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0101 CHERRYWOOD LANE - Health
101 CHERRYWOOD LANE, A= 041 012.014 1 r W UPC 12934 a .2-153 `bsrVIP NA6TINOi, MN n � '"'G,PI -1 Q /2?!�a ,^ ,{�c�'e area a �te� ri } i i Town of Barnstable P- 1154 70 ViE Department of Regulatory Services I Public Health Di-vision Dat� CS 1 t6 q 200 Main Street,Hyannis MA 02601 Date Scheduled Tinic Fee Pd. 4 ,CY-0, a-zl I Soil Suitability Ass essmentf6' r 9111 e Di ma.T� Per(omeclBy: Al By_ winlessed By: LOCATION & GENERAL RAL Address INFO RIMAT ION ll s m�l �'01 C A eqV 0"I"' N I' ; F�-q4cej Whtke Location / 'Cf t-.s 1-tvu OVI, 11-S Address �o/ cG' 46. #741 ciae.�'] Assessor's Map/Parcel: Y —O)LI Engineer's Name "'t •ft.< N CONSTRUCTION — REPAIR —(k— Telephone# Land Use Slopes(%)- Surface Stones AJ'ulu. Distances from: Ope'nWater Body Possible Wet Area ft Drinking Water Well ts—oft D(alriage Way ft Property Line ft Other II SICE;TCH,(Street name,dimensions of lot,exact locations of test holes&peec tests,lycatt:wetlands in n proxirrfity to holes) Qt 6� ....... ....... 4p) VY. A)t5 Flarent material(geologic) Depth to Bedro'ck Depth to Groundwater' Standing Water in Hole: Weeping rl'onlipic FACC(VGa Estimated Seasonal High Groundwater DET ERNIINATION FOR SEASONAL 11IGH 'VYATER TABLIE Method Used: Depth Observed standing in obs.hole: III, Depth 10 W)010ttics: Depth to Weeping Imm side of obs.hole! 111, Groundwater ft. Index Well# Reading Date: IndcA Well level_- Adl,Factor AdJ.(IrountivJnter Ix.vel--- PEI RCOLATIONTEST Observationa T1 Holed Tinic at I)" Depth of Pa "ie c Ti rho at 6" Start 11-c-soak Time @ Tin ff'-V) End Pre-soak Rate Min./Inch Site Sc.itability Assessment: Site Passed—1 Site Failed: Additional Testing Needed((IN) Original: Public Hculth Division Observation Mole Data To 130 Completed on.13ac,,k----------- I ***If percolnfi6n test into be conducted within 100' of wet.Iqj-ju1 ,you must first notify the "Seltvation Division at leflISt On Barnstable Co (1) Nyeelc prior foj�eginnlng. Q:\S PIIMC*%PERCFORM.DOC ............. .......... ------- i I i i i i JDEEP OBSERVATION HOLE LOG Hole#- 4 — Depth from Soil Horizon Soil Texture Soil Color Soil Other surface(in.) (USDA) (Munsell) Mottling (Structure, Stones,Boulders, { n i to is ravel t!L -- - 57 L —_ —�l l DEEP OBSEOATION HOLE LOG Mole# _ Depth from Sol]Horizon Soil Texture Soil Color Soil Other cur(aeea(,na _�.-_�--:--_ _._([1SL�A) ._ .^_--Jl�tunsutkj— .. tvL9ttlit ri.:_SSiLu tore $tQneS r3.Qulder. ._. Consistcncy.%.0ravel) _ i c ja of t5 i j DEE,P OBSERVATION HOLE LOG Vole# Ti"�3 Depth from I Soil Horizon Soil Texture Soil Color Soil Other Surface(iu.) (USDA) (Munsclt) Mottling (Structure;Stones,Boulders. _ Consistency.To Grave —_ 6•—.�, � fir-,� ��i l c`(�C,Y(z_„ — e DE,TI�OBSEJC VATION HOLE LOG Hole# TP;4 Depth from Soil Horizon Soil Texture Soil Color Solt Other Surface(in.) (USDA) (Munseii.) Mottling (Structure,-Stones,Boulders, _ Consistency,°h Oraveh _ I<lood.lnsuranlce Rate Mt1 i Above 500 year flood boundaryl No_ Yes Wid»n S00 year boundary Nu Y ry Yes Within l00 year flood boundary; No— Yes Depth of Naturall:y Occurring Pervious Material Does at least four feet of naturally pc� curting pervious malarial exist in all areas observed tilroughout the area proposed�or the soil absorption system? �y C) If not,what is the depth of naturally occurring pervious material? I Cert.iflention i I certify that on t �`L _(tiale)I have passed the soil evaluator examination approved by the Department of nvironmental Protection and that the above analysis was performed by me,consistcnt with . the required tia g,expertise and,experience described in 310 CNIR 15.017. t Signature— � mot-C-- Date � 4 I Q:\.S'Bnl 1PBRC oRM.DOC TOWN OF BARNSTABLE L'�f� CATION J OI SEWAGE# .20ffl-,1y 7 iK VILLAGE ASSESSOR'S MAP&PARCEL 041 -012 —0 1 INSTALLER'S NAME&PHONE NO �06- C4 jhY SEPTIC TANK CAPACITY r)ClS t j LEACHING FACILITY:(type) 5700 c JJCt r O size NO.OF BEDROOMS 3 --(� _s OWNER �� t PERMIT DATE:_(D �a.'7 � _ COMPLIANCE DATE: �p a. � n Separation Distance Between the:; A)ONe-CJ—fr t aC - 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 Ao- is G 2 13 -�I3 � ti ®-- - � "-' No. Fee THE COMM MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISIO OF BARNSTABLE, MASSACHUSETTS Yes Application for Misposal .6pstem Construrtfun permit Application for a Permit to Construct( ) Repair(`Upgrade( ) Abandon( ) []Complete System ❑Individual Components Location Address or tot No. `©i C`er1q 7& Owner's Name,Address,and Tel.No. /blarsbN� �, Assessor's Map/Parce f d/ ' Installer's Name,Address,and Tel.No. Designer's Name,Address,and Tel.No. 0 - 651GS A 1�(Ouora 1Nc S-00-� 00- 5-5 GN iP✓�s�t�iN e�1 S5M- 177-53f. Type of Building: Dwelling No.of Bedrooms 2 Lot Size !Y 00 sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) 2 2 O gpd Design flow provided lie 1 7 gpd Plan Date !r 2-0.-f Chi Number of sheets Revision Date Title , Size of Septic Tank 95'%elrvc Type of S.A.S. 2 Spd �,Er/JO� flnGM/✓2�S fVj/f� %/�S e Description of Soil Nature of Repairs or Alterations(Answer when applicable) .d1 eei d bO owc) t J I FIt 14 �Q rJ r Ck S1 S Dzs-:n> © Aj eA 1 b!y 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 Certificate of Compliance has been issued by this Board of Health. Si e' t Date a Application Approved by Date v3 r) a Application Disapproved by Date for the following reasons Permit No. P0 Vk l 9,—3 Date Issued (P �� No. V/ .--- N Fee Entered in computer: THE COM MASSACHUSETTS Y es PUBLIC HEALTH DIVISIO40 OF BARNSTABLE, MASSACHUSETTS ftphcation for 30IBtlosal *pstem Construction 3permit Application for a Perm to Construct( ) Repair(Upgrade Abandon( ) ❑Complete System ❑Individual Components ..-- T Location Address or Od�'No. /p0-,4 ty/y� �� Owner's Name,Address,and Tel.No. Aars'v ' M lS �A!-r Assessor's W/Parce, ► —0141 Installer's Name,Address,and Tel.No. Designer's Name,Address,and Tel.No. jiGS Q I��OWN TNc s0�3-1�G�- S5 TrN !A/t�1'/�iNt ��s Sc�-Y7"1-5"3/,3 Type of Building: Dwelling No.of Bedrooms 2 Lot Size yC. q.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures s Design Flow(min.required) 2..an gpd Design flow provided' gpd Plan Date Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. mph eAc,,!1 wi- 4).,d y,,06eve Description of Soil µ Nature of Repairs or Alterations(Answer when applicable) :7�,M �jf & ,yrw bor 6WC) t.J r F _-4 vl I :��O ry f r'k S s U ovo ry o r<, 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 Certificate of Compliance has been issued by this Board of Health. � t Signed ( _ G' Date ( -,2 M Application Approved by , - Date (n Application Disapproved by Date for the following reasons Permit No. "l Date Issued THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE,MASSACHUSETTS Certificate of Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal system Constructed( ) Repaired Upgraded( ) Abandoned( )bye ,� 1�. fti,,,T�.t e j .. at I rf i`(,A,- Al rllC� has been constructed in accordance i with t- the provisions of Title 5 and the for Disposal System Construction Permit NoX�"M 7 dated ((> Installer`jr„-,V c A C2,tr_. 