HomeMy WebLinkAbout0257 OLDE HOMESTEAD DRIVE - Health 257 Olde Homestead
Marstons Mills
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TOWN OF BARNSTABLE
LOCATION "7 � - �G_'� I�QZ,SEWAGE# L,::!)(3
VILLAGE ctAv,14 P '{'(/Lt.L� ASSESSOR'S MAP&PARCEL 4 1
INSTALLER'S NAME&PHONE NO. ( �. 5255 171- �
SEPTIC TANK CAPACITY (Et t ErZ 4C,
LEACHING FACILITY.(type) (size) &3._5_X LJ Sx. _
NO.OF BEDROOMS
OWNER
PERMIT DATE: a 4-jam COMPLIANCE DATE:
Separation Distance Between the:
Maximum Adjusted Groundwater Table to the Bottom of Leaching-Facility Feet
Private Water Supply Well and Leaching Facility(If any wells exist on
site or within 200 feet of leaching facility) Feet
Edge of Wetland and Leaching Facility(If any wetlands exist within
300 feet of leaching facility) T-t ,+- Feet
FURNISHED BYE-/
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Town of Barnstable P 4t
Departiment of Regulatory.Services
]Public Health]Division Date l
MAM
200 Main Street,Hyannis MA 02601
Date Scheduled ® � ; <QQ
Time Fee Pd.
l
Soil Suitability Assessment for Sew is os �
Performed-By: ® a
Witnessed By:
Location Addre s
LOCATION& GENE INFORMATION
S
n/f'I,Q/J�'�"°`vt• rJw.ne..r_e Name
Address
Assessor's T Ma /Parcel: ,G.3 a E
P �r � ngineer's Name e�Q �
NEW CONSTRUCTION REPAIR Telephone# Kj z4 ,)6, 41�s y
Land Use:
_ Slopes m Surface Stones
Distances from: Open Water Body It Possible Wet Area 7 ft Drinking Water Well ft
Drainage Way U /S
g Y ft Property Line .,/ _ft Other {t
SIMTC Street name,dimensions of lot,exact locations of test holes&pere tests,locate wetlands•In proximity to holes)
s
J0
10 ,
0
Ll
a
1
Parent material(geologic) d t,f(,tj S)f- Depth to Bedro k 7 C
Depth to Groundwater. Standing Water in Hole: N/1* Weeping from Pit Fnce
Estimated Seasonal High Groundwater
IDETERM[NATION FOR SEASONAL HIGH WATER TABLE
Method Used: .
Depth Observed standing in ribs.hole: �� L la, l7nptlt to soil moUlas: ln,
Depth to vtceping from side of obs.hole: ' J In, Groundwater Adjustment ft.
Index Well# Reading Date: Index Well Igvol Adj.fActdr- Adj.Groundwater Leval ,
PERCOLATION T +'ST bate / z i Tlnua��--
Observation
Hole# Z^ Tlma at 9"
Depth of Pero 7s Time at6"
Start Pre-soak Time @ i�5 Time VI-6") y _
End Pre-soak
Rate Mln./Inch A h
Site Suitability Assessment. Sitc Passed Sitp Failed: Additional Testing Needed(YIN) .
Original: Public Health Division Observation Hole Data To Be Completed on Back-- — ---
***If percolation test is to be conducted within[100' of wetland,you must first notify the !
Barnstable Couse>fvation Division at least one(1)week prior to beginning.
Q:\S EPTIC\PBRCFORM.D OC
a
DEEP-OBSERVATION HOLE]LOG Hole# �t`
Depth from Soil Horizon Soil Texture .Sdil Color Soil• Other
Surface(in.) (USDA) (Munsell) Mottling (Structure, Stones;Boulders,
a�11 o i to :y.%'Graven
0—�� /Lrs /3AMAXhffJ
C 0� � 1 .5 /
� �� 13Z—i'1�1 � MSS 1d �/2 � - s, • .
\� DEEP OBSERVATION HOLE LOG Hole#-
\^ Depth from Soil Horizon Soil Texture
Surface(in.) Soil Color ` Sail Other
J (USDA) (Munsell) Mottling (Structure,Stones,13ouldeis,
u �C onsis en �o G ve
/G00
*�6 arvt
DEEP OBSERVATION HOLE LOG ]Kole#.
De th from Soil Horizon Soil Texture Soil Color Soil Other.
Surface(in.) (USDA)
• (Munsell) Mottling (Structure,Stones.Boulders.
Co i to c G e
---------------------------
DEEP OBSERVATION HOLE LOG ]Kole#
Depth from Soil Horizon Soil Texture Sall Color soil Other
Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones;Boulders.
Cons!sten
I+lood Insurance Rate Map:
Above 500 year flood boundary No— Yes ._
Within 500 year boundary No Yes
Within 100 year flood boundary No.,_ Yes
)Depth of Naturally Occurring Pervious Material ,
Does at least four feet of naturally occurring pervious material exist in all areas obstt•ved throughout the
area proposed for the soil absorption system? �
If not,what is the depth of naturally occurring pervious matorlal?
Certification
1 certify that on NJ q L�(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 requited training,expertise and ex rience described in�10 CMR 15.017.
Signature Date
Q:`S.EPT1aPERCF0RM.D0C
No. Fee
THE COMMONWEALTH OF MASSACHUSETTS Entered in computer:
PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes
2ppliLAtion for Misposal *pstrm Construction permit
Application for a Permit to Construct( ) Repair(_ Upgrade( ) Abandon( ) ❑Complete System [Individual Components
Location Address or Lot No.�S�U jQ+, Owner's Name Address,and Tel.No. Ord-9 .,— S'V31
Assessor's Map/Parcel �� �d�Y ' $ -r-,Orn IF-VI QS/)a&NW)e�04-1
Install is Name Address and Tel No.Sol e- . � S Designer's!ie�,Address',and Tel.I�To. U'Ug 0`2•,3,wT)
i
Type of Building:
Dwelling No.of Bedrooms Lot Size J9, 1909 sq.ft. Garbage Grinder( )
Other Type of Building No.of Persons Showers( ) Cafeteria( )
Other Fixtures
Design Flow(min.required) gpd Design flow provided gpd
Plan Date Nm ,-4S 2613 Number of sheets
e �) / �Revision Date
Title
Size of Septic Tank z J/N/V%O-- ® Type of S.A.S. 6 � �D a&A a/W 2
Description of Soil cJ 33�SX /;14 �•�.
