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HomeMy WebLinkAbout0035 EASTVIEW TERRACE - Health 32-)'EAS eTVIEW TER-Ra Maroons Mills A 028 003 i Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments -C M 35 Eastview Terrace Property Address t " Robert Boland c3 Owner Owner's Name 'aa information is Marstons Mills Ma 02648 5-11-17 required for every page. Cityrrown State Zip Code Date of Inspection 9 Q Inspection results must be submitted on this form. Inspection forms may not be altered in any way. Please see completeness checklist at the end of the form. Important:When A. General Information S) f (v filling out forms on the computer, use only the tab 1. Inspector: key to move your cursor-do not Matthew Gilfoy use the return Name of Inspector key. B&B Excavation ray Company Name 374 Route 130 Company Address Sandwich Ma 02563 City/Town State Zip Code (508)477-0653 SI 13640 Telephone Number License Number B. Certification 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 ❑ Fails ❑ Needs Further Evaluation by the Local Approving Authority 5-11-17 Inspector's Signature Date The system inspector shall submit a copy of this inspection report to the Approving Authority (Board of Health or DEP)within 30 days of completing this inspection. If the system is a shared system or has a design flow of 10,000 gpd or greater, the inspector and the system owner shall submit the report to the appropriate regional office of the DEP. The original should be sent to the system owner and copies sent to the buyer, if applicable, and the approving authority. ****This report only describes conditions at the time of inspection and under the conditions of use at that time. This inspection does not address how the system will perform in the future under the same or different conditions of use. t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 1 of 17 �CD �IP Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments ,M 35 Eastview Terrace Property Address Robert Boland Owner Owner's Name information is required for every Marstons Mills Ma 02648 5-11-17 page. City/Town State Zip Code Date of Inspection B. Certification (cont.) Inspection Summary: Check A,B,C,D or E/always complete all of Section D A) System Passes: ® 1 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: System was in working order at time of inspection. Tank was pumped after inspection for. maintenance. B) System Conditionally Passes: ❑ One or more system components as described in the"Conditional Pass" section need to be replaced or repaired. The system, upon completion of the replacement or repair, as approved by the Board of Health, will pass. Check the box for"yes", "no" or"not determined" (Y, N, ND)for the following statements. If"not determined," please explain. The septic tank is metal and over 20 years old* or the septic tank(whether metal or not) is structurally unsound, exhibits substantial infiltration or exfiltration or tank failure is imminent. System will pass inspection if the existing tank is replaced with a complying septic tank as approved by the Board of Health. *A metal septic tank will pass inspection if it is structurally sound, not leaking and if a Certificate of Compliance indicating that the tank is less than 20 years old is available. ❑ Y ❑ N ❑ ND (Explain below): t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 2 of 17 i Commonwealth of Massachusetts w Title 5 Official Inspection Form Subsurface Sewage Disposal System Form Not for Voluntary Assessments M 35 Eastview Terrace Property Address Robert Boland Owner Owner's Name information is required for every Marstons Mills Ma 02648 5-11-17 page. Cityfrown State Zip Code Date of Inspection B. Certification (cont.) ❑ Pump Chamber pumps/alarms not operational. System will pass with Board of Health approval if pumps/alarms are repaired. B) System Conditionally Passes (cont.): ❑ Observation of sewage backup or break out or high static water level in the distribution box due to broken or obstructed pipe(s) or due to a broken, settled or uneven distribution box. System will pass inspection if(with approval of Board of Health): ❑ broken pipe(s) are replaced ❑ Y ❑ N ❑ ND (Explain below): ❑ obstruction is removed ❑ Y ❑ N ❑ ND (Explain below): ❑ distribution box is leveled or replaced ® Y ❑ N ❑ ND (Explain below): ❑ The system required pumping more than 4 times a year due to broken or obstructed pipe(s). The system will pass inspection if(with approval of the Board of Health): ❑ broken pipe(s) are replaced ❑ Y ❑ N ❑ ND (Explain below): ❑ obstruction is removed ❑ Y ❑ N ❑ ND (Explain below): C) Further Evaluation is Required by the Board of Health: ❑ Conditions exist which require further evaluation by the Board of Health in order to determine if the system is failing to protect public health, safety or the environment. 