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HomeMy WebLinkAbout0166 REDBERRY LANE - Health 166 Redberry Lane Marstons Mills F/R A = 047 096002 �t f� f No. 4210 1/3 YEL t i andef Reno 1 000 ® 0 -�:: -- ._.._ -�2��- � � :. ���_� �� ., TOWN OF BARNSTABLE L0:7A T ION 1G11, L N SEWAGE # 24 7—/97l `.I,LAGE &94, 1 102111 ASSESSOR'S MAP, &LOT o INSTALLER'S NAME&PHONE NO. SEPTIC TANK CAPACITY LEACHING FACILITY: (type) 3 (size) NO.OF BEDROOMS BUILDER OR OWNER deAq ���1G Zl4k PERMITDATE: �7—3-•6 7 COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table and Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility (If any wells exist on site or within 200 feet of leaching facility) Feet Edge of Wedand.and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) Feet Furnished.by REVb���y y rem r .o TOWN OF BARNSTABLE LOCATION iLg(p rw I ktq SEWAGE# VIi-,LAGE ASSESSOR'S MAP&PARCEL NAME&PHONE NO. `q Ck'C-k -OAr tt l C-I rn SEPTIC TANK CAPACITY /00o �X LEACHING FACILITY:(type)ai&e: Ik*y%-J V (size) w�1utT NO.OF BEDROOMS 3 OWNER ( er &5crt / PERMIT DATE: C6IEE 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 i 39 L P 77A 35 4 O Water ervice � . 1 i .tpp 3 Redberry Lane �07 1 `�` / i 1 No r Fee TIE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes 2pplication for 33igoml 6pgtem Conotructton Vertu Application for a Permit to Construct( ) Repair X Upgrade( Abandon( ) ❑ Complete System ❑Individual Components Location Address or Lot No. i (� E f3(;' + LA NI Owner's Name,Address,and Tel.No. IQA,J 7ATCVA K -ZAM.P cPS,$ Assessor's Map/Parcel O 1 I cy f ( 3,3 Z. Installer' Name, ddress,and Tel.No. �,o(3G k T Designer's Name,Address and Tel.No. ' as HA tc , ntR 2oacr,7 bKAit9_ S-oB- V77 Type of Building: 4 GKl'PN�llle pK. Ri's �tci�� g °a�P i A C. sq.-ft� Garbage Grinder ( ?() Dwelling No.of Bedrooms � y Lot Size Other Type of Building No.of Persons Showers`( ) Cafeteria( ) Other Fixtures Design Flow(min.required) y 4® gpd Design flow provided S - Lla gpd Plan Date S- Z-1Z`) Number of sheets 1 Revision Date Title f r-POSU SGUIC, S ySIC'/K VPCrAJ1t Size of Septic Tank ( S aQ� Type of S.A.S. Description of Soil o- S" 'SA 1";i Ca A IM 1-Y S�Z SAwl. CaAtIN 10Y (.f6 M?J. SA,-J Z,S`( 7 f'( Nature of Repairs or Alterations(Answer when applicable) XC®CA CP t?Y/S711, t'"4 oo0 C•gL -r4,.1 ),S-•o o G#Ir 70 IL, 14ij !— 5-0n 00 C K/.­6 C,44-4^ 9 6;k w./ S 7-0""- 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. S' Date Application Approved b Date , Application Disapproved by: Date for the following reasons Permit No. r- Date Issued J _---------------- — v at f N0. � Fee �,irE COMMONWEALTH OF MASSACHiUSET_TS�p Entered in computer: „.~ PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes :p 2pprication,for 3Dt pogal *pgtem Cow6tructiou permit ` Application for a Permit to Construct O RepairX Upgrade O AAbandon O ❑Complete System ❑Individual Components !� E b 6 C99Y , � Location Address or Lot No. i CA/vim Owner's Name,Address,and Tel.No: "ToA J ?ATCvA Y.. - ZAM r /),U(?S_S i Assessor's Map/Parcel a�(,'{ CT�(�( p p Z M (l.l) S-08- y Z.9 -'11(4 ` Installer's Name Address,and Tel.No. RoQC K 7­0VA, Designer's Name,Address and Tel.No. �d - NAau11-� mq 1'?IQ 77-.3a`/� -d-r kc N i C fr pe K lr,G rp� SxrrN�ll/e DA. F0.11'�� rile M Type of Building: '° f In Dwelling No.of Bedrooms S y P Ro P oSP Lot Size .1 A C. sq-,fr Garbage Grinder Other Type of Building No.of Persons Z,_ Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) Ll 90 gpd Design flow provided S y gpd _ -o. Plan Date S 7- 1 Number of sheets Revision Date Title ?K-Posej .SEPTIC, 5 ysjC/h V/ CKAde a Size of Septic Tank (, S-O,p Type of S.A.S. Description of Soil O S " SQ N d v CJ A M I;.,Y S�Z 144" Mr J. SArd -Z.s Y -7 ['f v Nature of Repairs or Alterations(Answer when applicable) XCICA CI' Q1[/S 71�N6 /r 0o 0 G.4L 74,,st 1,4-00 (;AL 74 ,-'L� AJJ .� — S-aa 0600-G C144 9&:_e w/ S7o,,e- 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. S gpd Date Application Approved b _ Date 4;-13 . o 2 Application Disapproved by: Date for the following reasons ' Permit No. 7 �� Date Issued 5 Q — 4 THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS Certificate of Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal System Constructed ( ) Repaired ( ) Upgraded Abandoned( )by r n+ v K Co M PA r­`1 at I( C K 16 1b CCK A y (A has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No. -dated -.j)3 z1Q /. Installer R,.b*t.� Designer V.�Pc ,bKAk` #bedrooms Approved de •ig" flow S,5/p1, / - gpd cs The issuance of this permit shall not bi constru d as a guarantee that the system w''ll function as.-designed. Date Ins ecOr i r� V L11 I V I v No. a e } Fee - THE COMMONWEALTH OFMASSACHUSETTS . PUBLICaHEALTH DIVISION-BARNSTABLE,z MASSACHUSETTS ligpogal *pgtem Congtruction Permit'-- Permission / ✓�, � Permission is hereby granted to Construct ( ) Repair ( ) Upgrade (x ) Abandon ( ) System located at 16, C KCa 6 CAt,`r C ANC - ' and as described in the above Application for Disposal System Construction Permit.The applicant recognizes his/her duty to comply with Title S and the following local provisions or special conditions. Provided: Construction,must be completed within three years of the date of tht ,erm' Date ��.3 2 Approved_, _ /� I Jul 18 07 10:36a Robert Drake 508-477-5048 p.2 07/17/2007 }4:l0 vw zB4295 .1L�Y "3 .7LP i 14 •rs.r v y Town of laarnstable Regulatory Services r Director �eoms F.Cede , _ = public IIeskk Divisiaa Thomas Meyezal Mecton 200 Main Street,Hyannis,MA 02601 Fax: SOS-7WO04 508-$62-404 inAtailer& er Cerotf 'vn Ferm� Ssnage p+larmiit# e�?!8�_A,sseMeS M11PT8rW Designer: Address: (a G Kee N v j Lt E 1J '►ucf Address: �x6s7 ,9057 knA OWN 10 ..�,. nuns issued a permit to install a e 1°1} septic system at based on a design drawn by 1�c 1.. �• dated I ccatify that the septic system referenced above was installed substantially according to the design,which may include minor apluoved changes such as lateral relocation of the distribution box andlor septic tank. Stnpout (if rewired) was inspected and the soils wcrc found satisfactory. I certilj► that the septic system referenced above was instalied with r4or changes (i.e. greater tb m 10,latmaal relocation of the SAS or any vertical relocation of any corwonent of the septic system)but in accordance with State&Local Regulations. flan revision or certified as-built by designer to follow. Stripout(ifrecpdred)was inspected W the soils were found satisfactory. of 4`�s . sy o� ROBEAT A. DRAKE v't tier S xgnatUre a CIVIL Iy� esigaer s gnaiure iglaelc s tarns►Isere) PLFASE RE RN P TMS FORM An-,C MM,T EARD RECEPOWNYMARYS PUB IC HE PIVI jori. ANK XQ—U. q,40PdQ%V— er cWtWIe UOU Formtie.03-09-o6.aoc TOWN OF BARNSTABLE r V\ V V 47 Town of Barnstable Regulatory Services g Y Thomas F. Geiler, Director Public Health Division Thomas McKean, Director 200 Main Street,Hyannis, MA 02601 Office: 508-862-4644 Fax: 508-790-6304 July 16, 2007 Premier Asset Corporation 7495 New Horizons Way Frederick, MD 21703' Re: 166 Redberry Lar,e, i ORDER TO COMPLY WITH STATE ENVIROMENTAL CODE, TITLE 5 The septic system located at 166 Redberry Lane,Marstons Mills, MA was last inspected on March 131h, 2007, by Patrick M. O'Connell, a certified inspector for the State of Massachusetts. The inspection of the septic system showed that the system "Conditionally Passed" under the guidelines of 1995 TITLE 5 (310 CMR 15.00) due to the following: Liquid level in tank is 16-18" below outlet invert. Tank is leaking and needs to be replaced. You have 2 years from the date of the system failure to bring the system into compliance. If there are any questions about this reminder, please feel free to contact the Barnstable Health Department. BARNSTABLE H TH DEPARTMENT a i Thomas A. McKean, R.S., C.H.O. Agent of the Board of Health COMMONWEALTH OF MASSACHUSETTS v w EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS a DEPARTMENT OF ENVIRONMENTAL PROTECTION e�� V M Sao TITLE 5 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM FO RM PART A CERTIFICATION a<4 4 -41V Property Address: 166 Redberry Lane i Zvi Marstons Mills MA 02648 —� Owner's Name: Premier Asset Corp. Owner's Address: 7495 New Horizons Way ,� = Frederick MD 21703 / r� Date of Inspection: March 13,2007 Job#07-37 Name of Inspector: PATRICK M.O'CONNELL Company Name: SEPTIC INSPECTION SERVICES CO. Mailing Address: 189 CAMMETT ROAD Co MARSTONS MILLS MA 02648 Telephone Number: 508-428-1779 CERTIFICATION STATEMENT I certify that I have personally inspected the sewage disposal system at this address and that the information reported below is true,accurate and complete as of the time of the inspection.The inspection was performed based on my training and experience in the proper function and maintenance of on site sewage disposal systems.I am a DEP approved system inspector pursuant to Section 15.340 of Title 5(310 CMR 15.000). The system: Passes _X_ Conditionally Passes Needs rther E a ation y the Local Approving Authority Fails Inspector's Signature: Date: 3/13/07 The system inspector shall submit a copy of this ins ection report to the Approving Authority(Board of Health or DEP)within 30 days of completing this inspection. I 'the system is a shared system or has a design flow of 10,000 gpd or greater,the inspector and the system owner shall submit the report to the appropriate regional office of the DEP.The original should be sent to the system owner and copies sent