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HomeMy WebLinkAbout0233 WHEELER ROAD - Health 233 Wheeler Road Marstons Mills _ A= 082-008-001 I ` Commonwealth of Massachusetts d8� -008-dol Title 5 Official Inspection Form 1�1 Subsurface Sewage Disposal System Form -Not for Voluntary Assessments r� T, > 233 Wheeler Rd Property Address Bonnie Elliis E Owner Owner's Name information is required for every Marstons Mills ✓ MA 02648 11-1-19 page. City/Town State Zip Code Date 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. A. Inspector Information 54 /ya4 9 Shawn Mcelroy Name of Inspector Upper Cape Septic Services Company Name P.O. Box 73 Company Address E. Falmouth MA 02536 City/Town State Zip Code 1-508-495-0905 S13971 Telephone Number License Number B. Certification I certify that:) am a DEP approved system inspector in full compliance with Section 16.340 of Title 5 (310 CMR 15.000);1 have personally inspected the sewage disposal system at theproperty address listed above;the information reported below is true, accurate and complete as of the time of my inspection; and the inspection was performed based on my training and experience in the proper function and maintenance of on-site sewage disposal systems.After conducting this inspection I have determined that the system: 1. ® Passes 2. ❑ Conditionally Passes 3. ❑ Needs Further Evaluation by the Local Approving Authority 4. ❑ Fails 11-1-19 4 spector's Signature Date The system inspector shall submit a copy of this inspection report to the Approving Authority (Board of Health or DEP) within 30 days of completing this inspection. If the system 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 form should be sent to the system owner and copies sent to the buyer, if applicable, and the approving authority. Please notes 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. t5insp.doc-rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 1 of 18 c Commonwealth of Massachusetts r� Title 5 Official Inspection Form .%i Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 233 Wheeler Rd Property Address Bonnie Ellis Owner Owner's Name information is required for every Marstons Mills MA 02648 11-1-19 page. City/Town State Zip Code Date of Inspection C. Inspection Summary Inspection Summary: Complete 1, 2, 3, or 5 and all of 4 and 6. 1) System Passes: ® 1 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: System is in good working order with no sign of failure. 2) 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. ❑ Y ❑N ❑ ND (Explain below): t5insp.doc-rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 2 of 18 Commonwealth of Massachusetts ,w Title 5 Official Inspection Form } Y fi) Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 233 Wheeler Rd Property Address Bonnie Ellis Owner Owner's Name information is required for every Marstons Mills MA 02648 11-1-19 page. City/Town State Zip Code Date of Inspection C. Inspection Summary (cont.) Z) System Conditionally Passes (cont.): ❑ Pump Chamber pumps/alarms not operational. System will pass with Board of Health approval if pumps/alarms are repaired. ❑ 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 El ❑ 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): ❑ obstruction is removed ❑Y El ❑ ND (Explain below): 3) 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. a. 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: t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form;Subsurface Sewage Disposal System•Page 3 of 18 Commonwealth of Massachusetts r� Title 5 Official Inspection Form C�ll Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 233 Wheeler Rd Property Address Bonnie Ellis Owner Owner's Name information is required for every Marstons Mills MA 02648 11-1-19 page. City/Town State Zip Code Date of Inspection C. Inspection Summary (cont.) ❑ 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 b. 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. c. Other: 4) 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 ❑ ® Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or clogged SAS or cesspool t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 4 of 18 Commonwealth of Massachusetts ,w Title 5 Official Inspection Form i i�l Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 233 Wheeler Rd Property Address Bonnie Ellis Owner Owner's Name information is required for every Marstons Mills MA 02648 11-1-19 page. City/Town State Zip Code Date of Inspection C. Inspection Summary (cont.) 4) System Failure Criteria Applicable to All Systems: (cont.) Yes No ❑ ® Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool ❑ ® Liquid depth in cesspool is less than 6" below invert or available volume is less than 'h day flow ❑ ® Required pumping more than 4 times in the last year NOT due 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 water supply well. ❑ ® 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 2000 gpd- 10,000 gpd. ❑ ® 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. 5) 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 CA. 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 t5insp.doc-rev.7/2612018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 5 of 18 c Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments r lL'i 233 Wheeler Rd Property Address Bonnie Ellis Owner Owner's Name information is required for every Marstons Mills MA 02648 11-1-19 page. City/Town State Zip Code Date of Inspection C. Inspection Summary (cont.) If you have answered "yes"to any question in Section C.5 the system is considered a significant threat, or answered "yes"to any question in Section CA above the large system has failed. The owner or operator of any large system considered a significant threat under Section C.5 or failed under Section CA shall upgrade the system in accordance with 310 CMR 15.304. The system owner should contact the appropriate regional office of the Department. 