Nature of Repairs or Alterations(Answer when applicable) o — ato
�-/
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 a not o place the system in operation until a Certificate of
Compliance has been issued by this Board of Health.
Signed •--- Date__/w
Application Approved by Date
Application Disapproved by Date
for the following reasons
Permit No. Date Issued
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No. �r_# F d'yr Fee
cr � �
THE COMMONWEALTH OF MASSACHUSETTS Entered m computer:
PUBLIC HEALTH"DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS
ftplication for Misposal4pstem Construction j3ermit
Application for a Permit to Construct( ) Repair 00/ Upgrade( ) Abandon( ) ❑Complete System ®Individual Components
Location Address or Lot No.(9s/7 Owner's Name,Address,and Tel.No. bola' 9%- 1S131
Assessor's Map/Parcel ya l/-,2 v rLi&t5Mills AA,14-,, ,aAd 1 1,r4
Installer's Name,Address,and Tel.No. oa ' Address,and Tel.No. �$� ' � '' Designers Name, g- ,V 75//
/.fir•(G/U�_'����`r��.a-�,.�c s ,/�z rl �-/�•�'-�n,�,•�t�er"��� ,rf�rf� .S�-
Mai <�igrl�tr11s. lrLl r4 oa/„ �r4nr�f ,L1r, �r- �vl� �a��s
_ -
Type of Building: f
Dwelling No.of Bedrooms J Lot Size LQ, 909 sq.ft. Garbage Grinder( )
Other Type of Building No.of Persons Showers( ) Cafeteria( )
Other Fixtures
Design Flow(min.required) gpd Design flow provided gpd
Plan Date IIAIAP Y Aey—d 5.Q6 3 Number of sheets J Revision Date /
Title T 1,5 4no• .-C
Size of Septic Tank Q YrSA-t /r-v*)nC.,-b 0 Type of S.A.S. e,3)
Description of Soil 33.5X /,;I•53 t;
U
Nature of Repairs or Alterations(Answer when applicable) `rQ9j er- /4n?C1 Cx s ✓r h/�,ti � Yr�au /4,qG`
5vt�4 0 iLoodA t�Alftu�1O0A J Z a- 13??51'/ X .l a
n i Air
Date h TG .Z .�i c�i,a� ff�oU 5k��
.l r
Date last inspected:
rp Agreement: ,r
z The undersigned agrees to ensure the construction and maintenance of the afore described,-s tesew'age.disposal system in
<_accordance with the provisions of Title 5 of the Environmental Code=and nofto place the system in operation until a Certificate of-'`
Compliance has been issued by this Board of Health.
Signed Date
Application Approved by Date
Application Disapproved by v Date
for the following reasons b
5:
j
Permit No. eWJ ,^ .z Date Issued
THE COMMONWEALTH OF MASSACHUSETTS
BARNSTABLE,MASSACHUSETTS s
(Certificate of (Compliance
THIS IS TO CERTIFY,that the On-site Sewage Disposal system Constructed( ) Repaired(X) Upgraded( )
Abandoned( )by C
at has been cons cted in acc ,d ee
with the provisions of Title 5 and the for Disposal System Construction Permit No. ed
1�, ,
Installer i f c> >ra<,4 ry Lc-4,cm {c Designer 61 C-
#bedrooms , 5 Approved design flow ��n/1 gpd
The issuance of this permit shall not be construed as a guarantee that the system will func ion as des•gned.
Date /C�)-h / �� Inspector~ —i, ~
PNo.-�- --�� �..-���~_�_._ _,-___.___._.�-�_"-_•--___.__--_____�___----------------•-- --`_~Fee ✓".r ..�__
-L r+ r
�- JTHE COMMONWEALTH OF MASSACHUSETTS
PUBLIC HEALTH DIVISION-BARNSTABLE,MASSACHUSETTS
Misposai *pstem Construction 13ermit
Permission is hereby granted to Construct( ) Repair(K � Upgrade( ) Abandon
System located at C; / (/ /j�ylC�`, �i �"i ��e Y��i.r,�,•l/!/// (/!•,
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:Construcc�tion,must ` completed within three years of the date of this permit. ,
Date (7�-// �� Approved.by
� C
DEC-19-2013 14:40 From:BORTOLOTTI CONST 5oe4289399 To:15087906304 P.1/1
FROM :dawn caps engineering inc FAX hc. ;I�OmQgeeo Dac. 19 20Q 02:36PM PI
,Own of Rarrasta,101c
-p ZO®Ivltuim sh-B, ,uymsaie,MA 02601
offir..r; SQB B67-V)44 tut: 5U8-'/7Q-6304
13 4aas aanzr°g 1 i iP1 ' eA j� 7
aA4JtA4Cl
Artildn•m�e: N.L_..'J_'�- Ad&Ass. do —
01a NI 4a +'ttt irva�i�9'r.acj,t�pvi r to yl�str�I1 s
"�." rusts r�
�e�lic:�,�,,at �� �d �Dl�"1 ,�` �J�• b�,:r� o� a. slgct drawn by
E f lS
ee bfy tbAt•tho s lie Sfyst-g1a,refer+m'EA ghcrve crdill ai�c � ill to
lhr, rleaipa, bi.cb �o include nr. � o'vrd r,'��i3 s�w:� aS I�faxal.rr�1o�.Atian o'1 the
diutdbuti=box wdlor septic tom.
