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0020 CEDAR STREET - Health
20 CEDAR ST ET WEST BARNSTABLE 130-014-002 i D J 4 VV 0 —v- TOWN OF BARNSTABLE LOCATION 1O CC C&1- C - SEWAGE 't/II.LAGE ASSESSOR'S MAP & LOT INSTALLER'S NAME&PHONE NO. / t SEPTIC TANK CAPACITY LEACHING,FACILITY: (type) y (size)/O }!!L 3 (71.0 T NO.OF BEDROOMS 3 BUILDER OR OWNER PERMITDATE: 1/2�2 COMPLIANCE DATE: 3 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) � G Feet Edge of Wetland and Leaching F ility If any wetlands exist within 300 feet of leachina4acilhi /v' Feet Furnished by 39 p � cq) i i ft49 FURNISH RMRS An COVER TD i GENERAL NOTES LOCUS"` LEGEND FINISH GRACE FOR EASY ACCESS FINISH GRADE �" ■CB -... CONCRETE BOUND , Y3.♦ 7-�Rf' yfD - •68---- -SHONE BOUND / LOORDINA E SYSTE USE IS TH THE GROUNP INSTRUMENT S YSTEM.ND DATUM:NAD N9 BASSOON THE NAVF ET.DATUM. T COORDNATE BYBTEN USED LS THE NAAWNLAND COORDINATE SYSTEM.DATUM:NAD 63.UNI19:US bURVEY FEET.PCP.�f •NC- - -- RCDCAR MIOVER STONE AN FABRIC t00 GALLON DRYWELL(H-20 LOADING) .,4' U• SIP IRONPIPE FM00 OVER STONE NHD MONO MANUFAO)LREO BYWIGGPl MEANS I .` Jj HYDRANT E%CAVATVN SOMALL9 PRECAST CO..DIC.OR APPROVED EOUN THE FINISHED FLOOR ELEVATION(FIN.FL EL.)SHOWN HEREON I9 BASED Ot1/JI ASSUNE01'LOWEti THAN THE SURVEYED a WATER SNVLOFT THREBMOID ELEVATION.MlIN1ERI0RINSPECTON OF BUBDINGS WAS NOT PERFORNEO. I • _______CATCH BA41NSOUNRE / Ij �- ----_--UTILITY POLE 111 ZONING OISi.1 RI GUYPOLE PROPERTY 5 LOCATED WITHIN AN AREA HAVING A ZONE DESIGNATION OF MINIMAL HAZARD%BY THE FEDERAL EMERGENCY _ a MANAGEMENT AGENCY(FEMIU,ON FLOOD INSURANCE RIITEMAR NO.25001 C0534J.WITH AR HAM EFFECTIVE DATE OF]N6/14. LI SIGN P0� I THIS LOT IS NOT LOCATED WRIIIN A DEP APPROVED ZONE I V U-HEAD PROTECTION AREA B t A -------CONIFEROUS TREE THIS LOT IS NOT MAPPED WITHIN A NESl1 NATURAL HERITAGE AND ENDANGERED SPECIES AREA ® _DECIDUOUS TREE no ❑ THISLOTISLOCATED WITTIM THE RESOURCE PROTECTION OVERLAY DISmiCT. THIS,LOT IS LOCATED WITHIN THE WELL PROTECTION OVERLAY DISTRICT. •.+•L` • -------CONIFEROUS SHRUB a u WIND EXPOSURE CATEGORY:ZONE B INE 6- TREE L LOT COVERAGE OVERHEAD WIRES I TOWNOFBMNSTABLE REGULATION 124 G.(3) ' OOOC�OOpOIX.�00 STONEWALL LOTAREA•4A438S.F LOCUS MAP NOT TO SCALE —o--o—POST A RAILFENCE L DIAMETER ORYIN it 16%OFLOTAREA-BMSF. O O O STOCKADE FENCE 8.5'DIAMETER I EXISTING AREAS RENDERED IMPERVIOUS BY BUILDINGS,STRUCTURES AND PAVED SURFACES .9.011 S.F.(1B9'•) —.—x x—PICKET ROW PROPOSEDAREI NDEREDIMERWOUSBYBUILDINGS,STRUCTURESANDPAVEDSURFACES *9p96S.F.(21%-) j CHAIN UNIT FENCE 12'MINIMUM OF INF TO 1-14'DOUBLE WASHED CRUSHED •DISCHARGE FROM PROPOSED IMPERVIOUS AREAS TO BE DISPOSED ON SITE WRH GRADNG TO VEGETATED AREAS. 0 --AREA OF STRUCTURE INCLUDED 01 STONE ALL AROUND CHAMBER UNITS AND 6 INCHES BENEATH-- EXISTINO LOT COVERAGE POOL DRY WELL DETAIL OPURN REFERERNNCCEE BOOK 27569 PAGE BOOK5011PAGE 1z3 NOT TO SCALE 3WEST _OWNER: 20 CEDAR STREET.WEST—STABLE.MA NXI68 PARCEL - 130013 N45'S4'OS-E N41'1TOYE ,.- 1442*5713'E, N4Y 10'11'E P� 83.2 J 11 18,76" .55.43 - BT.6 110.78' WA STONE WAIL ROW OF STONES PAVED DRIVEWAY COBBLESTONE EGGING \\ \\ \ Ir / 15 ` , OPEN _ W83.9 /. PAVED DRNEWAY \ O SPACE cl� �- I 46; I� �./ PROV%sEO Pool .. �.ITxory*f�i n RAIL )� LOT 2 BLUESTONE `)0 O I 44.43E S.F. WALK / AREA roREMAIN NATURAL N4 NA 48M6 ..:... ,. \ / TABLE RETGULATIDN OF §24 J5 G.(3) 5}XpV VlX (I ! •••."•• _ . .-93. _ M,R —33 (W%) 4'M7 `�OIW( F. G ESL SLAB ( I' L'�-L �I e3.s y DISCHARGE FROM W Iy 'r' IMPERVIOUS AREAS W W.fi g / LAWN I I `I—PORCH_I 1ST / _ '• tl 4 i RECHARGEWITHIN^ LOT /7 to I I DE'ST R FO-�i u}i / ,1 NATURM SURFACE NATURALLY v I I w L T PROPOSED POOL VEGETATED S Z I � I zsTD�Rr = NNyy D j i 'P1j'�-,T': ses l PATIO(2B.677POL PENCE ALONG _ PATIO PERIMETER 'ry NOTICE Room ro, n:P oBureltm HNnuuv PrAYro!¢HmmH n,NH DASEMENf WALKOUT ...; i -1 6.0 i u''8 mnnoo vcoavaa.wc F xccFnAaax m rs�A Oi I �,BRICK WALK i .f1..PROPOSE 143.TFL �wWauurocP nar GVEumiRLrc mvrm�:umrwo IPOOL `FW:-eS COPY uGHT(C)BY CAPE 6151AN0.4 ENGINEFFING,INC.ALL RIGHTS,RESERVED .o 777 '\ W' W 'i / •.\• /•••❑❑, 6'ibNE OUIMNEY \ S` 7•.' I OfY'fCp'_GE DATE DE9CN�TION BY CNK V i "- r / / AC.UNTS-+� _)% `BL PATIO AG.LI PREPARED FOR 5 83. 107 JOHN&ELLEN STEWART I / LAWN L ' = 60 \ I / ET . // � // � •T.S •10.9 /.