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HomeMy WebLinkAbout0009 YEARLING LANE - Health 9 YEARLING LANE MARSTONS MILLS � ----- --- - - - - - - - - A = 151 096 151 "-6q Fee---'-� BOARD OF HEALTH TOWN OF BARNSTABLE Application-for Vell Con5truct ion Permit App}4ation is hereby made for a permit to Construct (//'Alter ( ), or Repair ( )an individual Well at: Loon — Address Assessors Map and Parcel r� Y Owner Address Installer — Driller n Address 7 Type of Building `�_+` Dwelling------------------------------------------------------ Other - Type of Building----------------------------- No. of Persons----------------------__—_—_______ Type of Well- C4j;ey--- - ------- Capacity---- - --—----- -- Purpose of Well ---- - - ----------- Agreement: The undersigned agrees to install the aforedescribed individual well in accordance with the provisions of The Town of Barnstable Board of Health Private Well Protection Regulation - The undersigned further agrees not to place the well in operation until a Certificate pliance has been issued by the Board of Health. Signed - A - - -- d- --- Ap date Application Approved By date Application Disapproved for the following reaso ------- — -- ----------------------------------------------- ^� r date Permit No. —U�-(/�J — —---- Issued----- -- --- -- --- - date BOARD OF HEALTH TOWN OF BARNSTABLE (Certificate ®f (Compliance THIS IS TO CERTIFY, That the Individual Well Constructed ( ), Altered ( ), or Repaired ( ) bY— ---------- - --- ------------------------------------------ Installer _ at -- -- - ------------------------ ------- -- has been installed in accordance with the provisions of the Town of Barnstable Board of Health Private Well Protection Regulation as described in the application for Well Construction Permit No. --------------Dated THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE WELL SYSTEM WILL FUNCTION SATISFACTORY. DATE------ -- - Inspector------------ BOARD OF HEALTH TOWN OF BARNSTABLE Veil Con0ructionPermit i Fee- - --- Permission is hereby granted to Construct ( ), Alter ( ), or Repair ( ) an Individual W 641 No. — ---- -- -------- — - - - - - - - - Street as shown on the application for a Well Construction Permit No.- Dated-- DATE OB ar of e� rr; 1 �- o--- Fee--- --- - BOARD OF HEALTH TOWN OF BAR-NSTABLE A.pplicat ion ArVell CongtructionPermit Appl' ation is hereby made for a permit to Construct (/,<Alter ( ), or Repair ( )an individual Well at: T Loc ion -`Address Assessors.Ma "and Parcel Owner Address -- L/30 5 G s�.+700 �'� - --_-_Installer — Driller % Address —------ _----- ----- Type of Building Dwelling------------------------------------------------------ Other - Type of Building ------ No. of Persons--------------------- Type of Well----'�Sc`f-------:------ - Ca acit Purpose of Well---- -/-Q°2-----___-__�___---------- Agreement: The undersigned agrees to install the aforedescribed individual well in accordance .with the provisions of The Town of Barnstable Board of Health Private Well Protection Regulation - The undersigned further agrees not to place the well in operation until a Certificate;of o pliance has been issued by the Board of Health. 7 Signed. 6— ___-- �j// �) $ ]Wdate Application Approved By +" �- _% __ _____ li Application Disapproved for the following reaso =---- --------___—_________________—__—_—__--_ date Permit No. r --- Issued----- ---- - ----- ---- date twwb!S!Ffb!aRSISfS 4i�i:laTblb1aN76'+a!