'r rur, Designer r,.���,u r,o✓, iv r tn1 A!�C C #bedrooms Approved design flow. �. gpd The issuance of this permit shall not be construed as a guarantee that the system wi 1 fun ion as de is geed. Date - 2 '7 — i 9� Inspector � l - ------------ -- -------- - - - ------ --------------------------------- No. 3LO/ � 19 ? Fee _ /rJU THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION-BARNSTABLE,MASSACHUSETTS Misposal 6pstetn Construction i3ermit Permission is hereby granted to Construct( ) Repair( li)' Upgrade( ) Abandon( ) System located at t a�G»�r��splc7"k� 1Z�� Ind u!s I-��iJ A I s�,� M 'tA , I 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 Jmust be completed within three years of the date of this permit. Date D 7 Approved byi_ Town of Barnstable Department of Regulatory Services a�Rnsrasr Public Health Division Date 5-1 Liz 200 Main Street,Hyannis MA 02601 Xth tfD�a 1� Date Scheduled / / Time I Fee Pd. �* C>.s.00 __0 `oil Suitability Assessmentfor e ispos�zl Performed'8y: V � `C5ik WitnessedBp; S LOCATION& GENERAL INFORMATION , ih Location.Address l r 1 C` e I-rV poC6,54 Owner's Name F Q n c es �h� MQr S 1-t9r /_s /144 G Address _!�! C1VtT^Ywrrt�l Gh MczC16p r 0, lu MA Assessor's Map/Parcel: Q L/1 _ D/2 —O)q Engineer's Name -�-zy n-e e ro�'z8 __A NEW CONSTRUCTION REPAIR Telephone# 77=5-3f3 Lind Use' St��YYW + I Slopes 3�_ Surface Stones Distances;from: Open Water Body���'ft Possible Wet Area �I t thinking Water <eSOft Drainage Way N/ ft Property Line ?!s- t Other ft SKETCH (Street name,dimensions of lot.exact locations of test holes&perc tests,locate wetlands fn proximity to holes) �b Parent material(geologic) Depth to.Bedrock Q A:9 Depth to Groundwater. Standing Water in Hole:_ MG G-hJ Weeping from pit Poce tyan:e Estimated,Seasonal:High Groundwater IIETERIVIINATION FOR SEASONAL HIGH WATER TABLE r1R. Method Used: . - Depth Observed standing in obs.hole: _ __ __ in, Depth td soil Mottles:" in. Depth to weeping from side of ohs.hole: in. Groundwater Adjustment ft. Index Well# Reading Date: Index Well level, Adj,factor ._ Adj.Groundwater Uvel_ _ _PERCOLATION TEST Date- Three Observation Hole# i Time at 9" Depth of Perc. Time at Start Pre-soak Time O 2 a t S 'rime(9 -6") End Pre-soak 4L c-5- M11 h Rate Min:/Inch. Z Site:$uitabitity Assessment: Site Passed 1 1/ Site Failed: Additional Testing Needed(YIN) Originate. 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:\S EPTIC\FERCFORM.DOC DEEP OBSERVATION HOLE LOG Hole# i Depth from SoilEoriion Soil Texture Soil Color: Soil Other Surface(in;) (,USDA) (Mansell) Mottling (Structure;Stones;Boulders. Consistency.% ravel (o _�� .� Jq�n (�..�„• �Q ill!'` _ . t 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,%, rave 5 RAm Lac, �zlJz 5h 32— o DEEP OBSERVATION HOLE LOG .Hole# Depth from Soil Horizon Soil Texture Soil Color Soil. Other Surface in. (USDA) (Munsetl) Mottling (Structure,Stones„Bouldders. ( ) Consistency.%Grave r. DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soii Color Soil Other Surface(in) (USDA) (Munseilj Mottling (Structure,Stones,Boulders, Consi ten ra l Flood Insurance.Rate Manz Above 500 year.flood`boundary No— Yes Within 500 year boundary No Yes • to Within 100 year flood boundary No Yes Depth of Naturally Occurrint=_Pervious Material Does at least four feet of naturally occurring pervi us.material exist in all areas observed throughout the area proposed for the soil absorption system? -- _. If not,what is the depth of naturally occurring pervious nnater'ial? Certification (y I certify that on L I V (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 tra' g,expertise and experience described in 310 CMR 15.017,,��I((-�,(� Date Signature Qi\a,Et?TlC1PERCF0RM.D0C Town of Barnstable �o� 'Qkti Regulatory Services Richard V. Scali,Interim Director BARN5rABIX I 9 MASS, Public Health Division 1639. �0 'DrFn ,�s Thomas McKean,Director Z00 Main Street,Hyannis,-Pvi 02601, 1 Office: 508-862-4644 Fax 508-790-6304 Installer &Designer Certification Form. Date: (12614 Sewage Permit#cjq� " 20?—O S 7 Asse sor s MapTareel Designer: C—r`9ioee Wor'btS, (rid;. Installer: e���4Egvq �✓tiS'�(i�C-��Q►�1 Address: 1 Z W, C rb s_pP, f�4 :Address: Pb 2i e On 5e\/•�hcriya G(11Yvc-.0_Wwas issued:a permit to install a , (date) (installer) t septic system at Sf 64�e A)u, baised on a design drawn by (address) Evtc�►ne�� t -(�u I dated 3 (7 l (designer) _ C I certify that the septic system referenced above was installed substantially according to the design, which may include minor approved changes such as lateral relocation of the distribution box and/or septic tank. Strip out (if required) was inspected and the soils were found satisfactory. I certify 'that the septic system referenced above was installed with major changes (i:c':. P greater than 10' lateral,relocation of the SAS or any vertical relocation,.of any'component of the septic system) but in accordance with State &,.L.ocal :Regulations'. Plan revision or certified as-built by designer to follow. Strip out (if required) was'inspected and the soils were found satisfactory. I certify that:the system referenced above was construct nce with the terms of the I\A approval letters(if applicable) HOF �' PETEt T. G McENTEE, m CNit, nstaller s Signature) No.351Q9 TER (Designer's Signature) (Affix Designer ` tamp Here) PLEASE RETURN TO BARNSTABLE PUBLIC.HEALTI-DIVISION. CERTI.FICATE OF COMPLIANCE WILL NOT .BE ISSUED UNTIL BOTH THIS FORM AND .AS- BUILT CARD ARE RECEIVED BY THE BARNSTABLE PUBLIC HEALTH DIVISION. THANK YOU. QASeptic\Dcsigncr Certification Form Rev 8714-13.doc r op jollolqj 4� O NSTABLE LOCATION /� Ila o SEWAGE # l ^G2 v VILLAGE Z241 00-0/a— ""�j�/� S SSO S MAP � L T INSTALLER'S NAME & PHONE NO. 4�� SEPTIC TANK CAPACITY / © d 0 LEACHING FACILITY:(type) % (size) /0 b 0 NO. OF BEDROOMS-PRIVATE WELL OR UBLIC WATER BUILDER OR OWNER t D a..v DATE PERMIT ISSUED: DATE COMPLIANCE ISSUED: VARIANCE GRANTED: Yes No 6 41 No— .. Fizz M-0.......... THE COMMONWEALTH OF MASSACHUSETTS BOA.Rb OE HEALTH ... ....0.................OF..... ........................... P 7-775 Appliration for Klhipaaal Works Tonstrurtion rnmit i pplication is hereb a Per it t C instruct (A or an Individual Sewage Disposal ystem at: ... .. .......19.............................................. ....../,A&P..A.1......P Lo t' -A es or Owner Address ... ....... .............. ........... . ................. ....... ....