided: Construction must be completed within thinlyears of the date of this permit. <—j Date S r �� Approved by ��� f _ Town ®f Barnstable FTHE row® Regulatory Services • Thomas F. Geiler,Director * easxsrnsM , �•� Pulblic Health Division Thomas McKean,Director 200 Main Street,Hyannis,MA'02601 Office: 508-862-4644 Fax: 508-790-6304 Installer&Designer Certification Form Date: r 3p_D � ���,;t —l � Ass�ssafS ,✓���, �Y�c�� l`'�G�d � Desi vier: t��1�'-$ V,f `- g -Ins a . taller: , C /�- V Address: 77 111ur t-/y Address: E' .33 y 4)aG`U On tiZ 4A$74, was issued a permit to install a (datey installer septic system at f Sf c� (address) ss) /q based on a design drawn by (ad ArcA,- dated . 14W' 3 2 900 7 (design r) _ZI certify that the septic system referenced above was installed substantial/ accordingto the design, which may include minor approved changes such as lateral relocation of the distribution box and/or septic tank. u 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 verticalrelocation of any component of the septic system) but in accordance with State &Local Regulations. Plan revision or certified as-built by designer to follow. t d (Installer's Signature) '�:c t + i :. (Des igner gnature) (Affix DesiWrie_lPs Stamp Here) PLEASE RETURN TO BARNSTABLE PUBLIC IAIATB:DIVISION. CERTIFICATE OF COMPLIANCE WILL NOT BE ISSUED ?UNT L-BOTH'.;.'THS FORM AND AS- BUILT CARD ARE RECEIVED BY THE BARNSTABLE PUBLIC HEALTH DIVISION. THANK YOU. Q:Health/Septic/Designer Certification Form L0.r„AT.IQ.N SEWAGE PERMIT NO. V Ill A G E -6 0 B a. 14 V' el INS T A L L'E R'S N A`lyl E & A D D R E S S.,,,� )=- i BUILDER OR OWNER ) t DATEPERMIT ISSUED 12,,,,7. DAT E COMPLIANCE ISSUED / ZI� 29 t�5 __ _, R .�_ .-,y r �� +�--_--. a ` i�s" ^. . ` �` 9 . r • r't ^ram ` � T. !�,>;� `air. �'l - THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH -6 Q.W ............OF........T3A.R.N.ST-/S'I ir�ation for M-spos�al Mork C oulitrurtion Vernu e s Application is hereby made for a Permit to Construct ( ) or Repair ( )air an Individual Sewa a g ,Di posal System at: 'per y}�' .dV n.......... 11........... Q........1.`- -...........� ......................... _ Location re s ///"' or Lot No. >.� x),Daj1 .............•------- . --.......-----.......------•----............---- wn r Address / ................................................................................................. Installer Address Ut f Type of Building Size Lo 55_2.._._...Sq. feet .., Dwelling—No. of Bedrooms___........ ...........................Expansion Attic kyo) Garbage Grinder QV) P4 Other—Type of Building ...N..I Q---••..--.... No. of persons............................ Showers ( ) — Cafeteria ( ) POther fixtures ------------------------ . ---�---•---•-•---------•-••-. .....--------------------••-------- •----•----•---....--------- W Design Flow......../ _0........................gallons per er day. Total daily flow.......!730 .-._...::--_---.-----gallons. W th_Septic Tank—I i uid ca acit /'oe@--gallons Len th�_"�_ Width. .0."�. Diameter................ De _ s /) P q P Y g g 4 P --... x Disposal Trench—No. .........:.......... Width.................... Total Length.................... Total leaching area.....................sq. ft. Seepage Pit No...... .......... iameter-_<3_. ....... Depth below inlet.....6a..`........ Total leaching area._o02-0.0..sq. ft. Z Other Distribution box ( Dosing tank ( ) '-' Percolation Test Results Performed J? .5_.r... Date.0..4--Y....C9 �T.l� __. 1-� Test Pit No. . --..minutes per inch Depth of Test Pit___/2-.......... Depth to ground water-__________------____. Test Pit No. 2_.,4.. Z_minutes per inch Depth of Test Pit__/_2............ Depth to ground water........................ .........._-•----------------------------------------•---------•----•--...........................__......................................................... 0 ee - Description of Soil..... _-. -Sl------4J04I1a^-...AMID........ ----•--------a��-----,� -------��Z2��1 UQ. ..................S/"V/ .4---- C�DA)DZ7/ZN_S......./&.....B47'f'......n 1;;7ST_._.A/0.44es."-AA-0... VNature 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 iIT?:;,;. 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. ro'e R _ �ig .. ..`rk.~C./�\/' C1!l-. .' .............. _Date�.�_ Application Approved B •-- -- ----,� Z4 - PP PP Y Date Application Disapproved for the following reasons_______......................................................................................................... PP PP .........................•...--------....-------------------------•--••--•-------•----.....---•-------------------•------•.--•----•----•-----•••-----•---------......••--•--------------------------- Date PermitNo......................................................... Issued...................................................... THE COMMONWEALTH OF MASSACHUSETTS ' BOARD OF HEALTH Apptira#ion for lliopaaal Works Toni rurtion Vvitmit Application is hereby made for a Permit to Construct ( or Repair ( ) an Individual Sewage Disposal System at . ... ._, .. S f.. ' VYLL.j!5...R2L.....� .. �..... -------- .. ................... / } �t� Locationress / or Lot No. .... ��✓d! r�3: '�.. We_ 4�.i..!.. -"---"""-"............................. -•-.......................................... . wn r Address W ............. - - . . ...........................---- a Installer Address dType of Building Size ........Sq. feet U Dwelling—No. of Bedrooms..........-3 (¢.............................Expansion Attic ) Garbage Grinder ) Other—T e of Buildin' A).0............. No. of ersons....•........_.._._... _ Showers Cafeteria G.1 YP g P ( ) — ( ) Other fixtures W Design Flow...... ....... gallons per pe>Fs6 ®r day. Total daily aflow.......-"*.......................gallons. WSeptic Tank—I squid capacityr gallons Length '__ _.... Width" ail Diameter................ Depth .._. x Disposal Trench 'Vo Width' Total Length Total leaching area..... sq. ft. Seepage,Pit No. .. Diameter s ._. Depth lielow inlet ,. ......... Total leaching area.. t !.sq. ft. z Other Distribution box 0 i> Dosing tank ( ) Percolation`.Test Results Performed"by._.)�,)�,AJ,!.�. _ y. �io.� +''.x' .....P .