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HomeMy WebLinkAbout0060 HARTFORD AVENUE - Health 60 Hartford -}-V. • r,rl of ,S /ah,S, VN, Z L s __ V��r�✓f }W Y X � 4 1 P TO i0V.j'_, OF C' T,'`�!� T Bathroom 1 T-6" i I 5,-711 g g l 5'-5" " II Bedroom I �1 w 11 II II j I g open to bellow __ _ x _ , s ; I 3 § 711�11 l Existing walls to remain _ Existing walls to be demolished ® New walls 278 SF ALICIA RAVETTO AIA-ARCHITECT MORAN-SIMON ADDITION N SECOND FLOOR PLAN-SCALE 1/4"=1'-0" 02/08/2011 CARRBORO,NC 933-0999 TEL ;?r ------------- -- -- --60'3 - -- — — -- - iJ —12' _ —14-5 ------- , 2'10 319 —1113 —=I—— --16'--------= 4'6 2'11 --4-7 =--' - .1'10"1'11 i--.5'9 5'6—= 2'5 ---5'11 ---= --T8-- � I CLO�kHT ou co 10 14'4 X�3'4 "� 11'3— I BEDROOM - - 10' - _: �-3's _ I�1 11'1 x 15'4 � o —4'$ - - N i M OFFICE 15'6 x 11'4' KITCN 277Cx 2,110 01 N M -- —3 3'6 16'2 1'11 }---7'2 -- ------15.10--_— _--- - - i N f[ rn -- ---2119----- -- - —T6—�I --- - UP LIVING Y 0 437 x T6 0 CAD LIVING AREA 1416 sq ft -- 6' -= ---6'---= —3-11 — 3-9 --I--57 --= ---57 4-2'4 .--5-7--= ---518-- 1-- --12'---- - -4�---7'8-- —-----11'2--- I— - --137------={I 44-5 • 1� - 44'4 - - 13'10 ----- ----._�. 57 1\ -- 15'11 .-_.. - --- ----=--4'3 ---�f� 3'2 -------- 615 -- I---- _ - 5'4 - 3'8 - 1 M BATH CLOSET I i N r BEDROOM 5'3 x 7'� s's x �'� 00. 132x119 _ 1 i i 7- � �, BEDROOM 11 777a� i 15'S x 23'S �� N CLOSET `r - i g134 x 6'4 ,- 1 I , OP N BELOW-- -UP 2T9 x ti - - 57 --`4, ---- -- LIUINAREA _ 57 _.._- ------------ 19'9 --- ----- -G AR EA I. 2'1 - 2'1 `f ��------------------- �� - 11'2 ------- ---4'4 -- I� 4'2 637 s -q ft 411 --_ 44'4 -- -- `7 c4-7( 5- y -7 Y fV op ►� YVI -- - �- -i- , CorJ C,f''pj n I �o r.e qF 1, o ll li �- t Z T E .��-- �-�O S-f- S � X � � 1 � \ COMMONWEALTH OF MASSACHUSETTS EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS DEPARTMENT OF ENVIRONMENTAL PROTECTION s TITLE 5 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM FORM PART A CERTIFICATION Property Address: 60 Hartford Ave_ EEEMarG -onG MiIIsOwner's Name: Paul Digfault-Owner's Address: Game Date of Inspection: % --� —Q Name of Inspector: (please print) Wi 1 1 i am E_ •Robinson Sr. Company Name: William E. Robinson Septic Service Mailing Address: P O Box 10 8 9 Centerville, MA Telephone Number: ( 5 0 8) 7 7 5—8 7 7 6 CERTIFICATION STATEMENT I certify that I have personally inspected the sewage disposal system at this address and that the information reported below is true,accurate and complete as of the time of the inspection.The inspection was performed based on my training and experience in the proper function and maintenance of on site sewage disposal systems.I am a DEP approved system inspector pursuant to Section 15.340 of Title 5(310 CMR 15.000). The system- 1//Passes Conditionally Passes Needs Further Evaluation by the Local Approving Authority Fails Inspector's Signature:ZV IT� ✓ Date: 0z-17--6 0 The system inspector shall submit a copy of this inspection report to the Approving Authority(Board of Heanh'ar 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 ****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 I 1 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION(continued) Property Address: 60 Hartford Ave. Marstons Mills Owner: Du f au 1 t Date of Inspection: Inspection Summary: Check A,B,C,D or E/ALWAYS complete all of Section D A. Syste asses: 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 are indicated below. Comments: B. yytem Conditionally Passes: One or more system components as described in the"Conditional Pass"section need to be replaced or repair d.The system,upon completion of the replacement or repair,as approved by the Board of Health,will pass. Answe yes,no or not determined(Y,N,ND)in the for the following statements.If"not determined"please explain e septic tank is metal and over 20 years old*or the septic tank(whether metal or not)is structurally unso d,exhibits substantial infiltration or exfiltration or tank failure is imminent.System will pass inspection if the l tank is replaced with a complying septic tank as approved by the Board of Health. al septic tank will pass inspection if it is structurally sound,not leaking and if a Certificate of Compliance ng that the tank is less than 20 years old is available. lain: Observation of sewage backup or break out or high static water level in the distribution box due tabroken