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HomeMy WebLinkAbout1676 SOUTH COUNTY ROAD - Health (Ll�s TOWN OF BARNSTABLE /a7/r�� v RT �/,� - LOCA ON �-Cd Y �iD SEWAGE # aCU�O t"S VILLAGE ASSESSOR'S MAP & LOT INSTALLER'S NAME&PHONE NO. RS Bctl I L. 1QG�S vexes JOff-81" �8?� SEPTIC TANK CAPACITY ISoO "I WA LEACHING FACILITY: ( pe —e-0�4h CNaAa,2S (size) .5-cd6 (A/ NO.OF BEDROOMS BUILDER OR O PERMITDATE: �D COMPLIANCE DATE: t . 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 3 3 4 .0 s 3&-. o ar 141410:36a p.1 t Commonwealth of Massachusetts _ Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 1676 South County Road Property Address Gail Martis Owner Owner's Name information is required for every Osterville MA 02655 3-13-14 page, Cityr'rown State Zip Code Dale of Inspection Inspection results must be submitted on this form. Inspection forms may not be altered in any way. Please see completeness checklist at the end of the form. Important-When filling out forms A. General Information ( ) on the oompu er, OF use only the tab 1. Inspector .-,�_'06 yr, key to move your p;' •.�G cursor-'.do not James D. Sears = JAMES 1 use the'retum Name of Inspector =c> key. # CapewideEnterprises,LLC • C%- Company Name � ` 153 Commercial Street '��iin nail ,Pw`�a``��� Company Address a� Mashpee MA 02649 Cityr'rown State Zip Code 508-477-8877 S 1623 Telephone Number License Number B. Certification 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 ❑ Conditionally Passes ❑ Fails i ❑ Needs Further Evaluation by the Local Approving Authority SR 3-13-14 ::W= 'n I or's Signature Datea . The system inspector shall submit a copy of this inspection report to the App loving Authority(Qoard of Health or DEP)within 30 days of completing this inspection. If the system Is a shardWsyster r or has a design flow of 10,000 gpd or greater, the inspector and the system owner shall submit�tT�e report to the appropriate regional office of the DEP. The original should be sent to the'sistem owner and copies sent to the buyer, if applicable, and the approving authority. ****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. � L t5i is-3l13 Title 5 Official wm .subsurface Sewage Dhposal system•Page 1 0/r 17 Mar 141410:36a p.2 . t f Commonwealth of Massachusetts Title 5 official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 1676 South County Road Property Address Gail Martis Owner Owner's Name information is required for every Osterville MA 02655 3-13-14 page. Cityrrown State Tip Code Date of Inspection B. Certification (cont.) 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: ❑ 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. Check the box for"yes", "no"or"not determined"(Y, N, ND) for the following statements. If"not determined," please explain. 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. El Y ❑ N ❑ ND(Explain below): 15ins•3Po 3 T41e 5 Official Inspection Form:Subsurface Sewag®Disposal System•Page 2 of 17 Mar 141410:37a p.3 Commonwealth of Massachusetts Title 5 Official Inspection Form e Subsurface Sewage Disposal System Foam -Not for Voluntary Assessments 1676 South County Road Property Address Gail Martis Owner Ownees Name information is required for every Osterville MA 02655 3-13-14 page. CilyJrown State Zip Code Dale of Inspection B. Certification (cont.) ❑ Pump Chamber pumpstalarms not operational. System will pass with Board of Health approval if pumpslalarms are repaired. B) System Conditionally Passes (conQ: ❑ 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 ❑ Y ❑ N ❑ ND (Explain below): ❑ obstruction is removed ❑ Y ❑ N ❑ ND(Explain below). ❑ distribution box is leveled or replaced ❑ Y ❑ N ❑ ND (Explain below): ❑ 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 ❑ Y ❑ N ❑ ND(Explain below): f ❑ obstruction is removed ❑ Y ❑ N ❑ ND(Explain below): C) Further Evaluation is Required by the Board of Health: 4 F❑ Conditions exist which require further evaluation by the Board of Health in order to determine if hte 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 tSina 3113 Title 5 Offi"Inspection Forth:SubsLrfaca Sewage Oispoael System•Page 3 of 17 i. Mar 141410,37a p.4 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 1676 South County Road Property Address -- Gail Martis Owner Owner's Name _ information is required for every Ostervilie MA 02655 3-13-14 page. Citylrown State Zip Code Date of Inspection B. Certification (cont.) 