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HomeMy WebLinkAbout0228 WHISTLEBERRY DRIVE - Health 228 WHISTLEBERRY p{�J� Marstons Mills A = 062-029 i TOWN OF BARNSTABLE LOCATION A A \nl ;&�j.e . 'ONcmL_SEWAGE#AGZ1 VILLAGEM n t ASSESSOR'S MAP&PARCEL Z INSTALLER'S NAME&PHONE NO. � SEPTIC TANK CAPACITY BOG LEACHING FACILITY:(type)CM.L6 SUU „\,,, b-t (size) 13 X ZS NO.OF BE\DROOMS nn OWNERhn ^� 1�\C, PERMIT DATE: III 3I 2O2\ COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility(If any wells exist on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) Feet FURNISHED BY 4� WnAL13 e� 2 vr-4 1 No. ��L/� I —Vol Fee I THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes Zipplication for Bisposar *pBtem Construction Permit Application for a F ermit to Construct( ) Repair( ) Upgrade o< Abandon( ) ❑Complete System Xndividual Components Location Address or Lot No.a Owner's Name,Address,and Tel.No. Assessor'sMap/P,arcel MtrN �� 6 h fi `y AaAtfoyl Installer's Name,Address,and T .No. Designer's Name,Address,and Tel.No. h -r-1 3 2 r ` Type of Building: Dwelling No.of Bedrooms Lq Lot Size Zsq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures nn Design Flow(min..re uir ) gpd Design flow provided 3 5d• gpd Plan Date 2� Number of sheets I Revision Date 11 Title t tWA h '}" XILVLA Size of Septic Tank , Type of S.A.S. 2 CU (I6-( (Js#J ,Y3 dj61­C Description of Soil ov- - 1 � ��� p Nature of Repairs or Alterations(Answer when applicable) Date last inspected: Agreement: a. 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 of Environmental Code and not to place the system in operation until a Certificate of Compliance has been issued by this B d lth. Signed Date j '') Application Approved by Date_ Application Disapproved by Date for the following reasons Permit No. . `�iD�v� 2(0� Date Issued '"F4"L.-„'i..�"�:..:. .^.-,fn_^n.%1 P,.., .-r:-,.:^ail r^ Svs „r-r,� r. ,.,, .rw*+,.,P �„Frw ''ti. -...�-.fJ`^•.+:.... x: .l:.."„- .'�"''T ,.,.�- 7 .:hy ,.s,F. No. t•�V� 1 _161 y } ` Fee 16b , i f W. .- ,� ;r ,�4�•. THE COMMONWEALTH OF MASSACHUSETTS Entered in computer Yes" . PUBLIC HEALTH DIVISION - TOWN .OF_BARNSTABLE, MASSACHUSETTS ftplitationlor Misoosal4pstem Construction 3permit Application for a Permit to Construct( ) Repair( ) Upgrade()o Abandon( ) '❑Complete System Xndividual Compon7S-pts 17 Location Address or Lot No.a V -� i1 Owner's Name,Address,and Tel.No. Assessor's Map/Parcel fIt Vixi10 L McM pfayl -� Installer's Name,Address,and Tel No. < '` Designer's Name,Address,and Tel.No. ion( tt Oh -04 M Type of Building: w Dwelling No.of Bedrooms i Lot Size 2sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures . Design Flow(min.jtre uired) nn�� gpd Design flow provided 3� •�t0 gpd Plan Date i Number of sheets Revision Date . oft Pf vii bc�%dh it � + c. Q i ���.� Title Size of Septic Tank J Type of S.A.S._ 2 (jam ;(1l+hR- 'tt Description of Soil j V Nature of Repairs or Alterations(Answer when applicable) Date last inspected: 4 Agreement: .. ,. �rr� '''`•_, 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 Bolyd iltli� �y w . . Signed !a( Date _1 4 1 I.E-o Application Approved by , Date I 1 7 J Application Disapproved by Date_ _ for the following reasons Permit No. Date Issued 13 THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE,MASSACHUSETTS Certificate,of Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal system Constructed( ) Repaired( y� Upgraded( ) Abandoned( )by . 1 f h�� i' MV 1 at � �i -� d 1/ _ has been constructed in accordance l ii with the pr visions of Title 5 and the for Dispo al System Construction Permit No. �1 7-10 dated `7 Installer ��� � V 0 Will 11#1 Designer 3U d t- aqo #bedrooms 'c t v Approved design flow 3 3 • _ gpd The issuance of this q{ermi shall not be construed as a guarantee that the system it Rfitriction 8des�gned. Date 1 � Inspector to,,�A --------------- No. � � Fee (Ob THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION- BARNSTABLE,MASSACHUSETTS Misposal *pStrut Construction permit Permission is hereby granted to Construct( ) Repair( ) Upgrade O Abandon( ) System located at Z IL _fO b r and as described in the above Application for Disposal System Construction Permit. The applicant recognized his/her duty to comply with Title 5 and the following local provisions or special conditions. Provided:Construction must+be co pleted within three years of the date of this permit. Date 1 Z Approved by A/ 1 4✓, SWEBTSBR ENGINEERING 203 SETUCKET ROAD P.O.BOX 713—SOUTH DENNIS—_MASSACHUSETTS 02660 TEL(508)385-6900 EMAIL sweetsereng@aol.com FAX(508)385-6991 �'4 LAND SURVEYING—ENGINEERING—TITLE 5 SEPTIC SYSTEMS SEPTIC DESIGN PROPOSAL PAGE 2 INFORMATION AND FLOOR FLAN SKETCH Q PROPERTY INFORM Q Please fill out this form,-including the floor plan