to the buyer, if applicable,and the approving authority. Notes and Comments: Liquid level in tank is 16-18" below outlet invert,tank is leaking and needs to be replaced.Leaching system was recently replaced and was found empty at time of inspection. ****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. • Page 2 of 11 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address: 166 Redberry Lane,Marstons Mills Owner: Premier Asset Corp. Date of Inspection: March 13,2007 Inspection Summary: Check A,B,C,D or E/ALWAYS complete all of Section D A. System 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: B. System Conditionally Passes: XX One or more system components as described in the"Conditional Pass"section need to be replaced or repaired.The system, upon completion of the replacement or repair,as approved by the Board of Health,will pass. Answer yes,no or not determined(Y,N,ND)in the for the following statements. If"not determined"please explain. _XX_The septic tank is metal and over 20 years old* or the septic tank(whether metal or not)is structurally unsound,exhibits substantial infiltration or exfiltration or tank failure is imminent. System will pass inspection if the existing tank is replaced with a complying septic tank as approved by the Board of Health. *A metal septic tank will pass inspection if it is structurally sound,not leaking and if a Certificate of Compliance indicating that the tank is less than 20 years old is available. ND explain: Observation of sewage backup or break out or high static water level in the distribution box due to.broken or obstructed pipe(s)or due to a broken,settled or uneven distribution box. System will pass inspection if(with approval of Board of Health): broken pipe(s)are replaced obstruction is removed distribution box is leveled or replaced ND explain: The system required pumping more than 4 times a year due to broken or obstructed pipe(s).The system will pass inspection if(with approval of the Board of Health): broken pipe(s)are replaced obstruction is removed ND explain: Page 3 of 11 OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION(continued) Property Address: 166 Redberry Lane,Marstons Mills Owner: Premier Asset Corp. Date of Inspection: March 13,2007 C. Further Evaluation is Required by the Board of Health: Conditions exist which require further evaluation by the Board of Health in order to determine if the system is failing to protect public health,safety or the environment. 1. System will pass unless Board of Health determines in accordance with 310 CMR 15.303(1)(b)that the system is not functioning in a manner which will protect public health,safety and the environment: _ Cesspool or privy is within 50 feet of a surface water Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh 2. System will fail unless the Board of Health(and Public Water Supplier,if any)determines that the system is functioning in a manner that protects the public health,safety and environment: _ The system has a septic tank and soil absorption system(SAS)and the SAS is within 100 feet of a surface water supply or tributary to a surface water supply. The system has a septic tank and SAS and the SAS is within a Zone 1 of a public water supply. The system has a septic tank and SAS and the SAS is within 50 feet of a private water supply well. _ The system has a septic tank and SAS and the SAS is less than 100 feet but 50 feet or more from a private water supply well".Method used to determine distance "This system passes if the well water analysis,performed at a DEP certified laboratory,for coliform bacteria and volatile organic compounds indicates that the well is free from pollution from that facility and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm,provided that no other failure criteria are triggered. A copy of the analysis must be attached to this form. 3. Other: f Page 4 of 11 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION(continued) Property Address: 166 Redberry Lane,Marstons Mills Owner: Premier Asset Corp. Date of Inspection: March 13,2007 D. System Failure Criteria applicable to all systems: You must indicate"yes"or"no"to each of the following for all inspections: Yes No _X_ Backup of sewage into facility or system component due to overloaded or clogged SAS or cesspool _X_ Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or clogged SAS or cesspool _X_ Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool _X_ Liquid depth in cesspool is less than 6"below invert or available volume is less than_day flow _X_ Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s). Number of times pumped _X_ Any portion of the SAS,cesspool or privy is below high ground water elevation. _X_ Any portion of cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply. _X_ Any portion of a cesspool or privy is within a Zone 1 of a public well. _X_ Any portion of a cesspool or privy is within 50 feet of a private water supply well. _X_ Any portion of a cesspool or privy is less than 100 feet but greater than 50 feet from a private water supply well with no acceptable water quality analysis. [This system passes if the well water analysis, performed at a DEP certified laboratory,for coliform bacteria and volatile organic compounds indicates that the well is free from pollution from that facility and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm,provided that no other failure criteria are triggered. A copy of the analysis must be attached to this form.j _No_(Yes/No)The system fails. I have determined that one or more of the above failure criteria exist as described in 310 CMR 15.303,therefore the system fails.The system owner should contact the Board of Health to determine what will be necessary to correct the failure. E. Large Systems: To be considered a large system the system must serve a facility with a design flow of 10,000 gpd to 15,000 gpd. You must indicate either"yes"or"no"to each of the following: (The following criteria apply to large systems in addition to the criteria above) yes no the system is within 400 feet of a surface drinking water supply the system is within 200 feet of a tributary to a surface drinking water supply _ the system is located in a nitrogen sensitive area(Interim Wellhead Protection Area—IWPA)or a mapped Zone 11 of a public water supply well If you have answered"yes"to any question in Section E the system is considered a significant threat,or answered "yes"in Section D above the large system has failed.The owner or operator of any large system considered a significant threat under Section E or failed under Section D shall upgrade the system in accordance with 310 CMR 15.304.The system owner should contact the appropriate regional office of the Department. f Page 5 of 11 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B CHECKLIST Property Address: 166 Redberry Lane,Marstons Mills Owner: Premier Asset Corp. Date of Inspection: March 13,2007 Check if the following have been done.You must indicate"yes"or"no"as to each of the following: Yes No _X_ Pumping information was provided by the owner,occupant,or Board of Health _X_ Were any of the system components pumped out in the previous two weeks _X_ Has the system received normal flows in the previous two week period? _X_ Have large volumes of water been introduced to the system recently or as part of this inspection? _X_ _ Were as built plans of the system obtained and examined?(If they were not available note as N/A) _X_ _ Was the facility or dwelling inspected for signs of sewage back up? _X_ _ Was the site inspected for signs of break out? _X_ _ Were all system components,excluding the SAS, located on site? _X_ _ Were the septic tank manholes uncovered,opened,and the interior of the tank inspected for the condition of the baffles or tees,material of construction,dimensions,depth of liquid,depth of sludge and depth of scum? _X _ 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 _X _ Existing information. For example,a plan at the Board of Health. _X_ _ Determined in the field(if any of the failure criteria related to Part C is at issue approximation of distance is unacceptable) [310 CMR 15.302(3)(b)] Page 6 of 11 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION Property Address: 166 Redberry Lane,Marstons Mills Owner: Premier Asset Corp. Date of Inspection: March 13,2007 FLOW CONDITIONS RESIDENTIAL Number of bedrooms(design): 3 Number of bedrooms(actual): 3 DESIGN flow based on 310 CMR 15.203 (for example: 110 gpd x#of bedrooms):330 Number of current residents: 0 Does residence have a garbage grinder(yes or no): No Is laundry on a separate sewage system(yes or no): No [if yes separate inspection required] Laundry system inspected(yes or no): Seasonal use: (yes or no): No Water meter readings, if available(last 2 years usage(gpd)): Two years total: 246,000 gal.