&X��.. .................................................................................................. ............................................. . ........... ----------- Installer Address Type of Buildirig Size U ...........................Sq. feet Dwelling.—No. of Bedrooms............................................Expansion Attic Garbage Grinder ( ) Other—Type of Building ............................ No. of persons...............------------ Showers Cafeteria ( ) OtherfiEtWres ...................................................................................................................................................... Design Flow..............S5 ............._......gallons per person per day. Total�lily flow-----_ -. ....._......._...gallon �Lqlr., .. ................gallons. 9 Septic Tank—Liquid capacity..10.09allons Length.1 Width._____-___. Diameter________________ Depthg�:77... W Disposal Trench— 0. ......... Width.).._............... Total Length___........._...... Total leaching area....................sq. ft. �rll 134 Seepage Pit No....................j Diameter... Depth below inlet...10.Lo....... Total leaching area. Z Other Distribution box Dosi tank Percolation Test Results Performed by ,NC..WC.... Dat,_JPJ .. ........... Test Pit No. I----�_......minutesperinch Depth of Test .... Depth to ground water_0_6_,q4,_.961.(,0&4j 0-4 4q Test Pit No. 2................minutes per inch Depth of Test Pit__.................. Depth to ground water-._________-___---______ t r------ ----------------------------------------- 0 Description of -----7---6------- W - .5, ---- ( ............................................................................................................................................................ I ........................................................................................................................................................................................................ 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 TI I'�iE 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.............................. .................................................. ....... /��j/ e, . Date Application Approved By........O Date Application Disapproved for the following reasons:................................................................................................................ ........................................................................................................................................................................................................ Date Permit No.........71._. Issued....................................................... L Date r ,o No.....�=` •-•= -- FEa3.............................. f THE COMMONWEALTH OF MASSACHUSETTS _ ' t BOARID OF HEALTH / .�.(:::..V........... .. . ..........OF.....t� A{) �J:. : .................................. 7-7 liration for Disposal Works Tontrurtion rrnti# Io 'Application is hereby made for a Permit to Construct (4<or Repair Sewage Disposal S ( ) an Individual, _ t System at: 1 �/' •-i� .............................................. .................r . .?-••. ..................... l. ..-. . .Location Ass �•-� or i y...�l k f✓ �—�1?l d. fCJdt,'.E r� 1...... — drli' y� ! �!u?�1 ji.,,.,�:. 1 4�i_: !;�S,ad.. ✓ 0 Owner Address W Installer Address UType of Building Size Lot...... .. ..... ?..Sq. feet Dwelling_—No.. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( ) pa-I Other—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) QI Other fixures ...............•-•••-----...........-----......................- W Design Flow.............. ........:.........•---gallons per person per d„aY• Total 4ily flow..._........._...Clne..- -..........`gall ons. WSeptic Tank—Liquid capacity.10 `. alons Length..S... Width_ Diameter---------------- Depth 2............ x Disposal Trench—No. .................... Width_1_.....1_..._..._.. Total Length,.._....q....._.... Total leaching area.._........._..-____sq. ft. Seepage Pit No......:�............ Diameter...�L _... Depth below inlet.--La's ._... Total leaching area.3 k.�:. = Z Other Distribution box ( L'f' Dos> "tank L t '-' Percolation Test Results Performed by p:41..t:-� ?� �� NNIC,..... -� ..... Date_�-�p.Ij ..3. t 1 . 7 Test Pit No. 1.... ..._.__minutes per in Depth of Test Pit._I_: -t,, '_. Depth to ground water':X)19._ 0j_Wi V,-7�v v (3, Test Pit No. 2................minutes per inch Depth of. Test Pit.................... Depth to ground water------.................. D Description of Soil. Q_f�a. Ca)cw fit. 4? :-� �" `= {- f ?::f1 .d"- .!7.t.4s.1� . . A 0 . x . ---•••-- W Z. -------------------------------------------------------------------------------------------------••------------.----------------------------------------------------------------------------------..... 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'ITL� 5 of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been issu by the boar of health pp Signed------ ----------------- --------------------------•----------•------.....--- ------ Jr _7 Application Approved By...................*1-, Date Application Disapproved for the f oliod'ng reas' s----------------------------------------------------------------------------------------------------------------- ------------------------------------------•-•-----------•--------•-------....------......_r-•--•-.........-----•------------------------------------------------......... ............................... Date Permit No...................A k f.. ' s• Issued-----------------------------------•--•-•••-•--•••-•_.. f �� �•• Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALT,�H_ �.C'Liu}j....... .OF.. ....EAROQ�T. ... t;�-. ... ........................ Wrrtlfiratr of Tontplianrr THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or 4aired ( ) bY................................................. WV.7 ........ ................ Installer.............................`--....---•-- 'e-,t1�...................•......... at .................... ..............................`='........................... has been installed ip..aacrdaaQeewith the provions of !!_'. s� j of he State Sanitary Code as described in the T .. application for Disposal Works Construction Permit No........................ C:.._?_.6./dated-_...____....-_--.--_.__-_.-_-_--_--.--------- THE ISSUANCE OF THIS C TIFICATE SHALL NOT BE CONSTRU AS GUARANTEE THAT THE SYSTEM WILL FUNCTION g T ORY. DATE----------------------•-----.............( ..:.1;%... . .....---... Inspector............... - - ------------------- -----------------------------•------ THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ..... !4•...............OF....... .1.440A_- No.................... . FEE........................ 7i.)