sketcle,and.return.to us with the signed proposal and retainer. This information is necessary to properly prepare your Septic System Design. If you are planning an addition,we require a set of plans inctuding a foundation plan Total#of Rooms Year.Round Home 00 Seasonal Home Owner Occupied I10 Rental #Bedrooms qtg Family Room/Den Living Room Dining Room �#Bathrooms � i b �i Washer/Dryer If S_Dishwasher r t_Garbage Disposal rQ_Gas Service Town Water In<ground Electric Wires* V)6 In-Ground Oil Tank* —M—In-ground Sprinkler* V 10 In-ground Gas Pipes* * Please note on sketch where located. Sweetser Engineering assumes no responsibility if in-ground components are damaged during Soil Testings, Inspections,Locations of and/or Installation of New Septic System, Cellar: W Full t1D Partial(Crawl) nO Slab Wells: ')D Main Use Y1Q_Irrigation Only (please provide location of all wells) PLEASE USE THE SPACE BELOW AND THE BACK OF THIS SHEET TO PROVIDE US WITH A ROUGH SKETCH OF THE EXISTING FLOOR PLAN(ALL FLOORS). Also include any items that should be avoided,IF FEASIBLE,i.e.shrubs. trees,patios,electric lines,tanks etc. i✓ 1 "'rnt� f koaM 1tOD04 €XAMPLE � Town of Barnstable Regulatory Services Thomas F. Geiler,Director Public Health Division � � Thomas McKean,Director 200 Main Street, Hyannis,MA 02601 Office: 508-862-4 44 Fax: 508-790-6304 Date: 3 Z�Z Sewage Permit#'WL\'� Assessor's Map/Parcel Gz y Installer& Designer Certification Form g Sc.J��'?fd/Z c..� /n/�'' .t/'L Desi ner: 74/ M Installer: Address: ��� 7�l Address: s . On C3�Z ���ns �xc�,,� �,(� was issued a permit to install a (date) (installer) septic system at 2 �✓Hif�[ aar�R►✓� AIA based on a design drawn by (address) E73d�t �.��r,�r r�i••n� dated 7,4.✓ 7/zo (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 required) was inspected and the soils were found satisfactory. w tk Cf 1�A r TERENCE (hista le ature U HAYES `° 0 ...,. .,....�: �C/S T E�� (Designer's Signaje) (Affix DefflO AN?Stamp 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 f i_ bra-oa,9 Commonwealth of Massachusetts Title 5 Official Inspection Form CO� Subsurface Sewage Disposal System Form -Not for Voluntary Assessments m; ,M 228 Whistleberry Drive Property Address Dan Fortnam Owner Owner's Name information is .'� required for every Marstons Mills ✓ MA _ 02648 April 5, 2018 page. City/Town State Zip Code Date of Inspection P 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 f o2 to on the computer, use only the tab 1. Inspector: key to move your cursor-do not Patrick T Sullivan use the return Name of Inspector key. Ready Rooter Excavting � Company Name PO Box 89 _ Company Address Forestdale _ MA 02644 City!'rown State Zip Code 508-888-6055 SI 12843 _ Telephone Number License Number B. Certification I certify that I have personally inspected the sewage disposal system at this address and that the information reported below is true, accurate and complete as of the time of the inspection. The inspection was performed based on my training and experience in the proper function and maintenance of on site sewage disposal systems. I am a DEP approved system inspector pursuant to Section 15.340 of Title 5 (310 CMR 15.000). The system: ® Passes ❑ Conditionally Passes ❑ Fails ❑ Needs Further Evaluation by the Local Approving Authority April 12, 2018 Inspector'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 should be sent to the system 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. t5ins.doc•rev.6116 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 1 of 17 �o VS �JU f Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 228 Whi stleber Drive -Property Address Dan Fortnam Owner Owner's Name information is Marstons Mills MA 02648 Aril 5, 2018 required for every _ p page. City/Town State Zip Code Date of Inspection . Certification (cont.) Inspection Summary: Check A,B,C,D or E/always complete all of Section D A) 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: B) System Conditionally Passes: ❑ One or more system components as described in the "Conditional Pass" section need to be epiacea or repaired. I ne system, upon compietion 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* r the septic tank (whether metal or not) is structurally unsound, exhibits substantial infiltration or exfi ration or tank failure is imminent. System will pass inspection if the existing tank is replaced wit a complying septic tank as approved by the Board of Health. *A metal septic tank will pass inspection f it is structurally sound, not leaking and if a Certificate of Compliance indicating that the tank is I s than 20 years old is available. ❑ Y ❑ N ❑ ND xplain below): l5ins.doc•rev.6/16 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 2 of 17 Commonwealth of Massachusetts a� Title 5 Official Inspection Form 1.1 Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 228 Whistleberry Drive _ Property Address Dan Fortnam Owner Owner's Name information is required for every Marstons Mills MA 02648 April 5, 2018 page. City/Town State Zip Code Date of Inspection B. Certification (cont.) ❑ Pump Chamber pumps/alarms not operational. System will pass with Board of Health approval if pumps/alarms are repaired. B) System Conditionally Passes (cont.): ❑ 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 9111Health): ❑ broken pipe(s) are replaced / ❑ Y ❑ N ❑ ND (Explain below).