=336 gpd. Sump pump(yes or no): No Last date of occupancy: Unknown COMMERCIAL/INDUSTRIAL Type of establishment: Design flow(based on 310 CMR 15.203): gpd Basis of design flow(seats/persons/sgft,etc.): Grease trap present(yes or no):_ Industrial waste holding tank present(yes or no): Non-sanitary waste discharged to the Title 5 system(yes or no): Water meter readings, if available: Last date of occupancy/use: OTHER(describe): GENERAL INFORMATION Pumping Records: None Source of information: Was system pumped as part of the inspection(yes or no): No If yes,volume pumped: gallons--How was quantity pumped determined? Reason for pumping: TYPE OF SYSTEM _X_Septic tank,distribution box,soil absorption system Single cesspool Overflow cesspool Privy _Shared system(yes or no)(if yes,attach previous inspection records, if any) _Innovative/Alternative technology.Attach a copy of the current operation and maintenance contract(to be obtained from system owner) _Tight tank _Attach a copy of the DEP approval Other(describe): Approximate age of all components,date installed(if known)and source of information: Compliance date: 9/22/03 Were sewage odors detected when arriving at the site(yes or no): No Page 7ofII OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 166 Redberry Lane,Marstons Mills Owner: Premier Asset Corp. Date of Inspection: March 13,2007 BUILDING SEWER: XX (locate on site plan) Depth below grade: 2' Materials of construction:_cast iron _X_40 PVC_other(explain): Distance from private water supply well or suction line: Comments(on condition of joints,venting,evidence of leakage,etc.): SEPTIC TANK: XX (locate on site plan) Depth below grade: 2' Material of construction:_X_concrete_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) Dimensions:8.5' long x 5.2'wide—1000 gal. Sludge depth: Distance from top of sludge to bottom of outlet tee or baffle: Scum thickness: Distance from top of scum to top of outlet tee or baffle: Distance from bottom of scum to bottom of outlet tee or baffle: How were dimensions determined: STICK WITH HINGE FLAP. Comments(on pumping recommendations, inlet and outlet tee or baffle condition,structural integrity, liquid levels as related to outlet invert,evidence of leakage,etc.): Tank is leaking,has excessive solids and has been full over top of structure due to a clogged effluent filter.Liquid level is at approximately 50%. GREASE TRAP: No (locate on site plan) Depth below grade: Material of construction:_concrete_metal_fiberglass_polyethylene_other (explain): Dimensions: Scum thickness: Distance from top of scum to top of outlet tee or baffle: Distance from bottom of scum to bottom of outlet tee or baffle: Date of last pumping: Comments(on pumping recommendations, inlet and outlet tee or baffle condition,structural integrity,liquid levels as related to outlet invert, evidence of leakage,etc.): I Page 8 of 11 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 166 Redberry Lane,Marstons Mills Owner: Premier Asset Corp. Date of Inspection: March 13,2007 TIGHT or HOLDING TANK: No (tank must be pumped at time of inspection) (locate on site plan) Depth below grade: Material of construction: concrete metal fiberglass_polyethylene other(explain): Dimensions: Capacity: gallons Design Flow: gallons/day Alarm present(yes or no): Alarm level: Alarrr_ in working order(yes or no): Date of last pumping: Comments(condition of alarm and float switches,etc.): DISTRIBUTION BOX: XX (if present must be opened) (locate on site plan) Depth of liquid level above or.tlet invert: 0" Comments(note if box is Ieveil and distribution to outlets equal,any evidence of solids carryover,any evidence of leakage into or out of box,etc.): No solids or high stains present,liquid level is at bottom of outlet inverts PUMP CHAMBER: No (locate on site plan) Pumps in working order(yes or no): Alarms in working order(yes er no): Comments(note condition of pump chamber,condition of pumps and appurtenances,etc.): Page 9 of 11 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 166 Redberry Lane,Marstons Mills Owner: Premier Asset Corp. Date of Inspection: March 13,2007 SOIL ABSORPTION SYSTEM(SAS): XX (locate on site plan,excavation not required) If SAS not located explain why: Type leaching pits, number: _X—leaching chambers,number: Two 500 gal drywells. leaching galleries, number: leaching trenches,numb,-r, length: leaching fields,number,dimensions: overflow cesspool, number: innovative/alternative sy3tem Type/name of technology: Comments(note condition of soil, signs of hydraulic failure, level of ponding,damp soil,condition of vegetation, etc.): Chambers were empty at time of inspection;sidewall stains indicate chambers have never held more than 3"of effluent. CESSPOOLS: No (cesspocI must be pumped as part of inspection) (locate on site plan) Number and configuration: Depth—top of liquid to inlet invert: Depth of solids layer: Depth of scum layer: Dimensions of cesspool: Materials of construction: Indication of groundwater inflow(yes or no): Comments(note condition of soil,signs of hydraulic failure, level of ponding,condition of vegetation,etc.): PRIVY: No (locate on site plan) Materials of construction: Dimensions: Depth of solids: Comments(note condition of soil, signs of hydraulic failure, level of ponding,condition of vegetation,etc.): Page 10 of 11 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 166 Redberry Lane,Marstons Mills Owner: Premier Asset Corp. Date of Inspection: March 13,2007 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. ::. XxX 2 39 35 4 ater Service ;. ,9 Redberry Lane Page 11 of 11 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 166 Redberry Lane,Marstons Mills Owner: Premier Asset Corp. Date of Inspection: March 13,2007 SITE EXAM Slope None Surface water None Check cellar Dry Shallow wells None Estimated depth to ground water More than 40 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: Checked with local excavators, installers-(attach documentation) _X_Accessed USGS database-explain: USGS topo map and town GIS. You must describe how you established the high ground water elevation: Town groundwater contour map shows water at el.55 and topo map shows property above el. 100. TOWN OF BARNSTABLE LOCATION 6 `e C V11 U0 'SEWAGE # VILLAGE MaA"S-6n!& M d k , ASSESSOR'S MAP & LOT CD0 2)- SDS 433-os�o INSTALLER'S NAME&PHONE NO. Ou-'C o T-n C ' SEPTIC TANK CAPACITY dcc�) LEACHING FACILITY: (type) &11 (size) O NO. OF BEDROOMS -3 1?dK BUILDER OR OWNER e -C Ca-n V-,Dr, PERMITDATE: 9 COMPLIANCE DATE: 03 Separation Distance Between the: le-G r,c e oX kj, nc_ CJ,v� 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 Feet within 300 feet of leaching facility) � � �C Furnished by � -" � e � e a� 7,, W IS 91,`03 - 5 ro� No. O 3 ­ % Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes r PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS ZIppYication for Migool bpztem Congtruction Permit Application for a Permit to Construct( . )Repair VQ Upgrade( )Abandon( ) El Complete System O Individual Components Location Address or Lot No. 16(p n,pcA I*Mj (,A N e- Owner's Name,Address and Tel.No. Assessor's Map/Parcel M Ia z To rJ5 M o(-',S i MA �Te.�� C AN tVO 0ova y ZS 'Z 135 m A F NO . `1'1 -i 3 C4R SR M e Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. 66 R� �1M/ Kc.� 1✓w6�Nee�� 6M"1 lle D It i Ve (-o feSfd Af e Type of Building: Dwelling No.of Bedrooms Lot Size `{3,(o(9� sq.ft. Garbage Grinder(H ) Other Type of Building 1'X7M-01 No.of Persons 3 Showers(-L) Cafeteria Other Fixtures Design Flow 3�0 gallons per day. Calculated daily flow 11,101 J P J Sz P� gallons. Plan Date a-S ' �3 Number of sheets I Revision Date Title CPP350 Se?7ie vjPGR ADS 7e6F CANtwP V 1�G f-M Ser (,Ar R- Size of Septic Tank WD 3A0,,►' Type of S.A.S. vrm vW Description of Soil O C AC I fl\ O T W+ IA PLAi,d o" - 14" sAN1 C o kvn ill-,it ' 14q" Me llh YAtJA a NO taAk?L 0 @tbP4 @ fV4�i 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 s s in operation until a Certifi- cate of Compliance has been iss y this ardjoj Health. , �l�-✓�!X-W, SigCe l� ' DateApplication Approved b Date / A3 Application Disapproved for the following reasons Permit No. 3 —`�y So Date Issued O --------------------------------------- No. Q0 3 i} / Fee ' THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS Yes ZIppYication for Migpozar *potem Construction Permit Application for a Permit to Construct( )Repair,( Upgrade( `)Abandon( ) O Complete System O Individual Components Location Address or Lot No. %G(p rti?d Le Rq to N,_ Owner's Name,Address and Tel.No. Assessor'sMap/Parcel Fri '� �NS(� 4S Yrr►A —� CANNaPJ l Z 135 Installer's Name,Address,and Tel.No. Designer's N ame,Address and Tel.No. za�cl UAke Type of Building: Dwelling No.of Bedrooms Lot Size y G sq.ft. Garbage Grinder( N) Other -TI pf/of Building No.of Persons Showers(Z.) Cafeteria(N) Other Fixtures Design Flow 3a - gallons per day. Calculated daily flow \Q\r ° P Z ?A gallons. Plan Date `I _S' O3 Number of sheets i Revision Date Title Pr-4350 5etTic, tjPGEADt , 7t�� CPlw►,,aP V 16� Ved vrr,\j tAN�L Size of Septic Tank Type of S.A.S'__ C i m 10%, -, �y , Description of Soil G LftC A ov`i L,t�� P(A� 3i" knelivr% .7Atil i N3 t' �I 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 issuedpy this Board of Health. ,5 VV YC0 T rc. Signed---,' "'" t � ' � =�r�RM Date 1 7,-"" Application Approved by't. .. � Date Application Disapproved for the following reasons Permit No. 4 Date Issued U --------------------------------------- THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS Certificate of (Compliance THIS IS TO CE TIFY,that the On-site Sewage Disposal System Constructed( )Repaired( )Upgraded( ) Abandoned( )by 01 ('_r� at IG& F11rj1;W_V1_119-- M&-r-s f&e., r a'1.is has been constructed in'accordance with the provisions of Title 5 and a for Disposal System Construction Permit No. ZC '-`� i!a dated t(1 t� Installer Designer / The issuance of this permit s all t be construed as a guarantee that the system will nction� gaffe � Date Z Z Q Inspector --------------------------------------- Fee THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLE, MASSACHUSETTS Mi5po5af *pgtem Construction Permit Permission is hereby granted to Construct(a )Repair( Upgrade( )Abandon ) System located at f �11 ..h •�-� °� 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 f this pe ' Date: I do l Approved by� --� TOWN OF BARNSTABLEa-CC:5 -44>G LOCATION co Ce CeA V" C6 SEWAGE # 04 VILLAGE ryku'--,-6ns rn► 11.s ASSESSOR'S MAP & LOT �UcDo�- INSTALLER'S NAME&PHONE NO. 