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Home My WebLink About0209 PLUM STREET - Health 209 PLUM STREETV.: ; A = 196 036 W ' box(\S�fKb U, e 0 w y t k ®©✓ �✓ k a �N SUBSURFACE SEWAGE DISPOSAL SYSTEM. INSPECTION FORM Address of property �Q sT 1itl /3!�/2rtJS'TA13C owner. s .name. 4k el Date of Inspection PART A ,{ cHECRLIST F 4 Check if the following have' been done: 3 p Pumping information was requested of theowner;' occupant�°;��arid Board of k Health. None of the system components have been'pumped-for at. leash two.weeks and the system has been receiving normal flow rates .during,,,t at ' - period. Large volumes of water have not been introduced into the,. system recently or as part of this inspection. tk r{ �As built plans have been obtained and a;Lamined. Note if, they.,are not x� available with N/A. -.` ',..�..... c The facility or dwelling was inspected for signs of sewage, . g 9 P y y The site was inspected for signs of breakout. V ` V, y All system components, excluding the SAS, have `been at-.loced:'on the site. �` v The septic tank manholes were uncovered opened and`-th .il nterior o c ,, p , e f i the septic tank was inspected for condition of baffles ,oF"riees, material of construction, dimensions, depth of liquid _ depth'-of sludge, depth of scum. The size and location of the SAS on the site has been determined base( n existing information or approximated by non-intrusive methods, The facility owner (and occupants, if different from-owner)'•`were F provided with information on .tte proper maintenance-'of,"SSDSc '"' 7 ks ' SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM ,I t` PART B SYSTEM INFORMATION FLOW CONDITIONS If residential _L number of bedrooms number of current residents O- garbage grinder, yes or no 11 es laundry connected to system, ves or no .A4rZ seasonal use, yes or no If nonresidential , calculated flow,: Water meter readings, if available : 5,; 4C45 Last date Of Occupancy GENERAL It '; IATION Pumping records and source of inforzna c _)n: System pumped as part of insper_.tion, es or no Yes, vol Y Y volume pumped Reason for pumping: Type of system _A-**-- 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) Other (explain) Approximate age of all components. haez installed, if known. Sourc e ce of /✓� Sewage odors detected when arriving at the site, yes or no r .. 1 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORK PART B SYSTEM INFORMATION continued SOIL ABSORPTION SYSTEM (SAS) : (locate on site plan, if possible; excavation not required, but may be approximated by non-intrusive methods) If not determined to be present, explain: Type leaching pits and number j-/DoJ S°A/ �. . P ,+ ; 5� leaching chambers and number leaching galleries and number leaching. trenches, number, length leaching fields, number, dimensions overflow cesspool, number Comments: (note condition of soil , signs of hydraulic failure, level of. .pondirig, condition of vegetation, recommendations for maintenance or repairs,etc. ) CESSPOOLS (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 (cesspool must be pumped as part of inspection) Comments: (note condition of soil , signs of hydraulic. failure, level.