`b!i!b!IYPF}a?b!88'!ii!Mblli!ilagi!a.N!iHaiM.laNld40!fi►alF!iea!i►!blal69a0il4lita'N!a!i!Q^Nala!IERiIKlalma!a�ala!F!a?afaNlS7648!FTS!F!a4a BOARD OF HEALTH TOWN OF BARNSTABLE Certificate Of Compliance THIS_IS TO CERTIFY, That the Individual Well Constructed ( ), Altered ( ), or Repaired ( ) by----- ------------------ — ---------------------------------- Installer at- - has been installed in accordance with the provisions of the Town of Barnstable Board of Health Private Well Protection Regulation as described in the application for Well Construction Permit No. ------------Dated THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE WELL SYSTEM WILL FUNCTION SATISFACTORY. DATE-- _ —_ Inspector-- ------- ---- —----- '>3sa! si9o`q6'O+tf!'bHa4i:ad9�sF�t+F!+�a!aeaSa!�i'RflalHTa!�9i�a!�ea?S�a�iW iRiiq.�ei!s^<-f:aslata:_G6LeiEasa!aAae�s',�ylaaebeirei+a��iAtrMY?W'af!..e�FiyreFOali4�iTse►�!h16s+i4Nb-s�Ir•a!t!'•G!.rr BOARD OF HEALTH TOWN OF BARNSTABLE Vell Congtruct ion Permit No. _Y_l-t!�_-�( Fee Permission is hereby granted __—_—_— to Construct ( ), Alter ( ), or Repair ( ) an Individual W,JI t No. — -- — ---- -- - - - —- - - i street as shown on the application for a Well Construction Permit No.-- Dated _ qBar of Health DATE Y V 'TOWN OF BARNSTABLE i LOCATION q Yea SEWAGE # 's VILLAGE M SSESSOR'S MAP& LOTISI -INSTALLER'S NAME&PHONE NO. SEPTIC TANK CAPACITY �A LEACHING FACILITY: (type) 1A,-,C L�'iC. -701Z I (size) X 9 NO.OF BEDROOMS Fa BUILDER OR OWNER ' PERMITDATE: 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 �, M Al • 9- CA No. ����� Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS 01pplication for Migaar *pgtem Congtruction Permit Application for a Permit to Construct( )Repair( )Upgrade( )Abandon( ) ❑Complete System KIndividual Components Location Address or Lot No. 9 Vo*,V,Z Owner's Name,Address and Tel.No. I Assessor's Map/Parcel C�h AoNj Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. ► o- Se Qom, Type of Building: Dwelling No.of Bedrooms .3 Lot Size sq. ft. Garbage Grinder( ) Other Type of Building No. of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow gallons per day. Calculated daily flow `3y�t gallons. Plan Date Number of sheets Revision Date Title Size of Septic Tank � 'r�i7c-_c, k0©c-3 ✓C, C . Type of S.A.S. r=,`n Cceb�r`c a 1-- Description of Soil C ke_ S i4v Nature of Repairs or Alterations(Answer when applicable) (_-ST n-` V>— Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system g g g P Y in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certifi- cate of Compliance has been ' y this B eat . ,.-. Signed 9 Date 5_3:f Application Approved byMOTM'd- Date Application Disapproved for the fol owing reasons Permit No. Date Issued Fee No.s .► J j� ���!Y r THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE., MASSACHUSETTS Application for Disspoml *pgtem Congtruction Permit Application for a Permit to Construct( )Repair( )Upgrade( )Abandon( ) ❑Complete System Individual Components Location Address or Lot No. (' P Owner's Name,Address and Tel.No. Assessor's Map/Parcel AP Installer's Name,Address,and Tel.No.K� Designer's Name,Address and Tel.No. �► I--C AK S;ertIC_ 7�;>-o l�egfi v Type of Building: Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder(; ) r Other Type of Building No. of K sons- - Showers( ) Cafeteria( ) ^ >` Other Fixtures t Design Flow30 gallons per day. Calculated daily flow ��( gallons. Plan Date Number of sheets Revision Date Title Size of Septic Tank A-7--t _5Z 6-- t -C Type of S.A.S. r ��-- Description of Soil Nature of Repairs or Alterations(Answer when applicable) S' Sl *A- c.c.s �- s=t) i(L "t,, Cu >`,/t`i wy„Lld, tC_: c,`r-0ftS (-A-. Cf Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certifi- cate of Compliance has been y this B