1. System will pass unless Board of Health determines in accordance with 310 CMR 15.303(1)(b)that the system is not functioning in a manner which will protect public health, safety and the environment: ❑ Cesspool or privy is within 50 feet of a surface water ❑ Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 3 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments ,M 35 Eastview Terrace Property Address Robert Boland Owner Owner's Name information is required for every Marstons Mills Ma 02648 5-11-17 page. City/Town State Zip Code Date of Inspection B. Certification (cont.) 2. System will fail unless the Board of Health (and Public Water Supplier, if any) determines that the system is functioning in a manner that protects the public health, safety and environment: ❑ The system has a septic tank and soil absorption system (SAS) and the SAS is within 100 feet of a surface water supply or tributary to a surface water supply. ❑ The system has a septic tank and SAS and the SAS is within a Zone 1 of a public water supply. ❑ The system has a septic tank and SAS and the SAS is within 50 feet of a private water supply well. ❑ The system has a septic tank and SAS and the SAS is less than 100 feet but 50 feet or more from a private water supply well". Method used to determine distance: **This system passes if the well water analysis, performed at a DEP certified laboratory, for fecal coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered. A copy of the analysis must be attached to this form. 3. Other: D) System Failure Criteria Applicable to All Systems: You must indicate "Yes" or"No"to each of the following for all inspections: Yes No ❑ ® Backup of sewage into facility or system component due to overloaded or clogged SAS or cesspool ❑ ® Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or clogged SAS or cesspool ❑ ® Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool ❑ ® Liquid depth in cesspool is less than 6" below invert or available volume is less than '/day flow t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 4 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments °wM 35 Eastview Terrace Property Address Robert Boland Owner Owner's Name information is required for every Marstons Mills Ma 02648 5-11-17 page. CitylTown State Zip Code Date of Inspection B. Certification (cont.) Yes No ❑ ® Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s). Number of times pumped: ❑ ® Any portion of the SAS, cesspool or privy is below high ground water elevation. ❑ ® Any portion of cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply. ❑ ® Any portion of a cesspool or privy is within a Zone 1 of a public well. ❑ ® Any portion of a cesspool or privy is within 50 feet of a private water supply well. ❑ ® Any portion of a cesspool or privy is less than 100 feet but greater than 50 feet from a private water supply well with no acceptable water quality analysis. [This system passes if the well water analysis, performed at a DEP certified laboratory,for fecal coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered. A copy of the analysis and chain of custody must be attached to this form.] ❑ ® The system is a cesspool serving a facility with a design flow of 2000gpd- 10,000gpd. ❑ ® The system fails. I have determined that one or more of the above failure criteria exist as described in 310 CMR 15.303, therefore the system fails. The system owner should contact the Board of Health to determine what will be necessary to correct the failure. E) Large Systems: To be considered a large system the system must serve a facility with a design flow of 10,000 gpd to 15,000 gpd. For large systems, you must indicate either"yes" or"no"to each of the following, in addition to the questions in Section D. Yes No ❑ ❑ the system is within 400 feet of a surface drinking water supply ❑ ❑ the system is within 200 feet of a tributary to a surface drinking water supply ❑ ❑ the system is located in a nitrogen sensitive area (Interim Wellhead Protection Area—IWPA) or a mapped Zone II of a public water supply well If you have answered "yes" to any question in Section E the system is considered a significant threat, or answered "yes" in Section D above the large system has failed. The owner or operator of any large system considered a significant threat under Section E or failed under Section D shall upgrade the system,in accordance with 310 CMR 15.304. The system owner should contact the appropriate regional office of the Department. t5ins•3l13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 5 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 35 Eastview Terrace Property Address Robert Boland Owner Owner's Name information is required for every Marstons Mills Ma 02648 5-11-17 page. City/Town State Zip Code Date of Inspection C. Checklist Check if the following have been done. You must indicate"yes" or"no" as to each of the following: Yes No ® ❑ Pumping information was provided by the owner, occupant, or Board of Health ❑ ® Were any of the system components pumped out in the previous two weeks? ® ❑ Has the system received normal flows in the previous two week period? ❑ ® Have large volumes of water been introduced to the system recently or as part of this inspection? ® ❑ Were as built plans of the system obtained and examined? (If they were not available note as N/A) ❑ ® Was the facility or dwelling inspected for signs of sewage back up? ® ❑ Was the site inspected for signs of break out? ® ❑ Were all system components, excluding the SAS, located on site? ® ❑ Were the septic tank manholes uncovered, opened, and the interior of the tank inspected for the condition of the baffles or tees, material of construction, dimensions, depth of liquid, depth of sludge and depth of scum? ❑ ® Was the facility owner(and occupants if different from owner) provided with information on the proper maintenance