- obstruction is removed � ❑ Y ❑ N ❑ ND (Explain below): ❑ distribution box is levele 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 ❑ N ❑ ND (Explain below): C) Further Evaluation is Require by the Board of Health: ❑ Conditions exist which requir further evaluation by the Board of Health in order to determine if the system is failing to prot t public health, safety or the environment. 1. System will pass unl ss Board of Health determines in accordance with 310 CMR 15.303(1)(b)that the sy tem is not functioning in a manner which will protect public health, safety and the enviro;ent: ❑ Cesspool or 4vy is within 50 feet of a surface water ❑ Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh t5ins.doc•rev.6/16 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 3 of 17 4 V Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments M 228 Whistleberry Drive Property Address Dan Fortnam Owner Owner's Name information is Marstons Mills MA 02648 Aril 5, 2018 required for every page. City/Town State Zip Code Date of Inspection 8. 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 TAS AS is within 50 feet of a private water supply well. ❑ The system has a septic tank and SAS and theis 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 feca} coliform bacteria indicates absent and the pr7sence 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 ❑ ® Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or clogged SAS or cesspool ❑ ® Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool ❑ ® Liquid depth in cesspool is less than 6" below invert or available volume is less than %day flow t5ins.doc•rev.6/16 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 4 of 17 Commonwealth of Massachusetts �^ .6 Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments °M 228 Whistleberry Drive Property Address Dan Fortnam Owner Owner's Name information is Marstons Mills MA 02648 Aril 5, 2018 required for every _ p page. Ciylfown State Zip Code Date of Inspection B. Certification (coot.) Yes No ❑ ® 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 !s 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. ❑ ® 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. ❑ ® 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. r=or iarge systems, you must indicate either"yes° or"no- to each of the foliowing, in addition to the questions in Section D. Yes No ❑ ❑ the system is within 400 fe�tIof a surface drinking water supply ❑ ❑ the system is within 200 eet of a tributary to a surface drinking water supply ❑ ❑ the system is located i 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 questi6n in Section E the system is considered a significant threat, or answered "yes" in Section D above a large system has failed. The owner or operator of any large system considered a significant threa under Section E or failed under Section D shall upgrade the system in accordance with 310 CM 15.304. The system owner should contact the appropriate regional office of the Department. t5ins.doc•rev.6/16 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 5 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments �.� 228 Whistleberry Drive Property Address Dan Fortnam Owner Owner's Name information is Marstons Mills MA 02648 Aril 5, 2018 required for every — P page. City/Town 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? ® ❑ 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? M. ❑ 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 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)] 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): 490 GPD t5ins.doc-rev.6116 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 6 of 17 ' Commonwealth of Massachusetts �u- Title 5 Official ion Form Inspect p I _- Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 228 Whistleberry Drive Property Address Dan Fortnam Owner Owner's Name information is required for every Marstons Mills MA 02648 April 5 2018 page. Cityrrown State Zip Code Date of Inspection D. System Information Description: I I 0 Number of current residents: i 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? El Yes [I No Seasonal use? ❑ Yes ® No Water meter readin s, if available last 2 ears!usa e d 2016= 59 GPD 9 ( Y 9 (gP )) 2017= 96 GPD Detail: I I l I G I Sump pump? ? ❑ Yes ® No Last date of occupancy: i February 2018 Date Commercial/industrial Flow Conditions: Type of Establishment: / Design flow (based on 310 CMR 15.203 ! g Gallons per day(gpd) • I Basis of design flow(seats/persons/s .ft., etc.)