� 66\ \ \ \ - ZO 70.4• 69.2r—� \ \ \ WEST BARNSTABLE,MA @6G8 r •70.4 PROJECT: / / I •iZ.] .7pS APPROXIMATE LOCATION OF SEPTIC TECMDM I I \\ \YZOD 9.F,); O \\ 20 CEDAR STREET WEST BARNSTABLE,MASSACHUSETTS - / I •73.4 B91 1 —,J t CpNG PAD r//iN / B / / '\� fi7.3 \\ U SHEET NO.:1 OF 1 DATE:AUGUST 12,2020 i 288'gT ` 55.3 DRAWN BY:JVB,RLR CHECKED BY:MC S 42•SO'47 W /! ' I` PREPARED BY: PARCEL•A• CAPE&ISLANDS [ / e7.6 1 rl / LOT 3, li.--=E N G I N E E A I N G •6�.3 f / SUMMERFIELD PARK 508.477.7272 PHONE B00 FAIMOUTH ROAD 6URE 3otG 608 477 9072 FAX 1WYW-CW.ERg.— MASHES,MA02649 0 20 CJD 100 I DRAWING TITLE: SITE PLAN SCALE:t"=20' ) PROPOSED POOL ASSESSORS INFORMATION: MAP 130-014-M I IVIP 4 � I Q CQ -------------- ------------- lb 1I I -`-- � x CD1 �. F yH N4�.Ok4 O Gao V V rW vJi h� — II ` I M � Ijt I t-- rw 7446 7wzvvb I No o a I I Q 16 (iWl.lS'3 � Q U cwray-3 I V Tw)Y46 �1 TW..4V6 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments M 20 CEDAR ST Property Address NICKULAS Owner Owner's Name information is required for WEST BARNSTABLE MA 6/13/13 every page. Citylrown 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. Important: A. General Information When filling out �B forms on the computer,use 1. Inspector: only.the tab key to move your DOUGLAS A BROWN cursor-do not Name of Inspector use the return key. BOUGLAS A BROWN INC Company Name P.O. BOX 145 Company Address CENTERVILLE MA 02632 Cityrrown State Zip Code 508-420-4534 S14297 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 andUnaintenanseof orl-site sewage disposal systems. I am a DEP approved system inspector pursuant=j Section .34b%f Title-:5(310 CMR 15.000).The system: V C C ® Passes ❑ Conditionally Passes ❑Z41s ❑ Needs Further Evaluation by the Local Approving Authority coo N 6/13/13 �^ M 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 is a shared system or 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. L10 '7 1( t5ins-3/13 Title 5 OffiVn. ctonorm:Subsurface Sewage Disposal System-Page 1 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments M , 20 CEDAR ST Property Address NICKULAS Owner Owner's Name information is required for WEST BARNSTABLE MA 6/13/13 every page. City/Town State Zip Code Date of Inspection B. Certification (cont.) Inspection Summary: Check A,B,C,D or E/always complete all of Section D A) System Passes: ® I have not found any information which indicates that any of the failure criteria described in 310 CMR 15.303 or in 310 CMR 15.304 exist. Any failure criteria not evaluated aref indicated below. Comments: SYSTEM MET OR EXCEEDED MINIMUM PASSING REQUIREMENTS AT TIME OF INSPECTION B) System Conditionally Passes: ❑. One or more system components as described in the"Conditional Pass" section need to be replaced or repaired. The system, upon completion of the replacement or repair, as approved by the Board of Health, will pass. Check the box for"yes", "no"or"not determined" (Y, N, ND)for the following statements. If"not determined," please explain. The septic tank is metal and over 20 years old* or the septic tank(whether metal or not) is structurally unsound, exhibits substantial infiltration or exfiltration or tank failure is,imrriinent. 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): t5ins•3113 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 2 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments M 20 CEDAR ST Property Address NICKULAS Owner Owners Name information is required for WEST BARNSTABLE MA 6/13/13 every page. Cityrrown 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 of Health): ❑ broken pipe(s)are replaced ❑ Y ❑ N ❑ ND (Explain below): -❑ obstruction is removed ❑ Y ❑ N ❑ ND (Explain below): ❑ distribution box is leveled or replaced ❑ Y ❑ N ❑ ND (Explain below): ❑ The system required pumping more than 4 times a year due to broken or obstructed pipe(s). The system will pass inspection if(with approval of the Board of Health): ❑ broken pipe(s)are replaced ❑ Y ❑ N ❑ ND(Explain below): ❑ obstruction is removed ❑ Y ❑ N ❑ ND (Explain below): C) 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. 