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0029 HOLDER LANE - Health
29 Holder Lane,Marstons Mills f �oFtH�E r� Town of Barnstable P# /46 ?// �g o Department of Regulatory Services r'l BARNSTABLE, * PUbI1C Health �1V1Si011 Date MASS. 9�0rFn �A�e'� 200 Main Street,Hyannis MA 02601 hw.? ' I Date Scheduled Time_� Fee Pd. c: 1� r; ' Soil Suitability Assessment for SejMDisposal Perfonned By: 6-joo Cat\ Witnessed'By: V ) LO.CATION:&.GENERAL.INFORMATION �W</ w, Location Address a g b����, Owner's Name Address S: Assessor's Map/Parcel: /� �S Engineer's Name bow— c4f t NEW CONSTRUCTION REPAIR Telephone# &e Land Use r)[�-5t �6G� Slopes(%) ems Surface Stones 'ALL Distances from: Open Water Body �rw� ft Possible Wet Area f++tCQ ft Drinking Water Well�t6Q ft Drainage Way ��/ ft Property Line >t V ft Other ft SKETCH:(Street name,dimensions of lot,exact locations of test holes&pert tests,locate wetlands in proximity to holes) IAS INS 33y,� Parent-material(geologic) 6a, I Depth to Bedrock Depth to Groundwater: Standing Water in Hole: Weeping from Pit Face IS//4 Estimated Seasonal High Groundwater DETERMINATION FOR SEASONAL HIGH WATER TABLE Method Used: r_ I I Depth Observed standing in obs.hole: in. Depth to soil mottles: in. Depth to weeping from side of obs.hole: in. Groundwater Adjustment ft. Index Well# Reading Date: 'Index Well level- Adj.factor Adj.Groundwater Level PERCOLATION TEST. Date Time Observation Hole# Time at 9" .Depth of Perc � r Time at G" �Q� Start Pre-soak Time @ Time(9"-6") End Pre-soak I Dt Rate Min./hick Site Suitability Assessment: Site Passed Site.Failed: Additional Testing Needed(Y/N) Original: Public Health Division Observation Hole Data To Be Completed on Back----------- ***If percolation test is to be conducted within 100' of wetland,you must first notify the Barnstable Conservation Division at least one(1)week prior to beginning. Q:\SEPTIC\PERCFORM.DOC DEEP OBSERVATI®N HOLE LOG Hole#.- Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Mansell) Mottling (Structure,Stones,Boulders. j Consistency.%Gravel) 57 -132 C DIGS 16Yi��l -�� �t�� DEEP OBSERVATION HOLE LOG f Hole# . Depth from 'Soil Horizon Soil Texture Soil Color Soil'' Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consistency_%Gravel) _Z LS la 1 P/Z050) .. -0 DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consistency.%Gravel) DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consistency.%Gravel) Flood Insurance Rate Man: Above 500 year flood boundary No_ Yes Within 500 year boundary No Yes Within 100 year flood boundary No Yes Depth of Naturally Occurring_Pervious Material Does at least four feet of naturally occurring pervious-�material exist in all areas observed throughout the � area proposed for the soil absorption system? \— If not,what is the depth of naturally occurring pervious material? Certification .011- I certify that on ld',r(la (date)I have passed the soil evaluator examination approved by the Department of Environmental Protection and that the above analysis wag performed by me consistent with the required training,expertise and experience described in 310 CMR 15.017. Signature r . Date ; r� Q:\SEPTIC\PERCFORM.DOC TOWN OF,BARNSTABLE LOCATION ' � SEWAGE# J(� VILLAGE —� � AJ/�J;/��ASSESSOR'S MAP&PARCEL INSTALLER'S NAME&PHONE NO. C. 1 ?-71-S9JJ SEPTIC TANK CAPACITY c4, i �n A. LEACHING FACILITY:(type) (size) G�j;tom'®iyP NO.OF BEDROOMS OWNER PERMIT DATE: -Iq COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility(If any wells exist on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) N t4 Feet FURNISHED BY i ,2`7' r No. Fee T Entered in computer: HE COMMONWEALTH OF MASSACHUSETTS Yes PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS 2pplitation for Bisposaf 6pstem Construction Permit Application for a Permit to Construct( ) Repair o() Upgrade( ) Abandon( ) ❑Complete System T Individual Components Location Address or Lot No. Jq -) Ja_/)c Owner's Name,Address,and Tel.No. o m Ili 5: Assessor's Map/Parcel i)y iS, Installer's Name,Address,and Tel.No. f> -y " I Designer's Name,Address,and Tel.No. 5o9- (fix-tolcti Cvi�stn�cdt�t,, nc 5-r,M1x--fYLj add_ I Jn ,o or�I,74: art Nl-tz,y, ��- lls M4 par ,1 Type of Building: / Dwelling No.of Bedrooms T Lot Size yy �?S"3 sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) ` qC) gpd Design flow provided q y+` gpd Plan Date tJ¢St • '3p j(D Number of sheets 7 Revision Date Title Aim 41 ,9SK ��Iq/l0. j Size of Septic Tank U � Type of S.A.S. 3 - 6 qO 'Y, IB Description of Soil_24_1_1-e4 I• ,e L�9,a) 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 Environmenta nd not to place the system in operation until a Certificate of Compliance has been issued by this Board of He Signed Date Application Approved by Date 7 / Application Disapproved by Date for the following reasons Permit No. t Ll Date Issued No. Fee r THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes Rpplication for Misposal 6pstem, Construction Permit Application for a'kermit to Construct( ) Repair WC) Upgrade( ) Abandon( ) ❑Complete System [k ndividual Components Location Address or Lot No. -f v� � t� Owner's Name,Address,and Tel.No. 5�. (r - ct 5 3 Assessor's Map/Parcel 17 S � t� {cc lets- �o q 14o ne- Qyltbt 0 j4 Installer's Name,Address,and Tel.No. <"��_c�a�_gg�� Designer's Name,Address;`and Tel.