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HomeMy WebLinkAbout1065 PUTNAM AVENUE - Health 1065 Putnam Avenue Marstons Mills A = 057 005005 i � � o No. aioo� 537 Fee U THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE., MASSACHUSETTS 01ppYication for 33i5pozar 6pgtem Construction 3—errmit Application for a Permit to Construct( )Repair( V)Upgrade( )Abandon( ) ElI e Complete System ndividual Components Location Address or Lot No. �tS�s �� � � q Owner's Name,Address and Tel.No. Assessor's Map/Parcel l/ �ay�y� r,��/f ' `021', a-"(/('/Qr�s Installer's Name,Address,and Tel.No. Designer' Name,Address and Tel.No. J 7/- 3 Type of Building: Dwelling No.of Bedrooms 3 Lot Size sq.ft. Garbage Grinder(�?J Other Type of Building L° No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow .Aj�o gallons per day. Calculated daily flow 33L5— gallons. Plan Date S,l�V Number of sheets / Revision Date Title 1 Q U� Size of Septic Tank /04*:Pa '/�5�1�1� Type of S.A.S. Description of Soil ©� �� /r z p Nature of Repairs or Alterations(Answer when applicable) 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 Certifi- cate of Compliance has been issued by ldhis.Board of 1jealth. y Signed Date Application Approved by e, Date /©'/34 Application Disapproved for the following reasons Permit No. Z tlG q—5 ,3'7 Date Issued I UU - �--�— --- - -- - --------- tiff ( •� "� "'+ :�1' ,,$."`� U ' No. t S 3 � k Fee �U THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: L/ Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS Zfpprication for 3Digpogal *potem Conotruction permit a Application for a Permit to Construct( )Repair( '')Upgrade( )Abandon( ) El Complete System ©Individual Components '"Location Address or Lot No. /L,)6-5 Owner's N/a�me,A�dddrress and Tel.No Assessor' Me/Parcel ��rS/��f�c yf�//S 0!/� �" i t vdS Installer's Name.Address,and Tel.Noo..+ Designer' ame,Address and Te.No. Type of Building: Dwelling No.of Bedrooms 3 Lot Size 1-1.372�lsq.ft. Garbage Grinder( © Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow OL� gallons per day. Calculated daily flow .33�5— gallons. Plan Date V/S"/0 Number of sheets�� Revision Date Title 5 5)/)0e 0 r� /A,`..5 Q/,&11 Size of Septic'Tank Type of S.A.S. Description of Soil Nature of Repairs or Alterations(Answer when applicable) Fy 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 Certifi- cate of Compliance has been issued by,t is Bo Lard of Pealth. Signed Date Application Approved by Date /0- 3' Application Disapproved for the following reasons Permit No. Date Issued - THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS Certificate of Compliance THIS IS TO CERTIFY, th t by th On-site Se Disposal System Constructed ( ) Repaired (Upgraded( ) Abandoned( ) ����1 at ���/A_s been constructed in acco}dance with the provisions of Title 5 and the for Disposal System Construction Permit No. a Oo q`S3 7 dated Installer Designer I - The issuance offf this permit shal rot be construed as a guarantee that the sy t m``will fuhtion as dAign.ed... . Date I Inspector No. vy'S3� --------------------- Fee IOU — THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLE, MASSACHUSETTS lwigpool *pgtem Construction permit Permission is hereby gratte t.o_Constrpcl(„ ) ppir Upgrade )Abandon System located at U !//,C/ f' !