1. System will pass unless Board of Health determines in accordance with 310 CMR 15.303(1)(b)that the system is not functioning in a manner which will protect public health, safety and the environment: El Cesspool is within 50 feet of a surface water Pool or privy Y ❑ Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 3 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 20 CEDAR ST Property Address NICKULAS Owner Owner's Name information is required for WEST BARNSTABLE MA 6/13/13 every page. Cityrrown State Zip Code Date of Inspection B. Certification (cont.) 2. System will fail unless the Board of Health (and Public Water Supplier, if any) determines that the system is functioning in a manner that protects the_ public health, safety and environment: ❑! The system has a septic tank and soil absorption system (SAS)and the SAS is within 100 feet of a surface water supply or tributary to a surface water supply. ❑ The system has a septic tank and SAS and the SAS is within a Zone 1 of a public water supply. ❑ The system has a septic tank and SAS and the SAS is within 50 feet of a private water supply well. ❑ The system has a septic tank and SAS and the SAS is less than 100 feet but 50 feet or more from a private water supply well**. Method used to determine distance: **This system passes if the well water analysis, performed at a DEP certified laboratory, for fecal coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered. A copy of the analysis must be attached to this form. 3. Other: D) System Failure Criteria Applicable to All Systems: You must indicate"Yes"or"No"to each of the following for all inspections: Yes No ❑ ® Backup of sewage into facility or system component due to overloaded or clogged SAS or cesspool ❑ ® 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 1/day flow t5ins-3113 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 4 of 17 Commonwealth of Massachusetts Title 5 official Inspection Form _ Subsurface Sewage Disposal System Form -Not for Voluntary Assessments , 20 CEDAR ST Property Address NICKULAS Owner Owners Name information is required for WEST BARNSTABLE MA 6/13/13 every page. CitylTown State Zip Code Date of Inspection B. Certification (cont.) Yes No Required pumping more than 4 times in the last year Mq,T 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 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 a sis, performed at a DEP certified laboratory,for fecal coliform bacteria iedicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal t4aar.less than 5 ppm, provided that no other failure criteria are triggered:-A,copyof 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. 1 have determined that one or more of the above`failbre El ® criteria exist as described in 310 CMR 15.303, therefore the system fails. The system owner should contact the Board of Health to determine what will be necessary to correct the failure. E) Large Systems: To be considered a large system the system must serve a facility with a design flow of 10,000 gpd to 15,000 gpd. For large systems, you must indicate either"yes"or"no"to each of the following, in addition to the questions in Section D. Yes No ❑ ❑ the system is within 400 feet of a surface drinking water supply ❑ ❑ the system is within 200 feet of a tributary to a surface drinking water supply ❑ ❑ the system is located in a nitrogen sensitive area (Interim Wellhead Protection Area—IWPA)or a mapped Zone II of a public water supply well If you have answered"yes"to any question in Section E the system is considered a significant threat, or answered"yes" in Section D above the large system has failed. The owner or operator of any large system considered a significant threat under Section E or failed under Section D shall upgrade the system in accordance with 310 CMR 15.304. The system owner should contact the appropriate regional office of the Department. t5ins•3/13 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 wM , 20 CEDAR ST Property Address NICKULAS Owner Owners Name information is required for WEST BARNSTABLE MA 6/13/13 every 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 an of the system components pumped out in the previous two weeks? Y Y P P P ® ❑ 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 thetank inspected for the condition of the baffles or tees, material of construction, dimensions, depth of liquid, depth of sludge and depth of scum? Was the facility owner(and occupants if different from owner) provided with ® El information on the proper maintenance of subsurface sewage disposal systems? The size and location of the Soil Absorption System (SAS) on the site has been determined based on: ® ❑ Existing information. For example, a plan at the Board of Health. ❑ ® Determined in the field (if any of the failure criteria related to Part C is at issue approximation of distance is unacceptable) [310 CMR 15.302(5)] D. System Information Residential Flow Conditions: Number of bedrooms(design): 3 Number of bedrooms(actual): 3 DESIGN flow based on 310 CMR 15.203 (for example: 110 gpd x#of bedrooms): 330 t5ins-3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 6 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments °M 20 CEDAR ST Property Address NICKULAS Owner Owner's Name information is required for WEST BARNSTABLE MA 6/13/13 every page. Cityrrown State Zip Code Date of Inspection D. System Information Description: ACCORDING TO AS-BUILT SYSTEM CONSISTS OF A 1500 GALLON TANK D-BOX AND 4 INFILTRATORS IN A 1OX30 AREA Number of current residents: 1 `Does residence have a garbage grinder? ❑ Yes ❑ No Is laundry on a separate sewage system? (Include laundry system inspection ❑ Yes ❑ No information in this report.) Laundry system inspected? ❑ Yes ❑ No Seasonal use? ❑ Yes ❑ No Water meter readings, if available (last 2 years usage(gpd)): Detail: PRIVATE WELL156 FT FROM SYSTEM Sump pump? ❑ Yes ❑ No Last date of occupancy: Date 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 industrial waste holding tank present? ❑ Yes ❑ No Non-sanitary waste discharged to the Title 5 system? ❑ Yes ❑ No Water meter readings, if available: t5ins-3/13 Title 5 Official Inspection Forth: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 M , 20 CEDAR ST Property Address NICKULAS Owner Owner's Name information is required for WEST BARNSTABLE MA 6/13/13 every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Last date of occupancy/use: Date_ Other(describe below): General Information Pumping Records: Source of information: RECOMMENDED PUMPING TO OWNER Was system pumped as part of the inspection? ❑ Yes ® No If yes,volume pumped: gallons How was quantity pumped determined? Reason for pumping: Type of System: Z. 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): t5ins-3113 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 8 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 20 CEDAR ST Property Address NICKULAS Owner Owner's Name information is required for WEST BARNSTABLE MA 6/13/13 every page. CitylTown State Zip Code Date of Inspection D. System Information (cont.) Approximate age of all components, date installed (if known)and source of information: C.O.0 ISSUED IN MARCH OF 2004 Were sewage odors detected when arriving at the site? ❑ Yes ® No Building Sewer(locate on site plan): Depth below grade: feet Material of construction: ❑ cast iron ❑40 PVC ❑ other(explain): Distance from private water supply well or suction line: feet Comments(on condition of joints, venting, evidence of leakage, etc.): Septic Tank(locate.on site plan): Depth below grade: 2 feet Material of construction: ®concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑ other(explain) If tank is metal, list age: years Is age confirmed by a Certificate of Compliance? (attach a copy of certificate) ❑ Yes ❑ No Dimensions: 1500 GALLON Sludge depth: MODERATE t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 9 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 20 CEDAR ST Property Address NICKULAS Owner Owner's Name information is required for WEST BARNSTABLE MA 6/13/13 every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Septic Tank(cont.) Distance from top of sludge to bottom of outlet tee or baffle Scum thickness MODERATE Distance from top of scum to top of outlet tee or baffle Distance from bottom of scum to bottom of outlet tee or baffle How were dimensions determined? WOODEN POLE Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): RECOMMEND PUMPING 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 t5ins-3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 10 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form o Subsurface Sewage Disposal System Form -Not for Voluntary Assessments J' M , 20 CEDAR ST Property Address NICKU LAS Owner Owner's Name information is required for WEST BARNSTABLE MA 6/13/13 every page. Cityrrown State Zip Code Date of Inspection D._System Information (cont.) Comments(on pumping recommendations, inlet and outlet tee or baffle condition, structurabintegrity, liquid levels as related to outlet invert, evidence of leakage, etc.): Tight or Holding