! Grease trap present? El Yes ❑ No I Industrial waste holding tank pr ent? El Yes ❑ No I Non-sanitary waste discharg to the Title 5 system? ❑ Yes ❑ No I Water meter readings, if a ailable: t5ins.doc•rev.6/16 I Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 7 of 17 I Commonwealth of !Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 9 I 228 Whistleberry Drive Property Address Dan Fortnam i Owner Owner's Name information is required for every Marstons Mills MA 02648 April 5, 2018 page. CityrTown State Zip Code Date of Inspection D. System Information (cont.) i Last date of occupancy/use: I Date Other(describe below): I i i i I General!Information I Pumping Records: No records found Source of information: ! Was system pumped as part of the inspection?! ❑ Yes ® No If yes, volume pumped: gallons l How was quantity pumped determined i Reason for pumping: ! i Type of System: I ® Septic tank, distribution box, soil absorption system ❑ Single cesspool I ❑ Overflow cesspool i ❑ Privy ❑ Shared system (yes or no) (if yes, attach previous inspection records, if any) I ❑ 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): t5ins.doc•rev.6/16 i Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 8 of 17 I f Commonwealth of Massachusetts _ Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments ,w 228 Whistleberry Drive _ Property Address Dan Fortnam Owner Owner's Name information is Marstons Mills MA 02648 Aril 5, 2018 required for every P page. CitylTown State Zip Code Date of Inspection D. System Information (cont.) i Approximate age of all components, date installed (if known) and source of information: System installed 08/20/1990. Certificate of Compliance on file at Health Dept. I Were sewage odors detected when arriving at the site? ❑ Yes ® No I i Building Sewer(locate on site plan): Depth below grade: 3.8 feet Material of construction: I ❑ cast iron Z 40 PVC ❑ other(explain): i Distance from private water supply well or suction line: N/A feet Comments (on condition of joints, venting, evidence of leakage, etc.): I i Septic Tank (locate on site plan).- Depth below grade: 3 feet Material of construction: ® concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑ other(explain) I i i I i If tank is metal, list age: I ye years Is age confirmed by a Certificate of Compliance? (attach a copy of certificate) ❑ Yes ❑ No Dimensions: 10.5' x 5' x 5.5' 1500 gallons -- Sludge depth: — t5ins.doc•rev.6116 Title 5 Official Inspection form:Subsurface Sewage Disposal System•Page 9 of 17 i i I i E j Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments _ I <, _2:28 Whistleberp Drive Property Address Dan Fortnam Owner Owner's Name j information is required for every �Marstons Mills MA 02648 April 5, 2018 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Septic Tank(cont.) I Distance from top of sludge to bottom of outlet lee or baffle 31 Scum thickness 2" inlet, 1" outlet Distance from top of scum to top of outlet tee of baffle Distance from bottom of scum to bottom of outlet tee or baffle 14" How were dimensions determined? I Dip tube and tape measure. Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): Inlet and outlet tees in place. Liquid level at outlet invert. Risers bring covers within 6" of grade. Recommend maintenace pumping within 1 year. I _ I i I Grease Trap(locate on site plan): I _ Depth below grade: / feet Material of construction: I ❑ concrete ❑ metal /El fiberglass ❑ polyethylene ❑ other(explain): I I I Dimensions: i Scum thickness 4 Distance from top of scum/too tlet tee olr baffle I Distance from bottom of sm of outlet tee or baffle Date of last pumping: Date t5ins.doc•rev.6116 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 10 of 17 k I I- Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 228 Whistleberry Drive Property Address — Dan Fortnam Owner Owner's Name — information is Marstons Mills MA 02648 Aril 5, 2018 required for every p page. City/Town State Zip Code Date of Inspection 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: i ❑ 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 t5ins.doc•rev.6116 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 11 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments �w 228 Whistleberry Drive Property Address Dan Fortnam Owner Owner's Name information is Marstons Mills MA 02648 April 5, 2018 required for every p page. Cilyrrown State Zip Code Date