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HomeMy WebLinkAbout0057 LOTHROP'S LANE - Health 57 Lothrop's Lane W. Barnstable A = 106 '005005 00 TOWN OF BARNSTABLE LOCATION Lai� :,& /.✓ SEWAGG E # VILLAGE__ ASSESSOR'S MAP & LOT O/N1 -6U INSTALLER'S NAME&PHONE NO. 0`78-,Tye SEPTIC TANK CAPACITY 134:y C olc LEACHING FACILITY: (type) 3?X/ GAG ll�R.� �� (size) /3.,,c NO. OF BEDROOMS y. BUILDER O OWNE X/,4// PERMIT DATE: 6 COMPLIANCE DATE: U ?- Separation DistLnce Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Ft Feet Private Water Supply Well and Leaching Facility (If any wells exist rsv� 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 1-�OV'V Ca�eC G /NYYh N! 3i� sG ' TOWN OF BARNSTABLE LOCATION S-7 a SEWAGE # 'tMLAGE 44 ASSESSOR'S MAP & LOT 01' -60 INSTALLER'S NAME&PHONE NO. 079;-'Tye SEPTIC TANK CAPACITY /3?r C Oyc LEACHING FACILITY: (type) 3ZYi G,,C � ,�, (3) (size) /3 NO. OF BEDROOMS y BUILDER O OWNE PERMITDATE: COMPLIANCE DATE: U ,b) 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 (-1eAe Gns, Yh« - - .��__ Q� �(i �-/ .__l �, , � �l� G y3� Q �, y�, s s� ' No. Fee Fee -c �`(� THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: _L Yes PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE., MASSACHUSETTS 01ppiication for �Digogal *pgtem Congtruction Permit Application for a Permit to Construct( )Repair( )Upgrade(✓)Abandon( ) ❑Complete System T Individual Components Location Address or Lot No. Low Owner's Name,Add ss and T 1.No.n� � Assessor's Map/Parcel ✓/ , ,Installer's Name,Address,and Tel.No. (� Designer's Name,Address and Tel.No. 71 7 7/ Q Type of Building: �// Dwelling No.of Bedrooms Lot Size T'�//sq.ft. Garbage Grinder( �® Other Type of Building &rf o.of Persons Showers( ) Cafeteria( ) Other Fixtures �l�f Design Flow gallons per day. Calculated daily flow `Z `7© gallons. Plan Date Number of she is Revision Date Title 5l G Size of Septic Tank /SrDD Type of S.A.S. _5-Az-9 Description of Soil `2- 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 this Bo of liealth. Signed Date ",? Application Approved by C_ Date ? Application Disapproved for the following reasons Permit No. — Date Issued yNo. .r .r" ' Fee _ THE COMMONWEALTH OF MASSACHUSETTS. Entered in computer: L-0 Yes PUBLIC HEALTH DIVISION -.tOWN OF BARNSTABLE., MASSACHUSETTS T l - _. ~^ APPYicatton for �Dtopogal *potent Qconztructton Fermat Application for a Permit to Construct( . )Repair( )Upgrade(✓)Abandon( ) El Complete System LJ Individual Components Location Address or Lot No. 7 Owner's Name,Addryss and Tel.No. Assessor's Map/Parcel Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. Dowry ce��e 7 7/ -7 7/ Type of Building: �/ Dwelling No.of Bedreoms Lot Size ,T S sq.ft. Garbage Grinder( �© Other Type of Building. o.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow gallons per day. Calculated daily flow gallons. Plan Date b Z Number of sheets Revision Date Title 7 J Z = 5/hf k' Size of Septic TankType of S.A.S. 3 Ss�•��'!i ��. -Description of Soil /2. 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 b this Board of Health. _ Signed Date Application Approved by Date /o '� Application Disapproved for the following reasons Permit No. 0.56 — C�I_n Date Issued ---------------------------------------- THE COMMONWEALTH OF MASSACHUSETTS - BARNSTABLE, MASSACHUSETTS (Certificate of (Compliance THIS IS TO CER ,that the n-site Sewa a Disposal System Constructed( )Repaired ( )Upgraded Abandoned( )by D - ,1 / at Lee 15 ski Z"e-11 14& has been constructed i a`cc'ordance with the provisions of Title 5 and the for Disposal System Construction Permit No. o'Q �- dated 1 �l Installer Designer The issuance o permit shall not be construed as a guarantee that the sy will�fu ction as d igned. Date this 0 Inspector -------(—� -----------------------------�/—' �— No. d D Fee � THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLE., MASSACHUSETTS Mfi6pog;al *p5tem Cotmtructton Permit Permission is hereby granted to Construct( )Repair( /! )Upgrade(ell"'Abandon System located at 5- 7 GOB'`" ,ro r 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. nn Provided:Construction must be completed within three years of the date o,this p r[nit. Date: l S� I I (��7 Approved by this - � -\ COMMONWEALTH OF MASSACHUSETTS Z EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS DEPARTMENT OF ENVIRONMENTAL PROTECTION TITLE 5 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS 'SUBSURFACE SEWAGE DISPOSAL SYSTEM FORM PART A CERTIFICATION �� Property Address: ,/Ocl-00 — Owner's Name- =: -71 Owner's Address: �7a � V1414210 , '� 7 r vt A A;to �QA ��Qlid' Date of Inspection: Q4 AllivAAXJ, Name of Inspecto lease print) Ir `. �� c)� Company Name: - ti Mailing Address: e 