of subsurface sewage disposal systems? The size and location of the Soil Absorption System (SAS)on the site has been determined based on: ® ❑ Existing information. For example, a plan at the Board of Health. ❑ ® 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(5)] D. System Information Residential Flow Conditions: Number of bedrooms (design): 4 Number of bedrooms (Actual) _3 DESIGN flow based on 310 CMR 15.203 (for example: 110 gpd x#of bedrooms): 622gpd t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 6 of 17 i Commonwealth of Massachusetts L Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments wM 35 Eastview Terrace Property Address Robert Boland Owner Owner's Name information is Marstons Mills Ma 02648 5-11-17 required for every page. City/Town State Zip Code Date of Inspection D. System Information Description: Number of current residents: 2 Does residence have a garbage grinder? ❑ Yes ® No Is laundry on a separate sewage system? (Include laundry system inspection ❑ Yes ® No information in this report.) Laundry system inspected? ® Yes ❑ No Seasonaluse? ❑ Yes ® No Water meter readings, if available (last 2 years usage (gpd)): See below Detail: WELL WATER" Sump pump? ❑ Yes ® No Last date of occupancy: Current Date Commercial/Industrial Flow Conditions: Type of Establishment: NA Design flow(based on 310 CMR 15.203): gallons per day(gpd) Basis of design flow(seats/persons/sq.ft., etc.): Grease trap present? ❑ Yes ❑ No Industrial waste holding tank present? ❑ Yes ❑ No Non-sanitary waste discharged to the Title 5 system? ❑ Yes ❑ No Water meter readings, if available: t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 7 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments �M 35 Eastview Terrace _ Property Address Robert Boland Owner Owner's Name information is required for every Marstons Mills Ma 02648 5-11-17 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Last date of occupancy/use: Date Other(describe below): General Information Pumping Records: Source of information: Pumped after inspection for first time since installed Was system pumped as part of the inspection? ® Yes ❑ No If yes, volume pumped: 1250 gallons How was quantity pumped determined? Tank size per plan Reason for pumping: maintenance Type of System: ® Septic tank, distribution box, soil absorption system ❑ Single cesspool ❑ Overflow cesspool ❑ Privy ❑ Shared system (yes or no) (if yes, attach previous inspection records, if any) ❑ Innovative/Alternative technology. Attach a copy of the current operation and maintenance contract(to be obtained from system owner) and a copy of latest inspection of the I/A system b system operator under contract P Y Y Y P ❑ Tight tank. Attach a copy of the DEP approval. ❑ Other(describe): t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 8 of 17 Commonwealth of Massachusetts w Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments M 35 Eastview Terrace Property Address Robert Boland Owner Owner's Name information is required for every Marstons Mills Ma 02648 5-11-17 page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) Approximate age of all components, date installed (if known) and source of information: 1995 per plan Were sewage odors detected when arriving at the site? ❑ Yes ® No Building Sewer(locate on site plan): 4 Depth below grade: feet Material of construction: ❑ cast iron ® 40 PVC ❑ other(explain): Distance from private water supply well or suction line. 156' from well to SAS feet Comments (on condition of joints, venting, evidence of leakage, etc.): Septic Tank(locate on site plan): Depth below grade: 3 feet Material of construction: ® concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑ other(explain) If tank is metal, list age: years Is age confirmed by a Certificate of Compliance? (attach a copy of certificate) ❑ Yes ❑ No Dimensions: 1250gallons Sludge depth: 101, t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 9 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 35 Eastview Terrace Property Address Robert Boland Owner Owner's Name information is required for every Marstons Mills Ma 02648 5-11-17 page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) Septic Tank(cont.) Distance from top of sludge to bottom of outlet tee or baffle 23 Scum thickness 7 Distance from top of scum to top of outlet tee or baffle 5 Distance from bottom of scum to bottom of outlet tee or baffle 11" How were dimensions determined? Measured Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): Tank was in working order at time of inspection with liquid level equal to outlet invert. Tank was pumped after inspection for maintenance. Grease Trap (locate on site plan): Depth below grade: NAfeet Material of construction: ❑ concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑ other(explain): Dimensions: Scum thickness Distance from top of-scum to top of outlet tee or baffle Distance from bottom of scum to bottom of outlet tee or baffle Date of last pumping: Date t5ins•3113 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 10 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 35 Eastview Terrace M Property Address Robert Boland Owner Owner's Name information is required for every Marstons Mills Ma 02648 5-11-17 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): Tight or Holding Tank(tank must be pumped