or ed pipe(s)or due to a broken,settled or uneven distribution box.System will pass inspection if(with l of Board of Health): broken pipe(s)are replaced obstruction is removed distribution box is leveled or replaced ND xplain: The system required pumping more than 4 thnes a year due to broken or obstructed pipe(s).The system will p s inspection if(with approval of the Board of Health): i broken pipe(s)are replaced obstzction is removed ND explain: Page 3 of 11 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION(continued) Property Address: 60 Hartford Ave, Marstons Mills Owner: Duf cult Date of Inspection: I- l'7—D / 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 fa ling to protect public health,safety or the environment. 1. System will pass unless Board of Health determines in accordance with 310 CMR 15.303(l)(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. yytem will fail unless the Board of Health(and Public Water Supplier,if any)determines that the syste 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 front 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 11 ' OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION(continued) Property Address: 60 Hartford Ave_ Marstons Mills Owner: Dufault Date of Inspection: System Failure Criteria applicable to all systems:. Yo 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''/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 100 feet of a surface water supply or tributary to a surface water supply. _ Any portion of a cesspool or privy is within a Zone 1 of a public well. Any portion of a cesspool or privy is within 50 feet of a private water supply well. _ Any portion of a cesspool or privy is less than 100 feet but greater than 50 feet from a private water supply well with no acceptable water quality analysis. [This system passes if the well water analysis, performed at a DEP certified laboratory,for 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.] (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 a considered a large system the system must serve a facility with a design flow of 10,000 gpd to 15,000 gpd Yo must indicate either"yes"or"no"to each of the following: (Th following criteria apply to large systems in addition to the criteria above) ye 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. 4 r Page 5 of 11 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B CHECKLIST Property Address: 60 Hartford Ave. Marstons Mills Owner: Duf ault Date of Inspection: 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 V1 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? t/ 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 the tank inspected for the condition of the baffles or tees,material of construction,dimensions,depth of liquid,depth of sludge and depth of scum? Was the facility owner(and occupants if different from owner)provided with information on the proper maintenance of subsurface sewage disposal systems? The size and location of the Soil Absorption System(SAS)on the site has been determined based on: Yes i no . 27 Existing information.For example,a plan at the Board of Health. Y _ 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 11 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION Property Address: 60 Hartford Ave. Marstons Mills Owner: Du f au 1 t Date of Inspection: FLOW CONDITIONS RESIDENTIAL Number of bedrooms(design): 3 Number of bedrooms(actual): j DESIGN flow based on 310 CMR 15.203(for example: 110 gpd x#of bedrooms): Number of current residents: 3 Does residence have a garbage grinder(yes or no): 4 4 Is laundry on a separate sewage system(yes or no):4 0 [if yes separate inspection required] Laundry system inspected(yes or no):A Seasonal use: (yes or no):/L.0 Water meter readings,if.available(last 2 years usage(gpd)): 2 o 0 0 66.400 gal. Sump pump(yes or no):�0 1999 94,000 gal. Last date of occupancy: C MMERCIAL/INDUSTRIAL Typ of establishment: Desi n flow(based on 310 CMR 15.203): gpd Basi of design flow(seats/persons/sgft,etc.): Gre a trap present(yes or no):_ Indu trial waste holding tank present(yes or no):_ Non- anitary waste discharged to the Title 5 system(yes or no): Wat meter readings,if available: Last ate of occupancy/use: OT ER(describe): GENERAL INFORMATION Pumping Records Source of information:-! Was system pumped as part of the inspection(yes or no): If