HomeMy WebLinkAbout0615 RIVER ROAD - Health 15 River Road
Marstons Mills
A= 043-010
— 1
f
No. ` .t-�-------i- Fim....Z.................
Q THE COMMONWEALTH OF MASSACHUSETTS
BOAR® OF HEALTH
....... ,.-.......OF.......,,C�J --____-_-----_------
Appliration for Bi5puual Works Tuuitrurtiuu Vrrmit
-,A� Application is hereby made for a Permit to Construct ( or Repair ( ) an Individual Sewage Disposal
System at: /j�COL lZ L[
.1..... Z,97-- lZel ----------------------------------.-------------------------------------_.----------------------
Location-Address or Lot No.
-•---s � - ----•�'-��4•5•--------------
---- - - --- ------ ---
Ow Address
W .�
Insta ler Address
Type of Buildi g Size Lot............................Sq. feet
U Dwelling No. of Bedrooms_,.................................Expansion Attic ( ) Garbage Grinder ( )
aOther—Type of Building ____________________________ No. of persons............................ Showers ( ) — Cafeteria ( )
aOther fixtures ......................................................
W Design Flow__ ,_.._.._!.__® gallons per person per day. Total daily flow............................................gallons.
WSeptic Tank/ Iiquid capacity............gallons Length................ Width------------.... Diameter---------------- Depth_____-_______--.
x Disposal Trench—No..,.,,, . r_i th �'�`-'_� -Total Length--------------_--- Total leaching area--------------------sq. ft.
� Seepage Pit No___�O_ ________ Diamet ___________________ Depth below inlet.................... Total leachingarea------------------s ft.
Z Other Distribution bo ( ) Dosing tank ( )
aPercolation Test Results Performed by-------------------------------------------------------------------------- Date-------•--------_---------J-- -----
Test Pit No. 1................minutes per inch Depth of Test Pit.................... Depth to ground water.... 7 - -------
44 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water__________ _ ----- --
- —
O Description of Soil------------`��k-'-�------`�----------------- ----------••----------------•----------------•-•-----;•--•---------------------------------------------------
x �y;ll?!<F--L---•------------•----------------------------------------------------------------------------------------
U .•••••---•-••---••...--••--•----...--• -•---------•......--•--••-•-•- ---------------------------------------------------------------------------------------------------------------------------------
---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
VNature 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 Article XI of the State Sanitary Code—The undersigned further agrees not to place the system in
operation until a Certificate of Compliance has been iss ed by the o health.
Si ed----?.. _ 7 ----
Application Approved By--- ------ -C- f-----°...............................
----------------------------- .
Date
Date
Application Disapproved for the following reasons:................................................................................................................
•-'•----•-•-•'•-••••-------------•---••-•--------•••---------••-••--••-•---'-'•-.........•-•----••-•-----
------------------
Date
Permit No.- = Issued - 73.........................
Date
••�,- ��-�.�� �. �..�. -------- -------------- ------
No.--- .---•-... Fim>c.... .................
THE COMMONWEALTH OF MASSACHUSETTS
r
BOARD qF HEALTH
° „*r.... OF..... .,iy: ' ✓!. s: ... ......................
Apli iration for 43isputittl Workii Tomitrurtion Prrmit
Application is hereby made for a Permit to Construct ( or Repair ( ) an Individual Sewage Disposal
System at: s
e
r' �,sga ocari -Address �C �y� f t or Loth No. r
........... _........ .......'..
Owner Address
W
a ............................................. ---•--•-----•-•-------------------------- ---------•---•------------------------•------ -I -nstaller--- -------------------------------------
QType of Building Size Lot____________________________Sq. feet
L)
Dwelling -No. of Bedrooms-r....W.................................Expansion Attic ( ) Garbage Grinder ( )
aOther—Type of Building •___________________________ No. of persons------------------------------ Showers ( ) — Cafeteria ( )
Lt, Other fixtures ----•-------••-•--------- ------ ---------- --------
t Design Flow.._.._J r........: . ...:.........::.gallons per person per day. Total daily flow--------------------------------------------gallons.
WSeptic Tank Liquid capacity............gallons Length------------_-- Width................ Diameter-------.-------- Depth_---------------
Disposal Trench—No..................... idtlj , Total Length.................... Total leaching area--------------------sq. ft.
3 Seepage Pit Nd.: Diter_
ame ___________________ Depth below inlet.................... Total leaching area..................sq. ft.
z Other Distribution box ( ) Dosing tank ( )
Percolation Test Results Performed by......... -P•-------•------------••--•••-----••---------------• ------ Date........................................
Test Pit No. 1................minutes per inch Depth of Test Pit-------------------- Depth to ground water.-------_----_-________-
44 Test Pit No. 2................minutes per inch Depth of Test Pit________-_-:______- Depth to ground
- water--..--_--__-____--_--.-.
--------------------•-------------------------------------------------•-----------------------------------•----•-•--------------------•--
0 Description of Soil------------=�.!-'......--------- I................ --
X , 4 , ti# -
W
---------------------------------------------------------------------------------------------------=----------------------------=------- -------------------------------------------------------------
UNature of Repairs or Alterations—Answer when applicable......................................................•--:---_----.---------.-___-_-_______.__.
---•--•-------------------------------------------•--••-•----------•----------•-•---------------------•------•-------------------•--------•---•---•---------------------------•__----•---••--•-.------
Agreement:
The undersigned agrees to install the I aforedescribed Individual Sewage Disposal System in accordance with
the provisions of Article XI 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 ! Date
-%APPlication Approved By ----"------ .....-`....----•------•-------`--j--"-
.------•=•-- =`
Date
Application Disapproved for the following reasons:---------••------------------------------------•----------------------------------------------------------------
....•---•-•-------------•----•--•--•...----••--••-•••---•-----------•---•-------.._..•----------•------...------------------------•--•-•--•-•-••----------------•-••--•-------•---••----------------•----
Date
PermitNo. ' '=-` =- ----=---------------------------------- Issued......-----------------`---==-------------------------
Date
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
s H f-
y
Trrfi$iratr of Tampliattrr
THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ('" ) or Repaired ( )
by----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
,11 jfs 'A Installer j
......4f �.v 1 �
------------------------------------------------
has been installed in accordance with the provisions of Article XI�of The State Sanitary Code as described in the
application for Disposal Works'Construction Permit No............. f:._._.__.._...._... dated.-_.. '.' .. 2.