6. You must indicate "yes" or"no"for each of the following for all inspections: 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? ® ❑ Were as built plans of the system obtained and examined? (If they were not available note as N/A) ® ❑ Was the facility or dwelling inspected for signs of sewage back up? ® ❑ Was the site inspected for signs of break out? ® ❑ Were all system components, excluding the SAS, located on site? ® ❑ Were the septic tank manholes uncovered, opened, and the interior of the tank . inspected for the condition of the baffles or tees, material of construction, dimensions, depth of liquid, depth of sludge and depth of scum? ® ❑ Wasthe 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: ® ❑ 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)] t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 6 of 18 Commonwealth of Massachusetts Title 5 Official Inspection Form i cl Subsurface Sewage Disposal System Form -Not for Voluntary Assessments : ? 233 Wheeler Rd Property Address Bonnie Ellis Owner Owner's Name information is required for every Marstons Mills MA 02648 11-1-19 page. City/Town State Zip Code Date of Inspection D. System Information 1. Residential Flow Conditions: Number of bedrooms (design): 4 Number of bedrooms (actual): 3 DESIGN flowbased on 310 CMR 15.203 (for example: 110 gpd x#of bedrooms): 440 Description: Number of current residents: 2 Does residence have a garbage grinder? ❑ Yes ® No Does residence have a water treatment unit? ❑ Yes ® No If yes, discharges to: 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 Water meter readings, if available (last 2 years usage (gpd)): Detail: Sump pump? ❑ Yes ® No Last date of occupancy: 11-2019 Date t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 7 of 18 Commonwealth of Massachusetts Title 5 Official Inspection Form ili Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 9 p Y rY �.. .>' 233 Wheeler Rd Property Address Bonnie Ellis Owner Owner's Name information is required for every Marstons Mills MA 02648 11-1-19 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 2. Commercial/Industrial Flow Conditions: Type of Establishment: Design flow(based on 310 CMR 15.203): Gallons per day(gpd) Basis of design flow (seats/persons/sq.ft., etc.): Grease trap present? ❑ Yes ❑ No Water treatment unit present? ❑ Yes ❑ No If yes, discharges to: Industrial waste holding tank present? ❑ Yes ❑ No Non-sanitary waste discharged to the Title 5 system? ❑ Yes ❑ No Water meter readings, if available: Last date of occupancy/use: Date Other(describe below): 3. Pumping Records: Source of information: Owner---pumped 2019 Was system pumped as part of the inspection? ❑ Yes ® No If yes, volume pumped: gallons How was quantity pumped determined? Reason for pumping: Maintenance t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 8 of 18 Commonwealth of Massachusetts r� ,w Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 233 Wheeler Rd Property Address Bonnie Ellis Owner Owner's Name information is required for every Marstons Mills MA 02648 11-1-19 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 4. 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) ❑ 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): Approximate age of all components, date installed (if known) and source of information: 2013 Were sewage odors detected when arriving at the site? ❑ Yes ® No 5. Building Sewer(locate on site plan): Depth below grade: 12"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.): Good condition. t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 9 of 18 c Commonwealth of Massachusetts r� Title 5 Official Inspection Form C�i Subsurface Sewage Disposal System Form -Not for Voluntary Assessments �. 233 Wheeler Rd Property Address Bonnie Ellis Owner Owner's Name information is required for every Marstons Mills MA 02648 11-1-19 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 6. Septic Tank(locate on site plan): Depth below grade: 3"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 Sludge depth: ' 6" Distance from top of sludge to bottom of outlet tee or baffle 26° Scum thickness 0 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 16" How were dimensions determined? Tape 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 in good condition with baffles installed and no sign of leakage. t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 10 of 18 i Commonwealth of Massachusetts ,,, Ell Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments a ri 233 Wheeler Rd Property Address Bonnie Ellis Owner Owner's Name information is required for every Marstons Mills MA 02648 11-1-19 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 7. Grease Trap (locate on site plan): Depth below grade: feet 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: Date Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): 8. 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 t5insp.doc-rev.7/2 612 01 8 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 11 of 18 c Commonwealth of Massachusetts r� Title 5 Official Inspection Form ;4 Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 233 Wheeler Rd �t Property Address Bonnie Ellis Owner Owner's Name information is required for every Marstons Mills MA 02648 11-1-19 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 8. Tight or Holding Tank (cont.) 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 9. Distribution Box (if present must be opened)(locate on site plan): Depth of liquid level above outlet invert 0 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.): Good condition with water at working level and no sign of back-up. t5insp.doc-rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 12 of 18 I , Commonwealth of Massachusetts 1a Title 5 Official Inspection Form �i Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 1._ 233 Wheeler Rd Property Address Bonnie Ellis Owner Owner's Name information is required for every Marstons Mills MA 02648 11-1-19 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 10. 