f-Health. Signed Date Application Approved by J 4 Z Date r Application Disapproved for the fol owing reasons Permit No. Date Issued ——————— —————�————————————————————————— _ THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS �- Certificate of Compliance THIS IS TO CERTIFY,that the-On-:sites Sewage Disposal System Constructed( )Repaired( )Upgraded(� Abandoned( )by 0-GWtt L '$edTI L " / -7 e at X' S3A has/ eeri constivcted in accordance with the provisions of Title 5 and the for Disp sal System Construction Permit No. ' d7 ed r Installer Designer / a, The issuance of s pe sh 1 of be construed as a guarantee that th yAt.`mLwill func ion;as desi ip, Kw Date ` Inspector /7 �i1 ve g ��tA � — ——--—————————————————————————Fee — THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLE., MASSACHUSETTS �Ntpo!6ar *pgtem Con5truction Permit Permission is hereby granted to Construct( )Repair( )Upgrade(r--)'Abandon( ) System located at ( t - kA'fe-'2 r2K S .�S and as described in the above Application for Disposal System Construction Permit. The applicant recognizes his/her duty to comply with Title 5 and the following local provisions or specialconditions. Provided: Constructio must e c pleted within three years of the date of thii" e°rmit. Dater Approved by ? jl,/J TOWN OF BARNSTABLE LOCATION Q Ilea te V- A SEWAGE # VILLAGE �t#--� +64�SSESSOR'S MAP & LOT ` 1 INSTALLER'S NAME&PHONE NO. 17,, 0,,g SEPTIC TANK CAPACITY /:a i 1 i LEACHING FACILITY: (type) �L L,- ,�a1Z p (size) /l j ,f NO.OF BEDROOMS BUILDER OR OWNER PERMITDATE: 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 j 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 ti 1/6/99 NOTICE: This Form Is To Be Used For the Repair Of Failed Septic Systems s Only. - CERTIFICATION OF SKETCH AND APPLICATION FOR A DISPOSAL WORKS CONSTRUCTION PERNHT (WITHOUT DESIGNED PLANS) L-�O :J �'��%�� hereby certify that the application for disposal works construction permit signed by me dated concerning the property located at Cl U -ec.,- meets all of the following criteria: cl/ The failed system is connected to a residential dwelling only. There are no commercial or business es associated with the dwelling. • e soil is classified as CLASS I and the percolation rate is less than or equal to 5 minutes per inch. There are no wetlands within 100 feet of the proposed septic system ere are no private wells within 150 feet of the proposed septic system XeThere is no increase in flow and/or change in use proposed t / ere are no variances requested or needed. The bottom of the proposed leaching facility will not be located less than five feet above the maximum adjusted groundwater table elevation. [Adjust the groundwater table using the Frimptor ethod when applicable] • Ifthe S.A.S.will be located with 250 feet of any vegetated wetlands, the bottom of the proposed leaching facility will not be located less than fourteen(14)feet above the maximum adjusted groundwater table elevation, Please complete the following: A) Top of Ground Surface Elevation(using GIS information) r B) G.W.Elevation �J �+the MAX.High G.W. Adjustment. VIP = DIFFERENCE BETWEEN A and B -70 CQ--t- SIGNED : DATE: �J P C [Sketch proposed plan of system on back]. q:health folder:cert tiV �- f ON) d� No..-U-2:29y FEs......2S.7 THE COMMONWEALTH OF MASSACHUSETTS ii o1q BOARD OF HEALTH %' ..' ✓ .---.....oF.--3�,vz..�✓...-S777' .�3_t.. ' _-.......... Appliration for Disposal Works Tonstrnrtinn Vrrmit Application is hereby made for a Permit to Construct ( V11"or Repair ( ) an Individual Sewage Disposal System at: L.. v T- 9 2 '��g r•• ! .�. 9 -a �, Q ... ---- --------. .... .