'Ir' - Ou_r co X-n C - SEPTIC TANK CAPACITY LEACHING FACILITY: (type) �u t, S 1I r`^ (size) `c� X 5(0cr NO.OF BEDROOMS BUILDER OR OWNER e Cc,__n non PERMITDATE: i I f 2j COMPLIANCE DATE: 9 Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leachin Feet g Facility 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) c Feet Furnished by 0 / co (�o ry Lc o-c f~ r I amp o O ~ Ow' W15 r TOWN OF BARNSTABLE —44�(cs LOCATION I �� SEWAGE # ,o�� VILLAGE �"''� 1� ASSESSOR'S MAP &LOT. INSTALLER'S NAME&PHONE NO. SEPTIC TANK CAPACITY Doc) ' �✓ t.sea S g a r �c�-� X 1a- (�Er (size) LEACHING FACILITY: (type) yu et .I jc>4 NO.OF BEDROOMS nor'BUILDER OR OWNER ��' C PERMIT DATE: 1 I 0- COMPLIANCE DATE: �1 2��o� - Separation Distance Between the: h� ..d�e Feet Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility private Water Supply Well and Leaching Facility (If any wells exist Feet .-on site or within 200 feet of leaching facility) . Feet Facility If any wetlands exist NA C Edge of Wetland and Leaching tY within 300 feet of 1��n�facility� �„p'1 Furnished by . SO r a r L� li RECEIVED COMMONWEALTH OF MASSACHUSETTS AUG 0 8 2003 EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAI S T BARNSTABLE DEPARTMENT OF ENVIRONMENTAL� PROTECT TH DEPT.r u r m � C FAILED INSPECTION C a e TITLE 5 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM FORM PART A CERTIFICATION MAP Property Address: 166 REDBERRY LANE MARSTONS MILLS,MA 02648 L13 PARCEL C) Owner's Name: CANNON toT 13 Owner's Address: 166 REDBERRY LANE MARSTONS MILLS,MA 02648 Date of Inspection: 7/7/03 Name of Inspector: (please print) JOHN GRACI,INC. Company Name: SEPTIC INSPECTIONS Mailing Address: P.O.BOX 2119 TEATICKET,MA.02536 Telephone Number: 508-564-6813 FAX 508-564-7270 CERTIFICATION STATEMENT I certify that I have personally inspected the sewage disposal system at this address and that the information reported below is true,accurate and complete as of the time of the inspection. The inspection was performed based on my training and experience in the proper function and maintenance of on site sewage disposal systems. I am a DEP approved system inspector pursuant to Section 15.340 of Title 5(310 CMR 15.000). The system: _ Passes _ Conditiona asses _ Needs Fu r Evaluation by the Local Approving Authority X Fails Inspector's Signature: Date: 7/7/03 The system inspector shall submit Icopy of this inspection report to the Approving Authority(Board of Health or DEP)within 30 days of completing this inspection. If the system is a shared system or has a design flow of 10,000 gpd or greater,the inspector and the system owner shall submit the report to the appropriate regional office of the DEP. The original should be sent to the system owner and copies sent to the buyer, if applicable,and the approving authority. Notes and Comments SYSTEM FAILED TITLE V INSPECTION. LIQUID LEVEL IN LEACH PIT IS FULL OVER PIPE. SAS NEEDS TO BE REPLACED. ****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 S Incnartinn Fnrm h/I S/?000 1 Page�,of 11 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address: 166 REDBERRY LANE MARSTONS MILLS,MA 02648 L13 Owner: CANNON Date of Inspection: 7/7/03 Inspection Summary: Check A,B,C,D or E/ALWAYS complete all of Section D A. System Passes: _ I have not found any informatior.which indicates that any of the failure criteria described in 310 CMR 15.303 or in 310 CMR 15.304 exist.Any failure criteria not evaluated are indicated below. Comments: SYSTEM FAILED TITLE V INSPECTION. LIQUID LEVEL IN LEACH PIT IS FULL OVER PIPE.SAS NEEDS TO BE REPLACED. i B. System Conditionally Passes: _ One or more system components as described in the"Conditional Pass"section need to be replaced or repaired. The system, upon completion of the replacement or repair,as approved by the Board of Health,will pass. Answer yes,no or not determined('l,N,ND)in the for the following statements. If"not determined"please explain. n/a The septic tank is metal and over 20 years old*or the septic tank(whether metal or not)is structurally unsound,exhibits substantial infiltration or exfiltratior_or tank failure is imminent. System will pass inspection if the existing tank is replaced with a complying septic tank as approved by the Board of Health. *A metal septic tank will pass inspection if it is structurally sound,not leaking and if a Certificate of Compliance indicating that the tank is less than 20 years old is available. ND explain: n/a n/a Observation of sewage backup or break out or high static water level in the distribution box due to broken or obstructed pipe(s)or due to a broken, settled or uneven distribution box. System will pass inspection if(with approval of Board of Health): _ broken pipe(s)are replaced _ obstruction is removed + _ distribution box is leveled or replaced ND explain: n/a n/a The system required pumping more than 4 times a year due to broken or obstructed pipe(s). The system will pass inspection if(with approval of the Board of Health): _broken pipe(s)are replaced _obstruction is removed ND explain: n/a Page 3,of 11 OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION(continued) Property Address: 166 REDBERRY LANE MARSTONS MILLS,MA 02648 L13 Owner: CANNON Date of Inspection: 7/7/03 C. Further Evaluation is Required by the Board of Health: _ Conditions exist which require further evaluation by the Board of Health in order to determine if the system is failing to protect public health,safety or the environment. 1. System will pass unless Board of Health determines in accordance with 310 CMR 15.303(1)(b)that the system is not functioning in a manner which will protect public health,safety and the environment: _ Cesspool or privy is within 50 feet of a surface water _ Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh 2. System will fail unless the Board of Health(and Public Water Supplier,if any)determines that the system is functioning in a manner that protects the public health,safety and environment: _ The system has a septic tank and soil absorption system(SAS)and the SAS is within 100 feet of a surface water supply or tributary to a surface water supply. _ The system has a septic tank and SAS and the SAS is within a Zone 1 of a public water supply. _ The system has a septic tank and SAS and the SAS is within 50 feet of a private water supply well. _ The system has a septic tank and SAS and the SAS is less than 100 feet but 50 feet or more from a private water supply well".Method used to determine distance n/a "This system passes if the well water analysis,performed at a DEP certified laboratory,for coliform bacteria and volatile organic compounds indicates that the well is free from pollution from that facility and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered. A copy of the analysis must be attached to this form. 3. Other: n/a Page 4•of 11 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION(continued) Property Address: 166 REDBERRY LANE MARSTONS MILLS,MA 02648 L13 Owner: CANNON Date of Inspection: 7/7/03 D. System Failure Criteria applicable to all systems: You must indicate"yes"or"no"to each of the following for all-inspections: Yes No X - _ Backup of sewage into facility or system component due to overloaded or clogged SAS or cesspool X Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or clogged SAS or cesspool X Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool X Liquid depth in cesspool is less than 6"below invert or available volume is less than '/z day flow X Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s).Number of times pumped n1a. X Any portion of the SAS,cesspool or privy is below high ground water elevation. X Any portion of cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply. X Any portion of a cesspool or privy is within a Zone 1 of a public well. X Any portion of a cesspool or privy is within 50 feet of a private water supply well. X Any portion of a cesspool or privy is less than 100 feet but greater than 50 feet from a private water supply well with no acceptable water quality analysis. [This system passes if the well water analysis,performed at a DEP certified laboratory,for coliform bacteria and volatile organic compounds indicates that the well is free from pollution from that facility and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm,provided that no other failure criteria are triggered.A copy of the analysis must be attached to this form.] YES (Yes/No)The system fails.I have determined that one or more of the above failure criteria exist as described in 310 CMR 15.303,therefore the system fails.The system owner should contact the Board of Health to determine what will be necessary to correct the failure. E. Large Systems: To be considered a large system the system must serve a facility with a design flow of 10,000 gpd to 15,000 gpd. You must indicate either"yes"or"no"to each of the