*of ponding, condition of vegetation, recommendations for maintenance or repairs,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, recommendations for maintenance or repairs,etc. ) r. . C <;. SURSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM % PART B SYSTEM INFORMATION continued SEPTIC TANK: (locate on. site plan) depth' below grade• t ,� material of construction: y concrete metal FRP other(explain) dimensions:_�,t sludge depth X.,Y40 distance from top of sludge 'to bottom �f outlet tee or baffle scum thickness .L_'_ distance from top of scum to top of ou".let tee or baffle ` ± _,,5'/_ distance from bottom of scum to bottom of outlet tee or• baffle Comments: (recommendation for pumping, condition of inlet and outlet tees or baffles, depth of liquid level in relation to outlet invert, structural integrity, evidence of leakage, recommendations for repairs, etc. ) 01 4L w. .� DISTRIBUTION BOX: (locate on site plan) depth of liquid level above outlet invert Comments: (note if level and distribution is .'equal , evidence of solids 'carryover, evidence of leakage into or out of`box, recommendation for repairs, etc. ) PUMP CHAMBER• (locate on site lan) Pumps in working order, yes or no Comments: (note condition of pump chamber, condition of pumps and appurtenances, recommendations for maintenance or r- pairs, etc. ) S SURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B SYSTEM INFORMATION continued SKETCH OF SEWAGE POSAL SYSTEM: include ties to a le st two permanent references landmarks or benchmarks locate all wells wi hin 100 ' J_` � 8 3y� S'1' DEPTH TO GROUNDWATER ads depth to groundwater method of determination or approximation: ffj'e o 1d�Dla w e4Tc �� yK ao wLSn rjoll., (LECo1�0 r`/1c,n SITS A-TZ i4810 EF�QI� Sv+LU��/ DAP `C�sz' 1 �� W lTt.��SSc Q J Kc' �o co�i i FjA*2u5�Ahc� tSoRtA 6F Vtcge T f ft s i r-n - ea o �u�"rS Cc w.�� w lT It IeLf sytTia;-S i SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM �"� PART C FAILORE CRITERIA Indicate yes, no, or not determined-;(Y, N, or ND) . Describe basis of determination in all instances. If "Inot determined" , explain why not) Backup of sewage ewage into facility,'i. �j Discharge or g ponding of efflunt to the s surface waters? urface of the ground or Ai Static liquid level in the distribution box. above outlet invert? NI Liquid depth in cesspool <611 :below invert or available volume< 1 2 da flow? Required q pumping 4 times or more in the last year? number of times um ed P P 12/ Septic tank is metal? cracked.? structural) unsound? substantial infiltration? substantial exfi"tration? tank failure imminent? Is any portion of the SAS , cesspool or privy: S— below the high groundwater elevation? within 50 feet of a surface water? f. 411— within . 100 feet of a surface water supply or tributary to a surface water supply? within a Zone I of a public well? within 50 feet of a bordering vegetated wetland and or salt marsh (cesspools and privies only, not the SAS) ? within 50 feet of a private water supply well? /v less than 100 feet but greater than 50 feet from "a private water supply well with no acceptable water quality analysis? If the well has been analyzed to be acceptable, attach copy of well water analysis for coliform bacteria, volatile organic compounds, ammonia nitrogen and nitrate nitrogen. 1_ \ e SUBSURFACE SEWAGE DIS,'?OSAL SYSTEM INSPECTION FORM PART D CERTIFICATIOV Name of Inspector _ C Company Name d' �z/S i3�zaS Cc�ysT Company Address 3 Certification Statement I certify that I have personally inspected the sewage disposal system at this -address and that the information, reported is true, accurate and complete as of the time of inspection., The _inspection was performed and .any recommendations regarding upgrade, maintenance and repair are consistent with my training and experience .in the proper function and manitenance of on-site sewage disposal systems. Chec one: I have not found an inf ormation formation which indicates that the system fail: to adequately protect public health or the environment as defined in 310 CMR 15. 