- I Disposal Works Tonu#r ion rruti# Permission is hereby granted- •-•-------•-----------------------•--------•-•----•--•--------------•- to Construct ( ) or Repair ( ) an Individu Sewage Disposal System atNo.................................. �....��._...... as shown on the application for Disposal Norks onstruction Permit No..................... 84C ......................................... --------- Board ealth DATE....................................... FORM 1255 HOBBS & WARREN. INC.. PUBLISHERS APPLICATION FOR PERr:OLATION TEST AND OBSERVATION PITS 41 • NO. • i •..ems • DATE e 6-jrJ APPLICANT/LaA-� �or.:� �.�1r'�w Cl:H (Non-refundable) ADDRESS ':/� �a �.,Ta n 1 TELEPHONE NO. ���:a���do ENGINEER. OW TELEPHONE NO. a DATE SCJIBDULBD c ,cr 4 ` (Applicant's Signature) .......................................•........................:...:........................................................................................ ASSESSOR"S MAP & LOT NOe SOIL LOG ' SUB-DIVISION NAME DATE TIME EXi'ANSION ARBAetYES NO ENGINEER TOWN.WATER PRIVATE WELL BOARD OF HEALTH • EXCAVATOR SKETgIIe_(Street name, etc., dimensions of lot,-exact location of test holes anal percolation tests, locate wetlands In proximity to test holes) NOTES: r OLATION RATE: ' HOLE NOs '' aELEVATION: TEST BOLE NO: ELEVATION: 2 2 3 3 4 4 5 5i 6 6 7' 7 • 9 6 e ' g 9 . 10 10 12 12 ' 13 13 14 14 I 16 ( 16 . 'ABLE FOR SUB—SURFACE SEWAGE: LEACHING FIELD LEACHING PITS LEACHING TRENCI T ITABLE FOR SUB--SURFACE SEWAGE. REASONS: EMOINEiRING PLANS MUST SHOW. -NUMBER. ASSIGNED ON PERC TEST APPLICATION 'FINAL; COMPLETED IN ENTIRETY BY P. E. AND -RETURNED TO BOARD OF 11BALT11 '; RETAINED BY APPLICANT �� Commonwealth of Massachusetts Executive Office of Environmental Affairs Dept. of Environmental Protection ` Jitl One winter Street,Boston,Ma. 02108 ` D.E.P. Titlee V Septic c inspector P.O. Box 2119 Teaticket, MA 02536 WILLIAM F.WELD (508)564-6813 Governor ARGEO PAUL CELLUCCI 1 2 Lt.Governor � SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A �.100 CERTIFICATIONtr�E�VEO Property Address: 101 Cherrywood Lane Marstons Mills `-'�� Address of Owner: APR 2 3 Date of Inspection: 4120198 (If different) 19 98 Cir Name of Inspector: John Graci Nancy Perrone -PIA%ARNSTAe 1 am a DEP approved system inspector pursuant to Section 15.340 of Title%(310 CMR 15.000) HOEPT LE Company iName,Address and Telephone Number: 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: x Passes This Inspection Is based on criteria dented InTttle V code 310 CMR 16.303.My findings are of how the system is — Condition ily asses performing at the time of the inspection.My Inspection does _ Needs F rt r Evaluation By the Local Approving Authority not Impyany warranty or guarantee of the longevity ofthe Fef Is septic system and any of Its components useful life. Inspector's Signature: r Date: 4120198 The System Inspector shall submit a copy of this inspection report to the Approving Authority within thirty(30)days of completing this inspections. 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 of Environmental Protection. The original should be sent to the system owner and copies sent to the buyer,if applicable and the approving authority. INSPECTION SUMMARY: Check A, B, C,or D: A] SYSTEM PASSES: x I have not found any information which indicates that the system violates any of the failure criteria defined as in 310 CMR 15.303. Any failure criteria not evaluated are indicated below. COMMENTS: B] SYSTEM CONDITIONALLY PASSES: One or more system components need to be replaced or repaired. The system, upon completion of the replacement or repair,passes inspection. Indicate yes,no,or not determined(Y, N, or ND). Describe basis of determination in all instances. If "not determined",explain why not. The septic tank is metal, unless the owner or operator has provided the system inspector with a copy of a Certificate of Co7hpliance(attached)'indicating that the tank was installed within twenty(20)years prior to the date of the inspection; or the septic tank,whether or not metal, is cracked, structurally unsound, shows substantial infiltration or exfiltration, or tank failure is imminent.The system will pass inspection if the existing septic tank is replaced with a conforming septic tank as approved by the Board of Health. (revised 04f2T197) One Winter Street • Boston,Massachusetts 02108 • FAX(617)556-1049 a Telephone(617)292-5500 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address: 101 Cher ywood Lane Marston Mills Owner: Nancy Perrone Date of Inspection:4120199 _ Sewacte backup or.hreakout or hioh.static water level observed.in.the distribution box is due to a broken. or obstructed pipe(s)or due to broken,settled or uneven distribution box.The system will pass inspection if (with approval of the Board of Health). Describe observations: broken pipe(s)are replaced obstruction is removed distribution box is leveled or replaced —The system required pumping more than four 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 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 the public health,safety and the environment. 1) SYSTEM WILL PASS UNLESS BOARD OF HEALTH DETERMINES THAT THE SYSTEM IS NOT FUNCTIONING IN A MANNER WHICH WILL PROTECT THE PUBLIC HEALTH AND 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 APPROPRIATE) DETERMINES THAT THE SYSTEM IS FUNCTIONING IN A MANNER THAT PROTECT THE PUBLIC HEALTH AND SAFETY AND THE ENVIRONMENT: The system has a septic tank and soil absorption system and is within 100 feet to a surface of water supply or tributary to a surface water supply. The system has a septic tank and soil absorption system and is within a Zone 1 of a public watersupply well. The system has a septic tank and soil absorption system and is within 50 feet of a private water supply well. 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 presense of ammonia nitrogen and nitrate nitrogen is equal to or f less than 5 ppm. Method usedto determine distance (approximation not valid) 3)Other D] SYSTEM FAILS: You must Indicate either"Yes"or"No"as to each of the following: I have determined that the system violates one or more of the following failure criteria as defined in 310 CMR 15.303. The basis for this determination is identified below. The Board of Health should be contacted to determine what will be necessary to correct the failure. Yes No Backup of sewage in facility or system component due to an 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 cesspool. SAS is in hydraulic failure. (revised 04127W) SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address: 101 Cherywood Lane Marstons Mills Owner: Nancy Perrone Date of Inspection:4120199 D]SYSTEM FAILS(continued) Yes No 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 1/2 day flow. Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s). Numbers 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 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. If the well has been analyzed to be acceptable,attach copy of well water analysis for coiiform bacteria,volatile organic compounds, ammonia nitrogen and nitrate nitrogen. E] LARGE SYSTEM FAILS: You must indicate either"Yes"or"No"as to each of the following: The following criteria apply to',large systems in addition to the criteria: _ 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 public health and safety and the environment because one or more of the following conditions exist: 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) The owner or operator of any such system shall bring the system and facility into full compliance with the groundwater treatment program requirements of 314 CMR 5.00 and 6.00. Please consult the local regional office of the Department for further information. (reyleed 04127197) i SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B CHECLIST Property Address: 101 Cherywood Lane Marston Mills Owner: Nancy Perrone Date of Inspection:4120199 Check if the following have been done:You must indicate either"Yes"or"No"as to each of the following: _c_ _ Pumping information was requested of the owner,occupant,and Board of Health. x None of the system components have been pumped for at least two weeks and the and the system has been receiving normal — flow rates during that period. Large volumes of water have not been Introduced Into the system recently or as part of this inspection. x As built plans have been obtained and examined. Note if they are not available with N/A. x The facility or dwelling was inspected for signs of sewage back-up. x _ The system does not receive non-sanitary or industrial waste flow. —x— — The site was inspected for signs of breakout. x All system components,excluding the Soil Absorption System,have been located on the site. x 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. x The size and location of the Soil Absorption System on the site has been determined based on — — The facility owner(and occupants, if different from owner)were provided with information on the proper maintenance of Sub-Surface Disposal Systens. x Existing information. Ex. Plan at B.O.H. x Determined in the field(if any failure criteria related to Part C is at issue, approximation of distance is — — unacceptable)(15.302(3)(b)J (revleed 04r27ST) SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION Property Address: 101 Cherrywood Lane Marston Mills Owner: Nancy Perrone Date of Inspection:4120198 FLOW CONDITIONS RESIDENTIAL: d.lbedroom for S.A.S. Design flow: � g•p Number of bedrooms: 2 Number of current residents: 4 Garbage grinder(yes or no): Yee Laundry connected to system(yes or no): Yes Seasonal use(yes or no): No Water meter readings,if available:(last two(2)year usage(gpd): rda Sump Pump(yes or no): No Last date of occupancy: rda COMMERCIAL/INDUSTRIAL: Type of establishment: nla Design flow:o gallons/day Grease trap present: (yes or no) No Industrial Waste Holding Tank present:(yes or no) No Non-sanitary waste discharged to the Title 5 system:(yes or no) No Water meter readings,if available: We, Last date of occupancy: nfa OTHER:(Describe) rda Last date of occupancy: GENERAL INFORMATION PUMPING RECORDS and source of information: System was pumped 1 to 2 yeare ago. System pumped as part of inspection:(yes or no)No If yes,volume pumped:U gallons Reason for pumping: nla TYPE OF SYSTEM x Septic tank/distribution box/soil absorptions system Single cesspool Overflow cesspool Privy Shared system(yes or no) ( if yes,attach previous inspection records, if any) I/A Technology etc.Copy of up to date contract? Other: APPROXIMATE AGE of all components,date Installed(if known)and source Information: 1991 Sewage odors detected when arriving at the site:(yes or no No (reylsed DU A?) SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address.: 101 Cherrywood Lane Marston Mills Owner: Nancy Perrone Date of Inspection:4120fg8 SEPTIC TANK: x (locate on site plan) Depth below grade: 1' Material of construction:x concreate_metal_FRP_Polyethylene—other(explain) If tank is metal, list age we . Is age confirmed by Certificate of Compliance No (Yes/No) Dimensions: Le•5••H5.71•w4.10" Sludge depth:2" Distance from top of sludge to bottom of.outlet tee or baffle:25" Scum thickness:2" Distance from top of scum to top of outlet tee or baffle:6" Distance form bottom of scum to bottom of outlet tee or baffle: 15" How dimensions were determined: Measured 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.) Septic tank and all components are structurally sound.Recommend pumping system every two years for maintenance. GREASE TRAP: (locate on site plan) Depth below grade: nfa Material of construction: _concrete_metal_FRP_Polyethylene_other(explain} Dimensions: nla Scum thickness:rVa Distance from top of scum to top of outlet tee or baffle:rVa Distance from bottom of scum to bottom of outlet tee or baffle: rda Date of last pumping;d. 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.) nla BUILDING SEWER: (Locate on site plan) Depth below grade: t•5•• Material of construction:_cast iron x 40 PVC_other(explain) Distance from private water supply well or suction linetov Diameter. 4• Qsomments:(conditions of joints,venting,evidence of leakage,etc.) (revised 0427)87) f SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: 101 Cherywood Lane Marstons Mills Owner: Nancy Perrone Date of Inspection:4120199 TIGHT OR HOLDING TANK: (locate on site plan) Depth below grade: Na Material of construction:_concrete_metal_FRP_Polyethylene—other(explain) Dimensions: Ne Capacity: Na gallons Design flow: Na gallons/day Alarm level:_Na Alarm in working order?