Tank(tank must be pumped at time of inspection)(locate on site plan): Depth below grade: Material of construction: ❑ concrete ❑ metal ❑fiberglass ❑ polyethylene ❑ other(explain): Dimensions: Capacity: gallons Design Flow: gallons per day Alarm present: ❑ Yes ❑ No Alarm level: Alarm in working order: ❑ Yes ❑ No Date of last pumping: Date Comments(condition of alarm and float switches, etc.): "Attach copy of current pumping contract(required). Is copy attached? ❑ Yes ❑ No t5ins•3/13 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 20 CEDAR ST Property Address NICKULAS Owner Owner's Name information is required for WEST BARNSTABLE MA 6/13/13 every page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) Distribution Box(if present must be opened) (locate on site plan): Depth of liquid level above outlet invert 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.): BOX LEVEL NO LEAKAGE OR SIGNS OF FAILURE SLIGHT SCUM LAYER IN BOX PumpChamber locate on site plan): ( P ) 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. Soil Absorption System (SAS) (locate on site plan, excavation not required): If SAS not located, explain why: NO OBSERVATION PORTS t5ins•3/13 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 20 CEDAR ST Property Address NICKULAS Owner Owner's Name information is required for WEST BARNSTABLE MA 6/13/13 every page. Cityfrown State Zip Code Date of Inspection D. System Information (cont.) Type: ❑ leaching pits number: ® leaching chambers number: 4 INFILTRATOR ❑ leaching galleries number: ❑ leaching trenches number, length: ❑ leaching fields number, dimensions: ❑ overflow cesspool number: ❑ innovative/alternative system Type/name of technology: Comments (note condition of soil, signs of hydraulic failure, level of ponding, damp soil, condition of vegetation, etc.): 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 t5ins•3/13 Title 5 Official Inspection Forth:Subsurface Sewage Disposal System•Page 13 of 17 Commonwealth of Massachusetts .Mum . Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments M 20 CEDAR ST Property Address NICKULAS Owner Owner's Name information is required for WEST BARNSTABLE MA 6/13/13 every page. Cityfrown State Zip Code Date of Inspection D. System Information (cont.) Comments(note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): Privy (locate on site plan): Materials of construction: Dimensions Depth of solids Comments(note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): t5ins-3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 14 of 17 Commonwealth of Massachusetts Tit le 5 Official Inspection Form (� Subsurface Sewage Disposal System Form-Not for Voluntary Assessments w„ 20 CEDAR ST Property Address NICKULAS Owner Owners dame information is required for WEST BARNSTABLE MA 6/13/13 every page. Citylrown State Zip Code Date of Inspection D. System Information (cont.) Sketch Of Sewage Disposal System: Provide a view of the sewage disposal system, including ties to at least two permanent reference landmarks or benchmarks. Locate all wells within:1.00 feet. Locate where public water supply enters the building. Check one of the boxes below: ® hand-sketch in the area below ® drawing attached separately t5ins-3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 15 of 17 I Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 20 CEDAR ST Property Address NICKULAS Owner Owner's Name information is required for WEST BARNSTABLE MA 6/13/13 every page. Cityfrown 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: GREATER THAN 5 FT 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: 6-2013 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: DESIGN PLAN Before filing this Inspection Report, please see Report Completeness Checklist on next page. t5ins•3/13 Tide 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 �M 20 CEDAR ST Property Address NICKULAS Owner Owner's Name information is required for WEST BARNSTABLE MA 6/13/13 every page. CitylTown 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 I I t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 17 of 17 y �'oi�e�s�es B47 a6p TOWN OF BARNSTABLE ` ( c- LIXATION 1�b_ .C.e r �' - SEWAGE # VILLAGEAd 1EIZ G'SRo f?