of Inspection -0. System Information (cont.) Distribution Box (if present must be opened) (locate on site plan): Depth of liquid level above outlet invert 0 11 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.): One inlet, one outlet..No solids carryover. No high water staining over outlet invert. D-box is 6' below grade with riser within 6„of grade. Pump Chamber(locate on site plan): Pumps in working order: ❑ Yes ❑ No* Alarms in working order: ❑ Yes ❑ No* Comments (note condition of pu chamber, condition of pumps and appurtenances, etc.): * 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: t5ins.doc•rev.6/16 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 12 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 228 Whistlebeuy Drive Property Address - Dan Fortnam Owner Owner's Name information is Marstons Mills MA 02648 April 5, 2018 required for every _p page. CityrTown State Zip Code Date of Inspection D. System Information (cont.) Type: ® leaching pits number: 6' x4' w/ Tof_stone. ❑ leaching chambers number: ❑ 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 os vegetation, etc.): Leach pit located and inspected with camera. No riser found. 6' below grade. Liquid level +-2' below invert at time of inspection. High water staining +-16" below invert. Clean stone visible in sidewall. No sign of past hydraulic failure. 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�nflow ❑ Yes ❑ No t5ins.doc•rev.6/16 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 13 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 228 Whistleber Drive Property Address Dan Fortnam Owner Owner's Name information is required for every Marstons Mills _ MA 02648 April 5, 2018 page. City/Town 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.): /i i Privy (locate on site plan): Materials of construction: Dimensions / Depth of soiias — Comments (note condition of soi/sins hydraulic failure, level of ponding, condition of vegetation; etc.): I :5ins.doc•rev.6/16 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 14 of 17 i Commonwealth of Massachusetts ,. Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments Y ry 228 Whistleberry Drive Property Address Dan Fortnam Owner Owner's Name information is required for every Marstons Mills MA 02648 April 5, 2018 page. Cityfrown State Zip Code Date of Inspection D. System Information (cunt.) 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 [El drawing attached separately l 1 I I i I l I 1 1 i 1 J I I� I ry i i t5ins.doc•rev.6/16 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 15 of 17 it f r Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments M 228 WhistleberrY Drive =:roperty Address Dan Fortnam Owner Corner's Name information is Marstons Mills MA 02648 Aril 5, 2018 required for every p page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) Site Exam: ® Check Slope ® Surface water ❑ Check cellar ❑ Shallow wells Estimated depth to high ground water: >4feet 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: 03/25/85 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: maps.massgis.state.ma.us/oliver.php You must describe how you established the high ground water elevation: Test hole in 1990 found no around water at elv=4.9. Base of leach pit at elv= 9 per engineered plans. Slope to cranberry bog drops below base of leach pit. No high ground water. Before filing this Inspection Report, please see Report Completeness Checklist on next page. t5ins.doc-rev.6/16 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 16 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 228 Whistleberry Drive Property Address Dan Fortnam _ Owner Owner's Name information is Marstons Mills MA 02648 Aril 5, 2018 required for every _ p page. CytylTown 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 t5ins.doc•rev.6/16 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Pane 17 of 17 Dp S ( 9 WN OF /BARNSTABLE LOCATION'!O/- g2 -5I G�NiST ���/1�>'�2 SEWAGE # r 7-�7� / VILLAGE�6WST6w5�/ / 13 ASSESSOR'S MAP & LOT -dq INSTALLER'S NAME & PHONE NO.Ae,-11(Z'1 .ST SEPTIC TANK CAPACITY l D O LEACHING FACILITY:(type)�9 L A�s?/ r (sizel l a X NO. OF BEDROOMS -� PRIVATE WELL OR PUBLIC WATERJI �/C. BUILDER OR OWNER DATE PERMIT ISSUED: DATE COMPLIANCE ISSUED: VARIANCE GRANTED: Yes No G' a a 2' / iv T No. '• .75K Fimic .2,.a ....... THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH ............................................O-F..............-.. .......................................... Applirativaa for Bispvii ai Works Tantitrurtivaa ri mit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal S stem at: ..._. � � - ............... .... Location,-Addres or Lot No. - - -- .........................