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0058 REDBERRY LANE - Health
158 Redberr_y-Lane r. Marstons Mills P ' --— - A = 047 096008 y. TOWN OF BARNSTABLE LOCATION 58 c,,16crr-u L.J SEWAGE# ZOZO- 1 ZZ VILLAGE fr), m;1 15 ASSESSOR'S MAP&PARCEL 4t1- 96- INSTALLER'S NAME&PHONE NO. Q 3 EXCQL gA i Ors y1'7-OLS3 SEPTIC TANK CAPACITY 000 U LEACHING FACILITY:(type) SpnpQQJ L jc C2) (size) 13 ot 2S x Z '. NO.OF BEDROOMS OWNER i..M PERMIT DATE: y-Zq- 20 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) Feet FURNISHED BY O d At-33 $" 81- 13 C3- Gy f AZ"39 ' F'ron'1 By- &o $ �Z. Islo TOWN OF BARNSTABLE LOCATION 5g RcAS--rri, t-,.) SEWAGE# ZOZO - 122 VILLAGE in, fn P 115 ASSESSOR'S MAP&PARCEL 4-1- INSTALLER'S NAME&PHONE NO. >E 3 EXCoLua-A j 0^ 441'7.C)Z S- SEPTIC TANK CAPACITY i u c ci LEACHING FACILITY:(type) S q1 yc C2) (size) 13 n 2S x 2 NO.OF BEDROOMS OWNER v ; PERMIT DATE:A-Zq. 2.O 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 Of any wetlands exist within 300 feet of leaching facility) Feet FURNISHED BY O � 0 s S A f ' Al-33 S" = 81- 13 C3- Gy ' A V 39 � Fro mi $y- G°1$N c $Z. 1%10 cy " G8' r T � r No. 1/�[.i Feet( THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes ftpliLation for Bisposal 6pstem ConstCULtion permit Application for a Permit to Construct( ) Repair(✓) Upgrade( ) Abandon( ) ❑Complete System [JJ Individual Components Location Address or Lot No. 5,9 Redberry Lo r,0 Owner's Name,Address,and Tel.No. b o,r r_; Cie r v o:,S Assessor's Map/Parcel y q�, _ 8 S% Rtd ba,rry Loann. Installer's Name,Address,and Tel.No. G�a 'tA co vo kk o m Designer's Name,Address,and Tel.No. Down Ca Pe fC,rUY. 3�y 900 rr, 130 Sandk ,o, To%. q11. 0(053 939 Moa"n SE. Urtnoo+ti orb 50a- 3co2• N541 Type of Building: Dwelling No.of Bedrooms 3 Lot Size W3,66 g sq.ft+/ Garbage Grinder(No) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) 3,50 gpd Design flow provided 3 M q gpd Plan Date (Y)Ar Lt, - 13 • 2 0 Z o Number of sheets 1 Revision Date Title Size of Septic Tank lcxis\-+nw IOUo TypeofS.A.S. tZ) So0 qa\\an Ckccyl erS Description of Soil SRe p\an s Nature of Repairs or Alterations(Answer when applicable)Add n e,j ' SAS"o,'d Ci-boX +o Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of Compliance has been issued by this Board of Health. Siane Date , , 22 7.o Application Approved by Date Application Disapproved by Date .41 for the following reasons Permit No. Z C) .(� (Z Z Date Issued Z 7� Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: /Io PUBLIC HEALTH DIVISION - TOWN OF',BARNSTABLE, MASSACHUSETTS Yes J -lication for V osal 6pstem Construction Permit Application for a Permit to Construct( ) Repair(✓) Upgrade( ) Abandon( ) ❑Complete System Individual Components Location Address or Lot No. 58 R e d b a- Lore,. Owner's Name,Address,and Tel.No. S}to r c vV,v o,,S rnc\4 ofvS rn,tI S Assessor's Map/Parcel 141 / cl t, - % S 1� c r�,) L c,rN e Installer's Name,Address,and Tel.No. Q) cc s c a,,a : Designer's Name,Address,and Tel.No. Dow, C c=(=e t ny -.--• 31II Ao.)ke 130 Scar1d',,cM 1So8 14'1-7 (Jto;.3 ��q mA,n S!. lCk(m00+iV:)0rf Sot- '161- c1S-cl1 Type of Building: Dwelling No.of Bedrooms 3 Lot Size 4'>,Iy $ sq.ft_*4 Garbage Grinder(1.,,,) t Other Type of Building No.of Persons Showers( ) Cafeteria( ) 4 is Other Fixtures Design Flow(min.required) G gpd Design flow provided 3`I c{ gpd Plan Date Mrl cc.I-N ' 3 Z o Number of sheets Revision Date Title :. Size of Septic Tank q_y,, ,n c., I O U o Type of S.A.S. } �700 Description of Soil S e plC ) _ x Nature of Repairs or Alterations(Answer when applicable) A06 n t w 40 p X,°,�,� �c•nk = r, Date last inspected: Agreement: .f The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of Compliance has been issued by this Board of Healthy Signed / ` 7C JC Date ( �Z- �20 Application Approved by Date �41,7_wz o Application Disapproved by �X Date for the following reasons Permit No. /_(:)7() '" ` Y Date Issued �1� 24 1 zoo-D' --------------------------------------------- ----------r - - - ---------' - -- - ' '----------------------------------------------- THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE,MASSACHUSETTS (Certificate of compriante s a THIS IS TO CERTIFY,that the On-site Sewage Disposal system Constructed( ) Repaired(V) Upgraded( ) Abandoned( )by f?33 Pa Yxec,,,rk,or, Inc. at S has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No.?QU-12?_dated a!1t 2.q Zp ZV Installer 3 C5 9_ c a.4n rt <n c Designer bow, c c f,e (7 or". #bedrooms 3 Approved design flow *33 LI gpd The issuance of this permit shall not be construed as a guarantee that the system will fu�hctilL as designed. , Date C 4f Et Inspector ----------- ------ --- - - No. 2E)?,o — i??