-No. 5�'-36,p- lUc3r#o#6( Cons#,-r��or,�r+c �{sZ� usfr� Rc4• c;Grvr� �`� art nevi �, �;< q�c, lq4,Z�l S - 1M 1 _ 9. Tyc- pe of Building: Dwelling No.of Bedrooms Lot Size j sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures f/ Design Flow(min.required) 90 gpd Design flow provided r V gpd Plan DateOr r4 �/' /� /� Number of sheets t I Revision Date �i)ul r14 ✓t IA A '-6 3 MIM Size of Septic Tank -4= �C IC g Type of S.A.S.2 _ y g p ,,/ell �� C�p u /6� Description of Soil Nature of Repairs or Alterations(Answer when applicable);,.{ Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental_Cod d not to place the system in operation until a Certificate of Compliance has been issued by this Board of Health:--''-^'•- Signed Date .,2 t/ i s Application Approved by Date Application Disapproved by Date for the following reasons Permit No. /-2.6 l 07 Date Issued *. -_. THE'°COMMON�VEALTH OF MASSAe�HtSETTS BARNSTABLE,MASSACHUSETTS 3 Certificate of Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal system Constructed( ) Repaired Upgraded( ) Abandoned( � . i at , � nrp ), ���,, 1�-fjE has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No. 01q -Cfl dated Installer t _ i 1 ) Designer/ ,c h,r„�iy a L{r�C g r7f #bedrooms, Approved design flow t f ( j gpd The issuance of this permit shall not be construed as a guarantee that the system will funct on as'designed. Date I / ) Inspector -- ----- ------------------ ---------------- ----- --------- ---------------------------------------------------- � ---- No. �d / rJ Fee c) THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION-BARNSTABLE,MASSACHUSETTS Misposal *pstem Construction Permit Permission is hereby granted to Construct( ) Repair( � Upgrade( `) Abandon( ) System located at nr r nG and as described in the above Application for Disposal System Construction Permit. The applicant recognized his/her duty to comply with Title 5 and the following local provisions or special conditions. Provided:Construction must be completed within three years of the date of this permit. Date Approved by Town of Barnstable Regulatory SerTices Thomas P. Geiler,Director s�xsrsar�, Public Health Division Thomas McKean,][Director 200 Maim Street,Hyannis,MA 02601 Office: 508-862-4644 Fax: 508-790-6304 Installer&]IDesigger Certification Form. Date.- Sewage Permit## 201 q,,-OqZ Assessor's MapTarcel l 5 Designer, �DWN (.lkP�� "I {'��(( installer: d O LOM '�i� #IC�Df� Address: R � 1�kR C�(Zb—�TE�_ Address. . 10b0 F=Y Pb A2Mot i Pat �1A MI5 Nets MfLL� MA 02WB On 1 /9 / ,;-����, ,' (vr�s� c�i�>� as issued a permit to install a (date) (installer) septic system at 2 E t-b WeR (� based on a design drawn by (address) DANV- A. OJA-(A , PE PI-9 dated KEv. MA/ZcN G, 20 fq (designer) V I certify that the septic system referenced above was installed substantially according to the design, which may include minor approved changes such as lateral relocation of the distribution box and/or septic tank. I certify that the septic system referenced above was installed with major changes (i.e. greater than 10' lateral relocation of the SAS or any vertical relocation of any component of the septic system)but in accordance with State &Local Regulations. Plan revision or certified as-built b designer to follow- c�,• CFI OF r' DANIF A. o�aLA (Enstaller s Signature) +; CIVIL < No.40502 � (Designer's Signature) (Affix Designer's Stamp Here) PLEASE RETURN TO BARNSTABLE ]PUBLIC HEALTH DIMION. CERTIFICATE O COMPLIANCE '9S'ML NOT BE ISSUED UNTI L BOTH THIS FORM AND AS-BUMT CARD ARE RECEIVED BY TB E BARNSTABLE PUBLIC MALTH DMSION THANK YOU Q:Health/Septic/Desiptr Certification Form 3-26-04.doc 'LY d�U Y2,00 0 �aoDM r— f oil commonweotth of Mossochusetts .1o1m GradEXecul Ve Office of ErMronn-entol AffOirs D.E.P. Title V Se tic Iiispectof- Dopartmont of P. Envlronn�ontal Protection Te 5G4-6813 qY FO lot SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM V 'Z l PART A �' 991 (14 CERTIFICATION 40 Property Address: 29 Holder Lane4agimpuRlp Address of Owner: Date of Inspection:412197 (If different) Name of Inspector:.lohnGracl Cindy Barry:525 Ferry Point Rd.Annapolis Marylan Company Name,Address and Telephone Number: 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 inspection. The inspection was performed based on my training and experience in the proper function and maintenance of on-site sewage disposal systems. The system: X Passes This Inspection Is based on criteria defined In Title V Conditionally Passes code 310 CMR 15.303.My findings are of how the system Is _ Needs FurtyEaluation By the Local Approving Authority performing atthe time ofthe Inspection.MV Inspection does PP 9 tY not Imply any warranty or guarantee of the longevtty of the Falls septic system and any of its components useful life. Inspector's Signature: Date: 4128197 The System Inspector shall submit a copy of this inspection report to the Approving Authority within thirty(30)days of completing this inspections. 