303 . Any failure criteria not evaluated are as stated in the FAILURE CRITERIA section o`f this farm. I have determined that the system fails to protect public health and the environment as defined in 310 CMR 15 . 303 . The basis for -this determination is provided in the FAILURY CRITERIA section of this form. Inspector' s Signature Date Original to system owner Copies to: Buyer (if applicable) Approving authority jf j • i „ �f L0CA�OD � �/ 7 �' SEWAGE PERMIT NO. LC,IN-'s 9 s 'r o 6 VILLAGE INSTA LLER'S NAME & ADDRESS 8 U I L D E R 0R WNER n DATE PERMIT ISSUED ) ' DATE COMPLIANCE ISSUED C46, 1 .t `3� r y No. ......��......Z THE�COOMyN 1ALTH OF MASSACHUSETTS �o OF HEALTH ...... oF.... ------------------------------------- ApplirFatiun for Uiipuual Works Tuntitrurtiun amit Application is hereby made for a Permit to Construct (Z-I'-or Repair ( ) an Individual Sewage"Disposal System at: III .........--•--.._----_... -- 7------S��/_VL...� . ?- . •. .. ..& ... .. ..- -- Location- dd'ess G9 or Lo N i ] ....................•----- S� eletch �..... Owner y...----.. ......................... s Installer Address Q 2L d feet 5 Type of Building Size Lot___________________________S q, U Dwelling—No. of Bedrooms............../..........................Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ____________________________ No. of persons............................ Showers ( ) — Cafeteria ( ) Pa Other fixtures -----------------------------•------------------------------------------------•--••-------------------------------------------- W Design Flow.................6:15 _--__.-.------___gallons per person per day. Total dail flow ______._.______.��_..................gallons. /Wr O lions Len th._3 y�" Width! ��' Depth- e " °'� W Septic Tank—Liquid capacity. !.. _.ga g Diameter________________ !__= ._. x Disposal Trench—No_ .................... Width.................... Total Length.................... Total leaching area_............_--....sq. ft. Seepage Pit No........f---------- Diameter---��_-P.... Depth below inlet._- ---_ld__---. Total leaching area... Z Other Distribution box ( 4-)— Dosing tank a Percolation Test Results Performed by--- ................. Date__ Vz _....- ,-a Test Pit No. I.__._.,�rr'.......minutes per inch Depth of Test Pit......12________ Depth to ground waterf/6.1Vej2;_. A,1C,_��,�y�,�� Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ •--•---y--------------------•------•-----•-•-•--------------.....p................................_.....-------;---------..---..........--•---...---•-••-- O x Description of Soil ._ /........ .... . ..----z-----6.1!�flJt z_ W 1u 1 -: �d Li_� T ----JZI S�?s .. ,i �,f`"� :5VA.-t5............................... ......................................................................................................................................................................................................... U Nature of Repairs or Alterations—Answer when applicable---------------------------------------------- --•-•---•-------------•---•----•----------••----•-•-----•---------------•--••••--•----.........._...---•-•-----------------•--•-----•--••-------------••-••------•----------------------•...--•---•---- Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TI'111 5 of the State Sanitary Code—The undersigned fur , s not to place the system in operation until a Certificate of Compliance h issu by d i th. Signedl•••'- ----- ---- ---- - -----------• --�1 1/ ---------- Date Application Approved BY ------- `--�lrVL��...............