I Cmr fy tLat the vpti.c sya[ra;.n. ;trfrrnncea aLovc was iWtalk(l. with ;major cs}at .1"89 (Lo,
' : tr.� dun 1U' lrstresl rel.or, f�or�of� ��5 ax gay�rvlicat-C).(JtAf'J0a of 1ny,oot4mn.eat
of the gOptYir syZed., u1 eaoT.dtan" wit 5bjic �Ccal R,ugtik M.4, P10'.11 rsvi Or
cent tird ay-1�`u t y cia par, to bilo�r
DANIEL
OJAI.A 1
(Ixtsr ll,ei a i i,rxLt�i G) CIVIL
No.40502
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;,w = TOWN OF BARNSTABLE
LOQA.TIONe,�-7 az&-16445p .De SEWAGE # - �-
VILLAGE /Ll.B ASSESSOR'S MAP & LOTDk3-401-DY.f
INSTALLER'S NAME & PHONE NO. 2 ajR77 C& 1PF=
SEPTIC TANK CAPACITY
9
LEACHING FACILITY:(type) Z�/ {(size) 6 !0 r
NO. OF BEDROOMS PRIVATE WELL OR PUBLIC WATER
BUILDER OR OWNER —,7�r , ,
DATE PERMIT ISSUED: 41 j //-
DATE COMPLIANCE ISSUED:_ �^P1,7- �,n
VARIANCE GRANTED: Yes No
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Fim .....
THE COMMONWEALTH OF MASSACHUSETTS
BOAR® OF !-IEALTI-I
TOWN OF BARNSTABLE G
Appliration for Disposal Works Tons trur to
Application is hereby made for a Permit to Construct ( ) or Repair X) an Individual Sewage Disposal
System at:
A.W�"� .............. del ✓ ._----------------------.........------...........-----.....---..
--ocatio ress
or Lot No.
W N��` Gm5 ¢/ /'�dy�ress o O
a -----•----••--•-•-----•--•---------------- ••••-•-•-••----.....7.....•-•------ r....... ---- .. ...�.!:�....o-......
Installer Address
UType of Building Size Lot............................Sq. feet
Dwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( )
a Other—T e of Building ....... No. of
I� � •--•-----------------------------•-•-----•---Persons---••------•--•--...-•----.Showers ( ) — Cafeteria•
Other fixtures .
W Design Flow..................... .............gallons per person per day. Total daily flow............................................gallons.
WSeptic Tank—Liquid*capacity/iMa.gallons Length................ Width................ Diameter................ Depth................
xDisposal Trench—No..................... Width.................... Total Length.................... Total leaching area....................sq. ft.
Seepage Pit No--------------------- Diameter---................. Depth below inlet.................... Total leaching area..................sq. ft.
Z Other Distribution box ( ) Dosing tank ( )
aPercolation Test Results Performed by.......................................................................... Date........................................
Test Pit No. 1................minutes per inch Depth of Test Pit...................
. Depth to ground water.......................
rXq Test Pit No. 2................minutes per inch Depth of.Test Pit.................... Depth to ground water........................
9 ......-----•------------------------•---........----•-....--------•.....----......-----...---••-----.........................................................
ODescription of Soil...............................................................................-•------•-•-----------•-•-•---•-•-••-----..............................................
x
U -----••---•---------------•---•-•-••••-•-••--•--•---•----------•--.....-••--------•-•----------•••••----•••••••••••----•.•...-•••--------•-••--••------••-•------------........-----•---......----------
W
x ---•---••-••---------------------------- -----------•--••--•-•--•-•-•-----------...••••...........------•-------------------------------•------...........---- .
U Nature of Repaifs or Al erations—Answer when applicable...... .... . ... ..... _` ...��1 .
•----•---- •-••--------•----.....-•-••--••----•---•-•-•-•••--------------••----•---------..................................................
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 undersigned further agrees not to,place the
system in operation until a Certificate of Complianc s b n is ue b boa d of h alth.
Signed -- -- ---- ------- - --- -------- --- -- -- ------------ --.�-.-i��9 '
----............._..-..---- Date ---'--
Application Approved By ........... .... . . . .....................................
Date
Application Disapproved for the following reason - ................. ----
..................----------------------------- -------------�- ---............---...------------ ---........-------- --......................................
Dare
Permit No. � 2....----....' Issued --- L-~
... ..........................-- Date
tG� o off'-- 0y3
No.l...rv. .:._: :� FES...136.. .._
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
- TOWN OF BARNSTABLE
Appliration for Disposal Works Toustrnrttui��rruti# `
Application is hereby made for a Permit to Construct ( ) or Repair (Y,,) an Individual Sewage Disposal
System at:
_, % --------------- mil,al�I Gt .....--......-----------------------..................---........
Location-Ac1dress or Lot No.
Iner Address
a uLOI Gc�i/V5% l �2
PQ Installer Address
UType of Building Size Lot............................Sq. feet
.-� Dwelling—No. of Bedrooms................�...........................Expansion Attic ( ) Garbage Grinder ( )
`4 Other—T e of Building No. of persons............................ Showers — Cafeteria
04 Other fixtures ------------------------------------------------- -
W Design Flow....................5: ..............gallons per person per day. Total daily flow............................................gallons.
WSeptic Tank—Liquid capacity,,ll4G_.gallons Length................ Width................ Diameter---------------- Depth................
x Disposal Trench—No--------------------- Width.................... Total Length.................... Total leaching area....................sq. ft.
Seepage Pit No--------------------- Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft.
Z Other Distribution box ( ) Dosing tank ( )
Percolation Test Results Performed by-----------------------------------•-----------------------••------------ Date........................................
Test Pit No. 1________________minutes per inch Depth of Test Pit.................... Depth to ground water........................
µ, Test Pit No. 2----------------minutes per inch Depth of Test Pit.................... Depth to ground water........................
a -----------•------------------------------------------------------------------------------------•---.........................................................
xDescription of Soil...............................................................................-------------------------------------------------------------------------------•--------
U -------•------------------------------•------•-------------------------------------------------•---•-----------------------------------------------------•----------.._........-----------...----......
UNature of Repairs or Alterations—Answer when applicable..__ _____ ____11e�.�' .......... T!: ? ._ lT-.
------------------w - -------r-s?tJ? ---------------......------------------------------------------------------------•----------------------------------------------
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 undersigned further agrees not to place the
system in operation until a Certificate of Compliance has been issue by t board of health.
Signed -----..:�� .----
Dace
ApplicationApproved BYE--------------------------------- ----- ----------------------------------------
Dace
Application Disapproved for the following reason,.
. .....:...........:..........................................
-------------------------------------------------------------------------------- .............................. -------- --------------------------------- - ----------------.......................