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 fecal coliform bacteria indicates absent 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. D) System Failure Criteria Applicable to All Systems: You must indicate"Yes"or"No"to each of the following for all inspections: Yes' No Backup of sewage into facility or system component due to overloaded or clogged SAS or cesspool El ® Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or clogged SAS or cesspool El ® Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool ® Liquid depth in aam*M is less than 6° below invert or available volume is less g than Yz day flow fA01//1PG tSins•3113 _ - TWO 6 OtficW hspection Fow Subsurface Sewage Disposal System•Page 4 of 7 Mar 141410;37a p.5 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 1676 South County Road Property Address Gail Maros Owner Owner's fume information is Osterville MA 02655 3-13-14 reqpage. for every City/Town State Zip Code Date of Inspection B. Certification (cont.) Yes No ❑ ® Required pumping more than 4 times in the last year NOTdue to clogged or obstructed pipe(s). Number of times pumped: ❑ ® Any portion of the SAS,cesspool or privy is below high ground water elevation. ❑ ® Any portion of cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply. ❑ ® Any portion of a cesspool or privy is within a Zone 1 of a public well. 4. ❑ ® Any portion of a cesspool or privy is within 50 feet of a private water supply well. ❑ ® 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 fecal coliform bacteria indicates absent 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 and chain of custody must be attached to this form.] ❑ ® The system is a cesspool serving a facility with a design flow of 2000gpd 10,000gpd. El ® 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. For large systems, you must indicate either"yes'or"no"to each of the following, in addition to the questions in Section D. 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 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 i regional office of the Department. t5in5`&13 Title 5 OMW tmpectlon Form:Subsurface Savage Disposal Sfstem•Page 5 of 17 E Mar 141410:38a p.6 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 1676 South County Road Property Address Gail Martis Owner Owners!Name information is MA 02655 3-13-14 required for every psterville page. Cityrrown State Zip Code Date of Inspection C. Checklist Check if the following have been done.You must indicate"yes" or"no" as to each of the following: Yes No ❑ ® Pumping information was provided by the owner,occupant, or Board of Health ❑ ® Were any of the system components pumped out in the previous two weeks? ® ❑ Has the system received normal flows in the previous two week period? ❑ ® Have large volumes of water been introduced to the system recently or as part of this inspection? ® El available as built plans of the system obtained and examined? (if they were not available note as WA) ® ❑ Was the facility or dwelling inspected for signs of sewage back up? ® ❑ Was the site inspected for signs of break out? ® ❑ Were all system components, excluding the SAS, located on site? ® ❑ Were the septic tank manholes uncovered,opened, and the interior of the tank inspected for the condition of the baffles or tees, material of construction, dimensions, depth of liquid, depth of sludge and depth of scum? Was the facility owner(and occupants if different from owner) provided with ® El 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: ® ❑ Existing information. For example,a plan at the Board of Health. ❑ ® 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(5)1 i D. System Information Residential Flow Conditions_ 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 !Sins-W3 Title 5 OMa;Inspection Fom%Sub�rtace Sewage Disposal System•Page 6 or 17 Mar 141410:38a p.7 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 1676 South County Road - Property Address Gail Martis Owner Owner's Name information is Osterville MA _ 02655 3-13-14 required for every State Zip Code Date of Inspection page. Citylibwn D. System Information Description: The system is a 1500 Gal tank D Box and two 500 Gal. dry well chambers. 