� S Location-Address or Lot No. .................................Z ..1a .�t-a '-`.-s.--.....'Jac _- ner Address Installer Address 2 0 3 z 0 d Type of Building Size Lot.._._._._._,,...............Sq. feet Dwelling—No. of Bedrooms............3..........................Expansion Attic_�� Garbage Grinder,(�"• '� Other—Type T e of Building ..... � yP g �---- -----------------••-•-•-•----------P Showers"( ) — Cafeteria-f--�•� P4Other fixtures .._......--•••---•- ---•------•------•----•-•••-•-•---------••--•--•••••.......••--•- -------------•--•-•----•-•-•- WDesign Flow....................S -..------gallons per person per day. Total daily flow..........3.. .. ?.................gallons. WSeptic Tank—Liquid capacity.1VAggallons Length. ...G..... Width_4./"..__ Diameter................ Depth..-="'.. --', x Disposal Trench—No. .................... Width..........._..._._ Total Length.................... Total leaching area....................sq. ft. Seepage Pit No--------1............ Diameter..... Depth below inlet..A.% .... Total leaching area...30.7..sq. ft. Z Other Distribution box ( Vr Dosing tank-(—j' '-' Percolation Test Results Performed by....pa ........ Date....... ............ P..S'8G3 Test Pit No. I...C..2-...minutes per inch Depth of Test Pit....1.. ....... Depth to ground water-------1.3-t'' fz, Test Pit No. 2.__'.55.z».minutes per inch Depth of Test Pit..../.............. Depth to ground water.......1.1............ a r ...... •.... ......... - r - Description of Soil F�. _. ... /'') .�`... '��CL ' L G4 a ?�� ,� V --•-------------•...--••••-•--••••-•-•---•-•---••••....---••-••-••••••..• ...._... •..... JZ ------------.. W ---------------------------------------------------------------------------------------------------------------------------------------•--------------------------------------••••...-•-•----••--••... V Nature of Repairs or Alterations—Answer when applicable..................................................................:............................. -------------------------------•--...--------------------------.....-------------------------•----------------------------------------------------------------------------------------------------•-•-•- Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Sanitary Code— The undersigned further agrees not to place the system in operation until Certl-sate of Compliance has been issued by e board f health. Signed -�-- 2 at 7 atv Application Approved By............. �•�--�.. ------------------------------------ Date Application Disapproved for the following reasons:..............................................................................................................- ...•----•---••-••-•..........••.................•-•-•-•-•-••••-•••--•-----•-----...-•-•-•......•--•--•--•-•----•••-••-••-----••-•...------•---------••-•-------•--•-•---••----•-•---•--•----•-••--•••... Date PermitNo.......> " p� ---------------------- Issued....................................................... Date .-LWu- ���, --------- - - � x Fins THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ApplirFation for DiupouFal Works Tonitrar Lion rruti# Application is hereby made for a Permit to Construct (VI-or Repair ( ) an Individual Sewage Disposal System at: Location-Address _7 or,To . N--o. s 7 r. ?........................_.......................y ................_............._......._.. -----.-----•----------------------------- ---- ....... /Qwner a Address .................. ' ... �--- .......- - . =.. " •• •.......... ... ..'