at time of inspection) (locate on site plan): Depth below grade: NA Material of construction: ❑ concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑ other(explain): Dimensions: Capacity: gallons Design Flow: gallons per day Alarm present: ❑ Yes ❑ No Alarm level: Alarm in working order: ❑ Yes ❑ No Date of last pumping: Date Comments (condition of alarm and float switches, etc.): *Attach copy of current pumping contract(required). Is copy attached? ❑ Yes ❑ No t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 11 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments ^M 35 Eastview Terrace Property Address Robert Boland Owner Owner's Name information is required for every Marstons Mills Ma 02648 5-11-17 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Distribution Box(if present must be opened) (locate on site plan): Depth of liquid level above outlet invert 0 11 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.): D-box was in working order at time of inspection. D-box was video inspected due to its depth and was found to have heavy carry over present but no sign of back up. Pump Chamber(locate on site plan): Pumps in working order: ❑ Yes ❑ No* Alarms in working order: ❑ Yes ❑ No* Comments (note condition of pump chamber, condition of pumps and appurtenances, etc.): NA * If pumps or alarms are not in working order, system is a conditional pass. Soil Absorption System (SAS) (locate on site plan, excavation not required): If SAS not located, explain why: t5ins-3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 12 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments ^M 35 Eastview Terrace Property Address Robert Boland Owner Owner's Name information is required for every Marstons Mills Ma 02648 5-11-17 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Type: ❑ leaching pits number: ❑ leaching chambers number: ® leaching galleries number: (4)4'x4' galleys ❑ leaching trenches number, length: ❑ leaching fields number, dimensions: ❑ overflow cesspool number: ❑ innovative/alternative system Type/name of technology: Comments (note condition of soil, signs of hydraulic failure, level of ponding, damp soil, condition of vegetation, etc.): Leaching was in working order at time of inspection. Liquid level was 14" below invert when opened. Cesspools (cesspool must be pumped as part of inspection) (locate on site plan): Number and configuration NA Depth—top of liquid to inlet invert Depth of solids layer Depth of scum layer Dimensions of cesspool Materials of construction Indication of di cat groundwater inflow El Yes ❑ No t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 13 of 17 c Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments �M 35 Eastview Terrace Property Address Robert Boland Owner Owner's Name information is required for every Marstons Mills Ma 02648 5-11-17 page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) Comments (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): Privy (locate on site plan): Materials of construction: NA Dimensions Depth of solids Comments (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): t5ins-3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 14 of 17 Commonwealth of Massachusetts w Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 35 Eastview Terrace Property Address Robert Boland Owner Owner's Name information is required for every Marstons Mills Ma 02648 5-11-17 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Sketch Of Sewage Disposal System: Provide a view of the sewage disposal system, including ties to at least two permanent reference landmarks or benchmarks. Locate all wells within 100 feet. Locate where public water supply enters the building. Check one of the boxes below: ® hand-sketch in the area below ❑ drawing attached separately REAR B C E AF-35' BE-W BF-22- F 0 D AE-23' l�} CD-37' BD-22' t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 15 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 35 Eastview Terrace Property Address Robert Boland Owner Owner's Name information is required for every Marstons Mills Ma 02648 5-11-17 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Site Exam: ® Check Slope ® Surface water ® Check cellar ® Shallow wells Estimated depth to high ground water: No GW 144" feet Please indicate all methods used to determine the high ground water elevation: ® Obtained from system design plans on record If checked, date of design plan reviewed: 1-31-1995 Date ❑ Observed site (abutting property/observation hole within 150 feet of SAS) ❑ Checked with local Board of Health -explain: ❑ Checked with local excavators, installers- (attach documentation) ❑ Accessed USGS database-explain: You must describe how you established the high ground water elevation: Plan on file with BOH. Before filing this Inspection Report, please see Report Completeness Checklist on next page. t5ins•3113 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 16 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 35 Eastview Terrace Property Address Robert Boland Owner Owner's Name information is required for every Marstons Mills Ma 02648 5-11-17 page. City/Town State Zip Code Date of Inspection E. Report Completeness Checklist E Inspection Summary: A, B, C, D, or E checked ® Inspection Summary D (System Failure Criteria Applicable to All Systems) completed