THE ISSUANCE OF THIS CERTIFICATE SMALL NOT BE CONSTRUED AS A GUARANTEE THAT THE
SYSTEM WILL FUNCTION SATISFACTORY.
DATE................................'............................-------------------- Inspector....................................................................................
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
rfy G` .- ... a- ` ...........................
No.......:...... ........ FEE------ • _ C
Permissionis hereby granted-------------------------------------------------------•-------------------------.......------------------------------- `-•-••-••...---_-----
to Construct (I(")) or Repair ( ),an Individual Sewage Disposal�Sy�tem
C
r i
atNo --•--. ---------------•---. ------ -------- ------. =-•-----•---------'-••--. ---------- -----------------------------------------------------------------------
Street .
as shown on the application for Disposal Works Constructio emit N .._-. �--------- Dated.---" / - --------------
-
r-d-o-f...H--ea--lt-h-------------------------- --------
BBS & WARR INC.. P LISHERS DATE-------- -- ' ..
FORM 1255 H Y 7 = -
`
'
" 1`
RECEIPT
Printed: March 27, 2017 @ 13:58:48
` `BARNSTABLE COUNTY REGISTRY OF DEEDS
i JOHN F MEADE, REGISTER
Trans#: 73408 Oper:NIKI
JEAN
Book: 30376 Pale: 87 Inst#: 14435 v
Ctl#: 881 Rer:3-27-2017 ® 1:57:37p
BARN 615 RIVER RD
DOC DESCRIPTION TRANS AMT
1 WILKERSON, LOIS D
RESTRICTION
County Fee $ 10.00 10.00
Surcharge CPA $20.00 20.00
State Fee $40.00 40.00
Surcharge Tech $5.00 5.00
Total fees: 75.00
Total charges: 75.00
CHECK PM 231 75.00
- '
DEED RESTRICTION
WHEREAS, Lois D. Perry of 615 River Road Marstons Mills Barnstable MA
is the owner of 615 River Road located at Marstons Mills, Barnstable MA
(Hereinafter referred to as 615 River Road Marstons Mills
And being shown on a plan entitled "Subdivision of Land in Newtown, Barnstable MA, property
of
William C. Nye and Charles Dow + and Dated September 29, 1970 as Lot 1 duly recorded in
the
Barnstable County Registry of Deeds, Barnstable MA. Deed Plan Book 243, Page 39
WHEREAS, Lois D. Perry as owner of the said lot has agreed with the Barnstable Board of
Health to a restriction to the number of bedrooms in existing house as pre-condition to
obtaining any disposal works construction permit in compliance with 310 CMR 15.000 State
Environmental Code, Title 5, minimum Requirements for Subsurface Disposal of Sanitary
Sewerage :
WHEREAS, the Town of Barnstable Board of Health ,as a as pre-condition to obtaining any
disposal works construction permit in compliance with 310 CMR 15.000 State Environmental
Code, Title 5, minimum Requirements for Subsurface Disposal of Sanitary Sewerage : and
authorizing the issuance of any building permit for the construction or remodel of a single
family home on this property, is requiring that the agreement for the restriction on the number
of bedrooms on any house constructed or remodeled on the lot be put on record with the
Barnstable County Registry of Deeds by recording this document .
1
i
r
4*�
NOW,THEREFORE Lois Perry does hereby place the following restriction)on her above-referenced
land in accordance with her agreement with the Barnstable Board of Health which restriction shall run
with the land and be binding on all successors in title
615 River Road Marstons Mills Barnstable Massachusetts may have constructed upon the lot a home
containing no more than three bedrooms(3).
Lois Perry agrees that this shall be permanent deed restriction affecting the home and land located on
615 River Road, Marstons Mills, Massachusetts and being shown on the Plan Book 243 ,Page 39.
For title of 615 River Road Marstons Mills seethe following Deed: Book 3297, Page 286.
Executed as a sealed Instrument�/t.�hlc�d� A 0 day of d`7
OWNERS SIGNATURE A kA I. ?,e rry
COMMONWEALTH OF MASSACHUSETTS
o 2017
THEN PERSONALLY APPEARED THE ABOVE-NAMED
s _70 t 11c.�► ,r1
KNOWN TO ME TO BE THE PERSON WHO EXECUTED THE FOREGOING INSTRUMENT AND
ACKNOWLPGED THE SAME TO BE DL, s 2- FREE ACT AND DEED,BEFORE ME
21,1141&±= Public notary
MY COMMISION EXPIRES
KATHI LEE GUINEN
BARNSTABLE REGISTRY OF DEEDS NotM Public,Comm,Odal,hOfh'assachuseh
John F. Meade, Register My Commission Expires April29,2022
l '
No.
Fee O
�l THE COMMONWEALTH OF MASSACHUSETTS Entered incom ut r: Yes
PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS
application for Disposal 6pstem Construction Vermit
Application for a Permit to Construct( Repair( Upgrade( ) Abandon( ) ❑Complete System ❑Individual Components
Location Address or Lot No. 904 Owner's Name Address,and Tel.No.
Z 015 wi eke-rSoo
Assessor's Map/Parcel
Installer's Name,Address,and Tel.No.$0 -y2 0—g738 Designer's Name,Address,and Tel.No.f"DS— iJG2-2 c/22
Joseph l�c/j ��o s Gyre S' Y5 rA/e.
117
Type of Building:
Dwelling No.of Bedrooms j Lot Size sq.ft. Garbage Grinder( )
Other Type of Building No.of Persons Showers( ) Cafeteria( )
Other Fixtures
Design Flow(min.required) gpd Design flow provided gpd
Plan Date Number of sheets Revision Date
Title
Size of Septic Tank Type of S.A.S.