following: (The following criteria apply to large systems in addition to the criteria above) yes no _ X the system is within 400 feet of a surface drinking water supply X the system is within 200 feet of a tributary to a surface drinking water supply X the system is located in a nitrogen sensitive area(Interim Wellhead Protection Area—IWPA)or a mapped Zone II of a public water supply well If you have answered"yes"to any question in Section E the system is considered a significant threat, or answered "yes" in Section D above the large system has failed.The owner or operator of any large system considered a significant threat under Section E or failed under Section D shall upgrade the system in accordance with 310 CMR 15.304.The system owner should contact the appropriate regional office of the Department. d Page of 11 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B CHECKLIST Property Address: 166 REDBERRY LANE MARSTONS MILLS,MA 02648 L13 Owner: CANNON Date of Inspection: 7/7/03 Check if the following have been done. You must indicate"yes" or"no" as to each of the following: Yes No X _ Pumping information was provided by the owner,occupant,or Board of Health X Were any of the system components pumped out in the previous two weeks? X Has the system received normal flows in the previous two week period X Have large volumes of water been introduced to the system recently or as part of this inspection ? X _ Were as built plans of the system obtained and examined?(If they were not available note as N/A) X _ Was the facility or dwelling inspected for signs of sewage back up? X _ Was the site inspected for signs of break out X _ Were all system components,excluding the SAS, located on site X _ Were the septic tank manholes uncovered,opened,and the interior of the tank inspected for the condition of the baffles or tees,material of construction,dimensions,depth of liquid,depth of sludge and depth of scum X _ 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 X _ Existing information. For example, a plan at the Board of Health. X _ Determined in the field(if any of the failure criteria related to Part C is at issue approximation of distance is unacceptable) [310 CMR 15.302(3)(b)] 5 Page•6 of 11 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C - SYSTEM INFORMATION Property Address: 166 REDBERRY LANE MARSTONS MILLS,MA 02648 L13 Owner: CANNON Date of Inspection: 7/7/03 FLOW CONDITIONS RESIDENTIAL Number of bedrooms(design):3 Number of bedrooms(actual): 3 DESIGN flow based on 310 CMR 15.203 (for example: 110 gpd x#of bedrooms):330 Number of current residents:3 Does residence have a garbage grinder(yes or no): NO Is laundry on a separate sewage system(yes or no):NO [if yes separate inspection required] Laundry system inspected(yes or no): NO Seasonal use: (yes or no): NO Water meter readings, if available(last 2 years usage(gpd)):ice' (��� Sump pump(yes or no): NO �^�` Last date of occupancy: n/a W 'S 1 �� COMMERCIALANDUSTRIAL Type of establishment: n/a Design flow(based on 310 CMR 15.203): n/agpd Basis of design flow(seats/persons/sgft,etc.): n/a Grease trap present(yes or no): NO Industrial waste holding tank present(yes or no): NO Non-sanitary waste discharged to the Title 5 system(yes or no): NO Water meter readings, if available: n/a Last date of occupancy/use: n/a OTHER(describe): n/a GENERAL INFORMATION Pumping Records Source of information: n/a Was system pumped as part of the inspection(yes or no): NO If yes,volume pumped: n/agallons--How was quantity pumped determined? n/a Reason for pumping: n/a TYPE OF SYSTEM X Septic tank,distribution box, soil absorption system _Single cesspool _Overflow cesspool _Privy _Shared system(yes or no)(if yes, attach previous inspection records, if any) _Innovative/Alternative technology. Attach a copy of the current operation and maintenance contract(to be obtained from system owner) _Tight tank Attach a copy of the DEP approval Other(describe): n/a Approximate age of all components,date installed(if known)and source of information: 1989 BY OWNER/ASBUILT Were sewage odors detected when arriving at the site(yes or no): NO F Pagk 7 of 11 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 166 REDBERRY LANE MARSTONS MILLS,MA 02648 L13 Owner: CANNON Date of Inspection: 7/7/03 BUILDING SEWER(locate on site plan) Depth below grade:30" Materials of construction:_cast iron X40 PVC_other(explain): n/a Distance from private water supply well or suction line: n/a Comments(on condition of joints,venting,evidence of leakage, etc.): TOWN WATER SEPTIC TANK: X(locate on site plan) Depth below grade: 24" Material of construction: Xconcrete_metal_fiberglass_polyethylene other(explain)n/a If tank is metal list age: n/a Is age confirmed by a Certificate of Compliance(yes or no): NO(attach a copy of certificate) Dimensions: 1000 GALLONS" Sludge depth: 2" Distance from top of sludge to bottom of outlet tee or baffle: 32" Scum thickness: 1" Distance from top of scum to top of outlet tee or baffle: 6" Distance from bottom of scum to bottom of outlet tee or baffle: 18" How were dimensions determined: MEASURED Comments(on pumping recommendations, inlet and outlet tee or baffle condition,structural integrity, liquid levels as related to outlet invert,evidence of leakage, etc.): SEPTIC TANK AND ALL SEPTIC TANK COMPONENTS ARE STRUCTURALLY SOUND AND FUNCTIONING PROPERLY. RECOMMEND PUMPING EVERY TWO YEARS TO PROLONG THE SYSTEM'S USEFUL LIFE. GREASE TRAP:_(locate on site plan) Depth below grade: n/a Material of construction:_concrete_metal_fiberglass_polyethylene_other(explain): n/a Dimensions: n/a Scum thickness: n/a Distance from top of scum to top of outlet tee or baffle: n/a Distance from bottom of scum to bottom of outlet tee or baffle: n/a Date of last pumping: n/a Comments(on pumping recommendations, inlet and outlet tee or baffle condition,structural integrity, liquid levels as related to outlet invert, evidence of leakage,etc.): n/a 7 i Page 8 of 11 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 166 REDBERRY LANE MARSTONS MILLS,MA 02648 L13 Owner: CANNON Date of Inspection: 7/7/03 t TIGHT or HOLDING TANK: (tank must be pumped at time of inspection)(locate on site plan) Depth below grade: n/a Material of construction:_concrete_metal_fiberglass_polyethylene_other(explain): n/a Dimensions: n/a Capacity: n/a gallons Design Flow: n/a gallons/day Alarm present(yes or no): N/A Alarm level: N/A Alarm in working order(yes or no): NO Date of last pumping: n/a Comments(condition of alarm and float switches,etc.): n/a DISTRIBUTION BOX: X(if present must be opened)(locate on site plan) Depth of liquid level above outlet invert: LEVEL WITH BOTTOM OF PIPE Comments(note if box is level and distribution to outlets equal,any evidence of solids carryover,any evidence of leakage into or out of box,etc.): D-BOX WAS VIDEO INSPECTED AND APPEARS TO BE STRUCTURALLY SOUND. PUMP CHAMBER:_(locate on site plan) Pumps in working order(yes or no): NO Alarms in working order(yes or no):NO Comments(note condition of pump chamber,condition of pumps and appurtenances,etc.): n/a R Pag-0 9 of I I OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 166 REDBERRY LANE MARSTONS MILLS,MA 02648 L13 Owner: CANNON Date of Inspection: 7/7/03 SOIL ABSORPTION SYSTEM(SAS): X (locate on site plan,excavation not required) If SAS not located explain why: n/a Type 1000 GAL 6' X 6' leaching pits, number: n/a leaching chambers, number: n/a n/a leaching galleries, number: n/a n/a leaching trenches, number, length: n/a n/a leaching fields, number: n/a n/a overflow cesspool, number: n/a n/a innovative/alternative system Type/name of technology: n/a Comments(note condition of soil, signs of hydraulic failure, level of ponding,damp soil,condition of vegetation,etc.): LIQUID LEVEL IN LEACH PIT IS FULL OVER PIPE. SAS NEEDS TO BE REPLACED. BOTTOM IS AT 10 FT.PIT IS IN HYDRAULIC FAILURE. CESSPOOLS: (cesspool must be pumped as part of inspection)(locate on site plan) Number and configuration: n/a Depth—top of liquid to inlet invert: n/a Depth of solids layer: n/a Depth of scum layer: n/a Dimensions of cesspool: n/a Materials of construction: n/a Indication of groundwater inflow(yes or no): NO Comments(note condition of soil, signs of hydraulic failure, level of ponding,condition of vegetation, etc.): n/a PRIVY: (locate on site plan) Materials of construction: n/a Dimensions: n/a Depth of solids: n/a Comments(note condition of soil, signs of hydraulic failure, level of ponding,condition of vegetation,etc.): n/a a i Page 10 of 11 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 166 REDBERRY LANE MARSTONS MILLS,MA 02648 L13 Owner: CANNON Date of Inspection: 7/7/03 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. 