• ASSESSOR'S MAP & LOT INSTALLER'S NAME&PHONE NO. SEPTIC TANK CAPACITY" G i LEACHING FACILITY: (type` (size) /o }� Nn,OF BEDROOMS BUILDER'l0 wNER PERMITDAT-E:-0 COMPLIANCE DATE: ly t Separation Distance 3.1P c, r Maximum Adjusted G ound«.f nr.Table to the Bottom of Leaching Facility Feet Private Water Supply Well a i�'Leaching Facility (If any wells exist on site or within 2011 feet it l,aciring facility)"' � G Feet _ Edge of Wedand and Leach t'x" Uity LF any wetlands exist within 300rfeet of leachin ctli ' __Feet Furnished<by S 4m 7 3-L, 010 , 4 y r , 4k O.L Town of Barnstable P Department of Health,Safety,and Environmental Services o�1HE Public Health Division Date 367 Main Street,Hyannis MA 02601 (• % eAarrareers, MASR 16 '°rfnr.uct" Date Scheduled Time Fee Pd. Z z7 Soil Suitability Assess»zent for Sewage Disposal Performed By: Witnessed By: I,Or�'I`ION &' ENRRAI;INFORMATION Location Address L0� Z L Owner's Name 4 , X Gf/W f ✓/C �! AddressQ !/ w, 6a!"/!. Assessor's Map/Parcel: ! 30 1 T Engineer's Name NEW CONSTRUCTION REPAIR. Telephone N / V Land Use Slopes(%) Surface Stones Distances from: Open Water Body ft Possible Wet Area It Drinking Water Well R Drainage Way R Property Line ft Other It SKETCH:(Street name,dimensions of lot,exact locations of test holes&perc tests,locate wetlands in proximity to holes) r Parent material(geologic) Depth to Bedrock Depth to Groundwater: Standing Water in Hole: Weeping from Pit Face Estimated Seasonal High Groundwater <:::>:< NA 'tt: 'd�t . E :51��i HIGH�VVATE] :TIr.E MethodUsed: ::.::........ .................................................................................................................................................................................... Depth Observed standing in obs.hole: in. Depth to soil mottles: in. Depth to weeping from side of obs.hole: in. Groundwater Adjustment ft. Index Well#_ .__..._ Rrading Date: . Index Well level...,_.___ Adj.factor Adj.Groundwater Level_ ,.:.. ::<: ::;:::::I' IiCC� .XT- -17rN TEST.:..:.:.:..::...Rate.. T� e........ ..... Observation Hole ff Time at 9" Depth of Perc Time at 6" Start Pre-soak Time @ Time(9"-6") 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 1 � 20 C � 3C� O Mp j r Fee No. v I THE COMMONWEALTH OF MASSACHUSETTS Entered in computer - Yes PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE., MASSACHUSETTS ' P 2pprication for �Biopogar *p5tem Construction 3permit Application for a Permit to Construct(K Repair( )Upgrade( )Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. �Q Cf�ors' Owner's Name,Address and Tel.No. Za V es�- gar,7s��6/t � rv� 1)1,f xyl Assessor's Map/Parcel 4� Z (0 _ Installer's Name,Address,and Tel.No. / Designer's Name,Address and Tel.No. rcas I All, Type of Building: Dwelling No.of Bedrooms Lot Size C sq. ft. Garbage Grinder( ) Other Type of Building <"I'kC le oegf2 No. of Persons 'CG Showers( ) Cafeteria( ) Other Fixtures Design Flow () gallons per day. Calculated daily flow Q gallons. Plan Date !Z `��(f f Number of sheets / Revision Date Title Size of Septic Tank Type of S.A.S. Description of Soil Nature of Repairs or Alterations(Answer when applicable) 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 issued by Pis Board of Hea . / PZ Signed Ze Date Application Approved by Date Application Disapproved for the following reasons Permit No. r9col— // co Date Issued ---•------------------------------------- 71 No. - { �!/ ic� -^ i Fee s i 1 • �^�- 4 \ THE COMMONWE'ALTH'OFIMASSACHUSETTS" `'Entered in computec�V" PUBLIC HEALTH DIVISIONS"''TOWN OF BARNSTABLE, MASSACHUSETTS ; 0(pprication for Rio' oar *r5tem Com6tructiou Permit Application for a Permit to Construct Re air rade )Abandon( ❑Complete System.. ❑Individual Components ' PP (� P ( )UPg ( ( ) P Y .. P Location Address or Lot No. �Q� Z C/-a°G�`r/',4�4 Owner's Name,Address and Tel.No. �QUf� Za ,eSf- �Ai"✓/f"T4�.�2 G� `!� /�� r l C7 Assessor's Map/Parcel/ G / C E 7 Installer's Name,Address,and Tel.No. � Designer's Name,Address and Tel.No. C Type of Building: —"— Dwelling No.of Bedrooms —../ Lot Size-�� ' L�I.ft. Garbage Grinder( ) Other t Type of Building �i? No. of Persons C� Showers( ) Cafeteria( ) Other Fixtures Design Flow gallons per day. Calculated daily flow Q gallons. Plan Date '] X _ a / Number of sheets / Revision Date Title ,� _ r Size of Septic Tank = Type of S.A.S. Description of Soil < 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 Certifi- cate of Compliance has been issued by t is Board of Health - Signed 2,,-_� Date Application Approved by G