-- Fee /W THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION-BARNSTABLE,MASSACHUSETTS Misposal 6pstem Construction permit Permission is hereby granted to Construct( ) Repair(,/) Upgrade( ) Abandon( ) System located at 5`6 l,n, f-Y)w Sko n', / „` and as described in the above Application for Disposal System Construction Permit. The applicant recognized his/her duty to comply with Title 5 and the following local provisions or special conditions. Provided:Construction st be completed within three years of the date of this,permit. Date Z��7,07-0 } Approved by i Town of Barnstable Inspectional Services Public Ifealth Division i xsarttrra>3ss, � Thomas Mclean,Director 160 Main Street,Hyannis,MA 02601 Office, 508-862�4644 tax: 50$-79:0-..63tD4 Installer &Designer Certification Form Dater7. 7 Sewage Pcrmit#"ro0- Aseessor s Map1I'arcel Designer: 01A14 a tht Installer: " GG4 VQ' t` , In 6. AtI`tIt$Ss: W Address-. `? Nib d2 On jq-�0?D } 3 C���'°'t �was issued a permit to install a � (date) (installer} � septic system.at based on a design drawn by d'dress` 0 dated esl ter .I certify that the septic system referenced above was installed substantially according to the design, which znay include minor,approved changes such as lateral relocation of the distribution box and/or septic tank, Strip out (if,required) was inspected and the soils were found satisfactory. I certify that the septic system referenced above was installed with major changes (Le. greater:thazz 10, lateral relocation of the SAS or any vertical relocation of any component of the.septic system)but.;in-accordance with State&Local.Regulations. Plan revision or, } certified as-built by designer to follow. Strip:out(if required)was inspected and the soils were found satisfactory. I certify that.the system referenced:above was constructed in comp,, ce with the to runs of t 3 tha AA approval letters.(if xpp[cable) F .r ,„ ,p r ttt t rsigner's Signature} (A fix.Desine 's�tunp Here) PLEASE RETURN TO BARNSTABLE PUBLIC I EALTH DIVISION. CERT1F1CATE OF OQIVIiP`3[, A[' C ILL T BE I i3EDl UNTIL.BOTH THIS FtJItM AND A U L'I" J2b ADZE E YVIEII Y Ti E BARNSTABLE PU LIB`HIvAL FH DIVISION. � 1. T O . `itoaldcpisiHEAli,'1k{ISiW t2:cantseclSEPTICIiiesgnerCertiticatianFnrmRcv:l3.Y4-13,00C i. � YN OF.BARNSTABLE ✓ "� LOCATION VoY i°i SEWAGE VILLAGE \Na vl,\�S ASSESSOR'S MAP & LOT INSTALLER'S NAME & PHONE NO. Nle-xalf, 00,0�T _ -7-7t -YIZA_ SEPTIC TANK CAPACITY • -1, o © b 1 � LEACHING FACILITY:(type) V 11" (size) C NO. OF BEDROOMS PRIVATE WELL OR fUBLIC WATik`--) Nli � s B ILDER OR OWNER DATE PERMIT ISSUED: DATE COMPLIANCE ISSUED: 3LI q L VARIANCE GRANTED: Yes No �/ ► 13 3P�,t .� •----� 41 � � THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH 7-cv vV^1 .................. .................... ..................... Appliration for Phipaiial Works Tonotrurtion V&mit Application is hereby made for a Permit to Construct e5'or Repair an Individual Sewage Disposal System at: 7 I.......) ..................4!6...J2....... ..Z./ ........... Localion-Address or T4 11, 0— PH ..................... ------ ....................... .... ......................... .......... ..... Owner Address ' ......... ........... or........=Ile ..........................................................ins r Address Type of Building Size Lot........... ................Sq. feet U Dwelling—No. of Bedrooms..............�3.........................Expansion Attic (r� Garbage Grinder- 4 ...... (0 P4 Other—Type of Building ...J......F' ... No. of persons............................ Showers._(-�— Cafeteria-tr 44 Other fixtures ------ ----------- -Design Flow...............................r ........gallons per person per day. Total daily flow.......... Ras?1:4 ...._..........gallons. —L f1_.1 CP-Septic Tank—Liquid capacity.) Length.18.,J.". Width. ... ....... Diameter................ Depth.,!C.t. Disposal Trench—No. -----------_------ Width. .................. Total Length.................... Total leaching area....................sq. f t. Seepage Pit No.........I.......... Diameter...... ........ Depth below inlet.....6... .. Total leaching area...Z.jPL.sq. ft. ZOther Distribution box Dosing 04 rtaf�, . , r Percolation Test Results Performed by........................... _..) e...... Date....... Test Pit No. 1_44._:��.minutes per inch Depth of TZt Pit. ..............., Depth to ground water.... Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground wat ............................................................................................................................................................. 0 Description.of Soil......./.X).t V rV7 TO C 10 00:t ----------------------------------*----------I'll........ ..............................t.............................................................................................. U ...........................................................F . ....................................................................................................................................................................................................... 