4=� Telephone Number: Z CERTIFICATION STATEMENT 1 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 Needs Further Evaluation by the Local Approving.Authority ails 01 Inspector's Signature: ' Date: '�� The system inspectors shall submit a co of this inspection report to the Approving Authority Board of Health or Y P PY P P PP b Y( 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. Notes and Comments i f ****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. Title 5 Inspection Form 6/15/2000 page 1 Page 2 of l 1 OFFICIAL INSPECTION FORM—NOT FOR VOLUN TARY ASSESSMENTS SUBSURFACE SEWAGE.DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address:. Asae) 1/r", ALP Owner: Date of Inspection: LUIMIf J- 4-c c 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 criterianot evaluated are indicated below. Comments: B. System Conditionally Passes: One or more system components as described in the"Conditional Pass"section need to be replaced or repaired. The system, upon completion of the replacement or repair;as approved by the Board of Health;Will pass. Answer yes,no or not determined(Y,N;ND)in the for the following statements. If"not determined"please explain. The septic tank is metal and over 20 years old* or the septic tank(whether metal or not) is structurally unsound, exhibits substantial infiltration or exfiltration or.tank failure is imminent:System will pass inspection if the existing tank is replaced with a.complying septic tank- as approved by the Board of Health. *A metal septic tank will pass inspection if it is structurally sound,not leaking and if a Certificate of Compliance indicating that the tank is less than 20 years old is available. ND'explain: _ 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 obstruction is removed distribution box is leveled.or replaced , ND explain: 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 p.ipe(s)are replaced obstruction is removed ND explain: Page 3 of 1 1 OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGEDISPOSAL SYSTEM INSPECTION`FORM PART A CERTIFICATION(continued) �1 Property Address: ZILIA Owner: l/,e, � 71 1 0 Date of Inspection' 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: Cesspool or privy is within 50 feet of a surface water Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh 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 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 coliform bacteria and volatile organic compounds indicates that the well is free from pollution from that facility 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: 3 Page 4 of I l OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A , CERTIFICATION(continued) Property Address: 5 7 .o--e- �sl Owner: Date of Inspection:: a� D. System Failure Criteria applicable to all systems: You must indicate"yes"or"no"to each of the following for all inspections: Yes Nq �/ 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 '/2 day flow Required pumping more than 4 times in the last.year NOT due to clogged or obstructed pipe(s).Number of times pumped Any portion of the SAS,cesspool or privy is below high ground water elevation. Any portion of cesspool or privy is within I00 feet of a surface water supply or tributary to a surface / water supply. Any portion of a cesspool or.privy is within a Zone I 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 coliform bacteria andvolatile organic compounds indicates that the well is free from pollution from that facility and the presence of amntonia 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.] SY! (Yes/No)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 109000 gpd to 15,000 gpd. You must indicate either"yes"or"no"to each of the following: (The following criteria apply to large systems in addition to the criteria above) yes no — _ the system is within 400 feet of a.surface drhilcung 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—I WPA)or a rapped 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. Page 5 of 1 1 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B CHECKLIST Property Address: 0 lQr Owner*01.66 Date of Inspection�' ,�' LC�� � s 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 a, 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) f Was the facility or dwelling inspected for signs of sewage back up V _ Was the site inspected for signs of break out ? �f 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 f 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: Yes no Existing information. For example,a plan at the Board of Health. of_ 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(3)(b)] 5 Page 6 of I 1 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM-INF ORMATION ° Property Address: .l /f Owner: .r�. fA .