10 o R b a g Aa Mai �` l 6g a8 �n Page 11 of 11 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 166 REDBERRY LANE MARSTONS MILLS,MA 02648 L13 Owner: CANNON Date of Inspection: 7/7/03 SITE EXAM _Slope _Surface water _Check cellar Shallow wells Estimated depth to ground water 12+feet Please indicate(check)all methods used to determine the high ground water elevation: NO Obtained from system design plans on record-If checked,date of design plan reviewed: n/a YES Observed site(abutting property/observation hole within 150 feet of SAS) NO Checked with local Board of Health-explain: n/a NO Checked with local excavators,installers-(attach documentation) NO Accessed USGS database-explain: n/a You must describe how you established the high ground water elevation: HAND AUGER- 12+FT. r ,. KCJ ENGINEERING ENVIRONMENTAL ENGINEERS SEPTIC SYSTEM DESIGN May 2, 2007 Mr. David W. Stanton, R.S. Health Inspector Town of Barnstable Department of Regulatory Services Public Health Department 200 Main Street Hyannis, MA 02601 RE: 166 Redberry Lane Marstons Mills, MA 02648 Map No. 047, Parcel No. 096, Parcel Extension No. 002 Dear Mr. Stanton: I am submitting to you, for your approval,two stamped and signed septic system design plans to increase an existing septic system from a three bedroom design to four bedroom design at 166 Redberry Lane in Marstons Mills. The existing system was upgraded in 2003, is d.-signed for a three bedroom dwelling. The dwelling is presently is in the process of being sold to Mr. John Jatcvak. Mr. Jatcvak would like to add a fourth bedroom in the future. The parcel size is 1 acre and is currently sufficient for a four bedroom dwelling. The existing septic system consists of a 1,000 gallon septic tank, a d-box and 2— 500 gallon leaching chambers. The proposed septic system will consist of a new 1,500 gallon septic tank, a d-box and 3 —500 gallon leaching chambers. One 500 gallon leaching chamber with stone will be added to the existing leaching field. If you have any questions or need any additional information,please do not hesitate to contact me.at(508)287-1253. Sincerely, Robert A. Drake, P.E. KCJ Engineering f 66 Greenville Drive Forestdale, MA 02644 Phone: 508-477-5048 Cell: 508-287-1253 E-mail: kcj528@msn.com M f TOWN OIL BARNSTABLE LUCATIOd �.flf _ SEWAGE # `J g9 VILLAGE�5 ", i4l,'l _ ASSESSOR'S MAP & LOT %1_ INSTALLER'S NAME & PHONE NO. C,��. ra--f-4Z SEPTIC TANK CAPACITY�QOQ GG/ LEACHING FACILITYAtype) r Cyst `i (size) NO. OF BEDROOMS PRIVATE WELL OR PUBLIC WATER BUILDER OR OWNER L4Z,,y S" DATE PERMIT ISSUED: � DATE COMPLIANCE ISSUED:_ '3- VARIANCE GRANTED: Yes Nv P� � _. ,�' ': � . �� � C� 0 4 7 ' No.2.2. l/o f ' 1(9 � Fss.. THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH ......... ....T-o - V...OF......%3 }.��5 ?"?` Appliratiuu for Uiipusal Workii Tonstrudion ramit Application is hereby made for a Permit to Construct (V-5 or Repair ( ) an Individual Sewage Disposal System at: .... ? .�.�.....X E,p i EGZ+iZY..G s ...... - .4-�Z S �o ----------•-----------•--------•...........................................•----.... Location-Address r o. oe Owner---••-------.-- ------- t ..c,t `f`... ? x -------- ---- �X=;:7R ..................... Installer Address / G / 7 Type of Building Size Lot.........._ V Sq. feet ------ Dwelling—No. of Bedrooms............................................Expansion Attic,(''"— Garbage Grinder{---� P4 Other—Type of Building .t... No. of persons......... ______________ Showers =Cafeteria(—) Q' Other fixtures ._ ... W Design Flow.......................... :....gallons per person pgrda�. Total daily flow............50_._._�3.'0..............gallons. WSeptic Tank—Liquid capacityIP9 ..gallons Length__-'.__.._. Width.4_-LO.. Diameter................ Depth...49. x Disposal Trench—No. .................... Width.................... Total Length............ Total leaching area....................sq. ft. Seepage Pit No........1----------- Diameter........&._..... Depth below inlet------- ........... Total leaching area..Z.- I...sq. ft. Z Other Distribution box Dosing t nk�(i'j '—' Percolation Test Results Performed by............. ..... ._�2-�.5.... ...... ... Date...... aTest Pit No. 1--A-7..z..minutes per inch Depth of Test Pit.1.15 t?.._`.._ Depth to ground water.....,(-�B_.'�' Gi, Test Pit No. 2................minutes per inch Depth of Test Pit.-____------____-_-- Depth to ground water--_--_---------- Description of Soil ,E,p�t!M ..G.t7 /2 S E......:S0911_ZS0911__�.................................. w UNature 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. Signed. ._ •-- ....,s•.s� .� 2�j$ .............•-•...•---------•- •----- -------•----f..•..- a Date Application Approved By.... ---7'IlI2�C --------- __ Date Application Disapproved for the following reasons-------------------------------------------------------------•-------------------'-•--•----•-•-•------......_.._ .........-•---•--•--•-----------------------•-----...•------•----------. ............................................-••------•-•-----•----------------••-----------------•---------------------.---•- �'� � Date Permit No........................ •--- ..... Issued_..................... .................................. Date N22.... Pl� f 1 THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH >, ..... Appliration for Disposal Works Tonstrnrtion Vrrmit Application is hereby made for a Permit to Construct (k- -)or Repair ( ) an Individual Sewage Disposal System at: t ,, s. _�• �..a............................... fit?�-�- Location-Address or Lot No --•-�-�....._ ., t Owner ry Address --- Installer Address d r Type of Building Size Lot .*•-_'�..._4 1�r.Sq. feet :7 ------------ Dwelling—No. of Bedrooms........... ..........................Expansion Attic,(-"`)` Garbage Grinder�.(_ ) Other—T e of Building g ....... No. of ersons........(.-,................ Showers . a Other—Type g -�---�=`- ----•----------------•p �, �( )— Cafet�r-ice•--( ) Otherfixtures ----------------- •--------------------------------------- -------------------------------•-----------......... Design Flow.........................s w a-...._.__gallons per person per day. Total daily flow........... _ a.. ...............gallons. W ,; , WSeptic Tank—Liquid'capacity!-"!'- .gallons Length_: ..._ Width��s_..`� ?1'.. Diameter________________ Depth S7.....�..� x Disposal Trench—No. .................... Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No-------A------------ Diameter.._... ........ Depth below inlet........ ......... Total leaching area-,-,..........sq. ft. Z Other Distribution box ( v)-' Dosing tanl�,,—) , ? Percolation Test Results Performed by..._ -_r` .--,�--:-_-1 .__ ..�?_... --- Date_.._.!. ,4 . , { �` y I Test Pit No. 1.__.__.;_....minutes per inch Depth of Te t Pit . _ .'...... Depth to ground water.___! f=, Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water�........................................ a0 ..........--••----•-••......---•----•-----•-------••-••-•-�--------••-•---------------_-- --•-•--•--•-........-----........F.�a...st.._f_. Description of Soil-•-------------------------/1-1.'" :_✓" ?.... �� =�� r'.------` ,``7' --------------•---•-•------------- x W UNature 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 boakd of health. _t t > ned . ........ .......�.. of � G•� v ....�`----'Date..... ._ ApplicationApproved By................................................................................................. Date Application Disapproved for the following reasons-------------•-----------------------------------------------------------------------------------------....--•--- ........................................... ------•----------.....------------------------------------------------...--------------------------------------------......--- Date Permit No.�---------------•-••---.---- .. .................. Issued-....................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ..........r ..v ....OF...... :'' ........................................... Trdifiratle of Tompfianre THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed�( ' or Repaired ( ) by ' = -------------------------------------------------------------------------------------------------------•- Installer at....... ....... ..�. has been installed in accordance with the provisions of TT�T �T"y,I tate Sanitary41). ed in the application for Disposal Works Construction Permit No.__Q___4?._.___ ._.... dated__ _ ............. THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUE® AS A GUARANTEE THAT THE SYSTEM WILL SATISFACTORY. DATE--•--........•. . l ' UNCTION - --_'-=- ........_ ..-------•------------- Inspector....._..---.......- --a-- ---....------------......_......_..-•--.......... THE COMMONWEALTH OF MASSACHUSETTS OARD OF HEALTH nor ................. 0 F..... -v,/ No.3 ......Z.- i FEE- - Disposal Works IT.untrnrtion Vprrmit Permission i rebygranted�.. T ............ c-- j. to Construct ,I or Repair an Individual Sewage Disposal = System Stre (� r as shown on the ap ication for Disposal Works Construction Perm W.............. e /� � .._�-- tti..._...... .............. ---------- /Board of Health " f DATE.--------•-�. .....---• .r , } FORM 1255 A. M. SULKIN, INC., BOSTON L-� r TOWN OF SAPUIS iA (_E 6,va 1`M?1' A l -3 AM 8: 59 g t�4, 1 v I, ; -0 e05� r t � I All ckcA ' Jtt _ , i ._._.... ._........... F.__ .. __. _.._.-_-.--__ -- --------------, ----- i k -.........-..,..__....,,..:.,....._-.•.,,........,.,.......m-r....,-.,....._.--•—_ -__-...,,...._.....:.__._-..,..a.....��,.._....,,.,..ems-..c.,...-._.,...o.s-..�.,,. ._.��� � _ _ �. i v " x j� v5 wo, VJ a r• Fj� t i G� i i f f 1. 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EN LOCATED ON THE j/ � �3 PLAN M �S _ L C 2 aZ ���o%Mr. GROUND qS' IlnI01CATED. OF L�ATt: �� SCALE / M,qs� U� F1pltd �y� JOH 0067 /J a,Lol NT / _• _ Celle% �I/ v' Jd ��� �v� NHOI"l:sS10N l LAND SUii EY- . do: sa ;?03 SETUCKE T R(110 SOUTH Dl_NWS� Q�GGC ,. Col 18 r ROI 1. �,,ius iff l BENCH MARK TEST HOLE RESULTS . IDATE • .� .�, .�.