yes, volume pumped:_gallons--How was quantity pumped determined? Reason for pumping: TYPE OF SYSTEM Se is tank,distribution box,soil absorption system _ gle cesspool Overflow cesspool —Privy _Shared system(yes or no)(if yes,attach previous inspection records,if any) E_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): Approximate age of all components,date installed(if known)and source of information: �G 1� © �I Were sewage odors detected when arriving at the site(yes or no): �L v 6 Page 7 of 11 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 60 Hartford Ave. Marstons Mills Owner: Dufault Date of Inspection:/— 17-0 l UILDING SEWER(locate on site plan) De th below grade: Mat rials of construction:_cast iron _40 PVC_other(explain): Dis ce from private water supply well or suction line: Co ents(on condition of joints,venting,evidence of leakage,etc.): SEPTI TANK:_(locate on site plan) Depth elow grade: Materia of construction:_concrete_metal_fiberglass_polyethylene _oth (explain) If tank' metal list age:_ Is age confirmed by a Certificate of Compliance(yes or no):_(attach a copy of cer ific te) Dimen 'ons: Sludge depth: Dista a from top of sludge to bottom of outlet tee or baffle: Sc ickness: Dist nce from top of scum to top of outlet tee or baffle: Dis ce from bottom of scum to bottom of outlet tee or baffle: How ere dimensions determined: Comm nts(on pumping recommendations, inlet and outlet tee or baffle condition,structural integrity,liquid levels as relat d to outlet invert,evidence of leakage,etc.): GRE SE TRAP:_(locate on site plan) Dep below grade:_ Mat 'al of construction:_concrete_metal_fiberglass polyethylene_other (expl in): Dime sions: Scum hickness: Dista a from top of scum to top of outlet tee or baffle: Dista a from bottom of scum to bottom of outlet tee or baffle: Date f last pumping- Co ents(on pumping recommendations,inlet and outlet tee or baffle condition,structural integrity,liquid levels as rel ted to outlet invert,evidence of leakage,etc.): 7 Page 8 of l l OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM, PART C SYSTEM INFORMATION(continued) Property Address: 60 Hartford Ave. Marstnnc Mill Owner: nufault Date of Inspection: IGHT or HOLDING TANK: (tank must be pumped at time of inspection)(locate on site plan) De th below grade: Ma erial of construction: concrete metal fiberglass polyethylene other(explain): Diif sions: Caty: gallons , De Flow: gallons/day Alpresent(yes or no): Allevel: Alarm in working order(yes or no): Da last pumping: Coents(condition of alarm and float switches,etc.): DIS RIBUTION BOX: (if present must be opened)(locate on site plan) Dep of liquid level above outlet invert: Co ents(note if box is level and distribution to outlets equal,any evidence of solids carryover,any evidence of leak a into or out of box,etc.): PUN P CHAMBER: (locate on site plan) Pu ps in working order(yes or no): Al s in working order(yes or no): C mments(note condition of pump chamber,condition of pumps and appurtenances,etc.): 8 " Page 9 of 11 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE'SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: tin Hart-fa-rd. 1Ave. MarctnnG Idi I I Owner: n„f a„1 t Date of Inspection: SOIL ABSORPTION SYSTEM(SAS): t (locate on site plan,excavation not required) If SAS not located explain why: Type ✓leaching pits,number: leaching chambers,number: leaching galleries,number: leaching trenches,number,length: leaching fields,number,dimensions: :TZoverflow 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: +Z (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: 3—;l ' Depth of scum layer: /—t Dimensions of cesspool: Materials of construction:l• Indication of groundwater inflow(yes or no): Comments(note condition of soil,signs of hydraulic failure,level of ponding,condition of vegetation,etc.): C)v1;�✓Z Y—/o 1�ial:C -' y1a /—,.t� PR (locate on site plan) Mater als of construction: Dime sions: Dept of solids: Co ents(note condition of soil,signs of hydraulic failure,level of ponding,condition of vegetation,etc.): i 9 Page 10 of 11 ` OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 60 Ha rt-f nrrAve. Marstons Mi11c Owner: Dilfanl t Date of Inspection:e t7— SKETCH OF SEWAGE DISPOSAL SYSTEM Provide a sketch of the sewage disposal system including ties to at least two permanent reference landmarks or benchmarks.Locate all wells within 100 feet.Locate where public water supply enters the building. • C 1 `YJ 10 Page 11 of 11 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 6() Ha rt f nrd Awe Marctnnc Mi11S Owner: n»f a u l t Date of Inspection: 1 I?