� Date of Inspection: (' )[I FW CONDITIONS RESIDENTIAL Number of bedrooms(design): Number of bedrooms(actual).: DESIGN flow based on 3 10 Cfl 5.203 (for example: 11.0 gpd x#of bedrooms): Number of current residents: - Does residence have a garbage grinder(yes or no): Is laundry on a separate sewage system(y or no): . if yes separate inspection requited] l Laundry system inspected(yes r no): ! Seasonal use: (yes or no.):��1 Water meter readings, if av-liable(last 2 years usage(gpd)): rSump pump(yes or no):� f Last date of occupancy: COMMERCIAL/INDUSTRIAL. IY Type of establishment: Design flow(based on 310 CMR 15.203): gpd Basis of design flow(seats/persons/sgft,etc.): Grease trap present(yes or no):_ Industrial waste holding tank present(yes or no):_ Non-sanitary waste discharged to the Title 5 system(yes or no):_ Water meter readings, if available; Last date of occupancy/use: OTHER(describe): GENERAL NFORMATION Pumping Records Source of information: 10 Was system pumped as part of the inspection(ye or no):'am, i If yes, volume pumped: gallons--How was quantity pumped determined? Reason for pumping: TY J�fOF SYSTEM Septic.tank,distribution box,soil absorption system _Single cesspool Overflow cesspool ^_Privy _Shared system(yes or no)(if yes,attach previous inspection records, if any) _Innovative/Alternative technology.Attach a.copy of the.current operation and maintenance contract(to be obtained from system owner) _Tight tank _Attach a copy of the DEP approval _Other(describe): proximate a e of all components, date installed (if known)and source of information: Were sewage odors.detected when arriving at the site(yes or no): Page 7 of 11 i OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM.INSPECTION FORM PART C SYSTEM.INFORMATION(continued) a • Property Address: :S�7 9 Owner: 1 Date of inspection: l ,(,y. ¢,. B UILDING SEWER locate on site lag y Depth below grade: Material of construction:_cast iron _40 PVC_other(explain): Distance from private water supply well or suction line: Comme Its (on condition of joints, venting, evidence of leakage, etc.): SEPTIC TANK: Z141,0cate on site plan) �t Depth b low grade:—LiL Material of construction:4z&ncrete_metal_fiberglass polyethylene _other(explain) If tank is metal list age:— Is age confirmed by a Certificate of Compliance(yes or no):—(attach a copy of certificate) Dimensions:J0 , �q- '}C is`� Sludge d.-pth: Distance from top of sludge to bottom.of outlet tee or baffle: 37- 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: How we Ie dimensions determined: Comments (on pumping recommendat ons, inl t and outlet tee or baffle condition,structural integrity, liquid levels as related to outlet invert, evidence of leakage,etc.): we, GREASE TRAP,:��locate on site plan) Depth below grade: 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: Comments(on pumping recommendations, inlet and outlet tee or baffle condition,structural integrity, liquid levels as related to outlet invert, evidence of leakage,etc.): 7 Page 8 of l 1 OFFICIAL INSPECTION FORM-NOT FOR YOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: Owner: ,�?(' F! - L v 1�" Date of Inspection: 'I J V 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/day Alarm present(yes or no): Alarm level: Alarm in working order(yes or no): Date of last pumping: Comments(condition of alarm and float switches, etc.): DISTRIBUTION BOX:Zif present must be opened)(locate on site plan) / � Depth of liquid level above outlet invert - `�.01.�w�tt Comments(note if box is level and distribution to outlets equal, any evidence of solids carryover,any evidence of eakage into or out of box, etc.): PUMP CHAMBER:)(// (locate on site plan) Pumps in working order(yes or no): Alarms in working.order(yes or no): Comments(note condition of pump chamber,condition of pumps and appurtenances, etc.): r , Page 9 of I 1 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURCACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) C �1Property Address Owner�^ Date oh� spection:k "D . .�" o IT U SOIL ABSORPTION SYSTEM (SAS): Lr' (locate on site plan,excavation not required) If SAS not located explain why: Type leaching pits,number: eaching chambers,number: , leaching galleries,number: leaching trenches, number, length: leaching fields,number, dimensions: overflow cesspool,.