•-•--------._......-- ----.-=?/I-f V. ............... y Date Application Disapproved for the following reasons---------------------••-•----•---------------•----------------•-------------------------------•-•----..._------ ....--••------•---------------------------------••-•-----------•-•-----•---------._...-----•-------•-•------••--••-••--••--•-••------•-------------•-•-••---------•---------•------------•------....... Date PermitNo......................................................... Issued....................................................... Date No.. s ..._.: .:. FEs...�s _ ...._ THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH •% ..................OF..... 1.,!'. ' . ''.r•?�`..�.'a-'.�_..6�-----------•--------------------------- Apptiratiun for Dhyvii�al arks C�untitrurtivat ramit Application is hereby made for a Permit to Construct (4- 'or Repair ( ) an Individual Sewage Disposal System at: �I_.. -------------------------- ,- r��3 Location -Address or Lot No. ..._ k Owner Address, Installer Address Type of Building Size Lot............................Sq. feet Dwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( ) `4 Other—Type of Building No. of persons............................ Showers — Cafeteria a' Other fixtures ............................... .. ------------ ----------•-----•-•-----••-•-------•-- ----•------------.....Jr'' ------------------------- W Design Flow................ ....._._.f._.,....gallons per person perday. Total daily flow__.____...._.__. .:�_...._._.....-_...gallons. WSeptic Tank—Liquid capacity 16 gallons Length___. ��'. Width_:____/0' Diameter................ Depth_. ___"?__. W Disposal Trench—No..................... Width_.,____._,___._... Total Length.................... Total leaching area____ •--_---_-_-s . ft. Seepage Pit No........I.......... Diameter...f✓.�_f�--r. Depth below inlet__ .�........ Totai leaching area..: 'f+ .:. � Z Other Distribution box ( Jj" Dosing tank ( ) ,,,.; aPercolation Test Results Performed by.... �` ?? ................. Date. ,-./- Test Pit No. I.._.._ .....minutes per inch Depth of Test Pit....... r_____ Depth to ground water". 4'e Gc, Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water.....................__. O Description of Soil----- -- . y '�G%• �.�ha1g. � �/ �� t/ '-- -lky v -------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- W U Nature of Repairs or Alterations—Answer when applicable............................................................................................... ••------•-----------------------•--••------•-------------•-•------------•--.......------•--•-----------•----•-•-----------------------------------------------......................................... Agreement: The undersigned "agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Sanitary Code—The undersi ned.firtker-ag�e-es not to place the system in operation until a Certificate of Compliance hai�issu by ad fieath. Signed ..•••. `- , Date Application Approved By........... v�-�a-4.----••-•-----._......._......---•-- ----------- -!-.!(-t-�-------•--•-•--•--- Date Application Disapproved for the following reasons---------------------------------------------------------•--•--•-----------------------------------•--........... ..............................-----------------•--•---------------------•-----•--.....------------....