� W I T N E S S E D BY ".I -_ Gr I O TEST HOLE E +i ,=L -4S,� TEST HOLE lei 4 .3 r ti- ✓_ L a 1-5) /z3 A/dGROUND WATER GROUND WATER ENCOUNTERED ENCOUNTERED Rot syd MANHOLES AND COVER TO BE BUI LT TO ;a JELEV- TOP OFWITHIN 12`� OF FINISHED GRADE OUNDATION FIN ISH� D� GRADE MIN, 2 % SLOPE n,� ''✓, V,`� 1� �07 yI� "�-•_ ----' / �;� 4" D I A. -- _• c_ d -- : 4�� D I A. PIPE FIRS 12 M I ---- ` PIPE -- ,,;,,;�^i. _ 2 MIN . 2' LAYER 0 F _ —2-,' ;�' • MIN . PITCH I/4" FT. .� � LEVE PEA STONE 3O.ao , - C�,0 5 MIN. PITCH ,o„M iN. i¢" R�� t�8,1� '�---- ,� � a �/ I D'� �'7'.�CJ I/4 jFT. 4 .8 • a .� p•. ' M INVERT ".x�Mp INVERT D C ` y INVERT :: . GALLON 6,7,5 •. D < d I I g V7'" - 7.0$ DIST, 1 ., � d p -► �4 �2 DIA. '�i � SEPTIC TAN INVERT '�`�''� �' v � p.'• WASHED STONE ( '�} FOOTING TO BE PLACED = BOX ; y !' INVERT - ,, ON A MINIMUM OF 18" OF PLACE , OR.; � INVERT . . ;d '1' fit ,, ALL AROUND i VIRGIN , OR �CPMPACTED ;f FIRM BASE ' 1t� ' � � , �' 03 > -4 BOTTOM AT ELEV. 4 m SAND C'7T. 7. /-/OLE� g ELEV. � G,3 PROFI LE OF GROUND WATER -TABLE %3�a= Ov✓ SANITARY DISPOSAL SYSTE M ( NOT TO SCALE D E S I G N DATA ® CONSTRUCTION OF SANITARY DISPOSAL '-:) BEDROOMS SYSTEM SHALL CONFORM TO THE MASS. DESIGN FLOW -7 GAL./DAY ENVIRONMENTAL CODE TITLE 77 .�. 2 (REVISED 7- 1-77 ) AND THE TOWN LEACH RATE MIN./INCH HEALTH DEPARTMENT REGULATIONSREQUIRED LEACHING CAPACITY : 27�. z� 0701V_ 77 ® SEPTIC TANK DISTRIBUTION BOX AND LEACH - PROPOSED GAL DAY ` ING UNIT TO BE OF REINFORCED CONCRETE 2d5 Tr" s) �- � o7)ek) MIN. CONCRETE STRENGT H = 3000PS. 1. REQUIRED SEPTIC TANK /000 GAL. MIN. STEEL STRENGTH 201000 PS- I. � x MIN. DESIGN LOADING : / PROPOSED SEPTIC TANK /000GAL. 0 DRIVEWAYS NOT TO BE LOCATED OVER SYSTEM UNLESS H2O DESIGN LOADING IS USED ! ALL PIPES AND FITTINGS TO BE WATERTIGHT AND TO BE OF CAST IRON OR APPROVED P.V.C. HEALTH AGENT APPROVAL DATE ISITE F_ LAN SHOWING PROPOSED CONSTRUCTION ZONING DATA LEGEND LOCATION : ,310oq T L zF (/;' ,zzs 7- mom ZONE : TEST HOLE L E LOCATION C A T I 0 N FOR : LESS.— SOLL� O '�dS 0EV. CORP- DATE : �' zn �8 � � _.._ _ .__ �. ..._. 4- ,�� OF � � . REFERENCE LOT AS SHOWN ON REVISIONS REQUIRED AREA 43, .5G s o , EXISTING SPOT ELEVATION 17.6 J3o EXISTING CONTOUR — I6 PLAN By Ron /N vV, W14<o>� Z .,L.S REQUIRED FRONTAGE :,,.,_ _ REQUIRED FRONT SETBACK ao � IJ � T'�'� 8/z4,/87 PROPOSED . CONTOUR 16 �� R � � SCALE � / = �© � REQUIRED SIDE SETBACK � `� PROPOSED WATER SERVICE W�---- `A AL 1 REQUIRED REAR SETBACK : �S PROPOSED GAS SERVICE --'—G PROPOSED ELEC. & TELE E a T— CRAIG R . SHORT , P. E . 47 P R 0 FIESS10NAL C I V I L EN G I N E E R BUILDING INSPECTOR APPROVAL DATE 131 OLD ROUTE 132 , HYANNIS , MA. 02601 FILE NO. / - 647 ( TELE. (617 ) 362 - 9411 ) SHEET / OF - e I TOP OF FOUNDATION PRECAST CONCRETE EXTENSION LEACHING FIELD ELEV. - 50.50' RISER WITH CONCRETE COVER TO WITHIN GENERAL NOTES 6 OF FINISH GRADE OVER OUTLET COVER 1.) THE PROPOSED LEACHING FIELD SHALL CONSIST OF 3 - 500 GALLON, H-10 LEACHING CHAMBERS WITH 3/4" - 1/2" DOUBLE WASHED STONE ON ALL SIDES, AS SHOWN ON THE DETAILS BELOW. 1.) UNLESS OTHERWISE NOTED, ALL SYSTEM COMPONENTS AND FINISHED GRADE OVER CONSTRUCTION METHODS SHALL BE IN ACCORDANCE FINISHED GRADE / DISTRIBUTION Box = 49.05 +/- 2.) PLACE RISERS ON ALL CHAMBERS TO WITHIN 6 OF FINISHED GRADE. WITH TITLE 5 OF THE STATE ENVIRONMENTAL CODE AND ANY OVER TANK EL. = 49.28 + - 20" MIN. ACCESS COVER APPICABLE LOCAL RULES. { EXISTING 4" (TYPICAL OF 3) �__ REMOVABLE COVER "� 5" DIA, OUTLET(S) 3.) THE ELEVTION AT THE TOP OF THE LEACHING FIELD IS AT EL = 46.16'� +/- CAST IRON / f 36 MAX. THE ELEVATION AT THE BOTTOM OF THE LEACHING FIELD IS AT EL.= 43.33 +/- 2.) ANY CHANGES TO THIS PLAN MUST BE APPROVED BY THE BOARD ' EXISTING 4" 4 / 3 -� AT TEST PIT #1, GROUNDWATER WAS NOT OBSERVED AT EL. = 36.20'. OF HEALTH AND THE DESIGN' ENGINEER. -,-- SCHEDULE 40 PVC --- - �--- -__ _.__ .__.._ _�_________�. I �� THEREFORE, THERE IS ATLEAST 7.13 OF SEPARATION BETWEEN THE " ` - a SAS SYSTEM AND THE GROUNDWATER. 3. 4 SCHEDULE 40 PVC PIPE WITH WATER TIGHT JOINTS SHALL ti _ MIN_SLOPE CAA 2% E ) PROVIDE WATERTIGHT „ - ��--�w_:� BE USED IN DISPOSAL SYSTEM UNLESS OTHERWISE NOTED. JOINTS TYP. •� 4 PVC IN FROM• . � 06 4. 4 SCHEDULE 40 PVC PERFORATED PVC PIPE SHALL BE USED SEPTIC TANK k �) 1 4" PVC OUT FROM LEACHING ) INSIDE LEACHING TRENCHES OR LEACHING FIELDS. 46.50 t 46.08N.=; 45.83 E � FACILITY. MINIMUM SLOPE 0 1%� { OUTLET TEE i 120t 1 1 - 5.) SLOPE ALL SOLID PIPE AT 1.0% MINIMUM. 45.75' 45.58 ' s PROPOSED ! EXISTING EXISTING ' " µ � ,. _ r,> awERRM MECHANICALLY 1500 GALLON 500 GALLON 1 500 GALLON 6.) THIS SYSTEM IS NOT DESIGNED FOR A GARBAGE DISPOSAL. USHED STONE 10 -0 € LEACHING TANK LEACHING TANK LEACHING TANK : 12'-10 �-------MINIMUM-----� COMPACTED BASE Fz �r _w 7.) LOCAL BOARD OF HEALTH AND DESIGN ENGINEER TO BE NOTIFIED II " 5 OUTLET DISTRIBUTION Box (H-10) r W w PRIOR TO BACKFILLING WHEN SYSTEM IS NEARLY COMPLETE AND I ! ( 6 CRUSHED STONE TO BE INSTALLED ON A LEVEL STABLE a 0- 1 I OVER MECHANICALLY BASE. FIRST TWO FEET OF OUTLET PIPES a Q- a READY FOR INSPECTION. SYSTEM IS NOT TO BE BACKFILLED COMPACTED BASE i c� WITHOUT FIRST OBTAINING APPROVAL FROM THE BOARD OF HEALTH TO BE LAID LEVEL U -- sA o „7. - �� > a_ - - AND DESIGN ENGINEER. + CROSS SECTION VIEW PROP. INV. EL. = 45.43 a - EXIST. INV. EL. = 45.33' PROPOSED 1500 GALLON[CONCRETE SEPTIC TANK H 10 DISTRIBUTION BOX DETAIL 8.) ELEVATIONS BASED ON A FOUNDATION ELEVATION OF SHORT, ( � ) PLAN VIEW: LEACHING FIELD AS SHOWN ON PLOT PLAN PREPARED BY CRAIG R. SHORT, P.E. LENGTH 10..5' WIDTH 5.67' DEPTH 5.33' N.T.S. 5/20/88. SEPTIC TANK PROFILE - 9.) CONTRACTOR SHALL VERIFY ALL UTILITY LOCATIONS PRIOR TO N.T.S. CONSTRUCTION THROUGH DIG-SAFE AT LEAST 72 HOURS PRIOR TO COMMENCING WORK ON SITE AT 1-888-DIG-SAFE AND ANY OTHER APPLICABLE AGENCIES. REPORT ANY DISCREPANCIES TO THE DESIGN ENGINEER. TEST PIT DATA APPROXIMATE GROUND ELEVATION = 49.06' +/- 10.) NON-SHRINK GROUT TO BE USED AT ALL POINTS WHERE PIPES ENTER OR LEAVE ALL CONCRETE STRUCTURES IN ORDER TO PROVIDE PERC. NO.: TEST PIT NO. 1 2" OF 1/8" TO 1/2" 9" MIN. -� 36" _,7 /- - APPROX. EL. = 46.16' +/- WATER TIGHT SEALS. ��-- �M DOUBLE WASHED STONE WITNESSED BY: DAVID B. MASON. C.S.E. ram. 11.) NO DETERMINATION HAS BEEN MADE AS TO COMPLIANCE WITH DEED O ,> ,- - �. ' OR ZONING REGULATIONS. OWNER/APPLICANT IS TO OBTAIN SUCH 3 4 TO 1-1/2" DOUBLE PERFORMED BY: DAVID B. MASON. C.S.E. / / '; - „ DETERMINATION FROM APPROPRIATE AUTHORITY. WASHED STONE TO CROWN 2 -1 d lt OF PIPE C_.r � �` 1_ r: ;W.� -o DATE: 8-14-03 =j '- 12.) ALL SEPTIC SYSTEM COMPONENTS INSTALLED UNDER A PAVED �y; ,.� s ,�t DRIVEWAY OR WITHIN 10' OF DRIVEWAY, SHALL WITHSTAND GROUND ELEV.: 48.20' +f- L" '� = _ ` H-20 LOADING REQUIREMENTS. ELEV. WATER: > 12' BGS '-a"--L---4'-10'! $-d" 13.) DOUBLE WASHED CRUSHED STONE SHALL BE FREE OF ALL DIRT, V-01 #�4 1END"VIEW (N.T.S.) APPROX. EL. = 43.33' +/- DUST AND FINES. PERC. RATE: < 2 MIN./IN. 14.) WHERE REQUIRED, CONTRACTOR SHALL REMOVE ALL LOAM, SUBSOIL DEPTH OF PERC.: 38 INCHES AND UNSUITABLE MATERIAL BELOW AND FOR AN AREA 5 FT. ON-ALL APPROXIMATE, GROUND ELEVATION = 49,06' +/- SIDES OF LEACHING FACILITY. REPLACE ALL UNSUITABLE MATERIAL 0" 48.2{1' WITH CLEAN COARSE SAND FREE FROM CLAY, FINES OR' OTHER SANDY LOAM " 9" MIN. - 36" MAX. UNSUITABLE I 1 OY; 5 2 2 OF 1✓/$ TO 1/2" ----� �? SU ABLE MATERIAL IN ACCORDANCE WITH 3:10 CMR 15.255(3). • � `, _ 5 _� DOUBLE WASHED STONE � _fir. SANDY LOAM �> ® o o I� © C� !� �_ 0 Q I� ��� 15.) CONTRACTOR SHALL NOTIFY DESIGN ENGINEER OF ANY DISCREPANCIES Z 10Y 6 6 46.16' = ,' 1 - FOUND IN SITE CONDITIONS FROM THOSE' SHOWN ON PLANS PRIOR TO 34 45.37 3/4 TO 1-1/2- DOUBLE L- �- a " CONTINUATON OF WORK. WASHED STONE TO CROWN '` - - �� - - � >t f 2'-0" "_� i-1 ;--� f t � i �! t � I.�• i._.._� �.� �.� u� i� 4 5+L",r i_.� jaC �. OF PIPE - 1 ) PROPOSED P C rt_ C WITHIN: 43.33 � 6. PROJECT S LOCATED a ASSESSORS MAP # 47 LOT # 13 �r Q s MEDIUM SAND _._. -- -- ii _. t.L ==-Y - __ -��._- E 7 € 2.5Y 7/4 17.) THIS PLAN IS TO BE USED ONLY FOR SEPTIC SYSTEM UPGRADE. O 47.83 3'- " '-6" '-a11 0',- '-6" KCJ ENGINEERING WILL NOT ASSUME ANY LIABILITY FOR 01-619 ui USES OF THIS PLAN OTHER THAN ITS INTENDED PURPOSE. W ! •� 49.3B { � 18.) CONTRACTOR TO VERIFY ALL ELEVATIONS PRIOR TO INSTALLATION OF 47.68 0 ; No GRouNDwaTER PROFILE VIEW: LEACHING FIELD (N.T.S.) _.. --- 144" 3 OBSERVED-- - 36.20' SEPTIC SYSTEM. ui NSF a" IGa( v3MC ,S rVaaT 49.58 Y .09 DESIGN DATA: LEGEND 48.46 00 47.5,7 NUMBER OF PROPOSED BEDROOMS: 4 ----- --- EXISTING CONTOURS 48.31' 49.Q9' ._..1 _._._._ 49- NUMBER OF PERSONS: 2 DESIGN FLOW: 110 GAL/DAY/BEDROOM 2 - EXISTING 500 GALL LEACHING 49.87'I RELOCATED TOTAL DESIGN FLOW: 440 GAL/DAY L PROPOSED CONTOURS D - BOX C AMBERS. EXISTING PIP INV. 124.60' 9 SEPTIC TANK: TP TEST PIT LOCATION - 49-�' 48.06 (WOODED AREA) 440 GAL X 200% - �80 GALS. DESIGN CAPACITY 48.81' D' BD - PROPOSED 500 GAL LEACHING CHAMBER (H-10) TP$1 8' REPLACE 10ao GALLON SEPTIC TANK ', + , USE PROPOSED 1,500 GALLON SEPTIC TANK 1 - PROPOSED 500 GALL N LEACHING t CHAMBER, PIP INV. 124.60� 48.,9 WITH 1,5oa GALLON SEPTIC TANK = �; P ® REQUIRED LEACHING AREA: o 0 0. EXISTING 1000 GAL SEPTIC TANK (H-10) e ABANDONED 1° " � 440 GAL DAY 0.74 = 595 SQ. FT. 4"SOLID SCHEDULE 40 PVC PIPE: ELOCATE (WOODED AREA) EXISTING D-Box ,fir ( / ) / ( ) XIST D-Boxy` , ' 4"PERFORATED SCHEDULE 40 PVC PIPE SIDEWALL CAPACITY: - 4891 /gyp ,` l, :� "'"'`.'�.- r' ., ' �`' (. DISTRIBUTION BOX (H-10) E %gnOk ORN R 'r" '�'�1 f ' °I r -'"r` A , , '-�., 40. 