�.r... Date. A"Y....ig_��� . aTest Pit 'No. L '':._minutes per inch Depth of Test Pit---/1........._. Depth to ground water........................ (s Test Pit No. 2..9"�A—_...minutes per inch Depth of Test Pit../."........... Depth to ground water........................ ® Descr i,P --.. . --- .. .._ . r a tion of Soil � � �P' f �� !�/l�. �,a '5x0r"4- 1 or M�1le� ..................�R' .�/44-a-9 _-4 n ta_r-3� / "-- ..IAJ"----: *VY-"--- "_._.ft✓ ":s�" U UNature of Repairs or Alterations—Answer when applicable................ ........ ..................................................................... -"""-----""---- ....................:......................._.......................................................................................................................................... Agreement The undersigned agrees to install the aforede'scribed Individual-Sewage Disposal System in accordance with the provisions of'I'LE 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. Sig = ----•....................... ..... ..... .......................... . w Date : +rJrr y Application Approved B ...... - _ ......- . ...... ...... PP PP Y .......... �." <Date Application Disapproved for the following reasons:-.......................:-.......:.......................................__............___......._........._._ ------------- -----"-.----------"---------------------"------------------------------ ----.--- Date PermittNo................... .:... --------•------------ Issued------....... Date THE COMMONWEALTH OF WIASSACHUSETTS `BOARD O .HEALTH oF...:c.. WT r ifiratr of «Tom' pfi attrr THIS IS TO CERTIFY; That the Individual Sewage Disposal System constructed ( or Repaired ( ) by ,,,, .._.................. ....... -- . -------_.... � •+ Installer J` d at._.*-�.- 1'' �• "' l r . " ', ,.G` =da' ----......................... has been installed in accordance with the provisions of 'T j of The State Sanitary Code as described m the �.: application for Disposal Words.Construction Permit No..:....:_...s "�1 ►.............. dated_ .. *"_L_i{"`" ".`....... 'THE ISSUANCE OF THIS CERTIFICATE SMALL NOT AP CONSTRUED AS A GUARANTEE TI�IAT THE SYSTEl4 WILL FUNCTION' SATISFACTORY DATE.... 4 Inspector ...:.0 ._. y TH -COMMONWEALTH OF MASSACHUSETTS » `,Pr BOARD O HEALTH' €- • µ G e . ........ ...0 F.. �"''! r .... ' r FEE . No.. ... ....._ `c ..... Disposal Morkv (go, i�n frr�ti� Permissionis hereby granted�.-•----••-•-••-----•----•................................................. ----=-•-••.......................••-••-•-•-.........•••....................._-_.... to Constr ict ,4 1 O Repair ( ) an lijoiv lual Sewn ge Disposal y tem wwTo.: at 0.. ' Stree 11 as shown on the application for Disposal Works Construction it N _ Dated.^ ....... ............................ . u . y oar d of If al � 6 DATE•. FORA 1255 HOBBS & WARREN. [NE,. PUBLISHERS ,e `t ' J, \Y r i It. S t , r _ LOCATION SEWAGE —PERMIT " N0. VILLAGE 1 MST A 1LR'S NAME ADDR>ESS BUILDER OR OWNER ; DA T E P,'t R M I T ISS,1 ED -.9 ' g n DATE CO.,�i1:;PLlAtN E ISSUED f a # rhoo 3 tin - . - , r 44 22' 20' W 42X42 jj i� J{q FOM I Y PINING 13ATr�i izoom KI1GfN I?O 55W X 58N 31/2" LAI,LY COS. • , 1-'XI511N6, WALL WI OX33, 20'1 . (.VtNG BOOMffixi - IZ -4" �II,t t 3)X V b.pocket n ING ROOM 2'-�, } Y M'� i o x 5 " CLOSET PANTY' - 0 \ ! 