2 Number of current residents: Does residence have a garbage grinder? ❑ Yes ® No Is laundry on a separate sewage system? (Include laundry system inspection ❑ Yes ® No information in this report.) Laundry system inspected? ❑ Yes ® No Seasonal use? ❑ Yes ® No 2012-198,000Gal Water meter readings, if available(last 2 years usage(gpd)): 2013-169,000Gal's Detail: Sump pump? ❑ Yes Z No Present Last date of occupancy: Date Commercial/Industrial Flow Conditions: Type of Establishment: Design flow(based on 310 C M R 15.203): Gallons per day(gpd) Basis of design flow (seatstpersonslsq.ft, etc.): Grease trap present? ❑ Yes ❑ No Industrial waste holding tank present? ❑ Yes ❑ No Non-sanitary waste discharged to the Title 5 system? ❑ Yes ❑ No Water meter readings, if available: - r t5ins•.5/13 Title 5 Official Inspection Form:subsutace Sewage Disposal system•Page 7 of 17 Mar 141410:38a p.8 Commonwealth of Massachusetts dim Title 5 Official Inspection Form w Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 1676 South Coun Road Property Address Gail Martis Owner owners Flame information is required for every Osterville MA 02655 3-13-14 page. City/Town State Zip Code Date of Inspection D. System Information (cunt) Last date of occupancy/use: Date Other(describe below): i i i General Information Pumping Records: Source of information: NA Was system pumped as part of the inspection? ❑ Yes ® No If yes, volume pumped: gallons Mow was quantity pumped determined? Reason for pumping: Type of System: ® Septic tank, distribution box,soil absorption system ❑ Single cesspool Overflow cesspool ❑ Privy ❑ Shared system(yes or no)(if yes, attach previous inspection records, if any) El Innovative/Alternative technology.Attach a copy of the current operation and maintenance contract(to be obtained from system owner)and a copy of latest inspection of the I/A system by system operator under contract , ❑ Tight tank.Attach a copy of the DEP approval. ❑ Other(describe): t5ias•Wi3 Tine 5 Official Inspection Form:Subsurface Sewage Disposal System•Page S of V i - Mar 141410:39a p.9 Commonwealth of Massachusetts Title 5 official Inspection Form SubsurFace Sewage Disposal System Form-Not for Voluntary Assessments 1676 South County Road Property Address Gail Martis Owner Owner's Name information isewired for every Cisterville AflA 02655 3-13-14 page. cKyrrown State Zip Code Date of Inspection D. System Information (cont.) Approximate age of all components, date installed (if known)and source of information: 2000 Permit # 2000-549 Were sewage odors detected when arriving at the site? ❑ Yes ® No i Building Sewer(locate on site plan): r 3- Depth below grade: feet Material of construction: ❑cast iron ®40 PVC ❑ other(explain): Distance from private water supply well or suction line: feet Comments (on condition of joints, venting, evidence of leakage, etc.): Pipeing is 4" PVC SCH 40. Septic Tank (locate on site plan): Depth below grade: 2' feet Material of construction: ®concrete ❑ metal ❑fiberglass ❑polyethylene ❑ other(explain) If tank is metal, list age: years Is age confirmed by a Certificate of Compliance?(attach a copy of certificate) ❑ Yes ❑ No Dimensions: 1500 Gal. Precast Sludge depth: Mns-3M3 Title 5 Ot4dal trlspectkm Fwm:Subwnface Sewage Disposal system-Page 9 or 17 i j Mar 141410:39a p.10 Commonwealth of Massachusetts 110 RIM Title 5 official Inspection Form r Subsurface Sewage Disposal System Form-Not for Voluntary Assessments r 1676 South County Road Property Address Gail Martis Owner Owner's Name information 6 required for every Osterville MA 02655 3-13-14 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Septic Tank(cunt.) Distance from top of sludge to bottom of outlet tee or baffle 28" Scum thickness 0" Sir Distance from top of scum to top of outlet tee or baffle 11, Distance from bottom of scum to bottom of outlet tee or baffle 8 How were dimensions determined? Asbuilt-Tape- Plan Sludge Judge 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 at working level.Tank and cover's at 2' below grade,outlet tee. No sign of leakage or over loading. Grease Trap(locate on site plan): Depth below grade: feet Material of construction_ ❑ concrete ❑ meta ❑fiberglass ❑ polyethylene. lEl 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: ' Date . t5ets•Via lllle 5 Official Inspection Farm:subsurface Sewage Disposal Syslefn•Page 10 of 17 Mar 141410:39a p.11 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments M 1676 South County Road Property Address Gail Martis - Owner Owner's Name information is MA 02655 3-13-14 required for every Osteryille page. Cityrrown State Zip Code Date of Impaction D. System Information (cont.) Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage,etc.): Tight or Holding Tank(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 per day { Alarm present: ❑ Yes ❑ No Alarm level.' Alarm in working order: ❑ Yes [] No Date of last pumping: Date Comments (condition of alarm and float switches, etc.). `Attach copy of current pumping contract(required). Is copy attached? ❑ Yes ❑ No 15ins•3n 3 Title 5 Official inspection Form:Subsuface Sewage Disposal System-Page'11 e.17 Mar 141410:40a p.12 Commonwealth of Massachusetts t Title 5 Official Inspection Form Subsurface Sewage Disposal System Form'-Not for Voluntary Assessments 1676 South County Road Property Address Gail Martis Owner Owner's Name information is required for every Osterville MA 02655 3-13-14 page. city/Town State Zip Code Date of Inspection D. System Information (cont.) Distribution Box(if present must be opened) (locate on site plan): Depth of liquid level above outlet invert D 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 is 16"x16"-33" below grade. Some scale on wall's. Box is solid wltwo line's out No sign of over loading or solid carry over. Note: D Box is H-10 in edge of drive way. Pump Chamber(locate on site plan): Pumps in working order. ❑ Yes ❑ No* Alarms in working order. ❑ Yes ❑ No* Comments(note condition of pump chamber,condition of pumps and appurtenances, etc.): i * If pumps or alarms are not in working order, system is a conditional pass. Soil Absorption System (SAS)(locate on site plan, excavation not required): If SAS not located, explain why: 15ins•3113 Title 5 OTdel Inspectai Form:subsurtace sewage Disposal System•Page 12 of 17 Mar 141410:40a p.13, Commonwealth of Massachusetts Title 5 Official Inspection Form ' Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 1676 South County Road Property Address Gail Martis Owner Owner's Name information is Osterville MA 02655 3-13-14 required for every page. CityfTown state Zip Code Date of Inspection D. System Information (cont.) Type: ❑ leaching pits number: leaching chambers number. 2 ❑ leaching galleries number: ❑ leaching trenches number. length: ❑ leaching fields number, dimensions: ❑ overflow cesspool number: ❑ innovative/alternative system Type/name of technology: Comments(note condition of soil, signs of hydraulic failure, level of ponding, damp soil, condition of vegetation, etc.): Leaching is two 500 Gal. dry well chambers. Chamber's are 50" below grade w/cover at 28". 1'water in chambers. No sign of over loading or solid carry over. No high stain line. ' Cesspools (cesspool 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 Indicafon.of groundwater inflow ❑ Yes ❑ No t5ins•3113 Title 5 Oftidel Irkaction form:SuDsvrace Sewage Disposal Syatem-Page 13 or 17 Mar 141410:40a p.14 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposals System Form-Not for Voluntary Assessments 1676 South County Road Property Address Gail Martis Owner Owner's Name information is OSt@rville required for every MA 02655 3-13-14 page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) Comments(note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): Privy(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.): isms-3/i3 This 5 Olfical hmpedbn Form:Subsurface Sewage Disposal System•Pape 14 of 17 Mar 14 14 10:41 a p.15 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 1676 South County Road Property Address Gail Martis _ Owner Owner's Name Information is required for every Osterville MA 02655 3-13-14 page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) Sketch Of Sewage Disposal System: Provide a view 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. Check one of the boxes below: ® hand-sketch in the area below ❑ drawing attached separately CARAC t ' r-fRoaT y 3 n B-� - 33 6tv t5ins•3113 Title 5 Official Inspection Fain Subsurface Se%wMe Disposal System-Page 15 of 17 Mar 14 14 10:41 a p.16 • , e Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 1676 