Dace
Permit No. ...... -------------------------- Issued -------- " -------` aFs�
Dare
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
A TOWN OF BARNSTABLE
(gerttftcate of Toutyliance
THIS IS TO CERTIFY, That the Indiv.�dual Sewage Disposal System constructed ( ) or Repaired ( � )
by --------------------------------------------............................................................Qi la' • 7 1-1' .............
Insmlle,
at ---------------------_--------___________.-.....!_.'--------------� -----------..�1..w.......... ._......._-__, ................
has been installed in accordance with the provisions of TITLES of The State Environmental Code as described in
the application for Disposal Works Construction Permit No. ytJ_ ... �t" .._... dated ---. � ....../ __. ._
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE
SYSTEM WILL FUNCTION SATISFACTORY.
DATE------------------------------------------------------------------------------------------------------- Inspector -------------------------------------------------------------------------------------------
THE COMMONWEALTH OF MASSACHUSETTS
.b
BOARD OF HEALTH
TOWN OF BARNSTABLE
No.............. FE----SJ._
Disposal Works Tonstrudi att frrutft
Permission is hereby granted--------------------- ------ y``S '"......................................._---
to Construct ( ) or Repair 1- ) an Individual Sewage Disposal System
at No---------------------------------------------- n;V!V ....... 1 —- - f��/-� -----..... �� 1�,1`l_._f..........
Street
� �
as shown on the,application for Disposal Works Construction Permit I�ICV�� = Dated...._...........................° _
/� 0!----- `?----------------•---------
Board f Health
DATE.............----------------------...........
----•--------- •--- -
FORM 36E08 HOBBS✓!WARREN.INC..PUBLISHERS
l
ASSFr-�SOR'S MAP NO. PARCEL PAC
- LO CAT 10 SEWAGE PERMIT NO.
VILLAGE
m e`` vil
INSTALLER'S NAME & ADDRESS
S U I L DE R OR OWNER
DATE PERMIT ISSUED jk
DAY E COMPLIANCE ISSUED It`v�`�fc,
2
3�
S
1
- dl� '
c°
No... .�_:w - GMT' :L FIM'B
6( (o THE COMMONWEALTH OF MASSACHUSETTS
BOARP OF HEALTH
............ OF.-. ..-... .....
Appliration for Disposal Works Tonstrnr#ann rumit
Application is hereby made for a Permit to Construct (V ) or Repair ( ) an Individual Sewage Disposal
S sleTat, IS
J
.. P.... 1�..__ � 1._.. . ' �rl l� V� !�d.. �� ............
............_...._.
— - .. ..... ........ S..._. .. -- --
Lo y�n-Addr ss ort No.
0 n Address
------------- ---�....... ... ----•-------------------...--- -----._....._._...---------------------------....--------.....__...._..-----------•---•--------...
Installer Address `7/7O�
Type of Building Size Lot____I........................Sq. feet
Dwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( )
pW, Other—Type of Building ____________________________ No. of persons____________________________ Showers ( ) — Cafeteria ( )
Q' Other fixtures ...............................- -
Design Flow.......... ...____________ �.gallons per person per day. Total daily .......................gallons.
W (f
WSeptic Tank—Liquid*capacity.j__________gallons Length'S'IP._.._ Width________________ Diameter................ Depth................
x Disposal Trench—No. _______ ____. Width................... Total Length_.____ _...: .._. Total leaching area....................sq. ft.
Seepage Pit No_____________ _____ Diameter.____._2___.___. De tli below inlet..... .._. .l.._ ___.__ ft.
p Total leaching area.? sq.
Z Other Distribution box ( ) Dosin nk
'—' Percolation Test Result Performed by. �ils1� �G1��%`__� G`_: Date...
Test Pit No. 1________________minutes per inch Depth of Test Pit.....a.2_......... Depth to ground water_._____............
rz, Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water.............._.........
a .............
Description of Soil r� 1.1g1�Z:d�. 2. �f1�-11� .-�A�P...................
W
V ----------------------------------
______-------------------------------
__---------------
-------------------------
---------------
-----------------------------
•-----••--•--•----------------
W
UNature of Repairs or Alterations—Answer when applicable--------------------------------_..............................................................
-•-----------------------------------------•-------•--•----•---•--•-•--...----------._...--•--.....---......--------------------------------•-•-----------------------------------------.......----••--•
Agreement:
The undersigned agrees to install th redescribed Individual Sewage Disposal System in accordance with
the provisi ns of TIT the\State ary Code— The undersigned further agrees not to place the system in
operation u til a Cer i cat of om 'a as be issued
� ,b theboad of health.
Signed..... e • �--------------------------------------•----------------- •-- to�ateApplicatio Approve dBY �n ''
Y...�....._... --------- A _
......
Application Disapproved for the following reasons__________________•_________•____________________•_____________•____•__•____-•----------.___..__......_____----
..-----•--•--•----•--•----•--•--•---••..............••-------•---•--..-.......---._..........••-----...•---------••-•---•---••---••---•••-------------•-----•--•--•-•-•--------••---•------•---•-------
Date
Permit No.!b_-'_6 rl . ......................... Issued_.......................................................
Date
THE COMMONWEALTH OF MASSACHUSETTS
BOAR OF EALTH
.........................I........--------.OF... ..:...(d1. .. .....`-'---._...--
..............................
Appliration for Disposal WorksCann rnr#inn ernti#
Application is hereby made for a Permit to Construct (V ) or Repair ( ) an Individual Sewage Disposal
System at
i t v�!t 5 2a !�r i VC-1L(V 5 0 tt S ....................•------...._.
�Loca' n-Addr s G s � // or�t ANo.
t
I ner �� ...�,�%� .ltYY ...`,J ............IitF d!1!!..t 4� ( .......................
1
------•.............••----•---••Address.
..
Installer Address
U Type of Building Size Lot-------------------------___Sq. feet
Dwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( )
Other—T e of Building No. of persons............................ Showers — Cafeteria
Otherxvres •-•------•••--••--••---••----•-------------------------------------•---•-----••----------•------......-•-
W Design Flow.............3_..........___ ._.....gallons per person per day. Total daily f1ow.._.__3..?La........................