14�,Ztt � _ • _71 FX1511NG APPITION -_ I1 __- JUna AI9t2111ON EAST05fe"LLEROAV 00 1\ 05TMALLe,MA. PAGE I OF 8 PATE:0211210-7 a 1514 9 14'-fir r _ x . _. I � i � i3 � • I � I � g u — 3 II IIif ----- I I 3 { - r If a i i [ 5TU12Y PATH 4 1 i G € I 3 f 1 f I lit' KOPOOM fflmovE I� , a WALL 3i _ y W35WX5 1 I 4 FL5 C3 1? OOM I�f�S � \� !'I;AY �XI511NG ' r a ROOM MMOW • . � � WALL W-9i" I L 121-2 i/X9 19' 5�CONP FLOOD . lnGE Al2PMON 4 Uff 059ME MAP 05tEWILLE,MA, SCALE:l�411 i ley, ' PAGE 2 OF 3 PATE:02/12/07 A b 2022' ` PO 42X42 INA zz I ' • � � �X1511NG 8'-8" � ( FOM OINING 13AfH DOOM , K1fCWN O O LS W X 5 -i� t?�MOV� J--I 31/,_2" LALLY COL. EX1511NG ' F WALL WiOX33 220'lq• ,l , 26' _____---___=_________ - LIVING VOOM 12'-41 F FT 8 T-11-11 3)X Pocket 1? LIVING DOOM t ` COAT rAN7�Y I � .. 'I CL05�1' t 2 -10 _ ONX I -------------- t lit'-2" ��• + � • � �� - © �XI511NG EDJUPa AMMON 1�5�" 00� k EASf 051��dILI t?OAi7 '71 it it051Wll,lz,MA, PAGE I OF 8 1 PATE:02I 12I 07 A x , ( I it 5TU12Y 9'-�,i �XI511NG L5 ,. I PATH FOYEV 14, M12 ooM L4MMM STING LL © 3'-6" 11 TX I 5' PO 35W X 51 ; 4 PL5 13',5,�� PLAY 13'-:5,��. EXISTING iP�11�00M - t?OOM Ptbf;00M ' Mmow �.1-I.. 12'-2- 12'-211 S�CONP FLOOp n` v ..1112a ARNON h EA5T(YTEMLE FDAV 05TEWILLE,MA. SCALE:1/�f" 1 Mv. I PAGE 2 9 6 PATE:02/12/07 A 1 • 1A OSTERVILLE v C p �� x S V a: W Q ROUTE 28 A.M. 122 0 PAR. 050 ; Locus DECK TO BE REBUILT �Li 9J'J LEACHPIT VOID OF SEPTIC TANK <<F (LOCATION PER OWNER) ,\6 OO // S� TO BE REMOVED 9 i/ F LOCUS MAP EXISTING \ A.M. 146 M 'OO 1000 GAL. , PAR. 081 PLAN REF: 325/1 .& L.C. 34625B NTp#1 SEPTIC TANK + TITLE REFS CTF#160769 } rCjO 4/23/07 ZONING: RC S O O _ ASSESSORS MAP: 146 PARCEL 080 } O° FLOOD ZONE: "C" 12_8 � v'�, GRDWAT. PROT. OVERLAY DIST.: "GP" ooc '� O 5 PROPOSED \ O \ oI O pal �� -EXISTING ; 5 PLO _ 0011 FAMILY :.3 BEDROONC �G %/REO v � \L -_ J..f-2o'--�I ROOMS HOUSE ��5�� y �F A� � SEPTIC SYSTEM sue, 0\�: /> RLICE , ` REPAIR UPGRADE PLAN O, �2 _ _ ,_. / f ;I-1 LOCATED AT: \ ' 20.0 / N0 74'3 ,gyp w PORCH - r ` ¢� e #4 EAST OSTERVILLE ` \ ROAD / 1 FENCE — \ /;' -� �`�``��ca�j', " \ �48.1 I oTP 2 0 OSTERVILLE, MA. 5/08/78 VEL ' OLD -� PREPARED FOR APPLICANT: �90 GRA I TP#1 BENCHMARK: i PARKING 15/08/78 .. s� A.M M. 1 46 ���ppC,\of q4ss4=y's TOP OF FOUNDATION i 001 � 48.8' !o PSTEPHEN G o M I C H A E L NATAL( E PAR. O8o J. JUDGE AREA=15,374f S.F. = 3 P APRIL 30, 2007 SCALE. 1 =20 — - - -- FENCE - - - - - - - - - - = A 143.20 S85°38'10" MacDougall Surveying . 9 Y 9 & Associates + . FA L M 0 U (ROUTE? P.O. Box 2428 -----------_ TH 2-8 Mash pee, Ma. 02649 P ,. ------ __ ROAD PH. 508 419-1086 fax (508)419-1087 GUTTERLINE --`------- ---6------- email: macdou galIsurve comcast.net SHEET 1 OF 2 J#1099 4" SCHEDULE 40 P.V.C. TOP OF FOUNDATION MIN. PITCH 1/8" PER FOOT ELEV.