E System Information— Estimated depth to high groundwater E Sketch of Sewage Disposal System either drawn on page 15 or attached in separate file t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 17 of 17 I f TOWN OF BARNSTABLE 0 SEWAGE E�E # �- LOCATION VILLAGE Alfi9a&ALS / 1 ASSESSOR'S MAP AL'O'll?'001 00h INSTALLER'S NAME&PHONE NO. �/ �,� �yC j n A7 SEPTIC TANK CAPACITY- /J 0© LEACHING FACILITY: (type) t`y/ l(�'�/�S (size) NO.OF BEDROOMS BUILDER OR OWNER < PERMITDATE: 'V--g COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table and 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) IA® Feet Furnished by pu5e 6- P � ' f / THE COMMONWEALTH OF MASSACHUSETTS P $� BOARD OF HEALTH TOWN OF BARNSTABLE Appliration for Dili-Votittl Work, Tontitrurtion 11antit Application ' here made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System atw ...., of...................... fl _...U1_.r � ............ .................................... (F�/e1jJ-ofVs L lion or No.r �'� =` .............................. ..../sz/.= W efr Installer Address UType of Building Size Lot............................Sq. fget Dwelling— No. of Bedroom!s.�_.______. _ 1-4- ____._.__Expansion Attic ( ) Garbage Grinder ( D� p, Other—Type of Building of persons---------------------------- Showers ( ) — Cafeteria ( ) Otherfixtures --------------------------------------------------==------------------------------- ---------------------- ••-•••--•- w Design Flow.......Id6.............................gallons per person per day. Total daily flow-----------y .........__._.....gallons. WSeptic Tank—Liquid capacity -0-galIons Length_______________ Width---------------- Diameter---------------- Depth................ x Disposal Trench—. o. ....... Width___________________ Total Length__-____-----_ Seepage Pit No-------- ........... Diameter___4.X.q---- Depth below inlett_....... .I_.__.. Total leaching area...4.. �.sq. ft. Z Other Distribution box ( C�j Dosingto k ( ) 641(e)( S '—' Percolation Test Results ,y� / n r. Performed by—worm_ S-__-/. c-�C— - _-- 2 Date.......d=_Y.-- Test Pit No. 1__�_0'!'- minutes per inch Depth of Test Pit---- _._ Depth to ground water...... .... -t..�.�cov�tldc�� f� Test Pit No. 2-A/kIL-Aminutesper inch Depth of Test Pit----J,5 r--- Depth to ground water----- 0__2!-.. uoo�k►0��( -------------------- ------------ T -----Sjcxj_1..----_"' �' r.v -...... .u�_e?f ..2�►- � 0 Description of Soil-------- sv U ...... w ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- U Nature of Repairs or Alterations—Answer when applicable._._-__......................................................................................... ••---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------•----------......._.. Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Environmental Code—The undersign yed further agrees not to place the system in operation until a Certificate of Com s be dY he rd of health. �f— Signed - G / rt .--------- t�-- c, / �- Dw ��.. Application,Approved By ----------- .......... ... ....t .... ................................................................................ ------. Application Disapproved for the following reasons- ----------------------------------------------------------------------------------------------------------------------------------- ..... ................ . . ............................-.........:--------------- ----------------------------------------------................................ . --------------------------------------- Permit No- ------------ - ----.....4...Z/.,y� .... Issued " .:-. - f ------------ Dace _ J �A Np f-.....^l!.. _— Fxs..... k2.< ....... THE COMMONWEALTH OF MASSACHUSETTS $ � BOARD OF HEALTH TOWN OF BARNSTABLE Appliratiuu for Diupwial Wurk,g Tumitrturtiuu lirrutit Application is hereby,made for a Permit,to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at: i �yL ...1... . ....0 l FY!......b t/?Ce.........•_........r........f.-..............`.......N..o........�...�............t....... tion � fd,css LoLS � � � � omr... ................� � ------......----•-•.. . �!tk�lRcr aUJ v�S t f�iJ / Owe�er r Address FZ .................................. /f-7 ....//!9, ..----�•-t----•--- --------r��cTr.Y����, Installer Address Type of Building Size Lot............................Sq. feet Dwelling—No. of Bedrooms.........________________________________--Expansion Attic ( ) Garbage Grinder (Al) . r Other—Type of Building ee- No. of persons---------------------------- Showers ( ) — Cafeteria ( ) Q' Other fixtures -------------- ---- d - - ----= -------------------------------- W Design Flow-------20�.............................gallons per person per day. Total daily flow-.-----._-_f ...d.__._.........._....gallons. WSeptic Tank—Liquid capacity495 Q.gal Ions Length____-_.-_------ Width---------------- Diameter................ Depth-------------_ x Disposal Trench—No. _----__�_......___. Width-------------------- Total Length-------------------- Total leaching area....................sq. ft. Seepage Pit No.-----. i....__.__.. Diameter.-A X.-f-I.... Depth below inlet.___..._ �_�..... Total leaching area... _sq. ft. Z Other Distribution box ( �) Dosing tank ( ) 6 A 1('Y 5 _ '-' Percolation Test Results Performed b �a _ .._�f;' c-_jZ-o..�1 Date......1j.-.X--_`........ Y r--.; Test Pit No. 1--. _---_.minutes per Inch Depth of Test Pit__. `?