WSeptic Tank—Liquid ca.pacity.1�___. allons Length�._._V..... Width................ Diameter................ Depth................
Disposal Trench—No. .................... Width_..._l..__._......._ Total Length....._.__........._. Total leaching area....................sq. ft.
Seepage Pit No..._....___.. ____ Diameter.__.. 2.__..... Depth below inlet__..`_�.��....... Total leaching area019-___-_sq. ft.
Z Other Distribution box (V ) Dosin ank
`-' Percolation Test Resulj- Performed by�� U�. i _�4�!_ --q% UG-_ I N C Date...�f�i __/.. .........
as Test Pit No. I......v.____minutes per inch Depth of Test Pit______ _________ Depth to ground water------- ............
Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................
7------------------------------------------------------------I-------------------------------------- -- ---------------____--
D Description of Soil------------------•............. 4+-��V v! /- fit_ .�?►_UM-- A l.C2
x ....................
------------•----•--•----------- ---•-----------
•-•------------
--------------------------------------------------
•-------------
•---------
•------------------
-------------------------
---------------------------------- ---------•---•-••••-•--•----•-•••-•--•---•...-•-....._._._...------------....--•--••-••••-•---------•--------•---••--------•----.........._......•---•---•----_..
V Nature of Repairs or Alterations—Answer when applicable...............................................................................................
Agreement:
The undersigned agrees to install t oredescribed Individual Sewage Disposal System in accordance with
the prov. . ns of iIT th4 State ary Code—The undersigned further agrees not to place the system in
operatio u til a Ce i cat o Com i as been issued by the board
board of health.
Signed ..........................
�/ ate
Applicati Approved By-- �` == ... --•--..... ..........•---•-..............---•--. '--'r--ja-/----------
C� Date
Application Disapproved for the following reasons:............................................................................................................
_-
............................................................................................................................................................................
-
Date
PermitNo t.: '...............................-.... Issued_.......................................................
Date
THE COMMONWEALTH OF MASSACHUSETTS
/ BOARD OF HEALTH
..........................................OF...........-. .................................. ...................................
Trrfifiratr of Toutpliatta
THIS Ij TO CERTIFY, That the Individual Sewage Disposal System constructed (x) or Repaired ( )
...••••.......-•- --•-••--•-----•-•-----•-•••-•••••-----------•----•---•........--••---•--.....•----•••-----•••.........
at..... ..... .:�......d -------Ar--- .......•__ nstall- ....•.. •-- -• .. - -------- ---------------------------------------
has been installed in accordance with the provisions of TIT5 of The State Sanitary Code as/described in the
application for Disposal Works Construction Permit No.___ r._...._._6.1_1.<t.... dated........ .`���8�.............
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE
SYSTEM WILL FUNCTION SATISFACTORY. _7
l W
DATE. . ... Inspector....................................................................................
�....._ . 0�-_.
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
/C ............OF....... / .. .........................................................
No.4 .............. ... FEE. . ...............
Disposal Works Taan#rt uan rrtnit
Permissionis hereby granted..........................................................................................................................................
to Constr ct or Repair ( ) an Individual Sewage Disposal System
atNo.... .._...._yam...._.Q --------ll 1.................-!74 �[ .-
Street �....
as shown on the application for Disposal Works Construction _Permit N _ t�.._�.y Date .._. ._� 7._ys ........
l � Board of Health
DATE.----•--•----A
---•... .._..... .......
FORM 1255 HO SS & WARREN, INC., PUBLISHERS
.i
1.
SITE PLAN SHEET I of 2
SCALE: I"= IV,
,o
(aaa 6wA Lac
tip- ApaLipp
a4 1
f ' 7of FOvnID. '— \9 r p
f
17/
� J Y-L ,6• ., , � V
� y
,z7oj)
AI 06 At, 1
o� .91WILLBAPe1. Cyb
M.
8 W ARWWiC-A .
N 19771
Cis�EA��
1
FOR
RE61STERED LAND SURVEYOR
ZONE - M -aV.) M ILL5 , AA d.
PLAN ,REF oc-" Ot MA t DATE JL)(4 121 I29*
BENCH MARK DATUM I�zc:) M S,L- 9ATvM WM. M. WARWICK 8 ASSOC., INC.
DOMESTIC WATER SOURCE TE�k4-) .J w,4-rr�(z- BOX 801 - NORTH FAL MOUTH
FLOOD ZONE. �� ' D 1'� MASS. 02556 - (617) 563 -2638
LEACHING 3ASIN SECTION NOT TO SCALE Sheep 2 e f z
24 C.1.MH COVER
EARTH F/L L BRICK AND MORTAR COURSES AS RE0 D• TO BRING
COVER TO GRADE
4., 8'FLOW LINE
INLET 1_ _ __ _:: ; 2 "TO% WASHED PEASTONE FREE OF IRONS,
PIPE T; ^`, •• FINES AND DUST/N PLACE
' OPENING W/TH 4%8"
' 3/4" TO /%2"WASHED CRUSHED STONE FREE OF
OUTER DIAMETER IRONS, FINES AND OUST /N PLACE
ANO /3/4"INSIDE
DIAMETER I. CONCRETE TO BE 4000 PSI 28 DAYS
V A v'1� ; 2. REINFORCED WITH 6"x.6" NO. 6 GA. W.W.M.
' 3. 2�AND 4' SECTIONS ARE AVAILABLE FOR
GREATER DEPTH REQUIREMENTS
410" t — I 4, NUMBER OF PITS REQUIRED, d,uG
MIN. I Z NOTE: EXCAVATE TO ELEVATION OR
EFFECTIVE DIAMETER "1
-} (NOT TO EXCEED 3 TIMES EFFECTIVE DEPTH) LOWER AS REQUIRED TO REMOVE ALL
• WATER TABLE - LOAM AND CLAY BENEATH PIT: REPLACE
EXCAVATED MATERIAL WITH CLEAN
TYP/CAL PROF/LE GRAVEL TO DESIGNED GRADE.