� and as described in the above Application for Disposal System Construction Permit. The applicant recognizes his/her duty to comply with Title 5 and the following local provisions or special conditions. Provided: Construction must be completed within three years of the date of this e itl�� 'aS Date:_. I -Q " Approved by V TOWN OF BARNSTABLE LOCATION /0641 DCd �c SEWAGE # o2oa5l-,U7 VILLAGE ASSESSOR'S MAP & LOT O S 7-00 S-U':.5' INSTALLER'S NAME&PHONE NO. SEPTIC TANK CAPACITYC- LEACHING FACILITY: (type) ba C (size) NO. OF BEDROOMS BUILDER 0 OWNER �ar�tJ PERMIT DATE: i0-/3-Q y COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Sf 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 �Qar� L�Jia••wrig • d O S-1 b' . O � 3 SENT BY: 6OPTOLOTTI CONST; 5084289300; NOV-3-04 11 :58; PAGE 7'7 i Town of Barnstable Regulatory Services Thomas F.Geiler,Director "Marx" .. Public Health Division Thomas McKean,Director 200 Main Strait,Hyannis,INIA o260I Office: 508-862-4644 Fax: 508-790•6304 Installer& Designer Certification Form a Date- Designer: _ LA)(I 2 Z41Aeerie Installer: rkl c � Address: �CL2r►� Address: o Oil was issued a permit to ik5tal1 a (date) (installer) septic system of_/0 6s based on desi�dragon by (,address)y dated (design I certify that the Septic system referenced above was instal, lad spbstan 'ally according to w' the desiga, which may include minor approved ;hm- ges such ag later ed relocation of Ee distribution lox and/or septic tank_ se.tic I, Y ✓ 1 certif that the ern referenced above F ry� was mstaIl.,d with �.ajor changes (i.e., greater than 1Q' lateral relocation of the SAS or any vertical relocation Hof ary component of the septic system)but in accordance with State &Local Re a*sons'. Plan revision or` certified as-built by designer to follow. ` I �\,SH OF dtiss (Installer's Si n rt) AO AE LA A H c� CIVI No. 30 92 �c FG/STdIp- esigner's S1gFat — (Affix I Yiere) I PLEASE RfiTURN TO 'fl.k .NS'.rAI' Lr, -PUBLIC--HE ALTH IAIVISION. I CERTIFICATE OF COMPLIANCE: WILL NOT BE ISSUED UNTIL BOTH T . S VORNT AND AS- BUILT CARD ARE IZ11:CE7VRD BY T F, RA:RN,STARLE PTTRd.7 �-TH DI"SION. J'k�AIN•K YOU. Q:Tlealth/ScpaciJcsig»er CcrtiLoadon Form I s IL TOWN OF BARNSTABLE LOCATION 1OGJ— �� l "" /5� SEWAGE # e*05/-137 VILLAGE ASSESSOR'S MAP & LOTDS7-00 INSTALLER'S NA &PHONE N ME O.. r � i Co �i � � $ G SEPTIC TANK CAPACITY ����' +' • LEACHING FACILITY: (type) CIA*WAS C3) (size) 1D'Xk'� NO. OF BEDROOMS BUILDER O OWNER )n 1114 PERIvirr DATE: iD-/3-0 COMPLIANCE DATE: l 0 • Separation Distance Between the s.-/- Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility (If any wells exist �— Feet on site or within 200 feet of leaching facility) Edgg of Wetland and Leaching Facility(If any wetlands exist I within 300 feet of leaching facility) Feet Furnished by / �/aGs . - D 0 O 41 - - S-16' 03 f LC TOWN OF BARNSTABLE LOCATION LG T ,+%ham owlc . SEWAGE # VILLAGE 44&fffZkF 4I//1--- ASSESSOR'S MAP 6t LOT INSTALLER'S NAME & PHONE NO. � SEPTIC TANK CAPACITY WV 0 v/t" LEACHING FACILITY:(type) 7- (size) �G NO. OF BEDROOMS PRIVATE WELL OR UBLIC BUILDER OR.OWNER ���'G/1l�✓�f�C lJ-�U G®�'/ . DATE PERMIT ISSUED: DATE COMPLIANCE ISSUED: VARIANCE GRANTED: Yes No [/ 1 _ - ���_ S.- f r f �n ,. 1 ao �y �\� � � i i � � � i ASkSSORiMAP NO: _ Fss...`......::....... ...1.t.__..:� PARCEL NO.: No THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH �Q U'N........OF.........../...`'�Ge/vS%fjF3L� Appliration far Diipuaal Works Tunitru.rtiun Prrutit Application is hereby made for a Permit to Construct ( I/f or Repair ( ) an Individual Sewage Disposal System at: .:! .........pU..T'M�- /..................... /YJ / ....--• - .....---•--...._. .... ............ ...... Locati n•Address or Lod o. •---•- �1_ ..._�JL.p -----•--�....................... . ... .. ..�3 X......�� ......G� .mot !//LC�.--•--- O ner A dres --••----••••--••.......