`�`,_____. Depth to ground water......+ q%`.. 44 Test Pit No. 2__t _elyt__srninutes per inch Depth of Test Pit----- ,�__ Depth to ground water.....)n_t..-C="'r a --------------------- . ` D Description of Soil-------- ,'' !ixy-'....... •��...........Fr try! � =4 __('j"A4 �,-�v�, �� x --------------------------------•-- -------------------------------------------------------------------------------•---- W x -----•-•-------------------- ............................................................ --------------------------------------...---------------------------------------------------------------•-•--- U Nature 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 TITLE 5 of the State Environmental Code—The undersigned further agrees not to place the system in operation until a Certificate of ComppJIiance lia beoA)i ued bwh;1e6'rd of health. - - .... ...� ............ .� � `�- a Signed ... , -y2_:... . � U �--U Dare c Application.Approved BY -- �. .1.,:, -�.,�-------------------------------- ----------------------................ ------.. .>...r,e /_�...,, Application Disapproved for the following reasons- ------------------------------------------------------------------------------------------------------------------------- ------ ------------------......----------- -----------------------------------------------.......---------............----------------------------------......-----------..................................... -------------------------------------- Permit No. -----------C...` .---`--�" � �.._......... Issued �i -- - �- ............u._.� ............'.......................to Dare 3E THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE (gertifirate of TontyliancE THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( .-) or Repaired ( ) by ------------------------� :.... ----------------- --------------- _-------..----------------------------------------------_----------- ---......---------------------------------------------------------------._.... Installer ac .. 1 "�---------�` .1Jir' -s- ' - ' ' : '' ,,...ti..- ._ - -- - -- has been installed in accordance with the provisions of TITLE 5 of The State Environmental Code as described in the application for Disposal Works Construction Permit No. 4:W1 .'-. _{j�.. ..... dated w _.-..... ,..U.._-.fir°.. : THE ISSUANCE OF THIS CERTIFICATE SHAH NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE....._.... '^ � f= - Inspecto THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH p .TOWN OF BARNSTABLE No.......=1-. _:•���� FEE........ .....c� Disposal Workii Tonstrudiutt Vrrutit Permissionis hereby granted..............R.°---f-------------...---------------------------------------......................................................... to Construct ( )c) or Repair ( ) an Individual Sewage Disposal System at No... .......l----------------•-------� r`P,-f.,� ivr-��.r :f�. i' �2 /1. - - '- n • ------- Street 4� as shown on the application for Disposal Works Construction Permit No.�!�.!..... _ Dated--__ ........../' ............... ...................../ �.. �.� ............................G ...... 'l to Board of Health DATE .............'/......---•-•--•--.....---•--•-•---•--------••---- FORM 36508 H013195 Q WARREN,INC..PUBLISHERS ENVIROTECH LABORATORIES, INC. MA Cert: No.: M-MA 063 449 Rte. 130 • Sandwich, MA 02563 (508)888-6460 . 1-800-339-6460 FAX(508)888-6446 CLIENT: Aqua-Jet LOCATION: Lot 4 ADDRESS: 135 Rt. 130 Eastview Terrace Mashpee, MA 02649 Marston Mills, MA SAMPLE DATE: 2-13-95 COLLECTED BY: Client DATE RECEIVED: 2-13-95 TIME: 4:OOPM SAMPLE I.D. : 264 JOB TYPE: New Well WELL DEPTH: 61, RESULTS OF ANALYSIS: Parameters Units Recommended Limit Result Coliform bacteria/100m1 (MF Method) 0 0 pH pH units 6.0-8.5 5.50 Conductance umhos/cm 500 62 Sodium mg/L 28.0 7.92 Nitrate-N mg/L 10.0 0.06 Iron mg/L 0.3 0.07 Manganese mg/L 0.05 0.053 Volatile Organic Compounds See attached report. EPA Method 601/602 Chloroform 4 COMMENTS: Low pH indicates high corrosive characteristics. Yes No WATER IS SUITABLE FOR DRINKING PURPOSES F PARAMETERS*TEST D. xxx Date2 Ro a d J. ari Laborator�Director LT = Less Than S1 ^k SRDUNDWATER ANALYTICAL . EPA METHODS 601 and 602 Volatile Organics (GC/PID/ELCO) Field ID: 2444 Lab ID: 9983-02 Project: Aqua Jet/Eastview Terrace Batch ID: V63-0351-W Client: Envirotech Sampled: 02-14-95 Cont/Prsv: 40mL VOA Vial/HCl Cool . Received: 02-15-95 Matrix: Aqueous Analyzed: 02-17-95 PARAMETER CONCENTRATION REPORTING LIMIT (u9/L) (ug/L) ^u chlorcdifluoromethane BRL 5 Chloromethane BRL 5 BRL 5 Vinyl Chloride BRL 5 Bromomethane BRL 5 Chloroethane BRL 1 Trichlorofluoromethane BRL 1 1,1-Dichloroethene BRL Methylene Chloride 1 1 trans-1,2-Dichloroethene BRL . I 1,1-Dichloroethane BRL I cis-1,2-Dichloroethene * 4 BRL 1 Chloroform BRL I 1,1,1-Trichloroethane BRL 1 Carbon Tetrachloride BRL Benzene BRL 1 1,2-Dichloroethane BRL 1 Trichloroethene BRL 1 1,2-Dichloropropane BRL 1 Bromodichloromethane BRL 5 2-Chloroethyl Vinyl Ether 1 cis-1,3-Dichloropropene BRL 1 Toluene BRL I trans-1 ,3-Dichloropropene BRL I 1,1,2-Trichloroethane BRL 1 Tetrachloroethene BRL I Dibromochlorornethane BRL 1 Chlorobenzene BRL I Ethylbenzene 1 meta-and para-Xylene * BRL BRL 1 ortho-Xylene * BRL I Bromoform I 1,1,2,2-Tetrachloroethene BRL 1 1,3-Dichlorobenzene BRL 1 1,4-Dichlorobenzene BRL 1 1,2-Dichlorobenzene BRL QC SURROGATE COMPOUND SPIKED MEASURED RECOVERY QC LIMITS a,a,a-Trifluorotoluene 30 30 101 % 87 - 113 % 1,2-Dichloroethane-d4 30 33 109 % 83 - 117 % BRL - Below Reporting Limit. * Non-target compound. Method References: Method 601 - Purgeable Halocarbons and Method 602 - Purgeable Aromatics, 40 C.F.R. 136, Appendix A (1986). 