0' (LENGTH) X 2.0' (HEIGHT) X 2 = 162.00 SQ. FT. TH . , EXISTING ABANDONED BLACK wAl(� ? - �"" >�0� f 12.83 (WIDTH) X 2.0 (HEIGHT) X 2 = 51.32 SQ. FT. LEACH PIT TO REMAIN 40 ROAD ° "'+ 'dI`+ r �, t � "`� TOTAL SIDEWALL CAPACITY = 213.32 SQ. FT. lee t� BOTTOM CAPACITY: REV. DATE BY: APP D. DESCRIPTION -M i °� �-q 40.5, (LENGTH) x 12,83' (WIDTH) = 519.60 SQ. FT. PROPOSED SEPTIC SYSTEM UPGRADE I _ z � PREPARED FOR: .t` � -'� TOTAL BOTTOM CAPACITY = 519.60 SQ. FT. +, 0 , JOHN JATCVAK °q - PROPOSED EFFECTIVE LEACHING AREA: y+ . _.�. LOCATED AT: � SIDEWALL AREA + BOTTOM AREA -� p �_ - LOT#12 A1 . ��%�� 213.32 SQ. FT. + 519.6 SQ. FT. - 732.,9 SQ. FT. 166 REDBERRY LANE 732.9 SQ. FT. > 595.0 SO. FT. O.K. MARSTONS MILLS, MA 66 SCALE: AS SHOWN DATE:05-02-07 � n 1,n0�r # I� RESERVED FOR BOARD OF HEALTH �® �o (7150 FEET ��! I'�a�_�u��t,�:ra m, I nl���► ��� �I�I�ri��l#ia�n °T��hn_�k��=�a;� �1° _ An,,� � ,9L PREPARED BY: ROf3ERTA. y s DR K � KCJ ENGINEERING rn �' PLAN OF LAND � 9 r�o 41642 a �, ROBERT A. DRAKE, P.E. SCALE: 1" = 30' TE Q 66 GREENVILLE DRIVE U FORESTDALE, MA. 02644 S- Z.�� (508)477-5048 LOCUS PLAN _ Drawn By. Designed By: Checked By: JOB No. 07-156 l I L I Ili ' I TOP OF FOUNDATION PRECAST CONCRETE EXTENSION LEACHING FIELD ELEV. = 50.50' RISER WITH CONCRETE COVER TO WITHIN GENERAL NOTES 6 OF FINISH GRADE OVER OUTLET COVER 1.) THE PROPOSED LEACHING FIELD SHALL CONSIST OF 2 - 500 GALLON, H'-10 LEACHING CHAMBERS WITH 3' OF 3/4" - 1/2" DOUBLE WASHED STONE ON ALL SIDES, 6' OF STONE BETWEEN THE CHAMBERS. FINISHED GRADE OVER FINISHED GRADE DISTRIBUTION BOX = 49.05' +/- 2.) PLACE RISERS ON ALL CHAMBERS TO WITHIN 6" OF FINISHED GRADE. 1.) UNLESS OTHERWISE NOTED, ALL SYSTEM COMPONENTS AND OVER TANK EL. = 49.28' +/- CONSTRUCTION METHODS SHALL BE IN ACCORDANCE 20 MIN. ACCESS COVER /EXISTING 4" /� (TYPICAL OF 3) REMOVABLE COVER 5" DIA. OUTLET(S) 3.) THE ELEVTION AT THE TOP OF THE LEACHING FIELD IS AT EL. = 46.16' +/- WITH TITLE 5 OF THE STATE ENVIRRONMENTAL CODE AND ANY CAST IRON 3" / 3„ 36" AX. THE ELEVATION AT THE BOTTOM OF THE LEACHING FIELD IS AT EL.= 43.33" +/- APPICABLELOCAL RULES. EXISTING 4" f AT TEST PIT #1, GROUNDWATER WAS NOT OBSEVED AT EL. = 36.20'. 2.) ANY CHANGES TO THIS PLAN MUST BE APPROVED BY THE BOARD . F - SCHEDULE 40 PVC THEREFORE, THERE IS ATLEAST 7.13 OF SEPARATION BETWEEN THE OF HEALTH AND THE DESIGN ENGINNEER. N. SLOPE o 2% SAS SYSTEM AND THE GROUNDWATER. 3� r „ - PROVIDE WATERTIGHT "I I9 JOINTS(TYP.) f9 3.) 4" SCHEDULE 40 PVC PIPE WITH WATER TIGHT JOINTS SHALL t F 74"PPVC IN FROM BE USED IN DISPOSAL SYSTEM UNLESS OTHERWISE NOTED. ,14" TIC TANK/ li H 4" PVC OUT FROM LEACHING 46.50't 46.08' \-45.83' FACILITY. MINIMUM SLOPE o 1% PROP. INV. EL. = 45.43' 4.) 4" SCHEDULE 40 PVC PERORATED PVC PIPE SHALL BE USED INSIDE LEACHING TRENCHES OR LEACHING FIELDS. OUTLET TEE 12" 45.58' 45.75 IN. 4 22"ZABEL FILTER M 5. SLOPE ALL SOLID PIPE AT 1.0% MINIMUM. MODELBA1801 HIP 6" CRUSHED STONE 4" PVC PIPE 500 GALLON 500 GALLON / ) 10'-0" (GAS BAFFLE ON BOTTOM) OVER CTEDABASE LY LEACHING TANK LEACHING TANK 4) MINIMUM- 6.) THIS SYSTEM IS NOT DESIGNED FOR A GARBAGE DISPOSAL. 5 OUTLET DISTRIBUTION BOX (H-10) 6" CRUSHED STONE TO BE INSTALLED ON A LEVEL STABLE 7.) LOCAL BOARD OF HEALTH AND DESIGN ENGINEER TO BE NOTIFIED OVER MECHANICALLY BASE. FIRST TWO FEET OF OUTLET PIPES j I j PRIOR TO BACKFILLING WHEN SYSTEM IS NEARLY COMPLETE AND COMPACTED BASE TO BE LAID LEVEL. READY FOR INSPECTION. SYSTEM IS NOT TO BE BACKFILLED CROSS SECTION VIEW WITHOUT FIRST OBTAINING APPROVAL FROM THE BOARD OF HEALTH 4" PVC PIPE \_ AND DESIGN ENGINEER. EXISTING 1000 GALLON CONCRETE SEPTIC TANK (H-10) DISTRIBUTION BOX DETAIL PRIOP. INV. EL. = 45.33 LENGTH 8.�WIDTH 4,$ ' DEPTH 5.58' N.T.S. PLAN VIEW: LEACHING FIELD 8.) ELEVATIONS BASED ON A FOUNDATION ELEVATION OF 50.50' AS SHOWN ON PLOT PLAN PREPARED BY CRAIG R. SHORT, P.E. SEPTIC TANK PROFILE 5/20/88. N.T.S. 9.) CONTRACTOR SHALL VERIFY ALL UTILITY LOCATIONS PRIOR TO I CONSTRUCTION THROUGH DIG-SAFE AT LEAST 72 HOURS PRIOR APPROXIMATE GROUND ELEVATION = 49.06' +/- TO COMMENCING WORK ON SITE AT 1-888-DIG-SAFE AND ANY TEST PIT DATA - _ OTHER APPLICABLE AGENCIES. REPORT ANYDISCREPANCIES TO 9" MIN. 36" MAX. APPROX. EL. = 46.16' +/- THE DESIGN ENGINEER. 2" OF 1/8" TO I/2" 10.) NON-SHRINK GROUT TO BE USED AT ALL POINTS WHERE PIPES PERC. NO.: TEST PIT N0. 1 DOUBLE WASHED STONE ❑ ❑ O ❑ ❑ ENTER OR LEAVE ALL CONCRETE STRUCTURES IN ORDER TO PROVIDE WATER TIGHT SEALS. 1\ O_` WITNESSED BY: DAVID B. MASON. C.S.E. 3/4" TO 1-1/2" DOUBLE ❑ ❑ ❑ ❑ O WASHED STONE TO CROWN " 2'-10" 11.) NO DETERMINATION HAS BEEN MADE AS TO COMPLIANCE WITH DEED PERFORMED BY: DAVID B. MASON, C.S.E. OF PIPE p = = ❑ 2 -0 OR ZONING REGULATIONS. OWNER/APPLICANT IS TO OBTAIN SUCH DATE: 8-14-03 DETERMINATION FROM APPROPRIATE AUTHORITY. Q D ❑ ❑ ❑ C7 Q 12. ALL SEPTIC SYSTEM COMPONENTS INSTALLED UNDER A PAVED GROUND ELEV: 48.20' +f- 3'-0" '-10" 3'-0" ) DRIVEWAY OR WITHIN 10' OF DRIVEWAY, SHALL WITHSTAND i H-20 LOADING REQUIREMENTS. j ELEV. WATER: > 12' BGS 10'-10" APPROX. EL. = 43.33' +/- �Ot #14 END VIEW (N.T.S. 13. DOUBLE WASHED CRUSHED STONE SHALL B OF ALL DIRT, PERC. RATE: < 2 MIN.fIN. ) ) DUST AND FINES. DEPTH OF PERC: 38 INCHES APPROXIMATE GROUND ELEVATION = 49.06' +/�- 14.) WHERE REQUIRED, CONTRACTOR SHALL REMOVE ALL LOAM, SUBSOIL I AND UNSUITABLE MATERIAL BELOW AND FOR AN AREA 5 FT. ON ALL . 0 SANDY LOAM 48.20 +/- " - SIDES OF LEACHING FACILITY. REPLACE ALL UNSUITABLE MATERIAL 9 MIN. - 36 MAX. WITH CLEAN COARSE SAND FREE FROM CLAY, FINES OR OTHER 10Y 5 2UNSUITABLE MATERIAL IN ACCORDANCE WITH 310 CMR 15.255(3). W ,- ,f" , 5» 47.78 2 OF 1/8 TO 1/2" �? � �' SANDY LOAM DOUBLE= WASHED STONE ! Z 10Y 6 6 46.16' ❑ ❑ O = ❑ ❑ ❑ 0 0 ❑ f 34" 45.37' 3 4" TO 1-1 2" DOUBLE Q Q 15.) CONTRACTOR SHALL NOTIFY DESIGN ENGINEER AF .ANY DISCREPANCIES / / = = = = 0 = ❑ ❑- Q ❑ ❑ ❑ FOUND IN SITE CONDITIONS FROM THOSE SHOWN PRIOR TO - WASHED STONE TO 'CROWN i _ _ » l _ _ 2 10 ONTINUA _ _ . _ <..__:5 Q -- ,. _ . _.� __ _ . �_,�.....,... ___...y.... .�.......�..0 TON OF WORK. _ OF PIPE 2,-0„ - 43:33 ❑ ❑ ❑ ❑ ❑ = ❑ ❑ ❑ ❑ ❑ ❑ fl p MEDIUM SAND 16.) PROPOSED PROJECT IS LOCATED WITHIN: 1 . a E/r 2.5Y 7/4 _; 40 . ❑ ❑ ❑ ❑ ❑ 0 Q ❑ ❑ ❑ CI � = Q ASSESSORS MAP 947 LOT L113 li � 17.) THIS PLAN IS TO BE USED ONLY FOR SEPTIC SYSTEM UPGRADE. W ' " ' ' " KCJ ENGINEERING WILLNOT ASSUME ANY LIABILITY FOR O 4783' Vol #13 3 -0 -6 -0 -6 3 -0 -' USES OF THIS PLAN OTHER THAN ITS INTENDED PURPOSE. to v l 29'-0" I' " NO GROUNDWATER a 49.38' 144" OBSERVED 36.20' PROFILE VIEW: LEACHING FIELD (N.T.S.) i, W . W 47.88' TIIVC BITUMINOUS PAI/E .,4%-% 4a.�� s PAVEMENT i DRlVtjW; '" °� y9�c w ��9 DESIGN DATA: LEGEND 4&48� � d'�- .p� 0 4a.85 " p9 48.a, ISO . ��, NUMBER OF BEDROOMS: 3 15 EXISTING CONTOURS 47.W 49.7' NUMBER OF PERSONS: 2 4e.e9' DESIGN FLOW: 110 GAL/DAY/BEDROOM _��� 4a.20' PROPOSED CONTOURS r� �. TOTAL DESIGN FLOW: 33 GAL DAY �� oe 4s.2a oe. '' IT, �`" ', " TP TEST PIT LOCATION SEPTIC TANK: & �` 330 GAL X 200% = 660 GALS. DESIGN CAPACITY (WOODED 4as1� � AREA ' ,, - +. 't TANK LION SEPTIC �' J - PROPOSED 500 GAL LEACHING CHAMBER (H-10) i �. '� �' a+" EXISTING 1000 GAL . USE EXISTING 1000 GALLON SEPTIC TANK MAINN $; d ;r,� �' 48,a� To RE - r REQUIRED LEACHING AREA: EXISTING D BOA �'++ � . o 0 o EXISTING 1000 GAL SEPTIC TANK (H-10) (WOODED AREA TO REMAIN l 10' ' -�... „ '�Ill ,�,,;,,,N 7�� ,_,� , � , (330 GAL/DAY) / (0.74) = 445.95 SQ. FT. 4 SOLID SCHEDULE 40 PVC PIPE: rp �� I ��O LEACHING 1 . d 4"PERFORATED SCHEDULE 40 PVC PIPE �. .r SooGA as0' 2°' � �,,� SIDEWALL CAPACITY: POSED V,12 �. i 2-PRO ar �� CHAMBERS'PROPOSED PIPE ; DISTRIBUTION BOX (H-10) A R 'r I �� CH ����� � :��$r ��:�:,,�,,,......_,�!,,� ,, -�^`""'"G z ­ f1l." ", i 29.00' (LENGTH) X 2_0' (HEIGHT) X 2 =116.00 SQ. FT. (� ,�A�l,�+ � � ,�l-,":,��l',�,,!',,���,",,,,�','���,,,� ," , I ll"'� _, ,�"­",'­:,­I,�,�j "I"" ­­� V ' � �` - , ��u', _�,�Lll`:,� "�, " 1��71­ ',,�,,�, , � 10.83' WIDTH X 2.0' HEIGHT X 2 = 43.32 SQ. FT. LEACHING PI D (4O � I "DW {� ' EXISTING D ADBANDONE `�. ND AND11 7 " TOTAL SIDEWALL CAPACITY = 159.32 SQ. FT. TH SA '` �� LED IN V111 �. .. PIL ,' �' " ,�' � ''' ,}` �`' BOTTOM CAPACITY: REV. DATE BY: APP'D. DESCRIPTION r 1 PROPOSED SEPTIC SYSTEM UPGRADE "; ,, 29.0' (LENGTH) X 10.83' (WIDTH) = 314.07 SQ. FT. TLlb " �' '� PREPARED FOR: oe .° '' TOTAL BOTTOM CAPACITY = 314.07 SQ. FT. ` ' 0, ,r JEFF CANNON PROPOSED EFFECTIVE LEACHING 'AREA: 5 LOCATED AT: ;zYp �'"li �-, % SIDEWALL AREA + BOTTOM AREA LOT#12 � '� �, 159.32 SQ. FT. + 314.07 SQ. FT. �= 473.39 SQ. FT. 166 REDBERRY LANE 473.39 SQ. FT. > 445.95 SQ. FT. O.K. MARSTONS MILLS MA "', :"� , , I �,��,!,, V� �',i�,,Z�' K [ I ,,���,,,,��:���:l 'L'-i`i,,�� ��,�,,;�', �� r� �"' ��,��,,,,�,�,"�;, �,��` 4r. a. p�,"", I b�' D � � If �` �7 RESERVED FOR BOARD OF HEALTH SCALE: AS SHOWN DATE:09-02-03 �� �"', (;� 10 0 40 FEET I f ' '' (� �+ �,.,_ ���t''N of Mksmmmmmmmmmmmommimll �i-, '"' d" "", -,','����,,�'r,�,,��,,;,,,�,,�,,�,���" ��,�;" " ", , _- 'L.I , ,�,, 114 ­­­­X.-, V��t,,�,:"�P1 i; ,,,,-;,,,�� �,�1�1�, "�7,��v� ��,_'I,�,,"�"'4�'," n. - L r `�����/vim ,ti�� syc ROBERTA. ��� s � -iE DRAKE m PREPARED BY: `$ m"ka 4�o cw+� Z4 ROBERT A. DRAKE �:. ram"� �I",4 , .�._ ,. .�: v 41642 a_ PLAN OF LAND _ "� �' � � �F 66 GREENVILLE DRIVE SCALE. 1 = 30 _ ' � T$C�RO � _ n lew G r b '�_ � io AL � FORESTDALE MA. 02644 LOCUS PLAN � �� )()� � -..�-o 1 U Drawn By. Designed By. Checked By. JOB No. _.---_ -____-_._ _ - _._.---- ..,�,...-.,_., 4,--,..�....�....�-,.-_- --�. . -_- I