-'-•--••---•........................... ._ Installer Address Type of Building Size Lot.... _.'Pj .Z_0...Sq. feet Dwelling—No. of Bedrooms.............°�3...........................Expansion Attic_ Garbage Grinder.e­r aOther—Type of Building 1....t" _"` ........ No. of persons......(a.................. Showers ( ) — Cafeteria.--(­� Otherfixtures •-------•--'---------------•----•--•'--'-------...-•--•-----------•-------•---•-•-----. W Design Flow..................... . .---_-----gallons per person per day. Total daily flow........._3-.-_- •.................gallons. W Septic Tank—Liquid capacity �?0'gallons Lengths__'__.__ Width` ��.'._'. Diameter________________ Depth__`"_ x Disposal Trench—No. .................... Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No------- ------------- Diameter... _..__. Depth below inlet. ._. `9~.... Total leaching area....... 2...sq. ft. Z Other Distribution box (V Dosing tank.(y- r '-' Percolation Test Results Performed by.... fl_�A�-�._ _rh r J;='.y 1 .. G, Jai / / RS c�r'L.,3 a - -----'•----------------------- Date. ....-- •'-•'-• ... • r a Test Pit No. L-:�.- 7_._.minutes per inch Depth of Test Pit...f.J._...._... Depth to ground water.... �-, s P P r p g . (s, Test Pit No. 2..`':._.�-:-..minutes per inch Depth of Test-Pit_._1._�.._______. Depth to round water..___f.-�____-:.:__-- ...................................................--•....... O r v .-�. - Description of Soil......... `. - ...... , �:. �` C. � � t ^. � �:� U P. e) Z x -----•-- ----- ----- •---------••....................'•-•-----------'•'......................------•---'---•-'--'•'-'-'--••'•-•----•'--•-•---•-----....-•-•---•-••••----•-•'•'-•----•-•••-----•••-"..................-"-- M. Nature of Repairs or Alterations—Answer when applicable............................................................................................... ...----•-------------------•---'----•-•--•-••--•--'---•---------••---•-•--•--------•-••---•'--'--•----.....'-"•-•-------------------------•••--------••-------------•-••---'•'-'•••------....•••-•'--- Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLI 5 of the State Sanitary Code—The undersigned further agrees not to place the system in operation unti ?Cort sate of Compliance has been issued by,,the board of health. , Signed.l r; ... --•....... Date Application Approved By............... Date Application Disapproved for the following reasons------------------'--'•-'---••---•----'--...------••--------------•---------•--•-••--•--•--•"'-••••-•-•---••••-- -------------- •--------------------------------- --.-------------- .--------- .------------------ •-•---------------•-------•-------------•--•-----•-------•--•-------•-•--------------------- Date PermitNo. ?.:.. - - ...................... Issued------.................................................. Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH (9rdifiratr of TompliFanrr THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( or Repaired ( ) r Installer J<, at �� ` f ems= f 4' `--------=-/------------ --_-:------------.s-----................. - ,=........---•-�-----•---------------'-•----•-----•- has been installed in accordance with the provisions of TITLE 5 of The State Sanitary Code as described in the application for Disposal Works Construction Permit No..___ �._ ..S.L/..._....... dated________________________________________________ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE...............7.. .------•---------•-----------•-... Inspector......... ' --------'- THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ... ........... Diupouaal Works Tuonu#raion frrutit � . Permission is hereby granted....