-lumber: _ 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.): V ' CESSPOOLS:(cesspool must be pumped as part of inspection)(locate on site plan) Number and confieuration: I Depth'—top of liquid to Met invert: Depth of solids layer: Depth of scum layer: Dimensions of cesspool: Materials of construction: Indication of.groundwater inflow(yes or no): . Comments(note condition of soil,signs of hydraulic failure, level of ponding, condition of vegetation, etc.): 'PRIVY:7)(4(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.): 9 Page 10 of 1.1 OFFICIAL INSPECTION FORM-.NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM.INSPECTION FORM PART,C SYSTEM.INFORMATION(continued) Property Address: j 7 Owner: 'J q , Date of I ection: SKETCH OF SEWAGE DISPOSAL SYSTEM Provide a sketch of the sewase 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. C-) �I r 9 ig 1 1AP All If 6, Lead) in Page 1 1 of 1] OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM' PART C SYSTEM INFORMATION(continued) Property Address: P >. Owner: - � 1�z_ z too, Date of Inspection:.`\, d,�Zc)&0 SITE EXAM Slope Surface water Check cellar Shallow wells Estimated depth to grounc water feet Please indicate(check) all methods used to determine tfie high ground water elevation: Obtained from system design plans on record-If checked,date of design plan reviewed: Observed site (abutting property/observation hole within 150 feet of SAS) Checked with local 3oard 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: z 11 Permit Number: Date: Completed by: HIGH GROUND-WATER LEVEL COMPUTATION Site Location: low Lot No. Owner: Address: rl`�Contractor: Address: -�y ' �J� Notes: .._ STEP 1 Measure depth to water table tonearest 1/10 ft. ........................................................:..........: Date month/day/year STEP 2 Using Water-Level Range Zone and Index Well Map locate site and determine: OAppropriate index well......................... `�olel-) 3 OB Water-level range zone ..................................................... STEP 3 Using monthly report "Current Water Resources Conditions" ; determine current depth to water level for index well ........................... month/year STEP 4 Using Table of Water-level Adjustments for index well (STEP 2A), current depth to water level for index well (STEP 3), and water-level zone (STEP 2B) determine water-level adjustment ...............: STEP 5 Estimate depth to high water by subtracting the water- level adjustment (STEP 4) IL from measured depth to water level at site (STEP 1) ............. 1. Figure 11--Reproducible computation form. 15 l , "A's/�,�5 OWN FBA NSTABLE ©�, 1 LOCATION i�¢ r0 r SEWAGE # �" VILLAGE U1. A-�/r ASSESSOR'S MAP & LOT O/ INSTALLER'S NAME & PHONE NO. )0,6 j!��i>e-0 SEPTIC TANK CAPACITY 15"0c.) C-r L LEACHING FACILITY:(type) el- (sue)(.:gj ov NO. OF BEDROOMS PRIVATE WELL OR PUBLIC WATER Ille BUILDER OR OWNER /amj 0/Vv,,, DATE PERMIT ISSUED: DATE COUPLIANCE ISSUED: VIARIANCE GRANTED: Yes No r P � �3 _ l !�s lay— NoA....a..� _ Fim............._............_ THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH TOWN OF BARNSTABLE Appliration for Disposal Works Tonstrudion Prrmi# Application is hereby made for a Permit to Construct (*) or Repair ( ) an Individual Sewage Disposal System at: C31�2s�kq�oL......... '1 Loca n-Address or Lot No, f� f .. .Ctf -*__!�?I'1!�............................................................... �ioT.(41_.. Qn73 ..r21.5 4..'Q), !Jlse ?:AQI .......-------- n pf� Owner dress r p tt Ja..axt�?..•-------------------------------------------------------------------- ---5 a lY�i4�1._ 7 r .r... ?51e...7k.... .................... Installer Address Type of Building Size Lot............................Sq. feet V Dwelling—No. of Bedrooms--------------------------------------------Expansion Attic ( ) Garbage Grinder ( ) Other—Type of Building No. of ersons___-•_--_-_-______________ Showers a YP g -------------•-•------------ P ( ) — Cafeteria ( ) dOther fixtures .-------•-•------•--------•---•-•------•--------•------•-•-------•---••--••----•.......-•-•••••--------•-••-•-•---•-••-•...............•----•-------- W Design Flow............................................gallons per person per day. Total daily flow............._..............................gallons. W Septic Tank—Liquid capacity............gallons Length................ Width................ Diameter................ Depth---------------- x Disposal Trench—No..................... Width.................... Total Length.................... Total leaching area....................sq. ft. 3 Seepage Pit No--_---------------- Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) Percolation Test Results Performed by.......................................................................... Date........................................ Test Pit No. 1................minutes per inch Depth of Test Pit.................... Depth to ground water........................ 44 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ P4 •--••--•----•--._.._...