Description of Soil
Nature of Repairs or Alterations(Answer when applicable) �f2S19 6/ I Roa/ 4F� P d-5 1420 130
13toD�F�'�sr�^s �thiTS wel� D /C
r
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.
d Q Date
Application Approved by ® Date
Application Disapproved b Date
for the following reasons
Permit No. '' Date Issued
o
qi
��,,.���'�'�' Fee
1vo. THE COMMONWEALTH.OF MASSACHUSETTS Entered in uter:
PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS Yes
9pplication for Disposal 6pstrm Construction 'vermit
f�
Application for a Permit to Construct(X Repair(L)"Upgrade( ) Abandon( ) ❑Complete System ❑Individual Components
Location Address or Lot No. Owner's Name,Address,and Tel.No.
A�srv�s ray %/s 1-015 ca/lkl5r500
Assessor's Map/Parcel 0 y
Installer's Name,Address,and Tel.No.5 U y2 U- Q738 Designer's Name,Address,and Tel.No.f��
JoszrPh d�/3,�`✓05 ovlt y115V � s 145.�A/c.
C�o� c l�✓i�vsrt��l� !�� �fo�>��vicX,
N
Type of Building:
Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder( )
t Other Type of Building No.of Persons Showers( ) Cafeteria( )
Other Fixtures
Design Flow(min.'required) gpd Design flow provided gpd
Plan Date Number of sheets Revision Date
a
Title
Size of Septic Tank Type of S.A.S.
Description JAW
_�
Nature of Repairs or Alterations(Answer when applicable) 10 S)'19/1 5' 4c)cci U%r� 4 ps /6 2013/7
„ - /',ice-'�s uhi s �1✓�i� 0 7.5� u//G ornTouiP/=P 4yFUGr-S
Date last inspected:
Agreement:
The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in
i 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.
Signed / 4 0 3�-_ Date
Application Approved by ' %4/, G' �il � ��(. Date
Application Disapproved by N V v Date
for the following reasons
1
U .1
Permit No. Date Issued
------------------------------------ --------------------------------------------------------------------------------------------------
; TIi F,COMMONWEALTH OF MASSACHUSETTS
BARNSTABLE,MASSACHUSETTS
Certificate of Compliance
THIS IS TO CERTIFY,that the On-site Sewage Disposal system Constructed(L) Repaired Upgraded( )
Abandoned( )by 71
at /o/S� �i/i;l� a�� �/i'�1'SlUy1 S d1/l,��S has been constr� ted in accordance
with the provisions of Title 5 and the for Disposal System Construction Permit No. D dated
Installer`J,15e,0,� Designer / _604 •
#bedrooms _3 Approved design ow gpd
The issuance of this permi shall not e cod trued as a guarantee that the system wil fu"ction�'asjdesigned.
Date Inspector / A/
P �.
U f 1
---- ----------- -------------------------------------------------------------------------=-
No.
o
~� .�-�D Fee` THE COMMONWEALTH OF MASSACHUSETTS
PUBLIC HEALTH DIVISION -BARNSTABLE,MASSACHUSETTS
30isposai :6pstem Construction Permit
Permission is hereby granted to Construct( L} Repair( •)' Upgrade( y' Abandon( )
System located at t y/5, 1 �,4"l
and as described in the above Application for Disposal System Construction Permit. The applicant recognized his/her duty to comply with
i
Title 5 and the following local provisions or special conditions.
i
- Provided:Construction mu k � leted within three years of the date of this permit. r�
Date i Approved by F'"� // (.�
DEC/31/2013/TUF :0:49 Au FAX No. P. 001
t
Town of Barnstable
.°� Regulatory Sen-ices
Richard V.Scali,Interim Director
_ srABca, t
Public Health Division
c ram° Thomas McKean,Director
200 Main Street,Hyannis,MA 02601
Office: 508-962-4644 Fax: 508.790-6304
Installer&Designer Certification Form
Date: I �� �� Sewage Permit#b -3—,_�01 Assessor's MapTarcel
Designer: Wi4 V,' SNIS Installer: uG w r__)L8
Address: 90 $CY 4M Address:
S �d
MA
On \/o, 0 .S was issued a pen-,ait to install a
(date) I (installer)
septic system at r,�1 RU~ R.a � based on a design drawn by
(address)
•t� '�+ S l e . dated
(designer)
I certify that the septic system referenced above was installed substantially according to
the design, which may 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 (i.e.
greater than 10' lateral relocation of the SAS or any vertical relocation of a3iy component
of the septic system)but in accordance with State &Local Regulations. Flan 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 compliance with the terms
of the PA approval letters(if applicable)
OF APs�
a DA
aller's Zi R W
o. 1140 y
1
(Designer's Signature) `�ft TAO `rJ
PLEASE RETITRN TO $ARNSTABLE PUBLIC HEALTH DIVISION. CERTIFICATE
OF COMPLIANCE WILL NOT BE ISSUED UNTIL BOTH THIS FORM AND AS-
BUILT CARD ARE RECEIVED BY THE BARNSTABLE PUBIAC HEALTH DIVISION.
THANK YOU,
Q 6eptie Designer Certification Vorm Rev 8.14-13.doc
Town of Barnstable
°F1HE 1pk, Regulatory Services
ti
Richard V. Scali, Interim Director
* ^B Public Health Division
9 MASS.
�ArE1 39. a`e Thomas McKean, Director
200 Main Street,Hyannis,MA 02601
Office: 508-862-4644 Fax: 508-790-6304
Homeowner Certification Form for Alternative S stems
Property Address: Rt K9do��� /"l LLS
Assessor's Map\Parcel:
Property Owners Name: ��>.S �tj�E)0,50-0V
In accordance with Massachusetts DEP alternative system approval letters, the following certification
information is required by the Owner of record. The Owner of record must place an "x" in the
applicable box next to each line certifying the information.
Yes N\A
❑ I have been provided a copy of the Title 5 I/A technology Approval letters.