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 TL I TL LE 5 of the State Sanitary Code—.The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been i95 ed by the board of health. d. e ....:��............X........ .. ..SW,ne- .......................................... ---- Application Approved By......... ../2p............................................. ...................... at,re ------ Application Disapproved for the following reasons:.............................................................................................................. ......................................................................................................................................................................................................... Date Permit No........................__........................ Issued............ .......... --------------------------------------------------------------------------------------------------------------------------- ---- No.._ .... Fics THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ........ ............................ Appliratiun for Disposal Works Tonstrurtiun Frrmi# Application is hereby made for a Permit to Construct ( --)or Repair ( ) an Individual Sewage Disposal System at: 7-2 ....:...........______................. •-......... ........::...................- ---....- ---....._.........- •----...-------•--....._.............._.._......._.._. LT ion-Address or Lot N^ -- Ownez Address a f"f h �/ C Cam` /•-. :..:. .........................................' ...... -•-^•----•---....•-••-•--•--•-•............�................. I ............ Installer Address Type of Building Size Lot..........-a'`�_ _ ..66 �._Sq. feet U Dwelling—No. of Bedrooms............. ...:....................Expansion Attic Garbage Grinder-()— a Other—Type of Building ....I.._....�....... .. `�... No. of persons..........�?.............. Showers-(--) Cafeteria {�'�r d Other fixtures ...._.._. W Design Flow........................:_ . .........gallons per person per day. Total daily flow............. ... ......................gallons. „ WSeptic Tank—Liquid capacity.!.SA f�gallons Length.... a..... Width..'`_:.``�. Diameter................ Depth:::....:d...... x -.pisposal Trench—No. .................... Width.................... Total Length.................... Total leaching area...................sq. ft. 3 Seepage Pit No..........I.......... Diameter.......5......... Depth below inlet.....('a............ Total leaching area....... ft. Z Other Distribution box ( �.)'" Dosing tartly( '" Percolation Test Results Performed by._-..( ..`'3 : .: � ...!� Date...... ..` ?., a .•• • •••••. ..._.....- ..a Test Pit No. 1...4K.... .minutes per inch Depth of T6st Pit.. :- . Depth to ground water..._1... ri.. .._. 44 Test Pit No. 2................minutes per inch Depth of Test Pit................_:. Depth to ground water- _� ..- .. ...... O Description of Soil....... 01 7._5�.....�.�?i�..�_�:-�.��... ��7 -7/c�......................................... � W •...................•-•...•--•••••--....--••--...._...... _..... ?..?..Z ..7 ........`....-.........-••--...-••-•--•••-•...-----•••.. ---------........•.....................-••---......- ..---•-•---•-----------------------•----------------•---------------..•...................----•--•------........---•-----•--•-•----•--.....----._...................---•-----.........•--•••......---•-- 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 Sanitary Code—.The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been issued by the board of health. - D ate Application Approved By........ .......................•-•••••. Date Application Disapproved for the following reasons:..........................................................................................................--- .........................•------•------•----•-•------•--•-----------•-----•-------------......-----------......................................•.....................................................__ _ Date Permit No........................ j......_.._ Issued.........--..t. � G �-ate-=� �---------._ THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ©VVIV OF....... ............................. (In if iratr of (fumpliaurr THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed (� Repaired ( ) by.......? `_......`.....`.` ..'�...---.-'•-� / -` ...................................-----------•.....-----........................•................... __.._ 7— at _ Installr •-•-••.:U...�..... .........I.......:`- .......... ..� .�%'.................................................... ...- 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....S��........ dated..........�f.� ........... THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION (SATISFACTORY. DATE...........................••--�-- 1..:.