--••••--••-••••••-----•-••-•-•-•-••--••--------•----•.......................•........................................................ 0 Description of Soil...............................................................................------------•-••--------•--------------------•------------------••-•----•------------•- x •------•-•---•----------------------------------------•--------•----------•-••------------------•---••---•-••.••. -- ........................... V Nature of Repairs or Alterations—Answer wh n applicable..__ �__ -_ ___?K4._q s-'r.a•_-•_• . *.. wo• 2 lsio Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Environmental Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been issued by the board of health. q Signed . � �f� -------- ------------------- z�Da� �.. Application Approved B PP PP Y - 77 ----- -- - --- --- ---------------------------------------------------------------------------------------------- Dace Application Disapproved for the following reasons- ------- ------------------------------------ ---------------------------------------------------------------------- ------------------------------------- ----- ----- ------------ ----- ------------------------ --- ----------------------- ------------------------------------------------- --------------------------------------- Date Permit No. ��7s,,_5'0----------_---------------- Issued ---------s- . -------------------------- Dace 00'5�-X �. THE COMMONWEALTH OF MASSACHUSETTS BOARD iOF HEALTH 1 TOWN OF BARNSTABLE Appliratilin for Disposal Works Tonstrnrtinn Vrrntit Application is hereby made for a Permit to Construct (- ) or Repair ( ) an Individual Sewage Disposal System at: n I I 1 ................hoio. f itrtl5k..�cw,..A._.xs�F. t its al9� - L'tt e ••----LocaYt�on-Address / or Lot No. ll t ----------•----------•--------• Owner -Udress a _.ace-M—).: . rd.._I l�!xl.. .r �lag5- -•�i uca 9C ................ --•••••--•----•- -•-----•••----------------------------------•-- 14 Installer Address d Type of Building Size Lot............................Sq. feet - Dwelling—No. of Bedrooms..........="..........:.........:........:.Expansion Attic ( ) Garbage Grinder ( ) 04 Other—Type of Building ............................ No. of persons..................:--------- Showers ( ) — Cafeteria ( ) Q' Other fixtures ________________________________­11 _ ---------- 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 ( ) Percolation Test Results Performed by-------------------------------------------------------------------------- Date........................................ Test Pit No. 1................minutes per inch Depth of Test Pit.................... Depth to ground water........................ t=, Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ a+ -----------------------------•-• ••-----•----------•-----------.....--•----------------------•--•---.....•--------••-••••......•------•----------......------ 0 Description of Soil......................................................................................................................................................----------------- x - W ------------------------------------------------------------------------------------------------------------- a .n -------- U Nature of Re71rs. or Alterations—Answer whin applicabl .__:E;At.�C___/S ?e�c�_.9 4.a_4�em--�___. GuS . ' -qQ--r2-�,caL.tsZc'-1 1"=i —'A" -----------------------------=-------.................................................. Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with 1 the provisions of TITLE 5 of the State Environmental Code-.The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been issued by the board of health. Si ned . ------ _. Z E tQ � i— z l9 f0 g ... ... .... ..... .....`............................ Application Approved B ,.: i�2 .t��...... ------- ------------------------------------------------------------- ---�'.. .-. --- pp Pp Y i ✓ Date Application Disapproved for the following reasons- ...........................w.......................----------...................--------. . -------------------------------------- .............................--------------------------------------------------------------------------------------------- ---------------- ----------------------------------------------------------- -------------------------------------- - � Dare Permit No. 4��5--/2------_---------_-------- Issued . ..............................` U ----------- -- - ____--_o------------- Date THE COMMONWEALTH OF MASSACHUSETTS Q' k 10 BOARD OF HEALTH TOWN OF BARNSTABLE Certifiratr of Toxnylian e THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed or Repaired ( ) by........... .:r.. '.. ..........._.....................