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.): * If pumps or alarms are not in working order, system is a conditional pass. 11. Soil Absorption System (SAS) (locate on site plan, excavation not required): If SAS not located, explain why: Type: ❑ leaching pits number: ® leaching chambers number: Cultecs--48x10x2 ❑ leaching galleries number: - ❑ leaching trenches number, length: ❑ leaching fields number, dimensions: ❑ overflow cesspool number: ❑ innovative/alternative system Type/name of technology: t5insp.doc-rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 13 of 18 Commonwealth of Massachusetts a 3 Title 5 Official Inspection Form I� wa rl. Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 233 Wheeler Rd Property Address Bonnie Ellis Owner Owner's Name information is required for every Marstons Mills NIA 02648 11-1-19 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 11. Soil Absorption System (SAS) (cost.) Comments (note condition of soil, signs of hydraulic failure, level of ponding, damp soil, condition of vegetation, etc.): Cultec leach field in good working order and emtpy at inspection with no sign of back-up. 12. 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 Indication of groundwater inflow ❑ Yes ❑ No Comments (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): t5insp.doc-rev.7/2 612 01 8 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 14 of 18 i Commonwealth of Massachusetts Title 5 Official Inspection Form C�'l Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 233 Wheeler Rd Property Address Bonnie Ellis Owner Owner's Name information is required for every Marstons Mills MA 02648 11-1-19 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 13. 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.): t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 15 of 18 Commonwealth of Massachusetts Title 5 Official Inspection Form i Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 233 Wheeler Rd Property Address Bonnie Ellis Owner Owner's Name information is required for every Marstons Mills MA 02648 11-1-19 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 14. 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 L61i m � t5insp.doc-rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 16 of 18 I , Commonwealth of Massachusetts 3, Title 5 Official Inspection Form �i Subsurface Sewage Disposal System Form -Not for Voluntary Assessments r 1 F >' 233 Wheeler Rd Property Address Bonnie Ellis Owner Owner's Name information is required for every Marstons Mills MA 02648 11-1-19 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 15. Site Exam: ❑ Check Slope ❑ Surface water ❑ Check cellar ❑ Shallow wells Estimated depth to high ground water: 12 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 ® 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: Original design plans show no groundwater at 12'. Before filing this Inspection Report, please see Report Completeness Checklist on next page. t5insp.doc-rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 17 of 18 Commonwealth of Massachusetts a Title 5 Official Inspection Form hi Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 233 Wheeler Rd Property Address Bonnie Ellis Owner Owner's Name information is required for every Marstons Mills MA 02648 11-1-19 page. City/Town State Zip Code Date of Inspection E. Report Completeness Checklist Complete all applicable sections of this form inclusive of: ® A. Inspector Information: Complete all fields in this section. ® B. Certification: Signed & Dated and 1, 2, 3, or 4 checked ® C. Inspection Summary: 1, 2, 3, or 5 completed as appropriate 4 (Failure Criteria) and 6 (Checklist) completed ® D. System Information: For 8: Tight/Holding Tank—Pumping contract attached For 14: Sketch of Sewage Disposal System drawn on pg. 16 or attached For 15: Explanation of estimated depth to high groundwater included t5insp.doc-rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 18 of 18 STABLE LOCATION Smag f VIL,LA�fi A,,SSESSOTt'S MAP&L4'f�,::�„r ! IKOTALPWi S NAME&;P[PCtME NO. Lakcmr 3�A►C TPX: t �} C<S' (size) �Xl U/�` .,�, fi19 LGER OR D�d1Vl�R DATE, 'Sepivatiau tEaula6$atweea k ai iviaximumA ,jOsted.Gi.�auudwut��Teblst�tic gciitarrenfLa�Ghin� P9clva4+s'�V' c Sup�+ljr Vl�ll Wid Lead iag Fsid ry .(If espy watts cxisi ' a� vita oc wltb,n�Qp feeet og leacliio��fa�eUity) �cg9. F.ci�ri:cyf Jetlaad Md Leaa nln$Fac liay{L Ctty weWandx exist ' witJai$1. feet of 10.60.Inn faaitxty) L �° Furdtshad.by 7 a.0 D t 1 TOWN OF BARNSTABLE LOCATION 2 3 3 V44 zlo,?. z- SEWAGE VILLAGE ASSESSOR'S MAP&PARCEL INSTALLER'S NAME&PHONE NO. 14(4\)f M i a 1l SOq� M cl S005 SEPTIC TANK CAPACITY LEACHING FACILITY: (type) l-��G� C�1AM (S(size) Lk$ X (0 X Z HT NO.OF BE �BEDROOMS D c OWNER \,(GA �j.,�k�, •t- �►.»U� G (( � S PERMIT DATE: 7 ' 2 to "Z l Z.. COMPLIANCE DATE: 1`� k 3 Separation Distance Between the: c / Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility(If any wells exist on _ L site or within 200 feet of leaching facility) ow r A W AT£R Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) -+� i!� � Feet FURNISHED BY L4( 6,A SC � .4cAC �3 4 36y N OPT t5,►� .�'b� '-4S�bu v Cv\�� 330 03 X Tr,sp ZU� i PG�� gyp (� o® No. �v I ��Al i_ f Fee )50 C� THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes ZIPPlication for Mioo al *r5tem Confaruction Permit f Application for a Permit to Construct()4 Repair( ) Upgrade( ) Abandon( ) 5� Complete System ❑Individual Components Location Address or Lot No. 7,S,3 ��91y�c�trc� �rup Owner's Name,Address,@nd Tel.No* p� by¢Fwe^5!`c✓✓ s �'P/d 6 rj 7_"0!V%M C f-1 4!6 ii cv�& a k,sv%.H C V Assessor's Map/Parcel 14 6tc.Q 1',-eVft 09 if Installer's Name,Address,and Tel.No. �-4� Designer's Name,Address and Tel.No. 5OR-7 71-7 50 Z 012--. Type of Building: Dwelling No.of Bedrooms c9e- Lot Size &E, LfM 3 sq. ft. Garbage Grinder Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) ® gpd Design flow provided 4¢: gpd Plan Date r b Z.L Number of sheets 214� Revision Date 7�,/'- Title Ft� rjc5c� Size of Septic Tank ]So® G 4'34_k1WS1 Type of S.A.S. 4q"Ct10/X Z /I/-. Description of Soil Pz6,- (J- (3R P j's, 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 Environmen1pl Code d not to place the system in operation until a Certificate of Compliance has been issued by this Board of Health. r� Sign Date Application Approved by Date ri Application Disapproved by: Date i for the following reasons fl N Permit No. Date Issued ��p / No. �Q� c Fee 15c� /UCH THE;jCOMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION - T6vyN OF BARNS TABLE MASSACHUSETTS Yes rt Application for Migogal *pgtem Congtruction Permit Application for a Permit to Construct(V Repair( ) Upgrade( Abandon( `�Complete System ❑Individual Components Location Address or Lot No. Z'3'3 W V11C C 1 C1,,. (Z0a0 Owner's Name,Address,and Tel.No. Me-vT1-V,*ts SQV%rea 1=1 (i S � Ct.o.5 1lv►%4.4C.e� Assessor's Map/Parcel 14 C)I J t-G"r', r&A mi+r� OSZ J1316cc=c 5�08-00i Rowruo6so M4 017q�? Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. SC7$ 77 j"7$02 '7F 6260 Type of Building: i Dwelling No.of Bedrooms 10�ur Lot Size t�1, Yy 3 sq. ft. Garbage Grinder Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures , Design Flow(min.required) gpd Design flow provided t15Z. gpd Plan Date 3/8'b Z Number of sheets YZIL'" Revision Date 7/1-7 Z- r I Title Selr+'4te.- 'be j P(C^4 Size of Septic Tank ISOO G M Lt`C,,rJS Type of S.A.S. kCc�c14tK S C xc-&^6cPs W t-e(O/X 2'ht Description of Soil 1Qt.6y. Soi 1 Logs P- 9138 P- 13151$� 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 Certificate of Compliance has been issued by this Board of Health. , td Signe Date Application Approved by '� _ Date '��:� (o�/ Application Disapproved by: �' i r 1 Date for the following reasons 0 Permit No. taC 3 t Date Issued -7 THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS Certificate of Compliance r_ THIS IS TO CERTIFY,that the On-site Sewage Disposal System Constructed ( ) Repaired ( ) Upgraded ( ) Abandoned( )by �a,"at ZZ3 WV',4.AL�-Q( IZ� \VA S-t,o%-.1 VA► 115 has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No. DC I D- D 3�,'- dated a�P Installer Jo/ ,- —- Designer W 115 e)-. #bedrooms Approved design flow / 7 gpd The issuance ofthis permit shall not be construed as a guarantee that the system will�na gned. Date )/�T/1 Inspecto� ' I i No.ram/ tR 311Y Fee . THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLE, MASSACHUSETTS 1=igpogal *pgtem Congtruction Permit Permission is hereby granted to Construct ( ) Repair ( ) Upgrade ( ) Abandon ( ) System located at Q KA,)1 S YV\AO Z C'�A f CQ,� O o 23 _ a0 I 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. a Provided: Construction must be completed within three years of the date ol!fthis permit. Date / h Approved b` �� Town of Barnstable Regulatory Services °� Thomas o as F. eit r e ,Director ector Y Y BARN3fABLE. •` Public Health Division 9q'ArEb'9- Thomas McKean,Director D MA'S 200 Main Street, Hyannis,MA 02601 Office: 508-862-4644 Fax: 508-790-6304 Date: _ !-1 5-Zg i 3 Sewage Permit# Zoiz-Z34s Assessor's Map/Parcel f 2 �Uss-cx�a Installer& Designer Certification Form Designer: T3a�G zr� ��,c Installer: A44/. '-To vet �f Address: 7S mac,,, AA, 5 Address: 'Ag Somg,<sa U a 2,6q q On 7-u-- Lo f 2 was issued a permit to install a (date) (installer) septic system at Z-33 .LZLe based on a design drawn by (address) A • Wm..,.. Pcs dated -2/1-1 Z1.11Z (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. Stripout (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 any component of the septic system) but in accordance with State & Local Regulations. Plan revision or certified as-built by designer to follow. Stripout (if require I ected and the soils were found satisfactory. (N OF M LPL qSS� STEPHEN ALLYN (Installer's a MLSON }.. No.30216 f�^ ( esigner's Signature) (Affix De Here) PLEASE RETURN TO BARNSTABLE PUBLIC HEALTH DIVISION. CERTIFICATE OF COMPLIANCE WILL NOT BE ISSUED UNTIL BOTH THIS FORM AND AS- BUILT CARD ARE RECEIVED BY THE BARNSTABLE PUBLIC HEALTH DIVISION. THANK YOU. q:\office forms\designercertification form.doc Town of Barnstable P# X,3 53 �oftrte rok� Department of Regulatory Services - ; aAnNSTAer.E. ' Public Health Division Date y MARS. 161[9. 200 Main Street,Hyannis MA 02601 ArFO MA'I� Date Scheduled cq/ Time Fee Pd. Soil Suitability Assessment for Se age Disposal Performed By: e 4�E�- Y..��(' ��' r��\ Witnessed By: LOCATION & GENERAL INFORMATION Location Address . 2 3 3 W h a e-lcr R oae4 Owner's Name 5, E 1(i S i?O, T'w-,c.7 y cwf morSlems rK I IS Address . 1'{a pkihFe ,`Masts 017y8'. Assessor's Map/Parcel:: fn-fp,. O&Z.I P-0 .Up$_-001 Engineer's Nam .- e O-V; NEW CONSTRUCTION REPAIR Telephone# 502r- 77/- 750Z Land Use Slopes(%) 'B Surface Stones Distances from: Open Water Body R Possible Wet Area Z'sa ft Drinking Water Well Drainage Way ft Property Line ft Other ft SKETCH:(Street name,dimensions of lot,exact locations of test holes&perc tests,locate wetlands in proximity to holes) Parent material(geologic) O IS 5 t F�� Depth to Bedrock N J Depth to Groundwater: Standing Water in Hole: /t 0 Weeping from Pit Face h 9- Estimated Seasonal High Groundwater EL `t 1( �W\rC LAI`L( DETERMINATION FOR SEASONAL HIGH WATER TABLE Method Used: Depth Observed standing in obs.hole: in. Depth to soil mottles: Depth to weeping from side of obs.hole: in. Groundwater Adjustment ft. Index Well# Reading Date: Index Well level Adj.factor Adj.Groundwater Level_ J PERCOLATfON TEST Date Time Avg-\ Observation Holef# �_ Time at 9" Depth of Perc Lit— Time at 6" Start Pre-soak Time ct 0" (0%1 (( Time(9"-6") 0 End Pre-soak -5 t1 Rate Min./inch 'CZw�M <JM'M O 1 Site Suitability Assessment: Site Passed Site Failed: Additional Testing Needed(Y/N) Original: Public Health Division Observation Hole Data To Be Completed on Back---------- ***If percolation test is to be conducted within 100' of wetland,you must first notify the Barnstable Conservation Division at least one(1)week prior to beginning. - Q:HEALTH/WP/PERCFORM DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color. Soil Other Surfnce(hi). (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consistency.° Gravel) 15-3 3_ 641 6. U I L ro�•� L-� 1 Q. DEEP OBSERVATION HOLE LOG Hole# 2, Depth from Soil Horizon Soil Texture Soil Color Solt Other . Surface(In.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. o islstcfty.