—6 SITE EXAM Slope Surface water Check cellar Shallow wells Estimated depth to ground water 4�,6 feet Please indicate(check)all methods used to determine the 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 Board of Health-explain: Checked with local excavators,installers-(attach documentation) Accessed USGS database-explain: You must descri e h w�ou established the high ground ter elevation: 11 av LOCATION SE'AGE PERMIT NO. VILLAGE A & B CESSPOOL SERVICE >. y 128 BISHOPS TERRACE, HYANNIS, MA 02601 BUILDER OR OWNER DATE PERMIT ISSUED r DATE COMPLIANCE ISSUED �. `/3 - g% , . v \l Aspci� No......8:-. _.�... Fws..$... ...... THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH Town Barnstable OF............................................•---..........--------•..............-------•- Appliration for Disposal Works Tonstrnr#iun rrinit,. Application is hereby made for a Permit to Construct ( ) or Repair ( x) an Individual Sewage Disposal System at: , 60 Hartford Avenue, Marstons Mills, MA 02648 ................-........_...................................................................... --...--••---------•----••......•-•---....._..-••--•-•----••-•----••••......------•........---•---- Paul Dufault Location-Address 60 Hartford Avenue,L° °rstons Mills, MA 02648 ....................._.......................................................................... .......--•-••............-•••---•-•-•----•--•••------................-..._............ -........_ W A & B Cesspool Servi��, Inc. 128 Bishops Terrace, annis , ,MA 02601 .......-- .... •------- Installer Address d Type of Building Size Lot............................Sq. feet Dwelling—No. of Bedrooms...............3..........................Expansion Attic ( ) Garbage Grinder ( ) 14 Other—Type T e of Building No. of ersons............ Showers P� yP g P .5---_--------- ( ) — Cafeteria ( ) Q' Other fixtures ------------------------•------- . 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 ( ) aPercolation Test Results Performed by.......................................................................... Date........................................ Test Pit No. I................minutes per inch Depth of Test Pit.................... Depth to ground water..........._............ Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ R+' --••----•----••------•--•-•------------------------•----•••••.......----.............._...................................................................... 0 Description of Soil...------Sand..................................................................................................................................................... U ------------ ----------- •--------------- ------------- ------- ----------------- ------------------------------------------------.-.---------•---------------•------------------- W UNature of Repairs or Alteratio s—Answe when applicable_installati on of a 1,000 gallon,...pre-cast, stone packed leach pit �overflow . -----------------------------------------•------.....--.. Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of T ITI1 5 of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Complianc . +issued by 84 t e b a Itl� Sign ...........x. - ._..:.. 1 8�13� ..... to ApplicationApproved By..............••----••-------------------------•----------••-•----.................------------•• 8/13/ Date Application Disapproved for the following reasons--------------------------------------------------------------------------------------------------------------_ ........--•................................................................................•---..........---------•--•...-•-.-------------------------------------------------------------------------- Permit No........�. ....................•---...-••••••----•--. Issued............8/13/84--•---.....Date....... Date �mm . _-..00--- , THE COMMONWEALTH ormAsSAoxussTrs � ����J� ���� ���� HEALTH-- _ ' '' '-_ ~~. ----------Tolm ...................OF.......__ |"+~ ��«���=' | �'�����«»� u��w Disposal �@���]�� �� � � ° -----._-~-~�~-_°° ��~*��^� is hereby made for u Permit to Construct ( \ or Repair (X ) an Individual Sewage Disposal - _F&__02�l��_____�______ L"=o" 'A�,,"° -'__--_-'-_'--_'--_-----'---------- --------'--'---'-_----'-----_______ 60 ~ 02648 v°"" ....