--••---••-•---------------•-------------•-----••--•--•--••--•--•-------........................ Date PermitNo......................................................... Issued....................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH . ................oF............: ✓ " , ...................... ....... Trrtifiratr of TompliFaurr THIS IS TO RTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired ( ) bY-------------------------...-•-•.. ...................•--._.____............_......_..----Installer-•-----....-----.......----...._._...._......_....----------------•--..:._•.-----_._.-..------ L. er 1 C, � -1 ....�...... has been installed in accordance with the provisions of TITIQ 5 of The State Sanitary Code as 'escribed in the application for Disposal Works Construction Permit No._____--_.�- = v _... da.ted_._`�_._(_ --------- - 7-2 THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUE® AS A GU RA TEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. � �-•--------------------------•----•--.....---••-------•_-- DATE............------•-- -2=--�-��-(---•---•------------------•---. Inspector ------- ---�v�_ b I THE COMMONWEALTH`OF MASSACHUSETTS BOARD OF HEALTH _2- 90 41 ..................oF.... )41/!'!L�%' No.. `�.................... FEE........................ iu�ruuaLa f ur�uy Tuniotrudivat amit Permission is hereby granted ---------------- ...----•-------------------------------------••----.........------................_........ to Construct (`-) or Repair ( ) an Individual Sewage Disposal System ................................ -------------------------------------..--------------------------------•--------------------•------------------------•---.....__...•. Street Y as shown on the application for Disposal Works Construction Permit No.�: ... f`�.��. Dated.... ' .L .................... l :.. -------- -- ------- Board of Health DATE---`-� - ................................................. FORM 1255 HOBBS & WARREN, INC.. PUBLISHERS - f j SOIL LOG NO. 1 NO. 2 0 S1 E PLAN c�Nz-,�v TC P � P, ��v --..'"' �v� �^ice �� E a,s Lov.= ra- Ts wNS�.L/Dfa7-C� L--- Cvi1./SG� �17f TOP OF FOUNDATION EL 56 ` '�' / • c W c 1 bF G,Z + o� �'/ M G[Af/S _- 6 J" Sr6lye, a ° • --- j r ZE ►uFo2L�ra -- • i i2Al4E Gove-(Z 10 eo' IN,EL. ' IN. �i'z . 51.o G - e IN.EI. r o 11 p. . E� 2e COVER 1/8- 3/8 WASHED STONE �� »,� ,v0 ivy •b IN.EL.S L ' S!,� o, G Do v '{.. a oo I -- ----- 12 t . IN.EL. G/VCG'c-,�/T6.R�L.. 13 - �/'vcvu�., 7 o 6 61• D/B W/ 6"SUMP IN. EI. $� aQ a • o 0 3/4� 1 1/2� WASHED STONE 4 LIQUID LEVEL • 6 -6 b e ° 14 4 ° 15 o booDoVo ; G-EfF. EPTH� ° PERC _RESULTS o •' E� 4'1 L' o ovb i bpba d ° 0006 ; , , o UO PERC RATE: M ►N. � NCH PRECAST SEPTIC TANK WITH °°°O c6 F o a°D PRECAST LEACHING PITS D o°o b b 6 N : �_ SIZE : � ' � U ' E FF �hpr WHITNESSED CAST IN PLACE INLETAN EL. 4•� ° ° �• — s. az- o8- za E �R�S—„a.es� BOARD OF HEALTH OUTLET T 'S PER TITLE + - _ _-- �-- . _ -_ _ � D I A . ST" DATE:SIZE : ►o a o . A�.1.Ca_ly1.� --- - - - 8 8'?o"..Lcu-cz-�x_ i_C "_Y�Lib�_•s �`_ 3".-L�. .P P 1�DIN. , s`R � 8- 3t� i),A A. MASONRY GLALVERr; PROFILE OF PROPOSED SEWAGE SYSTEM E DESIGNED BY THE TOWN OF � �RNST��-E- REGULATIONS AND SYSTEM STATE TITLE V FOR SUBSURFACE DISPOSAL OF SEWAGE SCALE : 1/4` = 1 " 0" 1. All PIPES SHALL BE SCHEDULE 40 P.V.C. SEWER PIPEg � 2. ALL PIPES SHALL BE SLOPED 1/4 PER FOOT EXCEPT FOR > / D / B WHICH SHALL BE LEVEL THE FIRST 2 FEET OUT OF THE � ' 3. DESIGN FLOW BEDROOMS AT 110 GALDAY PER BR. IIo GAL/DAY Ito I�s 0 i •� / � �t e w ��.:S: `, 1 �` � � }` f•! ..