%Ornvcl)r�o�c DEEP OBSERVATION HOLE LOG Hole# 3 Depth from Soil Horizon Soil Texture Soli Color Sol[ Other Surface(In.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Co c ° ' U'!,3 f�,6 n'OV�L Dine- 4710 DEEP'OBSERVATION HOLE LOG Hole# _ Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(ill.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. 1 ci c 60 �S S ND t ,14 'Flood Insurance Rate Man: Above 500 year flood boundary. No_ Yes Within 500 year boundary No Yes Within 100 year flood boundary No Yes Death 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.system7 If not,what is the depth,of natural ly.occurring pet ious material? Certification I certify that on a` Z�U (date)1 have passed the soil evaluator examination approved by the Department of Envir ❑mental Protection and that the above analysis was performed by me consistent with the required traping expertise ertise and ex rience desc ribed in 310 CMR 15.017. Date 274)(Z Signature I, Q:H EALTI-1/W P/PERCFORM . MLL e e e a""wac m,►noQ„ - 6 V.t 0611EAIp1 BY E19t MATE 8A1M M 1ERAEOB SMENISI e - COAEATM DAID HARM 23.19B g FaD IOCATM BAKM f MMG M6 � HAM let 1Ms No PML F. PITA. R IOL � AL 0 L 0 T 0 1 C E9 • • TI • l • • • / // �/ � , IGe M Deaa%M AT°'AMo 11 DUADMAuaE ' i' /'' !' 1 ' j ' TBI f,4rwE a1.443 Fortff S i (,Pl*l usus lop 1 I i �TPI. $TP4 I W All �TPe Poe/BaAB 1 ' 11 # .f/ 0000, m4001 p 1 i. ' PAT IF g' / TSI• 1 EACH / / EL eUr / N/� Una �. t Y UVVJt)l V1 A3dQY xaJicaava., Department of Health,Safety,and Environmental Services Public )Health Division Date A1�IL �Z. IqRg, � 367 Main Street,Hyannis MA 02601 1 eeataeTeer e uuea Date Scheduled h/ e-2 9 Time Fee Pd. ton Soil Suitability Assessment for Sewage Disposal y Perform Y , 1 lien j Q X" s f Witnessed By: Performed By: v!L z � Au2& C'AToi.f _ .. .>:>:;:::: Location Address �� `D_1 V)q Us—LE-4 `� Owner's Name A/1 I t..Ls . . A/i 11"TV)JS Address AAA42,so J MIL," Assessor's Map/Parcel^ M�J' �2 =L Engineer's Name'UT� {�yt3 (A1C (P��Zr� NEW CONSTRUCTION REPAIR Telephone# A Zj- I3 1 Land Use IG1TX►�i-1 Slopes(%) 3" ' Surface Stones Distances from: Open Water Body. 41; ft Possible Wet Area .1 Cf0 ft Drinking Water Well 2ZS ft Drainage Way 1A ft Property Line j J ft Other ft i SKETCH:(Street name,dimensions of lot,exact locations of test holes&perc tests,locate wetlands in proximity to holes) m t sn I ' wd.L- 4 wL=c..4.— 204 Patent material(geologic) QLYrVV*W l LMIJ Depth to Bedrock L4 Depth to Groundwater: Stanek: Weeping from Pit Face Estimated Seasonal High Groundwater U,- 44- m"{`��-� i ...:............:....:.......::.:....:.......:.,....:,:....:.......:............;. :;....>::.:...............:....... .;;:.........:...;;......;.,.;....:..; •>:.;>::.;:;:;•;,:.;:.:;;•:;::.;.; T 'T!EN1VtNATYCDTV '(�TiS�JASO�AI,�YG�'WA�`EX2 7C Method Used: Depth Observed standing in obs.hole: in. Depth to soil mottles: fin• Adjustment ft. Depth to weeping from side of obs.hole: in. Groundwater Ad j Index Well#_.__•_•_.:Reading Date:— Index Well level_ Adj.factor Adj.Groundwater Level .. ...;....:.......:......:..:..:..,.:::;::,�:::�:.,...:;.:::..:::.;.:.:...:,•.:.;.....:.:.:,::.:;;.:.�:::;.�.�.:.:;::::ii:!::�i�ii�i�:i^ij :: y::;;•:�:;i?fig><::.:£' :�i:iii;:;;:;;>�<<s:.jyy . PERK-OL�TIOI i:<TEST:. Observation Hole# 7 Time at 9" Depth of Pere J Time at 6" Start Pre-soak Time @ Time(9"-V) End Pre-soak Rate Min./inch Site Suitability Assessment: Site Passed _ Site Failed: Additional Testing Needed(Y/N) Original: Public Health Division Observation Hole Data To Be Completed on Back—� Copy: Applicant :....::.........:...... ...................:..:.:...,:.::::..:.: ...::.:::;:::....>:::> Mi Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in:) (USDA) (Munsell) Mottling (Structure,Stones,Boulderes. a &Z6A1L)IC iJ /"x 410 �/,b (/1�4 G a'e° � /, o a'-r7v ':;::::.:'»::>::»::»:::;>;;:>::»r>,:.:...::...:..,:::,.: :::...:,,:.: :..;,..;`...'::.:....::,:;:,..:.:....::......:...:.:..::.;>.'•. ... . ` of #...�'�- :.: O�;:H.: Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulderes. % A o /e -(SSrj :::;:>:<:>:»;•:;:::««:>;,>::;::: :.: : V"r��"I(�N YULE .:` >',:.: .....�.: .:. ;;.. .... Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulderes. a '> pEEP:.OBSEItVATIOI'�1 HU!LE ICyG Hole ......: .. Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulderes. 0 g Gravel) Flood Insurance Rate Man• / Above 500 year flood boundary No— Yes. Within 500 year boundary No.. i/ Yes Within 100 year flood boundary No Yes Depth of Naturally Occurring Pervious Material Does at least four feet of naturally occurring pervious aterial exist in all areas observed throughout the. area proposed for the soil absorption system? If not,what is the depth of naturally occurring pervious material? Certification I certify that on ) (date)I have passed the soil evaluator examination approved by the Department of Envi onmental Protection and that the above analysis was performed by me consistent with the required trainincO,ex ertise and experience described in 310 CMR 15.017. Signature C _.._.._ Date t Town of Barnstable P# Department of Health,Safety,and Environmental Services Public Health Division Date NT7ziL- TZ' 1ri ce � 367 Main Street,Hyannis MA 02601 4 eArwsreerX Date Scheduled h/ -3,e2 9 q' Time��--� Fee Pd. too Soil Suitability Assessment for Sewage Disposal Performed By:�Zz,4 °'1 � Witnessed By: a C t . )ZA. CAT of l LOCATION +& GENERAL INFORMATION Location Address _' �(.-� �7 Owner's Name fr�p WO � !1/1ll-LS Address MA�s'117►JS AAA-rzz,4TvW7 MtLJ,$ Engineer's Name Assessor's Map/Parcel: MAT> O L RL g a�7 �� (P�,zT� NEW CONSTRUCTION REPAIR Telephone# A-Zg- I� Land Use IGe6lt>.