_Yes_No Date of previous pumping: Comments: (condition of inlet tee,condition of alarm and float switches,etc.) Na DISTRIBUTION BOX: (locate on site plan) Depth of liquid level above outlet invert: Na Comments: (note if level and distribution is equal, evidence of solids carryover,evidence of leakage into or out of box etc.) Na PUMP CHAMBER: (locate on site plan) Pumps in working order:(yes or no)No Alarms in working order(yes or no)_ve: Comments: (note condition of pump chamber,condition of pumps and appurtenances,etc.) Na (revised 04127)97) SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: 101 cherywood Lane Marstons Mills Owner: Nancy Perrone Date of Inspection:4120199 SOIL ABSORPTION SYSTEM(SAS):x (locate on site plan,if possible;excavation not required,but may be approximated by non-intrusive methods) If not determined to be present,explain: -rda Type: leaching pits,number: 1000 gallon leach pit leaching chambers,number:nia leaching galleries,number: n1a leaching trenches, number,length: Na leaching fields,number,dimensions:Na overflow cesspool,number:his Alternate system: nra Name of Technology:_we Comments:(note condition of soil,signs of hydraulic failure,level of ponding,condition of vegetation, etc.) Leach pIt and all componenta are structurally sound and functioning properly.Leach ph currently has Y ofwater In It. CESSPOOLS: (locate on site plan) Number and configuration: rda Depth-top of liquid to inlet invert: rva Depth of solids layer: rda Depth of scum layer: nra Dimensions of cesspool: n<a Materials of construction: rda Indication of groundwater: Iva inflow(cesspool must be pumped as part of inspection) n1a Comments:(note condition of soil,signs of hydraulic failure,level of ponding,condition of vegetation, etc.) rda PRIVY: (locate on site plan) Materials of construction: nla Dimensions: rva Depth of solids: n1a Comments: (note condition of soil,signs of hydraulic failure,level of ponding,condition of vegetation, etc.) n1a (revised 007197) f SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) 101 Cherrywood Lane Marstons Mills Nancy Perrone 4120198 SKETCH OF SEWAGE DISPOSAL SYSTEM: include ties to at least two permanent references, landmarks or benchmarks locate all wells within 100'(Locate where public water supply comes into house) PA 37 Dta• f of 30 (rev1eed0412T19T) a SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) 101 Cherrywood Lane Marstons Mills Nancy Perrone 4120/09 Depth of groundwater 12. Please indicate all the methods used to determine High Groundwater Elevation: Obtained from design plans on record. Observation of Site(Abutting property, observation hole, basement sump etc.) Determine it from local conditions Check with local Board of Health Check FEMA Maps Check pumping records Check local excavators, installers x Use USGS Data Describe in your own.words how you established the High Groundwater Elevation.(MUST be completed) USGS Maps and Charts (revlsed0027ST) 4 i N® OOa Dr -- 97--EXISTING CONTOUR Q Ge`` x 100.98 EXISTING SPOT GRADE EXISTING S.A.S. W Lovells M COMPLIANCE DATE 6128118 N Pond FOX OP' W EXISTING WATER SERVICE PERMIT NO. 2018-197 Q N N (, EXISTING GAS SERVICE DESIGN FLOW PROVIDED=348 GPD 103,13 = J O U UNDERGROUND WIRES J < TEST PIT 1 Al �a LOCUS BENCHMARK EXISTING SEPTIC TANK 11 ' y 1` 11 O N 'Z LEGEND '1 �, `, � o Z ° 3�N D� o�te 2$ LOT 22 y 11 1� ` �I o I m O o N 45,048 f SF 1 N �d P�e'J\e�O( tiecti °APwe,, PARCEL ID: 041 '-012--011`,4 102,6�`� m o O 3 +112.54 I 1 1 ` < �I U_ 12 51' 11 1 ,1 1 s LNOT OCUS MAP s 342 11 !� ,11 11 \II rt O L O¢ SOIL LOG �����a`.99 DATE: MAY 24, 2018 (REF#15,670)SOIL EVALUATOR: PETER McENTEE PE(SE#1542) cp 1t2.ozNWITNESS: DONALD DESMARAIS R.S.HEALTH AGENT 11 �1x� x 111.84 ELEV. TP-1 &3 DEPTH ELEV. TP-2&4 DEPTH ri e x 111.08 1 1 110.0 A 0 110.0 A 0 --- /�� +111,86 bh �� 11 i 11 1 \4 Ld w \�1.1195 "1 101.59 W SANDY LOAM SANDY LOAM _11�-- 07 I +111.78 1 i I Q 10YR 4/2 10YR 4/2 e I i' 1 1 1 1 O (� o X 1680 109.5 6" 109.5 6" x 111.81 l', " CN 1 1 i C n B B i t. ; O O •'� oFC� 1 y i 1 Q SANDY LOAM SANDY LOAM � ,_,L.�•y� \� I .' II Q 10YR 5/8 10YR 5/8EXISTINGa- 106.8 38" 107.3 32" PORCH / 1 CD1 C1 PERC �12 a x u `S T.0.F. 11J.0 `/ /� x 109.66, T 11 11 0 00 z .- ))) BM + 12,10 / I Z 4- 36/54" 112.58 +111,05 �/ i ` '1 QO Li MED. SAND MED. SAND (op i 1 4. o ca N 10YR 6/6 10YR 6/6 P/_0 1 I 101.06 4 1 1 0 SHE P\ 98.5 138" 98.5 138" x 111,12 TP�4 TP �\\ X !c6 F w F- NO GROUNDWATER, PERC RATE: <2 MIN./IN. S 2gg 11o.aox TP 1 TP-3 u1,o7 u,.7s X u . z� t y� j300�, 101.95 S� 6•6j F a LAMP PAVED DESIGN CRITERIA x o.sl oe y! !!I '�l r1 Cn do ! °� ` II N .ao9.39`; NUMBER OF BEDROOMS: 2 BEDROOMS + 1 (future) SOIL TEXTURAL CLASS: CLASS I p Or DESIGN PERCOLATION RATE: <2 MIN/IN x 108.98 GARAGE iio:d9 f,,,.,•, ®100.17 �D 109.61 (DRAIN E ....... N DAILY FLOW: 330 G.P.D (2 BEDROOM TO 3 BEDROOM). f ....,•.. cP EASEMENT DESIGN FLOW: 330 G.P.D. RESERVE AREA .:�✓,.' : \o, 2-500 GALLON CHAMBERS i 103,;s� GARBAGE GRINDER: NO SURROUNDED W/4' STONE toe, x 1 8.38: �, - / a ' ioo.s7 � U o EXISTING SEPTIC TANK: 1000 GALLON CAPACITY "109.69 rI �� �/ �' t EXISITNG DISTRIBUTION BOX: 1 OUTLET, 3 INLETS � $B�'�, � oJe�jen a RESERVE AREA DESIGN CALCULATIONS OF V- 0 U_ USE 2-500 GALLON LEACHING CHAMBERS IN SERIES P� 9C � ' �"` o SURROUNDED BY DOUBLE WASHED STONE ON ALL SIDES o� PETER T. Gam, ed9 LEACHING AREA REQUIRED: (330 GPD) = 445.9 SIF McENTEE 101.78 CIVIL "' YYy C •� "' 74 GPD/SF No. 35109 Q C B J •L U) US SIDEWALL AREA:.............................12.8' x 25.0' = 320.0 S.F. 105.25 BOTTOM AREA:.................2(12.8' + 25.0') X 2 = 151.2 S.F. �0,�� STE � 1 ��� OWNER OF RECORD TOTAL AREA:.............................................................. 471.2 S.F. 101.81 WHITE, FRANCES T °' •- y 101 CHERRYWOOD DRIVE �� 00 DESIGN FLOW PROVIDED: 0.74 GPD/SF(471.2 SF) = 348.7 GPD � ' MARSTONS MILLS, MA 02648 w w N 0 �� —— 97——EXISTING CONTOUR Z N ooa o� EXISTING LEACH PIT N Ge<c�" x 100.98 EXISTING SPOT GRADE I ® Lovells EXISTING WATER SERVICE CONTRACTOR SHALL PUMP, N Pond Fox O W FILL WITH SAND & ABANDON J 0 P G EXISTING GAS SERVICE \ 103,13 LJ U UNDERGROUND WIRES EXISTING SEPTIC—TANK 1 \\ \\\ \\ TEST PIT TOP OF TANK, EL.=110.68 \ \ — �6 LOCUS $ BENCHMARK INV.(OUT)=109.35t 1\I �, \\ \\\ � Z c LEGEND '1 ', \` \ `° �, I � o a 28 , LOT 22 , 1 o INC, ma`s -` Ro�`e 45,048 ±SF 11 \I \ �c of Q ± <o 00 o J aA PARCEL ID: 041 -012\\—t�1'1\4 k 102.67 m W m o• P\�e o�eat �o ey,P//<' ' „ �J I 11 111 1 Q ` ,55 31 +112s4 1 1 1 1 `\ o a LOCUS MAP 5 g42 5� �•���, \`\ O N 0 0 NOT TO\SCALE + 14cXf� , y U w — 1 CF 4111.99 O � 1 \ \ Z\ � 0 0 jpl x 111.84 v 1 \ 1�� \ Q ,b 112.36 x 1 f e x 111.08 Q V� \ w Caw 112.75 x SHED 1� '`� 111,86 bh 'I it 1 \ IZ U) w ° xIdll.95 F 111,78 1 1 ` 1 1 _ -''1 1 7 1 -P 1 1 1 1 d. U O o I x 1)�eo I 1 ' 1 0 n x 111s1 i'.. O x \ qi �_�� w / bcp 1 O �Q'.�� ,, �;�'� 2>• EXISTING t I 1 11 Y PORCH HOUSE(#f01) x 161 \ 1 00 • N J 109.6 \ O cy — 7 �✓x 11 TO.F.=113.0 ; / 1 1 1 z — z 77 —�tj l� BM + 12,10 112.58 +111:05 / 1 LLJ m /w'/ // I , i, O CD ti Yv COOP 1 / �j 101.06 o PROPOSED S.A.S. SHE : ��' 4 °x)� /,�" y 11 G t 3 2-500 GALLONS CHAMBERS x 111. `:':= C> / SURROUNDED WITH 4' STONE x u1.12 x 111.07 x 11 , 2 I 1 1 t io1.9s n a 110.40 x 111.78 10 G 3p,dp S �a9 ': ,'.; 'i; •.. LAMP 61 PAVED. t t rh 0 o TP ,2r+_I�y—�0.�01� x 11o.e1 .DIZ/VFW�Y. a oe o __--� r� t cn II c� F I `�.►i��t •'S 1 Q ` 109.39' ;4h I tlt' p yi Q :::'. 'j:•.,::..,_ ®100.17 c0 1os,9e GARAGE 11b.49` 0 x `` 109.61 1DRAlNj4•GE r.,. o tJF MAS e EASEMENT �� c6 ::.... o� PETER T. 108. �, e.3e�a / 1oo.87 McENTEE �='� - 109.69 � CIVIL 35109 y BENCHMARK °, � � 1 �, P,$ oo,, �� po e � � ,� No. COR./BOTTOM -0 STEP RE6/S(E�� 'cam EL.