�-- � �, 1 � ,,` ` , I �-I � \ SEPTIC TANK SIZE X t.s � GAL. USE ,aoo GAL. W/ nwr GARBAGE DISPOSAL h Ar' LEACHING SYSTEM: USE - \ \ \ I (o ' -DIN l✓E � �F,�r4C, �;� � ��oec.�p� �' try ram" `�0 I \ \A_! t .. L' o r- ST 00 E_ f / SaS� :61T Pie EFFECTIVE AREA : SIDE irx It� x c� I, t� � - 3 �Z U�� i��y f /;r '�5� ; 1 ► + ; r 13�p� 0 BOTTOM i`tx \o z ¢ '` ,�� _ ss C, ALI� AY �; 1 . ► i � ' ; I ';J 1 TOTAL FLOW a_ t rky . TOTAL REQ O FLOW X W/ aLaT GARBAGE DISPOSAL RESERVE FLOW G7 GAL/DAY P_CRt- UJ'� ` a 1.Sbs t� � �>(al QZ ' ��OVIDED 5 `I\ \ � \ I � t •t \ J f ti n I s 2,7 xIS4 = 4c) ado 45' f'Q'o viocD 7' / r'y -� � � \ � \ � �: . `1 � , i `•� ! J { 1 , � � 3S ; ; ' ' N ,-� REFERENCE PLANS , -ra.KA -ToP c.is bA �g•�--� N1. 8.4- 14- d� Vim! 15Z.�2 t ; I Kj f APPROVEDJBY : N _ BOARD OF HEALTHfbKtiRHDGppRov �8 18 , \ s rK. � I I DATE': n�L_o�� Her-- f KA . ,� SITE AND SEWAGE PLAN PROPERTY OWNER : � • � ��. E0R : 0,nt-0F:plE£- HoFFNtAaJ 'BEDROOM SINGLE FAMILY DWELLING Ic l LOTS .. � fs DATE A PF'L/LA 07 S.ti'°✓c v RE r�wi,lL +Ai i s OF Ott, °e"�"'`V' Tu , �� -,' `Y i DOYIE � ASSOCIATES FALMOUTH , MASS . '.tii►fh vl,P, is C,. L. c /3t s 4D E�,t�1'�.,, ... .1f��ti� I I tI , t � 711 , I i 1_'_--1t� i � bUct c �- r } , , s I t i U� I ■ ` ( i 1 � _a — i i �{I!! I i f ttf • KHRHOO i r t ---------__ _-.. - --- - --- -------- — — _- --- -- - - - -- -- _._ i f 1 f + i t '4 j R b O i S'L_I 0� I Ll - ' l •( + � .i ,F �� Y `t rr + T7- LI it r � � CL� I j � 1 - I 1 ( I APPROVED a , i QKHRHDC I 6 + S 0 1 L LOG N0. 1 0 N0 -2 SITE PLAN 2 - = 3 _ - ---� 4 , e , 5 — TOP OF FOUNDATION EL .: ` �, _ - - ;��- �. �5E o- r� - -� - - J F �_ - 6 ; ° EL 5 5 5-4. 5 i r, - 7 i o ° A 9 o \ -- To ` r.ir �� i . ienuc .tom • ' - IN El 52 — �Z•A ri10 _ e IN.EL. IN.EI. 11 2 COVER 1/8 3/8 WASHED STONE , X, INAL. o• u IN. EL. so. o^� 1 2 L 4' LIQUID LEVEL D/B W/ 6 SUMP Qe C1°o" , ° ° 3/4 1 1/2 WASHED STONE 13 6 61 ° C, 14 . o Q v c � ° � . o boor, ` 6"EFF. DEPTH ' ° 15 �_ _� •. • _-_�� o 0b e ° °° v PERC TEST RESULTS PRECAST SEPTIC TANK WITH ao eDOC • ° " " PERC RATE : Oob � �p D C PRECAST LEACHING PITS CAST IN PLACE INLET AND o ° EL. 4--� NO.: _ �_ SIZE : � ' � ' E FF tit-l7 WHITNESSED BY : OUTLET T "S PER TITLE � z- oa- za , 84R�S�� _� - BOARD OF HEALTH SIZE Ic)Go c,A -.�of DIA . � � � STK. _ �-- __ ,' STK. I I MA ,.o. 4, ,0., wil, r- x, s*2s" oF�-F DATE: _ �- - - �, ,�e, e-�-e.�. _ --- �— 1�DIA. sre :- `' .�` ��.�o _ �_3 oa4 NoTc ; t An CULVP_RT/. r 1 Li,' li ►.n to s o ra R y Q`, F3oA C ULvr-RT 39 \x\ , .a PROFILE OF PROPOSED SEWA E Y TEM ' G � ��¢ S S , -� Pa��S��. SYSTEM DESIGNED BY THE TOWN OF REGULATIONS AND 71� STATE TITLE V FOR SUBSURFACE DISPOSAL OF SEWAGE . SCALE 1/4"= 1 ' 0 "� N � \� c N . B . �� I 1 . All PIPE SHALL BE SCHEDULE P.V.C. SEWER PIPE ~ Iinh��F•� � ' S S L SC 40 2. All PIPES SHALL BE SLOPED 1/4 PER FOOT EXCEPT FOR THE FIRST 2 FEET OUT OF THE D / B WHICH SHALL BE LEVEL J - �- -k _ 1 r.s1►c. \ 3. DESIGN FLOW BEDROOMS AT 110 GALDAY PER BR . "-__ GAL/ DAY SEPTIC TANK SIZE _ X _____ GAL . _ USE _ GAL. W/_ GARBAGE DISPOSAL _ 1 a=.c_� �.�i-- LEACHING SYSTEM . USE EFFECTIVE AREA : SIDE BOTTOM TOTAL FLOW _ ►� � ' !z 3, ,^ TOTAL REQ 'O FLOW ___ — X = >>o _ _____ W/ T GARBAGE DISPOSAL RESERVE FLOW GAL/ DAY _ ISO = 4r3 , Q * ��) r 1 i \ - - -► 4S N i REFERENCE PLANS : -__- _ - _.. _ ---. -_ ___--__ ___ _ -- R / Fes."•.. ToF- c r 1 APPROVED BY , 60ARD OF HEALTH DATE : ��NI PROPERTY OWNER : �F-s= KA,& 1/1": ¢;4 SITE AND SEWAGE PLAN ,i FOR . D �a� F.c !-� or � ti o. • . BEDROOM SINGLE FAMILY DWELLING - - -- — L O T DATE DOYLE ASSOCIATES FALMOUTH , MASS .