--- 5I ;.................................... Installer Address i dType of Building Size Lot...y 3e__7a. .....Sq. feet Dwelling—No. of Bedrooms..........3..............................Expansion Attic ( ) Garbage Grinder ( ) `4 Other—Type e of Building No. of persons............................ Showers — a YP g ---------•---------•----.... P ( ) Cafeteria ( ) a Other fixtures .......................................... W Design Flow_______________________55......._....gallons per person per day. Total daily flow..........33... ........................gallons. WSeptic Tank—Liquid capacity_(M�!_.gallons Length_h7T:..... Width....__.':__..... Diameter................ Depth................ x Disposal Trench—No. -------•--_.__-•---- Widthrr................... Total Length.................... Total leaching area.....................sq. ft. Seepage Pit No----------`------.._. Diameter....... Depth below inlet.....jP............ Total leaching area..��7......sq. ft. Z Other Distribution box ( t� Dosing tank ) '~ Percolation Test Results Performed byj 1 w... .�' sS ........................... Date....z-z7::$�._..._..... Test Pit No. 1....._?....minutes per inch Depth of Test Pit........ :F� Depth to ground water........................ f� Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ ._...---•- ------•.................---•------------•-------------------------------•--------•-------•----•-------------•---- Description of Soil.---sue.- Z__�. '-.-•---..._._f........�5 O �o l lr S v . `' t'•---•--••-•-••--......--•-•--•-•........................•--...............••-•---------- U ..................................... . ...1. �..:.M. .P. sA iv ��n `.! ....................................................... ----•....--•---------------•••----......_•----••--•-•----•---------•--------•----------••---•-•._...-----------••--•••---•-••-•----••••-••••--------.......---••----------...._.._.......•-•---...------ UNature of Repairs or Alterations—Answer when applicable............................................................................................... ---•--••---•------------------••-----•-•----•••--•••---••-•------------------------................---••---...-•-•--•---------•----............••-•------••---••••-•••••........._..._.._...__.....•--• Agreement: The undersigned agrees to inst the aforedescribed Individual Sewage Disposal System in accordance with the provisions oY-' TLL 5 of the Sanitary Code—The undersigned further agrees not to place the system in peration it rtificate of nce has been issued by the board of health. Signed -••-1--•-- --....... . ... l© � •- PPlication Approved By.. •----••- ----•- Date Application Disapproved for the following reasons:-------••---••••-•-•----•...................•--------------•-•-•••-•-•--••------•----------•---....._........... ..............................•-•-----.............-•-••-----•---•---.......---••----------........•--••-.-••---.............----•-•--------•-----•----•••••••---••-•----------_.._.---••------•-•-.----- ---c Date Permit No......... ..... P__................................_ Issued_ .............. Date Nw e F 5— THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH 7-e'W1V 5;;_/9 1311 t 15- ---------*"**,"- __ ------------------OF............ ................................................................. Appliration for Disposal Works Tonstrurtion Vprrmit Application is hereby made for a Permit to Construct ( L4 or Repair an Individual Sewage Disposal System at: ........................................ ........................ Locate A��g or 11 In Ti�/ 95 ............................. ............................................. . ....................... ...... Ypo�nez Arena 1.4 ................................... . .................................................................................................. ............................................:! 2� Installer Address U Type of Building Size Lot--_---/- "' feet Dwelling—No. of Bedrooms............................................Expansion Attic Garbage Grinder Other—Type of Building ............................ No. of persons............................ Showers Cafeteria 04 Other fixtures ...................................................................................................................................................... Design Flow..........................5.1............gallons per person per day. Total daily flow...........�.3-e.......................gallons. 9 Septic Tank—Liquid capacity_.?�Lgaflons Length.......... Width................ Diameter..._............ Depth................ Disposal Trench—No..................... Width................... Total Length.................... Total leaching area....................sq. Seepage Pit No........I............ Diameter............I.C1.1 Depth below inlet....la...........(4........... Total leaching area..7/ ...sq. ft. Z Other Distribution box (V) Dosing tank Percolation Test Results Performed by.z . . ................... Date......Z_-Z.7....Xk....... Test Pit No. I..... ......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....--......_........... ............ L..... ........................................................................................................................... 0 Description of Soil............ ........................................................................................................ W -7 — _65 ............. .f4z ......t3?__'0P'cC 7 ..................................................... .............*----------- 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 0 the provisions of TITLE 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,b the board of health. L Signed.... ..... .......... ............................................. ................ ............ D I e Application Approved By................................................................................................ ....... ---------- ;W.te Application Disapproved for the following reasons:................................................................................................------------- .......................................................................................................................................................................................................... Date Permit No...... Issued..............................................*......... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ..............741.�'t`�'........OF........ .............................. Qwrfffiratr of Toutpliana THS IS TO CERTIFY, That the Individual Sewage Disposal System constructed or Repaired by....... e"'.)j�/mil-1-4 11 . ........................................................................................................................................................................ Insl;ly 1-41 6- 0&'1-'TA11'9iy4 at .....................................................................7....................................................................................................................... has been installed in accordance with the provisions of TITLE 5 of The State Sanitary Code as described in the application for Disposal Works Construction Permit No.... dated.............t,1D./14.C7A�:&..... THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE............................................................................... Inspector.................................................................................... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ........................ .....OF......... ....................................... No. FRE.. .. .......... Dispos l ']Vorks, Tonstrnrtiott Prrutit Permission is hereby granted............... ... 2�K.014.................................................................................... .......... to Const uq,( �or Rep,.5ire ,aXIndividulal Sewage I)Ap� A.1,5 1W 14 t, S .............. - :7 .................................................................. at No........�1................................ ..../ Street as shown on the application for Disposal Works Construction ................./...................... ..................... ........................ ...................................... Board of Health DATE ....................................... ..................................... FORM 1255 A. M. SULKIN, INC., BOSTON SITE PLAN SHEET l OF 2 SCAL E: / _LoT- t p 6 i y.3 50 177 '�'fO .�DN.700 1 TANK �000Gyrrza P1T �O 00 `mil SET IS U 4 • 1. !RREG/STEREO LANQ„-SURVEYOR FOR1�) �� � � Pvrf, AM AVP, , :.26NE M n T"orJ5 N( i LL,S / MA - PLAN .REF. MAP 57 PAR1" OF PCL.5 DATE �O• Z!c- �,�, t BENCH MARK DATUM `2L)M e WM. M. WARW/CK '8 ASSOC., INC. DOMESTIC WATER SOURCE I-cv)N WAT1p. 8OX ,80/ - NORTH FALMOUTH FLOOD ZONE. MASS. 02556 - (6/7) 563 -26 38 LEACHING QAS/N SECTION NOT TO SCALE Shce,/ yi 24'"C.I MH COVER ! EARTH FILL BRICK AND MORTAR COURSES AS R£0"D• TO BRING 4" - ' COVER TO GRADE INLET 777 +B FLOW L/NE__ 2'-�"TO�'"WASHED PEA STONE- FREE OF IRONS, PIPE • y FINES AND DUST/N PLACE / •.' .'• 'OPENING W/TH 4%B" 1 4' " TO /P2•WASHED CRUSHED STONE FREE OF % OUTER DIAMETER IRONS, FINES AND OUST IN PLACE AND /3/q"INS/DE • ' DIAMETER • I. CONCRETE TO BE 4000 PSI 28 DAYS 2. REINFORCED WITH 6 x 6 NO. 6 GA. W.W.M. ` 3. 2�AND 4' SECTIONS ARE AVAILABLE FOR x / GREATER DEPTH' REQUIREMENTS 40 -s o•" 7- 4. NUMBER OF PITS REQUIRED vtJ MIN. EFFECT/VE DIAMETER NOTE: EXCAVATE TO ELEVATION OR (NOT TO EXCEED 3 TIMES EFFECTIVE DEPTH) LOWER AS REQUIRED 'TO REMOVE ALL WArER TABLE - LOAM AND CLAY BENEATH PIT. REPLACE TYPICAL PROFILE EXCAVATED MATERIAL WITH CLEAN 7 .o GRAVEL TO DESIGNED GRADE. P /B STD. LT. WGT. C.I.MH COVER 4""C.L P/Pf 4''8/T.F/BER PIPE j DWELLING FLOW LINE TIGHT JOINT OUTLET LEVEL - TO FIRST JOINT ,- --•r, y 001 O O C I. TEE / G 5 7.f-p 1 1 1 1 0 lO 0 1 1 ST , PRECAST CONC. 10 0 O 0 0 1 1 1 I ; a0AL.SEPTIC TANK 67 D/ST. BOX TO BE y ' ( 000 O 0 1 1 I I ' INSTALLED ON LEVEL, 1 11 100 00 0 1 1 I I STABLE BASE 1 11 000 00 0,1.1 1 ',SEPTIC TANK TO•BE 1 i 1 100 0 O 1 1 i I 111 000 00 1 1 1 INSTALLED ON LEVEL, 111 1001 00 1 1 i STABLE BASE. 1 1 1 0 0 0 00 1 1 1 � 11100 001111 LEACHING BASIN , if p O I 00 0 1 1 , Y BASE TO BE LEVEL i 1 1 010 1 I , i el. , SOIL AND PERC. DATA pGj(oofc' PERC. RATE MIN. /IN. 0,� TEST PIT NO. I O,� TEST PIT NO. 2 _ TEST.BY �uG 1+e�L D a l WITNESSED. BY: ML KKr_-A•fQ A4r,,1. 