Date o� / Application Disapproved for the following reasons Permit No. r9co/— I Co Date Issued — ------------------------------------- THE COMMONWEALTH OF MASSACHUSETTS -'�'���^� BARNSTABLE, MASSACHUSETTS r (Certificate of Compliance THIS IS TO Z/*1,,—, FY that the On-site Sewag Dispos System Constructed( Repaired( )Upgraded( ) Abandoned( )by at � has been constructed in accordance with the provisions f Title 5 and the for Disposa Syste Construction Permit No. d/._. �dated / Installer _ ,yr�/ /1 r C v 0 I Designer77 The issuance of this permit shall not be construed as a guarantee that the sys m will fu'hc/tion a /,,de' ned. Date 2)1 1� 1 b`t Inspector �✓t' hh — � — D ------------------------ —Fee / v0 THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLE, MASSACHUSETTS migoat 954!m Cou$truction Permit Permission is hereby granted to Construct( Re air( )Upgrade( Abandon( ) " System located at S Z_ �--� �� and as described in the above Application for Disposal System Construction Permit.The applicant recognizes his/her duty to comply with Title 5 and the following local provisions or special conditions. Provided: Construction must be completed within three years of the date of this permit. Date: tq la 7/ ! Approved by TOWN OF BARNSTABLE oc_. LOCATION �� �e � �' ' SEWAGE# 2-0a' ZAD VII.LAGE ASSESSOR'S MAP & LOT INSTALLER'S NAME&PHONE NO. SEPTIC TANK CAPACITY LEACHING FACILITY: (type) � 7 (size)/U 3 NO.OF BEDROOMS 3 BUILDER OR OWNER PERMITDATE: Z / 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 G Feet on site or within 200 feet of leaching facility) Edge of Wetland and Leaching F ility If any wetlands exist Feet within 300 feet of leachin acili Furnished.by 13 00, -Cq) K1 r. PF Lei _ IFFOI ID n V _ FFPLV EMUx.. D¢wWN¢r iw 4 LT- IT . i �I I T �� � L L H UZH Z Lr- FHl- i RE A2 �E Vh'fION— l�CAcE�4"=I-O" vp•-o"O✓gAA" Q U2 a4 ,u1 2 i t T.Agv4 �. fW VVG fiv)Y a O •d J' L~ o-0 � 7biY32 a TWJq YL Q Aw,� .COD- o j IIAV i.T /L•' O hI MAt FP L3ED rv. ( _.. fW .a 4'✓d.-3 OO ' aPw P �n NDwEC W !1 3I VT D 0 at VA lr7i 7� OAd I °x Ld fw�vV1 O �.NcR lAN Of nN OVES PL,O v O' V { Cj ]dA P PA S 5-t, a dr r 0 D ]• r ° i4 O Tw arve-.z Q 0 DI U( m�, Lw/u4 IPOOA.L, o — O CDVE R60 � 5"n!wl.tL •p .O _Q02U-I. J32 TH8-Couu...of .. nrn/.,,.A�,,y W V -... .._ 0 n Wavv, IT � K/ VL'f @ �( 3X�D �✓t2 C/%^O(, � _ZLySH MGR'U EIL D H�L�aD� © TW ]Vd � w i �J= 13= DwR 9x7 ON'. ppOrt.f V 9.." TRANfu Rat O✓C.e © Ted 30-311, -/P © TW dO dvYG-/8 P_n '� J44b ® Tw 2VV4 r li a 4,1 _ y NO-..GlulaS-3 � Q ro II V d V ly s Joe Jam- Y J 0 � m _ l Owl.s-3 c - c Twivv& ,wla4i Q —_— 6ECOND F6pQP PL AM JCA LC-�'/'6i(?"_, 9o=v"Oy&rfA�t h� --- _ 6W e w —_1 13 Q o —14 "�q a OPf..OW J _ a a-sx re 2 ql LALLy__.QIREl:. IJJ: L OAo_.rot____._._ 3-drla 6r2ry ir�c � •� - ^ OVEK � �•tp" 3�",GoN[..LOL,. F/LC�D S 3U k3Q.'Xro G/dr+.[...�� ................. 9-,Rxff , x J / HELOLJ �1 N7...__GTbf L�P� 6iL40E Y".Co71...5hA6 ✓y ANcND2 $O(.T..P"K Go DE p ._UODI?�L. 7'dx8 A 00A) . -RTDP !d'SDNh -y:FArN.. ofiLoW �, _ QW peon 0 C w..7xP Gt r aT' 8i 9n=0" ovB,2o-LL . .a .R!.Ofp.6.:l...LON_t,.fORF/r v6A/T J .......a A lo...A4.FT Rf W/610C, R-YS Doi- lw-j UN ou uJ. VTf I.yygy9T.lo l�__RD o.._u.b...RII.w/rLey ./t i q pLOoe ... ...'f7velc._..overt yd"os 6 bona,-D Aan la t loos ._ .. IxS...lx(' 6D D'..., fHU,TT.E!Lf._...f✓K.O.vT, 4 F.4f[/A. ?o F'F IT t. r)Z/E mNa µL — -ot I { n 2 � I O DOt,IAEt IJ • a • �� � - A Q j 1 ` lAxiI V R,P 0 n A ;1ri9 AU I LE 2 TS/E 54 FL �I] jx, e ,e M. .t0..[h BIAM N.I RO.LaM .I;CAM..O�CG. TtJSN._ .. /O SI8 S.G FC 1 - SEE />r PL OO PLAN r. ,. ... Llk"c ARD fec 6EII._LYNbEa... .y A¢D...'j p6G3 I q 8 POyrjy- .are f" •� n J IY/L Qd�Y"MAX , 0- - '� °8 Su6 Tt �8 Sub FL a 711 /o el w. ___ _Su4 f[. D mAHo6Auy otiA ]%ID G/61N.. - - 0R x t /'O[. 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BstO.,J 6a4De Jr C .7m dYYb-al a1 .Tu 30-:3YY6-/8»I ... .............._.____...- BOARD OF HEALTH a TOWN OF BARNSTABL -- Cicationorefi Congtruttionerntt �$ Ap lication is hereby made for a perms to Construct ( ), Alter ( ), or Repa ( )an individual Well at: Location --Address Assessors Map and Parcel -- Owner Address �,�® t�-�--J�(,c����-5�1----------------- ------- - -------------- - - s _*------ Installer — Driller Address Type of Building Dwelling ---- -- - --- - Other - Type of Building------------- - No. of Persons--------- --------- r� Type of Well- - .