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 Department of Environmental Protection. The original should be sent to the system owner and copies sent to the buyer, if applicable and the approving authority. >_INSPECTION SUMMARY: Check A, B,C,or D: A] 'SYSTEM PASSES: X I have not found any information which indicates that the system violates any of the failure criteria ;. defined as in 310 CMR 15.303. Any failure criteria not evaluated are indicated below. B] SYSTEM CONDITIONALLY PASSES: One or more system components need to be replaced or repaired. The system, upon completion of the replacement or repair, passes inspection. Indicate yes,no,or not determined(Y, N,or ND). Describe basis of determination in all instances. If "not determined", explain why not.) _ The septic tank is metal,cracked,structurally unsound,shows substantial infiltration or exfiltration,or tank failure is a imminent. The system will pass inspection if the existing septic tank is replaced with a conforming septic tank as approved by the Board of Health. (revised11115195) One Winter-Street a Boston,Massachusetts 02108 • FAX(617)556-1049 • Telephone(617)292-5500 1 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM _ PART A CERTIFICATION(continued) Property Address: 29 Holder Lane Centerville Owner: Cindy Bang:526 Ferry Point Rd.Annapolis Maryland 21403 Date of Inspection:412197 _ Sewage backup or breakout of high static water level observed in the distribution box is due to a broken, settled or uneven distribution box. The system will pass inspection if(with approval of the Board of Health): broken pipe(s)are replaced obstruction is removed distribution box is leveled or replaced _The system required pumping more than four times a year due to broken or obstructed pipe(s). The system will pass inspection if(with approval of the Board of Health): broken pipe(s)are replaced obstruction is removed C1 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 the public health, safety and the environment. 1) SYSTEM WILL PASS UNLESS BOARD OF HEALTH DETERMINES THAT THE SYSTEM IS NOT FUNCTIONING IN A MANNER WHICH WILL PROTECT THE PUBLIC HEALTH AND 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 APPROPRIATE)DETERMINES THAT THE SYSTEM IS FUNCTIONING IN A MANNER THAT PROTECT THE PUBLIC HEALTH AND SAFETY AND THE ENVIRONMENT: _ The system has a septic tank and soil absorption system,and is within 100 feet to a surface of water supply or tributary to a surface water supply. _ The system has a septic tank and soil absorption system and is within a Zone 1 of a public water supply well. _ The system has a septic tank and soil absorption system and is within 50 feet of a private water supply well. The system has a septic tank and soil absorption system and is less than 100 feet but 50 feet or more from a private water supply well,unless a well water analysis for coliform bacteria volatile organic compounds indicates that the well is free from pollution for that facility and the presence of ammonia nitrogen and nitrate nitrogen is equal or less than 5 ppm. 3) OTHER D) SYSTEM FAILS: _ I have determined that the system violates one or more of the following failure criteria as defined in 310 CMR 15.303. The basis for this determination is identified below. The Board of Health should be contacted to determine what will be necessary to correct the failure. Backup of sewage in facility or system component due to an 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 cesspool. SAS is in hydraulic failure. -revised 11115195 ) 1 2 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION(continued) . Property Address: 29 Holder Lane Centerville Owner: Cindy Be":526 Ferry Point Rd.Annapolis Maryland 21403 Date of inspection:4097 D)SYSTEM FAILS(continued) _ Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool. Liquid depth in cesspool is less than 6"below invert or available volume is less than 1/2 day flow. _ Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s). Numbers of times pumped Any portion of the Soil Absorption System,cesspool or privy is below the high groundwater elevation. Any portion of a 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. 