•---- Owner Address Wj . ............. -•------------------- •--•------------•-- Install er Address qq d Type of Building Size Lot. _ ...Sq. 'feet U Dwelling—No. of Bedrooms............................... .Expansion Attic ( ) Garbage Grinder ( ) 6 ........._ No. of persons............................ Showers — Cafeteria Other—Type of Building r��.�_ �`'����" p ( ) ( ) Q' Other fixtures ---------------------------------------------- W Design Flow............................................gallons per person per day. Total daily flow............................................gallons. WSeptic-z Tank—Liquid capacity............gallons Length................ Width................ Diameter................ Depth................ x Disposal Trench—No. .................... Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No..................... Diameter-____-_.-___-__-___- Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) Percolation Test Results Performed by------------------------------------•---------•-------------------------- Date aTest Pit No. 1----------------minutes per inch Depth of Test Pit.................... Depth to ground water........................ Gi, Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ a -•-•-•••--••-----------•-•••-•--••••••••••---•••----•-•---•-•--••-........--••......._..•••••--••-•-....••-•-•-•--•••.....•---••......•.....•----•.......... 0 Description of Soil........................................................................................................................................................................ V *----------------------------------------------------- -------------------------------------------------------------------------------------------------- -------------- ---------------------------- ---•---•-----•--••-•----•--------------------------------------•----------------....------------------------------....__.....---...------------------------------------.....-•-•--......••---•-•------.. V Nature of Repairs or Alterations—Answer when applicable------------- ---_------ARC_ --------- ---_--------- -----------------------------------------------------------•-•----------------------..........-----•----.......------------------.._...----------------------------------------•-•••-•-••-••-...-----•-- Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with P'1T�'14^ the provisions o TTIL f 5 of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been issue by the board ' health. Signed.___ •--... .............. •- -- --- ---------•----- ...... Date Application Approved By.............. X9... 1._ Date Application Disapproved for the following reasons---------------------------------•---------------------------------------------------------------------......••.. ....--•-••-------•••----•-••-•---••-••-•--•-•-•••----•••.....................•••-----................--•- Date u PermitNo....... .................... Issued....................................................... D to � •i N+n Fr.$.....115..........._ THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH -- ... ...............OF..._........--------------------........------------.................................... Appliratinn for Bi-gVaa al Works Tonstrnrtinn Vanfit Application is hereby Trade for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at: eZ ....... , ZCo .................' .r-f-----------------------------•----------------- Location-A dress or Lot No. ....... — ••-------•------------- -•----------............-------•------•------- .. W / Owner Address 4. --------------•-------•-••-----•--•--•-----•-- Installer Address Type of Building Size Lot_�.. __Sq. feet U Dwelling—No. of Bedrooms...........................................Expansion Attic ( ) Garbage Grinder ( ) aOther—Tvpe of Building P ! �j"�.... No. of persons............................ Showers ( ) — Cafeteria ( ) Otherfixtures -----------------------------------•------------•-----••--•---•••-••--•-•---•---------------------••--••--•...•----•••-•••-••---•-•-•............_... W Design Flow............................................gallons per person per day. Total daily flow............................................gallons. WSeptic Tank—Liquid capacity------------gallons Length.............•.. Width---------------- Diameter---------------- Depth................ x Disposal Trench—No..................... Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No--------------------- Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) 1.4 Percolation Test Results Performed by.......................................................................... Date........................................ Test Pit No. I................minutes per inch Depth of Test Pit.................... Depth to ground water-----------_............ f14 Test Pit-No. 2--_.__-_-_••.