0q;No.-\V— L Fee--- --------- BOARD OF HEALTH TOWN OF BARNSTABLE Application-*rVell Cootruct ion Permit Application is hereby made for a permit to Construct ),,Alter ( ), or Repair ( )an individual Well at: ------------------- Location — Add s — — — —— Assessors Map and Parcel— _ Owner ---------------------------------------------Address-------------------����----- -�-------------------------_----------- ---------------____-- Installer — Driller Address Type of Building Dwelling-- --� Other - Type of Building ----------- No. of Persons------------------------ Type of Well ------------------------------------------ Capacity - -- Purpose of We I----- k�'`� --------------------------------- Agreement: The undersigned agrees to install the aforedescribed individual well in accordance with the provisions of The Town of Barnstable Board of Health Private Well Protection Regulation — The undersigned further agrees not to place the well in operation until a Certificate .of Compliance has been issued by the Board of Health. Signe -- —'� ---- -' - - - ---� --1 s date Application Approved By -- --'-^'--'--�'.�- -------- ---a -` -= date Application Disapproved for the following reasons:-------------------------------------------------------------------------------- — -- ———— ------— — ---—— — — — — — - ------------- ------------- date _ J 9 Permit No. -- --� =- --—----------------- Issued — — --- ate BOARD OF HEALTH TOWN OF BARNSTABLE (Certificate Of Compliance THIS IS TO CERTIFY, That the Individual Well Constructed (>.�, Altered ( ), or Repaired ( ) - ---------------------------------------------------------------------------- - ---------------------------------------- Installer at-------- — - -— ___ ..e. -------------------------------------------------------------------------------------- has been installed in accordance with the provisions of the Town of Barnstable Board of Health Private Well Protection Regulation as described in the application for Well Construction Permit No. Dated--------------------- THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE WELL SYSTEM WILL FUNCTION SATISFACTORY. DATE ---- ——— — — -- -- Inspector--------------------------------------------— - ----------- � � ��.c��,r t*rtirr-,y� ➢`";'-�,}��'Lf .. `ti`�.y^1��+'#�y�!?`F..s'" �.��n� �'�/'� � }iM r•� 3,z No. Fee---. a Li' BOARD OF HEALTH a. TOWN-, OF BiXAN:STABLEA 2(pp(ication-*rVell Con5tructionPermit Application is hereby made for a permit to Construct ),,Alter ( ), or Repair ( )an individual,Well at: Location — Address Assessors Map and Parcel -----= le - ------------------------------------------- - -- ---- Owner' ±_tt Address � -- - ------:------------------------ Installer — Driller Address Type of Building �P Dwelling-- 4�1 h Other - Type of Building----------------------------------- No. of Persons------------------------------------------------ ' Type of Well Q — YP I Capacity------------------- " -- — - Purpose of We 1 k. ------------------------------- Agreement: The undersigned agrees to install the aforedescribed individual-well in accordance with the provisions of The Town of Barnstable Board of Health Private Well Protection Regulation — The undersigned further agrees not to place the well in operation until a Certificate .of Com fiance has been issued by the Board of Health. Signe� --- ---- ----- --- ----- --- date Application Approved By— 1 date Application Disapproved for the following reasons:------------------------------------------------------------------ ----------------3----_ —� date Permit No. -- _g _-; — -—— -- - Issued-----------r - — --------------------- date 4 BOARD OF HEALTH A TOWN OF BARNSTABLE Certifitate ®f Compliance THIS IS TO CERTIFY, ifhat the Individual Well Constructed (>, Altered ( ), or Repaired ( ) bY---------— `` - - ---------------------------------------------------------------— - ---- Installer at - - " -- - has been installed in accordance with the provisions of the Town of Barnstable Board �oof,Health Private Well Protection Regulation as described in the application for Well Construction Permit No. 1 --' -Dated------------------------ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE WELL SYSTEM WILL FUNCTION SATISFACTORY. DATE -• « :_.Irisector•:.-s -— BOARD OF HEALTH TOWN OF BARNSTABLE Well Congtruct ion Permit No. - Fee Permission is hereby granted---5. — - - ------------------------------ — - to Construct (�4, Alter ( ), or Repair ( ) an Individual Well at: No. -----------�f-7------ ---------------------------------------------------------------------------------------------------------- street as sho o t ap licatio for a Well Construction Permit ` Dated-— �.✓ No. - -T ------ ---- - ,-D - — ---- `- - v Board of Health t DATE---- — �- -F- /- ---- =4 10' WIDE PATH co• , �� BOTTOM Of BANG �`�'^'' `' `' ♦♦ ♦` �J 7 TOP OF BANS 'I ' eggs EXISTING WELL �I i ;i� ', )CATION MAP + ^0 LOT 4 ' ,` .•'ee ' 66,470f S.F. `, ; ' _ . .` 1.53± ACA91 � ��_ ,I,see r r •bI . -.%.