$6.0 /8"STD. LT. WGT. C.I. MH COVER
4"C.IPIPE 4"8IT.FIBER PIPE
TIGHT JOINT OUTLET LEVEL
DWELLING FLOW L/NE _ TO FIRST JOINT
D 'v /4 00 I IU �00 11
i •� C I. TEE ��' t 1
i l l 0 0 1 00 1 1 I I
7/'Y $Q,Gfo 'STO, PRECAST CONC. Q, D/ST. BOX TO BE $O OD ' 11600 00 1 1 I I
.; O ;�OGAL.SEPTIC TANK INSTALLED ON LEVEL, 1 1 1 0 0 0 0 0 0 1 I I ;
8 •: ..,..t: i; _ :.'.•. STABLE BASE I I i 1 00 0 0 ;,1
' 11 100 00
\SEPT/C TANK TOO BE 1 1 1 000 0 0
INSTALLED ON LEVEL 1 If 10010 0 I I ' i
STABLE BASE. 1 11 100 0 0 1 1 1 1
I11
LEACHING BASIN IIOOIOO 11
•, i I 1 f poO 6�BASE TO BE LEVEL '• i 1 I b 0 0 0 0 I ► , �� 7
. SOIL AND PERC. DATA r �5�� •
PERC. RATE _ MIN. /IN.
0�� TEST PIT N0. I 0" TEST PIT N0. 2
TEST BY -
t� y�,G
WITNESSED. BY: TOM MG �,P_A�ij M•*_Dlvm
TEST PIT GR. EL. "'A0 D
DATE:---
DESIGN DATA GENERA L NO TES
BEDROOMS NO HEAVY. EQUIPMENT TO RUN OVER SYSTEM.
DISPOSAL SEPTIC TANK, DIST. BOX AN LEACHING BASINS TO BE STANDARD
EST. TOTAL DAILY EFFL.tt-aGPD. PRECAST REINFORCED CONCRETE UNITS.
SEPTIC TANK l """ GAL ALL SYSTEM COMPONENTS SHALL BE INSTALLED IN ACCORDANCE
TO REVISED TITLE 5 OF THE STATE ENVIRONMENTAL CODE,
SIDEWALL AREA`L GAL./SQ.FT. MINIMUM REQUIREMENTS FOR THE SUBSURFACE DISPOSAL OF
BOTTOM AREA La' GAL./SQ.FT. SANITARY SEWAGE EFFECTIVE ON JULY I , 1977.
LEACHING REQUIRED�a SQ.FT. ANY CHANGES TO THIS PLAN MUST BE APPROVED BY THE BOARD
ACTUAL LEACHING ARY4,,2 OF HEALTH.
�SQ.FT. .AT COMPLETION OF CONSTRUCTION, PRIOR TO BACKFILLING, THE
BOARD OF. HEALTH SHALL BE NOTIFIED FOR INSPECTION.
PITCH ALL SEWER LINES 1/4" / FT. UNLESS INDICATED OTHERWISE.
SH�FA1gsA; SEWAGE DISPOSAL SYSTEM
FOR:
c� MORAN H Lb� UV D-E-�aM>IryT'EDA I71z Iyc-
�, .p 1923417
SCALE AS INDICArEO DATE
f
• WM. M. WARW WICK 8 ASSOC., INC.
80X 80/ - -NORTH FAL MOUTH
MASS. OP556 - (6/TJ 56,3 -26,38
PROFESSIONAL ENGINEER
SITE PLAN SHEET I OF 2
SCAL E: I = qz'
Qj
TA JL
17
4,
I Tv� FovniD,
/ r
/ , a
y
\ \ �L
1 1717,v I
,zZob
OF
WILUAM
me M. -
MAWICK
No. 19T79 a
ISR
,.�4L .
RE6/STEREO LAND SURVEYOR FOR- -2-� % �U<
ZONE 2 f_ t\A TPI ..r M ILLS AA 4
PLAN .REF: oG'T" �5't MA I `I LL 1 DATE J ULC l °72
BENCHMARK DATUM Ic)zc2 M e L- PnTtJM V-P-v' II/2e !3&
WM. M. WAR WICK 8 ASSOC., INC.
DOMESTIC WATER SOURCE -T'�'.,��r.J w�rt'�R- BOX 801 - NORTH FALMOUTH
FLOOD ZONE.��� - � � D 11� r MASS. 02556 - (6/7) 563 -2638
LEACHING BASIN SECTION NOT TO SCALE Shec?l 2 f 2
24"C.I MN COVER
EARTH F/LL BRICK AND MORTAR COURSES AS RE00• TO BR/NC
4 " _ , •y_ _ COVER TO GRADE
INLET _iB FLOW LINE `_j ,i 2 P"TO% WASHED PEASTONE.fREE Of IRONS,
PIPE FINS AND DUST /N PLACE
��q OPENING WITH 4%B" •• /4 TO l/2 WASHED CRUSHED STONE FREE OF
: OUTER DIAMETER IRONS, FINES AND DUST /N PLACE
AND l 3/q„INS/DE '
DIAMETER '
I. CONCRETE TO BE 4000 PSI 28 DAYS
LJ'GDtL� pt•(' 2. REINFORCED WITH 6"x.6 NO. 6 GA, W.W.M.
3. 21 AND 4' SECTIONS ARE AVAILABLE FOR
GREATER DEPTH REQUIREMENTS
40'. --6'0" I I --, 4. NUMBER OF PITS REQUIRED. otJ�
MIN. I Z NOTE: EXCAVATE TO ELEVATION OR
EFFECTIVE DIAMETER
(NOT TO EXCEED 3 TIMES EFFECTIVE DEPTH) LOWER AS REQUIRED TO REMOVE ALL
WATER TABLE - LOAM AND CLAY BENEATH PIT. REPLACE
EXCAVATED MATERIAL WITH CLEAN
TYPICAL PROFILE , GRAVEL TO DESIGNED GRADE.