-minutes per inch Depth of Test Pit.................... Depth to ground water........................ 04 •---•---••-•----------------•••---••••••--•-•-•-....---...-•••-•--••-•-•---•............---..__............................................................. 0 Description of Soil..................................................................................------------------------------------------------------------------......---••-----••- W - U ---•-------------------------------------•-------------------------•------------------........--------------------------•--•----------------------------------------------------------------....._..•... W x U Nature of Repairs or Alterations—Answer when applicable_____________ _________ ....... _____.... fit? ______._...... ....•--••----------•-•••--•-•--•-••----•--------•••••-•------••--•-•---•-----•••••••-••...._.•••••-•-•-•-••••-•-------------•••----•-•-•-••-----•----•-•-••---•-••••-•-•-••-••-••......•-•---••-•...... Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TT�•1$•-� u.:IZ 5 of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been issued by the board pf health. Signed, ' ,. - - : .............. .......................... . ` Date Application Approved BY 3-- •----------•--•-------------------•---------•-----•-- •--- Date Application Disapproved for the following r asons:---••-•-••---•••••-••-•-•-•--•-••-•••-•-•-••---•-------•---•-•------------•---------------- •••.......-•-•••-- -•-•--•............••-•-.......•-••••---...-•---•---•••--•---•--•-•-•-•--••••-•-••••----•-•••------••-••••-••---•-•-••-•-•--••--•---------••----•••-•---•-•------•----•-•••--•------•-•..............•- Date Permit No.......-!l Y'-• 2•!E�-------------------- Issued....................................................... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ........ OF............. ?�w"-�ct :' ..................... (9rdif irFatr ,af Toutplitanrr THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed >6 or Repaired ( ) bY--•-•-•.._..•••-----•-••---•--••-•--••-•-•---•--•-•.....•--------•-....••-•-•-••--•-•--•--•---•--••--•••-•-•-•••--•••----•-•••-•••••-••-•-•...................••-••--••......_........-----•••••.... ^� 1 /f Installer J� at............Z_-�'T---�- ............................... s k=�xc.,�- ---- � `---------� -j �----••-•----------------------------------- has been installed in accordance with the provisions of TIT'_ 5 of Th tate Sanitary Code as described in the P � Y application for Disposal Works Construction Permit No............ dated................................................ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE.......................................•-----•----......-------•-•-•......-•---- Inspector.................................................................................... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH yam, C� ..........OF.. ....... `fc!'. ........................ FEE..-.................... �i��rrrn�tl nrk ��an�trnr�uan �erntit Permission is hereby granted............. to Construct or Repair ( ) an Individual $ev=ag isposal System ~� Ij. at No. -c �G�' `3 E��f' 7�= - - --- = ------ •- Street as shown on the application for Disposal Works Construction".Permit o.....!y .Z Dated.......................................... Board of Ith DATE........ -------1�'..10.ve•-----------•--•-------------------- FORM 1255 HOBBS & WARREN. INC.; PUBLISHERS 002 AC. Alko Sr 13, O b 1 30 Ot •►. � I L/�(,� `• 4• Pit_` .. .; ; ; p ' 4�4 A ,. . ..: , . yp�yJ I ; cif 4 -3S h �/ 4' p't , 1 �� T CH PL •, D _...49 .HPr,6or R'_, � ;:� ARST _ irt3r :p,A!noId lee. h�ni �tir►' `..i4 min /o{- •,2S A S S h hjs►�`Ie:be rry Shcef ': 43' k� 349 1 yc )' F . . , i �►�. ; : : r►:r : recc�r��� ih 73 rs` iab/e Re��strr : - JJ ._ i�a - Gl'Ievcfio.-� � Shown t��'�i-all�av - - ,� 1jairk .wit Jiw, �On/IY7 I ;..�..L ro (oof)41er ', re rc. 1pafe 2o;/.; ���r.l" T n �G . . 4 514b OF.kC 10RDIE i . , L P R' A44 ACE Li `FT. MINIMUM FROM CELLAR {} CRAWL S � , N' 2 DA OF SOIL TES GUILE 2d2i SOIL TEST TOP 0t' FOUNDATION TE T _ _w . A r - * 1 FT. MINIMUMFROM SLAB � #, tI 0S ,SEF? NG'� R'LG SOIL TEST NE Y 1 d4?a'p M `. , S DO B _..� : - 10'FT, MINIMUM V. _ A AN ELEV. _ CLEAN SAND , . WlTrdE SSED BY (ASSUMED) INSPECTION PtRTCQNC ETE AI 4 R. -: S ; ,...CAVES LOAM AND .SEED . a � ` P -. 9 .0 4 SCHEDULE 40 PVC PIPE F 2 :LAYER 0 R T. IN PITCH PE F M � 8 „ . _l 1 8. PERCOLATION FATE _.,.._ MlN IN H AT INCHES ES , , ST ONE Q.�3t WASHED DEPTH RI TEXTURE COLOR MOTT. OTHER M AR FILTER FABRICVENT D HQ Z TE E L I P MAX. ., 8p 75 1�lA)(. 3 4 CAST IRON PIE .. 5 N,. .NOT REQUIRED O. 12 FILL O �. MINIMUM t M A V A` ,MIN SLAB (OR EQUAL) MU , M 1 19. LOA ,Y SAND t0YR5 1 ROOTS ` 2 Ab FLpW< z j_ T 4 FT. , PITCH 1 PER j - LE VEL RS TEE . . 