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. El LARGE SYSTEM FAILS: The following criteria apply to large systems in addition to the criteria: _ The system serves a facility with a design flow of 10,000 gpd or greater(Large System)and the system is a significant threat to public health and safety and the environment because one or more of the following conditions exist: 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) The owner or operator of any such system shall bring the system and facility into full compliance with the groundwater treatment program reIquirements of 314 CMR 5.00 and 6.00. Please consult the local regional office of the Department for further information. m (revised 11115195) 3 w SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B CHECLIST Property Address: 29 Holder Lane Centerville Owner: Cindy Barry:526 Ferry Point Rd.Annapolis Maryland 21403 Date of Inspection:412197 Check if the following have been done: X Pumping information was requested of the owner,occupant, and Board of Health. X None of the system components have been pumped for at least two weeks and the and the system has been receiving normal flow rates during that period. Large volumes of water have not been introduced into the system recently or as part of this inspection. n/aAs built plans have been obtained and examined. Note if they are not available with N/A. X The facility or dwelling was inspected for signs of sewage back-up. X The system does not receive non-sanitary or industrial waste flow. X The site was inspected for signs of breakout. X All system components,excluding the Soil Absorption System,have been located on the site. X The septic tank manholes were uncovered,opened,and the Interior of the septic tank was inspected for condition of baffles or tees,material of construction,dimensions,depth of liquid,depth of sludge, depth of scum. X The size and location of the Soil Absorption System on the site has been determined based on existing information or approximated by non-intrusive methods. X The facility owner(and occupants, if different from owner)were provided with information on the proper maintenance of Sub- Surface Disposal System. (revised 11115195) 4 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION Property Address: 29 Holder Lane Centerville Owner: Cindy Be":526 Ferry Point Rd.Annapolis Maryland 21403 Date of Inspection:412197 FLOW CONDITIONS RESIDENTIAL: Design flow: 330 gallons Number of bedrooms: 3 Number of current residents: 9 Garbage grinder(yes or no): No Laundry connected to system(yes or no): Yes Seasonal use(yes or no): No Water meter readings,if available: n1a Last date of occupancy: 1.5years ago. COMMERCIAL/INDUSTRIAL: Type of establishment: rda Design flow:9 gallons/day Grease trap present:(yes or no) No Industrial Waste Holding Tank present:(yes or no) No Non-sanitary waste discharged to the Title 5 system: (yes or no) No Water meter readings,if available: n1a Last date of occupancy: n1a OTHER:(Describe)Ida Last date of occupancy: GENERAL INFORMATION PUMPING RECORDS and source of information: System has not been pumped In the last year. System pumped as part of inspection: (yes or no)No If yes,volume pumped: 9 gallons Reason for pumping: n1a TYPE OF SYSTEM X Septic tank/distribution box/soil absorptions 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,date installed(if known)and source information- 1984 Sewage odors detected when arriving at the site:(yes or no) No (revised 11115195) - 5 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 29 Holder Lane Centerville Owner: Cindy Barry:526 Ferry Point Rd.Annapolis Maryland 21403 Date of Inspection:412197 SEPTIC TANK: X (locate on site plan) Depth below grade: T Material of construction:X concreate_meta(_FRP_other(explain) Dimensions: L 8'6-H 5'7"W 4'10- Sludge depth:1' Distance from top of sludge to bottom of outlet tee or baffle: 26' Scum thickness:0 Distance from top of scum to top of outlet tee or baffle:2' Distance form bottom of scum to bottom of outlet tee or baffle: 0 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,etc.) The septic tank and all components are structurally sound.Recommend pumping the system every two years for maintenance. GREASE TRAP:_ (locate on site plan) Depth below grade: Na Material of construction: _concrete_metal_FRP_other(explain) Dimensions: n1a Scum thickness:Na Distance from top of scum to top of outlet tee or baffle:n1a Distance from bottom of scum to bottom of outlet tee or baffle: n1a 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,etc.) n1a (revised 11/15195) _ 6 J � SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 29 Holder Lane Centerville Owner: Cindy Barry:526 Ferry Point Rd.Annapolis Maryland 21403 Date of