South County Road Property Address Gail Martis _ Owner Owner's Name information is Osterville MA 02655 3-13-14 required for every page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) Site Exam: ❑ Check Slope ❑ Surface water ❑ Check cellar ❑ Shallow wells eva 12' Estimated depth toFigh ground water: feet Please indicate all methods used to determine the high ground water elevation: ® Obtained from system design plans on record If checked, date of design plan reviewed: Date 86 Date ❑ 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) ❑ Accessed USGS database-explain: You must describe how you established the high ground water elevation: T.H.on design plan 10-22-86. No G.W. at 12'. Bottom of chambers at U-8"below grade. Bottom of chambers at 5'-6"above T.H. Depth. Before filing this Inspection Report,please see Report Completeness Checklist on next page. t5ins•3113 Idle 5 Official tnspwAon Form:Subsu, Sewage Disposal System-Page 18 or 17 Mar 14 14 10:41 a p.17 N Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 1676 South County Road Property Address Gail Martis Owner Owner's Name information is fo required for every M Osterville A 02655 3-13-14 page. Cityrrown state Zip Code Date of Inspection E. Report Completeness Checklist ® Inspection Summary:A, B, C, D, or E checked ® Inspection Summary D(System Failure Criteria Applicable to All Systems) completed ® System Information—Estimated depth to high groundwater ® Sketch of Sewage Disposal System either drawn on page 15 or attached in separate file 3 15ins•3113 .. Title 5 Official Inspection Forth:SubsuAace Sewage MIxisel System Page 17 of 17 ri 0 No.� Fee , THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PU IC HEALTH DIVISION -TOWN OF BARNSTABLE,. MASSACHUSETTS j � l 01ppYtcation for Mtopool *paem Construction Permit UU� �Ioica'tion for a Permit to Construct( )Repair( )Upgrade( )Abandon( ) O Complete System ❑Individual Components Tel o Location Addre; or of No. r / Ow is Nayne, ddre�4/n I�� Assessor's Ma c • lnst� D" doress,and Tel.No. Desig r y�t��Q d • �(j pip Type of Building: Dwelling No.of Bedrooms Lot Size 3S sq.ft. Garbage Grinder(h1IC) Other Type of Building No. of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow WV330 gallons per(Jay. Calculated daily flow lln 0, gallons. Plan Date ��-�a— t Nu ber of sheets Revision Date Title �, p Sty Gn /7 U u, !)) L kfUr Tm Size of Septic Tank /SZ[7 Type of S.A.S. S� 116.7 Description of Soil LL Gt�1 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 itle 5 of the Environmental Code and not to place the system in operation until a Certifi- cate of Compliance has been iss e y this Board of Health. Signed Date Application Approved by 1Z Date Application Disapproved or the following reasons Ic Permit No. ® Date Issued ',� * } Al. ! �444 e.. -✓ -NO ii +ter _ ' jv Fee V. Entere r. �. THE COMMONWEALTH,OF MASSACHUSETTS PUBLIC HEALTHIDI.VISION_.-.T61 Yes OF`BARNSTABLE., MASSACHUSETTS N ZIppri ratio n'for�Mig�oga[ *pgtem Construction Permit Application for a Permit to Construct( .►/)Repair( )Upgrade(, )Abandon( ) ❑Complete System ❑Individual Components 7,F 3�r Location Address or Lot No. U /� Ow er's Nagne, ddress and Tel.I1io/ y 7 C �'�'Y' (�S C�//c_ .�rr�,% �7ZJ"/7fG jnL!y, Assessor's Ma !P c Instal A fts,and Tel.No. Designer's Name,Addres n T 1. o. �lr,�w,/, / /?l'h(1'd'l'f �JY�/f iSi'�G/rlr'1J (72 Type of Building: i Dwelling No.of Bedrooms 3 Lot Size)1C? (3Sr sq'. ft. Garbage Grinder(V1 Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures / Design Flow 30 gallons per day. Calculated daily flow P%✓ t ,w7.Gr� gallons. Plan Date �l ��-�7 t Number of sheets / Revision Date Title ,�. i S(+,o,, A I i..brL Size of Septic Tank 1_(ro Type of S.A.S. �cq 6" Description of Soil Nature of Repairs or Alterations(Answer when applicable) / ' l Date last inspected: - ,J 1� Agreement: The undersigned agrees to ensure the construction andinaintenance 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 iss"edy this Board'of Health. k Signed i f Date Application Approved by Date Application Disapproved for the following reasons ti 1 Per t No 1—T Date Issued --�----------. ------------------------- ,' THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS r Certificate of Compliance THIS IS TO CERTII�'1; than th'e n-s'te SewagelD`i`sposal