19 24 B LOAMY SAND 1dYR6 4 ROOTS ; i rn ;' 4 1 , AND LOAM t0YR6 3 FLOW LINE 2 5 C1 5 Y L j 1 _ 0 ', � GR A 1 5 VELS 5 32 C2 COARSE SAND 2 5Y7 - ELEV. ,. a000aUoacror� / MIN. . a 0 , '-( fl I 0Q.4� _ , 0 132 0.s . � 8 d LE WATER ENCOUNTERED R AT LEV. --_ zz o © C3 Q t3❑C] O 0`tD Y fief} TE E OU TE ED _._.�,_._... E .,.__-__.,. LEVEL_ a � C1 `SUMP 6 ;e 7i"�0 sa o tt 80�;� ;ADD'GASELEV. OBSERVATION - ELEV. ._..__L__ $ DOCIC3Gl ❑C)C7CIC3p 2 91.0 DISTRIBUTION BAFFLE o _ ((//�I�� +/�([}�p , ELEV. O O . o p5 DEPTH- HQRIZ TEXTURE. COLOR TT OTHER .�,:. o a oELEV.,>� 00 LIQUID OUTLET r. „ 1 ` FILL; N0 EXISTING '- } 500 GALLON GALLEY" Wl1H O 2 ,DEPTH TEE TO B WATER TESTED 4 �, E 4 FEET 1 INCHES F , .� - /� 1 r ROOTS ) ;A YR TON IN AN 12 19 LOAMY SAND d 5 1 5 FEET 19 INCHES , �' IF MORE THAN ONE OUTLET STONE Ab j is ,... 6 'FEET 24- INCHES r z WELL N A TRENCH FOR ATi N 13 X 25i X 2 O _ 1 4 GAMY AND t0YR6 4 ROOTS (TO BE PLACED ON FIRM BASE) 9 2 B L S j 7 FEET 29 INCHES {� � N 8 FEET 3 INCHES � „ � �+ ZONE EEp _ - t AM 10YR6 3 A � 24 5 ClC1 SANDY LOAM j 3j4 TO 1 1 j2 CLEAN � INDEX -.-- - %'DOUBLE WASHED STONE 5 m GRAVELS AD.}UST � 5t 432 C2 COARSE SAND 2.5Y7 4 `- F FINES & SIL FREE A T '. 132» 0.0 NO WATER ENCOUNTERED AT � " ELEV. • �; 5 USGS PROBABLE WATER:TASLE ELEV.SpE DISPOSAL SYSTEM OBSERVED WATER TABLE E V. -____- DESIGNCALCULATIONS T A s NOT TO SCALE BOTTOM OF TEST' HOLE ELEV. + c` 3 8 ��> I NUMBER OF BEDROOMS GARBAGE DISPOSAL UNIT �._...�. T A TOTAL ESTIMATED FLOW . `lt, { tea GAL./ i/DAY x --3- ;) _ 30- GAL./DAY />V REQUIRED SEPTIC TANK CAPACITY 0_ GAL. ! F AN 1.. Q GA .ACTUAL SIZE SEPTIC 0 TANK ... L SOIL S L ! _ ,� _ DESIGN PERCOLATION RATE. �_.. MIN./N. EFFLUENT LOADING RATE` . GAL./DAY/S.F. LEACHING AREA 477.00 G SO. FT. LEACHING CAPACITY (AREA X RATE) _ GAL/DAY' 477.00 X 0.74 y DRIVE 95.4 RESERVE LEACHING CAPACITY J$Pa y4. GAL./DAY .5fiLEBE WHI ' CST' : IP CONFORM D.E.P. 1. ALL WORKMANSHIP AND MATERIALS SHALL CON d. M TO D.E i -65 11TLE 5 AND THE TOWNS RULE. AND REGULATIONS FOR 1 19. ' PF DISPOSAL OF SEWAGE.THE`SUBSU ACE S I i , 00 2 ALL COVERS TO SANITARY UNITS SHALL BE BROUGHT TO WI fi„ OF FINISHED GRADE. , ' 3. ALL COMPONENTS OF THE SANITARY SYSTEM SHALL BE CAPABLE Of G- E ,} R t R N TF4," WiTrrSTAr'3:,1G H 10 i0aDING Ur�LESS TH Y ARE U t� P O t� 1S ..�... .�.A 1C? FT. CIF .VL'S ,� Ffi. _ AREAS, 2�' LO � u „�. E�. . .. r, ..1 F 1 �.. <" L ,v< {'{`Y..�.(•� }g .T..... {�q ['''i. �' p,�.. , /''�.,. ,, J. 1✓,�.,_..n ..,. .. 9�j :UNDER I�:.i:.A, .r�..:.74./ i`.... 4.,'� �I -:i'✓'r,..: 4'. Al - �• ;5; O; f�Y�('`` i',rf�:'3•� ;r.,' `'� z,�I-: ,s J�,. '!-�" .,: -'- E r < #�.h :Ti :a A BEEN MA A TO Ct?4I, LtANC.. WITH 53. . F 0 DETvIT A C HAS I� E Dom. S r-� f, �. r�.N N WN R APPLICANT-15 TA . � DEEDED 4R ZONING REGULATIONS. A E j ; I � OBTAIN DETERMINATION FROM APPROPRIATE AUTHORITY. A6TA SUCH DETE C .� SHOWN I` ONLY, X AVAT,dN CONTRACTOR . , 6:;UT1LiTIES ..hOM d ARE APPROXIMATE 0 L E C cor 2s r IS TO CALL DIG .SAFcr» AT 1 888 344-7233 AT LEAST-72..HOURS �� �l7. ,. _ COMMENCING WORK N. _____ PRIOR `T0 GORE �.NC NG WO O SITE. 43,635.2 f S.F � E� � .. i Irt N A 7. CONTRACTOR IS TO-VER, Y GRADES ELEVATId S AS WELL S � PRIORCOMMENCINGNd K ON SITE. ANY VARIATION 94.5 SITE CONDITIONS P Id TO OR -.E IS TO BE BROUGHT TO THE. ATTENTION OF THE DESIGN ENGINEER _ 4.4 ' IMMEDIATELY. 9x $. PARCEL IS IN FLOOD ZONE s2 ` .,... s, LOT IS SHOWNMAP As PARCEL ON ASSESSORS ._ ���..-. fi !b, UNDER AND 5FROM.5 .�. � R 10. ALL UNSUITABLE- MATERIAL SHALL BE REMOVED FROM J1.9 wl FOR A MINIMUM ?F , AROUND ,0 LA BS R. TION SYSTEM AND BE .2 OBI REPLACED WITH MATERIAL AS SPECIFIED IN -310 CMR 15.255. 3 . r n t_ � I A MINIMUM 4 HOURS f t. TI•IE'INSTALLER IS TO GIVE THE ENGINEER M=r�MU 1 OF 8 Ot1 S / r / �A 1 � % 1 ,� ,. � A N = T1AhI (NUMBER EE CtW . 4�CL? ,r (2 :V�!gRiCING.DAYS) NOTICE FOR THE FINAL i .. EC { B L ) } , 928 v� 1v 3 12. EXISTING `PIT Is TO BE'f'UM, EIS AND BACKF,LLED. .. 1 .� ti ,, PRE ,. Ai LFN 1 99.8 /975 4.6 91 M .3 ' , c5' � J r�, Pi T_ AT G�" A ..� I 3 \ SZ 4 0 98. 1 5 .. N ` r .� : A 99.2 iFOR . . , _ SOI L 89.1 '�` 1 , ST t t OHN : SAIL 96 A.5 a TET 2 / _ � LO`228 raTUSTM113MMY r r r f 9 r r E K r , r � . . ,r, ,f f�_ �,., C3 ✓r ,/, /Lt T dF 5 f r � } GALLON, R f OViw D r , 1. r ,.. . 0 e � TI TAN. . . � , _ G i'AJ' 11 ✓ -.. X 7�. . ..E / , r (y 7 fa r�r r L.. `' "3 g rr yyy t�; I . ,�!`. S9 // r,r ✓ , r /f/ / X 713 ,j} ^ rt 5 MASS. J C ­ r LEGEND: tt"I ✓ r r ✓ r/ /j g 2 -;.,. 1 VA N Q4 --->=XiSTIri„ SCOT ELE .Tip 0 R / 9� � 92 `XIST1rc cAhTpuR d0 � r " U { 71 C DE FINAL SPOT ELEVATION 0 a A. O'�TOU 0 R ., F•IN L C r 0 r�O�1 SOl�. TEST LOCATION 9 0/ s� is l T 8573-00 UTILITY Y POLE TOWN ,WATER yN W cv BA SIN f l ►r' CATCH E S ix.V, a A F_ GAS Lit c. . t LTA , CLEAN OUT f i :P.P CE.� L C _ I, .l ., 1 y 1 ,. i