(15 page Standard Conditions letter and the specific technology letter)
❑ I have been provided with the Owner's Manual
7 ❑ I have been provided with the Operation.and Maintenance Manual
❑ L1a For Systems installed under a Remedial Use Approval, I agree to fulfill my
responsibilities to provide a Deed Notice as required by 310 CMR 15.287(10)
and the Approval
❑ For Systems installed under a Remedial Use Approval, I agree to fulfill my responsibilities to
provide written notification of the Approval to any new Owner, as required by
310 CMR 15.287(5)
❑ V"If the design does not provide for the use of garbage grinders, the restriction is understood
/ and accepted
D ❑ Whether or not covered by a warranty, I understand the requirement to repair, replace, modify
or take any other action as required by the Department or the LAA, if the Department or the
LAA determines the System to be failing to protect public health and safety and the
environment, as defined in 310 CMR 15.303
15 o 1S ;(�1,� i I& rs-d agree to comply with all terms and conditions above.
Property Owners printed name
' /j /?
Property Owners Signature Date
Note: This form must be submitted along with the septic system disposal works permit
application for all I\A systems including new construction, repairs\upgrades, with and
without aggregate (stone) and with conventional design criteria or credited design
criteria.
Q:\Septic\IA homeowner certification.doc
TOWN OF BARNSTABLE
-LOCATION ro/"���y��' 0��! SEWAGE# _0/3 t3,29
VILLAGE ,r���1"OeS //.S AS MAP&PARCEL Oy3- /0
INSTALLER'S NAME&PHONE NO. S08 ., D:W
'SEPTIC TANK`.CAPACITY /006": w*
LEACHING FACILITY:(type) (size) 3 2.X
NO .OF BEDROOMS ` •3
OWNER, Lois
uj
PERMIT DATE 1COMPLIANCE DATE:
ASeparation Distance Between the:
Maximum Adjusted Groundwater Table to the Bottom.of Leachmg Facility. Feet '
t
Privat'dVater Supply Well and Leaching Facility(If any wells existxoni i z
site or within200 feet of leaching facility)
" Edge of Wetland and Leachmg Facility(If any wetlands exist within
a 300 feet of leaching facility) a Feet
1KFURNISH$D BY
Div +W
Ar
a �7�;',
r�
t
TOWN OF BARNSTABLE
LOCATION P-r tZ-1(J Z. 12-op a SEWAGE #
VILLa,GE VW A-nS T7W S " `` ASSESSOR'S MAP & LOT
INSTALLER'S NAME&PHONE NO.
SEPTIC TANK CAPACITY lo o o 6 A-L L
LEACHING FACILITY: (type) 004-ctt �/ ?" GX4 �°' Ft n.- to
size
NO.OF BEDROOMS
�BbfltH'E'R'OR OWNER `,0 U l S
.PERMIT DATE: 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 4ny wetlands exist
within 300 feet of leaching facility) Feet
a
Furnished by � �••�
l
Town of Barnstable
P# /
Department of negt latory Services t, /' n 1 -2
Public Ac.al1h Division Bate
MOM
e[.�9a
i639 `e$ 200 Main Street,llyenuis MA 02G01 eV
$ I
Date Scheduled r ' ''. "J % '.: ,'v1 i Time _'` _ Fee Ptl. I
oil Suitability Assessr�aent for Sewn e Dispo�s'`ar� F'
Performed By.-0aU td `4 witnessed Oy: v j
i
LOCATION & GENERAL INFORMATION
OwnrJ s Name f \/
Location Address'. 1 _ f�l v ,� (z�r [
�✓!► t>✓•� I"JA Address Cg �� j�L'�
nlVo
''ll f.n . it, t t 5
Assessor's Map/Parcel: V 10 I Engineer's Name 11141 f�c� 1
NEWCONs1'RUtn0N REPAIR JC �rTa.rphonck - � I
Lind Use P. r�P q f c ( 1 6J o odco � Slopes(70) 11 � U surface stones e
p y 0 I ti ft Drinking Water Well `O U ft
Distances from: 0 cn Water[lotl (t Possible Wet Arcs
I
Drainage Way �D f ft Propeay line (O t _ft Other ft
I
SIM,TCII:(Street name,dimensioris'of lot,exact locations of trst holes&perc tests,locate wetlands in proximity to holes)
-� c:)
� 9
CD
co
�r
o _
- - - -- a ��' _ _ _ _ .__ .__ ._ r, --- •-----� -i'S'r
s o `
I
I
l
l .
I
0)
'I
material(gcatogic) D t-e�lue!Q I 00-}1�I A Depth to Bedrock I Q
Ll t\L I Wcc i ffromPat FAce
Depth to Groundwajer. Standing Water in Hole:' n I P g
Estimated Seasonal71igh Groundwater to rt t
DtTERMIN4TION FOR SEASONAL IIIGII WATER TADLE
Method Used: 'M 0 t rl eS n o nz a� (� ln.
Depth C1b ervcd standing in obs.(tole: in. Depth to Sall tnottics:
Depth tolweeping from side of of hole: I in. Groundwnter Adjuslincnt �— tQ� w l�•)Index Well#`�DW Reading Date:oq t Index Well levi'1 -Z Adj.(Actor Z Ad).Oroundwaterlave]
2s3 �n»e 3 l
PERCOLATION TEST . Date l')I Z9 I�.pllue. to !� M
Observation t I The at 9"
}loge# // i
Time at G" V�
Depth of Pere /
�G
Time(9"-611) I O(1
Start Pre-soak Time,@ f _
End Prc-soak
Rate MinJlnch 2-RIP I I I
N
Site Suitability Assrtsment: Site Passed Site railed;
Additional Testing Needed(YIN)
original: Public l-leylth Division Observatiod Ilolc Data To Be Completed on Back
i .
***If percolar ion testis to be conducted within 100' of wetland,you must first notify the
Barnstable C��riservation Division at least one(1)wedk prior to beginning.
DEEP OBSERVATION HOLE LOG Hole#
Depth from Soil Horizon Soil Texture Soil Color Soil Other
Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders.
Consistenc %Gravel
-6 P Sa xe- Le m !0 3/Z UOht' Fna►le
G - 30 Fs>w (01My Sct rp; le
3� •- 46 C, (�tt�y C'i„e`�t't4 —TT le
DEEP OBSERVATION IIOLE LOG Hole# �—
Depth from Soil Horizon Soil Texture Soil Color Soil Other
Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders.