`..�.................... Inspector...................... ..........................-.............. THE COMMONWEALTH OF MASSACHUSETTS r BOARD OF HEALTH NolC:....2 .....--•••-•....................................................................... Fa$......1...`�.a.`Y ` . ` ]RIiu�ruual Works Tuns#rur#iun remit Permission is reby granted--- '` ' � )-7 ZT. %' :- - to Construct ( r Repair (� an Individual Sewage Disposal System -••••-••-�~~� at No......�t .. ....%....... ........ - -- == = y -.. :.:?.%" '� ... - '� f ...._..'.'..:_7.' .. :::r......-•-- Street as shown on the application for Disposal Works Construction Permit No..: ..2.`.75 Dated.........I /j i j�?_'.�......... .�K_. ....................................... .-- Board of Health DATE................................•--...........------...•--•-..............--- FORM 1255 A. M. SULKIN, INC., BOSTON OF BARNSTABLE " LOCATION :cry" kcr ��R �l!& aA.-t Lt.. SEWAGE VILLAGE \�y tinA L ASSESSOR'S MAP LOT INSTALLER'S NAME & PHONE NO. Hltxey `Yl Z6 SEPTIC TANK CAPACITY 11600 LEACHING FACILITY:(type) . V %I— (size) NO. OF BEDROOMS PRIVATE WELL OR.OBLIC WATER B IL ti , OR OWNER , L E DATE PERMIT ISSUED:: 3lg l�L DATE COMPLIANCE ISSUED: 3L/ Z VARIANCE GRANTED: .Yes No V i 3�rb 4S' � . � a I COMMONWEALTH7����.OF lriti.aSACHUSETTS EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS i DEPARTMENT OF ENVIRONMENTAL PROTECTION RECEIVED SEP 0 4 2003 TOWN OF BARN: ?ABLE 'TITLE 5 HEALTH DEi�T. OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM FORM PART A CERTIFICATION Property Address: 58 Redberry Lane Marstons Mills MAR __ Owners Name: Inder Dadlani Owner's Address: PARCEL ,' LOT a Date of Inspection: —3 Name of inspector:(please print)_wi;1 1 i am E_ . Robinson sr. ® —7 Company Name: William E. Robinson Septic Service MAP Mailing Address: P O Box 1089 Centerville. MA PARCEL 7 �� �� _ n ® Telephone Number: (508) 775-8776 LOT `• CERTIFICATION STATEMENT I certify that 1 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 toion 15.340 of Title 5(310 CMR 15.000). The system: Conditionally Passes Needs Further Evaluation by the Local Approving Authority Fails Inspector's Signature: Z-6i L Date. The system inspector shall submit a copy of this inspection report to the Approving Authority(Board of HeaRh 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 die DEP.The original should be sent to the system owner and copies sent to the buyer,if applicable,and the approving authority. Notes and Comments ****This report only describes conditions at the time of inspection and under the conditions of use at that time.This inspection does not address how the system will perform in the future under the same or different conditions of use. Title 5 Inspection Form 6/15/2000 page I r t Page 2 of 11 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION(continued) Property Address: 58 Redberry Lane Marstons Mills Owner: Tnder Dadlani Date of Inspection; Inspection Summary: Check A,B,C,D or E/ALWAYS complete all of Section D A. Syte Passes: I 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: J ® l B. System Conditionally Passes: One or more system components as described in the"Conditional Pass"section need to be replaced or reps' d.The system,`upon completion of the replacement or repair,as approved by the Board of Health,will pass. Answe yes,no or not determined(Y,N,ND)in the for the following statements.If"not determined"please explain e septic tank is metal and over 20 years old'or the septic tank(whether metal or not)is structurally unsoun exhibits.substantial infiltration or exfiltration or tank failure is imminent.System will pass inspection if the existing ank is replaced with a complying septic tank as approved by the Board of Health. •A meta septic tank will pass inspection if it is structurally sound,not leaking and if a Certificate of Compliance indicatir g that the tank is less than 20 years old is available. ND expl in: bservation of sewage backup or break out or high static water level in the distribution box due to broken or obstru pipe(s)or due to a broken,settled or uneven distribution box.System will pass inspection if(with approv of Board of Health): broken pipe(s)are replaced obstruction is removed distribution box is leveled or replaced ND xplain: The system required pumping more than 4 tines a year due to broken or obstnxted pipe(s).The system will pass in pection if(with approval of the Board of Health): broken pipe(s)are replaced obstruction is removed ND explain. r i Page 3 of 11 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION(continued) Property Address: 58 Redberry Lane Marstons Mills Owner: Inder Dadlani Date of Inspection: y- 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 fail g to protect public health,safety or the environment. 