---....................................................................._..._.................................... ......................... Instal at �—. 1 -- ? l a ��. ------------- has been installed in accordance with t�e provisions of TITLE 5 of The State Environmental Code as described in the application for Disposal Works Construction Permit No. ..��� .._ 1 ^. dated ...; F. " .-% 1---__-__--. THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED A'S A GUARANTEE THAT THE SYSTEM WILL-FUNCTION SATISFACTORY.. ;X t" r r i`— R ATE � � i � ----------------- Inspector ------1.......------......-----------=------•- L THE COMMONWEALTH OF MASSACHUSETTS p I��lv BOARD OF HEALTH TOWN OF BARNSTABLE /oo No............�............ FEE..-.................. Disposal Works, Tonstrnrtion "prrntit Permission is hereby granted....... _ _ .__.? I.......................... to Construct ( } or Repair ( ) an Individual Sewage Disposal System at No / �, / ) /�� ...a J14-s� A�. y --- - ---------------------------------------------------------------------------------------------------------------•------------ Street as shown on the application for Disposal Works Construction Permit No._5/.)-t;--?Dated...._'r..................................... : ..=.... ............................ fI�� ,Boa d"of� ealth DATE, --------•---------------------------------------------•----.._..... FORM 36508 HOBBS 6 WARREN,INC.,PUBLISHERS 0004 Ir Al No.-------------------- Fee--------------------- BOARD OF HEALTH TOWN OF BARNSTABLE �� d 0[ppYitation-ftlDrrr Construttionprrmit Application is her by made for a p it toC/ons ruct { ), Alter ( ), or Repair ( )an individual Well at: Location — A�ess Assessors Ma and Parcel P . � � Owner Address Installer — Driller Address Type of Building Dwelling------------------------------------------------------------ Other - Type of Building No. of Persons---------------------- - ---------- Typeof Well--------------------------------------------------------------------- Capacity----------------- - - - ----- - - -- ------- Purpose of Well------ - - ---- --- -- --------- Agreement: The undersigned agrees to install a aforedescribed in ividual well in accordance with the provisions of The Town of Barnstable Board of Health rivate Well Protection Regulation — The undersigned further agrees not to place the well in operation until a Certificate of Compliance has been issued by the Board of Health. -- - ------------------------------- Signed-------------------- -------__--------------- date Application Approved By --- -— — —-- —-------- - —— -- — date Application Disapproved for the following -------------------------------------------------------------------------------- - ---------------------------------------------- date Permit No.--- ------- —— —— ---- Issued--------------- ------ --—— - date BOARD OF HEALTH TOWN OF BARNSTABLE Crrtifiratr Of Compriantr 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 Iftl Congtruct ion Prrmit No. —-------------------- Fee------------------- Permission is hereby granted---------------------------------------------------------------------------------------------------------------------------------------- to Construct ( ), Alter ( ), or Repair ( ) an Individual Well at: No. ----- ____—-—------ -- - ------------------------------------------ Street as shown on the application for a Well Construction Permit No.------------------— —— -------------------------------- Dated-------------------------------------------—- -—------------- - ------------------------------------------------------------------------- Board of Health DATE------------------------------------------------------------------------------ r \ttiTTittifiilf TTi11111i1TTTiT!TITTTT111TTtittf?Tfi*1111TT?ttf TTf TTT1TTfT1"11TiTTltTT11?ITl'1iT?f TfntT,?,?rr{n??fpf?r'tfgr??f???iTi?T?tilt?1?Tf1T,?????�^?fi?TT'?lt?(iTTiTT?TlT?f it??Sl^TTt111T!Tli1?TTTiTTTTiTTTT?11 1?11f T?TTT11Ti11TIf/` ENVIREX®TECHILABORATORIES = a 449 Route 130 Sandwich, MA 02563 • (508) 888-6460 S CLIENT: Thomas B. O'Hara LOCATION: Lot 10 Lothrop Ln. ADDRESS: Barnstable Jared Inc. Box 470 W. Barnstable, MA W. Barnstable, MA 02668 COLLECTED BY: Desmond Well SAMPLE DATE: 7/9/90 TIME: 10 AM _ DATE RECEIVED: 7/9/90 SAMPLE iD: 10 JOB #: New Well WELL DEPTH: RESULTS OF ANALYSIS:EE _ Parameter Units Recommended limit Result Coliform bacteria/100 ml (MF Method) 0 pH pH units 6.0-8.5 Conductance umhos/cm 500 Sodium mg/L 20.0 Nitrate-N mg/L 10.0 Iron mg/L 0.3 Manganese mg/L 0.05 - Hardness mg/L as CaCO 3 500 - ;~ Sulfate mg/L 250 Potassium mg/L 20.0 Alkalinity mg/L 200 Chloride mg/L 250 - i Turbidity NTU 5.0 Color APC units 15.0 i= - EE Background bacteria Eii Trace to low levels of chloroform are occasionally detected in ground