--N"i"1 A I— Slopes(%) Surface Stones Q Distances from: Open Water Body 1 4S ft Possible Wet Area 1 of0 ft Drinking Water Well 22; ft Drainage Way 14 ft Property Line - ft Other ft i SKETCH:(Street name,dimensions of lot,exact locations of test holes&perc tests,locate wetlands in proximity to holes) M`d ST'1 G N � �d9 �0,r -1 \ 236 7c 4 1 � Parent material(geologic) OLTWA,<4 PIA W Depth to Bedrock 4L4 a Depth to Groundwater: Sta Weeping from Pit Face Estimated Seasonal High Groundwater a, 4-4 NIY:S U04E DTRIVYYNATICyIri P'Cl►R;SEASONAL HIGH'VVATER TAB Method Used: in. in. Depth Observed standing in obs.hole: n. Depth to soil mottles: Depth to weeping from side of obs.hole: Groundwater Adjustment ft. Index Well# Reading Date:_. Index Well level._._ Adj.factor Adj.Groundwater Level_ PERCOLATION'TEST' Hate : Time /D>' Observation Time at 9" Hole# Depth of Perc Time at 6" Start Pre-soak Time @ Time(9"-6") End Pre-soak Rate Min Anch r �r s'�a �— //A/ Site Suitability Assessment: Site Passed _ Site Failed: Additional Testing Needed(YIN) Original: Public Health Division Observation Hole Data To Be Completed on Back--� Copy: Applicant DEEP OBSERVATION HOLE LOG >Hole# E Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in:) (USDA) (Munsell) Mottling (Structure,Stones,Boulderes. % SAS � a o ye 2 7/& DEEP OBSERVATION HOLE LOG Hole# . <! Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulderes. Consistency.° ® 01&,4,)#—v CU C ,1'AO A'L �/ ti rj n 7/P DEEP OBSERVATION DOLE LO;G Mole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulderes. Consistency.° Gravel) DEEP OBSERVATION HOLE LCjG Hole# _. Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(m.) (USDA) (Munsell) Mottling (Structure,Stones,Boulderes. Consistency.%Gra e Flood Insurance Rate Man: Above 500 year flood bound No_ Yes Y �' Within 500 year boundary No Yes Within 100 year flood boundary No Yes 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? If not,what is the depth of naturally occurring pervious material? Certification I certify that on lry ) (date)I have passed the soil evaluator examination approved by the Department of Envt'f onmental Protection and that the above analysis was performed by me consistent with the required training,ex ertise and experience described in 310 CMR 15.017. ,Signature _ Date -27 L _ - co"o/G-AL•Lr REVISIONS BY -- ----- ---- &u - - - TL' - Irp -o° { _ly,p'1 -- -- --'- 2�-0'i --- 1 g.2Z•12 P-t/( -. a,•gR 9'g.. 0'aI/yR 3'71IyR y,•prI I 1 s�"'�f '.l2 '� _ �110° 0'.q" + 0'-q". 5'•39iq/'. r�t3yi a ' ' � -�'•WYn4' -'3w I Iy,,. S,w Yk I 1'4- 1�. �11 0 I I I IS'•orI 0 _ 41i" I 41k"dM1VN a n+ ..wlNPow yEM !' � N_ 34 N16N;.GupcvlaMli .N 119Nfi[Arar1.-{�-J}Itp11TR541� - 74 � 0 -540L DHP 3e74 ' DINIt.l6 i`. _ 4. jm , r N Nay.1 a y-- - - - 1 1 I .:IfDH 3ro76.._2w--_ ale _ v ;i LLI NSTEPG F��P r RU7M o� 11 , - - 1 i I. Q i (0 '- � i l � hl` �Ef• I D II II 11,1 11 I _y I _F/1/YSTP:fa EEORt�M i 3 d. I I I! I I I —_— sta�E.STp.Fy•rv- FZ-W - ... is z.. IFU I I I I - Lvvecc oR+va ' N La I � I .9 TA Iw -� FU TGH ETI :" I{yi11 1$ .0R. _ .....__._. —. :i'I' 9w 15'•I:" I I - _ �9NeArAiv� bw R,IPPB UJLTO ..O_ PL�e rosr IMNia 391T x.3 I;�W. 3v _ 'I L�LIM TOP, E NM'L. I"V✓�-�IT� .. - 1' 6 91?W' :off rF+. -a•D -. O -..:O —— -.o.;;- FOYER £mI A - M1 at m r 'VIAIA'L•I. ...._ ._ _.- Illy - :,: _ - -Q �, PFNi•(t'(',.. L,ALJh10RY iDWFE E.p. ..._ ._ . •}(.I Ir10N_ $ °���5;_qN 4.�. .O•gil ..V 3.� a. 9 0" r _ 1 0� _ _ IN9UtPRL WM.1.CfJMMON W/CsPP?Ioa. �' rd 8 --J.�l .� •At10 M1W1X 5/�"PIP$CbOO:..,�L^fpCC,K� _ 11171 BP"Rf" earPEa P o - �Fw erN U`.. �{��v�B/Aa�--��,(�G - NSI: .{V 014141rz.'cT•,iTV ncM244e Ey r �n u r I HaN:ro>.w.� to: - I•roii3a-to Itoil3¢'1re I. - 10'-4'" 13,2, aI�N 41•6N I I — _ J t7 W Sl•W:BB[YLp:.OP4NthT(ab,::: W lb� — ._06T}tl. 7 co D ' 13 LJ 0 2 Cr cc O 3 } Cr I ww Z � W � 0Z __ ... .-- - -....... - 0 Q GExERAL NOTEG: FIRST FLOOR PLAN - L OONOTSCALEORAWWGS-USERGUREDDIMENLDNSONLY. '^ _ To uHECT<ANDVERm SITE coxpmoxs AxD MODIFv Scale: 1/4" = 11—ON NGLYTO PROVIDE MINIMUM FOUR(AI FEET CDVEII. I.G.' - ' iOOTNGS A[COROI � . 4.PROVIDECOMPIETE IXTMHO—RURwERWRNILLLPENEYMTONS _ ...... .. sEAIED W/TRANSIT—TAPE TODOTN UNDFRSUBAxD CEILING VAPOR ©7NDIC/1TES SMOKE DETECTOR LOCATION BARNIU.. SD - - HARDWIRED WITH BATTERY BACK-UP. _ DRAWN a slDWCTO REVREMIum GRADE1160EDPR aAPBOwIusfREPwMEn -EMNSURE;AND PREMIUM GRADE 18' DETECTORS WITHIN 20 FEET OF A KITCHEN OR D INSTMIFB WRN 6' WIUTE GE-.SHINGLES INSTAU -1 ERPosu .BATHROOM.TO BE PHOTO-ELECTRIC TYPE. CHECKED S.METAL ROOFING PANELS TO BE SBGA STANDING SEAM COPPER(OR BANEp-ENAMOR-KASSELECSEDB O—) DATE a MARwxlNrecRm WINDOWS SHOWN.CONRRM WINDOW UST, INDICATES COMBINATION SMOKE .. OPTIONS AND wITN OWNER PRIOR TD ORDOUNG. AND CARSON-MONOXIDE DETECTOR. - Z.I-]?- p - -. ._....*I SCALE SIDE Of 'ICE LYSANDATERSMUP LS 3FEETUPALL ESAVESAND IB'EACH I ALL DOORS LABELED AS*INSULATED' "HIND VAU—IN(—PEED .R1.1 AaNG ArOIEERSANO SHALL BE PROVIDED WITH FULL - "HIND ALLfUISNING(WPED OVER TOP OFALL FIASNINGI PERIMETER WEATHERSTRIPPING. � ' JOB NO, - B.CONSULT WRNOWNER ON SEIECOON Of ERTFAIOHI DECgNG - ' 03-?Orr- AWTERwsAxD<oMPONENTs. I - -. - 9.CONSULTWRNOWNERONSEL oNOPINIERIORAE1RfRIORDOORs, .. ,. SHEET GARAGE DOORS,SNINGIE STYLE a COIORSAND INTERIOR FINISNES. 1..CONTRAMR TO CNECR AND VERIFY DIMEASIONS AND REPORTANY ^ 4 DESCREPANCIO TO DESIGNER IN Wit—PRIOR TO—mom. 31.CONTUI,..RRESPONSIBLE TOOBTMNENGINEERING CA .TOxs AND MI—ON Of ENGINEERED WIRER TYPES,SIEESaSPACIfIG. - .. - OF I3 SHEETS ( REVISIONS BY 2.22.I $KA 4-II 12 FM 7.4-•12- N . N0R'lyf r � f —.- :1 TOH 3.fr%o.o.-3W . .-_ Ps`f1"ooP u.G,h4P42_to Be r Aa - -. :...:.ITDN�.366o:•2W. .. �: i1F93o66%L...� �.. 12>R@:0'tT,'�iVD6'I` 'IB^ FSRD,.rnOm$'.><o ...._� -.._ _.. .. - f - SICC T6•- 2r :4TIW - r - •6° L L - >•TOR GE 61WN FL&-' "?l:R."A& _` Q£TMNIN'v WNA. : 4:N �. e'/}F `" • _ O //'�� - _ N R LIµfN Sa`, co 11 Wiz 14' � a' w ww UTILITY FIW:. oRcN h . -P eav� t7i�1 vs.°.eP�oc� ti<... _._ _ _uNFIN�d+CT.D on?srucwwuc�.celu NC - U (n 'a 5'IDP{+b1; S ° 3 C�il.RPly E. Q ; 3r - �RIL--"%X AS VIMlp PvP-Bo/1.BJz J fi BY`," GZGkso+AT N.7J � _.._ L_ ._.___.—ouN __� �. � 0 z ccTt FphTl ON fc62 Si OFS w O4' oil ONAWN .. - .... i CHECKED ..