1. stem will pass unless Board of Health determines in accordance with 310 CMR 15.303(1)(b)that the s tern 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 2. Syste will fail unless the Board of Health(and Public Water Supplier,if any)determines that the system is f nctioning in a manner that protects the public health,safety and environment: _ T e 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. e system has a septic tank and SAS and the SAS is within a Zone I of a public water supply. — T e system has a septic tank and SAS and the SAS is within 50 feet of a private water supply well. e system has a septic tank and SAS and the SAS is less than 100 feet but 50 feet or more front a priv a water supply well•• Method used to determine distance '• is system passes if the well water analysis,performed at a DEP certified laboratory,for coliform b teria and volatile organic compounds indicates that the well is free from pollution from that facility and e presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm,provided that no other ilure criteria are triggered.A copy of the analysis must be attached to this form. 3. Othe Vv 3 f Page 4 of 1 i OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION(continued) Property Address: 58 Redberry Lane Marstons Mills Owner: Inder Dadlani Date of Inspection: D. stem Failure Criteria applicable to all systems: You m st indicate'yes"or"no"to each of the following for all inspections: Yes N Backup of sewage into facility or stem component due to overloaded or clogged SAS or cesspool P g Y Y P gg P _ 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 iquid depth in cesspool is less than 6"below invert or available volume is less than'/,day flow egtiired pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s).Number f times pumped y portion of the SAS,cesspool or privy is below high ground water elevation. y portion of cesspool or privy is within 100.feet of a surface water supply or tributary to a surface •ater supply. y portion of a cesspool or privy is within a Zone I of a.public well. y portion of a cesspool or privy is within 50 feet of a private water supply well. y portion of a cesspool or privy is less than 100 feet but greater than 50 f ct from a private uatrr j pply well with no acceptable water quality analysis. (This system passes if the well water analysis, rformed at a DEP certified laboratory,for coliform bacteria and volatile organic compounds dicates that the well is free.from pollution from that facility and the presence of ammonia trogen and nitrate nitrogen is equal to or less than 5 ppm,provided that no other failure criteria e triggered.A copy of the analysis must be attached to this formao)The system fails. I have determined that one or more of the above failure criteria exist as scribed in 310 CMR 15.303,therefore the system fails.The system owner should contact the Board of ealth to determine what will be necessary to correct the failure. E. urge Systems: To be considered a large system the system must serve a facility with a design now of 10,000 gpd to 15,000 gPd- You mu indicate either"yes"or"no"to each of the following: (The foil wing criteria apply to large systems in addition to ttte criteria above) yes no _ _ th 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 yste.m is located in a nitrogen sensitive area(Interim Wellhead Protection Area—IWPA)or a mapped Zon 11 of a public water supply well If you have an Bred"yes"to any question in Section E the system is considered a significant threat,or answered "yes"in Sectio D above the large system has failed.The owner or operator of any large system considered a significant thre t under Section E or failed under Section D shall upgrade the system in accordance with 310 CMR 15.304.The sys em owner should contact the appropriate regional office of the Department. 4 ' Page 5 of 11 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B CHECKLIST Property Address:_ 58 Redberry Lane Marst-ons Mills Owner: TndPr Darll ani Date of Inspection: -7 o 0 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? P 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 thebaffles or tees,material of construction,dimensions,depth of liquid,depth of sludge and depth of scum? L/ Was the facility owner(and occupants if different from owner)provided with information on the proper maintenance of subsurface sewage disposal systems? The size and location of the Soil Absorption System(SAS)on the site has been determined based on: Yes .no Existing information.For example,a plan at the Board of Health. _ Determined in the field if an a ' approximation d'_ ( y of the failure criteria related to Part C is at of distance is unacceptable)[310 CMR 15.302(3)(b)) 5 1 Page 6 of 11 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM.INFORMATION Property Address: 58 Redberry Lane Marstons Mills Owner: Inder Dadiani Date of Inspection: FLOW CONDITIONS RESIDENTIAL Number of bedrooms(design):. 