Inspection:412197 TIGHT OR HOLDING TANK: (locate on site plan) Depth below grade: rda Material of con struction:_concrete_metal_FRP_other(explain) Dimensions: rda Capacity: n1a gallons Design flow: rda gallons/day Alarm level: n1a Comments: (condition of inlet tee,condition of alarm and float switches,etc.) rda DISTRIBUTION BOX: X (locate on site plan) Depth of liquid level above outlet invert: Liquid level with bottom of pipe. Comments: (note if level and distribution is equal, evidence of solids carryover,evidence of leakage into or out of box etc.) D-box is structurally sound. PUMP CHAMBER: (locate on site plan) Pumps in working order:(yes or,no) Comments: (note condition of pump chamber,condition of pumps and appurtenances, etc.) Na (revised 11115195) 7 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 29 Holder Lane Centerville Owner: Cindy Barry:526 Ferry Point Rd.Annapolis Maryland 21403 Date of Inspection:412197 SOIL ABSORPTION SYSTEM(SAS):X (locate on site plan,if possible;excavation not required,but may be approximated by non-intrusive methods) If not determined to be present,explain: Na Type: leaching pits,number: 1,00o gallon leach pit leaching chambers,number:n1a leaching galleries,number: n1a leaching trenches,number,length: n1a leaching fields,number,dimensions:n1a overflow cesspool,number:n1a Comments:(note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation,etc.) The overflow is structurally sound and functioning properly,It was empty at the time of the inspection. CESSPOOLS: (locate on site plan) Number and configuration: n1a Depth-top of liquid to inlet invert: n1a Depth of solids layer: nla Depth of scum layer: n1a Dimensions of cesspool: n1a Materials of construction: n1a Indication of groundwater: n1a inflow(cesspool must be pumped as part of inspection) n1a Comments:(note condition of soil, signs of hydraulic failure,level of ponding,condition of vegetation,etc.) n1a PRIVY: (locate on site plan) Materials of construction: n1a Dimensions: n1a Depth of solids: n1a Comments:(note condition of soil, signs of hydraulic failure,level of ponding, condition of vegetation, etc.) n1a (revised 11115195) ` 8 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 29 Holder Lane Centerville Owner: Cindy Barry:526 Ferry Point Rd.Annapolis Maryland 21403 Date of Inspection:412197 SKETCH OF SEWAGE DISPOSAL SYSTEM: include ties to at least two permanent references landmarks or benchmarks locate all wells within 100' o A � �C OG AP �I 3L h 1,0 DEPTH TO GROUNDWATER Depth to groundwater:12 feet method of determination or approximation: USGS Maps and Charts (revised 11115195) 9 I AsBuilt Pagel of 2 ' Cam'✓'. , /�.r.z2 7 V- LOCATION SEWAGE PERMIT NO. t , :v 2 Hd d, LcjK( 9y- sOs VILLAGE VISTA LLER'S NAME A ADDRESS BUILDER OR OWNER (t \ DATE PERMIT ISSUED ql1Y��'� DATE COMPLIANCE ISSUED y Lo y http://issgl2/intranet/propdata/prebuilt.a§px?mappar=174015&seq=1 9/6%2016 r S Al —o Z3- IN N1, ol Z 3 \ 7 9 �dV.m 1 s�pr1 ry i r Qom' pLB ff T GJ, o MORSE n l �FSSt0NA1,��/� /:,09 qo i s s ' � a " ✓ _ _ CERTIFIED PLOT PLAN pr R08ERT BRUGE ELDF2ED I N h"L suk�' SCALE, DATE _ — r/W � z ' L:DREDGE ENGINEE1 ING. CQ y ` ' CLIENT I CERTIFY THAT THE PROPOSED ' E(3.ISTERE REGISTERED �3 �-� �UIL®INO SHOWN , ON THIS PLAN ®� P!®.......�.e.._�.._ " CJVIL L:ANiJ. ` CONFOR6QS TO THE ZONING LAWS ENGINEER R EY } flR.®Y+ � � OF,BARNSTABL E MA. i,712 .MAIN STREETT ;,�; CH.:®Y+ '` � F 9OiEET..- . : DATE REG. LAND SUR�VEYO ,c", ?;?—( / g / -7 5-zi t✓� LOCATION -; AA SEWAGE PERMIT NO. *� c L� 8 y 05 VILLAGE IINSTA LLER'S NAME 6 ADDRESS BUILDER OR OWNER DATE PERMIT ISSUED DATE COMPLIANCE ISSUED �t. Lv 1 Pll y No........, 2 LO 5 4.1�......... cS THE COMMONWEALTH OF MASSACHUSETTS 174 BOAR® OF HEALTH L 0 - ......OF............. ApplirFatiun for Mipas al 10orkii Tunutrn.rtlun ramit Application is hereby made for a Permit to Construct or Repair ( ) an Individual Sewage Di posal System at ................__.......... ....�.�...... / .......... -- -- --- . Location.Acjflress or Lot No. .................... - ... . z ........... 0 .... _.. .: Owner Address ------------------------•--------- Installer Address Type of Building Size Lot.....V k.5.3q. feet Dwelling—No. of Bedrooms---•--_.._.._ __--------------------------Expansion Attic kU Garbage Grinder `4 Other—T e of Building No. of persons............................ Showers — Cafeteria Q' Other fixtures ................................. W Design Flow......................1 1 ..........gallons per person per day. Total daily flow__._.__..__..,P.r�;..0..............gallons. WSeptic Tank—Liquid capacityl UR. allons 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..... -C-1ps`-----_.. H Test Pit No. 1..... -minutes per inch Depth of Test Pit.... ./ Dh to ground water __________ water 04 Test Pit No. 2........... minutes per inch Depth of Test Pit__________ Depth to ground '..s�. - water-__---.