`%% . • :. BOTTOM % TOP Of B PROPOSED WELL v yee (LOT 2) �`-— ———— .w . • ► t • Cie. SEE SITS DETAIL - % (RESERVE LEACHI APPROXIMATE LOCATION OF Z+ EXISTING LEACHING AREA �p •• "'' `b AREA TO WETLAND (AS SHOWN ON SITS PLAN). Z A ` ra s ` ♦ ♦ EDGE OF PAVE � r♦ XLEC. MANHOLE ELEC. BOX BENCHMARK AT CATCH BASIN %P ' ELEVj- 98.S , PROPOSED WALL / , r w y I,' ' --- - ` r *TH-1 ' , ' b r ` Ir r __C aR ,� TING CONTOUR: — OSED CONTOUR: .............................. TING SPOT ELEVATION: 25.5 OSED SPOT ELEVATION:F2-51 20.W HOLE: �• TY POLE: -0- E LINE: :aue ANT: -� DaYIhf3T-YcLtLL/ PD 1JwlLLING 24 S'Cg00L STREW.J WNST DaNNIS, MIS.! 143 F, ENVIROTECH LABORATORIES, INC. MA Cert. Na.: M-MA 063 t 449 Rte. 130 • Sandwich,MA 02563 (508)888-6460 • 1-800-339-6460 FAX(508) 888-6446 CLIENT: Aqua-Jet LOCATION: Lot 4 ADDRESS: 135 Rt. 130 Eastview Terrace Mashpee, MA 02649 Marston Mills, MA SAMPLE DATE: 2-13-95 COLLECTED BY: Client DATE RECEIVED: 2-13-95 TIME: 4:OOPM SAMPLE I.D. : 264 JOB TYPE: New Well WELL DEPTH: 69' RESULTS OF ANALYSIS: Parameters Units Recommended Limit Result Coliform bacteria/100ml (MF Method) 0 0 pH pH units 6.0-8.5 5.50 Conductance umhos/cm 500 62 Sodium mg/L 28.0 7.92 Nitrate-N mg/L 10.0 0.06 Iron mg/L 0.3 0.07 Manganese mg/L 0.05 0.053 Volatile Organic Compounds See attached report. EPA Method 601/602 Chloroform 4 COMMENTS: Low pH indicates high corrosive characteristics. Yes No WATER IS SUITABLE FOR DRINKING PURPOSES F PARAMETERS TES XKX Date 2 S Ro ald J. § ari LaboratorlVDirector LT = Less Than MINI; NND AssEssoRs MAP.*�._ TEST HOLE LOGS NOTES: PARCEL: 3-2 EDGE OF POND (P # 8828) 1. VERTICAL DATUM: ,ASSUMED FROM QUAD (NGVD +/-) limp,�A'Hj. CURRENT ZONING:,RF EDGE of WJ TLAND ENGINEER. TMJ14S JkLELLAN, P. E. 2. �IIiINICAPAL WATER IS NOT AVAILABLE. jw Yj RA S BUILDING SETBACKS: WITNESS: EDWARD BARRY 3. SCHEDULE 40 - 4" PVC PIPE TO BE USED THROUGHOUT SEPTIC SYSTEM. F: 30' S: 15, R: 151 it ry%-_ .� DATE: 11-8-94 4. ALL PRECAST UNITS TO CONFORM[ WITH AASHTO H-10 & H-20 LOCUS �� PERCOLATION RATE k o;';` _ G► < 2 MIN/IN LOADING SPECIFICATIONS N FLOOD ZONE:�_ 0 6% • qQ 6 "°off TH•-1 o TH-2 ass 5. PIPE PITCH- 114" PER FOOT, (UNLESS NOTED OTHERWISE). } fa WIDE PITH o*4 •% s� ,p aLav ELEV 6. FIRST 2' OF PIPE OUT OF D-BOX TO BE LAID LEVEL.BOTTOM OF BANK �`�`�•\ �'' ,, ;• ' ` TOP It Top & 7. THE SEPTIC SYSTEM HAS NOT BEEN DESIGNED TO ACCC�IODATE THE , SUBSOIL SUBSOIL t � Top of BANS >' , 48' a4.o 4r 9z.0 USE OF A GARBAGE DISPOSAL. } ', ;',' -- �l� ' MEDIUM 8. ALL CONSTRUCTION DETAILS ARE TO BE IN CONFORMANCE WITH THE � EXISTING WALL �� •, _ �, , �% MEDIUM SAND STATE OF MASS. ENVIRONMENTAL CODE (TITLE FIVE) A.JD LOCAL WITH LOCATION MAP �+ o I %% % �? GRAVEL HEALTH REGULATIONS. - LOT 4 ,\ - GRAVEL 9ir 87.5 9. CONTRACTOR TO VERIFY LOCATIONS OF ALL UTILITIES PRIOR 66,470f S.F. 10'r 89.0 TO CONSTRUCTION. 1.53f AC o ` = ,' ., �`�,;',;: '►': --. MEDIUM 10. D-BOX TO BE WATER TESTED TO ENSURE LEVELNESS A1VD EQUAL FLOW. \ 0, \ - MED,lUM SAND �. ` U. = - ;� 144' SAND 86D ff. DESIGN ENGINEER TO VERIFY SUITABLE SOIL CONDITIONS TO A DEPTH 1ss' d2 OF 4 BELOW LEACHING GALLEYS AT TIME OF CONSTRUCTION. _ NO GROUNDWATER ENCOUNTERED BOTTOM OF BANK (POND ELaPr 51.0) all -'- ilt 411 ;►, •' +b TOP OF BANK 1 SEPTIC SYSTEM DESIGN PROPOSED WELL 00 �, -- -tea,_ A �� `, '►ti'\ �° FLOW 'ESTIMATE: (LOT z) 9- -- M� + , ' � BEDROOMS AT 110 GAL/DAY/BEDROOM = 440 GAL/DAY - 190. .fro ,.• '' .�, `0� °��''_ _ v►��d'00�. �d mod► �'' ', aQ SEPTIC TANK: v'l•,, 1,c.� cp.- �''' . SEE SITE DETAIL O �'3•z� APPROXIMATE LOCATION OF ��, _-- (RESERVE LEACHING -� GAL/DAY * 1.5 DAYS = 440 GAL EXISTING LEACHING AREA o c'tp'• „•.. ��. ,, 9ry AREA TO WETLAND 12a) USE Q_GALLON SEPTIC TANK ��' ��� �• ' 0 (AS SHOWN ON SITE PLAN). .... • ..... 9 „y.� �ti} TH-4 9 LEACHING AREA: � % USE 4 LEACHING GALLEYS (4' x 4') WITH 2' OF STONE °� . c'q,� s�•s �ACb d AROUND (90' x 8' x 3.3' DEEP). d' ....�. ...............� ` ` ` , ` ,`FIDE AREA: (20 + 8)2 x 3.3 = 185 (2.5) _ �A� GAL/DAY ` 9g BOTTOM AREA: 20 x 8 = 160 SF (1.0) = 160 GAL/DAY / `` TH-2 ,, .. TOTAL CAPA0 1 €22 G.gL/DAY EDGE OF PAVE 4 ELEC. MANHOLE , ELEC. BOX ` -� SEPTIC SYSTEM SECTION SITE DETAIL (SCALE: 1 = SO) BENCHMARK AT 6��► s 97.5 OFF f NISHRDl GRADE 2" PEASTONE CATCH BASIN 9 ELEV.- 961 PROPOSED WELL FIRST FLOOR OF 3/4" - 1 11:r WASHED ST ONF �V TH-1 86.05 4' ova \ 86.3 1250 GAL ELEV. D-BOX 85.62 # 812 a c� ELEV. SEPTIC TANK (H-10) ELEV. 4-,3 • ELEV. ELEV. 84.5 20, 2' 2' 86.5 TEE SIZES: ELEV. INLET: 6" UP, 10" DOWN 30 ---- ELEV. USE 4 LEACHING GALLEYS WITH 2' OF STONE / - -_ (UNDER SLAB) OUTLET. 6" UP, 19" DOWN ALL AROUND (20' x 8' x 3.3') (H-20 / BREAKOUT CALC: 85 - 76 52 x 150 = 26' POND ELLV. 51.0 0' 40 / UTILITY 9 CLUSTER �.' SITE AND SEWAGE PLAN APPROVED BY: DATE: KEY: - L0 CA,TION EXISTING CONTOUR: A t PROPOSED CONTOUR: syss � oF1�„� LOT 4 EASTVIEW TERRACE ... .. EXISTING SPOT ELEVATION: 25.5 rnorassD zfss y , Tr } MARsTONS MILLS zsss' r� cLLaA4 BARNSTABLE, MA ( ) PROPOSED SPOT ELEVATION: 25 n» _ , cbvi� N TEST HOLE: -�- t�c.; 7�44 No.Sos.� PREPARED FOR: UTILITY POLE: -o- + ., c, FENCE LINE: zOAr D11� �� ,v� _ ROBERT BOLLAND c HYDRANT. -b- ELLING PROPOSED DWELLING DEMAREST-MCLaLLAN ENGINEERING SCALE: 1" = 50' LATE: 11-21-�4 24 SCHOOL STREET P.O. BOX 463 REV: 1-31-95 WEST DENNIS, MASSACHUSETTS 02670 REFERENCE: LAND COURT CASE 19731B DM # 94-143 THOMAS McLELLAN, P.E. JOHN Z. DEMAREST JR., P.L.S.