-BASEMENT FLOOR PLAN . __ a DAM Scale: 1/4" = 1'-0" yam;d' JOB NO. pis•ly - SHEET 2 Y OF 1� SHEETS, BAXTERNYEN 947- ENGINEERING & R" 1. ALL SYSTEM COMPONENTS SHALL BE INSTALLED IN ACCORDANCE > WITH TITLE V OF THE STATE SANITARY CODE DATED APRIL 21, SURVEYING 2006, AS AMENDED THROUGH THE DATE OF THIS PLAN, do ANY - TYPICAL SYSTEM P OFILE LOCAL RULES & REGULATIONS APPLICABLE. f NOT TO SCALE 2. ANY CK44GE TO THIS PLAN MUST BE APPROVED IN WRITING BY Registered Professional THE ENGINEER.,::ELEVATION INFORMA710N MUST NOT BE CHANGED g a Engineers � I WITHOUT WRITTEN PRIOR APPROVAL BY THE ENGINEER. and Land Surveyors 3. EXCAVATION FOR SAS TO BE INSPECTED BY ENGINEER PRIOR 78 North Street - 3rd Floor , �& COVER•Trr�MWIOLE 6 OF �. TO INSTALLATION OF SAS. WHEN CONSTRUCTION Is coMPl-ErED, Hyannis, Massachusetts 02601 PRIOR TO BACKFIWNG, NOTIFY'THE BOARD OF HEALTH AGENT AND W RISERS do COVERS SHALL BE WA7ERTKW ENGINEER FOR INSPECTION. FIM GRADE N 74.0f Phone - (508) 771-7502 4. ALL SANITARY DISPOSAL. SYSTEM PIPING To BE 4 SCHED 404444 PROPOSED TOP OF FOUNDATION - 84.5 SEr COVER TO 6' taaow FN9SFi GRADE PVC. UNLESS OTHERWISE NOTED HEREIN. Fax - (508) 771-7622 RISER a: COVER SfrAu. BE wA7>xTlcllr 5. EXCAVATE UNSUITABLE MATERIAL IF ENCOUNTERED AND AS www.boxter-nye.com PROPOSED r MIN. DETERMINED BY THE ENGINEER, TO THE C HORIZON , FOR A BASEMENT SLAB FRMSFI N 74.Ot HORIZ. DISTANCE OF 5' SURROUNDING THE LEACHING FIELD. AND = 75.8 fNrYSfIED OVER � TO REPLACE WITH CLEAN SAID PER 310 CMR 15.255 TO THE TOP S T A M - STAMP 6 GRADE ELEVATION OF THE SAS. EXCAVATION TO BE INSPECTED BY PROPOSED GRADE - 75.0t _� 10' MN. I LFAI�W TRENCH = 74.0 ENGINEER PRIOR TO INSTALLATION OF SAS. IVI OF/ygssq INN IN = 71.3 PVC NV OUT- 71.0 WNW PVC TEE (SEE TABLE) 9' (min) Cover 6. INSULATE ALL PIPES AGAINST FREEZING AS REQUIRED WHEN oe' EN oyG Ile + BAFFLE FIRST 2' BE LEVEL 36 (max) Cover LESS THAN 3' OF COVER. A R!]NFORCED CONCRETE 6' CRUSHED r � 4" SCH. 40 PVC , 2`Layer 1/8Ro1/2` 7. THE SEPTIC SYSTEM DESIGN DOES NO? INCLUDE GARBAGE Na.3o21s y I STONE BASE 2 Peastone I EACN#NG GRINDER DISPOSALS. ° �c1�"�p NVN OUf 71.5 .• oys 8. �; THE CONTRACTOR SHALL. CONTACT DIG SAFE (AT Fss/OVAL iSUMP INV IN 70.9 • _ 1-888- G- . INN OUT 70.7 4. / DI SAFE) AND UITLRY COMPANIES TO LOCATE ALL •••• .: •+�'�' -+•:. .J/PVC EXISTING UTILITIES, AT LEAST 72 HOURS BEFORE THE START OF INV IN = 70.5 CONSTRUCTION.' THE CONTRACTOR SHALL DETERMINE THE EXACT ON GALLON SEPTIC' TANG s, CRUSE LOCATION, BOTH HORIZONTALLY AND VERTICALLY, OF ALL EXISTING UTILITIES BEFORE THE START OF ANY WORK. THE LOCATION OF STONE BASE CONSULTANT EXISTING UNDERGROUND UTILITIES ARE SHOWN IN AN APPROXIMATE WAY ONLY, MAY NOT BE LIMITED TO THOSE SHOWN HEREON AND DO I R BLffM BOX BOTTOM OF SYSTEM = 68.5 5' MIN HAVE NOT BEEN INDEPENDENTLY VERIFIED BY THE OWNER OR ITS REPRESENTATIVE. THE CONTRACTOR AGREES To BE FULLY MYSTIC LAKE, WATER SURFACE EL-44.0 RESPONSIBLE FOR ANY AND ALL DAMAGES WHICH MIGHT BE OCCASIONED BY THE CONTRACTOR'S FAILURE TO LOCATE THE UTILITIES EXACTLY. IF ELEVATION INFORMATION DIFFERS FROM PLAN INFORMATION, THE CONTRACTOR SHALL NOTIFY THE ENGINEER CONSULTANT IMMEDIATELY FOR POSSIBLE REDESIGN. AT UTILITY CROSSINGS. LIQUID l>EPIH INSEPTK: TANK DEPTH OF OUTLET TEE BELOW FLOW LINEVERIFY IN FIELD THE LOCATION / INVERTS OF ELECTRIC, GAS, TELEPHONE & DATA/COMM AND RELOCATE IF CONFLICTING WITH 4 FEEr 14 INCHES PROPOSED INVERTS PER THE ENGINEERS DIRECTION-THE 5 FEEr 19000 CONTRACTOR SHALL PRESERVE ALL UNDERGROUND UTIU71ES AS 6 FEET 24 NKM REQUIRED. 7 FEET 29 NiCIIEs 8 FEET 34 INCHES 9. THE PROPOSED UTILITY CONNECTIONS SHOWN HEREON ARE PREPARED FOR : SCHEMATIC. FINAL LAYOUT SHALL BE AS DETERMINED BY THE APPROPRIATE UTILITY COMPANY. Bonnie Ellis P.O. Box 744 Hopkinton, MA., 01748 FINISHED GRADE COMPACTED FILL 36 MAX.-9 MIN. / /2 SM LOGS DATE 4/22/08 P8 STONE 2' OF PEA DOUBLE WASHED OR FILTER FABRIC i BARNSTABLE 3/4• TO 1 1/2 - SOIL EVALUATOR. 6 ~ a"' RICHARD BAXTER BOARD OF HIEALTH AGENT: 30.5' DOUBLE JERRY DUNNIING 24` EFFECTIVE DEPTH WASHED STONE iil TEST PIT 1 TEST PIT 2 ' r • - a 3 4 3 G.S.E. = 61:0t » G.S.E:. = 61 f J 3 - 3 42 O; ORGANIC Y 0; "-ORGANIC �lSCli]C1I w » PLASTIC LEACHING CHAMBER DETAIL PLAN VIET � CULTEC 330XL OR EQUAL A ; IOYR 4/2 ; SANDY LOAM A ; 10YR 4/2 ; SANDYLOAM NO SCALE 80 8" B ; 1OYR 5/4 ; LOAMY SAND B ; 1OYR 5/4 LOAMY SAND 40' cc C1; 10YR 5/6 ; COARSE SAND C ; 10YR 5/6> ; COARSE SAND 90' W/GRAVEL w, W/GRAVEL s` C2; IOYR 7/6 ; COARSE SAND C2; IOYR 7/6i ; COARSE SAND w 120' W/GRAVEL 120' W/GRAVEL (NO WATER OBSERVED) (NO WATEfR OBSERVED) ~ F- _ PERC 0 66" v G LEACHING AREA REQUIREMENTS W o M w , NITROGEN LOADING LIMITATION: WASTEWATER DISCHARGE (CHAPTER 232) ac a N ALLOWABLE FLOW: 1.7 ACRES x 330 GPD/ACRE = 563 GPD (5 BEDROOMS) PROPOSED HOUSE = 4 BEDROOMS SM LOOS DATE 2/9112 RESIDENTIAL- 4 BEDROOMS P-13.688 BARNSTABLE z SOIL EVALUATOR: F o w X 44o GPO 110 GM/BEDROOM STM MATSON, P.E. BOARD OF HEALTH AGENT: N 1 TOTAL DESIGNFLOW - D LD DES ARMS R.S. CL � TEST PIT 3 TEST PIT 4 TEST PIT 5 TEST PIT 6 PERC RATE _ <5 MIN. / INCH (CLASS 1) • G.S.E. = 82.0t aw G.S.E. = 82.5t • G.S.E. = '82.3f ow G.S.E. =' 78.8f 01 LTAR = 0.74 GPD/S.F. 0, ORGANIC 0, ORGANIC 0, ORGANIC 0. ORGANIC a MIN. LEACHING AREA OF SAS. REQUIRED: o 0 �, » • • 2 w 440 GPD/ 0.74 GPD/S.F. = 595 S.F. MIN. PROPOSED SYSTEM: SCHERIE k � A ; IOYR 2/1 SANDY LOAM A ; IOYR 2/11 SANDY LOAM A ; 10YR 2/1 ; SANDY LOAM A ; 10YR 2/1 ; SANDY LOAM a 6 - CULTEC 330 XL LEACHING CHAMBERS 0 �.; WITH 3' OF STONE ON ALL SIDES (2' EFFECTIVE DEPTH) TOP OF FOUNDATION 84.5 6' 9" 6' 6' 3 3 a SIDEWALL AREA. (48' + 10')2 x 2' DEPTH = 232 SF � SUB ! 75.8 N � m M BOTTOM AREA: (0' x 1 Q'� = 480 SF SEINER INVERT AT HOUSE 71.5 B ; 1 OYR 5/8 ; LOAMY SAND B ; 1 OYR 5/8 LOAMY SAND B ; I OYR 5/8 ; LOAMY SAND B I OYR 5/8 ; LOAMY SAND a o m TOTAL EFFECTIVE LEACHING AREA = 612 SF X 0.74 = 452 GPD SEWER INVERT INTO SEPTIC TANK z •-� SEWER INVERT OUT OF SEPTIC TANK 1 71.0 38' 24' 24' 24' SHEET TITLE .