=112.58 ' t ��� °f ° a 101.78 C N r� OLO OWNER OF RECORD loszs Q WHITE, FRANCES T 101,81 � 101 CHERRYWOOD DRIVE PLAN REVISION-6/27/18 S.A.S. LOCATION MOVED CLOSED TO BUILDING c C o MARSTONS MILLS, MA 02648 SUITABLE SAND VERIFIED AT 32" w W N L0 v NOTE: TO PREVENT BREAKOUT, THE PROPOSED Q Z FINISH GRADE SHALL NOT BE < EL.107.00 04 FOR A�DISTANCE OF 15' AROUND THE Qro PERIMETER OF THE S.A.S. ..JJ W C14 SEPTIC TANK ( 0.. _l O INSTALL RISERS & COVERS OVER INLET & PROPOSED D-BOX PROPOSED S.A.S. -J a OUTLET AND SET TO 6" OF FINISH GRADE INSTALL RISER & COVER INSTALL H-20 RISER & COVER OVER ONE CHAMBER (MIN.) uJ 2 SET TO 6" OF GRADE AND SET TO 3' OF F.G. TO SERVE AS INSPECTION PORT GENERAL NOTES: 0 4; T.O.F.=1 13.0t + F.G. EL.=112.0f 1. ALL CHANGES TO THIS PLAN MUST BE APPROVED BY THE LOCAL Q W F.G. EL.=112.2f Z F.G. EL.=1 12.1 t F.G. EL.=1 12.1 t BOARD OF HEALTH AND THE DESIGN ENGINEER. Z y; 2. ALL WORK AND MATERIALS SHALL CONFORM TO THE REQUIREMENTS 0 0 OF THE STATE ENVIRONMENTAL CODE, TITLE V, AND ANY APPLICABLE a U " LOCAL RULES AND REGULATIONS. Z) W ` L = 24' L = 5' 3. THE SEWAGE DISPOSAL SYSTEM SHALL NOT BE BACKFILLED PRIOR x S=t% (MIN.) ® 5=1% (MIN.) 2" LAYER OF 1/8" TO 1/2" TO INSPECTION AND APPROVAL BY THE BOARD OF HEALTH AND THE Q 4"SCH40 PVC 4"SCH40 PVC DOUBLE WASHED STONE DESIGN ENGINEER. W 0 6" Ba $ as (OR APPROVED FILTER FABRIC) 4, ANY CONDITIONS ENCOUNTERED DURING CONSTRUCTION DIFFERING F- to 1 " 14" 6 24" aBaaeBa FROM THOSE SHOWN HEREON SHALL BE REPORTED TO THE DESIGN (n p EXISTING 48" LIQUID INV.=109.35t EFF. DEPTH aaaaaaa -3/4" TO 1-1/2" DOUBLE ENGINEER BEFORE CONSTRUCTION CONTINUES. �•- a LEVEL 4' 4.8' 4' WASHED STONE Q GAS BAFFLE INV.=107.77 INV.=108.60 5. ALL ELEVATIONS BASED ON AN ASSUMED DATUM. 0 PROPOSED D-BOX EFFECTIVE WIDTH = 12.8' 6. THE DESIGN ENGINEER IS NOT RESPONSIBLE FOR THE FAILURE OF O U AH-10 RATED INV.=108.50 THE CONTRACTOR OR OWNER TO NOTIFY THE LOCAL BOARD OF U EXISTING SEPTIC TANK 2-500 GALLON LEACHING CHAMBERS HEALTH FOR PROPER INSPECTIONS DURING CONSTRUCTION. 0 3 WITH STONE AS SHOWN 7. WATER SUPPLY PROVIDED BY TOWN WATER SERVICE. w 0 - SURROUNDED WITH RATED 8. THERE ARE NO WELLS WITHIN 100' OF THE PROPOSED S.A.S. 02 H-109. ALL AREAS CLEARED FOR CONSTRUCTION SHALL BE RESTORED AS W ? a NOTES: TOP CONC. ELEV.=109.3 AGREED UPON BY OWNER AND CONTRACTOR OR AS OTHERWISE 0 w p BREAKOUT ELEV.=109.00 DIRECTED BY THE APPROVING AUTHORITIES. LLJ 1) CONTRACTOR SHALL VERIFY ALL EXISTING PIPE ease W `o INVERTS, PRIOR TO INSTALLATION. INV. ELEV.=108.50 saes 10. IT SHALL BE THE RESPONSIBILITY OF THE CONTRACTOR TO VERIFY w aa66a a6aaa 2) D-BOX SHALL BE SET LEVEL & TRUE TO GRADE ease eases THE LOCATION OF ALL UNDERGROUND UTILITIES, PRIOR TO BEGINNING o ON A MECHANICALLY COMPACTED 6" CRUSHED BOTTOM ELEV.=106.50 CONSTRUCTION. D- 0 o 4' 2 X 8.5'=17.0' 4' 11. WHERE REQUIRED, CONTRACTOR SHALL REMOVE ALL UNSUITABLE a STONE BASE, AS SPECIFIED IN 310 CMR 15.221(2). 4' OF NATURALLY OCCURRING 3) INSTALL INLET & OUTLET TEES AS REQUIRED. PERVIOUS MATERIAL EFFECTIVE LENGTH = 25.' SOILS IN THE AREA BENEATH AND FOR 5' ON ALL SIDES OF THE a a S.A.S. AND REPLACE WITH SAND AS SPECIFIED IN 310 CMR 255(3). a 4) CONTRACTOR SHALL INSTALL AN APPROVED EFFLUENT 5' (MIN.) ABOVE G.W. HING SYSTEM SECTION 12. AREAS REQUIRING STRIPOUT OF UNSUITABLE MATERIALS SHALL BE IFAC O FILTER ON THE OUTLET TEE. BOTTOM OF TIP, EL=98.5 - INSPECTED BY A CERTIFIED SOIL EVALUATOR PRIOR TO BACKFILL. 00 4 13. THIS PLAN IS TO BE USED FOR SEPTIC SYSTEM PURPOSES ONLY AND N o �- z 1 4- SEPTIC SYSTEM PROFILE , IS NOT TO BE CONSIDERED A PROPERTY LINE SURVEY. m w 0 (o N N.T.S. N 0 3 cYi SOIL LOG �~ �Q. U DESIGNCRITERIA rUE3 ® 0 ®®® DATE: MAY 24, 2018 (REF#15,670) ®®® ® ®®® 33" Vi SOIL EVALUATOR: PETER McENTEE PE(SE#1542) � w � NUMBER OF BEDROOMS: 2 BEDROOMS WITNESS: DONALD DESMARAIS R.S.HEALTH AGENT ®®® ® ®E3 ZSOIL TEXTURAL CLASS: CLASS I N Z ®®® ® ®®® N � ELEV. TP-1 DEPTH ELEV. TP-2 DEPTH - DESIGN PERCOLATION RATE: <2 MIN/IN 110.0 q 0 110.0 q 0" [D DAILY FLOW: 220 G.P.D. SANDY LOAM SANDY LOAM 102„ O DESIGN FLOW: 330 G.P.D. 109.5 10YR 4/2 6" 109.5 1i0YR 4/2 6„ ¢g GARBAGE GRINDER: NO B B U SANDY LOAM SANDY LOAM 4" KNOCKOUT EXISTING SEPTIC TANK: 1000 GALLON CAPACITY 106.8 10YR 5/8 38„ 10YR 5/8 I� y PROPOSED DISTRIBUTION BOX: 1 OUTLET, 3 INLETS C1 107.3 32" 20" DIA. COVER 8 Cl : o LEACHING AREA REQUIRED: (330 GPD) = 445.9 SF PERC „ 36/54" 4" KNOCKOUT 04" KNOCKOUT 58 .74 GPD/SF �" USE 2-500 GALLON LEACHING CHAMBERS IN SERIES MED. SAND MED. SAND w SURROUNDED BY DOUBLE WASHED STONE ON ALL SIDES 10YR 6/6 10YR 6/6 0)3? 4" KNOCKOUT C .2' SIDEWALL AREA: 2(12.8' + 25.0') X 2 = 151 .2 S.F. I �•� o BOTTOM AREA: 12.8' x 25.0' = 320.0 S.F. c 500 GALLON CAPACITY, H-10 LOADING 98.5 138" 98.5 138' TOTAL AREA:..............................................................471.2 S.F. G c � V 0 NO GROUNDWATER, PERC RATE: <2 MIN./IN. CHAMBERS C v+ o W DESIGN FLOW PROVIDED: 0.74 GPD/SF(471 .2 SF) = 348.7 GPD w JlryJ1 !+'4,R,', :')II..` - - i +Ar.^ly.t4 'CiC'aki :'-. •t .9pg a Y ., _, ,. .w. f„'�:. •r 1-:' , .. ,r ..,,. ,.: e.. r. ,q.... ;.t. •.. .:.• ,_. ..;•' ':,^" i-. �+ `., r .e i - �. ,.,�.rAa. ,t r 'r - .,' _ .� r t'1 .,, . di' ✓ .! a ` Jr • VY ; tK•'`. ,,.ry .• .4...U - y „ a �J VIR IT , i.. ' ., ,. - -. .{r . : .,.....,... ..........+. _.,. ...w,... +....w+...,.•.+w.r. .r....-w ..w. a .a e...w.„ w....-v„w..«r+wr^ a-.,a,..ww.:e.. , ..,.. w.. ..1 a ...n+._. ,,.. ., ,..,. .. .>a'.:. . ntt.:..`ry �'+y# •�....••P,,•.F.w...,ro+wrv.viv,r?+awl.p..q "..:wy.,asswws+e.r+.w. r4.ui .,..-.wwr•«N4+.npM �+�}M�M�w.iy�l'i�Mif.. rsr•r•''gvaw.r.+.+».,rw,.,.w•o►-aYa•2«w.wrN wae+rcw w. +•.••s_ a. of .w.r.,.•_y.w.w.rw.r.n. .n .uw,wew�.a.aArn•wrww• ' .+++.,aw+•,.,w. ,•f^ '•.n•.- +a+w*•• +tww swi.r . i.. . .,. P' ,,-, �. ♦,V• ovrr F (".• A iT • _.... _ _ __ . __ •' '.y1 f ,p AL « d - .—.. 01 -._.. .. •.-"___•.,. •. � ....-„a '� �t9c�^ aiaxDt-.."•S:3r7M" .•..'•' 1 � y� 1 �r a 'i y t TOPSOIL ., :, A;, ' A• 1 N. ARF Pr'."v ' 2.5' SUBSOIL 1 't - t. t C s i r r , d! G �` �i» PVC i 1, ;M t� f7t? I F cAN F ,� � [_..,�•..•-- --i `-� 4 r..�t r� 4 .,� �1 �1• � �' r' ' ' ► i � i ►-I` I i OTHERWISE SPECII~IED � {,xr, t �*; a ' ► itr � }�' i _4 0 't cc 3, ALL PIPES ?C AND IN 'THE S . M RE CAv"F MEDIUM 1HEL':.� d C; PVC _l ;0 0 �. 4. A' I- SEPTIC {ANKS, :)!STRii3UTICNN , ANC: � ' EAC:HING PIT H �r S #` F�-?�'? '. SAND 1—WINGS '?NNE' csR i)AViNG ,;: -,x C,� fir ; �' r' °� REAAt1"�'F ALL l,1tvS•r rABL.E ? TER"t,+� L EiENEA'� !'I* il_ A'� 14 E ' t9 ? F• : 4 INVERT ELEVATION$ O 14E, .,w.>`A -HING Prr �:OR � a I -j - TYF!CAL DISTRlB{JTiC?N BMX , '.� 10 0 61 41 1 A DISTAKE ,..�c SOFT ADCs BACKFst..�: W11}� e / i._ G REF SAND 5 GRAVEL HAVE A Pf_R ,_At fON, RA,' ' _ I CVO T.7 ,S'C4E ;Y _ . �;'- ___._ _._ .