�— -�- - Capacity-------------------------------------- Purpose of Well-----�� e -------- 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 Certificate Hof Compliance has been issued by the Board of Health. S, -- — — date Application Approved — -- --- date Application Disapproved for the following reasons:--------- - —--- - -------- p i date Permit No.- A!1 � "�-0 -- Issued----- -�-� -- --- - - date BOARD OF HEALTH TOWN OF BARNSTABLE Certificate Of COMPliance THI IS TO^C•RTIFY, That the lAdividual Wel Constru/ctted (), Altered ( ), or Repaired ( ) 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-- - - - - ---- - —-------- r ,A. -� 3 ee- -------- - _ Aft No. BOARD OF HEALTH / TOWN OF BARNSTABLE �t plication,�orVeil con,tructionvertm 8a Ap i ation is hereby made for a permi to Construct ( ), Alter ( ), or Rep a' ( )an individual Well at: �--- �Kt/2 / 4Ra mil. __ �d�f- (F�•q� — l 3'0 �� !y— l!d _ i Assessors Ma and Parcel Location.— Address. P Address caner______ _-------- -----�—'-""_'-"--�-`-�������"--a----- Installer — Driller Address Type of Building Dwelling --- — —----— Other - Type of Building------------- No. of Persons---------------------------- C( P Type of Well 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 Certificate .of Compliance has been issued by the Board of Health. Sige - �� ------- ---------- { late Application Approved B -----------—— date - — - Application Disapproved for the following reasons: ---—— - —--- - -- -- —_— date 4 -013 Permit No. -- Issued------_ — date i l 4 BOARD OF HEALTH TOWN OF BARNSTABLE C ertif irate ®f ComOance THq IS TO C RTIFY, That the divid We Construc ted (�), Altered ( ), or Repaired ( ) ------- -j------ d y nstaller at -74e �'7—_`!/ r�i1. ----- --- '% has been installed in accordance with the provisions of the Town of Barnstable Board of Health Private Well Protection • jRegulation 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 . j SYSTEM WILL FUNCTION SATISFACTORY. 1 f I DATE-------- --- —-- Inspector------ - — -- ----------- T� ` BOARD OF HEALTH TOWN OF BARNSTABLE t Vell Congtruct ion permit i 0e____-h-_^ O ( Fee- L4Permission is hereby granted — ----- --- -- — to Construct (V), Alte ( ), or epair ( ) an Indivi pal W ll at: c�No. ` Street ` as shown on the application for a Well Construction Permit No.--- — �© Date --- Js �_�6 I --- -—- Board of Health DATE -- i P 96(►D SOIL S TEST .tESL/LTS TOP POlJND A 7--4^1 -4. 73.0 SEk/AGE SYSTEM f3TDF/4 E 7L5sT A47-e: G - /5 Z0040 T/ O" - fL.s95 or T-Z 6,1eC--,VS`Ti4dLF 4,0,,/4 % b.A+f4/OXXN,D/ SAWdy 54ivo y �/A/, ' GLADE• M/N. SLO/PE 2 SO/lS �W.4[LA`-*?W f c% 1DOY4E A LOA�J A W/RAFTS D G"MAX. EX4.4✓A7Vot : it'ONs EXCYTN• 34"MAX. DfSl .BOX w1c.*,St/MP / 2.SY PViCc• RATE .c 2 M/•Y /wcN 411 I3., IOYR 36" MAX, COVER 36-• 40ANY �• SC II,40 Pvc L7 /D "try -SGN• 40 P✓G SCN. LD.IMY d -C.4AO /NV, /NV, +' /, frf '� /"VV. �)D PVC K.S�.O y � n » S-4A4D /oYI� IA IV. 2 CWE� OF /-} —�Z STONE. �a•9s c8.7s ce•sv rfF EL. sc,zo B s y 4' t o � - 4 r, �i►_//z o e ., sToiv o z Efic•AE�7�y S� yE�!'y e _ . •. . --;_" -�_. 6"BED OF EL, 3-.1.70 Sr- a I Z ' 6 e �• `'• ' l• CRu SHED 1 /" LOAM U5E /500 G. SEPTIC TANK W/TN s�oNE 3'7• - �;- .34"-+�- 3'7" S/LT Gi .� L oAM ZSY `/3 /N[-ET�OUTLET TEeS GONSTiciicmo PER 310 CMS IS. Z 27. SEALED e-LWAW04WCF 7b ?,S Y c/3 ., SOILS 495o40Trl W SYS72FA4= 9a 78 .' ASTM STMID.lRL) /227- 93 S/•lAL[. f�E �M80SSE,D . �L. 4�- 8 � uSE C9-) GOUR tNF/L7e.4TO�t. LEgCH CNAMB996 /�s/ /o't3o' PEs� 7;FeAlCh� W/Tip/ I z" OF h/ASN�d STiC NE BEy✓EATH A/VO 12 a /Z d" E4.*J.s /Z., OF W/4 SHED �;TOn/E ON S/DIES AND �,/AS, ea4A 4" - LOAMY /DOTE: /MPERt//OU 5 SD/4S MA?&R/g1- SNAt� 8F R�MOVFD AT SYSTCM 1" 64W A'17W SANp 4Ae4 •�Nb -S' L 4445,R 4 L L Y BEYGWD WAIN TO S/4ND L A Y49R AT GOad 4W L. Ise: �►�4 Z /1 PPR0.1'/hIAT� L. ^¢8-B A�Y� REPL.4GEID 1✓/7h/ CGEA�/ G,�sLS�UL.I� CZ l�yR �� IDYR s/,c j�9ND /N ACCORA h(fTH ,3/O CM) /SZ5S ' arm w G/rourvDk/A--ox NOT' ENco[WTEi�Z`O 5� • , G DOYL 1( lZ WILL 1"I.1No.33t8f) � v El� v t' r •`• `, '•,,, .` i �p / ���,�n„ . _•,�0�4 PG �oF.C�stE4` Su �y . W 1 p , 10 •sc ` 1,0 ��. .-'/ .� / �a � ;� K / / LOCUS , � 0 i it •�1 �/ c SD/t s, ABSORPT"/DIV SY5 7"EM CAL C 414 A T/ON S •. Rio `� . • i `'y - Lpcc/s MAP SC.4tE: /"= ZUG�D ' Z. R'F.?L!VA E•A /N F/L T�/Q 77" ARC . 33D -GPO 0.74- `G1SFl DAY= 4-4L S.F L,9� / �'• ,\ . 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