water in coastline areas. Concentrations detected in sample do not sugges COMMENT: a spill or an accidental release of hazardous materials. EPA Method 601/602 UG/ml (See Attached Sheet) YES NO WATER IS SUITABLE FOR DRINKING PURPOSES FOR PARAMETERS TESTED. _ XXX ❑ DATE a �� f tiult -.,all:all1 tlttlUUli all!titUl,tttlLl�,iliJiltif lltltllutl!l111111ItI�(1t1U11 i11i tillilUlf itil l::t titlUf13311titi1311Uill t t t S:I t t:l t illl:it 1131LLjti llitl it11211111i1313I1113I!lil1l{{I 1i111ti1ulilillUllll3j it1113 i 1 ti��� GROUNDWATER ANALYTICAL EPA METHODS 601 and 602 Volatile Organics (GC/PID/ELCD) � p Field ID: # 10 Lab ID: 019115 Project: Barnstable Jared Inc QC Batch: VGA-571 Client: Envirotech Sampled: 07-09-90 Cont/Prsv: 40ml VOA Vial/Cool Received: 07-10-90 Matrix: Aqueous Analyzed: 07-13-90 PARAMETER CONCENTRATION DETECTION LIMIT (ug/L) (ug/L) Dichlorodifluoromethane BDL 5 Chloromethane BDL 1 Vinyl Chloride BDL 1 Bromomethane BDL 5 Chloroethane BDL 1 Trichlorofluoromethane BDL 1 1,1-Dichloroethene BDL 1 Methylene Chloride BDL 1 il trans-1,2-Dichloroethene BDL 1 Methyl tertiary Butyl Ether * BDL 10 10-Dichloroethane BDL 1 cis-1,2-Dichloroethene * BDL 1 Chloroform 2 1 1, 1,1-Trichloroethane BDL 1 Carbon Tetrachloride BDL 1 Benzene BDL 1 1,2-Dichloroethane BDL 1 Trichloroethene BDL 1 1 ,2-Dichloropropane BDL 1 Bromodichloromethane BDL 1 2-Chloroethylvinyl Ether BDL 1 trans-1,3-Dichloropropene BDL 1 Toluene BDL 1 cis-1,3-Dichloropropene BDL 1 1,1,2-Trichloroethane BDL 1 Tetrachloroethene BDL 1 Dibromochloromethane BDL 1 Chlorobenzene BDL 1 Ethylbenzene BDL 1 m+p-Xylene * BDL 1 o-Xylene * BDL 1 Bromoform BDL 1 1, 1,2,2-Tetrachloroethane BDL 1 1,3-Dichlorobenzene BDL 1 1,4-Dichlorobenzene BDL 1 1,2-Dichlorobenzene BDL 1 QC SURROGATE COMPOUNDS SPIKED MEASURED RECOVERY QC LIMITS i F . Bromochloromethane 30 28 93 % 83 - 117 % Fluorobenzene 30 30 100 % 87 - 113 % BDL = Below Detection Limit. * Non-target compound. "Trace" indicates probable presence below listed detection limit. Method References: Method 601 - Purgeable Halocarbons and Method 602 - Purgeable Aromatics, 40 C.F.R. 136, Appendix A (1986). No.--- --V-- - Fee----- - ------- BOARD OF HEALTH TOWN OF BARNSTABLE Zpprication forWell Cou5truction3permit lica on is hereb made for a e it to Construct ( , Alter ( ), or Repair ( )an individual Well at: Lo ti n — Add re s / Assessors Map and Parcel QwrLer -------------------------------—--- Address - ------------------------------------- Installer — Driller Address Type of Building Dwelling 11-------- ----------------------------- Other - Type of Building No. of Persons-- ------------------------------------ Type of Well—ill 977 C 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 f Complia,ce has been issued by the Board of Healt . Signed - O Ls date Application Approved By- date II, Application Disapproved for the following reasons: _______—_-____________ -------------------- --___ --- -- - —------- --- ------ _—_--- --- date Permit No. --- -S- -------------------------- --------- Issued--- -- - — ------ --------------------------- --- date BOARD OF HEALTH TOWN OF BARNSTABLE (Certificate Of Compliance THIS IS.TO CERTIF That the In ividua Well Constructed X), Altered ( ), or Repaired ( ) by--- ' -� _C/_�l_'�1'► L ------------------------------------------------------------------------------------------ --------------------------- / Installer at---- - has been installed in accordance with the provisions of the Town of Barnstable Board of eaI h Private WellftotqEHOA 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 y SYSTEM WILL FUNCTION SATISFACTORY. ` `DATE--- ---- -- - - - -—-___ --_ — Inspector---------------— -- —------------------- -- CON No.--?�'�— --- F) C Fee---- -- ----' BOARD OF HEALTH ` 'TOWN OF BARNSTABLE Zipprtcation-*rWell Con5tructionilermit ATlica 'on is herebymade for a e it to Construct ( ), Alter ( ), or Repair ( )an individual Well at: �_ �� � — o _ ......,��11� ----------------------------- - Loo�tion — Ad-dress — Assessors Map and Parcel n f -------------0- ----- ln/C1 (/✓-Tf�- ---------------- 0 Q ��f► �C_L_ �C�W�l��L.�lY� —— Address �k -- —— —-- —--- ———— -----— _—_—— — _ — -- -- — -- v Installer — Driller Address ' Type of Building �J Dwelling--� L® -- --— Other - Type of Building----------- No. of Persons---- ----------------------------------- yy� a Type of Well � - -� ---------- Capacity----- rp /'� -�� !!-i--------______----- --- Pu ose 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 t place the well in op tionwudtil a Certificate of Compliance has been issued by the Board of H�eealtt ¢ Signed-.,, — — —C'— - —u10 ---- - --- -----. - — - p e date Application Approved date Application Disapproved for the following reasons:---------- -- ----- --- --- ---------------- -- — ---- ----- -------------— date date- ---- --- - --— - --- --- — i Permit No. ?