___ .,t OF 2 MINUTES PER IN"H• OR LESS. � e` xO 15,0' # GRAVEL 52 /1Tf DISTR18U T'jON RC`Y AN Ip00 o F► f. TOWN OF BARNS?ABLE BOAR OF NtwL,7 4 MUS{ a ' z NO WATER ENCOUNTERED / GAL R£INF(7RGtG SEPT!G TANK. 8Y BE WjTtf4EO WHt_ f � SYSTEM IS NEAP ajVP(.ET1r N << ,.,ERVATi0N ,, TYP1C; CAS. SEPTIC TANK ACME PRECAST � e�� � TYPICAL LEACHING PtT AND, RIOt TO B Itfi'LIwING UNLESS OTHERWISE NOTED, AI.LYST ( 4 =i / r NOT TO SL�4i_ - SHALT... BE INSTALLED IN =ACGORDAW WITq. r}' u,- PMCI:-A'f'ION RATTE = > 2 min/Inch ,✓OI rtJ I �s -SG4L� Of �I~+-,ERVAT'K 6 SY FD BARRY 4/ TANKS RE'AFORCED THO?;'T WIT + THE . STATE SANIT,A�tY CODE AND 5" BARNSTAQL>" B�}AR c;� �tT t ,_ / E�I"c;TR�(; WELDED Wifi WITH 24-- 1l2 RULES WHICH MAY APPLY, ass E>2 ARO ENGINEERING INC. / EMBE'�t7E 7 `3TEEti. RI'�u5 IN TOP 3t�T - 8 C )NTRACTOR IS fib P�iC}r' ''t`_ENO)NkfiR-, OIR '`` THE ' 'NSIAi,_LATION ' SEpT}r 5'fSl' w!, Of ANY 06k', ?Fc _ _ JUNE 1 I, 1991 / TON° ;'ONC;RE TF IS 4 S � ES i• f(= P T ANCIES BETWEEN "EST PIS' R > LTS AND >WIUj r;. / C.,ONDt-TI OBIS i 9 ACCESS MANHOLES 7) S T.IC TADS A 1.Wk',fi��? t / Pi TS TO Bf: 'WiLT UP TO 1Z tWHES CsFIAt* Y w / tC. NORTH ARWV IS NOT TO BE USD FCiQ SCJ- _AE TOP OF FOUNDATION ELEV = 70+50 , r .� I F , LE t ' ,V/ —F NISI-t GRADE F NISH GRADE FINISH GRADE OV•.R A{CH�1� 70 i 6?.� E1NtSH GRAB t�VER TANK OVER ,14�,. iQX. AREA ELF' = 67+50 • S 7295i3'37'I✓ ELEv = 69+20 £l_EV = 67*80 I Er~�v = 67*70 'S• ¢ }, ,.. t. `` ••` :�''`. -. -! ^`•w•`\'ew3'R_1•'.R '.Yr�'{'ter.' <a} ,. .._._ _ _._..r.-. _ 4 . . xV? { - T ;k • - 'C RISE ws a / _ J i N v _ 3�� ..J 1000 .L N v _ 63+50_ :.�\t __,_ 63.23 e (7 __-- a / ., . ... 24 4r 1 ; LOT 22 — — ; . _ . •: :.. :- . :.:.... x , DUB � l«_...._---. . .- _.. .-._._._.{ �'1 � ( 1� � .... . ...•.ws Iy '�I 63+00 66 l o -� - »2'-0"� 6'_0" ,, .2'-0". / I 24 .� „� B i4KOUT CALCULATION ; p V T w,R, CAL SEWAGE SYSTEM PR Ft �.E �� _ ' ` __ ,*...._..._, .. ...:_ ,. �E� l _ LO/3.5 x 150 = 43' Req. •`fir , y I 0 47 Provldod , ,VO7 A0 SC4a_ r � It 0 LEGEND + ' 66 a , ' 1 E CST CoN TC)UP - 41 . _ fj - _ --- w •- �= • ,.,�. EXIST S Pt`a Y E t_IF:vAT IO N 8 X t; • SP T a Jw1.VAT i��N � 1 - _ __ .:_ Xt ' ►;, 30• Y 4 PE RC;Ot AT ION E,T . ! • 64 Lr�. {► r QSf RY•({�Y r� piI � •.___ ,._._ __..__,......__.._._. .,.-►+- •- •— n-'__._ _....._. .. - - _ ._._..,. r eft � LOCATION p tG N ATICE .;rx4��MjDESIGN CRITERIA OPS L n LNE R As f pi4a77 fity. &f; FE-. ON -R LOT 22 KERRYWOOD CROSSING " - GALLON`i PER PERSON PER DAY !�� �,�."g' t�• ;, � t�� -� � COTUIT (BARNSTABLE) MA. � ,` ,w✓ L_FACHIWN RM�IAE[ 220 gpd J ' ' r 366.E d :-EACHt-NG PROV!A0 9P r IAPPU CANT ENG' NEER SEWER. DESIGN - THEO CONSTRUCTION CO. ARC ENGINEERING M. F; � { '';� °y` 24 GREAT POND DRIVE « 39 STRIPER LANE "f k wotIPr s S. YARMOUTH, MA, 02664 E. FALMOUTH, MA, Q2536 .1.)E WA`.. :.. 2nx5x6 « 1.67 314.8gpd 40 'PO O 40 BO 120 E{)1 jIV! a x 52 x 0.66 = 51.8 gpd �� t4�,r AS SHOWN JUNE 1201991 366.6 gpd ` .. ,.T.._., ..� _, _. . ._ . _ .. ,..� - ...« .w.w.... ...:... ., f-7 7 7J SGiiLE IN FEET '' , d. , ilk' 4'ti' r SJR = RER k RER A - 707 s ,_ . a._.:.s... ::.a.-......,-.,._..r..w.„r...+:wf..-.it. }.»,..r^..i....-. .._._.a....,...._.r. ...,..._....«.w-.....,_.-- -....,,.....-.,.,...o......:w.,........._._. ,....r...,.,... ..,.+w•.w.,n..._.,.w ....••..- ..._,..a.••-.....,r..—....,..•-•' ',' • r, �j i 20' MINIMUM OR AS INDICATED ON PLAN NOTES: 10' MIN. 1. ALL WORKMANSHIP AND MATERIALS SHALL CONFORM TO D.E.Q.E. MASONRY EXTENSION TO 12• TITLE 5 , THE TOWN OF RULES, AND { BELOW GRADE 10�3: S ��.. TOP OF'FOUNDATION . 68.E BACKFILL WITH REGULATIONS FOR THE SUBSURFACE- DISPOSAL OF SEWAGE; MIN r w 91 e l .s ILEA" AN MASONRY EXTENSION TO 12• AND THE REQUIREMENTS OF THIS PLAN. BELOW GRADE + /�� r 2. ALL COVERS TO SANITARY UNITS SHALL BE BROUGHT TO � WITHIN 12" OF FINISHED GRADE. a /8 MIN.. PITCH 1/8' PER FT.PIPE Ra t 3. ALL MASONRY UNITS-USED TO BRING COVERS TO ;GRADE i "_'' PI LAYER OF SHALL BE MORTARED IN PLACE. J`' 4 PER FLOW LINE2•1/8' 1/2' 4.- ALL COMPONENTS OF THE SANITARY SYSTEM SHALL BE CAPABLE 10* TEE O WASHED STONE OF WITHSTANDING H-10 LOADING UNLESS THEY. ARE UNDER -0R a• MI". 2'-0' > i� GALLON < WITHIN 10 FT. OF DRIVES OR PARKING AREAS. H-20 LOADING 4,-0. z MI". LEVEL a LEACH L BE USED UNDER OR WITHIN 10 FT. OF DRIVES OR 6i�✓.� MIN. (oS,4 6Sr2 3/4• - 1 1/2• SHALL LIQUID F WASHED STONE PARKING. LEVEL DISTRIBUT10N �s,o BOX W < 5. NO DETERMINATION HAS BEEN MADE AS TO COMPLIANCE WITH DEED RESTRICTIONS OR ZONING REGULATIONS. OWNER/APPLICANT, SHALL /600 S9'0 OBTAIN SUCH DETERMINATION FROM THE APPROPRIATE AUTHORITY. LOCATION :MAP GALLON SEPTIC TANK r � 2 Z z 6. HORIZONTAL AND VERTICAL CONTROL, SEE LEVY, ELDREDGE 4 2 L .1 1 I � ASSESSORS MAP f PARCEL z. I , & WAGNER FIELD NOTEBOOK #—ZeCl_, LIQUID DEPTH IN SEPTIC TANK DEPTH OF OUTLET TEE BELOW FLOW LINE BOTTOM OF TEST HOLE 4 FEET 14 INCHES 52,0 5 FEET 19 INCHES OR USGS PROBABLE HIGH WATER LEVEL 6 FEET 24 INCHES CURRENT ZONING INTERPRETATION: DESIGN CALCULATIONS DISPOSAL SYSTEM PROFILE ; SEWAGE D MIN. FRONT SETBACK - 3c FEET NUMBER OF BEDROOMS NOT TO SCALE ' .r MIN. SIDE SETBACK �1 z_ FEET GARBAGE DISPOSAL UNIT tlQ . A X 33 d TOTAL ESTIMATED FLOW /a�I.CX:1f1.(3t-(._ r-co�J �� T 7� 45 b�10 � 3 4 43sGo MIN. REAR SETBACK S FEET (Z/0 GAL./BR./DAY X' Z_BR.) ZZo GAL. /DAY REQUIRED SEPTIC TANK CAPACITY 3 ?7o GAL. ACTUAL SIZE OF SEPTIC TANK /ooc, GAL. _ LEACHING AREA REQUIREMENTS PERCOLATION SOIL TEST ( P 77-7 S) SIDEWALL AREA 2-S GPD./S.F. BOTTOM AREA 112 GPD./S.F. DATE OF SOIL TEST SIDEWALL 27T(/O /2)( K- )SF x2,. GPD/SF = 47/ GAL/DAY TEST BY Arch . / 2 BOTTOM IT (/O / 2) SF x /,e GPD/SF _ 72 GAL/DAY 6$ � WITNESSED BY PERCOLATION RATE MIN. INCH _5 GAL/DAY 703 Z 15t / � CALCULATION: TEST PIT 1 TEST PIT #2 BREAKOUT C LC LATION: I � ELEV.= �-7, o ELEV.= —0.00 -0.00 407 2z ( l f 5,0 6,0 r LEGEND. t t o j` ; 1 EXISTING SPOT ELEVATION OOXO �.�� �o --— ———-— �3 � 1 EXISTING CONTOUR 00 t,"' FINAL SPOT ELEVATION 00.0 FINAL CONTOURTP , 'k v �•,,,,•` Y �"�,�� � BOTTOM OF TEST HOLE BOTTOM OF TEST HOLE SOIL TEST PIT LOCATION OR WATER ELEV. S'Z R b OR WATER ELEV. TOWN WATER W W ,mow SEPTIC TANK o 0 DISTRIBUTION BOX ❑ WATEF LEVEL ADJUSTMENT: PRIMARY LEACHING PIT O 'N. '� :` 1 RESERVE LEACHING PIT 9�ea , t, t� TEST DATE WATER LEVEL Sr INDEX WELL aS , WATER LEVEL RANGE ZONE INITIAL ISSUE .,-- i ' DEPTH TO WATER LEVEL FOR INDEX WELL N0. DATE DESCRIPTION BY FOR MONTH OF: WATER LEVEL ADJUSTMENT i O r 2 2 %.e E uAt F. .i.7r _ DEPTH TO HIGH WATER - STEP i IEIV ALL APPROVED: BOARD OF HEALTH WILSON T�so9rv�pu�iy �iAS �Jcr7 7`0/�rs Ytayr .. r/sry No.3021S �+r•`9or+q� .6i.✓,- /�r/ow E.r�r..rrcr-rs�s. �v.''ecO 9�L9f�/ � /Ta SCALE: l4 4D JOB NO, / S-8-1 - Z 2 SITE PLAN BATE AGENT.- /�Qr LEVY, ELDREDGE 8c WAGNER ASSOCIATES INC. aNG)N W LA?IDS 0 ARt,IfilTEM PLAPt M I�AND SURVI�I'ORS PERMIT_ # t e c� 889 WEST MAIN STREET CENTERVTIJ.F MA 02632 NEW ENGLAND PEPROGRAPHICS 8 SUPPLY CO i