3 Number of bedrooms(actual): DESIGN flow based on 310 CMR 1).203(for example: 110 gpd x#of bedrooms): Number of current residents: Awb Does residence have a garbage der(yes or no): Is laundry on a separate sewage system(yes or no):dLU[if yes separate inspection required] Laundry system inspected(yes or no):A o Seasonal use:(yes or no): A,v Water meter readings,if available(last 2 years usage(gpd)): 2 0 01 -9 0, 0 0 0 Sump pump(yes or no):A--d 2 0 0 2-81 ,0 0 0 Last date of occupancy: 4� COMM5 CIAL/INDUSTRIAL Type of es blishment: Design flo (based on 310 CMR 15.203): gpd Basis of d sign flow(seats/persons/sgft,etc.): Grease tr present(yes or no):_ Industrial waste holding tank present(yes or no):_ Non•san' waste discharged to the Title 5 system(yes or no):_ Water ter readings,if available: Last da of occupancy/use: OTHE (describe): GENERAL INFORMATION Pumping Records d Source of information: Was system pumped as part of the inspection(yes or no):A—U If yes,volume pumped:__gallons--How was quantity pumped determined? Reason for pumping: TY 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/Altemativc technology.Attach a copy of the current operation and maintenance contract(to be obtained from system owner) _Tigbt tank Attach a copy of the DEP approval _Other(describe): Approximate age of all components,date installed(if known)and source of' formation: Were sewage odors detected when arriving at the site(yes or no): lam- D 6 Page 7 of I 1 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address:_ 58 Redberry Lane Marstons Mills Owner: Inder Dadlani Date of Inspection: —;L't— BU1L ING SEWER(locate on site plan) Depth b low grade: Materia s of construction:_cast iron _40 PVC_other(explain): Distant from private water supply well or suction line: Comm nts(on condition of joints,venting,evidence of leakage,etc.): SEPTIC TANK: (locate on site plan) Depth below grade: 1 d L Material of construction:zAcrete_metal fiberglass_polyethylene —other(explain) If tank is metal list age:_ Is age confirmed-by a Certificate of Compliance(yes or no):_(attach a copy of certificate) b r Dimensions: Sludge depth: Distance from top of sludge to bottom of outlet tee or baffle: _ Scum thickness: �t—rr, Distance from top of scum to top of outlet tee or baffle: Distance from bottom of scum to bottom of outlet tee or baffle: How were dimensions determined: © y Z.a t,Z Comments(on pumping recommendations,inlet and outlet tee or baffle conditicn,structural integrity,liquid levels as related to outlet invert,evidence of leakage,etc.): /L GREASE RAP:_(locate on site plan) Depth belo grade:— Material of nstruction:_concrete_metal_fiberglass_polyethylene other (explain): Dimensions: Scum thickn ss: Distance fro top of scum to top of outlet tee or baffle: Distance fro bottom of scum to bottom of outlet tee or baffle: Date of last pumping: Corttment (on pumping reconunendations, inlet and outlet tee or baffle condition,structural integrity, liquid levels as related o outlet invert,evidence of leakage,etc.): 7 Pagc 8 of 11 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C li SYSTEM INFORMATION(continued) Property Address: 58 Redberry Lane Marstons Mills Owner: Tnder Dadl ani Date of Inspection: 6t A2 O TIGHT or HOLDING TANK/ncretc (tank must be pumped at time of inspection)(locate on site plan) Depth below grade: Material of construction: metal fiberglass_polyethylene other(explain): Dimensions: Capacity: allons Design Flow: gallons/day Alarm present(yes or n : Alarm level: Alarm in working order(yes or no): Date of last pumpin . Comments(condi ' n of alarm and float switches,etc.): DISTRI13UTION BOX:Z(irprcscnt must be o ened locate on site aP )( plan) Depth of liquid level above outlet invert: Comments(note if box is level and distribution to outlets equal,any evidence of solids carryover,any evidence of leakage into or out of box,etc.): PUMP CHANIBE (locate on site plan) Pumps in workin order(yes or no): Alarms in wor g order(yes or no): Comments(n a condition of pump chamber,condition of pumps and appurtenances,etc.): 8 Page 9 of I I OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 58 Redberry Lane Marstons Mills Owner: TndPr Dadl ani Date of Inspection: j SOIL ABSORPTION SYSTEM(SAS):Zoocate on site plan,excavation not required) If SAS not located explain why: Type r , leaching pits,number:_ leaching chambers,number: leaching galleries,number: leaching trenches,number,length: leaching fields,number,dimensions: overflow cesspool,number: innovative/altemative system Type/name of technology: Comments(note condition of soil,signs of hydraulic failure,level of ponding,damp soil,condition of vegetation, etc.): , CESSP ' LS: (cesspool must be pumped as part of inspect ion)(locate on site plan) Number an configuration: Depth—top f liquid to inlet invert: Depth of sol s layer: Depth of scu