86.0 /8 STD. LT. WGT. C./. MN COVER �t7flg : p1 179 INTO P-09-pS
4�C.I.P/PE 4��B/T.FIBER PIPE
TIGHT JOINT OUTLET LEVEL
DWELLING FLOW L/NE TO FIRST JOINT
r. ,-•- T
14, o o I'1 0 0 0 to
.0 �0,�% 1 10 00 1 1
sr0. PRECAST CONC. �0 11900 10 0 1 1
o, D/ST. BOXTOBE 7� Dd f000 00 1I
IUVQGAL.SEPTIC TANK: INSTALLED ON LEVEL, I I 1 000 0 0 01 I I
B :; •_ is : . STABLE BASE 1 1 11 too 0 0 1 I '
+ _ 1
\SEPTIC TANK TO•BE H O O D 0 0 1 1 I ;
INSTALLED ON LEVEL I if 100 I O 0 11 '
STABLE BASE. 11 1 0 0 0 1LEACHING BASIN QpBASE TO BE LEVEL 1 1 1 b 0 10 ,
0 0 1 1
SOIL AND PERC. DATA
PERC. RATE MIN. /IN. 0, TEST PIT NO. I O'� TEST PIT NO. 2 l%t1,,b
TEST BY
WITNESSED. BY: TOM Me- �,P_At� h re-t>IL) ct,�� /J
TEST PIT GR. EL. - ?ct`3D
h4 ir,,DILJM
DATE: 5 I(v 0-0 �zl 9(•..7Z. ��' �A�12 e ev.6 7.
NO (.e�'Lb U1`1D�,cJA�T� -Na �I?ov.t D1cJA .
DESIGN DATA GENERAL NOTES 1J J
BEDROOMS NO HEAVY EQUIPMENT TO RUN OVER SYSTEM.
DISPOSAL 42 SEPTIC TANK, DIST. BOX AN LEACHING BASINS TO BE STANDARD
EST. TOTAL DAILY EFFL 33DGPD PRECAST REINFORCED CONCRETE UNITS.
SEPTIC TANK l aov GAL• ALL SYSTEM COMPONENTS SHALL BE INSTALLED IN ACCORDANCE
TO REVISED TITLE 5 OF THE STATE ENVIRONMENTAL CODE,
SIDEWALL AREA `L GAL./SQ.FT. MINIMUM REQUIREMENTS FOR THE SUBSURFACE DISPOSAL OF
BOTTOM AREA GAL./SQ.FT. SANITARY SEWAGE EFFECTIVE ON JULY I , 1977.
LEACHING REQUIRED Zaa SQ. ANY CHANGES TO THIS PLAN MUST BE APPROVED BY THE BOARD
ACTUAL LEACHING AR 4., OF HEALTH.
ZZ_SQ.FT. ,:.AT COMPLETION OF CONSTRUCTION, PRIOR TO BACKFILLING, THE
BOARD OF HEALTH SHALL BE NOTIFIED FOR INSPECTION.
PITCH ALL SEWER LINES I/4" / FT. UNLESS INDICATED OTHERWISE.
���•��H of AtA u\Z, SEWAGE DISPOSAL SYSTEM
sue•
moo`' MARTIN 9f�
FOR' '
MORAN H 123417 -�aM sTE,�D b�1ye
d, � •Ace �Q �
`',s-rf.Q �,� ,, Nt A fz vq-?_nlJ 5 to t L_L� ( M AI .
vr,;,�+tz
SCALE AS INDICATED DATE-J V LlY 15/ °�$(o
12�Vt d AJOV Zo/ r-7861
WM. M. WARWICK 8 ASSOC.I INC.
80X 80I - -NORTH fAL MOUTH
` MASS. 02556 - (617) 563 -2638
PROFESSIONAL ENGINEER
ALL SYSTE
SHALL
SYSTEM PROFILE MARKED WITHCMAGNETICTTAPE OR BE
(NOT TO SCALE) COMPARABLE MEANS FOR FUTURE LOCATION. NOTES
PROVIDE WATERTIGHT MIN. 20" DIAM. 3
ACCESS COVERS TO WITHIN 6" OF FIN. GRADE 2" PEASTONE OR GEOTEXTILE CONCRETE COVERS TO WITHIN 3 GRADE 1. DATUM IS APPROX. NGVD o
TOP FOUND. EL. 82.0' FILTER FABRIC OVER STONE 2. MUNICIPAL WATER IS EXISTING i�e��'d
z
\ MINIMUM .75' OF COVER OVER PRECAST 2% SLOPE REQUIRED OVER SYSTEM 3. MINIMUM PIPE PITCH TO BE 1/8" PER FOOT.
BLOCKS OR
PRECAST H-10 PRECAST RISERS
RISERS (TYP.) H-10 (TYP.) 4. DESIGN LOADING FOR ALL PROPOSED PRECAST Long
2'0 78 8' 4"0SCH40 PVC MORTAR ALL UNITS TO BE AASHO H-!Q
PIPES LEVEL 1ST 2' COMPONENTS OItII
r INV'S EL. 77.0' o
77.83 5. PIPE JOINTS TO BE MADE WATERTIGHT. 9 a
10" EXISTING 14" IN ACCORDANCE
TEE SEPTIC TANK** TEE * To.
O Fm❑❑m M❑�❑ �®mQ6. CONSTRUCTION DETAILS TO BE 77.4f' 0000 0000° ° ° ° ° ° 6" MIN. SUMP �❑o o❑❑o❑o�❑o�❑o ❑Q®®®�0�®0®® a0o00000 WITH 310 CMR 15.000 (TITLE 5.) a �° 01de
GAS BAFFLE::: °o°°o°o°o°°o°0 12" MIN. INT DIM 'o 0 o 0 0 0 0 0 0 ;0000°°°° PLocus� � N ' ❑®��®®❑❑® ®®®�❑��®®❑❑ Q 7. THIS PLAN IS FOR PROPOSED WORK ONLY AND 1° 0000_ 0 ®®O®D�O�® ®0��0�®®®OD , 6 h' �� keb77 27' 77 1' ° 75.0 NOT TO BE USED FOR LOT LINE STAKING OR ANY
OTHER PURPOSE.
':;...r.:.._•.: 9�o act
3/4"-1-1/2" DOUBLE WASHED STONE 4' MIN. H-%o 500 GAL. LEACHING CHAMBER BY ACME PRECAST OR EQUAL. 8. PIPE FOR SEPTIC SYSTEM TO SCH. 40-4" PVC. \Q
(3) UNITS REQUIRED
6" CRUSHED STONE OR MECHANICAL OVERALL DIMENSIONS TO OUTSIDE OF STONE: 33.5, X 12.83, 9. COMPONENTS NOT TO BE BACKFILLED OR
COMPACTION. (15.221 [2]) 4.0 CONCEALED WITHOUT INSPECTION BY BOARD OF o
HEALTH AND PERMISSION OBTAINED FROM BOARD pond
( % SLOPE) ( 1 % SLOPE) OF HEALTH.