Consistenc %Gravel)
0 - 6 APSh►1el t �oa•� I�`�f`7t'Z �Jttr` {-�,'c{6IQ
to K iZ &/G ti =rt'ab �e
3 Z 46 C, C0[,ttl� �twi ��r Wq R-s/4 Flr;n�, le
l2- G-Z Red;vin S,tt I� (Z S/� Cvose
DEEP OBSERVATION HOLE LOG Hole#
Depth from Soil Horizon Soil Texture Soil Color Soil Other
Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders.
Consistenc %Gravel
DEEP OBSERVATION IIOLE' LOG Hole#
Depth from Soil Horizon Soil Texture Soil Color Soil Other
Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders.
Consisten ra I
Flood Insurance Rate Map:
Above 500 year flood boundary No— Yes
Within 500 year boundary No V Yes _ r
Within 100 year flood boundary N Yes
Y rYo---_
Depth of Naturally Occurring Pervious Material
Does at least four feet of naturally occurring pervious material exist in all areas observed throughout the
area proposed for the soil absorption system? !Co-
If not,what is the depth of naturally occurring pervious material?
Certification
I certify that on 5 (date)I have passed the soil evaluator examination approved by the
Department of Environmental Protection and that the above analysis was performed by me consistent with
the required training,experti
se and experience 3,ence described in 10 CMR 15.017.
Signaturez�� /L/-9 Date M_V 20 ( 3
Q:\Sr:P 'ICU'eRCFORM.DOC
I
BUILDER TO CONFIRM ALL
CONDITIONS E -0 N
W M 0 0
AND DIMENSIONS ON 51TE o o, 0 Q)
n � NE
Note: These plans are for the sole purpose and o s
use of Gapizzi Home Improvement and are not
E 'a
to be distributed or used for construction other o z
than by Gapizzi Home Improvement.
.n '3
ED
o
®®®
W
0
30'-01, CIL
PROPOSED ADDITION
� J
LEFT SIDE ELEVATION scale: 3/16=1-0 ~
U)
n
Q)
0
r
L
t
V � N
z �
V
13H -
Date:
5-18-16
Revisions:
5-26-16
5-31-16
6-8-16
Final:
6-21-16
PROP05ED ADDITION FRONT ELEVATION scale: 3/16=1-0
1 .
BUILDER TO CONFIRM ALL
f CONDITION5 E o E
AND DIMEN510N5 ON 51TE
o
a � w E
Note: These plans are for the sole purpose and o
use of Gapizzi Home Improvement and are not
E
to be distributed or used for construction other o z c�
than by Gapizzi Home Improvement. _
N •3
n
v v
Z
Lww� ---i
Q
ID
Q
W
O
IL
O
15'-0"
PROP05ED
RIGHT SIDE ELEVATION scale: 3/16=1-0
rr m
.SP
U
a
0
L zS
V a �
2 > �
VN
.�
11110
El' 111111
®®® U)
0
Date:
5-15-16
Revisions:
5-26-16
5-31-16
6-8-16
PROP05ED Final:
6-21-16
REAR ELEVATION scale: 3/16=1-0
2 .
16' BUILDER TO CONFIRM ALL c v
g g CONDITIONS E a c�v E
AND DIMENSIONS ON SITE > o 0
a a E
Note: These plans are for the sole purpose and E o
use of Gapizzi Home Improvement and are not q) u N
E
to be distributed or used for construction other o z
than by Capizzi Home Improvement. _
N
NOTES:
1. CONTRACTOR TO VERIFY ALL EXISTING CONDITIONS r I I v v
AND DIMENSIONS ON 51TE I 3/2x10s
2. CONTRACTOR TO VERIFY ALL MATERIALS,DETAILS
AND FIN15HE5 KITH OWNER I r 1
3. R.O.HEAD HEIGHT AT 15T FLOOR TO BE 6'-b"ABOVE 5U5FLOOR
4.ALL CONSTRUCTION TO CONFORM TO 780 GMR MA55
STATE BL-DG CODE, DTH EDITION AMENDMENT& IRG2009 I Q
5. 110 MPH EXP05URE B WIND ZONE
6.ALL SHEETS OF PLY WALL 5HTHG TO BE INSTALLED VERTICALLY,OR I I I 8"GONG FND WALL ON 16"X b" DEEP Q
HORIZONTALLY WITH BLOCKING AT EDGES,3"EDGE/12"FIELD NAILING I I GONT GONG FT65 @ 0"BELOW GRADE
1.ALL LVL LUMBER/BEAM5 TO BE 1.11e L/360 LOAD
D.SEE CERTIFIED PLOT PLAN PER ROBB 5YKE5 I I Q
FOR ALL PROP05ED AND EXISTING SITE CONDITIONS
9. FOLLOW ALL MANUFACTURER SPECS FOR INSTALLATION r I I O
OF 51MP50N COMPONENTS -
10.ALL GONG USED FOR FND NALL5, FOOTING5 AND 5LA55
TO BE 3000 P51 03
11.VERIFY ALL PLUMBING AND ELECTRICAL DETAILS N/ONNER5 I I kn CRAWL
ON 51TE DURING CONSTRUCTION b _ _ _ I _ IVFNT Tn C, OFL — — — — — — — — — — — — — — — CI
12. FRAMING TO BE SPRUCE PINE FIR NO.2 GRADE -
13. FOLLOW ALL REO.OF THE IECG2012 RE51DENTIAL ENERGY I O — — — — — — — — — — — — — — — — —
EFFICIENCY RE(2.AND VERIFY ALL DETAILS N/IN5ULATION