-+ SEWER INVERT INTO DISTRIBUTION BOX 70.9 N SEPTIC TANK SIZING. PROPOSED HOUSE = 440 GPD x 200% = 880 GAL N USE 1500 GAL SEPTIC TANK SEWER INVERT OUT OF DISTRIBUTION BOX 70.7 C ; 1OYR 8/4 ; FINE SAND C ; IOYR 6/6 ; COARSE SAND C ; IOYR 6/6 ; COARSE SAND C ; 10YR 6/6 ; COARSE SAND Septic Design Plan SEWER INVERT INTO SAS 1 W/GRAVEL ;W/GRAVEL w/GRAVEL BOTTOM OF sAS. 68.5 60' 120' 120' 120' ■ MYSTIC WATER SURFACE NO WATEIR OBSERVED (NO WATER OBSERVED (NO WATER OBSERVED) Detail Sheet 3 -o C2; IOYR 6/6 ; COARSE SAND 0 120' W/GRAVEL PERC 0 47' SHEET NO (NO WATER OBSERVED) N PERC 0 67' (NOTE: MIST'IC LAKE, WATEF SURFACE=EL.EV. 44.0t) CL D A T E : 03/8/12 55J CT I COffY THAT IN JULY 2007, I HAVE PASSE@ THE SOIL EVALUATOR EXAANNATIDN APPROVED BY THE DEPARTMENT OF EHVIROMI WAN. N PROTECTION AND THAT THE ABOVE ANALYSIS WAS PERFORMED BY LINE OONSt IW WTIH 1HE REQUNZED TRAAW, EXPERTISE AND EXPERIENCE DESOMM IN 310 15.017. SCALE : ' DRAWN/DESIGN BY: MTM CHECKED BY:SAW 2� No S"7 �� r J O B N O: 2012-M C A D D F I L E: 2012-002SP.dwg GENERAL NOTES : • � s� BAVCTER NYE .� _ =- 1.) TFE INTENT OF THIS PUN IS TO SHOW PROPOSED WORK AT Locus. B.) ENGINEERING & � - a, � e w Z) LOCUS AREA IS COMPRISED OF TMN•SITE IS NOT W AN A.C.EC. (AREA OF CRITICAL ENVIRONMENTAL CONCERN). ! ,' �✓ > SURVEYING - • SITE IS MIF#N AN AREA OF ESTIMATEDr HABITAT OF RARE WI DLFE PER SITE • t , , AISSIESSOR'S MAP 082 - PARCEL 008-001 WE5P MAP OCTOBER 1, 2010 'ESTIMATED HABITATS OF RATE NMOLFE• FOR USE WH 1IE MA ME:ltANDS PROTECTION ACT REGULATIONS (310 CUR 10).• }' Loa►s DEED: s' Registered Professional Engineers . _• DEED BOOK 15090 PAGE 308 •SITE DOES NOT CONIAN A CIERIFED VEIMIAL POOL PER NESP MAP OCTOBER 1, 2010 © p _� '. Oo ••, `� and Land Surveyors PLAN BOOK 567, PAGE 50 'CERIFIED VERNAL POOLS.' Z `ai� n • ' •SITE IS MITFIIN A PRIORITY HABtrAT PER NHESP MAP OCTC)BER 1, 2010 'PRDRITY .. ' s , ;. � ; ' • • f 78 North Street - 3rd Floor PA PROPERTY OWNTERS • MWATS of RARE SPEW MR SPEL"F5 NO THE WSSAaIl EM ENDANcoSED � � � =Y`�; ' ' •• • Hyannis, Massachusetts 02601 P.O. BOX 65 SPECES ACT, REGULATIONS (321 CMR10). a; 4bt . • yn + :�. D a w WEST FALMOUTI•I, MASS 02574. •SITE IS NOT WITFlI A STATE APPROVED ZONE I GROUND SUER REDIARGE PROTECTION 7 SO Phone — (508) 771-7502 AREA 4� b�`{ a� , •31fs 'st ` . Fax — (508) 771—7622 r 3.) PROJECT BENCHMARK : ASSUMED DATUM BASED ON POND •SITE IS WITIIN A ZONE OF CONTRIBUWN TO A SALT07ER ESTI,MR1r (BARNSIABLE RO.N. • • ,b, : www.baxter—nyle.com ELEVATION (44) AS PER USGS MAP; SANDWICH QUADRANGLE REG. 3150-45. 4.) ZONNG NFOWTI0N . xf,; Tirat�iblsx • q 4 ss 9.) UTILITYINFORMATION SHOWN HETtE]IW p .. r ZONING DISTRICT RF PoiKd STAMP STAMP •THE CONTRACTOR SHALL CONTACT DIG SAFE(AT 1-888-0IG-SAFE) AND UTILITY cmAwS TD LOCATE r, O f ' • a �, • ' , OVERLAY DISTRICT; GP (GROUNDWATER PROTECTION) ALL DOSTING UTILITIES, AT LEAST 72 HOURS PRIOR TO THE START OF CONSTRUCTION. THE LOCATION OF • OVERLAY DISTRICT, RPOD RESOURCE PROTECTION OVERLAY N OF A9gS ( �� EJOS'ING U<'DERC�iOUND IERASTR!>t•`IllfE: ururE�, CbNDUITS AND LINES ARE sHowN N AN APPROXIMATE �4,P sq� MINIAIUAI LOT AREA 87,120 S.F. AVxIABLE LIMY RECORDS NOTED hEREON THE CONTRACTOR AGREES RE'SPONS6lE FOR g N MINIMUM FRONTAGE 150WAY ONLY. MAY NOT BE LIMITED TO RM SPIOWN HEIM AND MVE Lanus Illlap Scale 1" 20�' Q S N tiG ANY AND ALL DAMAGES WHICH MIff BE OCfaASIONED BY IHE CONTRACTOR'S FAN.LIRE TO LOGIIE SAID WELL FRONT SETBACK = 30' SIDE d REAR SETBACK = 15' NFRASIRUCIINlE AND UTILITIES UACXY. F FED CONDITIONS DFFERS FROM PLAN NFORMA11ON, THE No. 0 18 5.) A TITLE SEARCH ENS NOT BEEN PEIMIED FOR THIS SITE F OETEItAIED CONTRACTOR SWILL N07F'Y THE ENGINEERMEDMTELY FOR POSSIBLE REDESIGN. TO BE NECl3v4ARY, A TITLE SEARCH SHALL BE PEIMI D BY OTHERS. NG• EXIST SEPTIC SYSTEM AND WELL INFORMATION TAKEN FROM A PLAN PREPARED 8Y pFIST F S tJ S g•) THE PROPERTY LINE NnRIN110N SM IS Bm ON CURE AVAABIF ENXTEt � DATEDAPRIL Z91998 D NA t E . NFORMATTON CONSISTING OF PLANS AND DEEDS • THE C-O-W HATER DEPL WILL BE MIALLNG PUBLIC WATER SERVIM ON *TEE FR 2 3 y ROAD N TEE SPRING OF 2012 TW PROPOSED HOUSE WILL BE CONECTED TO THE NEW ' THE DXI M FEATURES SHOWN NEREON WERE OBTAIED FROM A ON 1HE MID FIELD WATER WRL NO WELL IS PROPO6tD F o CONSULTANT SURVEY PERFORIED BY Br1XTER b NY0 PUN IVIIED APRN. 29, 1998 • M Ems, 11104IO E AND CABLE ARE AWJME TO TITS LOT o a 7•) COMMUNITY PANEL NUMBER 250001 0015 C •- THE FL000 INSURANCE RATE MAP DEFINES TIIs AREA PtAS ZONE B .AN BOOK 283 PAGE :!35 , J B. V. W. DEUNEATION BY ENSR KATIE BARNICLIE, WETLANDS SCIENTIST � CONSULTANT DELINEATION DATE: MARCH 23, 199840 .r FIELD LOCATION BAXTER do NYE, INC. Co MARCH 25, 19s8 N PAUL F. PITA, ET UX. o I " 0AL � PREPARED FOR : � 00p / NOTE A L 001MARK WILL BE SET M Bonnie Ellis✓ / / ,/ / i' N A PRIOR ll) START OF CONSTRUCTION OF -21 � / / HOUSE AND SEPTIC SYSTEM o P.O. Box 744 Hopkinton MA. 01748 00 455• EDGE OF POND / / / 0 / r > At r L`0 T D , 1-20 f Q Y Y 8 T 1 C L A K E C I�PLAND AffEA - NORTH COTUIT POND ) _" E P . _ OVURDI CONST —L r ' 61,443 Square Feet ELEVATION et ELE ATl N 44 CTINOTE 1.41 Acres 0USGS SHEET _SANDWCH O�ADRAN E S HEET SEP 2 x shape factor - 20.t _II / FARA o f� ..___- ._._ 8�QE y 43,560 square feet o t / i WETLAND AREA I ' 1 r i r r r 1 2 1 947 Square Feet F f Ac. i F r r / N.I (P-9138 1` ` r�/ r + TPS 5 �0 Xor `s _ 0 / AL / �� A-18 i � I i w1 I � 6NCUL C / 36" BEECH ' r / I 0 i r i I , r r , RECHIGER. / / 0' r '�+ W W W I /� 'IV / /�,/ / CHAMBERS 9/BOX r j IN.� �/ , W W •� W • , r 36" BEECH i 1 / / / r / /C.>t / / W W .p � � _j 00 , S5E0P0 CrASO TP2 , PROPOSED WATER SERVICE POLE # 549,`i'0 j (P 138) .` r i t i i i ' i ' / 1 / ' U C 40 / / ; / i •t �4b I rr / A-17 , i i 1i i i ' / '/ ' ' i ` h I M °I O I x �C I j ix / r _ AV I� i '*L i it rl 11 11 i1 /, 1 1, / , I 0. N i i r x j 36" (BEECHI � —•- IT j, PATH // �/ ,/ / ,' 140.9T �' / / 00 24.95' •e C \ F O 06 JD 0. AL ;/ /! i x\ ,' / ' ; RETAINING WALL N i i r i / i rT.O.W. EL—SOLO Co • ' w Alk 1 1 A-15 i � � i i , �/ � r � rr � 5 k • o ..--�'_ 4i o 1 1 i ME 2 O w 2 11 11 A' 14 i / i 10 E i i i ,' / l rf xr r i / �} P A� N N w F— 'f4'51P1 I , \ ' \ \ F 00 a � / 1 FO��/ / i J ' ' i /�/ /�r i N \ ^ / / j con N N ai co 8� (0 00 o ^ L0T D - 2 0 cw A-13 / / Ql� `� x `n `n x `D /- / + 0) N Z N/F LEO BURNS, ET UX. ' SHEET TITLE N BEACH ,/ o WELL Septic Design Plan n 3 � / � a c � SHEET NO SEP C ^ / LINE o 0 LALSTANCE O Lt N 13.44 39 W 4.79 0 L2 N 48V 39 E 14.95 0 D A T E : 03 8 12 20 0 20 40 0 SCALE IN FEET rr SCALE : 1"=20' N DRAWN/DESIGN BY: MTM CHECKED BY: SAW, N 0 J O B N O 2012-M C A D D F I L E 2012-002SP.dwg it ...� O +I. I L I III it I I ' I