9A--�U0 TEST PIT OR. EL. r(Ac1✓ 6r[ZAv6L DATE: 2- Z7- 25(2, �2, el • l�o DESIGN DATA GENERAL NOTES 1 BEDROOMS 3 NO HEAVY EQUIPMENT TO RUN OVER SYSTEM. DISPOSAL- Nd SEPTIC TANK, DIST. BOX AN LEACHING BASINS TO BE STANDARD EST, TOTAL DAILY EFFL��GPD• PRECAST REINFORCED CONCRETE UNITS. SEPTIC TANK tc©lZf GAL. ALL SYSTEM COMPONENTS SHALL BE INSTALLED IN ACCORDANCE SIDEWALL 'AREALfGAL./SQ.FT.. TO REVISED TITLE 5 OF THE STATE ENVIRONMENTAL CODE, MINIMUM REQUIREMENTS FOR THE' SUBSURFACE DISPOSAL OF BOTTOM AREA I �� GAL./$Q.FT.. SANITARY SEWAGE EFFECTIVE ON JULY 11 1977. LEACHING REQUIRED 1 72SQ.FT.. ANY CHANGES TO THIS PLAN MUST'BE APPROVED BY THE BOARD ACTUAL LEACHING AREA OF HEALTH. 2-c-47 qQ.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. "MA4 !t110F AfffA MARTIN � SEWAGE DISPOSAL SYSTEM E. FOR'- PJ A '-f `) 1 D e- P2L I MORAN .o .p 1234171Q GG _ Lq T P C-) T PJ A M V AMA s'ONAL EN �- `�� SCALE AS /NOICAT£D DATE- I o - WM. M. WARWIC/Y 8 ASSOC., INC, 8OX 801 - -NORTH FAL MOUTH . PROFESSIONAL ENGINEER MASS. 02556 - (617) 563 -263' r TOWN OF BARNSTABLE LOCATION GG T S" �jj-/��,rrt SEWAGE # �' VILLAGE ,Ll&fS j(7/�j �11 ASSESSOR'S MAP LOT INSTALLER'S NAME & PHONE NO r Sin SEPTIC TANK CAPACITY /67)0 . v ' LEACHING FACILITY:(type) /j5,ACA fj j' (size) f NO. OF BEDROOMS 3' PRIV.4TE WELL OR UBLIC BUILDER OR OWNER DATE PERMIT ISSUED: AN !r, AP DATE COMPLIANCE ISSUED: VARIANCE GRANTED: Yes No Y I n� / APPLICATION FOR PERCOLATION TEST AND OBSERVATION PITS LOCATION G.07" D/� 1�aSr /�n � 28�D��e vrivq NO. VILLAGE /`/�i'�l�gy�C �/,/ DATE Z-Z7r-ed' APPLICANT c _ ;1si•�c= � yi�o'�t11� �-o, FEE / (Non-refundable) ADDRESS �?a. Bek g� �iZ�Zyi`E-� �'lA TELEPHONE NO. 771 dfs'SS� ENGINEER _TELEPHONE NO. DATE SCHEDULED z-Z7 - (Applicant" s- signat, e) i • • • • e • • • • • • • • • e • • • • e • • • • • e • • • • o o • • • • • • • o • • • O • • • e • • • • o 0 0 0 • • • • • e • o • d,. • • • • • o • • • • • ASSESSOR'S MAP & LOT NO: ovror mAr57 rCL, 15- SOIL LOG SUB-DIVISION NAME DATE_ -a 7- S(v TIME GJ 3y A EXPANSION AREA: YES ✓ N0� U�M, Vj 0,Yyi L`� + �V55oc ENGINEER TOWN WATER ✓PRIVATE WELL `r, MC 14,eeL BOARD OF HEALTH r(5Got( EXCAVATOR SKETCH:. (Street name, etc. ,dimensions of lot, exact location of test holes and percolation -tests, locate wetlands in proximity to test holes ) NOTES : 30�• 3 8` C �0 _ Y G PERCOLATION RATE: TEST HOLE NO: E EVATION: TEST HOLE NO: ELEVATION: 1 j �1711 2 2 3 1 3 4 4 5 5 6 li 6 7 7 8 8 9 a 9 10 .� � �'�� 10 11 11 1 12 h0 12 1i 113 13 14 14 15 15 16 16 SUITABLE FOR SUB-SURFACE SEWAGE: LEACHING FIELD LEACHING PITS-- LEACHING TRENCHES UNSUITABLE FOR SUB-SURFACE SEWAGE . REASONS : NOTE: ENGINEE'RING -PLANS MUST SHOW NUMBER ASSIGNED ON PERC TEST APPLICATION ORIGINAL: COMPLETED IN ENTIRETY BY P . E . AND RETURNED TO BOARD OF HEALTH COPY: RETAINED BY APPLICANT HIL 5 0 v 0 0 LOCUS CPm LOCATION MAP NTS Y ASSESSORS MAP 57 PARCEL 5-5 +70,25 / P ' / P ' P +70 +71.54 O ' +71.30 7 7 83 0 86\ +\7 5 N / 71.02 �71.31 \ \ GAS S.O. \ I� 70.57 70.2 0.96 / li,L 69. L \ 0.96 F 69\?1 :,F 67.99 W �g-g4'�68,48 , 1 p 69.41\ \ -68.25 7 0,31 69.30 \ C� 8.68 Cb1 9� 69.13 Ae 68.86 \ `0 ll � f 3, 69.08 TH \ 68,89 \ 28 s/�C\ 69,01 68.75 86��5 k IST. ST 69.1 9.02 4 9� 9,16 p ( E-USE) '9.02 7 70.0 7.3 69.18 GAS METER 66.4469 814 68.97 SEPTIC ASBUIL T \ � EXIST DWELL 8,93 TOP FNDN = 69.7' \\ol j OF 1065 OLD PUTNAM AVENUE IN THE TOWN OF: 69,01 ( MARSTONS MILLS) BARN STABLE CA \\PATIO \\ PREPARED FOR: ROBERT MARKS 00. BENCHMARK: USE CORNER \ / 20 0 20 40 60 OF CONCRETE LANDING AT \ ELEVATION 70.0' V/ HOARD OF HEALTH MA APPROVED DATE SCALE: 1 20' DATE: OCTOBER 29, 2004 LOT 5 off 508-362-4541 fox 508 362-9880 m 43724t SF H of rrgss 0r/4q ARNE c�a down en cape engineering, inn. o� ARNEH P b° g� �� OJALA H. CIVIL. LA CIVIL ENGINEERS N . s07 0 LAND SURVEYORS A °� °'� A' L f S/ONAI_Eaa SUR �° t y 04— 1 9 _ 939 main st. yarmouth, ma 02675 ARNE OJALA, P.E., P.L.S. DATE