IN5TALLER/GONTRAGTOR. X
IL
14.ALL HEADERS TO BE 3/2X55 UNLESS OTHERNI5E NOTED
15.STORM NAILING IN COMPLIANCE N/NRCA N I I ~
m I to U)
4" DIA LALLY5 ON In Ll
30"X 30"X 12"DEEP
GONG FOOTINGS
Q)
0
J
z >
w Ln
LT
I �
— — — — — — — — — — — — - - - � I Date:
5-18-16
Revisions:
PROVIDE ACCESS I I 5-26-16
30"X 301,
(REMOVE NINDON) 5-31-16
6-8-16
Final:
6-21-16
I I
I
FRAMING/FOUNDATION scale: 1/4=1 -0 I L - - - - - - - - - - - - - - - -
16' BUILDER TO CONFIRM ALL
v
2648DH -a6a�� g CONDITION5 E
j Now— 2AND DIMEN5ION5 ON 5ITE > o 0
Vt: w
CL
WALK-IN 01-05 Note: These plans are for the sole purpose and E o
iv CARPET use of Gapizzi Home Improvement and are not N
E N N 'a
ry BEDROOM to be distributed or used for construction other o z N 0
;n a CARPET cv than by Gapizzi Home Improvement. _ x
N ry N 1Z 3
— 5D
� V v
a
0'q 1/2"
Z
O
N 4'
fr
4066 PROP05ED FIR51 FLOOR PLAN scale: 1/4=1-0 0
5 D 3066
Q
CO o lu
� O
1177
N � n
LIVING ROOM
CARPET
BATHRMDL
£` J
OFFICE AND KITCHEN H
ACCE55 TO uj
m NEW BEDROOM AREA _N •�
NINE-LIGHT (a
N
11666
2666
w1230L REF DOWN
5TAGK o WID 3'-2 si2� 266b I : N
o A x 1 q'-3" L -
LINEN BATH w KITCHEN ALIGN DOOR WITH_; ; �� CO N o :
N TILE TILE OPENING o N
L
r
m v
Lia •—
I
g I ;
o °; m Bum II 51NK I AMIGRO
� EMOVE WINDOW
zzr
II I' ADD DOORw1833 REMOVE DOOR `� L
243 DH 2434DH AND PARTITION5 la
Date:
4'� fE—3�-4�� -
BEDROOM r,D 5-18-16
15'-b" N 5D Revisions:
BEDROOM 5-26-16
VERIFIED PER
5-31-16
SURVEY/LOCATION OFF 6-8-16
PROPERTY LINE Final:
6-21-16
12'-2 3/4" r
r
40
BUILDER TO CONFIRM ALL
CONDITIONS E E
` AND DIMEN51ON5 ON BITE
n N E
Note: These plans are for the sole purpose and o
use of Gapizzi Home Improvement and are not N
E � a 'a
to be distributed or used for construction other o z w
than by Gapizzi Home Improvement. z v
.Q '3
v U
2X12 RIDGE SHINGLEVENT II 50LID VINYL RIDGE VENT Z
�3
5:12
(APPROX)5:12 PITCH (MATCH EXISTING) ~
MATCH EXISTING ROOF PITCH ASPHALT ROOF/MATCH Q
EXISTING OVER 15#FELT
2X8 RAFTERS @ 16"Oc 30-YEAR Q
1/2"5HTHG
R-35 INSULATION Q
W
(NOTE:SPRAY FOAM
A5 NEEDED TO MEET CODE) O
2X4 COLLAR TIE5 @ 16"OG O
2x8 CEILING JOI5T5 @ 16 Or,
W
SIDING:
VINYL OVER AMOYVRAP
VENTED SOFFIT
Lu
W �
LIVING ROOM BEDROOM ~ •-
ALL NEYV CEILINGS AND YVALLS 7FU N
i- L3/4'-'T&0
X8 FLR JOISTS 16 OG TO BE BLUEBD&PLASTER to Q
O
BOX SILLS
BRIDGING TRIMS AND CA51NG TO BE 2X65 16 OG
ADVANTECH 5UBFLR COLONIAL STYLE I 1/2"5HTHG v
R-20 FG INSULATION ry
R-30 FG INSULATION I o
O �
L � 3
S
� � V
V to
4"VIA LALLY5 6"POURED GONG FND YVALL z
4"DUSTGAP CRAYVL SPACE ON 30 X 30 X12 N 5"X 16" POURED GONG V
-v DEEP GONG FT65 FTG5 @ 48"BELOY4 GRADE •�
Y41TH KEYYVAY5 AND PINNED
TO EXISTING FND -7
L L—t -1
L
c�
G
1,b„ T 6„
24' 30 4 6' Date:
5-18-16
Revisions:
5-26-16
5-31-16
6-6-16
SECTION @ PROPOSED scale: 1/4=1-0 Final:
b-21-16
0
BUILDER TO CONFIRM ALL c
GONDITION5 E c��, E
AND DIMEN51ON5 ON 51TE > o 0
OL °� E
Note: These plans are for the sole purpose and E o
use of Gapizzi Home Improvement and are not E N .
to be distributed or used for construction other o z � c�
than by Gapizzi Home Improvement. _
N
N •3
n
� v
— — — — — — — — — — — — — — — — — — — — — — — — — — —
il- - - - - - - - - - - - - - - - - - - - - - - - - - - - - -- -- - - - - - - - - - - - - - - - - - - - - - - -II o
I I A
LU
I I o
rL
IL
I �> I
EXISTING FOUNDATION
z '
U)
L — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — —
- - - - - - - - - - - - - - - - - - - Date:
5-15-16
Revisions:
5-26-16
5-31-16
6-6-16
Final:
EX15TING FOUNDATION scale : 1 /4= 1 -0 6-21-16
6 .
BUILDER TO CONFIRM ALL c "'
CONDITION5 E F
c� � oo
AND DIMEN51ON5 ON 51TE
a � a E
Note: These plans are for the sole purpose and E o
use of Gapizzi Home Improvement and are not
E a 'a
to be distributed or used for construction other o 7-
than by Gapizzi Home Improvement. _
N •�
a
V V
Z
DECK {—
Ll
52' Q
Q
la
W
�e_ _ - -
a.