System Constructed( ) Repaired ( )Upgraded( ) Abandoned r) r q/1! ff_ at ) �l has b constructed in accordance with the provisions of Title 5 and the for Dispos 1 Syste Construction Permit No.A dated ;r Installer. Designer n� t9 A ri The issuance of this permit 'h 1 tilde cons ed as a guarantee that the 'tem will fupc�ton�as designed�. Date � I Inspector c(,�_ p V\ 1 } — /— ——— — ——— _ ---- --------------------- No. (/� T/ 1 Fee q THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLE} MASSACHUSETTS mtgpogaf pgtem Construction Perron Permission is hereby g ant d to Coct( Rep 'r( Upgrad ( Abandon-( System located at \ //. Y1 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. i Provided:Construction must b compl ed within three years of the date oft ' e 41 Date: Approved by l Map Page 1 of 1 Town of Barnstable Geographic Information System New Search Home I Help Parcel Viewer Custom Map Abutters Map Sue .■ ZOOM Out I I lln _._—"-----._...................................................._................_...__..........._..._....._..._......____._._._..........._..__._........ _........ JPG Map: 098 Parcel: 064 Full now— Property Location: 1676 SOUTH COUNTY ROAD Info O�Os2 Owner: MARTIS,JOHN R&GAIL GERMAIN 008013 N'41 N 1092 Location Information Map A Parcel 098064 110111111,03 Location 1676 SOUTH COUNTY ROAD 025 Acreage 1.06 acres Current Owner ir.. Mailing Address MARTIS,JOHN R&GAIL GERMAIN %MARTIS,GAIL GERMAIN TR 098064 MARTIS FAMILY REVOCABLE TRUST 01078 _ PO BOX 1089 - OSTERVILLE,MA 02655 1 A raised Value FY 2014) o PP. Extra Features $55,800 Out Buildings $10,100 Land $161300 �„ -- Buildings $300:100 c.. " 01N6086 Total Appraised $527,300 il G� Assessed Value(FY 2014) oa 22001 Extra Features $55,800 M Out Buildings $10,100 Land $161,300 Set Scale 1" = 66 I April 2008 I MAP DISCLAIMER Buildings $300,100 J Copyright 2005.2010 Town of Barnstable,MA All rights reserved.Send questions or comments to GIS BarnstableMA v1.2.5115[Production] http://66.203.95.236/arcims/appgeoapp/map.aspx?propertyID=098064 1/6/2014 AsBuilt Page 1 of 1 TOWN OF BARNSTABLE LOCA ON SEWAGE# W0 T VILLAGE Q�I�.et/ l ASSESSOR'S MAP&LOT INSTALLER'S NAME&PHONE NO, R—T Set/1 l sots 509-93.2 11899 SEPTIC TANK CAP&rJJY (0 1 LEACHING FACILITY:( (size) .<16 ti/A/ NO.OF BEDROOMS— BUILDER OR O PERMITDATE: oD COMPLIANCE DATE: O Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility (If any wells exist on site or within 200 feet of leaching facility) Feet Edge of Wetland and leaching Facility(If any wetlands exist within 300 feet of leaching facility) Feet Furnished by O 2 2� 3 Y1 3 3y.lo y v(,y 4 ys• z 5 3S'.to `l?•5 http://issgl2/intranet/propdata/prebuilt.aspx?mappar=098064&seq=1 1/6/2014 TOWN OF BARNSTABLE 1're LOCA ON -CD U IM( �iD SEWAGE # 0&20 VILLAGE Q5l e Q<l I ASSESSOR'S MAP & LOT INSTALLER'S NAME&PHONE NO. 91 �Rctl�AC_C2 .�O9-$33 Ve7; SEPTIC TANK CAPACITY 15,00 LEACHING FACILITY: ( p C&,Clk CAari3eeS (size) .566 64/ NO. OF BEDROOMS BUILDER OR O YhRJPERMLTDATE: 6D COMPLIANCE DATE: Q . Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility (If any wells exist on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist- within 300 feet of leaching facility) Feet Furnished by i 3 Y _ ,I ;I TEST HOLES ROUTE #28- s BAXTER, NYE & HOLMGREN INC. 10/22/86 x ry N #P-6249 LOCUS Gti PIT #1 PIT #2 _ ELEV. = 45.6'water level 5/30/90 = 24.00' ELEV. 44.5 �F LOAM & SUB SOIL FILL , wetland -2.0 o'10 , _ ' ELEV. 42.7 TOP OF FND. 75 RAISE TO WITHIN 6 OF F.G. WETLANDS FLAGGED BY LOAM & SUB SOIL : : -4' PERC. TEST 49.0 F.G. 48t F.G.= 48f �� _ LOCUS MAP 8.7 FURGRO EAST INC. A3 , F.G.= 2.0 12/29/94 .\ % GC\�!\ F.G. 48t :... f SCALE 1 25,000 INV. = C\ ,\ .\� p� _ LEVEL \ .\ \ . �.� 46.0 Q MEDIUM ASSESSORS �� A4 --__ 2' ::: _ 1500 GAL. 4 DIAMETERI 4 PERC. TEST SAND MAP 98 PARCEL 64' G 3 INV. = SCHEDULE LEACHING CHAMBERS �'� O' 45.8 SEPTIC TANK INV. - DIST. 4(0 P.V.C. 1. o - INv. =45.4 Box x ..... i ZONES N O� �``�. ... . GP Q- 45.5 .......:::•:: INV. 45.2 INV. _ ci Op ...... 45.0 MEDIUM R F 43• 33.2 is SAND •� ........................... 6 STONE BASE '�• '� \ 30.2 . MINIMUMS �, ,O �•',, � m BOTTOM ELEV. EL 53.0 NO WATER AREA 43,560 S.F. �' .� p �,. 31.0 --. -12.0I) FRONTAGE 150' � Q�,�h. X N = 33.6 FRONT SETBACK = 30' --' -_ ::.. 31.3 �._ _ fir v �; o'' PROFILE _._. r __ _,- �, :'fit,. !' u SIDE SETBACKS = 15' o/ -3 �-- -- ...