= 55.1' 10' MINIMUM 2" LAYER OF 1/8" - 1/2" WASHED STONE OR FILTER FABRIC EL= 54.0 EL= 52.3.......::::::::..................:>::::;:::;:;::;:::;;:;:;; ••••,••,>•>8 MAX. ................ .,,,,,. EL= 52.0 r ,.,,. ................................... ..,,.. ...................::: 8" ... .................................... CONC. .... ...................... ............. ......... ....... RISER & CONC. INVERT „ "CLEAN SAND",FILL 4" SCHEDULE 40 P.V.C. OR EQUAL COVER RISER de EL= 48.2 9' MIN. PITCH 1/4" PER FOOT 4g COVER Z, ���, PER 310 CMR 15.255 MIN. oo/ - OW LINE 12.0' EL= 49.0 INVERT 1MIN. 14" INVERT INVERT a INVERT °°o O O O O O O O O 'moo°; EL= 52.9 EL= 52.65 EL= 52.4 EL= 48.57 24" 00 O O O O O O O O O O 4' GAS El= 48.32 ° 4n EXISTING BAFFLE 8" BASE OF CRUSHED STONE OR °° ° f°m EL= 46.2 INVERT - MECHANICALLY COMPACTED 4.0' 8.5' 4.0' PROP. cTYP.� 25.0' EXISTING DISTRIBUTION 2-500 GAL. DRY WELLS (4'-10" X 8'-6" X 2'-9") 1 ,000 GALLON TANK " 3/4" TO 1-1/2" SOIL ABSORBTION (TRENCH FORMATION) Z BOX' W/ T WASHED.STONE n - SYSTEM (S.A.S.) 12.83 X 25.00 to v PROFILE OF SEWAGE DISPOSAL SYSTEM BOTTOM OF TEST HOLE ELEV.= 40.5' _ (Nor To SCALE) (NO GROUND WATER) GENERAL NOTES NEW . TEST PIT RESULTS: P#11700 1. ALL WORKMANSHIP AND MATERIALS SHALL CONFORM TO D.E.P., SOIL TEST DATE: 04 23 07 TITLE 5 AND THE TOWN OF BARNSTABLE ,RULES AND REGULATIONS B.O.H. AGENT: DONNA MIORANDI, R.S. FOR SUBSURFACE DISPOSAL OF SEWAGE. SOIL EVALUATOR: BRUCE G. MURPHY, R.S. 2. ALL COMPONENTS OF THE SANITARY SYSTEM SHALL BE , CAPABLE OF WITHSTANDING H-10 LOADING UNLESS THEY ARE ' ® NEW OBSERVATION HOLE #1 - UNDER OR WITHIN 10' OF DRIVES OR PARKING AREAS THEN THEY PERCOLATION RATE <2 MIN./IN. TOP AT 42" �c MUST WITHSTAND H-20 LOADING. NOTE: NOTIFY MACDOUGALL SURVEY 48 HOURS PRIOR TO INSPECTION 3. UTIUTIES SHOWN ON•PLAN ARE APPROXIMATE ONLY, 52.5 ELEV. DEPTH (IN.) HORIZON TEXTURE COLOR MOTTLING DTHER THE EXCAVATION CONTRACTOR SHALL CALL "DIG-SAFE" AT. 51.5 0-12" FILL ----- - --- --- DESIGN DATA: 1-800-344-7233 AT LEAST 5 DAYS PRIOR TO ANY EXCAVATION 51.1 12-17" A SANDY LOAM 10YR4 1 ------ -- TO VERIFY LOCATION 49.0 17-42" B LOAMY SAND 10YR4 6 ------ ---- 4. ANY MASONRY UNITS USED TO BRING COVERS TO GRADE NUMBER OF BEDROOMS......... 3 EXISTING) OR WITHIN 6" OF GRADE SHALL BE MORTARED IN PLACE. 40.5 42-144' C MEDIUM,SAND 10YR8/4 ------ PERC GARBAGE DISPOSAL................. 5. FINISH GRADE SHALL HAVE A MINIMUM OF 2% GRADE NO GROUNDWATER ENCOUNTERED TOTAL ESTIMATED FLOW OVER THE S.A.S. AND DISTRIBUTION BOX. - _ (110 GAL./BR./DAY X 3 BR.) 6. SEPTIC TANK SANITARY TEES SHALL BE CONSTRUCTED OFSCH 330GPD X 200% = 660 GAL THE EFLOW LINE AND SHALL ULE 40 PVC AND ABE ON THE CENLL EXTEND A ITERLINENIMUM O AND" ABOVE OLD TEST PIT :RESULTS: USE EXISTING 1000 GAL. SEPTIC TANK LOCATED DIRECTLY UNDER THE CLEANOUT MANHOLES. SOtL TEST DATE: 05 08 78 INSTALL: 2-500 GAL. DRY WELLS (W/4' CRUSHED STONE 7. THE SEPTIC TANK SHALL HAVE A MINIMUM COVER OF 9 INCHES. INSPECTOR: PAUL 'MURRAY ON THE SIDES, 4' ON THE ENDS) AND BACKFILL S. THE SANITARY OUTLET SAKI TEE SHALL BE EQUIPPED WITH A GAS ` BAFFLE, 4 INCHES IN DIAMETER AND CONTRUCTED OF 4" PVC. OLD OBSERVATION HOLE #1 EL.