___------__-- ..--•-----•-----------------------------•-•---•-- ----1------••-----------------------.........•--- ----------�-........................................ ODescription of Soil--------------•------...-----•----------------....0. - ®61�-f5- t W W -•--•-•••••-•---•-•••--•-••------•----------•-•--••--•-•-•--......----•---...... ---m f `ice=�..............Fr�A-15e.---- e� x ---•-----•••----- ------•----------•-----•---•---•--•---------------------------- -----•---••-----•------•-•----------------•••----•-•-------------•••--••••---------•----••......-•------------------- 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-iITI.- 5 of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been issued by the board ealth. Signed ....... .. . ....••••....... --••- f-�••l � 9- Date Application Approved BY•--••----------- . -----..__•___________________ ......... Date Application Disapproved for the following reasons:................................................................................................................ --------------------------------------------•---•--•-------------------------------.......------•----------•..._...••--•---•----••••-------•---•-----•-•-----------...--------------•-------•-••--•-•--- Date PermitNo......................................................... Issued-....................................................... Date No........R-q *Q$ Fins....5. r!!.......... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH -----....O F.............e 5-/.!7d _ ' ".........._._..._...._......._. Appliration for Disposal Works Tonitrurtion Frrutit Application is hereby made for a Permit to Construct kk or Repair ( ) an Individual Sewage D' posal System at: ................ .._ Location-.A ress or Lot No. . .................__.� . ;�: .> � - '�!:' '. : ............ f .y. 5:`40....... ��::d��e: . t Address ,Wa � t: .......... .4----------------------------------- , *::_a..:......................................... Installer Address Type of Building _7 4 Size Lot... Z :�-e..Sq. feet aDwelling—No,. of Bedrooms........... -------------_...---------Expansion Attic, ,± Garbage Grinder 46-10 aI Other—Type `of Building ............................ No, of persons....................... Showers ( ) — Cafeteria ( ) 04 Other fixtures -----•-------------................................-t ------------ ............................................................-•••••---•••-•-- W Design Flow.....................1� __..:._._.._.._._gallons per person per'flay. Total daily flow_____-_--_. �.____._. ...........gallons. 1:4 Septic Tank—Liquid capacitytfl`_-r)._ allons Length............ Width.._...`_'......... Diameter________________ Depth................ Disposal Trench—No..................... Width.................... Total L,ength...............x... Total leaching area....................sq. ft. Seepage Pit No.___-__-.-.--_-_-- Diameter.................... Depth below inlet.................... Total;leachingl area..................sq. ft. Z Other Distribution box ( ) Dosing tank Percolation Test Results Performed b -- - f ..... Date...... ±`. �.... .... . . a Test Pit No. 1.... ,•E S;.minutes per inch Depth of Test Pit.. ..... Depth to ground water____ _.... .. r (il Test Pit No. 2..._.... minutes per inch Depth of Test .. '-�-- Depth to ground water_±" �O ......................................................a.... =---------•----•••-......-•--•-------•---••-- Description of Soil----••••• ••....-•••----•••-----•......• . 2r - t9s / -r �t r S(n .......................................... ................................. F Y�..r.. w UNature 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 l I T LL 5 of the State Sanitary 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. Signed.. r_ t.,J_t�:-� " �.+> ., _ - -------------- Date Application Approved BY------------- ... ...... ............................ .......... Date Application Disapproved for the following reasons--------------------•-------------------------................................................................. ---•••••---•--••-•...................•••••...........---•••••--•-••-•........•-••-•---...-•-•••---•-........••••••••••---•••-•---••••---••••••--••••------.............................................. Date PermitNo......................................................... Issued-....................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH .....�! ALL `~................OF........... �.1f `r �.......... ................. �rrtifiratr of (to m4 iFanrr THIS IS TO CERTIFY, That the Individuat Sewa isposal System constructed,• ) or\Repaired ( ) y by. `-�-4,V1 �'c st -------...............................................................