layer. Dimensions o cesspool: Materials of c nstruction: Indication of oundwater inflow(yes or no): Comments(n a condition of soil,signs of hydraulic failure, level of ponding,condition of vegetation,etc.): PRIVY: (locate on site plan) Materials of onstruction: Dimensions: Depth of soh s: Comments( ote condition of soil,signs of hydraulic failure,level of ponding,condition of vegetation,etc.): 9 Page 10 of I I OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 58 Redberry Lane Marstons Mills Owner: Inder Dadlani Date of Inspection: SKETCH OF SEWAGE DISPOSAL SYSTEM Provide a sketch of the sewage disposal system including ties to at least two permanent reference landmarks or benchmarks.Locate all wells within 100 feet.Locate where public water supply enters the building. 13 to Page 11 of 11 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 58 Redberry Lane Marstons Mills Owner. Inder Dadlani Date.of Inspection: ?— o 3 SITE EXAM Slope Surface water Check cellar Shallow wells i Estimated depth to groundwater v`Z`S feet Please indicate(check)all methods used to determine the high ground water elevation: Obtained from system design plans on record-if checked,date of design plan reviewed: Observed site(abutting property/observation hole within 150 feet of SAS) ,/Checked with local Board of Health-explain: t 6 C .+e-1 Checked with local excavators,installers-(attach documentatio ) Accessed USGS database-explain: You must describe how you established the high ground water elevation: 10 G 07J. yp 3 l � 11 ������Q ��.5�►�e..vti >�`�y"►�p_t�l-_ _N.o^l'nn��.. �t ��,r G� ��'� r�Gt,1 i_ __ CS a� 90 a2g S E Yc f i /' I ij I ► : 1 j; 30' I 1 W r �XS r j j J _ k � i 4 J I ay y ' Fie No. 04-1 1-17-01 SKETCH ADDENDUM t3o—aowrer Gervais Address 58 Redbeny Lane Marstons Mills cam Barnstable score MA 4cocie 02648 Lender oraierrt Eastern Atlantic Mortgage Co. V Bath BedRm 2B BFn Deck z 30 Second Fbor BedRm Living Room T /0 V a 8cip Kitchen O 30 First Rm -z: S Living Are Fist Fbor Fast Fbor gm 124 30.0 X 320= 980.0 Semnd Fbor Tm 108 Semnd Fbor Tcu 163D Z12 30.0 X 24.0= 720.0 MAN AFL WY SNETCWS i4m- -2w WALSH APPRAISAL SERVICE LEGEND SYSTEM DESIGN: SYSTEM PROFILE MALL ARKED SYSTEM COMPONENTS OMPON NTTAPE OR BE NOTES I �a (NOT TO SCALE) P PROVIDE MIN. 20" DIAM. WATERTIGHT . 99 _ EXISTING CONTOURCOMPARABLE MEANS FOR FUTURE LOCATION. 1 DATUM IS NAVD 88 IS NOT ALLOWED ACCESS COVERS TO WITHIN 6" OF FIN. GRADE GARBAGE DISPOSER 2 CONCRETE COVERS TO WITHIN 3 . MUNICIPAL WATER IS EXISTING GRADE / X 9-9-1 EXIST. SPOT ELEV. \ / TOP FOUND, EL. 104' FILTER FABRIC OVER STONE DESIGN FLOW: 3 BEDROOMS 110 GPD 330 GPD 3. MINIMUM PIPE PITCH To BE 1/8" PER FOOT. X -[99]- PROPOSED CONTOUR - MINIMUM .75 OF COVER OVER PRECAST' 29e SLOPE REQUIRED OVER SYSTEM 101' p Locus USE A 330 GPD DESIGN FLOW 0 PRECAST H-10 NOTE: 2" MIN. WALL 4. DESIGN LOADING FOR ALL PROPOSED PRECAST UNITS P Roc Lome g RISERS (NP.) BLOCKS OR 8 •4 P' 0 PROPOSED SPOT EL. THICKNESS REQUIRED � .' 2� TO BE AASHO H-LQ p / �, \ � TH1 SEPTIC TANK: 330 GPD 2 = 660 PRECAST RISERS 5 �� o 4"�SCH•40 PVC ( ) '•.•' 100.4 MORTAR ALL H-10 0o P! " 6' MIN. SUMP PIPES LEVEL 1ST 2' COMPONENTS 5. PIPE JOINTS TO BE MADE WATERTIGHT. F ae Goo /77 4 (TYP.) INV'S EL. 97.50 4'- TEST HOLE **RE-USE EXISTING 1000 GAL. SEPTIC TANK 12" MIN. INT. DIM. �ENDS� SIDES 2,, SLOPE OF GROUND TEE JTE * pA ®®®® ®®p® ®�®® � 000000310 CMR 15.000 (TITLE 5.)LEACHING: EXISTING ° ° ° ° 6. CONSTRUCTION DETAILS TO BE IN ACCORDANCE WITH SEPTIC TANK99.1 ®®�®®®®®®®® �O®®®®®®��® °°°°°°°° a' LIQ. LEVEL o°o°o°o°o°o° WATERTEST D'BOX o > °o°0 7. THIS PLAN IS FOR PROPOSED WORK ONLY AND NOT TO -) UTILITY POLE SIDES: 2 (25 -F 12.83) 2 (.74) = 112 GPD ACME OR EQUAL GAS BAFFLE ..• '°°°°°°°O1.°°°' FOR LEVELNESS N > ®®®®®®®®®®® ®®®®®®®®�®® ;000000000o. � og y �d °-O O \\ > BE USED FOR®®®®®®�®®®® ®® LOT LINE STAKING OR ANY®®®®® a®� 0®® °BOTTOM 25 x 12.83 .74 = 237 GPD � :;'':. 97.77' 97.69' :oo�o�o�o PURPOSE. o \d FIRE HYDRANT ) 95.50' p Y NOTE NOT ALL SYMBOLS MAY APPEAR IN DRAWING ,a ;o; , .; .•• TOTAL: 472 S.F. 349 GPD °°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°° 8. PIPE FOR SEPTIC SYSTEM TO SCH. 40-4" PVC. As Mel s 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 ^'000°o°�o°o^o^o,�o°0000000°000000�0°0^°000°0°• , H-10 500 GAL. LEACHING CHAMBER BY AL. 001 , ^ ACME PRECAST OR EQU Sc ALL AR AROUND DOUBLE WASHED STONE 4 MIN. (2) UNITS REQUIRED 9. COMPONENTS NOT'TO BE BACKFILLED OR CONCEALED ALL AROU ND PRECAST STRUCTUR ES AL LEACHING CHAMBERS ACME OR EQUAL WITHOUT USE 2 500 G 6" CRUSHED STONE OR MECHANICAL INSPECTION BY ( ) CHAMBERS, (ACME OVERALL DIMENSIONS TO OUTSIDE OF STONE. 