=52.5 WITH CLEAN SAND FILL PER 310 CMR 15.255 9. LOCUS PARCEL 080 ON ASSESSORS MAP 146- IS NOT AFFECTED BY , 52.5 JELEV. DEPTH IN. TEXTURE SOIL CLASSIFICATION..........:. _ -_-- A SPECIAL FLOOD HAZARD AREA. 50.5 0-24" LOAM AND SUBSOIL DESIGN PERCOLATION RATE..... <2 MlN- JN- 10. CHANGES OR REVISIONS TO SEPTIC DESIGN REQUIRE NOTIFICATION EFFLUENT LOADING RATE.........__74-__ TO MACDOUGALL SURVEYING FOR B.O.H. AND DESIGN REVIEW 40.5 24-144" MEDIUM SAND REQUIRED LEACHING CAPACITY.....330 GAIDAY AND APPROVAL. NO GROUNDWATER ENCOUNTERED LEACHING CAPACITY PROVIDED.....349_33 GAL/DAY 11. CONTRACTORS / INSTALLERS SHALL VERIFY GRADES AND ELEVATIONS AND SITE CONDITIONS PRIOR TO COMMENCING SIDEWALL: (12.83' + 25')x2x(2 SIDES)(.74)= 111.97 GAL/DAY WORK ON THE SITE. ANY CHANGES REQUIRE NOTIFICATION OLD OBSERVATION HOLE .#2 EL.=53.5 BOTTOM: (12.83' x 25')(.74)= 237.35 GAL/DAY TO MACDOUGALL SURVEY FOR APPROVAL. 53.5 ELEV. DEPTH INJ�LO�AM- TEXTURE 12. NO DETERMINATION HAS BEEN MADE AS TO COMPLIANCE 51.5 0-24" D SUBSOIL TOTAL= 349.33 GAL/DAY WITH DEEDED OR ZONING REGULATIONS. OWNER / APPLICANT IS TO OBTAIN SUCH DETERMINATION FROM APPROPRIATE AUTHORITY.. 41.5 24-144" MEDIUM SAND NO GROUNDWATER ENCOUNTERED APRIL 30, 2007 SHEET 2 OF 2 J# 1099 i t. N. MA-Y 8 .1 1998 LEAC V. a� �o PI x, EL 1 9:. o-2.4 L'OA M A ND'-J,ag"1144" . M EDIUM Ala 6e �. SAND Q-Oq 1A. P sELEV No WA TER E-NCO—UNTERE D X: //V TES-T' HDZES-. TES T- Nod TOWN . 4n1�7'ER - R.VIfL/44� ' 1 f LOT a A. .a555 C{ F: Ht . . � r3 u/L D//vG S E7 LOAC.� 2EQD". (il �ErNJF.�C/7 30: SEPT/C 5-yST&M G6A,45-T2lJ T>ON, 51-1 A LL C0NF0I--M 7'O MASS . . GAL-1 Y E��/ir/,E o�vM.E�v T,4 L Goan Ti rj .� Y. . � �l, • 2' 4•TE JiVGy7 EQ;IJ l2C--ID LEACH.<I,�E4 3 P2OI�o5�� A/E,nl-��v rzl--UZ a DnlS TOP �F iQ2O�C:S E a L.E�iCf-/ t,2E A 0.4 Oil/.,:` ,• , ", .,.. , . ,.,, :: ,.hi .s; _ a OF PE_.4 srowt 9 0pc;2v/ous Co vE,2 MA'AlNO:LE Co✓E,0 Yb LX TEn/b ?p 7O .02E✓�!wT.�iivG-5 j O . 1✓1// Tip-/%A! F//�//5'/-��,[7_ •�1GAD�, � ic`2on-1 /NF/G.T2AT/itl6 4 _. /CU _ 2¢"Co✓ iz5 D/S r '- /0 ', _ I : ^I%vi"'!UM t /.cov4e 2% G,eA, >z eox I. Z/"LViDE . O l/E e Pig`. -,�--- —n-- --- - � _ T,�._ •4�'De,�,t. ��4 /O ,�./ N .A✓A)"A41AI Icy. :�fT DiA. "Y4 FOOT /¢ -�47 IF.oo)r p ' _Y� / a1�NQ� 14"�Foor cQQ WASHEO 100`;JSTO n/E IN VE2T• CA hA C/ T Y: E1 EV A fZ O un7O TA A/& C:j•E3 TTOrt-f Of ,.p ao �WATGTz.T/GNT} %NVE.QT /-V V-Z7- /.Q.O � T. IVO GA e5A66" G�lNL7E2 M S/ T6 PL ,fit n% DF `E L O CA 7-1 pti 13P,RN S-fl9' -� lZE,��l2�nICE - ON klONA�j t: 7"/G TANS I»5:T2/BZJT/.ON 80X PLAN.N ICY �ONN P. YL `/ - Ap'"Nu j uTi -7- A^!D LE.4CN.i�/G .aiT SNOT RECOP063) .0E iA/F4�2CED G0.VC12ET� i _ nrls.IVVr%.C �vc2E rE sr,2c.v�ry 3000 ems/ .MiAv €EL' 20000 (�� � . `!� 1-0 L t fl a—r)e''E �'"- D'".�. , �!c/VE WAY A.JOT TO BE; L.0CA%EJ Y.4 PM0L-1� .0?- n�j.4f� . � av�e sysT�M un/L � ss !�- zo CERTIFY 714E BUILD 1NG SfID wiv ©N., T//l5 PLAN /S pRopOSEO ON THE GrMojND A5 GfGu S NOLLM AND IT bOE S COMPLY VV I T I� B ilL,L7JJYG E T 86-K AEaU19EA14 V r O'F t 7h'C TOWN OF 13ARIYTti8CE 0 � ��`'' DATE AIE.4z-7-74 4GE.V7-