__-_.__ / ' 4:'� ---• '- '.................................... ._....... -# to Construct ( or.Repair ( ) an Individual Sewage Disposal System at No... e i r--•/ FI ---r ' « P - •• ................. �� 7 . /r, J Street 1 as shown on the application for Disposal Works Construction Permit No.,R.7_1,�'te__ Dated.......................................... ................ ................ ... .'__.__ __....__....___..._. 4.__._a.._....._..._.... DATE............................. �......................... Board of Health FORM 1255 A. M. SULKIN,•INC., BOSTON J§F ,> �Nam; L rE3 yam"} /Q " t~ - BENCH MARK : �- 4 ..� : tea: .-z , .��. TEST H O L. E R E S U `L 1' S P s- c. DATE:' I WITNESSED BY N �, 2�P, t 3 0, N TEST MC)LE�i�' TEST> HOLE17A.�z 7. /03 - s Ttan/ _ .Ga•v a rL 7' ` H .4 it za Z 04.7' . ,7 ' nJ + x 1 97 y; 5A a ' l d 7-0 ev 4- 07-6 / 000 r ` RF..s F r7., Qt3ROUND , WATER LC GROUND WATER ENCOUNTERED ENCOUNTERED / t j MANHOLES AND COVER TO BE BUILT TO 4 _ ..� . , ,•, ELEV. TOP OF WITHIN 12 OF FINISHED GRADE FOUNDATION too"� FINISHED C3RAflE MIN, 2 % SLOPE .._._�� .. � , OIA. PIPE FIRS t (. �f �''� �� 3 a- �`l , ;.,; P P E _.. � __. • M I N. 2 LAYER tJ F i ._._. � %'iv. M I N.PI TCH FT. 2 LEVE • ._. . , , . PEASTONE " _s ►'t ....' �.. �,r MIN, PITCH re� tina�r •�' ____w.__.__ ' - , sa .�; I ., /07,3` F ' /,, INVERT a -sump INVERT INVERT GALLON i t _ /CQ '��'4 /::0 7.c5"t� D I S T, .��` <t4'"" I �� DIA. EPTIC TANK INVERT 1C17=a :. ' 35 ca t� ' ; WASHED STONE � ^ FOOTING TO BE PLACED :� INVERT .� -- BOX INVERT ", t ti ----- ON A MI IMUM OF 18" OF �.. ALL AROUND .: �. . 'PLACE o 1� � � tet. �' .. � � VIRGIN 'OR COMPACTED F1RM 8A +� ^-^ v BOTTOM AT: ELEV. ----' �3nlC. N , •,� � ✓.,._ ,r SAND ::. i 0' M 1 N. -� •�-�..�, ---"... f C GARBAGE 4 GRINDER 4" DIA. PERFORATED _ ELEV. 92. 0 T-��zc r ? _ 1 DRAIN ,PIPE WITH 3/4 PROF I LE OF MUND CATER TABLE � � � TO II/2 DIA. STONE O DIRECT FLOW TOE SAN I TA.RY DISPO 'S A L. SY STE M { NOT TO SCALE ) DESIGN DATA • CONSTRUCTION OF SANITARY DISPOSAL 3 BEDROOMS SYSTEM SHALL CONFORM T4 THE MASS.© • ENVIRONMENTAL CODE TITLE 3� DESIGN FLOW � GAL.fDAY (REVISED 7-- 1--'77 ) AND THE TOWN LEACH RATE — - MIN./INCH INCH HEALTH DEPARTMENT REGULATIONS REQUIRED LEACHING CAPACITY 33C3 SEPTIC TANK, DISTRIBUTION : BOX :AND LEACH- PROPOSED GAL,/DAY ING UNIT . TO BE OF REINFORCED CONCRETE 2. 5 (3Z_ 77y-14) MIN. CONCRETE STRENGTH 30'0ORS.I. REQUIRED SEPTIC TANK : /000 GAL. : MIN. STEEL STRENGTH 20,000 PS. I. MIN. DESIGN LOADING : ' H-- /�o /O©O PROPOSED SEPTIC TANKS GAL. • DRIVEWAYS NOT TO BE LOCATED OVER SYSTEM UNLESS H2O DESIGN LOADING IS USED 9 ALL PIPES AND FITTINGS TO BE WATERTIGHT AND TO BE OF CAST IRON OR APPROVED P.V.C. HEALTH AGENT APPROVAL.. DATE SITE PLAN SHOWING PROPOSED CONSTRUCTION ZONING DATA L E G E N D LOCATION . 3�Z�, 7- �� Y,�g M AS S . FOR : LEBEL-- SOL.L.OWS DEV. OURP. DATE ZONE : PsN sP c "�f� 12A' z0m5' :2 TEST HOLE LOCATION � E : LOT AS SHOWN ON REVISIONS : REFERENCE REQUIRED AREA * ._�'43,5 (,O� /09 � EXISTING SPOT ELEVATION 17.6 PLAN BOOT( 420 PAGE f�0 REQUIRED FRONTAGE .._ _ . t;/•5'4� a7s' EXISTING CONTOUR -- Ifi----- l��`a�titw SIG REQUIRED FRONT SETBACK : (� 7,,5' PROPOSED CONTOUR ! 6 °R fir " 4pf SCALE REQUIRED SIDE SETBACK : �1'`5 7S' PROPOSED WATER SERVICE ---W--- No. 27483 � o �E. �4 w� REQUIRED REAR SETBACK : /S 7,S ' PROPOSED GAS SERVICE ---G '��sso�,AttE ���'`` PROPOSED ELEC. & TELE ----E S T z2 �� RA:I G R . ' SHORT , P. E . PROFESSIONAL CIVIL E N 0 1 N E E R BUILDING INSPECTOR APPROVAL DATE 131 OLD. - aauTE _I32 , HYANN IS , MA. 02601 FILE NO. ( TELE. (617 ) 362 - 9411 SHEET / OF f