�� - -.... 9 _-- r,�•, `" ..."� _. _ 2.7-- -12.0 NO WATER REAR SETBACK = 15' J �i l 4� _ - X __ -- 31 6 `99, �O NO SCALE ' �.. 30 7' BUILDING HEIGHT = 30' 39.8 `' x i:whl .y pines 16" -. �� -.. - 32 r� o Ge' �p •,, /rJ:'�,��. .. ..` x x 32. - 33..0. 34 ..... 0 0i �s'9 l ~ 5 X•"3$.4 �C ..y R 45.5 39.7 46.4, \34.6 . qg 439 Am WTI"I a x x LIMIT UX N, e°d- `,•tv l.,, rtw{,z..,4"Y S`4 y e---;<.;.s a,.,- ..'. - -` V S , ` _ 47.2 _ fi 7. n. ,,w,, RI DICT FN OFF r_ • athFm __ ` ,�$ ,y��,; y ION x 39.8 1 49.6 r, L ,: x 31.4.� .,lyy . #y,� 9 .. ,, •. �,. � .'.,�..,�. �� <.fit:, C �..,, _ 38 38 0 49.3 1 1 .5" WASHED STONE . ,. 50. .: C., 50.0 . FND._ 34.4 x. 40 ". b : e \gyp '• N t-. 41.6 • � .. 4t 4•'1„ :� 5. ">:' hF•<CFx.. f { ry x 41.E .,, ..... 43 0 25 0' F f : O• • �., z, �.� r ��> x� '•i' a pine �16 _-.__ F HMA �•p ,emu � whit �._ BE C RK r` x TOPOF C.B. fit- t•'��.. r EL. 38.00 PLAN OF LEACH TRENCH , W,< 47.2 SCALE. 1 - , r x 46.70. fi x 48.4 - - : - - 49.6 TO BE REMOVED S holly ,T S -r 50 12 `'. .O �. _ FINISHED GRADE S.B. 4�:Z '9,�; "� 12 MIN. 50.7 '9'Q S/ �' 1, \/\/\ \ \ \ \\ \ \\ \ \ \ \ FND.OFF 49;4. O x 50. �A `'� " y�`�`�`/ / / COMPACTED FILL #155/80 : �x �., �°' p -1 S p 36 MAX. \ /�� h G �, �, 2 _ ................. �` •'y J� q.......' PEASTONE tK 5.. 13 " ° '• DOUBLE LOT 9 �. • -. .°. x 51.0 24 �y a -.• ". .- '. ,. WASHED STOKE 46,135 S.F. ' C>� - EFFECTIVE 1 .06 Ac. . DEPTH SECTION v NO SCALE �. 18.s x 50.8 z I --- a PLAN AA,® 51.0 x Of Sr I FND. ti \�, r ti SCALE: 1 :)' JO ��." o TEPHEN I I• � F �A. �I � '9 _ s,, 9 C.B. GRAPHIC SC/,I.- � � Lis y �_ FND. O b o. 2874 No nazis M �L \ 0 20 40 ,� ` 48.4' §. � Z `SS�� D vAL� i DATUM FOR THIS PLAN _ J.G.V.D. S Zs a-o i , I SEPTIC & SITE PLAN „ I #17 JUBILATION WAY I " s.. ,,.GN DATA - IN ,� G } E? SINGLEC•F �i 3 ' BEDROOMS OSTERVILLE , y < ,, �GE GRINDER NOTES: 110 X 3 330 G.P.D.DAILY FLC',N BARNS TABLE, 1 'REMOVE UNSUITABLE SOILS BENEATH PROPOSED SYSTEM, BACKFILL WITH E MASS, GRANULAR MATERIAL FILL TO BE GRADED AS FOLLOWS: NOT MORE CLEAN G SEPTIC TAt`K , .�0 X 200� = 660 GAL. THAN 15% RETAINED ON No. 4 SIEVE, NOT MORE THAN 90% RETAINED ON w T: ...,: �__ I FOR 50 SIEVE, OF FRACTION PASSING No. 4, 107 OR LESS O PASS # 100 USE 1., GAL SEPTIC TANK SIEVE AND 5% OR LESS TO PASS No. 200 SIEVE, SOIL TO .BE APPROVED CERTIFY THAT THE PROPOSED FOUNDATION BY ,ENGINEER FOR COMPLIANCE PRIOR TO PLACING ON SITE. LEACHII`%a_ ?.AMBER DESIGN GAIL GERMAIN- MARTIS SHOWN ;ERE ON COMPLIES WITH THE HORIZONTAL LOCATION OF UTILITIES NOT SHOWN ON THIS PLAN, AT LEAST 72 HOURS ,_ 2. L & DIMER 3IONAL REQUIREMENTS OF THE LOCAL PIPES T BE `. - FOR THIS PROJECT CONTRACTOR SHALL MAKE ALL E 0 .DUCE 40 PVC .:PERFORATED PRIOR TO ANY EXCAVATION c SCALE: 1„ = 2 0 DATE. NOV. 2 F 1-888-34�'r-7233 AND ZONING `3Y-LAW, AND THE FOUNDATION DOES NOT THE REQUIRED NOTIFICATION TO DIG SAE ( ) IA F.E.M.A. FLOOD HAZARD AREA. - USE 1 - 4• DISTRIEJTI:"' IN PLASTIC LEACHING CHAMBER 2' 1999 APPROPRIATE WATER DISTRICT TO DETERMINE UTILITY LOCATIONS. FALL IN ;4 SPECIAL ' REVISED AUGUST 8, 2000 IN A 12'X 25' W/,S"" .;TUNE TRENCH' AS SHOWN 3. FAR ALL ASPECTS OF THE SEPTIC SYSTEM THE CONTRACTOR SHALL COMPLY BAXTER 310CMR DATE: 8�Q5 Z.00 R.L.S. LEAC'-a; =. A REQUIRED ` NYE OG .C1OL WITH ALL GOVERNING CODES AND REGULATIONS. IN PARTICULA, -� MGREN INC ENVIRONMENTAL CODE TITLE 5, ON SITE SEWAGE DISPOSAL 330 .7 4 = 446 S.F. INC , 1S.000 THE STATE , REGISTERED LAND SURVEYORS I REGULATIONS AND THE BOARD OF, HEALTH RECOMMENDATIONS FOR ACCEPTED OFFSETS "`0 THE PRO ED FO DATION SHOULD 2 25+12 x 3 S.F. SIDIEWALL AREA • NOT BE I.SED TO ESTAB OPERTY LINES. CIVIL ENGINEERS PRACTICE. (12 X 231 ) S.F. BOTTOM AREA OSTER VILLE, MASS. 448 �� �TAL PROVIDED IS TO SECURE APPROPRIATE PERMITS FROM TOWN O 4. THE CONTRACTOREED R`_FERENCE: CERT. 89155. AGENCIES FOR THE CONSTRUCTION DEFINED BY THIS PLAN. 5. ALL STRUCTURES. BURIED DEEPER THAN 4 FEET OR SUBJECT TO VEHICLE TRAFFIC SHALL BE H 20 LOADING. � .� ,�� -�a��.�-_,,..,<..�..�•- -sue.., � .,_.x�, _�. - vat TEST HOLES BAXTER, NYE & HOLMGREN INC. ROUTE #28 - 10/22/86 d� soU #P-6249 ry LOCUS N PIT #1 PIT #2 ELEV. - 45.6' - = ' water level 5/30/90 = 24.00' LOAM & SUB SOIL FILL ELEV. 44.5' .. -2.0' wetland A2 ALELEV. = 42.7' �o :. ::. I TOP OF FND. RAISE TO WITHIN 6' OF F.G. LOAM & SUB SOIL -4' PERC. TEST WETLANDS FLAGGED BY �I '� = 49.0 F.