------........_........ «•�^ .�'..�• �OL s ----------------------------------------------- has been installed in accordance with the provisions of TITI E 5 of The State Sanitary Code as described in the application for Disposal Works Construction Permit ........ dated--------------------------- .................... THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE.......... ..1d-•=�r! 7 Inspector k -------------------------.................... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH p...... /.!!!t!. .—OF.......... �'j!A f� % '=r_A ,i................................ No.....�, -.9: 9_!o 5FEE.... :...... Bisposal Vnrho Tonotrnrtion famit Permission is hereby granted..................... ?:: "_*"(_.__........ •'� to Construct (i`) or.Repair ( ) an Individual Sgyage D' posal System ---' ��f1 at No............................ _- `1"" ''r' _...._.._ / I -- - ----------L. '4,ft'.s.�C .........C, 'z`� _IC r Street as shown on the application for Disposal Works Construction Permit No..................... Dated.......................................... ...................••••........ ............................................................ y p Board of Health DATE-------------------------------------------------------------••I - FORM 1255 A. M. SULKIN, INC., BOSTON '%,. ue I,6cATI6N NO. APPLICANT �' Zl�7s%�tL � i)6F ,1L� 'i�,.c�� FEE T , �._ AI)DRTJ5S ( �x /� < ;Z?c�/�r. �2� �- TELEPHONE NO. (Non-refundable 'ENGINEER TELE HONE NO. '775 -22s r DN.7'E 4,01EllULED 2 `� /cry c�-r ' �. _ r� (Applicant' ignature SOIL LOG: SU. B-DIVISION NAME ,DATE_g'I;,�y TIME EXPANSION AREA: YES !/ NO /F- _ENG_INEER TOWN WATER PRIVATE WELL J l�oN on.- ale BOARD OF HEALTH EXCAVATOR S�CETGIis (Street name,etc. ,dimensions of lot, exact location of test holes and t, percolation tests, locate wetlands in proximity to test holes ) NOTES: LZ 2�f�7 N PERCOLATION RATE: -� Z TEST. HOLE NO: ELEVATION: TEST HOLE NO: T.I:,IVA'i'ION: s 2 ©Z,•' Lop..^ .. S'u a sow 1 2 3 3 r 4 4 5 5 6 2 i_ ► O � 6 7 FPr E 7 8 Sa W 0 8 9 9 10 _ 10 ` 11 1Vo W�rT.4 11 12 12 13 13 14 14 15 15 16 16 ` SUITABLE FOR SUB-SURFACE SEWAGE: LEACHING FIELD LEA RING PITS LEACHING TRENCHES UNSUITABLE FOR SUB-SURFACE SEWAGE. REASONS: f NQTE; ` ENGINEERING PLANS MUST �?.' NUMBER AS.` RdED ON PEItC TES-.r ! 9RIGINAL: COMPLETED IN ENT,J, "': ,,Y._Y P• E. .. '``T'' " 'r"� 3_ BOAR ('GPX*- RETAINED BY APPLICANT /YO7� = /Ir E/TPl&R 7W C`S4'PT« 7AAW .OR . 20 FT MAIV. L.EACNI,tVgg PiT 14.ger: NOR& THAN /a AWIL&W _t A 4""PIA A4E7ZR C0MCRIF7:E COY�.�. SMALL &AF &.VO4Af VT TO 61Q.�QGam.CA V.FCrR^ COAlCXl�TE qAp 'PYC PJP2 NZ AVY CA 57 //?ON C d Y�`R S/'/i4�L 8¢ USE✓O PJTtN JF//V OR/VEAVAY • _ EG, I�o.o coyd ? wslK. CD/bCR4LL-7TALF c3 ®E Cd rER L CAM SAlYO BAG.�F/LL LQU/D L EtYEl- y . • 2�LAYER GAL a �' o • �• e - '' I�i Jtlf,P/TC/!t . e e e s • ♦ s• d + �/A$/l£aD .57bN� is ' PLRx trY SEPTIC TA/VK D/SP. " • . e v • . . . . • • • . ®o}t e . eFECw� • '� .��� - I Ila tiJ • • ISOpfp�-N • s e • • o WASNED 5740NE / 13 x /.o = 1 13 i as . • • ® e o • e o • p ••s PRECAST PIT c.a.PR c t //6.-78 G.4 6 �DAy s t e • e e o e o . • • o P/T OR E-%L/tV. ,. .. JIVIOT lAld� BLZ ErD/S?*qi 10M BOX `Ilb,S . Fp /@euND �TE�7' H D D/S'/i�1ITlON Box lO% FY. .�Gl„ APASe WAL 5V.S7'e=M ; - SCALE- �4• a O•• DJhIEA/S/OJVr `/a r x' D.ESI61Y ;CmITEd[/A 77-77, SO/L L®0 ,. T97A4 E PY ED. FLAe�c/ `3 3 O G.4L.�DAY S01 L TEST JYUNI AER aF L-AGItlKG P/TS Xrl-ArY, OA7 46 Or SO/L- 7"EST 5 S/ S/O LtAGMING PE/?P/T 5S9 PT. f RI3.G-..G�t oliP � l 3 (9 _ Z RESULTS iR/BTI!/E��O d'° Eor-ro^fLEs4CNLNCr.PeXP/T $Q. FT LDA /'�,f �R COX AT/Olt+ T83 / Liss I'9/Ja�IMCM ,TOTAL LEACH/NG AREA 33 sep FT.- s��so•� J��J�COL�7YOI�RA7-llff'02 7?fstn/MIJV11lVC-'l .QE3FR°vELE.�SCJ/1N6r4REA 3.3 99 5Q: FT. 2.,0 4�Oi Adis �ZH:OFM� F�n�E. T P .,. 1- Sy 5 fr,,•� /- 0 7• 8 �/O L OC ,LA-A1 9 . ROBERT �A sRucE `"` AL �, �Es/��✓ Cam,(//�Jzt//LLE ELDRE o EXTZA cg SE ti ; Fe�✓ 1���w� :- ��®RE®c��Ef�fa►lA/ 'll�s /IR�G.F Trio 90 Gts�E 7t� /'1i41N S7r HYA/VN/9 MASS ,yp'.SDti �FSs/pNAL� O�s a ,. ® NO GROUNl7; y4 1TRH' AKVCOIINTE��o L'dJ.�pIY� D.tT�=. J�� :e3"I �t,�.���2 Oes z i I NOTES SYSTEM PROFILE MARKED WITHCMAGNETICTTAPEAOR BE 1. DATUM IS NAVD 88 PROVIDE MIN. 20" DIAM. WATERTIGHT (NOT TO SCALE) COMPARABLE MEANS FOR FUTURE LOCATION. 