BATHRM
EL
BEDRM TO KITCHEN DINING
55MT
N �
� N
Q
N
O
V U)
V �
to �
� o
in
BEDRM BEDRM ENTRY LIVING ROOM
Date:
5-18-16
Revisions:
5-26-16
5-31-16
6-8-16
Final:
b-21-16
EXISTING FIRST FLOOR PLAN scale: 1/4=1-0 070
r ( LEGEND MARSTONS MILLS
r PROPOSED CONTOUR
LOCUS
t 9® PROPOSED SPOT GRADE X615 RIVER ROAD
sa
ss �O°F —— 9B —— EXISTING CONTOUR
9L , + 96.52 EXISTING SPOT GRADE
i 4' /�j " mf Y W— EXISTING WATER SERVICE RpgO
E TEST PIT
. 60 Ft0 p,D
'�
i
LOCUS MAP
'
E' LOCUS INFORMATION
LOT 1
AREA = 257364 \\ TITLE REF:
ASSR MAP43 PCL10 I •�-\ 6_ ' PARCELS B 2 D: AP043 PAR. 010
FLOOD ZONE: "C"
COMMUNITY PANEL: 250001-0015—C DATED:08/19/85
' SEPTIC SYSTEM
REPAIR PLAN
Qer, �•,• • �� oP i LOCATED AT:
,a_o ; �� a 615 RIVER ROAD
-MARSTONS MILLS, MA
k9 TP-, TP-z 10 „ PREPARED FOR
f GENERAL NOTES:
/ so f6-O S F c116': L O I S WI LK E R S O N
o j t. ALL CHANGES TO THIS PLAN MUST BE APPROVED BY THE LOCAL
CC �\� \ 4 X L BOARD OF HEALTH AND THE DESIGN ENGINEER.
2. ALL WORK AND MATERIALS SHALL CONFORM TO THE REQUIREMENTS
sa OF THE STATE ENVIRONMENTAL CODE, TITLE V. AND ANY APPLICABLE
r �
DECEMBER 10, 2013
LOCAL RULES AND REGULATIONS, EXCEPT AS NOTED BELOW:
\ ' - -310CMR15.405(1)(b):
1) A 1.66 FT. VARIANCE FROM 310CMR15.221(7) TO ALLOW OF
EXIST. 1 ,000 GAL SL �t 2 0-P OO LEACHING TO BE 4.66 FT. BELOW GRADE VS. REO'D 3 FT. (H20/VENT PROV.
LEACH PIT " \ `a 3. THE SEWAGE DISPOSAL SYSTEM SHALL NOT BE BACKFILLED PRIOR
TO INSPECTION AND APPROVAL BY THE BOARD OF HEALTH AND THE R
DESIGN ENGINEER.
c
EXIST. 1 ,000 GAL \ 58 4. ANY CONDITIONS ENCOUNTERED DURING CONSTRUCTION DIFFERING " No. 40
� , ENGNEEROBEFORE CONSTRUCTION COON
NTIINUES. RTED TO THE DESIGN
SEPTIC TANK �� 5. ALL ELEVATIONS BASED ON ASSUMED DATUM. qSjE
6. THE DESIGN ENGINES IS NOT RESPONSIBLE FOR THE FAILURE OF `�NITAR�p�
''6 3
f THE CONTRACTOR OR OWNER TO NOTIFY THE LOCAL BOARD OF
BENCH MARK \ i HEALTH FOR PROPER INSPECTIONS DURING CONSTRUCTION.
7. WATER SUPPLY PROVIDED BY TOWN WATER SERVICE.
RED PAINT SPOT ON 8, ALL AREAS DISTURBED DURING CONSTRUCTION SHALL BE RESTORED
STONE STEP CORNER
ELEVATION = 56.00 5" i �
// /
TO A CONDITION AGREED UPON BETWEEN OWNER AND CONTRACTOR.
BARNSTABLE GIS DATUM i ` 9 IT SHALL BE THE RESPONSIBILITY OF THE CONTRACTOR TO LOCATION OF ALL UNDERGROUND UTILITIES. PRIOR TO STARTING WORKFY S
MEYER BC SONS, INC.
56
} 10. EXISTING CESSPOOLS TO BE PUMPED, CRUSHED AND REMOVED PER TITLE 5.
' 11. 48 HOUR NOTICE FOR ENGINEER CERTIFICATION P.O. B 0 X 981
12. THIS PLAN IS TO BE USED FOR SEPTIC SYSTEM PURPOSES ONLY
AND IS NOT TO BE CONSIDERED A PROPERTY LINE SURVEY EAST SANDWICH, M A. 02537
13.'NO KNOWN PRIVATE WELLS WITHIN 150 FT. OF PROPOSED LEACHING
14. ALL PIPING TO BE 4" SCH 40 ® 1/8"/FT (UNLESS SPEC. )
15. THE DESIGN OF THIS SYSTEM DOES NOT ALLOW (5 0 8)3 6 2—2 9 2 2
FOR THE USE OF A GARBAGE GRINDER
+ 16. NO ,WETLANDS WITHIN 150 FT. OF PROPOSED LEACHING
SCALE 1"=30' �9 4 SHEET 1 OF 2 J#1599
.
r
NOTE: TO PREVENT BREAKOUT, THE PROPOSED
NOTE: MAGNETIC TAPE TO BE PLACED OVER ALL COVERS FINISH GRADE SHALL NOT BE < EL:48.34
FOR A DISTANCE OF 15' AROUND THE
1 PERIMETER OF THE S.A.S.
_ SEPTIC TANK PROPOSED D-BOX PROPOSED S.A.S. 4
T.O.F. EL.=58.42 INSTALL RISERS & COVERS OVER INLET & INSTALL RISER & COVER INSTALL A 4" DIAMETER INSPECTION PORT OVER
OUTLET AND SET TO 6" OF FINISH GRADE SET TO 6" OF GRADE ONE CHAMBER (MIN.) AND SET TO 3" OF F.G.