1 +'
10. CONTRACTOR SHALL BE RESPONSIBLE FOR
FOUNDATION EXIST SEPTIC TANK 1 1 D' BOX 12' LEACHING CALLING DIGSAFE (1-888-344-7233) AND LOCUS MAP
FACILITY BOTTOM OF LS LAYER VERIFYING THE LOCATION OF ALL UNDERGROUND &
EL. 71.0" OVERHEAD UTILITIES PRIOR TO COMMENCEMENT OF NOT TO SCALE
*THE INSTALLER SHALL VERIFY THE LOCATIONS OF ALL **INSTALLER SHALL CONFIRM MINIMUM SEPTIC TANK SIZE AT - 69.0' BOTTOM TH-1 WORK.
UTILITIES AND ALL BUILDING SEWER OUTLETS AND ELEVATIONS 1000 GALLONS AND ITS SUITABILITY FOR RE-USE. REPLACE NO GROUNDWATER FOUND
PRIOR TO INSTALLING ANY PORTION OF SEPTIC SYSTEM WITH 1500 GALLON SEPTIC TANK APPROPRIATE TO SITE 11. ANY UNSUITABLE MATERIAL ENCOUNTERED ASSESSORS MAP 42 PARCEL 1-24
CONDITIONS IF NOT SUITABLE SHALL BE REMOVED 5' BENEATH AND AROUND THE
PROPOSED LEACHING FACILITY.
12. EXISTING LEACHING FACILITY SHALL BE PUMPED
:4.7T84'0yAND REMOVED.
5 \\
5' REMOVAL OF UNSUITABLE SOIL REQUIRED / \ O�
AROUND PERIMETER OF LEACHING FACILITY, / 3 1 Q
DOWN TO SUITABLE SOIL LAYER. REPLACE / 8 48
WITH CLEAN MED. SAND, TO MEET
SPECIFICATIONS OF 310 CMR 15.255(3) / /B3 2.. <2.28
.15 ✓ SYSTEM DESIGN:
/ 82---- *8 .1N I
\ V_
3.1 '`F,y� �81.55 GARBAGE DISPOSER IS NOT ALLOWED
x 6 TM � �O {{�� X81 6
F 81.01 OQ DESIGN FLOW: 3 BEDROOMS @ 110 GPD = 330 GPD
ono/ LPI 8 , O ,1. 3 814 USE A 330 GPD DESIGN FLOW
/8 8693 x 80.75 ,x.�O.36 SEPTIC TANK: 330 GPD (2) = 660
/ x 53 2 / \
Qom" O�80.46'-
0 ao.4 "J�9 **RE USE EXiSTiNG 10(7'v GAL
SEPTIC TANK
TEST HOLE LOGS BENCHMARK: USE CORNER i UG U '80..62 80. 2 LEACHING:
BRICK LANDING AT EL. 82.2 Af \ 80.55 / n`S
. OJALA, PE, SE x / 1 UTILI SIDES:2 (33.5 + 12.83) 2 (.60) = 120 GPD
.fd6a1 06 /0.64
ENGINEER: ARNE H 81
80.59 8 1 �
/ � J`�61 �♦�� �7 CLUSTER BOTTOM 33.5 x 12.83 (.60) = 240 GPD
WITNESS: DONNA MIORANDI, IRS /�� 8.a5 T
NOVEMBER 21, 2013 1 y,/ PAVED �80.53 TOTAL: 600 S.F. 360 GPD
DATE: t;� WA 1. DRIVE \
Cb 1.06 V93 a . 2 USE 3 500 GAL. H-20 LEACHING CHAMBERS ACME OR EQUAL
PERC. RATE _ < 10 MIN/INCH �' /{r' 80.85 0 80.93 80..34
it 14185 � � 1 07 ��``�� �� WITH 4 STONE ALL AROUND
CLASS SOILS P# 3.01
GME 1.01 .40
ELEV. ELEV. x 80.59 EXISTING ` 80.7J 8 644
o„ 81 .5' o" 81.0' DWELLING 81.0
TOP FNDN. � / gg Z 80.4
7 /1EL.=82.0' \�a 3 i7U2 MA. .
/FILL /FILL ao.90 0.90
APPROVED DATE BOARD OF HEALTH
(BRANCHES & UNSUIT. (BRANCHES & UNSUIT. ELEC 80.91
48" CLAY)/ 77.5 48" CLAY) 77.0 DECK METER
STONE PATIO TITLE 5 SITE PLAN
o OF
C1 C1 CO
PERC LS LS
257 OLDE HOMESTEAD DRIVE
1OYR 6/6 10YR 6/6 LOT 43 MARSTONS MILLS
120" 71.5 120" 71 .0 17,709 f S.F.
/C2 �C2 PREPARED FOR
SILT LOAM UNSUIT. SILT LOAM UNSUIT.
BORTOLOTTI CONSTRUCTION/
132" 1OYR 5/6 70.5' 132" 1OYR 5/6 70.0
FULLAM
NOVEMBER 25, 2013
C3 C3
MCS MCS 12 j off;��eigss �M of M off 508-362-4541
10YR 6/4 10YR 6/4 O' a�' 9C I fax 508-362-9880
5 /o DANIE_
144" 69.5' 144" 69.0' �oo DOJALA G``� , I'o A. °� . downcape.com
ti CIVIL ;`' NOJ�,�gn ,- .= down cape engineering inc.
NO GROUNDWATER ENCOUNTERED o.40980
2 � �
„- �0-F E,�"� !,q IFS Nyt�� � civil engineers
Scale: 1 20' ' `(-�5/� S ONAL land surveyors
1` 939 Main Street ( R to 6A)
3-2 4 4 0 10 20 30 40 50 FEET
(DATE DANIEL A. OJALA, P.E., P.L.S. YARMOUTHPORT MA 02675