2. MUNICIPAL WATER IS EXISTING ACCESS COVERS TO WITHIN 6" OF FIN. GRADE 2" PEASTONE OR GEOTEXTILE CONCRETE COVERS TO WITHIN 3" GRADE 3. MINIMUM PIPE PITCH TO BE 1/8" PER FOOT. TOP FOUND. EL. 122.5' 1 FILTER FABRIC OVER STONE O \ 4. DESIGN LOADING FOR ALL PROPOSED PRECAST �o UNITS TO BE AASHO H-2Q 2% SLOPE REQUIRED OVER SYSTEM 120 -122 ofP 6 MINIMUM .75' OF COVER OVER PRECAST Der y P���c PRECAST H-io PRECASTBLOCKS 5. PIPE JOINTS TO BE MADE WATERTIGHT. ry°°� o 00 RISERS (TYP.) MORTAR ALL fur Lone 2'0 1 21 .78' WATERTEST D'BOX 4"OSCH40 PVC COMPONENTS H-10 INV'S EL. 6..CONSTRUCTION DETAILS TO BE IN ACCORDANCE filer Min n FOR LEVELNESS PIPES LEVEL 1ST 2' �2 5' 1 18.0' Sad WITH 310 CMR 15.000 (TITLE 5.) ENDS BET. SIDES 119' Q o 10" EXISTING 14" 10--- GAS .. -: : THIS PLAN IS FOR PROPOSED WORK ONLYAND ° ° r :. •. o000> ° 000 o� ' •> ° ° ° ° �TEE SEPTIC TANK** TEE *� ° ��m� In�0Ei ooa. ��0� ®®® ;°o°o°o°o NOT TO BE USED FOR LOT LINE STAKING OR ANY OCUS 120.38 0°0 ���0®®®®®�� °°°o°° . ®0��� 0�0� >oo°o°o°0000o000o0o0 6" MIN SUMP o ° ° ° ° ° ° ° OTHER PURPOSE.oaa®®o��aaa oo BAFFLE ::; �90�0�0°0°04 12" MIN. INT. DIM. nj ; oo 0 0°°° a0000�®®�ao 000000 000000a®��� °000°oo1 18.14 °°°O°° °°°°°°°° 1 l g' 8. PIPE FOR SEPTIC SYSTEM TO SCH. 40-4" PVC.118.31 ° ° ° ° ° t r e 9. COMPONENTS NOT TO BE BACKFILLED OR °k S LH-20 500 GAL. LEACHING CHAMBERS BY ACME PRECAST CONCEALED WITHOUT INSPECTION BY BOARD OF ee on (3) UNITS REQUIRED HEALTH AND PERMISSION OBTAINED FROM BOARD Race Lone Thr 3/4"-1-1/2" DOUBLE WASHED STONE OF HEALTH. 6" CRUSHED STONE OR MECHANICAL OVERALL DIMENSIONS TO OUTSIDE OF STONE: 40' X 10' COMPACTION. (15.221 [2]) Iq 10.00 CALLING DGSAOE SHALL 863 RESPONSIBLE} ANDFOR LOCUS � A ( 4 % SLOPE) ( � SLOPE) /� VERIFYING THE LOCATION OF ALL UNDERGROUND & H-20 LEACHING OVERHEAD UTILITIES PRIOR TO COMMENCEMENT OF NOT TO SCALE FOUNDATION- EXIST. SEPTIC TANK 50' D' BOX 16' WORK. FACILITY 107.5' BOTTOM TH-1 ` *THE INSTALLER SHALL VERIFY THE LOCATIONS OF ALL **INSTALLER SHALL CONFIRM MINIMUM SEPTIC TANK SIZE AT NO GROUNDWATER FOUND 11. ANY UNSUITABLE MATERIAL ENCOUNTERED ASSESSORS MAP 174 PARCEL 15 UTILITIES AND ALL BUILDING SEWER OUTLETS AND ELEVATIONS 1000 GALLONS AND ITS SUITABILITY FOR RE=USE. REPLACE SHALL BE REMOVED 5' BENEATH AND AROUND THE PRIOR TO INSTALLING ANY PORTION OF SEPTIC SYSTEM WITH 1500 GALLON SEPTIC TANK APPROPRIATE TO SITE PROPOSED LEACHING FACILITY. CONDITIONS IF NOT SUITABLE 12. EXISTING LEACHING FACILITY SHALL BE PUMPED AND REMOVED LEGEND HOLDER LANE ELEV. 4 ELEV. 5' REMOVAL OF UNSUITABLE SOIL REQUIRED TEST HOLE LOGS Off 119' Ott4 120' 99- EXISTING CONTOUR AROUND PERIMETER OF LEACHING FACILITY, DOWN TO SUITABLE SOIL LAYER (C2). REPLACE < UNSUIT. X 99.1 EXIST. SPOT ELEV. WITH CLEAN MED. SAND, TO MEET ENGINEER: CRAIG J. FERRARI, SE #13871 24„ FILL 11 24" FILL UNSUIT. -[99]- PROPOSED CONTOUR SPECIFICATIONS OF 310 CMR 15.255(3) D WITNESS: DAVID W. STANTON RS 198.41 PROPOSED SPOT EL. 0 70.11 . 3 2019 DATE: / /y 12J S L=7989' 6 A A UNSUIT. ILS /LS UNSUIT. TH1 9 y - G L PERC. RATE < 2 MIN/INCH TEST HOLE - - - - DR _ _ _ - 0 19 10YR 3/2 1 16.7' „ 10YR 3/2 , PROVIDE 28' OF 40 MIL LINER AT 5' SSA H4 �'�� 14 6 - CLASS I'' SOILS p# 15911 27 28 1 17.7 2 - SLOPE OF GROUND OFF SAS IN AREA SHOWN. TOP AT TH3 i � B B ELEV. 1 .5', OTTO�N AT L. 114.5't 1 AUTION 100% R , UTILITY POLE O GAS LIN _ 5 - - i /L SL UNSUIT. - -- 0 .124 2� UNSUIT. 7 7 P. VEN ITH CHARCOAL- LTE r z / / FIRE HYDRANT __., . _ . 54 `10YR 5 8 1 14.5 H 10YR 5 8 ' SCRE F LACE ENT r _ _ - I ` I 60 -. 1 1j NOTE: NOT ALL SYMBOLS MAY APPEAR IN DRAWING CONTRACTM WITH HOMECO NER 2 - - G °°N f11s, / 122 SYSTEM DESIGN. PERCm , GARBAGE DISPOSER 1S NOT ALLOWED C C TEST HOLE LOGS \ / o DESIGN FLOW: 4 BEDROOMS ® 110 GPD =440 GPD M CS M CS >> ENGINEER: DANIEL E. GONSALVES, SE #13587 '� EXISTING 12 USE A 440 GPD DESIGN FLOW / DWELLING 1g WITNESS: DAVID W. STANTON RS 'moo X TOF = 122.5 j 1 SEPTIC TANK: 440 GPD (2) = 880 1OYR 7/4 1OYR 7/4 DATE: 10/4/2016 BENCHMARK: USE ` **USE EXISTING 1000 GAL. SEPTIC TANK 132" 108' 120" 110' PERC. RATE _ < 2 MIN/INCH TOP of ''8 / FOUNDATION ELEV. 116 LEACHING: NO GROUNDWATER ENCOUNTERED CLASS I SOILS P# 15160 HERE AT 122.5' DECK ,>> SIDES: 2 (40 + 10) 2 (.74) = 148 GPD ELEV. ELEV. 115 114 BOTTOM 40 x 10 (.74) = 296 GPD 4 �/ i OOpp121� C 120 'os TOTAL: 600 S.F. 444 GPD UNSUIT. FILL FILL UNSUIT. 104 \ 96 107 �o , USE (3) 500 GAL. LEACHING CHAMBERS TITLE 5 SITE PLAN 30 32 �9 //0 >>1 �2 (ACME OR EQUAL) WITH 2.25' STONE AT OF B ENDS 5' BETWEEN UNITS AND 2.6' AT SIDES UNSUIT. /LS /LS UNSUIT. / #29 HOLDER LANE 58" 10YR 5/6 116.2' 6011 10YR 5/6 115' '�� MARSTONS MILLS %1 / 1 // PREPARED FOR SIEVE /FLS /FLS UNSUIT. UNSUIT. � � BORTOLOTTI CONSTRUCTION/ � � 96" 10YR 6/6 113' 960' 1OYR 6/6 112' KUFFERT LOT 8 DATE: OCTOBER 4, 2016 C2 C2 44,783 SF �� DATE: MARCH 6, 2019 (ADDITIONAL TEST HOLES) 1.03 AC. �. „ SIEVE N OF MgsSgt. N MgsS FS FS �'4 oyG � q�y off 508-362-4541 Ch DANIELA. N o DANIEL G� g� fax 508-362-9880 OJALA A. downcope.com CIVIL � OJALA N 2.5Y 7/4 2.5Y 7/4 w d '' No.40980 = ' N°.46502 o down cape engineering, Inc F �S - t s, r7 oc c G R ``` '• P P . 150 108.5 150 107.5 SCaIe: 1"= 20' 0 N� R .z ~-` civil engineers d Ito\ = ,,4 e land surveyors NO GROUNDWATER ENCOUNTERED 0 10 20 30 40 50 FEET DANIEL A. OJALA, P.E., P.L.S. 939 Main Street ( Rte 6A) LICE # 1 6-298 YARMOUTHPORT MA 02675 16-298