25.00' X 12.83' BOARD OF HEALTH AND WITH 4' STONE ALL AROUND COMPACTION. (15.221 [2]) o PERMISSION OBTAINED FROM BOARD OF HEALTH. L6 10. CONTRACTOR SHALL BE RESPONSIBLE FOR CALLING DIGSAFE (1-888-344-7233) AND VERIFYING THE LOCUS ��� LOCATION OF ALL UNDERGROUND & OVERHEAD UTILITIES (2.3 7. SLOPE) 90.5' BOTTOM TH-1 PRIOR TO COMMENCEMENT OF WORK. ( 1 % SLOPE) NO GROUNDWATER FOUND SCALE 1"=2000'f 11. ANY UNSUITABLE MATERIAL ENCOUNTERED SHALL BE MA LEACHING REMOVED BENEATH AND 5' AROUND THE PROPOSED APPROVED DATE BOARD OF HEALTH FOUNDATION- EXIST. SEPTIC TANK 56' D' BOX ASSESSORS MAP 47 PARCEL 96-8 1 2 LEACHING FACILITY. FACILITY 12. EXISTING LEACHING FACILITY SHALL BE PUMPED AND REMOVED OR PUMPED AND FILLED WITH CLEAN SAND. *THE INSTALLER SHALL VERIFY THE LOCATIONS OF ALL UTILITIES AND ALL Lr BUILDING SEWER OUTLETS AND C ELEVATIO NS PRIOR TO (INSTALLING ANY ( PORTION OF SEPTIC SYSTEM **INSTALLER SHALL CONFIRM MINIMUM SEPTIC TANK SIZE AT 1000 GALLONS AND ITS SUITABILITY FOR RE-USE. REPLACE WITH 1500 GALLON SEPTIC TANK APPROPRIATE TO SITE CONDITIONS IF NOT SUITABLE TEST HOLE LOGS ENGINEER: DANIEL E. GONSALVES, SE #13587 WITNESS: DAVID STANTON, RS DATE: 3/2/2020 PERC. RATE _ < 2 MIN/INCH s CLASS I SOILS P# PT 20-28 I 6 0 ELEV. � n � ELEV. Z Opp `� 101.0' 0" `V 101 .0' Oh y OOD FI LL FILL k 1 ( . - 16" 18„ • '�' BENCHMARK: 0� 9� 90 BULKHEAD COR. TH A A 103.0' NAVD88 SL SL O' 01 o - 9 20" 10YR 4/3 99 3, 24" 10YR 4/3 99 0, 102 \ \ 95 c LAWN AR D E 1 B B 0 c F GA 97 SL SL 03 w \ 10YR 6/4 10YR 6 4 , 1 31 98.4 34 / 98.2 W \ PERC W D C C \ o O M/CS M CS GRAVEL � \w EXISTING / DRIVE DWELLING TOF = 104.0 ��� 2.5Y 7/3 2.5Y 7/3 v - - v� 126" 90.5' 126" 90.5' ♦ \ �� GARAGE jo2 NO GROUNDWATER ENCOUNTERED \ �pOOFo w ti PATIO ,,<v TITLE \ \ • ti�� OF \ � 58 . - REDBERRY LANE �s \ MARSTONS MILLS, MA • ss , /V T \ LOT 19 PREPARED FOR 43,668 S.F.f 1 F DARCI GERVAIS \ \ o \ DATE: MARCH 13, 2020 \ Scale: 1"= 20' ofM -ss�c Vof14,18 c 0 10 20 30 40 50 FEET DANIE DANIEL tiG A N ' o U, OJALA N�Jq gz 0 o CIVIL off 508-362-4541 -13 No.46502 fax 508-362-9880 °pess % :° �)F �° downcope.com I `�UpSUR�F-' FS cIsTE� /� W/� Co/�/� • • " A S�ONAL EN 0W dJ7 pe enBineefrn.ff, h7C. civil engineers Ian surveyors 939 Main Street ( Rte 6A) n YAR DATE DANIEL A. OJALA, P.E., P.L.S. MOUTHPORT MA 02675 DCE # > 9-384 19-384 I I BENCH MARK : TEST HOLE RESULTS *. P DATE : W I T N E S S E D BY `J�E lZ fZ y TEST HOLE 2 5 47, 7 TEST HOLE a � o 7- -4 3, NA p'� Na GROUND WATER GROUND WATER (�I __ r o.c. D_ _ _. �2© ,t ENCOUNTERED ENCOUNTERED _ _ _—•- � cal �c�,h, MANHOLES AND COVER TO BE BUILT TO O � DwF- �rl �. ELEV. TOP OF " FOUNDATION �JITHIN 12 OF FINISHED GRADE o +L - FIN I S H E D GRADE MIN. 2 /o. SLOPE _- : ri -_ 4 DIA. PIPE FIRS '�� Gran. PIPE "^^"^' ' �2' LEVE "'-" %. MIN. 2 ��LAYER' OF r _ =Z�MIN. MIN. PITCH I � FT.� t , . I�g..Y2 PEASTONE 4 . . ra / MIN. P f TC H ��.".,N (�p •G 1/ 0 F T. /Doo ^^,v. _ _ to•. TZ '. INVERT :.'. 4 GALLON I N' W.T 2 G"swHp INVERT , 0 N p o, E P T I C TAN K 10 • ©. WASHED STONE .�.$ a © �4 I �2 D I A. I - - - - BOX I V E R L \ D a � u _ '`. w ., M OF 18 O FOOTING TO BE PLACE NVERT -• y ,� 2 ,.,E , _ , , F =. - -— - - , : - ' PLACE ON N ALL AROUND VIRGIN OR COMPACTED /2�___a� , F I R M BASE �rt--- i a;, Q': _ - O' MIN.) �iC3 ,► I .' - BOTTOM AT ELEV.�S � / 4 SAND � '-G / !.- I GARBAGE ( 20� M� N.) $ i 1 O I IIoT. c7F 7;fA0,�,R� ELEV. \ I PR 0 F I 'L E OF GROUND WATER TABLE I SANITARY DISPOSAL SYSTEM L 1 , ( NOT TO SC L E ) D E S I G N D ATA • CONSTRUCTION OF SANITARY D,I S P 0 SA L BEDROOMS SYSTEM SHALL CONFORM TO THE MASS. DESIGN FLOW 3ZO GAL./lDAY ENVIRONMENTAL CODE TITLE_ Z LEACH RATE - Z MIN./INCH (REVISED 7- 1-77 ) AND THE TOWN 27� REQUIRED LEACHING CAPACITY HEALTH DEPARTMENT REGULATI IONS � r- (T-o v/.v �l ® SEPTIC TANK, DISTRIBUTION BOX AND LEACH - PROPOSED " .4 GAL/DAY ING UNIT TO BE OF REINFORCED CONCRETE , 2, 16( <�O_ iyL�' t-�• ti �� - MIN. CONCRETE STRENGTH = 3000PS.1. REQUIRED SEPTIC TANK : /000 GAL. MIN. STEEL STRENGTH x 20,000 PS. i. MIN. DESIGN LOAD I N G : /�`/ o P OPOSED SEPTIC TANK : /000GAL. R fr� ® DRIVEWAYS NOT TO BE LOCATED OVER SYSTEM UNLESS H2O DESIGN LOADING IS USED ALL PIPES AND FITTINGS TO 'BE WATERTIGHT AND TO 8E OF CAST IRON OR APPROVED P.V.C. HEALTH AGENT APPROVAL DATE SITE PLAN SHOWING PROPOSED CONSTRUCTION / ZONING DATA �\ LEGEND L 0 C A T 110 N �/U 6 7 �.43 2- � /Y�4—R s T oN S / 0" �- s) /Y�'S S `�, FOR : LE B EL- S 0 LLOWS D EV. CORP. DATE : .�"z91� s Z 0 N E _ __ — — /Z: \ TEST HOLE LOCATION REFERENCE . LOT / 9' AS SHOWN ON REVISIONS : REQUIRED AREA ' — _ 4-3�, "GOs EXISTING SPOT ELEVATION 17.6 PLAN BY ROSIN VV. W/,-00A R-L-Z REQUIRED FRONTAGE — J6-0 EXISTING CONTOUR _ 16— cR40 7-=-ZD BT REQUIRED FRONT SETBACK : 30 PROPOSED CONTOUR 16 b = SCALE c REQUIRED SIDE SETBACK - / � PROPOSED WATER SERVICE ----W � q 2-1R3 `' '� o � REQUIRED REAR SETBACK : �`� PROPOSED GAS SERVICE -G SSrorr�tEN�' PROPOSED ELEC. a TELE EaT s�z�/e� CRAIG R . SHORT , P. E . PROFESSIONAL CIVIL ENGINEER BUILDING INSPECTOR APPROVAL DATE 131' OLD ROUTE 132 HYANN IS , MA. 02601 FILE NO. I - G6:3 ( TELE . (617 ) 362 - 9411 ) SHEET OF /