� Cers - Installer ���----'-'------' '-~---=====�=-��������-'���������'�-�'c�--'�����_ Ty pe AddressAddressT-', ----,, SizeLoL`' '' ------So'/ (`feet Dwelling of Bedrooms 3-_-----_---Expuoxiuu Attic ( ) Garbage GrinderOtber- I`mr of Building ----'----.---. Du of y�rsoua..........~--------------- Showers Cafeteria Other fixtures ))' ^ ' Design , '.gu.uooa per person per day. Total daily flow-------------------------------------------gallons. Septic Tank—Liquid capacity............gallons Length -- Width- -'--' Diaootcr Uiuyo�dTrench- Nu -.----_-- Width�'_ -' Dent6- ------ ' ' Io tu �cort '-'---- Totu-l-leacuu~� area---____a� tcSe�a� Pit No.. .--' D�uc�r --_.. Depth b�nmi�o�_'------_ Iotu leaching ure�-' ' '�g' �.�t6crD�tr�udoobuo / ) Dosing ' ) Percolation Test Results Performed by .________________._________-----'_ �� ---------------------_____--_-_------ --utc--'--"-'----------- . ,4 TestPit No. l.----.-.minutes per��6 Depth of Test IiL''-'---'- Depth n/ ground ~~ e^'--'-''----'.Teo Pit No. 2_'---_-�ioo�nper inch Il of Test Pit ----------- ' Depth to ground water........................ Swn&Description c6So�-.---' _______._.________ ___- ____.--'-----' --'-'--'------- _'------.-'__-'---__'-'___---___'___---_--_'_--_-_-''_--.-_-'__'_--__---'-------'--------_ Z. ---__---_---_--_-'---_'_.-_---_-'___--'_-__-- L) Nature of orAl�rud000--Answer when ��� �' ----'---'-----' ^^ ���------------- o - - ' . ���� Agreement: _______-'- ----_----'_-----____-- The undersigned agrees to install the uforedemribed Individual Sewage S��m � u�o�a�c �� �e of�I��E �of �� 8tmz Code �6e -- -~'`^~ System�~^^^`°^� -- oouorv4goeufurther agrees not to place the system in operation until a Certificate of Compliance 13/84 Signed ~ - -- --- -- ---'------ Application Approved By_________________ . _ __ ________ __. ________ --------- ........^..................... - Application Disapproved for the following rmasomx:.------------ �� ------.----..----------------------- -----' ------------'-----------------'----------'-----'--------------'--------''---------------------'------ - rmooit N Date Date THE COMMONWEALTH oFmAssxCHusETTs BOARD OF HEALTH --------.2own.-.OF................Ba=table ` Trrtwfiratr of _- lianre THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ` or "^�°umuby....^-'..A"*&'- p � ut__ ^= = ^ . q �, __'-_, ___ _____ ___ has been installed in accordance with the provisions of'TITIR 51 of The State Sanitary Code ed in the THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARAN.TEE-_THAT-T.H.E SYSTEM WILL"FUNCTION SATISFACTORY. THE oowMowWsAcrH OF wxsSAoHussrrs BOARD OF HEALTH ---------��?�.-���F' BLIMtable No -----^-^--'~^- -'-- �'_��/�� --_----_--. Di sposal TwOnstrmlivit Permission is hereby �L��]� ~ -' ----- '^"===��`��-���'����o-.�+��.-__.______ to Cnoa�oct ( ) »q an In6��6u� S D ''''--'-'--'----------- � �� �� ���o��'� ' u'--'�~- .��o�'�^-'8����gtQ�_ _�� _0�b48_~_Iax�L..Dmf��xIt_____________________ as shown on the application for Disposal Works Construction I`cr-mit--'No-�--' ted---.8/13/84 _____________________ ---�c�c'�~-'- DAZ?I---- »"=��/ H=/�...........................8/-1-3/84 �� popw 1255 ^. M. suLmw. /wo' aosrow . x f WILLINGT�CUS h LOT ,75 ! �, TFORD LOT S84 56'00' ' M. •Cf A. 103-132 74 '� LgA,� r HAR yy • N - ``�y�aNAVE y t C$. O " (FND)_. _ m SHUBAEL THIS PLAN IS BASED ON AN K POND INSTRUMENT SURVEY AND THE' MONUMENTS FOUND, AS SHOWN y ESIpE ON THE PLAN. LAK o SUBDIVISION MATHEMATICAL CLOSURE PROBLEMS WERE FOUND. MARSTONS MILLS o LOCUS MAP PLAN REF. 157-97 & 276-83 DEED REF 13845-255 LOT 83 ZONING. "RF" LOT 84 A.M. 103—045 Aza , A.M. 103—046 SETBACKS. 30'-15"-15' FLOOD ZONE. AREA=20,800fS.F. PANEL NUMBER. 250001 0015 C DATED. OB-19-85 LOT 85 A.M. 103-047 PLOT PLAN OF LAND W DECK LOCATED AT o 60 HARTFORD A VENUE' 0 14 7' t MARSTONS MILLS, ILIA. EXISTING PREPARED FOR. , S USA N SIMON dbbddAd JULY 17, 2007 G,S_E S�ISG qi S EPH=l �� REV J. A DOYLE REV A i a e ohs REV URI . 1 YANKE'E' LAND SURVEYORS (FND) S84 56'00'E' , J & CONSULTANTS. 130.00' GRAPHIC SCALE P. D. Box Zs5 —` C.B. UNIT 1, 40 INDUSTRY ROAD U (FND) �20 o io zo ao MARSTDNS MILLS, MA 02648 11 AR•TFORD A V 11 j T T TEL 508-428-0055 FAX 508-420-5553 o wa 1 � (J� r ry? 1 inch = 20 ft. SHEET 1 OF 1 JOB # 54245 JF IL I