#a:= 48f F.G.= 48t 2.0' LOCUS MAP 8.7 FURGRO EAST INC. A3 \ .�\ . \.\ :•. .\\r\��• \ F.G.= 4a 12/29/94 48t' INV. _ LEVEL \ .\ x MEDIUM SCALE 1 25,000 -4' P p 46.0 ' ASSESSORS 0� A4 _ 150o GAL 4" DIAMETER 2' I ERC. TEST SAND LE!'kCHING CHAMBERS - :,' INV. - SCHEDULE 40 P.V.C. 1 ....... MAP 98 PARCEL 64 �� G' � o0 45.8 sEPrlc TANK INv. = INV. =45.4 eox x ZONES :• INV. = 45.2 INV. = 45.0 MEDIUM cV p'� �. 45.5 GP O0� ,. 30.9 o w ,. SAND ?`•. x::. 6 TONE BASE R F c� 43� 33.2 ...............•. S J '\- ��' '� �30.2 m MINIMUMS �\, �O BOTTOM ELEV. EL = 43.0 , - -12.0 NO WATER AREA - 43,560 S.F. � �� O 31.0 FRONTAGE = 150' o/,�g• X�32.1 � .,ii, sus• N . � � ... ELEV. 33.6' FRONT SETBACK 30' _______ _ _ A• 4 31.3 �o,, PROFILE 15' �' -: -` ._ hey ��; 999 F -12.0' NO WATER si`_ x 9. ' SIDE SETBACKS �..__, NO LE . - -� __ REAR SETBACK = 15' 8 '" ► ` `~-� 2 7' 31.6 �O� SCALEELEV 30 7' 39.8 <��..- x » _ _ ~ _�_ 32 �j BUILDING HEIGHT = 30',. ,, wt'�� pines 016 ` q � x x 32. 0.4` 34 FSq s a . 39.7 R 45.5 J 'X, 46.4•,\ ��` 43.9 � 4. � '` 41.9 ; .36 " 34.6 $ � 7 LIMIT C.B. OF �URis p x 37. x 47.2 c 1CTIQN x 39.8 . FN OFF _..-__ 3 y �r . 49.6 �\ :;. .fx � ' x 3- 38 310 x e 49.15 x 49.3 8 WASHED 44 `'' 3 ••... .5 TON 1 H ` ,.. 40 50.0 , N CB . F 1. x 36. i a: : 41.8 _ 42 � � r X 43.0 25 0 : .:• - .. ,� pine 016 �__- BENCHMARK - 6' x TO OF C.B. 45.4 PLAN OF LEACH TRENCH EL. 38.00' rW S 20 x / SCALE: 1" 9.8 501 C+q. �p� •t.<x 48 4 49.6 s h. 12 TO BE REMOVED • � holly FINISHED GRAD F E S.B. ti / / COMPACTED FILL 50.7 .�' SRO x 50. ti' -� ti� IP/ 36 MAX. /\\/\\/\\/\\/\\�\\/\\/\\/\\�\\�\\�\\�/\\/\\ FND.OFF #155/80 49.4. E9x •4J8.1 ,�°' ,h0 \�, M. s�'sz. , 2 PEASTONE ��� �J /O', a..� a 4 " 3/4!. TO 1 1/2 9a ti �3 5 3 .5 0 T �r n W. .°.' DOUBLE Ap�`SQ ,,� LOT c7 x 51.0 �, 24 A. ':a WASHED STONE 46,135 S.F. E DEPTH E - 1 .06 Ac. � SECTION NO SCALE 8.9 x 50.8 PLAN' ' ,N O{ , ® 51'0 FND. '�� TEPHEiV SCALE: 1 - 20' (ti Ja 1 , s 9 S�, 9 Ll C.B. o FND. GRAPF�IC SCALE o0.29874, o 40 __- ' � 48. DATUM FOR THIS PL.j'',N IS N.G.V.D. a T c 1D -kT >� T C p.r ,� n .T r TTT' #17 JUBILATION WAY i DESIGN DATA IN SINGLE FAMILY- 3 BEDROOMS OSTERVILLE BARNSTABLE MASS: N 9 GARBAGE GRINDER NOTES: DAILY FL'JW ',- 110 X 3- 330 G.P.D. , 1. REMOVE UNSUITABLE SOILS BENEATH PROPOSED SYSTEM, BACKFILL WITH CLEAN GRANULAR MATERIAL FILL TO BE GRADED AS FOLLOWS: NOT MORE SEPTIC T�NK 330 X 200% = 660 GAL. 15% RETAINED ON No. 4 SIEVE, NOT MORE THAN 9)% RETAINED ON FOR THAN TO PASS # 100 USE 1500 GAL. SEPTIC TANK # 50 SIEVE, OF FRACTION PASSING No. 4, 10% OR LESS' SIEVE AND 5% OR LESS TO PASS No. 200 SIEVE, SOIL TO BE APPROVED I CERTIFY THAT THE PROPOSED FOUNDATION LEACHjk4G CHAMBER DESIGN GAIL GERMAIN- MARTIS BY ENGINEER FOR COMPLIANCE PRIOR TO PLACING ON SITE. SHOWP, HERE ON COMPLIES WITH THE HORIZONTAL 2. LOCATION OF UTILITIES NOT SHOWN ON THIS PLAN, AT LEAST 72 HOURS & DIMi;NSIONAL REQUIREMENTS OF THE LOCAL PRIOR TO ANY'EXCAVATION FOR THIS PROJECT CONTRACTOR SHALL MAKE ZONING- BY-LAW, AND THE FOUNDATION DOES NOT ALL PIPES TO B:: SCHEDULE 40 PVC PERFORATED SCALE: 1" = 2O' DATE: NOV. 22, 1999 THE REQUIRED NOTIFICATION TO DIG SAFE (1-888-344-7233) AND FALL I; A SPECIAL F.E.M.A. FLOOD HAZARD AREA. USE 1 - 4" DISTRIBU:ION LINE IN PLASTIC LEACHING CHAMBER APPROPRIATE WATER DISTRICT TO ,DETERMINE UTILITY LOCATIONS. IN A 12'X 25' V'ASHED STONE TRENCH AS SHOWNBAXTE REVISED AUGUST 8, 2000 3, FOR ALL ASPECTS OF THE SEPTIC SYSTEM THE CONTRACTOR SHALL COMPLY R.L.S. LEA;HING AREA REQUIRED R, NYE & HOLMGREN INC. DATE: : QS 2.00 WITH ALL GOVERNING CODES AND ,REGULATIONS. IN PARTICULAR 310CMR 330 G.P.D./.74 = 446 S F. REGISTERED LAND SURVEYORS 15.000 THE STATE ENVIRONMENTAL CODE TITLE 5, ON SITE SEWAGE DISPOSAL OFFSET" TO THE PRO' ED FO DATION SHOULD 2(25+12) x 2 _ 148 S.F. sIDEWALL AREA CIVIL ENGINEERS REGULATIONS AND THE BOARD.OF HEALTH RECOMMENDAThNS FOR ACCEPTED NOT BE USED TO ESTAB OPERTY LINES. (12 x 2:5) = 300 S.F. BorroM AREA OSTERVILLE, MASS. PRACTICE. 443 S.F. TOTAL PROVIDED 4. THE CONTRACTOR IS TO SECURE APPROPRIATE PERMITS FROM TOWN DEED DEFERENCE: CERT. 89155. AGENCIES FOR THE CONSTRUCTION DEFINED BY THIS FLAN. 5. ALL STRUCTURES BURIED DEEPER THAN 4 FEET OR SUBJECT TO VEHICLE TRAFFIC SHALL BE H-20 LOADING. _.w.. H: 1999 99086 SURV worksht 9� � \ 9086ccA.dw � 9