• F.G. EL.=57.0-52.0f r F.G. EL.=51.50t F.G. EL: 16.0t F.G. EL: 52.0-53.0(MAX.) VEN OF MgSfq�ti�
9" MIN COVER/ D I RYER
L = 31' 36" MAX COVER L = 50' L = 10'(MAX) INSTALL TWO INSPECTION PORTS (MIN.) No. 1140
0 S=1% (MIN,) EL. = 50.50 0 S=1% (MIN.) 0 S=1% (MIN.)
4"SCH40 PVC - 4"SCH40 PVC 4"SCH40 PVCC/ E��O
SI
10"1 14" 6' 11.3" TO SgNITAR�A�
VER
INV.=49.50 as" LIQUIDINV.= 49.25 INV.= 47 95 T
LEVEL } : PROPOSED
GAS BAFFLE) D-BOX INV.=48.05 3 ROWS OF 5 UNITS AT 6.25'/UNIT + 0.75' WEDGE = 32.0'/ROW
INV.=48.2 .AB 0 SOIL ABSORPTION SYSTEM (PROFILE)
EXISTING 1,000 GALLON SEPTIC TANK
RESTORE VEGETATIVE COVER
EXISTING SEWER OUTLET
BACKFILL WITH CLEAN PERC SAND 75"
TO TOP OF CHAMBERS
NOTES: 1) CONTRACTOR SHALL VERIFY ALL EXISTING BREAKOUT=TOP ELEV.=48.34
PIPE INVERTS PRIOR TO CONSTRUCTION INV. ELEV.= 47.95
2) D-BOX SHALL BE SET LEVEL AND TRUE TO BOTTOM ELEV.= 47.01
GRADE ON A MECHANICALLY COMPACTED SIX EXISTING SUITABLE
INCH CRUSHED STONE BASE, AS SPECIFIED IN 2.83' MATERIAL
310 CMR 15.221(2) 5' MIN. ABOVE BOTTOM OF
3) REPLACE EXISTING 1,000 GALLON SEPTIC TANK T.P. EXCAVATION OR G.W. EFFECTIVE WIDTH = 3 x 2.83' = 8.49'
1500 GALLON SEPTIC TANK IF FAILED, (5.87' PROVIDED) USE 3 ROWS OF 5-HIGH CAPACITY PROFILE
in
WITH REPLACE
DAMAGED, NOT H2O LOADING, UNDERSIZED. BOTTOM OF TEST'HOLE EL.=42.25 = ADS 16208D BIODIFFUSER (H20) UNITS-NO STONE
W/ CONTOURED WEDGE
4) INSTALL INLET & OUTLET TEES W/
GAS BAFFLE AS REQUIRED ";;7N t
SEPTIC SYSTEM PROFILE TYPICAL SECTION
16'
N.T.S. N.T.S. 11±
SOIL LOG P#: 14163 i i /;ZO
DESIGN CRITERIA DATE: OCTOBER 29, 2013 �-� 34"---�)
NUMBER OF BEDROOMS: 3 BEDROOM DESIGN SOIL EVALUATOR: DAVID D. COUGHANOWR R.S., CSE #461 SECTION END CAP
SOIL TEXTURAL CLASS: CLASS I DESIGN PERCOLATION RATE: <2 MIN/IN WITNESS: DONNA MIORANDI, BARNSTABLE HEALTH 16" HIGH CAPACITY 1620BD�H-20��BIODIFFUSER UNIT
DAILY FLOW: 1 10 G.P.D/BR. DESIGN FLOW: 330 G.P.D. Elev. TP-1 Depth Elev. TP-2 Depth
GARBAGE GRINDER: NO (NOT DESIGNED FOR GARBAGE GRINDER) 52.93 A SANDY LOAM 0
10YR 3/2 52.35 A SANDY LOAM 0" MODEL 16" HICAP
SEPTIC TANK: 330 gpd x 200% = 660 gpd USE EXISTING 1,000 GALLON SEPTIC TANK 52.43 B LOAMY SAND 6' 51.85 B 10YR 3/2 6" LENGTH 76"
LOAMY SAND NOTE: UNIT CONFIGURATION AND AVAILABILITY SUBJECT
10YR 4/6 10YR 4/6 EFFECTIVE LENGTH 75" DIFFERAUT SLIGHTLY NGE NOTICE.
ACTUALR
DETAIL MAY
50.43 30" 49 68 ODUCT PRODUCT APPEARANCE.
LEACHING AREA REQUIRED: (330)/0.74 = 445.94 S.F. C1 LOAMY FINENE C1 LOAMY FINE 32" SIDE WALL HEIGHT 11.3"
SAND OVERALL HEIGHT 16"
DISTRIBUTION BOX: 3 OUTLETS MINIMUM 10YR 5/4 10YR 5/4 4640 TRUEMAN BLVD
(MINIMUM) 48.93 48" 48.22 46"
PRIMARY S.A.S. C2 MEDIUM C2 MEDIUM OVERALL WIDTH 34" HILLIARD, OHIO 43026
" 13.6 CF Emss
USE 3 ROWS OF 5 - 16 ADS 1620B0 BIODIFFUSER H-20 UNITS-NO STONE SAND SAND CAPACITY 1OYR 5/6 I (101.7 GAL) ADVANCED DRAINAGE SYSTEMS, INC.
10YR 5/6
AND EXTENDED 0.75' WfCONTOURED WEDGES PERC TEST I SITE PLAN
BOTTOM AREA: (GENERAL USE APPROVAL FOR 4.73 SF/LF OF BIODIFFUSER) 0 46.60 PROPOSED SEPTIC SYSTEM/
(BIODIFFUSERS) 15 UNITS x 6.25 LF x 4.73 SF/LF = 443.43 SF 42.43 126 41.85 126" 615 RIVER ROAD, MARSTONS MILLS, MA
(CONTOURED WEDGE) 3 ROWS x 0.75' x 4.73 SF/LF = 10.64 SF
TOTAL AREA = 454.07 SF PERC RATE <2 MIN/IN..SOILS IN ("C" HORIZON) Prepared for: Wiklerson
DESIGN FLOW PROVIDED: 0.74GPD/SF(454.07SF) = 336.01 GPD > 330 GPD req'd NO GROUNDWATER OBSERVED Engineering and Surveying by: SCALE DRAWN DATE:
Meyer&Sons,Inc. NTS D.M.M. 12/10/13
* I, Darren M. Meyer, R.S., CSE, hereby certify that I am currently approved by MADEP pursuant to 310 CMR 15.017 p0 BOX 981
to conduct soil evaluations and that the above analysis has been performed by me consistent with the REV. DATE: CHECKED SHEET NO.
requirements of 310 CMR 15.017. 1 further certify that I have passed the Soil Evol. Exam in October. 1999. LrAST CH,MA 02537
so"s2-2922-zszz D.M.M. 2 of 2