�=— �------ ------ --- Issued-------- -- -- _ BOARD OF HEALTH TOWN OF BARNSTABLE (Certificate ®f (Compliance p THIS IS TO CERTIF ),That the Individua Well Constructed (K), Altered ( ), or Repaired ( ) --Y =- ! IV_N ---------------------------------------------------------------------------------- , ------------------------------- Installer has been installed in accordance with the provisions of the Town of Barnstable Board of Health Private Weell rot ction. Regulation as described in the application for Well Construction Permit No. �! -q---/-Dated!6!uffli? - r •� 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 Well Con5tructionVermit No. ---�/�+_ r Fee------------------- SPermission 's hereby granted--- ,'A•-Q— �,`'-- "_L-- -- ------------------------------------------ to Const ct ( ), Alter ( ), or Repair ( ) an Street as show the application for a Well Construction Permit No.-f /-- Date - — — - — -- --"" --� ---- --- — —- -- - d- -- 0 — -�--�--------- —— —r—— ———— ------- /,, �' Board of Health t(/ t DATE------------- —--,--�- -------------------------------------- i _ _ TOP FNDN. AT EL• 100.25' SYSTEM PROFILE TEST HOLE LOGS ACCESS COVER TO WITHIN 6' OF FIN. GRADE (NOT TO SCALE) / ACCESS COVER (WATERTIGHT) TO ENGINEER. D.A. OJALA, SE MINIMUM .75' OF COVER OVER PRECAST /� WITHIN 6' OF FIN, GRADE 2% SLOPE REQUIRED OVER SYSTEM 100 0' DAVID STANTON _ WITNESS o EL. 98.8' DATE:- RUN PIPE LEVEL 2' DOUBLE WASHED PEASTgNE� 5/23/O2 I � EXISTING - F❑R FIRST 2' 3' MAX. PERC. RATE - < 5 MIN/INCH 500 Rpp. GALLON SEPTIC 97 4' J \ 9 7 0 CLASS I $OIL$ P# 10247 LOCUS TANK (H- 10 ) GAS \91.51 C7 m (OCl E7m CI t l �<4-F REUSE BAFFLE 96.67' 96.17 ceonR sT ED [] CI � [] 0 0 0 I� `� 4' AROUND �q A sr 6' CRUSHED STONE OR MECHANICAL $�.�, = F I C� t� M 0 0 M COMPACTION. U5.221 C2b g`©' ,g 2' 0 � ED 0 0 � 0 0 0 _ 0 94.17' ELEV. - -- 0" 100.9 DEPTH OF FLOW = 4' < 4 % SLOPE) ( 2+ % SLOPE) 3/4' TO 1 1/2' DOUBLE WASHED STON A TEE SIZES, SL INLET DEPTH = 10" I OUTLET DEPTH = 14" _ 4" 1OYR 3/2 LOCATION MAP NTS LEACHI'413 B FOUNDATION--- EXIST. SEPTIC TANK 17' D' BOX 13 FACILI7 Y 4 27' LS ASSESSORS MAP 109 PARCEL 5-5 10YR 5/6 30"-48' B LAYER DIPS TO LOWER ELEVATION AT HIGH SIDE OF C HOLE. 0 105.0 MED/FS 04, \ \ 2.5Y 7 3 03. \ 10 4.0 132„ NO WATER ENCOUNTERED NOTES: / 9 .3 \ 103.2 + 98.4 © APPROXIMATED FROM QUAD SEPTIC DESIGN (GARBAGE DISPOSER IS NOT ALLOWED ) 1. DATUM IS . J 8,5 // �� \\ DESIGN FLOW 4 (MBEDROOMS ( GPD) = 440 GPD 2. MUNICIPAL WATER IS NOT AVAILABLE BENCH MARK - CORNER OF BULK HEAD '�A/ 98.6 \ FOUNDATION. EL. - 99.45' + 995 r 'JSE-- A 440 GPD DESIGN FLOW 3. MINIMUM PIPE PITCH TO BE 1/8' PER FOnT. rn / o ` 7-, 'EPTIC TANK: 440 GPD ( 2 ) = 880 4. DESIGN LOADING FLIP ALL ��r-:i i {aS i 9 .9 . \ C� _" T` �` 5. PIPE JOINTS TG BE MADE WATERTIGHT. � s.7 I u .� 1_500 991 _ JSE A _ GALLON SEPTIC TANK (RE-USE 6. CONSTRUCTION DETAILS TO BE IN ACCORDAvCE WITH MASS. / 100.8 ram__ __r EACHING.- EXIST.) ENVIRONMENTAL CODE TITLE V, REMOVE ANY CONTAMINATED �}, 150 SOIL WITHIN 5' 0! NEW .1 PAVED 99, \ I SIDES 137 7. THIS PLAN IS FOR PROPOSED SEPTIC SYSTEM ONLY AND IS NOT LEACHING FACILITY. _ 9 DRIVE Ij.. 2(33 + 12`$' ) 2 (`74�- TO BE USED FOR ANY OTHER PURPOSE. \ 99.5 +�8 \ BOTTOM: 33.5 x 12.83(.74) = 318 8. PIPE FOR SEPTIC SYSTEM TO SCH. 40 4' PVC. 9 .3 0 o. TOTAL: 615 S.F. 455 GPD 9. COMPONENTS NOT TO BE BACKFILLED OR CONCEALED, WITHOUT o \ INSPECTION BY BOARD OF HEALTH AND PERMISSION OBTAINED + 00.5 EXIST LOT 10 � -�, USE 3 500 GAL. LEACHING CHAMBERS WITH 4 99.2 DWELL. 3 ,854�Q. FT. 9.3 ( � FROM BOARD OF HEALTH, 1 h4 9.4 g•6 .80t ACRES CO �. 99.4 STQN,E ALL AROUND 10, PUMP & REMOVE (OR FILL W/CLEAN SAND) EXISTING 70'�oz.1 °s• 00 / 6, \ FAILED LEACH PITS 103 TH 14 99.2 �0 L + 99,4 �� DECK DRAINAGE \\ LEGEN Ti" E 5 � �-t' rL- 10� '`� 9 5 EASEMENT 94 7-�� 991�� Apo, 100.0 PROPOSED SPOT ELEVATION OF +1 .7 + 99.3 0 �101.3 �--100 EXISTING 100x0 SPOT ELEVATION �� LOTH ROP LANE 103 \ L -9.2.....__C-- � 1N THE TOWN OF: 1Q 4 9r� _ \ 9.8 CP l/ /�-�9g�9 00 PROPOSED CONTOUR (WEST) B A R N S TA B LE >> 106 --- .. �-- - 107 '1 95.1 - 100 EXISTING CONTOUR PREPARED FOR: BORTOLOTTI CONSTRUCTION MITCHELL + log o, 1 I \3 I o '� � i 30 0 30 60 90 � �1 �+ 93.4 .`% ]1q. BOARD OF HEALTH \ rn v p APPROVED DATE MA SCALE: 1" = 30' DATE: DUNE 1, 2002 15, �11 1r0 9 off 509-362-4541 I fax 509 362-9M 0f M�� OF Mgsr down cape engineering, inc, o� ARNE �� q H, f� �� ARNE H. �G CIVIL ENGINEERS oIA1A CD aJ,nLA -n U- 26?4A CIVIL cn : LAND SURVEYORS �� c�sTEaE` N6 107e2 939 vain st, yarmouth, ma 0267502- 121 ►��� �` -- - ARNE H. OJAL �,* �; L. -DATE